Radiological emergency: Malaysian preparedness and response.

PubMed

Yusof, Mohd Abd Wahab; Ali, Hamrah Mohd

2011-07-01

Planning and preparation in advance for radiological emergencies can help to minimise potential public health and environmental threats if and when an actual emergency occurs. During the planning process, emergency response organisations think through how they would respond to each type of incident and the resources that will be needed. In Malaysia, planning, preparation for and response to radiological emergencies involve many parties. In the event of a radiological emergency and if it is considered a disaster, the National Security Council, the Atomic Energy Licensing Board and the Malaysian Nuclear Agency (Nuclear Malaysia) will work together with other federal agencies, state and local governments, first responders and international organisations to monitor the situation, contain the release, and clean up the contaminated site. Throughout the response, these agencies use their protective action guidelines. This paper discusses Malaysian preparedness for, and response to, any potential radiological emergency.

1987 Oak Ridge model conference: Proceedings: Volume 2, Environmental protection

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

Not Available

1987-01-01

See the abstract for Volume I for general information on the conference. Topics discussed in Volume II include data management techiques for environmental protection efforts, the use of models in environmental auditing, in emergency plans, chemical accident emergency response, risk assessment, monitoring of waste sites, air and water monitoring of waste sites, and in training programs. (TEM)

Monitoring Eastern Spadefoot (Scaphiopus holbrookii) response to weather with the use of a passive integrated transponder (PIT) system

USGS Publications Warehouse

Ryan, Kevin J.; Calhoun, Aram J.K.; Timm, Brad C.; Zydlewski, Joseph D.

2015-01-01

Eastern Spadefoots (Scaphiopus holbrookii) are probably one of the least-understood amphibian species in the United States. In New England, populations are localized and it is likely that some populations go undocumented because of the species' cryptic habits. We used passive integrated transponders (PIT tags) to monitor burrow emergence with the aid of continuously running, stationary (but portable) PIT tag readers. We monitored the activity of individual Eastern Spadefoots by placing circular antennae directly over burrows of PIT tag-implanted individuals. We monitored 18 Eastern Spadefoots from 1 to 84 nights in the spring, summer, and fall of 2009–2011. Our results indicate that, on average, Eastern Spadefoots emerged on 43% of the nights that they were monitored. Nights when Eastern Spadefoots emerged were warmer and more humid than nonemergence nights. Eastern Spadefoots were also much more likely to emerge on a given night if they had emerged the night before. Our results have improved the understanding of Eastern Spadefoot burrow-emergence patterns in the northeast region. Our findings may considerably enhance the prospect of employing nocturnal visual encounter surveys as a method for monitoring known, and detecting previously undocumented, populations of this species.

BP Spill Monitoring Data April-September 2010

EPA Pesticide Factsheets

This dataset provides all of the monitoring data from the the British Petroleum Deepwater Horizon Rig Explosion Emergency Response. The data were collected between April 28, 2010 and September 29, 2010.

Introduction of an Emergency Response Plan for flood loading of Sultan Abu Bakar Dam in Malaysia

NASA Astrophysics Data System (ADS)

Said, N. F. Md; Sidek, L. M.; Basri, H.; Muda, R. S.; Razad, A. Z. Abdul

2016-03-01

Sultan Abu Bakar Dam Emergency Response Plan (ERP) is designed to assist employees for identifying, monitoring, responding and mitigation dam safety emergencies. This paper is outlined to identification of an organization chart, responsibility for emergency management team and triggering level in Sultan Abu Bakar Dam ERP. ERP is a plan that guides responsibilities for proper operation of Sultan Abu Bakar Dam in respond to emergency incidents affecting the dam. Based on this study four major responsibilities are needed for Abu Bakar Dam owing to protect any probable risk for downstream which they can be Incident Commander, Deputy Incident Commander, On-Scene Commander, Civil Engineer. In conclusion, having organization charts based on ERP studies can be helpful for decreasing the probable risks in any projects such as Abu Bakar Dam and it is a way to identify and suspected and actual dam safety emergencies.

Hurricane Katrina Air Quality Sampling/Daily Monitoring (AQSDM)

EPA Pesticide Factsheets

Hurricane Katrina made landfall in August 2005, causing widespread devastation along the Gulf Coast of the United States. EPA emergency response personnel worked with FEMA and state and local agencies to respond to the emergencies throughout the Gulf.

From SARS to H7N9: the mechanism of responding to emerging communicable diseases has made great progress in China.

PubMed

Yao, Linong; Chen, Enfu; Chen, Zhiping; Gong, Zhenyu

2013-12-01

The outbreak of severe acute respiratory syndrome (SARS) in 2003 indicated that China's existing former mechanism for emergency management was very vulnerable. The Chinese Government has since established a new mechanism for responding to emerging communicable diseases. This paper examined the current status of and developments in China's response to emerging communicable diseases from the outbreak of SARS in 2003 to the outbreak of H7N9 virus infection in 2013. Results indicated that the current mechanism for emergency responses to emerging communicable diseases in China has made great achievements in terms of command and decision-making, organization and collaboration, monitoring and early warning systems, protection, and international communication and cooperation. This mechanism for responding to emerging communicable diseases allowed China to successfully deal with outbreaks of the H5N1 bird flu, H1N1 flu, and H7N9 bird flu. However, a better coordination system, a more complete Office of Responses to Public Health Emergencies, administrative responsibility and error correction, better personnel training, and government responsibility may help to improve the response to emerging communicable diseases. Such improvements are eagerly anticipated.

Report: Response to Congressional Inquiry Regarding the EPA’s Emergency Order to the Range Resources Gas Drilling Company

EPA Pesticide Factsheets

Report #14-P-0044, December 20, 2013. The EPA withdrew its emergency order regarding Range Resources hydraulic fracturing operations, but continues to monitor the situation for evidence of widespread contamination.

Cognitive Control Reflects Context Monitoring, Not Motoric Stopping, in Response Inhibition

PubMed Central

Chatham, Christopher H.; Claus, Eric D.; Kim, Albert; Curran, Tim; Banich, Marie T.; Munakata, Yuko

2012-01-01

The inhibition of unwanted behaviors is considered an effortful and controlled ability. However, inhibition also requires the detection of contexts indicating that old behaviors may be inappropriate – in other words, inhibition requires the ability to monitor context in the service of goals, which we refer to as context-monitoring. Using behavioral, neuroimaging, electrophysiological and computational approaches, we tested whether motoric stopping per se is the cognitively-controlled process supporting response inhibition, or whether context-monitoring may fill this role. Our results demonstrate that inhibition does not require control mechanisms beyond those involved in context-monitoring, and that such control mechanisms are the same regardless of stopping demands. These results challenge dominant accounts of inhibitory control, which posit that motoric stopping is the cognitively-controlled process of response inhibition, and clarify emerging debates on the frontal substrates of response inhibition by replacing the centrality of controlled mechanisms for motoric stopping with context-monitoring. PMID:22384038

REVIEW OF THE RADNET AIR MONITORING NETWORK UPGRADE AND EXPANSION

EPA Science Inventory

RadNet, formerly known as ERAMS, has been operating since the 1970's, monitoring environmental radiation across the country, supporting responses to radiological emergencies, and providing important information on background levels of radiation in the environment. The original ...

Incident Management Systems and Building Emergency Management Capacity during the 2014-2016 Ebola Epidemic - Liberia, Sierra Leone, and Guinea.

PubMed

Brooks, Jennifer C; Pinto, Meredith; Gill, Adrienne; Hills, Katherine E; Murthy, Shivani; Podgornik, Michelle N; Hernandez, Luis F; Rose, Dale A; Angulo, Frederick J; Rzeszotarski, Peter

2016-07-08

Establishing a functional incident management system (IMS) is important in the management of public health emergencies. In response to the 2014-2016 Ebola virus disease (Ebola) epidemic in West Africa, CDC established the Emergency Management Development Team (EMDT) to coordinate technical assistance for developing emergency management capacity in Guinea, Liberia, and Sierra Leone. EMDT staff, deployed staff, and partners supported each country to develop response goals and objectives, identify gaps in response capabilities, and determine strategies for coordinating response activities. To monitor key programmatic milestones and assess changes in emergency management and response capacities over time, EMDT implemented three data collection methods in country: coordination calls, weekly written situation reports, and an emergency management dashboard tool. On the basis of the information collected, EMDT observed improvements in emergency management capacity over time in all three countries. The collaborations in each country yielded IMS structures that streamlined response and laid the foundation for long-term emergency management programs.The activities summarized in this report would not have been possible without collaboration with many U.S and international partners (http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/partners.html).

Satellite SAR interferometric techniques applied to emergency mapping

NASA Astrophysics Data System (ADS)

Stefanova Vassileva, Magdalena; Riccardi, Paolo; Lecci, Daniele; Giulio Tonolo, Fabio; Boccardo Boccardo, Piero; Chiesa, Giuliana; Angeluccetti, Irene

2017-04-01

This paper aim to investigate the capabilities of the currently available SAR interferometric algorithms in the field of emergency mapping. Several tests have been performed exploiting the Copernicus Sentinel-1 data using the COTS software ENVI/SARscape 5.3. Emergency Mapping can be defined as "creation of maps, geo-information products and spatial analyses dedicated to providing situational awareness emergency management and immediate crisis information for response by means of extraction of reference (pre-event) and crisis (post-event) geographic information/data from satellite or aerial imagery". The conventional differential SAR interferometric technique (DInSAR) and the two currently available multi-temporal SAR interferometric approaches, i.e. Permanent Scatterer Interferometry (PSI) and Small BAseline Subset (SBAS), have been applied to provide crisis information useful for the emergency management activities. Depending on the considered Emergency Management phase, it may be distinguished between rapid mapping, i.e. fast provision of geospatial data regarding the area affected for the immediate emergency response, and monitoring mapping, i.e. detection of phenomena for risk prevention and mitigation activities. In order to evaluate the potential and limitations of the aforementioned SAR interferometric approaches for the specific rapid and monitoring mapping application, five main factors have been taken into account: crisis information extracted, input data required, processing time and expected accuracy. The results highlight that DInSAR has the capacity to delineate areas affected by large and sudden deformations and fulfills most of the immediate response requirements. The main limiting factor of interferometry is the availability of suitable SAR acquisition immediately after the event (e.g. Sentinel-1 mission characterized by 6-day revisiting time may not always satisfy the immediate emergency request). PSI and SBAS techniques are suitable to produce monitoring maps for risk prevention and mitigation purposes. Nevertheless, multi-temporal techniques require large SAR temporal datasets, i.e. 20 and more images. Being the Sentinel-1 missions operational only since April 2014, multi-mission SAR datasets should be therefore exploited to carry out historical analysis.

[A monitor for the emergency psychiatric service chain].

PubMed

Salden, M E F H; van Kemenade, J F L M; van Dam, A; Mulder, C L

2014-01-01

Many organisations are involved in the delivery of psychiatric emergency care to patients in crisis. We therefore refer to these organisations as the Psychiatric Emergency Chain (PEC). The quality of the PEC determines the quality of the psychiatric emergency care in a region. In order to measure the quality of this type of care a monitor has been developed in collaboration with the main stakeholders in the region Western North Brabant (WNB). To develop a monitor to measure the quality of a PEC in a region, identify weak spots in the chain and feed back the results to the chain. By searching the literature, studying the primary process in the chain and by having interviews with stakeholders we compiled a questionnaire for monitoring the pec. The monitor was tested in the WNB region and adjusted on the basis of experiences with the respondents. Then the monitor was generalised and tested in another region (Eindhoven and the Kempen) in order to find out whether this instrument might also be applicable to other pecs in the Netherlands. The monitor provided the PEC with a common language for evaluating the chain. The monitor was able to pinpoint particular weak spots and collaboration problems such as the response time required to reach the emergency, communication between and within organisations and domain discussions between different stakeholders. Chain partners used the results of the monitor to negotiate better collaborative agreements and to improve their care. The monitor is able to pinpoint problem areas in the PEC and subsequently to generate feedback to its stakeholders. This creates opportunities for improvement in the PEC. Therefore the monitor is a useful instrument for evaluating a local PEC periodically.

Future Directions for Monitoring Treatment Response in Colorectal Cancer

PubMed Central

Walker, Avery S.; Zwintscher, Nathan P.; Johnson, Eric K.; Maykel, Justin A.; Stojadinovic, Alexander; Nissan, Aviram; Avital, Itzhak; Brücher, Björn LDM; Steele, Scott R.

2014-01-01

Treatment of advanced colon and rectal cancer has significantly evolved with the introduction of neoadjuvant chemoradiation therapy so much that, along with more effective chemotherapy regimens, surgery has been considered unnecessary among some institutions for select patients. The tumor response to these treatments has also improved and ultimately has been shown to have a direct effect on prognosis. Yet, the best way to monitor that response, whether clinically, radiologically, or with laboratory findings, remains controversial. The authors' aim is to briefly review the options available and, more importantly, examine emerging and future options to assist in monitoring treatment response in cases of locally advanced rectal cancer and metastatic colon cancer. PMID:24396497

Multicriteria relocation analysis of an off-site radioactive monitoring network for a nuclear power plant.

PubMed

Chang, Ni-Bin; Ning, Shu-Kuang; Chen, Jen-Chang

2006-08-01

Due to increasing environmental consciousness in most countries, every utility that owns a commercial nuclear power plant has been required to have both an on-site and off-site emergency response plan since the 1980s. A radiation monitoring network, viewed as part of the emergency response plan, can provide information regarding the radiation dosage emitted from a nuclear power plant in a regular operational period and/or abnormal measurements in an emergency event. Such monitoring information might help field operators and decision-makers to provide accurate responses or make decisions to protect the public health and safety. This study aims to conduct an integrated simulation and optimization analysis looking for the relocation strategy of a long-term regular off-site monitoring network at a nuclear power plant. The planning goal is to downsize the current monitoring network but maintain its monitoring capacity as much as possible. The monitoring sensors considered in this study include the thermoluminescence dosimetry (TLD) and air sampling system (AP) simultaneously. It is designed for detecting the radionuclide accumulative concentration, the frequency of violation, and the possible population affected by a long-term impact in the surrounding area regularly while it can also be used in an accidental release event. With the aid of the calibrated Industrial Source Complex-Plume Rise Model Enhancements (ISC-PRIME) simulation model to track down the possible radionuclide diffusion, dispersion, transport, and transformation process in the atmospheric environment, a multiobjective evaluation process can be applied to achieve the screening of monitoring stations for the nuclear power plant located at Hengchun Peninsula, South Taiwan. To account for multiple objectives, this study calculated preference weights to linearly combine objective functions leading to decision-making with exposure assessment in an optimization context. Final suggestions should be useful for narrowing the set of scenarios that decision-makers need to consider in this relocation process.

Emergency care centers--an efficient method for mitigation of consequences after a dirty bomb attack.

PubMed

Miska, Horst

2012-08-01

For emergency preparedness and response with respect to nuclear power plant accidents, the concept of Emergency Care Centers has been developed in Germany. This setup aims at monitoring contamination, to decontaminate if needed, assess the dose, and perform an initial medical evaluation of people who might have been affected by the accident. The concept has been tested in many exercises. In response to a terrorist attack involving a dirty bomb, this concept may prove useful for attending contaminated people who are not severely injured.

77 FR 48173 - Comment Request for Information Collection for Monitoring Implementation of Changes to State...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-13

... Collection for Monitoring Implementation of Changes to State Unemployment Insurance (UI) Programs, Extension... to Scott Gibbons, Office of Unemployment Insurance, Employment and Training Administration, U.S... responsibility for ensuring that states implement the extension and modifications to the Emergency Unemployment...

An assessment of seismic monitoring in the United States; requirement for an Advanced National Seismic System

USGS Publications Warehouse

,

1999-01-01

This report assesses the status, needs, and associated costs of seismic monitoring in the United States. It sets down the requirement for an effective, national seismic monitoring strategy and an advanced system linking national, regional, and urban monitoring networks. Modernized seismic monitoring can provide alerts of imminent strong earthquake shaking; rapid assessment of distribution and severity of earthquake shaking (for use in emergency response); warnings of a possible tsunami from an offshore earthquake; warnings of volcanic eruptions; information for correctly characterizing earthquake hazards and for improving building codes; and data on response of buildings and structures during earthquakes, for safe, cost-effective design, engineering, and construction practices in earthquake-prone regions.

76 FR 6475 - Emergency Responder Health Monitoring and Surveillance

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-04

... document and instructions for submitting comments can be found at: http://www.cdc.gov/niosh/docket/review... an emergency response are utilized to mitigate adverse physical and psychological outcomes and...: http://www.cdc.gov/niosh/docket/review/docket223/ . This guidance does not have the force and effect of...

a Study of Co-Planing Technology of Spaceborne, Airborne and Ground Remote Sensing Detecting Resource, Driven by Disaster Emergency Task

NASA Astrophysics Data System (ADS)

Yu, F.; Chen, H.; Tu, K.; Wen, Q.; He, J.; Gu, X.; Wang, Z.

2018-04-01

Facing the monitoring needs of emergency responses to major disasters, combining the disaster information acquired at the first time after the disaster and the dynamic simulation result of the disaster chain evolution process, the overall plan for coordinated planning of spaceborne, airborne and ground observation resources have been designed. Based on the analysis of the characteristics of major disaster observation tasks, the key technologies of spaceborne, airborne and ground collaborative observation project are studied. For different disaster response levels, the corresponding workflow tasks are designed. On the basis of satisfying different types of disaster monitoring demands, the existing multi-satellite collaborative observation planning algorithms are compared, analyzed, and optimized.

Bispectral index, entropy, and quantitative electroencephalogram during single-agent xenon anesthesia.

PubMed

Laitio, Ruut M; Kaskinoro, Kimmo; Särkelä, Mika O K; Kaisti, Kaike K; Salmi, Elina; Maksimow, Anu; Långsjö, Jaakko W; Aantaa, Riku; Kangas, Katja; Jääskeläinen, Satu; Scheinin, Harry

2008-01-01

The aim was to evaluate the performance of anesthesia depth monitors, Bispectral Index (BIS) and Entropy, during single-agent xenon anesthesia in 17 healthy subjects. After mask induction with xenon and intubation, anesthesia was continued with xenon only. BIS, State Entropy and Response Entropy, and electroencephalogram were monitored throughout induction, steady-state anesthesia, and emergence. The performance of BIS, State Entropy, and Response Entropy were evaluated with prediction probability, sensitivity, and specificity analyses. The power spectrum of the raw electroencephalogram signal was calculated. The mean (SD) xenon concentration during anesthesia was 66.4% (2.4%). BIS, State Entropy, and Response Entropy demonstrated low prediction probability values at loss of response (0.455, 0.656, and 0.619) but 1 min after that the values were high (0.804, 0.941, and 0.929). Thereafter, equally good performance was demonstrated for all indices. At emergence, the prediction probability values to distinguish between steady-state anesthesia and return of response for BIS, State Entropy, and Response Entropy were 0.988, 0.892, and 0.992. No statistical differences between the performances of the monitors were observed. Quantitative electroencephalogram analyses showed generalized increase in total power (P < 0.001), delta (P < 0.001) and theta activity (P < 0.001), and increased alpha activity (P = 0.003) in the frontal brain regions. Electroencephalogram-derived depth of sedation indices BIS and Entropy showed a delay to detect loss of response during induction of xenon anesthesia. Both monitors performed well in distinguishing between conscious and unconscious states during steady-state anesthesia. Xenon-induced changes in electroencephalogram closely resemble those induced by propofol.

Applications of Remote Sensing to Emergency Management.

DTIC Science & Technology

1980-02-15

Contents: Foundations of Remote Sensing : Data Acquisition and Interpretation; Availability of Remote Sensing Technology for Disaster Response...Imaging Systems, Current and Near Future Satellite and Aircraft Remote Sensing Systems; Utilization of Remote Sensing in Disaster Response: Categories of...Disasters, Phases of Monitoring Activities; Recommendations for Utilization of Remote Sensing Technology in Disaster Response; Selected Reading List.

International Radiation Monitoring and Information System (IRMIS)

NASA Astrophysics Data System (ADS)

Mukhopadhyay, Sanjoy; Baciu, Florian; Stowisek, Jan; Saluja, Gurdeep; Kenny, Patrick; Albinet, Franck

2017-09-01

This article describes the International Radiation Monitoring Information System (IRMIS) which was developed by the International Atomic Energy Agency (IAEA) with the goal to provide Competent Authorities, the IAEA and other international organizations with a client server based web application to share and visualize large quantities of radiation monitoring data. The data maps the areas of potential impact that can assist countries to take appropriate protective actions in an emergency. Ever since the Chernobyl nuclear power plant accident in April of 19861 European Community (EC) has worked towards collecting routine environmental radiological monitoring data from national networked monitoring systems. European Radiological Data Exchange Platform (EURDEP) was created in 19952 to that end - to provide radiation monitoring data from most European countries reported in nearly real-time. During the response operations for the Fukushima Dai-ichi nuclear power plant accident (March 2011) the IAEA Incident and Emergency Centre (IEC) managed, harmonized and shared the large amount of data that was being generated from different organizations. This task underscored the need for a system which allows sharing large volumes of radiation monitoring data in an emergency. In 2014 EURDEP started the submission of the European radiological data to the International Radiation Monitoring Information System (IRMIS) as a European Regional HUB for IRMIS. IRMIS supports the implementation of the Convention on Early Notification of a Nuclear Accident by providing a web application for the reporting, sharing, visualizing and analysing of large quantities of environmental radiation monitoring data during nuclear or radiological emergencies. IRMIS is not an early warning system that automatically reports when there are significant deviations in radiation levels or when values are detected above certain levels. However, the configuration of the visualization features offered by IRMIS may help Member States to determine where elevated gamma dose rate measurements during a radiological or nuclear emergency indicate that actions to protect the public are necessary. The data can be used to assist emergency responders determine where and when to take necessary actions to protect the public. This new web online tool supports the IAEA's Unified System for Information Exchange in Incidents and Emergencies (USIE)3, an online tool where competent authorities can access information about all emergency situations, ranging from a lost radioactive source to a full-scale nuclear emergency.

Emergency response networks for disaster monitoring and detection from space

NASA Astrophysics Data System (ADS)

Vladimirova, Tanya; Sweeting, Martin N.; Vitanov, Ivan; Vitanov, Valentin I.

2009-05-01

Numerous man-made and natural disasters have stricken mankind since the beginning of the new millennium. The scale and impact of such disasters often prevent the collection of sufficient data for an objective assessment and coordination of timely rescue and relief missions on the ground. As a potential solution to this problem, in recent years constellations of Earth observation small satellites and in particular micro-satellites (<100 kg) in low Earth orbit have emerged as an efficient platform for reliable disaster monitoring. The main task of the Earth observation satellites is to capture images of the Earth surface using various techniques. For a large number of applications the resulting delay between image capture and delivery is not acceptable, in particular for rapid response remote sensing aiming at disaster monitoring and detection. In such cases almost instantaneous data availability is a strict requirement to enable an assessment of the situation and instigate an adequate response. Examples include earthquakes, volcanic eruptions, flooding, forest fires and oil spills. The proposed solution to this issue are low-cost networked distributed satellite systems in low Earth orbit capable of connecting to terrestrial networks and geostationary Earth orbit spacecraft in real time. This paper discusses enabling technologies for rapid response disaster monitoring and detection from space such as very small satellite design, intersatellite communication, intelligent on-board processing, distributed computing and bio-inspired routing techniques.

The application of unmanned aerial vehicle remote sensing for monitoring secondary geological disasters after earthquakes

NASA Astrophysics Data System (ADS)

Lei, Tianjie; Zhang, Yazhen; Wang, Xingyong; Fu, Jun'e.; Li, Lin; Pang, Zhiguo; Zhang, Xiaolei; Kan, Guangyuan

2017-07-01

Remote sensing system fitted on Unmanned Aerial Vehicle (UAV) can obtain clear images and high-resolution aerial photographs. It has advantages of strong real-time, flexibility and convenience, free from influence of external environment, low cost, low-flying under clouds and ability to work full-time. When an earthquake happened, it could go deep into the places safely and reliably which human staff can hardly approach, such as secondary geological disasters hit areas. The system can be timely precise in response to secondary geological disasters monitoring by a way of obtaining first-hand information as quickly as possible, producing a unique emergency response capacity to provide a scientific basis for overall decision-making processes. It can greatly enhance the capability of on-site disaster emergency working team in data collection and transmission. The great advantages of UAV remote sensing system played an irreplaceable role in monitoring secondary geological disaster dynamics and influences. Taking the landslides and barrier lakes for example, the paper explored the basic application and process of UAV remote sensing in the disaster emergency relief. UAV high-resolution remote sensing images had been exploited to estimate the situation of disaster-hit areas and monitor secondary geological disasters rapidly, systematically and continuously. Furthermore, a rapid quantitative assessment on the distribution and size of landslides and barrier lakes was carried out. Monitoring results could support relevant government departments and rescue teams, providing detailed and reliable scientific evidence for disaster relief and decision-making.

Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China

PubMed Central

Duan, Weili; He, Bin

2015-01-01

In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency. PMID:26184260

Emergency Response System for Pollution Accidents in Chemical Industrial Parks, China.

PubMed

Duan, Weili; He, Bin

2015-07-10

In addition to property damage and loss of lives, environment pollution, such as water pollution and air pollution caused by accidents in chemical industrial parks (CIPs) is a significant issue in China. An emergency response system (ERS) was therefore planned to properly and proactively cope with safety incidents including fire and explosions occurring in the CIPs in this study. Using a scenario analysis, the stages of emergency response were divided into three levels, after introducing the domino effect, and fundamental requirements of ERS design were confirmed. The framework of ERS was composed mainly of a monitoring system, an emergency command center, an action system, and a supporting system. On this basis, six main emergency rescue steps containing alarm receipt, emergency evaluation, launched corresponding emergency plans, emergency rescue actions, emergency recovery, and result evaluation and feedback were determined. Finally, an example from the XiaoHu Chemical Industrial Park (XHCIP) was presented to check on the integrality, reliability, and maneuverability of the ERS, and the result of the first emergency drill with this ERS indicated that the developed ERS can reduce delays, improve usage efficiency of resources, and raise emergency rescue efficiency.

Use of SMS-Based Surveys in the Rapid Response to the Ebola Outbreak in Liberia: Opening Community Dialogue.

PubMed

Berman, Amanda; Figueroa, Maria Elena; Storey, J Douglas

2017-01-01

During an emerging health crisis like the 2014 Ebola outbreak in West Africa, communicating with communities to learn from them and to provide timely information can be a challenge. Insight into community thinking, however, is crucial for developing appropriate communication content and strategies and for monitoring the progress of the emergency response. In November 2014, the Health Communication Capacity Collaborative partnered with GeoPoll to implement a Short Message Service (SMS)-based survey that could create a link with affected communities and help guide the communication response to Ebola. The ideation metatheory of communication and behavior change guided the design of the survey questionnaire, which produced critical insights into trusted sources of information, knowledge of transmission modes, and perceived risks-all factors relevant to the design of an effective communication response that further catalyzed ongoing community actions. The use of GeoPoll's infrastructure for data collection proved a crucial source of almost-real-time data. It allowed for rapid data collection and processing under chaotic field conditions. Though not a replacement for standard survey methodologies, SMS surveys can provide quick answers within a larger research process to decide on immediate steps for communication strategies when the demand for speedy emergency response is high. They can also help frame additional research as the response evolves and overall monitor the pulse of the situation at any point in time.

A public health perspective on the U.S. response to the Fukushima radiological emergency.

PubMed

Whitcomb, Robert C; Ansari, Armin J; Buzzell, Jennifer J; McCurley, M Carol; Miller, Charles W; Smith, James M; Evans, D Lynn

2015-03-01

On 11 March 2011, northern Japan was struck by first a magnitude 9.0 earthquake off the eastern coast and then by an ensuing tsunami. At the Fukushima Dai-ichi Nuclear Power Plant (NPP), these twin disasters initiated a cascade of events that led to radionuclide releases. Radioactive material from Japan was subsequently transported to locations around the globe, including the U.S. The levels of radioactive material that arrived in the U.S. were never large enough to cause health effects, but the presence of this material in the environment was enough to require a response from the public health community. Events during the response illustrated some U.S. preparedness challenges that previously had been anticipated and others that were newly identified. Some of these challenges include the following: (1) Capacity, including radiation health experts, for monitoring potentially exposed people for radioactive contamination are limited and may not be adequate at the time of a large-scale radiological incident; (2) there is no public health authority to detain people contaminated with radioactive materials; (3) public health and medical capacities for response to radiation emergencies are limited; (4) public health communications regarding radiation emergencies can be improved to enhance public health response; (5) national and international exposure standards for radiation measurements (and units) and protective action guides lack uniformity; (6) access to radiation emergency monitoring data can be limited; and (7) the Strategic National Stockpile may not be currently prepared to meet the public health need for KI in the case of a surge in demand from a large-scale radiation emergency. Members of the public health community can draw on this experience to improve public health preparedness.

Handheld Multi-Gas Meters Assessment Report

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

Williams, Gustavious; Wald-Hopkins, Mark David; Obrey, Stephen J.

2016-06-27

Handheld multi-gas meters (MGMs) are equipped with sensors to monitor oxygen (O2) levels and additional sensors to detect the presence of combustible or toxic gases in the environment. This report is limited to operational response-type MGMs that include at least four different sensors. These sensors can vary by type and by the monitored chemical. In real time, the sensors report the concentration of monitored gases in the atmosphere near the MGM. In April 2016 the System Assessment and Validation for Emergency Responders (SAVER) Program conducted an operationally-oriented assessment of MGMs. Five MGMs were assessed by emergency responders. The criteria andmore » scenarios used in this assessment were derived from the results of a focus group of emergency responders with experience in using MGMs. The assessment addressed 16 evaluation criteria in four SAVER categories: Usability, Capability, Maintainability, and Deployability.« less

Handheld Multi-Gas Meters Market Survey Report

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

Williams, Gustavious; Wald-Hopkins, Mark David; Obrey, Stephen J.

2016-06-23

Handheld multi-gas meters (MGMs) are equipped with sensors to monitor oxygen (O2) levels and additional sensors to detect the presence of combustible or toxic gases in the environment. This report is limited to operational response-type MGMs that include at least four different sensors. These sensors can vary by type and by the chemical monitored. In real time, the sensors report the concentration of monitored gases in the atmosphere near the MGM. To provide emergency responders with information on handheld multi-gas meters, the System Assessment and Validation for Emergency Responders (SAVER) Program conducted a market survey. This market survey report ismore » based on information gathered between November 2015 and February 2016 from vendors, Internet research, industry publications, an emergency responder focus group, and a government issued Request for Information (RFI) that was posted on the Federal Business Opportunities website.« less

Exploring how nurses assess, monitor and manage acute pain for adult critically ill patients in the emergency department: protocol for a mixed methods study.

PubMed

Varndell, Wayne; Fry, Margaret; Elliott, Doug

2017-08-01

Many critically ill patients experience moderate to severe acute pain that is frequently undetected and/or undertreated. Acute pain in this patient cohort not only derives from their injury and/or illness, but also as a consequence of delivering care whilst stabilising the patient. Emergency nurses are increasingly responsible for the safety and wellbeing of critically ill patients, which includes assessing, monitoring and managing acute pain. How emergency nurses manage acute pain in critically ill adult patients is unknown. The objective of this study is to explore how emergency nurses manage acute pain in critically ill patients in the Emergency Department. In this paper, we provide a detailed description of the methods and protocol for a multiphase sequential mixed methods study, exploring how emergency nurses assess, monitor and manage acute pain in critically ill adult patients. The objective, method, data collection and analysis of each phase are explained. Justification of each method and data integration is described. Synthesis of findings will generate a comprehensive picture of how emergency nurses' perceive and manage acute pain in critically ill adult patients. The results of this study will form a knowledge base to expand theory and inform research and practice.

Utilizing a Homecare Platform for Remote Monitoring of Patients with Idiopathic Pulmonary Fibrosis.

PubMed

Panagopoulos, Christos; Malli, Foteini; Menychtas, Andreas; Smyrli, Efstathia-Petrina; Georgountzou, Aikaterini; Daniil, Zoe; Gourgoulianis, Konstantinos I; Tsanakas, Panayiotis; Maglogiannis, Ilias

2017-01-01

Homecare and home telemonitoring are a focal point of emerging healthcare schemes, with proven benefits for both patients, caregivers and providers, including reduction of healthcare costs and improved patients' quality of life, especially in the case of chronic disease management. Studies have evaluated solutions for remote monitoring of chronic patients based on technologies that allow daily symptom and vital signs monitoring, tailored to the needs of specific diseases. In this work, we present an affordable home telemonitoring system for patients with idiopathic pulmonary fibrosis (IPF), based on an application for mobile devices and Bluetooth-enabled sensors for pulse oximetry and blood pressure measurements. Besides monitoring of vital signs, the system incorporates communication via videoconferencing and emergency response, with support from a helpdesk service. A pilot study was conducted, in order to verify the proposed solution's feasibility. The results support the utilization of the system for effective monitoring of patients with IPF.

Accidental spills at sea--risk, impact, mitigation and the need for co-ordinated post-incident monitoring.

PubMed

Kirby, Mark F; Law, Robin J

2010-06-01

A fully integrated and effective response to an oil or chemical spill at sea must include a well planned and executed post-incident assessment of environmental contamination and damage. While salvage, rescue and clean-up operations are generally well considered, including reviews and exercises, the expertise, resources, networks and logistical planning required to achieve prompt and effective post-spill impact assessment and monitoring are not generally well established. The arrangement and co-ordination of post-incident monitoring and impact assessment need to consider sampling design, biological effects, chemical analysis and collection/interpretation of expert local knowledge. This paper discusses the risks, impacts and mitigation options associated with accidental spills and considers the importance of pre-considered impact assessment and monitoring programmes in the wider response cycle. The PREMIAM (Pollution Response in Emergencies: Marine Impact Assessment and Monitoring; www.premiam.org) project is considered as an example of an improved approach to the planning, co-ordination and conduct of post-incident monitoring.

Chemical Manufacturing and Refining Industry Legitimacy: Reflective Management, Trust, Precrisis Communication to Achieve Community Efficacy.

PubMed

Heath, Robert L; Lee, Jaesub

2016-06-01

Calls for emergency right-to-know in the 1980s, and, in the 1990s, risk management planning, motivated U.S. chemical manufacturing and refining industries to operationalize a three-pronged approach to risk minimization and communication: reflective management to increase legitimacy, operational safety programs to raise trust, and community engagement designed to facilitate citizens' emergency response efficacy. To assess these management, operational, and communication initiatives, communities (often through Local Emergency Planning Committees) monitored the impact of such programs. In 2012, the fourth phase of a quasi-longitudinal study was conducted to assess the effectiveness of operational change and community outreach in one bellwether community. This study focuses on legitimacy, trust, and response efficacy to suggest that an industry can earn legitimacy credits by raising its safety and environmental impact standards, by building trust via that change, and by communicating emergency response messages to near residents to raise their response efficacy. As part of its campaign to demonstrate its concern for community safety through research, planning, and implementation of safe operations and viable emergency response systems, this industry uses a simple narrative of risk/emergency response-shelter-in-place-communicated by a spokes-character: Wally Wise Guy. © 2015 Society for Risk Analysis.

Logic Modeling as a Tool to Prepare to Evaluate Disaster and Emergency Preparedness, Response, and Recovery in Schools

ERIC Educational Resources Information Center

Zantal-Wiener, Kathy; Horwood, Thomas J.

2010-01-01

The authors propose a comprehensive evaluation framework to prepare for evaluating school emergency management programs. This framework involves a logic model that incorporates Government Performance and Results Act (GPRA) measures as a foundation for comprehensive evaluation that complements performance monitoring used by the U.S. Department of…

National Response Framework

DTIC Science & Technology

2008-01-01

special needs should enhance their awareness of risk and threats, develop household emergency plans that include care for pets and service animals , and...including persons, property, and structures. – Individuals with special needs, including those with service animals . – Individuals with household pets...supplies for household pets and service animals . See the recommended disaster supplies list at http://www.ready.gov. • Monitoring emergency

Global trends in satellite-based emergency mapping

USGS Publications Warehouse

Voigt, Stefan; Giulio-Tonolo, Fabio; Lyons, Josh; Kučera, Jan; Jones, Brenda; Schneiderhan, Tobias; Platzeck, Gabriel; Kaku, Kazuya; Hazarika, Manzul Kumar; Czaran, Lorant; Li, Suju; Pedersen, Wendi; James, Godstime Kadiri; Proy, Catherine; Muthike, Denis Macharia; Bequignon, Jerome; Guha-Sapir, Debarati

2016-01-01

Over the past 15 years, scientists and disaster responders have increasingly used satellite-based Earth observations for global rapid assessment of disaster situations. We review global trends in satellite rapid response and emergency mapping from 2000 to 2014, analyzing more than 1000 incidents in which satellite monitoring was used for assessing major disaster situations. We provide a synthesis of spatial patterns and temporal trends in global satellite emergency mapping efforts and show that satellite-based emergency mapping is most intensively deployed in Asia and Europe and follows well the geographic, physical, and temporal distributions of global natural disasters. We present an outlook on the future use of Earth observation technology for disaster response and mitigation by putting past and current developments into context and perspective.

45 CFR 671.11 - Waste storage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... access for inspection and response to emergencies; and (iv) Inspected at least weekly for leakage and... and to collect data from monitoring and leak detection equipment, to the extent available, to ensure...

Wireless monitoring of the biological object state at microwave frequencies: A review

NASA Astrophysics Data System (ADS)

Vendik, I. B.; Vendik, O. G.; Kozlov, D. S.; Munina, I. V.; Pleskachev, V. V.; Rusakov, A. S.; Tural'chuk, P. A.

2016-01-01

Radio-frequency identification systems used for the remote diagnostics of diseases and contactless monitoring and assessment of human health are reviewed. The propagation of electromagnetic waves inside a biological medium and along interfaces between different media, as well as the problem of telemetry data acquisition from implanted systems or system on the human body surface using wireless sensors, is considered. Emphasis is on radio-frequency identification systems that use far-field electromagnetic radiation, since they are necessary in emergency situations to find injured people in hard-to-reach places and assess the state of emergency response workers.

49 CFR 195.402 - Procedural manual for operations, maintenance, and emergencies.

Code of Federal Regulations, 2010 CFR

2010-10-01

... operating conditions by monitoring pressure, temperature, flow or other appropriate operational data and... fire, police, and other appropriate public officials to learn the responsibility and resources of each...

Home fortification in emergency response and transition programming: experiences in Aceh and Nias, Indonesia.

PubMed

de Pee, Saskia; Moench-Pfanner, Regina; Martini, Elviyanti; Zlotkin, Stanley H; Darnton-Hill, Ian; Bloem, Martin W

2007-06-01

Improving the nutritional status of an emergency-affected population is essential, because undernutrition increases infection risk and is linked to more than 50% of childhood deaths in developing countries. Emergency food aid addresses nutritional needs, including micronutrient deficiencies, but is provided only for a limited time and uses few items, so the needs of specific target groups are often not fully met. To describe the post-tsunami experience with distribution of Vitalita Sprinkles in Aceh and Nias and to analyze the monitoring data gathered for the emergency response. International agencies such as Helen Keller International and partners provided micronutrients in response to the tsunami emergency in Aceh and Nias and to analyze the monitoring data gathered for the emergency response. In March and April 2006, the percentage of children aged 6 months to 59 months who had consumed Vitalita in the previous month was more than 70% in 5 of 11 districts evaluated, 40% to 70% in another five districts, and 32% in one district. An independent survey found 25% less anemia among recipients. Almost all mothers interviewed during March to April 2006 (96.3%) had heard about Vitalita and recognized its packaging, 69% said that Vitalita contained vitamins for under-fives, 86% knew the appropriate target group for Vitalita, and 83% said it had to be mixed with solid food. Of the 26% that reported not having given Vitalita to their child in the last month, 90.5% said that their child did not like it. CONCLUSIONS AND LESSONS LEARNED: Because the product, including its concept, was new, appropriate information and training was required as well as a thorough introduction to the beneficiaries, particularly on proper use, to ensure acceptance. This experience demonstrates that providing micronutrients as part of emergency relief and transition programming, as recently recommended by the World Health Organization/UNICEF/World Food Program, is feasible.

Strengthen the collaboration between the River Basin Management Organization of China and International Environmental Specimen Bank Group.

PubMed

Tan, Lingzhi; Liu, Hui; Shu, Jinxiang; Xia, Fan

2015-02-01

Several types of emerging organic contaminants were investigated in many recent researches, such as persistent toxic substance (PTS), persistent organic pollutants (POPs), endocrine disrupters (EDs), and volatile organic compounds (VOCs). But the Chinese country standard detection methods of emerging organic pollutants were not developed with the dramatic increasing of the organic substances production. Hence, it is necessary to obtain the latest informations about the long-term storage of representative environmental specimens, which could provide scientific basis for environmental management and environmental decision-making of the water resources protection and management organization. As the significant water resource conservation organization, the Water Environment Monitoring Center of Yangtze River Basin is experienced in water environmental monitoring and records many useful water resources and environment informations. It is also our responsibility to monitor all the pollutants in water environment of the Yangtze River valley, especially the emerging organic contaminants. Meanwhile, the International Environmental Specimen Bank (IESB) accumulates lots environmental organic pollution specimens and plays a significant role in environmental monitoring. Thus, the collaboration between the two parties will be greatly helpful for each further researches and monitoring work of organic contaminants in Yangtze River Basin.

Chloropicrin Fumigant Management Plan Phase 2 Templates

EPA Pesticide Factsheets

These forms provide a framework for detailing the FMP elements of pesticide products containing the active ingredient chloropicrin, including application block, buffer zones, emergency response plan, tarp plan, soil conditions, and air monitoring.

Dimethyl Disulfide (DMDS) Fumigant Management Plan Template Phase 2

EPA Pesticide Factsheets

These templates provide a framework for developing your FMP, including sections on your supervising pesticide applicator, buffer zones, emergency response plan, handler information, tarp plan, soil conditions, signage, and air monitoring plan.

ASPECT (Airborne Spectral Photometric Environmental Collection Technology) Fact Sheet

EPA Pesticide Factsheets

This multi-sensor screening tool provides infrared and photographic images with geospatial, chemical, and radiological data within minutes to support emergency responses, home-land security missions, environmental surveys, and climate monitoring missions.

Assessing and improving cross-border chemical incident preparedness and response across Europe.

PubMed

Stewart-Evans, James; Hall, Lisbeth; Czerczak, Slawomir; Manley, Kevin; Dobney, Alec; Hoffer, Sally; Pałaszewska-Tkacz, Anna; Jankowska, Agnieszka

2014-11-01

Good practices in emergency preparedness and response for chemical incidents include practices specific to the different functions of exposure assessment (e.g., within the monitoring function, the use of mobile monitoring equipment; within the modelling function, the use of rapid dispersion models with integrated mapping software) and generic practices to engage incident response stakeholders to maximise exposure assessment capabilities (e.g., sharing protocols and pre-prepared information and multi-agency training and exercising). Such practices can optimise cross-border collaboration. A wide range of practices have been implemented across MSs during chemical incident response, particularly during incidents that have cross-border and trans-boundary impacts. This paper proposes a self-assessment methodology to enable MSs, or organisations within MSs, to examine exposure assessment capabilities and communication pathways between exposure assessors and public health risk assessors. Where gaps exist, this methodology provides links to good practices that could improve response, communication and collaboration across local, regional and national borders. A fragmented approach to emergency preparedness for chemical incidents is a major obstacle to improving cross-border exposure assessment. There is no one existing body or structure responsible for all aspects of chemical incident preparedness and response in the European Union. Due to the range of different organisations and networks involved in chemical incident response, emergency preparedness needs to be drawn together. A number of recommendations are proposed, including the use of networks of experts which link public health risk assessors with experts in exposure assessment, in order to coordinate and improve chemical incident emergency preparedness. The EU's recent Decision on serious cross-border threats to health aims to facilitate MSs' compliance with the International Health Regulations, which require reporting and communication regarding significant chemical incidents. This provides a potential route to build on in order to improve chemical incident preparedness and response across Europe. Copyright © 2014 Elsevier Ltd. All rights reserved.

Adapting an ambient monitoring program to the challenge of managing emerging pollutants in the San Francisco Estuary.

PubMed

Hoenicke, Rainer; Oros, Daniel R; Oram, John J; Taberski, Karen M

2007-09-01

While over seven million organic and inorganic compounds that have been indexed by the American Chemical Society's Chemical Abstracts Service in their CAS Registry are commercially available, most pollution monitoring programs focus only on those chemical stressors for which regulatory benchmarks exist, and have been traditionally considered responsible for the most significant human and environmental health risks. Until the late 1990s, the San Francisco Estuary Regional Monitoring Program was no exception in that regard. After a thorough external review, the monitoring program responded to the need for developing a pro-active surveillance approach for emerging pollutants in recognition of the fact that the potential for the growing list of widely used chemical compounds to alter the integrity of water is high. We describe (1) the scientific and analytical bases underlying a new surveillance monitoring approach; (2) summarize approaches used and results obtained from a forensic retrospective; (3) present the growing data set on emerging pollutants from surveillance monitoring and related efforts in the San Francisco Bay Area to characterize newly targeted compounds in wastewater streams, sediment, storm water runoff, and biota; and (4) suggest next steps in monitoring program development and applied research that could move beyond traditional approaches of pollutant characterization. Based on the forensic analysis of archived chromatograms and chemical and toxicological properties of candidate compounds, we quantified a variety of synthetic organic compounds which had previously not been targeted for analysis. Flame retardant compounds, pesticides and insecticide synergists, insect repellents, pharmaceuticals, personal care product ingredients, plasticizers, non-ionic surfactants, and other manufacturing ingredients were detected in water, sediment, and/or biological tissue samples. Several of these compounds, especially polybrominated diphenyl ether flame retardants, exhibited concentrations of environmental concern. We also describe environmental management challenges associated with emerging pollutants and how pro-active surveillance monitoring might assist in implementing a more holistic approach to pollution prevention and control before emerging pollutants become a burden on future generations.

Global trends in satellite-based emergency mapping.

PubMed

Voigt, Stefan; Giulio-Tonolo, Fabio; Lyons, Josh; Kučera, Jan; Jones, Brenda; Schneiderhan, Tobias; Platzeck, Gabriel; Kaku, Kazuya; Hazarika, Manzul Kumar; Czaran, Lorant; Li, Suju; Pedersen, Wendi; James, Godstime Kadiri; Proy, Catherine; Muthike, Denis Macharia; Bequignon, Jerome; Guha-Sapir, Debarati

2016-07-15

Over the past 15 years, scientists and disaster responders have increasingly used satellite-based Earth observations for global rapid assessment of disaster situations. We review global trends in satellite rapid response and emergency mapping from 2000 to 2014, analyzing more than 1000 incidents in which satellite monitoring was used for assessing major disaster situations. We provide a synthesis of spatial patterns and temporal trends in global satellite emergency mapping efforts and show that satellite-based emergency mapping is most intensively deployed in Asia and Europe and follows well the geographic, physical, and temporal distributions of global natural disasters. We present an outlook on the future use of Earth observation technology for disaster response and mitigation by putting past and current developments into context and perspective. Copyright © 2016, American Association for the Advancement of Science.

Dazomet Fumigant Management Plan Phase 2 Templates

EPA Pesticide Factsheets

These templates provide a framework for reporting application block information, buffer zones, emergency response plan, tarp plan, soil conditions, air monitoring, and more for pesticide products containing the active ingredient dazomet, such as Basamid G.

Puerto Rico Seismic Network Operations During and After the Hurricane Maria: Response, Continuity of Operations, and Experiences

NASA Astrophysics Data System (ADS)

Vanacore, E. A.; Baez-Sanchez, G.; Huerfano, V.; Lopez, A. M.; Lugo, J.

2017-12-01

The Puerto Rico Seismic Network (PRSN) is an integral part of earthquake and tsunami monitoring in Puerto Rico and the Virgin Islands. The PRSN conducts scientific research as part of the University of Puerto Rico Mayaguez, conducts the earthquake monitoring for the region, runs extensive earthquake and tsunami education and outreach programs, and acts as a Tsunami Warning Focal Point Alternate for Puerto Rico. During and in the immediate aftermath of Hurricane Maria, the PRSN duties and responsibilities evolved from a seismic network to a major information and communications center for the western side of Puerto Rico. Hurricane Maria effectively destroyed most communications on island, critically between the eastern side of the island where Puerto Rico's Emergency Management's (PREMA) main office and the National Weather Service (NWS) is based and the western side of the island. Additionally, many local emergency management agencies on the western side of the island lost a satellite based emergency management information system called EMWIN which provides critical tsunami and weather information. PRSN's EMWIN system remained functional and consequently via this system and radio communications PRSN became the only information source for NWS warnings and bulletins, tsunami alerts, and earthquake information for western Puerto Rico. Additionally, given the functional radio and geographic location of the PRSN, the network became a critical communications relay for local emergency management. Here we will present the PRSN response in relation to Hurricane Maria including the activation of the PRSN devolution plan, adoption of duties, experiences and lessons learned for continuity of operations and adoption of responsibilities during future catastrophic events.

Real-time Medical Emergency Response System: Exploiting IoT and Big Data for Public Health.

PubMed

Rathore, M Mazhar; Ahmad, Awais; Paul, Anand; Wan, Jiafu; Zhang, Daqiang

2016-12-01

Healthy people are important for any nation's development. Use of the Internet of Things (IoT)-based body area networks (BANs) is increasing for continuous monitoring and medical healthcare in order to perform real-time actions in case of emergencies. However, in the case of monitoring the health of all citizens or people in a country, the millions of sensors attached to human bodies generate massive volume of heterogeneous data, called "Big Data." Processing Big Data and performing real-time actions in critical situations is a challenging task. Therefore, in order to address such issues, we propose a Real-time Medical Emergency Response System that involves IoT-based medical sensors deployed on the human body. Moreover, the proposed system consists of the data analysis building, called "Intelligent Building," depicted by the proposed layered architecture and implementation model, and it is responsible for analysis and decision-making. The data collected from millions of body-attached sensors is forwarded to Intelligent Building for processing and for performing necessary actions using various units such as collection, Hadoop Processing (HPU), and analysis and decision. The feasibility and efficiency of the proposed system are evaluated by implementing the system on Hadoop using an UBUNTU 14.04 LTS coreTMi5 machine. Various medical sensory datasets and real-time network traffic are considered for evaluating the efficiency of the system. The results show that the proposed system has the capability of efficiently processing WBAN sensory data from millions of users in order to perform real-time responses in case of emergencies.

Chemical Stockpile Disposal Program. Monitoring Concept Plan

DTIC Science & Technology

1987-09-10

Government Owned Contractor Operated GPL General Population Limit H Bis (2-chloroethyl) sulfide or Levinstein Mustard (75% purity) P HCI Hydrogen Chloride... government agencies, will provide technical expertise and equipment necessary to monitor affected areas and resources. 2-25 SECTIO 3 PROCESS CONTROL AND...conditions and to issue correct emergency response notifications, if required. The process sensors work in conjunction with the process control system and

GMES Initial Operations - Network for Earth Observation Research Training (GIONET)

NASA Astrophysics Data System (ADS)

Nicolas-Perea, V.; Balzter, H.

2012-12-01

GMES Initial Operations - Network for Earth Observation Research Training (GIONET) is a Marie Curie funded project that aims to establish the first of a kind European Centre of Excellence for Earth Observation Research Training. GIONET is a partnership of leading Universities, research institutes and private companies from across Europe aiming to cultivate a community of early stage researchers in the areas of optical and radar remote sensing skilled for the emerging GMES land monitoring services during the GMES Initial Operations period (2011-2013) and beyond. GIONET is expected to satisfy the demand for highly skilled researchers and provide personnel for operational phase of the GMES and monitoring and emergency services. It will achieve this by: -Providing postgraduate training in Earth Observation Science that exposes students to different research disciplines and complementary skills, providing work experiences in the private and academic sectors, and leading to a recognized qualification (Doctorate). -Enabling access to first class training in both fundamental and applied research skills to early-stage researchers at world-class academic centers and market leaders in the private sector. -Building on the experience from previous GMES research and development projects in the land monitoring and emergency information services. The training program through supervised research focuses on 14 research topics (each carried out by an Early Stage Researchers based in one of the partner organization) divided in 5 main areas: Forest monitoring: Global biomass information systems Forest Monitoring of the Congo Basin using Synthetic Aperture radar (SAR) Multi-concept Earth Observation Capabilities for Biomass Mapping and Change Detection: Synergy of Multi-temporal and Multi-frequency Interferometric Radar and Optical Satellite Data Land cover and change: Multi-scale Remote Sensing Synergy for Land Process Studies: from field Spectrometry to Airborne Hyperspectral and Lidar Campaigns to Radar-Optical Satellite Data Multi-temporal, multi-frequency SAR for landscape dynamics Coastal zone and freshwater monitoring: Optical and SAR-based EO in support of Integrated Coastal Zone Management Dynamics and conservation ecology of emergent and submerged macrophytes in Lake Balaton using airborne remote sensing Satellite remote sensing of water quality (chlorophyll and suspended sediment) using MODIS and ship-mounted LIDAR Geohazards and emergency response: Methods for detection and monitoring of small scale land surface feature changes in complex crisis situations Monitoring landslide displacements with Radar Interferometry DINSAR/PSI hybrid methodologies for ground-motion monitoring Climate adaptation and emergency response: Earth Observation based analysis of regional impact of climate change induced water stress patterns fuelling human crisis and conflict situations in semi dry climate regimes Satellite Derived Information for Drought Detection and Estimation of the Water Balance GIONET will also cover methodologies including (i) modelling fundamental radiative processes determining the satellite signal, (ii) atmospheric correction and calibration, (iii) processing higher-order data products, (iii) developing information products from satellite data to meet user requirements, and (iv) statistical methods for assessing the quality and accuracy of data products.

Prehospital care in Hong Kong.

PubMed

Lo, C B; Lai, K K; Mak, K P

2000-09-01

A quick and efficient prehospital emergency response depends on immediate ambulance dispatch, patient assessment, triage, and transport to hospital. During 1999, the Ambulance Command of the Hong Kong Fire Services Department responded to 484,923 calls, which corresponds to 1329 calls each day. Cooperation between the Fire Services Department and the Hospital Authority exists at the levels of professional training of emergency medical personnel, quality assurance, and a coordinated disaster response. In response to the incident at the Hong Kong International Airport in the summer of 1999, when an aircraft overturned during landing, the pre-set quota system was implemented to send patients to designated accident and emergency departments. Furthermore, the 'first crew at the scene' model has been adopted, whereby the command is established and triage process started by the first ambulance crew members to reach the scene. The development of emergency protocols should be accompanied by good field-to-hospital and interhospital communication, the upgrading of decision-making skills, a good monitoring and auditing structure, and commitment to training and skills maintenance.

Stennis all-hazards network adopted throughout NASA

NASA Image and Video Library

2009-10-13

Stennis Space Center employees Mike McKinion (left), with Erica Lane Enterprises, and Luke Scianna, with the Jacobs Facility Operating Services Contract, monitor the facility and surrounding area on the 'all-hazards network' known as HazNet. The HazNet system at Stennis was developed by a local Mississippi company to help facilitate coordinated response during emergency and disaster situations. The system was installed in the new Emergency Operations Center built at Stennis before being implemented throughout NASA. HazNet was designed by NVision Solutions Inc. of Bay St. Louis, Miss., through NASA's Innovative Partnerships Program. In addition to being used at Stennis, it has been installed at other Gulf Coast communities to help coordinate response during emergencies and such natural disasters as hurricanes.

Monitoring storm tide and flooding from Hurricane Sandy along the Atlantic coast of the United States, October 2012

USGS Publications Warehouse

McCallum, Brian E.; Wicklein, Shaun M.; Reiser, Robert G.; Busciolano, Ronald J.; Morrison, Jonathan; Verdi, Richard J.; Painter, Jaime A.; Frantz, Eric R.; Gotvald, Anthony J.

2013-01-01

The U.S. Geological Survey (USGS) deployed a temporary monitoring network of water-level and barometric pressure sensors at 224 locations along the Atlantic coast from Virginia to Maine to continuously record the timing, areal extent, and magnitude of hurricane storm tide and coastal flooding generated by Hurricane Sandy. These records were greatly supplemented by an extensive post-flood high-water mark (HWM) flagging and surveying campaign from November to December 2012 involving more than 950 HWMs. Both efforts were undertaken as part of a coordinated federal emergency response as outlined by the Stafford Act under a directed mission assignment by the Federal Emergency Management Agency (FEMA).

Sandia National Laboratories: 100 Resilient Cities

Science.gov Websites

Materials Science Nanodevices & Microsystems Radiation Effects & High Energy Density Science front of monitors Emergency Response Cognitive testing Psychological/ Cognitive Effects The Rockefeller Body's Systems - 100 Resilient Cities Blog News Releases City resilience: Sandia analyzes effects of

EFFICIENT MONITORING OF HETEROGENEOUS MEDIA AND ELECTRONIC WASTES

EPA Science Inventory

The Agency's Office of Solid Waste and Emergency Response (OSWER) has recently issued improved guidance for the collection of "representative" samples from heterogeneous media. The Technology Innovation Office (TIO) has begun the development of a web-based handbook which advocat...

Offshore oil spill response practices and emerging challenges.

PubMed

Li, Pu; Cai, Qinhong; Lin, Weiyun; Chen, Bing; Zhang, Baiyu

2016-09-15

Offshore oil spills are of tremendous concern due to their potential impact on economic and ecological systems. A number of major oil spills triggered worldwide consciousness of oil spill preparedness and response. Challenges remain in diverse aspects such as oil spill monitoring, analysis, assessment, contingency planning, response, cleanup, and decision support. This article provides a comprehensive review of the current situations and impacts of offshore oil spills, as well as the policies and technologies in offshore oil spill response and countermeasures. Correspondingly, new strategies and a decision support framework are recommended for improving the capacities and effectiveness of oil spill response and countermeasures. In addition, the emerging challenges in cold and harsh environments are reviewed with recommendations due to increasing risk of oil spills in the northern regions from the expansion of the Arctic Passage. Copyright © 2016 Elsevier Ltd. All rights reserved.

Iterative User-Centered Design of a Next Generation Patient Monitoring System for Emergency Medical Response

PubMed Central

Gao, Tia; Kim, Matthew I.; White, David; Alm, Alexander M.

2006-01-01

We have developed a system for real-time patient monitoring during large-scale disasters. Our system is designed with scalable algorithms to monitor large numbers of patients, an intuitive interface to support the overwhelmed responders, and ad-hoc mesh networking capabilities to maintain connectivity to patients in the chaotic settings. This paper describes an iterative approach to user-centered design adopted to guide development of our system. This system is a part of the Advanced Health and Disaster Aid Network (AID-N) architecture. PMID:17238348

CDC's Emergency Management Program activities - worldwide, 2003-2012.

PubMed

2013-09-06

In 2003, recognizing the increasing frequency and complexity of disease outbreaks and disasters and a greater risk for terrorism, CDC established the Emergency Operations Center (EOC), bringing together CDC staff members who respond to public health emergencies to enhance communication and coordination. To complement the physical EOC environment, CDC implemented the Incident Management System (IMS), a staffing structure and set of standard operational protocols and services to support and monitor CDC program-led responses to complex public health emergencies. The EOC and IMS are key components of CDC's Emergency Management Program (EMP), which applies emergency management principles to public health practice. To enumerate activities conducted by the EMP during 2003-2012, CDC analyzed data from daily reports and activity logs. The results of this analysis determined that, during 2003-2012, the EMP fully activated the EOC and IMS on 55 occasions to support responses to infectious disease outbreaks, natural disasters, national security events (e.g., conventions, presidential addresses, and international summits), mass gatherings (e.g., large sports and social events), and man-made disasters. On 109 other occasions, the EMP was used to support emergency responses that did not require full EOC activation, and the EMP also conducted 30 exercises and drills. This report provides an overview of those 194 EMP activities.

New Nuclear Emergency Prognosis system in Korea

NASA Astrophysics Data System (ADS)

Lee, Hyun-Ha; Jeong, Seung-Young; Park, Sang-Hyun; Lee, Kwan-Hee

2016-04-01

This paper reviews the status of assessment and prognosis system for nuclear emergency response in Korea, especially atmospheric dispersion model. The Korea Institute of Nuclear Safety (KINS) performs the regulation and radiological emergency preparedness of the nuclear facilities and radiation utilizations. Also, KINS has set up the "Radiological Emergency Technical Advisory Plan" and the associated procedures such as an emergency response manual in consideration of the IAEA Safety Standards GS-R-2, GS-G-2.0, and GS-G-2.1. The Radiological Emergency Technical Advisory Center (RETAC) organized in an emergency situation provides the technical advice on radiological emergency response. The "Atomic Computerized Technical Advisory System for nuclear emergency" (AtomCARE) has been developed to implement assessment and prognosis by RETAC. KINS developed Accident Dose Assessment and Monitoring (ADAMO) system in 2015 to reflect the lessons learned from Fukushima accident. It incorporates (1) the dose assessment on the entire Korean peninsula, Asia region, and global region, (2) multi-units accident assessment (3) applying new methodology of dose rate assessment and the source term estimation with inverse modeling, (4) dose assessment and monitoring with the environmental measurements result. The ADAMO is the renovated version of current FADAS of AtomCARE. The ADAMO increases the accuracy of the radioactive material dispersion with applying the LDAPS(Local Data Assimilation Prediction System, Spatial resolution: 1.5 km) and RDAPS(Regional Data Assimilation Prediction System, Spatial resolution: 12km) of weather prediction data, and performing the data assimilation of automatic weather system (AWS) data from Korea Meteorological Administration (KMA) and data from the weather observation tower at NPP site. The prediction model of the radiological material dispersion is based on the set of the Lagrangian Particle model and Lagrangian Puff model. The dose estimation methodology incorporate the dose assessment methods of IAEA, WHO, and USNRC. The dose assessment result will express on the GIS (GIS (Geographic Information System) to provide to the local- governments and the central government. Acknowledgements This research has been supported by the Nuclear Safety and Security Commission [Reference No.1305020-0315-SB110

Circulating Tumor Cells: What Is in It for the Patient? A Vision towards the Future

PubMed Central

van de Stolpe, Anja; den Toonder, Jaap M. J.

2014-01-01

Knowledge on cellular signal transduction pathways as drivers of cancer growth and metastasis has fuelled development of “targeted therapy” which “targets” aberrant oncogenic signal transduction pathways. These drugs require nearly invariably companion diagnostic tests to identify the tumor-driving pathway and the cause of the abnormal pathway activity in a tumor sample, both for therapy response prediction as well as for monitoring of therapy response and emerging secondary drug resistance. Obtaining sufficient tumor material for this analysis in the metastatic setting is a challenge, and circulating tumor cells (CTCs) may provide an attractive alternative to biopsy on the premise that they can be captured from blood and the companion diagnostic test results are correctly interpreted. We discuss novel companion diagnostic directions, including the challenges, to identify the tumor driving pathway in CTCs, which in combination with a digital pathology platform and algorithms to quantitatively interpret complex CTC diagnostic results may enable optimized therapy response prediction and monitoring. In contrast to CTC-based companion diagnostics, CTC enumeration is envisioned to be largely replaced by cell free tumor DNA measurements in blood for therapy response and recurrence monitoring. The recent emergence of novel in vitro human model systems in the form of cancer-on-a-chip may enable elucidation of some of the so far elusive characteristics of CTCs, and is expected to contribute to more efficient CTC capture and CTC-based diagnostics. PMID:24879438

Standardized emergency management system and response to a smallpox emergency.

PubMed

Kim-Farley, Robert J; Celentano, John T; Gunter, Carol; Jones, Jessica W; Stone, Rogelio A; Aller, Raymond D; Mascola, Laurene; Grigsby, Sharon F; Fielding, Jonathan E

2003-01-01

The smallpox virus is a high-priority, Category-A agent that poses a global, terrorism security risk because it: (1) easily can be disseminated and transmitted from person to person; (2) results in high mortality rates and has the potential for a major public health impact; (3) might cause public panic and social disruption; and (4) requires special action for public health preparedness. In recognition of this risk, the Los Angeles County Department of Health Services (LAC-DHS) developed the Smallpox Preparedness, Response, and Recovery Plan for LAC to prepare for the possibility of an outbreak of smallpox. A unique feature of the LAC-DHS plan is its explicit use of the Standardized Emergency Management System (SEMS) framework for detailing the functions needed to respond to a smallpox emergency. The SEMS includes the Incident Command System (ICS) structure (management, operations, planning/intelligence, logistics, and finance/administration), the mutual-aid system, and the multi/interagency coordination required during a smallpox emergency. Management for incident command includes setting objectives and priorities, information (risk communications), safety, and liaison. Operations includes control and containment of a smallpox outbreak including ring vaccination, mass vaccination, adverse events monitoring and assessment, management of confirmed and suspected smallpox cases, contact tracing, active surveillance teams and enhanced hospital-based surveillance, and decontamination. Planning/intelligence functions include developing the incident action plan, epidemiological investigation and analysis of smallpox cases, and epidemiological assessment of the vaccination coverage status of populations at risk. Logistics functions include receiving, handling, inventorying, and distributing smallpox vaccine and vaccination clinic supplies; personnel; transportation; communications; and health care of personnel. Finally, finance/administration functions include monitoring costs related to the smallpox emergency, procurement, and administrative aspects that are not handled by other functional divisions of incident command systems. The plan was developed and is under frequent review by the LAC-DHS Smallpox Planning Working Group, and is reviewed periodically by the LAC Bioterrorism Advisory Committee, and draws upon the Smallpox Response Plan and Guidelines of the Centers for Disease Control and Prevention (CDC) and recommendations of the Advisory Committee on Immunization Practices (ACIP). The Smallpox Preparedness, Response, and Recovery Plan, with its SEMS framework and ICS structure, now is serving as a model for the development of LAC-DHS plans for responses to other terrorist or natural-outbreak responses.

Initial Trial using Embedded Fibre Bragg Gratings for Distributed Strain Monitoring in a Shape Adaptive Composite Foil

DTIC Science & Technology

2012-02-01

available for interrogation. Although commercially available fibre Bragg grating ( FBG ) sensors have emerged in the marketplace over the past decade...the results from a preliminary trial investigating the feasibility of using embedded FBG arrays in a shape adaptive composite foil to characterise...The response from the FBG sensors was also monitored during fabrication of the foil during the resin infusion and curing stages of the process

Using the Triad Approach to Improve the Cost-effectiveness of Hazardous Waste Site Cleanups

EPA Pesticide Factsheets

U.S. EPA's Office of Solid Waste and Emergency Response is promoting more effective strategies for characterizing, monitoring, and cleaning up hazardous waste sites. In particular, a paradigm based on using an integrated triad of systematic planning...

Microbe-ID: An open source toolbox for microbial genotyping and species identification

USDA-ARS?s Scientific Manuscript database

Development of tools to identify species, genotypes, or novel strains of invasive organisms is critical for monitoring emergence and implementing rapid response measures. Molecular markers, although critical to identifying species or genotypes, require bioinformatic tools for analysis. However, user...

Social media use in emergency management.

PubMed

Wukich, Clayton

2015-01-01

To identify and illustrate the range of strategies and tactics available for emergency managers using social media. This study uses content analysis of more than 80 related journal articles, research reports, and government documents as well as more than 120 newspaper articles, identified through LexisNexis search queries. Three strategies, information dissemination, monitoring real-time data, and engaging the public in a conversation and/or crowdsourcing, are available to emergency managers to augment communication practices via face-to-face contact and through traditional media outlets. Academic research has identified several message types disseminated during response operations.(1,2) Message types during other emergency phases have received less attention; however, news reporting and government reports provide best practices and inform this study. This article provides the foundation for a more complete typology of emergency management messages. Relatedly, despite limited attention in the academic research, monitoring social media feeds to accrue situational awareness and interacting with others to generate a conversation and/or to coordinate collective action also take place in various forms and are discussed. Findings integrate the fragmented body of knowledge into a more coherent whole and suggest that practitioners might maximize outcomes through a three-step process of information dissemination, data monitoring, and the direct engagement of diverse sets of actors to spur risk reduction efforts. However, these steps require time, personnel, and resources, which present obstacles for agencies operating under conditions of personnel and resource scarcity.

Application of constraint-based satellite mission planning model in forest fire monitoring

NASA Astrophysics Data System (ADS)

Guo, Bingjun; Wang, Hongfei; Wu, Peng

2017-10-01

In this paper, a constraint-based satellite mission planning model is established based on the thought of constraint satisfaction. It includes target, request, observation, satellite, payload and other elements, with constraints linked up. The optimization goal of the model is to make full use of time and resources, and improve the efficiency of target observation. Greedy algorithm is used in the model solving to make observation plan and data transmission plan. Two simulation experiments are designed and carried out, which are routine monitoring of global forest fire and emergency monitoring of forest fires in Australia. The simulation results proved that the model and algorithm perform well. And the model is of good emergency response capability. Efficient and reasonable plan can be worked out to meet users' needs under complex cases of multiple payloads, multiple targets and variable priorities with this model.

Development of the triage, monitoring and treatment Handbook for Members of the Public Affected by Radiological Terrorism - A European Response

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

Kruse, P.; Rojas-Palma, C.

2007-07-01

European national emergency response plans have long been focused on accidents at nuclear power plants. Recently, the possible threats by disaffected groups have shifted the focus to being prepared also for malevolent use of radiation that are aimed at creating disruption and panic in the society. The casualties will most likely be members of the public. According to the scenario, the number of affected people can vary from a few to mass casualties. The radiation exposure can range from very low to substantial, possibly combined with conventional injuries. There is a need to develop practicable tools for the adequate responsemore » to such acts and more specifically to address European guidelines for triage, monitoring and treatment of exposed people. Although European countries have developed emergency response plans for nuclear accidents they have not all made plans for handling malevolent use of radioactive material. Indeed, there is a need to develop practical guidance on emergency response and medical treatment of the public affected by malevolent acts. Generic guidance on this topic has been published by international organisations. They are, however, not operational documents to be used in emergency situations. The Triage, Monitoring and Treatment (TMT) Handbook aims to strengthen the European ability to efficiently respond to malevolent acts in terms of protecting and treating exposed people. Part of the Handbook is also devoted to public information and communication issues which would contribute to public reassurance in emergency situations. The Handbook will be drafted by European and international experts before it is circulated to all emergency response institutions in Europe that would be a part of the handling of malevolent acts using radioactive material. The institutions would be given a 6 months consultation time with encouragement to test the draft Handbook in national exercises. A workshop will allow feedback from these end users on the content, structure and usefulness of the Handbook before a final version is produced. In order to achieve the project's objectives a consortium has been drawn together including, Belgian Nuclear Research Centre, the Norwegian Radiation Protection Authority, Radiation and Nuclear Safety Authority of Finland, the UK Health Protection Agency, the Central Laboratory for Radiological Protection of Poland and the World Health Organisation. Enviros Consulting is acting as the technical secretariat for the project. The Handbook will aim to harmonise the approaches to handling malevolent acts across Europe. This harmonisation will have an added value on the public confidence in authorities since differing approaches in neighbouring countries could lead to public confusion and mistrust. (authors)« less

BP Spill Sampling and Monitoring Data

EPA Pesticide Factsheets

This dataset analyzes waste from the the British Petroleum Deepwater Horizon Rig Explosion Emergency Response, providing opportunity to query data sets by metadata criteria and find resulting raw datasets in CSV format.The data query tool allows users to download EPA's air, water and sediment sampling and monitoring data that has been collected in response to the BP oil spill. All sampling and monitoring data that has been collected to date is available for download as raw structured data.The query tools enables CSV file creation to be refined based on the following search criteria: date range (between April 28, 2010 and 9/29/2010); location by zip, city, or county; media (solid waste, weathered oil, air, surface water, liquid waste, tar, sediment, water); substance categories (based on media selection) and substances (based on substance category selection).

USDA APHIS | National Animal Health Monitoring System (NAHMS)

Science.gov Websites

USDA - APHIS United States Department of Agriculture Animal and Plant Health Inspection Service Facebook Email Blog Home Our Focus Animal Health Animal Welfare Biotechnology Business Services Civil Rights Emergency Response Imports & Exports International Services Plant Health Science Tribal

A survey of the practice of nurses' skills in Wenchuan earthquake disaster sites: implications for disaster training.

PubMed

Yin, Huahua; He, Haiyan; Arbon, Paul; Zhu, Jingci

2011-10-01

To determine nursing skills most relevant for nurses participating in disaster response medical teams; make recommendations to enhance training of nurses who will be first responders to a disaster site; to improve the capacity of nurses to prepare and respond to severe natural disasters. Worldwide, nurses play a key role in disaster response teams at disaster sites. They are often not prepared for the challenges of dealing with mass casualties; little research exists into what basic nursing skills are required by nurses who are first responders to a disaster situation. This study assessed the most relevant disaster nursing skills of first responder nurses at the 2008 Wenchuan earthquake disaster site. Data were collected in China in 2008 using a self-designed questionnaire, with 24 participants who had been part of the medical teams that were dispatched to the disaster sites. The top three skills essential for nurses were: intravenous insertion; observation and monitoring; mass casualty triage. The three most frequently used skills were: debridement and dressing; observation and monitoring; intravenous insertion. The three skills performed most proficiently were: intravenous insertion; observation and monitoring; urethral catheterization. The top three ranking skills most important for training were: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling. The core nursing skills for disaster response training are: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling; observation and monitoring; mass casualty triage; controlling specific infection; psychological crisis intervention; cardiopulmonary resuscitation; debridement and dressing; central venous catheter insertion; patient care recording. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

Difficult airway response team: a novel quality improvement program for managing hospital-wide airway emergencies.

PubMed

Mark, Lynette J; Herzer, Kurt R; Cover, Renee; Pandian, Vinciya; Bhatti, Nasir I; Berkow, Lauren C; Haut, Elliott R; Hillel, Alexander T; Miller, Christina R; Feller-Kopman, David J; Schiavi, Adam J; Xie, Yanjun J; Lim, Christine; Holzmueller, Christine; Ahmad, Mueen; Thomas, Pradeep; Flint, Paul W; Mirski, Marek A

2015-07-01

Difficult airway cases can quickly become emergencies, increasing the risk of life-threatening complications or death. Emergency airway management outside the operating room is particularly challenging. We developed a quality improvement program-the Difficult Airway Response Team (DART)-to improve emergency airway management outside the operating room. DART was implemented by a team of anesthesiologists, otolaryngologists, trauma surgeons, emergency medicine physicians, and risk managers in 2005 at The Johns Hopkins Hospital in Baltimore, Maryland. The DART program had 3 core components: operations, safety, and education. The operations component focused on developing a multidisciplinary difficult airway response team, standardizing the emergency response process, and deploying difficult airway equipment carts throughout the hospital. The safety component focused on real-time monitoring of DART activations and learning from past DART events to continuously improve system-level performance. This objective entailed monitoring the paging system, reporting difficult airway events and DART activations to a Web-based registry, and using in situ simulations to identify and mitigate defects in the emergency airway management process. The educational component included development of a multispecialty difficult airway curriculum encompassing case-based lectures, simulation, and team building/communication to ensure consistency of care. Educational materials were also developed for non-DART staff and patients to inform them about the needs of patients with difficult airways and ensure continuity of care with other providers after discharge. Between July 2008 and June 2013, DART managed 360 adult difficult airway events comprising 8% of all code activations. Predisposing patient factors included body mass index >40, history of head and neck tumor, prior difficult intubation, cervical spine injury, airway edema, airway bleeding, and previous or current tracheostomy. Twenty-three patients (6%) required emergent surgical airways. Sixty-two patients (17%) were stabilized and transported to the operating room for definitive airway management. There were no airway management-related deaths, sentinel events, or malpractice claims in adult patients managed by DART. Five in situ simulations conducted in the first program year improved DART's teamwork, communication, and response times and increased the functionality of the difficult airway carts. Over the 5-year period, we conducted 18 airway courses, through which >200 providers were trained. DART is a comprehensive program for improving difficult airway management. Future studies will examine the comparative effectiveness of the DART program and evaluate how DART has impacted patient outcomes, operational efficiency, and costs of care.

Difficult Airway Response Team: A Novel Quality Improvement Program for Managing Hospital-Wide Airway Emergencies

PubMed Central

Mark, Lynette J.; Herzer, Kurt R.; Cover, Renee; Pandian, Vinciya; Bhatti, Nasir I.; Berkow, Lauren C.; Haut, Elliott R.; Hillel, Alexander T.; Miller, Christina R.; Feller-Kopman, David J.; Schiavi, Adam J.; Xie, Yanjun J.; Lim, Christine; Holzmueller, Christine; Ahmad, Mueen; Thomas, Pradeep; Flint, Paul W.; Mirski, Marek A.

2015-01-01

Background Difficult airway cases can quickly become emergencies, increasing the risk of life-threatening complications or death. Emergency airway management outside the operating room is particularly challenging. Methods We developed a quality improvement program—the Difficult Airway Response Team (DART)—to improve emergency airway management outside the operating room. DART was implemented by a team of anesthesiologists, otolaryngologists, trauma surgeons, emergency medicine physicians, and risk managers in 2005 at The Johns Hopkins Hospital in Baltimore, Maryland. The DART program had three core components: operations, safety, and education. The operations component focused on developing a multidisciplinary difficult airway response team, standardizing the emergency response process, and deploying difficult airway equipment carts throughout the hospital. The safety component focused on real-time monitoring of DART activations and learning from past DART events to continuously improve system-level performance. This objective entailed monitoring the paging system, reporting difficult airway events and DART activations to a web-based registry, and using in situ simulations to identify and mitigate defects in the emergency airway management process. The educational component included development of a multispecialty difficult airway curriculum encompassing case-based lectures, simulation, and team building/communication to ensure consistency of care. Educational materials were also developed for non-DART staff and patients to inform them about the needs of patients with difficult airways and ensure continuity of care with other providers after discharge. Results Between July 2008 and June 2013, DART managed 360 adult difficult airway events comprising 8% of all code activations. Predisposing patient factors included body mass index > 40, history of head and neck tumor, prior difficult intubation, cervical spine injury, airway edema, airway bleeding, and previous or current tracheostomy. Twenty-three patients (6%) required emergent surgical airways. Sixty-two patients (17%) were stabilized and transported to the operating room for definitive airway management. There were no airway management-related deaths, sentinel events, or malpractice claims in adult patients managed by DART. Five in situ simulations conducted in the first program year improved DART's teamwork, communication, and response times and increased the functionality of the difficult airway carts. Over the 5-year period, we conducted 18 airway courses, through which more than 200 providers were trained. Conclusions DART is a comprehensive program for improving difficult airway management. Future studies will examine the comparative effectiveness of the DART program and evaluate how DART has impacted patient outcomes, operational efficiency, and costs of care. PMID:26086513

Flood-tracking chart for the Chattahoochee River Basin in Metropolitan Atlanta, Georgia

USGS Publications Warehouse

LaFontaine, Jacob H.; McCallum, Brian E.; Stamey, Timothy C.; Wipperfurth, Caryl J.

2006-01-01

The U.S. Geological Survey (USGS)—in cooperation with other Federal, State, and local agencies—operates a flood monitoring system in the Chattahoochee River Basin. This system is a network of 35 automated river stage stations that transmit stage data through satellite telemetry to the USGS Georgia Water Science Center in Atlanta. During floods, the public and emergency response agencies use this information to make decisions about road closures, evacuations, and other public safety issues. The emergency phone number for your area is listed under “Local flood emergency phone numbers.”

ESTIMATION OF THE EXPOSURE POINT CONCENTRATION TERM USING A GAMMA DISTRIBUTION

EPA Science Inventory

The Technology Support Projects, Technology Support Center (TSC) for Monitoring and Site Characterization was established in 1987 as a result of an agreement between the Office of Research and Development (ORD), the Office of Solid Waste and Emergency Response (OSWER) and all ten...

Federal Radiological Monitoring and Assessment Center Health and Safety Manual

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

FRMAC Health and Safety Working Group

2012-03-20

This manual is a tool to provide information to all responders and emergency planners and is suggested as a starting point for all organizations that provide personnel/assets for radiological emergency response. It defines the safety requirements for the protection of all emergency responders. The intent is to comply with appropriate regulations or provide an equal level of protection when the situation makes it necessary to deviate. In the event a situation arises which is not addressed in the manual, an appropriate management-level expert will define alternate requirements based on the specifics of the emergency situation. This manual is not intendedmore » to pertain to the general public.« less

a Real-Time GIS Platform for High Sour Gas Leakage Simulation, Evaluation and Visualization

NASA Astrophysics Data System (ADS)

Li, M.; Liu, H.; Yang, C.

2015-07-01

The development of high-sulfur gas fields, also known as sour gas field, is faced with a series of safety control and emergency management problems. The GIS-based emergency response system is placed high expectations under the consideration of high pressure, high content, complex terrain and highly density population in Sichuan Basin, southwest China. The most researches on high hydrogen sulphide gas dispersion simulation and evaluation are used for environmental impact assessment (EIA) or emergency preparedness planning. This paper introduces a real-time GIS platform for high-sulfur gas emergency response. Combining with real-time data from the leak detection systems and the meteorological monitoring stations, GIS platform provides the functions of simulating, evaluating and displaying of the different spatial-temporal toxic gas distribution patterns and evaluation results. This paper firstly proposes the architecture of Emergency Response/Management System, secondly explains EPA's Gaussian dispersion model CALPUFF simulation workflow under high complex terrain and real-time data, thirdly explains the emergency workflow and spatial analysis functions of computing the accident influencing areas, population and the optimal evacuation routes. Finally, a well blow scenarios is used for verify the system. The study shows that GIS platform which integrates the real-time data and CALPUFF models will be one of the essential operational platforms for high-sulfur gas fields emergency management.

Neural correlates of response inhibition in current and former smokers.

PubMed

Weywadt, Christina R; Kiehl, Kent A; Claus, Eric D

2017-02-15

Loss of behavioral control is a hallmark of addiction. Individual differences in basic cognitive processes such as response inhibition may be important for interrupting automatic behaviors associated with smoking and supporting prolonged abstinence. To examine how response inhibition and error monitoring processes differ as a function of smoking status, current smokers, former smokers and never smokers (N=126) completed a simple Go/No-Go task while undergoing functional magnetic resonance imaging. All groups performed similarly on the task and similarly engaged the inferior frontal gyrus and dorsal anterior cingulate cortex, regions traditionally associated with response inhibition and error monitoring, respectively. During response inhibition (i.e., Correct Rejects>Hits contrast), overall group differences emerged in the recruitment of the cerebellum, while individual group differences in error monitoring (False Alarms>Hits contrast) were seen for regions of the parietal lobe and thalamus (current smokers>former smokers), as well as regions of the bilateral cerebellum, parahippocampal gyrus and superior parietal lobe (i.e., ever smokers>never smokers). We discuss how our results replicate two previous large-sample studies that used the same Go/No-Go task and review these data in terms of network models of inhibitory and error monitoring abnormalities in addiction. Copyright © 2016 Elsevier B.V. All rights reserved.

Multispectral, hyperspectral, and LiDAR remote sensing and geographic information fusion for improved earthquake response

NASA Astrophysics Data System (ADS)

Kruse, F. A.; Kim, A. M.; Runyon, S. C.; Carlisle, Sarah C.; Clasen, C. C.; Esterline, C. H.; Jalobeanu, A.; Metcalf, J. P.; Basgall, P. L.; Trask, D. M.; Olsen, R. C.

2014-06-01

The Naval Postgraduate School (NPS) Remote Sensing Center (RSC) and research partners have completed a remote sensing pilot project in support of California post-earthquake-event emergency response. The project goals were to dovetail emergency management requirements with remote sensing capabilities to develop prototype map products for improved earthquake response. NPS coordinated with emergency management services and first responders to compile information about essential elements of information (EEI) requirements. A wide variety of remote sensing datasets including multispectral imagery (MSI), hyperspectral imagery (HSI), and LiDAR were assembled by NPS for the purpose of building imagery baseline data; and to demonstrate the use of remote sensing to derive ground surface information for use in planning, conducting, and monitoring post-earthquake emergency response. Worldview-2 data were converted to reflectance, orthorectified, and mosaicked for most of Monterey County; CA. Airborne Visible/Infrared Imaging Spectrometer (AVIRIS) data acquired at two spatial resolutions were atmospherically corrected and analyzed in conjunction with the MSI data. LiDAR data at point densities from 1.4 pts/m2 to over 40 points/ m2 were analyzed to determine digital surface models. The multimodal data were then used to develop change detection approaches and products and other supporting information. Analysis results from these data along with other geographic information were used to identify and generate multi-tiered products tied to the level of post-event communications infrastructure (internet access + cell, cell only, no internet/cell). Technology transfer of these capabilities to local and state emergency response organizations gives emergency responders new tools in support of post-disaster operational scenarios.

User's Guide for MetView: A Meteorological Display and Assessment Tool

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

Glantz, Clifford S.; Pelton, Mitchell A.; Allwine, K Jerry

2000-09-27

MetView Version 2.0 is an easy-to-use model for accessing, viewing, and analyzing meteorological data. MetView provides both graphical and numerical displays of data. It can accommodate data from an extensive meteorological monitoring network that includes near-surface monitoring locations, instrumented towers, sodars, and meteorologist observations. MetView is used operationally for both routine, emergency response, and research applications at the U.S. Department of Energy's Hanford Site. At the Site's Emergency Operations Center, MetView aids in the access, visualization, and interpretation of real-time meteorological data. Historical data can also be accessed and displayed. Emergency response personnel at the Emergency Operations Center use MetViewmore » products in the formulation of protective action recommendations and other decisions. In the initial stage of an emergency, MetView can be operated using a very simple, five-step procedure. This first-responder procedure allows non-technical staff to rapidly generate meteorological products and disseminate key information. After first-responder information products are produced, the Emergency Operations Center's technical staff can conduct more sophisticated analyses using the model. This may include examining the vertical variation in winds, assessing recent changes in atmospheric conditions, evaluating atmospheric mixing rates, and forecasting changes in meteorological conditions. This user's guide provides easy-to-follow instructions for both first-responder and routine operation of the model. Examples, with explanations, are provided for each type of MetView output display. Information is provided on the naming convention, format, and contents of each type of meteorological data file used by the model area. This user's guide serves as a ready reference for experienced MetView users and a training manual for new users.« less

The ASTER emergency scheduling system: A new project linking near-real-time satellite monitoring of disasters to the acquisition of high-resolution remote sensing data

NASA Astrophysics Data System (ADS)

Ramsey, M.; Dehn, J.; Wessels, R.; Byrnes, J.; Duda, K.; Maldonado, L.; Dwyer, J.

2004-12-01

Numerous government agencies and university partnerships are currently utilizing orbital instruments with high-temporal/low-spatial resolution (e.g. MODIS, AVHRR) to monitor hazards. These hazards are varied and include both natural (volcanic eruptions, severe weather, wildfires, earthquake damage) and anthropogenic (environmental damage, urban terrorism). Although monitoring a hazardous situation is critical, a key strategy of NASA's Earth science program is to develop a scientific understanding of the Earth system and its responses to changes, as well as to improve prediction of hazard onset. In order to develop a quantitative scientific basis from which to model transient geological and climatological hazards, much higher spatial/spectral resolution datasets are required. Such datasets are sparse, currently available from certain government (e.g. ASTER, Hyperion) and commercial (e.g. IKONOS, QuickBird) instruments. However, only ASTER has the capability to acquire high spatial resolution data from the visible to thermal infrared (TIR) wavelength region in conjunction with digital elevation models (DEM) generation. These capabilities are particularly useful for numerous aspects of volcanic remote sensing. For example, multispectral TIR data are critical for monitoring low temperature anomalies and mapping both chemical and textural variations on volcanic surfaces. Because ASTER data are scheduled in advance and the raw data are sent to Japan for calibration processing, rapid acquisition of hazards becomes problematic. However, a "rapid response" mode does exist for ASTER data scheduling and processing, but its availability is limited and requires significant human interaction. A newly-funded NASA ASTER science team project seeks to link this ASTER rapid response pathway to larger-scale monitoring alerts, which are already in-place and in-use by other organizations. By refining the initial event detection criteria and improving interfaces between these organizations and the ASTER project, we expect to minimize lag time and use existing monitoring tools as triggers for the emergency response of ASTER. The first phase of this project will be integrated into the Alaska Volcano Observatory's current near-real-time volcanic monitoring system, which relies on high temporal/low spatial resolution orbital data. This synergy will allow small-scale activity to be targeted for science and response, and a calibration baseline between each sensor to be established. If successful, this will be the first time that high spatial resolution, multispectral satellite data will be routinely scheduled, acquired, and analyzed in a "rapid response" mode within an existing hazard monitoring framework. Initial testing of this system is now underway using data from previous eruptions in the north Pacific region, and modifications to the rapid data flow procedure within the ASTER science and support structure has begun.

Perioperative goal-directed haemodynamic therapy based on flow parameters: a concept in evolution.

PubMed

Meng, L; Heerdt, P M

2016-12-01

Haemodynamic management incorporating direct or surrogate stroke volume monitoring has experienced a rapid evolution, because of emergence of the "goal-directed therapy" concept and technological developments aimed at providing a parameter leading to the goal. Nonetheless, consensus on both definitions of the ideal "goal" and strategies for achieving it remain elusive. For this review, we first consider basic physiological and patient monitoring factors relevant to the concept of "fluid responsiveness", and then focus upon randomized controlled trials and meta-analyses involving goal-directed haemodynamic therapy based on various flow parameters. Finally, we discuss the current status of noninvasive methods for monitoring fluid responsiveness. © The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

BP Spill Sampling and Monitoring Data April-September 2010 - Data Download Tool

EPA Pesticide Factsheets

This dataset analyzes waste from the the British Petroleum Deepwater Horizon Rig Explosion Emergency Response, providing opportunity to query data sets by metadata criteria and find resulting raw datasets in CSV format.The data query tool allows users to download air, water and sediment sampling and monitoring data that has been collected in response to the BP oil spill. All sampling and monitoring data that has been collected to date is available for download as raw structured data.The query tools enables CSV file creation to be refined based on the following search criteria: date range (between April 28, 2010 and 9/29/2010); location by zip, city, or county; media (solid waste, weathered oil, air, surface water, liquid waste, tar, sediment, water); substance categories (based on media selection) and substances (based on substance category selection).

ADVANCES IN SAMPLING, SEPARATION, DETECTION AND IDENTIFICATION THAT ADDRESS UNMET NEEDS OF OSWER AND THE REGIONS

EPA Science Inventory

The Office of Solid Waste and Emergency Response (OSWER) has identified the development of improved methods for measuring, monitoring, and characterizing complex wastes in soils, sediments, biota, and groundwater as a priority under GOAL 3: LAND PRESERVATION AND RESTORATION:Prese...

A framework for the monitoring and evaluation of international surgical initiatives in low- and middle-income countries.

PubMed

Ibrahim, George M; Cadotte, David W; Bernstein, Mark

2015-01-01

An estimated two billion people worldwide lack adequate access to surgical care. To address this humanitarian emergency, an increasing number of international surgical partnerships are emerging between developed and low- and middle-income countries (LMICs). At present, there are no clear indicators that may be used to assess the effectiveness of such initiatives. We conducted an international qualitative study of 31 surgeons from developed and LMICs involved in international partnerships across a variety of subspecialties. Thematic analysis and grounded theory were applied in order to develop a practical framework that may be applied to monitor and evaluate global surgical initiatives. Several themes emerged from the study: (i) there is a large unmet need to establish and maintain prospective databases in LMICs to inform the monitoring and evaluation of international surgical partnerships; (ii) assessment of initiatives must occur longitudinally over the span of several years; (ii) the domains of assessment are contextual and encompass cultural, institutional and regional factors; and (iv) evaluation strategies should explore broader impact within the community and country. Based on thematic analysis within the domains of inputs, outputs and outcomes, a framework for the monitoring and evaluation of international surgical initiatives, the Framework for the Assessment of InteRNational Surgical Success (FAIRNeSS) is proposed. In response to the increasing number of surgical partnerships between developed and LMICs, we propose a framework to monitor and evaluate international surgical initiatives.

Commercialization Issues For Catheter-Based Electrochemical Sensors

NASA Astrophysics Data System (ADS)

Nikolchev, Julian; Gaisford, Scott

1989-08-01

The need for continuous monitoring of key clinical parameters in hospitals is well recognized. Figure 1 shows typical time constants for blood gases, ions and enzymes in response to acute ventilatory changes and interventions. Although it can be seen that relatively low rates of data collection are necessary for many medical measurements, it is also clear that intermittent measurement of P02, PCO2 and pH are not sufficient to provide safe and effective management of the patient. Very frequent or continuous monitoring is often essential. This figure also shows why the emphasis of a large number of research efforts in this country and in Europe and Japan have as their goal the development of continuous blood gas sensors, i.e., sensors that continuously monitor blood pH, partial pressure of oxygen and partial pressure of carbon dioxide. These are three (3) of the most frequent parameters measured in hospitals and the ones having the shortest time constant. Considering that in the United States alone close to 25 million blood gas samples per year are taken from patients, the potential market for continuous monitoring sensors is enormous. The emergence of microelectronics and microfabrication technologies over the past 30 years are now pointing to a possible resolution of the well recognized need for real time monitoring of critically ill patients through catheter-based sensors. Although physicians will always prefer non-invasive monitoring techniques, there are a number of parameters that presently can only be monitored by invasive method. The emerging ability to miniaturize chemical sensors using silicon microfabrication or fiber-optic techniques offer an excellent opportunity to solve this need. In fact, the development of in vivo biomedical sensors with satisfactory performance characteristics has long been considered the ultimate application of these emerging technologies.

Quantitative design of emergency monitoring network for river chemical spills based on discrete entropy theory.

PubMed

Shi, Bin; Jiang, Jiping; Sivakumar, Bellie; Zheng, Yi; Wang, Peng

2018-05-01

Field monitoring strategy is critical for disaster preparedness and watershed emergency environmental management. However, development of such is also highly challenging. Despite the efforts and progress thus far, no definitive guidelines or solutions are available worldwide for quantitatively designing a monitoring network in response to river chemical spill incidents, except general rules based on administrative divisions or arbitrary interpolation on routine monitoring sections. To address this gap, a novel framework for spatial-temporal network design was proposed in this study. The framework combines contaminant transport modelling with discrete entropy theory and spectral analysis. The water quality model was applied to forecast the spatio-temporal distribution of contaminant after spills and then corresponding information transfer indexes (ITIs) and Fourier approximation periodic functions were estimated as critical measures for setting sampling locations and times. The results indicate that the framework can produce scientific preparedness plans of emergency monitoring based on scenario analysis of spill risks as well as rapid design as soon as the incident happened but not prepared. The framework was applied to a hypothetical spill case based on tracer experiment and a real nitrobenzene spill incident case to demonstrate its suitability and effectiveness. The newly-designed temporal-spatial monitoring network captured major pollution information at relatively low costs. It showed obvious benefits for follow-up early-warning and treatment as well as for aftermath recovery and assessment. The underlying drivers of ITIs as well as the limitations and uncertainty of the approach were analyzed based on the case studies. Comparison with existing monitoring network design approaches, management implications, and generalized applicability were also discussed. Copyright © 2018 Elsevier Ltd. All rights reserved.

ReactorHealth Physics operations at the NIST center for neutron research.

PubMed

Johnston, Thomas P

2015-02-01

Performing health physics and radiation safety functions under a special nuclear material license and a research and test reactor license at a major government research and development laboratory encompasses many elements not encountered by industrial, general, or broad scope licenses. This article reviews elements of the health physics and radiation safety program at the NIST Center for Neutron Research, including the early history and discovery of the neutron, applications of neutron research, reactor overview, safety and security of radiation sources and radioactive material, and general health physics procedures. These comprise precautions and control of tritium, training program, neutron beam sample processing, laboratory audits, inventory and leak tests, meter calibration, repair and evaluation, radioactive waste management, and emergency response. In addition, the radiation monitoring systems will be reviewed including confinement building monitoring, ventilation filter radiation monitors, secondary coolant monitors, gaseous fission product monitors, gas monitors, ventilation tritium monitor, and the plant effluent monitor systems.

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

NSTec Environmental Restoration

Homeland Security Presidential Directive HSPD-5 requires all federal departments and agencies to adopt a National Incident Management System (NIMS)/Incident Command System (ICS) and use it in their individual domestic incident management and emergency prevention, preparedness, response, recovery, and mitigation programs and activities, as well as in support of those actions taken to assist state and local entities. This system provides a consistent nationwide template to enable federal, state, local, and tribal governments, private-sector, and nongovernmental organizations to work together effectively and efficiently to prepare for, prevent, respond to, and recover from domestic incidents, regardless of cause, size, or complexity, includingmore » acts of catastrophic terrorism. This document identifies the operational concepts of the Federal Radiological Monitoring and Assessment Center's (FRMAC) implementation of the NIMS/ICS response structure under the National Response Plan (NRP). The construct identified here defines the basic response template to be tailored to the incident-specific response requirements. FRMAC's mission to facilitate interagency environmental data management, monitoring, sampling, analysis, and assessment and link this information to the planning and decision staff clearly places the FRMAC in the Planning Section. FRMAC is not a mitigating resource for radiological contamination but is present to conduct radiological impact assessment for public dose avoidance. Field monitoring is a fact-finding mission to support this effort directly. Decisions based on the assessed data will drive public protection and operational requirements. This organizational structure under NIMS is focused by the mission responsibilities and interface requirements following the premise to provide emergency responders with a flexible yet standardized structure for incident response activities. The coordination responsibilities outlined in the NRP are based on the NIMS/ICS construct and Unified Command (UC) for management of a domestic incident. The NRP Nuclear/Radiological Incident Annex (NUC) further provides requirements and protocols for coordinating federal government capabilities to respond to nuclear/radiological Incidents of National Significance (INS) and other radiological incidents. When a FRMAC is established, it operates under the parameters of NIMS as defined in the NRP. FRMAC and its operations have been modified to reflect NIMS/ICS concepts and principles and to facilitate working in a Unified Command structure. FRMAC is established at or near the scene of the incident to coordinate radiological monitoring and assessment and is established in coordination with the U.S. Department of Homeland Security (DHS); the coordinating agency; other federal agencies; and state, local, and tribal authorities. However, regardless of the coordinating agency designation, U.S. Department of Energy (DOE) coordinates radiological monitoring and assessment activities for the initial phases of the offsite federal incident response through the Radiological Assistance Program (RAP) and FRMAC assets. Monitoring and assessment data are managed by FRMAC in an accountable, secure, and retrievable format. Monitoring data interpretations, including exposure rate contours, dose projections, and any requested radiological assessments are to be provided to the DHS; to the coordinating agency; and to state, local, and tribal government agencies.« less

Managing Sustainability with the Support of Business Intelligence Methods and Tools

NASA Astrophysics Data System (ADS)

Petrini, Maira; Pozzebon, Marlei

In this paper we explore the role of business intelligence (BI) in helping to support the management of sustainability in contemporary firms. The concepts of sustainability and corporate social responsibility (CSR) are among the most important themes to have emerged in the last decade at the global level. We suggest that BI methods and tools have an important but not yet well studied role to play in helping organizations implement and monitor sustainable and socially responsible business practices. Using grounded theory, the main contribution of our study is to propose a conceptual model that seeks to support the process of definition and monitoring of socio-environmental indicators and the relationship between their management and business strategy.

Laser Propagation Research. Volume II. Gaseous and Particulate Characterization of the Atmosphere. App. A-3. Maximum, Mean and Minimum Values of Measured Gas Concentrations at NOP Site. App. A-4. Plots of Nephelometer and Aerosol Mass Monitor Data at Arky Site. App. A-5. Plots of Aerosol Mass Monitor Data at the NOP Site,

DTIC Science & Technology

1980-11-01

the rapid, partial removal or covering of contamination to reduce the radiation exposure rate as quickly as practicable to a point where priority work ...should be responsible for planning and implementing all decontamination activities. He could be a city en- gineer, public works engineer, industrial safety...responsibility for a local civil defense or emergency preparedness program. DisaterAnalysis - A review and determination of the extent of damage sufere bya

The Trauma Patient Tracking System: implementing a wireless monitoring infrastructure for emergency response.

PubMed

Maltz, Jonathan; C Ng, Thomas; Li, Dustin; Wang, Jian; Wang, Kang; Bergeron, William; Martin, Ron; Budinger, Thomas

2005-01-01

In mass trauma situations, emergency personnel are challenged with the task of prioritizing the care of many injured victims. We propose a trauma patient tracking system (TPTS) where first-responders tag all patients with a wireless monitoring device that continuously reports the location of each patient. The system can be used not only to prioritize patient care, but also to determine the time taken for each patient to receive treatment. This is important in training emergency personnel and in identifying bottlenecks in the disaster response process. In situations where biochemical agents are involved, a TPTS may be employed to determine sites of cross-contamination. In order to track patient location in both outdoor and indoor environments, we employ both Global Positioning System (GPS) and Television/ Radio Frequency (TVRF) technologies. Each patient tag employs IEEE 802.11 (Wi-Fi)/TCP/IP networking to communicate with a central server via any available Wi-Fi basestation. A key component to increase TPTS fault-tolerance is a mobile Wi-Fi basestation that employs redundant Internet connectivity to ensure that tags at the disaster scene can send information to the central server even when local infrastructure is unavailable for use. We demonstrate the robustness of the system in tracking multiple patients in a simulated trauma situation in an urban environment.

Molecular Analysis of Endocrine Disruption in Hornyhead Turbot at Wastewater Outfalls in Southern California Using a Second Generation Multi-Species Microarray

PubMed Central

Baker, Michael E.; Vidal-Dorsch, Doris E.; Ribecco, Cataldo; Sprague, L. James; Angert, Mila; Lekmine, Narimene; Ludka, Colleen; Martella, Andrea; Ricciardelli, Eugenia; Bay, Steven M.; Gully, Joseph R.; Kelley, Kevin M.; Schlenk, Daniel; Carnevali, Oliana; Šášik, Roman; Hardiman, Gary

2013-01-01

Sentinel fish hornyhead turbot ( Pleuronichthys verticalis ) captured near wastewater outfalls are used for monitoring exposure to industrial and agricultural chemicals of ~ 20 million people living in coastal Southern California. Although analyses of hormones in blood and organ morphology and histology are useful for assessing contaminant exposure, there is a need for quantitative and sensitive molecular measurements, since contaminants of emerging concern are known to produce subtle effects. We developed a second generation multi-species microarray with expanded content and sensitivity to investigate endocrine disruption in turbot captured near wastewater outfalls in San Diego, Orange County and Los Angeles California. Analysis of expression of genes involved in hormone [e.g., estrogen, androgen, thyroid] responses and xenobiotic metabolism in turbot livers was correlated with a series of phenotypic end points. Molecular analyses of turbot livers uncovered altered expression of vitellogenin and zona pellucida protein, indicating exposure to one or more estrogenic chemicals, as well as, alterations in cytochrome P450 (CYP) 1A, CYP3A and glutathione S-transferase-α indicating induction of the detoxification response. Molecular responses indicative of exposure to endocrine disruptors were observed in field-caught hornyhead turbot captured in Southern California demonstrating the utility of molecular methods for monitoring environmental chemicals in wastewater outfalls. Moreover, this approach can be adapted to monitor other sites for contaminants of emerging concern in other fish species for which there are few available gene sequences. PMID:24086568

Feasibility of blind aortic catheter placement in the prehospital environment to guide resuscitation in cardiac arrest.

PubMed

Manning, James E

2013-08-01

Aortic catheter-based resuscitation therapies are emerging with laboratory investigations showing benefit in models of trauma-related noncompressible torso hemorrhage and nontraumatic cardiac arrest. For these investigational aortic catheter-based therapies to reach their greatest potential clinical benefit, the ability to initiate them in the prehospital setting will be important. Feasibility of prehospital aortic catheterization without imaging capability supports this potential and is described in this report. A physician prehospital response system was created in cooperation with the local emergency medical services system to provide invasive hemodynamic monitoring during cardiac arrest. Physicians were dispatched to all known or suspected prehospital cardiac arrests covered by the emergency medical services system. Physicians responded with a specialized vascular catheterization pack and a monitor with invasive pressure monitoring capability. The physicians performed blind thoracic aortic and central venous catheterizations in cardiac arrest patients in the prehospital setting to measure coronary perfusion pressure, to optimize closed-chest cardiopulmonary resuscitation technique, and to administer intra-aortic epinephrine. During a 2-year period, 22 medical cardiac arrest patients underwent prehospital invasive hemodynamic monitoring to guide resuscitation. Most patients had both aortic and central venous catheters inserted. The combination of intra-aortic epinephrine and adjustments in closed-chest cardiopulmonary resuscitation technique resulted in improved coronary perfusion pressure. Return of spontaneous circulation with survival to hospital admission was achieved in 50% (11 of 22) of these patients. This report demonstrates the feasibility of successful blind aortic and central venous catheterizations in the prehospital environment and supports the potential feasibility of other emerging aortic catheter-based resuscitation therapies.

Interpretation and use of natriuretic peptides in non-congestive heart failure settings.

PubMed

Tsai, Shih-Hung; Lin, Yen-Yue; Chu, Shi-Jye; Hsu, Ching-Wang; Cheng, Shu-Meng

2010-03-01

Natriuretic peptides (NPs) have been found to be useful markers in differentiating acute dyspneic patients presenting to the emergency department (ED) and emerged as potent prognostic markers for patients with congestive heart failure (CHF). The best-established and widely used clinical application of BNP and NT-proBNP testing is for the emergent diagnosis of CHF in patients presenting with acute dyspnea. Nevertheless, elevated NPs levels can be found in many circumstances involving left ventricular (LV) dysfunction or hypertrophy; right ventricular (RV) dysfunction secondary to pulmonary diseases; cardiac inflammatory or infectious diseases; endocrinology diseases and high output status without decreased LV ejection fraction. Even in the absence of significant clinical evidence of volume overload or LV dysfunction, markedly elevated NP levels can be found in patients with multiple comorbidities with a certain degree of prognostic value. Potential clinical applications of NPs are expanded accompanied by emerging reports regarding screening the presence of secondary cardiac dysfunction; monitoring the therapeutic responses, risk stratifications and providing prognostic values in many settings. Clinicians need to have expanded knowledge regarding the interpretation of elevated NPs levels and potential clinical applications of NPs. Clinicians should recognize that currently the only reasonable application for routine practice is limited to differentiation of acute dyspnea, rule-out-diagnostic-tests, monitoring of therapeutic responses and prognosis of acute or decompensated CHF. The rationales as well the potential applications of NPs in these settings are discussed in this review article.

Interpretation and Use of Natriuretic Peptides in Non-Congestive Heart Failure Settings

PubMed Central

Lin, Yen-Yue; Chu, Shi-Jye; Hsu, Ching-Wang; Cheng, Shu-Meng

2010-01-01

Natriuretic peptides (NPs) have been found to be useful markers in differentiating acute dyspneic patients presenting to the emergency department (ED) and emerged as potent prognostic markers for patients with congestive heart failure (CHF). The best-established and widely used clinical application of BNP and NT-proBNP testing is for the emergent diagnosis of CHF in patients presenting with acute dyspnea. Nevertheless, elevated NPs levels can be found in many circumstances involving left ventricular (LV) dysfunction or hypertrophy; right ventricular (RV) dysfunction secondary to pulmonary diseases; cardiac inflammatory or infectious diseases; endocrinology diseases and high output status without decreased LV ejection fraction. Even in the absence of significant clinical evidence of volume overload or LV dysfunction, markedly elevated NP levels can be found in patients with multiple comorbidities with a certain degree of prognostic value. Potential clinical applications of NPs are expanded accompanied by emerging reports regarding screening the presence of secondary cardiac dysfunction; monitoring the therapeutic responses, risk stratifications and providing prognostic values in many settings. Clinicians need to have expanded knowledge regarding the interpretation of elevated NPs levels and potential clinical applications of NPs. Clinicians should recognize that currently the only reasonable application for routine practice is limited to differentiation of acute dyspnea, rule-out-diagnostic-tests, monitoring of therapeutic responses and prognosis of acute or decompensated CHF. The rationales as well the potential applications of NPs in these settings are discussed in this review article. PMID:20191004

Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study.

PubMed

Togher, Fiona J; O'Cathain, Alicia; Phung, Viet-Hai; Turner, Janette; Siriwardena, Aloysius Niroshan

2015-12-01

There is an increasing need to assess the performance of emergency ambulance services using measures other than the time taken for an ambulance to arrive on scene. In line with government policy, patients and carers can help to shape new measures of ambulance service performance. To investigate the aspects of emergency ambulance service care valued by users. Qualitative interview study. One of 11 ambulance services in England. Twenty-two users and eight of their spouses (n = 30). Users of the emergency ambulance service, experiencing different types of ambulance service response, valued similar aspects of their pre-hospital care. Users were often extremely anxious about their health, and the outcome they valued was reassurance provided by ambulance service staff that they were receiving appropriate advice, treatment and care. This sense of being reassured was enhanced by the professional behaviour of staff, which instilled confidence in their care; communication; a short wait for help; and continuity during transfers. A timely response was valued in terms of allaying anxiety quickly. The ability of the emergency ambulance service to allay the high levels of fear and anxiety felt by users is crucial to the delivery of a high quality service. Measures developed to assess and monitor the performance of emergency ambulance services should include the proportion of users reporting feeling reassured by the response they obtained. © 2014 John Wiley & Sons Ltd.

Miniaturized Bio-and Chemical-Sensors for Point-of-Care Monitoring of Chronic Kidney Diseases

PubMed Central

Tricoli, Antonio

2018-01-01

This review reports the latest achievements in point-of-care (POC) sensor technologies for the monitoring of ammonia, creatinine and urea in patients suffering of chronic kidney diseases (CKDs). Abnormal levels of these nitrogen biomarkers are found in the physiological fluids, such as blood, urine and sweat, of CKD patients. Delocalized at-home monitoring of CKD biomarkers via integration of miniaturized, portable, and low cost chemical- and bio-sensors in POC devices, is an emerging approach to improve patients’ health monitoring and life quality. The successful monitoring of CKD biomarkers, performed on the different body fluids by means of sensors having strict requirements in term of size, cost, large-scale production capacity, response time and simple operation procedures for use in POC devices, is reported and discussed. PMID:29565315

Miniaturized Bio-and Chemical-Sensors for Point-of-Care Monitoring of Chronic Kidney Diseases.

PubMed

Tricoli, Antonio; Neri, Giovanni

2018-03-22

This review reports the latest achievements in point-of-care (POC) sensor technologies for the monitoring of ammonia, creatinine and urea in patients suffering of chronic kidney diseases (CKDs). Abnormal levels of these nitrogen biomarkers are found in the physiological fluids, such as blood, urine and sweat, of CKD patients. Delocalized at-home monitoring of CKD biomarkers via integration of miniaturized, portable, and low cost chemical- and bio-sensors in POC devices, is an emerging approach to improve patients' health monitoring and life quality. The successful monitoring of CKD biomarkers, performed on the different body fluids by means of sensors having strict requirements in term of size, cost, large-scale production capacity, response time and simple operation procedures for use in POC devices, is reported and discussed.

Assessment of earthen levee stability for management and response: A NASA-DHS-California Dept. Water Resources collaboration

NASA Astrophysics Data System (ADS)

An, K.; Jones, C. E.; Bekaert, D. P.; Dudas, J.

2016-12-01

Radar remote sensing of the Sacramento-San Joaquin Delta, the largest estuary in the western U.S. (over 2500 km2), and its levee system provides an opportunity for NASA Applied Science to aid the CA Department of Water Resources (CA-DWR) in monitoring and emergency response. The delta contains over 1,500 km of earthen levees, supports about 2.5 million acres of agricultural land, and serves as a main water supply for 23 million California residents. Many of the reclaimed islands are 10-25 feet below sea level, sit atop compressible peat and organic clay soils, and are surrounded by levees only 1 foot above the once in a century flood elevation threshold. Land subsidence in the delta can be attributed to a variety of factors, including: aerobic oxidation of soils, soil compaction from drainage, wind erosion, anaerobic decomposition, dissolved carbon fluxes, floods, seismic events, and even rodent burrowing. Interferometric Synthetic Aperture Radar (InSAR) is an established technique to measure surface displacements and has been used to map large-scale subsidence. The demonstration of earthen levee monitoring is a recent development that has been greatly furthered by the emergence of new instruments such as NASA's Uninhabited Aerial Vehicle Synthetic Aperture Radar (UAVSAR). UAVSAR is an L-band airborne sensor with high signal-to-noise ratio, repeat flight track accuracy, and has a high spatial resolution (7 x 7 m) that is necessary for detailed levee monitoring. The adaptability of radar instruments in their ability to see through smoke, haze, and clouds during the day or night, is especially relevant during disaster events, when cloud cover or lack of solar illumination inhibits traditional visual surveys of damage. We demonstrate the advantages of combining InSAR with geographic information systems (GIS) datasets in locating subsidence features along critical levee infrastructure in the Delta for 2009-2016. The ability to efficiently locate potential areas of instability will also be automated into GIS tools for the CA-DWR, who have oversight of the Sacramento-Delta levee system, that will help to bolster their current ground-based monitoring programs and to aid emergency response during a flood or earthquake event.

The perspective of USDA APHIS Veterinary Services Emergency Management and Diagnostics in preparing and responding to Foreign Animal Diseases - plans, strategies, and countermeasures.

PubMed

Díez, J R; Styles, D K

2013-01-01

The United States Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) Veterinary Services (VS) is charged with monitoring, controlling, and responding to select reportable diseases and all foreign animal diseases. Emergency Management and Diagnostics (EM&D) oversees Foreign Animal Disease (FAD) preparedness and response. In order to effectively prepare for and respond to FADs, such as highly pathogenic avian influenza and foot-and-mouth disease, VS develops plans, strategies, and policies to effectively combat an intrusion. USDA APHIS VS has made significant gains in preparedness and response planning. However, much remains to be done especially in surveillance, diagnostic tools, and vaccines. There are significant needs for novel medical technologies to improve diagnostic capabilities and offer additional approaches for FAD response.

Teacher Response to the Methylphenidate (Ritalin) versus Placebo Status of Hyperactive Boys in the Classroom.

ERIC Educational Resources Information Center

Whalen, Carol K.; And Others

1981-01-01

Teacher behaviors toward hyperactive boys on methylphenidate (ritalin), toward hyperactive boys on placebo, and toward normal comparison peers were compared. Teachers were more intense and controlling toward hyperactive boys on placebo, but no differences emerged between comparison and medicated groups. Need for broader monitoring of treatment…

Area-wide efficacy of a localized forest pest management practice

Treesearch

J.T. Cronin; P. Turchin; J.L. Hayes; C.A. Steiner

1999-01-01

Few experimental studies have examined the movement of forest pest populations, particularly in response to management tactics that disrupt the growth of pest infestations.We quantified the interinfestation patterns of dispersal of the southern pine beetle, Dendroctonus frontalis, by monitoring the fates of marked beetles after emergence from small natural infestations...

Circulating tumour DNA reflects treatment response and clonal evolution in chronic lymphocytic leukaemia.

PubMed

Yeh, Paul; Hunter, Tane; Sinha, Devbarna; Ftouni, Sarah; Wallach, Elise; Jiang, Damian; Chan, Yih-Chih; Wong, Stephen Q; Silva, Maria Joao; Vedururu, Ravikiran; Doig, Kenneth; Lam, Enid; Arnau, Gisela Mir; Semple, Timothy; Wall, Meaghan; Zivanovic, Andjelija; Agarwal, Rishu; Petrone, Pasquale; Jones, Kate; Westerman, David; Blombery, Piers; Seymour, John F; Papenfuss, Anthony T; Dawson, Mark A; Tam, Constantine S; Dawson, Sarah-Jane

2017-03-17

Several novel therapeutics are poised to change the natural history of chronic lymphocytic leukaemia (CLL) and the increasing use of these therapies has highlighted limitations of traditional disease monitoring methods. Here we demonstrate that circulating tumour DNA (ctDNA) is readily detectable in patients with CLL. Importantly, ctDNA does not simply mirror the genomic information contained within circulating malignant lymphocytes but instead parallels changes across different disease compartments following treatment with novel therapies. Serial ctDNA analysis allows clonal dynamics to be monitored over time and identifies the emergence of genomic changes associated with Richter's syndrome (RS). In addition to conventional disease monitoring, ctDNA provides a unique opportunity for non-invasive serial analysis of CLL for molecular disease monitoring.

Challenge theme 6: Natural hazard risks in the Borderlands: Chapter 8 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

USGS Publications Warehouse

Page, William R.; Parcher, Jean W.; Stefanov, Jim

2013-01-01

Natural hazards such as earthquakes, landslides and debris flows, wildfires, hurricanes, and intense storm-induced flash floods threaten communities to varying degrees all along the United States–Mexican border. The U.S. Geological Survey (USGS) collaborates with Federal, State, and local agencies to minimize the effects of natural hazards by providing timely, unbiased science information to emergency response officials, resource managers, and the public to help reduce property damage, injury, and loss of life. The USGS often mobilizes response efforts during and after a natural hazard event to provide technical and scientific counsel on recovery and response, and it has a long history of deploying emergency response teams to major disasters in both domestic and international locations. This chapter describes the challenges of natural hazards in the United States–Mexican border region and the capabilities of the USGS in the fields of hazard research, monitoring, and assessment, as well as preventative mitigation and post-disaster response.

Instrumentation Guidelines for the Advanced National Seismic System

USGS Publications Warehouse

Working Group on Instrumentation, Siting

2008-01-01

This document provides guidelines for the seismic-monitoring instrumentation used by long-term earthquake-monitoring stations that will sense ground motion, digitize and store the resulting signals in a local data acquisition unit, and optionally transmit these digital data. These guidelines are derived from specifications and requirements for data needed to address the nation's emergency response, engineering, and scientific needs as identified in U.S. Geological Survey Circular 1188 (1999). Data needs are discussed in terms of national, regional, and urban scales of monitoring in section 3. Functional performance specifications for instrumentation are introduced in section 4.3 and discussed in detail in section 6 in terms of instrument classes and definitions described in section 5. System aspects and testing recommendations are discussed in sections 7 and 8, respectively. Although U.S. Geological Survey Circular 1188 (1999) recommends that the Advanced National Seismic System (ANSS) include portable instrumentation, performance specifications for this element are not specifically addressed in this document. Nevertheless, these guidelines are largely applicable to portable instrumentation. Volcano monitoring instrumentation is also beyond the scope of this document. Guidance for ANSS structural-response monitoring is discussed briefly herein but details are deferred to the ANSS document by the ANSS Structural Response Monitoring Committee (U.S. Geological Survey, 2005). Aspects of station planning, siting, and installation other than instrumentation are beyond the scope of this document.

Emergency Operations Center at Johnson Space Center

NASA Technical Reports Server (NTRS)

Caylor, Gary C.

1997-01-01

In June 1966, at the start of the Gulf Coast hurricane season, the Johnson Space Center (JSC) celebrated the opening of its new 4,000-square foot, state-of-the-art Emergency Operations Center (EOC). The new EOC has been upgraded and enhanced to support a wide spectrum of emergencies affecting JSC and neighboring communities. One of the main features of the EOC is its premier computerized dispatch center. The new system unites many of JSC's critical emergency functions into one integrated network. It automatically monitors fire alarms, security entrances, and external cameras. It contains the JSC inventory of hazardous materials, by building and room, and can call up Material Safety Data Sheets for most of the generic hazardous materials used on-site. The EOC is available for community use during area emergencies such as hurricanes and is a welcome addition to the Clear Lake/Galveston Bay Area communities' emergency response resources.

FORMAL MODELING, MONITORING, AND CONTROL OF EMERGENCE IN DISTRIBUTED CYBER PHYSICAL SYSTEMS

DTIC Science & Technology

2018-02-23

FORMAL MODELING, MONITORING, AND CONTROL OF EMERGENCE IN DISTRIBUTED CYBER- PHYSICAL SYSTEMS UNIVERSITY OF TEXAS AT ARLINGTON FEBRUARY 2018 FINAL...COVERED (From - To) APR 2015 – APR 2017 4. TITLE AND SUBTITLE FORMAL MODELING, MONITORING, AND CONTROL OF EMERGENCE IN DISTRIBUTED CYBER- PHYSICAL ...dated 16 Jan 09 13. SUPPLEMENTARY NOTES 14. ABSTRACT This project studied emergent behavior in distributed cyber- physical systems (DCPS). Emergent

Los Alamos Climatology 2016 Update

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

Bruggeman, David Alan

The Los Alamos National Laboratory (LANL or the Laboratory) operates a meteorology monitoring network to support LANL emergency response, engineering designs, environmental compliance, environmental assessments, safety evaluations, weather forecasting, environmental monitoring, research programs, and environmental restoration. Weather data has been collected in Los Alamos since 1910. Bowen (1990) provided climate statistics (temperature and precipitation) for the 1961– 1990 averaging period, and included other analyses (e.g., wind and relative humidity) based on the available station locations and time periods. This report provides an update to the 1990 publication Los Alamos Climatology (Bowen 1990).

Flood-tracking chart for the Withlacoochee and Little River Basins in south-central Georgia and northern Florida

USGS Publications Warehouse

Gotvald, Anthony J.; McCallum, Brian E.; Painter, Jaime A.

2014-01-01

The U.S. Geological Survey (USGS), in cooperation with other Federal, State, and local agencies, operates a flood-monitoring system in the Withlacoochee and Little River Basins. This system is a network of automated river stage stations (ten are shown on page 2 of this publication) that transmit stage data through satellite telemetry to the USGS in Atlanta, Georgia and the National Weather Service (NWS) in Peachtree City, Georgia. During floods, the public and emergency response agencies use this information to make decisions about road closures, evacuations, and other public safety issues. This Withlacoochee and Little River Basins flood-tracking chart can be used by local citizens and emergency response personnel to record the latest river stage and predicted flood-crest information along the Withlacoochee River, Little River, and Okapilco Creek in south-central Georgia and northern Florida. By comparing the current stage (water-surface level above a datum) and predicted flood crest to the recorded peak stages of previous floods, emergency response personnel and residents can make informed decisions concerning the threat to life and property.

Elements of an integrated health monitoring framework

NASA Astrophysics Data System (ADS)

Fraser, Michael; Elgamal, Ahmed; Conte, Joel P.; Masri, Sami; Fountain, Tony; Gupta, Amarnath; Trivedi, Mohan; El Zarki, Magda

2003-07-01

Internet technologies are increasingly facilitating real-time monitoring of Bridges and Highways. The advances in wireless communications for instance, are allowing practical deployments for large extended systems. Sensor data, including video signals, can be used for long-term condition assessment, traffic-load regulation, emergency response, and seismic safety applications. Computer-based automated signal-analysis algorithms routinely process the incoming data and determine anomalies based on pre-defined response thresholds and more involved signal analysis techniques. Upon authentication, appropriate action may be authorized for maintenance, early warning, and/or emergency response. In such a strategy, data from thousands of sensors can be analyzed with near real-time and long-term assessment and decision-making implications. Addressing the above, a flexible and scalable (e.g., for an entire Highway system, or portfolio of Networked Civil Infrastructure) software architecture/framework is being developed and implemented. This framework will network and integrate real-time heterogeneous sensor data, database and archiving systems, computer vision, data analysis and interpretation, physics-based numerical simulation of complex structural systems, visualization, reliability & risk analysis, and rational statistical decision-making procedures. Thus, within this framework, data is converted into information, information into knowledge, and knowledge into decision at the end of the pipeline. Such a decision-support system contributes to the vitality of our economy, as rehabilitation, renewal, replacement, and/or maintenance of this infrastructure are estimated to require expenditures in the Trillion-dollar range nationwide, including issues of Homeland security and natural disaster mitigation. A pilot website (http://bridge.ucsd.edu/compositedeck.html) currently depicts some basic elements of the envisioned integrated health monitoring analysis framework.

50 CFR 18.128 - What are the mitigation, monitoring, and reporting requirements?

Code of Federal Regulations, 2014 CFR

2014-10-01

... approaches, such as temporal or spatial limitations in response to the presence of marine mammals in a... contacted for guidance. The Service will evaluate these instances on a case-by-case basis to determine the... circumstances, other than an emergency, should any vessel approach within an 805-m (0.5-mi) radius of walruses...

50 CFR 18.128 - What are the mitigation, monitoring, and reporting requirements?

Code of Federal Regulations, 2011 CFR

2011-10-01

... approaches, such as temporal or spatial limitations in response to the presence of marine mammals in a... contacted for guidance. The Service will evaluate these instances on a case-by-case basis to determine the... circumstances, other than an emergency, should any vessel approach within an 805-m (0.5-mi) radius of walruses...

50 CFR 18.128 - What are the mitigation, monitoring, and reporting requirements?

Code of Federal Regulations, 2012 CFR

2012-10-01

... approaches, such as temporal or spatial limitations in response to the presence of marine mammals in a... contacted for guidance. The Service will evaluate these instances on a case-by-case basis to determine the... circumstances, other than an emergency, should any vessel approach within an 805-m (0.5-mi) radius of walruses...

50 CFR 18.128 - What are the mitigation, monitoring, and reporting requirements?

Code of Federal Regulations, 2013 CFR

2013-10-01

... approaches, such as temporal or spatial limitations in response to the presence of marine mammals in a... contacted for guidance. The Service will evaluate these instances on a case-by-case basis to determine the... circumstances, other than an emergency, should any vessel approach within an 805-m (0.5-mi) radius of walruses...

Using remote sensing to monitor post-fire watershed recovery as a tool for management

Treesearch

Jess Clark; Marc Stamer; Kevin Cooper; Carolyn Napper; Terri Hogue; Alicia Kinoshita

2013-01-01

Post-fire watershed recovery is influenced by numerous variables but one of the most important factors is the rate of re-establishment of vegetative cover. Burned Area Emergency Response (BAER) teams, along with other agencies (Natural Resource Conservation Service, state, counties, cities, etc.), prescribe temporary post-fire mitigation treatments based on expected...

Hillslope treatment effectiveness monitoring on Horseshoe 2 and Monument Fires

Treesearch

Carly Gibson; Ann Youberg; Marc Stamer

2013-01-01

Between February and July, 2011, over 360,000 acres burned across the Coronado National Forest during one of the most active fire seasons in recorded history. Burned Area Emergency Response (BAER) Teams evaluated post-fire watershed conditions and prescribed treatments based on threats to known values at risk. Hillslope stabilization treatments were prescribed and...

Infrared point sensors for homeland defense applications

NASA Astrophysics Data System (ADS)

Thomas, Ross C.; Carter, Michael T.; Homrighausen, Craig L.

2004-03-01

We report recent progress toward the development of infrared point sensors for the detection of chemical warfare agents and explosive related chemicals, which pose a significant threat to both health and environment. Technical objectives have focused on the development of polymer sorbents to enhance the infrared response of these hazardous organic compounds. For example, infrared point sensors which part-per-billion detection limits have been developed that rapidlypartition chemical warfare agents and explosive related chemicals into polymer thin films with desirable chemical and physical properties. These chemical sensors demonstrate novel routes to reversible sensing of hazardous organic compounds. The development of small, low-power, sensitive, and selective instruments employing these chemical sensors would enhance the capabilities of federal, state, and local emergency response to incidents involving chemical terrorism. Specific applications include chemical defense systems for military personnel and homeland defense, environmental monitors for remediation and demilitarization, and point source detectors for emergency and maintenance response teams.

ASTER and USGS EROS disaster response: emergency imaging after Hurricane Katrina

USGS Publications Warehouse

Duda, Kenneth A.; Abrams, Michael

2005-01-01

The value of remotely sensed imagery during times of crisis is well established, and the increasing spatial and spectral resolution in newer systems provides ever greater utility and ability to discriminate features of interest (International Charter, Space and Major Disasters, 2005). The existing suite of sensors provides an abundance of data, and enables warning alerts to be broadcast for many situations in advance. In addition, imagery acquired soon after an event occurs can be used to assist response and remediation teams in identifying the extent of the affected area and the degree of damage. The data characteristics of the Advanced Spaceborne Thermal Emission and Refl ection Radiometer (ASTER) are well-suited for monitoring natural hazards and providing local and regional views after disaster strikes. For this reason, and because of the system fl exibility in scheduling high-priority observations, ASTER is often tasked to support emergency situations. The Emergency Response coordinators at the United States Geological Survey (USGS) Center for Earth Resources Observation and Science (EROS) work closely with staff at the National Aeronautics and Space Administration (NASA) Land Processes Distributed Active Archive Center (LP DAAC) at EROS and the ASTER Science Team as they fulfi ll their mission to acquire and distribute data during critical situations. This article summarizes the role of the USGS/EROS Emergency Response coordinators, and provides further discussion of ASTER data and the images portrayed on the cover of this issue

Sedation provider practice variation: a survey analysis of pediatric emergency subspecialists and fellows.

PubMed

Shavit, Itai; Leder, Marc; Cohen, Daniel M

2010-10-01

Pediatric emergency physicians use various techniques and medications when performing procedural sedation and analgesia. The goals of our study were to assess US pediatric emergency medicine subspecialists and fellows (PEMSSFs) for individual practice variation and to evaluate (1) the use of supplemental oxygen and capnography monitoring and (2) adverse sedation events (ADSEs). A Web-based tool was used to survey and analyze data collected from a selected group of PEMSSFs, regarding their responses to 5 common sedation case scenarios, use of supplemental oxygen and capnography monitoring, and ADSEs. Logistic regression analysis was used to examine the association between medication strategy and various levels of professional experience. Two hundred one surveys were received. One hundred ninety-five of these were eligible for the study: 140 from specialists and 55 from fellows. Respondents used multiple combinations of pharmaceutical agents to the scenarios presented. For some scenarios, statistical association was found between medication selection strategy and longer professional experience. Sixty percent of respondents do not routinely provide oxygen supplementation. Despite current guidelines supporting the routine use of capnography monitoring, 45% of respondents never use it. Adverse sedation event was reported in 17 cases; all patients were discharged with no further complications. A statistical association was found between years of practitioner experience and the likelihood of reporting an ADSE (P < 0.018). This group of PEMSSFs reported a wide spectrum of medication sedation strategies, dichotomous approaches to the use of oxygen supplementation and capnography monitoring, and a low rate of ADSEs.

Using monitoring and modeling to define the hazard posed by the reactivated Ferguson rock slide, Merced Canyon, California

USGS Publications Warehouse

De Graff, Jerome V.; Gallegos, Alan J.; Reid, Mark E.; Lahusen, Richard G.; Denlinger, Roger P.

2015-01-01

Rapid onset natural disasters such as large landslides create a need for scientific information about the event, which is vital to ensuring public safety, restoring infrastructure, preventing additional damage, and resuming normal economic activity. At the same time, there is limited data available upon which to base reliable scientific responses. Monitoring movement and modeling runout are mechanisms for gaining vital data and reducing the uncertainty created about a rapid onset natural disaster. We examine the effectiveness of this approach during the 2006 Ferguson rock slide disaster, which severed California Highway 140. Even after construction of a bypass restoring normal access to the community of El Portal, CA and a major entrance to Yosemite National Park, significant scientific questions remained. The most important for the affected public and emergency service agencies was the likelihood that access would again be severed during the impending rainy season and the possibility of a landslide dam blocking flow in the Merced River. Real-time monitoring of the Ferguson rock slide yielded clear information on the continuing movement of the rock slide and its implications for emergency response actions. Similarly, simulation of runout deposits using a physically based model together with volumes and slope steepness information demonstrated the conditions necessary for a landslide dam-forming event and the possible consequences of such an event given the dimensions of potential rock slide deposits.

Developing on-site paper colorimetric monitoring technique for quick evaluating copper ion concentration in mineral wastewater

NASA Astrophysics Data System (ADS)

Liu, Guokun; Peng, Jingji; Zheng, Hong; Yuan, Dongxing

2018-05-01

With the reinforce of the copper mining, the on-site monitoring of the accompanied effluent discharge is highly demanded for the emergency response to minimize the negative effect of the effluent on the surrounding ecosystem. On the basis of the specific interaction between Cu2+ and L-Cysteine (L-Cys), which was modified on gold nanoparticles (Au NPs), and the aggregation dependent surface plasmon resonance (SPR) of Au NPs, we developed an easy-on-going paper colorimetric method for the quick evaluating the copper ion concentration in the waste water excreted from the copper mine. The color change of L-Cys modified Au NPs (L-Cys-Au NPs)immobilized on a filter paper was very sensitive to the Cu2+ concentration and free of interference from other metal ions typically in waste water. The proposed paper colorimetry has the LOD of 0.09 mg/L and the linear range of 0.1-10 mg/L, respectively, with the RSD (n = 5) was 6.6% for 1 mg/L Cu2+ and 3.5% for 5 mg/L Cu2+. The quantitative analysis results for the mineral wastewater is in good agreement the China National Environmental Protection Standards HJ485-2009, which indicates the current method could be developed to the on-site detection technique for the emergency response in monitoring Cu2+ in industrial wastewater or polluted water.

Development of key performance indicators for prehospital emergency care.

PubMed

Murphy, Adrian; Wakai, Abel; Walsh, Cathal; Cummins, Fergal; O'Sullivan, Ronan

2016-04-01

Key performance indicators (KPIs) are used to monitor and evaluate critical areas of clinical and support functions that influence patient outcome. Traditional prehospital emergency care performance monitoring has focused solely on response time metrics. The landscape of emergency care delivery in Ireland is in the process of significant national reconfiguration. The development of KPIs is therefore considered one of the key priorities in prehospital research. The aim of this study was to develop a suite of KPIs for prehospital emergency care in Ireland. A systematic literature review of prehospital care performance measurement was undertaken followed by a three-round Delphi consensus process facilitated by a broad-based multidisciplinary group of panellists. The consensus process was conducted between June 2012 and October 2013. Each candidate indicator on the Delphi survey questionnaire was rated using a 5-point Likert-type rating scale. Agreement was defined as at least 70% of responders rating an indicator as 'agree' or 'strongly agree' on the rating scale. Data were analysed using descriptive statistics. Sensitivity of the ratings was examined for robustness by bootstrapping the original sample. Of the 78 citations identified by the systematic review, 5 relevant publications were used to select candidate indicators for the Delphi round 1 questionnaire. Response rates in Delphi rounds 1 and 2 were 89% and 83%, respectively. Following the consensus development conference, 101 KPIs reached consensus. Based on the Donabedian framework for quality-of-care indicators, 7 of the KPIs which reached agreement were structure KPIs, 74 were process KPIs and 20 were outcome KPIs. The highest ranked indicator was a process KPI ('Direct transport of ST-elevation myocardial infarction patients to a primary percutaneous intervention (PCI)-capable facility for ECG to PCI time <90 min'). Improving the quality of prehospital care requires the development and implementation of performance measurement using scientifically valid and reliable KPIs. Employing a Delphi panel of key multidisciplinary Emergency Medical Service stakeholders, it was feasible to develop a suite of 101 KPIs for performance monitoring of prehospital emergency care in Ireland. This suite of KPIs may contribute to a framework for achieving safer, better care in the prehospital environment. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Analysis of good practice of public health Emergency Operations Centers.

PubMed

Xu, Min; Li, Shi-Xue

2015-08-01

To study the public health Emergency Operations Centers (EOCs)in the US, the European Union, the UK and Australia, and summarize the good practice for the improvement of National Health Emergency Response Command Center in Chinese National Health and Family Planning Commission. Literature review was conducted to explore the EOCs of selected countries. The study focused on EOC function, organizational structure, human resources and information management. The selected EOCs had the basic EOC functions of coordinating and commanding as well as the public health related functions such as monitoring the situation, risk assessment, and epidemiological briefings. The organizational structures of the EOCs were standardized, scalable and flexible. Incident Command System was the widely applied organizational structure with a strong preference. The EOCs were managed by a unit of emergency management during routine time and surge staff were engaged upon emergencies. The selected EOCs had clear information management framework including information collection, assessment and dissemination. The performance of National Health Emergency Response Command Center can be improved by learning from the good practice of the selected EOCs, including setting clear functions, standardizing the organizational structure, enhancing the human resource capacity and strengthening information management. Copyright © 2015 Hainan Medical College. Production and hosting by Elsevier B.V. All rights reserved.

Safeguarding production agriculture and natural ecosystems against biological terrorism. A U.S. Department of Agriculture emergency response framework.

PubMed

Sequeira, R

1999-01-01

Foreign pest introductions and outbreaks represent threats to agricultural productivity and ecosystems, and, thus, to the health and national security of the United States. It is advisable to identify relevant techniques and bring all appropriate strategies to bear on the problem of controlling accidentally and intentionally introduced pest outbreaks. Recent political shifts indicate that the U.S. may be at increased risk for biological terrorism. The existing emergency-response strategies of the Animal and Plant Health Inspection Services (APHIS) will evolve to expand activities in coordination with other emergency management agencies. APHIS will evolve its information superstructure to include extensive application of simulation models for forecasting, meteorological databases and analysis, systems analysis, geographic information systems, satellite image analysis, remote sensing, and the training of specialized cadres within the emergency-response framework capable of managing the necessary information processing and analysis. Finally, the threat of key pests ranked according to perceived risk will be assessed with mathematical models and "what-if" scenarios analyzed to determine impact and mitigation practices. An infrastructure will be maintained that periodically surveys ports and inland regions for the presence of exotic pest threats and will identify trend abnormalities. This survey and monitoring effort will include cooperation from industry groups, federal and state organizations, and academic institutions.

Disaster Emergency Rapid Assessment Based on Remote Sensing and Background Data

NASA Astrophysics Data System (ADS)

Han, X.; Wu, J.

2018-04-01

The period from starting to the stable conditions is an important stage of disaster development. In addition to collecting and reporting information on disaster situations, remote sensing images by satellites and drones and monitoring results from disaster-stricken areas should be obtained. Fusion of multi-source background data such as population, geography and topography, and remote sensing monitoring information can be used in geographic information system analysis to quickly and objectively assess the disaster information. According to the characteristics of different hazards, the models and methods driven by the rapid assessment of mission requirements are tested and screened. Based on remote sensing images, the features of exposures quickly determine disaster-affected areas and intensity levels, and extract key disaster information about affected hospitals and schools as well as cultivated land and crops, and make decisions after emergency response with visual assessment results.

Integration of Wireless Sensor Networks into Cyberinfrastructure for Monitoring Hawaiian ``Mountain-to-Sea'' Environments

NASA Astrophysics Data System (ADS)

Kido, Michael H.; Mundt, Carsten W.; Montgomery, Kevin N.; Asquith, Adam; Goodale, David W.; Kaneshiro, Kenneth Y.

2008-10-01

Monitoring the complex environmental relationships and feedbacks of ecosystems on catchment (or mountain)-to-sea scales is essential for social systems to effectively deal with the escalating impacts of expanding human populations globally on watersheds. However, synthesis of emerging technologies into a robust observing platform for the monitoring of coupled human-natural environments on extended spatial scales has been slow to develop. For this purpose, the authors produced a new cyberinfrastructure for environmental monitoring which successfully merged the use of wireless sensor technologies, grid computing with three-dimensional (3D) geospatial data visualization/exploration, and a secured internet portal user interface, into a working prototype for monitoring mountain-to-sea environments in the high Hawaiian Islands. A use-case example is described in which native Hawaiian residents of Waipa Valley (Kauai) utilized the technology to monitor the effects of regional weather variation on surface water quality/quantity response, to better understand their local hydrologic cycle, monitor agricultural water use, and mitigate the effects of lowland flooding.

Integration of wireless sensor networks into cyberinfrastructure for monitoring Hawaiian "mountain-to-sea" environments.

PubMed

Kido, Michael H; Mundt, Carsten W; Montgomery, Kevin N; Asquith, Adam; Goodale, David W; Kaneshiro, Kenneth Y

2008-10-01

Monitoring the complex environmental relationships and feedbacks of ecosystems on catchment (or mountain)-to-sea scales is essential for social systems to effectively deal with the escalating impacts of expanding human populations globally on watersheds. However, synthesis of emerging technologies into a robust observing platform for the monitoring of coupled human-natural environments on extended spatial scales has been slow to develop. For this purpose, the authors produced a new cyberinfrastructure for environmental monitoring which successfully merged the use of wireless sensor technologies, grid computing with three-dimensional (3D) geospatial data visualization/exploration, and a secured internet portal user interface, into a working prototype for monitoring mountain-to-sea environments in the high Hawaiian Islands. A use-case example is described in which native Hawaiian residents of Waipa Valley (Kauai) utilized the technology to monitor the effects of regional weather variation on surface water quality/quantity response, to better understand their local hydrologic cycle, monitor agricultural water use, and mitigate the effects of lowland flooding.

Ecological and toxicological responses in a multistressor scenario: Are monitoring programs showing the stressors or just showing stress? A case study in Brazil.

PubMed

López-Doval, Julio C; Meirelles, Sergio Tadeu; Cardoso-Silva, Sheila; Moschini-Carlos, Viviane; Pompêo, Marcelo

2016-01-01

The Metropolitan Region of São Paulo (MRSP) is located in the Brazilian State of São Paulo and reservoirs in this region are vital for water supply and energy production. Changes in economic, social, and demographic trends produced pollution of water bodies, decreasing water quality for human uses and affecting freshwater populations. The presence of emerging pollutants, classical priority substances, nutrient excess and the interaction with tropical-climate conditions require periodic reviews of water policies and monitoring programs in order to detect and manage these threats in a global change scenario. The objective of this work is to determine whether the monitoring program of the São Paulo's Environmental Agency, is sufficient to explain the toxicological and biological responses observed in organisms in reservoirs of the MRSP, and whether it can identify the possible agents causing these responses. For that, we used publicly available data on water quality compiled by this agency in their routine monitoring program. A general overview of these data and a chemometric approach to analyze the responses of biotic indexes and toxicological bioassays, as a function of the physical and chemical parameters monitored, were performed. Data compiled showed temporal and geographical information gaps on variables measured. Toxicological responses have been observed in the reservoirs of the MRSP, together with a high incidence of impairments of the zooplankton community. This demonstrates the presence of stressors that affect the viability of organisms and populations. The statistical approach showed that the data compiled by the environmental agency are insufficient to identify and explain the factors causing the observed ecotoxicological responses and impairments in the zooplankton community, and are therefore insufficient to identify clear cause-effect relationships. Stressors different from those analyzed could be responsible for the observed responses. Copyright © 2015 Elsevier B.V. All rights reserved.

Responsible Management and Use of a Personal Take-Home Naloxone Supply: A Pilot Project

ERIC Educational Resources Information Center

McAuley, Andrew; Lindsay, George; Woods, Maureen; Louttit, Derek

2010-01-01

Aims: To assess if Scottish drug users, their family and friends could be trained in critical incident management and the safe and effective administration of naloxone. The project also sought to monitor whether drug users can manage their own personal take-home naloxone (THN) supply and use it appropriately in an emergency opiate overdose…

Families Struggling To Make It in the Workforce: A Post Welfare Report.

ERIC Educational Resources Information Center

Amey, Cheryl

Many studies of the well-being of families who have left welfare since 1996 leave out families who are not faring well and have been forced to turn to emergency service providers for help. In response to this gap, the Community Monitoring Project (CMP) examined families who had left welfare since 1996 and sought help from 180 local community…

Out, out, dam spot! The geomorphic response of rivers to dam removal.

Treesearch

Jonathan Thompson

2005-01-01

About 75,000 irrigation, flood control, and hydropower dams in the United States are aging, deteriorating, or have outlived their useful lives and purposes. Not surprisingly, dam removal is emerging as both a challenge and opportunity for river management and research. Scientists at the PNW Research Station in Corvallis, Oregon, are using scale models and monitoring...

The World Health Organization's Response to Emerging Human Immunodeficiency Virus Drug Resistance and a Call for Global Action.

PubMed

Bertagnolio, Silvia; Beanland, Rachel L; Jordan, Michael R; Doherty, Meg; Hirnschall, Gottfried

2017-12-01

The global community, including the World Health Organization (WHO), has committed to ending the AIDS epidemic and to ensuring that 90% of people living with human immunodeficiency virus (HIV) are diagnosed, 90% start treatment, and 90% achieve and maintain virological suppression. The emergence of HIV drug resistance (HIVDR) as antiretroviral treatment programs expand could preclude the 90-90-90 targets adopted by the United Nations General Assembly at the High-Level Meeting on Ending AIDS from being achieved. The Global Action Plan on HIVDR is a call for collective action grounded on normative guidance providing a standardized and robust approach to monitoring, preventing, and responding to HIVDR over the next 5 years (2017-2021). WHO is committed to supporting country, global, regional, and national partners to implement and monitor the progress of the Global Action Plan. This article outlines the key components of WHO's strategy to tackle HIVDR and the role the organization takes in leading the global response to HIVDR. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

DOC/WSNSO (Department of Commerce/Weather Service Nuclear Support Office) operational support to Federal Radiological Monitoring and Assessment Center

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

Mueller, P.

1989-01-01

The National Weather Service (NWS) is an agency of the Department of Commerce. The NWS has hundreds of weather offices throughout the United States. The Weather Service Nuclear Support Office (WSNSO) is a highly specialized unit of NWS that provides direct support to the U.S. Department of Energy's (DOE's) underground nuclear testing program. The WSNSO has been associated with the DOE for >33 yr. As a result of the unique relationship with the DOE, all WSNSO emergency response meteorologists and meteorological technicians are allowed access to classified material. Meteorological phenomena play a significant role during a Federal Radiological Monitoring andmore » Assessment Center (FRMAC) event, and WSNSO meteorologists provide direct support to ARAC. The marriage of state-of-the-art computer systems together with proven technology provides the on-scene WSNSO meteorologist with essentially a portable fully equipped, fully functional, advanced NWS weather station. The WSNSO's emergency response personnel and hardware are at the ready and can be mobilized within 2 h. WSNSO can provide on-scene weather forecasts and critical weather data collection whenever and wherever necessary.« less

A Secure Cloud-Assisted Wireless Body Area Network in Mobile Emergency Medical Care System.

PubMed

Li, Chun-Ta; Lee, Cheng-Chi; Weng, Chi-Yao

2016-05-01

Recent advances in medical treatment and emergency applications, the need of integrating wireless body area network (WBAN) with cloud computing can be motivated by providing useful and real time information about patients' health state to the doctors and emergency staffs. WBAN is a set of body sensors carried by the patient to collect and transmit numerous health items to medical clouds via wireless and public communication channels. Therefore, a cloud-assisted WBAN facilitates response in case of emergency which can save patients' lives. Since the patient's data is sensitive and private, it is important to provide strong security and protection on the patient's medical data over public and insecure communication channels. In this paper, we address the challenge of participant authentication in mobile emergency medical care systems for patients supervision and propose a secure cloud-assisted architecture for accessing and monitoring health items collected by WBAN. For ensuring a high level of security and providing a mutual authentication property, chaotic maps based authentication and key agreement mechanisms are designed according to the concept of Diffie-Hellman key exchange, which depends on the CMBDLP and CMBDHP problems. Security and performance analyses show how the proposed system guaranteed the patient privacy and the system confidentiality of sensitive medical data while preserving the low computation property in medical treatment and remote medical monitoring.

The Impact of ESR1 Mutations on the Treatment of Metastatic Breast Cancer.

PubMed

Pejerrey, Sasha M; Dustin, Derek; Kim, Jin-Ah; Gu, Guowei; Rechoum, Yassine; Fuqua, Suzanne A W

2018-05-07

After nearly 20 years of research, it is now established that mutations within the estrogen receptor (ER) gene, ESR1, frequently occur in metastatic breast cancer and influence response to hormone therapy. Though early studies presented differing results, sensitive sequencing techniques now show that ESR1 mutations occur at a frequency between 20 and 40% depending on the assay method. Recent studies have focused on several "hot spot mutations," a cluster of mutations found in the hormone-binding domain of the ESR1 gene. Throughout the course of treatment, tumor evolution can occur, and ESR1 mutations emerge and become enriched in the metastatic setting. Sensitive techniques to continually monitor mutant burden in vivo are needed to effectively treat patients with mutant ESR1. The full impact of these mutations on tumor response to different therapies remains to be determined. However, recent studies indicate that mutant-bearing tumors may be less responsive to specific hormonal therapies, and suggest that aromatase inhibitor (AI) therapy may select for the emergence of ESR1 mutations. Additionally, different mutations may respond discretely to targeted therapies. The need for more preclinical mechanistic studies on ESR1 mutations and the development of better agents to target these mutations are urgently needed. In the future, sequential monitoring of ESR1 mutational status will likely direct personalized therapeutic regimens appropriate to each tumor's unique mutational landscape.

Unmanned aerial vehicles for the assessment and monitoring of environmental contamination: An example from coal ash spills.

PubMed

Messinger, Max; Silman, Miles

2016-11-01

Unmanned aerial vehicles (UAVs) offer new opportunities to monitor pollution and provide valuable information to support remediation. Their low-cost, ease of use, and rapid deployment capability make them ideal for environmental emergency response. Here we present a UAV-based study of the third largest coal ash spill in the United States. Coal ash from coal combustion is a toxic industrial waste material present worldwide. Typically stored in settling ponds in close proximity to waterways, coal ash poses significant risk to the environment and drinking water supplies from both chronic contamination of surface and ground water and catastrophic pond failure. We sought to provide an independent estimate of the volume of coal ash and contaminated water lost during the rupture of the primary coal ash pond at the Dan River Steam Station in Eden, NC, USA and to demonstrate the feasibility of using UAVs to rapidly respond to and measure the volume of spills from ponds or containers that are open to the air. Using structure-from-motion (SfM) imagery analysis techniques, we reconstructed the 3D structure of the pond bottom after the spill, used historical imagery to estimate the pre-spill waterline, and calculated the volume of material lost. We estimated a loss of 66,245 ± 5678 m 3 of ash and contaminated water. The technique used here allows rapid response to environmental emergencies and quantification of their impacts at low cost, and these capabilities will make UAVs a central tool in environmental planning, monitoring, and disaster response. Copyright © 2016 Elsevier Ltd. All rights reserved.

A systems approach to modeling Community-Based Environmental Monitoring: a case of participatory water quality monitoring in rural Mexico.

PubMed

Burgos, Ana; Páez, Rosaura; Carmona, Estela; Rivas, Hilda

2013-12-01

Community-Based Environmental Monitoring (CBM) is a social practice that makes a valuable contribution to environmental management and construction of active societies for sustainable future. However, its documentation and analysis show deficiencies that hinder contrast and comparison of processes and effects. Based on systems approach, this article presents a model of CBM to orient assessment of programs, with heuristic or practical goals. In a focal level, the model comprises three components, the social subject, the object of monitoring, and the means of action, and five processes, data management, social learning, assimilation/decision making, direct action, and linking. Emergent properties were also identified in the focal and suprafocal levels considering community self-organization, response capacity, and autonomy for environmental management. The model was applied to the assessment of a CBM program of water quality implemented in rural areas in Mexico. Attributes and variables (indicators) for components, processes, and emergent properties were selected to measure changes that emerged since the program implementation. The assessment of the first 3 years (2010-2012) detected changes that indicated movement towards the expected results, but it revealed also the need to adjust the intervention strategy and procedures. Components and processes of the model reflected relevant aspects of the CBM in real world. The component called means of action as a key element to transit "from the data to the action." The CBM model offered a conceptual framework with advantages to understand CBM as a socioecological event and to strengthen its implementation under different conditions and contexts.

An experimental system for flood risk forecasting and monitoring at global scale

NASA Astrophysics Data System (ADS)

Dottori, Francesco; Alfieri, Lorenzo; Kalas, Milan; Lorini, Valerio; Salamon, Peter

2017-04-01

Global flood forecasting and monitoring systems are nowadays a reality and are being applied by a wide range of users and practitioners in disaster risk management. Furthermore, there is an increasing demand from users to integrate flood early warning systems with risk based forecasting, combining streamflow estimations with expected inundated areas and flood impacts. Finally, emerging technologies such as crowdsourcing and social media monitoring can play a crucial role in flood disaster management and preparedness. Here, we present some recent advances of an experimental procedure for near-real time flood mapping and impact assessment. The procedure translates in near real-time the daily streamflow forecasts issued by the Global Flood Awareness System (GloFAS) into event-based flood hazard maps, which are then combined with exposure and vulnerability information at global scale to derive risk forecast. Impacts of the forecasted flood events are evaluated in terms of flood prone areas, potential economic damage, and affected population, infrastructures and cities. To increase the reliability of our forecasts we propose the integration of model-based estimations with an innovative methodology for social media monitoring, which allows for real-time verification and correction of impact forecasts. Finally, we present the results of preliminary tests which show the potential of the proposed procedure in supporting emergency response and management.

GSM module for wireless radiation monitoring system via SMS

NASA Astrophysics Data System (ADS)

Rahman, Nur Aira Abd; Hisyam Ibrahim, Noor; Lombigit, Lojius; Azman, Azraf; Jaafar, Zainudin; Arymaswati Abdullah, Nor; Hadzir Patai Mohamad, Glam

2018-01-01

A customised Global System for Mobile communication (GSM) module is designed for wireless radiation monitoring through Short Messaging Service (SMS). This module is able to receive serial data from radiation monitoring devices such as survey meter or area monitor and transmit the data as text SMS to a host server. It provides two-way communication for data transmission, status query, and configuration setup. The module hardware consists of GSM module, voltage level shifter, SIM circuit and Atmega328P microcontroller. Microcontroller provides control for sending, receiving and AT command processing to GSM module. The firmware is responsible to handle task related to communication between device and host server. It process all incoming SMS, extract, and store new configuration from Host, transmits alert/notification SMS when the radiation data reach/exceed threshold value, and transmits SMS data at every fixed interval according to configuration. Integration of this module with radiation survey/monitoring device will create mobile and wireless radiation monitoring system with prompt emergency alert at high-level radiation.

E-bra with nanosensors, smart electronics and smart phone communication network for heart rate monitoring

NASA Astrophysics Data System (ADS)

Varadan, Vijay K.; Kumar, Prashanth S.; Oh, Sechang; Mathur, Gyanesh N.; Rai, Pratyush; Kegley, Lauren

2011-04-01

Heart related ailments have been a major cause for deaths in both men and women in United States. Since 1985, more women than men have died due to cardiac or cardiovascular ailments for reasons that are not well understood as yet. Lack of a deterministic understanding of this phenomenon makes continuous real time monitoring of cardiovascular health the best approach for both early detection of pathophysiological changes and events indicative of chronic cardiovascular diseases in women. This approach requires sensor systems to be seamlessly mounted on day to day clothing for women. With this application in focus, this paper describes a e-bra platform for sensors towards heart rate monitoring. The sensors, nanomaterial or textile based dry electrodes, capture the heart activity signals in form Electrocardiograph (ECG) and relay it to a compact textile mountable amplifier-wireless transmitter module for relay to a smart phone. The ECG signal, acquired on the smart phone, can be transmitted to the cyber space for post processing. As an example, the paper discusses the heart rate estimation and heart rate variability. The data flow from sensor to smart phone to server (cyber infrastructure) has been discussed. The cyber infrastructure based signal post processing offers an opportunity for automated emergency response that can be initiated from the server or the smartphone itself. Detailed protocols for both the scenarios have been presented and their relevance to the present emergency healthcare response system has been discussed.

HAZBOT - A hazardous materials emergency response mobile robot

NASA Technical Reports Server (NTRS)

Stone, H. W.; Edmonds, G.

1992-01-01

The authors describe the progress that has been made towards the development of a mobile robot that can be used by hazardous materials emergency response teams to perform a variety of tasks including incident localization and characterization, hazardous material identification/classification, site surveillance and monitoring, and ultimately incident mitigation. In September of 1991, the HAZBOT II vehicle performed its first end-to-end demonstration involving a scenario in which the vehicle: navigated to the incident location from a distant (150-200 ft.) deployment site; entered a building through a door with thumb latch style handle and door closer; located and navigated to the suspected incident location (a chemical storeroom); unlocked and opened the storeroom's door; climbed over the storeroom's 12 in. high threshold to enter the storeroom; and located and identified a broken container of benzene.

HAZBOT - A hazardous materials emergency response mobile robot

NASA Astrophysics Data System (ADS)

Stone, H. W.; Edmonds, G.

The authors describe the progress that has been made towards the development of a mobile robot that can be used by hazardous materials emergency response teams to perform a variety of tasks including incident localization and characterization, hazardous material identification/classification, site surveillance and monitoring, and ultimately incident mitigation. In September of 1991, the HAZBOT II vehicle performed its first end-to-end demonstration involving a scenario in which the vehicle: navigated to the incident location from a distant (150-200 ft.) deployment site; entered a building through a door with thumb latch style handle and door closer; located and navigated to the suspected incident location (a chemical storeroom); unlocked and opened the storeroom's door; climbed over the storeroom's 12 in. high threshold to enter the storeroom; and located and identified a broken container of benzene.

Travel simulation modeling: an emerging tool for visitor management in wilderness

Treesearch

David N. Cole

2004-01-01

Rhe amount, type, timing, and location of visitor use all have profound effects on the quality of the natural resources and visitor experiences in wilderness. Therefore, it is important to monitor the flow of visitation, in space and over time, and predict how distributions are likely to change in response to both management actions and factors that are not subject to...

Report of the Defense Science Board Task Force on Critical Homeland Infrastructure Protection

DTIC Science & Technology

2007-01-01

nuclear, radiation and explosive hazards; • Monitoring “people of interest” while protecting civil liberties; • Detection of hostile intent; • Detect...Guardian DARPA Overview Mr. Roger Gibbs DARPA LLNL Technologies in Support of Infrastructure Protection Mr. Don Prosnitz LLNL Sandia National...Mechanical Engineers AT/FP Antiterrorism/Force Protection CBRNE Chemical Biological Radiological Nuclear Explosive CERT Commuter Emergency Response Team

Using cross correlations of turbulent flow-induced ambient vibrations to estimate the structural impulse response. Application to structural health monitoring.

PubMed

Sabra, Karim G; Winkel, Eric S; Bourgoyne, Dwayne A; Elbing, Brian R; Ceccio, Steve L; Perlin, Marc; Dowling, David R

2007-04-01

It has been demonstrated theoretically and experimentally that an estimate of the impulse response (or Green's function) between two receivers can be obtained from the cross correlation of diffuse wave fields at these two receivers in various environments and frequency ranges: ultrasonics, civil engineering, underwater acoustics, and seismology. This result provides a means for structural monitoring using ambient structure-borne noise only, without the use of active sources. This paper presents experimental results obtained from flow-induced random vibration data recorded by pairs of accelerometers mounted within a flat plate or hydrofoil in the test section of the U.S. Navy's William B. Morgan Large Cavitation Channel. The experiments were conducted at high Reynolds number (Re > 50 million) with the primary excitation source being turbulent boundary layer pressure fluctuations on the upper and lower surfaces of the plate or foil. Identical deterministic time signatures emerge from the noise cross-correlation function computed via robust and simple processing of noise measured on different days by a pair of passive sensors. These time signatures are used to determine and/or monitor the structural response of the test models from a few hundred to a few thousand Hertz.

Clinician impression versus prescription drug monitoring program criteria in the assessment of drug-seeking behavior in the emergency department.

PubMed

Weiner, Scott G; Griggs, Christopher A; Mitchell, Patricia M; Langlois, Breanne K; Friedman, Franklin D; Moore, Rebecca L; Lin, Shuo Cheng; Nelson, Kerrie P; Feldman, James A

2013-10-01

We compare emergency provider impression of drug-seeking behavior with objective criteria from a state prescription drug monitoring program, assess change in opioid pain reliever prescribing after prescription drug monitoring program review, and examine clinical factors associated with suspected drug-seeking behavior. This was a prospective observational study of emergency providers assessing a convenience sample of patients aged 18 to 64 years who presented to either of 2 academic medical centers with chief complaint of back pain, dental pain, or headache. Drug-seeking behavior was objectively defined as present when a patient had greater than or equal to 4 opioid prescriptions by greater than or equal to 4 providers in the 12 months before emergency department evaluation. Emergency providers completed data forms recording their impression of the likelihood of drug-seeking behavior, patient characteristics, and plan for prescribing pre- and post-prescription drug monitoring program review. Descriptive statistics were generated. We calculated agreement between emergency provider impression of drug-seeking behavior and prescription drug monitoring program definition, and sensitivity, specificity, and positive predictive value of emergency provider impression, using prescription drug monitoring program criteria as the criterion standard. A multivariate logistic regression analysis was conducted to determine clinical factors associated with drug-seeking behavior. Thirty-eight emergency providers with prescription drug monitoring program access participated. There were 544 patient visits entered into the study from June 2011 to January 2013. There was fair agreement between emergency provider impression of drug-seeking behavior and prescription drug monitoring program (κ=0.30). Emergency providers had sensitivity 63.2% (95% confidence interval [CI] 54.8% to 71.7%), specificity 72.7% (95% CI 68.4% to 77.0%), and positive predictive value 41.2% (95% CI 34.4% to 48.2%) for identifying drug-seeking behavior. After exposure to prescription drug monitoring program data, emergency providers changed plans to prescribe opioids at discharge in 9.5% of cases (95% CI 7.3% to 12.2%), with 6.5% of patients (n=35) receiving opioids not previously planned and 3.0% (n=16) no longer receiving opioids. Predictors for drug-seeking behavior by prescription drug monitoring program criteria were patient requests opioid medications by name (odds ratio [OR] 1.91; 95% CI 1.13 to 3.23), multiple visits for same complaint (OR 2.5; 95% CI 1.49 to 4.18), suspicious history (OR 1.88; 95% CI 1.1 to 3.19), symptoms out of proportion to examination (OR 1.83; 95% CI 1.1 to 3.03), and hospital site (OR 3.1; 95% CI 1.76 to 5.44). Emergency providers had fair agreement with objective criteria from the prescription drug monitoring program in suspecting drug-seeking behavior. Program review changed management plans in a small number of cases. Multiple clinical factors were predictive of drug-seeking behavior. Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

Applying emergent ubiquitous technologies in health: the need to respond to new challenges of opportunity, expectation, and responsibility.

PubMed

Rigby, Michael

2007-12-01

In spite of their name, 'ubiquitous' technologies are not yet ubiquitous in the true sense of the word, but rather are 'novel', being at the research, pilot, and selective use stages. In future, the proliferation in types of application, the major increase in cases and data volumes, and above all the dependence on ubiquitous technologies to monitor persons at risk, will raise practical, ethical, and liability issues. Equally significantly, it will require health service redesign, including new response services. Health informaticians need to be active in stimulating consideration of all these issues, as part of both social and professional responsibility.

Managing marine disease emergencies in an era of rapid change

PubMed Central

Maynard, Jeffrey; Breyta, Rachel; Carnegie, Ryan B.; Dobson, Andy; Friedman, Carolyn S.; Froelich, Brett; Garren, Melissa; Gulland, Frances M. D.; Heron, Scott F.; Noble, Rachel T.; Revie, Crawford W.; Shields, Jeffrey D.; Vanderstichel, Raphaël; Weil, Ernesto; Wyllie-Echeverria, Sandy; Harvell, C. Drew

2016-01-01

Infectious marine diseases can decimate populations and are increasing among some taxa due to global change and our increasing reliance on marine environments. Marine diseases become emergencies when significant ecological, economic or social impacts occur. We can prepare for and manage these emergencies through improved surveillance, and the development and iterative refinement of approaches to mitigate disease and its impacts. Improving surveillance requires fast, accurate diagnoses, forecasting disease risk and real-time monitoring of disease-promoting environmental conditions. Diversifying impact mitigation involves increasing host resilience to disease, reducing pathogen abundance and managing environmental factors that facilitate disease. Disease surveillance and mitigation can be adaptive if informed by research advances and catalysed by communication among observers, researchers and decision-makers using information-sharing platforms. Recent increases in the awareness of the threats posed by marine diseases may lead to policy frameworks that facilitate the responses and management that marine disease emergencies require. PMID:26880835

Managing marine disease emergencies in an era of rapid change.

PubMed

Groner, Maya L; Maynard, Jeffrey; Breyta, Rachel; Carnegie, Ryan B; Dobson, Andy; Friedman, Carolyn S; Froelich, Brett; Garren, Melissa; Gulland, Frances M D; Heron, Scott F; Noble, Rachel T; Revie, Crawford W; Shields, Jeffrey D; Vanderstichel, Raphaël; Weil, Ernesto; Wyllie-Echeverria, Sandy; Harvell, C Drew

2016-03-05

Infectious marine diseases can decimate populations and are increasing among some taxa due to global change and our increasing reliance on marine environments. Marine diseases become emergencies when significant ecological, economic or social impacts occur. We can prepare for and manage these emergencies through improved surveillance, and the development and iterative refinement of approaches to mitigate disease and its impacts. Improving surveillance requires fast, accurate diagnoses, forecasting disease risk and real-time monitoring of disease-promoting environmental conditions. Diversifying impact mitigation involves increasing host resilience to disease, reducing pathogen abundance and managing environmental factors that facilitate disease. Disease surveillance and mitigation can be adaptive if informed by research advances and catalysed by communication among observers, researchers and decision-makers using information-sharing platforms. Recent increases in the awareness of the threats posed by marine diseases may lead to policy frameworks that facilitate the responses and management that marine disease emergencies require. © 2016 The Author(s).

Detecting phenology change in the mayfly Ephemera danica in response to water temperature variations

NASA Astrophysics Data System (ADS)

Johnson, Matthew; Everall, Nicholas; Wilby, Robert

2014-05-01

Water temperature is critical to aquatic life. Rising river temperatures under climate change are expected to affect the phenology (i.e. timing of life events) of aquatic insects, including Ephemera danica which is a large burrowing mayfly that is widespread throughout Europe. To assess the temporal and spatial variability in mayfly emergence, E. danica were monitored at two reaches in the River Dove, English Peak District over the period 2007 to 2013. Inter-annual variations in Growing Degree Days (GDDs) were modelled for an upstream site with intermittent spring flows supplementing main channel flow (Beresford Dale) and a downstream site dominated by near constant discharges of cool groundwater (Dovedale). The emergence cycle of E. danica was strongly related to GDDs at each site. E. danica usually remains in an aquatic larval stage for two years before emerging in its adult, terrestrial form. However, after particularly warm summers in Beresford Dale, E. danica was recorded to emerge after only one year in its aquatic form. Following the particularly wet/cold year of 2012, E. danica began to revert back to a bi-annual cycle. In Dovedale, an average of 374 fewer GDDs were accumulated in comparison to Beresford Dale. As a result, E. danica maintained a two-year growth cycle throughout the monitoring period despite the phenology changes observed 8 km upstream at Beresford. Changes to insect phenology are significant because populations with a one-year cycle are potentially more vulnerable to adverse weather when the majority of the population is in terrestrial form. Also, altering the growth, development and size of insects affects reproductive success with implications for population dynamics. Conventional monitoring of both water temperature and invertebrates as used by regulatory authorities in the UK, did not identify the changes in insect phenology or the association between phenology and water temperature. Data from the present study suggest that habitats near cool groundwater may provide important refugia for populations of insects, potentially delaying permanent shifts in phenology under climate change. However, the ability to detect changes in thermal triggers and phenological response may be hindered by conventional spot sampling protocols.

Twenty Years of Active Bacterial Core Surveillance

PubMed Central

Schaffner, William; Farley, Monica M.; Lynfield, Ruth; Bennett, Nancy M.; Reingold, Arthur; Thomas, Ann; Harrison, Lee H.; Nichols, Megin; Petit, Susan; Miller, Lisa; Moore, Matthew R.; Schrag, Stephanie J.; Lessa, Fernanda C.; Skoff, Tami H.; MacNeil, Jessica R.; Briere, Elizabeth C.; Weston, Emily J.; Van Beneden, Chris

2015-01-01

Active Bacterial Core surveillance (ABCs) was established in 1995 as part of the Centers for Disease Control and Prevention Emerging Infections Program (EIP) network to assess the extent of invasive bacterial infections of public health importance. ABCs is distinctive among surveillance systems because of its large, population-based, geographically diverse catchment area; active laboratory-based identification of cases to ensure complete case capture; detailed collection of epidemiologic information paired with laboratory isolates; infrastructure that allows for more in-depth investigations; and sustained commitment of public health, academic, and clinical partners to maintain the system. ABCs has directly affected public health policies and practices through the development and evaluation of vaccines and other prevention strategies, the monitoring of antimicrobial drug resistance, and the response to public health emergencies and other emerging infections. PMID:26292067

Presentation from 2016 STAR Tribal Research Meeting: ANTHC Rural Alaska Monitoring Program (RAMP): Assessing, Monitoring, and Adapting to Emerging Environmental Human and Wildlife Health Threats

EPA Pesticide Factsheets

This presentation, ANTHC Rural Alaska Monitoring Program (RAMP): Assessing, Monitoring, and Adapting to Emerging Environmental Human and Wildlife Health Threats, was given at the 2016 STAR Tribal Research Meeting held on Sept. 20-21, 2016.

Recovery from severe H7N9 disease is associated with diverse response mechanisms dominated by CD8+ T cells

PubMed Central

Wang, Zhongfang; Wan, Yanmin; Qiu, Chenli; Quiñones-Parra, Sergio; Zhu, Zhaoqin; Loh, Liyen; Tian, Di; Ren, Yanqin; Hu, Yunwen; Zhang, Xiaoyan; Thomas, Paul G.; Inouye, Michael; Doherty, Peter C.; Kedzierska, Katherine; Xu, Jianqing

2015-01-01

The avian origin A/H7N9 influenza virus causes high admission rates (>99%) and mortality (>30%), with ultimately favourable outcomes ranging from rapid recovery to prolonged hospitalization. Using a multicolour assay for monitoring adaptive and innate immunity, here we dissect the kinetic emergence of different effector mechanisms across the spectrum of H7N9 disease and recovery. We find that a diversity of response mechanisms contribute to resolution and survival. Patients discharged within 2–3 weeks have early prominent H7N9-specific CD8+ T-cell responses, while individuals with prolonged hospital stays have late recruitment of CD8+/CD4+ T cells and antibodies simultaneously (recovery by week 4), augmented even later by prominent NK cell responses (recovery >30 days). In contrast, those who succumbed have minimal influenza-specific immunity and little evidence of T-cell activation. Our study illustrates the importance of robust CD8+ T-cell memory for protection against severe influenza disease caused by newly emerging influenza A viruses. PMID:25967273

Social media in Ebola outbreak.

PubMed

Hossain, L; Kam, D; Kong, F; Wigand, R T; Bossomaier, T

2016-07-01

The West African 2014 Ebola outbreak has highlighted the need for a better information network. Hybrid information networks, an integration of both hierarchical and formalized command control-driven and community-based, or ad hoc emerging networks, could assist in improving public health responses. By filling the missing gaps with social media use, the public health response could be more proactive rather than reactive in responding to such an outbreak of global concern. This article provides a review of the current social media use specifically in this outbreak by systematically collecting data from ProQuest Newsstand, Dow Jones Factiva, Program for Monitoring Emerging Diseases (ProMED) as well as Google Trends. The period studied is from 19 March 2014 (first request for information on ProMED) to 15 October 2014, a total of 31 weeks. The term 'Ebola' was used in the search for media reports. The outcome of the review shows positive results for social media use in effective surveillance response mechanisms - for improving the detection, preparedness and response of the outbreak - as a complement to traditional, filed, work-based surveillance approach.

Prospective validation of a clinical decision rule to identify patients presenting to the emergency department with chest pain who can safely be removed from cardiac monitoring

PubMed Central

Syed, Shahbaz; Gatien, Mathieu; Perry, Jeffrey J.; Chaudry, Hina; Kim, Soo-Min; Kwong, Kenneth; Mukarram, Muhammad; Thiruganasambandamoorthy, Venkatesh

2017-01-01

BACKGROUND: Most patients with chest pain in the emergency department are assigned to cardiac monitoring for several hours, blocking access for patients in greater need. We sought to validate a previously derived decision rule for safe removal of patients from cardiac monitoring after initial evaluation in the emergency department. METHODS: We prospectively enrolled adults (age ≥ 18 yr) who presented with chest pain and were assigned to cardiac monitoring at 2 academic emergency departments over 18 months. We collected standardized baseline characteristics, findings from clinical evaluations and predictors for the Ottawa Chest Pain Cardiac Monitoring Rule: whether the patient is currently free of chest pain, and whether the electrocardiogram is normal or shows only nonspecific changes. The outcome was an arrhythmia requiring intervention in the emergency department or within 8 hours of presentation to the emergency department. We calculated diagnostic characteristics for the clinical prediction rule. RESULTS: We included 796 patients (mean age 63.8 yr, 55.8% male, 8.9% admitted to hospital). Fifteen patients (1.9%) had an arrhythmia, and the rule performed with the following characteristics: sensitivity 100% (95% confidence interval [CI] 78.2%–100%) and specificity 36.4% (95% CI 33.0%–39.6%). Application of the Ottawa Chest Pain Cardiac Monitoring Rule would have allowed 284 out of 796 patients (35.7%) to be safely removed from cardiac monitoring. INTERPRETATION: We successfully validated the decision rule for safe removal of a large subset of patients with chest pain from cardiac monitoring after initial evaluation in the emergency department. Implementation of this simple yet highly sensitive rule will allow for improved use of health care resources. PMID:28246315

Challenges for Early Responders to a Nuclear / Radiological Terrorism Incident

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

Wells, M.A.; Stearns, L.J.; Davie, A.D.

2007-07-01

Even in the best of circumstances, most municipalities would face severe challenges in providing effective incident response to a large scale radiation release caused by nuclear terrorism or accident. Compounding obvious complexities, the effectiveness of first and early responders to a radiological emergency may also be hampered by an insufficient distribution of radiation detection and monitoring equipment, local policies concerning triage and field decontamination of critical victims, malfunctioning communications, inadequate inter-agency agility, and the psychological 'fear' impact on early responders. This paper examines several issues impeding the early response to nuclear terrorism incidents with specific consideration given to the on-goingmore » and forward-thinking preparedness efforts currently being developed in the Sacramento, California region. Specific recommendations are provided addressing hot zone protocols, radiation detection and monitoring equipment, hasty patient packaging techniques, vertically and horizontally integrated pre-event training, mitigating psychological fear, and protocols for the effective 'hand-off' from first responders to subsequent early response-recovery teams. (authors)« less

Conformable amplified lead zirconate titanate sensors with enhanced piezoelectric response for cutaneous pressure monitoring.

PubMed

Dagdeviren, Canan; Su, Yewang; Joe, Pauline; Yona, Raissa; Liu, Yuhao; Kim, Yun-Soung; Huang, YongAn; Damadoran, Anoop R; Xia, Jing; Martin, Lane W; Huang, Yonggang; Rogers, John A

2014-08-05

The ability to measure subtle changes in arterial pressure using devices mounted on the skin can be valuable for monitoring vital signs in emergency care, detecting the early onset of cardiovascular disease and continuously assessing health status. Conventional technologies are well suited for use in traditional clinical settings, but cannot be easily adapted for sustained use during daily activities. Here we introduce a conformal device that avoids these limitations. Ultrathin inorganic piezoelectric and semiconductor materials on elastomer substrates enable amplified, low hysteresis measurements of pressure on the skin, with high levels of sensitivity (~0.005 Pa) and fast response times (~0.1 ms). Experimental and theoretical studies reveal enhanced piezoelectric responses in lead zirconate titanate that follow from integration on soft supports as well as engineering behaviours of the associated devices. Calibrated measurements of pressure variations of blood flow in near-surface arteries demonstrate capabilities for measuring radial artery augmentation index and pulse pressure velocity.

Cardiac Care Assistance using Self Configured Sensor Network—a Remote Patient Monitoring System

NASA Astrophysics Data System (ADS)

Sarma Dhulipala, V. R.; Kanagachidambaresan, G. R.

2014-04-01

Pervasive health care systems are used to monitor patients remotely without disturbing the normal day-to-day activities in real-time. Wearable physiological sensors required to monitor various significant ecological parameters of the patients are connected to Body Central Unit (BCU). Body Sensor Network (BSN) updates data in real-time and are designed to transmit alerts against abnormalities which enables quick response by medical units in case of an emergency. BSN helps monitoring patient without any need for attention to the subject. BSN helps in reducing the stress and strain caused by hospital environment. In this paper, mathematical models for heartbeat signal, electro cardio graph (ECG) signal and pulse rate are introduced. These signals are compared and their RMS difference-fast Fourier transforms (PRD-FFT) are processed. In the context of cardiac arrest, alert messages of these parameters and first aid for post-surgical operations has been suggested.

A framework for responding to coral disease outbreaks that facilitates adaptive management.

PubMed

Beeden, Roger; Maynard, Jeffrey A; Marshall, Paul A; Heron, Scott F; Willis, Bette L

2012-01-01

Predicted increases in coral disease outbreaks associated with climate change have implications for coral reef ecosystems and the people and industries that depend on them. It is critical that coral reef managers understand these implications and have the ability to assess and reduce risk, detect and contain outbreaks, and monitor and minimise impacts. Here, we present a coral disease response framework that has four core components: (1) an early warning system, (2) a tiered impact assessment program, (3) scaled management actions and (4) a communication plan. The early warning system combines predictive tools that monitor the risk of outbreaks of temperature-dependent coral diseases with in situ observations provided by a network of observers who regularly report on coral health and reef state. Verified reports of an increase in disease prevalence trigger a tiered response of more detailed impact assessment, targeted research and/or management actions. The response is scaled to the risk posed by the outbreak, which is a function of the severity and spatial extent of the impacts. We review potential management actions to mitigate coral disease impacts and facilitate recovery, considering emerging strategies unique to coral disease and more established strategies to support reef resilience. We also describe approaches to communicating about coral disease outbreaks that will address common misperceptions and raise awareness of the coral disease threat. By adopting this framework, managers and researchers can establish a community of practice and can develop response plans for the management of coral disease outbreaks based on local needs. The collaborations between managers and researchers we suggest will enable adaptive management of disease impacts following evaluating the cost-effectiveness of emerging response actions and incrementally improving our understanding of outbreak causation.

A Framework for Responding to Coral Disease Outbreaks that Facilitates Adaptive Management

NASA Astrophysics Data System (ADS)

Beeden, Roger; Maynard, Jeffrey A.; Marshall, Paul A.; Heron, Scott F.; Willis, Bette L.

2012-01-01

Predicted increases in coral disease outbreaks associated with climate change have implications for coral reef ecosystems and the people and industries that depend on them. It is critical that coral reef managers understand these implications and have the ability to assess and reduce risk, detect and contain outbreaks, and monitor and minimise impacts. Here, we present a coral disease response framework that has four core components: (1) an early warning system, (2) a tiered impact assessment program, (3) scaled management actions and (4) a communication plan. The early warning system combines predictive tools that monitor the risk of outbreaks of temperature-dependent coral diseases with in situ observations provided by a network of observers who regularly report on coral health and reef state. Verified reports of an increase in disease prevalence trigger a tiered response of more detailed impact assessment, targeted research and/or management actions. The response is scaled to the risk posed by the outbreak, which is a function of the severity and spatial extent of the impacts. We review potential management actions to mitigate coral disease impacts and facilitate recovery, considering emerging strategies unique to coral disease and more established strategies to support reef resilience. We also describe approaches to communicating about coral disease outbreaks that will address common misperceptions and raise awareness of the coral disease threat. By adopting this framework, managers and researchers can establish a community of practice and can develop response plans for the management of coral disease outbreaks based on local needs. The collaborations between managers and researchers we suggest will enable adaptive management of disease impacts following evaluating the cost-effectiveness of emerging response actions and incrementally improving our understanding of outbreak causation.

PET imaging: implications for the future of therapy monitoring with PET/CT in oncology.

PubMed

Tomasi, Giampaolo; Rosso, Lula

2012-10-01

Among the methods based on molecular imaging, the measure of the tracer uptake variation between a baseline and follow-up scan with the SUV and [(18)F]FDG-PET/CT is a very powerful tool for assessing response to treatment in oncology. However, the development of new targeted therapeutics and tissue pharmacokinetic evaluation of existing ones are increasingly requiring therapy monitoring with alternative tracers and indicators. In parallel, the potential predictive and prognostic value of other image-derived parameters, such as tumour volume and textural features, relating to tumoral heterogeneity, has recently emerged from several works. Copyright © 2012 Elsevier Ltd. All rights reserved.

Automatic vehicle monitoring systems study. Report of phase O. Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

1977-01-01

A set of planning guidelines is presented to help law enforcement agencies and vehicle fleet operators decide which automatic vehicle monitoring (AVM) system could best meet their performance requirements. Improvements in emergency response times and resultant cost benefits obtainable with various operational and planned AVM systems may be synthesized and simulated by means of special computer programs for model city parameters applicable to small, medium, and large urban areas. Design characteristics of various AVM systems and the implementation requirements are illustrated and cost estimated for the vehicles, the fixed sites, and the base equipments. Vehicle location accuracies for different RF links and polling intervals are analyzed.

On the front line of HIV virological monitoring: barriers and facilitators from a provider perspective in resource-limited settings.

PubMed

Rutstein, S E; Golin, C E; Wheeler, S B; Kamwendo, D; Hosseinipour, M C; Weinberger, M; Miller, W C; Biddle, A K; Soko, A; Mkandawire, M; Mwenda, R; Sarr, A; Gupta, S; Mataya, R

2016-01-01

Scale-up of viral load (VL) monitoring for HIV-infected patients on antiretroviral therapy (ART) is a priority in many resource-limited settings, and ART providers are critical to effective program implementation. We explored provider-perceived barriers and facilitators of VL monitoring. We interviewed all providers (n = 17) engaged in a public health evaluation of dried blood spots for VL monitoring at five ART clinics in Malawi. All ART clinics were housed within district hospitals. We grouped themes at patient, provider, facility, system, and policy levels. Providers emphasized their desire for improved ART monitoring strategies, and frustration in response to restrictive policies for determining which patients were eligible to receive VL monitoring. Although many providers pled for expansion of monitoring to include all persons on ART, regardless of time on ART, the most salient provider-perceived barrier to VL monitoring implementation was the pressure of work associated with monitoring activities. The work burden was exacerbated by inefficient data management systems, highlighting a critical interaction between provider-, facility-, and system-level factors. Lack of integration between laboratory and clinical systems complicated the process for alerting providers when results were available, and these communication gaps were intensified by poor facility connectivity. Centralized second-line ART distribution was also noted as a barrier: providers reported that the time and expenses required for patients to collect second-line ART frequently obstructed referral. However, provider empowerment emerged as an unexpected facilitator of VL monitoring. For many providers, this was the first time they used an objective marker of ART response to guide clinical management. Providers' knowledge of a patient's virological status increased confidence in adherence counseling and clinical decision-making. Results from our study provide unique insight into provider perceptions of VL monitoring and indicate the importance of policies responsive to individual and environmental challenges of VL monitoring program implementation. Findings may inform scale-up by helping policy-makers identify strategies to improve feasibility and sustainability of VL monitoring.

REVIEW OF THE RADNET AIR MONITORING NETWORK ...

EPA Pesticide Factsheets

RadNet, formerly known as ERAMS, has been operating since the 1970's, monitoring environmental radiation across the country, supporting responses to radiological emergencies, and providing important information on background levels of radiation in the environment. The original purpose of the system was to monitor fallout from weapons testing. Even though upgrades to and reconfiguration of the system have been planned for some time, the events of 9/11/01 gave impetus to a thorough upgrade of RadNet, primarily directed at providing more timely data and covering a larger portion of the nation's population. Moreover, the demands upon RadNet are now based upon homeland security support in addition to existing EPA monitoring responsibilities. Beginning in FY05 and continuing into FY13 up to135 near real-time air monitors will be put into operation across the country to provide decision making-data to EPA officials. Data will be transmitted from the monitors in all 50 states to a central database at the National Air and Radiation Environmental Laboratory (NAREL) in Montgomery, Alabama. The data will then be assessed and verified and made available to federal and state officials and, eventually, the public. A data flow model is being constructed to provide the most effective and efficient use of verified data obtained from the new radNet system The objective of the near-real time air monitoring component of RadNet is to provide verified decision-making data to fed

Using MEG to Understand the Progression of Light Sleep and the Emergence and Functional Roles of Spindles and K-Complexes

PubMed Central

Ioannides, Andreas A.; Liu, Lichan; Poghosyan, Vahe; Kostopoulos, George K.

2017-01-01

We used tomographic analysis of MEG signals to characterize regional spectral changes in the brain at sleep onset and during light sleep. We identified two key processes that may causally link to loss of consciousness during the quiet or “core” periods of NREM1. First, active inhibition in the frontal lobe leads to delta and theta spectral power increases. Second, activation suppression leads to sharp drop of spectral power in alpha and higher frequencies in posterior parietal cortex. During NREM2 core periods, the changes identified in NREM1 become more widespread, but focal increases also emerge in alpha and low sigma band power in frontal midline cortical structures, suggesting reemergence of some monitoring of internal and external environment. Just before spindles and K-complexes (KCs), the hallmarks of NREM2, we identified focal spectral power changes in pre-frontal cortex, mid cingulate, and areas involved in environmental and internal monitoring, i.e., the rostral and sub-genual anterior cingulate. During both spindles and KCs, alpha and low sigma bands increases. Spindles emerge after further active inhibition (increase in delta power) of the frontal areas responsible for environmental monitoring, while in posterior parietal cortex, power increases in low and high sigma bands. KCs are correlated with increase in alpha power in the monitoring areas. These specific regional changes suggest strong and varied vigilance changes for KCs, but vigilance suppression and sharpening of cognitive processing for spindles. This is consistent with processes designed to ensure accurate and uncorrupted memory consolidation. The changes during KCs suggest a sentinel role: evaluation of the salience of provoking events to decide whether to increase processing and possibly wake up, or to actively inhibit further processing of intruding influences. The regional spectral patterns of NREM1, NREM2, and their dynamic changes just before spindles and KCs reveal an edge effect facilitating the emergence of spindles and KCs and defining the precise loci where they might emerge. In the time domain, the spindles are seen in widespread areas of the cortex just as reported from analysis of intracranial data, consistent with the emerging consensus of a differential topography that depends on the kind of memory stored. PMID:28670270

Effects of Lignocaine Administered Intravenously or Intratracheally on Airway and Hemodynamic Responses during Emergence and Extubation in Patients Undergoing Elective Craniotomies in Supine Position.

PubMed

Shabnum, Tabasum; Ali, Zulfiqar; Naqash, Imtiaz Ahmad; Mir, Aabid Hussain; Azhar, Khan; Zahoor, Syed Amer; Mir, Abdul Waheed

2017-01-01

Sympathoadrenergic responses during emergence and extubation can lead to an increase in heart rate (HR) and blood pressure whereas increased airway responses may lead to coughing and laryngospasm. The aim of our study was to compare the effects of lignocaine administered intravenously (IV) or intratracheally on airway and hemodynamic responses during emergence and extubation in patients undergoing elective craniotomies. Sixty patients with physical status American Society of Anaesthesiologists Classes I and II aged 18-70 years, scheduled to undergo elective craniotomies were included. The patients were randomly divided into three groups of twenty patients; Group 1 receiving IV lignocaine and intratracheal placebo (IV group), Group 2 receiving intratracheal lignocaine and IV placebo (I/T group), and Group 3 receiving IV and intratracheal placebo (placebo group). The tolerance to the endotracheal tube was monitored, and number of episodes of cough was recorded during emergence and at the time of extubation. Hemodynamic parameters such as HR and blood pressure (systolic, diastolic, mean arterial pressure) were also recorded. There was a decrease of HR in both IV and intratracheal groups in comparison with placebo group ( P < 0.005). Rise in blood pressure (systolic blood pressure, diastolic blood pressure and mean arterial pressure) was comparable in both Groups 1 and 2 but was lower in comparison with placebo group ( P < 0.005). Cough suppression was comparable in all the three groups. Grade III cough (15%) was documented only in placebo group. Both IV and intratracheal lignocaine are effective in attenuation of hemodynamic response if given within 20 min from skull pin removal to extubation. There was comparable cough suppression through intratracheal route and IV routes than the placebo group.

Recent Weather Extremes and Impacts on Agricultural Production and Vector-Borne Disease Outbreak Patterns

DTIC Science & Technology

2014-03-21

funding from USDA Foreign Agricultural Service towards the Global Agricultural Monitoring project, DoD Armed Forces Health Surveillance Center’s...Global Emerging Infections Surveillance and Response System (AFHSC/GEIS) under the Human Febrile and Vector -Borne Illnesses (FVBI) Program and USDA ...outbreaks during the 2010?2012 period. We utilized 2000?2012 vegetation index and land surface temperature data from NASA ?s satellitebased Moderate

Earth Observation Data Quality Monitoring and Control: A Case Study of STAR Central Data Repository

NASA Astrophysics Data System (ADS)

Han, W.; Jochum, M.

2017-12-01

Earth observation data quality is very important for researchers and decision makers involved in weather forecasting, severe weather warning, disaster and emergency response, environmental monitoring, etc. Monitoring and control earth observation data quality, especially accuracy, completeness, and timeliness, is very useful in data management and governance to optimize data flow, discover potential transmission issues, and better connect data providers and users. Taking a centralized near real-time satellite data repository, STAR (Center for Satellite Applications and Research of NOAA) Central Data Repository (SCDR), as an example, this paper describes how to develop new mechanism to verify data integrity, check data completeness, and monitor data latency in an operational data management system. Such quality monitoring and control of large volume satellite data help data providers and managers improve data transmission of near real-time satellite data, enhance its acquisition and management, and overcome performance and management issues to better serve research and development activities.

Anomaly Detection in Gamma-Ray Vehicle Spectra with Principal Components Analysis and Mahalanobis Distances

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

Tardiff, Mark F.; Runkle, Robert C.; Anderson, K. K.

2006-01-23

The goal of primary radiation monitoring in support of routine screening and emergency response is to detect characteristics in vehicle radiation signatures that indicate the presence of potential threats. Two conceptual approaches to analyzing gamma-ray spectra for threat detection are isotope identification and anomaly detection. While isotope identification is the time-honored method, an emerging technique is anomaly detection that uses benign vehicle gamma ray signatures to define an expectation of the radiation signature for vehicles that do not pose a threat. Newly acquired spectra are then compared to this expectation using statistical criteria that reflect acceptable false alarm rates andmore » probabilities of detection. The gamma-ray spectra analyzed here were collected at a U.S. land Port of Entry (POE) using a NaI-based radiation portal monitor (RPM). The raw data were analyzed to develop a benign vehicle expectation by decimating the original pulse-height channels to 35 energy bins, extracting composite variables via principal components analysis (PCA), and estimating statistically weighted distances from the mean vehicle spectrum with the mahalanobis distance (MD) metric. This paper reviews the methods used to establish the anomaly identification criteria and presents a systematic analysis of the response of the combined PCA and MD algorithm to modeled mono-energetic gamma-ray sources.« less

Use of a hand-held bladder ultrasound scanner in the assessment of dehydration and monitoring response to treatment in a paediatric emergency department.

PubMed

Enright, Kevin; Beattie, Tom; Taheri, Sepideh

2010-10-01

Dehydration is a common concern in paediatric emergency care. Limited tools are available to assess reduced urine production, which is commonly cited as a reliable marker of dehydration. To evaluate the utility of a hand-held bladder ultrasound scanner in monitoring urine production in children attending the emergency department with suspected dehydration. A prospective pilot study was undertaken on a convenience sample of patients presenting with suspected dehydration. Serial bladder ultrasound scanning was performed to monitor urine output. Dehydration was assessed clinically using the WHO guide to dehydration assessment. Decisions about treatment and admission were made independently of the urine output measurements obtained using the bladder scanner. 45 children were studied. Using the WHO guide, 33 (73%) had mild dehydration, 8 (18%) had moderate dehydration and 4 (9%) had severe dehydration. There was a significant difference in estimated urine production between those admitted and those discharged (0.9±1.2 ml/kg/h vs 1.8±1.5 ml/kg/h, p=0.01) and between those with mild dehydration versus moderate/severe dehydration (2.3±1.5 ml/kg/h vs 0.6±0.7 ml/kg/h, p=0.0011). Urine output had been significantly reduced in those who had received an intravenous fluid bolus compared with those who had not (0.4±0.46 ml/kg/h vs 1.9±1.6 ml/kg/h, p=0.001). The hand-held bladder scanner is a convenient, non-invasive and objective adjunct in the assessment and management of children attending the emergency department with suspected dehydration.

Health-care professionals' perceptions and expectations of pharmacists' role in the emergency department, United Arab Emirates.

PubMed

Fahmy, S A; Rasool, B K Abdul; Abdu, S

2013-09-01

The objective of this study was to assess health-care professionals' attitudes and perceptions towards the value of certain pharmacist functions in the emergency department (ED). The study was conducted among 396 physicians, nurses and other professionals in 4 government hospitals and 10 private hospitals in Dubai. While 83.6% of respondents reported that pharmacy services were available in the ED only 30.7% had a permanent clinical pharmacist working there. A majority (75.7%) agreed that the availability of clinical pharmacists in the ED would improve quality of care. On the role of clinical pharmacists in the medication review process, 45.0% of respondents favoured the review of only high-risk medication orders in the ED. The study found favourable views towards a role for clinical pharmacists in the ED for assuring appropriate medicine prescribing and administration, monitoring patient adherence, providing drug information consultation and monitoring patient responses and treatment outcome.

An Interoperable Architecture for Air Pollution Early Warning System Based on Sensor Web

NASA Astrophysics Data System (ADS)

Samadzadegan, F.; Zahmatkesh, H.; Saber, M.; Ghazi khanlou, H. J.

2013-09-01

Environmental monitoring systems deal with time-sensitive issues which require quick responses in emergency situations. Handling the sensor observations in near real-time and obtaining valuable information is challenging issues in these systems from a technical and scientific point of view. The ever-increasing population growth in urban areas has caused certain problems in developing countries, which has direct or indirect impact on human life. One of applicable solution for controlling and managing air quality by considering real time and update air quality information gathered by spatially distributed sensors in mega cities, using sensor web technology for developing monitoring and early warning systems. Urban air quality monitoring systems using functionalities of geospatial information system as a platform for analysing, processing, and visualization of data in combination with Sensor Web for supporting decision support systems in disaster management and emergency situations. This system uses Sensor Web Enablement (SWE) framework of the Open Geospatial Consortium (OGC), which offers a standard framework that allows the integration of sensors and sensor data into spatial data infrastructures. SWE framework introduces standards for services to access sensor data and discover events from sensor data streams as well as definition set of standards for the description of sensors and the encoding of measurements. The presented system provides capabilities to collect, transfer, share, process air quality sensor data and disseminate air quality status in real-time. It is possible to overcome interoperability challenges by using standard framework. In a routine scenario, air quality data measured by in-situ sensors are communicated to central station where data is analysed and processed. The extracted air quality status is processed for discovering emergency situations, and if necessary air quality reports are sent to the authorities. This research proposed an architecture to represent how integrate air quality sensor data stream into geospatial data infrastructure to present an interoperable air quality monitoring system for supporting disaster management systems by real time information. Developed system tested on Tehran air pollution sensors for calculating Air Quality Index (AQI) for CO pollutant and subsequently notifying registered users in emergency cases by sending warning E-mails. Air quality monitoring portal used to retrieving and visualize sensor observation through interoperable framework. This system provides capabilities to retrieve SOS observation using WPS in a cascaded service chaining pattern for monitoring trend of timely sensor observation.

Hybrid wireless sensor network for rescue site monitoring after earthquake

NASA Astrophysics Data System (ADS)

Wang, Rui; Wang, Shuo; Tang, Chong; Zhao, Xiaoguang; Hu, Weijian; Tan, Min; Gao, Bowei

2016-07-01

This paper addresses the design of a low-cost, low-complexity, and rapidly deployable wireless sensor network (WSN) for rescue site monitoring after earthquakes. The system structure of the hybrid WSN is described. Specifically, the proposed hybrid WSN consists of two kinds of wireless nodes, i.e., the monitor node and the sensor node. Then the mechanism and the system configuration of the wireless nodes are detailed. A transmission control protocol (TCP)-based request-response scheme is proposed to allow several monitor nodes to communicate with the monitoring center. UDP-based image transmission algorithms with fast recovery have been developed to meet the requirements of in-time delivery of on-site monitor images. In addition, the monitor node contains a ZigBee module that used to communicate with the sensor nodes, which are designed with small dimensions to monitor the environment by sensing different physical properties in narrow spaces. By building a WSN using these wireless nodes, the monitoring center can display real-time monitor images of the monitoring area and visualize all collected sensor data on geographic information systems. In the end, field experiments were performed at the Training Base of Emergency Seismic Rescue Troops of China and the experimental results demonstrate the feasibility and effectiveness of the monitor system.

Study of anti-cancer effects of chemotherapeutic agents and radiotherapy in breast cancer patients using fluorescence spectroscopy

NASA Astrophysics Data System (ADS)

Chithra, K.; Vijayaraghavan, S.; Prakasarao, Aruna; Singaravelu, Ganesan

2017-02-01

The analysis of the variations in the spectroscopic patterns of the key bio molecules using Native fluorescence spectroscopy, without exogenous labels, has emerged as a new trend in the characterization of the Physiological State and the Discrimination of Pathological from normal conditions of cells and tissues as the relative concentration of these bio-molecules serve as markers in evaluating the presence of cancer in the body. The aim of this unique study is to use these features of Optical spectroscopy in monitoring the behavior of cells to treatment and thus to evaluate the response to Chemotherapeutic agents and Radiation in Breast Cancer Patients. The results of the study conducted using NFS of Human blood plasma of biopsy proved Breast Cancer patients undergoing treatment are promising, enhancing the scope of Native fluorescence Spectroscopy emerging as a promising technology in the evaluation of Therapeutic Response in Breast Cancer Patients.

Emerging infection and sepsis biomarkers: will they change current therapies?

PubMed Central

Jacobs, Lauren

2016-01-01

Introduction Sepsis is a heterogeneous syndrome characterized by both immune hyperactivity and relative immune suppression. Biomarkers have the potential to improve recognition and management of sepsis through three main applications: diagnosis, monitoring response to treatment, and stratifying patients based on prognosis or underlying biological response. Areas Covered This review focuses on specific examples of well-studied, evidence-supported biomarkers, and discusses their role in clinical practice with special attention to antibiotic stewardship and cost-effectiveness. Biomarkers were selected based on availability of robust prospective trials and meta-analyses which supported their role as emerging tools to improve the clinical management of sepsis. Expert Commentary Great strides have been made in candidate sepsis biomarker discovery and testing, with the biomarkers in this review showing promise. Yet sepsis remains a dynamic illness with a great degree of biological heterogeneity – heterogeneity which may be further resolved by recently discovered gene expression-based endotypes in septic shock. PMID:27533847

Citizen Science for Earth Observation: Applications in Environmental Monitoring and Disaster Response

NASA Astrophysics Data System (ADS)

Kotovirta, V.; Toivanen, T.; Tergujeff, R.; Hame, T.; Molinier, M.

2015-04-01

Citizen science is a promising way to increase temporal and spatial coverages of in-situ data, and to aid in data processing and analysis. In this paper, we present how citizen science can be used together with Earth observation, and demonstrate its value through three pilot projects focusing on forest biomass analysis, data management in emergencies and water quality monitoring. We also provide recommendations and ideas for follow-up activities. In the forest biomass analysis pilot, in the state of Durango (Mexico), local volunteers make in-situ forest inventory measurements with mobile devices. The collected data is combined with Landsat-8 imagery to derive forest biomass map of the area. The study area includes over 390 permanent sampling plots that will provide reference data for concept validation and verification. The emergency data management pilot focuses in the Philippines, in the areas affected by the typhoons Haiyan in November 2013 and Hagupit in December 2014. Data collected by emergency workers and citizens are combined with satellite data (Landsat-8, VHR if available) to intensify the disaster recovery activities and the coordination efforts. Simple processes for citizens, nongovernmental organisations and volunteers are developed to find and utilize up to date and freely available satellite imagery for coordination purposes and for building new not-for-profit services in disaster situations. In the water quality monitoring pilot, citizens around the Baltic Sea area contribute to the algae situation awareness by collecting algae observations using a mobile application. In-situ observations are compared with surface algal bloom products based on the satellite imagery, e.g. Aqua MODIS images with 500 meter resolution. As an outcome, the usability of the citizen observations together with satellite data in the algae monitoring will be evaluated.

42 CFR 483.362 - Monitoring of the resident in and immediately after restraint.

Code of Federal Regulations, 2011 CFR

2011-10-01

... CARE FACILITIES Condition of Participation for the Use of Restraint or Seclusion in Psychiatric... use of emergency safety interventions must be physically present, continually assessing and monitoring... duration of the emergency safety intervention. (b) If the emergency safety situation continues beyond the...

42 CFR 483.362 - Monitoring of the resident in and immediately after restraint.

Code of Federal Regulations, 2010 CFR

2010-10-01

... CARE FACILITIES Condition of Participation for the Use of Restraint or Seclusion in Psychiatric... use of emergency safety interventions must be physically present, continually assessing and monitoring... duration of the emergency safety intervention. (b) If the emergency safety situation continues beyond the...

Where the rubber meets the road: long-term in-stream data collection to inform regional land management monitoring in the Pacific Northwest

NASA Astrophysics Data System (ADS)

Hirsch, C.

2017-12-01

The initiation of the Northwest Forest Plan (NWFP) in 1994 brought a sea change to federal land management agencies of the Pacific Northwest. The NWFP was developed in response to the listing of the Northern Spotted Owl and concern about declining populations of Pacific Salmon. The Aquatic and Riparian Effectiveness Monitoring Program (AREMP) was developed to track changes that occurred as a result of active and passive management on the landscape. A significant management change affecting riparian areas was the creation of buffers around fish bearing and non-fish bearing streams. Two monitoring arms of the AREMP program focus on upslope and in-stream conditions in order to capture watershed-scale effects of land management changes. Field data to support the in-stream monitoring mission of AREMP began in 2002 with a study design based on an 8-year re-survey rotation. The sampling design was intended to capture watershed-scale variability across the broad and diverse study area in western Washington, western Oregon, and northwest California. 2017 marks repeat visits of every site and opens the door to more detailed assessments of changes that have occurred at local and regional extents over this time period. Results so far show improving trends in characteristics such as water temperature and macroinvertebrate community diversity. Maintaining an ongoing and relevant monitoring program over time has required a strong commitment to quality control in terms of data collection and analysis, and an openness to how AREMP can provide management relevant information as new challenges occur. AREMP's mandated role as the aquatic monitoring arm of the NWFP provides the overarching framework within which the program operates. However, new emerging topics of relevance to aquatic managers such as climate change and aquatic invasive species have been rolled into the mission over time. By being responsive to new challenges, and providing consistent feedback, AREMP has been able to evolve over time. AREMP is now poised to provide relevant feedback on changes to date, while also informing the emerging challenges faced by federal land managers in the west.

Performance evaluation of the Fiber Bragg Grating (FBG) sensing device and comparison with piezoelectric sensors for AE detection

NASA Astrophysics Data System (ADS)

Zhang, Chuang; Bond, Leonard J.

2017-02-01

Structural health monitoring (SHM) of engineering structures in service has assumed a significant role in assessing their safety and integrity. Several sensing modalities have been developed to monitor cracking, using acoustic emission (AE). Piezoelectric sensors are commonly used in AE systems, however, for some applications there are limitations and challenges. One alternative approach that is being investigated is using Fiber Bragg Grating (FBG) sensors which have emerged as a reliable, in situ and nondestructive tool in some applications for monitoring and diagnostics in large-scale structure. The main objective of this work is to evaluate and compare the AE sensing characteristics for FBG and piezoelectric sensors. A ball drop impact is used as the source for generating waves in an Aluminum plate. The source repeatability was verified and a 4-channel FBG AE detection device was used to compare with the response of PZT sensors, investigating amplitude and frequency response which can indicate sensitivity. The low sensitivity and slow sampling rate are identified, for the unit investigated, as the main factors limiting FBG engineering AE applications.

An Energy-Efficient MAC Protocol for Medical Emergency Monitoring Body Sensor Networks

PubMed Central

Zhang, Chongqing; Wang, Yinglong; Liang, Yongquan; Shu, Minglei; Chen, Changfang

2016-01-01

Medical emergency monitoring body sensor networks (BSNs) monitor the occurrence of medical emergencies and are helpful for the daily care of the elderly and chronically ill people. Such BSNs are characterized by rare traffic when there is no emergency occurring, high real-time and reliable requirements of emergency data and demand for a fast wake-up mechanism for waking up all nodes when an emergency happens. A beacon-enabled MAC protocol is specially designed to meet the demands of medical emergency monitoring BSNs. The rarity of traffic is exploited to improve energy efficiency. By adopting a long superframe structure to avoid unnecessary beacons and allocating most of the superframe to be inactive periods, the duty cycle is reduced to an extremely low level to save energy. Short active time slots are interposed into the superframe and shared by all of the nodes to deliver the emergency data in a low-delay and reliable way to meet the real-time and reliable requirements. The interposition slots can also be used by the coordinator to broadcast network demands to wake-up all nodes in a low-delay and energy-efficient way. Experiments display that the proposed MAC protocol works well in BSNs with low emergency data traffic. PMID:26999145

Earth Observation Research for GMES Initial Operations

NASA Astrophysics Data System (ADS)

van Beijma, Sybrand; Balzter, Heiko; Nicolas-Perea, Virginia

2013-04-01

GMES Initial Operations - Network for Earth Observation Research Training (GIONET) is a Marie Curie funded project that aims to establish the first of a kind European Centre of Excellence for Earth Observation Research Training. GIONET is a partnership of leading Universities, research institutes and private companies from across Europe aiming to cultivate a community of early stage researchers in the areas of optical and radar remote sensing skilled for the emerging GMES land monitoring services during the GMES Initial Operations period (2011-2013) and beyond. GIONET is expected to satisfy the demand for highly skilled researchers and provide personnel for operational phase of the GMES and monitoring and emergency services. It will achieve this by: * Providing postgraduate training in Earth Observation Science that exposes students to different research disciplines and complementary skills, providing work experiences in the private and academic sectors, and leading to a recognized qualification (Doctorate). * Enabling access to first class training in both fundamental and applied research skills to early-stage researchers at world-class academic centres and market leaders in the private sector. * Building on the experience from previous GMES research and development projects in the land monitoring and emergency information services. * Developing a collaborative training network, through the placement of researchers for short periods in other GIONET organizations. Reliable, thorough and up-to-date environmental information is essential for understanding climate change the impacts it has on people's lives and ways to adapt to them. The GIONET researchers are being trained to understand the complex physical processes that determine how electromagnetic radiation interacts with the atmosphere and the land surface ultimately form the signal received by a satellite. In order to achieve this, the researchers have been placed in industry and universities across Europe, as well as receiving the best technical training and scientific education. This training is currently being delivered through individually supervised research, international summer schools and local training. GIONET will develop better methods for monitoring climate change, environmental disasters and land cover change. It will also lead to the development of new methods using satellite monitoring for disaster relief after landslides and floods, controlling deforestation and overseeing the protection of tropical rainforests, as well as for climate change monitoring, lake water quality measurement and coastal erosion assessment. The training program through supervised research focuses on 14 research topics (each carried out by an Early Stage Researchers based in one of the partner organization) divided in 5 main areas: * Forest monitoring: o Global biomass information systems o Forest monitoring of the Congo Basin using Synthetic Aperture Radar (SAR) o Multi-concept Earth Observation capabilities for biomass mapping and change detection: synergy of multi-temporal and multi-frequency interferometric radar and optical satellite data * Land cover and change: o Multi-scale remote sensing synergy for land process studies: from field spectrometry to airborne hyperspectral and LiDAR campaigns to radar-optical satellite data o Multi-temporal, multi-frequency SAR for landscape dynamics * Coastal zone and freshwater monitoring: o SAR-based Earth Observation in support of management of intertidal salt marsh habitats o Dynamics and conservation ecology of emergent and submerged macrophytes in Lake Balaton using airborne remote sensing o Satellite remote sensing of water quality (chlorophyll and suspended sediment) using MODIS and ship-mounted LIDAR * Geohazards and emergency response: o Methods for detection and monitoring of small scale land surface feature changes in complex crisis situations o Monitoring landslide displacements with Radar Interferometry o DINSAR/PSI hybrid methodologies for ground-motion monitoring * Climate adaptation and emergency response: o Earth Observation based analysis of regional impact of climate change induced water stress patterns fuelling human crisis and conflict situations in semi dry climate regimes o Satellite derived information for drought detection and estimation of the water balance GIONET will also cover methodologies including (i) modelling fundamental radiative processes determining the satellite signal, (ii) atmospheric correction and calibration, (iii) processing higher-order data products, (iii) developing information products from satellite data to meet user requirements, and (iv) statistical methods for assessing the quality and accuracy of data products. These methodologies will enable the researchers to develop careers in the evolving GMES (renamed to Copernicus) Services, network with the GMES community and contribute to rolling out the GMES Program. Communication skills and effective engagement with stakeholders and the public will form an integral part of the training. The Earth Observation methods developed in GIONET will benefit the economy in Europe.

Experiences of an Engineer working in Reactor Safety and Emergency Response

NASA Astrophysics Data System (ADS)

Osborn, Douglas

2015-04-01

The U.S. Department of Energy's Federal Radiological Monitoring and Assessment Center Consequence Management Home Team (FRMAC/CMHT) Assessment Scientist's roles, responsibilities incorporate the FRMAC with other federal, state, and local agencies during a nuclear/radiological emergency. Before the Consequence Management Response Team arrives on-site, the FRMAC/CMHT provides technical and logistical support to the FRMAC and to state, local, and tribal authorities following a nuclear/radiological event. The FRMAC/CMHT support includes analyzing event data, evaluating hazards that relate to protection of the public, and providing event information and data products to protective action decision makers. The Assessment Scientist is the primary scientist responsible for performing calculations and analyses and communicating results to the field during any activation of the FRMAC/CMHT assets. As such, the FRMAC/CMHT Assessment Scientist has a number of different roles and responsibilities to fill depending upon the type of response that is required. Additionally, the Sandia National Laboratories (SNL) Consequence Assessment Team (CAT) Consequence Assessor roles, responsibilities involve hazardous materials operational emergency at SNL New Mexico facilities (SNL/NM) which include loss of control over radioactive, chemical, or explosive hazardous materials. When a hazardous materials operational emergency occurs, key decisions must be made in order to regain control over the hazards, protect personnel from the effects of the hazards, and mitigate impacts on operations, facilities, property, and the environment. Many of these decisions depend in whole or in part on the evaluation of potential consequences from a loss of control over the hazards. As such, the CAT has a number of different roles and responsibilities to fill depending upon the type of response that is required. Primary consequence-based decisions supported by the CAT during a hazardous materials operational emergency at SNL/NM include: (1) Onsite Protective Actions (2) Offsite Protective Action Recommendations (3) Event categorization (4) Event classification Other consequence-based decisions supported by the CAT include: (1) Response planning and operations (2) Event termination (3) Reentry planning and operations (4) Recovery planning and operations Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's National Nuclear Security Administration.

GIONET (GMES Initial Operations Network for Earth Observation Research Training)

NASA Astrophysics Data System (ADS)

Nicolas, V.; Balzter, H.

2013-12-01

GMES Initial Operations - Network for Earth Observation Research Training (GIONET) is a Marie Curie funded project that aims to establish the first of a kind European Centre of Excellence for Earth Observation Research Training. Copernicus (previously known as GMES (Global Monitoring for Environment and Security) is a joint undertaking of the European Space Agency and the European Commission. It develops fully operational Earth Observation monitoring services for a community of end users from the public and private sector. The first services that are considered fully operational are the land monitoring and emergency monitoring core services. In GIONET, 14 early stage researchers are being trained at PhD level in understanding the complex physical processes that determine how electromagnetic radiation interacts with the atmosphere and the land surface ultimately form the signal received by a satellite. In order to achieve this, the researchers are based in industry and universities across Europe, as well as receiving the best technical training and scientific education. The training programme through supervised research focuses on 14 research topics. Each topic is carried out by an Early Stage Researcher based in one of the partner organisations and is expected to lead to a PhD degree. The 14 topics are grouped in 5 research themes: Forest monitoring Land cover and change Coastal zone and freshwater monitoring Geohazards and emergency response Climate adaptation and emergency response The methods developed and used in GIONET are as diverse as its research topics. GIONET has already held two summer schools; one at Friedrich Schiller University in Jena (Germany), on 'New operational radar satellite applications: Introduction to SAR, Interferometry and Polarimetry for Land Surface Mapping'. The 2nd summer school took place last September at the University of Leicester (UK )on 'Remote sensing of land cover and forest in GMES'. The next Summer School in September 2013 will take place at the Institute of Geodesy and Cartography in Warsaw (Poland), on 'Remote Sensing Applications for environmental modelling and classification' and the final event, in Ispra (Italy) in 2014 will focus on 'Monitoring the Earth for Environmental Policy and Decision Making'. A selected sample of preliminary results from GIONET will be presented: Reed die-back mapping from hyperspectral imagery, and Active and passive sensor water quality mapping of Lake Balaton aim to improve knowledge of the water quality dynamics. SAR mapping of the Congo basin and a concept for a Global Biomass Information System aim to reduce carbon emissions from deforestation under REDD+. The use of TerraSAR-X for rapid land cover change mapping in Darfur supports humanitarian crisis management. The range of research topics and initial results show the large potential of operational remote sensing applications for environmental policies and emergency management. The ESA Sentinel satellite missions provide the first fully operational European space component in history apart from meteorological satellites. A parallel research and development programme such as that provided by GIONET provides methodological advances, demonstrates new applications and validates pre-operational products, as well as informing future mission designs.

Phenology changes in the mayfly Ephemera danica in response to water temperature variations in the River Dove, UK

NASA Astrophysics Data System (ADS)

Johnson, Matthew; Everall, Nicholas; Wilby, Robert

2015-04-01

Water temperature in rivers is critical to aquatic life. Climate and environmental change can elevate river temperatures to levels that stress fish, but impacts on other aquatic organisms are not well understood. In particular, rising temperatures are expected to alter the phenology of aquatic insects at levels substantially below those required to stress fish species. The phenology of the mayfly Ephemera danica, a large burrowing species that is widespread throughout Europe, is known to be sensitive to temperature change. To assess the temporal and spatial variability in mayfly emergence, E. danica were monitored at two reaches in the River Dove, English Peak District over the period 2007 to 2013. Variations in Growing Degree Days (GDDs) were modelled for an upstream site with an annual temperature range in excess of 15 ° C (Beresford Dale) and a downstream site, dominated by near constant discharges of cool groundwater with an annual range less than 8 ° C (Dovedale). The emergence of E. danica was strongly related to GDDs at each site. E. danica usually remains in an aquatic larval stage for two years before emerging in its adult, terrestrial form. However, after particularly warm summers in Beresford Dale, E. danica was recorded to emerge after only one year in its aquatic form. Following the particularly wet/cold year of 2012, E. danica began to revert back to a bi-annual cycle. In Dovedale, an average of 374 fewer GDDs were accumulated in comparison to Beresford Dale. As a result, E. danica maintained a two-year growth cycle throughout the monitoring period despite the phenology changes observed 8 km upstream at Beresford. Changes to insect phenology are significant because populations with a one-year cycle are potentially more vulnerable to adverse weather when the majority of the population is in terrestrial form. Also, altering the growth, development and size of insects affects reproductive success with implications for population dynamics. Data from the present study suggest that habitats near cool groundwater may provide important refugia for populations of insects, potentially delaying permanent shifts in phenology under climate change. Conventional monitoring of both water temperature and invertebrates, as used by regulatory authorities in the UK, did not identify the changes in insect phenology or the association between phenology and water temperature. Therefore, new monitoring strategies are required in order to identify important changes in aquatic populations in response to rising temperatures.

Alcohol as a Factor in 911 Calls in Denver.

PubMed

Joseph, Daniel; Vogel, Jody A; Smith, C Sam; Barrett, Whitney; Bryskiewicz, Gary; Eberhardt, Aaron; Edwards, David; Rappaport, Lara; Colwell, Christopher B; McVaney, Kevin E

2018-02-08

Excessive alcohol consumption is associated with a substantial number of emergency department visits annually and is responsible for a significant number of lives lost each year in the United States. However, a minimal amount is known about the impact of alcohol on the EMS system. The primary objective was to determine the proportion of 9-1-1 calls in Denver, Colorado in which (1) alcohol was a contributing factor or (2) the individual receiving EMS services had recently ingested alcohol. The secondary objectives were to compare the characteristics of EMS calls and to estimate the associated costs. This was a prospective observational cohort study of EMS calls for adults from July 1, 2012, to June 30, 2014. Primary outcomes for the study were alcohol as a contributing factor to the EMS call and recent alcohol consumption by the patient receiving EMS services. Logistic regression was utilized to determine the associations between EMS call characteristics and the outcomes. Cost was estimated using historic data. During the study period, 169,642 EMS calls were completed by the Denver Health Paramedic Division. Of these 71% were medical and 29% were trauma-related. The median age was 45 (interquartile range [IQR] 29-59) years, and 55% were male. 50,383 calls (30%) had alcohol consumption, and 49,165 (29%) had alcohol as a contributing factor. Alcohol related calls were associated with male sex, traumatic injuries including head trauma, emergent response, use of airway adjuncts, cardiac monitoring, glucose measurement, use of restraints, use of spinal precautions, and administration of medications for sedation. Estimated costs to the EMS system due to alcohol intoxication exceeded $14 million dollars over the study period and required in excess of 37 thousand hours of paramedic time. Compared to 9-1-1 calls that do not involve alcohol, alcohol-related calls are more likely to involve male patients, emergent response, traumatic injuries, advanced monitoring, airway adjuncts, and medications for sedation. This represents a significant burden on the emergency system and society. Further studies are needed to evaluate whether additional interventions such as social services could be used to lessen this burden.

[Telemetric monitoring reduces visits to the emergency room and cost of care in patients with chronic heart failure].

PubMed

Pérez-Rodríguez, Gilberto; Brito-Zurita, Olga Rosa; Sistos-Navarro, Enrique; Benítez-Aréchiga, Zaria Margarita; Sarmiento-Salazar, Gloria Leticia; Vargas-Lizárraga, José Feliciano

2015-01-01

Tele-cardiology is the use of information technologies that help prolong survival, improve quality of life and reduce costs in health care. Heart failure is a chronic disease that leads to high care costs. To determine the effectiveness of telemetric monitoring for controlling clinical variables, reduced emergency room visits, and cost of care in a group of patients with heart failure compared to traditional medical consultation. A randomized, controlled and open clinical trial was conducted on 40 patients with Heart failure in a tertiary care centre in north-western Mexico. The patients were divided randomly into 2 groups of 20 patients each (telemetric monitoring, traditional medical consultation). In each participant was evaluated for: blood pressure, heart rate and body weight. The telemetric monitoring group was monitored remotely and traditional medical consultation group came to the hospital on scheduled dates. All patients could come to the emergency room if necessary. The telemetric monitoring group decreased their weight and improved control of the disease (P=.01). Systolic blood pressure and cost of care decreased (51%) significantly compared traditional medical consultation group (P>.05). Admission to the emergency room was avoided in 100% of patients in the telemetric monitoring group. In patients with heart failure, the telemetric monitoring was effective in reducing emergency room visits and saved significant resources in care during follow-up. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

ONCHIT security in distributed environments: a proposed model for implantable devices.

PubMed

Lorence, Daniel; Lee, James; Richards, Michael

2010-08-01

Recent ONCHIT mandates call for increased individual health data collection efforts as well as heightened security measures. To date most healthcare organizations have been reluctant to exchange information, citing confidentiality concerns and unshared costs incurred by specific organizations. Implantable monitoring and treatment devices are rapidly emerging as data collection interface tools in response to such mandates. Proposed here is a translational, device-independent consumer-based solution, which focuses on information controlled by specific patients, and functions within a distributed (organization neutral) environment. While the conceptual applications employed in this technology set are provided by way of illustration, they may also serve as a transformative model for emerging EMR/EHR requirements.

Humans and Cattle: A Review of Bovine Zoonoses

PubMed Central

Cardwell, Diana M.; Moeller, Robert B.; Gray, Gregory C.

2014-01-01

Abstract Infectious disease prevention and control has been among the top public health objectives during the last century. However, controlling disease due to pathogens that move between animals and humans has been challenging. Such zoonotic pathogens have been responsible for the majority of new human disease threats and a number of recent international epidemics. Currently, our surveillance systems often lack the ability to monitor the human–animal interface for emergent pathogens. Identifying and ultimately addressing emergent cross-species infections will require a “One Health” approach in which resources from public veterinary, environmental, and human health function as part of an integrative system. Here we review the epidemiology of bovine zoonoses from a public health perspective. PMID:24341911

Biomarker discovery and transcriptomic responses in Daphnia magna exposed to munitions constituents.

PubMed

Garcia-Reyero, Natalia; Poynton, Helen C; Kennedy, Alan J; Guan, Xin; Escalon, B Lynn; Chang, Bonnie; Varshavsky, Julia; Loguinov, Alex V; Vulpe, Chris D; Perkins, Edward J

2009-06-01

Ecotoxicogenomic approaches are emerging as alternative methods in environmental monitoring because they allow insight into pollutant modes of action and help assess the causal agents and potential toxicity beyond the traditional end points of death, growth, and reproduction. Gene expression analysis has shown particular promise for identifying gene expression biomarkers of chemical exposure that can be further used to monitor specific chemical exposures in the environment. We focused on the development of gene expression markers to detect and discriminate between chemical exposures. Using a custom cDNA microarray for Daphnia magna, we identified distinct expression fingerprints in response to exposure at sublethal concentrations of Cu, Zn, Pb, and munitions constituents. Using the results obtained from microarray analysis, we chose a suite of potential biomarkers for each of the specific exposures. The selected potential biomarkers were tested in independent chemical exposures for specificity using quantitative reverse transcription polymerase chain reaction. Six genes were confirmed as differentially regulated bythe selected chemical exposures. Furthermore, each exposure was identified by response of a unique combination (suite) of individual gene expression biomarkers. These results demonstrate the potential for discovery and validation of novel biomarkers of chemical exposures using gene expression analysis, which could have broad applicability in environmental monitoring.

Vector-control response in a post-flood disaster setting, Honiara, Solomon Islands, 2014.

PubMed

Shortus, Matthew; Musto, Jennie; Bugoro, Hugo; Butafa, Charles; Sio, Alison; Joshua, Cynthia

2016-01-01

The close quartering and exposed living conditions in evacuation centres and the potential increase in vector density after flooding in Solomon Islands resulted in an increased risk of exposure for the occupants to vectorborne diseases. In April 2014, Solomon Islands experienced a flash flooding event that affected many areas and displaced a large number of people. In the capital, Honiara, nearly 10 000 people were housed in emergency evacuation centres at the peak of the post-flood emergency. At the time of the floods, the number of dengue cases was increasing, following a record outbreak in 2013. The National Vector Borne Disease Control Programme with the assistance of the World Health Organization implemented an emergency vector-control response plan to provide protection to the at-risk populations in the evacuation centres. The National Surveillance Unit also activated an early warning disease surveillance system to monitor communicable diseases, including dengue and malaria. Timely and strategic application of the emergency interventions probably prevented an increase in dengue and malaria cases in the affected areas. Rapid and appropriate precautionary vector-control measures applied in a post-natural disaster setting can prevent and mitigate vectorborne disease incidences. Collecting vector surveillance data allows better analysis of vector-control operations' effectiveness.

Vector-control response in a post-flood disaster setting, Honiara, Solomon Islands, 2014

PubMed Central

Musto, Jennie; Bugoro, Hugo; Butafa, Charles; Sio, Alison; Joshua, Cynthia

2016-01-01

Problem The close quartering and exposed living conditions in evacuation centres and the potential increase in vector density after flooding in Solomon Islands resulted in an increased risk of exposure for the occupants to vectorborne diseases. Context In April 2014, Solomon Islands experienced a flash flooding event that affected many areas and displaced a large number of people. In the capital, Honiara, nearly 10 000 people were housed in emergency evacuation centres at the peak of the post-flood emergency. At the time of the floods, the number of dengue cases was increasing, following a record outbreak in 2013. Action The National Vector Borne Disease Control Programme with the assistance of the World Health Organization implemented an emergency vector-control response plan to provide protection to the at-risk populations in the evacuation centres. The National Surveillance Unit also activated an early warning disease surveillance system to monitor communicable diseases, including dengue and malaria. Outcome Timely and strategic application of the emergency interventions probably prevented an increase in dengue and malaria cases in the affected areas. Discussion Rapid and appropriate precautionary vector-control measures applied in a post-natural disaster setting can prevent and mitigate vectorborne disease incidences. Collecting vector surveillance data allows better analysis of vector-control operations’ effectiveness. PMID:27757255

Training Programs to Strengthen Pennsylvania's Public Health Response

PubMed Central

Churchill, R. Elliott; Lautenbach, Ebbing; Mactavish, Lindsay E.; Pollock, Timothy R.; Weand, Crystal L.; Polachek, Catherine; Reynolds, Stanley M.; Ostroff, Stephen M.

2009-01-01

This report describes Pennsylvania's 9-year experience in implementing training programs to strengthen public health response to emerging infectious diseases. During the biannual 3-5-day-long Pennsylvania Public Health Institute (PHI) events, which have been held since 2000, courses have covered topics such as emerging infectious disease outbreaks, monitoring of antimicrobial-resistant pathogens in retail food, and zoonotic diseases commonly associated with companion animals. Core competency courses include the legal basis for public health and epidemiology for nonepidemiologists. Emerging infectious disease seminars offered to clinicians since 2005 have focused on the emergence of community-associated methicillin-resistant Staphylococcus aureus and Clostridium difficile antibiotic-associated diarrhea. Complementing the PHI, the Pennsylvania Department of Health's monthly Epidemiology Journal Club offers additional interactions with presenters from academic institutions and federal agencies. Lunch-time forums also provide a venue for health department staff to share their work with colleagues. Innovative use of modern communication technology increases participation of frontline health workers in Journal Club events, and video conference capability offers flexibility in the selection of presenters. Pennsylvania's experience over the past 9 years demonstrates that with political will, commitment from content experts, and adequate administrative support, modest state and federal resources can be used to sustain public health training programs tailored to local needs. PMID:19635002

Determination of Medical Task Times in an Emergency Center Setting

DTIC Science & Technology

1990-08-01

supraclavicular central venous line, "Wound expl." signifies wound exploration, and "thoracostomy" refers to tube thoracostomy. The task time for chest...bore line is needed for aggressive fluid resuscitation, or whenever monitoring of central venous pressure as a reflection of available blood volume...of newly annexed city territory. Most ALS responses in the central city are made within 4 min of receipt of calls. There were 68,000 EMS transports

USGS Integration of New Science and Technology, Appendix A

USGS Publications Warehouse

Brey, Marybeth; Knights, Brent C.; Cupp, Aaron R.; Amberg, Jon J.; Chapman, Duane C.; Calfee, Robin D.; Duncker, James J.

2017-01-01

This product summarizes the USGS plans for integration of new science and technology into Asian Carp control efforts for 2017. This includes the 1) implementation and evaluation of new tactics and behavioral information for monitoring, surveillance, control and containment; 2) understanding behavior and reproduction of Asian carp in established and emerging populations to inform deterrent deployment, rapid response, and removal efforts; and 3) development and evaluation of databases, decision support tools and performance measures.

Digital Controller For Emergency Beacon

NASA Technical Reports Server (NTRS)

Ivancic, William D.

1990-01-01

Prototype digital controller intended for use in 406-MHz emergency beacon. Undergoing development according to international specifications, 406-MHz emergency beacon system includes satellites providing worldwide monitoring of beacons, with Doppler tracking to locate each beacon within 5 km. Controller turns beacon on and off and generates binary codes identifying source (e.g., ship, aircraft, person, or vehicle on land). Codes transmitted by phase modulation. Knowing code, monitor attempts to communicate with user, monitor uses code information to dispatch rescue team appropriate to type and locations of carrier.

DoD-GEIS Rift Valley Fever Monitoring and Prediction System as a Tool for Defense and US Diplomacy

NASA Technical Reports Server (NTRS)

Anyamba, Assaf; Tucker, Compton J.; Linthicum, Kenneth J.; Witt, Clara J.; Gaydos, Joel C.; Russell, Kevin L.

2011-01-01

Over the last 10 years the Armed Forces Health Surveillance Center's Global Emerging Infections Surveillance and Response System (GEIS) partnering with NASA'S Goddard Space Flight Center and USDA's USDA-Center for Medical, Agricultural & Veterinary Entomology established and have operated the Rift Valley fever Monitoring and Prediction System to monitor, predict and assess the risk of Rift Valley fever outbreaks and other vector-borne diseases over Africa and the Middle East. This system is built on legacy DoD basic research conducted by Walter Reed Army Institute of Research overseas laboratory (US Army Medical Research Unit-Kenya) and the operational satellite environmental monitoring by NASA GSFC. Over the last 10 years of operation the system has predicted outbreaks of Rift Valley fever in the Horn of Africa, Sudan, South Africa and Mauritania. The ability to predict an outbreak several months before it occurs provides early warning to protect deployed forces, enhance public health in concerned countries and is a valuable tool use.d by the State Department in US Diplomacy. At the international level the system has been used by the Food and Agricultural Organization (FAD) and the World Health Organization (WHO) to support their monitoring, surveillance and response programs in the livestock sector and human health. This project is a successful testament of leveraging resources of different federal agencies to achieve objectives of force health protection, health and diplomacy.

Improving menstrual hygiene management in emergency contexts: literature review of current perspectives.

PubMed

VanLeeuwen, Crystal; Torondel, Belen

2018-01-01

Management of menstruation in contexts of humanitarian emergencies can be challenging. A lack of empirical research about effective interventions which improve menstrual hygiene management (MHM) among female populations in humanitarian emergencies and a lack of clarity about which sectors within a humanitarian response should deliver MHM interventions can both be attributable to the lack of clear guidance on design and delivery of culturally appropriate MHM intervention in settings of humanitarian emergencies. The objective of this review was to collate, summarize, and appraise existing peer-reviewed and gray literature that describes the current scenario of MHM in emergency contexts in order to describe the breadth and depth of current policies, guidelines, empirical research, and humanitarian aid activities addressing populations' menstrual needs. A structured-search strategy was conducted for peer-reviewed and gray literature to identify studies, published reports, guidelines, and policy papers related to menstrual response in emergency humanitarian contexts. Of the 51 articles included in the review, 16 were peer-reviewed papers and 35 were gray literature. Most of the literature agreed that hardware interventions should focus on the supply of adequate material (not only absorbent material but also other supportive material) and adequate sanitation facilities, with access to water and private space for washing, changing, drying, and disposing menstrual materials. Software interventions should focus on education in the usage of materials to manage menstruation hygienically and education about the female body's biological processes. There was clear agreement that the needs of the target population should be assessed before designing any intervention. Although there is insight about which factors should be included in an effective menstrual hygiene intervention, there is insufficient empirical evidence to establish which interventions are most effective in humanitarian emergencies and which sectors should be responsible for the coordination and implementation of such. Increased monitoring and evaluation studies of interventions should be completed and publicly shared, in order to feed evidence-based guidelines in the humanitarian sector.

Improving menstrual hygiene management in emergency contexts: literature review of current perspectives

PubMed Central

VanLeeuwen, Crystal; Torondel, Belen

2018-01-01

Management of menstruation in contexts of humanitarian emergencies can be challenging. A lack of empirical research about effective interventions which improve menstrual hygiene management (MHM) among female populations in humanitarian emergencies and a lack of clarity about which sectors within a humanitarian response should deliver MHM interventions can both be attributable to the lack of clear guidance on design and delivery of culturally appropriate MHM intervention in settings of humanitarian emergencies. The objective of this review was to collate, summarize, and appraise existing peer-reviewed and gray literature that describes the current scenario of MHM in emergency contexts in order to describe the breadth and depth of current policies, guidelines, empirical research, and humanitarian aid activities addressing populations’ menstrual needs. A structured-search strategy was conducted for peer-reviewed and gray literature to identify studies, published reports, guidelines, and policy papers related to menstrual response in emergency humanitarian contexts. Of the 51 articles included in the review, 16 were peer-reviewed papers and 35 were gray literature. Most of the literature agreed that hardware interventions should focus on the supply of adequate material (not only absorbent material but also other supportive material) and adequate sanitation facilities, with access to water and private space for washing, changing, drying, and disposing menstrual materials. Software interventions should focus on education in the usage of materials to manage menstruation hygienically and education about the female body’s biological processes. There was clear agreement that the needs of the target population should be assessed before designing any intervention. Although there is insight about which factors should be included in an effective menstrual hygiene intervention, there is insufficient empirical evidence to establish which interventions are most effective in humanitarian emergencies and which sectors should be responsible for the coordination and implementation of such. Increased monitoring and evaluation studies of interventions should be completed and publicly shared, in order to feed evidence-based guidelines in the humanitarian sector. PMID:29692636

Monitoring post-fire vegetation rehabilitation projects: A common approach for non-forested ecosystems

USGS Publications Warehouse

Wirth, Troy A.; Pyke, David A.

2007-01-01

Emergency Stabilization and Rehabilitation (ES&R) and Burned Area Emergency Response (BAER) treatments are short-term, high-intensity treatments designed to mitigate the adverse effects of wildfire on public lands. The federal government expends significant resources implementing ES&R and BAER treatments after wildfires; however, recent reviews have found that existing data from monitoring and research are insufficient to evaluate the effects of these activities. The purpose of this report is to: (1) document what monitoring methods are generally used by personnel in the field; (2) describe approaches and methods for post-fire vegetation and soil monitoring documented in agency manuals; (3) determine the common elements of monitoring programs recommended in these manuals; and (4) describe a common monitoring approach to determine the effectiveness of future ES&R and BAER treatments in non-forested regions. Both qualitative and quantitative methods to measure effectiveness of ES&R treatments are used by federal land management agencies. Quantitative methods are used in the field depending on factors such as funding, personnel, and time constraints. There are seven vegetation monitoring manuals produced by the federal government that address monitoring methods for (primarily) vegetation and soil attributes. These methods vary in their objectivity and repeatability. The most repeatable methods are point-intercept, quadrat-based density measurements, gap intercepts, and direct measurement of soil erosion. Additionally, these manuals recommend approaches for designing monitoring programs for the state of ecosystems or the effect of management actions. The elements of a defensible monitoring program applicable to ES&R and BAER projects that most of these manuals have in common are objectives, stratification, control areas, random sampling, data quality, and statistical analysis. The effectiveness of treatments can be determined more accurately if data are gathered using an approach that incorporates these six monitoring program design elements and objectives, as well as repeatable procedures to measure cover, density, gap intercept, and soil erosion within each ecoregion and plant community. Additionally, using a common monitoring program design with comparable methods, consistently documenting results, and creating and maintaining a central database for query and reporting, will ultimately allow a determination of the effectiveness of post-fire rehabilitation activities region-wide.

47 CFR 11.52 - EAS code and Attention Signal Monitoring requirements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 1 2010-10-01 2010-10-01 false EAS code and Attention Signal Monitoring... SYSTEM (EAS) Emergency Operations § 11.52 EAS code and Attention Signal Monitoring requirements. (a) EAS Participants must be capable of receiving the Attention Signal required by § 11.32(a)(9) and emergency messages...

75 FR 24705 - Proposed Data Collections Submitted for Public Comment and Recommendations

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... health departments to monitor syndrome-based (e.g., case information collected in emergency departments... monitor syndromic data from emergency departments, 911 calls, physician office data, school and business...

An adaptive, comprehensive monitoring strategy for chemicals of emerging concern (CECs) in California's Aquatic Ecosystems.

PubMed

Maruya, Keith A; Schlenk, Daniel; Anderson, Paul D; Denslow, Nancy D; Drewes, Jörg E; Olivieri, Adam W; Scott, Geoffrey I; Snyder, Shane A

2014-01-01

A scientific advisory panel was convened by the State of California to recommend monitoring for chemicals of emerging concern (CECs) in aquatic systems that receive discharge of municipal wastewater treatment plant (WWTP) effluent and stormwater runoff. The panel developed a risk-based screening framework that considered environmental sources and fate of CECs observed in receiving waters across the State. Using existing occurrence and risk threshold data in water, sediment, and biological tissue, the panel applied the framework to identify a priority list of CECs for initial monitoring in three representative receiving water scenarios. The initial screening list of 16 CECs identified by the panel included consumer and commercial chemicals, flame retardants, pesticides, pharmaceuticals and personal care products, and natural hormones. The panel designed an iterative, phased strategy with interpretive guidelines that direct and update management actions commensurate with potential risk identified using the risk-based framework and monitoring data. Because of the ever-changing nature of chemical use, technology, and management practices, the panel offered recommendations to improve CEC monitoring, including development of bioanalytical screening methods whose responses integrate exposure to complex mixtures and that can be linked to higher-order effects; development or refinement of models that predict the input, fate, and effects of future chemicals; and filling of key data gaps on CEC occurrence and toxicity. Finally, the panel stressed the need for adaptive management, allowing for future review of, and if warranted, modifications to the strategy to incorporate the latest science available to the water resources community. © 2013 SETAC.

Emergency response to landslide using GNSS measurements and UAV

NASA Astrophysics Data System (ADS)

Nikolakopoulos, Konstantinos G.; Koukouvelas, Ioannis K.

2017-10-01

Landslide monitoring can be performed using many different methods: Classical geotechnical measurements like inclinometer, topographical survey measurements with total stations or GNSS sensors and photogrammetric techniques using airphotos or high resolution satellite images. However all these methods are expensive or difficult to be developed immediately after the landslide triggering. In contrast airborne technology and especially the use of Unmanned Aerial Vehicles (UAVs) make response to landslide disaster easier as UAVs can be launched quickly in dangerous terrains and send data about the sliding areas to responders on the ground either as RGB images or as videos. In addition, the emergency response to landslide is critical for the further monitoring. For proper displacement identification all the above mentioned monitoring methods need a high resolution and a very accurate representation of the relief. The ideal solution for the accurate and quick mapping of a landslide is the combined use of UAV's photogrammetry and GNSS measurements. UAVs have started their development as expensive toys but they currently became a very valuable tool in large scale mapping of sliding areas. The purpose of this work is to demonstrate an effective solution for the initial landslide mapping immediately after the occurrence of the phenomenon and the possibility of the periodical assessment of the landslide. Three different landslide cases from Greece are presented in the current study. All three landslides have different characteristics: occurred in different geomorphologic environments, triggered by different causes and had different geologic bedrock. In all three cases we performed detailed GNSS measurements of the landslide area, we generated orthophotos as well as Digital Surface Models (DSMs) at an accuracy of less than +/-10 cm. Slide direction and velocity, mass balances as well as protection and mitigation measurements can be derived from the application of the UAVs. Those data in addition are accurate, cost- and time-effective.

Direct-Acting Oral Anticoagulants: Practical Considerations for Emergency Medicine Physicians

PubMed Central

Peacock, W. Frank; Rafique, Zubaid; Singer, Adam J.

2016-01-01

Nonvalvular atrial fibrillation- (NVAF-) related stroke and venous thromboembolism (VTE) are cardiovascular diseases associated with significant morbidity and economic burden. The historical standard treatment of VTE has been the administration of parenteral heparinoid until oral warfarin therapy attains a therapeutic international normalized ratio. Warfarin has been the most common medication for stroke prevention in NVAF. Warfarin use is complicated by a narrow therapeutic window, unpredictable dose response, numerous food and drug interactions, and requirements for frequent monitoring. To overcome these disadvantages, direct-acting oral anticoagulants (DOACs)—dabigatran, rivaroxaban, apixaban, and edoxaban—have been developed for the prevention of stroke or systemic embolic events (SEE) in patients with NVAF and for the treatment of VTE. Advantages of DOACs include predictable pharmacokinetics, few drug-drug interactions, and low monitoring requirements. In clinical studies, DOACs are noninferior to warfarin for the prevention of NVAF-related stroke and the treatment and prevention of VTE as well as postoperative knee and hip surgery VTE prophylaxis, with decreased bleeding risks. This review addresses the practical considerations for the emergency physician in DOAC use, including dosing recommendations, laboratory monitoring, anticoagulation reversal, and cost-effectiveness. The challenges of DOACs, such as the lack of specific laboratory measurements and antidotes, are also discussed. PMID:27293895

Does major surgery induce immune suppression and increase the risk of postoperative infection?

PubMed

Torrance, Hew D T; Pearse, Rupert M; O'Dwyer, Michael J

2016-06-01

Infection is the commonest cause of a postoperative complication. Following major surgery alterations in immune function are commonplace and these may contribute to an enhanced susceptibility to acquire nosocomial infections. This review will discuss postoperative infections in the context of an altered perioperative immune response and the factors influencing this response. Up to 10% of patients undergoing elective in-patient surgery may develop a postoperative infection. Laboratory advances now permit systematic monitoring of single-cell immune signatures, which enable a clearer description of the interaction between tissue damage, immune modulation and clinical outcomes. Traditional candidate gene expression has identified pathways that define the detrimental immune modulating effects of perioperative allogeneic blood transfusion. Large clinical studies have demonstrated that the choice of anaesthetic technique may have an impact on postoperative infections through differential immune modulation. Point of care tests are emerging that allow monitoring of the perioperative immune response. These could be further developed to introduce personalised care pathways. Consideration must also be given to anaesthesia techniques and perioperative treatments that may be associated with poor outcomes through immune modulation.

Comparison of Envisat ASAR GM, AMSR-E Passive Microwave, and MODIS Optical Remote Sensing for Flood Monitoring in Australia

NASA Astrophysics Data System (ADS)

Ticehurst, C. J.; Bartsch, A.; Doubkova, M.; van Dijk, A. I. J. M.

2009-11-01

Continuous flood monitoring can support emergency response, water management and environmental monitoring. Optical sensors such as MODIS allow inundation mapping with high spatial and temporal resolution (250-1000 m, twice daily) but are affected by cloud cover. Passive microwave sensors also acquire observations at high temporal resolution, but coarser spatial resolution (e.g. ca. 5-70 km for AMSR-E) and smaller footprints are also affected by cloud and/or rain. ScanSAR systems allow all-weather monitoring but require spatial resolution to be traded off against coverage and/or temporal resolution; e.g. the ENVISAT ASAR Global Mode observes at ca. 1 km over large regions about twice a week. The complementary role of the AMSR-E and ASAR GM data to that of MODIS is here introduced for three flood events and locations across Australia. Additional improvements can be made by integrating digital elevation models and stream flow gauging data.

An MRI guided system for prostate laser ablation with treatment planning and multi-planar temperature monitoring

NASA Astrophysics Data System (ADS)

Xu, Sheng; Agarwal, Harsh; Bernardo, Marcelino; Seifabadi, Reza; Turkbey, Baris; Partanen, Ari; Negussie, Ayele; Glossop, Neil; Choyke, Peter; Pinto, Peter; Wood, Bradford J.

2016-03-01

Prostate cancer is often over treated with standard treatment options which impact the patients' quality of life. Laser ablation has emerged as a new approach to treat prostate cancer while sparing the healthy tissue around the tumor. Since laser ablation has a small treatment zone with high temperature, it is necessary to use accurate image guidance and treatment planning to enable full ablation of the tumor. Intraoperative temperature monitoring is also desirable to protect critical structures from being damaged in laser ablation. In response to these problems, we developed a navigation platform and integrated it with a clinical MRI scanner and a side firing laser ablation device. The system allows imaging, image guidance, treatment planning and temperature monitoring to be carried out on the same platform. Temperature sensing phantoms were developed to demonstrate the concept of iterative treatment planning and intraoperative temperature monitoring. Retrospective patient studies were also conducted to show the clinical feasibility of the system.

Immunotherapy for Head and Neck Squamous Cell Carcinoma: A Review of Current and Emerging Therapeutic Options

PubMed Central

Moskovitz, Jessica M.; Moy, Jennifer; Seiwert, Tanguy Y.

2017-01-01

Abstract Advances in the field of cancer immunotherapy have occurred rapidly over the past decade. Exciting results from clinical trials have led to new treatment options and improved survival for patients with a myriad of solid tumor pathologies. However, questions remain unanswered regarding duration and timing of therapy, combination regimens, appropriate biomarkers of disease, and optimal monitoring of therapeutic response. This article reviews emerging immunotherapeutic agents and significant clinical trials that have led to advancements in the field of immuno‐oncology for patients with head and neck squamous cell carcinoma. Implications for Practice. This review article summarizes recently developed agents that harness the immune system to fight head and neck squamous cell carcinoma. A brief review of the immune system and its role in cancer development is included. Recently completed and emerging therapeutic trials centering on the immune system and head and neck cancer are reviewed. PMID:28507203

Improvement in self-reported confidence in nurses’ professional skills in the emergency department

PubMed Central

2013-01-01

Background The aim of this study was to assess nurses’ self-reported confidence in their professional skills before and after an extensive Emergency Department (ED) reform in Kanta-Häme Central Hospital. Methods Emergency nurses participated in transitional training commencing two years before the establishment of the new organization in 2007. Training was followed by weekly practical educational sessions in the new ED. During this process nurses improved their transition skills, defined house rules for the new clinic and improved their knowledge of new technology and instruments. The main processes involving critically ill ED patients were described and modelled with an electronic flow chart software. During the transitional training nurses compiled lists of practical skills and measures needed in the ED. These were updated after feedback from physicians in primary and secondary care and head physicians in Kanta-Häme Central Hospital. The final 189-item list comprised 15 different categories, each containing from 4 to 35 items. Based on the work described above, a questionnaire was developed to reflect ED nurses’ skills in clinical measures but also to estimate the need for professional education and practical training. Nurses working in the ED were asked to fill the questionnaire in January 2007 (response rate 97%) and in January 2011 (response rate 98%). Results Nurses’ self-reported confidence in their professional skills improved significally in eight classes out of fifteen. These classes were cannulations, urinary catheterizations, patient monitoring, cardiac patients, equipment, triage and nurse practising, psychiatric patients as well as infection risk. Best results were noted in urinary catheterizations, patient monitoring and infection risk. When studying the group of nurses participating in both surveys in 2007 and 2011, improvements were observed in all fifteen categories. All but two of these changes were significant (p<0.05). Conclusions During an extensive reform of emergency services, we noted a significant improvement in the professional skills of nurses. This improvement was especially consistent among nurses working in the ED during the whole transition process. Nurses’ education and training program in the ED may be successfully put into practice when based on co-operation between nurses and physicians dedicated to emergency services. PMID:23497683

Improvement in self-reported confidence in nurses' professional skills in the emergency department.

PubMed

Rautava, Veli-Pekka; Palomäki, Erika; Innamaa, Tapio; Perttu, Mika; Lehto, Päivi; Palomäki, Ari

2013-03-05

The aim of this study was to assess nurses' self-reported confidence in their professional skills before and after an extensive Emergency Department (ED) reform in Kanta-Häme Central Hospital. Emergency nurses participated in transitional training commencing two years before the establishment of the new organization in 2007. Training was followed by weekly practical educational sessions in the new ED. During this process nurses improved their transition skills, defined house rules for the new clinic and improved their knowledge of new technology and instruments. The main processes involving critically ill ED patients were described and modelled with an electronic flow chart software.During the transitional training nurses compiled lists of practical skills and measures needed in the ED. These were updated after feedback from physicians in primary and secondary care and head physicians in Kanta-Häme Central Hospital. The final 189-item list comprised 15 different categories, each containing from 4 to 35 items. Based on the work described above, a questionnaire was developed to reflect ED nurses' skills in clinical measures but also to estimate the need for professional education and practical training. Nurses working in the ED were asked to fill the questionnaire in January 2007 (response rate 97%) and in January 2011 (response rate 98%). Nurses' self-reported confidence in their professional skills improved significally in eight classes out of fifteen. These classes were cannulations, urinary catheterizations, patient monitoring, cardiac patients, equipment, triage and nurse practising, psychiatric patients as well as infection risk. Best results were noted in urinary catheterizations, patient monitoring and infection risk. When studying the group of nurses participating in both surveys in 2007 and 2011, improvements were observed in all fifteen categories. All but two of these changes were significant (p<0.05). During an extensive reform of emergency services, we noted a significant improvement in the professional skills of nurses. This improvement was especially consistent among nurses working in the ED during the whole transition process. Nurses' education and training program in the ED may be successfully put into practice when based on co-operation between nurses and physicians dedicated to emergency services.

Design, Monitoring, and Validation of a High Performance Sustainable Building

DTIC Science & Technology

2013-08-01

normalized by building average population and square footage. Longstreet had a larger number of emergency calls than CESS, but the ESTCP team did not have...system was measured sUSEPArately from the domestic water use. The rainwater was used to displace potable water for toilet flushing and vehicle washing...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for

PAGER - Rapid Assessment of an Earthquake's Impact

USGS Publications Warehouse

Earle, Paul S.; Wald, David J.

2007-01-01

PAGER (Prompt Assessment of Global Earthquakes for Response) is an automated system to rapidly assess the number of people and regions exposed to severe shaking by an earthquake, and inform emergency responders, government agencies, and the media to the scope of the potential disaster. PAGER monitors the U.S. Geological Survey?s near real-time U.S. and global earthquake detections and automatically identifies events that are of societal importance, well in advance of ground-truth or news accounts.

Flood monitoring network in southeastern Louisiana

USGS Publications Warehouse

McCallum, Brian E.

1994-01-01

A flood monitoring network has been established to alert emergency operations personnel and the public about hydrologic conditions in the Amite River Basin. The U.S. Geological Survey (USGS), in cooperation with the Louisiana Office of Emergency Preparedness (LOEP), has installed a real-time data acquisition system to monitor rainfall and river stages in the basin. These data will be transmitted for use by emergency operations personnel to develop flood control and evacuation strategies. The current river stages at selected gaging stations in the basin also will be broadcast by local television and radio stations during a flood. Residents can record the changing river stages on a basin monitoring map, similar to a hurricane tracking map.

Solutions Network Formulation Report. The Potential Contribution of the Ocean Surface Topography Mission to the General NOAA Oil Monitoring Environment

NASA Technical Reports Server (NTRS)

Hilbert, Kent; Anderson, Daniel; Lewis, David

2007-01-01

Data collected by the OSTM could be used to provide a solution for the GNOME DST. GNOME, developed by NOAA?s Office of Response and Restoration Hazardous Materials Response Division, geospatially models oil spill trajectories using wind, current, river flow, and tidal data. Data collected by the OSTM would supply information about ocean currents and wind speeds. This Candidate Solution is in alignment with the Coastal Management, Water Management, Disaster Management, Public Health, Ecological Forecasting, and Homeland Security National Applications and will benefit society by improving the capabilities of emergency responders who evaluate an oil spill?s probable threat.

Development of a statewide hospital plan for radiologic emergencies

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

Dainiak, Nicholas; Delli Carpini, Domenico; Bohan, Michael

Although general guidelines have been developed for triage of victims in the field and for hospitals to plan for a radiologic event, specific information for clinicians and administrators is not available for guidance in efficient management of radiation victims during their early encounter in the hospital. A consensus document was developed by staff members of four Connecticut hospitals, two institutions of higher learning, and the State of Connecticut Department of Environmental Protection and Office of Emergency Preparedness, with assistance of the American Society for Therapeutic Radiology and Oncology. The objective was to write a practical manual for clinicians (including radiationmore » oncologists, emergency room physicians, and nursing staff), hospital administrators, radiation safety officers, and other individuals knowledgeable in radiation monitoring that would be useful for evaluation and management of radiation injury. The rationale for and process by which the radiation response plan was developed and implemented in the State of Connecticut are reviewed. Hospital admission pathways are described, based on classification of victims as exposed, contaminated, and/or physically injured. This manual will be of value to those involved in planning the health care response to a radiologic event.« less

Plant cell wall-mediated immunity: cell wall changes trigger disease resistance responses.

PubMed

Bacete, Laura; Mélida, Hugo; Miedes, Eva; Molina, Antonio

2018-02-01

Plants have evolved a repertoire of monitoring systems to sense plant morphogenesis and to face environmental changes and threats caused by different attackers. These systems integrate different signals into overreaching triggering pathways which coordinate developmental and defence-associated responses. The plant cell wall, a dynamic and complex structure surrounding every plant cell, has emerged recently as an essential component of plant monitoring systems, thus expanding its function as a passive defensive barrier. Plants have a dedicated mechanism for maintaining cell wall integrity (CWI) which comprises a diverse set of plasma membrane-resident sensors and pattern recognition receptors (PRRs). The PRRs perceive plant-derived ligands, such as peptides or wall glycans, known as damage-associated molecular patterns (DAMPs). These DAMPs function as 'danger' alert signals activating DAMP-triggered immunity (DTI), which shares signalling components and responses with the immune pathways triggered by non-self microbe-associated molecular patterns that mediate disease resistance. Alteration of CWI by impairment of the expression or activity of proteins involved in cell wall biosynthesis and/or remodelling, as occurs in some plant cell wall mutants, or by wall damage due to colonization by pathogens/pests, activates specific defensive and growth responses. Our current understanding of how these alterations of CWI are perceived by the wall monitoring systems is scarce and few plant sensors/PRRs and DAMPs have been characterized. The identification of these CWI sensors and PRR-DAMP pairs will help us to understand the immune functions of the wall monitoring system, and might allow the breeding of crop varieties and the design of agricultural strategies that would enhance crop disease resistance. © 2017 The Authors The Plant Journal © 2017 John Wiley & Sons Ltd.

Sequential liquid biopsies reveal dynamic alterations of EGFR driver mutations and indicate EGFR amplification as a new mechanism of resistance to osimertinib in NSCLC.

PubMed

Knebel, Franciele H; Bettoni, Fabiana; Shimada, Andrea K; Cruz, Manoel; Alessi, João Victor; Negrão, Marcelo V; Reis, Luiz Fernando L; Katz, Artur; Camargo, Anamaria A

2017-06-01

Osimertinib is an EGFR-T790M-specific TKI, which has demonstrated impressive response rates in NSCLC, after failure to first-line anti-EGFR TKIs. However, acquired resistance to osimertinib is also observed and the molecular mechanisms of resistance are not yet fully understood. Monitoring and managing NSCLC patients who progressed on osimertinib is, therefore, emerging as an important clinical challenge. Sequential liquid biopsies were used to monitor a patient with EGFR-exon19del positive NSCLC, who received erlotinib and progressed through the acquisition of the EGFR-T790M mutation. Erlotinib was discontinued and osimertinib was initiated. Blood samples were collected at erlotinib progression and during osimertinib treatment for the detection of the activating (EGFR-exon19del) and resistance mutations (EGFR-T790M, EGFR-C797S, BRAF-V600E, METamp and ERBB2amp) in the plasma DNA using digital droplet PCR. Plasma levels of the activating EGFR-exon19del accurately paralleled the clinical and radiological progression of disease and allowed early detection of AR to osimertinib. Resistance to osimertinib coincided with the emergence of a small tumor cell subpopulation carrying the known EGFR-C797S resistance mutation and an additional subpopulation carrying amplified copies of EGFR-exon19del. Given the existence of multiple AR mechanisms, quantification of the original EGFR activation mutation, instead of the resistance mutations, can be efficiently used to monitor response to osimertinib, allowing early detection of AR. Absolute quantification of both activation and resistance mutations can provide important information on tumor clonal evolution upon progression to osimertinib. Selective amplification of the EGFR-exon19del allele may represent a novel resistance mechanism to osimertinib. Copyright © 2017 Elsevier B.V. All rights reserved.

40 CFR 60.4237 - What are the monitoring requirements if I am an owner or operator of an emergency stationary SI...

Code of Federal Regulations, 2010 CFR

2010-07-01

... I am an owner or operator of an emergency stationary SI internal combustion engine? 60.4237 Section... Internal Combustion Engines Other Requirements for Owners and Operators § 60.4237 What are the monitoring requirements if I am an owner or operator of an emergency stationary SI internal combustion engine? (a...

40 CFR 60.4237 - What are the monitoring requirements if I am an owner or operator of an emergency stationary SI...

Code of Federal Regulations, 2012 CFR

2012-07-01

... I am an owner or operator of an emergency stationary SI internal combustion engine? 60.4237 Section... Internal Combustion Engines Other Requirements for Owners and Operators § 60.4237 What are the monitoring requirements if I am an owner or operator of an emergency stationary SI internal combustion engine? (a...

40 CFR 60.4237 - What are the monitoring requirements if I am an owner or operator of an emergency stationary SI...

Code of Federal Regulations, 2013 CFR

2013-07-01

... I am an owner or operator of an emergency stationary SI internal combustion engine? 60.4237 Section... Internal Combustion Engines Other Requirements for Owners and Operators § 60.4237 What are the monitoring requirements if I am an owner or operator of an emergency stationary SI internal combustion engine? (a...

40 CFR 60.4237 - What are the monitoring requirements if I am an owner or operator of an emergency stationary SI...

Code of Federal Regulations, 2014 CFR

2014-07-01

... I am an owner or operator of an emergency stationary SI internal combustion engine? 60.4237 Section... Internal Combustion Engines Other Requirements for Owners and Operators § 60.4237 What are the monitoring requirements if I am an owner or operator of an emergency stationary SI internal combustion engine? (a...

40 CFR 60.4237 - What are the monitoring requirements if I am an owner or operator of an emergency stationary SI...

Code of Federal Regulations, 2011 CFR

2011-07-01

... I am an owner or operator of an emergency stationary SI internal combustion engine? 60.4237 Section... Internal Combustion Engines Other Requirements for Owners and Operators § 60.4237 What are the monitoring requirements if I am an owner or operator of an emergency stationary SI internal combustion engine? (a...

Health systems organization for emergency care.

PubMed

Pedroto, Isabel; Amaro, Pedro; Romãozinho, José Manuel

2013-10-01

The increasing number of acute and severe digestive diseases presenting to hospital emergency departments, mainly related with an ageing population, demands an appropriate answer from health systems organization, taking into account the escalating pressure on cost reduction. However, patients expect and deserve a response that is appropriate, effective, efficient and safe. The huge variety of variables which can influence the evolution of such cases warranting intensive monitoring, and the coordination and optimization of a range of human and technical resources involved in the care of these high-risk patients, requires their admission in hospital units with conveniently equipped facilities, as is done for heart attack and stroke patients. Little information of gastroenterology emergencies as a function of structure, processes and outcome is available at the organizational level. Surveys that have been conducted in different countries just assess local treatment outcome and question the organizational structure and existing resources but its impact on the outcome is not clear. Most studies address the problem of upper gastrointestinal bleeding and the out-of-hours endoscopy services in the hospital setting. The demands placed on emergency (part of the overall continuum of care) are obvious, as are the needs for the efficient use of resources and processes to improve the quality of care, meaning data must cover the full care cycle. Gastrointestinal emergencies, namely gastrointestinal bleeding, must be incorporated into the overall emergency response as is done for heart attack and stroke. This chapter aims to provide a review of current literature/evidence on organizational health system models towards a better management of gastroenterology emergencies and proposes a research agenda. Copyright © 2013 Elsevier Ltd. All rights reserved.

MRM for the verification of cancer biomarker proteins: recent applications to human plasma and serum.

PubMed

Chambers, Andrew G; Percy, Andrew J; Simon, Romain; Borchers, Christoph H

2014-04-01

Accurate cancer biomarkers are needed for early detection, disease classification, prediction of therapeutic response and monitoring treatment. While there appears to be no shortage of candidate biomarker proteins, a major bottleneck in the biomarker pipeline continues to be their verification by enzyme linked immunosorbent assays. Multiple reaction monitoring (MRM), also known as selected reaction monitoring, is a targeted mass spectrometry approach to protein quantitation and is emerging to bridge the gap between biomarker discovery and clinical validation. Highly multiplexed MRM assays are readily configured and enable simultaneous verification of large numbers of candidates facilitating the development of biomarker panels which can increase specificity. This review focuses on recent applications of MRM to the analysis of plasma and serum from cancer patients for biomarker verification. The current status of this approach is discussed along with future directions for targeted mass spectrometry in clinical biomarker validation.

Advances in on-line drinking water quality monitoring and early warning systems.

PubMed

Storey, Michael V; van der Gaag, Bram; Burns, Brendan P

2011-01-01

Significant advances have been made in recent years in technologies to monitor drinking water quality for source water protection, treatment operations, and distribution system management, in the event of accidental (or deliberate) contamination. Reports prepared through the Global Water Research Coalition (GWRC) and United States Environment Protection Agency (USEPA) agree that while many emerging technologies show promise, they are still some years from being deployed on a large scale. Further underpinning their viability is a need to interpret data in real time and implement a management strategy in response. This review presents the findings of an international study into the state of the art in this field. These results are based on visits to leading water utilities, research organisations and technology providers throughout Europe, the United States and Singapore involved in the development and deployment of on-line monitoring technology for the detection of contaminants in water. Copyright © 2010 Elsevier Ltd. All rights reserved.

BIM and IoT: A Synopsis from GIS Perspective

NASA Astrophysics Data System (ADS)

Isikdag, U.

2015-10-01

Internet-of-Things (IoT) focuses on enabling communication between all devices, things that are existent in real life or that are virtual. Building Information Models (BIMs) and Building Information Modelling is a hype that has been the buzzword of the construction industry for last 15 years. BIMs emerged as a result of a push by the software companies, to tackle the problems of inefficient information exchange between different software and to enable true interoperability. In BIM approach most up-to-date an accurate models of a building are stored in shared central databases during the design and the construction of a project and at post-construction stages. GIS based city monitoring / city management applications require the fusion of information acquired from multiple resources, BIMs, City Models and Sensors. This paper focuses on providing a method for facilitating the GIS based fusion of information residing in digital building "Models" and information acquired from the city objects i.e. "Things". Once this information fusion is accomplished, many fields ranging from Emergency Response, Urban Surveillance, Urban Monitoring to Smart Buildings will have potential benefits.

Synergies between Communicable and Noncommunicable Disease Programs to Enhance Global Health Security

PubMed Central

Husain, Muhammad J.; Sugerman, David; Hong, Yuling; Saraiya, Mona; Keltz, Jennifer; Asma, Samira

2017-01-01

Noncommunicable diseases are the leading cause of death and disability worldwide. Initiatives that advance the prevention and control of noncommunicable diseases support the goals of global health security in several ways. First, in addressing health needs that typically require long-term care, these programs can strengthen health delivery and health monitoring systems, which can serve as necessary platforms for emergency preparedness in low-resource environments. Second, by improving population health, the programs might help to reduce susceptibility to infectious outbreaks. Finally, in aiming to reduce the economic burden associated with premature illness and death from noncommunicable diseases, these initiatives contribute to the objectives of international development, thereby helping to improve overall country capacity for emergency response. PMID:29155655

Synergies between Communicable and Noncommunicable Disease Programs to Enhance Global Health Security.

PubMed

Kostova, Deliana; Husain, Muhammad J; Sugerman, David; Hong, Yuling; Saraiya, Mona; Keltz, Jennifer; Asma, Samira

2017-12-01

Noncommunicable diseases are the leading cause of death and disability worldwide. Initiatives that advance the prevention and control of noncommunicable diseases support the goals of global health security in several ways. First, in addressing health needs that typically require long-term care, these programs can strengthen health delivery and health monitoring systems, which can serve as necessary platforms for emergency preparedness in low-resource environments. Second, by improving population health, the programs might help to reduce susceptibility to infectious outbreaks. Finally, in aiming to reduce the economic burden associated with premature illness and death from noncommunicable diseases, these initiatives contribute to the objectives of international development, thereby helping to improve overall country capacity for emergency response.

An inverse method to estimate emission rates based on nonlinear least-squares-based ensemble four-dimensional variational data assimilation with local air concentration measurements.

PubMed

Geng, Xiaobing; Xie, Zhenghui; Zhang, Lijun; Xu, Mei; Jia, Binghao

2018-03-01

An inverse source estimation method is proposed to reconstruct emission rates using local air concentration sampling data. It involves the nonlinear least squares-based ensemble four-dimensional variational data assimilation (NLS-4DVar) algorithm and a transfer coefficient matrix (TCM) created using FLEXPART, a Lagrangian atmospheric dispersion model. The method was tested by twin experiments and experiments with actual Cs-137 concentrations measured around the Fukushima Daiichi Nuclear Power Plant (FDNPP). Emission rates can be reconstructed sequentially with the progression of a nuclear accident, which is important in the response to a nuclear emergency. With pseudo observations generated continuously, most of the emission rates were estimated accurately, except under conditions when the wind blew off land toward the sea and at extremely slow wind speeds near the FDNPP. Because of the long duration of accidents and variability in meteorological fields, monitoring networks composed of land stations only in a local area are unable to provide enough information to support an emergency response. The errors in the estimation compared to the real observations from the FDNPP nuclear accident stemmed from a shortage of observations, lack of data control, and an inadequate atmospheric dispersion model without improvement and appropriate meteorological data. The proposed method should be developed further to meet the requirements of a nuclear emergency response. Copyright © 2017 Elsevier Ltd. All rights reserved.

Damage extraction of buildings in the 2015 Gorkha, Nepal earthquake from high-resolution SAR data

NASA Astrophysics Data System (ADS)

Yamazaki, Fumio; Bahri, Rendy; Liu, Wen; Sasagawa, Tadashi

2016-05-01

Satellite remote sensing is recognized as one of the effective tools for detecting and monitoring affected areas due to natural disasters. Since SAR sensors can capture images not only at daytime but also at nighttime and under cloud-cover conditions, they are especially useful at an emergency response period. In this study, multi-temporal high-resolution TerraSAR-X images were used for damage inspection of the Kathmandu area, which was severely affected by the April 25, 2015 Gorkha Earthquake. The SAR images obtained before and after the earthquake were utilized for calculating the difference and correlation coefficient of backscatter. The affected areas were identified by high values of the absolute difference and low values of the correlation coefficient. The post-event high-resolution optical satellite images were employed as ground truth data to verify our results. Although it was difficult to estimate the damage levels for individual buildings, the high resolution SAR images could illustrate their capability in detecting collapsed buildings at emergency response times.

International distance-learning outreach: the APEC EINet experience.

PubMed

Kimball, A M; Shih, L; Brown, J; Harris, T G; Pautler, N; Jamieson, R W; Bolles, J; Horwitch, C

2003-01-01

The Emerging Infections Network is a mature electronic network that links Public Health professionals in the Asia Pacific through regular e-mail bulletins and an extensive Web site (http://www.apec.org/infectious). Emerging infections is a new area of study; learning materials help foster education. Our objective is to quantify the response of the network to the introduction of distance-learning materials on the Web site. Distance-learning materials, developed by the University of Washington School of Public Health, were field tested and launched on the site. Publicity was carried out prior to the launch of the materials. Access was tracked prospectively using server counts of page downloads. Web access increased substantially during the month after the materials were launched, especially among Asia based computers. The effect was isolated to the distance-learning pages, and not general to the site. This Web site appears to be responsive to the advertisement and to the materials. Prospective Web-site monitoring proved useful. Copyright 2002 Elsevier Science Ireland Ltd.

Performance monitoring in the medial frontal cortex and related neural networks: From monitoring self actions to understanding others' actions.

PubMed

Ninomiya, Taihei; Noritake, Atsushi; Ullsperger, Markus; Isoda, Masaki

2018-04-27

Action is a key channel for interacting with the outer world. As such, the ability to monitor actions and their consequences - regardless as to whether they are self-generated or other-generated - is of crucial importance for adaptive behavior. The medial frontal cortex (MFC) has long been studied as a critical node for performance monitoring in nonsocial contexts. Accumulating evidence suggests that the MFC is involved in a wide range of functions necessary for one's own performance monitoring, including error detection, and monitoring and resolving response conflicts. Recent studies, however, have also pointed to the importance of the MFC in performance monitoring under social conditions, ranging from monitoring and understanding others' actions to reading others' mental states, such as their beliefs and intentions (i.e., mentalizing). Here we review the functional roles of the MFC and related neural networks in performance monitoring in both nonsocial and social contexts, with an emphasis on the emerging field of a social systems neuroscience approach using macaque monkeys as a model system. Future work should determine the way in which the MFC exerts its monitoring function via interactions with other brain regions, such as the superior temporal sulcus in the mentalizing system and the ventral premotor cortex in the mirror system. Copyright © 2018. Published by Elsevier B.V.

Improving Perinatal Care in the Rural Regions Worldwide by Wireless Enabled Antepartum Fetal Monitoring: A Demonstration Project

PubMed Central

Tapia-Conyer, Roberto; Lyford, Shelley; Saucedo, Rodrigo; Casale, Michael; Gallardo, Hector; Becerra, Karen; Mack, Jonathan; Mujica, Ricardo; Estrada, Daniel; Sanchez, Antonio; Sabido, Ramon; Meier, Carlos; Smith, Joseph

2015-01-01

Background. Fetal and neonatal morbidity and mortality are significant problems in developing countries; remote maternal-fetal monitoring offers promise in addressing this challenge. The Gary and Mary West Health Institute and the Instituto Carlos Slim de la Salud conducted a demonstration project of wirelessly enabled antepartum maternal-fetal monitoring in the state of Yucatán, Mexico, to assess whether there were any fundamental barriers preventing deployment and use. Methods. Following informed consent, high-risk pregnant women at 27–29 weeks of gestation at the Chemax primary clinic participated in remote maternal-fetal monitoring. Study participants were randomized to receive either prototype wireless monitoring or standard-of-care. Feasibility was evaluated by assessing technical aspects of performance, adherence to monitoring appointments, and response to recommendations. Results. Data were collected from 153 high-risk pregnant indigenous Mayan women receiving either remote monitoring (n = 74) or usual standard-of-care (n = 79). Remote monitoring resulted in markedly increased adherence (94.3% versus 45.1%). Health outcomes were not statistically different in the two groups. Conclusions. Remote maternal-fetal monitoring is feasible in resource-constrained environments and can improve maternal compliance for monitoring sessions. Improvement in maternal-fetal health outcomes requires integration of such technology into sociocultural context and addressing logistical challenges of access to appropriate emergency services. PMID:25691900

Planning guidance for emergency response to a hypothetical nuclear attack on Riyadh, Saudi Arabia

NASA Astrophysics Data System (ADS)

Shubayr, Nasser Ali M.

The threat of nuclear attack will remain imminent in an ever-advancing society. Saudi Arabia is not immune to this threat. This dissertation establishes planning guidance for response to a nuclear attack on Riyadh, the capital of Saudi Arabia, based on a hypothetical scenario of a nuclear detonation. A case scenario of a one-megaton thermonuclear bomb detonated at ground level over Riyadh is used to support the thesis. Previous nuclear tests and the Hiroshima and Nagasaki bombings have been used to present possible effects on Riyadh. US planning guidance and lessons learned from the Chernobyl and Fukushima nuclear plants accidents have been used to develop the emergency response guidance. The planning guidance outlines a rapid response to the nuclear detonation. Four damage zones have been identified; severe damage zone, moderate damage zone, light damage zone and dangerous fallout zone. Actions that are recommended, and those that should be avoided, have been determined for each zone. Shelter/ evacuation evaluation for blast-affected and fallout-affected areas is the basis for the recommendation that shelter in place is the best decision for the first hours to days after the attack. Guidelines for medical care response and population monitoring and decontamination are included to reduce the early and long-term effects of the attack. Recommendations to the Saudi Arabian authorities have been made to facilitate suitable preparedness and response for such an event.

Emergent Archetype Hydrological-Biogeochemical Response Patterns in Heterogeneous Catchments

NASA Astrophysics Data System (ADS)

Jawitz, J. W.; Gall, H. E.; Rao, P.

2013-12-01

What can spatiotemporally integrated patterns observed in stream hydrologic and biogeochemical signals generated in response to transient hydro-climatic and anthropogenic forcing tell us about the interactions between spatially heterogeneous soil-mediated hydrological and biogeochemical processes? We seek to understand how the spatial structure of solute sources coupled with hydrologic responses affect observed concentration-discharge (C-Q) patterns. These patterns are expressions of the spatiotemporal structure of solute loads exported from managed catchments, and their likely ecological consequences manifested in receiving water bodies (e.g., wetlands, rivers, lakes, and coastal waters). We investigated the following broad questions: (1) How does the correlation between flow-generating areas and biogeochemical source areas across a catchment evolve under stochastic hydro-climatic forcing? (2) What are the feasible hydrologic and biogeochemical responses that lead to the emergence of the observed archetype C-Q patterns? and; (3) What implications do these coupled dynamics have for catchment monitoring and implementation of management practices? We categorize the observed temporal signals into three archetypical C-Q patterns: dilution; accretion, and constant concentration. We introduce a parsimonious stochastic model of heterogeneous catchments, which act as hydrologic and biogeochemical filters, to examine the relationship between spatial heterogeneity and temporal history of solute export signals. The core concept of the modeling framework is considering the types and degree of spatial correlation between solute source zones and flow generating zones, and activation of different portions of the catchments during rainfall events. Our overarching hypothesis is that each of the archetype C-Q patterns can be generated by explicitly linking landscape-scale hydrologic responses and spatial distributions of solute source properties within a catchment. The model simulations reproduce the three major C-Q patterns observed in published data, offering valuable insight into coupled catchment processes. The findings have important implications for effective catchment management for water quality improvement, and stream monitoring strategies.

Integration of an Emerging Highly Sensitive Optical CO2 Sensor for Ocean Monitoring on an Existing Data Acquisition System SeaKeeper 1000 (trademark)

DTIC Science & Technology

2012-09-30

be deployed in geat numbers to autonomously monitor the overall patterns of CO2 emissions and ocean acidification . OBJECTIVES  Meet the...Integration of an Emerging Highly Sensitive Optical CO2 Sensor for Ocean Monitoring on an Existing Data Acquisition System SeaKeeper 1000TM Annual...challenging requirements for ocean pCO2 monitoring using an innovative sensor design based on high sensitivity fluorescence detection.  Assemble the system

Integration of an Emerging Highly Sensitive Optical CO2 Sensor for Ocean Monitoring on an Existing Data Acquisition System SeaKeeper 1000(TM)

DTIC Science & Technology

2011-09-30

be deployed in geat numbers to autonomously monitor the overall patterns of CO2 emissions and ocean acidification . OBJECTIVES  Meet the...Integration of an Emerging Highly Sensitive Optical CO2 Sensor for Ocean Monitoring on an Existing Data Acquisition System SeaKeeper 1000TM Annual...challenging requirements for ocean pCO2 monitoring using an innovative sensor design based on high sensitivity fluorescence detection.  Assemble the system

Signature Optical Cues: Emerging Technologies for Monitoring Plant Health

PubMed Central

Liew, Oi Wah; Chong, Pek Ching Jenny; Li, Bingqing; Asundi, Anand K.

2008-01-01

Optical technologies can be developed as practical tools for monitoring plant health by providing unique spectral signatures that can be related to specific plant stresses. Signatures from thermal and fluorescence imaging have been used successfully to track pathogen invasion before visual symptoms are observed. Another approach for non-invasive plant health monitoring involves elucidating the manner with which light interacts with the plant leaf and being able to identify changes in spectral characteristics in response to specific stresses. To achieve this, an important step is to understand the biochemical and anatomical features governing leaf reflectance, transmission and absorption. Many studies have opened up possibilities that subtle changes in leaf reflectance spectra can be analyzed in a plethora of ways for discriminating nutrient and water stress, but with limited success. There has also been interest in developing transgenic phytosensors to elucidate plant status in relation to environmental conditions. This approach involves unambiguous signal creation whereby genetic modification to generate reporter plants has resulted in distinct optical signals emitted in response to specific stressors. Most of these studies are limited to laboratory or controlled greenhouse environments at leaf level. The practical translation of spectral cues for application under field conditions at canopy and regional levels by remote aerial sensing remains a challenge. The movement towards technology development is well exemplified by the Controlled Ecological Life Support System under development by NASA which brings together technologies for monitoring plant status concomitantly with instrumentation for environmental monitoring and feedback control. PMID:27879874

The work programme of NERIS in post-accident recovery.

PubMed

Schneider, T; Andronopoulos, S; Camps, J; Duranova, T; Gallego, E; Gering, F; Isnard, O; Maître, M; Murith, C; Oughton, D; Raskob, W

2018-01-01

NERIS is the European platform on preparedness for nuclear and radiological emergency response and recovery. Created in 2010 with 57 organisations from 28 different countries, the objectives of the platform are to: improve the effectiveness and coherency of current approaches to preparedness; identify further development needs; improve 'know how' and technical expertise; and establish a forum for dialogue and methodological development. The NERIS Strategic Research Agenda is now structured with three main challenges: (i) radiological impact assessments during all phases of nuclear and radiological events; (ii) countermeasures and countermeasure strategies in emergency and recovery, decision support, and disaster informatics; and (iii) setting up a multi-faceted framework for preparedness for emergency response and recovery. The Fukushima accident has highlighted some key issues for further consideration in NERIS research activities, including: the importance of transparency of decision-making processes at local, regional, and national levels; the key role of access to environmental monitoring; the importance of dealing with uncertainties in assessment and management of the different phases of the accident; the use of modern social media in the exchange of information; the role of stakeholder involvement processes in both emergency and recovery situations; considerations of societal, ethical, and economic aspects; and the reinforcement of education and training for various actors. This paper emphasises the main issues at stake for NERIS for post-accident management.

Professional and patient attitudes to using mobile phone technology to monitor asthma: questionnaire survey.

PubMed

Pinnock, Hilary; Slack, Roger; Pagliari, Claudia; Price, David; Sheikh, Aziz

2006-08-01

There is increasing international interest in using emerging technologies to enhance chronic disease management. We aimed to explore the attitudes of patients and primary care professionals to using mobile technology in order to monitor asthma. A piloted questionnaire containing closed and open-ended questions assessing attitudes to using electronic self-monitoring was posted to a random sample of general practitioners, asthma nurses, and people with asthma (12 years and over) in Lothian and Kent, UK, with 2 reminders. In addition to descriptive statistics, patient and clinician responses were compared using Chi-squared or independent sample t-tests. Free-text responses were analysed thematically. Responses were obtained from 130/300 professionals (43%) and 202/389 patients (52%). Patients rated the technology positively and considered that it may help clinicians to provide care, especially during acute attacks. Although rated similarly, professionals were more sceptical about benefits. Both professionals and patients had concerns about the time and cost implications. Of the respondents, 28 professionals (10%) and 62 patients (16%) returned uncompleted questionnaires citing lack of perceived relevance. The low completion rate probably reflects the current status of mobile phone-facilitated care as a minority interest for 'early adopters' of technology. Even for the enthusiastic minority, using mobile phone technology raised questions of clinical benefit, impact on self-management, and concerns about workload and cost, which will need to be addressed prior to wider acceptance.

Effective technologies for noninvasive remote monitoring in heart failure.

PubMed

Conway, Aaron; Inglis, Sally C; Clark, Robyn A

2014-06-01

Trials of new technologies to remotely monitor for signs and symptoms of worsening heart failure are continually emerging. The extent to which technological differences impact the effectiveness of noninvasive remote monitoring for heart failure management is unknown. This study examined the effect of specific technology used for noninvasive remote monitoring of people with heart failure on all-cause mortality and heart failure-related hospitalizations. A subanalysis of a large systematic review and meta-analysis was conducted. Studies were stratified according to the specific type of technology used, and separate meta-analyses were performed. Four different types of noninvasive remote monitoring technologies were identified, including structured telephone calls, videophone, interactive voice response devices, and telemonitoring. Only structured telephone calls and telemonitoring were effective in reducing the risk of all-cause mortality (relative risk [RR]=0.87; 95% confidence interval [CI], 0.75-1.01; p=0.06; and RR=0.62; 95% CI, 0.50-0.77; p<0.0001, respectively) and heart failure-related hospitalizations (RR=0.77; 95% CI, 0.68-0.87; p<0.001; and RR=0.75; 95% CI, 0.63-0.91; p=0.003, respectively). More research data are required for videophone and interactive voice response technologies. This subanalysis identified that only two of the four specific technologies used for noninvasive remote monitoring in heart failure improved outcomes. When results of studies that involved these disparate technologies were combined in previous meta-analyses, significant improvements in outcomes were identified. As such, this study has highlighted implications for future meta-analyses of randomized controlled trials focused on evaluating the effectiveness of remote monitoring in heart failure.

Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study.

PubMed

Landolina, Maurizio; Perego, Giovanni B; Lunati, Maurizio; Curnis, Antonio; Guenzati, Giuseppe; Vicentini, Alessandro; Parati, Gianfranco; Borghi, Gabriella; Zanaboni, Paolo; Valsecchi, Sergio; Marzegalli, Maurizio

2012-06-19

Heart failure patients with implantable cardioverter-defibrillators (ICDs) or an ICD for resynchronization therapy often visit the hospital for unscheduled examinations, placing a great burden on healthcare providers. We hypothesized that Internet-based remote interrogation systems could reduce emergency healthcare visits. This multicenter randomized trial involving 200 patients compared remote monitoring with standard patient management consisting of scheduled visits and patient response to audible ICD alerts. The primary end point was the rate of emergency department or urgent in-office visits for heart failure, arrhythmias, or ICD-related events. Over 16 months, such visits were 35% less frequent in the remote arm (75 versus 117; incidence density, 0.59 versus 0.93 events per year; P=0.005). A 21% difference was observed in the rates of total healthcare visits for heart failure, arrhythmias, or ICD-related events (4.40 versus 5.74 events per year; P<0.001). The time from an ICD alert condition to review of the data was reduced from 24.8 days in the standard arm to 1.4 days in the remote arm (P<0.001). The patients' clinical status, as measured by the Clinical Composite Score, was similar in the 2 groups, whereas a more favorable change in quality of life (Minnesota Living With Heart Failure Questionnaire) was observed from the baseline to the 16th month in the remote arm (P=0.026). Remote monitoring reduces emergency department/urgent in-office visits and, in general, total healthcare use in patients with ICD or defibrillators for resynchronization therapy. Compared with standard follow-up through in-office visits and audible ICD alerts, remote monitoring results in increased efficiency for healthcare providers and improved quality of care for patients. URL: http://www.clinicaltrials.gov. Unique identifier: NCT00873899.

What is the normal haemodynamic response to passive leg raise? A study of healthy volunteers.

PubMed

Elwan, Mohammed H; Roshdy, Ashraf; Reynolds, Joseph A; Elsharkawy, Eman M; Eltahan, Salah M; Coats, Timothy J

2018-05-04

Passive leg raise (PLR) is used as self-fluid challenge to optimise fluid therapy by predicting preload responsiveness. However, there remains uncertainty around the normal haemodynamic response to PLR with resulting difficulties in application and interpretation in emergency care. We aim to define the haemodynamic responses to PLR in spontaneously breathing volunteers using a non-invasive cardiac output monitor, thoracic electrical bioimpedance, TEB (PLR-TEB). We recruited healthy volunteers aged 18 or above. Subjects were monitored using TEB in a semirecumbent position, followed by PLR for 3 min. The procedure was repeated after 6 min at the starting position. Correlation between the two PLRs was assessed using Spearman's r (r s ). Agreement between the two PLRs was evaluated using Cohen Kappa with responsiveness defined as ≥10% increase in stroke volume. Parametric and non-parametric tests were used as appropriate to evaluate statistical significance of baseline variables between responders and non-responders. We enrolled 50 volunteers, all haemodynamically stable at baseline, of whom 49 completed the study procedure. About half of our subjects were preload responsive. The ∆SV in the two PLRs was correlated (r s =0.68, 95% CI 0.49 to 0.8) with 85% positive concordance. Good agreement was observed with Cohen Kappa of 0.67 (95% CI 0.45 to 0.88). Responders were older and had significantly lower baseline stroke volume and cardiac output. Our results suggest that the PLR-TEB is a feasible method in spontaneously breathing volunteers with reasonable reproducibility. The age and baseline stroke volume effect suggests a more complex underlying physiology than commonly appreciated. The fact that half of the volunteers had a positive preload response, against the 10% threshold, leads to questions about how this measurement should be used in emergency care and will help shape future patient studies. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Overview of Emerging Air Quality Monitoring Technologies and Their Data

EPA Science Inventory

This is a webinar presentation as part of a series on Air Quality Planning for Wildland Smoke. The purpose of the talk is to provide a basic overview of monitoring technologies and specifically focus on emerging technologies for PM2.5.

Informing Drought Preparedness and Response with the South Asia Land Data Assimilation System

NASA Astrophysics Data System (ADS)

Zaitchik, B. F.; Ghatak, D.; Matin, M. A.; Qamer, F. M.; Adhikary, B.; Bajracharya, B.; Nelson, J.; Pulla, S. T.; Ellenburg, W. L.

2017-12-01

Decision-relevant drought monitoring in South Asia is a challenge from both a scientific and an institutional perspective. Scientifically, climatic diversity, inconsistent in situ monitoring, complex hydrology, and incomplete knowledge of atmospheric processes mean that monitoring and prediction are fraught with uncertainty. Institutionally, drought monitoring efforts need to align with the information needs and decision-making processes of relevant agencies at national and subnational levels. Here we present first results from an emerging operational drought monitoring and forecast system developed and supported by the NASA SERVIR Hindu-Kush Himalaya hub. The system has been designed in consultation with end users from multiple sectors in South Asian countries to maximize decision-relevant information content in the monitoring and forecast products. Monitoring of meteorological, agricultural, and hydrological drought is accomplished using the South Asia Land Data Assimilation System, a platform that supports multiple land surface models and meteorological forcing datasets to characterize uncertainty, and subseasonal to seasonal hydrological forecasts are produced by driving South Asia LDAS with downscaled meteorological fields drawn from an ensemble of global dynamically-based forecast systems. Results are disseminated to end users through a Tethys online visualization platform and custom communications that provide user oriented, easily accessible, timely, and decision-relevant scientific information.

75 FR 48349 - Agency Forms Undergoing Paperwork Reduction Act review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-10

... monitor syndrome-based (e.g., case information collected in emergency departments (EDs) and diagnostic... syndromic surveillance systems. EARS has been designed and used to monitor syndromic data from emergency... events such as the Beijing Summer Olympics; multiple Superbowls (football) and World Series (baseball...

MONITORING OF WATERWAYS FOR EMERGING CONTAMINANTS USING INTEGRATIVE SAMPLING COUPLED WITH LIQUID CHROMATOGRAPHY-ELECTROSPRAY/MASS SPECTROMETRY

EPA Science Inventory

Assessing the potential impact to the aquatic environment from emerging contaminants, entails monitoring a complex mixture (pharmaceuticals, polar pesticides, industrial by- products and degradation products) in natural waters. The presence of these chemicals, often at ultra-trac...

Development of veterinary laboratory networks for avian influenza and other emerging infectious disease control: the southeast asian experience.

PubMed

Daniels, Peter; Poermadjaja, Bagoes; Morrissy, Chris; Ngo, Thanh Long; Selleck, Paul; Kalpravidh, Wantanee; Weaver, John; Wong, Frank; Torchetti, Mia Kim; Allen, John; Padungtod, Parwin; Davis, Andrew; Suradhat, Sanipa; Morzaria, Subhash

2014-01-01

The outbreak of highly pathogenic H5N1 avian influenza, with its international spread, confirmed that emerging infectious disease control must be underpinned by effective laboratory services. Laboratory results are the essential data underpinning effective surveillance, case diagnosis, or monitoring of responses. Importantly, laboratories are best managed within national and international networks of technological support rather than in isolation. A well planned laboratory network can deliver both a geographical spread of testing capacity and also a cost effective hierarchy of capability. Hence in the international context regional networks can be particularly effective. Laboratories are an integral part of a country's veterinary services and their role and function should be clearly defined in the national animal health strategy and supporting government policies. Not every laboratory should be expected to deliver every possible service, and integration into regional and broader international networks should be a part of the overall strategy. The outputs required of each laboratory should be defined and then ensured through accredited quality assurance. The political and scientific environment in which laboratories operate changes continuously, not only through evolving national and regional animal health priorities but also through new test technologies and enhancements to existing technologies. Active networks help individual laboratories to monitor, evaluate, and respond to such challenges and opportunities. The end result is enhanced emerging infectious disease preparedness across the region.

Responding to the Potential of Ebola Virus Disease (EVD) Importation into Malaysia

PubMed Central

WAN MOHAMED NOOR, Wan Noraini; SANDHU, Sukhvinder Singh; AHMAD MAHIR, Husna Maizura; KURUP, Devan; RUSLI, Norhayati; SAAT, Zainah; CHONG, Chee Kheong; SULAIMAN, Lokman Hakim; ABDULLAH, Noor Hisham

2014-01-01

The current Ebola outbreak, which is the first to affect West African countries, has been declared to have met the conditions for a Public Health Emergency of International Concern (PHEIC) by the World Health Organization (WHO). Thus, the Ministry of Health (MOH) of Malaysia has taken steps to strengthen and enhanced the five core components of preparedness and response to mitigate the outbreak. The National Crisis Preparedness and Response Centre (CPRC) commands, controls and coordinates the preparedness and response plans for disasters, outbreaks, crises and emergencies (DOCE) related to health in a centralised way. Through standardised case definition and mandatory notification of Ebola by public and private practitioners, surveillance of Ebola is made possible. Government hospitals and laboratories have been identified to manage and diagnose Ebola virus infections, and medical staff members have been trained to handle an Ebola outbreak, with emphasis on strict infection prevention and control practices. Monitoring of the points of entry, focusing on travellers and students visiting or coming from West African countries is made possible by interagency collaborations. To alleviate the public’s anxiety, effective risk communications are being delivered through various channels. With experience in past outbreak control, the MOH’s preparedness and response plans are in place to abate an Ebola outbreak. PMID:25897276

[Allergic risk and role of the Allergy Vigilance Network].

PubMed

Moneret-Vautrin, Denise-Anne

2007-01-01

The recent increase in the incidence of severe anaphylaxis calls for continual assessment of risk factor and dangers associated with food allergy, keeping abreast of changes in the food industry. Allergologists, regulatory bodies and the food industry are all responsible for food safety. The Allergy Vigilance Network, founded by a university research team and comprising 398 French and Belgian allergologists, has developed a three-point strategy. First, reporting cases of severe anaphylaxis of document allergic origin makes it possible to monitor the prevalence of food allergens and to evaluate the quality of management of allergy-related emergencies, thus providing data suitable for estimating the economic burden of anaphylaxis. The second objective of the network is to set up multicenter trials to determine the prevalence of sensitization to risk allergens, such as peanut, lupin and plant pollen, of which transgenic varieties will soon emerge. The third objective is screening and long-term monitoring of dangers related to new foods, ingredients and adjuvant sensitizing factors. Post-marketing monitoring of potential allergic risks arising from genetically modified food is another aim of the network, together with the establishment of a serum bank, following WHO/FAO recommendations. The Allergy Vigilance Network, together with the French National Institute for Food Safety (AFSSA), the Ministry of Consumer Affairs (DGCCRF) and various patient associations, is striving to analyse and deal with dangers related to the allergenicity of natural and modified food proteins.

Infrasonic ambient noise interferometry from correlations of microbaroms

USGS Publications Warehouse

Haney, M.M.

2009-01-01

We show that microbaroms, continuous infrasound fluctuations resulting from the interaction of the ocean with the atmosphere, have long-range correlation properties that make it possible to estimate the impulse response between two microphones from passive recordings. The processing is analogous to methods employed in the emerging field of ambient noise seismology, where the random noise source is the ocean coupling with the solid Earth (microseisms) instead of the atmosphere (microbaroms). We find that time-dependent temperature fields and temperature inversions determine the character of infrasonic impulse responses at Fourpeaked Volcano in Alaska. Applications include imaging and monitoring the gross structure of the Earth's atmospheric boundary layer. Copyright 2009 by the American Geophysical Union.

A Coincidence Signature Library for Multicoincidence Radionuclide Analysis Systems

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

Smith, Leon E.; Ellis, J E.; Valsan, Andrei B.

Pacific Northwest National Laboratory (PNNL) is currently developing multicoincidence systems to perform trace radionuclide analysis at or near the sample collection point, for applications that include emergency response, nuclear forensics, and environmental monitoring. Quantifying radionuclide concentrations with these systems requires a library of accurate emission intensities for each detected signature, for all candidate radionuclides. To meet this need, a Coincidence Lookup Library (CLL) is being developed to calculate the emission intensities of coincident signatures from a user-specified radionuclide, or conversely, to determine the radionuclides that may be responsible for a specific detected coincident signature. The algorithms used to generate absolutemore » emission intensities and various query modes for our developmental CLL are described.« less

Default operational intervention levels (OILs) for severe nuclear power plant or spent fuel pool emergencies.

PubMed

McKenna, T; Kutkov, V; Vilar Welter, P; Dodd, B; Buglova, E

2013-05-01

Experience and studies show that for an emergency at a nuclear power plant involving severe core damage or damage to the fuel in spent fuel pools, the following actions may need to be taken in order to prevent severe deterministic health effects and reduce stochastic health effects: (1) precautionary protective actions and other response actions for those near the facility (i.e., within the zones identified by the International Atomic Energy Agency) taken immediately upon detection of facility conditions indicating possible severe damage to the fuel in the core or in the spent fuel pool; and (2) protective actions and other response actions taken based on environmental monitoring and sampling results following a release. This paper addresses the second item by providing default operational intervention levels [OILs, which are similar to the U.S. derived response levels (DRLs)] for promptly assessing radioactive material deposition, as well as skin, food, milk and drinking water contamination, following a major release of fission products from the core or spent fuel pool of a light water reactor (LWR) or a high power channel reactor (RBMK), based on the International Atomic Energy Agency's guidance.

Taiwan's Travel and Border Health Measures in Response to Zika.

PubMed

Ho, Li-Li; Tsai, Yu-Hui; Lee, Wang-Ping; Liao, Szu-Tsai; Wu, Li-Gin; Wu, Yi-Chun

Zika virus has recently emerged as a worldwide public health concern. Travel and border health measures stand as one of the main strategies and frontline defenses in responding to international epidemics. As of October 31, 2016, Taiwan has reported 13 imported cases, 5 of which were detected through routine entry screening and active monitoring at international airports. This article shares Taiwan's disease surveillance activities at designated points of entry and travel and border health measures in response to Zika. The Taiwan government collaborates with its tourism industry to disseminate information about precautionary measures and encourages tour guides to report suspected individuals or events to activate early response measures. Taiwan also engages in vector control activities at points of entry, including targeting aircraft from countries where vector-borne diseases are endemic, implementing mosquito sweep measures, and collecting vector surveillance data. In future emerging and reemerging disease events, entry surveillance at designated points of entry may enable early detection of diseases of international origin and more rapid activation of public health preparedness activities and international collaboration. Taiwan will continue to maximize border and travel health measures in compliance with IHR (2005) requirements, which rely on continued risk assessment, practical implementation activities, and engagement with all stakeholders.

Salivary alpha amylase in on-call from home fire and emergency service personnel.

PubMed

Hall, Sarah J; Aisbett, Brad; Robertson, Samuel J; Ferguson, Sally A; Turner, Anne I

2017-11-01

The effect of working on-call from home on the sympatho-adrenal medullary system activity is currently unknown. This study had two aims, Aim 1: examine salivary alpha amylase awakening response (AAR) and diurnal salivary alpha amylase (sAA) profile in fire and emergency service workers who operate on-call from home following a night on-call with a call (NIGHT-CALL), a night on-call without a call (NO-CALL) and an off-call night (OFF-CALL), and Aim 2: explore whether there was an anticipatory effect of working on-call from home (ON) compared to when there was an off-call (OFF) on the diurnal sAA profile. Participants wore activity monitors, completed sleep and work diaries and collected seven saliva samples a day for one week. AAR area under the curve with respect to ground (AUC G ), AAR area under the curve with respect to increase (AUC I ), AAR reactivity, diurnal sAA slope, diurnal sAA AUC G and mean 12-h sAA concentrations were calculated. Separate generalised estimating equation models were constructed for each variable of interest for each aim. For Aim 1, there were no differences between NIGHT-CALL or NO-CALL and OFF-CALL for any response variable. For Aim 2, there was no difference between any response variable of interest when ON the following night compared to when OFF the following night ( n  = 14). These findings suggest that there is no effect of working on-call from home on sAA, but should be interpreted with caution, as overnight data were not collected. Future research, using overnight heart rate monitoring, could help confirm these findings. © 2017 The authors.

Integrating remote sensing, geographic information systems and global positioning system techniques with hydrological modeling

NASA Astrophysics Data System (ADS)

Thakur, Jay Krishna; Singh, Sudhir Kumar; Ekanthalu, Vicky Shettigondahalli

2017-07-01

Integration of remote sensing (RS), geographic information systems (GIS) and global positioning system (GPS) are emerging research areas in the field of groundwater hydrology, resource management, environmental monitoring and during emergency response. Recent advancements in the fields of RS, GIS, GPS and higher level of computation will help in providing and handling a range of data simultaneously in a time- and cost-efficient manner. This review paper deals with hydrological modeling, uses of remote sensing and GIS in hydrological modeling, models of integrations and their need and in last the conclusion. After dealing with these issues conceptually and technically, we can develop better methods and novel approaches to handle large data sets and in a better way to communicate information related with rapidly decreasing societal resources, i.e. groundwater.

Emergency medical kit for commercial airlines: an update.

PubMed

Thibeault, Claude

2002-06-01

As expected, the issue of medical kits for commercial airlines continues to attract attention, especially in light of the recent United States regulation on the subject. As promised in its first recommendation in 1998, the Air Transport Medicine (ATM) Committee has continued to monitor medical kit usage as well as pharmaceutical scientific developments and wishes to propose an update to its 1998 recommendation. Lists of contents are provided for emergency medical kits of two types: 1) those without defibrillator/monitor or monitor; and 2) those with defibrillator/monitor or monitor alone. Follow up and updates on this issue will be an ongoing task of the ATM Committee.

Uncontrolled combustion of shredded tires in a landfill -Part 2: Population exposure, public health response, and an air quality index for urban fires

PubMed Central

Singh, Ashish; Spak, Scott N.; Stone, Elizabeth A.; Downard, Jared; Bullard, Robert; Pooley, Mark; Kostle, Pamela A.; Mainprize, Matthew W.; Wichman, Michael D.; Peters, Thomas; Beardsley, Douglas; Stanier, Charles O.

2015-01-01

The Iowa City Landfill in eastern Iowa, United States, experienced a fire lasting 18 days in 2012, in which a drainage layer of over 1 million shredded tires burned, generating smoke that impacted the surrounding metropolitan area of 130,000 people. This emergency required air monitoring, risk assessment, dispersion modeling, and public notification. This paper quantifies the impact of the fire on local air quality and proposes a monitoring approach and an Air Quality Index (AQI) for use in future tire fires and other urban fires. Individual fire pollutants are ranked for acute and cancer relative risks using hazard ratios, with the highest acute hazard ratios attributed to SO2, particulate matter, and aldehydes. Using a dispersion model in conjunction with the new AQI, we estimate that smoke concentrations reached unhealthy outdoor levels for sensitive groups out to distances of 3.1 km and 18 km at 24-h and 1-h average times, respectively. Modeled and measured concentrations of PM2.5 from smoke and other compounds such as VOCs and benzo[a]pyrene are presented at a range of distances and averaging times, and the corresponding cancer risks are discussed. Through reflection on the air quality response to the event, consideration of cancer and acute risks, and comparison to other tire fires, we recommend that all landfills with shredded tire liners plan for hazmat fire emergencies. A companion paper presents emission factors and detailed smoke characterization. PMID:25624787

Uncontrolled combustion of shredded tires in a landfill -Part 2: Population exposure, public health response, and an air quality index for urban fires.

PubMed

Singh, Ashish; Spak, Scott N; Stone, Elizabeth A; Downard, Jared; Bullard, Robert; Pooley, Mark; Kostle, Pamela A; Mainprize, Matthew W; Wichman, Michael D; Peters, Thomas; Beardsley, Douglas; Stanier, Charles O

2015-03-01

The Iowa City Landfill in eastern Iowa, United States, experienced a fire lasting 18 days in 2012, in which a drainage layer of over 1 million shredded tires burned, generating smoke that impacted the surrounding metropolitan area of 130,000 people. This emergency required air monitoring, risk assessment, dispersion modeling, and public notification. This paper quantifies the impact of the fire on local air quality and proposes a monitoring approach and an Air Quality Index (AQI) for use in future tire fires and other urban fires. Individual fire pollutants are ranked for acute and cancer relative risks using hazard ratios, with the highest acute hazard ratios attributed to SO 2 , particulate matter, and aldehydes. Using a dispersion model in conjunction with the new AQI, we estimate that smoke concentrations reached unhealthy outdoor levels for sensitive groups out to distances of 3.1 km and 18 km at 24-h and 1-h average times, respectively. Modeled and measured concentrations of PM 2.5 from smoke and other compounds such as VOCs and benzo[a]pyrene are presented at a range of distances and averaging times, and the corresponding cancer risks are discussed. Through reflection on the air quality response to the event, consideration of cancer and acute risks, and comparison to other tire fires, we recommend that all landfills with shredded tire liners plan for hazmat fire emergencies. A companion paper presents emission factors and detailed smoke characterization.

Seedling emergence response of rare arable plants to soil tillage varies by species.

PubMed

Torra, Joel; Recasens, Jordi; Royo-Esnal, Aritz

2018-01-01

Very little information is available on emergence of rare arable plants (RAP) in relation to soil disturbance and seed burial conditions in Europe. This information is essential to design conservation and soil management strategies to prevent the decline of these species in agroecosystems. The objective of this research was to investigate the effect of soil cultivation with burial time on the emergence and seed persistence of RAP. Seeds of 30 RAP species were collected from Spanish arable fields and subjected to two tillage treatments: (a) no soil disturbance, and (b) autumnal soil disturbance down to 10 cm depth every year. The treatments simulated no-till and tilled (disking), respectively. In plots under no-till, RAP seeds were sown at 1-cm depth. In the tilled plots, seeds were sown homogeneously mixed in the top 1-10 cm of soil. The trial was established every two consecutive seasons, and each trial was maintained for two years. Annual cumulative plant emergence was calculated each year; whereas the first trial was monitored for a third year to estimate seed longevity using a persistence index. The response in emergence of the 30 RAP to annual tillage varied among species. With burial time (number of years), higher emergence was observed for seeds sown in tilled soil. This was true across all species, and with strong season effects. The persistence index was correlated with seed weight, species with bigger seeds had low persistence indices while no pattern was observed for small seeded species. Most RAP species, particularly those with high persistence, showed induction of secondary dormancy processes, highlighting the importance of tillage to promote RAP emergence, and hence, seed bank replenishment. Therefore, as time passes the absence of soil tillage may represent a driver of RAP seed bank decline for those species with secondary dormancy processes. In conclusion, it is important to design soil management strategies, such as regular tillage to promote emergence, on a species basis to preserve RAP in Europe.

Research Techniques Made Simple: High-Throughput Sequencing of the T-Cell Receptor.

PubMed

Matos, Tiago R; de Rie, Menno A; Teunissen, Marcel B M

2017-06-01

High-throughput sequencing (HTS) of the T-cell receptor (TCR) is a rapidly advancing technique that allows sensitive and accurate identification and quantification of every distinct T-cell clone present within any biological sample. The relative frequency of each individual clone within the full T-cell repertoire can also be studied. HTS is essential to expand our knowledge on the diversity of the TCR repertoire in homeostasis or under pathologic conditions, as well as to understand the kinetics of antigen-specific T-cell responses that lead to protective immunity (i.e., vaccination) or immune-related disorders (i.e., autoimmunity and cancer). HTS can be tailored for personalized medicine, having the potential to monitor individual responses to therapeutic interventions and show prognostic and diagnostic biomarkers. In this article, we briefly review the methodology, advances, and limitations of HTS of the TCR and describe emerging applications of this technique in the field of investigative dermatology. We highlight studying the pathogenesis of T cells in allergic dermatitis and the application of HTS of the TCR in diagnosing, detecting recurrence early, and monitoring responses to therapy in cutaneous T-cell lymphoma. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

44 CFR 352.26 - Arrangements for Federal response in the licensee offsite emergency response plan.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Federal response in the licensee offsite emergency response plan. Federal agencies may be called upon to assist the licensee in developing a licensee offsite emergency response plan in areas such as: (a... response in the licensee offsite emergency response plan. 352.26 Section 352.26 Emergency Management and...

MercNet: A national monitoring network to assess responses to changing mercury emissions in the United States

USGS Publications Warehouse

Schmeltz, D.; Evers, D.C.; Driscoll, C.T.; Artz, R.; Cohen, M.; Gay, D.; Haeuber, R.; Krabbenhoft, D.P.; Mason, R.; Morris, K.; Wiener, J.G.

2011-01-01

A partnership of federal and state agencies, tribes, industry, and scientists from academic research and environmental organizations is establishing a national, policy-relevant mercury monitoring network, called MercNet, to address key questions concerning changes in anthropogenic mercury emissions and deposition, associated linkages to ecosystem effects, and recovery from mercury contamination. This network would quantify mercury in the atmosphere, land, water, and biota in terrestrial, freshwater, and coastal ecosystems to provide a national scientific capability for evaluating the benefits and effectiveness of emission controls. Program development began with two workshops, convened to establish network goals, to select key indicators for monitoring, to propose a geographic network of monitoring sites, and to design a monitoring plan. MercNet relies strongly on multi-institutional partnerships to secure the capabilities and comprehensive data that are needed to develop, calibrate, and refine predictive mercury models and to guide effective management. Ongoing collaborative efforts include the: (1) development of regional multi-media databases on mercury in the Laurentian Great Lakes, northeastern United States, and eastern Canada; (2) syntheses and reporting of these data for the scientific and policy communities; and (3) evaluation of potential monitoring sites. The MercNet approach could be applied to the development of other monitoring programs, such as emerging efforts to monitor and assess global mercury emission controls. ?? 2011 Springer Science+Business Media, LLC (outside the USA).

Levee Health Monitoring With Radar Remote Sensing

NASA Astrophysics Data System (ADS)

Jones, C. E.; Bawden, G. W.; Deverel, S. J.; Dudas, J.; Hensley, S.; Yun, S.

2012-12-01

Remote sensing offers the potential to augment current levee monitoring programs by providing rapid and consistent data collection over large areas irrespective of the ground accessibility of the sites of interest, at repeat intervals that are difficult or costly to maintain with ground-based surveys, and in rapid response to emergency situations. While synthetic aperture radar (SAR) has long been used for subsidence measurements over large areas, applying this technique directly to regional levee monitoring is a new endeavor, mainly because it requires both a wide imaging swath and fine spatial resolution to resolve individual levees within the scene, a combination that has not historically been available. Application of SAR remote sensing directly to levee monitoring has only been attempted in a few pilot studies. Here we describe how SAR remote sensing can be used to assess levee conditions, such as seepage, drawing from the results of two levee studies: one of the Sacramento-San Joaquin Delta levees in California that has been ongoing since July 2009 and a second that covered the levees near Vicksburg, Mississippi, during the spring 2011 floods. These studies have both used data acquired with NASA's UAVSAR L-band synthetic aperture radar, which has the spatial resolution needed for this application (1.7 m single-look), sufficiently wide imaging swath (22 km), and the longer wavelength (L-band, 0.238 m) required to maintain phase coherence between repeat collections over levees, an essential requirement for applying differential interferometry (DInSAR) to a time series of repeated collections for levee deformation measurement. We report the development and demonstration of new techniques that employ SAR polarimetry and differential interferometry to successfully assess levee health through the quantitative measurement of deformation on and near levees and through detection of areas experiencing seepage. The Sacramento-San Joaquin Delta levee study, which covers the entire network of more than 1100 miles of levees in the area, has used several sets of in situ data to validate the results. This type of levee health status information acquired with radar remote sensing could provide a cost-effective method to significantly improve the spatial and temporal coverage of levee systems and identify areas of concern for targeted levee maintenance, repair, and emergency response in the future. Our results show, for example, that during an emergency, when time is of the essence, SAR remote sensing offers the potential of rapidly providing levee status information that is effectively impossible to obtain over large areas using conventional monitoring, e.g., through high precision measurements of subcentimeter-scale levee movement prior to failure. The research described here was carried out in part at the Jet Propulsion Laboratory, California Institute of Technology, under a contract with the National Aeronautics and Space Administration.

Course Modules on Structural Health Monitoring with Smart Materials

ERIC Educational Resources Information Center

Shih, Hui-Ru; Walters, Wilbur L.; Zheng, Wei; Everett, Jessica

2009-01-01

Structural Health Monitoring (SHM) is an emerging technology that has multiple applications. SHM emerged from the wide field of smart structures, and it also encompasses disciplines such as structural dynamics, materials and structures, nondestructive testing, sensors and actuators, data acquisition, signal processing, and possibly much more. To…

Development of a new aerosol monitoring system and its application in Fukushima nuclear accident related aerosol radioactivity measurement at the CTBT radionuclide station in Sidney of Canada.

PubMed

Zhang, Weihua; Bean, Marc; Benotto, Mike; Cheung, Jeff; Ungar, Kurt; Ahier, Brian

2011-12-01

A high volume aerosol sampler ("Grey Owl") has been designed and developed at the Radiation Protection Bureau, Health Canada. Its design guidance is based on the need for a low operational cost and reliable sampler to provide daily aerosol monitoring samples that can be used as reference samples for radiological studies. It has been developed to provide a constant air flow rate at low pressure drops (∼3 kPa for a day sampling) with variations of less than ±1% of the full scale flow rate. Its energy consumption is only about 1.5 kW for a filter sampling over 22,000 standard cubic meter of air. It has been demonstrated in this Fukushima nuclear accident related aerosol radioactivity monitoring study at Sidney station, B.C. that the sampler is robust and reliable. The results provided by the new monitoring system have been used to support decision-making in Canada during an emergency response. Copyright © 2011 Elsevier Ltd. All rights reserved.

The impact of thunderstorm asthma on emergency department attendances across London during July 2013.

PubMed

Elliot, A J; Hughes, H E; Hughes, T C; Locker, T E; Brown, R; Sarran, C; Clewlow, Y; Murray, V; Bone, A; Catchpole, M; McCloskey, B; Smith, G E

2014-08-01

This study illustrates the potential of using emergency department attendance data, routinely accessed as part of a national syndromic surveillance system, to monitor the impact of thunderstorm asthma. The Emergency Department Syndromic Surveillance System (EDSSS) routinely monitors anonymised attendance data on a daily basis across a sentinel network of 35 emergency departments. Attendance data for asthma, wheeze and difficulty breathing are analysed on a daily basis. A statistically significant spike in asthma attendances in two EDSSS emergency departments in London was detected on 23 July 2013, coinciding with a series of large violent thunderstorms across southern England. There was also an increase in the reported severity of these attendances. This preliminary report illustrates the potential of the EDSSS to monitor the impact of thunderstorms on emergency department asthma attendances. Further work will focus on how this system can be used to quantify the impact on emergency departments, thus potentially improving resource planning and also adding to the thunderstorm asthma evidence-base. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Emergency Response Health Physics

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

Mena, RaJah; Pemberton, Wendy; Beal, William

2012-05-01

Health physics is an important discipline with regard to understanding the effects of radiation on human health; however, there are major differences between health physics for research or occupational safety and health physics during a large-scale radiological emergency. The deployment of a U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA) monitoring and assessment team to Japan in the wake of the March 2011 accident at Fukushima Daiichi Nuclear Power Plant yielded a wealth of lessons on these difference. Critical teams (CMOC (Consequence Management Outside the Continental U.S.) and CMHT (Consequence Management Home Team) ) worked together to collect, compile, review,more » and analyze radiological data from Japan to support the response needs of and answer questions from the Government of Japan, the U.S. military in Japan, the U.S. Embassy and U.S. citizens in Japan, and U.S. citizens in America. This paper addresses the unique challenges presented to the health physicist or analyst of radiological data in a large-scale emergency. A key lesson learned was that public perception and the availability of technology with social media requires a diligent effort to keep the public informed of the science behind the decisions in a manner that is meaningful to them.« less

Lessons Learned from Influenza A(H1N1)pdm09 Pandemic Response in Thailand

PubMed Central

Sawanpanyalert, Pathom; Hanchoworakul, Wanna; Sawanpanyalert, Narumol; Maloney, Susan A.; Brown, Richard Clive; Birmingham, Maureen Elizabeth; Chusuttiwat, Supamit

2012-01-01

In 2009, Thailand experienced rapid spread of the pandemic influenza A(H1N1)pdm09 virus. The national response came under intense public scrutiny as the number of confirmed cases and associated deaths increased. Thus, during July–December 2009, the Ministry of Public Health and the World Health Organization jointly reviewed the response efforts. The review found that the actions taken were largely appropriate and proportionate to need. However, areas needing improvement were surveillance, laboratory capacity, hospital infection control and surge capacity, coordination and monitoring of guidelines for clinical management and nonpharmaceutical interventions, risk communications, and addressing vulnerabilities of non-Thai displaced and migrant populations. The experience in Thailand may be applicable to other countries and settings, and the lessons learned may help strengthen responses to other pandemics or comparable prolonged public health emergencies. PMID:22709628

Longitudinal expandable shelter for medical response during disasters.

PubMed

Miniati, Roberto; Dori, Fabrizio; Iadanza, Ernesto; Lo Sardo, Marco; Boncinelli, Sergio

2010-01-01

During medical emergencies, hospitals represent the final point of the whole rescue process. Therefore, effective health mobile structures have to be inserted between hospitals and the place of the event with the aim of giving the best of cures (using appropriate and easy to use equipment) for a safer and faster evacuation to hospitals. Literature review and national and international disaster medicine standards were the basis for this study to provide clinical, hygienical, and organizational needs to satisfy for the medical structure design. Project requirements have been obtained by analyzing structural, organizational, and clinical process necessities. Structural requirements respond to the possibility of installation on every ground type, resistance to every weather condition, and necessity of easy and fast transportation. Technological equipment is obtained from clinical evaluation for patient stabilization. The designed structure results to be a longitudinal expandable shelter (LES) for medical emergencies response organized in three internal functional areas. Possibility of automatic expandability allows rapid transportation and easy deployment. The functional internal organization provides three areas: "Diagnostic," "Therapeutic," and "Pre-evacuation monitoring." Further, longitudinal expandability supports the basic hygienical rules in healthcare processes allowing the unidirectional flow of casualties from dirtier to cleaner areas of the structure. LES represents the answer to expressed requisites by disaster medicine standards and guidelines. It aims to provide an efficient and effective support for sanitary aid in response to disasters or emergencies, by improving aspects related to effectiveness, hygiene, and quality of clinical performances especially for highest critical cases.

Technical note: Simultaneous fully dynamic characterization of multiple input–output relationships in climate models

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

Kravitz, Ben; MacMartin, Douglas G.; Rasch, Philip J.

We introduce system identification techniques to climate science wherein multiple dynamic input–output relationships can be simultaneously characterized in a single simulation. This method, involving multiple small perturbations (in space and time) of an input field while monitoring output fields to quantify responses, allows for identification of different timescales of climate response to forcing without substantially pushing the climate far away from a steady state. We use this technique to determine the steady-state responses of low cloud fraction and latent heat flux to heating perturbations over 22 regions spanning Earth's oceans. We show that the response characteristics are similar to thosemore » of step-change simulations, but in this new method the responses for 22 regions can be characterized simultaneously. Moreover, we can estimate the timescale over which the steady-state response emerges. The proposed methodology could be useful for a wide variety of purposes in climate science, including characterization of teleconnections and uncertainty quantification to identify the effects of climate model tuning parameters.« less

Technical note: Simultaneous fully dynamic characterization of multiple input–output relationships in climate models

DOE PAGES

Kravitz, Ben; MacMartin, Douglas G.; Rasch, Philip J.; ...

2017-02-17

We introduce system identification techniques to climate science wherein multiple dynamic input–output relationships can be simultaneously characterized in a single simulation. This method, involving multiple small perturbations (in space and time) of an input field while monitoring output fields to quantify responses, allows for identification of different timescales of climate response to forcing without substantially pushing the climate far away from a steady state. We use this technique to determine the steady-state responses of low cloud fraction and latent heat flux to heating perturbations over 22 regions spanning Earth's oceans. We show that the response characteristics are similar to thosemore » of step-change simulations, but in this new method the responses for 22 regions can be characterized simultaneously. Moreover, we can estimate the timescale over which the steady-state response emerges. The proposed methodology could be useful for a wide variety of purposes in climate science, including characterization of teleconnections and uncertainty quantification to identify the effects of climate model tuning parameters.« less

Evaluation of targeted and untargeted effects-based monitoring tools to assess impacts of contaminants of emerging concern on fish in the South Platte River, CO.

PubMed

Ekman, Drew R; Keteles, Kristen; Beihoffer, Jon; Cavallin, Jenna E; Dahlin, Kenneth; Davis, John M; Jastrow, Aaron; Lazorchak, James M; Mills, Marc A; Murphy, Mark; Nguyen, David; Vajda, Alan M; Villeneuve, Daniel L; Winkelman, Dana L; Collette, Timothy W

2018-08-01

Rivers in the arid Western United States face increasing influences from anthropogenic contaminants due to population growth, urbanization, and drought. To better understand and more effectively track the impacts of these contaminants, biologically-based monitoring tools are increasingly being used to complement routine chemical monitoring. This study was initiated to assess the ability of both targeted and untargeted biologically-based monitoring tools to discriminate impacts of two adjacent wastewater treatment plants (WWTPs) on Colorado's South Platte River. A cell-based estrogen assay (in vitro, targeted) determined that water samples collected downstream of the larger of the two WWTPs displayed considerable estrogenic activity in its two separate effluent streams. Hepatic vitellogenin mRNA expression (in vivo, targeted) and NMR-based metabolomic analyses (in vivo, untargeted) from caged male fathead minnows also suggested estrogenic activity downstream of the larger WWTP, but detected significant differences in responses from its two effluent streams. The metabolomic results suggested that these differences were associated with oxidative stress levels. Finally, partial least squares regression was used to explore linkages between the metabolomics responses and the chemical contaminants that were detected at the sites. This analysis, along with univariate statistical approaches, identified significant covariance between the biological endpoints and estrone concentrations, suggesting the importance of this contaminant and recommending increased focus on its presence in the environment. These results underscore the benefits of a combined targeted and untargeted biologically-based monitoring strategy when used alongside contaminant monitoring to more effectively assess ecological impacts of exposures to complex mixtures in surface waters. Published by Elsevier Ltd.

Hanford Site ground-water monitoring for 1993

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

Dresel, P.E.; Luttrell, S.P.; Evans, J.C.

This report presents the results of the Ground-Water Surveillance Project monitoring for calendar year 1993 on the Hanford Site, Washington. Hanford Site operations from 1943 onward produced large quantities of radiological and chemical waste that have impacted ground-water quality on the Site. Monitoring of water levels and ground-water chemistry is performed to track the extent of contamination and trends in contaminant concentrations. The 1993 monitoring was also designed to identify emerging ground-water quality problems. The information obtained is used to verify compliance with applicable environmental regulations and to evaluate remedial actions. Data from other monitoring and characterization programs were incorporatedmore » to provide an integrated assessment of Site ground-water quality. Additional characterization of the Site`s geologic setting and hydrology was performed to support the interpretation of contaminant distributions. Numerical modeling of sitewide ground-water flow also supported the overall project goals. Water-level monitoring was performed to evaluate ground-water flow directions, to track changes in water levels, and to relate such changes to changes in site disposal practices. Water levels over most of the Hanford Site continued to decline between June 1992 and June 1993. The greatest declines occurred in the 200-West Area. These declines are part of the continued response to the cessation of discharge to U Pond and other disposal facilities. The low permeability in this area which enhanced mounding of waste-water discharge has also slowed the response to the reduction of disposal. Water levels remained nearly constant in the vicinity of B Pond, as a result of continued disposal to the pond. Water levels measured from wells in the unconfined aquifer north and east of the Columbia River indicate that the primary source of recharge is irrigation practices.« less

Fluorescent Sensors Based on Aggregation-Induced Emission: Recent Advances and Perspectives.

PubMed

Gao, Meng; Tang, Ben Zhong

2017-10-27

Fluorescent sensors with advantages of excellent sensitivity, rapid response, and easy operation are emerging as powerful tools in environmental monitoring, biological research, and disease diagnosis. However, conventional fluorophores featured with π-planar structures usually suffer from serious self-quenching in the aggregated state, poor photostability, and small Stokes' shift. In contrast to conventional aggregation-caused quenching (ACQ) fluorophores, the newly emerged aggregation-induced emission fluorogens (AIEgens) are featured with high emission efficiency in the aggregated state, which provide unique opportunities for various sensing applications with advantages of high signal-to-noise ratio, strong photostability, and large Stokes' shift. In this review, we will first briefly give an introduction of the AIE concept and the turn-on sensing principles. Then, we will discuss the recent examples of AIE sensors according to types of analytes. Finally, we will give a perspective on the future developments of AIE sensors. We hope this review will inspire more endeavors to devote to this emerging world.

Monitoring inflammation (including fever) in acute brain injury.

PubMed

Provencio, J Javier; Badjatia, Neeraj

2014-12-01

Inflammation is an important part of the normal physiologic response to acute brain injury (ABI). How inflammation is manifest determines if it augments or hinders the resolution of ABI. Monitoring body temperature, the cellular arm of the inflammatory cascade, and inflammatory proteins may help guide therapy. This summary will address the utility of inflammation monitoring in brain-injured adults. An electronic literature search was conducted for English language articles describing the testing, utility, and optimal methods to measure inflammation in ABI. Ninety-four articles were included in this review. Current evidence suggests that control of inflammation after ABI may hold promise for advances in good outcomes. However, our understanding of how much inflammation is good and how much is deleterious is not yet clear. Several important concepts emerge form our review. First, while continuous temperature monitoring of core body temperature is recommended, temperature pattern alone is not useful in distinguishing infectious from noninfectious fever. Second, when targeted temperature management is used, shivering should be monitored at least hourly. Finally, white blood cell levels and protein markers of inflammation may have a limited role in distinguishing infectious from noninfectious fever. Our understanding of optimal use of inflammation monitoring after ABI is limited currently but is an area of active investigation.

SU-E-T-571: Newly Emerging Integrated Transmission Detector Systems Provide Online Quality Assurance of External Beam Radiation Therapy

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

Hoffman, D; Chung, E; Hess, C

2015-06-15

Purpose: Two newly emerging transmission detectors positioned upstream from the patient have been evaluated for online quality assurance of external beam radiotherapy. The prototype for the Integral Quality Monitor (IQM), developed by iRT Systems GmbH (Koblenz, Germany) is a large-area ion chamber mounted on the linac accessory tray to monitor photon fluence, energy, beam shape, and gantry position during treatment. The ion chamber utilizes a thickness gradient which records variable response dependent on beam position. The prototype of Delta4 Discover™, developed by ScandiDos (Uppsala, Sweden) is a linac accessory tray mounted 4040 diode array that measures photon fluence during patientmore » treatment. Both systems are employable for patient specific QA prior to treatment delivery. Methods: Our institution evaluated the reproducibility of measurements using various beam types, including VMAT treatment plans with both the IQM ion chamber and the Delta4 Discover diode array. Additionally, the IQM’s effect on photon fluence, dose response, simulated beam error detection, and the accuracy of the integrated barometer, thermometer, and inclinometer were characterized. The evaluated photon beam errors are based on the annual tolerances specified in AAPM TG-142. Results: Repeated VMAT treatments were measured with 0.16% reproducibility by the IQM and 0.55% reproducibility by the Delta4 Discover. The IQM attenuated 6, 10, and 15 MV photon beams by 5.43±0.02%, 4.60±0.02%, and 4.21±0.03% respectively. Photon beam profiles were affected <1.5% in the non-penumbra regions. The IQM’s ion chamber’s dose response was linear and the thermometer, barometer, and inclinometer agreed with other calibrated devices. The device detected variations in monitor units delivered (1%), field position (3mm), single MLC leaf positions (13mm), and photon energy. Conclusion: We have characterized two new transmissions detector systems designed to provide in-vivo like measurements upstream from the patient. Both systems demonstrate substantial utility for online treatment verification and QA of photon external beam radiotherapy.« less

Optical satellite data volcano monitoring: a multi-sensor rapid response system

USGS Publications Warehouse

Duda, Kenneth A.; Ramsey, Michael; Wessels, Rick L.; Dehn, Jonathan

2009-01-01

In this chapter, the use of satellite remote sensing to monitor active geological processes is described. Specifically, threats posed by volcanic eruptions are briefly outlined, and essential monitoring requirements are discussed. As an application example, a collaborative, multi-agency operational volcano monitoring system in the north Pacific is highlighted with a focus on the 2007 eruption of Kliuchevskoi volcano, Russia. The data from this system have been used since 2004 to detect the onset of volcanic activity, support the emergency response to large eruptions, and assess the volcanic products produced following the eruption. The overall utility of such integrative assessments is also summarized. The work described in this chapter was originally funded through two National Aeronautics and Space Administration (NASA) Earth System Science research grants that focused on the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) instrument. A skilled team of volcanologists, geologists, satellite tasking experts, satellite ground system experts, system engineers and software developers collaborated to accomplish the objectives. The first project, Automation of the ASTER Emergency Data Acquisition Protocol for Scientific Analysis, Disaster Monitoring, and Preparedness, established the original collaborative research and monitoring program between the University of Pittsburgh (UP), the Alaska Volcano Observatory (AVO), the NASA Land Processes Distributed Active Archive Center (LP DAAC) at the U.S. Geological Survey (USGS) Earth Resources Observation and Science (EROS) Center, and affiliates on the ASTER Science Team at the Jet Propulsion Laboratory (JPL) as well as associates at the Earth Remote Sensing Data Analysis Center (ERSDAC) in Japan. This grant, completed in 2008, also allowed for detailed volcanic analyses and data validation during three separate summer field campaigns to Kamchatka Russia. The second project, Expansion and synergistic use of the ASTER Urgent Request Protocol (URP) for natural disaster monitoring and scientific analysis, has expanded the project to other volcanoes around the world and is in progress through 2011. The focus on ASTER data is due to the suitability of the sensor for natural disaster monitoring and the availability of data. The instrument has several unique facets that make it especially attractive for volcanic observations (Ramsey and Dehn, 2004). Specifically, ASTER routinely collects data at night, it has the ability to generate digital elevation models using stereo imaging, it can collect data in various gain states to minimize data saturation, it has a cross-track pointing capability for faster targeting, and it collects data up to ±85° latitude for better global coverage. As with any optical imaging-based remote sensing, the viewing conditions can negatively impact the data quality. This impact varies across the optical and thermal infrared wavelengths as well as being a function of the specific atmospheric window within a given wavelength region. Water vapor and cloud formation can obscure surface data in the visible and near infrared (VNIR)/shortwave infrared (SWIR) region due mainly to non-selective scattering of the incident photons. In the longer wavelengths of the thermal infrared (TIR), scattering is less of an issue, but heavy cloud cover can still obscure the ground due to atmospheric absorption. Thin clouds can be optically-transparent in the VNIR and TIR regions, but can cause errors in the extracted surface reflectance or derived surface temperatures. In regions prone to heavy cloud cover, optical remote sensing can be improved through increased temporal resolution. As more images are acquired in a given time period the chances of a clear image improve dramatically. The Advanced Very High Resolution Radiometer (AVHRR) routine monitoring, which commonly collects 4-6 images per day of any north Pacific volcano, takes advantage of this fact. The rapid response program described in this chapter also improves the temporal resolution of the ASTER instrument. ASTER has been acquiring images of volcanic eruptions since soon after its launch in December 1999. An early example included the observations of the large pyroclastic flow deposit emplaced at Bezymianny volcano in Kamchatka, Russia. The first images in March 2000, just weeks after the eruption, revealed the extent, composition, and cooling history of this large deposit and of the active lava dome (Ramsey and Dehn, 2004). The initial results from these early datasets spurred interest in using ASTER data for expanded volcano monitoring in the north Pacific. It also gave rise to the multi-year NASA-funded programs of rapid response scheduling and imaging throughout the Aleutian, Kamchatka and Kurile arcs. Since the formal establishment of the programs, the data have provided detailed descriptions of the eruptions of Augustine, Bezymianny, Kliuchevskoi and Sheveluch volcanoes over the past nine years (Wessels et al., in press; Carter et al., 2007, 2008; Ramsey et al., 2008; Rose and Ramsey, 2009). The initial research focus of this rapid response program was specifically on automating the ASTER sensor’s ability for targeted observational scheduling using the expedited data system. This urgent request protocol is one of the unique characteristics of ASTER. It provides a limited number of emergency observations, typically at a much-improved temporal resolution and quicker turnaround with data processing in the United States rather than in Japan. This can speed the reception of the processed data by several days to a week. The ongoing multi-agency research and operational collaboration has been highly successful. AVO serves as the primary source for status information on volcanic activity, working closely with the National Weather Service (NWS), Federal Aviation Administration (FAA), military and other state and federal emergency services. Collaboration with the Russian Institute of Volcanology and Seismology (IVS)/Kamchatka Volcanic Eruption Response Team (KVERT) is also maintained. Once a volcano is identified as having increased thermal output, ASTER is automatically tasked and the volcano is targeted at the next available opportunity. After the data are acquired, scientists at all the agencies have access to the images, with the primary science analysis carried out at the University of Pittsburgh and AVO. Results are disseminated to the responsible monitoring agencies and the global community through e-mail mailing lists.

Health monitoring of offshore structures using wireless sensor network: experimental investigations

NASA Astrophysics Data System (ADS)

Chandrasekaran, Srinivasan; Chitambaram, Thailammai

2016-04-01

This paper presents a detailed methodology of deploying wireless sensor network in offshore structures for structural health monitoring (SHM). Traditional SHM is carried out by visual inspections and wired systems, which are complicated and requires larger installation space to deploy while decommissioning is a tedious process. Wireless sensor networks can enhance the art of health monitoring with deployment of scalable and dense sensor network, which consumes lesser space and lower power consumption. Proposed methodology is mainly focused to determine the status of serviceability of large floating platforms under environmental loads using wireless sensors. Data acquired by the servers will analyze the data for their exceedance with respect to the threshold values. On failure, SHM architecture will trigger an alarm or an early warning in the form of alert messages to alert the engineer-in-charge on board; emergency response plans can then be subsequently activated, which shall minimize the risk involved apart from mitigating economic losses occurring from the accidents. In the present study, wired and wireless sensors are installed in the experimental model and the structural response, acquired is compared. The wireless system comprises of Raspberry pi board, which is programmed to transmit the acquired data to the server using Wi-Fi adapter. Data is then hosted in the webpage for further post-processing, as desired.

Technical guidelines for the implementation of the Advanced National Seismic System

USGS Publications Warehouse

Committee, ANSS Technical Integration

2002-01-01

The Advanced National Seismic System (ANSS) is a major national initiative led by the US Geological Survey that serves the needs of the earthquake monitoring, engineering, and research communities as well as national, state, and local governments, emergency response organizations, and the general public. Legislation authorizing the ANSS was passed in 2000, and low levels of funding for planning and initial purchases of new seismic instrumentation have been appropriated beginning in FY2000. When fully operational, the ANSS will be an advanced monitoring system (modern digital seismographs and accelerographs, communications networks, data collection and processing centers, and well-trained personnel) distributed across the United States that operates with high performance standards, gathers critical technical data, and effectively provides timely and reliable earthquake products, information, and services to meet the Nation’s needs. The ANSS will automatically broadcast timely and authoritative products describing the occurrence of earthquakes, earthquake source properties, the distribution of ground shaking, and, where feasible, broadcast early warnings and alerts for the onset of strong ground shaking. Most importantly, the ANSS will provide earthquake data, derived products, and information to the public, emergency responders, officials, engineers, educators, researchers, and other ANSS partners rapidly and in forms that are useful for their needs.

MONITORING OF WATERWAYS FOR EMERGING ...

EPA Pesticide Factsheets

Assessing the potential impact to the aquatic environment from emerging contaminants, entails monitoring a complex mixture (pharmaceuticals, polar pesticides, industrial by- products and degradation products) in natural waters. The presence of these chemicals, often at ultra-trace levels, may be responsible for development of sub-lethal toxic effects in aquatic organisms (i.e., reproductive dysfunction, immune dysfunction, neurological disorders). Conventional sampling techniques (i.e., grab sampling) often are insufficient for detecting these trace levels. An integrative sampler, the Polar Organic Chemical Integrative Sampler (POCIS), developed by the USGS Columbia Environmental Research Center, provided a way to measure the time-weighted average concentrations of these complex mixtures of contaminants. When POCIS was combined with liquid chromatography/mass spectrometry (LC/MS), it proved to be a powerful tool in identification and quantification of polar anthropogenic contaminants. Data from a pilot study showed the antibiotic azithromycin, illicit drugs [methamphetamine and MDMA (Ecstasy)], polyfluorinated organic acids (PFOA and PFOS) (essential ingredients in the manufacture of fluoropolymers), and surfactants [i.e., diethanolamine polyethylene glycols (DAPGs), polyethylene glycols (PEGs), and nonylphenol ethoxylates (NPEOs)] were all present in the extracts from the effluents of three wastewater treatment plants and other bodies of natural waters. Althoug

Detecting emergence, growth, and senescence of wetland vegetation with polarimetric synthetic aperture radar (SAR) data

USGS Publications Warehouse

Gallant, Alisa L.; Kaya, Shannon G.; White, Lori; Brisco, Brian; Roth, Mark F.; Sadinski, Walter J.; Rover, Jennifer

2014-01-01

Wetlands provide ecosystem goods and services vitally important to humans. Land managers and policymakers working to conserve wetlands require regularly updated information on the statuses of wetlands across the landscape. However, wetlands are challenging to map remotely with high accuracy and consistency. We investigated the use of multitemporal polarimetric synthetic aperture radar (SAR) data acquired with Canada’s Radarsat-2 system to track within-season changes in wetland vegetation and surface water. We speculated, a priori, how temporal and morphological traits of different types of wetland vegetation should respond over a growing season with respect to four energy-scattering mechanisms. We used ground-based monitoring data and other ancillary information to assess the limits and consistency of the SAR data for tracking seasonal changes in wetlands. We found the traits of different types of vertical emergent wetland vegetation were detected well with the SAR data and corresponded with our anticipated backscatter responses. We also found using data from Landsat’s optical/infrared sensors in conjunction with SAR data helped remove confusion of wetland features with upland grasslands. These results suggest SAR data can provide useful monitoring information on the statuses of wetlands over time.

Medical and health surveillance in postaccident recovery: experience after Fukushima.

PubMed

Tanigawa, K

2018-01-01

The accident at Fukushima Daiichi nuclear power plant occurred following the huge tsunami and earthquake of 11 March 2011. After the accident, there was considerable uncertainty and concern about the health effects of radiation. In this difficult situation, emergency responses, including large-scale evacuation, were implemented. The Fukushima Health Management Survey (FHMS) was initiated 3 months after the accident. The primary purposes of FHMS were to monitor the long-term health of residents, promote their well-being, and monitor any health effects related to long-term, low-dose radiation exposure. Despite the severity of the Fukushima accident and the huge impact of the natural disaster, radiation exposure of the public was very low. However, there were other serious health problems, including deaths during evacuation, increased mortality among displaced elderly people, mental health and lifestyle-related health problems, and social issues after the accident. The Nuclear Emergency Situations - Improvement of Medical and Health Surveillance (SHAMISEN) project, funded by the Open Project For European Radiation Research Area, aimed to develop recommendations for medical and health surveillance of populations affected by previous and future radiation accidents. This paper briefly introduces the points that have been learned from the Fukushima accident from the perspective of SHAMISEN recommendations.

A statistically rigorous sampling design to integrate avian monitoring and management within Bird Conservation Regions.

PubMed

Pavlacky, David C; Lukacs, Paul M; Blakesley, Jennifer A; Skorkowsky, Robert C; Klute, David S; Hahn, Beth A; Dreitz, Victoria J; George, T Luke; Hanni, David J

2017-01-01

Monitoring is an essential component of wildlife management and conservation. However, the usefulness of monitoring data is often undermined by the lack of 1) coordination across organizations and regions, 2) meaningful management and conservation objectives, and 3) rigorous sampling designs. Although many improvements to avian monitoring have been discussed, the recommendations have been slow to emerge in large-scale programs. We introduce the Integrated Monitoring in Bird Conservation Regions (IMBCR) program designed to overcome the above limitations. Our objectives are to outline the development of a statistically defensible sampling design to increase the value of large-scale monitoring data and provide example applications to demonstrate the ability of the design to meet multiple conservation and management objectives. We outline the sampling process for the IMBCR program with a focus on the Badlands and Prairies Bird Conservation Region (BCR 17). We provide two examples for the Brewer's sparrow (Spizella breweri) in BCR 17 demonstrating the ability of the design to 1) determine hierarchical population responses to landscape change and 2) estimate hierarchical habitat relationships to predict the response of the Brewer's sparrow to conservation efforts at multiple spatial scales. The collaboration across organizations and regions provided economy of scale by leveraging a common data platform over large spatial scales to promote the efficient use of monitoring resources. We designed the IMBCR program to address the information needs and core conservation and management objectives of the participating partner organizations. Although it has been argued that probabilistic sampling designs are not practical for large-scale monitoring, the IMBCR program provides a precedent for implementing a statistically defensible sampling design from local to bioregional scales. We demonstrate that integrating conservation and management objectives with rigorous statistical design and analyses ensures reliable knowledge about bird populations that is relevant and integral to bird conservation at multiple scales.

A statistically rigorous sampling design to integrate avian monitoring and management within Bird Conservation Regions

PubMed Central

Hahn, Beth A.; Dreitz, Victoria J.; George, T. Luke

2017-01-01

Monitoring is an essential component of wildlife management and conservation. However, the usefulness of monitoring data is often undermined by the lack of 1) coordination across organizations and regions, 2) meaningful management and conservation objectives, and 3) rigorous sampling designs. Although many improvements to avian monitoring have been discussed, the recommendations have been slow to emerge in large-scale programs. We introduce the Integrated Monitoring in Bird Conservation Regions (IMBCR) program designed to overcome the above limitations. Our objectives are to outline the development of a statistically defensible sampling design to increase the value of large-scale monitoring data and provide example applications to demonstrate the ability of the design to meet multiple conservation and management objectives. We outline the sampling process for the IMBCR program with a focus on the Badlands and Prairies Bird Conservation Region (BCR 17). We provide two examples for the Brewer’s sparrow (Spizella breweri) in BCR 17 demonstrating the ability of the design to 1) determine hierarchical population responses to landscape change and 2) estimate hierarchical habitat relationships to predict the response of the Brewer’s sparrow to conservation efforts at multiple spatial scales. The collaboration across organizations and regions provided economy of scale by leveraging a common data platform over large spatial scales to promote the efficient use of monitoring resources. We designed the IMBCR program to address the information needs and core conservation and management objectives of the participating partner organizations. Although it has been argued that probabilistic sampling designs are not practical for large-scale monitoring, the IMBCR program provides a precedent for implementing a statistically defensible sampling design from local to bioregional scales. We demonstrate that integrating conservation and management objectives with rigorous statistical design and analyses ensures reliable knowledge about bird populations that is relevant and integral to bird conservation at multiple scales. PMID:29065128

How do emergency physicians interpret prescription narcotic history when assessing patients presenting to the emergency department with pain?

PubMed

Grover, Casey A; Garmel, Gus M

2012-01-01

Narcotics are frequently prescribed in the Emergency Department (ED) and are increasingly abused. Prescription monitoring programs affect prescribing by Emergency Physicians (EPs), yet little is known on how EPs interpret prescription records. To assess how EPs interpret prescription narcotic history for patients in the ED with painful conditions. DESIGN/MAIN Outcome Measures: We created an anonymous survey of EPs consisting of fictitious cases of patients presenting to the ED with back pain. For each case, we provided a prescription history that varied in the number of narcotic prescriptions, prescribing physicians, and narcotic potency. Respondents rated how likely they thought each patient was drug seeking, and how likely they thought that the prescription history would change their prescribing behavior. We calculated κ values to evaluate interobserver reliability of physician assessment of drug-seeking behavior. We collected 59 responses (response rate = 70%). Respondents most suspected drug seeking in patients with greater than 6 prescriptions per month or greater than 6 prescribing physicians in 2 months. Medication potency did not affect physician interpretation of drug seeking. Respondents reported that access to a prescription history would change their prescribing practice in all cases. κ values for assessment of drug seeking demonstrated moderate agreement. A greater number of prescriptions and a greater number of prescribing physicians in the prescription record increased suspicion for drug seeking. EPs believed that access to prescription history would change their prescribing behavior, yet interobserver reliability in the assessment of drug seeking was moderate.

The Department of Defense at the Forefront of a Global Health Emergency Response: Lessons Learned from the Ebola Outbreak.

PubMed

Diehl, Glendon; Bradstreet, Nicole; Monahan, Felicia

2016-01-01

Tasked with analyzing the effectiveness of the Department of Defense's (DoD's) global health engagements, the Uniformed Services University of the Health Sciences (USU) used the Measures Of Effectiveness in Defense Engagement and Learning (MODEL) study to conduct a qualitative analysis of the DoD's response efforts to the Ebola pandemic in West Africa. The research aims to summarize the findings of studies that monitor and evaluate the DoD's response to the Ebola pandemic or compare the effectiveness of different DoD response activities; it further aims to identify common themes around positive and negative lessons learned and recommendations that can be applied to future DoD humanitarian assistance and disaster response efforts. The search included documents and observations from PubMed, Disaster Lit: Resource Guide for Disaster Medicine and Public Health, the Joint Lessons Learned Information System, the DoD and US Africa Command websites, and Google Scholar. The records selected from the search were analyzed to provide insights on the DoD's humanitarian assistance and disaster response engagements that could be employed to inform future operations and policy. Furthermore, the research identifies strengths and gaps in military capabilities to respond to disasters, which can be used to inform future training and education courses. Overall, the findings demonstrate the importance of monitoring, evaluating, and assessing disaster response activities and provide new evidence to support the implementation of activities, in accordance with the Global Health Security Agenda, to strengthen all-threat prevention, detection, and response capabilities worldwide.

On the rapid and efficient divulgation of monitoring results in landslide emergency scenarios

NASA Astrophysics Data System (ADS)

Giordan, Daniele; Allasia, Paolo; Manconi, Andrea; Bertolo, Davide

2014-05-01

In last decades, the availability of several technological systems to monitor different physical parameters that can be used to control a landslide evolution recorded an exponential growth. In particular, surficial and deep-seated displacements of an instable area, as well as meteorological or hydrological parameters can be nowadays acquired with high spatial and temporal resolutions. As a consequence, the application of complex monitoring systems produces large amounts of data. While this can be considered an important progress in the field of landslide monitoring applications, the availability of large volumes of high resolution and multiparametric information implies important challenges. In this context, two main criticalities are: i) the integrated management of dataset produced by different monitoring systems and ii) the correct divulgation of monitoring results. In this work, we present the results of a real case-study relevant to a complex emergency scenario, i.e. the Mont de La Saxe landslide, a large rockslide (with an estimated volume or more than 8 million of cubic meters) that threatens La Palud and Entrèves hamlets in the Courmayeur municipality (Aosta Valley, Italy). We developed a web-based system based on the ADVICE algorithm (Allasia et al., 2013) in order to manage several data sources. The system collects, analyzes and publishes the results obtained by monitoring instrumentations in near-real-time at each new measurement cycle. Moreover, by collecting all the data in an unique web-based platform reduces the problems of compatibility amongst different monitoring systems, which usually rely on customized software for the data processing, delaying the comparative analysis comparison amongst different data sources. This is indeed a crucial task for decision makers, in particular during the emergency phases. In addition, by using the developed web-based platform we aimed at coping with another important task, often not considered and/or underestimated, relevant to the landslide monitoring results, i.e. the divulgation. Starting from the analysis of different landslide scenarios, we identified and classified people belonging to emergency management teams into several categories according to their role, the level of knowledge of landslides, and/or of monitoring systems. Our aim is to define standards to share the monitoring results, in order to disseminate the information about the recent evolution of the landslide, as well as the level of criticality, within all the people involved (scientists, technicians, civil protection operators, decision makers, politicians, press, population). This task is particularly critical during the emergency phases, when a correct understanding of the situation is (in particular for the population) the first step for a successful emergency management. References: Allasia, P.; Manconi, A.; Giordan, D.; Baldo, M.; Lollino, G. ADVICE: A New Approach for Near-Real-Time Monitoring of Surface Displacements in Landslide Hazard Scenarios. Sensors 2013, 13, 8285-8302.

Examination of Emerging Adults' Emotional Autonomy and Parental Monitoring under Varying Living Arrangements

ERIC Educational Resources Information Center

Fozio-Thielk, Lisa

2016-01-01

The current trends of increasing community college enrollments and large numbers of emerging adults living with their parents suggest the need to examine patterns of adjustment and competence, in particular, emotional autonomy during college years. However, there has been little research focus on the role of extended parental monitoring on…

Traffic-Light-Preemption Vehicle-Transponder Software Module

NASA Technical Reports Server (NTRS)

Bachelder, Aaron; Foster, Conrad

2005-01-01

A prototype wireless data-communication and control system automatically modifies the switching of traffic lights to give priority to emergency vehicles. The system, which was reported in several NASA Tech Briefs articles at earlier stages of development, includes a transponder on each emergency vehicle, a monitoring and control unit (an intersection controller) at each intersection equipped with traffic lights, and a central monitoring subsystem. An essential component of the system is a software module executed by a microcontroller in each transponder. This module integrates and broadcasts data on the position, velocity, acceleration, and emergency status of the vehicle. The position, velocity, and acceleration data are derived partly from the Global Positioning System, partly from deductive reckoning, and partly from a diagnostic computer aboard the vehicle. The software module also monitors similar broadcasts from other vehicles and from intersection controllers, informs the driver of which intersections it controls, and generates visible and audible alerts to inform the driver of any other emergency vehicles that are close enough to create a potential hazard. The execution of the software module can be monitored remotely and the module can be upgraded remotely and, hence, automatically

Online monitoring of seismic damage in water distribution systems

NASA Astrophysics Data System (ADS)

Liang, Jianwen; Xiao, Di; Zhao, Xinhua; Zhang, Hongwei

2004-07-01

It is shown that water distribution systems can be damaged by earthquakes, and the seismic damages cannot easily be located, especially immediately after the events. Earthquake experiences show that accurate and quick location of seismic damage is critical to emergency response of water distribution systems. This paper develops a methodology to locate seismic damage -- multiple breaks in a water distribution system by monitoring water pressure online at limited positions in the water distribution system. For the purpose of online monitoring, supervisory control and data acquisition (SCADA) technology can well be used. A neural network-based inverse analysis method is constructed for locating the seismic damage based on the variation of water pressure. The neural network is trained by using analytically simulated data from the water distribution system, and validated by using a set of data that have never been used in the training. It is found that the methodology provides an effective and practical way in which seismic damage in a water distribution system can be accurately and quickly located.

Check and Report Ebola (CARE) Hotline: The User Perspective of an Innovative Tool for Postarrival Monitoring of Ebola in the United States.

PubMed

McCarthy, Ilana Olin; Wojno, Abbey E; Joseph, Heather A; Teesdale, Scott

2017-11-14

The response to the 2014-2016 Ebola epidemic included an unprecedented effort from federal, state, and local public health authorities to monitor the health of travelers entering the United States from countries with Ebola outbreaks. The Check and Report Ebola (CARE) Hotline, a novel approach to monitoring, was designed to enable travelers to report their health status daily to an interactive voice recognition (IVR) system. The system was tested with 70 Centers for Disease Control and Prevention (CDC) federal employees returning from deployments in outbreak countries. The objective of this study was to describe the development of the CARE Hotline as a tool for postarrival monitoring and examine the usage characteristics and user experience of the tool during a public health emergency. Data were obtained from two sources. First, the CARE Hotline system produced a call log which summarized the usage characteristics of all 70 users' daily health reports. Second, we surveyed federal employees (n=70) who used the CARE Hotline to engage in monitoring. A total of 21 (21/70, 30%) respondents were included in the survey analytic sample. While the CARE Hotline was used for monitoring, 70 users completed a total of 1313 calls. We found that 94.06% (1235/1313) of calls were successful, and the average call time significantly decreased from the beginning of the monitoring period to the end by 32 seconds (Z score=-6.52, P<.001). CARE Hotline call log data were confirmed by user feedback; survey results indicated that users became more familiar with the system and found the system easier to use, from the beginning to the end of their monitoring period. The majority of the users were highly satisfied (90%, 19/21) with the system, indicating ease of use and convenience as primary reasons, and would recommend it for future monitoring efforts (90%, 19/21). The CARE Hotline garnered high user satisfaction, required minimal reporting time from users, and was an easily learned tool for monitoring. This phone-based technology can be modified for future public health emergencies. ©Ilana Olin McCarthy, Abbey E Wojno, Heather A Joseph, Scott Teesdale. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 14.11.2017.

Emerging ocular biomarkers of Alzheimer disease.

PubMed

van Wijngaarden, Peter; Hadoux, Xavier; Alwan, Mostafa; Keel, Stuart; Dirani, Mohamed

2017-01-01

Interest in reliable biomarkers of Alzheimer disease, the leading cause of dementia, has been fuelled by challenges in diagnosing the disease and monitoring disease progression as well as the response to therapy. A range of ocular manifestations of Alzheimer disease, including retinal and lens amyloid-beta accumulation, retinal nerve fiber layer loss, and retinal vascular changes, have been proposed as potential biomarkers of the disease. Herein, we examine the evidence regarding the potential value of these ocular biomarkers of Alzheimer disease. © 2016 Royal Australian and New Zealand College of Ophthalmologists.

Turbo FRMAC 2016 v. 7.3.0

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

Madrid, Gregory J.; Whitener, Dustin Heath; Folz, Wesley

2017-05-27

The Turbo FRMAC (TF) software program is the software implementation of the science and methodologies utilized in the Federal Radiological Monitoring and Assessment Center (FRMAC). The software automates the calculations described in volumes 1 of "The Federal Manual for Assessing Environmental Data during a Radiological Emergency" (2015 version). In the event of the intentional or accidental release of radioactive material, the software is used to guide and govern the response of the Federal, State, Local, and Tribal governments. The manual, upon which the software is based, is unclassified and freely available on the Internet.

ARPA/NRL X-Ray Laser Program - Semiannual Technical Report to Defense Advanced Research Projects Agency

DTIC Science & Technology

1975-03-01

10 J. The beam divergence was 8 mrad. A beam splitter and an S-l response photodlode were used to monitor the laser pulse signal shape and the...laser beams on a cylinder [231] to compress a material to the necessary inversion density will be plagued by the non -uniform gain that these focused...of 30 psec and a good beam divergence can emerge after the non -linear stages as a 1773, 1182, or 887 k pulse still possessing good beam quality

Turbo FRMAC 2018

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

Fulton, John; Gallagher, Linda; Gonzales, Alejandro

The Turbo FRMAC (TF) software program is the software implementation of the science and methodologies utilized in the Federal Radiological Monitoring and Assessment Center (FRMAC). The software automates the calculations described in volumes 1 of "The Federal Manual for Assessing Environmental Data during a Radiological Emergency" (2015 version). In the event of the intentional or accidental release of radioactive material, the software is used to guide and govern the response of the Federal, State, Local, and Tribal governments. The manual, upon which the software is based, is unclassified and freely available on the Internet.

Turbo FRMAC 2016 Version 7.1.0

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

Fulton, John; Gallagher, Linda K.; Madrid, Gregory J.

2016-08-01

The Turbo FRMAC (TF) software program is the software implementation of the science and methodologies utilized in the Federal Radiological Monitoring and Assessment Center (FRMAC). The software automates the calculations described in volumes 1 of "The Federal Manual for Assessing Environmental Data during a Radiological Emergency" (2015 version). In the event of the intentional or accidental release of radioactive material, the software is used to guide and govern the response of the Federal, State, Local, and Tribal governments. The manual, upon which the software is based, is unclassified and freely available on the Internet.

Turbo FRMAC 2016 v. 7.2.0

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

Madrid, Gregory J.; Whitener, Dustin Heath; Folz, Wesley

2017-02-27

The Turbo FRMAC (TF) software program is the software implementation of the science and methodologies utilized in the Federal Radiological Monitoring and Assessment Center (FRMAC). The software automates the calculations described in volumes 1 of "The Federal Manual for Assessing Environmental Data during a Radiological Emergency" (2015 version). In the event of the intentional or accidental release of radioactive material, the software is used to guide and govern the response of the Federal, State, Local, and Tribal governments. The manual, upon which the software is based, is unclassified and freely available on the Internet.

Biophoton distress flares signal the onset of the hypersensitive reaction.

PubMed

Mansfield, John W

2005-07-01

Detection of biophoton emission, a natural bioluminescence, has emerged as a non-destructive method to mark the onset of the hypersensitive resistance reaction in Arabidopsis, bean and tomato. Rapid biophoton emission in Arabidopsis requires an intact R-gene signalling network and increased levels of cytosolic calcium and nitric oxide. The burst of biophotons precedes macroscopic symptoms by several hours and its timing is characteristic for specific gene-for-gene interactions. The ability to monitor biophoton emission from whole plants in real time should allow detailed dissection of plant defence responses.

Genetic discrimination: international perspectives.

PubMed

Otlowski, M; Taylor, S; Bombard, Y

2012-01-01

Genetic discrimination (GD) is a complex, multifaceted ethical, psychosocial, and legal phenomenon. It is defined as the differential treatment of asymptomatic individuals or their relatives on the basis of their real or assumed genetic characteristics. This article presents an overview of GD within the contemporary international context. It describes the concept of GD and its contextual features, reviews research evidence regarding people's experiences of GD and the impact of GD within a range of domains, and provides an overview of legal and policy responses to GD that have emerged globally. We argue that GD is a significant and internationally established phenomenon that requires multilevel responses to ensure social justice and equitable outcomes for all citizens. Future research should monitor GD and its impacts within the community as well as institutions and should evaluate the effectiveness of legislative, policy, community education, and systemic responses.

Web-Based Real-Time Emergency Monitoring

NASA Technical Reports Server (NTRS)

Harvey, Craig A.; Lawhead, Joel

2007-01-01

The Web-based Real-Time Asset Monitoring (RAM) module for emergency operations and facility management enables emergency personnel in federal agencies and local and state governments to monitor and analyze data in the event of a natural disaster or other crisis that threatens a large number of people and property. The software can manage many disparate sources of data within a facility, city, or county. It was developed on industry-standard Geo- Spatial software and is compliant with open GIS standards. RAM View can function as a standalone system, or as an integrated plugin module to Emergency Operations Center (EOC) software suites such as REACT (Real-time Emergency Action Coordination Tool), thus ensuring the widest possible distribution among potential users. RAM has the ability to monitor various data sources, including streaming data. Many disparate systems are included in the initial suite of supported hardware systems, such as mobile GPS units, ambient measurements of temperature, moisture and chemical agents, flow meters, air quality, asset location, and meteorological conditions. RAM View displays real-time data streams such as gauge heights from the U.S. Geological Survey gauging stations, flood crests from the National Weather Service, and meteorological data from numerous sources. Data points are clearly visible on the map interface, and attributes as specified in the user requirements can be viewed and queried.

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

Not Available

The Southern States Energy Board (SSEB) is an interstate compact organization that serves 16 states and the commonwealth of Puerto Rico with information and analysis in energy and environmental matters. Nuclear waste management is a topic that has garnered considerable attention in the SSEB region in the last several years. Since 1985, SSEB has received support from the US Department of Energy for the regional analysis of high-level radioactive waste transportation issues. In the performance of its work in this area, SSEB formed the Advisory Committee on High-Level Radioactive Materials Transportation, which comprises representatives from impacted states and tribes. SSEBmore » meets with the committee semi-annually to provide issue updates to members and to solicit their views on activities impacting their respective states. Among the waste transportation issues considered by SSEB and the committee are shipment routing, the impacts of monitored retrievable storage, state liability in the event of an accident and emergency preparedness and response. This document addresses the latter by describing the radiological emergency response training courses and programs of the southern states, as well as federal courses available outside the southern region.« less

Effects of divided attention and operating room noise on perception of pulse oximeter pitch changes: a laboratory study.

PubMed

Stevenson, Ryan A; Schlesinger, Joseph J; Wallace, Mark T

2013-02-01

Anesthesiology requires performing visually oriented procedures while monitoring auditory information about a patient's vital signs. A concern in operating room environments is the amount of competing information and the effects that divided attention has on patient monitoring, such as detecting auditory changes in arterial oxygen saturation via pulse oximetry. The authors measured the impact of visual attentional load and auditory background noise on the ability of anesthesia residents to monitor the pulse oximeter auditory display in a laboratory setting. Accuracies and response times were recorded reflecting anesthesiologists' abilities to detect changes in oxygen saturation across three levels of visual attention in quiet and with noise. Results show that visual attentional load substantially affects the ability to detect changes in oxygen saturation concentrations conveyed by auditory cues signaling 99 and 98% saturation. These effects are compounded by auditory noise, up to a 17% decline in performance. These deficits are seen in the ability to accurately detect a change in oxygen saturation and in speed of response. Most anesthesia accidents are initiated by small errors that cascade into serious events. Lack of monitor vigilance and inattention are two of the more commonly cited factors. Reducing such errors is thus a priority for improving patient safety. Specifically, efforts to reduce distractors and decrease background noise should be considered during induction and emergence, periods of especially high risk, when anesthesiologists has to attend to many tasks and are thus susceptible to error.

The fetal heart rate collaborative practice project: situational awareness in electronic fetal monitoring-a Kaiser Permanente Perinatal Patient Safety Program Initiative.

PubMed

MacEachin, S Rachel; Lopez, Connie M; Powell, Kimberly J; Corbett, Nancy L

2009-01-01

Electronic fetal monitoring has historically been interpreted with wide variation between and within disciplines on the obstetric healthcare team. This leads to inconsistent decision making in response to tracing interpretation. To implement a multidisciplinary electronic fetal monitoring training program, utilizing the best evidence available, enabling standardization of fetal heart rate interpretation to promote patient safety. Local multidisciplinary expertise along with an outside consultant collaborated over a series of meetings to create a multimedia instructional electronic fetal monitoring training program. After production was complete, a series of conferences attended by nurses, certified nurse midwives, and physician champions, from each hospital, attended to learn how to facilitate training at their own perinatal units. All healthcare personnel across the Kaiser Permanente perinatal program were trained in NICHD nomenclature, emergency response, interpretation guidelines, and how to create local collaborative practice agreements. Metrics for program effectiveness were measured through program evaluations from attendees, the Safety Attitudes Questionnaire. Program evaluations rendered very positive scores from both physicians and clinicians. Comparing baseline to 4 years later, the perception of safety from the staff has increased over 10% in 5 out of the 6 factors analyzed. Active participation from all disciplines in this training series has highlighted the importance of teamwork and communication. The Fetal Heart Rate Collaborative Practice Project continues to evolve utilizing other educational modalities, such as online EFM education and unit-based interdisciplinary tracing reviews.

'Desa SIAGA', the 'Alert Village': the evolution of an iconic brand in Indonesian public health strategies.

PubMed

Hill, Peter S; Goeman, Lieve; Sofiarini, Rahmi; Djara, Maddi M

2014-07-01

In 1999, the Ministry of Women's Empowerment in Indonesia worked with advertisers in Jakarta and international technical advisors to develop the concept of 'Suami SIAGA', the 'Alert Husband', confronting Indonesian males with their responsibilities to be aware of their wives' needs and ensure early access if needed to trained obstetrics care. The model was rapidly expanded to apply to the 'Desa SIAGA', the 'Alert Village', with communities assuming the responsibility for awareness of the risks of pregnancy and childbirth, and supporting registered pregnant mothers with funding and transportation for emergency obstetric assistance, and identified blood donors. Based on the participant observation, interviews and documentary analysis, this article uses a systems perspective to trace the evolution of that iconic 'brand' as new national and international actors further developed the concept and its application in provincial and national programmes. In 2010, it underwent a further transformation to become 'Desa Siaga Aktif', a national programme with responsibilities expanded to include the provision of basic health services at village level, and the surveillance of communicable disease, monitoring of lifestyle activities and disaster preparedness, in addition to the management of obstetric emergencies. By tracking the use of this single 'brand', the study provides insights into the complex adaptive system of policy and programme development with its rich interactions between multiple international, national, provincial and sectoral stakeholders, the unpredictable responses to feedback from these actors and their activities and the resultant emergence of new policy elements, new programmes and new levels of operation within the system. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

Implications for earthquake risk reduction in the United States from the Kocaeli, Turkey, earthquake of August 17, 1999

USGS Publications Warehouse

,

2000-01-01

This report documents implications for earthquake risk reduction in the U.S. The magnitude 7.4 earthquake caused 17,127 deaths, 43,953 injuries, and displaced more than 250,000 people from their homes. The report warns that similar disasters are possible in the United States where earthquakes of comparable size strike the heart of American urban areas. Another concern described in the report is the delayed emergency response that was caused by the inadequate seismic monitoring system in Turkey, a problem that contrasts sharply with rapid assessment and response to the September Chi-Chi earthquake in Taiwan. Additionally, the experience in Turkey suggests that techniques for forecasting earthquakes may be improving.

[Vecuronium in dystrophia myotonica (Curschmann-Steinert)].

PubMed

Wruck, G; Tryba, M

1989-05-01

An emergency laparotomy was performed in a 31-year-old female (body wt 48 kg) with known myotonic dystrophy. Premedication with dantrolene (1 mg/kg i.v.) was used to prevent a myotonic response. Muscle relaxation was monitored electromyographically. Following induction with fentanyl (0.3 mg) and thiopental (200 mg), muscle relaxation was achieved with 2 mg vecuronium titrated for about 3 min until the T1-response was reduced to 10%. The recovery time was normal. A repetitive dose of 0.5 mg vecuronium was necessary after 20 min, when the T1 reached 60%. Extubation and the early postoperative period were uneventful. Because of the unknown predisposition of our patient for the development of malignant hyperthermia, anesthesia was performed with trigger-free anesthetics.

Search and rescue response to a large-scale rockfall disaster.

PubMed

Procter, Emily; Strapazzon, Giacomo; Balkenhol, Karla; Fop, Ernst; Faggionato, Alessandro; Mayr, Karl; Falk, Markus; Brugger, Hermann

2015-03-01

To describe the prehospital management and safety of search and rescue (SAR) teams involved in a large-scale rockfall disaster and monitor the acute and chronic health effects on personnel with severe dolomitic dust exposure. SAR personnel underwent on-site medical screening and lung function testing 3 months and 3 years after the event. The emergency dispatch center was responsible for central coordination of resources. One hundred fifty SAR members from multidisciplinary air- and ground-based teams as well as geotechnical experts were dispatched to a provisionary operation center. Acute exposure to dolomite dust with detectable silicon and magnesium concentrations was not associated with (sub)acute or chronic sequelae or a clinically significant impairment in lung function in exposed personnel. The risk for personnel involved in mountain SAR operations is rarely reported and not easily investigated or quantified. This case exemplifies the importance of a multiskilled team and additional considerations for prehospital management during natural hazard events. Safety plans should include compulsory protective measures and medical monitoring of personnel. Copyright © 2015 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

T-Cell response profiling to biological threat agents including the SARS coronavirus.

PubMed

Gioia, C; Horejsh, D; Agrati, C; Martini, F; Capobianchi, M R; Ippolito, G; Poccia, F

2005-01-01

The emergence of pathogens such as SARS and the increased threat of bioterrorism has stimulated the development of novel diagnostic assays for differential diagnosis. Rather than focusing on the detection of an individual pathogen component, we have developed a T cell profiling system to monitor responses to the pathogens in an array format. Using a matrix of antigens specific for different pathogens, a specific T cell profile was generated for each individual by monitoring the intracellular production of interferon-gamma by flow cytometry. This assay allows for the testing of multiple proteins or peptides at a single time and provides a quantitative and phenotypic assessment of CD4(+) and CD8(+) responding cells. We present profiling examples for several positive individuals, including those vaccinated with the smallpox and anthrax vaccines. We also show antigen optimization for the SARS-hCoV, as studies revealed that these proteins contain peptides which cross-react with more common coronaviruses, a cause of the common cold. The T cell array is an early and sensitive multiplex measure of active infection, exposure to a pathogen, or effective, recent vaccination.

A Semantic Sensor Web for Environmental Decision Support Applications

PubMed Central

Gray, Alasdair J. G.; Sadler, Jason; Kit, Oles; Kyzirakos, Kostis; Karpathiotakis, Manos; Calbimonte, Jean-Paul; Page, Kevin; García-Castro, Raúl; Frazer, Alex; Galpin, Ixent; Fernandes, Alvaro A. A.; Paton, Norman W.; Corcho, Oscar; Koubarakis, Manolis; De Roure, David; Martinez, Kirk; Gómez-Pérez, Asunción

2011-01-01

Sensing devices are increasingly being deployed to monitor the physical world around us. One class of application for which sensor data is pertinent is environmental decision support systems, e.g., flood emergency response. For these applications, the sensor readings need to be put in context by integrating them with other sources of data about the surrounding environment. Traditional systems for predicting and detecting floods rely on methods that need significant human resources. In this paper we describe a semantic sensor web architecture for integrating multiple heterogeneous datasets, including live and historic sensor data, databases, and map layers. The architecture provides mechanisms for discovering datasets, defining integrated views over them, continuously receiving data in real-time, and visualising on screen and interacting with the data. Our approach makes extensive use of web service standards for querying and accessing data, and semantic technologies to discover and integrate datasets. We demonstrate the use of our semantic sensor web architecture in the context of a flood response planning web application that uses data from sensor networks monitoring the sea-state around the coast of England. PMID:22164110

Satellite and Aerial Remote Sensing in Support of Disaster Response Operations Conducted by the Texas Division of Emergency Management

NASA Astrophysics Data System (ADS)

Wells, G. L.; Tapley, B. D.; Bettadpur, S. V.; Howard, T.; Porter, B.; Smith, S.; Teng, L.; Tapley, C.

2014-12-01

The effective use of remote sensing products as guidance to emergency managers and first responders during field operations requires close coordination and communication with state-level decision makers, incident commanders and the leaders of individual strike teams. Information must be tailored to meet the needs of different emergency support functions and must contain current (ideally near real-time) data delivered in standard formats in time to influence decisions made under rapidly changing conditions. Since 2003, a representative of the University of Texas Center for Space Research (CSR) has served as a member of the Governor's Emergency Management Council and has directed the flow of information from remote sensing observations and high performance computing modeling and simulations to the Texas Division of Emergency Management in the State Operations Center. The CSR team has supported response and recovery missions resulting from hurricanes, tornadoes, flash floods, wildfires, oil spills and other natural and man-made disasters in Texas and surrounding states. Through web mapping services, state emergency managers and field teams have received threat model forecasts, real-time vehicle tracking displays and imagery to support search-and-clear operations before hurricane landfall, search-and-rescue missions following floods, tactical wildfire suppression, pollution monitoring and hazardous materials detection. Data servers provide near real-time satellite imagery collected by CSR's direct broadcast receiving system and post data products delivered during activations of the United Nations International Charter on Space and Major Disasters. In the aftermath of large-scale events, CSR is charged with tasking state aviation resources, including the Air National Guard and Texas Civil Air Patrol, to acquire geolocated aerial photography of the affected region for wide area damage assessment. A data archive for each disaster is available online for years following the event to assist forensic studies and local plans for recovery. The use of portable devices, including commodity smartphones and tablets, will soon permit even more responsive data delivery during future disasters through the expansion of wireless Public Safety Broadband (FirstNet) targeted to serve first responders.

KSC-2013-4384

NASA Image and Video Library

2013-12-13

CAPE CANAVERAL, Fla. – At a training location near Launch Complex 39 at NASA’s Kennedy Space Center in Florida, members of the Emergency Response Team, or ERT, participate in specialized training simulations in order to keep their skills current. They are wearing full protective gear and carrying non-lethal firearms, which are denoted in blue, for the training exercises. The ERT training supervisor, wearing a bright green vest, monitors the training exercise and reviews procedures. Recently, eight members of the ERT competed in the 31st Annual SWAT Roundup International competition in Orlando, Fla., and received recognition by placing in the top five overall. In keeping with NASA’s commitment to safety and security of workforce and assets, the ERT is part of Kennedy’s security team and is trained to respond in the event of an emergency at the center. Photo credit: NASA/Daniel Casper

KSC-2013-4385

NASA Image and Video Library

2013-12-13

CAPE CANAVERAL, Fla. – At a training location near Launch Complex 39 at NASA’s Kennedy Space Center in Florida, members of the Emergency Response Team, or ERT, participate in specialized training simulations in order to keep their skills current. They are wearing full protective gear and carrying non-lethal firearms, which are denoted in blue, for the training exercises. The ERT training supervisor, wearing a bright green vest, monitors the training exercise and reviews procedures. Recently, eight members of the ERT competed in the 31st Annual SWAT Roundup International competition in Orlando, Fla., and received recognition by placing in the top five overall. In keeping with NASA’s commitment to safety and security of workforce and assets, the ERT is part of Kennedy’s security team and is trained to respond in the event of an emergency at the center. Photo credit: NASA/Daniel Casper

Next-generation air measurement technologies | Science ...

EPA Pesticide Factsheets

This is a presentation at a workshop in Chicago on emerging air monitoring technologies, hosted by a local nonprofit. The audience is composed of a mixture of technical backgrounds. This presentation will be part of an opening panel and the goal is to give an overview of the state of science on emerging air sensor technology. This is a presentation at a workshop in Chicago on emerging air monitoring technologies, hosted by a local nonprofit. The audience is composed of a mixture of technical backgrounds. This presentation will be part of an opening panel and the goal is to give an overview of the state of science on emerging air sensor technology.

Quarterly report on Defense Nuclear Facilities Safety Board Recommendation 90-7 for the period ending December 31, 1992

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

Cash, R.J.; Dukelow, G.T.; Forbes, C.J.

1993-03-01

This is the seventh quarterly report on the progress of activities addressing safety issues associated with Hanford Site high-level radioactive waste tanks that contain ferrocyanide compounds. In the presence of oxidizing materials, such as nitrates or nitrites, ferrocyanide can be made to explode in the laboratory by heating it to high temperatures [above 285{degrees}C (545{degrees}F)]. In the mid 1950s approximately 140 metric tons of ferrocyanide were added to 24 underground high-level radioactive waste tanks. An implementation plan (Cash 1991) responding to the Defense Nuclear Facilities Safety Board Recommendation 90-7 (FR 1990) was issued in March 1991 describing the activities thatmore » were planned and underway to address each of the six parts of Recommendation 90-7. A revision to the original plan was transmitted to US Department of Energy by Westinghouse Hanford Company in December 1992. Milestones completed this quarter are described in this report. Contents of this report include: Introduction; Defense Nuclear Facilities Safety Board Implementation Plan Task Activities (Defense Nuclear Facilities Safety Board Recommendation for enhanced temperature measurement, Recommendation for continuous temperature monitoring, Recommendation for cover gas monitoring, Recommendation for ferrocyanide waste characterization, Recommendation for chemical reaction studies, and Recommendation for emergency response planning); Schedules; and References. All actions recommended by the Defense Nuclear Facilities Safety Board for emergency planning by Hanford Site emergency preparedness organizations have been completed.« less

Current ecological understanding of fungal-like pathogens of fish: what lies beneath?

PubMed Central

Gozlan, Rodolphe E.; Marshall, Wyth L.; Lilje, Osu; Jessop, Casey N.; Gleason, Frank H.; Andreou, Demetra

2014-01-01

Despite increasingly sophisticated microbiological techniques, and long after the first discovery of microbes, basic knowledge is still lacking to fully appreciate the ecological importance of microbial parasites in fish. This is likely due to the nature of their habitats as many species of fish suffer from living beneath turbid water away from easy recording. However, fishes represent key ecosystem services for millions of people around the world and the absence of a functional ecological understanding of viruses, prokaryotes, and small eukaryotes in the maintenance of fish populations and of their diversity represents an inherent barrier to aquatic conservation and food security. Among recent emerging infectious diseases responsible for severe population declines in plant and animal taxa, fungal and fungal-like microbes have emerged as significant contributors. Here, we review the current knowledge gaps of fungal and fungal-like parasites and pathogens in fish and put them into an ecological perspective with direct implications for the monitoring of fungal fish pathogens in the wild, their phylogeography as well as their associated ecological impact on fish populations. With increasing fish movement around the world for farming, releases into the wild for sport fishing and human-driven habitat changes, it is expected, along with improved environmental monitoring of fungal and fungal-like infections, that the full extent of the impact of these pathogens on wild fish populations will soon emerge as a major threat to freshwater biodiversity. PMID:24600442

Social Mobilization and Community Engagement Central to the Ebola Response in West Africa: Lessons for Future Public Health Emergencies

PubMed Central

Gillespie, Amaya M; Obregon, Rafael; El Asawi, Rania; Richey, Catherine; Manoncourt, Erma; Joshi, Kshiitij; Naqvi, Savita; Pouye, Ade; Safi, Naqibullah; Chitnis, Ketan; Quereshi, Sabeeha

2016-01-01

ABSTRACT Following the World Health Organization (WHO) declaration of a Public Health Emergency of International Concern regarding the Ebola outbreak in West Africa in July 2014, UNICEF was asked to co-lead, in coordination with WHO and the ministries of health of affected countries, the communication and social mobilization component—which UNICEF refers to as communication for development (C4D)—of the Ebola response. For the first time in an emergency setting, C4D was formally incorporated into each country's national response, alongside more typical components such as supplies and logistics, surveillance, and clinical care. This article describes the lessons learned about social mobilization and community engagement in the emergency response to the Ebola outbreak, with a particular focus on UNICEF's C4D work in Guinea, Liberia, and Sierra Leone. The lessons emerged through an assessment conducted by UNICEF using 4 methods: a literature review of key documents, meeting reports, and other articles; structured discussions conducted in June 2015 and October 2015 with UNICEF and civil society experts; an electronic survey, launched in October and November 2015, with staff from government, the UN, or any partner organization who worked on Ebola (N = 53); and key informant interviews (N = 5). After triangulating the findings from all data sources, we distilled lessons under 7 major domains: (1) strategy and decentralization: develop a comprehensive C4D strategy with communities at the center and decentralized programming to facilitate flexibility and adaptation to the local context; (2) coordination: establish C4D leadership with the necessary authority to coordinate between partners and enforce use of standard operating procedures as a central coordination and quality assurance tool; (3) entering and engaging communities: invest in key communication channels (such as radio) and trusted local community members; (4) messaging: adapt messages and strategies continually as patterns of the epidemic change over time; (5) partnerships: invest in strategic partnerships with community, religious leaders, journalists, radio stations, and partner organizations; (6) capacity building: support a network of local and international professionals with capacity for C4D who can be deployed rapidly; (7) data and performance monitoring: establish clear C4D process and impact indicators and strive for real-time data analysis and rapid feedback to communities and authorities to inform decision making. Ultimately, communication, community engagement, and social mobilization need to be formally placed within the global humanitarian response architecture with proper funding to effectively support future public health emergencies, which are as much a social as a health phenomenon. PMID:28031301

Social Mobilization and Community Engagement Central to the Ebola Response in West Africa: Lessons for Future Public Health Emergencies.

PubMed

Gillespie, Amaya M; Obregon, Rafael; El Asawi, Rania; Richey, Catherine; Manoncourt, Erma; Joshi, Kshiitij; Naqvi, Savita; Pouye, Ade; Safi, Naqibullah; Chitnis, Ketan; Quereshi, Sabeeha

2016-12-23

Following the World Health Organization (WHO) declaration of a Public Health Emergency of International Concern regarding the Ebola outbreak in West Africa in July 2014, UNICEF was asked to co-lead, in coordination with WHO and the ministries of health of affected countries, the communication and social mobilization component-which UNICEF refers to as communication for development (C4D)-of the Ebola response. For the first time in an emergency setting, C4D was formally incorporated into each country's national response, alongside more typical components such as supplies and logistics, surveillance, and clinical care. This article describes the lessons learned about social mobilization and community engagement in the emergency response to the Ebola outbreak, with a particular focus on UNICEF's C4D work in Guinea, Liberia, and Sierra Leone. The lessons emerged through an assessment conducted by UNICEF using 4 methods: a literature review of key documents, meeting reports, and other articles; structured discussions conducted in June 2015 and October 2015 with UNICEF and civil society experts; an electronic survey, launched in October and November 2015, with staff from government, the UN, or any partner organization who worked on Ebola (N = 53); and key informant interviews (N = 5). After triangulating the findings from all data sources, we distilled lessons under 7 major domains: (1) strategy and decentralization: develop a comprehensive C4D strategy with communities at the center and decentralized programming to facilitate flexibility and adaptation to the local context; (2) coordination: establish C4D leadership with the necessary authority to coordinate between partners and enforce use of standard operating procedures as a central coordination and quality assurance tool; (3) entering and engaging communities: invest in key communication channels (such as radio) and trusted local community members; (4) messaging: adapt messages and strategies continually as patterns of the epidemic change over time; (5) partnerships: invest in strategic partnerships with community, religious leaders, journalists, radio stations, and partner organizations; (6) capacity building: support a network of local and international professionals with capacity for C4D who can be deployed rapidly; (7) data and performance monitoring: establish clear C4D process and impact indicators and strive for real-time data analysis and rapid feedback to communities and authorities to inform decision making. Ultimately, communication, community engagement, and social mobilization need to be formally placed within the global humanitarian response architecture with proper funding to effectively support future public health emergencies, which are as much a social as a health phenomenon. © Gillespie et al.

Online Monitoring Technical Basis and Analysis Framework for Emergency Diesel Generators - Interim Report for FY 2013

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

Binh T. Pham; Nancy J. Lybeck; Vivek Agarwal

The Light Water Reactor Sustainability program at Idaho National Laboratory is actively conducting research to develop and demonstrate online monitoring capabilities for active components in existing nuclear power plants. Idaho National Laboratory and the Electric Power Research Institute are working jointly to implement a pilot project to apply these capabilities to emergency diesel generators and generator step-up transformers. The Electric Power Research Institute Fleet-Wide Prognostic and Health Management Software Suite will be used to implement monitoring in conjunction with utility partners: Braidwood Generating Station (owned by Exelon Corporation) for emergency diesel generators, and Shearon Harris Nuclear Generating Station (owned bymore » Duke Energy Progress) for generator step-up transformers. This report presents monitoring techniques, fault signatures, and diagnostic and prognostic models for emergency diesel generators. Emergency diesel generators provide backup power to the nuclear power plant, allowing operation of essential equipment such as pumps in the emergency core coolant system during catastrophic events, including loss of offsite power. Technical experts from Braidwood are assisting Idaho National Laboratory and Electric Power Research Institute in identifying critical faults and defining fault signatures associated with each fault. The resulting diagnostic models will be implemented in the Fleet-Wide Prognostic and Health Management Software Suite and tested using data from Braidwood. Parallel research on generator step-up transformers was summarized in an interim report during the fourth quarter of fiscal year 2012.« less

An Alternative for Emergency Preemption of Traffic Lights

NASA Technical Reports Server (NTRS)

Foster, Conrad; Bachelder, Aaron

2006-01-01

An electronic communication-and-control system has been developed as a prototype of advanced means of automatically modifying the switching of traffic lights to give priority to emergency vehicles. This system could be used alternatively or in addition to other emergency traffic-light-preemption systems, including a variety of systems now in use as well as two proposed systems described in "Systems Would Preempt Traffic Lights for Emergency Vehicles" (NPO-30573), NASA Tech Briefs, Vol. 28, No. 10 (October 2004), page 36. Unlike those prior systems that depend on detection of sounds and/or lights emitted by emergency vehicles, this system is not subject to severe range limitations. This system can be retrofitted into any pre-existing traffic-light-control system, without need to modify that system other than to make a minimal number of wire connections between the two systems. This system comprises several subsystems, including a transponder and interface circuitry on each emergency vehicle, a monitoring and control unit at each intersection equipped with traffic lights, and a wide-area two-way radio communication network that connects the emergency vehicles and intersection units. Computers in the various intersections and vehicle units run special-purpose software that implements the traffic- light-preemption scheme. The operations of the intersection and vehicle units are synchronized by use of Global Positioning System (GPS) timing signals. The transponder in each vehicle estimates its own position and velocity by use of GPS signals, deductive ("dead") reckoning, data from the onboard diagnostic (OBD) computer of the vehicle, and/or triangulation of beacon signals. When the operator of an emergency vehicle turns on its flashing lights and sirens in response to a request for an emergency response, the transponder unit goes into action, reading the OBD data to determine speed and acceleration, and reading and gathering further navigational data as described above. The position, velocity, and acceleration data are combined with vehicle-identification data in a prescribed format, and the resulting set of data is transmitted to the intersections within communication range of the transponder.

Typhoon Doksuri Flooding in 2017 - High-Resolution Inundation Mapping and Monitoring from Sentinel Satellite SAR Data

NASA Astrophysics Data System (ADS)

Nghiem, S. V.; Nguyen, D. T.

2017-12-01

In 2017, typhoons and hurricanes have inflicted catastrophic flooding across extensive regions in many countries on several continents, including Asia and North America. The U.S. Federal Emergency Management Agency (FEMA) requested urgent support for flood mapping and monitoring in an emergency response to the devastating flood situation. An innovative satellite remote sensing method, called the Depolarization Reduction Algorithm for Global Observations of inundatioN (DRAGON), has been developed and implemented for use with Sentinel synthetic aperture radar (SAR) satellite data at a resolution of 10 meters to identify, map, and monitor inundation including pre-existing water bodies and newly flooded areas. Because Sentinel SAR operates at C-band microwave frequency, it can be used for flood mapping regardless of could cover conditions typically associated with storms, and thus can provide immediate results without the need to wait for the clouds to clear out. In Southeast Asia, Typhoon Doksuri caused significant flooding across extensive regions in Vietnam and other countries in September 2017. Figure 1 presents the flood mapping result over a region around Hà Tĩnh (north central coast of Vietnam) showing flood inundated areas (in yellow) on 16 September 2017 together with pre-existing surface water (in blue) on 4 September 2017. This is just one example selected from a larger flood map covering an extensive region of about 250 km x 680 km all along the central coast of Vietnam.

Snow Cover Mapping and Ice Avalanche Monitoring from the Satellite Data of the Sentinels

NASA Astrophysics Data System (ADS)

Wang, S.; Yang, B.; Zhou, Y.; Wang, F.; Zhang, R.; Zhao, Q.

2018-04-01

In order to monitor ice avalanches efficiently under disaster emergency conditions, a snow cover mapping method based on the satellite data of the Sentinels is proposed, in which the coherence and backscattering coefficient image of Synthetic Aperture Radar (SAR) data (Sentinel-1) is combined with the atmospheric correction result of multispectral data (Sentinel-2). The coherence image of the Sentinel-1 data could be segmented by a certain threshold to map snow cover, with the water bodies extracted from the backscattering coefficient image and removed from the coherence segment result. A snow confidence map from Sentinel-2 was used to map the snow cover, in which the confidence values of the snow cover were relatively high. The method can make full use of the acquired SAR image and multispectral image under emergency conditions, and the application potential of Sentinel data in the field of snow cover mapping is exploited. The monitoring frequency can be ensured because the areas obscured by thick clouds are remedied in the monitoring results. The Kappa coefficient of the monitoring results is 0.946, and the data processing time is less than 2 h, which meet the requirements of disaster emergency monitoring.

Emerging Point-of-Care Technologies for Sickle Cell Disease Screening and Monitoring

PubMed Central

Alapan, Yunus; Fraiwan, Arwa; Kucukal, Erdem; Hasan, M. Noman; Ung, Ryan; Kim, Myeongseop; Odame, Isaac; Little, Jane A.; Gurkan, Umut A.

2016-01-01

Introduction Sickle Cell Disease (SCD) affects 100,000 Americans and more than 14 million people globally, mostly in economically disadvantaged populations, requires early diagnosis after birth and constant monitoring throughout the life-span of the patient. Areas Covered Early diagnosis of SCD still remains a challenge in preventing childhood mortality in the developing world due to requirements of skilled personnel and high-cost of currently available modalities. On the other hand, SCD monitoring presents insurmountable challenges due to heterogeneities among patient populations, as well as in the same individual longitudinally. Here, we describe emerging point-of-care micro/nano platform technologies for SCD screening and monitoring, and critically discuss current state-of-the-art, potential challenges associated with these technologies, and future directions. Expert Commentary Recently developed microtechnologies offer simple, rapid, and affordable screening of SCD and have the potential to facilitate universal screening in resource-limited settings and developing countries. On the other hand, monitoring of SCD is more complicated compared to diagnosis and requires comprehensive validation of efficacy. Early use of novel microdevices for patient monitoring might come in especially handy in new clinical trial designs of emerging therapies. PMID:27785945

Monitoring for contaminants of emerging concern in drinking water using POCIS passive samplers.

PubMed

Metcalfe, Chris; Hoque, M Ehsanul; Sultana, Tamanna; Murray, Craig; Helm, Paul; Kleywegt, Sonya

2014-03-01

Contaminants of emerging concern (CEC) have been detected in drinking water world-wide. The source of most of these compounds is generally attributed to contamination from municipal wastewater. Traditional water sampling methods (grab or composite) often require the concentration of large amounts of water in order to detect trace levels of these contaminants. The Polar Organic Compounds Integrative Sampler (POCIS) is a passive sampling technology that has been developed to concentrate trace levels of CEC to provide time-weighted average concentrations for individual compounds in water. However, few studies to date have evaluated whether POCIS is suitable for monitoring contaminants in drinking water. In this study, the POCIS was evaluated as a monitoring tool for CEC in drinking water over a period of 2 and 4 weeks with comparisons to typical grab samples. Seven "indicator compounds" which included carbamazepine, trimethoprim, sulfamethoxazole, ibuprofen, gemfibrozil, estrone and sucralose, were monitored in five drinking water treatment plants (DWTPs) in Ontario. All indicator compounds were detected in raw water samples from the POCIS in comparison to six from grab samples. Similarly, four compounds were detected in grab samples of treated drinking water, whereas six were detected in the POCIS. Sucralose was the only compound that was detected consistently at all five plants. The POCIS technique provided integrative exposures of CECs in drinking water at lower detection limits, while episodic events were captured via traditional sampling methods. There was evidence that the accumulation of target compounds by POCIS is a dynamic process, with adsorption and desorption on the sorbent occurring in response to ambient levels of the target compounds in water. CECs in treated drinking water were present at low ng L(-1) concentrations, which are not considered to be a threat to human health.

COPERNICUS - The European Union Earth Observation Programme - State of play and way ahead

NASA Astrophysics Data System (ADS)

Koch, Astrid-Christina

2015-04-01

Copernicus is the new name of the European Earth Observation Programme, GMES (Global Monitoring for Environment and Security). Copernicus or rather its predecessor was established as an EU programme. It covers all the activities for ensuring an uninterrupted provision of accurate and reliable data and information on environmental issues and security matters to users in charge of policy making, implementation and monitoring, in the EU and its Member States. Copernicus aims at providing Europe with a continuous, independent and reliable access to observation data and information. The EU investment aims at filling the observation gaps, providing access to existing assets and developing operational services. The data policy of the Copernicus programme supports an open, full and free of charge data access that is in line with the data sharing principles of the Group for Earth Observation (GEO). Copernicus is structured in six Services: Marine, Atmosphere, Land and Climate change monitoring as well as support to Emergency and Security. Copernicus uses data from satellites and in-situ sensors such as buoys, balloons or air sensors to provide timely and reliable added-value information and forecasting to support for example, agriculture and fisheries, land use and urban planning, the fight against forest fires, disaster response, maritime transport or air pollution monitoring. The need for continuing such observations is becoming critical, considering the increasing political pressure on public authorities to take informed decisions in the field of environment, security and climate change and the need to respect international agreements. Copernicus also contributes to economic stability and growth by boosting commercial applications (the so-called downstream services) in many different sectors through a full and open access to Copernicus observation data and information products. KEY WORDS: Sentinels, big data, data access, Emergency, Marine, Atmosphere.

Wearable Environmental and Physiological Sensing Unit

NASA Technical Reports Server (NTRS)

Spremo, Stevan; Ahlman, Jim; Stricker, Ed; Santos, Elmer

2007-01-01

The wearable environmental and physiological sensing unit (WEPS) is a prototype of systems to be worn by emergency workers (e.g., firefighters and members of hazardous-material response teams) to increase their level of safety. The WEPS includes sensors that measure a few key physiological and environmental parameters, a microcontroller unit that processes the digitized outputs of the sensors, and a radio transmitter that sends the processed sensor signals to a computer in a mobile command center for monitoring by a supervisor. The monitored parameters serve as real-time indications of the wearer s physical condition and level of activity, and of the degree and type of danger posed by the wearer s environment. The supervisor could use these indications to determine, for example, whether the wearer should withdraw in the face of an increasing hazard or whether the wearer should be rescued.

An integrated biomedical telemetry system for sleep monitoring employing a portable body area network of sensors (SENSATION).

PubMed

Astaras, Alexander; Arvanitidou, Marina; Chouvarda, Ioanna; Kilintzis, Vassilis; Koutkias, Vassilis; Sanchez, Eduardo Monton; Stalidis, George; Triantafyllidis, Andreas; Maglaveras, Nicos

2008-01-01

A flexible, scaleable and cost-effective medical telemetry system is described for monitoring sleep-related disorders in the home environment. The system was designed and built for real-time data acquisition and processing, allowing for additional use in intensive care unit scenarios where rapid medical response is required in case of emergency. It comprises a wearable body area network of Zigbee-compatible wireless sensors worn by the subject, a central database repository residing in the medical centre and thin client workstations located at the subject's home and in the clinician's office. The system supports heterogeneous setup configurations, involving a variety of data acquisition sensors to suit several medical applications. All telemetry data is securely transferred and stored in the central database under the clinicians' ownership and control.

Developing a new syndromic surveillance system for the London 2012 Olympic and Paralympic Games.

PubMed

Harcourt, S E; Fletcher, J; Loveridge, P; Bains, A; Morbey, R; Yeates, A; McCloskey, B; Smyth, B; Ibbotson, S; Smith, G E; Elliot, A J

2012-12-01

Syndromic surveillance is vital for monitoring public health during mass gatherings. The London 2012 Olympic and Paralympic Games represents a major challenge to health protection services and community surveillance. In response to this challenge the Health Protection Agency has developed a new syndromic surveillance system that monitors daily general practitioner out-of-hours and unscheduled care attendances. This new national system will fill a gap identified in the existing general practice-based syndromic surveillance systems by providing surveillance capability of general practice activity during evenings/nights, over weekends and public holidays. The system will complement and supplement the existing tele-health phone line, general practitioner and emergency department syndromic surveillance systems. This new national system will contribute to improving public health reassurance, especially to meet the challenges of the London 2012 Olympic and Paralympic Games.

Automatic vehicle monitoring systems study. Report of phase O. Volume 2: Problem definition and derivation of AVM system selection techniques

NASA Technical Reports Server (NTRS)

1976-01-01

A set of planning guidelines is presented to help law enforcement agencies and vehicle fleet operators decide which automatic vehicle monitoring (AVM) system could best meet their performance requirements. Improvements in emergency response times and resultant cost benefits obtainable with various operational and planned AVM systems may be synthesized and simulated by means of special computer programs for model city parameters applicable to small, medium and large urban areas. Design characteristics of various AVM systems and the implementation requirements are illustrated and cost estimated for the vehicles, the fixed sites and the base equipments. Vehicle location accuracies for different RF links and polling intervals are analyzed. Actual applications and coverage data are tabulated for seven cities whose police departments actively cooperated in the study.

Reliability-based optimization of an active vibration controller using evolutionary algorithms

NASA Astrophysics Data System (ADS)

Saraygord Afshari, Sajad; Pourtakdoust, Seid H.

2017-04-01

Many modern industrialized systems such as aircrafts, rotating turbines, satellite booms, etc. cannot perform their desired tasks accurately if their uninhibited structural vibrations are not controlled properly. Structural health monitoring and online reliability calculations are emerging new means to handle system imposed uncertainties. As stochastic forcing are unavoidable, in most engineering systems, it is often needed to take them into the account for the control design process. In this research, smart material technology is utilized for structural health monitoring and control in order to keep the system in a reliable performance range. In this regard, a reliability-based cost function is assigned for both controller gain optimization as well as sensor placement. The proposed scheme is implemented and verified for a wing section. Comparison of results for the frequency responses is considered to show potential applicability of the presented technique.

Report on the emergency response to the event on May 14, 1997, at the plutonuim reclamation facility, Hanford Site, Richland,Washington

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

Shoop, D.S.

1997-08-20

On the evening of May 14,1997, a chemical explosion Occurred at the Plutonium Reclamation Facility (PRF) in the 200 West Area(200-W) of the Hanford Site. The event warranted the declaration of an Alert emergency, activation of the Hanford Emergency Response Organization (BRO), and notification of offsite agencies. As a result of the emergency declaration, a subsequent evaluation was conducted to assess: 9 the performance of the emergency response organization o the occupational health response related to emergency activities o event notifications to offsite and environmental agencies. Additionally, the evaluation was designed to: 9 document the chronology of emergency and occupationalmore » health responses and environmental notifications connected with the explosion at the facility 0 assess the adequacy of the Hanford Site emergency preparedness activities; response readiness; and emergency management actions, occupational health, and environmental actions 0 provide an analysis of the causes of the deficiencies and weaknesses in the preparedness and response system that have been identified in the evaluation of the response a assign organizational responsibility to correct deficiencies and weaknesses a improve future performance 0 adjust elements of emergency implementing procedures and emergency preparedness activities.« less

44 CFR 352.27 - Federal role in the emergency response.

Code of Federal Regulations, 2014 CFR

2014-10-01

... response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... Federal Participation § 352.27 Federal role in the emergency response. In addition to the Federal component of the licensee offsite emergency response plan described in subpart B (§ 352.26), and after...

44 CFR 352.27 - Federal role in the emergency response.

Code of Federal Regulations, 2011 CFR

2011-10-01

... response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... Federal Participation § 352.27 Federal role in the emergency response. In addition to the Federal component of the licensee offsite emergency response plan described in subpart B (§ 352.26), and after...

44 CFR 352.27 - Federal role in the emergency response.

Code of Federal Regulations, 2013 CFR

2013-10-01

... response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... Federal Participation § 352.27 Federal role in the emergency response. In addition to the Federal component of the licensee offsite emergency response plan described in subpart B (§ 352.26), and after...

44 CFR 352.27 - Federal role in the emergency response.

Code of Federal Regulations, 2012 CFR

2012-10-01

... response. 352.27 Section 352.27 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... Federal Participation § 352.27 Federal role in the emergency response. In addition to the Federal component of the licensee offsite emergency response plan described in subpart B (§ 352.26), and after...

Integrating wireless sensor network for monitoring subsidence phenomena

NASA Astrophysics Data System (ADS)

Marturià, Jordi; Lopez, Ferran; Gigli, Giovanni; Intrieri, Emanuele; Mucchi, Lorenzo; Fornaciai, Alessandro

2016-04-01

An innovative wireless sensor network (WSN) for the 3D superficial monitoring of deformations (such as landslides and subsidence) is being developed in the frame of the Wi-GIM project (Wireless sensor network for Ground Instability Monitoring - LIFE12 ENV/IT/001033). The surface movement is detected acquiring the position (x, y and z) by integrating large bandwidth technology able to detect the 3D coordinates of the sensor with a sub-meter error, with continuous wave radar, which allows decreasing the error down to sub-cm. The Estació neighborhood in Sallent is located over the old potassium mine Enrique. This zone has been affected by a subsidence process over more than twenty years. The implementation of a wide network for ground auscultation has allowed monitoring the process of subsidence since 1997. This network consists of: i) a high-precision topographic leveling network to control the subsidence in surface; ii) a rod extensometers network to monitor subsurface deformation; iii) an automatic Leica TCA Total Station to monitor building movements; iv) an inclinometers network to measure the horizontal displacements on subsurface and v) a piezometer to measure the water level. Those networks were implemented within an alert system for an organized an efficient response of the civil protection authorities in case of an emergency. On 23rd December 2008, an acceleration of subsoil movements (of approx. 12-18 cm/year) provoked the activation of the emergency plan by the Catalan Civil Protection. This implied the preventive and scheduled evacuation of the neighbours (January 2009) located in the area with a higher risk of collapse: around 120 residents of 43 homes. As a consequence, the administration implemented a compensation plan for the evacuation of the whole neighbourhood residents and the demolition of 405 properties. In this work, the adaptation and integration process of Wi-GIM system with those conventional monitoring network are presented for its testing and evaluation. The knowledge gained in the subsidence process, complemented by the huge availability of data from existing networks constitutes a solid foundation for achieving those objectives. New monitoring points have been identified, constructed, prepared to integrate the conventional monitoring system with Wi-GIM system to build a robust system compatible with WI-GIM requirements.

Design and Implementation of Real-Time Off-Grid Detection Tool Based on FNET/GridEye

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

Guo, Jiahui; Zhang, Ye; Liu, Yilu

2014-01-01

Real-time situational awareness tools are of critical importance to power system operators, especially during emergencies. The availability of electric power has become a linchpin of most post disaster response efforts as it is the primary dependency for public and private sector services, as well as individuals. Knowledge of the scope and extent of facilities impacted, as well as the duration of their dependence on backup power, enables emergency response officials to plan for contingencies and provide better overall response. Based on real-time data acquired by Frequency Disturbance Recorders (FDRs) deployed in the North American power grid, a real-time detection methodmore » is proposed. This method monitors critical electrical loads and detects the transition of these loads from an on-grid state, where the loads are fed by the power grid to an off-grid state, where the loads are fed by an Uninterrupted Power Supply (UPS) or a backup generation system. The details of the proposed detection algorithm are presented, and some case studies and off-grid detection scenarios are also provided to verify the effectiveness and robustness. Meanwhile, the algorithm has already been implemented based on the Grid Solutions Framework (GSF) and has effectively detected several off-grid situations.« less

Taiwan's Travel and Border Health Measures in Response to Zika

PubMed Central

Ho, Li-Li; Tsai, Yu-Hui; Lee, Wang-Ping; Liao, Szu-Tsai; Wu, Li-Gin

2017-01-01

Zika virus has recently emerged as a worldwide public health concern. Travel and border health measures stand as one of the main strategies and frontline defenses in responding to international epidemics. As of October 31, 2016, Taiwan has reported 13 imported cases, 5 of which were detected through routine entry screening and active monitoring at international airports. This article shares Taiwan's disease surveillance activities at designated points of entry and travel and border health measures in response to Zika. The Taiwan government collaborates with its tourism industry to disseminate information about precautionary measures and encourages tour guides to report suspected individuals or events to activate early response measures. Taiwan also engages in vector control activities at points of entry, including targeting aircraft from countries where vector-borne diseases are endemic, implementing mosquito sweep measures, and collecting vector surveillance data. In future emerging and reemerging disease events, entry surveillance at designated points of entry may enable early detection of diseases of international origin and more rapid activation of public health preparedness activities and international collaboration. Taiwan will continue to maximize border and travel health measures in compliance with IHR (2005) requirements, which rely on continued risk assessment, practical implementation activities, and engagement with all stakeholders. PMID:28418744

The factors that affect the frequency of vital sign monitoring in the emergency department.

PubMed

Johnson, Kimberly D; Winkelman, Chris; Burant, Christopher J; Dolansky, Mary; Totten, Vicken

2014-01-01

Vital signs are an important component of the nursing assessment and are used as early warning signs of changes in a patient's condition; however, little research has been conducted to determine how often vital signs are monitored in the emergency department. Additionally, it has not been determined what personal, social, and environmental factors affect the frequency of vital sign monitoring. The purpose of this study was to examine what factors may influence the time between recording vital signs in the emergency department. We performed a descriptive, retrospective chart review of 202 randomly selected adult ED patients' charts from representative times to capture a variety of ED levels of occupancy in an urban, Midwestern, teaching hospital. Descriptive and hierarchical regression analyses were used. The strongest predictor of the increased time between vital signs from the personal health factors was lower patient acuity (Emergency Severity Index). This relationship remained strong even when social factors and environmental factors were included. Increased length of stay and fewer routes of medications also had significant relationships to the increased time between vital sign monitoring. These findings are clinically important because greater time between vital sign recordings can lead to errors of omission by not detecting changes in vital signs that could reveal changes in the patient's condition. The findings of this study provide direction for future research focusing on determining whether higher frequency of vital signs surveillance contributes to higher quality care and linking quality of care to missing vital signs/inadequate monitoring. Copyright © 2014 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.

Chemical, Biological, and Explosive Sensors for Field Measurements

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

Kevin Kyle, Manuel Manard, Stephan Weeks

Special Technologies Laboratory (STL) is developing handheld chemical, biological, and explosive (CBE) detection systems and sensor motes for wireless networked field operations. The CBE sensors are capable of detecting and identifying multiple targeted toxic industrial chemicals (TICs) and high-explosive vapor components. The CBE devices are based on differential mobility spectrometry (DMS) coupled with fast gas chromatography (GC) or mass spectrometry. The systems all include the concepts of: 1. Direct air/particulate “smart” sampling 2. Selective, continuous real-time (~1 sec) alert monitoring using DMS 3. Highly selective, rapid dual technology separation/verification analysis The biosensor technology is based on Raman aerosol particle flowmore » cytometry for target detection and identification. Monitoring and identifying trace level chemical vapors directly from ambient air will allow First Responders to quickly adapt situational response strategies and personal protective equipment needs to the specific response scenario being encountered. First Responders require great confidence in the measurements and ability of a given system to detect CBE below threshold levels without interferences. The concept of determining the background matrix in near real-time to allow subsequent automated field-programmable method selection and cueing of high-value assets in a wide range of environs will be presented. This provides CBE information for decisions prior to First Responders entering the response site or sending a portable mobile unit for a remote site survey of the hazards. The focus is on real-time information needed by those responsible for emergency response and national security.« less

40 CFR 1.47 - Office of Solid Waste and Emergency Response.

Code of Federal Regulations, 2014 CFR

2014-07-01

... the Agency's solid and hazardous wastes and emergency response programs. This Office has primary..., under the supervision of a Director, is responsible for the emergency and remedial response functions of...) Providing direction, guidance, and support to the Agency's non-enforcement emergency and remedial response...

Short-term emergency response planning and risk assessment via an integrated modeling system for nuclear power plants in complex terrain

NASA Astrophysics Data System (ADS)

Chang, Ni-Bin; Weng, Yu-Chi

2013-03-01

Short-term predictions of potential impacts from accidental release of various radionuclides at nuclear power plants are acutely needed, especially after the Fukushima accident in Japan. An integrated modeling system that provides expert services to assess the consequences of accidental or intentional releases of radioactive materials to the atmosphere has received wide attention. These scenarios can be initiated either by accident due to human, software, or mechanical failures, or from intentional acts such as sabotage and radiological dispersal devices. Stringent action might be required just minutes after the occurrence of accidental or intentional release. To fulfill the basic functions of emergency preparedness and response systems, previous studies seldom consider the suitability of air pollutant dispersion models or the connectivity between source term, dispersion, and exposure assessment models in a holistic context for decision support. Therefore, the Gaussian plume and puff models, which are only suitable for illustrating neutral air pollutants in flat terrain conditional to limited meteorological situations, are frequently used to predict the impact from accidental release of industrial sources. In situations with complex terrain or special meteorological conditions, the proposing emergency response actions might be questionable and even intractable to decisionmakers responsible for maintaining public health and environmental quality. This study is a preliminary effort to integrate the source term, dispersion, and exposure assessment models into a Spatial Decision Support System (SDSS) to tackle the complex issues for short-term emergency response planning and risk assessment at nuclear power plants. Through a series model screening procedures, we found that the diagnostic (objective) wind field model with the aid of sufficient on-site meteorological monitoring data was the most applicable model to promptly address the trend of local wind field patterns. However, most of the hazardous materials being released into the environment from nuclear power plants are not neutral pollutants, so the particle and multi-segment puff models can be regarded as the most suitable models to incorporate into the output of the diagnostic wind field model in a modern emergency preparedness and response system. The proposed SDSS illustrates the state-of-the-art system design based on the situation of complex terrain in South Taiwan. This system design of SDSS with 3-dimensional animation capability using a tailored source term model in connection with ArcView® Geographical Information System map layers and remote sensing images is useful for meeting the design goal of nuclear power plants located in complex terrain.

Importance of Survey Design for Studying the Epidemiology of Emerging Tobacco Product Use Among Youth.

PubMed

Delnevo, Cristine D; Gundersen, Daniel A; Manderski, Michelle T B; Giovenco, Daniel P; Giovino, Gary A

2017-08-15

Accurate surveillance is critical for monitoring the epidemiology of emerging tobacco products in the United States, and survey science suggests that survey response format can impact prevalence estimates. We utilized data from the 2014 New Jersey Youth Tobacco Survey (n = 3,909) to compare estimates of the prevalence of 4 behaviors (ever hookah use, current hookah use, ever e-cigarette use, and current e-cigarette use) among New Jersey high school students, as assessed using "check-all-that-apply" questions, with estimates measured by means of "forced-choice" questions. Measurement discrepancies were apparent for all 4 outcomes, with the forced-choice questions yielding prevalence estimates approximately twice those of the check-all-that-apply questions, and agreement was fair to moderate. The sensitivity of the check-all-that-apply questions, treating the forced-choice format as the "gold standard," ranged from 38.1% (current hookah use) to 58.3% (ever e-cigarette use), indicating substantial false-negative rates. These findings highlight the impact of question response format on prevalence estimates of emerging tobacco products among youth and suggest that estimates generated by means of check-all-that-apply questions may be biased downward. Alternative survey designs should be considered to avoid check-all-that-apply response formats, and researchers should use caution when interpreting tobacco use data obtained from check-all-that-apply formats. © The Author(s) 2017. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The Japanese tsunami and resulting nuclear emergency at the Fukushima Daiichi power facility: technical, radiologic, and response perspectives.

PubMed

Dauer, Lawrence T; Zanzonico, Pat; Tuttle, R Michael; Quinn, Dennis M; Strauss, H William

2011-09-01

The Fukushima Daiichi nuclear power facility, in the Futaba District of the Fukushima Prefecture in Japan, was severely damaged by the earthquake and ensuing tsunami that struck off the northern coast of the island of Honshu on March 11, 2011. The resulting structural damage to the plant disabled the reactor's cooling systems and led to significant, ongoing environmental releases of radioactivity, triggering a mandatory evacuation of a large area surrounding the plant. The status of the facility continues to change, and permanent control of its radioactive inventory has not yet been achieved. The purpose of this educational article is to summarize the short-term chronology, radiologic consequences, emergency responses, and long-term challenges associated with this event. Although there is ongoing debate on preparedness before the event and the candor of responsible entities in recognizing and disclosing its severity, it largely appears that appropriate key actions were taken by the Japanese authorities during the event that should mitigate any radiologic health impact. These actions include an organized evacuation of over 200,000 inhabitants from the vicinity of the site and areas early in the emergency; monitoring of food and water and placement of radiation limits on such foodstuffs; distribution of stable potassium iodide; and systematic scanning of evacuees. However, the risk of additional fuel damage and of further, perhaps substantial, releases persists. The situation at the Fukushima Daiichi nuclear facility remains fluid, and the long-term environmental and health impact will likely take years to fully delineate.

When does reading dirty words impede picture processing? Taboo interference with verbal and manual responses.

PubMed

Mädebach, Andreas; Markuske, Anna-Maria; Jescheniak, Jörg D

2018-05-22

Picture naming takes longer in the presence of socially inappropriate (taboo) distractor words compared with neutral distractor words. Previous studies have attributed this taboo interference effect to increased attentional capture by taboo words or verbal self-monitoring-that is, control processes scrutinizing verbal responses before articulation. In this study, we investigated the cause and locus of the taboo interference effect by contrasting three tasks that used the same target pictures, but systematically differed with respect to the processing stages involved: picture naming (requiring conceptual processing, lexical processing, and articulation), phoneme decision (requiring conceptual and lexical processing), and natural size decision (requiring conceptual processing only). We observed taboo interference in picture naming and phoneme decision. In size decision, taboo interference was not reliably observed under the same task conditions in which the effect arose in picture naming and phoneme decision, but it emerged when the difficulty of the size decision task was increased by visually degrading the target pictures. Overall, these results suggest that taboo interference cannot be exclusively attributed to verbal self-monitoring operating over articulatory responses. Instead, taboo interference appears to arise already prior to articulatory preparation, during lexical processing and-at least with sufficiently high task difficulty-during prelexical processing stages.

The Mediterranean Decision Support System for Marine Safety dedicated to oil slicks predictions

NASA Astrophysics Data System (ADS)

Zodiatis, G.; De Dominicis, M.; Perivoliotis, L.; Radhakrishnan, H.; Georgoudis, E.; Sotillo, M.; Lardner, R. W.; Krokos, G.; Bruciaferri, D.; Clementi, E.; Guarnieri, A.; Ribotti, A.; Drago, A.; Bourma, E.; Padorno, E.; Daniel, P.; Gonzalez, G.; Chazot, C.; Gouriou, V.; Kremer, X.; Sofianos, S.; Tintore, J.; Garreau, P.; Pinardi, N.; Coppini, G.; Lecci, R.; Pisano, A.; Sorgente, R.; Fazioli, L.; Soloviev, D.; Stylianou, S.; Nikolaidis, A.; Panayidou, X.; Karaolia, A.; Gauci, A.; Marcati, A.; Caiazzo, L.; Mancini, M.

2016-11-01

In the Mediterranean sea the risk from oil spill pollution is high due to the heavy traffic of merchant vessels for transporting oil and gas, especially after the recent enlargement of the Suez canal and to the increasing coastal and offshore installations related to the oil industry in general. The basic response to major oil spills includes different measures and equipment. However, in order to strengthen the maritime safety related to oil spill pollution in the Mediterranean and to assist the response agencies, a multi-model oil spill prediction service has been set up, known as MEDESS-4MS (Mediterranean Decision Support System for Marine Safety). The concept behind the MEDESS-4MS service is the integration of the existing national ocean forecasting systems in the region with the Copernicus Marine Environmental Monitoring Service (CMEMS) and their interconnection, through a dedicated network data repository, facilitating access to all these data and to the data from the oil spill monitoring platforms, including the satellite data ones, with the well established oil spill models in the region. The MEDESS-4MS offer a range of service scenarios, multi-model data access and interactive capabilities to suite the needs of REMPEC (Regional Marine Pollution Emergency Response Centre for the Mediterranean Sea) and EMSA-CSN (European Maritime Safety Agency-CleanseaNet).

Vessel calibre—a potential MRI biomarker of tumour response in clinical trials

PubMed Central

Emblem, Kyrre E.; Farrar, Christian T.; Gerstner, Elizabeth R.; Batchelor, Tracy T.; Borra, Ronald J. H.; Rosen, Bruce R.; Sorensen, A. Gregory; Jain, Rakesh K.

2015-01-01

Our understanding of the importance of blood vessels and angiogenesis in cancer has increased considerably over the past decades, and the assessment of tumour vessel calibre and structure has become increasingly important for in vivo monitoring of therapeutic response. The preferred method for in vivo imaging of most solid cancers is MRI, and the concept of vessel-calibre MRI has evolved since its initial inception in the early 1990s. Almost a quarter of a century later, unlike traditional contrast-enhanced MRI techniques, vessel-calibre MRI remains widely inaccessible to the general clinical community. The narrow availability of the technique is, in part, attributable to limited awareness and a lack of imaging standardization. Thus, the role of vessel-calibre MRI in early phase clinical trials remains to be determined. By contrast, regulatory approvals of antiangiogenic agents that are not directly cytotoxic have created an urgent need for clinical trials incorporating advanced imaging analyses, going beyond traditional assessments of tumour volume. To this end, we review the field of vessel-calibre MRI and summarize the emerging evidence supporting the use of this technique to monitor response to anticancer therapy. We also discuss the potential use of this biomarker assessment in clinical imaging trials and highlight relevant avenues for future research. PMID:25113840

Measuring the benefits of using market based approaches to provide water and sanitation in humanitarian contexts.

PubMed

Martin-Simpson, S; Parkinson, J; Katsou, E

2018-06-15

The use of cash transfers and market based programming (CT/MBP) to increase the efficiency and effectiveness of emergency responses is gaining prominence in the humanitarian sector. However, there is a lack of existing indicators and methodologies to monitor activities designed to strengthen water and sanitation (WaSH) markets. Gender and vulnerability markers to measure the impact of such activities on different stakeholders is also missing. This study identifies parameters to monitor, evaluate and determine the added value of utilising CT/MBP to achieve WaSH objectives in humanitarian response. The results of the work revealed that CT/MBP can be used to support household, community and market level interventions to effectively reduce transmission of faeco-oral diseases. Efficiency, effectiveness, sustainability, appropriateness and equity were identified as useful parameters which correlated to widely accepted frameworks against which to evaluate humanitarian action. The parameters were found to be directly applicable to the case of increasing demand and supply of point of use water treatment technology for a) disaster resilience activities, and b) post-crisis response. The need for peer review of the parameters and indicators and pilot measurement in humanitarian contexts was recognised. Copyright © 2017 Elsevier Ltd. All rights reserved.

40 CFR 68.180 - Emergency response program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... activities and the emergency response plan is coordinated. (c) The owner or operator shall list other Federal... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan § 68.180 Emergency response program... written emergency response plan? (2) Does the plan include specific actions to be taken in response to an...

40 CFR 68.180 - Emergency response program.

Code of Federal Regulations, 2013 CFR

2013-07-01

... activities and the emergency response plan is coordinated. (c) The owner or operator shall list other Federal... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan § 68.180 Emergency response program... written emergency response plan? (2) Does the plan include specific actions to be taken in response to an...

40 CFR 68.180 - Emergency response program.

Code of Federal Regulations, 2012 CFR

2012-07-01

... activities and the emergency response plan is coordinated. (c) The owner or operator shall list other Federal... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan § 68.180 Emergency response program... written emergency response plan? (2) Does the plan include specific actions to be taken in response to an...

40 CFR 68.180 - Emergency response program.

Code of Federal Regulations, 2014 CFR

2014-07-01

... activities and the emergency response plan is coordinated. (c) The owner or operator shall list other Federal... (CONTINUED) CHEMICAL ACCIDENT PREVENTION PROVISIONS Risk Management Plan § 68.180 Emergency response program... written emergency response plan? (2) Does the plan include specific actions to be taken in response to an...

RMP Guidance for Chemical Distributors - Chapter 8: Emergency Response Program

EPA Pesticide Factsheets

Depending on the level of processes at your facility, part 68 may require an emergency response program: an emergency response plan, emergency response equipment procedures, employee training, and procedures to ensure the program is up-to-date.

The use of UAS in disaster response operations

NASA Astrophysics Data System (ADS)

Gkotsis, I.; Eftychidis, G.; Kolios, P.

2017-09-01

The use of UAS by the emergency services has been received with great interest since UAS provide both informant and helper support in a flexible, effective and efficient manner. This is due to the fact that, UAS can strengthen the operational capabilities related to: prevention (e.g., patrolling of large and hard to reach areas), early detection (e.g., mapping of vulnerable elements), disaster preparedness (e.g., incident inspection), response (mapping damages, search and rescue, provide an ad hoc communication network, monitor evacuation, etc). Through PREDICATE, a project concerning civilian use of drones, the necessary methodologies to guide the selection and operational use of UAS in emergencies, are developed. To guide UAS selection, the project performed a detailed needs assessment in cooperation with civil protection and law enforcement agencies. As a result of this assessment, currently available technologies and market solutions were reviewed leading to the development of an online user-friendly tool to support selection of UAS based on operational requirements. To guide the use of UAS, PREDICATE developed an intelligent path planning toolkit to automate the operation of UAS and ease their use for the various civil protection operations. By employing the aforementioned tools, emergency services will be able to better understand how to select and make use of UAS for watch-keeping and patrolling of their own disaster-prone Regions of Interest. The research, innovation and applicability behind both these tools is detailed in this work.

Cash grants in humanitarian assistance: a nongovernmental organization experience in Aceh, Indonesia, following the 2004 Indian Ocean Tsunami.

PubMed

Doocy, Shannon; Johnson, Diane; Robinson, Courtland

2008-06-01

Historically, cash interventions, as opposed to material or in-kind aid, have been relatively uncommon in the humanitarian response to emergencies. The widespread implementation of cash-based programs following the 2004 Indian Ocean tsunami provided an opportunity to examine cash distributions following disasters. The Mercy Corps cash grant program in Aceh, Indonesia, was a short-term intervention intended to assist in recompensing losses from the December 2004 tsunami. An evaluation of the Mercy Corps cash grant program was conducted for the 12-month period following the tsunami using program monitoring data and a systematic survey of cash grant beneficiaries. in 2005, the cash grant program disbursed more than US$3.3 million to more than 53,000 beneficiaries; the average cash grant award was US$6390, which was shared by an average of 108 beneficiaries. In a beneficiary survey, more than 95% of respondents reported the grant allocation processes were fair and transparent and that grant funds were received. The Mercy Corps experience with cash programs suggests that cash interventions in the emergency context, when properly administered, can have an immediate impact and serve as an efficient mechanism for providing assistance. Organizations involved in humanitarian relief, particularly donors and nongovernmental organizations, should consider incorporating cash-based interventions as an element of their response in future emergencies.

Evaluation of low-cost computer monitors for the detection of cervical spine injuries in the emergency room: an observer confidence-based study.

PubMed

Brem, M H; Böhner, C; Brenning, A; Gelse, K; Radkow, T; Blanke, M; Schlechtweg, P M; Neumann, G; Wu, I Y; Bautz, W; Hennig, F F; Richter, H

2006-11-01

To compare the diagnostic value of low-cost computer monitors and a Picture Archiving and Communication System (PACS) workstation for the evaluation of cervical spine fractures in the emergency room. Two groups of readers blinded to the diagnoses (2 radiologists and 3 orthopaedic surgeons) independently assessed-digital radiographs of the cervical spine (anterior-posterior, oblique and trans-oral-dens views). The radiographs of 57 patients who arrived consecutively to the emergency room in 2004 with clinical suspicion of a cervical spine injury were evaluated. The diagnostic values of these radiographs were scored on a 3-point scale (1 = diagnosis not possible/bad image quality, 2 = diagnosis uncertain, 3 = clear diagnosis of fracture or no fracture) on a PACS workstation and on two different liquid crystal display (LCD) personal computer monitors. The images were randomised to avoid memory effects. We used logistic mixed-effects models to determine the possible effects of monitor type on the evaluation of x ray images. To determine the overall effects of monitor type, this variable was used as a fixed effect, and the image number and reader group (radiologist or orthopaedic surgeon) were used as random effects on display quality. Group-specific effects were examined, with the reader group and additional fixed effects as terms. A significance level of 0.05 was established for assessing the contribution of each fixed effect to the model. Overall, the diagnostic score did not differ significantly between standard personal computer monitors and the PACS workstation (both p values were 0.78). Low-cost LCD personal computer monitors may be useful in establishing a diagnosis of cervical spine fractures in the emergency room.

Situation-Assessment And Decision-Aid Production-Rule Analysis System For Nuclear Plant Monitoring And Emergency Preparedness

NASA Astrophysics Data System (ADS)

Gvillo, D.; Ragheb, M.; Parker, M.; Swartz, S.

1987-05-01

A Production-Rule Analysis System is developed for Nuclear Plant Monitoring. The signals generated by the Zion-1 Plant are considered. A Situation-Assessment and Decision-Aid capability is provided for monitoring the integrity of the Plant Radiation, the Reactor Coolant, the Fuel Clad, and the Containment Systems. A total of 41 signals are currently fed as facts to an Inference Engine functioning in the backward-chaining mode and built along the same structure as the E-Mycin system. The Goal-Tree constituting the Knowledge Base was generated using a representation in the form of Fault Trees deduced from plant procedures information. The system is constructed in support of the Data Analysis and Emergency Preparedness tasks at the Illinois Radiological Emergency Assessment Center (REAC).

Using principles from emergency management to improve emergency response plans for research animals.

PubMed

Vogelweid, Catherine M

2013-10-01

Animal research regulatory agencies have issued updated requirements for emergency response planning by regulated research institutions. A thorough emergency response plan is an essential component of an institution's animal care and use program, but developing an effective plan can be a daunting task. The author provides basic information drawn from the field of emergency management about best practices for developing emergency response plans. Planners should use the basic principles of emergency management to develop a common-sense approach to managing emergencies in their facilities.

Quantitative, equal carbon response HSQC experiment, QEC-HSQC

NASA Astrophysics Data System (ADS)

Mäkelä, Valtteri; Helminen, Jussi; Kilpeläinen, Ilkka; Heikkinen, Sami

2016-10-01

Quantitative NMR has become increasingly useful and popular in recent years, with many new and emerging applications in metabolomics, quality control, reaction monitoring and other types of mixture analysis. While sensitive and simple to acquire, the low resolving power of 1D 1H NMR spectra can be a limiting factor when analyzing complex mixtures. This drawback can be solved by observing a different type of nuclei offering improved resolution or with multidimensional experiments, such as HSQC. In this paper, we present a novel Quantitative, Equal Carbon HSQC (QEC-HSQC) experiment providing an equal response across different type of carbons regardless of the number of attached protons, in addition to an uniform response over a wide range of 1JCH couplings. This enables rapid quantification and integration over multiple signals without the need for complete resonance assignments and simplifies the integration of overlapping signals.

A photoelectrochemical platform for the capture and release of rare single cells.

PubMed

Parker, Stephen G; Yang, Ying; Ciampi, Simone; Gupta, Bakul; Kimpton, Kathleen; Mansfeld, Friederike M; Kavallaris, Maria; Gaus, Katharina; Gooding, J Justin

2018-06-12

For many normal and aberrant cell behaviours, it is important to understand the origin of cellular heterogeneity. Although powerful methods for studying cell heterogeneity have emerged, they are more suitable for common rather than rare cells. Exploring the heterogeneity of rare single cells is challenging because these rare cells must be first pre-concentrated and undergo analysis prior to classification and expansion. Here, a versatile capture & release platform consisting of an antibody-modified and electrochemically cleavable semiconducting silicon surface for release of individual cells of interest is presented. The captured cells can be interrogated microscopically and tested for drug responsiveness prior to release and recovery. The capture & release strategy was applied to identify rare tumour cells from whole blood, monitor the uptake of, and response to, doxorubicin and subsequently select cells for single-cell gene expression based on their response to the doxorubicin.

Remote health monitoring system for detecting cardiac disorders.

PubMed

Bansal, Ayush; Kumar, Sunil; Bajpai, Anurag; Tiwari, Vijay N; Nayak, Mithun; Venkatesan, Shankar; Narayanan, Rangavittal

2015-12-01

Remote health monitoring system with clinical decision support system as a key component could potentially quicken the response of medical specialists to critical health emergencies experienced by their patients. A monitoring system, specifically designed for cardiac care with electrocardiogram (ECG) signal analysis as the core diagnostic technique, could play a vital role in early detection of a wide range of cardiac ailments, from a simple arrhythmia to life threatening conditions such as myocardial infarction. The system that the authors have developed consists of three major components, namely, (a) mobile gateway, deployed on patient's mobile device, that receives 12-lead ECG signals from any ECG sensor, (b) remote server component that hosts algorithms for accurate annotation and analysis of the ECG signal and (c) point of care device of the doctor to receive a diagnostic report from the server based on the analysis of ECG signals. In the present study, their focus has been toward developing a system capable of detecting critical cardiac events well in advance using an advanced remote monitoring system. A system of this kind is expected to have applications ranging from tracking wellness/fitness to detection of symptoms leading to fatal cardiac events.

Southern states radiological emergency response laws and regulations

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

Not Available

1989-07-01

The purpose of this report is to provide a summary of the emergency response laws and regulations in place in the various states within the southern region for use by legislators, emergency response planners, the general public and all persons concerned about the existing legal framework for emergency response. SSEB expects to periodically update the report as necessary. Radiation protection regulations without emergency response provisions are not included in the summary.

DEVELOPMENT OF EMERGING TECHNOLOGIES WITHIN THE SITE PROGRAM

EPA Science Inventory

The Site Program is formed by five research programs: the Demonstration Program, the Emerging Technology Program, the Measurement and Monitoring Technology Development Program, the Innovative Technology Program, and the Technology Transfer Program. The Emerging Technology (ET) P...

MAppERS: a peer-produced community for emergency support

NASA Astrophysics Data System (ADS)

Frigerio, Simone; Schenato, Luca; Bianchizza, Chiara; Del Bianco, Daniele

2014-05-01

A general trend in European governance tends to shift responsibilities in territorial management from national central authorities to local/regional levels and to the citizens as first actors of Civil Protection. Prevention is a long term goal that rests not only on the capacities of professional operators and volunteers, but that has to necessarily imply the involvement and awareness of the citizens over the territory they inhabit. In fact people often do not have chance to interact in the surveillance of the territory and only face risks when they have to bear impacts on their lives. Involvement of population creates more cost-effective and context-specific strategies of territorial surveillance and management. A collaborative user environment is useful for emergency response and support in the wake of disasters, feeding updated information on the ground directly to on-site responders. MAppERS (Mobile Application for Emergency Response and Support) is a EU project (funded under programme 2013-2015 Humanitarian Aid and Civil Protection, ECHO A5) which empowers citizens as "crowd-sourced mappers" through the development of a smart phone application able to collect GPS-localised and detailed parameters, that can then be sent from citizens to civil protection operators in a contest of geospatial response. The process of app design includes feedback from citizens, involving them in training courses on the monitoring of the territory as long term objective of raising public awareness and participation from the citizens, as actors in a networked disaster response community. The project proceeds from the design and testing of the smart phone applications (module MAppERS-V for volunteers, module MAppERS-C for citizens) according to software engineering environment (Android and Iphone SDK). Information exchange and data transfer need clearness and efficiency; thus a previous research is conducted on the cost-effectiveness of already existing practices for territorial management. Citizens and volunteers of civil protection are then involved to test applications at pilot sites. This phase takes place in parallel to a dedicated training on app functioning. The app modules are to be later re-designed according to a methodological and technical feedback gained during pilot study. Training curricula for citizens that wish to be involved in the monitoring of the territory in the long run are then to be defined so to promote territorial knowledge and awareness, give information and practical skills on smart phone technologies and specific efficient jargon to communicate hazard relevant information. Overall, a user-friendly integration with existing monitoring on-site technique prevails on a deep new architecture. A synchronized platform would allow both the protection of private data from citizens and the identification of the users in case of misuse of the information sharing. The expected results of this project are: a) an easy-to-use "human-data" input on crisis management, b) the development of a multi-module smart phone application linking trained people and headquarters c) maximised utility of peer-produced mapping (e.g. damaged points, critical hotspots), d) the development of a strategy of disaster prevention based on development of human and social resources rather than structural mitigation options.

Systemic effects of ionizing radiation at the proteome and metabolome levels in the blood of cancer patients treated with radiotherapy: the influence of inflammation and radiation toxicity.

PubMed

Jelonek, Karol; Pietrowska, Monika; Widlak, Piotr

2017-07-01

Blood is the most common replacement tissue used to study systemic responses of organisms to different types of pathological conditions and environmental insults. Local irradiation during cancer radiotherapy induces whole body responses that can be observed at the blood proteome and metabolome levels. Hence, comparative blood proteomics and metabolomics are emerging approaches used in the discovery of radiation biomarkers. These techniques enable the simultaneous measurement of hundreds of molecules and the identification of sets of components that can discriminate different physiological states of the human body. Radiation-induced changes are affected by the dose and volume of irradiated tissues; hence, the molecular composition of blood is a hypothetical source of biomarkers for dose assessment and the prediction and monitoring of systemic responses to radiation. This review aims to provide a comprehensive overview on the available evidence regarding molecular responses to ionizing radiation detected at the level of the human blood proteome and metabolome. It focuses on patients exposed to radiation during cancer radiotherapy and emphasizes effects related to radiation-induced toxicity and inflammation. Systemic responses to radiation detected at the blood proteome and metabolome levels are primarily related to the intensity of radiation-induced toxicity, including inflammatory responses. Thus, several inflammation-associated molecules can be used to monitor or even predict radiation-induced toxicity. However, these abundant molecular features have a rather limited applicability as universal biomarkers for dose assessment, reflecting the individual predisposition of the immune system and tissue-specific mechanisms involved in radiation-induced damage.

Research on public participant urban infrastructure safety monitoring system using smartphone

NASA Astrophysics Data System (ADS)

Zhao, Xuefeng; Wang, Niannian; Ou, Jinping; Yu, Yan; Li, Mingchu

2017-04-01

Currently more and more people concerned about the safety of major public security. Public participant urban infrastructure safety monitoring and investigation has become a trend in the era of big data. In this paper, public participant urban infrastructure safety protection system based on smart phones is proposed. The system makes it possible to public participant disaster data collection, monitoring and emergency evaluation in the field of disaster prevention and mitigation. Function of the system is to monitor the structural acceleration, angle and other vibration information, and extract structural deformation and implement disaster emergency communications based on smartphone without network. The monitoring data is uploaded to the website to create urban safety information database. Then the system supports big data analysis processing, the structure safety assessment and city safety early warning.

Cooperative Monitoring Center Occasional Paper/8: Cooperative Border Security for Jordan: Assessment and Options

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

Qojas, M.

1999-03-01

This document is an analysis of options for unilateral and cooperative action to improve the security of Jordan's borders. Sections describe the current political, economic, and social interactions along Jordan's borders. Next, the document discusses border security strategy for cooperation among neighboring countries and the adoption of confidence-building measures. A practical cooperative monitoring system would consist of hardware for early warning, command and control, communications, and transportation. Technical solutions can expand opportunities for the detection and identification of intruders. Sensors (such as seismic, break-wire, pressure-sensing, etc.) can warn border security forces of intrusion and contribute to the identification of themore » intrusion and help formulate the response. This document describes conceptual options for cooperation, offering three scenarios that relate to three hypothetical levels (low, medium, and high) of cooperation. Potential cooperative efforts under a low cooperation scenario could include information exchanges on military equipment and schedules to prevent misunderstandings and the establishment of protocols for handling emergency situations or unusual circumstances. Measures under a medium cooperation scenario could include establishing joint monitoring groups for better communications, with hot lines and scheduled meetings. The high cooperation scenario describes coordinated responses, joint border patrols, and sharing border intrusion information. Finally, the document lists recommendations for organizational, technical, and operational initiatives that could be applicable to the current situation.« less

A translational study of resistance emergence using sequential direct-acting antiviral agents for hepatitis C using ultra-deep sequencing.

PubMed

Abe, Hiromi; Hayes, C Nelson; Hiraga, Nobuhiko; Imamura, Michio; Tsuge, Masataka; Miki, Daiki; Takahashi, Shoichi; Ochi, Hidenori; Chayama, Kazuaki

2013-09-01

Direct-acting antiviral agents (DAAs) against hepatitis C virus (HCV) have recently been developed and are ultimately hoped to replace interferon-based therapy. However, DAA monotherapy results in rapid emergence of resistant strains and DAAs must be used in combinations that present a high genetic barrier to resistance, although viral kinetics of multidrug-resistant strains remain poorly characterized. The aim of this study is to track the emergence and fitness of resistance using combinations of telaprevir and NS5A or NS5B inhibitors with genotype 1b clones. HCV-infected chimeric mice were treated with DAAs, and resistance was monitored using direct and ultra-deep sequencing. Combination therapy with telaprevir and BMS-788329 (NS5A inhibitor) reduced serum HCV RNA to undetectable levels. The presence of an NS3-V36A telaprevir resistance mutation resulted in poor response to telaprevir monotherapy but showed significant HCV reduction when telaprevir was combined with BMS-788329. However, a BMS-788329-resistant strain emerged at low frequency. Infection with a BMS-788329-resistant NS5A-L31V mutation rapidly resulted in gain of an additional NS5A-Y93A mutation that conferred telaprevir resistance during combination therapy. Infection with dual NS5AL31V/NS5AY93H mutations resulted in poor response to combination therapy and development of telaprevir resistance. Although HCV RNA became undetectable soon after the beginning of combination therapy with BMS-788329 and BMS-821095 (NS5B inhibitor), rebound with emergence of resistance against all three drugs occurred. Triple resistance also occurred following infection with the NS3V36A/NS5AL31V/NS5AY93H triple mutation. Resistant strains easily develop from cloned virus strains. Sequential use of DAAs should be avoided to prevent emergence of multidrug-resistant strains.

Vehicle Transponder for Preemption of Traffic Lights

NASA Technical Reports Server (NTRS)

Foster, Conrad; Bachelder, Aaron

2006-01-01

The purpose of this article is to describe, in more detail, the transponder installed in each vehicle that participates in the emergency traffic-light-preemption system described in the immediately preceding article. The transponder (see figure) is a fully autonomous data--collection, data-processing, information-display, and communication subsystem that performs robustly in preemption of traffic lights and monitoring of the statuses of street intersections. This transponder monitors the condition of the emergency vehicle in which it is installed and determines when the vehicle has been placed in an emergency-response condition with its siren and/or warning lights activated. Upon detection of such a condition, the transponder collects real-time velocity and acceleration data from the onboard diagnostic (OBD) computer of the vehicle. For this purpose, the transponder contains an OBD interface circuit, including a microprocessor that determines the manufacturer and model of the vehicle and then sends the appropriate commands to the OBD computer requesting the speed and acceleration data. At the same time, data from an onboard navigation system are collected to determine the location and the heading of the vehicle. Then acceleration, speed, position, and heading data are processed and combined with a vehicle-identification number and the resulting set of data is transmitted to monitoring and control units located at all intersections within communication range. When the unit at an intersection determines that this vehicle is approaching and has priority to preempt the intersection, it transmits a signal declaring the priority and the preemption to all participating vehicles (including this one) in the vicinity. If the unit at the intersection has determined that other participating vehicles are also approaching the intersection, then this unit also transmits, to the vehicle that has priority, a message that the other vehicles are approaching the same intersection. The texts of these messages, plus graphical symbols that show the directions and numbers of the approaching vehicles, are presented on the display panel of a computer that is part of the transponder.

47 CFR 73.1635 - Special temporary authorizations (STA).

Code of Federal Regulations, 2010 CFR

2010-10-01

..., Visual modulation monitoring; § 73.1250, Broadcasting emergency information; § 73.1350, Transmission... Section 73.1635 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES..., Application for Emergency Authorization. See also § 73.1250, Broadcasting Emergency Information. [50 FR 30948...

WASTE HANDLING BUILDING ELECTRICAL SYSTEM DESCRIPTION DOCUMENT

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

S.C. Khamamkar

2000-06-23

The Waste Handling Building Electrical System performs the function of receiving, distributing, transforming, monitoring, and controlling AC and DC power to all waste handling building electrical loads. The system distributes normal electrical power to support all loads that are within the Waste Handling Building (WHB). The system also generates and distributes emergency power to support designated emergency loads within the WHB within specified time limits. The system provides the capability to transfer between normal and emergency power. The system provides emergency power via independent and physically separated distribution feeds from the normal supply. The designated emergency electrical equipment will bemore » designed to operate during and after design basis events (DBEs). The system also provides lighting, grounding, and lightning protection for the Waste Handling Building. The system is located in the Waste Handling Building System. The system consists of a diesel generator, power distribution cables, transformers, switch gear, motor controllers, power panel boards, lighting panel boards, lighting equipment, lightning protection equipment, control cabling, and grounding system. Emergency power is generated with a diesel generator located in a QL-2 structure and connected to the QL-2 bus. The Waste Handling Building Electrical System distributes and controls primary power to acceptable industry standards, and with a dependability compatible with waste handling building reliability objectives for non-safety electrical loads. It also generates and distributes emergency power to the designated emergency loads. The Waste Handling Building Electrical System receives power from the Site Electrical Power System. The primary material handling power interfaces include the Carrier/Cask Handling System, Canister Transfer System, Assembly Transfer System, Waste Package Remediation System, and Disposal Container Handling Systems. The system interfaces with the MGR Operations Monitoring and Control System for supervisory monitoring and control signals. The system interfaces with all facility support loads such as heating, ventilation, and air conditioning, office, fire protection, monitoring and control, safeguards and security, and communications subsystems.« less

Identifying professionals' needs in integrating electronic pain monitoring in community palliative care services: An interview study.

PubMed

Taylor, Sally; Allsop, Matthew J; Bekker, Hilary L; Bennett, Michael I; Bewick, Bridgette M

2017-07-01

Poor pain assessment is a barrier to effective pain control. There is growing interest internationally in the development and implementation of remote monitoring technologies to enhance assessment in cancer and chronic disease contexts. Findings describe the development and testing of pain monitoring systems, but research identifying the needs of health professionals to implement routine monitoring systems within clinical practice is limited. To inform the development and implementation strategy of an electronic pain monitoring system, PainCheck, by understanding palliative care professionals' needs when integrating PainCheck into routine clinical practice. Qualitative study using face-to-face interviews. Data were analysed using framework analysis Setting/participants: Purposive sample of health professionals managing the palliative care of patients living in the community Results: A total of 15 interviews with health professionals took place. Three meta-themes emerged from the data: (1) uncertainties about integration of PainCheck and changes to current practice, (2) appraisal of current practice and (3) pain management is everybody's responsibility Conclusion: Even the most sceptical of health professionals could see the potential benefits of implementing an electronic patient-reported pain monitoring system. Health professionals have reservations about how PainCheck would work in practice. For optimal use, PainCheck needs embedding within existing electronic health records. Electronic pain monitoring systems have the potential to enable professionals to support patients' pain management more effectively but only when barriers to implementation are appropriately identified and addressed.

Walk-through survey report: Control technology for integrated circuit fabrication, Xerox Corporation, El Segundo, California

NASA Astrophysics Data System (ADS)

Mihlan, G. J.; Ungers, L. J.; Smith, R. K.; Mitchell, R. I.; Jones, J. H.

1983-05-01

A preliminary control technology assessment survey was conducted at the facility which manufactures N-channel metal oxide semiconductor (NMOS) integrated circuits. The facility has industrial hygiene review procedures for evaluating all new and existing process equipment. Employees are trained in safety, use of personal protective equipment, and emergency response. Workers potentially exposed to arsenic are monitored for urinary arsenic levels. The facility should be considered a candidate for detailed study based on the diversity of process operations encountered and the use of state-of-the-art technology and process equipment.

Human Antibody Response to Aedes aegypti Saliva in an Urban Population in Bolivia: A New Biomarker of Exposure to Dengue Vector Bites

PubMed Central

Doucoure, Souleymane; Mouchet, François; Cournil, Amandine; Le Goff, Gilbert; Cornelie, Sylvie; Roca, Yelin; Giraldez, Mabel Guerra; Simon, Zaira Barja; Loayza, Roxanna; Misse, Dorothée; Flores, Jorge Vargas; Walter, Annie; Rogier, Christophe; Herve, Jean Pierre; Remoue, Franck

2012-01-01

Aedes mosquitoes are important vectors of re-emerging diseases in developing countries, and increasing exposure to Aedes in the developed world is currently a source of concern. Given the limitations of current entomologic methods, there is a need for a new effective way for evaluating Aedes exposure. Our objective was to evaluate specific antibody responses to Aedes aegypti saliva as a biomarker for vector exposure in a dengue-endemic urban area. IgG responses to saliva were strong in young children and steadily waned with age. Specific IgG levels were significantly higher in persons living in sites with higher Ae. aegypti density, as measured by using entomologic parameters. Logistic regression showed a significant correlation between IgG to saliva and exposure level, independently of either age or sex. These results suggest that antibody responses to saliva could be used to monitor human exposure to Aedes bites. PMID:22848099

Impact of public health emergencies on modern disaster taxonomy, planning, and response.

PubMed

Burkle, Frederick M; Greenough, P Gregg

2008-10-01

Current disaster taxonomy describes diversity, distinguishing characteristics, and common relations in disaster event classifications. The impact of compromised public health infrastructure and systems on health consequences defines and greatly influences the manner in which disasters are observed, planned for, and managed, especially those that are geographically widespread, population dense, and prolonged. What may first result in direct injuries and death may rapidly change to excess indirect illness and subsequent death as essential public health resources are destroyed, deteriorate, or are systematically denied to vulnerable populations. Public health and public health infrastructure and systems in developed and developing countries must be seen as strategic and security issues that deserve international public health resource monitoring attention from disaster managers, urban planners, the global humanitarian community, World Health Organization authorities, and participating parties to war and conflict. We posit here that disaster frameworks be reformed to emphasize and clarify the relation of public health emergencies and modern disasters.

KSC-2013-4386

NASA Image and Video Library

2013-12-13

CAPE CANAVERAL, Fla. – At a training location near Launch Complex 39 at NASA’s Kennedy Space Center in Florida, members of the Emergency Response Team, or ERT, participate in specialized training simulations in order to keep their skills current. They are wearing full protective gear and carrying non-lethal firearms, which are denoted in blue, for the training exercises. In the background, the ERT training supervisor, wearing a bright green vest, monitors the training exercise and reviews procedures. Recently, eight members of the ERT competed in the 31st Annual SWAT Roundup International competition in Orlando, Fla., and received recognition by placing in the top five overall. In keeping with NASA’s commitment to safety and security of workforce and assets, the ERT is part of Kennedy’s security team and is trained to respond in the event of an emergency at the center. Photo credit: NASA/Daniel Casper

KSC-2013-4387

NASA Image and Video Library

2013-12-13

CAPE CANAVERAL, Fla. – At a training location near Launch Complex 39 at NASA’s Kennedy Space Center in Florida, members of the Emergency Response Team, or ERT, participate in specialized training simulations in order to keep their skills current. They are wearing full protective gear and carrying non-lethal firearms, which are denoted in blue, for the training exercises. In the background, the ERT training supervisor, wearing a bright green vest, monitors the training exercise and reviews procedures. Recently, eight members of the ERT competed in the 31st Annual SWAT Roundup International competition in Orlando, Fla., and received recognition by placing in the top five overall. In keeping with NASA’s commitment to safety and security of workforce and assets, the ERT is part of Kennedy’s security team and is trained to respond in the event of an emergency at the center. Photo credit: NASA/Daniel Casper

Bosonic Confinement and Coherence in Disordered Nanodiamond Arrays.

PubMed

Zhang, Gufei; Samuely, Tomas; Du, Hongchu; Xu, Zheng; Liu, Liwang; Onufriienko, Oleksandr; May, Paul W; Vanacken, Johan; Szabó, Pavol; Kačmarčík, Jozef; Yuan, Haifeng; Samuely, Peter; Dunin-Borkowski, Rafal E; Hofkens, Johan; Moshchalkov, Victor V

2017-11-28

In the presence of disorder, superconductivity exhibits short-range characteristics linked to localized Cooper pairs which are responsible for anomalous phase transitions and the emergence of quantum states such as the bosonic insulating state. Complementary to well-studied homogeneously disordered superconductors, superconductor-normal hybrid arrays provide tunable realizations of the degree of granular disorder for studying anomalous quantum phase transitions. Here, we investigate the superconductor-bosonic dirty metal transition in disordered nanodiamond arrays as a function of the dispersion of intergrain spacing, which ranges from angstroms to micrometers. By monitoring the evolved superconducting gaps and diminished coherence peaks in the single-quasiparticle density of states, we link the destruction of the superconducting state and the emergence of bosonic dirty metallic state to breaking of the global phase coherence and persistence of the localized Cooper pairs. The observed resistive bosonic phase transitions are well modeled using a series-parallel circuit in the framework of bosonic confinement and coherence.

[The role of natriuretic peptides in heart failure].

PubMed

Ancona, R; Limongelli, G; Pacileo, G; Miele, T; Rea, A; Roselli, T; Masarone, D; Messina, S; Palmieri, R; Golia, E; Iacomino, M; Gala, S; Calabrò, P; Di Salvo, G; Calabrò, R

2007-10-01

Over the last decades, there has been a significant increase in incidence and prevalence of heart failure, a major cause of cardiac morbidity and mortality. Measurements of neurohormones, in particular B-type natriuretic peptide (BNP), can significantly improve diagnostic accuracy, and also correlate with long-term morbidity and mortality in patients with chronic heart failure presenting to the emergency department. BNP is secreted by cardiac ventricles mainly in response to wall stress and neurohormonal factors like the sympathetic nervous system, endothelins, and the rennin-angiotensin-aldosterone system. BNP increases myocardial relaxation and oppose the vasoconstrictive, sodium retaining, and natriuretic effects caused by vasoconstrictive factors. BNP is the first biomarker to prove its clinical value for the diagnosis of left ventricular systolic and diastolic dysfunction but also for the right ventricular dysfunction, guiding prognosis and therapy management. Emerging clinical data will help further refine biomarker-guided therapeutic and monitoring strategies involving BNP.

Rapid Data Delivery System (RDDS)

USGS Publications Warehouse

Cress, Jill J.; Goplen, Susan E.

2007-01-01

Since the start of the active 2000 summer fire season, the U. S. Geological Survey (USGS) Rocky Mountain Geographic Science Center (RMGSC) has been actively engaged in providing crucial and timely support to Federal, State, and local natural hazards monitoring, analysis, response, and recovery activities. As part of this support, RMGSC has developed the Rapid Data Delivery System (RDDS) to provide emergency and incident response teams with timely access to geospatial data. The RDDS meets these needs by combining a simple web-enabled data viewer for the selection and preview of vector and raster geospatial data with an easy to use data ordering form. The RDDS viewer also incorporates geospatial locations for current natural hazard incidents, including wildfires, earthquakes, hurricanes, and volcanoes, allowing incident responders to quickly focus on their area of interest for data selection.

Organisational Pattern Driven Recovery Mechanisms

NASA Astrophysics Data System (ADS)

Giacomo, Valentina Di; Presenza, Domenico; Riccucci, Carlo

The process of reaction to system failures and security attacks is strongly influenced by its infrastructural, procedural and organisational settings. Analysis of reaction procedures and practices from different domains (Air Traffic Management, Response to Computer Security Incident, Response to emergencies, recovery in Chemical Process Industry) highlight three key requirements for this activity: smooth collaboration and coordination among responders, accurate monitoring and management of resources and ability to adapt pre-established reaction plans to the actual context. The SERENITY Reaction Mechanisms (SRM) is the subsystem of the SERENITY Run-time Framework aimed to provide SERENITY aware AmI settings (i.e. socio-technical systems with highly distributed dynamic services) with functionalities to implement applications specific reaction strategies. The SRM uses SERENITY Organisational S&D Patterns as run-time models to drive these three key functionalities.

High-intensity focused ultrasound ablation assisted using color Doppler imaging for the treatment of hepatocellular carcinomas.

PubMed

Fukuda, Hiroyuki; Numata, Kazushi; Nozaki, Akito; Kondo, Masaaki; Morimoto, Manabu; Maeda, Shin; Tanaka, Katsuaki; Ohto, Masao; Ito, Ryu; Ishibashi, Yoshiharu; Oshima, Noriyoshi; Ito, Ayao; Zhu, Hui; Wang, Zhi-Biao

2013-12-01

We evaluated the usefulness of color Doppler flow imaging to compensate for the inadequate resolution of the ultrasound (US) monitoring during high-intensity focused ultrasound (HIFU) for the treatment of hepatocellular carcinoma (HCC). US-guided HIFU ablation assisted using color Doppler flow imaging was performed in 11 patients with small HCC (<3 lesions, <3 cm in diameter). The HIFU system (Chongqing Haifu Tech) was used under US guidance. Color Doppler sonographic studies were performed using an HIFU 6150S US imaging unit system and a 2.7-MHz electronic convex probe. The color Doppler images were used because of the influence of multi-reflections and the emergence of hyperecho. In 1 of the 11 patients, multi-reflections were responsible for the poor visualization of the tumor. In 10 cases, the tumor was poorly visualized because of the emergence of a hyperecho. In these cases, the ability to identify the original tumor location on the monitor by referencing the color Doppler images of the portal vein and the hepatic vein was very useful. HIFU treatments were successfully performed in all 11 patients with the assistance of color Doppler imaging. Color Doppler imaging is useful for the treatment of HCC using HIFU, compensating for the occasionally poor visualization provided by B-mode conventional US imaging.

Proton pump inhibitor-responsive esophageal eosinophilia: a historical perspective on a novel and evolving entity.

PubMed

Molina-Infante, Javier; Katzka, David A; Dellon, Evan S

2015-01-01

Eosinophilic esophagitis (EoE) is an emerging chronic esophageal disease, first described in 1993, with a steadily increasing incidence and prevalence in western countries. Over the 80's and early 90's, dense esophageal eosinophilia was mostly associated gastroesophageal reflux disease (GERD). For the next 15 years, EoE and GERD were rigidly considered separate entities: Esophageal eosinophilia with pathological acid exposure on pH monitoring or response to proton pump inhibitor (PPI) therapy was GERD, whereas normal pH monitoring or absence of response to PPIs was EoE. Updated guidelines in 2011 described a novel phenotype, proton pump inhibitor-responsive esophageal eosinophilia (PPI-REE), referring to patients who appear to have EoE clinically, but who achieve complete remission after PPI therapy. Currently, PPI-REE must be formally excluded before diagnosing EoE, since 30-40% of patients with suspected EoE are eventually diagnosed with PPI-REE.Interestingly, PPI-REE and EoE remain undistinguishable based on clinical, endoscopic, and histological findings, pH monitoring, and measurement of tissue markers and cytokines related to eosinophilic inflammation.This review article aims to revisit the relatively novel concept of PPI-REE from a historical perspective, given the strong belief that only GERD, as an acid peptic disorder, could respond to the acid suppressing ability of PPI therapy, is becoming outdated. Evolving evidence suggests that PPI-REE is genetically and phenotypically undistinguishable from EoE and PPI therapy alone can almost completely reverse allergic inflammation. As such, PPI-REE might constitute a subphenotype of EoE and PPI therapy may be the first therapeutic step and diet/ steroids may represent step up therapy. Possibly, the term PPI-REE will be soon replaced by PPI-responsive EoE. The mechanism as to why some patients respond to PPI therapy (PPI-REE) while others do not (EoE), remains to be elucidated.

Evaluation of sensors for use inside chemical protective suits

NASA Astrophysics Data System (ADS)

Russell, Derrick A.; Duncan, E. J. S.; Hunt, Stephen; Gudgin Dickson, Eva F.; Weagle, Glenn E.

1999-11-01

Organizations such as the military, hazardous materials units, first responders and industries involved in the processing and manufacture of chemicals all have requirements for specialized whole body protection for those people in their organizations whose job it is to work with toxic chemicals on a day to day basis or in emergency situations. Currently, excluding chemical biological (CB) challenge scenarios, there is no routine monitoring of the possible ingress of toxic chemicals within chemical protective suits. Under existing national standards, swatches of the protective suit fabric are usually tested for chemical breakthrough and if they meet certain criteria, the suit is considered to provide adequate protection to the individual. Despite advances in protection level research provided by full system protective clothing tests, inexpensive, real-time, sensitive and robust chemical monitoring systems for use both under protective clothing and within a challenge environment, remains a technologically deficient area. This paper presents the results of a preliminary assessment of the feasibility of miniature detectors for monitoring real-time volatile organic chemical (VOC) challenges under chemical protective clothing and in closed environments where such suits are used. Nine gas sensors of n-type semiconductor design (Figaro Engineering Inc) were assessed for their response to a dichloromethane concentration of 560 ppm at a temperature of 23 degrees Celsius and relative humidity of 20%. Absolute voltage output, speed of response to dichloromethane exposure, and time required to return to zero, were considered. The top ranked sensor was further evaluated for its calibration response to a range of dichloromethane concentrations up to 560 ppm. Variables that were considered include effect of temperature and relative humidity, hysteresis and repeatability. Increasing RH causes an increase in the zero output of the sensor with an approximate linear relationship. The sensor response was characterized by minimal hysteresis, indicating that calibration values over the short term are very stable. Calibration responses measured on different days were in excellent agreement.

The Student Volunteer Army: a 'repeat emergent' emergency response organisation.

PubMed

Carlton, Sally; Mills, Colleen E

2017-10-01

This paper seeks to contribute to understanding of the factors associated with an effective emergent emergency response organisation and to provide new insights into this understudied area. It examines, through an analysis of a range of textual resources, the emergence and re-emergence of the Student Volunteer Army (SVA) during the devastating earthquakes in Canterbury, New Zealand, in 2010-11. This evaluation is conducted in relation to the four key features of an effective emergency response organisation: adaptability; direction; leadership; and communication. In addition, the paper aims to further understanding of 'emergency entrepreneurship' and thus of the values and strategies that underpin social entrepreneur organisations in times of normalcy. The paper concludes that the unique position of the SVA as a 'repeat emergent' emergency response organisation enabled it to innovate continually and to improve repeatedly its systems, relationships, and image, such that it exhibited features common to emergent and established emergency response organisations. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

Circulating Tumor Cells Versus Circulating Tumor DNA in Colorectal Cancer: Pros and Cons

PubMed Central

Tan, Carlyn Rose C.; Zhou, Lanlan

2016-01-01

Circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) are emerging noninvasive multifunctional biomarkers in liquid biopsy allowing for early diagnosis, accurate prognosis, therapeutic target selection, spatiotemporal monitoring of metastasis, as well as monitoring response and resistance to treatment. CTCs and ctDNA are released from different tumor types at different stages and contribute complementary information for clinical decision. Although big strides have been taken in technology development for detection, isolation and characterization of CTCs and sensitive and specific detection of ctDNA, CTC-, and ctDNA-based liquid biopsies may not be widely adopted for routine cancer patient care until the suitability, accuracy, and reliability of these tests are validated and more standardized protocols are corroborated in large, independent, prospectively designed trials. This review covers CTC- and ctDNA-related technologies and their application in colorectal cancer. The promise of CTC-and ctDNA-based liquid biopsies is envisioned. PMID:27516729

Sensor Network Provides Environmental Data

NASA Technical Reports Server (NTRS)

2007-01-01

The National Biocomputation Center, a joint partnership between the Stanford University School of Medicine's Department of Surgery and NASA's Ames Research Center, is the test bed for much of NASA's research in telemedicine, the remote delivery of medical care. In early 2005, researchers at the National Biocomputation Center formed a spinoff company, Intelesense Technologies, to use the telemedicine sensors to provide integrated global monitoring systems. Intelesense uses the systems to better understand how environments and people are linked, monitor and protect natural resources, predict and adapt to environmental changes, provide for sustainable development, reduce the costs and impacts of natural disasters, and provide an effective and intelligent response to such disasters. Current projects range from protecting the environment to tracking emerging infectious diseases like avian influenza (bird flu) and helping people from around the world connect and interact with each other to better understand their environment and themselves.

Circulating Tumor Cells Versus Circulating Tumor DNA in Colorectal Cancer: Pros and Cons.

PubMed

Tan, Carlyn Rose C; Zhou, Lanlan; El-Deiry, Wafik S

2016-06-01

Circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) are emerging noninvasive multifunctional biomarkers in liquid biopsy allowing for early diagnosis, accurate prognosis, therapeutic target selection, spatiotemporal monitoring of metastasis, as well as monitoring response and resistance to treatment. CTCs and ctDNA are released from different tumor types at different stages and contribute complementary information for clinical decision. Although big strides have been taken in technology development for detection, isolation and characterization of CTCs and sensitive and specific detection of ctDNA, CTC-, and ctDNA-based liquid biopsies may not be widely adopted for routine cancer patient care until the suitability, accuracy, and reliability of these tests are validated and more standardized protocols are corroborated in large, independent, prospectively designed trials. This review covers CTC- and ctDNA-related technologies and their application in colorectal cancer. The promise of CTC-and ctDNA-based liquid biopsies is envisioned.

The role of the pharmacist in optimizing the use of erythropoietin stimulating agents.

PubMed

Gebara, Shereen Nabhani; Moubayed, Hiba

2010-03-01

With the emerging new warnings surrounding the use of erythropoiesis-stimulating agents (ESAs), the pharmacist's role as health educator and risk communicator expands further to include patient scrutiny to check for eligibility and patient monitoring to check for response or toxicity. This review explores the benefits and risks linked to ESAs use, and the proposed role. ESAs have been increasingly used for the treatment of chemotherapy-induced anemia because of its documented effect on decreasing transfusion dependency. However, their use has been associated with thromboembolic complications, tumor progression, and decreased overall survival. This review covers current recommendations and guidelines that surround ESAs use in the supportive care of cancer patients. To minimize or prevent the complications associated with ESAs use, cancer patients should be adequately monitored and counseled. This highlights the importance of the pharmacist's involvement to optimize patient care.

Crossing the quality chasm: the role of information technology departments.

PubMed

Weir, Charlene R; Hicken, Bret L; Rappaport, Hank Steven; Nebeker, Jonathan R

2006-01-01

Integrating information technology (IT) into medical settings is considered essential to transforming hospitals into 21st-century health care institutions. Yet the role of IT departments in maximizing the effectiveness of information systems is not well understood. This article reports a 3-round Delphi panel of Veterans Administration personnel experienced with provider order entry electronic systems. In round 1, 35 administrative, clinical, and IT personnel answered 10 open-ended questions about IT strategies and structures that best support successful transformation. In round 2, panelists rated item importance and ranked proposed strategies. In round 3, panelists received aggregate feedback and rerated the items. Four domains emerged from round 1: IT organization, IT performance monitoring, user-support activities, and core IT responsibilities (eg, computer security, training). In rounds 2 and 3, IT performance monitoring was rated the most important, closely followed by clinical support. Strategies associated with each domain are identified and discussed.

Engineered Antibodies for Monitoring of Polynuclear Aromatic Hydrocarbons

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

Alexander E. Karu Ph.D; Victoria A. Roberts Ph.D.; Qing X. Li, Ph.D.

2002-01-17

This project was undertaken to fill needs in ODE's human and ecosystem health effects research, site remediation, rapid emergency response, and regulatory compliance monitoring programs. Doe has greatly stimulated development and validation of antibody-based, rapid, field-portable detection systems for small hazardous compounds. These range from simple dipsticks, microplate enzyme-linked immunosorbent assays (ELISAs), and hand-held colorimeters, to ultrasensitive microfluidic reactors, fiber-optic sensors and microarrays that can identify multiple analytes from patterns of cross-reactivity. Unfortunately, the technology to produce antibodies with the most desirable properties did not keep pace. Lack of antibodies remains a limiting factor in production and practical use ofmore » such devices. The goals of our project were to determine the chemical and structural bases for the antibody-analyte binding interactions using advanced computational chemistry, and to use this information to create useful new binding properties through in vitro genetic engineering and combinatorial library methods.« less

40 CFR 300.215 - Title III local emergency response plans.

Code of Federal Regulations, 2014 CFR

2014-07-01

... should be closely coordinated with applicable federal ACPs and state emergency response plans. (b... POLLUTION CONTINGENCY PLAN Planning and Preparedness § 300.215 Title III local emergency response plans... are codified at 40 CFR part 355. (a) Each LEPC is to prepare an emergency response plan in accordance...

40 CFR 300.215 - Title III local emergency response plans.

Code of Federal Regulations, 2010 CFR

2010-07-01

... should be closely coordinated with applicable federal ACPs and state emergency response plans. (b... POLLUTION CONTINGENCY PLAN Planning and Preparedness § 300.215 Title III local emergency response plans... are codified at 40 CFR part 355. (a) Each LEPC is to prepare an emergency response plan in accordance...

40 CFR 300.215 - Title III local emergency response plans.

Code of Federal Regulations, 2011 CFR

2011-07-01

... should be closely coordinated with applicable federal ACPs and state emergency response plans. (b... POLLUTION CONTINGENCY PLAN Planning and Preparedness § 300.215 Title III local emergency response plans... are codified at 40 CFR part 355. (a) Each LEPC is to prepare an emergency response plan in accordance...

29 CFR 2700.24 - Emergency response plan dispute proceedings.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 9 2013-07-01 2013-07-01 false Emergency response plan dispute proceedings. 2700.24... COMMISSION PROCEDURAL RULES Contests of Citations and Orders § 2700.24 Emergency response plan dispute... operator's emergency response plan, or any refusal by the Secretary to approve such a plan. Any referral...

29 CFR 2700.24 - Emergency response plan dispute proceedings.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Emergency response plan dispute proceedings. 2700.24... COMMISSION PROCEDURAL RULES Contests of Citations and Orders § 2700.24 Emergency response plan dispute... operator's emergency response plan, or any refusal by the Secretary to approve such a plan. Any referral...

40 CFR 300.215 - Title III local emergency response plans.

Code of Federal Regulations, 2013 CFR

2013-07-01

... should be closely coordinated with applicable federal ACPs and state emergency response plans. (b... POLLUTION CONTINGENCY PLAN Planning and Preparedness § 300.215 Title III local emergency response plans... are codified at 40 CFR part 355. (a) Each LEPC is to prepare an emergency response plan in accordance...

40 CFR 300.215 - Title III local emergency response plans.

Code of Federal Regulations, 2012 CFR

2012-07-01

... should be closely coordinated with applicable federal ACPs and state emergency response plans. (b... POLLUTION CONTINGENCY PLAN Planning and Preparedness § 300.215 Title III local emergency response plans... are codified at 40 CFR part 355. (a) Each LEPC is to prepare an emergency response plan in accordance...

Role of GABRA2 in Trajectories of Externalizing Behavior Across Development and Evidence of Moderation by Parental Monitoring

PubMed Central

Dick, Danielle M.; Latendresse, Shawn J.; Lansford, Jennifer E.; Budde, John P.; Goate, Alison; Dodge, Kenneth A.; Pettit, Gregory S.; Bates, John E.

2009-01-01

Context As we identify genes involved in psychiatric disorders, the next step will be to study how the risk associated with susceptibility genes manifests across development and in conjunction with the environment. We describe analyses aimed at characterizing the pathway of risk associated with GABRA2, a gene previously associated with adult alcohol dependence, in a community sample of children followed longitudinally from childhood through young adulthood. Objective To test for an association between GABRA2 and trajectories of externalizing behavior from adolescence to young adulthood and for moderation of genetic effects by parental monitoring. Design Data were analyzed from the Child Development Project, with yearly assessments conducted since that time. A saliva sample was collected for DNA at the 2006 follow-up, with a 93% response rate in the target sample. Growth mixture modeling was conducted using Mplus to identify trajectories of externalizing behavior and to test for effects of GABRA2 sequence variants and parental monitoring. Setting Nashville and Knoxville, Tennessee, and Bloomington, Indiana. Participants A community-based sample of families enrolled at 3 sites as children entered kindergarten in 1987 and 1988. Analyses for the white subset of the sample (n=378) are reported here. Main Outcome Measures Parental monitoring measured at 11 years of age; Child Behavior Checklist youth reports of externalizing behavior at ages 12, 14, 15, 16, 17, 19, 20, 21, and 22 years. Results Two classes of externalizing behavior emerged: a stable high externalizing class and a moderate decreasing externalizing behavior class. The GABRA2 gene was associated with class membership, with subjects who showed persistent elevated trajectories of externalizing behavior more likely to carry the genotype previously associated with increased risk of adult alcohol dependence. A significant interaction with parental monitoring emerged; the association of GABRA2 with externalizing trajectories diminished with high levels of parental monitoring. Conclusions These analyses underscore the importance of studying genetic effects across development and of identifying environmental factors that moderate risk. PMID:19487630

Interleukin-6 Induced "Acute" Phenotypic Microenvironment Promotes Th1 Anti-Tumor Immunity in Cryo-Thermal Therapy Revealed By Shotgun and Parallel Reaction Monitoring Proteomics.

PubMed

Xue, Ting; Liu, Ping; Zhou, Yong; Liu, Kun; Yang, Li; Moritz, Robert L; Yan, Wei; Xu, Lisa X

2016-01-01

Cryo-thermal therapy has been emerged as a promising novel therapeutic strategy for advanced breast cancer, triggering higher incidence of tumor regression and enhanced remission of metastasis than routine treatments. To better understand its anti-tumor mechanism, we utilized a spontaneous metastatic mouse model and quantitative proteomics to compare N-glycoproteome changes in 94 serum samples with and without treatment. We quantified 231 highly confident N-glycosylated proteins using iTRAQ shotgun proteomics. Among them, 53 showed significantly discriminated regulatory patterns over the time course, in which the acute phase response emerged as the most enhanced pathway. The anti-tumor feature of the acute response was further investigated using parallel reaction monitoring target proteomics and flow cytometry on 23 of the 53 significant proteins. We found that cryo-thermal therapy reset the tumor chronic inflammation to an "acute" phenotype, with up-regulation of acute phase proteins including IL-6 as a key regulator. The IL-6 mediated "acute" phenotype transformed IL-4 and Treg-promoting ICOSL expression to Th1-promoting IFN-γ and IL-12 production, augmented complement system activation and CD86(+)MHCII(+) dendritic cells maturation and enhanced the proliferation of Th1 memory cells. In addition, we found an increased production of tumor progression and metastatic inhibitory proteins under such "acute" environment, favoring the anti-metastatic effect. Moreover, cryo-thermal on tumors induced the strongest "acute" response compared to cryo/hyperthermia alone or cryo-thermal on healthy tissues, accompanying by the most pronounced anti-tumor immunological effect. In summary, we demonstrated that cryo-thermal therapy induced, IL-6 mediated "acute" microenvironment shifted the tumor chronic microenvironment from Th2 immunosuppressive and pro-tumorigenic to Th1 immunostimulatory and tumoricidal state. Moreover, the magnitude of "acute" and "danger" signals play a key role in determining the efficacy of anti-tumor activity.

Long term impacts of CMC/nZVI amendment injection on organohalide-respiring microbial communities at a chlorinated solvent field site

NASA Astrophysics Data System (ADS)

Kocur, C. M.; Lomheim, L.; Boparai, H. K.; Chowdhury, A. I.; Weber, K.; Austrins, L. M.; Sleep, B.; O'Carroll, D. M.; Edwards, E.

2014-12-01

Injection of carboxymethyl-cellulose stabilized nanoscale Zero Valent Iron (CMC/nZVI) has received significant attention in the last decade as an emerging alternative for in-situ remediation of chlorinated solvents and other recalcitrant compounds. There has also been some indication that injection of nZVI will create conditions that will stimulate in-situ microbial populations, leading to further contaminant degradation. Carboxy-methyl cellulose (CMC) is commonly used for nZVI synthesis as it provides steric stabilization for the nanoparticles, however, the CMC is equally important as a subsurface amendment as it may act as a fermentable substrate for microorganisms in-situ. In this study, microbial communities were monitored over a 2.5 year period following the injection of CMC/nZVI at a chlorinated solvent remediation site. Dehalococcoides spp. genetic markers and vinyl chloride reductase genes (vcrA) were targeted in the 16s RNA using quantitative polymerase chain reaction (qPCR). This analysis was complimented with a suite of aqueous chlorinated ethene, ethane, and methane compounds to monitor degradation. Following the injection of CMC/nZVI a decline of parent chlorinated compound concentrations was observed as well as the emergence of daughter products. A period of abiotic nZVI oxidation is believed to be responsible for a portion of the degradation at the site, however, a prolonged period of contaminant degradation followed and is believed to be the result of organohalide-respiring microorganisms native to the site. Further analysis was performed on the microbial samples using 454 pyrotag sequencing of amplified 16S rRNA genes to obtain the genetic profile of the microbial community. Of particular interest within this large genomic profile is the characterization of the stable population of important organohalide-respiring microorganisms on site. Results suggest that there is a distinctly different response in the organohalide-respiring microbial community in areas of the site where CMC/nZVI amendments were injected compared to a background response.

Use of VIIRS DNB Data to Monitor Power Outages and Restoration for Significant Weather Events

NASA Technical Reports Server (NTRS)

Jedlovec, Gary; Molthan, Andrew

2008-01-01

NASA fs Short-term Prediction Research and Transition (SPoRT) project operates from NASA's Marshall Space Flight Center in Huntsville, Alabama. The team provides unique satellite data to the National Weather Service (NWS) and other agencies and organizations for weather analysis. While much of its work is focused on improving short-term weather forecasting, the SPoRT team supported damage assessment and response to Hurricane Superstorm Sandy by providing imagery that highlighted regions without power. The team used data from the Visible Infrared Imaging Radiometer Suite (VIIRS) on the Suomi National Polar-orbiting Partnership (Suomi NPP) satellite. The VIIRS low-light sensor, known as the day-night-band (DNB), can detect nighttime light from wildfires, urban and rural communities, and other human activity which emits light. It can also detect moonlight reflected from clouds and surface features. Using real time VIIRS data collected by our collaborative partner at the Space Science and Engineering Center of the University of Wisconsin, the SPoRT team created composite imagery to help detect power outages and restoration. This blackout imagery allowed emergency response teams from a variety of agencies to better plan and marshal resources for recovery efforts. The blackout product identified large-scale outages, offering a comprehensive perspective beyond a patchwork GIS mapping of outages that utility companies provide based on customer complaints. To support the relief efforts, the team provided its imagery to the USGS data portal, which the Federal Emergency Management Agency (FEMA) and other agencies used in their relief efforts. The team fs product helped FEMA, the U.S. Army Corps of Engineers, and U.S. Army monitor regions without power as part of their disaster response activities. Disaster responders used the images to identify possible outages and effectively distribute relief resources. An enhanced product is being developed and integrated into a web mapping service (WMS) for dissemination and use by a broader end user community.

Lessons learned from an emergency release of a post-fire debris-flow hazard assessment for the 2009 Station fire, San Gabriel Mountains, southern California

NASA Astrophysics Data System (ADS)

Cannon, S. H.; Perry, S. C.; Staley, D. M.

2010-12-01

The 2009 Station fire burned through portions of the steep, rugged terrain of the San Gabriel Mountains in southern California with a known history of producing large magnitude debris flows following fires. In response to the emergency, the U.S. Geological Survey released an assessment of debris-flow hazards as maps showing estimates of the probability and volume of debris-flow production from 678 burned drainage basins, and the areas that may be inundated by debris flows. The assessment was based on statistical-empirical models developed from post-fire hydrologic-response monitoring data throughout southern California steeplands. The intent of the assessment was to provide state-of-the-art information about potential debris-flow impacts to the public, and quantitative data critical for mitigation, resource-deployment and evacuation decisions by land-management, city and county public-works and flood-control, and emergency-response agencies. Here, we describe a research scientist perspective of the hits and misses associated with the release of this information. Release of the assessment was accompanied by an extensive multi-agency public information campaign. Hazards information was provided to the media and presented at numerous well-attended public meetings organized by local politicians, homeowner and religious associations, city councils, and a multi-agency response team. Meetings targeted to specific ethnic and religious groups resulted in increased attendance by members of these groups. Even with the extensive information campaign, the public response to both mandatory and voluntary evacuation orders was low, and decreased with each sequential winter storm. Interviews with local residents indicated that the low compliance could be attributed to: 1) a lack of a personal understanding of just how dangerous and destructive debris flows can be, 2) inconsistent messaging from different agencies regarding potential magnitudes of a debris-flow response, 3) a poor understanding of the uncertainties inherent to both weather and debris-flow predictions, and 4) a desire to protect personal property. Communication on a one-to-one basis throughout the storm season was necessary to avoid this last, all-too-human tendency. These observations also indicate that effective evacuations in response to debris-flow hazards require an increased awareness of the potential magnitudes and impacts by all parties involved, and this awareness must be established well in advance of any emergency. Most public-response agencies were receptive and appreciative of the information provided, although some were not. The information included in the hazard assessment was used as intended by numerous agencies, and many requested the GIS shapefiles so they would have the capability to generate maps for specific areas of responsibility. However, not every agency had the flexibility to adopt new information during the crisis. A state of emergency is not a good time to advocate for acceptance of new approaches or techniques.

Designing monitoring programs for chemicals of emerging concern in potable reuse--what to include and what not to include?

PubMed

Drewes, J E; Anderson, P; Denslow, N; Olivieri, A; Schlenk, D; Snyder, S A; Maruya, K A

2013-01-01

This study discussed a proposed process to prioritize chemicals for reclaimed water monitoring programs, selection of analytical methods required for their quantification, toxicological relevance of chemicals of emerging concern regarding human health, and related issues. Given that thousands of chemicals are potentially present in reclaimed water and that information about those chemicals is rapidly evolving, a transparent, science-based framework was developed to guide prioritization of which compounds of emerging concern (CECs) should be included in reclaimed water monitoring programs. The recommended framework includes four steps: (1) compile environmental concentrations (e.g., measured environmental concentration or MEC) of CECs in the source water for reuse projects; (2) develop a monitoring trigger level (MTL) for each of these compounds (or groups thereof) based on toxicological relevance; (3) compare the environmental concentration (e.g., MEC) to the MTL; CECs with a MEC/MTL ratio greater than 1 should be prioritized for monitoring, compounds with a ratio less than '1' should only be considered if they represent viable treatment process performance indicators; and (4) screen the priority list to ensure that a commercially available robust analytical method is available for that compound.

State Emergency Response and Field Observation Activities in California (USA) during the March 11, 2011, Tohoku Tsunami

NASA Astrophysics Data System (ADS)

Miller, K. M.; Wilson, R. I.; Goltz, J.; Fenton, J.; Long, K.; Dengler, L.; Rosinski, A.; California Tsunami Program

2011-12-01

This poster will present an overview of successes and challenges observed by the authors during this major tsunami response event. The Tohoku, Japan tsunami was the most costly to affect California since the 1964 Alaskan earthquake and ensuing tsunami. The Tohoku tsunami caused at least $50 million in damage to public facilities in harbors and marinas along the coast of California, and resulted in one fatality. It was generated by a magnitude 9.0 earthquake which occurred at 9:46PM PST on Thursday, March 10, 2011 in the sea off northern Japan. The tsunami was recorded at tide gages monitored by the West Coast/Alaska Tsunami Warning Center (WCATWC), which projected tsunami surges would reach California in approximately 10 hours. At 12:51AM on March 11, 2011, based on forecasted tsunami amplitudes, the WCATWC placed the California coast north of Point Conception (Santa Barbara County) in a Tsunami Warning, and the coast south of Point Conception to the Mexican border in a Tsunami Advisory. The California Emergency Management Agency (CalEMA) activated two Regional Emergency Operation Centers (REOCs) and the State Operation Center (SOC). The California Geological Survey (CGS) deployed a field team which collected data before, during and after the event through an information clearinghouse. Conference calls were conducted hourly between the WCATWC and State Warning Center, as well as with emergency managers in the 20 coastal counties. Coordination focused on local response measures, public information messaging, assistance needs, evacuations, emergency shelters, damage, and recovery issues. In the early morning hours, some communities in low lying areas recommended evacuation for their citizens, and the fishing fleet at Crescent City evacuated to sea. The greatest damage occurred in the harbors of Crescent City and Santa Cruz. As with any emergency, there were lessons learned and important successes in managing this event. Forecasts by the WCATWC were highly accurate. Exercises and workshops have enhanced communications between state and local agencies, and emergency managers are more educated about what to expect. Areas for improvement include keeping people out of the hazard area; educating the non-English speaking community; and reinforcing the long duration and unpredictable peak damaging waves of these events to emergency managers. The Governor proclaimed a state of emergency in six counties and the President declared a major disaster on April 18, 2011, allowing federal assistance to support repairs and economic recovery. Detailed evaluation of local maritime response activities, harbor damage, and measured and observed tsunami current velocity data will help the California Tsunami Program develop improved tsunami hazard maps and guidance for maritime communities. The state program will continue to emphasize the importance of both tsunami warnings and advisories, the unpredictable nature of each tsunami, and encourage public understanding of tsunamis to prepare and protect themselves in the future.

Biosensing and environmental sensing for emergency and protection e-Textiles.

PubMed

Magenes, G; Curone, D; Secco, E L; Bonfiglio, A

2011-01-01

The ProeTEX project introduced for the first time a complete set of smart garments integrating sensors for the physiological and environmental monitoring of emergency operators. These "smart" garments have been deeply tested in emergency-like contexts by professional rescuers, in order to assess real-time acquisition, processing and transmission of data from moving subjects while operating in harsh conditions. Here we report an overview of the main results obtained during field trials performed in 2010 by Italian and French professional firefighters, in specialized training centers, while dressing the ProeTEX prototypes. Results clearly demonstrate the benefit and step forward of such a system in order to monitor and coordinate rescuers even during intervention far away from the emergency headquarter.

Emergency Response of Iranian Hospitals Against Disasters: A Practical Framework for Improvement.

PubMed

Janati, Ali; Sadeghi-Bazargani, Homayoun; Hasanpoor, Edris; Sokhanvar, Mobin; HaghGoshyie, Elaheh; Salehi, Abdollah

2018-04-01

Hospital emergency management is a continuous process that requires monolithic integration of planning and response attempts with local and national schemes. The aim of the current study is to evaluate emergency response by hospitals against potential disasters in Tabriz, north-west Iran. A cross-sectional study was conducted in the city of Tabriz, in Iran, in 2016. The study population included all hospitals in Tabriz. A total of 18 hospitals were assessed. The hospital emergency response checklist was used to collect data. Tool components included command and control, communication, safety and security, triage, surge capacity, continuity of essential services, human resources, logistics and supply management, and post-disaster recovery. Data entry and analysis were carried out using SPSS software (version 20). The results showed that the emergency response rate of hospitals was 54.26% in Tabriz. The lowest response rates were for Shafaa hospital (18.89%) and the highest response rates were for Razi Hospital (91.67%). The components of hospital emergency response were assessed to be between 48.07% (surge capacity) and 58.95% (communication). On the basis of the World Health Organization checklist, the emergency response rate for hospitals in Tabriz was only 54.26%. Therefore, hospital emergency responses against disasters have to be improved and must be made to reach 100%. It is essential to design a comprehensive framework for hospital emergency response. (Disaster Med Public Health Preparedness. 2018;12:166-171).

Wide area sensor network

NASA Astrophysics Data System (ADS)

Mukhopadhyay, Sanjoy; Nix, Tricia; Junker, Robert; Brentano, Josef; Khona, Dhiren

2006-05-01

The technical concept for this project has existed since the Chernobyl accident in 1986. A host of Eastern European nations have developed countrywide grid of sensors to monitor airborne radiation. The objective is to build a radiological sensor network for real-time monitoring of environmental radiation levels in order to provide data for warning, and consequentially the assessment of a nuclear event. A network of radiation measuring equipment consisting of gamma, neutron, alpha, and beta counters would be distributed over a large area (preferably on fire station roof tops) and connected by a wireless network to the emergency response center. The networks would be deployed in urban environments and would supply first responders and federal augmentation teams (including those from the U.S. Departments of Energy, Defense, Justice, and Homeland Security) with detailed, accurate information regarding the transport of radioactive environmental contaminants, so the agencies can provide a safe and effective response. A networked sensor capability would be developed, with fixed sensors deployed at key locations and in sufficient numbers, to provide adequate coverage for early warning, and input to post-event emergency response. An overall system description and specification will be provided, including detector characteristics, communication protocols, infrastructure and maintenance requirements, and operation procedures. The system/network can be designed for a specifically identified urban area, or for a general urban area scalable to cities of specified size. Data collected via the network will be transmitted directly to the appropriate emergency response center and shared with multiple agencies via the Internet or an Intranet. The data collected will be managed using commercial off - the - shelf Geographical Information System (GIS). The data will be stored in a database and the GIS software will aid in analysis and management of the data. Unique features of the system include each node being assigned a health-effect based risk factor. By connecting the nodes on a particular measured isopleth one can define the plume accurately. Radon counts will be provided and used to calculate the alpha counts. The radiological data collected will also be of value under routine conditions, in the absence of a radiological threat, to provide a detailed map of radiation background in the urban environment and complement predictive models of radiation transport. The data can be transferred to the National Atmospheric Release Advisory Center (NARAC) to augment its predictive model, thereby increasing its fidelity. Initially, as a proof of concept, a few nodes will be built for the purpose of demonstrating the concept.

The potential offered by real-time, high-sensitivity monitoring of ethane in breath and some pilot studies using optical spectroscopy

NASA Astrophysics Data System (ADS)

Skeldon, Kenneth D.; Patterson, Claire; Wyse, Cathy A.; Gibson, Graham M.; Padgett, Miles J.; Longbottom, Chris; McMillan, Lesley C.

2005-06-01

Breath analysis applied to biomedical applications has gained much momentum is recent years due to the growing research demonstrating that breath gas can provide clinically useful data. Particularly exciting is the area of real-time breath analysis which, when coupled with appropriately chosen target species, can offer a novel method for non-invasive patient monitoring. Here we describe the role of ethane, a breath gas of universal appeal in assessing in vivo oxidative stress (cell damage). We first present a review of emerging applications where real-time ethane monitoring could yield original new results for healthcare. We then report on results from a portable ethane spectroscopy system (accuracy better then 100 parts per trillion (1 part in 1010) over a 1 s time response) that we have developed to exploit some of these applications. By presenting some initial results from pilot studies in the life sciences, we comment on the requirements that the next stage of optical spectroscopy technology has to meet in order to benefit clinical end-users.

Using cross-correlations of random wavefields for surface waves tomography and structural health monitoring.

NASA Astrophysics Data System (ADS)

Sabra, K.

2006-12-01

The random nature of noise and scattered fields tends to suggest limited utility. Indeed, seismic or acoustic fields from random sources or scatterers are often considered to be incoherent, but there is some coherence between two sensors that receive signals from the same individual source or scatterer. An estimate of the Green's function (or impulse response) between two points can be obtained from the cross-correlation of random wavefields recorded at these two points. Recent theoretical and experimental studies in ultrasonics, underwater acoustics, structural monitoring and seismology have investigated this technique in various environments and frequency ranges. These results provide a means for passive imaging using only the random wavefields, without the use of active sources. The coherent wavefronts emerge from a correlation process that accumulates contributions over time from random sources whose propagation paths pass through both receivers. Results will be presented from experiments using ambient noise cross-correlations for the following applications: 1) passive surface waves tomography from ocean microseisms and 2) structural health monitoring of marine and airborne structures embedded in turbulent flow.

Sequence Learning with Passive RFID Sensors for Real-Time Bed-Egress Recognition in Older People.

PubMed

Wickramasinghe, Asanga; Ranasinghe, Damith C; Fumeaux, Christophe; Hill, Keith D; Visvanathan, Renuka

2017-07-01

Getting out of bed and ambulating without supervision is identified as one of the major causes of patient falls in hospitals and nursing homes. Therefore, increased supervision is proposed as a key strategy toward falls prevention. An emerging generation of batteryless, lightweight, and wearable sensors are creating new possibilities for ambulatory monitoring, where the unobtrusive nature of such sensors makes them particularly adapted for monitoring older people. In this study, we investigate the use of a batteryless radio-frequency identification (RFID) tag response to analyze bed-egress movements. We propose a bed-egress movement detection framework that includes a novel sequence learning classifier with a set of features derived from bed-egress motion analysis. We analyzed data from 14 healthy older people (66-86 years old) who wore a wearable embodiment of a batteryless accelerometer integrated RFID sensor platform loosely attached over their clothes at sternum level, and undertook a series of activities including bed-egress in two clinical room settings. The promising results indicate the efficacy of our batteryless bed-egress monitoring framework.

Optical imaging characterizing brain response to thermal insult in injured rodent

NASA Astrophysics Data System (ADS)

Abookasis, David; Shaul, Oren; Meitav, Omri; Pinhasi, Gadi A.

2018-02-01

We used spatially modulated optical imaging system to assess the effect of temperature elevation on intact brain tissue in a mouse heatstress model. Heatstress or heatstroke is a medical emergency defined by abnormally elevated body temperature that causes biochemical, physiological and hematological changes. During experiments, brain temperature was measured concurrently with a thermal camera while core body temperature was monitored with rectal thermocouple probe. Changes in a battery of macroscopic brain physiological parameters, such as hemoglobin oxygen saturation level, cerebral water content, as well as intrinsic tissue optical properties were monitored during temperature elevation. These concurrent changes reflect the pathophysiology of the brain during heatstress and demonstrate successful monitoring of thermoregulation mechanisms. In addition, the variation of tissue refractive index was calculated showing a monotonous decrease with increasing wavelength. We found increased temperature to greatly affect both the scattering properties and refractive index which represent cellular and subcellular swelling indicative of neuronal damage. The overall trends detected in brain tissue parameters were consistent with previous observations using conventional medical devices and optical modalities.

Mathematical modeling of vibration processes in reinforced concrete structures for setting up crack initiation monitoring

NASA Astrophysics Data System (ADS)

Bykov, A. A.; Matveenko, B. P.; Serovaev, G. S.; Shardakov, I. N.; Shestakov, A. P.

2015-03-01

The contemporary construction industry is based on the use of reinforced concrete structures, but emergency situations resulting in fracture can arise in their exploitation. In a majority of cases, reinforced concrete fracture is realized as the process of crack formation and development. As a rule, the appearance of the first cracks does not lead to the complete loss of the carrying capacity but is a fracture precursor. One method for ensuring the safe operation of building structures is based on crack initiation monitoring. A vibration method for the monitoring of reinforced concrete structures is justified in this paper. An example of a reinforced concrete beam is used to consider all stages related to the analysis of the behavior of natural frequencies in the development of a crack-shaped defect and the use of the obtained numerical results for the vibration test method. The efficiency of the method is illustrated by the results of modeling of the physical part of the method related to the analysis of the natural frequency evolution as a response to the impact action in the crack development process.

[First-aid in France. Current situation and future perspectives].

PubMed

Larcan, Alain; Julien, Henri

2010-06-01

First-aid--treatment aimed at enabling a victim to survive pending the arrival of qualified medical support--is less well developed in France than in many other industrialized countries, especially among the general public. The current status of first-aid in France is paradoxical: schooling is free and obligatory, the ambulance service and emergency services are of the highest quality, but the general public are too often passive and unknowledgeable when faced with an emergency situation. This situation is due to several factors, including the complexity of first-aid training and regulations, the involvement of too many public bodies, the legal liability of the first-aider, and a lack of ongoing training. The French National Academy of Medicine recommends 8 measures to improve this situation: Provide a legal definition of first-aid: "a set of recognized measures aimed, in an emergency setting, at preserving the physical and psychological integrity of the victim of an accident or illness, notably pending the arrival of professional medical assistance". Waive, as in many other countries, civil and legal responsibility for the non professional first-aider, except in case of clear negligence. Reinforce the organization of first-aid in France in order to monitor the number and quality of first-aiders, and to ensure theoretical and pedagogic research; create a communications department capable of supporting and promoting first-aid. Improve access to first-aid training by increasing the number of situations in which it is obligatory (driving tuition, school and university examinations, group responsibility, at-risk practices), by providing financial assistance for certain groups, and by ensuring routine training at school, in the armed forces, and in the workplace. Create a progressive and integrated citizen first-aid training course with individual modules, ensuring that first-aiders update and perfect their knowledge throughout life. Soften pedagogic rules and shorten the training period in order to make volunteer first- aiding more accessible, notably by employing the latest teaching methods. Authorize professional first-aiders to use monitoring equipment, airway clearance techniques, and certain emergency medications. Finally, give first-aid a European dimension, underline the need for prevention, and reinforce and develop the ethical side of first-aiding. First-aid provides access to citizenship and altruism, is the first link in the chain of emergency medical assistance capable of saving lives, and is crucial for civil security As such, it is a national cause and must be strongly supported by the political and administrative authorities.

How, why, and for whom do emergency medicine providers use prescription drug monitoring programs?

PubMed

Smith, Robert J; Kilaru, Austin S; Perrone, Jeanmarie; Paciotti, Breah; Barg, Frances K; Gadsden, Sarah M; Meisel, Zachary F

2015-06-01

The prescription opioid epidemic is currently responsible for the greatest number of unintentional deaths in the United States. One potential strategy for decreasing this epidemic is implementation of state-based Prescription Drug Monitoring Programs (PDMPs), which are designed for providers to identify patients who "doctor shop" for prescriptions. Emergency medicine physicians are some of the most frequent PDMP users and opioid prescribers, but little is known about how they actually use PDMPs, for which patients, and for what reasons. We conducted and transcribed semistructured qualitative interviews with 61 physicians at a national academic conference in October 2012. Deidentified transcripts were entered into QSR NVivo 10.0, coded, and analyzed for themes using modified grounded theory. There is variation in pattern and frequency of PDMP access by emergency physicians. Providers rely on both structural characteristics of the PDMP, such as usability, and also their own clinical gestalt impression when deciding to use PDMPs for a given patient encounter. Providers use the information in PDMPs to alter clinical decisions and guide opioid prescribing patterns. Physicians describe alternative uses for the databases, such as improving their ability to facilitate discussions on addiction and provide patient education. PDMPs are used for multiple purposes, including identifying opioid misuse and enhancing provider-patient communication. Given variation in practice, standards may help direct indication and manner of physician use. Steps to minimize administrative barriers to PDMP access are warranted. Finally, alternative PDMP uses should be further studied to determine their appropriateness and potentially expand their role in clinical practice. Wiley Periodicals, Inc.

Recent advancement in biosensors technology for animal and livestock health management.

PubMed

Neethirajan, Suresh; Tuteja, Satish K; Huang, Sheng-Tung; Kelton, David

2017-12-15

The term biosensors encompasses devices that have the potential to quantify physiological, immunological and behavioural responses of livestock and multiple animal species. Novel biosensing methodologies offer highly specialised monitoring devices for the specific measurement of individual and multiple parameters covering an animal's physiology as well as monitoring of an animal's environment. These devices are not only highly specific and sensitive for the parameters being analysed, but they are also reliable and easy to use, and can accelerate the monitoring process. Novel biosensors in livestock management provide significant benefits and applications in disease detection and isolation, health monitoring and detection of reproductive cycles, as well as monitoring physiological wellbeing of the animal via analysis of the animal's environment. With the development of integrated systems and the Internet of Things, the continuously monitoring devices are expected to become affordable. The data generated from integrated livestock monitoring is anticipated to assist farmers and the agricultural industry to improve animal productivity in the future. The data is expected to reduce the impact of the livestock industry on the environment, while at the same time driving the new wave towards the improvements of viable farming techniques. This review focusses on the emerging technological advancements in monitoring of livestock health for detailed, precise information on productivity, as well as physiology and well-being. Biosensors will contribute to the 4th revolution in agriculture by incorporating innovative technologies into cost-effective diagnostic methods that can mitigate the potentially catastrophic effects of infectious outbreaks in farmed animals. Copyright © 2017 Elsevier B.V. All rights reserved.

Protein biomarker discovery and fast monitoring for the identification and detection of Anisakids by parallel reaction monitoring (PRM) mass spectrometry.

PubMed

Carrera, Mónica; Gallardo, José M; Pascual, Santiago; González, Ángel F; Medina, Isabel

2016-06-16

Anisakids are fish-borne parasites that are responsible for a large number of human infections and allergic reactions around the world. World health organizations and food safety authorities aim to control and prevent this emerging health problem. In the present work, a new method for the fast monitoring of these parasites is described. The strategy is divided in three steps: (i) purification of thermostable proteins from fish-borne parasites (Anisakids), (ii) in-solution HIFU trypsin digestion and (iii) monitoring of several peptide markers by parallel reaction monitoring (PRM) mass spectrometry. This methodology allows the fast detection of Anisakids in <2h. An affordable assay utilizing this methodology will facilitate testing for regulatory and safety applications. The work describes for the first time, the Protein Biomarker Discovery and the Fast Monitoring for the identification and detection of Anisakids in fishery products. The strategy is based on the purification of thermostable proteins, the use of accelerated in-solution trypsin digestions under an ultrasonic field provided by High-Intensity Focused Ultrasound (HIFU) and the monitoring of several peptide biomarkers by Parallel Reaction Monitoring (PRM) Mass Spectrometry in a linear ion trap mass spectrometer. The workflow allows the unequivocal detection of Anisakids, in <2h. The present strategy constitutes the fastest method for Anisakids detection, whose application in the food quality control area, could provide to the authorities an effective and rapid method to guarantee the safety to the consumers. Copyright © 2016 Elsevier B.V. All rights reserved.

Application of Network Analysis to Identify and Map Relationships between Information Systems in the context of Arctic Sustainability

NASA Astrophysics Data System (ADS)

Kontar, Y. Y.

2017-12-01

The Arctic Council is an intergovernmental forum promoting cooperation, coordination and interaction among the Arctic States and indigenous communities on issues of sustainable development and environmental protection in the North. The work of the Council is primarily carried out by six Working Groups: Arctic Contaminants Action Program, Arctic Monitoring and Assessment Programme, Conservation of Arctic Flora and Fauna, Emergency Prevention, Preparedness and Response, Protection of the Arctic Marine Environment, and Sustainable Development Working Group. The Working Groups are composed of researchers and representatives from government agencies. Each Working Group issues numerous scientific assessments and reports on a broad field of subjects, from climate change to emergency response in the Arctic. A key goal of these publications is to contribute to policy-making in the Arctic. Complex networks of information systems and the connections between the diverse elements within the systems have been identified via network analysis. This allowed to distinguish data sources that were used in the composition of the primary publications of the Working Groups. Next step is to implement network analysis to identify and map the relationships between the Working Groups and policy makers in the Arctic.

SSRL Emergency Response Shore Tool

NASA Technical Reports Server (NTRS)

Mah, Robert W.; Papasin, Richard; McIntosh, Dawn M.; Denham, Douglas; Jorgensen, Charles; Betts, Bradley J.; Del Mundo, Rommel

2006-01-01

The SSRL Emergency Response Shore Tool (wherein SSRL signifies Smart Systems Research Laboratory ) is a computer program within a system of communication and mobile-computing software and hardware being developed to increase the situational awareness of first responders at building collapses. This program is intended for use mainly in planning and constructing shores to stabilize partially collapsed structures. The program consists of client and server components, runs in the Windows operating system on commercial off-the-shelf portable computers, and can utilize such additional hardware as digital cameras and Global Positioning System devices. A first responder can enter directly, into a portable computer running this program, the dimensions of a required shore. The shore dimensions, plus an optional digital photograph of the shore site, can then be uploaded via a wireless network to a server. Once on the server, the shore report is time-stamped and made available on similarly equipped portable computers carried by other first responders, including shore wood cutters and an incident commander. The staff in a command center can use the shore reports and photographs to monitor progress and to consult with structural engineers to assess whether a building is in imminent danger of further collapse.

Science in Emergency Response at CDC: Structure and Functions.

PubMed

Iskander, John; Rose, Dale A; Ghiya, Neelam D

2017-09-01

Recent high-profile activations of the US Centers for Disease Control and Prevention (CDC) Emergency Operations Center (EOC) include responses to the West African Ebola and Zika virus epidemics. Within the EOC, emergency responses are organized according to the Incident Management System, which provides a standardized structure and chain of command, regardless of whether the EOC activation occurs in response to an outbreak, natural disaster, or other type of public health emergency. By embedding key scientific roles, such as the associate director for science, and functions within a Scientific Response Section, the current CDC emergency response structure ensures that both urgent and important science issues receive needed attention. Key functions during emergency responses include internal coordination of scientific work, data management, information dissemination, and scientific publication. We describe a case example involving the ongoing Zika virus response that demonstrates how the scientific response structure can be used to rapidly produce high-quality science needed to answer urgent public health questions and guide policy. Within the context of emergency response, longer-term priorities at CDC include both streamlining administrative requirements and funding mechanisms for scientific research.

Synthesis of current knowledge on post-fire seeding for soil stabilization and invasive species control

USGS Publications Warehouse

Beyers, Jan L.; Pyke, David A.; Wirth, Troy

2015-01-01

The General Accounting Office has identified a need for better information on the effectiveness of post-fire emergency stabilization and rehabilitation methods used by the U.S. Forest Service and Department of Interior (DOI) agencies. Since reviews were published on treatment effectiveness in the early 2000s, treatment choices have changed and increased monitoring has been done. Greater use of native species has added substantially to burned area emergency response (BAER) treatment costs, for example, but quantitative data on this treatment were scarce in earlier reviews. We synthesized current information on the effectiveness of post-fire seeding for both soil stabilization and for prevention of the spread of invasive species in rangelands. We reviewed published literature (peer-reviewed and “gray”) and agency monitoring reports, as well as compiled and analyzed quantitative data in agency files. Products of this review include a web-accessible database of monitoring reports and published information, a scientific journal paper summarizing findings of scientific studies, an annotated bibliography of peer-reviewed papers, a summary report published as a General Technical Report that will be available online (in progress), and presentations to scientific meetings and BAER/ESR team training sessions and workshops. By combining results from studies done by Forest Service and DOI agency personnel with research studies published since the initial reviews, we presented a comprehensive synthesis of seeding effectiveness knowledge that complements the review of other hillslope treatments published by other researchers. This information will help federal land managers make more cost-effective decisions on post-fire stabilization and rehabilitation treatments.

Electroencephalogram signatures of loss and recovery of consciousness from propofol

PubMed Central

Purdon, Patrick L.; Pierce, Eric T.; Mukamel, Eran A.; Prerau, Michael J.; Walsh, John L.; Wong, Kin Foon K.; Salazar-Gomez, Andres F.; Harrell, Priscilla G.; Sampson, Aaron L.; Cimenser, Aylin; Ching, ShiNung; Kopell, Nancy J.; Tavares-Stoeckel, Casie; Habeeb, Kathleen; Merhar, Rebecca; Brown, Emery N.

2013-01-01

Unconsciousness is a fundamental component of general anesthesia (GA), but anesthesiologists have no reliable ways to be certain that a patient is unconscious. To develop EEG signatures that track loss and recovery of consciousness under GA, we recorded high-density EEGs in humans during gradual induction of and emergence from unconsciousness with propofol. The subjects executed an auditory task at 4-s intervals consisting of interleaved verbal and click stimuli to identify loss and recovery of consciousness. During induction, subjects lost responsiveness to the less salient clicks before losing responsiveness to the more salient verbal stimuli; during emergence they recovered responsiveness to the verbal stimuli before recovering responsiveness to the clicks. The median frequency and bandwidth of the frontal EEG power tracked the probability of response to the verbal stimuli during the transitions in consciousness. Loss of consciousness was marked simultaneously by an increase in low-frequency EEG power (<1 Hz), the loss of spatially coherent occipital alpha oscillations (8–12 Hz), and the appearance of spatially coherent frontal alpha oscillations. These dynamics reversed with recovery of consciousness. The low-frequency phase modulated alpha amplitude in two distinct patterns. During profound unconsciousness, alpha amplitudes were maximal at low-frequency peaks, whereas during the transition into and out of unconsciousness, alpha amplitudes were maximal at low-frequency nadirs. This latter phase–amplitude relationship predicted recovery of consciousness. Our results provide insights into the mechanisms of propofol-induced unconsciousness, establish EEG signatures of this brain state that track transitions in consciousness precisely, and suggest strategies for monitoring the brain activity of patients receiving GA. PMID:23487781

Social media in disaster risk reduction and crisis management.

PubMed

Alexander, David E

2014-09-01

This paper reviews the actual and potential use of social media in emergency, disaster and crisis situations. This is a field that has generated intense interest. It is characterised by a burgeoning but small and very recent literature. In the emergencies field, social media (blogs, messaging, sites such as Facebook, wikis and so on) are used in seven different ways: listening to public debate, monitoring situations, extending emergency response and management, crowd-sourcing and collaborative development, creating social cohesion, furthering causes (including charitable donation) and enhancing research. Appreciation of the positive side of social media is balanced by their potential for negative developments, such as disseminating rumours, undermining authority and promoting terrorist acts. This leads to an examination of the ethics of social media usage in crisis situations. Despite some clearly identifiable risks, for example regarding the violation of privacy, it appears that public consensus on ethics will tend to override unscrupulous attempts to subvert the media. Moreover, social media are a robust means of exposing corruption and malpractice. In synthesis, the widespread adoption and use of social media by members of the public throughout the world heralds a new age in which it is imperative that emergency managers adapt their working practices to the challenge and potential of this development. At the same time, they must heed the ethical warnings and ensure that social media are not abused or misused when crises and emergencies occur.

On the importance of a correct divulgation of monitoring results for an efficient management of landslide emergencies

NASA Astrophysics Data System (ADS)

Giordan, Daniele; Manconi, Andrea; Allasia, Paolo

2015-04-01

In the last decades, technological evolution has strongly increased the number of instruments that can be used to monitor landslide phenomena. Robotized Total Stations, GB-InSAR, and GPS are only few examples of the systems that can be used for the control of the topographic changes due to the landslide activity. These monitoring systems are often merged in a complex network, aimed at controlling the most important physical parameters influencing the evolution of landslide activity. The technological level reached by these systems allows us to use them for early warning purposes. Critical thresholds are identified and, when overcome, emergency actions are associated to protect population living in areas potentially involved by landslide failure. The use of these early warning systems can be very useful for the decision makers, which have to manage emergency conditions due to a landslide acceleration likely precursor of a collapse. At this stage, every instrument has a proper management system and the dataset obtained is often not compatible with the results of the others systems. The level of complexity increases with the number of monitoring systems and often could generate a paradox: the source of data are so numerous and difficult to interpret that a full understanding of the phenomenon could be hampered. Nowadays, a correct divulgation of the recent evolution of a landslide potentially dangerous for the population is very important. The Geohazard Monitoring Group of CNR IRPI developed a communication strategy to divulgate the monitoring network results based on both, a dedicated web page (for the publication in near real time of last updates), and periodical bulletins (for a deeper analysis of the available dataset). To manage the near real time application we developed a system called ADVICE (ADVanced dIsplaCement monitoring system for Early warning) that collects all the available data of a monitoring network and creates user-friendly representations of the recent landslide evolution. The system is also able to manage early warnings based on pre-defined thresholds (usually related to the analysis of displacement and/or velocity) sending emails and SMS. Starting from the same dataset, the representations are different if the information has to be delivered to the population or the technicians involved in the landslide emergency. Our communication strategy considers three different levels of representations of the acquired dataset to be able to communicate the results to the different stakeholders potentially involved in the emergency. This communication scheme has been achieved over time, thank to the experience acquired during the management of monitoring networks relevant to different case studies, such as: Mt. de La Saxe Landslide (Aosta Valley, NW Italy), Ripoli landslide (Emilia Romagna region, central Italy), Montaguto landslide (Campania region, south Italy). Here we present how the correct and user-friendly communication of the monitoring results has been an important added value to support decision makers and population during emergency scenarios.

Seasonal bat activity related to insect emergence at three temperate lakes.

PubMed

Salvarina, Ioanna; Gravier, Dorian; Rothhaupt, Karl-Otto

2018-04-01

Knowledge of aquatic food resources entering terrestrial systems is important for food web studies and conservation planning. Bats, among other terrestrial consumers, often profit from aquatic insect emergence and their activity might be closely related to such events. However, there is a lack of studies which monitor bat activity simultaneously with aquatic insect emergence, especially from lakes. Thus, our aim was to understand the relationship between insect emergence and bat activity, and investigate whether there is a general spatial or seasonal pattern at lakeshores. We assessed whole-night bat activity using acoustic monitoring and caught emerging and aerial flying insects at three different lakes through three seasons. We predicted that insect availability and seasonality explain the variation in bat activity, independent of the lake size and characteristics. Spatial (between lakes) differences of bat activity were stronger than temporal (seasonal) differences. Bat activity did not always correlate to insect emergence, probably because other factors, such as habitat characteristics, or bats' energy requirements, play an important role as well. Aerial flying insects explained bat activity better than the emerged aquatic insects in the lake with lowest insect emergence. Bats were active throughout the night with some activity peaks, and the pattern of their activity also differed among lakes and seasons. Lakes are important habitats for bats, as they support diverse bat communities and activity throughout the night and the year when bats are active. Our study highlights that there are spatial and temporal differences in bat activity and its hourly nocturnal pattern, that should be considered when investigating aquatic-terrestrial interactions or designing conservation and monitoring plans.

Operationalising emergency care delivery in sub-Saharan Africa: consensus-based recommendations for healthcare facilities.

PubMed

Calvello, Emilie J B; Tenner, Andrea G; Broccoli, Morgan C; Skog, Alexander P; Muck, Andrew E; Tupesis, Janis P; Brysiewicz, Petra; Teklu, Sisay; Wallis, Lee; Reynolds, Teri

2016-08-01

A major barrier to successful integration of acute care into health systems is the lack of consensus on the essential components of emergency care within resource-limited environments. The 2013 African Federation of Emergency Medicine Consensus Conference was convened to address the growing need for practical solutions to further implementation of emergency care in sub-Saharan Africa. Over 40 participants from 15 countries participated in the working group that focused on emergency care delivery at health facilities. Using the well-established approach developed in the WHO's Monitoring Emergency Obstetric Care, the workgroup identified the essential services delivered-signal functions-associated with each emergency care sentinel condition. Levels of emergency care were assigned based on the expected capacity of the facility to perform signal functions, and the necessary human, equipment and infrastructure resources identified. These consensus-based recommendations provide the foundation for objective facility capacity assessment in developing emergency health systems that can bolster strategic planning as well as facilitate monitoring and evaluation of service delivery. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Research priorities for the development and implementation of serological tools for malaria surveillance.

PubMed

Elliott, Salenna R; Fowkes, Freya J I; Richards, Jack S; Reiling, Linda; Drew, Damien R; Beeson, James G

2014-01-01

Surveillance is a key component of control and elimination programs. Malaria surveillance has been typically reliant on case reporting by health services, entomological estimates and parasitemia (Plasmodium species) point prevalence. However, these techniques become less sensitive and relatively costly as transmission declines. There is great potential for the development and application of serological biomarkers of malaria exposure as sero-surveillance tools to strengthen malaria control and elimination. Antibodies to malaria antigens are sensitive biomarkers of population-level malaria exposure and can be used to identify hotspots of malaria transmission, estimate transmission levels, monitor changes over time or the impact of interventions on transmission, confirm malaria elimination, and monitor re-emergence of malaria. Sero-surveillance tools could be used in reference laboratories or developed as simple point-of-care tests for community-based surveillance, and different applications and target populations dictate the technical performance required from assays that are determined by properties of antigens and antibody responses. To advance the development of sero-surveillance tools for malaria elimination, major gaps in our knowledge need to be addressed through further research. These include greater knowledge of potential antigens, the sensitivity and specificity of antibody responses, and the longevity of these responses and defining antigens and antibodies that differentiate between exposure to Plasmodium falciparum and P. vivax. Additionally, a better understanding of the influence of host factors, such as age, genetics, and comorbidities on antibody responses in different populations is needed.

Research priorities for the development and implementation of serological tools for malaria surveillance

PubMed Central

Elliott, Salenna R.; Fowkes, Freya J.I.; Richards, Jack S.; Reiling, Linda; Drew, Damien R.

2014-01-01

Surveillance is a key component of control and elimination programs. Malaria surveillance has been typically reliant on case reporting by health services, entomological estimates and parasitemia (Plasmodium species) point prevalence. However, these techniques become less sensitive and relatively costly as transmission declines. There is great potential for the development and application of serological biomarkers of malaria exposure as sero-surveillance tools to strengthen malaria control and elimination. Antibodies to malaria antigens are sensitive biomarkers of population-level malaria exposure and can be used to identify hotspots of malaria transmission, estimate transmission levels, monitor changes over time or the impact of interventions on transmission, confirm malaria elimination, and monitor re-emergence of malaria. Sero-surveillance tools could be used in reference laboratories or developed as simple point-of-care tests for community-based surveillance, and different applications and target populations dictate the technical performance required from assays that are determined by properties of antigens and antibody responses. To advance the development of sero-surveillance tools for malaria elimination, major gaps in our knowledge need to be addressed through further research. These include greater knowledge of potential antigens, the sensitivity and specificity of antibody responses, and the longevity of these responses and defining antigens and antibodies that differentiate between exposure to Plasmodium falciparum and P. vivax. Additionally, a better understanding of the influence of host factors, such as age, genetics, and comorbidities on antibody responses in different populations is needed. PMID:25580254

The toxicological application of transcriptomics and epigenomics in zebrafish and other teleosts.

PubMed

Williams, Tim D; Mirbahai, Leda; Chipman, J Kevin

2014-03-01

Zebrafish (Danio rerio) is one of a number of teleost fish species frequently employed in toxicology. Toxico-genomics determines global transcriptomic responses to chemical exposures and can predict their effects. It has been applied successfully within aquatic toxicology to assist in chemical testing, determination of mechanisms and environmental monitoring. Moreover, the related field of toxico-epigenomics, that determines chemical-induced changes in DNA methylation, histone modifications and micro-RNA expression, is emerging as a valuable contribution to understanding mechanisms of both adaptive and adverse responses. Zebrafish has proven a useful and convenient model species for both transcriptomic and epigenetic toxicological studies. Despite zebrafish's dominance in other areas of fish biology, alternative fish species are used extensively in toxico-genomics. The main reason for this is that environmental monitoring generally focuses on species native to the region of interest. We are starting to see advances in the integration of high-throughput screening, omics techniques and bioinformatics together with more traditional indicator endpoints that are relevant to regulators. Integration of such approaches with high-throughput testing of zebrafish embryos, leading to the discovery of adverse outcome pathways, promises to make a major contribution to ensuring the safety of chemicals in the environment.

A bioassay for studying behavioural responses of the common bed bug, Cimex lectularius (Hemiptera: Cimicidae) to bed bug-derived volatiles.

PubMed

Weeks, E N I; Logan, J G; Gezan, S A; Woodcock, C M; Birkett, M A; Pickett, J A; Cameron, M M

2011-02-01

The common bed bug, Cimex lectularius (Hemiptera: Cimicidae), has recently re-emerged in increasing numbers, distribution and intensity of infestation in many countries. Current control relies on the application of residual pesticides; but, due to the development of insecticide resistance, there is a need for new tools and techniques. Semiochemicals (behaviour and physiology modifying chemicals) could be exploited for management of bed bugs. However, in order to identify semiochemicals that can be utilised in monitoring or control, a suitable olfactometer is needed that enables the study of the responses of bed bugs to volatile chemicals. Previous studies have used olfactometers that do not separate olfactory responses from responses to physical contact. In this study, a still-air olfactometer was used to measure behavioural responses to different bed bug-derived volatiles presented in an odour pot. Bed bugs were significantly more likely to visit the area above the odour pot first, and more frequently, in the presence of volatiles from bed bug-exposed paper but not in the presence of volatiles from conspecific bed bugs. Bed bug activity was found to be dependent on the presence of the volatiles from bed bug-exposed paper, the time during the scotophase and the sex of the insect being tested. The still-air olfactometer could be used to test putative semiochemicals, which would allow an understanding of their behavioural role in bed bug ecology. Ultimately, this could lead to the identification of new semiochemical tools for bed bug monitoring and control.

An emergency call system for patients in locked-in state using an SSVEP-based brain switch.

PubMed

Lim, Jeong-Hwan; Kim, Yong-Wook; Lee, Jun-Hak; An, Kwang-Ok; Hwang, Han-Jeong; Cha, Ho-Seung; Han, Chang-Hee; Im, Chang-Hwan

2017-11-01

Patients in a locked-in state (LIS) due to severe neurological disorders such as amyotrophic lateral sclerosis (ALS) require seamless emergency care by their caregivers or guardians. However, it is a difficult job for the guardians to continuously monitor the patients' state, especially when direct communication is not possible. In the present study, we developed an emergency call system for such patients using a steady-state visual evoked potential (SSVEP)-based brain switch. Although there have been previous studies to implement SSVEP-based brain switch system, they have not been applied to patients in LIS, and thus their clinical value has not been validated. In this study, we verified whether the SSVEP-based brain switch system can be practically used as an emergency call system for patients in LIS. The brain switch used for our system adopted a chromatic visual stimulus, which proved to be visually less stimulating than conventional checkerboard-type stimuli but could generate SSVEP responses strong enough to be used for brain-computer interface (BCI) applications. To verify the feasibility of our emergency call system, 14 healthy participants and 3 patients with severe ALS took part in online experiments. All three ALS patients successfully called their guardians to their bedsides in about 6.56 seconds. Furthermore, additional experiments with one of these patients demonstrated that our emergency call system maintains fairly good performance even up to 4 weeks after the first experiment without renewing initial calibration data. Our results suggest that our SSVEP-based emergency call system might be successfully used in practical scenarios. © 2017 Society for Psychophysiological Research.

Role of India's wildlife in the emergence and re-emergence of zoonotic pathogens, risk factors and public health implications.

PubMed

Singh, B B; Gajadhar, A A

2014-10-01

Evolving land use practices have led to an increase in interactions at the human/wildlife interface. The presence and poor knowledge of zoonotic pathogens in India's wildlife and the occurrence of enormous human populations interfacing with, and critically linked to, forest ecosystems warrant attention. Factors such as diverse migratory bird populations, climate change, expanding human population and shrinking wildlife habitats play a significant role in the emergence and re-emergence of zoonotic pathogens from India's wildlife. The introduction of a novel Kyasanur forest disease virus (family flaviviridae) into human populations in 1957 and subsequent occurrence of seasonal outbreaks illustrate the key role that India's wild animals play in the emergence and reemergence of zoonotic pathogens. Other high priority zoonotic diseases of wildlife origin which could affect both livestock and humans include influenza, Nipah, Japanese encephalitis, rabies, plague, leptospirosis, anthrax and leishmaniasis. Continuous monitoring of India's extensively diverse and dispersed wildlife is challenging, but their use as indicators should facilitate efficient and rapid disease-outbreak response across the region and occasionally the globe. Defining and prioritizing research on zoonotic pathogens in wildlife are essential, particularly in a multidisciplinary one-world one-health approach which includes human and veterinary medical studies at the wildlife-livestock-human interfaces. This review indicates that wild animals play an important role in the emergence and re-emergence of zoonotic pathogens and provides brief summaries of the zoonotic diseases that have occurred in wild animals in India. Copyright © 2014 Elsevier B.V. All rights reserved.

INTERNATIONAL SOURCE WATER TOXICITY MONITORING CONSORTIUM

EPA Science Inventory

Many researchers in the field of time-relevant, on-line toxicity monitors for source water protection believe that some mechanism to guide and prioritize research in this emerging field would be beneficial. On-line toxicity monitors are tools designed to screen water quality and ...

National Antimicrobial Resistance Monitoring System (NARMS) 2010 Report

USDA-ARS?s Scientific Manuscript database

In an effort to prospectively monitor the emergence of antimicrobial resistance in zoonotic pathogens, the National Antimicrobial Resistance Monitoring System (NARMS) was established in 1996 by the Food and Drug Administration’s Center for Veterinary Medicine in collaboration with the Centers for Di...

Near-Port Air Quality Assessment Utilizing a Mobile Monitoring Approach

EPA Science Inventory

Mobile monitoring is an emerging strategy to characterize spatially and temporally variable air pollution in areas near sources. EPA’s Geospatial Monitoring of Air Pollution (GMAP) vehicle – an all-electric vehicle measuring real-time concentrations of particulate and gaseous po...

49 CFR 1.45 - Delegations to the Director of the Office of Intelligence, Security and Emergency Response.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Intelligence, Security and Emergency Response. 1.45 Section 1.45 Transportation Office of the Secretary of... Delegations to the Director of the Office of Intelligence, Security and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority to: (a) Carry out the functions related...

49 CFR 1.45 - Delegations to the Director of the Office of Intelligence, Security and Emergency Response.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Intelligence, Security and Emergency Response. 1.45 Section 1.45 Transportation Office of the Secretary of... Delegations to the Director of the Office of Intelligence, Security and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority to: (a) Carry out the functions related...

49 CFR 1.45 - Delegations to the Director of the Office of Intelligence, Security and Emergency Response.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Intelligence, Security and Emergency Response. 1.45 Section 1.45 Transportation Office of the Secretary of... Delegations to the Director of the Office of Intelligence, Security and Emergency Response. The Director of Intelligence, Security, and Emergency Response is delegated authority to: (a) Carry out the functions related...

An emergency-adaptive routing scheme for wireless sensor networks for building fire hazard monitoring.

PubMed

Zeng, Yuanyuan; Sreenan, Cormac J; Sitanayah, Lanny; Xiong, Naixue; Park, Jong Hyuk; Zheng, Guilin

2011-01-01

Fire hazard monitoring and evacuation for building environments is a novel application area for the deployment of wireless sensor networks. In this context, adaptive routing is essential in order to ensure safe and timely data delivery in building evacuation and fire fighting resource applications. Existing routing mechanisms for wireless sensor networks are not well suited for building fires, especially as they do not consider critical and dynamic network scenarios. In this paper, an emergency-adaptive, real-time and robust routing protocol is presented for emergency situations such as building fire hazard applications. The protocol adapts to handle dynamic emergency scenarios and works well with the routing hole problem. Theoretical analysis and simulation results indicate that our protocol provides a real-time routing mechanism that is well suited for dynamic emergency scenarios in building fires when compared with other related work.

An Emergency-Adaptive Routing Scheme for Wireless Sensor Networks for Building Fire Hazard Monitoring

PubMed Central

Zeng, Yuanyuan; Sreenan, Cormac J.; Sitanayah, Lanny; Xiong, Naixue; Park, Jong Hyuk; Zheng, Guilin

2011-01-01

Fire hazard monitoring and evacuation for building environments is a novel application area for the deployment of wireless sensor networks. In this context, adaptive routing is essential in order to ensure safe and timely data delivery in building evacuation and fire fighting resource applications. Existing routing mechanisms for wireless sensor networks are not well suited for building fires, especially as they do not consider critical and dynamic network scenarios. In this paper, an emergency-adaptive, real-time and robust routing protocol is presented for emergency situations such as building fire hazard applications. The protocol adapts to handle dynamic emergency scenarios and works well with the routing hole problem. Theoretical analysis and simulation results indicate that our protocol provides a real-time routing mechanism that is well suited for dynamic emergency scenarios in building fires when compared with other related work. PMID:22163774

Towards an Integrated Flood Preparedness and Response: Centralized Data Access, Analysis, and Visualization

NASA Astrophysics Data System (ADS)

Demir, I.; Krajewski, W. F.

2014-12-01

Recent advances in internet and cyberinfrastucture technologies have provided the capability to understand the hydrological and meteorological systems at space and time scales that are critical for making accurate understanding and prediction of flooding, and emergency preparedness. A novel example of a cyberinfrastructure platform for flood preparedness and response is the Iowa Flood Center's Iowa Flood Information System (IFIS). IFIS is a one-stop web-platform to access community-based flood conditions, forecasts, visualizations, inundation maps and flood-related data, information, and applications. An enormous volume of real-time observational data from a variety of sensors and remote sensing resources (radars, rain gauges, stream sensors, etc.) and complex flood inundation models are staged on a user-friendly maps environment that is accessible to the general public. IFIS has developed into a very successful tool used by agencies, decision-makers, and the general public throughout Iowa to better understand their local watershed and their personal and community flood risk, and to monitor local stream and river levels. IFIS helps communities make better-informed decisions on the occurrence of floods, and alerts communities in advance to help minimize flood damages. IFIS is widely used by general public in Iowa and the Midwest region with over 120,000 unique users, and became main source of information for many newspapers and TV stations in Iowa. IFIS has features for general public to improve emergency preparedness, and for decision makers to support emergency response and recovery efforts. IFIS is also a great platform for educators and local authorities to educate students and public on flooding with games, easy to use interactive environment, and data rich system.

44 CFR 323.3 - Responsibilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) § 323.3 Responsibilities. (a) As stated in The National Plan for Emergency Preparedness, the direction... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Responsibilities. 323.3 Section 323.3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF...

Social media and its dual use in biopreparedness: communication and visualization tools in an animal bioterrorism incident.

PubMed

Sjöberg, Elisabeth; Barker, Gary C; Landgren, Jonas; Griberg, Isaac; Skiby, Jeffrey E; Tubbin, Anna; von Stapelmohr, Anne; Härenstam, Malin; Jansson, Mikael; Knutsson, Rickard

2013-09-01

This article focuses on social media and interactive challenges for emergency organizations during a bioterrorism or agroterrorism incident, and it outlines the dual-use dilemma of social media. Attackers or terrorists can use social media as their modus operandi, and defenders, including emergency organizations in law enforcement and public and animal health, can use it for peaceful purposes. To get a better understanding of the uses of social media in these situations, a workshop was arranged in Stockholm, Sweden, to raise awareness about social media and animal bioterrorism threats. Fifty-six experts and crisis communicators from international and national organizations participated. As a result of the workshop, it was concluded that emergency organizations can collect valuable information and monitor social media before, during, and after an outbreak. In order to make use of interactive communication to obtain collective intelligence from the public, emergency organizations must adapt to social networking technologies, requiring multidisciplinary knowledge in the fields of information, communication, IT, and biopreparedness. Social network messaging during a disease outbreak can be visualized in stream graphs and networks showing clusters of Twitter and Facebook users. The visualization of social media can be an important preparedness tool in the response to bioterrorism and agroterrorism.

Monitoring HIV and AIDS Related Policy Reforms: A Road Map to Strengthen Policy Monitoring and Implementation in PEPFAR Partner Countries

PubMed Central

2016-01-01

Achieving an AIDS-free generation will require the adoption and implementation of critical health policy reforms. However, countries with high HIV burden often have low policy development, advocacy, and monitoring capacity. This lack of capacity may be a significant barrier to achieving the AIDS-free generation goals. This manuscript describes the increased focus on policy development and implementation by the United States President’s Emergency Plan for AIDS Relief (PEPFAR). It evaluates the curriculum and learning modalities used for two regional policy capacity building workshops organized around the PEPFAR Partnership Framework agreements and the Road Map for Monitoring and Implementing Policy Reforms. A total of 64 participants representing the U.S. Government, partner country governments, and civil society organizations attended the workshops. On average, participants responded that their policy monitoring skills improved and that they felt they were better prepared to monitor policy reforms three months after the workshop. When followed-up regarding utilization of the Road Map action plan, responses were mixed. Reasons cited for not making progress included an inability to meet or a lack of time, personnel, or governmental support. This lack of progress may point to a need for building policy monitoring systems in high HIV burden countries. Because the success of policy reforms cannot be measured by the mere adoption of written policy documents, monitoring the implementation of policy reforms and evaluating their public health impact is essential. In many high HIV burden countries, policy development and monitoring capacity remains weak. This lack of capacity could hinder efforts to achieve the ambitious AIDS-free generation treatment, care and prevention goals. The Road Map appears to be a useful tool for strengthening these critical capacities. PMID:26914708

Prescription Drug Monitoring Programs: Ethical Issues in the Emergency Department.

PubMed

Marco, Catherine A; Venkat, Arvind; Baker, Eileen F; Jesus, John E; Geiderman, Joel M

2016-11-01

Prescription drug monitoring programs are statewide databases available to clinicians to track prescriptions of controlled medications. These programs may provide valuable information to assess the history and use of controlled substances and contribute to clinical decisionmaking in the emergency department (ED). The widespread availability of the programs raises important ethical issues about beneficence, nonmaleficence, respect for persons, justice, confidentiality, veracity, and physician autonomy. In this article, we review the ethical issues surrounding prescription drug monitoring programs and how those issues might be addressed to ensure the proper application of this tool in the ED. Clinical decisionmaking in regard to the appropriate use of opioids and other controlled substances is complex and should take into account all relevant clinical factors, including age, sex, clinical condition, medical history, medication history and potential drug-drug interactions, history of addiction or diversion, and disease state. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Geospatial Information is the Cornerstone of Effective Hazards Response

USGS Publications Warehouse

Newell, Mark

2008-01-01

Every day there are hundreds of natural disasters world-wide. Some are dramatic, whereas others are barely noticeable. A natural disaster is commonly defined as a natural event with catastrophic consequences for living things in the vicinity. Those events include earthquakes, floods, hurricanes, landslides, tsunami, volcanoes, and wildfires. Man-made disasters are events that are caused by man either intentionally or by accident, and that directly or indirectly threaten public health and well-being. These occurrences span the spectrum from terrorist attacks to accidental oil spills. To assist in responding to natural and potential man-made disasters, the U.S. Geological Survey (USGS) has established the Geospatial Information Response Team (GIRT) (http://www.usgs.gov/emergency/). The primary purpose of the GIRT is to ensure rapid coordination and availability of geospatial information for effective response by emergency responders, and land and resource managers, and for scientific analysis. The GIRT is responsible for establishing monitoring procedures for geospatial data acquisition, processing, and archiving; discovery, access, and delivery of data; anticipating geospatial needs; and providing relevant geospatial products and services. The GIRT is focused on supporting programs, offices, other agencies, and the public in mission response to hazards. The GIRT will leverage the USGS Geospatial Liaison Network and partnerships with the Department of Homeland Security (DHS), National Geospatial-Intelligence Agency (NGA), and Northern Command (NORTHCOM) to coordinate the provisioning and deployment of USGS geospatial data, products, services, and equipment. The USGS geospatial liaisons will coordinate geospatial information sharing with State, local, and tribal governments, and ensure geospatial liaison back-up support procedures are in place. The GIRT will coordinate disposition of USGS staff in support of DHS response center activities as requested by DHS. The GIRT is a standing team that is available during all hazard events and is on high alert during the hurricane season from June through November each year. To track all of the requirements and data acquisitions processed through the team, the GIRT will use the new Emergency Request Track (ER Track) tool. Currently, the ER Track is only available to USGS personnel.

The development of Operational Intervention Levels (OILs) for Soils - A decision support tool in nuclear and radiological emergency response

NASA Astrophysics Data System (ADS)

Lee Zhi Yi, Amelia; Dercon, Gerd; Blackburn, Carl; Kheng, Heng Lee

2017-04-01

In the event of a large-scale nuclear accident, the swift implementation of response actions is imperative. For food and agriculture, it is important to restrict contaminated food from being produced or gathered, and to put in place systems to prevent contaminated produce from entering the food chain. Emergency tools and response protocols exist to assist food control and health authorities but they tend to focus on radioactivity concentrations in food products as a means of restricting the distribution and sale of contaminated produce. Few, if any, emergency tools or protocols focus on the food production environment, for example radioactivity concentrations in soils. Here we present the Operational Intervention Levels for Soils (OIL for Soils) concept, an optimization tool developed at the IAEA to facilitate agricultural decision making and to improve nuclear emergency preparedness and response capabilities. Effective intervention relies on the prompt availability of radioactivity concentration data and the ability to implement countermeasures. Sampling in food and agriculture can be demanding because it may involve large areas and many sample types. In addition, there are finite resources available in terms of manpower and laboratory support. Consequently, there is a risk that timely decision making will be hindered and food safety compromised due to time taken to sample and analyse produce. However, the OILs for Soils concept developed based on experience in Japan can help in this situation and greatly assist authorities responsible for agricultural production. OILs for Soils - pre-determined reference levels of air dose rates linked to radionuclide concentrations in soils - can be used to trigger response actions particularly important for agricultural and food protection. Key considerations in the development of the OILs for Soils are: (1) establishing a pragmatic sampling approach to prioritize and optimize available resources and data requirements for decision making in agricultural sites: (2) creating a system that is adaptable to different countries, and; (3) developing a framework to calculate default values of OILs for Soils for application during an emergency. The OILs for Soils reference levels are calculated using a mathematical model. Empirical equations, paired with radionuclide data (e.g. Cs-134, Cs-137 and I-131) from the ICRU 53 report, are utilized to determine soil contamination from aerial monitoring air dose rate data. Modelling allows soil contamination values to be readily approximated and this is used to prioritize soil and food sampling sites. Reference levels are based on a model that considers radionuclide transfer factors for up-take into plants, soil density, and soil sampling depth. Decision actions for determined reference levels are suggested for processed foods, animal products, animal feed and crop products (including plants at the growing stage, mature stage, fallow farmland, and forestry products). With these steps, OILs for Soils provide practical guidance that will equip authorities to respond efficiently and help maintain the safety of the food supply during large-scale nuclear or radiological emergency situations.

Emergency response to mass casualty incidents in Lebanon.

PubMed

El Sayed, Mazen J

2013-08-01

The emergency response to mass casualty incidents in Lebanon lacks uniformity. Three recent large-scale incidents have challenged the existing emergency response process and have raised the need to improve and develop incident management for better resilience in times of crisis. We describe some simple emergency management principles that are currently applied in the United States. These principles can be easily adopted by Lebanon and other developing countries to standardize and improve their emergency response systems using existing infrastructure.

1996-1997 TEMA/DOE oversite annual report

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

NONE

1998-01-01

The Tennessee Emergency Management Agency (TEMA) has entered into a five-year agreement with the Department of Energy (DOE) to provide emergency response activities associated with the Oak Ridge Reservation (ORR). The Agreement in Principle (AIP) delineates the duties and responsibilities of the parties. The agreement tasked TEMA with the following responsibilities: develop offsite emergency plans; conduct emergency management training; develop offsite emergency organizations; develop emergency communications; develop emergency facilities; conduct exercises and drills; provide detection and protection equipment; and develop an emergency staff. This document reports on progress on these tasks during the past year.

1996--1997 TEMA/DOE oversight annual report

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

NONE

1998-06-01

The Tennessee Emergency Management Agency (TEMA) has entered into a five-year agreement with the Department of Energy (DOE) to provide emergency response activities associated with the Oak Ridge Reservation (ORR). The Agreement in Principle (AIP) delineates the duties and responsibilities of the parties. The agreement tasked TEMA with the following responsibilities: develop offsite emergency plans; conduct emergency management training; develop offsite emergency organizations; develop emergency communications; develop emergency facilities; conduct exercises and drills; provide detection and protection equipment; and develop an emergency staff. This report describes progress on the 14 deliverables connected with this contract.

Coma Patient Monitoring System Using Image Processing

NASA Astrophysics Data System (ADS)

Sankalp, Meenu

2011-12-01

COMA PATIENT MONITORING SYSTEM provides high quality healthcare services in the near future. To provide more convenient and comprehensive medical monitoring in big hospitals since it is tough job for medical personnel to monitor each patient for 24 hours.. The latest development in patient monitoring system can be used in Intensive Care Unit (ICU), Critical Care Unit (CCU), and Emergency Rooms of hospital. During treatment, the patient monitor is continuously monitoring the coma patient to transmit the important information. Also in the emergency cases, doctor are able to monitor patient condition efficiently to reduce time consumption, thus it provides more effective healthcare system. So due to importance of patient monitoring system, the continuous monitoring of the coma patient can be simplified. This paper investigates about the effects seen in the patient using "Coma Patient Monitoring System" which is a very advanced product related to physical changes in body movement of the patient and gives Warning in form of alarm and display on the LCD in less than one second time. It also passes a sms to a person sitting at the distant place if there exists any movement in any body part of the patient. The model for the system uses Keil software for the software implementation of the developed system.

Monitoring bacterial biofilms with a microfluidic flow chip designed for imaging with white-light interferometry

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

Brann, Michelle; Suter, Jonathan D.; Addleman, R. Shane

There is a need for imaging and sensing instrumentation that can monitor transitions in biofilm structure in order to better understand biofilm development and emergent properties such as anti-microbial resistance. Herein, we expanded on our previously reported technique for measuring and monitoring the thickness and topology of live biofilms using white-light interferometry (WLI). A flow cell designed for WLI enabled the use of this non-disruptive imaging method for the capture of high resolution three-dimensional profile images of biofilm growth over time. The fine axial resolution (3 nm) and wide field of view (>1 mm by 1 mm) enabled detection ofmore » biofilm formation as early as three hours after inoculation of the flow cell with a live bacterial culture (Pseudomonas fluorescens). WLI imaging facilitated monitoring the early stages of biofilm development and subtle variations in the structure of mature biofilms. Minimally-invasive imaging enabled monitoring of biofilm structure with surface metrology metrics (e.g., surface roughness). The system was used to observe a transition in biofilm structure that occurred in response to expsoure to a common antiseptic. In the future, WLI and the biofilm imaging cell described herein may be used to test the effectiveness of biofilm-specific therapies to combat common diseases associated with biofilm formation such as cystic fibrosis and periodontitis.« less

U.S. EPA response to the Fukushima Daiichi Nuclear Power Plant accident.

PubMed

Tupin, Edward A; Boyd, Michael A; Mosser, Jennifer E; Wieder, Jessica S

2012-05-01

During the spring of 2011, the U.S. Environmental Protection Agency (EPA) used its national radiation monitoring and sampling system, RadNet, to detect, identify, and inform the public about radioactive material in the United States resulting from Japan's Fukushima Daiichi Nuclear Power Plant release. The RadNet system monitors ambient air, drinking water, precipitation, and pasteurized milk for radionuclides. To supplement its existing stationary (fixed) continuous air monitoring system, EPA deployed additional air monitors to Saipan, Guam, and locations in the western United States. The Agency also accelerated the regular quarterly sampling of milk and drinking water and collected an additional round of samples. For two months, staff located at EPA's Headquarters Emergency Operations Center, west coast regional offices, and National Air and Radiation Environmental Lab worked seven days a week to handle the increased radiochemical sample analysis from air filters, precipitation, drinking water, and milk; provide interagency scientific input; and answer press and public inquiries. EPA's data was consistent with what was expected from the Fukushima Daiichi Nuclear Power Plant release. The levels of radioactivity were so low that the readings from the near-real-time RadNet air monitors stayed within normal background ranges. Detailed sample analyses were needed to identify the radionuclides associated with the release. Starting at the end of April and continuing through May 2011, levels of radioactive material decreased as expected.

Integrating environmental monitoring with cumulative effects management and decision making.

PubMed

Cronmiller, Joshua G; Noble, Bram F

2018-05-01

Cumulative effects (CE) monitoring is foundational to emerging regional and watershed CE management frameworks, yet monitoring is often poorly integrated with CE management and decision-making processes. The challenges are largely institutional and organizational, more so than scientific or technical. Calls for improved integration of monitoring with CE management and decision making are not new, but there has been limited research on how best to integrate environmental monitoring programs to ensure credible CE science and to deliver results that respond to the more immediate questions and needs of regulatory decision makers. This paper examines options for the integration of environmental monitoring with CE frameworks. Based on semistructured interviews with practitioners, regulators, and other experts in the Lower Athabasca, Alberta, Canada, 3 approaches to monitoring system design are presented. First, a distributed monitoring system, reflecting the current approach in the Lower Athabasca, where monitoring is delegated to different external programs and organizations; second, a 1-window system in which monitoring is undertaken by a single, in-house agency for the purpose of informing management and regulatory decision making; third, an independent system driven primarily by CE science and understanding causal relationships, with knowledge adopted for decision support where relevant to specific management questions. The strengths and limitations of each approach are presented. A hybrid approach may be optimal-an independent, nongovernment, 1-window model for CE science, monitoring, and information delivery-capitalizing on the strengths of distributed, 1-window, and independent monitoring systems while mitigating their weaknesses. If governments are committed to solving CE problems, they must invest in the long-term science needed to do so; at the same time, if science-based monitoring programs are to be sustainable over the long term, they must be responsive to the more immediate, often shorter term needs and CE information requirements of decision makers. Integr Environ Assess Manag 2018;14:407-417. © 2018 SETAC. © 2018 SETAC.

Metabolomic signatures of chronic kidney disease of diverse etiologies in the rats and humans

DOE PAGES

Zhang, Zhi -Hao; Chen, Hua; Vaziri, Nosratola D.; ...

2016-09-16

Chronic kidney disease (CKD) has emerged as a major public health problem worldwide. It frequently progresses to end-stage renal disease, which is related to very high cost and mortality. Novel biomarkers can provide insight into the novel mechanism, facilitate early detection, and monitor progression of CKD and its response to therapeutic interventions. To identify potential biomarkers, we applied an UPLC-HDMS together with univariate and multivariate statistical analyses using plasma samples from patients with CKD of diverse etiologies (100 sera in discovery set and 120 sera in validation set) and two different rat models of CKD. Using comprehensive screening and validationmore » workflow, we identified a panel of seven metabolites that were shared by all patients and animals regardless of the underlying cause of CKD. These included ricinoleic acid, stearic acid, cytosine, LPA(16:0), LPA(18:2), 3-methylhistidine, and argininic acid. The combination of these seven biomarkers enabled the discrimination of patients with CKD from healthy subjects with a sensitivity of 83.3% and a specificity of 96.7%. In addition, these biomarkers accurately reflected improvements in renal function in response to the therapeutic interventions. Lastly, our results indicated that the identified biomarkers may improve the diagnosis of CKD and provide a novel tool for monitoring of the progression of disease and response to treatment in CKD patients.« less

Metabolic Reprogramming of Macrophages Exposed to Silk, Poly(lactic-co-glycolic acid), and Silica Nanoparticles.

PubMed

Saborano, Raquel; Wongpinyochit, Thidarat; Totten, John D; Johnston, Blair F; Seib, F Philipp; Duarte, Iola F

2017-07-01

Monitoring macrophage metabolism in response to nanoparticle exposure provides new insights into biological outcomes, such as inflammation or toxicity, and supports the design of tailored nanomedicines. This paper describes the metabolic signature of macrophages exposed to nanoparticles ranging in diameter from 100 to 125 nm and made from silk, poly(lactic-co-glycolic acid) or silica. Nanoparticles of this size and type are currently at various stages of preclinical and clinical development for drug delivery applications. 1 H NMR analysis of cell extracts and culture media is used to quantify the changes in the intracellular and extracellular metabolomes of macrophages in response to nanoparticle exposure. Increased glycolytic activity, an altered tricarboxylic acid cycle, and reduced ATP generation are consistent with a proinflammatory phenotype. Furthermore, amino acids possibly arising from autophagy, the creatine kinase/phosphocreatine system, and a few osmolytes and antioxidants emerge as important players in the metabolic reprogramming of macrophages exposed to nanoparticles. This metabolic signature is a common response to all nanoparticles tested; however, the direction and magnitude of some variations are clearly nanoparticle specific, indicating material-induced biological specificity. Overall, metabolic reprogramming of macrophages can be achieved with nanoparticle treatments, modulated through the choice of the material, and monitored using 1 H NMR metabolomics. © 2017 The Authors. Published by WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Metabolomic signatures of chronic kidney disease of diverse etiologies in the rats and humans

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

Zhang, Zhi -Hao; Chen, Hua; Vaziri, Nosratola D.

Chronic kidney disease (CKD) has emerged as a major public health problem worldwide. It frequently progresses to end-stage renal disease, which is related to very high cost and mortality. Novel biomarkers can provide insight into the novel mechanism, facilitate early detection, and monitor progression of CKD and its response to therapeutic interventions. To identify potential biomarkers, we applied an UPLC-HDMS together with univariate and multivariate statistical analyses using plasma samples from patients with CKD of diverse etiologies (100 sera in discovery set and 120 sera in validation set) and two different rat models of CKD. Using comprehensive screening and validationmore » workflow, we identified a panel of seven metabolites that were shared by all patients and animals regardless of the underlying cause of CKD. These included ricinoleic acid, stearic acid, cytosine, LPA(16:0), LPA(18:2), 3-methylhistidine, and argininic acid. The combination of these seven biomarkers enabled the discrimination of patients with CKD from healthy subjects with a sensitivity of 83.3% and a specificity of 96.7%. In addition, these biomarkers accurately reflected improvements in renal function in response to the therapeutic interventions. Lastly, our results indicated that the identified biomarkers may improve the diagnosis of CKD and provide a novel tool for monitoring of the progression of disease and response to treatment in CKD patients.« less

Uniting statistical and individual-based approaches for animal movement modelling.

PubMed

Latombe, Guillaume; Parrott, Lael; Basille, Mathieu; Fortin, Daniel

2014-01-01

The dynamic nature of their internal states and the environment directly shape animals' spatial behaviours and give rise to emergent properties at broader scales in natural systems. However, integrating these dynamic features into habitat selection studies remains challenging, due to practically impossible field work to access internal states and the inability of current statistical models to produce dynamic outputs. To address these issues, we developed a robust method, which combines statistical and individual-based modelling. Using a statistical technique for forward modelling of the IBM has the advantage of being faster for parameterization than a pure inverse modelling technique and allows for robust selection of parameters. Using GPS locations from caribou monitored in Québec, caribou movements were modelled based on generative mechanisms accounting for dynamic variables at a low level of emergence. These variables were accessed by replicating real individuals' movements in parallel sub-models, and movement parameters were then empirically parameterized using Step Selection Functions. The final IBM model was validated using both k-fold cross-validation and emergent patterns validation and was tested for two different scenarios, with varying hardwood encroachment. Our results highlighted a functional response in habitat selection, which suggests that our method was able to capture the complexity of the natural system, and adequately provided projections on future possible states of the system in response to different management plans. This is especially relevant for testing the long-term impact of scenarios corresponding to environmental configurations that have yet to be observed in real systems.

Uniting Statistical and Individual-Based Approaches for Animal Movement Modelling

PubMed Central

Latombe, Guillaume; Parrott, Lael; Basille, Mathieu; Fortin, Daniel

2014-01-01

The dynamic nature of their internal states and the environment directly shape animals' spatial behaviours and give rise to emergent properties at broader scales in natural systems. However, integrating these dynamic features into habitat selection studies remains challenging, due to practically impossible field work to access internal states and the inability of current statistical models to produce dynamic outputs. To address these issues, we developed a robust method, which combines statistical and individual-based modelling. Using a statistical technique for forward modelling of the IBM has the advantage of being faster for parameterization than a pure inverse modelling technique and allows for robust selection of parameters. Using GPS locations from caribou monitored in Québec, caribou movements were modelled based on generative mechanisms accounting for dynamic variables at a low level of emergence. These variables were accessed by replicating real individuals' movements in parallel sub-models, and movement parameters were then empirically parameterized using Step Selection Functions. The final IBM model was validated using both k-fold cross-validation and emergent patterns validation and was tested for two different scenarios, with varying hardwood encroachment. Our results highlighted a functional response in habitat selection, which suggests that our method was able to capture the complexity of the natural system, and adequately provided projections on future possible states of the system in response to different management plans. This is especially relevant for testing the long-term impact of scenarios corresponding to environmental configurations that have yet to be observed in real systems. PMID:24979047

Longitudinal monitoring of EGFR mutations in plasma predicts outcomes of NSCLC patients treated with EGFR TKIs: Korean Lung Cancer Consortium (KLCC-12-02).

PubMed

Lee, Ji Yun; Qing, Xu; Xiumin, Wei; Yali, Bai; Chi, Sangah; Bak, So Hyeon; Lee, Ho Yun; Sun, Jong-Mu; Lee, Se-Hoon; Ahn, Jin Seok; Cho, Eun Kyung; Kim, Dong-Wan; Kim, Hye Ryun; Min, Young Joo; Jung, Sin-Ho; Park, Keunchil; Mao, Mao; Ahn, Myung-Ju

2016-02-09

We hypothesized that plasma-based EGFR mutation analysis for NSCLC may be feasible for monitoring treatment response to EGFR TKIs and also predict drug resistance.Clinically relevant mutations including exon 19 deletion (ex19del), L858R and T790M were analyzed using droplet digital PCR (ddPCR) in longitudinally collected plasma samples (n = 367) from 81 NSCLC patients treated with EGFR TKI. Of a total 58 baseline cell-free DNA (cfDNA) samples available for ddPCR analysis, 43 (74.1%) had the same mutation in the matched tumors (clinical sensitivity: 70.8% [17/24] for L858R and 76.5% [26/34] for ex19del). The concordance rates of plasma with tissue-based results of EGFR mutations were 87.9% for L858R and 86.2% for ex19del. All 40 patients who were detected EGFR mutations at baseline showed a dramatic decrease of mutant copies (>50%) in plasma during the first two months after treatment. Median progression-free survival (PFS) was 10.1 months for patients with undetectable EGFR v 6.3 months for detectable EGFR mutations in blood after two-month treatment (HR 3.88, 95% CI 1.48-10.19, P = 0.006). We observed emerging resistance with early detection of T790M as a secondary mutation in 14 (28.6%) of 49 patients. Plasma-based EGFR mutation analysis using ddPCR can monitor treatment response to EGFR TKIs and can lead to early detection of EGFR TKIs resistance. Further studies confirming clinical implications of EGFR mutation in plasma are warranted to guide optimal therapeutic strategies upon knowledge of treatment response and resistance.

State Emergency Response Commissions

EPA Pesticide Factsheets

The Governor of each state has designated a State Emergency Response Commission (SERC) that is responsible for implementing the Emergency Planning and Community Right-to-Know Act (EPCRA) provisions within its state.

Community response grids: using information technology to help communities respond to bioterror emergencies.

PubMed

Jaeger, Paul T; Fleischmann, Kenneth R; Preece, Jennifer; Shneiderman, Ben; Wu, Philip Fei; Qu, Yan

2007-12-01

Access to accurate and trusted information is vital in preparing for, responding to, and recovering from an emergency. To facilitate response in large-scale emergency situations, Community Response Grids (CRGs) integrate Internet and mobile technologies to enable residents to report information, professional emergency responders to disseminate instructions, and residents to assist one another. CRGs use technology to help residents and professional emergency responders to work together in community response to emergencies, including bioterrorism events. In a time of increased danger from bioterrorist threats, the application of advanced information and communication technologies to community response is vital in confronting such threats. This article describes CRGs, their underlying concepts, development efforts, their relevance to biosecurity and bioterrorism, and future research issues in the use of technology to facilitate community response.

New methods to monitor emerging chemicals in the drinking water production chain.

PubMed

van Wezel, Annemarie; Mons, Margreet; van Delft, Wouter

2010-01-01

New techniques enable a shift in monitoring chemicals that affect water quality from mainly at the end product, tap water, towards monitoring during the whole process along the production chain. This is congruent with the 'HACCP' system (hazard analysis of critical control points) that is fairly well integrated into food production but less well in drinking water production. This shift brings about more information about source quality, the efficiency of treatment and distribution, and understanding of processes within the production chain, and therefore can lead to a more pro-active management of drinking water production. At present, monitoring is focused neither on emerging chemicals, nor on detection of compounds with chronic toxicity. We discuss techniques to be used, detection limits compared to quality criteria, data interpretation and possible interventions in production.

40 CFR Appendix F to Part 112 - Facility-Specific Response Plan

Code of Federal Regulations, 2011 CFR

2011-07-01

... of Contents 1.0Model Facility-Specific Response Plan 1.1Emergency Response Action Plan 1.2Facility.... EC01MR92.015 1.1Emergency Response Action Plan Several sections of the response plan shall be co-located... sections shall be called the Emergency Response Action Plan. The Agency intends that the Action Plan...

49 CFR 172.604 - Emergency response telephone number.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 2 2013-10-01 2013-10-01 false Emergency response telephone number. 172.604... telephone number. (a) A person who offers a hazardous material for transportation must provide an emergency response telephone number, including the area code, for use in an emergency involving the hazardous...

A data-driven approach of load monitoring on laminated composite plates using support vector machine

NASA Astrophysics Data System (ADS)

Gwon, Y. S.; Fekrmandi, H.

2018-03-01

In this study, the surface response to excitation method (SuRE) is investigated using a data-driven method for load monitoring on a laminated composite plate structure. The SuRE method is an emerging approach in ultrasonic wavebased structural health monitoring (SHM) field. In this method, a range of high-frequency, surface-guided waves are excited on the structure using piezoceramic elements. The waves propagate on the structure and interact with internal or surface damages. Initially, a baseline data of the intact structure is created by measuring the frequency transfer function between the excitation and sensing point. The integrity of structure is evaluated by monitoring changes in the frequency spectrums. The SuRE method has effectively been used for a variety of SHM applications including the detection of loose bolts, delamination in composite structures, internal corrosion in pipelines, and load and impact monitoring. Data obtained using the SuRE method was used for identifying the location of the applied load on a laminated composite plate using Support Vector Machine (SVM). A set of two piezoelectric elements were attached on the surface of the plate. A sweep excitation (150-250 kHz) generated surface-guided waves, and the transmitted waves were monitored at the sensory positions. The reference data set was measured simultaneously from the sensors. The plate was subjected to static loads while health monitoring data was being captured using the SuRE method. The confusion matrix indicated that the model classified correctly with up to 99.8% accuracy.

Improving the monitoring of crop productivity using spaceborne solar-induced fluorescence.

PubMed

Guan, Kaiyu; Berry, Joseph A; Zhang, Yongguang; Joiner, Joanna; Guanter, Luis; Badgley, Grayson; Lobell, David B

2016-02-01

Large-scale monitoring of crop growth and yield has important value for forecasting food production and prices and ensuring regional food security. A newly emerging satellite retrieval, solar-induced fluorescence (SIF) of chlorophyll, provides for the first time a direct measurement related to plant photosynthetic activity (i.e. electron transport rate). Here, we provide a framework to link SIF retrievals and crop yield, accounting for stoichiometry, photosynthetic pathways, and respiration losses. We apply this framework to estimate United States crop productivity for 2007-2012, where we use the spaceborne SIF retrievals from the Global Ozone Monitoring Experiment-2 satellite, benchmarked with county-level crop yield statistics, and compare it with various traditional crop monitoring approaches. We find that a SIF-based approach accounting for photosynthetic pathways (i.e. C3 and C4 crops) provides the best measure of crop productivity among these approaches, despite the fact that SIF sensors are not yet optimized for terrestrial applications. We further show that SIF provides the ability to infer the impacts of environmental stresses on autotrophic respiration and carbon-use-efficiency, with a substantial sensitivity of both to high temperatures. These results indicate new opportunities for improved mechanistic understanding of crop yield responses to climate variability and change. © 2015 John Wiley & Sons Ltd.

Improving the Monitoring of Crop Productivity Using Spaceborne Solar-Induced Fluorescence

NASA Technical Reports Server (NTRS)

Guan, Kaiyu; Berry, Joseph A.; Zhang, Yongguang; Joiner, Joanna; Guanter, Luis; Badgley, Grayson; Lobell, David B.

2015-01-01

Large-scale monitoring of crop growth and yield has important value for forecasting food production and prices and ensuring regional food security. A newly emerging satellite retrieval, solar-induced fluorescence (SIF) of chlorophyll, provides for the first time a direct measurement related to plant photosynthetic activity (i.e. electron transport rate). Here, we provide a framework to link SIF retrievals and crop yield, accounting for stoichiometry, photosynthetic pathways, and respiration losses. We apply this framework to estimate United States crop productivity for 2007-2012, where we use the spaceborne SIF retrievals from the Global Ozone Monitoring Experiment-2 satellite, benchmarked with county-level crop yield statistics, and compare it with various traditional crop monitoring approaches. We find that a SIF-based approach accounting for photosynthetic pathways (i.e. C3 and C4 crops) provides the best measure of crop productivity among these approaches, despite the fact that SIF sensors are not yet optimized for terrestrial applications. We further show that SIF provides the ability to infer the impacts of environmental stresses on autotrophic respiration and carbon-use-efficiency, with a substantial sensitivity of both to high temperatures. These results indicate new opportunities for improved mechanistic understanding of crop yield responses to climate variability and change.

How to Better Prepare Your Community for a Chemical Emergency: A Guide for State, Tribal and Local Agencies

EPA Pesticide Factsheets

This guide provides an overview of EPCRA requirements for State Emergency Response Commissions, Tribal Emergency Response Commissions, Local Emergency Planning Committees, and Tribal Emergency Planning Committees.

Assessment of Near-Source Air Pollution at a Fine Spatial Scale Utilizing Mobile Monitoring Approach

EPA Science Inventory

Mobile monitoring is an emerging strategy to characterize spatially and temporally variable air pollution in areas near sources. EPA’s Geospatial Monitoring of Air Pollution (GMAP) vehicle – an all-electric vehicle measuring real-time concentrations of partic...

40 CFR 1.47 - Office of Solid Waste and Emergency Response.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Office of Solid Waste and Emergency... ORGANIZATION AND GENERAL INFORMATION Headquarters § 1.47 Office of Solid Waste and Emergency Response. The Office of Solid Waste and Emergency Response (OSWER), under the supervision of the Assistant...

40 CFR 1.47 - Office of Solid Waste and Emergency Response.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Office of Solid Waste and Emergency... ORGANIZATION AND GENERAL INFORMATION Headquarters § 1.47 Office of Solid Waste and Emergency Response. The Office of Solid Waste and Emergency Response (OSWER), under the supervision of the Assistant...