consensus-based sediment quality: Topics by Science.gov

Sample records for consensus-based sediment quality

Development and evaluation of consensus-based sediment effect concentrations for polychlorinated biphenyls

USGS Publications Warehouse

MacDonald, Donald D.; Dipinto, Lisa M.; Field, Jay; Ingersoll, Christopher G.; Long, Edward R.; Swartz, Richard C.

2000-01-01

Sediment-quality guidelines (SQGs) have been published for polychlorinated biphenyls (PCBs) using both empirical and theoretical approaches. Empirically based guidelines have been developed using the screening-level concentration, effects range, effects level, and apparent effects threshold approaches. Theoretically based guidelines have been developed using the equilibrium-partitioning approach. Empirically-based guidelines were classified into three general categories, in accordance with their original narrative intents, and used to develop three consensus-based sediment effect concentrations (SECs) for total PCBs (tPCBs), including a threshold effect concentration, a midrange effect concentration, and an extreme effect concentration. Consensus-based SECs were derived because they estimate the central tendency of the published SQGs and, thus, reconcile the guidance values that have been derived using various approaches. Initially, consensus-based SECs for tPCBs were developed separately for freshwater sediments and for marine and estuarine sediments. Because the respective SECs were statistically similar, the underlying SQGs were subsequently merged and used to formulate more generally applicable SECs. The three consensus-based SECs were then evaluated for reliability using matching sediment chemistry and toxicity data from field studies, dose-response data from spiked-sediment toxicity tests, and SQGs derived from the equilibrium-partitioning approach. The results of this evaluation demonstrated that the consensus-based SECs can accurately predict both the presence and absence of toxicity in field-collected sediments. Importantly, the incidence of toxicity increases incrementally with increasing concentrations of tPCBs. Moreover, the consensus-based SECs are comparable to the chronic toxicity thresholds that have been estimated from dose-response data and equilibrium-partitioning models. Therefore, consensus-based SECs provide a unifying synthesis of existing SQGs, reflect causal rather than correlative effects, and accurately predict sediment toxicity in PCB-contaminated sediments.
Development and evaluation of consensus-based sediment quality guidelines for freshwater ecosystems

USGS Publications Warehouse

MacDonald, D.D.; Ingersoll, C.G.; Berger, T.A.

2000-01-01

Numerical sediment quality guidelines (SQGs) for freshwater ecosystems have previously been developed using a variety of approaches. Each approach has certain advantages and limitations which influence their application in the sediment quality assessment process. In an effort to focus on the agreement among these various published SQGs, consensus-based SQGs were developed for 28 chemicals of concern in freshwater sediments (i.e., metals, polycyclic aromatic hydrocarbons, polychlorinated biphenyls, and pesticides). For each contaminant of concern, two SQGs were developed from the published SQGs, including a threshold effect concentration (TEC) and a probable effect concentration (PEC). The resultant SQGs for each chemical were evaluated for reliability using matching sediment chemistry and toxicity data from field studies conducted throughout the United States. The results of this evaluation indicated that most of the TECs (i.e., 21 of 28) provide an accurate basis for predicting the absence of sediment toxicity. Similarly, most of the PECs (i.e., 16 of 28) provide an accurate basis for predicting sediment toxicity. Mean PEC quotients were calculated to evaluate the combined effects of multiple contaminants in sediment. Results of the evaluation indicate that the incidence of toxicity is highly correlated to the mean PEC quotient (R2= 0.98 for 347 samples). It was concluded that the consensus-based SQGs provide a reliable basis for assessing sediment quality conditions in freshwater ecosystems.
Characterization of the quality of water, bed sediment, and fish in Mittry Lake, Arizona, 2014–15

USGS Publications Warehouse

Hermosillo, Edyth; Coes, Alissa L.

2017-03-01

Water, bed-sediment, and fish sampling was conducted in Mittry Lake, Arizona, in 2014–15 to establish current water-quality conditions of the lake. The parameters of temperature, dissolved-oxygen concentration, specific conductance, and alkalinity were measured in the field. Water samples were collected and analyzed for dissolved major ions, dissolved trace elements, dissolved nutrients, dissolved organic carbon, dissolved pesticides, bacteria, and suspended-sediment concentrations. Bed-sediment and fish samples were analyzed for trace elements, halogenated compounds, total mercury, and methylmercury.U.S. Environmental Protection Agency secondary maximum contaminant levels in drinking water were exceeded for sulfate, chloride, and manganese in the water samples. Trace-element concentrations were relatively similar between the inlet, middle, and outlet locations. Concentrations for nutrients in all water samples were below the Arizona Department of Environmental Quality’s water-quality standards for aquatic and wildlife uses, and all bacteria levels were below the Arizona Department of Environmental Quality’s recommended recreational water-quality criteria. Three out of 81 pesticides were detected in the water samples.Trace-element concentrations in bed sediment were relatively consistent between the inlet, middle, and outlet locations. Lead, manganese, nickel, and zinc concentrations, however, decreased from the inlet to outlet locations. Concentrations for lead, nickel, and zinc in some bed-sediment samples exceeded consensus-based sediment-quality guidelines probable effect concentrations. Eleven out of 61 halogenated compounds were detected in bed sediment at the inlet location, whereas three were detected at the middle location, and five were detected at the outlet location. No methylmercury was detected in bed sediment. Total mercury was detected in bed sediment at concentrations below the consensus-based sediment-quality guidelines probable effect concentration.Sixteen trace elements were detected in at least one of the fish-tissue samples, and trace-element concentrations were relatively consistent between the three fish-tissue samples. Seven halogenated compounds were detected in at least one of the whole-body fish samples; four to five compounds were detected in each fish. One fish-tissue sample exceeded the U.S. Environmental Protection Agency human health consumption criteria for methylmercury.
Coordination and standardization of federal sedimentation activities

USGS Publications Warehouse

Glysson, G. Douglas; Gray, John R.

1997-01-01

- precipitation information critical to water resources management. Memorandum M-92-01 covers primarily freshwater bodies and includes activities, such as "development and distribution of consensus standards, field-data collection and laboratory analytical methods, data processing and interpretation, data-base management, quality control and quality assurance, and water- resources appraisals, assessments, and investigations." Research activities are not included.
Heavy metals in surface sediments of the Jialu River, China: their relations to environmental factors.

PubMed

Fu, Jie; Zhao, Changpo; Luo, Yupeng; Liu, Chunsheng; Kyzas, George Z; Luo, Yin; Zhao, Dongye; An, Shuqing; Zhu, Hailiang

2014-04-15

This work investigated heavy metal pollution in surface sediments of the Jialu River, China. Sediment samples were collected at 19 sites along the river in connection with field surveys and the total concentrations were determined using atomic fluorescence spectrometer and inductively coupled plasma optical emission spectrometer. Sediment samples with higher metal concentrations were collected from the upper reach of the river, while sediments in the middle and lower reaches had relatively lower metal concentrations. Multivariate techniques including Pearson correlation, hierarchical cluster and principal components analysis were used to evaluate the metal sources. The ecological risk associated with the heavy metals in sediments was rated as moderate based on the assessments using methods of consensus-based Sediment Quality Guidelines, Potential Ecological Risk Index and Geo-accumulation Index. The relations between heavy metals and various environmental factors (i.e., chemical properties of sediments, water quality indices and aquatic organism indices) were also studied. Nitrate nitrogen, total nitrogen, and total polycyclic aromatic hydrocarbons concentrations in sediments showed a co-release behavior with heavy metals. Ammonia nitrogen, total nitrogen, orthophosphate, total phosphate and permanganate index in water were found to be related to metal sedimentation. Heavy metals in sediments posed a potential impact on the benthos community. Copyright © 2014 Elsevier B.V. All rights reserved.
Predictions of sediment toxicity using consensus-based freshwater sediment quality guidelines

USGS Publications Warehouse

Ingersoll, C.G.; MacDonald, D.D.; Wang, N.; Crane, J.L.; Field, L.J.; Haverland, P.S.; Kemble, N.E.; Lindskoog, R.A.; Severn, C.; Smorong, D.E.

2001-01-01

The objectives of this study were to compare approaches for evaluating the combined effects of chemical mixtures on the toxicity in field-collected sediments and to evaluate the ability of consensus-based probable effect concentrations (PECs) to predict toxicity in a freshwater database on both a national and regional geographic basis. A database was developed from 92 published reports, which included a total of 1,657 samples with high-quality matching sediment toxicity and chemistry data from across North America. The database was comprised primarily of 10- to 14-day or 28- to 42-day toxicity tests with the amphipod Hyalella azteca (designated as the HA10 or HA28 tests) and 10- to 14-day toxicity tests with the midges Chironomus tentans or C. riparius (designated as the CS10 test). Mean PEC quotients were calculated to provide an overall measure of chemical contamination and to support an evaluation of the combined effects of multiple contaminants in sediments. There was an overall increase in the incidence of toxicity with an increase in the mean quotients in all three tests. A consistent increase in the toxicity in all three tests occurred at a mean quotient > 0.5, however, the overall incidence of toxicity was greater in the HA28 test compared to the short-term tests. The longer-term tests, in which survival and growth are measured, tend to be more sensitive than the shorter-term tests, with acute to chronic ratios on the order of six indicated for H. azteca. Different patterns were observed among the various procedures used to calculate mean quotients. For example, in the HA28 test, a relatively abrupt increase in toxicity was associated with elevated polychlorinated biphenyls (PCBs) alone or with elevated polycyclic aromatic hydrocarbons (PAHs) alone, compared to the pattern of a gradual increase in toxicity observed with quotients calculated using a combination of metals, PAHs, and PCBs. These analyses indicate that the different patterns in toxicity may be the result of unique chemical signals associated with individual contaminants in samples. Though mean quotients can be used to classify samples as toxic or nontoxic, individual quotients might be useful in helping identify substances that may be causing or substantially contributing to the observed toxicity. An increase in the incidence of toxicity was observed with increasing mean quotients within most of the regions, basins, and areas in North America for all three toxicity tests. The results of these analyses indicate that the consensus-based PECs can be used to reliably predict toxicity of sediments on both a regional and national basis.
Consensus sediment quality guidelines for polycyclic aromatic hydrocarbon mixtures

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

Swartz, R.C.

1999-04-01

Sediment quality guidelines (SQGs) for polycyclic aromatic hydrocarbons (PAHs) have been derived from a variety of laboratory, field, and theoretical foundations. They include the screening level concentration, effects ranges-low and -median, equilibrium partitioning concentrations, apparent effects threshold, {Sigma}PAH model, and threshold and probable effects levels. The resolution of controversial differences among the PAH SQGs lies in an understanding of the effects of mixtures. Polycyclic aromatic hydrocarbons virtually always occur in field-collected sediment as a complex mixture of covarying compounds. When expressed as a mixture concentration, that is, total PAH (TPAH), the guidelines form three clusters that were intended in theirmore » original derivations to represent threshold (TEC = 290 {micro}g/g organic carbon [OC]), median (MEC = 1,800 {micro}g/g OC), and extreme (EEC = 10,000 {micro}g/g OC) effects concentrations. The TEC/MEC/EEC consensus guidelines provide a unifying synthesis of other SQGs, reflect causal rather than correlative effects, account for mixtures, and predict sediment toxicity and benthic community perturbations at sites of PAH contamination. The TEC offers the most useful SQG because PAH mixtures are unlikely to cause adverse effects on benthic ecosystems below the TEC.« less
Mud, models, and managers: Reaching consensus on a watershed strategy for sediment load reduction

NASA Astrophysics Data System (ADS)

Wilcock, P. R.; Cho, S. J.; Gran, K.; Belmont, P.; Hobbs, B. F.; Heitkamp, B.; Marr, J. D.

2017-12-01

Agricultural nonpoint source sediment pollution is a leading cause of impairment of U.S. waters. Sediment sources are often on private land, such that solutions require not only considerable investment, but broad acceptance among landowners. We present the story of a participatory modeling exercise whose goal was to develop a consensus strategy for reducing sediment loading from the Greater Blue Earth River Basin, a large (9,200 km2) watershed in southern Minnesota dominated by row crop agriculture. The Collaborative for Sediment Source Reduction was a stakeholder group of farmers, industry representatives, conservation groups, and regulatory agencies. We used a participatory modeling approach to promote understanding of the problem, to define the scope of solutions acceptable to farmers, to develop confidence in a watershed model, and to reach consensus on a watershed strategy. We found that no existing watershed model could provide a reliable estimate of sediment response to management actions and developed a purpose-built model that could provide reliable, transparent, and fast answers. Because increased stream flow was identified as an important driver of sediment loading, the model and solutions included both hydrologic and sediment transport components. The model was based on an annual sediment budget with management actions serving to proportionally reduce both sediment sources and sediment delivery. Importantly, the model was developed in collaboration with stakeholders, such that a shared understanding emerged regarding of the modeling challenges and the reliability of information used to strongly constrain model output. The simplicity of the modeling approach supported stakeholder engagement and understanding, thereby lowering the social barrier between expert modeler and concerned stakeholder. The consensus strategy focused on water storage higher in the watershed in order to reduce river discharge and the large supply of sediment from near-channel sources. Because water storage must occur largely on private farmland, this strategy was initially opposed by some stakeholders, such that model simplicity and transparency was essential in reaching a consensus strategy.
Sediment quality and quantity issues related to the restoration of backwater lakes along the Illinois River waterway

USGS Publications Warehouse

Machesky, M.L.; Slowikowski, J.A.; Cahill, R.A.; Bogner, W.C.; Marlin, J.C.; Holm, T.R.; Darmody, R.G.

2005-01-01

Sedimentation has severely impacted backwater lakes along the Illinois River. The State of Illinois and the US Army Corps of Engineers are currently involved in a joint effort to address ecosystem degradation within the Illinois River Basin, and excessive sedimentation of backwater lakes and side channels is a primary cause of that degradation. Necessary parts of the overall restoration effort are to adequately characterize both the quality and quantity of backwater lake sediments prior to implementing any restoration efforts, and to identify potential beneficial reuses of dredged sediments. This paper summarizes some of our efforts in these areas with an emphasis on Peoria Lake which has received the most attention to date. Sediment characterization has included detailed bathymetric surveys, sediment dating with 137 Cs, chemical and mineralogical characterization of sediments to three meters depth, analysis of recent sediments (to 30 cm depth) for acid-volatile sulfide and simultaneously extracted metals, and analysis of ammonia and toxic metals in sediment pore waters. Dredged sediments have also been used in various trial projects to demonstrate potential handling and beneficial reuse strategies. Some significant findings of these studies are: 1) Long-term sedimentation rates are high, and average 1–3 cm y −1 ; 2) total concentrations of several trace metals (e.g., Pb, Cd, Ni) and PAH compounds sometimes exceed consensus-based probable effect levels for sensitive sediment-dwelling organisms; 3) pore water dissolved ammonia concentrations in Peoria Lake are potentially toxic to sensitive sediment-dwelling species; and 4) weathered sediments can make productive agricultural soils.
Bed-Sediment Sampling and Analysis for Physical and Chemical Properties of the Lower Mississippi River near Memphis, Tennessee

USGS Publications Warehouse

Blanchard, Robert A.; Wagner, Daniel M.; Evans, Dennis A.

2010-01-01

In February 2010, the U.S. Geological Survey, in cooperation with the U.S. Army Corps of Engineers, Memphis District, investigated the presence of inorganic elements and organic compounds in bed sediments of the lower Mississippi River. Selected sites were located in the navigation channel near river miles 737, 773, and 790 near Memphis, Tennessee. Bed-sediment samples were collected using a Shipek grab sampler mounted to a boom crane with a motorized winch. Samples then were processed and shipped to the U.S. Geological Survey Sediment Laboratory in Rolla, Missouri, the USGS National Water Quality Laboratory in Denver, Colorado, and to TestAmerica Laboratory, Inc. in West Sacramento, California. Samples were analyzed for grain size, inorganic elements (including mercury), and organic compounds. Chemical results were tabulated and listed with sediment-quality guidelines and presented with the physical property results. All of the bed material samples collected during this investigation yielded concentrations that were less than the Consensus-Based Probable Effect Concentration guidelines. The physical properties were tabulated and listed using a standard U.S. Geological Survey scale of sizes by class for sediment analysis. All of the samples collected during this investigation indicated a percent composition mostly comprised of sand, ranging from less than 0.125 millimeters to less than 2 millimeters.
Assessment of selected contaminants in streambed- and suspended-sediment samples collected in Bexar County, Texas, 2007-09

USGS Publications Warehouse

Wilson, Jennifer T.

2011-01-01

Elevated concentrations of sediment-associated contaminants are typically associated with urban areas such as San Antonio, Texas, in Bexar County, the seventh most populous city in the United States. This report describes an assessment of selected sediment-associated contaminants in samples collected in Bexar County from sites on the following streams: Medio Creek, Medina River, Elm Creek, Martinez Creek, Chupaderas Creek, Leon Creek, Salado Creek, and San Antonio River. During 2007-09, the U.S. Geological Survey periodically collected surficial streambed-sediment samples during base flow and suspended-sediment (large-volume suspended-sediment) samples from selected streams during stormwater runoff. All sediment samples were analyzed for major and trace elements and for organic compounds including halogenated organic compounds and polycyclic aromatic hydrocarbons (PAHs). Selected contaminants in streambed and suspended sediments in watersheds of the eight major streams in Bexar County were assessed by using a variety of methods—observations of occurrence and distribution, comparison to sediment-quality guidelines and data from previous studies, statistical analyses, and source indicators. Trace elements concentrations were low compared to the consensus-based sediment-quality guidelines threshold effect concentration (TEC) and probable effect concentration (PEC). Trace element concentrations were greater than the TEC in 28 percent of the samples and greater than the PEC in 1.5 percent of the samples. Chromium concentrations exceeded sediment-quality guidelines more frequently than concentrations of any other constituents analyzed in this study (greater than the TEC in 69 percent of samples and greater than the PEC in 8 percent of samples). Mean trace element concentrations generally are lower in Bexar County samples compared to concentrations in samples collected during previous studies in the Austin and Fort Worth, Texas, areas, but considering the relatively large ranges and standard deviations associated with the concentrations measured in all three areas, the trace element concentrations are similar. On the basis of Mann-Whitney U test results, the presence of a military installation in a watershed was associated with statistically significant higher chromium, mercury, and zinc concentrations in streambed sediments compared to concentrations of the same elements in a watershed without a military installation. Halogenated organic compounds analyzed in sediment samples included pesticides (chlordane, dieldrin, DDT, DDD, and DDE), polychlorinated biphenyls (PCBs), and brominated flame retardants. Three or more halogenated organic compounds were detected in each sediment sample, and 66 percent of all concentrations were less than the respective interim reporting levels. Halogenated organic compound concentrations were mostly low compared to consensus-based sediment quality guidelines-;TECs were exceeded in 11 percent of the analyses and PECs were exceeded in 1 percent of the analyses. Chlordane compounds were the most frequently detected halogenated organic compounds with one or more detections of chlordane compounds in every watershed; concentrations were greater than the TEC in 6 percent of the samples. Dieldrin was detected in 50 percent of all samples, however all concentrations were much less than the TEC. The DDT compounds (p,p'-DDT, p,p'-DDD, and p,p'-DDE) were detected less frequently than some other halogenated organic compounds, however most detections exceeded the TECs. p,p'-DDT was detected in 13 percent of the samples (TEC exceeded in 67 percent); p,p'-DDD was detected in 19 percent of the samples (TEC exceeded in 78 percent); and p,p'-DDE was detected in 35 percent of the samples (TEC exceeded in 53 percent). p,p'-DDE concentrations in streambed-sediment samples correlate positively with population density and residential, commercial, and transportation land use. One or more PCB congeners were detected in
Approaches for derivation of environmental quality criteria for substances applied in risk assessment of discharges from offshore drilling operations.

PubMed

Altin, Dag; Frost, Tone Karin; Nilssen, Ingunn

2008-04-01

In order to achieve the offshore petroleum industries "zero harm" goal to the environment, the environmental impact factor for drilling discharges was developed as a tool to identify and quantify the environmental risks associated with disposal of drilling discharges to the marine environment. As an initial step in this work the main categories of substances associated with drilling discharges and assumed to contribute to toxic or nontoxic stress were identified and evaluated for inclusion in the risk assessment. The selection were based on the known toxicological properties of the substances, or the total amount discharged together with their potential for accumulation in the water column or sediments to levels that could be expected to cause toxic or nontoxic stress to the biota. Based on these criteria 3 categories of chemicals were identified for risk assessment the water column and sediments: Natural organic substances, metals, and drilling fluid chemicals. Several approaches for deriving the environmentally safe threshold concentrations as predicted no effect concentrations were evaluated in the process. For the water column consensus were reached for using the species sensitivity distribution approach for metals and the assessment factor approach for natural organic substances and added drilling chemicals. For the sediments the equilibrium partitioning approach was selected for all three categories of chemicals. The theoretically derived sediment quality criteria were compared to field-derived threshold effect values based on statistical approaches applied on sediment monitoring data from the Norwegian Continental Shelf. The basis for derivation of predicted no effect concentration values for drilling discharges should be consistent with the principles of environmental risk assessment as described in the Technical Guidance Document on Risk Assessment issued by the European Union.
Levels and sources of heavy metals and PAHs in sediment of Djibouti-city (Republic of Djibouti).

PubMed

Mahdi Ahmed, Moussa; Doumenq, Pierre; Awaleh, Mohamed Osman; Syakti, Agung Dhamar; Asia, Laurence; Chiron, Serge

2017-07-15

Selected heavy metals and polycyclic aromatic hydrocarbons (PAHs) were determined in marine sediment from 28 sites Djibouti city. The concentrations of trace elements varied from 0 to 288.1mg/kg with relative abundance of trace metals in sediments was in the order of Zn>Cu>Ni>Cr>Co>Pb>Cd. Zn, Cu and Ni exceeded consensus based sediment quality guideline values 7, 14, 15 sites respectively. Enrichment factor and pollution load index showed relatively low to moderate contamination. The concentrations of total 16 PAHs varied widely depending on the sample location and ranged from 2.65 to 3760.11ng·g -1 , with the mean concentration value of 387.87ng·g -1 . Compositions and relative abundance of individual PAH using molecular diagnostic ratio using congener's m/z 178 and 202 indicated pyrolytic origin and reflecting a petroleum combustion, grass/wood and coal combustion and a petrogenic source. This study represents the first pollution baseline and a reference for future studies in Djibouti. Copyright © 2017 Elsevier Ltd. All rights reserved.
Environmental assessment of polycyclic aromatic hydrocarbons (PAHs) in surface sediments of the Santander Bay, Northern Spain.

PubMed

Viguri, J; Verde, J; Irabien, A

2002-07-01

Samples of intertidal surface sediments (0-2 cm) were collected in 17 stations of the Santander Bay, Cantabric Sea, Northern Spain. The concentrations of polycyclic aromatic hydrocarbons (PAHs), 16, were analysed by HPLC and MS detection. Surface sediments show a good linear correlation among the parameters of the experimental organic matter evaluation, where total carbon (TC) and loss on ignition (LOI) are approximately 2.5 and 5 times total organic carbon (TOC). A wide range of TOC from 0.08% to 4.1%, and a broad distribution of the sum of sigma16PAHs, from 0.02 to 344.6 microg/g d.w., which can be correlated by an exponential equation to the TOC, has been identified. A qualitative relationship may be established between the industrial input along the rivers and the concentration of sigma6PAHs in the sediments of the estuaries: Boo estuary (8404-4631 microg/g OC), Solia-San Salvador estuaries (305-113 microg/g OC) and Cubas estuary (31-32 microg/g OC). This work shows a dramatic change in the spatial distribution in the concentration of PAHs of intertidal surface sediments. The left edge of the Bay has the main traffic around the city and the major source of PAHs is from combustion processes and estuarine inputs, leading to medium values of PAHs in the sediments; the right edge of the Bay has much lesser anthropogenic activities leading to lower values of PAHs in sediments. The distribution of individual PAHs in sediments varies widely depending on their structure and molecular weight; the 4-6 ring aromatics predominate in polluted sediments due to their higher persistence. The isomer ratio does not allow any clear identification of the PAHs origin. Environmental evaluation according to Dutch guidelines and consensus sediment quality guidelines based on ecotoxicological data leads to the same conclusion, sediments in the Santander Bay show a very different environmental quality depending on the spatial position from heavily polluted/medium effects to non-polluted/below threshold effects. These results indicate that local sources of PAHs, especially estuary discharges, lead to very different qualities of sediments in coastal zones, where traffic and industrial activities take place.
Data on Streamflow and Quality of Water and Bottom Sediment in and near Humboldt Wildlife Management Area, Churchill and Pershing Counties, Nevada, 1998-2000

USGS Publications Warehouse

Paul, Angela P.; Thodal, Carl E.

2003-01-01

This study was initiated to expand upon previous findings that indicated concentrations of dissolved solids, arsenic, boron, mercury, molybdenum, selenium, and uranium were either above geochemical background concentrations or were approaching or exceeding ecological criteria in the lower Humboldt River system. Data were collected from May 1998 to September 2000 to further characterize streamflow and surface-water and bottom-sediment quality in the lower Humboldt River, selected agricultural drains, Upper Humboldt Lake, and Lower Humboldt Drain (ephemeral outflow from Humboldt Sink). During this study, flow in the lower Humboldt River was either at or above average. Flows in Army and Toulon Drains generally were higher than reported in previous investigations. An unnamed agricultural drain contributed a small amount to the flow measured in Army Drain. In general, measured concentrations of sodium, chloride, dissolved solids, arsenic, boron, molybdenum, and uranium were higher in water from agricultural drains than in Humboldt River water during this study. Mercury concentrations in water samples collected during the study period typically were below the laboratory reporting level. However, low-level mercury analyses showed that samples collected in August 1999 from Army Drain had higher mercury concentrations than those collected from the river or Toulon Drain or the Lower Humboldt Drain. Ecological criteria and effect concentrations for sodium, chloride, dissolved solids, arsenic, boron, mercury, and molybdenum were exceeded in some water samples collected as part of this study. Although water samples from the agricultural drains typically contained higher concentrations of sodium, chloride, dissolved solids, arsenic, boron, and uranium, greater instantaneous loads of these constituents were carried in the river near Lovelock than in agricultural drains during periods of high flow or non-irrigation. During this study, the high flows in the lower Humboldt River produced the maximum instantaneous loads of sodium, chloride, dissolved solids, arsenic, boron, molybdenum, and uranium at all river-sampling sites, except molybdenum near Imlay. Nevada Division of Environmental Protection monitoring reports on mine-dewatering discharge for permitted releases of treated effluent to the surface waters of the Humboldt River and its tributaries were reviewed for reported discharges and trace-element concentrations from June 1998 to September 1999. These data were compared with similar information for the river near Imlay. In all bottom sediments collected for this study, arsenic concentrations exceeded the Canadian Freshwater Interim Sediment-Quality Guideline for the protection of aquatic life and probable-effect level (concentration). Sediments collected near Imlay, Rye Patch Reservoir, Lovelock, and from Toulon Drain and Army Drain were found to contain cadmium and chromium concentrations that exceeded Canadian criteria. Chromium concentrations in sediments collected from these sites also exceeded the consensus-based threshold-effect concentration. The Canadian criterion for sediment copper concentration was exceeded in sediments collected from the Humboldt River near Lovelock and from Toulon, Army, and the unnamed agricultural drains. Mercury in sediments collected near Imlay and from Toulon Drain in August 1999 exceeded the U.S. Department of the Interior sediment probable-effect level. Nickel concentrations in sediments collected during this study were above the consensus-based threshold-effect concentration. All other river and drain sediments had constituent concentrations below protective criteria and toxicity thresholds. In Upper Humboldt Lake, chloride, dissolved solids, arsenic, boron, molybdenum, and uranium concentrations in surface-water samples collected near the mouth of the Humboldt River generally were higher than in samples collected near the mouth of Army Drain. Ecological criteria or effect con
Fast and accurate de novo genome assembly from long uncorrected reads

PubMed Central

Vaser, Robert; Sović, Ivan; Nagarajan, Niranjan

2017-01-01

The assembly of long reads from Pacific Biosciences and Oxford Nanopore Technologies typically requires resource-intensive error-correction and consensus-generation steps to obtain high-quality assemblies. We show that the error-correction step can be omitted and that high-quality consensus sequences can be generated efficiently with a SIMD-accelerated, partial-order alignment–based, stand-alone consensus module called Racon. Based on tests with PacBio and Oxford Nanopore data sets, we show that Racon coupled with miniasm enables consensus genomes with similar or better quality than state-of-the-art methods while being an order of magnitude faster. PMID:28100585
An evaluation of the toxicity of contaminated sediments from Waukegan Harbor, Illinois, following remediation

USGS Publications Warehouse

Kemble, N.E.; Hardesty, D.G.; Ingersoll, C.G.; Johnson, B. Thomas; Dwyer, F.J.; MacDonald, D.D.

2000-01-01

Waukegan Harbor in Illinois was designated as a Great Lakes Area of Concern due to high concentrations of sediment-associated polychlorinated biphenyls (PCBs). The objective of this study was to evaluate the toxicity of 20 sediment samples collected after remediation (primarily dredging) of Waukegan Harbor for PCBs. A 42-day whole sediment toxicity test with the amphipod Hyalella azteca (28-day sediment exposure followed by a 14-day reproductive phase) and sediment toxicity tests with Microtox® were conducted to evaluate sediments from Waukegan Harbor. Endpoints measured were survival, growth, and reproduction (amphipods) and luminescent light emission (bacteria). Survival of amphipods was significantly reduced in 6 of the 20 sediment samples relative to the control. Growth of amphipods (either length or weight) was significantly reduced relative to the control in all samples. However, reproduction of amphipods identified only two samples as toxic relative to the control. The Microtox basic test, conducted with organic extracts of sediments identified only one site as toxic. In contrast, the Microtox solid-phase test identified about 50% of the samples as toxic. A significant negative correlation was observed between reproduction and the concentration of three polynuclear aromatic hydrocarbons (PAHs) normalized to total organic carbon. Sediment chemistry and toxicity data were evaluated using sediment quality guidelines (consensus-based probable effect concentrations, PECs). Results of these analyses indicate that sediment samples from Waukegan Harbor were toxic to H. azteca contaminated at similar contaminant concentrations as sediment samples that were toxic to H. azteca from other areas of the United States. The relationship between PECs and the observed toxicity was not as strong for the Microtox test. The results of this study indicate that the first phase of sediment remediation in Waukegan Harbor successfully lowered concentrations of PCBs at the site. Though the sediments were generally not lethal, there were still sublethal effects of contaminants in sediments at this site observed on amphipods in long-term exposures (associated with elevated concentrations of metals, PCBs, and PAHs).
Estimation of Sediment Sources Using Selected Chemical Tracers in the Perry Lake and Lake Wabaunsee Basins, Northeast Kansas

USGS Publications Warehouse

Juracek, Kyle E.; Ziegler, Andrew C.

2007-01-01

In Kansas and nationally, stream and lake sediment is a primary concern as related to several important issues including water quality and reservoir water-storage capacity. The ability to achieve meaningful decreases in sediment loads to reservoirs requires a determination of the relative importance of sediment sources within the contributing basins. To investigate sources of sediment within the Perry Lake and Lake Wabaunsee Basins of northeast Kansas, representative samples of channel-bank sources, surface-soil sources (cropland and grassland), and reservoir bottom sediment were collected, analyzed, and compared. Subbasins sampled within the Perry Lake Basin included Atchison County Lake, Banner Creek Reservoir, Gregg Creek, Mission Lake, and Walnut Creek. The samples were sieved to isolate the less than 63-micron fraction (that is, the silt and clay) and analyzed for selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 25 trace elements, and the radionuclide cesium-137 (137Cs). To determine which of the 30 constituents provided the best ability to discriminate between channel-bank and surface-soil sources in the two basins, four selection criteria were used. To be selected, it was required that the candidate constituent (1) was detectable, (2) had concentrations or activities that varied substantially and consistently between the sources, (3) had concentration or activity ranges that did not overlap between the sources, and (4) had concentration or activity differences between the sources that were statistically significant. On the basis of the four selection criteria, total nitrogen (TN), total phosphorus (TP), total organic carbon (TOC), and 137Cs were selected. Of the four selected constituents, 137Cs likely is the most reliable indicator of sediment source because it is known to be conservative in the environment. Trace elements were not selected because concentrations in the channel-bank and surface-soil sources generally were similar or did not vary in a consistent manner. To further account for differences in particle-size composition between the sources and the reservoir bottom sediment prior to the sediment-source estimations, constituent ratio and clay-normalization techniques were used. Computed ratios included the ratio of TOC to TN, TOC to TP, and TN to TP. Constituent concentrations (TN, TP, TOC) and activities (137Cs) were normalized by dividing by the percentage of clay. Thus, the sediment-source estimations involved the use of seven sediment-source indicators (that is, three constituent ratios and the clay-normalized concentration or activity for four constituents). Sediment-source estimation for each reservoir was based on a comparison between the reservoir bottom sediment and the end member channel-bank and surface-soil sources. Within the Perry Lake Basin, the seven-indicator consensus indicated that both channel-bank and surface-soil sources were important contributors of the sediment deposited in Atchison County Lake and Banner Creek Reservoir, whereas channel-bank sources were the dominant source of sediment for Mission Lake. On the sole basis of 137Cs activity, surface-soil sources contributed the most sediment to Atchison County Lake, and channel-bank sources contributed the most sediment to Banner Creek Reservoir and Mission Lake. For Perry Lake, both the seven-indicator consensus and 137Cs indicated that channel-bank sources were dominant and that channel-bank sources increased in importance with distance downstream in the Perry Lake Basin. For Lake Wabaunsee, the seven-indicator consensus and 137Cs indicated that both channel-bank and surface-soil sources were important. Given that the relative contribution of sediment from channel-bank and surface-soil sources can vary within and between basins and over time, basin-specific strategies for sediment management and monitoring are appropriate.
Geo-accumulation index and contamination factors of heavy metals (Zn and Pb) in urban river sediment.

PubMed

Haris, Hazzeman; Looi, Ley Juen; Aris, Ahmad Zaharin; Mokhtar, Nor Farhanna; Ayob, Nur Ain Ayunie; Yusoff, Fatimah Md; Salleh, Abu Bakar; Praveena, Sarva Mangala

2017-12-01

The aim of the present study was to appraise the levels of heavy metal contamination (Zn and Pb) in sediment of the Langat River (Selangor, Malaysia). Samples were collected randomly from 15 sampling stations located along the Langat River. The parameters measured were pH, redox potential, salinity, electrical conductivity, loss of ignition, cation exchanges capacity (Na, Mg, Ca, K), and metal ions (Zn and Pb). The geo-accumulation index (I geo ) and contamination factor (C f ) were applied to determine and classify the magnitude of heavy metal pollution in this urban river sediment. Results revealed that the I geo of Pb indicated unpolluted to moderately polluted sediment at most of the sampling stations, whereas Zn was considered to be within background concentration. The I geo results were refined by the C f values, which showed Pb with very high C f at 12 stations. Zinc, on the other hand, had low to moderate C f values. These findings indicated that the sediment of the Langat River is severely polluted with Pb. The Zn concentration at most sampling points was well below most sediment quality guidelines. However, 40% of the sampling points were found to have a Pb concentration higher than the consensus-based probable effect concentration of 128 mg/kg (concentrations above this value are likely to cause harmful effects). This result not only highlights the severity of Pb pollution in the sediment of the Langat River, but also the potential risk it poses to the environment.
Geochemistry of Mine Waste and Mill Tailings, Meadow Deposits, Streambed Sediment, and General Hydrology and Water Quality for the Frohner Meadows Area, Upper Lump Gulch, Jefferson County, Montana

USGS Publications Warehouse

Klein, Terry L.; Cannon, Michael R.; Fey, David L.

2004-01-01

Frohner Meadows, an area of low-topographic gradient subalpine ponds and wetlands in glaciated terrane near the headwaters of Lump Gulch (a tributary of Prickly Pear Creek), is located about 15 miles west of the town of Clancy, Montana, in the Helena National Forest. Mining and ore treatment of lead-zinc-silver veins in granitic rocks of the Boulder batholith over the last 120 years from two sites (Frohner mine and the Nellie Grant mine) has resulted in accumulations of mine waste and mill tailings that have been distributed downslope and downstream by anthropogenic and natural processes. This report presents the results of an investigation of the geochemistry of the wetlands, streams, and unconsolidated-sediment deposits and the hydrology, hydrogeology, and water quality of the area affected by these sources of ore-related metals. Ground water sampled from most shallow wells in the meadow system contained high concentrations of arsenic, exceeding the Montana numeric water-quality standard for human health. Transport of cadmium and zinc in ground water is indicated at one site near Nellie Grant Creek based on water-quality data from one well near the creek. Mill tailings deposited in upper Frohner Meadow contribute large arsenic loads to Frohner Meadows Creek; Nellie Grant Creek contributes large arsenic, cadmium, and zinc loads to upper Frohner Meadows. Concentrations of total-recoverable cadmium, copper, lead, and zinc in most surface-water sites downstream from the Nellie Grant mine area exceeded Montana aquatic-life standards. Nearly all samples of surface water and ground water had neutral to slightly alkaline pH values. Concentrations of arsenic, cadmium, lead, and zinc in streambed sediment in the entire meadow below the mine waste and mill tailings accumulations are highly enriched relative to regional watershed-background concentrations and exceed consensus-based, probable-effects concentrations for streambed sediment at most sites. Cadmium, copper, and zinc typically are adsorbed to the surface coatings of streambed-sediment grains. Mine waste and mill tailings contain high concentrations of arsenic, cadmium, copper, lead, and zinc in a quartz-rich matrix. Most of the waste sites that were sampled had low acid-generating capacity, although one site (fine-grained mill tailings from the Nellie Grant mine deposited in the upper part of lower Frohner Meadows) had extremely high acid-generating potential because of abundant fine-grained pyrite. Two distinct sites were identified as metal sources based on streambed-sediment samples, cores in the meadow substrate, and mine and mill-tailings samples. The Frohner mine and mill site contribute material rich in arsenic and lead; similar material from the Nellie Grant mine and mill site is rich in cadmium and zinc.

Trace elements and organic compounds in streambed sediment and fish tissue of coastal New England streams, 1998-99

USGS Publications Warehouse

Chalmers, Ann

2002-01-01

Streambed sediment and fish tissue were collected at 14 river sites in eastern New England during low-flow conditions in 1998 and 1999 as part of the New England Coastal Basins (NECB) study of the U.S. Geological Survey National Water-Quality Assessment (NAWQA) Program. Sampling sites were selected over a range of urban settings. Population densities at selected sites ranged from 26 to 3,585 people per square mile, and urban land use ranged from 1 to 68 percent. The streambed sediment samples were analyzed for a total of 141 contaminants, including 45 trace elements, 32 organochlorine compounds, and 64 semi-volatile organic compounds. The fish tissue samples were analyzed for 22 trace elements and 28 organochlorine compounds. Concentrations of selected contaminants in both streambed sediment and fish tissue correlated more strongly with population density than with other watershed characteristics. Cadmium, copper, lead, mercury, zinc, total polycyclic aromatic hydrocarbons (PAHs), total polychlorinated biphenyls (PCBs), dichloro diphenyl trichloroethane and metabolites (DDTM), and total chlordane in streambed sediment all showed strong positive correlations with population density (rho = 0.71 to 0.85, p value = 0.005 to <0.001). Correlations between population density and selected contaminants in fish tissue were less significant than with streambed sediment (rho = 0.62 to 0.72, p value = 0.03 to 0.008). Organic carbon concentrations were correlated with concentrations of arsenic, selenium, total PAHs, total PCBs, and DDTM in streambed sediment. The relation between concentrations of contaminants in streambed sediment and fish tissue was stronger for organochlorine compounds (rho = 0.75 to 0.55, p = 0.005 to 0.065) than for trace elements (rho = 0.63 to 0.53, p = 0.029 to 0.069). The NECB study area had the highest median concentrations of lead, mercury, total PAHs, total PCBs, and DDTM in streambed sediment and the highest median concentration of PCBs in fish tissue compared to 45 other NAWQA study units across the Nation. Concentrations of many of these constituents in streambed sediment also were frequently above the consensus-based Sediment-Quality Guidelines for the protection of wildlife, suggesting they are a threat to the health of aquatic biota in New England.
QMEANclust: estimation of protein model quality by combining a composite scoring function with structural density information.

PubMed

Benkert, Pascal; Schwede, Torsten; Tosatto, Silvio Ce

2009-05-20

The selection of the most accurate protein model from a set of alternatives is a crucial step in protein structure prediction both in template-based and ab initio approaches. Scoring functions have been developed which can either return a quality estimate for a single model or derive a score from the information contained in the ensemble of models for a given sequence. Local structural features occurring more frequently in the ensemble have a greater probability of being correct. Within the context of the CASP experiment, these so called consensus methods have been shown to perform considerably better in selecting good candidate models, but tend to fail if the best models are far from the dominant structural cluster. In this paper we show that model selection can be improved if both approaches are combined by pre-filtering the models used during the calculation of the structural consensus. Our recently published QMEAN composite scoring function has been improved by including an all-atom interaction potential term. The preliminary model ranking based on the new QMEAN score is used to select a subset of reliable models against which the structural consensus score is calculated. This scoring function called QMEANclust achieves a correlation coefficient of predicted quality score and GDT_TS of 0.9 averaged over the 98 CASP7 targets and perform significantly better in selecting good models from the ensemble of server models than any other groups participating in the quality estimation category of CASP7. Both scoring functions are also benchmarked on the MOULDER test set consisting of 20 target proteins each with 300 alternatives models generated by MODELLER. QMEAN outperforms all other tested scoring functions operating on individual models, while the consensus method QMEANclust only works properly on decoy sets containing a certain fraction of near-native conformations. We also present a local version of QMEAN for the per-residue estimation of model quality (QMEANlocal) and compare it to a new local consensus-based approach. Improved model selection is obtained by using a composite scoring function operating on single models in order to enrich higher quality models which are subsequently used to calculate the structural consensus. The performance of consensus-based methods such as QMEANclust highly depends on the composition and quality of the model ensemble to be analysed. Therefore, performance estimates for consensus methods based on large meta-datasets (e.g. CASP) might overrate their applicability in more realistic modelling situations with smaller sets of models based on individual methods.
A comparison of sediment quality results with acid volatile sulfide (AVS) and simultaneously extracted metals (SEM) ratio in Vojvodina (Serbia) sediments.

PubMed

Prica, M; Dalmacija, B; Roncević, S; Krcmar, D; Becelić, M

2008-01-25

The acid-volatile sulfide (AVS), simultaneously extracted metals (SEM), total metals, and pore-water metal concentrations were studied in Vojvodina (Serbia) sediments. In Serbia, there are no regulations concerning sediment quality standards and sediment management. Harmonization of legislation in the domain of environmental protection with EU requirements will increase the significance of the sediment issue. Sediment quality was assessed according to Dutch standards, but the results were also compared with Canadian and USEPA (United States Environmental Protection Agency) guidelines for sediment quality. A comparison of the results based on different criteria for sediment quality assessment shows that they are sometimes contradictory. Therefore, a single approach to quality assessment may be insufficient. The Sigma[SEM]/[AVS] ratio was found to be greater than one at several locations that were already recognized as places of high risk based on Dutch standards. Some other samples had Sigma[SEM]/[AVS]<1, despite of the high risk classification based on the Dutch evaluation. However, not all sediments with Sigma[SEM]/[AVS]>1 can cause increased toxicity because there are many other metal-binding phases in sediments. Metals that are associated with AVS may be released within sediments through storms, dredging activities, oxidation, etc., and may have adverse environmental impacts. This has to be taken into account during dredging, which is for some sediments necessary because the sediment is of class 4 (Dutch evaluation), because the dredging process will certainly increase the concentration of bioavailable heavy metals and disturb the sedimentation dynamics. The obtained results will be invaluable for future activities regarding dredging and sediment management in the country.
Democracy-based consensus in medicine.

PubMed

Greco, Massimiliano; Zangrillo, Alberto; Mucchetti, Marta; Nobile, Leda; Landoni, Paolo; Bellomo, Rinaldo; Landoni, Giovanni

2015-04-01

High-quality evidence and derived guidelines, as typically published in major academic journals, are a major process that shapes physician decision-making worldwide. However, for many aspects of medical practice, there is a lack of High-quality evidence or an overload of somewhat contradictory low-quality information, which makes decision-making a difficult, uncertain, and unpredictable process. When the issues in question are important and evidence limited or controversial, the medical community seeks to establish common ground for "best practice" through consensus conferences and consensus statements or guidelines. Such consensus statements are seen as a useful tool to establish expert agreement, define the boundaries of acceptable practice, provide priorities for the research agenda, and obtain opinions from different countries and healthcare systems. This standard approach, however, can be criticized for being elitist, noninclusive, and poorly representative of the community of clinicians who will have to make decisions about the implementation of such recommendations. Accordingly, the authors propose a new model based on a combination of a local core meeting (detailed review and expert input) followed by a worldwide web-based network assessment (democracy-based consensus). The authors already have applied this approach to develop consensus on all nonsurgical interventions that increase or reduce perioperative mortality in critically ill patients and in those with acute kidney injury. The methodology was based on 5 sequential local and web-based steps. Both a panel of experts and a large number of professionals from all over the world were involved, giving birth to a new type of "democracy-based consensus." This new type of "democracy-based consensus" has the potential to increase grass-root clinician involvement, expand the reach to less-developed countries, provide a more global perspective on proposed interventions, and perhaps more importantly, increase awareness, ownership, and the statistical likelihood of subsequent implementation. Copyright © 2015 Elsevier Inc. All rights reserved.
PAHs (Polycyclic Aromatic Hydrocarbons), Nitro-PAHs, Hopanes and Steranes Biomarkers in Sediments of Southern Lake Michigan, USA

PubMed Central

Huang, Lei; Chernyak, Sergei M.; Batterman, Stuart A.

2014-01-01

PAHs in the Great Lakes basin are of concern due to their toxicity and persistence in bottom sediments. Their nitro derivatives, nitro-PAHs (NPAHs), which can have stronger carcinogenic and mutagenic activity than parent PAHs, may follow similar transport routes and also are accumulated in sediments. Limited information exists regarding the current distribution, trends and loadings of these compounds, especially NPAHs, in Lake Michigan sediments. This study characterizes PAHs, NPAHs, and biomarkers steranes and hopanes in surface sediments collected at 24 offshore sites in southern Lake Michigan. The ΣPAH14 (sum of 14 compounds) ranged from 213 to 1291 ng/g dry weight (dw) across the sites, levels that are 2 to 10 times lower than those reported 20 to 30 years earlier. Compared to consensus-based sediment quality guidelines, PAH concentrations suggest very low risk to benthic organisms. The ΣNPAH5 concentration ranged from 2.9 to 18.6 ng/g dw, and included carcinogenic compounds 1-nitropyrene and 6-nitrochrysene. ΣSterane6 and ΣHopane5 concentrations ranged from 6.2 to 36 and 98 to 355 ng/g dw, respectively. Based on these concentrations, Lake Michigan is approximately receiving 11, 0.16, 0.25 and 3.6 metric tons per year (t/yr) of ΣPAH14, ΣNPAH5, ΣSterane6 and ΣHopane5, respectively. Maps of OC-adjusted concentrations display that concentrations decline with increasing off-shore distance. The major sources of PAHs and NPAHs are pyrogenic in nature, based on diagnostic ratios. Using chemical mass balance models, sources were apportioned to emissions from diesel engines (56±18%), coal power plants (27±14%), coal-tar pavement sealants (16±11%), and coke ovens (7±12%). The biomarkers identify a combination of petrogenic and biogenic sources, with the southern end of the lake more impacted by petroleum. This first report of NPAHs levels in sediments of Lake Michigan reveals several carcinogenic compounds at modest concentrations, and a need for further work to assess potential risks to aquatic organisms. PMID:24784742
Canadian Association of Gastroenterology consensus guidelines on safety and quality indicators in endoscopy

PubMed Central

Armstrong, David; Barkun, Alan; Bridges, Ron; Carter, Rose; de Gara, Chris; Dubé, Catherine; Enns, Robert; Hollingworth, Roger; MacIntosh, Donald; Borgaonkar, Mark; Forget, Sylviane; Leontiadis, Grigorios; Meddings, Jonathan; Cotton, Peter; Kuipers, Ernst J; Valori, Roland

2012-01-01

BACKGROUND: Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality, highlight the need for clearly defined, evidence-based processes to support quality improvement in endoscopy. OBJECTIVE: To identify processes and indicators of quality and safety relevant to high-quality endoscopy service delivery. METHODS: A multidisciplinary group of 35 voting participants developed recommendation statements and performance indicators. Systematic literature searches generated 50 initial statements that were revised iteratively following a modified Delphi approach using a web-based evaluation and voting tool. Statement development and evidence evaluation followed the AGREE (Appraisal of Guidelines, REsearch and Evaluation) and GRADE (Grading of Recommendations, Assessment, Development and Evaluation) guidelines. At the consensus conference, participants voted anonymously on all statements using a 6-point scale. Subsequent web-based voting evaluated recommendations for specific, individual quality indicators, safety indicators and mandatory endoscopy reporting fields. Consensus was defined a priori as agreement by 80% of participants. RESULTS: Consensus was reached on 23 recommendation statements addressing the following: ethics (statement 1: agreement 100%), facility standards and policies (statements 2 to 9: 90% to 100%), quality assurance (statements 10 to 13: 94% to 100%), training, education, competency and privileges (statements 14 to 19: 97% to 100%), endoscopy reporting standards (statements 20 and 21: 97% to 100%) and patient perceptions (statements 22 and 23: 100%). Additionally, 18 quality indicators (agreement 83% to 100%), 20 safety indicators (agreement 77% to 100%) and 23 recommended endoscopy-reporting elements (agreement 91% to 100%) were identified. DISCUSSION: The consensus process identified a clear need for high-quality clinical and outcomes research to support quality improvement in the delivery of endoscopy services. CONCLUSIONS: The guidelines support quality improvement in endoscopy by providing explicit recommendations on systematic monitoring, assessment and modification of endoscopy service delivery to yield benefits for all patients affected by the practice of gastrointestinal endoscopy. PMID:22308578
Overview of selected surrogate technologies for continuous suspended-sediment monitoring

USGS Publications Warehouse

Gray, J.R.; Gartner, J.W.

2006-01-01

Surrogate technologies for inferring selected characteristics of suspended sediments in surface waters are being tested by the U.S. Geological Survey and several partners with the ultimate goal of augmenting or replacing traditional monitoring methods. Optical properties of water such as turbidity and optical backscatter are the most commonly used surrogates for suspended-sediment concentration, but use of other techniques such as those based on acoustic backscatter, laser diffraction, digital photo-optic, and pressure-difference principles is increasing for concentration and, in some cases, particle-size distribution and flux determinations. The potential benefits of these technologies include acquisition of automated, continuous, quantifiably accurate data obtained with increased safety and at less expense. When suspended-sediment surrogate data meet consensus accuracy criteria and appropriate sediment-record computation techniques are applied, these technologies have the potential to revolutionize the way fluvial-sediment data are collected, analyzed, and disseminated.
An evaluation of the relative quality of dike pools for benthic macroinvertebrates in the Lower Missouri River, USA

USGS Publications Warehouse

Poulton, B.C.; Allert, A.L.

2012-01-01

A habitat-based aquatic macroinvertebrate study was initiated in the Lower Missouri River to evaluate relative quality and biological condition of dike pool habitats. Water-quality and sediment-quality parameters and macroinvertebrate assemblage structure were measured from depositional substrates at 18 sites. Sediment porewater was analysed for ammonia, sulphide, pH and oxidation-reduction potential. Whole sediments were analysed for particle-size distribution, organic carbon and contaminants. Field water-quality parameters were measured at subsurface and at the sediment-water interface. Pool area adjacent and downstream from each dike was estimated from aerial photography. Macroinvertebrate biotic condition scores were determined by integrating the following indicator response metrics: % of Ephemeroptera (mayflies), % of Oligochaeta worms, Shannon Diversity Index and total taxa richness. Regression models were developed for predicting macroinvertebrate scores based on individual water-quality and sediment-quality variables and a water/sediment-quality score that integrated all variables. Macroinvertebrate scores generated significant determination coefficients with dike pool area (R2=0.56), oxidation–reduction potential (R2=0.81) and water/sediment-quality score (R2=0.71). Dissolved oxygen saturation, oxidation-reduction potential and total ammonia in sediment porewater were most important in explaining variation in macroinvertebrate scores. The best two-variable regression models included dike pool size + the water/sediment-quality score (R2=0.84) and dike pool size + oxidation-reduction potential (R2=0.93). Results indicate that dike pool size and chemistry of sediments and overlying water can be used to evaluate dike pool quality and identify environmental conditions necessary for optimizing diversity and productivity of important aquatic macroinvertebrates. A combination of these variables could be utilized for measuring the success of habitat enhancement activities currently being implemented in this system.
Deposition behavior, risk assessment and source identification of heavy metals in reservoir sediments of Northeast China.

PubMed

Zhu, Lin; Liu, Jianwei; Xu, Shiguo; Xie, Zaigang

2017-08-01

Sediment cores from five reservoirs, located in the Liaoning and Jilin Provinces in Northeast China, were collected to investigate the accumulation and potential toxicity of heavy metals (Fe, Mn, Cu, Cd, Pb, Zn, and Cr) during a sampling campaign in February, 2015. The results showed that all the detected metals accumulated significantly, especially Cd, compared to their respective background values. Among these reservoirs, Biliuhe Reservoir had markedly increasing trends for organic matter and all the metals, among which Mn was elevated by 280% to 3411mg/kg in a core of only 18cm in depth. Xinlicheng Reservoir was characterized by heavy siltation and varying metal distribution due to its regular geometric features and pulsed flood events. The Enrichment factor (EF) and geo-accumulation index (I geo ) indicated Cd was strongly enriched by anthropogenic inputs, with the values of EF and I geo greater than 8 and 3, respectively. The toxicity assessment calculated using consensus-based sediment quality guidelines (SQGs) implied the whole cores of Tanghe and Dahuofang and the upper cores of Biliuhe, Xinlicheng and Fengman exhibited toxicity to sediment-dwelling organisms. Cr contributed more to Q m-PEC than the other heavy metals, because only Cr exceeded the probable effect concentration (PEC) despite its low enrichment. According to the results of correlation analysis (CA) and principal components analysis (PCA), mining industries and agricultural activities within the basin were the main anthropogenic pollution sources for these heavy metals. Copyright © 2017 Elsevier Inc. All rights reserved.
GENERAL GUIDELINES FOR USING THE SEDIMENT QUALITY TRIAD

EPA Science Inventory

The Sediment Quality Triad(Fig. 1),developed in the mid-1980s (Long and Chapman, 1985), is now widely used for conducting integrated assessments of sediment quality based on measures of chemistry,toxicity and benthos(e.g.,Canfield et al., 1994,1996,submitted; Carr et al., 1996;Ch...
Comparability and accuracy of fluvial-sediment data - A view from the U.S. Geological Survey

USGS Publications Warehouse

Gray, J.R.; Glysson, G.D.; Mueller, D.S.; ,

2002-01-01

The quality of historical fluvial-sediment data cannot be taken for granted, based on a review of upper Colorado River basin suspended-sediment discharges, and on an evaluation of the reliability of Total Suspended Solids (TSS) data. Additionally, the quality of future fluvial-sediment data are not assured. Sediment-surrogate technologies, including those that operate on acoustic, laser, bulk optic, digital optic, or pressure differential principles, are being used with increasing frequency to measure in-stream and (or) laboratory fluvial-sediment characteristics. Data from sediment-surrogate technologies may yield results that differ significantly from those obtained by traditional methods for the same sedimentary conditions. Development of national sediment data-quality criteria and rigorous comparisons of data derived from sediment-surrogate technologies to those obtained by traditional techniques will minimize the potential for future fluvial-sediment data-quality concerns.
Evaluation of toxicity to the amphipod, Hyalella azteca, and to the midge, Chironomus dilutus; and bioaccumulation by the oligochaete, Lumbriculus variegatus, with exposure to PCB-contaminated sediments from Anniston, Alabama

USGS Publications Warehouse

Ingersoll, Christopher G.; Steevens, Jeffery A.; MacDonald, Donald D.; Brumbaugh, William G.; Coady, Matthew R.; Farrar, J. Daniel; Lotufo, Guilherme R.; Kemble, Nile E.; Kunz, James L.; Stanley, Jacob K.; Sinclair, Jesse A.; Ingersoll, Christopher G.; Steevens, Jeffery A.; MacDonald, Donald D.

2014-01-01

The U.S. Environmental Protection Agency (USEPA) requested that as part of the remedial investigation for the Anniston, Alabama Polychlorinated Biphenyl (PCB) Site (Anniston PCB Site), that Pharmacia Corporation and Solutia Inc. (P/S) perform long-term reproduction toxicity tests with the amphipod, Hyalella azteca, and the midge, Chironomus dilutus, and bioaccumulation tests with the oligochaete, Lumbriculus variegatus, using sediment samples collected from reference locations and from Operable Unit 4 of the Anniston PCB Site. The sediment toxicity testing and sediment bioaccumulation results will be used by ARCADIS U.S., Inc. (ARCADIS) as part of a weight-of-evidence assessment to evaluate risks and establish sediment remediation goals for contaminants to sediment-dwelling organisms inhabiting the Anniston PCB Site. The goal of this study was to characterize relations between sediment chemistry and sediment toxicity and relations between sediment chemistry and sediment bioaccumulation in samples of sediments collected from the Anniston PCB Site. A total of 32 samples were evaluated from six test sites and one reference site to provide a wide range in concentrations of chemicals of potential concern (COPCs) including PCBs in samples of whole sediment. The goal of this study was not to determine the extent of sediment contamination across the Anniston PCB Site. Hence, the test sites or samples collected from within a test site were not selected to represent the spatial extent of sediment contamination across the Anniston PCB Site. Sediment chemistry, pore-water chemistry, and sediment toxicity data were generated for 26 sediment samples from the Anniston PCB Site. All of the samples were evaluated to determine if they qualified as reference sediment samples. Those samples that met the chemical selection criteria and biological selection criteria were identified as reference samples and used to develop the reference envelope for each toxicity test endpoint. Physical characterization of samples of whole sediment included analyses of grain size, TOC, and nutrients. Organic chemical characterization of samples of whole sediment included PCB homologs and select (13) PCB congeners, parent and alkylated polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides, and polychlorinated dibenzo-p-dioxins; and dibenzofurans. The PCB aroclors analyzed included 1016, 1221, 1232, 1242, 1248, 1254, 1260, 1262 and 1268. Analyses of whole sediment also included total metals, simultaneously extracted metals, and acid volatile sulfide. Chemical characterization of samples of pore water isolated from samples of whole sediment at the start of the sediment toxicity exposures or at the start of the sediment bioaccumulation exposures included metals, major cations, major anions, dissolved organic carbon, and additional water-quality characteristics. Concentrations of metals or PCBs in pore water during the sediment toxicity exposures or during sediment bioaccumulation exposures also were determined using peeper samples (for metals) or solid-phase microextraction (SPME) samplers (for PCBs). The bioavailability and bioaccumulation of PCBs in 14 sediment samples were investigated using SPME passive samplers and the 28-d L. variegatus whole-sediment bioaccumulation exposures In general the accumulation of PCBs consistently was predicted through the use of organic carbon normalization and equilibrium partitioning. In these sediments, PCB homologs were accumulated differently based on bioavailability and potential to accumulate in oligochaetes. As part of this assessment homolog specific biota sediment accumulation factor values were developed that could be applied across the larger site to predict tissue levels of PCBs. The whole-sediment toxicity tests done with H. azteca and C. dilutus met the established ASTM and USEPA test acceptability criteria. The most responsive H. azteca endpoints were day 42 survival normalized young per female and day 28 biomass and that the most responsive C. dilutus endpoints were adult biomass and percent adult emergence. Overall, between the two species, the most responsive endpoint assessed for these two species was H. azteca survival-normalized young per female (67 percent of the samples classified as toxic). Concentration-response models (CRMs) and site-specific sediment toxicity thresholds (TTs) were generated with matching sediment chemistry and sediment toxicity data. Sediment chemistry, pore-water chemistry, and sediment toxicity data were evaluated for as many as 26 sediment samples from the Anniston PCB Site. The reference-envelope approach was used to identify the sediment samples that were toxic to benthic invertebrates. This procedure involved identification of reference sediment samples, normalizing the toxicity data to reflect control responses, developing a reference envelope for each toxicity test endpoint, and designating each sediment sample as toxic or not toxic for each toxicity test endpoint, for each species, and for all species combined. These results demonstrated percent emergence of adult C. dilutus, biomass of adult C. dilutus, and reproduction of H. azteca normalized to percent survival were among the most responsive endpoints that were evaluated. Therefore, these endpoints were selected for CRM development. The site-specific TTs for whole sediment provide a reliable basis for identifying toxic and not toxic sediment samples in the Anniston PCB Site (that is, for correctly classifying the sediment samples used to derive the TTs as toxic or not toxic, for the endpoint used to derive the TTs). Among the 69 TTs for sediment, the TTLRs for total PCB homologs [499 to 1,870 micrograms per kilogram dry weight (μg/kg DW)] and for lead [(9.48 to 10.3 milligrams per kilogram (mg/kg) DW] based on reproduction of H. azteca or based on emergence or biomass of adult C. dilutus, were the most reliable. Such TTs had low rates of false negative errors (that is, only 0 to 11 percent of the samples below the TT were toxic to benthic invertebrates), low rates of false positive errors (only 0 to 6 percent of the samples greater than the TT were not toxic to benthic invertebrates), and high rates of correct classification (that is, 92 to 96 percent). The site-specific TTs for PCBs and other COPCs derived in this study also were compared to empirically based sediment quality guidelines (SQGs), to equilibrium-partitioning based SQGs, and to the results of spiked-sediment toxicity tests. The results of this evaluation indicated that the site-specific sediment TTs for PCBs were comparable to the consensus-based SQGs that were derived for PCBs. In addition, the site-specific sediment TTs for PCBs are well within the range of SQGs derived using the equilibrium partitioning approach. The site-specific sediment TTs for PCBs also are consistent with the results of chronic TTs that have been estimated for benthic invertebrates using the results of spiked-sediment toxicity tests. As the site-specific sediment TTs for PCBs are consistent with empirically based SQGs, equilibrium-partitioning based SQGs, and results of sediment-spiking studies, these site- specific sediment TTs likely represent the concentrations of PCBs that are sufficient to cause toxicity to benthic invertebrates (as opposed to simply being correlated with adverse effects on the survival, weight, or reproduction of benthic invertebrates). Importantly, such site-specific sediment TTs have been demonstrated to accurately classify sediment samples as toxic or not toxic to benthic invertebrates at the Anniston PCB Site. In contrast, the TTs for metals, PAHs, and organochlorine pesticides were generally lower than consensus-based SQGs (that is, probable effect concentrations), and LC50s (median lethal effect concentrations) generated in spiked-sediment toxicity tests, indicating that these COPCs are likely not the main contributors to the observed toxicity of the site sediments evaluated in this study. The reproduction endpoint for H. azteca provided lower TTs compared to the day 28 biomass endpoint for H. azteca and the emergence or biomass endpoints for adult C. dilutus provided lower TTs compared to the day 13 biomass endpoint for C. dilutus.
Baseline ecological risk assessment of the Calcasieu Estuary, Louisiana: 2. An evaluation of the predictive ability of effects-based sediment quality guidelines

USGS Publications Warehouse

MacDonald, Donald D.; Ingersoll, Christopher G.; Smorong, Dawn E.; Sinclair, Jesse A.; Lindskoog, Rebekka; Wang, Ning; Severn, Corrine; Gouguet, Ron; Meyer, John; Field, Jay

2011-01-01

Three sets of effects-based sediment-quality guidelines (SQGs) were evaluated to support the selection of sediment-quality benchmarks for assessing risks to benthic invertebrates in the Calcasieu Estuary, Louisiana. These SQGs included probable effect concentrations (PECs), effects range median values (ERMs), and logistic regression model (LRMs)-based T50 values. The results of this investigation indicate that all three sets of SQGs tend to underestimate sediment toxicity in the Calcasieu Estuary (i.e., relative to the national data sets), as evaluated using the results of 10-day toxicity tests with the amphipod, Hyalella azteca, or Ampelisca abdita, and 28-day whole-sediment toxicity tests with the H. azteca. These results emphasize the importance of deriving site-specific toxicity thresholds for assessing risks to benthic invertebrates.
A Novel Consensus-Based Particle Swarm Optimization-Assisted Trust-Tech Methodology for Large-Scale Global Optimization.

PubMed

Zhang, Yong-Feng; Chiang, Hsiao-Dong

2017-09-01

A novel three-stage methodology, termed the "consensus-based particle swarm optimization (PSO)-assisted Trust-Tech methodology," to find global optimal solutions for nonlinear optimization problems is presented. It is composed of Trust-Tech methods, consensus-based PSO, and local optimization methods that are integrated to compute a set of high-quality local optimal solutions that can contain the global optimal solution. The proposed methodology compares very favorably with several recently developed PSO algorithms based on a set of small-dimension benchmark optimization problems and 20 large-dimension test functions from the CEC 2010 competition. The analytical basis for the proposed methodology is also provided. Experimental results demonstrate that the proposed methodology can rapidly obtain high-quality optimal solutions that can contain the global optimal solution. The scalability of the proposed methodology is promising.
Consensus building on the development of a stress-based indicator for LCA-based impact assessment of water consumption: outcome of the expert workshops

EPA Science Inventory

The WULCA group, active since 2007 on Water Use in LCA, commenced the development of consensus-based indicators in January 2014. This activity is planned to last 2 years and covers human health, ecosystem quality, and a stress-based indicator. This latter encompasses potential de...
RELEVANCE OF ROOTED VASCULAR PLANTS AS INDICATORS OF ESTUARINE SEDIMENT QUALITY

EPA Science Inventory

Toxicity assessments and numerical quality assessment guidelines for estuarine sediments are rarely based on information for aquatic plants. The effect of this lack of information on contaminated sediment evaluations is largely unknown. For this reason, the toxicities of whole se...
EFFECTIVE USE OF SEDIMENT QUALITY GUIDELINES: WHICH GUIDELINE IS RIGHT FOR ME?

EPA Science Inventory

A bewildering array of sediment quality guidelines have been developed, but fortunately they mostly fall into two families: empirically-derived and theoretically-derived. The empirically-derived guidelines use large data bases of concurrent sediment chemistry and biological effe...
Mechanistic Sediment Quality Guidelines Based on Contaminant Bioavailability: Equilibrium Partitioning Sediment Benchmarks

EPA Science Inventory

Globally, billions of metric tons of contaminated sediments are present in aquatic systems representing a potentially significant ecological risk. Estimated costs to manage (i.e., remediate and monitor) these sediments are in the billions of U.S. dollars. Biologically-based app...
The influence of extraction procedure on ion concentrations in sediment pore water

USGS Publications Warehouse

Winger, P.V.; Lasier, P.J.; Jackson, B.P.

1998-01-01

Sediment pore water has the potential to yield important information on sediment quality, but the influence of isolation procedures on the chemistry and toxicity are not completely known and consensus on methods used for the isolation from sediment has not been reached. To provide additional insight into the influence of collection procedures on pore water chemistry, anion (filtered only) and cation concentrations were measured in filtered and unfiltered pore water isolated from four sediments using three different procedures: dialysis, centrifugation and vacuum. Peepers were constructed using 24-cell culture plates and cellulose membranes, and vacuum extractors consisted of fused-glass air stones attached with airline tubing to 60cc syringes. Centrifugation was accomplished at two speeds (2,500 and 10,000 x g) for 30 min in a refrigerated centrifuge maintained at 4?C. Only minor differences in chemical characteristics and cation and anion concentrations were found among the different collecting methods with differences being sediment specific. Filtering of the pore water did not appreciably reduce major cation concentrations, but trace metals (Cu and Pb) were markedly reduced. Although the extraction methods evaluated produced pore waters of similar chemistries, the vacuum extractor provided the following advantages over the other methods: (1) ease of extraction, (2) volumes of pore water isolated, (3) minimal preparation time and (4) least time required for extraction of pore water from multiple samples at one time.
Causal Evaluation of Acute Recurrent and Chronic Pancreatitis in Children: Consensus From the INSPPIRE Group.

PubMed

Gariepy, Cheryl E; Heyman, Melvin B; Lowe, Mark E; Pohl, John F; Werlin, Steven L; Wilschanski, Michael; Barth, Bradley; Fishman, Douglas S; Freedman, Steven D; Giefer, Matthew J; Gonska, Tanja; Himes, Ryan; Husain, Sohail Z; Morinville, Veronique D; Ooi, Chee Y; Schwarzenberg, Sarah J; Troendle, David M; Yen, Elizabeth; Uc, Aliye

2017-01-01

Acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP) have been diagnosed in children at increasing rates during the past decade. As pediatric ARP and CP are still relatively rare conditions, little quality evidence is available on which to base the diagnosis and determination of etiology. The aim of the study was to review the current state of the literature regarding the etiology of these disorders and to developed a consensus among a panel of clinically active specialists caring for children with these disorders to help guide the diagnostic evaluation and identify areas most in need of future research. A systematic review of the literature was performed and scored for quality, followed by consensus statements developed and scored by each individual in the group for level of agreement and strength of the supporting data using a modified Delphi method. Scores were analyzed for the level of consensus achieved by the group. The panel reached consensus on 27 statements covering the definitions of pediatric ARP and CP, evaluation for potential etiologies of these disorders, and long-term monitoring. Statements for which the group reached consensus to make no recommendation or could not reach consensus are discussed. This consensus helps define the minimal diagnostic evaluation and monitoring of children with ARP and CP. Even in areas in which we reached consensus, the quality of the evidence is weak, highlighting the need for further research. Improved understanding of the underlying cause will facilitate treatment development and targeting.

The Causal Evaluation of Acute Recurrent and Chronic Pancreatitis in Children: Consensus From the INSPPIRE Group

PubMed Central

Gariepy, Cheryl E.; Heyman, Melvin B.; Lowe, Mark E.; Pohl, John F.; Werlin, Steven L.; Wilschanski, Michael; Barth, Bradley; Fishman, Douglas S.; Freedman, Steven D.; Giefer, Matthew J.; Gonska, Tanja; Himes, Ryan; Husain, Sohail Z.; Morinville, Veronique D.; Ooi, Chee Y.; Schwarzenberg, Sarah Jane; Troendle, David M.; Yen, Elizabeth; Uc, Aliye

2016-01-01

Acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP) have been diagnosed in children at increasing rates over the past decade. However, as pediatric ARP and CP are still relatively rare conditions, little quality evidence is available on which to base the diagnosis and determination of etiology. Objectives: To review the current state of the literature regarding the etiology of these disorders and to developed a consensus among a panel of clinically active specialists caring for children with these disorders to help guide the diagnostic evaluation and identify areas most in need of future research. Methods: A systematic review of the literature was performed and scored for quality, then consensus statements developed and scored by each individual in the group for level of agreement and strength of the supporting data using a modified Delphi method. Scores were analyzed for the level of consensus achieved by the group. Results: The panel reached consensus on 27 statements covering the definitions of pediatric ARP and CP, evaluation for potential etiologies of these disorders, and long-term monitoring. Statements for which the group reached consensus to make no recommendation or could not reach consensus are discussed. Conclusion: This consensus helps define the minimal diagnostic evaluation and monitoring of children with ARP and CP. Even in areas in which we reached consensus, the quality of the evidence is weak, highlighting the need for further research. Improved understanding of the underlying cause will facilitate treatment development and targeting. PMID:27782962
[Evaluating comprehensive quality of sediment in Dianchi Lake using adjusted AHP method and 137Cs dating].

PubMed

Zhang, Yan; Deng, Xi-Hai; Peng, Bu-Zhuo

2006-08-01

It is difficult to evaluate comprehensive quality of sediment and to understand development trend of pollution because of absence of monitoring data, especially history data. Combining the method of 137Cs dating with the ways of general sampling and measurement can easily resolve the problem of absence of data and also provide the possibility for calculating weighted environmental quality comprehensive index using the adjusted analytical hierarchy process (AHP) method. In order to overcome the willfulness the judgment matrix is formed objectively based on calculating monitoring data. Based on the monitoring data of sediment pollution and the weights of various factors gained by adjusted AHP method the comprehensive quality of sediment in each zone of Dianchi Lake was evaluated and the results indicated that the pollution of sediments in each zone at the present be serious more than that in the history. The condition may be related to the industrial development and distribution of industries in Dianchi Lake basin. Therefore, in order to improve the comprehensive quality of sediment in Dianchi Lake and to prevent the secondary pollution of heavy metals in sediment from happening, it is necessary to control the pollutants discharge and to remove the pollutants with various ways.
Beyond the false negative rate: development of quality indicators for sentinel lymph node biopsy in breast cancer.

PubMed

Quan, May Lynn; Wells, Bryan J; McCready, David; Wright, Frances C; Fraser, Novlette; Gagliardi, Anna R

2010-02-01

Sentinel lymph node biopsy (SNLB) has been adopted as the standard method of axillary staging for women with clinically node-negative early-stage breast cancer. The false negative rate as a quality indicator is impractical given the need for a completion axillary dissection to calculate. The objective of this study was to develop practical quality indicators for SLNB using an expert consensus method and to determine if they were feasible to measure. We used a modified Delphi consensus process to develop quality indicators for SLNB. A multidisciplinary expert panel reviewed potential indicators extracted from the medical literature to select quality indicators that were relevant and measurable. Feasibility was determined by abstracting the quality indicator variables from a retrospective chart review. The expert panel prioritized 11 quality indicators as benchmarks for assessing the quality of surgical care in SNLB. Nine of the indicators were measurable at the chart or institutional level. A systematic evidence- and consensus-based approach was used to develop measurable quality indicators that could be used by practicing surgeons and administrators to evaluate performance of SLNB in breast cancer.
[Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea].

PubMed

Min, Jun Ki; Cha, Jae Myung; Cho, Yu Kyung; Kim, Jie Hyun; Yoon, Soon Man; Im, Jong Pil; Jung, Yunho; Moon, Jeong Seop; Kim, Jin Oh; Jeen, Yoon Tae

2018-05-25

Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.
Relevance of Web Documents:Ghosts Consensus Method.

ERIC Educational Resources Information Center

Gorbunov, Andrey L.

2002-01-01

Discusses how to improve the quality of Internet search systems and introduces the Ghosts Consensus Method which is free from the drawbacks of digital democracy algorithms and is based on linear programming tasks. Highlights include vector space models; determining relevant documents; and enriching query terms. (LRW)
Critical appraisal of the Vienna consensus: performance indicators for assisted reproductive technology laboratories.

PubMed

Lopez-Regalado, María Luisa; Martínez-Granados, Luis; González-Utor, Antonio; Ortiz, Nereyda; Iglesias, Miriam; Ardoy, Manuel; Castilla, Jose A

2018-05-24

The Vienna consensus, based on the recommendations of an expert panel, has identified 19 performance indicators for assisted reproductive technology (ART) laboratories. Two levels of reference values are established for these performance indicators: competence and benchmark. For over 10 years, the Spanish embryology association (ASEBIR) has participated in the definition and design of ART performance indicators, seeking to establish specific guidelines for ART laboratories to enhance quality, safety and patient welfare. Four years ago, ASEBIR took part in an initiative by AENOR, the Spanish Association for Standardization and Certification, to develop a national standard in this field (UNE 17900:2013 System of quality management for assisted reproduction laboratories), extending the former requirements, based on ISO 9001, to include performance indicators. Considering the experience acquired, we discuss various aspects of the Vienna consensus and consider certain discrepancies in performance indicators between the consensus and UNE 179007:2013, and analyse the definitions, methodology and reference values used. Copyright © 2018. Published by Elsevier Ltd.
A review of consensus test methods for established medical imaging modalities and their implications for optical coherence tomography

NASA Astrophysics Data System (ADS)

Pfefer, Joshua; Agrawal, Anant

2012-03-01

In recent years there has been increasing interest in development of consensus, tissue-phantom-based approaches for assessment of biophotonic imaging systems, with the primary goal of facilitating clinical translation of novel optical technologies. Well-characterized test methods based on tissue phantoms can provide useful tools for performance assessment, thus enabling standardization and device inter-comparison during preclinical development as well as quality assurance and re-calibration in the clinical setting. In this review, we study the role of phantom-based test methods as described in consensus documents such as international standards for established imaging modalities including X-ray CT, MRI and ultrasound. Specifically, we focus on three image quality characteristics - spatial resolution, spatial measurement accuracy and image uniformity - and summarize the terminology, metrics, phantom design/construction approaches and measurement/analysis procedures used to assess these characteristics. Phantom approaches described are those in routine clinical use and tend to have simplified morphology and biologically-relevant physical parameters. Finally, we discuss the potential for applying knowledge gained from existing consensus documents in the development of standardized, phantom-based test methods for optical coherence tomography.
UK quantitative WB-DWI technical workgroup: consensus meeting recommendations on optimisation, quality control, processing and analysis of quantitative whole-body diffusion-weighted imaging for cancer.

PubMed

Barnes, Anna; Alonzi, Roberto; Blackledge, Matthew; Charles-Edwards, Geoff; Collins, David J; Cook, Gary; Coutts, Glynn; Goh, Vicky; Graves, Martin; Kelly, Charles; Koh, Dow-Mu; McCallum, Hazel; Miquel, Marc E; O'Connor, James; Padhani, Anwar; Pearson, Rachel; Priest, Andrew; Rockall, Andrea; Stirling, James; Taylor, Stuart; Tunariu, Nina; van der Meulen, Jan; Walls, Darren; Winfield, Jessica; Punwani, Shonit

2018-01-01

Application of whole body diffusion-weighted MRI (WB-DWI) for oncology are rapidly increasing within both research and routine clinical domains. However, WB-DWI as a quantitative imaging biomarker (QIB) has significantly slower adoption. To date, challenges relating to accuracy and reproducibility, essential criteria for a good QIB, have limited widespread clinical translation. In recognition, a UK workgroup was established in 2016 to provide technical consensus guidelines (to maximise accuracy and reproducibility of WB-MRI QIBs) and accelerate the clinical translation of quantitative WB-DWI applications for oncology. A panel of experts convened from cancer centres around the UK with subspecialty expertise in quantitative imaging and/or the use of WB-MRI with DWI. A formal consensus method was used to obtain consensus agreement regarding best practice. Questions were asked about the appropriateness or otherwise on scanner hardware and software, sequence optimisation, acquisition protocols, reporting, and ongoing quality control programs to monitor precision and accuracy and agreement on quality control. The consensus panel was able to reach consensus on 73% (255/351) items and based on consensus areas made recommendations to maximise accuracy and reproducibly of quantitative WB-DWI studies performed at 1.5T. The panel were unable to reach consensus on the majority of items related to quantitative WB-DWI performed at 3T. This UK Quantitative WB-DWI Technical Workgroup consensus provides guidance on maximising accuracy and reproducibly of quantitative WB-DWI for oncology. The consensus guidance can be used by researchers and clinicians to harmonise WB-DWI protocols which will accelerate clinical translation of WB-DWI-derived QIBs.
PHYTOASSESSMENT OF ESTUARINE SEDIMENTS

EPA Science Inventory

Most sediment quality assessments and quality guidelines are based on the laboratory response of single animal species and benthic animal community composition. The role of plants in this hazard assessment process is poorly understood despite the fact that plant-dominated habitat...
The Study of Heavy Metals on Sediment Quality of Kuala Perlis Coastal Area

NASA Astrophysics Data System (ADS)

Zubir, A. A. Ahmad; Saad, F. N. Mohd; Dahalan, F. A.

2018-03-01

The contamination of heavy metals gives bad implications to the aquatic environment. Thus, a study was conducted to assess the sediment quality by using different contamination indices such as Enrichment Factor (EF), Geo-accumulation Index (Igeo), and Pollution Load Index (PLI). Each sediment sample was collected at the surface (0-15cm) at 5 locations based on the land use activity; jetty port (A), seaside restaurant (B), roadside area (C), power plant (D) and residential area (E). All samples were undergoes acid digestion and analyzed with AAS. Four elements identified from the sediment samples which are Cr, Cu, Pb and Zn were used to calculate the respective indices. Results show that, the highest EF value of Pb which categorized as very severe enrichment was at point E. Meanwhile minor enrichment was detected at point B for Cu while Cr and Zn at point A. Based on Igeo value the sediment quality along Kuala Perlis was in the unpolluted-moderately polluted condition (class 1). As for PLI it shows that the sediment of the coastal area is unpolluted (PLI<1). Therefore, this study revealed that, the main contributor of heavy metals in this area is Pb while the sediment quality of Kuala Perlis was in minor pollution condition.
Development, evaluation, and application of sediment quality targets for assessing and managing contaminated sediments in Tampa Bay, Florida

USGS Publications Warehouse

MacDonald, D.D.; Carr, R.S.; Eckenrod, D.; Greening, H.; Grabe, S.; Ingersoll, C.G.; Janicki, S.; Janicki, T.; Lindskoog, R.A.; Long, E.R.; Pribble, R.; Sloane, G.; Smorong, D.E.

2004-01-01

Tampa Bay is a large, urban estuary that is located in west central Florida. Although water quality conditions represent an important concern in this estuary, information from numerous sources indicates that sediment contamination also has the potential to adversely affect aquatic organisms, aquatic-dependent wildlife, and human health. As such, protecting relatively uncontaminated areas of the bay from contamination and reducing the amount of toxic chemicals in contaminated sediments have been identified as high-priority sediment management objectives for Tampa Bay. To address concerns related to sediment contamination in the bay, an ecosystem-based framework for assessing and managing sediment quality conditions was developed that included identification of sediment quality issues and concerns, development of ecosystem goals and objectives, selection of ecosystem health indicators, establishment of metrics and targets for key indicators, and incorporation of key indicators, metrics, and targets into watershed management plans and decision-making processes. This paper describes the process that was used to select and evaluate numerical sediment quality targets (SQTs) for assessing and managing contaminated sediments. These SQTs included measures of sediment chemistry, whole-sediment and pore-water toxicity, and benthic invertebrate community structure. In addition, the paper describes how the SQTs were used to develop site-specific concentration-response models that describe how the frequency of adverse biological effects changes with increasing concentrations of chemicals of potential concern. Finally, a key application of the SQTs for defining sediment management areas is discussed.
Diffusive gradients in thin films technique provide robust prediction of metal bioavailability and toxicity in estuarine sediments.

PubMed

Amato, Elvio D; Simpson, Stuart L; Jarolimek, Chad V; Jolley, Dianne F

2014-04-15

Many sediment quality assessment frameworks incorporate contaminant bioavailability as a critical factor regulating toxicity in aquatic ecosystems. However, current approaches do not always adequately predict metal bioavailability to organisms living in the oxidized sediment surface layers. The deployment of the diffusive gradients in thin films (DGT) probes in sediments allows labile metals present in pore waters and weakly bound to the particulate phase to be assessed in a time-integrated manner in situ. In this study, relationships between DGT-labile metal fluxes within 5 mm of the sediment-water interface and lethal and sublethal effects to the amphipod Melita plumulosa were assessed in a range of contaminated estuarine sediments during 10-day laboratory-based bioassays. To account for differing toxicities of metals, DGT fluxes were normalized to water (WQG) or sediment quality guidelines or toxicity thresholds specific for the amphipod. The better dose-response relationship appeared to be the one based on WQG-normalized DGT fluxes, which successfully predicted toxicity despite the wide range of metals and large variations in sediment properties. The study indicated that the labile fraction of metals measured by DGT is useful for predicting metal toxicity to benthic invertebrates, supporting the applicability of this technique as a rapid monitoring tool for sediments quality assessments.
Sediment quality criteria: A review with recommendations for developing criteria for the Hanford Site

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

Driver, C.J.

1994-05-01

Criteria for determining the quality of liver sediment are necessary to ensure that concentrations of contaminants in aquatic systems are within acceptable limits for the protection of aquatic and human life. Such criteria should facilitate decision-making about remediation, handling, and disposal of contaminants. Several approaches to the development of sediment quality criteria (SQC) have been described and include both descriptive and numerical methods. However, no single method measures all impacts at all times to all organisms (U.S. EPA 1992b). The U.S. EPA`s interest is primarily in establishing chemically based, numerical SQC that are applicable nation-wide (Shea 1988). Of the approachesmore » proposed for SQC development, only three are being considered for numerical SQC on a national level. These approaches include an Equilibrium Partitioning Approach, a site-specific method using bioassays (the Apparent Effects Threshold Approach), and an approach similar to EPA`s water quality criteria (Pavlou and Weston 1984). Although national (or even regional) criteria address a number of political, litigative, and engineering needs, some researchers feel that protection of benthic communities require site-specific, biologically based criteria (Baudo et al. 1990). This is particularly true for areas where complex mixtures of contaminants are present in sediments. Other scientifically valid and accepted procedures for freshwater SQC include a background concentration approach, methods using field or spiked bioassays, a screening level concentration approach, the Apparent Effects Threshold Approach, the Sediment Quality Triad, the International Joint Commission Sediment Assessment Strategy, and the National Status and Trends Program Approach. The various sediment assessment approaches are evaluated for application to the Hanford Reach and recommendations for Hanford Site sediment quality criteria are discussed.« less
Evaluation of water quality, suspended sediment, and stream morphology with an emphasis on effects of stormwater on Fountain and Monument Creek basins, Colorado Springs and vicinity, Colorado, 1981-2001

USGS Publications Warehouse

Edelmann, Patrick; Ferguson, Sheryl A.; Stogner, Sr., Robert W.; August, Marianne; Payne, William F.; Bruce, James F.

2002-01-01

This report documents water quality and suspended sediment with an emphasis on evaluating the effects of stormflow on Fountain Creek Basin in the vicinity of Colorado Springs, Colorado. Water-quality data collected at 11 sites between 1981 and 2001 were used to evaluate the effects of stormflow on water quality. Suspended-sediment data collected at seven sites from 1998 through 2001 were used to evaluate effects of stormflow on suspended-sediment concentrations, discharges, and yields. Data were separated into three flow regimes: base flow, normal flow, and stormflow. A comparison of stormwater-quality concentrations measured between 1981 and 2001 to Colorado acute instream standards indicated that, except for isolated occurrences, stormwater quality met acute instream standards. At several sites, 5-day biochemical oxygen demand, fecal coliform, and selected nutrient concentrations tended to be highest during stormflow and lowest during base flow. Dissimilar to the other nutrients, dissolved nitrite plus nitrate concentrations generally were highest during base flow and lowest during stormflow. Most dissolved trace-element concentrations associated with stormflow decreased or showed little change compared to base flow. However, median concentrations of total copper, iron, lead, nickel, manganese, and zinc for stormflow samples generally were much larger than nonstorm samples. The substantially larger concentrations of total copper, iron, lead, nickel, manganese, and zinc measured at site 5800 during stormflow as compared to other sites indicates a relatively large source of these metals in the reach between sites 5530 and 5800. Semi-volatile organic compounds in samples collected during stormflow were detected relatively infrequently at the four sites monitored; however, analysis of pesticide data collected during stormflow showed a relatively frequent detection of pesticides at low levels. Nitrogen, phosphorus, and particulate trace-element loads substantially increased during stormflow. Suspended-sediment concentrations, discharges, and yields associated with stormflow were significantly greater than during normal flow. Depending on the site and year, suspended-sediment concentrations associated with storm-flow generally were 3 to10 times greater than concentrations measured during normal flow, and suspended-sediment discharges were usually more than 10 times greater during stormflow. The April through October cumulative suspended-sediment discharges and streamflows were largest in 1999 at all sites. Although large spatial variations in suspended-sediment yields occurred during normal flows, the suspended-sediment yields associated with stormflow generally were more than 10 times greater than the suspended-sediment yields that occurred during normal flow. The smallest suspended-sediment yields generally were less than 1 ton per day per square mile during stormflow. The largest suspended-sediment yields occurred at sites located in the Cottonwood Creek Basin and were greater than 10 tons per day per square mile.
Multivariate analysis and geochemical approach for assessment of metal pollution state in sediment cores.

PubMed

Jamshidi-Zanjani, Ahmad; Saeedi, Mohsen

2017-07-01

Vertical distribution of metals (Cu, Zn, Cr, Fe, Mn, Pb, Ni, Cd, and Li) in four sediment core samples (C 1 , C 2 , C 3 , and C 4 ) from Anzali international wetland located southwest of the Caspian Sea was examined. Background concentration of each metal was calculated according to different statistical approaches. The results of multivariate statistical analysis showed that Fe and Mn might have significant role in the fate of Ni and Zn in sediment core samples. Different sediment quality indexes were utilized to assess metal pollution in sediment cores. Moreover, a new sediment quality index named aggregative toxicity index (ATI) based on sediment quality guidelines (SQGs) was developed to assess the degree of metal toxicity in an aggregative manner. The increasing pattern of metal pollution and their toxicity degree in upper layers of core samples indicated increasing effects of anthropogenic sources in the study area.
Reaching consensus on reporting patient and public involvement (PPI) in research: methods and lessons learned from the development of reporting guidelines

PubMed Central

Brett, Jo; Staniszewska, Sophie; Simera, Iveta; Seers, Kate; Mockford, Carole; Goodlad, Susan; Altman, Doug; Moher, David; Barber, Rosemary; Denegri, Simon; Entwistle, Andrew Robert; Littlejohns, Peter; Suleman, Rashida; Thomas, Victoria; Tysall, Colin

2017-01-01

Introduction Patient and public involvement (PPI) is inconsistently reported in health and social care research. Improving the quality of how PPI is reported is critical in developing a higher quality evidence base to gain a better insight into the methods and impact of PPI. This paper describes the methods used to develop and gain consensus on guidelines for reporting PPI in research studies (updated version of the Guidance for Reporting Patient and Public Involvement (GRIPP2)). Methods There were three key stages in the development of GRIPP2: identification of key items for the guideline from systematic review evidence of the impact of PPI on health research and health services, a three-phase online Delphi survey with a diverse sample of experts in PPI to gain consensus on included items and a face-to-face consensus meeting to finalise and reach definitive agreement on GRIPP2. Challenges and lessons learnt during the development of the reporting guidelines are reported. Discussion The process of reaching consensus is vital within the development of guidelines and policy directions, although debate around how best to reach consensus is still needed. This paper discusses the critical stages of consensus development as applied to the development of consensus for GRIPP2 and discusses the benefits and challenges of consensus development. PMID:29061613
USING SEDIMENT QUALITY GUIDELINES IN DREDGED MATERIAL ASSESSMENTS

EPA Science Inventory

Sediment quality guidelines (SQGs) are not formally included in the frameworks described in the Inland Testing manual and the Green Book because these frameworks are biologically based. The SQGs are often used informally, however, to help put the results of biological testing in ...
Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosis Codes.

PubMed

Mull, Hillary J; Graham, Laura A; Morris, Melanie S; Rosen, Amy K; Richman, Joshua S; Whittle, Jeffery; Burns, Edith; Wagner, Todd H; Copeland, Laurel A; Wahl, Tyler; Jones, Caroline; Hollis, Robert H; Itani, Kamal M F; Hawn, Mary T

2018-04-18

Postoperative readmission data are used to measure hospital performance, yet the extent to which these readmissions reflect surgical quality is unknown. To establish expert consensus on whether reasons for postoperative readmission are associated with the quality of surgery in the index admission. In a modified Delphi process, a panel of 14 experts in medical and surgical readmissions comprising physicians and nonphysicians from Veterans Affairs (VA) and private-sector institutions reviewed 30-day postoperative readmissions from fiscal years 2008 through 2014 associated with inpatient surgical procedures performed at a VA medical center between October 1, 2007, and September 30, 2014. The consensus process was conducted from January through May 2017. Reasons for readmission were grouped into categories based on International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes. Panelists were given the proportion of readmissions coded by each reason and median (interquartile range) days to readmission. They answered the question, "Does the readmission reason reflect possible surgical quality of care problems in the index admission?" on a scale of 1 (never related) to 5 (directly related) in 3 rounds of consensus building. The consensus process was completed in May 2017 and data were analyzed in June 2017. Consensus on proportion of ICD-9-coded readmission reasons that reflected quality of surgical procedure. In 3 Delphi rounds, the 14 panelists achieved consensus on 50 reasons for readmission; 12 panelists also completed group telephone calls between rounds 1 and 2. Readmissions with diagnoses of infection, sepsis, pneumonia, hemorrhage/hematoma, anemia, ostomy complications, acute renal failure, fluid/electrolyte disorders, or venous thromboembolism were considered associated with surgical quality and accounted for 25 521 of 39 664 readmissions (64% of readmissions; 7.5% of 340 858 index surgical procedures). The proportion of readmissions considered to be not associated with surgical quality varied by procedure, ranging from to 21% (613 of 2331) of readmissions after lower-extremity amputations to 47% (745 of 1598) of readmissions after cholecystectomy. One-third of postoperative readmissions are unlikely to reflect problems with surgical quality. Future studies should test whether restricting readmissions to those with specific ICD-9 codes might yield a more useful quality measure.
Spatial distribution and trends in trace elements, polycyclic aromatic hydrocarbons, organochlorine pesticides, and polychlorinated biphenyls in Lake Worth sediment, Fort Worth, Texas

USGS Publications Warehouse

Harwell, Glenn Richard; Van Metre, Peter C.; Wilson, Jennifer T.; Mahler, Barbara J.

2003-01-01

In spring 2000, the Texas Department of Health issued a fish consumption advisory for Lake Worth in Fort Worth, Texas, because of elevated concentrations of polychlorinated biphenyls (PCBs) in fish. In response to the advisory and in cooperation with the U.S. Air Force, the U.S. Geological Survey collected 21 surficial sediment samples and three gravity core sediment samples to assess the spatial distribution and historical trends of selected hydrophobic contaminants, including PCBs, and to determine, to the extent possible, sources of hydrophobic contaminants to Lake Worth. Compared to reference (background) concentrations in the upper lake, elevated PCB concentrations were detected in the surficial sediment samples collected in Woods Inlet, which receives surface runoff from Air Force facilities and urban areas. Gravity cores from Woods Inlet and from the main part of the lake near the dam indicate that the concentrations of PCBs were three to five times higher in the 1960s than in 2000. A regression method was used to normalize sediment concentrations of trace elements for natural variations and to distinguish natural and anthropogenic contributions to sediments. Concentrations of several trace elements—cadmium, chromium, copper, lead, and zinc—were elevated in sediments in Woods Inlet, along the shoreline of Air Force facilities, and in the main lake near the dam. Concentrations of these five trace elements have decreased since 1970. Polycyclic aromatic hydrocarbons also were elevated in the same areas of the lake. Concentrations of total polycyclic aromatic hydrocarbons, normalized with organic carbon, were mostly stable in the upper lake but steadily increased near the dam, except for small decreases since 1980. The Woods Inlet gravity core showed the largest increase of the three core sites beginning about 1940; total polycyclic aromatic hydrocarbon concentrations in post-1940 sediments from the core showed three apparent peaks about 1960, 1984, and 2000. The concentrations of organochlorine pesticides were low relative to consensus-based sediment-quality guidelines and either decreased or remained constant since 1970. The two likely sources of hydrophobic contaminants to the lake are urban areas around the lake and the drainage area of Meandering Road Creek that contributes runoff to Woods Inlet and includes Air Force facilities.
Environmental effects of hydrothermal alteration and historical mining on water and sediment quality in Central Colorado

USGS Publications Warehouse

Church, S.E.; Fey, D. L.; Klein, T.L.; Schmidt, T.S.; Wanty, R.B.; deWitt, E.H.; Rockwell, B.W.; San, Juan C.A.

2009-01-01

The U.S. Geological Survey conducted an environmental assessment of 198 catchments in a 54,000-km2 area of central Colorado, much of which is on Federal land. The Colorado Mineral Belt, a northeast-trending zone of historical base- and precious-metal mining, cuts diagonally across the study area. The investigation was intended to test the hypothesis that degraded water and sediment quality are restricted to catchments in which historical mining has occurred. Water, streambed sediment, and aquatic insects were collected from (1) catchments underlain by single lithogeochemical units, some of which were hydrothermally altered, that had not been prospected or mined; (2) catchments that contained evidence of prospecting, most of which contain hydrothermally altered rock, but no historical mining; and (3) catchments, all of which contain hydrothermally altered rock, where historical but now inactive mines occur. Geochemical data determined from catchments that did not contain hydrothermal alteration or historical mines met water quality criteria and sediment quality guidelines. Base-metal concentrations from these types of catchments showed small geochemical variations that reflect host lithology. Hydrothermal alteration and mineralization typically are associated with igneous rocks that have intruded older bedrock in a catchment. This alteration was regionally mapped and characterized primarily through the analysis of remote sensing data acquired by the ASTER satellite sensor. Base-metal concentrations among unaltered rock types showed small geochemical variations that reflect host lithology. Base-metal concentrations were elevated in sediment from catchments underlain by hydrothermally altered rock. Classification of catchments on the basis of mineral deposit types proved to be an efficient and accurate method for discriminating catchments that have degraded water and sediment quality. Only about 4.5 percent of the study area has been affected by historical mining, whereas a larger part of the study area is underlain by hydrothermally altered rock that has weathered to produce water and sediment with naturally elevated geochemical baselines.

Habitat-based PCB environmental quality criteria for the protection of endangered killer whales (Orcinus orca).

PubMed

Alava, Juan José; Ross, Peter S; Lachmuth, Cara; Ford, John K B; Hickie, Brendan E; Gobas, Frank A P C

2012-11-20

The development of an area-based polychlorinated biphenyl (PCB) food-web bioaccumulation model enabled a critical evaluation of the efficacy of sediment quality criteria and prey tissue residue guidelines in protecting fish-eating resident killer whales of British Columbia and adjacent waters. Model-predicted and observed PCB concentrations in resident killer whales and Chinook salmon were in good agreement, supporting the model's application for risk assessment and criteria development. Model application shows that PCB concentrations in the sediments from the resident killer whale's Critical Habitats and entire foraging range leads to PCB concentrations in most killer whales that exceed PCB toxicity threshold concentrations reported for marine mammals. Results further indicate that current PCB sediment quality and prey tissue residue criteria for fish-eating wildlife are not protective of killer whales and are not appropriate for assessing risks of PCB-contaminated sediments to high trophic level biota. We present a novel methodology for deriving sediment quality criteria and tissue residue guidelines that protect biota of high trophic levels under various PCB management scenarios. PCB concentrations in sediments and in prey that are deemed protective of resident killer whale health are much lower than current criteria values, underscoring the extreme vulnerability of high trophic level marine mammals to persistent and bioaccumulative contaminants.
The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study.

PubMed

Mokkink, Lidwine B; Terwee, Caroline B; Patrick, Donald L; Alonso, Jordi; Stratford, Paul W; Knol, Dirk L; Bouter, Lex M; de Vet, Henrica C W

2010-05-01

Aim of the COSMIN study (COnsensus-based Standards for the selection of health status Measurement INstruments) was to develop a consensus-based checklist to evaluate the methodological quality of studies on measurement properties. We present the COSMIN checklist and the agreement of the panel on the items of the checklist. A four-round Delphi study was performed with international experts (psychologists, epidemiologists, statisticians and clinicians). Of the 91 invited experts, 57 agreed to participate (63%). Panel members were asked to rate their (dis)agreement with each proposal on a five-point scale. Consensus was considered to be reached when at least 67% of the panel members indicated 'agree' or 'strongly agree'. Consensus was reached on the inclusion of the following measurement properties: internal consistency, reliability, measurement error, content validity (including face validity), construct validity (including structural validity, hypotheses testing and cross-cultural validity), criterion validity, responsiveness, and interpretability. The latter was not considered a measurement property. The panel also reached consensus on how these properties should be assessed. The resulting COSMIN checklist could be useful when selecting a measurement instrument, peer-reviewing a manuscript, designing or reporting a study on measurement properties, or for educational purposes.
Methodological Quality of Consensus Guidelines in Implant Dentistry.

PubMed

Faggion, Clovis Mariano; Apaza, Karol; Ariza-Fritas, Tania; Málaga, Lilian; Giannakopoulos, Nikolaos Nikitas; Alarcón, Marco Antonio

2017-01-01

Consensus guidelines are useful to improve clinical decision making. Therefore, the methodological evaluation of these guidelines is of paramount importance. Low quality information may guide to inadequate or harmful clinical decisions. To evaluate the methodological quality of consensus guidelines published in implant dentistry using a validated methodological instrument. The six implant dentistry journals with impact factors were scrutinised for consensus guidelines related to implant dentistry. Two assessors independently selected consensus guidelines, and four assessors independently evaluated their methodological quality using the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Disagreements in the selection and evaluation of guidelines were resolved by consensus. First, the consensus guidelines were analysed alone. Then, systematic reviews conducted to support the guidelines were included in the analysis. Non-parametric statistics for dependent variables (Wilcoxon signed rank test) was used to compare both groups. Of 258 initially retrieved articles, 27 consensus guidelines were selected. Median scores in four domains (applicability, rigour of development, stakeholder involvement, and editorial independence), expressed as percentages of maximum possible domain scores, were below 50% (median, 26%, 30.70%, 41.70%, and 41.70%, respectively). The consensus guidelines and consensus guidelines + systematic reviews data sets could be compared for 19 guidelines, and the results showed significant improvements in all domain scores (p < 0.05). Methodological improvement of consensus guidelines published in major implant dentistry journals is needed. The findings of the present study may help researchers to better develop consensus guidelines in implant dentistry, which will improve the quality and trust of information needed to make proper clinical decisions.
Methodological Quality of Consensus Guidelines in Implant Dentistry

PubMed Central

Faggion, Clovis Mariano; Apaza, Karol; Ariza-Fritas, Tania; Málaga, Lilian; Giannakopoulos, Nikolaos Nikitas; Alarcón, Marco Antonio

2017-01-01

Background Consensus guidelines are useful to improve clinical decision making. Therefore, the methodological evaluation of these guidelines is of paramount importance. Low quality information may guide to inadequate or harmful clinical decisions. Objective To evaluate the methodological quality of consensus guidelines published in implant dentistry using a validated methodological instrument. Methods The six implant dentistry journals with impact factors were scrutinised for consensus guidelines related to implant dentistry. Two assessors independently selected consensus guidelines, and four assessors independently evaluated their methodological quality using the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Disagreements in the selection and evaluation of guidelines were resolved by consensus. First, the consensus guidelines were analysed alone. Then, systematic reviews conducted to support the guidelines were included in the analysis. Non-parametric statistics for dependent variables (Wilcoxon signed rank test) was used to compare both groups. Results Of 258 initially retrieved articles, 27 consensus guidelines were selected. Median scores in four domains (applicability, rigour of development, stakeholder involvement, and editorial independence), expressed as percentages of maximum possible domain scores, were below 50% (median, 26%, 30.70%, 41.70%, and 41.70%, respectively). The consensus guidelines and consensus guidelines + systematic reviews data sets could be compared for 19 guidelines, and the results showed significant improvements in all domain scores (p < 0.05). Conclusions Methodological improvement of consensus guidelines published in major implant dentistry journals is needed. The findings of the present study may help researchers to better develop consensus guidelines in implant dentistry, which will improve the quality and trust of information needed to make proper clinical decisions. PMID:28107405
[Interdisciplinary AWMF guideline for the treatment of primary antibody deficiencies].

PubMed

Krudewig, J; Baumann, U; Bernuth von, H; Borte, M; Burkhard-Meier, U; Dueckers, G; Foerster-Waldl, E; Franke, K; Habermehl, P; Hönig, M; Kern, W; Kösters, K; Kugel, K; Lehrnbecher, T; Liese, J; Marks, R; Müller, G A; Müller, R; Nadal, D; Peter, H-H; Pfeiffer-Kascha, D; Schneider, M; Sitter, H; Späth, P; Wahn, V; Welte, T; Niehues, T

2012-10-01

Currently, management of antibody deficient patients differs significantly among caregivers. Evidence and consensus based (S3) guidelines for the treatment of primary antibody deficiencies were developed to improve the management of these patients. Based on a thorough analysis of current evidence (systematic literature search in PubMed; deadline November 2011) 14 recommendations were finalized during a consensus meeting in Frankfurt in November 2011 using structured consensus methods (nominal group technique). Experts were nominated by their scientific societies/patient initiatives (Tab. 1). The guidelines focus on indication, practical issues and monitoring of immunoglobulin replacement therapy as well as on different routes of administration. Furthermore recommendations regarding supportive measures such as antiinfective therapy, vaccinations and physiotherapy are given. Combining literature evidence and experience of caregivers within this evidence and consensus based guidelines offers the chance to improve the quality of care for anti-body deficient patients. © Georg Thieme Verlag KG Stuttgart · New York.
Student Writing Accepted as High-Quality Responses to Analytic Text-Based Writing Tasks

ERIC Educational Resources Information Center

Wang, Elaine; Matsumura, Lindsay Clare; Correnti, Richard

2018-01-01

Literacy standards increasingly emphasize the importance of analytic text-based writing. Little consensus exists, however, around what high-quality student responses should look like in this genre. In this study, we investigated fifth-grade students' writing in response to analytic text-based writing tasks (15 teachers, 44 writing tasks, 88 pieces…
t4 Workshop Report*

PubMed Central

Bouhifd, Mounir; Beger, Richard; Flynn, Thomas; Guo, Lining; Harris, Georgina; Hogberg, Helena; Kaddurah-Daouk, Rima; Kamp, Hennicke; Kleensang, Andre; Maertens, Alexandra; Odwin-DaCosta, Shelly; Pamies, David; Robertson, Donald; Smirnova, Lena; Sun, Jinchun; Zhao, Liang; Hartung, Thomas

2017-01-01

Summary Metabolomics promises a holistic phenotypic characterization of biological responses to toxicants. This technology is based on advanced chemical analytical tools with reasonable throughput, including mass-spectroscopy and NMR. Quality assurance, however – from experimental design, sample preparation, metabolite identification, to bioinformatics data-mining – is urgently needed to assure both quality of metabolomics data and reproducibility of biological models. In contrast to microarray-based transcriptomics, where consensus on quality assurance and reporting standards has been fostered over the last two decades, quality assurance of metabolomics is only now emerging. Regulatory use in safety sciences, and even proper scientific use of these technologies, demand quality assurance. In an effort to promote this discussion, an expert workshop discussed the quality assurance needs of metabolomics. The goals for this workshop were 1) to consider the challenges associated with metabolomics as an emerging science, with an emphasis on its application in toxicology and 2) to identify the key issues to be addressed in order to establish and implement quality assurance procedures in metabolomics-based toxicology. Consensus has still to be achieved regarding best practices to make sure sound, useful, and relevant information is derived from these new tools. PMID:26536290
[Evidence and consensus based treatment guidelines 2010 for juvenile idiopathic arthritis by the German Society of Paediatric Rheumatology].

PubMed

Dueckers, G; Guellac, N; Arbogast, M; Dannecker, G; Foeldvari, I; Frosch, M; Ganser, G; Heiligenhaus, A; Horneff, G; Illhardt, A; Krauspe, R; Markus, B; Michels, H; Schneider, M; Singendonk, W; Sitter, H; Spamer, M; Wagner, N; Niehues, T

2011-11-01

Treatment of Juvenile Idiopathic Arthritis (JIA) has improved quality of life in children and adolescents with JIA. Standardisation of care offers the chance to improve the quality of care of those patients. New studies have been published after completion of our last treatment guideline (2007). An updated consensus process is mandatory. A systematic literature analysis in PUBMED (key words: juvenile idiopathic (rheumatoid) arthritis, therapy; limits: humans, published in the last 3 years, all child 0-18 years, clinical trial) revealed 17 relevant studies. Studies relating to diagnosis of JIA, Uveitis, vaccination, transition were excluded. Representatives nominated by scientific societies and organisations were invited to consensus conferences which were hosted by a professional moderator. The following societies were invited: Berufsverband der Kinder- und Jugendärzte (BVKJ), Deutsche Gesellschaft für Kinder- und Jugendmedizin (DGKJ), Deutsche Gesellschaft für Rheumatologie (DGRh), Deutsche Ophthalmologische Gesellschaft (DOG), Deutsche Rheuma-Liga Bundesverband, Verein zur Förderung und Unterstützung rheumatologisch erkrankter Kinder und deren Eltern, Vereinigung für Kinderorthopädie, Zentraler Verband der Physiotherapeuten und Krankengymnasten (ZVK). Consensus conferences were each attended by more than 95% of the nominated representatives. Consensus statements were confirmed by nominal group technique and Delphi method. Updated consensus statements regarding drug therapy, symptomatic and surgical management of JIA were compiled and judged strictly by the criteria of Evidence-Based Medicine (EBM). © Georg Thieme Verlag KG Stuttgart · New York.
Integrated monitoring approach to investigate the contamination, mobilization and risks of sediments

NASA Astrophysics Data System (ADS)

Bölscher, Jens; Schulte, Achim; Terytze, Konstantin

2017-04-01

The use of surface water bodies for manufacturing purposes has been common not only in Germany since the beginning of industrialization, and this has led to a high accumulation of different chemical contaminants in the sediments of aquatic ecosystems. In particular, water bodies with very low flow conditions like the "Rummelsburger See", an anabranch of the Spree River located in the centre of Berlin, have been highly affected. Given that, it has become necessary to obtain improved knowledge concerning the current sediment dynamics, the rate of sedimentation and the current level of contamination and toxicity compared to earlier conditions. Against this background, a survey was set up, consisting of an integrated monitoring approach that focuses on hydraulics, sediment dynamics and contamination, including boundary conditions, such as weather and motor-boat activities to find information, which would help design appropriate treatment in the future. To detect the spatial distribution of pollutants in the sediment, over 200 sediment samples were collected via drill cores at 16 locations. The upper 15 cm of each drill core was systematically divided into 5 layers (each of 3 cm) for separate examination. The investigation of sediment deposition and remobilisation rates was accomplished by installing 18 sediment traps. The presence of selected heavy metals and organic pollutants in the sediments was determined for every sampling location and layer of the drill cores, as well as for all sediment traps. Changes in boundary conditions which influence the spatial and temporal distribution of deposition and resuspension were monitored by placing devices within the water body and taking different mobile measurements (3-D flow conditions, oxygen, turbidity, chlorophyll-a, temperature). The analysis of sediment and suspended matter included the determination of the total content of inorganic (Hg, Cd, Cr, Pb, Ni, Cu, Zn) and organic compounds (polycyclic aromatic hydrocarbons (PAH), total petroleum hydrocarbons (TPH), selected nitro-compounds, selected organotin compounds and polychlorinated biphenyls (PCB, AOX and EOX) in the sediment and suspended matter. The physico-chemical conditions of the samples were examined as well. The research into soluble and mobilizable sediment-bounded pollutants is based upon a 24 hour batch test. Certain toxic effects of the sediments were determined by different ecotoxicological test methods. In addition, the thresholds of the sediment quality guidelines published by de Deckere et al. (2011) were used to assess the solid contents. Because of the high concentrations of the pollutants, the consensus 2 values are used as thresholds in this study. The results provide important details on the spatial and temporal distribution of sedimentation and contamination. All sediments of the analysed cores and traps remain highly contaminated with heavy metals and organic compounds. The results indicate the resuspension, transport and accumulation of these sediments and show at least that toxic effects for the benthic taxa are expected. This kind of approach is necessary to create a basis for a remediation programme for, and a risk assessment of, polluted water bodies.
Establishing Key Performance Indicators [KPIs] and Their Importance for the Surgical Management of Inflammatory Bowel Disease-Results From a Pan-European, Delphi Consensus Study.

PubMed

Morar, Pritesh S; Hollingshead, James; Bemelman, Willem; Sevdalis, Nick; Pinkney, Thomas; Wilson, Graeme; Dunlop, Malcolm; Davies, R Justin; Guy, Richard; Fearnhead, Nicola; Brown, Steven; Warusavitarne, Janindra; Edwards, Cathryn; Faiz, Omar

2017-10-27

Key performance indicators [KPIs] exist across a range of areas in medicine. They help to monitor outcomes, reduce variation, and drive up standards across services. KPIs exist for inflammatory bowel disease [IBD] care, but none specifically cover inflammatory bowel disease [IBD] surgical service provision. This was a consensus-based study using a panel of expert IBD clinicians from across Europe. Items were developed and fed through a Delphi process to achieve consensus. Items were ranked on a Likert scale from 1 [not important] to 5 [very important]. Consensus was defined when the inter quartile range was ≤ 1, and items with a median score > 3 were considered for inclusion. A panel of 21 experts [14 surgeons and 7 gastroenterologists] was recruited. Consensus was achieved on procedure-specific KPIs for ileocaecal and perianal surgery for Crohn's disease, [N = 10] with themes relating to morbidity [N = 7], multidisciplinary input [N = 2], and quality of life [N = 1]; and for subtotal colectomy, proctocolectomy and ileoanal pouch surgery for ulcerative colitis [N = 11], with themes relating to mortality [N = 2], morbidity [N = 8], and service provision [N = 1]. Consensus was also achieved for measures of the quality of IBD surgical service provision and quality assurance in IBD surgery. This study has provided measurable KPIs for the provision of surgical services in IBD. These indicators cover IBD surgery in general, the governance and structures of the surgical services, and separate indicators for specific subareas of surgery. Monitoring of IBD services with these KPIs may reduce variation across services and improve quality. Copyright © 2017 European Crohn’s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com
Water-sediment controversy in setting environmental standards for selenium

USGS Publications Warehouse

Hamilton, Steven J.; Lemly, A. Dennis

1999-01-01

A substantial amount of laboratory and field research on selenium effects to biota has been accomplished since the national water quality criterion was published for selenium in 1987. Many articles have documented adverse effects on biota at concentrations below the current chronic criterion of 5 μg/L. This commentary will present information to support a national water quality criterion for selenium of 2 μg/L, based on a wide array of support from federal, state, university, and international sources. Recently, two articles have argued for a sediment-based criterion and presented a model for deriving site-specific criteria. In one example, they calculate a criterion of 31 μg/L for a stream with a low sediment selenium toxicity threshold and low site-specific sediment total organic carbon content, which is substantially higher than the national criterion of 5 μg/L. Their basic premise for proposing a sediment-based method has been critically reviewed and problems in their approach are discussed.
Information quantity and quality affect the realistic accuracy of personality judgment.

PubMed

Letzring, Tera D; Wells, Shannon M; Funder, David C

2006-07-01

Triads of unacquainted college students interacted in 1 of 5 experimental conditions that manipulated information quantity (amount of information) and information quality (relevance of information to personality), and they then made judgments of each others' personalities. To determine accuracy, the authors compared the ratings of each judge to a broad-based accuracy criterion composed of personality ratings from 3 types of knowledgeable informants (the self, real-life acquaintances, and clinician-interviewers). Results supported the hypothesis that information quantity and quality would be positively related to objective knowledge about the targets and realistic accuracy. Interjudge consensus and self-other agreement followed a similar pattern. These findings are consistent with expectations based on models of the process of accurate judgment (D. C. Funder, 1995, 1999) and consensus (D. A. Kenny, 1994). Copyright 2006 APA, all rights reserved.
Monitoring suspended sediment and associated trace element and nutrient fluxes in large river basins in the USA

USGS Publications Warehouse

Horowitz, A.J.

2004-01-01

In 1996, the US Geological Survey converted its occurrence and distribution-based National Stream Quality Accounting Network (NASQAN) to a national, flux-based water-quality monitoring programme. The main objective of the revised programme is to characterize large USA river basins by measuring the fluxes of selected constituents at critical nodes in various basins. Each NASQAN site was instrumented to determine daily discharge, but water and suspended sediment samples are collected no more than 12-15 times per year. Due to the limited sampling programme, annual suspended sediment fluxes were determined from site-specific sediment rating (transport) curves. As no significant relationship could be found between either discharge or suspended sediment concentration (SSC) and suspended sediment chemistry, trace element and nutrient fluxes are estimated using site-specific mean or median chemical levels determined from a number of samples collected over a period of years, and under a variety of flow conditions.
Design and Performance of an Enhanced Bioremediation Pilot Test in a Tidal Wetland Seep, West Branch Canal Creek, Aberdeen Proving Ground, Maryland

USGS Publications Warehouse

Majcher, Emily H.; Lorah, Michelle M.; Phelan, Daniel J.; McGinty, Angela L.

2009-01-01

Because of a lack of available in situ remediation methods for sensitive wetland environments where contaminated groundwater discharges, the U.S. Geological Survey, in cooperation with the U.S. Army Garrison, Aberdeen Proving Ground, Maryland, conceived, designed, and pilot tested a permeable reactive mat that can be placed horizontally at the groundwater/surface-water interface. Development of the reactive mat was part of an enhanced bioremediation study in a tidal wetland area along West Branch Canal Creek at Aberdeen Proving Ground, where localized areas of preferential discharge (seeps) transport groundwater contaminated with carbon tetrachloride, chloroform, tetrachloroethene, trichloroethene, and 1,1,2,2-tetrachloroethane from the Canal Creek aquifer to land surface. The reactive mat consisted of a mixture of commercially available organic- and nutrient-rich peat and compost that was bioaugmented with a dechlorinating microbial consortium, WBC-2, developed for this study. Due to elevated chlorinated methane concentrations in the pilot test site, a layer of zero-valent iron mixed with the peat and compost was added at the base of the reactive mat to promote simultaneous abiotic and biotic degradation. The reactive mat for the pilot test area was designed to optimize chlorinated volatile organic compound degradation efficiency without altering the geotechnical and hydraulic characteristics, or creating undesirable water quality in the surrounding wetland area, which is referred to in this report as achieving geotechnical, hydraulic, and water-quality compatibility. Optimization of degradation efficiency was achieved through the selection of a sustainable organic reactive matrix, electron donor, and bioaugmentation method. Consideration of geotechnical compatibility through design calculations of bearing capacity, settlement, and geotextile selection showed that a 2- to 3-feet tolerable thickness of the mat was possible, with 0.17 feet settlement predicted for unconsolidated sediments between 1.5 and 6 years following installation of the reactive mat. To ensure hydraulic compatibility in the mat design, mat materials that had a hydraulic conductivity greater than the surrounding wetland sediments were selected, and the mixture was optimized to consist of 1.5 parts compost, 1.5 parts peat and 1 part sand as a safeguard against fluidization. Sediment and matrix properties also indicated that a nonwoven geotextile with a cross-plane flow greater than that of the native sediments was suitable as the base of the reactive mat. Another nonwoven geotextile was selected for installation between the iron mix and organic zones of the mat to create more laminar flow conditions within the mat. Total metals and sequential extraction procedure analyses of mat materials, which were conducted to evaluate water-quality compatibility of the mat materials, showed that concentrations of metals in the compost ranged from one-half to one order of magnitude below consensus-based probable effect concentrations in sediment. A 22-inch-thick reactive mat, containing 0.5 percent WBC-2 by volume, was constructed at seep area 3-4W and monitored from October 2004 through October 2005 for the pilot test. No local, immediate failure of the mat or of wetland sediments was observed during mat installation, indicating that design estimates of bearing capacity and geotextile textile selection ensured the integrity of the mat and wetland sediments during and following installation. Measurements of surface elevation of the mat showed an average settlement of the mat surface of approximately 0.25 feet after 10 months, which was near the predicted settlement for unconsolidated sediment. Monitoring showed rapid establishment and sustainment throughout the year of methanogenic conditions conducive to anaerobic biodegradation and efficient dechlorination activity by WBC-2. The median mass removal of chloromethanes and total chloroethenes and ethane during the
Quality Metrics in Neonatal and Pediatric Critical Care Transport: A National Delphi Project.

PubMed

Schwartz, Hamilton P; Bigham, Michael T; Schoettker, Pamela J; Meyer, Keith; Trautman, Michael S; Insoft, Robert M

2015-10-01

The transport of neonatal and pediatric patients to tertiary care facilities for specialized care demands monitoring the quality of care delivered during transport and its impact on patient outcomes. In 2011, pediatric transport teams in Ohio met to identify quality indicators permitting comparisons among programs. However, no set of national consensus quality metrics exists for benchmarking transport teams. The aim of this project was to achieve national consensus on appropriate neonatal and pediatric transport quality metrics. Modified Delphi technique. The first round of consensus determination was via electronic mail survey, followed by rounds of consensus determination in-person at the American Academy of Pediatrics Section on Transport Medicine's 2012 Quality Metrics Summit. All attendees of the American Academy of Pediatrics Section on Transport Medicine Quality Metrics Summit, conducted on October 21-23, 2012, in New Orleans, LA, were eligible to participate. Candidate quality metrics were identified through literature review and those metrics currently tracked by participating programs. Participants were asked in a series of rounds to identify "very important" quality metrics for transport. It was determined a priori that consensus on a metric's importance was achieved when at least 70% of respondents were in agreement. This is consistent with other Delphi studies. Eighty-two candidate metrics were considered initially. Ultimately, 12 metrics achieved consensus as "very important" to transport. These include metrics related to airway management, team mobilization time, patient and crew injuries, and adverse patient care events. Definitions were assigned to the 12 metrics to facilitate uniform data tracking among programs. The authors succeeded in achieving consensus among a diverse group of national transport experts on 12 core neonatal and pediatric transport quality metrics. We propose that transport teams across the country use these metrics to benchmark and guide their quality improvement activities.
Toxicities and risk assessment of heavy metals in sediments of Taihu Lake, China, based on sediment quality guidelines.

PubMed

Zhang, Yanfeng; Han, Yuwei; Yang, Jinxi; Zhu, Lingyan; Zhong, Wenjue

2017-12-01

The occurrence, toxicities, and ecological risks of five heavy metals (Pb, Cu, Cd, Zn and Ni) in the sediment of Taihu Lake were investigated in this study. To evaluate the toxicities caused by the heavy metals, the toxicities induced by organic contaminants and ammonia in the sediments were screened out with activated carbon and zeolite. The toxicities of heavy metals in sediments were tested with benthic invertebrates (tubificid and chironomid). The correlations between toxicity of sediment and the sediment quality guidelines (SQGs) derived previously were evaluated. There were significant correlations (p<0.0001) between the observed toxicities and the total risk quotients of the heavy metals based on SQGs, indicating that threshold effect level (TEL) and probable effect level (PEL) were reliable to predict the toxicities of heavy metals in the sediments of Taihu Lake. By contrast, the method based on acid volatile sulfides (AVS) and simultaneously extracted metals (SEM), such as ∑SEM/AVS and ∑SEM-AVS, did not show correlations with the toxicities. Moreover, the predictive ability of SQGs was confirmed by a total predicting accuracy of 77%. Ecological risk assessment based on TELs and PELs showed that the contaminations of Pb, Cu, Cd and Zn in the sediments of Taihu Lake were at relatively low or medium levels. The risks caused by heavy metals in the sediments of northern bay of the lake, which received more wastewater discharge from upper stream, were higher than other area of the lake. Copyright © 2017. Published by Elsevier B.V.
Protein model quality assessment prediction by combining fragment comparisons and a consensus Cα contact potential

PubMed Central

Zhou, Hongyi; Skolnick, Jeffrey

2009-01-01

In this work, we develop a fully automated method for the quality assessment prediction of protein structural models generated by structure prediction approaches such as fold recognition servers, or ab initio methods. The approach is based on fragment comparisons and a consensus Cα contact potential derived from the set of models to be assessed and was tested on CASP7 server models. The average Pearson linear correlation coefficient between predicted quality and model GDT-score per target is 0.83 for the 98 targets which is better than those of other quality assessment methods that participated in CASP7. Our method also outperforms the other methods by about 3% as assessed by the total GDT-score of the selected top models. PMID:18004783
A Comparison of Turbidity-Based and Streamflow-Based Estimates of Suspended-Sediment Concentrations in Three Chesapeake Bay Tributaries

USGS Publications Warehouse

Jastram, John D.; Moyer, Douglas; Hyer, Kenneth

2009-01-01

Fluvial transport of sediment into the Chesapeake Bay estuary is a persistent water-quality issue with major implications for the overall health of the bay ecosystem. Accurately and precisely estimating the suspended-sediment concentrations (SSC) and loads that are delivered to the bay, however, remains challenging. Although manual sampling of SSC produces an accurate series of point-in-time measurements, robust extrapolation to unmeasured periods (especially highflow periods) has proven to be difficult. Sediment concentrations typically have been estimated using regression relations between individual SSC values and associated streamflow values; however, suspended-sediment transport during storm events is extremely variable, and it is often difficult to relate a unique SSC to a given streamflow. With this limitation for estimating SSC, innovative approaches for generating detailed records of suspended-sediment transport are needed. One effective method for improved suspended-sediment determination involves the continuous monitoring of turbidity as a surrogate for SSC. Turbidity measurements are theoretically well correlated to SSC because turbidity represents a measure of water clarity that is directly influenced by suspended sediments; thus, turbidity-based estimation models typically are effective tools for generating SSC data. The U.S. Geological Survey, in cooperation with the U.S. Environmental Protection Agency Chesapeake Bay Program and Virginia Department of Environmental Quality, initiated continuous turbidity monitoring on three major tributaries of the bay - the James, Rappahannock, and North Fork Shenandoah Rivers - to evaluate the use of turbidity as a sediment surrogate in rivers that deliver sediment to the bay. Results of this surrogate approach were compared to the traditionally applied streamflow-based approach for estimating SSC. Additionally, evaluation and comparison of these two approaches were conducted for nutrient estimations. Results demonstrate that the application of turbidity-based estimation models provides an improved method for generating a continuous record of SSC, relative to the classical approach that uses streamflow as a surrogate for SSC. Turbidity-based estimates of SSC were found to be more accurate and precise than SSC estimates from streamflow-based approaches. The turbidity-based SSC estimation models explained 92 to 98 percent of the variability in SSC, while streamflow-based models explained 74 to 88 percent of the variability in SSC. Furthermore, the mean absolute error of turbidity-based SSC estimates was 50 to 87 percent less than the corresponding values from the streamflow-based models. Statistically significant differences were detected between the distributions of residual errors and estimates from the two approaches, indicating that the turbidity-based approach yields estimates of SSC with greater precision than the streamflow-based approach. Similar improvements were identified for turbidity-based estimates of total phosphorus, which is strongly related to turbidity because total phosphorus occurs predominantly in particulate form. Total nitrogen estimation models based on turbidity and streamflow generated estimates of similar quality, with the turbidity-based models providing slight improvements in the quality of estimations. This result is attributed to the understanding that nitrogen transport is dominated by dissolved forms that relate less directly to streamflow and turbidity. Improvements in concentration estimation resulted in improved estimates of load. Turbidity-based suspended-sediment loads estimated for the James River at Cartersville, VA, monitoring station exhibited tighter confidence interval bounds and a coefficient of variation of 12 percent, compared with a coefficient of variation of 38 percent for the streamflow-based load.
Use of sediment quality guidelines and related tools for the asssessment of contaminated sediments: Executive summary sooklet of a SETAC Pellston Workshop

USGS Publications Warehouse

Wenning, R. J.; Ingersoll, Christopher G.

2002-01-01

This publication summarizes the results of a Pellston Workshop sponsored by the Society of Environmental Toxicology and Chemistry (SETAC), held 17-22 August 2002 in Fairmont, Montana, USA. The full technical proceedings of the workshop will be published separately by SET AC in 2003. Previous SETAC workshops have focused on sediment ecological risk assessment (ERA) (Dickson et al. 1987; Ingersoll et al. 1997) and porewater toxicity testing (Carr and Nipper 2003). Another recent workshop addressed the application of weight-of-evidence (WOE) methods in ERA (Burton et al. 2002). These previous workshops focused on how, when, and why ERAs are needed in sediment assessments. However, more focused discussion among scientists, environmental regulators, and environmental managers is now needed to build on this previous work. Specifically, additional guidance is needed on procedures that can be used to integrate the information derived from multiple chemical and biological lines of evidence (LOE). These LOE, which are developed through the application of different assessment tools, often include the use of chemically based sediment quality guidelines (SQGs) to evaluate sediment contamination and to help practitioners in sediment assessment and management formulate risk management decisions. This workshop focused on evaluation of the scientific foundations supporting different chemically based numeric SQGs and methods to improve the integration of SQGs into different sediment quality assessment frameworks that include information derived from multiple chemical and biological LOE.
Quality Teaching in Science: an Emergent Conceptual Framework

NASA Astrophysics Data System (ADS)

Jordens, J. Zoe; Zepke, Nick

2017-09-01

Achieving quality in higher education is a complex task involving the interrelationship of many factors. The influence of the teacher is well established and has led to some general principles of good teaching. However, less is known about the extent that specific disciplines influence quality teaching. The purposes of the paper are to investigate how quality teaching is perceived in the sciences and from these perceptions to develop for discussion a framework for teaching practice in the sciences. A New Zealand study explored the views of national teaching excellence award winners in science on quality teaching in undergraduate science. To capture all possible views from this expert panel, a dissensus-recognising Delphi method was used together with sensitising concepts based on complexity and wickedity. The emergent conceptual framework for quality teaching in undergraduate science highlighted areas of consensus and areas where there were a variety of views. About the purposes of science and its knowledge base, there was relative consensus, but there was more variable support for values underpinning science teaching. This highlighted the complex nature of quality teaching in science. The findings suggest that, in addition to general and discipline-specific influences, individual teacher values contribute to an understanding of quality in undergraduate science teaching.

DEVELOPMENT OF BIOLOGICALLY BASED SEDIMENT CRITERIA IN MOUNTAIN STREAMS OF THE WESTERN UNITED STATES

EPA Science Inventory

Sediment has long been recognized as a leading cause of impairment of biological condition in rivers and streams of the United States. Recently, federal and state agencies have shown increased interest in developing sediment criteria to maintain or improve habitat quality for the...
Spatial correlation analysis of polycyclic aromatic hydrocarbons (PAHs) and organochlorine pesticides (OCPs) in sediments between Taihu Lake and its tributary rivers.

PubMed

Zhao, Zhonghua; Jiang, Yu; Li, Qianyu; Cai, Yongjiu; Yin, Hongbin; Zhang, Lu; Zhang, Jin

2017-08-01

The residues of polycyclic aromatic hydrocarbons (PAHs) and organochlorine pesticides (OCPs) in surface sediments from Taihu Lake basin (THB) and Taihu Lake body (THL) were investigated. Higher concentrations of both PAHs and OCPs were observed for THB than THL. The concentrations of PAHs ranged from 12.1 to 2281.1ngg -1 dw for THB and from 11.4 to 209.9ngg -1 dw for THL, while OCPs ranged from 16.3 to 96.9ngg -1 dw and from 16.8 to 61.9ngg -1 dw for THB and THL, respectively. Spatial distribution of PAHs and OCPs showed a high correspondence with the land use of THB and surrounding anthropogenic activity. Additionally, the Kriging interpolation plots demonstrated that the major upper reaches were more polluted than the lower reaches, indicating the transport of pollutants with the water flow direction. The organic matter contents were responsible for OCP distribution other than PAHs due to the biodegradation capacity difference of chemicals. Similar compositions of pollutants were observed with 3- and 4-ringed PAHs accounting for a total of 78.3% for THB and 85.8% for THL, respectively. HCHs and DDTs were predominant OCPs, which contributed to 31.8% and 21.7% for THB, and 33.6% and 21.9% for THL, respectively. The isomeric and parent substance/metabolite ratios implied fresh inputs of DDTs and chlordanes, while HCHs and endosulfans were mainly from old usage. PAH source identification performed by diagnostic ratios demonstrated the mixed sources of petrogenic and pyrogenic ones dominated by grass, wood and coal combustion. Furthermore, the hazard quotient (HQ) based on the consensus-based sediment quality guidelines (SQGs) was used to evaluate the ecological risks of sediments. Although no frequently adverse effects were observed, potential ecological risks induced by Ant, BaA, γ-HCH, dieldrin, p,p'-DDT and chlordanes should also be paid attention to considering the continuous inputs of such pollutants. Copyright © 2017 Elsevier Inc. All rights reserved.
Total nutrient and sediment loads, trends, yields, and nontidal water-quality indicators for selected nontidal stations, Chesapeake Bay Watershed, 1985–2011

USGS Publications Warehouse

Langland, Michael J.; Blomquist, Joel D.; Moyer, Douglas; Hyer, Kenneth; Chanat, Jeffrey G.

2013-01-01

The U.S. Geological Survey, in cooperation with Chesapeake Bay Program (CBP) partners, routinely reports long-term concentration trends and monthly and annual constituent loads for stream water-quality monitoring stations across the Chesapeake Bay watershed. This report documents flow-adjusted trends in sediment and total nitrogen and phosphorus concentrations for 31 stations in the years 1985–2011 and for 32 stations in the years 2002–2011. Sediment and total nitrogen and phosphorus yields for 65 stations are presented for the years 2006–2011. A combined nontidal water-quality indicator (based on both trends and yields) indicates there are more stations classified as “improving water-quality trend and a low yield” than “degrading water-quality trend and a high yield” for total nitrogen. The same type of 2-way classification for total phosphorus and sediment results in equal numbers of stations in each indicator class.
GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research.

PubMed

Staniszewska, S; Brett, J; Simera, I; Seers, K; Mockford, C; Goodlad, S; Altman, D G; Moher, D; Barber, R; Denegri, S; Entwistle, A; Littlejohns, P; Morris, C; Suleman, R; Thomas, V; Tysall, C

2017-01-01

While the patient and public involvement (PPI) evidence base has expanded over the past decade, the quality of reporting within papers is often inconsistent, limiting our understanding of how it works, in what context, for whom, and why. To develop international consensus on the key items to report to enhance the quality, transparency, and consistency of the PPI evidence base. To collaboratively involve patients as research partners at all stages in the development of GRIPP2. The EQUATOR method for developing reporting guidelines was used. The original GRIPP (Guidance for Reporting Involvement of Patients and the Public) checklist was revised, based on updated systematic review evidence. A three round Delphi survey was used to develop consensus on items to be included in the guideline. A subsequent face-to-face meeting produced agreement on items not reaching consensus during the Delphi process. One hundred forty-three participants agreed to participate in round one, with an 86% (123/143) response for round two and a 78% (112/143) response for round three. The Delphi survey identified the need for long form (LF) and short form (SF) versions. GRIPP2-LF includes 34 items on aims, definitions, concepts and theory, methods, stages and nature of involvement, context, capture or measurement of impact, outcomes, economic assessment, and reflections and is suitable for studies where the main focus is PPI. GRIPP2-SF includes five items on aims, methods, results, outcomes, and critical perspective and is suitable for studies where PPI is a secondary focus. GRIPP2-LF and GRIPP2-SF represent the first international evidence based, consensus informed guidance for reporting patient and public involvement in research. Both versions of GRIPP2 aim to improve the quality, transparency, and consistency of the international PPI evidence base, to ensure PPI practice is based on the best evidence. In order to encourage its wide dissemination this article is freely accessible on The BMJ and Research Involvement and Engagement journal websites.
Estimation of sediment sources using selected chemical tracers in the Perry lake basin, Kansas, USA

USGS Publications Warehouse

Juracek, K.E.; Ziegler, A.C.

2009-01-01

The ability to achieve meaningful decreases in sediment loads to reservoirs requires a determination of the relative importance of sediment sources within the contributing basins. In an investigation of sources of fine-grained sediment (clay and silt) within the Perry Lake Basin in northeast Kansas, representative samples of channel-bank sources, surface-soil sources (cropland and grassland), and reservoir bottom sediment were collected, chemically analyzed, and compared. The samples were sieved to isolate the <63 ?? m fraction and analyzed for selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 25 trace elements, and the radionuclide cesium-137 (137Cs). On the basis of substantial and consistent compositional differences among the source types, total nitrogen (TN), total phosphorus (TP), total organic carbon (TOC), and 137Cs were selected for use in the estimation of sediment sources. To further account for differences in particle-size composition between the sources and the reservoir bottom sediment, constituent ratio and clay-normalization techniques were used. Computed ratios included TOC to TN, TOC to TP, and TN to TP. Constituent concentrations (TN, TP, TOC) and activities (137Cs) were normalized by dividing by the percentage of clay. Thus, the sediment-source estimations involved the use of seven sediment-source indicators. Within the Perry Lake Basin, the consensus of the seven indicators was that both channel-bank and surface-soil sources were important in the Atchison County Lake and Banner Creek Reservoir subbasins, whereas channel-bank sources were dominant in the Mission Lake subbasin. On the sole basis of 137Cs activity, surface-soil sources contributed the most fine-grained sediment to Atchison County Lake, and channel-bank sources contributed the most fine-grained sediment to Banner Creek Reservoir and Mission Lake. Both the seven-indicator consensus and 137Cs indicated that channel-bank sources were dominant for Perry Lake and that channel-bank sources increased in importance with distance downstream in the basin. ?? 2009 International Research and Training Centre on Erosion and Sedimentation and the World Association for Sedimentation and Erosion Research.
Assessment of heavy metals in loose deposits in drinking water distribution system.

PubMed

Liu, Quanli; Han, Weiqiang; Han, Bingjun; Shu, Min; Shi, Baoyou

2018-06-09

Heavy metal accumulation and potential releases from loose deposits in drinking water distribution system (DWDS) can have critical impacts on drinking water safety, but the associated risks have not been sufficiently evaluated. In this work, the potential biological toxicity of heavy metals in loose deposits was calculated based on consensus-based sediment quality guidelines, and the effects of some of the main water quality parameters, such as the pH and bicarbonate and phosphate content, on the release behaviors of pre-accumulated heavy metals were investigated. The results showed that heavy metals (Cu, As, Cr, Pb, and Cd) significantly accumulated in all the samples, but the contents of the heavy metals were multiple magnitudes lower than the Fe and Mn contents. The potential biotoxicity of As and Cu was relatively high, but the biotoxicity of Cd was negligible. The water quality can significantly influence the release of heavy metals from loose deposits. As the pH increased from 7.0 to 9.0, the release of As and Cr obviously increased. The release of As, Cu, Pb, and Cr also accelerated with the addition of phosphate (from 1 to 5 mg/L). In contrast to the trends for the pH and phosphate, variations in the bicarbonate content did not have a significant influence on the release of As and Cr. The release ratios of heavy metals in the samples were very low, and there was not a correlation between the release rate of the heavy metals in the loose deposits and their potential biotoxicity.
Sediment quality assessment using survival and embryo malformation tests in amphipod crustaceans: The Gulf of Riga, Baltic Sea AS case study

NASA Astrophysics Data System (ADS)

Strode, Evita; Jansons, Mintauts; Purina, Ingrida; Balode, Maija; Berezina, Nadezhda A.

2017-08-01

The aim of this study was to assess the toxicity of bottom sediment and to estimate the potential effects of contaminated sediment on health of benthic organisms in the Gulf of Riga (eastern Baltic Sea). Two endpoints were used: survival rate (acute toxicity test) of five crustacean amphipod species and frequency of embryo malformation (samples were collected from the field) in the two species. Toxic resistance of living animals to sediment quality was measured as survival rate (%) at 25 study sites from 2010-2012. Significant differences in the toxic resistance between species were found: 80-100% for Monoporeia affinis, 70-95% for Corophium volutator, 38-88% for Pontogammarus robustoides, 38-100% for Bathyporeia pilosa and 60-100% for Hyalella azteca. Reproductive disorders, measured as percentage (%) of malformed embryos per female, varied in the ranges of 0.0-9.5% in deep water species M. affinis and 0.3-7.5% in littoral species P. robustoides. Both the acute toxicity test and embryo malformation test (only M. affinis was used) indicated moderate and poor sediment quality at 20% and 12% accordingly in the study sites, low toxicity of sediment was estimated in 64% of cases, and no toxicity was recorded in the rest of the cases (4%). Additionally, sediment toxicity test using aquatic organisms was combined with sediment chemical analysis (trace metals) and the Benthic Quality Index (macrozoobenthos) was based on data collected from 13 sites in the Gulf of Riga in 2010 and used for triad sediment quality assessment. According to this combined approach, 23% of the bottom sediments were classified as likely impacted and 23% as possibly impacted (central and southern part of the Gulf). However, the remaining 54% was identified as likely un-impacted. The sediment quality assessment with single survival test or chemical analyses showed better sediment quality in the Gulf than the triad method. The embryo malformation test appeared to be more sensitive to pollution than acute toxicity survival test, that allow us to recommend the inclusion of this novel biomarker in environmental monitoring, while combining it with other tests. In general, our results indicate good or moderate states of sediments and minimal effects of the toxic contamination in them on the Gulf of Riga ecosystem.
Survival of deltas under anthropogenic global changes

NASA Astrophysics Data System (ADS)

Giosan, L.

2017-12-01

Coastal protection has become one of most important challenges of our times as the dynamic and transient nature of coasts collides with society's need for stability and permanence. At this nexus, river deltas stand out as the most expansive, productive and biodiverse lowlands that can be lost to the ocean. Restoration strategies are pursued for some extensively altered deltas, but simple mass balance approaches indicate that virtually all major deltas are becoming unstable under growing sediment deficits and accelerated sea level rise. Although heavily dammed rivers carry lower sediment loads to the coast, consensus is building that available sediment can be used more efficiently to mitigate land loss. Decisions on which deltaic lands to preserve and which to abandon will soon become unavoidable and most deltas will require active maintenance to survive. I argue here based on examples that a better understanding of delta paleomorphodynamics can provide a framework to design flexible maintenance strategies, to evaluate their success, and ultimately to design the healthy deltas of the future.
Water quality, sediment, and soil characteristics near Fargo-Moorhead urban areas as affected by major flooding of the Red River of the North.

PubMed

Guy, A C; Desutter, T M; Casey, F X M; Kolka, R; Hakk, H

2012-01-01

Spring flooding of the Red River of the North (RR) is common, but little information exits on how these flood events affect water and overbank sediment quality within an urban area. With the threat of the spring 2009 flood in the RR predicted to be the largest in recorded history and the concerns about the flooding of farmsteads, outbuildings, garages, and basements, the objectives of this study, which focused on Fargo, ND, and Moorhead, MN, were to assess floodwater quality and to determine the quantity and quality of overbank sediment deposited after floodwaters recede and the quality of soil underlying sediment deposits. 17β-Estradiol was detected in 9 of 24 water samples, with an average concentration of 0.61 ng L. Diesel-range organics were detected in 8 of 24 samples, with an average concentration of 80.0 μg L. The deposition of sediment across locations and transects ranged from 2 to 10 kg m, and the greatest mass deposition of chemicals was closest to the river channel. No gasoline-range organics were detected, but diesel-range organics were detected in 26 of the 27 overbank sediment samples (maximum concentration, 49.2 mg kg). All trace elements detected in the overbank sediments were within ranges for noncontaminated sites. Although flooding has economic, social, and environmental impacts, based on the results of this study, it does not appear that flooding in the RR in F-M led to decreased quality of water, sediment, or soil compared with normal river flows or resident soil. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
Towards global consensus on outcome measures for atopic eczema research: results of the HOME II meeting.

PubMed

Schmitt, Jochen; Spuls, Phyllis; Boers, Maarten; Thomas, Kim; Chalmers, Joanne; Roekevisch, Evelien; Schram, Mandy; Allsopp, Richard; Aoki, Valeria; Apfelbacher, Christian; Bruijnzeel-Koomen, Carla; Bruin-Weller, Marjolein; Charman, Carolyn; Cohen, Arnon; Dohil, Magdalene; Flohr, Carsten; Furue, Masutaka; Gieler, Uwe; Hooft, Lotty; Humphreys, Rosemary; Ishii, Henrique Akira; Katayama, Ichiro; Kouwenhoven, Willem; Langan, Sinéad; Lewis-Jones, Sue; Merhand, Stephanie; Murota, Hiroyuki; Murrell, Dedee F; Nankervis, Helen; Ohya, Yukihiro; Oranje, Arnold; Otsuka, Hiromi; Paul, Carle; Rosenbluth, Yael; Saeki, Hidehisa; Schuttelaar, Marie-Louise; Stalder, Jean-Francois; Svensson, Ake; Takaoka, Roberto; Wahlgren, Carl-Fredrik; Weidinger, Stephan; Wollenberg, Andreas; Williams, Hywel

2012-09-01

The use of nonstandardized and inadequately validated outcome measures in atopic eczema trials is a major obstacle to practising evidence-based dermatology. The Harmonising Outcome Measures for Eczema (HOME) initiative is an international multiprofessional group dedicated to atopic eczema outcomes research. In June 2011, the HOME initiative conducted a consensus study involving 43 individuals from 10 countries, representing different stakeholders (patients, clinicians, methodologists, pharmaceutical industry) to determine core outcome domains for atopic eczema trials, to define quality criteria for atopic eczema outcome measures and to prioritize topics for atopic eczema outcomes research. Delegates were given evidence-based information, followed by structured group discussion and anonymous consensus voting. Consensus was achieved to include clinical signs, symptoms, long-term control of flares and quality of life into the core set of outcome domains for atopic eczema trials. The HOME initiative strongly recommends including and reporting these core outcome domains as primary or secondary endpoints in all future atopic eczema trials. Measures of these core outcome domains need to be valid, sensitive to change and feasible. Prioritized topics of the HOME initiative are the identification/development of the most appropriate instruments for the four core outcome domains. HOME is open to anyone with an interest in atopic eczema outcomes research. © 2012 John Wiley & Sons A/S.
Weight-of-evidence approach in assessment of ecotoxicological risks of acid sulphate soils in the Baltic Sea river estuaries.

PubMed

Wallin, Jaana; Karjalainen, Anna K; Schultz, Eija; Järvistö, Johanna; Leppänen, Matti; Vuori, Kari-Matti

2015-03-01

Acidity and leaching of metals from acid sulphate soils (ASSs) impair the water quality of receiving surface waters. The largest ASS areas in Europe are found in the coasts of the northern Baltic Sea. We used weight-of-evidence (WoE) approach to assess potential risks in 14 estuary sites affected by ASS in the Gulf of Finland, northern Baltic Sea. The assessment was based on exposure and effect profiles utilizing sediment and water metal concentrations and concurrent pH variation, sediment toxicity tests using the luminescent bacterium Vibrio fischeri and the midge Chironomus riparius, and the ecological status of benthic macroinvertebrate communities. Sediment metal concentrations were compared to national sediment quality criteria/guidelines, and water metal concentrations to environmental quality standards (EQSs). Hazard quotients (HQs) were established for maximum aluminium, cadmium and zinc concentrations at low pH based on applicable US EPA toxicity database. Sediment metal concentrations were clearly elevated in most of the studied estuaries. The EQS of cadmium (0.1 μg/l) was exceeded in 3 estuaries out of 14. The pH-minima were below the national threshold value (5.5) between good and satisfactory water quality in 10 estuaries. V. fischeri bioluminescence indicated toxicity of the sediments but toxic response was not observed in the C. riparius emergence test. Benthic invertebrate communities were deteriorated in 6 out of 14 sites based on the benthic invertebrate quality index. The overall ecotoxicological risk was assessed as low in five, moderate in three and high in five of the estuary sites. The risk assessment utilizing the WoE approach indicated that harmful effects of ASSs are likely to occur in the Baltic Sea river estuaries located at the ASS hotspot area. Copyright © 2014 Elsevier B.V. All rights reserved.
Modeling sedimentation-filtration basins for urban watersheds using Soil and Water Assessment Tool

USDA-ARS?s Scientific Manuscript database

Sedimentation-filtration (SedFil) basins are one of the storm-water best management practices (BMPs) that are intended to mitigate water quality problems in urban creeks and rivers. A new physically based model of variably saturated flows was developed for simulating flow and sediment in SedFils wi...
Preliminary criteria for global flares in childhood-onset systemic lupus erythematosus.

PubMed

Brunner, Hermine I; Mina, Rina; Pilkington, Clarissa; Beresford, Michael W; Reiff, Andreas; Levy, Deborah M; Tucker, Lori B; Eberhard, B Anne; Ravelli, Angelo; Schanberg, Laura E; Saad-Magalhaes, Claudia; Higgins, Gloria C; Onel, Karen; Singer, Nora G; von Scheven, Emily; Itert, Lukasz; Klein-Gitelman, Marisa S; Punaro, Marilynn; Ying, Jun; Giannini, Edward H

2011-09-01

To develop widely acceptable preliminary criteria of global flare for childhood-onset systemic lupus erythematosus (cSLE). Pediatric rheumatologists (n = 138) rated a total of 358 unique patient profiles with information about the cSLE flare descriptors from 2 consecutive visits: patient global assessment of well-being, physician global assessment of disease activity (MD-global), health-related quality of life, anti-double-stranded DNA antibodies, disease activity index scores, protein:creatinine (P:C) ratio, complement levels, and erythrocyte sedimentation rate (ESR). Based on 2,996 rater responses about the course of cSLE (baseline versus followup), the accuracy (sensitivity, specificity, and area under the receiver operating characteristic curve) of candidate flare criteria was assessed. An international consensus conference was held to rank these candidate flare criteria as per the American College of Rheumatology recommendations for the development and validation of criteria sets. The highest-ranked candidate criteria considered absolute changes (Δ) of the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) or British Isles Lupus Assessment Group (BILAG), MD-global, P:C ratio, and ESR; flare scores can be calculated (0.5 × ΔSLEDAI + 0.45 × ΔP:C ratio + 0.5 × ΔMD-global + 0.02 × ΔESR), where values of ≥1.04 are reflective of a flare. Similarly, BILAG-based flare scores (0.4 × ΔBILAG + 0.65 × ΔP:C ratio + 0.5 × ΔMD-global + 0.02 × ΔESR) of ≥1.15 were diagnostic of a flare. Flare scores increased with flare severity. Consensus has been reached on preliminary criteria for global flares in cSLE. Further validation studies are needed to confirm the usefulness of the cSLE flare criteria in research and for clinical care. Copyright © 2011 by the American College of Rheumatology.
Coral reefs chronically exposed to river sediment plumes in the southwestern Caribbean: Rosario Islands, Colombia.

PubMed

Restrepo, Juan D; Park, Edward; Aquino, Samia; Latrubesse, Edgardo M

2016-05-15

Politicians do not acknowledge the devastating impacts riverine sediments can have on healthy coral reef ecosystems during environmental debates in Caribbean countries. Therefore, regional and/or local decision makers do not implement the necessary measures to reduce fluvial sediment fluxes on coral reefs. The Magdalena River, the main contributor of continental fluxes into the Caribbean Sea, delivers water and sediment fluxes into the Rosario Islands National Park, an important marine protected area in the southwestern Caribbean. Until now, there is no scientific consensus on the presence of sediment fluxes from the Magdalena River in the coral reefs of the Rosario Islands. Our hypothesis is that high sediment and freshwater inputs from the Magdalena have been present at higher acute levels during the last decade than previously thought, and that these runoff pulses are not flashy. We use in-situ calibrated MODIS satellite images to capture the spatiotemporal variability of the distribution of suspended sediment over the coral reefs. Furthermore, geochemical data are analyzed to detect associated sedimentation rates and pollutant dispersion into the coastal zone. Results confirm that turbidity levels have been much higher than previous values presented by national environmental authorities on coral reefs off Colombia over the last decade. During the 2003-2013-period most of the Total Suspended Sediments (TSS) values witnessed in the sampled regions were above 10mg/l, a threshold value of turbidity for healthy coral reef waters. TSS concentrations throughout the analyzed time were up to 62.3mg/l. Plume pulses were more pronounced during wet seasons of La Niña events in 2002-2003, 2007-2008, and 2009-2010. Reconstructed time series of MODIS TSS indicates that coral reef waters were exposed to river plumes between 19.6 and 47.8% of the entire period of analysis (2000-2013). Further analyses of time series of water discharge and sediment load into the coastal zone during the last two decades show temporal increases in water discharge and sediment load of 28% and 48%, respectively. (210)Pb dating results from two cores indicate sedimentation rates of ~0.75 cm/y of continentally exported clastic muddy sediments that are being deposited on the carbonatic shelf. The cores contain sediments with heavy metals and their concentrations are frequently above the ecologically accepted standards. Overall, the last decade has witnessed stronger magnitudes in fluvial fluxes to the coastal region, which probably coincide with associated declines in healthy coral cover and water quality. Our results emphasize the importance of local stressors, such as runoff and dispersion of turbid plumes, as opposed to ocean warming, disease and hurricanes, which have played a larger role on other coral reefs in the Caribbean. Coral reef management across the southwestern Caribbean, a coastal region influenced by continental fluxes of numerous rivers flowing from the Andes, may only be effective when land and marine-based stressors are simultaneously mitigated. Copyright © 2016 Elsevier B.V. All rights reserved.
Quality indicators for the management of Barrett's esophagus, dysplasia, and esophageal adenocarcinoma: international consensus recommendations from the American Gastroenterological Association Symposium.

PubMed

Sharma, Prateek; Katzka, David A; Gupta, Neil; Ajani, Jaffer; Buttar, Navtej; Chak, Amitabh; Corley, Douglas; El-Serag, Hashem; Falk, Gary W; Fitzgerald, Rebecca; Goldblum, John; Gress, Frank; Ilson, David H; Inadomi, John M; Kuipers, Ernest J; Lynch, John P; McKeon, Frank; Metz, David; Pasricha, Pankaj J; Pech, Oliver; Peek, Richard; Peters, Jeffrey H; Repici, Alessandro; Seewald, Stefan; Shaheen, Nicholas J; Souza, Rhonda F; Spechler, Stuart J; Vennalaganti, Prashanth; Wang, Kenneth

2015-11-01

The development of and adherence to quality indicators in gastroenterology, as in all of medicine, is increasing in importance to ensure that patients receive consistent high-quality care. In addition, government-based and private insurers will be expecting documentation of the parameters by which we measure quality, which will likely affect reimbursements. Barrett's esophagus remains a particularly important disease entity for which we should maintain up-to-date guidelines, given its commonality, potentially lethal outcomes, and controversies regarding screening and surveillance. To achieve this goal, a relatively large group of international experts was assembled and, using the modified Delphi method, evaluated the validity of multiple candidate quality indicators for the diagnosis and management of Barrett's esophagus. Several candidate quality indicators achieved >80% agreement. These statements are intended to serve as a consensus on candidate quality indicators for those who treat patients with Barrett's esophagus. Copyright © 2015 AGA Institute. Published by Elsevier Inc. All rights reserved.
Quality Indicators for the Management of Barrett’s Esophagus, Dysplasia, and Esophageal Adenocarcinoma: International Consensus Recommendations from the American Gastroenterological Association Symposium

PubMed Central

Sharma, Prateek; Katzka, David A.; Gupta, Neil; Ajani, Jaffer; Buttar, Navtej; Chak, Amitabh; Corley, Douglas; El-Serag, Hashem; Falk, Gary W.; Fitzgerald, Rebecca; Goldblum, John; Gress, Frank; Ilson, David H.; Inadomi, John M.; Kuipers, Ernest J.; Lynch, John P.; McKeon, Frank; Metz, David; Pasricha, Pankaj J.; Pech, Oliver; Peek, Richard; Peters, Jeffrey H.; Repici, Alessandro; Seewald, Stefan; Shaheen, Nicholas J.; Souza, Rhonda F.; Spechler, Stuart J.; Vennalaganti, Prashanth; Wang, Kenneth

2016-01-01

The development of and adherence to quality indicators in gastroenterology, as in all of medicine, is increasing in importance to ensure that patients receive consistent high-quality care. In addition, government-based and private insurers will be expecting documentation of the parameters by which we measure quality, which will likely affect reimbursements. Barrett’s esophagus remains a particularly important disease entity for which we should maintain up-to-date guidelines, given its commonality, potentially lethal outcomes, and controversies regarding screening and surveillance. To achieve this goal, a relatively large group of international experts was assembled and, using the modified Delphi method, evaluated the validity of multiple candidate quality indicators for the diagnosis and management of Barrett’s esophagus. Several candidate quality indicators achieved >80% agreement. These statements are intended to serve as a consensus on candidate quality indicators for those who treat patients with Barrett’s esophagus. PMID:26296479
A new world natural vegetation map for global change studies.

PubMed

Lapola, David M; Oyama, Marcos D; Nobre, Carlos A; Sampaio, Gilvan

2008-06-01

We developed a new world natural vegetation map at 1 degree horizontal resolution for use in global climate models. We used the Dorman and Sellers vegetation classification with inclusion of a new biome: tropical seasonal forest, which refers to both deciduous and semi-deciduous tropical forests. SSiB biogeophysical parameters values for this new biome type are presented. Under this new vegetation classification we obtained a consensus map between two global natural vegetation maps widely used in climate studies. We found that these two maps assign different biomes in ca. 1/3 of the continental grid points. To obtain a new global natural vegetation map, non-consensus areas were filled according to regional consensus based on more than 100 regional maps available on the internet. To minimize the risk of using poor quality information, the regional maps were obtained from reliable internet sources, and the filling procedure was based on the consensus among several regional maps obtained from independent sources. The new map was designed to reproduce accurately both the large-scale distribution of the main vegetation types (as it builds on two reliable global natural vegetation maps) and the regional details (as it is based on the consensus of regional maps).
Quality indicators in the treatment of patients with depression, bipolar disorder or schizophrenia. Consensus study.

PubMed

Bernardo, Miquel; de Dios, Consuelo; Pérez, Víctor; Ignacio, Emilio; Serrano, Manuel; Vieta, Eduard; Mira, José Joaquín; Guilabert, Mercedes; Roca, Miquel

To define a set of indicators for mental health care, monitoring quality assurance in schizophrenia, depression and bipolar disorders in Spain. Qualitative research. Consensus-based study involving 6 psychiatrists on the steering committee and a panel of 43 psychiatrists working in several health services in Spain. An initial proposal of 44 indicators for depression, 42 for schizophrenia and 58 for bipolar disorder was elaborated after reviewing the literature. This proposal was analysed by experts using the Delphi technique. The valuation of these indicators in successive rounds allowed those with less degree of consensus to be discarded. Feasibility, sensitivity and clinical relevance were considered. The study was carried out between July 2015 and March 2016. Seventy indicators were defined by consensus: 17 for major depression, 16 for schizophrenia, 17 for bipolar disorder and 20 common to all three pathologies. These indicators included measures related to adequacy, patient safety, exacerbation, mechanical restraint, suicidal behaviour, psychoeducation, adherence, mortality and physical health. This set of indicators allows quality monitoring in the treatment of patients with schizophrenia, depression or bipolar disorder. Mental health care authorities and professionals can use this proposal for developing a balanced scorecard adjusted to their priorities and welfare objectives. Copyright © 2017 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.
Concentrations, loads, and yields of total phosphorus, total nitrogen, and suspended sediment and bacteria concentrations in the Wister Lake Basin, Oklahoma and Arkansas, 2011-13

USGS Publications Warehouse

Buck, Stephanie D.

2014-01-01

The Poteau Valley Improvement Authority uses Wister Lake in southeastern Oklahoma as a public water supply. Total phosphorus, total nitrogen, and suspended sediments from agricultural runoff and discharges from wastewater treatment plants and other sources have degraded water quality in the lake. As lake-water quality has degraded, water-treatment cost, chemical usage, and sludge production have increased for the Poteau Valley Improvement Authority. The U.S. Geological Survey (USGS), in cooperation with the Poteau Valley Improvement Authority, investigated and summarized concentrations of total phosphorus, total nitrogen, suspended sediment, and bacteria (Escherichia coli and Enterococcus sp.) in surface water flowing to Wister Lake. Estimates of total phosphorus, total nitrogen, and suspended sediment loads, yields, and flow-weighted mean concentrations of total phosphorus and total nitrogen concentrations were made for the Wister Lake Basin for a 3-year period from October 2010 through September 2013. Data from water samples collected at fixed time increments during base-flow conditions and during runoff conditions at the Poteau River at Loving, Okla. (USGS station 07247015), the Poteau River near Heavener, Okla. (USGS station 07247350), and the Fourche Maline near Leflore, Okla. (USGS station 07247650), water-quality stations were used to evaluate water quality over the range of streamflows in the basin. These data also were collected to estimate annual constituent loads and yields by using regression models. At the Poteau River stations, total phosphorus, total nitrogen, and suspended sediment concentrations in surface-water samples were significantly larger in samples collected during runoff conditions than in samples collected during base-flow conditions. At the Fourche Maline station, in contrast, concentrations of these constituents in water samples collected during runoff conditions were not significantly larger than concentrations during base-flow conditions. Flow-weighted mean total phosphorus concentrations at all three stations from 2011 to 2013 were several times larger than the Oklahoma State Standard for Scenic Rivers (0.037 milligrams per liter [mg/L]), with the largest flow-weighted phosphorus concentrations typically being measured at the Poteau River at Loving, Okla., station. Flow-weighted mean total nitrogen concentrations did not vary substantially between the Poteau River stations and the Fourche Maline near Leflore, Okla., station. At all of the sampled water-quality stations, bacteria (Escherichia coli and Enterococcus sp.) concentrations were substantially larger in water samples collected during runoff conditions than in water samples collected during base-flow conditions from 2011 to 2013. Estimated annual loads of total phosphorus, total nitrogen, and suspended sediment in the Poteau River stations during runoff conditions ranged from 82 to 98 percent of the total annual loads of those constituents. Estimated annual loads of total phosphorus, total nitrogen, and suspended sediment in the Fourche Maline during runoff conditions ranged from 86 to nearly 100 percent of the total annual loads. Estimated seasonal total phosphorus loads generally were smallest during base-flow and runoff conditions in autumn. Estimated seasonal total phosphorus loads during base-flow conditions tended to be largest in winter and during runoff conditions tended to be largest in the spring. Estimated seasonal total nitrogen loads tended to be smallest in autumn during base-flow and runoff conditions and largest in winter during runoff conditions. Estimated seasonal suspended sediment loads tended to be smallest during base-flow conditions in the summer and smallest during runoff conditions in the autumn. The largest estimated seasonal suspended sediment loads during runoff conditions typically were in the spring. The estimated mean annual total phosphorus yield was largest at the Poteau River at Loving, Okla., water-quality station. The estimated mean annual total phosphorus yield was largest during base flow at the Poteau River at Loving, Okla., water-quality station and at both of the Poteau River water-quality stations during runoff conditions. The estimated mean annual total nitrogen yields were largest at the Poteau River water-quality stations. Estimated mean annual total nitrogen yields were largest during base-flow and runoff conditions at the Poteau River at Loving, Okla., water-quality station. The estimated mean annual suspended sediment yield was largest at the Poteau River near Heavener, Okla., water-quality station during base-flow and runoff conditions. Flow-weighted mean concentrations indicated that total phosphorus inputs from the Poteau River Basin in the Wister Lake Basin were larger than from the Fourche Maline Basin. Flow-weighted mean concentrations of total nitrogen did not vary spatially in a consistent manner. The Poteau River and the Fourche Maline contributed estimated annual total phosphorus loads of 137 to 278 tons per year (tons/yr) to Wister Lake. Between 89 and 95 percent of the annual total phosphorus loads were transported to Wister Lake during runoff conditions. The Poteau River and the Fourche Maline contributed estimated annual total nitrogen loads of 657 to 1,294 tons/yr, with 86 to 94 percent of the annual total nitrogen loads being transported to Wister Lake during runoff conditions. The Poteau River and the Fourche Maline contributed estimated annual total suspended sediment loads of 110,919 to 234,637 tons/yr, with 94 to 99 percent of the annual suspended sediment loads being transported to Wister Lake during runoff conditions. Most of the total phosphorus and suspended sediment were delivered to Wister Lake during runoff conditions in the spring. The majority of the total nitrogen was delivered to Wister Lake during runoff conditions in winter.
Fluid therapy in neurointensive care patients: ESICM consensus and clinical practice recommendations.

PubMed

Oddo, Mauro; Poole, Daniele; Helbok, Raimund; Meyfroidt, Geert; Stocchetti, Nino; Bouzat, Pierre; Cecconi, Maurizio; Geeraerts, Thomas; Martin-Loeches, Ignacio; Quintard, Hervé; Taccone, Fabio Silvio; Geocadin, Romergryko G; Hemphill, Claude; Ichai, Carole; Menon, David; Payen, Jean-François; Perner, Anders; Smith, Martin; Suarez, José; Videtta, Walter; Zanier, Elisa R; Citerio, Giuseppe

2018-04-01

To report the ESICM consensus and clinical practice recommendations on fluid therapy in neurointensive care patients. A consensus committee comprising 22 international experts met in October 2016 during ESICM LIVES2016. Teleconferences and electronic-based discussions between the members of the committee subsequently served to discuss and develop the consensus process. Population, intervention, comparison, and outcomes (PICO) questions were reviewed and updated as needed, and evidence profiles generated. The consensus focused on three main topics: (1) general fluid resuscitation and maintenance in neurointensive care patients, (2) hyperosmolar fluids for intracranial pressure control, (3) fluid management in delayed cerebral ischemia after subarachnoid haemorrhage. After an extensive literature search, the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system were applied to assess the quality of evidence (from high to very low), to formulate treatment recommendations as strong or weak, and to issue best practice statements when applicable. A modified Delphi process based on the integration of evidence provided by the literature and expert opinions-using a sequential approach to avoid biases and misinterpretations-was used to generate the final consensus statement. The final consensus comprises a total of 32 statements, including 13 strong recommendations and 17 weak recommendations. No recommendations were provided for two statements. We present a consensus statement and clinical practice recommendations on fluid therapy for neurointensive care patients.

A proposed adaptation of the European Foundation for Quality Management Excellence Model to physical activity programmes for the elderly - development of a quality self-assessment tool using a modified Delphi process

PubMed Central

2011-01-01

Background There has been a growing concern in designing physical activity (PA) programmes for elderly people, since evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Complete programme evaluations are a necessary prerequisite to continuous quality improvements. Being able to refine, adapt and create tools that are suited to the realities and contexts of PA programmes for the elderly in order to support its continuous improvement is, therefore, crucial. Thus, the aim of this study was to develop a self-assessment tool for PA programmes for the elderly. Methods A 3-round Delphi process was conducted via the Internet with 43 national experts in PA for the elderly, management and delivery of PA programmes for the elderly, sports management, quality management and gerontology, asking experts to identify the propositions that they considered relevant for inclusion in the self-assessment tool. Experts reviewed a list of proposed statements, based on the criteria and sub-criteria from the European Foundation for Quality Management Excellence Model (EFQM) and PA guidelines for older adults and rated each proposition from 1 to 8 (disagree to agree) and modified and/or added propositions. Propositions receiving either bottom or top scores of greater than 70% were considered to have achieved consensus to drop or retain, respectively. Results In round 1, of the 196 originally-proposed statements (best practice principles), the experts modified 41, added 1 and achieved consensus on 93. In round 2, a total of 104 propositions were presented, of which experts modified 39 and achieved consensus on 53. In the last round, of 51 proposed statements, the experts achieved consensus on 19. After 3 rounds of rating, experts had not achieved consensus on 32 propositions. The resulting tool consisted of 165 statements that assess nine management areas involved in the development of PA programmes for the elderly. Conclusion Based on experts' opinions, a self-assessment tool was found in order to access quality of PA programmes for the elderly. Information obtained with evaluations would be useful to organizations seeking to improve their services, customer satisfaction and, consequently, adherence to PA programmes, targeting the ageing population. PMID:21958203
Impact of landscape disturbance on the quality of terrestrial sediment carbon in temperate streams

NASA Astrophysics Data System (ADS)

Fox, James F.; Ford, William I.

2016-09-01

Recent studies have shown the super saturation of fluvial networks with respect to carbon dioxide, and the concept that the high carbon dioxide is at least partially the result of turnover of sediment organic carbon that ranges in age from years to millennia. Currently, there is a need for more highly resolved studies at stream and river scales that enable estimates of terrestrial carbon turnover within fluvial networks. Our objective was to develop a new isotope-based metric to estimate the quality of sediment organic carbon delivered to temperate streams and to use the new metric to estimate carbon quality across landscape disturbance gradients. Carbon quality is defined to be consistent with in-stream turnover and our metric is used to measure the labile or recalcitrant nature of the terrestrial-derived carbon within streams. Our hypothesis was that intensively-disturbed landscapes would tend to produce low quality carbon because deep, recalcitrant soil carbon would be eroded and transported to the fluvial system while moderately disturbed or undisturbed landscapes would tend to produce higher quality carbon from well-developed surface soils and litter. The hypothesis was tested by applying the new carbon quality metric to 15 temperate streams with a wide range of landscape disturbance levels. We find that our hypothesis premised on an indirect relationship between the extent of landscape disturbance and the quality of sediment carbon in streams holds true for moderate and high disturbances but not for un-disturbed forests. We explain the results based on the connectivity, or dis-connectivity, between terrestrial carbon sources and pathways for sediment transport. While pathways are typically un-limited for disturbed landscapes, the un-disturbed forests have dis-connectivity between labile carbon of the forest floor and the stream corridor. Only in the case when trees fell into the stream corridor due to severe ice storms did the quality of sediment carbon increase in the streams. We argue that as scientists continue to estimate the in-stream turnover of terrestrially-derived carbon in fluvial carbon budgets, the assumption of pathway connectivity between carbon sources to the stream should be justified.
Toxicity of sediment collected upriver and downriver of major cities along the lower Mississippi River

USGS Publications Warehouse

Winger, P.V.; Lasier, P.J.

1998-01-01

The Lower Mississippi River contributes significantly to the biodiversity and ecological stability of the alluvial valley. Agricultural, industrial and municipal developments have historically impacted environmental quality of the river. Toxicity of sediment and sediment pore water was used to assess the current effects of major cities on sediment quality along the Lower Mississippi River. Composite sediment samples were collected from four sites upriver and four sites downriver of five major cities: Cairo, IL; Memphis, TN; Vicksburg, MS; Baton Rouge, LA; and New Orleans, LA. Following EPA's standard methods for acute toxicity testing of freshwater solid-phase sediment, Hyalella azteca were exposed to the sediments for 10 d with two water renewals per day. Hyalella azteca were also exposed for 96 h to pore water extracted from the sediments. After the initial tests, the animals were exposed to ultraviolet light for 12 h. Sediments were analyzed for organics (organochlorine pesticides, PCBs, organophosphate insecticides, and PAHs) and metals (Cr, Cu, Pb, Mn, Ni, Zn). With the exception of upriver from Memphis, solid-phase sediments were not toxic to H. azteca. Pore water from sediments collected upriver of Memphis showed slight toxicity. Exposure of H. azteca to ultraviolet light did not increase the toxicity of the sediment or pore-water samples, indicating a lack of PAH toxicity. Chemical analyses did not reveal any contaminant levels of concern in the sediments. Based on toxicity testing and chemical analyses, quality of sediments collected from the Lower Mississippi was good, with the exception of sites sampled upriver of Memphis.
Field Observations of Hydrodynamics, Sediment Transport, and Water and Sediment Quality in the Hudson-Raritan Estuary

NASA Astrophysics Data System (ADS)

Bruno, M. S.; Glenn, S.; Chant, R.; Rankin, K.; Korfiatis, G.; Dimou, N.; Creed, E.; Fullerton, B.; Pence, A.; Burke, P.; Haldeman, C.; Hires, R.; Hunter, E.

2002-12-01

The New York-New Jersey Harbor estuary system is of enormous ecological and economic importance to the region. The presence of toxic chemicals in the water and sediments results in reduced water quality, fisheries restrictions/advisories, and general adverse impacts to the estuarine ecosystem. The Port of New York and New Jersey is central to the economy of the region. However, in recent years, problems associated with the management of contaminated dredged material, including high costs and the lack of suitable disposal/use alternatives, have threatened to impact the volume of shipping in the Harbor. Sources of contaminants include atmospheric deposition, municipal and industrial wastewater treatment facilities, combined sewer and stormwater outfalls, and rainfall-induced runoff (non-point sources). In addition, Harbor sediments can act as a continuing source as they are re-suspended and moved throughout the system by both natural and man-made means. As part of the New Jersey Toxics Reduction Workplan, Stevens Institute of Technology and Rutgers University are conducting hydrodynamic, sediment transport, and water and suspended sediment quality measurements in Newark Bay, the Arthur Kill and the Kill van Kull. The goals of the project include: (1) collection of high resolution (event-driven and long-term) hydrodynamic, sediment transport and water and suspended sediment quality measurements for use in the assessment of the dominant physics of the system and in the development of a combined hydrodynamic-sediment transport-water/sediment quality model for the region. (2) identification of those tributaries to NY-NJ Harbor that are significant sources of the chemicals of concern, and evaluation of the importance of non-point sources and existing contaminated bottom sediments as sources of the chemicals of concern. (3) identification of point discharges that represent significant sources of the chemicals of concern. Observations were obtained over a two-year period, during 21 tributary flow "events", each having an approximate duration of 1 week. The measurement program included 3 fixed mooring stations and 5 shipboard locations. Each mooring consisted of an acoustic Doppler current profiler; a high-resolution pressure sensor; an OBS; a CTD; and a laser-based scatterometer. The ship-board measurements included vertical current profiles using a towed acoustic Doppler current profiler; CTD measurements; OBS measurements; suspended sediment concentration and particle size spectrum using a laser-based scatterometer; and chemical characterization of water and suspended sediment samples. The water and sediment quality measurements were obtained using a specially designed Trace Organics Platform Sampler. This sampler allowed for the measurement of low-level concentrations of PCBs (108 congeners), dioxins/furans, Pesticides, PAHs and metals (Hg, Cd, Pb). Preliminary analysis of the data has improved our understanding of the circulation and sediment transport patterns in this region of the estuary, including the influence of extreme tributary flow events, local winds, and anthropogenic effects such as port structures, vessels, and the navigation channels, and has identified the most highly contaminated reaches of the tributaries.
Is the von Kármán constant affected by sediment suspension?

NASA Astrophysics Data System (ADS)

Castro-Orgaz, Oscar; GiráLdez, Juan V.; Mateos, Luciano; Dey, Subhasish

2012-12-01

Is the von Kármán constant affected by sediment suspension? The presence of suspended sediment in channels and fluvial streams has been known for decades to affect turbulence transfer mechanism in sediment-laden flows, and, therefore, the transport and fate of sediments that determine the bathymetry of natural water courses. This study explores the density stratification effects on the turbulent velocity profile and its impact on the transport of sediment. There is as yet no consensus in the scientific community on the effect of sediment suspension on the von Kármán parameter,κ. Two different theories based on the empirical log-wake velocity profile are currently under debate: One supports a universal value ofκ = 0.41 and a strength of the wake, Π, that is affected by suspended sediment. The other suggests that both κ and Π could vary with suspended sediment. These different theories result in a conceptual problem regarding the effect of suspended sediment on κ, which has divided the research area. In this study, a new mixing length theory is proposed to describe theoretically the turbulent velocity profile. The analytical approach provides added insight defining κas a turbulent parameter which varies with the distance to the bed in sediment-laden flows. The theory is compared with previous experimental data and simulations using ak-ɛturbulence closure to the Reynolds averaged Navier Stokes equations model. The mixing length model indicates that the two contradictory theories incorporate the stratified flow effect into a different component of the log-wake law. The results of this work show that the log-wake fit with a reducedκ is the physically coherent approximation.
Chinese expert consensus on multidisciplinary diagnosis and treatment of hepatocellular carcinoma with portal vein tumor thrombus: 2016 edition.

PubMed

Cheng, Shuqun; Chen, Minshan; Cai, Jianqiang

2017-01-31

Hepatocellular carcinoma is the fourth leading cause of cancer-related morbidity and mortality in China. Portal vein tumor thrombus (PVTT) is common and it worsens prognosis of hepatocellular carcinoma (HCC). There is no internationally accepted consensus or guideline for diagnosis and treatment of HCC with PVTT. Based on existing evidences and common current practices, Chinese Experts on Multidisciplinary Diagnosis and Treatment of HCC with portal vein tumor thrombus met to develop a national consensus on diagnosis and treatment of HCC with PVTT. The meeting concluded with the First Edition (version 2016) of consensus statements with grades of evidence given as grades Ia, Ib, IIa, IIb, III and IV, and ranking as Classes A, B, C, D and I for quality of evidence and strength of recommendation by the United State Preventive Service Task Force, respectively. The consensus suggests recommended treatment to be based on patients' PVTT type and ECOG functional status; surgery being the preferred treatment for Child-Pugh A, PVTT type I/II, and ECOG PS 0-1; transcatheter arterial chemoembolization (TACE) for non-resectable PVTT I/II and Child-Pugh A; and radiotherapy for non-resectable PVTT I/II/III and Child-Pugh A. Symptomatic treatment is recommended for Child-Pugh C, with massive ascites or gastrointestinal bleeding. By updating clinicians with treatment options for HCC with PVTT, the consensus statement aimed to prolong overall survival and to improve quality of life of patients with minimal treatment complication. Future treatment strategies for HCC with PVTT in China would depend on new evidences from more future clinical trials, especially studies defining the role of traditional Chinese medicine and clarifying molecular aspects of HCC.
An updated Asia Pacific Consensus Recommendations on colorectal cancer screening.

PubMed

Sung, J J Y; Ng, S C; Chan, F K L; Chiu, H M; Kim, H S; Matsuda, T; Ng, S S M; Lau, J Y W; Zheng, S; Adler, S; Reddy, N; Yeoh, K G; Tsoi, K K F; Ching, J Y L; Kuipers, E J; Rabeneck, L; Young, G P; Steele, R J; Lieberman, D; Goh, K L

2015-01-01

Since the publication of the first Asia Pacific Consensus on Colorectal Cancer (CRC) in 2008, there are substantial advancements in the science and experience of implementing CRC screening. The Asia Pacific Working Group aimed to provide an updated set of consensus recommendations. Members from 14 Asian regions gathered to seek consensus using other national and international guidelines, and recent relevant literature published from 2008 to 2013. A modified Delphi process was adopted to develop the statements. Age range for CRC screening is defined as 50-75 years. Advancing age, male, family history of CRC, smoking and obesity are confirmed risk factors for CRC and advanced neoplasia. A risk-stratified scoring system is recommended for selecting high-risk patients for colonoscopy. Quantitative faecal immunochemical test (FIT) instead of guaiac-based faecal occult blood test (gFOBT) is preferred for average-risk subjects. Ancillary methods in colonoscopy, with the exception of chromoendoscopy, have not proven to be superior to high-definition white light endoscopy in identifying adenoma. Quality of colonoscopy should be upheld and quality assurance programme should be in place to audit every aspects of CRC screening. Serrated adenoma is recognised as a risk for interval cancer. There is no consensus on the recruitment of trained endoscopy nurses for CRC screening. Based on recent data on CRC screening, an updated list of recommendations on CRC screening is prepared. These consensus statements will further enhance the implementation of CRC screening in the Asia Pacific region. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Improved model quality assessment using ProQ2.

PubMed

Ray, Arjun; Lindahl, Erik; Wallner, Björn

2012-09-10

Employing methods to assess the quality of modeled protein structures is now standard practice in bioinformatics. In a broad sense, the techniques can be divided into methods relying on consensus prediction on the one hand, and single-model methods on the other. Consensus methods frequently perform very well when there is a clear consensus, but this is not always the case. In particular, they frequently fail in selecting the best possible model in the hard cases (lacking consensus) or in the easy cases where models are very similar. In contrast, single-model methods do not suffer from these drawbacks and could potentially be applied on any protein of interest to assess quality or as a scoring function for sampling-based refinement. Here, we present a new single-model method, ProQ2, based on ideas from its predecessor, ProQ. ProQ2 is a model quality assessment algorithm that uses support vector machines to predict local as well as global quality of protein models. Improved performance is obtained by combining previously used features with updated structural and predicted features. The most important contribution can be attributed to the use of profile weighting of the residue specific features and the use features averaged over the whole model even though the prediction is still local. ProQ2 is significantly better than its predecessors at detecting high quality models, improving the sum of Z-scores for the selected first-ranked models by 20% and 32% compared to the second-best single-model method in CASP8 and CASP9, respectively. The absolute quality assessment of the models at both local and global level is also improved. The Pearson's correlation between the correct and local predicted score is improved from 0.59 to 0.70 on CASP8 and from 0.62 to 0.68 on CASP9; for global score to the correct GDT_TS from 0.75 to 0.80 and from 0.77 to 0.80 again compared to the second-best single methods in CASP8 and CASP9, respectively. ProQ2 is available at http://proq2.wallnerlab.org.
Toward automated assessment of health Web page quality using the DISCERN instrument.

PubMed

Allam, Ahmed; Schulz, Peter J; Krauthammer, Michael

2017-05-01

As the Internet becomes the number one destination for obtaining health-related information, there is an increasing need to identify health Web pages that convey an accurate and current view of medical knowledge. In response, the research community has created multicriteria instruments for reliably assessing online medical information quality. One such instrument is DISCERN, which measures health Web page quality by assessing an array of features. In order to scale up use of the instrument, there is interest in automating the quality evaluation process by building machine learning (ML)-based DISCERN Web page classifiers. The paper addresses 2 key issues that are essential before constructing automated DISCERN classifiers: (1) generation of a robust DISCERN training corpus useful for training classification algorithms, and (2) assessment of the usefulness of the current DISCERN scoring schema as a metric for evaluating the performance of these algorithms. Using DISCERN, 272 Web pages discussing treatment options in breast cancer, arthritis, and depression were evaluated and rated by trained coders. First, different consensus models were compared to obtain a robust aggregated rating among the coders, suitable for a DISCERN ML training corpus. Second, a new DISCERN scoring criterion was proposed (features-based score) as an ML performance metric that is more reflective of the score distribution across different DISCERN quality criteria. First, we found that a probabilistic consensus model applied to the DISCERN instrument was robust against noise (random ratings) and superior to other approaches for building a training corpus. Second, we found that the established DISCERN scoring schema (overall score) is ill-suited to measure ML performance for automated classifiers. Use of a probabilistic consensus model is advantageous for building a training corpus for the DISCERN instrument, and use of a features-based score is an appropriate ML metric for automated DISCERN classifiers. The code for the probabilistic consensus model is available at https://bitbucket.org/A_2/em_dawid/ . © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com
Fast and Accurate Construction of Ultra-Dense Consensus Genetic Maps Using Evolution Strategy Optimization

PubMed Central

Mester, David; Ronin, Yefim; Schnable, Patrick; Aluru, Srinivas; Korol, Abraham

2015-01-01

Our aim was to develop a fast and accurate algorithm for constructing consensus genetic maps for chip-based SNP genotyping data with a high proportion of shared markers between mapping populations. Chip-based genotyping of SNP markers allows producing high-density genetic maps with a relatively standardized set of marker loci for different mapping populations. The availability of a standard high-throughput mapping platform simplifies consensus analysis by ignoring unique markers at the stage of consensus mapping thereby reducing mathematical complicity of the problem and in turn analyzing bigger size mapping data using global optimization criteria instead of local ones. Our three-phase analytical scheme includes automatic selection of ~100-300 of the most informative (resolvable by recombination) markers per linkage group, building a stable skeletal marker order for each data set and its verification using jackknife re-sampling, and consensus mapping analysis based on global optimization criterion. A novel Evolution Strategy optimization algorithm with a global optimization criterion presented in this paper is able to generate high quality, ultra-dense consensus maps, with many thousands of markers per genome. This algorithm utilizes "potentially good orders" in the initial solution and in the new mutation procedures that generate trial solutions, enabling to obtain a consensus order in reasonable time. The developed algorithm, tested on a wide range of simulated data and real world data (Arabidopsis), outperformed two tested state-of-the-art algorithms by mapping accuracy and computation time. PMID:25867943
Using sediment particle size distribution to evaluate sediment sources in the Tobacco Creek Watershed

NASA Astrophysics Data System (ADS)

Liu, Cenwei; Lobb, David; Li, Sheng; Owens, Philip; Kuzyk, ZouZou

2014-05-01

Lake Winnipeg has recently brought attention to the deteriorated water quality due to in part to nutrient and sediment input from agricultural land. Improving water quality in Lake Winnipeg requires the knowledge of the sediment sources within this ecosystem. There are a variety of environmental fingerprinting techniques have been successfully used in the assessment of sediment sources. In this study, we used particle size distribution to evaluate spatial and temporal variations of suspended sediment and potential sediment sources collected in the Tobacco Creek Watershed in Manitoba, Canada. The particle size distribution of suspended sediment can reflect the origin of sediment and processes during sediment transport, deposition and remobilization within the watershed. The objectives of this study were to quantify visually observed spatial and temporal changes in sediment particles, and to assess the sediment source using a rapid and cost-effective fingerprinting technique based on particle size distribution. The suspended sediment was collected by sediment traps twice a year during rainfall and snowmelt periods from 2009 to 2012. The potential sediment sources included the top soil of cultivated field, riparian area and entire profile from stream banks. Suspended sediment and soil samples were pre-wet with RO water and sieved through 600 μm sieve before analyzing. Particle size distribution of all samples was determined using a Malvern Mastersizer 2000S laser diffraction with the measurement range up to 600μm. Comparison of the results for different fractions of sediment showed significant difference in particle size distribution of suspended sediment between snowmelt and rainfall events. An important difference of particle size distribution also found between the cultivated soil and forest soil. This difference can be explained by different land uses which provided a distinct fingerprint of sediment. An overall improvement in water quality can be achieved by managing sediment according to the identified sediment sources in the watershed.
[Quality of hospital discharge reports in terms of current legislation and expert recommendations].

PubMed

Zambrana-García, José Luis; Rivas-Ruiz, Francisco

2013-01-01

To determine the quality of hospital discharge reports (HDRs) taking into account current legislation and the conclusions of the consensus on hospital discharge reports in medical specialities in 11 community hospitals in Andalusia (Spain). A cross-sectional study of 1,708 HDRs was carried out. We determined the presence or absence of the various items required by current legislation and by the recommendations of the above-mentioned consensus. A total of 97.4% (95% confidence interval [95% CI]: 96.5-98.2) of the HDRs were classified as satisfactory according to the stipulations of current legislation. However, when the assessment was based on the consensus, the rate of adequacy fell to 72.1% (95% CI: 70.0-74.3). A notable finding was the absence of the duration of treatment after hospital discharge in 39.4% of the HDRs. HDRs show an excellent level of compliance with the data required by current regulations, but their intrinsic quality needs to be improved. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.
The case for regime-based water quality standards

Treesearch

G.C. Poole; J.B. Dunham; D.M. Keenan; S.T. Sauter; D.A. McCullough; C. Mebane; J.C. Lockwood; D.A. Essig; M.P. Hicks; D.J. Sturdevant; E.J. Materna; S.A. Spalding; J. Risley; M. Deppman

2004-01-01

Conventional water quality standards have been successful in reducing the concentration of toxic substances in US waters. However, conventional standards are based on simple thresholds and are therefore poorly structured to address human-caused imbalances in dynamic, natural water quality parameters, such as nutrients, sediment, and temperature. A more applicable type...
Invertebrate-Based Water Quality Impairments and Associated Stressors Identified through the US Clean Water Act

NASA Astrophysics Data System (ADS)

Govenor, Heather; Krometis, Leigh Anne H.; Hession, W. Cully

2017-10-01

Macroinvertebrate community assessment is used in most US states to evaluate stream health under the Clean Water Act. While water quality assessment and impairment determinations are reported to the US Environmental Protection Agency, there is no national summary of biological assessment findings. The objective of this work was to determine the national extent of invertebrate-based impairments and to identify pollutants primarily responsible for those impairments. Evaluation of state data in the US Environmental Protection Agency's Assessment and Total Maximum Daily Load Tracking and Implementation System database revealed considerable differences in reporting approaches and terminologies including differences in if and how states report specific biological assessment findings. Only 15% of waters impaired for aquatic life could be identified as having impairments determined by biological assessments (e.g., invertebrates, fish, periphyton); approximately one-third of these were associated with macroinvertebrate bioassessment. Nearly 650 invertebrate-impaired waters were identified nationwide, and sediment was the most common pollutant in bedded (63%) and suspended (9%) forms. This finding is not unexpected, given previous work on the negative impacts of sediment on aquatic life, and highlights the need to more specifically identify the mechanisms driving sediment impairments in order to design effective remediation plans. It also reinforces the importance of efforts to derive sediment-specific biological indices and numerical sediment quality guidelines. Standardization of state reporting approaches and terminology would significantly increase the potential application of water quality assessment data, reveal national trends, and encourage sharing of best practices to facilitate the attainment of water quality goals.
Indicators of safety compromise in gastrointestinal endoscopy.

PubMed

Borgaonkar, Mark Ram; Hookey, Lawrence; Hollingworth, Roger; Kuipers, Ernst J; Forster, Alan; Armstrong, David; Barkun, Alan; Bridges, Ron; Carter, Rose; de Gara, Chris; Dube, Catherine; Enns, Robert; Macintosh, Donald; Forget, Sylviane; Leontiadis, Grigorios; Meddings, Jonathan; Cotton, Peter; Valori, Roland

2012-02-01

The importance of quality indicators has become increasingly recognized in gastrointestinal endoscopy. Patient safety requires the identification and monitoring of occurrences associated with harm or the potential for harm. The identification of relevant indicators of safety compromise is, therefore, a critical element that is key to the effective implementation of endoscopy quality improvement programs. To identify key indicators of safety compromise in gastrointestinal endoscopy. The Canadian Association of Gastroenterology Safety and Quality Indicators in Endoscopy Consensus Group was formed to address issues of quality in endoscopy. A subcommittee was formed to identify key safety indicators. A systematic literature review was undertaken, and articles pertinent to safety in endoscopy were identified and reviewed. All complications and measures used to document safety were recorded. From this, a preliminary list of 16 indicators was compiled and presented to the 35-person consensus group during a three-day meeting. A revised list of 20 items was subsequently put to the consensus group for vote for inclusion on the final list of safety indicators. Items were retained only if the consensus group highly agreed on their importance. A total of 19 indicators of safety compromise were retained and grouped into the three following categories: medication-related - the need for CPR, use of reversal agents, hypoxia, hypotension, hypertension, sedation doses in patients older than 70 years of age, allergic reactions and laryngospasm⁄bronchospasm; procedure-related early - perforation, immediate postpolypectomy bleeding, need for hospital admission or transfer to emergency department from the gastroenterology unit, instrument impaction, severe persistent abdominal pain requiring evaluation proven to not be perforation; and procedure-related delayed - death within 30 days of procedure, 14-day unplanned hospitalization, 14-day unplanned contact with a health provider, gastrointestinal bleeding within 14 days of procedure, infection or symptomatic metabolic complications. The 19 indicators of safety compromise in endoscopy, identified by a rigorous, evidence-based consensus process, provide clear outcomes to be recorded by all facilities as part of their continuing quality improvement programs.
Geochemical fractionation and pollution assessment of Zn, Cu, and Fe in surface sediments from Shadegan Wildlife Refuge, southwest of Iran.

PubMed

Chaharlang, Behnam Heidari; Bakhtiari, Alireza Riyahi; Mohammadi, Jahangard; Farshchi, Parvin

2017-09-01

This research focuses on the fractionation and distribution patterns of heavy metals (Zn, Cu, and Fe) in surficial sediments collected from Shadegan Wildlife Refuge, the biggest wetland in southern part of Iran, to provide an overall classification for the sources of metals in the study area using a sequential extraction method. For this purpose, a four-step sequential extraction technique was applied to define the partitioning of the metals into different geochemical phases of the sediment. The results illustrated that the average total level of Zn, Cu, and Fe in surface sediments were 55.20 ± 16.04, 22.86 ± 5.68, and 25,979.01 ± 6917.91 μg/g dw, respectively. On the average, the chemical partitioning of all metals in most stations was in the order of residual >oxidizable-organic > acid-reducible > exchangeable. In the same way, the results of calculated geochemical indices revealed that Cu, Zn, and Fe concentrations are mainly influenced by lithogenic origins. Compared with consensus-based SQGs, Cu was likely to result in occasionally harmful biological effects on the biota.
Simulation-based Education to Ensure Provider Competency Within the Health Care System.

PubMed

Griswold, Sharon; Fralliccardi, Alise; Boulet, John; Moadel, Tiffany; Franzen, Douglas; Auerbach, Marc; Hart, Danielle; Goswami, Varsha; Hui, Joshua; Gordon, James A

2018-02-01

The acquisition and maintenance of individual competency is a critical component of effective emergency care systems. This article summarizes consensus working group deliberations and recommendations focusing on the topic "Simulation-based education to ensure provider competency within the healthcare system." The authors presented this work for discussion and feedback at the 2017 Academic Emergency Medicine Consensus Conference on "Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes," held on May 16, 2017, in Orlando, Florida. Although simulation-based training is a quality and safety imperative in other high-reliability professions such as aviation, nuclear power, and the military, health care professions still lag behind in applying simulation more broadly. This is likely a result of a number of factors, including cost, assessment challenges, and resistance to change. This consensus subgroup focused on identifying current gaps in knowledge and process related to the use of simulation for developing, enhancing, and maintaining individual provider competency. The resulting product is a research agenda informed by expert consensus and literature review. © 2017 by the Society for Academic Emergency Medicine.
DOE Office of Scientific and Technical Information (OSTI.GOV)

Stassi, D.; Ma, H.; Schmidt, T. G., E-mail: taly.gilat-schmidt@marquette.edu

Purpose: Reconstructing a low-motion cardiac phase is expected to improve coronary artery visualization in coronary computed tomography angiography (CCTA) exams. This study developed an automated algorithm for selecting the optimal cardiac phase for CCTA reconstruction. The algorithm uses prospectively gated, single-beat, multiphase data made possible by wide cone-beam imaging. The proposed algorithm differs from previous approaches because the optimal phase is identified based on vessel image quality (IQ) directly, compared to previous approaches that included motion estimation and interphase processing. Because there is no processing of interphase information, the algorithm can be applied to any sampling of image phases, makingmore » it suited for prospectively gated studies where only a subset of phases are available. Methods: An automated algorithm was developed to select the optimal phase based on quantitative IQ metrics. For each reconstructed slice at each reconstructed phase, an image quality metric was calculated based on measures of circularity and edge strength of through-plane vessels. The image quality metric was aggregated across slices, while a metric of vessel-location consistency was used to ignore slices that did not contain through-plane vessels. The algorithm performance was evaluated using two observer studies. Fourteen single-beat cardiac CT exams (Revolution CT, GE Healthcare, Chalfont St. Giles, UK) reconstructed at 2% intervals were evaluated for best systolic (1), diastolic (6), or systolic and diastolic phases (7) by three readers and the algorithm. Pairwise inter-reader and reader-algorithm agreement was evaluated using the mean absolute difference (MAD) and concordance correlation coefficient (CCC) between the reader and algorithm-selected phases. A reader-consensus best phase was determined and compared to the algorithm selected phase. In cases where the algorithm and consensus best phases differed by more than 2%, IQ was scored by three readers using a five point Likert scale. Results: There was no statistically significant difference between inter-reader and reader-algorithm agreement for either MAD or CCC metrics (p > 0.1). The algorithm phase was within 2% of the consensus phase in 15/21 of cases. The average absolute difference between consensus and algorithm best phases was 2.29% ± 2.47%, with a maximum difference of 8%. Average image quality scores for the algorithm chosen best phase were 4.01 ± 0.65 overall, 3.33 ± 1.27 for right coronary artery (RCA), 4.50 ± 0.35 for left anterior descending (LAD) artery, and 4.50 ± 0.35 for left circumflex artery (LCX). Average image quality scores for the consensus best phase were 4.11 ± 0.54 overall, 3.44 ± 1.03 for RCA, 4.39 ± 0.39 for LAD, and 4.50 ± 0.18 for LCX. There was no statistically significant difference (p > 0.1) between the image quality scores of the algorithm phase and the consensus phase. Conclusions: The proposed algorithm was statistically equivalent to a reader in selecting an optimal cardiac phase for CCTA exams. When reader and algorithm phases differed by >2%, image quality as rated by blinded readers was statistically equivalent. By detecting the optimal phase for CCTA reconstruction, the proposed algorithm is expected to improve coronary artery visualization in CCTA exams.« less
Effects-based spatial assessment of contaminated estuarine sediments from Bear Creek, Baltimore Harbor, MD, USA.

PubMed

Hartzell, Sharon E; Unger, Michael A; McGee, Beth L; Wilson, Sacoby M; Yonkos, Lance T

2017-10-01

Estuarine sediments in regions with prolonged histories of industrial activity are often laden to significant depths with complex contaminant mixtures, including trace metals and persistent organic pollutants. Given the complexity of assessing risks from multi-contaminant exposures, the direct measurement of impacts to biological receptors is central to characterizing contaminated sediment sites. Though biological consequences are less commonly assessed at depth, laboratory-based toxicity testing of subsurface sediments can be used to delineate the scope of contamination at impacted sites. The extent and depth of sediment toxicity in Bear Creek, near Baltimore, Maryland, USA, was delineated using 10-day acute toxicity tests with the estuarine amphipod Leptocheirus plumulosus, and chemical analysis of trace metals and persistent organic pollutants. A gradient of toxicity was demonstrated in surface sediments with 21 of 22 tested sites differing significantly from controls. Effects were most pronounced (100% lethality) at sites proximate to a historic industrial complex. Sediments from eight of nine core samples to depths of 80 cm were particularly impacted (i.e., caused significant lethality to L. plumulosus) even in locations overlain with relatively non-toxic surface sediments, supporting a conclusion that toxicity observed at the surface (top 2 cm) does not adequately predict toxicity at depth. In seven of nine sites, toxicity of surface sediments differed from toxicity at levels beneath by 28 to 69%, in five instances underestimating toxicity (28 to 69%), and in two instances overestimating toxicity (44 to 56%). Multiple contaminants exceeded sediment quality guidelines and correlated positively with toxic responses within surface sediments (e.g., chromium, nickel, polycyclic aromatic hydrocarbon (PAH), total petroleum hydrocarbon). Use of an antibody-based PAH biosensor revealed that porewater PAH concentrations also increased with depth at most sites. This study informs future management decisions concerning the extent of impact to Bear Creek sediments, and demonstrates the benefits of a spatial approach, relying primarily on toxicity testing to assess sediment quality in a system with complex contaminant mixtures.
Effects of the Upper Taum Sauk Reservoir Embankment Breach on the Surface-Water Quality and Sediments of the East Fork Black River and the Black River, Southeastern Missouri - 2006-07

USGS Publications Warehouse

Barr, Miya N.

2009-01-01

On December 14, 2005, a 680-foot wide section of the upper reservoir embankment of the Taum Sauk pump-storage hydroelectric powerplant located in Reynolds County, Missouri, suddenly failed. This catastrophic event sent approximately 1.5 billion gallons of water into the Johnson's Shut-Ins State Park and into the East Fork Black River, and deposited enormous quantities of rock, soil, and vegetation in the flooded areas. Water-quality data were collected within and below the impacted area to study and document the changes to the riverene system. Data collection included routine, event-based, and continuous surface-water quality monitoring as well as suspended- and streambed-sediment sampling. Surface water-quality samples were collected and analyzed for a suite of physical and chemical constituents including: turbidity; nutrients; major ions such as calcium, magnesium, and potassium; total suspended solids; total dissolved solids; trace metals such as aluminum, iron, and lead; and suspended-sediment concentrations. Suspended-sediment concentrations were used to calculate daily sediment discharge. A peculiar blue-green coloration on the water surface of the East Fork Black River and Black River was evident downstream from the lower reservoir during the first year of the study. It is possible that this phenomenon was the result of 'rock flour' occurring when the upper reservoir embankment was breached, scouring the mountainside and producing extremely fine sediment particles, or from the alum-based flocculent used to reduce turbidity in the lower reservoir. It also was determined that no long-term effects of the reservoir embankment breach are expected as the turbidity and concentrations of trace metals such as total recoverable aluminum, dissolved aluminum, dissolved iron, and suspended-sediment concentration graphically decreased over time. Larger concentrations of these constituents during the beginning of the study also could be a direct result of the alum-based flocculent used in the lower reservoir. Suspended-sediment concentrations and turbidity measurements were largest at the site downstream from the lower reservoir. This is because of the large amounts of debris deposited in the lower reservoir from the breach, which in turn were redeposited into the East Fork Black River during releases. When these constituents were plotted over time, the concentrations decreased and were similar to the other two sites in the study. Trend analyses were studied at one site with historical data. No major trends were discovered for streamflow, turbidity, suspended-sediment concentrations, or suspended-sediment discharges before or after the event. Although long-term effects of the elevated turbidity, major trace metals, and suspended sediments in the study area as a result of the reservoir embankment breach are not expected, there could possibly be other effects not measured during this study that could potentially affect the surface-water quality, such as loss of riparian habitat, changes in biological ecosystems, and large-scale reworking of sediments.

Aquatic assessment of the Pike Hill Copper Mine Superfund site, Corinth, Vermont

USGS Publications Warehouse

Piatak, Nadine M.; Argue, Denise M.; Seal, Robert R.; Kiah, Richard G.; Besser, John M.; Coles, James F.; Hammarstrom, Jane M.; Levitan, Denise M.; Deacon, Jeffrey R.; Ingersoll, Christopher G.

2013-01-01

The Pike Hill Copper Mine Superfund site in Corinth, Orange County, Vermont, includes the Eureka, Union, and Smith mines along with areas of downstream aquatic ecosystem impairment. The site was placed on the U.S. Environmental Protection Agency (USEPA) National Priorities List in 2004. The mines, which operated from about 1847 to 1919, contain underground workings, foundations from historical structures, several waste-rock piles, and some flotation tailings. The mine site is drained to the northeast by Pike Hill Brook, which includes several wetland areas, and to the southeast by an unnamed tributary that flows to the south and enters Cookville Brook. Both brooks eventually drain into the Waits River, which flows into the Connecticut River. The aquatic ecosystem at the site was assessed using a variety of approaches that investigated surface-water quality, sediment quality, and various ecological indicators of stream-ecosystem health. The degradation of surface-water quality is caused by elevated concentrations of copper, and to a lesser extent cadmium, with localized effects caused by aluminum, iron, and zinc. Copper concentrations in surface waters reached or exceeded the USEPA national recommended chronic water-quality criteria for the protection of aquatic life in all of the Pike Hill Brook sampling locations except for the location farthest downstream, in half of the locations sampled in the tributary to Cookville Brook, and in about half of the locations in one wetland area located in Pike Hill Brook. Most of these same locations also contained concentrations of cadmium that exceeded the chronic water-quality criteria. In contrast, surface waters at background sampling locations were below these criteria for copper and cadmium. Comparison of hardness-based and Biotic Ligand Model (BLM)-based criteria for copper yields similar results with respect to the extent or number of stations impaired for surface waters in the affected area. However, the BLM-based criteria are commonly lower values than the hardness-based criteria and thus suggest a greater degree or magnitude of impairment at the sampling locations. The riffle-habitat benthic invertebrate richness and abundance data correlate strongly with the extent of impact based on water quality for both brooks. Similarly, the fish community assessments document degraded conditions throughout most of Pike Hill Brook, whereas the data for the tributary to Cookville Brook suggest less degradation to this brook. The sediment environment shows similar extents of impairment to the surface-water environment, with most sampling locations in Pike Hill Brook, including the wetland areas, and the tributary to Cookville Brook affected. Sediment impairment is caused by elevated copper concentrations, although localized degradation due to elevated cadmium and zinc concentrations was documented on the basis of exceedances of probable effects concentrations (PECs). In contrast to impairment determined by exceedances of PECs, equilibrium-partitioning sediment benchmarks (based on simultaneously extracted metals, acid volatile sulfides, and total organic carbon) predict no toxic effects in sediments at the background locations and uncertain toxic effects throughout Pike Hill Brook and the tributary to Cookville Brook, with the exception of the most downstream Cookville Brook location, which indicated no toxic effects. Acute laboratory toxicity testing using the amphipod Hyalella azteca and the midge Chironomus dilutus on pore waters extracted from sediment in situ indicate impairment (based on tests with H. azteca) at only one location in Pike Hill Brook and no impairment in the tributary to Cookville Brook. Chronic laboratory sediment toxicity testing using H. azteca and C. dilutus indicated toxicity in Pike Hill Brook at several locations in the lower reach and two locations in the tributary to Cookville Brook. Toxicity was not indicated for either species in sediment from the most acidic metal-rich location, likely due to the low lability of copper in that sediment, as indicated by a low proportion of extractable copper (simultaneously extracted metal (SEM) copper only 5 percent of total copper) and due to the flushing of acidic metal-rich pore water from experimental chambers as overlying test water was introduced before and replaced periodically during the toxicity tests. Depositional habitat invertebrate richness and abundance data generally agreed with the results of toxicity tests and with the extent of impact in the watersheds on the basis of sediment and pore waters. The information was used to develop an overall assessment of the impact of mine drainage on the aquatic system downstream from the Pike Hill copper mines. Most of Pike Hill Brook, including several wetland areas that are all downstream from the Eureka and Union mines, was found to be impaired on the basis of water-quality data and biological assessments of fish or benthic invertebrate communities. In contrast, only one location in the tributary to Cookville Brook, downstream from the Smith mine, is definitively impaired. The biological community begins to recover at the most downstream locations in both brooks due to natural attenuation from mixing with unimpaired streams. On the basis of water quality and biological assessment, the reference locations were of good quality. The sediment toxicity, chemistry, and aquatic community survey data suggest that the sediments could be a source of toxicity in Pike Hill Brook and the tributary to Cookville Brook. On the basis of water quality, sediment quality, and biologic communities, the impacts of mine drainage on the aquatic ecosystem health of the watersheds in the study area are generally consistent with the toxicity suggested from laboratory toxicity testing on pore water and sediments.
Relations between continuous real-time turbidity data and discrete suspended-sediment concentration samples in the Neosho and Cottonwood Rivers, east-central Kansas, 2009-2012

USGS Publications Warehouse

Foster, Guy M.

2014-01-01

The Neosho River and its primary tributary, the Cottonwood River, are the primary sources of inflow to the John Redmond Reservoir in east-central Kansas. Sedimentation rate in the John Redmond Reservoir was estimated as 743 acre-feet per year for 1964–2006. This estimated sedimentation rate is more than 80 percent larger than the projected design sedimentation rate of 404 acre-feet per year, and resulted in a loss of 40 percent of the conservation pool since its construction in 1964. To reduce sediment input into the reservoir, the Kansas Water Office implemented stream bank stabilization techniques along an 8.3 mile reach of the Neosho River during 2010 through 2011. The U.S. Geological Survey, in cooperation with the Kansas Water Office and funded in part through the Kansas State Water Plan Fund, operated continuous real-time water-quality monitors upstream and downstream from stream bank stabilization efforts before, during, and after construction. Continuously measured water-quality properties include streamflow, specific conductance, water temperature, and turbidity. Discrete sediment samples were collected from June 2009 through September 2012 and analyzed for suspended-sediment concentration (SSC), percentage of sediments less than 63 micrometers (sand-fine break), and loss of material on ignition (analogous to amount of organic matter). Regression models were developed to establish relations between discretely measured SSC samples, and turbidity or streamflow to estimate continuously SSC. Continuous water-quality monitors represented between 96 and 99 percent of the cross-sectional variability for turbidity, and had slopes between 0.91 and 0.98. Because consistent bias was not observed, values from continuous water-quality monitors were considered representative of stream conditions. On average, turbidity-based SSC models explained 96 percent of the variance in SSC. Streamflow-based regressions explained 53 to 60 percent of the variance. Mean squared prediction error for turbidity-based regression relations ranged from -32 to 48 percent, whereas mean square prediction error for streamflow-based regressions ranged from -69 to 218 percent. These models are useful for evaluating the variability of SSC during rapidly changing conditions, computing loads and yields to assess SSC transport through the watershed, and for providing more accurate load estimates compared to streamflow-only based estimation methods used in the past. These models can be used to evaluate the efficacy of streambank stabilization efforts.
GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research

PubMed Central

Brett, J; Simera, I; Seers, K; Mockford, C; Goodlad, S; Altman, D G; Moher, D; Barber, R; Denegri, S; Entwistle, A; Littlejohns, P; Morris, C; Suleman, R; Thomas, V; Tysall, C

2017-01-01

Background While the patient and public involvement (PPI) evidence base has expanded over the past decade, the quality of reporting within papers is often inconsistent, limiting our understanding of how it works, in what context, for whom, and why. Objective To develop international consensus on the key items to report to enhance the quality, transparency, and consistency of the PPI evidence base. To collaboratively involve patients as research partners at all stages in the development of GRIPP2. Methods The EQUATOR method for developing reporting guidelines was used. The original GRIPP (Guidance for Reporting Involvement of Patients and the Public) checklist was revised, based on updated systematic review evidence. A three round Delphi survey was used to develop consensus on items to be included in the guideline. A subsequent face-to-face meeting produced agreement on items not reaching consensus during the Delphi process. Results 143 participants agreed to participate in round one, with an 86% (123/143) response for round two and a 78% (112/143) response for round three. The Delphi survey identified the need for long form (LF) and short form (SF) versions. GRIPP2-LF includes 34 items on aims, definitions, concepts and theory, methods, stages and nature of involvement, context, capture or measurement of impact, outcomes, economic assessment, and reflections and is suitable for studies where the main focus is PPI. GRIPP2-SF includes five items on aims, methods, results, outcomes, and critical perspective and is suitable for studies where PPI is a secondary focus. Conclusions GRIPP2-LF and GRIPP2-SF represent the first international evidence based, consensus informed guidance for reporting patient and public involvement in research. Both versions of GRIPP2 aim to improve the quality, transparency, and consistency of the international PPI evidence base, to ensure PPI practice is based on the best evidence. In order to encourage its wide dissemination this article is freely accessible on The BMJ and Research Involvement and Engagement journal websites. PMID:28768629
Characterization of quality of sediments from Paranaguá Bay (Brazil) by combined in vitro bioassays and chemical analyses.

PubMed

Rizzi, Juliane; Pérez-Albaladejo, Elisabet; Fernandes, Denise; Contreras, Javier; Froehner, Sandro; Porte, Cinta

2017-07-01

The present study characterizes the quality of sediments from the Paranaguá Estuarine Complex (South Brazil). Polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs), and organochlorine pesticides (OCPs) were determined in sediment samples together with a series of different in vitro bioassays. The fish hepatoma cell line (PLHC-1) was used to determine the presence of cytotoxic compounds and CYP1A- and oxidative stress-inducing agents in sediment extracts. Ovarian microsomal fractions from sea bass (Dicentrarchus labrax) were used to detect the presence of endocrine disrupters that interfered with the synthesis of estrogens (ovarian CYP19). Despite the relatively low levels of pollutants and no evidence of negative effects based on guideline levels, sediments collected close to harbors were enriched with CYP1A-inducing agents and they showed higher cytotoxicity. In contrast, sediments from internal areas inhibited CYP19 activity, which suggests the presence of endocrine disrupters at these sites. Overall, the selected bioassays and the chemistry data led to the identification of potentially impacted areas along the Paranaguá Estuarine Complex that would require further action to improve their environmental quality. Environ Toxicol Chem 2017;36:1811-1819. © 2016 SETAC. © 2016 SETAC.
River sediment metal and nutrient variations along an urban-agriculture gradient in an arid austral landscape: implications for environmental health.

PubMed

Dalu, Tatenda; Wasserman, Ryan J; Wu, Qihang; Froneman, William P; Weyl, Olaf L F

2018-01-01

The effect of metals on environmental health is well documented and monitoring these and other pollutants is considered an important part of environmental management. Developing countries are yet to fully appreciate the direct impacts of pollution on aquatic ecosystems and as such, information on pollution dynamics is scant. Here, we assessed the temporal and spatial dynamics of stream sediment metal and nutrient concentrations using contaminant indices (e.g. enrichment factors, pollution load and toxic risk indices) in an arid temperate environment over the wet and dry seasons. The mean sediment nutrient, organic matter and metal concentration were highest during the dry season, with high values being observed for the urban environment. Sediment contaminant assessment scores indicated that during the wet season, the sediment quality was acceptable, but not so during the dry season. The dry season had low to moderate levels of enrichment for metals B, Cu, Cr, Fe, Mg, K and Zn. Overall, applying the sediment pollution load index highlighted poor quality river sediment along the length of the river. Toxic risk index indicated that most sites posed no toxic risk. The results of this study highlighted that river discharge plays a major role in structuring temporal differences in sediment quality. It was also evident that infrastructure degradation was likely contributing to the observed state of the river quality. The study contributes to our understanding of pollution dynamics in arid temperate landscapes where vast temporal differences in base flow characterise the riverscape. Such information is further useful for contrasting sediment pollution dynamics in aquatic environments with other climatic regions.
Challenges faced with the implementation of Web-Based Data Query Systems for population health: development of a questionnaire based on expert consensus.

PubMed

Ahuja, Manik; Aseltine, Robert; Warren, Nicholas; Reisine, Susan; Williams, Pam Holtzclaw; Cislo, Andy

2018-01-01

State health agencies (SHA) and local health agencies (LHA) face several challenges with the dissemination of local health data using Web-Based Data Query Systems (WDQS). To help guide future research, this study aimed to utilize expert consensus to identify the most relevant items that contribute to these challenges. A total of 17 researchers and public health professionals agreed to participate in a three-round Delphi process. In round 1, four topics were represented on a 42-item questionnaire using a 5-point Likert scale, along with free-text responses. Free-text responses were analyzed leading to a series of items for a second Delphi round. Participants were given an opportunity to revise results in round 3 for items that did not meet consensus in round 1 or round 2. Consensus on expert opinions was defined at interquartile range (IQR) ≤ 1. The experts reached consensus on a total of 21 (50%) of the 42 items presented in the initial questionnaire. Eleven of the 15 (73%) of the items extracted from the free-text responses met consensus. Items in consensus from this pilot study were used to develop an instrument for a broader survey across Behavioral Risk Factor Surveillance System (BRFSS) coordinators across all 50 US states. Experts confirmed that software development costs, inadequate human resources, data sharing gaps, a lack of political support, and poor data quality contribute significantly to challenges in their data implementation. The findings from this pilot study inform us of items of public health significance that will help guide future research.
Assessment of sediment quality in dredged and undredged areas of the Trenton Channel of the Detroit River, Michigan USA, using the sediment quality triad

USGS Publications Warehouse

Besser, John M.; Giesy, John P.; Kubitz, Jody A.; Verbrugge, David A.; Coon, Thomas G.; Braselton, W. Emmett

1996-01-01

The “sediment quality triad” approach was used to assess the effects of dredging on the sediment quality of a new marina in the Trenton Channel of the Detroit River, and to evaluate spatial and temporal variation in sediment quality in the Trenton Channel. Samples were collected in November of 1993 (10 months after dredging) and characterized by chemical analysis, sediment bioassays, and assessment of benthic invertebrate communities. The three study components indicated little difference in sediment quality at dredged sites in the marina relative to nearby areas in the Trenton Channel, and little change in sediment quality of Trenton Channel sites relative to conditions reported in the mid-1980s. These results suggest that improvement in sediment quality in the Trenton Channel, due to dredging or natural processes, will depend on elimination of sediment “hot spots” and other upstream contaminant sources. Concentrations of chemical contaminants, especially metals and polycyclic aromatic hydrocarbons, exceeded concentrations associated with effects on biota and were significantly correlated with results of sediment bioassays and characteristics of benthic communities. Laboratory sediment bioassays with Hyalella azteca andChironomus tentans produced better discrimination among sites with differing degrees of contamination than did characterization of benthic communities, which were dominated by oligochaetes at all sites in the marina and the Trenton Channel.
High-quality cardiopulmonary resuscitation.

PubMed

Nolan, Jerry P

2014-06-01

The quality of cardiopulmonary resuscitation (CPR) impacts on outcome after cardiac arrest. This review will explore the factors that contribute to high-quality CPR and the metrics that can be used to monitor performance. A recent consensus statement from North America defined five key components of high-quality CPR: minimizing interruptions in chest compressions, providing compressions of adequate rate and depth, avoiding leaning on the chest between compressions, and avoiding excessive ventilation. Studies have shown that real-time feedback devices improve the quality of CPR and, in one before-and-after study, outcome from out-of-hospital cardiac arrest. There is evidence for increasing survival rates following out-of-hospital cardiac arrest and this is associated with increasing rates of bystander CPR. The quality of CPR provided by healthcare professionals can be improved with real-time feedback devices. The components of high-quality CPR and the metrics that can be measured and fed back to healthcare professionals have been defined by expert consensus. In the future, real-time feedback based on the physiological responses to CPR may prove more effective.
Improving sediment-quality guidelines for nickel: development and application of predictive bioavailability models to assess chronic toxicity of nickel in freshwater sediments

USGS Publications Warehouse

Vangheluwe, Marnix L. U.; Verdonck, Frederik A. M.; Besser, John M.; Brumbaugh, William G.; Ingersoll, Christopher G.; Schlekat, Christan E.; Rogevich Garman, Emily

2013-01-01

Within the framework of European Union chemical legislations an extensive data set on the chronic toxicity of sediment nickel has been generated. In the initial phase of testing, tests were conducted with 8 taxa of benthic invertebrates in 2 nickel-spiked sediments, including 1 reasonable worst-case sediment with low concentrations of acid-volatile sulfide (AVS) and total organic carbon. The following species were tested: amphipods (Hyalella azteca, Gammarus pseudolimnaeus), mayflies (Hexagenia sp.), oligochaetes (Tubifex tubifex, Lumbriculus variegatus), mussels (Lampsilis siliquoidea), and midges (Chironomus dilutus, Chironomus riparius). In the second phase, tests were conducted with the most sensitive species in 6 additional spiked sediments, thus generating chronic toxicity data for a total of 8 nickel-spiked sediments. A species sensitivity distribution was elaborated based on 10% effective concentrations yielding a threshold value of 94 mg Ni/kg dry weight under reasonable worst-case conditions. Data from all sediments were used to model predictive bioavailability relationships between chronic toxicity thresholds (20% effective concentrations) and AVS and Fe, and these models were used to derive site-specific sediment-quality criteria. Normalization of toxicity values reduced the intersediment variability in toxicity values significantly for the amphipod species Hyalella azteca and G. pseudolimnaeus, but these relationships were less clearly defined for the mayfly Hexagenia sp. Application of the models to prevailing local conditions resulted in threshold values ranging from 126 mg to 281 mg Ni/kg dry weight, based on the AVS model, and 143 mg to 265 mg Ni/kg dry weight, based on the Fe model
Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus

PubMed Central

Vitillo, Robert; Hull, Sharon K.; Reller, Nancy

2014-01-01

Abstract Two conferences, Creating More Compassionate Systems of Care (November 2012) and On Improving the Spiritual Dimension of Whole Person Care: The Transformational Role of Compassion, Love and Forgiveness in Health Care (January 2013), were convened with the goals of reaching consensus on approaches to the integration of spirituality into health care structures at all levels and development of strategies to create more compassionate systems of care. The conferences built on the work of a 2009 consensus conference, Improving the Quality of Spiritual Care as a Dimension of Palliative Care. Conference organizers in 2012 and 2013 aimed to identify consensus-derived care standards and recommendations for implementing them by building and expanding on the 2009 conference model of interprofessional spiritual care and its recommendations for palliative care. The 2013 conference built on the 2012 conference to produce a set of standards and recommended strategies for integrating spiritual care across the entire health care continuum, not just palliative care. Deliberations were based on evidence that spiritual care is a fundamental component of high-quality compassionate health care and it is most effective when it is recognized and reflected in the attitudes and actions of both patients and health care providers. PMID:24842136
[Consensus document on spasticity in patients with multiple sclerosis. Grupo de Enfermedades Desmielinizantes de la Sociedad Española de Neurología].

PubMed

Oreja-Guevara, Celia; Montalban, Xavier; de Andrés, Clara; Casanova-Estruch, Bonaventura; Muñoz-García, Delicias; García, Inmaculada; Fernández, Óscar

2013-10-16

Multiple sclerosis is a chronic neurological inflammatory demyelinating disease. Specialists involved in the symptomatic treatment of this disease tend to apply heterogeneous diagnostic and treatment criteria. To establish homogeneous criteria for treating spasticity based on available scientific knowledge, facilitating decision-making in regular clinical practice. A group of multiple sclerosis specialists from the Spanish Neurological Society demyelinating diseases working group met to review aspects related to spasticity in this disease and draw up the consensus. After an exhaustive bibliographic search and following a metaplan technique, a number of preliminary recommendations were established to incorporate into the document. Finally, each argument was classified depending on the degree of recommendation according to the SIGN (Scottish Intercollegiate Guidelines Network) system. The resulting text was submitted for review by the demyelinating disease group. An experts' consensus was reached regarding spasticity triggering factors, related symptoms, diagnostic criteria, assessment methods, quality of life and therapeutic management (drug and non-drug) criteria. The recommendations included in this consensus can be a useful tool for improving the quality of life of multiple sclerosis patients, as they enable improved diagnosis and treatment of spasticity.
PAH Baselines for Amazonic Surficial Sediments: A Case of Study in Guajará Bay and Guamá River (Northern Brazil).

PubMed

Rodrigues, Camila Carneiro Dos Santos; Santos, Ewerton; Ramos, Brunalisa Silva; Damasceno, Flaviana Cardoso; Correa, José Augusto Martins

2018-06-01

The 16 priority PAH were determined in sediment samples from the insular zone of Guajará Bay and Guamá River (Southern Amazon River mouth). Low hydrocarbon levels were observed and naphthalene was the most representative PAH. The low molecular weight PAH represented 51% of the total PAH. Statistical analysis showed that the sampling sites are not significantly different. Source analysis by PAH ratios and principal component analysis revealed that PAH are primary from a few rate of fossil fuel combustion, mainly related to the local small community activity. All samples presented no biological stress or damage potencial according to the sediment quality guidelines. This study discuss baselines for PAH in surface sediments from Amazonic aquatic systems based on source determination by PAH ratios and principal component analysis, sediment quality guidelines and through comparison with previous studies data.
College of American Pathologists Gynecologic Cytopathology Quality Consensus Conference on good laboratory practices in gynecologic cytology: background, rationale, and organization.

PubMed

Tworek, Joseph A; Henry, Michael R; Blond, Barbara; Jones, Bruce Allen

2013-02-01

Gynecologic cytopathology is a heavily regulated field, with Clinical Laboratory Improvement Amendments of 1988 mandating the collection of many quality metrics. There is a lack of consensus regarding methods to collect, monitor, and benchmark these data and how these data should be used in a quality assurance program. Furthermore, the introduction of human papilloma virus testing and proficiency testing has provided more data to monitor. To determine good laboratory practices in quality assurance of gynecologic cytopathology. Data were collected through a written survey consisting of 98 questions submitted to 1245 Clinical Laboratory Improvement Amendments-licensed or Department of Defense laboratories. There were 541 usable responses. Additional input was sought through a Web posting of results and questions on the College of American Pathologists Web site. Four senior authors who authored the survey and 28 cytopathologists and cytotechnologists were assigned to 5 working groups to analyze data and present statements on good laboratory practices in gynecologic cytopathology at the College of American Pathologists Gynecologic Cytopathology Quality Consensus Conference. Ninety-eight attendees at the College of American Pathologists Gynecologic Cytopathology Quality Consensus Conference discussed and voted on good laboratory practice statements to obtain consensus. This paper describes the rationale, background, process, and strengths and limitations of a series of papers that summarize good laboratory practice statements in quality assurance in gynecologic cytopathology.
[Interdisciplinary and evidence-based treatment guideline for juvenile idiopathic arthritis].

PubMed

Guellac, N; Niehues, T

2008-01-01

Treatment of Juvenile Idiopathic Arthritis (JIA) has improved quality of life in children and adolescents suffering from JIA. However, it varies considerably from caregiver to caregiver. Therefore a standardisation of care on the basis of consensus treatment recommendations offers the chance to further improve the quality of care for children and adolescents with JIA. We aimed to establish an interdisciplinary, evidence-based treatment guideline for JIA based on the existing guideline from 2005. We did a systematic literature analysis in PUBMED with the key words "juvenile idiopathic (rheumatoid) arthritis" and "therapy". As limits in PUBMED we used: humans, published in the last 3 years, all child 0-18 years, clinical trial. Studies relating to diagnosis of JIA, Uveitis, vaccination, transition and rofexocibe were excluded. Authors of the 2005 guideline and representatives nominated by different societies were invited to attend the consensus conferences which were hosted by a professional moderator. Following societies were invited: Berufsverband der Kinder- und Jugendärzte (BVKJ), Deutsche Gesellschaft für Kinder- und Jugendmedizin (DGKJ), Deutsche Gesellschaft für Rheumatologie (DGRh), Deutsche Ophthalmologische Gesellschaft (DOG), Deutsche Rheuma-Liga Bundesverband, Verein zur Förderung und Unterstützung rheumatologisch erkrankter Kinder und deren Eltern, Vereinigung für Kinderorthopädie, Zentraler Verband der Physiotherapeuten und Krankengymnasten (ZVK). Consensus conferences took place in Düsseldorf on May 9th and August 1st 2007 and were each attended by more than 95% of the nominated representatives Finally, statements were confirmed in a Delphi method. Consensus statements regarding drug therapy, symptomatic and surgical management of JIA were compiled and judged strictly by the criteria of Evidence-Based Medicine (EBM).
The EURO-FORTA (Fit fOR The Aged) List: International Consensus Validation of a Clinical Tool for Improved Drug Treatment in Older People.

PubMed

Pazan, Farhad; Weiss, Christel; Wehling, Martin

2018-01-01

Drug treatment of older people is still potentially inappropriate in many cases as multimorbidity and related polypharmacy are highly prevalent. To increase the quality of drug treatment in older people, the FORTA (Fit fOR The Aged) List (first version 2012) was developed in a Delphi consensus procedure and updated (FORTA2015) by 21 experts from Germany and Austria. It has been validated in a randomized, controlled, prospective trial demonstrating significant improvement in the quality of drug treatment and clinical endpoints (VALFORTA). Based on these results, Delphi consensus validations (two rounds) of country/region-specific FORTA Lists were conducted in the UK/Ireland, France, Poland, Italy, Spain, the Nordic countries and The Netherlands. An algorithm based on geriatric/pharmacologic expertise, publications and professional position was used to find experts in the field. Forty-seven experts agreed to participate in the Delphi process (return rate of 97.9%). For each country/region, the overall mean consensus coefficient (deviation from the initiator proposal) was > 0.9. FORTA Lists from six countries/regions with a minimum of four participating experts (excluding The Netherlands) plus the original FORTA List were collated into the EURO-FORTA List containing 264 items in 26 main indication groups. Two drugs had to be added to the proposed items, as proposed by at least four countries/regions; none had to be removed. This project produced seven new country/region-specific FORTA Lists, as well as the overarching EURO-FORTA List showing a high consensual level based on a broader expert base. EURO-FORTA should help to spread the FORTA approach and improve geriatric pharmacotherapy internationally.
Assessing and addressing cognitive impairment in bipolar disorder: the International Society for Bipolar Disorders Targeting Cognition Task Force recommendations for clinicians.

PubMed

Miskowiak, K W; Burdick, K E; Martinez-Aran, A; Bonnin, C M; Bowie, C R; Carvalho, A F; Gallagher, P; Lafer, B; López-Jaramillo, C; Sumiyoshi, T; McIntyre, R S; Schaffer, A; Porter, R J; Purdon, S; Torres, I J; Yatham, L N; Young, A H; Kessing, L V; Vieta, E

2018-05-01

Cognition is a new treatment target to aid functional recovery and enhance quality of life for patients with bipolar disorder. The International Society for Bipolar Disorders (ISBD) Targeting Cognition Task Force aimed to develop consensus-based clinical recommendations on whether, when and how to assess and address cognitive impairment. The task force, consisting of 19 international experts from nine countries, discussed the challenges and recommendations in a face-to-face meeting, telephone conference call and email exchanges. Consensus-based recommendations were achieved through these exchanges with no need for formal consensus methods. The identified questions were: (I) Should cognitive screening assessments be routinely conducted in clinical settings? (II) What are the most feasible screening tools? (III) What are the implications if cognitive impairment is detected? (IV) What are the treatment perspectives? Key recommendations are that clinicians: (I) formally screen cognition in partially or fully remitted patients whenever possible, (II) use brief, easy-to-administer tools such as the Screen for Cognitive Impairment in Psychiatry and Cognitive Complaints in Bipolar Disorder Rating Assessment, and (III) evaluate the impact of medication and comorbidity, refer patients for comprehensive neuropsychological evaluation when clinically indicated, and encourage patients to build cognitive reserve. Regarding question (IV), there is limited evidence for current evidence-based treatments but intense research efforts are underway to identify new pharmacological and/or psychological cognition treatments. This task force paper provides the first consensus-based recommendations for clinicians on whether, when, and how to assess and address cognition, which may aid patients' functional recovery and improve their quality of life. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
EULAR/PReS standards and recommendations for the transitional care of young people with juvenile-onset rheumatic diseases.

PubMed

Foster, Helen E; Minden, Kirsten; Clemente, Daniel; Leon, Leticia; McDonagh, Janet E; Kamphuis, Sylvia; Berggren, Karin; van Pelt, Philomine; Wouters, Carine; Waite-Jones, Jennifer; Tattersall, Rachel; Wyllie, Ruth; Stones, Simon R; Martini, Alberto; Constantin, Tamas; Schalm, Susanne; Fidanci, Berna; Erer, Burak; Demirkaya, Erkan; Ozen, Seza; Carmona, Loreto

2017-04-01

To develop standards and recommendations for transitional care for young people (YP) with juvenile-onset rheumatic and musculoskeletal diseases (jRMD). The consensus process involved the following: (1) establishing an international expert panel to include patients and representatives from multidisciplinary teams in adult and paediatric rheumatology; (2) a systematic review of published models of transitional care in jRMDs, potential standards and recommendations, strategies for implementation and tools to evaluate services and outcomes; (3) setting the framework, developing the process map and generating a first draft of standards and recommendations; (4) further iteration of recommendations; (5) establishing consensus recommendations with Delphi methodology and (6) establishing standards and quality indicators. The final consensus derived 12 specific recommendations for YP with jRMD focused on transitional care. These included: high-quality, multidisciplinary care starting in early adolescence; the integral role of a transition co-ordinator; transition policies and protocols; efficient communications; transfer documentation; an open electronic-based platform to access resources; appropriate training for paediatric and adult healthcare teams; secure funding to continue treatments and services into adult rheumatology and the need for increased evidence to inform best practice. These consensus-based recommendations inform strategies to reach optimal outcomes in transitional care for YP with jRMD based on available evidence and expert opinion. They need to be implemented in the context of individual countries, healthcare systems and regulatory frameworks. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
An independent jury-based consensus conference model for the development of recommendations in medico-surgical practice.

PubMed

Lesurtel, Mickaël; Perrier, Arnaud; Bossuyt, Patrick M M; Langer, Bernard; Clavien, Pierre-Alain

2014-03-01

There is an increasing demand for standardization in the choice of treatments for specific conditions, so-called personalized medicine. The task is far from trivial, because the perspectives from many stakeholders must be respected, including patients and health care providers, as well as payers or governments to better control costs while optimizing quality of care. One approach to provide widely accepted therapies is the consensus conference. We describe a novel methodology to achieve consensus in controversial areas with the main goal to minimize biases. The principle of this approach relies on a clear distinction between those who provide the evidence (experts) and those who draw the final recommendations (the jury). The jury consists of individuals with sufficient background knowledge to cover the perspectives of all stakeholders' without being involved directly in the topic under evaluation. The organizing committee, the experts, and the jury interact within 3 phases: Preparation, the actual consensus conference, and deliberations. Each question is addressed by a panel of experts, leading to the proposition of recommendations at the conference meeting, which are challenged by the jury and the audience. Based on all available information, the jury finalizes the consensus recommendations, which are eventually published and made available to all. This novel model of consensus conference allows the construction of consensual, evidence-based, explicit recommendations for therapies in a process that may also identify issues for further research, eventually fostering progress in the field. Copyright © 2014 Mosby, Inc. All rights reserved.
Studying Suspended Sediment Mechanism with Two-Phase PIV

NASA Astrophysics Data System (ADS)

Matinpour, H.; Atkinson, J. F.; Bennett, S. J.; Guala, M.

2017-12-01

Suspended sediment transport affects soil erosion, agriculture and water resources quality. Turbulent diffusion is the most primary force to maintain sediments in suspension. Although extensive previous literature have been studying the interactions between turbulent motion and suspended sediment, mechanism of sediments in suspension is still poorly understood. In this study, we investigate suspension of sediments as two distinct phases: one phase of sediments and another phase of fluid with turbulent motions. We designed and deployed a state-of-the-art two-phase PIV measurement technique to discriminate these two phases and acquire velocities of each phase separately and simultaneously. The technique that we have developed is employing a computer-vision based method, which enables us to discriminate sediment particles from fluid tracer particles based on two thresholds, dissimilar particle sizes and different particle intensities. Results indicate that fluid turbulence decreases in the presence of suspended sediments. Obtaining only sediment phase consecutive images enable us to compute fluctuation sediment concentration. This result enlightens understanding of complex interaction between the fluctuation velocities and the fluctuation of associated mass and compares turbulent viscosity with turbulent eddy diffusivity experimentally.
Trace-metal and organic constituent concentrations in bed sediment at Big Base and Little Base Lakes, Little Rock Air Force Base, Arkansas—Comparisons to sediment-quality guidelines and indications for timing of exposure

USGS Publications Warehouse

Justus, B.G.; Hays, Phillip D.; Hart, Rheannon M.

2015-09-16

Regarding highest concentrations and associated timing of exposure, trace metals analyzed in the sediment core seem to indicate three fairly distinct exposure patterns. For 11 trace metals that had the highest concentration measured in the shallowest and most recently deposited sediment, the most likely explanation is recent exposure by anthropogenic activities. Most of the 11 trace metals with highest concentrations in shallow sediment are relatively innocuous; however, arsenic, copper, selenium, and zinc are among the U.S. Environmental Protection Agency’s 126 priority pollutants. For three trace metals (cadmium, lead, and mercury), for which concentrations were highest in sediments that were 16–20 centimeters down the core, it is likely that a source associated with those contaminants during the period when those sediments were deposited, was reduced or eliminated. The eight remaining trace metals, for which concentrations were highest in sediments that were just below the prereservoir surface, likely had sources that were eliminated soon after lake construction or occurred at relatively high background concentrations in soils in the area around Little Rock Air Force Base.

Consensus Statements for Management of Barrett’s Dysplasia and Early-Stage Esophageal Adenocarcinoma, Based on a Delphi Process

PubMed Central

BENNETT, CATHY; VAKIL, NIMISH; BERGMAN, JACQUES; HARRISON, REBECCA; ODZE, ROBERT; VIETH, MICHAEL; SANDERS, SCOTT; GAY, LAURA; PECH, OLIVER; LONGCROFT–WHEATON, GAIUS; ROMERO, YVONNE; INADOMI, JOHN; TACK, JAN; CORLEY, DOUGLAS A.; MANNER, HENDRIK; GREEN, SUSI; DULAIMI, DAVID AL; ALI, HAYTHEM; ALLUM, BILL; ANDERSON, MARK; CURTIS, HOWARD; FALK, GARY; FENNERTY, M. BRIAN; FULLARTON, GRANT; KRISHNADATH, KAUSILIA; MELTZER, STEPHEN J.; ARMSTRONG, DAVID; GANZ, ROBERT; CENGIA, GIANPAOLO; GOING, JAMES J.; GOLDBLUM, JOHN; GORDON, CHARLES; GRABSCH, HEIKE; HAIGH, CHRIS; HONGO, MICHIO; JOHNSTON, DAVID; FORBES–YOUNG, RICKY; KAY, ELAINE; KAYE, PHILIP; LERUT, TONI; LOVAT, LAURENCE B.; LUNDELL, LARS; MAIRS, PHILIP; SHIMODA, TADAKUZA; SPECHLER, STUART; SONTAG, STEPHEN; MALFERTHEINER, PETER; MURRAY, IAIN; NANJI, MANOJ; POLLER, DAVID; RAGUNATH, KRISH; REGULA, JAROSLAW; CESTARI, RENZO; SHEPHERD, NEIL; SINGH, RAJVINDER; STEIN, HUBERT J.; TALLEY, NICHOLAS J.; GALMICHE, JEAN–PAUL; THAM, TONY C. K.; WATSON, PETER; YERIAN, LISA; RUGGE, MASSIMO; RICE, THOMAS W.; HART, JOHN; GITTENS, STUART; HEWIN, DAVID; HOCHBERGER, JUERGEN; KAHRILAS, PETER; PRESTON, SEAN; SAMPLINER, RICHARD; SHARMA, PRATEEK; STUART, ROBERT; WANG, KENNETH; WAXMAN, IRVING; ABLEY, CHRIS; LOFT, DUNCAN; PENMAN, IAN; SHAHEEN, NICHOLAS J.; CHAK, AMITABH; DAVIES, GARETH; DUNN, LORNA; FALCK–YTTER, YNGVE; DECAESTECKER, JOHN; BHANDARI, PRADEEP; ELL, CHRISTIAN; GRIFFIN, S. MICHAEL; ATTWOOD, STEPHEN; BARR, HUGH; ALLEN, JOHN; FERGUSON, MARK K.; MOAYYEDI, PAUL; JANKOWSKI, JANUSZ A. Z.

2017-01-01

BACKGROUND & AIMS Esophageal adenocarcinoma (EA) is increasingly common among patients with Barrett’s esophagus (BE). We aimed to provide consensus recommendations based on the medical literature that clinicians could use to manage patients with BE and low-grade dysplasia, high-grade dysplasia (HGD), or early-stage EA. METHODS We performed an international, multidisciplinary, systematic, evidence-based review of different management strategies for patients with BE and dysplasia or early-stage EA. We used a Delphi process to develop consensus statements. The results of literature searches were screened using a unique, interactive, Web-based data-sifting platform; we used 11,904 papers to inform the choice of statements selected. An a priori threshold of 80% agreement was used to establish consensus for each statement. RESULTS Eighty-one of the 91 statements achieved consensus despite generally low quality of evidence, including 8 clinical statements: (1) specimens from endoscopic resection are better than biopsies for staging lesions, (2) it is important to carefully map the size of the dysplastic areas, (3) patients that receive ablative or surgical therapy require endoscopic follow-up, (4) high-resolution endoscopy is necessary for accurate diagnosis, (5) endoscopic therapy for HGD is preferred to surveillance, (6) endoscopic therapy for HGD is preferred to surgery, (7) the combination of endoscopic resection and radiofrequency ablation is the most effective therapy, and (8) after endoscopic removal of lesions from patients with HGD, all areas of BE should be ablated. CONCLUSIONS We developed a data-sifting platform and used the Delphi process to create evidence-based consensus statements for the management of patients with BE and early-stage EA. This approach identified important clinical features of the diseases and areas for future studies. PMID:22537613
A systematic review finds limited data on measurement properties of instruments measuring outcomes in adult intensive care unit survivors.

PubMed

Robinson, Karen A; Davis, Wesley E; Dinglas, Victor D; Mendez-Tellez, Pedro A; Rabiee, Anahita; Sukrithan, Vineeth; Yalamanchilli, Ramakrishna; Turnbull, Alison E; Needham, Dale M

2017-02-01

There is a growing number of studies evaluating the physical, cognitive, mental health, and health-related quality of life (HRQOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health, and HRQOL outcomes in adult intensive care unit (ICU) survivors. We searched PubMed, Embase, PsycInfo, Cumulative Index of Nursing and Allied Health Literature, and The Cochrane Library in March 2015. We also conducted manual searches of reference lists of eligible studies and relevant review articles. Two people independently selected studies, completed data abstraction, and assessed the quality of eligible studies using the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) initiative checklist. We identified 20 studies which explicitly evaluated measurement properties for 21 different instruments assessing outcomes in ICU survivors. Eleven of the instruments assessed quality of life, with few instruments assessing other domains. Of the nine measurement properties evaluated on the COSMIN checklist, six were assessed in <10% of the evaluations. Overall quality of eligible studies was generally poor to fair based on the COSMIN checklist. Although an increasing number of studies measure physical, cognitive, mental health, and HRQOL outcomes in adult ICU survivors, data on the measurement properties of such instruments are sparse and generally of poor to fair quality. Empirical analyses evaluating the performance of instruments in adult ICU survivors are needed to advance research in this field. Copyright © 2016 Elsevier Inc. All rights reserved.
Use of Sediment Budgets for Watershed Erosion Control Planning: A Case Study From Northern California

NASA Astrophysics Data System (ADS)

O'Connor, M.; McDavitt, W.

2002-05-01

Erosion, sedimentation and peak flow increases caused by forest management for commercial timber production may negatively affect aquatic habitat of endangered anadromous fish such as coho salmon ({\\ it O. kisutch}). This paper summarizes a portion of a Watershed Analysis study performed for Pacific Lumber Company, Scotia, CA, focusing on erosion and sedimentation processes and rates and downstream sediment routing and water quality in the Freshwater Creek watershed in northwest California. Hillslope, road and bank erosion, channel sedimentation and sediment rates were quantified using field surveys, aerial photo interpretation, and empirical modeling approaches for different elements of the study. Sediment transport rates for bedload were modeled, and sediment transport rates for suspended sediment were estimated based on size distribution of sediment inputs in relation to sizes transported in suspension. The resulting sediment budget was validated through comparison using recent short-term, high-quality estimates of suspended sediment yield collected by a community watershed group at a downstream monitoring site with technical assistance from the US Forest Service. Another check on the sediment budget was provided by bedload yield data from an adjacent watershed, Jacoby Creek. The sediment budget techniques and bedload routing models used for this study provide sediment yield estimates that are in good agreement with available data. These results suggest that sediment budget techniques that require moderate levels of fieldwork can be used to provide relatively accurate technical assessments for use in the TMDL process. The sediment budget also identifies the most significant sediment sources and suggests a framework within which effective erosion control strategies can be developed.
Tracking acid mine-drainage in Southeast Arizona using GIS and sediment delivery models

USGS Publications Warehouse

Norman, L.M.; Gray, F.; Guertin, D.P.; Wissler, C.; Bliss, J.D.

2008-01-01

This study investigates the application of models traditionally used to estimate erosion and sediment deposition to assess the potential risk of water quality impairment resulting from metal-bearing materials related to mining and mineralization. An integrated watershed analysis using Geographic Information Systems (GIS) based tools was undertaken to examine erosion and sediment transport characteristics within the watersheds. Estimates of stream deposits of sediment from mine tailings were related to the chemistry of surface water to assess the effectiveness of the methodology to assess the risk of acid mine-drainage being dispersed downstream of abandoned tailings and waste rock piles. A watershed analysis was preformed in the Patagonia Mountains in southeastern Arizona which has seen substantial mining and where recent water quality samples have reported acidic surface waters. This research demonstrates an improvement of the ability to predict streams that are likely to have severely degraded water quality as a result of past mining activities. ?? Springer Science+Business Media B.V. 2007.
Trace metals and persistent organic pollutants in sediments from river-reservoir systems in Democratic Republic of Congo (DRC): Spatial distribution and potential ecotoxicological effects.

PubMed

Mwanamoki, Paola M; Devarajan, Naresh; Thevenon, Florian; Birane, Niane; de Alencastro, Luiz Felippe; Grandjean, Dominique; Mpiana, Pius T; Prabakar, Kandasamy; Mubedi, Josué I; Kabele, Christophe G; Wildi, Walter; Poté, John

2014-09-01

This paper discusses the occurrence and spatial distribution of metals and persistent organic pollutants (POPs: including organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), Polybrominated diphenyl ethers (PBDEs), and polycyclic aromatic hydrocarbons (PAHs) in sediments from a river-reservoir system. Surface sediments were sampled from thirteen sites of the Congo River Basin and Lake Ma Vallée, both situated in the vicinity of the capital city Kinshasa (Congo Democratic Republic). Sediment qualities were evaluated using toxicity test based on exposing Ostracods to the sediment samples. The highest metal concentrations were observed in sediments subjected to anthropogenic influences, urban runoff and domestic and industrial wastewaters, discharge into the Congo River basin. Ostracods exposed to the sediments resulted in 100% mortality rates after 6d of incubation, indicating the ultimate toxicity of these sediments as well as potential environmental risks. The POPs and PAHs levels in all sediment samples were low, with maximum concentration found in the sediments (area of pool Malebo): OCP value ranged from 0.02 to 2.50 with ∑OCPs: 3.3μgkg(-1); PCB ranged from 0.07 to 0.99 with Total PCBs (∑7×4.3): 15.31μgkg(-1); PAH value ranged from 0.12 to 9.39 with ∑PAHs: 63.89μgkg(-1). Our results indicate that the deterioration of urban river-reservoir water quality result mainly from urban stormwater runoff, untreated industrial effluents which discharge into the river-reservoirs, human activities and uncontrolled urbanization. This study represents useful tools incorporated to evaluate sediment quality in river-reservoir systems which can be applied to similar aquatic environments. Copyright © 2014 Elsevier Ltd. All rights reserved.
National Coastal Condition Report IV Factsheet

EPA Pesticide Factsheets

Overall condition of the Nation’s coastal waters is fair. This rating is based on five indices of ecologicalcondition: water quality index, sediment quality index, benthic index, coastal habitat index, and fish tissue contaminants index.
Improvement of diagnostic agreement among pathologists in resolving an "atypical glands suspicious for cancer" diagnosis in prostate biopsies using a novel "Disease-Focused Diagnostic Review" quality improvement process.

PubMed

Shah, Rajal B; Leandro, Gioacchino; Romerocaces, Gloria; Bentley, James; Yoon, Jiyoon; Mendrinos, Savvas; Tadros, Yousef; Tian, Wei; Lash, Richard

2016-10-01

One of the major goals of an anatomic pathology laboratory quality program is to minimize unwarranted diagnostic variability and equivocal reporting. This study evaluated the utility of Miraca Life Sciences' "Disease-Focused Diagnostic Review" (DFDR) quality program in improving interobserver diagnostic reproducibility associated with classification of "atypical glands suspicious for adenocarcinoma" (ATYP) in prostate biopsies. Seventy-one selected prostate biopsies with a focus of ATYP were reviewed by 8 pathologists. Participants were blinded to the original diagnosis and were first asked to classify the ATYP as benign, atypical, or limited adenocarcinoma. DFDR comprised a "theoretical consensus" (in which pathologists first reached consensus on the morphological features they considered relevant for the diagnosis of limited prostatic adenocarcinoma), a didactic review including relevant literature, and "practical consensus" (pathologists performed joint microscopic sessions, reconciling each other's observations and positions evaluating a separate unique slide set). Participants were finally asked to reclassify the original 71 ATYP cases based on knowledge gleaned from DFDR. Pre- and post-DFDR interobserver reproducibility of overall diagnostic agreement was assessed. Interobserver reproducibility measured by Fleiss κ values of pre- and post-DFDR was 0.36 and 0.59, respectively (P=.006). Post-DFDR, there were significant improvement for "100% concordance" (P=.011) and reduction for "no consensus" (P=.0004) categories. Despite a lower pre-DFDR reproducibility for non-uropathology fellowship-trained (n=3, κ=0.38) versus uropathology fellowship-trained (n=5, κ=0.43) pathologists, both groups achieved similarly high post-DFDR κ levels (κ=0.58 and 0.56, respectively). DFDR represents an effective tool to formally achieve diagnostic consensus and reduce variability associated with critical diagnoses in an anatomic pathology practice. Copyright © 2016 Elsevier Inc. All rights reserved.
National implementation of multi-parametric magnetic resonance imaging for prostate cancer detection - recommendations from a UK consensus meeting.

PubMed

Brizmohun Appayya, Mrishta; Adshead, Jim; Ahmed, Hashim U; Allen, Clare; Bainbridge, Alan; Barrett, Tristan; Giganti, Francesco; Graham, John; Haslam, Phil; Johnston, Edward W; Kastner, Christof; Kirkham, Alexander P S; Lipton, Alexandra; McNeill, Alan; Moniz, Larissa; Moore, Caroline M; Nabi, Ghulam; Padhani, Anwar R; Parker, Chris; Patel, Amit; Pursey, Jacqueline; Richenberg, Jonathan; Staffurth, John; van der Meulen, Jan; Walls, Darren; Punwani, Shonit

2018-07-01

To identify areas of agreement and disagreement in the implementation of multi-parametric magnetic resonance imaging (mpMRI) of the prostate in the diagnostic pathway. Fifteen UK experts in prostate mpMRI and/or prostate cancer management across the UK (involving nine NHS centres to provide for geographical spread) participated in a consensus meeting following the Research and Development Corporation and University of California-Los Angeles (UCLA-RAND) Appropriateness Method, and were moderated by an independent chair. The experts considered 354 items pertaining to who can request an mpMRI, prostate mpMRI protocol, reporting guidelines, training, quality assurance (QA) and patient management based on mpMRI levels of suspicion for cancer. Each item was rated for agreement on a 9-point scale. A panel median score of ≥7 constituted 'agreement' for an item; for an item to reach 'consensus', a panel majority scoring was required. Consensus was reached on 59% of items (208/354); these were used to provide recommendations for the implementation of prostate mpMRI in the UK. Key findings include prostate mpMRI requests should be made in consultation with the urological team; mpMRI scanners should undergo QA checks to guarantee consistently high diagnostic quality scans; scans should only be reported by trained and experienced radiologists to ensure that men with unsuspicious prostate mpMRI might consider avoiding an immediate biopsy. Our consensus statements demonstrate a set of criteria that are required for the practical dissemination of consistently high-quality prostate mpMRI as a diagnostic test before biopsy in men at risk. © 2018 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International.
Bioeconomic analysis of selected conservation practices on soil erosion and freshwater fisheries

USGS Publications Warehouse

Westra, J.V.; Zimmerman, J.K.H.; Vondracek, B.

2005-01-01

Farmers can generate environmental benefits (improved water quality and fisheries and wildlife habitat), but they may not be able to quantify them. Furthermore, farmers may reduce their incomes from managing lands to produce these positive externalities but receive little monetary compensation in return. This study simulated the relationship between agricultural practices, water quality, fish responses to suspended sediment and farm income within two small watersheds, one of a cool water stream and one of a warm water stream. Using the Agricultural Drainage and Pesticide Transport (ADAPT) model, this study related best management practices (BMPs) to calculated instream suspended sediment concentrations by estimating sediment delivery, runoff, base flow, and streambank erosion to quantify the effects of suspended sediment exposure on fish communities. By implementing selected BMPs in each watershed, annual net farm income declined $18,000 to $28,000 (1 to 3 percent) from previous levels. "Lethal" fish events from suspended sediments in the cool water watershed decreased by 60 percent as conservation tillage and riparian buffers increased. Despite reducing suspended sediments by 25 percent, BMPs in the warm water watershed did not reduce the negative response of the fisheries. Differences in responses (physical and biological) between watersheds highlight potential gains in economic efficiency by targeting BMPs or by offering performance based "green payments." (JAWRA) (Copyright ?? 2005).
Automated selection of the optimal cardiac phase for single-beat coronary CT angiography reconstruction.

PubMed

Stassi, D; Dutta, S; Ma, H; Soderman, A; Pazzani, D; Gros, E; Okerlund, D; Schmidt, T G

2016-01-01

Reconstructing a low-motion cardiac phase is expected to improve coronary artery visualization in coronary computed tomography angiography (CCTA) exams. This study developed an automated algorithm for selecting the optimal cardiac phase for CCTA reconstruction. The algorithm uses prospectively gated, single-beat, multiphase data made possible by wide cone-beam imaging. The proposed algorithm differs from previous approaches because the optimal phase is identified based on vessel image quality (IQ) directly, compared to previous approaches that included motion estimation and interphase processing. Because there is no processing of interphase information, the algorithm can be applied to any sampling of image phases, making it suited for prospectively gated studies where only a subset of phases are available. An automated algorithm was developed to select the optimal phase based on quantitative IQ metrics. For each reconstructed slice at each reconstructed phase, an image quality metric was calculated based on measures of circularity and edge strength of through-plane vessels. The image quality metric was aggregated across slices, while a metric of vessel-location consistency was used to ignore slices that did not contain through-plane vessels. The algorithm performance was evaluated using two observer studies. Fourteen single-beat cardiac CT exams (Revolution CT, GE Healthcare, Chalfont St. Giles, UK) reconstructed at 2% intervals were evaluated for best systolic (1), diastolic (6), or systolic and diastolic phases (7) by three readers and the algorithm. Pairwise inter-reader and reader-algorithm agreement was evaluated using the mean absolute difference (MAD) and concordance correlation coefficient (CCC) between the reader and algorithm-selected phases. A reader-consensus best phase was determined and compared to the algorithm selected phase. In cases where the algorithm and consensus best phases differed by more than 2%, IQ was scored by three readers using a five point Likert scale. There was no statistically significant difference between inter-reader and reader-algorithm agreement for either MAD or CCC metrics (p > 0.1). The algorithm phase was within 2% of the consensus phase in 15/21 of cases. The average absolute difference between consensus and algorithm best phases was 2.29% ± 2.47%, with a maximum difference of 8%. Average image quality scores for the algorithm chosen best phase were 4.01 ± 0.65 overall, 3.33 ± 1.27 for right coronary artery (RCA), 4.50 ± 0.35 for left anterior descending (LAD) artery, and 4.50 ± 0.35 for left circumflex artery (LCX). Average image quality scores for the consensus best phase were 4.11 ± 0.54 overall, 3.44 ± 1.03 for RCA, 4.39 ± 0.39 for LAD, and 4.50 ± 0.18 for LCX. There was no statistically significant difference (p > 0.1) between the image quality scores of the algorithm phase and the consensus phase. The proposed algorithm was statistically equivalent to a reader in selecting an optimal cardiac phase for CCTA exams. When reader and algorithm phases differed by >2%, image quality as rated by blinded readers was statistically equivalent. By detecting the optimal phase for CCTA reconstruction, the proposed algorithm is expected to improve coronary artery visualization in CCTA exams.
Sediment-quality assessment of the Lower Oconee River

USGS Publications Warehouse

Lasier, P.J.; Winger, P.V.; Shelton, J.L.; Bogenrieder, K.J.

2004-01-01

Sediment quality was assessed at multiple sites in the lower Oconee River, GA to identify contaminants potentially affecting the survival of an endemic ?At-Risk? species of fish, the robust redhorse (Moxostoma robustum). Five major tributaries that drain urban and agricultural watersheds enter this stretch of river and several carry permitted municipal and industrial effluents containing Cd, Cu, and Zn. Sediments for chemical analyses and toxicity tests with Hyalella azteca (Amphipoda) were collected at 12 locations that included sites above and below the major tributaries. Compared to national data bases and to the nearby Apalachicola-Chattahoochee-Flint watershed, sediments from the Oconee River had elevated concentrations of Cr, Cu, Hg and Zn. Zinc concentrations showed a marked increase in sediment downstream of the confluence of Buffalo Creek demonstrating contributions from permitted municipal and industrial effluents discharged to that tributary. When exposed to these sediments, growth of H. azteca was significantly reduced. Amphipod growth was also reduced when exposed to sediments collected from another site due to toxicity from Cr. Sediments in the lower Oconee River appear to be impaired due to metal contamination and could pose a threat to organisms, such as the robust redhorse, that are closely associated with this matrix during their life cycle.
Using Sediment Profile Imagery (SPI) to Quantify ...

EPA Pesticide Factsheets

We present the results of monthly sediment and water quality surveys to evaluate the impact of intermittent, seasonal hypoxia on benthic habitat condition. This study was conducted in the Pensacola Bay (Florida) estuary across nine sites extending from the mouth of the Escambia River down-estuary to the outlet into the Gulf of Mexico. The sites span the full salinity gradient and cover a range of sediment types and dissolved oxygen statuses. Monthly sediment profile imagery (SPI) was captured from each site in conjunction with water column conductivity-temperature-depth (CTD) profiles and sediment grabs to evaluate sediment characteristics and macrobenthic community composition. The results of this study will be used to evaluate the use of SPI to determine effects of water quality on the health of benthic communities in Gulf Coast estuaries. Whereas recent water quality management efforts in Florida (e.g., numeric nutrient criteria, marine dissolved oxygen standard) assumed linkages between dissolved oxygen and aquatic life use attainment based on laboratory tests, SPI methods can potentially provide an assessment of these relationships in realistic field settings. The work presented here is in support of better indicators and endpoints and will help improve quantitative relationships between nutrient pollution and ecosystem condition. The audience that would be interested in this presentation includes scientists and managers from across the southeastern U
Weighing in on the Teacher Merit Pay Debate. Notes

ERIC Educational Resources Information Center

Froese-Germain, Bernie

2011-01-01

First the good news. There's a growing consensus that the quality of teachers and teaching is a major factor--some would say the most important school-based factor--in the quality of student learning. In sum (and this comes as no surprise to the teaching profession), good teaching matters. The bad news is that, in this highly charged climate of…
Capturing the imagination of nurse executives in tracking the quality of nursing care.

PubMed

Kurtzman, Ellen T; Jennings, Bonnie M

2008-01-01

Nurses represent the single largest healthcare profession in the United States. A growing evidence base demonstrates nursing's direct influence on inpatient safety and healthcare outcomes. Support for nursing's essential role in quality and patient safety and mounting interest in publicly reporting performance results have led to efforts to standardized nursing-sensitive performance measures. To this end, in 2004, the National Quality Forum endorsed a set of 15 nursing-sensitive consensus standards intended for use by the public in assessing inpatient nursing care. However, until recently, only anecdotal knowledge existed regarding the implementation of these consensus standards. As a step toward better understanding the interest in and adoption of nursing performance measures, The Robert Wood Johnson Foundation funded a study that concluded in March 2007. In this article, findings from the study are summarized as they apply to nursing leadership and implications for the future role of the nurse executive.
Quality-assurance plan for the analysis of fluvial sediment by the U.S. Geological Survey Kentucky Water Science Center Sediment Laboratory

USGS Publications Warehouse

Shreve, Elizabeth A.; Downs, Aimee C.

2005-01-01

This report describes laboratory procedures used by the U.S. Geological Survey Kentucky Water Science Center Sediment Laboratory for the processing and analysis of fluvial-sediment samples for concentration of sand and finer material. The report details the processing of a sediment sample through the laboratory from receiving the sediment sample, through the analytical process, to compiling results of the requested analysis. Procedures for preserving sample integrity, calibrating and maintaining of laboratory and field instruments and equipment, analyzing samples, internal quality assurance and quality control, and validity of the sediment-analysis results also are described. The report includes a list of references cited and a glossary of sediment and quality-assurance terms.
Quantifying and identifying the sources of fine sediment input in a typical Mongolian river basin, the Kharaa River case study

NASA Astrophysics Data System (ADS)

Theuring, Phillip

2013-04-01

Mongolia is facing a tremendous change of land-use intensification due to expansions in the agricultural sector, an increase of cattle and livestock and a growth of urban settlements by migration of the rural population to the cities. With most of its area located in a semiarid to arid environment, Mongolia is vulnerable to climatic changes that are expected to lead to higher temperatures and increased evapotranspiration. It is expected that this may lead to unfavorable changes in surface water quality caused by increased nutrients and sediment bound pollutants emissions. Increased fine sediment load is associated with nutrient, heavy metal and pollutant input and therefore affects water quality. Previous studies using radionuclide fallout isotope sediment source fingerprinting investigations identified riverbank erosion as the main source of suspended sediment in the Kharaa River. Erosion susceptibility calculations in combination with suspended sediment observations showed strong seasonal and annual variabilities of sediment input and in-stream transport, and a strong connection of erosional behaviour with land-use.The objective of this study is to quantify the current water quality threats by fine sediment inputs in the 15,000 km2 Kharaa River basin in Northern Mongolia by delineating the sources of the fine sediments and estimating the sediment budget.To identify the spatial distribution of sediment sources within the catchment, more than 1000 samples from the river confluences at the outlet of each sub basin into the main tributary were collected during 5 intensive grab sediment sampling campaigns in 2009-11. The fine sediment fraction (<10μm) has been analysed using geochemical tracer techniques for spatial source identification, based on major elements (e.g. Si, Al, Mg, Fe, Na, K, P) and trace elements (e.g. Ba, Pb, Sr, Zn). The contribution of suspended sediment of each sub basin in the main tributary has been evaluated with help of a mixing model. To asses sediment sources the RUSLE based sediment budget model (SedNet) was employed to estimate surface erosion and sediment budget. The spatial origin of the fine sediment in the catchment could be identified by geochemical fingerprinting techniques. This shows that only some subcatchments contribute considerably to the fine sediment load, especially areas with high grazing intensity and degraded riparian vegetation. The estimated average soil loss in the catchment is 0.2 t×ha-1•a-1. The model results reveal a strong influence of the landuse in the catchment on surface erosion and fine sediment input, which will increase with the intensification of agriculture in the catchment.
International clinical guideline for the management of classical galactosemia: diagnosis, treatment, and follow-up.

PubMed

Welling, Lindsey; Bernstein, Laurie E; Berry, Gerard T; Burlina, Alberto B; Eyskens, François; Gautschi, Matthias; Grünewald, Stephanie; Gubbels, Cynthia S; Knerr, Ina; Labrune, Philippe; van der Lee, Johanna H; MacDonald, Anita; Murphy, Elaine; Portnoi, Pat A; Õunap, Katrin; Potter, Nancy L; Rubio-Gozalbo, M Estela; Spencer, Jessica B; Timmers, Inge; Treacy, Eileen P; Van Calcar, Sandra C; Waisbren, Susan E; Bosch, Annet M

2017-03-01

Classical galactosemia (CG) is an inborn error of galactose metabolism. Evidence-based guidelines for the treatment and follow-up of CG are currently lacking, and treatment and follow-up have been demonstrated to vary worldwide. To provide patients around the world the same state-of-the-art in care, members of The Galactosemia Network (GalNet) developed an evidence-based and internationally applicable guideline for the diagnosis, treatment, and follow-up of CG. The guideline was developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. A systematic review of the literature was performed, after key questions were formulated during an initial GalNet meeting. The first author and one of the working group experts conducted data-extraction. All experts were involved in data-extraction. Quality of the body of evidence was evaluated and recommendations were formulated. Whenever possible recommendations were evidence-based, if not they were based on expert opinion. Consensus was reached by multiple conference calls, consensus rounds via e-mail and a final consensus meeting. Recommendations addressing diagnosis, dietary treatment, biochemical monitoring, and follow-up of clinical complications were formulated. For all recommendations but one, full consensus was reached. A 93 % consensus was reached on the recommendation addressing age at start of bone density screening. During the development of this guideline, gaps of knowledge were identified in most fields of interest, foremost in the fields of treatment and follow-up.
Water-quality and biologic data for the Blue River basin, Kansas City metropolitan area, Missouri and Kansas, October 2000 to October 2004

USGS Publications Warehouse

Wilkison, Donald H.; Armstrong, Daniel J.; Brown, Rebecca E.; Poulton, Barry C.; Cahill, Jeffrey D.; Zaugg, Steven D.

2005-01-01

This report presents water-quality and biologic data collected in the Blue River Basin, metropolitan Kansas City, Missouri and Kansas, from October 2000 to October 2004. Data were collected in cooperation with the city of Kansas City, Missouri, Water Services Department as part of an ongoing study designed to characterize long-term water-quality trends in the basin and to provide data to support a strategy for combined sewer overflow control. These data include values of physical properties, fecal indicator bacteria densities, suspended sediment, and concentrations of major ions, nutrients, trace elements, organic wastewater compounds, and pharmaceutical compounds in base-flow and stormflow stream samples and bottom sediments. Six surface-water sites in the basin were sampled 13 times during base-flow conditions and during a minimum of 7 storms. Benthic macroinvertebrate communities are described at 10 sites in the basin and 1 site outside the basin. Water-column and bottom-sediment data from impounded reaches of Brush Creek are provided. Continuous specific conductance, pH, water-quality temperature, turbidity, and dissolved oxygen data are provided for two streams-the Blue River and Brush Creek. Sampling, analytical, and quality assurance methods used in data collection during the study also are described in the report.
Evidence-based development of a diagnosis-dependent therapy planning system and its implementation in modern diagnostic software.

PubMed

Ahlers, M O; Jakstat, H A

2005-07-01

The prerequisite for structured individual therapy of craniomandibular dysfunctions is differential diagnostics. Suggestions for the structured recording of findings and their structured evaluation beyond the global diagnosis of "craniomandibular disorders" have been published. Only this structured approach enables computerization of the diagnostic process. The respective software is available for use in practice (CMDcheck for CMD screening, CMDfact for the differential diagnostics). Based on this structured diagnostics, knowledge-based therapy planning is also conceivable. The prerequisite for this would be a model of achieving consensus on the indicated forms of therapy related to the diagnosis. Therefore, a procedure for evidence-based achievement of consensus on suitable forms of therapy in CMD was developed first in multicentric cooperation, and then implemented in corresponding software. The clinical knowledge of experienced specialists was included consciously for the consensus achievement process. At the same time, anonymized mathematical statistical evaluations were used for control and objectification. Different examiners form different departments of several universities working independently of one another assigned the theoretically conceiveable therapeutic alternatives to the already published diagnostic scheme. After anonymization, the correlation of these assignments was then calculated mathematically. For achieving consensus in those cases for which no agreement initally existed, agreement was subsequently arrived at in the course of a consensus conference on the basis of literature evaluations and the discussion of clinical case examples. This consensus in turn finally served as the basis of a therapy planner implemented in the above-mentioned diagnostic software CMDfact. Contributing to quality assurance, the principles of programming this assistant as well as the interface for linking into the diagnostic software are documented and also published here.
Influence of sediment-organic matter quality on growth and polychlorobiphenyl bioavailability in Echinodermata (Amphiura filiformis)

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

Gunnarsson, J.S.; Granberg, M.E.; Nilsson, H.C.

Sediment total organic carbon (TOC) content is considered to be a primary food source for benthic invertebrates and a major factor influencing the partitioning and bioavailability of sediment-associated organic contaminants. Most studies report that both toxicity and uptake of sediment-associated contaminants by benthic organisms are inversely proportional to sediment TOC content. The aim of this study was to determine the importance of the TOC quality for the bioavailability of sediment-associated organic contaminants and the growth of benthic macrofauna. The common infaunal brittle star Amphiura filiformis was exposed to a base sediment covered by a {sup 14}C-polychlorobipenyl (3,3{prime}4,4{prime}-{sup 14}C-tetrachlorobiphenyl (TCB)) contaminatedmore » top layer (0--2 cm), enriched to the same TOC content with 31 g TOC/m{sup 2} of different quality and origin. The following carbon sources, ranging from labile to refractory, were used: (1) green macroalga (Ulva lactuca), (2) brown macroalga (Ascophyllum nodosum), (3) eelgrass (Zostera Marina), (4) phytoplankton (Ceratium spp.), and (5) lignins of terrestrial origin. Characterization of the organic matter quality was accomplished by measuring the content of amino acids, lipids, C, N, and polyphenolic compounds. The reactivity of the sedimentary organic matter was assessed by means of respiration and dissolved inorganic nitrogen flux measurements. The experiment was carried out in 1-L glass jars, each containing four brittle stars and the contaminated and enriched sediment. The jars were circulated in a flow-through mode with filtered seawater. Somatic growth (regeneration of a precut arm) and bioaccumulation of {sup 14}C-TCB were measured at 10 sampling occasions during 48 d of exposure. Growth rates, TCB uptake rates, and steady-state concentrations differed significantly between treatments and were correlated to the qualities of the organic substrates. The greatest TCB accumulation and growth were observed in treatments with the most labile organic substrates and the lowest accumulation and growth were seen with the most refractory substrates. Results from this experiment suggest that the bioaccumulation of organic contaminants in benthic infauna is dependent on the nutritional quality of the sedimentary organic matter.« less

Sediment source fingerprinting as an aid to catchment management: A review of the current state of knowledge and a methodological decision-tree for end-users

USGS Publications Warehouse

Collins, A.L; Pulley, S.; Foster, I.D.L; Gellis, Allen; Porto, P.; Horowitz, A.J.

2017-01-01

The growing awareness of the environmental significance of fine-grained sediment fluxes through catchment systems continues to underscore the need for reliable information on the principal sources of this material. Source estimates are difficult to obtain using traditional monitoring techniques, but sediment source fingerprinting or tracing procedures, have emerged as a potentially valuable alternative. Despite the rapidly increasing numbers of studies reporting the use of sediment source fingerprinting, several key challenges and uncertainties continue to hamper consensus among the international scientific community on key components of the existing methodological procedures. Accordingly, this contribution reviews and presents recent developments for several key aspects of fingerprinting, namely: sediment source classification, catchment source and target sediment sampling, tracer selection, grain size issues, tracer conservatism, source apportionment modelling, and assessment of source predictions using artificial mixtures. Finally, a decision-tree representing the current state of knowledge is presented, to guide end-users in applying the fingerprinting approach.
A simple control for sediment-toxicity exposures using the amphipod, Hyalella azteca

USGS Publications Warehouse

Lasier, Peter J.; Urich, Matthew L.

2014-01-01

Sediment-toxicity exposures comparing survival and growth of the freshwater amphipod, Hyalella azteca, are often components of aquatic-habitat assessments. Standardized exposure methods have been established and require evaluations for quality assurance. Test acceptability using performance-based criteria can be determined from exposures to control sediments, which are collected from the environment or formulated from commercially available components. Amending sand with leached alfalfa solids provided a simple formulated sediment that elicited consistently acceptable survival and growth in 28-day exposures with and without a daily feeding regime. A procedure is described for preparing the sediment along with results from comparisons among sand, amended sand, and field-collected sediments that incorporated three feeding regimes.
Monitoring urban impacts on suspended sediment, trace element, and nutrient fluxes within the City of Atlanta, Georgia, USA: Program design, methodological considerations, and initial results

USGS Publications Warehouse

Horowitz, A.J.; Elrick, K.A.; Smith, J.J.

2008-01-01

Atlanta, Georgia (City of Atlanta, COA), is one of the most rapidly growing urban areas in the US. Beginning in 2003, the US Geological Survey established a long-term water-quantity/quality monitoring network for the COA. The results obtained during the first 2 years have provided insights into the requirements needed to determine the extent of urban impacts on water quality, especially in terms of estimating the annual fluxes of suspended sediment, trace/major elements, and nutrients. During 2004/2005, suspended sediment fluxes from the City of Atlanta (COA) amounted to about 150 000 t year-1; ??? 94% of the transport occurred in conjunction with storm-flow, which also accounted for ??? 65% of the annual discharge. Typically, storm-flow averaged ??? 20% of theyear. Normally, annual suspended sediment fluxes are determined by summing daily loads based on a single calculation step using mean-daily discharge and a single rating curve-derived suspended sediment concentration. Due to the small and 'flashy' nature of the COAs streams, this approach could produce underestimates ranging from 25% to 64%. Accurate estimates (?? 15%) require calculation time-steps as short as every 2-3 h. Based on annual median base-flow/storm-flow chemical concentrations, the annual fluxes of ??? 75% of trace elements (e.g. Cu, Pb, Zn), major elements (e.g. Fe, Al), and total P occur in association with suspended sediment; in turn, ??? 90% of the transport of these constituents occur in conjunction with storm-flow. As such, base-flow sediment-associated and dissolved contributions represent relatively insignificant portions of the total annual load. An exception is total N, whose sediment-associated fluxes range from 50% to 60%; even so, storm-related transport typically exceeds 80%. Hence, in urban environments, non-point-source appear to be the dominant contributors to the fluxes of these constituents.
The endoscopy Global Rating Scale – Canada: Development and implementation of a quality improvement tool

PubMed Central

MacIntosh, Donald; Dubé, Catherine; Hollingworth, Roger; van Zanten, Sander Veldhuyzen; Daniels, Sandra; Ghattas, George

2013-01-01

BACKGROUND: Increasing use of gastrointestinal endoscopy, particularly for colorectal cancer screening, and increasing emphasis on health care quality highlight the need for endoscopy facilities to review the quality of the service they offer. OBJECTIVE: To adapt the United Kingdom Global Rating Scale (UK-GRS) to develop a web-based and patient-centred tool to assess and improve the quality of endoscopy services provided. METHODS: Based on feedback from 22 sites across Canada that completed the UK endoscopy GRS, and integrating results of the Canadian consensus on safety and quality indicators in endoscopy and other Canadian consensus reports, a working group of endoscopists experienced with the GRS developed the GRS-Canada (GRS-C). RESULTS: The GRS-C mirrors the two dimensions (clinical quality and quality of the patient experience) and 12 patient-centred items of the UK-GRS, but was modified to apply to Canadian health care infrastructure, language and current practice. Each item is assessed by a yes/no response to eight to 12 statements that are divided into levels graded D (basic) through A (advanced). A core team consisting of a booking clerk, charge nurse and the physician responsible for the unit is recommended to complete the GRS-C twice yearly. CONCLUSION: The GRS-C is intended to improve endoscopic services in Canada by providing endoscopy units with a straightforward process to review the quality of the service they provide. PMID:23472242
Assessment of heavy metal impact on sediment quality of the Xiaoqinghe estuary in the coastal Laizhou Bay, Bohai Sea: inconsistency between two commonly used criteria.

PubMed

Zhuang, Wen; Gao, Xuelu

2014-06-15

Surface sediments in the Xiaoqinghe estuary, southwestern coastal Laizhou Bay, were examined to assess the bio-toxic risk of heavy metals (Cd, Cu, Ni, Pb and Zn) with the effects range-low and effects range-median guidelines (ERL-ERMs) and the concentration ratio of simultaneously extractable metals to acid volatile sulfides ([SEM]/[AVS]). Based on the ERL-ERM guidelines, bio-toxic effect caused by Cu, Ni, Pb and Zn could be expected in the riverine surface sediments of the Xiaoqinghe estuary; and the surface sediments in the marine area were in good quality and only Ni might cause bio-toxic effect occasionally. The AVS-SEM guidelines revealed that no bio-toxic effect could be caused by any of the studied metals in both the riverine and marine sediments, since there were excess sulfides in surface sediments which could form water-insoluble substances with free metal ions and reduce the bioavailability of heavy metals. Copyright © 2014 Elsevier Ltd. All rights reserved.
Advanced Water Quality Modelling in Marine Systems: Application to the Wadden Sea, the Netherlands

NASA Astrophysics Data System (ADS)

Boon, J.; Smits, J. G.

2006-12-01

There is an increasing demand for knowledge and models that arise from water management in relation to water quality, sediment quality (ecology) and sediment accumulation (ecomorphology). Recently, models for sediment diagenesis and erosion developed or incorporated by Delft Hydraulics integrates the relevant physical, (bio)chemical and biological processes for the sediment-water exchange of substances. The aim of the diagenesis models is the prediction of both sediment quality and the return fluxes of substances such as nutrients and micropollutants to the overlying water. The resulting so-called DELWAQ-G model is a new, generic version of the water and sediment quality model of the DELFT3D framework. One set of generic water quality process formulations is used to calculate process rates in both water and sediment compartments. DELWAQ-G involves the explicit simulation of sediment layers in the water quality model with state-of-the-art process kinetics. The local conditions in a water layer or sediment layer such as the dissolved oxygen concentration determine if and how individual processes come to expression. New processes were added for sulphate, sulphide, methane and the distribution of the electron-acceptor demand over dissolved oxygen, nitrate, sulphate and carbon dioxide. DELWAQ-G also includes the dispersive and advective transport processes in the sediment and across the sediment-water interface. DELWAQ-G has been applied for the Wadden Sea. A very dynamic tidal and ecologically active estuary with a complex hydrodynamic behaviour located at the north of the Netherlands. The predicted profiles in the sediment reflect the typical interactions of diagenesis processes.
A 59-year sedimentary record of metal pollution in the sediment core from the Huaihe River, Huainan, Anhui, China.

PubMed

Wang, Jie; Liu, Guijian; Zhang, Jiamei; Liu, Houqi; Lam, Paul K S

2016-12-01

An approximately 59-year (1955-2014) sedimentary record of metal elements (Cu, Pb, Zn, Ni, Co, Mn, and Fe) in a sediment core, collected from the Huaihe River, Huainan City, Anhui Province, China, was reconstructed by using 210 Pb geochronology. Copper, Zn, Ni, Co, and Mn evaluated by enrichment factor (EF) indicated minor contamination due to water pollution accidents of the Huaihe River that occurred in 1990s and 2004. Lead presented the most severe pollution among the metals studied, especially during 1957-1974. The use of leaded petrol and atmospheric deposition of coal combustion flue gases could have contributed to Pb contamination. In spite of the general good quality (mean sediment pollution index (SPI) 35.69) of the sediment core evaluated by SPI based on the principal component analysis, worse sediment qualities in the upper section (<6 cm, 2004) were still observed, suggesting intensive human activities causing the increasing concentrations of metals in recent decades.
THE USE OF GEOMORPHOLOGY AND STREAM STABILITY IN THE ASSESSMENT OF THE RISK OF STREAM IMPAIRMENT FROM SEDIMENT

EPA Science Inventory

The evaluation of the current condition is critical to the management of streams impaired by sediment and other non-point source stressors, which adversely affect both physical habitat and water quality. Several rating and classification systems based on geomorphic data exist for...
Prediction of E. coli release from streambed to water column during base flow periods using SWAT model

USDA-ARS?s Scientific Manuscript database

Microbial water quality in streams is of importance for recreation, irrigation, and other uses. The streambed sediment has been shown to harbor large fecal indicator bacteria (FIB) population that can be released to water column during high-flow events when sediments are resuspended. There have been...
GRIPP2 reporting checklists: tools to improve reporting of patient and public involvement in research.

PubMed

Staniszewska, S; Brett, J; Simera, I; Seers, K; Mockford, C; Goodlad, S; Altman, D G; Moher, D; Barber, R; Denegri, S; Entwistle, A; Littlejohns, P; Morris, C; Suleman, R; Thomas, V; Tysall, C

2017-08-02

Background While the patient and public involvement (PPI) evidence base has expanded over the past decade, the quality of reporting within papers is often inconsistent, limiting our understanding of how it works, in what context, for whom, and why. Objective To develop international consensus on the key items to report to enhance the quality, transparency, and consistency of the PPI evidence base. To collaboratively involve patients as research partners at all stages in the development of GRIPP2. Methods The EQUATOR method for developing reporting guidelines was used. The original GRIPP (Guidance for Reporting Involvement of Patients and the Public) checklist was revised, based on updated systematic review evidence. A three round Delphi survey was used to develop consensus on items to be included in the guideline. A subsequent face-to-face meeting produced agreement on items not reaching consensus during the Delphi process. Results 143 participants agreed to participate in round one, with an 86% (123/143) response for round two and a 78% (112/143) response for round three. The Delphi survey identified the need for long form (LF) and short form (SF) versions. GRIPP2-LF includes 34 items on aims, definitions, concepts and theory, methods, stages and nature of involvement, context, capture or measurement of impact, outcomes, economic assessment, and reflections and is suitable for studies where the main focus is PPI. GRIPP2-SF includes five items on aims, methods, results, outcomes, and critical perspective and is suitable for studies where PPI is a secondary focus. Conclusions GRIPP2-LF and GRIPP2-SF represent the first international evidence based, consensus informed guidance for reporting patient and public involvement in research. Both versions of GRIPP2 aim to improve the quality, transparency, and consistency of the international PPI evidence base, to ensure PPI practice is based on the best evidence. In order to encourage its wide dissemination this article is freely accessible on The BMJ and Research Involvement and Engagement journal websites. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Assessment of sediment quality in the Mediterranean Sea-Boughrara lagoon exchange areas (southeastern Tunisia): GIS approach-based chemometric methods.

PubMed

Kharroubi, Adel; Gargouri, Dorra; Baati, Houda; Azri, Chafai

2012-06-01

Concentrations of selected heavy metals (Cd, Pb, Zn, Cu, Mn, and Fe) in surface sediments from 66 sites in both northern and eastern Mediterranean Sea-Boughrara lagoon exchange areas (southeastern Tunisia) were studied in order to understand current metal contamination due to the urbanization and economic development of nearby several coastal regions of the Gulf of Gabès. Multiple approaches were applied for the sediment quality assessment. These approaches were based on GIS coupled with chemometric methods (enrichment factors, geoaccumulation index, principal component analysis, and cluster analysis). Enrichment factors and principal component analysis revealed two distinct groups of metals. The first group corresponded to Fe and Mn derived from natural sources, and the second group contained Cd, Pb, Zn, and Cu originated from man-made sources. For these latter metals, cluster analysis showed two distinct distributions in the selected areas. They were attributed to temporal and spatial variations of contaminant sources input. The geoaccumulation index (I (geo)) values explained that only Cd, Pb, and Cu can be considered as moderate to extreme pollutants in the studied sediments.
Fluvial sediment in the environment: a national challenge

USGS Publications Warehouse

Larsen, Matthew C.; Gellis, Allen C.; Glysson, G. Douglas; Gray, John R.; Horowitz, Arthur J.

2010-01-01

Sediment and sediment-associated constituents can contribute substantially to water-quality impairment. In the past, sediment was viewed mainly as an engineering problem that affected reservoir storage capacity, shipping channel maintenance, and bridge scour, as well as the loss of agricultural soil. Sediment is now recognized as a major cause of aquatic system degradation in many rivers and streams as a result of light attenuation, loss of spawning substrate due to fine-grained sediment infilling, reduction in primary productivity, decreases in biotic diversity, and effects from sediment-associated chemical constituents. Recent advances in sediment measurement, assessment, source-identification, and analytical protocols provide new capabilities to quantify sediment and solid-phase chemical fluxes in aquatic systems. Developing, maintaining, and augmenting current sediment- and water-quality-monitoring networks is essential for determining the health of U.S. waterways and for evaluating the effectiveness of management actions in reducing sediment-related problems. The application of new scientific capabilities that address the adverse effects of sediment and sediment- associated constituents represents a major step in managing the Nation’s water quality. A robust Federal, national-scale eff rt, in collaboration with vested stakeholders, is needed to address these sediment-related water-quality issues across the United States.
Quality-assurance plan for the analysis of fluvial sediment by laboratories of the U.S. Geological Survey

USGS Publications Warehouse

Matthes, Wilbur J.; Sholar, Clyde J.; George, John R.

1992-01-01

This report describes procedures used by the Iowa District sediment laboratory of the U.S. Geological Survey to assure the quality of sediment-laboratory data. These procedures can be used by other U.S. Geological Survey laboratories regardless of size and type of operation for quality assurance and quality control of specific sediment-laboratory processes. Also described are the equipment, specifications, calibration and maintenance, and the protocol for methods used in the analyses of fluvial sediment for concentration or particle size.
Quality-assurance plan for the analysis of suspended sediment by the U.S. Geological Survey in Montana

USGS Publications Warehouse

Dodge, Kent A.; Lambing, John H.

2006-01-01

A quality-assurance plan has been developed for use by the sediment laboratory of the U.S. Geological Survey Montana Water Science Center in conducting activities related to the analysis of suspended sediment. The plan documents quality-assurance policies for sediment-laboratory certification, personnel responsibilities and training, documentation requirements, and laboratory safety. The plan also documents quality-assurance procedures related to laboratory equipment and supplies, sample management, sample analysis, analytical quality control, and data management.
Guidelines of the First International Consensus Conference on Endovenous Thermal Ablation for Varicose Vein Disease--ETAV Consensus Meeting 2012.

PubMed

Pavlović, Miloš D; Schuller-Petrović, Sanja; Pichot, Olivier; Rabe, Eberhard; Maurins, Uldis; Morrison, Nick; Pannier, Felizitas

2015-05-01

Endovenous thermal ablation (ETA) procedures are catheter-directed, ultrasound (US)-guided thermal methods for treatment in varicose veins disease. Radiofrequency, laser or steam energy thermally denatures vein wall collagen, leading first to vein wall inflammation, then fibrosis and finally to occlusion. The aim of this guideline is to give evidence-based recommendations for ETA procedures. These guidelines were drafted during a consensus meeting of a group of experts in the field of ETA in June 2012 (Hvar, Croatia) under the auspices of the International Union of Phlebology (IUP). These guidelines review the present state of knowledge as reflected in peer-reviewed published medical literature. The recommendations of these guidelines are graded according to the American College of Chest Physicians Task Force recommendations on Grading Strength of Recommendations and Quality of Evidence in Clinical Guidelines. Recommendations on the use of ETA procedures were made based on the quality of evidence for efficacy, safety, tolerability, cosmetic outcome, patient satisfaction/preference and, where appropriate, on the experts' opinion. Health economics were not considered, since differences in national health systems and pricing make it difficult to form general conclusions that are relevant at an international level. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
Spatially Explicit Estimates of Suspended Sediment and Bedload Transport Rates for Western Oregon and Northwestern California

NASA Astrophysics Data System (ADS)

O'Connor, J. E.; Wise, D. R.; Mangano, J.; Jones, K.

2015-12-01

Empirical analyses of suspended sediment and bedload transport gives estimates of sediment flux for western Oregon and northwestern California. The estimates of both bedload and suspended load are from regression models relating measured annual sediment yield to geologic, physiographic, and climatic properties of contributing basins. The best models include generalized geology and either slope or precipitation. The best-fit suspended-sediment model is based on basin geology, precipitation, and area of recent wildfire. It explains 65% of the variance for 68 suspended sediment measurement sites within the model area. Predicted suspended sediment yields range from no yield from the High Cascades geologic province to 200 tonnes/ km2-yr in the northern Oregon Coast Range and 1000 tonnes/km2-yr in recently burned areas of the northern Klamath terrain. Bed-material yield is similarly estimated from a regression model based on 22 sites of measured bed-material transport, mostly from reservoir accumulation analyses but also from several bedload measurement programs. The resulting best-fit regression is based on basin slope and the presence/absence of the Klamath geologic terrane. For the Klamath terrane, bed-material yield is twice that of the other geologic provinces. This model explains more than 80% of the variance of the better-quality measurements. Predicted bed-material yields range up to 350 tonnes/ km2-yr in steep areas of the Klamath terrane. Applying these regressions to small individual watersheds (mean size; 66 km2 for bed-material; 3 km2 for suspended sediment) and cumulating totals down the hydrologic network (but also decreasing the bed-material flux by experimentally determined attrition rates) gives spatially explicit estimates of both bed-material and suspended sediment flux. This enables assessment of several management issues, including the effects of dams on bedload transport, instream gravel mining, habitat formation processes, and water-quality. The combined fluxes can also be compared to long-term rock uplift and cosmogenically determined landscape erosion rates.
Compilation, quality control, analysis, and summary of discrete suspended-sediment and ancillary data in the United States, 1901-2010

USGS Publications Warehouse

Lee, Casey J.; Glysson, G. Douglas

2013-01-01

Human-induced and natural changes to the transport of sediment and sediment-associated constituents can degrade aquatic ecosystems and limit human uses of streams and rivers. The lack of a dedicated, easily accessible, quality-controlled database of sediment and ancillary data has made it difficult to identify sediment-related water-quality impairments and has limited understanding of how human actions affect suspended-sediment concentrations and transport. The purpose of this report is to describe the creation of a quality-controlled U.S. Geological Survey suspended-sediment database, provide guidance for its use, and summarize characteristics of suspended-sediment data through 2010. The database is provided as an online application at http://cida.usgs.gov/sediment to allow users to view, filter, and retrieve available suspended-sediment and ancillary data. A data recovery, filtration, and quality-control process was performed to expand the availability, representativeness, and utility of existing suspended-sediment data collected by the U.S. Geological Survey in the United States before January 1, 2011. Information on streamflow condition, sediment grain size, and upstream landscape condition were matched to sediment data and sediment-sampling sites to place data in context with factors that may influence sediment transport. Suspended-sediment and selected ancillary data are presented from across the United States with respect to time, streamflow, and landscape condition. Examples of potential uses of this database for identifying sediment-related impairments, assessing trends, and designing new data collection activities are provided. This report and database can support local and national-level decision making, project planning, and data mining activities related to the transport of suspended-sediment and sediment-associated constituents.
Quality indicators for blogs and podcasts used in medical education: modified Delphi consensus recommendations by an international cohort of health professions educators.

PubMed

Lin, Michelle; Thoma, Brent; Trueger, N Seth; Ankel, Felix; Sherbino, Jonathan; Chan, Teresa

2015-10-01

Quality assurance concerns about social media platforms used for education have arisen within the medical education community. As more trainees and clinicians use resources such as blogs and podcasts for learning, we aimed to identify quality indicators for these resources. A previous study identified 151 potentially relevant quality indicators for these social media resources. To identify quality markers for blogs and podcasts using an international cohort of health professions educators. A self-selected group of 44 health professions educators at the 2014 International Conference on Residency Education participated in a Social Media Summit during which a modified Delphi consensus study was conducted to determine which of the 151 quality indicators met the a priori ≥90% inclusion threshold. Thirteen quality indicators classified into the domains of credibility (n=8), content (n=4) and design (n=1) met the inclusion threshold. The quality indicators that were identified may serve as a foundation for further research on quality indicators of social media-based medical education resources and prompt discussion of their legitimacy as a form of educational scholarship. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Water-quality, bed-sediment, and biological data (October 2012 through September 2013) and statistical summaries of data for streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2014-01-01

This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2012 through September 2013. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity and dissolved organic carbon were analyzed for water samples collected at the four sites where seasonal daily values of turbidity were being determined. Daily values of mean suspended-sediment concentration and suspended-sediment discharge were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical sum-maries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork Basin are provided for the period of record.
Multivariate Statistical Approach Applied to Sediment Source Tracking Through Quantification and Mineral Identification, Cheyenne River, South Dakota

NASA Astrophysics Data System (ADS)

Valder, J.; Kenner, S.; Long, A.

2008-12-01

Portions of the Cheyenne River are characterized as impaired by the U.S. Environmental Protection Agency because of water-quality exceedences. The Cheyenne River watershed includes the Black Hills National Forest and part of the Badlands National Park. Preliminary analysis indicates that the Badlands National Park is a major contributor to the exceedances of the water-quality constituents for total dissolved solids and total suspended solids. Water-quality data have been collected continuously since 2007, and in the second year of collection (2008), monthly grab and passive sediment samplers are being used to collect total suspended sediment and total dissolved solids in both base-flow and runoff-event conditions. In addition, sediment samples from the river channel, including bed, bank, and floodplain, have been collected. These samples are being analyzed at the South Dakota School of Mines and Technology's X-Ray Diffraction Lab to quantify the mineralogy of the sediments. A multivariate statistical approach (including principal components, least squares, and maximum likelihood techniques) is applied to the mineral percentages that were characterized for each site to identify the contributing source areas that are causing exceedances of sediment transport in the Cheyenne River watershed. Results of the multivariate analysis demonstrate the likely sources of solids found in the Cheyenne River samples. A further refinement of the methods is in progress that utilizes a conceptual model which, when applied with the multivariate statistical approach, provides a better estimate for sediment sources.

AN ECOEPIDEMIOLOGICAL APPROACH FOR DEVELOPING WATER QUALITY CRITERIA

EPA Science Inventory

The USEPA's Draft Framework for Developing Suspended and Bedded Sediments Water Quality Criteria is based on an ecoepidemiological approach that is potentially applicable to any chemical or non-chemical agent. An ecoepidemiological approach infers associations from the co-occurre...
Indices of benthic community tolerance in contaminated Great Lakes sediments: Relations with sediment contaminant concentrations, sediment toxicity, and the sediment quality triad

USGS Publications Warehouse

Wildhaber, M.L.; Schmitt, C.J.

1998-01-01

We evaluated the toxic-units model developed by Wildhaber and Schmitt (1996) as a predictor of indices of mean tolerance to pollution (i.e., Lenat, 1993; Hilsenhoff, 1987) and other benthic community indices from Great Lakes sediments containing complex mixtures of environmental contaminants (e.g., polychlorinated biphenyls – PCBs, polycyclic aromatic hydrocarbons – PAHs, pesticides, chlorinated dioxins, and metals). Sediment toxic units were defined as the ratio of the estimated pore-water concentration of a contaminant to its chronic toxicity as estimated by U.S. Environmental Protection Agency Ambient Water Quality Criteria (AWQC) or other applicable standard. The total hazard of a sediment to aquatic life was assessed by summing toxic units for all contaminants quantified. Among the benthic community metrics evaluated, total toxic units were most closely correlated with Lenat's (1993) and Hilsenhoff's (1987) indices of community tolerance (TL and TH, respectively); toxic units accounted for 42% TL and 53% TH of variability in community tolerance as measured by Ponar grabs. In contrast, taxonomic richness and Shannon-Wiener diversity were not correlated (P > 0.05) with toxic units. Substitution of order- or family-level identifications for lowest possible (mostly genus- or species-) level identifications in the calculation of TL and TH indices weakened the relationships with toxic units. Tolerance values based on order- and family-level identifications of benthos for artificial substrate samples were more strongly correlated with toxic units than tolerance values for benthos from Ponar grabs. The ability of the toxic-units model to predict the other two components (i.e., laboratory-measured sediment toxicity and benthic community composition) of the Sediment Quality Triad (SQT) may obviate the need for the SQT in some situations.
Water-Quality Characterization of Surface Water in the Onondaga Lake Basin, Onondaga County, New York, 2005-08

USGS Publications Warehouse

Coon, William F.; Hayhurst, Brett A.; Kappel, William M.; Eckhardt, David A.V.; Szabo, Carolyn O.

2009-01-01

Water-resources managers in Onondaga County, N.Y., have been faced with the challenge of improving the water-quality of Onondaga Lake. To assist in this endeavor, the U.S. Geological Survey undertook a 3-year basinwide study to assess the water quality of surface water in the Onondaga Lake Basin. The study quantified the relative contributions of nonpoint sources associated with the major land uses in the basin and also focused on known sources (streams with large sediment loads) and presumed sinks (Onondaga Reservoir and Otisco Lake) of sediment and nutrient loads, which previously had not been evaluated. Water samples were collected and analyzed for nutrients and suspended sediment at 26 surface-water sites and 4 springs in the 285-square-mile Onondaga Lake Basin from October 2005 through December 2008. More than 1,060 base-flow, stormflow, snowmelt, spring-water, and quality-assurance samples collected during the study were analyzed for ammonia, nitrite, nitrate-plus-nitrite, ammonia-plus-organic nitrogen, orthophosphate, phosphorus, and suspended sediment. The concentration of total suspended solids was measured in selected samples. Ninety-one additional samples were collected, including 80 samples from 4 county-operated sites, which were analyzed for suspended sediment or total suspended solids, and 8 precipitation and 3 snowpack samples, which were analyzed for nutrients. Specific conductance, salinity, dissolved oxygen, and water temperature were periodically measured in the field. The mean concentrations of selected constituents in base-flow, stormflow, and snowmelt samples were related to the land use or land cover that either dominated the basin or had a substantial effect on the water quality of the basin. Almost 40 percent of the Onondaga Lake Basin is forested, 30 percent is in agricultural uses, and almost 21 percent, including the city of Syracuse, is in developed uses. The data indicated expected relative differences among the land types for concentrations of nitrate, ammonia-plus-organic nitrogen, and orthophosphate. The data departed from the expected relations for concentrations of phosphorus and suspended sediment, and plausible explanations for these departures were posited. Snowmelt concentrations of dissolved constituents generally were greater and those of particulate constituents were less than concentrations of these constituents in storm runoff. Presumably, the snowpack acted as a short-term sink for dissolved constituents that had accumulated from atmospheric deposition, and streambed erosion and resuspension of previously deposited material, rather than land-surface erosion, were the primary sources of particulate constituents in snowmelt flows. Longitudinal assessments documented the changes in the median concentrations of constituents in base flows and event flows (combined stormflow and snowmelt) from upstream to downstream monitoring sites along the two major tributaries to Onondaga Lake - Onondaga Creek and Ninemile Creek. Median base-flow concentrations of ammonia and phosphorus and event concentrations of ammonia increased in the downstream direction in both streams. Whereas median event concentrations of other constituents in Onondaga Creek displayed no consistent trends, concentrations of ammonia-plus-organic nitrogen, orthophosphate, phosphorus, and suspended sediment in Ninemile Creek decreased from upstream to downstream sites. Springs discharging from the Onondaga and Bertie Limestone had measureable effects on water temperatures in the receiving streams and increased salinity and values of specific conductance in base flows. Loads of selected nutrients and suspended sediment transported in three tributaries of Otisco Lake were compared with loads from 1981-83. Loads of ammonia-plus-organic nitrogen and orthophosphate decreased from 1981-83 to 2005-08, but those of nitrate-plus-nitrite, phosphorus, and suspended sediment increased. The largest load increase was for suspende
Novel particle tracking algorithm based on the Random Sample Consensus Model for the Active Target Time Projection Chamber (AT-TPC)

NASA Astrophysics Data System (ADS)

Ayyad, Yassid; Mittig, Wolfgang; Bazin, Daniel; Beceiro-Novo, Saul; Cortesi, Marco

2018-02-01

The three-dimensional reconstruction of particle tracks in a time projection chamber is a challenging task that requires advanced classification and fitting algorithms. In this work, we have developed and implemented a novel algorithm based on the Random Sample Consensus Model (RANSAC). The RANSAC is used to classify tracks including pile-up, to remove uncorrelated noise hits, as well as to reconstruct the vertex of the reaction. The algorithm, developed within the Active Target Time Projection Chamber (AT-TPC) framework, was tested and validated by analyzing the 4He+4He reaction. Results, performance and quality of the proposed algorithm are presented and discussed in detail.
Estimating suspended sediment and trace element fluxes in large river basins: Methodological considerations as applied to the NASQAN programme

USGS Publications Warehouse

Horowitz, A.J.; Elrick, K.A.; Smith, J.J.

2001-01-01

In 1994, the NASQAN (National Stream Quality Accounting Network) programme was redesigned as a flux-based water-quality monitoring network for the Mississippi, Columbia, Colorado, and Rio Grande Basins. As the new programme represented a departure from the original, new sampling, processing, analytical, and data handling procedures had to be selected/developed to provide data on discharge, suspended sediment concentration, and the concentrations of suspended sediment and dissolved trace elements. Annual suspended sediment fluxes were estimated by summing daily instantaneous fluxes based on predicted suspended sediment concentrations derived from discharge-based log-log regression (rating-curve) models. The models were developed using both historical and current site-specific discharge and suspended sediment concentrations. Errors using this approach typically are less than ?? 10% for the 3-year reporting period; however, the magnitude of the errors increases substantially for temporal spans shorter than 1 year. Total, rather than total-recoverable, suspended sediment-associated trace element concentrations were determined by direct analysis of material dewatered from large-volume whole-water samples. Site-specific intra- and inter-annual suspended sediment-associated chemical variations were less (typically by no more than a factor of two) than those for either discharge or suspended sediment concentrations (usually more than 10-fold). The concentrations, hence the annual fluxes, for suspended sediment-associated phosphorus and organic carbon, determined by direct analyses, were higher than those determined using a more traditional paired, whole-water/filtered-water approach (by factors ranging from 1.5- to 10-fold). This may be important for such issues as eutrophication and coastal productivity. Filtered water-associated (dissolved) trace element concentrations were markedly lower than those determined during the historical NASQAN programme; many were below their respective detection limits. This resulted from the use of clean sampling, processing, and analytical protocols. Hence, the fluxes for filtered water-associated (dissolved) Ag, Pb, Co, V, Be, Sb, and Se, as well as the total (filtered water plus suspended sediment-associated) fluxes for these constituents, could not be estimated.
Sedimentation and Its Impacts/Effects on River System and Reservoir Water Quality: case Study of Mazowe Catchment, Zimbabwe

NASA Astrophysics Data System (ADS)

Tundu, Colleta; Tumbare, Michael James; Kileshye Onema, Jean-Marie

2018-04-01

Sediment delivery into water sources and bodies results in the reduction of water quantity and quality, increasing costs of water purification whilst reducing the available water for various other uses. The paper gives an analysis of sedimentation in one of Zimbabwe's seven rivers, the Mazowe Catchment, and its impact on water quality. The Revised Universal Soil Loss Equation (RUSLE) model was used to compute soil lost from the catchment as a result of soil erosion. The model was used in conjunction with GIS remotely sensed data and limited ground observations. The estimated annual soil loss in the catchment indicates soil loss ranging from 0 to 65 t ha yr-1. Bathymetric survey at Chimhanda Dam showed that the capacity of the dam had reduced by 39 % as a result of sedimentation and the annual sediment deposition into Chimhanda Dam was estimated to be 330 t with a specific yield of 226 t km-2 yr-1. Relationship between selected water quality parameters, TSS, DO, NO3, pH, TDS, turbidity and sediment yield for selected water sampling points and Chimhanda Dam was analyzed. It was established that there is a strong positive relationship between the sediment yield and the water quality parameters. Sediment yield showed high positive correlation with turbidity (0.63) and TDS (0.64). Water quality data from Chimhanda treatment plant water works revealed that the quality of water is deteriorating as a result of increase in sediment accumulation in the dam. The study concluded that sedimentation can affect the water quality of water sources.
International standards for programmes of training in intensive care medicine in Europe.

PubMed

2011-03-01

To develop internationally harmonised standards for programmes of training in intensive care medicine (ICM). Standards were developed by using consensus techniques. A nine-member nominal group of European intensive care experts developed a preliminary set of standards. These were revised and refined through a modified Delphi process involving 28 European national coordinators representing national training organisations using a combination of moderated discussion meetings, email, and a Web-based tool for determining the level of agreement with each proposed standard, and whether the standard could be achieved in the respondent's country. The nominal group developed an initial set of 52 possible standards which underwent four iterations to achieve maximal consensus. All national coordinators approved a final set of 29 standards in four domains: training centres, training programmes, selection of trainees, and trainers' profiles. Only three standards were considered immediately achievable by all countries, demonstrating a willingness to aspire to quality rather than merely setting a minimum level. Nine proposed standards which did not achieve full consensus were identified as potential candidates for future review. This preliminary set of clearly defined and agreed standards provides a transparent framework for assuring the quality of training programmes, and a foundation for international harmonisation and quality improvement of training in ICM.
Interdisciplinary consensus on the uses and technique of MR-guided vacuum-assisted breast biopsy (VAB): results of a European consensus meeting.

PubMed

Heywang-Köbrunner, Sylvia H; Sinnatamby, Ruchi; Lebeau, Annette; Lebrecht, Antje; Britton, Peter D; Schreer, Ingrid

2009-11-01

Quality assurance of MR-guided vacuum-assisted breast biopsy (VAB). A consensus was achieved based on the existing literature and experience of an interdisciplinary group comprising European specialists in breast imaging and VAB. Full imaging work-up must be completed according to existing standards before an indication for MR-guided VAB is established. The procedure should be reserved for lesions demonstrable by MRI alone. Acquisition of >24 cores (11-Gauge) should be routinely attempted, with the intention of sufficiently removing small lesions for accurate diagnosis. Following biopsy the patient should be re-imaged to demonstrate the biopsy site and its proximity to the lesion and hence the likely accuracy of the sampling. All patients should be discussed in a regular interdisciplinary conference and a documented consensus reached regarding patient management. Regular audit and review of all MR-guided VAB results and subsequent follow-up are recommended. This consensus includes protocols for the indication, performance parameters, interdisciplinary interpretation therapeutic recommendation, documentation and follow-up of MR-guided VAB. It does not replace official recommendations for percutaneous biopsy.
A condition metric for Eucalyptus woodland derived from expert evaluations.

PubMed

Sinclair, Steve J; Bruce, Matthew J; Griffioen, Peter; Dodd, Amanda; White, Matthew D

2018-02-01

The evaluation of ecosystem quality is important for land-management and land-use planning. Evaluation is unavoidably subjective, and robust metrics must be based on consensus and the structured use of observations. We devised a transparent and repeatable process for building and testing ecosystem metrics based on expert data. We gathered quantitative evaluation data on the quality of hypothetical grassy woodland sites from experts. We used these data to train a model (an ensemble of 30 bagged regression trees) capable of predicting the perceived quality of similar hypothetical woodlands based on a set of 13 site variables as inputs (e.g., cover of shrubs, richness of native forbs). These variables can be measured at any site and the model implemented in a spreadsheet as a metric of woodland quality. We also investigated the number of experts required to produce an opinion data set sufficient for the construction of a metric. The model produced evaluations similar to those provided by experts, as shown by assessing the model's quality scores of expert-evaluated test sites not used to train the model. We applied the metric to 13 woodland conservation reserves and asked managers of these sites to independently evaluate their quality. To assess metric performance, we compared the model's evaluation of site quality with the managers' evaluations through multidimensional scaling. The metric performed relatively well, plotting close to the center of the space defined by the evaluators. Given the method provides data-driven consensus and repeatability, which no single human evaluator can provide, we suggest it is a valuable tool for evaluating ecosystem quality in real-world contexts. We believe our approach is applicable to any ecosystem. © 2017 State of Victoria.
Defining quality criteria for online continuing medical education modules using modified nominal group technique.

PubMed

Shortt, S E D; Guillemette, Jean-Marc; Duncan, Anne Marie; Kirby, Frances

2010-01-01

The rapid increase in the use of the Internet for continuing education by physicians suggests the need to define quality criteria for accredited online modules. Continuing medical education (CME) directors from Canadian medical schools and academic researchers participated in a consensus process, Modified Nominal Group Technique, to develop agreement on the most important quality criteria to guide module development. Rankings were compared to responses to a survey of a subset of Canadian Medical Association (CMA) members. A list of 17 items was developed, of which 10 were deemed by experts to be important and 7 were considered secondary. A quality module would: be needs-based; presented in a clinical format; utilize evidence-based information; permit interaction with content and experts; facilitate and attempt to document practice change; be accessible for later review; and include a robust course evaluation. There was less agreement among CMA members on criteria ranking, with consensus on ranking reached on only 12 of 17 items. In contrast to experts, members agreed that the need to assess performance change as a result of an educational experience was not important. This project identified 10 quality criteria for accredited online CME modules that representatives of Canadian organizations involved in continuing education believe should be taken into account when developing learning products. The lack of practitioner support for documentation of change in clinical behavior may suggest that they favor traditional attendance- or completion-based CME; this finding requires further research.
The 2017 Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes.

PubMed

Bond, William F; Hui, Joshua; Fernandez, Rosemarie

2018-02-01

Over the past decade, emergency medicine (EM) took a lead role in healthcare simulation in part due to its demands for successful interprofessional and multidisciplinary collaboration, along with educational needs in a diverse array of cognitive and procedural skills. Simulation-based methodologies have the capacity to support training and research platforms that model micro-, meso-, and macrosystems of healthcare. To fully capitalize on the potential of simulation-based research to improve emergency healthcare delivery will require the application of rigorous methods from engineering, social science, and basic science disciplines. The Academic Emergency Medicine (AEM) Consensus Conference "Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcome" was conceived to foster discussion among experts in EM, engineering, and social sciences, focusing on key barriers and opportunities in simulation-based research. This executive summary describes the overall rationale for the conference, conference planning, and consensus-building approaches and outlines the focus of the eight breakout sessions. The consensus outcomes from each breakout session are summarized in proceedings papers published in this issue of Academic Emergency Medicine. Each paper provides an overview of methodologic and knowledge gaps in simulation research and identifies future research targets aimed at improving the safety and quality of healthcare. © 2017 by the Society for Academic Emergency Medicine.
How and why is aquatic quality changing at Nahanni National Park Reserve, NWT, Canada?

PubMed

Halliwell, Douglas R; Catto, Steve

2003-01-01

Nahanni National Park Reserve is located at southwestern NWT-Yukon border. One of the first UNESCO World Heritage sites, Nahanni lies within Taiga Cordillera and Taiga Shield Ecozones. Base and precious metal mining occurred upstream of Nahanni prior to park establishment. Nahanni waters, sediments, fish, and caribou have naturally elevated metals levels. Baseline water, sediment and fish tissue quality data were collected and analyzed throughout Nahanni during 1988-91 and 1992-97. These two programs characterized how aquatic quality variables are naturally varying in space and time, affected by geology, stream flow, seasonality, and extreme meteorological and geological events. Possible anthropogenic causes of aquatic quality change were examined. Measured values were compared to existing Guidelines and site-specific objectives were established.
Global Consensus Recommendations on Prevention and Management of Nutritional Rickets.

PubMed

Munns, Craig F; Shaw, Nick; Kiely, Mairead; Specker, Bonny L; Thacher, Tom D; Ozono, Keiichi; Michigami, Toshimi; Tiosano, Dov; Mughal, M Zulf; Mäkitie, Outi; Ramos-Abad, Lorna; Ward, Leanne; DiMeglio, Linda A; Atapattu, Navoda; Cassinelli, Hamilton; Braegger, Christian; Pettifor, John M; Seth, Anju; Idris, Hafsatu Wasagu; Bhatia, Vijayalakshmi; Fu, Junfen; Goldberg, Gail; Sävendahl, Lars; Khadgawat, Rajesh; Pludowski, Pawel; Maddock, Jane; Hyppönen, Elina; Oduwole, Abiola; Frew, Emma; Aguiar, Magda; Tulchinsky, Ted; Butler, Gary; Högler, Wolfgang

2016-02-01

Vitamin D and calcium deficiencies are common worldwide, causing nutritional rickets and osteomalacia, which have a major impact on health, growth, and development of infants, children, and adolescents; the consequences can be lethal or can last into adulthood. The goals of this evidence-based consensus document are to provide health care professionals with guidance for prevention, diagnosis, and management of nutritional rickets and to provide policy makers with a framework to work toward its eradication. A systematic literature search examining the definition, diagnosis, treatment, and prevention of nutritional rickets in children was conducted. Evidence-based recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system that describe the strength of the recommendation and the quality of supporting evidence. Thirty-three nominated experts in pediatric endocrinology, pediatrics, nutrition, epidemiology, public health, and health economics evaluated the evidence on specific questions within five working groups. The consensus group, representing 11 international scientific organizations, participated in a multiday conference in May 2014 to reach a global evidence-based consensus. This consensus document defines nutritional rickets and its diagnostic criteria and describes the clinical management of rickets and osteomalacia. Risk factors, particularly in mothers and infants, are ranked, and specific prevention recommendations including food fortification and supplementation are offered for both the clinical and public health contexts. Rickets, osteomalacia, and vitamin D and calcium deficiencies are preventable global public health problems in infants, children, and adolescents. Implementation of international rickets prevention programs, including supplementation and food fortification, is urgently required.
Numerical Simulation of Sediment-Associated Water Quality Processes for a Mississippi Delta Lake

USDA-ARS?s Scientific Manuscript database

Three major sediment-associated processes were presented to describe the effects of sediment on lake water quality processes: the effect of suspended sediment on the light intensity for the growth of phytoplankton (PHYTO), the adsorption–desorption of nutrients by sediment, and the release of nutrie...
Sediment contamination of residential streams in the metropolitan kansas city area, USA: Part II. whole-sediment toxicity to the amphipod hyalella azteca

USGS Publications Warehouse

Tao, J.; Ingersoll, C.G.; Kemble, N.E.; Dias, J.R.; Murowchick, J.B.; Welker, G.; Huggins, D.

2010-01-01

This is the second part of a study that evaluates the influence of nonpoint sources on the sediment quality of five adjacent streams within the metropolitan Kansas City area, central United States. Physical, chemical, and toxicity data (Hyalella azteca 28-day whole-sediment toxicity test) for 29 samples collected in 2003 were used for this evaluation, and the potential causes for the toxic effects were explored. The sediments exhibited a low to moderate toxicity, with five samples identified as toxic to H. azteca. Metals did not likely cause the toxicity based on low concentrations of metals in the pore water and elevated concentrations of acid volatile sulfide in the sediments. Although individual polycyclic aromatic hydrocarbons (PAHs) frequently exceeded effect-based sediment quality guidelines [probable effect concentrations (PECs)], only four of the samples had a PEC quotient (PEC-Q) for total PAHs over 1.0 and only one of these four samples was identified as toxic. For the mean PEC-Q for organochlorine compounds (chlordane, dieldrin, sum DDEs), 4 of the 12 samples with a mean PEC-Q above 1.0 were toxic and 4 of the 8 samples with a mean PEC-Q above 3.0 were toxic. Additionally, four of eight samples were toxic, with a mean PEC-Q above 1.0 based on metals, PAHs, polychlorinated biphenyls (PCBs), and organochlorine pesticides. The increase in the incidence of toxicity with the increase in the mean PEC-Q based on organochlorine pesticides or based on metals, PAHs, PCBs, and organochlorine pesticides suggests that organochlorine pesticides might have contributed to the observed toxicity and that the use of a mean PEC-Q, rather than PEC-Qs for individual compounds, might be more informative in predicting toxic effects. Our study shows that stream sediments subject to predominant nonpoint sources contamination can be toxic and that many factors, including analysis of a full suite of PAHs and pesticides of both past and present urban applications and the origins of these organic compounds, are important to identify the causes of toxicity. ?? 2010 Springer Science+Business Media, LLC.
Quality indicators for responsible antibiotic use in the inpatient setting: a systematic review followed by an international multidisciplinary consensus procedure.

PubMed

Monnier, Annelie A; Schouten, Jeroen; Le Maréchal, Marion; Tebano, Gianpiero; Pulcini, Céline; Stanic Benic, Mirjana; Vlahovic-Palcevski, Vera; Milanic, Romina; Adriaenssens, Niels; Versporten, Ann; Huttner, Benedikt; Zanichelli, Veronica; Hulscher, Marlies E; Gyssens, Inge C

2018-06-01

This study was conducted as part of the Driving Reinvestment in Research and Development and Responsible Antibiotic Use (DRIVE-AB) project and aimed to develop generic quality indicators (QIs) for responsible antibiotic use in the inpatient setting. A RAND-modified Delphi method was applied. First, QIs were identified by a systematic review. A complementary search was performed on web sites of relevant organizations. Duplicates were removed and disease and patient-specific QIs were combined into generic indicators. The relevance of these QIs was appraised by a multidisciplinary international stakeholder panel through two questionnaires and an in-between consensus meeting. The systematic review retrieved 70 potential generic QIs. The QIs were appraised by 25 international stakeholders with diverse backgrounds (medical community, public health, patients, antibiotic research and development, regulators, governments). Ultimately, 51 QIs were selected in consensus. QIs with the highest relevance score included: (i) an antibiotic plan should be documented in the medical record at the start of the antibiotic treatment; (ii) the results of bacteriological susceptibility testing should be documented in the medical record; (iii) the local guidelines should correspond to the national guidelines but should be adapted based on local resistance patterns; (iv) an antibiotic stewardship programme should be in place at the healthcare facility; and (v) allergy status should be taken into account when antibiotics are prescribed. This systematic and stepwise method combining evidence from literature and stakeholder opinion led to multidisciplinary international consensus on generic inpatient QIs that can be used globally to assess the quality of antibiotic use.
The Delphi Method: An Approach for Facilitating Evidence Based Practice in Athletic Training

ERIC Educational Resources Information Center

Sandrey, Michelle A.; Bulger, Sean M.

2008-01-01

Objective: The growing importance of evidence based practice in athletic training is necessitating academics and clinicians to be able to make judgments about the quality or lack of the body of research evidence and peer-reviewed standards pertaining to clinical questions. To assist in the judgment process, consensus methods, namely brainstorming,…
Surface sediment quality relative to port activities: A contaminant-spectrum assessment.

PubMed

Yu, Shen; Hong, Bing; Ma, Jun; Chen, Yongshan; Xi, Xiuping; Gao, Jingbo; Hu, Xiuqin; Xu, Xiangrong; Sun, Yuxin

2017-10-15

Ports are facing increasing environmental concerns with their importance to the global economy. Numerous studies indicated sediment quality deterioration in ports; however, the deterioration is not discriminated for each port activity. This study investigated a spectrum of contaminants (metals and organic pollutants) in surface sediments at 20 sampling points in Port Ningbo, China, one of the top five world ports by volume. The spectrum of contaminants (metals and organic pollutants) was quantified following marine sediment quality guidelines of China and USA and surface sediment quality was assessed according to thresholds of the two guidelines. Coupling a categorical matrix of port activities with the matrix of sedimentary contaminants revealed that contaminants were highly associated with the port operations. Ship repair posed a severe chemical risk to sediment. Operations of crude oil and coal loadings were two top activities related to organic pollutants in sediments while port operations of ore and container loadings discharged metals. Among the 20 sampling points, Cu, Zn, Pb, and DDT and its metabolites were the priority contaminants influencing sediment quality. Overall, surface sediments in Port Ningbo had relatively low environmental risks but ship repair is an environmental concern that must be addressed. This study provides a practical approach for port activity-related quality assessment of surface sediments in ports that could be applicable in many world sites. Copyright © 2017 Elsevier B.V. All rights reserved.
A suite of phantom-based test methods for assessing image quality of photoacoustic tomography systems

NASA Astrophysics Data System (ADS)

Vogt, William C.; Jia, Congxian; Wear, Keith A.; Garra, Brian S.; Pfefer, T. Joshua

2017-03-01

As Photoacoustic Tomography (PAT) matures and undergoes clinical translation, objective performance test methods are needed to facilitate device development, regulatory clearance and clinical quality assurance. For mature medical imaging modalities such as CT, MRI, and ultrasound, tissue-mimicking phantoms are frequently incorporated into consensus standards for performance testing. A well-validated set of phantom-based test methods is needed for evaluating performance characteristics of PAT systems. To this end, we have constructed phantoms using a custom tissue-mimicking material based on PVC plastisol with tunable, biologically-relevant optical and acoustic properties. Each phantom is designed to enable quantitative assessment of one or more image quality characteristics including 3D spatial resolution, spatial measurement accuracy, ultrasound/PAT co-registration, uniformity, penetration depth, geometric distortion, sensitivity, and linearity. Phantoms contained targets including high-intensity point source targets and dye-filled tubes. This suite of phantoms was used to measure the dependence of performance of a custom PAT system (equipped with four interchangeable linear array transducers of varying design) on design parameters (e.g., center frequency, bandwidth, element geometry). Phantoms also allowed comparison of image artifacts, including surface-generated clutter and bandlimited sensing artifacts. Results showed that transducer design parameters create strong variations in performance including a trade-off between resolution and penetration depth, which could be quantified with our method. This study demonstrates the utility of phantom-based image quality testing in device performance assessment, which may guide development of consensus standards for PAT systems.
Integrative assessment of sediment quality in lower basin affected by former mining in Brazil.

PubMed

Bonnail, Estefanía; Buruaem, Lucas M; Morais, Lucas G; Araujo, Giuliana S; Abessa, Denis M S; Sarmiento, Aguasanta M; Ángel DelValls, T

2017-06-13

The Ribeira de Iguape River (Southeast Brazil) is metal contaminated by mining activities. Despite it has been cataloged as "in via of restoration" by the literature, this basin is still a sink of pollution in some segments of the fluvial system. This study aimed to assess the sediment quality in the lower part of the RIR basin. The employed approach was based on biological responses of the freshwater clam Corbicula fluminea after 7-day exposure bioassays using as the reference site the Perequê Ecological Park. Toxic responses (burial activity and lethality) and biochemical biomarkers (GST, GR, GPx, LPO, MTs, AChE and DNA damage) were evaluated and then integrated with metal bioavailability and chemical concentrations to address the sediment quality in the area through the weight-of-evidence approach. A multivariate analysis identified linkages between biological responses and contamination. Results pointed that, despite being below the benchmarks of the US Environmental Protection Agency, there is slight metal contamination in the lower part of the basin which induces oxidative stress in C. fluminea; other toxic responses were sometimes attributed to As and Cr bioaccumulation. The sediment quality values (TEL-PEL values in mg/kg) were calculated for the current study for As (0.63-1.31), Cr (3.5-11.05), Cs (1.0-1.17), Cu (6.32-7.32), Ni (6.78-7.46), Ti (42.0-215), V (1.77-8.00). By comparison with other international guidelines, the sediment quality of the lower basin of the Vale de Ribeira does not identify a significant environmental risk.

A research agenda for bridging the 'quality chasm.'.

PubMed

Fernandopulle, Rushika; Ferris, Timothy; Epstein, Arnold; McNeil, Barbara; Newhouse, Joseph; Pisano, Gary; Blumenthal, David

2003-01-01

Realizing the vision of the IOM's landmark report, Crossing the Quality Chasm, will require new knowledge to support new policy and management. This paper lays out a research agenda that must be pursued if the health care system is to bridge the quality chasm. Based on a consensus process involving leading health care researchers and authorities, the paper highlights knowledge gaps and research directions in five areas identified by the Quality Chasm report as critical to its goals of building organizational supports for change; applying evidence to health care delivery; developing information technology; aligning payment policies with quality improvement; and preparing the workforce.
DEVELOPING WATER QUALITY CRITERIA FOR SUSPENDED AND BEDDED SEDIMENTS

EPA Science Inventory

The U.S. EPA’s Framework for Developing Suspended and Bedded Sediments (SABS) Water Quality Criteria (SABS Framework) is a nationally-consistent process for developing ambient sediment quality criteria for surface waters. The SABS Framework accommodates natural variation among wa...
Ecosystem modeling of coastal acidification and hypoxia and structural uncertainties in the representation of sediment-water exchanges

EPA Science Inventory

Numerical ecosystem models of coastal acidification (CA) and hypoxia have been developed to synthesize current scientific understanding and provide predictions for nutrient management and policy. However, there is not a scientific consensus about the structure of these models an...
Sediment toxicity assessment in the Lagoon of Venice (Italy) using Paracentrotus lividus (Echinodermata: Echinoidea) fertilization and embryo bioassays.

PubMed

Volpi Ghirardini, A; Arizzi Novelli, A; Tagliapietra, D

2005-09-01

The capacity of two toxicity bioassays (fertilization and embryo toxicity tests) to discriminate sediment toxicity using the sea urchin Paracentrotus lividus was tested in five stations with different levels of pollution in the Lagoon of Venice. Two stations were located in estuarine sites, two in the industrial zone, and one in a site at the top of our quality gradient (reference). Elutriate was chosen as sediment matrix to assess the potential effects of bioavailable pollutants in the water column as a consequence of sediment resuspension (dredging and dumping, fishing gear, etc.). An experimental design based on Quality Assurance/Quality Control procedures (QA/QC) was adopted in order to set the methodological basis for an effective use of these bioassays in monitoring programs. Results revealed both higher embriotoxicity than spermiotoxicity in all stations and the efficacy of combined use of both toxicity bioassays in discriminating differing pollution/bioavailability between stations and periods. The good representativeness of the integrated sampling scheme and the standardization of all experimental phases yielded high precision of results. Clear Toxicity Fingerprints were evidenced for the investigated sites through the combined use of both bioassays. A good fit between ecotoxicological data and chemical contamination levels was found, except for unnatural sediment texture.
Safe and pragmatic use of sodium–glucose co-transporter 2 inhibitors in type 2 diabetes mellitus: South Asian Federation of Endocrine Societies consensus statement

PubMed Central

Kalra, Sanjay; Ghosh, Sujoy; Aamir, A. H.; Ahmed, Md. Tofail; Amin, Mohammod Feroz; Bajaj, Sarita; Baruah, Manash P.; Bulugahapitiya, Uditha; Das, A. K.; Giri, Mimi; Gunatilake, Sonali; Mahar, Saeed A.; Pathan, Md. Faruque; Qureshi, Nazmul Kabir; Raza, S. Abbas; Sahay, Rakesh; Shakya, Santosh; Shreshta, Dina; Somasundaram, Noel; Sumanatilleke, Manilka; Unnikrishnan, A. G.; Wijesinghe, Achini Madushani

2017-01-01

Diabetes prevalence shows a continuous increasing trend in South Asia. Although well-established treatment modalities exist for type 2 diabetes mellitus (T2DM) management, they are limited by their side effect profile. Sodium–glucose co-transporter 2 inhibitors (SGLT2i) with their novel insulin-independent renal action provide improved glycemic control, supplemented by reduction in weight and blood pressure, and cardiovascular safety. Based on the clinical outcomes with SGLT2i in patients with T2DM, treatment strategies that make a “good clinical sense” are desirable. Considering the peculiar lifestyle, body types, dietary patterns (long duration religious fasts), and the hot climate of the South Asian population, a unanimous decision was taken to design specific, customized guidelines for T2DM treatment strategies in these regions. The panel met for a discussion three times so as to get a consensus for the guidelines, and only unanimous consensus was included. After careful consideration of the quality and strength of the available evidence, the executive summary of this consensus statement was developed based on the American Association of Clinical Endocrinologists/American College of Endocrinology protocol. PMID:28217523
A component-based, integrated spatially distributed hydrologic/water quality model: AgroEcoSystem-Watershed (AgES-W) overview and application

USDA-ARS?s Scientific Manuscript database

AgroEcoSystem-Watershed (AgES-W) is a modular, Java-based spatially distributed model which implements hydrologic/water quality simulation components. The AgES-W model was previously evaluated for streamflow and recently has been enhanced with the addition of nitrogen (N) and sediment modeling compo...
Relations of water-quality constituent concentrations to surrogate measurements in the lower Platte River corridor, Nebraska, 2007 through 2011

USGS Publications Warehouse

Schaepe, Nathaniel J.; Soenksen, Philip J.; Rus, David L.

2014-01-01

The lower Platte River, Nebraska, provides drinking water, irrigation water, and in-stream flows for recreation, wildlife habitat, and vital habitats for several threatened and endangered species. The U.S. Geological Survey (USGS), in cooperation with the Lower Platte River Corridor Alliance (LPRCA) developed site-specific regression models for water-quality constituents at four sites (Shell Creek near Columbus, Nebraska [USGS site 06795500]; Elkhorn River at Waterloo, Nebr. [USGS site 06800500]; Salt Creek near Ashland, Nebr. [USGS site 06805000]; and Platte River at Louisville, Nebr. [USGS site 06805500]) in the lower Platte River corridor. The models were developed by relating continuously monitored water-quality properties (surrogate measurements) to discrete water-quality samples. These models enable existing web-based software to provide near-real-time estimates of stream-specific constituent concentrations to support natural resources management decisions. Since 2007, USGS, in cooperation with the LPRCA, has continuously monitored four water-quality properties seasonally within the lower Platte River corridor: specific conductance, water temperature, dissolved oxygen, and turbidity. During 2007 through 2011, the USGS and the Nebraska Department of Environmental Quality collected and analyzed discrete water-quality samples for nutrients, major ions, pesticides, suspended sediment, and bacteria. These datasets were used to develop the regression models. This report documents the collection of these various water-quality datasets and the development of the site-specific regression models. Regression models were developed for all four monitored sites. Constituent models for Shell Creek included nitrate plus nitrite, total phosphorus, orthophosphate, atrazine, acetochlor, suspended sediment, and Escherichia coli (E. coli) bacteria. Regression models that were developed for the Elkhorn River included nitrate plus nitrite, total Kjeldahl nitrogen, total phosphorus, orthophosphate, chloride, atrazine, acetochlor, suspended sediment, and E. coli. Models developed for Salt Creek included nitrate plus nitrite, total Kjeldahl nitrogen, suspended sediment, and E. coli. Lastly, models developed for the Platte River site included total Kjeldahl nitrogen, total phosphorus, sodium, metolachlor, atrazine, acetochlor, suspended sediment, and E. coli.
Quality measurement in physician-staffed emergency medical services: a systematic literature review.

PubMed

Haugland, Helge; Uleberg, Oddvar; Klepstad, Pål; Krüger, Andreas; Rehn, Marius

2018-05-15

Quality measurement of physician-staffed emergency medical services (P-EMS) is necessary to improve service quality. Knowledge and consensus on this topic are scarce, making quality measurement of P-EMS a high-priority research area. The aim of this review was to identify, describe and evaluate studies of quality measurement in P-EMS. The databases of MEDLINE and Embase were searched initially, followed by a search for included article citations in Scopus. The study eligibility criteria were: (1) articles describing the use of one quality indicator (QI) or more in P-EMS, (2) original manuscripts, (3) articles published from 1 January 1968 until 5 October 2016. The literature search identified 4699 records. 4543 were excluded after reviewing title and abstract. An additional 129 were excluded based on a full-text review. The remaining 27 papers were included in the analysis. Methodological quality was assessed using an adapted critical appraisal tool. The description of used QIs and methods of quality measurement was extracted. Variables describing the involved P-EMSs were extracted as well. In the included papers, a common understanding of which QIs to use in P-EMS did not exist. Fifteen papers used only a single QI. The most widely used QIs were 'Adherence to medical protocols', 'Provision of advanced interventions', 'Response time' and 'Adverse events'. The review demonstrated a lack of shared understanding of which QIs to use in P-EMS. Moreover, papers using only one QI dominated the literature, thus increasing the risk of a narrow perspective in quality measurement. Future quality measurement in P-EMS should rely on a set of consensus-based QIs, ensuring a comprehensive approach to quality measurement.
Incorporating Contaminant Bioavailability into Sediment Quality Assessment Frameworks

EPA Science Inventory

The recently adopted sediment quality assessment framework for evaluating bay and estuarine sediments in the State of California incorporates bulk sediment chemistry as a key line of evidence(LOE) but does not address the bioavailability of measured contaminants. Thus, the chemis...
Trace metal in sediment from a deep-sea floor of Makassar Strait

NASA Astrophysics Data System (ADS)

Budianto, F.; Lestari

2018-02-01

Makassar Strait is located in the entrance of Indonesian Through Flow (ITF). However, the geochemistry of metals in sediment within Makassar Strait remains unexplored. The aim of this study was to measure the concentration of metals in sediment and to assess the sediment quality based on those metals concentrations. The sediment was collected from 632-4730 m in depth using giant piston corer on R/V Baruna Jaya VIII in December 2014. In each observation point, three layers of sediment were sub-sampled from the core i.e. surface layer (0-5 cm), middle layer (45-55 cm) and bottom layer. The metals were analyzed using acid digestion procedure followed by Atomic Absorption Spectrophotometer. The result indicated that the metal has spatially insignificant differences in sediment and the increase of metal concentration by depth was noticed. The Enrichment factor presented as no enrichment to minor enrichment of metal in sediment.
ANMCO/AIIC/SIT Consensus Information Document: definition, precision, and suitability of electrocardiographic signals of electrocardiographs, ergometry, Holter electrocardiogram, telemetry, and bedside monitoring systems.

PubMed

Gulizia, Michele Massimo; Casolo, Giancarlo; Zuin, Guerrino; Morichelli, Loredana; Calcagnini, Giovanni; Ventimiglia, Vincenzo; Censi, Federica; Caldarola, Pasquale; Russo, Giancarmine; Leogrande, Lorenzo; Franco Gensini, Gian

2017-05-01

The electrocardiogram (ECG) signal can be derived from different sources. These include systems for surface ECG, Holter monitoring, ergometric stress tests, and telemetry systems and bedside monitoring of vital parameters, which are useful for rhythm and ST-segment analysis and ECG screening of electrical sudden cardiac death predictors. A precise ECG diagnosis is based upon correct recording, elaboration, and presentation of the signal. Several sources of artefacts and potential external causes may influence the quality of the original ECG waveforms. Other factors that may affect the quality of the information presented depend upon the technical solutions employed to improve the signal. The choice of the instrumentations and solutions used to offer a high-quality ECG signal are, therefore, of paramount importance. Some requirements are reported in detail in scientific statements and recommendations. The aim of this consensus document is to give scientific reference for the choice of systems able to offer high quality ECG signal acquisition, processing, and presentation suitable for clinical use.
ANMCO/AIIC/SIT Consensus Information Document: definition, precision, and suitability of electrocardiographic signals of electrocardiographs, ergometry, Holter electrocardiogram, telemetry, and bedside monitoring systems

PubMed Central

Casolo, Giancarlo; Zuin, Guerrino; Morichelli, Loredana; Calcagnini, Giovanni; Ventimiglia, Vincenzo; Censi, Federica; Caldarola, Pasquale; Russo, Giancarmine; Leogrande, Lorenzo; Franco Gensini, Gian

2017-01-01

Abstract The electrocardiogram (ECG) signal can be derived from different sources. These include systems for surface ECG, Holter monitoring, ergometric stress tests, and telemetry systems and bedside monitoring of vital parameters, which are useful for rhythm and ST-segment analysis and ECG screening of electrical sudden cardiac death predictors. A precise ECG diagnosis is based upon correct recording, elaboration, and presentation of the signal. Several sources of artefacts and potential external causes may influence the quality of the original ECG waveforms. Other factors that may affect the quality of the information presented depend upon the technical solutions employed to improve the signal. The choice of the instrumentations and solutions used to offer a high-quality ECG signal are, therefore, of paramount importance. Some requirements are reported in detail in scientific statements and recommendations. The aim of this consensus document is to give scientific reference for the choice of systems able to offer high quality ECG signal acquisition, processing, and presentation suitable for clinical use. PMID:28751842
Assessment of sediment quality based on acid-volatile sulfide and simultaneously extracted metals in heavily industrialized area of Asaluyeh, Persian Gulf: concentrations, spatial distributions, and sediment bioavailability/toxicity.

PubMed

Arfaeinia, Hossein; Nabipour, Iraj; Ostovar, Afshin; Asadgol, Zahra; Abuee, Ehsan; Keshtkar, Mozhgan; Dobaradaran, Sina

2016-05-01

Sediment samples from the coastal area of Asaluyeh harbor were collected during autumn and spring 2015. The acid-volatile sulfide (AVS) and simultaneously extracted metals (SEMs) were measured to assess the sediment quality and potential ecological risks. The average concentrations (and relative standard deviation (RSD)) of AVS in the industrial sediments were 12.32 μmol/g (36.91) and 6.34 μmol/g (80.05) in autumn and spring, respectively, while in the urban area, these values were 0.44 μmol/g (123.50) and 0.31 μmol/g (160.0) in autumn and spring, respectively. The average concentrations of SEM (and RSD) in the industrial sediments were 15.02 μmol/g (14.38) and 12.34 μmol/g (20.65) in autumn and spring, respectively, while in the urban area, these values were 1.10 μmol/g (43.03) and 1.06 μmol/g (55.59) in autumn and spring, respectively. Zn was the predominant component (34.25-86.24 %) of SEM, while the corresponding value for Cd, much more toxic ingredient, was less than 1 %. Some of the coastal sediments in the harbor of Asaluyeh (20 and 47 % in autumn and spring, respectively) had expected adverse biological effects based on the suggested criterion by United States Environmental Protection Agency (USEPA), while most stations (80 and 53 % in autumn and spring, respectively) had uncertain adverse effects.
Verification of the new grading scale for ocular chronic graft-versus-host disease developed by the German-Austrian-Swiss consensus conference on chronic GVHD.

PubMed

Blecha, Christiane; Wolff, Daniel; Holler, Barbara; Holler, Ernst; Weber, Daniela; Vogt, Regine; Helbig, Horst; Dietrich-Ntoukas, Tina

2016-02-01

The purpose of the study was to validate a recently proposed new grading system for ocular manifestations of chronic graft-versus-host disease (cGVHD). Diagnosis of cGVHD was based on the NIH consensus criteria. In addition, a grading scale was applied, which has been developed by the German-Austrian-Swiss Consensus Conference on Clinical Practice in cGVHD. Sixty-six patients (male n = 46, female n = 20, mean age 48 years) with ocular cGVHD were included. Application of the proposed Consensus Conference grading revealed inflammatory activity in all patients with mild (33 %), moderate (44 %), or severe inflammation (23 %). Clinical scoring by the NIH scoring system showed that 6 % of patients had mild symptoms; 59 % of patients had moderate dry eye symptoms partially affecting activities of daily living, without vision impairment; and 35 % of patients had severe dry eye symptoms significantly affecting daily activities. Clinical characterization and grading by the Consensus Conference grading scale revealed that ocular cGVHD (1) frequently leads to severe ocular surface disease based on impaired function of the lacrimal glands and involvement of cornea, conjunctiva, and lids; (2) is mostly associated with ongoing inflammatory activity; (3) often leads to functional impairment and reduced quality of life; and (4) is associated with an increased risk for severe, sight-threatening complications.
Increasing precision of turbidity-based suspended sediment concentration and load estimates.

PubMed

Jastram, John D; Zipper, Carl E; Zelazny, Lucian W; Hyer, Kenneth E

2010-01-01

Turbidity is an effective tool for estimating and monitoring suspended sediments in aquatic systems. Turbidity can be measured in situ remotely and at fine temporal scales as a surrogate for suspended sediment concentration (SSC), providing opportunity for a more complete record of SSC than is possible with physical sampling approaches. However, there is variability in turbidity-based SSC estimates and in sediment loadings calculated from those estimates. This study investigated the potential to improve turbidity-based SSC, and by extension the resulting sediment loading estimates, by incorporating hydrologic variables that can be monitored remotely and continuously (typically 15-min intervals) into the SSC estimation procedure. On the Roanoke River in southwestern Virginia, hydrologic stage, turbidity, and other water-quality parameters were monitored with in situ instrumentation; suspended sediments were sampled manually during elevated turbidity events; samples were analyzed for SSC and physical properties including particle-size distribution and organic C content; and rainfall was quantified by geologic source area. The study identified physical properties of the suspended-sediment samples that contribute to SSC estimation variance and hydrologic variables that explained variability of those physical properties. Results indicated that the inclusion of any of the measured physical properties in turbidity-based SSC estimation models reduces unexplained variance. Further, the use of hydrologic variables to represent these physical properties, along with turbidity, resulted in a model, relying solely on data collected remotely and continuously, that estimated SSC with less variance than a conventional turbidity-based univariate model, allowing a more precise estimate of sediment loading, Modeling results are consistent with known mechanisms governing sediment transport in hydrologic systems.
Surviving critical illness: what is next? An expert consensus statement on physical rehabilitation after hospital discharge.

PubMed

Major, M E; Kwakman, R; Kho, M E; Connolly, B; McWilliams, D; Denehy, L; Hanekom, S; Patman, S; Gosselink, R; Jones, C; Nollet, F; Needham, D M; Engelbert, R H H; van der Schaaf, M

2016-10-29

The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors of critical illness? A Delphi consensus study was conducted. Panelists were included based on relevant fields of expertise, years of clinical experience, and publication record. A literature review determined five themes, forming the basis for Delphi round one, which was aimed at generating ideas. Statements were drafted and ranked on a 5-point Likert scale in two additional rounds with the objective to reach consensus. Results were expressed as median and semi-interquartile range, with the consensus threshold set at ≤0.5. Ten internationally established researchers and clinicians participated in this Delphi panel, with a response rate of 80 %, 100 %, and 100 % across three rounds. Consensus was reached on 88.5 % of the statements, resulting in a framework for PT after hospital discharge. Essential handover information should include information on 15 parameters. A core set of outcomes should test exercise capacity, skeletal muscle strength, function in activities of daily living, mobility, quality of life, and pain. PT interventions should include functional exercises, circuit and endurance training, strengthening exercises for limb and respiratory muscles, education on recovery, and a nutritional component. Screening tools to identify impairments in other health domains and referral to specialists are proposed. A consensus-based framework for optimal PT after hospital discharge is proposed. Future research should focus on feasibility testing of this framework, developing risk stratification tools and validating core outcome measures for ICU survivors.
Sediment source fingerprinting as an aid to catchment management: A review of the current state of knowledge and a methodological decision-tree for end-users.

PubMed

Collins, A L; Pulley, S; Foster, I D L; Gellis, A; Porto, P; Horowitz, A J

2017-06-01

The growing awareness of the environmental significance of fine-grained sediment fluxes through catchment systems continues to underscore the need for reliable information on the principal sources of this material. Source estimates are difficult to obtain using traditional monitoring techniques, but sediment source fingerprinting or tracing procedures, have emerged as a potentially valuable alternative. Despite the rapidly increasing numbers of studies reporting the use of sediment source fingerprinting, several key challenges and uncertainties continue to hamper consensus among the international scientific community on key components of the existing methodological procedures. Accordingly, this contribution reviews and presents recent developments for several key aspects of fingerprinting, namely: sediment source classification, catchment source and target sediment sampling, tracer selection, grain size issues, tracer conservatism, source apportionment modelling, and assessment of source predictions using artificial mixtures. Finally, a decision-tree representing the current state of knowledge is presented, to guide end-users in applying the fingerprinting approach. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.
An American Laboratory: Population Growth and Environmental Quality in California.

ERIC Educational Resources Information Center

McConnell, Robert

1993-01-01

Describes the cumulative impact of rapid population growth, industrial and military activity, agriculture, and motor vehicles on California's environmental and social fabric. Discusses these problems in California as a forecast for the nation and test to consensus-based U.S. representative government. (Author/ MCO)
The occurrence and potential ecological risk assessment of bauxite mine-impacted water and sediments in Kuantan, Pahang,Malaysia.

PubMed

Kusin, Faradiella Mohd; Rahman, Muhammad Syazwan Abd; Madzin, Zafira; Jusop, Shamshuddin; Mohamat-Yusuff, Ferdaus; Ariffin, Mariani; Z, Mohd Syakirin Md

2017-01-01

Recent bauxite mining activities in the vicinity of Kuantan, Pahang, have been associated with apparent environmental quality degradation and have raised environmental concerns among the public. This study was carried out to evaluate the overall ecological impacts on water and sediment quality from the bauxite mining activities. Water and sediment samples were collected at seven sampling locations within the bauxite mining areas between June and December 2015. The water samples were analyzed for water quality index (WQI) and distribution of major and trace element geochemistry. Sediment samples were evaluated based on geochemical indices, i.e., the enrichment factor (EF) and geoaccumulation index (I geo ). Potential ecological risk index was estimated to assess the degree to which sediments of the mine-impacted areas have been contaminated with heavy metals. The results showed that WQIs of some locations were classified as slightly polluted and contained metal contents exceeding the recommended guideline values. The EFs indicated minimal to moderate enrichment of metals (Pb, Cu, Zn, Mn, As, Cd, Cr, Ni, Co, and Sr) in the sediments. I geo showed slightly to partially polluted sediments with respect to As at some locations. The potential ecological risk index (RI) showed that As posed the highest potential ecological risk with RI of 52.35-60.92 at two locations, while other locations indicated low risk. The findings from this study have demonstrated the impact of recent bauxite mining activities, which might be of importance to the local communities and relevant authorities to initiate immediate rehabilitation phase of the impacted area.
PAH occurrence in chalk river systems from the Jura region (France). Pertinence of suspended particulate matter and sediment as matrices for river quality monitoring.

PubMed

Chiffre, Axelle; Degiorgi, François; Morin-Crini, Nadia; Bolard, Audrey; Chanez, Etienne; Badot, Pierre-Marie

2015-11-01

This study investigates the variations of polycyclic aromatic hydrocarbon (PAH) levels in surface water, suspended particulate matter (SPM) and sediment upstream and downstream of the discharges of two wastewater treatment plant (WWTP) effluents. Relationships between the levels of PAHs in these different matrices were also investigated. The sum of 16 US EPA PAHs ranged from 73.5 to 728.0 ng L(-1) in surface water and from 85.4 to 313.1 ng L(-1) in effluent. In SPM and sediment, ∑16PAHs ranged from 749.6 to 2,463 μg kg(-1) and from 690.7 μg kg(-1) to 3,625.6 μg kg(-1), respectively. Investigations performed upstream and downstream of both studied WWTPs showed that WWTP discharges may contribute to the overall PAH contaminations in the Loue and the Doubs rivers. Comparison between gammarid populations upstream and downstream of WWTP discharge showed that biota was impacted by the WWTP effluents. When based only on surface water samples, the assessment of freshwater quality did not provide evidence for a marked PAH contamination in either of the rivers studied. However, using SPM and sediment samples, we found PAH contents exceeding sediment quality guidelines. We conclude that sediment and SPM are relevant matrices to assess overall PAH contamination in aquatic ecosystems. Furthermore, we found a positive linear correlation between PAH contents of SPM and sediment, showing that SPM represents an integrating matrix which is able to provide meaningful data about the overall contamination over a given time span.

D:L-Amino Acid Modeling Reveals Fast Microbial Turnover of Days to Months in the Subsurface Hydrothermal Sediment of Guaymas Basin.

PubMed

Møller, Mikkel H; Glombitza, Clemens; Lever, Mark A; Deng, Longhui; Morono, Yuki; Inagaki, Fumio; Doll, Mechthild; Su, Chin-Chia; Lomstein, Bente A

2018-01-01

We investigated the impact of temperature on the microbial turnover of organic matter (OM) in a hydrothermal vent system in Guaymas Basin, by calculating microbial bio- and necromass turnover times based on the culture-independent D:L-amino acid model. Sediments were recovered from two stations near hydrothermal mounds (<74°C) and from one cold station (<9°C). Cell abundance at the two hydrothermal stations dropped from 10 8 to 10 6 cells cm -3 within ∼5 m of sediment depth resulting in a 100-fold lower cell number at this depth than at the cold site where numbers remained constant at 10 8 cells cm -3 throughout the recovered sediment. There were strong indications that the drop in cell abundance was controlled by decreasing OM quality. The quality of the sedimentary OM was determined by the diagenetic indicators %T AA C (percentage of total organic carbon present as amino acid carbon), %T AA N (percentage of total nitrogen present as amino acid nitrogen), aspartic acid:β-alanine ratios, and glutamic acid:γ-amino butyric acid ratios. All parameters indicated that the OM became progressively degraded with increasing sediment depth, and the OM in the hydrothermal sediment was more degraded than in the uniformly cold sediment. Nonetheless, the small community of microorganisms in the hydrothermal sediment demonstrated short turnover times. The modeled turnover times of microbial bio- and necromass in the hydrothermal sediments were notably faster (biomass: days to months; necromass: up to a few hundred years) than in the cold sediments (biomass: tens of years; necromass: thousands of years), suggesting that temperature has a significant influence on the microbial turnover rates. We suggest that short biomass turnover times are necessary for maintance of essential cell funtions and to overcome potential damage caused by the increased temperature.The reduced OM quality at the hyrothemal sites might thus only allow for a small population size of microorganisms.
Water-quality, bed-sediment, and biological data (October 1992 through September 1993) and statistical summaries of water-quality data (March 1985 through September 1993) for streams in the upper Clark Fork basin, Montana

USGS Publications Warehouse

Lambing, John H.

1994-01-01

Water, bed sediment, and biota were sampled in streams from Butte to below Missoula as part of a program to characterize aquatic resources in the upper Clark Fork basin of western Montana. Water-quality data were obtained periodically at 16 stations during October 1992 through September 1993 (water year 1993); daily suspended-sediment data were obtained at six of these stations. Bed-sediment and biological data were obtained at 11 stations in August 1993. Sampling stations were located on the Clark Fork and major tributaries. The primary constituents analyzed were trace elements associated with mine tailings from historic mining and smelting activities. Water-quality data include concentra- tions of major ions, trace elements, and suspended sediment in samples collected periodically during water year 1993. A statistical summary of water- quality data is provided for the period of record at each station since 1985. Daily values of streamflow, suspended-sediment concentration, and suspended-sediment discharge are given for six stations. Bed-sediment data include trace- element concentrations in the fine and bulk fractions. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Quality-assurance data are reported for analytical results of water, bed sediment, and biota.
What European gynaecologists need to master: Consensus on medical expertise outcomes of pan-European postgraduate training in obstetrics & gynaecology.

PubMed

van der Aa, Jessica E; Tancredi, Annalisa; Goverde, Angelique J; Velebil, Petr; Feyereisl, Jaroslav; Benedetto, Chiara; Teunissen, Pim W; Scheele, Fedde

2017-09-01

European harmonisation of training standards in postgraduate medical education in Obstetrics and Gynaecology is needed because of the increasing mobility of medical specialists. Harmonisation of training will provide quality assurance of training and promote high quality care throughout Europe. Pan-European training standards should describe medical expertise outcomes that are required from the European gynaecologist. This paper reports on consensus development on the medical expertise outcomes of pan-European training in Obstetrics and Gynaecology. A Delphi procedure was performed amongst European gynaecologists and trainees in Obstetrics & Gynaecology, to develop consensus on outcomes of training. The consensus procedure consisted of two questionnaire rounds, followed by a consensus meeting. To ensure reasonability and feasibility for implementation of the training standards in Europe, implications of the outcomes were considered in a working group thereafter. We invited 142 gynaecologists and trainees in Obstetrics & Gynaecology for participation representing a wide range of European countries. They were selected through the European Board & College of Obstetrics and Gynaecology and the European Network of Trainees in Obstetrics & Gynaecology. Sixty people participated in round 1 and 2 of the consensus procedure, 38 (63.3%) of whom were gynaecologists and 22 (36.7%) were trainees in Obstetrics & Gynaecology. Twenty-eight European countries were represented in this response. Round 3 of the consensus procedure was performed in a consensus meeting with six experts. Implications of the training outcomes were discussed in a working group meeting, to ensure reasonability and feasibility of the material for implementation in Europe. The entire consensus procedure resulted in a core content of training standards of 188 outcomes, categorised in ten topics. European consensus was developed regarding the medical expertise outcomes of pan-European training in Obstetrics and Gynaecology. The outcomes will be described in core trainings standards, aimed at harmonising training in Obstetrics and Gynaecology in Europe to promote high quality care. Copyright © 2017 Elsevier B.V. All rights reserved.
Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment: Conference Key Findings and Next Steps

PubMed Central

Wilfley, Denise E.; Staiano, Amanda E.; Altman, Myra; Lindros, Jeanne; Lima, Angela; Hassink, Sandra G.; Dietz, William H.; Cook, Stephen

2017-01-01

Objectives To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e. clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 hours over 6–12 months to improve weight status) and to expand payment for these services. Methods In July 2015, forty-three cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations. Results Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multi-disciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g. >25 hours) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended. Conclusion Continued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale-up training to ensure quality of care. PMID:27925451
Improving access and systems of care for evidence-based childhood obesity treatment: Conference key findings and next steps.

PubMed

Wilfley, Denise E; Staiano, Amanda E; Altman, Myra; Lindros, Jeanne; Lima, Angela; Hassink, Sandra G; Dietz, William H; Cook, Stephen

2017-01-01

To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e., clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 h over 6 to 12 months to improve weight status) and to expand payment for these services. In July 2015, 43 cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations. Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multidisciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g., >25 h) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended. Continued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale up training to ensure quality of care. © 2016 The Obesity Society.
Contaminant profiles for surface water, sediment, flora and fauna associated with the mangrove fringe along middle and lower eastern Tampa Bay.

PubMed

Lewis, M A; Russell, M J

2015-06-15

Contaminant concentrations are reported for surface water, sediment, flora and fauna collected during 2010-2011 from the mangrove fringe along eastern Tampa Bay, Florida. Concentrations of trace metals, chlorinated pesticides, atrazine, total polycyclic aromatic hydrocarbons, and polychlorinated biphenyls were species-, chemical- and location-specific. Contaminants in sediments did not exceed proposed individual sediment quality guidelines. Most sediment quality assessment quotients were less than one indicating the likelihood of no inhibitory effect based on chemical measurements alone. Faunal species typically contained more contaminants than plant species; seagrass usually contained more chemicals than mangroves. Bioconcentration factors for marine angiosperms were usually less than 10 and ranged between 1 and 31. Mercury concentrations (ppm) in blue crabs and fish did not exceed the U.S. Environmental Protection Agency fish tissue criterion of 0.3 and the U.S. Food and Drug Administration action level of 1.0. In contrast, total mercury concentrations in faunal species often exceeded guideline values for wildlife consumers of aquatic biota. Published by Elsevier Ltd.
Water-quality, bed-sediment, and biological data (October 2013 through September 2014) and statistical summaries of data for streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.

2015-12-24

This report presents the analytical results and qualityassurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2013 through September 2014. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. At 12 sites, dissolved organic carbon and turbidity samples were collected. In addition, nitrogen (nitrate plus nitrite) samples were collected at two sites. Daily values of mean suspended-sediment concentration and suspended-sediment discharge were determined for four sites. Seasonal daily values of turbidity were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in wholebody tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork Basin are provided for the period of record.
Multisite Evaluation of APEX for Water Quality: I. Best Professional Judgment Parameterization.

PubMed

Baffaut, Claire; Nelson, Nathan O; Lory, John A; Senaviratne, G M M M Anomaa; Bhandari, Ammar B; Udawatta, Ranjith P; Sweeney, Daniel W; Helmers, Matt J; Van Liew, Mike W; Mallarino, Antonio P; Wortmann, Charles S

2017-11-01

The Agricultural Policy Environmental eXtender (APEX) model is capable of estimating edge-of-field water, nutrient, and sediment transport and is used to assess the environmental impacts of management practices. The current practice is to fully calibrate the model for each site simulation, a task that requires resources and data not always available. The objective of this study was to compare model performance for flow, sediment, and phosphorus transport under two parameterization schemes: a best professional judgment (BPJ) parameterization based on readily available data and a fully calibrated parameterization based on site-specific soil, weather, event flow, and water quality data. The analysis was conducted using 12 datasets at four locations representing poorly drained soils and row-crop production under different tillage systems. Model performance was based on the Nash-Sutcliffe efficiency (NSE), the coefficient of determination () and the regression slope between simulated and measured annualized loads across all site years. Although the BPJ model performance for flow was acceptable (NSE = 0.7) at the annual time step, calibration improved it (NSE = 0.9). Acceptable simulation of sediment and total phosphorus transport (NSE = 0.5 and 0.9, respectively) was obtained only after full calibration at each site. Given the unacceptable performance of the BPJ approach, uncalibrated use of APEX for planning or management purposes may be misleading. Model calibration with water quality data prior to using APEX for simulating sediment and total phosphorus loss is essential. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
STAND, A DYNAMIC MODEL FOR SEDIMENT TRANSPORT AND WATER QUALITY. (R825758)

EPA Science Inventory

We introduce a new model–STAND (Sediment-Transport-Associated Nutrient Dynamics)–for simulating stream flow, sediment transport, and the interactions of sediment with other attributes of water quality. In contrast to other models, STAND employs a fully dynamic ba...
Effects of soil and precipitation dataset resolution on SWAT2005 sediment and total phosphorus simulation accuracy and outputs

USDA-ARS?s Scientific Manuscript database

The Fort Cobb Reservoir, which is within the Fort Cobb Reservoir Experimental watershed (FCREW) in Oklahoma, is on the Oklahoma 303(d) list (list of water bodies that do not meet the water quality standards as given in the Clean Water Act) based on sedimentation and trophic level of the lake associa...
Event-based design tool for construction site erosion and sediment controls

NASA Astrophysics Data System (ADS)

Trenouth, William R.; Gharabaghi, Bahram

2015-09-01

This paper provides additional discussion surrounding the novel event-based soil loss models developed by Trenouth and Gharabaghi (2015) for the design of erosion and sediment controls (ESCs) for various phases of construction - from pre-development to post-development conditions. The datasets for the study were obtained from three Ontario sites - Greensborough, Cookstown, and Alcona - in addition to datasets mined from the literature for three additional sites - Treynor, Iowa, Coshocton, Ohio and Cordoba, Spain. Model performances were evaluated for each of the study sites, and quantified using commonly-reported statistics. This work is nested within a broader conceptual framework, which includes the estimation of ambient receiving water quality, the prediction of event mean runoff quality for a given design storm, and the calculation of the required level of protection using adequate ESCs to meet receiving water quality guidelines. These models allow design engineers and regulatory agencies to assess the potential risk of ecological damage to receiving waters due to inadequate soil erosion and sediment control practices using dynamic scenario forecasting when considering rapidly changing land use conditions during various phases of construction, typically for a 2- or 5-year design storm return period.
Model based estimation of sediment erosion in groyne fields along the River Elbe

NASA Astrophysics Data System (ADS)

Prohaska, Sandra; Jancke, Thomas; Westrich, Bernhard

2008-11-01

River water quality is still a vital environmental issue, even though ongoing emissions of contaminants are being reduced in several European rivers. The mobility of historically contaminated deposits is key issue in sediment management strategy and remediation planning. Resuspension of contaminated sediments impacts the water quality and thus, it is important for river engineering and ecological rehabilitation. The erodibility of the sediments and associated contaminants is difficult to predict due to complex time depended physical, chemical, and biological processes, as well as due to the lack of information. Therefore, in engineering practice the values for erosion parameters are usually assumed to be constant despite their high spatial and temporal variability, which leads to a large uncertainty of the erosion parameters. The goal of presented study is to compare the deterministic approach assuming constant critical erosion shear stress and an innovative approach which takes the critical erosion shear stress as a random variable. Furthermore, quantification of the effective value of the critical erosion shear stress, its applicability in numerical models, and erosion probability will be estimated. The results presented here are based on field measurements and numerical modelling of the River Elbe groyne fields.
Numerical modelling of hydro-morphological processes dominated by fine suspended sediment in a stormwater pond

NASA Astrophysics Data System (ADS)

Guan, Mingfu; Ahilan, Sangaralingam; Yu, Dapeng; Peng, Yong; Wright, Nigel

2018-01-01

Fine sediment plays crucial and multiple roles in the hydrological, ecological and geomorphological functioning of river systems. This study employs a two-dimensional (2D) numerical model to track the hydro-morphological processes dominated by fine suspended sediment, including the prediction of sediment concentration in flow bodies, and erosion and deposition caused by sediment transport. The model is governed by 2D full shallow water equations with which an advection-diffusion equation for fine sediment is coupled. Bed erosion and sedimentation are updated by a bed deformation model based on local sediment entrainment and settling flux in flow bodies. The model is initially validated with the three laboratory-scale experimental events where suspended load plays a dominant role. Satisfactory simulation results confirm the model's capability in capturing hydro-morphodynamic processes dominated by fine suspended sediment at laboratory-scale. Applications to sedimentation in a stormwater pond are conducted to develop the process-based understanding of fine sediment dynamics over a variety of flow conditions. Urban flows with 5-year, 30-year and 100-year return period and the extreme flood event in 2012 are simulated. The modelled results deliver a step change in understanding fine sediment dynamics in stormwater ponds. The model is capable of quantitatively simulating and qualitatively assessing the performance of a stormwater pond in managing urban water quantity and quality.
Sedimentological characteristics and depositional processes of sediment gravity flows in rift basins: The Palaeogene Dongying and Shahejie formations, Bohai Bay Basin, China

NASA Astrophysics Data System (ADS)

Liu, Lei; Chen, Hongde; Zhong, Yijiang; Wang, Jun; Xu, Changgui; Chen, Anqing; Du, Xiaofeng

2017-10-01

Sediment gravity flow deposits are common, particularly in sandy formations, but their origin has been a matter of debate and there is no consensus about the classification of such deposits. However, sediment gravity flow sandstones are economically important and have the potential to meet a growing demand in oil and gas exploration, so there is a drive to better understand them. This study focuses on sediment gravity flow deposits identified from well cores in Palaeogene deposits from the Liaodong Bay Depression in Bohai Bay Basin, China. We classify the sediment gravity flow deposits into eight lithofacies using lithological characteristics, grain size, and sedimentary structures, and interpret the associated depositional processes. Based on the scale, spatial distribution, and contact relationships of sediment gravity flow deposits, we defined six types of lithofacies associations (LAs) that reflect transformation processes and depositional morphology: LA1 (unconfined proximal breccia deposits), LA2 (confined channel deposits), LA3 (braided-channel lobe deposits), LA4 (unconfined lobe deposits), LA5 (distal sheet deposits), and LA6 (non-channelized sheet deposits). Finally, we established three depositional models that reflect the sedimentological characteristics and depositional processes of sediment gravity flow deposits: (1) slope-apron gravel-rich depositional model, which involves cohesive debris flows deposited as LA1 and dilute turbidity currents deposited as LA5; (2) non-channelized surge-like turbidity current depositional model, which mainly comprises sandy slumping, suspended load dominated turbidity currents, and dilute turbidity currents deposited as LA5 and LA6; and (3) channelized subaqueous-fan depositional model, which consists of non-cohesive bedload dominated turbidity currents, suspended load dominated turbidity currents, and dilute turbidity currents deposited as LA2-LA5, originating from sustained extrabasinal turbidity currents (hyperpycnal flow). The depositional models may be applicable to oil and gas exploration and production from sediment gravity flow systems in similar lacustrine depositional environments elsewhere.
The inland water macro-invertebrate occurrences in Flanders, Belgium.

PubMed

Vannevel, Rudy; Brosens, Dimitri; Cooman, Ward De; Gabriels, Wim; Frank Lavens; Mertens, Joost; Vervaeke, Bart

2018-01-01

The Flanders Environment Agency (VMM) has been performing biological water quality assessments on inland waters in Flanders (Belgium) since 1989 and sediment quality assessments since 2000. The water quality monitoring network is a combined physico-chemical and biological network, the biological component focusing on macro-invertebrates. The sediment monitoring programme produces biological data to assess the sediment quality. Both monitoring programmes aim to provide index values, applying a similar conceptual methodology based on the presence of macro-invertebrates. The biological data obtained from both monitoring networks are consolidated in the VMM macro-invertebrates database and include identifications at family and genus level of the freshwater phyla Coelenterata, Platyhelminthes, Annelida, Mollusca, and Arthropoda. This paper discusses the content of this database, and the dataset published thereof: 282,309 records of 210 observed taxa from 4,140 monitoring sites located on 657 different water bodies, collected during 22,663 events. This paper provides some background information on the methodology, temporal and spatial coverage, and taxonomy, and describes the content of the dataset. The data are distributed as open data under the Creative Commons CC-BY license.
A preliminary evaluation of sediment quality assessment values for freshwater ecosystems

USGS Publications Warehouse

Smith, Sherri L.; MacDonald, Donald D.; Keenleyside, Karen A.; Ingersoll, Christopher G.; Field, L. Jay

1996-01-01

Sediment quality assessment values were developed using a weight of evidence approach in which matching biological and chemical data from numerous modelling, laboratory, and field studies performed on freshwater sediments were compiled and analyzed. Two assessment values (a threshold effect level (TEL) and a probable effect level(PEL)) were derived for 23 substances, including eight trace metals, six individual polycyclic aromatic hydrocarbons (PAHs), total polychlorinated biphenyls (PCBs), and eight pesticides. The two values defined three ranges of chemical concentrations; those that were (1) rarely, (2) occasionally, and (3) frequently associated with adverse biological effects. An evaluation of the percent incidence of adverse biological effects within the three concentration ranges indicated that the reliability of the TELs (i.e., the degree to which the TELs represent concentrations within the data set below which adverse effects rarely occur) was consistently good. However, this preliminary evaluation indicated that most of the PELs were less reliable (i.e., they did not adequately represent concentrations within the data set above which adverse effects frequently occur). Nonetheless, these values were often comparable to other biological effects-based assessment values (which were themselves reliable), which increased the level of confidence that could be placed in our values. This method is being used as a basis for developing national sediment quality guidelines for freshwater systems in Canada and sediment effect concentrations as part of the Assessment and Remediation of Contaminated Sediments (ARCS) program in the Great Lakes.
Rapid Assessment of Logging-Associated Sediment-Delivery Pathways in an Intensively-Managed Forested Watershed in the Southern Cascades, Northern California

NASA Astrophysics Data System (ADS)

Coe, D. B.; Wopat, M. A.; Lindsay, D.; Stanish, S.; Boone, M.; Beck, B.; Wyman, A.; Bull, J.

2012-12-01

The potential for water-quality impacts in intensively-managed forested watersheds depends partly upon the frequency of overland flow paths linking logging-related hillslope sediment sources to the channel network, as well as the volume of sediment delivered along these flow paths. In response to public concerns over perceived water-quality impacts from clearcut timber harvesting, the Battle Creek Task Force, composed of subject-matter experts from 4 different state agencies, performed a rapid assessment for visible evidence of sediment delivery pathways from multiple logging-associated features in the upper Battle Creek watershed - an area underlain predominantly by Holocene- and Late Pleistocene-aged volcanic rock types, with highly permeable soils, and relatively few streams. Logging-associated features were selected for assessment based on erosion potential and proximity to stream channels. Identified sediment-delivery pathways were then characterized by dominant erosion process and the relative magnitude of sediment delivery (i.e., low, moderate, and high) was estimated. Approximately 26 km of stream buffers adjacent to 55 clearcut harvest units were assessed, and the single detected instance of sediment delivery was found to be of low magnitude and the result of illegal encroachment by logging equipment into a 5-m wide stream-adjacent equipment-limitation zone. The proportion of sampled sites delivering sediment was found to be highest for tractor-stream crossings, followed by road-stream crossings, stream-adjacent road segments, stream-adjacent landings, and clearcut harvest units, respectively. All 5 tractor-stream crossings delivered sediment, but were generally delivering a low magnitude of sediment derived from sheetwash and rilling. Road-stream crossings (n=39) and stream-adjacent road segments (n=24) delivered observable sediment 69 and 67 percent of the time, respectively. The highest magnitudes of sediment delivery from roads were associated with substandard design or maintenance practices (e.g., poor road drainage) and/or poor location (e.g., roads less than 15 m from a stream), but the magnitude of sediment delivery was generally low or unobservable where Best Management Practices (BMPs) had been implemented. Conceptually, water-quality impacts are limited by the low density of streams in the watershed, relatively low hillslope gradients, relatively high permeability of the soils, and the implementation of BMPs. Assessment results suggest that direct water-quality impacts from overland flow paths in these types of watersheds are best minimized by disconnecting flow paths linking roads to streams, and by implementing BMPs.
Water Resources Data for California, 1965; Part 2: Water Quality Records

USGS Publications Warehouse

1965-01-01

Water quality information is presented for chemical quality, fluvial sediment, and water temperatures. The chemical quality includes concentrations of individual dissolved constituents and certain properties or characteristics such as hardness, sodium-adsorption-ratio, specific conductance, and pH. Fluvial sediment information is given for suspended-sediment discharges and concentrations and for particle-size distribution of suspended sediment and bed material. Water temperature data represent once-daily observations except for stations where a continuous temperature recorder furnishes information from which daily minimums and maximums are obtained.
Water Resources Data for California, 1966; Part 2: Water Quality Records

USGS Publications Warehouse

1967-01-01

Water-quality information is presented for chemical quality, fluvial sediment, and water temperatures. The chemical quality includes concentrations of individual dissolved constituents and certain properties or characteristics such as hardness, sodium-adsorption ratio, specific conductance, and pH. Fluvial-sediment information is given for suspended-sediment discharges and concentrations and for particle-size distribution of suspended sediment and bed material. Water-temperature data represent once-daily observations except for stations where a continuous temperature recorder furnishes information from which daily minimums and maximums are obtained.
Pharmacologic management of chronic neuropathic pain

PubMed Central

Mu, Alex; Weinberg, Erica; Moulin, Dwight E.; Clarke, Hance

2017-01-01

Abstract Objective To provide family physicians with a practical clinical summary of the Canadian Pain Society (CPS) revised consensus statement on the pharmacologic management of neuropathic pain. Quality of evidence A multidisciplinary interest group within the CPS conducted a systematic review of the literature on the current treatments of neuropathic pain in drafting the revised consensus statement. Main message Gabapentinoids, tricyclic antidepressants, and serotonin-norepinephrine reuptake inhibitors are the first-line agents for treating neuropathic pain. Tramadol and other opioids are recommended as second-line agents, while cannabinoids are newly recommended as third-line agents. Other anticonvulsants, methadone, tapentadol, topical lidocaine, and botulinum toxin are recommended as fourth-line agents. Conclusion Many pharmacologic analgesics exist for the treatment of neuropathic pain. Through evidence-based recommendations, the CPS revised consensus statement helps guide family physicians in the management of patients with neuropathic pain. PMID:29138154

Integrated quality assessment of sediments from harbour areas in Santos-São Vicente Estuarine System, Southern Brazil

NASA Astrophysics Data System (ADS)

Buruaem, Lucas Moreira; de Castro, Ítalo Braga; Hortellani, Marcos Antonio; Taniguchi, Satie; Fillmann, Gilberto; Sasaki, Silvio Tarou; Varella Petti, Mônica Angélica; Sarkis, Jorge Eduardo de Souza; Bícego, Márcia Caruso; Maranho, Luciane Alves; Davanso, Marcela Bergo; Nonato, Edmundo Ferraz; Cesar, Augusto; Costa-Lotufo, Leticia Veras; Abessa, Denis Moledo de Souza

2013-09-01

Santos-São Vicente Estuarine System is a highly populated coastal zone in Brazil and where it is located the major port of Latin America. Historically, port activities, industrial and domestic effluents discharges have constituted the main sources of contaminants to estuarine system. This study aimed to assess the recent status of sediment quality from 5 zones of Port of Santos by applying a lines-of-evidence approach through integrating results of: (1) acute toxicity of whole sediment and chronic toxicity of liquid phases; (2) grain size, organic matter, organic carbon, nitrogen, phosphorus, trace metals, polycyclic aromatic hydrocarbons, linear alkylbenzenes and butyltins; (3) benthic community descriptors. Results revealed a gradient of increasing contamination for metals and organic compounds, alongside with their geochemical carriers. Sediment liquid phases were more toxic compared to whole sediment. Low number of species and individuals indicated the impoverishment of benthic community. The use of site-specific sediment quality guidelines was more appropriate to predict sediment toxicity. The integration of results through Sediment Quality Triad approach and principal component analysis allowed observing the effects of natural stressors and dredging on sediment quality and benthic distribution. Even with recent governmental efforts to control, pollution is still relevant in Port of Santos and a threat to local ecosystems.
Distribution of heavy metals and environmental assessment of surface sediment of typical estuaries in eastern China.

PubMed

Bi, Shipu; Yang, Yuan; Xu, Chengfen; Zhang, Yong; Zhang, Xiaobo; Zhang, Xianrong

2017-08-15

Estuary sediment is a major pollutant enrichment medium and is an important biological habitat. This sediment has attracted the attention of the marine environmental scientists because it is a more stable and effective medium than water for monitoring regional environmental quality conditions and trends. Based on a large amount of measurement data, we analyzed the concentrations, distribution, and sources of seven heavy metals (As, Cd, Cr, Cu, Hg, Pb, and Zn) in the surface sediment of typical estuaries that empty into the sea in eastern China: the Liaohe River Estuary, Yellow River Estuary, Yangtze River Estuary, Minjiang River Estuary, and Pearl River Estuary. The heavy metal concentrations in the sediments vary considerably from one estuary to the next. The Liaohe River Estuary sediment contains elevated levels of Cd, Hg, and Zn. The Yellow River Estuary sediment contains elevated levels of As. The sediments in the Yangtze River and Minjiang River estuaries contain elevated levels of Cd and Cu and of Pb and Zn, respectively. The sediment in the Pearl River Estuary contains elevated levels of all seven heavy metals. We used the Nemerow index method to assess the environment quality. The heavy metal pollution in the Liaohe River and Pearl River estuaries is more severe than that in the other estuaries. Additional work indicates that the heavy metal pollution in the Liaohe River and Pearl River estuaries is caused mainly by human activity. Copyright © 2017. Published by Elsevier Ltd.
Agitation in cognitive disorders: International Psychogeriatric Association provisional consensus clinical and research definition.

PubMed

Cummings, Jeffrey; Mintzer, Jacobo; Brodaty, Henry; Sano, Mary; Banerjee, Sube; Devanand, D P; Gauthier, Serge; Howard, Robert; Lanctôt, Krista; Lyketsos, Constantine G; Peskind, Elaine; Porsteinsson, Anton P; Reich, Edgardo; Sampaio, Cristina; Steffens, David; Wortmann, Marc; Zhong, Kate

2015-01-01

Agitation is common across neuropsychiatric disorders and contributes to disability, institutionalization, and diminished quality of life for patients and their caregivers. There is no consensus definition of agitation and no widespread agreement on what elements should be included in the syndrome. The International Psychogeriatric Association formed an Agitation Definition Work Group (ADWG) to develop a provisional consensus definition of agitation in patients with cognitive disorders that can be applied in epidemiologic, non-interventional clinical, pharmacologic, non-pharmacologic interventional, and neurobiological studies. A consensus definition will facilitate communication and cross-study comparison and may have regulatory applications in drug development programs. The ADWG developed a transparent process using a combination of electronic, face-to-face, and survey-based strategies to develop a consensus based on agreement of a majority of participants. Nine-hundred twenty-eight respondents participated in the different phases of the process. Agitation was defined broadly as: (1) occurring in patients with a cognitive impairment or dementia syndrome; (2) exhibiting behavior consistent with emotional distress; (3) manifesting excessive motor activity, verbal aggression, or physical aggression; and (4) evidencing behaviors that cause excess disability and are not solely attributable to another disorder (psychiatric, medical, or substance-related). A majority of the respondents rated all surveyed elements of the definition as "strongly agree" or "somewhat agree" (68-88% across elements). A majority of the respondents agreed that the definition is appropriate for clinical and research applications. A provisional consensus definition of agitation has been developed. This definition can be used to advance interventional and non-interventional research of agitation in patients with cognitive impairment.
Standard operating procedures for ESPEN guidelines and consensus papers.

PubMed

Bischoff, Stephan C; Singer, Pierre; Koller, Michael; Barazzoni, Rocco; Cederholm, Tommy; van Gossum, André

2015-12-01

The ESPEN Guideline standard operating procedures (SOP) is based on the methodology provided by the Association of Scientific Medical Societies of Germany (AWMF), the Scottish Intercollegiate Guidelines Network (SIGN), and the Centre for Evidence-based Medicine at the University of Oxford. The SOP is valid and obligatory for all future ESPEN-sponsored guideline projects aiming to generate high-quality guidelines on a regular basis. The SOP aims to facilitate the preparation of guideline projects, to streamline the consensus process, to ensure quality and transparency, and to facilitate the dissemination and publication of ESPEN guidelines. To achieve this goal, the ESPEN Guidelines Editorial board (GEB) has been established headed by two chairmen. The GEB will support and supervise the guideline processes and is responsible for the strategic planning of ESPEN guideline activities. Key elements of the SOP are the generation of well-built clinical questions according to the PICO system, a systemic literature search, a classification of the selected literature according to the SIGN evidence levels providing an evidence table, and a clear and straight-forward consensus procedure consisting of online voting's and a consensus conference. Only experts who meet the obligation to disclosure any potential conflict of interests and who are not employed by the Industry can participate in the guideline process. All recommendations will be graded according to the SIGN grading and novel outcome models besides biomedical endpoints. This approach will further extent the leadership of ESPEN in creating up-to-date and suitable for implementation guidelines and in sharing knowledge on malnutrition and clinical nutrition. Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
Global Consensus Recommendations on Prevention and Management of Nutritional Rickets.

PubMed

Munns, Craig F; Shaw, Nick; Kiely, Mairead; Specker, Bonny L; Thacher, Tom D; Ozono, Keiichi; Michigami, Toshimi; Tiosano, Dov; Mughal, M Zulf; Mäkitie, Outi; Ramos-Abad, Lorna; Ward, Leanne; DiMeglio, Linda A; Atapattu, Navoda; Cassinelli, Hamilton; Braegger, Christian; Pettifor, John M; Seth, Anju; Idris, Hafsatu Wasagu; Bhatia, Vijayalakshmi; Fu, Junfen; Goldberg, Gail; Sävendahl, Lars; Khadgawat, Rajesh; Pludowski, Pawel; Maddock, Jane; Hyppönen, Elina; Oduwole, Abiola; Frew, Emma; Aguiar, Magda; Tulchinsky, Ted; Butler, Gary; Högler, Wolfgang

2016-01-01

Vitamin D and calcium deficiencies are common worldwide, causing nutritional rickets and osteomalacia, which have a major impact on health, growth, and development of infants, children, and adolescents; the consequences can be lethal or can last into adulthood. The goals of this evidence-based consensus document are to provide health care professionals with guidance for prevention, diagnosis, and management of nutritional rickets and to provide policy makers with a framework to work toward its eradication. A systematic literature search examining the definition, diagnosis, treatment, and prevention of nutritional rickets in children was conducted. Evidence-based recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system that describes the strength of the recommendation and the quality of supporting evidence. Thirty-three nominated experts in pediatric endocrinology, pediatrics, nutrition, epidemiology, public health, and health economics evaluated the evidence on specific questions within five working groups. The consensus group, representing 11 international scientific organizations, participated in a multiday conference in May 2014 to reach a global evidence-based consensus. This consensus document defines nutritional rickets and its diagnostic criteria and describes the clinical management of rickets and osteomalacia. Risk factors, particularly in mothers and infants, are ranked, and specific prevention recommendations including food fortification and supplementation are offered for both the clinical and public health contexts. Rickets, osteomalacia, and vitamin D and calcium deficiencies are preventable global public health problems in infants, children, and adolescents. Implementation of international rickets prevention programs, including supplementation and food fortification, is urgently required. © 2016 S. Karger AG, Basel and The Endocrine Society.
Global Consensus Recommendations on Prevention and Management of Nutritional Rickets

PubMed Central

Munns, Craig F.; Shaw, Nick; Kiely, Mairead; Specker, Bonny L.; Thacher, Tom D.; Ozono, Keiichi; Michigami, Toshimi; Tiosano, Dov; Mughal, M. Zulf; Mäkitie, Outi; Ramos-Abad, Lorna; Ward, Leanne; DiMeglio, Linda A.; Atapattu, Navoda; Cassinelli, Hamilton; Braegger, Christian; Pettifor, John M.; Seth, Anju; Idris, Hafsatu Wasagu; Bhatia, Vijayalakshmi; Fu, Junfen; Goldberg, Gail; Sävendahl, Lars; Khadgawat, Rajesh; Pludowski, Pawel; Maddock, Jane; Hyppönen, Elina; Oduwole, Abiola; Frew, Emma; Aguiar, Magda; Tulchinsky, Ted; Butler, Gary

2016-01-01

Background: Vitamin D and calcium deficiencies are common worldwide, causing nutritional rickets and osteomalacia, which have a major impact on health, growth, and development of infants, children, and adolescents; the consequences can be lethal or can last into adulthood. The goals of this evidence-based consensus document are to provide health care professionals with guidance for prevention, diagnosis, and management of nutritional rickets and to provide policy makers with a framework to work toward its eradication. Evidence: A systematic literature search examining the definition, diagnosis, treatment, and prevention of nutritional rickets in children was conducted. Evidence-based recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system that describe the strength of the recommendation and the quality of supporting evidence. Process: Thirty-three nominated experts in pediatric endocrinology, pediatrics, nutrition, epidemiology, public health, and health economics evaluated the evidence on specific questions within five working groups. The consensus group, representing 11 international scientific organizations, participated in a multiday conference in May 2014 to reach a global evidence-based consensus. Results: This consensus document defines nutritional rickets and its diagnostic criteria and describes the clinical management of rickets and osteomalacia. Risk factors, particularly in mothers and infants, are ranked, and specific prevention recommendations including food fortification and supplementation are offered for both the clinical and public health contexts. Conclusion: Rickets, osteomalacia, and vitamin D and calcium deficiencies are preventable global public health problems in infants, children, and adolescents. Implementation of international rickets prevention programs, including supplementation and food fortification, is urgently required. PMID:26745253
Cairo consensus on the IVF laboratory environment and air quality: report of an expert meeting.

PubMed

Mortimer, D; Cohen, J; Mortimer, S T; Fawzy, M; McCulloh, D H; Morbeck, D E; Pollet-Villard, X; Mansour, R T; Brison, D R; Doshi, A; Harper, J C; Swain, J E; Gilligan, A V

2018-03-02

This proceedings report presents the outcomes from an international Expert Meeting to establish a consensus on the recommended technical and operational requirements for air quality within modern assisted reproduction technology (ART) laboratories. Topics considered included design and construction of the facility, as well as its heating, ventilation and air conditioning system; control of particulates, micro-organisms (bacteria, fungi and viruses) and volatile organic compounds (VOCs) within critical areas; safe cleaning practices; operational practices to optimize air quality while minimizing physicochemical risks to gametes and embryos (temperature control versus air flow); and appropriate infection-control practices that minimize exposure to VOC. More than 50 consensus points were established under the general headings of assessing site suitability, basic design criteria for new construction, and laboratory commissioning and ongoing VOC management. These consensus points should be considered as aspirational benchmarks for existing ART laboratories, and as guidelines for the construction of new ART laboratories. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.
The legacy of leaded gasoline in bottom sediment of small rural reservoirs

USGS Publications Warehouse

Juracek, K.E.; Ziegler, A.C.

2006-01-01

The historical and ongoing lead (Pb) contamination caused by the 20th-century use of leaded gasoline was investigated by an analysis of bottom sediment in eight small rural reservoirs in eastern Kansas, USA. For the reservoirs that were completed before or during the period of maximum Pb emissions from vehicles (i.e., the 1940s through the early 1980s) and that had a major highway in the basin, increased Pb concentrations reflected the pattern of historical leaded gasoline use. For at least some of these reservoirs, residual Pb is still being delivered from the basins. There was no evidence of increased Pb deposition for the reservoirs completed after the period of peak Pb emissions and (or) located in relatively remote areas with little or no highway traffic. Results indicated that several factors affected the magnitude and variability of Pb concentrations in reservoir sediment including traffic volume, reservoir age, and basin size. The increased Pb concentrations at four reservoirs exceeded the U.S. Environmental Protection Agency threshold-effects level (30.2 mg kg-1) and frequently exceeded a consensus-based threshold-effects concentration (35.8 mg kg-1) for possible adverse biological effects. For two reservoirs it was estimated that it will take at least 20 to 70 yr for Pb in the newly deposited sediment to return to baseline (pre-1920s) concentrations (30 mg kg-1) following the phase out of leaded gasoline. The buried sediment with elevated Pb concentrations may pose a future environmental concern if the reservoirs are dredged, the dams are removed, or the dams fail. ?? ASA, CSSA, SSSA.
Water quality in relation to vegetative buffers around sinkholes in karst terrain

USGS Publications Warehouse

Petersen, A.; Vondracek, B.

2006-01-01

There are approximately 8,340 mapped sinkholes in karst terrain of southeast Minnesota. Most sinkholes are adjacent to row crops that likely contribute pollutants to surface waters and aquifers. Vegetated buffers can improve water quality by reducing sediment, fertilizers, pesticides, and other potential contaminants from runoff, and may benefit water quality when placed around sinkholes. We evaluated sediment, nitrogen, phosphorus, and runoff for buffers from 2.5 to 30 m (8.3 to 98 ft) wide with a spreadsheet model. We found buffers 30 m (98 ft) wide may reduce pollution by 80 percent, although buffers 15 m (49 ft) wide may be most cost effective. Buffers could contribute to goals of reducing sediment, nitrogen, and phosphorus loads in Minnesota waters. Buffers 15 m (49 ft) wide around all sinkholes would retire approximately 436 ha (1,077 ac) of land from production and cost approximately $260,000 yr-1 based on Conservation Reserve Program payments, while requiring <14 percent of the budget of the program for groundwater protection in southeast Minnesota.
Water-Quality, Bed-Sediment, and Biological Data (October 2004 through September 2005) and Statistical Summaries of Data for Streams in the Upper Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2006-01-01

Water, bed sediment, and biota were sampled in streams from Butte to below Missoula as part of a long-term monitoring program, conducted in cooperation with the U.S. Environmental Protection Agency, to characterize aquatic resources in the upper Clark Fork basin of western Montana. Sampling sites were located on the Clark Fork, six major tributaries, and three smaller tributaries. Water-quality samples were collected periodically at 18 sites during October 2004 through September 2005 (water year 2005). Bed-sediment and biological samples were collected once in August 2005. The primary constituents analyzed were trace elements associated with tailings from historical mining and smelting activities. This report summarizes the results of water-quality, bed-sediment, and biota samples col-lected in water year 2005 and provides statistical summaries of data collected since 1985. Water-quality data for samples collected periodically from streams include concentrations of selected major ions, trace ele-ments, and suspended sediment. Daily values of suspended-sed-iment concentration and suspended-sediment discharge were determined for three sites. Bed-sediment data include trace-ele-ment concentrations in the fine-grained fraction. Bio-logical data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Quality-assurance data are reported for analytical results of water, bed sediment, and biota. Statistical summaries of water-quality, bed-sediment, and biological data are provided for the period of record since 1985 for each site.
The Connection Between Sediment Supply and Paired Strath Terrace Formation at Arroyo Seco, CA, USA.

NASA Astrophysics Data System (ADS)

Finnegan, N. J.

2015-12-01

Although wide, longitudinally traceable, paired strath terraces in river canyons are frequently argued to reflect periods of higher sediment supply, there is no consensus on how changes in sediment supply translate into dramatic changes in valley morphology. Here, quantitative analysis of LiDAR data is combined with field observations in Arroyo Seco, in the Santa Lucia Range of Central California, to develop a conceptual model for paired bedrock terrace formation and its connection to sediment supply. The most recently formed bedrock terrace in Arroyo Seco grades onto a prominent alluvial fan surface, suggesting that planation of straths in Arroyo Seco occurs as downstream alluvial fans aggrade. This aggradation apparently buffers Arroyo Seco's bedrock channel from base level fall on the Reliz Canyon Fault, which separates the bedrock and alluvial sections of the river. Notably, despite the fact that bedrock terraces grade smoothly onto alluvial fan surfaces, the deep aggradation of sediment downstream is not seen upstream in bedrock channel sections. Gravel on straths is typically only 0.5-1 m thick. Instead, excess gravel appears to be accommodated by the lateral planation of the wide strath itself. LiDAR evidence suggests that strath planation is associated with braiding, which is often triggered by increases in sediment supply. Given the high lateral mobility of braided streams and the extremely fractured (and hence easily detached) mudstone valley walls along Arroyo Seco, braiding provides a simple connection between sediment supply and lateral planation in Arroyo Seco. In Arroyo Seco, fan incision (under decreased sediment supply) should exhume a bedrock step whose height represents the accumulated fault slip during fan aggradation. The upstream propagation of this exhumed step as a knickpoint provides a simple mechanism to connect drops in sediment supply to rapid vertical incision, valley narrowing and strath terrace formation. Long profile data for Arroyo Seco shows clear evidence that the last two generations of strath terraces terminate upstream at knickpoints. OSL dating (Taylor and Sweetkind, 2014) constrains the formation of the two most recent strath terraces to the last ~ 35 kyr, implying at least two reductions in sediment supply relative to capacity during this interval.
NEAR-COASTAL SEDIMENT AS A HABITAT IN THE GULF OF MEXICO: CHEMICAL QUALITY, TOXICITY, AND BENTHIC COMMUNITY COMPOSITION

EPA Science Inventory

Sediment quality was determined in a multiyear study for 108 near-coastal sites located in Mississippi, Alabama and Florida. The primary objective of the study was to determine the relative impact of common stressor sources on sediment quality utilizing a weight-of-evidence appro...
IMPACT OF STORM-WATER OUTFALLS ON SEDIMENT QUALITY IN CORPUS CHRISTI BAY, TEXAS, USA

EPA Science Inventory

To determine the quality of sediments and extent of contaminant impacts, a Sediment Quality Triad (SQT) study was conducted at 36 sites in the Corpus Christi Bay, Texas, USA, system. Fifteen of the 36 sites were located near storm-water outfalls, but 13 other sites (i.e., industr...
Water quality variability in San Francisco Bay, Some gGeneral lessons from 1996 sampling: 1996 annual report, San Francisco estuary regional monitoring program for trace substances

USGS Publications Warehouse

Cloern, J.E.; Cole, B.E.; Edmunds, J.L.; Baylosis, J.I.

1997-01-01

This report describes the results from the 1996 Regional Monitoring Program for Trace Substances (RMP). It is the fourth Annual Report from the RMP which began in 1993 and attempts to synthesize the most obvious data patterns from the last four years. This report includes data from Base Program monitoring activities, as well as results of Pilot and Special Studies conducted or completed in 1996. Additionally, several articles contributed by RMP investigators and others, are included. These articles provide perspective and insight on important contaminant issues identified by the RMP. This summary addresses which kinds of pollutants measured by the RMP appear to be at levels that warrant concern, what kinds of trends may be discerned, and which stations have consistently shown elevated contaminant levels. The goals or general objectives of the RMP are: 1. To obtain high quality baseline data describing the concentrations of toxic and potentially toxic trace elements and organic contaminants in the water and sediment of the San Francisco Estuary. 2. To determine seasonal and annual trends in chemical and biological water quality in the San Francisco Estuary. 3. To continue to develop a data set that can be used to determine long-term trends in the concentrations of toxic and potentially toxic trace elements and organic contaminants in the water and sediments of the San Francisco Estuary. 4. To determine whether water quality and sediment quality in the Estuary at large are in compliance with objectives established by the Basin Plan (the regulatory planning document used by the Regional Water Quality Control Board). 5. To provide a database on water and sediment quality in the Estuary which is compatible with data being developed in other ongoing studies, including wasteload allocation studies and model development, sediment quality objectives development, in-bay studies of dredged material disposal, Interagency Ecological Program (IEP) water quality studies, primary productivity studies, local effects biomonitoring programs, and state and federal mussel watch programs.
The Norwegian General Practice--Nursing Home criteria (NORGEP-NH) for potentially inappropriate medication use: A web-based Delphi study.

PubMed

Nyborg, Gunhild; Straand, Jørund; Klovning, Atle; Brekke, Mette

2015-06-01

To develop a set of explicit criteria for pharmacologically inappropriate medication use in nursing homes. In an expert panel, a three-round Delphi consensus process was conducted via survey software. Norway. Altogether 80 participants - specialists in geriatrics or clinical pharmacology, physicians in nursing homes and experienced pharmacists - agreed to participate in the survey. Of these, 62 completed the first round, and 49 panellists completed all three rounds (75.4% of those ultimately entering the survey). The authors developed a list of 27 criteria based on the Norwegian General Practice (NORGEP) criteria, literature, and clinical experience. The main outcome measure was the panellists' evaluation of the clinical relevance of each suggested criterion on a digital Likert scale from 1 (no clinical relevance) to 10. In the first round panellists could also suggest new criteria to be included in the process. For each criterion, degree of consensus was based on the average Likert score and corresponding standard deviation (SD). A list of 34 explicit criteria for potentially inappropriate medication use in nursing homes was developed through a three-round web-based Delphi consensus process. Degree of consensus increased with each round. No criterion was voted out. Suggestions from the panel led to the inclusion of seven additional criteria in round two. The NORGEP-NH list may serve as a tool in the prescribing process and in medication list reviews and may also be used in quality assessment and for research purposes.
Development and evaluation of sediment quality guidelines for Florida coastal waters

USGS Publications Warehouse

MacDonald, Donald D.; Carr, R. Scott; Calder, Fred D.; Long, Edward R.; Ingersoll, Christopher G.

1996-01-01

The weight-of-evidence approach to the development of sediment quality guidelines (SQGs) was modified to support the derivation of biological effects-based SQGs for Florida coastal waters. Numerical SQGs were derived for 34 substances, including nine trace metals, 13 individual polycyclic aromatic hydrocarbons (PAHs), three groups of PAHs, total polychlorinated biphenyls (PCBs), seven pesticides and one phthalate ester. For each substance, a threshold effects level (TEL) and a probable effects level (PEL) was calculated. These two values defined three ranges of chemical concentrations, including those that were (1) rarely, (2) occasionally or (3) frequently associated with adverse effects. The SQGs were then evaluated to determine their degree of agreement with other guidelines (an indicator of comparability) and the percent incidence of adverse effects within each concentration range (an indicator of reliability). The guidelines also were used to classify (using a dichotomous system: toxic, with one or more exceedances of the PELs or non-toxic, with no exceedances of the TELs) sediment samples collected from various locations in Florida and the Gulf of Mexico. The accuracy of these predictions was then evaluated using the results of the biological tests that were performed on the same sediment samples. The resultant SQGs were demonstrated to provide practical, reliable and predictive tools for assessing sediment quality in Florida and elsewhere in the southeastern portion of the United States.
Ecological risk assessment of heavy metals from the surficial sediments of a shallow coastal lagoon, Egypt.

PubMed

Abdallah, Maha Ahmed Mohamed

2011-07-01

Sediment quality of Lake Maryout (one of the four Nile Delta shallow brackish water lakes on the south-eastern coast of the Mediterranean Sea) is of concern as this lake is used for land reclamation and aquaculture and is an important fishing source. The magnitude and ecological relevance of metal pollution in Lake Maryout Main Basin was investigated by applying different sediment quality assessment approaches. The aim of this study was to estimate ecological risk of trace elements (Cd, Ni, Pb, Cr, Cu and Zn) in the surficial sediments (<63 jtm fraction) of Lake Maryout. Heavily contaminated sediments were evaluated by the Sediment Quality Guideline (SQG) of the US Environmental Protection Agency. The degree of contamination (Cd) was estimated as very high for each site. Two sets of SQGs effect range-low/effect range-median values and threshold effect concentration (TEC) and probable effect concentration (PEC) values were used in this study. Sediments from each site were judged toxic when more of the PEC values exceeded EPA guidelines. Based on the geoaccumulation index (Ieo) of target trace elements, the Main Basin of Lake Maryout has to be considered as extremely polluted with Cd (Igeo > or =5), strongly polluted with Zn (2 < or = Igeo < or =3), moderately polluted with Cu (1 < or = Igeo < or = 2), unpolluted to moderately polluted with Cr and Pb (0 < or = Igeo < or = 1 for each) and unpolluted with Ni (Igeo < or = 0). Lake Maryout sediments had heavy accumulations of Cd, which apparently come from drains that include industrial and raw domestic wastes. Therefore, a sequential extraction technique was applied to assess the five fractions (exchangeable, metals bound to carbonate, acid-reducible, oxidizable-organic and residual) of Cd in surface sediments. The Cd concentration in most sampling stations was dominated by the non-resistant fraction (anthropogenic). The result showed that those stations located in the vicinity of municipal and mixed waste drains posed a high potential risk to fauna and flora of Maryout Lake.
Towards a formal genealogical classification of the Lezgian languages (North Caucasus): testing various phylogenetic methods on lexical data.

PubMed

Kassian, Alexei

2015-01-01

A lexicostatistical classification is proposed for 20 languages and dialects of the Lezgian group of the North Caucasian family, based on meticulously compiled 110-item wordlists, published as part of the Global Lexicostatistical Database project. The lexical data have been subsequently analyzed with the aid of the principal phylogenetic methods, both distance-based and character-based: Starling neighbor joining (StarlingNJ), Neighbor joining (NJ), Unweighted pair group method with arithmetic mean (UPGMA), Bayesian Markov chain Monte Carlo (MCMC), Unweighted maximum parsimony (UMP). Cognation indexes within the input matrix were marked by two different algorithms: traditional etymological approach and phonetic similarity, i.e., the automatic method of consonant classes (Levenshtein distances). Due to certain reasons (first of all, high lexicographic quality of the wordlists and a consensus about the Lezgian phylogeny among Caucasologists), the Lezgian database is a perfect testing area for appraisal of phylogenetic methods. For the etymology-based input matrix, all the phylogenetic methods, with the possible exception of UMP, have yielded trees that are sufficiently compatible with each other to generate a consensus phylogenetic tree of the Lezgian lects. The obtained consensus tree agrees with the traditional expert classification as well as some of the previously proposed formal classifications of this linguistic group. Contrary to theoretical expectations, the UMP method has suggested the least plausible tree of all. In the case of the phonetic similarity-based input matrix, the distance-based methods (StarlingNJ, NJ, UPGMA) have produced the trees that are rather close to the consensus etymology-based tree and the traditional expert classification, whereas the character-based methods (Bayesian MCMC, UMP) have yielded less likely topologies.
Towards a Formal Genealogical Classification of the Lezgian Languages (North Caucasus): Testing Various Phylogenetic Methods on Lexical Data

PubMed Central

Kassian, Alexei

2015-01-01

A lexicostatistical classification is proposed for 20 languages and dialects of the Lezgian group of the North Caucasian family, based on meticulously compiled 110-item wordlists, published as part of the Global Lexicostatistical Database project. The lexical data have been subsequently analyzed with the aid of the principal phylogenetic methods, both distance-based and character-based: Starling neighbor joining (StarlingNJ), Neighbor joining (NJ), Unweighted pair group method with arithmetic mean (UPGMA), Bayesian Markov chain Monte Carlo (MCMC), Unweighted maximum parsimony (UMP). Cognation indexes within the input matrix were marked by two different algorithms: traditional etymological approach and phonetic similarity, i.e., the automatic method of consonant classes (Levenshtein distances). Due to certain reasons (first of all, high lexicographic quality of the wordlists and a consensus about the Lezgian phylogeny among Caucasologists), the Lezgian database is a perfect testing area for appraisal of phylogenetic methods. For the etymology-based input matrix, all the phylogenetic methods, with the possible exception of UMP, have yielded trees that are sufficiently compatible with each other to generate a consensus phylogenetic tree of the Lezgian lects. The obtained consensus tree agrees with the traditional expert classification as well as some of the previously proposed formal classifications of this linguistic group. Contrary to theoretical expectations, the UMP method has suggested the least plausible tree of all. In the case of the phonetic similarity-based input matrix, the distance-based methods (StarlingNJ, NJ, UPGMA) have produced the trees that are rather close to the consensus etymology-based tree and the traditional expert classification, whereas the character-based methods (Bayesian MCMC, UMP) have yielded less likely topologies. PMID:25719456
Standard operating procedures for collection of soil and sediment samples for the Sediment-bound Contaminant Resiliency and Response (SCoRR) strategy pilot study

USGS Publications Warehouse

Fisher, Shawn C.; Reilly, Timothy J.; Jones, Daniel K.; Benzel, William M.; Griffin, Dale W.; Loftin, Keith A.; Iwanowicz, Luke R.; Cohl, Jonathan A.

2015-12-17

An understanding of the effects on human and ecological health brought by major coastal storms or flooding events is typically limited because of a lack of regionally consistent baseline and trends data in locations proximal to potential contaminant sources and mitigation activities, sensitive ecosystems, and recreational facilities where exposures are probable. In an attempt to close this gap, the U.S. Geological Survey (USGS) has implemented the Sediment-bound Contaminant Resiliency and Response (SCoRR) strategy pilot study to collect regional sediment-quality data prior to and in response to future coastal storms. The standard operating procedure (SOP) detailed in this document serves as the sample-collection protocol for the SCoRR strategy by providing step-by-step instructions for site preparation, sample collection and processing, and shipping of soil and surficial sediment (for example, bed sediment, marsh sediment, or beach material). The objectives of the SCoRR strategy pilot study are (1) to create a baseline of soil-, sand-, marsh sediment-, and bed-sediment-quality data from sites located in the coastal counties from Maine to Virginia based on their potential risk of being contaminated in the event of a major coastal storm or flooding (defined as Resiliency mode); and (2) respond to major coastal storms and flooding by reoccupying select baseline sites and sampling within days of the event (defined as Response mode). For both modes, samples are collected in a consistent manner to minimize bias and maximize quality control by ensuring that all sampling personnel across the region collect, document, and process soil and sediment samples following the procedures outlined in this SOP. Samples are analyzed using four USGS-developed screening methods—inorganic geochemistry, organic geochemistry, pathogens, and biological assays—which are also outlined in this SOP. Because the SCoRR strategy employs a multi-metric approach for sample analyses, this protocol expands upon and reconciles differences in the sample collection protocols outlined in the USGS “National Field Manual for the Collection of Water-Quality Data,” which should be used in conjunction with this SOP. A new data entry and sample tracking system also is presented to ensure all relevant data and metadata are gathered at the sample locations and in the laboratories.

Use of sediment quality guidelines

USGS Publications Warehouse

Wenning, R. J.; Batley, G. E.; Ingersoll, Christopher G.; Moore, David W.

2005-01-01

Are sediment quality guidelines (SQGs) adequately able to predict the presence or absence of chronic toxicity to sediment-dwelling organisms in field-collected sediments? Can SQGs predict effects resulting from the bioaccumulation of sediment-associated contaminants? Do SQGs define cause-and-effect relationships? Can they predict effects on organisms exposed in the field on the basis of amphipod mortality measured in the laboratory?These and other questions brought together 55 scientists from 8 countries for a Pellston Workshop convened by the Society of Environmental Toxicology and Chemistry (SETAC) in Fairmont, Montana, USA. In this book, these experts in ecology, ecotoxicology, engineering, environmental regulation, and risk assessment examine the scientific underpinnings of sediment quality guidelines and provide recommendations on the appropriate use of SQGs in the assessment and management of contaminated sediments.
Reconnaissance of chemical quality of surface water and fluvial sediment in the Price River Basin, Utah

USGS Publications Warehouse

Mundorff, J.C.

1972-01-01

This report on the quality of surface water in the Price River basin was prepared by the U.S. Geological Survey in cooperation with the Utah Department of Natural Resources, Division of Water Rights. The primary purpose of the reconnaissance on which this report is based was to obtain information about (1) the general chemical characteristics of surface water throughout the basin, (2) the effect of the natural environment and of present water use on these chemical characteristics, and (3) general characteristics of the sediment discharge of selected streams in the basin. A secondary objective was the definition of specific problem areas or reaches in which marked deterioration in water quality was evident.
STORAGE DURATION AND TEMPERATURE AND THE ACUTE TOXICITIES OF ESTUARINE SEDIMENTS TO MYSIDOPSIS BAHIA AND LEPTOCHEIRUS PLUMULOSUS.

EPA Science Inventory

Many statutory needs for sediment quality assessment exist (U.S. EPA 1996). A variety of sediment toxicity tests have been used to support the development of sediment quality guidelines and to determine the benthic impacts of dredging activities and point and non-point source tox...
STORAGE DURATION AND TEMPERATURE AND THE ACUTE TOXICITIES OF ESTUARINE SEDIMENTS TO MYSIDOPSIS BAHIA AND LEPTOCHEIRUS PLUMULOSUS

EPA Science Inventory

Many statutory needs for sediment quality assessment exist (U.S. EPA 1996). A variety of sediment toxicity tests have been used to support the development of sediment quality guidelines and to determine the benthic impacts of dredging activities and point and non-point source tox...
Nonhybrid, finished microbial genome assemblies from long-read SMRT sequencing data.

PubMed

Chin, Chen-Shan; Alexander, David H; Marks, Patrick; Klammer, Aaron A; Drake, James; Heiner, Cheryl; Clum, Alicia; Copeland, Alex; Huddleston, John; Eichler, Evan E; Turner, Stephen W; Korlach, Jonas

2013-06-01

We present a hierarchical genome-assembly process (HGAP) for high-quality de novo microbial genome assemblies using only a single, long-insert shotgun DNA library in conjunction with Single Molecule, Real-Time (SMRT) DNA sequencing. Our method uses the longest reads as seeds to recruit all other reads for construction of highly accurate preassembled reads through a directed acyclic graph-based consensus procedure, which we follow with assembly using off-the-shelf long-read assemblers. In contrast to hybrid approaches, HGAP does not require highly accurate raw reads for error correction. We demonstrate efficient genome assembly for several microorganisms using as few as three SMRT Cell zero-mode waveguide arrays of sequencing and for BACs using just one SMRT Cell. Long repeat regions can be successfully resolved with this workflow. We also describe a consensus algorithm that incorporates SMRT sequencing primary quality values to produce de novo genome sequence exceeding 99.999% accuracy.
Water quality effects and placement of pasture best management practices in the Spring Creek Watershed (Centre County, PA)

USDA-ARS?s Scientific Manuscript database

Pasture-based best management practices (BMPs), including stream bank fencing, stream crossings, and bank stabilization, improved water quality ten years after installation by reducing sediment, but did not affect nitrogen concentration. Abundance and diversity of aquatic macroinvertebrates increas...
Assessing sediments from Upper Mississippi River navigational pools using a benthic invertebrate community evaluation and the sediment quality triad approach

USGS Publications Warehouse

Canfield, T.J.; Brunson, E.L.; Dwyer, F.J.; Ingersoll, C.G.; Kemble, N.E.

1998-01-01

Benthic invertebrate samples were collected from 23 pools in the Upper Mississippi River (UMR) and from one station in the Saint Croix River (SCR) as part of a study to assess the effects of the extensive flooding of 1993 on sediment contamination in the UMR system. Sediment contaminants of concern included both organic and inorganic compounds. Oligochaetes and chironomids constituted over 80% of the total abundance in samples from 14 of 23 pools in the UMR and SCR samples. Fingernail clams comprised a large portion of the community in three of 23 UMR pools and exceeded abundances of 1,000/m2 in five of 23 pools. Total abundance ranged from 250/m2 in samples from pool 1 to 22,389/m2 in samples from pool 19. Abundance values are comparable with levels previously reported in the literature for the UMR. Overall frequency of chironomid mouthpart deformities was 3% (range 0-13%), which is comparable to reported incidence of deformities in uncontaminated sediments previously evaluated. Sediment contamination was generally low in the UMR pools and the SCR site. Correlations between benthic measures and sediment chemistry and other abiotic parameters exhibited few significant or strong correlations. The sediment quality triad (Triad) approach was used to evaluate data from laboratory toxicity tests, sediment chemistry, and benthic community analyses; it showed that 88% of the samples were not scored as impacted based on sediment toxicity, chemistry, and benthic measures. Benthic invertebrate distributions and community structure within the UMR in the samples evaluated in the present study were most likely controlled by factors independent of contaminant concentrations in the sediments.
An evaluation of contaminated estuarine sites using sediment quality guidelines and ecological assessment methodologies.

PubMed

Fulton, M; Key, P; Wirth, E; Leight, A K; Daugomah, J; Bearden, D; Sivertsen, S; Scott, G

2006-10-01

Toxic contaminants may enter estuarine ecosystems through a variety of pathways. When sediment contaminant levels become sufficiently high, they may impact resident biota. One approach to predict sediment-associated toxicity in estuarine ecosystems involves the use of sediment quality guidelines (ERMs, ERLs) and site-specific contaminant chemistry while a second approach utilizes site-specific ecological sampling to assess impacts at the population or community level. The goal of this study was to utilize an integrated approach including chemical contaminant analysis, sediment quality guidelines and grass shrimp population monitoring to evaluate the impact of contaminants from industrial sources. Three impacted sites and one reference site were selected for study. Grass shrimp populations were sampled using a push-netting approach. Sediment samples were collected at each site and analyzed for metals, polycyclic aromatic hydrocarbons (PAHs), polychlorinated biphenyls (PCBs) and pesticides. Contaminant levels were then compared to sediment quality guidelines. In general, grass shrimp population densities at the sites decreased as the ERM quotients increased. Grass shrimp densities were significantly reduced at the impacted site that had an ERM exceedance for chromium and the highest Mean ERM quotient. Regression analysis indicated that sediment chromium concentrations were negatively correlated with grass shrimp density. Grass shrimp size was reduced at two sites with intermediate levels of contamination. These findings support the use of both sediment quality guidelines and site-specific population monitoring to evaluate the impacts of sediment-associated contaminants in estuarine systems.
An assessment of sediment-transport processes in the Lower Mekong River based on deposit grain sizes, the CM technique and flow-energy data

NASA Astrophysics Data System (ADS)

Bravard, Jean-Paul; Goichot, Marc; Tronchère, Hervé

2014-02-01

The Lower Mekong River has been an important research topic for at least 15 years, notably in the fields of hydrology, fluvial geomorphology, and the impact of dams. Recent papers refer mostly to the impact of the Lancang chain of hydroelectric dams constructed on the Chinese section of the river. Among the pending scientific questions are (1) the upstream-downstream variations in the concentration and yield of suspended sediment and (2) the relative importance of sand in the total yield. The general consensus among the scientific community is that the relative importance of sand in suspended load is not the main scientific concern despite its extensive presence in the Mekong River channel, as noted by geomorphologists, and despite its extreme importance for the stability of the delta shoreline in Viet Nam. This paper contradicts the general consensus. Its objective is to present new information on the processes of sand transport in the Lower Mekong channel. Imagery, field observations, sampling on the river banks, and grain size analysis of sand deposits have been carried out between Chiang Sean (downstream of the Chinese border) and the delta. The C-M image technique served to discriminate between the various transport processes (bedload and different types of suspension). This technique helps in understanding the changing processes responsible for downstream sediment transfer in river channels. The results of this study are the following.
Water-quality data for the Clark Fork and selected tributaries from Deer Lodge to Milltown, Montana, March 1985 through June 1986

USGS Publications Warehouse

Lambing, J.H.

1987-01-01

A sampling program was conducted at six stream sites. The purpose of the study was to collect baseline data on concentrations of suspended sediment and selected trace metals in streamflow. Included in this report are tables of daily data for mean streamflow, suspended sediment concentration, and suspended sediment discharge at two streamflow gaging stations on the Clark Fork; periodic data for instantaneous streamflow, onsite water quality, and trace metal and suspended sediment concentrations in the Clark Fork and tributaries; and summary statistics for all the water quality data. Also included are graphs for each site showing median concentrations of trace metals, relationship of concentrations of trace metals to suspended sediment, and median concentrations of trace metals in suspended sediments. Hydrographs for two sites on the main stem show daily mean streamflow, suspended sediment concentration, and suspended sediment discharge for the period of study. (Author 's abstract)
Development of a hybrid pollution index for heavy metals in marine and estuarine sediments.

PubMed

Brady, James P; Ayoko, Godwin A; Martens, Wayde N; Goonetilleke, Ashantha

2015-05-01

Heavy metal pollution of sediments is a growing concern in most parts of the world, and numerous studies focussed on identifying contaminated sediments by using a range of digestion methods and pollution indices to estimate sediment contamination have been described in the literature. The current work provides a critical review of the more commonly used sediment digestion methods and identifies that weak acid digestion is more likely to provide guidance on elements that are likely to be bioavailable than other traditional methods of digestion. This work also reviews common pollution indices and identifies the Nemerow Pollution Index as the most appropriate method for establishing overall sediment quality. Consequently, a modified Pollution Index that can lead to a more reliable understanding of whole sediment quality is proposed. This modified pollution index is then tested against a number of existing studies and demonstrated to give a reliable and rapid estimate of sediment contamination and quality.
Recommendations and consensus on the treatment of peritoneal metastases of colorectal origin: a systematic review of national and international guidelines.

PubMed

Klaver, C E L; Groenen, H; Morton, D G; Laurberg, S; Bemelman, W A; Tanis, P J

2017-03-01

This systematic review aimed to provide an overview of (inter)national guidelines on the treatment of peritoneal metastases of colorectal cancer origin (PMCRC) and to determine the degree of consensus and available evidence with identification of topics for future research. A systematic search of MEDLINE, Embase, PubMed as well as Tripdatabase, National Guideline Clearinghouse, BMJ Best Practice and Guidelines International Network was performed to identify (inter)national guidelines and consensus statements from oncological or surgical societies on PMCRC. The quality of guidelines was assessed using the AGREE-II score. Topics followed by recommendations were extracted from the guidelines. The recommendations, highest level of supporting evidence and the degree of consensus were determined for each topic. Twenty-one guidelines were included, in most (15) of which cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) was recommended in selected patients based on level 1b evidence. Substantial consensus was also reached on the benefit of multidisciplinary team discussion and the achievability of a (near) complete cytoreduction (CC0-1) without supporting evidence. Both evidence and consensus were lacking regarding other aspects including preoperative positron emission tomography/CT, second look surgery in high risk patients, the optimal patient selection for CRS/HIPEC, procedural aspects of HIPEC and (perioperative) systemic therapy. In currently available guidelines, evidence and consensus on the treatment strategy for PMCRC are lacking. Updates of guidelines are ongoing and future (randomized) clinical trials should contribute to multidisciplinary and international consensus on treatment strategies for PMCRC. Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland.
Water-quality, bed-sediment, and biological data (October 1993 through September 1994) and statistical summaries of data for streams in the Upper Clark Fork basin, Montana

USGS Publications Warehouse

Lambing, J.H.; Hornberger, Michelle I.; Axtmann, E.V.; Dodge, K.A.

1995-01-01

Water, bed sediment, and biota were sampled in streams from Butte to below Missoula as part of a program to characterize aquatic resources in the upper Clark Fork basin of western Montana. Water- quality data were obtained periodically at 16 stations during October 1993 through September 1994 (water year 1994); daily suspended-sediment data were obtained at six of these stations. Bed-sediment and biological data were obtained at 11 stations in August 1994. Sampling stations were located on the Clark Fork and major tributaries. The primary constituents analyzed were trace elements associated with mine tailings from historical mining and smelting activities. Water-quality data include concentrations of major ions, trace elements, and suspended sediment in samples collected periodically during water year 1994. Daily values of streamflow, suspended-sediment concentration, and suspended- sediment discharge are given for six stations. Bed- sediment data include trace-element concentrations in the fine and bulk fractions. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Quality-assurance data are reported for analytical results of water, bed sediment, and biota. Statistical summaries of bed sediment, and biological data are provided for the period of record at each station since 1985.
Use of a Pediatric Cardiovascular Nursing Consortium for Development and Evaluation of Quality Measures: The C4-MNP Experience.

PubMed

Connor, Jean A; Larson, Carol; Baird, Jennifer; Hickey, Patricia A

2016-01-01

The evidence linking nursing care and patient outcomes has been globally demonstrated. Thus, it is time for translation and application of this evidence to robust measurement that uniquely demonstrates the value of nursing care and the characteristics of the nursing workforce that contribute to optimal patient outcomes. The aim of this study was to identify and develop standardized measures representative of pediatric nursing care of the cardiovascular patient for benchmarking within freestanding children's hospitals. Using a consensus-based approach, the Consortium of Congenital Cardiac Care- Measurement of Nursing Practice (C4-MNP) members developed quality measures within working groups and then individually critiqued all drafted measures. Final draft measures were then independently reviewed and critiqued by an external nursing quality measurement committee. The final quality measures were also made available to a national parent support group for feedback. The development process used by C4-MNP resulted in 10 measures eligible for testing across freestanding children's hospitals. Employing a collaborative consensus-based method plus implementing the criteria of the National Quality Forum and external vetting period provided a strong framework for the development and evaluation of standardized measures. The Consortium will continue with implementation and testing of each measure in 9 of our 28 collaborating centers. This activity will support initial development of benchmarks and evaluation of the association of the measures with patient outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.
Toxicological assessment of aquatic ecosystems: application to watercraft contaminants in shallow water environments

USGS Publications Warehouse

Winger, P.V.; Kemmish, Michael J.

2002-01-01

Recreational boating and personal watercraft use have the potential to adversely impact shallow water systems through contaminant release and physical disturbance of bottom sediments. These nearshore areas are often already degraded by surface runoff, municipal and industrial effluents, and other anthropogenic activities. For proper management, information is needed on the level of contamination and environmental quality of these systems. A number of field and laboratory procedures can be used to provide this much needed information. Contaminants, such as metals, pesticides, polychlorinated biphenyls and polycyclic aromatic hydrocarbons, entering aquatic environments generally attach to particulate matter that eventually settles and becomes incorporated into the bottom sediments. Because bottom sediments serve as a sink and as a source for contaminants, environmental assessments generally focus on this matrix. While contaminant residues in sediments and sediment pore waters can reflect environmental quality, characteristics of sediment (redox potential, sediment/pore-water chemistry, acid volatile sulfides, percent organic matter, and sediment particle size) influence their bioavailability and make interpretation of environmental significance difficult. Comparisons of contaminant concentrations in pore water (interstitial water) and sediment with water quality criteria and sediment quality guidelines, respectively, can provide insight into potential biological effects. Laboratory bioaccumulation studies and residue concentrations in resident or caged biota also yield information on potential biological impacts. The usefulness of these measurements may increase as data are developed relating in-situ concentrations, tissue residue levels, and biological responses. Exposure of test organisms in situ or to field-collected sediment and pore water are additional procedures that can be used to assess the biological effects of contaminants. A battery of tests using multi-species and/or various life stages with different sensitivities to contaminants may offer a more conservative assessment of toxicity than single species testing. Using a ?weight of evidence? approach, the Sediment Quality Trial produces a robust evaluation of habitat quality and includes a measure of contaminant concentrations in the sediment, an assessment of sediment/pore-water toxicity to laboratory animals, and an evaluation of in situ biological assemblages. Field and laboratory procedures are available that can be used to ascertain habitat quality, identify contaminants causing environmental degradation and delineate aquatic systems requiring mitigation of protective efforts. These studies provide the scientific data that are integral to developing an environmental risk assessment of contaminants from watercraft use in shallow water systems.
Physical and Biological Impacts of Changing Land-Uses and the Environment

NASA Astrophysics Data System (ADS)

English, W. R.; Pike, J. W.; Jolley, L. W.; Goddard, M. A.; Biondi, M. J.; Hur, J. M.; Powell, B. A.; Morse, J. C.

2005-05-01

A goal of the Changing Land Use and the Environment (CLUE) project is to characterize surface water quality impacted by land-use change in the Saluda and Reedy River watersheds of South Carolina. The CLUE project focuses on impacts common to urban development including 1. sedimentation from construction sites, 2. alteration of discharge and channel morphology due to increased impervious surfaces, 3. macroinvertebrate community response to sedimentation and habitat alteration, and 4. microbial contamination. We found that mean streambed particle size was reduced in developing areas. Stream cross-sectional areas enlarged in catchments with high percentages of impervious surfaces. Sedimentation and altered discharge resulted in the benthic macroinvertebrate community showing a general reduction in biotic integrity values and reductions in Plecoptera taxa richness. Fecal coliform levels were higher for both surface water and bottom sediments in and below urbanized areas during base flows. Levels of fecal coliform in samples collected during storm flows were significantly higher than in base flows, and were correlated with high sediment loads.
SU-D-206-01: Employing a Novel Consensus Optimization Strategy to Achieve Iterative Cone Beam CT Reconstruction On a Multi-GPU Platform

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

Li, B; Southern Medical University, Guangzhou, Guangdong; Tian, Z

Purpose: While compressed sensing-based cone-beam CT (CBCT) iterative reconstruction techniques have demonstrated tremendous capability of reconstructing high-quality images from undersampled noisy data, its long computation time still hinders wide application in routine clinic. The purpose of this study is to develop a reconstruction framework that employs modern consensus optimization techniques to achieve CBCT reconstruction on a multi-GPU platform for improved computational efficiency. Methods: Total projection data were evenly distributed to multiple GPUs. Each GPU performed reconstruction using its own projection data with a conventional total variation regularization approach to ensure image quality. In addition, the solutions from GPUs were subjectmore » to a consistency constraint that they should be identical. We solved the optimization problem with all the constraints considered rigorously using an alternating direction method of multipliers (ADMM) algorithm. The reconstruction framework was implemented using OpenCL on a platform with two Nvidia GTX590 GPU cards, each with two GPUs. We studied the performance of our method and demonstrated its advantages through a simulation case with a NCAT phantom and an experimental case with a Catphan phantom. Result: Compared with the CBCT images reconstructed using conventional FDK method with full projection datasets, our proposed method achieved comparable image quality with about one third projection numbers. The computation time on the multi-GPU platform was ∼55 s and ∼ 35 s in the two cases respectively, achieving a speedup factor of ∼ 3.0 compared with single GPU reconstruction. Conclusion: We have developed a consensus ADMM-based CBCT reconstruction method which enabled performing reconstruction on a multi-GPU platform. The achieved efficiency made this method clinically attractive.« less
Risk Assessment of Heavy Metals in Surface Sediments from the Yanghe River, China

PubMed Central

Li, Jing

2014-01-01

The magnitude and ecological relevance of metal pollution from the upstream of water sources after emergency pollution events was investigated by applying a set of complementary sediment quality assessment methods: (1) geochemical assessment based on background value (the geoaccumulation index); (2) comparisons with sediment quality guidelines (SQGs); (3) an evaluation of the combined pollution according to the risk index (RI); and (4) investigation of the chemical patterns of target heavy metals (Cd, Zn, Cr, Pb, Ni). The geoaccumulation indices (Igeo) suggested that the magnitude of heavy metal pollution of the sediment of Yanghe River decreased in the order of Cd > Zn > Pb > Cr > Ni. Risk analysis also suggested that Cd and Zn concentrations were sufficiently elevated as to cause adverse biological effects in this study area. According to the RI values, 27% of total sampling sites showed considerable ecological risk for the water body, and 53% of total sampling sites showed very high ecological risk for the waterbody. Sediment-bound Cd was found to be predominantly associated with the exchangeable phase of the sediment (25%–68%), while Cr, Ni, Zn and Pb showed the strongest association with the residual fractions (60%–92%, 53%–67%, 24%–85% and 35%–67%, respectively). PMID:25464136
Assessment of streambed sediment contamination by heavy metals: The case of the Gabes Catchment, South-eastern Tunisia

NASA Astrophysics Data System (ADS)

Dahri, Noura; Atoui, Abdelfattah; Ellouze, Manel; Abida, Habib

2018-04-01

This study deals with the assessment of the behaviour of seven heavy metals (Cd, Zn, Cu, Pb, Ni, Cr and As) in streambed sediments within the Gabes Catchment, located in South-eastern Tunisia. To understand the effect of intense human activities in the Gabes Basin on the quality of the environment, 22 sediment samples, spread all over the study basin, were taken and analyzed for heavy metals. Heavy metal concentrations were shown to vary in the following order: Zn > Pb > Cu > Cr > Ni > Cd > As. Sediment quality was assessed based on the evaluation of various indices. A total of 27% of the sampling stations are characterised by sediment Enrichment Factors (EF) exceeding 40, reflecting extremely severe pollution. This result was also confirmed by different indices, including Sediment Pollution Index (SPI), Pollution Load Index (PLI) and Geo-accumulation index. The calculation of Mean Effect Range-Median Quotient (M-ERM-Q) indicated that in stream discharge, all metals have a probability of 21% to be toxic. The ecological toxicity risk of heavy metals increases close to urban (traffic activity) and industrial activities (industrial complex of Gabes). Close to Gabes City, the situation and the degree of contamination that may be transferred into marine ecosystems is worrisome and requires immediate intervention.
Paleolakes on Mars

NASA Technical Reports Server (NTRS)

Wharton, R. A. Jr; Crosby, J. M.; McKay, C. P.; Rice, J. W. Jr; Wharton RA, ,. J. r. (Principal Investigator)

1995-01-01

Observational evidence such as outflow channels and valley networks suggest that in the past there was flowing water on Mars. The images of fluvial features on Mars logically suggest that there must exist downstream locations in which the water pooled and the sediment load deposited (i.e. lakes). Sediments and morphological features associated with the martian paleolakes are believed to occur in Valles Marineris, and several large basins including Amazonis, Chryse and Elysium planitia. As Mars became progressively colder over geological time, any lakes on its surface would have become seasonally, and eventually perennially ice-covered. We know from polar lakes on Earth that ice-covered lakes can persist even when the mean annual temperature falls below freezing. Thus, the most recent lacustrine sediments on Mars were probably deposited in ice-covered lakes. While life outside of the Earth's atmosphere has yet to be observed, there is a general consensus among exobiologists that the search for extraterrestrial life should be based upon liquid water. The inference that there was liquid water on Mars during an earlier epoch is the primary motivation for considering the possibility of life during this time. It would be of enormous interest from both an exobiological and paleolimnological perspective to discover lakes or the evidence of former lakes on another planet such as Mars. Limnology would then become an interplanetary science.

Paleolakes on Mars.

PubMed

Wharton, R A; Crosby, J M; McKay, C P; Rice, J W

1995-01-01

Observational evidence such as outflow channels and valley networks suggest that in the past there was flowing water on Mars. The images of fluvial features on Mars logically suggest that there must exist downstream locations in which the water pooled and the sediment load deposited (i.e. lakes). Sediments and morphological features associated with the martian paleolakes are believed to occur in Valles Marineris, and several large basins including Amazonis, Chryse and Elysium planitia. As Mars became progressively colder over geological time, any lakes on its surface would have become seasonally, and eventually perennially ice-covered. We know from polar lakes on Earth that ice-covered lakes can persist even when the mean annual temperature falls below freezing. Thus, the most recent lacustrine sediments on Mars were probably deposited in ice-covered lakes. While life outside of the Earth's atmosphere has yet to be observed, there is a general consensus among exobiologists that the search for extraterrestrial life should be based upon liquid water. The inference that there was liquid water on Mars during an earlier epoch is the primary motivation for considering the possibility of life during this time. It would be of enormous interest from both an exobiological and paleolimnological perspective to discover lakes or the evidence of former lakes on another planet such as Mars. Limnology would then become an interplanetary science.
Water-Quality, Bed-Sediment, and Biological Data (October 2005 through September 2006) and Statistical Summaries of Long-Term Data for Streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2007-01-01

Water, bed sediment, and biota were sampled in streams from Butte to below Milltown Reservoir as part of a long-term monitoring program in the upper Clark Fork basin; additional water-quality samples were collected in the Clark Fork basin from sites near Milltown Reservoir downstream to near the confluence of the Clark Fork and Flathead River as part of a supplemental sampling program. The sampling programs were conducted in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin of western Montana, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water-quality samples were collected periodically at 22 sites from October 2005 through September 2006. Bed-sediment and biological samples were collected once at 12 sites during August 2006. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at all long-term and supplemental monitoring sites from October 2005 through September 2006. Water-quality data include concentrations of selected major ions, trace ele-ments, and suspended sediment. Nutrients also were analyzed in the supplemental water-quality samples. Daily values of suspended-sed-iment concentration and suspended-sediment discharge were determined for four sites, and seasonal daily values of turbidity were determined for four sites. Bed-sediment data include trace-ele-ment concentrations in the fine-grained fraction. Bio-logical data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of long-term water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.
Sediment sources and transport in Kings Bay and vicinity, Georgia and Florida, July 8-16, 1982

USGS Publications Warehouse

Radtke, D.B.

1985-01-01

Water quality, bottom-material, suspended-sediment, and current velocity data were collected during July 1982 in Kings Bay and vicinity to provide information on the source and transport of estuarine sediments. Kings Bay and Cumberland Sound, the site of the Poseidon Submarine Base in southeast Georgia, are experiencing high rates of sediment deposition and accumulation, which are causing serious navigational and operational problems. Velocity, bathymetry, turbidity, and bottom-material data suggest sediment transported from lower Kings Bay is accumulating deposits of suspended sediment transported from Cumberland Sound on the floodtide and from upper Kings Bay and the tidal march drained by Marianna Creek on the ebbtide. Suspended-sediment discharges computed for consecutive 13-hr ebbtides and floodtides showed that a net quantity of suspended sediment was transported seaward from upper Kings Bay and Marianna Creek. A net landward transport of suspended sediment computed at the St. Marys Entrance indicated areas seaward of St. Marys Entrance may be supplying sediment to the shoaling areas of the estuary, including lower Kings Bay. (USGS)
Water-quality assessment of the eastern Iowa basins- nitrogen, phosphorus, suspended sediment, and organic carbon in surface water, 1996-98

USGS Publications Warehouse

Becher, Kent D.; Kalkhoff, Stephen J.; Schnoebelen, Douglas J.; Barnes, Kimberlee K.; Miller, Von E.

2001-01-01

Synoptic samples collected during low and high base flow had nitrogen, phosphorus, and organic-carbon concentrations that varied spatially and seasonally. Comparisons of water-quality data from six basic-fixed sampling sites and 19 other synoptic sites suggest that the water-quality data from basic-fixed sampling sites were representative of the entire study unit during periods of low and high base flow when most streamflow originates from ground water.
Digital Pathology Evaluation in the Multicenter Nephrotic Syndrome Study Network (NEPTUNE)

PubMed Central

Nast, Cynthia C.; Jennette, J. Charles; Hodgin, Jeffrey B.; Herzenberg, Andrew M.; Lemley, Kevin V.; Conway, Catherine M.; Kopp, Jeffrey B.; Kretzler, Matthias; Lienczewski, Christa; Avila-Casado, Carmen; Bagnasco, Serena; Sethi, Sanjeev; Tomaszewski, John; Gasim, Adil H.

2013-01-01

Summary Pathology consensus review for clinical trials and disease classification has historically been performed by manual light microscopy with sequential section review by study pathologists, or multi-headed microscope review. Limitations of this approach include high intra- and inter-reader variability, costs, and delays for slide mailing and consensus reviews. To improve this, the Nephrotic Syndrome Study Network (NEPTUNE) is systematically applying digital pathology review in a multicenter study using renal biopsy whole slide imaging (WSI) for observation-based data collection. Study pathology materials are acquired, scanned, uploaded, and stored in a web-based information system that is accessed through a web-browser interface. Quality control includes metadata and image quality review. Initially, digital slides are annotated, with each glomerulus identified, given a unique number, and maintained in all levels until the glomerulus disappears or sections end. The software allows viewing and annotation of multiple slide sections concurrently. Analysis utilizes “descriptors” for patterns of injury, rather than diagnoses, in renal parenchymal compartments. This multidimensional representation via WSI, allows more accurate glomerular counting and identification of all lesions in each glomerulus, with data available in a searchable database. The use of WSI brings about efficiency critical to pathology review in a clinical trial setting, including independent review by multiple pathologists, improved intraobserver and interobserver reproducibility, efficiencies and risk reduction in slide circulation and mailing, centralized management of data integrity and slide images for current or future studies, and web-based consensus meetings. The overall effect is improved incorporation of pathology review in a budget neutral approach. PMID:23393107
The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument.

PubMed

Mokkink, Lidwine B; Prinsen, Cecilia A C; Bouter, Lex M; Vet, Henrica C W de; Terwee, Caroline B

2016-01-19

COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) is an initiative of an international multidisciplinary team of researchers who aim to improve the selection of outcome measurement instruments both in research and in clinical practice by developing tools for selecting the most appropriate available instrument. In this paper these tools are described, i.e. the COSMIN taxonomy and definition of measurement properties; the COSMIN checklist to evaluate the methodological quality of studies on measurement properties; a search filter for finding studies on measurement properties; a protocol for systematic reviews of outcome measurement instruments; a database of systematic reviews of outcome measurement instruments; and a guideline for selecting outcome measurement instruments for Core Outcome Sets in clinical trials. Currently, we are updating the COSMIN checklist, particularly the standards for content validity studies. Also new standards for studies using Item Response Theory methods will be developed. Additionally, in the future we want to develop standards for studies on the quality of non-patient reported outcome measures, such as clinician-reported outcomes and performance-based outcomes. In summary, we plea for more standardization in the use of outcome measurement instruments, for conducting high quality systematic reviews on measurement instruments in which the best available outcome measurement instrument is recommended, and for stopping the use of poor outcome measurement instruments.
The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument

PubMed Central

Mokkink, Lidwine B.; Prinsen, Cecilia A. C.; Bouter, Lex M.; de Vet, Henrica C. W.; Terwee, Caroline B.

2016-01-01

Background: COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) is an initiative of an international multidisciplinary team of researchers who aim to improve the selection of outcome measurement instruments both in research and in clinical practice by developing tools for selecting the most appropriate available instrument. Method: In this paper these tools are described, i.e. the COSMIN taxonomy and definition of measurement properties; the COSMIN checklist to evaluate the methodological quality of studies on measurement properties; a search filter for finding studies on measurement properties; a protocol for systematic reviews of outcome measurement instruments; a database of systematic reviews of outcome measurement instruments; and a guideline for selecting outcome measurement instruments for Core Outcome Sets in clinical trials. Currently, we are updating the COSMIN checklist, particularly the standards for content validity studies. Also new standards for studies using Item Response Theory methods will be developed. Additionally, in the future we want to develop standards for studies on the quality of non-patient reported outcome measures, such as clinician-reported outcomes and performance-based outcomes. Conclusions: In summary, we plea for more standardization in the use of outcome measurement instruments, for conducting high quality systematic reviews on measurement instruments in which the best available outcome measurement instrument is recommended, and for stopping the use of poor outcome measurement instruments. PMID:26786084
Bioaccumulation of toxic substances associated with dredging and dredged material disposal: a literature review

USGS Publications Warehouse

Seelye, James G.; Mac, Michael J.

1984-01-01

A literature review of sediment bioassessment was conducted as the first step in the development of a more standardized and ecologically sound test procedure for evaluating sediment quality. Based on the review, the authors concluded that 1) a standardized laboratory bioassessment test should consist of flowthrough exposure of at least 10 days duration using more than one aquatic organism including at least an infaunal benthic invertebrate and a fish species. 2) Before adoption of a laboratory sediment bioassessment procedure, the laboratory results should be evaluated by comparison with field conditions. 3) Most current sediment bioassessment regulatory tests measure acute toxicity or bioaccumulation. Development of tests to evaluate chronic, sublethal effects is needed.
Water-quality data (October 1988 through September 1989) and statistical summaries (March 1985 through September 1989) for the Clark Fork and selected tributaries from Galen to Missoula, Montana

USGS Publications Warehouse

Lambing, J.H.

1990-01-01

Water quality sampling was conducted at eight sites on the Clark Fork and selected tributaries from Galen to Missoula, from October 1988 through September 1989. This report presents tabulations and statistical summaries of the water quality data. Included are tabulations of streamflow, onsite water quality, and concentrations of trace elements and suspended sediment for periodic samples. Also included are tables and hydrographs of daily mean values for streamflow, suspended-sediment concentration, and suspended-sediment discharge at three mainstem stations and one tributary. Statistical summaries are presented for periodic water quality data collected from March 1985 through September 1989. Selected data are illustrated by graphs showing median concentrations of trace elements in water, relation of trace-element concentrations to suspended-sediment concentrations, and median concentrations of trace elements in suspended sediment. (USGS)
Water-quality data (October 1987 through September 1988) and statistical summaries (March 1985 through September 1988) for the Clark Fork and selected tributaries from Galen to Missoula, Montana

USGS Publications Warehouse

Lambing, John H.

1989-01-01

Water quality sampling was conducted at eight sites on the Clark Fork and selected tributaries from Galen to Missoula, Mont., from October 1987 through September 1988. This report presents tabulations and statistical summaries of the water quality data. Included in this report are tabulations of streamflow, onsite water quality, and concentrations of trace elements and suspended sediment for periodic samples. Also included are tables and hydrographs of daily mean values for streamflow, suspended-sediment concentration, and suspended-sediment discharge at three mainstream stations and one tributary. Statistical summaries are presented for periodic water quality data collected from March 1985 through September 1988. Selected data are illustrated by graphs showing median concentrations of trace elements in water, relation of trace element concentrations to suspended-sediment concentrations, and median concentrations of trace elements in suspended sediments. (USGS)
Assessment of hydrology, suspended sediment and particulate organic carbon transport in a large agricultural catchment using SWAT model

NASA Astrophysics Data System (ADS)

Chantha, Oeurng; Sabine, Sauvage; José-Miguel, Sánchez-Pérez

2010-05-01

Suspended sediment transport from agricultural catchments to stream networks is responsible for aquatic habitat degradation, reservoir sedimentation and the transport of sediment-bound pollutants (pesticides, particulate nutrients, heavy metals and other toxic substances). Quantifying and understanding the dynamics of suspended sediment transfer from agricultural land to watercourses is essential in controlling soil erosion and in implementing appropriate mitigation practices to reduce stream suspended sediment and associated pollutant loads, and hence improve surface water quality downstream. Gascogne area, southwest France, has been dominated by anthropogenic activities particularly intensive agriculture causing severe erosion in recent decades. This leads to a major threat to surface water quality due to soil erosion. Therefore, the catchment water quality has been continuously monitored since January 2007 and the historical data of hydrology and suspended sediment has existed since 1998. In this study, the Soil and Water Assessment Tool (SWAT 2005) was applied to assess hydrology, suspended sediment and particulate organic carbon in this catchment Agricultural management practices (crop rotation, planting date, fertilizer quantity and irrigations) were taken into the model for simulation period of 11 years (July, 1998 to March, 2009). The investigation was conducted using a 11-year streamflow and two years of suspended sediment record from January 2007 to March 2009. Modelling strategy with dominant landuse and soil type was chosen in this study. The SWAT generally performs satisfactorily and could simulate both daily and monthly runoff and sediment yield. The simulated daily and monthly runoff matched the observed values satisfactorily (ENash>0.5). For suspended sediment simulation, the simulated values were compared with the observed continuous suspended sediment derived from turbidity data. Based on the relationship between SSC and POC (R2 = 0.93), POC was modelled by simulated SSC from SWAT. The model predicted that the average annual catchment rainfall of the 11-year evaluation period (726 mm) with evapotranspiration (78.3%), percolation/groundwater recharge (14.1%), transmission loss (0.5%), and yielding surface runoff (7.1%). The simulated average total water yield of 11 years accounted for 138 mm (observed=133mm) and annual sediment yield varying from 4766 t to 123000 t (Mean= 48 t km-2). The annual yield of particulate organic carbon ranged from 120 t to 3100 t (Mean=1.2 t km-2).
An Integrated Assessment of Sediment Remediation in a Midwestern U.S. Stream Using Sediment Chemistry, Water Quality, Bioassessment and Fish Biomarkers

EPA Science Inventory

A comprehensive biological, sediment and water quality study of the lower Little Scioto River near Marion, Ohio, USA was undertaken in July 2007 to evaluate the effectiveness of removal of creosote-contaminated sediment. The study area covered 7.5 river miles (RMs) of the river, ...
Establishing nursing-sensitive quality indicators for the operating room: A cross-sectional Delphi survey conducted in China.

PubMed

Wu, Qi; Huang, Li-Hua; Xing, Mei-Yuan; Feng, Zhi-Xian; Shao, Le-Wen; Zhang, Mei-Yun; Shao, Rong-Ya

2017-01-01

Nursing-sensitive quality indicators comprise principles, procedures, and assessments to quantify the level of nursing quality in hospital departments. Although studies have demonstrated that quality indicators are essential for monitoring nursing practice in the operating room (OR), nursing quality in China is highly subjective and localised OR nursing-sensitive quality indicators are lacking. This study aimed to establish scientific, objective and comprehensive nursing-sensitive quality indicators for the OR to evaluate and monitor OR nursing care quality in China. Literature search for relevant evidence-based studies was performed using Cochrane, Medline, PubMed, Embase, and other databases, followed by literature review and group discussion by the expert panel. Two successive rounds of Delphi surveys were conducted using questionnaires completed by the expert panel to reach consensus and define nursing-sensitive quality indicators for the OR. Two rounds of Delphi surveys each had 100% questionnaire retrieval rate, with Kendall W coordination coefficients ranging from 0.096 to 0.263 (P<0.001). In round 1 of expert evaluation of 26 indicators, Kendall's W was 0.263 for importance, 0.126 for rationality, and 0.125 for feasibility of data collection (all P<0.001). After round 2, 23 items were established as OR nursing-sensitive quality indicators, including rates of work time wastage, surgery start-time delay, OR turnover time between surgeries, same-day surgery cancellation, and number of monthly surgeries in each OR; checking surgical patients, surgery site marking, allergy history, and antibiotics use 60min before incision; and also assessing expected surgical time, sterilisation indicator results, availability of surgical instruments and materials, and instrument count. Scientific, practical, and reliable OR nursing-sensitive quality indicators can be established based on evidence-based studies and expert consensus using the Delphi method. The quality indicators developed in this study may provide an objective and quantitative reference for evaluating nursing quality in Chinese ORs. Copyright © 2016 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
Polisher (conflicting versions 2.0.8 on IM Form, 1.0 on abstract)

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

2008-09-18

Polisher is a software package designed to facilitate the error correction of an assembled genome using Illumia read data. The software addresses substandard regions by automatically correcting consensus errors and/or suggesting primer walking reactions to improve the quality of the bases. This is done by performing the following:...........
Quality Indicators in Radiation Oncology

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

Albert, Jeffrey M.; Das, Prajnan, E-mail: prajdas@mdanderson.org

Oncologic specialty societies and multidisciplinary collaborative groups have dedicated considerable effort to developing evidence-based quality indicators (QIs) to facilitate quality improvement, accreditation, benchmarking, reimbursement, maintenance of certification, and regulatory reporting. In particular, the field of radiation oncology has a long history of organized quality assessment efforts and continues to work toward developing consensus quality standards in the face of continually evolving technologies and standards of care. This report provides a comprehensive review of the current state of quality assessment in radiation oncology. Specifically, this report highlights implications of the healthcare quality movement for radiation oncology and reviews existing efforts tomore » define and measure quality in the field, with focus on dimensions of quality specific to radiation oncology within the “big picture” of oncologic quality assessment efforts.« less
Asian Organization for Crohn's and Colitis and Asia Pacific Association of Gastroenterology consensus on tuberculosis infection in patients with inflammatory bowel disease receiving anti-tumor necrosis factor treatment. Part 1: risk assessment.

PubMed

Park, Dong Il; Hisamatsu, Tadakazu; Chen, Minhu; Ng, Siew Chien; Ooi, Choon Jin; Wei, Shu Chen; Banerjee, Rupa; Hilmi, Ida Normiha; Jeen, Yoon Tae; Han, Dong Soo; Kim, Hyo Jong; Ran, Zhihua; Wu, Kaichun; Qian, Jiaming; Hu, Pin-Jin; Matsuoka, Katsuyoshi; Andoh, Akira; Suzuki, Yasuo; Sugano, Kentaro; Watanabe, Mamoru; Hibi, Toshifumi; Puri, Amarender S; Yang, Suk-Kyun

2018-01-01

Because anti-tumor necrosis factor (anti-TNF) therapy has become increasingly popular in many Asian countries, the risk of developing active tuberculosis (TB) among anti-TNF users may raise serious health problems in this region. Thus, the Asian Organization for Crohn's and Colitis and the Asia Pacific Association of Gastroenterology have developed a set of consensus statements about risk assessment, detection and prevention of latent TB infection, and management of active TB infection in patients with inflammatory bowel disease (IBD) receiving anti-TNF treatment. Twenty-three consensus statements were initially drafted and then discussed by the committee members. The quality of evidence and the strength of recommendations were assessed by using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Web-based consensus voting was performed by 211 IBD specialists from 9 Asian countries concerning each statement. A consensus statement was accepted if at least 75% of the participants agreed. Part 1 of the statements comprised 2 parts: risk of TB infection Recommendaduring anti-TNF therapy, and screening for TB infection prior to commencing anti-TNF therapy. These consensus statements will help clinicians optimize patient outcomes by reducing the morbidity and mortality related to TB infections in patients with IBD receiving anti-TNF treatment.
Asian Organization for Crohn's and Colitis and Asia Pacific Association of Gastroenterology consensus on tuberculosis infection in patients with inflammatory bowel disease receiving anti-tumor necrosis factor treatment. Part 2: management.

PubMed

Park, Dong Il; Hisamatsu, Tadakazu; Chen, Minhu; Ng, Siew Chien; Ooi, Choon Jin; Wei, Shu Chen; Banerjee, Rupa; Hilmi, Ida Normiha; Jeen, Yoon Tae; Han, Dong Soo; Kim, Hyo Jong; Ran, Zhihua; Wu, Kaichun; Qian, Jiaming; Hu, Pin-Jin; Matsuoka, Katsuyoshi; Andoh, Akira; Suzuki, Yasuo; Sugano, Kentaro; Watanabe, Mamoru; Hibi, Toshifumi; Puri, Amarender S; Yang, Suk-Kyun

2018-01-01

Because anti-tumor necrosis factor (anti-TNF) therapy has become increasingly popular in many Asian countries, the risk of developing active tuberculosis (TB) among anti-TNF users may raise serious health problems in this region. Thus, the Asian Organization for Crohn's and Colitis and the Asia Pacific Association of Gastroenterology have developed a set of consensus statements about risk assessment, detection and prevention of latent TB infection, and management of active TB infection in patients with inflammatory bowel disease (IBD) receiving anti-TNF treatment. Twenty-three consensus statements were initially drafted and then discussed by the committee members. The quality of evidence and the strength of recommendations were assessed by using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Web-based consensus voting was performed by 211 IBD specialists from 9 Asian countries concerning each statement. A consensus statement was accepted if at least 75% of the participants agreed. Part 2 of the statements comprised 3 parts: management of latent TB in preparation for anti-TNF therapy, monitoring during anti-TNF therapy, and management of an active TB infection after anti-TNF therapy. These consensus statements will help clinicians optimize patient outcomes by reducing the morbidity and mortality related to TB infections in patients with IBD receiving anti-TNF treatment.
Asian Organization for Crohn's and Colitis and Asia Pacific Association of Gastroenterology consensus on tuberculosis infection in patients with inflammatory bowel disease receiving anti-tumor necrosis factor treatment. Part 1: risk assessment

PubMed Central

Park, Dong Il; Hisamatsu, Tadakazu; Chen, Minhu; Ng, Siew Chien; Ooi, Choon Jin; Wei, Shu Chen; Banerjee, Rupa; Hilmi, Ida Normiha; Jeen, Yoon Tae; Han, Dong Soo; Kim, Hyo Jong; Ran, Zhihua; Wu, Kaichun; Qian, Jiaming; Hu, Pin-Jin; Matsuoka, Katsuyoshi; Andoh, Akira; Suzuki, Yasuo; Sugano, Kentaro; Watanabe, Mamoru; Hibi, Toshifumi; Puri, Amarender S.

2018-01-01

Because anti-tumor necrosis factor (anti-TNF) therapy has become increasingly popular in many Asian countries, the risk of developing active tuberculosis (TB) among anti-TNF users may raise serious health problems in this region. Thus, the Asian Organization for Crohn's and Colitis and the Asia Pacific Association of Gastroenterology have developed a set of consensus statements about risk assessment, detection and prevention of latent TB infection, and management of active TB infection in patients with inflammatory bowel disease (IBD) receiving anti-TNF treatment. Twenty-three consensus statements were initially drafted and then discussed by the committee members. The quality of evidence and the strength of recommendations were assessed by using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Web-based consensus voting was performed by 211 IBD specialists from 9 Asian countries concerning each statement. A consensus statement was accepted if at least 75% of the participants agreed. Part 1 of the statements comprised 2 parts: risk of TB infection Recommendaduring anti-TNF therapy, and screening for TB infection prior to commencing anti-TNF therapy. These consensus statements will help clinicians optimize patient outcomes by reducing the morbidity and mortality related to TB infections in patients with IBD receiving anti-TNF treatment. PMID:29422793
Water-Quality, Bed-Sediment, and Biological Data (October 2006 through September 2007) and Statistical Summaries of Long-Term Data for Streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2008-01-01

Water, bed sediment, and biota were sampled in streams from Butte to below Milltown Reservoir as part of a long-term monitoring program in the upper Clark Fork basin; additional water-quality samples were collected in the Clark Fork basin from sites near Milltown Reservoir downstream to near the confluence of the Clark Fork and Flathead River as part of a supplemental sampling program. The sampling programs were conducted in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin of western Montana, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water-quality samples were collected periodically at 22 sites from October 2006 through September 2007. Bed-sediment and biological samples were collected once at 12 sites during August 2007. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at all long-term and supplemental monitoring sites from October 2006 through September 2007. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity was analyzed for samples collected at sites where seasonal daily values of turbidity were being determined. Nutrients also were analyzed in the supplemental water-quality samples. Daily values of suspended-sediment concentration and suspended-sediment discharge were determined for four sites, and seasonal daily values of turbidity were determined for five sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of long-term water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.
Estuarine water-quality and sediment data, and surface-water and ground-water-quality data, Naval Submarine Base Kings Bay, Camden County, Georgia, January 1999

USGS Publications Warehouse

Leeth, David C.; Holloway, Owen G.

2000-01-01

In January 1999, the U.S. Geological Survey collected estuarine-water, estuarine-sediment, surface-water, and ground-water quality samples in the vicinity of Naval Submarine Base Kings Bay, Camden County, Georgia. Data from these samples are used by the U.S. Navy to monitor the impact of submarine base activities on local water resources. Estuarine water and sediment data were collected from five sites on the Crooked River, Kings Bay, and Cumberland Sound. Surface-water data were collected from seven streams that discharge from Naval Submarine Base, Kings Bay. Ground-water data were collected from six ground-water monitoring wells completed in the water-table zone of the surficial aquifer at Naval Submarine Base Kings Bay. Samples were analyzed for nutrients, total and dissolved trace metals, total and dissolved organic carbon, oil and grease, total organic halogens, biological and chemical oxygen demand, and total and fecal coliform. Trace metals in ground and surface waters did not exceed U.S. Environmental Protection Agency Drinking Water Standards; and trace metals in surface water also did not exceed U.S. Environmental Protection Agency Surface Water Standards. These trace metals included arsenic, barium, cadmium, chromium, copper, lead, mercury, selenium, silver, tin, and zinc. Barium was detected in relatively high concentrations in ground water (concentrations ranged from 18 to 264 micrograms per liter). Two estuarine water samples exceeded the Georgia Department of Natural Resources, Environmental Protection Division standards for copper (concentrations of 6.2 and 3.0 micrograms per liter).

Recreational Stream Crossing Effects on Sediment Delivery and Macroinvertebrates in Southwestern Virginia, USA

NASA Astrophysics Data System (ADS)

Kidd, Kathryn R.; Aust, W. Michael; Copenheaver, Carolyn A.

2014-09-01

Trail-based recreation has increased over recent decades, raising the environmental management issue of soil erosion that originates from unsurfaced, recreational trail systems. Trail-based soil erosion that occurs near stream crossings represents a non-point source of pollution to streams. We modeled soil erosion rates along multiple-use (hiking, mountain biking, and horseback riding) recreational trails that approach culvert and ford stream crossings as potential sources of sediment input and evaluated whether recreational stream crossings were impacting water quality based on downstream changes in macroinvertebrate-based indices within the Poverty Creek Trail System of the George Washington and Jefferson National Forest in southwestern Virginia, USA. We found modeled soil erosion rates for non-motorized recreational approaches that were lower than published estimates for an off-road vehicle approach, bare horse trails, and bare forest operational skid trail and road approaches, but were 13 times greater than estimated rates for undisturbed forests and 2.4 times greater than a 2-year old clearcut in this region. Estimated soil erosion rates were similar to rates for skid trails and horse trails where best management practices (BMPs) had been implemented. Downstream changes in macroinvertebrate-based indices indicated water quality was lower downstream from crossings than in upstream reference reaches. Our modeled soil erosion rates illustrate recreational stream crossing approaches have the potential to deliver sediment into adjacent streams, particularly where BMPs are not being implemented or where approaches are not properly managed, and as a result can negatively impact water quality below stream crossings.
Singing for Lung Health-a systematic review of the literature and consensus statement.

PubMed

Lewis, Adam; Cave, Phoene; Stern, Myra; Welch, Lindsay; Taylor, Karen; Russell, Juliet; Doyle, Anne-Marie; Russell, Anne-Marie; McKee, Heather; Clift, Stephen; Bott, Julia; Hopkinson, Nicholas S

2016-12-01

There is growing interest in Singing for Lung Health (SLH), an approach where patients with respiratory disease take part in singing groups, intended to improve their condition. A consensus group was convened in early 2016 to address issues including: the specific features that make SLH distinct from other forms of participation in singing; the existing evidence base via a systematic review; gaps in the evidence base including the need to define value-based outcome measures for sustainable commissioning of SLH; defining the measures needed to evaluate both individuals' responses to SLH and the quality of singing programmes. and core training, expertise and competencies required by singing group leaders to deliver high-quality programmes. A systematic review to establish the extent of the evidence base for SLH was undertaken. Electronic databases, including Pubmed, OVID Medline and Embase, Web of Science, Cochrane central register of controlled trials and PEDro, were used. Six studies were included in the final review. Quantitative data suggest that singing has the potential to improve health-related quality of life, particularly related to physical health, and levels of anxiety without causing significant side effects. There is a significant risk of bias in many of the existing studies with small numbers of subjects overall. Little comparison can be made between studies owing to their heterogeneity in design. Qualitative data indicate that singing is an enjoyable experience for patients, who consistently report that it helps them to cope with their condition better. Larger and longer-term trials are needed.
Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis.

PubMed

Wyse, Jonathan M; Battat, Robert; Sun, Siyu; Saftoiu, Adrian; Siddiqui, Ali A; Leong, Ang Tiing; Arturo Arias, Brenda Lucia; Fabbri, Carlo; Adler, Douglas G; Santo, Erwin; Kalaitzakis, Evangelos; Artifon, Everson; Mishra, Girish; Okasha, Hussein Hassan; Poley, Jan Werner; Guo, Jintao; Vila, Juan J; Lee, Linda S; Sharma, Malay; Bhutani, Manoop S; Giovannini, Marc; Kitano, Masayuki; Eloubeidi, Mohamad Ali; Khashab, Mouen A; Nguyen, Nam Q; Saxena, Payal; Vilmann, Peter; Fusaroli, Pietro; Garg, Pramod Kumar; Ho, Sammy; Mukai, Shuntaro; Carrara, Silvia; Sridhar, Subbaramiah; Lakhtakia, Sundeep; Rana, Surinder S; Dhir, Vinay; Sahai, Anand V

2017-01-01

The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one. EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.
A SURVEY OF CHEMICAL AND BIOLOGICAL STRUCTURE IN THREE FLORIDA BAYOU-ESTUARIES

EPA Science Inventory

Structural and functional characteristics of the benthic biota were determined and compared for three urbanized bayous, in conjuction with sediment chemical quality and acute toxicity. Sediment chemical contamination in the bayous was common. Numerical sediment quality assessmen...
Top management leadership style and quality of care in nursing homes.

PubMed

Castle, Nicholas G; Decker, Frederic H

2011-10-01

The purpose of this study was to examine the association of Nursing Home Administrator (NHA) leadership style and Director of Nursing (DON) leadership style with quality of care. Leaders were categorized into 4 groups: consensus managers, consultative autocrats, shareholder managers, or autocrats. This leadership style assessment came from primary data collected from approximately 4,000 NHAs and DONs that was linked to quality information (i.e., Nursing Home Compare Quality Measures and 5-Star rating scores) and nursing home information (i.e., Online Survey, Certification, And Reporting data). A consensus manager leadership style has a strong association with better quality. Top managers using this style solicit and act upon input from their employees. For NHAs exhibiting this leadership style, the coefficients on 5 of the 7 quality indicators are statistically significant, and all 7 are significant when the DON exhibits this style. When the NHA and DON both have a consensus manager leadership style, 6 of the 7 quality indicator coefficients are significantly associated with better quality. The findings indicate that NHA and DON leadership style is associated with quality of care. Leadership strategies are amenable to change; thus, the findings of this study may be used to develop policies for promoting more effective leadership in nursing homes.
Cadmium partition in river sediments from an area affected by mining activities.

PubMed

Vasile, Georgiana D; Vlădescu, Luminiţa

2010-08-01

In this paper, the cadmium distribution in Certej River sediments in an area seriously affected by intense mining activities has been studied. The main objective of this study was the evaluation of partition of this metal into different operational defined fractions by sequential extractions. Community Bureau of Reference (BCR) sequential extraction was used to isolate different fractions. The sediment quality was assessed both upstream and downstream the pollution input points, along the Certej River, in order to reveal a possible accumulation of cadmium in sediments and the seasonal changes in cadmium concentrations in BCR sediment phases. Our results reveal that most of the cadmium content is divided between both the soluble and iron and manganese hydrated oxide fractions. Based on total cadmium concentrations in sediments, the enrichment factors were estimated using aluminum as normalizing element and the regression curve Cd/Al corresponding to the geochemical background of the studied area.
Instruments to assess patients with rotator cuff pathology: a systematic review of measurement properties.

PubMed

Longo, Umile Giuseppe; Saris, Daniël; Poolman, Rudolf W; Berton, Alessandra; Denaro, Vincenzo

2012-10-01

The aims of this study were to obtain an overview of the methodological quality of studies on the measurement properties of rotator cuff questionnaires and to describe how well various aspects of the design and statistical analyses of studies on measurement properties are performed. A systematic review of published studies on the measurement properties of rotator cuff questionnaires was performed. Two investigators independently rated the quality of the studies using the Consensus-based Standards for the selection of health Measurement Instruments checklist. This checklist was developed in an international Delphi consensus study. Sixteen studies were included, in which two measurement instruments were evaluated, namely the Western Ontario Rotator Cuff Index and the Rotator Cuff Quality-of-Life Measure. The methodological quality of the included studies was adequate on some properties (construct validity, reliability, responsiveness, internal consistency, and translation) but need to be improved on other aspects. The most important methodological aspects that need to be developed are as follows: measurement error, content validity, structural validity, cross-cultural validity, criterion validity, and interpretability. Considering the importance of adequate measurement properties, it is concluded that, in the field of rotator cuff pathology, there is room for improvement in the methodological quality of studies measurement properties. II.
The Safety of Appropriate Use of Over-the-Counter Proton Pump Inhibitors: An Evidence-Based Review and Delphi Consensus.

PubMed

Johnson, David A; Katz, Philip O; Armstrong, David; Cohen, Henry; Delaney, Brendan C; Howden, Colin W; Katelaris, Peter; Tutuian, Radu I; Castell, Donald O

2017-04-01

The availability of over-the-counter (OTC) proton pump inhibitors (PPIs) for the short-term (2 weeks) management of frequent heartburn (≥2 days/week) has increased markedly, yet evidence-based recommendations have not been developed. A panel of nine international experts in gastroesophageal reflux disease developed consensus statements regarding the risks and benefits of OTC PPIs using a modified Delphi process. Consensus (based on ≥80% approval) was reached through multiple rounds of remote voting and a final round of live voting. To identify relevant data, the available literature was searched and summarized. Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system terminology was used to rate the quality of evidence and strength of recommendations; consensus was based on ≥2/3 agreement. After 4 rounds of review, consensus was achieved for 18 statements. Notably, the available data did not directly reflect OTC use, but instead, prescription use; therefore, extrapolations to the OTC setting were often necessary. This limitation is regrettable, but it justifies performing this exercise to provide evidence-based expert opinion on a widely used class of drugs. The panel determined that using OTC PPIs according to label instructions is unlikely to mask the symptoms of esophageal or gastric cancer or adversely impact the natural history of related precursor conditions. OTC PPIs are not expected to substantially affect micronutrient absorption or bone mineral density or cause community-acquired pneumonia, Clostridium difficile infection, or cardiovascular adverse events. However, OTC PPI use may be associated with slightly increased risks for infectious diarrhea, certain idiosyncratic reactions, and cirrhosis-related spontaneous bacterial peritonitis. The available evidence does not suggest that OTC PPI use consistent with label instructions is associated with substantial health risks. To minimize potential risks, healthcare professionals and consumers must actively participate in decision making when managing reflux-related symptoms in the self-care setting.
Improving cancer care in Europe: Which institutional health structures might be beneficial and why? 1. European Roundtable Meeting (ERTM), 16th May 2014, Berlin, Germany.

PubMed

Ortmann, Olaf; Helbig, U; Torode, J

2016-01-01

Bringing the knowledge and expertise of different European countries and the European Commission together for an analysis of the different factors being beneficent or rather opposing for high quality in cancer care. A specific focus is set on the structures and views in European nations on implementation processes. Due to the variation of National Cancer Control Plans (NCCPs) the preferences for implementation strategies differ. For quality achievement the involvement of the different stakeholders is beneficial. Common sense was the importance of NCCPs. However, it was consensus between participants that a bottom-up approach that considers the needs of different professional groups involved in cancer care and also the views of patients is of critical importance for successful implementation. Functioning cancer registries and evidence-based guidelines with standard of care are fundamental for quality measurement. There is consensus between participants of the meeting that NCCPs are essential for improvement of cancer care. However, national preferences and the views of patients and caregivers have to be included to guarantee successful implementation.
Stuttering

PubMed Central

Perez, Hector R.; Stoeckle, James H.

2016-01-01

Abstract Objective To provide an update on the epidemiology, genetics, pathophysiology, diagnosis, and treatment of developmental stuttering. Quality of evidence The MEDLINE and Cochrane databases were searched for past and recent studies on the epidemiology, genetics, pathophysiology, diagnosis, and treatment of developmental stuttering. Most recommendations are based on small studies, limited-quality evidence, or consensus. Main message Stuttering is a speech disorder, common in persons of all ages, that affects normal fluency and time patterning of speech. Stuttering has been associated with differences in brain anatomy, functioning, and dopamine regulation thought to be due to genetic causes. Attention to making a correct diagnosis or referral in children is important because there is growing consensus that early intervention with speech therapy for children who stutter is critical. For adults, stuttering can be associated with substantial psychosocial morbidity including social anxiety and low quality of life. Pharmacologic treatment has received attention in recent years, but clinical evidence is limited. The mainstay of treatment for children and adults remains speech therapy. Conclusion A growing body of research has attempted to uncover the pathophysiology of stuttering. Referral for speech therapy remains the best option for children and adults. PMID:27303004
Flying qualities - A costly lapse in flight-control design

NASA Technical Reports Server (NTRS)

Berry, D. T.

1982-01-01

Generic problems in advanced aircraft with advanced control systems which suffer from control sensitivity, sluggish response, and pilot-induced oscillation tendencies are examined, with a view to improving techniques for eliminating the problems in the design phase. Results of two NASA and NASA/AIAA workshops reached a consensus that flying qualities criteria do not match control system development, control system designers are not relying on past experience in their field, ground-based simulation is relied on too heavily, and communications between flying qualities and control systems engineers need improvement. A summation is offered in that hardware and software have outstripped the pilot's capacity to use the capabilities which new aircraft offer. The flying qualities data base is stressed to be dynamic, and continually redefining the man/machine relationships.
Analytical results from an environmental investigation of six sites on Kirtland Air Force Base, New Mexico, 1993-94

USGS Publications Warehouse

Wilcox, Ralph

1995-01-01

The six sites investigated include silver recovery units; a buried caustic drain line; a neutralization pit; an evaporation/infiltration pond; the Manzano fire training area; and a waste oil underground storage tank. Environmental samples of soil, pond sediment, soil gas, and water and gas in floor drains were collected and analyzed. Field quality-control samples were also collected and analyzed in association with the environmental samples. The six sites were investigated because past or current activities could have resulted in contamination of soil, pond sediment, or water and sediment in drains.
Food Web Bioaccumulation Model for Resident Killer Whales from the Northeastern Pacific Ocean as a Tool for the Derivation of PBDE-Sediment Quality Guidelines.

PubMed

Alava, Juan José; Ross, Peter S; Gobas, Frank A P C

2016-01-01

Resident killer whale populations in the NE Pacific Ocean are at risk due to the accumulation of pollutants, including polybrominated diphenyl ethers (PBDEs). To assess the impact of PBDEs in water and sediments in killer whale critical habitat, we developed a food web bioaccumulation model. The model was designed to estimate PBDE concentrations in killer whales based on PBDE concentrations in sediments and the water column throughout a lifetime of exposure. Calculated and observed PBDE concentrations exceeded the only toxicity reference value available for PBDEs in marine mammals (1500 μg/kg lipid) in southern resident killer whales but not in northern resident killer whales. Temporal trends (1993-2006) for PBDEs observed in southern resident killer whales showed a doubling time of ≈5 years. If current sediment quality guidelines available in Canada for polychlorinated biphenyls are applied to PBDEs, it can be expected that PBDE concentrations in killer whales will exceed available toxicity reference values by a large margin. Model calculations suggest that a PBDE concentration in sediments of approximately 1.0 μg/kg dw produces PBDE concentrations in resident killer whales that are below the current toxicity reference value for 95 % of the population, with this value serving as a precautionary benchmark for a management-based approach to reducing PBDE health risks to killer whales. The food web bioaccumulation model may be a useful risk management tool in support of regulatory protection for killer whales.
Floodplains as a source of fine sediment in grazed landscapes: Tracing the source of suspended sediment in the headwaters of an intensively managed agricultural landscape

NASA Astrophysics Data System (ADS)

Yu, Mingjing; Rhoads, Bruce L.

2018-05-01

The flux of fine sediment within agricultural watersheds is an important factor determining the environmental quality of streams and rivers. Despite this importance, the contributions of sediment sources to suspended sediment loads within intensively managed agricultural watersheds remain poorly understood. This study assesses the provenance of fine suspended sediment in the headwater portion of a river flowing through an agricultural landscape in Illinois. Sediment source samples were collected from five sources: croplands, forested floodplains, grasslands, upper grazed floodplains, and lower grazed floodplains. Event-based and aggregated suspended sediment samples were collected from the stream at the watershed outlet. Quantitative geochemical fingerprinting techniques and a mixing model were employed to estimate the relative contributions of sediment from the five sources to the suspended sediment loads. To account for possible effects of small sample sizes, the analysis was repeated with only two sources: grazed floodplains and croplands/grasslands/forested floodplains. Results based on mean values of tracers indicate that the vast majority of suspended sediment within the stream (>95%) is derived from erosion of channel banks and the soil surface within areas of grazed floodplains. Uncertainty analysis based on Monte Carlo simulations indicates that mean values of tracer properties, which do not account for sampling variability in these properties, probably overestimate contributions from the two major sources. Nevertheless, this analysis still supports the conclusion that floodplain erosion accounts for the largest percentage of instream sediment (≈55-75%). Although grazing occurs over only a small portion of the total watershed area, grazed floodplains, which lie in close proximity to the stream channel, are an important source of sediment in this headwater steam system. Efforts to reduce fluxes of fine sediment in this intensively managed landscape should focus on eroding floodplain surfaces and channel banks within heavily grazed reaches of the stream.
Consensus on core phenomena and statements describing Basic Body Awareness Therapy within the movement awareness domain in physiotherapy.

PubMed

Skjaerven, L H; Mattsson, M; Catalan-Matamoros, D; Parker, A; Gard, G; Gyllensten, A Lundvik

2018-02-26

Physiotherapists are facing complex health challenges in the treatment of persons suffering from long-lasting musculoskeletal disorders and mental health problems. Basic Body Awareness Therapy (BBAT) is a physiotherapy approach within the movement awareness domain developed to bridge physical, mental, and relational health challenges. The purpose of this study was to reach a consensus on core phenomena and statements describing BBAT. A consensus-building process was conducted using the nominal group technique (NGT). Twenty-one BBAT experts from 10 European countries participated in a concentrated weekend workshop of 20 hours. All participants signed informed consent. Participants reached a consensus on 138 core phenomena, clustered in three overarching categories: clinical core, historical roots, and research and evaluation phenomena. Of the 106 clinical core phenomena, the participants agreed on three categories of phenomena: movement quality, movement awareness practice, and movement awareness therapy and pedagogy. Furthermore, the participants reached 100 percent consensus on 16 of 30 statements describing BBAT. This study provides a consensus on core phenomena and statements describing BBAT. The data reveal phenomena implemented when promoting movement quality through movement awareness. Data provide clarity in some aspects of the vocabulary as fundamental theory. Further reearch will be developed.
A preliminary appraisal of sediment sources and transport in Kings Bay and vicinity, Georgia and Florida

USGS Publications Warehouse

McConnell, J.B.; Radtke, D.B.; Hale, T.W.; Buell, G.R.

1983-01-01

Water-quality, bottom-material, suspended-sediment, and current-velocity data were collected during November 1981 in Kings Bay and vicinity to provide information on the sources and transport of estuarine sediments. Kings Bay and Cumberland Sound , the site of the Poseidon Submarine Base in southeast Georgia, are experiencing high rates of sediment deposition and accumulation, which are causing serious navigational and operational problems. Velocity, bathymetry, turbidity, and bottom-material data suggest that the area in the vicinity of lower Kings Bay is accumulating deposits of suspended sediment transported from Cumberland Sound on the floodtide and from upper Kings Bay and the tidal marsh drained by Marianna Creek on the ebbtide. Suspended-sediment discharges computed for consecutive 13-hour ebbtides and floodtides showed that a net quantity of suspended sediment was transported seaward from upper Kings Bay and Marianna Creek. A net landward transport of suspended sediment computed at the St. Marys Entrance indicated areas seaward of St. Marys Entrance may be supplying sediment to the shoaling areas of the estuary, including lower Kings Bay. (USGS)
Native crustacean species as a bioindicator of freshwater ecosystem pollution: A multivariate and integrative study of multi-biomarker response in active river monitoring.

PubMed

Bertrand, Lidwina; Monferrán, Magdalena Victoria; Mouneyrac, Catherine; Amé, María Valeria

2018-05-04

The aim of this study was to evaluate the ability of Palaemonetes argentinus to evidence the environmental degradation due to pollutants mixture in a freshwater aquatic ecosystem. For this purpose, an active monitoring (96 h exposure) was carried out in seven sites along the Ctalamochita River basin (Córdoba, Argentina), as a case of study. Our results evidenced sewage discharges impact in the water quality index, as well as metal pollution in water (Ag, Al, B, Pb, Hg) and sediments (Hg) with a potential effect on aquatic biota. The accumulation of total metals measured in exposed P. argentinus showed significant correlation with metals in water. Also, metallothioneins in cephalothorax showed significant changes along the basin, correlating with soluble concentrations of Cr, Zn, Cd, Hg, and V measured in shrimp tissues, which would be reflecting their bioavailability in the environment. In addition, the increase in antioxidant and detoxifying enzymes suggests the occurrence of oxidative stress in exposed shrimps. The integrative biomarker response index (IBR) pointed out the effect of metals on P. argentinus but also the occurrence of others pollutants. Finally, a high consensus was observed for water, sediments, and shrimps through the multivariate analysis (90%), indicating that P. argentinus can reflect changes in the abiotic matrixes. Moreover, studied sites were grouped according to their environmental quality. The use of active biomonitoring and the integration of biological responses through an IBR confirm that native biota could be a useful monitoring tool for bioavailable pollutants in aquatic ecosystems constituting a highly valuable approach. Copyright © 2018 Elsevier Ltd. All rights reserved.
Clinical practice guidelines and consensus statements in oncology--an assessment of their methodological quality.

PubMed

Jacobs, Carmel; Graham, Ian D; Makarski, Julie; Chassé, Michaël; Fergusson, Dean; Hutton, Brian; Clemons, Mark

2014-01-01

Consensus statements and clinical practice guidelines are widely available for enhancing the care of cancer patients. Despite subtle differences in their definition and purpose, these terms are often used interchangeably. We systematically assessed the methodological quality of consensus statements and clinical practice guidelines published in three commonly read, geographically diverse, cancer-specific journals. Methods Consensus statements and clinical practice guidelines published between January 2005 and September 2013 in Current Oncology, European Journal of Cancer and Journal of Clinical Oncology were evaluated. Each publication was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) rigour of development and editorial independence domains. For assessment of transparency of document development, 7 additional items were taken from the Institute of Medicine's standards for practice guidelines and the Journal of Clinical Oncology guidelines for authors of guidance documents. Consensus statements and clinical practice guidelines published between January 2005 and September 2013 in Current Oncology, European Journal of Cancer and Journal of Clinical Oncology were evaluated. Each publication was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) rigour of development and editorial independence domains. For assessment of transparency of document development, 7 additional items were taken from the Institute of Medicine's standards for practice guidelines and the Journal of Clinical Oncology guidelines for authors of guidance documents. Thirty-four consensus statements and 67 clinical practice guidelines were evaluated. The rigour of development score for consensus statements over the three journals was 32% lower than that of clinical practice guidelines. The editorial independence score was 15% lower for consensus statements than clinical practice guidelines. One journal scored consistently lower than the others over both domains. No journals adhered to all the items related to the transparency of document development. One journal's consensus statements endorsed a product made by the sponsoring pharmaceutical company in 64% of cases. Guidance documents are an essential part of oncology care and should be subjected to a rigorous and validated development process. Consensus statements had lower methodological quality than clinical practice guidelines using AGREE II. At a minimum, journals should ensure that that all consensus statements and clinical practice guidelines adhere to AGREE II criteria. Journals should consider explicitly requiring guidelines to declare pharmaceutical company sponsorship and to identify the sponsor's product to enhance transparency.
Algal Populations and Water Quality in Florida Lakes: Sedimentary Evidence of Anthropogenic Impact

NASA Astrophysics Data System (ADS)

Whitmore, M. R.; Whitmore, T. J.; Brenner, M.; Smoak, J.; Curtis, J.

2004-05-01

Cyanobacteria and other algae dominate many highly productive Florida (U.S.A.) lakes. Algal proliferation is often attributed to eutrophication during the last century, but it is poorly documented because Florida's water-quality monitoring programs became common only after 1980. We examined sediment cores from 14 hypereutrophic Florida lakes. Study lakes have been subjected to urbanization, agriculture, and to inputs of municipal sewage effluent and food-processing wastes. Major algal-pigment groups were analyzed in sediments using pigment-extraction and spectrophotometric techniques. We compared myxoxanthophyll, oscillaxanthin, total carotenoid, and total chlorophyll pigment profiles with WACALIB-derived limnetic total-P and chlorophyll a inferences based on fossil diatoms, sediment chemistry, and stable isotope (δ 13C & δ 15N) signatures of organic matter. Sedimentary evidence showed that cyanobacterial and algal proliferation appeared during recent decades in 10 study lakes in response to eutrophication. Cyanobacterial increase was very recent and abrupt in 7 lakes. Six lakes showed recovery following nutrient-mitigation programs that reduced sewage and other point-source effluent inputs. Four lakes showed long-term presence of cyanobacterial populations because edaphic nutrient supply causes these lakes to be naturally productive. Three of these naturally eutrophic lakes remained unchanged, but one demonstrated eutrophication followed by subsequent recovery. Correlations were particularly strong among sedimented pigment profiles and diatom-inferred limnetic water-quality profiles. Paleolimnological methods provide informative assessment of anthropogenic influence on lakes when long-term water-quality data are lacking. Historic studies also are useful for evaluating the feasibility of improving water quality through lake-management programs, and for defining appropriate lake restoration goals.
A mathematical model of reservoir sediment quality prediction based on land-use and erosion processes in watershed

NASA Astrophysics Data System (ADS)

Junakova, N.; Balintova, M.; Junak, J.

2017-10-01

The aim of this paper is to propose a mathematical model for determining of total nitrogen (N) and phosphorus (P) content in eroded soil particles with emphasis on prediction of bottom sediment quality in reservoirs. The adsorbed nutrient concentrations are calculated using the Universal Soil Loss Equation (USLE) extended by the determination of the average soil nutrient concentration in top soils. The average annual vegetation and management factor is divided into five periods of the cropping cycle. For selected plants, the average plant nutrient uptake divided into five cropping periods is also proposed. The average nutrient concentrations in eroded soil particles in adsorbed form are modified by sediment enrichment ratio to obtain the total nutrient content in transported soil particles. The model was designed for the conditions of north-eastern Slovakia. The study was carried out in the agricultural basin of the small water reservoir Klusov.

Comparison of streamflow and water-quality data collection techniques for the Saginaw River, Michigan

USGS Publications Warehouse

Hoard, C.J.; Holtschlag, D.J.; Duris, J.W.; James, D.A.; Obenauer, D.J.

2012-01-01

In 2009, the Michigan Department of Environmental Quality and the U.S. Geological Survey developed a plan to compare the effect of various streamgaging and water-quality collection techniques on streamflow and stream water-quality data for the Saginaw River, Michigan. The Saginaw River is the primary contributor of surface runoff to Saginaw Bay, Lake Huron, draining approximately 70 percent of the Saginaw Bay watershed. The U.S. Environmental Protection Agency has listed the Saginaw Bay system as an "Area of Concern" due to many factors, including excessive sediment and nutrient concentrations in the water. Current efforts to estimate loading of sediment and nutrients to Saginaw Bay utilize water-quality samples collected using a surface-grab technique and flow data that are uncertain during specific conditions. Comparisons of current flow and water-quality sampling techniques to alternative techniques were assessed between April 2009 and September 2009 at two locations in the Saginaw River. Streamflow estimated using acoustic Doppler current profiling technology was compared to a traditional stage-discharge technique. Complex conditions resulting from the influence of Saginaw Bay on the Saginaw River were able to be captured using the acoustic technology, while the traditional stage-discharge technique failed to quantify these effects. Water-quality samples were collected at two locations and on eight different dates, utilizing both surface-grab and depth-integrating multiple-vertical techniques. Sixteen paired samples were collected and analyzed for suspended sediment, turbidity, total phosphorus, total nitrogen, orthophosphate, nitrite, nitrate, and ammonia. Results indicate that concentrations of constituents associated with suspended material, such as suspended sediment, turbidity, and total phosphorus, are underestimated when samples are collected using the surface-grab technique. The median magnitude of the relative percent difference in concentration based on sampling technique was 37 percent for suspended sediment, 26 percent for turbidity, and 9.7 percent for total phosphorus samples collected at both. Acoustic techniques were also used to assist in the determination of the effectiveness of using acoustic-backscatter information for estimating the suspended-sediment concentration of the river water. Backscatter data was collected by use of an acoustic Doppler current profiler, and a Van Dorn manual sampler was simultaneously used to collect discrete water samples at 10 depths (3.5, 7.5, 11, 14, 15.5, 17.5, 19.5, 20.5, 22, and 24.5 ft below the water surface) along two vertical profiles near the center of the Saginaw River near Bay City. The Van Dorn samples were analyzed for suspended-sediment concentrations, and these data were then used to develop a relationship between acoustic-backscatter data. Acoustic-backscatter data was strongly correlated to sediment concentrations and, by using a linear regression, was able to explain 89 percent of the variability. Although this regression technique showed promise for using acoustic backscatter to estimate suspended-sediment concentration, attempts to compare suspended-sediment concentrations to the acoustic signal-to-noise ratio estimates, recorded at the fixed acoustic streamflow-gaging station near Bay City (04157061), resulted in a poor correlation.
A guide to the proper selection and use of federally approved sediment and water-quality samplers

USGS Publications Warehouse

Davis, Broderick E.; ,

2005-01-01

As interest in the health of rivers and streams increases3, and new water-quality regulations4 are promulgated, interest in sediment and water-quality sampling equipment and technologies has increased. While much information on the subject exists, a comprehensive summary document of sediment sampling equipment and technology is lacking. This report seeks to provide such a summary.
Sediment Chemistry and Toxicity in Barnegat Bay, New Jersey: Pre- and Post- Hurricane Sandy, 2012-2013.

USGS Publications Warehouse

Romanok, Kristin M.; Szabo, Zoltan; Reilly, Timothy J.; Defne, Zafer; Ganju, Neil K.

2016-01-01

Hurricane Sandy made landfall in Barnegat Bay, October, 29, 2012, damaging shorelines and infrastructure. Estuarine sediment chemistry and toxicity were investigated before and after to evaluate potential environmental health impacts and to establish post-event baseline sediment-quality conditions. Trace element concentrations increased throughout Barnegat Bay up to two orders of magnitude, especially north of Barnegat Inlet, consistent with northward redistribution of silt. Loss of organic compounds, clay, and organic carbon is consistent with sediment winnowing and transport through the inlets and sediment transport modeling results. The number of sites exceeding sediment quality guidance levels for trace elements tripled post-Sandy. Sediment toxicity post-Sandy was mostly unaffected relative to pre-Sandy conditions, but at the site with the greatest relative increase for trace elements, survival rate of the test amphipod decreased (indicating degradation). This study would not have been possible without comprehensive baseline data enabling the evaluation of storm-derived changes in sediment quality.
Sediment chemistry and toxicity in Barnegat Bay, New Jersey: Pre- and post-Hurricane Sandy, 2012-13.

PubMed

Romanok, Kristin M; Szabo, Zoltan; Reilly, Timothy J; Defne, Zafer; Ganju, Neil K

2016-06-30

Hurricane Sandy made landfall in Barnegat Bay, October, 29, 2012, damaging shorelines and infrastructure. Estuarine sediment chemistry and toxicity were investigated before and after to evaluate potential environmental health impacts and to establish post-event baseline sediment-quality conditions. Trace element concentrations increased throughout Barnegat Bay up to two orders of magnitude, especially north of Barnegat Inlet, consistent with northward redistribution of silt. Loss of organic compounds, clay, and organic carbon is consistent with sediment winnowing and transport through the inlets and sediment transport modeling results. The number of sites exceeding sediment quality guidance levels for trace elements tripled post-Sandy. Sediment toxicity post-Sandy was mostly unaffected relative to pre-Sandy conditions, but at the site with the greatest relative increase for trace elements, survival rate of the test amphipod decreased (indicating degradation). This study would not have been possible without comprehensive baseline data enabling the evaluation of storm-derived changes in sediment quality. Published by Elsevier Ltd.
Geologic processes influence the effects of mining on aquatic ecosystems

USGS Publications Warehouse

Schmidt, Travis S.; Clements, William H.; Wanty, Richard B.; Verplanck, Philip L.; Church, Stan E.; San Juan, Carma A.; Fey, David L.; Rockwell, Barnaby W.; DeWitt, Ed H.; Klein, Terry L.

2012-01-01

Geologic processes strongly influence water and sediment quality in aquatic ecosystems but rarely are geologic principles incorporated into routine biomonitoring studies. We test if elevated concentrations of metals in water and sediment are restricted to streams downstream of mines or areas that may discharge mine wastes. We surveyed 198 catchments classified as “historically mined” or “unmined,” and based on mineral-deposit criteria, to determine whether water and sediment quality were influenced by naturally occurring mineralized rock, by historical mining, or by a combination of both. By accounting for different geologic sources of metals to the environment, we were able to distinguish aquatic ecosystems limited by metals derived from natural processes from those due to mining. Elevated concentrations of metals in water and sediment were not restricted to mined catchments; depauperate aquatic communities were found in unmined catchments. The type and intensity of hydrothermal alteration and the mineral deposit type were important determinants of water and sediment quality as well as the aquatic community in both mined and unmined catchments. This study distinguished the effects of different rock types and geologic sources of metals on ecosystems by incorporating basic geologic processes into reference and baseline site selection, resulting in a refined assessment. Our results indicate that biomonitoring studies should account for natural sources of metals in some geologic environments as contributors to the effect of mines on aquatic ecosystems, recognizing that in mining-impacted drainages there may have been high pre-mining background metal concentrations.
Characterizing toxicity of metal-contaminated sediments from mining areas

USGS Publications Warehouse

Besser, John M.; Brumbaugh, William G.; Ingersoll, Christopher G.

2015-01-01

This paper reviews methods for testing the toxicity of metals associated with freshwater sediments, linking toxic effects with metal exposure and bioavailability, and developing sediment quality guidelines. The most broadly applicable approach for characterizing metal toxicity is whole-sediment toxicity testing, which attempts to simulate natural exposure conditions in the laboratory. Standard methods for whole-sediment testing can be adapted to test a wide variety of taxa. Chronic sediment tests that characterize effects on multiple endpoints (e.g., survival, growth, and reproduction) can be highly sensitive indicators of adverse effects on resident invertebrate taxa. Methods for testing of aqueous phases (pore water, overlying water, or elutriates) are used less frequently. Analysis of sediment toxicity data focuses on statistical comparisons between responses in sediments from the study area and responses in one or more uncontaminated reference sediments. For large or complex study areas, a greater number of reference sediments is recommended to reliably define the normal range of responses in uncontaminated sediments – the ‘reference envelope’. Data on metal concentrations and effects on test organisms across a gradient of contamination may allow development of concentration-response models, which estimate metal concentrations associated with specified levels of toxic effects (e.g. 20% effect concentration or EC20). Comparisons of toxic effects in laboratory tests with measures of impacts on resident benthic invertebrate communities can help document causal relationships between metal contamination and biological effects. Total or total-recoverable metal concentrations in sediments are the most common measure of metal contamination in sediments, but metal concentrations in labile sediment fractions (e.g., determined as part of selective sediment extraction protocols) may better represent metal bioavailability. Metals released by the weak-acid extraction of acid-volatile sulfide (AVS), termed simultaneously-extracted metals (SEM), are widely used to estimate the ‘potentially-bioavailable’ fraction of metals that is not bound to sulfides (i.e., SEM-AVS). Metal concentrations in pore water are widely considered to be direct measures of metal bioavailability, and predictions of toxicity based on pore-water metal concentrations may be further improved by modeling interactions of metals with other pore-water constituents using Biotic Ligand Models. Data from sediment toxicity tests and metal analyses has provided the basis for development of sediment quality guidelines, which estimate thresholds for toxicity of metals in sediments. Empirical guidelines such as Probable Effects Concentrations or (PECs) are based on associations between sediment metal concentrations and occurrence of toxic effects in large datasets. PECs do not model bioavailable metals, but they can be used to estimate the toxicity of metal mixtures using by calculation of probable effect quotients (PEQ = sediment metal concentration/PEC). In contrast, mechanistic guidelines, such as Equilibrium Partitioning Sediment Benchmarks (ESBs) attempt to predict both bioavailability and mixture toxicity. Application of these simple bioavailability models requires more extensive chemical characterization of sediments or pore water, compared to empirical guidelines, but may provide more reliable estimates of metal toxicity across a wide range of sediment types.
Patellar Instability Management: A Survey of the International Patellofemoral Study Group.

PubMed

Liu, Joseph N; Steinhaus, Michael E; Kalbian, Irene L; Post, William R; Green, Daniel W; Strickland, Sabrina M; Shubin Stein, Beth E

2017-10-01

Although patellofemoral instability is among the most prevalent knee disorders, the management of patients with this condition is complex and remains variable, given the lack of long-term, high-level clinical outcome studies to compare various operative and nonoperative modalities. To discover a consensus within treatment controversies in patellofemoral instability among experienced knee surgeons with a specific interest in the patellofemoral joint. Expert opinion; Level of evidence, 5. A 3-step modified Delphi technique was used to establish a consensus. A 34-question, case-based online survey regarding patellofemoral instability was distributed to all active members of the International Patellofemoral Study Group. Consensus statements were generated if at least 66% of the respondents agreed and then redistributed to the same panel. Modifications to the consensus statements were made based on the iterative feedback process until no discordance was encountered in the third stage. Eight consensus statements were achieved. Nonoperative management is the current standard of care for a first-time dislocation in the absence of an osteochondral fragment or loose body requiring excision (100% agreement). In patients with a first-time dislocation with an operative osteochondral fracture requiring excision or repair, patellar instability should be addressed concurrently (89% agreement). Recurrent instability should be treated surgically, with most surgeons favoring medial reconstruction (77%-86% agreement). While there is general agreement that bony procedures should be performed to correct underlying bony deformities, there is no consensus regarding the most appropriate type of procedure performed. Lateral release should not be performed in isolation for the treatment of patellar instability (89% agreement). Despite the consensus generated in this study, our current understanding remains limited by a lack of high-level evidence as well as the numerous complex variables influencing treatment decision making. High-quality, multicenter randomized controlled trials, particularly those directly comparing specific surgical treatment methods while controlling for underlying risk factors, are needed to address these areas of uncertainty.
Water-quality trends using sediment cores from White Rock Lake, Dallas, Texas

USGS Publications Warehouse

Van Metre, Peter C.; Land, Larry F.; Braun, C.L.

1996-01-01

The purpose of this fact sheet is to summarize the principal findings documented in a report on water-quality trends in White Rock Creek Basin using dated sediment cores from White Rock Lake (Van Metre and Callender, in press). The study used dated sediment cores to reconstruct water-quality conditions. More specifically, the changes in water quality associated with the watershed’s change from agricultural to urban land use and with the implementation of environmental regulations were identified.
Predicting fire effects on water quality: a perspective and future needs

NASA Astrophysics Data System (ADS)

Smith, Hugh; Sheridan, Gary; Nyman, Petter; Langhans, Christoph; Noske, Philip; Lane, Patrick

2017-04-01

Forest environments are a globally significant source of drinking water. Fire presents a credible threat to the supply of high quality water in many forested regions. The post-fire risk to water supplies depends on storm event characteristics, vegetation cover and fire-related changes in soil infiltration and erodibility modulated by landscape position. The resulting magnitude of runoff generation, erosion and constituent flux to streams and reservoirs determines the severity of water quality impacts in combination with the physical and chemical composition of the entrained material. Research to date suggests that most post-fire water quality impacts are due to large increases in the supply of particulates (fine-grained sediment and ash) and particle-associated chemical constituents. The largest water quality impacts result from high magnitude erosion events, including debris flow processes, which typically occur in response to short duration, high intensity storm events during the recovery period. Most research to date focuses on impacts on water quality after fire. However, information on potential water quality impacts is required prior to fire events for risk planning. Moreover, changes in climate and forest management (e.g. prescribed burning) that affect fire regimes may alter water quality risks. Therefore, prediction requires spatial-temporal representation of fire and rainfall regimes coupled with information on fire-related changes to soil hydrologic parameters. Recent work has applied such an approach by combining a fire spread model with historic fire weather data in a Monte Carlo simulation to quantify probabilities associated with fire and storm events generating debris flows and fine sediment influx to a reservoir located in Victoria, Australia. Prediction of fire effects on water quality would benefit from further research in several areas. First, more work on regional-scale stochastic modelling of intersecting fire and storm events with landscape zones of erosion vulnerability is required to support quantitative evaluation of water quality risk and the effect of future changes in climate and land management. Second, we underscore previous calls for characterisation of landscape-scale domains to support regionalisation of parameter sets derived from empirical studies. Recent examples include work identifying aridity as a control of hydro-geomorphic response to fire and the use of spectral-based indices to predict spatial heterogeneity in ash loadings. Third, information on post-fire erosion from colluvial or alluvial stores is needed to determine their significance as both sediment-contaminant sinks and sources. Such sediment stores may require explicit spatial representation in risk models for some environments and sediment tracing can be used to determine their relative importance as secondary sources. Fourth, increased dating of sediment archives could provide regional datasets of fire-related erosion event frequency. Presently, the lack of such data hinders evaluation of risk models linking fire and storm events to erosion and water quality impacts.
Water quality, sediment quality, and stream-channel classification of Rock Creek, Washington, D.C., 1999-2000

USGS Publications Warehouse

Anderson, Anita L.; Miller, Cherie V.; Olsen, Lisa D.; Doheny, Edward J.; Phelan, Daniel J.

2002-01-01

Rock Creek Park is within the National Capital Region in Washington, D.C., and is maintained by the National Park Service. Part of Montgomery County, Maryland, and part of the District of Columbia drain into Rock Creek, which is a tributary of the Potomac River. Water quality in Rock Creek is important to biotic life in and near the creek, and in the Potomac River Basin and the Chesapeake Bay. The water quality of the Rock Creek Basin has been affected by continued urban and agricultural growth and development. The U.S. Geological Survey, in cooperation with the National Park Service, investigated water quality and sediment quality in Rock Creek over a 2-year period (1998?2000), and performed a stream-channel classification to determine the distribution of bottom sediment in Rock Creek. This report presents and evaluates water quality and bottom sediment in Rock Creek for water years 1999 (October 1, 1998 to September 30, 1999) and 2000 (October 1, 1999 to September 30, 2000). A synoptic surface-water assessment was conducted at five stations from June 23 to June 25, 1999, a temporal surface-water assessment was conducted at one station from February 18, 1999 to September 26, 2000, and bed-sediment samples were collected and assessed from three stations from August 17 to August 19, 1999. The synoptic surface-water assessment included pesticides (parent compounds and selected transformation products), field parameters, nutrients, and major ions. The temporal surface-water assessment included pesticides (parent compounds and selected transformation products) and field parameters. The bed-sediment assessment included trace elements and organic compounds (including low- and high-molecular weight polycyclic aromatic hydrocarbons, poly-chlorinated biphenyls, pesticides, and phthalates). Some, but not all, of the pesticides known to be used in the area were included in the synoptic water-quality assessment, the temporal water-quality assessment, and the bed-sediment assessment. In addition to the water-quality and sediment-quality assessments, a Rosgen stream-channel classification was performed on a 900-foot-long segment of Rock Creek. In the synoptic water-quality assessment, two pesticides were found to be above published criteria for the protection of aquatic life. In the temporal water-quality assessment, four pesticides were found to be above published criteria for the protection of aquatic life. In the bed-sediment assessment, 8 trace elements, 14 polycyclic aromatic hydrocarbons, 6 pesticides, and 1 phthalate compound were found to be above published criteria for the protection of aquatic life. In the Rosgen classification, a comparison to a previous classification for this segment showed an increase in sands and other fine-grained sediments in the creek bed.
Predicting watershed post-fire sediment yield with the InVEST sediment retention model: Accuracy and uncertainties

USGS Publications Warehouse

Sankey, Joel B.; McVay, Jason C.; Kreitler, Jason R.; Hawbaker, Todd J.; Vaillant, Nicole; Lowe, Scott

2015-01-01

Increased sedimentation following wildland fire can negatively impact water supply and water quality. Understanding how changing fire frequency, extent, and location will affect watersheds and the ecosystem services they supply to communities is of great societal importance in the western USA and throughout the world. In this work we assess the utility of the InVEST (Integrated Valuation of Ecosystem Services and Tradeoffs) Sediment Retention Model to accurately characterize erosion and sedimentation of burned watersheds. InVEST was developed by the Natural Capital Project at Stanford University (Tallis et al., 2014) and is a suite of GIS-based implementations of common process models, engineered for high-end computing to allow the faster simulation of larger landscapes and incorporation into decision-making. The InVEST Sediment Retention Model is based on common soil erosion models (e.g., USLE – Universal Soil Loss Equation) and determines which areas of the landscape contribute the greatest sediment loads to a hydrological network and conversely evaluate the ecosystem service of sediment retention on a watershed basis. In this study, we evaluate the accuracy and uncertainties for InVEST predictions of increased sedimentation after fire, using measured postfire sediment yields available for many watersheds throughout the western USA from an existing, published large database. We show that the model can be parameterized in a relatively simple fashion to predict post-fire sediment yield with accuracy. Our ultimate goal is to use the model to accurately predict variability in post-fire sediment yield at a watershed scale as a function of future wildfire conditions.
Guideline update: what's the best approach to acute low back pain?

PubMed

Bach, Son M; Holten, Keith B

2009-12-01

GRADE A RECOMMENDATIONS (based on good-quality patient-oriented evidence): Advise patients to stay active and continue ordinary activity within the limits permitted by pain, avoid bed rest, and return to work early, which is associated with less disability. Consider McKenzie exercises, which are helpful for pain radiating below the knee. Recommend acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) if medication is necessary. COX-2 inhibitors, muscle relaxants, and opiate analgesics have not been shown to be more effective than NSAIDs for acute low back pain. Consider imaging if patients have no improvement after 6 weeks, although diagnostic tests or imaging is not usually required. GRADE B RECOMMENDATIONS (based on inconsistent or limited-quality patient-oriented evidence): Reassure patients that 90% of episodes resolve within 6 weeks-regardless of treatment. Advise patients that minor flares-ups may occur in the subsequent year. Consider a plain lumbosacral spine x-ray if there is suspicion of spinal fracture or compression. Consider a bone scan after 10 days, if fracture is still suspected or the patient has multiple sites of pain. Suspect cauda equina syndrome or severe or progressive neurological deficit if red flags are present. Obtain complete blood count, urinalysis, and sedimentation rate if cancer or infection are possibilities. If still suspicious, consider referral or perform other studies. Remember that a negative plain film x-ray does not rule out disease. GRADE C RECOMMENDATIONS (based on consensus, usual practice, opinion, disease-oriented evidence, or case series): Recommend ice for painful areas and stretching exercises. Discuss the use of proper body mechanics and safe back exercises for injury prevention. Refer for goal-directed manual physical therapy if there is no improvement in 1 to 2 weeks, not modalities such as heat, traction, ultrasound, or transcutaneous electrical nerve stimulation. Do not refer for surgery in the absence of red flags.
Quality of Life After Bariatric Surgery.

PubMed

Mazer, Laura M; Azagury, Dan E; Morton, John M

2017-06-01

The purpose of this review is to provide an introduction to quality of life (QOL) outcomes after bariatric surgery and a summary of the current evidence. QOL has been emphasized in bariatric surgery since the NIH Consensus Conference statement in 1991. Initial studies were limited to 1- and 2-year follow-up. More recent findings have expanded the follow-up period up to 12 years, providing a better description of the impact on long-term QOL. Overall, there is little to no consensus regarding the definition of QOL or the ideal survey. Bariatric surgery has the greatest impact on physical QOL, and the impact on mental health remains unclear. There are some specific and less frequently reported threats to quality of life after bariatric surgery that are also discussed. Obesity has a definite impact on quality of life, even without other comorbidities, and surgery for obesity results in significant and lasting improvements in patient-reported quality of life outcomes. This conclusion is limited by a wide variety of survey instruments and absence of consensus on the definition of QOL after bariatric surgery.
The case for regime-based water quality standards

USGS Publications Warehouse

Poole, Geoffrey C.; Dunham, J.B.; Keenan, D.M.; Sauter, S.T.; McCullough, D.A.; Mebane, Christopher; Lockwood, Jeffrey C.; Essig, Don A.; Hicks, Mark P.; Sturdevant, Debra J.; Materna, E.J.; Spalding, M.; Risley, John; Deppman, Marianne

2004-01-01

Conventional water quality standards have been successful in reducing the concentration of toxic substances in US waters. However, conventional standards are based on simple thresholds and are therefore poorly structured to address human-caused imbalances in dynamic, natural water quality parameters, such as nutrients, sediment, and temperature. A more applicable type of water quality standarda??a a??regime standarda??a??would describe desirable distributions of conditions over space and time within a stream network. By mandating the protection and restoration of the aquatic ecosystem dynamics that are required to support beneficial uses in streams, well-designed regime standards would facilitate more effective strategies for management of natural water quality parameters.
National Irrigation Water Quality Program data-synthesis data base

USGS Publications Warehouse

Seiler, Ralph L.; Skorupa, Joseph P.

2001-01-01

Under the National Irrigation Water Quality Program (NIWQP) of the U.S. Department of the Interior, researchers investigated contamination caused by irrigation drainage in 26 areas in the Western United States from 1986 to 1993. From 1992 to 1995, a comprehensive relational data base was built to organize data collected during the 26-area investigations. The data base provided the basis for analysis and synthesis of these data to identify common features of contaminated areas and hence dominant biologic, geologic, climatic, chemical, and physiographic factors that have resulted in contamination of water and biota in irrigated areas in the Western United States. Included in the data base are geologic, hydrologic, climatological, chemical, and cultural data that describe the 26 study areas in 14 Western States. The data base contains information on 1,264 sites from which water and bottom sediment were collected. It also contains chemical data from 6,903 analyses of surface water, 914 analyses of ground water, 707 analyses of inorganic constituents in bottom sediments, 223 analyses of organochlorine pesticides in bottom sediments, 8,217 analyses of inorganic constituents in biota, and 1,088 analyses for organic constituents in biota. The data base is available to the public and can be obtained at the NIWQP homepage http://www.usbr.gov/niwqp as dBase III tables for personal-computer systems or as American Standard Code for Information Exchange structured query language (SQL) command and data files for SQL data bases.
Effects of organic amendments on the toxicity and bioavailability of cadmium and copper in spiked formulated sediments

USGS Publications Warehouse

Besser, J.M.; Brumbaugh, W.G.; May, T.W.; Ingersoll, C.G.

2003-01-01

We evaluated the partitioning and toxicity of cadmium (Cd) and copper (Cu) spiked into formulated sediments containing two types of organic matter (OM), i.e., cellulose and humus. Amendments of cellulose up to 12.5% total organic carbon (TOC) did not affect partitioning of Cd or Cu between sediment and pore water and did not significantly affect the toxicity of spiked sediments in acute toxicity tests with the amphipod Hyalella azteca. In contrast, amendments of natural humus shifted the partitioning of both Cd and Cu toward greater concentrations in sediment and lesser concentrations in pore water and significantly reduced toxic effects of both metals. Thresholds for toxicity, based on measured metal concentrations in whole sediment, were greater for both Cd and Cu in sediments amended with a low level of humus (2.9% TOC) than in sediments without added OM. Amendments with a high level of humus (8.9% TOC) eliminated toxicity at the highest spike concentrations of both metals (sediment concentrations of 12.4 ??g Cd/g and 493 ??g Cu/g). Concentrations of Cd in pore water associated with acute toxicity were similar between sediments with and without humus amendments, suggesting that toxicity of Cd was reduced primarily by sorption to sediment OM. However, toxic effects of Cu in humus treatments were associated with greater pore-water concentrations than in controls, suggesting that toxicity of Cu was reduced both by sorption and by complexation with soluble ligands. Both sorption and complexation by OM tend to make proposed sediment quality guidelines (SQGs) based on total metal concentrations more protective for high-OM sediments. Our results suggest that the predictive ability of SQGs could be improved by models of metal interactions with natural OM in sediment and pore water.
Effects of organic amendments on the toxicity and bioavailability of cadmium and copper in spiked formulated sediments.

PubMed

Besser, John M; Brumbaugh, William G; May, Thomas W; Ingersoll, Christopher G

2003-04-01

We evaluated the partitioning and toxicity of cadmium (Cd) and copper (Cu) spiked into formulated sediments containing two types of organic matter (OM), i.e., cellulose and humus. Amendments of cellulose up to 12.5% total organic carbon (TOC) did not affect partitioning of Cd or Cu between sediment and pore water and did not significantly affect the toxicity of spiked sediments in acute toxicity tests with the amphipod Hyalella azteca. In contrast, amendments of natural humus shifted the partitioning of hoth Cd and Cu toward greater concentrations in sediment and lesser concentrations in pore water and significantly reduced toxic effects of both metals. Thresholds for toxicity, based on measured metal concentrations in whole sediment, were greater for both Cd and Cu in sediments amended with a low level of humus (2.9% TOC) than in sediments without added OM. Amendments with a high level of humus (8.9% TOC) eliminated toxicity at the highest spike concentrations of both metals (sediment concentrations of 12.4 microg Cd/g and 493 microg Cu/g). Concentrations of Cd in pore water associated with acute toxicity were similar between sediments with and without humus amendments, suggesting that toxicity of Cd was reduced primarily by sorption to sediment OM. However, toxic effects of Cu in humus treatments were associated with greater pore-water concentrations than in controls, suggesting that toxicity of Cu was reduced both by sorption and by complexation with soluble ligands. Both sorption and complexation by OM tend to make proposed sediment quality guidelines (SQGs) based on total metal concentrations more protective for high-OM sediments. Our results suggest that the predictive ability of SQGs could be improved by models of metal interactions with natural OM in sediment and pore water.
Stormwater Characterization and Lagoon Sediment Analysis, Grand Forks Air Force Base, North Dakota

DTIC Science & Technology

1990-08-01

tetrachloroethylene, and 0.0026 mg/l ethyl benzene. Analyses showed no pesticides . 4. Extraction Procedure (EP) Analysis. An AFOEHL contractor performed EP extraction ...runoff met North Dakota state stream standards. Lagoon sediment did not contain Extraction Procedure hazardous chemicals. Stormwater runoff exceeded...Standards for Water Quality for the State of North Dakota ( Extracts ) 39 D Site/Analysis Summary 69 E Lift Station Flow Records 73 F Wastewater
The influence of the annual invasive plant, Impatiens glandulifera, on the sediment dynamics of inland watercourses in temperate regions

NASA Astrophysics Data System (ADS)

Dalvi, Shrutika; Greenwood, Philip

2016-04-01

Impatiens glandulifera (Common English Name - Himalayan Balsam) is a non native annual and highly invasive plant that was introduced into parts of Europe from the Himalaya during the nineteenth century as a colourful adornment to parks and gardens. This Plant colonises areas along the river banks, preferably wet, depositional sites, and displaces natural vegetation. The plant is killed by cold weather. The leaves area of riverbank previously occupied by the plant extremely vulnerable to soil erosion until new plant germinates in the following spring. Research work undertaken in the northwest Switzerland and the soutwestern United Kingdom established s link between accelerated soil erosion caused by Impatiens glandulifera and its detrimental impact on native biodiversity of riparian zone of river catchment area. This study focueses on the potential impact of such erosion on sediment quality. A priory reasoning suggests that the preference of Impatiens glandulifera on young depsotional sites near watercourses affects sediment quality. In this study, the results of a soil quality analysis along Impatiens glandulifera-contaminated river banks is presented. Soil physical and chemical properties are compared to non-affected sites to assess the potential impact of preferential erosion on water quality. In addtiion, soil surface profile (SSP) measuring based on by erosion pins, a micro profile bridge and a digital calliper at different selected locations along the riparian zone of river catchment area is used to determine erosion rates and determine sediment transfer from the riparian zone into the rivers.
Occurrence, distribution, and volume of metals-contaminated sediment of selected streams draining the Tri-State Mining District, Missouri, Oklahoma, and Kansas, 2011–12

USGS Publications Warehouse

Smith, D. Charlie

2016-12-14

Lead and zinc were mined in the Tri-State Mining District (TSMD) of southwest Missouri, northeast Oklahoma, and southeast Kansas for more than 100 years. The effects of mining on the landscape are still evident, nearly 50 years after the last mine ceased operation. The legacies of mining are the mine waste and discharge of groundwater from underground mines. The mine-waste piles and underground mines are continuous sources of trace metals (primarily lead, zinc, and cadmium) to the streams that drain the TSMD. Many previous studies characterized the horizontal extent of mine-waste contamination in streams but little information exists on the depth of mine-waste contamination in these streams. Characterizing the vertical extent of contamination is difficult because of the large amount of coarse-grained material, ranging from coarse gravel to boulders, within channel sediment. The U.S. Geological Survey, in cooperation with U.S. Fish and Wildlife service, collected channel-sediment samples at depth for subsequent analyses that would allow attainment of the following goals: (1) determination of the relation between concentration and depth for lead, zinc and cadmium in channel sediments and flood-plain sediments, and (2) determination of the volume of gravel-bar sediment from the surface to the maximum depth with concentrations of these metals that exceeded sediment-quality guidelines. For the purpose of this report, volume of gravel-bar sediment is considered to be distributed in two forms, gravel bars and the wetted channel, and this study focused on gravel bars. Concentrations of lead, zinc, and cadmium in samples were compared to the consensus probable effects concentration (CPEC) and Tri-State Mining District specific probable effects concentration (TPEC) sediment-quality guidelines.During the study, more than 700 sediment samples were collected from borings at multiple sites, including gravel bars and flood plains, along Center Creek, Turkey Creek, Shoal Creek, Tar Creek, and Spring River in order to characterize the vertical extent of mine waste in select streams in the TSMD. The largest concentrations of lead, zinc, and cadmium in gravel bar-sediment samples generally were detected in Turkey Creek and Tar Creek and the smallest concentrations were detected in Shoal Creek followed by the Spring River. Gravel bar-sediment samples from Turkey Creek exceeded the CPEC for cadmium (minimum of 70 percent of samples), lead (94 percent), and zinc (99 percent) at a slightly higher frequency than similar samples from Tar Creek (69 percent, 88 percent, and 96 percent, respectively). Gravel bar-sediment samples from Turkey Creek also contained the largest concentrations of cadmium (174 milligrams per kilogram [mg/kg]) and lead (7,520 mg/kg) detected; however, the largest zinc concentration (46,600 mg/kg) was detected in a gravel bar-sediment sample from Tar Creek. In contrast, none of the 65 gravel bar-sediment samples from Shoal Creek contained cadmium above the x-ray fluorescence reporting level of 12 mg/kg, and lead and zinc exceeded the CPEC in only 12 percent and 74 percent of samples, respectively. In most cases, concentrations of lead and zinc above the CPEC or TPEC were present at the maximum depth of boring, which indicated that nearly the entire thickness of sediment in the stream has been contaminated by mine wastes. Approximately 284,000 cubic yards of channel sediment from land surface to the maximum depth that exceeded the CPEC and approximately 236,000 cubic yards of channel sediment from land surface to the maximum depth that exceeded the TPEC were estimated along 37.6 of the 55.1 miles of Center Creek, Turkey Creek, Shoal Creek, and Tar Creek examined in this study. Mine-waste contamination reported along additional reaches of these streams is beyond the scope of this study. Flood-plain cores collected in the TSMD generally only had exceedances of the CPEC and TPEC for lead and zinc in the top 1 or 2 feet of soil with a few exceptions, such as cores in low areas near the stream or cores in areas disturbed by past mining.

Toward international collaboration on credentialing in health promotion and health education: the Galway Consensus Conference.

PubMed

Allegrante, John P; Barry, Margaret M; Auld, M Elaine; Lamarre, Marie-Claude; Taub, Alyson

2009-06-01

The interest in competencies, standards, and quality assurance in the professional preparation of public health professionals whose work involves health promotion and health education dates back several decades. In Australia, Europe, and North America, where the interest in credentialing has gained momentum, there have been rapidly evolving efforts to codify competencies and standards of practice as well as the processes by which quality and accountability can be ensured in academic professional preparation programs. The Galway Consensus Conference was conceived as a first step in an effort to explore the development of an international consensus regarding the core competencies of health education specialists and professionals in health promotion and the commonalities and differences in establishing uniform standards for the accreditation of academic professional preparation programs around the world. This article describes the purposes, objectives, and process of the Galway Consensus Conference and the background to the meeting that was convened.
Water-quality data (July 1986 through September 1987) and statistical summaries (March 1985 through September 1987) for the Clark Fork and selected tributaries from Deer Lodge to Missoula, Montana

USGS Publications Warehouse

Lambing, J.H.

1988-01-01

Water quality sampling was conducted at seven sites on the Clark Fork and selected tributaries from Deer Lodge to Missoula, Montana, from July 1986 through September 1987. This report presents tabulations and statistical summaries of the water quality data. The data presented in this report supplement previous data collected from March 1985 through June 1986 for six of the seven sites. Included in this report are tabulations of instantaneous values of streamflow, onsite water quality, hardness, and concentrations of trace elements and suspended sediment for periodic samples. Also included are tables and hydrographs of daily mean values for streamflow, suspended-sediment concentration, and suspended-sediment discharge at three mainstream stations and one tributary. Statistical summaries are presented for periodic water quality data collected from March 1986 through September 1987. Selected data are illustrated by graphs showing median concentrations to suspended-sediment concentrations, and median concentrations of trace elements in suspended sediment. (USGS)
The Evidence Base for Early Childhood Education and Care Programme Investment: What We Know, What We Don't Know

ERIC Educational Resources Information Center

White, Linda A.; Prentice, Susan; Perlman, Michal

2015-01-01

An expanding body of research demonstrates that high quality early childhood education and care (ECEC) programmes generate positive outcomes for children; in response, policy makers in a number of countries are making significant programme investments. No research consensus, however, has emerged around the specific types of policy intervention…
Commentary: Launch of a quality improvement network for evidence-based management of uncommon pediatric endocrine disorders: Turner syndrome as a prototype

USDA-ARS?s Scientific Manuscript database

Traditional, hypothesis-oriented research approaches have thus far failed to generate sufficient evidence to achieve consensus about the management of children with many endocrine disorders, partly because of the rarity of these disorders and because of regulatory burdens unique to research in child...
A Systematic Review of Evidence for the Psychometric Properties of the Strengths and Difficulties Questionnaire

ERIC Educational Resources Information Center

Kersten, Paula; Czuba, Karol; McPherson, Kathryn; Dudley, Margaret; Elder, Hinemoa; Tauroa, Robyn; Vandal, Alain

2016-01-01

This article synthesized evidence for the validity and reliability of the Strengths and Difficulties Questionnaire in children aged 3-5 years. A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guidelines was carried out. Study quality was rated using the Consensus-based Standards for the…
Biomarkers and isotopic fingerprinting to track sediment origin and connectivity at Baldegg Lake (Switzerland)

NASA Astrophysics Data System (ADS)

Lavrieux, Marlène; Meusburger, Katrin; Birkholz, Axel; Alewell, Christine

2017-04-01

Slope destabilization and associated sediment transfer are among the major causes of aquatic ecosystems and surface water quality impairment. Through land uses and agricultural practices, human activities modify the soil erosive risk and the catchment connectivity, becoming a key factor of sediment dynamics. Hence, restoration and management plans of water bodies can only be efficient if the sediment sources and the proportion attributable to different land uses and agricultural practices are identified. Several sediment fingerprinting methods, based on the geochemical (elemental composition), color, magnetic or isotopic (137Cs) sediment properties, are currently in use. However, these tools are not suitable for a land-use based fingerprinting. New organic geochemical approaches are now developed to discriminate source-soil contributions under different land-uses: The compound-specific stable isotopes (CSSI) technique, based on the biomarkers isotopic signature (here, fatty acids δ13C) variability within the plant species, The analysis of highly specific (i.e. source-family- or even source-species-specific) biomarkers assemblages, which use is until now mainly restricted to palaeoenvironmental reconstructions, and which offer also promising prospects for tracing current sediment origin. The approach was applied to reconstruct the spatio-temporal variability of the main sediment sources of Baldegg Lake (Lucern Canton, Switzerland), which suffers from a substantial eutrophication, despite several restoration attempts during the last 40 years. The sediment supplying areas and the exported volumes were identified using CSSI technique and highly specific biomarkers, coupled to a sediment connectivity model. The sediment origin variability was defined through the analysis of suspended river sediments sampled at high flow conditions (short term), and by the analysis of a lake sediment core covering the last 130 years (long term). The results show the utility of biomarkers and CSSI to track organic sources in contrasted land-use settings. Associated to other fingerprinting methods, this approach could in the future become a decision support tool for catchments management.
Estimated sediment thickness, quality, and toxicity to benthic organisms in selected impoundments in Massachusetts

USGS Publications Warehouse

Breault, Robert F.; Sorenson, Jason R.; Weiskel, Peter K.

2013-01-01

The U.S. Geological Survey and the Massachusetts Department of Fish and Game, Division of Ecological Restoration, collaborated to collect baseline information on the quantity and quality of sediment impounded behind selected dams in Massachusetts, including sediment thickness and the occurrence of contaminants potentially toxic to benthic organisms. The thicknesses of impounded sediments were measured, and cores of sediment were collected from 32 impoundments in 2004 and 2005. Cores were chemically analyzed, and concentrations of 32 inorganic elements and 108 organic compounds were quantified. Sediment thicknesses varied considerably among the 32 impoundments, with an average thickness of 3.7 feet. Estimated volumes also varied greatly, ranging from 100,000 cubic feet to 81 million cubic feet. Concentrations of toxic contaminants as well as the number of contaminants detected above analytical quantification levels (also known as laboratory reporting levels) varied greatly among sampling locations. Based on measured contaminant concentrations and comparison to published screening thresholds, bottom sediments were predicted to be toxic to bottom-dwelling (benthic) organisms in slightly under 30 percent of the impoundments sampled. Statistically significant relations were found between several of the contaminants and individual indicators of urban land use and industrial activity in the upstream drainage areas of the impoundments. However, models developed to estimate contaminant concentrations at unsampled sites from upstream landscape characteristics had low predictive power, consistent with the long and complex land-use history that is typical of many drainage areas in Massachusetts.
Dredged sediments as a resource for brick production: Possibilities and barriers from a consumers’ perspective

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

Cappuyns, Valérie, E-mail: valerie.cappuyns@kuleuven.be; Deweirt, Valentine; Rousseau, Sandra

Highlights: • Consumers are suspicious towards bricks produced from dredged sediments. • Technical quality, safety and environmental impacts are considered key characteristics. • Public has insufficient knowledge on bricks produced from dredged sediments. • Sensitization and provision of information to customers are of primary importance. - Abstract: A possible solution for the oversupply of dredged sediments is their use as a raw material in brick production. Despite the fact that several examples (e.g., Agostini et al., 2007; Hamer and Karius, 2002; Xu et al., 2014) show that this application is feasible, some economic, technical and social limitations interfere with themore » development of a market of dredged materials in brick production in Flanders. While we describe the main characteristics of the supply side, we focus on the limitations and barriers from the demand side in the present study. Based on a consumers survey we analyze consumers’ risk perceptions and attitudes towards bricks produced from dredged sediments. Consumers in Flanders are rather suspicious with respect to bricks produced from dredged sediments and their risk perception is mainly determined by the possibility of a bad bargain (brick of inferior quality) and the connotation with chemical contamination. The willingness to pay for bricks made from dredged sediments is mainly influenced by the age of the respondents, as well environmental awareness, and the respondents’ belief in their ability to influence environmental problems. Sensitization and information of customers seems to be of primary importance to make dredged-sediment-derived bricks a successful product.« less
Medical education research in the context of translational science.

PubMed

Santen, Sally A; Deiorio, Nicole M; Gruppen, Larry D

2012-12-01

Health care struggles to transfer recent discoveries into high-quality medical care. Therefore, translational science seeks to improve the health of patients and communities by studying and promoting the translation of findings from bench research into clinical care. Similarly, medical education practice may be slow to adopt proven evidence of better learning and assessment. The Academic Emergency Medicine (AEM) consensus conference was designed to promote the dissemination of evidence-based education research and practice. We will pull from the work developed by the consensus conference as a means to create a roadmap for future medical education research using the framework of translational science. © 2012 by the Society for Academic Emergency Medicine.
Sediment Quality and Comparison to Historical Water Quality, Little Arkansas River Basin, South-Central Kansas, 2007

USGS Publications Warehouse

Juracek, Kyle E.; Rasmussen, Patrick P.

2008-01-01

The spatial and temporal variability in streambed-sediment quality and its relation to historical water quality was assessed to provide guidance for the development of total maximum daily loads and the implementation of best-management practices in the Little Arkansas River Basin, south-central Kansas. Streambed-sediment samples were collected at 26 sites in 2007, sieved to isolate the less than 63-micron fraction (that is, the silt and clay), and analyzed for selected nutrients (total nitrogen and total phosphorus), organic and total carbon, 25 trace elements, and the radionuclides beryllium-7, cesium-137, lead-210, and radium-226. At eight sites, streambed-sediment samples also were collected and analyzed for bacteria. Particulate nitrogen, phosphorus, and organic carbon concentrations in the streambed sediment varied substantially spatially and temporally, and positive correlations among the three constituents were statistically significant. Along the main-stem Little Arkansas River, streambed-sediment concentrations of particulate nitrogen and phosphorus generally were larger at and downstream from Alta Mills, Kansas. The largest particulate nitrogen concentrations were measured in samples collected in the Emma Creek subbasin and may be related to livestock and poultry production. The largest particulate phosphorus concentrations in the basin were measured in samples collected along the main-stem Little Arkansas River downstream from Alta Mills, Kansas. Particulate nitrogen, phosphorus, and organic carbon content in the water and streambed-sediment samples typically decreased as streamflow increased. This inverse relation may be caused by an increased contribution of sediment from channel-bank sources during high flows and (or) increased particle sizes transported by the high flows. Trace element concentrations in the streambed sediment varied from site to site and typically were less than threshold-effects guidelines for possible adverse biological effects. The largest copper, lead, silver, and zinc concentrations, measured for a sample collected from Sand Creek downstream from Newton, Kansas, likely were related to urban sources of contamination. Radionuclide activities and bacterial densities in the streambed sediment varied throughout the basin. Variability in the former may be indicative of subbasin differences in the contribution of sediment from surface-soil and channel-bank sources. Streambed sediment may be useful for reconnaissance purposes to determine sources of particulate nitrogen, phosphorus, organic carbon, and other sediment-associated constituents in the basin. If flow conditions prior to streambed-sediment sampling and during water-quality sampling are considered, it may be possible to use streambed sediment as an indicator of water quality for nitrogen, phosphorus, and organic carbon. Flow conditions affect sediment-associated constituent concentrations in streambed-sediment and water samples, in part, because the sources of sediment (surface soils, channel banks) can vary with flow as can the size of the particles transported.
Consensus on Quality Indicators of Postgraduate Medical E-Learning: Delphi Study

PubMed Central

Walsh, Kieran; Westerman, Michiel; Scheele, Fedde

2018-01-01

Background The progressive use of e-learning in postgraduate medical education calls for useful quality indicators. Many evaluation tools exist. However, these are diversely used and their empirical foundation is often lacking. Objective We aimed to identify an empirically founded set of quality indicators to set the bar for “good enough” e-learning. Methods We performed a Delphi procedure with a group of 13 international education experts and 10 experienced users of e-learning. The questionnaire started with 57 items. These items were the result of a previous literature review and focus group study performed with experts and users. Consensus was met when a rate of agreement of more than two-thirds was achieved. Results In the first round, the participants accepted 37 items of the 57 as important, reached no consensus on 20, and added 15 new items. In the second round, we added the comments from the first round to the items on which there was no consensus and added the 15 new items. After this round, a total of 72 items were addressed and, of these, 37 items were accepted and 34 were rejected due to lack of consensus. Conclusions This study produced a list of 37 items that can form the basis of an evaluation tool to evaluate postgraduate medical e-learning. This is, to our knowledge, the first time that quality indicators for postgraduate medical e-learning have been defined and validated. The next step is to create and validate an e-learning evaluation tool from these items. PMID:29699970
Water-quality, bed-sediment, and biological data (October 2009 through September 2010) and statistical summaries of data for streams in the Clark Fork basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2012-01-01

Water, bed sediment, and biota were sampled in streams from Butte to near Missoula, Montana, as part of a monitoring program in the upper Clark Fork basin. The sampling program was conducted by the U.S. Geological Survey in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin of western Montana, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water samples were collected periodically at 20 sites from October 2009 through September 2010. Bed-sediment and biota samples were collected once at 13 sites during August 2010. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2009 through September 2010. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity was analyzed for water samples collected at the four sites where seasonal daily values of turbidity were being determined. Daily values of suspended-sediment concentration and suspended-sediment discharge were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.
Water-quality, bed-sediment, and biological data (October 2011 through September 2012) and statistical summaries of data for streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2014-01-01

Water, bed sediment, and biota were sampled in streams from Butte to near Missoula, Montana, as part of a monitoring program in the upper Clark Fork Basin of western Montana. The sampling program was conducted by the U.S. Geological Survey in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork Basin, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water samples were collected periodically at 20 sites from October 2011 through September 2012. Bed-sediment and biota samples were collected once at 13 sites during August 2012. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2011 through September 2012. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity was analyzed for water samples collected at the four sites where seasonal daily values of turbidity were being determined. Daily values of suspended-sediment concentration and suspended-sediment discharge were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork Basin are provided for the period of record since 1985.
Sediment delivery estimates in water quality models altered by resolution and source of topographic data.

PubMed

Beeson, Peter C; Sadeghi, Ali M; Lang, Megan W; Tomer, Mark D; Daughtry, Craig S T

2014-01-01

Moderate-resolution (30-m) digital elevation models (DEMs) are normally used to estimate slope for the parameterization of non-point source, process-based water quality models. These models, such as the Soil and Water Assessment Tool (SWAT), use the Universal Soil Loss Equation (USLE) and Modified USLE to estimate sediment loss. The slope length and steepness factor, a critical parameter in USLE, significantly affects sediment loss estimates. Depending on slope range, a twofold difference in slope estimation potentially results in as little as 50% change or as much as 250% change in the LS factor and subsequent sediment estimation. Recently, the availability of much finer-resolution (∼3 m) DEMs derived from Light Detection and Ranging (LiDAR) data has increased. However, the use of these data may not always be appropriate because slope values derived from fine spatial resolution DEMs are usually significantly higher than slopes derived from coarser DEMs. This increased slope results in considerable variability in modeled sediment output. This paper addresses the implications of parameterizing models using slope values calculated from DEMs with different spatial resolutions (90, 30, 10, and 3 m) and sources. Overall, we observed over a 2.5-fold increase in slope when using a 3-m instead of a 90-m DEM, which increased modeled soil loss using the USLE calculation by 130%. Care should be taken when using LiDAR-derived DEMs to parameterize water quality models because doing so can result in significantly higher slopes, which considerably alter modeled sediment loss. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.
A Risk-Based Characterization of Sediment Contamination by Legacy and Emergent Contaminants of Concern in Coastal British Columbia, Canada.

PubMed

Morales-Caselles, Carmen; Desforges, Jean-Pierre W; Dangerfield, Neil; Ross, Peter S

2017-08-01

Sediments have long been used to help describe pollution sources, contaminated sites, trends over time, and habitat quality for marine life. We collected surficial sediments from 12 sites at an average seawater depth of 25 m in three near-urban areas of the Salish Sea (British Columbia, Canada) to investigate habitat quality for marine life, including heavily contaminated killer whales. Samples were analyzed using high-resolution instrumentation for a wide variety of congeners of polychlorinated biphenyls (PCBs), polybrominated diphenylethers (PBDEs), hexabromocyclododecane (HBCDD), polybrominated biphenyls, polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans, organochlorine pesticides, and polychlorinated naphthalenes (PCNs). The top six contaminant classes detected in sediments were ∑PCB > ∑PBDE > ∑PCDD/F > DDT > ∑HBCDD > ∑PCN. Near-urban harbor sediments had up to three orders of magnitude higher concentrations of contaminants than more remote sites. With limited tools available to characterize biological risks associated with complex mixtures in the real world, we applied several available approaches to prioritize the pollutant found in our study: (1) sediment quality guidelines from the Canadian Council of Ministers of the Environment where available; (2) US NOAA effects range low and other international guidelines; (3) total TEQ for dioxin-like PCBs for the protection of mammals; and (4) the calculation of risk quotients. Our findings provide an indication of the state of contamination of coastal environments in British Columbia and guidance for chemical regulations and priority setting, as well as management actions including best-practices, dredging, disposal at sea, and source control. In this regard, the legacy PCB and the emergent PBDEs should command continued priority monitoring.
Heavy metal in sediments of Ziya River in northern China: distribution, potential risks, and source apportionment.

PubMed

Zhu, Xiaolei; Shan, Baoqing; Tang, Wenzhong

2016-12-01

The concentration partitioning between the sediment particle and the interstitial water phase plays an important role in controlling the toxicity of heavy metals in aquatic systems. The aim of this study was to assess the sediment quality in a polluted area of the Ziya River, Northern China. The contamination potential and bioavailability of six metals were determined from the concentrations of total metals and the bioavailable fractions. The results showed that the concentrations of Cr, Cu, Ni, Zn, and Pb exceeded the probable effect concentration at several sites. The high geoaccumulation indices showed that the sediments were seriously contaminated by Cd. The ratio of acid-volatile sulfide (AVS) to simultaneously extracted metal (SEM) was higher than 1, which indicated that the availability of metals in sediments was low. The risk assessment of interstitial waters confirmed that there was little chance of release of metals associated with acid-volatile sulfide into the water column. Values of the interstitial water criteria toxicity unit indicated that none of the concentrations of the studied metals exceeded the corresponding water quality thresholds of the US Environmental Protection Agency. Positive matrix factorization showed that the major sources of metals were related to anthropogenic activities. Further, if assessments are based on total heavy metal concentrations, the toxicity of heavy metals in sediment may be overestimated.
Design and Application of a Solar Mobile Pond Aquaculture Water Quality-Regulation Machine Based in Bream Pond Aquaculture.

PubMed

Liu, Xingguo; Xu, Hao; Ma, Zhuojun; Zhang, Yongjun; Tian, Changfeng; Cheng, Guofeng; Zou, Haisheng; Lu, Shimin; Liu, Shijing; Tang, Rong

2016-01-01

Bream pond aquaculture plays a very important role in China's aquaculture industry and is the main source of aquatic products. To regulate and control pond water quality and sediment, a movable solar pond aquaculture water quality regulation machine (SMWM) was designed and used. This machine is solar-powered and moves on water, and its primary components are a solar power supply device, a sediment lifting device, a mechanism for walking on the water's surface and a control system. The solar power supply device provides power for the machine, and the water walking mechanism drives the machine's motion on the water. The sediment lifting device orbits the main section of the machine and affects a large area of the pond. Tests of the machine's mechanical properties revealed that the minimum illumination necessary for the SMWM to function is 13,000 Lx and that its stable speed on the water is 0.02-0.03 m/s. For an illumination of 13,000-52,500 Lx, the sediment lifting device runs at 0.13-0.35 m/s, and its water delivery capacity is 110-208 m(3)/h. The sediment lifting device is able to fold away, and the angle of the suction chamber can be adjusted, making the machine work well in ponds at different water depths from 0.5 m to 2 m. The optimal distance from the sediment lifting device to the bottom of the pond is 10-15 cm. In addition, adjusting the length of the connecting rod and the direction of the traction rope allows the SMWM to work in a pond water area greater than 80%. The analysis of water quality in Wuchang bream (Parabramis pekinensis) and silver carp (Hypophthalmichthys molitrix) culture ponds using the SMWM resulted in decreased NH3(+)-N and available phosphorus concentrations and increased TP concentrations. The TN content and the amount of available phosphorus in the sediment were reduced. In addition, the fish production showed that the SMWM enhanced the yields of Wuchang bream and silver carp by more than 30% and 24%, respectively. These results indicate that the SMWM may be suitable for Wuchang bream pond aquaculture in China and that it can be used in pond aquaculture for regulating and controlling water quality.
Design and Application of a Solar Mobile Pond Aquaculture Water Quality-Regulation Machine Based in Bream Pond Aquaculture

PubMed Central

Liu, Xingguo; Xu, Hao; Ma, Zhuojun; Zhang, Yongjun; Tian, Changfeng; Cheng, Guofeng; Zou, Haisheng; Lu, Shimin; Liu, Shijing; Tang, Rong

2016-01-01

Bream pond aquaculture plays a very important role in China’s aquaculture industry and is the main source of aquatic products. To regulate and control pond water quality and sediment, a movable solar pond aquaculture water quality regulation machine (SMWM) was designed and used. This machine is solar-powered and moves on water, and its primary components are a solar power supply device, a sediment lifting device, a mechanism for walking on the water’s surface and a control system. The solar power supply device provides power for the machine, and the water walking mechanism drives the machine’s motion on the water. The sediment lifting device orbits the main section of the machine and affects a large area of the pond. Tests of the machine’s mechanical properties revealed that the minimum illumination necessary for the SMWM to function is 13,000 Lx and that its stable speed on the water is 0.02–0.03 m/s. For an illumination of 13,000–52,500 Lx, the sediment lifting device runs at 0.13–0.35 m/s, and its water delivery capacity is 110–208 m3/h. The sediment lifting device is able to fold away, and the angle of the suction chamber can be adjusted, making the machine work well in ponds at different water depths from 0.5 m to 2 m. The optimal distance from the sediment lifting device to the bottom of the pond is 10–15 cm. In addition, adjusting the length of the connecting rod and the direction of the traction rope allows the SMWM to work in a pond water area greater than 80%. The analysis of water quality in Wuchang bream (Parabramis pekinensis) and silver carp (Hypophthalmichthys molitrix) culture ponds using the SMWM resulted in decreased NH3+–N and available phosphorus concentrations and increased TP concentrations. The TN content and the amount of available phosphorus in the sediment were reduced. In addition, the fish production showed that the SMWM enhanced the yields of Wuchang bream and silver carp by more than 30% and 24%, respectively. These results indicate that the SMWM may be suitable for Wuchang bream pond aquaculture in China and that it can be used in pond aquaculture for regulating and controlling water quality. PMID:26789004
Coral reef health response to chronic and acute changes in water quality in St. Thomas, United States Virgin Islands.

PubMed

Ennis, Rosmin S; Brandt, Marilyn E; Wilson Grimes, Kristin R; Smith, Tyler B

2016-10-15

It is suspected that land cover alteration on the southern coast of St. Thomas, USVI has increased runoff, degrading nearshore water quality and coral reef health. Chronic and acute changes in water quality, sediment deposition, and coral health metrics were assessed in three zones based upon perceived degree of human influence. Chlorophyll (p<0.0001) and turbidity (p=0.0113) were significantly higher in nearshore zones and in the high impact zone during heavy precipitation. Net sediment deposition and terrigenous content increased in nearshore zones during periods of greater precipitation and port activity. Macroalgae overgrowth significantly increased along a gradient of decreasing water quality (p<0.0001). Coral bleaching in all zones peaked in November with a regional thermal stress event (p<0.0001). However, mean bleaching prevalence was significantly greater in the most impacted zone compared to the offshore zone (p=0.0396), suggesting a link between declining water quality and bleaching severity. Published by Elsevier Ltd.
Watershed reliability, resilience and vulnerability analysis under uncertainty using water quality data.

PubMed

Hoque, Yamen M; Tripathi, Shivam; Hantush, Mohamed M; Govindaraju, Rao S

2012-10-30

A method for assessment of watershed health is developed by employing measures of reliability, resilience and vulnerability (R-R-V) using stream water quality data. Observed water quality data are usually sparse, so that a water quality time-series is often reconstructed using surrogate variables (streamflow). A Bayesian algorithm based on relevance vector machine (RVM) was employed to quantify the error in the reconstructed series, and a probabilistic assessment of watershed status was conducted based on established thresholds for various constituents. As an application example, observed water quality data for several constituents at different monitoring points within the Cedar Creek watershed in north-east Indiana (USA) were utilized. Considering uncertainty in the data for the period 2002-2007, the R-R-V analysis revealed that the Cedar Creek watershed tends to be in compliance with respect to selected pesticides, ammonia and total phosphorus. However, the watershed was found to be prone to violations of sediment standards. Ignoring uncertainty in the water quality time-series led to misleading results especially in the case of sediments. Results indicate that the methods presented in this study may be used for assessing the effects of different stressors over a watershed. The method shows promise as a management tool for assessing watershed health. Copyright © 2012 Elsevier Ltd. All rights reserved.

Chinese expert consensus on programming deep brain stimulation for patients with Parkinson's disease.

PubMed

Chen, Shengdi; Gao, Guodong; Feng, Tao; Zhang, Jianguo

2018-01-01

Deep Brain Stimulation (DBS) therapy for the treatment of Parkinson's Disease (PD) is now a well-established option for some patients. Postoperative standardized programming processes can improve the level of postoperative management and programming, relieve symptoms and improve quality of life. In order to improve the quality of the programming, the experts on DBS and PD in neurology and neurosurgery in China reviewed the relevant literatures and combined their own experiences and developed this expert consensus on the programming of deep brain stimulation in patients with PD in China. This Chinese expert consensus on postoperative programming can standardize and improve postoperative management and programming of DBS for PD.
A spatially referenced regression model (SPARROW) for suspended sediment in streams of the conterminous U.S.

USGS Publications Warehouse

Schwarz, Gregory E.; Smith, Richard A.; Alexander, Richard B.; Gray, John R.

2001-01-01

Suspended sediment has long been recognized as an important contaminant affecting water resources. Besides its direct role in determining water clarity, bridge scour and reservoir storage, sediment serves as a vehicle for the transport of many binding contaminants, including nutrients, trace metals, semi-volatile organic compounds, and numerous pesticides (U.S. Environmental Protection Agency, 2000a). Recent efforts to address water-quality concerns through the Total Maximum Daily Load (TMDL) process have identified sediment as the single most prevalent cause of impairment in the Nation’s streams and rivers (U.S. Environmental Protection Agency, 2000b). Moreover, sediment has been identified as a medium for the transport and sequestration of organic carbon, playing a potentially important role in understanding sources and sinks in the global carbon budget (Stallard, 1998).A comprehensive understanding of sediment fate and transport is considered essential to the design and implementation of effective plans for sediment management (Osterkamp and others, 1998, U.S. General Accounting Office, 1990). An extensive literature addressing the problem of quantifying sediment transport has produced a number of methods for estimating its flux (see Cohn, 1995, and Robertson and Roerish, 1999, for useful surveys). The accuracy of these methods is compromised by uncertainty in the concentration measurements and by the highly episodic nature of sediment movement, particularly when the methods are applied to smaller basins. However, for annual or decadal flux estimates, the methods are generally reliable if calibrated with extended periods of data (Robertson and Roerish, 1999). A substantial literature also supports the Universal Soil Loss Equation (USLE) (Soil Conservation Service, 1983), an engineering method for estimating sheet and rill erosion, although the empirical credentials of the USLE have recently been questioned (Trimble and Crosson, 2000). Conversely, relatively little direct evidence is available concerning the fate of sediment. The common practice of quantifying sediment fate with a sediment delivery ratio, estimated from a simple empirical relation with upstream basin area, does not articulate the relative importance of individual storage sites within a basin (Wolman, 1977). Rates of sediment deposition in reservoirs and flood plains can be determined from empirical measurements, but only a limited number of sites have been monitored, and net rates of deposition or loss from other potential sinks and sources is largely unknown (Stallard, 1998). In particular, little is known about how much sediment loss from fields ultimately makes its way to stream channels, and how much sediment is subsequently stored in or lost from the streambed (Meade and Parker, 1985, Trimble and Crosson, 2000).This paper reports on recent progress made to address empirically the question of sediment fate and transport on a national scale. The model presented here is based on the SPAtially Referenced Regression On Watershed attributes (SPARROW) methodology, first used to estimate the distribution of nutrients in streams and rivers of the United States, and subsequently shown to describe land and stream processes affecting the delivery of nutrients (Smith and others, 1997, Alexander and others, 2000, Preston and Brakebill, 1999). The model makes use of numerous spatial datasets, available at the national level, to explain long-term sediment water-quality conditions in major streams and rivers throughout the United States. Sediment sources are identified using sediment erosion rates from the National Resources Inventory (NRI) (Natural Resources Conservation Service, 2000) and apportioned over the landscape according to 30- meter resolution land-use information from the National Land Cover Data set (NLCD) (U.S. Geological Survey, 2000a). More than 76,000 reservoirs from the National Inventory of Dams (NID) (U.S. Army Corps of Engineers, 1996) are identified as potential sediment sinks. Other, non-anthropogenic sources and sinks are identified using soil information from the State Soil Survey Geographic (STATSGO) data base (Schwarz and Alexander, 1995) and spatial coverages representing surficial rock type and vegetative cover. The SPARROW model empirically relates these diverse spatial datasets to estimates of long-term, mean annual sediment flux computed from concentration and flow measurements collected over the period 1985-95 from more than 400 monitoring stations maintained by the National Stream Quality Accounting Network (Alexander and others, 1998), the National Water Quality Assessment Program, and U.S. Geological Survey District offices (Turcios and Gray, in press). The calibrated model is used to estimate sediment flux for over 60,000 stream segments included in the River Reach File 1 (RF1) stream network (Alexander and others, 1999).SPARROW uses statistical methods to calibrate a simple, structural model of riverine water quality, one that imposes mass balance in accounting for changes in contaminant flux. As applied here, the mass-balance approach facilitates the interpretation of model results in terms of physical processes affecting sediment transport, and makes possible the estimation of various rates of sediment generation and loss associated with stream channels and features of the landscape. The statistical approach provides a basis for assessing the error of these inferred rates and of the error in extrapolated estimates of sediment flux made for streams in the RF1 network.An important implication of the holistic modeling approach adopted in this analysis is that estimates of sediment production and loss are based on, and therefore consistent with, measurements of in-stream flux. Other ancillary information, such as direct measurements of long-term sediment storage and release from reservoirs (Steffen, 1996), is incorporated into the analysis by specifying additional equations explaining these ancillary variables. The imposition of cross-equation constraints affords this information a statistically consistent weight in explaining in-stream sediment flux. Thus, the methodology described here represents a general framework for synthesizing a wide spectrum of available information relevant to the understanding of sediment fate and transport.
Occurrence and concentrations of selected trace elements, halogenated organic compounds, and polycyclic aromatic hydrocarbons in streambed sediments and results of water-toxicity testing in Westside Creeks and the San Antonio River, San Antonio, Texas, 2014

USGS Publications Warehouse

Crow, Cassi L.; Wilson, Jennifer T.; Kunz, James L.

2016-12-01

Sediment samples and samples for water-toxicity testing were collected during 2014 from several streams in San Antonio, Texas, known locally as the Westside Creeks (Alazán, Apache, Martínez, and San Pedro Creeks) and from the San Antonio River. Samples were collected during base flow and after periods of stormwater runoff (poststorm conditions) to determine baseline sediment- and water-quality conditions. Streambed-sediment samples were analyzed for selected constituents, including trace elements and organic contaminants such as pesticides, polychlorinated biphenyls (PCBs), brominated flame retardants, and polycyclic aromatic hydrocarbons (PAHs). Potential risks of contaminants in sediment were evaluated by comparing concentrations of contaminants in sediment to two effects-based sediment-quality guidelines: (1) a lower level, called the threshold effect concentration, below which, harmful effects to benthic biota are not expected, and (2) a higher level, the probable effect concentration (PEC), above which harmful effects are expected to occur frequently. Samples for water-toxicity testing were collected from each stream to provide information about fish toxicity in the study area. The trace metal lead was detected at potentially toxic concentrations greater than the PEC in both the base-flow and poststorm samples collected at two sites sampled on San Pedro Creek. The PECs for the pesticides dichlorodiphenyldichloroethane, dichlorodiphenyldichloroethylene, dichlorodiphenyltrichloroethane, and chlordane were exceeded in some of the samples at the same two sites on San Pedro Creek. Brominated flame retardants and polybrominated diphenyl ether (PBDE) 85, 153, and 154 were found in all streambed-sediment samples. Federal Environmental Quality Guidelines established by Environment Canada for PBDE 99 and PBDE 100 were exceeded in all samples in which PBDE 99 was detected and in a majority of the samples in which PBDE 100 was detected; the greatest concentrations occurred in samples collected at the same two sites on San Pedro Creek where the samples containing elevated lead and pesticide concentrations were collected. All concentrations of total PCBs (computed as the sum of the 18 reported PCB congeners) in the individual streambed-sediment samples were less than the threshold effect concentration, but the concentrations were elevated in the two sites on San Pedro Creek compared to concentrations at other sites. At one site on Apache Creek, 6 of the individual PAHs measured in the sample collected during base-flow conditions exceeded the PECs and 8 of the 9 PECs were exceeded in the sample collected during poststorm conditions. The total PAH concentration in the sample collected at the site during poststorm conditions was 3.3 times greater than the PEC developed for total PAHs. Average PAH profiles computed for base-flow samples and poststorm samples most closely resemble the parking lot coal-tar sealcoat dust PAH source profile, defined as the average PAH concentrations in dust swept from parking lots in six cities in the United States that were sealed with a black, viscous liquid containing coal-tar pitch. Six of ten water samples collected during base-flow conditions caused reductions in Pimephales promelas (fathead minnow) survival and were considered to be toxic.
Characterization of Stormflows and Wastewater Treatment-Plant Effluent Discharges on Water Quality, Suspended Sediment, and Stream Morphology for Fountain and Monument Creek Watersheds, Colorado, 1981-2006

USGS Publications Warehouse

Mau, David P.; Stogner, Sr., Robert W.; Edelmann, Patrick

2007-01-01

In 1998, the U.S. Geological Survey, in cooperation with Colorado Springs City Engineering, began a study of the Fountain and Monument Creek watersheds to characterize water quality and suspended-sediment conditions in the watershed for different flow regimes, with an emphasis on characterizing water quality during storm runoff. Water-quality and suspended-sediment samples were collected in the Fountain and Monument Creek watersheds from 1981 through 2006 to evaluate the effects of stormflows and wastewater-treatment effluent on Fountain and Monument Creeks in the Colorado Springs, Colorado, area. Water-quality data were collected at 11 sites between 1981 and 2001, and 14 tributary sites were added in 2003 to increase spatial coverage and characterize water quality throughout the watersheds. Suspended-sediment samples collected daily at 7 sites from 1998 through 2001, 6 sites daily from 2003 through 2006, and 13 tributary sites intermittently from 2003 through 2006 were used to evaluate the effects of stormflow on suspended-sediment concentrations, discharges, and yields. Data were separated into three flow regimes: base flow, normal flow, and stormflow. Stormflow concentrations from 1998 through 2006 were compared to Colorado acute instream standards and, with the exception of a few isolated cases, did not exceed water-quality standards for inorganic constituents that were analyzed. However, stormflow concentrations of both fecal coliform and Escherichia coli (E. coli) frequently exceeded water-quality standards during 1998 through 2006 on main-stem and tributary sites by more than an order of magnitude. There were two sites on Cottonwood Creek, a tributary to Monument Creek, with elevated concentrations of dissolved nitrite plus nitrate: site 07103985 (TbCr), a tributary to Cottonwood Creek and site 07103990 (lower_CoCr), downstream from site 07103985 (TbCr), and near the confluence with Monument Creek. During base-flow and normal-flow conditions, the median concentrations of dissolved nitrite plus nitrate ranged from 5.1 to 6.1 mg/L and were 4 to 7 times larger than concentrations at the nearest upstream site on Monument Creek, site 07103970 (MoCr_Woodmen). The source of these larger dissolved nitrite plus nitrate concentrations has not been identified, but the fact that all measurements had elevated dissolved nitrite plus nitrate concentrations indicates a relatively constant source. Most stormflow concentrations of dissolved trace elements were smaller than concentrations from base-flow or normal-flow samples. However, median concentrations of total arsenic, copper, lead, manganese, nickel, and zinc generally were much larger during periods of stormflow than during base flow or normal flow. Concentrations of dissolved and total copper, total manganese, total nickel, dissolved and total selenium, and dissolved and total zinc ranged from 3 to 27 times larger at site 07103707 (FoCr_8th) than site 07103700 (FoCr_Manitou) during base flow, indicating a large source of trace elements between these two sites. Both of these sites are located on Fountain Creek, upstream from the confluence with Monument Creek. The likely source area is Gold Hill Mesa, a former tailings pile for a gold refinery located just upstream from the confluence with Monument Creek, and upstream from site 07103707 (FoCr_8th). Farther downstream in Fountain Creek, stormflow samples for total copper, manganese, lead, nickel, and zinc were larger at the downstream site near the city of Security, site 07105800 (FoCr_Security), than at the upstream site near Janitell Road, site 07105530 (FoCr_Janitell), compared with other main-stem sites and indicated a relatively large source of these metals between the two sites. Nitrogen, phosphorus, and trace-element loads substantially increased during stormflow. Suspended-sediment concentrations, discharges, and yields associated with stormflow were significantly larger than those associated with normal flow. The Apr
Best Practices: How to Evaluate Psychological Science for Use by Organizations.

PubMed

Fiske, Susan T; Borgida, Eugene

2011-01-01

We discuss how organizations can evaluate psychological science for its potential usefulness to their own purposes. Common sense is often the default but inadequate alternative, and bench-marking supplies only collective hunches instead of validated principles. External validity is an empirical process of identifying moderator variables, not a simple yes-no judgment about whether lab results replicate in the field. Hence, convincing criteria must specify what constitutes high-quality empirical evidence for organizational use. First, we illustrate some theories and science that have potential use. Then we describe generally accepted criteria for scientific quality and consensus, starting with peer review for quality, and scientific agreement in forms ranging from surveys of experts to meta-analyses to National Research Council consensus reports. Linkages of basic science to organizations entail communicating expert scientific consensus, motivating managerial interest, and translating broad principles to specific contexts. We close with parting advice to both sides of the researcher-practitioner divide.
Canadian Consensus-based and Evidence-based Guidelines for Benign Endometrial Pathology Reporting in Biopsy Material.

PubMed

Parra-Herran, Carlos; Cesari, Matthew; Djordjevic, Bojana; Grondin, Katherine; Kinloch, Mary; Köbel, Martin; Pirzada, Amrah; Plotkin, Anna; Gilks, C Blake

2018-04-19

Standardized terminology has proven benefits in cancer reporting; in contrast, reporting of benign diagnoses in endometrial biopsy currently lacks such standardization. Unification and update on the lexicon can provide the structure and consistency needed for optimal patient care and quality assurance purposes. The Special Interest Group in Gynecologic Pathology of the Canadian Association of Pathologists-Association Canadienne des Pathologistes (CAP-ACP) embarked in an initiative to address the current need for consensus terminology in benign endometrial biopsy pathology reporting. Nine members of the Special Interest Group developed a guideline for structured diagnosis of benign endometrial pathology through critical appraisal of the available peer-reviewed literature and joint discussions. The first version of the document was circulated for feedback to a group of professionals in akin fields, the CAP-ACP Executive Committee and the CAP-ACP general membership. The final 1-page document included 17 diagnostic terms comprising the most common benign endometrial entities, as well as explanatory notes for pathologists. The proposed terminology was implemented in the practice of 5 pathologists from the group, who applied the guideline to all benign endometrial biopsies over a 2-wk period. A total of 212 benign endometrial biopsies were evaluated in this implementation step; the recommended terminology adequately covered the diagnosis in 203 cases (95.8%). A list of terminology for benign endometrial biopsy reporting, based on expert consensus and critical appraisal of the available literature, is presented. On the basis of our results of implementation at multiple centers, the proposed guideline can successfully cover the large majority of diagnostic scenarios. The document has the potential to positively impact patient care, promote quality assurance, and facilitate research initiatives aimed at improving histopathologic assessment of benign endometrium.
Comparative analysis of hydroacoustic lakebed classification in three different Brazilian reservoirs

NASA Astrophysics Data System (ADS)

Hilgert, Stephan; Sotiri, Klajdi; Fuchs, Stephan

2017-04-01

Until today, the surface of artificial water bodies around the world reached an area of around 500,000 km2 equaling one third of the surface of natural water bodies. Most of the constructed waster bodies are reservoirs with a variety of usage purposes, reaching from drinking water supply, electricity production, flood protection to recreation. All reservoirs have in common, that they disrupt riverine systems and their biochemical cycles and promote the accumulation of sediments upstream of the dam. The accumulated sediments contain organic matter, nutrients and/or pollutants which have a direct influence on the water quality within the impoundment. Consequently, detailed knowledge about the amount and the quality of accumulated sediments is an essential information for reservoir management. In many cases the extensive areas covered by the impoundments make it difficult and expensive to assess sediment characteristics with a high spatial resolution. Spatial extrapolations and mass balances based on point information may suffer from strong deviations. We combined sediment point measurements (core and grab sampling) with hydroacoustic sediment classification in order to precisely map sediment parameters. Three different reservoirs (Vossoroca, Capivari, Passauna) in the south-east of Brazil were investigated between 2011 and 2015. A single beam echosounder (EA 400, Kongsberg) with two frequencies (200 & 38 kHz) was used for the hydroacoustic classification. Over 50 core samples and 30 grab samples were taken for physical and chemical analysis to serve as ground truthing of the hydroacoustic measurements. All three reservoirs were covered with dense measurement transects allowing for a lakebed classification of the entire sediment surface. Significant correlations of physical parameters like grain size distribution and density as well chemical parameters like organic carbon content and total phosphorous with a selection of hydroacoustic parameters were obtained. They enabled the derivation of empiric models used for the extrapolation of the sediment point information to the entire reservoir surface. With the obtained spatial information carbon and phosphorous budgets were calculated. Former stock calculations, which were based solely on point sampling, could be improved The results show that the method is transferable to different reservoirs with varying characteristics in regard of their catchments, morphology and trophic state.
Sediment Toxicity Testing

EPA Science Inventory

Sediment toxicity testing has become a fundamental component of regulatory frameworks for assessing the risks posed by contaminated sediments and for development of chemical sediment quality guidelines. Over the past two decades, sediment toxicity testing methods have advanced co...
Geochemical assessment of metals and dioxin in sediment from the San Carlos Reservoir and the Gila, San Carlos, and San Francisco Rivers, Arizona

USGS Publications Warehouse

Church, Stan E.; Choate, LaDonna M.; Marot, Marci E.; Fey, David L.; Adams, Monique; Briggs, Paul H.; Brown, Zoe Ann

2005-01-01

In October 2004, we sampled stream-bed sediment, terrace sediment, and sediment from the San Carlos Reservoir to determine the spatial and chronological variation of six potentially toxic metals-Cu, Pb, Zn, Cd, As, and Hg. Water levels in the San Carlos Reservoir were at a 20-year low at an elevation of 2,409 ft (734.3 m). Four cores were taken from the reservoir: one from the San Carlos River arm, one from the Gila River arm, and two from the San Carlos Reservoir just west of the Pinal County line. Radioisotope chronometry (7Be, 137Cs, and 210Pb) conducted on sediment from the reservoir cores provides a good chronological record back to 1959. Chronology prior to that, during the 1950s, is based on our interpretation of the 137Cs anomaly in reservoir cores. During and prior to the 1950s, the reservoir was dry and sediment-accumulation rates were irregular; age control based on radioisotope data was not possible. We recovered sediment at the base of one 4-m-long core that may date back to the late 1930s. The sedimentological record contains two discrete events, one about 1978-83 and one about 1957, where the Cu concentration in reservoir sediment exceeded recommended sediment quality guidelines and should have had an effect on sensitive aquatic and benthic organisms. Concentrations of Zn determined in sediment deposited during the 1957(?) event also exceeded recommended sediment quality guidelines. Concentration data for Cu from the four cores clearly indicate that the source of this material was upstream on the Gila River. Lead isotope data, coupled with the geochemical data from a 2M HCl-1 percent H2O2 leach of selected sediment samples, show two discrete populations of data. One represents the dominant sediment load derived from the Safford Valley, and a second reflects sediment derived from the San Francisco River. The Cu concentration spikes in the reservoir cores have chemical and Pb isotope signatures that indicate that deposits in a porphyry copper deposit from the Morenci district is the likely source of these Cu-rich sedimentary deposits. Copper concentrations and Pb isotope data in premining terrace-sediment deposits indicate that the Cu peaks could not have resulted from erosion of premining sediment from terrace deposits downstream on the Gila River. The chemical and Pb isotope data also indicate that agricultural practices in the Safford Valley have resulted in an increased sediment load to the Gila River since large-scale farming began, prior to the time when the San Carlos Reservoir was built. Analyses of dioxin, which is an impurity in one of the herbicides used in the late 1960s and early 1970s, were completed in sediment from one of the cores in the reservoir to determine whether any of these pesticide residues have accumulated in the reservoir sediment. Dioxin concentration is expressed in terms of its toxicity (toxic equivalent concentration or TEQ). Concentrations of dioxin in the sediment ranged from 0.68 to 1.37 pg/g and are less than any of the benchmark concentrations recommended as threshold values for adverse effects of dioxin in sediment (> 2.5-10 pg/g).
What are the essential features of resilience for informal caregivers of people living with dementia? A Delphi consensus examination.

PubMed

Joling, Karlijn J; Windle, Gill; Dröes, Rose-Marie; Huisman, Martijn; Hertogh, Cees M P M; Woods, Robert T

2017-05-01

Few studies have examined what might enable or prevent resilience in carers of people with dementia. Consequently, there are limited insights as to how it should be understood, defined and measured. This creates challenges for research, and also practice in terms of how it might best be promoted. This study aimed to address these limitations and add new insights, identifying the essential features of resilience in dementia caregiving. A Delphi consensus study was conducted, consulting a multi-disciplinary panel of informal caregivers and experts with relevant professional expertise. Panellists rated the relevance of various statements addressing essential components of resilience; 'adversity' and 'successful caregiving' on a 5-point Likert scale. Based on the median and Inter Quartile Range, the most relevant statements with moderate consensus were proposed in Round 2 in which panellists selected up to five statements in order of importance. Moderate consensus was reached for all statements after two rounds. Patients' behavioural problems and feeling competent as a caregiver were selected by both caregivers and professionals as essential resilience features. Caregivers also emphasized the importance of social support, the quality of the relationship with their relative and enjoying spending time together. Professionals considered coping skills, experiencing positive aspects of caregiving, and a good quality of life of caregivers most relevant. The essential elements of resilience selected from multiple stakeholder perspectives can be used to select appropriate outcomes for intervention studies and give guidance to policy to support caregivers more effectively and better tailored to their needs.
Asian Organization for Crohn's and Colitis and Asian Pacific Association of Gastroenterology consensus on tuberculosis infection in patients with inflammatory bowel disease receiving anti-tumor necrosis factor treatment. Part 1: Risk assessment.

PubMed

Park, Dong Ii; Hisamatsu, Tadakazu; Chen, Minhu; Ng, Siew Chien; Ooi, Choon Jin; Wei, Shu Chen; Banerjee, Rupa; Hilmi, Ida Normiha; Jeen, Yoon Tae; Han, Dong Soo; Kim, Hyo Jong; Ran, Zhihua; Wu, Kaichun; Qian, Jiaming; Hu, Pin-Jin; Matsuoka, Katsuyoshi; Andoh, Akira; Suzuki, Yasuo; Sugano, Kentaro; Watanabe, Mamoru; Hibi, Toshifumi; Puri, Amarender S; Yang, Suk-Kyun

2018-01-01

Because anti-tumor necrosis factor (anti-TNF) therapy has become increasingly popular in many Asian countries, the risk of developing active tuberculosis (TB) among anti-TNF users may raise serious health problems in this region. Thus, the Asian Organization for Crohn's and Colitis and the Asian Pacific Association of Gastroenterology have developed a set of consensus statements about risk assessment, detection, and prevention of latent TB infection and management of active TB infection in patients with inflammatory bowel disease (IBD) receiving anti-TNF treatment. Twenty-three consensus statements were initially drafted and then discussed by the committee members. The quality of evidence and the strength of recommendations were assessed by using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Web-based consensus voting was performed by 211 IBD specialists from nine Asian countries concerning each statement. A consensus statement was accepted if at least 75% of the participants agreed. Part 1 of the statements comprised two parts: (i) risk of TB infection during anti-TNF therapy and (ii) screening for TB infection prior to commencing anti-TNF therapy. These consensus statements will help clinicians optimize patient outcomes by reducing the morbidity and mortality related to TB infections in patients with IBD receiving anti-TNF treatment. © 2017 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.
Asian Organization for Crohn's and Colitis and Asia Pacific Association of Gastroenterology consensus on tuberculosis infection in patients with inflammatory bowel disease receiving anti-tumor necrosis factor treatment. Part 2: Management.

PubMed

Park, Dong Il; Hisamatsu, Tadakazu; Chen, Minhu; Ng, Siew Chien; Ooi, Choon Jin; Wei, Shu Chen; Banerjee, Rupa; Hilmi, Ida Normiha; Jeen, Yoon Tae; Han, Dong Soo; Kim, Hyo Jong; Ran, Zhihua; Wu, Kaichun; Qian, Jiaming; Hu, Pin-Jin; Matsuoka, Katsuyoshi; Andoh, Akira; Suzuki, Yasuo; Sugano, Kentaro; Watanabe, Mamoru; Hibi, Toshifumi; Puri, Amarender S; Yang, Suk-Kyun

2018-01-01

Because anti-tumor necrosis factor (anti-TNF) therapy has become increasingly popular in many Asian countries, the risk of developing active tuberculosis (TB) among anti-TNF users may raise serious health problems in this region. Thus, the Asian Organization for Crohn's and Colitis and the Asia Pacific Association of Gastroenterology have developed a set of consensus statements about risk assessment, detection and prevention of latent TB infection, and management of active TB infection in patients with inflammatory bowel disease (IBD) receiving anti-TNF treatment. Twenty-three consensus statements were initially drafted and then discussed by the committee members. The quality of evidence and the strength of recommendations were assessed by using the Grading of Recommendations Assessment, Development, and Evaluation methodology. Web-based consensus voting was performed by 211 IBD specialists from nine Asian countries concerning each statement. A consensus statement was accepted if at least 75% of the participants agreed. Part 2 of the statements comprised three parts: (3) management of latent TB in preparation for anti-TNF therapy, (4) monitoring during anti-TNF therapy, and (5) management of an active TB infection after anti-TNF therapy. These consensus statements will help clinicians optimize patient outcomes by reducing the morbidity and mortality related to TB infections in patients with IBD receiving anti-TNF treatment. © 2017 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.
Development of the Quality of Australian Nursing Documentation in Aged Care (QANDAC) instrument to assess paper-based and electronic resident records.

PubMed

Wang, Ning; Björvell, Catrin; Hailey, David; Yu, Ping

2014-12-01

To develop an Australian nursing documentation in aged care (Quality of Australian Nursing Documentation in Aged Care (QANDAC)) instrument to measure the quality of paper-based and electronic resident records. The instrument was based on the nursing process model and on three attributes of documentation quality identified in a systematic review. The development process involved five phases following approaches to designing criterion-referenced measures. The face and content validities and the inter-rater reliability of the instrument were estimated using a focus group approach and consensus model. The instrument contains 34 questions in three sections: completion of nursing history and assessment, description of care process and meeting the requirements of data entry. Estimates of the validity and inter-rater reliability of the instrument gave satisfactory results. The QANDAC instrument may be a useful audit tool for quality improvement and research in aged care documentation. © 2013 ACOTA.
A case study of dissolved air flotation for seasonal high turbidity water in Korea.

PubMed

Kwon, S B; Ahn, H W; Ahn, C J; Wang, C K

2004-01-01

A DAF (Dissolved-Air-Flotation) process has been designed considering raw water quality characteristics in Korea. Although direct filtration is usually operated, DAF is operated when freshwater algae blooms occur or raw water turbidity becomes high. Pre-sedimentation is operated in case when the raw water turbidity is very high due to rainstorms. A main feature of this plant is that the operation mode can be changed (controlled) based on the characteristics of the raw water to optimize the effluent quality and the operation costs. Treatment capacity (surface loading rate) and efficiency of DAF was found to be better than the conventional sedimentation process. Moreover, low-density particles (algae and alum flocs) are easily separated while the removal of them by sedimentation is more difficult. One of the main concerns for DAF operation is a high raw water turbidity. DAF is not adequate for raw water, which is more turbid than 100 NTU. In order to avoid this problem, pre-sedimentation basins are installed in the DAF plant to decrease the turbidity of the DAF inflow. For simulation of the actual operation, bench and full-scale tests were performed for highly turbid water conditions. Consequently, it is suggested that pre-sedimentation with optimum coagulation prior to DAF is the appropriate treatment scheme.
Assessing the impacts of sediments from dredging on corals.

PubMed

Jones, Ross; Bessell-Browne, Pia; Fisher, Rebecca; Klonowski, Wojciech; Slivkoff, Matthew

2016-01-15

There is a need to develop water quality thresholds for dredging near coral reefs that can relate physical pressures to biological responses and define exposure conditions above which effects could occur. Water quality characteristics during dredging have, however, not been well described. Using information from several major dredging projects, we describe sediment particle sizes in the water column/seabed, suspended sediment concentrations at different temporal scales during natural and dredging-related turbidity events, and changes in light quantity/quality underneath plumes. These conditions differ considerably from those used in past laboratory studies of the effects of sediments on corals. The review also discusses other problems associated with using information from past studies for developing thresholds such as the existence of multiple different and inter-connected cause-effect pathways (which can confuse/confound interpretations), the use of sediment proxies, and the reliance on information from sediment traps to justify exposure regimes in sedimentation experiments. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.
Equilibrium sampling informs tissue residue and sediment remediation for pyrethroid insecticides in mariculture: A laboratory demonstration.

PubMed

Li, Juan-Ying; Shi, Wenxuan; Li, Zhenhua; Chen, Yiqin; Shao, Liu; Jin, Ling

2018-03-01

Mariculture product safety in relation to sediment quality has attracted increasing attention because of the accumulation of potentially hazardous chemicals, including pyrethroid insecticides, in sediment. Passive sampling has been widely used to assess the bioavailability of sediment-associated hydrophobic organic contaminants and predict their body residue in benthic organisms. Therefore, in this study, we introduced polydimethylsiloxane (PDMS) polymer as a biomimetic "chemometer" for freely-dissolved concentrations (C free ) to assess the efficacy of different carbon sorbents in reducing the bioavailability of pyrethroids in the process of sediment remediation. Black carbon (BC)-based materials (e.g., charcoal, biochar, and activated carbon) showed the advantageous sorption capacity over humic substance-based peat soil based on both C free and tissue residue in exposed clams. Of the tested BC-type materials, biochar appeared to be an ideal one in the remediation of pyrethroid-contaminated sediment. The predictive value of the PDMS chemometer approach to informing tissue residue was confirmed by a good agreement between the measured lipid-normalized concentrations of pyrethroids in clams and the lipid-based equilibrium concentrations calculated from C free via lipid-water partition coefficients. The quantitative inter-compartmental relationship underlying the laboratory system of sediment-pore water-PDMS-biota was also cross-validated by a mechanistically-based bioaccumulation model, thus confirming the validity of C free as a predictive intermediate to alert for tissue residue and guide sediment remediation. The present study revealed a great promise of sensing C free by polymer-based equilibrium sampling in predicting tissue residue of chemicals applied in mariculture against regulatory guidelines, and, in turn, informing remediation measures when needs arise. In situ demonstration is warranted in the future to ascertain the field applicability of this approach in real mariculture systems. Copyright © 2017 Elsevier B.V. All rights reserved.
Effects of Urechis unicinctus juveniles on chemical characteristics of organically contaminated coastal sediment

NASA Astrophysics Data System (ADS)

Kang, Kyoung Ho; Zhang, Zhifeng; Kim, Jae Min; Seon, Seung Chun; Shao, Mingyu

2010-03-01

Biological activities of marine benthos such as burrowing and feeding may change sediment characteristics. We conducted three experiments to examine the potential of using juveniles of a spoon worm Urechis unicinctus to improve the quality of organically contaminated coastal sediment. Sediment samples were collected from a site that was heavily contaminated with organic matter (Seonso) and two sites that were clean (Myo-do, Dolsan-do). Urechis juveniles, obtained by artificial fertilization and cultured in the laboratory, were introduced to the sediment (weight 3 kg, depth 10 cm) at a density of 500 individuals per aquarium (length 50 cm, width 35 cm, height 30 cm) (Experiment 1), or at densities ranging from 100 to 900 individuals per beaker (Experiment 2). To examine how sediment contamination can be modified by the effects of Urechis, 500 individuals (per aquarium) were exposed to the Seonso contaminated sediment that had been mixed with 0-100% clean sand (Experiment 3). Each experiment lasted two months and sediment samples were collected every 15 d to determine the several indexes of sediment quality, which included acid volatile sulfide (AVS), chemical oxygen demand (COD) and total ignition loss (TIL). In Experiment 1, the existence of Urechis did not result in significant changes in quality indexes in the sediments collected from Myo-do, Dolsan-do. However, AVS, COD and TIL of the Seonso sediment all decreased significantly after co-incubation with Urechis juveniles for 30 to 45 d. Experiment 2 showed that a density of at least 300 juveniles per beaker was necessary to significantly reduce all three quality indexes, and the magnitude of reduction was positively correlated with juvenile density. Experiment 3 revealed that Urechis juveniles were effective in reducing the AVS, COD and TIL of the Seonso sediment that had been mixed with 60%, 80%, and 80% of clean sand, respectively. The results of the present study therefore indicated that juveniles of this spoon worm have the potential to be used to improve the quality of organically contaminated sediment in coastal waters.
Quality Markers in Cardiology. Main Markers to Measure Quality of Results (Outcomes) and Quality Measures Related to Better Results in Clinical Practice (Performance Metrics). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): A SEC/SECTCV Consensus Position Paper.

PubMed

López-Sendón, José; González-Juanatey, José Ramón; Pinto, Fausto; Cuenca Castillo, José; Badimón, Lina; Dalmau, Regina; González Torrecilla, Esteban; López-Mínguez, José Ramón; Maceira, Alicia M; Pascual-Figal, Domingo; Pomar Moya-Prats, José Luis; Sionis, Alessandro; Zamorano, José Luis

2015-11-01

Cardiology practice requires complex organization that impacts overall outcomes and may differ substantially among hospitals and communities. The aim of this consensus document is to define quality markers in cardiology, including markers to measure the quality of results (outcomes metrics) and quality measures related to better results in clinical practice (performance metrics). The document is mainly intended for the Spanish health care system and may serve as a basis for similar documents in other countries. Copyright © 2015 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.
Expert opinions and scientific evidence for colonoscopy key performance indicators.

PubMed

Rees, Colin J; Bevan, Roisin; Zimmermann-Fraedrich, Katharina; Rutter, Matthew D; Rex, Douglas; Dekker, Evelien; Ponchon, Thierry; Bretthauer, Michael; Regula, Jaroslaw; Saunders, Brian; Hassan, Cesare; Bourke, Michael J; Rösch, Thomas

2016-12-01

Colonoscopy is a widely performed procedure with procedural volumes increasing annually throughout the world. Many procedures are now performed as part of colorectal cancer screening programmes. Colonoscopy should be of high quality and measures of this quality should be evidence based. New UK key performance indicators and quality assurance standards have been developed by a working group with consensus agreement on each standard reached. This paper reviews the scientific basis for each of the quality measures published in the UK standards. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
In situ microbiota distinguished primary anthropogenic stressor in freshwater sediments.

PubMed

Xie, Yuwei; Floehr, Tilman; Zhang, Xiaowei; Xiao, Hongxia; Yang, Jianghua; Xia, Pu; Burton, G Allen; Hollert, Henner

2018-08-01

Conventional assessment and evaluation of sediment quality are based on laboratory-based ecotoxicological and chemical measurements with lack of concern for ecological relevance. Microbiotas in sediment are responsive to pollutants and can be used as alternative ecological indicators of sediment pollutants; however, the linkage between the microbial ecology and ecotoxicological endpoints in response to sediment contamination has been poorly evaluated. Here, in situ microbiotas from the Three Gorges Reservoir (TGR) area of the Yangtze River were characterized by DNA metabarcoding approaches, and then, changes of in situ microbiotas were compared with the ecotoxicological endpoint, aryl hydrocarbon receptor (AhR) mediated activity, and level of polycyclic aromatic hydrocarbons (PAHs) in sediments. PAHs and organic pollutant mixtures mediating AhR activity had different effects on the structures of microbiotas. Specifically, Shannon indices of protistan communities were negatively correlated with the levels of AhR mediated activity and PAHs. The sediment AhR activity was positively correlated with the relative abundance of prokaryotic Acetobacteraceae, but had a negative correlation with protistan Oxytrichidae. Furthermore, a quantitative classification model was built to predict the level of AhR activity based on the relative abundances of Acetobacteraceae and Oxytrichidae. These results suggested that in situ Protista communities could provide a useful tool for monitoring and assessing ecological stressors. The observed responses of microbial community provided supplementary evidence to support that the AhR-active pollutants, such as PAHs, were the primary stressors of the aquatic community in TGR area. Copyright © 2018 Elsevier Ltd. All rights reserved.

Data on sediment quality and concentrations of polychlorinated biphenyls from the Lower Neponset River, Massachusetts, 2002-03

USGS Publications Warehouse

Breault, Robert F.; Cooke, Matthew G.; Merrill, Michael

2004-01-01

The U.S. Geological Survey, in cooperation with the Massachusetts Executive Office of Environmental Affairs Department of Fish and Game Riverways Program, and the U.S. Environmental Protection Agency, studied sediment and water quality in the lower Neponset River, which is a tributary to Boston Harbor. Grab and core samples of sediment were tested for elements and organic compounds including polyaromatic hydrocarbons, organochlorine pesticides, and polychlorinated biphenyls. Physical properties of sediment samples, including grain size, were also measured. Selected sediment-core samples were tested for reactive sulfides and metals by means of the toxicity characteristic leaching procedure, which are sediment-disposal-related tests. Water quality, with respect to polychlorinated biphenyl contamination, was determined by testing samples collected by PISCES passive-water-column samplers for polychlorinated biphenyl congeners. Total concentrations of polychlorinated biphenyls were calculated by congener and by Aroclor.
Singing for Lung Health—a systematic review of the literature and consensus statement

PubMed Central

Lewis, Adam; Cave, Phoene; Stern, Myra; Welch, Lindsay; Taylor, Karen; Russell, Juliet; Doyle, Anne-Marie; Russell, Anne-Marie; McKee, Heather; Clift, Stephen; Bott, Julia; Hopkinson, Nicholas S

2016-01-01

There is growing interest in Singing for Lung Health (SLH), an approach where patients with respiratory disease take part in singing groups, intended to improve their condition. A consensus group was convened in early 2016 to address issues including: the specific features that make SLH distinct from other forms of participation in singing; the existing evidence base via a systematic review; gaps in the evidence base including the need to define value-based outcome measures for sustainable commissioning of SLH; defining the measures needed to evaluate both individuals' responses to SLH and the quality of singing programmes. and core training, expertise and competencies required by singing group leaders to deliver high-quality programmes. A systematic review to establish the extent of the evidence base for SLH was undertaken. Electronic databases, including Pubmed, OVID Medline and Embase, Web of Science, Cochrane central register of controlled trials and PEDro, were used. Six studies were included in the final review. Quantitative data suggest that singing has the potential to improve health-related quality of life, particularly related to physical health, and levels of anxiety without causing significant side effects. There is a significant risk of bias in many of the existing studies with small numbers of subjects overall. Little comparison can be made between studies owing to their heterogeneity in design. Qualitative data indicate that singing is an enjoyable experience for patients, who consistently report that it helps them to cope with their condition better. Larger and longer-term trials are needed. PMID:27906158
Identifying water-quality trends in the Trinity River, Texas, USA, 1969-1992, using sediment cores from Lake Livingston

USGS Publications Warehouse

Van Metre, P.C.; Callender, E.

1996-01-01

Chemical analyses were done on cores of bottom sediment from three locations in Lake Livingston, a reservoir on the Trinity River in east Texas to identify trends in water quality in the Trinity River using the chemical record preserved in bottom sediments trapped by the reservoir. Sediment cores spanned the period from 1969, when the reservoir was impounded, to 1992, when the cores were collected. Chemical concentrations in reservoir sediment samples were compared to concentrations for 14 streambed sediment samples from the Trinity River Basin and to reported concentrations for soils in the eastern United States and shale. These comparisons indicate that sediments deposited in Lake Livingston are representative of the environmental setting of Lake Livingston within the Trinity River Basin. Vertical changes in concentrations within sediment cores indicate temporal trends of decreasing concentrations of lead, sodium, barium, and total DDT (DDT plus its metabolites DDD and DDE) in the Trinity River. Possible increasing temporal trends are indicated for chlordane and dieldrin. Each sediment-derived trend is related to trends in water quality in the Trinity River or known changes in environmental factors in its drainage basin or both.
Influence of calcium on the distribution of the pheasant in North America

USGS Publications Warehouse

Dale, F.H.

2000-01-01

Rapid Bioassessment Protocols (RBP) and the Sediment Quality Triad (SQT) were used to evaluate the biological effects of a municipal waste-water treatment facility (WWTF) on a small southern stream. During major storm events, raw sewage from the WWTF is released directly into the stream. The headwaters of the stream also receive non-point surface runoff from urban areas. RBP analyses, which included benthos, fish and habitat evaluations, and SQT, including the benthos (from the RBP), contaminant analyses (metals, organochlorine pesticides, PCBs and PAHs) andl toxicity tests of depositional sediment (exposures of Hyalella azteca to solid-phase sediment and pore water) were conducted at five sites on the stream (two upstream of the WWTF and three downstream). The stream has been channelized throughout its entire length, resulting in high, unstable banks, degraded stream channel, and unstable substratum. RBP analyses indicated that the two stations upstream of the WWTF were degraded due to poor physical habitat quality (unstable benthic substratum and lack of fish habitat). The SQT also showed reduced habitat quality at the two stations above the WWTF, but the cause was attributed to high concentrations of PAHs and metals in the sediments. The increased discharge and stabilized base flow provided by the WWTF improved habitat quality downnstream, although conditions were still impaired due to the habitat alteration. Though the causes of degradation were attributed to different factors (physical habitat vs. contamination), there was close concordance between the RBP and SQT in identifying the degraded sites in this stream. The combination of these two procedures provides a robust examination of environmental quality utilizing the weight of evidence approach.
Improvement Research Priorities: USA Survey and Expert Consensus

PubMed Central

Stevens, Kathleen R.; Ovretveit, John

2013-01-01

The purpose of this study was to identify stakeholder views about national priorities for improvement science and build agreement for action in a national improvement and implementation research network in the USA. This was accomplished using three stages of identification and consensus. (1) Topics were identified through a multipronged environmental scan of the literature and initiatives. (2) Based on this scan, a survey was developed, and stakeholders (n = 2,777) were invited to rate the resulting 33-topic, 9-category list, via an online survey. Data from 560 respondents (20% response) were analyzed. (3) An expert panel used survey results to further refine the research priorities through a Rand Delphi process. Priorities identified were within four categories: care coordination and transitions, high-performing clinical systems and microsystems improvement approaches, implementation of evidence-based improvements and best practices, and culture of quality and safety. The priorities identified were adopted by the improvement science research network as the research agenda to guide strategy. The process and conclusions may be of value to quality improvement research funding agencies, governments, and research units seeking to concentrate their resources on improvement topics where research is capable of yielding timely and actionable answers as well as contributing to the knowledge base for improvement. PMID:24024029
Phenomenological Partial Specific Volumes for G-Quadruplex DNAs

PubMed Central

Hellman, Lance M.; Rodgers, David W.; Fried, Michael G.

2009-01-01

Accurate partial specific volume (ν̄) values are required for sedimentation velocity and sedimentation equilibrium analyses. For nucleic acids, the estimation of these values is complicated by the fact that ν̄ depends on base composition, secondary structure, solvation and the concentrations and identities of ions in the surrounding buffer. Here we describe sedimentation equilibrium measurements of the apparent isopotential partial specific volume φ′ for two G-quadruplex DNAs and a single-stranded DNA of similar molecular weight and base composition. The G-quadruplex DNAs are a 22 nucleotide fragment of the human telomere consensus sequence and a 27 nucleotide fragment from the human c-myc promoter. The single-stranded DNA is 26 nucleotides long and is designed to have low propensity to form secondary structures. Parallel measurements were made in buffers containing NaCl and in buffers containing KCl, spanning the range 0.09M ≤ [salt] ≤ 2.3M. Limiting values of φ′, extrapolated to [salt] = 0M, were: 22-mer (NaCl-form), 0.525 ± 0.004 mL/g; 22-mer (KCl-form), 0.531 ± 0.006 mL/g; 27-mer (NaCl-form), 0.548 ± 0.005 mL/g; 27-mer (KCl-form), 0.557 ± 0.006 mL/g; 26-mer (NaCl-form), 0.555 ± 0.004 mL/g; 26-mer (KCl-form), 0.564 ± 0.006 mL/g. Small changes in φ′ with [salt] suggest that large changes in counterion association or hydration are unlikely to take place over these concentration ranges. PMID:19238377
Internal loading of phosphate in Lake Erie Central Basin.

PubMed

Paytan, Adina; Roberts, Kathryn; Watson, Sue; Peek, Sara; Chuang, Pei-Chuan; Defforey, Delphine; Kendall, Carol

2017-02-01

After significant reductions in external phosphorus (P) loads, and subsequent water quality improvements in the early 1980s, the water quality of Lake Erie has declined considerably over the past decade. The frequency and magnitude of harmful algal blooms (primarily in the western basin) and the extent of hypoxic bottom waters in the central basin have increased. The decline in ecosystem health, despite meeting goals for external P loads, has sparked a renewed effort to understand P cycling in the lake. We use pore-water P concentration profiles and sediment cores incubation experiments to quantify the P flux from Lake Erie central basin sediments. In addition, the oxygen isotopes of phosphate were investigated to assess the isotopic signature of sedimentary phosphate inputs relative to the isotopic signature of phosphate in lake water. Extrapolating the total P sediment flux based on the pore-water profiles to the whole area of the central basin ranged from 300 to 1250metric tons per year and using the flux based on core incubation experiments an annual flux of roughly 2400metric tons of P is calculated. These estimates amount to 8-20% of the total external input of P to Lake Erie. The isotopic signature of phosphate in the extractable fraction of the sediments (~18‰) can explain the non-equilibrium isotope values of dissolved phosphate in the deep water of the central basin of Lake Erie, and this is consistent with sediments as an important internal source of P in the Lake. Copyright © 2016 Elsevier B.V. All rights reserved.
Water-quality, bed-sediment, and biological data (October 2014 through September 2015) and statistical summaries of data for streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Turner, Matthew A.

2017-01-19

Water, bed sediment, and biota were sampled in selected streams from Butte to near Missoula, Montana, as part of a monitoring program in the upper Clark Fork Basin of western Montana. The sampling program was led by the U.S. Geological Survey, in cooperation with the U.S. Environmental Protection Agency, to characterize aquatic resources in the Clark Fork Basin, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water samples were collected periodically at 20 sites from October 2014 through September 2015. Bed-sediment and biota samples were collected once at 13 sites during August 2015.This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2014 through September 2015. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. At 12 sites, samples for analysis of dissolved organic carbon and turbidity were collected. In addition, samples for analysis of nitrogen (nitrate plus nitrite) were collected at two sites. Daily values of mean suspended-sediment concentration and suspended-sediment discharge were determined for three sites. Seasonal daily values of turbidity were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork Basin are provided for the period of record.
Water-quality, bed-sediment, and biological data (October 2010 through September 2011) and statistical summaries of data for streams in the Clark Fork basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2013-01-01

Water, bed sediment, and biota were sampled in streams from Butte to near Missoula, Montana, as part of a monitoring program in the upper Clark Fork basin of western Montana; additional water samples were collected from near Galen to near Missoula at select sites as part of a supplemental sampling program. The sampling program was conducted by the U.S. Geological Survey in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water samples were collected periodically at 20 sites from October 2010 through September 2011. Bed-sediment and biota samples were collected once at 14 sites during August 2011. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2010 through September 2011. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity was analyzed for water samples collected at the four sites where seasonal daily values of turbidity were being determined. Daily values of suspended-sediment concentration and suspended-sediment discharge were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.
Water-quality, bed-sediment, and biological data (October 2015 through September 2016) and statistical summaries of data for streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Turner, Matthew A.

2018-03-30

Water, bed sediment, and biota were sampled in selected streams from Butte to near Missoula, Montana, as part of a monitoring program in the upper Clark Fork Basin of western Montana. The sampling program was led by the U.S. Geological Survey, in cooperation with the U.S. Environmental Protection Agency, to characterize aquatic resources in the Clark Fork Basin, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were on the Clark Fork and selected tributaries. Water samples were collected periodically at 20 sites from October 2015 through September 2016. Bed-sediment and biota samples were collected once at 13 sites during August 2016.This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at sites from October 2015 through September 2016. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Samples for analysis of turbidity were collected at 13 sites, whereas samples for analysis of dissolved organic carbon were collected at 10 sites. In addition, samples for analysis of nitrogen (nitrate plus nitrite) were collected at two sites. Daily values of mean suspended-sediment concentration and suspended-sediment discharge were determined for three sites. Seasonal daily values of turbidity were determined for five sites. Bed-sediment data include trace-element concentrations in the fine-grained (less than 0.063 millimeter) fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of water-quality, bed-sediment, and biological data for sites in the upper Clark Fork Basin are provided for the period of record.
Ecological impacts of lead mining on Ozark streams: toxicity of sediment and pore water.

PubMed

Besser, John M; Brumbaugh, William G; Allert, Ann L; Poulton, Barry C; Schmitt, Christopher J; Ingersoll, Christopher G

2009-02-01

We studied the toxicity of sediments downstream of lead-zinc mining areas in southeast Missouri, using chronic sediment toxicity tests with the amphipod, Hyalella azteca, and pore-water toxicity tests with the daphnid, Ceriodaphnia dubia. Tests conducted in 2002 documented reduced survival of amphipods in stream sediments collected near mining areas and reduced survival and reproduction of daphnids in most pore waters tested. Additional amphipod tests conducted in 2004 documented significant toxic effects of sediments from three streams downstream of mining areas: Strother Creek, West Fork Black River, and Bee Fork. Greatest toxicity occurred in sediments from a 6-km reach of upper Strother Creek, but significant toxic effects occurred in sediments collected at least 14 km downstream of mining in all three watersheds. Toxic effects were significantly correlated with metal concentrations (nickel, zinc, cadmium, and lead) in sediments and pore waters and were generally consistent with predictions of metal toxicity risks based on sediment quality guidelines, although ammonia and manganese may also have contributed to toxicity at a few sites. Responses of amphipods in sediment toxicity tests were significantly correlated with characteristics of benthic invertebrate communities in study streams. These results indicate that toxicity of metals associated with sediments contributes to adverse ecological effects in streams draining the Viburnum Trend mining district.
Ecological impacts of lead mining on Ozark streams: Toxicity of sediment and pore water

USGS Publications Warehouse

Besser, J.M.; Brumbaugh, W.G.; Allert, A.L.; Poulton, B.C.; Schmitt, C.J.; Ingersoll, C.G.

2009-01-01

We studied the toxicity of sediments downstream of lead-zinc mining areas in southeast Missouri, using chronic sediment toxicity tests with the amphipod, Hyalella azteca, and pore-water toxicity tests with the daphnid, Ceriodaphnia dubia. Tests conducted in 2002 documented reduced survival of amphipods in stream sediments collected near mining areas and reduced survival and reproduction of daphnids in most pore waters tested. Additional amphipod tests conducted in 2004 documented significant toxic effects of sediments from three streams downstream of mining areas: Strother Creek, West Fork Black River, and Bee Fork. Greatest toxicity occurred in sediments from a 6-km reach of upper Strother Creek, but significant toxic effects occurred in sediments collected at least 14 km downstream of mining in all three watersheds. Toxic effects were significantly correlated with metal concentrations (nickel, zinc, cadmium, and lead) in sediments and pore waters and were generally consistent with predictions of metal toxicity risks based on sediment quality guidelines, although ammonia and manganese may also have contributed to toxicity at a few sites. Responses of amphipods in sediment toxicity tests were significantly correlated with characteristics of benthic invertebrate communities in study streams. These results indicate that toxicity of metals associated with sediments contributes to adverse ecological effects in streams draining the Viburnum Trend mining district.
AMBIENT WATER, POREWATER, AND SEDIMENT

EPA Science Inventory

Sediment assessments may be performed for a variety of purposes; these include: dredging and dredged sediment disposal, for evaluations of sediments as a capping material, to determine sediment quality, to assess biological impairment and to assess the status of environment monit...
A sediment resuspension and water quality model of Lake Okeechobee

USGS Publications Warehouse

James, R.T.; Martin, J.; Wool, T.; Wang, P.-F.

1997-01-01

The influence of sediment resuspension on the water quality of shallow lakes is well documented. However, a search of the literature reveals no deterministic mass-balance eutrophication models that explicitly include resuspension. We modified the Lake Okeeehobee water quality model - which uses the Water Analysis Simulation Package (WASP) to simulate algal dynamics and phosphorus, nitrogen, and oxygen cycles - to include inorganic suspended solids and algorithms that: (1) define changes in depth with changes in volume; (2) compute sediment resuspension based on bottom shear stress; (3) compute partition coefficients for ammonia and ortho-phosphorus to solids; and (4) relate light attenuation to solids concentrations. The model calibration and validation were successful with the exception of dissolved inorganic nitrogen species which did not correspond well to observed data in the validation phase. This could be attributed to an inaccurate formulation of algal nitrogen preference and/or the absence of nitrogen fixation in the model. The model correctly predicted that the lake is lightlimited from resuspended solids, and algae are primarily nitrogen limited. The model simulation suggested that biological fluxes greatly exceed external loads of dissolved nutrients; and sedimentwater interactions of organic nitrogen and phosphorus far exceed external loads. A sensitivity analysis demonstrated that parameters affecting resuspension, settling, sediment nutrient and solids concentrations, mineralization, algal productivity, and algal stoichiometry are factors requiring further study to improve our understanding of the Lake Okeechobee ecosystem.
Biological and chemical characterization of metal bioavailability in sediments from Lake Roosevelt, Columbia River, Washington, USA

USGS Publications Warehouse

Besser, J.M.; Brumbaugh, W.G.; Ivey, C.D.; Ingersoll, C.G.; Moran, P.W.

2008-01-01

We studied the bioavailability and toxicity of copper, zinc, arsenic, cadmium, and lead in sediments from Lake Roosevelt (LR), a reservoir on the Columbia River in Washington, USA that receives inputs of metals from an upstream smelter facility. We characterized chronic sediment toxicity, metal bioaccumulation, and metal concentrations in sediment and pore water from eight study sites: one site upstream in the Columbia River, six sites in the reservoir, and a reference site in an uncontaminated tributary. Total recoverable metal concentrations in LR sediments generally decreased from upstream to downstream in the study area, but sediments from two sites in the reservoir had metal concentrations much lower than adjacent reservoir sites and similar to the reference site, apparently due to erosion of uncontaminated bank soils. Concentrations of acid-volatile sulfide in LR sediments were too low to provide strong controls on metal bioavailability, and selective sediment extractions indicated that metals in most LR sediments were primarily associated with iron and manganese oxides. Oligochaetes (Lumbriculus variegatus) accumulated greatest concentrations of copper from the river sediment, and greatest concentrations of arsenic, cadmium, and lead from reservoir sediments. Chronic toxic effects on amphipods (Hyalella azteca; reduced survival) and midge larvae (Chironomus dilutus; reduced growth) in whole-sediment exposures were generally consistent with predictions of metal toxicity based on empirical and equilibrium partitioning-based sediment quality guidelines. Elevated metal concentrations in pore waters of some LR sediments suggested that metals released from iron and manganese oxides under anoxic conditions contributed to metal bioaccumulation and toxicity. Results of both chemical and biological assays indicate that metals in sediments from both riverine and reservoir habitats of Lake Roosevelt are available to benthic invertebrates. These findings will be used as part of an ongoing ecological risk assessment to determine remedial actions for contaminated sediments in Lake Roosevelt. ?? 2007 Springer Science+Business Media, LLC.
Water-Quality, Bed-Sediment, and Biological Data (October 2007 through September 2008) and Statistical Summaries of Long-Term Data for Streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2009-01-01

Water, bed sediment, and biota were sampled in streams from Butte to near Missoula as part of a long-term monitoring program in the upper Clark Fork basin; additional water samples were collected in the Clark Fork basin from sites near Missoula downstream to near the confluence of the Clark Fork and Flathead River as part of a supplemental sampling program. The sampling programs were conducted in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin of western Montana, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water samples were collected periodically at 23 sites from October 2007 through September 2008. Bed-sediment and biota samples were collected once at 13 sites during August 2008. This report presents the analytical results and quality assurance data for water-quality, bed-sediment, and biota samples collected at all long-term and supplemental monitoring sites from October 2007 through September 2008. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity was analyzed for water samples collected at sites where seasonal daily values of turbidity were being determined and at Clark Fork above Missoula. Nutrients also were analyzed at all the supplemental water-quality sites, except for Clark Fork Bypass, near Bonner. Daily values of suspended-sediment concentration and suspended-sediment discharge were determined for four sites, and seasonal daily values of turbidity were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of long-term water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.
Water-quality, bed-sediment, and biological data (October 2008 through September 2009) and statistical summaries of long-term data for streams in the Clark Fork basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2010-01-01

Water, bed sediment, and biota were sampled in streams from Butte to near Missoula, Montana, as part of a long-term monitoring program in the upper Clark Fork basin; additional water samples were collected in the Clark Fork basin from sites near Missoula downstream to near the confluence of the Clark Fork and Flathead River as part of a supplemental sampling program. The sampling programs were conducted by the U.S. Geological Survey in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin of western Montana, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water samples were collected periodically at 24 sites from October 2008 through September 2009. Bed-sediment and biota samples were collected once at 13 sites during August 2009. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at all long-term and supplemental monitoring sites from October 2008 through September 2009. Water-quality data include concentrations of selected major ions, trace elements, and suspended sediment. Turbidity was analyzed for water samples collected at the four sites where seasonal daily values of turbidity were being determined as well as at Clark Fork above Missoula. Nutrients also were analyzed at all the supplemental water-quality sites, except for Clark Fork Bypass, near Bonner. Daily values of suspended-sediment concentration and suspended-sediment discharge were determined for four sites. Bed-sediment data include trace-element concentrations in the fine-grained fraction. Biological data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of long-term water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.
An overview of the refinements and improvements to the USEPA’s sediment toxicity methods for freshwater sediment

EPA Science Inventory

Sediment toxicity tests are used for contaminated sediments, chemical registration, and water quality criteria evaluations and can be a core component of ecological risk assessments at contaminated sediments sites. Standard methods for conducting sediment toxicity tests have been...
Periodic sediment shift in migrating ripples influences benthic microbial activity

NASA Astrophysics Data System (ADS)

Zlatanović, Sanja; Fabian, Jenny; Mendoza-Lera, Clara; Woodward, K. Benjamin; Premke, Katrin; Mutz, Michael

2017-06-01

Migrating bedforms have high levels of particulate organic matter and high rates of pore water exchange, causing them to be proposed as hot spots of carbon turnover in rivers. Yet, the shifting of sediments and associated mechanical disturbance within migrating bedforms, such as ripples, may stress and abrade microbial communities, reducing their activity. In a microcosm experiment, we replicated the mechanical disturbances caused by the periodic sediment shift within ripples under oligotrophic conditions. We assessed the effects on fungal and bacterial biomass ratio (F:B), microbial community respiration (CR), and bacterial production (BCP) and compared with stable undisturbed sediments. Interactions between periodic mechanical disturbance and sediment-associated particulate organic matter (POM) were tested by enriching sediments collected from migrating ripples with different qualities of POM (fish feces, leaf litter fragments and no addition treatments). F:B and BCP were affected by an interaction between mechanical disturbance and POM quality. Fish feces enriched sediments showed increased F:B and BCP compared to sediments with lower POM quality and responded with a decrease of F:B and BCP to sediment disturbance. In the other POM treatments F:B and BCP were not affected by disturbance. Microbial respiration was however reduced by mechanical disturbance to similar low activity levels regardless of POM qualities added, whereas fish feces enriched sediment showed short temporary boost of CR. With the worldwide proliferation of migrating sand ripples due to massive catchment erosion, suppressed mineralization of POM will increasingly affect stream metabolism, downstream transport of POM and carbon cycling from reach to catchment scale.
Identification of water-quality trends using sediment cores from Dillon Reservoir, Summit County, Colorado

USGS Publications Warehouse

Greve, Adrienne I.; Spahr, Norman E.; Van Metre, Peter C.; Wilson, Jennifer T.

2001-01-01

Since the construction of Dillon Reservoir, in Summit County, Colorado, in 1963, its drainage area has been the site of rapid urban development and the continued influence of historical mining. In an effort to assess changes in water quality within the drainage area, sediment cores were collected from Dillon Reservoir in 1997. The sediment cores were analyzed for pesticides, polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), and trace elements. Pesticides, PCBs, and PAHs were used to determine the effects of urban development, and trace elements were used to identify mining contributions. Water-quality and streambed-sediment samples, collected at the mouth of three streams that drain into Dillon Reservoir, were analyzed for trace elements. Of the 14 pesticides and 3 PCBs for which the sediment samples were analyzed, only 2 pesticides were detected. Low amounts of dichloro-diphenyldichloroethylene (DDE) and dichloro-diphenyldichloroethane (DDD), metabolites of dichlorodiphenyltrichloroethane (DDT), were found at core depths of 5 centimeters and below 15 centimeters in a core collected near the dam. The longest core, which was collected near the dam, spanned the entire sedimentation history of the reservoir. Concentrations of total combustion PAH and the ratio of fluoranthene to pyrene in the core sample decreased with core depth and increased over time. This relation is likely due to growth in residential and tourist populations in the region. Comparisons between core samples gathered in each arm of the reservoir showed the highest PAH concentrations were found in the Tenmile Creek arm, the only arm that has an urban area on its shores, the town of Frisco. All PAH concentrations, except the pyrene concentration in one segment in the core near the dam and acenaphthylene concentrations in the tops of three cores taken in the reservoir arms, were below Canadian interim freshwater sediment-quality guidelines. Concentrations of arsenic, cadmium, chromium, copper, lead, and zinc in sediment samples from Dillon Reservoir exceeded the Canadian interim freshwater sediment-quality guidelines. Copper, iron, lithium, nickel, scandium, titanium, and vanadium concentrations in sediment samples decreased over time. Other elements, while no trend was evident, displayed concentration spikes in the down-core profiles, indicating loads entering the reservoir may have been larger than they were in 1997. The highest concentrations of copper, lead, manganese, mercury, and zinc were detected during the late 1970's and early 1980's. Elevated concentrations of trace elements in sediment in Dillon Reservoir likely resulted from historical mining in the drainage area. The downward trend identified for copper, iron, lithium, nickel, scandium, titanium, and vanadium may be due in part to restoration efforts in mining-affected areas and a decrease in active mining in the Dillon Reservoir watershed. Although many trace-element core-sediment concentrations exceeded the Canadian probable effect level for freshwater lakes, under current limnological conditions, the high core-sediment concentrations do not adversely affect water quality in Dillon Reservoir. The trace-element concentrations in the reservoir water column meet the standards established by the Colorado Water Quality Control Commission. Although many trace-element core-sediment concentrations exceeded the Canadian probable effect level for freshwater lakes, under current limnological conditions, the high core-sediment concentrations do not adversely affect water quality in Dillon Reservoir. The trace-element concentrations in the reservoir water column meet the standards established by the Colorado Water Quality Control Commission.

Human land uses enhance sediment denitrification and N2O production in Yangtze lakes primarily by influencing lake water quality

NASA Astrophysics Data System (ADS)

Liu, W.; Yao, L.; Wang, Z.; Xiong, Z.; Liu, G.

2015-10-01

Sediment denitrification in lakes alleviates the effects of eutrophication through the removal of nitrogen to the atmosphere as N2O and N2. However, N2O contributes notably to the greenhouse effect and global warming. Human land uses (e.g. agricultural and urban areas) strongly affect lake water quality and sediment characteristics, which, in turn, may regulate lake sediment denitrification and N2O production. In this study, we investigated sediment denitrification and N2O production and their relationships to within-lake variables and watershed land uses in 20 lakes from the Yangtze River basin in China. The results indicated that both lake water quality and sediment characteristics were significantly influenced by watershed land uses. N2O production rates increased with increasing background denitrification rates. Background denitrification and N2O production rates were positively related to water nitrogen concentrations but were not significantly correlated with sediment characteristics and plant community structure. A significant positive relationship was observed between background denitrification rate and percentage of human-dominated land uses (HDL) in watersheds. Structural equation modelling revealed that the indirect effects of HDL on sediment denitrification and N2O production in Yangtze lakes were mediated primarily through lake water quality. Our findings also suggest that although sediments in Yangtze lakes can remove large quantities of nitrogen through denitrification, they may also be an important source of N2O, especially in lakes with high nitrogen content.
Influence of hydrodynamic features in the transport and fate of hazard contaminants within touristic ports. Case study: Torre a Mare (Italy).

PubMed

Mali, Matilda; Malcangio, Daniela; Dell' Anna, Maria Michela; Damiani, Leonardo; Mastrorilli, Piero

2018-01-01

The environmental quality of Torre a Mare port (Italy) was assessed evaluating on one side, the chemical concentration of nine metals and metalloids within bottom sediments and on the other one, by exploring the impact of hydrodynamic conditions in contaminant's transport within the most polluted basins. The investigated port was selected as case study because it resulted much more polluted than it was expected based on the touristic port activities and related stressors loading on it. In order to determine the origin and fate of contaminants in the port basin, 2D numerical simulations were carried out by MIKE21 software. The hydrodynamic module (HD) based on a rectangular grid was initially used to characterize the flow field into two domains that cover the inner and offshore harbor area. Then, advection-dispersion (AD) and water quality (WQ) modules were coupled in order to simulate the simultaneous processes of transport and dispersion of hypothetical pollutant sources. The dissolved/suspended sediment particulates (DSS) were selected as contaminant tracers. The comparative analysis between simulation responses and the real metal contaminant distribution showed high agreement, suggesting that contaminants mainly come from outside port and tend to accumulate in the inner basin. In fact, hydrodynamic circulations cause inflowing streams toward the harbor entrance and the particular port morphology hampers the exit of fine sediments from the inner basin, enhancing thus the accumulation of sediment-associated contaminants within the port area. The study confirms that the quality of touristic port areas strongly depends on both pollution sources located within and outside the port domain and it is controlled mainly by the hydrodynamic-driven processes.
Management of palpable breast lumps. Consensus guideline for family physicians.

PubMed Central

Heisey, R.; Mahoney, L.; Watson, B.

1999-01-01

OBJECTIVE: To describe an approach to managing women who present with palpable breast lumps. QUALITY OF EVIDENCE: Databases were searched from 1990 to 1998 using the search terms breast lumps, breast diseases, and breast cysts. Bibliographies of the articles obtained were searched for further relevant titles. Most evidence on management of breast cysts was obtained from cohort studies. Evidence on family physicians' approach to managing breast lumps is based on a review of the 1998 Canadian consensus guidelines and a review of a 1998 consensus guideline by 12 University of Toronto surgical oncologists (U of T guidelines). MAIN MESSAGE: Family physicians can manage women presenting with breast lumps if they have skill in breast cyst aspiration. Most breast cysts can be cured in minutes, thus avoiding unwarranted anxiety and eliminating unnecessary additional investigations and referrals. Women presenting with solid lesions should be referred to a surgeon. CONCLUSIONS: Breast cyst aspiration is a simple technique family physicians can use to either cure breast lumps or define appropriate cases for referral. PMID:10463093
On The Ubiquity of Nonstationary Fluvial Suspended Sediment Dynamics: A Call for Long Term Monitoring and Dynamical Sediment Management Strategies

NASA Astrophysics Data System (ADS)

Gray, A. B.

2017-12-01

Watersheds with sufficient monitoring data have been predominantly found to display nonstationary suspended sediment dynamics, whereby the relationship between suspended sediment concentration and discharge changes over time. Despite the importance of suspended sediment as a keystone of geophysical and biochemical processes, and as a primary mediator of water quality, stationary behavior remains largely assumed in the context of these applications. This study presents an investigation into the time dependent behavior of small mountainous rivers draining the coastal ranges of the western continental US over interannual to interdecadal time scales. Of the 250+ small coastal (drainage area < 2x104 km2) watersheds in this region, only 23 have discharge associated suspended sediment concentration time series with base periods of 10 years or more. Event to interdecadal scale nonstationary suspended sediment dynamics were identified throughout these systems. Temporal patterns of non-stationary behavior provided some evidence for spatial coherence, which may be related to synoptic hydro-metrological patterns and regional scale changes in land use patterns. However, the results also highlight the complex, integrative nature of watershed scale fluvial suspended sediment dynamics. This underscores the need for in-depth, forensic approaches for initial processes identification, which require long term, high resolution monitoring efforts in order to adequately inform management. The societal implications of nonstationary sediment dynamics and their controls were further explored through the case of California, USA, where over 150 impairment listings have resulted in more than 50 sediment TMDLs, only 3 of which are flux based - none of which account for non-stationary behavior.
The Future of Education's Liberal Consensus.

ERIC Educational Resources Information Center

Finn, Chester E., Jr.

1980-01-01

The liberal consensus that has shaped national education policy is seen as succumbing to dubious ideas and undesirable practices. Issues discussed include: educational equity, equality and quality; measures of educational achievement; accountability; "need" and ability; statism and monoply, pluralism and diversity; federal role; and…
A reference consensus genetic map for molecular markers and economically important traits in faba bean (Vicia faba L.)

PubMed Central

2013-01-01

Background Faba bean (Vicia faba L.) is among the earliest domesticated crops from the Near East. Today this legume is a key protein feed and food worldwide and continues to serve an important role in culinary traditions throughout Middle East, Mediterranean region, China and Ethiopia. Adapted to a wide range of soil types, the main faba bean breeding objectives are to improve yield, resistance to biotic and abiotic stresses, seed quality and other agronomic traits. Genomic approaches aimed at enhancing faba bean breeding programs require high-quality genetic linkage maps to facilitate quantitative trait locus analysis and gene tagging for use in a marker-assisted selection. The objective of this study was to construct a reference consensus map in faba bean by joining the information from the most relevant maps reported so far in this crop. Results A combination of two approaches, increasing the number of anchor loci in diverse mapping populations and joining the corresponding genetic maps, was used to develop a reference consensus map in faba bean. The map was constructed from three main recombinant inbreed populations derived from four parental lines, incorporates 729 markers and is based on 69 common loci. It spans 4,602 cM with a range from 323 to 1041 loci in six main linkage groups or chromosomes, and an average marker density of one locus every 6 cM. Locus order is generally well maintained between the consensus map and the individual maps. Conclusion We have constructed a reliable and fairly dense consensus genetic linkage map that will serve as a basis for genomic approaches in faba bean research and breeding. The core map contains a larger number of markers than any previous individual map, covers existing gaps and achieves a wider coverage of the large faba bean genome as a whole. This tool can be used as a reference resource for studies in different genetic backgrounds, and provides a framework for transferring genetic information when using different marker technologies. Combined with syntenic approaches, the consensus map will increase marker density in selected genomic regions and will be useful for future faba bean molecular breeding applications. PMID:24377374
Best practices recommendations for chiropractic care for infants, children, and adolescents: results of a consensus process.

PubMed

Hawk, Cheryl; Schneider, Michael; Ferrance, Randy J; Hewitt, Elise; Van Loon, Meghan; Tanis, Lora

2009-10-01

There has been much discussion about the role of chiropractic care in the evaluation, management, and treatment of pediatric patients. To date, no specific guidelines have been adopted that address this issue from an evidence based perspective. Previous systematic reviews of the chiropractic literature concluded that there is not yet a substantial body of high quality evidence from which to develop standard clinical guidelines. The purpose of this project was to develop recommendations on "best practices" related primarily to the evaluation and spinal manipulation aspects of pediatric chiropractic care; nonmanipulative therapies were not addressed in detail. Based on both clinical experience and the results of an extensive literature search, a set of seed documents was compiled to inform development of the seed statements. These were circulated electronically to the Delphi panel until consensus was reached, which was considered to be present when there was agreement by at least 80% of the panelists. A multidisciplinary panel of 37 was made up primarily of doctors of chiropractic with a mean of 18 years in practice, many with post-graduate training in pediatrics. The panel represented 5 countries and 17 states; there were members of the American Chiropractic Association, the International Chiropractors Association, and the International Chiropractic Pediatric Association. The panel reached a minimum of 80% consensus on the 51 seed statements after 4 rounds. A broad-based panel of experienced chiropractors was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to clinical evaluation, management, and manual treatment for pediatric patients, based on both scientific evidence and clinical experience.
Consensus on Quality Indicators of Postgraduate Medical E-Learning: Delphi Study.

PubMed

de Leeuw, Robert Adrianus; Walsh, Kieran; Westerman, Michiel; Scheele, Fedde

2018-04-26

The progressive use of e-learning in postgraduate medical education calls for useful quality indicators. Many evaluation tools exist. However, these are diversely used and their empirical foundation is often lacking. We aimed to identify an empirically founded set of quality indicators to set the bar for “good enough” e-learning. We performed a Delphi procedure with a group of 13 international education experts and 10 experienced users of e-learning. The questionnaire started with 57 items. These items were the result of a previous literature review and focus group study performed with experts and users. Consensus was met when a rate of agreement of more than two-thirds was achieved. In the first round, the participants accepted 37 items of the 57 as important, reached no consensus on 20, and added 15 new items. In the second round, we added the comments from the first round to the items on which there was no consensus and added the 15 new items. After this round, a total of 72 items were addressed and, of these, 37 items were accepted and 34 were rejected due to lack of consensus. This study produced a list of 37 items that can form the basis of an evaluation tool to evaluate postgraduate medical e-learning. This is, to our knowledge, the first time that quality indicators for postgraduate medical e-learning have been defined and validated. The next step is to create and validate an e-learning evaluation tool from these items. ©Robert Adrianus de Leeuw, Kieran Walsh, Michiel Westerman, Fedde Scheele. Originally published in JMIR Medical Education (http://mededu.jmir.org), 26.04.2018.
Developing a set of consensus indicators to support maternity service quality improvement: using Core Outcome Set methodology including a Delphi process.

PubMed

Bunch, K J; Allin, B; Jolly, M; Hardie, T; Knight, M

2018-05-16

To develop a core metric set to monitor the quality of maternity care. Delphi process followed by a face-to-face consensus meeting. English maternity units. Three representative expert panels: service designers, providers and users. Maternity care metrics judged important by participants. Participants were asked to complete a two-phase Delphi process, scoring metrics from existing local maternity dashboards. A consensus meeting discussed the results and re-scored the metrics. In all, 125 distinct metrics across six domains were identified from existing dashboards. Following the consensus meeting, 14 metrics met the inclusion criteria for the final core set: smoking rate at booking; rate of birth without intervention; caesarean section delivery rate in Robson group 1 women; caesarean section delivery rate in Robson group 2 women; caesarean section delivery rate in Robson group 5 women; third- and fourth-degree tear rate among women delivering vaginally; rate of postpartum haemorrhage of ≥1500 ml; rate of successful vaginal birth after a single previous caesarean section; smoking rate at delivery; proportion of babies born at term with an Apgar score <7 at 5 minutes; proportion of babies born at term admitted to the neonatal intensive care unit; proportion of babies readmitted to hospital at <30 days of age; breastfeeding initiation rate; and breastfeeding rate at 6-8 weeks. Core outcome set methodology can be used to incorporate the views of key stakeholders in developing a core metric set to monitor the quality of care in maternity units, thus enabling improvement. Achieving consensus on core metrics for monitoring the quality of maternity care. © 2018 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd on behalf of Royal College of Obstetricians and Gynaecologists.
RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 1: Evidence analysis and consensus process: collaborative path toward small animal CPR guidelines.

PubMed

Boller, Manuel; Fletcher, Daniel J

2012-06-01

To describe the methodology used by the Reassessment Campaign on Veterinary Resuscitation (RECOVER) to evaluate the scientific evidence relevant to small animal CPR and to compose consensus-based clinical CPR guidelines for dogs and cats. This report is part of a series of 7 articles on the RECOVER evidence and knowledge gap analysis and consensus-based small animal CPR guidelines. It describes the organizational structure of RECOVER, the evaluation process employed, consisting of standardized literature searches, the analysis of relevant articles according to study design, species and predefined quality markers, and the drafting of clinical CPR guidelines based on these data. Therefore, this article serves as the methodology section for the subsequent 6 RECOVER articles. Academia, referral practice. RECOVER is a collaborative initiative that systematically evaluated the evidence on 74 topics relevant to small animal CPR and generated 101 clinical CPR guidelines from this analysis. All primary contributors were veterinary specialists, approximately evenly split between academic institutions and private referral practices. The evidence evaluation and guideline drafting processes were conducted according to a predefined sequence of steps designed to reduce bias and increase the repeatability of the findings, including multiple levels of review, culminating in a consensus process. Many knowledge gaps were identified that will allow prioritization of research efforts in veterinary CPR. Collaborative systematic evidence review is organizationally challenging but feasible and effective in veterinary medicine. More experience is needed to refine the process. © Veterinary Emergency and Critical Care Society 2012.
Organic Compounds, Trace Elements, Suspended Sediment, and Field Characteristics at the Heads-of-Tide of the Raritan, Passaic, Hackensack, Rahway, and Elizabeth Rivers, New Jersey, 2000-03

USGS Publications Warehouse

Bonin, Jennifer L.; Wilson, Timothy P.

2006-01-01

Concentrations of suspended sediment, particulate and dissolved organic carbon, trace elements, and organic compounds were measured in samples from the heads-of-tide of the five tributaries to the Newark and Raritan Bays during June 2000 to June 2003. The samples were collected as part of the New Jersey Department of Environmental Protection Toxics Reduction Workplan/Contaminant Assessment Reduction Program. Samples of streamwater were collected at water-quality sampling stations constructed near U.S. Geological Survey gaging stations on the Raritan, Passaic, Hackensack, Rahway, and Elizabeth Rivers. Sampling was conducted during base-flow conditions and storms. Constituent concentrations were measured to determine the water quality and to calculate the load of sediment and contaminants contributed to the bays from upstream sources. Water samples were analyzed for suspended sediment, dissolved organic carbon, particulate organic carbon, and specific conductance. Samples of suspended sediment and water were analyzed for 98 distinct polychlorinated biphenyl congeners, 7 dioxins, 10 furans, 27 pesticides, 26 polycyclic aromatic hydrocarbons, and the trace elements cadmium, lead, mercury, and methyl-mercury. Measurements of ultra-low concentrations of organic compounds in sediment and water were obtained by collecting 1 to 3 grams of suspended sediment on glass fiber filters and by passing at least 20 liters of filtered water through XAD-2 resin. The extracted sediment and XAD-2 resin were analyzed for organic compounds by high- and low-resolution gas chromatography mass-spectrometry that uses isotope dilution procedures. Trace elements in filtered and unfiltered samples were analyzed for cadmium, lead, mercury, and methyl-mercury by inductively coupled charged plasma and mass-spectrometry. All constituent concentrations are raw data. Interpretation of the data will be completed in the second phase of the study.
Suspending sediment transport, sedimentation, and resuspension in Lake Houston, Texas: Implications for water quality

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

Matty, J.M.; Anderson, J.B.; Dunbar, R.B.

1987-01-01

Lake Houston is a man-made reservoir located northeast of Houston, Texas. The purpose of this investigation was to document suspended sediment transport, sedimentation, and resuspension in the lake with a view towards estimating the influence of sedimentation on water quality. Sediment traps were placed in strategic locations in the lake to collect suspended sediments. Samples were analyzed for bulk density, grain size, organic carbon, and a number of trace elements. These data were analyzed along with meteorological data to examine those factors which regulate suspended sediment input and dispersal, and the role of suspended sediments in controlling water quality withinmore » the lake. Sediment input to the lake depends primarily on the intensity of rainfall in the watershed. Sediment movement within the lake is strongly influenced by wave activity, which resuspends sediments from shallow areas, and by wind-driven circulation. The increased residence time of suspended sediments due to resuspension allows greater decomposition of organic matter and the release of several trace elements from sediments to the water column. Virtually all samples from sediment traps suspended between 1 and 5 m above the lake bottom contain medium to coarse silt, and even some very fine sand-sized material. This implies that circulation in Lake Houston is periodically intense enough to transport this size material in suspension. During winter, northerly winds with sustained velocities of greater than 5 m/sec provide the most suitable condition for rapid (< 1 d) transport of suspended sediment down the length of the lake. Fluctuations in current velocities and the subsequent suspension/deposition of particles may explain variations in the abundance of coliform bacteria in Lake Houston.« less
Pay for performance in thoracic surgery.

PubMed

Varela, Gonzalo

2007-08-01

In the context of improving the quality of the medical practice, PFP programs have been developed to reward best medical practice. Early studies showed little gain in quality after implementing PFP family practice programs and some unintended consequences, like excluding high-risk patients from medical services when good outcomes were linked to payment. To date, no PFP programs have been implemented in surgical practice, but it is expected that value-based purchasing philosophy will be extended to surgical specialties in the near future. Quality initiatives in surgery can be based on outcome or process measures. Outcomes-focused quality approaches rely on accurate information obtained from multiinstitutional clinical databases for calculation of risk-adjusted models. Primary outcomes such surgical mortality are uncommon in modern thoracic surgery and outcome measures should rely on more prevalent intermediate outcomes such as specific postoperative morbidities or emergency readmission. Process-based quality approaches need to be based on scientific evidence linking process to outcomes. It is our responsibility to develop practice guidelines or international practice consensus to facilitate the parameters to be evaluated in the near future.
Developing Water Quality Critera for Suspended and Bedded Sediments-Illustrative Example Application.

EPA Science Inventory

The U. S. EPA's Framework for Developing Suspended and Bedded Sediments (SABS) Water Quality Criteria (SABS Framework) provides a consistent process, technical methods, and supporting materials to enable resource managers to develop ambient water quality criteria for one of the m...
Reconciling patient and provider priorities for improving the care of critically ill patients: A consensus method and qualitative analysis of decision making.

PubMed

McKenzie, Emily; Potestio, Melissa L; Boyd, Jamie M; Niven, Daniel J; Brundin-Mather, Rebecca; Bagshaw, Sean M; Stelfox, Henry T

2017-12-01

Providers have traditionally established priorities for quality improvement; however, patients and their family members have recently become involved in priority setting. Little is known about how to reconcile priorities of different stakeholder groups into a single prioritized list that is actionable for organizations. To describe the decision-making process for establishing consensus used by a diverse panel of stakeholders to reconcile two sets of quality improvement priorities (provider/decision maker priorities n=9; patient/family priorities n=19) into a single prioritized list. We employed a modified Delphi process with a diverse group of panellists to reconcile priorities for improving care of critically ill patients in the intensive care unit (ICU). Proceedings were audio-recorded, transcribed and analysed using qualitative content analysis to explore the decision-making process for establishing consensus. Nine panellists including three providers, three decision makers and three family members of previously critically ill patients. Panellists rated and revised 28 priorities over three rounds of review and reached consensus on the "Top 5" priorities for quality improvement: transition of patient care from ICU to hospital ward; family presence and effective communication; delirium screening and management; early mobilization; and transition of patient care between ICU providers. Four themes were identified as important for establishing consensus: storytelling (sharing personal experiences), amalgamating priorities (negotiating priority scope), considering evaluation criteria and having a priority champion. Our study demonstrates the feasibility of incorporating families of patients into a multistakeholder prioritization exercise. The approach described can be used to guide consensus building and reconcile priorities of diverse stakeholder groups. © 2017 The Authors Health Expectations Published by John Wiley & Sons Ltd.
Pollution Assessment of the Biobío River (Chile): Prioritization of Substances of Concern Under an Ecotoxicological Approach.

PubMed

Alonso, Álvaro; Figueroa, Ricardo; Castro-Díez, Pilar

2017-05-01

The water demand for human activities is rapidly increasing in developing countries. Under these circumstances, preserving aquatic ecosystems should be a priority which requires the development of quality criteria. In this study we perform a preliminary prioritization of the risky substances based on reported ecotoxicological studies and guidelines for the Biobío watershed (Central Chile). Our specific aims are (1) reviewing the scientific information on the aquatic pollution of this watershed, (2) determining the presence and concentration of potential toxic substances in water, sediment and effluents, (3) searching for quality criteria developed by other countries for the selected substances and (4) prioritizing the most risky substances by means of deterministic ecotoxicological risk assessment. We found that paper and mill industries were the main sources of point pollution, while forestry and agriculture were mostly responsible for non-point pollution. The most risky organic substances in the water column were pentachlorophenol and heptachlor, while the most relevant inorganic ones were aluminum, copper, unionized ammonia and mercury. The most risky organic and inorganic substances in the sediment were phenanthrene and mercury, respectively. Our review highlights that an important effort has been done to monitor pollution in the Biobío watershed. However there are emerging pollutants and banned compounds-especially in sediments-that require to be monitored. We suggest that site-specific water quality criteria and sediment quality criteria should be developed for the Biobío watershed, considering the toxicity of mixtures of chemicals to endemic species, and the high natural background level of aluminum in the Biobío.
Water-quality reconnaissance of the Middle and North Branch Park River watersheds, northeastern North Dakota

USGS Publications Warehouse

Ackerman, D.J.

1980-01-01

In order to design a network to monitor the effects of works of improvement in the Middle and North Branch Park River watersheds, and to determine the major factors controlling water-quality conditions in the watersheds, an evaluation of sediment transport, water chemistry, and biology was conducted during the spring and early summer of 1978.Major factors controlling water quality are geology, stream gradient, ground-water seepage, and the duration of streamflow.Sediment loads originate on the Pembina Escarpment. The coarse silt and sand parts of these loads are deposited on the Lake Agassiz Plain. Transport of sediment is lowered and flow duration is increased on the Middle Branch Park River due to the presence of small dams. Observations suggest that bedload transport is a significant process, particularly in the upstream reaches. However, no quantitative bedload data were collected.During periods of low flow, analyses of water from the rivers in both watersheds show downstream increases in sodium and chloride due to ground-water seepage or the unregulated flow of wells. Diversity of benthic invertebrates indicates water-quality conditions are better on the Middle Branch Park River than on the North Branch, and are better at upstream sites than at downstream sites. A program through which the Soil Conservation Service can monitor the effects of present and future works of improvement on the watersheds was designed. The monitoring program consists of intensive sampling at four locations for sediment and water chemistry during spring and early summer runoff events and by profiles of water chemistry during summer base runoff.
The Assessment of Mangrove Sediment Quality in Mengkabong Lagoon: An Index Analysis Approach

ERIC Educational Resources Information Center

Praveena, Sarva M.; Radojevic, Miroslav; Abdullah, Mohd H.

2007-01-01

The objectives of this study are to use different types of indexes to assess the current pollution status in Mengkabong lagoon and select the best index to describe the Mengkabong sediment quality. The indexes used in this study were Enrichment Factor (EF), Geo-accumulation Index (Igeo), Pollution Load Index (PLI) and Marine Sediment Pollution…
Use of systemic corticosteroids for atopic dermatitis: International Eczema Council consensus statement.

PubMed

Drucker, A M; Eyerich, K; de Bruin-Weller, M S; Thyssen, J P; Spuls, P I; Irvine, A D; Girolomoni, G; Dhar, S; Flohr, C; Murrell, D F; Paller, A S; Guttman-Yassky, E

2018-03-01

Guidelines discourage the use of systemic corticosteroids for atopic dermatitis (AD), but their use remains widespread. To reach consensus among an international group of AD experts on the use of systemic corticosteroids for AD. A survey consisting of statements accompanied by visual analogue scales ranging from 'strongly disagree' to 'neutral' to 'strongly agree' was distributed to the International Eczema Council (IEC). Consensus was reached in agreement on a statement if < 30% of respondents marked to the left of 'neutral' towards 'strongly disagree'. Sixty of 77 (78%) IEC members participated. Consensus was reached on 12 statements, including that systemic corticosteroids should generally be avoided but can be used rarely for severe AD under certain circumstances, including a lack of other treatment options, as a bridge to other systemic therapies or phototherapy, during acute flares in need of immediate relief, in anticipation of a major life event or in the most severe cases. If used, treatment should be limited to the short term. Most respondents agreed that systemic corticosteroids should never be used in children, but consensus was not reached on that statement. The conclusions of our expert group are limited by a dearth of high-quality published evidence. If more stringent consensus criteria were applied (e.g. requiring < 20% of respondents marking towards 'strongly disagree'), consensus would have been reached on fewer statements. Based on expert opinion from the IEC, routine use of systemic corticosteroids for AD is generally discouraged and should be reserved for special circumstances. © 2017 The Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.
Design of a consensus-derived synoptic operative report for lung cancer surgery.

PubMed

Schneider, Laura; Shargall, Yaron; Schieman, Colin; Seely, Andrew J; Srinathan, Sadeesh; Malthaner, Richard A; Pierre, Andrew F; Safieddine, Najib; Vaillancourt, Rosaire; Plourde, Madelaine; Bond, James; Johnson, Scott; Smith, Shona E; Finley, Christian J

2014-04-01

For lung cancer surgery, a narrative operative report is the standard reporting procedure, whereas a synoptic-style report is increasingly utilized by healthcare professionals in various specialties with great success. A synoptic operative report more succinctly and accurately captures vital information and is rapidly generated with good intraobserver reliability. The objective of this study was to systematically develop a synoptic operative report for lung cancer surgery following a modified Delphi consensus model with the support of the Canadian thoracic surgery community. Using online survey software, thoracic surgeons and related physicians were asked to suggest and rate data elements for a synoptic report following the modified Delphi consensus model. The consensus exercise-derived template was forwarded to a small working group, who further refined the definition and priority designation of elements until the working group had reached a satisfactory consensus. In all, 139 physicians were invited to participate in the consensus exercise, with 36.7%, 44.6%, and 19.5% response rates, respectively, in the three rounds. Eighty-nine elements were agreed upon at the conclusion of the exercise, but 141 elements were forwarded to the working group. The working group agreed upon a final data set of 180 independently defined data elements, with 72 mandatory and 108 optional elements for implementation in the final report. This study demonstrates the process involved in developing a multidisciplinary, consensus-based synoptic lung cancer operative report. This novel report style is a quality improvement initiative to improve the capture, dissemination, readability, and potential utility of critical surgical information. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Using Delphi methodology in the development of a new patient-reported outcome measure for stroke survivors with visual impairment.

PubMed

Hepworth, Lauren R; Rowe, Fiona J

2018-02-01

The aim of this study was to ascertain what items stroke survivors and stroke care professionals think are important when assessing quality of life for stroke survivors with visual impairment for inclusion in the new patient-reported outcome measure. A reactive Delphi process was used in a three-round electronic-based survey. The items presented consisted of 62 items originally sourced from a systematic review of existing vision-related quality of life instruments and stroke survivor interviews, reduced and refined following a ranking exercise and pilot with stroke survivors with visual impairment. Stakeholders (stroke survivors/clinicians) were invited to take part in the process. A consensus definition of ≥70% was decided a priori. Participants were asked to rank importance on a 9-point scale and categorize the items by relevance to types of visual impairment following stroke or not relevant. Analysis of consensus, stability, and agreement was conducted. In total, 113 participants registered for the Delphi survey of which 47 (41.6%) completed all three rounds. Response rates to the three rounds were 78/113 (69.0%), 61/76 (81.3%), and 49/64 (76.6%), respectively. The participants included orthoptists (45.4%), occupational therapists (44.3%), and stroke survivors (10.3%). Consensus was reached on 56.5% of items in the three-round process, all for inclusion. A consensus was reached for 83.8% in the categorization of items. The majority (82.6%) of consensus were for relevant to 'all visual impairment following stroke'; two items were deemed 'not relevant'. The lack of item reduction achieved by this Delphi process highlights the need for additional methods of item reduction in the development of a new PROM for visual impairment following stroke. These results will be considered alongside Rasch analysis to achieve further item reduction. However, the Delphi survey remains important as it provides clinical and patient insight into each item rather than purely relying on the psychometric data.
Evaluating the Effect of Margin Consensus Guideline Publication on Operative Patterns and Financial Impact of Breast Cancer Operation.

PubMed

Bhutiani, Neal; Mercer, Megan K; Bachman, Katelynn C; Heidrich, Samantha R; Martin, Robert C G; Scoggins, Charles R; McMasters, Kelly M; Ajkay, Nicolás

2018-02-09

This study sought to evaluate re-excision rates, patient satisfaction with their breasts, and healthcare costs before and after publication of 2014 Society of Surgical Oncology/American Society of Radiation Oncology consensus guideline on margins for breast conserving operation with whole-breast irradiation for stage I and II breast cancer at an academic institution. Patients with stage I and II invasive carcinomas who underwent partial mastectomy were divided into 2 groups based on whether they were treated before (PRE) or after (POST) guideline publication in March 2014. Groups were compared with respect to re-excision rates, conversion to mastectomy, specimen volumes, mean cost per patient of surgical care, and prospectively collected patient post-procedure quality of life. A total of 237 patients who underwent partial mastectomy were examined (n = 126 in the PRE group and n = 111 in the POST group). Patients in the POST group were less likely to require re-excision (9% POST vs 37% PRE; p < 0.001) and were less likely to undergo conversion to mastectomy (5% POST vs 14% PRE; p = 0.02). After consensus guideline publication, mean operative cost per patient decreased ($4,874 POST vs $5,772 PRE; p < 0.001), and patients had improved breast quality of life scores (77 out of 100 POST vs 61 out of 100 PRE; p = 0.03). On multivariable analysis, publication of the consensus statement was an independent predictor of decreased re-excision rates (odds ratio 0.17; 95% CI 0.08 to 0.38; p < 0.001) and operative cost per patient (odds ratio 0.14; 95% CI 0.78 to 0.30; p < 0.001). Widespread implementation of the consensus guideline on margins for breast conserving operation will likely lead to the intended improvements in operative and financial outcomes, as well as patient satisfaction with breast conserving operation. Copyright © 2018 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
Consensus statement: Virus taxonomy in the age of metagenomics.

PubMed

Simmonds, Peter; Adams, Mike J; Benkő, Mária; Breitbart, Mya; Brister, J Rodney; Carstens, Eric B; Davison, Andrew J; Delwart, Eric; Gorbalenya, Alexander E; Harrach, Balázs; Hull, Roger; King, Andrew M Q; Koonin, Eugene V; Krupovic, Mart; Kuhn, Jens H; Lefkowitz, Elliot J; Nibert, Max L; Orton, Richard; Roossinck, Marilyn J; Sabanadzovic, Sead; Sullivan, Matthew B; Suttle, Curtis A; Tesh, Robert B; van der Vlugt, René A; Varsani, Arvind; Zerbini, F Murilo

2017-03-01

The number and diversity of viral sequences that are identified in metagenomic data far exceeds that of experimentally characterized virus isolates. In a recent workshop, a panel of experts discussed the proposal that, with appropriate quality control, viruses that are known only from metagenomic data can, and should be, incorporated into the official classification scheme of the International Committee on Taxonomy of Viruses (ICTV). Although a taxonomy that is based on metagenomic sequence data alone represents a substantial departure from the traditional reliance on phenotypic properties, the development of a robust framework for sequence-based virus taxonomy is indispensable for the comprehensive characterization of the global virome. In this Consensus Statement article, we consider the rationale for why metagenomic sequence data should, and how it can, be incorporated into the ICTV taxonomy, and present proposals that have been endorsed by the Executive Committee of the ICTV.
Assessing pollution in a Mediterranean lagoon using acid volatile sulfides and estimations of simultaneously extracted metals.

PubMed

Zaaboub, Noureddine; Helali, Mohamed Amine; Martins, Maria Virgínia Alves; Ennouri, Rym; Béjaoui, Béchir; da Silva, Eduardo Ferreira; El Bour, Monia; Aleya, Lotfi

2016-11-01

Bizerte Lagoon is a southern Mediterranean semi-enclosed lagoon with a maximum depth of 12 m. After assessing sediment quality, the authors report on the physicochemical characteristics of the lagoon's surface sediment using SEM (simultaneously extracted metals) and AVS (acid volatile sulfides) as proxies. Biogeochemical tools are used to investigate the environmental disturbance at the water-sediment interface by means of SEM and AVS to seek conclusions concerning the study area's pollution status. Results confirm accumulation of trace elements in sediment. The use of the SEM-AVS model with organic matter in sediment (ƒOC) confirms possible bioavailability of accumulated trace elements, especially Zn, in the southern part of the lagoon, with organic matter playing an important role in SEM excess correction to affirm a nontoxic total metal sediment state. Individual trace element toxicity is dependent on the bioavailable fraction of SEM Metal on sediment, as is the influence of lagoon inflow from southern water sources on element bioavailability. Appropriate management strategies are highly recommended to mitigate any potential harmful effects on health from this heavy-metal-based pollution.
Developments in Surge Research Priorities: A Systematic Review of the Literature Following the Academic Emergency Medicine Consensus Conference, 2007-2015.

PubMed

Morton, Melinda J; DeAugustinis, Matthew L; Velasquez, Christina A; Singh, Sonal; Kelen, Gabor D

2015-11-01

In 2006, Academic Emergency Medicine (AEM) published a special issue summarizing the proceedings of the AEM consensus conference on the "Science of Surge." One major goal of the conference was to establish research priorities in the field of "disasters" surge. For this review, we wished to determine the progress toward the conference's identified research priorities: 1) defining criteria and methods for allocation of scarce resources, 2) identifying effective triage protocols, 3) determining decision-makers and means to evaluate response efficacy, 4) developing communication and information sharing strategies, and 5) identifying methods for evaluating workforce needs. Specific criteria were developed in conjunction with library search experts. PubMed, Embase, Web of Science, Scopus, and the Cochrane Library databases were queried for peer-reviewed articles from 2007 to 2015 addressing scientific advances related to the above five research priorities identified by AEM consensus conference. Abstracts and foreign language articles were excluded. Only articles with quantitative data on predefined outcomes were included; consensus panel recommendations on the above priorities were also included for the purposes of this review. Included study designs were randomized controlled trials, prospective, retrospective, qualitative (consensus panel), observational, cohort, case-control, or controlled before-and-after studies. Quality assessment was performed using a standardized tool for quantitative studies. Of the 2,484 unique articles identified by the search strategy, 313 articles appeared to be related to disaster surge. Following detailed text review, 50 articles with quantitative data and 11 concept papers (consensus conference recommendations) addressed at least one AEM consensus conference surge research priority. Outcomes included validation of the benchmark of 500 beds/million of population for disaster surge capacity, effectiveness of simulation- and Internet-based tools for forecasting of hospital and regional demand during disasters, effectiveness of reverse triage approaches, development of new disaster surge metrics, validation of mass critical care approaches (altered standards of care), use of telemedicine, and predictions of optimal hospital staffing levels for disaster surge events. Simulation tools appeared to provide some of the highest quality research. Disaster simulation studies have arguably revolutionized the study of disaster surge in the intervening years since the 2006 AEM Science of Surge conference, helping to validate some previously known disaster surge benchmarks and to generate new surge metrics. Use of reverse triage approaches and altered standards of care, as well as Internet-based tools such as Google Flu Trends, have also proven effective. However, there remains significant work to be done toward standardizing research methodologies and outcomes, as well as validating disaster surge metrics. © 2015 by the Society for Academic Emergency Medicine.
A decision-making framework for sediment contamination.

PubMed

Chapman, Peter M; Anderson, Janette

2005-07-01

A decision-making framework for determining whether or not contaminated sediments are polluted is described. This framework is intended to be sufficiently prescriptive to standardize the decision-making process but without using "cook book" assessments. It emphasizes 4 guidance "rules": (1) sediment chemistry data are only to be used alone for remediation decisions when the costs of further investigation outweigh the costs of remediation and there is agreement among all stakeholders to act; (2) remediation decisions are based primarily on biology; (3) lines of evidence (LOE), such as laboratory toxicity tests and models that contradict the results of properly conducted field surveys, are assumed incorrect; and (4) if the impacts of a remedial alternative will cause more environmental harm than good, then it should not be implemented. Sediments with contaminant concentrations below sediment quality guidelines (SQGs) that predict toxicity toless than 5% of sediment-dwelling infauna and that contain no quantifiable concentrations of substances capable of biomagnifying are excluded from further consideration, as are sediments that do not meet these criteria but have contaminant concentrations equal to or below reference concentrations. Biomagnification potential is initially addressed by conservative (worst case) modeling based on benthos and sediments and, subsequently, by additional food chain data and more realistic assumptions. Toxicity (acute and chronic) and alterations to resident communities are addressed by, respectively, laboratory studies and field observations. The integrative decision point for sediments is a weight of evidence (WOE) matrix combining up to 4 main LOE: chemistry, toxicity, community alteration, and biomagnification potential. Of 16 possible WOE scenarios, 6 result in definite decisions, and 10 require additional assessment. Typically, this framework will be applied to surficial sediments. The possibility that deeper sediments may be uncovered as a result of natural or other processes must also be investigated and may require similar assessment.
Assessment of the Effectiveness of Environmental Dredging in South Lake, China

NASA Astrophysics Data System (ADS)

Wang, Xiao Yu; Feng, Jiang

2007-08-01

Environmental dredging is a primary remedial option for removal of the contaminated material from aquatic environment. Of primary concern in environmental dredging is the effectiveness of the intended sediment removal. A 5-year field monitoring study was conducted to assess the effectiveness of the environmental dredging in South Lake, China. The concentrations of total nitrogen (TN), total phosphors, and heavy metals (Zn, Pb, Cd, Cu, Cr, Ni, Hg, and As) before and after dredging in sediment were determined and compared. Multiple ecological risk indices were employed to assess the contamination of heavy metals before and after dredging. Our results showed that the total phosphorus levels reduced 42% after dredging. Similar changes for Hg, Zn, As Pb, Cd, Cu, Cr, and Ni were observed, with reduction percentages of 97.0, 93.1, 82.6, 63.9, 52.7, 50.1, 32.0, and 23.6, respectively, and the quality of sediment improved based on the criterion of Sediment Quality Guidelines by USEPA and contamination degree values (Cd) decreased significantly (paired t-test, p < 0.05). Unexpectedly, the TN increased 49% after dredging compared to before dredging. Findings from the study demonstrated that the environmental dredging was an effective mechanism for removal of total phosphorus and heavy metals from South Lake. Nevertheless, the dredging was ineffective to remove total nitrogen from sediment. We conclude that the reason for the observed increase in TN after dredging was likely ammonia release from the sediment impairing the dredging effectiveness.
Environmental contamination associated with a marine landfill ('seafill') beside a coral reef.

PubMed

Jones, Ross

2010-11-01

In Bermuda, bulk waste such as scrap metal, cars, etc., and blocks of cement-stabilized incinerator ash (produced from burning garbage) are disposed of in a foreshore reclamation site, i.e., a seafill. Chemical analyses show that seawater leaching out of the dump regularly exceeds water quality guidelines for Zn and Cu, and that the surrounding sediments are enriched in multiple contaminant classes (metals, polycyclic aromatic hydrocarbons, petroleum hydrocarbons, dioxins and furans, polychlorinated biphenyls and an organochlorine pesticide), i.e., there is a halo of contamination. When compared against biological effects-based sediment quality guidelines (SQGs), numerous sediment samples exceeded the low-range values (where biological effects become possible), and for Hg and Zn exceeded the mid-range value (where they become probable). A few metres away from the edge of the 25 acre dump lies a small coral patch reef, proposed here as most contaminated coral reef in the world. Copyright © 2010 Elsevier Ltd. All rights reserved.
Research gaps related to forest management and stream sediment in the United States.

PubMed

Anderson, Christopher J; Lockaby, B Graeme

2011-02-01

Water quality from forested landscapes tends to be very high but can deteriorate during and after silvicultural activities. Practices such as forest harvesting, site preparation, road construction/use, and stream crossings have been shown to contribute sediment, nutrients, and other pollutants to adjacent streams. Although advances in forest management accompanied with Best Management Practices (BMPs) have been very effective at reducing water quality impacts from forest operations, projected increases in demand for forest products may result in unintended environmental degradation. Through a review of the pertinent literature, we identified several research gaps related to water yield, aquatic habitat, sediment source and delivery, and BMP effectiveness that should be addressed for streams in the United States to better understand and address the environmental ramifications of current and future levels of timber production. We explored the current understanding of these topics based on relevant literature and the possible implications of increased demand for forest products in the United States.
Heavy metal accumulations in water, sediment, and some cyprinid species in Porsuk Stream (Turkey).

PubMed

Köse, Esengül; Çiçek, Arzu; Uysal, Kazim; Tokatlı, Cem; Emiroğlu, Özgür; Arslan, Naime

2015-03-01

Porsuk Stream is one of Turkey's most important river systems and also one of the most important branches of the Sakarya River. It provides drinking and utility water for two Turkish cities (Kütahya and Eskişehir) with a total population of one million. In this study, water, sediment, and some tissues (liver, gill, and muscle) of five cyprinid fish species were collected seasonally (2010-2011) from eight stations on the Porsuk Stream, and the zinc (Zn), copper (Cu), chromium (Cr), manganese (Mn), nickel (Ni), lead (Pb), and arsenic (As) levels of collected samples were determined. The data observed were evaluated with national and international quality criteria. Based on the data observed, it was determined that the Porsuk Stream is affected by significant inorganic pollution from the Kütahya and Eskişehir Provinces. It was also determined that the Porsuk Dam Lake has an important cleaning capacity and that the water and sediment quality of the Porsuk Stream improves after the output of the dam lake.
A land-use and water-quality history of White Rock Lake Reservoir, Dallas, Texas, based on paleolimnological analyses

USGS Publications Warehouse

Platt, Bradbury J.; Van Metre, P.C.

1997-01-01

White Rock Lake reservoir in Dallas, Texas contains a 150-cm sediment record of silty clay that documents land-use changes since its construction in 1912. Pollen analysis corroborates historical evidence that between 1912 and 1950 the watershed was primarily agricultural. Land disturbance by plowing coupled with strong and variable spring precipitation caused large amounts of sediment to enter the lake during this period. Diatoms were not preserved at this time probably because of low productivity compared to diatom dissolution by warm, alkaline water prior to burial in the sediments. After 1956, the watershed became progressively urbanized. Erosion decreased, land stabilized, and pollen of riparian trees increased as the lake water became somewhat less turbid. By 1986 the sediment record indicates that diatom productivity had increased beyond rates of diatom destruction. Neither increased nutrients nor reduced pesticides can account for increased diatom productivity, but grain size studies imply that before 1986 diatoms were light limited by high levels of turbidity. This study documents how reservoirs may relate to land-use practices and how watershed management could extend reservoir life and improve water quality.
Regulation by consensus: The expanded use of regulatory negotiation under the Clean Air Act

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

Claiborne, M.L.

This article discusses the consensus building approach, which stems from the more formal regulatory negotiation process under the Negotiated Rulemaking Act of 1990, for improving air quality. The article uses as examples the joint plan to improve air quality and visibility in the Grand Canyon and 15 other national parks and wilderness areas in the SW USA, and the Southern Appalachian Mountain initiative tackling more complex issues including visibility, ground ozone, acid deposition, etc.
DOE Office of Scientific and Technical Information (OSTI.GOV)

Simbeck, D.J.

Toxicity testing of split whole sediment samples using juvenile freshwater mussels (Anodonta imbecillis) was conducted by TVA to provide a quality assurance mechanism for test organism quality and overall performance of the test being conducted by CR-ERP personnel as part of the CR-ERP biomonitoring study of Clinch River sediments. Testing of sediment samples collected September 8 from Poplar Creek Miles 6.0 and 1.0 was conducted September 13-22, 1994. Results from this test showed no toxicity (survival effects) to fresh-water mussels during a 9-day exposure to the sediments.
Expert consensus on best evaluative practices in community-based rehabilitation.

PubMed

Grandisson, Marie; Thibeault, Rachel; Hébert, Michèle; Cameron, Debra

2016-01-01

The objective of this study was to generate expert consensus on best evaluative practices for community-based rehabilitation (CBR). This consensus includes key features of the evaluation process and methods, and discussion of whether a shared framework should be used to report findings and, if so, which framework should play this role. A Delphi study with two predefined rounds was conducted. Experts in CBR from a wide range of geographical areas and disciplinary backgrounds were recruited to complete the questionnaires. Both quantitative and qualitative analyses were performed to generate the recommendations for best practices in CBR evaluation. A panel of 42 experts reached consensus on 13 recommendations for best evaluative practices in CBR. In regard to the critical qualities of sound CBR evaluation processes, panellists emphasized that these processes should be inclusive, participatory, empowering and respectful of local cultures and languages. The group agreed that evaluators should consider the use of mixed methods and participatory tools, and should combine indicators from a universal list of CBR indicators with locally generated ones. The group also agreed that a common framework should guide CBR evaluations, and that this framework should be a flexible combination between the CBR Matrix and the CBR Principles. An expert panel reached consensus on key features of best evaluative practices in CBR. Knowledge transfer initiatives are now required to develop guidelines, tools and training opportunities to facilitate CBR program evaluations. CBR evaluation processes should strive to be inclusive, participatory, empowering and respectful of local cultures and languages. CBR evaluators should strongly consider using mixed methods, participatory tools, a combination of indicators generated with the local community and with others from a bank of CBR indicators. CBR evaluations should be situated within a shared, but flexible, framework. This shared framework could combine the CBR Matrix and the CBR Principles.
Development of Geriatric Competencies for Emergency Medicine Residents Using an Expert Consensus Process

PubMed Central

Hogan, Teresita M.; Losman, Eve D.; Carpenter, Christopher R.; Sauvigne, Karen; Irmiter, Cheryl; Emanuel, Linda; Leipzig, Rosanne M.

2011-01-01

Background The emergency department (ED) visit rate for older patients exceeds that of all age groups other than infants. The aging population will increase elder ED patient utilization to 35% to 60% of all visits. Older patients can have complex clinical presentations and be resource-intensive. Evidence indicates that emergency physicians fail to provide consistent high-quality care for elder ED patients, resulting in poor clinical outcomes. Objectives The objective was to develop a consensus document, “Geriatric Competencies for Emergency Medicine Residents,” by identified experts. This is a minimum set of behaviorally based performance standards that all residents should be able to demonstrate by completion of their residency training. Methods This consensus-based process utilized an inductive, qualitative, multiphase method to determine the minimum geriatric competencies needed by emergency medicine (EM) residents. Assessments of face validity and reliability were used throughout the project. Results In Phase I, participants (n = 363) identified 12 domains and 300 potential competencies. In Phase II, an expert panel (n = 24) clustered the Phase I responses, resulting in eight domains and 72 competencies. In Phase III, the expert panel reduced the competencies to 26. In Phase IV, analysis of face validity and reliability yielded a 100% consensus for eight domains and 26 competencies. The domains identified were atypical presentation of disease; trauma, including falls; cognitive and behavioral disorders; emergent intervention modifications; medication management; transitions of care; pain management and palliative care; and effect of comorbid conditions. Conclusions The Geriatric Competencies for EM Residents is a consensus document that can form the basis for EM residency curricula and assessment to meet the demands of our aging population. PMID:20370765
Development of geriatric competencies for emergency medicine residents using an expert consensus process.

PubMed

Hogan, Teresita M; Losman, Eve D; Carpenter, Christopher R; Sauvigne, Karen; Irmiter, Cheryl; Emanuel, Linda; Leipzig, Rosanne M

2010-03-01

The emergency department (ED) visit rate for older patients exceeds that of all age groups other than infants. The aging population will increase elder ED patient utilization to 35% to 60% of all visits. Older patients can have complex clinical presentations and be resource-intensive. Evidence indicates that emergency physicians fail to provide consistent high-quality care for elder ED patients, resulting in poor clinical outcomes. The objective was to develop a consensus document, "Geriatric Competencies for Emergency Medicine Residents," by identified experts. This is a minimum set of behaviorally based performance standards that all residents should be able to demonstrate by completion of their residency training. This consensus-based process utilized an inductive, qualitative, multiphase method to determine the minimum geriatric competencies needed by emergency medicine (EM) residents. Assessments of face validity and reliability were used throughout the project. In Phase I, participants (n=363) identified 12 domains and 300 potential competencies. In Phase II, an expert panel (n=24) clustered the Phase I responses, resulting in eight domains and 72 competencies. In Phase III, the expert panel reduced the competencies to 26. In Phase IV, analysis of face validity and reliability yielded a 100% consensus for eight domains and 26 competencies. The domains identified were atypical presentation of disease; trauma, including falls; cognitive and behavioral disorders; emergent intervention modifications; medication management; transitions of care; pain management and palliative care; and effect of comorbid conditions. The Geriatric Competencies for EM Residents is a consensus document that can form the basis for EM residency curricula and assessment to meet the demands of our aging population. Copyright (c) 2010 by the Society for Academic Emergency Medicine.
Influences of water and sediment quality and hydrologic processes on mussels in the Clinch River

USGS Publications Warehouse

Johnson, Gregory C.; Krstolic, Jennifer L.; Ostby, Brett J.K.

2014-01-01

Segments of the Clinch River in Virginia have experienced declining freshwater mussel populations during the past 40 years, while other segments of the river continue to support some of the richest mussel communities in the country. The close proximity of these contrasting reaches provides a study area where differences in climate, hydrology, and historic mussel distribution are minimal. The USGS conducted a study between 2009 and 2011 to evaluate possible causes of the mussel declines. Evaluation of mussel habitat showed no differences in physical habitat quality, leaving water and sediment quality as possible causes for declines. Three years of continuous water-quality data showed higher turbidity and specific conductance in the reaches with low-quality mussel assemblages compared to reaches with high-quality mussel assemblages. Discrete water-quality samples showed higher major ions and metals concentrations in the low-quality reach. Base-flow samples contained high major ion and metal concentrations coincident to low-quality mussel populations. These results support a conceptual model of dilution and augmentation where increased concentrations of major ions and other dissolved constituents from mined tributaries result in reaches with declining mussel populations. Tributaries from unmined basins provide water with low concentrations of dissolved constituents, diluting reaches of the Clinch River where high-quality mussel populations occur.
International Consensus Statement on Allergy and Rhinology: Rhinosinusitis Executive Summary.

PubMed

Orlandi, Richard R; Kingdom, Todd T; Hwang, Peter H

2016-02-01

The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). This executive summary consolidates the findings of the ICAR:RS document. ICAR:RS presents over 140 topics in the forms of evidence-based reviews with recommendations (EBRRs) and evidence-based reviews (EBR). The structured recommendations of the EBRR sections are summarized in this executive summary. This summary compiles the EBRRs regarding medical and surgical management of acute RS (ARS) and chronic RS with and without nasal polyps (CRSwNP and CRSsNP). This ICAR:RS Executive Summary provides a compilation of the evidence-based recommendations for medical and surgical treatment of the most common forms of RS. © 2016 ARS-AAOA, LLC.
Climate change and the impact of increased rainfall variability on sediment transport and catchment scale water quality

NASA Astrophysics Data System (ADS)

Hancock, G. R.; Willgoose, G. R.; Cohen, S.

2009-12-01

Recently there has been recognition that changing climate will affect rainfall and storm patterns with research directed to examine how the global hydrological cycle will respond to climate change. This study investigates the effect of different rainfall patterns on erosion and resultant water quality for a well studied tropical monsoonal catchment that is undisturbed by Europeans in the Northern Territory, Australia. Water quality has a large affect on a range of aquatic flora and fauna and a significant change in sediment could have impacts on the aquatic ecosystems. There have been several studies of the effect of climate change on rainfall patterns in the study area with projections indicating a significant increase in storm activity. Therefore it is important that the impact of this variability be assessed in terms of catchment hydrology, sediment transport and water quality. Here a numerical model of erosion and hydrology (CAESAR) is used to assess several different rainfall scenarios over a 1000 year modelled period. The results show that that increased rainfall amount and intensity increases sediment transport rates but predicted water quality was variable and non-linear but within the range of measured field data for the catchment and region. Therefore an assessment of sediment transport and water quality is a significant and complex issue that requires further understandings of the role of biophysical feedbacks such as vegetation as well as the role of humans in managing landscapes (i.e. controlled and uncontrolled fire). The study provides a robust methodology for assessing the impact of enhanced climate variability on sediment transport and water quality.
Selenium in Reservoir Sediment from the Republican River Basin

USGS Publications Warehouse

Juracek, Kyle E.; Ziegler, Andrew C.

1998-01-01

Reservoir sediment quality is an important environmental concern because sediment may act as both a sink and a source of water-quality constituents to the overlying water column and biota. Once in the food chain, sediment-derived constituents may pose an even greater concern due to bioaccumulation. An analysis of reservoir bottom sediment can provide historical information on sediment deposition as well as magnitudes and trends in constituents that may be related to changes in human activity in the basin. The assessment described in this fact sheet was initiated in 1997 by the U.S. Geological Survey (USGS), in cooperation with the Bureau of Reclamation (BOR), U.S. Department of the Interior, to determine if irrigation activities have affected selenium concentrations in reservoir sediment of the Republican River Basin of Colorado, Kansas, and Nebraska.

A spatially referenced regression model (SPARROW) for suspended sediment in streams of the Conterminous U.S.

USGS Publications Warehouse

Schwarz, Gregory E.; Smith, Richard A.; Alexander, Richard B.; Gray, John R.

2001-01-01

Suspended sediment has long been recognized as an important contaminant affecting water resources. Besides its direct role in determining water clarity, bridge scour and reservoir storage, sediment serves as a vehicle for the transport of many binding contaminants, including nutrients, trace metals, semi-volatile organic compounds, a nd numerous pesticides (U.S. Environmental Protection Agency, 2000a). Recent efforts to addr ess water-quality concerns through the Total Maximum Daily Load (TMDL) process have iden tified sediment as the single most prevalent cause of impairment in the Nation’s streams a nd rivers (U.S. Environmental Protection Agency, 2000b). Moreover, sediment has been identified as a medium for the tran sport and sequestration of organic carbon, playing a potentia lly important role in understa nding sources and sinks in the global carbon budget (Stallard, 1998). A comprehensive understanding of sediment fate a nd transport is considered essential to the design and implementation of effective plans for sediment management (Osterkamp and others, 1998, U.S. General Accounting Office, 1990). An exte nsive literature addr essing the problem of quantifying sediment transport has produced a nu mber of methods for estimating its flux (see Cohn, 1995, and Robertson and Roerish, 1999, for us eful surveys). The accuracy of these methods is compromised by uncertainty in the concentration measurements and by the highly episodic nature of sediment movement, particul arly when the methods are applied to smaller basins. However, for annual or decadal flux es timates, the methods are generally reliable if calibrated with extended periods of data (Robertson and Roerish, 1999). A substantial literature also supports the Universal Soil Loss Equation (U SLE) (Soil Conservation Service, 1983), an engineering method for estimating sheet and rill erosion, although the empirical credentials of the USLE have recently been questioned (Tri mble and Crosson, 2000). Conversely, relatively little direct evidence is available concerning the fate of sediment. The common practice of quantifying sediment fate with a sediment deliv ery ratio, estimated from a simple empirical relation with upstream basin area, does not artic ulate the relative importance of individual storage sites within a basin (Wolman, 1977). Rates of sediment deposition in reservoirs and flood plains can be determined from empirical measurement s , but only a limited number of sites have been monitored, and net rates of deposition or loss from other potential sinks and sources is largely unknown (Stallard, 1998). In particular, little is known about how much sediment loss from fields ultimately makes its way to stream channels, and how much sediment is subsequently stored in or lost from th e streambed (Meade and Parker, 1985, Trimble and Crosson, 2000). This paper reports on recent progress made to a ddress empirically the question of sediment fate and transport on a national scale. The model pres ented here is based on the SPAtially Referenced Regression On Watershed attr ibutes (SPARROW) methodology, fi rst used to estimate the distribution of nutrients in str eams and rivers of the United Stat es, and subsequently shown to describe land and stream processes affecting the delivery of nutrients (Smith and others, 1997, Alexander and others, 2000, Preston and Brakeb ill, 1999). The model makes use of numerous spatial datasets, available at the national level, to explain long-term sediment water-quality conditions in major streams and rivers throughou t the United States. Sediment sources are identified using sediment erosion rates from the National Resources I nventory (NRI) (Natural Resources Conservation Service, 2000) and apportioned over the landscape according to 30- meter resolution land-use information from th e National Land Cover Data set (NLCD) (U.S. Geological Survey, 2000a). More than 76,000 reservoirs from the National Inventory of Dams (NID) (U.S. Army Corps of Engin eers, 1996) are identified as pot ential sediment sinks. Other, non-anthropogenic sources and sinks are identified using soil in formation from the State Soil Survey Geographic (STATSGO) data base (Schwarz and Alexander, 1995) and spatial coverages representing surficial rock t ype and vegetative cover. The SPA RROW model empirically relates these diverse spatial datasets to estimates of long-term, mean annual sediment flux computed from concentration and flow measurements co llected over the period 1985 -95 from more than 400 monitoring stations maintained by the Na tional Stream Quality Accounting Network (Alexander and others, 1998), the National Wa ter Quality Assessment Program, and U.S. Geological Survey District offices (Turcios and Gray, in press). Th e calibrated model is used to estimate sediment flux for over 60,000 stream segments included in the River Reach File 1 (RF1) stream network (Alexander and others, 1999). SPARROW uses statis tical methods to calibrate a simple, structural model of riverine water quality, one that imposes mass ba lance in accounting for changes in contaminant flux. As applied here, the mass-balance approach facilitates the interpretation of model results in terms of physical processes affecting sediment transport, and makes possible the estimation of various rates of sediment generation and loss associated with stream channels and features of the landscape. The statistical approach provides a basi s for assessing the error of these inferred rates and of the error in extrapolated estimates of sediment flux made for streams in the RF1 network. An important implication of the holistic modeling approach adopted in this analysis is that estimates of sediment production and loss ar e based on, and therefore consistent with, measurements of in-stream flux. Other ancillary information, such as direct measurements of long-term sediment storage and release from rese rvoirs (Steffen, 1996), is incorporated into the analysis by specifying additional equations expl aining these ancillary variables. The imposition of cross-equation constraints affords this info rmation a statistically consistent weight in explaining in-stream sediment flux. Thus, the me thodology described here represents a general framework for synthesizing a wide spectrum of available information relevant to the understanding of sediment fate and transport.
Design and methods of the Midwest Stream Quality Assessment (MSQA), 2013

USGS Publications Warehouse

Garrett, Jessica D.; Frey, Jeffrey W.; Van Metre, Peter C.; Journey, Celeste A.; Nakagaki, Naomi; Button, Daniel T.; Nowell, Lisa H.

2017-10-18

During 2013, the U.S. Geological Survey (USGS) National Water-Quality Assessment Project (NAWQA), in collaboration with the USGS Columbia Environmental Research Center, the U.S. Environmental Protection Agency (EPA) National Rivers and Streams Assessment (NRSA), and the EPA Office of Pesticide Programs assessed stream quality across the Midwestern United States. This Midwest Stream Quality Assessment (MSQA) simultaneously characterized watershed and stream-reach water-quality stressors along with instream biological conditions, to better understand regional stressor-effects relations. The MSQA design focused on effects from the widespread agriculture in the region and urban development because of their importance as ecological stressors of particular concern to Midwest region resource managers.A combined random stratified selection and a targeted selection based on land-use data were used to identify and select sites representing gradients in agricultural intensity across the region. During a 14-week period from May through August 2013, 100 sites were selected and sampled 12 times for contaminants, nutrients, and sediment. This 14-week water-quality “index” period culminated with an ecological survey of habitat, periphyton, benthic macroinvertebrates, and fish at all sites. Sediment was collected during the ecological survey for analysis of sediment chemistry and toxicity testing. Of the 100 sites, 50 were selected for the MSQA random stratified group from 154 NRSA sites planned for the region, and the other 50 MSQA sites were selected as targeted sites to more evenly cover agricultural and urban stressor gradients in the study area. Of the 50 targeted sites, 12 were in urbanized watersheds and 21 represented “good” biological conditions or “least disturbed” conditions. The remaining 17 targeted sites were selected to improve coverage of the agricultural intensity gradient or because of historical data collection to provide temporal context for the study.This report provides a detailed description of the MSQA study components, including surveys of ecological conditions, routine water sampling, deployment of passive polar organic compound integrative samplers, and stream sediment sampling at all sites. Component studies that were completed to provide finer scale temporal data or more extensive analysis at selected sites, included continuous water-quality monitoring, daily pesticide sampling, laboratory and in-stream water toxicity testing efforts, and deployment of passive suspended-sediment samplers.
Permeability-Porosity Relationships of Subduction Zone Sediments

NASA Astrophysics Data System (ADS)

Gamage, K.; Screaton, E.; Bekins, B.; Aiello, I.

2008-12-01

Permeability-porosity relationships for sediments from Northern Barbados, Costa Rica, Nankai, and Peru subduction zones were examined based on their sediment type and grain size distribution. Greater correlation was observed between permeability and porosity for siliciclastic sediments, diatom oozes, and nannofossil chalk than for nannofossil oozes. For siliciclastic sediments, grouping of sediments by clay content yields relationships that are generally consistent with results from other marine settings and suggest decreasing permeability for a given porosity as clay content increases. Correction of measured porosities for smectite content generally improves the quality of permeability-porosity relationships. The relationship between permeability and porosity for diatom oozes may be controlled by the amount of clay present in the ooze, causing diatom oozes to behave similarly to siliciclastic sediments. For a given porosity the nannofossil oozes have higher permeability values by 1.5 orders of magnitude than the siliciclastic sediments. However, the use of a permeability-porosity relation may not be appropriate for unconsolidated carbonates such as nannofossil oozes. This study provided insight to the effects of porosity correction for smectite, variations in lithology and grain size in permeability-porosity relationships. However, further progress in delineating controls on permeability will require more careful and better documented permeability tests on characterized samples.
American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway.

PubMed

Abola, Ramon E; Bennett-Guerrero, Elliott; Kent, Michael L; Feldman, Liane S; Fiore, Julio F; Shaw, Andrew D; Thacker, Julie K M; Gan, Tong J; Miller, Timothy E; Hedrick, Traci L; McEvoy, Matthew D; Mythen, Michael G; Bergamaschi, Roberto; Gupta, Ruchir; Holubar, Stefan D; Senagore, Anthony J; Wischmeyer, Paul E; Carli, Franco; Evans, David C; Guilbert, Sarah; Kozar, Rosemary; Pryor, Aurora; Thiele, Robert H; Everett, Sotiria; Grocott, Mike

2018-06-01

Patient-reported outcomes (PROs) are measures of health status that come directly from the patient. PROs are an underutilized tool in the perioperative setting. Enhanced recovery pathways (ERPs) have primarily focused on traditional measures of health care quality such as complications and hospital length of stay. These measures do not capture postdischarge outcomes that are meaningful to patients such as function or freedom from disability. PROs can be used to facilitate shared decisions between patients and providers before surgery and establish benchmark recovery goals after surgery. PROs can also be utilized in quality improvement initiatives and clinical research studies. An expert panel, the Perioperative Quality Initiative (POQI) workgroup, conducted an extensive literature review to determine best practices for the incorporation of PROs in an ERP. This international group of experienced clinicians from North America and Europe met at Stony Brook, NY, on December 2-3, 2016, to review the evidence supporting the use of PROs in the context of surgical recovery. A modified Delphi method was used to capture the collective expertise of a diverse group to answer clinical questions. During 3 plenary sessions, the POQI PRO subgroup presented clinical questions based on a literature review, presented evidenced-based answers to those questions, and developed recommendations which represented a consensus opinion regarding the use of PROs in the context of an ERP. The POQI workgroup identified key criteria to evaluate patient-reported outcome measures (PROMs) for their incorporation in an ERP. The POQI workgroup agreed on the following recommendations: (1) PROMs in the perioperative setting should be collected in the framework of physical, mental, and social domains. (2) These data should be collected preoperatively at baseline, during the immediate postoperative time period, and after hospital discharge. (3) In the immediate postoperative setting, we recommend using the Quality of Recovery-15 score. After discharge at 30 and 90 days, we recommend the use of the World Health Organization Disability Assessment Scale 2.0, or a tailored use of the Patient-Reported Outcomes Measurement Information System. (4) Future study that consistently applies PROMs in an ERP will define the role these measures will have evaluating quality and guiding clinical care. Consensus guidelines regarding the incorporation of PRO measures in an ERP were created by the POQI workgroup. The inclusion of PROMs with traditional measures of health care quality after surgery provides an opportunity to improve clinical care.
Predicting watershed sediment yields after wildland fire with the InVEST sediment retention model at large geographic extent in the western USA: accuracy and uncertainties

NASA Astrophysics Data System (ADS)

Sankey, J. B.; Kreitler, J.; McVay, J.; Hawbaker, T. J.; Vaillant, N.; Lowe, S. E.

2014-12-01

Wildland fire is a primary threat to watersheds that can impact water supply through increased sedimentation, water quality decline, and change the timing and amount of runoff leading to increased risk from flood and sediment natural hazards. It is of great societal importance in the western USA and throughout the world to improve understanding of how changing fire frequency, extent, and location, in conjunction with fuel treatments will affect watersheds and the ecosystem services they supply to communities. In this work we assess the utility of the InVEST Sediment Retention Model to accurately characterize vulnerability of burned watersheds to erosion and sedimentation. The InVEST tools are GIS-based implementations of common process models, engineered for high-end computing to allow the faster simulation of larger landscapes and incorporation into decision-making. The InVEST Sediment Retention Model is based on common soil erosion models (e.g., RUSLE -Revised Universal Soil Loss Equation) and determines which areas of the landscape contribute the greatest sediment loads to a hydrological network and conversely evaluate the ecosystem service of sediment retention on a watershed basis. We evaluate the accuracy and uncertainties for InVEST predictions of increased sedimentation after fire, using measured post-fire sedimentation rates available for many watersheds in different rainfall regimes throughout the western USA from an existing, large USGS database of post-fire sediment yield [synthesized in Moody J, Martin D (2009) Synthesis of sediment yields after wildland fire in different rainfall regimes in the western United States. International Journal of Wildland Fire 18: 96-115]. The ultimate goal of this work is to calibrate and implement the model to accurately predict variability in post-fire sediment yield as a function of future landscape heterogeneity predicted by wildfire simulations, and future landscape fuel treatment scenarios, within watersheds.
Toxicity of sediment cores collected from the Ashtabula River in northeastern Ohio, USA, to the amphipod Hyalella azteca

USGS Publications Warehouse

Ingersoll, C.G.; Kemble, N.E.; Kunz, J.L.; Brumbaugh, W.G.; MacDonald, D.D.; Smorong, D.

2009-01-01

This study was conducted to support a Natural Resource Damage Assessment and Restoration project associated with the Ashtabula River in Ohio. The objective of the study was to evaluate the chemistry and toxicity of 50 sediment samples obtained from five cores collected from the Ashtabula River (10 samples/core, with each 10-cm-diameter core collected to a total depth of about 150 cm). Effects of chemicals of potential concern (COPCs) measured in the sediment samples were evaluated by measuring whole-sediment chemistry and whole-sediment toxicity in the sediment samples (including polycyclic aromatic hydrocarbons [PAHs], polychlorinated biphenyls [PCBs], organochlorine pesticides, and metals). Effects on the amphipod Hyalella azteca at the end of a 28-day sediment toxicity test were determined by comparing survival or length of amphipods in individual sediment samples in the cores to the range of responses of amphipods exposed to selected reference sediments that were also collected from the cores. Mean survival or length of amphipods was below the lower limit of the reference envelope in 56% of the sediment samples. Concentrations of total PCBs alone in some samples or concentrations of total PAHs alone in other samples were likely high enough to have caused the reduced survival or length of amphipods (i.e., concentrations of PAHs or PCBs exceeded mechanistically based and empirically based sediment quality guidelines). While elevated concentrations of ammonia in pore water may have contributed to the reduced length of amphipods, it is unlikely that the reduced length was caused solely by elevated ammonia (i.e., concentrations of ammonia were not significantly correlated with the concentrations of PCBs or PAHs and concentrations of ammonia were elevated both in the reference sediments and in the test sediments). Results of this study show that PAHs, PCBs, and ammonia are the primary COPCs that are likely causing or substantially contributing to the toxicity to sediment-dwelling organisms. ?? 2009 US Government.
Occurrences, composition profiles and source identifications of polycyclic aromatic hydrocarbons (PAHs), polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) in ship ballast sediments.

PubMed

Su, Peng-Hao; Lv, Bao-Yi; Tomy, Gregg T; Xu, Jin-Xiang; Tian, Wen; Hou, Chun-Yan; Yin, Fang; Li, Yi-Fan; Feng, Dao-Lun

2017-02-01

The aim of this study was to investigate the levels of persistent organic pollutants (POPs) including polycyclic aromatic hydrocarbons (PAHs), polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) in ship ballast sediments. The ballast sediment samples were collected from six merchant ships docked in 2015 in Jiangyin City, China. Ballast sediments represent a potential vector for the transport of POPs and invasive species between marine environments. An attempt was also made to determine the sources of these compounds in the ballast sediment. The results indicated ballast sediments generally contain greater amounts of BDE-209 and comparable amounts of PAHs, PBDEs (exclusive of BDE-209) and PCBs compared to those in marine surface sediments. Based on the sediment quality guidelines, PAHs and PCBs in ballast sediments were estimated to have median or high potential of posing ecological risks, respectively, to marine life if ballast sediments were disposed without specific treatment. POPs in ballast sediments were derived from multiple sources with atmospheric deposition being an important origin. Ship activities including diesel exhaust and illegal oil sewage discharge were considerable contributors of certain individual POPs to ballast sediments. Our study is important because it represents the first report on levels, health risk assessment and source apportionments of POPs in ballast sediments and is a first step in the implementation of specific ballast sediment management measures. Copyright © 2016 Elsevier Ltd. All rights reserved.
76 FR 59121 - Notice of Availability of the Record of Decision for the Final Environmental Impact Statement...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-23

... lined open channels; grade control structures; bridges and drainage crossings; building pads; and water quality control facilities (sedimentation control, flood control, debris, and water quality basins). The... facilities (sedimentation control, flood debris, and water quality basins); regular and ongoing maintenance...
IMPACT OF BEST MANAGEMENT PRACTICES ON WATER QUALITY OF TWO SMALL WATERSHEDS IN INDIANA: ROLE OF SPATIAL SCALE

EPA Science Inventory

Transport and fate of sediments and nutrients within watersheds have important implications for water quality and water resources. Water quality issues often arise because sediments serve as carriers for various pollutants such as nutrients, pathogens, and toxic substances. The C...
Contaminant trends in reservoir sediment cores as records of influent stream quality

USGS Publications Warehouse

Van Metre, P.C.; Mahler, B.J.

2004-01-01

When reconstructing water-quality histories from lake and reservoir cores, it is sometimes assumed that the chemical signatures in the cores reflect historical water quality in the influent streams. To investigate this assumption, concentrations of metals, PAHs, and organochlorine compounds in sediment cores were compared to those associated with an influent-stream suspended sediment for three reservoirs in Fort Worth, TX, and two reservoirs in Boston, MA, U.S.A., and interpreted in light of land-use and regulation histories. In evaluating relations between suspended sediments and cores, three levels of preservation were indicated: (1) influent concentrations and historical trends are preserved in cores (metals at all sites; some organic contaminants at some sites); (2) some loss occurs during transport and initial deposition but relative historical trends are preserved in cores (some organic contaminants at some sites); and (3) neither stream concentrations nor relative historical trends are preserved (dieldrin and p,p???-DDT). The degree of preservation of influent concentration histories varied between lakes, particularly for PAHs. The results support the use of sediment cores to infer streamwater-quality histories for many contaminants but indicate that reservoir-bottom sediment samples might underestimate concentrations of organic contaminants in some streams.
Incorporating bioavailability into management limits for copper in sediments contaminated by antifouling paint used in aquaculture.

PubMed

Simpson, Stuart L; Spadaro, David A; O'Brien, Dom

2013-11-01

Although now well embedded within many risk-based sediment quality guideline (SQG) frameworks, contaminant bioavailability is still often overlooked in assessment and management of contaminated sediments. To optimise management limits for metal contaminated sediments, we assess the appropriateness of a range methods for modifying SQGs based on bioavailability considerations. The impairment of reproduction of the amphipod, Melita plumulosa, and harpacticoid copepod, Nitocra spinipes, was assessed for sediments contaminated with copper from antifouling paint, located below aquaculture cages. The measurement of dilute acid-extractable copper (AE-Cu) was found to provide the most useful means for monitoring the risks posed by sediment copper and setting management limits. Acid-volatile sulfide was found to be ineffective as a SQG-modifying factor as these organisms live mostly at the more oxidised sediment water interface. SQGs normalised to %-silt/organic carbon were effective, but the benefits gained were too small to justify this approach. The effectiveness of SQGs based on AE-Cu was attributed to a small portion of the total copper being present in potentially bioavailable forms (typically<10% of the total). Much of the non-bioavailable form of copper was likely present as paint flakes in the form of copper (I) oxide, the active ingredient of the antifoulant formulation. While the concentrations of paint-associated copper are very high in some sediments, as the transformation of this form of copper to AE-Cu appears slow, monitoring and management limits should assess the more bioavailable AE-Cu forms, and further efforts be made to limit the release of paint particles into the environment. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.
Comparison of Erosion Rates Estimated by Sediment Budget Techniques and Suspended Sediment Monitoring and Regulatory Implications

NASA Astrophysics Data System (ADS)

O'Connor, M.; Eads, R.

2007-12-01

Watersheds in the northern California Coast Range have been designated as "impaired" with respect to water quality because of excessive sediment loads and/or high water temperature. Sediment budget techniques have typically been used by regulatory authorities to estimate current erosion rates and to develop targets for future desired erosion rates. This study examines erosion rates estimated by various methods for portions of the Gualala River watershed, designated as having water quality impaired by sediment under provisions of the Clean Water Act Section 303(d), located in northwest Sonoma County (~90 miles north of San Francisco). The watershed is underlain by Jurassic age sedimentary and meta-sedimentary rocks of the Franciscan formation. The San Andreas Fault passes through the western edge of watershed, and other active faults are present. A substantial portion of the watershed is mantled by rock slides and earth flows, many of which are considered dormant. The Coast Range is geologically young, and rapid rates of uplift are believed to have contributed to high erosion rates. This study compares quantitative erosion rate estimates developed at different spatial and temporal scales. It is motivated by a proposed vineyard development project in the watershed, and the need to document conditions in the project area, assess project environmental impacts and meet regulatory requirements pertaining to water quality. Erosion rate estimates were previously developed using sediment budget techniques for relatively large drainage areas (~100 to 1,000 km2) by the North Coast Regional Water Quality Control Board and US EPA and by the California Geological Survey. In this study, similar sediment budget techniques were used for smaller watersheds (~3 to 8 km2), and were supplemented by a suspended sediment monitoring program utilizing Turbidity Threshold Sampling techniques (as described in a companion study in this session). The duration of the monitoring program to date spanned the winter runoff seasons of Water Years 2006 and 2007. These were unusually wet and dry years, respectively, providing perspective on the range of measured sediment yield in relation to sediment budget estimates. The measured suspended sediment yields were substantially lower than predicted by sediment budget methods. Variation in geomorphic processes over time and space and methodological problems of sediment budgets may be responsible for these apparent discrepancies. The implications for water quality policy are discussed.
Towards global consensus on core outcomes for hidradenitis suppurativa research: an update from the HISTORIC consensus meetings I and II*

PubMed Central

Thorlacius, L.; Garg, A.; Ingram, J.R.; Villumsen, B.; Riis, P. Theut; Gottlieb, A.B.; Merola, J.F.; Dellavalle, R.; Ardon, C.; Baba, R.; Bechara, F.G.; Cohen, A.D.; Daham, N.; Davis, M.; Emtestam, L.; Fernández-Peñas, P.; Filippelli, M.; Gibbons, A.; Grant, T.; Guilbault, S.; Gulliver, S.; Harris, C; Harvent, C.; Houston, K.; Kirby, J.S.; Matusiak, L.; Mehdizadeh, A.; Mojica, T.; Okun, M.; Orgill, D.; Pallack, L.; Parks-Miller, A.; Prens, E.P.; Randell, S.; Rogers, C.; Rosen, C.F.; Choon, S.E.; van der Zee, H.H.; Christensen, R.; Jemec, G.B.E.

2018-01-01

Summary Background A core outcomes set (COS) is an agreed minimum set of outcomes that should be measured and reported in all clinical trials for a specific condition. Hidradenitis suppurativa (HS) has no agreed-upon COS. A central aspect in the COS development process is to identify a set of candidate outcome domains from a long list of items. Our long list had been developed from patient interviews, a systematic review of the literature and a healthcare professional survey, and initial votes had been cast in two e-Delphi surveys. In this manuscript, we describe two in-person consensus meetings of Delphi participants designed to ensure an inclusive approach to generation of domains from related items. Objectives To consider which items from a long list of candidate items to exclude and which to cluster into outcome domains. Methods The study used an international and multistakeholder approach, involving patients, dermatologists, surgeons, the pharmaceutical industry and medical regulators. The study format was a combination of formal presentations, small group work based on nominal group theory and a subsequent online confirmation survey. Results Forty-one individuals from 13 countries and four continents participated. Nine items were excluded and there was consensus to propose seven domains: disease course, physical signs, HS-specific quality of life, satisfaction, symptoms, pain and global assessments. Conclusions The HISTORIC consensus meetings I and II will be followed by further e-Delphi rounds to finalize the core domain set, building on the work of the in-person consensus meetings. PMID:29080368
The Use of a Geomorphometric Classification to Estimate Subsurface Heterogeneity in the Unconsolidated Sediments of Mountain Watersheds

NASA Astrophysics Data System (ADS)

Cairns, D.; Byrne, J. M.; Jiskoot, H.; McKenzie, J. M.; Johnson, D. L.

2013-12-01

Groundwater controls many aspects of water quantity and quality in mountain watersheds. Groundwater recharge and flow originating in mountain watersheds are often difficult to quantify due to challenges in the characterization of the local geology, as subsurface data are sparse and difficult to collect. Remote sensing data are more readily available and are beneficial for the characterization of watershed hydrodynamics. We present an automated geomorphometric model to identify the approximate spatial distribution of geomorphic features, and to segment each of these features based on relative hydrostratigraphic differences. A digital elevation model (DEM) dataset and predefined indices are used as inputs in a mountain watershed. The model uses periglacial, glacial, fluvial, slope evolution and lacustrine processes to identify regions that are subsequently delineated using morphometric principles. A 10 m cell size DEM from the headwaters of the St. Mary River watershed in Glacier National Park, Montana, was considered sufficient for this research. Morphometric parameters extracted from the DEM that were found to be useful for the calibration of the model were elevation, slope, flow direction, flow accumulation, and surface roughness. Algorithms were developed to utilize these parameters and delineate the distributions of bedrock outcrops, periglacial landscapes, alluvial channels, fans and outwash plains, glacial depositional features, talus slopes, and other mass wasted material. Theoretical differences in sedimentation and hydrofacies associated with each of the geomorphic features were used to segment the watershed into units reflecting similar hydrogeologic properties such as hydraulic conductivity and thickness. The results of the model were verified by comparing the distribution of geomorphic features with published geomorphic maps. Although agreement in semantics between datasets caused difficulties, a consensus yielded a comparison Dice Coefficient of 0.65. The results can be used to assist in groundwater model calibration, or to estimate spatial differences in near-surface groundwater behaviour. Verification of the geomorphometric model would be augmented by evaluating its success after use in the calibration of the groundwater simulation. These results may also be used directly in momentum-based equations to create a stochastic routing routine beneath the soil interface for a hydrometeorological model.
The combined use of the PLHC-1 cell line and the recombinant yeast assay to assess the environmental quality of estuarine and coastal sediments.

PubMed

Schnell, Sabine; Olivares, Alba; Piña, Benjamin; Echavarri-Erasun, Beatriz; Lacorte, Silvia; Porte, Cinta

2013-12-15

Sediment contamination poses a potential risk for both ecosystems and human health. Risk assessment is troublesome as sediments contain complex mixtures of toxicants, and traditional chemical analyses can neither provide information about potential hazards to organisms nor identify and measure all present contaminants. This work combines the use of the PLHC-1 cell line and the recombinant yeast assay (RYA) to assess the environmental quality of estuarine and coastal sediments. The application of multiple endpoints (cytotoxicity, generation of oxidative stress, presence of CYP1A inducing agents, micronucleus formation and estrogenicity) revealed that the organic extracts of those sediments affected by industrial activities or collected near harbours and untreated urban discharges showed significant cytotoxicity, micronuclei and CYP1A induction. The study highlights the usefulness of the applied bioassays to identify those sediments that could pose risk to aquatic organisms and that require further action to improve their environmental quality. Copyright © 2013 Elsevier Ltd. All rights reserved.
Understanding diagnostic variability in breast pathology: lessons learned from an expert consensus review panel

PubMed Central

Allison, Kimberly H; Reisch, Lisa M; Carney, Patricia A; Weaver, Donald L; Schnitt, Stuart J; O’Malley, Frances P; Geller, Berta M; Elmore, Joann G

2015-01-01

Aims To gain a better understanding of the reasons for diagnostic variability, with the aim of reducing the phenomenon. Methods and results In preparation for a study on the interpretation of breast specimens (B-PATH), a panel of three experienced breast pathologists reviewed 336 cases to develop consensus reference diagnoses. After independent assessment, cases coded as diagnostically discordant were discussed at consensus meetings. By the use of qualitative data analysis techniques, transcripts of 16 h of consensus meetings for a subset of 201 cases were analysed. Diagnostic variability could be attributed to three overall root causes: (i) pathologist-related; (ii) diagnostic coding/study methodology-related; and (iii) specimen-related. Most pathologist-related root causes were attributable to professional differences in pathologists’ opinions about whether the diagnostic criteria for a specific diagnosis were met, most frequently in cases of atypia. Diagnostic coding/study methodology-related root causes were primarily miscategorizations of descriptive text diagnoses, which led to the development of a standardized electronic diagnostic form (BPATH-Dx). Specimen-related root causes included artefacts, limited diagnostic material, and poor slide quality. After re-review and discussion, a consensus diagnosis could be assigned in all cases. Conclusions Diagnostic variability is related to multiple factors, but consensus conferences, standardized electronic reporting formats and comments on suboptimal specimen quality can be used to reduce diagnostic variability. PMID:24511905
Critical features of a curriculum in health care quality and resource management.

PubMed

Norman, D K; Randall, R S; Hornsby, B J

1990-09-01

In response to mounting demands for quality and accountability in health care, a science of health care quality and resource management (QRM) has evolved, but too slowly and without the academic base needed to prepare practitioners to assume new roles and fulfill requirements to regulate their practice. To develop such a base, The University of Houston and The University of Texas Health Science Center sponsored a needs assessment survey to identify areas of knowledge and skills to be included in a master's degree curriculum in QRM. The study used a three-cycle Focus Delphi technique to secure experts' refinement of the survey instrument and consensus among participants, who included practitioner-members of the National Association of Quality Assurance Professionals (NAQAP), of health care administration educational program directors, and hospital administrators. Starting with a listing based on a competency outline obtained from NAQAP, the study identified critical learning needs and elaborated a framework with 12 broad categories and 108 specific knowledge and skill areas.
American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Optimal Analgesia within an Enhanced Recovery Pathway for Colorectal Surgery: Part 2-From PACU to the Transition Home.

PubMed

Scott, Michael J; McEvoy, Matthew D; Gordon, Debra B; Grant, Stuart A; Thacker, Julie K M; Wu, Christopher L; Gan, Tong J; Mythen, Monty G; Shaw, Andrew D; Miller, Timothy E

2017-01-01

Within an enhanced recovery pathway (ERP), the approach to treating pain should be multifaceted and the goal should be to deliver "optimal analgesia", which we define in this paper as a technique that optimizes patient comfort and facilitates functional recovery with the fewest medication side effects. With input from a multidisciplinary, international group of experts and through a structured review of the literature and use of a modified Delphi method, we achieved consensus surrounding the topic of optimal analgesia in the perioperative period for colorectal surgery patients. As a part of the first Perioperative Quality Improvement (POQI) workgroup meeting, we sought to develop a consensus document describing a comprehensive, yet rational and practical, approach for developing an evidence-based plan for achieving optimal analgesia, specifically for a colorectal surgery within an ERP. The goal was twofold: (a) that application of this process would lead to improved patient outcomes and (b) that investigation of the questions raised would identify knowledge gaps to aid the direction for research into analgesia within ERPs in the years to come. This document details the evidence for a wide range of analgesic components, with particular focus on care in the post-anesthesia care unit, general care ward, and transition to home after discharge. The preoperative and operative consensus statement for analgesia was covered in Part 1 of this paper. The overall conclusion is that the combination of analgesic techniques employed in the perioperative period is not important as long as it is effective in delivering the goal of "optimal analgesia" as set forth in this document.
Occurrence of and trends in selected sediment-associated contaminants in Caddo Lake, East Texas, 1940-2002

USGS Publications Warehouse

Wilson, Jennifer T.

2003-01-01

Bottom-sediment cores were collected from four sites in Caddo Lake in East Texas during May 2002 for analyses of radionuclides (for age dating), organochlorine pesticides, polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), and major and trace elements, and to describe the occurrence and trends of these sediment-associated contaminants. The Goose Prairie Creek and Harrison Bayou sites receive drainage from an area that includes parts of the now-closed Longhorn Army Ammunitions Plant. The mid-lake site is relatively close to dense oil and gas operations in the lake. The Carter Lake site receives minimal discharge from developed areas. Sediment age (deposition) dates represented in the cores ranged from 1940 to 2002. The only organochlorine compounds detected in all core samples were the DDT degradation products DDE or DDD, and PCB Aroclors 1242, 1254, and 1260 were detected only at the Goose Prairie Creek site. One or more of the DDE concentrations at all sites exceeded a consensus-based threshold effect concentration (on benthic biota), but none exceeded a consensus-based probable effect concentration. The Goose Prairie Creek site had significant downward trends in concentrations of organochlorine compounds, except for no trend in DDE concentrations. The Ammunitions Plant is a possible historical source of the few organochlorine compounds detected at the Goose Prairie Creek and Harrison Bayou sites. PAH concentrations at all sites were below respective threshold effect concentrations. Highest PAH concentrations at all four sites were of C2- alkylated naphthalenes. Nearly all statistically significant PAH trends in the cores were downward. On the basis of PAH source-indicator ratios, the majority of PAH compounds appear to have originated from uncombusted sources such as leaks or spills from oil and gas operations or vehicles (automobiles, boats, aircraft) in the Caddo Lake area. Concentrations of several of the eight trace elements with threshold effect concentrations and probable effect concentrations (among 26 analyzed) were above the respective threshold effect concentrations, but all, except one lead concentration at the Goose Prairie Creek site (deposited about 1961), were below respective probable effect concentrations. Among trace element concentrations at the four sites, lead and mercury were consistently relatively high at the Goose Prairie Creek site. Again the Ammunitions Plant, because of its proximity and history of industrial activities, is the suspected primary source. Statistically significant trends in trace element concentrations were mixed, but more were downward than upward. Computations to indicate the dominant source (atmospheric fallout or drainage area) of mercury to the Caddo Lake sediment core sites (except Carter Lake) indicate that about one-third of the mercury at the Goose Prairie Creek site might result from drainage area sources. No drainage area sources were indicated for the Harrison Bayou and mid-lake sites. Arsenic, cadmium, and zinc concentrations were highest at the Carter Lake site. No relation between the relatively higher trace element concentrations and any potential source of contamination in the Carter Lake drainage area (for example, oil and gas operations, a road, a boat ramp) is indicated.
Standardized endpoint definitions for transcatheter aortic valve implantation clinical trials: a consensus report from the Valve Academic Research Consortium†

PubMed Central

Leon, Martin B.; Piazza, Nicolo; Nikolsky, Eugenia; Blackstone, Eugene H.; Cutlip, Donald E.; Kappetein, Arie Pieter; Krucoff, Mitchell W.; Mack, Michael; Mehran, Roxana; Miller, Craig; Morel, Marie-angèle; Petersen, John; Popma, Jeffrey J.; Takkenberg, Johanna J.M.; Vahanian, Alec; van Es, Gerrit-Anne; Vranckx, Pascal; Webb, John G.; Windecker, Stephan; Serruys, Patrick W.

2011-01-01

Objectives To propose standardized consensus definitions for important clinical endpoints in transcatheter aortic valve implantation (TAVI), investigations in an effort to improve the quality of clinical research and to enable meaningful comparisons between clinical trials. To make these consensus definitions accessible to all stakeholders in TAVI clinical research through a peer reviewed publication, on behalf of the public health. Background Transcatheter aortic valve implantation may provide a worthwhile less invasive treatment in many patients with severe aortic stenosis and since its introduction to the medical community in 2002, there has been an explosive growth in procedures. The integration of TAVI into daily clinical practice should be guided by academic activities, which requires a harmonized and structured process for data collection, interpretation, and reporting during well-conducted clinical trials. Methods and results The Valve Academic Research Consortium established an independent collaboration between Academic Research organizations and specialty societies (cardiology and cardiac surgery) in the USA and Europe. Two meetings, in San Francisco, California (September 2009) and in Amsterdam, the Netherlands (December 2009), including key physician experts, and representatives from the US Food and Drug Administration (FDA) and device manufacturers, were focused on creating consistent endpoint definitions and consensus recommendations for implementation in TAVI clinical research programs. Important considerations in developing endpoint definitions included (i) respect for the historical legacy of surgical valve guidelines; (ii) identification of pathophysiological mechanisms associated with clinical events; (iii) emphasis on clinical relevance. Consensus criteria were developed for the following endpoints: mortality, myocardial infarction, stroke, bleeding, acute kidney injury, vascular complications, and prosthetic valve performance. Composite endpoints for TAVI safety and effectiveness were also recommended. Conclusion Although consensus criteria will invariably include certain arbitrary features, an organized multidisciplinary process to develop specific definitions for TAVI clinical research should provide consistency across studies that can facilitate the evaluation of this new important catheter-based therapy. The broadly based consensus endpoint definitions described in this document may be useful for regulatory and clinical trial purposes. PMID:21216739

Best Practices: How to Evaluate Psychological Science for Use by Organizations

PubMed Central

Fiske, Susan T.; Borgida, Eugene

2014-01-01

We discuss how organizations can evaluate psychological science for its potential usefulness to their own purposes. Common sense is often the default but inadequate alternative, and bench-marking supplies only collective hunches instead of validated principles. External validity is an empirical process of identifying moderator variables, not a simple yes-no judgment about whether lab results replicate in the field. Hence, convincing criteria must specify what constitutes high-quality empirical evidence for organizational use. First, we illustrate some theories and science that have potential use. Then we describe generally accepted criteria for scientific quality and consensus, starting with peer review for quality, and scientific agreement in forms ranging from surveys of experts to meta-analyses to National Research Council consensus reports. Linkages of basic science to organizations entail communicating expert scientific consensus, motivating managerial interest, and translating broad principles to specific contexts. We close with parting advice to both sides of the researcher-practitioner divide. PMID:24478533
Linking hysteresis patterns and variations in suspended sediment sources in a highly urbanized river: a case of the River Aire, UK

NASA Astrophysics Data System (ADS)

Vercruysse, Kim; Grabowski, Robert

2017-04-01

The natural sediment balance of rivers is often disturbed as a result of increased fine sediment influx from soil erosion and/or modifications to the river channel and floodplains, causing numerous problems related to ecology, water quality, flood risk and infrastructure. It is of great importance to understand fine sediment dynamics in rivers in order to manage the problems appropriately. However, despite decades of research, our understanding of fine sediment transport is not yet sufficient to fully explain the spatial and temporal variability in sediment concentrations in rivers. To this end, the study aims to investigate the importance of sediment source variations to explain hysteresis patterns in suspended sediment transport. A sediment fingerprinting technique based on infrared spectrometry was applied in the highly urbanized River Aire catchment in northern England to identify the dominant sources of suspended sediment. Three types of potential sediment source samples were collected: soil samples from pasture in three lithological areas (limestone, millstone grit and coal measures), eroding riverbanks and urban street dust. All source samples were analyzed with Diffuse Reflectance Infrared Fourier Transform spectrometry (DRIFTS). Discriminant analysis demonstrated that the source materials could be discriminated based on their respective infrared spectra. Infrared spectra of experimental mixtures were then used to develop statistical models to estimate relative source contributions from suspended sediment samples. Suspended sediment samples were collected during a set of high flow events between 2015 and 2016, showing different hysteresis patterns between suspended sediment concentration and discharge. The fingerprinting results suggest that pasture from the limestone area is the dominant source of fine sediment. However, significant variations in source contributions during and between events are present. Small events, in terms of discharge, are marked by relatively high contributions of urban street dust, while high stream flows correspond with higher sediment contributions from riverbanks and pasture. Seasonal variations in the dominant sources are also present. The results emphasize the importance of capturing sediment source variations to gain better insights into the drivers of fine sediment transport over various timescales.
PROCEDURE FOR DETERMINATION OF SEDIMENT PARTICLE SIZE (GRAIN SIZE)

EPA Science Inventory

Sediment quality and sediment remediation projects have become a high priority for USEPA. Sediment particle size determinations are used in environmental assessments for habitat characterization, chemical normalization, and partitioning potential of chemicals. The accepted met...
Supervised classification of continental shelf sediment off western Donegal, Ireland

NASA Astrophysics Data System (ADS)

Monteys, X.; Craven, K.; McCarron, S. G.

2017-12-01

Managing human impacts on marine ecosystems requires natural regions to be identified and mapped over a range of hierarchically nested scales. In recent years (2000-present) the Irish National Seabed Survey (INSS) and Integrated Mapping for the Sustainable Development of Ireland's Marine Resources programme (INFOMAR) (Geological Survey Ireland and Marine Institute collaborations) has provided unprecedented quantities of high quality data on Ireland's offshore territories. The increasing availability of large, detailed digital representations of these environments requires the application of objective and quantitative analyses. This study presents results of a new approach for sea floor sediment mapping based on an integrated analysis of INFOMAR multibeam bathymetric data (including the derivatives of slope and relative position), backscatter data (including derivatives of angular response analysis) and sediment groundtruthing over the continental shelf, west of Donegal. It applies a Geographic-Object-Based Image Analysis software package to provide a supervised classification of the surface sediment. This approach can provide a statistically robust, high resolution classification of the seafloor. Initial results display a differentiation of sediment classes and a reduction in artefacts from previously applied methodologies. These results indicate a methodology that could be used during physical habitat mapping and classification of marine environments.
Climatic Events and Historical Disturbances Control Acute and Chronic Water-Quality Impairment After Wildfire

NASA Astrophysics Data System (ADS)

Murphy, S. F.; Martin, D. A.; McCleskey, R. B.; Writer, J. H.

2016-12-01

Many studies have shown that surface water quality can be impaired after wildfire. The majority of these studies are typically conducted for short periods (1-2 years), and until recently, usually employed routine (fixed-interval) sampling. We monitored stream water quality for five years after a wildfire in the Colorado Front Range using a combination of routine sampling, storm sampling, and continuous sensors. This five-year study facilitated the measurement of post-wildfire water-quality response to a number of climatic events, including low- to moderate-intensity rain storms, drought, extreme rainfall (based on amount of rain that fell in a 7-day period), and the highest spring runoff recorded from the watershed during 23 years of record. Post-wildfire water quality was controlled by the hydrologic response to these climatic events, and by a legacy of historical disturbance from mining and related activities. Increased surface runoff during rain storms led to mobilization of sediment from hillslopes to stream channels. The sediment remained in stream channels during a drought that led to reduced (25% of mean) spring runoff, but this sediment, and associated constituents such as dissolved organic carbon and manganese, were remobilized into the water column and transported downstream during sustained high-flow spring runoff in the third year. We infer that the relative proportions of surface and subsurface runoff were altered by the wildfire and during the extreme rainfall, possibly leading to greater flow through abandoned mine adits and tunnels, and thus causing increased instream metal concentrations (such as arsenic and manganese). Post-wildfire water-quality issues were both acute, with significant water-quality impairment during storm events, and chronic, with elevated concentrations of sediment, nitrate, dissolved organic carbon, manganese, and arsenic for months to years after the wildfire. Such variable source water quality, in both contaminant type and concentration, presents a substantial challenge to water-treatment facilities. Climate change is projected to increase wildfire risk and possibly storm frequency and intensity, and thus the risk of wildfire impacts on water supplies is likely to worsen in the future.
Observer-based output consensus of a class of heterogeneous multi-agent systems with unmatched disturbances

NASA Astrophysics Data System (ADS)

Zhang, Jiancheng; Zhu, Fanglai

2018-03-01

In this paper, the output consensus of a class of linear heterogeneous multi-agent systems with unmatched disturbances is considered. Firstly, based on the relative output information among neighboring agents, we propose an asymptotic sliding-mode based consensus control scheme, under which, the output consensus error can converge to zero by removing the disturbances from output channels. Secondly, in order to reach the consensus goal, we design a novel high-order unknown input observer for each agent. It can estimate not only each agent's states and disturbances, but also the disturbances' high-order derivatives, which are required in the control scheme aforementioned above. The observer-based consensus control laws and the convergence analysis of the consensus error dynamics are given. Finally, a simulation example is provided to verify the validity of our methods.
A wood-strand material for wind erosion control: effects on total sediment loss, PM10 vertical flux, and PM10 loss

Treesearch

N. S. Copeland; B. S. Sharratt; J. Q. Wu; R. B. Foltz; J. H. Dooley

2009-01-01

Fugitive dust from eroding land poses risks to environmental quality and human health, and thus, is regulated nationally based on ambient air quality standards for particulate matter with mean aerodynamic diameter ≤ 10 μm (PM10) established in the Clean Air Act. Agricultural straw has been widely used for rainfall-induced...
Sediment toxicity test results for the Urban Waters Study 2010, Bellingham Bay, Washington

USGS Publications Warehouse

Biedenbach, James M.

2011-01-01

The Washington Department of Ecology annually determines the quality of recently deposited sediments in Puget Sound as a part of Ecology's Urban Waters Initiative. The annual sediment quality studies use the Sediment Quality Triad (SQT) approach, thus relying on measures of chemical contamination, toxicity, and benthic in-faunal effects (Chapman, 1990). Since 2002, the studies followed a rotating sampling scheme, each year sampling a different region of the greater Puget Sound Basin. During the annual studies, samples are collected in locations selected with a stratified-random design, patterned after the designs previously used in baseline surveys completed during 1997-1999 (Long and others, 2003; Wilson and Partridge, 2007). Sediment samples were collected by personnel from the Washington Department of Ecology, in June of 2010 and shipped to the U. S. Geological Survey (USGS) laboratory in Corpus Christi, Texas (not shown), where the tests were performed. Sediment pore water was extracted with a pneumatic apparatus and was stored frozen. Just before testing, water-quality measurements were made and salinity adjusted, if necessary. Tests were performed on a dilution series of each sample consisting of 100-, 50-, and 25-percent pore-water concentrations. The specific objectives of this study were to: * Extract sediment pore water from a total of 30 sediment samples from the Bellingham Bay, Washington area within a day of receipt of the samples. * Measure water-quality parameters (salinity, dissolved oxygen, pH, sulfide, and ammonia) of thawed pore-water samples before testing and adjust salinity, temperature and dissolved oxygen, if necessary, to obtain optimal ranges for the test species. * Conduct the fertilization toxicity test with pore water using sea urchin (Stronylocentrotus purpuratus) (S. purpuratus) gametes. * Perform quality control assays with reference pore water, dilution blanks and a positive control dilution series with sodium dodecyl sulfate (SDS) in conjunction with each test. * Determine which samples caused a significant decrease in percent fertilization success relative to the negative control.
Development and application of the microbial fate and transport module for the Agricultural Policy/Environmental eXtender (APEX) model

NASA Astrophysics Data System (ADS)

Hong, E.; Park, Y.; Muirhead, R.; Jeong, J.; Pachepsky, Y. A.

2017-12-01

Pathogenic microorganisms in recreational and irrigation waters remain the subject of concern. Water quality models are used to estimate microbial quality of water sources, to evaluate microbial contamination-related risks, to guide the microbial water quality monitoring, and to evaluate the effect of agricultural management on the microbial water quality. The Agricultural Policy/Environmental eXtender (APEX) is the watershed-scale water quality model that includes highly detailed representation of agricultural management. The APEX currently does not have microbial fate and transport simulation capabilities. The objective of this work was to develop the first APEX microbial fate and transport module that could use the APEX conceptual model of manure removal together with recently introduced conceptualizations of the in-stream microbial fate and transport. The module utilizes manure erosion rates found in the APEX. Bacteria survival in soil-manure mixing layer was simulated with the two-stage survival model. Individual survival patterns were simulated for each manure application date. Simulated in-stream microbial fate and transport processes included the reach-scale passive release of bacteria with resuspended bottom sediment during high flow events, the transport of bacteria from bottom sediment due to the hyporheic exchange during low flow periods, the deposition with settling sediment, and the two-stage survival. Default parameter values were available from recently published databases. The APEX model with the newly developed microbial fate and transport module was applied to simulate seven years of monitoring data for the Toenepi watershed in New Zealand. Based on calibration and testing results, the APEX with the microbe module reproduced well the monitored pattern of E. coli concentrations at the watershed outlet. The APEX with the microbial fate and transport module will be utilized for predicting microbial quality of water under various agricultural practices, evaluating monitoring protocols, and supporting the selection of management practices based on regulations that rely on fecal indicator bacteria concentrations.
Emergency Medicine and Critical Care Blogs and Podcasts: Establishing an International Consensus on Quality.

PubMed

Thoma, Brent; Chan, Teresa M; Paterson, Quinten S; Milne, W Kenneth; Sanders, Jason L; Lin, Michelle

2015-10-01

This study identified the most important quality indicators for online educational resources such as blogs and podcasts. A modified Delphi process that included 2 iterative surveys was used to build expert consensus on a previously defined list of 151 quality indicators divided into 3 themes: credibility, content, and design. Aggregate social media indicators were used to identify an expert population of editors from a defined list of emergency medicine and critical care blogs and podcasts. Survey 1 consisted of the quality indicators and a 7-point Likert scale. The mean score for each quality indicator was included in survey 2, which asked participants whether to "include" or "not include" each quality indicator. The cut point for consensus was defined at greater than 70% "include." Eighty-three percent (20/24) of bloggers and 90.9% (20/22) of podcasters completed survey 1 and 90% (18/20) of bloggers and podcasters completed survey 2. The 70% inclusion criteria were met by 44 and 80 quality indicators for bloggers and podcasters, respectively. Post hoc, a 90% cutoff was used to identify a list of 14 and 26 quality indicators for bloggers and podcasters, respectively. The relative importance of quality indicators for emergency medicine blogs and podcasts was determined. This will be helpful for resource producers trying to improve their blogs or podcasts and for learners, educators, and academic leaders assessing their quality. These results will inform broader validation studies and attempts to develop user-friendly assessment instruments for these resources. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
Consensus on Recording Deep Endometriosis Surgery: the CORDES statement.

PubMed

Vanhie, A; Meuleman, C; Tomassetti, C; Timmerman, D; D'Hoore, A; Wolthuis, A; Van Cleynenbreugel, B; Dancet, E; Van den Broeck, U; Tsaltas, J; Renner, S P; Ebert, A D; Carmona, F; Abbott, J; Stepniewska, A; Taylor, H; Saridogan, E; Mueller, M; Keckstein, J; Pluchino, N; Janik, G; Zupi, E; Minelli, L; Cooper, M; Dunselman, G; Koh, C; Abrao, M S; Chapron, C; D'Hooghe, T

2016-06-01

Which essential items should be recorded before, during and after endometriosis surgery and in clinical outcome based surgical trials in patients with deep endometriosis (DE)? A DE surgical sheet (DESS) was developed for standardized reporting of the surgical treatment of DE and an international expert consensus proposal on relevant items that should be recorded in surgical outcome trials in women with DE. Surgery is an important treatment for symptomatic DE. So far, data have been reported in such a way that comparison of different surgical techniques is impossible. Therefore, we present an international expert proposal for standardized reporting of surgical treatment and surgical outcome trials in women with DE. International expert consensus based on a systematic review of literature. Taking into account recommendations from Consolidated Standards of Reporting Trials (CONSORT), the Innovation Development Exploration Assessment and Long-term Study (IDEAL), the Initiative on Methods, Measurement and Pain Assessment in Clinical trials (IMMPACT) and the World Endometriosis Research Foundation Phenome and Biobanking Harmonisation Project (WERF EPHect), a systematic literature review on surgical treatment of DE was performed and resulted in a proposal for standardized reporting, adapted by contributions from eight members of the multidisciplinary Leuven University Hospitals Endometriosis Care Program, from 18 international experts and from audience feedback during three international meetings. We have developed the DESS to record in detail the surgical procedures for DE, and an international consensus on pre-, intra- and post-operative data that should be recorded in surgical outcome trials on DE. The recommendations in this paper represent a consensus among international experts based on a systematic review of the literature. For several items and recommendations, high-quality RCTs were not available. Further research is needed to validate and evaluate the recommendations presented here. This international expert consensus for standardized reporting of surgical treatment in women with DE, based on a systematic literature review and international consensus, can be used as a guideline to record and report surgical management of patients with DE and as a guideline to design, execute, interpret and compare clinical trials in this patient population. None of the authors received funding for the development of this paper. M.A. reports personal fees and non-financial support from Bayer Pharma outside the submitted work; H.T. reports a grant from Pfizer and personal fees for being on the advisory board of Perrigo, Abbvie, Allergan and SPD. N/A. © The Author 2016. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Artificialized land characteristics and sediment connectivity explain muddy flood hazard in Wallonia

NASA Astrophysics Data System (ADS)

de Walque, Baptiste; Bielders, Charles; Degré, Aurore; Maugnard, Alexandre

2017-04-01

Muddy flood occurrence is an off-site erosion problem of growing interest in Europe and in particular in the loess belt and Condroz regions of Wallonia (Belgium). In order to assess the probability of occurrence of muddy floods in specific places, a muddy flood hazard prediction model has been built. It was used to test 11 different explanatory variables in simple and multiple logistic regressions approaches. A database of 442 muddy flood-affected sites and an equal number of homologous non flooded sites was used. For each site, relief, land use, sediment production and sediment connectivity of the contributing area were extracted. To assess the prediction quality of the model, we proceeded to a validation using 48 new pairs of homologous sites. Based on Akaïke Information Criterion (AIC), we determined that the best muddy flood hazard assessment model requires a total of 6 explanatory variable as inputs: the spatial aggregation of the artificialized land, the sediment connectivity, the artificialized land proximity to the outlet, the proportion of artificialized land, the mean slope and the Gravelius index of compactness of the contributive area. The artificialized land properties listed above showed to improve substantially the model quality (p-values from 10e-10 to 10e-4). All of the 3 properties showed negative correlation with the muddy flood hazard. These results highlight the importance of considering the artificialized land characteristics in the sediment transport assessment models. Indeed, artificialized land such as roads may dramatically deviate flows and influence the connectivity in the landscape. Besides the artificialized land properties, the sediment connectivity showed significant explanatory power (p-value of 10e-11). A positive correlation between the sediment connectivity and the muddy flood hazard was found, ranging from 0.3 to 0.45 depending on the sediment connectivity index. Several studies already have highlighted the importance of this parameter in the sediment transport characterization in the landscape. Using the best muddy flood probability of occurrence threshold value of 0.49, the validation of the best multiple logistic regression resulted in a prediction quality of 75.6% (original dataset) and 81.2% (secondary dataset). The developed statistical model could be used as a reliable tool to target muddy floods mitigation measures in sites resulting with the highest muddy floods hazard.
Evaluating the potential of multi-purpose nature based solutions in peri-urban landscapes - a preliminary assessment

NASA Astrophysics Data System (ADS)

Geris, Josie; Wilkinson, Mark; Stutter, Marc; Guenther, Daniel; Soulsby, Chris

2016-04-01

Many communities across the world face the increasing challenge of balancing water quantity and quality protection and improvement with accommodating new growth and urban development. Urbanisation is typically associated with detrimental changes in water quality, sediment delivery, and effects on water storage and flow pathways (e.g. increases in flooding). Current mitigation solutions are typically based on isolated design strategies used at specific small scale sites and for storm water only. More holistic catchment scale approaches are urgently required to effectively manage the amount of water flows and protect the raw water quality in peri-urban landscapes. This project aims to provide a better understanding of the connectivity between natural and managed flow pathways, storage, and biogeochemical processes in the peri-urban landscape to eventually aid a more integrated water quantity and quality control design. For an actively urbanising catchment in NE Scotland we seek to understand the spatio-temporal character of the natural flow pathways and associated water quality, and how these may be used to support the design of nature based solutions during urbanisation. We present preliminary findings from a dense and multiscale monitoring network that includes hydrometric, tracer (stable water isotopes) and water quality (turbidity (sediment), nitrate, phosphate) data during a range of contrasting hydroclimatological conditions and at different stages of the development of urban infrastructure. These demonstrate a highly variable nature, both temporally and spatially, with water quality dynamics out of sync with storm responses and depending on management practices. This highlights potential difficulties for managing water quantity and quality simultaneously at the catchment scale, and suggests that a treatment train approach may be required. Well-designed nature based solutions that tackle both water quantity and quality issues will require adaptability and a focus on the whole spectrum of the flow regime.
Recent Trends in Suspended Sediment Load & Water Quality in the Upper Chesapeake Bay

NASA Astrophysics Data System (ADS)

Freeman, L. A.; Ackleson, S. G.

2016-02-01

The Chesapeake Bay spans several major cities on the US east coast and drains a large watershed (164,200 km2) to the Atlantic Ocean. Upstream deforestation and agriculture have led to a major decline in water quality (increased sediment and nutrient load) of the Bay over the past century. Sediment flux into the Chesapeake Bay is a natural process, but has become an environmental concern as land use changes have exacerbated natural suspended sediment loads and saturated the capacity of the estuary to filter and remove sediments. In situ measurements of suspended sediments and surface reflectance from the Potomac, Patapsco, and Severn River were used to develop algorithms that convert surface reflectance from Landsat (1-3, 4-5, 7, 8) imagery to suspended sediment concentration for the entire Chesapeake Bay. A unique time series of suspended sediment load in the Chesapeake Bay was compiled from Landsat imagery dating from 1977-2015. Particular focus is given to the upper Chesapeake Bay near Washington, DC and Baltimore, MD to understand urban effects. In particular, the Potomac, Patapsco, and Severn River are examined from both remote sensing and in situ measurements. Landsat imagery combined with in situ monitoring provides environmental scientists and resource managers with detailed trends in sediment distribution and concentration, a key measure of water quality. Trends of suspended sediment load in several rivers and the upper Chesapeake Bay will be presented, along with a discussion of suspended sediment algorithms for Landsat imagery. Advantages of Landsat 8 (improved signal-to-noise performance and more bands) versus previous sensors will be examined for suspended sediment applications.
EURECCA colorectal: multidisciplinary management: European consensus conference colon & rectum.

PubMed

van de Velde, Cornelis J H; Boelens, Petra G; Borras, Josep M; Coebergh, Jan-Willem; Cervantes, Andres; Blomqvist, Lennart; Beets-Tan, Regina G H; van den Broek, Colette B M; Brown, Gina; Van Cutsem, Eric; Espin, Eloy; Haustermans, Karin; Glimelius, Bengt; Iversen, Lene H; van Krieken, J Han; Marijnen, Corrie A M; Henning, Geoffrey; Gore-Booth, Jola; Meldolesi, Elisa; Mroczkowski, Pawel; Nagtegaal, Iris; Naredi, Peter; Ortiz, Hector; Påhlman, Lars; Quirke, Philip; Rödel, Claus; Roth, Arnaud; Rutten, Harm; Schmoll, Hans J; Smith, Jason J; Tanis, Pieter J; Taylor, Claire; Wibe, Arne; Wiggers, Theo; Gambacorta, Maria A; Aristei, Cynthia; Valentini, Vincenzo

2014-01-01

Care for patients with colon and rectal cancer has improved in the last 20years; however considerable variation still exists in cancer management and outcome between European countries. Large variation is also apparent between national guidelines and patterns of cancer care in Europe. Therefore, EURECCA, which is the acronym of European Registration of Cancer Care, is aiming at defining core treatment strategies and developing a European audit structure in order to improve the quality of care for all patients with colon and rectal cancer. In December 2012, the first multidisciplinary consensus conference about cancer of the colon and rectum was held. The expert panel consisted of representatives of European scientific organisations involved in cancer care of patients with colon and rectal cancer and representatives of national colorectal registries. The expert panel had delegates of the European Society of Surgical Oncology (ESSO), European Society for Radiotherapy & Oncology (ESTRO), European Society of Pathology (ESP), European Society for Medical Oncology (ESMO), European Society of Radiology (ESR), European Society of Coloproctology (ESCP), European CanCer Organisation (ECCO), European Oncology Nursing Society (EONS) and the European Colorectal Cancer Patient Organisation (EuropaColon), as well as delegates from national registries or audits. Consensus was achieved using the Delphi method. For the Delphi process, multidisciplinary experts were invited to comment and vote three web-based online voting rounds and to lecture on the subjects during the meeting (13th-15th December 2012). The sentences in the consensus document were available during the meeting and a televoting round during the conference by all participants was performed. This manuscript covers all sentences of the consensus document with the result of the voting. The consensus document represents sections on diagnostics, pathology, surgery, medical oncology, radiotherapy, and follow-up where applicable for treatment of colon cancer, rectal cancer and metastatic colorectal disease separately. Moreover, evidence based algorithms for diagnostics and treatment were composed which were also submitted to the Delphi process. The total number of the voted sentences was 465. All chapters were voted on by at least 75% of the experts. Of the 465 sentences, 84% achieved large consensus, 6% achieved moderate consensus, and 7% resulted in minimum consensus. Only 3% was disagreed by more than 50% of the members. Multidisciplinary consensus on key diagnostic and treatment issues for colon and rectal cancer management using the Delphi method was successful. This consensus document embodies the expertise of professionals from all disciplines involved in the care for patients with colon and rectal cancer. Diagnostic and treatment algorithms were developed to implement the current evidence and to define core treatment guidance for multidisciplinary team management of colon and rectal cancer throughout Europe. Copyright © 2013 Elsevier Ltd. All rights reserved.
Recent and historic sediment dynamics along Difficult Run, a suburban Virginia Piedmont stream

NASA Astrophysics Data System (ADS)

Hupp, Cliff R.; Noe, Gregory B.; Schenk, Edward R.; Benthem, Adam J.

2013-01-01

Suspended sediment is one of the major concerns regarding the quality of water entering the Chesapeake Bay. Some of the highest suspended-sediment concentrations occur on Piedmont streams, including Difficult Run, a tributary of the Potomac River draining urban and suburban parts of northern Virginia. Accurate information on catchment level sediment budgets is rare and difficult to determine. Further, the sediment trapping portion of sediment budget represents an important ecosystem service that profoundly affects downstream water quality. Our objectives, with special reference to human alterations to the landscape, include the documentation and estimation of floodplain sediment trapping (present and historic) and bank erosion along an urbanized Piedmont stream, the construction of a preliminary sediment balance, and the estimation of legacy sediment and recent development impacts. We used white feldspar markers to measure floodplain sedimentation rates and steel pins to measure erosion rates on floodplains and banks, respectively. Additional data were collected for/from legacy sediment thickness and characteristics, mill pond impacts, stream gaging station records, topographic surveying, and sediment density, texture, and organic content. Data were analyzed using GIS and various statistical programs. Results are interpreted relative to stream equilibrium affected by both post-colonial bottomland sedimentation (legacy) and modern watershed hardening associated with urbanization. Six floodplain/channel sites, from high to low in the watershed, were selected for intensive study. Bank erosion ranges from 0 to 470 kg/m/y and floodplain sedimentation ranges from 18 to 1369 kg/m/y (m refers to meters of stream reach). Upstream reaches are net erosional, while downstream reaches have a distinctly net depositional flux providing a watershed sediment balance of 2184 kg/m/y trapped within the system. The amounts of both deposition and erosion are large and suggest nonequilibrium channel conditions. Both peak discharge and number of peaks above base have substantially increased since the mid-1960s when urbanization of the watershed began. Deposition patterns are most closely correlated with channel gradient, sinuosity, and channel width/floodplain width for recent and historic periods. The substantial amounts of fine grained sediment deposited on the floodplain over the past two centuries or so do not appear to be closely related to historic mill pond presence or location. The floodplain continues to provide the critical ecosystem service of sediment trapping in the face of multiple human alterations. Trends in sediment deposition/erosion may react rapidly to land use practices within the watershed and offer a valuable barometer of the effects of management actions.
Recent and historic sediment dynamics along Difficult Run, a suburban Virginia Piedmont stream

USGS Publications Warehouse

Hupp, Cliff R.; Noe, Gregory B.; Schenk, Edward R.; Bentham, Adam J.

2012-01-01

Suspended sediment is one of the major concerns regarding the quality of water entering the Chesapeake Bay. Some of the highest suspended-sediment concentrations occur on Piedmont streams, including Difficult Run, a tributary of the Potomac River draining urban and suburban parts of northern Virginia. Accurate information on catchment level sediment budgets is rare and difficult to determine. Further, the sediment trapping portion of sediment budget represents an important ecosystem service that profoundly affects downstream water quality. Our objectives, with special reference to human alterations to the landscape, include the documentation and estimation of floodplain sediment trapping (present and historic) and bank erosion along an urbanized Piedmont stream, the construction of a preliminary sediment balance, and the estimation of legacy sediment and recent development impacts. We used white feldspar markers to measure floodplain sedimentation rates and steel pins to measure erosion rates on floodplains and banks, respectively. Additional data were collected for/from legacy sediment thickness and characteristics, mill pond impacts, stream gaging station records, topographic surveying, and sediment density, texture, and organic content. Data were analyzed using GIS and various statistical programs. Results are interpreted relative to stream equilibrium affected by both post-colonial bottomland sedimentation (legacy) and modern watershed hardening associated with urbanization. Six floodplain/channel sites, from high to low in the watershed, were selected for intensive study. Bank erosion ranges from 0 to 470 kg/m/y and floodplain sedimentation ranges from 18 to 1369 kg/m/y (m refers to meters of stream reach). Upstream reaches are net erosional, while downstream reaches have a distinctly net depositional flux providing a watershed sediment balance of 2184 kg/m/y trapped within the system. The amounts of both deposition and erosion are large and suggest nonequilibrium channel conditions. Both peak discharge and number of peaks above base have substantially increased since the mid-1960s when urbanization of the watershed began. Deposition patterns are most closely correlated with channel gradient, sinuosity, and channel width/floodplain width for recent and historic periods. The substantial amounts of fine grained sediment deposited on the floodplain over the past two centuries or so do not appear to be closely related to historic mill pond presence or location. The floodplain continues to provide the critical ecosystem service of sediment trapping in the face of multiple human alterations. Trends in sediment deposition/erosion may react rapidly to land use practices within the watershed and offer a valuable barometer of the effects of management actions.
Sediment plume model-a comparison between use of measured turbidity data and satellite images for model calibration.

PubMed

Sadeghian, Amir; Hudson, Jeff; Wheater, Howard; Lindenschmidt, Karl-Erich

2017-08-01

In this study, we built a two-dimensional sediment transport model of Lake Diefenbaker, Saskatchewan, Canada. It was calibrated by using measured turbidity data from stations along the reservoir and satellite images based on a flood event in 2013. In June 2013, there was heavy rainfall for two consecutive days on the frozen and snow-covered ground in the higher elevations of western Alberta, Canada. The runoff from the rainfall and the melted snow caused one of the largest recorded inflows to the headwaters of the South Saskatchewan River and Lake Diefenbaker downstream. An estimated discharge peak of over 5200 m 3 /s arrived at the reservoir inlet with a thick sediment front within a few days. The sediment plume moved quickly through the entire reservoir and remained visible from satellite images for over 2 weeks along most of the reservoir, leading to concerns regarding water quality. The aims of this study are to compare, quantitatively and qualitatively, the efficacy of using turbidity data and satellite images for sediment transport model calibration and to determine how accurately a sediment transport model can simulate sediment transport based on each of them. Both turbidity data and satellite images were very useful for calibrating the sediment transport model quantitatively and qualitatively. Model predictions and turbidity measurements show that the flood water and suspended sediments entered upstream fairly well mixed and moved downstream as overflow with a sharp gradient at the plume front. The model results suggest that the settling and resuspension rates of sediment are directly proportional to flow characteristics and that the use of constant coefficients leads to model underestimation or overestimation unless more data on sediment formation become available. Hence, this study reiterates the significance of the availability of data on sediment distribution and characteristics for building a robust and reliable sediment transport model.
Aquatic Sediments.

ERIC Educational Resources Information Center

Sanville, W. D.; And Others

1978-01-01

Presents a literature review of aquatic sediments and its effect upon water quality, covering publications of 1976-77. This review includes: (1) sediment water interchange; (2) chemical and physical characterization; and (3) heavy water in sediments. A list of 129 references is also presented. (HM)
Distribution and pollution, toxicity and risk assessment of heavy metals in sediments from urban and rural rivers of the Pearl River delta in southern China.

PubMed

Xiao, Rong; Bai, Junhong; Huang, Laibin; Zhang, Honggang; Cui, Baoshan; Liu, Xinhui

2013-12-01

Sediments were collected from the upper, middle and lower reaches of both urban and rural rivers in a typical urbanization zone of the Pearl River delta. Six heavy metals (Cd, Cr, Cu, Ni, Pb and Zn) were analyzed in all sediment samples, and their spatial distribution, pollution levels, toxicity and ecological risk levels were evaluated to compare the characteristics of heavy metal pollution between the two rivers. Our results indicated that the total contents of the six metals in all samples exceeded the soil background value in Guangdong province. Based on the soil quality thresholds of the China SEPA, Cd levels at all sites exceeded class III criteria, and other metals exhibited pollution levels exceeding class II or III criteria at both river sites. According to the sediment quality guidelines of the US EPA, all samples were moderately to heavily polluted by Cr, Cu, Ni, Pb and Zn. Compared to rural river sites, urban river sites exhibited heavier pollution. Almost all sediment samples from both rivers exhibited moderate to serious toxicity to the environment, with higher contributions from Cr and Ni. A "hot area" of heavy metal pollution being observed in the upper and middle reaches of the urban river area, whereas a "hot spot" was identified at a specific site in the middle reach of the rural river. Contrary metal distribution patterns were also observed along typical sediment profiles from urban and rural rivers. However, the potential ecological risk indices of rural river sediments in this study were equal to those of urban river sediments, implying that the ecological health issues of the rivers in the undeveloped rural area should also be addressed. Sediment organic matter and grain size might be important factors influencing the distribution profiles of these heavy metals.

Implementation outcome assessment instruments used in physical healthcare settings and their measurement properties: a systematic review protocol

PubMed Central

Vitoratou, Silia; Sevdalis, Nick; Hull, Louise

2017-01-01

Introduction Over the past 10 years, research into methods that promote the uptake, implementation and sustainability of evidence-based interventions has gathered pace. However, implementation outcomes are defined in different ways and assessed by different measures; the extent to which these measures are valid and reliable is unknown. The aim of this systematic review is to identify and appraise studies that assess the measurement properties of quantitative implementation outcome instruments used in physical healthcare settings, to advance the use of precise and accurate measures. Methods and analysis The following databases will be searched from inception to March 2017: MEDLINE, EMBASE, PsycINFO, CINAHL and the Cochrane Library. Grey literature will be sought via HMIC, OpenGrey, ProQuest for theses and Web of Science Conference Proceedings Citation Index-Science. Reference lists of included studies and relevant reviews will be hand searched. Three search strings will be combined to identify eligible studies: (1) implementation literature, (2) implementation outcomes and (3) measurement properties. Screening of titles, abstracts and full papers will be assessed for eligibility by two reviewers independently and any discrepancies resolved via consensus with the wider team. The methodological quality of the studies will be assessed using the COnsensus-based Standards for the selection of health Measurement INstruments checklist. A set of bespoke criteria to determine the quality of the instruments will be used, and the relationship between instrument usability and quality will be explored. Ethics and dissemination Ethical approval is not necessary for systematic review protocols. Researchers and healthcare professionals can use the findings of this systematic review to guide the selection of implementation outcomes instruments, based on their psychometric quality, to assess the impact of their implementation efforts. The findings will also provide a useful guide for reviewers of papers and grants to determine the psychometric quality of the measures used in implementation research. Trial registration number International Prospective Register of Systematic Reviews (PROSPERO): CRD42017065348. PMID:28993392
Sediment toxicity in Savannah Harbor

USGS Publications Warehouse

Winger, P.V.; Lasier, P.J.

1995-01-01

Savannah Harbor, located near the mouth of the Savannah River, Georgia and South Carolina, is impacted by industrial and municipal effluents. Potential release of contaminants stored in harbor sediments through dredging and shipping operations requires that contaminated areas be identified for proper management of the system and protection of wildlife resources. During 1991, Hyalella azteca were exposed in 10-d static-renewal toxicity tests to pore-water and solid-phase sediment samples collected from 26 sites within Savannah Harbor. Pore-water toxicity was more pronounced than that for solidphase sediment. Toxicity and reduced leaf consumption demonstrated impaired sediment quality at specific sites within Savannah Harbor and Back River. Factors responsible for the decreased sediment quality were ammonia, alkalinity, and metal concentrations (cadmium, chromium, lead, molybdenum, and nickel). Elevated concentrations of metals and toxicities in Back River sediments indicated impacts from adjacent dredge-spoil areas.
Linking suspended sediment transport metrics with fish functional traits in the Northwestern Great Plains (Invited)

NASA Astrophysics Data System (ADS)

Schwartz, J. S.; Simon, A.; Klimetz, L.

2009-12-01

Loss of ecological integrity due to excessive suspended sediment in rivers and streams is a major cause of water quality impairment in the United States. Although 32 states have developed numeric criteria for turbidity or suspended solids, or both according to the USEPA (2006), criteria is typically written as a percent exceedance above background and what constitutes background is not well defined. Defining a background level is problematic considering suspended sediments and related turbidity levels change with flow stage and season, and limited scientific data exists on relationships between sediment exposure and biotic response. Current assessment protocols for development of sediment total maximum daily loads (TMDLs) lack a means to link temporally-variable sediment transport rates with specific losses of ecological functions as loads increase. This study, within the in Northwestern Great Plains Ecoregion, co-located 58 USGS gauging stations with existing flow and suspended sediment data, and fish data from federal and state agencies. Suspended sediment concentration (SSC) transport metrics were quantified into exceedance frequencies of a given magnitude, duration as the number of consecutive days a given concentration was equaled or exceeded, dosage as concentration x duration, and mean annual suspended sediment yields. A functional traits-based approach was used to correlate SSC transport metrics with site occurrences of 20 fish traits organized into four main groups: preferred rearing mesohabitat, trophic structure, feeding habits, and spawning behavior. Negative correlations between SSC metrics and trait occurrences were assumed to represent potential conditions for impairment, specifically identifying an ecological loss by functional trait. Potential impairment conditions were linked with presence of the following traits: habitat preferences for stream pool and river shallow waters; feeding generalists, omnivores, piscivores; and several spawning behaviors. Using these results, TMDL targets were proposed such as < 19 mg/l SSC and 1,500 mg/l-day dosage at the 95% recurrence frequency for feeding generalists and omnivores. In general, traits correlated with: 1) a broad range of SSC exceedance frequencies and flow stages, 2) exceedance frequencies near 90-95% occurring at moderate flow stages; and 3) exceedance frequencies near 0.01-10 % occurring during floods. Unstable channels were found to be greater in transported suspended sediment than stable channels over a range of concentration exceedance frequencies, and likely influence physical habitat quality. Pool-preference and gravel spawner traits were greater in stable channels than unstable channels. Overall, a functional traits-based approach utilizing concentration-duration-frequency characteristics of suspended sediment transport was successful in identifying potential “targets” for biological impairment due to excessive sediment, and will aid in developing sediment TMDLs.
Herbicides--Protecting Long-Term Sustainability and Water Quality in Forest Ecosystems

Treesearch

Daniel G. Neary; Jerry L. Michael

1996-01-01

World-wide, sediment is the major water quality problem. The use of herbicides for controllingcompeting vegetation during stand establishment can be benciicial to forest ecosystem sustainability and water quality by minimising off-site soil loss, reducing onsite soil and organic matter displacement, and preventing deterioration of soil physical properties. Sediment...
Quantifying Relationships between Water Quality and Aquatic Life Use Attainment using Sediment Profile Imagery (SPI) in Pensacola Bay

EPA Science Inventory

We present results from a monthly sediment and water quality survey of nine stations along a transect in the Pensacola Bay estuary spanning the salinity gradient from Escambia River to the Gulf of Mexico. We evaluated Benthic Habitat Quality (Nilsson and Rosenberg 1997) derived f...
EFFECTS OF URBANIZATION ON THE SPATIAL AND TEMPORAL CHEMICAL QUALITY OF THREE TIDAL BAYOUS IN THE GULF OF MEXICO

EPA Science Inventory

Water and sediment quality in three tidal bayous located near Pensacola, Florida, were assessed during 1993-1995. The primary objective was to determine the environmental condition of the relatively small urban bayous by comparing the chemical quality of the sediments and surface...
Three-Dimensional Numerical Simulation of Water Quality and Sediment-Associated Processes with Application to a Mississippi Delta Lake

USDA-ARS?s Scientific Manuscript database

A three-dimensional water quality model was developed for simulating temporal and spatial variations of phytoplankton, nutrients, and dissolved oxygen in freshwater bodies. Effects of suspended and bed sediment on the water quality processes were simulated. A formula was generated from field measure...
Anodonta imbecillis QA Test 1, Clinch River - Environmental Restoration Program (CR-ERP)

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

Simbeck, D.J.

1997-06-01

Toxicity testing of split whole sediment samples using juvenile freshwater mussels (Anodonta imbecillis) was conducted by TVA and CR-ERP personnel as part of the CR-ERP biomonitoring study of Clinch River sediments to provide a quality assurance mechanism for test organism quality and overall performance of the test. In addition, testing included procedures comparing daily renewal versus non-renewal of test sediments. Testing of sediment samples collected July 15 from Poplar Creek Miles 6.0 and 5.1 was conducted from July 21-30, 1993. Results from this test showed no toxicity (survival effects) to fresh-water mussels during a 9-day exposure to the sediments. Sidemore » by side testing of sediments with daily sediment renewal and no sediment renewal showed no differences between methods. This may be due to the absence of toxicity in both samples and may not reflect true differences between the two methods for toxic sediment.« less
Developing a biomonitoring tool for fine sediment

NASA Astrophysics Data System (ADS)

Turley, Matt; Bilotta, Gary; Brazier, Richard; Extence, Chris

2014-05-01

Sediment is an essential component of freshwater ecosystems; however anthropogenic activities can lead to elevated sediment delivery which can impact on the physical, chemical and biological characteristics of these ecosystems. Ultimately, this can result in a loss of ecosystem services worth more than 1.7 trillion per annum. As such it is important that sediment, which is one of the most commonly attributed causes of water quality impairment globally, is managed in order to minimise these impacts. The current EU environmental quality standard for sediment (monitored in the form of suspended solids) is 25 mg L-1 for all environments. It is widely recognised that this standard is unsuitable and not ecologically relevant. Furthermore, it requires a substantial resource investment to monitor sediment in this form as part of national and international water resource legislation. In recognition of this the development of sediment-specific biomonitoring tools is receiving increasing attention. The Proportion of Sediment-Sensitive Invertebrates (PSI) index is one such tool that is designed to indicate levels of fine sediment (
[SECOT consensus on painful knee replacement].

PubMed

Vaquero, J; Macule, F; Bello, S; Chana, F; Forriol, F

2013-01-01

The opinions of 21 experts in knee surgery were evaluated in this study, using a DELPHI questionnaire method in two successive rounds, on 64 controversial scenarios that covered both the diagnosis and possible treatment of painful knee replacements. The level of consensus was significantly unanimous in 42 items and of the design in 5, with no agreement in 17 of the questions presented. light of the published scientific evidence, the surgeons who took part showed to have a notable level of information on the most effective diagnostic tests, although, it should be pointed out that there was a lack of confidence in the possibility of ruling out an infection when the erythrocyte sedimentation rate and the C-reactive protein were within normal values, which have been demonstrated in the literature to have a high negative predictive value As regards the treatments to employ in the different situations, the responses of the expert panel were mainly in agreement with the data in the literature. The conclusions of this consensus may help other surgeons when they are faced with a painful knee prosthesis. Copyright © 2013 SECOT. Published by Elsevier Espana. All rights reserved.
Assessment of sediment contamination at Great Lakes Areas of Concern: the ARCS Program Toxicity-Chemistry Work Group strategy

USGS Publications Warehouse

Ross, P.E.; Burton, G.A.; Crecelius, E.A.; Filkins, J. C.; Giesy, J.P.; Ingersoll, C.G.; Landrum, P.F.; Mac, M.J.; Murphy, T.J.; Rathbun, J. E.; Smith, V. E.; Tatem, H. E.; Taylor, R.W.

1992-01-01

In response to a mandate in Section 118(c)(3) of the Water Quality Act of 1987, a program called Assessment and Remediation of Contaminated Sediments (ARCS) was established. Four technical work groups were formed. This paper details the research strategy of the Toxicity-Chemistry Work Group.The Work Group's general objectives are to develop survey methods and to map the degree of contamination and toxicity in bottom sediments at three study areas, which will serve as guidance for future surveys at other locations. A related objective is to use the data base that will be generated to calculate sediment quality concentrations by several methods. The information needed to achieve these goals will be collected in a series of field surveys at three areas: Saginaw Bay (MI), Grand Calumet River (IN), and Buffalo River (NY). Assessments of the extent of contamination and potential adverse effects of contaminants in sediment at each of these locations will be conducted by collecting samples for physical characterization, toxicity testing, mutagenicity testing, chemical analyses, and fish bioaccumulation assays. Fish populations will be assessed for tumors and external abnormalities, and benthic community structure will be analyzed. A mapping approach will use low-cost indicator parameters at a large number of stations, and will extrapolate by correlation from traditional chemical and biological studies at a smaller number of locations. Sediment toxicity testing includes elutriate, pore water and whole sediment bioassays in a three-tiered framework. In addition to the regular series of toxicity tests at primary mater stations, some stations are selected for a more extensive suite of tests.
Modeling catchment nutrients and sediment loads to inform regional management of water quality in coastal-marine ecosystems: a comparison of two approaches.

PubMed

Álvarez-Romero, Jorge G; Wilkinson, Scott N; Pressey, Robert L; Ban, Natalie C; Kool, Johnathan; Brodie, Jon

2014-12-15

Human-induced changes in flows of water, nutrients, and sediments have impacts on marine ecosystems. Quantifying these changes to systematically allocate management actions is a priority for many areas worldwide. Modeling nutrient and sediment loads and contributions from subcatchments can inform prioritization of management interventions to mitigate the impacts of land-based pollution on marine ecosystems. Among the catchment models appropriate for large-scale applications, N-SPECT and SedNet have been used to prioritize areas for management of water quality in coastal-marine ecosystems. However, an assessment of their relative performance, parameterization, and utility for regional-scale planning is needed. We examined how these considerations can influence the choice between the two models and the areas identified as priorities for management actions. We assessed their application in selected catchments of the Gulf of California, where managing land-based threats to marine ecosystems is a priority. We found important differences in performance between models. SedNet consistently estimated spatial variations in runoff with higher accuracy than N-SPECT and modeled suspended sediment (TSS) loads mostly within the range of variation in observed loads. N-SPECT overestimated TSS loads by orders of magnitude when using the spatially-distributed sediment delivery ratio (SDR), but outperformed SedNet when using a calibrated SDR. Differences in subcatchments' contribution to pollutant loads were principally due to explicit representation of sediment sinks and particulate nutrients by SedNet. Improving the floodplain extent model, and constraining erosion estimates by local data including gully erosion in SedNet, would improve results of this model and help identify effective management responses. Differences between models in the patterns of modeled pollutant supply were modest, but significantly influenced the prioritization of subcatchments for management. Copyright © 2014 Elsevier Ltd. All rights reserved.
Sediment laboratory quality-assurance project: studies of methods and materials

USGS Publications Warehouse

Gordon, J.D.; Newland, C.A.; Gray, J.R.

2001-01-01

In August 1996 the U.S. Geological Survey initiated the Sediment Laboratory Quality-Assurance project. The Sediment Laboratory Quality Assurance project is part of the National Sediment Laboratory Quality-Assurance program. This paper addresses the fmdings of the sand/fme separation analysis completed for the single-blind reference sediment-sample project and differences in reported results between two different analytical procedures. From the results it is evident that an incomplete separation of fme- and sand-size material commonly occurs resulting in the classiﬁcation of some of the fme-size material as sand-size material. Electron microscopy analysis supported the hypothesis that the negative bias for fme-size material and the positive bias for sand-size material is largely due to aggregation of some of the ﬁne-size material into sand-size particles and adherence of ﬁne-size material to the sand-size grains. Electron microscopy analysis showed that preserved river water, which was low in dissolved solids, speciﬁc conductance, and neutral pH, showed less aggregation and adhesion than preserved river water that was higher in dissolved solids and speciﬁc conductance with a basic pH. Bacteria were also found growing in the matrix, which may enhance fme-size material aggregation through their adhesive properties. Differences between sediment-analysis methods were also investigated as pan of this study. Suspended-sediment concentration results obtained from one participating laboratory that used a total-suspended solids (TSS) method had greater variability and larger negative biases than results obtained when this laboratory used a suspended-sediment concentration method. When TSS methods were used to analyze the reference samples, the median suspended sediment concentration percent difference was -18.04 percent. When the laboratory used a suspended-sediment concentration method, the median suspended-sediment concentration percent difference was -2.74 percent. The percent difference was calculated as follows: Percent difference = (( reported mass - known mass)/known mass ) X 100.
A community effort towards a knowledge-base and mathematical model of the human pathogen Salmonella Typhimurium LT2.

PubMed

Thiele, Ines; Hyduke, Daniel R; Steeb, Benjamin; Fankam, Guy; Allen, Douglas K; Bazzani, Susanna; Charusanti, Pep; Chen, Feng-Chi; Fleming, Ronan M T; Hsiung, Chao A; De Keersmaecker, Sigrid C J; Liao, Yu-Chieh; Marchal, Kathleen; Mo, Monica L; Özdemir, Emre; Raghunathan, Anu; Reed, Jennifer L; Shin, Sook-il; Sigurbjörnsdóttir, Sara; Steinmann, Jonas; Sudarsan, Suresh; Swainston, Neil; Thijs, Inge M; Zengler, Karsten; Palsson, Bernhard O; Adkins, Joshua N; Bumann, Dirk

2011-01-18

Metabolic reconstructions (MRs) are common denominators in systems biology and represent biochemical, genetic, and genomic (BiGG) knowledge-bases for target organisms by capturing currently available information in a consistent, structured manner. Salmonella enterica subspecies I serovar Typhimurium is a human pathogen, causes various diseases and its increasing antibiotic resistance poses a public health problem. Here, we describe a community-driven effort, in which more than 20 experts in S. Typhimurium biology and systems biology collaborated to reconcile and expand the S. Typhimurium BiGG knowledge-base. The consensus MR was obtained starting from two independently developed MRs for S. Typhimurium. Key results of this reconstruction jamboree include i) development and implementation of a community-based workflow for MR annotation and reconciliation; ii) incorporation of thermodynamic information; and iii) use of the consensus MR to identify potential multi-target drug therapy approaches. Taken together, with the growing number of parallel MRs a structured, community-driven approach will be necessary to maximize quality while increasing adoption of MRs in experimental design and interpretation.
Multidisciplinary management of head and neck cancer: First expert consensus using Delphi methodology from the Spanish Society for Head and Neck Cancer (part 1).

PubMed

Mañós, M; Giralt, J; Rueda, A; Cabrera, J; Martinez-Trufero, J; Marruecos, J; Lopez-Pousa, A; Rodrigo, J P; Castelo, B; Martínez-Galán, J; Arias, F; Chaves, M; Herranz, J J; Arrazubi, V; Baste, N; Castro, A; Mesía, R

2017-07-01

Head and neck cancer is one of the most frequent malignances worldwide. Despite the site-specific multimodality therapy, up to half of the patients will develop recurrence. Treatment selection based on a multidisciplinary tumor board represents the cornerstone of head and neck cancer, as it is essential for achieving the best results, not only in terms of outcome, but also in terms of organ-function preservation and quality of life. Evidence-based international and national clinical practice guidelines for head and neck cancer not always provide answers in terms of decision-making that specialists must deal with in their daily practice. This is the first Expert Consensus on the Multidisciplinary Approach for Head and Neck Squamous Cell Carcinoma (HNSCC) elaborated by the Spanish Society for Head and Neck Cancer and based on a Delphi methodology. It offers several specific recommendations based on the available evidence and the expertise of our specialists to facilitate decision-making of all health-care specialists involved. Copyright © 2017. Published by Elsevier Ltd.
A community effort towards a knowledge-base and mathematical model of the human pathogen Salmonella Typhimurium LT2

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

Thiele, Ines; Hyduke, Daniel R.; Steeb, Benjamin

2011-01-01

Metabolic reconstructions (MRs) are common denominators in systems biology and represent biochemical, genetic, and genomic (BiGG) knowledge-bases for target organisms by capturing currently available information in a consistent, structured manner. Salmonella enterica subspecies I serovar Typhimurium is a human pathogen, causes various diseases and its increasing antibiotic resistance poses a public health problem. Here, we describe a community-driven effort, in which more than 20 experts in S. Typhimurium biology and systems biology collaborated to reconcile and expand the S. Typhimurium BiGG knowledge-base. The consensus MR was obtained starting from two independently developed MRs for S. Typhimurium. Key results of thismore » reconstruction jamboree include i) development and implementation of a community-based workflow for MR annotation and reconciliation; ii) incorporation of thermodynamic information; and iii) use of the consensus MR to identify potential multi-target drug therapy approaches. Finally, taken together, with the growing number of parallel MRs a structured, community-driven approach will be necessary to maximize quality while increasing adoption of MRs in experimental design and interpretation.« less
Application of sediment quality guidelines in the assessment and management of contaminated surficial sediments in Port Jackson (Sydney Harbour), Australia.

PubMed

Birch, Gavin F; Taylor, Stuart E

2002-06-01

Sediments in the Port Jackson estuary are polluted by a wide range of toxicants and concentrations are among the highest reported for any major harbor in the world. Sediment quality guidelines (SQGs), developed by the National Oceanographic and Atmospheric Administration (NOAA) in the United States are used to estimate possible adverse biological effects of sedimentary contaminants in Port Jackson to benthic animals. The NOAA guidelines indicate that Pb, Zn, DDD, and DDE are the most likely contaminants to cause adverse biological effects in Port Jackson. On an individual chemical basis, the detrimental effects due to these toxicants may occur over extensive areas of the harbor, i.e., about 40%, 30%, 15% and 50%, respectively. The NOAA SQGs can also be used to estimate the probability of sediment toxicity for contaminant mixtures by determining the number of contaminants exceeding an upper guideline value (effects range medium, or ERM), which predicts probable adverse biological effects. The exceedence approach is used in the current study to estimate the probability of sediment toxicity and to prioritize the harbour in terms of possible adverse effects on sediment-dwelling animals. Approximately 1% of the harbor is mantled with sediment containing more than ten contaminants exceeding their respective ERM concentrations and, based on NOAA data, these sediments have an 80% probability of being toxic. Sediment with six to ten contaminants exceeding their respective ERM guidelines extend over approximately 4% of the harbor and have a 57% probability of toxicity. These areas are located in the landward reaches of embayments in the upper and central harbor in proximity to the most industrialised and urbanized part of the catchment. Sediment in a further 17% of the harbor has between one and five exceedences and has a 32% probability of being toxic. The application of SQGs developed by NOAA has not been tested outside North America, and the validity of using them in Port Jackson has yet to be demonstrated. The screening approach adopted here is to use SQGs to identify contaminants of concern and to determine areas of environmental risk. The practical application and management implications of the results of this investigation are discussed.
The effect of weathering in the Buyukmelen River basin on the geochemistry of suspended and bed sediments and the hyrogeochemical characteristics of river water, Duzce, Turkey

NASA Astrophysics Data System (ADS)

Pehlivan, Rustem

2010-07-01

The Buyukmelen River is expected to be a water source that can supply the drinking water needs of Istanbul until 2040. The drinking and utility water needs of Istanbul are to transport water from the Buyukmelen River to Istanbul via pipeline and pump it into the Alibeykoy and Omerli reservoirs when their water levels drop. The Buyukmelen River is located in the province of Duzce in 170 km east of Istanbul and its water basin is approximately 2250 km 2. The Buyukmelen River flows muddy in the rainy season and into the Black Sea. The chemical compositions of natural waters alter due to interaction with geological formations, physical and chemical weathering of various rocks and the effects of mining and agricultural production. A research was conducted at the Buyukmelen River basin to determine the effects of hydrological processes. Therefore, the samples of rocks, soil, stream water, suspended and bed sediment were collected from the Buyukmelen River basin. Geochemical and water chemistry analyses of samples were performed at ALS Chemex laboratories, Canada. The bed sediments contain quartz, calcite, plagioclase, amphibole and clay minerals. The clay minerals in the suspended and bed sediment samples are kaolinite, smectite and illite. The water samples collected from the Aksu, Kucukmelen, Asarsu and Ugursuyu streams and the Buyukmelen River in winter (December 2005) and summer (June 2006) periods are rich in Ca and HCO 3 ions. The ions most abundant in rainfall sample are HCO 3 and Na. The ion compositions of surface waters have increased due to the weathering of limestone, agglomerate and volcanic sandstones, light acidic rainfall, semi-arid Black Sea climate in the Buyukmelen basin. The suspended sediment amount of the Buyukmelen River in the rainy season (December 2005) is 174 mg/l. According to the water contamination regulation of Turkey, the Buyukmelen Rivers belongs to quality class 4 based on Al ion and to quality class 3 based on Fe ion in winter period, and to quality class 2 based on Mn concentration in summer period. Chemical index of alteration (CIA) indices observed in the suspended and bed sediments (average of 55) suggest that their source area underwent moderate degrees of chemical weathering processes. According to Upper Continental Crust (UCC) values, the suspended sediment was rich in elements such as Fe 2O 3, CaO, MgO, MnO, TiO 2, P 2O 5, V, Cr, Co, Cu, Zn, As, Cd, Sb, Hg and Pb. The element concentrations of the suspended sediments were related to size fractionation, mainly of clay content. The mentioned enrichment was contributed by agglomerate, basalt, volcanic sandstone and graywacke from rocks in the study area. Source of ions such as Al, Fe, Mn, Ba, Cr, Co, Cu, Ni, Ti and Hg and major in the Buyukmelen River is interaction with rocks such as the agglomerate, basalt, andesite, volcanic sandstone and graywacke. As suggested by Singh et al. (2005), before weathering of some rocks in the Buyukmelen River basin, it was determined that they were graywacke and literanite based on the geochemistry of the suspended and bed sediments.
Assessing the condition of bayous and estuaries: Bayou Chico Gulf of Mexico demonstration study

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

Dickson, K.; Acevedo, M.; Waller, T.

1995-12-31

A demonstration study was conducted in May 1994 on Bayou Chico to assess the utility of various assessment and measurement endpoints in determining the condition of bayous and estuaries. Bayou Chico has water quality problems attributed to its low flushing rate and urban/industrial land use in its watershed. The sampling scheme assessed the within-sampling station and spatial variability of measurement endpoints. Fourteen sampling stations in Bayou Chico and 3 stations in Pensacola Bay were selected based on an intensified EMAP sampling grid. Time and space coordinated sampling was conducted for: sediment contaminants and properties, sediment toxicity, water quality, benthic infauna,more » zooplankton and phytoplankton populations. Fish and crabs were also collected and analyzed for a suite of biomarkers and organic chemical residues. Primary productivity was measured via the light bottle dark bottle oxygen method and via diurnal oxygen measurements made with continuous recording data sondes. Stream sites were evaluated for water and sediment quality, water and sediment toxicity, benthic invertebrates and fish. Watershed analyses included assessment of land use/landcover (via SPOT and TM images), soils, pollution sources (point and non-point) and hydrography. These data were coordinated via an Arc/Info GIS system for display and spatial analysis. 1994 survey data were used to parameterize environmental fate models such as SWMM (Storm Water Management Model), DYNHYD5 (WASP5 hydrodynamics model) and WASP5 (Water Quality Analysis Simulation Program) to make predictions about the dynamics and fate of chemical contaminants in Bayou Chico. This paper will present an overview, and report on the results in regards to within-site and spatial variability in Bayou Chico. Conclusions on the efficacy of the assessment and measurement endpoints in evaluating the condition (health) of Bayou Chico will be presented.« less
Report from the fifth international consensus meeting to harmonize core outcome measures for atopic eczema/dermatitis clinical trials (HOME initiative).

PubMed

Chalmers, J R; Thomas, K S; Apfelbacher, C; Williams, H C; Prinsen, C A; Spuls, P I; Simpson, E; Gerbens, L A A; Boers, M; Barbarot, S; Stalder, J F; Abuabara, K; Aoki, V; Ardeleanu, M; Armstrong, J; Bang, B; Berents, T L; Burton, T; Butler, L; Chubachi, T; Cresswell-Melville, A; DeLozier, A; Eckert, L; Eichenfield, L; Flohr, C; Futamura, M; Gadkari, A; Gjerde, E S; van Halewijn, K F; Hawkes, C; Howells, L; Howie, L; Humphreys, R; Ishii, H A; Kataoka, Y; Katayama, I; Kouwenhoven, W; Langan, S M; Leshem, Y A; Merhand, S; Mina-Osorio, P; Murota, H; Nakahara, T; Nunes, F P; Nygaard, U; Nygårdas, M; Ohya, Y; Ono, E; Rehbinder, E; Rogers, N K; Romeijn, G L E; Schuttelaar, M L A; Sears, A V; Simpson, M A; Singh, J A; Srour, J; Stuart, B; Svensson, Å; Talmo, G; Talmo, H; Teixeira, H D; Thyssen, J P; Todd, G; Torchet, F; Volke, A; von Kobyletzki, L; Weisshaar, E; Wollenberg, A; Zaniboni, M

2018-05-01

This is the report from the fifth meeting of the Harmonising Outcome Measures for Eczema initiative (HOME V). The meeting was held on 12-14 June 2017 in Nantes, France, with 81 participants. The main aims of the meeting were (i) to achieve consensus over the definition of the core domain of long-term control and how to measure it and (ii) to prioritize future areas of research for the measurement of the core domain of quality of life (QoL) in children. Moderated whole-group and small-group consensus discussions were informed by presentations of qualitative studies, systematic reviews and validation studies. Small-group allocations were performed a priori to ensure that each group included different stakeholders from a variety of geographical regions. Anonymous whole-group voting was carried out using handheld electronic voting pads according to predefined consensus rules. It was agreed by consensus that the long-term control domain should include signs, symptoms, quality of life and a patient global instrument. The group agreed that itch intensity should be measured when assessing long-term control of eczema in addition to the frequency of itch captured by the symptoms domain. There was no recommendation of an instrument for the core outcome domain of quality of life in children, but existing instruments were assessed for face validity and feasibility, and future work that will facilitate the recommendation of an instrument was agreed upon. © 2018 The Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.

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