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Sample records for extremity monitoring recommended

  1. [Recommendations for antibiotic monitoring in ICU patients].

    PubMed

    Alvarez, Francisco; Olaechea, Pedro; Grau, Santiago; Marín, Mónica; Domínguez, Alfonso; Martínez-Lanao, José; Soy, Dolors; Alos, Manuel; Victoria, María; Sádaba, Belén; Mediavilla, Africa; Fatela, Daniel

    2008-01-01

    Monitoring plasma concentrations of antimicrobial agents used to treat infection in critically ill patients is one of the recommended strategies for improving clinical outcome. Drug monitoring has a double aim: to limit adverse events and to increase the effectiveness of the drugs. In clinical practice, however, this approach is mainly limited to monitoring plasma concentrations of vancomycin and aminoglycosides, although future extension to other antimicrobial agents would be desirable. Application of this technique varies considerably between hospitals, and this makes interpretation and comparison of the results obtained difficult. For this reason, representatives of various scientific societies related to the pharmacokinetic area have developed a series of recommendations for monitoring plasma concentrations of antimicrobials using vancomycin and several aminoglycosides as the reference. The recommendations are based on 14 questions encompassing all steps of the process: indication for the test, blood sampling (timing of blood collection, blood volume, tubes), transport to the laboratory, techniques applied, normal values, dose adjustment, and reporting the results. The purpose of these guidelines is to develop a process of monitoring plasma antimicrobial concentrations that is as homogeneous as possible to facilitate the design of multicenter studies, as well as the interpretation and comparison of results.

  2. Monitoring Extreme-scale Lustre Toolkit

    SciTech Connect

    Brim, Michael J; Lothian, Josh

    2015-01-01

    We discuss the design and ongoing development of the Monitoring Extreme-scale Lustre Toolkit (MELT), a unified Lustre performance monitoring and analysis infrastructure that provides continuous, low-overhead summary information on the health and performance of Lustre, as well as on-demand, in-depth problem diagnosis and root-cause analysis. The MELT infrastructure leverages a distributed overlay network to enable monitoring of center-wide Lustre filesystems where clients are located across many network domains. We preview interactive command-line utilities that help administrators and users to observe Lustre performance at various levels of resolution, from individual servers or clients to whole filesystems, including job-level reporting. Finally, we discuss our future plans for automating the root-cause analysis of common Lustre performance problems.

  3. Coordinated bird monitoring: Technical recommendations for military lands

    USGS Publications Warehouse

    Bart, Jonathan; Manning, Ann; Fischer, Richard; Eberly, Chris

    2012-01-01

    following these procedures, DoD will minimize the possibility for a proposed action to unintentionally take migratory birds at a level that would violate any of the migratory bird treaties and potentially impact mission activities. In addition, implementing conservation and monitoring programs for migratory birds supports the ecosystem integrity necessary to sustain DoD's natural resources for the military mission.Non-compliance with the procedural requirements of the MBTA could result in a private party lawsuit under the Administrative Procedures Act (APA). A lawsuit filed under APA involving a Navy bombing range is the basis for a court ruling that unintentional take of migratory birds applies to federal actions. Ensuring the necessary data is available to adequately assess impacts of a proposed action will help avoid lawsuits or help ensure such lawsuits have no grounds. The data gathered in a bird monitoring program will provide the best scientific data available to assess the expected impacts of a proposed action on migratory bird species through the NEPA process. This report presents recommendations developed by the U.S. Geological Survey (USGS) for the Department of Defense (DoD) on establishing a "Coordinated Bird Monitoring (CBM) Plan." The CBM Plan is intended to ensure that DoD meets its conservation and regulatory responsibilities for monitoring birds (Chapter 1). The report relies heavily on recommendations in the report, "Opportunities for improving avian monitoring" (http://www.nabci-us.org/aboutnabci/monitoringreportfinal0307.pdf), by the U.S. North American Bird Conservation Initiative (U.S. NABCI Monitoring Subcommittee, 2007) and on a review of 358 current DoD bird monitoring programs carried out as part of this project (Chapter 2). This report contains 12 recommendations which, if followed, would result in a comprehensive, efficient, and useful approach to bird monitoring. The recommendations are based on the entire report but are presented together at

  4. Wireless pilot monitoring system for extreme race conditions.

    PubMed

    Pino, Esteban J; Arias, Diego E; Aqueveque, Pablo; Melin, Pedro; Curtis, Dorothy W

    2012-01-01

    This paper presents the design and implementation of an assistive device to monitor car drivers under extreme conditions. In particular, this system is designed in preparation for the 2012 Atacama Solar Challenge to be held in the Chilean desert. Actual preliminary results show the feasibility of such a project including physiological and ambient sensors, real-time processing algorithms, wireless data transmission and a remote monitoring station. Implementation details and field results are shown along with a discussion of the main problems found in real-life telemetry monitoring.

  5. Recommendations for new monitoring wells at Everest, Kansas.

    SciTech Connect

    LaFreniere, L. M.

    2007-05-03

    On February 15, 2007, the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) submitted Recommendations for Remedial Action at Everest, Kansas. Those Recommendations were accepted by the Kansas Department of Health and Environment (KDHE) in a letter to the CCC/USDA dated March 5, 2007. The approved Recommendations document outlines a plan for systematic groundwater sampling and monitoring at Everest to provide data necessary for the critical evaluation of remedial options - including a phytoremediation alternative - for restoration of the groundwater and protection of the surface waters of the intermittent creek at this site. Phase I of the KDHE-approved monitoring plan includes the following activities: (1) Groundwater sampling at existing monitoring wells, with analyses for volatile organic compounds (VOCs) and selected biodegradation parameters; (2) Sampling of surface waters along the intermittent creek for VOCs analyses; and (3) Periodic manual measurement and automated recording of groundwater and surface water levels in the vicinity of the intermittent creek. The locations selected for groundwater and surface water sampling and analyses under the approved monitoring program were determined in consultation with the KDHE. As a result of subsequent discussions among representatives of the KDHE, the CCC/USDA, and Argonne regarding the technical program at Everest, the CCC/USDA seeks KDHE approval for the installation of up to four new permanent monitoring wells along the upper reach of the intermittent creek west of the Nigh property, as shown in Figure 1. The proposed new well locations lie progressively downgradient in the anticipated direction of future groundwater and contaminant movement; all of the recommended points lie at least 2,000 ft upgradient, however, of the confirmed area of groundwater discharge to the creek identified near Highway 73. The proposed new wells will supplement the existing network of groundwater and surface

  6. Absolute, Extreme-Ultraviolet, Solar Spectral Irradiance Monitor (AESSIM)

    NASA Technical Reports Server (NTRS)

    Huber, Martin C. E.; Smith, Peter L.; Parkinson, W. H.; Kuehne, M.; Kock, M.

    1988-01-01

    AESSIM, the Absolute, Extreme-Ultraviolet, Solar Spectral Irradiance Monitor, is designed to measure the absolute solar spectral irradiance at extreme-ultraviolet (EUV) wavelengths. The data are required for studies of the processes that occur in the earth's upper atmosphere and for predictions of atmospheric drag on space vehicles. AESSIM is comprised of sun-pointed spectrometers and newly-developed, secondary standards of spectral irradiance for the EUV. Use of the in-orbit standard sources will eliminate the uncertainties caused by changes in spectrometer efficiency that have plagued all previous measurements of the solar spectral EUV flux.

  7. EURO4M: monitoring weather and climate extremes in Europe

    NASA Astrophysics Data System (ADS)

    Klein Tank, A. M. G.

    2010-09-01

    This paper presents a new project called EURO4M: European Reanalysis and Observations for Monitoring (www.euro4m.eu), which is funded under the European Union FP7 programme. The ambitious plans in this project will be illustrated by examples from ongoing work and some early results. EURO4M sets out to develop the capacity for, and deliver the best possible and most complete (gridded) climate change time series and monitoring services covering all of Europe. The focus is on weather and climate extremes. Key questions include: What changes in weather and climate extremes do we observe in Europe over recent decades? How certain are we about these changes? Are our monitoring systems adequate to address these questions? EURO4M addresses the situation of fragmentation and scarcity of long-term climate change monitoring information for Europe. The project will extend, in a cost effective manner, European capacity to systematically monitor climate variability and change on a range of space and time scales. It will do so by combining seamlessly two different but complementary approaches: regional observation datasets of GCOS Essential Climate Variables (ECVs) and newly developed regional reanalysis. EURO4M will reach out with innovative and integrated data products and services to policy-makers, researchers, planners and citizens at European, national and local levels. This will directly address the needs of, for instance, the European Environment Agency for their environmental assessment reports - and even provide online reporting during emerging extreme events. EURO4M intends to become Europe's primary source of timely and reliable information about the state of the climate. The project has the potential to evolve into a future GMES service on climate change monitoring that is fully complimentary and supporting the existing operational GMES services. The EURO4M consortium consists of 9 partners from 8 countries. The project will run from 1 April 2010 until 31 March 2014

  8. Overview and Update of the North America Drought Monitor and North America Climate Extremes Monitoring System

    NASA Astrophysics Data System (ADS)

    Heim, R. R.

    2006-12-01

    The North America Drought Monitor (NADM) is a joint operational drought monitoring activity between scientists and other specialists in the United States, Mexico, and Canada. Like all weather phenomena, drought occurs irrespective of political and international boundaries. The monthly map and narrative product created by this first-of-its-kind effort provides an integrated continental-scale drought assessment tool for decision-makers in all three countries involved in drought monitoring, drought mitigation, and related climate services. The product is prepared by a rotating primary author who utilizes drought indicators which are computed using standard methodologies for stations across the continent, plus national drought monitoring products and feedback from local experts in each of the three countries. The participants include, within the United States: the NOAA National Climatic Data Center, NOAA Climate Prediction Center, USDA Joint Agricultural Weather Facility, and National Drought Mitigation Center; within Mexico: Servicio Meteorologico Nacional/Comision Nacional del Agua; and within Canada: Agriculture and Agrifood Canada and the Meteorological Service of Canada. The NADM is part of a North America Climate Extremes Monitoring (NACEM) system which will monitor and assess climate extremes across the continent. Several climate indicators are currently computed from station daily data to measure (in addition to drought) heavy precipitation, heat waves, and cold waves. Future efforts will add indicators to monitor storm severity and severe weather, including the creation of a North America Climate Extremes Index (NACEI) patterned after the U.S. Climate Extremes Index (USCEI). This presentation will review the history of the NADM/NACEM effort, the data utilized, the indicators computed, and the product preparation and peer review process.

  9. Chronic edema of the lower extremities: international consensus recommendations for compression therapy clinical research trials.

    PubMed

    Stout, N; Partsch, H; Szolnoky, G; Forner-Cordero, I; Mosti, G; Mortimer, P; Flour, M; Damstra, R; Piller, N; Geyer, M J; Benigni, J-P; Moffat, C; Cornu-Thenard, A; Schingale, F; Clark, M; Chauveau, M

    2012-08-01

    Chronic edema is a multifactorial condition affecting patients with various diseases. Although the pathophysiology of edema varies, compression therapy is a basic tenant of treatment, vital to reducing swelling. Clinical trials are disparate or lacking regarding specific protocols and application recommendations for compression materials and methodology to enable optimal efficacy. Compression therapy is a basic treatment modality for chronic leg edema; however, the evidence base for the optimal application, duration and intensity of compression therapy is lacking. The aim of this document was to present the proceedings of a day-long international expert consensus group meeting that examined the current state of the science for the use of compression therapy in chronic edema. An expert consensus group met in Brighton, UK, in March 2010 to examine the current state of the science for compression therapy in chronic edema of the lower extremities. Panel discussions and open space discussions examined the current literature, clinical practice patterns, common materials and emerging technologies for the management of chronic edema. This document outlines a proposed clinical research agenda focusing on compression therapy in chronic edema. Future trials comparing different compression devices, materials, pressures and parameters for application are needed to enhance the evidence base for optimal chronic oedema management. Important outcomes measures and methods of pressure and oedema quantification are outlined. Future trials are encouraged to optimize compression therapy in chronic edema of the lower extremities.

  10. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... location recommendations. 141.605 Section 141.605 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... System Evaluations § 141.605 Subpart V compliance monitoring location recommendations. (a) Your IDSE report must include your recommendations and justification for where and during what month(s) TTHM...

  11. 40 CFR 141.605 - Subpart V compliance monitoring location recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... location recommendations. 141.605 Section 141.605 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... System Evaluations § 141.605 Subpart V compliance monitoring location recommendations. (a) Your IDSE report must include your recommendations and justification for where and during what month(s) TTHM...

  12. Evolution of extreme body size disparity in monitor lizards (Varanus).

    PubMed

    Collar, David C; Schulte, James A; Losos, Jonathan B

    2011-09-01

    Many features of species' biology, including life history, physiology, morphology, and ecology are tightly linked to body size. Investigation into the causes of size divergence is therefore critical to understanding the factors shaping phenotypic diversity within clades. In this study, we examined size evolution in monitor lizards (Varanus), a clade that includes the largest extant lizard species, the Komodo dragon (V. komodoensis), as well as diminutive species that are nearly four orders of magnitude smaller in adult body mass. We demonstrate that the remarkable body size disparity of this clade is a consequence of different selective demands imposed by three major habitat use patterns-arboreality, terrestriality, and rock-dwelling. We reconstructed phylogenetic relationships and ancestral habitat use and applied model selection to determine that the best-fitting evolutionary models for species' adult size are those that infer oppositely directed adaptive evolution associated with terrestriality and rock-dwelling, with terrestrial lineages evolving extremely large size and rock-dwellers becoming very small. We also show that habitat use affects the evolution of several ecologically important morphological traits independently of body size divergence. These results suggest that habitat use exerts a strong, multidimensional influence on the evolution of morphological size and shape disparity in monitor lizards.

  13. Recommendations

    ERIC Educational Resources Information Center

    Brazelton, G. Blue; Renn, Kristen A.; Stewart, Dafina-Lazarus

    2015-01-01

    In this chapter, the editors provide a summary of the information shared in this sourcebook about the success of students who have minoritized identities of sexuality or gender and offer recommendations for policy, practice, and further research.

  14. Experiences and recommendations in deploying a real-time, water quality monitoring system

    NASA Astrophysics Data System (ADS)

    O'Flynn, B.; Regan, F.; Lawlor, A.; Wallace, J.; Torres, J.; O'Mathuna, C.

    2010-12-01

    have been collected since the multi-sensor system was deployed in May 2009. Extreme meteorological events have occurred during the period of deployment and the collection of real-time water quality data as well as the knowledge, experience and recommendations for future deployments are discussed.

  15. Recommendations for continuous emissions monitoring of mixed waste incinerators

    SciTech Connect

    Quigley, G.P.

    1992-02-01

    Considerable quantities of incinerable mixed waste are being stored in and generated by the DOE complex. Mixed waste is defined as containing a hazardous component and a radioactive component. At the present time, there is only one incinerator in the complex which has the proper TSCA and RCRA permits to handle mixed waste. This report describes monitoring techniques needed for the incinerator.

  16. Recommendations on the proposed Monitored Retrievable Storage Facility

    SciTech Connect

    Not Available

    1985-10-01

    Following the Department of Energy's announcement in April 1985 that three Tennessee sites were to be considered for the Monitored Retrievable Storage facility, Governor Lamar Alexander initiated a review of the proposal to be coordinated by his Safe Growth Team. Roane County and the City of Oak Ridge, the local governments sharing jurisdiction over DOE's primary and secondary sites, were invited to participate in the state's review of the MRS proposal. Many issues related to the proposed MRS are being considered by the Governor's Safe Growth Team. The primary objective of the Clinch River MRS Task Force has been to determine whether the proposed Monitored Retrievable Storage facility should be accepted by the local governments, and if so, under what conditions. The Clinch River MRS Task Force is organized into an Executive Committee cochaired by the Roane County Executive and Mayor of Oak Ridge and three Study Groups focusing on environmental (including health and safety), socioeconomic, and transportation issues.

  17. Recommendations on the proposed Monitored Retrievable Storage Facility

    SciTech Connect

    Not Available

    1985-10-01

    Following the Department of Energy`s announcement in April 1985 that three Tennessee sites were to be considered for the Monitored Retrievable Storage facility, Governor Lamar Alexander initiated a review of the proposal to be coordinated by his Safe Growth Team. Roane County and the City of Oak Ridge, the local governments sharing jurisdiction over DOE`s primary and secondary sites, were invited to participate in the state`s review of the MRS proposal. Many issues related to the proposed MRS are being considered by the Governor`s Safe Growth Team. The primary objective of the Clinch River MRS Task Force has been to determine whether the proposed Monitored Retrievable Storage facility should be accepted by the local governments, and if so, under what conditions. The Clinch River MRS Task Force is organized into an Executive Committee cochaired by the Roane County Executive and Mayor of Oak Ridge and three Study Groups focusing on environmental (including health and safety), socioeconomic, and transportation issues.

  18. Approaches and Recommendations for Simulating Extreme Precipitation Years in Multi-site Experiments

    NASA Astrophysics Data System (ADS)

    Knapp, A.; Collins, S. L.; Dukes, J.; Loik, M. E.; Phillips, R.; Sala, O. E.; Smith, M.

    2015-12-01

    Worldwide, human activities are exposing all ecosystems to increases in atmospheric CO2, N and temperature. Precipitation also is being altered globally, but increases in precipitation variability and extremes are expected to have greater impacts on ecosystem function than changes in means. Determining how and why ecosystems differ in their sensitivity to precipitation extremes (i.e., drought) is key to forecasting future ecosystem structure and function at the global scale. Coordinated multi-site experiments can be invaluable for assessing differential sensitivity of ecosystems (deserts, grasslands, forests, etc.) to precipitation extremes. However, determining treatment levels in these experiments presents unique problems because extremes in precipitation are defined statistically, based on historical context, and thus can differ dramatically among sites. Therefore, while multi-site experiments with fixed treatment levels may be appropriate for assessing ecosystem sensitivity to CO2 or warming, they may provide less mechanistic insight for studying extremes. We propose that for multi-site experiments focused on variability and extremes, the amount of precipitation removed or added to impose precipitation extremes should be site-specific (not fixed across sites) and matched to the historical climate record. Further, because extreme wet and dry years differ from each other in other attributes (event size, number of events, consecutive dry days, etc.) treatments should incorporate realistic alterations in these precipitation attributes as well. We show that for most ecosystem types globally, experimental infrastructure that passively reduces each rainfall event can realistically simulate drought, with the addition of a few large precipitation events realistically simulating extreme wet years. Thus, while treatment levels required to impose extreme precipitation years should vary among ecosystems, alterations in precipitation attributes can be imposed uniformly.

  19. Pushing precipitation to the extremes in distributed experiments: Recommendations for simulating wet and dry years

    USGS Publications Warehouse

    Knapp, Alan K.; Avolio, Meghan L.; Beier, Claus; Carroll, Charles J.W.; Collins, Scott L.; Dukes, Jeffrey S.; Fraser, Lauchlan H.; Griffin-Nolan, Robert J.; Hoover, David L.; Jentsch, Anke; Loik, Michael E.; Phillips, Richard P.; Post, Alison K.; Sala, Osvaldo E.; Slette, Ingrid J.; Yahdjian, Laura; Smith, Melinda D.

    2017-01-01

    Intensification of the global hydrological cycle, ranging from larger individual precipitation events to more extreme multiyear droughts, has the potential to cause widespread alterations in ecosystem structure and function. With evidence that the incidence of extreme precipitation years (defined statistically from historical precipitation records) is increasing, there is a clear need to identify ecosystems that are most vulnerable to these changes and understand why some ecosystems are more sensitive to extremes than others. To date, opportunistic studies of naturally occurring extreme precipitation years, combined with results from a relatively small number of experiments, have provided limited mechanistic understanding of differences in ecosystem sensitivity, suggesting that new approaches are needed. Coordinated distributed experiments (CDEs) arrayed across multiple ecosystem types and focused on water can enhance our understanding of differential ecosystem sensitivity to precipitation extremes, but there are many design challenges to overcome (e.g., cost, comparability, standardization). Here, we evaluate contemporary experimental approaches for manipulating precipitation under field conditions to inform the design of ‘Drought-Net’, a relatively low-cost CDE that simulates extreme precipitation years. A common method for imposing both dry and wet years is to alter each ambient precipitation event. We endorse this approach for imposing extreme precipitation years because it simultaneously alters other precipitation characteristics (i.e., event size) consistent with natural precipitation patterns. However, we do not advocate applying identical treatment levels at all sites – a common approach to standardization in CDEs. This is because precipitation variability varies >fivefold globally resulting in a wide range of ecosystem-specific thresholds for defining extreme precipitation years. For CDEs focused on precipitation extremes, treatments should be based

  20. Pushing precipitation to the extremes in distributed experiments: recommendations for simulating wet and dry years.

    PubMed

    Knapp, Alan K; Avolio, Meghan L; Beier, Claus; Carroll, Charles J W; Collins, Scott L; Dukes, Jeffrey S; Fraser, Lauchlan H; Griffin-Nolan, Robert J; Hoover, David L; Jentsch, Anke; Loik, Michael E; Phillips, Richard P; Post, Alison K; Sala, Osvaldo E; Slette, Ingrid J; Yahdjian, Laura; Smith, Melinda D

    2017-05-01

    Intensification of the global hydrological cycle, ranging from larger individual precipitation events to more extreme multiyear droughts, has the potential to cause widespread alterations in ecosystem structure and function. With evidence that the incidence of extreme precipitation years (defined statistically from historical precipitation records) is increasing, there is a clear need to identify ecosystems that are most vulnerable to these changes and understand why some ecosystems are more sensitive to extremes than others. To date, opportunistic studies of naturally occurring extreme precipitation years, combined with results from a relatively small number of experiments, have provided limited mechanistic understanding of differences in ecosystem sensitivity, suggesting that new approaches are needed. Coordinated distributed experiments (CDEs) arrayed across multiple ecosystem types and focused on water can enhance our understanding of differential ecosystem sensitivity to precipitation extremes, but there are many design challenges to overcome (e.g., cost, comparability, standardization). Here, we evaluate contemporary experimental approaches for manipulating precipitation under field conditions to inform the design of 'Drought-Net', a relatively low-cost CDE that simulates extreme precipitation years. A common method for imposing both dry and wet years is to alter each ambient precipitation event. We endorse this approach for imposing extreme precipitation years because it simultaneously alters other precipitation characteristics (i.e., event size) consistent with natural precipitation patterns. However, we do not advocate applying identical treatment levels at all sites - a common approach to standardization in CDEs. This is because precipitation variability varies >fivefold globally resulting in a wide range of ecosystem-specific thresholds for defining extreme precipitation years. For CDEs focused on precipitation extremes, treatments should be based on

  1. Seismic monitoring at Cascade Volcanic Centers, 2004?status and recommendations

    USGS Publications Warehouse

    Moran, Seth C.

    2004-01-01

    The purpose of this report is to assess the current (May, 2004) status of seismic monitoring networks at the 13 major Cascade volcanic centers. Included in this assessment are descriptions of each network, analyses of the ability of each network to detect and to locate seismic activity, identification of specific weaknesses in each network, and a prioritized list of those networks that are most in need of additional seismic stations. At the outset it should be recognized that no Cascade volcanic center currently has an adequate seismic network relative to modern-day networks at Usu Volcano (Japan) or Etna and Stromboli volcanoes (Italy). For a system the size of Three Sisters, for example, a modern-day, cutting-edge seismic network would ideally consist of a minimum of 10 to 12 short-period three-component seismometers (for determining particle motions, reliable S-wave picks, moment tensor inversions, fault-plane solutions, and other important seismic parameters) and 7 to 10 broadband sensors (which, amongst other considerations, enable detection and location of very long period (VLP) and other low-frequency events, moment tensor inversions, and, because of their wide dynamic range, on-scale recording of large-amplitude events). Such a dense, multi component seismic network would give the ability to, for example, detect in near-real-time earthquake migrations over a distance of ~0.5km or less, locate tremor sources, determine the nature of a seismic source (that is, pure shear, implosive, explosive), provide on-scale recordings of very small and very large-amplitude seismic signals, and detect localized changes in seismic stress tensor orientations caused by movement of magma bodies. However, given that programmatic resources are currently limited, installation of such networks at this time is unrealistic. Instead, this report focuses on identifying what additional stations are needed to guarantee that anomalous seismicity associated with volcanic unrest will be

  2. Groundwater monitoring of hydraulic fracturing in California: Recommendations for permit-required monitoring

    NASA Astrophysics Data System (ADS)

    Esser, B. K.; Beller, H. R.; Carroll, S.; Cherry, J. A.; Jackson, R. B.; Jordan, P. D.; Madrid, V.; Morris, J.; Parker, B. L.; Stringfellow, W. T.; Varadharajan, C.; Vengosh, A.

    2015-12-01

    California recently passed legislation mandating dedicated groundwater quality monitoring for new well stimulation operations. The authors provided the State with expert advice on the design of such monitoring networks. Factors that must be considered in designing a new and unique groundwater monitoring program include: Program design: The design of a monitoring program is contingent on its purpose, which can range from detection of individual well leakage to demonstration of regional impact. The regulatory goals for permit-required monitoring conducted by operators on a well-by-well basis will differ from the scientific goals of a regional monitoring program conducted by the State. Vulnerability assessment: Identifying factors that increase the probability of transport of fluids from the hydrocarbon target zone to a protected groundwater zone enables the intensity of permit-required monitoring to be tiered by risk and also enables prioritization of regional monitoring of groundwater basins based on vulnerability. Risk factors include well integrity; proximity to existing wellbores and geologic features; wastewater disposal; vertical separation between the hydrocarbon and groundwater zones; and site-specific hydrogeology. Analyte choice: The choice of chemical analytes in a regulatory monitoring program is guided by the goals of detecting impact, assuring public safety, preventing resource degradation, and minimizing cost. Balancing these goals may be best served by tiered approach in which targeted analysis of specific chemical additives is triggered by significant changes in relevant but more easily analyzed constituents. Such an approach requires characterization of baseline conditions, especially in areas with long histories of oil and gas development. Monitoring technology: Monitoring a deep subsurface process or a long wellbore is more challenging than monitoring a surface industrial source. The requirement for monitoring multiple groundwater aquifers across

  3. Effectiveness of Pharmacist-Led Amiodarone Monitoring Services on Improving Adherence to Amiodarone Monitoring Recommendations: A Systematic Review.

    PubMed

    Dixon, Dave L; Dunn, Steven P; Kelly, Michael S; McLlarky, Timothy R; Brown, Roy E

    2016-02-01

    Amiodarone remains the mostly frequently used antiarrhythmic in clinical practice and is most often used to maintain normal sinus rhythm in patients with atrial fibrillation who have failed a rate control strategy. Amiodarone has superior efficacy over other antiarrhythmics, a lower risk of torsade de pointes, and a better cardiovascular safety profile in patients with structural heart disease. However, amiodarone is associated with notable noncardiac toxicities affecting the thyroid, lungs, eyes, liver, and central nervous system. Since 2000, clinicians have been advised to follow amiodarone monitoring guidelines provided by the Heart Rhythm Society. Adherence to these recommendations in clinical practice, however, is suboptimal. Pharmacists play a major role in ensuring the safe and effective use of medications, particularly high-risk medications such as amiodarone. This qualitative review details the evidence supporting the role of pharmacist-led amiodarone monitoring services (AMS) in improving adherence to amiodarone monitoring guidelines and identifying adverse effects. Five studies were identified, and, overall, these programs had a favorable impact on improving adherence to guideline-recommended monitoring standards for amiodarone. The available evidence is limited by the significant variations in study designs and outcome definitions, lack of patient randomization, and limited generalizability. Nevertheless, available studies suggest that pharmacist-led AMS may improve adherence to recommended monitoring guidelines and identification of amiodarone-related adverse effects. Further study is warranted to demonstrate whether these services impact the overall quality of care provided to patients receiving amiodarone, which may justify broader implementation.

  4. Recommendations for self-monitoring in pediatric diabetes: a consensus statement by the ISPED.

    PubMed

    Scaramuzza, Andrea; Cherubini, Valentino; Tumini, Stefano; Bonfanti, Riccardo; Buono, Pietro; Cardella, Francesca; d'Annunzio, Giuseppe; Frongia, Anna Paola; Lombardo, Fortunato; Monciotti, Anna Carla Maria; Rabbone, Ivana; Schiaffini, Riccardo; Toni, Sonia; Zucchini, Stefano; Frontino, Giulio; Iafusco, Dario

    2014-04-01

    A panel of experts of the Italian Society of Pediatric Endocrinology and Diabetology comprehensively discussed and approved the Italian recommendations regarding self-monitoring of blood glucose, continuous glucose monitoring and other measures of glycemic control in children and adolescents with type 1 diabetes. After an extensive review of the literature, we took these issues into account: self-monitoring blood glucose, continuous glucose monitoring, glycemic variability, glycosuria, ketonuria, ketonemia, glycated hemoglobin, fructosamine and glycated albumin, logbook, data downloading, lancing devices, carbohydrate counting, and glycemic measurements at school. We concluded that clinical guidelines on self-management should be developed in every country with faithful adaptation to local languages and taking into account specific contexts and local peculiarities, without any substantial modifications to the international recommendations. We believe that the National Health Service should provide all necessary resources to ensure self-monitoring of blood glucose and possibly continuous glucose monitoring of all children and adolescents with type 1 diabetes, according to the standards of care provided by these recommendations and internationally.

  5. Absolute, Extreme-Ultraviolet Solar Spectral Irradiance Monitor (AESSIM)

    DTIC Science & Technology

    1994-04-01

    4 SUN SUN (xO.2) Neon Argon Lexan Tin 0.5 0 Helium Krypton Aluminum Inoium C Carbon 0.5 0 E Helium Xenon Titanium Indium -0.5 0 Neon Nitric Oxide Tin...required, and some concepts for solar EUV monitoring missions. 3. ACTIVITIES 3.1 Low-Power AESSIM Calibration lamp A portable secondary ’standard’ of...the Harvard College Observatory (HCO) and then tested at PTB and HCO. We tested the lamp in laboratory optical systems that had been modified to allow

  6. Extremes of weight gain and weight loss with detailed assessments of energy balance: Illustrative case studies and clinical recommendations.

    PubMed

    Falck, Ryan S; Shook, Robin P; Hand, Gregory A; Lavie, Carl J; Blair, Steven N

    2015-04-01

    Extreme weight changes, or changes in weight greater than 10 kg within a 2-year period, can be caused by numerous factors that are much different than typical weight fluctuations. This paper uses two interesting cases of extreme weight change (a female who experienced extreme weight gain and a male who experienced extreme weight loss) from participants in the Energy Balance Study to illustrate the physiological and psychosocial variables associated with the weight change over a 15-month period, including rigorous assessments of energy intake, physical activity (PA) and energy expenditure, and body composition. In addition, we provide a brief review of the literature regarding the relationship between energy balance (EB) and weight change, as well as insight into proper weight management strategies. The case studies presented here are then placed in the context of the literature regarding EB and weight change. This report further supports previous research on the importance of regular doses of PA for weight maintenance, and that even higher volumes of PA are necessary for weight loss. Practitioners should emphasize the importance of PA to their patients and take steps to monitor their patients' involvement in PA.

  7. Pilot system on extreme climate monitoring and early warning for long range forecast in Korea

    NASA Astrophysics Data System (ADS)

    Cho, K.; Park, B. K.; E-hyung, P.; Gong, Y.; Kim, H. K.; Park, S.; Min, S. K.; Yoo, H. D.

    2015-12-01

    Recently, extreme weather/climate events such as heat waves, flooding/droughts etc. have been increasing in frequency and intensity under climate change over the world. Also, they can have substantial impacts on ecosystem and human society (agriculture, health, and economy) of the affected regions. According to future projections of climate, extreme weather and climate events in Korea are expected to occure more frequently with stronger intensity over the 21st century. For the better long range forecast, it is also fundamentally ruquired to develop a supporting system in terms of extreme weather and climate events including forequency and trend. In this context, the KMA (Korea Meteorological Administration) has recently initiated a development of the extreme climate monintoring and early warning system for long range forecast, which consists of three sub-system components; (1) Real-time climate monitoring system, (2) Ensemble prediction system, and (3) Mechanism analysis and display system for climate extremes. As a first step, a pilot system has been designed focusing on temperature extremes such heat waves and cold snaps using daily, monthly and seasonal observations and model prediction output on the global, regional and national levels. In parallel, the skills of the KMA long range prediction system are being evaluated comprehensively for weather and climate extremes, for which varous case studies are conducted to better understand the observed variations of extrem climates and responsible mechanisms and also to assess predictability of the ensemble prediction system for extremes. Details in the KMA extreme climate monitoring and early warning system will be intorduced and some preliminary results will be discussed for heat/cold waves in Korea.

  8. Three new extreme ultraviolet spectrometers on NSTX-U for impurity monitoring

    NASA Astrophysics Data System (ADS)

    Weller, M. E.; Beiersdorfer, P.; Soukhanovskii, V. A.; Magee, E. W.; Scotti, F.

    2016-11-01

    Three extreme ultraviolet (EUV) spectrometers have been mounted on the National Spherical Torus Experiment-Upgrade (NSTX-U). All three are flat-field grazing-incidence spectrometers and are dubbed X-ray and Extreme Ultraviolet Spectrometer (XEUS, 8-70 Å), Long-Wavelength Extreme Ultraviolet Spectrometer (LoWEUS, 190-440 Å), and Metal Monitor and Lithium Spectrometer Assembly (MonaLisa, 50-220 Å). XEUS and LoWEUS were previously implemented on NSTX to monitor impurities from low- to high-Z sources and to study impurity transport while MonaLisa is new and provides the system increased spectral coverage. The spectrometers will also be a critical diagnostic on the planned laser blow-off system for NSTX-U, which will be used for impurity edge and core ion transport studies, edge-transport code development, and benchmarking atomic physics codes.

  9. Recommended methods for range-wide monitoring of prairie dogs in the United States

    USGS Publications Warehouse

    McDonald, Lyman L.; Stanley, Thomas R.; Otis, David L.; Biggins, Dean E.; Stevens, Patricia D.; Koprowski, John L.; Ballard, Warren

    2011-01-01

    One of the greatest challenges for conserving grassland, prairie scrub, and shrub-steppe ecosystems is maintaining prairie dog populations across the landscape. Of the four species of prairie dogs found in the United States, the Utah prairie dog (Cynomys parvidens) is listed under the Endangered Species Act (ESA) as threatened, the Gunnison's prairie dog (C. gunnisoni) is a candidate for listing in a portion of its range, and the black-tailed prairie dog (C. ludovicianus) and white-tailed prairie dog (C. leucurus) have each been petitioned for listing at least once in recent history. Although the U.S. Fish and Wildlife Service (USFWS) determined listing is not warranted for either the black-tailed prairie dog or white-tailed prairie dog, the petitions and associated reviews demonstrated the need for the States to monitor and manage for self-sustaining populations. In response to these findings, a multi-State conservation effort was initiated for the nonlisted species which included the following proposed actions: (1) completing an assessment of each prairie dog species in each State, (2) developing a range-wide monitoring protocol for each species using a statistically valid sampling procedure that would allow comparable analyses across States, and (3) monitoring prairie dog status every 3-5 years depending upon the species. To date, each State has completed an assessment and currently is monitoring prairie dog status; however, for some species, the inconsistency in survey methodology has made it difficult to compare data year-to-year or State-to-State. At the Prairie Dog Conservation Team meeting held in November 2008, there was discussion regarding the use of different methods to survey prairie dogs. A recommendation from this meeting was to convene a panel in a workshop-type forum and have the panel review the different methods being used and provide recommendations for range-wide monitoring protocols for each species of prairie dog. Consequently, the Western

  10. Recommendations for the use of mist nets for inventory and monitoring of bird populations

    USGS Publications Warehouse

    Ralph, C. John; Dunn, Erica H.; Peach, Will J.; Handel, Colleen M.; Ralph, C. John; Dunn, Erica H.

    2004-01-01

    We provide recommendations on the best practices for mist netting for the purposes of monitoring population parameters such as abundance and demography. Studies should be carefully thought out before nets are set up, to ensure that sampling design and estimated sample size will allow study objectives to be met. Station location, number of nets, type of nets, net placement, and schedule of operation should be determined by the goals of the particular project, and we provide guidelines for typical mist-net studies. In the absence of study-specific requirements for novel protocols, commonly used protocols should be used to enable comparison of results among studies. Regardless of the equipment, net layout, or netting schedule selected, it is important for all studies that operations be strictly standardized, and a well-written operation protocol will help in attaining this goal. We provide recommendations for data to be collected on captured birds, and emphasize the need for good training of project personnel

  11. Therapeutic drug monitoring for triazoles: A needs assessment review and recommendations from a Canadian perspective

    PubMed Central

    Laverdiere, Michel; Bow, Eric J; Rotstein, Coleman; Autmizguine, Julie; Broady, Raewyn; Garber, Gary; Haider, Shariq; Hussaini, Trana; Husain, Shahid; Ovetchkine, Philippe; Seki, Jack T; Théorêt, Yves

    2014-01-01

    Invasive fungal infections cause significant morbidity and mortality in patients with concomitant underlying immunosuppressive diseases. The recent addition of new triazoles to the antifungal armamentarium has allowed for extended-spectrum activity and flexibility of administration. Over the years, clinical use has raised concerns about the degree of drug exposure following standard approved drug dosing, questioning the need for therapeutic drug monitoring (TDM). Accordingly, the present guidelines focus on TDM of triazole antifungal agents. A review of the rationale for triazole TDM, the targeted patient populations and available laboratory methods, as well as practical recommendations based on current evidence from an extended literature review are provided in the present document. PMID:25587296

  12. Policy Recommendations for the Argentinean Water Resources National Plan Related to Extreme Events in Forested Mountain Basins.

    NASA Astrophysics Data System (ADS)

    Urciuolo, A. B.; Iturraspe, R. J.; Lofiego, R.

    2007-05-01

    In the framework of activities developed by COHIFE (Federal Water Resource Council), Argentina is preparing the Water Resources National Plan. To achieve an integrating project and considering that Argentina is a federal country, each province is working on the basis of its own Water Resources Provincial Plan. The first step of the plan consists in the identification of problems, with the purpose of further defining solutions based on structural and non structural actions. The general perception of the stakeholders involved in the plan development is the necessity of the analysis of strategies for the integrated water resource management Although a first document for water policy, named "Principios Rectores de Política Hídrica" is available, there are not specific strategies for integrated management of water and land use oriented to extreme events. In other way, there are a lack of policies oriented to Mountain basin with forest coverage, may be because of most of the population and the economical structure of the country is located on plain regions. This article proposes recommendations for policy to be integrated to the Water Resources National Plan, based on studies developed in a pilot basin representative of the Andean-Patagonia eco-region, in the framework of the EPIC FORCE proyect, financed by the European Union. Project methodology includes basin instrumentation, reconstruction and analysis of extreme events and land-water management practices revision. Climate, flow and sediment Data are available for simulation using the Shetran model on different land use scenarios, including changes in the basin forest coverage. On the basis of the first results of the project, policy guides oriented to fill mentioned policy lacks were defined.

  13. Recommendations for strengthening the infrared technology component of any condition monitoring program

    NASA Astrophysics Data System (ADS)

    Nicholas, Jack R., Jr.; Young, R. K.

    1999-03-01

    This presentation provides insights of a long term 'champion' of many condition monitoring technologies and a Level III infra red thermographer. The co-authors present recommendations based on their observations of infra red and other components of predictive, condition monitoring programs in manufacturing, utility and government defense and energy activities. As predictive maintenance service providers, trainers, informal observers and formal auditors of such programs, the co-authors provide a unique perspective that can be useful to practitioners, managers and customers of advanced programs. Each has over 30 years experience in the field of machinery operation, maintenance, and support the origins of which can be traced to and through the demanding requirements of the U.S. Navy nuclear submarine forces. They have over 10 years each of experience with programs in many different countries on 3 continents. Recommendations are provided on the following: (1) Leadership and Management Support (For survival); (2) Life Cycle View (For establishment of a firm and stable foundation for a program); (3) Training and Orientation (For thermographers as well as operators, managers and others); (4) Analyst Flexibility (To innovate, explore and develop their understanding of machinery condition); (5) Reports and Program Justification (For program visibility and continued expansion); (6) Commitment to Continuous Improvement of Capability and Productivity (Through application of updated hardware and software); (7) Mutual Support by Analysts (By those inside and outside of the immediate organization); (8) Use of Multiple Technologies and System Experts to Help Define Problems (Through the use of correlation analysis of data from up to 15 technologies. An example correlation analysis table for AC and DC motors is provided.); (9) Root Cause Analysis (Allows a shift from reactive to proactive stance for a program); (10) Master Equipment Identification and Technology Application (To

  14. Monitoring and evaluation of a large-scale community-based program: recommendations for overcoming barriers to structured implementation.

    PubMed

    Stubbs, Joanne Marguerite; Achat, Helen Mary

    2011-02-01

    Accountability for the use of limited health resources requires quality information for ongoing monitoring of program effectiveness. We outline the challenges involved in the monitoring and evaluation of a large-scale community nurse home visiting program. Efforts to establish and maintain rigorous assessment were impaired by interrelated difficulties, impacting on the quality of information collected. The consequences and outcomes of these challenges are discussed. Recommendations to facilitate the monitoring and evaluation of community-based programs are made. Successful program monitoring and evaluation, guided by these recommendations, will support the ongoing review of program activities and evidence-based decision making to inform current operation and future planning.

  15. Controversial cytogenetic observations in mammalian somatic cells exposed to extremely low frequency electromagnetic radiation: a review and future research recommendations.

    PubMed

    Vijayalaxmi; Obe, Guenter

    2005-07-01

    During the years 1990-2003, a large number of investigations were conducted using animals, cultured rodent and human cells as well as freshly collected human blood lymphocytes to determine the genotoxic potential of exposure to nonionizing radiation emitted from extremely low frequency electromagnetic fields (EMF). Among the 63 peer reviewed scientific reports, the conclusions from 29 studies (46%) did not indicate increased damage to the genetic material, as assessed from DNA strand breaks, incidence of chromosomal aberrations (CA), micronuclei (MN), and sister chromatid exchanges (SCE), in EMF exposed cells as compared with sham exposed and/or unexposed cells, while those from 14 investigations (22%) have suggested an increase in such damage in EMF exposed cells. The observations from 20 other studies (32%) were inconclusive. This study reviews the investigations published in peer reviewed scientific journals during 1990-2003 and attempts to identify probable reason(s) for the conflicting results. Recommendations are made for future research to address some of the controversial observations.

  16. Monitoring of the extreme alpha_ox variations in the luminous NL QSO PHL 1092

    NASA Astrophysics Data System (ADS)

    Miniutti, Giovanni

    2009-10-01

    During a 2008 XMM-Newton observation the luminous Narrow-Line quasar PHL 1092 showed a dramatic X-ray flux drop by a factor ~200 with respect to previous X-ray observations, becoming one of the most extreme X-ray weak QSO (alpha_ox = -2.44), after being X-ray "normal" (alpha_ox = -1.56) only 4.5 years earlier. Note that the extreme 2008 X-ray weakness corresponds to a factor ~320 with respect to the expected X-ray flux of QSO with the given luminosity. The aim of this proposal is to continue our UV and X-ray monitoring of this extreme source with two 25 ks exposures (one for each visibility window, hence separated by about 6 months) to unveil the timescale over which transitions from X-ray weak to normal QSO states take place in this most extraordinary AGN.

  17. A review of prophylactic human papillomavirus vaccines: recommendations and monitoring in the US.

    PubMed

    Dunne, Eileen F; Datta, S Deblina; E Markowitz, Lauri

    2008-11-15

    It has been estimated that genital human papillomavirus (HPV) is the most common sexually transmitted infection in the US. Nononcogenic types, such as HPV type 6 (HPV-6) and HPV-11, can cause benign or low-grade cervical cell changes, genital warts, and recurrent respiratory papillomatosis. Oncogenic types can cause cervical and other anogenital cancers; oncogenic HPV types are detected in 99% of cervical cancers worldwide. A quadrivalent HPV vaccine to prevent HPV-6, HPV-11, HPV-16, and HPV-18 was licensed for use in the US in June 2006 and an application for Food and Drug Administration licensure was submitted for a bivalent HPV vaccine to prevent HPV-16 and HPV-18 in March 2007. Currently in the US, the quadrivalent HPV vaccine is recommended for routine immunization of girls aged 11 and 12 years, and catch-up immunization is recommended through age 26 years. Monitoring the impact of prophylactic HPV vaccines will be useful for understanding the population level impact of vaccination. In this report, the authors provide a brief review of the epidemiology of HPV infection and an overview of prophylactic HPV vaccines and postvaccine licensure monitoring.

  18. Physical Activity Monitoring in Extremely Obese Adolescents from the Teen-LABS Study

    PubMed Central

    Jeffries, Renee M.; Inge, Thomas H.; Jenkins, Todd M; King, Wendy; Oruc, Vedran; Douglas, Andrew D.

    2016-01-01

    Background The accuracy of physical activity (PA) monitors to discriminate between PA, sedentary behavior, and non-wear in extremely obese (EO) adolescents is unknown. Methods Twenty-five subjects (9 male/16 female; age=16.5±2.0 y; BMI=51±8 kg/m2) wore three activity monitors (StepWatch [SAM], Actical [AC], Actiheart [AH]) during a 400 meter walk test (400MWT), two standardized PA bouts of varying duration, and one sedentary bout. Results For the 400MWT, percent error between observed and monitor recorded steps was 5.5±7.1% and 82.1±38.6% for the SAM and AC steps, respectively (observed vs. SAM steps: −17.2±22.2 steps; observed vs. AC steps: −264.5±124.8 steps). All activity monitors were able to differentiate between PA and sedentary bouts but only SAM steps and AH heart rate were significantly different between sedentary behavior and non-wear (p<0.001). For all monitors, sedentary behavior was characterized by bouts of zero steps/counts punctuated by intermittent activity steps/counts; non-wear was represented almost exclusively by zero steps/counts. Conclusion Of all monitors tested, the SAM was most accurate in terms of counting steps and differentiating levels of PA, and thus, most appropriate for EO adolescents. The ability to accurately characterize PA intensity in EO adolescents critically depends on activity monitor selection. PMID:25205688

  19. Activated Partial Thromboplastin Time Monitoring of Unfractionated Heparin Therapy: Issues and Recommendations.

    PubMed

    Marlar, Richard A; Clement, Bernadette; Gausman, Jana

    2016-06-06

    When administering unfractionated heparin (UFH), therapeutic levels of anticoagulation must be achieved rapidly and maintained consistently in the therapeutic range. The basic assays for monitoring UFH therapy are the activated partial thromboplastin time (APTT) and/or the chromogenic antifactor Xa or antithrombin assays. For many laboratories, the APTT is the preferred standard of practice; however, the APTT is a surrogate marker that only estimates the heparin concentration. Many factors, including patient variation, reagents of the APTT, UFH composition, and concentration can influence the APTT result. This article reviews various methods to determine the heparin therapeutic range and presents recommendations for the laboratory to establish an APTT heparin therapeutic range for all sizes of hospitals.

  20. Public Health Monitoring of Privilege and Deprivation With the Index of Concentration at the Extremes

    PubMed Central

    Waterman, Pamela D.; Spasojevic, Jasmina; Li, Wenhui; Maduro, Gil; Van Wye, Gretchen

    2016-01-01

    Objectives. We evaluated use of the Index of Concentration at the Extremes (ICE) for public health monitoring. Methods. We used New York City data centered around 2010 to assess cross-sectional associations at the census tract and community district levels, for (1) diverse ICE measures plus the US poverty rate, with (2) infant mortality, premature mortality (before age 65 years), and diabetes mortality. Results. Point estimates for rate ratios were consistently greatest for the novel ICE that jointly measured extreme concentrations of income and race/ethnicity. For example, the census tract–level rate ratio for infant mortality comparing the bottom versus top quintile for an ICE contrasting low-income Black versus high-income White equaled 2.93 (95% confidence interval [CI] = 2.11, 4.09), but was 2.19 (95% CI = 1.59, 3.02) for low versus high income, 2.77 (95% CI = 2.02, 3.81) for Black versus White, and 1.56 (95% CI = 1.19, 2.04) for census tracts with greater than or equal to 30% versus less than 10% below poverty. Conclusions. The ICE may be a useful metric for public health monitoring, as it simultaneously captures extremes of privilege and deprivation and can jointly measure economic and racial/ethnic segregation. PMID:26691119

  1. Digital Divide in Sub-Saharan African Universities: Recommendations and Monitoring

    SciTech Connect

    Barry, Boubakar; Chukwuma, Victor; Petitdidier, Monique; Cottrell, Les; Bartons, Charles; /Australian Natl. U., RSES

    2009-12-17

    The Digital Divide prevents Africa from taking advantages of new information technologies. One of the most urgent priorities is to bring the Internet in African Universities, Research, and Learning Centers to the level of other regions of the world. eGY-Africa, and the Sharing Knowledge Foundation are two bottom-up initiatives by scientists to secure better cyber-infrastructure and Internet facilities in Africa. Recommendations by the present scientific communities are being formulated at national, regional and international levels. The Internet capabilities are well documented at country level overall, but this is not the case at the University level. The snapshot of the Internet status in universities in 17 African countries, obtained by a questionnaire survey, is consistent with measures of Internet penetration in the corresponding country. The monitoring of Internet performance has been proposed to those African universities to provide an information base for arguing the need to improve the coverage for Africa. A pilot program is recommended that will start scientific collaboration with Europe in western Africa using ICT. The program will lay the foundations for the arrival of new technologies like Grids.

  2. Short-term techniques for monitoring coral reefs: Review, results, and recommendations

    SciTech Connect

    Mann, G.S.; Hunte, W.

    1994-12-31

    The health of coral reefs is in question on a global scale. The degradation of reefs has been attributed to both natural (e.g., el nino, crown-of-thorns, and hurricanes) and anthropogenic (e.g., sedimentation, nutrient overloading, oil spills, and thermal pollution) factors. Demonstrating the deleterious effects of lethal factors has not been difficult. However, it has been more difficult to quantitatively link those factors which do not cause rapid coral mortality to reef degradation. Classic techniques, such as cross-transplantation and x-ray analysis of growth bands, have proven to be successful bioassessments of chronic exposure to stressful conditions. The resolution of these techniques generally limits their usefulness as only long-term exposure (months to years) can provide quantitative differences between impacted and controlled conditions. Short-term monitoring techniques using corals have received relatively little attention from researchers. Two short-term methods have been successfully used to discriminated polluted from less-polluted sites in Barbados. The first is based on adult growth in several coral species. The second focuses on growth and survival of newly-settled juvenile corals. Both methods allowed discrimination in less than two weeks. These methods and others need to be evaluated and standardized in order to permit better, more efficient monitoring of the worlds reefs. Recommendations will be made on what life-history characteristics should be considered when choosing a coral species for use in bioassessment studies.

  3. Compilation of 1986 annual reports of the Navy ELF (Extremely Low Frequency) communications system ecological monitoring program, volume 3

    NASA Astrophysics Data System (ADS)

    1987-07-01

    This is the fifth compilation of annual reports for the Navy's Extremely Low Frequency (ELF) Communications System Ecological Monitoring Program. This report documents the progress of the following studies: aquatic ecosystems, wetland studies, and bird species and communities.

  4. Non-invasive hypoglycemia monitoring system using extreme learning machine for Type 1 diabetes.

    PubMed

    Ling, Sai Ho; San, Phyo Phyo; Nguyen, Hung T

    2016-09-01

    Hypoglycemia is a very common in type 1 diabetic persons and can occur at any age. It is always threatening to the well-being of patients with Type 1 diabetes mellitus (T1DM) since hypoglycemia leads to seizures or loss of consciousness and the possible development of permanent brain dysfunction under certain circumstances. Because of that, an accurate continuing hypoglycemia monitoring system is a very important medical device for diabetic patients. In this paper, we proposed a non-invasive hypoglycemia monitoring system using the physiological parameters of electrocardiography (ECG) signal. To enhance the detection accuracy, extreme learning machine (ELM) is developed to recognize the presence of hypoglycemia. A clinical study of 16 children with T1DM is given to illustrate the good performance of ELM.

  5. [Therapeutic drug monitoring in child and adolescent psychiatry--practical recommendations].

    PubMed

    Gerlach, Manfred; Rothenhöfer, Silke; Mehler-Wex, Claudia; Fegert, Joerg M; Schulz, Eberhard; Wewetzer, Christoph; Warnke, Andreas

    2006-01-01

    The therapy of children and adolescents with psychotropic drugs differs from that of adults. Due to the differences in the pharmacokinetic behaviour of the drugs used that are dependent on a child's, respectively an adolescent's stage of development, the same dosages as recommended for adults cannot be used. Moreover, many of the drugs used have not been approved for use in children and adolescents. Thus the criteria which guarantee their efficacy and safety for use in adults do not apply for their use in children and adolescents. Therefore therapeutic drug monitoring (TDM) is a general indication for the administration of psychotropic drugs in children and adolescents. TDM enables the clinician to adjust the dosage of a drug according to the characteristics of the individual patient. It is also a valid tool to increase the safety of therapy and optimise therapy with psychotropic drugs. However, standardized studies are also needed to find therapeutic ranges of plasma concentrations for children and adolescents. Such studies will deliver new insights into the pharmacokinetic and pharmacodynamic behaviour of drugs used in child and adolescent psychiatry. The present contribution begins with a brief description of the strategy of TDM in psychiatry, followed by a discussion of the characteristics of pharmacotherapy in child and adolescent psychiatry and the reasons for the general indication of TDM in children and adolescents. Finally, recommendations are given for the routine performance of TDM. For a detailed treatment of TDM in psychiatry, the interested reader is referred to the AG-NP-TDM Expert Group Consensus Guidelines published earlier (Baumann et al., 2004).

  6. Recommendations for standards of monitoring during anaesthesia and recovery 2015: Association of Anaesthetists of Great Britain and Ireland.

    PubMed

    Checketts, M R; Alladi, R; Ferguson, K; Gemmell, L; Handy, J M; Klein, A A; Love, N J; Misra, U; Morris, C; Nathanson, M H; Rodney, G E; Verma, R; Pandit, J J

    2016-01-01

    This guideline updates and replaces the 4th edition of the AAGBI Standards of Monitoring published in 2007. The aim of this document is to provide guidance on the minimum standards for physiological monitoring of any patient undergoing anaesthesia or sedation under the care of an anaesthetist. The recommendations are primarily aimed at anaesthetists practising in the United Kingdom and Ireland. Minimum standards for monitoring patients during anaesthesia and in the recovery phase are included. There is also guidance on monitoring patients undergoing sedation and also during transfer of anaesthetised or sedated patients. There are new sections discussing the role of monitoring depth of anaesthesia, neuromuscular blockade and cardiac output. The indications for end-tidal carbon dioxide monitoring have been updated.

  7. Heart Rhythm Monitoring in the Constellation Lunar and Launch/Landing EVA Suit: Recommendations from an Expert Panel

    NASA Technical Reports Server (NTRS)

    Scheuring, Richard A.; Hamilton, Doug; Jones, Jeffrey A.; Alexander, David

    2009-01-01

    There are currently several physiological monitoring requirements for EVA in the Human-Systems Interface Requirements (HSIR) document. There are questions as to whether the capability to monitor heart rhythm in the lunar surface space suit is a necessary capability for lunar surface operations. Similarly, there are questions as to whether the capability to monitor heart rhythm during a cabin depressurization scenario in the launch/landing space suit is necessary. This presentation seeks to inform space medicine personnel of recommendations made by an expert panel of cardiovascular medicine specialists regarding in-suit ECG heart rhythm monitoring requirements during lunar surface operations. After a review of demographic information and clinical cases and panel discussion, the panel recommended that ECG monitoring capability as a clinical tool was not essential in the lunar space suit; ECG monitoring was not essential in the launch/landing space suit for contingency scenarios; the current hear rate monitoring capability requirement for both launch/landing and lunar space suits should be maintained; lunar vehicles should be required to have ECG monitoring capability with a minimum of 5-lead ECG for IVA medical assessments; and, exercise stress testing for astronaut selection and retention should be changed from the current 85% maximum heart rate limit to maximal, exhaustive 'symptom-limited' testing to maximize diagnostic utility as a screening tool for evaluating the functional capacity of astronauts and their cardiovascular health.

  8. Accolades and Recommendations: A Longitudinal Analysis of Monitoring Reports for Two Charter Schools Serving Native American Students

    ERIC Educational Resources Information Center

    Anderson, Derek L.; Holder, K. C.

    2012-01-01

    This longitudinal case study examines 10 years' worth of annual monitoring reports for two rural Native American Charter Schools. Using data from multiple sources including interviews, site visits, and document analyses, the authors used provisional coding and constant comparison analysis to categorize the accolades and recommendations embedded in…

  9. Supporting patients to self-monitor their oral anticoagulation therapy: recommendations based on a qualitative study of patients’ experiences

    PubMed Central

    Tompson, Alice; Heneghan, Carl; Fitzmaurice, David; Sutton, Stephen; Harrison, Sian; Ward, Alison

    2015-01-01

    Background Clinical trials suggest that oral anticoagulation therapy (OAT) self-monitoring is safe and effective, however little is known about the patient experience of this process. There is a lack of understanding about how best to train and support patients embarking on OAT self-monitoring. Aim To collect in-depth information about patients’ experiences of OAT self-monitoring outside of clinical trial conditions and to produce a set of recommendations on how best to support such patients. Design and setting Semi-structured qualitative interviews with patients who self-monitor and live in England. Method In total, 26 of the 267 (9.7%) who participated in the Cohort study of Anticoagulation Self-Monitoring (CASM) and were still self-monitoring after 12 months’ follow-up were interviewed. Topics discussed included experiences of OAT self-monitoring, healthcare support, training, and decision making. Framework analysis was used. Results Following initial problems using the monitoring device, interviewees described a mostly positive experience. Although less effort was expended attending monitoring appointments with health professionals, effort was required to conduct self-monitoring tests and to interpret and act on the results. Desire to self-manage was variable, especially when dosing advice systems worked promptly and reliably. Interviewees overcame patchy healthcare system knowledge and support of self-monitoring by educating themselves. Family and friends provided support with learning to use the monitor and managing OAT dosage adjustments. Conclusion Better, more-consistent training and health-service support would have alleviated a number of problems encountered by these patients who were self-monitoring. This training and support will become even more important if self-monitoring becomes more accessible to the general population of people on OAT. PMID:26077266

  10. Monitoring Changes of Tropical Extreme Rainfall Events Using Differential Absorption Barometric Radar (DiBAR)

    NASA Technical Reports Server (NTRS)

    Lin, Bing; Harrah, Steven; Lawrence, R. Wes; Hu, Yongxiang; Min, Qilong

    2015-01-01

    This work studies the potential of monitoring changes in tropical extreme rainfall events such as tropical storms from space using a Differential-absorption BArometric Radar (DiBAR) operating at 50-55 gigahertz O2 absorption band to remotely measure sea surface air pressure. Air pressure is among the most important variables that affect atmospheric dynamics, and currently can only be measured by limited in-situ observations over oceans. Analyses show that with the proposed radar the errors in instantaneous (averaged) pressure estimates can be as low as approximately 5 millibars (approximately 1 millibar) under all weather conditions. With these sea level pressure measurements, the forecasts, analyses and understanding of these extreme events in both short and long time scales can be improved. Severe weathers, especially hurricanes, are listed as one of core areas that need improved observations and predictions in WCRP (World Climate Research Program) and NASA Decadal Survey (DS) and have major impacts on public safety and national security through disaster mitigation. Since the development of the DiBAR concept about a decade ago, our team has made substantial progress in advancing the concept. Our feasibility assessment clearly shows the potential of sea surface barometry using existing radar technologies. We have developed a DiBAR system design, fabricated a Prototype-DiBAR (P-DiBAR) for proof-of-concept, conducted lab, ground and airborne P-DiBAR tests. The flight test results are consistent with our instrumentation goals. Observational system simulation experiments for space DiBAR performance show substantial improvements in tropical storm predictions, not only for the hurricane track and position but also for the hurricane intensity. DiBAR measurements will lead us to an unprecedented level of the prediction and knowledge on tropical extreme rainfall weather and climate conditions.

  11. Preface: Monitoring and modelling to guide coastal adaptation to extreme storm events in a changing climate

    NASA Astrophysics Data System (ADS)

    Brown, J. M.; Ciavola, P.; Masselink, G.; McCall, R.; Plater, A. J.

    2016-02-01

    Storms across the globe and their associated consequences in coastal zones (flooding and erosion), combined with the long-term geomorphic evolution of our coastlines, are a threat to life and assets, both socioeconomic and environmental. In a changing climate, with a rising global sea level, potentially changing patterns in storm tracks and storminess, and rising population density and pressures on the coastal zone, the future risk of coastal storm impacts is likely to increase. Coastal managers and policy makers therefore need to make effective and timely decisions on the use of resources for the immediate and longer Research focused on "monitoring and modelling to guide coastal adaptation to extreme storm events in a changing climate" is becoming more common; its goal is to provide science-based decision support for effective adaptation to the consequences of storm impacts, both now and under future climate scenarios at the coast. The growing transfer of information between the science community and end-users is enabling leading research to have a greater impact on the socioeconomic resilience of coastal communities. This special issue covers recent research activities relating to coastal hazard mapping in response to extreme events, economic impacts of long-term change, coastal processes influencing management decisions and the development of online decision support tools.

  12. A Real-Time Fatigue Monitoring and Analysis System for Lower Extremity Muscles with Cycling Movement

    PubMed Central

    Chen, Szi-Wen; Liaw, Jiunn-Woei; Chan, Hsiao-Lung; Chang, Ya-Ju; Ku, Chia-Hao

    2014-01-01

    A real-time muscle fatigue monitoring system was developed to quantitatively detect the muscle fatigue of subjects during cycling movement, where a fatigue progression measure (FPM) was built-in. During the cycling movement, the electromyogram (EMG) signals of the vastus lateralis and gastrocnemius muscles in one leg as well as cycling speed are synchronously measured in a real-time fashion. In addition, the heart rate (HR) and the Borg rating of perceived exertion scale value are recorded per minute. Using the EMG signals, the electrical activity and median frequency (MF) are calculated per cycle. Moreover, the updated FPM, based on the percentage of reduced MF counts during cycling movement, is calculated to measure the onset time and the progressive process of muscle fatigue. To demonstrate the performance of our system, five young healthy subjects were recruited. Each subject was asked to maintain a fixed speed of 60 RPM, as best he/she could, under a constant load during the pedaling. When the speed reached 20 RPM or the HR reached the maximal training HR, the experiment was then terminated immediately. The experimental results show that the proposed system may provide an on-line fatigue monitoring and analysis for the lower extremity muscles during cycling movement. PMID:25014101

  13. Engaging stakeholders in review and recommendations for models of outcome monitoring for substance abuse treatment.

    PubMed

    Rush, Brian; Martin, Garth; Corea, Larry; Rotondi, Nooshin Khobzi

    2012-10-01

    We present an example of a collaborative process designed to review models of outcome monitoring for substance abuse services, with a view to assessing the feasibility of different approaches in Ontario, Canada. A conceptual framework that describes the parameters of an outcome monitoring system and four models of outcome monitoring were identified. Consultations were held with stakeholders (managers, directors, researchers, clinicians, and governmental representatives) about the types of information they would like to obtain from an outcome monitoring system. Our process is useful as a model for collaborative research with respect to performance measurement. The study's implications and limitations are noted.

  14. 76 FR 38360 - Workshop-Monitoring Changes in Extreme Storm Statistics: State of Knowledge; Notice of Open...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ... National Oceanic and Atmospheric Administration Workshop--Monitoring Changes in Extreme Storm Statistics... website at https://sites.google.com/a/noaa.gov/severe-storms-workshop/ . FOR FURTHER INFORMATION CONTACT... available, they may be found at https://sites.google.com/a/noaa.gov/severe-storms-workshop/ . Topics To...

  15. Monitoring black-footed ferrets during reestablishment of free-ranging populations: Discussion of alternative methods and recommended minimum standards

    USGS Publications Warehouse

    Biggins, Dean E.; Godbey, Jerry L.; Matchett, Marc R.; Hanebury, Louis R.; Livieri, Travis M.; Marinari, Paul E.

    2006-01-01

    Although the monitoring of black-footed ferret (Mustela nigripes) populations following reintroductions has not been haphazard, several ferret recovery groups since 1994 have recommended development of uniform standards prescribing minimum methods, intensities, and frequencies of monitoring that would provide data on population size, mortality rates, and recruitment. Such standards would promote comparability of data among sites, document expectations for those who will attempt to establish new populations, and allow the U.S. Fish and Wildlife Service and other responsible groups to better assess progress made toward achieving recovery objectives. Our recommendations are based on methods that have been successfully used to monitor natural and reintroduced populations of ferrets and are an attempt to balance needs and costs. We suggest a combination of marking ferrets with passive integrated transponder (PIT) tags and annual spotlight searches coupled with automated transponder readers to individually identify survivors. Unmarked ferrets should be captured and implanted with PIT tags whenever possible. These and other methods are detailed. Circumstances that may dictate other methods or more intensive monitoring (e.g., high rates of loss or low recruitment) also are discussed.

  16. Diagnosis, monitoring, and treatment of primary ciliary dyskinesia: PCD foundation consensus recommendations based on state of the art review.

    PubMed

    Shapiro, Adam J; Zariwala, Maimoona A; Ferkol, Thomas; Davis, Stephanie D; Sagel, Scott D; Dell, Sharon D; Rosenfeld, Margaret; Olivier, Kenneth N; Milla, Carlos; Daniel, Sam J; Kimple, Adam J; Manion, Michele; Knowles, Michael R; Leigh, Margaret W

    2016-02-01

    Primary ciliary dyskinesia (PCD) is a genetically heterogeneous, rare lung disease resulting in chronic oto-sino-pulmonary disease in both children and adults. Many physicians incorrectly diagnose PCD or eliminate PCD from their differential diagnosis due to inexperience with diagnostic testing methods. Thus far, all therapies used for PCD are unproven through large clinical trials. This review article outlines consensus recommendations from PCD physicians in North America who have been engaged in a PCD centered research consortium for the last 10 years. These recommendations have been adopted by the governing board of the PCD Foundation to provide guidance for PCD clinical centers for diagnostic testing, monitoring, and appropriate short and long-term therapeutics in PCD patients.

  17. Diagnosis, monitoring, and treatment of primary ciliary dyskinesia: PCD foundation consensus recommendations based on state of the art review

    PubMed Central

    Zariwala, Maimoona A.; Ferkol, Thomas; Davis, Stephanie D.; Sagel, Scott D.; Dell, Sharon D.; Rosenfeld, Margaret; Olivier, Kenneth N.; Milla, Carlos; Daniel, Sam J.; Kimple, Adam J.; Manion, Michele; Knowles, Michael R.; Leigh, Margaret W.

    2015-01-01

    Summary Primary ciliary dyskinesia (PCD) is a genetically heterogeneous, rare lung disease resulting in chronic oto‐sino‐pulmonary disease in both children and adults. Many physicians incorrectly diagnose PCD or eliminate PCD from their differential diagnosis due to inexperience with diagnostic testing methods. Thus far, all therapies used for PCD are unproven through large clinical trials. This review article outlines consensus recommendations from PCD physicians in North America who have been engaged in a PCD centered research consortium for the last 10 years. These recommendations have been adopted by the governing board of the PCD Foundation to provide guidance for PCD clinical centers for diagnostic testing, monitoring, and appropriate short and long‐term therapeutics in PCD patients. Pediatr Pulmonol. 2016;51:115–132. © 2015 The Authors. Pediatric Pulmonology Published by Wiley Periodicals, Inc. PMID:26418604

  18. RECOMMENDED METHODS FOR AMBIENT AIR MONITORING OF NO, NO2, NOY, AND INDIVIDUAL NOZ SPECIES

    EPA Science Inventory

    The most appropriate monitoring methods for reactive nitrogen oxides are identified subject to the requirements for diagnostic testing of air quality simulation models. Measurements must be made over 1 h or less and with an uncertainty of

  19. HotSense: a high temperature piezoelectric platform for sensing and monitoring in extreme environments (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Stevenson, Tim; Wines, Thomas; Martin, David; Vickers, William; Laws, Michael

    2016-04-01

    Effective monitoring of asset integrity subject to corrosion and erosion while minimizing the exposure of personnel to difficult and hazardous working environments has always been a major problem in many industries. One solution of this problem is permanently installed ultrasonic monitoring equipment which can continuously provide information on the rate of corrosion or cracking, even in the most severe environments and at extreme temperatures to prevent the need for shutdown. Here, a permanently installed 5 MHz ultrasonic monitoring system based on our HotSense® technology is designed and investigated. The system applicability for wall thickness, crack monitoring and weld inspection in high temperature environments is demonstrated through experimental studies on a range of Schedule 40 pipes at temperatures up to 350 °C continuously. The applicability for this technology to be distributed to Aerospace and Nuclear sectors are also explored and preliminary results discussed.

  20. Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men

    PubMed Central

    Lunenfeld, Bruno; Zitzmann, Michael; Arver, Stefan; Kalinchenko, Svetlana; Tishova, Yuliya; Morgentaler, Abraham

    2015-01-01

    Hypogonadism or Testosterone Deficiency (TD) in adult men as defined by low levels of serum testosterone accompanied by characteristic symptoms and/or signs as detailed further on can be found in long-recognized clinical entities such as Klinefelter syndrome, Kallmann syndrome, pituitary or testicular disorders, as well as in men with idiopathic, metabolic or iatrogenic conditions that result in testosterone deficiency. These recommendations do not encompass the full range of pathologies leading to hypogonadism (testosterone deficiency), but instead focus on the clinical spectrum of hypogonadism related to metabolic and idiopathic disorders that contribute to the majority of cases that occur in adult men. PMID:25657080

  1. Monitoring Cellular Events in Living Mast Cells Stimulated with an Extremely Small Amount of Fluid on a Microchip

    NASA Astrophysics Data System (ADS)

    Munaka, Tatsuya; Abe, Hirohisa; Kanai, Masaki; Sakamoto, Takashi; Nakanishi, Hiroaki; Yamaoka, Tetsuji; Shoji, Shuichi; Murakami, Akira

    2006-07-01

    We successfully developed a measurement system for real-time analysis of cellular function using a newly designed microchip. This microchip was equipped with a micro cell incubation chamber (240 nl) and was stimulated by a very small amount of stimuli (as small as 24 nl). Using the microchip system, cultivation of mast cells was successfully carried out. Monitoring of the cellular events after stimulation with an extremely small amount of fluid on a microchip was performed. This system could be applicable for various types of cellular analysis including real-time monitoring of cellular response by stimulation.

  2. Compilation of 1986 annual reports of the Navy ELF (Extremely Low Frequency) communications system ecological monitoring program, volume 2

    NASA Astrophysics Data System (ADS)

    1987-07-01

    The U.S. Navy is conducting a long-term program to monitor for possible effects from the operation of its Extremely Low Frequency (ELF) Communications System to resident biota and their ecological relationships. This report documents progress of the following studies: soil amoeba; soil and litter arthropoda and earthworm studies; biological studies on pollinating insects: megachilid bees; and small vertebrates: small mammals and nesting birds.

  3. Using multimodal imaging techniques to monitor limb ischemia: a rapid noninvasive method for assessing extremity wounds

    NASA Astrophysics Data System (ADS)

    Luthra, Rajiv; Caruso, Joseph D.; Radowsky, Jason S.; Rodriguez, Maricela; Forsberg, Jonathan; Elster, Eric A.; Crane, Nicole J.

    2013-03-01

    Over 70% of military casualties resulting from the current conflicts sustain major extremity injuries. Of these the majority are caused by blasts from improvised explosive devices. The resulting injuries include traumatic amputations, open fractures, crush injuries, and acute vascular disruption. Critical tissue ischemia—the point at which ischemic tissues lose the capacity to recover—is therefore a major concern, as lack of blood flow to tissues rapidly leads to tissue deoxygenation and necrosis. If left undetected or unaddressed, a potentially salvageable limb may require more extensive debridement or, more commonly, amputation. Predicting wound outcome during the initial management of blast wounds remains a significant challenge, as wounds continue to "evolve" during the debridement process and our ability to assess wound viability remains subjectively based. Better means of identifying critical ischemia are needed. We developed a swine limb ischemia model in which two imaging modalities were combined to produce an objective and quantitative assessment of wound perfusion and tissue viability. By using 3 Charge-Coupled Device (3CCD) and Infrared (IR) cameras, both surface tissue oxygenation as well as overall limb perfusion could be depicted. We observed a change in mean 3CCD and IR values at peak ischemia and during reperfusion correlate well with clinically observed indicators for limb function and vitality. After correcting for baseline mean R-B values, the 3CCD values correlate with surface tissue oxygenation and the IR values with changes in perfusion. This study aims to not only increase fundamental understanding of the processes involved with limb ischemia and reperfusion, but also to develop tools to monitor overall limb perfusion and tissue oxygenation in a clinical setting. A rapid and objective diagnostic for extent of ischemic damage and overall limb viability could provide surgeons with a more accurate indication of tissue viability. This may

  4. Recommended Methods for Monitoring Skeletal Health in Astronauts to Distinguish Specific Effects of Prolonged Spaceflight

    NASA Technical Reports Server (NTRS)

    Vasadi, Lukas J.; Spector, Elizabeth R.; Smith, Scott A.; Yardley, Gregory L.; Evans, Harlan J.; Sibonga, Jean D.

    2016-01-01

    NASA uses areal bone mineral density (aBMD) by dual-energy X-ray absorptiometry (DXA) to monitor skeletal health in astronauts after typical 180-day spaceflights. The osteoporosis field and NASA, however, recognize the insufficiency of DXA aBMD as a sole surrogate for fracture risk. This is an even greater concern for NASA as it attempts to expand fracture risk assessment in astronauts, given the complicated nature of spaceflight-induced bone changes and the fact that multiple 1-year missions are planned. In the past decade, emerging analyses for additional surrogates have been tested in clinical trials; the potential use of these technologies to monitor the biomechanical integrity of the astronaut skeleton will be presented. OVERVIEW: An advisory panel of osteoporosis policy-makers provided NASA with an evidence-based assessment of astronaut biomedical and research data. The panel concluded that spaceflight and terrestrial bone loss have significant differences and certain factors may predispose astronauts to premature fractures. Based on these concerns, a proposed surveillance program is presented which a) uses Quantitative Computed Tomography (QCT) scans of the hip to monitor the recovery of spaceflight-induced deficits in trabecular BMD by 2 years after return, b) develops Finite Element Models [FEM] of QCT data to evaluate spaceflight effect on calculated hip bone strength and c) generates Trabecular Bone Score [TBS] from serial DXA scans of the lumbar spine to evaluate the effect of age, spaceflight and countermeasures on this novel index of bone microarchitecture. SIGNIFICANCE: DXA aBMD is a widely-applied, evidence-based predictor for fractures but not applicable as a fracture surrogate for premenopausal females and males <50 years. Its inability to detect structural parameters is a limitation for assessing changes in bone integrity with and without countermeasures. Collective use of aBMD, TBS, QCT, and FEM analysis for astronaut surveillance could

  5. Uncertainties in doses calculated according to ICRP recommendations after inhalation of 239PUO2 and early chest monitoring.

    PubMed

    Fritsch, P

    2007-01-01

    This study estimates uncertainties in Pu biokinetics and effective doses calculated after an acute inhalation exposure to 239PuO2 according to ICRP recommendations (default values for aerosols size and PuO2 dissolution parameters). This was performed using the most recently reported variations in model parameters and simulations after a Monte Carlo approach. Without chest monitoring, uncertainties in thoracic retention and plutonium excretion was 8-10 (95% confidence interval as the ratio between 97.5 and 2.5 percentiles of the lognormal distributions) up to 900 d after exposure. Early chest monitoring reduces significantly the uncertainties in plutonium biokinetics and doses which remain within a 95% confidence interval of 2.3 as compared with 6.6, without monitoring. Analysis of bioassay data previously reported shows that the dose delivered to some individuals can be out of the confidence interval, which was mostly due to an inhibition of the late mechanical clearance of the alveolar interstitium.

  6. Monitoring strategies and scale-appropriate hydrologic and biogeochemical modelling for natural resource management: Conclusions and recommendations from a session held at the iEMSs 2008

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This short communication paper presents recommendations for developing scale-appropriate monitoring and modelling strategies to assist decision making in natural resource management. These ideas presented here were discussed in the session (S5) ‘Monitoring strategies and scale-appropriate hydrologic...

  7. Recommendations for Optimizing Tuberculosis Treatment: Therapeutic Drug Monitoring, Pharmacogenetics, and Nutritional Status Considerations

    PubMed Central

    Choi, Rihwa; Jeong, Byeong-Ho

    2017-01-01

    Although tuberculosis is largely a curable disease, it remains a major cause of morbidity and mortality worldwide. Although the standard 6-month treatment regimen is highly effective for drug-susceptible tuberculosis, the use of multiple drugs over long periods of time can cause frequent adverse drug reactions. In addition, some patients with drug-susceptible tuberculosis do not respond adequately to treatment and develop treatment failure and drug resistance. Response to tuberculosis treatment could be affected by multiple factors associated with the host-pathogen interaction including genetic factors and the nutritional status of the host. These factors should be considered for effective tuberculosis control. Therefore, therapeutic drug monitoring (TDM), which is individualized drug dosing guided by serum drug concentrations during treatment, and pharmacogenetics-based personalized dosing guidelines of anti-tuberculosis drugs could reduce the incidence of adverse drug reactions and increase the likelihood of successful treatment outcomes. Moreover, assessment and management of comorbid conditions including nutritional status could improve anti-tuberculosis treatment response. PMID:28028995

  8. Recommendations for Optimizing Tuberculosis Treatment: Therapeutic Drug Monitoring, Pharmacogenetics, and Nutritional Status Considerations.

    PubMed

    Choi, Rihwa; Jeong, Byeong Ho; Koh, Won Jung; Lee, Soo Youn

    2017-03-01

    Although tuberculosis is largely a curable disease, it remains a major cause of morbidity and mortality worldwide. Although the standard 6-month treatment regimen is highly effective for drug-susceptible tuberculosis, the use of multiple drugs over long periods of time can cause frequent adverse drug reactions. In addition, some patients with drug-susceptible tuberculosis do not respond adequately to treatment and develop treatment failure and drug resistance. Response to tuberculosis treatment could be affected by multiple factors associated with the host-pathogen interaction including genetic factors and the nutritional status of the host. These factors should be considered for effective tuberculosis control. Therefore, therapeutic drug monitoring (TDM), which is individualized drug dosing guided by serum drug concentrations during treatment, and pharmacogenetics-based personalized dosing guidelines of anti-tuberculosis drugs could reduce the incidence of adverse drug reactions and increase the likelihood of successful treatment outcomes. Moreover, assessment and management of comorbid conditions including nutritional status could improve anti-tuberculosis treatment response.

  9. Bone Health Monitoring in Astronauts: Recommended Use of Quantitative Computed Tomography [QCT] for Clinical and Operational Decisions

    NASA Technical Reports Server (NTRS)

    Sibonga, J. D.; Truskowski, P.

    2010-01-01

    This slide presentation reviews the concerns that astronauts in long duration flights might have a greater risk of bone fracture as they age than the general population. A panel of experts was convened to review the information and recommend mechanisms to monitor the health of bones in astronauts. The use of Quantitative Computed Tomography (QCT) scans for risk surveillance to detect the clinical trigger and to inform countermeasure evaluation is reviewed. An added benefit of QCT is that it facilitates an individualized estimation of bone strength by Finite Element Modeling (FEM), that can inform approaches for bone rehabilitation. The use of FEM is reviewed as a process that arrives at a composite number to estimate bone strength, because it integrates multiple factors.

  10. Estimation of density and population size and recommendations for monitoring trends of Bahama parrots on Great Abaco and Great Inagua

    USGS Publications Warehouse

    Rivera-Milan, F. F.; Collazo, J.A.; Stahala, C.; Moore, W.J.; Davis, A.; Herring, G.; Steinkamp, M.; Pagliaro, R.; Thompson, J.L.; Bracey, W.

    2005-01-01

    Once abundant and widely distributed, the Bahama parrot (Amazona leucocephala bahamensis) currently inhabits only the Great Abaco and Great lnagua Islands of the Bahamas. In January 2003 and May 2002-2004, we conducted point-transect surveys (a type of distance sampling) to estimate density and population size and make recommendations for monitoring trends. Density ranged from 0.061 (SE = 0.013) to 0.085 (SE = 0.018) parrots/ha and population size ranged from 1,600 (SE = 354) to 2,386 (SE = 508) parrots when extrapolated to the 26,154 ha and 28,162 ha covered by surveys on Abaco in May 2002 and 2003, respectively. Density was 0.183 (SE = 0.049) and 0.153 (SE = 0.042) parrots/ha and population size was 5,344 (SE = 1,431) and 4,450 (SE = 1,435) parrots when extrapolated to the 29,174 ha covered by surveys on Inagua in May 2003 and 2004, respectively. Because parrot distribution was clumped, we would need to survey 213-882 points on Abaco and 258-1,659 points on Inagua to obtain a CV of 10-20% for estimated density. Cluster size and its variability and clumping increased in wintertime, making surveys imprecise and cost-ineffective. Surveys were reasonably precise and cost-effective in springtime, and we recommend conducting them when parrots are pairing and selecting nesting sites. Survey data should be collected yearly as part of an integrated monitoring strategy to estimate density and other key demographic parameters and improve our understanding of the ecological dynamics of these geographically isolated parrot populations at risk of extinction.

  11. Extremely low frequency (ELF) communication system--ecological monitoring program: Wisconsin bird studies. Final report, June 1984-September 1990

    SciTech Connect

    Hanowski, J.M.; Blake, J.G.; Niemi, G.J.; Collins, P.T.

    1991-02-01

    This study was designed to isolate effects of electromagnetic (EM) fields produced by extremely low frequency (ELF) antenna systems on bird species breeding in or migrating through Wisconsin. Specifically, the aim was to determine any differences in bird species richness and abundance between areas close to the antenna and those far enough away to be unaffected by the antenna. Characteristics examined included total species richness and abundance, abundance of common bird species, and abundance of birds within selected guilds. Measurements of vegetation identified differences and similarities between control and treatment areas. Habitat variables were used in analysis of covariance (ANCOVA) to compare numbers of abundant bird species in control versus treatment areas after adjustments for habitat differences. Extremely low frequency, Ecology, Electromagnetic fields, ELF Communications system, Environmental studies, ELF Ecological monitoring program.

  12. Urban development under extreme hydrologic and weather conditions for El Paso-Juarez: Recommendations resulting from hydrologic modeling, GIS, and remote sensing analyses

    NASA Astrophysics Data System (ADS)

    Barud-Zubillaga, Alberto

    During the 2006 El Paso-Juarez flood there were many concerns regarding the capability of the existing stormwater system to handle 50- and 100-year flood events in El Paso, Texas and Juarez, Mexico area. Moreover in 2008, a considerable wet year from the normal 223 mm of annual precipitation for El Paso demonstrated that the area could very well received large amounts of precipitation at localized areas in short periods of time, representing a great flood threat to residents living in areas prone to flood. Some climate change projections for the area are exactly what had occurred over the last two decades; an increased number of torrential rainstorms over smaller concentrated pieces of land separated by longer years of drought between rainstorms. This study consisted in three projects focused on three critical regions within the El Paso-Juarez area that were greatly affected by the 2006 Flood. The goal was to identify if natural arroyos or the existent built stormwater system, could properly managed the projected precipitation patterns. The three projects described in this dissertation touch on the following points: (a) the importance of a reliable precipitation model that could accurately describes precipitation patterns in the region under extreme drought and wet climates conditions; (b) differences in land use/land cover characteristics as factors promoting or disrupting the possibility for flooding, and (c) limitations and capabilities of existent stormwater systems and natural arroyos as means to control flooding. Conclusions and recommendations are shown below, which apply not only to each particular project, but also to all study areas and similar areas in the El Paso-Juarez region. Urbanization can improve or worsen a pre-existing natural stormwater system if built under its required capacity. Such capacity should be calculated considering extreme weather conditions, based on a denser network of precipitation stations to capture the various microclimates

  13. The brown dwarf atmosphere monitoring (BAM) project - II. Multi-epoch monitoring of extremely cool brown dwarfs

    NASA Astrophysics Data System (ADS)

    Rajan, A.; Patience, J.; Wilson, P. A.; Bulger, J.; De Rosa, R. J.; Ward-Duong, K.; Morley, C.; Pont, F.; Windhorst, R.

    2015-04-01

    With the discovery of Y dwarfs by the WISE mission, the population of field brown dwarfs now extends to objects with temperatures comparable to those of Solar system planets. To investigate the atmospheres of these newly identified brown dwarfs, we have conducted a pilot study monitoring an initial sample of three late-T dwarfs (T6.5, T8 and T8.5) and one Y dwarf (Y0) for infrared photometric variability at multiple epochs. With J-band imaging, each target was observed for a period of 1.0-4.5 h per epoch, which covers a significant fraction of the expected rotational period. These measurements represent the first photometric monitoring for these targets. For three of the four targets (2M1047, Ross 458C and WISE0458), multi-epoch monitoring was performed, with the time span between epochs ranging from a few hours to ˜2 years. During the first epoch, the T8.5 target WISE0458 exhibited variations with a remarkable min-to-max amplitude of 13 per cent, while the second epoch light curve taken ˜2 years later did not note any variability to a 3 per cent upper limit. With an effective temperature of ˜600 K, WISE0458 is the coldest variable brown dwarf published to date, and combined with its high and variable amplitude makes it a fascinating target for detailed follow-up. The three remaining targets showed no significant variations, with a photometric precision between 0.8 and 20.0 per cent, depending on the target brightness. Combining the new results with previous multi-epoch observations of brown dwarfs with spectral types of T5 or later, the currently identified variables have locations on the colour-colour diagram better matched by theoretical models incorporating cloud opacities rather than cloud-free atmospheres. This preliminary result requires further study to determine if there is a definitive link between variability among late-T dwarfs and their location on the colour-colour diagram.

  14. Extremely Low Frequency (ELF) Communications System Ecological Monitoring Program: Summary of 1983 progress

    NASA Astrophysics Data System (ADS)

    Zapotosky, J.; Abromovage, M. M.; Enk, J. O.

    1984-07-01

    A long-term program for studying possible effects from operation of the Navy's ELF Communication System is being conducted on biota and ecosystems components in northwestern Wisconsin and the Upper Peninsula of Michigan. Sixteen general types of organisms from three major ecosystems in the ELF System are being examined. Formulation of an ELF Ecological Monitoring Program was completed in early 1982 by the Department of the Navy. Monitoring studies were selected through a peer-reviewed, competitive bidding process in mid-1982 and studies were initiated in the late summer. Major activities of the program during 1983 consisted of characterization of critical aspects of each study, collection of data to validate assumptions made in proposals, and selection of study sites. Progress is summarized for the 10 projects that comprise the Program.

  15. Extremely Low Frequency (ELF) communications system ecological monitoring program. Summary of 1984 progress

    NASA Astrophysics Data System (ADS)

    Zapotosky, J. E.

    1985-07-01

    A long-term program is being conducted to monitor for possible effects from the operation of the U.S. Navy's ELF Communications System to resident biota and their ecological relationships. Monitoring studies were selected through a peer-reviewed, competitive bidding process in mid-1982; studies were initiated in late summer of that year. Currently, 16 general types of organisms from three major ecosystems in the ELF Communications System are being examined. During 1984, the Program continued and extended those major activities initiated in 1983, consisting of site selection, the characterization of critical study aspects, and, to a lesser degree, the validation of assumptions made in the original proposals. Progress is summarized for the 11 projects that comprise the Program as well as for the support activities of IIT Research Institute.

  16. Bridge reliability assessment based on the PDF of long-term monitored extreme strains

    NASA Astrophysics Data System (ADS)

    Jiao, Meiju; Sun, Limin

    2011-04-01

    Structural health monitoring (SHM) systems can provide valuable information for the evaluation of bridge performance. As the development and implementation of SHM technology in recent years, the data mining and use has received increasingly attention and interests in civil engineering. Based on the principle of probabilistic and statistics, a reliability approach provides a rational basis for analysis of the randomness in loads and their effects on structures. A novel approach combined SHM systems with reliability method to evaluate the reliability of a cable-stayed bridge instrumented with SHM systems was presented in this paper. In this study, the reliability of the steel girder of the cable-stayed bridge was denoted by failure probability directly instead of reliability index as commonly used. Under the assumption that the probability distributions of the resistance are independent to the responses of structures, a formulation of failure probability was deduced. Then, as a main factor in the formulation, the probability density function (PDF) of the strain at sensor locations based on the monitoring data was evaluated and verified. That Donghai Bridge was taken as an example for the application of the proposed approach followed. In the case study, 4 years' monitoring data since the operation of the SHM systems was processed, and the reliability assessment results were discussed. Finally, the sensitivity and accuracy of the novel approach compared with FORM was discussed.

  17. A twenty-first century California observing network for monitoring extreme weather events

    USGS Publications Warehouse

    White, A.B.; Anderson, M.L.; Dettinger, M.D.; Ralph, F.M.; Hinojosa, A.; Cayan, D.R.; Hartman, R.K.; Reynolds, D.W.; Johnson, L.E.; Schneider, T.L.; Cifelli, R.; Toth, Z.; Gutman, S.I.; King, C.W.; Gehrke, F.; Johnston, P.E.; Walls, C.; Mann, Dorte; Gottas, D.J.; Coleman, T.

    2013-01-01

    During Northern Hemisphere winters, the West Coast of North America is battered by extratropical storms. The impact of these storms is of paramount concern to California, where aging water supply and flood protection infrastructures are challenged by increased standards for urban flood protection, an unusually variable weather regime, and projections of climate change. Additionally, there are inherent conflicts between releasing water to provide flood protection and storing water to meet requirements for water supply, water quality, hydropower generation, water temperature and flow for at-risk species, and recreation. In order to improve reservoir management and meet the increasing demands on water, improved forecasts of precipitation, especially during extreme events, is required. Here we describe how California is addressing their most important and costliest environmental issue – water management – in part, by installing a state-of-the-art observing system to better track the area’s most severe wintertime storms.

  18. Physiologic monitoring in extreme environments: application of microsensors and embedded processors to predict heat stress in fire fighters

    NASA Astrophysics Data System (ADS)

    Van Gelder, Carin; Pranger, L. Alex; Urias, Adrian R.; Lo, Ronalee; Wiesmann, William P.; Winchell, Robert J.; Kolka, Margaret A.; Stachenfeld, Nina; Bogucki, Sandy

    2002-05-01

    Interior structural firefighting involves heavy physical exertion under extreme environmental conditions. Personal protective clothing and equipment impose 50 lbs of weight on fire fighters and impede the evaporative cooling mechanisms normally responsible for thermoregulation during exercise. The intense heat of the fire ground further exacerbates the physiological stress on working fire fighters. Occupational morbidity and mortality statistics reflect the impact of such stressors on fire service personnel. Non-invasive physiological monitoring capabilities are needed to more precisely define the cardiovascular responses to the demands of fire fighting and identify markers of impending failure of compensatory mechanisms prior to collapse or onset of irreversible pathology. A suite of sensors designed to provide continuous remote monitoring of fire fighters has been developed. Oximetry sensors are incorporated into SCBA facemask to allow unencumbered monitoring and analysis of cardiovascular and pulmonary function. The present report also describes a model system for physiological studies of fire fighting. This system comprises a series of timed simulations of fire ground tasks performed by fire fighters in a heated environmental chamber. Preliminary testing confirms the feasibility of reliable oximetry signal acquisition under fire ground conditions.

  19. Volatile organic compounds in the Pearl River Delta: Identification of source regions and recommendations for emission-oriented monitoring strategies

    NASA Astrophysics Data System (ADS)

    Yuan, Zibing; Zhong, Liuju; Lau, Alexis Kai Hon; Yu, Jian Zhen; Louie, Peter K. K.

    2013-09-01

    For the purpose of systematically characterizing the ambient volatile organic compound (VOC) levels and their emission sources in the Pearl River Delta (PRD) of China, a grid study with VOC samples simultaneously taken at 84 sites over the PRD was conducted in summer and winter of 2008 and 2009. Positive Matrix Factorization (PMF) model was applied to identify the major VOC contributing sources and their temporal and spatial variations. Nine sources were identified, with gasoline exhaust, industrial emission and LPG leakage & propellant emission the top three significant sources. They accounted for 23%, 16% and 13% of the ambient VOC levels, respectively. Control measures should be therefore targeted on mitigating the VOC emissions from the traffic-related and industrial-related sources. The total VOC level did not show strong increase from 5 a.m. to 10 a.m. during all the four sampling campaigns, which may result from stronger wind and higher mixing height at 10 a.m. Three hotspot areas with significant VOC contributions were identified by source apportionment analysis: (1) the Pearl River Estuary; (2) an area from Central Dongguan to North Shenzhen; and (3) the Zhuhai-Zhongshan-Jiangmen area. For better characterizing the roles of VOC and NOx in producing the secondary pollutants and to identify specific sources emitting excessive concentrations of precursors, the emission-oriented Photochemical Assessment Monitoring Station (PAMS) network is recommended to be established in the PRD. Three PAMS networks are suggested in correspondence to the three identified hotspot areas.

  20. Extremely Low Frequency (ELF) communications system ecological monitoring program: Plan and summary of 1982 progress

    NASA Astrophysics Data System (ADS)

    Zapotosky, J. E.; Abromavage, M. M.

    1983-08-01

    The purpose of the Ecological Monitoring Program is to study ecological and/or biological characteristics of selected biota in an environment that includes natural stresses and low-level ELF electromagnetic fields. Sixteen general types of organisms from three major ecosystems in the System area are being examined. Study sites were selected in 1982, and will be examined further in 1983. Statistical methods of analysis proposed by investigators are identified, and biological and ecological end-points selected for study are described. Data collection began in 1982 and will be continued in 1983 for studies of vegetation, soil animals, pollinating insects, small mammals and birds, wetlands, vegetation associations, and aquatic community relationships.

  1. Textile technology for the vital signs monitoring in telemedicine and extreme environments.

    PubMed

    Di Rienzo, Marco; Meriggi, Paolo; Rizzo, Francesco; Castiglioni, Paolo; Lombardi, Carolina; Ferratini, Maurizio; Parati, Gianfranco

    2010-05-01

    This paper illustrates two extensive applications of a smart garment we previously developed for the monitoring of ECG, respiration, and movement. In the first application, the device, named Maglietta Interattiva Computerizzata (MagIC), was used for the home monitoring of cardiac patients. The used platform included MagIC for signals collection, a touchscreen computer with a dedicated software for data handling, and a universal mobile telecommunications system (UMTS) dongle for data transmission, via email, to three cardiologists. Three patients daily-performed 3-min telemonitoring sessions for 30 days by using the platform. The whole system behaved correctly in 85 out of 90 sessions. In five instances, a second session was required due to UMTS traffic congestion. Only in three sessions, cardiologists asked the patient to repeat the acquisition because of poor signal quality. In the second application, MagIC was used to evaluate the effects of high-altitude hypoxia on sleep and 24 h daily life in 30 healthy subjects at 3500 and 5400 m above sea level on Mount Everest slopes. The use of MagIC garment was reported to be simple and requiring short instrumentation time even in the demanding expedition environment. The signal quality was adequate in 111 out of 115 recordings and 90% of the subjects found the vest comfortable.

  2. Response of Jupiter's inner magnetosphere to the solar wind derived from extreme ultraviolet monitoring of the Io plasma torus

    NASA Astrophysics Data System (ADS)

    Murakami, Go; Yoshioka, Kazuo; Yamazaki, Atsushi; Tsuchiya, Fuminori; Kimura, Tomoki; Tao, Chihiro; Kita, Hajime; Kagitani, Masato; Sakanoi, Takeshi; Uemizu, Kazunori; Kasaba, Yasumasa; Yoshikawa, Ichiro; Fujimoto, Masaki

    2016-12-01

    Because Jupiter's magnetosphere is huge and is rotationally dominated, solar wind influence on its inner part has been thought to be negligible. Meanwhile, dawn-dusk asymmetric features of this region have been reported. Presence of dawn-to-dusk electric field is one of the leading explanations of the asymmetry; however, the physical process of generating such an intense electric field still remains unclear. Here we present long and continuous monitoring of the extreme ultraviolet emissions from the Io plasma torus in Jupiter's inner magnetosphere made by the Hisaki satellite between December 2013 and March 2014. We found five occasions where the dusk/dawn brightness ratio was enhanced above 2.5 in response to rapid increase of the solar wind dynamic pressure. The enhancement is achieved as the dusk region brightens and the dawn region dims. The observation indicates that dawn-to-dusk electric field in the inner magnetosphere is enhanced under compressed conditions.

  3. The Role of Imaging in Patient Selection, Preoperative Planning, and Postoperative Monitoring in Human Upper Extremity Allotransplantation

    PubMed Central

    Roth, Eira S.; Buck, David G.; Gorantla, Vijay S.; Losee, Joseph E.; Foust, Daniel E.; Britton, Cynthia A.

    2014-01-01

    Objective. To describe the role of imaging in vascular composite allotransplantation based on one institution's experience with upper extremity allotransplant patients. Methods. The institutional review board approved this review of HIPAA-compliant patient data without the need for individual consent. A retrospective review was performed of imaging from 2008 to 2011 on individuals undergoing upper extremity transplantation. This demonstrated that, of the 19 patients initially considered, 5 patients with a mean age of 37 underwent transplantation. Reports were correlated clinically to delineate which preoperative factors lead to patient selection versus disqualification and what concerns dictated postoperative imaging. Findings were subdivided into musculoskeletal and vascular imaging criterion. Results. Within the screening phase, musculoskeletal exclusion criterion included severe shoulder arthropathy, poor native bone integrity, and marked muscular atrophy. Vascular exclusion criterion included loss of sufficient arterial or venous supply and significant distortion of the native vascular architecture. Postoperative imaging was used to document healing and hardware integrity. Postsurgical angiography and ultrasound were used to monitor for endothelial proliferation or thrombosis as signs of rejection and vascular complication. Conclusion. Multimodality imaging is an integral component of vascular composite allotransplantation surgical planning and surveillance to maximize returning form and functionality while minimizing possible complications. PMID:24800056

  4. A review on emerging contaminants in wastewaters and the environment: current knowledge, understudied areas and recommendations for future monitoring.

    PubMed

    Petrie, Bruce; Barden, Ruth; Kasprzyk-Hordern, Barbara

    2015-04-01

    This review identifies understudied areas of emerging contaminant (EC) research in wastewaters and the environment, and recommends direction for future monitoring. Non-regulated trace organic ECs including pharmaceuticals, illicit drugs and personal care products are focused on due to ongoing policy initiatives and the expectant broadening of environmental legislation. These ECs are ubiquitous in the aquatic environment, mainly derived from the discharge of municipal wastewater effluents. Their presence is of concern due to the possible ecological impact (e.g., endocrine disruption) to biota within the environment. To better understand their fate in wastewaters and in the environment, a standardised approach to sampling is needed. This ensures representative data is attained and facilitates a better understanding of spatial and temporal trends of EC occurrence. During wastewater treatment, there is a lack of suspended particulate matter analysis due to further preparation requirements and a lack of good analytical approaches. This results in the under-reporting of several ECs entering wastewater treatment works (WwTWs) and the aquatic environment. Also, sludge can act as a concentrating medium for some chemicals during wastewater treatment. The majority of treated sludge is applied directly to agricultural land without analysis for ECs. As a result there is a paucity of information on the fate of ECs in soils and consequently, there has been no driver to investigate the toxicity to exposed terrestrial organisms. Therefore a more holistic approach to environmental monitoring is required, such that the fate and impact of ECs in all exposed environmental compartments are studied. The traditional analytical approach of applying targeted screening with low resolution mass spectrometry (e.g., triple quadrupoles) results in numerous chemicals such as transformation products going undetected. These can exhibit similar toxicity to the parent EC, demonstrating the necessity

  5. Head shape evolution in monitor lizards (Varanus): interactions between extreme size disparity, phylogeny and ecology.

    PubMed

    Openshaw, G H; Keogh, J S

    2014-02-01

    Characterizing patterns of observed current variation, and testing hypotheses concerning the potential drivers of this variation, is fundamental to understanding how morphology evolves. Phylogenetic history, size and ecology are all central components driving the evolution of morphological variation, but only recently have methods become available to tease these aspects apart for particular body structures. Extant monitor lizards (Varanus) have radiated into an incredible range of habitats and display the largest body size range of any terrestrial vertebrate genus. Although their body morphology remains remarkably conservative, they have obvious head shape variation. We use two-dimensional geometric morphometric techniques to characterize the patterns of dorsal head shape variation in 36 species (375 specimens) of varanid, and test how this variation relates to size, phylogenetic history and ecology as represented by habitat. Interspecific head shape disparity is strongly allometric. Once size effects are removed, principal component analysis shows that most shape variation relates to changes in the snout and head width. Size-corrected head shape variation has strong phylogenetic signal at a broad level, but habitat use is predictive of shape disparity within phylogenetic lineages. Size often explains shape disparity among organisms; however, the ability to separate size and shape variation using geometric morphometrics has enabled the identification of phylogenetic history and habitat as additional key factors contributing to the evolution of head shape disparity among varanid lizards.

  6. Extremely Elastic Wearable Carbon Nanotube Fiber Strain Sensor for Monitoring of Human Motion.

    PubMed

    Ryu, Seongwoo; Lee, Phillip; Chou, Jeffrey B; Xu, Ruize; Zhao, Rong; Hart, Anastasios John; Kim, Sang-Gook

    2015-06-23

    The increasing demand for wearable electronic devices has made the development of highly elastic strain sensors that can monitor various physical parameters an essential factor for realizing next generation electronics. Here, we report an ultrahigh stretchable and wearable device fabricated from dry-spun carbon nanotube (CNT) fibers. Stretching the highly oriented CNT fibers grown on a flexible substrate (Ecoflex) induces a constant decrease in the conductive pathways and contact areas between nanotubes depending on the stretching distance; this enables CNT fibers to behave as highly sensitive strain sensors. Owing to its unique structure and mechanism, this device can be stretched by over 900% while retaining high sensitivity, responsiveness, and durability. Furthermore, the device with biaxially oriented CNT fiber arrays shows independent cross-sensitivity, which facilitates simultaneous measurement of strains along multiple axes. We demonstrated potential applications of the proposed device, such as strain gauge, single and multiaxial detecting motion sensors. These devices can be incorporated into various motion detecting systems where their applications are limited to their strain.

  7. Cultivation and molecular monitoring of halophilic microorganisms inhabiting an extreme environment presented by a salt-attacked monument

    NASA Astrophysics Data System (ADS)

    Ettenauer, Jörg; Sterflinger, Katja; Piñar, Guadalupe

    2010-01-01

    In the last few years several investigations, based on culture-dependent and -independent techniques, have shown that salt-attacked stone surfaces present a habitat for extremely salt tolerant and moderate halophilic microorganisms. The inner walls of the Chapel of St. Virgil in Vienna (Austria) are an example of this phenomenon. Salt crusts cover most of the wall surfaces and salt crystallization in the porous space of the stone is causing decohesion of material and destruction of the original medieval paintings. The salt, together with the oligotrophic conditions, creates a very special and extreme habitat for halotolerant and halophilic microorganisms. In this study we investigate and monitor the cultivable and non-cultivable members of the microbial community present on the stonework of the medieval Chapel of St. Virgil after several severe disturbances of the microbial environment caused by desalination and disinfection treatments. With this finality, a combination of culture-dependent and -independent techniques was selected. The genetic diversity of a total of 104 bacterial strains isolated from the stone samples was analysed by denaturing gradient gel electrophoresis (DGGE), random amplified polymorphic DNA (RAPD) analysis and 16S rRNA gene sequencing. Strains were distributed over 29 groups on the basis of their RAPD patterns. Only 19 groups were differentiated by DGGE. Comparative sequence analyses showed that the isolated strains belong to related species of the genera Halobacillus (47.1%), Bacillus (35.6%), Acinetobacter (4.8%), Halomonas (3.9%), Nesterenkonia (2.9%), Paucisalibacillus (2.9%), Paenibacillus (1%), Staphylococcus (1%) and Exiguobacterium (1%). In addition, polymerase chain reaction DGGE fingerprints, in combination with the creation of clone libraries and sequencing analyses, were used to monitor and identify Archaea, the non-cultivable fraction of the microbial community. The detected archaeal sequences were closely related to different

  8. Caffeine citrate treatment for extremely premature infants with apnea: population pharmacokinetics, absolute bioavailability, and implications for therapeutic drug monitoring.

    PubMed

    Charles, Bruce G; Townsend, Sarah R; Steer, Peter A; Flenady, Vicki J; Gray, Peter H; Shearman, Andrew

    2008-12-01

    The objective of this study was to develop a population model of the pharmacokinetics (PK) of caffeine after orogastric or intravenous administration to extremely premature neonates with apnea of prematurity who were to undergo extubation from ventilation. Infants of gestational age <30 weeks were randomly allocated to receive maintenance caffeine citrate dosing of either 5 or 20 mg/kg/d. Four blood samples were drawn at prerandomized times from each infant during caffeine treatment. Serum caffeine was assayed by enzyme-multiplied immunoassay technique. Concentration data (431 samples, median: 4 per subject) were obtained from 110 (52 male) infants of mean birth weight of 1009 g, current mean weight (WT) of 992 g, mean gestational age of 27.6 weeks, and mean postnatal age (PNA) of 12 days. Of 1022 doses given, 145 were orogastric, permitting estimation of absolute bioavailability. A 1-compartment model with first-order absorption was fitted to the data in NONMEM. Patient characteristics were screened (P < 0.01) in nested models for pharmacokinetic influence. Model stability was assessed by nonparametric bootstrapping. Clearance (CL) increased nonlinearly with increasing PNA, whereas volume of distribution (Vd) increased linearly with WT, according to the following allometric models: CL (L/h) = 0.167 (WT/70) (PNA/12); Vd (L) = 58.7 (WT/70). The mean elimination half-life was 101. Interindividual variability (IIV) of CL and Vd was 18.8 % and 22.3 %, respectively. Interoccasion variability (IOV) of CL and Vd was 35.1% and 11.1%, respectively. This study established that the elimination of caffeine was severely depressed in extremely premature infants but increased nonlinearly after birth up to age 6 weeks. Caffeine was completely absorbed, which has favorable implications for switching between intravenous and orogastric routes. The interoccasion variability about CL was twice the interindividual variability, which, among other factors, indicates that routine serum

  9. Monitoring Surface Moisture of Crater-fill Sediment in Extreme hydroclimatic conditions (Ubehebe Volcanic Field, Death Valley, California).

    NASA Astrophysics Data System (ADS)

    Bonaccorsi, R.; Zent, A.; McKay, C. P.

    2014-12-01

    The long term monitoring of soil surface moisture is key for constraining surface hydrology processes in extreme weather and climatic settings and their impact on biological and geological components of desert environments. We tested and applied the use of miniature data loggers to acquire novel Temperature (T) and water content (weight percent, wt%) of fine-grained sediments deposited during rain events at Ubehebe Crater (UC), the larger and deeper crater within a volcanic field in Death Valley. The Miniaturized in situ systems are compliant with Death Valley National Park's regulations to conduct scientific research in wilderness and sacred sites. About 130,000 hours of recorded soil moisture and temperature were acquired in relation to the hydroclimatic conditions (2009-current). Total annual rainfall in the area range from ~50mm to <250 mm/y in water years (WY) 2004-to date. These values are representative of the climatic context of the Mojave Region as they encompass the wettest (2005, 2011) and driest years (2002, 2007, 2012, 2013, 2014) of the last ~120 years (Western Regional Climate Center, www.wrcc.dri.edu). To date, surface (0.5 cm to 2 cm-depth) moisture of intra-crater deposits can vary from dry-very dry (1-3wt % to - 10 wt%) to wet-saturated (10-60 wt%). Over saturated conditions occur in ephemeral ponds, which appear to form once a year as a result of winter and summer rainstorms, and may last for one-two weeks (2009-2014 study years). Summer storms can yield ca. 40% to 60% of the total annual precipitation (WY 2011 thru 2014). The intensity and temporal distribution of annual storms together with ground temperature extremes (-16 to +67 ºC) influence moisture distribution and retention within the crater's floor.

  10. Soft X-ray irradiance measured by the Solar Aspect Monitor on the Solar Dynamic Observatory Extreme ultraviolet Variability Experiment

    NASA Astrophysics Data System (ADS)

    Lin, C. Y.; Bailey, S. M.; Jones, A.; Woodraska, D.; Caspi, A.; Woods, T. N.; Eparvier, F. G.; Wieman, S. R.; Didkovsky, L. V.

    2016-04-01

    The Solar Aspect Monitor (SAM) is a pinhole camera on the Extreme ultraviolet Variability Experiment (EVE) aboard the Solar Dynamics Observatory. SAM projects the solar disk onto the CCD through a metallic filter designed to allow only solar photons shortward of 7 nm to pass. Contamination from energetic particles and out-of-band irradiance is, however, significant in the SAM observations. We present a technique for isolating the 0.01-7 nm integrated irradiance from the SAM signal to produce the first results of broadband irradiance for the time period from May 2010 to May 2014. The results of this analysis agree with a similar data product from EVE's EUV SpectroPhotometer to within 25%. We compare our results with measurements from the Student Nitric Oxide Explorer Solar X-ray Photometer and the Thermosphere Ionosphere Mesosphere Energetics and Dynamics Solar EUV Experiment at similar levels of solar activity. We show that the full-disk SAM broadband results compared well to the other measurements of the 0.01-7 nm irradiance. We also explore SAM's capability toward resolving spatial contribution from regions of solar disk in irradiance and demonstrate this feature with a case study of several strong flares that erupted from active regions on 11 March 2011.

  11. Heart Rhythm Monitoring in the Constellation Lunar and Launch/Landing EVA Suit: Recommendations from an Expert Panel

    NASA Technical Reports Server (NTRS)

    Scheuring, Richard A.; Hamilton, D.; Jones, J. A.; Alexander, D.

    2008-01-01

    Currently there are several physiological monitoring requirements for Extravehicular Activity (EVA) in the Human-Systems Interface Requirements (HSIR) document, including continuous heart rhythm monitoring. However, it is not known whether heart rhythm monitoring in the lunar surface space suit is a necessary capability for lunar surface operations or in launch/landing suit the event of a cabin depressurization enroute to or from the moon. Methods: Current US astronaut corps demographic information was provided to an expert panel of cardiovascular medicine experts, including specialists in electrophysiology, exercise physiology, interventional cardiology and arrhythmia. This information included averages for male/female age, body mass index (BMI), blood pressure, cholesterol, inflammatory markers, echocardiogram, ranges for coronary artery calcium (CAC) scores for long duration astronauts, and ranges for heart rate (HR) and metabolic (MET) rates obtained during microgravity and lunar EVA. Results: The panel determined that no uncontrolled hazard was likely to occur in the suit during lunar surface or contingency microgravity ops that would require ECG monitoring in the highly screened US astronaut population. However having the capability for rhythm monitoring inside the vehicle (IVA) was considered critical to manage an astronaut in distress. Discussion: Heart rate (HR) monitoring alone allows effective monitoring of astronaut health and function. Consequently, electrocardiographic (ECG) monitoring capability as a clinical tool is not essential in the lunar or launch/landing space suit. However, the panel considered that rhythm monitoring could be useful in certain clinical situations, it was not considered required for safe operations. Also, lunar vehicles should be required to have ECG monitoring capability with a minimum of 5-lead ECG (derived 12- lead) for IVA medical assessments.

  12. RECOMMENDED OPERATING PROCEDURE NO. 2.3: SAMPLING AND ANALYSIS OF TOTAL HYDROCARBONS FROM SOURCES BY CONTINUOUS EMISSION MONITOR

    EPA Science Inventory

    The report is a recommended operating procedure (ROP) prepared for use in research activities conducted by EPA's Air and Energy Engineering Research Laboratory (AEERL). he described method is applicable to the continuous measurement of total hydrocarbons (THCs), also known as tot...

  13. Prevention of neurological complications using a neural monitoring system with a finger electrode in the extreme lateral interbody fusion approach.

    PubMed

    Narita, Wataru; Takatori, Ryota; Arai, Yuji; Nagae, Masateru; Tonomura, Hitoshi; Hayashida, Tatsuro; Ogura, Taku; Fujiwara, Hiroyoshi; Kubo, Toshikazu

    2016-10-01

    OBJECTIVE Extreme lateral interbody fusion (XLIF) is a minimally disruptive surgical procedure that uses a lateral approach. There is, however, concern about the development of neurological complications when this approach is used, particularly at the L4-5 level. The authors performed a prospective study of the effects of a new neural monitoring system using a finger electrode to prevent neurological complications in patients treated with XLIF and compared the results to results obtained in historical controls. METHODS The study group comprised 36 patients (12 male and 24 female) who underwent XLIF for lumbar spine degenerative spondylolisthesis or lumbar spine degenerative scoliosis at L4-5 or a lower level. Using preoperative axial MR images obtained at the mid-height of the disc at the treated level, we calculated the psoas position value (PP%) by dividing the distance from the posterior border of the vertebral disc to the posterior border of the psoas major muscle by the anteroposterior diameter of the vertebral disc. During the operation, the psoas major muscle was dissected using an index finger fitted with a finger electrode, and threshold values of the dilator were recorded before and after dissection. Eighteen cases in which patients had undergone the same procedure for the same indications but without use of the finger electrode served as historical controls. Baseline clinical and demographic characteristics, PP values, clinical results, and neurological complications were compared between the 2 groups. RESULTS The mean PP% values in the control and finger electrode groups were 17.5% and 20.1%, respectively (no significant difference). However, 6 patients in the finger electrode group had a rising psoas sign with PP% values of 50% or higher. The mean threshold value before dissection in the finger electrode group was 13.1 ± 5.9 mA, and this was significantly increased to 19.0 ± 1.5 mA after dissection (p < 0.001). A strong negative correlation was found

  14. Evaluation of the performance of two LiF:Mg,Ti and LiF:Mg,Cu,P dosemeters for extremity monitoring.

    PubMed

    Freire, L C; Pereira, M F; Calado, A M; Santos, L M; Cardoso, J V; Alves, J G

    2011-03-01

    In this paper, the results aimed at assessing the performance of two varieties of LiF detectors (LiF:Mg,Ti and LiF:Mg,Cu,P) in photon fields relatively to reproducibility, detection threshold and angular dependence as defined in the ISO 12794 standard are presented. The fading properties and the limit of detection were also investigated for both materials. The results suggest that both LiF varieties are well suited for extremity monitoring. However, better fading properties of LiF:Mg,Cu,P when compared with LiF:Mg,Ti, combined with previous results relatively to energy dependence suggests that LiF:Mg,Cu,P dosemeters are better suited for extremity monitoring.

  15. Instrumentation Recommendations for Volcano Monitoring at U.S. Volcanoes Under the National Volcano Early Warning System

    USGS Publications Warehouse

    Moran, Seth C.; Freymueller, Jeff T.; LaHusen, Richard G.; McGee, Kenneth A.; Poland, Michael P.; Power, John A.; Schmidt, David A.; Schneider, David J.; Stephens, George; Werner, Cynthia A.; White, Randall A.

    2008-01-01

    As magma moves toward the surface, it interacts with anything in its path: hydrothermal systems, cooling magma bodies from previous eruptions, and (or) the surrounding 'country rock'. Magma also undergoes significant changes in its physical properties as pressure and temperature conditions change along its path. These interactions and changes lead to a range of geophysical and geochemical phenomena. The goal of volcano monitoring is to detect and correctly interpret such phenomena in order to provide early and accurate warnings of impending eruptions. Given the well-documented hazards posed by volcanoes to both ground-based populations (for example, Blong, 1984; Scott, 1989) and aviation (for example, Neal and others, 1997; Miller and Casadevall, 2000), volcano monitoring is critical for public safety and hazard mitigation. Only with adequate monitoring systems in place can volcano observatories provide accurate and timely forecasts and alerts of possible eruptive activity. At most U.S. volcanoes, observatories traditionally have employed a two-component approach to volcano monitoring: (1) install instrumentation sufficient to detect unrest at volcanic systems likely to erupt in the not-too-distant future; and (2) once unrest is detected, install any instrumentation needed for eruption prediction and monitoring. This reactive approach is problematic, however, for two reasons. 1. At many volcanoes, rapid installation of new ground-1. based instruments is difficult or impossible. Factors that complicate rapid response include (a) eruptions that are preceded by short (hours to days) precursory sequences of geophysical and (or) geochemical activity, as occurred at Mount Redoubt (Alaska) in 1989 (24 hours), Anatahan (Mariana Islands) in 2003 (6 hours), and Mount St. Helens (Washington) in 1980 and 2004 (7 and 8 days, respectively); (b) inclement weather conditions, which may prohibit installation of new equipment for days, weeks, or even months, particularly at

  16. 2013 ambulatory blood pressure monitoring recommendations for the diagnosis of adult hypertension, assessment of cardiovascular and other hypertension-associated risk, and attainment of therapeutic goals.

    PubMed

    Hermida, Ramón C; Smolensky, Michael H; Ayala, Diana E; Portaluppi, Francesco

    2013-04-01

    Correlation between systolic (SBP) and diastolic (DBP) blood pressure (BP) level and target organ damage, cardiovascular disease (CVD) risk, and long-term prognosis is much greater for ambulatory BP monitoring (ABPM) than daytime office measurements. The 2013 ABPM guidelines specified herein are based on ABPM patient outcomes studies and constitute a substantial revision of current knowledge. The asleep SBP mean and sleep-time relative SBP decline are the most significant predictors of CVD events, both individually as well as jointly when combined with other ABPM-derived prognostic markers. Thus, they should be preferably used to diagnose hypertension and assess CVD and other associated risks. Progressive decrease by therapeutic intervention of the asleep BP mean is the most significant predictor of CVD event-free interval. The 24-h BP mean is not recommended to diagnose hypertension because it disregards the more valuable clinical information pertaining to the features of the 24-h BP pattern. Persons with the same 24-h BP mean may display radically different 24-h BP patterns, ranging from extreme-dipper to riser types, representative of markedly different risk states. Classification of individuals by comparing office with either the 24-h or awake BP mean as "masked normotensives" (elevated clinic BP but normal ABPM), which should replace the terms of "isolated office" or "white-coat hypertension", and "masked hypertensives" (normal clinic BP but elevated ABPM) is misleading and should be avoided because it disregards the clinical significance of the asleep BP mean. Outcome-based ABPM reference thresholds for men, which in the absence of compelling clinical conditions are 135/85 mmHg for the awake and 120/70 mmHg for the asleep SBP/DBP means, are lower by 10/5 mmHg for SBP/DBP in uncomplicated, low-CVD risk, women and lower by 15/10 mmHg for SBP/DBP in male and female high-risk patients, e.g., with diabetes, chronic kidney disease (CKD), and/or past CVD

  17. The International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: a list of recommendations and additional conclusions: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine.

    PubMed

    Le Roux, Peter; Menon, David K; Citerio, Giuseppe; Vespa, Paul; Bader, Mary Kay; Brophy, Gretchen; Diringer, Michael N; Stocchetti, Nino; Videtta, Walter; Armonda, Rocco; Badjatia, Neeraj; Bösel, Julian; Chesnut, Randall; Chou, Sherry; Claassen, Jan; Czosnyka, Marek; De Georgia, Michael; Figaji, Anthony; Fugate, Jennifer; Helbok, Raimund; Horowitz, David; Hutchinson, Peter; Kumar, Monisha; McNett, Molly; Miller, Chad; Naidech, Andrew; Oddo, Mauro; Olson, DaiWai; O'Phelan, Kristine; Provencio, J Javier; Puppo, Corinna; Riker, Richard; Roberson, Claudia; Schmidt, Michael; Taccone, Fabio

    2014-12-01

    Careful patient monitoring using a variety of techniques including clinical and laboratory evaluation, bedside physiological monitoring with continuous or non-continuous techniques and imaging is fundamental to the care of patients who require neurocritical care. How best to perform and use bedside monitoring is still being elucidated. To create a basic platform for care and a foundation for further research the Neurocritical Care Society in collaboration with the European Society of Intensive Care Medicine, the Society for Critical Care Medicine and the Latin America Brain Injury Consortium organized an international, multidisciplinary consensus conference to develop recommendations about physiologic bedside monitoring. This supplement contains a Consensus Summary Statement with recommendations and individual topic reviews as a background to the recommendations. In this article, we highlight the recommendations and provide additional conclusions as an aid to the reader and to facilitate bedside care.

  18. Climate Monitoring and Recommendations on the Optimum Sowing Period for the Main Crops in the Transylvanian Plain, Romania

    NASA Astrophysics Data System (ADS)

    Rusu, T.; Moraru, P. I.; Sopterean, M. L.; Pop, A. I.; Cacovean, H.

    2012-04-01

    The Transylvanian Plain (TP) is a geographical region located in north-central Romania and is bordered by large rivers to the north and south, the Somes and the Mures, respectively. TP with an area of approx. 395,616 ha, includes areas of three counties (Cluj - CJ, Mures -MS, Bistrita-Nasaud - BN), has a predominantly agricultural character, and is characterized by hilly climate floor with oceanic influences, 6-10 0C average annual temperatures and 500-700 mm/year average annual precipitations. The presence of the Carpathian mountains ring and the arrangement, almost concentric, of the relief from Transylvanian Depression, determines the development of a zonal sequence of soil types, a horizontal zonality as a direct influence of lithology and indirect of the relief, by changing climate and vegetation. Diversity of the pedogenetical factors - highly fragmented relief, forest and herbaceous vegetation grafted on a lithological background predominantly acid in the north - west and predominantly basic in south - est, parent rock composition and especially their combination in the contact zones, have conditioned in this hilly area of TP a tessellated soil cover. During soil pedogenesis, soil properties and features developed in response to differential lithology and macro/microrelief. Evaluated soils were found to largely be a complex mix of Cernisols, Luvisols and Antrisols. Zoning cultures and establishing the optimum sowing periods was made after the observations arising from practice and after the results obtained in the agricultural experimental research stations. Climate changes in recent years and climate monitoring from TP offers the possibility to check the calendar for the optimum sowing period. Monitorization of the thermal and water regime from TP was performed with twenty HOBO microstations which determine the temperature (to a height of 1 m) and rainfalls, same as temperature (at 10, 30, 50 cm depth in soil) and soil moisture (at 10 cm depth). Recorded

  19. How extreme are extremes?

    NASA Astrophysics Data System (ADS)

    Cucchi, Marco; Petitta, Marcello; Calmanti, Sandro

    2016-04-01

    High temperatures have an impact on the energy balance of any living organism and on the operational capabilities of critical infrastructures. Heat-wave indicators have been mainly developed with the aim of capturing the potential impacts on specific sectors (agriculture, health, wildfires, transport, power generation and distribution). However, the ability to capture the occurrence of extreme temperature events is an essential property of a multi-hazard extreme climate indicator. Aim of this study is to develop a standardized heat-wave indicator, that can be combined with other indices in order to describe multiple hazards in a single indicator. The proposed approach can be used in order to have a quantified indicator of the strenght of a certain extreme. As a matter of fact, extremes are usually distributed in exponential or exponential-exponential functions and it is difficult to quickly asses how strong was an extreme events considering only its magnitude. The proposed approach simplify the quantitative and qualitative communication of extreme magnitude

  20. Compilation of 1982 annual reports of the Navy ELF (Extremely Low Frequency) communications system ecological monitoring program

    NASA Astrophysics Data System (ADS)

    1983-05-01

    A long-term program of studying low-level ELF electromagnetic influences on ecosystems has been initiated in northwestern Wisconsin and the Upper Peninsula of Michigan. Plans are described for studying the terrestrial ecosystem, the aquatic ecosystem and the wetland ecosystem. Selection of study sites, monitoring protocols, and analytical methods were initiated in 1982, and data collection will commence in 1983.

  1. Compilation of 1988 Annual Reports of the Navy ELF (Extremely Low Frequency) Communications System Ecological Monitoring Program. Volume 1

    DTIC Science & Technology

    1989-08-01

    growth pattern .............. 88 Red pine ............................................... 107 Total annual height and diameter growth...112 Seasonal. pattern of height growth ..................... 117 Foliage nutrients .................................... 120 Red pine moisture stress...objectives of the ELF envircnmental monitoring program Upland Flora project. I. There is no difference in the magnitude or the pattern of seasonal diameter

  2. The Arizona Wallow Wildfire: Monitoring It's Progress, Extreme Behavior and Long Range Smoke Transport from Multiple Satellite Platforms

    NASA Astrophysics Data System (ADS)

    Ruminski, M. G.; Fromm, M. D.; Ramirez, E.

    2011-12-01

    The Wallow fire in southeast Arizona was the largest wildfire in Arizona history, consuming over 500,000 acres. The fire began on May 29, 2011 and quickly grew to nearly 70,000 acres in size by June 4. This event exhibited anomalous behavioral characteristics as deep pyroconvection was observed for an unprecedented six consecutive days. The rapid spread and extreme pyroconvection occurred in response to a unique confluence of high biomass fuel availability in arid conditions. Strong winds in combination with low relative humidity and atmospheric instability acted to create an environment conducive to explosive fire growth. The resultant smoke from the blaze reached an altitude of nearly 15 km into the upper troposphere/lower stratosphere and eventually crossed the Atlantic reaching Europe. This presentation focuses on the detection and characterization of the Wallow fire from a satellite perspective. Geostationary and polar orbiting satellite platforms have captured various aspects of the fire and resulting smoke plumes. An animation of nearly 100 NOAA polar orbiting 4 micron channel images during the first 2 weeks of the fire illustrate its explosive growth while GOES visible channel animations display the density and coverage of the pall of smoke and the development of pyroconvection. True color MODIS imagery provides higher resolution views of the pyrocumulonimbus clouds at different stages in their evolution. CALIPSO, GOME2, and OMI data detail the vertical structure and composition of the plume as it drifts eastward and expands in coverage, eventually reaching Europe.

  3. Narrative psychological content analysis as a tool for psychological status monitoring of crews in isolated, confined and extreme settings

    NASA Astrophysics Data System (ADS)

    Ehmann, B.; Balázs, L.; Fülöp, É.; Hargitai, R.; Kabai, P.; Péley, B.; Pólya, T.; Vargha, A.; László, J.

    2011-05-01

    This paper is about a pilot application of narrative psychological content analysis in the psychological status monitoring of Crew 71 of a space analog simulation environment, the Mars Desert Research Station (MDRS). Both the method and its theoretical framework, Scientific Narrative Psychology, are original developments by Hungarian psychologists [5] (László, 2008). The software was NooJ, a multilingual linguistic development environment [11] (Silberztein, 2008). Three measures were conceptualized and assessed: emotional status, team spirit and subjective physical comfort. The results showed the patterns of these three measures on a daily basis at group level, and allowed for detecting individual differences as well. The method is adaptable to languages involved in space psychology, e.g. Russian, French and German in addition to English.

  4. Quantifying stability influences on air pollution in Lanzhou, China, using a radon-based "stability monitor": Seasonality and extreme events

    NASA Astrophysics Data System (ADS)

    Wang, Fenjuan; Chambers, Scott D.; Zhang, Zhenyi; Williams, Alastair G.; Deng, Xiaodong; Zhang, Hua; Lonati, Giovanni; Crawford, Jagoda; Griffiths, Alan D.; Ianniello, Antonietta; Allegrini, Ivo

    2016-11-01

    A recently-developed radon-based technique is modified to quantify the seasonal influences of atmospheric stability on urban emissions in Lanzhou, China, based on 11 months of observations at three sites with contrasting pollution characteristics. Near-surface concentrations of primary (CO, SO2, NOx) and secondary (O3) gas phase pollutants responded to changing atmospheric stability in markedly different ways in winter and summer, primarily because monsoonal fetch changes strongly influenced the distance between measurement sites and their nearest upwind pollutant sources, but also due to mean diurnal changes in mixing depth. Typically, morning peak primary pollution concentrations increased by a factor of 2-5 from the most well-mixed to stable conditions, whereas nocturnal ozone concentrations reduced with increasing stability due to surface loss processes and the progressively reduced coupling between the nocturnal boundary layer and overlying free atmosphere. The majority of pollution exceedance events (cf. China National Air Quality Standard guideline values) occurred in winter, when all measurement stations were downwind of the city's main pollution sources, and were directly attributed to morning periods and stable atmospheric conditions. In the sheltered valley region of Lanzhou, extremes of winter nocturnal stability states represented a change in mean nocturnal wind speed of only 0.25 m s-1 (from 0.6 to 0.85 m s-1). Daily-integrated PM10 concentrations increased by a factor of 2 in winter from the most well-mixed to stable conditions, and were usually above guideline values at the industrial and residential sites for all atmospheric stability conditions. In summer, however, daily mean PM10 exceedances usually only occurred at the industrial site, under stable conditions. Finally, a simple model - based on mean radon concentrations between 1900 and 0400 h - is proposed to predict haze conditions in the city prior to commencement of the peak morning

  5. Values of Deploying a Compact Polarimetric Radar to Monitor Extreme Precipitation in a Mountainous Area: Mineral County, Colorado

    NASA Astrophysics Data System (ADS)

    Cheong, B. L.; Kirstetter, P. E.; Yu, T. Y.; Busto, J.; Speeze, T.; Dennis, J.

    2015-12-01

    Precipitation in mountainous regions can trigger flash floods and landslides especially in areas affected by wildfire. Because of the small space-time scales required for observation, they remain poorly observed. A light-weighted X-band polarimetric radar can rapidly respond to the situation and provide continuous rainfall information with high resolution for flood forecast and emergency management. A preliminary assessment of added values to the operational practice in Mineral county, Colorado was performed in Fall 2014 and Summer 2015 with a transportable polarimetric radar deployed at the Lobo Overlook. This region is one of the numerous areas in the Rocky Mountains where the WSR-88D network does not provide sufficient weather coverage due to blockages, and the limitations have impeded forecasters and local emergency managers from making accurate predictions and issuing weather warnings. High resolution observations were collected to document the precipitation characteristics and demonstrate the added values of deploying a small weather radar in such context. The analysis of the detailed vertical structure of precipitation explain the decreased signal sampled by the operational radars. The specific microphysics analyzed though polarimetry suggest that the operational Z-R relationships may not be appropriate to monitor severe weather over this wildfire affected region. Collaboration with the local emergency managers and the National Weather Service shows the critical value of deploying mobile, polarimetric and unmanned radars in complex terrain. Several selected cases are provided in this paper for illustration.

  6. Long-term monitoring reveals cold-water corals in extreme conditions off the southeast US coast

    NASA Astrophysics Data System (ADS)

    Mienis, F.; Duineveld, G.; Davies, A. J.; Ross, S. W.; Lavaleye, M.; Van Weering, T.

    2011-12-01

    Cold-water corals are common on the SE slope of the US (SEUS) from Florida to Cape Hatteras between depths of 400-600 m. Near Cape Hatteras cold-water corals have formed mound structures that are up to 60 m high, which are mainly covered by living colonies of the coral species Lophelia pertusa. Past explorations of major reef sites of N Carolina using remote and manned submersibles have shown living Lophelia pertusa colonies on the current facing side of the mound structures and a high biodiversity of associated fauna, especially fish. The coral areas lie in the vicinity of the Gulf Stream characterized by strong currents transporting relatively warm water northwards along the SEUS slope. Thus far little is known about the environmental conditions inside the SEUS coral communities and particularly the effects of the nearby Gulf Stream. In December 2009 two autonomous benthic landers were deployed amidst Lophelia reefs off Cape Lookout (NC) for a period of 6 months to define oceanographic patterns that are relevant for the development and persistence of cold-water coral ecosystems. Landers recorded temperature, fluorescence, turbidity, and current speed and direction. Furthermore, a sediment trap was mounted on the landers that collected material at a 16-days interval. A first analysis of the lander data shows that instability of the Gulf Stream causes rapid rises in temperature, current speed and turbidity lasting for days to more than a week. Peak temperature and turbidity levels are the highest measured in coral habitats studied so far. We did not see clear cut effects of Gulf Stream instabilities on the near bed flux of phytodetritus as opposed to reports of meanders inducing upwelling and enhanced production in the photic zone. Data analyzed so far suggest that cwc habitats of Cape Lookout experience extreme and adverse conditions for prolonged periods. The findings of this study are compared with methodologically similar studies that have been conducted in

  7. Educational intervention together with an on-line quality control program achieve recommended analytical goals for bedside blood glucose monitoring in a 1200-bed university hospital.

    PubMed

    Sánchez-Margalet, Víctor; Rodriguez-Oliva, Manuel; Sánchez-Pozo, Cristina; Fernández-Gallardo, María Francisca; Goberna, Raimundo

    2005-01-01

    Portable meters for blood glucose concentrations are used at the patients bedside, as well as by patients for self-monitoring of blood glucose. Even though most devices have important technological advances that decrease operator error, the analytical goals proposed for the performance of glucose meters have been recently changed by the American Diabetes Association (ADA) to reach <5% analytical error and <7.9% total error. We studied 80 meters throughout the Virgen Macarena Hospital and we found most devices with performance error higher than 10%. The aim of the present study was to establish a new system to control portable glucose meters together with an educational program for nurses in a 1200-bed University Hospital to achieve recommended analytical goals, so that we could improve the quality of diabetes care. We used portable glucose meters connected on-line to the laboratory after an educational program for nurses with responsibilities in point-of-care testing. We evaluated the system by assessing total error of the glucometers using high- and low-level glucose control solutions. In a period of 6 months, we collected data from 5642 control samples obtained by 14 devices (Precision PCx) directly from the control program (QC manager). The average total error for the low-level glucose control (2.77 mmol/l) was 6.3% (range 5.5-7.6%), and even lower for the high-level glucose control (16.66 mmol/l), at 4.8% (range 4.1-6.5%). In conclusion, the performance of glucose meters used in our University Hospital with more than 1000 beds not only improved after the intervention, but the meters achieved the analytical goals of the suggested ADA/National Academy of Clinical Biochemistry criteria for total error (<7.9% in the range 2.77-16.66 mmol/l glucose) and optimal total error for high glucose concentrations of <5%, which will improve the quality of care of our patients.

  8. Extreme events monitoring from space

    NASA Astrophysics Data System (ADS)

    Kerr, Yann; Bitar, Ahmad Al; Mahmoodi, Ali; Richaume, Philippe; Al-Yaari, Amen; Wigneron, Jean-Pierre

    2016-04-01

    The SMOS (Soil Moisture and Ocean Salinity) satellite was successfully launched in November 2009. This ESA led mission for Earth Observation is dedicated to provide soil moisture over continental surface (with an accuracy goal of 0.04 m3/m3), vegetation water content over land, and ocean salinity. These geophysical features are important as they control the energy balance between the surface and the atmosphere. Their knowledge at a global scale is of interest for climatic and weather researches, and in particular in improving model forecasts. The Soil Moisture and Ocean Salinity mission has now been collecting data for 6 years. The whole data set has just been reprocessed (Version 620 for levels 1 and 2 and version 3 for level 3 CATDS). After 6 years it seems important to start using data for having a look at anomalies and see how they can relate to large scale events The purpose of this communication is to present the mission results after more than six years in orbit in a climatic trend perspective, as through such a period anomalies can be detected. Thereby we benefit from consistent datasets provided through the latest reprocessing using most recent algorithm enhancements. Using the above mentioned products it is possible to follow large events such as the evolution of the droughts in North America, or water fraction evolution over the Amazonian basin. In this occasion we will focus on the analysis of SMOS and ancillary products anomalies to reveal two climatic trends, the temporal evolution of water storage over the Indian continent in relation to rainfall anomalies, and the global impact of El Nino types of events on the general water storage distribution. This presentation shows in detail the use of long term data sets of L-band microwave radiometry in two specific cases, namely droughts and water budget over a large basin. Several other analyses are under way currently. Obviously, vegetation water content, but also dielectric constant, are carrying a wealth of information and some interesting perspectives will be presented.

  9. Monitoring

    SciTech Connect

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore

    2004-11-23

    The invention provides apparatus and methods which facilitate movement of an instrument relative to an item or location being monitored and/or the item or location relative to the instrument, whilst successfully excluding extraneous ions from the detection location. Thus, ions generated by emissions from the item or location can successfully be monitored during movement. The technique employs sealing to exclude such ions, for instance, through an electro-field which attracts and discharges the ions prior to their entering the detecting location and/or using a magnetic field configured to repel the ions away from the detecting location.

  10. Personalized professional content recommendation

    DOEpatents

    Xu, Songhua

    2015-10-27

    A personalized content recommendation system includes a client interface configured to automatically monitor a user's information data stream transmitted on the Internet. A hybrid contextual behavioral and collaborative personal interest inference engine resident to a non-transient media generates automatic predictions about the interests of individual users of the system. A database server retains the user's personal interest profile based on a plurality of monitored information. The system also includes a server programmed to filter items in an incoming information stream with the personal interest profile and is further programmed to identify only those items of the incoming information stream that substantially match the personal interest profile.

  11. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    PubMed

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention.

  12. WISDOM: the WIYN spectrograph for Doppler monitoring: a NASA-NSF concept for an extreme precision radial velocity instrument in support of TESS

    NASA Astrophysics Data System (ADS)

    Fżrész, Gábor; Simcoe, Robert; Barnes, Stuart I.; Buchhave, Lars A.; Egan, Mark; Foster, Rick; Hellickson, Tim; Malonis, Andrew; Phillips, David; Shectman, Stephen; Walsworth, Ronald; Winn, Josh; Woods, Deborah

    2016-08-01

    The Kepler mission highlighted that precision radial velocity (PRV) follow-up is a real bottleneck in supporting transiting exoplanet surveys. The limited availability of PRV instruments, and the desire to break the "1 m/s" precision barrier, prompted the formation of a NASA-NSF collaboration `NN-EXPLORE' to call for proposals designing a new Extreme Precision Doppler Spectrograph (EPDS). By securing a significant fraction of telescope time on the 3.5m WIYN at Kitt Peak, and aiming for unprecedented long-term precision, the EPDS instrument will provide a unique tool for U.S. astronomers in characterizing exoplanet candidates identified by TESS. One of the two funded instrument concept studies is led by the Massachusetts Institute of Technology, in consortium with Lincoln Laboratories, Harvard-Smithsonian Center for Astrophysics and the Carnegie Observatories. This paper describes the instrument concept WISDOM (WIYN Spectrograph for DOppler Monitoring) prepared by this team. WISDOM is a fiber fed, environmentally controlled, high resolution (R=110k), asymmetric white-pupil echelle spectrograph, covering a wide 380-1300nm wavelength region. Its R4 and R6 echelle gratings provide the main dispersion, symmetrically mounted on either side of a vertically aligned, vacuum-enclosed carbon fiber optical bench. Each grating feeds two cameras and thus the resulting wavelength range per camera is narrow enough that the VPHG cross-dispersers and employed anti-reflection coatings are highly efficient. The instrument operates near room temperature, and so thermal background for the near-infrared arm is mitigated by thermal blocking filters and a short (1.7μm) cutoff HgCdTe detector. To achieve high resolution while maintaining small overall instrument size (100/125mm beam diameter), imposed by the limited available space within the observatory building, we chose to slice the telescope pupil 6 ways before coupling light into fibers. An atmospheric dispersion corrector and fast

  13. Compilation of 1986 annual reports of the Navy ELF (extremely low frequency) communications system ecological-monitoring program. Volume 2. Tabs D-G. Annual progress report, January-December 1986

    SciTech Connect

    Not Available

    1987-07-01

    The U.S. Navy is conducting a long-term program to monitor for possible effects from the operation of its Extremely Low Frequency (ELF) Communications System to resident biota and their ecological relationships. This report documents progress of the following studies: Soil Amoeba; Soil and Litter Arthropoda and Earthworm Studies; Biological Studies on Pollinating insects: Megachilid Bees; and Small Vertebrates: Small Mammals and Nesting Birds.

  14. The Efficacy of Intraoperative Neurophysiological Monitoring Using Transcranial Electrically Stimulated Muscle-evoked Potentials (TcE-MsEPs) for Predicting Postoperative Segmental Upper Extremity Motor Paresis After Cervical Laminoplasty

    PubMed Central

    Manabe, Hideki; Izumi, Bunichiro; Tanaka, Hiroyuki; Kawai, Kazumi; Tanaka, Nobuhiro

    2016-01-01

    Study Design: Prospective study. Objective: To investigate the efficacy of transcranial electrically stimulated muscle-evoked potentials (TcE-MsEPs) for predicting postoperative segmental upper extremity palsy following cervical laminoplasty. Summary of Background Data: Postoperative segmental upper extremity palsy, especially in the deltoid and biceps (so-called C5 palsy), is the most common complication following cervical laminoplasty. Some papers have reported that postoperative C5 palsy cannot be predicted by TcE-MsEPs, although others have reported that it can be predicted. Methods: This study included 160 consecutive cases that underwent open-door laminoplasty, and TcE-MsEP monitoring was performed in the biceps brachii, triceps brachii, abductor digiti minimi, tibialis anterior, and abductor hallucis. A >50% decrease in the wave amplitude was defined as an alarm point. According to the monitoring alarm, interventions were performed, which include steroid administration, foraminotomies, etc. Results: Postoperative deltoid and biceps palsy occurred in 5 cases. Among the 155 cases without segmental upper extremity palsy, there were no monitoring alarms. Among the 5 deltoid and biceps palsy cases, 3 had significant wave amplitude decreases in the biceps during surgery, and palsy occurred when the patients awoke from anesthesia (acute type). In the other 2 cases in which the palsy occurred 2 days after the operation (delayed type), there were no significant wave decreases. In all of the cases, the palsy was completely resolved within 6 months. Discussion: The majority of C5 palsies have been reported to occur several days after surgery, but some of them have been reported to occur immediately after surgery. Our results demonstrated that TcE-MsEPs can predict the acute type, whereas the delayed type cannot be predicted. Conclusions: A >50% wave amplitude decrease in the biceps is useful to predict acute-type segmental upper extremity palsy. Further examination

  15. [Current status and recommendations on the use of continuous blood glucose monitoring systems in children and adolescents with type 1 diabetes mellitus].

    PubMed

    Torres Lacruz, M; Barrio Castellanos, R; García Cuartero, B; Gómez Gila, A; González Casado, I; Hermoso López, F; Luzuriaga Tomás, C; Oyarzabal Irigoyen, M; Rica Etxebarria, I; Rodríguez Rigual, M

    2011-08-01

    Glucose monitoring methods have made great advances in the last decade with the appearance of the continuous glucose monitoring systems (CGMS) that measure the glucose levels in the interstitial liquid, providing information about glucose patterns and trends, but do not replace the self-monitoring of capillary glucose. Improvement in diabetes control using the CGMS depends on the motivation and training received by the patient and family and on the continuity in its use. Due to the development and widespread use of these systems in clinical practice, the diabetes group of the Sociedad Española de Endocrinología Pediátrica has drafted a document of consensus for their indication and use in children and adolescents. Only a limited number of trials have been performed in children and adolescent populations. More data are needed on the use of this technology in order to define the impact on metabolic control.

  16. Review of Results and Recommendations from the GCMRC 2000-2003 Remote-Sensing Initiative for Monitoring Environmental Resources Within the Colorado River Ecosystem

    USGS Publications Warehouse

    Davis, Philip A.

    2004-01-01

    In mid-2000, the Grand Canyon Monitoring and Research Center (GCMRC) began a remote-sensing initiative to evaluate all remote-sensing technologies and methods that had potential for providing improved data (capability) for its various programs that monitor the Colorado River ecosystem (CRE). The primary objective of the initiative was to determine the most cost-effective data collection protocols for GCMRC programs that (1) provide the accuracies required for currently measured parameters, (2) provide additional parameters for ecological monitoring, (3) reduce environmental impact by being less invasive than current methods, and (4) expand geographic extent of current ground approaches. The initial phase of the remote-sensing initiative determined the types of sampling parameters and their required accuracies for monitoring. This information was used to determine the most appropriate sensors for evaluation. The initiative evaluated 25 different data collections over a three-year period; many more remote-sensing instruments were considered, but were not evaluated because they could not meet the basic requirements on spatial resolution, wavelength, positional accuracy, or elevation accuracy. It was hoped that the evaluations would lead to a minimum set of technologies that would satisfy many program requirements. The results from all of our evaluations are reviewed in this report and are briefly summarized in this report.

  17. Monitoring the impact of litter in large vertebrates in the Mediterranean Sea within the European Marine Strategy Framework Directive (MSFD): constraints, specificities and recommendations.

    PubMed

    Galgani, F; Claro, F; Depledge, M; Fossi, C

    2014-09-01

    In its decision (2010/477/EU) relating to the European Marine Strategy Framework Directive (MSFD, 2008/56/EC), the European Commission identified the following points as focuses for monitoring: (i) 10.1.1: Trends in the amount, source and composition of litter washed ashore and/or deposited on coastlines, (ii) 10.1.2: Trends in the amount and composition of litter in the water column and accumulation on the sea floor, (iii) 10.1.3: Trends in the amount, distribution and composition of micro-particles (mainly microplastics), and (iv) 10.2.1: Trends in the amount and composition of litter ingested by marine animals. Monitoring the impacts of litter will be considered further in 2014. At that time, the strategy will be discussed in the context of the Mediterranean Sea, providing information on constraints, protocols, existing harm and research needed to support monitoring efforts. The definition of targets and acceptable levels of harm must take all factors into account, whether entanglement, ingestion, the transport and release of pollutants, the transport of alien species and socio-economic impacts. It must also reflect on the practical deployment of "ingestion" measures (10.2.1). The analysis of existing data will reveal the potential and suitability of some higher trophic level organisms (fish, turtles, birds and mammals) for monitoring the adverse effects of litter. Sea turtles appear to be useful indicator species, but the definition of an ecological quality objective is still needed, as well as research on alternative potential indicator species.

  18. Extreme Heat

    MedlinePlus

    ... Emergencies Biological Threats Chemical Threats Cyber Incident Drought Earthquakes Extreme Heat Explosions Floods Hazardous Materials Incidents Home ... Emergencies Biological Threats Chemical Threats Cyber ... Heat Explosions Floods Hazardous Materials Incidents Home ...

  19. [Current recommendations for the management of TTTS].

    PubMed

    Ropacka-Lesiak, Mariola; Breborowicz, Grzegorz H

    2014-08-01

    The paper presents current views and recommendations for pregnancy complicated by TTTS. The symptoms that should attract our attention during the first-trimester ultrasound, i.e. CRL asymmetry NT > 95th percentile, or 20% or more of the NT difference between the fetuses, absent or reversed A wave in DV, and TV regurgitation, are discussed and presented. Similarly symptoms that should attract our attention in the second trimester such as amniotic fluid volume imbalance, asymmetry in the size of the urinary bladders, abdominal circumferences discordance, inter-twin membrane folding, membranous attachment of the donor's umbilical cord, different placental echogenicity and abnormal Doppler measurements, are listed. The paper presents the principle of monitoring based on ultrasound examination, including Doppler studies. The necessity and usefulness of echocardiography is underlined. It is also stressed that the frequency of monitoring depends on the severity of hemodynamic changes and the check-up rate varies from once a week to daily monitoring in extreme cases. This paper presents a variety of therapeutic options, including conservative management, septostomy amnioreduction, laser and selective fetoreduction. Taking into account the level of disease severity stages I and V can be managed conservatively. Fetoscopic laser coagulation of anastomoses, which can be used almost in all stages of TTTS (I-IV), remains to be the treatment of choice. However the current level of evidence does not yet allow us to determine whether laser coagulation increases or reduces the risk of neurodevelopmental delay and mental retardation in children, as compared to other types of therapy. Amnioreduction may be recommended in cases when laser therapy is unavailable or as first-line therapy before transporting the patient to the intrauterine therapy center.

  20. Guidelines for the use of magnetic resonance imaging in diagnosing and monitoring the treatment of multiple sclerosis: recommendations of the Swedish Multiple Sclerosis Association and the Swedish Neuroradiological Society.

    PubMed

    Vågberg, M; Axelsson, M; Birgander, R; Burman, J; Cananau, C; Forslin, Y; Granberg, T; Gunnarsson, M; von Heijne, A; Jönsson, L; Karrenbauer, V D; Larsson, E-M; Lindqvist, T; Lycke, J; Lönn, L; Mentesidou, E; Müller, S; Nilsson, P; Piehl, F; Svenningsson, A; Vrethem, M; Wikström, J

    2017-01-01

    Multiple sclerosis (MS) is associated with inflammatory lesions in the brain and spinal cord. The detection of such inflammatory lesions using magnetic resonance imaging (MRI) is important in the consideration of the diagnosis and differential diagnoses of MS, as well as in the monitoring of disease activity and predicting treatment efficacy. Although there is strong evidence supporting the use of MRI for both the diagnosis and monitoring of disease activity, there is a lack of evidence regarding which MRI protocols to use, the frequency of examinations, and in what clinical situations to consider MRI examination. A national workshop to discuss these issues was held in Stockholm, Sweden, in August 2015, which resulted in a Swedish consensus statement regarding the use of MRI in the care of individuals with MS. The aim of this consensus statement is to provide practical advice for the use of MRI in this setting. The recommendations are based on a review of relevant literature and the clinical experience of workshop attendees. It is our hope that these recommendations will benefit individuals with MS and guide healthcare professionals responsible for their care.

  1. Improving Bone-Health Monitoring in Astronauts: Recommended Use of Quantitative Computed Tomography [QCT] for Clinical and Operational Decisions by NASA

    NASA Technical Reports Server (NTRS)

    Sibonga, J. D.; Truszkowski, P.

    2010-01-01

    DXA measurement of areal bone mineral density [aBMD,g/cm2] is required by NASA for assessing skeletal integrity in astronauts. Due to the abundance of population-based data that correlate hip and spine BMDs to fragility fractures, BMD is widely applied as a predictor of fractures in the general aging population. In contrast, QCT is primarily a research technology that measures three-dimensional , volumetric BMD (vBMD,mg/cm3) of bone and is therefore capable of differentiating between cortical and trabecular components. Additionally, when combined with Finite Element Modeling [FEM], a computational tool, QCT data can be used to estimate the whole bone strength of the hip [FE strength] for a specific load vector. A recent report demonstrated that aBMD failed to correlate with incurred changes in FE strength (for fall and stance loading) by astronauts over typical 180-day ISS (International Space Station) missions. While there are no current guidelines for using QCT data in clinical practice, QCT increases the understanding of how bone structure and mineral content are affected by spaceflight and recovery on Earth. In order to understand/promote/consider the use of QCT, NASA convened a panel of clinicians specializing in osteoporosis. After reviewing the available, albeit limited, medical and research information from long-duration astronauts (e.g., data from DXA, QCT, FEM, biochemistry analyses, medical records and in-flight exercise performance) the panelists were charged with recommending how current and future research data and analyses could inform clinical and operational decisions. The Panel recommended that clinical bone tests on astronauts should include QCT (hip and lumbar spine) for occupational risk surveillance and for the estimation of whole hip bone strength as derived by FEM. FE strength will provide an improved index that NASA could use to select astronauts of optimal bone health for extended duration missions, for repeat missions or for specific

  2. SUMMARY AND RECOMMENDATIONS OF THE EXPERT PANEL OVERSIGHT COMMITTEE MEETING ON DOUBLE-SHELL TANK CORROSION MONITORING AND TESTING HELD AUGUST 4-5 2008

    SciTech Connect

    BOOMER KD

    2009-01-08

    The Expert Panel Oversight Committee (EPOC) on Double-Shell Tank Corrosion Monitoring and Testing has been overseeing the Fiscal Year FY 2008 experimental program being performed at CC Technologies (CCT) to optimize the chemistry control for corrosion limits in Double-Shell Tanks (DSTs). The EPOC met at the M & D Professional Services Conference Facility on August 4 and 5, 2008 to discuss various aspects of that responsibility including FY 2009 planning. Formal presentations were made to update the EPOC on the these subjects.

  3. Compilation of 1988 annual reports of the Navy ELF (extremely low frequency) Communications System Ecological Monitoring Program. Volume 2. Annual progress report No. 7, January-December 1988

    SciTech Connect

    Not Available

    1989-08-01

    This is the seventh compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. The reports document the progress of eight studies performed during 1988 at the Wisconsin and Michigan Transmitting Facilities. The purpose of the monitoring is to determine whether electromagnetic fields produced by the ELF Communications System will affect resident biota or their ecological relationships.

  4. Compilation of 1988 annual reports of the Navy ELF (extremely low frequency) Communications System Ecological Monitoring Program. Volume 3. Annual progress report No. 7, January-December 1988

    SciTech Connect

    Not Available

    1989-08-01

    This is the seventh compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. The reports documents the progress of eight studies performed during 1988 at the Wisconsins and Michigan Transmitting Facilities. The purpose of the monitoring is to determine whether electromagnetic fields produced by the ELF Communications System will affect resident biota or their ecological relationships.

  5. FELASA Guidelines and Recommendations

    PubMed Central

    Guillen, Javier

    2012-01-01

    The Federation of European Laboratory Animal Science Associations (FELASA) has been releasing guidelines and recommendations on several laboratory animal science disciplines for more than 15 y. The Working Groups producing these documents comprise specialists in each of the addressed topics, are nominated by the FELASA constituent associations, and are elected by the FELASA Board of Management. The FELASA guidelines and recommendations are not regulatory but rather are proposals based on scientific knowledge and the state of the art of laboratory animal science activities. Because they are supported by laboratory animal science associations that represent the vast majority of European professionals, these guidelines and recommendations have influenced the development of various regulatory requirements in Europe, including those related to education and training, routine laboratory animal activities, and animal health monitoring. Some reports fill existing gaps in the European legal framework or complement it. The Working Groups occasionally collaborate with other European organizations, thus enhancing the professional input and effect of the documents produced. The recently established AALAS–FELASA Liaison Body may result in future international cooperation that benefits laboratory animal science and welfare in a global context. PMID:22776188

  6. The Scandinavian Sarcoma Group Central Register: 6,000 patients after 25 years of monitoring of referral and treatment of extremity and trunk wall soft-tissue sarcoma.

    PubMed

    Trovik, Clement; Bauer, Henrik C F; Styring, Emelie; Sundby Hall, Kirsten; Vult Von Steyern, Fredrik; Eriksson, Sigvard; Johansson, Ingela; Sampo, Mika; Laitinen, Minna; Kalén, Anders; Jónsson, Halldór; Jebsen, Nina; Eriksson, Mikael; Tukiainen, Erkki; Wall, Najme; Zaikova, Olga; Sigurðsson, Helgi; Lehtinen, Tuula; Bjerkehagen, Bodil; Skorpil, Mikael; Egil Eide, Geir; Johansson, Elisabeth; Alvegard, Thor A

    2017-03-07

    Purpose - We wanted to examine the potential of the Scandinavian Sarcoma Group (SSG) Central Register, and evaluate referral and treatment practice for soft-tissue sarcomas in the extremities and trunk wall (STS) in the Nordic countries. Background - Based on incidence rates from the literature, 8,150 (7,000-9,300) cases of STS of the extremity and trunk wall should have been diagnosed in Norway, Finland, Iceland, and Sweden from 1987 through 2011. The SSG Register has 6,027 cases registered from this period, with 5,837 having complete registration of key variables. 10 centers have been reporting to the Register. The 5 centers that consistently report treat approximately 90% of the cases in their respective regions. The remaining centers have reported all the patients who were treated during certain time periods, but not for the entire 25-year period. Results - 59% of patients were referred to a sarcoma center untouched, i.e. before any attempt at open biopsy. There was an improvement from 52% during the first 5 years to 70% during the last 5 years. 50% had wide or better margins at surgery. Wide margins are now achieved less often than 20 years ago, in parallel with an increase in the use of radiotherapy. For the centers that consistently report, 97% of surviving patients are followed for more than 4 years. Metastasis-free survival (MFS) increased from 67% to 73% during the 25-year period. Interpretation - The Register is considered to be representative of extremity and trunk wall sarcoma disease in the population of Scandinavia, treated at the reporting centers. There were no clinically significant differences in treatment results at these centers.

  7. Extremely-low-frequency (ELF) communications system ecological monitoring program: Summary of 1990 progress. Technical report, 1 Jan-31 Dec 90

    SciTech Connect

    Abromavage, M.M.; Zapotosky, J.E.

    1991-12-01

    A long term ecological monitoring program is being conducted to monitor for possible electromagnetic effects that operation of the U.S. Navy's ELF Communications System might have to resident biota and their ecological relationships. Monitoring studies were selected through a peer reviewed, competitive bidding process in mid-1982, and work on most studies began in late summer of that year. Preliminary activities of the program consisted of site selection, characterization of critical study aspects, and validation of assumptions made in original proposals. Data collection for studies at the Naval Radio Transmitting Facility (NRTF)-Clam Lake, Wisconsin was completed, as scheduled, during 1990. Data collection for studies at the NRTF-Republic, Michigan is planned to continue through 1992. This report summarizes the progress of the monitoring program during 1990. To date, investigators conclude that on effects have occurred on biota exposed to EM Fields produced by either a fully operational or an intermittently energized ELF transmitting produced by either a fully operational or an intermittently energized ELF transmitting facility.

  8. Compilation of annual reports of the Navy ELF (Extremely Low Frequency) communications system ecological monitoring program. Volume 1: Tabs A-E

    NASA Astrophysics Data System (ADS)

    Anderson, M.; Bruhn, J.; Cattelino, P.; Janke, R.; Jurgensen, M.; Mroz, G.; Reed, E. J.; Trettin, C.

    1984-07-01

    A long-term program of studying ELF electromagnetic influences on ecosystems in northwestern Wisconsin and the Upper Peninsula of Michigan is being conducted. Selection of study sites, monitoring protocols, and analytical methods were initiated in 1982. Data collection was initiated in 1983. Progress is described for studying the terrestrial, aquatic, and wetland ecosystems for the 10 projects comprising the ecological monitoring program. The 10 projects contain Herbaceous Plant Cover and Tree Studies; Litter Decomposition and Microflora; The Effects of Exposing the Slime Mold Physarum polycephalum; Soil Amoeba; Soil and Litter Arthropoda and Earthworm Studies; Biological Studies on Pollinating Insects (Megachilid Bees); Small Vertebrates (Small Mammals and Nesting Birds); Aquatic Ecosystems; Wetland Studies; and Field Studies of Effects of ELF on Migrating Birds.

  9. Compilation of 1986 Annual Reports of the Navy ELF (Extremely Low Frequency) Communications System Ecological Monitoring Program. Volume 1. TABS A-C.

    DTIC Science & Technology

    1987-07-01

    objectives of the ELF environmental monitoring program Upland Flora project. I. There is no difference in the level or the pattern of seasonal diameter growth...difference in the level or the pattern of seasonal diameter growth before and after the ELF antenna becmes I operational. 60 S. . . . . . . . . . Table 2.1...the level or the pattern of seasonal diameter growth between the antenna and control sites within a q yea-. Tests of rate or distribution of diameter

  10. ELF (extremely low frequency) Communication System ecological monitoring program: electromagnetic-field measurements and engineering support - 1987. Technical report, 1982-1987

    SciTech Connect

    Haradem, D.P.; Gauger, J.R.; Zapotosky, J.E.

    1988-08-01

    A long-term program for studying possible effects from the operation of the Navy's ELF Communications System is being conducted on biota and ecosystems components in northwestern Wisconsin and the Upper Peninsula of Michigan. Sixteen general types of organisms from three major ecosystems in the ELF system area are being examined. Formulation of an ELF Ecological Monitoring Program was completed in early 1982 by the Department of the Navy, and studies were initiated in late summer of the same year. Beginning in 1983 and continuing during 1984, major activities of the program consisted of characterization of critical aspects of each study, collection of data to validate assumptions made in proposals, and selection of study sites. From 1985 through 1987, activities centered on the operation of full-scale studies. This report documents electromagnetic (EM) field measurements at investigator-selected study sites from 1982 through 1987. Other engineering support activities are also described.

  11. ELF (extremely low frequency) communications system ecological monitoring program: Electromagnetic field measurements and engineering support -- 1988. Technical report, 1982-1988

    SciTech Connect

    Haradem, D.P.; Gauger, J.R.; Zapotosky, J.E.

    1989-05-01

    A long-term program for studying possible effects from the operation of the Navy's ELF Communications System is being conducted on biota and ecosystems components in northwestern Wisconsin and the Upper Peninsula of Michigan. Sixteen general types of organisms from three major ecosystems in the ELF system area are being examined. Formulation of an ELF Ecological Monitoring Program was completed in early 1982 by the Department of the Navy, and studies were initiated in late summer of the same year. Beginning in 1983 and continuing during 1984, major activities of the program consisted of characterization of critical aspects of each study, collection of data to validate assumptions made in proposals, and selection of study sites. From 1985 through 1988, activities centered on the operation of full-scale studies. This report documents electromagnetic (EM) field measurements at investigator selected study sites from 1982 through 1988. Other engineering support activities are also described.

  12. Extreme Geohazards: Reducing Disaster Risk and Increasing Resilience

    NASA Astrophysics Data System (ADS)

    Plag, Hans-Peter; Stein, Seth; Brocklebank, Sean; Jules-Plag, Shelley; Campus, Paola

    2014-05-01

    damage on a global scale for a globally connected and stressed society. In particular, large volcanic eruptions could impact climate, damage anthropogenic infrastructure and interrupt resource supplies on a global scale. The occurrence of one or more of the largest volcanic eruptions that took place during the last 2,000 years under today's conditions would likely cause global disasters or catastrophes challenging civilization. Integration of these low-probability, high-impact events in DRR requires an approach focused on resilience and antifragility, as well as the ability to cope with, and recover from failure of infrastructures and social systems. Resilience results from social capital even more than from the robustness of infrastructure. While it is important to understand the hazards through the contribution of geosciences, it is equally important to understand through the contribution of social sciences and engineering the societal processes involved with coping with hazards or leading to failure. For comprehensive development of resilience to natural hazards and, in particular, extreme geohazards, synergy between geosciences, engineering and social sciences, jointed to an improved science-policy relationship is key to success. For example, a simple cost-benefit analysis shows that a comprehensive monitoring system that could identify the onset of an extreme volcanic eruption with sufficient lead time to allow for a globally coordinated preparation makes economic sense. The WP recommends implementation of such a monitoring system with global coverage, assesses the existing assets in current monitoring systems, and illustrates many benefits, besides providing early warning for extreme volcanic eruptions. However, such a monitoring system can provide resilience only via the capability of the global community to react to early warnings. The WP recommends achieving this through the establishment of a global coordination platform comparable to IPCC's role in addressing

  13. Does an Early and Aggressive Combined Wrapping and Dangling Procedure Affect the Clinical Outcome of Lower Extremity Free Flaps?-A Randomized Controlled Prospective Study Using Microdialysis Monitoring.

    PubMed

    Neubert, Nils; Vogt, P M; May, M; Boyce, M; Koenneker, S; Budde, E; Jokuszies, A

    2016-05-01

    Background The ideal starting point for flap training (FT) with the combined wrapping and dangling procedure is still a question of debate. Most units follow their own established protocols and currently evidence of flap compromise due to FT is still lacking. The aim of this study was to prove if an early and "aggressive" wrapping and dangling protocol could lead to metabolic changes, measured by microdialysis, indicating ischemia resulting in compromised flap perfusion. Methods Between 2010 and 2014, 49 patients with microvascular free flap reconstruction of the lower limb were included in this study. Patients were randomized into two groups. Group I started FT on the 7th postoperative day, and group II started on day 3. FT consisted of a combined wrapping and dangling procedure doubling its duration daily and ending at day 5. Flaps were monitored clinically and by microdialysis for ischemia-induced changes and metabolic parameters in the flap tissue in respect to different starting points of FT. Results All 49 patients in both groups were able to complete the postoperative FT without complications. Noninferiority of the early group could be proven and microdialysis results showed no differences between both groups. Conclusion We could prove by microdialysis that an early start of FT does not lead to compromised flap perfusion. Moreover, an early start of FT can lead to a reduced length of hospital stay. Furthermore, a reduced risk for deep vein thrombosis, pulmonary embolism, and pneumonia due to earlier mobilization might be an appreciated side effect.

  14. Single-platform, volumetric, CD45-assisted pan-leucogating flow cytometry for CD4 T lymphocytes monitoring of HIV infection according to the WHO recommendations for resource-constrained settings

    PubMed Central

    2013-01-01

    Background Validation of new affordable CD4 T cell measurement technologies is crucial specifically in resource-poor countries for antiretroviral treatment eligibility and immunologic CD4 monitoring of HIV-infected patients. Methods The absolute and percentage CD4 T cell counts of 258 HIV-1-infected blood samples (182 adults and 76 children), living in N’Djamena, Chad, were performed by single-platform, volumetric, CD45-assisted pan-leucogating Auto40 flow cytometer (Apogee Flow Systems Ltd, Hemel Hempstead, UK) comparing to the FACSCalibur flow cytometer as a reference method. Results Absolute and percentage CD4 T cell counts obtained by Auto40 and FACSCalibur of 258 HIV-1-infected blood samples were highly correlated (r = 0.99 and r = 0.96, respectively). The mean absolute bias and percent bias between Apogee Auto40 and FACSCalibur absolute CD4 T cell counts, were −9.4 cells/μl with limits of agreement from −15 to 93 cells/μl, and +2.0% with limits of agreement from −0.9 to 4.9%, respectively. The mean of absolute bias and percent bias between Apogee Auto40 and FACSCalibur of CD4 percentage results were +0.4% (95% CI: -0.02 – 0.86) with limits of agreement from −2.4 to 0.3%, and +3.0% with limits of agreement from −6.6 to 0.6%, respectively. The Auto40 counting allowed to identify the majority of adults with CD4 T cells below 200 cells/μl (sensitivity: 89%; specificity: 99%) or below 350 cells/μl (sensitivity: 94%; specificity:98%); and of children below 750 cells/μl (sensitivity: 99%; specificity: 96%) or below 25% CD4+ (sensitivity: 94%; specificity: 98%). Conclusion The Auto40 analyzer is an alternative flow cytometer for CD4 T lymphocyte enumeration to be used in routine for immunological monitoring according to the current WHO recommendations in HIV-infected adults as well as children living in resource-constrained settings like Chad. PMID:23631664

  15. [Recommendations in neonatal resuscitation].

    PubMed

    2004-01-01

    The recommendations for neonatal resuscitation are not always based on sufficient scientific evidence and thus expert consensus based on current research, knowledge, and experience are useful for formulating practical protocols that are easy to follow. The latest recommendations, in 2000, modified previously published recommendations and are included in the present text.

  16. [2013 Ambulatory blood pressure monitoring recommendations for the diagnosis of adult hypertension, assessment of cardiovascular and other hypertension-associated risk, and attainment of therapeutic goals (summary). Joint recommendations from the International Society for Chronobiology (ISC), American Association of Medical Chronobiology and Chronotherapeutics (AAMCC), Spanish Society of Applied Chronobiology, Chronotherapy, and Vascular Risk (SECAC), Spanish Society of Atherosclerosis (SEA), and Romanian Society of Internal Medicine (RSIM)].

    PubMed

    Hermida, Ramón C; Smolensky, Michael H; Ayala, Diana E; Portaluppi, Francesco; Crespo, Juan J; Fabbian, Fabio; Haus, Erhard; Manfredini, Roberto; Mojón, Artemio; Moyá, Ana; Piñeiro, Luis; Ríos, María T; Otero, Alfonso; Balan, Horia; Fernández, José R

    2013-01-01

    Correlation between systolic (SBP) and diastolic (DBP) blood pressure (BP) level and target organ damage, cardiovascular disease (CVD) risk, and long-term prognosis is much greater for ambulatory BP monitoring (ABPM) than daytime office measurements. The 2013 ABPM guidelines specified herein are based on ABPM patient outcomes studies and constitute a substantial revision of current knowledge. The asleep SBP mean and sleep-time relative SBP decline are the most significant predictors of CVD events, both individually as well as jointly when combined with other ABPM-derived prognostic markers. Thus, they should be preferably used to diagnose hypertension and assess CVD and other associated risks. Progressive decrease by therapeutic intervention in the asleep BP mean is the most significant predictor of CVD event-free interval. The 24 h BP mean is not recommended to diagnose hypertension because it disregards the more valuable clinical information pertaining to the features of the 24 h BP pattern. Persons with the same 24 h BP mean may display radically different 24 h BP patterns, ranging from extreme-dipper to riser types, representative of markedly different risk states. Classification of individuals by comparing office with either the 24 h or awake BP mean as "masked normotensives" (elevated clinic BP but normal ABPM), which should replace the terms of "isolated office" or "white-coat hypertension", and "masked hypertensives" (normal clinic BP but elevated ABPM) is misleading and should be avoided because it disregards the clinical significance of the asleep BP mean. Outcome-based ABPM reference thresholds for men, which in the absence of compelling clinical conditions are 135/85 mmHg for the awake and 120/70 mmHg for the asleep SBP/DBP means, are lower by 10/5 mmHg for SBP/DBP in uncomplicated, low-CVD risk, women and lower by 15/10 mmHg for SBP/DBP in male and female high-risk patients, e.g., with diabetes, chronic kidney disease (CKD), and/or past CVD events. In

  17. Extreme Heat Guidebook

    EPA Pesticide Factsheets

    The 'Climate Change and Extreme Heat: What You Can Do to Prepare' handbook explains the connection between climate change and extreme heat events, and outlines actions citizens can take to protect their health during extreme heat.

  18. Developing control charts to review and monitor medication errors.

    PubMed

    Ciminera, J L; Lease, M P

    1992-03-01

    There is a need to monitor reported medication errors in a hospital setting. Because the quantity of errors vary due to external reporting, quantifying the data is extremely difficult. Typically, these errors are reviewed using classification systems that often have wide variations in the numbers per class per month. The authors recommend the use of control charts to review historical data and to monitor future data. The procedure they have adopted is a modification of schemes using absolute (i.e., positive) values of successive differences to estimate the standard deviation when only single incidence values are available in time rather than sample averages, and when many successive differences may be zero.

  19. Women in extreme poverty.

    PubMed

    1994-01-01

    Population is estimated to increase from 5.5 billion in 1990 to 10 billion by 2050; the poverty level is expected to increase from 1 billion to 2-3 billion people. Women in development has been promoted throughout the UN and development system, but women in poverty who perform work in the informal sector are still uncounted, and solutions are elusive. The issue of extreme poverty can not be approached as just another natural disaster with immediate emergency relief. Many people live in precarious economic circumstances throughout their lives. Recent research reveals a greater understanding of the underlying causes and the need for inclusion of poor women in sustainable development. Sanitation, water, housing, health facilities need to be improved. Women must have access to education, opportunities for trading, and loans on reasonable terms. UNESCO makes available a book on survival strategies for poor women in the informal sector. The profile shows common problems of illiteracy, broken marriages, and full time involvement in provision of subsistence level existence. Existence is a fragile balance. Jeanne Vickers' "Women and the World" offers simple, low cost interventions for aiding extremely poor women. The 1992 Commission on the Status of Women was held in Vienna. Excerpts from several speeches are provided. The emphasis is on some global responses and an analysis of solutions. The recommendation is for attention to the gender dimension of poverty. Women's dual role contributes to greater disadvantages. Women are affected differently by macroeconomic factors, and that there is intergenerational transfer of poverty. Social services should be viewed as investments and directed to easing the burdens on time and energy. Public programs must be equipped to deal with poverty and to bring about social and economic change. Programs must be aware of the different distribution of resources within households. Women must be recognized as principal economic providers within

  20. New Sub-nanometer Spectral Estimates of the 0-5 nm Solar Soft X-Ray Irradiance at Mars Using the Extreme UltraViolet Monitor (EUVM) Onboard MAVEN

    NASA Astrophysics Data System (ADS)

    Thiemann, E.; Eparvier, F. G.; Chamberlin, P. C.; Woods, T. N.; Peterson, W. K.; Mitchell, D. L.; Xu, S.; Liemohn, M. W.

    2015-12-01

    The Extreme UltraViolet Monitor (EUVM) onboard the Mars Atmosphere and Volatile EvolutioN (MAVEN) probe at Mars characterizes the solar extreme ultraviolet (EUV) and soft x-ray (SXR) input into the Martian atmosphere. EUVM measures solar irradiance at 0-7 nm, 17-22 nm and 121.6 nm at a nominal 1 second cadence. These bands were selected to capture variability originating at different heights in the solar atmosphere; and are used to drive the Flare Irradiance Solar Model at Mars (FISM-M) that is a model of the solar spectrum from 0.1-190 nm with 1 nm resolution and produced routinely as the EUVM Level 3 data product. The 0-5 nm range of the solar spectrum is of particular aeronomic interest because the primary species of the Mars upper atmosphere have Auger transitions in this range. When an Auger transition is excited by incident SXR radiation, secondary electrons are emitted with sufficient energy to further ionize the atmosphere. Because these transitions are highly structured, sub-nm resolution of the solar spectrum is needed in the 0-5 nm range to fully constrain the solar input and more accurately characterize the energetics of the upper atmosphere. At Earth, .1 nm resolution estimates of the solar 0-5 nm range are produced by the X-ray Photometer System (XPS) onboard the SOlar Radiation and Climate Experiment (SORCE) satellite by combining broad-band SXR measurements with solar flare temperature measurements to drive an atomic physics based forward model of solar coronal emissions. This spectrum has been validated with other models as well as with photo-electron and day glow measurements at Earth. Similar to XPS, the EUVM 0-7 nm and 17-22 nm bands can be used to produce an XPS-like model at Mars, but with reduced precision due to differences in the available bands. We present first results of this technique applied to a set of solar flares observed by MAVEN EUVM and Earth assets. In addition to comparing EUVM and Earth-asset derived 0-5 nm solar spectra to

  1. Assuring the Proper Analytical Performance of Measurement Procedures for Immunosuppressive Drug Concentrations in Clinical Practice: Recommendations of the International Association of Therapeutic Drug Monitoring and Clinical Toxicology Immunosuppressive Drug Scientific Committee.

    PubMed

    Seger, Christoph; Shipkova, Maria; Christians, Uwe; Billaud, Elaine M; Wang, Ping; Holt, David W; Brunet, Mercè; Kunicki, Paweł K; Pawiński, Thomasz; Langman, Loralie J; Marquet, Pierre; Oellerich, Michael; Wieland, Eberhard; Wallemacq, Pierre

    2016-04-01

    Monitoring immunosuppressive drugs (ISDs) in blood or plasma is still a key therapeutic drug monitoring (TDM) application in clinical settings. Narrow target ranges and severe side effects at drug underexposure or overexposure make accurate and precise measurements a must. This overview prepared by the Immunosuppressive Drugs Scientific Committee of the International Association of Therapeutic Drug Monitoring and Clinical Toxicology is intended to serve as a summary and guidance document describing the current state-of-the-art in the TDM of ISDs.

  2. Environment Monitor

    NASA Technical Reports Server (NTRS)

    1988-01-01

    Viking landers touched down on Mars equipped with a variety of systems to conduct automated research, each carrying a compact but highly sophisticated instrument for analyzing Martian soil and atmosphere. Instrument called a Gas Chromatography/Mass Spectrometer (GC/MS) had to be small, lightweight, shock resistant, highly automated and extremely sensitive, yet require minimal electrical power. Viking Instruments Corporation commercialized this technology and targeted their primary market as environmental monitoring, especially toxic and hazardous waste site monitoring. Waste sites often contain chemicals in complex mixtures, and the conventional method of site characterization, taking samples on-site and sending them to a laboratory for analysis is time consuming and expensive. Other terrestrial applications are explosive detection in airports, drug detection, industrial air monitoring, medical metabolic monitoring and for military, chemical warfare agents.

  3. Window performance in extreme cold

    NASA Astrophysics Data System (ADS)

    Flanders, S. N.; Buska, J. S.; Barrett, S. A.

    1982-12-01

    Extreme cold causes heavy buildup of frost, ice and condensation on many windows. It also increases the incentive for improving the airtightness of windows against heat loss. Our study shows that tightening specifications for Alaskan windows to permit only 30% of the air leakage allowed by current American airtightness standards is economically attractive. We also recommend triple glazing in much of Alaska to avoid window icing in homes and barracks. We base our conclusions on a two year field study of Alaskan military bases that included recording humidity and temperature data, observing moisture accumulation on windows and measuring airtightness with a fan pressurized device.

  4. Updated Lightning Safety Recommendations.

    ERIC Educational Resources Information Center

    Vavrek, R. James; Holle, Ronald L.; Lopez, Raul E.

    1999-01-01

    Summarizes the recommendations of the Lightning Safety Group (LSG), which was first convened during the 1998 American Meteorological Society Conference. Findings outline appropriate actions under various circumstances when lightning threatens. (WRM)

  5. Recommended Textbooks (Booksearch).

    ERIC Educational Resources Information Center

    English Journal, 1988

    1988-01-01

    Evaluates four textbooks recommended by junior high and high school teachers for teaching writing and literature: "Enjoying Literature" (published by Macmillan, 1985); "Exposition: Critical Writing and Thinking" (Robert J. Gula); "Situational Writing" (Gene Krupa); and "Double Exposure: Composing through Writing…

  6. Design Review Improvement Recommendations

    DTIC Science & Technology

    2015-06-18

    program execution and mission operations in spite of significant advances in design and analysis tool capabilities and robust command media governing...level of risk a program is willing to accept based on its design heritage . The recommendations in this report complement, but do not duplicate, the...recommendations provided in the following TORs: • Design Assurance Guide, Aerospace Report No.TOR-2009 (8591)-11 • Objective Re-use of Heritage

  7. Social Tagging Recommender Systems

    NASA Astrophysics Data System (ADS)

    Marinho, Leandro Balby; Nanopoulos, Alexandros; Schmidt-Thieme, Lars; Jäschke, Robert; Hotho, Andreas; Stumme, Gerd; Symeonidis, Panagiotis

    The new generation of Web applications known as (STS) is successfully established and poised for continued growth. STS are open and inherently social; features that have been proven to encourage participation. But while STS bring new opportunities, they revive old problems, such as information overload. Recommender Systems are well known applications for increasing the level of relevant content over the "noise" that continuously grows as more and more content becomes available online. In STS however, we face new challenges. Users are interested in finding not only content, but also tags and even other users. Moreover, while traditional recommender systems usually operate over 2-way data arrays, STS data is represented as a third-order tensor or a hypergraph with hyperedges denoting (user, resource, tag) triples. In this chapter, we survey the most recent and state-of-the-art work about a whole new generation of recommender systems built to serve STS.We describe (a) novel facets of recommenders for STS, such as user, resource, and tag recommenders, (b) new approaches and algorithms for dealing with the ternary nature of STS data, and (c) recommender systems deployed in real world STS. Moreover, a concise comparison between existing works is presented, through which we identify and point out new research directions.

  8. Biological Contamination of Mars: Issues and Recommendations

    NASA Technical Reports Server (NTRS)

    1992-01-01

    The ad hoc Task Group on Planetary Protection formed by the Space Studies Board (SSB) of the National Research Council focused on making recommendations concerning the protection of Mars from forward contamination (i.e., Earth to Mars) during upcoming missions by both the United States and the former Soviet Union. In so doing, it distinguished between missions whose goals include reconnaissance and measurement and those that specifically include experiments to detect life. The task group also discussed what additional knowledge will be needed in order to assure that future recommendations regarding contamination of Earth from Mars might be made with a higher degree of certainty than is now possible. Following a short introduction to the rationale underlying planetary exploration (Chapter 1) is a brief summary of approved and contemplated missions to Mars (Chapter 2). Chapter 3 briefly reviews the state of knowledge in several areas pertinent to the problem of planetary protection, in the limits of life on Earth and the abilities of known terrestrial organisms to withstand extreme environment conditions, as well as new approaches to detecting life forms. Chapter 5 includes a review and comments (made in light of current knowledge)- on the recommendations made in 'Recommendations on Quarantine Policy for Mars, Jupiter, Saturn, Uranus, Neptune, and Titan'. Updates to the recommendations made in 1978 are also given in Chapter 5. Chapter 6 gives additional recommendations concerning collection of essential data, spacecraft sterilization and bioburden assessment, and future research, as well as legal and social issues and NASA's overall planetary protection program.

  9. VALIDATION OF HANFORD PERSONNEL AND EXTREMITY DOSIMETERS IN PLUTONIUM ENVIRONMENTS

    SciTech Connect

    Scherpelz, Robert I.; Fix, John J.; Rathbone, Bruce A.

    2000-02-10

    A study was performed in the Plutonium Finishing Plant to assess the performance of Hanford personnel neutron dosimetry. The study was assessed whole body dosimetry and extremity dosimetry performance. For both parts of the study, the TEPC was used as the principle instrument for characterizing workplace neutron fields. In the whole body study, 12.7-cm-diameter TEPCs were used in ten different locations in the facility. TLD and TED personnel dosimeters were exposed on a water-filled phantom to enable a comparison of TEPC and dosimeter response. In the extremity study, 1.27-cm-diameter TEPCs were exposed inside the fingers of a gloveboxe glove. Extremity dosimeters were wrapped around the TEPCs. The glove was then exposed to six different cans of plutonium, simulating the exposure that a worker's fingers would receive in a glovebox. The comparison of TEPC-measured neutron dose equivalent to TLD-measured gamma dose equivalent provided neutron-to-gamma ratios that can be used to estimate the neutron dose equivalent received by a worker's finger based on the gamma readings of an extremity dosimeter. The study also utilized a Snoopy and detectors based on bubble technology for assessing neutron exposures, providing a comparison of the effectiveness of these instruments for workplace monitoring. The study concludes that the TLD component of the HCND performs adequately overall, with a positive bias of 30%, but exhibits excessive variability in individual results due to instabilities in the algorithm. The TED response was less variable but only 20% of the TEPC reference dose on average because of the low neutron energies involved. The neutron response of the HSD was more variable than the TLD component of the HCND and biased high by a factor of 8 overall due to its calibration to unmoderated 252Cf. The study recommends further work to correct instabilities in the HCND algorithm and to explore the potential shown by the bubble-based dosimeters.

  10. Modeling mutual feedback between users and recommender systems

    NASA Astrophysics Data System (ADS)

    Zeng, An; Yeung, Chi Ho; Medo, Matúš; Zhang, Yi-Cheng

    2015-07-01

    Recommender systems daily influence our decisions on the Internet. While considerable attention has been given to issues such as recommendation accuracy and user privacy, the long-term mutual feedback between a recommender system and the decisions of its users has been neglected so far. We propose here a model of network evolution which allows us to study the complex dynamics induced by this feedback, including the hysteresis effect which is typical for systems with non-linear dynamics. Despite the popular belief that recommendation helps users to discover new things, we find that the long-term use of recommendation can contribute to the rise of extremely popular items and thus ultimately narrow the user choice. These results are supported by measurements of the time evolution of item popularity inequality in real systems. We show that this adverse effect of recommendation can be tamed by sacrificing part of short-term recommendation accuracy.

  11. Distributed Deliberative Recommender Systems

    NASA Astrophysics Data System (ADS)

    Recio-García, Juan A.; Díaz-Agudo, Belén; González-Sanz, Sergio; Sanchez, Lara Quijano

    Case-Based Reasoning (CBR) is one of most successful applied AI technologies of recent years. Although many CBR systems reason locally on a previous experience base to solve new problems, in this paper we focus on distributed retrieval processes working on a network of collaborating CBR systems. In such systems, each node in a network of CBR agents collaborates, arguments and counterarguments its local results with other nodes to improve the performance of the system's global response. We describe D2ISCO: a framework to design and implement deliberative and collaborative CBR systems that is integrated as a part of jcolibritwo an established framework in the CBR community. We apply D2ISCO to one particular simplified type of CBR systems: recommender systems. We perform a first case study for a collaborative music recommender system and present the results of an experiment of the accuracy of the system results using a fuzzy version of the argumentation system AMAL and a network topology based on a social network. Besides individual recommendation we also discuss how D2ISCO can be used to improve recommendations to groups and we present a second case of study based on the movie recommendation domain with heterogeneous groups according to the group personality composition and a group topology based on a social network.

  12. Extreme Scale Visual Analytics

    SciTech Connect

    Wong, Pak C.; Shen, Han-Wei; Pascucci, Valerio

    2012-05-08

    Extreme-scale visual analytics (VA) is about applying VA to extreme-scale data. The articles in this special issue examine advances related to extreme-scale VA problems, their analytical and computational challenges, and their real-world applications.

  13. Upper Extremity Deep Vein Thromboses: The Bowler and the Barista

    PubMed Central

    du Breuil, Anne L.; Close, Jeremy

    2016-01-01

    Effort thrombosis of the upper extremity refers to a deep venous thrombosis of the upper extremity resulting from repetitive activity of the upper limb. Most cases of effort thrombosis occur in young elite athletes with strenuous upper extremity activity. This article reports two cases who both developed upper extremity deep vein thromboses, the first being a 67-year-old bowler and the second a 25-year-old barista, and illustrates that effort thrombosis should be included in the differential diagnosis in any patient with symptoms concerning DVT associated with repetitive activity. A literature review explores the recommended therapies for upper extremity deep vein thromboses. PMID:27800207

  14. National environmental monitoring

    SciTech Connect

    Not Available

    1984-01-01

    Findings of the Council of Environmental Quality's interagency task force on environmental data and monitoring are summarized and the degree of followup on its recommendations is assessed. The quality of the data, coordination of environmental monitoring and data activities, and major issues that need to be addressed regarding monitoring of air and water quality are examined. Participation of the private sector in toxic monitoring is considered.

  15. Urotherapy recommendations for bedwetting.

    PubMed Central

    Robson, Lane M.; Leung, Alexander K. C.

    2002-01-01

    OBJECTIVE: To assess the efficacy of urotherapy recommendations prior to pharmacological or moisture alarm treatment in the management of bedwetting in children. METHODS: Children assessed for bedwetting at a voiding dysfunction clinic were admitted to a prospective, uncontrolled pilot study. The families were instructed to follow specific urotherapy recommendations. RESULTS: Of the 23 children who completed the study, sixteen (70%) improved with at least one less wet night per week, nine (39%) with at least a 50% reduction, and five (22%) resolved. CONCLUSION: Urotherapy recommendations prior to pharmacological or moisture alarm treatment shows promise and potential for the management of children with bedwetting. Further studies are necessary to determine if the improvement is sustained. PMID:12126283

  16. Order Theoretical Semantic Recommendation

    SciTech Connect

    Joslyn, Cliff A.; Hogan, Emilie A.; Paulson, Patrick R.; Peterson, Elena S.; Stephan, Eric G.; Thomas, Dennis G.

    2013-07-23

    Mathematical concepts of order and ordering relations play multiple roles in semantic technologies. Discrete totally ordered data characterize both input streams and top-k rank-ordered recommendations and query output, while temporal attributes establish numerical total orders, either over time points or in the more complex case of startend temporal intervals. But also of note are the fully partially ordered data, including both lattices and non-lattices, which actually dominate the semantic strcuture of ontological systems. Scalar semantic similarities over partially-ordered semantic data are traditionally used to return rank-ordered recommendations, but these require complementation with true metrics available over partially ordered sets. In this paper we report on our work in the foundations of partial order measurement in ontologies, with application to top-k semantic recommendation in workflows.

  17. Space Station Software Recommendations

    NASA Technical Reports Server (NTRS)

    Voigt, S. (Editor)

    1985-01-01

    Four panels of invited experts and NASA representatives focused on the following topics: software management, software development environment, languages, and software standards. Each panel deliberated in private, held two open sessions with audience participation, and developed recommendations for the NASA Space Station Program. The major thrusts of the recommendations were as follows: (1) The software management plan should establish policies, responsibilities, and decision points for software acquisition; (2) NASA should furnish a uniform modular software support environment and require its use for all space station software acquired (or developed); (3) The language Ada should be selected for space station software, and NASA should begin to address issues related to the effective use of Ada; and (4) The space station software standards should be selected (based upon existing standards where possible), and an organization should be identified to promulgate and enforce them. These and related recommendations are described in detail in the conference proceedings.

  18. 40 CFR Appendix to Part 240 - Recommended Bibliography

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Part 240 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES GUIDELINES FOR THE THERMAL PROCESSING OF SOLID WASTES Pt. 240, App. Appendix to Part 240—Recommended Bibliography... Source Monitoring Systems. NTIS PB. 230 934/AS (1974)....

  19. 40 CFR Appendix to Part 240 - Recommended Bibliography

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Part 240 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES GUIDELINES FOR THE THERMAL PROCESSING OF SOLID WASTES Pt. 240, App. Appendix to Part 240—Recommended Bibliography... Source Monitoring Systems. NTIS PB. 230 934/AS (1974)....

  20. 40 CFR Appendix to Part 240 - Recommended Bibliography

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Part 240 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES GUIDELINES FOR THE THERMAL PROCESSING OF SOLID WASTES Pt. 240, App. Appendix to Part 240—Recommended Bibliography... Source Monitoring Systems. NTIS PB. 230 934/AS (1974)....

  1. CETA: Assessment and Recommendations.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Committee on Evaluation of Employment and Training Programs.

    This document presents the principal findings and recommendations of a study conducted by the Committee on Evaluation of Employment and Training Program to assess the impact of CETA (Comprehensive Employment and Training Act) on manpower programs. This report is divided into two parts. Part 1 provides an overview of CETA's history, summarizes…

  2. Personalized Course Sequence Recommendations

    NASA Astrophysics Data System (ADS)

    Xu, Jie; Xing, Tianwei; van der Schaar, Mihaela

    2016-10-01

    Given the variability in student learning it is becoming increasingly important to tailor courses as well as course sequences to student needs. This paper presents a systematic methodology for offering personalized course sequence recommendations to students. First, a forward-search backward-induction algorithm is developed that can optimally select course sequences to decrease the time required for a student to graduate. The algorithm accounts for prerequisite requirements (typically present in higher level education) and course availability. Second, using the tools of multi-armed bandits, an algorithm is developed that can optimally recommend a course sequence that both reduces the time to graduate while also increasing the overall GPA of the student. The algorithm dynamically learns how students with different contextual backgrounds perform for given course sequences and then recommends an optimal course sequence for new students. Using real-world student data from the UCLA Mechanical and Aerospace Engineering department, we illustrate how the proposed algorithms outperform other methods that do not include student contextual information when making course sequence recommendations.

  3. Recommendations for Alternative Credit.

    ERIC Educational Resources Information Center

    Lenderman, Ed; And Others

    Following a review of the mathematics topics taught in accounting, electronics, auto, food and clothing, and metals courses at Linn-Benton Community College, Albany, Oregon, recommendations were made to grant one semester of mathematics credit for completing a two-year sequence of these courses. The other required semester of mathematics should be…

  4. Improved Personalized Recommendation Based on Causal Association Rule and Collaborative Filtering

    ERIC Educational Resources Information Center

    Lei, Wu; Qing, Fang; Zhou, Jin

    2016-01-01

    There are usually limited user evaluation of resources on a recommender system, which caused an extremely sparse user rating matrix, and this greatly reduce the accuracy of personalized recommendation, especially for new users or new items. This paper presents a recommendation method based on rating prediction using causal association rules.…

  5. Compilation of 1984 annual reports of the Navy ELF (extremely low frequency) communications system ecological monitoring program. Volume 1, TABS A-E. Annual progress report, January-December 1984

    SciTech Connect

    Anderson, M.; Bruhn, J.; Cattelino, P.; Jurgensen, M.; Lenz, G.W.

    1985-06-01

    A long-term program of monitoring for possible ELF electromagnetic influences on ecosystems in northwestern Wisconsin and the Upper Peninsula of Michigan, is being conducted. Selection of study sites, monitoring protocols, and analytical methods were initiated in 1982. These activities, as well as data collection, were continued during 1983 and 1984. Progress is described for studying the terrestrial, aquatic, and wetland ecosystems for the 11 projects comprising the Ecological Monitoring Program.

  6. Radiation Exposure from CT Scans: How to Close Our Knowledge Gaps, Monitor and Safeguard Exposure—Proceedings and Recommendations of the Radiation Dose Summit, Sponsored by NIBIB, February 24–25, 2011

    PubMed Central

    Boone, John M.; Hendee, William R.; McNitt-Gray, Michael F.

    2012-01-01

    This article summarizes the proceedings of a portion of the Radiation Dose Summit, which was organized by the National Institute of Biomedical Imaging and Bioengineering and held in Bethesda, Maryland, in February 2011. The current understandings of ways to optimize the benefit-risk ratio of computed tomography (CT) examinations are summarized and recommendations are made for priority areas of research to close existing gaps in our knowledge. The prospects of achieving a submillisievert effective dose CT examination routinely are assessed. © RSNA, 2012 PMID:22966066

  7. Upper Extremity Length Equalization

    PubMed Central

    DeCoster, Thomas A.; Ritterbusch, John; Crawford, Mark

    1992-01-01

    Significant upper extremity length inequality is uncommon but can cause major functional problems. The ability to position and use the hand may be impaired by shortness of any of the long bones of the upper extremity. In many respects upper and lower extremity length problems are similar. They most commonly occur after injury to a growing bone and the treatment modalities utilized in the lower extremity may be applied to the upper extremity. These treatment options include epiphysiodesis, shortening osteotomy, angulatory correction osteotomy and lengthening. This report reviews the literature relative to upper extremity length inequality and equalization and presents an algorithm for evaluation and planning appropriate treatment for patients with this condition. This algorithm is illustrated by two clinical cases of posttraumatic shortness of the radius which were effectively treated. ImagesFigure 1Figure 2Figure 3

  8. How extreme is extreme hourly precipitation?

    NASA Astrophysics Data System (ADS)

    Papalexiou, Simon Michael; Dialynas, Yannis G.; Pappas, Christoforos

    2016-04-01

    The importance of accurate representation of precipitation at fine time scales (e.g., hourly), directly associated with flash flood events, is crucial in hydrological design and prediction. The upper part of a probability distribution, known as the distribution tail, determines the behavior of extreme events. In general, and loosely speaking, tails can be categorized in two families: the subexponential and the hyperexponential family, with the first generating more intense and more frequent extremes compared to the latter. In past studies, the focus has been mainly on daily precipitation, with the Gamma distribution being the most popular model. Here, we investigate the behaviour of tails of hourly precipitation by comparing the upper part of empirical distributions of thousands of records with three general types of tails corresponding to the Pareto, Lognormal, and Weibull distributions. Specifically, we use thousands of hourly rainfall records from all over the USA. The analysis indicates that heavier-tailed distributions describe better the observed hourly rainfall extremes in comparison to lighter tails. Traditional representations of the marginal distribution of hourly rainfall may significantly deviate from observed behaviours of extremes, with direct implications on hydroclimatic variables modelling and engineering design.

  9. 21st Birthday Drinking: Extremely Extreme

    ERIC Educational Resources Information Center

    Rutledge, Patricia C.; Park, Aesoon; Sher, Kenneth J.

    2008-01-01

    Despite public recognition of the hazards of 21st birthday drinking, there is little empirical information concerning its prevalence, severity, and risk factors. Data from a sample of 2,518 college students suggest that 21st birthday drinking poses an extreme danger: (a) 4 of every 5 participants (83%) reported drinking to celebrate, (b) birthday…

  10. Compilation of 1988 annual reports of the Navy ELF (extremely low frequency) Communications System Ecological-Monitoring Program. Volume 1. Annual progress report No. 7, January-December 1988

    SciTech Connect

    Not Available

    1989-08-01

    This is the seventh compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. The reports document the progress of eight studies performed during 1988 at the Wisconsin and Michigan Transmitting Facilities. The purpose of the monitoring is to determine whether electromagnetic fields produced by the ELF Communications System will affect resident biota or their ecological relationships.

  11. Radiation recommendation series: administratively required dental radiographs

    SciTech Connect

    Not Available

    1981-09-01

    Administrative requirements for radiographs are found in many segments of the United States health care system. This document presents an FDA radiation recommendation on administratively required dental x-ray examinations. In general, such examinations are not requested to further the patient's dental health, but rather as a means of monitoring claims. However, the administrative use of radiographs that have been taken in the normal course of patient care is usually appropriate, as long as the patient's right to privacy is respected.

  12. A Top Pilot Tunnel Preconditioning Method for the Prevention of Extremely Intense Rockbursts in Deep Tunnels Excavated by TBMs

    NASA Astrophysics Data System (ADS)

    Zhang, Chuanqing; Feng, Xiating; Zhou, Hui; Qiu, Shili; Wu, Wenping

    2012-05-01

    The headrace tunnels at the Jinping II Hydropower Station cross the Jinping Mountain with a maximum overburden depth of 2,525 m, where 80% of the strata along the tunnels consist of marble. A number of extremely intense rockbursts occurred during the excavation of the auxiliary tunnels and the drainage tunnel. In particular, a tunnel boring machine (TBM) was destroyed by an extremely intense rockburst in a 7.2-m-diameter drainage tunnel. Two of the four subsequent 12.4-m-diameter headrace tunnels will be excavated with larger size TBMs, where a high risk of extremely intense rockbursts exists. Herein, a top pilot tunnel preconditioning method is proposed to minimize this risk, in which a drilling and blasting method is first recommended for the top pilot tunnel excavation and support, and then the TBM excavation of the main tunnel is conducted. In order to evaluate the mechanical effectiveness of this method, numerical simulation analyses using the failure approaching index, energy release rate, and excess shear stress indices are carried out. Its construction feasibility is discussed as well. Moreover, a microseismic monitoring technique is used in the experimental tunnel section for the real-time monitoring of the microseismic activities of the rock mass in TBM excavation and for assessing the effect of the top pilot tunnel excavation in reducing the risk of rockbursts. This method is applied to two tunnel sections prone to extremely intense rockbursts and leads to a reduction in the risk of rockbursts in TBM excavation.

  13. Recommendations for management of diabetes during Ramadan: update 2015

    PubMed Central

    Ibrahim, Mahmoud; Abu Al Magd, Megahed; Annabi, Firas A; Assaad-Khalil, Samir; Ba-Essa, Ebtesam M; Fahdil, Ibtihal; Karadeniz, Sehnaz; Meriden, Terry; Misha'l, Aly A; Pozzilli, Paolo; Shera, Samad; Thomas, Abraham; Bahijri, Suhad; Tuomilehto, Jaakko; Yilmaz, Temel; Umpierrez, Guillermo E

    2015-01-01

    Since the first ADA working group report on the recommendations for management of diabetes during Ramadan in 2005 and our update in 2010, we received many inquiries asking for regular updates on information regarding education, nutritional habits and new oral and injectable agents that may be useful for the management of patients with diabetes during Ramadan. Patients can be stratified into their risk of hypoglycemia and/or complications prior to the start of the fasting period of Ramadan. Those at high risk of hypoglycemia and with multiple diabetic complications should be advised against prolonged fasting. Even in the lower hypoglycemia risk group, adverse effects may still occur. In order to minimize adverse side effects during fasting in patients with diabetes and improve or maintain glucose control, education and discussion of glucose monitoring and treatment regimens should occur several weeks prior to Ramadan. Agents such as metformin, thiazolidinediones and dipeptidyl peptidase-4 inhibitors appear to be safe and do not need dose adjustment. Most sulfonylureas may not be used safely during Ramadan except with extreme caution; besides, older agents, such as chlorpropamide or glyburide, should not be used. Reduction of the dosage of sulfonylurea is needed depending on the degree of control prior to fasting. Misconceptions and local habits should be addressed and dealt with in any educational intervention and therapeutic planning with patients with diabetes. In this regard, efforts are still needed for controlled prospective studies in the field of efficacy and safety of the different interventions during the Ramadan Fast. PMID:26113983

  14. Overview of human health in the Arctic: conclusions and recommendations

    PubMed Central

    Donaldson, Shawn; Adlard, Bryan; Odland, Jon Øyvind

    2016-01-01

    This article is intended to provide an overview of the key conclusions, knowledge gaps and key recommendations based on the recent 2015 Arctic human health assessment under the Arctic Monitoring and Assessment Program. This assessment was based primarily on data from human health monitoring and research studies and peer-reviewed literature published since the last assessment in 2009. PMID:27974138

  15. Bivariate extreme value distributions

    NASA Technical Reports Server (NTRS)

    Elshamy, M.

    1992-01-01

    In certain engineering applications, such as those occurring in the analyses of ascent structural loads for the Space Transportation System (STS), some of the load variables have a lower bound of zero. Thus, the need for practical models of bivariate extreme value probability distribution functions with lower limits was identified. We discuss the Gumbel models and present practical forms of bivariate extreme probability distributions of Weibull and Frechet types with two parameters. Bivariate extreme value probability distribution functions can be expressed in terms of the marginal extremel distributions and a 'dependence' function subject to certain analytical conditions. Properties of such bivariate extreme distributions, sums and differences of paired extremals, as well as the corresponding forms of conditional distributions, are discussed. Practical estimation techniques are also given.

  16. Clinical Recommendation: Vulvovaginitis.

    PubMed

    Zuckerman, Andrea; Romano, Mary

    2016-12-01

    Vulvovaginitis is a commonly encountered condition among prepubertal and adolescent females. The objective of this report is to provide the latest evidence regarding the diagnosis and management of vulvovaginitis in prepubertal and adolescent females. In this systematic review we used the Grading of Recommendations Assessment, Development and Evaluation evidence system. Vulvovaginal complaints are common in the pediatric and adolescent age group. The patient's age in conjunction with history and associated complaints will guide evaluation, diagnosis, and treatment. Treatment should include counseling on hygiene and voiding techniques as well as therapy for any specific pathogens identified.

  17. Panel summary of recommendations

    NASA Technical Reports Server (NTRS)

    Dunbar, Bonnie J.; Coleman, Martin E.; Mitchell, Kenneth L.

    1990-01-01

    The following Space Station internal contamination topics were addressed: past flight experience (Skylab and Spacelab missions); present flight activities (Spacelabs and Soviet Space Station Mir); future activities (materials science and life science experiments); Space Station capabilities (PPMS, FMS, ECLSS, and U.S. Laboratory overview); manned systems/crew safety; internal contamination detection; contamination control - stowage and handling; and contamination control - waste gas processing. Space Station design assumptions are discussed. Issues and concerns are discussed as they relate to (1) policy and management, (2) subsystem design, (3) experiment design, and (4) internal contamination detection and control. The recommendations generated are summarized.

  18. Space Station Induced Monitoring

    NASA Technical Reports Server (NTRS)

    Spann, James F. (Editor); Torr, Marsha R. (Editor)

    1988-01-01

    This report contains the results of a conference convened May 10-11, 1988, to review plans for monitoring the Space Station induced environment, to recommend primary components of an induced environment monitoring package, and to make recommendations pertaining to suggested modifications of the Space Station External Contamination Control Requirements Document JSC 30426. The contents of this report are divided as Follows: Monitoring Induced Environment - Space Station Work Packages Requirements, Neutral Environment, Photon Emission Environment, Particulate Environment, Surface Deposition/Contamination; and Contamination Control Requirements.

  19. Outcomes for extremely premature infants.

    PubMed

    Glass, Hannah C; Costarino, Andrew T; Stayer, Stephen A; Brett, Claire M; Cladis, Franklyn; Davis, Peter J

    2015-06-01

    Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for 7 years and is now approximately 11.39%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23 to 24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to the prenatal estimated date of confinement. Despite technological advances and efforts of child health experts during the last generation, the extremely premature infant (less than 28 weeks gestation) and extremely low birth weight infant (<1000 g) remain at high risk for death and disability with 30% to 50% mortality and, in survivors, at least 20% to 50% risk of morbidity. The introduction of continuous positive airway pressure, mechanical ventilation, and exogenous surfactant increased survival and spurred the development of neonatal intensive care in the 1970s through the early 1990s. Routine administration of antenatal steroids during premature labor improved neonatal mortality and morbidity in the late 1990s. The recognition that chronic postnatal administration of steroids to infants should be avoided may have improved outcomes in the early 2000s. Evidence from recent trials attempting to define the appropriate target for oxygen saturation in preterm infants suggests arterial oxygen saturation between 91% and 95% (compared with 85%-89%) avoids excess mortality; however, final analyses of data from these trials have not been published, so definitive recommendations are still pending. The development of neonatal neurocritical intensive care units may improve neurocognitive outcomes in this high-risk group. Long-term follow-up to detect and address

  20. Analysis of science textbook recommendations provided for students with disabilities.

    PubMed

    Parmar, R S; Cawley, J F

    1993-05-01

    Teachers' manuals from three major elementary science textbook series were analyzed. These textbooks provided specific instructional recommendations for students with disabilities in mainstream classes. Findings reveal that (a) the textbooks did not provide recommendations for all categories of disabilities as defined in Public Law 94-142; (b) many recommendations did not specifically address the learning needs of the students for whom they were intended; and (c) there were no consistency in the nature of recommendations provided for any given category of disability. Results indicate that special education and mainstream teachers should monitor the usefulness of published materials that claim to meet the needs of students with disabilities.

  1. French recommendations on electroencephalography.

    PubMed

    André-Obadia, N; Lamblin, M D; Sauleau, P

    2015-03-01

    Electroencephalography allows the functional analysis of electrical brain cortical activity and is the gold standard for analyzing electrophysiological processes involved in epilepsy but also in several other dysfunctions of the central nervous system. Morphological imaging yields complementary data, yet it cannot replace the essential functional analysis tool that is EEG. Furthermore, EEG has the great advantage of being non-invasive, easy to perform and allows repeat testing when follow-up is necessary, even at the patient's bedside. Faced with advances in knowledge, techniques and indications, the Société de neurophysiologie clinique de langue française (SNCLF) and the Ligue française contre l'épilepsie (LFCE) found it necessary to provide an update on EEG recommendations. This article will review the methodology applied to this work, refine the various topics detailed in the following chapters. It will go over the summary of recommendations for each of these chapters and highlight proposals for writing an EEG report. Some questions could not be answered by review of the literature; in such cases, in addition to the guidelines the working and reading groups provided their expert opinion.

  2. Updated recommendations on the use of hydroxychloroquine in dermatologic practice.

    PubMed

    Fernandez, Anthony P

    2017-03-16

    Hydroxychloroquine has unique immunomodulatory properties and an attractive adverse effect profile. Over the past 10 years, research has led to significant updates in clinical recommendations concerning the optimal use of hydroxychloroquine and monitoring of patients taking it. We discuss updated recommendations concerning hydroxychloroquine daily dosing, retinopathy screening, serologic monitoring, use in smokers, use in pregnant women, and adverse effect risk and monitoring. This review can hopefully serve as an aid to dermatologists and help ensure they continue using hydroxychloroquine safely and effectively.

  3. Wind Farm Recommendation Report

    SciTech Connect

    John Reisenauer

    2011-05-01

    On April 21, 2011, an Idaho National Laboratory (INL) Land Use Committee meeting was convened to develop a wind farm recommendation for the Executive Council and a list of proposed actions for proceeding with the recommendation. In terms of land use, the INL Land Use Committee unanimously agrees that Site 6 is the preferred location of the alternatives presented for an INL wind farm. However, further studies and resolution to questions raised (stated in this report) by the INL Land Use Committee are needed for the preferred location. Studies include, but are not limited to, wind viability (6 months), bats (2 years), and the visual impact of the wind farm. In addition, cultural resource surveys and consultation (1 month) and the National Environmental Policy Act process (9 to 12 months) need to be completed. Furthermore, there is no documented evidence of developers expressing interest in constructing a small wind farm on INL, nor a specific list of expectations or concessions for which a developer might expect INL to cover the cost. To date, INL assumes the National Environmental Policy Act activities will be paid for by the Department of Energy and INL (the environmental assessment has only received partial funding). However, other concessions also may be expected by developers such as roads, fencing, power line installation, tie-ins to substations, annual maintenance, snow removal, access control, down-time, and remediation. These types of concessions have not been documented, as a request, from a developer and INL has not identified the short and long-term cost liabilities for such concessions should a developer expect INL to cover these costs. INL has not identified a go-no-go funding level or the priority this Wind Farm Project might have with respect to other nuclear-related projects, should the wind farm remain an unfunded mandate. The Land Use Committee recommends Legal be consulted to determine what, if any, liabilities exist with the Wind Farm Project and

  4. Extremal surface barriers

    NASA Astrophysics Data System (ADS)

    Engelhardt, Netta; Wall, Aron C.

    2014-03-01

    We present a generic condition for Lorentzian manifolds to have a barrier that limits the reach of boundary-anchored extremal surfaces of arbitrary dimension. We show that any surface with nonpositive extrinsic curvature is a barrier, in the sense that extremal surfaces cannot be continuously deformed past it. Furthermore, the outermost barrier surface has nonnegative extrinsic curvature. Under certain conditions, we show that the existence of trapped surfaces implies a barrier, and conversely. In the context of AdS/CFT, these barriers imply that it is impossible to reconstruct the entire bulk using extremal surfaces. We comment on the implications for the firewall controversy.

  5. IRIS Product Recommendations

    NASA Technical Reports Server (NTRS)

    Short, David A.

    2000-01-01

    This report presents the Applied Meteorology Unit's (AMU) evaluation of SIGMET Inc.'s Integrated Radar Information System (IRIS) Product Generator and recommendations for products emphasizing lightning and microburst tools. The IRIS Product Generator processes radar reflectivity data from the Weather Surveillance Radar, model 74C (WSR-74C), located on Patrick Air Force Base. The IRIS System was upgraded from version 6.12 to version 7.05 in late December 1999. A statistical analysis of atmospheric temperature variability over the Cape Canaveral Air Force Station (CCAFS) Weather Station provided guidance for the configuration of radar products that provide information on the mixed-phase (liquid and ice) region of clouds, between 0 C and -20 C. Mixed-phase processes at these temperatures are physically linked to electrification and the genesis of severe weather within convectively generated clouds. Day-to-day variations in the atmospheric temperature profile are of sufficient magnitude to warrant periodic reconfiguration of radar products intended for the interpretation of lightning and microburst potential of convectively generated clouds. The AMU also examined the radar volume-scan strategy to determine the scales of vertical gaps within the altitude range of the 0 C to -20 C isotherms over the Kennedy Space Center (KSC)/CCAFS area. This report present's two objective strategies for designing volume scans and proposes a modified scan strategy that reduces the average vertical gap by 37% as a means for improving radar observations of cloud characteristics in the critical 0 C to -20 C layer. The AMU recommends a total of 18 products, including 11 products that require use of the IRIS programming language and the IRIS User Product Insert feature. Included is a cell trends product and display, modeled after the WSR-88D cell trends display in use by the National Weather Service.

  6. Extreme environments and exobiology.

    PubMed

    Friedmann, E I

    1993-01-01

    Ecological research on extreme environments can be applied to exobiological problems such as the question of life on Mars. If life forms (fossil or extant) are found on Mars, their study will help to solve fundamental questions about the nature of life on Earth. Extreme environments that are beyond the range of adaptability of their inhabitants are defined as "absolute extreme". Such environments can serve as terrestrial models for the last stages of life in the history of Mars, when the surface cooled down and atmosphere and water disappeared. The cryptoendolithic microbial community in porous rocks of the Ross Desert in Antarctica and the microbial mats at the bottom of frozen Antarctic lakes are such examples. The microbial communities of Siberian permafrost show that, in frozen but stable communities, long-term survival is possible. In the context of terraforming Mars, selected microorganisms isolated from absolute extreme environments are considered for use in creation of a biological carbon cycle.

  7. Survival of extreme opinions

    NASA Astrophysics Data System (ADS)

    Hsu, Jiann-wien; Huang, Ding-wei

    2009-12-01

    We study the survival of extreme opinions in various processes of consensus formation. All the opinions are treated equally and subjected to the same rules of changing. We investigate three typical models to reach a consensus in each case: (A) personal influence, (B) influence from surroundings, and (C) influence to surroundings. Starting with uniformly distributed random opinions, our calculated results show that the extreme opinions can survive in both models (A) and (B), but not in model (C). We obtain a conclusion that both personal influence and passive adaptation to the environment are not sufficient enough to eradicate all the extreme opinions. Only the active persuasion to change the surroundings eliminates the extreme opinions completely.

  8. Extreme environments and exobiology

    NASA Technical Reports Server (NTRS)

    Friedmann, E. I.

    1993-01-01

    Ecological research on extreme environments can be applied to exobiological problems such as the question of life on Mars. If life forms (fossil or extant) are found on Mars, their study will help to solve fundamental questions about the nature of life on Earth. Extreme environments that are beyond the range of adaptability of their inhabitants are defined as "absolute extreme". Such environments can serve as terrestrial models for the last stages of life in the history of Mars, when the surface cooled down and atmosphere and water disappeared. The cryptoendolithic microbial community in porous rocks of the Ross Desert in Antarctica and the microbial mats at the bottom of frozen Antarctic lakes are such examples. The microbial communities of Siberian permafrost show that, in frozen but stable communities, long-term survival is possible. In the context of terraforming Mars, selected microorganisms isolated from absolute extreme environments are considered for use in creation of a biological carbon cycle.

  9. USACE Extreme Sea levels

    DTIC Science & Technology

    2014-03-14

    into Extreme Water Level Characterization 9 September 2013 Attendees: Heidi Moritz, Kate White, Jonathan Simm, Robert Nicholls, Peter Hawkes...adaptation. Robert Nicholls raised the question of how well do we feel that we understand the present extreme climate? We should start with this area...the peer-review and acceptance process for a journal paper. Robert suggested that most of the papers which are needed for an analysis today may be

  10. Compilation of 1985 annual reports of the Navy elf (extremely low frequency) communications system ecological monitoring program. Volume 1. Tabs A-C. Annual progress report, January-December 1985

    SciTech Connect

    Becker, C.; Bruhn, J.; Cattelino, P.; Fuller, L.; Jurgensen, M.

    1986-07-01

    This is the fourth compilation of annual reports for the Navy's ELF Communications System Ecological Monitoring Program. The reports document the progress of ten studies performed during 1985 at the Wisconsin and Michigan Transmitting Facilities. The purpose of the monitoring is to determine whether electromagnetic fields produced by the ELF Communications System will affect resident biota or their ecological relationships. This volume consists of three reports: Herbaceous Plant Cover and Tree Studies; Litter Decomposition and Microflora; and The Effects of Exposing the Slime MOld Physarum polycephalum to Electromagnetic Fields.

  11. Advanced Instrumentation for Extreme Environments

    SciTech Connect

    Melin, Alexander M; Kisner, Roger; Fugate, David L

    2013-01-01

    The Department of Energy (DOE) Office of Nuclear Energy (NE) is pursuing embedded instrumentation and controls (I&C) technology for next generation nuclear power generation applications. Embedded systems encompass a wide range of configurations and technologies; we define embedding in this instance as the integration of the sensors and the control system design into the component design using a systems engineering process. Embedded I&C systems are often an essential part of developing new capabilities, improving reliability, enhancing performance, and reducing operational costs. The new intrinsically safe, more efficient, and cost effective reactor technologies (Next Generation Nuclear Plant and Small Modular Reactors) require the development and application of new I&C technologies. These new designs raise extreme environmental challenges such as high temperatures (over 700 C) and material compatibility (e.g., molten salts). The desired reliability and functionality requires measurements in these extreme conditions including high radiation environments which were not previously monitored in real time. The DOE/NE Nuclear Energy Enabling Technologies (NEET) program currently has several projects investigating I&C technologies necessary to make these reactor designs realizable. The project described in this paper has the specific goal of investigating embedded I&C with the following objectives: 1.Explore and quantify the potential gains from embedded I&C improved reliability, increased performance, and reduced cost 2.Identify practical control, sensing, and measurement techniques for the extreme environments found in high-temperature reactors 3.Design and fabricate a functional prototype high-temperature cooling pump for molten salts represents target demonstration of improved performance, reliability, and widespread usage There are many engineering challenges in the design of a high-temperature liquid salt cooling pump. The pump and motor are in direct contact with

  12. Outcomes for Extremely Premature Infants

    PubMed Central

    Glass, Hannah C.; Costarino, Andrew T.; Stayer, Stephen A.; Brett, Claire; Cladis, Franklyn; Davis, Peter J.

    2015-01-01

    Premature birth is a significant cause of infant and child morbidity and mortality. In the United States, the premature birth rate, which had steadily increased during the 1990s and early 2000s, has decreased annually for four years and is now approximately 11.5%. Human viability, defined as gestational age at which the chance of survival is 50%, is currently approximately 23–24 weeks in developed countries. Infant girls, on average, have better outcomes than infant boys. A relatively uncomplicated course in the intensive care nursery for an extremely premature infant results in a discharge date close to the prenatal EDC. Despite technological advances and efforts of child health experts during the last generation, the extremely premature infant (less than 28 weeks gestation) and extremely low birth weight infant (ELBW) (< 1000 grams) remain at high risk for death and disability with 30–50% mortality and, in survivors, at least 20–50% risk of morbidity. The introduction of CPAP, mechanical ventilation, and exogenous surfactant increased survival and spurred the development of neonatal intensive care in the 1970s through the early 1990s. Routine administration of antenatal steroids during premature labor improved neonatal mortality and morbidity in the late 1990s. The recognition that chronic postnatal administration of steroids to infants should be avoided may have improved outcomes in the early 2000s. Evidence from recent trials attempting to define the appropriate target for oxygen saturation in preterm infants suggests arterial oxygen saturation between 91–95% (compared to 85–89%) avoids excess mortality. However, final analyses of data from these trials have not been published, so definitive recommendations are still pending The development of neonatal neurocognitive care visits may improve neurocognitive outcomes in this high-risk group. Long-term follow up to detect and address developmental, learning, behavioral, and social problems is critical for

  13. Analytical Performance Requirements for Systems for Self-Monitoring of Blood Glucose With Focus on System Accuracy: Relevant Differences Among ISO 15197:2003, ISO 15197:2013, and Current FDA Recommendations.

    PubMed

    Freckmann, Guido; Schmid, Christina; Baumstark, Annette; Rutschmann, Malte; Haug, Cornelia; Heinemann, Lutz

    2015-07-01

    In the European Union (EU), the ISO (International Organization for Standardization) 15197 standard is applicable for the evaluation of systems for self-monitoring of blood glucose (SMBG) before the market approval. In 2013, a revised version of this standard was published. Relevant revisions in the analytical performance requirements are the inclusion of the evaluation of influence quantities, for example, hematocrit, and some changes in the testing procedures for measurement precision and system accuracy evaluation, for example, number of test strip lots. Regarding system accuracy evaluation, the most important change is the inclusion of more stringent accuracy criteria. In 2014, the Food and Drug Administration (FDA) in the United States published their own guidance document for the premarket evaluation of SMBG systems with even more stringent system accuracy criteria than stipulated by ISO 15197:2013. The establishment of strict accuracy criteria applicable for the premarket evaluation is a possible approach to further improve the measurement quality of SMBG systems. However, the system accuracy testing procedure is quite complex, and some critical aspects, for example, systematic measurement difference between the reference measurement procedure and a higher-order procedure, may potentially limit the apparent accuracy of a given system. Therefore, the implementation of a harmonized reference measurement procedure for which traceability to standards of higher order is verified through an unbroken, documented chain of calibrations is desirable. In addition, the establishment of regular and standardized post-marketing evaluations of distributed test strip lots should be considered as an approach toward an improved measurement quality of available SMBG systems.

  14. Electronics for Extreme Environments

    NASA Technical Reports Server (NTRS)

    Patel, J. U.; Cressler, J.; Li, Y.; Niu, G.

    2001-01-01

    Most of the NASA missions involve extreme environments comprising radiation and low or high temperatures. Current practice of providing friendly ambient operating environment to electronics costs considerable power and mass (for shielding). Immediate missions such as the Europa orbiter and lander and Mars landers require the electronics to perform reliably in extreme conditions during the most critical part of the mission. Some other missions planned in the future also involve substantial surface activity in terms of measurements, sample collection, penetration through ice and crust and the analysis of samples. Thus it is extremely critical to develop electronics that could reliably operate under extreme space environments. Silicon On Insulator (SOI) technology is an extremely attractive candidate for NASA's future low power and high speed electronic systems because it offers increased transconductance, decreased sub-threshold slope, reduced short channel effects, elimination of kink effect, enhanced low field mobility, and immunity from radiation induced latch-up. A common belief that semiconductor devices function better at low temperatures is generally true for bulk devices but it does not hold true for deep sub-micron SOI CMOS devices with microscopic device features of 0.25 micrometers and smaller. Various temperature sensitive device parameters and device characteristics have recently been reported in the literature. Behavior of state of the art technology devices under such conditions needs to be evaluated in order to determine possible modifications in the device design for better performance and survivability under extreme environments. Here, we present a unique approach of developing electronics for extreme environments to benefit future NASA missions as described above. This will also benefit other long transit/life time missions such as the solar sail and planetary outposts in which electronics is out open in the unshielded space at the ambient space

  15. Extreme Programming: Maestro Style

    NASA Technical Reports Server (NTRS)

    Norris, Jeffrey; Fox, Jason; Rabe, Kenneth; Shu, I-Hsiang; Powell, Mark

    2009-01-01

    "Extreme Programming: Maestro Style" is the name of a computer programming methodology that has evolved as a custom version of a methodology, called extreme programming that has been practiced in the software industry since the late 1990s. The name of this version reflects its origin in the work of the Maestro team at NASA's Jet Propulsion Laboratory that develops software for Mars exploration missions. Extreme programming is oriented toward agile development of software resting on values of simplicity, communication, testing, and aggressiveness. Extreme programming involves use of methods of rapidly building and disseminating institutional knowledge among members of a computer-programming team to give all the members a shared view that matches the view of the customers for whom the software system is to be developed. Extreme programming includes frequent planning by programmers in collaboration with customers, continually examining and rewriting code in striving for the simplest workable software designs, a system metaphor (basically, an abstraction of the system that provides easy-to-remember software-naming conventions and insight into the architecture of the system), programmers working in pairs, adherence to a set of coding standards, collaboration of customers and programmers, frequent verbal communication, frequent releases of software in small increments of development, repeated testing of the developmental software by both programmers and customers, and continuous interaction between the team and the customers. The environment in which the Maestro team works requires the team to quickly adapt to changing needs of its customers. In addition, the team cannot afford to accept unnecessary development risk. Extreme programming enables the Maestro team to remain agile and provide high-quality software and service to its customers. However, several factors in the Maestro environment have made it necessary to modify some of the conventional extreme

  16. Site Recommendation Subsurface Layout

    SciTech Connect

    C.L. Linden

    2000-06-28

    The purpose of this analysis is to develop a Subsurface Facility layout that is capable of accommodating the statutory capacity of 70,000 metric tons of uranium (MTU), as well as an option to expand the inventory capacity, if authorized, to 97,000 MTU. The layout configuration also requires a degree of flexibility to accommodate potential changes in site conditions or program requirements. The objective of this analysis is to provide a conceptual design of the Subsurface Facility sufficient to support the development of the Subsurface Facility System Description Document (CRWMS M&O 2000e) and the ''Emplacement Drift System Description Document'' (CRWMS M&O 2000i). As well, this analysis provides input to the Site Recommendation Consideration Report. The scope of this analysis includes: (1) Evaluation of the existing facilities and their integration into the Subsurface Facility design. (2) Identification and incorporation of factors influencing Subsurface Facility design, such as geological constraints, thermal loading, constructibility, subsurface ventilation, drainage control, radiological considerations, and the Test and Evaluation Facilities. (3) Development of a layout showing an available area in the primary area sufficient to support both the waste inventories and individual layouts showing the emplacement area required for 70,000 MTU and, if authorized, 97,000 MTU.

  17. European recommendations for antimicrobial resistance surveillance.

    PubMed

    Cornaglia, G; Hryniewicz, W; Jarlier, V; Kahlmeter, G; Mittermayer, H; Stratchounski, L; Baquero, F

    2004-04-01

    The problem of antimicrobial resistance surveillance in Europe has been debated extensively in many excellent documents issued by national committees that often assume the value of national guidelines. However, a comprehensive document addressing the whole matter from a European perspective, as well as reviewing its present status and drafting future perspectives, has been lacking. The present recommendations have been produced by the ESCMID Study Group for Antimicrobial Resistance Surveillance (ESGARS) through a consensus process involving all members of the Study Group. The recommendations focus on the detection of bacterial resistance and its reporting to clinicians, public health officers and a wider-and ever-increasing-audience. The leading concept is that the basis for resistance monitoring is microbiological diagnostics. The prerequisites for resistance monitoring are findings of adequate quality and quantity, which have been recorded properly and evaluated correctly. Different types of surveillance studies should fulfil different requirements with regard to data collection and reporting, the expected use of data, and the prerequisites for networking such activities. To generate relevant indicators, bacterial resistance data should be reported using adequate denominators and stratification. Reporting of antimicrobial resistance data is necessary for selection of empirical therapy at the local level, for assessing the scale of the resistance problem at the local, national or international levels, for monitoring changes in resistance rates, and for detecting the emergence and spread of new resistances types. Any type of surveillance study should conclude, where appropriate, with a proposal for intervention based on the data obtained.

  18. Spectrometer technology recommendations

    NASA Technical Reports Server (NTRS)

    Wilson, William J.

    1988-01-01

    A typical heterodyne remote sensing system contains three major elements: the antenna, the radiometer, and the spectrometer. The radiometer consists of the local oscillator, the mixer, and the intermediate frequency amplifiers. This subsystem performs the function of down converting the high frequency incident thermal emission signal to a lower intermediate frequency. The spectrometer measures the power spectrum of the down-converted signal simultaneously in many contiguous frequency channels. Typical spectrum analysis requirements involve measurement of signal bandwidths of 100 to 1000 MHz with a channel resolution of 0.5 to 10 MHz. Three general approaches are used for spectrometers: (1) filter banks, (2) Acousto-Optic Spectrometers (AOS's), and (3) digital autocorrelators. In contrast to the two frequency domain techniques, an autocorrelator works in the time domain. The autocorrelation function (ACF) of the incoming signal is computed and averaged over the integration time. The averaged ACF is then Fourier transformed to obtain the signal power spectrum. Significant progress was made in the development of sub mm antennas and radiometers. It is now time to begin research in the development of low power spaceborne spectrometers and to reduce their size and weight. The near-term research goal will be to develop a prototype digital autocorrelation spectrometer, using VLSI gate array technology, which will have a small size, low power requirements, and can be used in spacecraft mm and sub mm radiometer systems. The long-range objective of this technology development is to make extremely low power, less than 10 mW/channel, small and stable wideband spectrometers which can be used in future mm and sub mm wavelength space missions such as the Large Deployable Reflector.

  19. Spectrometer technology recommendations

    NASA Astrophysics Data System (ADS)

    Wilson, William J.

    1988-08-01

    A typical heterodyne remote sensing system contains three major elements: the antenna, the radiometer, and the spectrometer. The radiometer consists of the local oscillator, the mixer, and the intermediate frequency amplifiers. This subsystem performs the function of down converting the high frequency incident thermal emission signal to a lower intermediate frequency. The spectrometer measures the power spectrum of the down-converted signal simultaneously in many contiguous frequency channels. Typical spectrum analysis requirements involve measurement of signal bandwidths of 100 to 1000 MHz with a channel resolution of 0.5 to 10 MHz. Three general approaches are used for spectrometers: (1) filter banks, (2) Acousto-Optic Spectrometers (AOS's), and (3) digital autocorrelators. In contrast to the two frequency domain techniques, an autocorrelator works in the time domain. The autocorrelation function (ACF) of the incoming signal is computed and averaged over the integration time. The averaged ACF is then Fourier transformed to obtain the signal power spectrum. Significant progress was made in the development of sub mm antennas and radiometers. It is now time to begin research in the development of low power spaceborne spectrometers and to reduce their size and weight. The near-term research goal will be to develop a prototype digital autocorrelation spectrometer, using VLSI gate array technology, which will have a small size, low power requirements, and can be used in spacecraft mm and sub mm radiometer systems. The long-range objective of this technology development is to make extremely low power, less than 10 mW/channel, small and stable wideband spectrometers which can be used in future mm and sub mm wavelength space missions such as the Large Deployable Reflector.

  20. Environmental monitoring plan

    SciTech Connect

    Holland, R.C.

    1997-02-01

    This Environmental Monitoring Plan was written to fulfill the requirements of Department of Energy (DOE) Order 5400.1 and DOE Environmental Regulatory Guide DOE/EH 0173T. This Plan documents the background, organizational structure, and methods used for effluent monitoring and environmental surveillance at Sandia National Laboratories/California. The design, rationale, and historical results of the environmental monitoring system are discussed in detail. Throughout the Plan, recommendations for improvements to the monitoring system are made. 52 refs., 10 figs., 12 tabs.

  1. [Recommendations for neonatal transport].

    PubMed

    Moreno Hernando, J; Thió Lluch, M; Salguero García, E; Rite Gracia, S; Fernández Lorenzo, J R; Echaniz Urcelay, I; Botet Mussons, F; Herranz Carrillo, G; Sánchez Luna, M

    2013-08-01

    During pregnancy, it is not always possible to identify maternal or foetal risk factors. Infants requiring specialised medical care are not always born in centres providing intensive care and will need to be transferred to a referral centre where intensive care can be provided. Therefore Neonatal Transport needs to be considered as part of the organisation of perinatal health care. The aim of Neonatal Transport is to transfer a newborn infant requiring intensive care to a centre where specialised resources and experience can be provided for the appropriate assessment and continuing treatment of a sick newborn infant. Intrauterine transfer is the ideal mode of transport when the birth of an infant with risk factors is diagnosed. Unfortunately, not all problems can be detected in advance with enough time to safely transfer a pregnant woman. Around 30- 50% of risk factors will be diagnosed during labour or soon after birth. Therefore, it is important to have the knowledge and resources to resuscitate and stabilise a newborn infant, as well as a specialised neonatal transport system. With this specialised transport it is possible to transfer newly born infants with the same level of care that they would receive if they had been born in a referral hospital, without increasing their risks or affecting the wellbeing of the newborn. The Standards Committee of the Spanish Society of Neonatology reviewed and updated recommendations for intrauterine transport and indications for neonatal transfer. They also reviewed organisational and logistic factors involved with performing neonatal transport. The Committee review included the type of personnel who should be involved; communication between referral and receiving hospitals; documentation; mode of transport; equipment to stabilise newly born infants; management during transfer, and admission at the referral hospital.

  2. Environmental Monitoring Plan

    SciTech Connect

    Holland, R.C.

    1993-07-01

    This Environmental Monitoring Plan was written to fulfill the requirements of Department of Energy (DOE) Order 5400.1 and DOE Environmental Regulatory Guide DOE/EH 0173T. This Plan documents the background, organizational structure, and methods used for effluent monitoring and environmental surveillance at Sandia National Laboratories/California. The design, rationale, and historical results of the environmental monitoring system are discussed in detail. Throughout the Plan, recommendations for improvements to the monitoring system are made. This revision to the Environmental Monitoring Plan was written to document the changes made to the Monitoring Program during 1992. Some of the data (most notably the statistical analyses of past monitoring data) has not been changed.

  3. Climate change and the effects of temperature extremes on Australian flying-foxes.

    PubMed

    Welbergen, Justin A; Klose, Stefan M; Markus, Nicola; Eby, Peggy

    2008-02-22

    Little is known about the effects of temperature extremes on natural systems. This is of increasing concern now that climate models predict dramatic increases in the intensity, duration and frequency of such extremes. Here we examine the effects of temperature extremes on behaviour and demography of vulnerable wild flying-foxes (Pteropus spp.). On 12 January 2002 in New South Wales, Australia, temperatures exceeding 42 degrees C killed over 3500 individuals in nine mixed-species colonies. In one colony, we recorded a predictable sequence of thermoregulatory behaviours (wing-fanning, shade-seeking, panting and saliva-spreading, respectively) and witnessed how 5-6% of bats died from hyperthermia. Mortality was greater among the tropical black flying-fox, Pteropus alecto (10-13%) than the temperate grey-headed flying-fox, Pteropus poliocephalus (less than 1%), and young and adult females were more affected than adult males (young, 23-49%; females, 10-15%; males, less than 3%). Since 1994, over 30000 flying-foxes (including at least 24500 P. poliocephalus) were killed during 19 similar events. Although P. alecto was relatively less affected, it is currently expanding its range into the more variable temperature envelope of P. poliocephalus, which increases the likelihood of die-offs occurring in this species. Temperature extremes are important additional threats to Australian flying-foxes and the ecosystem services they provide, and we recommend close monitoring of colonies where temperatures exceeding 42.0 degrees C are predicted. The effects of temperature extremes on flying-foxes highlight the complex implications of climate change for behaviour, demography and species survival.

  4. Comprehensive air monitoring plan: general monitoring report

    SciTech Connect

    Not Available

    1980-03-31

    Recommendations are provided for general monitoring of hydrogen sulfide (H/sub 2/S) in ambient air in parts of Colusa, Lake, Mendocino, Napa, and Sonoma counties potentially impacted by emissions from geothermal development projects in the Geysers-Calistoga Known Geothermal Resource Area. Recommendations for types, placement, performance guidelines, and criteria and procedure for triggering establishment and termination of CAMP monitoring equipment were determined after examination of four factors: population location; emission sources; meteorological considerations; and data needs of permitting agencies and applicants. Three alternate financial plans were developed. Locations and equipment for immediate installation are recommended for: two air quality stations in communities where the State ambient air quality standard for H/sub 2/S has been exceeded; three air quality trend stations to monitor progress in reduction of H/sub 2/S emissions; two meteorological observation stations to monitor synoptic wind flow over the area; and one acoustic radar and one rawinsonde station to monitor air inversions which limit the depth of the mixing layer.

  5. Imaging of neuro-cognitive performance in extreme Environments—A (p)review

    NASA Astrophysics Data System (ADS)

    Schneider, Stefan; Bubeev, Juri A.; Choukèr, Alexander; Morukov, Boris; Johannes, Bernd; Strüder, Heiko K.

    2012-12-01

    Living in extreme environments is accompanied by a number of stressors, which can be classified either as physiological stressors (e.g. microgravity, missing sunlight) or psychological stressors (e.g. confinement). From earth bound studies a negative impact of stress on mental health and cognitive performance is well known and both factors might impair mission success and mission safety during longer inhabitation of space. Accordingly there is the need to identify adequate countermeasures. Nevertheless causal research of neuro-cognitive impairments in space remains speculative due to missing possibilities of brain imaging. Furthermore the reliability of current psychological tests used to assess and monitor cognitive performance in extreme environments seems to be vulnerable due to a lack of compliance. With on-going plans of international space agencies to send people to moon and/or mars, this manuscript aims to summarize and review research attempts of the past two decades and to identify methodological shortcomings. Finally, following the guideline that research has no legacy for its own but must serve the self-concept and well-being of man, this manuscript presents a number of recommendations to enhance future neuro-cognitive research in extreme environments. A deeper insight into neuro-cognitive coherence is not only desirable to understand the effects of stress on mental health, which seems to be a major issue for our current society, and to develop adequate countermeasures but will also help to maintain and improve mission success and mission safety in manned space flight.

  6. Adventure and Extreme Sports.

    PubMed

    Gomez, Andrew Thomas; Rao, Ashwin

    2016-03-01

    Adventure and extreme sports often involve unpredictable and inhospitable environments, high velocities, and stunts. These activities vary widely and include sports like BASE jumping, snowboarding, kayaking, and surfing. Increasing interest and participation in adventure and extreme sports warrants understanding by clinicians to facilitate prevention, identification, and treatment of injuries unique to each sport. This article covers alpine skiing and snowboarding, skateboarding, surfing, bungee jumping, BASE jumping, and whitewater sports with emphasis on epidemiology, demographics, general injury mechanisms, specific injuries, chronic injuries, fatality data, and prevention. Overall, most injuries are related to overuse, trauma, and environmental or microbial exposure.

  7. Occult fractures of extremities.

    PubMed

    Ahn, Joong Mo; El-Khoury, Georges Y

    2007-05-01

    Recent advances in cross-sectional imaging, particularly in CT and MR imaging, have given these modalities a prominent role in the diagnosis of fractures of the extremities. This article describes the clinical application and imaging features of cross-sectional imaging (CT and MR imaging) in the evaluation of patients who have occult fractures of the extremities. Although CT or MR imaging is not typically required for evaluation of acute fractures, these modalities could be helpful in the evaluation of the occult osseous injuries in which radiographic findings are equivocal or inconclusive.

  8. Mood responses to athletic performance in extreme environments.

    PubMed

    Lane, Andrew M; Terry, Peter C; Stevens, Matthew J; Barney, Sam; Dinsdale, Sarah L

    2004-10-01

    Competition at elite level can require athletes to perform optimally in extreme environmental conditions. This review focuses on mood responses in such conditions and proposes practical guidelines for those working with athletes. Different environments are considered, including altitude and extreme heat and cold. Performing in extreme heat, cold or at altitude can produce a stress response characterized by increased negative mood and relatively poor performance. Positive adaptations to extreme conditions can be accelerated, but the rate of adaptation appears to be highly individualized. Monitoring mood responses to training under normal conditions provides a basis for identifying the psychological effects of extreme conditions. It is suggested that practitioners carefully monitor the interplay between vigour, fatigue and depressed mood. Reductions in vigour and increases in fatigue are normal responses to hard training, but other aspects of mood disturbance, especially symptoms of depressed mood--however small--may be indicative of a maladaptive response, and practitioners should consider intervening when such symptoms first appear.

  9. The Extreme Case of Magnetars

    NASA Technical Reports Server (NTRS)

    Kouveliotou, Chryssa

    2011-01-01

    Magnetars are magnetically powered rotating neutron stars with extreme magnetic fields (over 10(exp 14) Gauss). They were discovered in the X- and gamma-rays where they predominantly emit their radiation. Very few sources (roughly 18) have been found since their discovery in 1987. NASA's Fermi Gamma-ray Space Telescope was launched June 11, 2009; since then the Fermi Gamma-ray Burst Monitor (GBM) recorded emission from four magnetar sources. Two of these were brand new sources, SGR J0501+4516, discovered with Swift and extensively monitored with Swift and GBM, SGR J0418+5729, discovered with GBM and the Interplanetary Network (IPN). A third was SGR J1550-5418, a source originally classified as an Anomalous X-ray Pulsar (AXP 1E1547.0-5408), but exhibiting a very prolific outburst with over 400 events recorded in January 2009. In my talk I will give a short history of magnetars and describe how this, once relatively esoteric field, has emerged as a link between several astrophysical areas including Gamma-Ray Bursts. Finally, I will describe the exciting new results of Fermi in this field and the current status of our knowledge of the magnetar population properties and magnetic fields.

  10. Developing Effective Communications about Extreme Weather Risks.

    NASA Astrophysics Data System (ADS)

    Bruine de Bruin, W.

    2014-12-01

    Members of the general public often face complex decisions about the risks that they face, including those associated with extreme weather and climate change adaptation. Scientific experts may be asked to develop communications with the goal of improving people's understanding of weather and climate risks, and informing people's decisions about how to protect against these risks. Unfortunately, scientific experts' communication efforts may fail if they lack information about what people need or want to know to make more informed decisions or what wording people prefer use to describe relevant concepts. This presentation provides general principles for developing effective risk communication materials that aim for widespread dissemination, such as brochures and websites. After a brief review of the social science evidence on how to design effective risk communication materials, examples will focus on communications about extreme weather events and climate change. Specifically, data will be presented from ongoing projects on flood risk perception, public preparedness for heat waves, and public perceptions of climate change. The presentation will end with specific recommendations about how to improve recipients' understanding about risks and inform decisions. These recommendations should be useful to scientific experts who aim to communicate about extreme weather, climate change, or other risks.

  11. Drugs and drug administration in extreme environments.

    PubMed

    Küpper, Thomas E A H; Schraut, Bettina; Rieke, Burkhard; Hemmerling, Arnica-Verena; Schöffl, Volker; Steffgen, Juergen

    2006-01-01

    Emergency medicine must often cope with harsh climates far below freezing point or high temperatures, and sometimes, an alternative to the normal route of drug administration is necessary. Most of this information is not yet published. Therefore, we summarized the information about these topics for most drugs used in medical emergencies by combining literature research with extensive personal communications with the heads of the drug safety departments of the companies producing these drugs. Most drugs can be used after temperature stress of limited duration. Nevertheless, we recommend replacing them at least once per year or after extreme heat. Knowledge about drugs used in extreme environments will be of increasing importance for medical personnel because in an increasingly mobile society, more and more people, and especially elderly -often with individual medical risks-travel to extreme regions such as tropical or arctic regions or to high altitude, and some of them need medical care during these activities. Because of this increasing need to use drugs in harsh climates (tourism, expeditions, peace corps, military, etc) the actual International Congress of Harmonization recommendations should be added with stability tests at +50 degrees C, freezing and oscillating temperatures, and UV exposure to simulate the storage of the drugs at "outdoor conditions."

  12. Extreme Geomagnetic Storms - 1868 - 2010

    NASA Astrophysics Data System (ADS)

    Vennerstrom, S.; Lefevre, L.; Dumbović, M.; Crosby, N.; Malandraki, O.; Patsou, I.; Clette, F.; Veronig, A.; Vršnak, B.; Leer, K.; Moretto, T.

    2016-05-01

    We present the first large statistical study of extreme geomagnetic storms based on historical data from the time period 1868 - 2010. This article is the first of two companion papers. Here we describe how the storms were selected and focus on their near-Earth characteristics. The second article presents our investigation of the corresponding solar events and their characteristics. The storms were selected based on their intensity in the aa index, which constitutes the longest existing continuous series of geomagnetic activity. They are analyzed statistically in the context of more well-known geomagnetic indices, such as the Kp and Dcx/Dst index. This reveals that neither Kp nor Dcx/Dst provide a comprehensive geomagnetic measure of the extreme storms. We rank the storms by including long series of single magnetic observatory data. The top storms on the rank list are the New York Railroad storm occurring in May 1921 and the Quebec storm from March 1989. We identify key characteristics of the storms by combining several different available data sources, lists of storm sudden commencements (SSCs) signifying occurrence of interplanetary shocks, solar wind in-situ measurements, neutron monitor data, and associated identifications of Forbush decreases as well as satellite measurements of energetic proton fluxes in the near-Earth space environment. From this we find, among other results, that the extreme storms are very strongly correlated with the occurrence of interplanetary shocks (91 - 100 %), Forbush decreases (100 %), and energetic solar proton events (70 %). A quantitative comparison of these associations relative to less intense storms is also presented. Most notably, we find that most often the extreme storms are characterized by a complexity that is associated with multiple, often interacting, solar wind disturbances and that they frequently occur when the geomagnetic activity is already elevated. We also investigate the semiannual variation in storm occurrence

  13. Electrochemical biosensors: recommended definitions and classification.

    PubMed

    Thévenot, D R; Toth, K; Durst, R A; Wilson, G S

    2001-01-01

    Two Divisions of the International Union of Pure and Applied Chemistry (IUPAC), namely Physical Chemistry (Commission 1.7 on Biophysical Chemistry formerly Steering Committee on Biophysical Chemistry) and Analytical Chemistry (Commission V.5 on Electroanalytical Chemistry) have prepared recommendations on the definition, classification and nomenclature related to electrochemical biosensors: these recommendations could, in the future, be extended to other types of biosensors. An electrochemical biosensor is a self-contained integrated device, which is capable of providing specific quantitative or semi-quantitative analytical information using a biological recognition element (biochemical receptor) which is retained in direct spatial contact with an electrochemical transduction element. Because of their ability to be repeatedly calibrated, we recommend that a biosensor should be clearly distinguished from a bioanalytical system, which requires additional processing steps, such as reagent addition. A device that is both disposable after one measurement, i.e. single use, and unable to monitor the analyte concentration continuously or after rapid and reproducible regeneration, should be designated a single use biosensor. Biosensors may be classified according to the biological specificity-conferring mechanism or, alternatively, to the mode of physico-chemical signal transduction. The biological recognition element may be based on a chemical reaction catalysed by, or on an equilibrium reaction with macromolecules that have been isolated, engineered or present in their original biological environment. In the latter cases. equilibrium is generally reached and there is no further, if any, net consumption of analyte(s) by the immobilized biocomplexing agent incorporated into the sensor. Biosensors may be further classified according to the analytes or reactions that they monitor: direct monitoring of analyte concentration or of reactions producing or consuming such analytes

  14. Extreme Ultraviolet Explorer Science Operation Center

    NASA Technical Reports Server (NTRS)

    Wong, G. S.; Kronberg, F. A.; Meriwether, H. D.; Wong, L. S.; Grassi, C. L.

    1993-01-01

    The EUVE Science Operations Center (ESOC) is a satellite payload operations center for the Extreme Ultraviolet Explorer project, located on the Berkeley campus of the University of California. The ESOC has the primary responsibility for commanding the EUVE telescopes and monitoring their telemetry. The ESOC is one of a very few university-based satellite operations facilities operating with NASA. This article describes the history, operation, and advantages of the ESOC as an on-campus operations center.

  15. Hydrological extremes and security

    NASA Astrophysics Data System (ADS)

    Kundzewicz, Z. W.; Matczak, P.

    2015-04-01

    Economic losses caused by hydrological extremes - floods and droughts - have been on the rise. Hydrological extremes jeopardize human security and impact on societal livelihood and welfare. Security can be generally understood as freedom from threat and the ability of societies to maintain their independent identity and their functional integrity against forces of change. Several dimensions of security are reviewed in the context of hydrological extremes. The traditional interpretation of security, focused on the state military capabilities, has been replaced by a wider understanding, including economic, societal and environmental aspects that get increasing attention. Floods and droughts pose a burden and serious challenges to the state that is responsible for sustaining economic development, and societal and environmental security. The latter can be regarded as the maintenance of ecosystem services, on which a society depends. An important part of it is water security, which can be defined as the availability of an adequate quantity and quality of water for health, livelihoods, ecosystems and production, coupled with an acceptable level of water-related risks to people, environments and economies. Security concerns arise because, over large areas, hydrological extremes - floods and droughts - are becoming more frequent and more severe. In terms of dealing with water-related risks, climate change can increase uncertainties, which makes the state's task to deliver security more difficult and more expensive. However, changes in population size and development, and level of protection, drive exposure to hydrological hazards.

  16. Astron extreme lightweighting

    NASA Astrophysics Data System (ADS)

    Tromp, Niels; Drost, Marco; Pragt, Johan

    2004-09-01

    Producing extreme light weighted structures by combining a new design concept with the most recent production machines and production software tools. Weight reductions of up to 50% compared to the traditional techniques are feasible with the same stiffness performance. Suitable for standard materials like aluminium and steel, for single construction parts out of mono material and with a single production process. Astronomical instruments for space applications and ground-based applications require more and more extreme light and extreme stiff structures. The traditional technique like 3-axis or multisided machining of metal parts seems limited and not suitable for the next generation instruments. New materials with new production technologies are used more and more with all their specialties and restrictions. ASTRON developed a new structural design of traditional materials with heritage optimized for production with the most recent milling machines. The structural shapes are closely linked to the extremes of 5-axis simultaneous milling. The design and production process is patented and now free for publication.

  17. Extreme saline water advection into the Don River delta and ice advections into Kerch Strait

    NASA Astrophysics Data System (ADS)

    Matishov, G. G.

    2015-11-01

    Analysis of such extreme natural phenomena as inflow of saline transformed waters from the Black Sea into the Don River delta, ice drift, and some others, which have been observed in the Sea of Azov in the recent years, is performed. The process and consequences of the ice movement from the Sea of Azov into Kerch Strait under the effect of hurricane-force NE winds is characterized. Data on the salinity and water level changes during the intensive westerly winds are given. The relationship between salinity and water level during episodes of the surges and downsurges is found. Recommendations for organizing the monitoring measures, intended to increase the accuracy of forecasting emergency situations in the Gulf of Taganrog, Sea of Azov, are presented.

  18. [Recommendations for the surveillance of Aedes aegypti].

    PubMed

    Barrera, Roberto

    2016-09-01

    Diseases caused by arboviruses transmitted by Aedes aegypti, such as dengue, chikungunya and Zika, continue to rise in annual incidence and geographic expansion. A key limitation for achieving control of A. aegypti has been the lack of effective tools for monitoring its population, and thus determine what control measures actually work. Surveillance of A. aegypti has been based mainly on immature indexes, but they bear little relation to the number of mosquito females, which are the ones capable of transmitting the viruses. The recent development of sampling techniques for adults of this vector species promises to facilitate surveillance and control activities. In this review, we present the various monitoring techniques for this mosquito, along with a discussion of their usefulness, and recommendations for improved entomological surveillance.

  19. Measuring and monitoring biological diversity: Standard methods for amphibians

    USGS Publications Warehouse

    Heyer, W. Ronald; Donnelly, Maureen A.; McDiarmid, Roy W.; Hayek, Lee-Ann C.; Foster, Mercedes S.

    1994-01-01

    Measuring and Monitoring Biological Diversity is the first book to provide comprehensive coverage of standard methods for biodiversity sampling of amphibians, with information on analyzing and using data that will interest biologists in general.In this manual, nearly fifty herpetologists recommend ten standard sampling procedures for measuring and monitoring amphibian and many other populations. The contributors discuss each procedure, along with the circumstances for its appropriate use. In addition, they provide a detailed protocol for each procedure's implementation, a list of necessary equipment and personnel, and suggestions for analyzing the data.The data obtained using these standard methods are comparable across sites and through time and, as a result, are extremely useful for making decisions about habitat protection, sustained use, and restoration—decisions that are particularly relevant for threatened amphibian populations.

  20. Recent and future extreme precipitation over Ukraine

    NASA Astrophysics Data System (ADS)

    Vyshkvarkova, Olena; Voskresenskaya, Elena

    2014-05-01

    The aim of study is to analyze the parameters of precipitation extremes and inequality over Ukraine in recent climate epoch and their possible changes in the future. Data of observations from 28 hydrometeorological stations over Ukraine and output of GFDL-CM3 model (CMIP5) for XXI century were used in the study. The methods of concentration index (J. Martin-Vide, 2004) for the study of precipitation inequality while the extreme precipitation indices recommended by the ETCCDI - for the frequency of events. Results. Precipitation inequality on the annual and seasonal scales was studied using estimated CI series for 1951-2005. It was found that annual CI ranges vary from 0.58 to 0.64. They increase southward from the north-west (forest zone) and the north-east (forest steppe zone) of Ukraine. CI maxima are located in the coastal regions of the Black Sea and the Sea of Azov. Annual CI spatial distribution indicates that the contribution of extreme precipitation into annual totals is most significant at the boundary zone between steppe and marine regions. At the same time precipitation pattern at the foothill of Carpathian Mountains is more homogenous. The CI minima (0.54) are typical for the winter season in foothill of Ukrainian Carpathians. The CI maxima reach 0.71 in spring at the steppe zone closed to the Black Sea coast. It should be noted that the greatest ranges of CI maximum and CI minimum deviation are typical for spring. It is associated with patterns of cyclone trajectories in that season. The most territory is characterized by tendency to decrease the contribution of extreme precipitation into the total amount (CI linear trends are predominantly negative in all seasons). Decadal and interdecadal variability of precipitation inequality associated with global processes in ocean-atmosphere system are also studied. It was shown that precipitation inequality over Ukraine on 10 - 15 % stronger in negative phase of Pacific Decadal Oscillation and in positive phase

  1. Meteorological Monitoring Program

    SciTech Connect

    Hancock, H.A. Jr.; Parker, M.J.; Addis, R.P.

    1994-09-01

    The purpose of this technical report is to provide a comprehensive, detailed overview of the meteorological monitoring program at the Savannah River Site (SRS) near Aiken, South Carolina. The principle function of the program is to provide current, accurate meteorological data as input for calculating the transport and diffusion of any unplanned release of an atmospheric pollutant. The report is recommended for meteorologists, technicians, or any personnel who require an in-depth understanding of the meteorological monitoring program.

  2. Context-Aware Recommender Systems

    NASA Astrophysics Data System (ADS)

    Adomavicius, Gediminas; Tuzhilin, Alexander

    The importance of contextual information has been recognized by researchers and practitioners in many disciplines, including e-commerce personalization, information retrieval, ubiquitous and mobile computing, data mining, marketing, and management. While a substantial amount of research has already been performed in the area of recommender systems, most existing approaches focus on recommending the most relevant items to users without taking into account any additional contextual information, such as time, location, or the company of other people (e.g., for watching movies or dining out). In this chapter we argue that relevant contextual information does matter in recommender systems and that it is important to take this information into account when providing recommendations. We discuss the general notion of context and how it can be modeled in recommender systems. Furthermore, we introduce three different algorithmic paradigms - contextual prefiltering, post-filtering, and modeling - for incorporating contextual information into the recommendation process, discuss the possibilities of combining several contextaware recommendation techniques into a single unifying approach, and provide a case study of one such combined approach. Finally, we present additional capabilities for context-aware recommenders and discuss important and promising directions for future research.

  3. Teacher Leadership: Federal Policy Recommendations

    ERIC Educational Resources Information Center

    Gran, Jackie; Young, Margaret; Broin, Alexandra

    2015-01-01

    This policy brief was developed specifically for federal policymakers, and builds upon the policy recommendations included in "Leading from Every Seat: Empowering Principals to Cultivate Teacher Leadership for School Improvement." The recommendations in this report include the following: (1) Uncover New Leadership Ideas and Seed…

  4. Factitious disorders of the upper extremity.

    PubMed

    Birman, Michael V; Lee, Donald H

    2012-02-01

    Factitious disorders of the upper extremity can manifest in many different forms; therefore, it is critical to recognize warning signs in the history and examination indicating that the patient may be creating the symptoms and physical manifestations of the presenting illness. These disorders present in such predictable patterns as lymphedema, Secretan syndrome, ulcerations and wound manipulation, clenched fist, subcutaneous emphysema, pachydermodactyly, nail deformities, and self-mutilation. Management recommendations include assigning therapeutic responsibility to one person and the involvement of a multidisciplinary team. Thorough documentation is essential for the protection of both the patient and the treating physician. Treatment of patients with factitious disorders of the upper extremity requires patience and insight to avoid being manipulated into performing unnecessary surgical procedures.

  5. Cheerleading injuries: epidemiology and recommendations for prevention.

    PubMed

    LaBella, Cynthia R; Mjaanes, Jeffrey

    2012-11-01

    Over the last 30 years, cheerleading has increased dramatically in popularity and has evolved from leading the crowd in cheers at sporting events into a competitive, year-round sport involving complex acrobatic stunts and tumbling. Consequently, cheerleading injuries have steadily increased over the years in both number and severity. Sprains and strains to the lower extremities are the most common injuries. Although the overall injury rate remains relatively low, cheerleading has accounted for approximately 66% of all catastrophic injuries in high school girl athletes over the past 25 years. Risk factors for injuries in cheerleading include higher BMI, previous injury, cheering on harder surfaces, performing stunts, and supervision by a coach with low level of training and experience. This policy statement describes the epidemiology of cheerleading injuries and provides recommendations for injury prevention.

  6. Promoting cold-start items in recommender systems.

    PubMed

    Liu, Jin-Hu; Zhou, Tao; Zhang, Zi-Ke; Yang, Zimo; Liu, Chuang; Li, Wei-Min

    2014-01-01

    As one of the major challenges, cold-start problem plagues nearly all recommender systems. In particular, new items will be overlooked, impeding the development of new products online. Given limited resources, how to utilize the knowledge of recommender systems and design efficient marketing strategy for new items is extremely important. In this paper, we convert this ticklish issue into a clear mathematical problem based on a bipartite network representation. Under the most widely used algorithm in real e-commerce recommender systems, the so-called item-based collaborative filtering, we show that to simply push new items to active users is not a good strategy. Interestingly, experiments on real recommender systems indicate that to connect new items with some less active users will statistically yield better performance, namely, these new items will have more chance to appear in other users' recommendation lists. Further analysis suggests that the disassortative nature of recommender systems contributes to such observation. In a word, getting in-depth understanding on recommender systems could pave the way for the owners to popularize their cold-start products with low costs.

  7. Promoting Cold-Start Items in Recommender Systems

    PubMed Central

    Liu, Jin-Hu; Zhou, Tao; Zhang, Zi-Ke; Yang, Zimo; Liu, Chuang; Li, Wei-Min

    2014-01-01

    As one of the major challenges, cold-start problem plagues nearly all recommender systems. In particular, new items will be overlooked, impeding the development of new products online. Given limited resources, how to utilize the knowledge of recommender systems and design efficient marketing strategy for new items is extremely important. In this paper, we convert this ticklish issue into a clear mathematical problem based on a bipartite network representation. Under the most widely used algorithm in real e-commerce recommender systems, the so-called item-based collaborative filtering, we show that to simply push new items to active users is not a good strategy. Interestingly, experiments on real recommender systems indicate that to connect new items with some less active users will statistically yield better performance, namely, these new items will have more chance to appear in other users' recommendation lists. Further analysis suggests that the disassortative nature of recommender systems contributes to such observation. In a word, getting in-depth understanding on recommender systems could pave the way for the owners to popularize their cold-start products with low costs. PMID:25479013

  8. Materials in extreme environments.

    SciTech Connect

    Hemley, R. J.; Crabtree, G. W.; Buchanan, M. V.; Materials Science Division; Geophysical Lab.; ORNL

    2009-11-01

    Nature is rich with examples of phenomena and environments we might consider extreme, at least from our familiar experience on Earth's surface: large fluxes of radiation and particles from the Sun, explosive asteroid collisions in space, volcanic eruptions that originate deep underground, extraordinary pressures and temperatures in the interiors of planets and stars, and electromagnetic discharges that occur, say, in sunspots and pulsars. We often intentionally create similar extreme environments - for example, in high-powered lasers, high-temperature turbines, internal-combustion engines, and industrial chemical plants. The response of materials to the broad range of such environments signals the materials underlying structure and dynamics, provides insight into new phenomena, exposes failure modes that limit technological possibility, and presents novel routes for making new materials.

  9. Extremal quantum cloning machines

    SciTech Connect

    Chiribella, G.; D'Ariano, G. M.; Perinotti, P.; Cerf, N.J.

    2005-10-15

    We investigate the problem of cloning a set of states that is invariant under the action of an irreducible group representation. We then characterize the cloners that are extremal in the convex set of group covariant cloning machines, among which one can restrict the search for optimal cloners. For a set of states that is invariant under the discrete Weyl-Heisenberg group, we show that all extremal cloners can be unitarily realized using the so-called double-Bell states, whence providing a general proof of the popular ansatz used in the literature for finding optimal cloners in a variety of settings. Our result can also be generalized to continuous-variable optimal cloning in infinite dimensions, where the covariance group is the customary Weyl-Heisenberg group of displacement000.

  10. Lower extremity venous reflux

    PubMed Central

    Baliyan, Vinit; Tajmir, Shahein; Ganguli, Suvranu; Prabhakar, Anand M.

    2016-01-01

    Venous incompetence in the lower extremity is a common clinical problem. Basic understanding of venous anatomy, pathophysiologic mechanisms of venous reflux is essential for choosing the appropriate treatment strategy. The complex interplay of venous pressure, abdominal pressure, venous valvular function and gravitational force determine the venous incompetence. This review is intended to provide a succinct review of the pathophysiology of venous incompetence and the current role of imaging in its management. PMID:28123974

  11. Religious Extremism in Pakistan

    DTIC Science & Technology

    2014-12-01

    Face (July 2008): 32. 21 Ahmed Rashid , Pakistan on the Brink: The Future of America, Pakistan, and Afghanistan (New York: Viking, 2012). 22 Brian J...promoting extremism. Commentators such as Jessica Stern, Alan Richards, Hussain Haqqani, Ahmed Rashid , and Ali Riaz are a few of the scholars who...www.jstor.org/stable/3183558; See also Ahmed Rashid , Descent Into Chaos: The United States and the Failure of Nation Building in Pakistan, Afghanistan, and

  12. Extreme geomagnetically induced currents

    NASA Astrophysics Data System (ADS)

    Kataoka, Ryuho; Ngwira, Chigomezyo

    2016-12-01

    We propose an emergency alert framework for geomagnetically induced currents (GICs), based on the empirically extreme values and theoretical upper limits of the solar wind parameters and of d B/d t, the time derivative of magnetic field variations at ground. We expect this framework to be useful for preparing against extreme events. Our analysis is based on a review of various papers, including those presented during Extreme Space Weather Workshops held in Japan in 2011, 2012, 2013, and 2014. Large-amplitude d B/d t values are the major cause of hazards associated with three different types of GICs: (1) slow d B/d t with ring current evolution (RC-type), (2) fast d B/d t associated with auroral electrojet activity (AE-type), and (3) transient d B/d t of sudden commencements (SC-type). We set "caution," "warning," and "emergency" alert levels during the main phase of superstorms with the peak Dst index of less than -300 nT (once per 10 years), -600 nT (once per 60 years), or -900 nT (once per 100 years), respectively. The extreme d B/d t values of the AE-type GICs are 2000, 4000, and 6000 nT/min at caution, warning, and emergency levels, respectively. For the SC-type GICs, a "transient alert" is also proposed for d B/d t values of 40 nT/s at low latitudes and 110 nT/s at high latitudes, especially when the solar energetic particle flux is unusually high.

  13. On extreme geomagnetic storms

    NASA Astrophysics Data System (ADS)

    Cid, Consuelo; Palacios, Judith; Saiz, Elena; Guerrero, Antonio; Cerrato, Yolanda

    2014-10-01

    Extreme geomagnetic storms are considered as one of the major natural hazards for technology-dependent society. Geomagnetic field disturbances can disrupt the operation of critical infrastructures relying on space-based assets, and can also result in terrestrial effects, such as the Quebec electrical disruption in 1989. Forecasting potential hazards is a matter of high priority, but considering large flares as the only criterion for early-warning systems has demonstrated to release a large amount of false alarms and misses. Moreover, the quantification of the severity of the geomagnetic disturbance at the terrestrial surface using indices as Dst cannot be considered as the best approach to give account of the damage in utilities. High temporal resolution local indices come out as a possible solution to this issue, as disturbances recorded at the terrestrial surface differ largely both in latitude and longitude. The recovery phase of extreme storms presents also some peculiar features which make it different from other less intense storms. This paper goes through all these issues related to extreme storms by analysing a few events, highlighting the March 1989 storm, related to the Quebec blackout, and the October 2003 event, when several transformers burnt out in South Africa.

  14. 76 FR 81 - Adoption of Recommendation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-03

    ...; ] ADMINISTRATIVE CONFERENCE OF THE UNITED STATES Adoption of Recommendation AGENCY: Administrative Conference of... the attached recommendation at its Fifty-third Plenary Session. The recommendation addresses issues... makes recommendations for improvements to the agencies, collectively or individually, and to...

  15. Noninvasive vital signal monitoring

    NASA Astrophysics Data System (ADS)

    Wang, Zenan; Chee, Jonny; Chua, Kok Poo; Chen, ZhouDe

    2010-05-01

    Vital signals of patients, such as heart rate, temperature and movement are crucial to monitor patients in hospital. Current heart rate measurement is obtained by using Electrocardiograph, which normally applies electrodes to the patient's body. As electrodes are extremely uncomfortable to ware and hinder patient's movement, a non-invasive vital signal-monitoring device will be a better solution. Similar to Electrocardiograph, the device detects the voltage difference across the heart by using concept of capacitance, which can be obtained by two conductive fiber sewing on the bed sheet. Simultaneous temperature reading can also be detected by using surface mounted temperature sensor. This paper will mainly focus on the heart rate monitoring.

  16. Recommended for release on recognizance: factors affecting pretrial release recommendations.

    PubMed

    Petee, T A

    1994-06-01

    Researchers have acknowledged the influence of pretrial release agencies in judicial decision making regarding bail; however, few researchers have focused on the process used by the pretrial release agencies to make bail-bond recommendations. In this study I sought to establish which factors were most salient in making the decision to recommend a defendant for release on recognizance. I found that both officially sanctioned release criteria and "extralegal" variables were predictive of this decision.

  17. Acute Stroke: Current Evidence-based Recommendations for Prehospital Care

    PubMed Central

    Glober, Nancy K.; Sporer, Karl A.; Guluma, Kama Z.; Serra, John P.; Barger, Joe A.; Brown, John F.; Gilbert, Gregory H.; Koenig, Kristi L.; Rudnick, Eric M.; Salvucci, Angelo A.

    2016-01-01

    Introduction In the United States, emergency medical services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with a suspected stroke and to compare these recommendations against the current protocols used by the 33 EMS agencies in the state of California. Methods We performed a literature review of the current evidence in the prehospital treatment of a patient with a suspected stroke and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the stroke protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were the use of a stroke scale, blood glucose evaluation, use of supplemental oxygen, patient positioning, 12-lead electrocardiogram (ECG) and cardiac monitoring, fluid assessment and intravenous access, and stroke regionalization. Results Protocols across EMS agencies in California varied widely. Most used some sort of stroke scale with the majority using the Cincinnati Prehospital Stroke Scale (CPSS). All recommended the evaluation of blood glucose with the level for action ranging from 60 to 80mg/dL. Cardiac monitoring was recommended in 58% and 33% recommended an ECG. More than half required the direct transport to a primary stroke center and 88% recommended hospital notification. Conclusion Protocols for a patient with a suspected stroke vary widely across the state of California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols. PMID:26973735

  18. Occupational Exposure to Asbestos; Criteria for a Recommended Standard.

    ERIC Educational Resources Information Center

    National Inst. for Occupational Safety and Health (DHEW/PHS), Rockville, MD.

    Recommended standards for control of exposure to asbestos dust in the workplace are set out from the following standpoints: environmental, medical, labeling, personal protective equipment and clothing, apprisal of employees, work practices, and monitoring and recordkeeping requirements. The goal is maintenance of a low level of concentration to…

  19. Child and Family Indicators: A Report with Recommendations.

    ERIC Educational Resources Information Center

    Watts, Harold W., Ed.; Hernandez, Donald J., Ed.

    This report examines the social indicators available for monitoring the situation of children and families in the United States. It assesses the strengths and weaknesses of the indicators for facilitating an informed public and private debate, and it recommends ways in which social indicators can be improved and supplemented to contribute more…

  20. Adolescent contraception. Review and recommendations.

    PubMed

    Turetsky, R A; Strasburger, V C

    1983-05-01

    In the light of the increase in teenage sexual activity over the past decade, the authors review current social, psychological, and educational attitudes. Together with a summary of the legal ramifications, they provide recommendations for treatment of this patient group.

  1. Dietary Recommendations for Healthy Children

    MedlinePlus

    ... Physical Activity in Adults Types of Fitness The Price of Inactivity Food as Fuel - Before, During and ... Heart Association recommends this eating pattern for families: Energy (calories) should be adequate to support growth and ...

  2. Recommended Immunizations for Adults 50+

    MedlinePlus

    ... page please turn Javascript on. Health Screenings and Immunizations Recommended Immunizations For Adults 50+ The content in this section ... out more, visit How Vaccines Prevent Disease . Vaccines, Vaccinations, and Immunizations Understanding the difference between vaccines, vaccinations, ...

  3. Recommending personally interested contents by text mining, filtering, and interfaces

    DOEpatents

    Xu, Songhua

    2015-10-27

    A personalized content recommendation system includes a client interface device configured to monitor a user's information data stream. A collaborative filter remote from the client interface device generates automated predictions about the interests of the user. A database server stores personal behavioral profiles and user's preferences based on a plurality of monitored past behaviors and an output of the collaborative user personal interest inference engine. A programmed personal content recommendation server filters items in an incoming information stream with the personal behavioral profile and identifies only those items of the incoming information stream that substantially matches the personal behavioral profile. The identified personally relevant content is then recommended to the user following some priority that may consider the similarity between the personal interest matches, the context of the user information consumption behaviors that may be shown by the user's content consumption mode.

  4. NUCLEAR DATA EVALUATIONS AND RECOMMENDATIONS

    SciTech Connect

    HOLDEN, N.E.

    2005-05-08

    The published scientific literature is scanned and periodically evaluated for neutron and non-neutron nuclear data and the resulting recommendations are published [1,2]. After the literature has been scanned and appropriate data collected, there are often problems with regard to the treatment of the various types of data during this evaluation process and with regard to the method by which the recommendations are drawn from the assessment of the collection of individual measurements. Some-problems with uncertainties are presented.

  5. Mineralogy under extreme conditions

    SciTech Connect

    Shu, Jinfu

    2012-02-07

    We have performed measurements of minerals based on the synchrotron source for single crystal and powder X-ray diffraction, inelastic scattering, spectroscopy and radiography by using diamond anvil cells. We investigated the properties of iron (Fe), iron-magnesium oxides (Fe, Mg)O, silica(SiO{sub 2}), iron-magnesium silicates (Fe, Mg)SiO{sub 3} under simulated high pressure-high temperature extreme conditions of the Earth's crust, upper mantle, low mantle, core-mantle boundary, outer core, and inner core. The results provide a new window on the investigation of the mineral properties at Earth's conditions.

  6. Upper Extremity Regional Anesthesia

    PubMed Central

    Neal, Joseph M.; Gerancher, J.C.; Hebl, James R.; Ilfeld, Brian M.; McCartney, Colin J.L.; Franco, Carlo D.; Hogan, Quinn H.

    2009-01-01

    Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine’s commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research. PMID:19282714

  7. Characterizing Extreme Ionospheric Storms

    NASA Astrophysics Data System (ADS)

    Sparks, L.; Komjathy, A.; Altshuler, E.

    2011-12-01

    Ionospheric storms consist of disturbances of the upper atmosphere that generate regions of enhanced electron density typically lasting several hours. Depending upon the storm magnitude, gradients in electron density can sometimes become large and highly localized. The existence of such localized, dense irregularities is a major source of positioning error for users of the Global Positioning System (GPS). Consequently, satellite-based augmentation systems have been implemented to improve the accuracy and to ensure the integrity of user position estimates derived from GPS measurements. Large-scale irregularities generally do not pose a serious threat to estimate integrity as they can be readily detected by such systems. Of greater concern, however, are highly localized irregularities that interfere with the propagation of a signal detected by a user measurement but are poorly sampled by the receivers in the system network. The most challenging conditions have been found to arise following disturbances of large magnitude that occur only rarely over the course of a solar cycle. These extremely disturbed conditions exhibit behavior distinct from moderately disturbed conditions and, hence, have been designated "extreme storms". In this paper we examine and compare the behavior of the extreme ionospheric storms of solar cycle 23 (or, more precisely, extreme storms occurring between January 1, 2000, and December 31, 2008), as represented in maps of vertical total electron content. To identify these storms, we present a robust means of quantifying the regional magnitude of an ionospheric storm. Ionospheric storms are observed frequently to occur in conjunction with magnetic storms, i.e., periods of geophysical activity as measured by magnetometers. While various geomagnetic indices, such as the disturbance storm time (Dst) and the planetary Kp index, have long been used to rank the magnitudes of distinct magnetic storms, no comparable, generally recognized index exists for

  8. [The extremely violent child].

    PubMed

    Berger, M; Bonneville, E

    2009-02-01

    More and more children have extremely violent behaviour which appears about the age of 15-16 months, when walking makes their hands free. This violence is individual, can appear suddenly at anytime, and is not accompanied by guilt. It is caused by early psychological and repeated traumas, whose importance is usually underestimated: unpredictable, violent parents, exposure to the spectacle of conjugal violence, distortion of the signals emitted by the toddler. These traumas bring about specific psychological structure. The prevention of these troubles exists but is impossible to realise in France.

  9. Upper extremity golf injuries.

    PubMed

    Cohn, Michael A; Lee, Steven K; Strauss, Eric J

    2013-01-01

    Golf is a global sport enjoyed by an estimated 60 million people around the world. Despite the common misconception that the risk of injury during the play of golf is minimal, golfers are subject to a myriad of potential pathologies. While the majority of injuries in golf are attributable to overuse, acute traumatic injuries can also occur. As the body's direct link to the golf club, the upper extremities are especially prone to injury. A thorough appreciation of the risk factors and patterns of injury will afford accurate diagnosis, treatment, and prevention of further injury.

  10. Safety system status monitoring

    SciTech Connect

    Lewis, J.R.; Morgenstern, M.H.; Rideout, T.H.; Cowley, P.J.

    1984-03-01

    The Pacific Northwest Laboratory has studied the safety aspects of monitoring the preoperational status of safety systems in nuclear power plants. The goals of the study were to assess for the NRC the effectiveness of current monitoring systems and procedures, to develop near-term guidelines for reducing human errors associated with monitoring safety system status, and to recommend a regulatory position on this issue. A review of safety system status monitoring practices indicated that current systems and procedures do not adequately aid control room operators in monitoring safety system status. This is true even of some systems and procedures installed to meet existing regulatory guidelines (Regulatory Guide 1.47). In consequence, this report suggests acceptance criteria for meeting the functional requirements of an adequate system for monitoring safety system status. Also suggested are near-term guidelines that could reduce the likelihood of human errors in specific, high-priority status monitoring tasks. It is recommended that (1) Regulatory Guide 1.47 be revised to address these acceptance criteria, and (2) the revised Regulatory Guide 1.47 be applied to all plants, including those built since the issuance of the original Regulatory Guide.

  11. Introduction on health recommender systems.

    PubMed

    Sanchez-Bocanegra, C L; Sanchez-Laguna, F; Sevillano, J L

    2015-01-01

    People are looking for appropriate health information which they are concerned about. The Internet is a great resource of this kind of information, but we have to be careful if we don't want to get harmful info. Health recommender systems are becoming a new wave for apt health information as systems suggest the best data according to the patients' needs.The main goals of health recommender systems are to retrieve trusted health information from the Internet, to analyse which is suitable for the user profile and select the best that can be recommended, to adapt their selection methods according to the knowledge domain and to learn from the best recommendations.A brief definition of recommender systems will be given and an explanation of how are they incorporated in the health sector. A description of the main elementary recommender methods as well as their most important problems will also be made. And, to finish, the state of the art will be described.

  12. Precipitation Extremes Under Climate Change.

    PubMed

    O'Gorman, Paul A

    The response of precipitation extremes to climate change is considered using results from theory, modeling, and observations, with a focus on the physical factors that control the response. Observations and simulations with climate models show that precipitation extremes intensify in response to a warming climate. However, the sensitivity of precipitation extremes to warming remains uncertain when convection is important, and it may be higher in the tropics than the extratropics. Several physical contributions govern the response of precipitation extremes. The thermodynamic contribution is robust and well understood, but theoretical understanding of the microphysical and dynamical contributions is still being developed. Orographic precipitation extremes and snowfall extremes respond differently from other precipitation extremes and require particular attention. Outstanding research challenges include the influence of mesoscale convective organization, the dependence on the duration considered, and the need to better constrain the sensitivity of tropical precipitation extremes to warming.

  13. Lightcurves of Extreme Debris Disks

    NASA Astrophysics Data System (ADS)

    Rieke, George; Meng, Huan; Su, Kate

    2012-12-01

    We have recently discovered that some planetary debris disks with extreme fractional luminosities are variable on the timescale of a few years. This behavior opens a new possibility to understand planet building. Two of the known variable disks are around solar-like stars in the age range of 30 to 100+ Myr, which is the expected era of the final stages of terrestrial planet building. Such variability can be attributed to violent collisions (up to ones on the scale of the Moon-forming event between the proto-Earth and another proto-planet). The collisional cascades that are the aftermaths of these events can produce large clouds of tiny dust grains, possibly even condensed from silica vapor. A Spitzer pilot program has obtained the lightcurve of such a debris disk and caught two minor outbursts. Here we propose to continue the lightcurve monitoring with higher sampling rates and to expand it to more disks. The proposed time domain observations are a new dimension of debris disk studies that can bring unique insight to their evolution, providing important constraints on the collisional and dynamical models of terrestrial planet formation.

  14. Extremity dosimetry at US Department of Energy facilities

    SciTech Connect

    Harty, R.; Reece, W.D.; MacLellan, J.A.

    1986-05-01

    A questionnaire on extremity dosimetry was distributed to DOE facilities along with a questionnaire on beta dosimetry. An informal telephone survey was conducted as a follow-up survey to answer a few additional questions concerning extremity monitoring practices. The responses to the questionnaire and the telephone survey are summarized in this report. Background information, developed from operational experience and a review of the current literature, is presented as a basis for understanding the information obtained by the survey and questionnaire.

  15. Solar extreme events

    NASA Astrophysics Data System (ADS)

    Hudson, Hugh S.

    2015-08-01

    Solar flares and CMEs have a broad range of magnitudes. This review discusses the possibility of “extreme events,” defined as those with magnitudes greater than have been seen in the existing historical record. For most quantitative measures, this direct information does not extend more than a century and a half into the recent past. The magnitude distributions (occurrence frequencies) of solar events (flares/CMEs) typically decrease with the parameter measured or inferred (peak flux, mass, energy etc. Flare radiation fluxes tend to follow a power law slightly flatter than S-2, where S represents a peak flux; solar particle events (SPEs) follow a still flatter power law up to a limiting magnitude, and then appear to roll over to a steeper distribution, which may take an exponential form or follow a broken power law. This inference comes from the terrestrial 14C record and from the depth dependence of various radioisotope proxies in the lunar regolith and in meteorites. Recently major new observational results have impacted our use of the relatively limited historical record in new ways: the detection of actual events in the 14C tree-ring records, and the systematic observations of flares and “superflares” by the Kepler spacecraft. I discuss how these new findings may affect our understanding of the distribution function expected for extreme solar events.

  16. Some characterizations of unique extremality

    NASA Astrophysics Data System (ADS)

    Yao, Guowu

    2008-07-01

    In this paper, it is shown that some necessary characteristic conditions for unique extremality obtained by Zhu and Chen are also sufficient and some sufficient ones by them actually imply that the uniquely extremal Beltrami differentials have a constant modulus. In addition, some local properties of uniquely extremal Beltrami differentials are given.

  17. Monster symmetry and extremal CFTs

    NASA Astrophysics Data System (ADS)

    Gaiotto, Davide

    2012-11-01

    We test some recent conjectures about extremal selfdual CFTs, which are the candidate holographic duals of pure gravity in AdS 3. We prove that no c = 48 extremal selfdual CFT or SCFT may possess Monster symmetry. Furthermore, we disprove a recent argument against the existence of extremal selfdual CFTs of large central charge.

  18. Monitoring for conservation

    USGS Publications Warehouse

    Nichols, J.D.; Williams, B.K.

    2006-01-01

    Human-mediated environmental changes have resulted in appropriate concern for the conservation of ecological systems and have led to the development of many ecological monitoring programs worldwide. Many programs that are identified with the purpose of `surveillance? represent an inefficient use of conservation funds and effort. Here, we revisit the 1964 paper by Platt and argue that his recommendations about the conduct of science are equally relevant to the conduct of ecological monitoring programs. In particular, we argue that monitoring should not be viewed as a stand-alone activity, but instead as a component of a larger process of either conservation-oriented science or management. Corresponding changes in monitoring focus and design would lead to substantial increases in the efficiency and usefulness of monitoring results in conservation.

  19. Extreme events in discrete nonlinear lattices.

    PubMed

    Maluckov, A; Hadzievski, Lj; Lazarides, N; Tsironis, G P

    2009-02-01

    We perform statistical analysis on discrete nonlinear waves generated through modulational instability in the context of the Salerno model that interpolates between the integrable Ablowitz-Ladik (AL) equation and the nonintegrable discrete nonlinear Schrödinger equation. We focus on extreme events in the form of discrete rogue or freak waves that may arise as a result of rapid coalescence of discrete breathers or other nonlinear interaction processes. We find power law dependence in the wave amplitude distribution accompanied by an enhanced probability for freak events close to the integrable limit of the equation. A characteristic peak in the extreme event probability appears that is attributed to the onset of interaction of the discrete solitons of the AL equation and the accompanied transition from the local to the global stochasticity monitored through the positive Lyapunov exponent of a nonlinear map.

  20. Dynamics of molecules in extreme rotational states

    PubMed Central

    Yuan, Liwei; Teitelbaum, Samuel W.; Robinson, Allison; Mullin, Amy S.

    2011-01-01

    We have constructed an optical centrifuge with a pulse energy that is more than 2 orders of magnitude larger than previously reported instruments. This high pulse energy enables us to create large enough number densities of molecules in extreme rotational states to perform high-resolution state-resolved transient IR absorption measurements. Here we report the first studies of energy transfer dynamics involving molecules in extreme rotational states. In these studies, the optical centrifuge drives CO2 molecules into states with J ∼ 220 and we use transient IR probing to monitor the subsequent rotational, translational, and vibrational energy flow dynamics. The results reported here provide the first molecular insights into the relaxation of molecules with rotational energy that is comparable to that of a chemical bond.

  1. Compliance with recommendations made in a multidisciplinary ALS clinic.

    PubMed

    Fullam, Timothy; Stephens, Helen E; Felgoise, Stephanie H; Blessinger, Jacqueline K; Walsh, Susan; Simmons, Zachary

    2015-01-01

    Multidisciplinary ALS clinics provide recommendations at each visit, but these do little good unless recalled and followed. This study was conducted to determine recall of, and compliance with, these recommendations, and to study factors affecting compliance. Patients were contacted by telephone six weeks after their ALS clinic visit and asked about recommendations made by the multidisciplinary team. Themes for recall and compliance were generated by three coders using qualitative analysis, and validated using triangulation and consensual validation. Pearson correlation coefficients were calculated for the relationship of function and quality of life to recommendation categories. Results demonstrated that most recommendations centered around physical needs, whereas few were provided for Caregiver Support and Mental Health. Fewer than 40% of all recommendations were recalled, with the highest category being Physical Function. Compliance was highest for this category as well (mean 4.27/5). Monitoring of patients between clinic visits appeared to enhance compliance. In conclusion, for ALS clinic teams seeking to maximize the impact of recommendations, discussions to facilitate understanding, instruction in problem-solving skills, and closer follow-up between clinic visits should facilitate better recall and compliance, and thus improve care. The potential benefits of greater emphasis on mental health and caregiver well-being should be explored.

  2. Economics and lighting level recommendations

    SciTech Connect

    Clear, R.; Berman, S.

    1992-04-01

    The Illuminating Engineering Society of North America develops light level recommendations for tasks where visual performance is important. The 1959 and 1972 recommendations for illumination levels were based on the principle of delivering a fixed level of performance as predicted by the visual performance models of the time. This same principle is being considered for future revisions to the recommendations. There is currently no explicit method for determining whether a given fixed performance level is in any sense optimal or best. Visual performance increases with lighting levels, but so do economic and environmental costs. These costs lessen the economic benefits of the improved visual performance. A formal method for including these factors in light level recommendations is to restate the problem in terms of net benefits (benefits minus costs). The resulting equations have well defined optima versus light level, and thus give an explicit estimate of what the best lighting levels are in terms of current visual performance models, and current economic conditions. A simple net-benefit procedure is described, and sample calculations are shown for two current visual performance models. Fixed performance levels do not provide economically optimal recommendations with either model. There are also differences between models, but they are less significant than the large differences between the principles of fixed performance levels and economic optimization.

  3. Design and Manufacturing of Extremely Low Mass Flight Systems

    NASA Technical Reports Server (NTRS)

    Johnson, Michael R.

    2002-01-01

    Extremely small flight systems pose some unusual design and manufacturing challenges. The small size of the components that make up the system generally must be built with extremely tight tolerances to maintain the functionality of the assembled item. Additionally, the total mass of the system is extremely sensitive to what would be considered small perturbations in a larger flight system. The MUSES C mission, designed, built, and operated by Japan, has a small rover provided by NASA that falls into this small flight system category. This NASA-provided rover is used as a case study of an extremely small flight system design. The issues that were encountered with the rover portion of the MUSES C program are discussed and conclusions about the recommended mass margins at different stages of a small flight system project are presented.

  4. Performance testing of extremity dosimeters against a draft standard

    SciTech Connect

    Harty, R.; Reece, W.D.; Hooker, C.D.; McDonald, J.C.

    1990-09-01

    The assurance of worker radiation safety is directly related to the performance of personnel dosimetry. The US Department of Energy (DOE) has long recognized this critical relationship and has addressed this issue by instituting the DOE Laboratory Accreditation Program (DOELAP) which strives to improve the quality of personnel dosimetry through performance testing, dosimetry calibration, intercomparisons, evaluations and accreditations. One area of personnel dosimetry that has not been specifically addressed by DOELAP is extremity dosimeter testing. This task was directed at assessing the problems of implementing extremity dosimeter performance testing. A series of performance tests were made based on a draft standard written by the Health Physics Society Standards Committee (HPSSC) using extremity dosimeters currently in use at DOE and DOE contractor facilities. The results of this study indicate the need to incorporate performance testing of extremity dosimetry systems into DOELAP. Based on the results of this study, recommendations are made for improvements to the draft standard. 20 refs., 6 figs., 3 tabs.

  5. (Welding under extreme conditions)

    SciTech Connect

    Davis, S.A.

    1989-09-29

    The traveler was an invited member of the United States delegation and representative of the Basic Energy Science Welding Science program at the 42nd Annual International Institute of Welding (IIW) Assembly and Conference held in Helsinki, Finland. The conference and the assembly was attended by about 600 delegates representing 40 countries. The theme of the conference was welding under extreme conditions. The conference program contained several topics related to welding in nuclear, arctic petrochemical, underwater, hyperbaric and space environments. At the annual assembly the traveler was a delegate (US) to two working groups of the IIW, namely Commission IX and welding research study group 212. Following the conference the traveler visited the Danish Welding Institute in Copenhagen and the Risoe National Laboratory in Roskilde. Prior to the conference the traveler visited Lappeenranta University of Technology and presented an invited seminar entitled Recent Advances in Welding Science and Technology.''

  6. Extreme Scale Computational Astrophysics

    NASA Astrophysics Data System (ADS)

    Shoemaker, Deirdre

    2009-11-01

    We live in extraordinary times. With increasingly sophisticated observatories opening up new vistas on the universe, astrophysics is becoming more complex and data-driven. The success in understanding astrophysical systems that are inherently multi-physical, nonlinear systems demands realism in our models of the phenomena. We cannot hope to advance the realism of these models to match the expected sophistication of future observations without extreme-scale computation. Just one example is the advent of gravitational wave astronomy. Detectors like LIGO are about to make the first ever detection of gravitational waves. The gravitational waves are produced during violent events such as the merger of two black holes. The detection of these waves or ripples in the fabric of spacetime is a formidable undertaking, requiring innovative engineering, powerful data analysis tools and careful theoretical modeling. I will discuss the computational and theoretical challenges ahead in our new understanding of physics and astronomy where gravity exhibits its strongest grip on our spacetime.

  7. Investigating NARCCAP Precipitation Extremes via Bivariate Extreme Value Theory (Invited)

    NASA Astrophysics Data System (ADS)

    Weller, G. B.; Cooley, D. S.; Sain, S. R.; Bukovsky, M. S.; Mearns, L. O.

    2013-12-01

    We introduce methodology from statistical extreme value theory to examine the ability of reanalysis-drive regional climate models to simulate past daily precipitation extremes. Going beyond a comparison of summary statistics such as 20-year return values, we study whether the most extreme precipitation events produced by climate model simulations exhibit correspondence to the most extreme events seen in observational records. The extent of this correspondence is formulated via the statistical concept of tail dependence. We examine several case studies of extreme precipitation events simulated by the six models of the North American Regional Climate Change Assessment Program (NARCCAP) driven by NCEP reanalysis. It is found that the NARCCAP models generally reproduce daily winter precipitation extremes along the Pacific coast quite well; in contrast, simulation of past daily summer precipitation extremes in a central US region is poor. Some differences in the strength of extremal correspondence are seen in the central region between models which employ spectral nudging and those which do not. We demonstrate how these techniques may be used to draw a link between extreme precipitation events and large-scale atmospheric drivers, as well as to downscale extreme precipitation simulated by a future run of a regional climate model. Specifically, we examine potential future changes in the nature of extreme precipitation along the Pacific coast produced by the pineapple express (PE) phenomenon. A link between extreme precipitation events and a "PE Index" derived from North Pacific sea-surface pressure fields is found. This link is used to study PE-influenced extreme precipitation produced by a future-scenario climate model run.

  8. Plan for early action: Recommendations

    SciTech Connect

    1998-12-31

    This report contains recommendations on the implementation of an action plan to reduce or recapture greenhouse gas (GHG) emissions in British Columbia. The report includes the consensus recommendations of the BC Greenhouse Gas Forum, as well as those items on which Forum participants have agreed to disagree, plus the reasons for those differences. The recommendations include: Umbrella actions which may affect several or all sectors of the economy, or support the success of other actions; actions to reduce vehicle kilometers travelled; actions to increase vehicle efficiency or increase the use of alternative fuels or technologies; actions to decrease GHG emissions from energy production; actions to increase end-use energy efficiency; and actions to reduce non-energy-related emissions. Appendices include work sheets on each action, with a description of the action and information on the action`s rationale, experience elsewhere, related policy initiatives, and key issues regarding feasibility and implementation.

  9. Publication recommendations for electrodermal measurements.

    PubMed

    Boucsein, Wolfram; Fowles, Don C; Grimnes, Sverre; Ben-Shakhar, Gershon; roth, Walton T; Dawson, Michael E; Filion, Diane L

    2012-08-01

    This committee was appointed by the SPR Board to provide recommendations for publishing data on electrodermal activity (EDA). They are intended to be a stand-alone source for newcomers and experienced users. A short outline of principles for electrodermal measurement is given, and recommendations from an earlier report (Fowles et al., ) are incorporated. Three fundamental techniques of EDA recording are described: (1) endosomatic recording without the application of an external current, (2) exosomatic recording with direct current (the most widely applied methodology), and (3) exosomatic recording with alternating current-to date infrequently used but a promising future methodology. In addition to EDA recording in laboratories, ambulatory recording has become an emerging technique. Specific problems that come with this recording of EDA in the field are discussed, as are those emerging from recording EDA within a magnetic field (e.g., fMRI). Recommendations for the details that should be mentioned in publications of EDA methods and results are provided.

  10. Recommended Practices in Thrust Measurements

    NASA Technical Reports Server (NTRS)

    Polk, James E.; Pancotti, Anthony; Haag, Thomas; King, Scott; Walker, Mitchell; Blakely, Joseph; Ziemer, John

    2013-01-01

    Accurate, direct measurement of thrust or impulse is one of the most critical elements of electric thruster characterization, and one of the most difficult measurements to make. The American Institute of Aeronautics and Astronautics has started an initiative to develop standards for many important measurement processes in electric propulsion, including thrust measurements. This paper summarizes recommended practices for the design, calibration, and operation of pendulum thrust stands, which are widely recognized as the best approach for measuring micro N- to mN-level thrust and micro Ns-level impulse bits. The fundamentals of pendulum thrust stand operation are reviewed, along with its implementation in hanging pendulum, inverted pendulum, and torsional balance configurations. Methods of calibration and recommendations for calibration processes are presented. Sources of error are identified and methods for data processing and uncertainty analysis are discussed. This review is intended to be the first step toward a recommended practices document to help the community produce high quality thrust measurements.

  11. Computer-assisted upper extremity training using interactive biking exercise (iBikE) platform.

    PubMed

    Jeong, In Cheol; Finkelstein, Joseph

    2012-01-01

    Upper extremity exercise training has been shown to improve clinical outcomes in different chronic health conditions. Arm-operated bicycles are frequently used to facilitate upper extremity training however effective use of these devices at patient homes is hampered by lack of remote connectivity with clinical rehabilitation team, inability to monitor exercise progress in real time using simple graphical representation, and absence of an alert system which would prevent exertion levels exceeding those approved by the clinical rehabilitation team. We developed an interactive biking exercise (iBikE) platform aimed at addressing these limitations. The platform uses a miniature wireless 3-axis accelerometer mounted on a patient wrist that transmits the cycling acceleration data to a laptop. The laptop screen presents an exercise dashboard to the patient in real time allowing easy graphical visualization of exercise progress and presentation of exercise parameters in relation to prescribed targets. The iBikE platform is programmed to alert the patient when exercise intensity exceeds the levels recommended by the patient care provider. The iBikE platform has been tested in 7 healthy volunteers (age range: 26-50 years) and shown to reliably reflect exercise progress and to generate alerts at pre-setup levels. Implementation of remote connectivity with patient rehabilitation team is warranted for future extension and evaluation efforts.

  12. Action Recommendation for Cyber Resilience

    SciTech Connect

    Choudhury, Sutanay; Rodriguez, Luke R.; Curtis, Darren S.; Oler, Kiri J.; Nordquist, Peter L.; Chen, Pin-Yu; Ray, Indrajit

    2015-09-01

    This paper presents an unifying graph-based model for representing the infrastructure, behavior and missions of an enterprise. We describe how the model can be used to achieve resiliency against a wide class of failures and attacks. We introduce an algorithm for recommending resilience establishing actions based on dynamic updates to the models. Without loss of generality, we show the effectiveness of the algorithm for preserving latency based quality of service (QoS). Our models and the recommendation algorithms are implemented in a software framework that we seek to release as an open source framework for simulating resilient cyber systems.

  13. Wireless Sensor Applications in Extreme Aeronautical Environments

    NASA Technical Reports Server (NTRS)

    Wilson, William C.; Atkinson, Gary M.

    2013-01-01

    NASA aeronautical programs require rigorous ground and flight testing. Many of the testing environments can be extremely harsh. These environments include cryogenic temperatures and high temperatures (greater than 1500 C). Temperature, pressure, vibration, ionizing radiation, and chemical exposure may all be part of the harsh environment found in testing. This paper presents a survey of research opportunities for universities and industry to develop new wireless sensors that address anticipated structural health monitoring (SHM) and testing needs for aeronautical vehicles. Potential applications of passive wireless sensors for ground testing and high altitude aircraft operations are presented. Some of the challenges and issues of the technology are also presented.

  14. New Recommendations for Mefloquine Use in Pregnancy

    MedlinePlus

    ... CDC Malaria Branch clinician. malaria@cdc.gov Update: New Recommendations for Mefloquine Use in Pregnancy Recommend on Facebook Tweet Share Compartir Update: New Recommendations for Mefloquine Use in Pregnancy The Centers ...

  15. A Flexible Electronic Commerce Recommendation System

    NASA Astrophysics Data System (ADS)

    Gong, Songjie

    Recommendation systems have become very popular in E-commerce websites. Many of the largest commerce websites are already using recommender technologies to help their customers find products to purchase. An electronic commerce recommendation system learns from a customer and recommends products that the customer will find most valuable from among the available products. But most recommendation methods are hard-wired into the system and they support only fixed recommendations. This paper presented a framework of flexible electronic commerce recommendation system. The framework is composed by user model interface, recommendation engine, recommendation strategy model, recommendation technology group, user interest model and database interface. In the recommender strategy model, the method can be collaborative filtering, content-based filtering, mining associate rules method, knowledge-based filtering method or the mixed method. The system mapped the implementation and demand through strategy model, and the whole system would be design as standard parts to adapt to the change of the recommendation strategy.

  16. Drug dosage recommendations in patients with chronic liver disease.

    PubMed

    Periáñez-Párraga, Leonor; Martínez-López, Iciar; Ventayol-Bosch, Pere; Puigventós-Latorre, Francesc; Delgado-Sánchez, Olga

    2012-04-01

    Chronic liver diseases (CLD) alter the kinetics of drugs. Despite dosage adjustment is based on Child-Pugh scores, there are no available recommendations and/or algorithms of reference to facilitate dosage regimens. A literature review about dose adjustment of the drugs from the hospital guide -which are included in the list of the WHO recommended drugs to be avoided or used with caution in patients with liver disease- was carried out. The therapeutic novelties from the last few years were also included. In order to do so, the summary of product characteristics (SPC), the database DrugDex-Micromedex, the WHO recommendations and the review articles from the last 10 years in Medline were reviewed. Moreover, the kinetic parameters of each drug were calculated with the aim of establishing a theoretical recommendation based on the proposal of Delcò and Huet. Recommendations for 186 drugs are presented according to the SPC (49.5%), DrugDex-Micromedex (26.3%) and WHO (18.8%) indications; six recommendations were based on specific publications; the theoretical recommendation based on pharmacokinetic parameters was proposed in four drugs. The final recommendations for clinical management were: dosage modification (26.9%), hepatic/analytical monitoring of the patient (8.6%), contraindication (18.8%), use with caution (19.3%) and no adjustment required (26.3%). In this review, specific recommendations for the practical management of patients with chronic liver disease are presented. It has been elaborated through a synthesis of the published bibliography and completed by following a theoretical methodology.

  17. Recommendations for Institutional Prematriculation Immunizations

    ERIC Educational Resources Information Center

    Journal of American College Health, 2011

    2011-01-01

    The recommendations presented in this article are provided to colleges and universities to facilitate the implementation of a comprehensive institutional prematriculation immunization policy. Vaccine-preventable diseases continue to occur on American campuses. In response to changing epidemiology and the introduction of new vaccines, the ACHA…

  18. Annual Manpower Report with Recommendations.

    ERIC Educational Resources Information Center

    Hawaii State Commission on Manpower and Full Employment, Honolulu.

    A coordinated approach to attain full employment in Hawaii remains a priority need in governmental policy. Manpower problems which began to mount after 1970 were compounded by fuel and material shortages in 1974. The report urges that adequate policies now be formulated to meet the problems. It recommends the adoption of a State policy which…

  19. Recommendations for Institutional Prematriculation Immunizations

    ERIC Educational Resources Information Center

    Journal of American College Health, 2006

    2006-01-01

    The "Recommendations for Institutional Prematriculation Immunizations" described in this article are provided to colleges and universities to facilitate the implementation of a comprehensive institutional prematriculation immunization policy. In response to changing epidemiology and the introduction of new vaccines, the American College Health…

  20. Ubiquitous Multicriteria Clinic Recommendation System.

    PubMed

    Chen, Toly

    2016-05-01

    Advancements in information, communication, and sensor technologies have led to new opportunities in medical care and education. Patients in general prefer visiting the nearest clinic, attempt to avoid waiting for treatment, and have unequal preferences for different clinics and doctors. Therefore, to enable patients to compare multiple clinics, this study proposes a ubiquitous multicriteria clinic recommendation system. In this system, patients can send requests through their cell phones to the system server to obtain a clinic recommendation. Once the patient sends this information to the system, the system server first estimates the patient's speed according to the detection results of a global positioning system. It then applies a fuzzy integer nonlinear programming-ordered weighted average approach to assess four criteria and finally recommends a clinic with maximal utility to the patient. The proposed methodology was tested in a field experiment, and the experimental results showed that it is advantageous over two existing methods in elevating the utilities of recommendations. In addition, such an advantage was shown to be statistically significant.

  1. Recommended Guidelines for PKU Programs.

    ERIC Educational Resources Information Center

    Children's Bureau (DHEW), Washington, DC.

    A discussion of screening tests for phenylketonuria recommends and provides some data on two tests, lists five disadvantages of urine tests, and discusses three new tests. Also considered are the role of the central laboratory facility and seven suggestions for screening different types of infants at different times. Treatment or followup programs…

  2. Recommended Vaccines for Healthcare Workers

    MedlinePlus

    ... and your family members. Make sure you are up-to-date with recommended vaccines. Healthcare workers include physicians, nurses, ... series, or if you don't have an up-to-date blood test that shows you are immune to ...

  3. Extreme ultraviolet lithography machine

    DOEpatents

    Tichenor, Daniel A.; Kubiak, Glenn D.; Haney, Steven J.; Sweeney, Donald W.

    2000-01-01

    An extreme ultraviolet lithography (EUVL) machine or system for producing integrated circuit (IC) components, such as transistors, formed on a substrate. The EUVL machine utilizes a laser plasma point source directed via an optical arrangement onto a mask or reticle which is reflected by a multiple mirror system onto the substrate or target. The EUVL machine operates in the 10-14 nm wavelength soft x-ray photon. Basically the EUV machine includes an evacuated source chamber, an evacuated main or project chamber interconnected by a transport tube arrangement, wherein a laser beam is directed into a plasma generator which produces an illumination beam which is directed by optics from the source chamber through the connecting tube, into the projection chamber, and onto the reticle or mask, from which a patterned beam is reflected by optics in a projection optics (PO) box mounted in the main or projection chamber onto the substrate. In one embodiment of a EUVL machine, nine optical components are utilized, with four of the optical components located in the PO box. The main or projection chamber includes vibration isolators for the PO box and a vibration isolator mounting for the substrate, with the main or projection chamber being mounted on a support structure and being isolated.

  4. Stacked Extreme Learning Machines.

    PubMed

    Zhou, Hongming; Huang, Guang-Bin; Lin, Zhiping; Wang, Han; Soh, Yeng Chai

    2015-09-01

    Extreme learning machine (ELM) has recently attracted many researchers' interest due to its very fast learning speed, good generalization ability, and ease of implementation. It provides a unified solution that can be used directly to solve regression, binary, and multiclass classification problems. In this paper, we propose a stacked ELMs (S-ELMs) that is specially designed for solving large and complex data problems. The S-ELMs divides a single large ELM network into multiple stacked small ELMs which are serially connected. The S-ELMs can approximate a very large ELM network with small memory requirement. To further improve the testing accuracy on big data problems, the ELM autoencoder can be implemented during each iteration of the S-ELMs algorithm. The simulation results show that the S-ELMs even with random hidden nodes can achieve similar testing accuracy to support vector machine (SVM) while having low memory requirements. With the help of ELM autoencoder, the S-ELMs can achieve much better testing accuracy than SVM and slightly better accuracy than deep belief network (DBN) with much faster training speed.

  5. Detectors in Extreme Conditions

    SciTech Connect

    Blaj, G.; Carini, G.; Carron, S.; Haller, G.; Hart, P.; Hasi, J.; Herrmann, S.; Kenney, C.; Segal, J.; Tomada, A.

    2015-08-06

    Free Electron Lasers opened a new window on imaging the motion of atoms and molecules. At SLAC, FEL experiments are performed at LCLS using 120Hz pulses with 1012 - 1013 photons in 10 femtoseconds (billions of times brighter than the most powerful synchrotrons). This extreme detection environment raises unique challenges, from obvious to surprising. Radiation damage is a constant threat due to accidental exposure to insufficiently attenuated beam, focused beam and formation of ice crystals reflecting the beam onto the detector. Often high power optical lasers are also used (e.g., 25TW), increasing the risk of damage or impeding data acquisition through electromagnetic pulses (EMP). The sample can contaminate the detector surface or even produce shrapnel damage. Some experiments require ultra high vacuum (UHV) with strict design, surface contamination and cooling requirements - also for detectors. The setup is often changed between or during experiments with short turnaround times, risking mechanical and ESD damage, requiring work planning, training of operators and sometimes continuous participation of the LCLS Detector Group in the experiments. The detectors used most often at LCLS are CSPAD cameras for hard x-rays and pnCCDs for soft x-rays.

  6. Understanding water extremes with caution

    NASA Astrophysics Data System (ADS)

    Stehlík, Milan; Stehlíková, Silvia; Torres, Sebastián

    2016-06-01

    We discuss a sensitive topic, how to scientifically estimate extremes in water quality managements. Such extremes are incorporating establishment of thresholds or levels of certain chemicals in the drinking water. In particular, we address the water fluoridation and quality of drinking water in Chile. Statistical approaches demonstrating the necessary background of water manager will be given in a survey exposition to establish link between statistics of extremes and practice.

  7. Upper Extremity Amputations and Prosthetics

    PubMed Central

    Ovadia, Steven A.; Askari, Morad

    2015-01-01

    Upper extremity amputations are most frequently indicated by severe traumatic injuries. The location of the injury will determine the level of amputation. Preservation of extremity length is often a goal. The amputation site will have important implications on the functional status of the patient and options for prosthetic reconstruction. Advances in amputation techniques and prosthetic reconstructions promote improved quality of life. In this article, the authors review the principles of upper extremity amputation, including techniques, amputation sites, and prosthetic reconstructions. PMID:25685104

  8. Upper extremity amputations and prosthetics.

    PubMed

    Ovadia, Steven A; Askari, Morad

    2015-02-01

    Upper extremity amputations are most frequently indicated by severe traumatic injuries. The location of the injury will determine the level of amputation. Preservation of extremity length is often a goal. The amputation site will have important implications on the functional status of the patient and options for prosthetic reconstruction. Advances in amputation techniques and prosthetic reconstructions promote improved quality of life. In this article, the authors review the principles of upper extremity amputation, including techniques, amputation sites, and prosthetic reconstructions.

  9. Invited review: Culling: nomenclature, definitions, and recommendations.

    PubMed

    Fetrow, J; Nordlund, K V; Norman, H D

    2006-06-01

    Replacing cows on a dairy is a major cost of operation. There is a need for the industry to adopt a more standardized approach to reporting the rate at which cows exit from the dairy, and to reporting the reasons why cows are replaced and their destination as they exit the dairy. Herd turnover rate is recommended as the preferred term for characterizing the cows exiting a dairy, in preference to herd replacement rate, culling rate, or percent exiting, all of which have served as synonyms. Herd turnover rate should be calculated as the number of cows that exit in a defined period divided by the animal time at risk for the population being characterized. The terms voluntary and involuntary culling suffer from problems of definition and their use should be discouraged. Destination should be recorded for all cows that exit the dairy and opportunities to record one or more reasons for exiting should be provided by management systems. Comparing reported reasons between dairies requires considerable caution because of differences in case definitions and recording methods. Relying upon culling records to monitor disease has been and will always be an ineffective management strategy. Dairies are encouraged to record and monitor disease events and reproductive performance and use this information as the basis for management efforts aimed at reducing the need to replace cows.

  10. Extremely secure identification documents

    SciTech Connect

    Tolk, K.M.; Bell, M.

    1997-09-01

    The technology developed in this project uses biometric information printed on the document and public key cryptography to ensure that an adversary cannot issue identification documents to unauthorized individuals or alter existing documents to allow their use by unauthorized individuals. This process can be used to produce many types of identification documents with much higher security than any currently in use. The system is demonstrated using a security badge as an example. This project focused on the technologies requiring development in order to make the approach viable with existing badge printing and laminating technologies. By far the most difficult was the image processing required to verify that the picture on the badge had not been altered. Another area that required considerable work was the high density printed data storage required to get sufficient data on the badge for verification of the picture. The image processing process was successfully tested, and recommendations are included to refine the badge system to ensure high reliability. A two dimensional data array suitable for printing the required data on the badge was proposed, but testing of the readability of the array had to be abandoned due to reallocation of the budgeted funds by the LDRD office.

  11. 75 FR 51269 - Proposed Data Collections Submitted for Public Comment and Recommendations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ... exp. 3/31/2011)--Extension--National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention... surveillance for antimicrobial resistance, allowing for informed treatment recommendations. Monitoring... documented by GISP data, prompted CDC to update treatment recommendations for gonorrhea in CDC's...

  12. Space station atmospheric monitoring systems

    NASA Astrophysics Data System (ADS)

    Buoni, C.; Coutant, R.; Barnes, R.; Slivon, L.

    A technology assessment study on atmospheric monitoring systems was performed by Battelle Columbus Division for the National Aeronautics and Space Administration's John F. Kennedy Space Center under Contract No. NAS10-11033. In this assessment, the objective was to identify, analyze, and recommend systems to sample and measure Space Station atmospheric contaminants and identify where additional research and technology advancements were required. To achieve this objective, it was necessary to define atmospheric monitoring requirements and to assess the state of the art and advanced technology and systems for technical and operational compatibility with monitoring goals. Three technical tasks were defined to support these needs: Definition of Monitoring Requirements, Assessment of Sampling and Analytical Technology, and Technology Screening and Recommendations. Based on the analysis, the principal candidates recommended for development at the Space Station's initial operational capability were: (1) long-path Fourier transform infrared for rapid detection of high-risk contamination incidences, and (2) gas chromatography/mass spectrometry utilizing mass selective detection (or ion-trap) technologies for detailed monitoring of extended crew exposure to low level (ppbv) contamination. The development of a gas chromatography/mass spectrometry/matrix isolation-Fourier transform infrared system was recommended as part of the long range program of upgrading Space Station trace-contaminant monitoring needs.

  13. TrustRank: a Cold-Start tolerant recommender system

    NASA Astrophysics Data System (ADS)

    Zou, Haitao; Gong, Zhiguo; Zhang, Nan; Zhao, Wei; Guo, Jingzhi

    2015-02-01

    The explosive growth of the World Wide Web leads to the fast advancing development of e-commerce techniques. Recommender systems, which use personalised information filtering techniques to generate a set of items suitable to a given user, have received considerable attention. User- and item-based algorithms are two popular techniques for the design of recommender systems. These two algorithms are known to have Cold-Start problems, i.e., they are unable to effectively handle Cold-Start users who have an extremely limited number of purchase records. In this paper, we develop TrustRank, a novel recommender system which handles the Cold-Start problem by leveraging the user-trust networks which are commonly available for e-commerce applications. A user-trust network is formed by friendships or trust relationships that users specify among them. While it is straightforward to conjecture that a user-trust network is helpful for improving the accuracy of recommendations, a key challenge for using user-trust network to facilitate Cold-Start users is that these users also tend to have a very limited number of trust relationships. To address this challenge, we propose a pre-processing propagation of the Cold-Start users' trust network. In particular, by applying the personalised PageRank algorithm, we expand the friends of a given user to include others with similar purchase records to his/her original friends. To make this propagation algorithm scalable to a large amount of users, as required by real-world recommender systems, we devise an iterative computation algorithm of the original personalised TrustRank which can incrementally compute trust vectors for Cold-Start users. We conduct extensive experiments to demonstrate the consistently improvement provided by our proposed algorithm over the existing recommender algorithms on the accuracy of recommendations for Cold-Start users.

  14. Union Agency Lecture: Predicting and Managing Extreme Events

    NASA Astrophysics Data System (ADS)

    Lubchenco, J.

    2011-12-01

    From tsunamis to tornadoes to hurricanes, floods, droughts, and heat waves, 2011 has been a year of extreme events reminding us of the vulnerability of the nation's communities to such events and the need to enhance our ability to anticipate and mitigate impacts of extreme events. Among its many roles, NOAA is responsible for providing critical environmental intelligence to the nation. To deliver this intelligence, we observe, monitor, and forecast environmental changes, including extreme events. The different time horizons for different types of extreme events require different observing, analytical and modeling approaches. Short-fuse events such as tornadoes, heavy rainfall, and solar storms present different challenges from those whose development can be tracked: hurricanes, droughts, heat waves, extended flooding, hypoxia, or dispersion of volcanic ash, wildfire smoke or oil following a spill. Occurrence of compound or cascading events, such as heat, drought, and poor air quality, add complexity to our ability to predict. Recent extreme events not only challenge us to improve monitoring and forecasting abilities, but also to improve capabilities to deliver credible and actionable information widely. This talk discusses some of the larger scientific, technological, and social science challenges in predicting and reducing impacts from extreme events.

  15. Amma - Monitoring and Management Application

    NASA Astrophysics Data System (ADS)

    Rakesh Adapa, Swamy

    Agriculture has been the part and parcel of the human life. It has been the major occupation around the world prior to the industrial revolution. Today many of the developing countries had their strong economical fundamentals from it. UN has been doing a great job in uplifting the rural population in terms of health and education. There is a need for uplifting the agricultural sector which has been lagging in the present economies. More than 70% of the rural employment comes from agricultural activities. So, there is a need for utilization of cutting edge technologies to make it more profitable. The problems that are being mainly faced by the farmers are illiteracy, climatic changes, improper data transfer, low technical skills, migration, natural disasters etc; AMMA helps the farmers to utilize the fruits of Geoinformatics ,tele-education, mobile technology etc; The farmer gets registered at our website through the Village Resource Centre (VRC), or AMMA Centre. The coordinator collects the data from the farmer about the past status of the crop; his economic status etc; now the process goes like this..,1.The coordinator sends the crop status through images and text data.2. The expert group sends the advice on viewing the crop status, satellite images on weekly basis.3.The coordinator on receiving the report explains it to the farmer about how to execute the recommendations that are made by the expert group.4.The farmer follows the recommendations that were said by his coordinator and takes appropriate steps. He gives back the feedback after the recommendations made by the agricultural supervisor are implemented.5.The feedback sent back by the farmer is verified by the agricultural geographer, whether the recommendations made by the experts are implemented or not.So, through the above process the crop is strictly monitored and extreme care is taken in the management of the crop. This cycle is repeated every week through internet. Here at AMMA a quantitative and

  16. Survival of high latitude fringing corals in extreme temperatures: Red Sea oceanography

    NASA Astrophysics Data System (ADS)

    Moustafa, M. Z.; Moustafa, M. S.; Moustafa, Z. D.; Moustafa, S. E.

    2014-04-01

    This multi-year study set out to establish a comprehensive knowledgebase for a fringing coral reef in the Gulf of Suez, while also investigating the link between coral reef survivability and the extreme environmental conditions present in the region. The Gulf of Suez is a narrow branch of the northern Red Sea for which all forms of environmental and scientific data are severely lacking. Monitoring oceanographic and meteorological data provides evidence of both seasonal variability and interannual variability in this region, and may reveal correlations between reef health and prevailing climate conditions. Specifically, this research sought to document the environmental conditions under which Zaki's Reef, a small fringing coral reef (29.5°N and 32.4°E) that lies at the northernmost limit of tropical reefs worldwide, is able to survive, in order to determine how extreme the conditions are. Results of observed seawater temperature revealed that coral species at Zaki's Reef regularly experience 2-4 °C and 10-15 °C daily and seasonal temperature variations, respectively. Seawater temperature monthly means reached a minimum of 14 °C in February and a maximum of 33 °C in August. Monthly mean sea surface temperature climatology obtained from satellite measurements was comparable to observed seawater temperatures, while annual air and seawater temperature means were identical at 22 °C. Observed seawater temperatures exceeded established coral bleaching thresholds for extended periods of time, suggesting that coral species at this location may have developed a mechanism to cope with such extreme temperatures. Further scrutiny of these species and the mechanisms by which they are able to thrive is recommended.

  17. Impact of an extreme climatic event on community assembly.

    PubMed

    Thibault, Katherine M; Brown, James H

    2008-03-04

    Extreme climatic events are predicted to increase in frequency and magnitude, but their ecological impacts are poorly understood. Such events are large, infrequent, stochastic perturbations that can change the outcome of entrained ecological processes. Here we show how an extreme flood event affected a desert rodent community that has been monitored for 30 years. The flood (i) caused catastrophic, species-specific mortality; (ii) eliminated the incumbency advantage of previously dominant species; (iii) reset long-term population and community trends; (iv) interacted with competitive and metapopulation dynamics; and (v) resulted in rapid, wholesale reorganization of the community. This and a previous extreme rainfall event were punctuational perturbations-they caused large, rapid population- and community-level changes that were superimposed on a background of more gradual trends driven by climate and vegetation change. Captured by chance through long-term monitoring, the impacts of such large, infrequent events provide unique insights into the processes that structure ecological communities.

  18. Military Performance and Health Monitoring in Extreme Environments

    DTIC Science & Technology

    2009-10-01

    humidity, 4) precipitation, 5) ( solar ) radiation and 6) altitude (barometric pressure). Ambient temperature can be measured using thermometers. Both...radiation and wind to give a true temperature reading. At high ambient temperatures, in particular in combination with solar radiation, objects may... Solar ) radiation is absorbed by the human skin and increases the body temperature. In the cold, radiation reduces heat strain and in warm circumstances

  19. [Sugar and diabetes: international recommendations].

    PubMed

    Sanz París, Alejandro; Boj Carceller, Diana; Melchor Lacleta, Isabel; Albero Gamboa, Ramón

    2013-07-01

    Nutrition in the diabetic patient is not just a mere nutrient but his treatment is based. In fact, international scientific societies have called "medical nutrition therapy" to give it the emphasis it deserves. Nutritional recommendations of scientific societies have been changing in recent years with evidence-based medicine. Regarding the consumption of sugar, most believe it does not affect metabolic control if it is replaced by other carbohydrates, but does not indicate a specific amount.

  20. Automatic Home Nursing Activity Recommendation

    PubMed Central

    Luo, Gang; Tang, Chunqiang

    2009-01-01

    The rapid deployment of Web-based, consumer-centric electronic medical records (CEMRs) is an important trend in healthcare. In this paper, we incorporate nursing knowledge into CEMR so that it can automatically recommend home nursing activities (HNAs). Those more complex HNAs are made clickable for users to find detailed implementation procedures. We demonstrate the effectiveness of our techniques using USMLE medical exam cases. PMID:20351888

  1. Aggregated Recommendation through Random Forests

    PubMed Central

    2014-01-01

    Aggregated recommendation refers to the process of suggesting one kind of items to a group of users. Compared to user-oriented or item-oriented approaches, it is more general and, therefore, more appropriate for cold-start recommendation. In this paper, we propose a random forest approach to create aggregated recommender systems. The approach is used to predict the rating of a group of users to a kind of items. In the preprocessing stage, we merge user, item, and rating information to construct an aggregated decision table, where rating information serves as the decision attribute. We also model the data conversion process corresponding to the new user, new item, and both new problems. In the training stage, a forest is built for the aggregated training set, where each leaf is assigned a distribution of discrete rating. In the testing stage, we present four predicting approaches to compute evaluation values based on the distribution of each tree. Experiments results on the well-known MovieLens dataset show that the aggregated approach maintains an acceptable level of accuracy. PMID:25180204

  2. Gender, Education, Extremism and Security

    ERIC Educational Resources Information Center

    Davies, Lynn

    2008-01-01

    This paper examines the complex relationships between gender, education, extremism and security. After defining extremism and fundamentalism, it looks first at the relationship of gender to violence generally, before looking specifically at how this plays out in more extremist violence and terrorism. Religious fundamentalism is also shown to have…

  3. Grassland responses to precipitation extremes

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Grassland ecosystems are naturally subjected to periods of prolonged drought and sequences of wet years. Climate change is expected to enhance the magnitude and frequency of extreme events at the intraannual and multiyear scales. Are grassland responses to extreme precipitation simply a response to ...

  4. Denitrification by extremely halophilic bacteria

    NASA Technical Reports Server (NTRS)

    Hochstein, L. I.; Tomlinson, G. A.

    1985-01-01

    Extremely halophilic bacteria were isolated from widely separated sites by anaerobic enrichment in the presence of nitrate. The anaerobic growth of several of these isolates was accompanied by the production of nitrite, nitrous oxide, and dinitrogen. These results are a direct confirmation of the existence of extremely halophilic denitrifying bacteria, and suggest that such bacteria may be common inhabitants of hypersaline environments.

  5. Monitoring materials

    DOEpatents

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore

    2002-01-01

    The apparatus and method provide techniques for effectively implementing alpha and/or beta and/or gamma monitoring of items or locations as desired. Indirect alpha monitoring by detecting ions generated by alpha emissions, in conjunction with beta and/or gamma monitoring is provided. The invention additionally provides for screening of items prior to alpha monitoring using beta and/or gamma monitoring, so as to ensure that the alpha monitoring apparatus is not contaminated by proceeding direct to alpha monitoring of a heavily contaminated item or location. The invention provides additional versatility in the emission forms which can be monitored, whilst maintaining accuracy and avoiding inadvertent contamination.

  6. 28 CFR 0.36 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Recommendations. 0.36 Section 0.36... Pardon Attorney § 0.36 Recommendations. The Pardon Attorney shall submit all recommendations in clemency... recommendations to the President....

  7. 28 CFR 0.36 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Recommendations. 0.36 Section 0.36... Pardon Attorney § 0.36 Recommendations. The Pardon Attorney shall submit all recommendations in clemency... recommendations to the President....

  8. 28 CFR 0.36 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 1 2012-07-01 2012-07-01 false Recommendations. 0.36 Section 0.36... Pardon Attorney § 0.36 Recommendations. The Pardon Attorney shall submit all recommendations in clemency... recommendations to the President....

  9. 28 CFR 0.36 - Recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Recommendations. 0.36 Section 0.36... Pardon Attorney § 0.36 Recommendations. The Pardon Attorney shall submit all recommendations in clemency... recommendations to the President....

  10. 28 CFR 0.36 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Recommendations. 0.36 Section 0.36... Pardon Attorney § 0.36 Recommendations. The Pardon Attorney shall submit all recommendations in clemency... recommendations to the President....

  11. Towards Information Enrichment through Recommendation Sharing

    NASA Astrophysics Data System (ADS)

    Weng, Li-Tung; Xu, Yue; Li, Yuefeng; Nayak, Richi

    Nowadays most existing recommender systems operate in a single organisational basis, i.e. a recommender system recommends items to customers of one organisation based on the organisation's datasets only. Very often the datasets of a single organisation do not have sufficient resources to be used to generate quality recommendations. Therefore, it would be beneficial if recommender systems of different organisations with similar nature can cooperate together to share their resources and recommendations. In this chapter, we present an Ecommerce-oriented Distributed Recommender System (EDRS) that consists of multiple recommender systems from different organisations. By sharing resources and recommendations with each other, these recommenders in the distributed recommendation system can provide better recommendation service to their users. As for most of the distributed systems, peer selection is often an important aspect. This chapter also presents a recommender selection technique for the proposed EDRS, and it selects and profiles recommenders based on their stability, average performance and selection frequency. Based on our experiments, it is shown that recommenders' recommendation quality can be effectively improved by adopting the proposed EDRS and the associated peer selection technique.

  12. Representing Extremes in Agricultural Models

    NASA Technical Reports Server (NTRS)

    Ruane, Alex

    2015-01-01

    AgMIP and related projects are conducting several activities to understand and improve crop model response to extreme events. This involves crop model studies as well as the generation of climate datasets and scenarios more capable of capturing extremes. Models are typically less responsive to extreme events than we observe, and miss several forms of extreme events. Models also can capture interactive effects between climate change and climate extremes. Additional work is needed to understand response of markets and economic systems to food shocks. AgMIP is planning a Coordinated Global and Regional Assessment of Climate Change Impacts on Agricultural Production and Food Security with an aim to inform the IPCC Sixth Assessment Report.

  13. Life in extreme environments: how will humans perform on Mars?

    PubMed

    Newman, D J

    2000-06-01

    This review of astronaut extravehicular activity (EVA) and the details of American and Soviet/Russian spacesuit design focuses on design recommendations to enhance astronaut safety and effectiveness. Innovative spacesuit design is essential, given the challenges of future exploration-class missions in which astronauts will be called upon to perform increasingly complex and physically demanding tasks in the extreme environments of microgravity and partial gravity.

  14. Life in extreme environments: how will humans perform on Mars?

    NASA Technical Reports Server (NTRS)

    Newman, D. J.

    2000-01-01

    This review of astronaut extravehicular activity (EVA) and the details of American and Soviet/Russian spacesuit design focuses on design recommendations to enhance astronaut safety and effectiveness. Innovative spacesuit design is essential, given the challenges of future exploration-class missions in which astronauts will be called upon to perform increasingly complex and physically demanding tasks in the extreme environments of microgravity and partial gravity.

  15. Multi - Region Analysis of a New Climate Extremes Index

    NASA Astrophysics Data System (ADS)

    Dittus, A. J.; Karoly, D. J.; Lewis, S. C.; Alexander, L. V.

    2014-12-01

    In this study, a new Climate Extremes Index (CEI) is introduced, extending the earlier combined CEI proposed by Karl et al. (1996). It is based on the use of standard extreme indices derived from daily meteorological station data, facilitating the computation of this index and making use of two global gridded extreme indices datasets. The index combines the fraction of area experiencing extreme conditions in daily temperature and daily and annual precipitation, therefore representing a combined measure of extremes. The analysis of this index at the global scale is limited by data availability. In this study, the four continental-scale regions analysed are Europe, North America, Asia and Australia over the period from 1951 to 2010. Additionally, the index is also computed for the entire Northern Hemisphere, corresponding to the first CEI results at the hemispheric scale. Results show statistically significant increases in the percentage area experiencing much above average warm days and nights and much below average cool days and nights for all regions, with the exception of North America for maximum temperature extremes. Increases in the area affected by precipitation extremes are also found for the Northern Hemisphere regions, particularly Europe. This study shows the potential of this new index for climate monitoring and other applications by documenting large-scale changes in the areas experiencing climate extremes. Preliminary detection and attribution results will also be presented using extreme indices computed for the Coupled Model Intercomparison Project Phase 5 climate model simulations (Sillmann et al., 2013). Karl, T. R., R. W. Knight, D. R. Easterling, and R. G. Quayle, 1996: Indices of climate change for the United States. Bull. Amer. Meteor. Soc., 77, 279-292. Sillmann, J., V. V. Kharin, X. Zhang, F. W. Zwiers, and D. Bronaugh (2013), Climate extremes indices in the CMIP5 multimodel ensemble: Part 1. Model evaluation in the present climate, J. Geophys

  16. Research of intelligent recommendation for mobile reading

    NASA Astrophysics Data System (ADS)

    Li, Qu

    2013-07-01

    Mobile reading is the trend of current publishing industry. Intelligent Recommendation system is useful and profitable for mobile reading platforms. Currently, intelligent recommendation systems mainly focus on news recommendation or production recommendation in e-commerce. In this paper, we designed and implemented an intelligent recommendation system based on slope one algorithm. Results show that our algorithm can help the users to find their interested books and thus greatly improve the income of mobile reading platform.

  17. Thermal Evaluation of Fiber Bragg Gratings at Extreme Temperatures

    NASA Technical Reports Server (NTRS)

    Juergens, Jeffrey; Adamovsky, Grigory; Bhatt, Ramakrishna; Morscher, Gregory; Floyd, Bertram

    2005-01-01

    The development of integrated fiber optic sensors for use in aerospace health monitoring systems demands that the sensors be able to perform in extreme environments. In order to use fiber optic sensors effectively in an extreme environment one must have a thorough understanding of the sensor's capabilities, limitations, and performance under extreme environmental conditions. This paper reports on our current sensor evaluation examining the performance of freestanding fiber Bragg gratings (FBG) at extreme temperatures. While the ability of FBGs to survive at extreme temperatures has been established, their performance and long term survivability is not well documented. At extreme temperatures the grating structure would be expected to dissipate, degrading the sensors performance and eventually ceasing to return a detectable signal. The fiber jacket will dissipate leaving a brittle, unprotected fiber. For FBGs to be used in aerospace systems their performance and limitations need to be thoroughly understood at extreme temperatures. As the limits of the FBGs performance are pushed the long term survivability and performance of the sensor comes into question. We will not only examine the ability of FBGs to survive extreme temperatures but also look at their performance during many thermal cycles. This paper reports on test results of the performance of thermal cycling commercially available FBGs, at temperatures up to 1000 C, seen in aerospace applications. Additionally this paper will report on the performance of commercially available FBGs held at 1000 C for hundreds of hours. Throughout the evaluation process, various parameters of the FBGs performance were monitored and recorded. Several test samples were subjected to identical test conditions to allow for statistical analysis of the data. Test procedures, calibrations, referencing techniques, performance data, and interpretations and explanations of results are presented in the paper along with directions for

  18. Challenges of physiological monitoring in a Navy operational setting

    NASA Technical Reports Server (NTRS)

    Banta, Guy R.

    1988-01-01

    Challenges to physiological monitoring in the Navy include environmental extremes, acceptance of use by test subjects, data transfer, data interpretation, and capability of relating collected data to valid operational relevant criterion measures. These problems are discussed with respect to diving, electrophysiological monitoring, in-flight monitoring, aircrew fatigue, in-flight cardiac stress, and in-flight monitoring devices.

  19. Modeling extreme PM10 concentration in Malaysia using generalized extreme value distribution

    NASA Astrophysics Data System (ADS)

    Hasan, Husna; Mansor, Nadiah; Salleh, Nur Hanim Mohd

    2015-05-01

    Extreme PM10 concentration from the Air Pollutant Index (API) at thirteen monitoring stations in Malaysia is modeled using the Generalized Extreme Value (GEV) distribution. The data is blocked into monthly selection period. The Mann-Kendall (MK) test suggests a non-stationary model so two models are considered for the stations with trend. The likelihood ratio test is used to determine the best fitted model and the result shows that only two stations favor the non-stationary model (Model 2) while the other eleven stations favor stationary model (Model 1). The return level of PM10 concentration that is expected to exceed the maximum once within a selected period is obtained.

  20. Applications of tethers in space: A review of workshop recommendations

    NASA Technical Reports Server (NTRS)

    Vontiesenhausen, G. (Editor)

    1986-01-01

    Well-organized and structured efforts of considerable magnitude involving NASA, industry, and academia have explored and defined the engineering and technological requirements of the use of tethers in space and have discovered their broad range of operational and economic benefits. The results of these efforts have produced a family of extremely promising candidate applications. The extensive efforts now in progress are gaining momentum and a series of flight demonstrations are being planned and can be expected to take place in a few years. This report provides an analysis and a review of NASA's second major workshop on Applications of Tethers in Space held in October 15 to 17, 1985, in Venice, Italy. It provides a summary of an up-to-date assessment and recommendations by the NASA Tether Applications in Space Program Planning Group, consisting of representatives of seven NASA Centers and responsible for tether applications program planning implementation as recommended by the workshop panels.

  1. Clinical recommendation: pediatric lichen sclerosus.

    PubMed

    Bercaw-Pratt, Jennifer L; Boardman, Lori A; Simms-Cendan, Judith S

    2014-04-01

    Lichen sclerosus is a chronic inflammatory condition affecting the anogenital region that may present in the prepubertal or adolescent patient. Clinical presentations include significant pruritus, labial adhesions, and loss of pigmentation. Treatment includes topical anti-inflammatory agents and long-term follow-up as there is a high risk of recurrence and an increased risk of vulvar cancer in adult women with history of lichen sclerosus. These recommendations are intended for pediatricians, gynecologists, nurse practitioners and others who care for pediatric/adolescent girls in order to facilitate diagnosis and treatment.

  2. Performance evaluation of recommendation algorithms on Internet of Things services

    NASA Astrophysics Data System (ADS)

    Mashal, Ibrahim; Alsaryrah, Osama; Chung, Tein-Yaw

    2016-06-01

    Internet of Things (IoT) is the next wave of industry revolution that will initiate many services, such as personal health care and green energy monitoring, which people may subscribe for their convenience. Recommending IoT services to the users based on objects they own will become very crucial for the success of IoT. In this work, we introduce the concept of service recommender systems in IoT by a formal model. As a first attempt in this direction, we have proposed a hyper-graph model for IoT recommender system in which each hyper-edge connects users, objects, and services. Next, we studied the usefulness of traditional recommendation schemes and their hybrid approaches on IoT service recommendation (IoTSRS) based on existing well known metrics. The preliminary results show that existing approaches perform reasonably well but further extension is required for IoTSRS. Several challenges were discussed to point out the direction of future development in IoTSR.

  3. Extreme seismicity and disaster risks: Hazard versus vulnerability (Invited)

    NASA Astrophysics Data System (ADS)

    Ismail-Zadeh, A.

    2013-12-01

    Although the extreme nature of earthquakes has been known for millennia due to the resultant devastation from many of them, the vulnerability of our civilization to extreme seismic events is still growing. It is partly because of the increase in the number of high-risk objects and clustering of populations and infrastructure in the areas prone to seismic hazards. Today an earthquake may affect several hundreds thousand lives and cause significant damage up to hundred billion dollars; it can trigger an ecological catastrophe if occurs in close vicinity to a nuclear power plant. Two types of extreme natural events can be distinguished: (i) large magnitude low probability events, and (ii) the events leading to disasters. Although the first-type events may affect earthquake-prone countries directly or indirectly (as tsunamis, landslides etc.), the second-type events occur mainly in economically less-developed countries where the vulnerability is high and the resilience is low. Although earthquake hazards cannot be reduced, vulnerability to extreme events can be diminished by monitoring human systems and by relevant laws preventing an increase in vulnerability. Significant new knowledge should be gained on extreme seismicity through observations, monitoring, analysis, modeling, comprehensive hazard assessment, prediction, and interpretations to assist in disaster risk analysis. The advanced disaster risk communication skill should be developed to link scientists, emergency management authorities, and the public. Natural, social, economic, and political reasons leading to disasters due to earthquakes will be discussed.

  4. Orion Entry Monitor

    NASA Technical Reports Server (NTRS)

    Smith, Kelly M.

    2016-01-01

    NASA is scheduled to launch the Orion spacecraft atop the Space Launch System on Exploration Mission 1 in late 2018. When Orion returns from its lunar sortie, it will encounter Earth's atmosphere with speeds in excess of 11 kilometers per second, and Orion will attempt its first precision-guided skip entry. A suite of flight software algorithms collectively called the Entry Monitor has been developed in order to enhance crew situational awareness and enable high levels of onboard autonomy. The Entry Monitor determines the vehicle capability footprint in real-time, provides manual piloting cues, evaluates landing target feasibility, predicts the ballistic instantaneous impact point, and provides intelligent recommendations for alternative landing sites if the primary landing site is not achievable. The primary engineering challenges of the Entry Monitor is in the algorithmic implementation in making a highly reliable, efficient set of algorithms suitable for onboard applications.

  5. A heterogeneous graph-based recommendation simulator

    SciTech Connect

    Yeonchan, Ahn; Sungchan, Park; Lee, Matt Sangkeun; Sang-goo, Lee

    2013-01-01

    Heterogeneous graph-based recommendation frameworks have flexibility in that they can incorporate various recommendation algorithms and various kinds of information to produce better results. In this demonstration, we present a heterogeneous graph-based recommendation simulator which enables participants to experience the flexibility of a heterogeneous graph-based recommendation method. With our system, participants can simulate various recommendation semantics by expressing the semantics via meaningful paths like User Movie User Movie. The simulator then returns the recommendation results on the fly based on the user-customized semantics using a fast Monte Carlo algorithm.

  6. Extreme events in computational turbulence

    PubMed Central

    Yeung, P. K.; Zhai, X. M.; Sreenivasan, Katepalli R.

    2015-01-01

    We have performed direct numerical simulations of homogeneous and isotropic turbulence in a periodic box with 8,1923 grid points. These are the largest simulations performed, to date, aimed at improving our understanding of turbulence small-scale structure. We present some basic statistical results and focus on “extreme” events (whose magnitudes are several tens of thousands the mean value). The structure of these extreme events is quite different from that of moderately large events (of the order of 10 times the mean value). In particular, intense vorticity occurs primarily in the form of tubes for moderately large events whereas it is much more “chunky” for extreme events (though probably overlaid on the traditional vortex tubes). We track the temporal evolution of extreme events and find that they are generally short-lived. Extreme magnitudes of energy dissipation rate and enstrophy occur simultaneously in space and remain nearly colocated during their evolution. PMID:26424452

  7. Extreme hypertriglyceridemia managed with insulin.

    PubMed

    Thuzar, Moe; Shenoy, Vasant V; Malabu, Usman H; Schrale, Ryan; Sangla, Kunwarjit S

    2014-01-01

    Extreme hypertriglyceridemia can lead to acute pancreatitis and rapid lowering of serum triglycerides (TG) is necessary for preventing such life-threatening complications. However, there is no established consensus on the acute management of extreme hypertriglyceridemia. We retrospectively reviewed 10 cases of extreme hypertriglyceridemia with mean serum TG on presentation of 101.5 ± 23.4 mmol/L (8982 ± 2070 mg/dL) managed with insulin. Serum TG decreased by 87 ± 4% in 24 hours in those patients managed with intravenous insulin and fasting and 40 ± 8.4% in those managed with intravenous insulin alone (P = .0003). The clinical course was uncomplicated in all except 1 patient who subsequently developed a pancreatic pseudocyst. Thus, combination of intravenous insulin with fasting appears to be an effective, simple, and safe treatment strategy in immediate management of extreme hypertriglyceridemia.

  8. Hall sensors for extreme temperatures.

    PubMed

    Jankowski, Jakub; El-Ahmar, Semir; Oszwaldowski, Maciej

    2011-01-01

    We report on the preparation of the first complete extreme temperature Hall sensor. This means that the extreme-temperature magnetic sensitive semiconductor structure is built-in an extreme-temperature package especially designed for that purpose. The working temperature range of the sensor extends from -270 °C to +300 °C. The extreme-temperature Hall-sensor active element is a heavily n-doped InSb layer epitaxially grown on GaAs. The magnetic sensitivity of the sensor is ca. 100 mV/T and its temperature coefficient is less than 0.04 %/K. This sensor may find applications in the car, aircraft, spacecraft, military and oil and gas industries.

  9. Recommendations for the design, optimization, and qualification of cell-based assays used for the detection of neutralizing antibody responses elicited to biological therapeutics.

    PubMed

    Gupta, Shalini; Indelicato, Stephen R; Jethwa, Vijay; Kawabata, Thomas; Kelley, Marian; Mire-Sluis, Anthony R; Richards, Susan M; Rup, Bonita; Shores, Elizabeth; Swanson, Steven J; Wakshull, Eric

    2007-04-10

    The administration of biological therapeutics can evoke some level of immune response to the drug product in the receiving subjects. An immune response comprised of neutralizing antibodies can lead to loss of efficacy or potentially more serious clinical sequelae. Therefore, it is important to monitor the immunogenicity of biological therapeutics throughout the drug product development cycle. Immunoassays are typically used to screen for the presence and development of anti-drug product antibodies. However, in-vitro cell-based assays prove extremely useful for the characterization of immunoassay-positive samples to determine if the detected antibodies have neutralizing properties. This document provides scientific recommendations based on the experience of the authors for the development of cell-based assays for the detection of neutralizing antibodies in non-clinical and clinical studies.

  10. Observed Statistics of Extreme Waves

    DTIC Science & Technology

    2006-12-01

    9 Figure 5. An energy stealing wave as a solution to the NLS equation . (From: Dysthe and...shown that nonlinear interaction between four colliding waves can produce extreme wave behavior. He utilized the NLS equation in his numerical ...2000) demonstrated the formation of extreme waves using the Korteweg de Vries ( KdV ) equation , which is valid in shallow water. It was shown in the

  11. Effect of interferents on the performance of direct-reading organic vapor monitors

    PubMed Central

    LeBouf, Ryan F.; Coffey, Christopher C.

    2015-01-01

    Direct-reading organic vapor monitors are often used to measure volatile organic compound concentrations in complex chemical gas mixtures. However, there is a paucity of data on the impact of multiple gases on monitor performance, even though it is known that monitor sensitivity may vary by chemical. This study investigated the effects of interferents on the performance of the MIRAN SapphIRe Portable Ambient Air Analyzer (SAP) and Century Portable Toxic Vapor Analyzer (TVA-1000) when sampling a specific agent of interest (cyclohexane). The TVA-1000 contained a dual detector: a photoionization detector (PID) and a flame ionization detector (FID). Three devices of each monitor were challenged with different combinations of cyclohexane and potential interferent vapors (hexane, methyl ethyl ketone, trichloroethylene, and toluene) at 21°C and 90% relative humidity (RH), an extreme environmental condition. Five replicates at four target concentrations were tested: 30, 150, 300, and 475 ppm. Multiple proportions of cyclohexane to interferent enabled the determination of the interferent effect on monitor performance. The monitor concentrations were compared to reference concentrations measured using NIOSH Method 1500. Three scenarios were investigated: no response factor, cyclohexane response factor, and weighted-mixed response factor applied. False negatives occurred more frequently for PID (21.1%), followed by FID (4.8%) and SAP (0.2%). Measurements from all monitors generally had a positive bias compared to the reference measurements. Some monitor measurements exceeded twice the reference concentrations: PID (36.8%), SAP (19.8%), and FID (6.3%). Evaluation of the 95% confidence intervals indicated that performance of all monitors varied by concentration. In addition, the performance of the PID and SAP varied by presence of an interfering compound, especially toluene and hexane for the PID and trichloroethylene for the SAP. Variability and bias associated with all these

  12. Changes in climate extremes indices over Mexico

    NASA Astrophysics Data System (ADS)

    Teufel, B. S.; Mora Rodriguez, J.; Pineda-Martinez, L. F.

    2013-05-01

    There is scientific consensus on the fact that any change in the frequency or intensity of climate extremes (one of the consequences of global climate change) will have a great impact on the environment and on society. There has been an international effort, led by the Expert Team on Climate Change Detection and Indices (ETCCDI), to develop a set of climate extremes indices, so individuals, regions and countries can calculate such indices in the same way, enabling them to be compared across borders. Daily records of temperature and precipitation are required to calculate these climate extremes indices and their behavior over long periods shows if the frequency or intensity of climate extremes has changed. For this work, the full database of the National Meteorological Service of Mexico (Servicio Meteorologico Nacional), which contains data for over 5000 meteorological stations, was used. First, quality control and homogeneity procedures, as recommended by the World Meteorological Organization (WMO), were used to analyze and filter the database, removing erroneous or inconsistent data. The following climate indices were obtained for all stations that met the WMO's criteria for calculating climate normals: - Percentage of days with daily minimum temperatures lower than the 10th percentile. - Percentage of days with daily maximum temperatures lower than the 10th percentile. - Percentage of days with daily minimum temperatures higher than the 90th percentile. - Percentage of days with daily maximum temperatures higher than the 90th percentile. - Percentage of days with daily precipitation above the 95th percentile. - Percentage of days with daily precipitation above the 99th percentile. The results are presented as regionally averaged time series for the period 1930 - 2010. Additionally, the spatial distribution of the magnitude and statistical significance of the changes in the indices is presented. Widespread and statistically significant changes in the temperature

  13. Conclusions and Recommendations. Chapter 37

    NASA Technical Reports Server (NTRS)

    Lamar, John E.; Hummel, Dietrich

    2009-01-01

    This chapter provides a brief wrap-up of the task group report and focuses on the overall conclusions and recommendations for future work for the CAWAPI and VFE-2 facets beyond the task group. The overall conclusion is that the Technology Readiness Level (TRL) of CFD solvers has been improved in predicting the flow-physics of vortex-dominated flows during the work of the task group, by having flight and wind-tunnel data available for comparison. Moreover, like all good scientific studies, this task group has identified flight conditions on the F-16XL airplane or wind-tunnel test conditions for a specific leading-edge radius on the 65 delta-wing model where the TRL still needs to be increased.

  14. Recommendations for managing hospital closure.

    PubMed

    van der Wal, R; Bouthillette, F; Havlovic, S J

    1998-01-01

    An acute care hospital was closed by the British Columbia Ministry of Health in 1993. A research study was conducted to investigate the ways closure of the hospital affected hospital employees and to identify ways to facilitate the closure/reorganization process. Unstructured interviews were conducted with 25 employees around the time of closure and six months after the closure. In the category Living with Closure, six themes arose from the qualitative analysis. They related to (1) provision of information; (2) effect of closure on the working environment and colleagues; (3) perceived stress; (4) recognition of one's worth; (5) provision of support services; and (6) the process of having a new job. The authors offer recommendations stemming from the analysis, which are intended to assist others planning for future hospital reorganizations or closures.

  15. Classroom-tested Recommendations for Teaching Problem Solving within a Traditional College Course: Genetics.

    ERIC Educational Resources Information Center

    Smith, Mike U.

    Both teachers and students alike acknowledge that genetics and genetics problem-solving are extremely difficult to learn and to teach. Therefore, a number of recommendations for teaching college genetics are offered. Although few of these ideas have as yet been tested in controlled experiments, they are supported by research and experience and may…

  16. Using a Recommender System and Hyperwave Attributes To Augment an Electronic Resource Library.

    ERIC Educational Resources Information Center

    Fenn, B.; Lennon, J.

    There has been increasing interest over the past few years in systems that help users exchange recommendations about World Wide Web documents. Programs have ranged from those that rely totally on user pre-selection, to others that are based on artificial intelligence. This paper proposes a system that falls between these two extremes, providing…

  17. Preventive Care Recommendations for Adults with MS

    MedlinePlus

    Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS The Three Most Common Eye Disorders Carlos Healey, diagnosed in 2001 in Multiple Sclerosis Medical checklist: Recommendations: Dates of last & next test ...

  18. The NASA Energy and Water Cycle Extreme (NEWSE) Integration Project

    NASA Technical Reports Server (NTRS)

    House, P. R.; Lapenta, W.; Schiffer, R.

    2008-01-01

    Skillful predictions of water and energy cycle extremes (flood and drought) are elusive. To better understand the mechanisms responsible for water and energy extremes, and to make decisive progress in predicting these extremes, the collaborative NASA Energy and Water cycle Extremes (NEWSE) Integration Project, is studying these extremes in the U.S. Southern Great Plains (SGP) during 2006-2007, including their relationships with continental and global scale processes, and assessment of their predictability on multiple space and time scales. It is our hypothesis that an integrative analysis of observed extremes which reflects the current understanding of the role of SST and soil moisture variability influences on atmospheric heating and forcing of planetary waves, incorporating recently available global and regional hydro- meteorological datasets (i.e., precipitation, water vapor, clouds, etc.) in conjunction with advances in data assimilation, can lead to new insights into the factors that lead to persistent drought and flooding. We will show initial results of this project, whose goals are to provide an improved definition, attribution and prediction on sub-seasonal to interannual time scales, improved understanding of the mechanisms of decadal drought and its predictability, including the impacts of SST variability and deep soil moisture variability, and improved monitoring/attributions, with transition to applications; a bridging of the gap between hydrological forecasts and stakeholders (utilization of probabilistic forecasts, education, forecast interpretation for different sectors, assessment of uncertainties for different sectors, etc.).

  19. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... employee is the head of an agency, the Director shall make any such recommendation to the President and...

  20. 45 CFR 1616.4 - Recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 4 2014-10-01 2014-10-01 false Recommendations. 1616.4 Section 1616.4 Public... § 1616.4 Recommendations. (a) Before filling an attorney position, a recipient shall notify the organized... seek recommendations for attorneys who meet the qualifications established for the position. (b)...

  1. 22 CFR 908.3 - Board recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Board recommendations. 908.3 Section 908.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD REMEDIES § 908.3 Board recommendations. (a) If the Board... disciplinary action against any employee of an Agency, it shall make an appropriate recommendation to the...

  2. 16 CFR 1.43 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Recommendations. 1.43 Section 1.43... PROCEDURES Export Trade Associations § 1.43 Recommendations. Whenever the Commission has reason to believe... association recommendations for the readjustment of its business. If the association fails to comply with...

  3. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... employee is the head of an agency, the Director shall make any such recommendation to the President and...

  4. 16 CFR 1.43 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Recommendations. 1.43 Section 1.43... PROCEDURES Export Trade Associations § 1.43 Recommendations. Whenever the Commission has reason to believe... association recommendations for the readjustment of its business. If the association fails to comply with...

  5. 45 CFR 1616.4 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 4 2013-10-01 2013-10-01 false Recommendations. 1616.4 Section 1616.4 Public... § 1616.4 Recommendations. (a) Before filling an attorney position, a recipient shall notify the organized... seek recommendations for attorneys who meet the qualifications established for the position. (b)...

  6. 45 CFR 1616.4 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 4 2012-10-01 2012-10-01 false Recommendations. 1616.4 Section 1616.4 Public... § 1616.4 Recommendations. (a) Before filling an attorney position, a recipient shall notify the organized... seek recommendations for attorneys who meet the qualifications established for the position. (b)...

  7. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 22 2014-07-01 2013-07-01 true Recommendations. 108.6 Section 108.6... HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative Law Judge shall, based on the record, issue tentative findings of fact and recommendations concerning...

  8. 16 CFR 1.43 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Recommendations. 1.43 Section 1.43... PROCEDURES Export Trade Associations § 1.43 Recommendations. Whenever the Commission has reason to believe... association recommendations for the readjustment of its business. If the association fails to comply with...

  9. 5 CFR 9001.108 - Prohibited recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Prohibited recommendations. 9001.108... CONDUCT FOR EMPLOYEES OF THE FEDERAL HOUSING FINANCE AGENCY § 9001.108 Prohibited recommendations. Employees shall not make any recommendation or suggestion, directly or indirectly, concerning...

  10. 22 CFR 908.3 - Board recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Board recommendations. 908.3 Section 908.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD REMEDIES § 908.3 Board recommendations. (a) If the Board... disciplinary action against any employee of an Agency, it shall make an appropriate recommendation to the...

  11. 22 CFR 908.3 - Board recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Board recommendations. 908.3 Section 908.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD REMEDIES § 908.3 Board recommendations. (a) If the Board... disciplinary action against any employee of an Agency, it shall make an appropriate recommendation to the...

  12. 22 CFR 909.3 - Board recommendation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Board recommendation. 909.3 Section 909.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD DECISIONMAKING § 909.3 Board recommendation. Where the Board's decision is a recommendation, it shall be directed to the head of the Agency. A copy of...

  13. 5 CFR 9001.108 - Prohibited recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Prohibited recommendations. 9001.108... CONDUCT FOR EMPLOYEES OF THE FEDERAL HOUSING FINANCE AGENCY § 9001.108 Prohibited recommendations. Employees shall not make any recommendation or suggestion, directly or indirectly, concerning...

  14. 22 CFR 909.3 - Board recommendation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Board recommendation. 909.3 Section 909.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD DECISIONMAKING § 909.3 Board recommendation. Where the Board's decision is a recommendation, it shall be directed to the head of the Agency. A copy of...

  15. 5 CFR 9001.108 - Prohibited recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Prohibited recommendations. 9001.108... CONDUCT FOR EMPLOYEES OF THE FEDERAL HOUSING FINANCE AGENCY § 9001.108 Prohibited recommendations. Employees shall not make any recommendation or suggestion, directly or indirectly, concerning...

  16. 16 CFR 1.43 - Recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Recommendations. 1.43 Section 1.43... PROCEDURES Export Trade Associations § 1.43 Recommendations. Whenever the Commission has reason to believe... association recommendations for the readjustment of its business. If the association fails to comply with...

  17. 5 CFR 9401.110 - Prohibited recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Prohibited recommendations. 9401.110 Section 9401.110 Administrative Personnel BUREAU OF CONSUMER FINANCIAL PROTECTION SUPPLEMENTAL STANDARDS... recommendations. An employee shall not make recommendations or suggestions, directly or indirectly, concerning...

  18. 22 CFR 909.3 - Board recommendation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Board recommendation. 909.3 Section 909.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD DECISIONMAKING § 909.3 Board recommendation. Where the Board's decision is a recommendation, it shall be directed to the head of the Agency. A copy of...

  19. 22 CFR 908.3 - Board recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Board recommendations. 908.3 Section 908.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD REMEDIES § 908.3 Board recommendations. (a) If the Board... disciplinary action against any employee of an Agency, it shall make an appropriate recommendation to the...

  20. 5 CFR 9401.110 - Prohibited recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Prohibited recommendations. 9401.110 Section 9401.110 Administrative Personnel BUREAU OF CONSUMER FINANCIAL PROTECTION SUPPLEMENTAL STANDARDS... recommendations. An employee shall not make recommendations or suggestions, directly or indirectly, concerning...

  1. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... employee is the head of an agency, the Director shall make any such recommendation to the President and...

  2. 22 CFR 909.3 - Board recommendation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Board recommendation. 909.3 Section 909.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD DECISIONMAKING § 909.3 Board recommendation. Where the Board's decision is a recommendation, it shall be directed to the head of the Agency. A copy of...

  3. Distribute The Highest Selected Textual Recommendation (DTHSTR)

    SciTech Connect

    2012-05-01

    The DTHSTR computer code uses a set of documents as seed documents to recommend documents of interest from a large, target set of documents. The computer code provides results that show the highest recommended documents as well as the terms in common between the recommend document and the corresponding seed document that is most similar.

  4. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... employee is the head of an agency, the Director shall make any such recommendation to the President and...

  5. 45 CFR 1616.4 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Recommendations. 1616.4 Section 1616.4 Public... § 1616.4 Recommendations. (a) Before filling an attorney position, a recipient shall notify the organized... seek recommendations for attorneys who meet the qualifications established for the position. (b)...

  6. 5 CFR 9001.108 - Prohibited recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Prohibited recommendations. 9001.108... CONDUCT FOR EMPLOYEES OF THE FEDERAL HOUSING FINANCE AGENCY § 9001.108 Prohibited recommendations. Employees shall not make any recommendation or suggestion, directly or indirectly, concerning...

  7. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Recommendations. 108.6 Section 108.6... HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative Law Judge shall, based on the record, issue tentative findings of fact and recommendations concerning...

  8. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Recommendations. 108.6 Section 108.6... HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative Law Judge shall, based on the record, issue tentative findings of fact and recommendations concerning...

  9. 22 CFR 908.3 - Board recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Board recommendations. 908.3 Section 908.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD REMEDIES § 908.3 Board recommendations. (a) If the Board... disciplinary action against any employee of an Agency, it shall make an appropriate recommendation to the...

  10. 5 CFR 2638.506 - Director's recommendation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Director's recommendation. 2638.506... Cases Involving Individual Executive Agency Employees § 2638.506 Director's recommendation. (a) Where... employee is the head of an agency, the Director shall make any such recommendation to the President and...

  11. 45 CFR 1616.4 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recommendations. 1616.4 Section 1616.4 Public... § 1616.4 Recommendations. (a) Before filling an attorney position, a recipient shall notify the organized... seek recommendations for attorneys who meet the qualifications established for the position. (b)...

  12. 16 CFR 1.43 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Recommendations. 1.43 Section 1.43... PROCEDURES Export Trade Associations § 1.43 Recommendations. Whenever the Commission has reason to believe... association recommendations for the readjustment of its business. If the association fails to comply with...

  13. 22 CFR 909.3 - Board recommendation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Board recommendation. 909.3 Section 909.3 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD DECISIONMAKING § 909.3 Board recommendation. Where the Board's decision is a recommendation, it shall be directed to the head of the Agency. A copy of...

  14. Decision-Guided Recommenders with Composite Alternatives

    ERIC Educational Resources Information Center

    Alodhaibi, Khalid

    2011-01-01

    Recommender systems aim to support users in their decision-making process while interacting with large information spaces and recommend items of interest to users based on preferences they have expressed, either explicitly or implicitly. Recommender systems are increasingly used with product and service selection over the Internet. Although…

  15. Prevention of infections associated with combat-related extremity injuries.

    PubMed

    Murray, Clinton K; Obremskey, William T; Hsu, Joseph R; Andersen, Romney C; Calhoun, Jason H; Clasper, Jon C; Whitman, Timothy J; Curry, Thomas K; Fleming, Mark E; Wenke, Joseph C; Ficke, James R

    2011-08-01

    During combat operations, extremities continue to be the most common sites of injury with associated high rates of infectious complications. Overall, ∼ 15% of patients with extremity injuries develop osteomyelitis, and ∼ 17% of those infections relapse or recur. The bacteria infecting these wounds have included multidrug-resistant bacteria such as Acinetobacter baumannii, Pseudomonas aeruginosa, extended-spectrum β-lactamase-producing Klebsiella species and Escherichia coli, and methicillin-resistant Staphylococcus aureus. The goals of extremity injury care are to prevent infection, promote fracture healing, and restore function. In this review, we use a systematic assessment of military and civilian extremity trauma data to provide evidence-based recommendations for the varying management strategies to care for combat-related extremity injuries to decrease infection rates. We emphasize postinjury antimicrobial therapy, debridement and irrigation, and surgical wound management including addressing ongoing areas of controversy and needed research. In addition, we address adjuvants that are increasingly being examined, including local antimicrobial therapy, flap closure, oxygen therapy, negative pressure wound therapy, and wound effluent characterization. This evidence-based medicine review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.

  16. Linking Extreme Weather Events and Extreme ENSO States

    NASA Astrophysics Data System (ADS)

    Perlwitz, J.; Hoerling, M. P.; Xu, T.; Hoell, A.; Cheng, L.; Wolter, K.

    2015-12-01

    To what extent are the risks of extreme weather events over the contiguous US, such as heavy precipitation, heat and cold waves, conditioned by the state of tropical east Pacific SSTs? Further, do extreme magnitudes of El Niño and La Niña events exert a unique and particularly strong controlling effect on weather extremes? Here, we utilize both observations and multi-model large ensemble historical simulations to characterize the behavior of 5-day maximum precipitation distributions. We focus on relations between ENSO impacts on seasonal means and weather extremes, and explore the distinction between effects based on ENSO phase and intensity. For the cold season (November to April), overall ENSO impacts on mean precipitation are shown to be consistent with observations. This signal includes enhanced seasonal mean precipitation over the southern part of the U.S. and central Great Plains during El Niño, and enhanced seasonal mean precipitation over the Midwest during La Nina. We further demonstrate how these signals change under the influence of the most extreme ENSO events, conditions that are difficult to verify from observations owing to small sample sizes, but are modeled via large ensemble methods. The statistics of 5-day maximum precipitation, with a focus on 20-year return levels that characterizes rare but potentially damaging events, are examined. We demonstrate substantial differences in changes in the risk of extreme 5-day precipitation and the seasonal mean precipitation signal, especially in such regions as California, and the western Great Plains including the Front Range of the Rockies from Montana to New Mexico. The plausibility of such behavior is discussed via physical considerations and by examining the structural uncertainty in such outcomes across three different climate models.

  17. Fiberoptic characteristics for extreme operating environments

    NASA Technical Reports Server (NTRS)

    Delcher, R. C.

    1992-01-01

    Fiberoptics could offer several major benefits for cryogenic liquid-fueled rocket engines, including lightning immunity, weight reduction, and the possibility of implementing a number of new measurements for engine condition monitoring. The technical feasibility of using fiberoptics in the severe environments posed by cryogenic liquid-fueled rocket engines was determined. The issues of importance and subsequent requirements for this use of fiberoptics were compiled. These included temperature ranges, moisture embrittlement succeptability, and the ability to withstand extreme shock and vibration levels. Different types of optical fibers were evaluated and several types of optical fibers' ability to withstand use in cryogenic liquid-fueled rocket engines was demonstrated through environmental testing of samples. This testing included: cold-bend testing, moisture embrittlement testing, temperature cycling, temperature extremes testing, vibration testing, and shock testing. Three of five fiber samples withstood the tests to a level proving feasibility, and two of these remained intact in all six of the tests. A fiberoptic bundle was also tested, and completed testing without breakage. Preliminary cabling and harnessing for fiber protection was also demonstrated. According to cable manufacturers, the successful -300 F cold bend, vibration, and shock tests are the first instance of any major fiberoptic cable testing below roughly -55 F. This program has demonstrated the basic technical feasibility of implementing optical fibers on cryogenic liquid-fueled rocket engines, and a development plan is included highlighting requirements and issues for such an implementation.

  18. Evaluation of extreme temperature events in northern Spain based on process control charts

    NASA Astrophysics Data System (ADS)

    Villeta, M.; Valencia, J. L.; Saá, A.; Tarquis, A. M.

    2017-02-01

    Extreme climate events have recently attracted the attention of a growing number of researchers because these events impose a large cost on agriculture and associated insurance planning. This study focuses on extreme temperature events and proposes a new method for their evaluation based on statistical process control tools, which are unusual in climate studies. A series of minimum and maximum daily temperatures for 12 geographical areas of a Spanish region between 1931 and 2009 were evaluated by applying statistical process control charts to statistically test whether evidence existed for an increase or a decrease of extreme temperature events. Specification limits were determined for each geographical area and used to define four types of extreme anomalies: lower and upper extremes for the minimum and maximum anomalies. A new binomial Markov extended process that considers the autocorrelation between extreme temperature events was generated for each geographical area and extreme anomaly type to establish the attribute control charts for the annual fraction of extreme days and to monitor the occurrence of annual extreme days. This method was used to assess the significance of changes and trends of extreme temperature events in the analysed region. The results demonstrate the effectiveness of an attribute control chart for evaluating extreme temperature events. For example, the evaluation of extreme maximum temperature events using the proposed statistical process control charts was consistent with the evidence of an increase in maximum temperatures during the last decades of the last century.

  19. Are hourly precipitation extremes increasing faster than daily precipitation extremes?

    NASA Astrophysics Data System (ADS)

    Barbero, Renaud; Fowler, Hayley; Blenkinsop, Stephen; Lenderink, Geert

    2016-04-01

    Extreme precipitation events appear to be increasing with climate change in many regions of the world, including the United States. These extreme events have large societal impacts, as seen during the recent Texas-Oklahoma flooding in May 2015 which caused several billion in damages and left 47 deaths in its path. Better understanding of past changes in the characteristics of extreme rainfall events is thus critical for reliable projections of future changes. Although it has been documented in several studies that daily precipitation extremes are increasing across parts of the contiguous United States, very few studies have looked at hourly extremes. However, this is of primary importance as recent studies on the temperature scaling of extreme precipitation have shown that increases above the Clausius-Clapeyron (~ 7% °C-1) are possible for hourly precipitation. In this study, we used hourly precipitation data (HPD) from the National Climatic Data Center and extracted more than 1,000 stations across the US with more than 40 years of data spanning the period 1950-2010. As hourly measurements are often associated with a range of issues, the data underwent multiple quality control processes to exclude erroneous data. While no significant changes were found in annual maximum precipitation using both hourly and daily resolution datasets, significant increasing trends in terms of frequency of episodes exceeding present-day 95th percentiles of wet hourly/daily precipitation were observed across a significant portion of the US. The fraction of stations with significant increasing trends falls outside the confidence interval range during all seasons but the summer. While less than 12% of stations exhibit significant trends at the daily scale in the wintertime, more than 45% of stations, mostly clustered in central and Northern United States, show significant increasing trends at the hourly scale. This suggests that short-duration storms have increased faster than daily

  20. Transverse deformations of extreme horizons

    NASA Astrophysics Data System (ADS)

    Li, Carmen; Lucietti, James

    2016-04-01

    We consider the inverse problem of determining all extreme black hole solutions to the Einstein equations with a prescribed near-horizon geometry. We investigate this problem by considering infinitesimal deformations of the near-horizon geometry along transverse null geodesics. We show that, up to a gauge transformation, the linearised Einstein equations reduce to an elliptic PDE for the extrinsic curvature of a cross-section of the horizon. We deduce that for a given near-horizon geometry there exists a finite dimensional moduli space of infinitesimal transverse deformations. We then establish a uniqueness theorem for transverse deformations of the extreme Kerr horizon. In particular, we prove that the only smooth axisymmetric transverse deformation of the near-horizon geometry of extreme Kerr, such that cross-sections of the horizon are marginally trapped surfaces, corresponds to that of the extreme Kerr black hole. Furthermore, we determine all smooth and biaxisymmetric transverse deformations of the near-horizon geometry of the five-dimensional extreme Myers-Perry black hole with equal angular momenta. We find a three parameter family of solutions such that cross-sections of the horizon are marginally trapped, which is more general than the known black hole solutions. We discuss the possibility that they correspond to new five-dimensional vacuum black holes.

  1. Book review: Extreme ocean waves

    USGS Publications Warehouse

    Geist, Eric L.

    2017-01-01

    Extreme Ocean Waves”, edited by E. Pelinovsky and C. Kharif, second edition, Springer International Publishing, 2016; ISBN: 978-3-319-21574-7, ISBN (eBook): 978-3-319-21575-4The second edition of “Extreme Ocean Waves” published by Springer is an update of a collection of 12 papers edited by Efim Pelinovsky and Christian Kharif following the April 2007 meeting of the General Assembly of the European Geosciences Union. In this edition, three new papers have been added and three more have been substantially revised. Color figures are now included, which greatly aids in reading several of the papers, and is especially helpful in visualizing graphs as in the paper on symbolic computation of nonlinear wave resonance (Tobisch et al.). A note on terminology: extreme waves in this volume broadly encompass different types of waves, including deep-water and shallow-water rogue waves (which are alternatively termed freak waves), and internal waves. One new paper on tsunamis (Viroulet et al.) is now included in the second edition of this volume. Throughout the book, the reader will find a combination of laboratory, theoretical, and statistical/empirical treatment necessary for the complete examination of this subject. In the Introduction, the editors underscore the importance of studying extreme waves, documenting a dramatic instance of damaging extreme waves that recently occurred in 2014.

  2. Recommended community strategies and measurements to prevent obesity in the United States.

    PubMed

    Khan, Laura Kettel; Sobush, Kathleen; Keener, Dana; Goodman, Kenneth; Lowry, Amy; Kakietek, Jakub; Zaro, Susan

    2009-07-24

    Approximately two thirds of U.S. adults and one fifth of U.S. children are obese or overweight. During 1980--2004, obesity prevalence among U.S. adults doubled, and recent data indicate an estimated 33% of U.S. adults are overweight (body mass index [BMI] 25.0-29.9), 34% are obese (BMI >or=30.0), including nearly 6% who are extremely obese (BMI >or=40.0). The prevalence of being overweight among children and adolescents increased substantially during 1999-2004, and approximately 17% of U.S. children and adolescents are overweight (defined as at or above the 95% percentile of the sex-specific BMI for age growth charts). Being either obese or overweight increases the risk for many chronic diseases (e.g., heart disease, type 2 diabetes, certain cancers, and stroke). Reversing the U.S. obesity epidemic requires a comprehensive and coordinated approach that uses policy and environmental change to transform communities into places that support and promote healthy lifestyle choices for all U.S. residents. Environmental factors (including lack of access to full-service grocery stores, increasing costs of healthy foods and the lower cost of unhealthy foods, and lack of access to safe places to play and exercise) all contribute to the increase in obesity rates by inhibiting or preventing healthy eating and active living behaviors. Recommended strategies and appropriate measurements are needed to assess the effectiveness of community initiatives to create environments that promote good nutrition and physical activity. To help communities in this effort, CDC initiated the Common Community Measures for Obesity Prevention Project (the Measures Project). The objective of the Measures Project was to identify and recommend a set of strategies and associated measurements that communities and local governments can use to plan and monitor environmental and policy-level changes for obesity prevention. This report describes the expert panel process that was used to identify 24

  3. Long-term Monitoring Plan for the Central Nevada Test Area

    SciTech Connect

    A. Hassan

    2003-09-02

    simulations and probability based approaches to select the first set of monitoring wells that will serve two purposes. The first is to place the wells in areas likely to encounter migration pathways thereby enhancing the probability of detecting radionuclide migration in the long run. The second objective is crucial in the short run and is aimed at using this set of wells to collect validation data for the model. The selection criteria should thus balance these two objectives. Based on the results of the validation process that progresses concurrently with the first monitoring stage, either more wells will be needed in this first stage or the second stage will be initiated. The second monitoring design stage will be based on an optimum design methodology that uses a suitable statistical approach, combined with an optimization approach, to augment the initial set of wells and develop the final long-term monitoring network. The first-stage probabilistic analysis conducted using the CNTA model indicates that the likelihood of migration away from the test cavity is very low and the probability of detecting radionuclides in the next 100 years is extremely low. Therefore, it is recommended to place one well in the downstream direction along the model longitudinal centerline (i.e., directly north of the working point), which is the location with the highest probability of encountering the plume. Lack of significant plume spreading, coupled with the extremely low velocities, suggests that this one well is sufficient for the first stage. Data from this well, and from additional wells located with validation as the prime objective, will benefit the model validation process. In the long run, this first monitoring well is going to be crucial for the long-term monitoring of the site (assuming that the flow model is validated), as it will be the most likely place to detect any plume migration away from the cavity.

  4. Definition of air quality measurements for monitoring space shuttle launches

    NASA Technical Reports Server (NTRS)

    Thorpe, R. D.

    1978-01-01

    A description of a recommended air quality monitoring network to characterize the impact on ambient air quality in the Kennedy Space Center (KSC) (area) of space shuttle launch operations is given. Analysis of ground cloud processes and prevalent meteorological conditions indicates that transient HCl depositions can be a cause for concern. The system designed to monitor HCl employs an extensive network of inexpensive detectors combined with a central analysis device. An acid rain network is also recommended. A quantitative measure of projected minimal long-term impact involves the limited monitoring of NOx and particulates. All recommended monitoring is confined ti KSC property.

  5. Extreme hydrological events and security

    NASA Astrophysics Data System (ADS)

    Kundzewicz, Z. W.; Matczak, P.

    2015-06-01

    Economic losses caused by hydrological extremes - floods and droughts - have been on the rise, worldwide. Hydrological extremes jeopardize human security and cause serious threats to human life and welfare and societal livelihood. Floods and droughts can undermine societies' security, understood as freedom from threat and the ability of societies to maintain their independent identity and their functional integrity against forces of change. Several dimensions of security are reviewed in the context of hydrological extremes. Floods and droughts pose a burden and serious challenges to the state, responsible to sustain economic development, societal and environmental security - the maintenance of ecosystem services, on which a society depends. It is shown that reduction of risk of hydrological disasters improves human security.

  6. Hybrid recommendation methods in complex networks.

    PubMed

    Fiasconaro, A; Tumminello, M; Nicosia, V; Latora, V; Mantegna, R N

    2015-07-01

    We propose two recommendation methods, based on the appropriate normalization of already existing similarity measures, and on the convex combination of the recommendation scores derived from similarity between users and between objects. We validate the proposed measures on three data sets, and we compare the performance of our methods to other recommendation systems recently proposed in the literature. We show that the proposed similarity measures allow us to attain an improvement of performances of up to 20% with respect to existing nonparametric methods, and that the accuracy of a recommendation can vary widely from one specific bipartite network to another, which suggests that a careful choice of the most suitable method is highly relevant for an effective recommendation on a given system. Finally, we study how an increasing presence of random links in the network affects the recommendation scores, finding that one of the two recommendation algorithms introduced here can systematically outperform the others in noisy data sets.

  7. ENVIRONMENTAL MONITORING FOR PUBLIC ACCESS AND COMMUNITY TRACKING (EMPACT) PROGRAM MICROBIOLOGICAL MONITORING OF RECREATIONAL WATER

    EPA Science Inventory

    Current Environmental Protection Agency (EPA) recommended microbiological monitoring practices for bathing beach water quality were suggested in 1968, as a part of the fecal coliform guideline developed by the Federal Water Pollution Control Administration. The guideline stated ...

  8. Shear Fractures of Extreme Dynamics

    NASA Astrophysics Data System (ADS)

    Tarasov, Boris

    2016-10-01

    Natural and laboratory observations show that shear ruptures (faults) can propagate with extreme dynamics (up to intersonic rupture velocities) through intact materials and along pre-existing faults with frictional and coherent (bonded) interfaces. The rupture propagation is accompanied by significant fault strength weakening in the rupture head. Although essential for understanding earthquakes, rock mechanics, tribology and fractures, the question of what physical processes determine how that weakening occurs is still unresolved. The general approach today to explain the fault weakening is based upon the strong velocity-weakening friction law according to which the fault strength drops rapidly with slip velocity. Different mechanisms of strength weakening caused by slip velocity have been proposed including thermal effect, high-frequency compressional waves, expansion of pore fluid, macroscopic melting and gel formation. This paper proposes that shear ruptures of extreme dynamics propagating in intact materials and in pre-existing frictional and coherent interfaces are governed by the same recently identified mechanism which is associated with an intensive microcracking process in the rupture tip observed for all types of extreme ruptures. The microcracking process creates, in certain conditions, a special fan-like microstructure shear resistance of which is extremely low (up to an order of magnitude less than the frictional strength). The fan-structure representing the rupture head provides strong interface weakening and causes high slip and rupture velocities. In contrast with the velocity-weakening dependency, this mechanism provides the opposite weakening-velocity effect. The fan-mechanism differs remarkably from all reported earlier mechanisms, and it can provide such important features observed in extreme ruptures as: extreme slip and rupture velocities, high slip velocity without heating, off-fault tensile cracking, transition from crack-like to pulse

  9. Nutritional recommendations for synchronized swimming.

    PubMed

    Robertson, Sherry; Benardot, Dan; Mountjoy, Margo

    2014-08-01

    The sport of synchronized swimming is unique, because it combines speed, power, and endurance with precise synchronized movements and high-risk acrobatic maneuvers. Athletes must train and compete while spending a great amount of time underwater, upside down, and without the luxury of easily available oxygen. This review assesses the scientific evidence with respect to the physiological demands, energy expenditure, and body composition in these athletes. The role of appropriate energy requirements and guidelines for carbohydrate, protein, fat, and micronutrients for elite synchronized swimmers are reviewed. Because of the aesthetic nature of the sport, which prioritizes leanness, the risks of energy and macronutrient deficiencies are of significant concern. Relative Energy Deficiency in Sport and disordered eating/eating disorders are also of concern for these female athletes. An approach to the healthy management of body composition in synchronized swimming is outlined. Synchronized swimmers should be encouraged to consume a well-balanced diet with sufficient energy to meet demands and to time the intake of carbohydrate, protein, and fat to optimize performance and body composition. Micronutrients of concern for this female athlete population include iron, calcium, and vitamin D. This article reviews the physiological demands of synchronized swimming and makes nutritional recommendations for recovery, training, and competition to help optimize athletic performance and to reduce risks for weight-related medical issues that are of particular concern for elite synchronized swimmers.

  10. Recommendations for pathology peer review.

    PubMed

    Morton, Daniel; Sellers, Rani S; Barale-Thomas, Erio; Bolon, Brad; George, Catherine; Hardisty, Jerry F; Irizarry, Armando; McKay, Jennifer S; Odin, Marielle; Teranishi, Munehiro

    2010-12-01

    Pathology peer review verifies and improves the accuracy and quality of pathology diagnoses and interpretations. Pathology peer review is recommended when important risk assessment or business decisions are based on nonclinical studies. For pathology peer review conducted before study completion, the peer-review pathologist reviews sufficient slides and pathology data to assist the study pathologist in refining pathology diagnoses and interpretations. Materials to be reviewed are selected by the peer-review pathologist. Consultations with additional experts or a formal (documented) pathology working group may be used to resolve discrepancies. The study pathologist is solely responsible for the content of the final pathology data and report, makes changes resulting from peer-review discussions, initiates the audit trail for microscopic observations after all changes resulting from peer-review have been made, and signs the final pathologist's report. The peer-review pathologist creates a signed peer-review memo describing the peer-review process and confirming that the study pathologist's report accurately and appropriately reflects the pathology data. The study pathologist also may sign a statement of consensus. It is not necessary to archive working notes created during the peer-review process.

  11. Vietnam recommended dietary allowances 2007.

    PubMed

    Khan, Nguyen Cong; Hoan, Pham Van

    2008-01-01

    It has been well acknowledged that Vietnam is undergoing a nutrition transition. With a rapid change in the country's reform and economic growth, food supply at the macronutrient level has improved. Changes of the Vietnamese diet include significantly more foods of animal origin, and an increase of fat/oils, and ripe fruits. Consequently, nutritional problems in Vietnam now include not only malnutrition but also overweight/obesity, metabolic syndrome and other chronic diseases related to nutrition and lifestyles. The recognition of these shifts, which is also associated with morbidity and mortality, was a major factor in the need to review and update the Recommended Dietary Allowances (RDA) for the Vietnamese population. This revised RDA established an important science-based tool for evaluation of nutrition adequacy, for teaching, and for scientific communications within Vietnam. It is expected that the 2007 Vietnam RDA and its conversion to food-based dietary guidelines will facilitate education to the public, as well as the policy implementation of programs for prevention of non-communicable chronic diseases and addressing the double burden of both under and over nutrition.

  12. Extreme Conditions Modeling Workshop Report

    SciTech Connect

    Coe, R. G.; Neary, V. S.; Lawson, M. J.; Yu, Y.; Weber, J.

    2014-07-01

    Sandia National Laboratories (SNL) and the National Renewable Energy Laboratory (NREL) hosted the Wave Energy Converter (WEC) Extreme Conditions Modeling (ECM) Workshop in Albuquerque, NM on May 13th-14th, 2014. The objective of the workshop was to review the current state of knowledge on how to model WECs in extreme conditions (e.g. hurricanes and other large storms) and to suggest how U.S. Department of Energy (DOE) and national laboratory resources could be used to improve ECM methods for the benefit of the wave energy industry.

  13. Automation Rover for Extreme Environments

    NASA Technical Reports Server (NTRS)

    Sauder, Jonathan; Hilgemann, Evan; Johnson, Michael; Parness, Aaron; Hall, Jeffrey; Kawata, Jessie; Stack, Kathryn

    2017-01-01

    Almost 2,300 years ago the ancient Greeks built the Antikythera automaton. This purely mechanical computer accurately predicted past and future astronomical events long before electronics existed1. Automata have been credibly used for hundreds of years as computers, art pieces, and clocks. However, in the past several decades automata have become less popular as the capabilities of electronics increased, leaving them an unexplored solution for robotic spacecraft. The Automaton Rover for Extreme Environments (AREE) proposes an exciting paradigm shift from electronics to a fully mechanical system, enabling longitudinal exploration of the most extreme environments within the solar system.

  14. Stochastic trajectories of succession initiated by extreme climatic events.

    PubMed

    Kreyling, J; Jentsch, A; Beierkuhnlein, C

    2011-08-01

    Deterministic or rule-based succession is expected under homogeneous biotic and abiotic starting conditions. Effects of extreme climatic events such as drought, however, may alter these assembly rules by adding stochastic elements. We monitored the succession of species composition of 30 twin grassland communities with identical biotic and abiotic starting conditions in an initially sown diversity gradient between 1 and 16 species over 13 years. The stochasticity of succession, measured as the synchrony in the development of the species compositions of the twin plots, was strongly altered by the extreme warm and dry summer of 2003. Moreover, it was independent from past and present plant diversity and neighbourhood species compositions. Extreme climatic events can induce stochastic effects in community development and therefore impair predictability even under homogeneous abiotic conditions. Stochastic events may result in lasting shifts of community composition, as well as adverse and unforeseeable effects on the stability of ecological services.

  15. Mass or molar? Recommendations for reporting concentrations of therapeutic drugs.

    PubMed

    Jones, Graham R D; Bryant, Stewart; Fullinfaw, Robert; Ilett, Ken; Miners, John O; Morris, Raymond G; Doogue, Matthew P

    2013-04-15

    A working party (WP) from the Australasian Association of Clinical Biochemists, Australasian Society of Clinical and Experimental Pharmacologists and Toxicologists, Royal College of Pathologists of Australasia and Royal Australasian College of Physicians recommends the following: *mass units should be used for reporting therapeutic drug concentrations in Australia and New Zealand; and the litre (L) should be used as the denominator when expressing concentration. Examples of these units are mg/L and μg/L Exceptions to these principles include: *drugs for which there is current uniformity of reporting and supporting information using molar units, notably lithium (mmol/L) and methotrexate (μmol/L); *drugs that are also present as endogenous substances, where the units used routinely should continue to be used. This applies to many substances, including minerals (eg, iron; μmol/L), vitamins (eg, vitamin D; nmol/L) and hormones (eg, thyroxine; pmol/L). *drugs for which the denominator is not a 198 of fluid and there is international uniformity of reporting (eg, thiopurine metabolites; per 109 red blood cells). These recommendations relate to drugs that are used therapeutically, whether measured for therapeutic drug monitoring purposes or for assessment of overdose. Other substances, such as drugs of misuse, heavy metals or environmental toxins, were not considered by the WP and are thus not covered by this document. These recommendations should also be applied to other supporting documentation such as published guidelines, journal articles and websites. The implementation of these recommendations in New Zealand is subject to local confirmation.

  16. Update of the Stroke Therapy Academic Industry Roundtable Preclinical Recommendations

    PubMed Central

    Fisher, Marc; Feuerstein, Giora; Howells, David W.; Hurn, Patricia D.; Kent, Thomas A.; Savitz, Sean I.; Lo, Eng H.

    2010-01-01

    The initial Stroke Therapy Academic Industry Roundtable (STAIR) recommendations published in 1999 were intended to improve the quality of preclinical studies of purported acute stroke therapies. Although recognized as reasonable, they have not been closely followed nor rigorously validated. Substantial advances have occurred regarding the appropriate quality and breadth of preclinical testing for candidate acute stroke therapies for better clinical translation. The updated STAIR preclinical recommendations reinforce the previous suggestions that reproducibly defining dose response and time windows with both histological and functional outcomes in multiple animal species with appropriate physiological monitoring is appropriate. The updated STAIR recommendations include: the fundamentals of good scientific inquiry should be followed by eliminating randomization and assessment bias, a priori defining inclusion/exclusion criteria, performing appropriate power and sample size calculations, and disclosing potential conflicts of interest. After initial evaluations in young, healthy male animals, further studies should be performed in females, aged animals, and animals with comorbid conditions such as hypertension, diabetes, and hypercholesterolemia. Another consideration is the use of clinically relevant biomarkers in animal studies. Although the recommendations cannot be validated until effective therapies based on them emerge from clinical trials, it is hoped that adherence to them might enhance the chances for success. PMID:19246690

  17. Technical characteristics of current cardiotocographic monitors.

    PubMed

    Ayres-de-Campos, Diogo; Nogueira-Reis, Zilma

    2016-01-01

    Cardiotocographic (CTG) monitors are complex electronic devices developed to acquire, process and display foetal heart rate (FHR) and uterine contraction (UC) signals. This chapter describes the main characteristics of current CTG monitors, in order to allow a better understanding of the technology. An ultrasound transducer is used for the external monitoring of FHR signals, whereas a tocodynamometer is used for the external monitoring of UCs. These technologies are recommended for routine clinical use in both the antepartum and intrapartum periods. Foetal electrode and intrauterine pressure sensors provide internal monitoring of FHR and UC signals, respectively, which are more precise than external signals. They are only applicable during labour, after cervical dilatation and ruptured membranes, and they have established contraindications. The registration of foetal movements, simultaneous monitoring of twins and triplets, continuous maternal heart rate monitoring, monitoring of other maternal parameters, alarms, digital outputs and telemetry are other available characteristics in some CTG monitors.

  18. Environmental monitoring in interventional radiology

    NASA Astrophysics Data System (ADS)

    Del Sol, S.; Garcia, R.; Sánchez, D.; Ramirez, G.; Chavarin, E. U.; Rivera, T.

    2017-01-01

    The procedures in Interventional Radiology involve long times of exposure and high number of radiographic images that bring higher radiation doses to patients, staff and environmental than those received in conventional Radiology. Currently for monitoring the dose, the thermoluminescent dosimetry use is recommended. The aim of this work was to carry out the monitoring of the environmental scattered radiation inside the IR room using two types of thermoluminescent dosimeters, TLD-100 (reference dosimeter), CaSO4:Dy (synthesized in our laboratory). The results indicate that the TLD-100 is not effective for the environmental monitoring of low-energy Rx rooms. The CaSO4:Dy presented good behaviour over the 6 months of study. The results will be specific to each room so it is recommended such studies as part of the program of quality control of each Rx room.

  19. Moving in extreme environments: what's extreme and who decides?

    PubMed

    Cotter, James David; Tipton, Michael J

    2014-01-01

    Humans work, rest and play in immensely varied extreme environments. The term 'extreme' typically refers to insufficiency or excess of one or more stressors, such as thermal energy or gravity. Individuals' behavioural and physiological capacity to endure and enjoy such environments varies immensely. Adverse effects of acute exposure to these environments are readily identifiable (e.g. heat stroke or bone fracture), whereas adverse effects of chronic exposure (e.g. stress fractures or osteoporosis) may be as important but much less discernable. Modern societies have increasingly sought to protect people from such stressors and, in that way, minimise their adverse effects. Regulations are thus established, and advice is provided on what is 'acceptable' exposure. Examples include work/rest cycles in the heat, hydration regimes, rates of ascent to and duration of stay at altitude and diving depth. While usually valuable and well intentioned, it is important to realise the breadth and importance of limitations associated with such guidelines. Regulations and advisories leave less room for self-determination, learning and perhaps adaptation. Regulations based on stress (e.g. work/rest cycles relative to WBGT) are more practical but less direct than those based on strain (e.g. core temperature), but even the latter can be substantively limited (e.g. by lack of criterion validation and allowance for behavioural regulation in the research on which they are based). Extreme Physiology & Medicine is publishing a series of reviews aimed at critically examining the issues involved with self- versus regulation-controlled human movement acutely and chronically in extreme environments. These papers, arising from a research symposium in 2013, are about the impact of people engaging in such environments and the effect of rules and guidelines on their safety, enjoyment, autonomy and productivity. The reviews will cover occupational heat stress, sporting heat stress, hydration, diving

  20. Statistical modeling and trend detection of extreme sea level records in the Pearl River Estuary

    NASA Astrophysics Data System (ADS)

    Wang, Weiwen; Zhou, Wen

    2017-03-01

    Sea level rise has become an important issue in global climate change studies. This study investigates trends in sea level records, particularly extreme records, in the Pearl River Estuary, using measurements from two tide gauge stations in Macau and Hong Kong. Extremes in the original sea level records (daily higher high water heights) and in tidal residuals with and without the 18.6-year nodal modulation are investigated separately. Thresholds for defining extreme sea levels are calibrated based on extreme value theory. Extreme events are then modeled by peaks-over-threshold models. The model applied to extremes in original sea level records does not include modeling of their durations, while a geometric distribution is added to model the duration of extremes in tidal residuals. Realistic modeling results are recommended in all stationary models. Parametric trends of extreme sea level records are then introduced to nonstationary models through a generalized linear model framework. The result shows that, in recent decades, since the 1960s, no significant trends can be found in any type of extreme at any station, which may be related to a reduction in the influence of tropical cyclones in the region. For the longer-term record since the 1920s at Macau, a regime shift of tidal amplitudes around the 1970s may partially explain the diverse trend of extremes in original sea level records and tidal residuals.

  1. Magnetars: Challenging the Extremes of Nature

    NASA Technical Reports Server (NTRS)

    Kouveliotou, Chryssa

    2011-01-01

    Magnetars are magnetically powered rotating neutron stars with extreme magnetic fields (over 10(exp 14) Gauss). They are discovered and emit predominantly in the X- and gamma-rays. Very few sources (roughly 15) have been found since their discovery in 1987. NASA s Fermi Observatory was launched June 11, 2009; the Fermi Gamma Ray Burst Monitor (GBM) began normal operations on July 14, about a month after launch, when the trigger algorithms were enabled. Since then, we recorded emission from four magnetar sources; of these, only one was an old magnetar: SGR 1806+20. The other three detections were two brand new sources, SGR J0501+4516, discovered with Swift and extensively monitored with both Swift and GBM, SGR J0418+5729, discovered with GBM and the Interplanetary Network (IPN), and SGR J1550-5418, a source originally classified as an Anomalous X-ray Pulsar (AXP 1E1547.0-5408). In my talk I will give a short history of the discovery of magnetars and describe how this, once relatively esoteric field, has emerged as a link between several astrophysical areas including Gamma-Ray Bursts. Finally, I will describe the properties of these sources and the current status of our knowledge of the magnetar population and birth rate.

  2. Milliwave melter monitoring system

    DOEpatents

    Daniel, William E.; Woskov, Paul P.; Sundaram, Shanmugavelayutham K.

    2011-08-16

    A milliwave melter monitoring system is presented that has a waveguide with a portion capable of contacting a molten material in a melter for use in measuring one or more properties of the molten material in a furnace under extreme environments. A receiver is configured for use in obtaining signals from the melt/material transmitted to appropriate electronics through the waveguide. The receiver is configured for receiving signals from the waveguide when contacting the molten material for use in determining the viscosity of the molten material. Other embodiments exist in which the temperature, emissivity, viscosity and other properties of the molten material are measured.

  3. Characterizing differences in precipitation regimes of extreme wet and dry years: implications for climate change experiments.

    PubMed

    Knapp, Alan K; Hoover, David L; Wilcox, Kevin R; Avolio, Meghan L; Koerner, Sally E; La Pierre, Kimberly J; Loik, Michael E; Luo, Yiqi; Sala, Osvaldo E; Smith, Melinda D

    2015-02-03

    Climate change is intensifying the hydrologic cycle and is expected to increase the frequency of extreme wet and dry years. Beyond precipitation amount, extreme wet and dry years may differ in other ways, such as the number of precipitation events, event size, and the time between events. We assessed 1614 long-term (100 year) precipitation records from around the world to identify key attributes of precipitation regimes, besides amount, that distinguish statistically extreme wet from extreme dry years. In general, in regions where mean annual precipitation (MAP) exceeded 1000 mm, precipitation amounts in extreme wet and dry years differed from average years by ~40% and 30%, respectively. The magnitude of these deviations increased to >60% for dry years and to >150% for wet years in arid regions (MAP<500 mm). Extreme wet years were primarily distinguished from average and extreme dry years by the presence of multiple extreme (large) daily precipitation events (events >99th percentile of all events); these occurred twice as often in extreme wet years compared to average years. In contrast, these large precipitation events were rare in extreme dry years. Less important for distinguishing extreme wet from dry years were mean event size and frequency, or the number of dry days between events. However, extreme dry years were distinguished from average years by an increase in the number of dry days between events. These precipitation regime attributes consistently differed between extreme wet and dry years across 12 major terrestrial ecoregions from around the world, from deserts to the tropics. Thus, we recommend that climate change experiments and model simulations incorporate these differences in key precipitation regime attributes, as well as amount into treatments. This will allow experiments to more realistically simulate extreme precipitation years and more accurately assess the ecological consequences.

  4. Upper extremity injuries in skiing.

    PubMed

    Mogan, J V; Davis, P H

    1982-07-01

    Grade III rupture of the ulnar collateral ligament of the thumb is a common injury, especially in skiers. If not treated appropriately, it can lead to symptoms that are quite disabling. The historical methods of diagnosis and treatment have been outlined, and a protocol to accurately establish the diagnosis was suggested. Specifically, vigorous clinical stress testing should not be performed, so that adductor interposition is not created by the testing. Instead, the metacarpophalangeal joint arthrogram is recommended to establish the correct diagnosis, thereby allowing appropriate treatment to be instituted. We recommend casting for Grade III ruptures without adductor interposition and surgical reduction and repair for ruptures with adductor interposition.

  5. Autonomous operations in extreme environments: the AMICA case

    NASA Astrophysics Data System (ADS)

    Di Rico, Gianluca; Ragni, Maurizio; Dolci, Mauro; Straniero, Oscar; Valentini, Angelo; Valentini, Gaetano; Di Cianno, Amico; Giuliani, Croce; Bonoli, Carlotta; Bortoletto, Favio; D'Alessandro, Maurizio; Magrin, Demetrio; Corcione, Leonardo; Riva, Alberto; Abia, Carlos; Mancini, Alberto; Busso, Maurizio; Tosti, Gino

    2010-07-01

    An autonomous observatory is being installed at Dome C in Antarctica. It will be constituted by the International Robotic Antarctic Infrared Telescope (IRAIT) and the Antarctic Multiband Infrared CAmera (AMICA). Because of the extreme environment, the whole system has been developed to operate robotically, paying particular attention to the environmental conditions and the subsystems activity monitoring. A detailed description of the IRAIT/AMICA data acquisition process and management will be shown, focusing on automated procedures and solutions against safety risks.

  6. An equity dashboard to monitor vaccination coverage.

    PubMed

    Arsenault, Catherine; Harper, Sam; Nandi, Arijit; Rodríguez, José M Mendoza; Hansen, Peter M; Johri, Mira

    2017-02-01

    Equity monitoring is a priority for Gavi, the Vaccine Alliance, and for those implementing The2030 agenda for sustainable development. For its new phase of operations, Gavi reassessed its approach to monitoring equity in vaccination coverage. To help inform this effort, we made a systematic analysis of inequalities in vaccination coverage across 45 Gavi-supported countries and compared results from different measurement approaches. Based on our findings, we formulated recommendations for Gavi's equity monitoring approach. The approach involved defining the vulnerable populations, choosing appropriate measures to quantify inequalities, and defining equity benchmarks that reflect the ambitions of the sustainable development agenda. In this article, we explain the rationale for the recommendations and for the development of an improved equity monitoring tool. Gavi's previous approach to measuring equity was the difference in vaccination coverage between a country's richest and poorest wealth quintiles. In addition to the wealth index, we recommend monitoring other dimensions of vulnerability (maternal education, place of residence, child sex and the multidimensional poverty index). For dimensions with multiple subgroups, measures of inequality that consider information on all subgroups should be used. We also recommend that both absolute and relative measures of inequality be tracked over time. Finally, we propose that equity benchmarks target complete elimination of inequalities. To facilitate equity monitoring, we recommend the use of a data display tool - the equity dashboard - to support decision-making in the sustainable development period. We highlight its key advantages using data from Côte d'Ivoire and Haiti.

  7. Hepatitis A and B booster recommendations: implications for travelers.

    PubMed

    Zuckerman, Jane N; Connor, Bradley A; von Sonnenburg, Frank

    2005-10-01

    Hepatitis A and B are serious vaccine-preventable diseases with a predominantly overlapping epidemiological distribution. Travelers, a term encompassing a range of individuals, are at risk of contracting these diseases if they are unvaccinated. Although the benefits of the primary vaccination course of hepatitis A and B vaccines are clear, the administration of hepatitis A and B boosters varies worldwide. Recommendations on the need for booster vaccinations have recently been published, and the implications of these recommendations for travelers are discussed in this review. Until a greater understanding is reached on the immunogenicity of hepatitis A and B vaccines in certain special groups (e.g., immunocompromised persons), there will be a need to monitor antibody levels to assess whether booster vaccinations are required. However, for the majority of immunocompetent travelers, the full primary vaccination course will provide protection from both hepatitis A and B infection in the long term, without the need for boosters.

  8. Recommendations for Remedial Action at Everest, Kansas.

    SciTech Connect

    LaFreniere, L. M.

    2007-02-15

    On September 7, 2005, the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) presented a Scoping Memo (Argonne 2005) for preliminary consideration by the Kansas Department of Health and Environment (KDHE). This document suggested possible remedial options for the carbon tetrachloride contamination in groundwater at Everest, Kansas. The suggested approaches were discussed by representatives of the KDHE, the CCC/USDA, and Argonne at the KDHE office in Topeka on September 8-9, 2005, along with other technical and logistic issues related to the Everest site. In response to these discussions, the KDHE recommended (KDHE 2005) evaluation of several remedial processes, either alone or in combination, as part of a Corrective Action Study (CAS) for Everest. The primary remedial processes suggested by the KDHE included the following: (1) Hydraulic control by groundwater extraction with aboveground treatment; (2) Air sparging-soil vapor extraction (SVE) in large-diameter boreholes; and (3) Phytoremediation. As a further outcome of the 2005 meeting and as a precursor to the proposed CAS, the CCC/USDA completed the following supplemental investigations at Everest to address several specific technical concerns discussed with the KDHE: (1) Construction of interpretive cross sections at strategic locations selected by the KDHE along the main plume migration pathway, to depict the hydrogeologic characteristics affecting groundwater flow and contaminant movement (Argonne 2006a); (2) A field investigation in early 2006 (Argonne 2006c), as follows: (a) Installation and testing of a production well and associated observation points, at locations approved by the KDHE, to determine the response of the Everest aquifer to groundwater extraction near the Nigh property; (b) Groundwater sampling for the analysis of volatile organic compounds (VOCs) and the installation of additional permanent monitoring points at locations selected by the KDHE, to further constrain

  9. Monitoring: The missing piece

    SciTech Connect

    Bjorkland, Ronald

    2013-11-15

    The U.S. National Environmental Policy Act (NEPA) of 1969 heralded in an era of more robust attention to environmental impacts resulting from larger scale federal projects. The number of other countries that have adopted NEPA's framework is evidence of the appeal of this type of environmental legislation. Mandates to review environmental impacts, identify alternatives, and provide mitigation plans before commencement of the project are at the heart of NEPA. Such project reviews have resulted in the development of a vast number of reports and large volumes of project-specific data that potentially can be used to better understand the components and processes of the natural environment and provide guidance for improved and efficient environmental protection. However, the environmental assessment (EA) or the more robust and intensive environmental impact statement (EIS) that are required for most major projects more frequently than not are developed to satisfy the procedural aspects of the NEPA legislation while they fail to provide the needed guidance for improved decision-making. While NEPA legislation recommends monitoring of project activities, this activity is not mandated, and in those situations where it has been incorporated, the monitoring showed that the EIS was inaccurate in direction and/or magnitude of the impact. Many reviews of NEPA have suggested that monitoring all project phases, from the design through the decommissioning, should be incorporated. Information gathered though a well-developed monitoring program can be managed in databases and benefit not only the specific project but would provide guidance how to better design and implement future activities designed to protect and enhance the natural environment. -- Highlights: • NEPA statutes created profound environmental protection legislative framework. • Contrary to intent, NEPA does not provide for definitive project monitoring. • Robust project monitoring is essential for enhanced

  10. Astrobiology: Life in Extreme Environments

    ERIC Educational Resources Information Center

    Kaur, Preeti

    2011-01-01

    Astrobiology is the study of the origin, evolution and distribution of life in the universe. It seeks to answer two important scientific questions: how did we get here and are we alone in the universe? Scientists begin by studying life on Earth and its limits. The discovery of extremophiles on Earth capable of surviving extremes encourages the…

  11. Tetrasulfide extreme pressure lubricant additives

    SciTech Connect

    Gast, L.E.; Kenney, H.E.; Schwab, A.W.

    1980-08-19

    A novel class of compounds has been prepared comprising the tetrasulfides of /sup 18/C hydrocarbons, /sup 18/C fatty acids, and /sup 18/C fatty and alkyl and triglyceride esters. These tetrasulfides are useful as extreme pressure lubricant additives and show potential as replacements for sulfurized sperm whale oil.

  12. How Cells Endure Extreme Conditions

    SciTech Connect

    2009-01-01

    One of natures most gripping feats of survival is now better understood. For the first time, Berkeley Lab scientists observed the chemical changes in individual cells that enable them to survive in conditions that should kill them. http://newscenter.lbl.gov/feature-stories/2009/07/07/cells-endure-extremes/

  13. Water monitor system: Phase 1 test report

    NASA Technical Reports Server (NTRS)

    Taylor, R. E.; Jeffers, E. L.

    1976-01-01

    Automatic water monitor system was tested with the objectives of assuring high-quality effluent standards and accelerating the practice of reclamation and reuse of water. The NASA water monitor system is described. Various components of the system, including the necessary sensors, the sample collection system, and the data acquisition and display system, are discussed. The test facility and the analysis methods are described. Test results are reviewed, and recommendations for water monitor system design improvement are presented.

  14. Differences in implementation of gait analysis recommendations based on affiliation with a gait laboratory.

    PubMed

    Wren, Tishya A L; Elihu, Koorosh J; Mansour, Shaun; Rethlefsen, Susan A; Ryan, Deirdre D; Smith, Michelle L; Kay, Robert M

    2013-02-01

    This study examined the extent to which gait analysis recommendations are followed by orthopedic surgeons with varying degrees of affiliation with the gait laboratory. Surgical data were retrospectively examined for 95 patients with cerebral palsy who underwent lower extremity orthopedic surgery following gait analysis. Thirty-three patients were referred by two surgeons directly affiliated with the gait laboratory (direct affiliation), 44 were referred by five surgeons from the same institution but not directly affiliated with the gait laboratory (institutional affiliation), and 18 were referred by 10 surgeons from other institutions (no affiliation). Data on specific surgeries were collected from the gait analysis referral, gait analysis report, and operative notes. Adherence to the gait analysis recommendations was calculated by dividing the number of procedures where the surgery followed the gait analysis recommendation (numerator) by the total number of procedures initially planned, recommended by gait analysis, or done (denominator). Adherence with the gait analysis recommendations was 97%, 94%, and 77% for the direct, institutional, and no affiliation groups, respectively. Procedures recommended for additions to the surgical plan were added 98%, 87%, and 77% of the time. Procedures recommended for elimination were dropped 100%, 89%, and 88% of the time. Of 81 patients who had specific surgical plans prior to gait analysis, changes were implemented in 84% (68/81) following gait analysis recommendations. Gait analysis influences the treatment decisions of surgeons regardless of affiliation with the gait laboratory, although the influence is stronger for surgeons who practice within the same institution as the gait laboratory.

  15. Extreme events in Faraday waves

    NASA Astrophysics Data System (ADS)

    Punzmann, Horst; Shats, Michael; Xia, Hua

    2014-05-01

    Observations of extreme wave events in the ocean are rare due to their low statistical probability. In the laboratory however, the evolution of extreme wave events can be studied in great detail with high spatial and temporal resolution. The reported surface wave experiments in the short wavelength gravity-capillary range aim to contribute to the understanding of some of the underlying mechanisms for rogue wave generation. In this talk, we report on extreme wave events in parametrically excited Faraday waves. Faraday waves appear if a fluid is accelerated (normal to the fluid surface) above a critical threshold. A variety of novel tools have been deployed to characterize the 2D surface elevation. The results presented show spatio-temporal and statistical data on the surface wave conditions leading up to extreme wave events. The peak in wave amplitude during such an event is shown to exceed six times the standard deviation of the average wave field with significantly increased statistical probability compared to the background wave field [1]. The experiments also show that parametrically excited waves can be viewed as assembles of oscillons [2] (or oscillating solitons) where modulation instability seems to play a crucial role in their formation. More detailed studies on the oscillon dynamics reveal that the onset of an increased probability of extreme wave events correlates with the increase in the oscillons mobility and merger [3]. Reference: 1. Xia H., Maimbourg T., Punzmann H., and Shats M., Oscillon dynamics and rogue wave generation in Faraday surface ripples, Physical Review Letters 109, 114502 (2012) 2. Shats M., Xia H., and Punzmann H., Parametrically excited water surface ripples as ensembles of oscillons, Physical Review Letters 108, 034502 (2012) 3. Shats M., Punzmann H., Xia H., Capillary rogue waves, Physical Review Letters, 104, 104503 (2010)

  16. The Extreme Universe Space Observatory

    NASA Technical Reports Server (NTRS)

    Adams, Jim; Six, N. Frank (Technical Monitor)

    2002-01-01

    This talk will describe the Extreme Universe Space Observatory (EUSO) mission. EUSO is an ESA mission to explore the most powerful energy sources in the universe. The mission objectives of EUSO are to investigate EECRs, those with energies above 3x10(exp 19) eV, and very high-energy cosmic neutrinos. These objectives are directly related to extreme conditions in the physical world and possibly involve the early history of the big bang and the framework of GUTs. EUSO tackles the basic problem posed by the existence of these extreme-energy events. The solution could have a unique impact on fundamental physics, cosmology, and/or astrophysics. At these energies, magnetic deflection is thought to be so small that the EECR component would serve as the particle channel for astronomy. EUSO will make the first measurements of EAS from space by observing atmospheric fluorescence in the Earth's night sky. With measurements of the airshower track, EUSO will determine the energy and arrival direction of these extreme-energy events. EUSO will make high statistics observations of CRs beyond the predicted GZK cutoff energy and widen the channel for high-energy neutrino astronomy. The energy spectra, arrival directions, and shower profiles will be analyzed to distinguish the nature of these events and search for their sources. With EUSO data, we will have the possibility to discover a local EECR source, test Z-burst scenarios and other theories, and look for evidence of the breakdown of the relativity principle at extreme Lorentz factors.

  17. Multi-Canister overpack pressurization monitoring and control methodology for the spent nuclear fuel project

    SciTech Connect

    Pajunen, A.L., Westinghouse Hanford

    1996-07-19

    A control methodology is developed and monitoring alternatives evaluated for controlling pressurization in a Multi- Canister Overpack for the Hanford Spent Nuclear Fuel Project. Monitoring alternative evaluations include concept description, identification of uncertainties, and identification of experimental work required for implementation. A monitoring alternative is recommended and implementation requirements, risks and start up testing associated with the recommendation are discussed.

  18. Network-based recommendation algorithms: A review

    NASA Astrophysics Data System (ADS)

    Yu, Fei; Zeng, An; Gillard, Sébastien; Medo, Matúš

    2016-06-01

    Recommender systems are a vital tool that helps us to overcome the information overload problem. They are being used by most e-commerce web sites and attract the interest of a broad scientific community. A recommender system uses data on users' past preferences to choose new items that might be appreciated by a given individual user. While many approaches to recommendation exist, the approach based on a network representation of the input data has gained considerable attention in the past. We review here a broad range of network-based recommendation algorithms and for the first time compare their performance on three distinct real datasets. We present recommendation topics that go beyond the mere question of which algorithm to use-such as the possible influence of recommendation on the evolution of systems that use it-and finally discuss open research directions and challenges.

  19. Tritium monitoring techniques

    SciTech Connect

    DeVore, J.R.; Buckner, M.A.

    1996-05-01

    As part of their operations, the U.S. Navy is required to store or maintain operational nuclear weapons on ships and at shore facilities. Since these weapons contain tritium, there are safety implications relevant to the exposure of personnel to tritium. This is particularly important for shipboard operations since these types of environments can make low-level tritium detection difficult. Some of these ships have closed systems, which can result in exposure to tritium at levels that are below normally acceptable levels but could still cause radiation doses that are higher than necessary or could hamper ship operations. This report describes the state of the art in commercial tritium detection and monitoring and recommends approaches for low-level tritium monitoring in these environments.

  20. Bladder Monitor

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Diagnostic Ultrasound Corporation's Bladder Scan Monitor continuously records and monitors bladder fullness and alerts the wearer or caretaker when voiding is required. The sensor is held against the lower abdomen by a belt and connected to the monitor by a cable. The sensor obtains bladder volume data from sound waves reflecting off the bladder wall. The device was developed by Langley Research Center, the Ames Research Center and the NASA Technology Applications Team. It utilizes Langley's advanced ultrasound technology. It is licensed to the ARC for medical applications, and sublicensed to Diagnostics Ultrasound. Central monitoring systems are planned for the future.

  1. Recommendation advertising method based on behavior retargeting

    NASA Astrophysics Data System (ADS)

    Zhao, Yao; YIN, Xin-Chun; CHEN, Zhi-Min

    2011-10-01

    Online advertising has become an important business in e-commerce. Ad recommended algorithms are the most critical part in recommendation systems. We propose a recommendation advertising method based on behavior retargeting which can avoid leakage click of advertising due to objective reasons and can observe the changes of the user's interest in time. Experiments show that our new method can have a significant effect and can be further to apply to online system.

  2. Operational early warning platform for extreme meteorological events

    NASA Astrophysics Data System (ADS)

    Mühr, Bernhard; Kunz, Michael

    2015-04-01

    Operational early warning platform for extreme meteorological events Most natural disasters are related to extreme weather events (e.g. typhoons); weather conditions, however, are also highly relevant for humanitarian and disaster relief operations during and after other natural disaster like earthquakes. The internet service "Wettergefahren-Frühwarnung" (WF) provides various information on extreme weather events, especially when these events are associated with a high potential for large damage. The main focus of the platform is on Central Europe, but major events are also monitored worldwide on a daily routine. WF provides high-resolution forecast maps for many weather parameters which allow detailed and reliable predictions about weather conditions during the next days in the affected areas. The WF service became operational in February 2004 and is part of the Center for Disaster Management and Risk Reduction Technology (CEDIM) since 2007. At the end of 2011, CEDIM embarked a new type of interdisciplinary disaster research termed as forensic disaster analysis (FDA) in near real time. In case of an imminent extreme weather event WF plays an important role in CEDIM's FDA group. It provides early and precise information which are always available and updated several times during a day and gives advice and assists with articles and reports on extreme events.

  3. Extreme overbalance stimulations using TCP proppant carriers

    SciTech Connect

    Snider, P.M.; Oriold, F.D.

    1996-11-01

    The tubing-conveyed perforating (TCP) system with proppant carrier releases proppant and other particulates at the moment of detonation and allows materials to be injected into the producing interval while overbalance pressure levels and injection rates are maximized. Materials released at detonation are designed to enhance near-wellbore conductivity by scouring and propping the formation. This article briefly describes the mechanics of the TCP/proppant carrier system, and then discusses field applications to date. Topics encompassed will be treatment designs in fluid--sensitive formations, stimulations near water, productivity comparisons to other techniques and recommended permeability ranges where the system has been successful. Finally, the article addresses efforts to optimize and improve the technology, including use of fast gauge data, tracer logs and a combination perforating gun/propellant sleeve system. The combination system is currently being field tested by Marathon and a group of service companies as a joint development project, and has potential to be the next major improvement in extreme overbalance stimulation technology.

  4. Squamous cell carcinoma of the extremities

    SciTech Connect

    Lifeso, R.M.; Bull, C.A.

    1985-06-15

    Between January 1976 and January 1983, 37 cases of squamous cell carcinoma of the extremities have been treated at the King Faisal Specialist Hospital and Research Centre by the authors. Each case has arisen in an area of preexisting scar or sinus. Twenty-nine cases were treated by definitive amputation, with 2 local recurrences and 12 nodal metastases. Seven cases had local excision, with three local recurrences and two nodal metastases. Recurrence rate was highest in Grade II and Grade III lesions, and 11 of 15 cases with Grade II disease had metastases to the regional lymph nodes an average of 5 months after surgery. With Grade I disease patients, 4 of 15 had nodal metastases an average of 5 months after surgery. Prophylactic regional nodal irradiation or node dissection was performed in seven cases. None of these cases have shown nodal metastases at an average of 24 months following definitive surgery and radiation. Routine prophylactic regional node irradiation is recommended in all cases of peripheral squamous cell carcinoma.

  5. Recommendations Service for Chronic Disease Patient in Multimodel Sensors Home Environment

    PubMed Central

    Hussain, Maqbool; Ali, Taqdir; Khan, Wajahat Ali; Afzal, Muhammad; Latif, Khalid

    2015-01-01

    Abstract With advanced technologies in hand, there exist potential applications and services built around monitoring activities of daily living (ADL) of elderly people at nursing homes. Most of the elderly people in these facilities are suffering from different chronic diseases such as dementia. Existing technologies are mainly focusing on non-medication interventions and monitoring of ADL for addressing loss of autonomy or well-being. Monitoring and managing ADL related to cognitive behaviors for non-medication intervention are very effective in improving dementia patients' conditions. However, cognitive functions of patients can be improved if appropriate recommendations of medications are delivered at a particular time. Previously we developed the Secured Wireless Sensor Network Integrated Cloud Computing for Ubiquitous-Life Care (SC3). SC3 services were limited to monitoring ADL of elderly people with Alzheimer's disease and providing non-medication recommendations to the patient. In this article, we propose a system called the Smart Clinical Decision Support System (CDSS) as an integral part of the SC3 platform. Using the Smart CDSS, patients are provided with access to medication recommendations of expert physicians. Physicians are provided with an interface to create clinical knowledge for medication recommendations and to observe the patient's condition. The clinical knowledge created by physicians as the knowledge base of the Smart CDSS produces recommendations to the caregiver for medications based on each patient's symptoms. PMID:25559934

  6. Recommendations service for chronic disease patient in multimodel sensors home environment.

    PubMed

    Hussain, Maqbool; Ali, Taqdir; Khan, Wajahat Ali; Afzal, Muhammad; Lee, Sungyoung; Latif, Khalid

    2015-03-01

    With advanced technologies in hand, there exist potential applications and services built around monitoring activities of daily living (ADL) of elderly people at nursing homes. Most of the elderly people in these facilities are suffering from different chronic diseases such as dementia. Existing technologies are mainly focusing on non-medication interventions and monitoring of ADL for addressing loss of autonomy or well-being. Monitoring and managing ADL related to cognitive behaviors for non-medication intervention are very effective in improving dementia patients' conditions. However, cognitive functions of patients can be improved if appropriate recommendations of medications are delivered at a particular time. Previously we developed the Secured Wireless Sensor Network Integrated Cloud Computing for Ubiquitous-Life Care (SC(3)). SC(3) services were limited to monitoring ADL of elderly people with Alzheimer's disease and providing non-medication recommendations to the patient. In this article, we propose a system called the Smart Clinical Decision Support System (CDSS) as an integral part of the SC(3) platform. Using the Smart CDSS, patients are provided with access to medication recommendations of expert physicians. Physicians are provided with an interface to create clinical knowledge for medication recommendations and to observe the patient's condition. The clinical knowledge created by physicians as the knowledge base of the Smart CDSS produces recommendations to the caregiver for medications based on each patient's symptoms.

  7. Uncovering the information core in recommender systems

    PubMed Central

    Zeng, Wei; Zeng, An; Liu, Hao; Shang, Ming-Sheng; Zhou, Tao

    2014-01-01

    With the rapid growth of the Internet and overwhelming amount of information that people are confronted with, recommender systems have been developed to effectively support users' decision-making process in online systems. So far, much attention has been paid to designing new recommendation algorithms and improving existent ones. However, few works considered the different contributions from different users to the performance of a recommender system. Such studies can help us improve the recommendation efficiency by excluding irrelevant users. In this paper, we argue that in each online system there exists a group of core users who carry most of the information for recommendation. With them, the recommender systems can already generate satisfactory recommendation. Our core user extraction method enables the recommender systems to achieve 90% of the accuracy of the top-L recommendation by taking only 20% of the users into account. A detailed investigation reveals that these core users are not necessarily the large-degree users. Moreover, they tend to select high quality objects and their selections are well diversified. PMID:25142186

  8. Uncovering the information core in recommender systems

    NASA Astrophysics Data System (ADS)

    Zeng, Wei; Zeng, An; Liu, Hao; Shang, Ming-Sheng; Zhou, Tao

    2014-08-01

    With the rapid growth of the Internet and overwhelming amount of information that people are confronted with, recommender systems have been developed to effectively support users' decision-making process in online systems. So far, much attention has been paid to designing new recommendation algorithms and improving existent ones. However, few works considered the different contributions from different users to the performance of a recommender system. Such studies can help us improve the recommendation efficiency by excluding irrelevant users. In this paper, we argue that in each online system there exists a group of core users who carry most of the information for recommendation. With them, the recommender systems can already generate satisfactory recommendation. Our core user extraction method enables the recommender systems to achieve 90% of the accuracy of the top-L recommendation by taking only 20% of the users into account. A detailed investigation reveals that these core users are not necessarily the large-degree users. Moreover, they tend to select high quality objects and their selections are well diversified.

  9. Bolt Stress Monitor

    NASA Technical Reports Server (NTRS)

    1978-01-01

    In photo, an engineer is using a new Ultrasonic Bolt Stress Monitor developed by NASA's Langley Research Center to determine whether a bolt is properly tightened. A highly accurate device, the monitor is an important tool in construction of such structures as pressure vessels, bridges and power plants, wherein precise measurement of the stress on a tightened bolt is critical. Overtightened or undertightened bolts can fail and cause serious industrial accidents or costly equipment break-downs. There are a number of methods for measuring bolt stress. Most widely used and least costly is the torque wrench, which is inherently inaccurate; it does not take into account the friction between nut and bolt, which has an influence on stress. At the other end of the spectrum, there are accurate stress-measuring systems, but they are expensive and not portable. The battery-powered Langley monitor fills a need; it is inexpensive, lightweight, portable and extremely accurate because it is not subject to friction error. Sound waves are transmitted to the bolt and a return signal is received. As the bolt is tightened, it undergoes changes in resonance due to stress, in the manner that a violin string changes tone when it is tightened. The monitor measures the changes in resonance and provides a reading of real stress on the bolt. The device, patented by NASA, has aroused wide interest and a number of firms have applied for licenses to produce it for the commercial market.

  10. Monitoring your baby before labor

    MedlinePlus

    Prenatal care - monitoring; Pregnancy care - monitoring; Non-stress test - monitoring; NST- monitoring; Contraction stress test - monitoring; CST- monitoring; Biophysical profile - monitoring; BPP - monitoring

  11. The 2015 Canadian Hypertension Education Program recommendations for blood pressure measurement, diagnosis, assessment of risk, prevention, and treatment of hypertension.

    PubMed

    Daskalopoulou, Stella S; Rabi, Doreen M; Zarnke, Kelly B; Dasgupta, Kaberi; Nerenberg, Kara; Cloutier, Lyne; Gelfer, Mark; Lamarre-Cliche, Maxime; Milot, Alain; Bolli, Peter; McKay, Donald W; Tremblay, Guy; McLean, Donna; Tobe, Sheldon W; Ruzicka, Marcel; Burns, Kevin D; Vallée, Michel; Ramesh Prasad, G V; Lebel, Marcel; Feldman, Ross D; Selby, Peter; Pipe, Andrew; Schiffrin, Ernesto L; McFarlane, Philip A; Oh, Paul; Hegele, Robert A; Khara, Milan; Wilson, Thomas W; Brian Penner, S; Burgess, Ellen; Herman, Robert J; Bacon, Simon L; Rabkin, Simon W; Gilbert, Richard E; Campbell, Tavis S; Grover, Steven; Honos, George; Lindsay, Patrice; Hill, Michael D; Coutts, Shelagh B; Gubitz, Gord; Campbell, Norman R C; Moe, Gordon W; Howlett, Jonathan G; Boulanger, Jean-Martin; Prebtani, Ally; Larochelle, Pierre; Leiter, Lawrence A; Jones, Charlotte; Ogilvie, Richard I; Woo, Vincent; Kaczorowski, Janusz; Trudeau, Luc; Petrella, Robert J; Hiremath, Swapnil; Stone, James A; Drouin, Denis; Lavoie, Kim L; Hamet, Pavel; Fodor, George; Grégoire, Jean C; Fournier, Anne; Lewanczuk, Richard; Dresser, George K; Sharma, Mukul; Reid, Debra; Benoit, Geneviève; Feber, Janusz; Harris, Kevin C; Poirier, Luc; Padwal, Raj S

    2015-05-01

    The Canadian Hypertension Education Program reviews the hypertension literature annually and provides detailed recommendations regarding hypertension diagnosis, assessment, prevention, and treatment. This report provides the updated evidence-based recommendations for 2015. This year, 4 new recommendations were added and 2 existing recommendations were modified. A revised algorithm for the diagnosis of hypertension is presented. Two major changes are proposed: (1) measurement using validated electronic (oscillometric) upper arm devices is preferred over auscultation for accurate office blood pressure measurement; (2) if the visit 1 mean blood pressure is increased but < 180/110 mm Hg, out-of-office blood pressure measurements using ambulatory blood pressure monitoring (preferably) or home blood pressure monitoring should be performed before visit 2 to rule out white coat hypertension, for which pharmacologic treatment is not recommended. A standardized ambulatory blood pressure monitoring protocol and an update on automated office blood pressure are also presented. Several other recommendations on accurate measurement of blood pressure and criteria for diagnosis of hypertension have been reorganized. Two other new recommendations refer to smoking cessation: (1) tobacco use status should be updated regularly and advice to quit smoking should be provided; and (2) advice in combination with pharmacotherapy for smoking cessation should be offered to all smokers. The following recommendations were modified: (1) renal artery stenosis should be primarily managed medically; and (2) renal artery angioplasty and stenting could be considered for patients with renal artery stenosis and complicated, uncontrolled hypertension. The rationale for these recommendation changes is discussed.

  12. The national summit on preconception care: a summary of concepts and recommendations.

    PubMed

    Posner, Samuel F; Johnson, Kay; Parker, Christopher; Atrash, Hani; Biermann, Janis

    2006-09-01

    The Centers for Disease Control and Prevention (CDC) and 35 partner organizations have engaged in developing an agenda for Preconception Health. A summit was held in June 2005 to discuss the current state of knowledge regarding preconception care and convene a select panel to develop recommendations and action steps for improving the health of women, children, and families through advances in clinical care, public health, and community action. A Select Panel on Preconception Care, convened by CDC, deliberated critical related issues and created refined definition of preconception care. The panel also developed a strategic plan with goals, recommendations, and action steps for improving preconception health. The recommendations and action steps are specific to the implementation of health behavior, access, consumer demand, research, and surveillance activities for monitoring and improving the health of women, children and families. The outcome of the deliberations is the CDC publication of detailed recommendations and action steps in the Morbidity and Mortality Weekly Report series, Recommendations and Reports.

  13. Immigration and recommended care after a suicide attempt in Europe: equity or bias?

    PubMed

    Bursztein Lipsicas, Cendrine; Mäkinen, Ilkka Henrik; Wasserman, Danuta; Apter, Alan; Bobes, Julio; Kerkhof, Ad; Michel, Konrad; Renberg, Ellinor Salander; van Heeringen, Kees; Värnik, Airi; Schmidtke, Armin

    2014-02-01

    This report describes the investigation of care recommendations in the medical system across European countries to immigrants who attempted suicide. Data from seven European countries with 8865 local and 2921 immigrant person-cases were derived from the WHO/EURO Multicentre Study on Suicidal Behaviour and ensuing MONSUE (Monitoring Suicidal Behaviour in Europe) project. The relationship between immigrant status and type of aftercare recommended was analysed with binary logistic regression, adjusting for gender, age, method of attempt and the Centre collecting the data. Clear disparities were identified in the care recommendation practices toward immigrants, compared with hosts, over and above differing policies by the European Centres.

  14. Zebra mussel monitoring

    SciTech Connect

    Hennagir, T.

    1994-01-01

    In less than a decade, zebra mussels have become the latest environmental scourge to plague the North American power industry. Infestations in the Great Lakes region have already reached natural disaster proportions. The invasion shows little sign of subsiding; Michigan's inland waters are the next most likely threatened area. In the southern United States, the mussles' migration has extended about 50 miles deeper than experts had originally predicted. By the year 2000, zebra mussel monitoring and control efforts will cost business and industry $5 billion, according to the federal Aquatic Nuisance Prevention and Control Act of 1990. Estimates of more than $1 million to control mussel fouling are projected for the Great Lakes area alone. While small independent hydropower stations are not as susceptible to zebra mussles as coal or nuclear facilities, there is cause for concern. Infestations can quickly foul hydropower plant components, hampering equipment operation and reducing facility efficiency. In extreme cases, leaving the mussels unchecked can result in stoplog gate flow blockage or false water level gauge readings. Advance prevention is often an effective first-line of defense against this troublesome, rapidly spreading and extremely prolific mollusk. Mussel monitoring efforts should begin a year in advance of when zebra mussels are expected to appear in a given location. Hydropower facility components that come into contact or rely exclusively on raw water are at greatest risk, as are other external components such as embayment walls, screens, trashracks and fish ladders.

  15. Nutrition for Tennis: Practical Recommendations

    PubMed Central

    Ranchordas, Mayur K.; Rogersion, David; Ruddock, Alan; Killer, Sophie C.; Winter, Edward M.

    2013-01-01

    Tennis is a pan-global sport that is played year-round in both hemispheres. This places notable demands on the physical and psychological preparation of players and included in these demands are nutritional and fluid requirements both of training and match- play. Thus, the purpose of this article is to review nutritional recommendations for tennis. Notably, tennis players do not excel in any particular physiological or anthropometric characteristic but are well adapted in all areas which is probably a result of the varied nature of the training demands of tennis match play. Energy expenditures of 30.9 ± 5.5 and 45.3 ± 7.3 kJ·min-1 have been reported in women and men players respectively regardless of court surface. Tennis players should follow a habitually high carbohydrate diet of between 6-10 g·kg-1·d-1 to ensure adequate glycogen stores, with women generally requiring slightly less than men. Protein intake guidelines for tennis players training at a high intensity and duration on a daily basis should be ~1.6 g·kg-1·d-1 and dietary fat intake should not exceed 2 g·kg-1·d-1. Caffeine in doses of 3 mg·kg-1 provides ergogenic benefit when taken before and/or during tennis match play. Depending on environmental conditions, sweat rates of 0.5 to and over 5 L·hr-1 and sodium losses of 0.5 - 1.8 g have been recorded in men and women players. 200 mL of fluid containing electrolytes should be consumed every change-over in mild to moderate temperatures of < 27°C but in temperatures greater than 27°C players should aim for ≤ 400 mL. 30-60 g·hr-1 of carbohydrate should be ingested when match play exceeds 2 hours. Key Points Tennis players should follow a habitually high carbohydrate diet of between 6-10 g·kg-1 to ensure adequate glycogen stores, with women generally requiring slightly less than men. Protein intake guidelines for tennis players training at a high intensity and duration on a daily basis should be ~1.6 g·kg-1·d-1. Dietary fat intake should

  16. Extreme Conditions Modeling Workshop Report

    SciTech Connect

    Coe, Ryan Geoffrey; Neary, Vincent Sinclair; Lawon, Michael J.; Yu, Yi-Hsiang; Weber, Jochem

    2014-07-01

    Sandia National Laboratories (SNL) and the National Renewable Energy Laboratory (NREL) hosted the Wave Energy Converter (WEC) Extreme Conditions Modeling (ECM) Workshop in Albuquerque, New Mexico on May 13–14, 2014. The objective of the workshop was to review the current state of knowledge on how to numerically and experimentally model WECs in extreme conditions (e.g. large ocean storms) and to suggest how national laboratory resources could be used to improve ECM methods for the benefit of the wave energy industry. More than 30 U.S. and European WEC experts from industry, academia, and national research institutes attended the workshop, which consisted of presentations from W EC developers, invited keynote presentations from subject matter experts, breakout sessions, and a final plenary session .

  17. Method for extreme ultraviolet lithography

    DOEpatents

    Felter, T. E.; Kubiak, G. D.

    2000-01-01

    A method of producing a patterned array of features, in particular, gate apertures, in the size range 0.4-0.05 .mu.m using projection lithography and extreme ultraviolet (EUV) radiation. A high energy laser beam is used to vaporize a target material in order to produce a plasma which in turn, produces extreme ultraviolet radiation of a characteristic wavelength of about 13 nm for lithographic applications. The radiation is transmitted by a series of reflective mirrors to a mask which bears the pattern to be printed. The demagnified focused mask pattern is, in turn, transmitted by means of appropriate optics and in a single exposure, to a substrate coated with photoresists designed to be transparent to EUV radiation and also satisfy conventional processing methods.

  18. Method for extreme ultraviolet lithography

    DOEpatents

    Felter, T. E.; Kubiak, Glenn D.

    1999-01-01

    A method of producing a patterned array of features, in particular, gate apertures, in the size range 0.4-0.05 .mu.m using projection lithography and extreme ultraviolet (EUV) radiation. A high energy laser beam is used to vaporize a target material in order to produce a plasma which in turn, produces extreme ultraviolet radiation of a characteristic wavelength of about 13 nm for lithographic applications. The radiation is transmitted by a series of reflective mirrors to a mask which bears the pattern to be printed. The demagnified focused mask pattern is, in turn, transmitted by means of appropriate optics and in a single exposure, to a substrate coated with photoresists designed to be transparent to EUV radiation and also satisfy conventional processing methods.

  19. On causality of extreme events

    PubMed Central

    2016-01-01

    Multiple metrics have been developed to detect causality relations between data describing the elements constituting complex systems, all of them considering their evolution through time. Here we propose a metric able to detect causality within static data sets, by analysing how extreme events in one element correspond to the appearance of extreme events in a second one. The metric is able to detect non-linear causalities; to analyse both cross-sectional and longitudinal data sets; and to discriminate between real causalities and correlations caused by confounding factors. We validate the metric through synthetic data, dynamical and chaotic systems, and data representing the human brain activity in a cognitive task. We further show how the proposed metric is able to outperform classical causality metrics, provided non-linear relationships are present and large enough data sets are available. PMID:27330866

  20. The 2014 Silba Precipitation Extreme

    NASA Astrophysics Data System (ADS)

    Rasol, Dubravka; Ólafsson, Haraldur

    2015-04-01

    On 30 July 2014 a 24 h precipitation record of 218 mm was set at the island of Silba in the N-Adriatic Sea. The precipitation was of convective nature and significantly less precipitation was recorded only small distances away, at the coast of mainland Croatia. The event is reproduced numerically and discussed in terms of dynamics and predictability. On a large scale, the precipitation extreme was associated with a slow-moving upper tropospheric low that formed over the N-Atlantic several days earlier. At lower levels, there were humid mediterranean airmasses. On a smaller scale, there are indications that the extreme convection may have been triggered by an orographic disturbance.

  1. Upper Extremity Injuries in Gymnasts.

    PubMed

    Wolf, Megan R; Avery, Daniel; Wolf, Jennifer Moriatis

    2017-02-01

    Gymnastics is a unique sport, which loads the wrist and arms as weight-bearing extremities. Because of the load demands on the wrist in particular, stress fractures, physeal injury, and overuse syndromes may be observed. This spectrum of injury has been termed "gymnast's wrist," and incorporates such disorders as wrist capsulitis, ligamentous tears, triangular fibrocartilage complex tears, chondromalacia of the carpus, stress fractures, distal radius physeal arrest, and grip lock injury.

  2. Countering Extremism; Beyond Interagency Cooperation

    DTIC Science & Technology

    2011-04-18

    the comparative advantages that DOD has to offer in order to help illuminate how those resources and expertise can best be brought to bear...National Security Strategy. There is no doubt that helping developing nations become peaceful, stable and economically self-sufficient is in the best ...ongoing global extremism; a backlash to Globalization, a Global Insurgency, a Civil War inside Islam, and Asymmetric Warfare. These views are each best

  3. [Genes for extreme violent behaviour?].

    PubMed

    Jordan, Bertrand

    2015-01-01

    A new genetic study focussing on the degree of violence in criminals and using both candidate gene and GWAS approaches finds statistically significant associations of extreme violent behaviour with low activity alleles of monoamine oxydase A (MAOA) and with the CD13 gene. However, the alleles implicated are common in the general population, thus they cannot be causal, and only represent potential indicators of increased risk.

  4. Islamist Extremism in East Africa

    DTIC Science & Technology

    2016-08-01

    Opportunities for East African youth to study in the Arab world steadily expanded. As these youth returned home, they brought with them more rigid...and exclusivist interpretations of Islam. The expanding reach of Arab satellite television has reinforced and acculturated these interpretations to a...East Africa—imported from the Arab world—challenging long-established norms of tolerance. u Confronting Islamist extremism with heavy-handed or

  5. Aerospace Materials for Extreme Environments

    DTIC Science & Technology

    2013-03-07

    AFOSR/RTD Air Force Research Laboratory AEROSPACE MATERIALS FOR EXTREME ENVIRONMENTS Date: 7 March 2013 Report Documentation Page Form...ApprovedOMB No. 0704-0188 Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for...to Washington Headquarters Services, Directorate for Information Operations and Reports , 1215 Jefferson Davis Highway, Suite 1204, Arlington VA

  6. Typologies of Extreme Longevity Myths

    PubMed Central

    Young, Robert D.; Desjardins, Bertrand; McLaughlin, Kirsten; Poulain, Michel; Perls, Thomas T.

    2010-01-01

    Purpose. Political, national, religious, and other motivations have led the media and even scientists to errantly accept extreme longevity claims prima facie. We describe various causes of false claims of extraordinary longevity. Design and Methods. American Social Security Death Index files for the period 1980–2009 were queried for individuals with birth and death dates yielding ages 110+ years of age. Frequency was compared to a list of age-validated supercentenarians maintained by the Gerontology Research Group who died during the same time period. Age claims of 110+ years and the age validation experiences of the authors facilitated a list of typologies of false age claims. Results. Invalid age claim rates increase with age from 65% at age 110-111 to 98% by age 115 to 100% for 120+ years. Eleven typologies of false claims were: Religious Authority Myth, Village Elder Myth, Fountain of Youth Myth (substance), Shangri-La Myth (geographic), Nationalist Pride, Spiritual Practice, Familial Longevity, Individual and/or Family Notoriety, Military Service, Administrative Entry Error, and Pension-Social Entitlement Fraud. Conclusions. Understanding various causes of false extreme age claims is important for placing current, past, and future extreme longevity claims in context and for providing a necessary level of skepticism. PMID:21461047

  7. Typologies of extreme longevity myths.

    PubMed

    Young, Robert D; Desjardins, Bertrand; McLaughlin, Kirsten; Poulain, Michel; Perls, Thomas T

    2010-01-01

    Purpose. Political, national, religious, and other motivations have led the media and even scientists to errantly accept extreme longevity claims prima facie. We describe various causes of false claims of extraordinary longevity. Design and Methods. American Social Security Death Index files for the period 1980-2009 were queried for individuals with birth and death dates yielding ages 110+ years of age. Frequency was compared to a list of age-validated supercentenarians maintained by the Gerontology Research Group who died during the same time period. Age claims of 110+ years and the age validation experiences of the authors facilitated a list of typologies of false age claims. Results. Invalid age claim rates increase with age from 65% at age 110-111 to 98% by age 115 to 100% for 120+ years. Eleven typologies of false claims were: Religious Authority Myth, Village Elder Myth, Fountain of Youth Myth (substance), Shangri-La Myth (geographic), Nationalist Pride, Spiritual Practice, Familial Longevity, Individual and/or Family Notoriety, Military Service, Administrative Entry Error, and Pension-Social Entitlement Fraud. Conclusions. Understanding various causes of false extreme age claims is important for placing current, past, and future extreme longevity claims in context and for providing a necessary level of skepticism.

  8. Technology improves upper extremity rehabilitation.

    PubMed

    Kowalczewski, Jan; Prochazka, Arthur

    2011-01-01

    Stroke survivors with hemiparesis and spinal cord injury (SCI) survivors with tetraplegia find it difficult or impossible to perform many activities of daily life. There is growing evidence that intensive exercise therapy, especially when supplemented with functional electrical stimulation (FES), can improve upper extremity function, but delivering the treatment can be costly, particularly after recipients leave rehabilitation facilities. Recently, there has been a growing level of interest among researchers and healthcare policymakers to deliver upper extremity treatments to people in their homes using in-home teletherapy (IHT). The few studies that have been carried out so far have encountered a variety of logistical and technical problems, not least the difficulty of conducting properly controlled and blinded protocols that satisfy the requirements of high-level evidence-based research. In most cases, the equipment and communications technology were not designed for individuals with upper extremity disability. It is clear that exercise therapy combined with interventions such as FES, supervised over the Internet, will soon be adopted worldwide in one form or another. Therefore it is timely that researchers, clinicians, and healthcare planners interested in assessing IHT be aware of the pros and cons of the new technology and the factors involved in designing appropriate studies of it. It is crucial to understand the technical barriers, the role of telesupervisors, the motor improvements that participants can reasonably expect and the process of optimizing IHT-exercise therapy protocols to maximize the benefits of the emerging technology.

  9. Geoeffectiveness of Extreme Solar Winds

    NASA Astrophysics Data System (ADS)

    Alleyne, H.; Nanan, B.; Walker, S.; Reme, H.; Lucek, E.; Andre, M.; Cornilleau-Wehrlin, N.; Fazakerley, A.; Decreau, P.; McCrea, I.; Zhang, S.; van Eyken, A.

    2006-12-01

    The geoeffectiveness of the extreme solar winds that flowed pass the Earth on 24 October 2003, 07 November 2004 and 09 November 2004 are presented using Cluster (FGM, CIS, PEACE, STAFF and EFW) and ground- based (EISCAT radars at 69.6N, 19.2E and IMAGE magnetometer network at 68-79N)observations. The Cluster observations suggest that magnetic reconnection need not be the main process for solar wind entry into the magnetosphere during extreme solar winds. The ion velocity in the magnetosheath-cusp region remains strongly anti-sunward and poleward and ion density remains high irrespective of IMF Bz is negative or positive. The ion velocity components are also found to agree with the ExB velocities. The ground-based observations indicate that the extreme solar winds directly affect the high latitude ionosphere. The solar wind plasma is found to enter the ionosphere through an afternoon cusp that descends to low latitudes during negative IMF Bz period when a westward electrojet is also found to ascend to high latitudes.

  10. Ion Monitoring

    DOEpatents

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore

    2003-11-18

    The apparatus and method provide a technique for significantly reducing capacitance effects in detector electrodes arising due to movement of the instrument relative to the item/location being monitored in ion detection based techniques. The capacitance variations are rendered less significant by placing an electrically conducting element between the detector electrodes and the monitored location/item. Improved sensitivity and reduced noise signals arise as a result. The technique also provides apparatus and method suitable for monitoring elongate items which are unsuited to complete enclosure in one go within a chamber. The items are monitored part by part as the pass through the instrument, so increasing the range of items or locations which can be successfully monitored.

  11. Statewide Telecommunications Task Force. Report and Recommendations.

    ERIC Educational Resources Information Center

    Florida State Postsecondary Education Planning Commission, Tallahassee.

    This report provides recommendations for a comprehensive telecommunications policy for Florida that focuses the state's technological resources on the accomplishment of specific educational goals. The recommendations are based on a review of the relevant literature, a survey of approximately 950 community college and university faculty, and a…

  12. 12 CFR 308.181 - Recommended decision.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... days after the conclusion of the hearing, whichever is later. The recommended decision shall include written proposed findings and conclusions on the applicant's eligibility and its status as a prevailing... party a copy of the recommended decision, findings, conclusions, and proposed order....

  13. Aggregation Trade Offs in Family Based Recommendations

    NASA Astrophysics Data System (ADS)

    Berkovsky, Shlomo; Freyne, Jill; Coombe, Mac

    Personalized information access tools are frequently based on collaborative filtering recommendation algorithms. Collaborative filtering recommender systems typically suffer from a data sparsity problem, where systems do not have sufficient user data to generate accurate and reliable predictions. Prior research suggested using group-based user data in the collaborative filtering recommendation process to generate group-based predictions and partially resolve the sparsity problem. Although group recommendations are less accurate than personalized recommendations, they are more accurate than general non-personalized recommendations, which are the natural fall back when personalized recommendations cannot be generated. In this work we present initial results of a study that exploits the browsing logs of real families of users gathered in an eHealth portal. The browsing logs allowed us to experimentally compare the accuracy of two group-based recommendation strategies: aggregated group models and aggregated predictions. Our results showed that aggregating individual models into group models resulted in more accurate predictions than aggregating individual predictions into group predictions.

  14. 40 CFR 231.5 - Recommended determination.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Recommended determination. 231.5 Section 231.5 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(c) PROCEDURES § 231.5 Recommended determination. (a) The Regional Administrator or his...

  15. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Recommendations. 108.6 Section 108.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EMPLOYEE PROTECTION HEARINGS § 108.6 Recommendations. At the conclusion of any hearing under this part, the Administrative...

  16. Hand hygiene--comparison of international recommendations.

    PubMed

    Wendt, C

    2001-08-01

    The value of hand hygiene for the prevention of cross-infection was first observed in the middle of the 19th century. Since then, which procedure is the most suitable for hand hygiene has been repeatedly discussed and several different guidelines and recommendations have been published. The aim of this review is to compare different recommendations for hand hygiene regarding technique and indication. Medline, the internet and a personal library were searched to obtain as many written recommendations as possible. In addition, a small questionnaire was sent by e-mail to 20 international colleagues. As a result, written recommendations from 10 countries could be compared. Recommended methods of hand hygiene include handwashing (washing hands with plain soap), hygienic handwash (washing hands with medicated soap) and hygienic hand-rub (use of antiseptic rubs). In most countries handwashing and hygienic handwash are the methods of choice and only in central European countries is hygienic hand-rub the preferred technique. Situations in which performance of hand hygiene is recommended are comparable. However, no single indication is recommended in all guidelines. Hand hygiene is most often recommended before performing invasive procedures and after microbial contamination. Guidelines should be clear and easy to follow for them to become standard of care. Thus, guidelines are needed that do not leave to the health care worker a decision as to whether hand hygiene is indicated.

  17. Culinary Occupations. Instructional Materials Committee Recommendations Report.

    ERIC Educational Resources Information Center

    Louisiana State Technical Resource Center, Natchitoches.

    This resource listing contains those culinary occupations instructional materials given a rating of "highly recommended" or "recommended" by a committee of instructors. Titles are arranged alphabetically by title within each of the following Classification of Instructional Programs (CIP) categories: institutional management;…

  18. Personalized Recommender System for Digital Libraries

    ERIC Educational Resources Information Center

    Omisore, M. O.; Samuel, O. W.

    2014-01-01

    The huge amount of information available online has given rise to personalization and filtering systems. Recommender systems (RS) constitute a specific type of information filtering technique that present items according to user's interests. In this research, a web-based personalized recommender system capable of providing learners with books that…

  19. 40 CFR 231.5 - Recommended determination.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Recommended determination. 231.5 Section 231.5 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING SECTION 404(c) PROCEDURES § 231.5 Recommended determination. (a) The Regional Administrator or his...

  20. Vitamin D recommendations for older adults

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This position paper of the International Osteoporosis Foundation makes recommendations for vitamin D nutrition in elderly men and women from an evidence-based perspective. The key recommendations are that the optimal level of 25-hydroxyvitamin D for musculoskeletal health is 75 nmol/L. An intake of ...

  1. 40 CFR 108.6 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 23 2013-07-01 2013-07-01 false Recommendations. 108.6 Section 108.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EMPLOYEE PROTECTION... Judge shall, based on the record, issue tentative findings of fact and recommendations concerning...

  2. Higher Education Funding Recommendations, 1997-98.

    ERIC Educational Resources Information Center

    New Mexico Commission on Higher Education.

    This report summarizes recommendations by New Mexico's Commission on Higher Education for funding the state's two- and four-year colleges in fiscal year 1997-98. Following a preface reviewing the 3-year policy framework and priorities used by the Commission in making its funding recommendations, the first section provides a summary of the…

  3. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  4. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  5. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  6. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  7. 33 CFR 62.63 - Recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....63 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.63 Recommendations. (a) The public may recommend changes to existing aids to navigation, request new aids or...

  8. Satellite Observation of Extremes in Precipitation

    NASA Technical Reports Server (NTRS)

    Adler, Robert F.; Huffman, George; Curtis, Scott; Bolvin, David; Nelkin, Eric; Einaudi, Franco (Technical Monitor)

    2002-01-01

    whole and when the area is restricted to just land. The data sets are also explored to monitor extremes in precipitation related to localized and regional flooding and the occurrence of droughts.

  9. Extreme Event impacts on Seafloor Ecosystems

    NASA Astrophysics Data System (ADS)

    Canals, Miquel; Sanchez-Vidal, Anna; Calafat, Antoni; Pedrosa-Pàmies, Rut; Lastras, Galderic

    2013-04-01

    The Mediterranean region is among those presenting the highest concentration of cyclogenesis during the northern hemisphere winter, thus is frequently subjected to sudden events of extreme weather. The highest frequency of storm winds occur in its northwestern basin, and is associated to NE and NW storms. The occurrence of such extreme climatic events represents an opportunity of high scientific value to investigate how natural processes at their peaks of activity transfer matter and energy, as well as how impact ecosystems. Due to the approximately NE-SW orientation of the western Mediterranean coast, windforced motion coming from eastern storms generate the most intense waves and with very long fetch in the continental shelf and the coast, causing beach erosion, overwash and inundation of low-lying areas, and damage to infrastructures and coastal resources. On December 26, 2008 a huge storm afforded us the opportunity to understand the effect of storms on the deep sea ecosystems, as impacted violently an area of the Catalan coast covered by a dense network of monitoring devices including sediment traps and currentmeters. The storm, with measured wind gusts of more than 70 km h-1 and associated storm surge reaching 8 m, lead to the remobilisation of a shallow water large reservoir of marine organic carbon associated to fine particles and to its redistribution across the deep basin, and also ignited the motion of large amounts of coarse shelf sediment resulting in the abrasion and burial of benthic communities. In addition to eastern storms, increasing evidence has accumulated during the last few years showing the significance of Dense Shelf Water Cascading (DSWC), a type of marine current driven exclusively by seawater density contrast caused by strong and persistent NW winds, as a key driver of the deep Mediterranean Sea in many aspects. A network of mooring lines with sediment traps and currentmeters deployed in the Cap de Creus canyon in winter 2005-06 recorded

  10. Extreme ultraviolet spectral irradiance measurements since 1946

    NASA Astrophysics Data System (ADS)

    Schmidtke, G.

    2015-03-01

    In the physics of the upper atmosphere the solar extreme ultraviolet (EUV) radiation plays a dominant role controlling most of the thermospheric/ionospheric (T/I) processes. Since this part of the solar spectrum is absorbed in the thermosphere, platforms to measure the EUV fluxes became only available with the development of rockets reaching altitude levels exceeding 80 km. With the availability of V2 rockets used in space research, recording of EUV spectra started in 1946 using photographic films. The development of pointing devices to accurately orient the spectrographs toward the sun initiated intense activities in solar-terrestrial research. The application of photoelectric recording technology enabled the scientists placing EUV spectrometers aboard satellites observing qualitatively strong variability of the solar EUV irradiance on short-, medium-, and long-term scales. However, as more measurements were performed more radiometric EUV data diverged due to the inherent degradation of the EUV instruments with time. Also, continuous recording of the EUV energy input to the T/I system was not achieved. It is only at the end of the last century that there was progress made in solving the serious problem of degradation enabling to monitore solar EUV fluxes with sufficient radiometric accuracy. The data sets available allow composing the data available to the first set of EUV data covering a period of 11 years for the first time. Based on the sophisticated instrumentation verified in space, future EUV measurements of the solar spectral irradiance (SSI) are promising accuracy levels of about 5% and less. With added low-cost equipment, real-time measurements will allow providing data needed in ionospheric modeling, e.g., for correcting propagation delays of navigation signals from space to earth. Adding EUV airglow and auroral emission monitoring by airglow cameras, the impact of space weather on the terrestrial T/I system can be studied with a spectral terrestrial

  11. Moving in extreme environments: extreme loading; carriage versus distance.

    PubMed

    Lucas, Samuel J E; Helge, Jørn W; Schütz, Uwe H W; Goldman, Ralph F; Cotter, James D

    2016-01-01

    This review addresses human capacity for movement in the context of extreme loading and with it the combined effects of metabolic, biomechanical and gravitational stress on the human body. This topic encompasses extreme duration, as occurs in ultra-endurance competitions (e.g. adventure racing and transcontinental races) and expeditions (e.g. polar crossings), to the more gravitationally limited load carriage (e.g. in the military context). Juxtaposed to these circumstances is the extreme metabolic and mechanical unloading associated with space travel, prolonged bedrest and sedentary lifestyle, which may be at least as problematic, and are therefore included as a reference, e.g. when considering exposure, dangers and (mal)adaptations. As per the other reviews in this series, we describe the nature of the stress and the associated consequences; illustrate relevant regulations, including why and how they are set; present the pros and cons for self versus prescribed acute and chronic exposure; describe humans' (mal)adaptations; and finally suggest future directions for practice and research. In summary, we describe adaptation patterns that are often U or J shaped and that over time minimal or no load carriage decreases the global load carrying capacity and eventually leads to severe adverse effects and manifest disease under minimal absolute but high relative loads. We advocate that further understanding of load carrying capacity and the inherent mechanisms leading to adverse effects may advantageously be studied in this perspective. With improved access to insightful and portable technologies, there are some exciting possibilities to explore these questions in this context.

  12. The Mexican experience in monitoring and evaluation of public policies addressing social determinants of health

    PubMed Central

    Valle, Adolfo Martinez

    2016-01-01

    Monitoring and evaluation (M&E) have gradually become important and regular components of the policy-making process in Mexico since, and even before, the World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) called for interventions and policies aimed at tackling the social determinants of health (SDH). This paper presents two case studies to show how public policies addressing the SDH have been monitored and evaluated in Mexico using reliable, valid, and complete information, which is not regularly available. Prospera, for example, evaluated programs seeking to improve the living conditions of families in extreme poverty in terms of direct effects on health, nutrition, education and income. Monitoring of Prospera's implementation has also helped policy-makers identify windows of opportunity to improve the design and operation of the program. Seguro Popular has monitored the reduction of health inequalities and inequities evaluated the positive effects of providing financial protection to its target population. Useful and sound evidence of the impact of programs such as Progresa and Seguro Popular plus legal mandates, and a regulatory evaluation agency, the National Council for Social Development Policy Evaluation, have been fundamental to institutionalizing M&E in Mexico. The Mexican experience may provide useful lessons for other countries facing the challenge of institutionalizing the M&E of public policy processes to assess the effects of SDH as recommended by the WHO CSDH. PMID:26928215

  13. The Mexican experience in monitoring and evaluation of public policies addressing social determinants of health.

    PubMed

    Valle, Adolfo Martinez

    2016-01-01

    Monitoring and evaluation (M&E) have gradually become important and regular components of the policy-making process in Mexico since, and even before, the World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) called for interventions and policies aimed at tackling the social determinants of health (SDH). This paper presents two case studies to show how public policies addressing the SDH have been monitored and evaluated in Mexico using reliable, valid, and complete information, which is not regularly available. Prospera, for example, evaluated programs seeking to improve the living conditions of families in extreme poverty in terms of direct effects on health, nutrition, education and income. Monitoring of Prospera's implementation has also helped policy-makers identify windows of opportunity to improve the design and operation of the program. Seguro Popular has monitored the reduction of health inequalities and inequities evaluated the positive effects of providing financial protection to its target population. Useful and sound evidence of the impact of programs such as Progresa and Seguro Popular plus legal mandates, and a regulatory evaluation agency, the National Council for Social Development Policy Evaluation, have been fundamental to institutionalizing M&E in Mexico. The Mexican experience may provide useful lessons for other countries facing the challenge of institutionalizing the M&E of public policy processes to assess the effects of SDH as recommended by the WHO CSDH.

  14. Recommendations for field measurements of aircraft noise

    NASA Technical Reports Server (NTRS)

    Marsh, A. H.

    1982-01-01

    Specific recommendations for environmental test criteria, data acquisition procedures, and instrument performance requirements for measurement of noise levels produced by aircraft in flight are provided. Recommendations are also given for measurement of associated airplane and engine parameters and atmospheric conditions. Recommendations are based on capabilities which were available commercially in 1981; they are applicable to field tests of aircraft flying subsonically past microphones located near the surface of the ground either directly under or to the side of a flight path. Aircraft types covered by the recommendations include fixed-wing airplanes powered by turbojet or turbofan engines or by propellers. The recommended field-measurement procedures are consistent with assumed requirements for data processing and analysis.

  15. [The latest in paediatric resuscitation recommendations].

    PubMed

    López-Herce, Jesús; Rodríguez, Antonio; Carrillo, Angel; de Lucas, Nieves; Calvo, Custodio; Civantos, Eva; Suárez, Eva; Pons, Sara; Manrique, Ignacio

    2017-04-01

    Cardiac arrest has a high mortality in children. To improve the performance of cardiopulmonary resuscitation, it is essential to disseminate the international recommendations and the training of health professionals and the general population in resuscitation. This article summarises the 2015 European Paediatric Cardiopulmonary Resuscitation recommendations, which are based on a review of the advances in cardiopulmonary resuscitation and consensus in the science and treatment by the International Council on Resuscitation. The Spanish Paediatric Cardiopulmonary Resuscitation recommendations, developed by the Spanish Group of Paediatric and Neonatal Resuscitation, are an adaptation of the European recommendations, and will be used for training health professionals and the general population in resuscitation. This article highlights the main changes from the previous 2010 recommendations on prevention of cardiac arrest, the diagnosis of cardiac arrest, basic life support, advanced life support and post-resuscitation care, as well as reviewing the algorithms of treatment of basic life support, obstruction of the airway and advanced life support.

  16. Congressional panel makes recommendations on belt safety

    SciTech Connect

    Fiscor, S.

    2007-12-15

    The Mine Improvement and New Emergency Response Act of 2006 (MINER Act) called for a Technical Study Panel to present a review and make recommendations on the use of belt air and the composition and fire retardant properties of belt materials in underground coal mining. In October 2007 the Panel released 20 recommendations publicly. These are presented in the article. Many recommendations encouraged the MSHA to enforce existing laws of maintenance and fire protection or example more vigorously. Maybe the biggest change recommended was that the industry should adopt the Belt Evaluation Laboratory Test (BELT) standard proposed in 1992. Another important recommendation was one that would help eliminate hazards associated with point feeding. 1 photo.

  17. Monitoring computational clusters with OVIS.

    SciTech Connect

    Gentile, Ann C.; Brandt, James M.; Wong, M. H.; Pebay, Philippe Pierre

    2006-12-01

    Traditional cluster monitoring approaches consider nodes in singleton, using manufacturer-specified extreme limits as thresholds for failure ''prediction''. We have developed a tool, OVIS, for monitoring and analysis of large computational platforms which, instead, uses a statistical approach to characterize single device behaviors from those of a large number of statistically similar devices. Baseline capabilities of OVIS include the visual display of deterministic information about state variables (e.g., temperature, CPU utilization, fan speed) and their aggregate statistics. Visual consideration of the cluster as a comparative ensemble, rather than as singleton nodes, is an easy and useful method for tuning cluster configuration and determining effects of real-time changes.

  18. Brain Multimodality Monitoring: Updated Perspectives

    PubMed Central

    Roh, David

    2016-01-01

    The challenges posed by acute brain injury (ABI) involve the management of the initial insult in addition to downstream inflammation, edema, and ischemia that can result in secondary brain injury (SBI). SBI is often subclinical, but can be detected through physiologic changes. These changes serve as a surrogate for tissue injury/cell death and are captured by parameters measured by various monitors that measure intracranial pressure (ICP), cerebral blood flow (CBF), brain tissue oxygenation (PbtO2), cerebral metabolism, and electrocortical activity. In the ideal setting, multimodality monitoring (MMM) integrates these neurological monitoring parameters with traditional hemodynamic monitoring and the physical exam, presenting the information needed to clinicians who can intervene before irreversible damage occurs. There are now consensus guidelines on the utilization of MMM, and there continue to be new advances and questions regarding its use. In this review, we examine these recommendations, recent evidence for MMM, and future directions for MMM. PMID:27095434

  19. Recommendations for the nutrition management of phenylalanine hydroxylase deficiency.

    PubMed

    Singh, Rani H; Rohr, Fran; Frazier, Dianne; Cunningham, Amy; Mofidi, Shideh; Ogata, Beth; Splett, Patricia L; Moseley, Kathryn; Huntington, Kathleen; Acosta, Phyllis B; Vockley, Jerry; Van Calcar, Sandra C

    2014-02-01

    The effectiveness of a phenylalanine-restricted diet to improve the outcome of individuals with phenylalanine hydroxylase deficiency (OMIM no. 261600) has been recognized since the first patients were treated 60 years ago. However, the treatment regime is complex, costly, and often difficult to maintain for the long term. Improvements and refinements in the diet for phenylalanine hydroxylase deficiency have been made over the years, and adjunctive therapies have proven to be successful for certain patients. Yet evidence-based guidelines for managing phenylalanine hydroxylase deficiency, optimizing outcomes, and addressing all available therapies are lacking. Thus, recommendations for nutrition management were developed using evidence from peer-reviewed publications, gray literature, and consensus surveys. The areas investigated included choice of appropriate medical foods, integration of adjunctive therapies, treatment during pregnancy, monitoring of nutritional and clinical markers, prevention of nutrient deficiencies, providing of access to care, and compliance strategies. This process has not only provided assessment and refinement of current nutrition management and monitoring recommendations but also charted a direction for future studies. This document serves as a companion to the concurrently published American College of Medical Genetics and Genomics guideline for the medical treatment of phenylalanine hydroxylase deficiency.

  20. Environmental aspects of hydraulic fracturing - Main results and recommendations from two studies on behalf of the German Environment Agency

    NASA Astrophysics Data System (ADS)

    Krischbaum, Bernd; Bertram, Andreas; Böttcher, Christian; Iyimen-Schwarz, Züleyha; Rechenberg, Jörg; Dannwolf, Uwe; Meiners, Georg

    2016-04-01

    The German Environment Agency (UBA) accompanies the debate on fracking for years. Two major reports on risks and environmental impacts regarding the exploration and exploitation of unconventional natural gas, in particular shale gas have been published. On the basis of these studies as well as on scientific evidence UBA considers ecological barriers as a sustainable means to minimize the risks to environment and human health. 1) Recent studies show that the contamination of shallow aquifers by rise of fluids through natural faults or artificially created fractures is extremely unlikely. However, activities on the surface and lack of wellbore integrity pose threats and substantial risks for the quality of shallow aquifers. 2) The need for thorough groundwater monitoring is fully accepted, yet its range and design is subject to discussion. 3) Formerly, analysis and mass balances of flowback and produced water have been insufficient, thus there is a lack of exact information on proportions of frac-fluids, flowback and formation water respectively, as well as data on possible reaction products. 4) Currently, neither on national nor on European level best reference techniques (BREF) for the treatment and disposal of flowback and produced water are available. 5) In addition, land consumption, emission of greenhouse gases, and induced seismicity are major issues. UBA recommends amongst others the implementation of an environmental impact assessment (EIA) for fracking activities, the prohibition of fracking in water protection areas as well as their catchments, and the disclosure of all frac-fluid chemicals within a national chemical registry. To achieve these objectives the German Environment Agency suggests a step-by-step approach. The paper will present the main results from the studies and the recommendations of the German Environment Agency regarding hydraulic fracturing for unconventional gas exploitation.

  1. Electrostatic monitoring

    DOEpatents

    Orr, Christopher Henry; Luff, Craig Janson; Dockray, Thomas; Macarthur, Duncan Whittemore

    2001-01-01

    The apparatus and method provide a technique for more simply measuring alpha and/or beta emissions arising from items or locations. The technique uses indirect monitoring of the emissions by detecting ions generated by the emissions, the ions being attracted electrostatically to electrodes for discharge of collection. The apparatus and method employ a chamber which is sealed around the item or location during monitoring with no air being drawn into or expelled from the chamber during the monitoring process. A simplified structure and operations arises as a result, but without impairing the efficiency and accuracy of the detection technique.

  2. Soft-Nano-Materials: Extreme Mechanics at Extreme Length Scales

    NASA Astrophysics Data System (ADS)

    Zhao, Xuanhe

    2013-03-01

    Over decades of intensive research, various technologies have been developed to manufacture large-scale nanomaterials such as nanoparticles, quantum dots, nanowires, carbon nanotubes, biomolecules, nanofilms, and graphene. Meanwhile, extraordinary properties and functionalities of nanomaterials have been demonstrated by harnessing their deformations and instabilities coupled with their small length scales. However, a grand challenge still exists on how to control the deformations and instabilities of large-scale nanomaterials for scaling-up functions and applications that can impact the society. An emerging paradigm that addresses this challenge is by using soft materials such as polymers, gels and biomaterials to assemble large amounts of nanomaterials and regulate their deformations and instabilities in controlled manners. Successful examples range from nanostructured tissues such as bones and cartilages found in nature to polymer composites with nanowire/nanotube/graphene, flexible electronics, nano-generators and nano-batteries. This talk is focused on extreme mechanics of these soft-nano-materials and systems. We will discuss large deformation, instabilities, and fractures of one-dimensional and two dimensional nanomaterials, such as nanowires and graphene, interacting with matrices of soft materials. We will further illustrate extraordinary properties and functions achieved by understanding and exploiting the extreme mechanics of soft-nano-materials and systems.

  3. 48 CFR 19.505 - Rejecting Small Business Administration recommendations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Administration recommendations. 19.505 Section 19.505 Federal Acquisition Regulations System FEDERAL ACQUISITION... Small Business Administration recommendations. (a) If the contracting officer rejects a recommendation... the recommendation. (b) The SBA procurement center representative (or, if a procurement...

  4. 48 CFR 19.505 - Rejecting Small Business Administration recommendations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Administration recommendations. 19.505 Section 19.505 Federal Acquisition Regulations System FEDERAL ACQUISITION... Small Business Administration recommendations. (a) If the contracting officer rejects a recommendation... the recommendation. (b) The SBA procurement center representative (or, if a procurement...

  5. 48 CFR 19.505 - Rejecting Small Business Administration recommendations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Administration recommendations. 19.505 Section 19.505 Federal Acquisition Regulations System FEDERAL ACQUISITION... Small Business Administration recommendations. (a) If the contracting officer rejects a recommendation... the recommendation. (b) The SBA procurement center representative (or, if a procurement...

  6. 48 CFR 19.505 - Rejecting Small Business Administration recommendations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Administration recommendations. 19.505 Section 19.505 Federal Acquisition Regulations System FEDERAL ACQUISITION... Small Business Administration recommendations. (a) If the contracting officer rejects a recommendation... the recommendation. (b) The SBA procurement center representative (or, if a procurement...

  7. 48 CFR 19.505 - Rejecting Small Business Administration recommendations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Administration recommendations. 19.505 Section 19.505 Federal Acquisition Regulations System FEDERAL ACQUISITION... Small Business Administration recommendations. (a) If the contracting officer rejects a recommendation... the recommendation. (b) The SBA procurement center representative (or, if a procurement...

  8. Black breast cancer survivors experience greater upper extremity disability.

    PubMed

    Dean, Lorraine T; DeMichele, Angela; LeBlanc, Mously; Stephens-Shields, Alisa; Li, Susan Q; Colameco, Chris; Coursey, Morgan; Mao, Jun J

    2015-11-01

    Over one-third of breast cancer survivors experience upper extremity disability. Black women present with factors associated with greater upper extremity disability, including: increased body mass index (BMI), more advanced disease stage at diagnosis, and varying treatment type compared with Whites. No prior research has evaluated the relationship between race and upper extremity disability using validated tools and controlling for these factors. Data were drawn from a survey study among 610 women with stage I-III hormone receptor positive breast cancer. The disabilities of the arm, shoulder and hand (QuickDASH) is an 11-item self-administered questionnaire that has been validated for breast cancer survivors to assess global upper extremity function over the past 7 days. Linear regression and mediation analysis estimated the relationships between race, BMI and QuickDASH score, adjusting for demographics and treatment types. Black women (n = 98) had 7.3 points higher average QuickDASH scores than White (n = 512) women (p < 0.001). After adjusting for BMI, age, education, cancer treatment, months since diagnosis, and aromatase inhibitor status, Black women had an average 4-point (95 % confidence interval 0.18-8.01) higher QuickDASH score (p = 0.04) than White women. Mediation analysis suggested that BMI attenuated the association between race and disability by 40 %. Even several years post-treatment, Black breast cancer survivors had greater upper extremity disability, which was partially mediated by higher BMIs. Close monitoring of high BMI Black women may be an important step in reducing disparities in cancer survivorship. More research is needed on the relationship between race, BMI, and upper extremity disability.

  9. Biological monitoring

    SciTech Connect

    Ho, M.H.; Dillon, H.K.

    1986-02-01

    Biological monitoring is defined as the measurement and assessment of workplace agents or their metabolites in tissues, secreta, excreta, expired air, or any combination of these to evaluate exposure and health risk compared to an appropriate reference. Biological monitoring offers several advantages: it takes into account individual variability in biological activity resulting from a chemical insult. It takes into account the effects of personal physical activity and individual life styles. It is a valuable adjunct to ambient monitoring and health surveillance. The importance of chemical speciation in the toxicity of pollutants is discussed. Basic protocols for lead, aluminum, cadmium, mercury, selenium, and nickel are presented. Basic criteria for biological monitoring methods are presented. 11 references, 1 table.

  10. Neuropsychological Assessment in Extreme Environments

    DTIC Science & Technology

    2007-01-01

    Archives of Clinical Neuropsychology 22S (2007) S89–S99 Neuropsychological assessment in extreme environments Michael Lowe a,∗, Wayne Harris b...c. THIS PAGE unclassified Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 S90 M. Lowe et al. / Archives of Clinical Neuropsychology 22S...et al. / Archives of Clinical Neuropsychology 22S (2007) S89–S99 S91 There was a 10% reduction in this score during the final hour of toluene

  11. Materials Response under extreme conditions

    SciTech Connect

    Remington, B A; Lorenz, K T; Pollaine, S; McNaney, J M

    2005-10-06

    Solid state experiments at extreme pressures, 10-100 GPa (0.1-1 Mbar) and strain rates (10{sup 6}-10{sup 8} s{sup -1}) are being developed on high-energy laser facilities. The goal is an experimental capability to test constitutive models for high-pressure, solid-state strength for a variety of materials. Relevant constitutive models are discussed, and our progress in developing a quasi-isentropic, ramped-pressure, shockless drive is given. Designs to test the constitutive models with experiments measuring perturbation growth due to the Rayleigh-Taylor instability in solid-state samples are presented.

  12. Communication path for extreme environments

    NASA Technical Reports Server (NTRS)

    Jorgensen, Charles C. (Inventor); Betts, Bradley J. (Inventor)

    2010-01-01

    Methods and systems for using one or more radio frequency identification devices (RFIDs), or other suitable signal transmitters and/or receivers, to provide a sensor information communication path, to provide location and/or spatial orientation information for an emergency service worker (ESW), to provide an ESW escape route, to indicate a direction from an ESW to an ES appliance, to provide updated information on a region or structure that presents an extreme environment (fire, hazardous fluid leak, underwater, nuclear, etc.) in which an ESW works, and to provide accumulated thermal load or thermal breakdown information on one or more locations in the region.

  13. Gravity and Extreme Magnetism SMEX

    NASA Technical Reports Server (NTRS)

    2012-01-01

    The Gravity and Extreme Magnetism SMEX mission will be the first mission to catalogue the X-ray polarisation of many astrophysical objects including black-holes and pulsars. This first of its kind mission is enabled by the novel use of a time projection chamber as an X-ray polarimeter. The detector has been developed over the last 5 years, with the current effort charged toward a demonstration of it's technical readiness to be at level 6 prior to the preliminary design review. This talk will describe the design GEMS polarimeter and the results to date from the engineering test unit.

  14. Advances in upper extremity prosthetics.

    PubMed

    Zlotolow, Dan A; Kozin, Scott H

    2012-11-01

    Until recently, upper extremity prostheses had changed little since World War II. In 2006, the Defense Advanced Research Projects Agency responded to an increasing number of military amputees with the Revolutionizing Prosthetics program. The program has yielded several breakthroughs both in the engineering of new prosthetic arms and in the control of those arms. Direct brain-wave control of a limb with 22° of freedom may be within reach. In the meantime, advances such as individually powered digits have opened the door to multifunctional full and partial hand prostheses. Restoring sensation to the prosthetic limb remains a major challenge to full integration of the limb into a patient's self-image.

  15. Extreme Events: The Indian Experience

    NASA Astrophysics Data System (ADS)

    Murty, K. S.

    2008-05-01

    The geographical situation of India is such that it experiences varied types of climate in different parts of the country and invariably the natural events, extreme and normal, would affect such areas that are prone to them. Cyclones hit the eastern coast, while floods affect mostly northern India, while earthquakes hit any part of the country, particuarly when itbecame evident after the 1967 earthquake of Koyna that the peninsular part toois prone to seismic events. The National Commission on Floods estimated that nearly 40 millionn hectares of land is prone to flooding, which could rise to60 million soon. The cropped area thus affected annually is about 10 millionhectares. On an average 1500 lives are lost during floods annually, while the damage to property could run into billions of dollars. The total loss on account of floods damage to crops is estimated at about Rs 53,000 crores(crore= 100 lakhs), during the period 1953-1998. The other extreme natural event is drought which affects large parts of the country, except the northeast. Both floods and droughts can hit different parts of the country during the same period. The 2001 earthquake that hit Gujarat is perhaps the severest and studies on that event are still in progress. The 2004 tsunami which hit large parts of southeast Asia did not spare India. Its southern coast was battered and many lives were lost. In fact some geogrphic landmarks were lost, while some of the cities have suffered a shift in their position. It was estimated that about 1.2 billion dollars were required ro meet the rehabilitation and relief measures. The seismic zone map of India thus had to be revised more often than before. Apart from these, extreme rainfall has also caused floods in urban areas as in Mumbai in 2005, but this was mostly because of lack of proper drainage system and the existing system proved ineffective. Human hand in such cases is evident. There are systems working to forecast floods, cyclones, and droughts, though

  16. Recommendations for Third Molar Removal: A Practice-Based Cohort Study

    PubMed Central

    Rothen, Marilynn; Spiekerman, Charles; Drangsholt, Mark; McClellan, Lyle; Huang, Greg J.

    2014-01-01

    Objectives. We investigated general dentists’ reasons for recommending removal or retention of third molars and whether patients adhered to dentists’ recommendations. Methods. In a 2-year prospective cohort study (2009–2011) in the Pacific Northwest, we followed 801 patients aged 16 to 22 years from 50 general dental practices. Generalized estimating equations logistic regressions related patient and dentist characteristics to dentists' recommendations to remove third molars and to patient adherence. Results. General dentists recommended removal of 1683 third molars from 469 (59%) participants, mainly to prevent future problems (79%) or because a third molar had an unfavorable orientation or was unlikely to erupt (57%). Dentists recommended retention and monitoring of 1244 third molars from 366 (46%) participants, because it was too early to decide (73%), eruption path was favorable (39%), or space for eruption was sufficient (26%). When dentists recommended removal, 55% of participants adhered to this recommendation during follow-up, and the main reason was availability of insurance (88%). Conclusions. General dentists frequently recommended removal of third molars for reasons not related to symptoms or pathology, but rather to prevent future problems. PMID:24524519

  17. Will extreme climatic events facilitate biological invasions?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Extreme climatic events, such as intense heat waves, hurricanes, floods and droughts, can dramatically affect ecological and evolutionary processes, and more extreme events are projected with ongoing climate change. However, the implications of these events for biological invasions, which themselves...

  18. Training Research: Practical Recommendations for Maximum Impact

    PubMed Central

    Beidas, Rinad S.; Koerner, Kelly; Weingardt, Kenneth R.; Kendall, Philip C.

    2011-01-01

    This review offers practical recommendations regarding research on training in evidence-based practices for mental health and substance abuse treatment. When designing training research, we recommend: (a) aligning with the larger dissemination and implementation literature to consider contextual variables and clearly defining terminology, (b) critically examining the implicit assumptions underlying the stage model of psychotherapy development, (c) incorporating research methods from other disciplines that embrace the principles of formative evaluation and iterative review, and (d) thinking about how technology can be used to take training to scale throughout all stages of a training research project. An example demonstrates the implementation of these recommendations. PMID:21380792

  19. Treatment recommendations in Primary Ciliary Dyskinesia.

    PubMed

    Polineni, Deepika; Davis, Stephanie D; Dell, Sharon D

    2016-03-01

    Primary Ciliary Dyskinesia (PCD) is a rare heterogenic disorder leading to significant respiratory morbidity. Health-care providers who treat PCD must familiarize themselves with recommended treatment strategies. However, most of the treatments recommended in PCD have been extrapolated from cystic fibrosis (CF) and non-CF bronchiectasis literature. Mainstays of therapy are reviewed in detail, and should include at a minimum: regular airway clearance, routine microbiological surveillance, antibiotic treatment for pulmonary exacerbation, and health vaccinations. This review summarizes both medical and surgical pulmonary treatment considerations, as well as recommendations for the integration of non-pulmonary subspecialty care in the management of PCD.

  20. Leveraging Position Bias to Improve Peer Recommendation

    PubMed Central

    Lerman, Kristina; Hogg, Tad

    2014-01-01

    With the advent of social media and peer production, the amount of new online content has grown dramatically. To identify interesting items in the vast stream of new content, providers must rely on peer recommendation to aggregate opinions of their many users. Due to human cognitive biases, the presentation order strongly affects how people allocate attention to the available content. Moreover, we can manipulate attention through the presentation order of items to change the way peer recommendation works. We experimentally evaluate this effect using Amazon Mechanical Turk. We find that different policies for ordering content can steer user attention so as to improve the outcomes of peer recommendation. PMID:24919071