[The kangaroo mothers' programme: a simple and cost-effective alternative for protecting the premature newborn or low-birth-weight babies].

PubMed

Lizarazo-Medina, Jenny P; Ospina-Diaz, Juan M; Ariza-Riaño, Nelly E

2012-06-01

Describing the efficacy and achievements of the kangaroo mothers' programme (KMP) regarding preterm or low-birth-weight babies' health and development in Hospital San Rafael in Tunja from November 2007 to December 2009. This was a retrospective observational cohort study; 374 infants born prematurely or having low-birth-weight were included to assess household socio-demographic factors, maternal and obstetric history, delivery characteristics and complications and follow-up until 40 weeks post-conception age. There was a high prevalence of teenage pregnancy (17.5 %) and in women older than 35 years (12.6 %), unwanted pregnancy (40.6 %), low quality and poor availability of food in families, complications such as preeclampsia, infection and premature rupture of membranes, 1,969 grams average birth weight, 2,742.9 grams average weight on discharge and 22 grams average weight gain per day. It was found that KMP methodology substantially improved the mothers' psychological aspects and health status and the newborns' prognosis and led to stabilising body temperature and weight gain rate while decreasing risks of complications and nosocomial infection. It also lowered health care costs and shortened hospital stay.

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

Code of Federal Regulations, 2010 CFR

2010-10-01

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

An Analysis of 34,218 Pediatric Outpatient Controlled Substance Prescriptions.

PubMed

George, Jessica A; Park, Paul S; Hunsberger, Joanne; Shay, Joanne E; Lehmann, Christoph U; White, Elizabeth D; Lee, Benjamin H; Yaster, Myron

2016-03-01

Prescription errors are among the most common types of iatrogenic errors. Because of a previously reported 82% error rate in handwritten discharge narcotic prescriptions, we developed a computerized, web-based, controlled substance prescription writer that includes weight-based dosing logic and alerts to reduce the error rate to (virtually) zero. Over the past 7 years, >34,000 prescriptions have been created by hospital providers using this platform. We sought to determine the ongoing efficacy of the program in prescription error reduction and the patterns with which providers prescribe controlled substances for children and young adults (ages 0-21 years) at hospital discharge. We examined a database of 34,218 controlled substance discharge prescriptions written by our institutional providers from January 1, 2007 to February 14, 2014, for demographic information, including age and weight, type of medication prescribed based on patient age, formulation of dispensed medication, and amount of drug to be dispensed at hospital discharge. In addition, we randomly regenerated 2% (700) of prescriptions based on stored data and analyzed them for errors using previously established error criteria. Weights that were manually entered into the prescription writer by the prescriber were compared with the patient's weight in the hospital's electronic medical record. Patients in the database averaged 9 ± 6.1 (range, 0-21) years of age and 36.7 ± 24.9 (1-195) kg. Regardless of age, the most commonly prescribed opioid was oxycodone (73%), which was prescribed as a single agent uncombined with acetaminophen. Codeine was prescribed to 7% of patients and always in a formulation containing acetaminophen. Liquid formulations were prescribed to 98% of children <6 years of age and to 16% of children >12 years of age (the remaining 84% received tablet formulations). Regardless of opioid prescribed, the amount of liquid dispensed averaged 106 ± 125 (range, 2-3240) mL, and the number of tablets dispensed averaged 51 ± 51 (range, 1-1080). Of the subset of 700 regenerated prescriptions, all were legible (drug, amount dispensed, dose, patient demographics, and provider name) and used best prescribing practice (e.g., no trailing zero after a decimal point, leading zero for doses <1). Twenty-five of the 700 (3.6%) had incorrectly entered weights compared with the most recent weight in the chart. Of these, 14 varied by 10% or less and only 2 varied by >15%. Of these, 1 resulted in underdosing (true weight 80 kg prescribed for a weight of 50 kg) and the other in overdosing (true weight 10 kg prescribed for a weight of 30 kg). A computerized prescription writer eliminated most but not all the errors common to handwritten prescriptions. Oxycodone has supplanted codeine as the most commonly prescribed oral opioid in current pediatric pain practice and, independent of formulation, is dispensed in large quantities. This study underscores the need for liquid opioid formulations in the pediatric population and, because of their abuse potential, the urgent need to determine how much of the prescribed medication is actually used by patients.

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

USGS Publications Warehouse

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

1994-01-01

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

Stability of Geriatric Syndromes in Hospitalized Medicare Beneficiaries Discharged to Skilled Nursing Facilities.

PubMed

Simmons, Sandra F; Bell, Susan; Saraf, Avantika A; Coelho, Chris S; Long, Emily A; Jacobsen, J M L; Schnelle, John F; Vasilevskis, Eduard E

2016-10-01

To assess multiple geriatric syndromes in a sample of older hospitalized adults discharged to skilled nursing facilities (SNFs) and subsequently to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. Descriptive, prospective study. One large university-affiliated hospital and four area SNFs. Fifty-eight hospitalized Medicare beneficiaries discharged to SNFs (N = 58). Research personnel conducted standardized assessments of the following geriatric syndromes at hospital discharge and 2 weeks after SNF discharge to home: cognitive impairment, depression, incontinence, unintentional weight loss, loss of appetite, pain, pressure ulcers, history of falls, mobility impairment, and polypharmacy. The average number of geriatric syndromes per participant was 4.4 ± 1.2 at hospital discharge and 3.8 ± 1.5 after SNF discharge. There was low to moderate stability for most syndromes. On average, participants had 2.9 syndromes that persisted across both care settings, 1.4 syndromes that resolved, and 0.7 new syndromes that developed between hospital and SNF discharge. Geriatric syndromes were prevalent at the point of each care transition but also reflected significant within-individual variability. These findings suggest that multiple geriatric syndromes present during a hospital stay are not transient and that most syndromes are not resolved before SNF discharge. These results underscore the importance of conducting standardized screening assessments at the point of each care transition and effectively communicating this information to the next provider to support the management of geriatric conditions. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

Stability of Geriatric Syndromes in Hospitalized Medicare Patients Discharged to Skilled Nursing Facilities

PubMed Central

Simmons, Sandra F.; Bell, Susan; Saraf, Avantika A.; Coelho, Chris Simon; Long, Emily A.; Jacobsen, J. Mary Lou; Schnelle, John F.; Vasilevskis, Eduard E.

2016-01-01

Objectives The purpose of this study was to assess multiple geriatric syndromes in a sample of older hospitalized patients discharged to skilled nursing facilities and, subsequently, to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. Design Descriptive, prospective study. Setting One large university-affiliated hospital and four area SNFs. Participants Fifty-eight hospitalized Medicare beneficiaries discharged to SNF. Measurements Research personnel conducted standardized assessments of the following geriatric syndromes at hospital discharge and two weeks following SNF discharge to home: cognitive impairment, depression, incontinence, unintentional weight loss, loss of appetite, pain, pressure ulcers, history of falls, mobility impairment and polypharmacy. Results The average number of geriatric syndromes per patient was 4.4 (± 1.2) at hospital discharge and 3.8 (±1.5) following SNF discharge. There was low to moderate stability for most syndromes. On average, participants had 2.9 syndromes that persisted across both care settings, 1.4 syndromes that resolved, and 0.7 new syndromes that developed between hospital and SNF discharge. Conclusion Geriatric syndromes were prevalent at the point of each care transition but also reflected significant within-individual variability. These findings suggest that multiple geriatric syndromes present during a hospital stay are not transient nor are most syndromes resolved prior to SNF discharge. These results underscore the importance of conducting standardized screening assessments at the point of each care transition and effectively communicating this information to the next provider to support the management of geriatric conditions. PMID:27590032

40 CFR 63.7690 - What emissions limitations must I meet?

Code of Federal Regulations, 2010 CFR

2010-07-01

... exceed a flow-weighted average of 20 ppmv. (11) For each triethylamine (TEA) cold box mold or core making... section: (i) You must not discharge emissions of TEA through a conveyance to the atmosphere that exceed 1... reduce emissions of TEA from each TEA cold box mold or core making line by at least 99 percent, as...

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

PubMed

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

2017-11-01

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

A behavioral weight-loss intervention for persons with serious mental illness in psychiatric rehabilitation centers.

PubMed

Daumit, G L; Dalcin, A T; Jerome, G J; Young, D R; Charleston, J; Crum, R M; Anthony, C; Hayes, J H; McCarron, P B; Khaykin, E; Appel, L J

2011-08-01

Overweight and obesity are epidemic in populations with serious mental illnesses. We developed and pilot-tested a behavioral weight-loss intervention appropriately tailored for persons with serious mental disorders. We conducted a single-arm pilot study in two psychiatric rehabilitation day programs in Maryland, and enrolled 63 overweight or obese adults. The 6-month intervention provided group and individual weight management and group physical activity classes. The primary outcome was weight change from baseline to 6 months. A total of 64% of those potentially eligible enrolled at the centers. The mean age was 43.7 years; 56% were women; 49% were white; and over half had schizophrenia or a schizoaffective disorder. One-third had hypertension and one-fifth had diabetes. In total, 52 (82%) completed the study; others were discharged from psychiatric centers before completion of the study. Average attendance across all weight management sessions was 70% (87% on days participants attended the center) and 59% for physical activity classes (74% on days participants attended the center). From a baseline mean of 210.9 lbs (s.d. 43.9), average weight loss for 52 participants was 4.5 lb (s.d. 12.8) (P<0.014). On average, participants lost 1.9% of body weight. Mean waist circumference change was 3.1 cm (s.d. 5.6). Participants on average increased the distance on the 6-minute walk test by 8%. This pilot study documents the feasibility and preliminary efficacy of a behavioral weight-loss intervention in adults with serious mental illness who were attendees at psychiatric rehabilitation centers. The results may have implications for developing weight-loss interventions in other institutional settings such as schools or nursing homes.

Medications Associated with Geriatric Syndromes (MAGS) and their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities

PubMed Central

Saraf, Avantika A.; Peterson, Alec W.; Simmons, Sandra F.; Schnelle, John F.; Bell, Susan P.; Kripalani, Sunil; Myers, Amy P.; Mixon, Amanda S.; Long, Emily A.; Jacobsen, J. Mary Lou; Vasilevskis, Eduard E.

2016-01-01

Background More than half of the hospitalized older adults discharged to skilled nursing facilities (SNFs) have more than three geriatric syndromes. Pharmacotherapy may be contributing to geriatric syndromes in this population. Objectives Develop a list of medications associated with geriatric syndromes and describe their prevalence in patients discharged from acute care to skilled nursing facilities (SNFs) Design Literature review and multidisciplinary expert panel discussion, followed by cross-sectional analysis. Setting Academic Medical Center in the United States Participants 154 hospitalized Medicare beneficiaries discharged to SNFs Measurements Development of a list of medications that are associated with six geriatric syndromes. Prevalence of the medications associated with geriatric syndromes was examined in the hospital discharge sample. Results A list of 513 medications was developed as potentially contributing to 6 geriatric syndromes: cognitive impairment, delirium, falls, reduced appetite or weight loss, urinary incontinence, and depression. Medications included 18 categories. Antiepileptics were associated with all syndromes while antipsychotics, antidepressants, antiparkinsonism and opioid agonists were associated with 5 geriatric syndromes. In the prevalence sample, patients were discharged to SNFs with an overall average of 14.0 (±4.7) medications, including an average of 5.9 (±2.2) medications that could contribute to geriatric syndromes, with falls having the most associated medications at discharge, 5.5 (±2.2). Conclusions Many commonly prescribed medications are associated with geriatric syndromes. Over 40% of all medications ordered upon discharge to SNFs were associated with geriatric syndromes and could be contributing to the high prevalence of geriatric syndromes experienced by this population. PMID:27255830

Climate-Induced Changes in the Chemical Characteristics of Natural Organic Matter at a Small Freshwater Wetland

NASA Astrophysics Data System (ADS)

Maurice, P. A.; Cabaniss, S. E.; Drummond, J.

2001-12-01

This study investigated the spatiotemporal variability in dissolved organic carbon concentration (DOC), natural organic matter (NOM) weight average molecular weight (Mw), and absorptivity at 280 nm (e280, an estimator of aromaticity) at McDonalds Branch, a first-order stream that is a fen wetland. When ground-water discharge to the stream was predominant, the DOC, the Mw, and the e280 were all relatively low. When soil porewater was more important, not only was the DOC higher, but also the Mw and e280. Hence, the contribution of soil pore water relative to ground water controlled not only the concentration but also the average physicochemical characteristics of the NOM. Results from this small watershed study provide insight into climatic effects on surface-water NOM characteristics in a small freshwater fen. Low-flow periods resulted in lower Mw, more aliphatic NOM derived primarily from ground-water discharge to the stream whereas higher flow periods resulted in a higher Mw(by 150-500 Da), more aromatic downstream surface-water NOM pool. Hence, during future summer drought periods, as suggested by climate-change models for much of North America, surface-water NOM likely will be lower molecular weight, more aliphatic, and more hydrophilic with lesser metal binding and HOC uptake abilities, along with decreased ability to attenuate UV radiation.

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

PubMed

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

2015-06-01

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

Stream temperature medelling and fibre optic distributed temperature sensing to quantify groundwater discharge in the Ngongotaha Stream, New Zealand

NASA Astrophysics Data System (ADS)

Moridnejad, Maryam; Cameron, Stewart; Shamseldin, Asaad; Ward, Nick Dudley; Verhagen, Floris

2015-04-01

To characterize stream/groundwater interaction, fibre optic distributed temperature sensing (FODTS) was deployed over a 1 km reach in the Ngongotaha Stream, Rotorua, New Zealand in January 2013. The cable was deployed at the streambed near the left and right banks as the groundwater fed springs discharge laterally at both banks. Temperature profiles measured by FODTS were used to identify the location of springs using a constant temperature method (20 min averaged temperature data) (Lowry et al., 2007; Matheswaran et al., 2014; Selker et al., 2006a) and a standard deviation of diurnal temperature method (Lowry et al., 2007; Matheswaran et al., 2014). Both methods identified 13 individual springs at the right and left banks in an approximately 115 m reach. The left and right bank temperature profiles showed that full mixing of the spring and stream water does not occur between most of the springs due to their close spacing. Groundwater discharge quantification based on FODTS data is typically made using a simple steady state thermal mixing model (Briggs et al., 2012a; Selker et al.,2006a; Westhoff et al., 2007). This formula is not applicable in streams like the Ngongotaha where springs are closely spaced and groundwater and surface water are not well mixed between springs. To address this issue, a new approach was developed in this study in which a one dimensional heat transport model was fitted to the FODTS measurements, where the main calibration parameters of interest were the unknown spring discharges. Datasets of measured temperatures at the left and right bank were transformed to a new single dataset using a weighted average where the weights reflect the degree of mixing downstream of a spring. Model calibration helped to find the optimum value of the weights in the springs section. For a spring on the left bank the weighted average was skewed towards the left bank data, and vice-versa for a right bank spring. Upstream of the spring section, a non-weighted average was applied. Streamflow gauging upstream and downstream of the study reach showed that the stream gains ~ 500 L/s from groundwater which was used to find the mixing ratios of the left and right banks. The new model allowed the spring discharge to be quantified in the complex hydrogeological setting. The results showed consistency with the findings of previous study in the Ngongotaha Stream catchment (Kov'ǎcov'a et al., 2008). Refrences Briggs, M. A., Lautz, L. K., McKenzie, J. M., 2012a. A comparison of fibre-optic distributed temperature sensing to traditional methods of evaluating groundwater inflow to streams. Hydrological Processes 26 (9), 1277-1290. Kov'ǎcov'a, E., White, P., (N.Z.), G. S., Staff, G. S. N., 2008. Groundwater Catchments for Individual Springs in Ngongotaha andWaiowhiro Surface Catchments, Lake Rotorua. GNS Science report. GNS Science. Lowry, C. S., Walker, J. F., Hunt, R. J., Anderson, M. P., 2007. Identifying spatial variability of groundwater discharge in a wetland stream using a distributed temperature sensor. Water Resources Research 43 (10). Matheswaran, K., Blemmer, M., Rosbjerg, D., Boegh, E., 2014. Seasonal variations in groundwater upwelling zones in a danish lowland stream analyzed using distributed temperature sensing (dts). Hydrological Processes 28 (3), 1422-1435. Selker, J., van de Giesen, N., Westhoff, M., Luxemburg, W., Parlange, M. B., 2006a. Fiber optics opens window on stream dynamics. Geophysical Research Letters 33 (24). Westhoff, M. C., Savenije, H. H. G., Luxemburg, W. M. J. ., Stelling, G. S., van de Giesen, N. C., Selker, J. S., Pfister, L., Uhlenbrook, S., 2007. A distributed stream temperature model using high resolution temperature observations. Hydrology and Earth System Sciences 11 (4), 1469-1480.

Influence of Sample Size of Polymer Materials on Aging Characteristics in the Salt Fog Test

NASA Astrophysics Data System (ADS)

Otsubo, Masahisa; Anami, Naoya; Yamashita, Seiji; Honda, Chikahisa; Takenouchi, Osamu; Hashimoto, Yousuke

Polymer insulators have been used in worldwide because of some superior properties; light weight, high mechanical strength, good hydrophobicity etc., as compared with porcelain insulators. In this paper, effect of sample size on the aging characteristics in the salt fog test is examined. Leakage current was measured by using 100 MHz AD board or 100 MHz digital oscilloscope and separated three components as conductive current, corona discharge current and dry band arc discharge current by using FFT and the current differential method newly proposed. Each component cumulative charge was estimated automatically by a personal computer. As the results, when the sample size increased under the same average applied electric field, the peak values of leakage current and each component current increased. Especially, the cumulative charges and the arc discharge length of dry band arc discharge increased remarkably with the increase of gap length.

Spring Emigration of Natural and Hatchery Chinook Salmon and Steelhead Trout Smolts from the Imnaha River, Oregon; 1997 Annual Report.

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

Blenden, Michael L.; Veach, Eric R.; Kucera, Paul A.

1998-10-01

For the fourth consecutive year, the Nez Perce Tribe, in conjunction with the Fish Passage Center, participated in the smolt monitoring program in the Imnaha River. A screw trap was used to collect emigrating natural and hatchery chinook salmon (Uncorhynchus tshawytscha) and steelhead trout (Oncorhynchus mykiss) smolts from February 25 to June 27, 1997. A total of 270 natural chinook salmon, 10,616 hatchery chinook salmon, 864 natural steelhead trout (and 13 natural steelhead parr), and 7,345 hatchery steelhead trout smolts were captured during emigration studies on the Imnaha River. Mortality associated with trapping, handling and tagging was low: 0.37% formore » natural chinook, 0.11% for hatchery chinook, 0.11% for natural steelhead, and 0.39% for hatchery steelhead trout smolts. Natural chinook salmon smolts emigrated from the Imnaha River from February 25 to June 10 and had a mean length of 108 mm, average weight of 13 g, and mean condition factor of 1.02. The peak period of natural chinook smolt emigration, based on number of fish collected, occurred between March 25 and April 30. Hatchery reared chinook salmon smolts were collected from April 9 to May 9, with 99% of the smolts being caught within 10 days after release. Hatchery chinook smolts mean length, weight, and condition factor were 131 mm, 25.4 g, and 1.12, respectively. Emigration of natural steelhead smolts in the Imnaha River occurred between March 14 and June 25. Peak emigration occurred from May 1 to May 15. Natural steelhead smolts averaged 175 mm in fork length, 55.8 g in weight and had a mean condition factor of 1 .OO. Hatchery steelhead smolts emigrated from the Imnaha River between April 15 and June 27. Hatchery steelhead smolts averaged 210 mm in fork length, 88 g in weight and had a mean condition factor of 0.93. Spring runoff water conditions in 1997 provided above average flows for emigrating anadromous salmonid smolts. Imnaha River mean daily discharge during spring emigration ranged from 7.4 cms (260 cfs) on March 9 to 96.6 cms (3,410 cfs) on April 20 at USGS gauge 13292000, Imnaha, OR. Snake River discharge measured at the Anatone gauge station, ranged from 61.1 to 152 kcfs from April 15 to May 18. River discharge at LGR ranged from 79.6 kcfs on March 6 to 225.3 kcfs on May 18. Flows at LGR were generally greater than 100 kcfs during most of the spring runoff period, and discharge exceeded 120 kcfs from March 20-31 and April 19 to June 24. The water spill period at LGR occurred continuously from April 10 to June 29 with peak spill of 101.9 kcfs occurring on May 17.« less

The effect of mothers’ empowerment program on premature infants’ weight gain and duration of hospitalization

PubMed Central

Mohammaddoost, Fatemeh; Mosayebi, Ziba; Peyrovi, Hamid; Chehrzad, Minoo-Mitra; Mehran, Abbas

2016-01-01

Background: The readiness of mothers to take care for infants at discharge is a critical issue. Poor readiness of mothers in taking care of premature infants at the time of discharge is associated with potential adverse consequences. This study examined the effect of implementing mothers’ empowerment program on the weight gain and duration of hospitalization in premature infants. Materials and Methods: This study was a quasi-experimental before-after study with a control group, in which 80 mothers with premature infants who were hospitalized in NICU Level II of two hospitals were recruited in the study. Mothers’ empowerment program was implemented as a three-stage training program for the intervention group. Mothers’ readiness questionnaire was completed by the mothers before the intervention and at the discharge time. The changes in mean of mothers’ readiness scores were compared in both the groups. Results: The mean of daily weight gain in infants of the intervention group (3.95 g) was significantly higher than that of the infants in the control group (−0.9 g) (P = 0.003). The average duration of hospitalization for infants in the intervention and control groups was 15.45 days and 20.95 days, respectively, showing a statistically significant difference (P = 0.003). Conclusions: Providing training to the mothers regarding how to care for premature infants can be a useful and effective method in the process of weight gain of premature and low-birth newborns, and may shorten the duration of infants’ hospitalization. PMID:27563317

Composite Cathodes for Dual-Rate Li-Ion Batteries

NASA Technical Reports Server (NTRS)

Whitacre, Jay; West, William; Bugga, Ratnakumar

2008-01-01

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

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

PubMed

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

2017-01-01

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

A method of estimating in-stream residence time of water in rivers

NASA Astrophysics Data System (ADS)

Worrall, F.; Howden, N. J. K.; Burt, T. P.

2014-05-01

This study develops a method for estimating the average in-stream residence time of water in a river channel and across large catchments, i.e. the time between water entering a river and reaching a downstream monitoring point. The methodology uses river flow gauging data to integrate Manning's equation along a length of channel for different percentile flows. The method was developed and tested for the River Tees in northern England and then applied across the United Kingdom (UK). The study developed methods to predict channel width and main channel length from catchment area. For an 818 km2 catchment with a channel length of 79 km, the in-stream residence time at the 50% exceedence flow was 13.8 h. The method was applied to nine UK river basins and the results showed that in-stream residence time was related to the average slope of a basin and its average annual rainfall. For the UK as a whole, the discharge-weighted in-stream residence time was 26.7 h for the median flow. At median flow, 50% of the discharge-weighted in-stream residence time was due to only 6 out of the 323 catchments considered. Since only a few large rivers dominate the in-stream residence time, these rivers will dominate key biogeochemical processes controlling export at the national scale. The implications of the results for biogeochemistry, especially the turnover of carbon in rivers, are discussed.

Estimating design-flood discharges for streams in Iowa using drainage-basin and channel-geometry characteristics

USGS Publications Warehouse

Eash, D.A.

1993-01-01

Procedures provided for applying the drainage-basin and channel-geometry regression equations depend on whether the design-flood discharge estimate is for a site on an ungaged stream, an ungaged site on a gaged stream, or a gaged site. When both a drainage-basin and a channel-geometry regression-equation estimate are available for a stream site, a procedure is presented for determining a weighted average of the two flood estimates. The drainage-basin regression equations are applicable to unregulated rural drainage areas less than 1,060 square miles, and the channel-geometry regression equations are applicable to unregulated rural streams in Iowa with stabilized channels.

Development of Hospitalization Resource Intensity Scores for Kids (H-RISK) and Comparison across Pediatric Populations.

PubMed

Richardson, Troy; Rodean, Jonathan; Harris, Mitch; Berry, Jay; Gay, James C; Hall, Matt

2018-04-25

In the Medicare population, measures of relative severity of illness (SOI) for hospitalized patents have been used in prospective payment models. Similar measures for pediatric populations have not been fully developed. To develop hospitalization resource intensity scores for kids (H-RISK) using pediatric relative weights (RWs) for SOI and to compare hospital types on case-mix index (CMI). Using the 2012 Kids' Inpatient Database (KID), we developed RWs for each All Patient Refined Diagnosis Related Group (APR-DRG) and SOI level. RW corresponded to the ratio of the adjusted mean cost for discharges in an APR-DRG SOI combination over adjusted mean cost of all discharges in the dataset. RWs were applied to every discharge from 3,117 hospitals in the database with at least 20 discharges. RWs were then averaged at the hospital level to provide each hospital's CMI. CMIs were compared by hospital type using Kruskal- Wallis tests. The overall adjusted mean cost of weighted discharges in Healthcare Cost and Utilization Project KID 2012 was $6,135 per discharge. Solid organ and bone marrow transplantations represented 4 of the 10 highest procedural RWs (range: 35.5 to 91.7). Neonatal APRDRG SOIs accounted for 8 of the 10 highest medical RWs (range: 19.0 to 32.5). Free-standing children's hospitals yielded the highest median (interquartile range [IQR]) CMI (2.7 [2.2-3.1]), followed by urban teaching hospitals (1.8 [1.3-2.6]), urban nonteaching hospitals (1.1 [0.9-1.5]), and rural hospitals (0.8 [0.7-0.9]; P < .001). H-RISK for populations of pediatric admissions are sensitive to detection of substantial differences in SOI by hospital type. © 2018 Society of Hospital Medicine.

Weight Change Following US Military Service

PubMed Central

Littman, Alyson J.; Jacobson, Isabel G.; Boyko, Edward J.; Powell, Teresa; Smith, Tyler C.

2014-01-01

Background Although overweight and obesity are less prevalent among active-duty military personnel compared with similar persons not serving in the military, no such differences have been observed between veterans and nonveterans. Objective To assess the magnitude of weight changes before, concurrent with, and following discharge from the military, relative to weight during service, and to determine the demographic, service-related, and psychological characteristics associated with clinically-important weight gain among those who were discharged from military service during follow-up. Methods Eligible Millennium Cohort Study participants (n=38,686) completed questionnaires approximately every three years (2001, 2004, and 2007) that were used to estimate annual weight changes, as well as the percentage experiencing clinically-important weight gain, defined as ≥10%. Analyses were stratified by sex. Results Weight gain was greatest around the time of discharge from service and in the 3 years prior to discharge (1.0–1.3 kg/year), while it was nearly half as much during service (0.6–0.7 kg/year) and three or more years after service ended (0.7 kg/year). Consequently, 6-year weight gain was over 2 kg greater in those who were discharged compared to those who remained in the military during follow-up (5.7 vs. 3.5 kg in men; 6.3 vs. 4.0 kg in women). In those who were discharged, younger age, less education, being overweight at baseline, being in the active duty component (vs. Reserve/National Guard), and having experienced deployment with combat exposures (vs. non-deployment) were associated with increased risks of clinically-important weight gain. Conclusions This study provides the first prospectively-collected evidence for an increased rate of weight gain around the time of military discharge that may explain previously reported higher rates of obesity in veterans, and identifies characteristics of higher risk groups. Discharge from military service presents a window of risk and opportunity to prevent unhealthy weight gain in military personnel and veterans. PMID:22491091

[1981-1983 breast feeding studies of 1,500 mothers in Dortmund and Haltern. II. Volume of breast milk in the maternity ward].

PubMed

Kersting, M; Koester, H; Wennemann, J; Wember, T; Schöch, G

1987-05-01

In two large maternity wards encouraging breast-feeding, breast-milk volumes (weighing of the baby before and after each feeding) and weight development of the infants were determined until dismissal. On days 2, 3 and 4, 20-30%, 60-70%, and 80-90% of the mothers, respectively, produced milk. The largest increase in milk volume ("Einschuss") usually took place between days 3 and 4. Milk volume increased from an average of 150-180 ml on day 4 to 270-300 ml on day 6. Development of milk production was independent of type of delivery; however, the usual delay of one day following caesarean section was not made up for until discharge. Fully breast-feeding mothers produced on the average the same amounts of milk as mothers at the turn of the century. Throughout their stay in the maternity ward, mothers with good breast-feeding experience produced more milk than those with bad or without any breast-feeding experience. Nursing all infants at fairly regular intervals during the day and at night is recommended in order to achieve that as many mothers as possible are fully breast-feeding on discharge. Comparing energy intake and weight development between groups of fully, partially and non breast-fed infants suggested a better utilization of breast-milk.

Continuous measurement of suspended-sediment discharge in rivers by use of optical backscatterance sensors

USGS Publications Warehouse

Schoellhamer, D.H.; Wright, S.A.; Bogen, J.; Fergus, T.; Walling, D.

2003-01-01

Optical sensors have been used to measure turbidity and suspended-sediment concentration by many marine and estuarine studies, and optical sensors can provide automated, continuous time series of suspended-sediment concentration and discharge in rivers. Three potential problems with using optical sensors are biological fouling, particle-size variability, and particle-reflectivity variability. Despite varying particle size, output from an optical backscatterance sensor in the Sacramento River at Freeport, California, USA, was calibrated successfully to discharge-weighted, cross-sectionally averaged suspended-sediment concentration, which was measured with the equal discharge-, or width-increment, methods and an isokinetic sampler. A correction for sensor drift was applied to the 3-year time series. However, the calibration of an optical backscatterance sensor used in the Colorado River at Cisco, Utah, USA, was affected by particle-size variability. The adjusted time series at Freeport was used to calculate hourly suspended-sediment discharge that compared well with daily values from a sediment station at Freeport. The appropriateness of using optical sensors in rivers should be evaluated on a site-specific basis and measurement objectives, potential particle size effects, and potential fouling should be considered.

[Rehospitalization and early discharge in neonatology: retrospective evaluation].

PubMed

Giroux, J D; Finel, E; Sizun, J; Guillois, B; Alix, D; de Parscau, L

1993-03-01

This retrospective study compared discharge summary data in neonates discharged from the Brest Teaching Hospital Neonatology Unit between May 1, 1980 and April 30, 1981 (Period I) or between May 1, 1990 and April 30, 1991 (Period II). Birth weight, gestational age, duration of hospitalization, corrected age at discharge and rehospitalization rate were compared. Among infants with intrauterine growth retardation (IUGR) with or without prematurity, weight at discharge was 2,500 g or less in none of Period I patients (n = 144) versus 67.8% of Period II patients (n = 87). Four Period II infants weighted 2,000 g or less at discharge (1,850, 1,930, 1,960, and 2,000 g). Among premature infants without growth retardation, weight at discharge was 2,500 g or less in 2.2% of Period I infants versus 52.5% of Period II infants (p < 0.0001). Period II infants were not rehospitalized more often or earlier than Period I infants. Early discharge reduces the duration of separation of the child from his or her parents without increasing the rehospitalization rate.

Using oxygen isotopes to establish freshwater sources in Bedford Basin, Nova Scotia, a Northwestern Atlantic fjord

NASA Astrophysics Data System (ADS)

Kerrigan, Elizabeth A.; Kienast, Markus; Thomas, Helmuth; Wallace, Douglas W. R.

2017-12-01

A weekly time-series of oxygen isotope (δ18O) measurements was collected over a 16-month period from near-surface (1 m) and near-bottom (60 m) waters of Bedford Basin, a coastal fjord adjacent to the Scotian Shelf, off eastern Canada. The time-series was complemented with δ18O measurements of local precipitation (rain and snow), river, and wastewater runoff. The isotopic composition of precipitation displayed strong seasonality with an average (volume-weighted) δ18O value of -5.39‰ (±0.96) for summer and a depleted value of -10.37‰ (±2.96) over winter. Winter precipitation exhibited more depleted and variable δ18O of solid precipitation relative to rainfall. The annual, amount-weighted average δ18O of Sackville River discharge (-6.49‰ ± 0.82) was not statistically different from precipitation (-7.24‰ ± 0.92), but exhibited less seasonal variation. Freshwater end-members (zero-salinity intercepts) estimated from annual and seasonal regressions of δ18O versus salinity (S) for Bedford Basin near-surface samples were consistent with the δ18O of summer precipitation and the annual, amount-weighted average for the Sackville River. However, the isotopically depleted signature of winter precipitation was not observed clearly in near-surface waters of Bedford Basin, which might reflect isotope enrichment during sublimation from accumulated snowfall prior to melting and discharge, or retention and mixing within the drainage basin. In near bottom waters, most of the δ18O-S variation (average freshwater end-member: 7.47‰ ± 2.17) could be explained by vertical mixing with near-surface waters (average freshwater end-member: -6.23‰ ± 0.34) and hence with locally-derived freshwater. However the near-bottom δ18O-S variation suggested an additional contribution of a freshwater end-member with a δ18O of -15.55‰ ± 2.3, consistent with a remotely-derived freshwater end-member identified previously for the Scotian Shelf. Residuals from a long-term regression of δ18O-S were generally within the range expected due to analytical uncertainty (±0.05); however near-surface waters exhibited seasonal variability of small amplitude, which was consistent with the timing and δ18O variability of local freshwater inputs.

Peak discharges in steep mountain catchments in relation to rainfall variability, vegetation cover and geomorphology of the Rift Valley Escarpment of Northern Ethiopia

NASA Astrophysics Data System (ADS)

Gebreyohannes, Tesfaalem; Frankl, Amaury; Haile, Mitiku; Abraha, Amanuel; Monsieurs, Elise; Nyssen, Jan

2015-04-01

The hydrological characteristics of steep mountain streams are often considered to be mainly influenced by rainfall distribution and topography. In this study, with the objective of analyzing the runoff response of mountain catchments, a total of 340 peak stage discharges were recorded in three rainy seasons (2012-2014) in 11 sloping (27-65%) mountain catchments (0.4 - 25 km²) of the marginal western Rift Valley escarpment of Northern Ethiopia. Daily rainfall data were collected using 7 rain gauges installed at different altitudes (1623 - 2851 m a.s.l) in and nearby the catchments, and used to calculate weighted average daily rain depths over the catchments. Event peak discharges were calculated from daily measurements by 11 crest stage gauges using the Manning's equation. Percentages of land use and cover classes were detected from high resolution (0.6 m) Google Earth imagery (February 1, 2014). Morphometric characteristics of the catchments were computed from ASTER digital elevation model and topographic maps. Correlation analysis between daily rainfall and peak discharge showed direct relationship (R² = 0.5-0.94, P<0.01) in all the catchments. The average specific peak discharge was negatively related to percentage of forest and grass cover (R² = 0.64, P<0.01), time of concentration (R² = 0.31, P<0.01), drainage texture (R² = 0.42, P<0.01), and catchment perimeter (R² = 0.36, P<0.01). The specific peak discharge was positively correlated with average slope gradient of the catchments (R² = 0.34, P<0.01) and with an index representing the spatial distribution of forest and grass cover (R² = 0.43, P<0.01). A stepwise multiple regression analyses showed that 84% (P<0.01) of the variability of the runoff response in the catchments can be predicted by the percentage of forest and grass cover and the relief ratio of the catchments. All in all, this study demonstrates that the magnitude of flash floods in mountain catchments is not only influenced by the morphometric characteristics of the catchments and by rainfall, but more importantly even by vegetation cover (forest and grasses).

[Dynamic evaluation on body weight gain in premature infants and its significance].

PubMed

Ru, Xi-fang; Feng, Qi; Wang, Ying; Zhang, Xin; Li, Xing; Meng, Jing-wen; Guo, Zai-chen

2010-09-01

To investigate the incidence of intra- and extrauterine growth retardation (EUGR) and growth restriction in premature infants, and to illustrate the growth pattern of them in postnatal and infantile period. All premature infants were admitted to our neonatal intensive care unit (NICU) during the recent 7 years. The criteria for enrollment were (1) gestational age < 37 weeks; (2) single fetus; (3) admitted within the first 24 hours of life; (4) hospitalization period ≥ 14 days; (5) clinical follow-up persisted till ≥ 3 months of corrected gestational age. Intrauterine growth restriction (IUGR), EUGR and growth restriction were defined as having a measured growth value (weight) that was ≤ 10(th) percentile of Chinese infants' growth curve in corrected age on admission, discharge and follow-up period. Results were analyzed by using SPSS 12.0 statistical software package by chi-square test, rank-sum test, and t test. Two hundred and thirty nine infants were involved, 134 were boys and 105 girls. The incidence of IUGR and EUGR assessed by weight was 25.5% and 40.6%, respectively. The lower the birth weight was, the higher the incidence of IUGR and EUGR was. The percentile of body weight in the growth curve at discharge was lower than that at birth (Z = -7.784, P = 0.000). The incidence of growth restriction assessed by weight was 20.5%, 15.0%, 8.8%, 17.0%, 10.4%, 10.1%, 11.9%, 7.0% at corrected gestational age of 38 - 40 weeks, corrected age of 28 d, 61 d, 91 d, 122 d, 152 d, 183 d, and 274 d, respectively. The incidences of growth restriction were stable when the corrected age was older than 91 days. The incidence of growth restriction in female premature infants at 183 days' corrected age was higher than that in male children (χ(2) = 6.181, P = 0.017), the incidence was 19.3% and 3.8% respectively. During the follow-up period, most of the average body weight of premature infants whose gestational age was < 32 weeks or birth weight ≤ 1500 g were lower than the 50(th) percentile of the growth curve except the average body weight of boys whose gestational age < 32 weeks at corrected age of 2 and 4 months. Premature and/or low birth weight infants are at high risk of growth restriction, especially very low birth weight infants. The incidence of growth restriction decreased with growth. Long-term prognosis requires further investigation.

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

USGS Publications Warehouse

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

1998-01-01

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

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

USGS Publications Warehouse

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

1977-01-01

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

Five-way smoking status classification using text hot-spot identification and error-correcting output codes.

PubMed

Cohen, Aaron M

2008-01-01

We participated in the i2b2 smoking status classification challenge task. The purpose of this task was to evaluate the ability of systems to automatically identify patient smoking status from discharge summaries. Our submission included several techniques that we compared and studied, including hot-spot identification, zero-vector filtering, inverse class frequency weighting, error-correcting output codes, and post-processing rules. We evaluated our approaches using the same methods as the i2b2 task organizers, using micro- and macro-averaged F1 as the primary performance metric. Our best performing system achieved a micro-F1 of 0.9000 on the test collection, equivalent to the best performing system submitted to the i2b2 challenge. Hot-spot identification, zero-vector filtering, classifier weighting, and error correcting output coding contributed additively to increased performance, with hot-spot identification having by far the largest positive effect. High performance on automatic identification of patient smoking status from discharge summaries is achievable with the efficient and straightforward machine learning techniques studied here.

Mercury pollution in Doha (Qatar) coastal environment

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

Al-Madfa, H.; Dahab, O.A.; Holail, H.

Surface water and sediment samples were collected from the Doha coastal area and analyzed for content of physico-chemical forms of mercury. Dissolved reactive Hg represented 81.0% of the total dissolved Hg. Organic Hg contributed only 5.0% of total Hg. Mercury showed a strong tendency to be associated with suspended matter in Doha coastal waters, as it represented about 73.0% of the total. Total Hg in bulk Doha surface sediments fluctuated between 0.14 and 1.75 [mu]g g[sup [minus]1] dry weight, with an average of 0.54 [+-] 0.46 [mu]g g[sup [minus]1] dry weight. The sediment fraction past 63 [mu]m contained 0.73 [+-]more » 0.60 [mu]g g[sup [minus]1] dry weight total Hg. Leachable and methyl Hg averaged 0.10 [+-] 0.11 and 0.02 [+-] 0.03 [mu]g g[sup [minus]1] dry weight, respectively, in the < 63-[mu]m sediment fraction. There is a general trend for all Hg species determined in water and sediments to decrease seaward. The significantly elevated Hg levels at certain locations indicated that the main Hg sources to Doha coastal environment are leachate from the solid waste disposal site, the two harbors, and surface-water discharge.« less

Kangaroo mother care for low birth weight infants: a randomized controlled trial.

PubMed

Suman, Rao P N; Udani, Rekha; Nanavati, Ruchi

2008-01-01

To compare the effect of Kangaroo mother care (KMC) and conventional methods of care (CMC) on growth in LBW babies (> 2000 g). Randomized controlled trial. Level III NICU of a teaching institution in western India. 206 neonates with birth weight < 2000 g. The subjects were randomized into two groups: the intervention group (KMC-103) received Kangaroo mother care. The control group (CMC: 103) received conventional care. Growth, as measured by average daily weight gain and by other anthropometrical parameters at 40 weeks postmenstrual age in preterm babies and at 2500 g in term SGA infants was assessed. The KMC babies had better average weight gain per day (KMC: 23.99 g vs CMC: 15.58 g, P< 0.0001). The weekly increments in head circumference (KMC: 0.75 cm vs CMC: 0.49 cm, P = 0.02) and length (KMC: 0.99 cm vs CMC: 0.7 cm, P = 0.008) were higher in the KMC group. A significantly higher number of babies in the CMC group suffered from hypothermia, hypoglycemia, and sepsis. There was no effect on time to discharge. More KMC babies were exclusively breastfed at the end of the study (98% vs 76%). KMC was acceptable to most mothers and families at home. Kangaroo mother care improves growth and reduces morbidities in low birth weight infants. It is simple, acceptable to mothers and can be continued at home.

Nutrient intake, peripheral edema, and weight change in elderly recuperative care patients.

PubMed

Sullivan, Dennis H; Johnson, Larry E; Dennis, Richard A; Roberson, Paula K; Garner, Kimberly K; Padala, Prasad R; Padala, Kalpana P; Bopp, Melinda M

2013-06-01

It is unclear whether serial measures of body weight are valid indicators of nutritional status in older patients recovering from illness. Objectives. Investigate the relative influence of nutrient intake and changes in peripheral edema on weight change. A prospective cohort study of 404 older men (mean age = 78.7±7.5 years) admitted to a transitional care unit of a Department of Veterans Affairs nursing home. Body weight and several indicators of lower extremity edema were measured at both unit admission and discharge. Complete nutrient intake assessments were performed daily. Over a median length of stay of 23 days (interquartile range: 15-41 days), 216 (53%) participants gained or lost more than or equal to 2.5% of their body weight. Two hundred eighty-two (70%) participants had recognizable lower extremity pitting edema at admission and/or discharge. The amount of weight change was strongly and positively correlated with multiple indicators of both nutrient intake and the change in the amount of peripheral edema. By multivariable analysis, the strongest predictor of weight change was maximal calf circumference change (partial R (2) = .35, p < .0001), followed by average daily energy intake (partial R (2) = .14, p < .0001), and the interaction of energy intake by time (partial R (2) = .02, p < .0001). Many older patients either gain or lose a significant amount of weight after admission to a transitional care unit. Because of the apparent high prevalence of co-occurring changes in total body water, the weight changes do not necessarily represent changes in nutritional status. Although repeat calf circumference measurements may provide some indication as to how much of the weight change is due to changes in body water, there is currently no viable alternative to monitoring the nutrient intake of older recuperative care patients in order to ensure that their nutrient needs are being met.

42 CFR 412.60 - DRG classification and weighting factors.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 2 2013-10-01 2013-10-01 false DRG classification and weighting factors. 412.60... discharge is based, as appropriate, on the patient's age, sex, principal diagnosis (that is, the diagnosis...), secondary diagnoses, procedures performed, and discharge status. (2) Each discharge is assigned to only one...

42 CFR 412.60 - DRG classification and weighting factors.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 2 2012-10-01 2012-10-01 false DRG classification and weighting factors. 412.60... discharge is based, as appropriate, on the patient's age, sex, principal diagnosis (that is, the diagnosis...), secondary diagnoses, procedures performed, and discharge status. (2) Each discharge is assigned to only one...

[Admission diagnosis and nutritional evolution of the beneficiaries of "Corporación para la Nutrición Infantil-CONIN"].

PubMed

Pizarro, Tito; Rodríguez, Lorena; Atalah, Eduardo

2003-09-01

The nutritional impact of CONIN nutritional recovery centers must be evaluated, considering the current epidemiological situation in Chile and the new therapeutic focus giving more emphasis to ambulatory treatment. To analyze the nutritional status of children treated at traditional CONIN centers, the reason for their admission and the factors associated with changes of weight for age index during the hospitalization. During the year 2000, the records of 561 patients discharged from the traditional CONIN centers throughout the country were retrospectively analyzed. The changes in weight and height during admission and the possible factors influencing these changes, were determined. The average lapse of stay was 3.9 months; 78% of children had concomitant diseases at admission and 18.7% required to be admitted in a general hospital. One third was admitted with normal weight or even overweight according to the weight for age index, and 31.1% was undernourished. During admission in CONIN, the number of undernourished patients was reduced by 50%, while the proportion of children with normal nutritional status increased by 15% (p < 0.001). On admission, 7.8% of children had a low height for age, evidencing a chronic undernutrition. This figure did not change on discharge. The increase of weight/age and weight/height was substantially higher in children with a greater initial deficit (p < 0.001). Admission to a CONIN center had a low nutritional impact, and a high risk of a lengthy stay. The most favorable impact could be appreciated in children that were effectively undernourished. Admissions are motivated mainly by social issues, over and above nutritional problems.

Spatial and temporal distribution of specific conductance, boron, and phosphorus in a sewage-contaminated aquifer near Ashumet Pond, Cape Cod, Massachusetts

USGS Publications Warehouse

Bussey, K.W.; Walter, D.A.

1996-01-01

Spatial and temporal distributions of specific conductance, boron, and phosphorus were determined in a sewage-contaminated sand and gravel aquifer near Ashumet Pond, Cape Cod, Massachusetts. The source of contamination is secondarily treated sewage that has been discharged onto rapid- infiltration sand beds at the Massachusetts Military Reservation since 1936. Contaminated ground water containing as much as 2 milligrams per liter of dissolved phosphorus is discharging into Ashumet Pond, and there is concern that the continued discharge of phosphorus into the pond will accelerate eutrophication of the pond. Water-quality data collected from observation wells and multilevel samplers from June through July 1995 were used to delineate the spatial distributions of specific conductance, boron, and phosphorus. Temporal distributions were determined using sample-interval-weighted average concen- trations calculated from data collected in 1993, 1994, and 1995. Specific conductances were greater than 400 microsiemens per centimeter at 25C as far as 1,200 feet downgradient from the infiltration beds. Boron concentrations were greater than 400 micrograms per liter as far as 1,800 feet down- gradient from the beds and phosphorus concen- trations were greater than 3.0 milligrams per liter as far as 1,200 feet from the beds. Variability in distributions of specific conductance and boron concentrations is attributed to the history and distribution of sewage disposal onto the infiltration beds. The distribution of phosphorus concentrations also is related to the history and distribution of sewage disposal onto the beds but additional variability is caused by chemical interactions with the aquifer materials. Temporal changes in specific conductance and boron from 1993 to 1995 were negligible, except in the lower part of the plume (below an altitude of about 5 feet above sea level), where changes in weighted-average specific conductance were greater than 100 microsiemens per centimeter at 25C. Temporal changes in phosphorus generally were small except in the lower part of the plume, where weighted-average phosphorus concentrations decreased more than 1.3 milligrams per liter from 1993 to 1994. This decrease was accompanied by an increase in specific conductance. High concen- trations of phosphorus associated with low and moderate specific conductances possibly are the result of rapid phosphorus desorption in response to an influx of uncontaminated ground water. As a result of the cessation of sewage disposal in December 1995, clean, oxygenated water moving into contaminated parts of the aquifer may cause rapid desorption of sorbed phosphorus and temporarily result in high dissolved phosphorus concentrations in the aquifer.

Fast track surgery: a clinical audit.

PubMed

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

2010-04-01

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

Sputter erosion and deposition in the discharge chamber of a small mercury ion thruster

NASA Technical Reports Server (NTRS)

Power, J. L.

1973-01-01

A 5 cm diameter mercury ion thruster similar to one tested for 9715 hours was operated approximately 400 hrs each at discharge voltages of 36.6, 39.6, and 42.6 V, with corresponding discharge propellant utilizations of 58, 68, and 70 percent. The observed sputter erosion rates of the internal thruster parts and the anode weight gain rate all rose rapidly with discharge voltage and were roughly in the ratio of 1:3:5 for the three voltages. The combined weight loss of the internal thruster parts nearly balanced the anode weight gain. Hg(+2) ion apparently caused most of the observed erosion.

Gastric bypass surgery - discharge

MedlinePlus

... bypass - discharge; Gastric bypass - Roux-en-Y - discharge; Obesity gastric bypass discharge; Weight loss - gastric bypass discharge ... al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised ...

Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial.

PubMed

New, K; Flint, A; Bogossian, F; East, C; Davies, M W

2012-03-01

To determine the effects on weight gain and temperature control of transferring preterm infants from incubators to open cots at a weight of 1600 g versus a weight of 1800 g. Randomised controlled trial. One tertiary and two regional neonatal units in public hospitals in Queensland, Australia. 182 preterm infants born with a birth weight less than 1600 g, who were at least 48 h old; had not required ventilation or continuous positive airways pressure within the last 48 h; were medically stable with no oxygen requirement, or significant apnoea or bradycardia; did not require phototherapy; and were enterally fed with an intake (breast milk/formula) of at least 60 ml/kg/day. Transfer into an open cot at 1600 or 1800 g. The primary outcomes were temperature stability and average daily weight gain over the first 14 days following transfer to an open cot. 90 infants in the 1600 g group and 92 infants in the 1800 g group were included in the analysis. Over the first 72 h, more infants in the 1800 g group had temperatures <36.4°C than the 1600 g group (p=0.03). From post-transfer to discharge, the 1600 g group had more temperatures >37.1°C (p=0.02). Average daily weight gain in the 1600 g group was 17.07 (SD±4.5) g/kg/day and in the 1800 g group, 13.97 (SD±4.7) g/kg/day (p=<0.001). Medically stable, preterm infants can be transferred to open cots at a birth weight of 1600 g without any significant adverse effects on temperature stability or weight gain. ACTRN12606000518561 (http://www.anzctr.org.au).

Course and predictors of rehospitalization in adolescent anorexia nervosa in a multisite study.

PubMed

Steinhausen, Hans-Christoph; Grigoroiu-Serbanescu, Maria; Boyadjieva, Svetlana; Neumärker, Klaus-Jürgen; Winkler Metzke, Christa

2008-01-01

The course and clinical predictors of rehospitalization were studied in a large sample of adolescent patients with anorexia nervosa who had been treated at five European sites and been followed-up. Two-hundred and twelve adolescent patients first admitted for in-patient treatment, aged 10-18 (Mean 14.9) years and 94.8% female, were followed-up for an average of 8.3 years after first admission at sites in (former East and West Berlin, Zurich, Sofia, and Bucharest). Clinical history data were collected by use of standardized item-sheets at first admission. Semi-structured interviews including ratings of eating pathology and psychosocial outcome were performed at follow-up. About 44.8% (95/212) of the patients required at least one readmission. Rates of rehospitalization were significantly higher at the Eastern sites (Sofia and Bucharest). Significant predictors of readmission were paternal alcoholism, history of anorexia nervosa in the family, eating disorder in infancy, periodic overactivity, lower weight increase at first admission, and lower BMI at first discharge. In a model of logistic regression analysis, five variables (paternal alcoholism, eating disorder in infancy, periodic overactivity, low weight increase during first admission, and low BMI at first discharge) correctly classified 69% of the participants into cases with single or repeated admissions. Patients with repeated admissions had a less favorable long term outcome and had higher rates of persisting psychopathology at follow-up. Rehospitalization reflects the chronic course in a sizable proportion of adolescent patients with anorexia nervosa. Family psychopathology may have an effect both in terms of genetic vulnerability and environmental stress leading to unfavorable courses. The strong effect of insufficient weight gain during first admission and lower BMI at first discharge emphasizes the importance of adequate interventions. Readmissions carry the risk for later poor psychosocial and psychiatric outcomes.

Implementation of a Nutrition Program Reduced Post-Discharge Growth Restriction in Thai Very Low Birth Weight Preterm Infants.

PubMed

Japakasetr, Suchada; Sirikulchayanonta, Chutima; Suthutvoravut, Umaporn; Chindavijak, Busba; Kagawa, Masaharu; Nokdee, Somjai

2016-12-17

Very low birth weight (VLBW) preterm infants are vulnerable to growth restriction after discharge due to cumulative protein and energy deficits during their hospital stay and early post-discharge period. The current study evaluated the effectiveness of the preterm infant, post-discharge nutrition (PIN) program to reduce post-discharge growth restriction in Thai VLBW preterm infants. A prospective, non-randomized interventional cohort study was undertaken to assess the growth of 22 VLBW preterm infants who received the PIN program and compared them with 22 VLBW preterm infants who received conventional nutrition services. Infant's growth was recorded monthly until the infants reached six months' corrected age (6-moCA). Intervention infants had significantly greater body weights ( p = 0.013) and head circumferences ( p = 0.009). Also, a greater proportion of the intervention group recovered their weight to the standard weight at 4-moCA ( p = 0.027) and at 6-moCA ( p = 0.007) and their head circumference to the standard head circumference at 6-moCA ( p = 0.004) compared to their historical comparison counterparts. Enlistment in the PIN program thus resulted in significantly reduced post-discharge growth restriction in VLBW preterm infants. Further research on longer term effects of the program on infant's growth and development is warranted.

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

USGS Publications Warehouse

Williams, G.P.

1984-01-01

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

Techniques for estimating flood-peak discharges of rural, unregulated streams in Ohio

USGS Publications Warehouse

Koltun, G.F.; Roberts, J.W.

1990-01-01

Multiple-regression equations are presented for estimating flood-peak discharges having recurrence intervals of 2, 5, 10, 25, 50, and 100 years at ungaged sites on rural, unregulated streams in Ohio. The average standard errors of prediction for the equations range from 33.4% to 41.4%. Peak discharge estimates determined by log-Pearson Type III analysis using data collected through the 1987 water year are reported for 275 streamflow-gaging stations. Ordinary least-squares multiple-regression techniques were used to divide the State into three regions and to identify a set of basin characteristics that help explain station-to- station variation in the log-Pearson estimates. Contributing drainage area, main-channel slope, and storage area were identified as suitable explanatory variables. Generalized least-square procedures, which include historical flow data and account for differences in the variance of flows at different gaging stations, spatial correlation among gaging station records, and variable lengths of station record were used to estimate the regression parameters. Weighted peak-discharge estimates computed as a function of the log-Pearson Type III and regression estimates are reported for each station. A method is provided to adjust regression estimates for ungaged sites by use of weighted and regression estimates for a gaged site located on the same stream. Limitations and shortcomings cited in an earlier report on the magnitude and frequency of floods in Ohio are addressed in this study. Geographic bias is no longer evident for the Maumee River basin of northwestern Ohio. No bias is found to be associated with the forested-area characteristic for the range used in the regression analysis (0.0 to 99.0%), nor is this characteristic significant in explaining peak discharges. Surface-mined area likewise is not significant in explaining peak discharges, and the regression equations are not biased when applied to basins having approximately 30% or less surface-mined area. Analyses of residuals indicate that the equations tend to overestimate flood-peak discharges for basins having approximately 30% or more surface-mined area. (USGS)

Multicriteria evaluation of discharge simulation in Dynamic Global Vegetation Models

NASA Astrophysics Data System (ADS)

Yang, Hui; Piao, Shilong; Zeng, Zhenzhong; Ciais, Philippe; Yin, Yi; Friedlingstein, Pierre; Sitch, Stephen; Ahlström, Anders; Guimberteau, Matthieu; Huntingford, Chris; Levis, Sam; Levy, Peter E.; Huang, Mengtian; Li, Yue; Li, Xiran; Lomas, Mark R.; Peylin, Philippe; Poulter, Ben; Viovy, Nicolas; Zaehle, Soenke; Zeng, Ning; Zhao, Fang; Wang, Lei

2015-08-01

In this study, we assessed the performance of discharge simulations by coupling the runoff from seven Dynamic Global Vegetation Models (DGVMs; LPJ, ORCHIDEE, Sheffield-DGVM, TRIFFID, LPJ-GUESS, CLM4CN, and OCN) to one river routing model for 16 large river basins. The results show that the seasonal cycle of river discharge is generally modeled well in the low and middle latitudes but not in the high latitudes, where the peak discharge (due to snow and ice melting) is underestimated. For the annual mean discharge, the DGVMs chained with the routing model show an underestimation. Furthermore, the 30 year trend of discharge is also underestimated. For the interannual variability of discharge, a skill score based on overlapping of probability density functions (PDFs) suggests that most models correctly reproduce the observed variability (correlation coefficient higher than 0.5; i.e., models account for 50% of observed interannual variability) except for the Lena, Yenisei, Yukon, and the Congo river basins. In addition, we compared the simulated runoff from different simulations where models were forced with either fixed or varying land use. This suggests that both seasonal and annual mean runoff has been little affected by land use change but that the trend itself of runoff is sensitive to land use change. None of the models when considered individually show significantly better performances than any other and in all basins. This suggests that based on current modeling capability, a regional-weighted average of multimodel ensemble projections might be appropriate to reduce the bias in future projection of global river discharge.

Multi-criteria Evaluation of Discharge Simulation in Dynamic Global Vegetation Models

NASA Astrophysics Data System (ADS)

Yang, H.; Piao, S.; Zeng, Z.; Ciais, P.; Yin, Y.; Friedlingstein, P.; Sitch, S.; Ahlström, A.; Guimberteau, M.; Huntingford, C.; Levis, S.; Levy, P. E.; Huang, M.; Li, Y.; Li, X.; Lomas, M.; Peylin, P. P.; Poulter, B.; Viovy, N.; Zaehle, S.; Zeng, N.; Zhao, F.; Wang, L.

2015-12-01

In this study, we assessed the performance of discharge simulations by coupling the runoff from seven Dynamic Global Vegetation Models (DGVMs; LPJ, ORCHIDEE, Sheffield-DGVM, TRIFFID, LPJ-GUESS, CLM4CN, and OCN) to one river routing model for 16 large river basins. The results show that the seasonal cycle of river discharge is generally modelled well in the low and mid latitudes, but not in the high latitudes, where the peak discharge (due to snow and ice melting) is underestimated. For the annual mean discharge, the DGVMs chained with the routing model show an underestimation. Furthermore the 30-year trend of discharge is also under-estimated. For the inter-annual variability of discharge, a skill score based on overlapping of probability density functions (PDFs) suggests that most models correctly reproduce the observed variability (correlation coefficient higher than 0.5; i.e. models account for 50% of observed inter-annual variability) except for the Lena, Yenisei, Yukon, and the Congo river basins. In addition, we compared the simulated runoff from different simulations where models were forced with either fixed or varying land use. This suggests that both seasonal and annual mean runoff has been little affected by land use change, but that the trend itself of runoff is sensitive to land use change. None of the models when considered individually show significantly better performances than any other and in all basins. This suggests that based on current modelling capability, a regional-weighted average of multi-model ensemble projections might be appropriate to reduce the bias in future projection of global river discharge.

The relation of weight suppression and body mass index to symptomatology and treatment response in anorexia nervosa

PubMed Central

Berner, Laura A.; Shaw, Jena A.; Witt, Ashley A.; Lowe, Michael R.

2013-01-01

Weight suppression, the difference between highest past weight and current weight, is a robust predictor of clinical characteristics of bulimia nervosa; however, the influence of weight suppression in anorexia nervosa (AN) has been little studied, and no study to date has investigated the ways in which the relevance of weight suppression in AN may depend upon an individual’s current body mass index (BMI). The present study investigated weight suppression, BMI, and their interaction as cross-sectional and prospective predictors of psychological symptoms and weight in AN. Women with AN completed depression (Beck Depression Inventory-II) and eating disorder symptomatology measures (Eating Disorder Examination Questionnaire and Eating Disorders Inventory-3) at residential treatment admission (N = 350) and discharge (N = 238). Weight suppression and BMI were weakly correlated (r = −.22). At admission, BMI was positively correlated with all symptom measures except Restraint and depression scores. Weight suppression was also independently positively correlated with all measures except Weight Concern and Body Dissatisfaction subscale scores. In analyses examining discharge scores (including admission values as covariates), the admission weight suppression X BMI interaction consistently predicted post-treatment psychopathology. Controlling for weight gain in treatment and age, higher admission weight suppression predicted lower discharge scores (less symptom endorsement) among those with lower BMIs; among those with higher BMIs, higher weight suppression predicted higher discharge scores. These results are the first to demonstrate that absolute and relative weight status are joint indicators of AN severity and prognosis. These findings may have major implications for conceptualization and treatment of AN. PMID:24016010

Relationships among intrapartum maternal fluid intake, birth type, neonatal output, and neonatal weight loss during the first 48 hours after birth.

PubMed

Lamp, Jane M; Macke, Judi K

2010-01-01

To examine predictive relationships among intrapartum maternal fluid intake, birth type, neonatal output, and neonatal weight loss during the first 48 hours after birth. Prospective descriptive design. Women's center of a 900-bed regional acute care facility with 6,700 births per year. A convenience sample of 200 mother/neonate dyads. The Optimality Index of Murphy and Fullerton guided the inclusion and exclusion criteria to ensure healthy dyads. Data collection began in the intrapartum period and concluded with maternal/neonatal discharge. Measures included maternal intrapartum fluid intake from admission to birth, daily neonatal weight, output, and feedings. Data were analyzed via descriptive statistics, tests of significance and multiple regression. Neonatal weight loss was not significantly related to intrapartum maternal fluid intake. Strong predictors of neonatal weight loss and significant weight loss within the first 48 hours were type of feeding (p=.000) and average number of wet diapers (p=.003). Variables predictive of neonatal weight loss can facilitate identification of at-risk neonates to prevent significant weight loss. Close monitoring of the number of wet diapers in the first 48 hours and accurate daily weights at birth time can lead to early detection and preventive interventions.

Dynamic parameters of three-point crutch gait in female patients after total hip arthroplasty.

PubMed

Murawa, Michał; Dworak, Lechosław B; Kabaciński, Jarosław; Syczewska, Małgorzata; Rzepnicka, Agata

2016-01-01

Patient recovery after a surgical procedure depends, among other factors, on the amount of the body weight with which patient loads lower limb. Research studies report different results of the degree of body weight with which lower limb is loaded during three-point crutch gait. The aim of this study was to evaluate the level of the ground reaction forces (GRF) during crutch gait used by patients after total hip arthroplasty (THA) in the first week after discharge from the orthopaedic units. Ten female patients diagnosed with primary unilateral coxarthrosis participated in a single measurement session. In order to record kinematic and dynamic variables of this gait pattern motion analysis system was used together with two force plates. The static test of body weight distribution between lower limbs was performed on a dual-top stabilometric plate. The average peak values of loading on the operated (O) limb during mid stance and terminal stance of three-point crutch gait were 64.6% and 64.3% of body weight (BW), respectively, whereas in the case of the nonoperated (NO) limb 103.5%BW and 108.8%BW, respectively. The maximum loads on the crutches were significantly higher (by 9%BW) on the NO side as compared to the O side ( p < 0.05). During the static test, average values of body weight distribution on the O and NO limb were 36%BW and 64%BW, respectively. The patients showed surprisingly similar level of loading on the O limb. The weight bearing on the O limb was lower during static trial than during three-point crutch gait.

Using Mid-Upper Arm Circumference to End Treatment of Severe Acute Malnutrition Leads to Higher Weight Gains in the Most Malnourished Children

PubMed Central

Dale, Nancy M.; Myatt, Mark; Prudhon, Claudine; Briend, André

2013-01-01

Objective The World Health Organization recommends discharging children admitted to nutrition programs treating severe acute malnutrition, with a low mid-upper arm circumference (MUAC <115 mm) when weight gain is >15%. When this recommendation is followed, the most severely malnourished children receive a shorter treatment compared to children that are less severely malnourished. This study assesses whether using MUAC >125 mm as discharge criteria eliminates this effect. Methods and Findings Data from 753 children cured from a Médecins Sans Frontières outpatient nutrition program in Gedaref, North Sudan were analyzed. MUAC >125 mm was used as discharge criteria. Length of stay and percent weight gain of children were compared in relation to nutritional status on admission. Children with low MUAC on admission had a longer duration of treatment (p = 0.000) and also a higher percent weight gain (p = 0.000) than children with higher MUAC. Similar results with weight-for-height z-scores categories were shown with both duration of treatment (p = 0.000) and percent weight gain (p = 0.000). Conclusion This study shows that using MUAC as the discharge criteria eliminates the effect of shorter treatment in most severely malnourished children compared to least severely malnourished, as is observed with percent weight gain. The findings directly address the main concern that has been identified with the current WHO recommendation of using percent weight gain. MUAC could be used as discharge criteria, instead of percent weight gain, as having a longer duration of treatment and a higher percent weight gain for the most malnourished is highly desirable. PMID:23418442

Evaluation of the depth-integration method of measuring water discharge in large rivers

USGS Publications Warehouse

Moody, J.A.; Troutman, B.M.

1992-01-01

The depth-integration method oor measuring water discharge makes a continuos measurement of the water velocity from the water surface to the bottom at 20 to 40 locations or verticals across a river. It is especially practical for large rivers where river traffic makes it impractical to use boats attached to taglines strung across the river or to use current meters suspended from bridges. This method has the additional advantage over the standard two- and eight-tenths method in that a discharge-weighted suspended-sediment sample can be collected at the same time. When this method is used in large rivers such as the Missouri, Mississippi and Ohio, a microwave navigation system is used to determine the ship's position at each vertical sampling location across the river, and to make accurate velocity corrections to compensate for shift drift. An essential feature is a hydraulic winch that can lower and raise the current meter at a constant transit velocity so that the velocities at all depths are measured for equal lengths of time. Field calibration measurements show that: (1) the mean velocity measured on the upcast (bottom to surface) is within 1% of the standard mean velocity determined by 9-11 point measurements; (2) if the transit velocity is less than 25% of the mean velocity, then average error in the mean velocity is 4% or less. The major source of bias error is a result of mounting the current meter above a sounding weight and sometimes above a suspended-sediment sampling bottle, which prevents measurement of the velocity all the way to the bottom. The measured mean velocity is slightly larger than the true mean velocity. This bias error in the discharge is largest in shallow water (approximately 8% for the Missouri River at Hermann, MO, where the mean depth was 4.3 m) and smallest in deeper water (approximately 3% for the Mississippi River at Vickbsurg, MS, where the mean depth was 14.5 m). The major source of random error in the discharge is the natural variability of river velocities, which we assumed to be independent and random at each vertical. The standard error of the estimated mean velocity, at an individual vertical sampling location, may be as large as 9%, for large sand-bed alluvial rivers. The computed discharge, however, is a weighted mean of these random velocities. Consequently the standard error of computed discharge is divided by the square root of the number of verticals, producing typical values between 1 and 2%. The discharges measured by the depth-integrated method agreed within ??5% of those measured simultaneously by the standard two- and eight-tenths, six-tenth and moving boat methods. ?? 1992.

Weight Suppression But Not Symptom Improvement Predicts Weight Gain During Inpatient Treatment for Bulimia Nervosa.

PubMed

Hessler, Johannes Baltasar; Diedrich, Alice; Greetfeld, Martin; Schlegl, Sandra; Schwartz, Caroline; Voderholzer, Ulrich

2018-03-01

Fear of gaining weight is a common obstacle to seeking treatment for bulimia nervosa (BN). We investigated changes in body mass index (BMI) during inpatient treatment for BN in relation to treatment outcome and weight suppression (WS). Female inpatients of a specialized eating disorders clinic were grouped as deteriorated/unchanged, reliably improved, and clinically significantly improved based on Eating Disorder Inventory-2 scores. Repeated measures ANOVA was employed to examine changes in BMI between admission and discharge depending on treatment outcome and WS. One-hundred seventy-nine patients were included. Overall, the average BMI significantly increased by 0.54 kg/m 2 (SD = 1.24). Repeated measures ANOVA revealed no association of change in BMI with treatment outcome [F(df) = 1.13 (2166), p = 0.327] but with WS [F(df) = 2.76 (3166), p < 0.044]. Bulimia nervosa can be successfully treated without causing excessive weight gain. Patients with higher WS might expect somewhat more weight gain. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

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

PubMed

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

2012-04-01

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

Clinical features and practice patterns of gastroschisis: a retrospective analysis using a Japanese national inpatient database.

PubMed

Fujiogi, Michimasa; Michihata, Nobuaki; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo; Fujishiro, Jun

2018-05-16

The number of infants with gastroschisis is increasing worldwide, but advances in neonatal intensive care and parenteral nutrition have reduced gastroschisis mortality. Recent clinical data on gastroschisis are often from Western nations. This study aimed to examine clinical features and practice patterns of gastroschisis in Japan. We examined treatment options, outcomes, and discharge status among inpatients with simple gastroschisis (SG) and complex gastroschisis (CG), 2010-2016, using a national inpatient database in Japan. The 247 eligible patients (222 with SG) had average birth weight of 2102 g and average gestational age of 34 weeks; 30% had other congenital anomalies. Digestive anomalies were most common, followed by circulatory anomalies. In-hospital mortality was 8.1%. The median age at start of full enteral feeding was 30 days. The median length of stay was 46 days. There were no significant differences in outcomes except for length of stay, starting full enteral feeding and total hospitalization costs between the SG and CG groups. About 80% of patients were discharged to home without home medical care. The readmission rate was 28%. This study's findings on the clinical characteristics and outcomes of gastroschisis are useful for the clinical management of gastroschisis.

Phase 1 of the near term hybrid passenger vehicle development program

NASA Technical Reports Server (NTRS)

Montalenti, P.; Piccolo, R.

1979-01-01

In order to meet project requirements and be competitive in the 1985 market, the proposed six-passenger vehicle incorporates a high power type Ni-Zn battery, which by making electric-only traction possible, permits the achievement of an optimized control strategy based on electric-only traction to a set battery depth of discharge, followed by hybrid operation with thermal primary energy. This results in a highly efficient hybrid propulsion subsystem. Technical solutions are available to contain energy waste by reducing vehicle weight, rolling resistance, and drag coefficient. Reproaching new 1985 full size vehicles of the conventional type with hybrids of the proposed type would result in a U.S. average gasoline saving per vehicle of 1,261 liters/year and an average energy saving per vehicle of 27,133 MJ/year.

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

USGS Publications Warehouse

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

1995-01-01

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

Phosphorus and nitrogen concentrations and loads at Illinois River south of Siloam Springs, Arkansas, 1997-1999

USGS Publications Warehouse

Green, W. Reed; Haggard, Brian E.

2001-01-01

Water-quality sampling consisting of every other month (bimonthly) routine sampling and storm event sampling (six storms annually) is used to estimate annual phosphorus and nitrogen loads at Illinois River south of Siloam Springs, Arkansas. Hydrograph separation allowed assessment of base-flow and surfacerunoff nutrient relations and yield. Discharge and nutrient relations indicate that water quality at Illinois River south of Siloam Springs, Arkansas, is affected by both point and nonpoint sources of contamination. Base-flow phosphorus concentrations decreased with increasing base-flow discharge indicating the dilution of phosphorus in water from point sources. Nitrogen concentrations increased with increasing base-flow discharge, indicating a predominant ground-water source. Nitrogen concentrations at higher base-flow discharges often were greater than median concentrations reported for ground water (from wells and springs) in the Springfield Plateau aquifer. Total estimated phosphorus and nitrogen annual loads for calendar year 1997-1999 using the regression techniques presented in this paper (35 samples) were similar to estimated loads derived from integration techniques (1,033 samples). Flow-weighted nutrient concentrations and nutrient yields at the Illinois River site were about 10 to 100 times greater than national averages for undeveloped basins and at North Sylamore Creek and Cossatot River (considered to be undeveloped basins in Arkansas). Total phosphorus and soluble reactive phosphorus were greater than 10 times and total nitrogen and dissolved nitrite plus nitrate were greater than 10 to 100 times the national and regional averages for undeveloped basins. These results demonstrate the utility of a strategy whereby samples are collected every other month and during selected storm events annually, with use of regression models to estimate nutrient loads. Annual loads of phosphorus and nitrogen estimated using regression techniques could provide similar results to estimates using integration techniques, with much less investment.

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

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

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

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

Investigation of the Cause of Readmission to the Intensive Care Unit for Patients with Lung Edema or Atelectasis

PubMed Central

Zaitsu, Akinori; Hashizume, Makoto

2008-01-01

Purpose For patients with acute respiratory failure due to lung edema or atelectasis, Surplus lung water that is not removed during an initial stay in the Intensive Care Unit (ICU) may be related to early ICU readmission. Therefore, we performed a retrospective study of patient management during the first ICU stay for such patients. Materials and Methods Of 1,835 patients who were admitted to the ICU in the 36 months from January, 2003 to December, 2005, 141 were patients readmitted, and the reason for readmission was lung edema or atelectasis in 21 patients. For these 21 patients, correlations were investigated between body weight gain at the time of initial ICU discharge (weight upon discharge from the ICU ÷ weight when entering the ICU) and the time to ICU readmission, between body weight gain and the P/F ratio at ICU readmission, between the R/E ratio (the period using a respirator (R) ÷ the length of the ICU stay after extubation (E)) and the time to ICU readmission, between the R/E ratio and body weight gain, and between body weight gain until extubation and the time to extubation. Results A negative linear relationship was found between body weight gain at the time of initial ICU discharge and the time to ICU readmission, and between body weight gain at the time of ICU discharge and the P/F ratio at ICU readmission. If body weight had increased by more than 10% at ICU discharge or the P/F ratio was below 150, readmission to the ICU within three days was likely. Patients with a large R/E ratio, a large body weight gain, and a worsening P/F ratio immediately after ICU discharge were likely to be readmitted soon to the ICU. Loss of body weight during the period of respirator support led to early extubation, since a positive correlation was found between the time to extubation and body weight gain. Conclusion Fluid management failure during the first ICU stay might cause ICU readmission for patients who had lung edema or atelectasis. Therefore, a key to the prevention of ICU readmission is to ensure complete recovery from lung failure before the initial ICU discharge. Strict water management is crucial based on body weight measurement and removal of excess lung water is essential. In addition, an apparent improvement in respiratory state may be due to respiratory support, and such an improvement should be viewed cautiously. Loss of weight at the refilling stage of transfusion prevents ICU readmission and may decrease the length of the ICU stay. PMID:18581592

Risk factors for hyperbilirubinemia in breastfed term neonates.

PubMed

Chen, Ying-Juang; Chen, Wei-Chuan; Chen, Chung-Ming

2012-01-01

Increased breastfeeding was suggested as a contributing factor to significant hyperbilirubinemia. The aim of this study was to identify the risk factors associated with jaundice in exclusively breastfed term neonates. We retrospectively reviewed all consecutively live-born neonates from August 2009 to July 2010 who had complete outpatient department (OPD) follow-up at ≤14 days old. Hyperbilirubinemia was defined as a transcutaneous bilirubin (TcB) value of ≥15 mg/dl. During the study period, there were 718 deliveries, of which 152 neonates were transferred to the special care nursery or neonatal intensive care unit; 566 neonates were discharged from the nursery, and 243 neonates were excluded: 83 did not return to the OPD, 46 were older than 14 days at OPD follow-up, 44 were <37 weeks of gestational age, and 70 had been fed formula. In total, 323 neonates were enrolled and classified into the hyperbilirubinemic (114 neonates) and non-hyperbilirubinemic groups (209 neonates). The gender, gestational age, Apgar score, age at nursery discharge, birth weight, and body weight at nursery discharge and at OPD were comparable between the two groups. TcB values at nursery discharge were positively correlated with TcB values in the OPD. Infants with hyperbilirubinemia exhibited significantly greater body weight loss from birth to the OPD follow-up and significantly less body weight gain from nursery discharge to OPD follow-up. High TcB values at nursery discharge and a smaller body weight gain are associated with hyperbilirubinemia in term neonates who are exclusively breastfed.

Feeding preterm infants after hospital discharge: a commentary by the ESPGHAN Committee on Nutrition.

PubMed

Aggett, Peter J; Agostoni, Carlo; Axelsson, Irene; De Curtis, Mario; Goulet, Olivier; Hernell, Olle; Koletzko, Berthold; Lafeber, Harry N; Michaelsen, Kim F; Puntis, John W L; Rigo, Jacques; Shamir, Raanan; Szajewska, Hania; Turck, Dominique; Weaver, Lawrence T

2006-05-01

Survival of small premature infants has markedly improved during the last few decades. These infants are discharged from hospital care with body weight below the usual birth weight of healthy term infants. Early nutrition support of preterm infants influences long-term health outcomes. Therefore, the ESPGHAN Committee on Nutrition has reviewed available evidence on feeding preterm infants after hospital discharge. Close monitoring of growth during hospital stay and after discharge is recommended to enable the provision of adequate nutrition support. Measurements of length and head circumference, in addition to weight, must be used to identify those preterm infants with poor growth that may need additional nutrition support. Infants with an appropriate weight for postconceptional age at discharge should be breast-fed when possible. When formula-fed, such infants should be fed regular infant formula with provision of long-chain polyunsaturated fatty acids. Infants discharged with a subnormal weight for postconceptional age are at increased risk of long-term growth failure, and the human milk they consume should be supplemented, for example, with a human milk fortifier to provide an adequate nutrient supply. If formula-fed, such infants should receive special postdischarge formula with high contents of protein, minerals and trace elements as well as an long-chain polyunsaturated fatty acid supply, at least until a postconceptional age of 40 weeks, but possibly until about 52 weeks postconceptional age. Continued growth monitoring is required to adapt feeding choices to the needs of individual infants and to avoid underfeeding or overfeeding.

Effect of storage and LEO cycling on manufacturing technology IPV nickel-hydrogen cells

NASA Technical Reports Server (NTRS)

Smithrick, John J.

1987-01-01

Yardney Manufacturing Technology (MANTECH) 50 A-hr space weight individual pressure vessel nickel-hydrogen cells were evaluated. This consisted of investigating: the effect of storage and charge/discharge cycling on cell performance. For the storage test the cells were precharged with hydrogen, by the manufacturer, to a pressure of 14.5 psia. After undergoing activation and acceptance tests, the cells were discharged at C/10 rate (5A) to 0.1 V or less. The terminals were then shorted. The cells were shipped to NASA Lewis Research Center where they were stored at room temperature in the shorted condition for 1 year. After storage, the acceptance tests were repeated at NASA Lewis. A comparison of test results indicate no significant degradation in electrical performance due to 1 year storage. For the cycle life test the regime was a 90 minute low earth orbit at deep depths of discharge (80 and 60 percent). At the 80 percent DOD the three cells failed on the average at cycle 741. Failure for this test was defined to occur when the cell voltage degraded to 1 V prior to completion of the 35 min discharge. The DOD was reduced to 60 percent. The cycle life test was continued.

Growth in very preterm children: Head growth after discharge is the best independent predictor for cognitive outcome.

PubMed

Lidzba, Karen; Rodemann, Susanne; Goelz, Rangmar; Krägeloh-Mann, Ingeborg; Bevot, Andrea

2016-12-01

The contribution of growth parameters to the cognitive outcome of very low birth weight (VLBW)/very preterm (VP) infants is difficult to disentangle from other preterm-birth related factors. We hypothesized that long-term cognitive and motor outcome of VLBW/VP infants is most strongly associated with growth in head circumference after hospital discharge. Single-centre prospective longitudinal study: anthropometric measures at different time points (birth, discharge, school-age). 136 VLBW/VP infants (<32weeks gestation/birth weight<1.500g). Cognitive and motor function (Kaufman Assessment Battery for Children; Movement Assessment Battery for Children) at school-age (6.7-10.0years, mean=8.2). In hierarchical multiple regression analyses, growth from birth to discharge significantly predicted cognitive outcome (weight: R 2 change =0.063, p=0.014; length: R 2 change =0.078, p=0.007; HC: R 2 change =0.050, p=0.030), as well as weight gain (R 2 change =0.096, p=0.001) and head growth (R 2 change =0.134, p<0.001) from discharge to school-age. While most growth parameters, especially those from birth to discharge, were significantly influenced by prenatal growth and immaturity related morbidity (R 2 =0.151 to 0.605, all p≤0.001), head growth after discharge was not (R 2 =0.029, p=0.461). Amongst all anthropometric measures, head growth between discharge and school-age is the best independent predictor for cognitive outcome in VLBW/VP infants. Determinants of head growth after discharge need further studies to identify targets for intervention. Copyright © 2016. Published by Elsevier Ireland Ltd.

Steroid hormones in biosolids and poultry litter: a comparison of potential environmental inputs.

PubMed

Bevacqua, Christine E; Rice, Clifford P; Torrents, Alba; Ramirez, Mark

2011-05-01

Steroid hormones can act as potent endocrine disruptors when released into the environment. The main sources of these chemicals are thought to be wastewater treatment plant discharges and waste from animal feeding operations. While these compounds have frequently been found in wastewater effluents, few studies have investigated biosolids or manure, which are routinely land applied, as potential sources. This study assessed the potential environmental contribution of steroid hormones from biosolids and chicken litter. Hormone concentrations in samples of limed biosolids collected at a waste treatment plant over a four year period ranged from <2.5 to 21.7ng/g dry weight for estrone (E1) and <2.5 to 470ng/g dry weight for progesterone. Chicken litter from 12 mid-Atlantic farms had averages of 41.4ng/g dry weight E1, 63.4ng/g dry weight progesterone, and 19.2ng/g dry weight E1-sulfate (E1-S). Other analytes studied were 17β-estradiol (E2), estriol (E3), 17α-ethinylestradiol (EE2), testosterone, E2-3-sulfate (E2-3-S), and E2-17-sulfate (E2-17-3). Copyright © 2011 Elsevier B.V. All rights reserved.

Factors associated with infant feeding of human milk at discharge from neonatal intensive care: Cross-sectional analysis of nurse survey and infant outcomes data.

PubMed

Hallowell, Sunny G; Rogowski, Jeannette A; Spatz, Diane L; Hanlon, Alexandra L; Kenny, Michael; Lake, Eileen T

2016-01-01

Nurses are principal caregivers in the neonatal intensive care unit and support mothers to establish and sustain a supply of human milk for their infants. Whether an infant receives essential nutrition and immunological protection provided in human milk at discharge is an issue of health care quality in this setting. To examine the association of the neonatal intensive care unit work environment, staffing levels, level of nurse education, lactation consultant availability, and nurse-reported breastfeeding support with very low birth weight infant receipt of human milk at discharge. Cross sectional analysis combining nurse survey data with infant discharge data. A national sample of neonatal intensive care units (N=97), nurses (N=5614) and very low birth weight infants (N=6997). Sequential multivariate linear regression models were estimated at the unit level between the dependent variable (rate of very low birth weight infants discharged on "any human milk") and the independent variables (nurse work environment, nurse staffing, nursing staff education and experience, lactation consultant availability, and nurse-reported breastfeeding support). The majority of very low birth weight infants (52%) were discharged on formula only. Fewer infants (42%) received human milk mixed with fortifier or formula. Only 6% of infants were discharged on exclusive human milk. A 1 SD increase (0.25) in the Practice Environment Scale of the Nursing Work Index composite score was associated with a four percentage point increase in the fraction of infants discharged on human milk (p<0.05). A 1 SD increase (0.15) in the fraction of nurses with a bachelor's degree in nursing was associated with a three percentage point increase in the fraction infants discharged on human milk (p<0.05). The acuity-adjusted staffing ratio was marginally associated with the rate of human milk at discharge (p=.056). A 1 SD increase (7%) in the fraction of infants who received breastfeeding support was associated with an eight percentage point increase in the fraction of infants discharged on human milk (p<0.001). Neonatal intensive care units with better work environments, better educated nurses, and more infants who receive breastfeeding support by nurses have higher rates of very low birth weight infants discharged home on human milk. Investments by nurse administrators to improve work environments and support educational preparation of nursing staff may ensure that the most vulnerable infants have the best nutrition at the point of discharge. Copyright © 2015 Elsevier Ltd. All rights reserved.

Factors associated with infant feeding of human milk at discharge from neonatal intensive care: Cross-sectional analysis of nurse survey and infant outcomes data

PubMed Central

Hallowell, Sunny G.; Rogowski, Jeannette A.; Spatz, Diane L.; Hanlon, Alexandra L.; Kenny, Michael; Lake, Eileen T.

2016-01-01

Context Nurses are principal caregivers in the neonatal intensive care unit and support mothers to establish and sustain a supply of human milk for their infants. Whether an infant receives essential nutrition and immunological protection provided in human milk at discharge is an issue of health care quality in this setting. Objectives To examine the association of the neonatal intensive care unit work environment, staffing levels, level of nurse education, lactation consultant availability, and nurse-reported breastfeeding support with very low birth weight infant receipt of human milk at discharge. Design and setting Cross sectional analysis combining nurse survey data with infant discharge data. Participants A national sample of neonatal intensive care units (N = 97), nurses (N = 5614) and very low birth weight infants (N = 6997). Methods Sequential multivariate linear regression models were estimated at the unit level between the dependent variable (rate of very low birth weight infants discharged on “any human milk”) and the independent variables (nurse work environment, nurse staffing, nursing staff education and experience, lactation consultant availability, and nurse-reported breastfeeding support). Results The majority of very low birth weight infants (52%) were discharged on formula only. Fewer infants (42%) received human milk mixed with fortifier or formula. Only 6% of infants were discharged on exclusive human milk. A 1 SD increase (0.25) in the Practice Environment Scale of the Nursing Work Index composite score was associated with a four percentage point increase in the fraction of infants discharged on human milk (p < 0.05). A 1 SD increase (0.15) in the fraction of nurses with a bachelor’s degree in nursing was associated with a three percentage point increase in the fraction infants discharged on human milk (p < 0.05). The acuity-adjusted staffing ratio was marginally associated with the rate of human milk at discharge (p = .056). A 1 SD increase (7%) in the fraction of infants who received breastfeeding support was associated with an eight percentage point increase in the fraction of infants discharged on human milk (p < 0.001). Conclusions Neonatal intensive care units with better work environments, better educated nurses, and more infants who receive breastfeeding support by nurses have higher rates of very low birth weight infants discharged home on human milk. Investments by nurse administrators to improve work environments and support educational preparation of nursing staff may ensure that the most vulnerable infants have the best nutrition at the point of discharge. PMID:26518107

Simulated groundwater flow paths, travel time, and advective transport of nitrogen in the Kirkwood-Cohansey aquifer system, Barnegat Bay–Little Egg Harbor Watershed, New Jersey

USGS Publications Warehouse

Voronin, Lois M.; Cauller, Stephen J.

2017-07-31

Elevated concentrations of nitrogen in groundwater that discharges to surface-water bodies can degrade surface-water quality and habitats in the New Jersey Coastal Plain. An analysis of groundwater flow in the Kirkwood-Cohansey aquifer system and deeper confined aquifers that underlie the Barnegat Bay–Little Egg Harbor (BB-LEH) watershed and estuary was conducted by using groundwater-flow simulation, in conjunction with a particle-tracking routine, to provide estimates of groundwater flow paths and travel times to streams and the BB-LEH estuary.Water-quality data from the Ambient Groundwater Quality Monitoring Network, a long-term monitoring network of wells distributed throughout New Jersey, were used to estimate the initial nitrogen concentration in recharge for five different land-use classes—agricultural cropland or pasture, agricultural orchard or vineyard, urban non-residential, urban residential, and undeveloped. Land use at the point of recharge within the watershed was determined using a geographic information system (GIS). Flow path starting locations were plotted on land-use maps for 1930, 1973, 1986, 1997, and 2002. Information on the land use at the time and location of recharge, time of travel to the discharge location, and the point of discharge were determined for each simulated flow path. Particle-tracking analysis provided the link from the point of recharge, along the particle flow path, to the point of discharge, and the particle travel time. The travel time of each simulated particle established the recharge year. Land use during the year of recharge was used to define the nitrogen concentration associated with each flow path. The recharge-weighted average nitrogen concentration for all flow paths that discharge to the Toms River upstream from streamflow-gaging station 01408500 or to the BB-LEH estuary was calculated.Groundwater input into the Barnegat Bay–Little Egg Harbor estuary from two main sources— indirect discharge from base flow to streams that eventually flow into the bay and groundwater discharge directly into the estuary and adjoining coastal wetlands— is summarized by quantity, travel time, and estimated nitrogen concentration. Simulated average groundwater discharge to streams in the watershed that flow into the BB-LEH estuary is approximately 400 million gallons per day. Particle-tracking results indicate that the travel time of 56 percent of this discharge is less than 7 years. Fourteen percent of the groundwater discharge to the streams in the BB-LEH watershed has a travel time of less than 7 years and originates in urban land. Analysis of flow-path simulations indicate that approximately 13 percent of the total groundwater flow through the study area discharges directly to the estuary and adjoining coastal wetlands (approximately 64 million gallons per day). The travel time of 19 percent of this discharge is less than 7 years. Ten percent of this discharge (1 percent of the total groundwater flow through the study area) originates in urban areas and has a travel time of less than 7 years. Groundwater that discharges to the streams that flow into the BB-LEH, in general, has shorter travel times, and a higher percentage of it originates in urban areas than does direct groundwater discharge to the Barnegat Bay–Little Egg Harbor estuary.The simulated average nitrogen concentration in groundwater that discharges to the Toms River, upstream from streamflow-gaging station 01408500 was computed and compared to summary concentrations determined from analysis of multiple surface-water samples. The nitrogen concentration in groundwater that discharges directly to the estuary and adjoining coastal wetlands is a current data gap. The particle tracking methodology used in this study provides an estimate of this concentration."

Annual sediment flux estimates in a tidal strait using surrogate measurements

USGS Publications Warehouse

Ganju, N.K.; Schoellhamer, D.H.

2006-01-01

Annual suspended-sediment flux estimates through Carquinez Strait (the seaward boundary of Suisun Bay, California) are provided based on surrogate measurements for advective, dispersive, and Stokes drift flux. The surrogates are landward watershed discharge, suspended-sediment concentration at one location in the Strait, and the longitudinal salinity gradient. The first two surrogates substitute for tidally averaged discharge and velocity-weighted suspended-sediment concentration in the Strait, thereby providing advective flux estimates, while Stokes drift is estimated with suspended-sediment concentration alone. Dispersive flux is estimated using the product of longitudinal salinity gradient and the root-mean-square value of velocity-weighted suspended-sediment concentration as an added surrogate variable. Cross-sectional measurements validated the use of surrogates during the monitoring period. During high freshwater flow advective and dispersive flux were in the seaward direction, while landward dispersive flux dominated and advective flux approached zero during low freshwater flow. Stokes drift flux was consistently in the landward direction. Wetter than average years led to net export from Suisun Bay, while dry years led to net sediment import. Relatively low watershed sediment fluxes to Suisun Bay contribute to net export during the wet season, while gravitational circulation in Carquinez Strait and higher suspended-sediment concentrations in San Pablo Bay (seaward end of Carquinez Strait) are responsible for the net import of sediment during the dry season. Annual predictions of suspended-sediment fluxes, using these methods, will allow for a sediment budget for Suisun Bay, which has implications for marsh restoration and nutrient/contaminant transport. These methods also provide a general framework for estimating sediment fluxes in estuarine environments, where temporal and spatial variability of transport are large. ?? 2006 Elsevier Ltd. All rights reserved.

Tracing river chemistry in space and time: Dissolved inorganic constituents of the Fraser River, Canada

NASA Astrophysics Data System (ADS)

Voss, Britta M.; Peucker-Ehrenbrink, Bernhard; Eglinton, Timothy I.; Fiske, Gregory; Wang, Zhaohui Aleck; Hoering, Katherine A.; Montluçon, Daniel B.; LeCroy, Chase; Pal, Sharmila; Marsh, Steven; Gillies, Sharon L.; Janmaat, Alida; Bennett, Michelle; Downey, Bryce; Fanslau, Jenna; Fraser, Helena; Macklam-Harron, Garrett; Martinec, Michelle; Wiebe, Brayden

2014-01-01

The Fraser River basin in southwestern Canada bears unique geologic and climatic features which make it an ideal setting for investigating the origins, transformations and delivery to the coast of dissolved riverine loads under relatively pristine conditions. We present results from sampling campaigns over three years which demonstrate the lithologic and hydrologic controls on fluxes and isotope compositions of major dissolved inorganic runoff constituents (dissolved nutrients, major and trace elements, 87Sr/86Sr, δD). A time series record near the Fraser mouth allows us to generate new estimates of discharge-weighted concentrations and fluxes, and an overall chemical weathering rate of 32 t km-2 y-1. The seasonal variations in dissolved inorganic species are driven by changes in hydrology, which vary in timing across the basin. The time series record of dissolved 87Sr/86Sr is of particular interest, as a consistent shift between higher (“more radiogenic”) values during spring and summer and less radiogenic values in fall and winter demonstrates the seasonal variability in source contributions throughout the basin. This seasonal shift is also quite large (0.709-0.714), with a discharge-weighted annual average of 0.7120 (2 s.d. = 0.0003). We present a mixing model which predicts the seasonal evolution of dissolved 87Sr/86Sr based on tributary compositions and water discharge. This model highlights the importance of chemical weathering fluxes from the old sedimentary bedrock of headwater drainage regions, despite their relatively small contribution to the total water flux.

Factors That Influence Human Milk Feeding at Hospital Discharge for Preterm Infants in a Tertiary Neonatal Care Center in Taiwan.

PubMed

Pai, Chia-Ming; Jim, Wai-Tim; Lin, Hsiang-Yu; Hsu, Chyong-Hsin; Kao, Hsin-An; Hung, Han-Yang; Peng, Chun-Chih; Chang, Jui-Hsing

Human milk is considered optimal nutrition for newborn infants, especially preterm infants, and it can lessen morbidity in this population. Human milk feeding at hospital discharge may encourage breastfeeding at home. This study evaluated the incidence and predictive factors of human milk feeding of preterm infants at discharge. It included all preterm infants with gestational age of less than 37 weeks who were admitted to the Mackay Memorial Hospital in Taiwan from January to December 2010 who survived to discharge. Infants were classified into a human milk group or a formula milk group. Gestational age, birth weight, length of hospital stay, maternal age, maternal educational status, and morbidity of prematurity were compared between the groups. Of the 290 preterm infants, 153 (52.8%) were being fed human milk at hospital discharge. Compared with the formula milk group, the human milk group had lower birth weights, younger gestational age, higher rates of ventilator use, and longer hospital stays. These differences were not statistically significant for very low-birth-weight (birth weight of <1500 g) infants (n = 66). Multivariate analysis indicated that 2 factors, longer hospital stay and neonatal intensive care unit admission, were associated with human milk feeding at hospital discharge. These findings highlight the need for encouraging and helping all mothers, even those with relatively mature and healthy infants, to provide human milk for their infants.

Association between quality domains and health care spending across physician networks

PubMed Central

Rahman, Farah; Guan, Jun; Glazier, Richard H.; Brown, Adalsteinn; Bierman, Arlene S.; Croxford, Ruth; Stukel, Therese A.

2018-01-01

One of the more fundamental health policy questions is the relationship between health care quality and spending. A better understanding of these relationships is needed to inform health systems interventions aimed at increasing quality and efficiency of care. We measured 65 validated quality indicators (QI) across Ontario physician networks. QIs were aggregated into domains representing six dimensions of care: screening and prevention, evidence-based medications, hospital-community transitions (7-day post-discharge visit with a primary care physician; 30-day post-discharge visit with a primary care physician and specialist), potentially avoidable hospitalizations and emergency department (ED) visits, potentially avoidable readmissions and unplanned returns to the ED, and poor cancer end of life care. Each domain rate was computed as a weighted average of QI rates, weighting by network population at risk. We also measured overall and sector-specific per capita healthcare network spending. We evaluated the associations between domain rates, and between domain rates and spending using weighted correlations, weighting by network population at risk, using an ecological design. All indicators were measured using Ontario health administrative databases. Large variations were seen in timely hospital-community transitions and potentially avoidable hospitalizations. Networks with timely hospital-community transitions had lower rates of avoidable admissions and readmissions (r = -0.89, -0.58, respectively). Higher physician spending, especially outpatient primary care spending, was associated with lower rates of avoidable hospitalizations (r = -0.83) and higher rates of timely hospital-community transitions (r = 0.81) and moderately associated with lower readmission rates (r = -0.46). Investment in effective primary care services may help reduce burden on the acute care sector and associated expenditures. PMID:29614131

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

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1981-01-01

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

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

PubMed

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

2011-08-01

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

Comparison of standardized versus individualized caloric prescriptions in the nutritional rehabilitation of inpatients with anorexia nervosa

PubMed Central

Haynos, Ann F.; Snipes, Cassandra; Guarda, Angela; Mayer, Laurel E.; Attia, Evelyn

2015-01-01

Objective Sparse research informs how caloric prescriptions should be advanced during nutritional rehabilitation of inpatients with anorexia nervosa (AN). This study compared the impact of a standardized caloric increase approach, in which increases occurred on a predetermined schedule, to an individualized approach, in which increases occurred only following insufficient weight gain, on rate, pattern, and cumulative amount of weight gain and other weight restoration outcomes. Method This study followed a natural experiment design comparing AN inpatients consecutively admitted before (n = 35) and after (n = 35) an institutional change from individualized to standardized caloric prescriptions. Authors examined the impact of prescription plan on weekly weight gain in the first treatment month using multilevel modeling. Within a subsample remaining inpatient through weight restoration (n = 40), multiple regressions examined the impact of caloric prescription plan on time to weight restoration, length of hospitalization, maximum caloric prescription, discharge BMI, and incidence of activity restriction and edema. Results There were significant interactions between prescription plan and quadratic time on average weekly weight gain (p = .03) and linear time on cumulative weekly weight gain (p < .001). Under the standardized plan, patients gained in an accelerated curvilinear pattern (p = .04) and, therefore, gained cumulatively greater amounts of weight over time (p < .001). Additionally, 30% fewer patients required activity restriction under the standardized plan. Discussion Standardized caloric prescriptions may confer advantage by facilitating accelerated early weight gain and lower incidence of bed rest without increasing the incidence of refeeding syndrome. PMID:26769581

Investigating the age distribution of fracture discharge using multiple environmental tracers, Bedrichov Tunnel, Czech Republic

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

Gardner, W. Payton; Hokr, Milan; Shao, Hua

We investigated the transit time distribution (TTD) of discharge collected from fractures in the Bedrichov Tunnel, Czech Republic, using lumped parameter models and multiple environmental tracers. We then utilize time series of δ 18O, δ 2H and 3H along with CFC measurements from individual fractures in the Bedrichov Tunnel of the Czech Republic to investigate the TTD, and the uncertainty in estimated mean travel time in several fracture networks of varying length and discharge. We also compare several TTDs, including the dispersion distribution, the exponential distribution, and a developed TTD which includes the effects of matrix diffusion. The effect ofmore » seasonal recharge is explored by comparing several seasonal weighting functions to derive the historical recharge concentration. We identify best fit mean ages for each TTD by minimizing the error-weighted, multi-tracer χ2 residual for each seasonal weighting function. We use this methodology to test the ability of each TTD and seasonal input function to fit the observed tracer concentrations, and the effect of choosing different TTD and seasonal recharge functions on the mean age estimation. We find that the estimated mean transit time is a function of both the assumed TTD and seasonal weighting function. Best fits as measured by the χ2 value were achieved for the dispersion model using the seasonal input function developed here for two of the three modeled sites, while at the third site, equally good fits were achieved with the exponential model and the dispersion model and our seasonal input function. The average mean transit time for all TTDs and seasonal input functions converged to similar values at each location. The sensitivity of the estimated mean transit time to the seasonal weighting function was equal to that of the TTD. These results indicated that understanding seasonality of recharge is at least as important as the uncertainty in the flow path distribution in fracture networks and that unique identification of the TTD and mean transit time is difficult given the uncertainty in the recharge function. But, the mean transit time appears to be relatively robust to the structural model uncertainty. The results presented here should be applicable to other studies using environmental tracers to constrain flow and transport properties in fractured rock systems.« less

Investigating the age distribution of fracture discharge using multiple environmental tracers, Bedrichov Tunnel, Czech Republic

DOE PAGES

Gardner, W. Payton; Hokr, Milan; Shao, Hua; ...

2016-10-19

We investigated the transit time distribution (TTD) of discharge collected from fractures in the Bedrichov Tunnel, Czech Republic, using lumped parameter models and multiple environmental tracers. We then utilize time series of δ 18O, δ 2H and 3H along with CFC measurements from individual fractures in the Bedrichov Tunnel of the Czech Republic to investigate the TTD, and the uncertainty in estimated mean travel time in several fracture networks of varying length and discharge. We also compare several TTDs, including the dispersion distribution, the exponential distribution, and a developed TTD which includes the effects of matrix diffusion. The effect ofmore » seasonal recharge is explored by comparing several seasonal weighting functions to derive the historical recharge concentration. We identify best fit mean ages for each TTD by minimizing the error-weighted, multi-tracer χ2 residual for each seasonal weighting function. We use this methodology to test the ability of each TTD and seasonal input function to fit the observed tracer concentrations, and the effect of choosing different TTD and seasonal recharge functions on the mean age estimation. We find that the estimated mean transit time is a function of both the assumed TTD and seasonal weighting function. Best fits as measured by the χ2 value were achieved for the dispersion model using the seasonal input function developed here for two of the three modeled sites, while at the third site, equally good fits were achieved with the exponential model and the dispersion model and our seasonal input function. The average mean transit time for all TTDs and seasonal input functions converged to similar values at each location. The sensitivity of the estimated mean transit time to the seasonal weighting function was equal to that of the TTD. These results indicated that understanding seasonality of recharge is at least as important as the uncertainty in the flow path distribution in fracture networks and that unique identification of the TTD and mean transit time is difficult given the uncertainty in the recharge function. But, the mean transit time appears to be relatively robust to the structural model uncertainty. The results presented here should be applicable to other studies using environmental tracers to constrain flow and transport properties in fractured rock systems.« less

Revised techniques for estimating peak discharges from channel width in Montana

USGS Publications Warehouse

Parrett, Charles; Hull, J.A.; Omang, R.J.

1987-01-01

This study was conducted to develop new estimating equations based on channel width and the updated flood frequency curves of previous investigations. Simple regression equations for estimating peak discharges with recurrence intervals of 2, 5, 10 , 25, 50, and 100 years were developed for seven regions in Montana. The standard errors of estimates for the equations that use active channel width as the independent variables ranged from 30% to 87%. The standard errors of estimate for the equations that use bankfull width as the independent variable ranged from 34% to 92%. The smallest standard errors generally occurred in the prediction equations for the 2-yr flood, 5-yr flood, and 10-yr flood, and the largest standard errors occurred in the prediction equations for the 100-yr flood. The equations that use active channel width and the equations that use bankfull width were determined to be about equally reliable in five regions. In the West Region, the equations that use bankfull width were slightly more reliable than those based on active channel width, whereas in the East-Central Region the equations that use active channel width were slightly more reliable than those based on bankfull width. Compared with similar equations previously developed, the standard errors of estimate for the new equations are substantially smaller in three regions and substantially larger in two regions. Limitations on the use of the estimating equations include: (1) The equations are based on stable conditions of channel geometry and prevailing water and sediment discharge; (2) The measurement of channel width requires a site visit, preferably by a person with experience in the method, and involves appreciable measurement errors; (3) Reliability of results from the equations for channel widths beyond the range of definition is unknown. In spite of the limitations, the estimating equations derived in this study are considered to be as reliable as estimating equations based on basin and climatic variables. Because the two types of estimating equations are independent, results from each can be weighted inversely proportional to their variances, and averaged. The weighted average estimate has a variance less than either individual estimate. (Author 's abstract)

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

NASA Technical Reports Server (NTRS)

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

1985-01-01

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

Physical activity and post-treatment weight trajectory in anorexia nervosa

PubMed Central

Gianini, Loren M; Klein, Diane A; Call, Christine; Walsh, B. Timothy; Wang, Yuanjia; Wu, Peng; Attia, Evelyn

2015-01-01

Objective This study compared an objective measurement of physical activity (PA) in individuals with anorexia nervosa (AN) at low-weight, weight-restored, and post-treatment time points, and also compared PA in AN with that of healthy controls (HC). Method Sixty-one female inpatients with AN wore a novel accelerometer (the IDEEA) which measured PA at three time points: a) low-weight, b) weight-restored, and c) one month post-hospital discharge. Twenty-four HCs wore the IDEEA at one time point. Results Inpatients with AN became more physically active than they were at low-weight at weight restoration and following treatment discharge. Post-treatment patients with AN were more physically active than HCs during the day and less active at night, which was primarily accounted for by amount of time spent on feet, including standing and walking. Greater time spent on feet during the weight-restoration time point of inpatient treatment was associated with more rapid decrease in BMI over the 12 months following treatment discharge. Fidgeting did not differ between patients and controls, did not change with weight restoration, and did not predict post-treatment weight change. Discussion Use of a novel accelerometer demonstrated greater PA in AN than in healthy controls. PA following weight restoration in AN, particularly time spent in standing postures, may contribute to weight loss in the year following hospitalization. PMID:26712105

A sampling plan for conduit-flow karst springs: Minimizing sampling cost and maximizing statistical utility

USGS Publications Warehouse

Currens, J.C.

1999-01-01

Analytical data for nitrate and triazines from 566 samples collected over a 3-year period at Pleasant Grove Spring, Logan County, KY, were statistically analyzed to determine the minimum data set needed to calculate meaningful yearly averages for a conduit-flow karst spring. Results indicate that a biweekly sampling schedule augmented with bihourly samples from high-flow events will provide meaningful suspended-constituent and dissolved-constituent statistics. Unless collected over an extensive period of time, daily samples may not be representative and may also be autocorrelated. All high-flow events resulting in a significant deflection of a constituent from base-line concentrations should be sampled. Either the geometric mean or the flow-weighted average of the suspended constituents should be used. If automatic samplers are used, then they may be programmed to collect storm samples as frequently as every few minutes to provide details on the arrival time of constituents of interest. However, only samples collected bihourly should be used to calculate averages. By adopting a biweekly sampling schedule augmented with high-flow samples, the need to continuously monitor discharge, or to search for and analyze existing data to develop a statistically valid monitoring plan, is lessened.Analytical data for nitrate and triazines from 566 samples collected over a 3-year period at Pleasant Grove Spring, Logan County, KY, were statistically analyzed to determine the minimum data set needed to calculate meaningful yearly averages for a conduit-flow karst spring. Results indicate that a biweekly sampling schedule augmented with bihourly samples from high-flow events will provide meaningful suspended-constituent and dissolved-constituent statistics. Unless collected over an extensive period of time, daily samples may not be representative and may also be autocorrelated. All high-flow events resulting in a significant deflection of a constituent from base-line concentrations should be sampled. Either the geometric mean or the flow-weighted average of the suspended constituents should be used. If automatic samplers are used, then they may be programmed to collect storm samples as frequently as every few minutes to provide details on the arrival time of constituents of interest. However, only samples collected bihourly should be used to calculate averages. By adopting a biweekly sampling schedule augmented with high-flow samples, the need to continuously monitor discharge, or to search for and analyze existing data to develop a statistically valid monitoring plan, is lessened.

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

NASA Astrophysics Data System (ADS)

Osadchiev, Alexander; Korshenko, Evgeniya

2017-06-01

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

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

Treesearch

B. Lane Rivenbark; C. Rhett Jackson

2004-01-01

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

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

NASA Astrophysics Data System (ADS)

Gadkari, Siddharth; Gu, Sai

2018-06-01

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

Limiting invasive species in ballast water

NASA Astrophysics Data System (ADS)

Showstack, Randy

2011-06-01

Ballast water is often intentionally loaded onto cargo ships and other vessels to provide weight necessary for safe maneuvering. However, this practice can unintentionally transport exotic organisms to parts of the world where populations of these organisms can establish themselves in new habitats as invasive and environmentally and economically disruptive species. Each year, an estimated 196 million metric tons of ballast water are discharged into U.S. coastal waters and the Great Lakes alone from an average of more than 90,000 visits of commercial ships greater than 300 metric tons, according to a 2 June report by the U.S. National Research Council (NRC) of the National Academies.

Growth and breastfeeding among low birth weight infants fed with or without protein enrichment of human milk.

PubMed

Funkquist, E L; Tuvemo, T; Jonsson, B; Serenius, F; Hedberg-Nyqvist, K

2006-01-01

The effect of protein enrichment of mother's milk on growth of low birthweight infants needs further exploration in order to optimize feeding strategies. The aim of this study was to describe feeding and growth of infants weighing <1,900 g at birth, up to a corrected age of 18 months, with or without protein-enriched breastmilk. A retrospective, descriptive, non-experimental design was used to describe the growth of 52 low birthweight infants. Data on their growth and feeding were collected from medical records at hospitals and child health care clinics. Despite more severe morbidity, the infants given protein-enriched milk showed similar growth as the other study infants. Standard deviation score for length at birth correlated positively with delta standard deviation score for length, from discharge to 12 and from discharge to 18 months corrected age. Duration of 'full' breastfeeding had a significant impact on subsequent improvement in SDS for weight. At discharge a smaller proportion of singletons fed with protein enriched milk were breastfed 'fully'. Infants who established breastfeeding at an early post-menstrual age were born with more optimal weight standard deviation score and had a better weight gain after discharge. We conclude that protein-enriched breast milk enables low birthweight infants requiring especially intensive care to attain growth at discharge comparable to that of healthier infants not given enriched milk. Low standard deviation score for length at birth may predict poor growth after discharge. However duration of 'full' breastfeeding had a significant impact on subsequent improvement in SDS for weight. Therefore it is important that mothers of LBW infants are given sufficient support of lactation and breastfeeding.

Parental and perinatal factors affecting childhood anthropometry of very-low-birth-weight premature infants: a population-based survey.

PubMed

Makhoul, Imad R; Awad, Eman; Tamir, Ada; Weintraub, Zalman; Rotschild, Avi; Bader, David; Yurman, Shmuel; Reich, Dan; Bental, Yoram; Jammalieh, Jeryes; Smolkin, Tatiana; Sujov, Polo; Hochberg, Ze'ev

2009-06-01

The perinatal-neonatal course of very-low-birth-weight (VLBW) infants might affect their childhood growth. We evaluated the effect of parental anthropometry and perinatal and neonatal morbidity of VLBW neonates on their childhood growth. We obtained parental anthropometry, height and weight at age 6-10.5 years of 334 children born as VLBW infants. Parental, perinatal and neonatal data of these children were tested for association with childhood anthropometry. (1) Maternal and paternal weight standard deviation score (SDS) and discharge weight (DW) SDS were associated with childhood weight SDS (R(2)= 0.111, p < 0.00001); (2) Maternal and paternal height SDS, corrected gestational age (GA) at discharge, maternal assisted reproduction and SGA status were associated with childhood height SDS (R(2)= 0.208, p < 0.00001); (3) paternal weight SDS, DW SDS and surfactant therapy were associated with childhood body mass index (BMI) SDS (R(2)= 0.096, p < 0.00001). 31.1% of VLBW infants had DW SDS < -1.88, and are to be considered small for gestational age ('SGA'). One quarter of these infants did not catch up by age 6-10.5 years. Childhood anthropometry of VLBW infants depends on parental anthropometry, postnatal respiratory morbidity and growth parameters at birth and at discharge. Almost one-third of VLBW premature infants had growth restriction at discharge from neonatal intensive care unit (NICU), a quarter of whom did not catch up by age 6-10.5 years.

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

USGS Publications Warehouse

DeSimone, Leslie A.

2004-01-01

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

Calorie and protein-enriched formula versus standard term formula for improving growth and development in preterm or low birth weight infants following hospital discharge.

PubMed

Henderson, G; Fahey, T; McGuire, W

2005-04-18

Preterm and low birth weight infants are often growth-restricted at hospital discharge. Feeding infants post-hospital discharge with calorie and protein-enriched formula milk might facilitate "catch-up" growth and improve development. To review the evidence from randomised controlled trials that feeding following hospital discharge with calorie and protein-enriched formula compared with standard term formula improves growth and development for preterm or low birth weight infants. We used the standard search strategy of the Cochrane Neonatal Review Group. This included searches of the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 4, 2004), MEDLINE (1966 - December 2004), EMBASE (1980 - December 2004), CINAHL (1982 - December 2004), conference proceedings, and previous reviews. Randomised or quasi-randomised controlled trials that compared the effect of feeding preterm or low birth weight infants post-hospital discharge with calorie and protein-enriched formula compared with standard term formula. We extracted data using the standard methods of the Cochrane Neonatal Review Group, with separate evaluation of trial quality and data extraction by two authors, and synthesis of data using weighted mean difference and a fixed effects model for meta-analysis. We found six trials that were eligible for inclusion. These recruited a total of 424 infants and were generally of good methodological quality. These trials found little evidence that feeding with calorie and protein-enriched formula milk affected growth and development. Because of differences in the way individual trials measured and presented outcomes, data synthesis was limited. Meta-analysis of data from two trials found a statistically significant effect on crown-heel length at 18 months post-term (weighted mean difference 9.7 millimetres (95% confidence interval 3.2 to 16.2)), but not on weight or head circumference. Meta-analysis of data from the two trials that assessed neurodevelopment at 18 months post-term did not reveal a statistically significant difference in either Bayley Mental Development Index (weighted mean difference 0.23 (95% confidence interval -2.99 to 3.45)) or Psychomotor Development Index (weighted mean difference 0.56 (95% confidence interval -1.95 to 3.07)). There are not yet any data on growth or development through later childhood. The limited available data do not provide strong evidence that feeding preterm or low birth weight infants following hospital discharge with calorie and protein-enriched formula compared with standard term formula affects growth rates or development up to 18 months post-term.

Safety of tPA in stroke mimics and neuroimaging-negative cerebral ischemia(Podcast)(e–Pub ahead of print)(CME)

PubMed Central

Chernyshev, O.Y.; Martin-Schild, S.; Albright, K.C.; Barreto, A.; Misra, V.; Acosta, I.; Grotta, J.C.; Savitz, S.I.

2010-01-01

Background: Patients with acute neurologic symptoms may have other causes simulating ischemic stroke, called stroke mimics (SM), but they may also have averted strokes that do not appear as infarcts on neuroimaging, which we call neuroimaging-negative cerebral ischemia (NNCI). We determined the safety and outcome of IV thrombolysis within 3 hours of symptom onset in patients with SM and NNCI. Methods: Patients treated with IV tissue plasminogen activator (tPA) within 3 hours of symptom onset were identified from our stroke registry from June 2004 to October 2008. We collected admission NIH Stroke Scale (NIHSS) score, modified Rankin score (mRS), length of stay (LOS), symptomatic intracerebral hemorrhage (sICH), and discharge diagnosis. Results: Among 512 treated patients, 21% were found not to have an infarct on follow-up imaging. In the SM group (14%), average age was 55 years, median admission NIHSS was 7, median discharge NIHSS was 0, median LOS was 3 days, and there were no instances of sICH. The most common etiologies were seizure, complicated migraine, and conversion disorder. In the NNCI group (7%), average age was 61 years, median admission NIHSS was 7, median discharge NIHSS was 0, median LOS was 3 days, and there were no instances of sICH. Nearly all SM (87%) and NNCI (91%) patients were functionally independent on discharge (mRS 0–1). Conclusions: Our data support the safety of administering IV tissue plasminogen activator to patients with suspected acute cerebral ischemia within 3 hours of symptom onset, even when the diagnosis ultimately is found not to be stroke or imaging does not show an infarct. GLOSSARY AIS = acute ischemic stroke; CI = confidence interval; DWI = diffusion-weighted imaging; ED = emergency department; LOS = length of stay; mRS = modified Rankin score; NIHSS = NIH Stroke Scale; NNCI = neuroimaging-negative cerebral ischemia; OR = odds ratio; sICH = symptomatic intracerebral hemorrhage; SM = stroke mimics; tPA = tissue plasminogen activator. PMID:20335564

Comparison of high-voltage ac and pulsed operation of a surface dielectric barrier discharge

NASA Astrophysics Data System (ADS)

Williamson, James M.; Trump, Darryl D.; Bletzinger, Peter; Ganguly, Biswa N.

2006-10-01

A surface dielectric barrier discharge (DBD) in atmospheric pressure air was excited either by low frequency (0.3-2 kHz) high-voltage ac or by short, high-voltage pulses at repetition rates from 50 to 600 pulses s-1. The short-pulse excited discharge was more diffuse and did not have the pronounced bright multiple cathode spots observed in the ac excited discharge. The discharge voltage, current and average power deposited into the discharge were calculated for both types of excitation. As a measure of plasma-chemical efficiency, the ozone number density was measured by UV absorption as a function of average deposited power. The density of ozone produced by ac excitation did not increase so rapidly as that produced by short-pulse excitation as a function of average power, with a maximum measured density of ~3 × 1015 cm-3 at 25 W. The maximum ozone production achieved by short-pulse excitation was ~8.5 × 1015 cm-3 at 20 W, which was four times greater than that achieved by ac excitation at the same power level.

[Short, medium and long-term benefits of human milk intake in very-low-birth-weight infants].

PubMed

Chinea Jiménez, Bibiana; Awad Parada, Yumana; Villarino Marín, Antonio; Sáenz de Pipaón Marcos, Miguel

2017-10-24

The aim of the present study is to evaluate the effect of human milk feeding during the first weeks of life in very low birth weight infants on weight gain at discharge, length of hospitalization, postmenstrual age at discharge and nutritional assessment, growth and neurodevelopment at two and five years. Longitudinal study of very-low-birth-weight infants (< 1,500 grams) admitted to the Neonatal Intensive Care Unit of La Paz University Hospital, from January 1st 2009 to December 31st 2009, followed in the follow-up clinic. Their parents agreed to perform a more exhaustive anthropometric study at five years, classified according to the type of feeding at the time of discharge (exclusive human milk, formula milk or mixed). Initial hospital duration and anthropometry at discharge were evaluated. At two years of age, anthropometric data (weight, height and head circumference) were collected and neurodevelopment was assessed according to the Bayley scale of child development. Data at five years were collected prospectively. Measurements of weight, height and head circumference, waist circumference, hip, relaxed and contracted arm, thigh and middle leg, bicipital, triceps, subscapular, suprailiac and leg skin folds were performed. For patients older than five years, the Kaufman test battery for children was used. The effect of human milk on the variables of interest was investigated using a multivariate analysis correcting for gestational age and weight at birth. One hundred and fifty-two infants born in 2009 were discharged from our unit: exclusive breast milk (59), formula (55) or mixed milk (38). More detailed follow-up was carried out for 61 of them. Human milk during the first admission decreases the initial hospital stay, and is associated with a higher head circumference at two and five years, and a better score in the global and verbal cognitive area at five years. Our results suggest that maternal milk feeding during initial admission should be encouraged because it can improve neurodevelopment at five years of age.

Tracer gauge: An automated dye dilution gauging system for ice‐affected streams

USGS Publications Warehouse

Clow, David W.; Fleming, Andrea C.

2008-01-01

In‐stream flow protection programs require accurate, real‐time streamflow data to aid in the protection of aquatic ecosystems during winter base flow periods. In cold regions, however, winter streamflow often can only be estimated because in‐channel ice causes variable backwater conditions and alters the stage‐discharge relation. In this study, an automated dye dilution gauging system, a tracer gauge, was developed for measuring discharge in ice‐affected streams. Rhodamine WT is injected into the stream at a constant rate, and downstream concentrations are measured with a submersible fluorometer. Data loggers control system operations, monitor key variables, and perform discharge calculations. Comparison of discharge from the tracer gauge and from a Cipoletti weir during periods of extensive ice cover indicated that the root‐mean‐square error of the tracer gauge was 0.029 m3 s−1, or 6.3% of average discharge for the study period. The tracer gauge system can provide much more accurate data than is currently available for streams that are strongly ice affected and, thus, could substantially improve management of in‐stream flow protection programs during winter in cold regions. Care must be taken, however, to test for the validity of key assumptions, including complete mixing and conservative behavior of dye, no changes in storage, and no gains or losses of water to or from the stream along the study reach. These assumptions may be tested by measuring flow‐weighted dye concentrations across the stream, performing dye mass balance analyses, and evaluating breakthrough curve behavior.

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

PubMed

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

2013-01-01

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

NeuroRecovery Network provides standardization of locomotor training for persons with incomplete spinal cord injury.

PubMed

Morrison, Sarah A; Forrest, Gail F; VanHiel, Leslie R; Davé, Michele; D'Urso, Denise

2012-09-01

To illustrate the continuity of care afforded by a standardized locomotor training program across a multisite network setting within the Christopher and Dana Reeve Foundation NeuroRecovery Network (NRN). Single patient case study. Two geographically different hospital-based outpatient facilities. This case highlights a 25-year-old man diagnosed with C4 motor incomplete spinal cord injury with American Spinal Injury Association Impairment Scale grade D. Standardized locomotor training program 5 sessions per week for 1.5 hours per session, for a total of 100 treatment sessions, with 40 sessions at 1 center and 60 at another. Ten-meter walk test and 6-minute walk test were assessed at admission and discharge across both facilities. For each of the 100 treatment sessions percent body weight support, average, and maximum treadmill speed were evaluated. Locomotor endurance, as measured by the 6-minute walk test, and overground gait speed showed consistent improvement from admission to discharge. Throughout training, the patient decreased the need for body weight support and was able to tolerate faster treadmill speeds. Data indicate that the patient continued to improve on both treatment parameters and walking function. Standardization across the NRN centers provided a mechanism for delivering consistent and reproducible locomotor training programs across 2 facilities without disrupting training or recovery progression. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Iowa Stream Nitrate, Discharge and Precipitation: 30-Year Perspective.

PubMed

Jones, Christopher S; Schilling, Keith E; Simpson, Ian M; Wolter, Calvin F

2018-05-31

We evaluated Iowa Department of Natural Resources nitrate (NO 3 -N) and US Geological Survey hydrological data from 1987 to 2016 in nine agricultural watersheds to assess how transport of this pollutant has changed in the US state of Iowa. When the first 15 years of the 30-year water-quality record is compared to the second 15 years (1987-2001 and 2002-2016), three different metrics used to quantify NO 3 -N transport all indicate levels of this pollutant are increasing. Yield of NO 3 -N (kg ha -1 ) averaged 18% higher in the second 15 years, while flow-weighted average concentrations (mg L -1 ) were 12% higher. We also introduced the new metric of NO 3 -N yield (g ha -1 ) per mm precipitation to assess differences between years and watersheds, which averaged 21 g NO 3 -N ha -1 per 1 mm of precipitation across all watersheds and was 13% higher during the second half of the record. These increases of NO 3 -N occurred within a backdrop of increasing wetness across Iowa, with precipitation and discharge levels 8 and 16% higher in the last half of the record, indicating how NO 3 -N transport is amplified by increasing precipitation levels. The implications of this are that in future climate scenarios where rainfall is more abundant, detaining water and increasing evapotranspiration within the cropping system will be necessary to control NO 3 -N losses. Land use changes that include use of cover crops, living mulches, and perennial plants should be expanded to improve water quality and affect the water balance within agricultural basins.

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

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

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

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

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

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

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

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

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

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

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

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

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2010 CFR

2010-07-01

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

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

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

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

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

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

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

40 CFR 464.44 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

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

40 CFR 464.24 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

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

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

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

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2011 CFR

2011-07-01

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

40 CFR 464.14 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

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

Surface waters of Elk Creek basin in southwestern Oklahoma

USGS Publications Warehouse

Westfall, A.O.

1963-01-01

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

Noise and light exposures for extremely low birth weight newborns during their stay in the neonatal intensive care unit.

PubMed

Lasky, Robert E; Williams, Amber L

2009-02-01

The objectives of this study were to characterize noise and light levels for extremely low birth weight newborns throughout their stay in the NICU, evaluate factors influencing noise and light levels, and determine whether exposures meet recommendations from the American Academy of Pediatrics. Sound and light were measured inside the beds of extremely low birth weight newborns (n = 22) from birth to discharge. Measurements were recorded for 20 consecutive hours weekly from birth until 36 weeks' postmenstrual age, biweekly until 40 weeks, and every 4 weeks thereafter. Clinical variables including bed type and method of respiratory support were recorded at each session. Age-related changes in respiratory support and bed type explained the weekly increase of 0.22 dB in sound level and 3.67 lux in light level. Old incubators were the noisiest bed types, and new incubators were the quietest. Light levels were significantly higher in open beds than in incubators. The variations in noise and light levels over time were greatest for open beds. Noise and light levels were much less affected by respiratory support in incubators compared with open beds. A typical extremely low birth weight neonate was exposed to noise levels averaging 56.44 dB(A) and light levels averaging 70.56 lux during their stay from 26 to 42 weeks' postmenstrual age in the NICU. Noise levels were rarely within American Academy of Pediatrics recommendations (5.51% of the time), whereas light levels almost always met recommendations (99.37% of the time). Bed type and respiratory support explained differences in noise and light levels that extremely low birth weight newborns experience during their hospital stay. Noise levels exceeded recommendations, although evidence supporting those recommendations is lacking. Well-designed intervention studies are needed to determine the effects of noise reduction on the development of extremely low birth weight newborns.

Evaluation of the method of collecting suspended sediment from large rivers by discharge-weighted pumping and separation by continuous- flow centrifugation

USGS Publications Warehouse

Moody, J.A.; Meade, R.H.

1994-01-01

The efficacy of the method is evaluated by comparing the particle size distributions of sediment collected by the discharge-weighted pumping method with the particle size distributions of sediment collected by depth integration and separated by gravitational settling. The pumping method was found to undersample the suspended sand sized particles (>63 ??m) but to collect a representative sample of the suspended silt and clay sized particles (<63??m). The success of the discharge-weighted pumping method depends on how homogeneously the silt and clay sized particles (<63 ??m) are distributed in the vertical direction in the river. The degree of homogeneity depends on the composition and degree of aggregation of the suspended sediment particles. -from Authors

76 FR 28947 - Bus Testing: Calculation of Average Passenger Weight and Test Vehicle Weight, and Public Meeting...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-19

...-0015] RIN 2132-AB01 Bus Testing: Calculation of Average Passenger Weight and Test Vehicle Weight, and... of proposed rulemaking (NPRM) regarding the calculation of average passenger weights and test vehicle... passenger weights and actual transit vehicle loads. Specifically, FTA proposed to change the average...

Impact of Superstorm Sandy on Medicare Patients' Utilization of Hospitals and Emergency Departments.

PubMed

Stryckman, Benoit; Walsh, Lauren; Carr, Brendan G; Hupert, Nathaniel; Lurie, Nicole

2017-10-01

National health security requires that healthcare facilities be prepared to provide rapid, effective emergency and trauma care to all patients affected by a catastrophic event. We sought to quantify changes in healthcare utilization patterns for an at-risk Medicare population before, during, and after Superstorm Sandy's 2012 landfall in New Jersey (NJ). This study is a retrospective cohort study of Medicare beneficiaries impacted by Superstorm Sandy. We compared hospital emergency department (ED) and healthcare facility inpatient utilization in the weeks before and after Superstorm Sandy landfall using a 20% random sample of Medicare fee-for-service beneficiaries continuously enrolled in 2011 and 2012 (N=224,116). Outcome measures were pre-storm discharges (or transfers), average length of stay, service intensity weight, and post-storm ED visits resulting in either discharge or hospital admission. In the pre-storm week, hospital transfers from skilled nursing facilities (SNF) increased by 39% and inpatient discharges had a 0.3 day decreased mean length of stay compared to the prior year. In the post-storm week, ED visits increased by 14% statewide; of these additional "surge" patients, 20% were admitted to the hospital. The increase in ED demand was more than double the statewide average in the most highly impacted coastal regions (35% versus 14%). Superstorm Sandy impacted both pre- and post-storm patient movement in New Jersey; post-landfall ED surge was associated with overall storm impact, which was greatest in coastal counties. A significant increase in the number and severity of pre-storm transfer patients, in particular from SNF, as well as in post-storm ED visits and inpatient admissions, draws attention to the importance of collaborative regional approaches to healthcare in large-scale events.

Comparing Growth Rates after Hospital Discharge of Preterm Infants Fed with Either Post-Discharge Formula or High-Protein, Medium-Chain Triglyceride Containing Formula.

PubMed

Ekcharoen, Chanikarn; Tantibhaedhyangkul, Ruangvith

2015-12-01

To evaluate whether a high energy, high-protein, MCT-containing formula (HPMCT) is as appropriate as a post-discharge formula (PDF) for feeding preterm infants after hospital discharge by comparing growth, adverse effects, and cost per gram of bodyweight gain. The present study was a randomized controlled trial. The calculated sample size was 20 infants for each intervention group. After the consent procedure, preterm infants who had postconceptional age (PCA) 35⁺¹ to 36⁺⁰ weeks and weight between 1,800 and 3,000 g at hospital discharge were randomly enrolled to receive either PDF or HPMCT starting from the discharge day. Intervention period lasted at least 28 days and until the infant's weight was at least 3,000 g or PCA was at least 40⁺⁰ weeks. Body weight, length, and head circumference were measured on days 0, 14, 28, 56, and 84 after hospital discharge. Formula intakes and adverse symptoms (abdominal distension, diarrhea, and constipation) were recorded by parents before each visit in diaries provided by the study group. Cost was calculated from estimated actual formula intakes. There were six and five infants enrolled into PDF and HPMCT group, respectively. Demographic data were not different between the two groups. There were no significant differences of growth rates in both groups at days 28, 56, and 84 after hospital discharge. Adverse effects and costs were not different either. PDF and HPMCT might be comparably appropriate for feeding catching-up preterm infants after hospital discharge, as noted from growth rates, adverse effects, and costs. However, further studies involving biochemical and neurodevelopmental evaluation, with long-term follow-up in larger populations are needed to clearly compare both formulas.

Using thermal-infrared imagery to delineate ground-water discharge

USGS Publications Warehouse

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

1996-01-01

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

Association of weight at enlistment with enrollment in the Army Weight Control Program and subsequent attrition in the Assessment of Recruit Motivation and Strength Study.

PubMed

Bedno, Sheryl A; Lang, Christine E; Daniell, William E; Wiesen, Andrew R; Datu, Bennett; Niebuhr, David W

2010-03-01

The ongoing obesity epidemic has made recruiting qualified Army applicants increasingly difficult. A cohort of 10,213 Army enlisted subjects was enrolled in the Assessment of Recruit Motivation and Strength (ARMS) study from February 2005 through September 2006. Overweight recruits obtained a waiver for enlistment (n = 990) if they passed a screening physical fitness test. Recruits were evaluated for enrollment into the Army Weight Control Program (AWCP) and discharged during the 15 months following enlistment. Enrollment was higher among overweight recruits than recruits who met entrance standards (men: adjusted OR = 13.3 [95% CI: 10.3, 17.2]; women: adjusted OR = 3.6 [3.3, 3.9]). Although the discharge frequency was higher in the waiver group than in those who met standards (25.4% versus 19.9%, p < 0.001), there were only 10 (0.5% of total) discharges directly attributed to weight. Granting overweight waivers through the ARMS program increases enrollment to the AWCP but has little effect on weight-related attrition.

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

USGS Publications Warehouse

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

1962-01-01

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

Ruthenium Oxide Electrochemical Super Capacitor Optimization for Pulse Power Applications

NASA Technical Reports Server (NTRS)

Merryman, Stephen A.; Chen, Zheng

2000-01-01

Electrical actuator systems are being pursued as alternatives to hydraulic systems to reduce maintenance time, weight and costs while increasing reliability. Additionally, safety and environmental hazards associated with the hydraulic fluids can be eliminated. For most actuation systems, the actuation process is typically pulsed with high peak power requirements but with relatively modest average power levels. The power-time requirements for electrical actuators are characteristic of pulsed power technologies where the source can be sized for the average power levels while providing the capability to achieve the peak requirements. Among the options for the power source are battery systems, capacitor systems or battery-capacitor hybrid systems. Battery technologies are energy dense but deficient in power density; capacitor technologies are power dense but limited by energy density. The battery-capacitor hybrid system uses the battery to supply the average power and the capacitor to meet the peak demands. It has been demonstrated in previous work that the hybrid electrical power source can potentially provide a weight savings of approximately 59% over a battery-only source. Electrochemical capacitors have many properties that make them well-suited for electrical actuator applications. They have the highest demonstrated energy density for capacitive storage (up to 100 J/g), have power densities much greater than most battery technologies (greater than 30kW/kg), are capable of greater than one million charge-discharge cycles, can be charged at extremely high rates, and have non-explosive failure modes. Thus, electrochemical capacitors exhibit a combination of desirable battery and capacitor characteristics.

Efficiency of lithium pacemaker batteries as a function of discharge rate and iodine:P2VP cathode composition

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

Helgeson, W.D.; Fester, K.E.

1980-01-01

Electrochemical discharge data for Li/I/sub 2/-P2VP pacemaker batteries at various discharge currents show the efficiency of the battery to be a function of discharge current. Depending on the iodine:P2VP cathode composition, the optimum current drain occurs between discharge currents of 100 to 200 /mu/a. As current drain is reduced to pacemaker application drains, 15-25 /mu/a, the efficiency of the Li/I/sub 2/-P2VP battery decreases. The loss in efficiency at pacemaker rates is attributed primarily to self-discharge. The efficiency of Li/I/sub 2/-P2VP batteries is improved by increasing the percent of iodine in the cathode. I/sub 2/:P2VP weight ratios of 10:1, 15:1 andmore » 20:1 have been discharged at various currents and the data indicate that there is significant improvement in efficiency at pacemaker rate in going from 10:1 to 20:1 cathode weight ratio. 2 refs.« less

Stochastic modeling of central apnea events in preterm infants.

PubMed

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

2016-04-01

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

Post-discharge body weight and neurodevelopmental outcomes among very low birth weight infants in Taiwan: A nationwide cohort study.

PubMed

Hsu, Chung-Ting; Chen, Chao-Huei; Lin, Ming-Chih; Wang, Teh-Ming; Hsu, Ya-Chi

2018-01-01

Premature infants are at high risk for developmental delay and cognitive dysfunction. Besides medical conditions, growth restriction is regarded as an important risk factor for cognitive and neurodevelopmental dysfunction throughout childhood and adolescence and even into adulthood. In this study, we analyzed the relationship between post-discharge body weight and psychomotor development using a nationwide dataset. This was a nationwide cohort study conducted in Taiwan. Total of 1791 premature infants born between 2007 and 2011 with a birth weight of less than 1500 g were enrolled into this multi-center study. The data were obtained from the Taiwan Premature Infant Developmental Collaborative Study Group. The growth and neurodevelopmental evaluations were performed at corrected ages of 6, 12 and 24 months. Post-discharge failure to thrive was defined as a body weight below the 3rd percentile of the standard growth curve for Taiwanese children by the corrected age. The prevalence of failure to thrive was 15.8%, 16.9%, and 12.0% at corrected ages of 6, 12, and 24 months, respectively. At corrected ages of 24 months, 12.9% had low Mental Developmental Index (MDI) scores (MDI<70), 17.8% had low Psychomotor Developmental Index (PDI) scores (PDI<70), 12.7% had cerebral palsy, and 29.5% had neurodevelopmental impairment. Post-discharge failure to thrive was significantly associated with poor neurodevelopmental outcomes. After controlling for potential confounding factors (small for gestational age, extra-uterine growth retardation at discharge, cerebral palsy, gender, mild intraventricular hemorrhage, persistent pulmonary hypertension of newborn, respiratory distress syndrome, chronic lung disease, hemodynamic significant patent ductus arteriosus, necrotizing enterocolitis, surfactant use and indomethacin use), post-discharge failure to thrive remained a risk factor. This observational study observed the association between lower body weight at corrected age of 6, 12, and 24 months and poor neurodevelopmental outcomes among VLBW premature infants. There are many adverse factors which can influence the neurodevelopment in NICU care. More studies are needed to elucidate the causal relationship.

Post-discharge body weight and neurodevelopmental outcomes among very low birth weight infants in Taiwan: A nationwide cohort study

PubMed Central

Hsu, Chung-Ting; Chen, Chao-Huei; Wang, Teh-Ming; Hsu, Ya-Chi

2018-01-01

Background Premature infants are at high risk for developmental delay and cognitive dysfunction. Besides medical conditions, growth restriction is regarded as an important risk factor for cognitive and neurodevelopmental dysfunction throughout childhood and adolescence and even into adulthood. In this study, we analyzed the relationship between post-discharge body weight and psychomotor development using a nationwide dataset. Materials and methods This was a nationwide cohort study conducted in Taiwan. Total of 1791 premature infants born between 2007 and 2011 with a birth weight of less than 1500 g were enrolled into this multi-center study. The data were obtained from the Taiwan Premature Infant Developmental Collaborative Study Group. The growth and neurodevelopmental evaluations were performed at corrected ages of 6, 12 and 24 months. Post-discharge failure to thrive was defined as a body weight below the 3rd percentile of the standard growth curve for Taiwanese children by the corrected age. Results The prevalence of failure to thrive was 15.8%, 16.9%, and 12.0% at corrected ages of 6, 12, and 24 months, respectively. At corrected ages of 24 months, 12.9% had low Mental Developmental Index (MDI) scores (MDI<70), 17.8% had low Psychomotor Developmental Index (PDI) scores (PDI<70), 12.7% had cerebral palsy, and 29.5% had neurodevelopmental impairment. Post-discharge failure to thrive was significantly associated with poor neurodevelopmental outcomes. After controlling for potential confounding factors (small for gestational age, extra-uterine growth retardation at discharge, cerebral palsy, gender, mild intraventricular hemorrhage, persistent pulmonary hypertension of newborn, respiratory distress syndrome, chronic lung disease, hemodynamic significant patent ductus arteriosus, necrotizing enterocolitis, surfactant use and indomethacin use), post-discharge failure to thrive remained a risk factor. Conclusion This observational study observed the association between lower body weight at corrected age of 6, 12, and 24 months and poor neurodevelopmental outcomes among VLBW premature infants. There are many adverse factors which can influence the neurodevelopment in NICU care. More studies are needed to elucidate the causal relationship. PMID:29444139

Demonstration of a high repetition rate capillary discharge waveguide

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

Gonsalves, A. J., E-mail: ajgonsalves@lbl.gov; Pieronek, C.; Daniels, J.

2016-01-21

A hydrogen-filled capillary discharge waveguide operating at kHz repetition rates is presented for parameters relevant to laser plasma acceleration (LPA). The discharge current pulse was optimized for erosion mitigation with laser guiding experiments and MHD simulation. Heat flow simulations and measurements showed modest temperature rise at the capillary wall due to the average heat load at kHz repetition rates with water-cooled capillaries, which is promising for applications of LPAs such as high average power radiation sources.

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

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1978-01-01

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

Individualized follow up programme and early discharge in term neonates.

PubMed

De Carolis, Maria Pia; Cocca, Carmen; Valente, Elisabetta; Lacerenza, Serafina; Rubortone, Serena Antonia; Zuppa, Antonio Alberto; Romagnoli, Costantino

2014-07-15

Early discharge of mother/neonate dyad has become a common practice, and its effects are measured by readmission rates. We evaluated the safety of early discharge followed by an individualized Follow-up programme and the efficacy in promoting breastfeeding initiation and duration. During a nine-month period early discharge followed by an early targeted Follow-up was carried out in term neonates in the absence of weight loss <10% or hyperbilirubinaemia at risk of treatment. Follow-up visits were performed at different timepoints with a specific flow-chart according to both bilirubin levels and weight loss at discharge. During the study period early discharge was performed in 419 neonates and Follow-up was carried out in 408 neonates (97.4%). No neonates required readmission for hyperbilirubinaemia and dehydration during the first 28 days of life. Breastfeeding rate was 90.6%, 75.2%, 41.5% at 30, 90 and 180 days of life, respectively. A six-month phone interview was performed for 383 neonates (93.8%) and satisfaction of parents about early discharge was high in 345 cases (90.1%). Early discharge in association with an individualized Follow-up programme resulted safe for the neonate and effective for breastfeeding initation and duration.

Paternal and maternal concerns for their very low-birth-weight infants transitioning from the NICU to home.

PubMed

Garfield, Craig F; Lee, Young; Kim, Hyung Nam

2014-01-01

This study examines qualitatively the concerns and coping mechanisms of fathers and mothers of very low-birth-weight (VLBW; <1500 g) neonatal intensive care unit (NICU) infants as they transition to home from the NICU. In-depth, semistructured phone interviews were conducted with a sample of fathers and mothers of VLBW NICU infants in the Chicago area who had transitioned home, and parental concerns were examined during the transition to home. Phone interviews lasting 30 to 60 minutes were transcribed verbatim, and all interviews were coded using content and narrative analysis. Twenty-five parents (10 fathers, 15 mothers) of 16 VLBW infants who had an average gestational age of 29.5 weeks and an average NICU stay of 58.38 days completed the interview. Overriding concerns included pervasive uncertainty, lingering medical concerns, and partner-related adjustment concerns that differed by gender. A variety of resilient coping methods during this stressful transition are also described. Fathers and mothers of VLBW NICU graduates have evolving but often differing concerns as they transition from the NICU to home. Many of these concerns can be addressed with improved discharge information exchanges and anticipatory guidance. Supporting parents during this stressful and often difficult transition may lead to decreased family stress, improved care, and better infant outcomes.

Weighted south-wide average pulpwood prices

Treesearch

James E. Granskog; Kevin D. Growther

1991-01-01

Weighted average prices provide a more accurate representation of regional pulpwood price trends when production volumes valy widely by state. Unweighted South-wide average delivered prices for pulpwood, as reported by Timber Mart-South, were compared to average annual prices weighted by each state's pulpwood production from 1977 to 1986. Weighted average prices...

Relationship between antipsychotics and weight in patients with Prader-Willi syndrome.

PubMed

Elliott, Jennifer Padden; Cherpes, Gregory; Kamal, Khalid; Chopra, Ishveen; Harrison, Chelsea; Riedy, Mary; Herk, Brandon; McCrossin, Matt; Kalarchian, Melissa

2015-03-01

Individuals with Prader-Willi Syndrome (PWS) are at increased risk for developing behavioral and psychiatric disorders, often requiring antipsychotics (APs). Contrary to significant AP-associated weight gain observed in the general population, existing literature suggests weight loss in patients with PWS. To evaluate the relationship between AP use and body mass index (BMI) at admission, change in BMI during inpatient stay, and length of stay (LOS) in patients admitted to an inpatient PWS treatment program. Retrospective case-control study. Hospital-based, inpatient PWS treatment program serving nationally and internationally referred children and adults with PWS. Cases consisted of 52 pediatric patients with PWS who were taking APs at admission and during their stay, 97 adults with PWS who were taking APs at admission and during their stay, and 11 pediatric and adult patients with PWS who were AP naïve at admission and subsequently started an AP during their stay; all cases were matched with patients with PWS who were AP naïve at admission and during their stay by age (yrs), sex, and race-ethnicity (controls). Between- and within-group differences in admission BMI, BMI change from admission to discharge, and LOS were analyzed. Admission BMI was lower (mean ± SD 36.8 ± 11.9 kg/m(2) vs 46.7 ± 12.5 kg/m(2) , p<0.001) and LOS longer (mean ± SD 75.9 ± 38.5 days vs 57.8 ± 23.2 days, p=0.005) for pediatric cases with AP exposure at admission and during their stay compared with matched controls. All groups experienced significant decreases in BMI from admission to discharge (p≤0.001 for all comparisons), except for pediatric cases with AP exposure at admission and during their stay. Cases that were AP naïve at admission and subsequently started an AP during their inpatient stay experienced a significantly smaller decrease in BMI from admission to discharge than matched controls (-3.011 vs -7.288 kg/m(2) , p=0.027). No other comparisons between cases and controls were significantly different. On average, patients with PWS who were prescribed APs lost weight during their inpatient stay, but this varied with patient age and duration of AP use. © 2015 Pharmacotherapy Publications, Inc.

Comparisons of PBDE composition and concentration in fish collected from the Detroit River, MI and Des Plaines River, IL

USGS Publications Warehouse

Rice, C.P.; Chernyak, S.M.; Begnoche, L.; Quintal, R.; Hickey, J.

2002-01-01

Polybrominated diphenyl ethers (PBDEs) were identified in fish collected from the Detroit River, MI and Des Plaines Rivers, IL. In the Detroit River fish, carp and large mouth bass, the congener patterns were dominated by the 2,2′,4,4′-tetrabromo (BDE-47) congener; however, in Des Plaines River carp the dominant isomers were the heptabromo congeners BDE-181 and BDE-183 and lesser amounts of another heptabromo congener, BDE-190, and two hexabromo congeners, BDE-154 and BDE-153. Three possible sources exist for these less-commonly identified PBDE congeners: (a) waste discharge from manufacturing or discarded products near the river, (b) public owned treatment work (POTW) effluents which constitute more than 75% of the flow in the Des Plaines River, (c) or formation of these congeners by debromination of in-place deposits of decabromodiphenyl ether. Average concentration totals (sum of concentrations for seven of the dominant PBDE congeners) were similar on a wet weight bases for the carp (5.39 ng/g wet weight) and large mouth bass (5.25 ng/g) in the Detroit River samples; however, the bass were significantly higher, ρ=0.01, when compared on a lipid basis (bass-163 ng/g vs. carp-40.5 ng/g lipid weight). Some of the PBDE congeners were positively correlated with increasing lipid levels in both fish species. Average total PBDE concentrations in the carp from the Des Plaines River (12.48 ng/g wet weight) were significantly higher, ρ=0.01, than in carp from the Detroit River. The residues were isolated using standard organochlorine methods for fish and analyzed using gas chromatography/mass spectrometry-negative chemical ionization methods.

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

USGS Publications Warehouse

Collier, Charles R.

1963-01-01

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

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

NASA Astrophysics Data System (ADS)

Berendt, Artur; Domaszka, Magdalena; Mizeraczyk, Jerzy

2017-04-01

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

Channel movement of meandering Indiana streams

USGS Publications Warehouse

Daniel, James F.

1971-01-01

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

Transfer of preterm infants from incubator to open cot at lower versus higher body weight.

PubMed

New, Karen; Flenady, Vicki; Davies, Mark W

2011-09-07

A key criterion for discharging preterm infants home from nurseries is their ability to maintain temperature once transferred from incubators to open cots. The timing of transfer is important given the preterm infant's immature thermoregulatory mechanisms. To determine the effects of body weight in transferring preterm infants from incubators to unheated open cots. Electronic databases, the Cochrane Central Register of Controlled Trials, clinical trials registers and the abstracts of the Society for Pediatric Research were searched. Randomised and quasi-randomised controlled trials comparing transfer of preterm infants from incubators to unheated open cots at lower and higher body weights. Data collection and analysis was performed in accordance with the methods of the Cochrane Neonatal Review Group. Four eligible studies were identified. Two of the identified trials were assessed as having good methodological quality. Two studies reported daily weight gain (calculated as growth velocity); the lower body weight group had a significantly greater daily weight gain [pooled mean difference (MD) 2.66 (95% confidence interval (CI)1.37 to 3.95). One study reported a larger proportion of infants transferred at the higher body weight had an episode of low temperature in the first 72 hours; while no difference between the two groups was found in the proportion of infants experiencing cold stress post-transfer to discharge. Two studies report no difference between the two groups in requiring an overhead heater for temperature maintenance [pooled RR 1.43 (95% CI 0.35 to 1.18). No statistically significant difference was shown for proportion of infants returning to an incubator [three studies (N = 336) [pooled RR 1.78 (95% CI 0.77 to 4.08].Two studies report there was no statistically significant difference in time spent in an open cot post transfer to discharge; while one study found infants transferred at lower weights had a significantly reduced length of stay [MD -9.00 (95% CI -13.29 to -4.71), a second study found no differences between the two groups [MD 0.30 (95% CI -5.11 to 5.71). In these two studies not breastfeeding at discharge was not significantly different between the lower and higher body weight groups [pooled RR 1.02 (95% CI 0.69 to 1.51). Medically stable preterm infants can be transferred to unheated open cots at a lower body weight of 1600 grams without adverse effects on temperature stability or weight gain. Earlier transfer does not necessarily result in earlier discharge.

Combining forecast weights: Why and how?

NASA Astrophysics Data System (ADS)

Yin, Yip Chee; Kok-Haur, Ng; Hock-Eam, Lim

2012-09-01

This paper proposes a procedure called forecast weight averaging which is a specific combination of forecast weights obtained from different methods of constructing forecast weights for the purpose of improving the accuracy of pseudo out of sample forecasting. It is found that under certain specified conditions, forecast weight averaging can lower the mean squared forecast error obtained from model averaging. In addition, we show that in a linear and homoskedastic environment, this superior predictive ability of forecast weight averaging holds true irrespective whether the coefficients are tested by t statistic or z statistic provided the significant level is within the 10% range. By theoretical proofs and simulation study, we have shown that model averaging like, variance model averaging, simple model averaging and standard error model averaging, each produces mean squared forecast error larger than that of forecast weight averaging. Finally, this result also holds true marginally when applied to business and economic empirical data sets, Gross Domestic Product (GDP growth rate), Consumer Price Index (CPI) and Average Lending Rate (ALR) of Malaysia.

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

PubMed

Driscoll, Molly; Gurka, David

2015-01-01

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

Risk Factors for Post-NICU Discharge Mortality Among Extremely Low Birth Weight Infants

PubMed Central

De Jesus, Lilia C.; Pappas, Athina; Shankaran, Seetha; Kendrick, Douglas; Das, Abhik; Higgins, Rosemary D.; Bell, Edward F.; Stoll, Barbara J.; Laptook, Abbot R.; Walsh, Michele C.

2012-01-01

Objective To evaluate maternal and neonatal risk factors associated with post-neonatal intensive care unit (NICU) discharge mortality among ELBW infants. Study design This is a retrospective analysis of extremely low birth weight (<1,000 g) and <27 weeks' gestational age infants born in the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Neonatal Research Network sites from January 2000 to June 2007. Infants were tracked until death or 18–22 months corrected age. Infants who died between NICU discharge and the 18–22 month follow-up visit were classified as post-NICU discharge mortality. Association of maternal and infant risk factors with post-NICU discharge mortality was determined using logistic regression analysis. A prediction model with six significant predictors was developed and validated. Results 5,364 infants survived to NICU discharge. 557 (10%) infants were lost to follow-up, and 107 infants died following NICU discharge. Post-NICU discharge mortality rate was 22.3 per 1000 ELBW infants. In the prediction model, African-American race, unknown maternal health insurance, and hospital stay ≥120 days significantly increased risk, and maternal exposure to intra-partum antibiotics was associated with decreased risk of post-NICU discharge mortality. Conclusion We identified African-American race, unknown medical insurance and prolonged NICU stay as risk factors associated with post-NICU discharge mortality among ELBW infants. PMID:22325187

Hypertension treatment intensification among stroke survivors with uncontrolled blood pressure.

PubMed

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

2015-02-01

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

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

USGS Publications Warehouse

Schubert, Christopher E.

1999-01-01

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

Uncertainty Of Stream Nutrient Transport Estimates Using Random Sampling Of Storm Events From High Resolution Water Quality And Discharge Data

NASA Astrophysics Data System (ADS)

Scholefield, P. A.; Arnscheidt, J.; Jordan, P.; Beven, K.; Heathwaite, L.

2007-12-01

The uncertainties associated with stream nutrient transport estimates are frequently overlooked and the sampling strategy is rarely if ever investigated. Indeed, the impact of sampling strategy and estimation method on the bias and precision of stream phosphorus (P) transport calculations is little understood despite the use of such values in the calibration and testing of models of phosphorus transport. The objectives of this research were to investigate the variability and uncertainty in the estimates of total phosphorus transfers at an intensively monitored agricultural catchment. The Oona Water which is located in the Irish border region, is part of a long term monitoring program focusing on water quality. The Oona Water is a rural river catchment with grassland agriculture and scattered dwelling houses and has been monitored for total phosphorus (TP) at 10 min resolution for several years (Jordan et al, 2007). Concurrent sensitive measurements of discharge are also collected. The water quality and discharge data were provided at 1 hour resolution (averaged) and this meant that a robust estimate of the annual flow weighted concentration could be obtained by simple interpolation between points. A two-strata approach (Kronvang and Bruhn, 1996) was used to estimate flow weighted concentrations using randomly sampled storm events from the 400 identified within the time series and also base flow concentrations. Using a random stratified sampling approach for the selection of events, a series ranging from 10 through to the full 400 were used, each time generating a flow weighted mean using a load-discharge relationship identified through log-log regression and monte-carlo simulation. These values were then compared to the observed total phosphorus concentration for the catchment. Analysis of these results show the impact of sampling strategy, the inherent bias in any estimate of phosphorus concentrations and the uncertainty associated with such estimates. The estimates generated using the full time series underestimate the flow weighted mean concentration of total phosphorus. This work compliments other contemporary work in the area of load estimation uncertainty in the UK (Johnes, 2007). Johnes P,J. 2007, Uncertainties in annual riverine phosphorus load estimation: Impact of load estimation methodology, sampling frequency, baseflow index and catchment population density, Journal of hydrology 332 (1- 2): 241-258 Jordan, P., Arnscheidt, J., McGrogan, H & McCormick, S., 2007. Characterising phosphorus transfers in rural transfers using a continuous bank-side analyser. Hydrology and Earth System Science 11, 372-381 Kronvang B & Bruhn, A. J, 1996. Choice of sampling strategy and estimation method for calculating nitrogen and phosphorus transport in small lowland streams , Hydrological processes 10 (11): 1483-1501

Growth of preterm infants fed nutrient-enriched or term formula after hospital discharge.

PubMed

Carver, J D; Wu, P Y; Hall, R T; Ziegler, E E; Sosa, R; Jacobs, J; Baggs, G; Auestad, N; Lloyd, B

2001-04-01

At hospital discharge, preterm infants may have low body stores of nutrients, deficient bone mineralization, and an accumulated energy deficit. This double-blind, randomized study evaluated the growth of premature infants with birth weights <1800 g who were fed a 22 kcal/fl oz nutrient-enriched postdischarge formula (PDF) or a 20 kcal/fl oz term-infant formula (TF) from hospital discharge to 12 months' corrected age (CA). Infants were randomized to PDF or TF a few days before hospital discharge with stratification by gender and birth weight (<1250 g or >/=1250 g). The formulas were fed to 12 months' CA. Growth was evaluated using analysis of variance controlling for site, feeding, gender, and birth weight group. Interaction effects were also assessed. Secondary analyses included a repeated measures analysis and growth modeling. One hundred twenty-five infants were randomized; 74 completed to 6 months' CA and 53 to 12 months' CA. PDF-fed infants weighed more than TF-fed infants at 1 and 2 months' CA, gained more weight from study day 1 to 1 and 2 months' CA, and were longer at 3 months' CA. There were significant interactions between feeding and birth weight group-among infants with birth weights <1250 g, those fed PDF weighed more at 6 months' CA, were longer at 6 months' CA, had larger head circumferences at term 1, 3, 6, and 12 months' CA, and gained more in head circumference from study day 1 to term and to 1 month CA. The repeated measures and growth modeling analyses confirmed the analysis of variance results. The PDF formula seemed to be of particular benefit for the growth of male infants. Infants fed the PDF consumed less formula and had higher protein intakes at several time points. Energy intakes, however, were not different. Growth was improved in preterm infants fed a nutrient-enriched postdischarge formula after hospital discharge to 12 months' CA. Beneficial effects were most evident among infants with birth weights <1250 g, particularly for head circumference measurements.

A light/dark cycle in the NICU accelerates body weight gain and shortens time to discharge in preterm infants.

PubMed

Vásquez-Ruiz, Samuel; Maya-Barrios, José Alfonso; Torres-Narváez, Patricia; Vega-Martínez, Benito Rubén; Rojas-Granados, Adelina; Escobar, Carolina; Angeles-Castellanos, Manuel

2014-09-01

Bright constant light levels in the NICU may have negative effects on the growth and development of preterm infants The aim of this study is to evaluate the benefits of an alternating light/dark cycle in the NICU on weight gain and early discharge from the therapy in premature infants. A randomized interventional study was designed comparing infants in the NICU of Hospital Juarez de México, exposed from birth either to an LD environment (LD, n=19) or to the traditional continuous light (LL, n=19). The LD condition was achieved by placing individual removable helmets over the infant's heads. Body weight gain was analyzed, as the main indicator of stability and the main criteria for discharge in preterm infants born at 31.73±0.31week gestational age. Infants maintained in an LD cycle gained weight faster than infants in LL and therefore attained a shorter hospital stay, (34.37±3.12 vs 51.11±5.29days; P>0.01). Also, LD infants exhibited improved oxygen saturation and developed a daily melatonin rhythm. These findings provide a convenient alternative for establishing an LD environment for preterm healthy newborns in the NICU and confirm the beneficial effects of an alternating LD cycle for growth and weight gain and for earlier discharge time. Here we provide an easy and practical alternative to implement light/dark conditions in the NICU. Copyright © 2014 Elsevier Ltd. All rights reserved.

Development of a novel clinical scoring system for on-farm diagnosis of bovine respiratory disease in pre-weaned dairy calves.

PubMed

Love, William J; Lehenbauer, Terry W; Kass, Philip H; Van Eenennaam, Alison L; Aly, Sharif S

2014-01-01

Several clinical scoring systems for diagnosis of bovine respiratory disease (BRD) in calves have been proposed. However, such systems were based on subjective judgment, rather than statistical methods, to weight scores. Data from a pair-matched case-control study on a California calf raising facility was used to develop three novel scoring systems to diagnose BRD in preweaned dairy calves. Disease status was assigned using both clinical signs and diagnostic test results for BRD-associated pathogens. Regression coefficients were used to weight score values. The systems presented use nasal and ocular discharge, rectal temperature, ear and head carriage, coughing, and respiratory quality as predictors. The systems developed in this research utilize fewer severity categories of clinical signs, require less calf handling, and had excellent agreement (Kappa > 0.8) when compared to an earlier scoring system. The first scoring system dichotomized all clinical predictors but required inducing a cough. The second scoring system removed induced cough as a clinical abnormality but required distinguishing between three levels of nasal discharge severity. The third system removed induced cough and forced a dichotomized variable for nasal discharge. The first system presented in this study used the following predictors and assigned values: coughing (induced or spontaneous coughing, 2 points), nasal discharge (any discharge, 3 points), ocular discharge (any discharge, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C or 102.5°F, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized "BRD positive" if their total score was ≥4. This system correctly classified 95.4% cases and 88.6% controls. The second presented system categorized the predictors and assigned weights as follows: coughing (spontaneous only, 2 points), mild nasal discharge (unilateral, serous, or watery discharge, 3 points), moderate to severe nasal discharge (bilateral, cloudy, mucoid, mucopurlent, or copious discharge, 5 points), ocular discharge (any discharge, 1 point), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized "BRD positive" if their total score was ≥4. This system correctly classified 89.3% cases and 92.8% controls. The third presented system used the following predictors and scores: coughing (spontaneous only, 2 points), nasal discharge (any, 4 points), ocular discharge (any, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized "BRD positive" if their total score was ≥5. This system correctly classified 89.4% cases and 90.8% controls. Each of the proposed systems offer few levels of clinical signs and data-based weights for on-farm diagnosis of BRD in dairy calves.

Development of a novel clinical scoring system for on-farm diagnosis of bovine respiratory disease in pre-weaned dairy calves

PubMed Central

Love, William J.; Lehenbauer, Terry W.; Kass, Philip H.; Van Eenennaam, Alison L.

2014-01-01

Several clinical scoring systems for diagnosis of bovine respiratory disease (BRD) in calves have been proposed. However, such systems were based on subjective judgment, rather than statistical methods, to weight scores. Data from a pair-matched case-control study on a California calf raising facility was used to develop three novel scoring systems to diagnose BRD in preweaned dairy calves. Disease status was assigned using both clinical signs and diagnostic test results for BRD-associated pathogens. Regression coefficients were used to weight score values. The systems presented use nasal and ocular discharge, rectal temperature, ear and head carriage, coughing, and respiratory quality as predictors. The systems developed in this research utilize fewer severity categories of clinical signs, require less calf handling, and had excellent agreement (Kappa > 0.8) when compared to an earlier scoring system. The first scoring system dichotomized all clinical predictors but required inducing a cough. The second scoring system removed induced cough as a clinical abnormality but required distinguishing between three levels of nasal discharge severity. The third system removed induced cough and forced a dichotomized variable for nasal discharge. The first system presented in this study used the following predictors and assigned values: coughing (induced or spontaneous coughing, 2 points), nasal discharge (any discharge, 3 points), ocular discharge (any discharge, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C or 102.5°F, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized “BRD positive” if their total score was ≥4. This system correctly classified 95.4% cases and 88.6% controls. The second presented system categorized the predictors and assigned weights as follows: coughing (spontaneous only, 2 points), mild nasal discharge (unilateral, serous, or watery discharge, 3 points), moderate to severe nasal discharge (bilateral, cloudy, mucoid, mucopurlent, or copious discharge, 5 points), ocular discharge (any discharge, 1 point), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized “BRD positive” if their total score was ≥4. This system correctly classified 89.3% cases and 92.8% controls. The third presented system used the following predictors and scores: coughing (spontaneous only, 2 points), nasal discharge (any, 4 points), ocular discharge (any, 2 points), ear and head carriage (ear droop or head tilt, 5 points), fever (≥39.2°C, 2 points), and respiratory quality (abnormal respiration, 2 points). Calves were categorized “BRD positive” if their total score was ≥5. This system correctly classified 89.4% cases and 90.8% controls. Each of the proposed systems offer few levels of clinical signs and data-based weights for on-farm diagnosis of BRD in dairy calves. PMID:24482759

Cover cropping to reduce nitrate loss through subsurface drainage in the northern U.S. corn belt.

PubMed

Strock, J S; Porter, P M; Russelle, M P

2004-01-01

Despite the use of best management practices for nitrogen (N) application rate and timing, significant losses of nitrate nitrogen (NO3(-)-N) in drainage discharge continue to occur from row crop cropping systems. Our objective was to determine whether a autumn-seeded winter rye (Secale cereale L.) cover crop following corn (Zea mays L.) would reduce NO3(-)-N losses through subsurface tile drainage in a corn-soybean [Glycine mar (L.) Merr.] cropping system in the northern Corn Belt (USA) in a moderately well-drained soil. Both phases of the corn-soybean rotation, with and without the winter rye cover crop following corn, were established in 1998 in a Normania clay loam (fine-loamy, mixed, mesic Aquic Haplustoll) soil at Lamberton, MN. Cover cropping did not affect subsequent soybean yield, but reduced drainage discharge, flow-weighted mean nitrate concentration (FWMNC), and NO3(-)-N loss relative to winter fallow, although the magnitude of the effect varied considerably with annual precipitation. Three-year average drainage discharge was lower with a winter rye cover crop than without (p = 0.06). Over three years, subsurface tile-drainage discharge was reduced 11% and NO3(-)-N loss was reduced 13% for a corn-soybean cropping system with a rye cover crop following corn than with no rye cover crop. We estimate that establishment of a winter rye cover crop after corn will be successful in one of four years in southwestern Minnesota. Cover cropping with rye has the potential to be an effective management tool for reducing NO3(-)-N loss from subsurface drainage discharge despite challenges to establishment and spring growth in the north-central USA.

Hangar Fire Suppression Utilizing Novec 1230

DTIC Science & Technology

2018-01-01

The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing...fuel fires in aircraft hangars. A 30×30×8-ft concrete-and-steel test structure was constructed for this test series . Four discharge assemblies...structure. System discharge parameters---discharge time , discharge rate, and quantity of agent discharged---were adjusted to produce the desired Novec 1230

Method and apparatus for indicating electric charge remaining in batteries based on electrode weight and center of gravity

DOEpatents

Rouhani, S. Zia

1996-01-01

In most electrochemical batteries which generate electricity through the reaction of a battery electrode with an electrolyte solution, the chemical composition, and thus the weight and density, of the electrode changes as the battery discharges. The invention measures a parameter of the battery which changes as the weight of the electrode changes as the battery discharges and relates that parameter to the value of the parameter when the battery is fully charged and when the battery is functionally discharged to determine the state-of-charge of the battery at the time the parameter is measured. In one embodiment, the weight of a battery electrode or electrode unit is measured to determine the state-of-charge. In other embodiments, where a battery electrode is located away from the geometrical center of the battery, the position of the center of gravity of the battery or shift in the position of the center of gravity of the battery is measured (the position of the center of gravity changes with the change in weight of the electrode) and indicates the state-of-charge of the battery.

Method and apparatus for indicating electric charge remaining in batteries based on electrode weight and center of gravity

DOEpatents

Rouhani, S.Z.

1996-12-03

In most electrochemical batteries which generate electricity through the reaction of a battery electrode with an electrolyte solution, the chemical composition, and thus the weight and density, of the electrode changes as the battery discharges. The invention measures a parameter of the battery which changes as the weight of the electrode changes as the battery discharges and relates that parameter to the value of the parameter when the battery is fully charged and when the battery is functionally discharged to determine the state-of-charge of the battery at the time the parameter is measured. In one embodiment, the weight of a battery electrode or electrode unit is measured to determine the state-of-charge. In other embodiments, where a battery electrode is located away from the geometrical center of the battery, the position of the center of gravity of the battery or shift in the position of the center of gravity of the battery is measured (the position of the center of gravity changes with the change in weight of the electrode) and indicates the state-of-charge of the battery. 35 figs.

Incubator weaning in preterm infants and associated practice variation.

PubMed

Schneiderman, R; Kirkby, S; Turenne, W; Greenspan, J

2009-08-01

To evaluate the relationship of weight of preterm infants when first placed into an open crib with days to full oral feedings, growth velocity and length of stay (LOS), and to identify unwarranted variation in incubator weaning after adjusting for severity indices. A retrospective study using the ParadigmHealth neonatal database from 2003 to 2006 reviewed incubator weaning to an open crib in appropriate-for-gestational-age (AGA) infants from 22 to weeks gestation. Primary outcome measurements included days to full oral (PO) feeding, weight gain from open crib to discharge and length of stay. Models were severity adjusted. To understand hospital practice variation, we also used a regression model to estimate the weight at open crib for the top 10 volume hospitals. In all 2908 infants met the inclusion criteria for the study. Their mean weight at open crib was 1850 g. On average every additional 100 g an infant weighed at the open crib was associated with increased time to full PO feeding by 0.8 days, decreased weight gained per day by 1 gram and increased LOS by 0.9 days. For the top 10 volume hospitals, severity variables alone accounted for 9% of the variation in weight at open crib, whereas the hospital in which the baby was treated accounted for an additional 19% of the variation. Even after controlling for severity, significant practice variation exists in weaning to an open crib, leading to potential delays in achieving full-volume oral feeds, decreased growth velocity and prolonged LOS.

Swirling Flow Computation at the Trailing Edge of Radial-Axial Hydraulic Turbines

NASA Astrophysics Data System (ADS)

Susan-Resiga, Romeo; Muntean, Sebastian; Popescu, Constantin

2016-11-01

Modern hydraulic turbines require optimized runners within a range of operating points with respect to minimum weighted average draft tube losses and/or flow instabilities. Tractable optimization methodologies must include realistic estimations of the swirling flow exiting the runner and further ingested by the draft tube, prior to runner design. The paper presents a new mathematical model and the associated numerical algorithm for computing the swirling flow at the trailing edge of Francis turbine runner, operated at arbitrary discharge. The general turbomachinery throughflow theory is particularized for an arbitrary hub-to-shroud line in the meridian half-plane and the resulting boundary value problem is solved with the finite element method. The results obtained with the present model are validated against full 3D runner flow computations within a range of discharge value. The mathematical model incorporates the full information for the relative flow direction, as well as the curvatures of the hub-to-shroud line and meridian streamlines, respectively. It is shown that the flow direction can be frozen within a range of operating points in the neighborhood of the best efficiency regime.

Maternal perceptions and factors affecting Kangaroo mother care continuum at home: a descriptive study.

PubMed

Raajashri, R; Adhisivam, B; Vishnu Bhat, B; Palanivel, C

2018-03-01

To estimate the proportion of mothers who continued to practice Kangaroo mother care (KMC) at home and evaluate potential factors influencing this practice. This descriptive study was conducted in a tertiary care teaching hospital in south India. Mothers of preterm and low birth weight infants were trained in KMC during hospital stay. During follow up after 45 days, data regarding their perceptions and the practice of KMC at home and the factors influencing them were collected using questionnaires. Among 200 mothers interviewed, 82.5% continued to practice KMC at home after discharge. The mean total duration of KMC was 30.2 days and average duration per day was 1.3 h. Support of family members was facilitatory in 70% and lack of privacy at home was hindering in 25%. After KMC training in hospital, majority of the post natal mothers were able to continue the practice satisfactorily at home despite hindering factors including lack of privacy. KMC training modules should emphasize continuing the practice at home after discharge and address the potential barriers for KMC continuum in the community.

[Intraoperative placement of transnasal small intestinal feeding tube during the surgery in 5 cases with high position intestinal obstruction and postoperative feeding].

PubMed

Duan, Guang-qi; Zhang, Min; Guan, Xiao-hao; Yin, Zhi-qing

2012-09-01

To explore the value of employing the small intestinal feeding tube in treating high position intestinal obstruction of newborn infant. Five newborn infants (3 males and 2 females; 1 premature infant and 4 fully-mature infants; 2 had membranous atresia of duodenum, 1 had annular pancreas, and 2 had proximal small intestine atresia; 1 infant had malrotation). The duodenal membrane-like atresia and the blind-end of small intestine were removed and intestinal anastomosis was performed, which was combined with intestinal malrotation removal. Before the intestinal anastomosis surgery, the anesthetist inserted via nose a 6Fr small intestinal ED tube, made by CREATE MEDIC CO LTD of Japan[ the State Food and Drug Administration-instrument (Im.) 2007-NO.2661620]. Twenty-four hours after surgery, abdominal X-ray plain film was taken and patients were fed with syrup; 48 hours later, formula milk was pumped or lactose-free milk amino acids were given by intravenous injection pump through the feeding tube. The amount of milk and fluids was gradually increased to normal amount according to the condition. In initial 3 days the intravenous nutrition was given and one week after operation, the infants were fed through mouth in addition to pumping milk through the tube and stopped infusion. Ten to 22 days after operation, the tube was removed and the infant patients were discharged. All the five infants showed that the feeding through the nutrition tube was accomplished and the time of venous nutrition was reduced and fistula operation was avoided. None of the infants on question was off the tube and no jaundice exacerbation was found and the liver function was also found normal. At the very beginning, the tube was occasionally blocked by milk vale in one infant and after 0.9% sodium chloride solution flushing patency restored. After that, the feeding tube was washed once with warm water after feeding. In one infant vomiting occurred due to enough oral milk. The photograph of upper gastrointestine did not show anastomomotic stricture or fistula, or intestinal obstruction. After pulling out the tube, the symptoms disappeared and then the patient was discharged. One child was found to have diarrhea with no lactose nutrition liquid and given compound lactic bacteria preparations for oral administration, the symptom disappeared. In the 5 cases, the shortest hospital stay was 10 days and the longest was 22 days, the average stay was 16 days. Three to 5 days after operation the weight restored to birth weight, the weight had increased, when discharged, to an average of 5.5 g (kg·d). The small intestinal feeding tube was very effective for the postoperative nutrition maintenance of high position intestinal obstruction in newborn infants.

Thermographic Data Analyses for Karst Watersheds

NASA Technical Reports Server (NTRS)

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

2001-01-01

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

Riverine export of dissolved organic carbon to the Gulf of Maine

NASA Astrophysics Data System (ADS)

Huntington, T. G.; Aiken, G.

2013-12-01

Land-to-sea carbon transport of dissolved organic carbon (DOC) is an important part of the carbon cycle that can affect long-term carbon sequestration, satellite-derived ocean color metrics, and ocean primary productivity and biogeochemistry. Using continuous discharge data and discrete sampling we estimated DOC fluxes from rivers covering about 68% of the watershed that drains to the Gulf of Maine (GoM) for water years (October through September) 2011 and 2012. Estimates for rivers entering the GoM in the USA were made using LOADEST regression software that fits a seasonally-adjusted concentration discharge relation to the data. The basin area-weighted 95% confidence limits about the LOADEST mean fluxes averaged 8.1% for the lower limit and 8.9% for the upper limit. Estimates for rivers entering the GoM in Canada were obtained from previously published estimates. Carbon yield tends to increase from southwest (35 to 36 kg C/ha/yr) to a maximum of 76 kg C/ha/yr for the Penobscot River and then decline further to the northeast (61 kg C/ha/yr in the St. John River and 41 kg C/ha/yr in the rest of New Brunswick and Nova Scotia). The area-weighted average carbon yield for all measured basins was 54.5 kg C/ha/yr. The variation in carbon yield is most closely associated with the amount of runoff and wetland area within a river basin. Simple area-weighted extrapolation to the entire GoM basin resulted in an estimate of 9.8 x 105 metric tons C per year for the WY2011 and WY2012 period. Runoff is the dominant control on intra and inter-annual variation in DOC flux because runoff varies much more than DOC concentration at these temporal scales. Runoff is usually low during the winter, peaks in the spring during snowmelt, decreases to a minimum in late summer and increases again in the fall when transpiration decreases. DOC concentration is low during the winter and snowmelt-dominated spring period, generally increases through the summer, and peaks during the fall. DOC flux to the GoM is characterized by low fluxes in winter, high fluxes during the spring snowmelt and before major increase in transpiration, lower fluxes during summer months and, increasing fluxes in the fall. The increase in spring DOC flux occurs earliest in the major river basins in the southwest and progressively later towards the northeast. Assuming that the seasonally adjusted DOC concentration discharge relationships we obtained have been stable over time we estimated fluxes using historical runoff data to assess potential changes in DOC export from five large river basins with long-term discharge data to the GoM since 1930 (St Croix, Penobscot, Androscoggin, Saco and Merrimack Rivers). DOC export has apparently been increasing over time in association with increasing runoff. The largest increases in DOC in absolute and percentage terms have occurred during October, November, and December. Increases were observed in all months except May when there was a small decrease. The decrease in May and increases in March and April are consistent with earlier snowmelt and earlier onset of transpiration.

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

USGS Publications Warehouse

Huizinga, Richard J.

2009-01-01

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

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

NASA Astrophysics Data System (ADS)

Mueller, Edward J.

1995-05-01

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

The weight distribution of coarse particulate organic matter exported from an alpine headwater stream

NASA Astrophysics Data System (ADS)

Turowski, Jens; Badoux, Alexandre; Bunte, Kristin; Rickli, Christian; Federspiel, Nicole

2013-04-01

Coarse particulate organic matter (CPOM) spans sizes from 1 mm particles, weighing less than 1 mg, to large logs and whole trees, which may weigh several hundred kilograms. Different size and weight classes play different roles in stream environments, from being the prime source of energy in stream ecosystems to macroscopically determining channel morphology and local hydraulics. We show that a single scaling exponent can describe the weight distribution of CPOM transported in a mountain stream. This exponent is independent of discharge and valid for particle weights spanning almost seven orders of magnitude. Together with a rating curve of CPOM transport rates with discharge, we discuss the importance of the scaling exponent for measuring strategies, natural hazard mitigation and ecosystems.

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

EPA Science Inventory

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

The Association of Unfavorable Outcomes with the Intensity of Neurosurgical Care in the United States

PubMed Central

2014-01-01

Object There is wide regional variability in the volume of procedures performed for similar surgical patients throughout the United States. We investigated the association of the intensity of neurosurgical care (defined as the average annual number of neurosurgical procedures per capita) with mortality, length of stay (LOS), and rate of unfavorable discharge for inpatients after neurosurgical procedures. Methods We performed a retrospective cohort study involving the 202,518 patients who underwent cranial neurosurgical procedures from 2005–2010 and were registered in the National Inpatient Sample (NIS) database. Regression techniques were used to investigate the association of the average intensity of neurosurgical care with the average mortality, LOS, and rate of unfavorable discharge. Results The inpatient neurosurgical mortality, rate of unfavorable discharge, and average LOS varied significantly among several states. In a multivariate analysis male gender, coverage by Medicaid, and minority racial status were associated with increased mortality, rate of unfavorable discharge, and LOS. The opposite was true for coverage by private insurance, higher income, fewer comorbidities and small hospital size. There was no correlation of the intensity of neurosurgical care with the mortality (Pearson's ρ = −0.18, P = 0.29), rate of unfavorable discharge (Pearson's ρ = 0.08, P = 0.62), and LOS of cranial neurosurgical procedures (Pearson's ρ = −0.21, P = 0.22). Conclusions We observed significant disparities in mortality, LOS, and rate of unfavorable discharge for cranial neurosurgical procedures in the United States. Increased intensity of neurosurgical care was not associated with improved outcomes. PMID:24647225

12 CFR 702.105 - Weighted-average life of investments.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Weighted-average life of investments. 702.105... PROMPT CORRECTIVE ACTION Net Worth Classification § 702.105 Weighted-average life of investments. Except as provided below (Table 3), the weighted-average life of an investment for purposes of §§ 702.106(c...

12 CFR 702.105 - Weighted-average life of investments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Weighted-average life of investments. 702.105... PROMPT CORRECTIVE ACTION Net Worth Classification § 702.105 Weighted-average life of investments. Except as provided below (Table 3), the weighted-average life of an investment for purposes of §§ 702.106(c...

12 CFR 702.105 - Weighted-average life of investments.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Weighted-average life of investments. 702.105... PROMPT CORRECTIVE ACTION Net Worth Classification § 702.105 Weighted-average life of investments. Except as provided below (Table 3), the weighted-average life of an investment for purposes of §§ 702.106(c...

12 CFR 702.105 - Weighted-average life of investments.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Weighted-average life of investments. 702.105... PROMPT CORRECTIVE ACTION Net Worth Classification § 702.105 Weighted-average life of investments. Except as provided below (Table 3), the weighted-average life of an investment for purposes of §§ 702.106(c...

12 CFR 702.105 - Weighted-average life of investments.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Weighted-average life of investments. 702.105... PROMPT CORRECTIVE ACTION Net Worth Classification § 702.105 Weighted-average life of investments. Except as provided below (Table 3), the weighted-average life of an investment for purposes of §§ 702.106(c...

Aggressive nutrition in extremely low birth weight infants: impact on parenteral nutrition associated cholestasis and growth

PubMed Central

Lochmann, Ruth; Unterasinger, Lukas; Weber, Michael; Berger, Angelika; Haiden, Nadja

2016-01-01

Background Parenteral nutrition associated cholestasis (PNAC) is a frequently observed pathology in extremely low birth weight (ELBW) infants. Its pathogenesis is determined by the composition and duration of parenteral nutrition (PN) as well as the tolerance of enteral feeds (EF). “Aggressive” nutrition is increasingly used in ELBW infants to improve postnatal growth. Little is known about the effect of “aggressive” nutrition on the incidence of PNAC. We analyzed the influence of implementing an “aggressive” nutritional regimen on the incidence of PNAC and growth in a cohort of ELBW infants. Methods ELBW infants were nourished using a “conservative” (2005–6; n = 77) or “aggressive” (2007–9; n = 85) nutritional regimen that differed in the composition of PN after birth as well as the composition and timing of advancement of EFs. We analyzed the incidence of PNAC (conjugated bilirubin > 1.5 mg/dl (25 µmol/l)) corrected for confounders of cholestasis (i.e., NEC and/or gastrointestinal surgery, sepsis, birth weight, Z-score of birth weight, time on PN and male sex), growth until discharge (as the most important secondary outcome) and neonatal morbidities. Results The incidence of PNAC was significantly lower during the period of “aggressive” vs. “conservative “nutrition (27% vs. 46%, P < 0.05; adjusted OR 0.275 [0.116–0.651], P < 0.01). Body weight (+411g), head circumference (+1 cm) and length (+1 cm) at discharge were significantly higher. Extra-uterine growth failure (defined as a Z-score difference from birth to discharge lower than −1) was significantly reduced for body weight (85% vs. 35%), head circumference (77% vs. 45%) and length (85% vs. 65%) (P < 0.05). The body mass index (BMI) at discharge was significantly higher (11.1 vs. 12.4) using “aggressive” nutrition and growth became more proportionate with significantly less infants being discharged below the 10th BMI percentile (44% vs. 9%), while the percentage of infants discharged over the 90th BMI percentile (3% vs. 5%) did not significantly increase. Discussion “Aggressive” nutrition of ELBW infants was associated with a significant decrease of PNAC and marked improvement of postnatal growth. PMID:27688976

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

USGS Publications Warehouse

Turner, J.F.

1979-01-01

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

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

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

Traynor, J.C.

1983-08-01

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

Large rivers of the United States

USGS Publications Warehouse

Iseri, Kathleen T.; Langbein, Walter Basil

1974-01-01

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

Pocket rocket: An electrothermal plasma micro-thruster

NASA Astrophysics Data System (ADS)

Greig, Amelia Diane

Recently, an increase in use of micro-satellites constructed from commercial off the shelf (COTS) components has developed, to address the large costs associated with designing, testing and launching satellites. One particular type of micro-satellite of interest are CubeSats, which are modular 10 cm cubic satellites with total weight less than 1.33 kg. To assist with orbit boosting and attitude control of CubeSats, micro-propulsion systems are required, but are currently limited. A potential electrothermal plasma micro-thruster for use with CubeSats or other micro-satellites is under development at The Australian National University and forms the basis for this work. The thruster, known as ‘Pocket Rocket’, utilises neutral gas heating from ion-neutral collisions within a weakly ionised asymmetric plasma discharge, increasing the exhaust thermal velocity of the propellant gas, thereby producing higher thrust than if the propellant was emitted cold. In this work, neutral gas temperature of the Pocket Rocket discharge is studied in depth using rovibrational spectroscopy of the nitrogen (N2) second positive system (C3Πu → B3Πg), using both pure N2 and argon/N2 mixtures as the operating gas. Volume averaged steady state gas temperatures are measured for a range of operating conditions, with an analytical collisional model developed to verify experimental results. Results show that neutral gas heating is occurring with volume averaged steady state temperatures reaching 430 K in N2 and 1060 K for argon with 1% N2 at standard operating conditions of 1.5 Torr pressure and 10 W power input, demonstrating proof of concept for the Pocket Rocket thruster. Spatiotemporal profiles of gas temperature identify that the dominant heating mechanisms are ion-neutral collisions within the discharge and wall heating from ion bombardment of the thruster walls. To complement the experimental results, computational fluid dynamics (CFD) simulations using the commercial CFD-ACE+ package are performed. Simulation results demonstrate that the discharge is driven by ion induced secondary or ‘gamma’ electrons emitted from the surface of the plasma cavity radial wall in the vicinity of the powered electrode. These electrons are accelerated to high velocities through an enhanced sheath formed by the asymmetry of the device, creating a peak in ion density within the centre of the discharge tube.

Methods for estimating annual exceedance probability discharges for streams in Arkansas, based on data through water year 2013

USGS Publications Warehouse

Wagner, Daniel M.; Krieger, Joshua D.; Veilleux, Andrea G.

2016-08-04

In 2013, the U.S. Geological Survey initiated a study to update regional skew, annual exceedance probability discharges, and regional regression equations used to estimate annual exceedance probability discharges for ungaged locations on streams in the study area with the use of recent geospatial data, new analytical methods, and available annual peak-discharge data through the 2013 water year. An analysis of regional skew using Bayesian weighted least-squares/Bayesian generalized-least squares regression was performed for Arkansas, Louisiana, and parts of Missouri and Oklahoma. The newly developed constant regional skew of -0.17 was used in the computation of annual exceedance probability discharges for 281 streamgages used in the regional regression analysis. Based on analysis of covariance, four flood regions were identified for use in the generation of regional regression models. Thirty-nine basin characteristics were considered as potential explanatory variables, and ordinary least-squares regression techniques were used to determine the optimum combinations of basin characteristics for each of the four regions. Basin characteristics in candidate models were evaluated based on multicollinearity with other basin characteristics (variance inflation factor < 2.5) and statistical significance at the 95-percent confidence level (p ≤ 0.05). Generalized least-squares regression was used to develop the final regression models for each flood region. Average standard errors of prediction of the generalized least-squares models ranged from 32.76 to 59.53 percent, with the largest range in flood region D. Pseudo coefficients of determination of the generalized least-squares models ranged from 90.29 to 97.28 percent, with the largest range also in flood region D. The regional regression equations apply only to locations on streams in Arkansas where annual peak discharges are not substantially affected by regulation, diversion, channelization, backwater, or urbanization. The applicability and accuracy of the regional regression equations depend on the basin characteristics measured for an ungaged location on a stream being within range of those used to develop the equations.

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

NASA Astrophysics Data System (ADS)

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

2018-06-01

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

26 CFR 1.989(b)-1 - Definition of weighted average exchange rate.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 10 2010-04-01 2010-04-01 false Definition of weighted average exchange rate. 1... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Export Trade Corporations § 1.989(b)-1 Definition of weighted average exchange rate. For purposes of section 989(b)(3) and (4), the term “weighted average exchange rate...

Hydrologic data for North Creek, Trinity River basin, Texas, 1975

USGS Publications Warehouse

Kidwell, C.C.

1977-01-01

This report contains the rainfall, runoff, and storage data collected during the 1975 water year for the 21.6-square-mile area above the stream-gaging station North Creek near Jacksboro, Texas. The weighted-mean rainfall in the study area during the water year was 39.01 inches, which is greater than the 18-year average of 30.21 inches for the period 1958-75. Monthly rainfall totals ranged from 1.04 inches in November to 7.94 inches in May. The mean discharge for 1975 at the stream-gaging station was 5.98 cfs, compared with the 14-year (1957-70) average of 5.75 cfs. The annual runoff from the basin above the stream-gaging station was 4,330 acre-feet or 3.76 inches. Three storms were selected for detailed computations for the 1975 water year. The storms occurred on Oct. 30-31, 1974, May 2, 1975 , and Aug. 26, 1975. Rainfall and discharge were computed on the basis of a refined time breakdown. Patterns of the storms are illustrated by hydrographs and mass curves. A summary of rainfall-runoff data is tabulated. There are five floodwater-retarding structures in the study area. These structures have a total capacity of 4,425 acre-feet below flood-spillway crests and regulate streamflow from 16.3 square miles, or 75 percent of the study area. A summary of the physical data at each of the floodwater-retarding structures is included. (Woodard-USGS)

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

USGS Publications Warehouse

Waltemeyer, Scott D.

2006-01-01

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

Modeling the Collisional-Plastic Stress Transition for Bin Discharge of Granular Material

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

Pannala, Sreekanth; Daw, C Stuart; FINNEY, Charles E A

2009-01-01

We propose a heuristic model for the transition between collisional and frictional/plastic stresses in the flow of granular material. Our approach is based on a physically motivated, nonlinear blending function that produces a weighted average of the limiting stresses, depending on the local void fraction in the flow field. Previously published stress models are utilized to describe the behavior in the collisional (Lun et al., 1984) and quasi-static limits (Schaeffer, 1987 and Syamlal et al., 1993). Sigmoidal and hyperbolic tangent functions are used to mimic the observed smooth yet rapid transition between the collisional and plastic stress zones. We implementmore » our stress transition model in an opensource multiphase flow solver, MFIX (Multiphase Flow with Interphase eXchanges, www.mfix.org) and demonstrate its application to a standard bin discharge problem. The model s effectiveness is illustrated by comparing computational predictions to the experimentally derived Beverloo correlation. With the correct choice of function parameters, the model predicts bin discharge rates within the error margins of the Beverloo correlation and is more accurate than one of the alternative granular stress models proposed in the literature. Although a second granular stress model in the literature is also reasonably consistent with the Beverloo correlation, we propose that our alternative blending function is likely to be more adaptable to situations with more complex solids properties (e.g., sticky solids).« less

Average Weighted Receiving Time of Weighted Tetrahedron Koch Networks

NASA Astrophysics Data System (ADS)

Dai, Meifeng; Zhang, Danping; Ye, Dandan; Zhang, Cheng; Li, Lei

2015-07-01

We introduce weighted tetrahedron Koch networks with infinite weight factors, which are generalization of finite ones. The term of weighted time is firstly defined in this literature. The mean weighted first-passing time (MWFPT) and the average weighted receiving time (AWRT) are defined by weighted time accordingly. We study the AWRT with weight-dependent walk. Results show that the AWRT for a nontrivial weight factor sequence grows sublinearly with the network order. To investigate the reason of sublinearity, the average receiving time (ART) for four cases are discussed.

Centrifugal contactor modified for end stage operation in a multistage system

DOEpatents

Jubin, Robert T.

1990-01-01

A cascade formed of a plurality of centrifugal contactors useful for countercurrent solvent extraction processes such as utilizable for the reprocessing of nuclear reactor fuels is modified to permit operation in the event one or both end stages of the cascade become inoperative. Weir assemblies are connected to each of the two end stages by suitable conduits for separating liquids discharged from an inoperative end stage based upon the weight of the liquid phases uses in the solvent extraction process. The weir assembly at one end stage is constructed to separate and discharge the heaviest liquid phase while the weir assembly at the other end stage is constructed to separate and discharge the lightest liquid phase. These weir assemblies function to keep the liquid discharge from an inoperative end stages on the same weight phase a would occur from an operating end stage.

Large springs of east Tennessee

USGS Publications Warehouse

Sun, Pao-chang P.; Criner, J.H.; Poole, J.L.

1963-01-01

Springs constitute an important source of water in east Tennessee, and many individual springs are capable of supplying the large quantities needed for municipal and industrial supplies. Most of the springs in east Tennessee issue from solution openings and fractured and faulted zones in limestone and dolomite of the Knox Group, Chickamauga Limestone, and Conasauga Group. The ability of these rocks to yield a sustained flow of water to springs is dependent on a system of interconnected openings through which water can infiltrate from the land surface and move to points of natural discharge. Ninety springs were selected for detailed study, and 84 of these are analyzed in terms of magnitude and variability of discharge. Of the 84 springs analyzed, 4 flow at an average rate of 10 to 100 cfs (cubic feet per second), 62 at an average rate of 1 to 10 cfs, and 18 at an average rate of 1 cfs or less. Of the 90 springs, 75 are variable in their discharge; that is, the ratio of their fluctuations to their average discharges exceeds 100 percent. Mathematical analysis of the flow recession curve of Mill Spring near Jefferson City shows that the hydrologic system contributing to the flow of the spring has an effective capacity of about 70 million cubic feet of water. The rate of depletion of this volume of water, in the absence of significant precipitation, averages 0.0056 cfs per day between the time when the hydrologic system is full and the time when the spring ceases to flow. From such a curve it is possible to determine at any time the residual volume of water remaining in the system and the expected rate of decrease in discharge from that time to cessation of flow. Correlation of discharge measurements of 22 springs with those of Mill Spring shows that rough approximations of discharge can be projected for springs for which few measurements are available. Seventeen of the springs analyzed in this manner show good correlation with Mill Spring: that is, their coefficients of correlation were 0.70 or better as compared with a perfect correlation factor of 1.00.

Determinants of neonatal weight loss in term-infants: specific association with pre-pregnancy maternal body mass index and infant feeding mode.

PubMed

Regnault, Nolwenn; Botton, Jérémie; Blanc, Laurence; Hankard, Régis; Forhan, Anne; Goua, Valérie; Thiebaugeorges, Olivier; Kaminski, Monique; Heude, Barbara; Charles, Marie-Aline

2011-05-01

We aimed to study the determinants of neonatal weight loss measured on the third day of life in term-infants. The EDEN mother-child cohort is a prospective study that recruited 2002 pregnant women before 24 weeks of gestation in two French university hospitals. Neonates were weighed every day until discharge that occurred on average 4.5 days after birth. Altogether, 1557 healthy term neonates with data on weight at day 3 and feeding mode available were included. The outcome variable was weight loss at day 3 (D3WL), expressed as a percentage of birth weight lost in the first 3 days of life. Our main explanatory variables were maternal pre-pregnancy body mass index (BMI), gestational weight gain, gestational diabetes, birth weight, gestational age and feeding mode. Factors associated with greater D3WL, whatever the feeding mode, were: higher birth weight, gestational diabetes and caesarean section; higher gestational age was associated with a reduced D3WL. The association between maternal pre-pregnancy BMI and D3WL differed by feeding mode (interaction p value=0.0002). In breastfed babies, mean D3WL ranged from 4.9% for neonates of underweight mothers to 5.8% for neonates of obese mothers (p trend=0.0005). In formula-fed babies, D3WL was highest for neonates of underweight mothers (4.1%) and lowest for those of obese mothers (2.6%) (p trend=0.01). The lower D3WL in formula-fed neonates, especially in neonates of obese mothers, suggests a relative overfeeding in the early days compared with breastfed neonates, which may potentially have consequences on later health. Overweight and obese mothers may need extra support to prevent early breastfeeding discontinuation.

Weight loss and jaundice in healthy term newborns in partial and full rooming-in.

PubMed

Zuppa, Antonio Alberto; Sindico, Paola; Antichi, Eleonora; Carducci, Chiara; Alighieri, Giovanni; Cardiello, Valentina; Cota, Francesco; Romagnoli, Costantino

2009-09-01

An inadequate start of breastfeeding has been associated with reduced caloric intake, excessive weight loss and high serum bilirubin levels in the first days of life. The rooming-in has been proposed as an optimal model for the promotion of breastfeeding. The aim of this study was to compare two different feeding models (partial and full rooming-in) to evaluate differences as regard to weight loss, hyperbilirubinemia and prevalence of exclusive breastfeeding at discharge. A total of 903 healthy term newborns have been evaluated; all the newborns were adequate for gestational age, with birth weight > or = 2800 g and gestational age > or = 37 weeks. The maximum weight loss (mean +/- SD), expressed as percent of birth weight, was not different in the two models (partial vs. full rooming-in 5.8% +/- 1.7%vs. 6% +/- 1.7%). A weight loss > or = 10% occurred in less than 1% in both groups. There were no statistical differences neither as mean of total serum bilirubin (partial vs. full rooming-in 10.5 +/- 3.3 vs. 10.1 +/- 2.9 mg/dl), nor as prevalence of hyperbilirubinemia (total serum bilirubin > or = 12 mg/dl). The prevalence of severe hyperbilirubinemia (total serum bilirubin > or = 18 mg/dl) and the use of phototherapy were not statistically different. Maximum weight loss was similar in the two models, even dividing by total serum bilirubin levels. At the discharge, exclusively breastfed newborns were 81% in full rooming-in and 42.9% in partial rooming-in. In conclusion, our results allow considering our assistance models similar as regards to severe hyperbilirubinemia and pathological weight loss in term healthy newborns even if full rooming-in is associated with higher prevalence of exclusive breastfeeding at the discharge.

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

USGS Publications Warehouse

Gingerich, Stephen B.

1999-01-01

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

Examining weight suppression as a predictor of eating disorder symptom trajectories in anorexia nervosa.

PubMed

Bodell, Lindsay P; Racine, Sarah E; Wildes, Jennifer E

2016-08-01

Research in individuals with bulimia nervosa has highlighted the clinical significance of weight suppression (WS), defined as the difference between one's highest and current weight. More recently, studies have suggested that WS also may play a role in symptom maintenance and weight gain during treatment in anorexia nervosa (AN) and that the influence of WS on AN outcomes may depend on an individual's body mass index (BMI). However, no study has investigated whether WS or the interaction between WS and BMI is associated with the longer-term course of eating pathology following treatment discharge in patients with AN. The current study examined a sample of females with AN (N = 180) who completed interviews and self-report questionnaires at discharge from intensive treatment and at 3, 6, and 12-months after discharge. Latent growth curve models tested whether WS, BMI, or the WS by BMI interaction significantly predicted the trajectory of eating disorder symptoms (i.e., Eating Disorder Examination global score, BMI, frequency of loss of control eating, frequency of purging) over the year following discharge. WS at discharge predicted change in BMI, and the interaction between WS and BMI predicted growth in eating disorder severity and purging frequency over time. Neither WS nor its interaction with BMI predicted growth in loss of control eating frequency. Results provide further support for the clinical significance of WS in AN symptom maintenance, but suggest that the influence of WS likely depends on an individual's BMI as well as the outcome being measured. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:753-763). © 2016 Wiley Periodicals, Inc.

Effects of Iron Gate Dam discharge and other factors on the survival and migration of juvenile coho salmon in the lower Klamath River, northern California, 2006-09

USGS Publications Warehouse

Beeman, John; Juhnke, Steven; Stutzer, Greg; Wright, Katrina

2012-01-01

Current management of the Klamath River includes prescribed minimum discharges intended partly to increase survival of juvenile coho salmon during their seaward migration in the spring. To determine if fish survival was related to river discharge, we estimated apparent survival and migration rates of yearling coho salmon in the Klamath River downstream of Iron Gate Dam. The primary goals were to determine if discharge at Iron Gate Dam affected coho salmon survival and if results from hatchery fish could be used as a surrogate for the limited supply of wild fish. Fish from hatchery and wild origins that had been surgically implanted with radio transmitters were released into the Klamath River slightly downstream of Iron Gate Dam at river kilometer 309. Tagged fish were used to estimate apparent survival between, and passage rates at, a series of detection sites as far downstream as river kilometer 33. Conclusions were based primarily on data from hatchery fish, because wild fish were only available in 2 of the 4 years of study. Based on an information-theoretic approach, apparent survival of hatchery and wild fish was similar, despite differences in passage rates and timing, and was lowest in the 54 kilometer (km) reach between release and the Scott River. Models representing the hypothesis that a short-term tagging- or handling-related mortality occurred following release were moderately supported by data from wild fish and weakly supported by data from hatchery fish. Estimates of apparent survival of hatchery fish through the 276 km study area ranged from 0.412 (standard error [SE] 0.048) to 0.648 (SE 0.070), depending on the year, and represented an average of 0.790 per 100 km traveled. Estimates of apparent survival of wild fish through the study area were 0.645 (SE 0.058) in 2006 and 0.630 (SE 0.059) in 2009 and were nearly identical to the results from hatchery fish released on the same dates. The data and models examined supported positive effects of water temperature, river discharge, and fish weight as factors affecting apparent survival in the Klamath River upstream of the confluence with the Shasta River, but few of the variables examined were supported as factors affecting survival farther downstream. The effect of water temperature on apparent survival upstream of the Shasta River was greater than Iron Gate Dam discharge, which was greater than fish weight. The estimated effect on apparent survival between release and the Shasta River with each 1degree Celsius increase in water temperature was 1.4 times the effect of a 100 cubic feet per second increase in Iron Gate Dam discharge and 2.5 times the effect of a 1 gram increase in fish weight, and the effects of discharge and weight diminished at higher water temperatures up to the 17.91 degrees Celsius maximum present in the data examined. The rate of passage at the detection site near the confluence with the Shasta River was primarily affected by date of release, and water temperature was the only factor supported at the site near the confluence with the Scott River. Passage rates at sites downstream of the Scott River were affected by several of the variables examined, but the estimated effects were small and often imprecise. Results from this study indicate that discharge at Iron Gate Dam has a positive effect on apparent survival of yearling coho salmon in the Klamath River upstream of the Shasta River, but the effects are smaller than those of water temperature and are mediated by it. The results also support the use of hatchery fish as surrogates for wild fish in studies of apparent survival, but the available evidence suggests that study fish should be released well upstream of the area of interest, due to short-term differences in survival and migration behavior of hatchery and wild fish after release.

Nano-Enabled Technologies for Naval Aviation Applications

DTIC Science & Technology

2015-06-05

4. Reduced self- discharge DEW 1. Active materials (silicon based/anode only); 2. Active materials coated on CNTs surface; 3...polymer film capacitors have the potential to provide higher energy density, higher power density, reduce weight, improve duty cycles (fast discharge and...dependent excess of 200C) 4. Nano-particle dispersion 5. Understanding discharge rate 6. Design and control of the interface 1. Increased

A new concept for high-cycle-life LEO: Rechargeable MnO2-hydrogen

NASA Technical Reports Server (NTRS)

Appleby, A. John; Dhar, Y. J.; Murphy, O. J.; Srinivasan, Supramaniam

1989-01-01

The nickel-hydrogen secondary battery system is now the one of choice for use in GEO satellites. It offers superior energy density to that of nickel-cadmium, with a lifetime that is at least comparable in terms of both cycle life and overall operating life. While the number of deep cycles required for GEO use is small, LEO satellites with long lifetimes (5 to 10 years) will require secondary battery systems allowing 30,000 to 60,000 useful cycles which are characterized by an approximately 2C charge rate and C average discharge rate. Recent work has shown that birnessite MnO2 doped with bismuth oxide can be cycled at very high rates (6C) over a very large number of cycles (thousands) at depths-of-discharge in the 85 to 90 percent range, based on two electrons, which discharge at the same potential in a flat plateau. The potential is about 0.7 V vs. hydrogen, with a cut-off at 0.6 V. At first sight, this low voltage would seem to be a disadvantage, since the theoretical energy density will be low. However, it permits the use of lightweight materials that are immune from corrosion at the positive. The high utilization and low equivalent weight of the active material, together with the use of teflon-bonded graphite for current collection, result in very light positives, especially when these are compared with those in a derated nickel-hydrogen system. In addition, the weight of the pressure vessel falls somewhat, since the dead volume is lower. Calculations show that a total system will have 2.5 times the Ah capacity of a derated nickel-hydrogen LEO battery, so that the energy density, based on 1.2 V for nickel-hydrogen and 0.7 V for MnO2-hydrogen, will be 45 percent higher for comparable cycling performance.

Methods for estimating flood frequency in Montana based on data through water year 1998

USGS Publications Warehouse

Parrett, Charles; Johnson, Dave R.

2004-01-01

Annual peak discharges having recurrence intervals of 2, 5, 10, 25, 50, 100, 200, and 500 years (T-year floods) were determined for 660 gaged sites in Montana and in adjacent areas of Idaho, Wyoming, and Canada, based on data through water year 1998. The updated flood-frequency information was subsequently used in regression analyses, either ordinary or generalized least squares, to develop equations relating T-year floods to various basin and climatic characteristics, equations relating T-year floods to active-channel width, and equations relating T-year floods to bankfull width. The equations can be used to estimate flood frequency at ungaged sites. Montana was divided into eight regions, within which flood characteristics were considered to be reasonably homogeneous, and the three sets of regression equations were developed for each region. A measure of the overall reliability of the regression equations is the average standard error of prediction. The average standard errors of prediction for the equations based on basin and climatic characteristics ranged from 37.4 percent to 134.1 percent. Average standard errors of prediction for the equations based on active-channel width ranged from 57.2 percent to 141.3 percent. Average standard errors of prediction for the equations based on bankfull width ranged from 63.1 percent to 155.5 percent. In most regions, the equations based on basin and climatic characteristics generally had smaller average standard errors of prediction than equations based on active-channel or bankfull width. An exception was the Southeast Plains Region, where all equations based on active-channel width had smaller average standard errors of prediction than equations based on basin and climatic characteristics or bankfull width. Methods for weighting estimates derived from the basin- and climatic-characteristic equations and the channel-width equations also were developed. The weights were based on the cross correlation of residuals from the different methods and the average standard errors of prediction. When all three methods were combined, the average standard errors of prediction ranged from 37.4 percent to 120.2 percent. Weighting of estimates reduced the standard errors of prediction for all T-year flood estimates in four regions, reduced the standard errors of prediction for some T-year flood estimates in two regions, and provided no reduction in average standard error of prediction in two regions. A computer program for solving the regression equations, weighting estimates, and determining reliability of individual estimates was developed and placed on the USGS Montana District World Wide Web page. A new regression method, termed Region of Influence regression, also was tested. Test results indicated that the Region of Influence method was not as reliable as the regional equations based on generalized least squares regression. Two additional methods for estimating flood frequency at ungaged sites located on the same streams as gaged sites also are described. The first method, based on a drainage-area-ratio adjustment, is intended for use on streams where the ungaged site of interest is located near a gaged site. The second method, based on interpolation between gaged sites, is intended for use on streams that have two or more streamflow-gaging stations.

White matter microstructural changes in adolescent anorexia nervosa including an exploratory longitudinal study.

PubMed

Vogel, Katja; Timmers, Inge; Kumar, Vinod; Nickl-Jockschat, Thomas; Bastiani, Matteo; Roebroek, Alard; Herpertz-Dahlmann, Beate; Konrad, Kerstin; Goebel, Rainer; Seitz, Jochen

2016-01-01

Anorexia nervosa (AN) often begins in adolescence, however, the understanding of the underlying pathophysiology at this developmentally important age is scarce, impeding early interventions. We used diffusion tensor imaging (DTI) to investigate microstructural white matter (WM) brain changes including an experimental longitudinal follow-up. We acquired whole brain diffusion-weighted brain scans of 22 adolescent female hospitalized patients with AN at admission and nine patients longitudinally at discharge after weight rehabilitation. Patients (10-18 years) were compared to 21 typically developing controls (TD). Tract-based spatial statistics (TBSS) were applied to compare fractional anisotropy (FA) across groups and time points. Associations between average FA values of the global WM skeleton and weight as well as illness duration parameters were analyzed by multiple linear regression. We observed increased FA in bilateral frontal, parietal and temporal areas in AN patients at admission compared to TD. Higher FA of the global WM skeleton at admission was associated with faster weight loss prior to admission. Exploratory longitudinal analysis showed this FA increase to be partially normalized after weight rehabilitation. Our findings reveal a markedly different pattern of WM microstructural changes in adolescent AN compared to most previous results in adult AN. This could signify a different susceptibility and reaction to semi-starvation in the still developing brain of adolescents or a time-dependent pathomechanism differing with extend of chronicity. Higher FA at admission in adolescents with AN could point to WM fibers being packed together more closely.

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

USGS Publications Warehouse

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

2012-01-01

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

Recent trends and changes in freshwater discharge into Hudson, James, and Ungava Bays

NASA Astrophysics Data System (ADS)

Déry, S. J.; Stieglitz, M.; McKenna, E.; Wood, E. F.

2004-05-01

Recent trends and changes in the observed river discharge into Hudson, James, and Ungava Bays (HJUBs) for the period 1964-1994 will be presented. Forty-two rivers with outlets into these bays contribute on average 700 cubic kilometers (= 0.02 sverdrups) of freshwater to the Arctic Ocean. River discharge attains a mean annual peak of 4.2 cubic kilometers per day on average each 17 June for the system as a whole, whereas the minimum of 0.6 cubic kilometers occurs on average each 3 April. The Nelson River supplies as much as 30% of the daily discharge for the entire system during winter, but diminishes in relative importance during spring and summer. Runoff rates per contributing area are highest (lowest) on the eastern (western) shores of Hudson and James Bays. Linear trend analyses reveal decreasing discharge in 38 out of the 42 rivers over the 31-year period. By 1994, the total annual freshwater discharge into the Arctic Ocean diminished by 110 cubic kilometers from its values in 1964, equivalent to a reduction of 0.0035 sverdrups. The annual peak discharge rates associated with snowmelt advanced by 16 days between 1964 and 1994 and has diminished slightly in intensity. There is a direct correlation between the time of this hydrological event and the latitude of a river's mouth; the timing of the peak discharge rates varies by 5 days for each degree of latitude. Continental snowmelt induces a seasonal pulse of freshwater from HJUBs that is tracked along its path into the Labrador Current and that coincides with ocean salinity anomalies on the inner Newfoundland Shelf. The talk will end with a discussion on the implications of a changing freshwater regime in HJUBs.

The effect of flow data resolution on sediment yield estimation and channel design

NASA Astrophysics Data System (ADS)

Rosburg, Tyler T.; Nelson, Peter A.; Sholtes, Joel S.; Bledsoe, Brian P.

2016-07-01

The decision to use either daily-averaged or sub-daily streamflow records has the potential to impact the calculation of sediment transport metrics and stream channel design. Using bedload and suspended load sediment transport measurements collected at 138 sites across the United States, we calculated the effective discharge, sediment yield, and half-load discharge using sediment rating curves over long time periods (median record length = 24 years) with both daily-averaged and sub-daily streamflow records. A comparison of sediment transport metrics calculated with both daily-average and sub-daily stream flow data at each site showed that daily-averaged flow data do not adequately represent the magnitude of high stream flows at hydrologically flashy sites. Daily-average stream flow data cause an underestimation of sediment transport and sediment yield (including the half-load discharge) at flashy sites. The degree of underestimation was correlated with the level of flashiness and the exponent of the sediment rating curve. No consistent relationship between the use of either daily-average or sub-daily streamflow data and the resultant effective discharge was found. When used in channel design, computed sediment transport metrics may have errors due to flow data resolution, which can propagate into design slope calculations which, if implemented, could lead to unwanted aggradation or degradation in the design channel. This analysis illustrates the importance of using sub-daily flow data in the calculation of sediment yield in urbanizing or otherwise flashy watersheds. Furthermore, this analysis provides practical charts for estimating and correcting these types of underestimation errors commonly incurred in sediment yield calculations.

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

USGS Publications Warehouse

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

1987-01-01

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

Effectiveness of Acute Geriatric Unit Care Using Acute Care for Elders Components: A Systematic Review and Meta-Analysis

PubMed Central

Fox, Mary T; Persaud, Malini; Maimets, Ilo; O'Brien, Kelly; Brooks, Dina; Tregunno, Deborah; Schraa, Ellen

2012-01-01

Objectives To compare the effectiveness of acute geriatric unit care, based on all or part of the Acute Care for Elders (ACE) model and introduced in the acute phase of illness or injury, with that of usual care. Design Systematic review and meta-analysis of 13 randomized controlled and quasi-experimental trials with parallel comparison groups retrieved from multiple sources. Setting Acute care geriatric and nongeriatric hospital units. Participants Acutely ill or injured adults (N = 6,839) with an average age of 81. Interventions Acute geriatric unit care characterized by one or more ACE components: patient-centered care, frequent medical review, early rehabilitation, early discharge planning, prepared environment. Measurements Falls, pressure ulcers, delirium, functional decline at discharge from baseline 2-week prehospital and hospital admission statuses, length of hospital stay, discharge destination (home or nursing home), mortality, costs, and hospital readmissions. Results Acute geriatric unit care was associated with fewer falls (risk ratio (RR) = 0.51, 95% confidence interval (CI) = 0.29–0.88), less delirium (RR = 0.73, 95% CI = 0.61–0.88), less functional decline at discharge from baseline 2-week prehospital admission status (RR = 0.87, 95% CI = 0.78–0.97), shorter length of hospital stay (weighted mean difference (WMD) = −0.61, 95% CI = −1.16 to −0.05), fewer discharges to a nursing home (RR = 0.82, 95% CI = 0.68–0.99), lower costs (WMD = −$245.80, 95% CI = −$446.23 to −$45.38), and more discharges to home (RR = 1.05, 95% CI = 1.01–1.10). A nonsignificant trend toward fewer pressure ulcers was observed. No differences were found in functional decline between baseline hospital admission status and discharge, mortality, or hospital readmissions. Conclusion Acute geriatric unit care, based on all or part of the ACE model and introduced during the acute phase of older adults' illness or injury, improves patient- and system-level outcomes. PMID:23176020

Human milk reduces outpatient upper respiratory symptoms in premature infants during their first year of life.

PubMed

Blaymore Bier, Jo-Ann; Oliver, Tanya; Ferguson, Anne; Vohr, Betty R

2002-01-01

To determine if ingestion of human milk after discharge reduces symptoms of infections in premature infants. Follow-up of 39 infants with birth weights <2000 g, 24 of whom received any amount of human milk and 15 of whom received only formula after discharge, was carried out. Mothers were given a calendar on which they recorded any signs of infections and feeding and day-care information. Data were collected at 1 month after discharge and at 3, 7, and 12 months corrected age. Results show no differences between groups in birth weight, gestation, gender, maternal age, parental tobacco use, number of siblings, and day-care attendance. Socioeconomic status score was higher in the human milk group. Infants who received human milk had fewer days of upper respiratory symptoms at 1 month after discharge (p<0.025) and at 7 months corrected age (p<0.025). Ingestion of human milk post discharge is associated with a reduction of upper respiratory symptoms in premature infants during their first year of life.

Relationship of sediment discharge to streamflow

USGS Publications Warehouse

Colby, B.R.

1956-01-01

The relationship between rate of sediment discharge and rate of water discharge at a cross section of a stream is frequently expressed by an average curve. This curve is the sediment rating curve. It has been widely used in the computation of average sediment discharge from water discharge for periods when sediment samples were not collected. This report discusses primarily the applications of sediment rating curves for periods during which at least occasional sediment samples were collected. Because sediment rating curves are of many kinds, the selection of the correct kind for each use is important. Each curve should be carefully prepared. In particular, the correct dependent variable must be used or the slope of the sediment rating curve may be incorrect for computing sediment discharges. Sediment rating curves and their applications were studied for the following gaging stations: 1. Niobrara River near Cody, Nebr. 2. Colorado River near Grand Canyon, Ariz. 3. Rio Grande at San Martial, N. Mex. 4. Rio Puerto near Bernardo, N. Mex. 5. White River near Kadoka, S. Dak. 6. Sandusky River near Fremont, Ohio Except for the Sandusky River and the Rio Puerco, which transport mostly fine sediment, one instantaneous sediment rating curve was prepared for the discharge of suspended sands, at each station, and another for the discharge of sediment finer than 0.082 millimeter. Each curve was studied separately, and by trial-end-error multiple correlation some of the factors that cause scatter from the sediment rating curves were determined. Average velocity at the cross section, Water temperature, and erratic fluctuations in concentration seemed to be the three major factors that caused departures from the sediment rating curves for suspended sands. The concentration of suspended sands varied with about the 2.8 power of the mean velocity for the four sediment, rating curves for suspended sands. The effect of water temperature was not so consistent as that of velocity and theoretically should vary considerably with differences in the size composition of the suspended sands. Scatter from the sediment rating curves for sediments finer than 0.082 millimeter seemed to be caused by changes in supply of these sediments. Some of the scatter could be explained by seasonal variations, by a pattern of change in concentration of fine sediment following a rise, or by source of the runoff as indicated by the measured relative flows of certain tributaries. Daily or instantaneous sediment rating curves adjusted for factors that account for some of the scatter from an average curve often can be used to compute approximate daily, monthly, and annual sediment discharges. Accuracy of the computed sediment discharges should be better than average for streams that transport mostly sands rather than fine sediments and for some ephemeral or intermittent streams, such as Rio Puerco, in semiarid regions. Accuracy of computed sediment discharges can be much improved for many streams by shifting the sediment rating curve on the basis of 2 or 4 measurements of sediment discharge per month. Of 26 annual sediment discharges that were computed by shifting sediment rating curves to either 2 or 4 measured sediment discharges per month, 18 were within I0 percent of the annual-sediment discharges that were computed on the basis of a daily sampling program. Monthly and daily sediment discharges computed from daily or instantaneous sediment rating curves, either shifted or unshifted, were less accurate than similarly computed annual sediment discharges. Even so, the difference in cost between occasional sediment samples and daily samples is so great that the added accuracy from daily sampling may not Justify the added cost. Monthly and annual sediment-rating curves can be applied simply, with adjustments if required, to compute monthly and annual sediment discharges with reasonably good accuracy for gaging stations like the Rio Puerco near Bernardo,

[Analysis of hydrodynamics parameters of runoff erosion and sediment-yielding on unpaved road].

PubMed

Huang, Peng-Fei; Wang, Wen-Long; Luo, Ting; Wang, Zhen; Wang, Zheng-Li; Li, Ren

2013-02-01

By the method of field runoff washout experiment, a simulation study was conducted on the relationships between the soil detachment rate and the hydrodynamic parameters on unpaved road, and the related quantitative formulas were established. Under the conditions of different flow discharges and road gradients, the averaged soil detachment rate increased with increasing flow discharge and road gradient, and the relationships between them could be described by a power function. As compared with road gradient, flow discharge had greater effects on the soil detachment rate. The soil detachment rate had a power relation with water flow velocity and runoff kinetic energy, and the runoff kinetic energy was of importance to the soil detachment rate. The soil detachment rate was linearly correlated with the unit runoff kinetic energy. The averaged soil erodibility was 0.120 g m-1.J-F-1, and the averaged critical unit runoff kinetic energy was 2.875 g.m-1.J-1. Flow discharge, road gradient, and unit runoff kinetic energy could be used to accurately describe the soil erosion process and calculate the soil erosion rate on unpaved road.

The Effect of Mississippi River Discharge on the Concentration and Composition of Particulate Matter along the Texas-Louisiana Shelf during Summers 2012 and 2013

NASA Astrophysics Data System (ADS)

Richardson, M. J.; Zuck, N.; Gardner, W. D.

2016-02-01

Flow from the Mississippi-Atchafalaya River System generally peaks during the spring freshet, discharging nutrient-rich fresh water and sediment into the northern Gulf of Mexico. The peak discharge varies year to year as a result of varying drought or flood conditions in the Mississippi watershed. When compared to an 8-year climatological average, summer 2012 is characterized by low discharge into the northern Gulf of Mexico, whereas summer 2013 is characterized by average discharge conditions. Water samples were collected during four cruises during June and August of 2012 and 2013 to assess the changes in concentration and composition of bulk particulate matter. While no consistent relationship between particulate matter composition and hypoxia was observed, there are several statistically significant seasonal and inter-annual changes in the concentration and composition of particulate matter associated with varying river discharge. There is also evidence that some sub-pycnocline turbidity and chlorophyll-a may be due to in situ primary productivity, rather than settled plankton containing chlorophyll-a.

Using the PDSI to Estimate Summer Stream Discharge in the Greater Yellowstone Ecosystem: Implications for 20th Century Riparian Habitat Variability

NASA Astrophysics Data System (ADS)

Persico, L.; Meyer, G. A.

2013-12-01

Small streams at lower elevations in the Greater Yellowstone Ecosystem (GYE) create riparian habitat in an otherwise dry environment. Riparian area can be expanded by beaver damming, which increases channel wetted area and local water tables, and allows fine-grained organic-rich sediment to accumulate. However, increases can be countered by severe drought. The loss of riparian area is potentially greatest in small basins dependent on snowpack for base flow, where prolonged severe drought may reduce base flow to zero. Discharge records are often lacking for basins < 20 km^2, making it difficult to directly examine how climate has impacted flow. The Palmer Drought Severity Index (PDSI) is a useful proxy for large-scale variations in available moisture. PDSI values for climate divisions are estimated from spatially weighted weather station measurements of temperature and precipitation. We use divisional PDSI values to estimate discharge on GYE small streams since 1900. USGS stream-gauge sites were regressed with the corresponding PDSI for each climate division. We also use a regional (2.5° by 2.5°) reconstruction of the PDSI based on 30 tree ring chronologies (Cook et al., 2004) to estimate discharge during the most severe two and ten year droughts (AD 1150-1151 and 805-796, respectively) during the Medieval Climatic Anomaly (MCA). The MCA is a period of high climate variability and widespread drought in the GYE. Significant correlations between stream discharge and the PDSI occur during the late summer and early fall and the strongest correlation between discharge and the PDSI occurs for the 3-month PDSI average centered on August. Stream-gauge records with bootstrapped correlation values greater than 0.65 were chosen for regression analyses. To estimate stream flows for ungauged stream reaches, stepwise multiple regression analyses were performed using measured stream flows and independent basin characteristics. Basin area and mean elevation are significant predictors of discharge (α < 0.05). The 1930s Dust Bowl drought was one of the most severe droughts in the past 300 years; from 1934-1935, average August discharge was reduced by 25-40% with respect to the anomalously wet early 20th century pluvial. Discharge estimates using reconstructed PDSI values for the 2- and 10-year MCA droughts (PDSI = -6 and -5, respectively) indicate that 60% of stream reaches where beaver were active in the late Holocene became ephemeral in these droughts. This analysis is supported by observations during the extreme drought of the 2000s, when ephemeral flow occurred along streams with known historical beaver activity in northern Yellowstone. Model predictions indicate that by 2030-2039 the GYE will endure persistent severe drought (mean annual PDSI = -4 to -6) (Dai, 2011), thus riparian area is likely to decrease in the coming decades. The early 20th century has been suggested to be an ideal reference for riparian habitat restoration despite anomalously wet conditions unlike current or likely future climate. Future efforts to restore riparian habitat by reducing elk browsing and increasing beaver damming will be hampered by reduced flows on small streams.

The quality of surface waters in Texas

USGS Publications Warehouse

Rawson, Jack

1974-01-01

The discharge-weighted average concentrations of dissolved solids, chloride, and ,sulfate for many of the principal streams in Texas are less than 500 mg/l (millijgraljls per liter), 250 mg/l, and 250 mg/l, respectively. At 65 of 131 sites on streams that were sampled at least 10 times, the biochemical oxygen demand of at least half the samples exceeded 3.0 mg/l. At 20 of the sites, the dissolved-oxygen content of at least half the samples was less than 5.0 mg/l. The higher concentrations of minor elements usually were detected in waters from urban areas, indicating a relation to man's activities. Small amounts of some pesticides are widely distributed in low concentrations. The higher concentrations usually were detected in waters from urban areas.

Trends in complicated newborn hospital stays & costs, 2002-2009: implications for the future.

PubMed

Trudnak Fowler, Tara; Fairbrother, Gerry; Owens, Pamela; Garro, Nicole; Pellegrini, Cynthia; Simpson, Lisa

2014-01-01

With the steady growth in Medicaid enrollment since the recent recession, concerns have been raised about care for newborns with complications. This paper uses all-payer administrative data from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS), to examine trends from 2002 through 2009 in complicated newborn hospital stays, and explores the relationship between expected sources of payment and reasons for hospitalizations. Trends in complicated newborn stays, expected sources of payment, costs, and length of stay were examined. A logistic regression was conducted to explore likely payer source for the most prevalent diagnoses in 2009. Complicated births and hospital discharges within 30 days of birth remained relatively constant between 2002 and 2009, but average costs per discharge increased substantially (p<.001 for trend). Most strikingly, over time, the proportion of complicated births billed to Medicaid increased, while the proportion paid by private payers decreased. Among complicated births, the most prevalent diagnoses were preterm birth/low birth weight (23%), respiratory distress (18%), and jaundice (10%). The top two diagnoses (41% of newborns) accounted for 61% of the aggregate cost. For infants with complications, those with Medicaid were more likely to be complicated due to preterm birth/low birth weight and respiratory distress, while those with private insurance were more likely to be complicated due to jaundice. State Medicaid programs are paying for an increasing proportion of births and costly complicated births. Policies to prevent common birth complications have the potential to reduce costs for public programs and improve birth outcomes.

Home based therapy for severe malnutrition with ready-to-use food

PubMed Central

Manary, M; Ndkeha, M; Ashorn, P; Maleta, K; Briend, A

2004-01-01

Background: The standard treatment of severe malnutrition in Malawi often utilises prolonged inpatient care, and after discharge results in high rates of relapse. Aims: To test the hypothesis that the recovery rate, defined as catch-up growth such that weight-for-height z score >0 (WHZ, based on initial height) for ready-to-use food (RTUF) is greater than two other home based dietary regimens in the treatment of malnutrition. Methods: HIV negative children >1 year old discharged from the nutrition unit in Blantyre, Malawi were systematically allocated to one of three dietary regimens: RTUF, RTUF supplement, or blended maize/soy flour. RTUF and maize/soy flour provided 730 kJ/kg/day, while the RTUF supplement provided a fixed amount of energy, 2100 kJ/day. Children were followed fortnightly. Children completed the study when they reached WHZ >0, relapsed, or died. Outcomes were compared using a time-event model. Results: A total of 282 children were enrolled. Children receiving RTUF were more likely to reach WHZ >0 than those receiving RTUF supplement or maize/soy flour (95% v 78%, RR 1.2, 95% CI 1.1 to 1.3). The average weight gain was 5.2 g/kg/day in the RTUF group compared to 3.1 g/kg/day for the maize/soy and RTUF supplement groups. Six months later, 96% of all children that reached WHZ >0 were not wasted. Conclusions: Home based therapy of malnutrition with RTUF was successful; further operational work is needed to implement this promising therapy. PMID:15155403

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

USGS Publications Warehouse

Kuniansky, Eve L.; Rodriguez, Jose M.

2010-01-01

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

Preliminary Spectroscopic Measurements for a Gallium Electromagnetic (GEM) Thruster

NASA Technical Reports Server (NTRS)

Thomas, Robert E.; Burton, Rodney L.; Glumac, Nick G.; Polzin, Kurt A.

2007-01-01

As a propellant option for electromagnetic thrusters, liquid ,gallium appears to have several advantages relative to other propellants. The merits of using gallium in an electromagnetic thruster (EMT) are discussed and estimates of discharge current levels and mass flow rates yielding efficient operation are given. The gallium atomic weight of 70 predicts high efficiency in the 1500-2000 s specific impulse range, making it ideal for higher-thrust, near-Earth missions. A spatially and temporally broad spectroscopic survey in the 220-520 nm range is used to determine which species are present in the plasma and estimate electron temperature. The spectra show that neutral, singly, and doubly ionized gallium species are present in a 20 J, 1.8 kA (peak) are discharge. With graphite present on the insulator to facilitate breakdown, singly and doubly ionized carbon atoms are also present, and emission is observed from molecular carbon (CZ) radicals. A determination of the electron temperature was attempted using relative emission line data, and while the spatially and temporally averaged, spectra don't fit well to single temperatures, the data and presence of doubly ionized gallium are consistent with distributions in the 1-3 eV range.

26 CFR 1.989(b)-1 - Definition of weighted average exchange rate.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 10 2011-04-01 2011-04-01 false Definition of weighted average exchange rate. 1... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Export Trade Corporations § 1.989(b)-1 Definition of weighted average exchange rate. For purposes of section 989(b)(3) and (4), the term “weighted...

Bayesian model averaging using particle filtering and Gaussian mixture modeling: Theory, concepts, and simulation experiments

NASA Astrophysics Data System (ADS)

Rings, Joerg; Vrugt, Jasper A.; Schoups, Gerrit; Huisman, Johan A.; Vereecken, Harry

2012-05-01

Bayesian model averaging (BMA) is a standard method for combining predictive distributions from different models. In recent years, this method has enjoyed widespread application and use in many fields of study to improve the spread-skill relationship of forecast ensembles. The BMA predictive probability density function (pdf) of any quantity of interest is a weighted average of pdfs centered around the individual (possibly bias-corrected) forecasts, where the weights are equal to posterior probabilities of the models generating the forecasts, and reflect the individual models skill over a training (calibration) period. The original BMA approach presented by Raftery et al. (2005) assumes that the conditional pdf of each individual model is adequately described with a rather standard Gaussian or Gamma statistical distribution, possibly with a heteroscedastic variance. Here we analyze the advantages of using BMA with a flexible representation of the conditional pdf. A joint particle filtering and Gaussian mixture modeling framework is presented to derive analytically, as closely and consistently as possible, the evolving forecast density (conditional pdf) of each constituent ensemble member. The median forecasts and evolving conditional pdfs of the constituent models are subsequently combined using BMA to derive one overall predictive distribution. This paper introduces the theory and concepts of this new ensemble postprocessing method, and demonstrates its usefulness and applicability by numerical simulation of the rainfall-runoff transformation using discharge data from three different catchments in the contiguous United States. The revised BMA method receives significantly lower-prediction errors than the original default BMA method (due to filtering) with predictive uncertainty intervals that are substantially smaller but still statistically coherent (due to the use of a time-variant conditional pdf).

A multi-method approach for groundwater resource assessment in coastal carbonate (karst) aquifers: the case study of Sierra Almijara (southern Spain)

NASA Astrophysics Data System (ADS)

Andreo, B.; Barberá, J. A.; Mudarra, M.; Marín, A. I.; García-Orellana, J.; Rodellas, V.; Pérez, I.

2018-02-01

Understanding the transference of water resources within hydrogeological systems, particularly in coastal aquifers, in which groundwater discharge may occur through multiple pathways (through springs, into rivers and streams, towards the sea, etc.), is crucial for sustainable groundwater use. This research aims to demonstrate the usefulness of the application of conventional recharge assessment methods coupled to isotopic techniques for accurately quantifying the hydrogeological balance and submarine groundwater discharge (SGD) from coastal carbonate aquifers. Sierra Almijara (Southern Spain), a carbonate aquifer formed of Triassic marbles, is considered as representative of Mediterranean coastal karst formations. The use of a multi-method approach has permitted the computation of a wide range of groundwater infiltration rates (17-60%) by means of direct application of hydrometeorological methods (Thornthwaite and Kessler) and spatially distributed information (modified APLIS method). A spatially weighted recharge rate of 42% results from the most coherent information on physiographic and hydrogeological characteristics of the studied system. Natural aquifer discharge and groundwater abstraction have been volumetrically quantified, based on flow and water-level data, while the relevance of SGD was estimated from the spatial analysis of salinity, 222Rn and the short-lived radium isotope 224Ra in coastal seawater. The total mean aquifer discharge (44.9-45.9 hm3 year-1) is in agreement with the average recharged groundwater (44.7 hm3 year-1), given that the system is volumetrically equilibrated during the study period. Besides the groundwater resources assessment, the methodological aspects of this research may be interesting for groundwater management and protection strategies in coastal areas, particularly karst environments.

Growth and metabolic response of premature infants fed whey- or casein-dominant formulas after hospital discharge.

PubMed

Bernbaum, J C; Sasanow, S R; Churella, H R; Daft, A

1989-10-01

We conducted a double-blind, randomized study to test the hypothesis that a whey-dominant formula permits a growth and metabolic advantage over a casein-dominant formula in preterm infants after hospital discharge. Nineteen low birth weight infants were studied for 6 months from the time of discharge. Ten received a casein-dominant formula, and nine received a whey-dominant formula. Growth (weight, length, head circumference, mid-arm circumference, and skin-fold thickness), biochemical measurements (alkaline phosphatase activity, acid-base status, and hemoglobin, serum total protein, albumin, and urea nitrogen levels), and quantity of formula intake did not differ significantly between the groups over a 6-month study period. Serum transthyretin and urea nitrogen concentrations differed significantly between the two feeding groups at the day of entry into the study only. The results indicate that, after hospital discharge, premature infants fed a whey-dominant formula do not differ in growth or biochemical measurements from those fed a casein-dominant formula.

Sediment transport by streams in the Palouse River basin, Washington and Idaho, July 1961-June 1965

USGS Publications Warehouse

Boucher, P.R.

1970-01-01

The Palouse River basin covers about 3,300 square miles in southeastern Washington and northwestern Idaho. The eastern part of the basin is composed of steptoes and foothills which are generally above an altitude of 2,600 feet; the central part is of moderate local relief and is mantled chiefly by thick loess deposits; and the western part is characterized by low relief and scabland topography and is underlain mostly by basalt. Precipitation increases eastward across the study area. It ranges annually from 12 to 18 inches in the western part and from 14 to 23 inches in the central part, and it exceeds 40 inches in the eastern part. Surface runoff from the basin for the 4-year period of study (July 1961-June 1965) averaged 408,000 acre-feet per year, compared with 445,200 acre-feet per year for the 27-year period of record. The eastern part of the basin contributed about 55 percent of the total, whereas the central and western parts contributed 37 percent and 8 percent, respectively. Most sediment transport from the Palouse River basin and the highest sediment concentrations in streams occurred in the winter. Of the several storms during the study period, those of February 3-9, 1963, December 22-27, 1964, and January 27-February 4, 1965, accounted for 81 percent of the total 4-year suspended-sediment load; the storm of February 3-9, 1963, accounted for nearly one-half the total load. The discharge-weighted mean concentration of suspended sediment carried in the Palouse River past Hooper during the study period was 2,970 milligrams per liter. The average annual sediment discharge of the Palouse River at its mouth was about 1,580,000 tons per year, and the estimated average annual sediment yield was 480 tons per square mile. The yield ranged from 5 tons per square mile from the western part of the basin to 2,100 tons per square mile from the central part. The high yield from the central part is attributed to a scarcity of vegetal cover, to the fine-grained loess soils, and to rapid runoff during winter storms. Sediment yield from the eastern part of the basin ranged from 460 to more than 1,000 tons per square mile. During high flow, silt particles make up the largest part of the suspended-sediment load, whereas during low flow, clay particles represent the greatest part. On the average, the suspended sediment transported by the Palouse River past Hooper contained 3 percent sand, 68 percent silt, and 29 percent clay. Unmeasured sediment discharge was estimated to have been 5 percent of the total sediment discharge. Data collected during the 4-year period of study show that sediment loads were higher than those recorded by V. G. Kaiser during the longer period 1939-65. Whereas Kaiser's study showed an average annual soil loss of 9.6 million tons, the average annual loss during the recent study was 14.2 million tons. The factor that has had the greatest effect on the increase of sediment yields is land use. Lands once covered and protected by natural vegetation have been extensively, cultivated, and much of the soil has become susceptible to erosion, particularly in areas mantled by loessal soils.

Linear error analysis of slope-area discharge determinations

USGS Publications Warehouse

Kirby, W.H.

1987-01-01

The slope-area method can be used to calculate peak flood discharges when current-meter measurements are not possible. This calculation depends on several quantities, such as water-surface fall, that are subject to large measurement errors. Other critical quantities, such as Manning's n, are not even amenable to direct measurement but can only be estimated. Finally, scour and fill may cause gross discrepancies between the observed condition of the channel and the hydraulic conditions during the flood peak. The effects of these potential errors on the accuracy of the computed discharge have been estimated by statistical error analysis using a Taylor-series approximation of the discharge formula and the well-known formula for the variance of a sum of correlated random variates. The resultant error variance of the computed discharge is a weighted sum of covariances of the various observational errors. The weights depend on the hydraulic and geometric configuration of the channel. The mathematical analysis confirms the rule of thumb that relative errors in computed discharge increase rapidly when velocity heads exceed the water-surface fall, when the flow field is expanding and when lateral velocity variation (alpha) is large. It also confirms the extreme importance of accurately assessing the presence of scour or fill. ?? 1987.

Water budgets for selected watersheds in the Delaware River basin, eastern Pennsylvania and western New Jersey

USGS Publications Warehouse

Sloto, Ronald A.; Buxton, Debra E.

2005-01-01

This pilot study, done by the U.S. Geological Survey in cooperation with the Delaware River Basin Commission, developed annual water budgets using available data for five watersheds in the Delaware River Basin with different degrees of urbanization and different geological settings. A basin water budget and a water-use budget were developed for each watershed. The basin water budget describes inputs to the watershed (precipitation and imported water), outputs of water from the watershed (streamflow, exported water, leakage, consumed water, and evapotranspiration), and changes in ground-water and surface-water storage. The water-use budget describes water withdrawals in the watershed (ground-water and surface-water withdrawals), discharges of water in the watershed (discharge to surface water and ground water), and movement of water of water into and out of the watershed (imports, exports, and consumed water). The water-budget equations developed for this study can be applied to any watershed in the Delaware River Basin. Data used to develop the water budgets were obtained from available long-term meteorological and hydrological data-collection stations and from water-use data collected by regulatory agencies. In the Coastal Plain watersheds, net ground-water loss from unconfined to confined aquifers was determined by using ground-water-flow-model simulations. Error in the water-budget terms is caused by missing data, poor or incomplete measurements, overestimated or underestimated quantities, measurement or reporting errors, and the use of point measurements, such as precipitation and water levels, to estimate an areal quantity, particularly if the watershed is hydrologically or geologically complex or the data-collection station is outside the watershed. The complexity of the water budgets increases with increasing watershed urbanization and interbasin transfer of water. In the Wissahickon Creek watershed, for example, some ground water is discharged to streams in the watershed, some is exported as wastewater, and some is exported for public supply. In addition, ground water withdrawn outside the watershed is imported for public supply or imported as wastewater for treatment and discharge in the watershed. A GIS analysis was necessary to quantify many of the water-budget components. The 89.9-square mile East Branch Brandywine Creek watershed in Pennsylvania is a rural watershed with reservoir storage that is underlain by fractured rock. Water budgets were developed for 1977-2001. Average annual precipitation, streamflow, and evapotranspiration were 46.89, 21.58, and 25.88 inches, respectively. Some water was imported (average of 0.68 inches) into the watershed for public-water supply and as wastewater for treatment and discharge; these imports resulted in a net gain of water to the watershed. More water was discharged to East Branch Brandywine Creek than was withdrawn from it; the net discharge resulted in an increase in streamflow. Most ground water was withdrawn (average of 0.25 inches) for public-water supply. Surface water was withdrawn (average of 0.58 inches) for public-water and industrial supply. Discharge of water by sewage-treatment plants and industries (average of 1.22 inches) and regulation by Marsh Creek Reservoir caused base flow to appear an average of 7.2 percent higher than it would have been without these additional sources. On average, 67 percent of the difference was caused by sewage-treatment-plant and industrial discharges, and 33 percent was caused by regulation of the Marsh Creek Reservoir. Water imports, withdrawals, and discharges have been increasing as the watershed becomes increasingly urbanized. The 64-square mile Wissahickon Creek watershed in Pennsylvania is an urban watershed underlain by fractured rock. Water budgets were developed for 1987-98. Average annual precipitation, streamflow, and evapotranspiration were 47.23, 22.24, and 23.12 inches, respectively. The watershed is highly u

Status and trends in suspended-sediment discharges, soil erosion, and conservation tillage in the Maumee River basin--Ohio, Michigan, and Indiana

USGS Publications Warehouse

Myers, Donna N.; Metzker, Kevin D.; Davis, Steven

2000-01-01

The relation of suspended-sediment discharges to conservation-tillage practices and soil loss were analyzed for the Maumee River Basin in Ohio, Michigan, and Indiana as part of the U.S. Geological Survey?s National Water-Quality Assessment Program. Cropland in the basin is the largest contributor to soil erosion and suspended-sediment discharge to the Maumee River and the river is the largest source of suspended sediments to Lake Erie. Retrospective and recently-collected data from 1970-98 were used to demonstrate that increases in conservation tillage and decreases in soil loss can be related to decreases in suspended-sediment discharge from streams. Average annual water and suspended-sediment budgets computed for the Maumee River Basin and its principal tributaries indicate that soil drainage and runoff potential, stream slope, and agricultural land use are the major human and natural factors related to suspended-sediment discharge. The Tiffin and St. Joseph Rivers drain areas of moderately to somewhat poorly drained soils with moderate runoff potential. Expressed as a percentage of the total for the Maumee River Basin, the St. Joseph and Tiffin Rivers represent 29.0 percent of the basin area, 30.7 percent of the average-annual streamflow, and 9.31 percent of the average annual suspended-sediment discharge. The Auglaize and St. Marys Rivers drain areas of poorly to very poorly drained soils with high runoff potential. Expressed as a percentage of the total for the Maumee River Basin, the Auglaize and St. Marys Rivers represent 48.7 percent of the total basin area, 53.5 percent of the average annual streamflow, and 46.5 percent of the average annual suspended-sediment discharge. Areas of poorly drained soils with high runoff potential appear to be the major source areas of suspended sediment discharge in the Maumee River Basin. Although conservation tillage differed in the degree of use throughout the basin, on aver-age, it was used on 55.4 percent of all crop fields in the Maumee River Basin from 1993-98. Conservation tillage was used at relatively higher rates in areas draining to the lower main stem from Defiance to Waterville, Ohio and at relatively lower rates in the St. Marys and Auglaize River Basins, and in areas draining to the main stem between New Haven, Ind. and Defiance, Ohio. The areas that were identified as the most important sediment-source areas in the basin were characterized by some of the lowest rates of conservation tillage. The increased use of conservation tillage was found to correspond to decreases in suspended-sediment discharge over time at two locations in the Maumee River Basin. A 49.8 percent decrease in suspended-sediment discharge was detected when data from 1970-74 were compared to data from 1996-98 for the Auglaize River near Ft. Jennings, Ohio. A decrease in suspended-sediment discharge of 11.2 percent was detected from 1970?98 for the Maumee River at Waterville, Ohio. No trends in streamflow at either site were detected over the period 1970-98. The lower rate of decline in suspended-sediment discharge for the Maumee River at Waterville, Ohio compared to the Auglaize River near Ft. Jennings, may be due to resuspension and export of stored sediments from drainage ditches, stream channels, and flood plains in the large drainage basin upstream from Waterville. Similar findings by other investigators about the capacity of drainage networks to store sediment are supported by this investigation. These findings go undetected when soil loss estimates are used alone to evaluate the effectiveness of conservation tillage. Water-quality data in combination with soil-loss estimates were needed to draw these conclusions. These findings provide information to farmers and soil conservation agents about the ability of conservation tillage to reduce soil erosion and suspended-sediment discharge from the Maumee River Basin.

Obstetric and perinatal effects of active and/or passive smoking during pregnancy.

PubMed

Nakamura, Mary Uchiyama; Alexandre, Sandra Maria; Kuhn dos Santos, Jorge Francisco; de Souza, Eduardo; Sass, Nelson; Auritscher Beck, Anna Paula; Trayna, Evelyn; Andrade, Carla Maria de Araújo; Barroso, Teresa; Kulay Júnior, Luiz

2004-05-06

Cigarette smoke, whether inhaled voluntarily or not, causes damage to the mother-infant pair. The antenatal period may present the best opportunity for performing effective anti-smoking campaigns. To study the obstetric and perinatal effects of smoking on pregnancy and the infant. Prospective study, interviewing pregnant women who were randomly selected at the maternity hospital as they were being discharged after giving birth. Hospital Municipal Vereador José Storópolli, São Paulo, Brazil. 758 patients were interviewed regarding smoke inhalation before being discharged from the maternity hospital. The groups were formed by 42 active smokers, 272 passive smokers, 108 who inhaled smoke both actively and passively, and 336 non-smokers. The groups were compared regarding age, parity, school education, incidence of spontaneous abortion, rate of caesarian births, average gestational age at birth, rate of low birth weight and adequacy of weight in relation to the gestational age of newborn infants. For all variables we considered p < 0.05 as statistically significant. There was a high rate (55.7%) of pregnant smokers, including 5.5% active, 35.9% passive and 14.3% active-passive smokers. Active and active-passive smokers were older and had higher parity. Active smokers had lower education levels and higher rates of previous spontaneous abortion. The weights of newborn babies were lower for smoking mothers. The study was performed among patients that were mostly of low economic, social and cultural levels, thus possibly explaining the high incidence of smokers. Worse still was that 35.9% of the non-smokers were actually passive smokers. These rates we report were similar to those from the literature. The typical receptiveness of teenage girls to unrestricted advertising in the media contributes towards an early start to acquiring the habit of smoking, including during pregnancy in our country. We emphasize the difficulties in quantifying exposure to cigarettes even among active smokers. Cigarette smoke, whether inhaled voluntarily or not, has an unfavorable effect on the mother-infant pair.

Chopper-controlled discharge life cycling studies on lead-acid batteries

NASA Technical Reports Server (NTRS)

Kraml, J. J.; Ames, E. P.

1982-01-01

State-of-the-art 6 volt lead-acid golf car batteries were tested. A daily charge/discharge cycling to failure points under various chopper controlled pulsed dc and continuous current load conditions was undertaken. The cycle life and failure modes were investigated for depth of discharge, average current chopper frequency, and chopper duty cycle. It is shown that battery life is primarily and inversely related to depth of discharge and discharge current. Failure mode is characterized by a gradual capacity loss with consistent evidence of cell element aging.

High-repetition-rate short-pulse gas discharge.

PubMed

Tulip, J; Seguin, H; Mace, P N

1979-09-01

A high-average-power short-pulse gas discharge is described. This consists of a volume-preionized transverse discharge of the type used in gas lasers driven by a Blumlein energy storage circuit. The Blumlein circuit is fabricated from coaxial cable, is pulse-charged from a high-repetition-rate Marx-bank generator, and is switched by a high-repetition-rate segmented rail gap. The operation of this discharge under conditions typical of rare-gas halide lasers is described. A maximum of 900 pps was obtained, giving a power flow into the discharge of 30 kW.

Response of lead-acid batteries to chopper-controlled discharge: Preliminary results

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1978-01-01

The preliminary results of simulated electric vehicle, chopper, speed controller discharge of a battery show energy output losses up to 25 percent compared to constant current discharges at the same average discharge current of 100 amperes. These energy losses are manifested as temperature rises during discharge, amounting to a two-fold increase for a 400-ampere pulse compared to the constant current case. Because of the potentially large energy inefficiency, the results suggest that electric vehicle battery/speed controller interaction must be carefully considered in vehicle design.

Response of lead-acid batteries to chopper-controlled discharge

NASA Technical Reports Server (NTRS)

Cataldo, R. L.

1978-01-01

The preliminary results of simulated electric vehicle, chopper, speed controller discharge of a battery show energy output losses at up to 25 percent compared to constant current discharges at the same average discharge current of 100 A. These energy losses are manifested as temperature rises during discharge, amounting to a two-fold increase for a 400-A pulse compared to the constant current case. Because of the potentially large energy inefficiency, the results suggest that electric vehicle battery/speed controller interaction must be carefully considered in vehicle design.

Hydrologic effects of annually diverting 131,000 acre-feet of water from Dillon Reservoir, central Colorado

USGS Publications Warehouse

Alley, William M.; Bauer, D.P.; Veenhuis, J.E.; Brennan, Robert

1979-01-01

Because of the increased demands for water in eastern Colorado, principally in the urbanizing Denver metropolitan area, increased diversions of water from Dillon Reservoir are planned. Estimates of end-of-month storage in Dillon Reservoir, assuming the reservoir was in place and 131,000 acre-feet of water were diverted from the reservoir each year, were reconstructed by mass balance for the 1931-77 water years. Based on the analysis, the annual maximum end-of-month drawdown below the elevation at full storage would have averaged 54 feet. The maximum end-of-month drawdown below the elevation at full storage would have been 171 feet. The mean-annual discharge-weighted dissolved-solids concentrations in the Colorado River near Glenwood Springs and Cameo, Colo., and Cisco, Utah, for the 1942-77 water years, were computed assuming an annual diversion of 131,000 acre-feet of water from Dillon Reservoir. The average increases in the dissolved-solids concentrations with the 131 ,000-acre-foot diversion were 15 to 16 milligrams per liter at the three sites. (Woodard-USGS)

Concentrations and annual fluxes for selected water-quality constituents from the USGS National Stream Quality Accounting Network (NASQAN) 1996-2000

USGS Publications Warehouse

Kelly, Valerie J.; Hooper, Richard P.; Aulenbach, Brent T.; Janet, Mary

2001-01-01

This report contains concentrations and annual mass fluxes (loadings) for a broad range of water-quality constituents measured during 1996-2000 as part of the U.S. Geological Survey National Stream Quality Accounting Network (NASQAN). During this period, NASQAN operated a network of 40-42 stations in four of the largest river basins of the USA: the Colorado, the Columbia, the Mississippi (including the Missouri and Ohio), and the Rio Grande. The report contains surface-water quality data, streamflow data, field measurements (e.g. water temperature and pH), sediment-chemistry data, and quality-assurance data; interpretive products include annual and average loads, regression parameters for models used to estimate loads, sub-basin yield maps, maps depicting percent detections for censored constituents, and diagrams depicting flow-weighted average concentrations. Where possible, a regression model relating concentration to discharge and season was used for flux estimation. The interpretive context provided by annual loads includes identifying source and sink areas for constituents and estimating the loadings to receiving waters, such as reservoirs or the ocean.

The influences of adrenaline dosing frequency and dosage on outcomes of adult in-hospital cardiac arrest: A retrospective cohort study.

PubMed

Wang, Chih-Hung; Huang, Chien-Hua; Chang, Wei-Tien; Tsai, Min-Shan; Yu, Ping-Hsun; Wu, Yen-Wen; Hung, Kuan-Yu; Chen, Wen-Jone

2016-06-01

To investigate the influence of dosing frequency and dosage of adrenaline on outcomes of cardiopulmonary resuscitation (CPR). We conducted a retrospective observational study in a single medical centre and included adult patients who had suffered an in-hospital cardiac arrest between 2006 and 2012. We used multivariable logistic regression analysis to evaluate the associations between independent variables and outcomes. Adrenaline average dosing frequency was calculated as the total dosage of adrenaline administered during CPR divided by the duration of CPR. Body weight (BW) was analysed as an interaction term to investigate the effect of adrenaline dosage on outcomes. Favourable neurological outcome was defined as a score of 1 or 2 on the Cerebral Performance Category scale at hospital discharge. We included 896 patients in the analysis. After adjusting for multiple confounding factors, including CPR duration, the results indicated that higher adrenaline dosing frequency was associated with lower rates of survival (odds ratio (OR): 0.05, 95% confidence interval (CI): 0.01-0.23) and favourable neurological outcome at hospital discharge (OR: 0.02, 95% CI: 0.002-0.16). A significant interaction was noted between total adrenaline dosage and BW, which indicated that, with the same adrenaline dosage, the outcomes for patients with BW≥82.5kg would be worse than those for patients with lower BW. Higher adrenaline average dosing frequency may be associated with worse outcomes after CPR. Besides, according to current recommendations, patients with BW above 82.5kg may not receive adequate dose of adrenaline. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

12 CFR Appendix B to Subpart A of... - Conversion of Scorecard Measures into Score

Code of Federal Regulations, 2014 CFR

2014-01-01

... 327—Conversion of Scorecard Measures into Score 1. Weighted Average CAMELS Rating Weighted average CAMELS ratings between 1 and 3.5 are assigned a score between 25 and 100 according to the following equation: S = 25 + [(20/3) * (C 2 −1)], where: S = the weighted average CAMELS score; and C = the weighted...

12 CFR Appendix B to Subpart A of... - Conversion of Scorecard Measures into Score

Code of Federal Regulations, 2013 CFR

2013-01-01

... 327—Conversion of Scorecard Measures into Score 1. Weighted Average CAMELS Rating Weighted average CAMELS ratings between 1 and 3.5 are assigned a score between 25 and 100 according to the following equation: S = 25 + [(20/3) * (C 2 −1)], where: S = the weighted average CAMELS score; and C = the weighted...

12 CFR Appendix B to Subpart A of... - Conversion of Scorecard Measures into Score

Code of Federal Regulations, 2012 CFR

2012-01-01

... 327—Conversion of Scorecard Measures into Score 1. Weighted Average CAMELS Rating Weighted average CAMELS ratings between 1 and 3.5 are assigned a score between 25 and 100 according to the following equation: S = 25 + [(20/3) * (C 2 −1)], where: S = the weighted average CAMELS score; and C = the weighted...

Decadal stream water quality trends under varying climate, land use, and hydrogeochemical setting in, Iowa, USA

NASA Astrophysics Data System (ADS)

Green, Christopher; Bekins, Barbara; Kalkhoff, Stephen; Hirsch, Robert; Liao, Lixia; Barnes, Kimberlee

2015-04-01

Understanding how nitrogen fluxes respond to changes in agricultural practices and climatic variations is important for improving water quality in agricultural settings. In the central United States, intensification of corn cropping in support of ethanol production led to increases in N application rates in the 2000s during a period including both extreme dry and wet conditions. To examine the effect of these recent changes, a study was conducted on surface water quality in 10 major Iowa Rivers. Long term (~20 to 30 years) water quality and flow data were analyzed with Weighted Regression on Time, Discharge and Season (WRTDS), a statistical method that provides internally consistent estimates of the concentration history and reveals decadal trends that are independent of random variations of stream flow from seasonal averages. Trends of surface water quality showed constant or decreasing flow-normalized concentrations of nitrate+nitrite-N from 2000 to 2012 in all basins. To evaluate effects of annual discharge and N loading on these trends, multiple conceptual models were developed and calibrated to annual concentrations. The recent declining concentration trends can be attributed to both very high and very low streamflow discharge in the 2000's and to the long (e.g. 8-year) subsurface residence times in some basins. Dilution of surface water nitrate and depletion of stored nitrate may occur in years with very high discharge. Limited transport of N to streams and accumulation of stored N may occur in years with very low discharge. Central Iowa basins showed the greatest reduction in concentrations, likely because extensive tile-drains limit the effective volumes for storage of N and reduce residence times, and because the glacial sediments in these basins promote denitrification. Changes in nitrogen fluxes resulting from ethanol production and other factors will likely be delayed for years or decades in peripheral basins of Iowa, and may be obscured in the central basins where extreme flows strongly affect annual concentration trends.

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

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

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

1993-08-16

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

Invasive Candidiasis in preterm neonates in China: a retrospective study from 11 NICUS during 2009-2011.

PubMed

Xia, Hongping; Wu, Hui; Xia, Shiwen; Zhu, Xiaoyu; Chen, Chao; Qiu, Gang; Zhou, Wei; Shi, Yingying; Ma, Liya; Sun, Jianhua; Zhou, Xiaoyu; Zhu, Jianxing

2014-01-01

Candida species is an important cause of nosocomial infection in neonatal intensive care units (NICUs). However, most reports in China have been limited to single institutions. The aim of this study is to investigate the epidemiology of invasive candidiasis in multiple NICUs across China. We retrospectively collected demographic data, clinical characteristics, microbiological results and outcome of preterm infants with invasive candidiasis discharged from 11 academic tertiary NICUs during January 2009 to December 2011. There were 30,045 preterm infants discharged from 11 NICUs during the study period. We detected 223 infants with invasive candidiasis, resulting in an incidence of 0.74 cases per 100 preterm discharges from NICUs. In very low birth weight infants, the incidence was 3.42 cases per 100 very low birth weight discharges. Mean gestational age of infected infants was 31.4 weeks and median birth weight was 1410 gram. Among the cohort of infants with invasive candidiasis, 214 (96.0%) infants had positive blood culture for fungus, 5 infants had positive urine culture, 3 from cerebrospinal fluid and 1 from articular effusion in the shoulder joint. Among the cohort of infants with candidemia, 48 (22.4%) infants had fungal meningitis. Candida albicans accounted for 57.4% of total positive cultures. Overall mortality attributable to invasive candidiasis was 19.3%. Invasive candidiasis is a common problem among preterm neonates in China, especially among very low birth weight infants and it is associated with a high mortality. The preponderance of infections was due to Candida albicans.

Thermogenesis-triggered seed dispersal in dwarf mistletoe

PubMed Central

deBruyn, Rolena A.J.; Paetkau, Mark; Ross, Kelly A.; Godfrey, David V.; Friedman, Cynthia Ross

2015-01-01

Lodgepole pine dwarf mistletoe (DM), Arceuthobium americanum, is a parasitic flowering plant and forest pathogen in North America. Seed dispersal in DM occurs by explosive discharge. Notably, slight warming of ripe DM fruit in the laboratory can trigger explosions. Previously, we showed that alternative oxidase, a protein involved in endogenous heat production (thermogenesis) in plants, is present in DM fruit. These observations have led us to investigate if thermogenesis induces discharge. Here, infrared thermographs reveal that ripe DM fruits display an anomalous increase in surface temperature by an average of 2.1±0.8 °C over an average time of 103±29 s (n=9, 95% confidence interval) before dehiscence. Furthermore, both non-isothermal and isothermal modulated differential scanning calorimetry consistently show an exothermic event (~1 J g−1) in the non-reversible heat flow just prior to discharge. These results support thermogenesis-triggered seed discharge, never before observed in any plant. PMID:25662062

Estimation of underground river water availability based on rainfall in the Maros karst region, South Sulawesi

NASA Astrophysics Data System (ADS)

Arsyad, Muhammad; Ihsan, Nasrul; Tiwow, Vistarani Arini

2016-02-01

Maros karst region, covering an area of 43.750 hectares, has water resources that determine the life around it. Water resources in Maros karst are in the rock layers or river underground in the cave. The data used in this study are primary and secondary data. Primary data includes characteristics of the medium. Secondary data is rainfall data from BMKG, water discharge data from the PSDA, South Sulawesi province in 1990-2010, and the other characteristics data Maros karst, namely cave, flora and fauna of the Bantimurung Bulusaraung National Park. Data analysis was conducted using laboratory test for medium characteristics Maros karst, rainfall and water discharge were analyzed using Minitab Program 1.5 to determine their profile. The average rainfall above 200 mm per year occurs in the range of 1999 to 2005. The availability of the water discharge at over 50 m3/s was happened in 1993 and 1995. Prediction was done by modeling Autoregressive Integrated Moving Average (ARIMA), with the rainfall data shows that the average precipitation for four years (2011-2014) will sharply fluctuate. The prediction of water discharge in Maros karst region was done for the period from January to August in 2011, including the type of 0. In 2012, the addition of the water discharge started up in early 2014.

Synthesis of carbon nanotubes by arc discharge in open air.

PubMed

Paladugu, Mohan Chand; Maneesh, K; Nair, P Kesavan; Haridoss, Prathap

2005-05-01

In this work Carbon nanotubes have been synthesized by arc discharge in open air. A TIG welding ac/dc inverter was used as the power source for arc discharge. During each run of the arc discharge based synthesis, the anode was a low purity (approximately 85% C by weight) graphite rod. The effect of varying the atmosphere on the yield of soot of the carbon nanotube containing carbon soot has been studied. Various soots were produced, purified by oxidation and characterized to confirm formation of carbon nanotubes and their relative quality, using transmission electron microscopy, Raman spectroscopy, and XRD. It was found that the yield of soot formed on the cathode is higher when synthesis is carried out in open air than when carried out in a flowing argon atmosphere. When synthesized in open air, using a 7.2-mm-diameter graphite rod as anode, the yield of soot was around 50% by weight of the graphite consumed. Current and voltage for arcing were at identical starting values in all the experiments. This modified method does not require a controlled atmosphere as in the case of a conventional arc discharge method of synthesis and hence the cost of production may be reduced.

Physical characteristics and fish assemblage composition at site and mesohabitat scales over a range of streamflows in the Middle Rio Grande, New Mexico, winter 2011-12, summer 2012

USGS Publications Warehouse

Braun, Christopher L.; Pearson, Daniel K.; Porter, Michael D.; Moring, J. Bruce

2015-01-01

Water-quality properties were only collected during summer 2012, when low-streamflow conditions existed and water-quality properties were thought to be potentially most limiting to aquatic life. Area-weighted mean water temperatures tended to be higher at the sites that were sampled in August 2012 (25.57 degrees Celsius [°C]) compared to June 2012 (24.61 °C). The highest area-weighted mean water temperature at a given site (29.03 °C) was measured at the Lemitar site on August 7, 2012, coincident with the lowest measured discharge (4.13 cubic feet per second [ft3/s]). Area-weighted mean dissolved oxygen concentrations tended to be lower in August (7.46 milligrams per liter [mg/L]) compared to June (8.33 mg/L). The highest area-weighted mean dissolved oxygen concentration (9.13 mg/L) was measured at the Lemitar site on August 7, 2012, and the lowest area-weighted mean dissolved oxygen concentration (6.23 mg/L) was measured at the Los Padillas site on August 10, 2012. Area-weighted specific conductance in the sites upstream from La Joya did not exceed 400 microsiemens per centimeter (μS/cm) at 25 °C, whereas the area-weighted mean specific conductance at La Joya (837 μs/cm at 25 °C), Rio Salado (857 μs/cm at 25 °C), and Lemitar (1,300 μs/cm at 25 °C) were all well above the average of the area-weighted means for the 10 remaining sites (433 μs/cm at 25 °C). Lower area-weighted mean pH values were measured at the 3 sites in and near Albuquerque (La Orilla, Barelas, and Los Padillas—7.98, 8.08, and 7.81, respectively) compared to any of the 10 remaining sites, which had an overall mean pH of 8.44.

White matter microstructural changes in adolescent anorexia nervosa including an exploratory longitudinal study

PubMed Central

Vogel, Katja; Timmers, Inge; Kumar, Vinod; Nickl-Jockschat, Thomas; Bastiani, Matteo; Roebroek, Alard; Herpertz-Dahlmann, Beate; Konrad, Kerstin; Goebel, Rainer; Seitz, Jochen

2016-01-01

Background Anorexia nervosa (AN) often begins in adolescence, however, the understanding of the underlying pathophysiology at this developmentally important age is scarce, impeding early interventions. We used diffusion tensor imaging (DTI) to investigate microstructural white matter (WM) brain changes including an experimental longitudinal follow-up. Methods We acquired whole brain diffusion-weighted brain scans of 22 adolescent female hospitalized patients with AN at admission and nine patients longitudinally at discharge after weight rehabilitation. Patients (10–18 years) were compared to 21 typically developing controls (TD). Tract-based spatial statistics (TBSS) were applied to compare fractional anisotropy (FA) across groups and time points. Associations between average FA values of the global WM skeleton and weight as well as illness duration parameters were analyzed by multiple linear regression. Results We observed increased FA in bilateral frontal, parietal and temporal areas in AN patients at admission compared to TD. Higher FA of the global WM skeleton at admission was associated with faster weight loss prior to admission. Exploratory longitudinal analysis showed this FA increase to be partially normalized after weight rehabilitation. Conclusions Our findings reveal a markedly different pattern of WM microstructural changes in adolescent AN compared to most previous results in adult AN. This could signify a different susceptibility and reaction to semi-starvation in the still developing brain of adolescents or a time-dependent pathomechanism differing with extend of chronicity. Higher FA at admission in adolescents with AN could point to WM fibers being packed together more closely. PMID:27182488

Premature Infants 750–1,250 g Birth Weight Supplemented with a Novel Human Milk-Derived Cream Are Discharged Sooner

PubMed Central

Bergner, Erynn M.; Lee, Martin L.; Moreira, Alvaro G.; Hawthorne, Keli M.; Rechtman, David J.; Abrams, Steven A.; Blanco, Cynthia L.

2016-01-01

Abstract Objective: Infants may benefit from early nutritional intervention to decrease hospital stay. To evaluate the effects of adding a human milk (HM)-derived cream (Cream) product to a standard feeding regimen in preterm infants. Materials and Methods: In a prospective multicenter randomized study, infants with birth weights 750–1,250 g were assigned to a Control or Cream group. The Control group received a standard feeding regimen consisting of mother's own milk or donor HM with donor HM-derived fortifier. The Cream group received the standard feeding regimen along with an additional HM-derived cream supplement when the HM they received was <20 kcal/oz. Primary outcomes of this secondary analysis included comorbidities, length of stay (LOS), and postmenstrual age (PMA) at discharge. Results: We enrolled 75 infants (Control n = 37, Cream n = 38) with gestational age 27.7 ± 1.8 weeks and birth weight 973 ± 145 g (mean ± SD). After adjusting for gestational age, birth weight, and presence of bronchopulmonary dysplasia (BPD), the Cream group had a decreased PMA at discharge (39.9 ± 4.8 versus 38.2 ± 2.7 weeks, p = 0.03) and LOS (86 ± 39 versus 74 ± 22 days, p = 0.05). For 21 infants with BPD, these values trended toward significance for PMA at discharge (44.2 ± 6.1 versus 41.3 ± 2.7 weeks, p = 0.08) and LOS (121 ± 49 versus 104 ± 23 days, p = 0.08). Conclusions: Very preterm infants who received an HM-derived cream supplement were discharged earlier. Infants with BPD may have benefited the most. PMID:26982282

Evaluation of the Ott Hydromet Qliner for measuring discharge in laboratory and field conditions

USGS Publications Warehouse

McVay, Jason C.

2015-01-01

The U.S. Geological Survey, in collaboration with the University of Iowa IIHR – Hydroscience and Engineering, evaluated the use of the Ott Hydromet Qliner using laboratory flume tests along with field validation tests. Analysis of the flume testing indicates the velocities measured by the Qliner at a 40-second exposure time results in higher dispersion of velocities from the mean velocity of data collected with a 5-minute exposure time. The percent data spread from the mean of a 100-minute mean of Qliner velocities for a 40-second exposure time averaged 16.6 percent for the entire vertical, and a 5-minute mean produced a 6.2 percent data spread from the 100-minute mean. This 16.6 percent variation in measured velocity would result in a 3.32 percent variation in computed discharge assuming 25 verticals while averaging 4 bins in each vertical. The flume testing also provided results that indicate the blanking distance of 0.20 meters is acceptable when using beams 1 and 2, however beam 3 is negatively biased near the transducer and the 0.20-meter blanking distance is not sufficient. Field testing included comparing the measured discharge by the Qliner to the discharge measured by a Price AA mechanical current meter and a Teledyne RDI Rio Grande 1200 kilohertz acoustic Doppler current profiler. The field tests indicated a difference between the discharges measured with the Qliner and the field reference discharge between -14.0 and 8.0 percent; however the average percent difference for all 22 field comparisons was 0.22, which was not statistically significant.

Computation of backwater and discharge at width constrictions of heavily vegetated flood plains

USGS Publications Warehouse

Schneider, V.R.; Board, J.W.; Colson, B.E.; Lee, F.N.; Druffel, Leroy

1977-01-01

The U.S. Geological Survey, cooperated with the Federal Highway Administration and the State Highway Departments of Mississippi, Alabama, and Louisiana, to develop a proposed method for computing backwater and discharge at width constrictions of heavily vegetated flood plains. Data were collected at 20 single opening sites for 31 floods. Flood-plain width varied from 4 to 14 times the bridge opening width. The recurrence intervals of peak discharge ranged from a 2-year flood to greater than a 100-year flood, with a median interval of 6 years. Measured backwater ranged from 0.39 to 3.16 feet. Backwater computed by the present standard Geological Survey method averaged 29 percent less than the measured, and that computed by the currently used Federal Highway Administration method averaged 47 percent less than the measured. Discharge computed by the Survey method averaged 21 percent more then the measured. Analysis of data showed that the flood-plain widths and the Manning 's roughness coefficient are larger than those used to develop the standard methods. A method to more accurately compute backwater and discharge was developed. The difference between the contracted and natural water-surface profiles computed using standard step-backwater procedures is defined as backwater. The energy loss terms in the step-backwater procedure are computed as the product of the geometric mean of the energy slopes and the flow distance in the reach was derived from potential flow theory. The mean error was 1 percent when using the proposed method for computing backwater and 3 percent for computing discharge. (Woodard-USGS)

Effects of agricultural nutrient management on nitrogen fate and transport in Lancaster County, Pennsylvania

USGS Publications Warehouse

Hall, D.W.; Risser, D.W.

1993-01-01

Nitrogen inputs to, and outputs from, a 55-acre site in Lancaster County, Pennsylvania, were estimated to determine the pathways and relative magnitude of loads of nitrogen entering and leaving the site, and to compare the loads of nitrogen before and after the implementation of nutrient management. Inputs of nitrogen to the site were manure fertilizer, commercial fertilizer, nitrogen in precipitation, and nitrogen in ground-water inflow; and these sources averaged 93, 4, 2, and 1 percent of average annual nitrogen additions, respectively. Outputs of nitrogen from the site were nitrogen in harvested crops, loads of nitrogen in surface runoff, volatilization of nitrogen, and loads of nitrogen in ground-water discharge, which averaged 37, less than 1,25, and 38 percent of average annual nitrogen removals from the site, respectively. Virtually all of the nitrogen leaving the site that was not removed in harvested crops or by volatilization was discharged in the ground water. Applications of manure and fertilizer nitrogen to 47.5 acres of cropped fields decreased about 33 percent, from an average of 22,700 pounds per year (480 pounds per acre per year) before nutrient management to 15,175 pounds of nitrogen per year (320 pounds per acre per year) after the implementation of nutrient management practices. Nitrogen loads in ground-water discharged from the site decreased about 30 percent, from an average of 292 pounds of nitrogen per million gallons of ground water before nutrient management to an average of 203 pounds of nitrogen per million gallons as a result of the decreased manure and commercial fertilizer applications. Reductions in manure and commercial fertilizer applications caused a reduction of approximately 11,000 pounds (3,760 pounds per year, 70 pounds per acre per year) in the load of nitrogen discharged in ground water from the 55-acre site during the three-year period 1987-1990.

Enteral nutrition for optimal growth in preterm infants

PubMed Central

2016-01-01

Early, aggressive nutrition is an important contributing factor of long-term neurodevelopmental outcomes. To ensure optimal growth in premature infants, adequate protein intake and optimal protein/energy ratio should be emphasized rather than the overall energy intake. Minimal enteral nutrition should be initiated as soon as possible in the first days of life, and feeding advancement should be individualized according to the clinical course of the infant. During hospitalization, enteral nutrition with preterm formula and fortified human milk represent the best feeding practices for facilitating growth. After discharge, the enteral nutrition strategy should be individualized according to the infant's weight at discharge. Infants with suboptimal weight for their postconceptional age at discharge should receive supplementation with human milk fortifiers or nutrient-enriched feeding, and the enteral nutrition strategy should be reviewed and modified continuously to achieve the target growth parameters. PMID:28194211

Forecasting Daily Patient Outflow From a Ward Having No Real-Time Clinical Data

PubMed Central

Tran, Truyen; Luo, Wei; Phung, Dinh; Venkatesh, Svetha

2016-01-01

Background: Modeling patient flow is crucial in understanding resource demand and prioritization. We study patient outflow from an open ward in an Australian hospital, where currently bed allocation is carried out by a manager relying on past experiences and looking at demand. Automatic methods that provide a reasonable estimate of total next-day discharges can aid in efficient bed management. The challenges in building such methods lie in dealing with large amounts of discharge noise introduced by the nonlinear nature of hospital procedures, and the nonavailability of real-time clinical information in wards. Objective Our study investigates different models to forecast the total number of next-day discharges from an open ward having no real-time clinical data. Methods We compared 5 popular regression algorithms to model total next-day discharges: (1) autoregressive integrated moving average (ARIMA), (2) the autoregressive moving average with exogenous variables (ARMAX), (3) k-nearest neighbor regression, (4) random forest regression, and (5) support vector regression. Although the autoregressive integrated moving average model relied on past 3-month discharges, nearest neighbor forecasting used median of similar discharges in the past in estimating next-day discharge. In addition, the ARMAX model used the day of the week and number of patients currently in ward as exogenous variables. For the random forest and support vector regression models, we designed a predictor set of 20 patient features and 88 ward-level features. Results Our data consisted of 12,141 patient visits over 1826 days. Forecasting quality was measured using mean forecast error, mean absolute error, symmetric mean absolute percentage error, and root mean square error. When compared with a moving average prediction model, all 5 models demonstrated superior performance with the random forests achieving 22.7% improvement in mean absolute error, for all days in the year 2014. Conclusions In the absence of clinical information, our study recommends using patient-level and ward-level data in predicting next-day discharges. Random forest and support vector regression models are able to use all available features from such data, resulting in superior performance over traditional autoregressive methods. An intelligent estimate of available beds in wards plays a crucial role in relieving access block in emergency departments. PMID:27444059

Retrieval of river discharge solely from satellite imagery and at-many-stations hydraulic geometry: Sensitivity to river form and optimization parameters

NASA Astrophysics Data System (ADS)

Gleason, Colin J.; Smith, Laurence C.; Lee, Jinny

2014-12-01

Knowledge of river discharge is critically important for water resource management, climate modeling, and improved understanding of the global water cycle, yet discharge is poorly known in much of the world. Remote sensing holds promise to mitigate this gap, yet current approaches for quantitative retrievals of river discharge require in situ calibration or a priori knowledge of river hydraulics, limiting their utility in unmonitored regions. Recently, Gleason and Smith (2014) demonstrated discharge retrievals within 20-30% of in situ observations solely from Landsat TM satellite images through discovery of a river-specific geomorphic scaling phenomenon termed at-many-stations hydraulic geometry (AMHG). This paper advances the AMHG discharge retrieval approach via additional parameter optimizations and validation on 34 gauged rivers spanning a diverse range of geomorphic and climatic settings. Sensitivity experiments reveal that discharge retrieval accuracy varies with river morphology, reach averaging procedure, and optimization parameters. Quality of remotely sensed river flow widths is also important. Recommended best practices include a proposed global parameter set for use when a priori information is unavailable. Using this global parameterization, AMHG discharge retrievals are successful for most investigated river morphologies (median RRMSE 33% of in situ gauge observations), except braided rivers (median RRMSE 74%), rivers having low at-a-station hydraulic geometry b exponents (reach-averaged b < 0.1, median RRMSE 86%), and arid rivers having extreme discharge variability (median RRMSE > 1000%). Excluding such environments, 26-41% RRMSE agreement between AMHG discharge retrievals and in situ gauge observations suggests AMHG can meaningfully address global discharge knowledge gaps solely from repeat satellite imagery.

Operating Characteristics of the Multiple Critical Venturi System and Secondary Calibration Nozzles Used for Weight-Flow Measurements in the Langley 16-Foot Transonic Tunnel

NASA Technical Reports Server (NTRS)

Berrier, B. L.; Leavitt, L. D.; Bangert, L. S.

1985-01-01

An investigation has been conducted in the Langley 16 Foot Transonic Tunnel to determine the weight flow measurement characteristics of a multiple critical Venturi system and the nozzle discharge coefficient characteristics of a series of convergent calibration nozzles. The effects on model discharge coefficient of nozzle throat area, model choke plate open area, nozzle pressure ratio, jet total temperature, and number and combination of operating Venturis were investigated. Tests were conducted at static conditions (tunnel wind off) at nozzle pressure ratios from 1.3 to 7.0.

Long-term effects of discharges of produced water the marine environment from petroleum-related activities at Sonda de Campeche, Gulf of México.

PubMed

Schifter, I; González-Macías, C; Salazar-Coria, L; Sánchez-Reyna, G; González-Lozano, C

2015-11-01

Produced water from offshore oil platforms is a major source of oil and related chemicals into the sea. The large volume and high salinity of produced water could pose severe environmental impacts upon inadequate disposal. This study is based on direct field sampling of effluents released into the ocean in the years 2003 and 2013 at the Sonda de Campeche located in the southern part of the Gulf of Mexico. Metals and hydrocarbons were characterized in water, sediments, and fish tissues at the discharge site and compared with those obtained at two reference sites. Chemicals that exceeded risk-based concentrations in the discharge included the metals As, Pb, Cd, and Cr, and a variety of compounds polycyclic aromatic hydrocarbon (PAHs), including naphthalene, fluorenes, and low molecular weight PAHs. The values of low to high molecular weight polycyclic aromatic hydrocarbon (PAHs), and carbon preference index indicate that hydrocarbons in sediments of the discharge zone are originated from the produced water and combustion sources. Fish tissues at the discharge zone and reference site are contaminated with PAHs, dominated by 2- and 3-rings; 4-ring accounted for less than 1% of total PAHs (TPAHs) in 2003, but increased to 7% in 2013. Results suggest that, from 2003 to 2013, discharges of produced water have had a non-negligible impact on ecosystems at a regional level, so the possibility of subtle, cumulative effects from operational discharges should not be ignored.

Fluvial sediment of the Mississippi River at St. Louis, Missouri

USGS Publications Warehouse

Jordan, Paul Robert

1965-01-01

An investigation of the fluvial sediment of the Mississippi River at St. Louis, Mo., was begun in 1948. Most data have been obtained only to determine the daily suspended-sediment discharge and the particle-size distribution of suspended sediment and bed material, but a few data have been obtained to study the flow resistance, the vertical distribution of sediment and velocity, and the bed-material discharge. The flow of the Mississippi River at St. Louis is made up of the flows from the Missouri River, which had an average flow of 79,860 cubic feet per second for 1897-1958 at Hermann, Mo., and from the upper Mississippi River, which had an average flow of 91,890 cubic feet per second for 1928-58 at Alton, Il. The Missouri River is partly controlled by reservoirs that had a total capacity of 90,300,000 acre-feet in 1956, and the upper Mississippi River is partly controlled by lakes and reservoirs that had a total capacity of 4,890,000 acre-feet in 1956. The flows of the Missouri and upper Mississippi Rivers have not become mixed at St. Louis; so the river has a lateral gradient of suspended-sediment concentration. The concentration near the west bank has been as much as 2,400 parts per million greater than the concentration near the east bank. Suspended-sediment discharges from April 1948 to September 1958 ranged from 4,250 to 7,010,000 tons per day and averaged 496,000 tons per day. Mean concentrations for water years decreased steadily from 1,690 parts per million in 1949 to 403 parts per million in 1956, but they increased to 756 parts per million in 1958. Effects of new reservoirs in the Missouri River basin on the concentration have been obscured by the close relation of concentration to streamflow. Measured suspended-sediment discharge through September 1958 averaged 47 percent clay, 38 percent silt, and 15 percent sand. Variations of particle size were due mainly to differences in the source areas of the sediment. Most of the bed material in the main flow was between 0.125 and 1.000 millimeter in diameter. The average of median diameters was related to the discharge for periods of 1 year and longer. Geometric quartile deviations of the bed material ranged from 1.1 to 2.5 and averaged 1.5. The mean elevation of the bed had a range of almost 10 feet and was related to the median diameter of bed material by the regression equation hb=363.0 - 7.8 d50 for which the standard error of estimate was 0.91 foot. The resistance to flow as measured by Manning's n ranged from 0.024 to 0.041 and was related to the discharge and mean velocity but not to the shear velocity. Normal dune height is 2-8 feet, and average dune length is about 250 feet. When the resistance to flow was low, much of the bed was fairly fiat; a few dunes were present, but they were much longer than the average. For a given discharge during individual rises in stage, the gage height was lower for increasing discharge than for decreasing discharge even though the bed elevation was higher. The changes in gage height were not caused by changes in energy gradient due to changing discharge, by channel storage between the gage and the measuring section, nor by return of overbank flow; but they were probably caused by a combination of changes in roughness due to changing bed configuration and of changes in turbulence constant due to changing sediment concentration. Turbulence constants (Von Karman's k) computed from velocity measurements at 5-10 points in the vertical and from routine velocity measurements at 2 points in the vertical averaged 0.35 and 0.33, respectively. The exponent z1 of the vertical distribution of concentration for different size ranges varied with about the 0.77 power of the fall velocity. Except for the difference between the theoretical variation and the actual variation of z1 with changing fall velocity, the theoretical equation for the vertical distribution of sediment concentration seems to apply reasonably well for the Miss

Debris flows from tributaries of the Colorado River, Grand Canyon National Park, Arizona

USGS Publications Warehouse

Webb, R.H.; Pringle, P.T.; Rink, G.R.

1987-01-01

A reconnaissance of 36 tributaries of the Colorado River indicates that debris flows are a major process by which sediment is transported to the Colorado River in Grand Canyon National Park. Debris flows are slurries of sediment and water that have a water content < 40% by volume. Debris flows occur frequently in arid and semiarid regions. Slope failures commonly trigger debris flows, which can originate from any rock formation in the Grand Canyon. The largest and most frequent flows originate from the Permian Hermit Shale, the underlying Esplanade Sandstone of the Supai Group, and other formations of the Permian and Pennsylvanian Supai Group. Debris flows have reached the Colorado River on an average of once every 20 to 30 yr in the Lava-Chuar Creek drainage since about 1916. Two debris flows have reached the Colorado River in the last 25 yr in Monument Creek. The Crystal Creek drainage has had an average of one debris flow reaching the Colorado River every 50 yr, although the debris flow of 1966 has been the only flow that reached the Colorado River since 1900. Debris flows may actually reach the Colorado River more frequently in these drainages because evidence for all debris flows may not have been preserved in the channel-margin stratigraphy. Discharges were estimated for the peak flow of three debris flows that reached the Colorado River. The debris flow of 1966 in the Lava-Chuar Creek drainage had an estimated discharge of 4,000 cu ft/sec. The debris flow of 1984 in the Monument Creek drainage had a discharge estimated between 3,600 and 4,200 cu ft/sec. The debris flow of 1966 in the Crystal Creek drainage had a discharge estimated between 9,200 and 14,000 cu ft/sec. Debris flows in the Grand Canyon generally are composed of 10 to 40% sand by weight and may represent a significant source of beach-building sand along the Colorado River. The particle size distributions are very poorly sorted and the largest transported boulders were in the Crystal Creek drainage. Reworking of debris fans by the Colorado River creates debris bars that constrain the size of eddy systems and forms secondary rapids and riffles below tributary mouths. (See also W89-09239) (Lantz-PTT)

Selected approaches to estimate water-budget components of the High Plains, 1940 through 1949 and 2000 through 2009

USGS Publications Warehouse

Stanton, Jennifer S.; Qi, Sharon L.; Ryter, Derek W.; Falk, Sarah E.; Houston, Natalie A.; Peterson, Steven M.; Westenbroek, Stephen M.; Christenson, Scott C.

2011-01-01

The High Plains aquifer, underlying almost 112 million acres in the central United States, is one of the largest aquifers in the Nation. It is the primary water supply for drinking water, irrigation, animal production, and industry in the region. Expansion of irrigated agriculture throughout the past 60 years has helped make the High Plains one of the most productive agricultural regions in the Nation. Extensive withdrawals of groundwater for irrigation have caused water-level declines in many parts of the aquifer and increased concerns about the long-term sustainability of the aquifer. Quantification of water-budget components is a prerequisite for effective water-resources management. Components analyzed as part of this study were precipitation, evapotranspiration, recharge, surface runoff, groundwater discharge to streams, groundwater fluxes to and from adjacent geologic units, irrigation, and groundwater in storage. These components were assessed for 1940 through 1949 (representing conditions prior to substantial groundwater development and referred to as "pregroundwater development" throughout this report) and 2000 through 2009. Because no single method can perfectly quantify the magnitude of any part of a water budget at a regional scale, results from several methods and previously published work were compiled and compared for this study when feasible. Results varied among the several methods applied, as indicated by the range of average annual volumes given for each component listed in the following paragraphs. Precipitation was derived from three sources: the Parameter-Elevation Regressions on Independent Slopes Model, data developed using Next Generation Weather Radar and measured precipitation from weather stations by the Office of Hydrologic Development at the National Weather Service for the Sacramento-Soil Moisture Accounting model, and precipitation measured at weather stations and spatially distributed using an inverse-distance-weighted interpolation method. Precipitation estimates using these sources, as a 10-year average annual total volume for the High Plains, ranged from 192 to 199 million acre-feet (acre-ft) for 1940 through 1949 and from 185 to 199 million acre-ft for 2000 through 2009. Evapotranspiration was obtained from three sources: the National Weather Service Sacramento-Soil Moisture Accounting model, the Simplified-Surface-Energy-Balance model using remotely sensed data, and the Soil-Water-Balance model. Average annual total evapotranspiration estimated using these sources was 148 million acre-ft for 1940 through 1949 and ranged from 154 to 193 million acre-ft for 2000 through 2009. The maximum amount of shallow groundwater lost to evapotranspiration was approximated for areas where the water table was within 5 feet of land surface. The average annual total volume of evapotranspiration from shallow groundwater was 9.0 million acre-ft for 1940 through 1949 and ranged from 9.6 to 12.6 million acre-ft for 2000 through 2009. Recharge was estimated using two soil-water-balance models as well as previously published studies for various locations across the High Plains region. Average annual total recharge ranged from 8.3 to 13.2 million acre-ft for 1940 through 1949 and from 15.9 to 35.0 million acre-ft for 2000 through 2009. Surface runoff and groundwater discharge to streams were determined using discharge records from streamflow-gaging stations near the edges of the High Plains and the Base-Flow Index program. For 1940 through 1949, the average annual net surface runoff leaving the High Plains was 1.9 million acre-ft, and the net loss from the High Plains aquifer by groundwater discharge to streams was 3.1 million acre-ft. For 2000 through 2009, the average annual net surface runoff leaving the High Plains region was 1.3 million acre-ft and the net loss by groundwater discharge to streams was 3.9 million acre-ft. For 2000 through 2009, the average annual total estimated groundwater pumpage volume from two soil-water-balance models ranged from 8.7 to 16.2 million acre-ft. Average annual irrigation application rates for the High Plains ranged from 8.4 to 16.2 inches per year. The USGS Water-Use Program published estimated total annual pumpage from the High Plains aquifer for 2000 and 2005. Those volumes were greater than those estimated from the two soil-water-balance models. Total groundwater in storage in the High Plains aquifer was estimated as 3,173 million acre-ft prior to groundwater development and 2,907 million acre-ft in 2007. The average annual decrease of groundwater in storage between 2000 and 2007 was 10 million acre-ft per year.

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

USGS Publications Warehouse

Moody, John A.

2016-03-21

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

Child health-related quality of life following neurocritical care for traumatic brain injury: an analysis of preference-weighted outcomes.

PubMed

Tilford, John M; Aitken, Mary E; Goodman, Allen C; Fiser, Debra H; Killingsworth, Jeffrey B; Green, Jerril W; Adelson, P David

2007-01-01

Cost-effectiveness analysis relies on preference-weighted health outcome measures as they form the basis for quality adjusted life years. Studies of preference-weighted outcomes for children following traumatic brain injury are lacking. This study seeks to describe the preference-weighted health outcomes of children following a traumatic brain injury at 3- and 6-months following pediatric intensive care unit (ICU) discharge. Children aged 5-17 who required ICU admission and endotracheal intubation or mechanical ventilation. The Quality of Well-being (QWB) score was used to describe preference-weighted outcomes. Clinical measures from the intensive care unit stay were used to estimate risk of mortality. Risk of mortality, Glasgow coma scores, patient length of stay in the intensive care unit, and parent-reported items from the Child Health Questionnaire (CHQ) were used to test construct validity. Subject data were obtained from nine pediatric intensive care units with consent procedures approved by representative institutional review boards. Medical records containing clinical information from the ICU stay were abstracted by the study coordinating center. Caregivers of children were contacted by telephone for follow-up interviews at 3- and 6-months following ICU discharge. All interviews were conducted by telephone with the primary caregiver of the injured child. Preference score statistics are presented overall and in relation to characteristics of the patient and their ICU admission. A response rate of 59% was achieved for the 3-month interviews (N = 56) and 67% for the 6-month interviews (N = 65) for caregivers of children aged 5 years and above that consented to participate. Overall, QWB scores averaged 0.508 (95% CI: 0.454-0.562) at the 3-month interview and 0.582 (95% CI: 0.526-0.639) at the 6-month interview. For both interview periods, scores ranged from 0.093 to 1.0 on a 0-1 value scale, where 0 represents death and 1 represents perfect health. Specific acute and chronic health problems from the QWB scale were present more often in patients with higher injury severity. Mortality risk, ICU length of stay, Glasgow Coma Scales, and parental reported summary scores from the CHQ all correlated correctly with the QWB scores. The findings support the use of the QWB score with parental report to measure preference-weighted health outcomes of children following a traumatic brain injury. Information from the study can be used in economic evaluations of interventions to prevent or treat traumatic brain injuries in children.

Accumulation of polycyclic aromatic hydrocarbons by Neocalanus copepods in Port Valdez, Alaska.

PubMed

Carls, Mark G; Short, Jeffrey W; Payne, James

2006-11-01

Sampling zooplankton is a useful strategy for observing trace hydrocarbon concentrations in water because samples represent an integrated average over a considerable effective sampling volume and are more representative of the sampled environment than discretely collected water samples. We demonstrate this method in Port Valdez, Alaska, an approximately 100 km(2) basin that receives about 0.5-2.4 kg of polynuclear aromatic hydrocarbons (PAH) per day. Total PAH (TPAH) concentrations (0.61-1.31 microg/g dry weight), composition, and spatial distributions in a lipid-rich copepod, Neocalanus were consistent with the discharge as the source of contamination. Although Neocalanus acquire PAH from water or suspended particulate matter, total PAH concentrations in these compartments were at or below method detection limits, demonstrating plankton can amplify trace concentrations to detectable levels useful for study.

Investigation of the Discharge Rate of a Fuel-injection System

NASA Technical Reports Server (NTRS)

Gerrish, Harold C; Voss, Fred

1931-01-01

In connection with the development of a method for analyzing indicator cards taken from high-speed compression-ignition engines, this investigation was undertaken to determine the average quantity of fuel discharged during each crank degree of injection period.

Distributed multi-criteria model evaluation and spatial association analysis

NASA Astrophysics Data System (ADS)

Scherer, Laura; Pfister, Stephan

2015-04-01

Model performance, if evaluated, is often communicated by a single indicator and at an aggregated level; however, it does not embrace the trade-offs between different indicators and the inherent spatial heterogeneity of model efficiency. In this study, we simulated the water balance of the Mississippi watershed using the Soil and Water Assessment Tool (SWAT). The model was calibrated against monthly river discharge at 131 measurement stations. Its time series were bisected to allow for subsequent validation at the same gauges. Furthermore, the model was validated against evapotranspiration which was available as a continuous raster based on remote sensing. The model performance was evaluated for each of the 451 sub-watersheds using four different criteria: 1) Nash-Sutcliffe efficiency (NSE), 2) percent bias (PBIAS), 3) root mean square error (RMSE) normalized to standard deviation (RSR), as well as 4) a combined indicator of the squared correlation coefficient and the linear regression slope (bR2). Conditions that might lead to a poor model performance include aridity, a very flat and steep relief, snowfall and dams, as indicated by previous research. In an attempt to explain spatial differences in model efficiency, the goodness of the model was spatially compared to these four phenomena by means of a bivariate spatial association measure which combines Pearson's correlation coefficient and Moran's index for spatial autocorrelation. In order to assess the model performance of the Mississippi watershed as a whole, three different averages of the sub-watershed results were computed by 1) applying equal weights, 2) weighting by the mean observed river discharge, 3) weighting by the upstream catchment area and the square root of the time series length. Ratings of model performance differed significantly in space and according to efficiency criterion. The model performed much better in the humid Eastern region than in the arid Western region which was confirmed by the high spatial association with the aridity index (ratio of mean annual precipitation to mean annual potential evapotranspiration). This association was still significant when controlling for slopes which manifested the second highest spatial association. In line with these findings, overall model efficiency of the entire Mississippi watershed appeared better when weighted with mean observed river discharge. Furthermore, the model received the highest rating with regards to PBIAS and was judged worst when considering NSE as the most comprehensive indicator. No universal performance indicator exists that considers all aspects of a hydrograph. Therefore, sound model evaluation must take into account multiple criteria. Since model efficiency varies in space which is masked by aggregated ratings spatially explicit model goodness should be communicated as standard praxis - at least as a measure of spatial variability of indicators. Furthermore, transparent documentation of the evaluation procedure also with regards to weighting of aggregated model performance is crucial but often lacking in published research. Finally, the high spatial association between model performance and aridity highlights the need to improve modelling schemes for arid conditions as priority over other aspects that might weaken model goodness.

A multimodel approach to interannual and seasonal prediction of Danube discharge anomalies

NASA Astrophysics Data System (ADS)

Rimbu, Norel; Ionita, Monica; Patrut, Simona; Dima, Mihai

2010-05-01

Interannual and seasonal predictability of Danube river discharge is investigated using three model types: 1) time series models 2) linear regression models of discharge with large-scale climate mode indices and 3) models based on stable teleconnections. All models are calibrated using discharge and climatic data for the period 1901-1977 and validated for the period 1978-2008 . Various time series models, like autoregressive (AR), moving average (MA), autoregressive and moving average (ARMA) or singular spectrum analysis and autoregressive moving average (SSA+ARMA) models have been calibrated and their skills evaluated. The best results were obtained using SSA+ARMA models. SSA+ARMA models proved to have the highest forecast skill also for other European rivers (Gamiz-Fortis et al. 2008). Multiple linear regression models using large-scale climatic mode indices as predictors have a higher forecast skill than the time series models. The best predictors for Danube discharge are the North Atlantic Oscillation (NAO) and the East Atlantic/Western Russia patterns during winter and spring. Other patterns, like Polar/Eurasian or Tropical Northern Hemisphere (TNH) are good predictors for summer and autumn discharge. Based on stable teleconnection approach (Ionita et al. 2008) we construct prediction models through a combination of sea surface temperature (SST), temperature (T) and precipitation (PP) from the regions where discharge and SST, T and PP variations are stable correlated. Forecast skills of these models are higher than forecast skills of the time series and multiple regression models. The models calibrated and validated in our study can be used for operational prediction of interannual and seasonal Danube discharge anomalies. References Gamiz-Fortis, S., D. Pozo-Vazquez, R.M. Trigo, and Y. Castro-Diez, Quantifying the predictability of winter river flow in Iberia. Part I: intearannual predictability. J. Climate, 2484-2501, 2008. Gamiz-Fortis, S., D. Pozo-Vazquez, R.M. Trigo, and Y. Castro-Diez, Quantifying the predictability of winter river flow in Iberia. Part II: seasonal predictability. J. Climate, 2503-2518, 2008. Ionita, M., G. Lohmann, and N. Rimbu, Prediction of spring Elbe river discharge based on stable teleconnections with global temperature and precipitation. J. Climate. 6215-6226, 2008.

9 CFR 54.6 - Amount of indemnity payments.

Code of Federal Regulations, 2011 CFR

2011-01-01

... will be used. The AMS reports from the most recent week or month prior to the date APHIS offers to pay... weighted average Choice/Prime slaughter lamb price per pound at Greeley, CO; (2) The weekly weighted average Utility slaughter ewe price per pound at San Angelo, TX; (3) The monthly weighted average...

46 CFR 164.009-15 - Test procedure.

Code of Federal Regulations, 2011 CFR

2011-10-01

... seconds. (4) The average weight loss of the specimens after heating is not more than 50 percent of their... described in paragraphs (b) through (k) of this section, except the average weight loss of the sample is... weighed while still hot. (6) The average weight loss of the specimens after heating may not be more than...

A randomized controlled trial of the effect of intrapartum intravenous fluid management on breastfed newborn weight loss.

PubMed

Watson, Jo; Hodnett, Ellen; Armson, B Anthony; Davies, Barbara; Watt-Watson, Judy

2012-01-01

To determine the effect of conservative versus usual intrapartum intravenous (IV) fluid management for low-risk women receiving epidural analgesia on weight loss in breastfed newborns. A randomized controlled trial. A tertiary perinatal center in a large urban setting. Women experiencing uncomplicated pregnancies who planned to have epidural analgesia and to breastfeed. Healthy pregnant women were randomized to receive an IV epidural preload volume of <500 mLs continuing at an hourly rate of 75-100 mL/h (conservative care) or an epidural preload volume of ≥500 mLs and an hourly rate >125 mL/h (usual care). The primary study outcome was breastfed newborn weight loss >7% prior to hospital discharge. Secondary study outcomes included breastfeeding exclusivity, referral to outpatient breastfeeding clinic support, and delayed discharge. Other outcomes were admission to the neonatal intensive care unit and cord blood pH <7.25. Two hundred women participated (100 in the conservative care and 100 in the usual care groups). Forty-eight of 100 infants in the usual care group and 44 of the 100 infants in the conservative care group lost >7% of their birth weight prior to discharge, p < 0.52 RR 0.92 [0.68-1.24]. A policy of restricted IV fluids did not affect newborn weight loss. Women and their care providers should be reassured that the volumes of IV fluid <2500 mLs are unlikely to have a clinically meaningful effect on breastfed newborn weight loss >7%. Exploratory analyses suggest that breastfed newborn weight loss increases when intrapartum volumes infused are >2500 mLs. Care providers are encouraged to consider volumes of IV fluid infused intrapartum as a factor that may have contributed to early newborn weight loss in the first 48 h of life. © 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

Cost associated with stroke: outpatient rehabilitative services and medication.

PubMed

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

2011-10-01

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

Periphyton indicate effects of wastewater discharge in the near-coastal zone, Perth (Western Australia)

NASA Astrophysics Data System (ADS)

Cosgrove, Jeffrey; Walker, Di; Morrison, Peter; Hillman, Karen

2004-10-01

Periphyton communities on artificial substrata were successfully utilised as a biological indicator of the potential eutrophic effects of wastewater discharge into coastal waters off Perth, Western Australia. Biomass and percentage carbonate content measurements of periphyton communities grown in situ indicated that the periphyton primary production (organic weight) was enhanced in the vicinity of the discharge outlets, with a significant negative correlation between distance north of the northern outlet in Whitfords Lagoon and periphyton organic weight (OW) observed in autumn at a depth of 4 m ( r = -0.704, P < 0.001). However, this response was primarily limited to the relatively calm autumn season and substrata at depths of 2 m and 4 m. Thus, in favourable conditions phytoplankton and high relief reef communities are more likely to exhibit a eutrophic influence (in the form of enhanced primary production) of the treated wastewater discharge. Laboratory studies confirmed that treated wastewater, diluted 100-fold to estimate surface concentrations above the wastewater outfalls in the field, stimulates periphyton growth above levels recorded in unpolluted seawater ( F = 12.485; P = 0.0073).

Current Density Measurements of an Annular-Geometry Ion Engine

NASA Technical Reports Server (NTRS)

Shastry, Rohit; Patterson, Michael J.; Herman, Daniel A.; Foster, John E.

2012-01-01

The concept of the annular-geometry ion engine, or AGI-Engine, has been shown to have many potential benefits when scaling electric propulsion technologies to higher power. However, the necessary asymmetric location of the discharge cathode away from thruster centerline could potentially lead to non-uniformities in the discharge not present in conventional geometry ion thrusters. In an effort to characterize the degree of this potential nonuniformity, a number of current density measurements were taken on a breadboard AGI-Engine. Fourteen button probes were used to measure the ion current density of the discharge along a perforated electrode that replaced the ion optics during conditions of simulated beam extraction. Three Faraday probes spaced apart in the vertical direction were also used in a separate test to interrogate the plume of the AGI-Engine during true beam extraction. It was determined that both the discharge and the plume of the AGI-Engine are highly uniform, with variations under most conditions limited to 10% of the average current density in the discharge and 5% of the average current density in the plume. Beam flatness parameter measured 30 mm from the ion optics ranged from 0.85 0.95, and overall uniformity was shown to generally increase with increasing discharge and beam currents. These measurements indicate that the plasma is highly uniform despite the asymmetric location of the discharge cathode.

Current Density Measurements of an Annular-Geometry Ion Engine

NASA Technical Reports Server (NTRS)

Shastry, Rohit; Patterson, Michael J.; Herman, Daniel A.; Foster, John E.

2012-01-01

The concept of the annular-geometry ion engine, or AGI-Engine, has been shown to have many potential benefits when scaling electric propulsion technologies to higher power. However, the necessary asymmetric location of the discharge cathode away from thruster centerline could potentially lead to non-uniformities in the discharge not present in conventional geometry ion thrusters. In an effort to characterize the degree of this potential non-uniformity, a number of current density measurements were taken on a breadboard AGI-Engine. Fourteen button probes were used to measure the ion current density of the discharge along a perforated electrode that replaced the ion optics during conditions of simulated beam extraction. Three Faraday probes spaced apart in the vertical direction were also used in a separate test to interrogate the plume of the AGI-Engine during true beam extraction. It was determined that both the discharge and the plume of the AGI-Engine are highly uniform, with variations under most conditions limited to +/-10% of the average current density in the discharge and +/-5% of the average current density in the plume. Beam flatness parameter measured 30 mm from the ion optics ranged from 0.85 - 0.95, and overall uniformity was shown to generally increase with increasing discharge and beam currents. These measurements indicate that the plasma is highly uniform despite the asymmetric location of the discharge cathode.

Nutrient intake and contribution of home enteral nutrition to meeting nutritional requirements after oesophagectomy and total gastrectomy.

PubMed

Baker, M L; Halliday, V; Robinson, P; Smith, K; Bowrey, D J

2017-09-01

This study evaluated nutrition after oesophago-gastric resection and the influence of home jejunostomy feeding in the six months after surgery. Data on nutritional intake and physiologic measures were collected as part of a randomised trial with measurements taken before and up to six months after surgery. A total of 41 participants (32 oesophagectomy, 9 total gastrectomy) received home jejunostomy feeding (n=18) or usual care without feeding (n=23). At hospital discharge, oral intakes were adequate for energy and protein in 9% and 6%, respectively. By three and six months, these values had increased to 61% and 55%, 94% and 77% respectively. Six participants (26%) who received usual care required rescue feeding. Six weeks after hospital discharge, energy intakes were met in those who received jejunal feeding because of the contribution of enteral nutrition. Jejunal feeding did not affect oral intake, being similar in both groups (fed: 77% estimated need, usual care: 79%). At three months, inadequate micronutrient intakes were seen in over one third. Compared to baseline values, six weeks after surgery, weight loss exceeding 5% was seen in 5/18 (28%) who received feeding, 14/17 (82%) who received usual care and 5/6 (83%) of those who required rescue feeding, P=0.002. Weight loss averaged 4.1% (fed), 10.4% (usual care) and 9.2% (rescue fed), P=0.004. These trends persisted out to six months. Supplementary jejunostomy feeding made an important contribution to meeting nutrition after oesophago-gastric resection. Importantly, oral nutritional intake was not compromised dispelling the assertion that jejunal feeding deincentivises patients from eating.

Nutrient Intake and Contribution of Home Enteral Nutrition to Meeting Nutritional Requirements after Oesophagectomy and Total Gastrectomy

PubMed Central

Baker, Melanie L; Halliday, Vanessa; Robinson, Pauline; Smith, Karen; Bowrey, David J

2017-01-01

Background/Objectives This study evaluated nutrition after oesophago-gastric resection and the influence of home jejunostomy feeding in the six months after surgery. Subjects/Methods Data on nutritional intake and physiologic measures were collected as part of a randomised trial with measurements taken before and up to six months after surgery. Results 41 participants (32 oesophagectomy, 9 total gastrectomy) received home jejunostomy feeding (n=18) or usual care without feeding (n=23). At hospital discharge, oral intakes were adequate for energy and protein in 9% and 6% respectively. By three and six months, these values had increased to 61% & 55%, 94% & 77% respectively. Six participants (26%) who received usual care required rescue feeding. Six weeks after hospital discharge, energy intakes were met in those who received jejunal feeding due to the contribution of enteral nutrition. Jejunal feeding did not affect oral intake, being similar in both groups (fed: 77% estimated need, usual care: 79%). At three months, inadequate micronutrient intakes were seen in over one third. Compared to baseline values, six weeks after surgery, weight loss exceeding 5% was seen in 5/18 (28%) who received feeding, 14/17 (82%) who received usual care and 5/6 (83%) of those who required rescue feeding, p=0.002. Weight loss averaged 4.1% (fed), 10.4% (usual care) and 9.2% (rescue fed), p=0.004. These trends persisted out to six months. Conclusions Supplementary jejunostomy feeding made an important contribution to meeting nutrition after oesophago-gastric resection. Importantly, oral nutritional intake was not compromised dispelling the assertion that jejunal feeding deincentivises patients from eating. PMID:28656968

Association between type of feeding at discharge from the hospital and nutritional status of very low birth weight preterm infants

PubMed Central

Martins-Celini, F.P.; Gonçalves-Ferri, W.A.; Aragon, D.C.; Bernichi, J.P.; Calixto, C.; Sacramento, E.M.F.; Santos, M.A.; Martinez, F.E.

2018-01-01

The ideal feeding for premature babies has been the source of extensive debate. The aim of this study was to assess the association between type of feeding at discharge and the nutritional status of very low birth weight infants. This was a retrospective cohort of preterm babies with birth weight ≤1500 g, born between January 2006 and December 2013. The infants were divided into 3 groups according to type of feeding at discharge: exclusive breast milk (group 1), mixed feeding (group 2) and exclusive artificial formula (group 3). Frequencies of each group were calculated, as well as mean Z-score differences in weight, length and head circumference. Six hundred and forty-nine newborns were included. The mean weight of groups 1, 2, and 3 was 1338.7, 1104.0, and 1254.7 g, respectively, and their mean gestational age was 31.9, 30, and 31.2 weeks, respectively. The Z-score differences (means±SD) for groups 1, 2, and 3 were: −0.84±0.68, −1.02±0.75, and −0.86±0.71 for weight, −0.21±1.23, −0.52±1.64 and −0.08±1.34 for head circumference, and −1.10±1.18, −1.54±1.37, and −0.97±1.21 for length. A significant difference was observed between groups 2 and 3 in the adjusted Z-score model for length, with no significant differences in anthropometric measurements for the other comparative analyses. Because of its many advantages, breastfeeding should be stimulated within neonatal units since nutritional status was not influenced by the different types of feeding. PMID:29513880

Capturing Flow-weighted Water and Suspended Particulates from Agricultural Canals During Drainage Events.

PubMed

Bhadha, Jehangir H; Sexton, Anne; Lang, Timothy A; Daroub, Samira H

2017-11-07

The purpose of this study is to describe the methods used to capture flow-weighted water and suspended particulates from farm canals during drainage discharge events. Farm canals can be enriched by nutrients such as phosphorus (P) that are susceptible to transport. Phosphorus in the form of suspended particulates can significantly contribute to the overall P loads in drainage water. A settling tank experiment was conducted to capture suspended particulates during discrete drainage events. Farm canal discharge water was collected in a series of two 200 L settling tanks over the entire duration of the drainage event, so as to represent a composite subsample of the water being discharged. Imhoff settling cones are ultimately used to settle out the suspended particulates. This is achieved by siphoning water from the settling tanks via the cones. The particulates are then collected for physico-chemical analyses.

24 CFR Appendix B to Part 1000 - IHBG Block Grant Formula Mechanisms

Code of Federal Regulations, 2011 CFR

2011-04-01

... weighted average for AEL (NAEL). The FMR factor is also defined in § 1000.302 as the relative difference between a local area Fair Market Rent (FMR) and the national weighted average for FMR. OPSUB = [LR * LRSUB... FMR Factor weighted by national average of AEL Factor and FRM Factor. AEL FACTOR = AEL/NAEL. AEL...

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

USGS Publications Warehouse

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

2007-01-01

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

The use of computed tomography for the estimation of DIEP flap weights in breast reconstruction: a simple mathematical formula.

PubMed

Nanidis, Theodore G; Ridha, Hyder; Jallali, Navid

2014-10-01

Estimation of the volume of abdominal tissue is desirable when planning autologous abdominal based breast reconstruction. However, this can be difficult clinically. The aim of this study was to develop a simple, yet reliable method of calculating the deep inferior epigastric artery perforator flap weight using the routine preoperative computed tomography angiogram (CTA) scan. Our mathematical formula is based on the shape of a DIEP flap resembling that of an isosceles triangular prism. Thus its volume can be calculated with a standard mathematical formula. Using bony landmarks three measurements were acquired from the CTA scan to calculate the flap weight. This was then compared to the actual flap weight harvested in both a retrospective feasibility and prospective study. In the retrospective group 17 DIEP flaps in 17 patients were analyzed. Average predicted flap weight was 667 g (range 293-1254). The average actual flap weight was 657 g (range 300-1290) giving an average percentage error of 6.8% (p-value for weight difference 0.53). In the prospective group 15 DIEP flaps in 15 patients were analyzed. Average predicted flap weight was 618 g (range 320-925). The average actual flap weight was 624 g (range 356-970) giving an average percentage error of 6.38% (p-value for weight difference 0.57). This formula is a quick, reliable and accurate way of estimating the volume of abdominal tissue using the preoperative CTA scan. Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

40 CFR 464.34 - New source performance standards.

Code of Federal Regulations, 2012 CFR

2012-07-01

...-continuous dischargers, annual average mass standards and maximum day and maximum for monthly average concentration (mg/l) standards shall apply. Concentration standards and annual average mass standards shall only... 40 Protection of Environment 31 2012-07-01 2012-07-01 false New source performance standards. 464...

40 CFR 464.34 - New source performance standards.

Code of Federal Regulations, 2014 CFR

2014-07-01

...-continuous dischargers, annual average mass standards and maximum day and maximum for monthly average concentration (mg/l) standards shall apply. Concentration standards and annual average mass standards shall only... 40 Protection of Environment 30 2014-07-01 2014-07-01 false New source performance standards. 464...

40 CFR 464.34 - New source performance standards.

Code of Federal Regulations, 2013 CFR

2013-07-01

...-continuous dischargers, annual average mass standards and maximum day and maximum for monthly average concentration (mg/l) standards shall apply. Concentration standards and annual average mass standards shall only... 40 Protection of Environment 31 2013-07-01 2013-07-01 false New source performance standards. 464...

SU-F-BRD-01: A Logistic Regression Model to Predict Objective Function Weights in Prostate Cancer IMRT

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

Boutilier, J; Chan, T; Lee, T

2014-06-15

Purpose: To develop a statistical model that predicts optimization objective function weights from patient geometry for intensity-modulation radiotherapy (IMRT) of prostate cancer. Methods: A previously developed inverse optimization method (IOM) is applied retrospectively to determine optimal weights for 51 treated patients. We use an overlap volume ratio (OVR) of bladder and rectum for different PTV expansions in order to quantify patient geometry in explanatory variables. Using the optimal weights as ground truth, we develop and train a logistic regression (LR) model to predict the rectum weight and thus the bladder weight. Post hoc, we fix the weights of the leftmore » femoral head, right femoral head, and an artificial structure that encourages conformity to the population average while normalizing the bladder and rectum weights accordingly. The population average of objective function weights is used for comparison. Results: The OVR at 0.7cm was found to be the most predictive of the rectum weights. The LR model performance is statistically significant when compared to the population average over a range of clinical metrics including bladder/rectum V53Gy, bladder/rectum V70Gy, and mean voxel dose to the bladder, rectum, CTV, and PTV. On average, the LR model predicted bladder and rectum weights that are both 63% closer to the optimal weights compared to the population average. The treatment plans resulting from the LR weights have, on average, a rectum V70Gy that is 35% closer to the clinical plan and a bladder V70Gy that is 43% closer. Similar results are seen for bladder V54Gy and rectum V54Gy. Conclusion: Statistical modelling from patient anatomy can be used to determine objective function weights in IMRT for prostate cancer. Our method allows the treatment planners to begin the personalization process from an informed starting point, which may lead to more consistent clinical plans and reduce overall planning time.« less

Predicting Hydrologic Function With Aquatic Gene Fragments

NASA Astrophysics Data System (ADS)

Good, S. P.; URycki, D. R.; Crump, B. C.

2018-03-01

Recent advances in microbiology techniques, such as genetic sequencing, allow for rapid and cost-effective collection of large quantities of genetic information carried within water samples. Here we posit that the unique composition of aquatic DNA material within a water sample contains relevant information about hydrologic function at multiple temporal scales. In this study, machine learning was used to develop discharge prediction models trained on the relative abundance of bacterial taxa classified into operational taxonomic units (OTUs) based on 16S rRNA gene sequences from six large arctic rivers. We term this approach "genohydrology," and show that OTU relative abundances can be used to predict river discharge at monthly and longer timescales. Based on a single DNA sample from each river, the average Nash-Sutcliffe efficiency (NSE) for predicted mean monthly discharge values throughout the year was 0.84, while the NSE for predicted discharge values across different return intervals was 0.67. These are considerable improvements over predictions based only on the area-scaled mean specific discharge of five similar rivers, which had average NSE values of 0.64 and -0.32 for seasonal and recurrence interval discharge values, respectively. The genohydrology approach demonstrates that genetic diversity within the aquatic microbiome is a large and underutilized data resource with benefits for prediction of hydrologic function.

Characteristics of cold atmospheric plasma source based on low-current pulsed discharge with coaxial electrodes

NASA Astrophysics Data System (ADS)

Bureyev, O. A.; Surkov, Yu S.; Spirina, A. V.

2017-05-01

This work investigates the characteristics of the gas discharge system used to create an atmospheric pressure plasma flow. The plasma jet design with a cylindrical graphite cathode and an anode rod located on the axis of the system allows to realize regularly reproducible spark breakdowns mode with a frequency ∼ 5 kHz and a duration ∼ 40 μs. The device generates a cold atmospheric plasma flame with 1 cm in diameter in the flow of various plasma forming gases including nitrogen and air at about 100 mA average discharge current. In the described construction the cathode spots of individual spark channels randomly move along the inner surface of the graphite electrode creating the secondary plasma stream time-average distributed throughout the whole exit aperture area after the decay of numerous filamentary discharge channels. The results of the spectral diagnostics of plasma in the discharge gap and in the stream coming out of the source are presented. Despite the low temperature of atoms and molecules in plasma stream the cathode spots operation with temperature of ∼ 4000 °C at a graphite electrode inside a discharge system enables to saturate the plasma by CN-radicals and atomic carbon in the case of using nitrogen as the working gas.

Diagnostic of capacitively coupled radio frequency plasma from electrical discharge characteristics: comparison with optical emission spectroscopy and fluid model simulation

NASA Astrophysics Data System (ADS)

Xiang, HE; Chong, LIU; Yachun, ZHANG; Jianping, CHEN; Yudong, CHEN; Xiaojun, ZENG; Bingyan, CHEN; Jiaxin, PANG; Yibing, WANG

2018-02-01

The capacitively coupled radio frequency (CCRF) plasma has been widely used in various fields. In some cases, it requires us to estimate the range of key plasma parameters simpler and quicker in order to understand the behavior in plasma. In this paper, a glass vacuum chamber and a pair of plate electrodes were designed and fabricated, using 13.56 MHz radio frequency (RF) discharge technology to ionize the working gas of Ar. This discharge was mathematically described with equivalent circuit model. The discharge voltage and current of the plasma were measured at different pressures and different powers. Based on the capacitively coupled homogeneous discharge model, the equivalent circuit and the analytical formula were established. The plasma density and temperature were calculated by using the equivalent impedance principle and energy balance equation. The experimental results show that when RF discharge power is 50-300 W and pressure is 25-250 Pa, the average electron temperature is about 1.7-2.1 eV and the average electron density is about 0.5 × 1017-3.6 × 1017 m-3. Agreement was found when the results were compared to those given by optical emission spectroscopy and COMSOL simulation.

The region makes the difference: disparities in management of acute myocardial infarction within Switzerland.

PubMed

Insam, Charlène; Paccaud, Fred; Marques-Vidal, Pedro

2014-05-01

In Switzerland, health policies are decided at the local level, but little is known regarding their impact on the management of acute myocardial infarction (AMI). In this study, we assessed geographical differences within Switzerland regarding management of AMI. Cross-sectional study. Swiss hospital discharge database for period 2007-2008 (26,204 discharges from AMI). Seven Swiss regions (Leman, Mittelland, Northwest, Zurich, Central, Eastern, and Ticino) were analysed. Almost 53.7% of discharges from AMI were managed in a single hospital, ranging from 62.1% (Leman) to 31.6% (Ticino). The highest intensive care unit admission rate was in Leman (69.4%), the lowest (16.9%) in Ticino (Swiss average: 36.0%). Intracoronary revascularization rates were highest in Leman (51.1%) and lowest (30.9%) in Central Switzerland (average: 41.0%). Bare (non-drug-eluting) stent use was highest in Leman (61.4%) and lowest (16.9%) in Ticino (average: 42.1%), while drug-eluting stent use was highest (83.2%) in Ticino and lowest (38.6%) in Leman (average: 57.9%). Coronary artery bypass graft rates were highest (4.8%) in Ticino and lowest (0.5%) in Eastern Switzerland (average: 2.8%). Mechanical circulatory assistance rates were highest (4.2%) in Zurich and lowest (0.5%) in Ticino (average: 1.8%). The differences remained after adjusting for age, single or multiple hospital management, and gender. In Switzerland, significant geographical differences in management and revascularization procedures for AMI were found.

Theoretical and experimental study of a thruster discharging a weight

NASA Astrophysics Data System (ADS)

Michaels, Dan; Gany, Alon

2014-06-01

An innovative concept for a rocket type thruster that can be beneficial for spacecraft trajectory corrections and station keeping was investigated both experimentally and theoretically. It may also be useful for divert and attitude control systems (DACS). The thruster is based on a combustion chamber discharging a weight through an exhaust tube. Calculations with granular double-base propellant and a solid ejected weight reveal that a specific impulse based on the propellant mass of well above 400 s can be obtained. An experimental thruster was built in order to demonstrate the new idea and validate the model. The thruster impulse was measured both directly with a load cell and indirectly by using a pressure transducer and high speed photography of the weight as it exits the tube, with both ways producing very similar total impulse measurement. The good correspondence between the computations and the measured data validates the model as a useful tool for studying and designing such a thruster.

Treating Childhood Malnutrition in Rural Haiti: Program Outcomes and Obstacles.

PubMed

Cuneo, C Nicholas; Dansereau, Emily; Habib, Anand R; Davies, Mary; Ware, Samuel; Kornetsky, Kenneth

Haiti has the worst malnutrition rate in the Western hemisphere. In October 2010, a cholera epidemic erupted and spread rapidly throughout the country, straining Haiti's already fragile health infrastructure across all levels of care. This study reviews data from an outpatient therapeutic feeding program (OTP) for acute childhood malnutrition at a clinic in rural Haiti with a focus on the effect of the 2010 cholera epidemic on program operations. A retrospective chart review was conducted for the complete set of patients who were enrolled in the OTP from its inception in March 2009 through January 2014. A total of 187 charts were retrieved representing 176 unique patients, of whom 5 were currently enrolled in care. At admission, 96 (51.3%) met criteria for severe acute malnutrition, 88 (47.1%) met criteria for moderate acute malnutrition, and 3 (1.6%) did not meet criteria for acute malnutrition. Of the 182 completed charts, 119 (65.4%) reached their target weight (≥-1 weight-for-height z-score) by discharge (ie, were "cured"), 43 (23.6%) defaulted, 11 (6.0%) were discharged prematurely, 8 (4.4%) died, and 1 (0.5%) was hospitalized. A total of 11 patients (6.3%) who were initially admitted relapsed after discharge and were later readmitted. Data from 170 complete records (93.4%) were included in a multivariate logistic regression. Severe (vs moderate) acute malnutrition was negatively associated with likelihood of being cured when controlling for other patient- and care-related factors (OR = 0.261, P = .002). Average cholera burden was negatively correlated with likelihood of OTP treatment cure when controlling for patient- and care-related variables (OR = 0.859, P = .002) but was insignificant when controlling for year. Results from the study have been used to inform a restructuring of the clinic's acute malnutrition program toward a more community-centered model of management, the context and implications of which are discussed in relation to the existing literature. Copyright © 2017 Icahn School of Medicine at Mount Sinai. Published by Elsevier Inc. All rights reserved.

Casemix and rehabilitation: evaluation of an early discharge scheme.

PubMed

Brandis, S

2000-01-01

This paper presents a case study of an early discharge scheme funded by casemix incentives and discusses limitations of a casemix model of funding whereby hospital inpatient care is funded separately from care in other settings. The POSITIVE Rehabilitation program received 151 patients discharged early from hospital in a twelve-month period. Program evaluation demonstrates a 40.9% drop in the average length of stay of rehabilitation patients and a 42.6% drop in average length of stay for patients with stroke. Other benefits of the program include a high level of patient satisfaction, improved carer support and increased continuity of care. The challenge under the Australian interpretation of a casemix model of funding is ensuring the viability of services that extend across acute hospital, non-acute care, and community and home settings.

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

NASA Astrophysics Data System (ADS)

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

2018-02-01

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

Availability of streamflow for recharge of the basal aquifer in the Pearl Harbor area, Hawaii

USGS Publications Warehouse

Hirashima, George Tokusuke

1971-01-01

The Pearl Harbor area is underlain by an extensive basal aquifer that contains large supplies of fresh water. Because of the presence of a cap rock composed of sedimentary material that is less permeable than the basaltic lava of the basal aquifer, seaward movement of ground water is retarded. The cap rock causes the basal water to stand at a high level; thus, the lens of fresh water that floats on sea water is thick. Discharge from the basal ground-water body, which includes pumpage from wells and shafts, averaged 250 million gallons per day during 1931-65. Because the water level in the basal aquifer did not decline progressively, recharge to the ground-water body must have been approximately equal to discharge. Although pumping for agricultural use has decreased since 1931, net ground-water discharge has increased because of a large increase in pumping for urban use. Substitution of ground water for surface water in the irrigation of sugarcane has also contributed to a net increase in ground-water discharge. The development of Mililani Town will further increase discharge. The increase in ground-water discharge may cause an increase in chloride content of the water pumped from wells near the shore of Pearl Harbor unless the increased discharge is balanced by increased recharge to the local aquifer. The aquifer is recharged by direct infiltration and deep percolation of rain, principally in the high forested area, by infiltration and percolation of irrigation water applied in excess of plant requirements, by seepage of water through streambeds, and possibly by ground-water inflow from outside the area. Recharge is greatest in the uplands, where rainfall is heavy and where much infiltration takes place before rainwater collects in the middle and lower reaches of stream channels. Once water collects in and saturates the alluvium of stream channels, additional inflow to the streams will flow out to sea, only slightly decreased by seepage. Average annual direct runoff from the 90-square-mile Pearl Harbor area is 47.27 million gallons per day, or 11.1 inches; this is 13.3 percent of the average annual rainfall (83.3 in.) over the area. Average annual direct runoff in streams at the 800- and 400-foot altitudes is 29 and 38 million gallons per day, respectively. Kipapa Stream has the largest average annual direct runoff at those altitudes--6 and 9 million gallons per day, respectively. Because streams are flashy and have a wide range in discharge, only 60 percent of the average annual runoff can be economically diverted through ditches to recharge areas. The diversion may be increased slightly if reservoirs are used in conjunction with ditches to temporarily detain flows in excess of ditch capacity. The planned irrigation use of some of the perennial flow available in Waikele Stream near sea level will decrease pumping from and increase recharge to the basal aquifer. Suspended-sediment load is mainly silt and clay, and it increases rapidly with increased discharge. Thus, the use of streamflow for artificial recharge poses problems. High flows must be used if recharge is to be effective, but flows must not be so high as to cause clogging of recharge facilities with sediment or woodland debris. Practical tests are needed to determine the advantages and disadvantages of different types of recharge structures, such as a reservoir or basin, large-diameter deep shafts, deep wells, or combinations of all these structures.

Controlling diameter distribution of catalyst nanoparticles in arc discharge.

PubMed

Li, Jian; Volotskova, Olga; Shashurin, Alexey; Keidar, Michael

2011-11-01

It is demonstrated that the diameter distribution of catalyst nanoparticles in arc discharge can be controlled by a magnetic field. The magnetic field affects the arc shape, shortens the diffusing time of the catalyst nanoparticles through the nucleation zone, and consequentially reduces the average diameters of nanoparticles. The average diameter is reduced from about 7.5 nm without magnetic field to about 5 nm is the case of a magnetic field. Decrease of the catalyst nanoparticle diameter with magnetic field correlates well with decrease in the single-wall carbon nanotube and their bundles diameters.

Water withdrawals, wastewater discharge, and water consumption in the Apalachicola-Chattahoochee-Flint River Basin, 2005, and water-use trends, 1970-2005

USGS Publications Warehouse

Marella, Richard L.; Fanning, Julia L.

2011-01-01

In 2000, an estimated 49 percent of the water withdrawn for public supply in the basin was consumed, and the remaining 51 percent was returned to the hydrologic system through wastewater treatment systems. In 2005, an estimated 38 percent was consumed and 62 percent was returned to the hydrologic system. This contrast between water withdrawals and wastewater discharges for these years was caused primarily by below-average rainfall during 2000 (a dry year) and above-average rainfall during 2005 (a wet year).

Electrical method for the measurements of volume averaged electron density and effective coupled power to the plasma bulk

NASA Astrophysics Data System (ADS)

Henault, M.; Wattieaux, G.; Lecas, T.; Renouard, J. P.; Boufendi, L.

2016-02-01

Nanoparticles growing or injected in a low pressure cold plasma generated by a radiofrequency capacitively coupled capacitive discharge induce strong modifications in the electrical parameters of both plasma and discharge. In this paper, a non-intrusive method, based on the measurement of the plasma impedance, is used to determine the volume averaged electron density and effective coupled power to the plasma bulk. Good agreements are found when the results are compared to those given by other well-known and established methods.

Seasonal Variations of Low Molecular Weight Dicarboxylic Acids in Atmospheric Aerosols at Okinawa Islands, Japan

NASA Astrophysics Data System (ADS)

Nakaema, F.; Handa, D.; Tanahara, A.; Arakaki, T.

2009-04-01

Low molecular weight dicarboxylic acids are major fraction of water soluble organic compounds in the atmospheric aerosols. Recently, economy of East Asia grows up remarkably, and atmospheric aerosols discharged from this area have been transported to Japan. In this study, we collected aerosol at Cape Hedo (CH) and University of the Ryukyus(UR), and studied the distribution and origin of low molecule dicarboxylic acid. Aerosols were collected on a quartz filter with a high volume air sampler. Low molecular weight dicarboxylic acids extracted by pure water were derivatized to dibutyl esters by reactions with BF3/butanol and were measured by GC-FID. In many samples, oxalic acid showed the highest concentration. Concentration of oxalic acid, malonic acid, succinic acid and malic acid were strongly correlated between the two sampling sites. Oxalic acid occupied on the average 83% and 76% of all the dicarboxylic acid measured for CH samples and UR samples. It is suggested that the aerosols in Okinawa were affected by secondary photochemical reactions, not by the primary emissions from local sources. The seasonal variation of the dicarboxylic acids concentrations in CH and UR showed higher in spring and fall, and a lower in summer. From the back trajectory analysis, dicarboxylic acids concentrations showed higher when an air mass came from East Asia area, and showed lower when it came from Pacific Ocean.

Experimental verification of Space Platform battery discharger design optimization

NASA Astrophysics Data System (ADS)

Sable, Dan M.; Deuty, Scott; Lee, Fred C.; Cho, Bo H.

The detailed design of two candidate topologies for the Space Platform battery discharger, a four module boost converter (FMBC) and a voltage-fed push-pull autotransformer (VFPPAT), is presented. Each has unique problems. The FMBC requires careful design and analysis in order to obtain good dynamic performance. This is due to the presence of a right-half-plane (RHP) zero in the control-to-output transfer function. The VFPPAT presents a challenging power stage design in order to yield high efficiency and light component weight. The authors describe the design of each of these converters and compare their efficiency, weight, and dynamic characteristics.

Experimental verification of Space Platform battery discharger design optimization

NASA Technical Reports Server (NTRS)

Sable, Dan M.; Deuty, Scott; Lee, Fred C.; Cho, Bo H.

1991-01-01

The detailed design of two candidate topologies for the Space Platform battery discharger, a four module boost converter (FMBC) and a voltage-fed push-pull autotransformer (VFPPAT), is presented. Each has unique problems. The FMBC requires careful design and analysis in order to obtain good dynamic performance. This is due to the presence of a right-half-plane (RHP) zero in the control-to-output transfer function. The VFPPAT presents a challenging power stage design in order to yield high efficiency and light component weight. The authors describe the design of each of these converters and compare their efficiency, weight, and dynamic characteristics.

[The study on the characteristics and particle densities of lightning discharge plasma].

PubMed

Wang, Jie; Yuan, Ping; Zhang, Hua-ming; Shen, Xiao-zhi

2008-09-01

According to the wavelengths, relative intensities and transition parameters of lines in cloud-to-ground lightning spectra obtained by a slit-less spectrograph in Qinghai province and Xizang municipality, and by theoretical calculations of plasma, the average temperature and electron density for individual lightning discharge channel were calculated, and then, using Saha equations, electric charge conservation equations and particle conservation equations, the particle densities of every ionized-state, the mass density, pressure and the average ionization degree were obtained. Moreover, the average ionization degree and characteristics of particle distributions in each lightning discharge channel were analyzed. Local thermodynamic equilibrium and an optically thin emitting gas were assumed in the calculations. The result shows that the characteristics of lightning discharge plasma have strong relationships with lightning intensities. For a certain return stroke channel, both temperatures and electron densities of different positions show tiny trend of falling away with increasing height along the discharge channel. Lightning channels are almost completely ionized, and the first ionized particles occupy the main station while N II has the highest particle density. On the other hand, the relative concentrations of N II and O II are near a constant in lightning channels with different intensities. Generally speaking, the more intense the lightning discharge, the higher are the values of channel temperature, electron density and relative concentrations of highly ionized particles, but the lower the concentration of the neutral atoms. After considering the Coulomb interactions between positive and negative particles in the calculations, the results of ionization energies decrease, and the particle densities of atoms and first ionized ions become low while high-ionized ions become high. At a temperature of 28000 K, the pressure of the discharge channel due to electrons, atoms and ions is about 10 atmospheric pressure, and it changes for different lightning stroke with different intensity. The mass density of channel is lower and changes from 0.01 to 0.1 compared to the mass density of air at standard temperature and pressure (STP).

Influence of humidity on the characteristics of positive corona discharge in air

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

Xu, Pengfei, E-mail: xpftsh@126.com; Zhang, Bo, E-mail: shizbcn@mail.tsinghua.edu.cn; Chen, Shuiming, E-mail: chensm@tsinghua.edu.cn

Detailed positive corona discharge characteristics, such as the corona onset voltage, pulse amplitude, repetition frequency, average corona current, rise time, and half-wave time, are systematically studied under different air humidity with a single artificial defect electrode. The experimental results indicate that the pulse amplitude decreases with the increase of air humidity; meanwhile, the repetition frequency increases as the air humidity increases. This phenomenon is different from that of negative corona discharge. Therefore, to have an insight into the mechanism of humidity influence on positive corona discharge, a positive corona discharge model based on the continuity equations is utilized. The simulationsmore » present a dynamic development of positive corona discharge and, meanwhile, reveal the humidity influence on positive corona discharge.« less

Seasonal forecasting of discharge for the Raccoon River, Iowa

NASA Astrophysics Data System (ADS)

Slater, Louise; Villarini, Gabriele; Bradley, Allen; Vecchi, Gabriel

2016-04-01

The state of Iowa (central United States) is regularly afflicted by severe natural hazards such as the 2008/2013 floods and the 2012 drought. To improve preparedness for these catastrophic events and allow Iowans to make more informed decisions about the most suitable water management strategies, we have developed a framework for medium to long range probabilistic seasonal streamflow forecasting for the Raccoon River at Van Meter, a 8900-km2 catchment located in central-western Iowa. Our flow forecasts use statistical models to predict seasonal discharge for low to high flows, with lead forecasting times ranging from one to ten months. Historical measurements of daily discharge are obtained from the U.S. Geological Survey (USGS) at the Van Meter stream gage, and used to compute quantile time series from minimum to maximum seasonal flow. The model is forced with basin-averaged total seasonal precipitation records from the PRISM Climate Group and annual row crop production acreage from the U.S. Department of Agriculture's National Agricultural Statistics Services database. For the forecasts, we use corn and soybean production from the previous year (persistence forecast) as a proxy for the impacts of agricultural practices on streamflow. The monthly precipitation forecasts are provided by eight Global Climate Models (GCMs) from the North American Multi-Model Ensemble (NMME), with lead times ranging from 0.5 to 11.5 months, and a resolution of 1 decimal degree. Additionally, precipitation from the month preceding each season is used to characterize antecedent soil moisture conditions. The accuracy of our modelled (1927-2015) and forecasted (2001-2015) discharge values is assessed by comparison with the observed USGS data. We explore the sensitivity of forecast skill over the full range of lead times, flow quantiles, forecast seasons, and with each GCM. Forecast skill is also examined using different formulations of the statistical models, as well as NMME forecast weighting procedures based on the computed potential skill (historical forecast accuracy) of the different GCMs. We find that the models describe the year-to-year variability in streamflow accurately, as well as the overall tendency towards increasing (and more variable) discharge over time. Surprisingly, forecast skill does not decrease markedly with lead time, and high flows tend to be well predicted, suggesting that these forecasts may have considerable practical applications. Further, the seasonal flow forecast accuracy is substantially improved by weighting the contribution of individual GCMs to the forecasts, and also by the inclusion of antecedent precipitation. Our results can provide critical information for adaptation strategies aiming to mitigate the costs and disruptions arising from flood and drought conditions, and allow us to determine how far in advance skillful forecasts can be issued. The availability of these discharge forecasts would have major societal and economic benefits for hydrology and water resources management, agriculture, disaster forecasts and prevention, energy, finance and insurance, food security, policy-making and public authorities, and transportation.

Highly variable nutrient concentrations in the Northern Gulf of Mexico

NASA Astrophysics Data System (ADS)

Cardona, Yuley; Bracco, Annalisa; Villareal, Tracy A.; Subramaniam, Ajit; Weber, Sarah C.; Montoya, Joseph P.

2016-07-01

The distribution of surface nutrients along the salinity gradient in the Mississippi-Atchafalaya River outflow region was examined during four cruises, including two simultaneous cruises, conducted in the northern Gulf during the summer of 2010 and 2011, and in late spring of 2012. The new, extensive data set covers the salinity gradient from 11 to 37 psu (practical salinity unit) in a year of extraordinarily high river discharge (2011), with few samples from a year of average (2010) and below average (2012) river outflow. The overall surface concentrations of nitrate+nitrite, orthophosphate and silicate are compared to those recorded in cruises spanning the 1985 - 2009 interval. Using Monte Carlo simulations to test the statistical significance, we found that surface orthophosphate and nitrate+nitrite concentrations are approximately three and two fold smaller, respectively, in the 2010-2012 period compared to the previous years. Changes in silicate concentrations were, in most cases, not significant, and their assessment complicated by different measurement techniques and potential preservation artifacts. The weighted river loading of these nutrients was, on the other hand, very high in the latest period when samples mostly covered 2011. The well-known negative correlation between nutrient concentrations and salinity at the ocean surface is confirmed in the most recent data. The area surrounding the Mississippi River mouth is characterized by inorganic N:P ratios greater than 30:1 that decrease to values typically less than 10:1 at about 100 km from of the mouth. Overall our analysis suggests that surface nutrient concentrations in the northern Gulf of Mexico cannot be described with any good accuracy by a linear model based on river discharge alone.

Environmental occurrence and distribution of short chain chlorinated paraffins in sediments and soils from the Liaohe River Basin, P. R. China.

PubMed

Gao, Yuan; Zhang, Haijun; Su, Fan; Tian, Yuzeng; Chen, Jiping

2012-04-03

Chlorinated paraffins (CPs) are industrially produced in large quantities in the Liaohe River Basin. Their discharge inevitably causes environmental contamination. However, very limited information is available on their environmental levels and distributions in this typical industrial region. In this study, short chain CPs (SCCPs) were analyzed in sediments, paddy soils, and upland soils from the Liaohe River Basin, with concentrations ranging from 39.8 to 480.3 ng/g dry weight. A decreasing trend in SCCP concentrations was found with increasing distance from the cities, suggesting that local industrial activity was the major source of SCCP contamination. A preliminary sediment inventory of SCCPs indicated approximately 30.82 tonnes of SCCPs residual in the sediments from the Liaohe River. The average discharge of SCCPs was estimated to be about 74.4 mg/tonne industrial wastewater. The congener group profiles showed that the relative abundances of shorter chain and lower chlorinated CP congeners (C(10)-CPs with 5 or 6 chlorine atoms) in soils in rural areas were higher than in sites near cities, which demonstrated that long-range atmospheric transportation could be the major transport pathway. Environmental degradation of SCCPs might occur, where higher chlorinated congeners could dechlorinate to form the lower chlorinated congeners.

A comparative study of the costliness of Manitoba hospitals.

PubMed

Shanahan, M; Loyd, M; Roos, N P; Brownell, M

1999-06-01

In light of ongoing discussions about health care policy, this study offered a method of calculating costs at Manitoba hospitals that compared relative costliness of inpatient care provided in each hospital. This methodology also allowed comparisons across types of hospitals-teaching, community, major rural, intermediate and small rural, as well as northern isolated facilities. Data used in this project include basic hospital information, both financial and statistical, for each of the Manitoba hospitals, hospital charge information by case from the State of Maryland, and hospital discharge abstract information for Manitoba. The data from Maryland were used to create relative cost weights (RCWs) for refined diagnostic related groups (RDRGs) and were subsequently adjusted for Manitoba length of stay. These case weights were then applied to cases in Manitoba hospitals, and several other adjustments were made for nontypical cases. This case mix system allows cost comparisons across hospitals. In general, hospital case mix costing demonstrated variability in hospital costliness, not only across types of hospitals but also within hospitals of the same type and size. Costs at the teaching hospitals were found to be considerably higher than the average, even after accounting for acuity and case mix.

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

Boutilier, Justin J., E-mail: j.boutilier@mail.utoronto.ca; Lee, Taewoo; Craig, Tim

Purpose: To develop and evaluate the clinical applicability of advanced machine learning models that simultaneously predict multiple optimization objective function weights from patient geometry for intensity-modulated radiation therapy of prostate cancer. Methods: A previously developed inverse optimization method was applied retrospectively to determine optimal objective function weights for 315 treated patients. The authors used an overlap volume ratio (OV) of bladder and rectum for different PTV expansions and overlap volume histogram slopes (OVSR and OVSB for the rectum and bladder, respectively) as explanatory variables that quantify patient geometry. Using the optimal weights as ground truth, the authors trained and appliedmore » three prediction models: logistic regression (LR), multinomial logistic regression (MLR), and weighted K-nearest neighbor (KNN). The population average of the optimal objective function weights was also calculated. Results: The OV at 0.4 cm and OVSR at 0.1 cm features were found to be the most predictive of the weights. The authors observed comparable performance (i.e., no statistically significant difference) between LR, MLR, and KNN methodologies, with LR appearing to perform the best. All three machine learning models outperformed the population average by a statistically significant amount over a range of clinical metrics including bladder/rectum V53Gy, bladder/rectum V70Gy, and dose to the bladder, rectum, CTV, and PTV. When comparing the weights directly, the LR model predicted bladder and rectum weights that had, on average, a 73% and 74% relative improvement over the population average weights, respectively. The treatment plans resulting from the LR weights had, on average, a rectum V70Gy that was 35% closer to the clinical plan and a bladder V70Gy that was 29% closer, compared to the population average weights. Similar results were observed for all other clinical metrics. Conclusions: The authors demonstrated that the KNN and MLR weight prediction methodologies perform comparably to the LR model and can produce clinical quality treatment plans by simultaneously predicting multiple weights that capture trade-offs associated with sparing multiple OARs.« less

Uncertainty in hydrological signatures for gauged and ungauged catchments

NASA Astrophysics Data System (ADS)

Westerberg, Ida K.; Wagener, Thorsten; Coxon, Gemma; McMillan, Hilary K.; Castellarin, Attilio; Montanari, Alberto; Freer, Jim

2016-03-01

Reliable information about hydrological behavior is needed for water-resource management and scientific investigations. Hydrological signatures quantify catchment behavior as index values, and can be predicted for ungauged catchments using a regionalization procedure. The prediction reliability is affected by data uncertainties for the gauged catchments used in prediction and by uncertainties in the regionalization procedure. We quantified signature uncertainty stemming from discharge data uncertainty for 43 UK catchments and propagated these uncertainties in signature regionalization, while accounting for regionalization uncertainty with a weighted-pooling-group approach. Discharge uncertainty was estimated using Monte Carlo sampling of multiple feasible rating curves. For each sampled rating curve, a discharge time series was calculated and used in deriving the gauged signature uncertainty distribution. We found that the gauged uncertainty varied with signature type, local measurement conditions and catchment behavior, with the highest uncertainties (median relative uncertainty ±30-40% across all catchments) for signatures measuring high- and low-flow magnitude and dynamics. Our regionalization method allowed assessing the role and relative magnitudes of the gauged and regionalized uncertainty sources in shaping the signature uncertainty distributions predicted for catchments treated as ungauged. We found that (1) if the gauged uncertainties were neglected there was a clear risk of overconditioning the regionalization inference, e.g., by attributing catchment differences resulting from gauged uncertainty to differences in catchment behavior, and (2) uncertainty in the regionalization results was lower for signatures measuring flow distribution (e.g., mean flow) than flow dynamics (e.g., autocorrelation), and for average flows (and then high flows) compared to low flows.

42 CFR 412.312 - Payment based on the Federal rate.

Code of Federal Regulations, 2013 CFR

2013-10-01

...) Payment adjustments—(1) DRG weights. The relative resource requirements of the discharge are taken into... urban area set forth at § 412.63(c)(6) continues to be in effect for discharges occurring on or after... share adjustment. For hospitals with at least 100 beds located in an urban area and serving low-income...

42 CFR 412.312 - Payment based on the Federal rate.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) Payment adjustments—(1) DRG weights. The relative resource requirements of the discharge are taken into... urban area set forth at § 412.63(c)(6) continues to be in effect for discharges occurring on or after... share adjustment. For hospitals with at least 100 beds located in an urban area and serving low-income...

42 CFR 412.312 - Payment based on the Federal rate.

Code of Federal Regulations, 2012 CFR

2012-10-01

...) Payment adjustments—(1) DRG weights. The relative resource requirements of the discharge are taken into... urban area set forth at § 412.63(c)(6) continues to be in effect for discharges occurring on or after... share adjustment. For hospitals with at least 100 beds located in an urban area and serving low-income...

22 CFR 211.9 - Liability for loss damage or improper distribution of commodities.

Code of Federal Regulations, 2010 CFR

2010-04-01

... cargo; (B) Report on discharging method (including whether a scale was used, its type and calibration and other factors affecting its accuracy, or an explanation of why a scale was not used and how weight... customs; (D) Provide actual or estimated (if scales not used) quantity of cargo lost during discharge and...

Direct-current converter for gas-discharge lamps

NASA Technical Reports Server (NTRS)

Lutus, P.

1980-01-01

Metal/halide and similar gas-discharge lamps are powered from low-voltage dc source using small efficient converter. Converter is useful whenever 60-cycle ac power is not available or where space and weight allocations are limited. Possible applications are offshore platforms, mobile homes, and emergency lighting. Design innovations give supply high reliability and efficiency up to 75 percent.

Risk of malnutrition of hospitalized children in a university public hospital.

PubMed

Muñoz-Esparza, Nelly Carolina; Vásquez-Garibay, Edgar Manuel; Romero-Velarde, Enrique; Troyo-Sanromán, Rogelio

2017-02-01

The study aimed to demonstrate that the duration of hospitalization has a significant effect on the nutritional status of children treated in a university hospital. A longitudinal study was conducted during 2014, with a non-random sampling site concentration in children from birth to 19 years who were admitted to the hospital in the past 24 hours and who met the inclusion criteria and had signed informed consent. Upon entering, at 7 days, and at discharge, anthropometric indices, including weight/age, height/age, weight/height, BMI/age, head circumference/age, triceps and subscapular skin folds, and fat percentage, were obtained. Student's t-test, U Mann-Whitney, ANOVA, chi square, Wilcoxon, and odds ratios were used to analyze the data. In total, 206 patients were included: 40% infants, 25% preschoolers, 15% schoolchildren, and 20% teenagers. Infants had a significant improvement from admission to discharge in the indices weight/length (p = 0.042) and BMI (p = 0.002); adolescents showed decreased BMI from admission to discharge from the hospital (p = 0.05). Patients with longer hospitalization (more than 10 days) had an increased deficit in anthropometric indices at admission (p < 0.05). Infants had a higher risk of deficit in the BMI index and height/age than preschoolers, schoolchildren, and adolescents between admission and discharge. When the nutritional condition of a child was critical at admission, the child remained hospitalized significantly longer. Infants come under the age group most vulnerable to malnutrition and require greater monitoring of nutritional status during hospitalization.

Virtual Reality–Enhanced Cognitive–Behavioral Therapy for Morbid Obesity: A Randomized Controlled Study with 1 Year Follow-Up

PubMed Central

Cesa, Gian Luca; Bacchetta, Monica; Castelnuovo, Gianluca; Conti, Sara; Gaggioli, Andrea; Mantovani, Fabrizia; Molinari, Enrico; Cárdenas-López, Georgina; Riva, Giuseppe

2016-01-01

Abstract It is well known that obesity has a multifactorial etiology, including biological, environmental, and psychological causes. For this reason, obesity treatment requires a more integrated approach than the standard behavioral treatment based on dietary and physical activity only. To test the long-term efficacy of an enhanced cognitive–behavioral therapy (CBT) of obesity, including a virtual reality (VR) module aimed at both unlocking the negative memory of the body and to modify its behavioral and emotional correlates, 163 female morbidly obese inpatients (body mass index >40) were randomly assigned to three conditions: a standard behavioral inpatient program (SBP), SBP plus standard CBT, and SBP plus VR-enhanced CBT. Patients' weight, eating behavior, and body dissatisfaction were measured at the start and upon completion of the inpatient program. Weight was assessed also at 1 year follow-up. All measures improved significantly at discharge from the inpatient program, and no significant difference was found among the conditions. However, odds ratios showed that patients in the VR condition had a greater probability of maintaining or improving weight loss at 1 year follow-up than SBP patients had (48% vs. 11%, p = 0.004) and, to a lesser extent, than CBT patients had (48% vs. 29%, p = 0.08). Indeed, only the VR-enhanced CBT was effective in further improving weight loss at 1 year follow-up. On the contrary, participants who received only the inpatient program regained back, on average, most of the weight they had lost. Findings support the hypothesis that a VR module addressing the locked negative memory of the body may enhance the long-term efficacy of standard CBT. PMID:26430819

Virtual Reality-Enhanced Cognitive-Behavioral Therapy for Morbid Obesity: A Randomized Controlled Study with 1 Year Follow-Up.

PubMed

Manzoni, Gian Mauro; Cesa, Gian Luca; Bacchetta, Monica; Castelnuovo, Gianluca; Conti, Sara; Gaggioli, Andrea; Mantovani, Fabrizia; Molinari, Enrico; Cárdenas-López, Georgina; Riva, Giuseppe

2016-02-01

It is well known that obesity has a multifactorial etiology, including biological, environmental, and psychological causes. For this reason, obesity treatment requires a more integrated approach than the standard behavioral treatment based on dietary and physical activity only. To test the long-term efficacy of an enhanced cognitive-behavioral therapy (CBT) of obesity, including a virtual reality (VR) module aimed at both unlocking the negative memory of the body and to modify its behavioral and emotional correlates, 163 female morbidly obese inpatients (body mass index >40) were randomly assigned to three conditions: a standard behavioral inpatient program (SBP), SBP plus standard CBT, and SBP plus VR-enhanced CBT. Patients' weight, eating behavior, and body dissatisfaction were measured at the start and upon completion of the inpatient program. Weight was assessed also at 1 year follow-up. All measures improved significantly at discharge from the inpatient program, and no significant difference was found among the conditions. However, odds ratios showed that patients in the VR condition had a greater probability of maintaining or improving weight loss at 1 year follow-up than SBP patients had (48% vs. 11%, p = 0.004) and, to a lesser extent, than CBT patients had (48% vs. 29%, p = 0.08). Indeed, only the VR-enhanced CBT was effective in further improving weight loss at 1 year follow-up. On the contrary, participants who received only the inpatient program regained back, on average, most of the weight they had lost. Findings support the hypothesis that a VR module addressing the locked negative memory of the body may enhance the long-term efficacy of standard CBT.

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

NASA Astrophysics Data System (ADS)

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

2005-07-01

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

Mass budget of the glaciers and ice caps of the Queen Elizabeth Islands, Canada, from 1991 to 2015

NASA Astrophysics Data System (ADS)

Millan, Romain; Mouginot, Jeremie; Rignot, Eric

2017-02-01

Recent studies indicate that the glaciers and ice caps in Queen Elizabeth Islands (QEI), Canada have experienced an increase in ice mass loss during the last two decades, but the contribution of ice dynamics to this loss is not well known. We present a comprehensive mapping of ice velocity using a suite of satellite data from year 1991 to 2015, combined with ice thickness data from NASA Operation IceBridge, to calculate ice discharge. We find that ice discharge increased significantly after 2011 in Prince of Wales Icefield, maintained or decreased in other sectors, whereas glacier surges have little impact on long-term trends in ice discharge. During 1991-2005, the QEI mass loss averaged 6.3 ± 1.1 Gt yr-1, 52% from ice discharge and the rest from surface mass balance (SMB). During 2005-2014, the mass loss from ice discharge averaged 3.5 ± 0.2 Gt yr-1 (10%) versus 29.6 ± 3.0 Gt yr-1 (90%) from SMB. SMB processes therefore dominate the QEI mass balance, with ice dynamics playing a significant role only in a few basins.

Digital simulation of the effects of urbanization on runoff in the upper Santa Ana Valley, California

USGS Publications Warehouse

Durbin, Timothy J.

1974-01-01

The Stanford Watershed Model was used to simulate the effects of urbanization on the discharge from five drainage basins in the upper Santa Ana Valley, an area with an average annual precipitation of 15 inches. The drainage basins ranged in size from 3.72 to 83.4 square miles. Using the model, synthetic records of streamflow for each basin were generated to represent various degrees of urban development. Examination of the synthetic records indicated that urbanization has the following effects on streamflow in the area:Average annual runoff from a drainage basin with an effective impervious area of 10 percent of the drainage area is approximately 2 inches, and increases by 1 inch for each increase in effective impervious cover equal to 10 percent of the drainage area. About 30 percent of a fully urbanized area is effectively impervious.Urbanization can increase the magnitude of peak discharge and daily mean discharge with a recurrence interval of 2 years by a factor of three to six.Peak discharges and daily mean discharges that have recurrence intervals greater than a limiting value ranging from 50 to 200 years or more are little affected by urbanization.

Swath-altimetry measurements of the main stem Amazon River: measurement errors and hydraulic implications

NASA Astrophysics Data System (ADS)

Wilson, M. D.; Durand, M.; Jung, H. C.; Alsdorf, D.

2015-04-01

The Surface Water and Ocean Topography (SWOT) mission, scheduled for launch in 2020, will provide a step-change improvement in the measurement of terrestrial surface-water storage and dynamics. In particular, it will provide the first, routine two-dimensional measurements of water-surface elevations. In this paper, we aimed to (i) characterise and illustrate in two dimensions the errors which may be found in SWOT swath measurements of terrestrial surface water, (ii) simulate the spatio-temporal sampling scheme of SWOT for the Amazon, and (iii) assess the impact of each of these on estimates of water-surface slope and river discharge which may be obtained from SWOT imagery. We based our analysis on a virtual mission for a ~260 km reach of the central Amazon (Solimões) River, using a hydraulic model to provide water-surface elevations according to SWOT spatio-temporal sampling to which errors were added based on a two-dimensional height error spectrum derived from the SWOT design requirements. We thereby obtained water-surface elevation measurements for the Amazon main stem as may be observed by SWOT. Using these measurements, we derived estimates of river slope and discharge and compared them to those obtained directly from the hydraulic model. We found that cross-channel and along-reach averaging of SWOT measurements using reach lengths greater than 4 km for the Solimões and 7.5 km for Purus reduced the effect of systematic height errors, enabling discharge to be reproduced accurately from the water height, assuming known bathymetry and friction. Using cross-sectional averaging and 20 km reach lengths, results show Nash-Sutcliffe model efficiency values of 0.99 for the Solimões and 0.88 for the Purus, with 2.6 and 19.1 % average overall error in discharge, respectively. We extend the results to other rivers worldwide and infer that SWOT-derived discharge estimates may be more accurate for rivers with larger channel widths (permitting a greater level of cross-sectional averaging and the use of shorter reach lengths) and higher water-surface slopes (reducing the proportional impact of slope errors on discharge calculation).

Mass discharge estimation from contaminated sites: Multi-model solutions for assessment of conceptual uncertainty

NASA Astrophysics Data System (ADS)

Thomsen, N. I.; Troldborg, M.; McKnight, U. S.; Binning, P. J.; Bjerg, P. L.

2012-04-01

Mass discharge estimates are increasingly being used in the management of contaminated sites. Such estimates have proven useful for supporting decisions related to the prioritization of contaminated sites in a groundwater catchment. Potential management options can be categorised as follows: (1) leave as is, (2) clean up, or (3) further investigation needed. However, mass discharge estimates are often very uncertain, which may hamper the management decisions. If option 1 is incorrectly chosen soil and water quality will decrease, threatening or destroying drinking water resources. The risk of choosing option 2 is to spend money on remediating a site that does not pose a problem. Choosing option 3 will often be safest, but may not be the optimal economic solution. Quantification of the uncertainty in mass discharge estimates can therefore greatly improve the foundation for selecting the appropriate management option. The uncertainty of mass discharge estimates depends greatly on the extent of the site characterization. A good approach for uncertainty estimation will be flexible with respect to the investigation level, and account for both parameter and conceptual model uncertainty. We propose a method for quantifying the uncertainty of dynamic mass discharge estimates from contaminant point sources on the local scale. The method considers both parameter and conceptual uncertainty through a multi-model approach. The multi-model approach evaluates multiple conceptual models for the same site. The different conceptual models consider different source characterizations and hydrogeological descriptions. The idea is to include a set of essentially different conceptual models where each model is believed to be realistic representation of the given site, based on the current level of information. Parameter uncertainty is quantified using Monte Carlo simulations. For each conceptual model we calculate a transient mass discharge estimate with uncertainty bounds resulting from the parametric uncertainty. To quantify the conceptual uncertainty from a given site, we combine the outputs from the different conceptual models using Bayesian model averaging. The weight for each model is obtained by integrating available data and expert knowledge using Bayesian belief networks. The multi-model approach is applied to a contaminated site. At the site a DNAPL (dense non aqueous phase liquid) spill consisting of PCE (perchloroethylene) has contaminated a fractured clay till aquitard overlaying a limestone aquifer. The exact shape and nature of the source is unknown and so is the importance of transport in the fractures. The result of the multi-model approach is a visual representation of the uncertainty of the mass discharge estimates for the site which can be used to support the management options.

Isotopic Techniques for Assessment of Groundwater Discharge to the Coastal Ocean

DTIC Science & Technology

2003-09-30

estimates of the pore water Rn activity. The red line (based on an average groundwater concentration of 170 dpm/L) is considered our best estimate and...Isotopic Techniques For Assessment of Groundwater Discharge to the Coastal Ocean William C. Burnett Department of Oceanography Florida State...evaluating the influence of submarine groundwater discharge (SGD) into the ocean. Our long-term goal is to develop geochemical tools (e.g., radon and

Characterization of gizzards and grits of wild cranes found dead at Izumi Plain in Japan

PubMed Central

UEGOMORI, Mima; HARAGUCHI, Yuko; OBI, Takeshi; TAKASE, Kozo

2018-01-01

We analyzed the gizzards, and grits retained in the gizzards of 41 cranes that migrated to the Izumi Plain during the winter of 2015/2016 and died there, either due to accident or disease. These included 31 Hooded Cranes (Grus monacha) and 10 White-naped Cranes (G. vipio). We determined body weight, gizzard weight, total grit weight and number per gizzard, and size, shape, and surface roundness of the grits. Average gizzard weights were 92.4 g for Hooded Cranes and 97.1 g for White-naped Cranes, and gizzard weight positively correlated with body weight in both species. Average total grit weights per gizzard were 19.7 g in Hooded Cranes and 25.7 g in White-naped Cranes, and were significantly higher in the latter. Average percentages of body weight to grit weight were 0.8% in Hooded Cranes and 0.5% in White-naped Cranes. Average grit number per gizzard was 693.5 in Hooded Cranes and 924.2 in White-naped Cranes, and were significantly higher in the latter. The average grit size was 2.8 mm in both species. No differences were found in the shape and surface roundness of grits between the two species. To the best of our knowledge, this is the first study on the grits retained in the gizzards of Hooded and White-naped Cranes. PMID:29503349

Characterization of gizzards and grits of wild cranes found dead at Izumi Plain in Japan.

PubMed

Uegomori, Mima; Haraguchi, Yuko; Obi, Takeshi; Takase, Kozo

2018-04-18

We analyzed the gizzards, and grits retained in the gizzards of 41 cranes that migrated to the Izumi Plain during the winter of 2015/2016 and died there, either due to accident or disease. These included 31 Hooded Cranes (Grus monacha) and 10 White-naped Cranes (G. vipio). We determined body weight, gizzard weight, total grit weight and number per gizzard, and size, shape, and surface roundness of the grits. Average gizzard weights were 92.4 g for Hooded Cranes and 97.1 g for White-naped Cranes, and gizzard weight positively correlated with body weight in both species. Average total grit weights per gizzard were 19.7 g in Hooded Cranes and 25.7 g in White-naped Cranes, and were significantly higher in the latter. Average percentages of body weight to grit weight were 0.8% in Hooded Cranes and 0.5% in White-naped Cranes. Average grit number per gizzard was 693.5 in Hooded Cranes and 924.2 in White-naped Cranes, and were significantly higher in the latter. The average grit size was 2.8 mm in both species. No differences were found in the shape and surface roundness of grits between the two species. To the best of our knowledge, this is the first study on the grits retained in the gizzards of Hooded and White-naped Cranes.

Hydrological and geochemical factors affecting leachate composition in municipal solid waste incinerator bottom ash. Part II. The geochemistry of leachate from Landfill Lostorf, Switzerland

NASA Astrophysics Data System (ADS)

Johnson, C. Annette; Kaeppeli, Michael; Brandenberger, Sandro; Ulrich, Andrea; Baumann, Werner

1999-12-01

The leachate composition of the Landfill Lostorf, Buchs, Switzerland has been examined as a function rain events and dry periods between November 1994 and November 1996. Discharge and electrical conductivity of the central drainage discharge were monitored continuously, whilst samples for chemical analysis were taken at discrete intervals. The average total concentrations of Na, Cl, K, Mg, Ca and SO 4 are 44.5, 47.1, 11.8, 0.63, 8.2 and 12.4 mM, respectively. During rain events, the leachate is diluted by the preferential flow of rainwater into the drainage discharge. Drainage discharge pH values range between 8.68 and 11.28, the latter under dry conditions. Thermodynamic calculations indicate that CaSO 4, ettringite (3CaOAl 2O 3CaSO 4·32H 2O) and Al(OH) 3 may control the concentrations of the components Ca, SO 4 and Al. Dissolved Si may be in thermodynamic equilibrium with either Ca silicate hydrate or imogolite. Cadmium, Mo, V, Mn and Zn are also diluted during rain events and concentration changes agree with those of conductivity (representing the major constituents). Average concentrations are 0.012, 5.4, 2.3, 0.085, and 0.087 μM, respectively. Components such as Al, Cu, Sb and Cr increase in concentration with increased discharge. Average concentrations are 1.6, 0.27 and 0.21 μM, respectively. For Cu, the explanation lies in its affinity for total organic carbon (TOC). Thermodynamic calculations indicate that whilst dissolution/precipitation reactions with metal hydroxides and carbonates can explain the observed concentrations of Cd, sorption and complexation reactions probably influence the concentrations of Cu, Pb (average measurable concentration 0.013 μM), Zn and Mn. For the oxyanion species such as MoO 4 and WO 4 (average concentration 0.61 μM), it is probable that Ca metallate formation plays a dominant role in determining concentration ranges. Geochemical processes appear to determine concentration ranges and the hydrological factors, the fluctuations in concentration.

A Case Study to Improve Emergency Room Patient Flow at Womack Army Medical Center

DTIC Science & Technology

2009-06-01

use just the previous month, moving average 2-month period ( MA2 ) uses the average from the previous two months, moving average 3-month period (MA3...ED prior to discharge by provider) MA2 /MA3/MA4 - moving averages of 2-4 months in length MAD - mean absolute deviation (measure of accuracy for

Investigation of microscale dielectric barrier discharge plasma devices

NASA Astrophysics Data System (ADS)

Zito, Justin C.

This dissertation presents research performed on reduced-scale dielectric barrier discharge (DBD) plasma actuators. A first generation of microscale DBD actuators are designed and manufactured using polymeric dielectric layers, and successfully demonstrate operation at reduced scales. The actuators are 1 cm long and vary in width from tens of microns to several millimeters. A thin-film polymer or ceramic material is used as the dielectric barrier with thicknesses from 5 to 20 microns. The devices are characterized for their electrical, fluidic and mechanical performance. With electrical input of 5 kVpp, 1 kHz, the microscale DBD actuators induce a wall jet with velocity reaching up to 2 m/s and produce 3.5 mN/m of thrust, while consuming an average power of 20 W/m. A 5 mN/m plasma body force was observed, acting on the surrounding air. Failure of the microscale DBD actuators is investigated using thermal measurements of the dielectric surface in addition to both optical and scanning electron microscopy. The cause of device failure is identified as erosion of the dielectric surface due to collisions with ions from the discharge. A second generation of microscale actuators is then designed and manufactured using a more reliable dielectric material, namely silicon dioxide. These actuators demonstrate a significant improvement in device lifetime compared with first-generation microscale DBD actuators. The increase in actuator lifetime allowed the electrical, fluidic and mechanical characterization to be repeated over several input voltages and frequencies. At 7 kVpp, 1 kHz, the actuators with SiO2 dielectric induced velocities up to 1.5 m/s and demonstrated 1.4 mN/m of thrust while consuming an average power of 41 W/m. The plasma body force reached up to 2.5 mN/m. Depending on electrical input, the induced velocity and thrust span an order of magnitude in range. Comparisons are made with macroscale DBD actuators which relate the actuator's output performance and power consumption with the mass and volume of the actuator design. The small size and of microscale DBD actuators reduces its weight and power requirements, making them attractive for portable or battery-powered applications (e.g., on UAVs).

76 FR 28998 - Implementation of Revised Passenger Weight Standards for Existing Passenger Vessels

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-19

... Inspection prior to a change in the assumed average weight per person standard that will become effective in... several factors, including the total weight of people carried based on an Assumed Average Weight per... reason, the policy letter referred to in this notice provides supplemental guidance to the implementation...

Self-pulsing in a low-current hollow cathode discharge: From Townsend to glow discharge

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

Qin, Yu; School of Aerospace Engineering, Beijing Institute of Technology, Beijing 100081; Xie, Kan, E-mail: xiekan@bit.edu.cn

We investigate the self-pulsing phenomenon of a low current cavity discharge in a cylindrical hollow cathode in pure argon. The waveforms of pulsed current and voltage are measured, and the time-averaged and time-resolved images of hollow cathode discharge are recorded by using high-speed intensified charge coupled device camera. The results show that the self-pulsing is a mode transition between low-current stage of Townsend discharge and high-current stage of glow discharge. During the self-pulsing, the current rising time relates to the dissipation of space charges, and the decay time relates to the reconstruction of the virtual anode by the accumulation ofmore » positive ions. Whether or not space charges can form and keep the virtual anode is responsible for the discharge mode and hence plays an important role in the self-pulsing phenomenon in low current hollow cathode discharge.« less

Design Of An Electrical Flywheel For Surge Power Applications In Mobile Robots

NASA Astrophysics Data System (ADS)

Wright, David D.

1987-01-01

An energy boost system based on a flywheel has been designed to supply the surge power needs of mobile robots for operating equipment like transmitters, drills, manipulator arms, mobility augmenters, and etc. This flywheel increases the average power available from a battery, fuel cell, generator, RPG or solar array by one or more orders of magnitude for short periods. Flywheels can be charged and discharged for thousands of battery lifetimes. Flywheels can deliver more than ten times the power per unit weight of batteries. The electromechanical details of a reliable, energy efficient and (relatively) low cost flywheel are described. This flywheel is the combination of a highly efficient brushless motor and a laminated steel rotor operating in an hermetically sealed container with only electrical input and output. This design approach overcomes the inefficiencies generally associated with mechanically geared devices. Electrical round trip efficiency is 94% under optimum operating conditions.

Hydrocarbon contamination of coastal sediments from the Sfax area (Tunisia), Mediterranean Sea.

PubMed

Louati, A; Elleuch, B; Kallel, M; Saliot, A; Dagaut, J; Oudot, J

2001-06-01

The coastal area off the city of Sfax (730,000 inhabitants), well-known for fisheries and industrial activities, receives high inputs of organic matter mostly anthropogenic. Eighteen stations were selected in the vicinity of the direct discharge of industrial sewage effluents in the sea in order to study the spatial distribution of the organic contamination. Surface sediments sampled in the shallow shelf were analysed for hydrocarbons by Fourier transform infrared spectroscopy, gas chromatography and gas chromatography/mass spectrometry. Total hydrocarbon distributions revealed high contamination as compared to other coastal Mediterranean sites, with an average concentration of 1865 ppm/dry weight sediment. Gas chromatographic distribution patterns, values of unresolved mixture/n-alkane ratio and distributions of steranes and hopanes confirmed a petroleum contamination of the Arabian light crude oil type. Biogenic compounds were also identified with a series of short-chain carbon-numbered n-alkenes in the carbon range 16-24.

Scaling of average weighted shortest path and average receiving time on weighted expanded Koch networks

NASA Astrophysics Data System (ADS)

Wu, Zikai; Hou, Baoyu; Zhang, Hongjuan; Jin, Feng

2014-04-01

Deterministic network models have been attractive media for discussing dynamical processes' dependence on network structural features. On the other hand, the heterogeneity of weights affect dynamical processes taking place on networks. In this paper, we present a family of weighted expanded Koch networks based on Koch networks. They originate from a r-polygon, and each node of current generation produces m r-polygons including the node and whose weighted edges are scaled by factor w in subsequent evolutionary step. We derive closed-form expressions for average weighted shortest path length (AWSP). In large network, AWSP stays bounded with network order growing (0 < w < 1). Then, we focus on a special random walks and trapping issue on the networks. In more detail, we calculate exactly the average receiving time (ART). ART exhibits a sub-linear dependence on network order (0 < w < 1), which implies that nontrivial weighted expanded Koch networks are more efficient than un-weighted expanded Koch networks in receiving information. Besides, efficiency of receiving information at hub nodes is also dependent on parameters m and r. These findings may pave the way for controlling information transportation on general weighted networks.

Enhancing Flood Prediction Reliability Using Bayesian Model Averaging

NASA Astrophysics Data System (ADS)

Liu, Z.; Merwade, V.

2017-12-01

Uncertainty analysis is an indispensable part of modeling the hydrology and hydrodynamics of non-idealized environmental systems. Compared to reliance on prediction from one model simulation, using on ensemble of predictions that consider uncertainty from different sources is more reliable. In this study, Bayesian model averaging (BMA) is applied to Black River watershed in Arkansas and Missouri by combining multi-model simulations to get reliable deterministic water stage and probabilistic inundation extent predictions. The simulation ensemble is generated from 81 LISFLOOD-FP subgrid model configurations that include uncertainty from channel shape, channel width, channel roughness and discharge. Model simulation outputs are trained with observed water stage data during one flood event, and BMA prediction ability is validated for another flood event. Results from this study indicate that BMA does not always outperform all members in the ensemble, but it provides relatively robust deterministic flood stage predictions across the basin. Station based BMA (BMA_S) water stage prediction has better performance than global based BMA (BMA_G) prediction which is superior to the ensemble mean prediction. Additionally, high-frequency flood inundation extent (probability greater than 60%) in BMA_G probabilistic map is more accurate than the probabilistic flood inundation extent based on equal weights.

42 CFR 412.60 - DRG classification and weighting factors.

Code of Federal Regulations, 2014 CFR

2014-10-01

... discharge is based, as appropriate, on the patient's age, sex, principal diagnosis (that is, the diagnosis... whether a change in the DRG assignment is appropriate. If the intermediary decides that a higher-weighted... (b) of this section at least annually to reflect changes in treatment patterns, technology, and other...

Excessive weight loss in exclusively breastfed full-term newborns in a Baby-Friendly Hospital.

PubMed

Mezzacappa, Maria Aparecida; Ferreira, Bruna Gil

2016-09-01

To determine the risk factors for weight loss over 8% in full-term newborns at postpartum discharge from a Baby Friendly Hospital. The cases were selected from a cohort of infants belonging to a previous study. Healthy full-term newborns with birth weight ≥2.000g, who were exclusively breastfed, and excluding twins and those undergoing phototherapy as well as those discharged after 96 hours of life, were included. The analyzed maternal variables were maternal age, parity, ethnicity, type of delivery, maternal diabetes, gender, gestational age and appropriate weight for age. Adjusted multiple and univariate Cox regression analyses were used, considering as significant p<0.05. We studied 414 newborns, of whom 107 (25.8%) had excessive weight loss. Through the univariate regression, risk factors associated with weight loss >8% were caesarean delivery and older maternal age. At the adjusted multiple regression analysis, the model to explain the weight loss was cesarean delivery (relative risk: 2.27 and 95% of confidence interval: 1.54 to 3.35). The independent predictor for weight loss >8% in exclusively breastfed full-term newborns in a Baby-Friendly Hospital was the cesarean delivery. It is possible to reduce the number of cesarean sections to minimize neonatal excessive weight loss and the resulting use of infant formula during the first week of life. Copyright © 2015 Sociedade de Pediatria de São Paulo. Publicado por Elsevier Editora Ltda. All rights reserved.

A precipitation organization climatology for North Carolina: Development and GIS-based analysis

NASA Astrophysics Data System (ADS)

Zarzar, Christopher M.

A climatology of precipitation organization is developed for the Southeast United States and is analyzed in a GIS framework. This climatology is created using four years (2009-2012) of daily-averaged data from the NOAA high-resolution multi-sensor precipitation estimation (MPE) dataset, specifically the radar-based quantitative precipitation estimation (QPE) product and the mosaic reflectivity. The analysis associates precipitation at each pixel with the spatial scale of precipitation organization, either a mesoscale precipitation feature (MPF) or isolated storm. While the long-term averaged precipitation totals of these systems may be similar, their hydrological and climatological impacts are very different, especially at a local scale. The classification of these modes of precipitation organization in the current precipitation climatology provides information beyond standard precipitation climatologies that will benefit a range of hydrological and climatological applications. This study focuses on North Carolina and takes advantage of a GIS framework to examine hydrological responses to different modes of precipitation organization. Specifically, the following questions are addressed: First, what are the discharge response characteristics to precipitation events in different watersheds across the state, from the mountains to the coastal plain? Second, what are the different impacts on watershed discharge between MPF precipitation and isolated precipitation? We first present seasonal and annual composites of precipitation and duration of MPF and isolated storms across three regions of North Carolina: the western mountains, the central Piedmont, and the eastern coastal plain. Further analysis in a GIS framework provides information about the impacts this seasonal and geographic variability in precipitation has on watershed discharge. This analysis defines five watersheds in North Carolina based on five North Carolina river basins using ArcGIS watershed delineation techniques. The amount of precipitation that comes from MPF and isolated convection in each watershed is estimated using ArcGIS and QPE data from a climatology of precipitation organization. Comparing these estimates to USGS streamflow data provides information about the impact different modes of precipitation organization have on watershed discharge in North Carolina. It was found that precipitation from MPF and isolated events had substantial spatial and temporal variability. While MPF average daily precipitation was greatest in the winter, isolated average daily precipitation was greatest in the summer. This resulted in seasonal and spatial variations in precipitation-discharge correlations. Precipitation originating from MPF events produced stronger precipitation-discharge correlations in the winter and fall than in the summer and spring, while most isolated precipitation-discharge correlations were relatively weak. Additionally, the watersheds in the western mountains experienced stronger correlations with a shorter time lag than coastal watersheds. It was determined that much of this spatial variability in precipitation-discharge correlations could be explained by watershed characteristics. Overall, it was found that MPF precipitation is the main mode of precipitation organization that drives daily watershed discharge, and differences in watershed precipitation-discharge lag times can be best explained by the watershed characteristics.

Analysis of the Magnitude and Frequency of Peak Discharge and Maximum Observed Peak Discharge in New Mexico and Surrounding Areas

USGS Publications Warehouse

Waltemeyer, Scott D.

2008-01-01

Estimates of the magnitude and frequency of peak discharges are necessary for the reliable design of bridges, culverts, and open-channel hydraulic analysis, and for flood-hazard mapping in New Mexico and surrounding areas. The U.S. Geological Survey, in cooperation with the New Mexico Department of Transportation, updated estimates of peak-discharge magnitude for gaging stations in the region and updated regional equations for estimation of peak discharge and frequency at ungaged sites. Equations were developed for estimating the magnitude of peak discharges for recurrence intervals of 2, 5, 10, 25, 50, 100, and 500 years at ungaged sites by use of data collected through 2004 for 293 gaging stations on unregulated streams that have 10 or more years of record. Peak discharges for selected recurrence intervals were determined at gaging stations by fitting observed data to a log-Pearson Type III distribution with adjustments for a low-discharge threshold and a zero skew coefficient. A low-discharge threshold was applied to frequency analysis of 140 of the 293 gaging stations. This application provides an improved fit of the log-Pearson Type III frequency distribution. Use of the low-discharge threshold generally eliminated the peak discharge by having a recurrence interval of less than 1.4 years in the probability-density function. Within each of the nine regions, logarithms of the maximum peak discharges for selected recurrence intervals were related to logarithms of basin and climatic characteristics by using stepwise ordinary least-squares regression techniques for exploratory data analysis. Generalized least-squares regression techniques, an improved regression procedure that accounts for time and spatial sampling errors, then were applied to the same data used in the ordinary least-squares regression analyses. The average standard error of prediction, which includes average sampling error and average standard error of regression, ranged from 38 to 93 percent (mean value is 62, and median value is 59) for the 100-year flood. The 1996 investigation standard error of prediction for the flood regions ranged from 41 to 96 percent (mean value is 67, and median value is 68) for the 100-year flood that was analyzed by using generalized least-squares regression analysis. Overall, the equations based on generalized least-squares regression techniques are more reliable than those in the 1996 report because of the increased length of record and improved geographic information system (GIS) method to determine basin and climatic characteristics. Flood-frequency estimates can be made for ungaged sites upstream or downstream from gaging stations by using a method that transfers flood-frequency data at the gaging station to the ungaged site by using a drainage-area ratio adjustment equation. The peak discharge for a given recurrence interval at the gaging station, drainage-area ratio, and the drainage-area exponent from the regional regression equation of the respective region is used to transfer the peak discharge for the recurrence interval to the ungaged site. Maximum observed peak discharge as related to drainage area was determined for New Mexico. Extreme events are commonly used in the design and appraisal of bridge crossings and other structures. Bridge-scour evaluations are commonly made by using the 500-year peak discharge for these appraisals. Peak-discharge data collected at 293 gaging stations and 367 miscellaneous sites were used to develop a maximum peak-discharge relation as an alternative method of estimating peak discharge of an extreme event such as a maximum probable flood.

[Study on Hexagonal Super-Lattice Pattern with Light Spot and Dim Spot in Dielectric Barrier Discharge by Optical Emission Spectra].

PubMed

Liu, Ying; Dong, Li-fang; Niu, Xue-jiao; Zhang, Chao

2016-02-01

The hexagonal super-lattice pattern composed of the light spot and the dim spot is firstly observed and investigated in the discharge of gas mixture of air and argon by using the dielectric barrier discharge device with double water electrodes. It is found that the dim spot is located at the center of its surrounding three light spots by observing the discharge image. Obviously, the brightness of the light spot and the dim spot are different, which indicates that the plasma states of the light spot and the dim spot may be different. The optical emission spectrum method is used to further study the several plasma parameters of the light spot and the dim spot in different argon content. The emission spectra of the N₂ second positive band (C³IIu --> B³IIg) are measured, from which the molecule vibration temperatures of the light spot and the dim spot are calculated. Based on the relative intensity ratio of the line at 391.4 nm and the N₂ line at 394.1 nm, the average electron energies of the light spot and the dim spot are investigated. The broadening of spectral line 696.57 nm (2P₂-1S₅) is used to study the electron densities of the light spot and the dim spot. The experiment shows that the molecule vibration temperature, average electron energy and the electron density of the dim spot are higher than those of the light spot in the same argon content. The molecule vibration temperature and electron density of the light spot and dim spot increase with the argon content increasing from 70% to 95%, while average electron energies of the light spot and dim spot decrease gradually. The short-exposure image recorded by a high speed video camera shows that the dim spot results from the surface discharges (SDs). The surface discharge induced by the volume discharge (VD) has the decisive effect on the formation of the dim spot. The experiment above plays an important role in studying the formation mechanism of the hexagonal super-lattice pattern with light spot and dim spot. In addition, the studies exert influences on the application of surface discharge and volume discharge in different fields.

Computation of discharge using the index-velocity method in tidally affected areas

USGS Publications Warehouse

Ruhl, Catherine A.; Simpson, Michael R.

2005-01-01

Computation of a discharge time-series in a tidally affected area is a two-step process. First, the cross-sectional area is computed on the basis of measured water levels and the mean cross-sectional velocity is computed on the basis of the measured index velocity. Then discharge is calculated as the product of the area and mean velocity. Daily mean discharge is computed as the daily average of the low-pass filtered discharge. The Sacramento-San Joaquin River Delta and San Francisco Bay, California, is an area that is strongly influenced by the tides, and therefore is used as an example of how this methodology is used.

Persistence of lower birth weight in second generation South Asian babies born in the United Kingdom

PubMed Central

Margetts, B; Mohd, Y; Al, D; Jackson, A

2002-01-01

Objective: To assess differences in birth weight between all first and second generation South Asian babies born in Southampton, and trends since 1957. Design: Retrospective, cohort study. Setting: Birth records for babies born in Southampton from 1957 to 1996 were searched to identify all babies born of South Asian origin (including from the Indian subcontinent, East Africa, and elsewhere). Main outcome measures: All information recorded in the birth record about the mother and baby was extracted. Results: 2395 full term (>37 weeks; mean birth weight 3110; 95%CI 3092 to 3129) singleton births were identified. Detailed analysis was restricted to mothers either born in the Indian subcontinent (India, Pakistan, or Bangladesh (1435)) or United Kingdom (283). Mean birth weight and % low birth weight (<2500 g) were 3133 g (95%CI 3108 to 3157) and 7.5%, for first generation babies and 3046 g (2992 to 3099) and 11.7% for second generation babies. There was no trend over time to increased average birth weight in either first or second generation babies. Adjusting for other factors that were statistically significantly related to birth weight (gender, gestational age, mother's age, maternal weight at 15 weeks, parity, and mother's ethnic group) did not alter the trends. Conclusions: For that group in the UK who derive from the Indian subcontinent, average birth weight is significantly less than the national average. There has not been any increase in the average birth weight over the past 40 years, and the birth weight of babies of women who were born in the UK are no greater. The persistence of lower than desirable birth weight may result long term in higher than average rates of diabetes and heart disease in these groups. PMID:12177085

Persistence of lower birth weight in second generation South Asian babies born in the United Kingdom.

PubMed

Margetts, B M; Mohd Yusof, S; Al Dallal, Z; Jackson, A A

2002-09-01

To assess differences in birth weight between all first and second generation South Asian babies born in Southampton, and trends since 1957. Retrospective, cohort study. Birth records for babies born in Southampton from 1957 to 1996 were searched to identify all babies born of South Asian origin (including from the Indian subcontinent, East Africa, and elsewhere). All information recorded in the birth record about the mother and baby was extracted. 2395 full term (>37 weeks; mean birth weight 3110; 95%CI 3092 to 3129) singleton births were identified. Detailed analysis was restricted to mothers either born in the Indian subcontinent (India, Pakistan, or Bangladesh (1435)) or United Kingdom (283). Mean birth weight and % low birth weight (<2500 g) were 3133 g (95%CI 3108 to 3157) and 7.5%, for first generation babies and 3046 g (2992 to 3099) and 11.7% for second generation babies. There was no trend over time to increased average birth weight in either first or second generation babies. Adjusting for other factors that were statistically significantly related to birth weight (gender, gestational age, mother's age, maternal weight at 15 weeks, parity, and mother's ethnic group) did not alter the trends. For that group in the UK who derive from the Indian subcontinent, average birth weight is significantly less than the national average. There has not been any increase in the average birth weight over the past 40 years, and the birth weight of babies of women who were born in the UK are no greater. The persistence of lower than desirable birth weight may result long term in higher than average rates of diabetes and heart disease in these groups.

Consistent and efficient processing of ADCP streamflow measurements

USGS Publications Warehouse

Mueller, David S.; Constantinescu, George; Garcia, Marcelo H.; Hanes, Dan

2016-01-01

The use of Acoustic Doppler Current Profilers (ADCPs) from a moving boat is a commonly used method for measuring streamflow. Currently, the algorithms used to compute the average depth, compute edge discharge, identify invalid data, and estimate velocity and discharge for invalid data vary among manufacturers. These differences could result in different discharges being computed from identical data. Consistent computational algorithm, automated filtering, and quality assessment of ADCP streamflow measurements that are independent of the ADCP manufacturer are being developed in a software program that can process ADCP moving-boat discharge measurements independent of the ADCP used to collect the data.

Impact of Fibromyalgia on Functioning in Obese Patients Undergoing Comprehensive Rehabilitation

PubMed Central

Arreghini, Marco; Manzoni, Gian Mauro; Castelnuovo, Gianluca; Santovito, Cristina; Capodaglio, Paolo

2014-01-01

A possible link between fibromyalgia (FM) and obesity has been recently suggested but very scanty data on the prevalence of FM in obese populations are available. The aims of the present cross-sectional study were: 1) to estimate the prevalence of FM in a population of obese patients undergoing rehabilitation and 2) to investigate the effect of FM on obese patients' functional capacities. One hundred and thirty Italian obese (Body Mass Index, BMI ≥30) patients admitted to hospital for 1-month rehabilitation treatment took part in the study. All participants were interviewed by a rheumatologist according to the 2010 American College of Rheumatology (ACR) diagnostic criteria for FM. At admission and discharge from hospital (on average, after 28 days), the following measures were compared between the group of patients with FM and the other patients: body weight, body mass index, functional independence (FIM), obesity-related disability (TSD-OC), self-reported functioning and the Timed-Up-Go (TUG) test. Thirty seven patients out of 130 fulfilled the diagnostic criteria for FM. The prevalence rate was 27.7% (95% CI: 20 to 35.4). Between-group comparisons showed that FM patients had higher disability level at the first assessment, had lower scores on the FIM at the final assessment, scored lower on self-reported functioning both at the first and the final assessments and had a lower body weight. The prevalence of FM in our study is much higher than the rates reported in the general normal-weight population (on average, 3.5%) and the 5.15% rate previously reported in a bariatric population. Functional data showed that the FM obese group yielded lower performance capacity and higher disability level as compared to the non-FM obese group. However, due to the relatively small sample size and the selected population, such results need to be confirmed in larger obese subpopulations. PMID:24618795

Impact of fibromyalgia on functioning in obese patients undergoing comprehensive rehabilitation.

PubMed

Arreghini, Marco; Manzoni, Gian Mauro; Castelnuovo, Gianluca; Santovito, Cristina; Capodaglio, Paolo

2014-01-01

A possible link between fibromyalgia (FM) and obesity has been recently suggested but very scanty data on the prevalence of FM in obese populations are available. The aims of the present cross-sectional study were: 1) to estimate the prevalence of FM in a population of obese patients undergoing rehabilitation and 2) to investigate the effect of FM on obese patients' functional capacities. One hundred and thirty Italian obese (Body Mass Index, BMI ≥ 30) patients admitted to hospital for 1-month rehabilitation treatment took part in the study. All participants were interviewed by a rheumatologist according to the 2010 American College of Rheumatology (ACR) diagnostic criteria for FM. At admission and discharge from hospital (on average, after 28 days), the following measures were compared between the group of patients with FM and the other patients: body weight, body mass index, functional independence (FIM), obesity-related disability (TSD-OC), self-reported functioning and the Timed-Up-Go (TUG) test. Thirty seven patients out of 130 fulfilled the diagnostic criteria for FM. The prevalence rate was 27.7% (95% CI: 20 to 35.4). Between-group comparisons showed that FM patients had higher disability level at the first assessment, had lower scores on the FIM at the final assessment, scored lower on self-reported functioning both at the first and the final assessments and had a lower body weight. The prevalence of FM in our study is much higher than the rates reported in the general normal-weight population (on average, 3.5%) and the 5.15% rate previously reported in a bariatric population. Functional data showed that the FM obese group yielded lower performance capacity and higher disability level as compared to the non-FM obese group. However, due to the relatively small sample size and the selected population, such results need to be confirmed in larger obese subpopulations.

Microcumpter computation of water quality discharges

USGS Publications Warehouse

Helsel, Dennis R.

1983-01-01

A fully prompted program (SEDQ) has been developed to calculate daily and instantaneous water quality (QW) discharges. It is written in a version of BASIC, and requires inputs of gage heights, discharge rating curve, shifts, and water quality concentration information. Concentration plots may be modified interactively using the display screen. Semi-logarithmic plots of concentration and water quality discharge are output to the display screen, and optionally to plotters. A summary table of data is also output. SEDQ could be a model program for micro and minicomputer systems likely to be in use within the Water Resources Division, USGS, in the near future. The daily discharge-weighted mean concentration is one output from SEDQ. It is defined in this report, differentiated from the currently used mean concentration, and designated the ' equivalent concentration. ' (USGS)

Impact of Daily versus Weekly Supply of Locally Produced Ready-to-Use Food on Growth of Moderately Wasted Children on Nias Island, Indonesia

PubMed Central

Purwestri, Ratna Chrismiari; Scherbaum, Veronika; Inayati, Dyah Ayu; Wirawan, Nia Novita; Suryantan, Julia; Bloem, Maurice Alexander; Pangaribuan, Rosnani Verba; Stuetz, Wolfgang; Hoffmann, Volker; Qaim, Matin; Biesalski, Hans Konrad; Bellows, Anne Camilla

2013-01-01

This study reports the outcomes of daily (semi-urban areas) and weekly (remote rural regions) programs for moderately wasted children supplemented with locally produced ready-to-use foods in the form of fortified cereal/nut/legume-based biscuits on Nias Island, Indonesia (RUF-Nias biscuit). Thirty-four children in daily and twenty children in weekly programs aged ≥6 to <60 months with weight-for-height z-score (WHZ) ≥ −3 to < −2 SD were recruited (October 2007–June 2008) on Nias and admitted into existing nutrition centers in the Church World Service project area. Individual discharge criterion was WHZ ≥ −1.5 SD. Weight gain of the children in daily and weekly programs was 3.9 ± 3.8 and 2.0 ± 2.0 g/kg/day, respectively. A higher proportion of children in daily than weekly programs reached target WHZ (76% vs. 35%, P = 0.004). Weight gain at program discharge/closure was highly predicted (R 2 = 0.228, P < 0.001) by compliance to RUF biscuits: high vs. low compliance resulted in a 1.33 (95% CI 0.16 to 1.53) g/kg/day higher weight gain. Compliance and admission in daily programs were significant factors in reducing the risk of not reaching the discharge criterion. However, mothers complained more frequently about time constraints in the daily relative to weekly programs. PMID:24959543

Haptic biofeedback for improving compliance with lower-extremity partial weight bearing.

PubMed

Fu, Michael C; DeLuke, Levi; Buerba, Rafael A; Fan, Richard E; Zheng, Ying Jean; Leslie, Michael P; Baumgaertner, Michael R; Grauer, Jonathan N

2014-11-01

After lower-extremity orthopedic trauma and surgery, patients are often advised to restrict weight bearing on the affected limb. Conventional training methods are not effective at enabling patients to comply with recommendations for partial weight bearing. The current study assessed a novel method of using real-time haptic (vibratory/vibrotactile) biofeedback to improve compliance with instructions for partial weight bearing. Thirty healthy, asymptomatic participants were randomized into 1 of 3 groups: verbal instruction, bathroom scale training, and haptic biofeedback. Participants were instructed to restrict lower-extremity weight bearing in a walking boot with crutches to 25 lb, with an acceptable range of 15 to 35 lb. A custom weight bearing sensor and biofeedback system was attached to all participants, but only those in the haptic biofeedback group were given a vibrotactile signal if they exceeded the acceptable range. Weight bearing in all groups was measured with a separate validated commercial system. The verbal instruction group bore an average of 60.3±30.5 lb (mean±standard deviation). The bathroom scale group averaged 43.8±17.2 lb, whereas the haptic biofeedback group averaged 22.4±9.1 lb (P<.05). As a percentage of body weight, the verbal instruction group averaged 40.2±19.3%, the bathroom scale group averaged 32.5±16.9%, and the haptic biofeedback group averaged 14.5±6.3% (P<.05). In this initial evaluation of the use of haptic biofeedback to improve compliance with lower-extremity partial weight bearing, haptic biofeedback was superior to conventional physical therapy methods. Further studies in patients with clinical orthopedic trauma are warranted. Copyright 2014, SLACK Incorporated.

Outcomes of low-weight patients with avoidant/restrictive food intake disorder and anorexia nervosa at long-term follow-up after treatment in a partial hospitalization program for eating disorders.

PubMed

Bryson, Amanda E; Scipioni, Anna M; Essayli, Jamal H; Mahoney, Johnna R; Ornstein, Rollyn M

2018-05-01

To assess long-term outcomes of patients with avoidant/restrictive food intake disorder (ARFID) treated in a partial hospitalization program (PHP) for eating disorders (ED). A cross-sectional study comparing patients with ARFID to those with anorexia nervosa (AN) who had been discharged from a PHP for at least 12 months was performed. Percent median body mass index (%MBMI), scores on the Children's Eating Attitudes Test (ChEAT), and treatment utilization were assessed, with intake and discharge data collected via retrospective chart review. Of the 137 eligible patients, 62 (45.3%) consented to follow-up data collection. Patients with ARFID and AN exhibited similar increases in %MBMI from intake to discharge and reported low scores on the ChEAT by discharge. Patients with ARFID and AN maintained good weight outcomes and low ChEAT scores at follow-up. Most participants were still receiving outpatient treatment from a variety of providers, although fewer with ARFID than AN continued to receive services from our multidisciplinary ED clinic. Patients with ARFID and AN exhibit similar improvements in %MBMI when treated in the same PHP and appear to maintain treatment gains at long-term follow-up. Additionally, most patients continue to utilize outpatient services after being discharged from a PHP. © 2018 Wiley Periodicals, Inc.

PHYSICAL EFFECTS OCCURRING DURING GENERATION AND AMPLIFICATION OF LASER RADIATION: Efficiency of the vibrational excitation of CO2 molecules pumped by a capacitative discharge

NASA Astrophysics Data System (ADS)

Baranov, G. A.; Efremov, Yu V.; Smirnov, A. S.; Frolov, K. S.; Shevchenko, Yu I.

1989-02-01

An investigation was made of the distributions of the gain and input energy per unit volume along the discharge chamber length in a CO2-N2-He mixture stream excited by an rf discharge. The dependences of the gain and discharge luminescence intensity on the coordinate x were determined along the direction of the gas flow. The discharge luminescence intensity was shown to characterize the input energy distribution along the X axis. Calculations were made of the small-signal gain in the rf discharge. Experimental data on the distributions of the input energy and of the electric field in the discharge and the average values of the kinetic coefficients were used in the calculations. The efficiency of pumping CO2 lasers with an rf discharge was found to be close to the dc pumping efficiency. The results obtained provide evidence of promising prospects for using an rf discharge in fast-flow industrial lasers.

Rural implications of Medicare's post-acute-care transfer payment policy.

PubMed

Schoenman, Julie A; Mueller, Curt D

2005-01-01

Under the Medicare post-acute-care (PAC) transfer policy, acute-care hospitals are reimbursed under a per-diem formula whenever beneficiaries are discharged from selected diagnosis-related groups (DRGs) to a skilled nursing facility, home health care, or a prospective payment system (PPS)-excluded facility. Total per-diem payments are below the full DRG payment only when the patient's length of stay (LOS) is short relative to the geometric mean LOS for the DRG; otherwise, the full DRG payment is received. This policy originally applied to 10 DRGs beginning in fiscal year 1999 and was expanded to additional DRGs in FY2004. The Secretary may include other DRGs and types of PAC settings in future expansions. This article examines how the initial policy change affected rural and urban hospitals and investigates the likely impact of the FY2004 expansion and other possible future expansions. The authors used 1998-2001 Medicare Provider Analysis and Review (MEDPAR) data to investigate changes in hospital discharge patterns after the original policy was implemented, compute the change in Medicare revenue resulting from the payment change, and simulate the expected revenue reductions under expansions to additional DRGs and swing-bed discharges. Neither rural nor urban hospitals appear to have made a sustained change in their discharge behavior so as to limit their exposure to the transfer policy. Financial impacts from the initial policy were similar in relative terms for both types of hospitals and would be expected to be fairly similar for an expansion to additional DRGs. On average, including swing-bed discharges in the transfer policy would have a very small financial impact on small rural hospitals; only hospitals that make extensive use of swing beds after a short inpatient stay might expect large declines in total Medicare revenue. Rural hospitals are not disproportionately harmed by the PAC transfer policy. An expanded policy may even benefit rural hospitals by recognizing their lower use of post-acute-care and readjusting DRG weights so that they are paid more appropriately when providing the full course of inpatient care.

Is prescribed lower extremity weight-bearing status after geriatric lower extremity trauma associated with increased mortality?

PubMed

Gitajn, Ida Leah; Connelly, Daniel; Mascarenhas, Daniel; Breazeale, Stephen; Berger, Peter; Schoonover, Carrie; Martin, Brook; O'Toole, Robert V; Pensy, Raymond; Sciadini, Marcus

2018-02-01

Evaluate whether mortality after discharge is elevated in geriatric fracture patients whose lower extremity weight-bearing is restricted. Retrospective cohort study SETTING: Urban Level 1 trauma center PATIENTS/PARTICIPANTS: 1746 patients >65 years of age INTERVENTION: Post-operative lower extremity weight-bearing status MAIN OUTCOME MEASURE: Mortality, as determined by the Social Security Death Index RESULTS: Univariate analysis demonstrated that patients who were weight-bearing as tolerated on bilateral lower extremities (BLE) had significantly higher 5-year mortality compared to patients with restricted weight-bearing on one lower extremity and restricted weight-bearing on BLE (30%, 21% and 22% respectively, p < 0.001). Cox regression analysis controlling for variables including age, Charlson Comorbidity Index, Injury Severity Scale, combined UE/LE injury, injury mechanism (high vs low), sex, BMI and GCS demonstrated that, in comparison to patients who were weight bearing as tolerated on BLE, restricted weight-bearing on one lower extremity had a hazard ratio (HR) of 0.97 (95% confidence interval 0.78 to 1.20, p = 0.76) and restricted weight-bearing in BLE had a HR of 0.91 (95% confidence interval 0.60 to 1.36, p = 0.73). In geriatric patients, prescribed weight-bearing status did not have a statistically significant association with mortality after discharge, when controlling for age, sex, body mass index, medical comorbidities, Injury Severity Scale (ISS), mechanism of injury, nonoperative treatment and admission GCS. This remained true in when the analysis was restricted to operative injuries only. Copyright © 2017 Elsevier Ltd. All rights reserved.

The role of baseflow in dissolved solids delivery to streams in the Upper Colorado River Basin

NASA Astrophysics Data System (ADS)

Rumsey, C.; Miller, M. P.; Schwarz, G. E.; Susong, D.

2017-12-01

Salinity has a major effect on water users in the Colorado River Basin, estimated to cause almost $300 million per year in economic damages. The Colorado River Basin Salinity Control Program implements and manages projects to reduce salinity (dissolved solids) loads, investing millions of dollars per year in irrigation upgrades, canal projects, and other mitigation strategies. To inform and improve mitigation efforts, there is a need to better understand sources of salinity to streams and how salinity has changed over time. This study explores salinity in baseflow, or groundwater discharge to streams, to assess whether groundwater is a significant contributor of dissolved solids to streams in the Upper Colorado River Basin (UCRB). Chemical hydrograph separation was used to estimate long-term mean annual baseflow discharge and baseflow dissolved solids loads at stream gages (n=69) across the UCRB. On average, it is estimated that 89% of dissolved solids loads originate from the baseflow fraction of streamflow. Additionally, a statistical trend analysis using weighted regressions on time, discharge, and season was used to evaluate changes in baseflow dissolved solids loads in streams with data from 1987 to 2011 (n=29). About two-thirds (62%) of these streams showed statistically significant decreasing trends in baseflow dissolved solids loads. At the two most downstream sites, Green River at Green River, UT and Colorado River at Cisco, UT, baseflow dissolved solids loads decreased by a combined 780,000 metric tons, which is approximately 65% of the estimated basin-scale decrease in total dissolved solids loads in the UCRB attributed to salinity control efforts. Results indicate that groundwater discharged to streams, and therefore subsurface transport processes, play a large role in delivering dissolved solids to streams in the UCRB. Decreasing trends in baseflow dissolved solids loads suggest that salinity mitigation projects, changes in land use, and/or climate are decreasing salinity in groundwater transported to streams.

An all-solid-state lithium/polyaniline rechargeable cell

NASA Astrophysics Data System (ADS)

Li, Changzhi; Peng, Xinsheng; Zhang, Borong; Wang, Baochen

1992-07-01

The performance of an all-solid-state cell having a lithium negative electrode, a modified polyethylene oxide (PEO)-epoxy resin (ER) electrolyte, and a polyaniline (PAn) positive electrode has been studied using cyclic voltammetry, charge/discharge cycling, and polarization curves at various temperatures. The redox reaction of the PAn electrode at the PAn/modified PEO-ER interface exhibits good reversibility. At 50-80 C, the Li/PEO-ER-LiClO4/PAn cell shows more than 40 charge/discharge cycles, 90 percent charge/discharge efficiency, and 54 W h kg discharge energy density (on PAn weight basis) at 50 micro-A between 2 and 4 V. The polarization performance of the battery improves steadily with increase in temperature.

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

PubMed

Smith, S S

1995-09-01

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

A comparative analysis of 9 multi-model averaging approaches in hydrological continuous streamflow simulation

NASA Astrophysics Data System (ADS)

Arsenault, Richard; Gatien, Philippe; Renaud, Benoit; Brissette, François; Martel, Jean-Luc

2015-10-01

This study aims to test whether a weighted combination of several hydrological models can simulate flows more accurately than the models taken individually. In addition, the project attempts to identify the most efficient model averaging method and the optimal number of models to include in the weighting scheme. In order to address the first objective, streamflow was simulated using four lumped hydrological models (HSAMI, HMETS, MOHYSE and GR4J-6), each of which were calibrated with three different objective functions on 429 watersheds. The resulting 12 hydrographs (4 models × 3 metrics) were weighted and combined with the help of 9 averaging methods which are the simple arithmetic mean (SAM), Akaike information criterion (AICA), Bates-Granger (BGA), Bayes information criterion (BICA), Bayesian model averaging (BMA), Granger-Ramanathan average variant A, B and C (GRA, GRB and GRC) and the average by SCE-UA optimization (SCA). The same weights were then applied to the hydrographs in validation mode, and the Nash-Sutcliffe Efficiency metric was measured between the averaged and observed hydrographs. Statistical analyses were performed to compare the accuracy of weighted methods to that of individual models. A Kruskal-Wallis test and a multi-objective optimization algorithm were then used to identify the most efficient weighted method and the optimal number of models to integrate. Results suggest that the GRA, GRB, GRC and SCA weighted methods perform better than the individual members. Model averaging from these four methods were superior to the best of the individual members in 76% of the cases. Optimal combinations on all watersheds included at least one of each of the four hydrological models. None of the optimal combinations included all members of the ensemble of 12 hydrographs. The Granger-Ramanathan average variant C (GRC) is recommended as the best compromise between accuracy, speed of execution, and simplicity.

FUNCTIONAL OUTCOMES OF HIP ARTHROSCOPY IN AN ACTIVE DUTY MILITARY POPULATION UTILIZING A CRITERION-BASED EARLY WEIGHT BEARING PROGRESSION

PubMed Central

Jacobs, Jeremy M.; Evanson, J. Richard; Pniewski, Josh; Dickston, Michelle L.; Mueller, Terry; Bojescul, John A.

2017-01-01

Introduction Hip arthroscopy allows surgeons to address intra-articular pathology of the hip while avoiding more invasive open surgical dislocation. However the post-operative rehabilitation protocols have varied greatly in the literature, with many having prolonged periods of limited motion and weight bearing. Purpose The purpose of this study was to describe a criterion-based early weight bearing protocol following hip arthroscopy and investigate functional outcomes in the subjects who were active duty military. Methods Active duty personnel undergoing hip arthroscopy for symptomatic femoroacetabular impingement were prospectively assessed in a controlled environment for the ability to incorporate early postoperative weight-bearing with the following criteria: no increased pain complaint with weight bearing and normalized gait pattern. Modified Harris Hip (HHS) and Hip Outcome score (HOS) were performed preoperatively and at six months post-op. Participants were progressed with a standard hip arthroscopy protocol. Hip flexion was limited to not exceed 90 degrees for the first three weeks post-op, with progression back to running beginning at three months. Final discharge was dependent upon the ability to run two miles at military specified pace and do a single leg broad jump within six inches of the contralateral leg without an increase in pain. Results Eleven participants met inclusion criteria over the study period. Crutch use was discontinued at an average of five days following surgery based on established weight bearing criteria. Only one participant required continued crutch use at 15 days. Participants’ functional outcome was improved postoperatively, as demonstrated by significant increases in HOS and HHS. At the six month follow up, eight of 11 participants were able to take and complete a full Army Physical Fitness Test. Conclusions Following completion of the early weight bearing rehabilitation protocol, 81% of participants were able to progress to full weight bearing by four days post-operative, with normalized pain-free gait patterns. Active duty personnel utilizing an early weight bearing protocol following hip arthroscopy demonstrated significant functional improvement at six months. Level of Evidence Level 4, Case-series PMID:29181261

FUNCTIONAL OUTCOMES OF HIP ARTHROSCOPY IN AN ACTIVE DUTY MILITARY POPULATION UTILIZING A CRITERION-BASED EARLY WEIGHT BEARING PROGRESSION.

PubMed

Shaw, K Aaron; Jacobs, Jeremy M; Evanson, J Richard; Pniewski, Josh; Dickston, Michelle L; Mueller, Terry; Bojescul, John A

2017-10-01

Hip arthroscopy allows surgeons to address intra-articular pathology of the hip while avoiding more invasive open surgical dislocation. However the post-operative rehabilitation protocols have varied greatly in the literature, with many having prolonged periods of limited motion and weight bearing. The purpose of this study was to describe a criterion-based early weight bearing protocol following hip arthroscopy and investigate functional outcomes in the subjects who were active duty military. Active duty personnel undergoing hip arthroscopy for symptomatic femoroacetabular impingement were prospectively assessed in a controlled environment for the ability to incorporate early postoperative weight-bearing with the following criteria: no increased pain complaint with weight bearing and normalized gait pattern. Modified Harris Hip (HHS) and Hip Outcome score (HOS) were performed preoperatively and at six months post-op. Participants were progressed with a standard hip arthroscopy protocol. Hip flexion was limited to not exceed 90 degrees for the first three weeks post-op, with progression back to running beginning at three months. Final discharge was dependent upon the ability to run two miles at military specified pace and do a single leg broad jump within six inches of the contralateral leg without an increase in pain. Eleven participants met inclusion criteria over the study period. Crutch use was discontinued at an average of five days following surgery based on established weight bearing criteria. Only one participant required continued crutch use at 15 days. Participants' functional outcome was improved postoperatively, as demonstrated by significant increases in HOS and HHS. At the six month follow up, eight of 11 participants were able to take and complete a full Army Physical Fitness Test. Following completion of the early weight bearing rehabilitation protocol, 81% of participants were able to progress to full weight bearing by four days post-operative, with normalized pain-free gait patterns. Active duty personnel utilizing an early weight bearing protocol following hip arthroscopy demonstrated significant functional improvement at six months. Level 4, Case-series.

Borax as flux on sintering of iron Ancor Steel 1000® under glow discharge

NASA Astrophysics Data System (ADS)

Ariza Suarez, H. G.; Sarmiento Santos, A.; Ortiz Otálora, C. A.

2016-02-01

This work studies the flux effect of borax (di sodium tetraborate decahydrate) on sintering of iron Ancor Steel 1000® in abnormal glow discharge. The incidence of the percentage by weight of borax and the sintering temperature in the process were observed. Samples of powder metallurgical iron were prepared with proportions of 0.50%, 2.0%, 4.0% and 6.0% by weight of borax using the procedures of powder metallurgy. The samples were sintered at 800 and 1100°C for 30min, by glow discharge at low pressure in a reducing atmosphere composed of 20% H2+80% Ar. The samples in compact green-state were analyzed by TGA-DSC to determine the fusion process and mass loss during sintering. The analysis of microhardness and density, shows that at a sintering temperature of 800°C the sample density decreases and the sample microhardness increases with respect to sintered samples without borax. Sintered samples were analysed by DRX showing the absence of precipitates.

Self-Organisation and Intermittent Coherent Oscillations in the EXTRAP T2 Reversed Field Pinch

NASA Astrophysics Data System (ADS)

Cecconello, M.; Malmberg, J.-A.; Sallander, E.; Drake, J. R.

Many reversed-field pinch (RFP) experiments exhibit a coherent oscillatory behaviour that is characteristic of discrete dynamo events and is associated with intermittent current profile self-organisation phenomena. However, in the vast majority of the discharges in the resistive shell RFP experiment EXTRAP T2, the dynamo activity does not show global, coherent oscillatory behaviour. The internally resonant tearing modes are phase-aligned and wall-locked resulting in a large localised magnetic perturbation. Equilibrium and plasma parameters have a level of high frequency fluctuations but the average values are quasi-steady. For some discharges, however, the equilibrium parameters exhibit the oscillatory behaviour characteristic of the discrete dynamo events. For these discharges, the trend observed in the tearing mode spectra, associated with the onset of the discrete relaxation event behaviour, is a relative higher amplitude of m = 0 mode activity and relative lower amplitude of the m = 1 mode activity compared with their average values. Global plasma parameters and model profile calculations for sample discharges representing the two types of relaxation dynamics are presented.

Field and laboratory determination of water-surface elevation and velocity using noncontact measurements

USGS Publications Warehouse

Nelson, Jonathan M.; Kinzel, Paul J.; Schmeeckle, Mark Walter; McDonald, Richard R.; Minear, Justin T.

2016-01-01

Noncontact methods for measuring water-surface elevation and velocity in laboratory flumes and rivers are presented with examples. Water-surface elevations are measured using an array of acoustic transducers in the laboratory and using laser scanning in field situations. Water-surface velocities are based on using particle image velocimetry or other machine vision techniques on infrared video of the water surface. Using spatial and temporal averaging, results from these methods provide information that can be used to develop estimates of discharge for flows over known bathymetry. Making such estimates requires relating water-surface velocities to vertically averaged velocities; the methods here use standard relations. To examine where these relations break down, laboratory data for flows over simple bumps of three amplitudes are evaluated. As anticipated, discharges determined from surface information can have large errors where nonhydrostatic effects are large. In addition to investigating and characterizing this potential error in estimating discharge, a simple method for correction of the issue is presented. With a simple correction based on bed gradient along the flow direction, remotely sensed estimates of discharge appear to be viable.

10 CFR 611.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... both subpart A and subpart B. Adjusted average fuel economy means a harmonic production weighted average of the combined fuel economy of all vehicles in a fleet, which were subject to CAFE. Advanced... (3) At least 125 percent of the harmonic production weighted average combined fuel economy, for...

Quantifying the impact of septic tank systems on eutrophication risk in rural headwaters.

PubMed

Withers, P J A; Jarvie, H P; Stoate, C

2011-04-01

Septic tank systems (STS) are a potential source of nutrient emissions to surface waters but few data exist in the UK to quantify their significance for eutrophication. We monitored the impact of STS on nutrient concentrations in a stream network around a typical English village over a 1-year period. Septic tank effluent discharging via a pipe directly into one stream was highly concentrated in soluble N (8-63mgL(-1)) and P (<1-14mgL(-1)) and other nutrients (Na, K, Cl, B and Mn) typical of detergent and household inputs. Ammonium-N (NH(4)N) and soluble reactive P (SRP) fractions were dominant (70-85% of total) and average concentrations of nitrite-N (NO(2)N) were above levels considered harmful to fish (0.1mgL(-1)). Lower nutrient concentrations were recorded at a ditch and a stream site, but range and average values downstream of rural habitation were still 4 to 10-fold greater than those in upstream sections. At the ditch site, where flow volumes were low, annual flow-weighted concentrations of NH(4)N and SRP increased from 0.04 and 0.07mgL(-1), respectively upstream to 0.55 and 0.21mgL(-1) downstream. At the stream site, flow volumes were twice as large and flow-weighted concentrations increased much less; from 0.04 to 0.21mgL(-1) for NH(4)N and from 0.06 to 0.08mgL(-1) for SRP. At all sites, largest nutrient concentrations were recorded under low flow and stream discharge was the most important factor determining the eutrophication impact of septic tank systems. The very high concentrations, intercorrelation and dilution patterns of SRP, NH(4)-N and the effluent markers Na and B suggested that soakaways in the heavy clay catchment soils were not retaining and treating the septic tank effluents efficiently, with profound implications for stream biodiversity. Water companies, water regulators and rural communities therefore need to be made more aware of the potential impacts of STS on water quality so that their management can be optimised to reduce the risk of potential eutrophication and toxicity to aquatic ecosystems during summer low flow periods. Copyright © 2011 Elsevier Ltd. All rights reserved.

Combined sewer overflows: an environmental source of hormones and wastewater micropollutants

USGS Publications Warehouse

Phillips, P.J.; Chalmers, A.T.; Gray, J.L.; Kolpin, D.W.; Foreman, W.T.; Wall, G.R.

2012-01-01

Data were collected at a wastewater treatment plant (WWTP) in Burlington, Vermont, USA, (serving 30,000 people) to assess the relative contribution of CSO (combined sewer overflow) bypass flows and treated wastewater effluent to the load of steroid hormones and other wastewater micropollutants (WMPs) from a WWTP to a lake. Flow-weighted composite samples were collected over a 13 month period at this WWTP from CSO bypass flows or plant influent flows (n = 28) and treated effluent discharges (n = 22). Although CSO discharges represent 10% of the total annual water discharge (CSO plus treated plant effluent discharges) from the WWTP, CSO discharges contribute 40–90% of the annual load for hormones and WMPs with high (>90%) wastewater treatment removal efficiency. By contrast, compounds with low removal efficiencies (<90%) have less than 10% of annual load contributed by CSO discharges. Concentrations of estrogens, androgens, and WMPs generally are 10 times higher in CSO discharges compared to treated wastewater discharges. Compound concentrations in samples of CSO discharges generally decrease with increasing flow because of wastewater dilution by rainfall runoff. By contrast, concentrations of hormones and many WMPs in samples from treated discharges can increase with increasing flow due to decreasing removal efficiency.

Combined Sewer Overflows: An Environmental Source of Hormones and Wastewater Micropollutants

PubMed Central

2012-01-01

Data were collected at a wastewater treatment plant (WWTP) in Burlington, Vermont, USA, (serving 30,000 people) to assess the relative contribution of CSO (combined sewer overflow) bypass flows and treated wastewater effluent to the load of steroid hormones and other wastewater micropollutants (WMPs) from a WWTP to a lake. Flow-weighted composite samples were collected over a 13 month period at this WWTP from CSO bypass flows or plant influent flows (n = 28) and treated effluent discharges (n = 22). Although CSO discharges represent 10% of the total annual water discharge (CSO plus treated plant effluent discharges) from the WWTP, CSO discharges contribute 40–90% of the annual load for hormones and WMPs with high (>90%) wastewater treatment removal efficiency. By contrast, compounds with low removal efficiencies (<90%) have less than 10% of annual load contributed by CSO discharges. Concentrations of estrogens, androgens, and WMPs generally are 10 times higher in CSO discharges compared to treated wastewater discharges. Compound concentrations in samples of CSO discharges generally decrease with increasing flow because of wastewater dilution by rainfall runoff. By contrast, concentrations of hormones and many WMPs in samples from treated discharges can increase with increasing flow due to decreasing removal efficiency. PMID:22540536

Application of a weighted-averaging method for determining paleosalinity: a tool for restoration of south Florida's estuaries

USGS Publications Warehouse

Wingard, G.L.; Hudley, J.W.

2012-01-01

A molluscan analogue dataset is presented in conjunction with a weighted-averaging technique as a tool for estimating past salinity patterns in south Florida’s estuaries and developing targets for restoration based on these reconstructions. The method, here referred to as cumulative weighted percent (CWP), was tested using modern surficial samples collected in Florida Bay from sites located near fixed water monitoring stations that record salinity. The results were calibrated using species weighting factors derived from examining species occurrence patterns. A comparison of the resulting calibrated species-weighted CWP (SW-CWP) to the observed salinity at the water monitoring stations averaged over a 3-year time period indicates, on average, the SW-CWP comes within less than two salinity units of estimating the observed salinity. The SW-CWP reconstructions were conducted on a core from near the mouth of Taylor Slough to illustrate the application of the method.

42 CFR 412.523 - Methodology for calculating the Federal prospective payment rates.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... (4) Determining the Federal prospective payment rate for each LTC-DRG. The Federal prospective payment rate for each LTC-DRG is the product of the weighting factors described in § 412.515 and the... payment rate multiplied by the relative weight of the LTC-DRG assigned for that discharge. A hospital's...

Dynamic characteristics of a 30-centimeter mercury ion thruster

NASA Technical Reports Server (NTRS)

Serafini, J. S.; Mantenieks, M. A.; Rawlin, V. K.

1975-01-01

The present work reports on measurements of the fluctuations in the beam current, discharge current, neutralizer keeper current, and discharge voltage of a 30-cm ion thruster made with 60Hz laboratory-type power supplies. The intensities of the fluctuations (ratio of the root-mean-square magnitude to time-average quantity) were found to depend significantly on the beam and magnetic baffle currents. The shape of the frequency spectra of the discharge plasma fluctuations was related to the beam and magnetic baffle currents. The predominant peaks of the beam and discharge current spectra occurred at frequencies less than 30 kilohertz. This discharge chamber resonance could be attributable to ion-acoustic wave phenomena. Cross-correlations of the discharge and beam currents indicated that the dependence on the magnetic baffle current was strong. The measurements revealed that the discharge current fluctuations directly contribute to the beam current fluctuations and that the power supply characteristics can modify these fluctuations.

Update: Viking Lander NiCd batteries. Year six

NASA Technical Reports Server (NTRS)

Britting, A. O., Jr.

1982-01-01

The performance of NiCd batteries on the Viking Mars landers is discussed. During evaluation, three of the four batteries were maintained in the discharged state. Battery charge regimes and close-together, deep-discharge, reconditioning cycles to retard degradation of batteries are discussed. The effect of elevated temperatures during Martian summer on battery performance were also considered. Tabulated data for average battery capacity as a function of time are given. A design uplink to allow more frequent, greater depth of discharge reconditioning cycles was proposed.

Feasibility of home-based dietetic intervention to improve the nutritional status of older adults post-hospital discharge.

PubMed

Hamirudin, Aliza Haslinda; Walton, Karen; Charlton, Karen; Carrie, Amanda; Tapsell, Linda; Milosavljevic, Marianna; Pang, Glen; Potter, Jan

2017-07-01

To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation. The Department of Veterans' Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales, Australia (n = 32 men, n = 36 women). Nutritional status was assessed at home at baseline (within two weeks post-discharge) and three months post-discharge using a diet history, a food frequency checklist and Mini Nutritional Assessment (MNA). Personalised dietary advice was provided by a single dietitian according to participants' nutritional status. Mean body weight improved significantly (P = 0.048), as well as mean MNA score (21.9 ± 3.5 vs 25.2 ± 3.1) (P < 0.001). Mean energy, protein and micronutrient intakes were adequate at baseline and three months, except for vitamin D. At three months, the underweight group (body mass index (BMI) < 23 kg/m 2 ) had significantly higher mean protein intake per body weight (1.7 ± 0.4 g/kg) compared to those who were a desirable weight (BMI 23-27 kg/m 2 ) (1.4 ± 0.3 g/kg) or overweight (BMI>27 kg/m 2 ) (1.1 ± 0.3 g/kg) peers (P < 0.001). There was significant improvement in energy intake contributed from oral nutrition supplements (+95.5 ± 388.2 kJ/day) and milk (+259.6 ± 659.8 kJ/day). Dietetic intervention improved nutritional status 3 months after hospital discharge in older adults living in the community. © 2016 Dietitians Association of Australia.

Adolescent idiopathic scoliosis: risk factors for complications and the effect of hospital volume on outcomes.

PubMed

Menger, Richard P; Kalakoti, Piyush; Pugely, Andrew J; Nanda, Anil; Sin, Anthony

2017-10-01

OBJECTIVE Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. Limited literature exists defining risk factors associated with outcomes during initial hospitalization in these patients. In this study, the authors investigated patient demographics, clinical and hospital characteristics impacting short-term outcomes, and costs in adolescent patients undergoing surgical deformity correction for idiopathic scoliosis. Additionally, the authors elucidate the impact of hospital surgical volume on outcomes for these patients. METHODS Using the National Inpatient Sample database and appropriate International Classification of Diseases, 9th Revision codes, the authors identified adolescent patients (10-19 years of age) undergoing surgical deformity correction for idiopathic scoliosis during 2001-2014. For national estimates, appropriate weights provided by the Agency of Healthcare Research and Quality were used. Multivariable regression techniques were employed to assess the association of risk factors with discharge disposition, postsurgical neurological complications, length of hospital stay, and hospitalization costs. RESULTS Overall, 75,106 adolescent patients underwent surgical deformity correction. The rates of postsurgical complications were estimated at 0.9% for neurological issues, 2.8% for respiratory complications, 0.8% for cardiac complications, 0.4% for infections, 2.7% for gastrointestinal complications, 0.1% for venous thromboembolic events, and 0.1% for acute renal failure. Overall, patients stayed at the hospital for an average of 5.72 days (median 5 days) and on average incurred hospitalization costs estimated at $54,997 (median $47,909). As compared with patients at low-volume centers (≤ 50 operations/year), those undergoing surgical deformity correction at high-volume centers (> 50/year) had a significantly lower likelihood of an unfavorable discharge (discharge to rehabilitation) (OR 1.16, 95% CI 1.03-1.30, p = 0.016) and incurred lower costs (mean $33,462 vs $56,436, p < 0.001) but had a longer duration of stay (mean 6 vs 5.65 days, p = 0.002). In terms of neurological complications, no significant differences in the odds ratios were noted between high- and low-volume centers (OR 1.23, 95% CI 0.97-1.55, p = 0.091). CONCLUSIONS This study provides insight into the clinical characteristics of AIS patients and their postoperative outcomes following deformity correction as they relate to hospital volume. It provides information regarding independent risk factors for unfavorable discharge and neurological complications following surgery for AIS. The proposed estimates could be used as an adjunct to clinical judgment in presurgical planning, risk stratification, and cost containment.

Pilot Study on Early Postoperative Discharge in Pituitary Adenoma Patients: Effect of Socioeconomic Factors and Benefit of Specialized Pituitary Centers.

PubMed

Sarkiss, Christopher A; Lee, James; Papin, Joseph A; Geer, Eliza B; Banik, Rudrani; Rucker, Janet C; Oudheusden, Barbara; Govindaraj, Satish; Shrivastava, Raj K

2015-08-01

Introduction Pituitary neoplasms are benign entities that require distinct diagnostic and treatment considerations. Recent advances in endoscopic transsphenoidal surgery have resulted in shorter lengths of stay (LOS). We implemented a postoperative day (POD) 1 discharge paradigm involving a multidisciplinary approach and detailed preoperative evaluation and review of both medical and socioeconomic factors. Methods The experience of a single neurosurgeon/ears, nose, throat (ENT) team was reviewed, generating a preliminary retrospective database of the first 30 patients who underwent resection of pituitary lesions under the POD 1 discharge paradigm. We assessed multiple axes from their preoperative, in-house, and postoperative care. Results There were 14 men and 16 women with an average age of 53.8 years (range: 27-76 years). There were 22 nonsecretory and 8 secretory tumors with average size of 2.80 cm (range: 1.3-5.0 cm). All 30 patients underwent preoperative ENT evaluation. Average LOS was 1.5 ± 0.7 days. A total of 18 of 30 patients were discharged on POD 1. The insurance status included 15 with public insurance such as emergency Medicaid and 15 with private insurance. Four patients had transient diabetes insipidus (DI); none had permanent DI. Overall, 28 of 30 patients received postoperative steroids. Factors that contributed to LOS > 1 day included public insurance status, two or more medical comorbidities, diabetes mellitus, transient panhypopituitarism, and DI. Conclusion The implementation of a POD 1 discharge plan for pituitary tumors is feasible and safe for elective patients. This implementation requires the establishment of a dedicated Pituitary Center model with experienced team members. The consistent limitation to early discharge was socioeconomic status. Efforts that incorporate the analysis of social disposition parameters with proper management of clinical sequelae are crucial to the maintenance of ideal LOS and optimal patient outcomes.

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

PubMed

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

2016-12-01

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

Ion thruster performance model

NASA Technical Reports Server (NTRS)

Brophy, J. R.

1984-01-01

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

Note: Design and investigation of a multichannel plasma-jet triggered gas switch.

PubMed

Tie, Weihao; Liu, Xuandong; Zhang, Qiaogen; Liu, Shanhong

2014-07-01

We described the fabrication and testing of a multichannel plasma-jet triggered gas switch (MPJTGS). A novel six-channel annular micro-plasma-gun was embedded in the trigger electrode to generate multichannel plasma jets as a nanosecond trigger pulse arrived. The gas breakdown in multiple sites of the spark gap was induced and fixed around jet orifices by the plasma jets. We tested the multichannel discharge characteristics of the MPJTGS in two working modes with charge voltage of 50 kV, trigger voltage of +40 kV (25 ns rise time), and trigger energy of 240 J, 32 J, and 2 J, respectively, at different working coefficients. Results show that the average number of discharge channels increased as the trigger energy increased, and decreased as the working coefficient decreased. At a working coefficient of 87.1% and trigger energy of 240 J, the average number of discharge channels in Mode II could reach 4.1.

An analysis of effect of land use change on river flow variability

NASA Astrophysics Data System (ADS)

Zhang, Tao; Liu, Yuting; Yang, Xinyue; Wang, Xiang

2018-02-01

Land use scenario analysis, SWAT model, flow characteristic indices and flow variability technology were used to analyze the effect of land use quantity and location change on river flow. Results showed that river flow variation caused by land use change from forest to crop was larger than that caused by land use change from forest to grass; Land use change neither from upstream to downstream nor from downstream to upstream had little effect on annual average discharge and maximum annual average discharge. But it had obvious effect on maximum daily discharge; Land use change which occurred in upstream could lead to producing larger magnitude flood more easily; Land use change from forest to crop or grass could increase the number of large magnitude floods and their total duration. And it also could increase the number of small magnitude floods but decrease their duration.

Grid regulation services for energy storage devices based on grid frequency

DOEpatents

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

2013-07-02

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

Grid regulation services for energy storage devices based on grid frequency

DOEpatents

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

2017-09-05

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

Grid regulation services for energy storage devices based on grid frequency

DOEpatents

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

2014-04-15

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

Characteristics of gas-liquid diaphragm discharge and its application on decolorization of brilliant red B in aqueous solution

NASA Astrophysics Data System (ADS)

Qingsong, GAO; Yongjun, LIU; Bing, SUN

2017-11-01

A simple gas-liquid diaphragm discharge reactor was designed and characteristics of the discharge and its application on decolorization of brilliant red B in an aqueous solution were investigated. The results showed that strong oxidizing agents such as ·OH and ·O radicals were generated. Average electron temperature of the discharge was 0.72 eV, 1.15 eV and 0.83 eV with air, oxygen and argon as the discharge gas, respectively. Solution pH and conductivity changed little when oxygen or argon was used as the discharge gas; however, these two parameters changed significantly when the discharge was performed in air. During the discharge treatment, the characteristic absorption peaks of brilliant red B gradually decreased where the decolorization followed the first-order kinetics. With 10 min of discharge, the decolorization of brilliant red B (30 mg L-1) can reach 96%, 81% and 62% in the cases of oxygen, argon and air, respectively. The analysis of by-products showed that the brilliant red B molecule can be effectively destroyed in this discharge mode.

Effectiveness of a psychosocial weight management program for individuals with schizophrenia.

PubMed

Niv, Noosha; Cohen, Amy N; Hamilton, Alison; Reist, Christopher; Young, Alexander S

2014-07-01

The objective of this study was to examine the effectiveness of a weight loss program for individuals with schizophrenia in usual care. The study included 146 adults with schizophrenia from two mental health clinics of the Department of Veterans Affairs. The 109 individuals who were overweight or obese were offered a 16-week, psychosocial, weight management program. Weight and Body Mass Index (BMI) were assessed at baseline, 1 year later, and at each treatment session. Only 51% of those who were overweight or obese chose to enroll in the weight management program. Participants attended an average of 6.7 treatment sessions, lost an average of 2.4 pounds, and had an average BMI decrease of 0.3. There was no significant change in weight or BMI compared to the control group. Intervention strategies that both improve utilization and yield greater weight loss need to be developed.

Implementation and Effectiveness of a Psychosocial Weight Management Program for Individuals with Schizophrenia

PubMed Central

Niv, Noosha; Cohen, Amy N.; Hamilton, Alison; Reist, Christopher; Young, Alexander S.

2013-01-01

The objective of this study was to examine the effectiveness of a weight loss program for individuals with schizophrenia in usual care. The study included 146 adults with schizophrenia from two mental health clinics of the Department of Veterans Affairs. The 109 individuals who were overweight or obese were offered a 16-week, psychosocial, weight management program. Weight and BMI were assessed at baseline, 1 year later and at each treatment session. Only 51% of those who were overweight or obese chose to enroll in the weight management program. Participants attended an average of 6.7 treatment sessions, lost an average of 2.4 pounds and had an average BMI decrease of 0.3. There was no significant change in weight or BMI compared to the control group. Intervention strategies that both improve utilization and yield greater weight loss need to be developed. PMID:22430566

9 CFR 54.6 - Amount of indemnity payments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... weighted average Choice/Prime slaughter lamb price per pound at Greeley, CO; (2) The weekly weighted... commercial western ewe lamb replacement price per head; (4) The monthly weighted average commercial western... ewe lambs under 1 year of age, the indemnity shall equal the per-head price from paragraph (a)(3) of...

The near-term prediction of drought and flooding conditions in the northeastern United States based on extreme phases of AMO and NAO

NASA Astrophysics Data System (ADS)

Berton, Rouzbeh; Driscoll, Charles T.; Adamowski, Jan F.

2017-10-01

A series of hydroclimatic teleconnection patterns were identified between variations in either Atlantic or Pacific oceanic indices with precipitation and discharge anomalies in the northeastern United States. We hypothesized that temporal annual or seasonal changes in discharge could be explained by variations in extreme phases of the Atlantic Multi-decadal Oscillation (AMO index, SST: Sea Surface Temperature anomalies) and the North Atlantic Oscillation (NAO index, SLP: Sea-Level Pressure anomalies) up to three seasons in advance. The Merrimack River watershed, the fourth largest basin in New England, with a drainage area of 13,000 km2, is a compelling study site because it not only provides an opportunity to investigate the teleconnection between hydrologic variables and large-scale climate circulation patterns, but also how those patterns may become obscured by anthropogenic disturbances such as river regulation or urban development. We considered precipitation and discharge data of 21 gauging stations within the Merrimack River watershed, including the Hubbard Brook Experimental Forest (HBEF), NH, with a median record length of 55 years beginning as early as 1904. The discharge anomalies were statistically significant (p-value ≤ 0.2) between extreme positive and negative phases of AMO (1857-2011) and NAO (1900-2011) and revealed the potential teleconnectivity of climate circulation patterns with discharge. Annual and seasonal correlations of discharge were examined with the extreme phases of AMO and NAO at zero-, one-, or two- year/season lags (total of 30 scenarios). When AMO was greater than 0.2, the strongest correlations of AMO and NAO with discharge were observed at headwater catchments. This correlation weakened downstream towards larger regulated and/or developed sub-basins. We introduced a simple approach for near-term prediction of drought and flooding events. An exponential decay function was regressed through the historic occurrence of the relative frequency of wet, average, and dry discharge conditions with regards to the extreme phases of AMO and NAO. While the function was decaying, the tail asymptotically merged into and stabilized at the theoretical probability of the event. As the basin scale increased, the probability of wet, average, and dry discharge conditions decreased. The Merrimack River watershed will most likely experience greater than average discharge as its extreme condition, therefore development should be avoided on flood plains. Furthermore, the current reservoir storage capacity in the Merrimack should be improved in order to accommodate excess water input and minimize flood damage. Future research should target changes in the magnitude and timing of high discharge events in order to develop adaptation strategies for aging hydraulic infrastructure in the region.

Hydraulic Geometry Characteristics of Continuous-Record Streamflow-Gaging Stations on Four Urban Watersheds Along the Main Stem of Gwynns Falls, Baltimore County and Baltimore City, Maryland

USGS Publications Warehouse

Doheny, Edward J.; Fisher, Gary T.

2007-01-01

Four continuous-record streamflow-gaging stations are currently being operated by the U.S. Geological Survey on the main stem of Gwynns Falls in western Baltimore County and Baltimore City, Maryland. The four streamflow-gaging stations drain urban or suburban watersheds with significantly different drainage areas. In addition to providing continuous- record discharge data at these four locations, operation of these stations also provides a long-term record of channel geometry variables such as cross-sectional area, channel width, mean channel depth, and mean velocity that are obtained from physical measurement of the discharge at a variety of flow conditions. Hydraulic geometry analyses were performed using discharge-measurement data from four continuous-record streamflow-gaging stations on the main stem of Gwynns Falls. Simple linear regression was used to develop relations that (1) quantify changes in cross-sectional area, channel width, mean channel depth, and mean velocity with changes in discharge at each station, and (2) quantify changes in these variables in the Gwynns Falls watershed with changes in drainage area and annual mean discharge. Results of the hydraulic geometry analyses indicated that mean velocity is more responsive to changes in discharge than channel width and mean channel depth for all four streamflow-gaging stations on the main stem of Gwynns Falls. For the two largest and most developed watersheds, on Gwynns Falls at Villa Nova, and Gwynns Falls at Washington Boulevard at Baltimore, the slope of the regression lines, or hydraulic exponents, indicated that mean velocity was more responsive to changes in discharge than any of the other hydraulic variables that were analyzed. This was true even when considering changes in cross-sectional area with discharge, which incorporates the combined effects of channel width and mean channel depth. A comparison of hydraulic exponents for Gwynns Falls to average values from previous work indicated that the velocity exponents for all four stations on the Gwynns Falls are larger than the average value of 0.34. For stations 01589300 and 01589352, the exponents for mean velocity are about twice as large as the average value. Analyses of cross-sectional area, channel width, mean channel depth, and mean velocity in conjunction with changes in drainage area and annual mean discharge indicated that channel width is much more responsive to changes in drainage area and annual mean discharge than are mean channel depth or mean velocity. Cross-sectional area, which combines the effects of channel width and mean channel depth, was also found to be highly responsive to changes in drainage area and annual mean discharge.

Microplastic pollution is widely detected in US municipal wastewater treatment plant effluent.

PubMed

Mason, Sherri A; Garneau, Danielle; Sutton, Rebecca; Chu, Yvonne; Ehmann, Karyn; Barnes, Jason; Fink, Parker; Papazissimos, Daniel; Rogers, Darrin L

2016-11-01

Municipal wastewater effluent has been proposed as one pathway for microplastics to enter the aquatic environment. Here we present a broad study of municipal wastewater treatment plant effluent as a pathway for microplastic pollution to enter receiving waters. A total of 90 samples were analyzed from 17 different facilities across the United States. Averaging all facilities and sampling dates, 0.05 ± 0.024 microparticles were found per liter of effluent. Though a small value on a per liter basis, even minor municipal wastewater treatment facilities process millions of liters of wastewater each day, yielding daily discharges that ranged from ∼50,000 up to nearly 15 million particles. Averaging across the 17 facilities tested, our results indicate that wastewater treatment facilities are releasing over 4 million microparticles per facility per day. Fibers and fragments were found to be the most common type of particle within the effluent; however, some fibers may be derived from non-plastic sources. Considerable inter- and intra-facility variation in discharge concentrations, as well as the relative proportions of particle types, was observed. Statistical analysis suggested facilities serving larger populations discharged more particles. Results did not suggest tertiary filtration treatments were an effective means of reducing discharge. Assuming that fragments and pellets found in the effluent arise from the 'microbeads' found in many cosmetics and personal care products, it is estimated that between 3 and 23 billion (with an average of 13 billion) of these microplastic particles are being released into US waterways every day via municipal wastewater. This estimate can be used to evaluate the contribution of microbeads to microplastic pollution relative to other sources (e.g., plastic litter and debris) and pathways (e.g., stormwater) of discharge. Published by Elsevier Ltd.

Simulation of flood hydrographs for Georgia streams

USGS Publications Warehouse

Inman, Ernest J.

1987-01-01

Flood hydrographs are needed for the design of many highway drainage structures and embankments. A method for simulating these flood hydrographs at ungaged sites in Georgia is presented in this report. The O'Donnell method was used to compute unit hydrographs and lagtimes for 355 floods at 80 gaging stations. An average unit hydrograph and an average lagtime were computed for each station. These average unit hydrographs were transformed to unit hydrographs having durations of one-fourth, one-third, one-half, and three-fourths lagtime, then reduced to dimensionless terms by dividing the time by lagtime and the discharge by peak discharge. Hydrographs were simulated for these 355 floods and their widths were compared with the widths of the observed hydrographs at 50 and 75 percent of peak flow. The dimensionless hydrograph based on one-half lagtime duration provided the best fit of the observed data. Multiple regression analysis was then used to define relations between lagtime and certain physical basin characteristics; of these characteristics, drainage area and slope were found to be significant for the rural-stream equations and drainage area, slope, and impervious area were found to be significant for the Atlanta urban-stream equation. A hydrograph can be simulated from the dimensionless hydrograph, the peak discharge of a specific recurrence interval, and the lagtime obtained from regression equations for any site in Georgia having a drainage area of less than 500 square miles. For simulating hydrographs at sites having basins larger than 500 square miles, the U.S. Geological Survey computer model CONROUT can be used. This model routes streamflow from an upstream channel location to a user-defined location downstream. The product of CONROUT is a simulated discharge hydrograph for the downstream site that has a peak discharge of a specific recurrence interval.

BMI curves for preterm infants.

PubMed

Olsen, Irene E; Lawson, M Louise; Ferguson, A Nicole; Cantrell, Rebecca; Grabich, Shannon C; Zemel, Babette S; Clark, Reese H

2015-03-01

Preterm infants experience disproportionate growth failure postnatally and may be large weight for length despite being small weight for age by hospital discharge. The objective of this study was to create and validate intrauterine weight-for-length growth curves using the contemporary, large, racially diverse US birth parameters sample used to create the Olsen weight-, length-, and head-circumference-for-age curves. Data from 391 681 US infants (Pediatrix Medical Group) born at 22 to 42 weeks' gestational age (born in 1998-2006) included birth weight, length, and head circumference, estimated gestational age, and gender. Separate subsamples were used to create and validate curves. Established methods were used to determine the weight-for-length ratio that was most highly correlated with weight and uncorrelated with length. Final smoothed percentile curves (3rd to 97th) were created by the Lambda Mu Sigma (LMS) method. The validation sample was used to confirm results. The final sample included 254 454 singleton infants (57.2% male) who survived to discharge. BMI was the best overall weight-for-length ratio for both genders and a majority of gestational ages. Gender-specific BMI-for-age curves were created (n = 127 446) and successfully validated (n = 126 988). Mean z scores for the validation sample were ∼0 (∼1 SD). BMI was different across gender and gestational age. We provide a set of validated reference curves (gender-specific) to track changes in BMI for prematurely born infants cared for in the NICU for use with weight-, length-, and head-circumference-for-age intrauterine growth curves. Copyright © 2015 by the American Academy of Pediatrics.

Some series of intuitionistic fuzzy interactive averaging aggregation operators.

PubMed

Garg, Harish

2016-01-01

In this paper, some series of new intuitionistic fuzzy averaging aggregation operators has been presented under the intuitionistic fuzzy sets environment. For this, some shortcoming of the existing operators are firstly highlighted and then new operational law, by considering the hesitation degree between the membership functions, has been proposed to overcome these. Based on these new operation laws, some new averaging aggregation operators namely, intuitionistic fuzzy Hamacher interactive weighted averaging, ordered weighted averaging and hybrid weighted averaging operators, labeled as IFHIWA, IFHIOWA and IFHIHWA respectively has been proposed. Furthermore, some desirable properties such as idempotency, boundedness, homogeneity etc. are studied. Finally, a multi-criteria decision making method has been presented based on proposed operators for selecting the best alternative. A comparative concelebration between the proposed operators and the existing operators are investigated in detail.

Nafarelin

MedlinePlus

... body odor seborrhea (skin irritation) nasal irritation headache hot flashes insomnia change in weight vaginal dryness or vaginal discharge change in sex drive oily skin muscle aches rhinitis (runny nose) ...

Some relations between streamflow characteristics and the environment in the Delaware River region

USGS Publications Warehouse

Hely, A.G.; Olmsted, F.H.

1963-01-01

Streamflow characteristics are determined by a large number of factors of the meteorological and terrestrial environments. Because of lack of quantitative data to describe some of the factors and complex interrelations among them, complete analysis of the relations between streamflow and the various environmental factors is impossible. However, certain simplifying assumptions and generalizations made possible a partial analysis for the Delaware River region. For relations involving average runoff or low-flow parameters, average annual precipitation was assumed to be the principal meteorological factor, and geology (a complex of many factors) was assumed to be the principal terrestrial influence, except for that of basin size which was largely eliminated by expression of discharge in terms of unit area. As a first approximation, physiographic units were used as a basis for classifying the geology. Relations between flow parameters and precipitation are fairly well defined for some physiographic units, but not for those in which the geology varies markedly or the areal variation in average precipitation is very small. These relations provide a basis for adjusting the flow parameters to reduce or eliminate the effects of areal variations in precipitation and increase their significance in studies of the effects of terrestrial characteristics. An investigation of the residual effect of basin size (the effect remaining when discharge is expressed in terms of unit area) on relations between flow parameters and average precipitation indicates that such effect is negligible, except for very large differences in area. Parameters that are derived from base-flow recession curves and are related to a common discharge per unit area have inherent advantages as indicators of effects of terrestrial characteristics of basins, because the.y are independent of areal variations in average annual precipitation. Winter base-flow parameters are also practically independent of the effects of evapotranspiration from ground water. However, in many parts of the region these advantages are reduced or nullified by the difficulties of defining base-flow recession curves, particularly winter curves, with sufficient accuracy. In the absence of suitable base-flow recession data and a suitable basis for adjusting parameters, the ratio of the discharge equaled or exceeded 90 percent of the time to the average discharge (Qtt/Qa), or a similar duration parameter, probably is the best indicator of the influence of terrestrial characteristics, although the ratio may vary somewhat with average precipitation. In a part of the region where geologic differences are large and areal variations in average precipitation are small, values of Qm/Qa for each major geologic unit were determined from streamflow records. From these values and the percentage of area represented by each unit, a ratio for each gaging station was computed. Comparison of these computed results with the observed results indicates that nearly all of the variation in the ratio is associated with variation in geology. The investigation indicates that the original assumptions are correct; average precipitation is the principal meteorological influence and geology is the principal terrestrial influence. Together these two factors account for a very large proportion of the variation in average runoff and low-flow characteristics

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

USGS Publications Warehouse

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

2014-01-01

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

Endocrine Gland and Brain Weights of Market Weight Bulls and Steers Representing the Shorthorn Breed and Several Breed Crosses

PubMed Central

Doornenbal, H.

1974-01-01

Thyroid, adrenal, pituitary and brain weights were first determined in 1971 in 492 market weight cattle representing purebred Shorthorns and crosses of “foreign” breeds, Charolais, Simmental and Limousin with Hereford, Angus and Shorthorn. Thyroid weights were also determined in a similar group of 433 cattle the following year. The data were reported on a per 100 kg body weight basis and analyzed within the subgroups of breed of sire, breed of dam and location. The average thyroid weight per 100 kg of body weight for males within subgroups over the two years ranged from 3.99 to 8.71 g, while that for steers ranged from 3.81 to 4.41 g. The average thyroid weight for a group of 18 Limousin sired heifers was 3.71 g. The average adrenal weight per 100 kg of slaughter weight ranged from 3.66 to 4.20 g in the males and from 3.66 to 3.86 g in the steers. Pituitary weight per 100 kg body weight at slaughter ranged from 486-511 mg in bulls and from 469-510 mg in steers. Average brain weight ranged from 85.5 to 97.3 g in males and from 92.2 to 94.1 g in steers. Breed differences existed only for the pituitary gland, with Simmental sired males and steers having heavier glands than Charolais sired males and steers. Sex differences were significant for the thyroid and the brain. Thyroids of males were generally heavier than those of steers, while brains of steers were heavier than those from males. Thyroid, adrenal and brain weights were significantly different between two genetically similar purebred herds of Shorthorns. PMID:4279761

Note: Characterization of the plasma parameters of a capillary discharge-produced plasma channel waveguide to guide an intense laser pulse

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

Higashiguchi, Takeshi; Yugami, Noboru; CREST, Japan Science and Technology Agency, 4-1-8 Honcho, Kanagawa, Saitama 332-0012

2010-04-15

We demonstrated the production of an optical waveguide in a capillary discharge-produced plasma using a cylindrical capillary. Plasma parameters of its waveguide were characterized by use of both a Nomarski laser interferometer and a hydrogen plasma line spectrum. A space-averaged maximum temperature of 3.3 eV with electron densities of the order of 10{sup 17} cm{sup -3} was observed at a discharge time of 150 ns and a maximum discharge current of 400 A. An ultrashort, intense laser pulse was guided by use of this plasma channel.

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

USGS Publications Warehouse

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

1996-01-01

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

The physical phenotype of frailty for risk stratification of older medical inpatients.

PubMed

Forti, P; Maioli, F; Zagni, E; Lucassenn, T; Montanari, L; Maltoni, B; Luca Pirazzoli, G; Bianchi, G; Zoli, M

2014-12-01

To determine the usefulness of physical phenotype of frailty, cognitive impairment, and serum albumin for risk stratification of elderly medical impatients. Prospective, observational cohort study. A general internal medicine unit of a university hospital in Italy. Inpatients with an average age of 80.8 ± 7.5 yr (N = 470). Frailty was defined using the Study of Osteoporotic Fractures Index, a parsimonious version of the physical phenotype (two of the following markers: weight loss, inability to rise five times from a chair, and exhaustion). Two frailty markers from non-physical dimensions were also evaluated: cognitive impairment (Mini-Cog score < 3) and low serum albumin on ward admission (< 3,5 gr/dl). Logistic regression adjusted for preadmission and admission-related confounders was used to investigate whether the physical phenotype of frailty and the two non-physical markers were associated with ward length of stay and unfavorable discharge (death plus any other ward discharge disposition different from direct return home). Areas Under the receiver operating characteristic Curve (AUCs) and Likelihood Ratios (LRs) were used for evaluation of discriminatory ability and clinical usefulness of significant predictors. The physical phenotype of frailty was associated with both study outcomes (p < 0.010) but the association was mainly mediated by chair standing ability. Non-physical markers were associated only with unfavourable discharge (p < 0.001). All of these predictors, either alone or in combination, had poor discriminatory ability (AUCs < 0.70) and poor clinical usefulness (+LRs near 1) for the study outcomes. The physical phenotype of frailty appears of limited clinical use for risk stratification of older medical inpatients. Combination with markers from non-physical dimensions does not improve its prognostic abilities.

Higher Caloric Refeeding Is Safe in Hospitalised Adolescent Patients with Restrictive Eating Disorders

PubMed Central

Parker, Elizabeth K.; Faruquie, Sahrish S.; Anderson, Gail; Gomes, Linette; Kennedy, Andrew; Wearne, Christine M.; Kohn, Michael R.; Clarke, Simon D.

2016-01-01

Introduction. This study examines weight gain and assesses complications associated with refeeding hospitalised adolescents with restrictive eating disorders (EDs) prescribed initial calories above current recommendations. Methods. Patients admitted to an adolescent ED structured “rapid refeeding” program for >48 hours and receiving ≥2400 kcal/day were included in a 3-year retrospective chart review. Results. The mean (SD) age of the 162 adolescents was 16.7 years (0.9), admission % median BMI was 80.1% (10.2), and discharge % median BMI was 93.1% (7.0). The mean (SD) starting caloric intake was 2611.7 kcal/day (261.5) equating to 58.4 kcal/kg (10.2). Most patients (92.6%) were treated with nasogastric tube feeding. The mean (SD) length of stay was 3.6 weeks (1.9), and average weekly weight gain was 2.1 kg (0.8). No patients developed cardiac signs of RFS or delirium; complications included 4% peripheral oedema, 1% hypophosphatemia (<0.75 mmol/L), 7% hypomagnesaemia (<0.70 mmol/L), and 2% hypokalaemia (<3.2 mmol/L). Caloric prescription on admission was associated with developing oedema (95% CI 1.001 to 1.047; p = 0.039). No statistical significance was found between electrolytes and calories provided during refeeding. Conclusion. A rapid refeeding protocol with the inclusion of phosphate supplementation can safely achieve rapid weight restoration without increased complications associated with refeeding syndrome. PMID:27293884

Discrimination against Obese Exercise Clients: An Experimental Study of Personal Trainers.

PubMed

Fontana, Fabio; Bopes, Jonathan; Bendixen, Seth; Speed, Tyler; George, Megan; Mack, Mick

2018-01-01

The aim of the study was to compare exercise recommendations, attitudes, and behaviors of personal trainers toward clients of different weight statuses. Fifty-two personal trainers participated in the study. The data collection was organized into two phases. In phase one, trainers read a profile and watched the video displaying an interview of either an obese or an average-weight client. Profiles and video interviews were identical except for weight status. Then, trainers provided exercise recommendations and rated their attitude toward the client. In phase two, trainers personally met an obese or an average-weight mock client. Measures were duration and number of advices provided by the trainer to a question posed by the client and sitting distance between trainer and client. There were no significant differences in exercise intensity ( p = .94), duration of first session ( p = .65), and total exercise duration of first week ( p = .76) prescribed to the obese and average-weight clients. The attitude of the personal trainers toward the obese client were not significantly different from the attitude of personal trainers toward the average-weight client ( p = .58). The number of advices provided ( p = .49), the duration of the answer ( p = .55), and the distance personal trainers sat from the obese client ( p = .68) were not significantly different from the behaviors displayed toward the average-weight client. Personal trainers did not discriminate against obese clients in professional settings.

Testing the norm to fat talk for women of varying size: what's weight got to do with it?

PubMed

Barwick, Amy; Bazzini, Doris; Martz, Denise; Rocheleau, Courtney; Curtin, Lisa

2012-01-01

"Fat talk" is the conversational phenomenon whereby people berate their bodies in social circles. This study assessed whether norms of fat talk differ for overweight versus average-weight women. Sixty-three women read a script depicting a fat talk situation during which an overweight or average-weight target woman engaged in positive or negative body talk. Regardless of the target's weight, participants perceived it to be more typical and less surprising if she engaged in negative body talk (fat talk) rather than positive body talk. Furthermore, fat talk from either weight group did not affect the likeability of the target, but women, overweight or of average weight, who engaged in positive talk were perceived to have more socially desirable personality characteristics. Copyright © 2011 Elsevier Ltd. All rights reserved.

250-W RF-excited slab CO2 lasers using gold catalyst

NASA Astrophysics Data System (ADS)

Kyun, V. V.; Samorodov, V. G.; Shishkanov, E. F.

2003-11-01

The investigations and constructions of compact RF-excitation CO2 lasers with slab discharge channel geometry and unstable-waveguide resonators are described. The output average power scale up to 260 W from electrode area of 198 cm2 have been obtained in sealed-off mode because use a catalyst effect in discharge volume.

Carcass Production of Cattle Slaughtered at Salatiga City Slaughter House, Salatiga, Central Java, Indonesia

NASA Astrophysics Data System (ADS)

Purbowati, E.; Lestari, C. M. S.; Ma'ruf, M. J.; Sutaryo, S.

2018-02-01

The objective of this study was to evaluate the breed, age, sex, slaughter weight, carcass weight, and carcass percentage of cattle which was slaughtered at Slaughter House in Salatiga, Central Java. The materials used in the study were 156 head of catlle. The sampling used was incidental sampling to identify the breed, age, sex, slaughter weight and carcass weight. The data gathered were analyzed descriptively. The result showed that the sex of all the cattle slaughtered were male. The breeds of the cattle were Frisian Holstein Grade (70.51%), Simmental (15.38+3.21), Simmental-Ongole Grade (5.13%), and Limousine-Ongole Grade (5.77%). The average age of the cattle were 2.34 year old, with an average of slaughter weight of 529.34 kg, while the averages of carcass weight were 277.61 kg. The average of carcass percentage was as high as 52.56%. The conclusion of the study was the highest number of breeds of the cattle slaughtered at Slaughter House in Salatiga were young Frisian Holstein, the body weights were included in large frame score, and the carcass percentage were moderate.

An all-solid-state lithium/polyaniline rechargeable cell

NASA Astrophysics Data System (ADS)

Changzhi, Li; Xinsheng, Peng; Borong, Zhang; Baochen, Wang

The performance of an all-solid-state cell having a lithium negative electrode, a modified polyethylene oxide (PEO)—epoxy resin (ER) electrolyte, and a polyaniline (PAn) positive electrode has been studied using cyclic voltammetry, charge/discharge cycling, and polarization curves at various temperatures. The redox reaction of the PAn electrode at the PAn/modifed PEOER interface exhibits good reversibility. At 50-80 °C, the Li/PEOERLiClO 4/PAn cell shows more than 40 charge/discharge cycles, 90% charge/discharge efficiency, and 54 W h kg -1 discharge energy density (on PAn weight basis) at 50 μA between 2 and 4 V. The polarization performance of the battery improves steadily with increase in temperature.

29 CFR 1910.1047 - Ethylene oxide.

Code of Federal Regulations, 2014 CFR

2014-07-01

... (8)-hour time-weighted average. Assistant Secretary means the Assistant Secretary of Labor for... organic compound with chemical formula C2 H4 O. (c) Permissible exposure limits—(1) 8-hour time weighted... in excess of one (1) part EtO per million parts of air (1 ppm) as an 8-hour time-weighted average (8...

29 CFR 1910.1047 - Ethylene oxide.

Code of Federal Regulations, 2013 CFR

2013-07-01

... (8)-hour time-weighted average. Assistant Secretary means the Assistant Secretary of Labor for... organic compound with chemical formula C2 H4 O. (c) Permissible exposure limits—(1) 8-hour time weighted... in excess of one (1) part EtO per million parts of air (1 ppm) as an 8-hour time-weighted average (8...

29 CFR 1910.1047 - Ethylene oxide.

Code of Federal Regulations, 2012 CFR

2012-07-01

... (8)-hour time-weighted average. Assistant Secretary means the Assistant Secretary of Labor for... organic compound with chemical formula C2 H4 O. (c) Permissible exposure limits—(1) 8-hour time weighted... in excess of one (1) part EtO per million parts of air (1 ppm) as an 8-hour time-weighted average (8...

Estimation of flood discharges at selected annual exceedance probabilities for unregulated, rural streams in Vermont, with a section on Vermont regional skew regression

USGS Publications Warehouse

Olson, Scott A.; with a section by Veilleux, Andrea G.

2014-01-01

This report provides estimates of flood discharges at selected annual exceedance probabilities (AEPs) for streamgages in and adjacent to Vermont and equations for estimating flood discharges at AEPs of 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent (recurrence intervals of 2-, 5-, 10-, 25-, 50-, 100-, 200-, and 500-years, respectively) for ungaged, unregulated, rural streams in Vermont. The equations were developed using generalized least-squares regression. Flood-frequency and drainage-basin characteristics from 145 streamgages were used in developing the equations. The drainage-basin characteristics used as explanatory variables in the regression equations include drainage area, percentage of wetland area, and the basin-wide mean of the average annual precipitation. The average standard errors of prediction for estimating the flood discharges at the 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent AEP with these equations are 34.9, 36.0, 38.7, 42.4, 44.9, 47.3, 50.7, and 55.1 percent, respectively. Flood discharges at selected AEPs for streamgages were computed by using the Expected Moments Algorithm. To improve estimates of the flood discharges for given exceedance probabilities at streamgages in Vermont, a new generalized skew coefficient was developed. The new generalized skew for the region is a constant, 0.44. The mean square error of the generalized skew coefficient is 0.078. This report describes a technique for using results from the regression equations to adjust an AEP discharge computed from a streamgage record. This report also describes a technique for using a drainage-area adjustment to estimate flood discharge at a selected AEP for an ungaged site upstream or downstream from a streamgage. The final regression equations and the flood-discharge frequency data used in this study will be available in StreamStats. StreamStats is a World Wide Web application providing automated regression-equation solutions for user-selected sites on streams.

Effect of hospital nutrition support on growth velocity and nutritional status of low birth weight infants.

PubMed

Azzeh, Firas S; Alazzeh, Awfa Y; Dabbour, Ibrahim R; Jazar, Abdelelah S; Obeidat, Ahmed A

2014-10-01

Infants with low birth weights are provided with hospital nutrition support to enhance their survivability and body weights. However, different hospitals have different nutrition support formulas. Therefore, the effectiveness of these nutrition support formulas should be investigated. To assess the effect of hospital nutrition support on growth velocity and nutritional status of low birth weight infants at Al-Noor hospital, Saudi Arabia. A cross-sectional study was conducted between October, 2010 and December, 2012. Three hundred newborns were recruited from Al-Noor Hospital in Makkah city, Saudi Arabia. Infants were selected according to their birth weights and were divided equally into three groups; (i) Low Birth Weight (LBW) infants (1501- 2500 g birth weight), (ii) Very Low Birth Weight (VLBW) infants (1001-1500 g birth weight) and (iii) Extremely Low Birth Weight (ELBW) infants (< 1000 g birth weight). Data were collected at birth and at discharged. Infants' weights were recorded and growth velocity was calculated. Some biochemical tests and mineral levels were measured. Body mass index values of VLBW and ELBW groups were lower (p < 0.05) than LBW group. The growth velocity of infants in all groups ranged between 8.7 to 10.2 g/kg/d with no differences (p > 0.05) were observed among groups. Serum calcium, phosphorus and potassium levels at discharge were higher (p < 0.05) than that at birth for ELBW and VLBW groups; while sodium level decreased in ELBW group to be within normal ranges. Albumin level was improved (p < 0.05) in ELBW group. Health care management for low birth weight infants in Al-Noor Hospital was not sufficient to achieve normal growth rate for low birth weight infants, while biochemical indicators were remarkably improved in all groups. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

Effect of interstitial fluid on the fraction of flow microstates that precede clogging in granular hoppers

NASA Astrophysics Data System (ADS)

Koivisto, Juha; Durian, Douglas J.

2017-03-01

We report on the nature of flow events for the gravity-driven discharge of glass beads through a hole that is small enough that the hopper is susceptible to clogging. In particular, we measure the average and standard deviation of the distribution of discharged masses as a function of both hole and grain sizes. We do so in air, which is usual, but also with the system entirely submerged under water. This damps the grain dynamics and could be expected to dramatically affect the distribution of the flow events, which are described in prior work as avalanche-like. Though the flow is slower and the events last longer, we find that the average discharge mass is only slightly reduced for submerged grains. Furthermore, we find that the shape of the distribution remains exponential, implying that clogging is still a Poisson process even for immersed grains. Per Thomas and Durian [Phys. Rev. Lett. 114, 178001 (2015), 10.1103/PhysRevLett.114.178001], this allows for an interpretation of the average discharge mass in terms of the fraction of flow microstates that precede, i.e., that effectively cause, a stable clog to form. Since this fraction is barely altered by water, we conclude that the crucial microscopic variables are the grain positions; grain momenta play only a secondary role in destabilizing weak incipient arches. These insights should aid ongoing efforts to understand the susceptibility of granular hoppers to clogging.

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

USGS Publications Warehouse

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

1986-01-01

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

Positive effect of human milk feeding during NICU hospitalization on 24 month neurodevelopment of very low birth weight infants: an Italian cohort study.

PubMed

Gibertoni, Dino; Corvaglia, Luigi; Vandini, Silvia; Rucci, Paola; Savini, Silvia; Alessandroni, Rosina; Sansavini, Alessandra; Fantini, Maria Pia; Faldella, Giacomo

2015-01-01

The aim of this study was to determine the effect of human milk feeding during NICU hospitalization on neurodevelopment at 24 months of corrected age in very low birth weight infants. A cohort of 316 very low birth weight newborns (weight ≤ 1500 g) was prospectively enrolled in a follow-up program on admission to the Neonatal Intensive Care Unit of S. Orsola Hospital, Bologna, Italy, from January 2005 to June 2011. Neurodevelopment was evaluated at 24 months corrected age using the Griffiths Mental Development Scale. The effect of human milk nutrition on neurodevelopment was first investigated using a multiple linear regression model, to adjust for the effects of gestational age, small for gestational age, complications at birth and during hospitalization, growth restriction at discharge and socio-economic status. Path analysis was then used to refine the multiple regression model, taking into account the relationships among predictors and their temporal sequence. Human milk feeding during NICU hospitalization and higher socio-economic status were associated with better neurodevelopment at 24 months in both models. In the path analysis model intraventricular hemorrhage-periventricular leukomalacia and growth restriction at discharge proved to be directly and independently associated with poorer neurodevelopment. Gestational age and growth restriction at birth had indirect significant effects on neurodevelopment, which were mediated by complications that occurred at birth and during hospitalization, growth restriction at discharge and type of feeding. In conclusion, our findings suggest that mother's human milk feeding during hospitalization can be encouraged because it may improve neurodevelopment at 24 months corrected age.

Minimum reaction network necessary to describe Ar/CF4 plasma etch

NASA Astrophysics Data System (ADS)

Helpert, Sofia; Chopra, Meghali; Bonnecaze, Roger T.

2018-03-01

Predicting the etch and deposition profiles created using plasma processes is challenging due to the complexity of plasma discharges and plasma-surface interactions. Volume-averaged global models allow for efficient prediction of important processing parameters and provide a means to quickly determine the effect of a variety of process inputs on the plasma discharge. However, global models are limited based on simplifying assumptions to describe the chemical reaction network. Here a database of 128 reactions is compiled and their corresponding rate constants collected from 24 sources for an Ar/CF4 plasma using the platform RODEo (Recipe Optimization for Deposition and Etching). Six different reaction sets were tested which employed anywhere from 12 to all 128 reactions to evaluate the impact of the reaction database on particle species densities and electron temperature. Because many the reactions used in our database had conflicting rate constants as reported in literature, we also present a method to deal with those uncertainties when constructing the model which includes weighting each reaction rate and filtering outliers. By analyzing the link between a reaction's rate constant and its impact on the predicted plasma densities and electron temperatures, we determine the conditions at which a reaction is deemed necessary to the plasma model. The results of this study provide a foundation for determining which minimal set of reactions must be included in the reaction set of the plasma model.

Benchmarking wide swath altimetry-based river discharge estimation algorithms for the Ganges river system

NASA Astrophysics Data System (ADS)

Bonnema, Matthew G.; Sikder, Safat; Hossain, Faisal; Durand, Michael; Gleason, Colin J.; Bjerklie, David M.

2016-04-01

The objective of this study is to compare the effectiveness of three algorithms that estimate discharge from remotely sensed observables (river width, water surface height, and water surface slope) in anticipation of the forthcoming NASA/CNES Surface Water and Ocean Topography (SWOT) mission. SWOT promises to provide these measurements simultaneously, and the river discharge algorithms included here are designed to work with these data. Two algorithms were built around Manning's equation, the Metropolis Manning (MetroMan) method, and the Mean Flow and Geomorphology (MFG) method, and one approach uses hydraulic geometry to estimate discharge, the at-many-stations hydraulic geometry (AMHG) method. A well-calibrated and ground-truthed hydrodynamic model of the Ganges river system (HEC-RAS) was used as reference for three rivers from the Ganges River Delta: the main stem of Ganges, the Arial-Khan, and the Mohananda Rivers. The high seasonal variability of these rivers due to the Monsoon presented a unique opportunity to thoroughly assess the discharge algorithms in light of typical monsoon regime rivers. It was found that the MFG method provides the most accurate discharge estimations in most cases, with an average relative root-mean-squared error (RRMSE) across all three reaches of 35.5%. It is followed closely by the Metropolis Manning algorithm, with an average RRMSE of 51.5%. However, the MFG method's reliance on knowledge of prior river discharge limits its application on ungauged rivers. In terms of input data requirement at ungauged regions with no prior records, the Metropolis Manning algorithm provides a more practical alternative over a region that is lacking in historical observations as the algorithm requires less ancillary data. The AMHG algorithm, while requiring the least prior river data, provided the least accurate discharge measurements with an average wet and dry season RRMSE of 79.8% and 119.1%, respectively, across all rivers studied. This poor performance is directly traced to poor estimation of AMHG via a remotely sensed proxy, and results improve commensurate with MFG and MetroMan when prior AMHG information is given to the method. Therefore, we cannot recommend use of AMHG without inclusion of this prior information, at least for the studied rivers. The dry season discharge (within-bank flow) was captured well by all methods, while the wet season (floodplain flow) appeared more challenging. The picture that emerges from this study is that a multialgorithm approach may be appropriate during flood inundation periods in Ganges Delta.

A Geochemical and Geophysical Assessment of Coastal Groundwater Discharge at Select Sites in Maui and O’ahu, Hawai’i

USGS Publications Warehouse

Swarzenski, Peter W.; Storlazzi, Curt; M.L. Dalier,; C.R. Glenn,; C.G. Smith,

2015-01-01

Based on the submarine groundwater discharge tracer 222Rn, coastal groundwater discharge rates ranged from about 22–50 cm per day at Kahekili, a site in the Ka’anapali region north of Lahaina in west Maui, while at Black Point in Maunalua Bay along southern O’ahu, coastal groundwater discharge rates ranged up to 700 cm per day, although the mean discharge rate at this site was 60 cm per day. The water chemistry of the discharging groundwater can be dramatically different than ambient seawater at both coastal sites. For example, at Kahekili the average concentrations of dissolved inorganic nitrogen (DIN), dissolved silicate (DSi) and total dissolved phosphorus (TDP) were roughly 188-, 36-, and 106-times higher in the discharging groundwater relative to ambient seawater, respectively. Such data extend our basic understanding of the physical controls on coastal groundwater discharge and provide an estimate of the magnitude and physical forcings of submarine groundwater discharge and associated trace metal and nutrient loads conveyed by this submarine route.

Effectiveness of the Neonatal Discharge Program for Very Low-Birth-Weight Infants on Parental Efficacy and Psychological Distress.

PubMed

Shandra Bos, Lakshmi; Shorey, Shefaly; Kulantaipian, Tamill Salvee; Sng, Jane S P; Tam, Wilson W S; Koh, Serena S L

2018-05-17

This pilot study aimed to (i) evaluate the effectiveness of a neonatal discharge program, (ii) identify relationships between parent and infant factors and parental efficacy and psychological distress, and (iii) identify ways to improve the neonatal discharge program. A quasiexperimental 1-group pretest/posttest design was used. Through consecutive sampling, 42 participants were recruited. Data were collected using self-report questionnaires. Self-administering instruments gathered data on parental efficacy and psychological distress as well as feedback and recommendations on the intervention. A significant increase in parental efficacy and a reduction in psychological distress were observed from pre- to postdischarge intervention. Significant relationships were found between parental efficacy and infants' gestational age, birth weight, gender, and participants' level of education, and a significant relationship was found between psychological distress and number of children from previous pregnancies. Moreover, an Internet-based program, in addition to the face-to-face teaching, was identified as a preferred option to aid in information retention. It is important to evaluate and enhance the neonatal discharge program to suit the parents of today while providing them with informational and emotional support. Future studies should explore parental coping and the long-term effects of their infant's birth and the intervention.

Phrenic and intercostal nerves with rhythmic discharge can promote early nerve regeneration after brachial plexus repair in rats.

PubMed

Rui, Jing; Xu, Ya-Li; Zhao, Xin; Li, Ji-Feng; Gu, Yu-Dong; Lao, Jie

2018-05-01

Exogenous discharge can positively promote nerve repair. We, therefore, hypothesized that endogenous discharges may have similar effects. The phrenic nerve and intercostal nerve, controlled by the respiratory center, can emit regular nerve impulses; therefore these endogenous automatically discharging nerves might promote nerve regeneration. Action potential discharge patterns were examined in the diaphragm, external intercostal and latissimus dorsi muscles of rats. The phrenic and intercostal nerves showed rhythmic clusters of discharge, which were consistent with breathing frequency. From the first to the third intercostal nerves, spontaneous discharge amplitude was gradually increased. There was no obvious rhythmic discharge in the thoracodorsal nerve. Four animal groups were performed in rats as the musculocutaneous nerve cut and repaired was bland control. The other three groups were followed by a side-to-side anastomosis with the phrenic nerve, intercostal nerve and thoracodorsal nerve. Compound muscle action potentials in the biceps muscle innervated by the musculocutaneous nerve were recorded with electrodes. The tetanic forces of ipsilateral and contralateral biceps muscles were detected by a force displacement transducer. Wet muscle weight recovery rate was measured and pathological changes were observed using hematoxylin-eosin staining. The number of nerve fibers was observed using toluidine blue staining and changes in nerve ultrastructure were observed using transmission electron microscopy. The compound muscle action potential amplitude was significantly higher at 1 month after surgery in phrenic and intercostal nerve groups compared with the thoracodorsal nerve and blank control groups. The recovery rate of tetanic tension and wet weight of the right biceps were significantly lower at 2 months after surgery in the phrenic nerve, intercostal nerve, and thoracodorsal nerve groups compared with the negative control group. The number of myelinated axons distal to the coaptation site of the musculocutaneous nerve at 1 month after surgery was significantly higher in phrenic and intercostal nerve groups than in thoracodorsal nerve and negative control groups. These results indicate that endogenous autonomic discharge from phrenic and intercostal nerves can promote nerve regeneration in early stages after brachial plexus injury.

The apparent breastfeeding paradox in very preterm infants: relationship between breast feeding, early weight gain and neurodevelopment based on results from two cohorts, EPIPAGE and LIFT

PubMed Central

Darmaun, Dominique; Boquien, Clair-Yves; Flamant, Cyril; Picaud, Jean-Charles; Savagner, Christophe; Claris, Olivier; Lapillonne, Alexandre; Mitanchez, Delphine; Branger, Bernard; Simeoni, Umberto; Kaminski, Monique; Ancel, Pierre-Yves

2012-01-01

Context Supplementation of breast milk is difficult once infants suckle the breast and is often discontinued at end of hospitalisation and after discharge. Thus, breastfed preterm infants are exposed to an increased risk of nutritional deficit with a possible consequence on neurodevelopmental outcome. Objective To assess the relationship between breast feeding at time of discharge, weight gain during hospitalisation and neurodevelopmental outcome. Design Observational cohort study. Setting Two large, independent population-based cohorts of very preterm infants: the Loire Infant Follow-up Team (LIFT) and the EPIPAGE cohorts. Patients 2925 very preterm infants alive at discharge. Main outcome measure Suboptimal neurodevelopmental outcome, defined as a score in the lower tercile, using Age and Stages Questionnaire at 2 years in LIFT and Kaufman Assessment Battery for Children Test at 5 years in EPIPAGE. Two propensity scores for breast feeding at discharge, one for each cohort, were used to reduce bias. Results Breast feeding at time of discharge concerned only 278/1733 (16%) infants in LIFT and 409/2163 (19%) infants in EPIPAGE cohort. Breast feeding is significantly associated with an increased risk of losing one weight Z-score during hospitalisation (LIFT: n=1463, adjusted odd ratio (aOR)=2.51 (95% CI 1.87 to 3.36); EPIPAGE: n=1417, aOR=1.55 (95% CI 1.14 to 2.12)) and with a decreased risk for a suboptimal neurodevelopmental assessment (LIFT: n=1463, aOR=0.63 (95% CI 0.45 to 0.87); EPIPAGE: n=1441, aOR=0.65 (95% CI 0.47 to 0.89) and an increased chance of having a head circumference Z-score higher than 0.5 at 2 years in LIFT cohort (n=1276, aOR=1.43 (95% CI 1.02 to 2.02)) and at 5 years in EPIPAGE cohort (n=1412, aOR=1.47 (95% CI 1.10 to 1.95)). Conclusions The observed better neurodevelopment in spite of suboptimal initial weight gain could be termed the ‘apparent breastfeeding paradox’ in very preterm infants. Regardless of the mechanisms involved, the current data provide encouragement for the use of breast feeding in preterm infants. PMID:22492388

Application of a Taxonomical Structure for Classifying Goods Procured by the Federal Government

DTIC Science & Technology

1991-12-01

between all pairs of objects. Also called a "tree" or "phenogram". "• UPGMA Clustering Method- (Un--weighted pair-group method using weighted averages...clustering arrangement, specifically, the unweighted pair-group method using arithmetic averages ( UPGMA ) (more commonly known as the 49 average linkage method

The Weighted-Average Lagged Ensemble.

PubMed

DelSole, T; Trenary, L; Tippett, M K

2017-11-01

A lagged ensemble is an ensemble of forecasts from the same model initialized at different times but verifying at the same time. The skill of a lagged ensemble mean can be improved by assigning weights to different forecasts in such a way as to maximize skill. If the forecasts are bias corrected, then an unbiased weighted lagged ensemble requires the weights to sum to one. Such a scheme is called a weighted-average lagged ensemble. In the limit of uncorrelated errors, the optimal weights are positive and decay monotonically with lead time, so that the least skillful forecasts have the least weight. In more realistic applications, the optimal weights do not always behave this way. This paper presents a series of analytic examples designed to illuminate conditions under which the weights of an optimal weighted-average lagged ensemble become negative or depend nonmonotonically on lead time. It is shown that negative weights are most likely to occur when the errors grow rapidly and are highly correlated across lead time. The weights are most likely to behave nonmonotonically when the mean square error is approximately constant over the range forecasts included in the lagged ensemble. An extreme example of the latter behavior is presented in which the optimal weights vanish everywhere except at the shortest and longest lead times.

A Streamflow Statistics (StreamStats) Web Application for Ohio

USGS Publications Warehouse

Koltun, G.F.; Kula, Stephanie P.; Puskas, Barry M.

2006-01-01

A StreamStats Web application was developed for Ohio that implements equations for estimating a variety of streamflow statistics including the 2-, 5-, 10-, 25-, 50-, 100-, and 500-year peak streamflows, mean annual streamflow, mean monthly streamflows, harmonic mean streamflow, and 25th-, 50th-, and 75th-percentile streamflows. StreamStats is a Web-based geographic information system application designed to facilitate the estimation of streamflow statistics at ungaged locations on streams. StreamStats can also serve precomputed streamflow statistics determined from streamflow-gaging station data. The basic structure, use, and limitations of StreamStats are described in this report. To facilitate the level of automation required for Ohio's StreamStats application, the technique used by Koltun (2003)1 for computing main-channel slope was replaced with a new computationally robust technique. The new channel-slope characteristic, referred to as SL10-85, differed from the National Hydrography Data based channel slope values (SL) reported by Koltun (2003)1 by an average of -28.3 percent, with the median change being -13.2 percent. In spite of the differences, the two slope measures are strongly correlated. The change in channel slope values resulting from the change in computational method necessitated revision of the full-model equations for flood-peak discharges originally presented by Koltun (2003)1. Average standard errors of prediction for the revised full-model equations presented in this report increased by a small amount over those reported by Koltun (2003)1, with increases ranging from 0.7 to 0.9 percent. Mean percentage changes in the revised regression and weighted flood-frequency estimates relative to regression and weighted estimates reported by Koltun (2003)1 were small, ranging from -0.72 to -0.25 percent and -0.22 to 0.07 percent, respectively.

Characterization, treatment and releases of PBDEs and PAHs in a typical municipal sewage treatment plant situated beside an urban river, East China.

PubMed

Wang, Xiaowei; Xi, Beidou; Huo, Shouliang; Sun, Wenjun; Pan, Hongwei; Zhang, Jingtian; Ren, Yuqing; Liu, Hongliang

2013-07-01

Characterization, treatment and releases of eight polybrominated diphenyl ethers (PBDEs) congeners and sixteen polycyclic aromatic hydrocarbons (PAHs) in wastewater were evaluated along the treatment processes of a typical secondary treatment municipal sewage treatment plant (STP) (in Hefei City) situated the beside Nanfei River, East China. The findings showed that the average concentrations of the total PBDEs in raw wastewater and treated effluent were 188.578 and 36.884 ng/L respectively. Brominated diphenyl ether (BDE) 209 congener, the predominant PBDE in the STP and Nanfei River, could be related to the discharge of car-industry-derived wastes. For PAHs, the average concentrations in raw wastewater and treated effluent were 5758.8 and 2240.4 ng/L respectively, with naphthalene, benzo[a]pyrene and indeno[1,2,3-c,d]pyrene being detected at the highest concentrations. PAHs mainly originate from the combustion of biomass/coal and petroleum. The STP reduced about 80% of the PBDEs and 61% of the PAHs, which were eliminated mainly by sedimentation processes. The removal rates of PBDEs/PAHs increased with the increase of their solid-water partitioning coefficients. Accordingly, the STP's effluent, containing some PBDE congeners (e.g., BDE 47, 99 and 209, etc.) and low-molecular-weight PAHs, could be an important contributor of these contaminants' input to Nanfei River. It resulted in a significant increase of PBDE/PAH concentrations and PAH toxicological risk in the river water downstream. About 4.040 kg/yr of PBDEs and 245.324 kg/yr of PAHs could be released into the Nanfei River. The current conventional wastewater treatment processes should be improved to remove the relatively low-molecular-weight PBDEs/PAHs more effectively.

Root length of aquatic plant, Lemna minor L., as an optimal toxicity endpoint for biomonitoring of mining effluents.

PubMed

Gopalapillai, Yamini; Vigneault, Bernard; Hale, Beverley A

2014-10-01

Lemna minor, a free-floating macrophyte, is used for biomonitoring of mine effluent quality under the Metal Mining Effluent Regulations (MMER) of the Environmental Effects Monitoring (EEM) program in Canada and is known to be sensitive to trace metals commonly discharged in mine effluents such as Ni. Environment Canada's standard toxicity testing protocol recommends frond count (FC) and dry weight (DW) as the 2 required toxicity endpoints-this is similar to other major protocols such as those by the US Environmental Protection Agency (USEPA) and the Organisation for Economic Co-operation and Development (OECD)-that both require frond growth or biomass endpoints. However, we suggest that similar to terrestrial plants, average root length (RL) of aquatic plants will be an optimal and relevant endpoint. As expected, results demonstrate that RL is the ideal endpoint based on the 3 criteria: accuracy (i.e., toxicological sensitivity to contaminant), precision (i.e., lowest variance), and ecological relevance (metal mining effluents). Roots are known to play a major role in nutrient uptake in conditions of low nutrient conditions-thus having ecological relevance to freshwater from mining regions. Root length was the most sensitive and precise endpoint in this study where water chemistry varied greatly (pH and varying concentrations of Ca, Mg, Na, K, dissolved organic carbon, and an anthropogenic organic contaminant, sodium isopropyl xanthates) to match mining effluent ranges. Although frond count was a close second, dry weight proved to be an unreliable endpoint. We conclude that toxicity testing for the floating macrophyte should require average RL measurement as a primary endpoint. © 2014 SETAC.

Associations between body weight and depression, social phobia, insomnia, and self-esteem among Taiwanese adolescents.

PubMed

Lee, Jia-In; Yen, Cheng-Fang

2014-12-01

The aims of this cross-sectional study were to examine the associations between body weight and mental health indicators including depression, social phobia, insomnia, and self-esteem among Taiwanese adolescents in Grades 7-12. The body mass index (BMI) of 5254 adolescents was calculated based on self-reported weight and height measurements. Body weight status was determined by the age- and gender-specific International Obesity Task Force reference tables. By using participants of average weight as the reference group, the association between body weight status (underweight, overweight, and obesity) and mental health indicators (depression, social phobia, insomnia, and self-esteem) were examined by using multiple regression analysis. The possible moderating effects of sociodemographic characteristics on the association were also examined. After controlling for the effects of sociodemographic characteristics, both overweight (p < 0.05) and obese adolescents (p < 0.001) had a lower level of self-esteem than did those of average weight; however, no significant differences in depression, social phobia, or insomnia were found between those who were overweight/obese and those of average weight. No significant differences in the four mental health indicators were found between those who were underweight and those of average weight. Sociodemographic characteristics had no moderating effect on the association between body weight and mental health indicators. In conclusion, mental health and school professionals must take the association between overweight/obesity and self-esteem into consideration when approaching the issue of mental health among adolescents. Copyright © 2014. Published by Elsevier Taiwan.

[Peruvian newborn fetal growth according to its sex, geographical area, and maternal parity and height].

PubMed

Rendón, Manuel Ticona; Apaza, Diana Huanco

2008-09-01

Birth weight is the most important indicator of fetal growth, fetal development, and nutritional estate of newborn, and several factors affect it. To know the fetal growth of Peruvian newborns according to fetal sex, maternal parity and height, and geographical area. Prospective and cross sectional study. Successive newborn data of 29 hospitals of Ministerio de Salud del Peru was obtained during 2005 year, all of them without intrauterine growth delay. Student ttest was used to compare: male and female, primiparous and multiparous, and coast, mountain, and rainforest newborn average weight (meaningful difference: p < 0.05). Maternal height was related to newborn weight, height, cephalic perimeter, and gestational age. From 50,568 selected alive newborns, male had an average weight from 19 to 41 g higher than female, and multiparous newborns had from 22 to 53 g more than primiparous newborns. Maternal height has a direct connection with newborn weight, height, and cephalic perimeter. Coast newborns had an average weight from 133 to 210 g higher than those from mountain, and from 76 to 142 g higher than those from rainforest; average weight of rainforest newborns was from 19 to 83 g higher to those from mountain. Weight differences due to fetal sex, maternal parity and height, and geographic region were meaningful among 36 to 42 weeks of gestation. Fetal sex, maternal parity and height, and geographical region affect newborn weight. It is recommended to use weight and gestational age as correction factors to appropriately classify Peruvian newborns.

Mitigating the Problem of Unmeasured Outcomes in Quality Reports

PubMed Central

Glazer, Jacob; McGuire, Thomas; Normand, Sharon-Lise T.

2009-01-01

Quality reports or profiles of health care providers are inevitably based on only a measurable subset of the “outputs” of the organization. Hospitals, for example, are being profiled on their mortality in the cardiac area but not in some other areas where mortality does not seem to be the appropriate measure of quality. If inputs used for outputs included in the profile also affect outputs outside the scope of the profile, it can be taken into account in constructing a profile of the measured outputs. This paper presents a theory for how such a commonality in production should be taken into account in designing a profile for a hospital or other health care provider. We distinguish between “conventional” weights in a quality profile, and “optimal” weights that take into account a commonality in the production process. The basic idea is to increase the weights on discharges for which output is measured that use inputs that are important to other discharges whose outputs are not included in the profile. PMID:20490360

Relation between ground water and surface water in Brandywine Creek basin, Pennsylvania

USGS Publications Warehouse

Olmsted, F.H.; Hely, A.G.

1962-01-01

The relation between ground water and surface water was studied in Brandywine Creek basin, an area of 287 square miles in the Piedmont physiographic province in southeastern Pennsylvania. Most of the basin is underlain by crystalline rocks that yield only small to moderate supplies of water to wells, but the creek has an unusually well-sustained base flow. Streamflow records for the Chadds Ford, Pa., gaging station were analyzed; base flow recession curves and hydrographs of base flow were defined for the calendar years 1928-31 and 1952-53. Water budgets calculated for these two periods indicate that about two-thirds of the runoff of Brandywine Creek is base flow--a significantly higher proportion of base flow than in streams draining most other types of consolidated rocks in the region and almost as high as in streams in sandy parts of the Coastal Plain province in New Jersey and Delaware. Ground-water levels in 16 observation wells were compared with the base flow of the creek for 1952-53. The wells are assumed to provide a reasonably good sample of average fluctuations of the water table and its depth below the land surface. Three of the wells having the most suitable records were selected as index wells to use in a more detailed analysis. A direct, linear relation between the monthly average ground-water stage in the index wells and the base flow of the creek in winter months was found. The average ground-water discharge in the basin for 1952-53 was 489 cfs (316 mgd), of which slightly less than one-fourth was estimated to be loss by evapotranspiration. However, the estimated evapotranspiration from ground water, and consequently the estimated total ground-water discharge, may be somewhat high. The average gravity yield (short-term coefficient of storage) of the zone of water-table fluctuation was calculated by two methods. The first method, based on the ratio of change in ground-water storage as calculated from a witner base-flow recession curve is seasonal change in ground-water stage in the observation wells, gave values of about 7 percent using 16 wells) and 7 1/2 percent (using 3 index wells). The second method, in which the change in ground water storage is based on a hypothetical base-flow recession curve (derived from the observed linear relation between ground-water stage in the index wells and base flow), gave a value of about 10 1/2 percent. The most probable value of gravity yield is between 7 1/2 and 10 percent, but this estimate may require modification when more information on the average magnitude of water-table fluctuation and the sources of base flow of the creek become available. Rough estimates were made of the average coefficient of transmissibility of the rocks in the basin by use of the estimated total ground-water discharge for the period 1952-53, approximate values of length of discharge areas, and average water-table gradients adjacent to the discharge areas. The estimated average coefficient of transmissibility for 1952-53 is roughly 1,000 gpd per foot. The transmissibility is variable, decreasing with decreasing ground-water stage. The seeming inconsistency between the small to moderate ground-water yield to wells and the high yield to streams is explained in terms of the deep permeable soils, the relatively high gravity yield of the zone of water-table fluctuation, the steep water-table gradients toward the streams, the relatively low transmissibility of the rocks, and the rapid decreases in gravity yield below the lower limit of water-table fluctuation. It is concluded that no simple relation exists between the amount of natural ground-water discharge in an area and all the proportion of this discharge that can be diverted to wells.

Depression, anxiety and obsessive-compulsive symptoms in relation to nutritional status and outcome in severe anorexia nervosa.

PubMed

Mattar, Lama; Thiébaud, Marie-Raphaele; Huas, Caroline; Cebula, Christelle; Godart, Nathalie

2012-12-30

Depression, anxiety and obsessive-compulsive disorder are frequently reported to co-occur with anorexia nervosa (AN). There is clinical consensus that depressive symptoms and anxiety may in part be sequelae of malnutrition in AN. However, evidence-based data are still very rare. The present study among severe AN patients investigates links between these psychological variants and nutritional status at admission and subsequent to nutritional rehabilitation. Twenty-four women with AN diagnosed according to the Diagnostic and Statistical Manual IV (DSM-IV) were included prospectively and consecutively at hospitalisation. Nutritional status was assessed by body mass index (BMI). Several psychological aspects were assessed using various scales for depression, anxiety, social phobia, obsessive and eating behaviour symptoms. Follow-up weights and heights at 4-12 years after hospital discharge were measured in 18 patients. BMI and all the scores except the Yale-Brown obsessive-compulsive scale (Y-BOCS) showed significant improvement between admission and discharge. This study highlights the fact that some of the depressive and anxiety symptoms at least partially decrease with nutrition rehabilitation. The improvement in the scores on the psychometric scales between admission and discharge was not correlated with BMI improvement. Psychometric scores at admission and at discharge were not correlated with BMI at follow-up. BMI at follow-up was correlated with minimum lifetime BMI (r=0.486, P=0.04). Future studies should use a better indicator for nutritional status than BMI alone, and should also consider the initial degree of weight loss and the rate at which weight was lost. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Review of medical discharge summaries and medical documentation in a metropolitan hospital: impact on diagnostic-related groups and Weighted Inlier Equivalent Separation.

PubMed

Chin, N; Perera, P; Roberts, A; Nagappan, R

2013-07-01

Accurate and comprehensive clinical documentation is crucial for effective ongoing patient care, follow up and to optimise case mix-based funding. Each Diagnostic Related Group (DRG) is assigned a 'weight', leading to Weighted Inlier Equivalent Separation (WIES), a system many public and private hospitals in Australia subscribe to. To identify the top DRG in a general medical inpatient service, the completeness of medical discharge documentation, commonly missed comorbidities and system-related issues and subsequent impact on DRG and WIES allocation. One hundred and fifty completed discharge summaries were randomly selected from the top 10 medical DRG in our health service. From a detailed review of the clinical documentation, principal diagnoses, associated comorbidities and complications, where appropriate, the DRG and WIES were modified. Seventy-two (48%) of the 150 reviewed admissions resulted in a revision of DRG and WIES equivalent to an increase of AUD 142,000. Respiratory-based DRG generated the largest revision of DRG and WIES, while 'Cellulitis' DRG had the largest relative change. Twenty-seven per cent of summaries reviewed necessitated a change in coding with no subsequent change in DRG allocation or WIES. Acute renal failure, anaemia and electrolyte disturbances were the most commonly underrepresented entities in clinical discharge documentation. Seven patients had their WIES downgraded. Comprehensive documentation of principal diagnosis/diagnoses, comorbidities and their complications is imperative to optimal DRG and WIES allocation. Regular meetings between clinical and coding staff improve the quality and timeliness of medical documentation, ensure adequate communication with general practitioners and lead to appropriate funding. © 2013 The Authors; Internal Medicine Journal © 2013 Royal Australasian College of Physicians.

Geriatric Syndromes in Hospitalized Older Adults Discharged to Skilled Nursing Facilities

PubMed Central

Bell, Susan P.; Vasilevskis, Eduard E.; Saraf, Avantika A.; Jacobsen, J. Mary Lou; Kripalani, Sunil; Mixon, Amanda S.; Schnelle, John F.; Simmons, Sandra F.

2016-01-01

Background Geriatric syndromes are common in older adults and associated with adverse outcomes. The prevalence, recognition, co-occurrence and recent onset of geriatric syndromes in patients transferred from hospital to skilled nursing facilities (SNFs) are largely unknown. Design Quality improvement project. Setting Acute care academic medical center and 23 regional partner SNFs. Participants 686 Medicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs. Measurements Nine geriatric syndromes were measured by project staff -- weight loss, decreased appetite, incontinence and pain (standardized interview), depression (Geriatric Depression Scale), delirium (Brief-Confusion Assessment Method), cognitive impairment (Brief Interview for Mental Status), falls and pressure ulcers (hospital medical record utilizing hospital-implemented screening tools). Estimated prevalence, new-onset prevalence and common coexisting clusters were determined. The extent that syndromes were commonly recognized by treating physicians and communicated to SNFs in hospital discharge documentation was evaluated. Results Geriatric syndromes were prevalent in more than 90% of hospitalized adults referred to SNFs; 55% met criteria for 3 or more co-existing syndromes. Overall the most prevalent syndromes were falls (39%), incontinence (39%), decreased appetite (37%) and weight loss (33%). Of individuals that met criteria for 3 or more syndromes, the most common triad clusters included nutritional syndromes (weight loss, loss of appetite), incontinence and depression. Treating hospital physicians commonly did not recognize and document geriatric syndromes in discharge summaries, missing 33–95% of syndromes present as assessed by research personnel. Conclusion Geriatric syndromes in hospitalized older adults transferred to SNF are prevalent and commonly co-exist with the most frequent clusters including nutritional syndromes, depression and incontinence. Despite the high prevalence, this clinical information is rarely communicated to the SNF on discharge. PMID:27059831

Geriatric Syndromes in Hospitalized Older Adults Discharged to Skilled Nursing Facilities.

PubMed

Bell, Susan P; Vasilevskis, Eduard E; Saraf, Avantika A; Jacobsen, J M L; Kripalani, Sunil; Mixon, Amanda S; Schnelle, John F; Simmons, Sandra F

2016-04-01

To determine the prevalence, recognition, co-occurrence, and recent onset of geriatric syndromes in individuals transferred from the hospital to a skilled nursing facility (SNF). Quality improvement project. Acute care academic medical center and 23 regional partner SNFs. Medicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs (N = 686). Project staff measured nine geriatric syndromes: weight loss, lack of appetite, incontinence, and pain (standardized interview); depression (Geriatric Depression Scale); delirium (Brief Confusion Assessment Method); cognitive impairment (Brief Interview for Mental Status); and falls and pressure ulcers (hospital medical record using hospital-implemented screening tools). Estimated prevalence, new-onset prevalence, and common coexisting clusters were determined. The extent to which treating physicians commonly recognized syndromes and communicated them to SNFs in hospital discharge documentation was evaluated. Geriatric syndromes were prevalent in more than 90% of hospitalized adults referred to SNFs; 55% met criteria for three or more coexisting syndromes. The most-prevalent syndromes were falls (39%), incontinence (39%), loss of appetite (37%), and weight loss (33%). In individuals who met criteria for three or more syndromes, the most common triad clusters were nutritional syndromes (weight loss, loss of appetite), incontinence, and depression. Treating hospital physicians commonly did not recognize and document geriatric syndromes in discharge summaries, missing 33% to 95% of syndromes present according to research personnel. Geriatric syndromes in hospitalized older adults transferred to SNFs are prevalent and commonly coexist, with the most frequent clusters including nutritional syndromes, depression, and incontinence. Despite the high prevalence, this clinical information is rarely communicated to SNFs on discharge. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

Growth in VLBW infants fed predominantly fortified maternal and donor human milk diets: a retrospective cohort study

PubMed Central

2012-01-01

Background To determine the effect of human milk, maternal and donor, on in-hospital growth of very low birthweight (VLBW) infants. We performed a retrospective cohort study comparing in-hospital growth in VLBW infants by proportion of human milk diet, including subgroup analysis by maternal or donor milk type. Primary outcome was change in weight z-score from birth to hospital discharge. Methods Retrospective cohort study. Results 171 infants with median gestational age 27 weeks (IQR 25.4, 28.9) and median birthweight 899 g (IQR 724, 1064) were included. 97% of infants received human milk, 51% received > 75% of all enteral intake as human milk. 16% of infants were small-for-gestational age (SGA, < 10th percentile) at birth, and 34% of infants were SGA at discharge. Infants fed >75% human milk had a greater negative change in weight z-score from birth to discharge compared to infants receiving < 75% (−0.6 vs, -0.4, p = 0.03). Protein and caloric supplementation beyond standard human milk fortifier was related to human milk intake (p = 0.04). Among infants receiving > 75% human milk, there was no significant difference in change in weight z-score by milk type (donor −0.84, maternal −0.56, mixed −0.45, p = 0.54). Infants receiving >75% donor milk had higher rates of SGA status at discharge than those fed maternal or mixed milk (56% vs. 35% (maternal), 21% (mixed), p = 0.08). Conclusions VLBW infants can grow appropriately when fed predominantly fortified human milk. However, VLBW infants fed >75% human milk are at greater risk of poor growth than those fed less human milk. This risk may be highest in those fed predominantly donor human milk. PMID:22900590

The impact of using weight estimated from mammographic images vs. self-reported weight on breast cancer risk calculation

NASA Astrophysics Data System (ADS)

Nair, Kalyani P.; Harkness, Elaine F.; Gadde, Soujanye; Lim, Yit Y.; Maxwell, Anthony J.; Moschidis, Emmanouil; Foden, Philip; Cuzick, Jack; Brentnall, Adam; Evans, D. Gareth; Howell, Anthony; Astley, Susan M.

2017-03-01

Personalised breast screening requires assessment of individual risk of breast cancer, of which one contributory factor is weight. Self-reported weight has been used for this purpose, but may be unreliable. We explore the use of volume of fat in the breast, measured from digital mammograms. Volumetric breast density measurements were used to determine the volume of fat in the breasts of 40,431 women taking part in the Predicting Risk Of Cancer At Screening (PROCAS) study. Tyrer-Cuzick risk using self-reported weight was calculated for each woman. Weight was also estimated from the relationship between self-reported weight and breast fat volume in the cohort, and used to re-calculate Tyrer-Cuzick risk. Women were assigned to risk categories according to 10 year risk (below average <2%, average 2-3.49%, above average 3.5-4.99%, moderate 5-7.99%, high >=8%) and the original and re-calculated Tyrer-Cuzick risks were compared. Of the 716 women diagnosed with breast cancer during the study, 15 (2.1%) moved into a lower risk category, and 37 (5.2%) moved into a higher category when using weight estimated from breast fat volume. Of the 39,715 women without a cancer diagnosis, 1009 (2.5%) moved into a lower risk category, and 1721 (4.3%) into a higher risk category. The majority of changes were between below average and average risk categories (38.5% of those with a cancer diagnosis, and 34.6% of those without). No individual moved more than one risk group. Automated breast fat measures may provide a suitable alternative to self-reported weight for risk assessment in personalized screening.

Mortality in infants discharged from neonatal intensive care units in Georgia.

PubMed

Allen, D M; Buehler, J W; Samuels, B N; Brann, A W

Although neonatal intensive care units (NICUs) have contributed to advances in neonatal survival, little is known about the epidemiology of deaths that occur after NICU discharge. To determine mortality rates following NICU discharge, we used linked birth, death, and NICU records for infants born to Georgia residents from 1980 through 1982 and who were admitted to NICUs participating in the state's perinatal care network. Infants who died after discharge (n = 120) had a median duration of NICU hospitalization of 20 days (range, 1 to 148 days) and a median birth weight of 1983 g (range, 793 to 5159 g). The postdischarge mortality rate was 22.7 per 1000 NICU discharges. This rate is more than five times the overall postneonatal mortality rate for Georgia from 1980 to 1982. The most common causes of death were congenital heart disease (23%), sudden infant death syndrome (21%), and infection (13%). Demographic characteristics commonly associated with infant mortality were not strongly associated with the mortality following NICU discharge.

The Status at Two Years of Low-Birth-Weight Infants Born in 1974 with Birth Weights of Less Than 1,001 gm

ERIC Educational Resources Information Center

Pape, K. E.; And Others

1978-01-01

For availibility see EC 103 548 Among findings of a 2-year followup study of 43 infants of birth weight less than 1000 grams were the following: average height at age 2 years was between the tenth and twenty-fifth percentiles; average weight was between the third and tenth percentiles; 15 Ss developed lower respiratory tract infections during the…

Investigation of heavy current discharges with high initial gas density

NASA Astrophysics Data System (ADS)

Budin, A.; Bogomaz, A.; Kolikov, V.; Kuprin, A.; Leontiev, V.; Rutberg, Ph.; Shirokov, N.

1996-05-01

Piezoelectric pressure transducers, with noise immunity and time resolution of 0,5 μs were used to measure pulse pressures of 430 MPa along the axis of an electrical discharge channel. Initial concentration of He was 2,7ṡ1021cm-3, dI/dt=6ṡ1011 A/s, and Imax=560 kA. Shock waves with amplitudes exceeding the pressure along the axis, were detected by a pressure transducer on the wall of the discharge chamber. Typical shock velocities were 2ṡ4 km/s. Average pressure measurements along the discharge axis at different radii were used to estimate the current density distribution along the canal radius. The presence of the shock waves, promoting the additional hydrogen heating in the discharge chamber, has been registered during the discharge in hydrogen for Imax˜1 MA and an initial concentration of 1021cm-3.

Time-resolved study of the electron temperature and number density of argon metastable atoms in argon-based dielectric barrier discharges

NASA Astrophysics Data System (ADS)

Desjardins, E.; Laurent, M.; Durocher-Jean, A.; Laroche, G.; Gherardi, N.; Naudé, N.; Stafford, L.

2018-01-01

A combination of optical emission spectroscopy and collisional-radiative modelling is used to determine the time-resolved electron temperature (assuming Maxwellian electron energy distribution function) and number density of Ar 1s states in atmospheric pressure Ar-based dielectric barrier discharges in presence of either NH3 or ethyl lactate. In both cases, T e values were higher early in the discharge cycle (around 0.8 eV), decreased down to about 0.35 eV with the rise of the discharge current, and then remained fairly constant during discharge extinction. The opposite behaviour was observed for Ar 1s states, with cycle-averaged values in the 1017 m-3 range. Based on these findings, a link was established between the discharge ionization kinetics (and thus the electron temperature) and the number density of Ar 1s state.

Methods for Adjusting U.S. Geological Survey Rural Regression Peak Discharges in an Urban Setting

USGS Publications Warehouse

Moglen, Glenn E.; Shivers, Dorianne E.

2006-01-01

A study was conducted of 78 U.S. Geological Survey gaged streams that have been subjected to varying degrees of urbanization over the last three decades. Flood-frequency analysis coupled with nonlinear regression techniques were used to generate a set of equations for converting peak discharge estimates determined from rural regression equations to a set of peak discharge estimates that represent known urbanization. Specifically, urban regression equations for the 2-, 5-, 10-, 25-, 50-, 100-, and 500-year return periods were calibrated as a function of the corresponding rural peak discharge and the percentage of impervious area in a watershed. The results of this study indicate that two sets of equations, one set based on imperviousness and one set based on population density, performed well. Both sets of equations are dependent on rural peak discharges, a measure of development (average percentage of imperviousness or average population density), and a measure of homogeneity of development within a watershed. Average imperviousness was readily determined by using geographic information system methods and commonly available land-cover data. Similarly, average population density was easily determined from census data. Thus, a key advantage to the equations developed in this study is that they do not require field measurements of watershed characteristics as did the U.S. Geological Survey urban equations developed in an earlier investigation. During this study, the U.S. Geological Survey PeakFQ program was used as an integral tool in the calibration of all equations. The scarcity of historical land-use data, however, made exclusive use of flow records necessary for the 30-year period from 1970 to 2000. Such relatively short-duration streamflow time series required a nonstandard treatment of the historical data function of the PeakFQ program in comparison to published guidelines. Thus, the approach used during this investigation does not fully comply with the guidelines set forth in U.S. Geological Survey Bulletin 17B, and modifications may be needed before it can be applied in practice.

Study on law of negative corona discharge in microparticle-air two-phase flow media

NASA Astrophysics Data System (ADS)

He, Bo; Li, Tianwei; Xiu, Yaping; Zhao, Heng; Peng, Zongren; Meng, Yongpeng

2016-03-01

To study the basic law of negative corona discharge in solid particle-air two-phase flow, corona discharge experiments in a needle-plate electrode system at different voltage levels and different wind speed were carried out in the wind tunnel. In this paper, the change law of average current and current waveform were analyzed, and the observed phenomena were systematically explained from the perspectives of airflow, particle charging, and particle motion with the help of PIV (particle image velocity) measurements and ultraviolet observations.

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

USGS Publications Warehouse

Colby, B.R.

1963-01-01

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

Influence of the excitation frequency on the density of helium metastable atoms in an atmospheric pressure dielectric barrier discharge

NASA Astrophysics Data System (ADS)

Boisvert, J.-S.; Sadeghi, N.; Margot, J.; Massines, F.

2017-01-01

Diffuse dielectric barrier discharges in atmospheric-pressure helium can be sustained over a wide range of excitation frequencies (from, but not restricted, 25 kHz to 15 MHz). The aim of the present paper is to identify the specific characteristics of the discharge modes that can be sustained in this frequency range, namely, the atmospheric-pressure Townsend-like discharge (APTD-L) mode, the atmospheric-pressure glow discharge (APGD) mode, the Ω mode, the hybrid mode, and the RF-α mode. This is achieved experimentally, by measuring the density of helium metastable atoms, which are known to play a driving role on the discharge kinetics. This density is measured by means of two absorption spectroscopy methods, one using a spectral lamp and the other one using a diode laser as a light source. The first one provides the time-averaged atom densities in the singlet He(21S) and triplet He(23S) metastable states, while with the second one we access the time-resolved density of He(23S) atoms. Time-averaged measurements indicate that the He(23S) density is relatively low in the APTD-L, the Ω and the RF-α modes ( <4 ×1016 m-3 ) slightly higher in the APGD mode ( 2 -7 ×1016 m-3 ), and still higher ( >1 ×1017 m-3 ) in the hybrid mode. The hybrid mode is exclusively observed for frequencies from 0.2 to 3 MHz. However, time-resolved density measurement shows that at 1 MHz and below, the hybrid mode is not continuously sustained. Instead, the discharge oscillates between the Ω and the hybrid mode with a switching frequency about the kilohertz. This explains the significantly lower power required to sustain the plasma as compared to above 1 MHz.

Effect of clothing weight on body weight.

PubMed

Whigham, L D; Schoeller, D A; Johnson, L K; Atkinson, R L

2013-01-01

In clinical settings, it is common to measure weight of clothed patients and estimate a correction for the weight of clothing, but we can find no papers in the medical literature regarding the variability in clothing weight of adults with weather, season and gender. Fifty adults (35 women) were weighed four times during a 12-month period with and without clothing. Clothing weights were determined and regressed against minimum, maximum and average daily outdoor temperature. The average clothing weight (±s.d.) throughout the year was significantly greater in men than in women (1.2±0.3 vs 0.8±0.3 kg, P<0.0001). The average within-person minimum and the average within-person maximum clothing weights across the year were 0.9±0.2 and 1.5±0.4 kg for men, and 0.5±0.2 and 1.1±0.4 kg for women, respectively. The within-person s.d. in clothing weight was 0.3 kg for both men and women. Over the 55 °C range in the lowest to the highest outdoor temperatures, the regressions predicted a maximal change in clothing weight of only 0.4 kg in women and 0.6 kg in men. The clothing weight of men is significantly greater than that of women, but there is little variability throughout the year. Therefore, a clothing adjustment of approximately 0.8 kg for women and 1.2 kg for men is appropriate regardless of outdoor temperature.

Factors that affect molecular weight distribution of Suwannee river fulvic acid as determined by electrospray ionization/mass spectrometry

USGS Publications Warehouse

Rostad, Colleen E.; Leenheer, Jerry A.

2004-01-01

Effects of methylation, molar response, multiple charging, solvents, and positive and negative ionization on molecular weight distributions of aquatic fulvic acid were investigated by electrospray ionization/mass spectrometry. After preliminary analysis by positive and negative modes, samples and mixtures of standards were derivatized by methylation to minimize ionization sites and reanalyzed.Positive ionization was less effective and produced more complex spectra than negative ionization. Ionization in methanol/water produced greater response than in acetonitrile/water. Molar response varied widely for the selected free acid standards when analyzed individually and in a mixture, but after methylation this range decreased. After methylation, the number average molecular weight of the Suwannee River fulvic acid remained the same while the weight average molecular weight decreased. These differences are probably indicative of disaggregation of large aggregated ions during methylation. Since the weight average molecular weight decreased, it is likely that aggregate formation in the fulvic acid was present prior to derivatization, rather than multiple charging in the mass spectra.

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

USGS Publications Warehouse

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

1986-01-01

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

Estimation of Fat-free Mass at Discharge in Preterm Infants Fed With Optimized Feeding Regimen.

PubMed

Larcade, Julie; Pradat, Pierre; Buffin, Rachel; Leick-Courtois, Charline; Jourdes, Emilie; Picaud, Jean-Charles

2017-01-01

The purpose of the present study was to validate a previously calculated equation (E1) that estimates infant fat-free mass (FFM) at discharge using data from a population of preterm infants receiving an optimized feeding regimen. Preterm infants born before 33 weeks of gestation between April 2014 and November 2015 in the tertiary care unit of Croix-Rousse Hospital in Lyon, France, were included in the study. At discharge, FFM was assessed by air displacement plethysmography (PEA POD) and was compared with FFM estimated by E1. FFM was estimated using a multiple linear regression model. Data on 155 preterm infants were collected. There was a strong correlation between the FFM estimated by E1 and FFM assessed by the PEA POD (r = 0.939). E1, however, underestimated the FFM (average difference: -197 g), and this underestimation increased as FFM increased. A new, more predictive equation is proposed (r = 0.950, average difference: -12 g). Although previous estimation methods were useful for estimating FFM at discharge, an equation adapted to present populations of preterm infants with "modern" neonatal care and nutritional practices is required for accuracy.

A Multidisciplinary Initiative to Increase Inpatient Discharges Before Noon.

PubMed

Kane, Marlena; Weinacker, Ann; Arthofer, Rudolph; Seay-Morrison, Timothy; Elfman, Wesley; Ramirez, Mark; Ahuja, Neera; Pickham, David; Hereford, James; Welton, Mark

2016-12-01

The aim of this study is to evaluate the effect of 2 hospital-wide interventions on achieving a discharge-before-noon rate of 40%. A multidisciplinary team led by administrative and physician leadership developed a plan to diminish capacity constraints by minimizing late afternoon hospital discharges using 2 patient flow management techniques. The study was a preintervention/postintervention retrospective analysis observing all inpatients discharged across 19 inpatient units in a 484-bed, academic teaching hospital measuring calendar month discharge-before-noon percentage, patient satisfaction, and readmission rates. Patient satisfaction and readmission rates were used as baseline metrics. The discharge-before-noon percentage increased from 14% in the 11-month preintervention period to an average of 24% over the 11-month postintervention period, whereas patient satisfaction scores and readmission rates remained stable. Implementation of the 2 interventions successfully increased the percentage of discharges before noon yet did not achieve the goal of 40%. Patient satisfaction and readmission rates were not negatively impacted by the program.

Results of chopper-controlled discharge life cycling studies on lead acid batteries

NASA Technical Reports Server (NTRS)

Ewashinka, J. G.; Sidik, S. M.

1982-01-01

A group of 108 state of the art nominally 6 volt lead acid batteries were tested in a program of one charge/discharge cycle per day for over two years or to ultimate battery failure. The primary objective was to determine battery cycle life as a function of depth of discharge (25 to 75 percent), chopper frequency (100 to 1000 Hz), duty cycle (25 to 87.5 percent), and average discharge current (20 to 260 A). The secondary objective was to determine the types of battery failure modes, if any, were due to the above parameters. The four parameters above were incorporated in a statistically designed test program.

Effect of onsite dietitian counseling on weight loss and lipid levels in an outpatient physician office.

PubMed

Welty, Francine K; Nasca, Melita M; Lew, Natalie S; Gregoire, Sue; Ruan, Yuheng

2007-07-01

We examined the effect of an outpatient office-based diet and exercise counseling program on weight loss and lipid levels with an onsite dietitian who sees patients at the same visit with the physician and is fully reimbursable. Eighty overweight or obese patients (average age 55 +/- 12 years, baseline body mass index 30.1 +/- 6.4 kg/m(2)) with > or =1 cardiovascular risk factor (86%) or coronary heart disease (14%) were counseled to exercise 30 minutes/day and eat a modified Dietary Approaches to Stop Hypertension (DASH) diet (saturated fat <7%, polyunsaturated fat to 10%, monounsaturated fat to 18%, low in glycemic index and sodium and high in fiber, low-fat dairy products, fruits, and vegetables). Weight, body mass index, lipid levels, and blood pressure were measured at 1 concurrent follow-up visit with the dietitian and physician and > or =1 additional follow-up with the physician. Maximum weight lost was an average of 5.6% (10.8 lb) at a mean follow-up of 1.75 years. Sixty-four (81%) of these patients maintained significant weight loss (average weight loss 5.3%) at a mean follow-up of 2.6 years. Average decrease in low-density lipoprotein cholesterol was 9.3%, average decrease in triglycerides was 34%, and average increase in high-density lipoprotein cholesterol was 9.6%. Systolic blood pressure was lowered from 129 to 126 mm Hg (p = 0.21) and diastolic blood pressure from 79 to 75 mm Hg (p = 0.003). In conclusion, having a dietitian counsel patients concurrently with a physician in the outpatient setting is effective in achieving and maintaining weight loss and is fully reimbursable.

Quaternion Averaging

NASA Technical Reports Server (NTRS)

Markley, F. Landis; Cheng, Yang; Crassidis, John L.; Oshman, Yaakov

2007-01-01

Many applications require an algorithm that averages quaternions in an optimal manner. For example, when combining the quaternion outputs of multiple star trackers having this output capability, it is desirable to properly average the quaternions without recomputing the attitude from the the raw star tracker data. Other applications requiring some sort of optimal quaternion averaging include particle filtering and multiple-model adaptive estimation, where weighted quaternions are used to determine the quaternion estimate. For spacecraft attitude estimation applications, derives an optimal averaging scheme to compute the average of a set of weighted attitude matrices using the singular value decomposition method. Focusing on a 4-dimensional quaternion Gaussian distribution on the unit hypersphere, provides an approach to computing the average quaternion by minimizing a quaternion cost function that is equivalent to the attitude matrix cost function Motivated by and extending its results, this Note derives an algorithm that deterniines an optimal average quaternion from a set of scalar- or matrix-weighted quaternions. Rirthermore, a sufficient condition for the uniqueness of the average quaternion, and the equivalence of the mininiization problem, stated herein, to maximum likelihood estimation, are shown.

Progress of long pulse discharges by ECH in LHD

NASA Astrophysics Data System (ADS)

Yoshimura, Y.; Kasahara, H.; Tokitani, M.; Sakamoto, R.; Ueda, Y.; Ito, S.; Okada, K.; Kubo, S.; Shimozuma, T.; Igami, H.; Takahashi, H.; Tsujimura, T. I.; Makino, R.; Kobayashi, S.; Mizuno, Y.; Akiyama, T.; Ashikawa, N.; Masuzaki, S.; Motojima, G.; Shoji, M.; Suzuki, C.; Tanaka, H.; Tanaka, K.; Tokuzawa, T.; Tsuchiya, H.; Yamada, I.; Goto, Y.; Yamada, H.; Mutoh, T.; Komori, A.; Takeiri, Y.; the LHD Experiment Group

2016-04-01

Using ion cyclotron heating and electron cyclotron heating (ECH), or solo ECH, trials of steady state plasma sustainment have been conducted in the superconducting helical/stellarator, large helical device (LHD) (Ida K et al 2015 Nucl. Fusion 55 104018). In recent years, the ECH system has been upgraded by applying newly developed 77 and 154 GHz gyrotrons. A new gas fueling system applied to the steady state operations in the LHD realized precise feedback control of the line average electron density even when the wall condition varied during long pulse discharges. Owing to these improvements in the ECH and the gas fueling systems, a stable 39 min discharge with a line average electron density n e_ave of 1.1  ×  1019 m-3, a central electron temperature T e0 of over 2.5 keV, and a central ion temperature T i0 of 1.0 keV was successfully performed with ~350 kW EC-waves. The parameters are much improved from the previous 65 min discharge with n e_ave of 0.15  ×  1019 m-3 and T e0 of 1.7 keV, and the 30 min discharge with n e_ave of 0.7  ×  1019 m-3 and T e0 of 1.7 keV.

Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013

PubMed Central

Burge, Russel; Yang, Yicheng; Du, Fen; Lu, Tie; Huang, Qiang; Ye, Wenyu; Xu, Weihua

2015-01-01

Objectives. This study collected and evaluated data on the costs of outpatient medical care and family burden associated with osteoporosis-related fracture rehabilitation following hospital discharge in China. Materials and Methods. Data were collected using a patient questionnaire from osteoporosis-related fracture patients (N = 123) who aged 50 years and older who were discharged between January 2011 and January 2013 from 3 large hospitals in China. The survey captured posthospital discharge direct medical costs, indirect medical costs, lost work time for caregivers, and patient ambulatory status. Results. Hip fracture was the most frequent fracture site (62.6%), followed by vertebral fracture (34.2%). The mean direct medical care costs per patient totaled 3,910¥, while mean indirect medical costs totaled 743¥. Lost work time for unpaid family caregivers was 16.4 days, resulting in an average lost income of 3,233¥. The average posthospital direct medical cost, indirect medical cost, and caregiver lost income associated with a fracture patient totaled 7,886¥. Patients' ambulatory status was negatively impacted following fracture. Conclusions. Significant time and cost of care are placed on patients and caregivers during rehabilitation after discharge for osteoporotic fracture. It is important to evaluate the role and responsibility for creating the growing and inequitable burden placed on patients and caregivers following osteoporotic fracture. PMID:26221563

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

PubMed

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

2017-08-01

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

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

NASA Astrophysics Data System (ADS)

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

2016-02-01

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

Implicit and explicit prejudice toward overweight and average-weight men and women: testing their correspondence and relation to behavioral intentions.

PubMed

Brochu, Paula M; Morrison, Melanie A

2007-12-01

The authors examined prejudice toward overweight men and women. Participants (N = 76) indicated their perceptions, attitudes, behavioral intentions, and implicit associations toward an average-weight or overweight man or woman. Results indicated the presence of explicit and implicit antifat prejudice, with male participants showing greater negativity toward overweight targets. Analyses of covariance indicated that overweight targets received greater derogation than did their average-weight counterparts, regardless, for the most part, of the target's gender. With one exception, no significant relations emerged between explicit and implicit measures of weight bias. The authors discuss limitations of the study and implications for future research.

Investigating the Group-Level Impact of Advanced Dual-Echo fMRI Combinations

PubMed Central

Kettinger, Ádám; Hill, Christopher; Vidnyánszky, Zoltán; Windischberger, Christian; Nagy, Zoltán

2016-01-01

Multi-echo fMRI data acquisition has been widely investigated and suggested to optimize sensitivity for detecting the BOLD signal. Several methods have also been proposed for the combination of data with different echo times. The aim of the present study was to investigate whether these advanced echo combination methods provide advantages over the simple averaging of echoes when state-of-the-art group-level random-effect analyses are performed. Both resting-state and task-based dual-echo fMRI data were collected from 27 healthy adult individuals (14 male, mean age = 25.75 years) using standard echo-planar acquisition methods at 3T. Both resting-state and task-based data were subjected to a standard image pre-processing pipeline. Subsequently the two echoes were combined as a weighted average, using four different strategies for calculating the weights: (1) simple arithmetic averaging, (2) BOLD sensitivity weighting, (3) temporal-signal-to-noise ratio weighting and (4) temporal BOLD sensitivity weighting. Our results clearly show that the simple averaging of data with the different echoes is sufficient. Advanced echo combination methods may provide advantages on a single-subject level but when considering random-effects group level statistics they provide no benefit regarding sensitivity (i.e., group-level t-values) compared to the simple echo-averaging approach. One possible reason for the lack of clear advantages may be that apart from increasing the average BOLD sensitivity at the single-subject level, the advanced weighted averaging methods also inflate the inter-subject variance. As the echo combination methods provide very similar results, the recommendation is to choose between them depending on the availability of time for collecting additional resting-state data or whether subject-level or group-level analyses are planned. PMID:28018165

Simulation of hydraulic characteristics in the white sturgeon spawning habitat of the Kootenai River near Bonners Ferry, Idaho

USGS Publications Warehouse

Berenbrock, Charles

2005-01-01

Hydraulic characterization of the Kootenai River, especially in the white sturgeon spawning habitat reach, is needed by the Kootenai River White Sturgeon Recovery Team to promote hydraulic conditions that improve spawning conditions for the white sturgeon (Acipenser transmontanus) in the Kootenai River. The decreasing population and spawning failure of white sturgeon has led to much concern. Few wild juvenile sturgeons are found in the river today. Determining the location of the transition between backwater and free-flowing water in the Kootenai River is a primary focus for biologists who believe that hydraulic changes at the transition affect the location where the sturgeon choose to spawn. The Kootenai River begins in British Columbia, Canada, and flows through Montana, Idaho, and back into British Columbia. The 65.6-mile reach of the Kootenai River in Idaho was studied. The study area encompasses the white sturgeon spawning reach that has been designated as a critical habitat. A one-dimensional hydraulic-flow model of the study reach was developed, calibrated, and used to develop relations between hydraulic characteristics and water-surface elevation, discharge, velocity, and backwater extent. The model used 164 cross sections, most of which came from a previous river survey conducted in 2002-03. The model was calibrated to water-surface elevations at specific discharges at five gaging stations. Calibrated water-surface elevations ranged from about 1,743 to about 1,759 feet, and discharges used in calibration ranged from 5,000 to 47,500 cubic feet per second. Model calibration was considered acceptable when the difference between measured and simulated water-surface elevations was ?0.15 foot or less. Measured and simulated average velocities also were compared. These comparisons indicated agreement between measured and simulated values. The location of the transition between backwater and free-flowing water was determined using the calibrated model. The model was used to simulate hydraulic characteristics for a range of water-surface elevations from 1,741 to 1,762 feet and discharges from 4,000 to 75,000 cubic feet per second. These simulated hydraulic characteristics were used to develop a three-parameter relation-discharge in the study reach, water-surface elevation at Kootenai River at Porthill gaging station (12322000), and the location of the transition between backwater and free-flowing water. Simulated hydraulic characteristics produced backwater locations ranging from river mile (RM) 105.6 (Porthill) to RM 158 (near Crossport), a span of about 52 miles. However, backwater locations from measured data ranged primarily from RM 152 to RM 157, a 5-mile span. The average backwater location from measured data was at about RM 154. Three-parameter relations also were developed for determining the amount of discharge in the Shorty Island side channel and average velocity at selected cross sections in the study reach. Simulated discharge for the side channel relative to measured data ranged from 0 to about 5,500 cubic feet per second, and simulated average velocity relative to measured data ranged from 0 to about 3.5 feet per second. Relations using other hydraulic, sediment/incipient motion, ecological, and biological characteristics also could be developed. The relations also can be used in real time by accessing data from the Web. Discharge and stage data for two gaging stations, Tribal Hatchery (12310100) and Porthill (12322500), are available from the Idaho U.S. Geological Survey web page (URL: http://waterdata.usgs.gov/id/nwis/current/?type=flow). Because the coordinate axes of the three-parameter relations use discharge from the Tribal Hatchery gaging station and water-surface elevation from the Porthill gaging station, the location of the transition between backwater and free-flowing water can be determined for current conditions using the real-time data. Similarly, discharge in the Shorty Island side channel and (or) average velocity at selected cross sections also can be determined for current conditions.

Closed cycle electric discharge laser design investigation

NASA Technical Reports Server (NTRS)

Baily, P. K.; Smith, R. C.

1978-01-01

Closed cycle CO2 and CO electric discharge lasers were studied. An analytical investigation assessed scale-up parameters and design features for CO2, closed cycle, continuous wave, unstable resonator, electric discharge lasing systems operating in space and airborne environments. A space based CO system was also examined. The program objectives were the conceptual designs of six CO2 systems and one CO system. Three airborne CO2 designs, with one, five, and ten megawatt outputs, were produced. These designs were based upon five minute run times. Three space based CO2 designs, with the same output levels, were also produced, but based upon one year run times. In addition, a conceptual design for a one megawatt space based CO laser system was also produced. These designs include the flow loop, compressor, and heat exchanger, as well as the laser cavity itself. The designs resulted in a laser loop weight for the space based five megawatt system that is within the space shuttle capacity. For the one megawatt systems, the estimated weight of the entire system including laser loop, solar power generator, and heat radiator is less than the shuttle capacity.

Patient compliance with extended low molecular weight heparin injections following hip and knee arthroplasty.

PubMed

Deakin, Dan E; Mishreki, Andrew; Aslam, Nadim; Docker, Charles

2010-01-01

The use of extended duration thromboprophylaxis following hip and knee arthroplasty is becoming widespread. The aim of our study was to determine patient compliance with extended duration thromboprophylaxis using low molecular weight (LMWH) injections following hip and knee arthroplasty. 42 consecutive patients undergoing hip and knee arthroplasty were prospectively contacted during their fifth post operative week. A fully anonymised questionnaire was completed by each patient. All patients responded. One was excluded having been prescribed warfarin for pre existing atrial fibrillation. Twenty nine (71%) patients were discharged with the intention of self administering LMWH injections. Eight (20%) and four (9%) patients were discharged with the intention of administration by a relative or district nurse respectively. No patient required the person administering the injections to be changed after discharge from hospital. 90% (n=37) of patients reported not missing any doses. 10% (n=2) of patients missed one dose and 10% (n=2) missed two doses. Patient compliance with extended duration thromboprophylaxis using LMWH injections is extremely high. Oral thromboprophylaxis may be useful in the minority of patients requiring daily visits by a nurse to administer injections.

Symptom prevalence and physiologic biomarkers among adolescents using a mobile phone intervention following hematopoietic stem cell transplantation.

PubMed

Rodgers, Cheryl C; Krance, Robert; Street, Richard L; Hockenberry, Marilyn J

2014-05-01

To examine symptom reports and physiologic parameters in adolescents using the Eating After Transplant (EAT!) intervention during recovery after hematopoietic stem cell transplantation (HSCT). Repeated measures design. HSCT service at a pediatric teaching institution in the southern United States. 16 adolescents recovering from a first-time allogeneic HSCT. Use of EAT! was monitored electronically, symptom reports were obtained from a questionnaire, and physiologic parameters were obtained from the medical record at HSCT hospital discharge and 20, 40, and 60 days postdischarge. EAT! use, symptom prevalence, symptom-related distress, and physiologic parameters including weight, body mass index (BMI), pre-albumin, and albumin. Symptom prevalence was highest at hospital discharge and steadily declined; however, mean symptom distress scores remained stable. Mean weight and BMI significantly declined during the first 60 days postdischarge; pre-albumin and albumin markers were unchanged. No correlation was noted among use of EAT! and any research variables. The most frequent symptoms were not always the most distressing symptoms. Weight and BMI significantly declined during HSCT recovery. Nurses should assess symptom frequency and distress to fully understand patients' symptom experiences. Nurses should monitor weight and BMI throughout HSCT recovery.

A Multidisciplinary Quality Improvement Approach Increases Breastmilk Availability at Discharge from the Neonatal Intensive Care Unit for the Very-Low-Birth-Weight Infant.

PubMed

Bixby, Christine; Baker-Fox, Cindy; Deming, Crystal; Dhar, Vijay; Steele, Caroline

2016-03-01

Mothers of very-low-birth-weight (VLBW) infants often struggle to establish and maintain a milk supply. Children's Hospital of Orange County (CHOC Children's) data from 2005 to 2011 showed that while the total percentage of all neonatal intensive care unit (NICU) babies being discharged on breastmilk had remained stable, the percentage of VLBW babies with breastmilk at discharge had declined. This information resulted in a quality improvement initiative to remove barriers and implement programs shown to have the greatest impact on initiating and sustaining lactation in this patient subset. The objective of this initiative was to increase breastmilk availability at discharge for the VLBW population. A multidisciplinary program was initiated, which included NICU parent and staff education, clarification of roles, and improved access to pumping supplies. Physicians and nurses completed online education. An algorithm defining roles in lactation support was developed, and a resource team of trained bedside nurses was formed. Lactation consultant time was then refocused on the VLBW population. In addition, "Lactation Support" was added to the physician daily documentation to bring the topic to daily bedside rounds. Twice weekly lactation rounds between the lactation consultant and neonatologist addressed lactation concerns for each dyad. To address pumping issues, the loaner pump program was enhanced. To assess the effectiveness of the initiative, breastmilk availability at discharge for the VLBW population at CHOC Children's was compared from baseline (2011) to the end of June 2015. VLBW breastmilk availability at discharge upon project initiation was 58.7% and increased by 36% to a final rate of 80% by 2013--a rate sustained through the first 6 months of 2015. The results of this initiative suggest that a multidisciplinary approach, including education, changes in workflow, and redefinition of roles, is effective in improving breastmilk rates at discharge in the VLBW patient population.

Creating "Intelligent" Ensemble Averages Using a Process-Based Framework

NASA Astrophysics Data System (ADS)

Baker, Noel; Taylor, Patrick

2014-05-01

The CMIP5 archive contains future climate projections from over 50 models provided by dozens of modeling centers from around the world. Individual model projections, however, are subject to biases created by structural model uncertainties. As a result, ensemble averaging of multiple models is used to add value to individual model projections and construct a consensus projection. Previous reports for the IPCC establish climate change projections based on an equal-weighted average of all model projections. However, individual models reproduce certain climate processes better than other models. Should models be weighted based on performance? Unequal ensemble averages have previously been constructed using a variety of mean state metrics. What metrics are most relevant for constraining future climate projections? This project develops a framework for systematically testing metrics in models to identify optimal metrics for unequal weighting multi-model ensembles. The intention is to produce improved ("intelligent") unequal-weight ensemble averages. A unique aspect of this project is the construction and testing of climate process-based model evaluation metrics. A climate process-based metric is defined as a metric based on the relationship between two physically related climate variables—e.g., outgoing longwave radiation and surface temperature. Several climate process metrics are constructed using high-quality Earth radiation budget data from NASA's Clouds and Earth's Radiant Energy System (CERES) instrument in combination with surface temperature data sets. It is found that regional values of tested quantities can vary significantly when comparing the equal-weighted ensemble average and an ensemble weighted using the process-based metric. Additionally, this study investigates the dependence of the metric weighting scheme on the climate state using a combination of model simulations including a non-forced preindustrial control experiment, historical simulations, and several radiative forcing Representative Concentration Pathway (RCP) scenarios. Ultimately, the goal of the framework is to advise better methods for ensemble averaging models and create better climate predictions.

SIMULATION OF FLOOD HYDROGRAPHS FOR GEORGIA STREAMS.

USGS Publications Warehouse

Inman, E.J.; Armbruster, J.T.

1986-01-01

Flood hydrographs are needed for the design of many highway drainage structures and embankments. A method for simulating these flood hydrographs at urban and rural ungauged sites in Georgia is presented. The O'Donnell method was used to compute unit hydrographs from 355 flood events from 80 stations. An average unit hydrograph and an average lag time were computed for each station. These average unit hydrographs were transformed to unit hydrographs having durations of one-fourth, one-third, one-half, and three-fourths lag time and then reduced to dimensionless terms by dividing the time by lag time and the discharge by peak discharge. Hydrographs were simulated for these 355 flood events and their widths were compared with the widths of the observed hydrographs at 50 and 75 percent of peak flow. For simulating hydrographs at sites larger than 500 mi**2, the U. S. Geological Survey computer model CONROUT can be used.

Robust, Flexible and Lightweight Dielectric Barrier Discharge Actuators Using Nanofoams/Aerogels

NASA Technical Reports Server (NTRS)

Siochi, Emilie J. (Inventor); Sauti, Godfrey (Inventor); Wilkinson, Stephen P. (Inventor); Guo, Haiquan N. (Inventor); Xu, Tian-Bing (Inventor); Meador, Mary Ann B. (Inventor)

2015-01-01

Robust, flexible, lightweight, low profile enhanced performance dielectric barrier discharge actuators (plasma actuators) based on aerogels/nanofoams with controlled pore size and size distribution as well as pore shape. The plasma actuators offer high body force as well as high force to weight ratios (thrust density). The flexibility and mechanical robustness of the actuators allows them to be shaped to conform to the surface to which they are applied. Carbon nanotube (CNT) based electrodes serve to further decrease the weight and profile of the actuators while maintaining flexibility while insulating nano-inclusions in the matrix enable tailoring of the mechanical properties. Such actuators are required for flow control in aeronautics and moving machinery such as wind turbines, noise abatement in landing gear and rotary wing aircraft and other applications.

Hospital-associated Costs of Chronic Pelvic Pain in Canada: A Population-based Descriptive Study.

PubMed

Chen, Innie; Thavorn, Kednapa; Shen, Minxue; Goddard, Yvette; Yong, Paul; MacRae, George S; Nishi, Corrine; Matar, Ayah; Allaire, Catherine

2017-03-01

To determine the hospital-related costs incurred by women requiring surgery or inpatient admission for chronic pelvic pain in Canada. We conducted a population-based, cross-sectional study, focusing on women ages 15-59 with a most responsible International Classification of Diseases diagnosis of pelvic and perineal pain, dysmenorrhea, or dyspareunia who had surgery or inpatient admission with a discharge date between April 1, 2008 and March 31, 2012. This study was based on the Canadian Institute for Health Information Discharge Abstract database and the National Ambulatory Care Reporting System. Clinical diagnoses and interventions and resource intensity weights (RIW) were extracted. Hospital costs were estimated by multiplying cost per weighted case (CPWC) calculated at the national level with respective RIWs. Over four years, there were 34 346 cases of surgery or inpatient admission for chronic pelvic pain amounting to $100.5 million with an average cost of $25 million per year. Pelvic and perineal pain accounted for 61.5% (n = 21 127) of the cases, while dysmenorrhea accounted for 31.8% (n = 10 936), and dyspareunia accounted for 6.6% (n = 2283). The vast majority of the cases (92.9%, n = 31 923) were associated with surgical interventions, with the most common surgeries being hysterectomy (47.1%, n = 16 189), followed by laparoscopy (25.8%, n = 8850), adnexal surgery (6.8%, n = 2349), and other procedures (11.6%, n = 3968). While these estimates do not take into account non-hospital related costs, such as outpatient treatment, loss of productivity, and impact on quality of life, this study demonstrates that chronic pelvic pain represents a considerable economic burden to Canada's health care system. Copyright © 2017 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.

Techniques for estimating flood-peak discharges of rural, unregulated streams in Ohio

USGS Publications Warehouse

Koltun, G.F.

2003-01-01

Regional equations for estimating 2-, 5-, 10-, 25-, 50-, 100-, and 500-year flood-peak discharges at ungaged sites on rural, unregulated streams in Ohio were developed by means of ordinary and generalized least-squares (GLS) regression techniques. One-variable, simple equations and three-variable, full-model equations were developed on the basis of selected basin characteristics and flood-frequency estimates determined for 305 streamflow-gaging stations in Ohio and adjacent states. The average standard errors of prediction ranged from about 39 to 49 percent for the simple equations, and from about 34 to 41 percent for the full-model equations. Flood-frequency estimates determined by means of log-Pearson Type III analyses are reported along with weighted flood-frequency estimates, computed as a function of the log-Pearson Type III estimates and the regression estimates. Values of explanatory variables used in the regression models were determined from digital spatial data sets by means of a geographic information system (GIS), with the exception of drainage area, which was determined by digitizing the area within basin boundaries manually delineated on topographic maps. Use of GIS-based explanatory variables represents a major departure in methodology from that described in previous reports on estimating flood-frequency characteristics of Ohio streams. Examples are presented illustrating application of the regression equations to ungaged sites on ungaged and gaged streams. A method is provided to adjust regression estimates for ungaged sites by use of weighted and regression estimates for a gaged site on the same stream. A region-of-influence method, which employs a computer program to estimate flood-frequency characteristics for ungaged sites based on data from gaged sites with similar characteristics, was also tested and compared to the GLS full-model equations. For all recurrence intervals, the GLS full-model equations had superior prediction accuracy relative to the simple equations and therefore are recommended for use.

Quantitative quasiperiodicity

NASA Astrophysics Data System (ADS)

Das, Suddhasattwa; Saiki, Yoshitaka; Sander, Evelyn; Yorke, James A.

2017-11-01

The Birkhoff ergodic theorem concludes that time averages, i.e. Birkhoff averages, B_N( f):=Σn=0N-1 f(x_n)/N of a function f along a length N ergodic trajectory (x_n) of a function T converge to the space average \\int f dμ , where μ is the unique invariant probability measure. Convergence of the time average to the space average is slow. We use a modified average of f(x_n) by giving very small weights to the ‘end’ terms when n is near 0 or N-1 . When (x_n) is a trajectory on a quasiperiodic torus and f and T are C^∞ , our weighted Birkhoff average (denoted \

A prospective study of dietary intakes and influential factors from pregnancy to postpartum on maternal weight retention in Taipei, Taiwan.

PubMed

Lyu, Li-Ching; Lo, Chaio-Chen; Chen, Heng-Fei; Wang, Chia-Yu; Liu, Dou-Ming

2009-12-01

Excessive gestational weight gain and postpartum weight retention are risk factors for female obesity. The present study was to examine dietary intakes and weight history from a prospective follow-up study from early pregnancy to 1 year postpartum. A total of 151 pregnant women within 20 weeks of pregnancy in Taipei, Taiwan were interviewed periodically to collect dietary and lifestyle information. The participants had an average age of 30 years and the average gestational weight gain was 14 kg, with an average daily intake of 7830 kJ (1870 kcal) in the 1 year following parturition. By bivariate analyses, maternal age, pre-pregnancy BMI and breast-feeding were not related to postpartum weight retention, but gestational weight gain had significant positive correlations (r 0.54 at 6 months, r 0.44 at 1 year; P < 0.05). The generalised estimating equations showed that the average weight before pregnancy, at 6 months and 1 year postpartum was 53.35 kg, 55.75 kg (weight retention 2.36 kg; P < 0.01) and 54.75 kg (weight retention 1.48 kg; P < 0.01), respectively. After controlling for age, pre-pregnancy BMI, gestational weight gain and parity, we found at 6 months that the adjusted weight retention at postpartum was 0.79 kg (P < 0.01), but at 1 year it was - 0.08 kg (P>0.05). From multivariate analyses, dietary energy intake and energy intake per kg body weight as a long-term physical activity index could explain 24 % of the variation at 6 months and 27 % of the variation at 1 year in postpartum weight retention. These results suggest that pregnant women should be advised to control gestational weight gain, decrease energy intakes after child-bearing and maintain regular exercise in order to prevent postpartum obesity.

Molecular weight of Escherichia coli β-galactosidase in concentrated solutions of guanidine hydrochloride

PubMed Central

Erickson, Robert P.

1970-01-01

The molecular weight of Escherichia coli β-galactosidase was determined in 6m- and 8m-guanidine hydrochloride by meniscus-depletion sedimentation equilibrium, sedimentation velocity and viscosity. Sedimentation equilibrium revealed heterogeneity with the smallest component having a molecular weight of about 50000. At lower speeds, the apparent weight-average molecular weight is about 80000. By use of a calculation based on an empirical correlation for proteins that are random coils in 6m-guanidine hydrochloride, sedimentation velocity gave a molecular weight of 91000, and the intrinsic viscosity indicated a viscosity-average molecular weight of 84000. Heating in 6m-guanidine hydrochloride lowered the viscosity of β-galactosidase in a variable manner. PMID:4924171

[The status of protein intake and energy supply in the early life of very/extremely low birth weight infants].

PubMed

Bi, Chun-Yu; Ru, Xi-Fang; Feng, Qi; Wang, Ying; Zhang, Xin; Li, Xing; Meng, Jing-Wen

2013-05-01

To study the relationship of protein intake and energy supply with the physical growth in very/extremely low birth weight infant at their early life. Retrospective survey was performed in Neonatal Intensive Care Unit (NICU) in Peking University First Hospital. Inclusion criteria were preterm infant, birth weight < 1500 g, hospitalization for longer than 2 weeks, discharge with body weight greater than 1800 g. The infants were divided into two groups according to gestational age (GA). GA < 32 weeks and ≥ 32 weeks. Physical growth and its relation with the protein intake and energy supply were analyzed. The predictive value of serum blood urea nitrogen (BUN) on protein intake was studied. Ninety-three very/extremely low birth weight infants were involved, 69 in GA < 32 weeks group and 24 in GA ≥ 32 weeks group.Compared with GA ≥ 32 group, GA < 32 weeks preterm infants had more weight loss, (9.2 ± 4.4)% vs. (5.0 ± 3.1)%, P = 0.000; slower birth weight recovery (10.6 ± 3.8) d vs. (7.1 ± 2.6) d, P = 0.000; poorer weight gain at 1, 4, 5 weeks of life, (-4.5 ± 9.3) g/ (kg·d) vs. (3.4 ± 6.9) g/ (kg·d), P = 0.000 , (13.5 ± 7.3) g/ (kg·d) vs. (19.2 ± 4.9) g/ (kg·d), P = 0.001, (14.6 ± 5.6) g/ (kg·d) vs. (18.2 ± 4.5) g/ (kg·d), P = 0.031; less energy supply at 1 to 5 weeks (P value was 0.000,0.000,0.025,0.001,0.008 respectively) and less protein intake at 1, 4, 5 weeks of life (P value was 0.009,0.006,0.032). Extrauterine growth retardation (EUGR) was still predominant in our subjects, 47.8% in GA < 32 weeks group, and 95.8% in GA ≥ 32 weeks group, P = 0.000. The incidence increased greater in GA < 32 weeks infants, 43.5% vs. 20.8%, P = 0.000.The duration of weight loss and mechanical ventilation correlated negatively with weight gain rate, respectively β = -0.591, P = 0.000 and β = -0.281, P = 0.005; the average energy supply and time taken to reach full enteral feeding were factors improving weight gain, respectively β = 0.202, P = 0.021 and β = 0.354, P = 0.000. After birth, serum BUN declined gradually. Positive relation showed between average protein intake at 3(rd) week and BUN level at the end of 3 weeks, r = 0.420, P = 0.000. Serum BUN 1.44, 1.49 mmol/L at the end of 3(rd) and 4(th) week were cut-off predictors for protein intake less than 3 g/(kg·d) at related period, sensitivity and specificity were 65.3%, 83.3% and 60%, 80% respectively. No enough protein intake and energy supply, poor weight gain are critical problems in the management of very/extremely low birth weight infants. Prevention from NEC, appropriate parenteral/enteral nutrition transforming will benefit their physical growth. Low serum BUN after 3 weeks of life is a valuable predictor of low protein intake.

Investigation of discharged aerosol nanoparticles during chemical precipitation and spray pyrolysis for developing safety measures in the nano research laboratory.

PubMed

Kolesnikov, Еvgeny; Karunakaran, Gopalu; Godymchuk, Anna; Vera, Levina; Yudin, Andrey Grigorjevich; Gusev, Alexander; Kuznetsov, Denis

2017-05-01

Nowadays, the demands for the nanoparticles are increasing due to their tremendous applications in various fields. As a consequence, the discharge of nanoparticles into the atmosphere and environment is also increasing, posing a health threat and environmental damage in terms of pollution. Thus, an extensive research is essential to evaluate the discharge of these nanoparticles into the environment. Keeping this in mind, the present investigation aimed to analyze the discharge of aerosol nanoparticles that are synthesized in the laboratory via chemical precipitation and spray pyrolysis methods. The results indicated that the chemical precipitation method discharges a higher concentration of nanoparticles in the work site when compared to the spray pyrolysis method. The aerosol concentration also varied with the different steps involved during the synthesis of nanoparticles. The average particle's concentration in air for chemical precipitation and spray pyrolysis methods was around 1,037,476 and 883,421particles/cm 3 . In addition, the average total discharge of nanoparticles in the entire laboratory was also examined. A significant variation in the concentration of nanoparticles was noticed, during the processing of materials and the concentration of particles (14-723nm) exceeding the daily allowed concentration to about 70-170 times was observed over a period of 6 months. Thus, the results of the present study will be very useful in developing safety measures and would help in organizing the rules for people working in nanotechnology laboratories to minimize the hazardous effects. Copyright © 2017 Elsevier Inc. All rights reserved.

Incidence, Intensity, and Impact of Pain in Recently Discharged Adult Trauma Patients: An Exploratory Study.

PubMed

Goldsmith, Helen; Curtis, Kate; McCloughen, Andrea

The long-term implications of pain following injury are well known; however, the immediate posthospitalization incidence and impact of pain is less understood. Inadequate pain relief during this time can delay return to work, leading to psychological stress and chronic pain. This exploratory study aimed to identify the incidence, intensity, and impact of injury-related pain in recently discharged adult trauma patients. During July to December 2014, 82 recently discharged adult trauma patients completed a questionnaire about their injury-related pain experience approximately 2 weeks posthospital discharge from a Level 1 trauma center. The questionnaire was developed using the Brief Pain Inventory, assessing severity, and impact of pain through a score from 0 to 10. The average age of participants was 52 years, the median Injury Severity Score was 6, and almost all (n = 80, 98%) experienced a blunt injury. The majority of participants reported pain since discharge (n = 80, 98%), with 65 (81%) still experiencing pain on the day of data collection. Normal work was most affected by pain, with an average score of 6.6 of 10, closely followed by effect on general activity (6.1 of 10) and enjoyment of life (5.7 of 10). The highest pain severity was reported by those with injuries from road trauma, with low Injury Severity Scores, who were female, and did not speak English at home. Pain in the recently discharged adult trauma patient is common, intense and interferes with quality of life. Identification of barriers to effective pain management and interventions to address these barriers are required.

Increasing molecular weight parameters of a helical polymer through polymerization in a chiral solvent.

PubMed

Holder, Simon J; Achilleos, Mariliz; Jones, Richard G

2006-09-27

In this communication, we will demonstrate that polymerization in a chiral solvent can affect the molecular weight distribution of the product by perturbing the balance of the P and M helical screw senses of the growing chains. Specifically, for the Wurtz-type synthesis of polymethylphenylsilane (PMPS) in either (R) or (S)-limonene, the weight-average molecular weight of the products (average Mw = 80 000) was twice that of PMPS synthesized in (R/S)-limonene (average Mw = 39 200). Peturbation of the helical segmentation along the polymer chains leads to a reduction in the rate of occurrence of a key termination step. This the first time that a chiral solvent has been demonstrated to have such an effect on a polymerization process in affecting molecular weight parameters in contrast to affecting tacticity.

Estimated monthly percentile discharges at ungaged sites in the Upper Yellowstone River Basin in Montana

USGS Publications Warehouse

Parrett, Charles; Hull, J.A.

1986-01-01

Once-monthly streamflow measurements were used to estimate selected percentile discharges on flow-duration curves of monthly mean discharge for 40 ungaged stream sites in the upper Yellowstone River basin in Montana. The estimation technique was a modification of the concurrent-discharge method previously described and used by H.C. Riggs to estimate annual mean discharge. The modified technique is based on the relationship of various mean seasonal discharges to the required discharges on the flow-duration curves. The mean seasonal discharges are estimated from the monthly streamflow measurements, and the percentile discharges are calculated from regression equations. The regression equations, developed from streamflow record at nine gaging stations, indicated a significant log-linear relationship between mean seasonal discharge and various percentile discharges. The technique was tested at two discontinued streamflow-gaging stations; the differences between estimated monthly discharges and those determined from the discharge record ranged from -31 to +27 percent at one site and from -14 to +85 percent at the other. The estimates at one site were unbiased, and the estimates at the other site were consistently larger than the recorded values. Based on the test results, the probable average error of the technique was + or - 30 percent for the 21 sites measured during the first year of the program and + or - 50 percent for the 19 sites measured during the second year. (USGS)

Assessment of surgical discharge summaries and evaluation of a new quality improvement model.

PubMed

Stein, Ran; Neufeld, David; Shwartz, Ivan; Erez, Ilan; Haas, Ilana; Magen, Ada; Glassberg, Elon; Shmulevsky, Pavel; Paran, Haim

2014-11-01

Discharge summaries after hospitalization provide the most reliable description and implications of the hospitalization. A concise discharge summary is crucial for maintaining continuity of care through the transition from inpatient to ambulatory care. Discharge summaries often lack information and are imprecise. Errors and insufficient recommendations regarding changes in the medical regimen may harm the patient's health and may result in readmission. To evaluate a quality improvement model and training program for writing postoperative discharge summaries for three surgical procedures. Medical records and surgical discharge summaries were reviewed and scored. Essential points for communication between surgeons and family physicians were included in automated forms. Staff was briefed twice regarding required summary contents with an interim evaluation. Changes in quality were evaluated. Summaries from 61 cholecystectomies, 42 hernioplasties and 45 colectomies were reviewed. The average quality score of all discharge summaries increased from 72.1 to 78.3 after the first intervention (P < 0.0005) to 81.0 following the second intervention. As the discharge summary's quality improved, its length decreased significantly. Discharge summaries lack important information and are too long. Developing a model for discharge summaries and instructing surgical staff regarding their contents resulted in measurable improvement. Frequent interventions and supervision are needed to maintain the quality of the surgical discharge summary.

Gender differences in discharge dispositions of emergency department visits involving drug misuse and abuse-2004-2011.

PubMed

Manuel, Jennifer I; Lee, Jane

2017-05-30

Drug use-related visits to the emergency department (ED) can undermine discharge planning and lead to recurrent use of acute services. Yet, little is known about where patients go post discharge. We explored trends in discharge dispositions of drug-involved ED visits, with a focus on gender differences. We extracted data from the 2004-2011 Drug Abuse Warning Network, a national probability sample of drug-related visits to hospital EDs in the U.S. We computed weighted multinomial logistic regression models to estimate discharge dispositions over time and to examine associations between gender and the relative risk of discharge dispositions, controlling for patient characteristics. The final pooled sample included approximately 1.2 million ED visits between 2004 and 2011. Men accounted for more than half (57.6%) of all ED visits involving drug misuse and abuse. Compared with women, men had a greater relative risk of being released to the police/jail, being referred to outpatient detox or other treatment, and leaving against medical advice than being discharged home. The relative risk of being referred to outpatient detox/drug treatment than discharged home increased over time for men versus women. Greater understanding of gender-based factors involved in substance-related ED visits and treatment needs may inform discharge planning and preventive interventions.

Combined Sewer Overflows as a Source of Hormones to Surface Water

NASA Astrophysics Data System (ADS)

Phillips, P.; Chalmers, A.; Gray, J. L.; Foreman, W.; Kolpin, D. W.; Wall, G.; Esposito, K.

2009-12-01

Some sources of hormones to surface water, such as wastewater-treatment-plant (WWTP) effluent, have been well documented, but other sources, particularly wet-weather discharges from combined-sewer-overflows (CSOs), are not well characterized. Flow-weighted composite samples of secondarily treated WWTP effluent and untreated sewage discharges from WWTP inflows and CSO discharges were collected during 12 storms and 6 non-storm conditions from November 2007-December 2008 at the main Burlington Vermont WWTP. Concentrations of many androgens and estrogens were highest in samples from untreated sewage, and lower in samples from treated sewage. For example, concentrations of estriol in CSO samples ranged from 5 to over 100 ng/L (nanograms per liter), but were generally less than 1 ng/L in treated sewage. Many androgens were detected in CSO discharge samples in concentrations ranging from 1 to over 1000 ng/L, but were not detected above 1 ng/L in treated samples. For many of the hormones, including androgens and estriol, CSO discharges comprised over half of the total load discharged by the WWTP, even though annual CSO discharge is less than 10% of the treated plant discharge. These results indicate that untreated discharges during CSO events can be a major source of some hormones and other wastewater compounds to the environment.

Utility of functional status for classifying community versus institutional discharges after inpatient rehabilitation for stroke.

PubMed

Reistetter, Timothy A; Graham, James E; Deutsch, Anne; Granger, Carl V; Markello, Samuel; Ottenbacher, Kenneth J

2010-03-01

To evaluate the ability of patient functional status to differentiate between community and institutional discharges after rehabilitation for stroke. Retrospective cross-sectional design. Inpatient rehabilitation facilities contributing to the Uniform Data System for Medical Rehabilitation. Patients (N=157,066) receiving inpatient rehabilitation for stroke from 2006 and 2007. Not applicable. Discharge FIM rating and discharge setting (community vs institutional). Approximately 71% of the sample was discharged to the community. Receiver operating characteristic curve analyses revealed that FIM total performed as well as or better than FIM motor and FIM cognition subscales in differentiating discharge settings. Area under the curve for FIM total was .85, indicating very good ability to identify persons discharged to the community. A FIM total rating of 78 was identified as the optimal cut point for distinguishing between positive (community) and negative (institution) tests. This cut point yielded balanced sensitivity and specificity (both=.77). Discharge planning is complex, involving many factors. Identifying a functional threshold for classifying discharge settings can provide important information to assist in this process. Additional research is needed to determine if the risks and benefits of classification errors justify shifting the cut point to weight either sensitivity or specificity of FIM ratings. Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Natural and Unnatural Oil Layers on the Surface of the Gulf of Mexico Detected and Quantified in Synthetic Aperture RADAR Images with Texture Classifying Neural Network Algorithms

NASA Astrophysics Data System (ADS)

MacDonald, I. R.; Garcia-Pineda, O. G.; Morey, S. L.; Huffer, F.

2011-12-01

Effervescent hydrocarbons rise naturally from hydrocarbon seeps in the Gulf of Mexico and reach the ocean surface. This oil forms thin (~0.1 μm) layers that enhance specular reflectivity and have been widely used to quantify the abundance and distribution of natural seeps using synthetic aperture radar (SAR). An analogous process occurred at a vastly greater scale for oil and gas discharged from BP's Macondo well blowout. SAR data allow direct comparison of the areas of the ocean surface covered by oil from natural sources and the discharge. We used a texture classifying neural network algorithm to quantify the areas of naturally occurring oil-covered water in 176 SAR image collections from the Gulf of Mexico obtained between May 1997 and November 2007, prior to the blowout. Separately we also analyzed 36 SAR images collections obtained between 26 April and 30 July, 2010 while the discharged oil was visible in the Gulf of Mexico. For the naturally occurring oil, we removed pollution events and transient oceanographic effects by including only the reflectance anomalies that that recurred in the same locality over multiple images. We measured the area of oil layers in a grid of 10x10 km cells covering the entire Gulf of Mexico. Floating oil layers were observed in only a fraction of the total Gulf area amounting to 1.22x10^5 km^2. In a bootstrap sample of 2000 replications, the combined average area of these layers was 7.80x10^2 km^2 (sd 86.03). For a regional comparison, we divided the Gulf of Mexico into four quadrates along 90° W longitude, and 25° N latitude. The NE quadrate, where the BP discharge occurred, received on average 7.0% of the total natural seepage in the Gulf of Mexico (5.24 x10^2 km^2, sd 21.99); the NW quadrate received on average 68.0% of this total (5.30 x10^2 km^2, sd 69.67). The BP blowout occurred in the NE quadrate of the Gulf of Mexico; discharged oil that reached the surface drifted over a large area north of 25° N. Performing a similar estimate using 5x5 km grid cells, we observed discharged oil over an area of 1.20x10^5 km^2; 91% of this area was east of 90° W. The average area oil covered water observed in the SAR images was 4.41x104^ km^2, 98% of which was observed in the eastern Gulf. Numerical oil spill model experiments are used to clarify the distinction between the area impacted by the BP oil spill and the surface slicks due to known natural seeps. Natural oil seepage has been cited as a background source of hydrocarbon contamination in the Gulf of Mexico. Our direct comparison shows that during the blowout, the discharged oil impacted an average area two orders of magnitude greater than the entire Gulf total and three orders of magnitude greater than the usual dose received in the northeastern region. Because the layers of discharged oil were often many times thicker than natural seep oil, additional scale factors are required to show the true difference in doses. These differences should be weighed when evaluating the relative impact of natural and unnatural oil in a large marine ecosystem.

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

USGS Publications Warehouse

Hansen, Bruce P.; Lapham, Wayne W.

1992-01-01

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

[Spectral investigation of atmospheric pressure plasma column].

PubMed

Li, Xue-Chen; Chang, Yuan-Yuan; Xu, Long-Fei

2012-07-01

Atmospheric pressure plasma column has many important applications in plasma stealth for aircraft. In the present paper, a plasma column with a length of 65 cm was generated in argon at atmospheric pressure by using dielectric barrier discharge device with water electrodes in coaxial configurations. The discharge mechanism of the plasma column was studied by optical method and the result indicates that a moving layer of light emission propagates in the upstream region. The propagation velocity of the plasma bullet is about 0.6 x 10(5) m x s(-1) through optical measurement. Spectral intensity ratios as functions of the applied voltage and driving frequency were also investigated by spectroscopic method. The variation in spectral intensity ratio implies a change in the averaged electron energy. Results show that the averaged electron energy increases with the increase in the applied voltage and the driving frequency. These results have significant values for industrial applications of the atmospheric pressure discharge and have extensive application potentials in stealth for military aircraft.

Evaluation of dripper clogging using magnetic water in drip irrigation

NASA Astrophysics Data System (ADS)

Khoshravesh, Mojtaba; Mirzaei, Sayyed Mohammad Javad; Shirazi, Pooya; Valashedi, Reza Norooz

2018-06-01

This study was performed to investigate the uniformity of distribution of water and discharge variations in drip irrigation using magnetic water. Magnetic water was achieved by transition of water using a robust permanent magnet connected to a feed pipeline. Two main factors including magnetic and non-magnetic water and three sub-factor of salt concentration including well water, addition of 150 and 300 mg L-1 calcium carbonate to irrigation water with three replications were applied. The result of magnetic water on average dripper discharge was significant at ( P ≤ 0.05). At the final irrigation, the average dripper discharge and distribution uniformity were higher for the magnetic water compared to the non-magnetic water. The magnetic water showed a significant effect ( P ≤ 0.01) on distribution uniformity of drippers. At the first irrigation, the water distribution uniformity was almost the same for both the magnetic water and the non-magnetic water. The use of magnetic water for drip irrigation is recommended to achieve higher uniformity.

Determination of the absolute molecular weight averages and molecular weight distributions of alginates used as ice cream stabilizers by using multiangle laser light scattering measurements.

PubMed

Turquois, T; Gloria, H

2000-11-01

High-performance size exclusion chromatography with multiangle laser light scattering detection (HPSEC-MALLS) was used for characterizing complete molecular weight distributions for a range of commercial alginates used as ice cream stabilizers. For the samples investigated, molecular weight averages were found to vary between 115 000 and 321 700 g/mol and polydispersity indexes varied from 1. 53 to 3.25. These samples displayed a high content of low molecular weights. Thus, the weight percentage of material below 100 000 g/mol ranged between 6.9 and 54.4%.

Effects of error covariance structure on estimation of model averaging weights and predictive performance

USGS Publications Warehouse

Lu, Dan; Ye, Ming; Meyer, Philip D.; Curtis, Gary P.; Shi, Xiaoqing; Niu, Xu-Feng; Yabusaki, Steve B.

2013-01-01

When conducting model averaging for assessing groundwater conceptual model uncertainty, the averaging weights are often evaluated using model selection criteria such as AIC, AICc, BIC, and KIC (Akaike Information Criterion, Corrected Akaike Information Criterion, Bayesian Information Criterion, and Kashyap Information Criterion, respectively). However, this method often leads to an unrealistic situation in which the best model receives overwhelmingly large averaging weight (close to 100%), which cannot be justified by available data and knowledge. It was found in this study that this problem was caused by using the covariance matrix, CE, of measurement errors for estimating the negative log likelihood function common to all the model selection criteria. This problem can be resolved by using the covariance matrix, Cek, of total errors (including model errors and measurement errors) to account for the correlation between the total errors. An iterative two-stage method was developed in the context of maximum likelihood inverse modeling to iteratively infer the unknown Cek from the residuals during model calibration. The inferred Cek was then used in the evaluation of model selection criteria and model averaging weights. While this method was limited to serial data using time series techniques in this study, it can be extended to spatial data using geostatistical techniques. The method was first evaluated in a synthetic study and then applied to an experimental study, in which alternative surface complexation models were developed to simulate column experiments of uranium reactive transport. It was found that the total errors of the alternative models were temporally correlated due to the model errors. The iterative two-stage method using Cekresolved the problem that the best model receives 100% model averaging weight, and the resulting model averaging weights were supported by the calibration results and physical understanding of the alternative models. Using Cek obtained from the iterative two-stage method also improved predictive performance of the individual models and model averaging in both synthetic and experimental studies.

Weight outcomes audit for 34,271 adults referred to a primary care/commercial weight management partnership scheme.

PubMed

Stubbs, R James; Pallister, Carolyn; Whybrow, Stephen; Avery, Amanda; Lavin, Jacquie

2011-01-01

This project audited rate and extent of weight loss in a primary care/commercial weight management organisation partnership scheme. 34,271 patients were referred to Slimming World for 12 weekly sessions. Data were analysed using individual weekly weight records. Average (SD) BMI change was -1.5 kg/m² (1.3), weight change -4.0 kg (3.7), percent weight change -4.0% (3.6), rate of weight change -0.3 kg/week, and number of sessions attended 8.9 (3.6) of 12. For patients attending at least 10 of 12 sessions (n = 19,907 or 58.1%), average (SD) BMI change was -2.0 kg/m² (1.3), weight change -5.5 kg (3.8), percent weight change -5.5% (3.5), rate of weight change -0.4 kg/week, and average number of sessions attended was 11.5 (0.7) (p < 0.001, compared to all patients). Weight loss was greater in men (n = 3,651) than in women (n = 30,620) (p < 0.001). 35.8% of all patients enrolled and 54.7% in patients attending 10 or more sessions achieved at least 5% weight loss. Weight gain was prevented in 92.1% of all patients referred. Attendance explained 29.6% and percent weight lost in week 1 explained 18.4% of the variance in weight loss. Referral to a commercial organisation is a practical option for National Health Service (NHS) weight management strategies, which achieves clinically safe and effective weight loss. Copyright © 2011 S. Karger AG, Basel.

Investigation of Seepage Meter Measurements in Steady Flow and Wave Conditions.

PubMed

Russoniello, Christopher J; Michael, Holly A

2015-01-01

Water exchange between surface water and groundwater can modulate or generate ecologically important fluxes of solutes across the sediment-water interface. Seepage meters can directly measure fluid flux, but mechanical resistance and surface water dynamics may lead to inaccurate measurements. Tank experiments were conducted to determine effects of mechanical resistance on measurement efficiency and occurrence of directional asymmetry that could lead to erroneous net flux measurements. Seepage meter efficiency was high (average of 93%) and consistent for inflow and outflow under steady flow conditions. Wave effects on seepage meter measurements were investigated in a wave flume. Seepage meter net flux measurements averaged 0.08 cm/h-greater than the expected net-zero flux, but significantly less than theoretical wave-driven unidirectional discharge or recharge. Calculations of unidirectional flux from pressure measurements (Darcy flux) and theory matched well for a ratio of wave length to water depth less than 5, but not when this ratio was greater. Both were higher than seepage meter measurements of unidirectional flux made with one-way valves. Discharge averaged 23% greater than recharge in both seepage meter measurements and Darcy calculations of unidirectional flux. Removal of the collection bag reduced this net discharge. The presence of a seepage meter reduced the amplitude of pressure signals at the bed and resulted in a nearly uniform pressure distribution beneath the seepage meter. These results show that seepage meters may provide accurate measurements of both discharge and recharge under steady flow conditions and illustrate the potential measurement errors associated with dynamic wave environments. © 2014, National Ground Water Association.

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

NASA Astrophysics Data System (ADS)

Debnath, Palash; Mukherjee, Abhijit

2016-06-01

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

Nutrient-enriched formula versus standard term formula for preterm infants following hospital discharge.

PubMed

Henderson, G; Fahey, T; McGuire, W

2007-10-17

Preterm infants are often growth-restricted at hospital discharge. Feeding infants after hospital discharge with nutrient-enriched formula rather than standard term formula might facilitate "catch-up" growth and improve development. To determine the effect of feeding nutrient-enriched formula compared with standard term formula on growth and development for preterm infants following hospital discharge. The standard search strategy of the Cochrane Neonatal Review Group were used. This included searches of the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 2, 2007), MEDLINE (1966 - May 2007), EMBASE (1980 - May 2007), CINAHL (1982 - May 2007), conference proceedings, and previous reviews. Randomised or quasi-randomised controlled trials that compared the effect of feeding preterm infants following hospital discharge with nutrient-enriched formula compared with standard term formula. Data was extracted using the standard methods of the Cochrane Neonatal Review Group, with separate evaluation of trial quality and data extraction by two authors, and synthesis of data using weighted mean difference and a fixed effects model for meta-analysis. Seven trials were found that were eligible for inclusion. These recruited a total of 631 infants and were generally of good methodological quality. The trials found little evidence that feeding with nutrient-enriched formula milk affected growth and development. Because of differences in the way individual trials measured and presented outcomes, data synthesis was limited. Growth data from two trials found that, at six months post-term, infants fed with nutrient-enriched formula had statistically significantly lower weights [weighted mean difference: -601 (95% confidence interval -1028, -174) grams], lengths [-18.8 (-30.0, -7.6) millimetres], and head circumferences [-10.2 ( -18.0, -2.4) millimetres], than infants fed standard term formula. At 12 to 18 months post-term, meta-analyses of data from three trials did not find any statistically significant differences in growth parameters. However, examination of these meta-analyses demonstrated statistical heterogeneity. Meta-analyses of data from two trials did not reveal a statistically significant difference in Bayley Mental Development or Psychomotor Development Indices. There are not yet any data on growth or development through later childhood. The available data do not provide strong evidence that feeding preterm infants following hospital discharge with nutrient-enriched formula compared with standard term formula affects growth rates or development up to 18 months post-term.

Velocity persistence of Brownian particles generated in a glow discharge

NASA Astrophysics Data System (ADS)

Hurd, Alan J.; Ho, Pauline

1989-06-01

Quasielastic light scattering from Brownian particles in the rarefied environment of a glow discharge exhibits Gaussianlike intensity correlation functions owing to the long mean free paths of the particles. The shape of the correlation function depends on the particles' average thermal velocity and friction coefficient, which can be related to aggregate mass and structure, and indicates a crossover from kinetic to hydrodynamic behavior.

Edge-to-center plasma density ratios in two-dimensional plasma discharges

NASA Astrophysics Data System (ADS)

Lucken, R.; Croes, V.; Lafleur, T.; Raimbault, J.-L.; Bourdon, A.; Chabert, P.

2018-03-01

Edge-to-center plasma density ratios—so-called h factors—are important parameters for global models of plasma discharges as they are used to calculate the plasma losses at the reactor walls. There are well-established theories for h factors in the one-dimensional (1D) case. The purpose of this paper is to establish h factors in two-dimensional (2D) systems, with guidance from a 2D particle-in-cell (PIC) simulation. We derive analytical solutions of a 2D fluid theory that includes the effect of ion inertia, but assumes a constant (independent of space) ion collision frequency (using an average ion velocity) across the discharge. Predicted h factors from this 2D fluid theory have the same order of magnitude and the same trends as the PIC simulations when the average ion velocity used in the collision frequency is set equal to the ion thermal velocity. The best agreement is obtained when the average ion velocity varies with pressure (but remains independent of space), going from half the Bohm velocity at low pressure, to the thermal velocity at high pressure. The analysis also shows that a simple correction of the widely-used 1D heuristic formula may be proposed to accurately incorporate 2D effects.

Minimum average 7-day, 10-year flows in the Hudson River basin, New York, with release-flow data on Rondout and Ashokan reservoirs

USGS Publications Warehouse

Archer, Roger J.

1978-01-01

Minimum average 7-day, 10-year flow at 67 gaging stations and 173 partial-record stations in the Hudson River basin are given in tabular form. Variation of the 7-day, 10-year low flow from point to point in selected reaches, and the corresponding times of travel, are shown graphically for Wawayanda Creek, Wallkill River, Woodbury-Moodna Creek, and the Fishkill Creek basins. The 7-day, 10-year low flow for the Saw Kill basin, and estimates of the 7-day, 10-year low flow of the Roeliff Jansen Kill at Ancram and of Birch Creek at Pine Hill, are given. Summaries of discharge from Rondout and Ashokan Reservoirs, in Ulster County, are also included. Minimum average 7-day, 10-year flow for gaging stations with 10 years or more of record were determined by log-Pearson Type III computation; those for partial-record stations were developed by correlation of discharge measurements made at the partial-record stations with discharge data from appropriate long-term gaging stations. The variation in low flows from point to point within the selected subbasins were estimated from available data and regional regression formula. Time of travel at these flows in the four subbasins was estimated from available data and Boning's equations.

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

NASA Astrophysics Data System (ADS)

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

2016-12-01

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

Effects of high versus standard early protein intake on growth of extremely low birth weight infants.

PubMed

Maggio, Luca; Cota, Francesco; Gallini, Francesca; Lauriola, Valeria; Zecca, Chiara; Romagnoli, Costantino

2007-01-01

Early provision of protein has been shown to limit catabolism and could improve growth. Our objective was to determine whether early aggressive protein intake improved growth outcomes of extremely low birth weight (ELBW) infants. ELBW infants were included in the study if they had no major congenital anomalies or renal failure and were still hospitalized at 36 weeks postmenstrual age. In 25 infants (HP) the early protein intake was planned to be 20% greater than in 31 historical controls (SP). The 2 groups were similar in the baseline characteristics. The mean protein intake during the first 14 days of life was significantly greater in the HP group (3.1 +/- 0.2 vs 2.5 +/- 0.2 g/kg/d; P<0.0001). HP group showed lower postnatal weight loss (-3.1%; 95% confidence interval [CI] -5.9, -0.2) and earlier regain of birth weight (-4.1 days; 95% CI -6.6, -1.7). Mean blood urea nitrogen and bicarbonate levels were similar; mean serum glucose level was lower in the HP group (-21,7 mg/dL; 95% CI -41.9,-1.5). HP infants had a reduced fall in weight z score (-0.57; 95% CI -1.01, -0.12) and in length z score (-0.51; 95% CI -0.97, -0.05) from birth to discharge. Early high protein intake was associated with improved weight and length growth outcomes at discharge. These findings highlight the benefits of aggressive protein intake immediately after birth.

Water-discharge determinations for the tidal reach of the Willamette River from Ross Island Bridge to Mile 10.3, Portland, Oregon

USGS Publications Warehouse

Dempster, G.R.; Lutz, Gale A.

1968-01-01

Water-discharge, velocity, and slope variations for a 3.7-mile-Iong tidal reach of the Willamette River at Portland, Oreg., were defined from discharge measurements and river stage data collected between July 1962 and January 1965. Observed water discharge during tide-affected flows, during floods, and during backwater from the Columbia River and recorded stages at each end of the river reach were used to determine water discharge from two mathematical models. These models use a finite-difference method to solve the equations of moderately unsteady open-channel streamflow, and discharges are computed by an electronic digital computer. Discharges computed by using the mathematical models compare satisfactorily with observed discharges, except during the period of backwater from the annual flood of the Columbia River. The flow resistance coefficients used in the models vary with discharge; for one model, the coefficients for discharges above 30,000 cfs (cubic feet per second) are 12 and 24 percent less than the coefficient used for discharges below 30,000 cfs. Daily mean discharges were determined by use of one mathematical model for approximately two-thirds of the water year, October 1963 through September 1964. Agreement of computed with routed daily mean discharges is fair; above 30,000 cfs, average differences between the two discharges are about 10 percent, and below 30,000 cfs, computed daily discharges are consistently greater (by as much as 25 percent) than routed discharges. The other model was used to compute discharges for the unusually high flood flows of December 1964.

Adrenaline (epinephrine) dosing period and survival after in-hospital cardiac arrest: a retrospective review of prospectively collected data.

PubMed

Warren, Sam A; Huszti, Ella; Bradley, Steven M; Chan, Paul S; Bryson, Chris L; Fitzpatrick, Annette L; Nichol, Graham

2014-03-01

Expert guidelines for treatment of cardiac arrest recommend administration of adrenaline (epinephrine) every three to five minutes. However, the effects of different dosing periods of epinephrine remain unclear. We sought to evaluate the association between epinephrine average dosing period and survival to hospital discharge in adults with an in-hospital cardiac arrest (IHCA). We performed a retrospective review of prospectively collected data on 20,909 IHCA events from 505 hospitals participating in the Get With The Guidelines-Resuscitation (GWTG-R) quality improvement registry. Epinephrine average dosing period was defined as the time between the first epinephrine dose and the resuscitation endpoint, divided by the total number of epinephrine doses received subsequent to the first epinephrine dose. Associations with survival to hospital discharge were assessed by using generalized estimating equations to construct multivariable logistic regression models. Compared to a referent epinephrine average dosing period of 4 to <5 min per dose, survival to hospital discharge was significantly higher in patients with the following epinephrine average dosing periods: for 6 to <7 min/dose, adjusted odds ratio [OR], 1.41 (95%CI: 1.12, 1.78); for 7 to <8 min/dose, adjusted OR, 1.30 (95%CI: 1.02, 1.65); for 8 to <9 min/dose, adjusted OR, 1.79 (95%CI: 1.38, 2.32); for 9 to <10 min/dose, adjusted OR, 2.17 (95%CI: 1.62, 2.92). This pattern was consistent for both shockable and non-shockable cardiac arrest rhythms. Less frequent average epinephrine dosing than recommended by consensus guidelines was associated with improved survival of in-hospital cardiac arrest. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

The contribution of total suspended solids to the Bay of Biscay by Cantabrian Rivers (northern coast of the Iberian Peninsula)

NASA Astrophysics Data System (ADS)

Prego, Ricardo; Boi, Paola; Cobelo-García, Antonio

2008-07-01

Information of suspended sediments fluxes of small rivers to the coastal zone is sparse, and this is particularly so for the Iberian Rivers. To help address this shortage of information, the relationship between fluvial discharge and total suspended solids (TSS) for the main 28 Cantabrian Rivers using data from 22 years monitoring by the COCA network has been analysed, and their particulate material fluxes to the Bay of Biscay coasts have been quantified. The Cantabrian Fluvial System (drainage basin area of 20,333 km 2) may be considered as a quasi-homogeneous fluvial system with an average discharge of 561 m - 3 s - 1 and average loads of 35 kg TSS s - 1 with rivers showing similar average yields of 56 t km - 2 a - 1 . The average TSS contribution is 1.2 ± 0.2 10 9 kg a - 1 . This seaward flux of sediment is dispersed along the entire North Iberian coast and is rather modest (25% of the total supply) in comparison with the output from the French Rivers to the Bay of Biscay. The TSS loads of Cantabrian Rivers indicate they are similar to world upland rivers and those of other parts of Northern Europe according to Milliman and Syvistki [Milliman and Syvistki, 1992. Geomorphic/tectonic control of sediment discharge to the ocean: the importance of small mountainous rivers. Journal of Geology, 100: 525-544] and Milliman [Milliman, 2001. Delivery and fate of fluvial water and sediment to the sea: a marine geologist's view of European rivers. Scientia Marina, 65: 121-132]. Although their TSS flux is practically negligible (13,000 times lower) when compared to the world average flux, they provide a good example of the role of small Atlantic temperate rivers.

Heavy-metal pollution assessment in the coastal lagoons of Jacarepaguá, Rio de Janeiro, Brazil.

PubMed

Fernandes, H M; Bidone, E D; Veiga, L H; Patchineelam, S R

1994-01-01

The Jacarepaguá lagoon receives the waste from 239 industries and domestic sewage. Bottom sediment analysis revealed that metal pollution is not spread over the lagoons but restricted to the discharge areas of the main metal-carrier rivers. Metal concentrations in superficial water showed the following concentrations values in ng/ml: Zn, 9.63+/-3.59; Pb, 0.61+/-0.43; Cu, 0.94+/-0.45; Mn, 12.7+/-8.0. Metal concentration in fish (average of seven different species) presented the following results, in mg/kg wet weight: Cr, 0.08+/-0.01; Cu, 0.4+/-0.15; Zn, 4.6+/-3.4; Fe, 2.4+/-1.3; Mn, 0.4+/-0.3. These results imply, considering fish consumption rate and the RfD (USEPA Reference Dose), that the local population is not exposed to undue health risks. Metal concentrations in the water may, however, increase due to their dissolution induced by pH and redox changes in the sediments.

Atmospheric non-thermal argon-oxygen plasma for sunflower seedling growth improvement

NASA Astrophysics Data System (ADS)

Matra, Khanit

2018-01-01

Seedling growth enhancement of sunflower seeds by DC atmospheric non-thermal Ar-O2 plasma has been proposed. The plasma reactor was simply designed by the composition of multi-pin electrodes bonded on a solderable printed circuit board (PCB) anode. A stable plasma was exhibited in the non-periodical self-pulsing discharge mode during the seed treatment. The experimental results showed that non-thermal plasma treatment had a significant positive effect on the sunflower seeds. Ar-O2 mixed gas ratio, treatment time and power source voltage are the important parameters affecting growth stimulation of sunflower sprouts. In this research, the sunflower seeds treated with 3:3 liters per minute (LPM) of Ar-O2 plasma at a source voltage of 8 kV for 1 min showed the best results in stimulating the seedling growth. The results in this case showed that the dry weight and average shoot length of the sunflower sprouts were 1.79 and 2.69 times higher and heavier than those of the untreated seeds, respectively.

Iodine-131 in sewage sludge from a small water pollution control plant serving a thyroid cancer treatment facility.

PubMed

Rose, Paula S; Swanson, R Lawrence

2013-08-01

Iodine-131 (half-life = 8.04 d) is the most widely used radionuclide in medicine for therapeutic purposes. It is excreted by patients and is discharged directly to sewer systems. Despite considerable dilution in waste water and the relatively short half-life of I, it is readily measured in sewage. This work presents I concentrations in sewage sludge from three water pollution control plants (WPCPs) on Long Island, NY. Iodine-131 concentrations ranged from 0.027 ± 0.002 to 148 ± 4 Bq g dry weight. The highest concentrations were measured in the Stony Brook WPCP, a relatively small plant (average flow = 6.8 × 10 L d) serving a regional thyroid cancer treatment facility in Stony Brook, NY. Preliminary radiation dose calculations suggested further evaluation of dose to treatment plant workers in the Stony Brook WPCP based on the recommendations of the Interagency Steering Committee on Radiation Standards.

Water-quality assessment of stormwater runoff from a heavily used urban highway bridge in Miami, Florida

USGS Publications Warehouse

McKenzie, Donald J.; Irwin, G.A.

1983-01-01

Runoff from a heavily-traveled, 1.43-acre bridge section of Interstate-95 in Miami, Florida, was comprehensively monitored for both quality and quantity during five selected storms between November 1979 and May 1981. For most water-quality parameters, 6 to 11 samples were collected during each of the 5 runoff events. Concentrations of most parameters in the runoff were quite variable both during individual storm events and among the five storm events; however, the ranges in parameter concentration were about the same magnitude report for numerous other highway and urban drainages. Data were normalized to estimate the average, discharge-weighted parameter loads per storm per acre of bridge surface and results suggested that the most significant factor influencing stormwater loads was parameter concentration. Rainfall intensity and runoff volume, however, influenced rates of loading. The total number of antecedent dry days and traffic volume did not appear to be conspicously related to either runoff concentrations or loads. (USGS)

Retrofit Weight-Loss Outcomes at 6, 12, and 24 Months and Characteristics of 12-Month High Performers: A Retrospective Analysis.

PubMed

Painter, Stefanie; Ditsch, Gary; Ahmed, Rezwan; Hanson, Nicholas Buck; Kachin, Kevin; Berger, Jan

2016-08-22

Obesity is the leading cause of preventable death costing the health care system billions of dollars. Combining self-monitoring technology with personalized behavior change strategies results in clinically significant weight loss. However, there is a lack of real-world outcomes in commercial weight-loss program research. Retrofit is a personalized weight management and disease-prevention solution. This study aimed to report Retrofit's weight-loss outcomes at 6, 12, and 24 months and characterize behaviors, age, and sex of high-performing participants who achieved weight loss of 10% or greater at 12 months. A retrospective analysis was performed from 2011 to 2014 using 2720 participants enrolled in a Retrofit weight-loss program. Participants had a starting body mass index (BMI) of >25 kg/m² and were at least 18 years of age. Weight measurements were assessed at 6, 12, and 24 months in the program to evaluate change in body weight, BMI, and percentage of participants who achieved 5% or greater weight loss. A secondary analysis characterized high-performing participants who lost ≥10% of their starting weight (n=238). Characterized behaviors were evaluated, including self-monitoring through weigh-ins, number of days wearing an activity tracker, daily step count average, and engagement through coaching conversations via Web-based messages, and number of coaching sessions attended. Average weight loss at 6 months was -5.55% for male and -4.86% for female participants. Male and female participants had an average weight loss of -6.28% and -5.37% at 12 months, respectively. Average weight loss at 24 months was -5.03% and -3.15% for males and females, respectively. Behaviors of high-performing participants were assessed at 12 months. Number of weigh-ins were greater in high-performing male (197.3 times vs 165.4 times, P=.001) and female participants (222 times vs 167 times, P<.001) compared with remaining participants. Total activity tracker days and average steps per day were greater in high-performing females (304.7 vs 266.6 days, P<.001; 8380.9 vs 7059.7 steps, P<.001, respectively) and males (297.1 vs 255.3 days, P<.001; 9099.3 vs 8251.4 steps, P=.008, respectively). High-performing female participants had significantly more coaching conversations via Web-based messages than remaining female participants (341.4 vs 301.1, P=.03), as well as more days with at least one such electronic message (118 vs 108 days, P=.03). High-performing male participants displayed similar behavior. Participants on the Retrofit program lost an average of -5.21% at 6 months, -5.83% at 12 months, and -4.09% at 24 months. High-performing participants show greater adherence to self-monitoring behaviors of weighing in, number of days wearing an activity tracker, and average number of steps per day. Female high performers have higher coaching engagement through conversation days and total number of coaching conversations.