The Phase of Illness Paradigm: A Checklist Centric Model to Improve Patient Care in the Burn Intensive Care Unit

DTIC Science & Technology

2015-04-01

Light Cycle  Sleep, 4-8 hrs  Increase mobility  Consider ear plugs, sleep aid Treatment  NA  Dexmedetomidine drip  Haloperidol IV Push... Haloperidol IV Push  Quetiepine PO/Enteral Notes: CV Monitoring Standard monitoring (Tele, SpO2, RR, NBP) Maximize knowledge Standard ICU

SU-E-T-110: An Investigation On Monitor Unit Threshold and Effects On IMPT Delivery in Proton Pencil Beam Planning System

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

Syh, J; Ding, X; Syh, J

2015-06-15

Purpose: An approved proton pencil beam scanning (PBS) treatment plan might not be able to deliver because of existed extremely low monitor unit per beam spot. A dual hybrid plan with higher efficiency of higher spot monitor unit and the efficacy of less number of energy layers were searched and optimized. The range of monitor unit threshold setting was investigated and the plan quality was evaluated by target dose conformity. Methods: Certain limitations and requirements need to be checks and tested before a nominal proton PBS treatment plan can be delivered. The plan needs to be met the machine characterization,more » specification in record and verification to deliver the beams. Minimal threshold of monitor unit, e.g. 0.02, per spot was set to filter the low counts and plan was re-computed. Further MU threshold increment was tested in sequence without sacrificing the plan quality. The number of energy layer was also alternated due to elimination of low count layer(s). Results: Minimal MU/spot threshold, spot spacing in each energy layer and total number of energy layer and the MU weighting of beam spots of each beam were evaluated. Plan optimization between increases of the spot MU (efficiency) and less energy layers of delivery (efficacy) was adjusted. 5% weighting limit of total monitor unit per beam was feasible. Scarce spreading of beam spots was not discouraging as long as target dose conformity within 3% criteria. Conclusion: Each spot size is equivalent to the relative dose in the beam delivery system. The energy layer is associated with the depth of the targeting tumor. Our work is crucial to maintain the best possible quality plan. To keep integrity of all intrinsic elements such as spot size, spot number, layer number and the carried weighting of spots in each layer is important in this study.« less

Smartphone electrographic monitoring for atrial fibrillation in acute ischemic stroke and transient ischemic attack.

PubMed

Tu, Hans T; Chen, Ziyuan; Swift, Corey; Churilov, Leonid; Guo, Ruibing; Liu, Xinfeng; Jannes, Jim; Mok, Vincent; Freedman, Ben; Davis, Stephen M; Yan, Bernard

2017-10-01

Rationale Paroxysmal atrial fibrillation is a common and preventable cause of devastating strokes. However, currently available monitoring methods, including Holter monitoring, cardiac telemetry and event loop recorders, have drawbacks that restrict their application in the general stroke population. AliveCor™ heart monitor, a novel device that embeds miniaturized electrocardiography (ECG) in a smartphone case coupled with an application to record and diagnose the ECG, has recently been shown to provide an accurate and sensitive single lead ECG diagnosis of atrial fibrillation. This device could be used by nurses to record a 30-s ECG instead of manual pulse taking and automatically provide a diagnosis of atrial fibrillation. Aims To compare the proportion of patients with paroxysmal atrial fibrillation detected by AliveCor™ ECG monitoring with current standard practice. Sample size 296 Patients. Design Consecutive ischemic stroke and transient ischemic attack patients presenting to participating stroke units without known atrial fibrillation will undergo intermittent AliveCor™ ECG monitoring administered by nursing staff at the same frequency as the vital observations of pulse and blood pressure until discharge, in addition to the standard testing paradigm of each participating stroke unit to detect paroxysmal atrial fibrillation. Study outcome Proportion of patients with paroxysmal atrial fibrillation detected by AliveCor™ ECG monitoring compared to 12-lead ECG, 24-h Holter monitoring and cardiac telemetry. Discussion Use of AliveCor™ heart monitor as part of routine stroke unit nursing observation has the potential to be an inexpensive non-invasive method to increase paroxysmal atrial fibrillation detection, leading to improvement in stroke secondary prevention.

Experience with an integrated control and monitoring system at the El Segundo generating station

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

Papilla, R.P.; McKinley, J.H.; Blanco, M.A.

1992-01-01

This paper describes the EPRI/Southern California Edison (SCE) El Segundo Integrated Control and Monitoring System (ICMS) project and relates key project experiences. The ICMS project is a cost-shared effort between EPRI and SCE designed to address the issues involved with integrating power plant diagnostic and condition monitoring with control. A digital distributed control system retrofit for SCE's El Segundo Units 3 and 4 provided the case study. although many utilities have retrofitted power plant units with distributed control systems (DCS's) and have applied diagnostics and monitoring programs to improve operations and performance, the approach taken in this project, that is,more » integrating the monitoring function with the control function, is profoundly new and unique. Over the life of the El Segundo ICMS, SCE expects to realize savings form life optimization, increased operating flexibility, improved heat rate, reduced NO{sub x} emissions, and lower maintenance costs. These savings are expected to be significant over the life of the system.« less

Remote sensing: A tool for resistance monitoring in Bt crops

EPA Science Inventory

Corn forecasts anticipated significant increases in transgenic corn plantings in the United States for the 2007 growing season and foreseeable future. Driven by biofuel demand, significant increases in GM corn acreage for the 2007 growing season were expected with future planted...

Automated detection of physiologic deterioration in hospitalized patients.

PubMed

Evans, R Scott; Kuttler, Kathryn G; Simpson, Kathy J; Howe, Stephen; Crossno, Peter F; Johnson, Kyle V; Schreiner, Misty N; Lloyd, James F; Tettelbach, William H; Keddington, Roger K; Tanner, Alden; Wilde, Chelbi; Clemmer, Terry P

2015-03-01

Develop and evaluate an automated case detection and response triggering system to monitor patients every 5 min and identify early signs of physiologic deterioration. A 2-year prospective, observational study at a large level 1 trauma center. All patients admitted to a 33-bed medical and oncology floor (A) and a 33-bed non-intensive care unit (ICU) surgical trauma floor (B) were monitored. During the intervention year, pager alerts of early physiologic deterioration were automatically sent to charge nurses along with access to a graphical point-of-care web page to facilitate patient evaluation. Nurses reported the positive predictive value of alerts was 91-100% depending on erroneous data presence. Unit A patients were significantly older and had significantly more comorbidities than unit B patients. During the intervention year, unit A patients had a significant increase in length of stay, more transfers to ICU (p = 0.23), and significantly more medical emergency team (MET) calls (p = 0.0008), and significantly fewer died (p = 0.044) compared to the pre-intervention year. No significant differences were found on unit B. We monitored patients every 5 min and provided automated pages of early physiologic deterioration. This before-after study found a significant increase in MET calls and a significant decrease in mortality only in the unit with older patients with multiple comorbidities, and thus further study is warranted to detect potential confounding. Moreover, nurses reported the graphical alerts provided information needed to quickly evaluate patients, and they felt more confident about their assessment and more comfortable requesting help. © The Author 2014. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Why a Network Energy Monitoring and Control System?

DTIC Science & Technology

1985-01-01

years to complete as they were modified to work with existing, frequently very old, buildings. The benefits derived from those systems that did work were...or groups of workstations, then certain of the occupants could be tasked to turn off their respective lighting. The advantage is the increased...units. Duty Cycle (Strategy J) This strategy takes advantage of the oversizing of the air handling unit. The air handling unit is sized for a peak load

Volumetric modulated arc therapy vs. IMRT for the treatment of distal esophageal cancer.

PubMed

Van Benthuysen, Liam; Hales, Lee; Podgorsak, Matthew B

2011-01-01

Several studies have demonstrated that volumetric modulated arc therapy (VMAT) has the ability to reduce monitor units and treatment time when compared with intensity-modulated radiation therapy (IMRT). This study aims to demonstrate that VMAT is able to provide adequate organs at risk (OAR) sparing and planning target volume (PTV) coverage for adenocarcinoma of the distal esophagus while reducing monitor units and treatment time. Fourteen patients having been treated previously for esophageal cancer were planned using both VMAT and IMRT techniques. Dosimetric quality was evaluated based on doses to several OARs, as well as coverage of the PTV. Treatment times were assessed by recording the number of monitor units required for dose delivery. Body V(5) was also recorded to evaluate the increased volume of healthy tissue irradiated to low doses. Dosimetric differences in OAR sparing between VMAT and IMRT were comparable. PTV coverage was similar for the 2 techniques but it was found that IMRT was capable of delivering a slightly more homogenous dose distribution. Of the 14 patients, 12 were treated with a single arc and 2 were treated with a double arc. Single-arc plans reduced monitor units by 42% when compared with the IMRT plans. Double-arc plans reduced monitor units by 67% when compared with IMRT. The V(5) for the body was found to be 18% greater for VMAT than for IMRT. VMAT has the capability to decrease treatment times over IMRT while still providing similar OAR sparing and PTV coverage. Although there will be a smaller risk of patient movement during VMAT treatments, this advantage comes at the cost of delivering small doses to a greater volume of the patient. Copyright © 2011 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights reserved.

Improvement for enhancing effectiveness of universal power system (UPS) continuous testing process

NASA Astrophysics Data System (ADS)

Sriratana, Lerdlekha

2018-01-01

This experiment aims to enhance the effectiveness of the Universal Power System (UPS) continuous testing process of the Electrical and Electronic Institute by applying work scheduling and time study methods. Initially, the standard time of testing process has not been considered that results of unaccurate testing target and also time wasting has been observed. As monitoring and reducing waste time for improving the efficiency of testing process, Yamazumi chart and job scheduling theory (North West Corner Rule) were applied to develop new work process. After the improvements, the overall efficiency of the process possibly increased from 52.8% to 65.6% or 12.7%. Moreover, the waste time could reduce from 828.3 minutes to 653.6 minutes or 21%, while testing units per batch could increase from 3 to 4 units. Therefore, the number of testing units would increase from 12 units up to 20 units per month that also contribute to increase of net income of UPS testing process by 72%.

Bleeding complications after endovascular therapy of cerebral arteriovenous malformations.

PubMed

Heidenreich, J O; Hartlieb, S; Stendel, R; Pietilä, T A; Schlattmann, P; Wolf, K-J; Schilling, A M

2006-02-01

Intracerebral hemorrhages after embolization of arteriovenous malformations (AVMs) are the most dreaded complications of this well-established therapy. Apart from the known risk factors, our center noticed a high incidence of complications during postinterventional monitoring in medical intensive care units (ICUs) and stroke units. We report 125 consecutive interventions performed on 66 patients by using flow-dependent microcatheters and n-butyl cyanoacrylate as the embolic agent. Postinterventional intensive care monitoring was performed in an interdisciplinary operative ICU, a stroke unit, or a medical ICU. Patients were compared with regard to bleeding complications, AVM morphology, embolization result, postinterventional monitoring, and demographic factors. Intracerebral hemorrhages occurred in 7 patients. Significant differences in outcome were found between 66 patients monitored in the interdisciplinary operative ICU from medical ICU or stroke unit. This was also true when adjusted for age and extent of AVM reduction by using exact logistic regression. A partial AVM reduction of >60% was a considerable risk factor for hemorrhage (odds ratio [OR] = 18.8; 95% confidence interval [CI] [1.341, not available]. Age was also an essential risk factor. An age difference of 10 years leads to an OR of 2.545 (95% CI [1.56, 7.35]). A considerable AVM reduction in one session appears to increase the risk of hemorrhage technically. This suggests a distribution of the interventions in many partial steps.

Volcano hazards program in the United States

USGS Publications Warehouse

Tilling, R.I.; Bailey, R.A.

1985-01-01

Volcano monitoring and volcanic-hazards studies have received greatly increased attention in the United States in the past few years. Before 1980, the Volcanic Hazards Program was primarily focused on the active volcanoes of Kilauea and Mauna Loa, Hawaii, which have been monitored continuously since 1912 by the Hawaiian Volcano Observatory. After the reawakening and catastrophic eruption of Mount St. Helens in 1980, the program was substantially expanded as the government and general public became aware of the potential for eruptions and associated hazards within the conterminous United States. Integrated components of the expanded program include: volcanic-hazards assessment; volcano monitoring; fundamental research; and, in concert with federal, state, and local authorities, emergency-response planning. In 1980 the David A. Johnston Cascades Volcano Observatory was established in Vancouver, Washington, to systematically monitor the continuing activity of Mount St. Helens, and to acquire baseline data for monitoring the other, presently quiescent, but potentially dangerous Cascade volcanoes in the Pacific Northwest. Since June 1980, all of the eruptions of Mount St. Helens have been predicted successfully on the basis of seismic and geodetic monitoring. The largest volcanic eruptions, but the least probable statistically, that pose a threat to western conterminous United States are those from the large Pleistocene-Holocene volcanic systems, such as Long Valley caldera (California) and Yellowstone caldera (Wyoming), which are underlain by large magma chambers still potentially capable of producing catastrophic caldera-forming eruptions. In order to become better prepared for possible future hazards associated with such historically unpecedented events, detailed studies of these, and similar, large volcanic systems should be intensified to gain better insight into caldera-forming processes and to recognize, if possible, the precursors of caldera-forming eruptions. ?? 1985.

Watershed management in the United States in the 21st Century

Treesearch

David B. Thorud; George W. Brown; Brian J. Boyle; Clare M. Ryan

2000-01-01

Views of watershed management in the 21st Century are presented in terms of concept, status, progress and future of watershed planning. The watershed as a unit will increasingly be the basis of planning because the concept is widely understood, many state and federal laws require such a focus, and watersheds are a logical entity for monitoring purposes. Impediments to...

Shared performance monitor in a multiprocessor system

DOEpatents

Chiu, George; Gara, Alan G; Salapura, Valentina

2014-12-02

A performance monitoring unit (PMU) and method for monitoring performance of events occurring in a multiprocessor system. The multiprocessor system comprises a plurality of processor devices units, each processor device for generating signals representing occurrences of events in the processor device, and, a single shared counter resource for performance monitoring. The performance monitor unit is shared by all processor cores in the multiprocessor system. The PMU is further programmed to monitor event signals issued from non-processor devices.

Implementation of a Portable Personal EKG Signal Monitoring System

NASA Astrophysics Data System (ADS)

Tan, Tan-Hsu; Chang, Ching-Su; Chen, Yung-Fu; Lee, Cheng

This research develops a portable personal EKG signal monitoring system to help patients monitor their EKG signals instantly to avoid the occurrence of tragedies. This system is built with two main units: signal pro-cessing unit and monitoring and evaluation unit. The first unit consists of EKG signal sensor, signal amplifier, digitalization circuit, and related control circuits. The second unit is a software tool developed on an embedded Linux platform (called CSA). Experimental result indicates that the proposed system has the practical potential for users in health monitoring. It is demonstrated to be more convenient and with greater portability than the conventional PC-based EKG signal monitoring systems. Furthermore, all the application units embedded in the system are built with open source codes, no licensed fee is required for operating systems and authorized applications. Thus, the building cost is much lower than the traditional systems.

Standard of Care for Neuropsychological Monitoring in Pediatric Neuro-Oncology: Lessons From the Children's Oncology Group (COG).

PubMed

Walsh, Karin S; Noll, Robert B; Annett, Robert D; Patel, Sunita K; Patenaude, Andrea F; Embry, Leanne

2016-02-01

As the mortality of pediatric cancers has decreased, focus on neuropsychological morbidities of treatment sequelae have increased. Neuropsychological evaluations are essential diagnostic tools that assess cognitive functioning and neurobiological integrity. These tests provide vital information to support ongoing medical care, documenting cognitive morbidity and response to interventions. We frame standards for neuropsychological monitoring of pediatric patients with CNS malignancy or who received cancer-directed therapies involving the CNS and discuss billing for these services in the United States in the context of clinical research. We describe a cost-effective, efficient model of neuropsychological monitoring that may increases access to neuropsychological care. © 2015 Wiley Periodicals, Inc.

Solutions Network Formulation Report. Visible/Infrared Imager/Radiometer Suite and Advanced Microwave Scanning Radiometer Data Products for National Drought Monitor Decision Support

NASA Technical Reports Server (NTRS)

Estep, Leland

2007-01-01

Drought effects are either direct or indirect depending on location, population, and regional economic vitality. Common direct effects of drought are reduced crop, rangeland, and forest productivity; increased fire hazard; reduced water levels; increased livestock and wildlife mortality rates; and damage to wildlife and fish habitat. Indirect impacts follow on the heels of direct impacts. For example, a reduction in crop, rangeland, and forest productivity may result in reduced income for farmers and agribusiness, increased prices for food and timber, unemployment, reduced tax revenues, increased crime, foreclosures on bank loans to farmers and businesses, migration, and disaster relief programs. In the United States alone, drought is estimated to result in annual losses of between $6 - 8 billion. Recent sustained drought in the United States has made decision-makers aware of the impacts of climate change on society and environment. The eight major droughts that occurred in the United States between 1980 and 1999 accounted for the largest percentage of weather-related monetary losses. Monitoring drought and its impact that occurs at a variety of scales is an important government activity -- not only nationally but internationally as well. The NDMC (National Drought Mitigation Center) and the USDA (U.S. Department of Agriculture) RMA (Risk Management Agency) have partnered together to develop a DM-DSS (Drought Monitoring Decision Support System). This monitoring system will be an interactive portal that will provide users the ability to visualize and assess drought at all levels. This candidate solution incorporates atmospherically corrected VIIRS data products, such as NDVI (Normalized Difference Vegetation Index) and Ocean SST (sea surface temperature), and AMSR-E soil moisture data products into two NDMC vegetation indices -- VegDRI (Vegetation Drought Response Index) and VegOUT (Vegetation Outlook) -- which are then input into the DM-DSS.

40 CFR 60.1320 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2014 CFR

2014-07-01

... municipal waste combustion unit? 60.1320 Section 60.1320 Protection of Environment ENVIRONMENTAL PROTECTION... of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced After... Monitoring Requirements § 60.1320 How do I monitor the load of my municipal waste combustion unit? (a) If...

40 CFR 60.1320 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2010 CFR

2010-07-01

... municipal waste combustion unit? 60.1320 Section 60.1320 Protection of Environment ENVIRONMENTAL PROTECTION... of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced After... Monitoring Requirements § 60.1320 How do I monitor the load of my municipal waste combustion unit? (a) If...

40 CFR 60.1320 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2013 CFR

2013-07-01

... municipal waste combustion unit? 60.1320 Section 60.1320 Protection of Environment ENVIRONMENTAL PROTECTION... of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced After... Monitoring Requirements § 60.1320 How do I monitor the load of my municipal waste combustion unit? (a) If...

40 CFR 60.1320 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2011 CFR

2011-07-01

... municipal waste combustion unit? 60.1320 Section 60.1320 Protection of Environment ENVIRONMENTAL PROTECTION... of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced After... Monitoring Requirements § 60.1320 How do I monitor the load of my municipal waste combustion unit? (a) If...

40 CFR 60.1320 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2012 CFR

2012-07-01

... municipal waste combustion unit? 60.1320 Section 60.1320 Protection of Environment ENVIRONMENTAL PROTECTION... of Performance for Small Municipal Waste Combustion Units for Which Construction is Commenced After... Monitoring Requirements § 60.1320 How do I monitor the load of my municipal waste combustion unit? (a) If...

Assessment of zero drift in the Codman intracranial pressure monitor: a study from 2 neurointensive care units.

PubMed

Al-Tamimi, Yahia Z; Helmy, Adel; Bavetta, Seb; Price, Stephen J

2009-01-01

Intraparenchymal monitoring devices play an important role in the daily management of head injury and other critically ill neurosurgical patients. Although zero drift data exist for the Camino system (Camino Laboratories, San Diego, CA), only in vitro data exist for the Codman system (Codman and Shurtleff, Inc., Raynham, MA). The aim of this study was to assess the extent of zero drift for the Codman intracranial pressure (ICP) monitor in patients being monitored in 2 neurointensive care units. This was a prospective study conducted at 2 neurointensive care units. Eighty-eight patients who required ICP monitoring and who presented to the 2 neurosurgical departments, Center 1 (n = 48) and Center 2 (n = 40), were recruited for participation. The duration of ICP monitoring was noted, as was the resultant pressure reading in normal saline on removing the ICP monitor (zero drift). The median absolute zero drift for the group was 2.0 mm Hg (interquartile range, 1-3 mm Hg). The median time in situ was 108 hours (interquartile range, 69-201 hours). There was a positive correlation between the drift and time of the probe spent in situ (Spearman's correlation coefficient = 0.342; P = 0.001). Of the readings, 20 and 2% showed a drift greater than 5 and 10 mm Hg in magnitude, respectively. These data demonstrate that a small amount of zero drift exists in ICP monitors and that this drift increases with time. The wide range in the data demonstrates that some drift readings are quite excessive. This reinforces the school of thought that, although ICP readings contribute significantly to the management of neurosurgical patients, they should be interpreted carefully and in conjunction with clinical and radiological assessment of patients.

Portable monitoring for the diagnosis of obstructive sleep apnea.

PubMed

Collop, Nancy A

2008-11-01

The demand for expedient diagnosis of suspected obstructive sleep apnea (OSA) has increased due to improved awareness of sleep disorders. Polysomnography (PSG) is the current preferred diagnostic modality but is relatively inconvenient, expensive and inefficient. Portable monitoring has been developed and is widely used in countries outside the United States as an alternative approach. A portable monitor records fewer physiologic variables but is typically unattended and can be performed in the home. Numerous portable monitor studies have been performed over the past two to three decades. The US government and medical societies have extensively reviewed this literature several times in an attempt to determine if portable monitoring should be more broadly used for diagnosing OSA. In March 2008, the US Centers for Medicare and Medicaid Services released a statement allowing the use of portable monitoring to diagnose OSA and prescribe continuous positive airway pressure. This has potentially opened the door for more widespread use of these devices. This review will focus on the literature that has examined portable monitoring as a diagnostic tool for OSA. It is anticipated that portable monitoring as a diagnostic modality for OSA will be used more frequently in the United States following the Centers for Medicare and Medicaid Services ruling. Physicians and others considering the use of portable monitors should thoroughly understand the advantages and limitations of this technology.

Characterization of odorous charge and photochemical reactivity of VOC emissions from a full-scale food waste treatment plant in China.

PubMed

Ni, Zhe; Liu, Jianguo; Song, Mingying; Wang, Xiaowei; Ren, Lianhai; Kong, Xin

2015-03-01

Food waste treatment plants (FWTPs) are usually associated with odorous nuisance and health risks, which are partially caused by volatile organic compound (VOC) emissions. This study investigated the VOC emissions from a selected full-scale FWTP in China. The feedstock used in this plant was mainly collected from local restaurants. For a year, the FWTP was closely monitored on specific days in each season. Four major indoor treatment units of the plant, including the storage room, sorting/crushing room, hydrothermal hydrolysis unit, and aerobic fermentation unit, were chosen as the monitoring locations. The highest mean concentration of total VOC emissions was observed in the aerobic fermentation unit at 21,748.2-31,283.3 μg/m3, followed by the hydrothermal hydrolysis unit at 10,798.1-23,144.4 μg/m3. The detected VOC families included biogenic compounds (oxygenated compounds, hydrocarbons, terpenes, and organosulfur compounds) and abiogenic compounds (aromatic hydrocarbons and halocarbons). Oxygenated compounds, particularly alcohols, were the most abundant compounds in all samples. With the use of odor index analysis and principal components analysis, the hydrothermal hydrolysis and aerobic fermentation units were clearly distinguished from the pre-treatment units, as characterized by their higher contributions to odorous nuisance. Methanthiol was the dominant odorant in the hydrothermal hydrolysis unit, whereas aldehyde was the dominant odorant in the aerobic fermentation unit. Terpenes, specifically limonene, had the highest level of propylene equivalent concentration during the monitoring periods. This concentration can contribute to the increase in the atmospheric reactivity and ozone formation potential in the surrounding air. Copyright © 2015. Published by Elsevier B.V.

Contribution from motor unit firing adaptations and muscle co-activation during fatigue.

PubMed

Contessa, Paola; Letizi, John; De Luca, Gianluca; Kline, Joshua C

2018-03-14

The control of motor unit firing behavior during fatigue is still debated in the literature. Most studies agree that the central nervous system increases the excitation to the motoneuron pool to compensate for decreased force contributions of individual motor units and sustain muscle force output during fatigue. However, some studies claim that motor units may decrease their firing rates despite increased excitation, contradicting the direct relationship between firing rates and excitation that governs the voluntary control of motor units. To investigate whether the control of motor units in fact changes with fatigue, we measured motor unit firing behavior during repeated contractions of the first dorsal interosseous (FDI) muscle while concurrently monitoring the activation of surrounding muscles - including the flexor carpi radialis, extensor carpi radialis, and pronator teres. Across all subjects, we observed an overall increase in FDI activation and motor unit firing rates by the end of the fatigue task. However, in some subjects we observed increases in FDI activation and motor unit firing rates only during the initial phase of the fatigue task, followed by subsequent decreases during the late phase of the fatigue task while the co-activation of surrounding muscles increased. These findings indicate that the strategy for sustaining force output may occasionally change leading to increases in the relative activation of surrounding muscles while the excitation to the fatiguing muscle decreases. Importantly, irrespective of changes in the strategy for sustaining force output, the control properties regulating motor unit firing behavior remain unchanged during fatigue.

Borehole seismic monitoring of seismic stimulation at OccidentalPermian Ltd's -- South Wason Clear Fork Unit

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

Daley, Tom; Majer, Ernie

2007-04-30

Seismic stimulation is a proposed enhanced oil recovery(EOR) technique which uses seismic energy to increase oil production. Aspart of an integrated research effort (theory, lab and field studies),LBNL has been measuring the seismic amplitude of various stimulationsources in various oil fields (Majer, et al., 2006, Roberts,et al.,2001, Daley et al., 1999). The amplitude of the seismic waves generatedby a stimulation source is an important parameter for increased oilmobility in both theoretical models and laboratory core studies. Theseismic amplitude, typically in units of seismic strain, can be measuredin-situ by use of a borehole seismometer (geophone). Measuring thedistribution of amplitudes within amore » reservoir could allow improved designof stimulation source deployment. In March, 2007, we provided in-fieldmonitoring of two stimulation sources operating in Occidental (Oxy)Permian Ltd's South Wasson Clear Fork (SWCU) unit, located near DenverCity, Tx. The stimulation source is a downhole fluid pulsation devicedeveloped by Applied Seismic Research Corp. (ASR). Our monitoring used aborehole wall-locking 3-component geophone operating in two nearbywells.« less

Rapid deployable global sensing hazard alert system

DOEpatents

Cordaro, Joseph V; Tibrea, Steven L; Shull, Davis J; Coleman, Jerry T; Shuler, James M

2015-04-28

A rapid deployable global sensing hazard alert system and associated methods of operation are provided. An exemplary system includes a central command, a wireless backhaul network, and a remote monitoring unit. The remote monitoring unit can include a positioning system configured to determine a position of the remote monitoring unit based on one or more signals received from one or more satellites located in Low Earth Orbit. The wireless backhaul network can provide bidirectional communication capability independent of cellular telecommunication networks and the Internet. An exemplary method includes instructing at least one of a plurality of remote monitoring units to provide an alert based at least in part on a location of a hazard and a plurality of positions respectively associated with the plurality of remote monitoring units.

Shared performance monitor in a multiprocessor system

DOEpatents

Chiu, George; Gara, Alan G.; Salapura, Valentina

2012-07-24

A performance monitoring unit (PMU) and method for monitoring performance of events occurring in a multiprocessor system. The multiprocessor system comprises a plurality of processor devices units, each processor device for generating signals representing occurrences of events in the processor device, and, a single shared counter resource for performance monitoring. The performance monitor unit is shared by all processor cores in the multiprocessor system. The PMU comprises: a plurality of performance counters each for counting signals representing occurrences of events from one or more the plurality of processor units in the multiprocessor system; and, a plurality of input devices for receiving the event signals from one or more processor devices of the plurality of processor units, the plurality of input devices programmable to select event signals for receipt by one or more of the plurality of performance counters for counting, wherein the PMU is shared between multiple processing units, or within a group of processors in the multiprocessing system. The PMU is further programmed to monitor event signals issued from non-processor devices.

Clinical Alarms in intensive care: implications of alarm fatigue for the safety of patients1

PubMed Central

Bridi, Adriana Carla; Louro, Thiago Quinellato; da Silva, Roberto Carlos Lyra

2014-01-01

OBJECTIVES: to identify the number of electro-medical pieces of equipment in a coronary care unit, characterize their types, and analyze implications for the safety of patients from the perspective of alarm fatigue. METHOD: this quantitative, observational, descriptive, non-participatory study was conducted in a coronary care unit of a cardiology hospital with 170 beds. RESULTS: a total of 426 alarms were recorded in 40 hours of observation: 227 were triggered by multi-parametric monitors and 199 were triggered by other equipment (infusion pumps, dialysis pumps, mechanical ventilators, and intra-aortic balloons); that is an average of 10.6 alarms per hour. CONCLUSION: the results reinforce the importance of properly configuring physiological variables, the volume and parameters of alarms of multi-parametric monitors within the routine of intensive care units. The alarms of equipment intended to protect patients have increased noise within the unit, the level of distraction and interruptions in the workflow, leading to a false sense of security. PMID:25591100

Trends in precipitation and stream-water chemistry in the northeastern United States, water years 1984-96

USGS Publications Warehouse

Clow, D.W.; Mast, M. Alisa

1999-01-01

Trends in precipitation and stream-water chemistry during water years 1984-96 were examined at eight precipitation monitoring sites and five nearby streams operated by the U.S. Geological Survey in the northeastern United States. The statistical analyses indicate the following: 1)Stream-water sulfate (SO4) concentrations decreased at seven of eight precipitation monitoring sites and in each of five streams. 2)Calcium plus magnesium (Ca + Mg) concentrations decreased at seven of eight precipitation monitoring sites and in three of five streams. 3)Precipitation acidity decreased at five of eight precipitation monitoring sites, but alkalinity increased in only one stream. These results indicate that decreases in atmospheric deposition of SO4 have resulted in decreased precipitation acidity. The chemical response of stream water to changes in precipitation chemistry was complex. Decreases in stream-water SO4 concentrations generally matched decreases of precipitation SO4. In stream water, increases in alkalinity were uncommon because decreases in SO4 concentrations often were accompanied by decreases in Ca + Mg concentrations. The decreases in Ca + Mg concentrations might be related to depletion of base cations from soil caused by long-term exposure to acidic deposition. Increases in streamwater alkalinity might not occur until rates of acidic deposition are reduced to substantially less than the rate of cation resupply by weathering and atmospheric deposition. In areas where forests are aggrading, recovery of stream-water alkalinity will be delayed further because of the acidifying effect of biomass accumulation.

48 CFR 252.204-7011 - Alternative Line Item Structure.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Unit Unit price Amount 0001 Computer, Desktop with CPU, Monitor, Keyboard and Mouse 20 EA Alternative... Unit Unit Price Amount 0001 Computer, Desktop with CPU, Keyboard and Mouse 20 EA 0002 Monitor 20 EA...

48 CFR 252.204-7011 - Alternative Line Item Structure.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Unit Unit price Amount 0001 Computer, Desktop with CPU, Monitor, Keyboard and Mouse 20 EA Alternative... Unit Unit Price Amount 0001 Computer, Desktop with CPU, Keyboard and Mouse 20 EA 0002 Monitor 20 EA...

48 CFR 252.204-7011 - Alternative Line Item Structure.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Unit Unit price Amount 0001 Computer, Desktop with CPU, Monitor, Keyboard and Mouse 20 EA Alternative... Unit Unit Price Amount 0001 Computer, Desktop with CPU, Keyboard and Mouse 20 EA 0002 Monitor 20 EA...

48 CFR 252.204-7011 - Alternative Line Item Structure.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Unit Unit price Amount 0001 Computer, Desktop with CPU, Monitor, Keyboard and Mouse 20 EA Alternative... Unit Unit Price Amount 0001 Computer, Desktop with CPU, Keyboard and Mouse 20 EA 0002 Monitor 20 EA...

40 CFR 75.12 - Specific provisions for monitoring NOX emission rate.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) AIR PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.12 Specific provisions for monitoring NOX emission rate. (a) Coal-fired units, gas-fired nonpeaking units or oil-fired... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Specific provisions for monitoring NOX...

40 CFR 75.12 - Specific provisions for monitoring NOX emission rate.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) AIR PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.12 Specific provisions for monitoring NOX emission rate. (a) Coal-fired units, gas-fired nonpeaking units or oil-fired... 40 Protection of Environment 17 2013-07-01 2013-07-01 false Specific provisions for monitoring NOX...

40 CFR 75.12 - Specific provisions for monitoring NOX emission rate.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) AIR PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.12 Specific provisions for monitoring NOX emission rate. (a) Coal-fired units, gas-fired nonpeaking units or oil-fired... 40 Protection of Environment 17 2014-07-01 2014-07-01 false Specific provisions for monitoring NOX...

40 CFR 75.14 - Specific provisions for monitoring opacity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.14 Specific provisions for monitoring opacity. (a) Coal-fired units and oil-fired units. The owner or operator shall meet the general... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Specific provisions for monitoring...

40 CFR 75.14 - Specific provisions for monitoring opacity.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.14 Specific provisions for monitoring opacity. (a) Coal-fired units and oil-fired units. The owner or operator shall meet the general... 40 Protection of Environment 17 2014-07-01 2014-07-01 false Specific provisions for monitoring...

40 CFR 75.12 - Specific provisions for monitoring NOX emission rate.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) AIR PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.12 Specific provisions for monitoring NOX emission rate. (a) Coal-fired units, gas-fired nonpeaking units or oil-fired... 40 Protection of Environment 16 2011-07-01 2011-07-01 false Specific provisions for monitoring NOX...

40 CFR 75.14 - Specific provisions for monitoring opacity.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.14 Specific provisions for monitoring opacity. (a) Coal-fired units and oil-fired units. The owner or operator shall meet the general... 40 Protection of Environment 16 2011-07-01 2011-07-01 false Specific provisions for monitoring...

40 CFR 75.12 - Specific provisions for monitoring NOX emission rate.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) AIR PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.12 Specific provisions for monitoring NOX emission rate. (a) Coal-fired units, gas-fired nonpeaking units or oil-fired... 40 Protection of Environment 17 2012-07-01 2012-07-01 false Specific provisions for monitoring NOX...

40 CFR 75.14 - Specific provisions for monitoring opacity.

Code of Federal Regulations, 2012 CFR

2012-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.14 Specific provisions for monitoring opacity. (a) Coal-fired units and oil-fired units. The owner or operator shall meet the general... 40 Protection of Environment 17 2012-07-01 2012-07-01 false Specific provisions for monitoring...

40 CFR 75.14 - Specific provisions for monitoring opacity.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.14 Specific provisions for monitoring opacity. (a) Coal-fired units and oil-fired units. The owner or operator shall meet the general... 40 Protection of Environment 17 2013-07-01 2013-07-01 false Specific provisions for monitoring...

Groundwater quality in the Sierra Nevada, California

USGS Publications Warehouse

Fram, Miranda S.; Belitz, Kenneth

2014-01-01

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project (PBP) of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Sierra Nevada Regional study unit constitutes one of the study units being evaluated.

Reliable Collection of Real-Time Patient Physiologic Data from less Reliable Networks: a "Monitor of Monitors" System (MoMs).

PubMed

Hu, Peter F; Yang, Shiming; Li, Hsiao-Chi; Stansbury, Lynn G; Yang, Fan; Hagegeorge, George; Miller, Catriona; Rock, Peter; Stein, Deborah M; Mackenzie, Colin F

2017-01-01

Research and practice based on automated electronic patient monitoring and data collection systems is significantly limited by system down time. We asked whether a triple-redundant Monitor of Monitors System (MoMs) to collect and summarize key information from system-wide data sources could achieve high fault tolerance, early diagnosis of system failure, and improve data collection rates. In our Level I trauma center, patient vital signs(VS) monitors were networked to collect real time patient physiologic data streams from 94 bed units in our various resuscitation, operating, and critical care units. To minimize the impact of server collection failure, three BedMaster® VS servers were used in parallel to collect data from all bed units. To locate and diagnose system failures, we summarized critical information from high throughput datastreams in real-time in a dashboard viewer and compared the before and post MoMs phases to evaluate data collection performance as availability time, active collection rates, and gap duration, occurrence, and categories. Single-server collection rates in the 3-month period before MoMs deployment ranged from 27.8 % to 40.5 % with combined 79.1 % collection rate. Reasons for gaps included collection server failure, software instability, individual bed setting inconsistency, and monitor servicing. In the 6-month post MoMs deployment period, average collection rates were 99.9 %. A triple redundant patient data collection system with real-time diagnostic information summarization and representation improved the reliability of massive clinical data collection to nearly 100 % in a Level I trauma center. Such data collection framework may also increase the automation level of hospital-wise information aggregation for optimal allocation of health care resources.

A comprehensive guide to fuel management practices for dry mixed conifer forests in the northwestern United States: Monitoring

Treesearch

Theresa B. Jain; Mike A. Battaglia; Han-Sup Han; Russell T. Graham; Christopher R. Keyes; Jeremy S. Fried; Jonathan E. Sandquist

2014-01-01

Short- and medium-term evaluation of how fuel treatments are working is the only way to know if the hundreds of activities on the ground are adding up to the goals of more resilient landscapes and increased safety of people and property. Monitoring is a critical resource for decision makers who design fuels management programs, however it is an often neglected part of...

Interactive chemistry management system (ICMS); Field demonstration results at United Illuminating

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

Noto, F.A.; Farrell, D.M.; Lombard, E.V.

1988-01-01

The authors report on a field demonstration of the interactive chemistry management system (ICMS) performed in the late summer of 1987 at the New Haven Harbor Station of United Illuminating Co. This demonstration was the first installation of the ICMS at an actual plant site. The ICMS is a computer-based system designed to monitor, diagnose, and provide optional automatic control of water and steam chemistry throughout the steam generator cycle. It is one of the diagnostic modules that comprises CE-TOPS (combustion engineering total on-line performance system), which continuously monitors operating conditions and suggests priority actions to increase operation efficiency, extendmore » the performance life of boiler components and reduce maintenance costs. By reducing the number of forced outages through early identification of potentially detrimental conditions, diagnosis of possible causes, and execution of corrective actions, improvements in unit availability and reliability will result.« less

Real-time pH monitoring of industrially relevant enzymatic reactions in a microfluidic side-entry reactor (μSER) shows potential for pH control.

PubMed

Gruber, Pia; Marques, Marco P C; Sulzer, Philipp; Wohlgemuth, Roland; Mayr, Torsten; Baganz, Frank; Szita, Nicolas

2017-06-01

Monitoring and control of pH is essential for the control of reaction conditions and reaction progress for any biocatalytic or biotechnological process. Microfluidic enzymatic reactors are increasingly proposed for process development, however typically lack instrumentation, such as pH monitoring. We present a microfluidic side-entry reactor (μSER) and demonstrate for the first time real-time pH monitoring of the progression of an enzymatic reaction in a microfluidic reactor as a first step towards achieving pH control. Two different types of optical pH sensors were integrated at several positions in the reactor channel which enabled pH monitoring between pH 3.5 and pH 8.5, thus a broader range than typically reported. The sensors withstood the thermal bonding temperatures typical of microfluidic device fabrication. Additionally, fluidic inputs along the reaction channel were implemented to adjust the pH of the reaction. Time-course profiles of pH were recorded for a transketolase and a penicillin G acylase catalyzed reaction. Without pH adjustment, the former showed a pH increase of 1 pH unit and the latter a pH decrease of about 2.5 pH units. With pH adjustment, the pH drop of the penicillin G acylase catalyzed reaction was significantly attenuated, the reaction condition kept at a pH suitable for the operation of the enzyme, and the product yield increased. This contribution represents a further step towards fully instrumented and controlled microfluidic reactors for biocatalytic process development. © 2017 The Authors. Biotechnology Journal published by WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Physical health of patients with severe mental illness: an intervention on medium secure forensic unit.

PubMed

Vasudev, Kamini; Thakkar, Pratish B; Mitcheson, Nicola

2012-01-01

Patients with severe mental illness (SMI) treated with antipsychotic medication are at increased risk of metabolic side-effects like weight gain, diabetes mellitus and dyslipidaemia. This study aims to examine the feasibility of maintaining a physical health monitoring sheet in patients' records and its impact on physical health of patients with SMI, over a period of one year. A physical health monitoring sheet was introduced in all the patients' records on a 15-bedded male medium secure forensic psychiatric rehabilitation unit, as a prompt to regularly monitor physical health parameters. An audit cycle was completed over a one year period. The data between baseline and re-audit were compared. At baseline, 80 per cent of the patients were identified as smokers, 80 per cent had increased body mass index (BMI) and 87 per cent had raised cardiovascular risk over the next ten years. Appropriate interventions were offered to address the risks. At re-audit, the physical health monitoring sheets were up to date in 100 per cent of patients' records. The serum lipids and cardiovascular risk over the next ten years reduced over time. No significant change was noted on the parameters including BMI, central obesity, high blood pressure and smoking status. This was a pilot study and was limited by the small sample size, male gender only and the specific nature of the ward. There is a need for improved access to physical health care in long-stay psychiatric settings. A more robust lifestyle modification programme is required to positively influence the physical health parameters in this cohort of patients. Introduction of a physical health monitoring sheet in patients' records led to regular screening of cardiovascular risks and subsequent increased prescribing of hypolipidaemic agents in individuals with severe mental illness.

40 CFR 75.24 - Out-of-control periods and adjustment for system bias.

Code of Federal Regulations, 2012 CFR

2012-07-01

... subsequent tests: (1) Apply the procedures for missing data substitution to emissions from affected unit(s... monitor or continuous emission monitoring system is out-of-control, any data recorded by the monitor or monitoring system are not quality-assured and shall not be used in calculating monitor data availabilities...

40 CFR 75.24 - Out-of-control periods and adjustment for system bias.

Code of Federal Regulations, 2011 CFR

2011-07-01

... subsequent tests: (1) Apply the procedures for missing data substitution to emissions from affected unit(s... monitor or continuous emission monitoring system is out-of-control, any data recorded by the monitor or monitoring system are not quality-assured and shall not be used in calculating monitor data availabilities...

40 CFR 75.24 - Out-of-control periods and adjustment for system bias.

Code of Federal Regulations, 2014 CFR

2014-07-01

... subsequent tests: (1) Apply the procedures for missing data substitution to emissions from affected unit(s... monitor or continuous emission monitoring system is out-of-control, any data recorded by the monitor or monitoring system are not quality-assured and shall not be used in calculating monitor data availabilities...

40 CFR 75.24 - Out-of-control periods and adjustment for system bias.

Code of Federal Regulations, 2010 CFR

2010-07-01

... subsequent tests: (1) Apply the procedures for missing data substitution to emissions from affected unit(s... monitor or continuous emission monitoring system is out-of-control, any data recorded by the monitor or monitoring system are not quality-assured and shall not be used in calculating monitor data availabilities...

40 CFR Table 11 to Subpart G of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Wastewater-Inspection and Monitoring... and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of inspection or monitoring Method Tanks: 63.133(b)(1) Inspect fixed roof and all...

40 CFR Table 11 to Subpart G of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 10 2012-07-01 2012-07-01 false Wastewater-Inspection and Monitoring... and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of inspection or monitoring Method Tanks: 63.133(b)(1) Inspect fixed roof and all...

40 CFR Table 11 to Subpart G of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 10 2014-07-01 2014-07-01 false Wastewater-Inspection and Monitoring... and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of inspection or monitoring Method Tanks: 63.133(b)(1) Inspect fixed roof and all...

40 CFR Table 11 to Subpart G of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 10 2013-07-01 2013-07-01 false Wastewater-Inspection and Monitoring... and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of inspection or monitoring Method Tanks: 63.133(b)(1) Inspect fixed roof and all...

Monitoring of livestock grazing effects on Bureau of Land Management land

USGS Publications Warehouse

Veblen, Kari E.; Pyke, David A.; Aldridge, Cameron L.; Casazza, Michael L.; Assal, Timothy J.; Farinha, Melissa A.

2013-01-01

Public land management agencies, such as the Bureau of Land Management (BLM), are charged with managing rangelands throughout the western United States for multiple uses, such as livestock grazing and conservation of sensitive species and their habitats. Monitoring of condition and trends of these rangelands, particularly with respect to effects of livestock grazing, provides critical information for effective management of these multiuse landscapes. We therefore investigated the availability of livestock grazing-related quantitative monitoring data and qualitative region-specific Land Health Standards (LHS) data across BLM grazing allotments in the western United States. We then queried university and federal rangeland science experts about how best to prioritize rangeland monitoring activities. We found that the most commonly available monitoring data were permittee-reported livestock numbers and season-of-use data (71% of allotments) followed by repeat photo points (58%), estimates of forage utilization (52%), and, finally, quantitative vegetation measurements (37%). Of the 57% of allotments in which LHS had been evaluated as of 2007, the BLM indicated 15% had failed to meet LHS due to livestock grazing. A full complement of all types of monitoring data, however, existed for only 27% of those 15%. Our data inspections, as well as conversations with rangeland experts, indicated a need for greater emphasis on collection of grazing-related monitoring data, particularly ground cover. Prioritization of where monitoring activities should be focused, along with creation of regional monitoring teams, may help improve monitoring. Overall, increased emphasis on monitoring of BLM rangelands will require commitment at multiple institutional levels.

[Structure and functional organization of integrated cardiac intensive care].

PubMed

Scherillo, Marino; Miceli, Domenico; Tubaro, Marco; Guiducci, Umberto

2007-05-01

The early invasive strategy for the treatment of acute coronary syndromes and the increasing number of older and sicker patients requiring prolonged and more complex intensive care have induced many changes in the function of the intensive care units. These changes include the statement that specially trained cardiologists and cardiac nurses who can manage patients with acute cardiac conditions should staff the intensive care units. This document indicates the structure of the units and specific recommendations for the number of beds, monitoring system, respirators, pacemaker/defibrillators and additional equipment.

Satellite gravity measurement monitoring terrestrial water storage change and drought in the continental United States.

PubMed

Yi, Hang; Wen, Lianxing

2016-01-27

We use satellite gravity measurements in the Gravity Recovery and Climate Experiment (GRACE) to estimate terrestrial water storage (TWS) change in the continental United States (US) from 2003 to 2012, and establish a GRACE-based Hydrological Drought Index (GHDI) for drought monitoring. GRACE-inferred TWS exhibits opposite patterns between north and south of the continental US from 2003 to 2012, with the equivalent water thickness increasing from -4.0 to 9.4 cm in the north and decreasing from 4.1 to -6.7 cm in the south. The equivalent water thickness also decreases by -5.1 cm in the middle south in 2006. GHDI is established to represent the extent of GRACE-inferred TWS anomaly departing from its historical average and is calibrated to resemble traditional Palmer Hydrological Drought Index (PHDI) in the continental US. GHDI exhibits good correlations with PHDI in the continental US, indicating its feasibility for drought monitoring. Since GHDI is GRACE-based and has minimal dependence of hydrological parameters on the ground, it can be extended for global drought monitoring, particularly useful for the countries that lack sufficient hydrological monitoring infrastructures on the ground.

Putting intelligent structured intermittent auscultation (ISIA) into practice.

PubMed

Maude, Robyn M; Skinner, Joan P; Foureur, Maralyn J

2016-06-01

Fetal monitoring guidelines recommend intermittent auscultation for the monitoring of fetal wellbeing during labour for low-risk women. However, these guidelines are not being translated into practice and low-risk women birthing in institutional maternity units are increasingly exposed to continuous cardiotocographic monitoring, both on admission to hospital and during labour. When continuous fetal monitoring becomes routinised, midwives and obstetricians lose practical skills around intermittent auscultation. To support clinical practice and decision-making around auscultation modality, the intelligent structured intermittent auscultation (ISIA) framework was developed. The purpose of this discussion paper is to describe the application of intelligent structured intermittent auscultation in practice. The intelligent structured intermittent auscultation decision-making framework is a knowledge translation tool that supports the implementation of evidence into practice around the use of intermittent auscultation for fetal heart monitoring for low-risk women during labour. An understanding of the physiology of the materno-utero-placental unit and control of the fetal heart underpin the development of the framework. Intelligent structured intermittent auscultation provides midwives with a robust means of demonstrating their critical thinking and clinical reasoning and supports their understanding of normal physiological birth. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Improving nurses' knowledge of continuous ST-segment monitoring.

PubMed

Chronister, Connie

2014-01-01

Continuous ST-segment monitoring can result in detection of myocardial ischemia, but in clinical practice, continuous ST-segment monitoring is conducted incorrectly and underused by many registered nurses (RNs). Many RNs are unable to correctly institute ST-segment monitoring guidelines because of a lack of education. To evaluate whether an educational intervention, provided to 32 RNs, increases knowledge and correct clinical decision making (CDM) for the use of continuous ST-segment monitoring. At a single institution, an ST-segment monitoring class was provided to RNs in 2 cardiovascular units. Knowledge and correct CDM instruments were used for a baseline pretest and subsequent posttest after ST-segment monitoring education. Statistical significance between pretest and posttest scores for knowledge and correct CDM practice was noted with dependent t tests (P = .0001). Many RNs responsible for electrocardiographic monitoring are not aware of evidence-based ST-segment monitoring practice guidelines and cannot properly place precordial leads needed for ST-segment monitoring. Knowledge and correct CDM with ST-segment monitoring can be improved with focused education.

Time and number of displays impact critical signal detection in fetal heart rate tracings.

PubMed

Anderson, Brittany L; Scerbo, Mark W; Belfore, Lee A; Abuhamad, Alfred Z

2011-06-01

Interest in centralized monitoring in labor and delivery units is growing because it affords the opportunity to monitor multiple patients simultaneously. However, a long history of research on sustained attention reveals these types of monitoring tasks can be problematic. The goal of the present experiment was to examine the ability of individuals to detect critical signals in fetal heart rate (FHR) tracings in one or more displays over an extended period of time. Seventy-two participants monitored one, two, or four computer-simulated FHR tracings on a computer display for the appearance of late decelerations over a 48-minute vigil. Measures of subjective stress and workload were also obtained before and after the vigil. The results showed that detection accuracy decreased over time and also declined as the number of displays increased. The subjective reports indicated that participants found the task to be stressful and mentally demanding, effortful, and frustrating. The results suggest that centralized monitoring that allows many patients to be monitored simultaneously may impose a detrimental attentional burden on the observer. Furthermore, this seemingly benign task may impose an additional source of stress and mental workload above what is commonly found in labor and delivery units. © Thieme Medical Publishers.

Study of Water Pollution Early Warning Framework Based on Internet of Things

NASA Astrophysics Data System (ADS)

Chengfang, H.; Xiao, X.; Dingtao, S.; Bo, C.; Xiongfei, W.

2016-06-01

In recent years, with the increasing world environmental pollution happening, sudden water pollution incident has become more and more frequently in China. It has posed a serious threat to water safety of the people living in the water source area. Conventional water pollution monitoring method is manual periodic testing, it maybe miss the best time to find that pollution incident. This paper proposes a water pollution warning framework to change this state. On the basis of the Internet of things, we uses automatic water quality monitoring technology to realize monitoring. We calculate the monitoring data with water pollution model to judge whether the water pollution incident is happen or not. Water pollution warning framework is divided into three layers: terminal as the sensing layer, it with the deployment of the automatic water quality pollution monitoring sensor. The middle layer is the transfer network layer, data information implementation is based on GPRS wireless network transmission. The upper one is the application layer. With these application systems, early warning information of water pollution will realize the high-speed transmission between grassroots units and superior units. The paper finally gives an example that applying this pollution warning framework to water quality monitoring of Beijing, China, it greatly improves the speed of the pollution warning responding of Beijing.

Dynamic and Personalized Risk Forecast in Step-Down Units. Implications for Monitoring Paradigms.

PubMed

Chen, Lujie; Ogundele, Olufunmilayo; Clermont, Gilles; Hravnak, Marilyn; Pinsky, Michael R; Dubrawski, Artur W

2017-03-01

Cardiorespiratory insufficiency (CRI) is a term applied to the manifestations of loss of normal cardiorespiratory reserve and portends a bad outcome. CRI occurs commonly in hospitalized patients, but its risk escalation patterns are unexplored. To describe the dynamic and personal character of CRI risk evolution observed through continuous vital sign monitoring of individual step-down unit patients. Using a machine learning model, we estimated risk trends for CRI (defined as exceedance of vital sign stability thresholds) for each of 1,971 admissions (1,880 unique patients) to a 24-bed adult surgical trauma step-down unit at an urban teaching hospital in Pittsburgh, Pennsylvania using continuously recorded vital signs from standard bedside monitors. We compared and contrasted risk trends during initial 4-hour periods after step-down unit admission, and again during the 4 hours immediately before the CRI event, between cases (ever had a CRI) and control subjects (never had a CRI). We further explored heterogeneity of risk escalation patterns during the 4 hours before CRI among cases, comparing personalized to nonpersonalized risk. Estimated risk was significantly higher for cases (918) than control subjects (1,053; P ≤ 0.001) during the initial 4-hour stable periods. Among cases, the aggregated nonpersonalized risk trend increased 2 hours before the CRI, whereas the personalized risk trend became significantly different from control subjects 90 minutes ahead. We further discovered several unique phenotypes of risk escalation patterns among cases for nonpersonalized (14.6% persistently high risk, 18.6% early onset, 66.8% late onset) and personalized risk (7.7% persistently high risk, 8.9% early onset, 83.4% late onset). Insights from this proof-of-concept analysis may guide design of dynamic and personalized monitoring systems that predict CRI, taking into account the triage and real-time monitoring utility of vital signs. These monitoring systems may prove useful in the dynamic allocation of technological and clinical personnel resources in acute care hospitals.

Results of a 10-year survey of workload for 10 treatment vaults at a high-throughput comprehensive cancer center.

PubMed

Saleh, Ziad H; Jeong, Jeho; Quinn, Brian; Mechalakos, James; St Germain, Jean; Dauer, Lawrence T

2017-05-01

The workload for shielding purposes of modern linear accelerators (linacs) consists of primary and scatter radiation which depends on the dose delivered to isocenter (cGy) and leakage radiation which depends on the monitor units (MUs). In this study, we report on the workload for 10 treatment vaults in terms of dose to isocenter (cGy), monitor units delivered (MUs), number of treatment sessions (Txs), as well as, use factors (U) and modulation factors (CI) for different treatment techniques. The survey was performed for the years between 2006 and 2015 and included 16 treatment machines which represent different generations of Varian linear accelerators (6EX, 600C, 2100C, 2100EX, and TrueBeam) operating at different electron and x-ray energies (6, 9, 12, 16 and 20 MeV electrons and, 6 and 15 MV x-rays). An institutional review board (IRB) approval was acquired to perform this study. Data regarding patient workload, dose to isocenter, number of monitor units delivered, beam energies, gantry angles, and treatment techniques were exported from an ARIA treatment management system (Varian Medical Systems, Palo Alto, Ca.) into Excel spreadsheets and data analysis was performed in Matlab. The average (± std-dev) number of treatment sessions, dose to isocenter, and number of monitor units delivered per week per machine in 2006 was 119 ± 39 Txs, (300 ± 116) × 10 2 cGys, and (78 ± 28) × 10 3 MUs respectively. In contrast, the workload in 2015 was 112 ± 40 Txs, (337 ± 124) × 10 2 cGys, and (111 ± 46) × 10 3 MUs. 60% of the workload (cGy) was delivered using 6 MV and 30% using 15 MV while the remaining 10% was delivered using electron beams. The modulation factors (MU/cGy) for IMRT and VMAT were 5.0 (± 3.4) and 4.6 (± 1.6) respectively. Use factors using 90° gantry angle intervals were equally distributed (~0.25) but varied considerably among different treatment techniques. The workload, in terms of dose to isocenter (cGy) and subsequently monitor units (MUs), has been steadily increasing over the past decade. This increase can be attributed to increased use of high dose hypo-fractionated regimens (SBRT, SRS) and the increase in use of IMRT and VMAT, which require higher MUs per cGy as compared to more conventional treatment (3DCRT). Meanwhile, the patient workload in terms of treatment sessions per week remained relatively constant. The findings of this report show that variables used for shielding purposes still fall within the recommendation of NCRP Report 151. © 2017 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

Vital signs monitoring system

NASA Technical Reports Server (NTRS)

Steffen, Dale A. (Inventor); Sturm, Ronald E. (Inventor); Rinard, George A. (Inventor)

1981-01-01

A system is disclosed for monitoring vital physiological signs. Each of the system components utilizes a single hybrid circuit with each component having high accuracy without the necessity of repeated calibration. The system also has low power requirements, provides a digital display, and is of sufficiently small size to be incorporated into a hand-carried case for portable use. Components of the system may also provide independent outputs making the component useful, of itself, for monitoring one or more vital signs. The overall system preferably includes an ECG amplifier and cardiotachometer signal conditioner unit, an impedance pneumograph and respiration rate signal conditioner unit, a heart/breath rate processor unit, a temperature monitoring unit, a selector switch, a clock unit, and an LCD driver unit and associated LCDs, with the system being capable of being expanded as needed or desired, such as, for example, by addition of a systolic/diastolic blood pressure unit.

Lessons from the polybrominated diphenyl ethers (PBDEs): precautionary principle, primary prevention, and the value of community-based body-burden monitoring using breast milk.

PubMed

Hooper, Kim; She, Jianwen

2003-01-01

Levels of chemicals in humans (body burdens) are useful indicators of environmental quality and of community health. Chemical body burdens are easily monitored using breast milk samples collected from first-time mothers (primiparae) with infants 2-8 weeks of age. Currently, there is no body-burden monitoring program using breast milk in the United States, although ad hoc systems operate successfully in several European countries. In this article we describe the value of such monitoring and important considerations of how it might be accomplished, drawing from our experiences with pilot monitoring projects. Breast milk has several advantages as a sampling matrix: It is simple and noninvasive, with samples collected by the mother. It monitors body burdens in reproductive-age women and it estimates in utero and nursing-infant exposures, all important to community health. Time-trend data from breast milk monitoring serve as a warning system that identifies chemicals whose body burdens and human exposures are increasing. Time trends also serve as a report card on how well past regulatory actions have reduced environmental chemical exposures. Body-burden monitoring using breast milk should include educational programs that encourage breast-feeding. Finally, and most important, clean breast milk matters to people and leads to primary prevention--the limiting of chemical exposures. We illustrate these advantages with polybrominated diphenyl ethers (PBDEs), a formerly obscure group of brominated flame retardants that rose to prominence and were regulated in Sweden when residue levels were found to be rapidly increasing in breast milk. A community-based body-burden monitoring program using breast milk could be set up in the United States in collaboration with the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). WIC has a large number of lactating first-time mothers: It has 6,000 clinics nationwide and serves almost half (47%) the infants born in the United States. Educational programs (e.g., those run by WIC) are needed that encourage breast-feeding, especially in lower-income communities where breast-feeding rates are low and where breast-feeding may help protect the infant from the effects of environmental chemical exposures. Education is also needed about reducing chemical body burdens. A body-burden monitoring program would provide valuable data on time trends, background levels, and community hot spots in need of mitigation and follow-up health studies; develop analytic methods for new chemicals of concern; and archive breast milk samples for future analyses of other agents.

Common Formative Assessments Developed through Professional Learning Communities (PLCs): A Case Study to Analyze the Alignment of Curriculum, Assessment, and Instruction in a Math PLC at a Title I Middle School in the Southern United States

ERIC Educational Resources Information Center

Hill, Tory C.

2013-01-01

The introduction of No Child Left Behind increased performance expectations for students across the United States and compelled teachers to focus on standardized assessments instead of frequent formative assessments to monitor instruction and promote student learning. Common formative assessments (CFAs) help teachers align curriculum, assessment,…

[Limited evidence for monitoring and treatment of hypophosphataemia in critically ill patients].

PubMed

Federspiel, Christine; Itenov, Theis S; Thormar, Katrin; Bestle, Morten H

2015-12-07

Hypophosphataemia is a potentially hazardous metabolic disturbance which is common in critically ill patients. The condition is reported to be associated with severe complications and increased mortality. It is unknown, whether hypophosphataemia has a causal effect or reflects the severity of illness. There are no randomized clinical trials to support treatment of hypophosphataemia with intravenous phosphate substitution, which has resulted in large variations in monitoring and treatment of hypophosphataemia in the intensive care unit.

Influence of a Phototherapy Unit on Detection of Neonatal Jaundice and Hyperbilirubinemia

PubMed Central

Jolly, Donald T.

1984-01-01

The introduction of a phototherapy unit in a rural community hospital resulted in a significant increase in the detection of neonatal jaundice and hyperbilirubinemia in otherwise healthy term infants. Jaundiced newborns who were either missed or ignored in the past were now identified and monitored. Both the number of breast-fed infants and the number of primiparous women delivered increased significantly after the unit was obtained. However, these factors alone did not account for the marked increase in the detection rate of jaundice and hyperbilirubinemia. A sub-population of 94 infants was selected to evaluate the clinical assessment of jaundice in the term infant. The accuracy rate for clinical assessment was 70%; 13.8% of newborns with serum bilirubins above 10 mg/dl (170 umol/L) were not identified clinically. PMID:21279119

A fouling monitor alarm to prevent forced outages

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

Thompson, R.E.; Hickinbotham, A.; Fang, T.C.

2000-07-01

Many utilities rely on coal blending to meet emissions and boiler performance goals, but the increased variability in coal quality can adversely impact ash deposition and soot blowing requirements. Other utilities are experimenting with lower quality coals and burner zone blending of coals fired from different bunkers as part of a deregulation strategy to reduce fuel costs. However, these strategies can lead to slagging/fouling episodes, a possible outage, or a decrease in unit availability if boiler operations are not carefully monitored. This paper summarizes the development of software to monitor boiler fouling and to provide an advanced warning to themore » control operators when a fouling episode is imminent. With adequate warming, preemptive action can be taken (e.g., soot blowing, a change in coal blend, etc.) to potentially avoid a costly outage. The software utilizes a unique combination of combustion diagnostic techniques and convective section heat adsorption analyses to identify boiler operating conditions where ash deposition rates may be high and conductive to triggering a fouling episode. The paper outlines the history of the fouling problem and the implementation of the software on Wabamun Unit 4, a tangentially-fired unit with relatively narrow reheat tube spacing. The unit had a tendency to foul when burning a high alkaline (but low ash) coal seam. The paper discusses the software development, implementation, and data acquisitions activities. Preliminary test results are provided for Wabamun 4 and for Sundance Units 1 and 2 where the software was recently installed.« less

Preparation of regional shorebird monitoring plans

Treesearch

Jonathan Bart; Ann Manning; Susan Thomas; Catherine Wightman

2005-01-01

Shorebird monitoring programs in Canada and the United States are being developed under the auspices of PRISM, the Program for Regional and International Shorebird Monitoring. PRISM provides a single blueprint for implementing the monitoring proposals in the shorebird conservation plans prepared recently in Canada and the United States. It includes four segments:...

Implementation and Impact of an Automated Group Monitoring and Feedback System to Promote Hand Hygiene Among Health Care Personnel

PubMed Central

Conway, Laurie J.; Riley, Linda; Saiman, Lisa; Cohen, Bevin; Alper, Paul; Larson, Elaine L.

2015-01-01

Article-at-a-Glance Background Despite substantial evidence to support the effectiveness of hand hygiene for preventing health care–associated infections, hand hygiene practice is often inadequate. Hand hygiene product dispensers that can electronically capture hand hygiene events have the potential to improve hand hygiene performance. A study on an automated group monitoring and feedback system was implemented from January 2012 through March 2013 at a 140-bed community hospital. Methods An electronic system that monitors the use of sanitizer and soap but does not identify individual health care personnel was used to calculate hand hygiene events per patient-hour for each of eight inpatient units and hand hygiene events per patient-visit for the six outpatient units. Hand hygiene was monitored but feedback was not provided during a six-month baseline period and three-month rollout period. During the rollout, focus groups were conducted to determine preferences for feedback frequency and format. During the six-month intervention period, graphical reports were e-mailed monthly to all managers and administrators, and focus groups were repeated. Results After the feedback began, hand hygiene increased on average by 0.17 events/patient-hour in inpatient units (interquartile range = 0.14, p = .008). In outpatient units, hand hygiene performance did not change significantly. A variety of challenges were encountered, including obtaining accurate census and staffing data, engendering confidence in the system, disseminating information in the reports, and using the data to drive improvement. Conclusions Feedback via an automated system was associated with improved hand hygiene performance in the short term. PMID:25252389

Implementation and impact of an automated group monitoring and feedback system to promote hand hygiene among health care personnel.

PubMed

Conway, Laurie J; Riley, Linda; Saiman, Lisa; Cohen, Bevin; Alper, Paul; Larson, Elaine L

2014-09-01

Despite substantial evidence to support the effectiveness of hand hygiene for preventing health care-associated infections, hand hygiene practice is often inadequate. Hand hygiene product dispensers that can electronically capture hand hygiene events have the potential to improve hand hygiene performance. A study on an automated group monitoring and feedback system was implemented from January 2012 through March 2013 at a 140-bed community hospital. An electronic system that monitors the use of sanitizer and soap but does not identify individual health care personnel was used to calculate hand hygiene events per patient-hour for each of eight inpatient units and hand hygiene events per patient-visit for the six outpatient units. Hand hygiene was monitored but feedback was not provided during a six-month baseline period and three-month rollout period. During the rollout, focus groups were conducted to determine preferences for feedback frequency and format. During the six-month intervention period, graphical reports were e-mailed monthly to all managers and administrators, and focus groups were repeated. After the feedback began, hand hygiene increased on average by 0.17 events/patient-hour in inpatient units (interquartile range = 0.14, p = .008). In outpatient units, hand hygiene performance did not change significantly. A variety of challenges were encountered, including obtaining accurate census and staffing data, engendering confidence in the system, disseminating information in the reports, and using the data to drive improvement. Feedback via an automated system was associated with improved hand hygiene performance in the short-term.

Device for monitoring cell voltage

DOEpatents

Doepke, Matthias [Garbsen, DE; Eisermann, Henning [Edermissen, DE

2012-08-21

A device for monitoring a rechargeable battery having a number of electrically connected cells includes at least one current interruption switch for interrupting current flowing through at least one associated cell and a plurality of monitoring units for detecting cell voltage. Each monitoring unit is associated with a single cell and includes a reference voltage unit for producing a defined reference threshold voltage and a voltage comparison unit for comparing the reference threshold voltage with a partial cell voltage of the associated cell. The reference voltage unit is electrically supplied from the cell voltage of the associated cell. The voltage comparison unit is coupled to the at least one current interruption switch for interrupting the current of at least the current flowing through the associated cell, with a defined minimum difference between the reference threshold voltage and the partial cell voltage.

Dealing with electronic waste: modeling the costs and environmental benefits of computer monitor disposal.

PubMed

Macauley, Molly; Palmer, Karen; Shih, Jhih-Shyang

2003-05-01

The importance of information technology to the world economy has brought about a surge in demand for electronic equipment. With rapid technological change, a growing fraction of the increasing stock of many types of electronics becomes obsolete each year. We model the costs and benefits of policies to manage 'e-waste' by focusing on a large component of the electronic waste stream-computer monitors-and the environmental concerns associated with disposal of the lead embodied in cathode ray tubes (CRTs) used in most monitors. We find that the benefits of avoiding health effects associated with CRT disposal appear far outweighed by the costs for a wide range of policies. For the stock of monitors disposed of in the United States in 1998, we find that policies restricting or banning some popular disposal options would increase disposal costs from about US dollar 1 per monitor to between US dollars 3 and US dollars 20 per monitor. Policies to promote a modest amount of recycling of monitor parts, including lead, can be less expensive. In all cases, however, the costs of the policies exceed the value of the avoided health effects of CRT disposal.

Passive ammonia monitoring in the United States: Comparing three different sampling devices

EPA Science Inventory

The need for ambient gaseous ammonia (NH3) measurements has increased in the last decade as reactive nitrogen concentrations and deposition fluxes show little change even with tightening standards on nitrogen oxides (NOx) emissions. Currently, there are several networks developin...

Harmonizing national forest inventories

Treesearch

Ronald E. McRoberts; Erkki O. Tomppo; Klemens Schadauer; Göran Ståhl

2012-01-01

International agreements increasingly require that countries report estimates of national forest resources. The United Nations Framework Convention on Climate Change requires that countries submit annual reports of greenhouse gas emissions and removals by sources and sinks. The Convention on Biological Diversity requires that countries identify and monitor components...

Monitoring Mount Baker Volcano

USGS Publications Warehouse

Malone, S.D.; Frank, D.

1976-01-01

Hisotrically active volcanoes in the conterminous United States are restricted to the Cascade Range and extend to the Cascade Range and extend from Mount Baker near the Canadian border to Lassen Peak in northern California. Since 1800 A.D, most eruptive activity has been on a relatively small scale and has not caused loss of life or significant property damage. However, future  volcanism predictably will have more serious effects because of greatly increased use of land near volcanoes during the present century. (See "Appraising Volcanic Hazards of the Cascade Range of the Northwestern United States," Earthquake Inf. Bull., Sept.-Oct. 1974.) The recognition an impending eruption is highly important in order to minimize the potential hazard to people and property. Thus, a substantial increase in hydrothermal activity at Mount Baker in March 1975 ( see "Mount Baker Heating Up," July-Aug. 1975 issue) was regarded as a possible first signal that an eruption might occur, and an intensive monitoring program was undertaken. 

Short-term ecological consequences of collaborative restoration treatments in ponderosa pine forests of Colorado

USGS Publications Warehouse

Briggs, Jenny S.; Fornwalt, Paula J.; Feinstein, Jonas A.

2017-01-01

Ecological restoration treatments are being implemented at an increasing rate in ponderosa pine and other dry conifer forests across the western United States, via the USDA Forest Service’s Collaborative Forest Landscape Restoration (CFLR) program. In this program, collaborative stakeholder groups work with National Forests (NFs) to adaptively implement and monitor ecological restoration treatments intended to offset the effects of many decades of anthropogenic stressors. We initiated a novel study to expand the scope of treatment effectiveness monitoring efforts in one of the first CFLR landscapes, Colorado’s Front Range. We used a Before/After/Control/Impact framework to evaluate the short-term consequences of treatments on numerous ecological properties. We collected pre-treatment and one year post-treatment data on NF and partner agencies’ lands, in 66 plots distributed across seven treatment units and nearby untreated areas. Our results reflected progress toward several treatment objectives: treated areas had lower tree density and basal area, greater openness, no increase in exotic understory plants, no decrease in native understory plants, and no decrease in use by tree squirrels and ungulates. However, some findings suggested the need for adaptive modification of both treatment prescriptions and monitoring protocols: treatments did not promote heterogeneity of stand structure, and monitoring methods may not have been robust enough to detect changes in surface fuels. Our study highlights both the effective aspects of these restoration treatments, and the importance of initiating and continuing collaborative science-based monitoring to improve the outcomes of broad-scale forest restoration efforts.

40 CFR 60.5407 - What are the requirements for monitoring of emissions and operations from my sweetening unit...

Code of Federal Regulations, 2013 CFR

2013-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period. At least one sample per 24-hour... sampling schedule. (3) The average acid gas flow rate from the sweetening unit. You must install and operate a monitoring device to continuously measure the flow rate of acid gas. The monitoring device...

40 CFR 60.5407 - What are the requirements for monitoring of emissions and operations from my sweetening unit...

Code of Federal Regulations, 2014 CFR

2014-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period. At least one sample per 24-hour... sampling schedule. (3) The average acid gas flow rate from the sweetening unit. You must install and operate a monitoring device to continuously measure the flow rate of acid gas. The monitoring device...

40 CFR Table 3 to Subpart Uuu of... - Continous Monitoring Systems for Metal HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 13 2014-07-01 2014-07-01 false Continous Monitoring Systems for Metal HAP Emissions From Catalytic Cracking Units 3 Table 3 to Subpart UUU of Part 63 Protection of... Sulfur Recovery Units Pt. 63, Subpt. UUU, Table 3 Table 3 to Subpart UUU of Part 63—Continous Monitoring...

40 CFR Table 31 to Subpart Uuu of... - Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 13 2014-07-01 2014-07-01 false Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units 31 Table 31 to Subpart UUU of Part 63 Protection of Environment... Units Pt. 63, Subpt. UUU, Table 31 Table 31 to Subpart UUU of Part 63—Continuous Monitoring Systems for...

40 CFR Table 3 to Subpart Uuu of... - Continous Monitoring Systems for Metal HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 13 2013-07-01 2012-07-01 true Continous Monitoring Systems for Metal HAP Emissions From Catalytic Cracking Units 3 Table 3 to Subpart UUU of Part 63 Protection of... Sulfur Recovery Units Pt. 63, Subpt. UUU, Table 3 Table 3 to Subpart UUU of Part 63—Continous Monitoring...

40 CFR Table 31 to Subpart Uuu of... - Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 13 2013-07-01 2012-07-01 true Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units 31 Table 31 to Subpart UUU of Part 63 Protection of Environment... Units Pt. 63, Subpt. UUU, Table 31 Table 31 to Subpart UUU of Part 63—Continuous Monitoring Systems for...

40 CFR Table 31 to Subpart Uuu of... - Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 13 2012-07-01 2012-07-01 false Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units 31 Table 31 to Subpart UUU of Part 63 Protection of Environment... Units Pt. 63, Subpt. UUU, Table 31 Table 31 to Subpart UUU of Part 63—Continuous Monitoring Systems for...

40 CFR Table 3 to Subpart Uuu of... - Continous Monitoring Systems for Metal HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 13 2012-07-01 2012-07-01 false Continous Monitoring Systems for Metal HAP Emissions From Catalytic Cracking Units 3 Table 3 to Subpart UUU of Part 63 Protection of... Sulfur Recovery Units Pt. 63, Subpt. UUU, Table 3 Table 3 to Subpart UUU of Part 63—Continous Monitoring...

ALLOCATION OF MONITORING SITES FOR REGIONAL SURVEYS OF HYDROLOGIC UNITS

EPA Science Inventory

In order to characterize the ecological condition of Pacific Northwest watersheds and their aquatic ecosystems, interagency teams have developed the Aquatic and Riparian Effectiveness Monitoring Plan. Monitoring is targeted at the subwatershed scale (6th-field Hydrologic Unit Co...

Performance of low-cost monitors to assess household air pollution.

PubMed

Curto, A; Donaire-Gonzalez, D; Barrera-Gómez, J; Marshall, J D; Nieuwenhuijsen, M J; Wellenius, G A; Tonne, C

2018-05-01

Exposure to household air pollution is a leading cause of morbidity and mortality globally. However, due to the lack of validated low-cost monitors with long-lasting batteries in indoor environments, most epidemiologic studies use self-reported data or short-term household air pollution assessments as proxies of long-term exposure. We evaluated the performance of three low-cost monitors measuring fine particulate matter (PM 2.5 ) and carbon monoxide (CO) in a wood-combustion experiment conducted in one household of Spain for 5 days (including the co-location of 2 units of HAPEX and 3 units of TZOA-R for PM 2.5 and 3 units of EL-USB-CO for CO; a total of 40 unit-days). We used Spearman correlation (ρ) and Concordance Correlation Coefficient (CCC) to assess accuracy of low-cost monitors versus equivalent research-grade devices. We also conducted a field study in India for 1 week (including HAPEX in 3 households and EL-USB-CO in 4 households; a total of 49 unit-days). Correlation and agreement at 5-min were moderate-high for one unit of HAPEX (ρ = 0.73 / CCC = 0.59), for one unit of TZOA-R (ρ = 0.89 / CCC = 0.62) and for three units of EL-USB-CO (ρ = 0.82-0.89 / CCC = 0.66-0.91) in Spain, although the failure or malfunction rate among low-cost units was high in both settings (60% of unit-days in Spain and 43% in India). Low-cost monitors tested here are not yet ready to replace more established exposure assessment methods in long-term household air pollution epidemiologic studies. More field validation is needed to assess evolving sensors and monitors with application to health studies. Copyright © 2018 Elsevier Inc. All rights reserved.

Reactor vessel annealing system

DOEpatents

Miller, Phillip E.; Katz, Leonoard R.; Nath, Raymond J.; Blaushild, Ronald M.; Tatch, Michael D.; Kordalski, Frank J.; Wykstra, Donald T.; Kavalkovich, William M.

1991-01-01

A system for annealing a vessel (14) in situ by heating the vessel (14) to a defined temperature, composed of: an electrically operated heater assembly (10) insertable into the vessel (14) for heating the vessel (14) to the defined temperature; temperature monitoring components positioned relative to the heater assembly (10) for monitoring the temperature of the vessel (14); a controllable electric power supply unit (32-60) for supplying electric power required by the heater assembly (10); a control unit (80-86) for controlling the power supplied by the power supply unit (32-60); a first vehicle (2) containing the power supply unit (32-60); a second vehicle (4) containing the control unit (80-86); power conductors (18,22) connectable between the power supply unit (32-60) and the heater unit (10) for delivering the power supplied by the power supply unit (32-60) to the heater assembly (10); signal conductors (20,24) connectable between the temperature monitoring components and the control unit (80-86) for delivering temperature indicating signals from the temperature monitoring components to the control unit (80-86); and control conductors (8) connectable between the control unit (80-86) and the power supply unit (32-60) for delivering to the power supply unit (32-60) control signals for controlling the level of power supplied by the power supply unit (32-60) to the heater assembly (10).

Forest health monitoring in the United States: focus on national reports

Treesearch

Kurt Riitters; Kevin Potter

2013-01-01

The health and sustainability of United States forests have been monitored for many years from several different perspectives. The national Forest Health Monitoring (FHM) Program was established in 1990 by Federal and State agencies to develop a national system for monitoring and reporting on the status and trends of forest ecosystem health. We describe and illustrate...

40 CFR Table 7 to Subpart Ggg of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 12 2012-07-01 2011-07-01 true Wastewater-Inspection and Monitoring..., Subpt. GGG, Table 7 Table 7 to Subpart GGG of Part 63—Wastewater—Inspection and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of inspection...

40 CFR Table 7 to Subpart Ggg of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 11 2011-07-01 2011-07-01 false Wastewater-Inspection and Monitoring..., Subpt. GGG, Table 7 Table 7 to Subpart GGG of Part 63—Wastewater—Inspection and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of inspection...

40 CFR Table 7 to Subpart Ggg of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 12 2014-07-01 2014-07-01 false Wastewater-Inspection and Monitoring... Production Pt. 63, Subpt. GGG, Table 7 Table 7 to Subpart GGG of Part 63—Wastewater—Inspection and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of...

40 CFR Table 7 to Subpart Ggg of... - Wastewater-Inspection and Monitoring Requirements for Waste Management Units

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 12 2013-07-01 2013-07-01 false Wastewater-Inspection and Monitoring... Production Pt. 63, Subpt. GGG, Table 7 Table 7 to Subpart GGG of Part 63—Wastewater—Inspection and Monitoring Requirements for Waste Management Units To comply with Inspection or monitoring requirement Frequency of...

Identifying common practices and challenges for local urban tree monitoring programs across the United States

Treesearch

Lara A. Roman; E. Gregory McPherson; Bryant C. Scharenbroch; Julia Bartens

2013-01-01

Urban forest monitoring data are essential to assess the impacts of tree planting campaigns and management programs. Local practitioners have monitoring projects that have not been well documented in the urban forestry literature. To learn more about practitioner-driven monitoring efforts, the authors surveyed 32 local urban forestry organizations across the United...

The Greenhouse Gases. UNEP/GEMS Environment Library No. 1.

ERIC Educational Resources Information Center

United Nations Environment Programme, Nairobi (Kenya).

Since the United Nations Environment Program (UNEP) was created, more than a dozen years ago, public understanding of the environmental issues confronting our planet has increased enormously. The Global Environment Monitoring System (GEMS) has provided several environmental assessments including urban air pollution, climate modification,…

Multi-Wavelength Based Optical Density Sensor for Autonomous Monitoring of Microalgae

PubMed Central

Jia, Fei; Kacira, Murat; Ogden, Kimberly L.

2015-01-01

A multi-wavelength based optical density sensor unit was designed, developed, and evaluated to monitor microalgae growth in real time. The system consisted of five main components including: (1) laser diode modules as light sources; (2) photodiodes as detectors; (3) driver circuit; (4) flow cell; and (5) sensor housing temperature controller. The sensor unit was designed to be integrated into any microalgae culture system for both real time and non-real time optical density measurements and algae growth monitoring applications. It was shown that the sensor unit was capable of monitoring the dynamics and physiological changes of the microalgae culture in real-time. Algae biomass concentration was accurately estimated with optical density measurements at 650, 685 and 780 nm wavelengths used by the sensor unit. The sensor unit was able to monitor cell concentration as high as 1.05 g·L−1 (1.51 × 108 cells·mL−1) during the culture growth without any sample preparation for the measurements. Since high cell concentrations do not need to be diluted using the sensor unit, the system has the potential to be used in industrial microalgae cultivation systems for real time monitoring and control applications that can lead to improved resource use efficiency. PMID:26364640

EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION NORTHERN CALIFORNIA DATA BROWSER

EPA Science Inventory

The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a pilot study in the western United States. This study will advance the science of ecological monitoring and demonstrate techniques for regional-scale asse...

Predictors of seizure occurrence in children undergoing pre-surgical monitoring.

PubMed

Harini, Chellamani; Singh, Kanwaljit; Takeoka, Masanori; Parulkar, Isha; Bergin, Ann Marie; Loddenkemper, Tobias; Kothare, Sanjeev V

2013-10-01

Long-Term-Monitoring (LTM) is a valuable tool for seizure localization/lateralization among children with refractory-epilepsy undergoing pre-surgical-monitoring. The aim of this study was to examine the factors predicting occurrence of single/multiple seizures in children undergoing pre-surgical monitoring in the LTM unit. Chart review was done on 95 consecutive admissions on 92 children (40 females) admitted to the LTM-unit for pre-surgical workup. Relationship between occurrence of multiple (≥ 3) seizures and factors such as home seizure-frequency, demographics, MRI-lesions/seizure-type and localization/AED usage/neurological-exam/epilepsy-duration was evaluated by logistic-regression and survival-analysis. Home seizure-frequency was further categorized into low (up-to 1/month), medium (up-to 1/week) and high (>1/week) and relationship of these categories to the occurrence of multiple seizures was evaluated. Mean length of stay was 5.24 days in all 3 groups. Home seizure frequency was the only factor predicting the occurrence of single/multiple seizures in children undergoing presurgical workup. Other factors (age/sex/MRI-lesions/seizure-type and localization/AED-usage/neurological-exam/epilepsy-duration) did not affect occurrence of single/multiple seizures or time-to-occurrence of first/second seizure. Analysis of the home-seizure frequency categories revealed that 98% admissions in high-frequency, 94% in the medium, and 77% in low-frequency group had at-least 1 seizure recorded during the monitoring. Odds of first-seizure increased in high vs. low-frequency group (p=0.01). Eighty-nine percent admissions in high-frequency, 78% in medium frequency, versus 50% in low-frequency group had ≥ 3 seizures. The odds of having ≥ 3 seizures increased in high-frequency (p=0.0005) and in medium-frequency (p=0.007), compared to low-frequency group. Mean time-to-first-seizure was 2.7 days in low-frequency, 2.1 days in medium, and 2 days in high-frequency group. Time-to-first-seizure in high and medium-frequency was less than in low-frequency group (p<0.0014 and p=0.038). Majority of the admissions (92%) admitted to the LTM-unit for pre-surgical workup had at-least one seizure during a mean length of stay of 5.24 days. Home seizure-frequency was the only predictor influencing occurrence of single/multiple seizures in the LTM unit. Patients with low seizure-frequency are at risk for completing the monitoring with less than the optimum number (<3) of seizures captured. Copyright © 2013 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

Cancer Survivors: The Success Story That's Straining Health Care.

PubMed

Allen, Summer E

2017-01-01

Since President Richard Nixon declared a "War on Cancer" in 1971, the number of cancer survivors in the United States has quadrupled [1] and is still rising. Thanks to advance in cancer detection and treatment, the almost 15 million cancer survivors in the United States today could grow to some 19 million by 2024 [2]. Increasing survival rates have resulted in a shift: cancer is often treated as a chronic illness rather than a death sentence. However, having so many cancer survivors to monitor, track, and treat has led to growing pains for healthcare providers-forcing them to develop new ways to treat this increasing yet still vulnerable population.

Monitoring system and methods for a distributed and recoverable digital control system

NASA Technical Reports Server (NTRS)

Stange, Kent (Inventor); Hess, Richard (Inventor); Kelley, Gerald B (Inventor); Rogers, Randy (Inventor)

2010-01-01

A monitoring system and methods are provided for a distributed and recoverable digital control system. The monitoring system generally comprises two independent monitoring planes within the control system. The first monitoring plane is internal to the computing units in the control system, and the second monitoring plane is external to the computing units. The internal first monitoring plane includes two in-line monitors. The first internal monitor is a self-checking, lock-step-processing monitor with integrated rapid recovery capability. The second internal monitor includes one or more reasonableness monitors, which compare actual effector position with commanded effector position. The external second monitor plane includes two monitors. The first external monitor includes a pre-recovery computing monitor, and the second external monitor includes a post recovery computing monitor. Various methods for implementing the monitoring functions are also disclosed.

Trends in Daily Cannabis Use Among Cigarette Smokers: United States, 2002-2014.

PubMed

Goodwin, Renee D; Pacek, Lauren R; Copeland, Jan; Moeller, Scott J; Dierker, Lisa; Weinberger, Andrea; Gbedemah, Misato; Zvolensky, Michael J; Wall, Melanie M; Hasin, Deborah S

2018-01-01

To estimate changes in the prevalence of daily cannabis use among current, former, and never cigarette smokers from 2002 to 2014 in the United States. The National Survey on Drug Use and Health is a nationally representative cross-sectional study conducted annually among persons aged 12 years and older in the United States. Daily cannabis use occurs nearly exclusively among nondaily and daily cigarette smokers compared with former and never smokers (8.03%, 9.01%, 2.79%, 1.05%, respectively). Daily cannabis use increased over the past decade among both nondaily (8.03% [2014] vs 2.85% [2002]; linear trend P < .001) and daily smokers (9.01% [2014]; 4.92% [2002]; linear trend P < .001). Daily cannabis use increased most rapidly among former cigarette smokers (2.79% [2014] vs 0.98% [2002]; linear trend P < .001). Daily cannabis use occurs predominantly among cigarette smokers in the United States. Daily cannabis use increased among current, former, and never smokers over the past decade, with particularly rapid increases among youth and female cigarette smokers. Future research is needed to monitor the observed increase in daily cannabis use, especially among youths and adults who smoke cigarettes.

Birth Outcomes, Intervention Frequency, and the Disappearing Midwife-Potential Hazards of Central Fetal Monitoring: A Single Center Review.

PubMed

Brown, James; McIntyre, Andrew; Gasparotto, Robyn; McGee, Therese M

2016-06-01

Many birth units use central fetal monitoring (CFM) under the assumption that greater surveillance improves perinatal outcomes. The unexpected loss of the CFM system at a tertiary unit provided a unique opportunity to evaluate outcomes and staff attitudes toward CFM. This retrospective cohort study compared patient data from 2,855 electronically monitored women delivering over a 12-month period, where CFM was available for the first 6 months but unavailable for the following 6 months. Primary outcomes relating to neonatal morbidity and secondary outcomes relating to intrapartum interventions were examined. Additionally, birth unit staff members were surveyed about aspects of care related to CFM. There were no significant differences in perinatal outcomes between the cohorts. While unadjusted analysis suggested a lower spontaneous vaginal birth rate (55.4% vs 60.3%) and a higher cesarean delivery rate (25.1% vs 22.0%, p = 0.026), together with higher epidural (53.0% vs 49.2%, p = 0.04) and fetal blood sampling (11.8% vs 9.4%, p = 0.03) rates in the presence of CFM, these differences were lost when adjusted for prostaglandin ripening. Over half of the staff (56.0% of midwives, 54.0% of obstetricians) reported spending more time with the laboring woman in the period without CFM. This single institution's experience indicates that in birth units staffed for one-to-one care in labor, central fetal monitoring does not appear to be associated with either a benefit on perinatal outcomes or an increase in cesarean delivery and other interventions. However, it is associated with a reduction in the time a midwife spends with the laboring woman. © 2016 Wiley Periodicals, Inc.

Are we on course for reporting on the Millennium Development Goals in 2015?

PubMed

Rugg, Deborah; Marais, Hein; Carael, Michel; De Lay, Paul; Warner-Smith, Matthew

2009-12-01

At the 2001 United Nations General Assembly Special Session on HIV/AIDS (UNGASS), Member States agreed to regularly review progress made in national responses to HIV. This article provides (1) a brief overview of how the resultant global UNGASS reporting system was developed; (2) the origins, background, limitations and potential of that system; (3) an overview of the articles in this supplement; and (4) crosscutting institutional and methodological issues. United Nations Member States biennially provide The Joint United Nations Programme on HIV/AIDS (UNAIDS) with data on 25 core indicators of national responses to HIV, collected in Country Progress Reports. This article critically reviews and interprets these data in light of international political considerations and overall data needs. There has been a considerable improvement in response rates, accompanied by an increase in data quality and completeness. Both nationally and internationally, the UNGASS process is viewed as being more substantial and important than a reporting exercise to the United Nations General Assembly. The process has catalyzed the development of national monitoring systems and has created opportunities for civil society to monitor and challenge government commitments and deeds. Although the UNGASS global reporting system now comprises an unequaled wealth of data on HIV responses, collected from a broad range of countries, it cannot yet answer several critical questions about the progress and effectiveness of those responses. Evaluation studies that go beyond indicator monitoring are needed, but they will take time to design, fund, implement and interpret. In the meantime, this global monitoring system provides a good indication of the overall progress in the global response to HIV and whether Millennium Development Goal (MDG) 6 (to halt and reverse the HIV epidemic) is likely to be reached by 2015.

40 CFR 63.864 - Monitoring requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... that uses an air pollution control system other than an ESP, wet scrubber, RTO, or fabric filter must... unit equipped with an alternative air pollution control system and monitoring operating parameters... affected source or process unit equipped with an alternative air pollution control system and monitoring...

40 CFR 63.864 - Monitoring requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... that uses an air pollution control system other than an ESP, wet scrubber, RTO, or fabric filter must... unit equipped with an alternative air pollution control system and monitoring operating parameters... affected source or process unit equipped with an alternative air pollution control system and monitoring...

40 CFR 63.864 - Monitoring requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... that uses an air pollution control system other than an ESP, wet scrubber, RTO, or fabric filter must... unit equipped with an alternative air pollution control system and monitoring operating parameters... affected source or process unit equipped with an alternative air pollution control system and monitoring...

40 CFR 257.24 - Detection monitoring program.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Disposal Units Ground-Water Monitoring and Corrective Action § 257.24 Detection monitoring program. (a... unit; (ii) The mobility, stability, and persistence of waste constituents or their reaction products in... constituents, and reaction products in the ground water; and (iv) The concentration or values and coefficients...

EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION OREGON DATA AND PRODUCT BROWSER

EPA Science Inventory

The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a study in the western United States (EPA Regions 8, 9, and 10) that will advance the science of ecological monitoring and demonstrate techniques for regional-...

The Ozone Layer. UNEP/GEMS Environment Library No. 2.

ERIC Educational Resources Information Center

United Nations Environment Programme, Nairobi (Kenya).

Since the United Nations Environment Program (UNEP) was created, more than a dozen years ago, public understanding of the environmental issues confronting our planet has increased enormously. The Global Environment Monitoring System (GEMS) has provided several environmental assessments. The aim of the UNEP/GEMS Environment Library is to provide…

ADVANCES IN THE APPLICATION OF REMOTE SENSING TO PLANT INCORPORATED PROTECTANT CROP MONITORING

EPA Science Inventory

Current forecasts call for significant increases to the plantings of transgenic corn in the United States for the 2007 growing season and beyond. Transgenic acreage approaching 80% of the total corn plantings could be realized by 2009. These conditions call for a new approach to ...

Wireless remote monitoring system for sleep apnea

NASA Astrophysics Data System (ADS)

Oh, Sechang; Kwon, Hyeokjun; Varadan, Vijay K.

2011-04-01

Sleep plays the important role of rejuvenating the body, especially the central nervous system. However, more than thirty million people suffer from sleep disorders and sleep deprivation. That can cause serious health consequences by increasing the risk of hypertension, diabetes, heart attack and so on. Apart from the physical health risk, sleep disorders can lead to social problems when sleep disorders are not diagnosed and treated. Currently, sleep disorders are diagnosed through sleep study in a sleep laboratory overnight. This involves large expenses in addition to the inconvenience of overnight hospitalization and disruption of daily life activities. Although some systems provide home based diagnosis, most of systems record the sleep data in a memory card, the patient has to face the inconvenience of sending the memory card to a doctor for diagnosis. To solve the problem, we propose a wireless sensor system for sleep apnea, which enables remote monitoring while the patient is at home. The system has 5 channels to measure ECG, Nasal airflow, body position, abdominal/chest efforts and oxygen saturation. A wireless transmitter unit transmits signals with Zigbee and a receiver unit which has two RF modules, Zigbee and Wi-Fi, receives signals from the transmitter unit and retransmits signals to the remote monitoring system with Zigbee and Wi-Fi, respectively. By using both Zigbee and Wi-Fi, the wireless sensor system can achieve a low power consumption and wide range coverage. The system's features are presented, as well as continuous monitoring results of vital signals.

A NATIONAL PROGRAM FOR MONITORING STREAM CONDITION IN THE WESTERN UNITED STATES

EPA Science Inventory

The U.S. Environmental Protection Agency recently initiated a four-year survey of streams in the Western United States as a component of the Environmental Monitoring and Assessment Program (EMAP). EMAP is developing indicators to monitor and assess the condition of ecological...

Passive samplers and community science in regional air quality measurement, education and communication.

PubMed

DeForest Hauser, Cindy; Buckley, Alexandra; Porter, Juliana

2015-08-01

Charlotte, in Mecklenburg County, North Carolina, was ranked in the top ten cities with the worst air quality for ozone in the United States by the American Lung Association from 2009 to 2011. Nearby counties that may experience similar air quality do not have state or county monitors. This study utilized NOx and ozone Ogawa passive samplers and community scientists to monitor air quality in five counties surrounding Charlotte and increase public engagement in air quality issues. Community scientists deployed samplers weekly at a residential site within each county. Samples were analyzed using spectrophotometry and ion chromatography. Elevated NOx concentrations were observed in four of the five counties relative to those with existing monitors. Ozone concentrations showed little county to county variation, except Iredell and Cabarrus which had higher concentrations than Rowan. Community involvement in this work led to an increase in local dissemination of the results, thus increasing air quality awareness. Copyright © 2014 Elsevier Ltd. All rights reserved.

EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION SOUTHERN ROCKIES PILOT STUDY AREA DATA AND PRODUCT BROWSER

EPA Science Inventory

The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a pilot study in the western United States. This study will advance the science of ecological monitoring and demonstrate techniques for regional-scale assessme...

EMAP WESTERN UNITED STATES LANDSCAPE CHARACTERIZATION NORTHWEST OREGON PILOT STUDY AREA DATA AND PRODUCT BROWSER

EPA Science Inventory

The United States Environmental Protection Agency's Environmental Monitoring and Assessment Program (EMAP) is conducting a pilot study in the western United States. This study will advance the science of ecological monitoring and demonstrate techniques for regional-scale assessme...

Global inorganic nitrogen dry deposition inferred from ground- and space-based measurements.

PubMed

Jia, Yanlong; Yu, Guirui; Gao, Yanni; He, Nianpeng; Wang, Qiufeng; Jiao, Cuicui; Zuo, Yao

2016-01-27

Atmospheric nitrogen (N) dry deposition is an important component in total N deposition. However, uncertainty exists in the assessment of global dry deposition. Here, we develop empirical models for estimating ground N concentrations using NO2 satellite measurements from the Ozone Monitoring Instrument (OMI) and ground measurements from 555 monitoring sites. Global patterns and trends in the fluxes of NO2, HNO3, NH4(+), and NO3(-) were assessed for 2005-2014. Moreover, we estimated global NH3 dry deposition directly using data from 267 monitoring sites. Our results showed that East Asia, the United States, and Europe were important regions of N deposition, and the total annual amount of global inorganic N deposition was 34.26 Tg N. The dry deposition fluxes were low in Africa and South America, but because of their large area, the total amounts in these regions were comparable to those in Europe and North America. In the past decade, the western United States and Eurasia, particularly eastern China, experienced the largest increases in dry deposition, whereas the eastern United States, Western Europe, and Japan experienced clear decreases through control of NOx and NH3 emissions. These findings provide a scientific background for policy-makers and future research into global changes.

Global inorganic nitrogen dry deposition inferred from ground- and space-based measurements

PubMed Central

Jia, Yanlong; Yu, Guirui; Gao, Yanni; He, Nianpeng; Wang, Qiufeng; Jiao, Cuicui; Zuo, Yao

2016-01-01

Atmospheric nitrogen (N) dry deposition is an important component in total N deposition. However, uncertainty exists in the assessment of global dry deposition. Here, we develop empirical models for estimating ground N concentrations using NO2 satellite measurements from the Ozone Monitoring Instrument (OMI) and ground measurements from 555 monitoring sites. Global patterns and trends in the fluxes of NO2, HNO3, NH4+, and NO3− were assessed for 2005–2014. Moreover, we estimated global NH3 dry deposition directly using data from 267 monitoring sites. Our results showed that East Asia, the United States, and Europe were important regions of N deposition, and the total annual amount of global inorganic N deposition was 34.26 Tg N. The dry deposition fluxes were low in Africa and South America, but because of their large area, the total amounts in these regions were comparable to those in Europe and North America. In the past decade, the western United States and Eurasia, particularly eastern China, experienced the largest increases in dry deposition, whereas the eastern United States, Western Europe, and Japan experienced clear decreases through control of NOx and NH3 emissions. These findings provide a scientific background for policy-makers and future research into global changes. PMID:26813440

Development of an automated potable water bactericide monitoring unit

NASA Technical Reports Server (NTRS)

Walsh, J. M.; Brawner, C. C.; Sauer, R. L.

1975-01-01

A monitor unit has been developed that permits the direct determination of the level of elemental iodine, used for microbiological control, in a spacecraft potable water supply system. Salient features of unit include low weight, volume and maintenance requirements, complete automatic operation, no inflight calibration, no expendables (except electrical current) and high accuracy and precision. This unit is capable of providing a signal to a controller that, in turn, automatically adjusts the addition rate of iodine to the potable water system so that a predetermined level of iodine can be maintained. In addition, the monitor provides a reading whereby the crewman can verify that the proper amount of iodine (within a range) is present in the water. A development history of the monitor is presented along with its design and theory of operation. Also presented are the results generated through testing of the unit in a simulated Shuttle potable water system.

Amplitude-integrated EEG and the newborn infant.

PubMed

Shah, Divyen K; Mathur, Amit

2014-01-01

There is emerging recognition of the need for continuous long term electrographic monitoring of the encephalopathic neonate. While full-montage EEG with video remains the gold standard for monitoring, it is limited in application due to the complexity of lead application and specialized interpretation of results. Amplitude integrated EEG (aEEG) is derived from limited channels (usually C3-P3, C4-P4) and is filtered, rectified and time-compressed to serve as a bedside electrographic trend monitor. Its simple application and interpretation has resulted in increasing use in neonatal units across the world. Validation studies with full montage EEG have shown reliable results in interpretation of EEG background and electrographic seizures, especially when used with the simultaneously displayed raw EEG trace. Several aEEG monitors are commercially available and seizure algorithms are being developed for use on these monitors. These aEEG monitors, complement conventional EEG and offer a significant advance in the feasibility of long term electrographic monitoring of the encephalopathic neonate.

40 CFR 75.53 - Monitoring plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

... this part. (c)-(d) [Reserved] (e) Contents of the monitoring plan. Each monitoring plan shall contain..., rounded to the nearest 100 lb/hr); (J) Identification of all units using a common stack; (K) Activation...: (A) Program(s) for which the EDR is submitted; (B) Unit classification; (C) Reporting frequency; (D...

40 CFR 75.53 - Monitoring plan.

Code of Federal Regulations, 2011 CFR

2011-07-01

... this part. (c)-(d) [Reserved] (e) Contents of the monitoring plan. Each monitoring plan shall contain..., rounded to the nearest 100 lb/hr); (J) Identification of all units using a common stack; (K) Activation...: (A) Program(s) for which the EDR is submitted; (B) Unit classification; (C) Reporting frequency; (D...

40 CFR 60.46c - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.46c Emission monitoring for sulfur dioxide... the inlet to the steam generating unit and analyzed for sulfur content and heat content according the...

40 CFR 60.46c - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 7 2014-07-01 2014-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.46c Emission monitoring for sulfur dioxide... the inlet to the steam generating unit and analyzed for sulfur content and heat content according the...

40 CFR 60.46c - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 7 2012-07-01 2012-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.46c Emission monitoring for sulfur dioxide... the inlet to the steam generating unit and analyzed for sulfur content and heat content according the...

40 CFR 60.46c - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 7 2013-07-01 2013-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.46c Emission monitoring for sulfur dioxide... the inlet to the steam generating unit and analyzed for sulfur content and heat content according the...

Real-time complication monitoring in pediatric cardiac surgery.

PubMed

Belliveau, Daniel; Burton, Hayley J; O'Blenes, Stacy B; Warren, Andrew E; Hancock Friesen, Camille L

2012-11-01

As overall mortality rates have fallen in pediatric cardiac surgical procedures, complication monitoring is becoming an increasingly important metric of patient outcome. Currently there is no standardized method available to monitor severity-adjusted complications in congenital cardiac surgical procedures. Complications associated with pediatric cardiac surgical procedures were prospectively collected from consecutive cases in a single pediatric cardiac surgical unit from October 1, 2009 to September 31, 2011. Complications were accounted for by frequency and severity and then stratified by surgical complexity, using the Risk Adjustment for Congenital Heart Surgery (RACHS) method, giving an average morbidity burden per RACHS category. "Expected" morbidity burden for each RACHS category was derived from year 1 (2009-2010) data. Observed minus expected (O:E) plots were then generated for the entire series of complications from year 2 (2010-2011) data. Separate O:E plots were also created for 5 complication classes and monitored for increases. There were 181 index surgical procedures performed in 178 patients. Two hundred and seventeen complications occurred in 80 procedures. The frequency and severity of complications increased with surgical complexity. The overall O:E plot was flagged twice for unanticipated increases in severity-adjusted complications. When the class-specific O:E plots were monitored for increases, the overall flags were found to originate from increased rates of infections and cardiac/operative complications. The O:E plot provides a simple and effective system to monitor complication rates over time based on severity-adjusted complication data. Grouping complications into classes allows us to identify specific subsets of complications that can be focused on to improve patient outcomes. Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Evaluating the public health impacts of legalizing recreational cannabis use in the United States.

PubMed

Hall, Wayne; Lynskey, Michael

2016-10-01

Since 2012 four US states have legalized the retail sale of cannabis for recreational use by adults, and more are likely to follow. This report aimed to (1) briefly describe the regulatory regimes so far implemented; (2) outline their plausible effects on cannabis use and cannabis-related harm; and (3) suggest what research is needed to evaluate the public health impact of these policy changes. We reviewed the drug policy literature to identify: (1) plausible effects of legalizing adult recreational use on cannabis price and availability; (2) factors that may increase or limit these effects; (3) pointers from studies of the effects of legalizing medical cannabis use; and (4) indicators of cannabis use and cannabis-related harm that can be monitored to assess the effects of these policy changes. Legalization of recreational use will probably increase use in the long term, but the magnitude and timing of any increase is uncertain. It will be critical to monitor: cannabis use in household and high school surveys; cannabis sales; the number of cannabis plants legally produced; and the tetrahydrocannabinol (THC) content of cannabis. Indicators of cannabis-related harms that should be monitored include: car crash fatalities and injuries; emergency department presentations; presentations to addiction treatment services; and the prevalence of regular cannabis use among young people in mental health services and the criminal justice system. Plausible effects of legalizing recreational cannabis use in the United States include substantially reducing the price of cannabis and increasing heavy use and some types of cannabis-related harm among existing users. In the longer term it may also increase the number of new users. © 2016 Society for the Study of Addiction.

Molecular characterization of turkey enteric coronaviruses circulating in the United States in 2012

USDA-ARS?s Scientific Manuscript database

The use of molecular diagnostic assays has allowed ongoing periodic monitoring of United States turkey flocks for suspected viral enteric pathogens such as reovirus, rotavirus, parvovirus, and astrovirus. Beginning in early 2012, monitoring of commercial turkey flocks in the Southeastern United Stat...

An overview of wireless structural health monitoring for civil structures.

PubMed

Lynch, Jerome Peter

2007-02-15

Wireless monitoring has emerged in recent years as a promising technology that could greatly impact the field of structural monitoring and infrastructure asset management. This paper is a summary of research efforts that have resulted in the design of numerous wireless sensing unit prototypes explicitly intended for implementation in civil structures. Wireless sensing units integrate wireless communications and mobile computing with sensors to deliver a relatively inexpensive sensor platform. A key design feature of wireless sensing units is the collocation of computational power and sensors; the tight integration of computing with a wireless sensing unit provides sensors with the opportunity to self-interrogate measurement data. In particular, there is strong interest in using wireless sensing units to build structural health monitoring systems that interrogate structural data for signs of damage. After the hardware and the software designs of wireless sensing units are completed, the Alamosa Canyon Bridge in New Mexico is utilized to validate their accuracy and reliability. To improve the ability of low-cost wireless sensing units to detect the onset of structural damage, the wireless sensing unit paradigm is extended to include the capability to command actuators and active sensors.

A sampling design framework for monitoring secretive marshbirds

USGS Publications Warehouse

Johnson, D.H.; Gibbs, J.P.; Herzog, M.; Lor, S.; Niemuth, N.D.; Ribic, C.A.; Seamans, M.; Shaffer, T.L.; Shriver, W.G.; Stehman, S.V.; Thompson, W.L.

2009-01-01

A framework for a sampling plan for monitoring marshbird populations in the contiguous 48 states is proposed here. The sampling universe is the breeding habitat (i.e. wetlands) potentially used by marshbirds. Selection protocols would be implemented within each of large geographical strata, such as Bird Conservation Regions. Site selection will be done using a two-stage cluster sample. Primary sampling units (PSUs) would be land areas, such as legal townships, and would be selected by a procedure such as systematic sampling. Secondary sampling units (SSUs) will be wetlands or portions of wetlands in the PSUs. SSUs will be selected by a randomized spatially balanced procedure. For analysis, the use of a variety of methods as a means of increasing confidence in conclusions that may be reached is encouraged. Additional effort will be required to work out details and implement the plan.

A Wireless Physiological Signal Monitoring System with Integrated Bluetooth and WiFi Technologies.

PubMed

Yu, Sung-Nien; Cheng, Jen-Chieh

2005-01-01

This paper proposes a wireless patient monitoring system which integrates Bluetooth and WiFi wireless technologies. A wireless portable multi-parameter device was designated to acquire physiological signals and transmit them to a local server via Bluetooth wireless technology. Four kinds of monitor units were designed to communicate via the WiFi wireless technology, including a local monitor unit, a control center, mobile devices (personal digital assistant; PDA), and a web page. The use of various monitor units is intending to meet different medical requirements for different medical personnel. This system was demonstrated to promote the mobility and flexibility for both the patients and the medical personnel, which further improves the quality of health care.

Efficient species-level monitoring at the landscape scale.

PubMed

Noon, Barry R; Bailey, Larissa L; Sisk, Thomas D; McKelvey, Kevin S

2012-06-01

Monitoring the population trends of multiple animal species at a landscape scale is prohibitively expensive. However, advances in survey design, statistical methods, and the ability to estimate species presence on the basis of detection-nondetection data have greatly increased the feasibility of species-level monitoring. For example, recent advances in monitoring make use of detection-nondetection data that are relatively inexpensive to acquire, historical survey data, and new techniques in genetic evaluation. The ability to use indirect measures of presence for some species greatly increases monitoring efficiency and reduces survey costs. After adjusting for false absences, the proportion of sample units in a landscape where a species is detected (occupancy) is a logical state variable to monitor. Occupancy monitoring can be based on real-time observation of a species at a survey site or on evidence that the species was at the survey location sometime in the recent past. Temporal and spatial patterns in occupancy data are related to changes in animal abundance and provide insights into the probability of a species' persistence. However, even with the efficiencies gained when occupancy is the monitored state variable, the task of species-level monitoring remains daunting due to the large number of species. We propose that a small number of species be monitored on the basis of specific management objectives, their functional role in an ecosystem, their sensitivity to environmental changes likely to occur in the area, or their conservation importance. ©2012 Society for Conservation Biology.

Investigating turkey enteric coronavirus circulating in the southeastern United States and Arkansas during 2012 and 2013

USDA-ARS?s Scientific Manuscript database

The use of molecular diagnostic assays has allowed ongoing periodic monitoring of United States turkey flocks for suspected viral enteric pathogens such as reovirus, rotavirus, parvovirus, and astrovirus. Beginning in early 2012, monitoring of commercial turkey flocks in the Southeastern United Stat...

Public Health Practice of Population-Based Birth Defects Surveillance Programs in the United States.

PubMed

Mai, Cara T; Kirby, Russell S; Correa, Adolfo; Rosenberg, Deborah; Petros, Michael; Fagen, Michael C

2016-01-01

Birth defects remain a leading cause of infant mortality in the United States and contribute substantially to health care costs and lifelong disabilities. State population-based surveillance systems have been established to monitor birth defects, yet no recent systematic examination of their efforts in the United States has been conducted. To understand the current population-based birth defects surveillance practices in the United States. The National Birth Defects Prevention Network conducted a survey of US population-based birth defects activities that included questions about operational status, case ascertainment methodology, program infrastructure, data collection and utilization, as well as priorities and challenges for surveillance programs. Birth defects contacts in the United States, including District of Columbia and Puerto Rico, received the survey via e-mail; follow-up reminders via e-mails and telephone were used to ensure a 100% response rate. Forty-three states perform population-based surveillance for birth defects, covering approximately 80% of the live births in the United States. Seventeen primarily use an active case-finding approach and 26 use a passive case-finding approach. These programs all monitor major structural malformations; however, passive case-finding programs more often monitor a broader list of conditions, including developmental conditions and newborn screening conditions. Active case-finding programs more often use clinical reviewers, cover broader pregnancy outcomes, and collect more extensive information, such as family history. More than half of the programs (24 of 43) reported an ability to conduct follow-up studies of children with birth defects. The breadth and depth of information collected at a population level by birth defects surveillance programs in the United States serve as an important data source to guide public health action. Collaborative efforts at the state and national levels can help harmonize data collection and increase utility of birth defects programs.

Monitoring the effects of air-quality on forests: An overview of the Sierra Ancha Experimental Forest ICP-Level II Site

Treesearch

Peter E. Koestner; Karen A. Koestner; Daniel G. Neary

2012-01-01

The Sierra Ancha International Cooperative Program on Assessment and Monitoring of Air Pollution Effects on Forests study site or (SAEF-ICP II) is part of an international network of cooperative forest monitoring sites spread throughout Europe and the United States. The United Nations Economic Commission for Europe established the ICP II network in 1985 to monitor long...

40 CFR 60.47b - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 6 2011-07-01 2011-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.47b Emission monitoring for sulfur dioxide... generating unit and analyzing them for sulfur and heat content according to Method 19 of appendix A of this...

40 CFR 60.47b - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.47b Emission monitoring for sulfur dioxide... generating unit and analyzing them for sulfur and heat content according to Method 19 of appendix A of this...

40 CFR 60.47b - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 7 2012-07-01 2012-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.47b Emission monitoring for sulfur dioxide... generating unit and analyzing them for sulfur and heat content according to Method 19 of appendix A of this...

40 CFR 60.47b - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 7 2014-07-01 2014-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.47b Emission monitoring for sulfur dioxide... generating unit and analyzing them for sulfur and heat content according to Method 19 of appendix A of this...

40 CFR 60.47b - Emission monitoring for sulfur dioxide.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 7 2013-07-01 2013-07-01 false Emission monitoring for sulfur dioxide... Industrial-Commercial-Institutional Steam Generating Units § 60.47b Emission monitoring for sulfur dioxide... generating unit and analyzing them for sulfur and heat content according to Method 19 of appendix A of this...

Early labour services: changes, triggers, monitoring and evaluation.

PubMed

Spiby, Helen; Green, Josephine M; Richardson-Foster, Helen; Hucknall, Clare

2013-04-01

to identify the changes to early labour services, their triggers and monitoring. a mixed methods approach in two stages, firstly a postal questionnaire survey of Heads of Midwifery (HoM) services in NHS Trusts in England (cover sheet to each HoM and questionnaire for each unit in their jurisdiction) and, secondly, semi-structured telephone interviews with a purposive sample of senior midwives. The interviews sought further information about reasons for change; the impact of changes and explored the unit's particular innovations. PARTICIPANTS AND RESPONSE RATE: 145 (89%) NHS Trusts provided data (cover sheet and/or questionnaire); responses were received from all areas and types of unit. Seventeen HoMs or designated senior midwives were interviewed. 83 of 170 units (49%) had made changes to early labour service provision during the past 5 years, including home assessment; the introduction of triage units and telephone assessment tools. Changes were more likely in high volume units and in consultant units with midwifery-led care areas. Further changes were planned by 93/178 (25%) units. Triggers for changes to early labour services comprised local or unit-based factors, including Category X (non-labour) admissions, response to service users and research evidence. The impact of Category X admissions on workload contributed to the triggers for change. Fifty-six (31%) could provide a confirmed figure or estimate for category X admissions. Experiences of introducing change included issues related to engagement of the workforce and the contribution of clinical leadership. Thirty-eight (48%) units did not routinely monitor use of early labour services. Overall monitoring of services was not significantly more likely in units that had made changes. Audit activity was reported more frequently in units that had made changes to their early labour services. early labour services had undergone significant changes following a range of triggers but the extent of change was not reflected in monitoring and evaluation activity. Changes to service provision should be accompanied by monitoring and evaluation. Changes to services require utilisation of appropriate change management strategies. Copyright © 2012 Elsevier Ltd. All rights reserved.

Continuous Turbidity Monitoring in the Indian Creek Watershed, Tazewell County, Virginia, 2006-08

USGS Publications Warehouse

Moyer, Douglas; Hyer, Kenneth

2009-01-01

Thousands of miles of natural gas pipelines are installed annually in the United States. These pipelines commonly cross streams, rivers, and other water bodies during pipeline construction. A major concern associated with pipelines crossing water bodies is increased sediment loading and the subsequent impact to the ecology of the aquatic system. Several studies have investigated the techniques used to install pipelines across surface-water bodies and their effect on downstream suspended-sediment concentrations. These studies frequently employ the evaluation of suspended-sediment or turbidity data that were collected using discrete sample-collection methods. No studies, however, have evaluated the utility of continuous turbidity monitoring for identifying real-time sediment input and providing a robust dataset for the evaluation of long-term changes in suspended-sediment concentration as it relates to a pipeline crossing. In 2006, the U.S. Geological Survey, in cooperation with East Tennessee Natural Gas and the U.S. Fish and Wildlife Service, began a study to monitor the effects of construction of the Jewell Ridge Lateral natural gas pipeline on turbidity conditions below pipeline crossings of Indian Creek and an unnamed tributary to Indian Creek, in Tazewell County, Virginia. The potential for increased sediment loading to Indian Creek is of major concern for watershed managers because Indian Creek is listed as one of Virginia's Threatened and Endangered Species Waters and contains critical habitat for two freshwater mussel species, purple bean (Villosa perpurpurea) and rough rabbitsfoot (Quadrula cylindrical strigillata). Additionally, Indian Creek contains the last known reproducing population of the tan riffleshell (Epioblasma florentina walkeri). Therefore, the objectives of the U.S. Geological Survey monitoring effort were to (1) develop a continuous turbidity monitoring network that attempted to measure real-time changes in suspended sediment (using turbidity as a surrogate) downstream from the pipeline crossings, and (2) provide continuous turbidity data that enable the development of a real-time turbidity-input warning system and assessment of long-term changes in turbidity conditions. Water-quality conditions were assessed using continuous water-quality monitors deployed upstream and downstream from the pipeline crossings in Indian Creek and the unnamed tributary. These paired upstream and downstream monitors were outfitted with turbidity, pH (for Indian Creek only), specific-conductance, and water-temperature sensors. Water-quality data were collected continuously (every 15 minutes) during three phases of the pipeline construction: pre-construction, during construction, and post-construction. Continuous turbidity data were evaluated at various time steps to determine whether the construction of the pipeline crossings had an effect on downstream suspended-sediment conditions in Indian Creek and the unnamed tributary. These continuous turbidity data were analyzed in real time with the aid of a turbidity-input warning system. A warning occurred when turbidity values downstream from the pipeline were 6 Formazin Nephelometric Units or 15 percent (depending on the observed range) greater than turbidity upstream from the pipeline crossing. Statistical analyses also were performed on monthly and phase-of-construction turbidity data to determine if the pipeline crossing served as a long-term source of sediment. Results of this intensive water-quality monitoring effort indicate that values of turbidity in Indian Creek increased significantly between the upstream and downstream water-quality monitors during the construction of the Jewell Ridge pipeline. The magnitude of the significant turbidity increase, however, was small (less than 2 Formazin Nephelometric Units). Patterns in the continuous turbidity data indicate that the actual pipeline crossing of Indian Creek had little influence of downstream water quality; co

Asthma and Adolescents: Review of Strategies to Improve Control

ERIC Educational Resources Information Center

Hennessy-Harstad, Ellen

2013-01-01

One of every 10 adolescents in the United States has asthma. Adolescents who lack asthma control are at increased risk for severe asthma episodes and death. The National Heart, Lung, and Blood Institute 2007 asthma guidelines and research studies indicated that school nurses are instrumental in assisting adolescents to monitor their asthma, learn…

U.S. EPA response to the Fukushima Daiichi Nuclear Power Plant accident.

PubMed

Tupin, Edward A; Boyd, Michael A; Mosser, Jennifer E; Wieder, Jessica S

2012-05-01

During the spring of 2011, the U.S. Environmental Protection Agency (EPA) used its national radiation monitoring and sampling system, RadNet, to detect, identify, and inform the public about radioactive material in the United States resulting from Japan's Fukushima Daiichi Nuclear Power Plant release. The RadNet system monitors ambient air, drinking water, precipitation, and pasteurized milk for radionuclides. To supplement its existing stationary (fixed) continuous air monitoring system, EPA deployed additional air monitors to Saipan, Guam, and locations in the western United States. The Agency also accelerated the regular quarterly sampling of milk and drinking water and collected an additional round of samples. For two months, staff located at EPA's Headquarters Emergency Operations Center, west coast regional offices, and National Air and Radiation Environmental Lab worked seven days a week to handle the increased radiochemical sample analysis from air filters, precipitation, drinking water, and milk; provide interagency scientific input; and answer press and public inquiries. EPA's data was consistent with what was expected from the Fukushima Daiichi Nuclear Power Plant release. The levels of radioactivity were so low that the readings from the near-real-time RadNet air monitors stayed within normal background ranges. Detailed sample analyses were needed to identify the radionuclides associated with the release. Starting at the end of April and continuing through May 2011, levels of radioactive material decreased as expected.

Nitrogen emissions, deposition, and monitoring in the Western United States

USGS Publications Warehouse

Fenn, M.E.; Haeuber, R.; Tonnesen, G.S.; Baron, Jill S.; Grossman-Clarke, S.; Hope, D.; Jaffe, D.A.; Copeland, S.; Geiser, L.; Rueth, H.M.; Sickman, J.O.

2003-01-01

Nitrogen (N) deposition in the western United States ranges from 1 to 4 kilograms (kg) per hectare (ha) per year over much of the region to as high as 30 to 90 kg per ha per year downwind of major urban and agricultural areas. Primary N emissions sources are transportation, agriculture, and industry. Emissions of N as ammonia are about 50% as great as emissions of N as nitrogen oxides. An unknown amount of N deposition to the West Coast originates from Asia. Nitrogen deposition has increased in the West because of rapid increases in urbanization, population, distance driven, and large concentrated animal feeding operations. Studies of ecological effects suggest that emissions reductions are needed to protect sensitive ecosystem components. Deposition rates are unknown for most areas in the West, although reasonable estimates are available for sites in California, the Colorado Front Range, and central Arizona. National monitoring networks provide long-term wet deposition data and, more recently, estimated dry deposition data at remote sites. However, there is little information for many areas near emissions sources.

A portable personal cooling system for mine rescue operations

NASA Technical Reports Server (NTRS)

Webbon, B.; Williams, B.; Kirk, P.; Elkins, W.; Stein, R.

1977-01-01

Design of a portable personal cooling system to reduce physiological stress in high-temperature, high-humidity conditions is discussed. The system, based on technology used in the thermal controls of space suits, employs a combination of head and thoracic insulation and cooling through a heat sink unit. Average metabolic rates, heart rates, rectal temperature increase and sweat loss were monitored for test subjects wearing various configurations of the cooling system, as well as for a control group. The various arrangements of the cooling garment were found to provide significant physiological benefits; however, increases in heat transfer rate of the cooling unit and more effective insulation are suggested to improve the system's function.

Remote mood monitoring for adults with bipolar disorder: An explorative study of compliance and impact on mental health service use and costs.

PubMed

Simon, J; Budge, K; Price, J; Goodwin, G M; Geddes, J R

2017-09-01

Remote monitoring of mood disorders may be an effective and low resource option for patient follow-up, but relevant evidence remains very limited. This study explores real-life compliance and health services impacts of mood monitoring among patients with bipolar disorder in the UK. Patients with a diagnosis of bipolar disorder who were registered users of the True Colours monitoring system for at least 12months at study assessment were included in this retrospective cohort study (n=79). Compliance was measured as the proportion of valid depression and mania scale messages received in comparison to their expected numbers over the first 12months of monitoring. Mental health service use data were extracted from case notes, costed using national unit costs, and compared 12months before (pre-TC period) and 12months after (TC period) patients' engagement with monitoring. Associations with relevant patient factors were investigated in a multiple regression model. Average compliance with monitoring was 82%. Significant increases in the annual use and costs of psychiatrist contacts and total mental health services were shown for patients newly referred to the clinic during the pre-TC period but not for long-term patients of the clinic. Psychiatric medication costs increased significantly between the pre-TC and TC periods (£235, P=0.005) unrelated to patients' referral status. Remote mood monitoring has good compliance among consenting patients with bipolar disorder. We found no associations between observed changes in mental health service costs and the introduction of monitoring except for the increase in psychiatric medication costs. Copyright © 2017 The Authors. Published by Elsevier Masson SAS.. All rights reserved.

Pervasive technology in Neonatal Intensive Care Unit: a prototype for newborns unobtrusive monitoring.

PubMed

Ciani, Oriana; Piccini, Luca; Parini, Sergio; Rullo, Alessia; Bagnoli, Franco; Marti, Patrizia; Andreoni, Giuseppe

2008-01-01

Pervasive computing research is introducing new perspectives in a wide range of applications, including healthcare domain. In this study we explore the possibility to realize a prototype of a system for unobtrusive recording and monitoring of multiple biological parameters on premature newborns hospitalized in the Neonatal Intensive Care Unit (NICU). It consists of three different units: a sensitized belt for Electrocardiogram (ECG) and chest dilatation monitoring, augmented with extrinsic transducers for temperature and respiratory activity measure, a device for signals pre-processing, sampling and transmission through Bluetooth(R) (BT) technology to a remote PC station and a software for data capture and post-processing. Preliminary results obtained by monitoring babies just discharged from the ward demonstrated the feasibility of the unobtrusive monitoring on this kind of subjects and open a new scenario for premature newborns monitoring and developmental cares practice in NICU.

A 10-year spatial and temporal trend of sulfate across the United States

NASA Astrophysics Data System (ADS)

Malm, William C.; Schichtel, Bret A.; Ames, Rodger B.; Gebhart, Kristi A.

2002-11-01

Legislative and regulatory mandates have resulted in reduced sulfur dioxide (SO2) emissions in both the eastern and western United States with anticipation that concurrent levels of ambient SO2, SO42-, and rainwater acidity would decrease. This paper examines spatial and temporal trends in ambient SO42- concentration from 1988 to 1999, SO2 emissions from 1990 to 1999, and the relationship between these two variables. The SO42- concentration data came from combining data from the Interagency Monitoring of Protected Visual Environments (IMPROVE) and the Clean Air Status and Trends Network (CASTNet). Over 70 sites spread across the continental United States are considered in this analysis. From a spatial perspective, the 90th percentile summer sulfate concentrations are highest along the Ohio River Valley and in central Tennessee where the emission density of SO2 is greatest. These concentrations are a factor of 2 greater than the Northeast, northern Michigan, and coastal areas of the Southeast and about a factor of 15 greater than the central western United States. In the East, the largest SO42- decreases in the 80th percentile concentrations occurred north of the Ohio River Valley, while most monitoring sites south of Kentucky and Virginia showed increasing and decreasing trends that were not statistically significant. Big Bend National Park, Texas, Cranberry, North Carolina, and Lassen Volcanic National Park, California, are the only areas that show a statistically significant increase in SO42- mass concentrations. The 1990-1999 annual 80th percentile SO42- time series were compared to the annual SO2 emissions over four broad United States regions. Each region had a unique time series pattern with the SO42- concentrations and SO2 emissions closely tracking each other over the 10-year period. Both the SO42- and SO2 emissions decreased in the Northeast (28%) and the West (15%), while there was little change in the Southeast and a 15% increase over Texas, New Mexico, and Colorado.

Monitoring of natural outbreaks of Phytophthora ramorum in the United Kingdom.

Treesearch

Judith Turner; Alex Appiah; Philip Jennings; Gilli Humphries; Debbie Liddell; Sam McDonough; Jackie Stonehouse; David Lockley; Stephen Eales

2006-01-01

Over 40 outbreaks of Phytophthora ramorum have occurred in managed gardens in the United Kingdom. Three of these sites, one in the southeast of England and two in the southwest, have been closely monitored since October 2003. These sites represented differing disease scenarios at the start of monitoring, as eradication action had already taken...

40 CFR 60.3044 - Is there a minimum amount of operating parameter monitoring data I must obtain?

Code of Federal Regulations, 2011 CFR

2011-07-01

... Emission Guidelines and Compliance Times for Other Solid Waste Incineration Units That Commenced... checks and required zero and span adjustments of the monitoring system), you must conduct all monitoring.... An operating day is any day the unit combusts any municipal or institutional solid waste. (c) If you...

40 CFR 60.3044 - Is there a minimum amount of operating parameter monitoring data I must obtain?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Emission Guidelines and Compliance Times for Other Solid Waste Incineration Units That Commenced... checks and required zero and span adjustments of the monitoring system), you must conduct all monitoring.... An operating day is any day the unit combusts any municipal or institutional solid waste. (c) If you...

40 CFR 60.3044 - Is there a minimum amount of operating parameter monitoring data I must obtain?

Code of Federal Regulations, 2012 CFR

2012-07-01

... Emission Guidelines and Compliance Times for Other Solid Waste Incineration Units That Commenced... checks and required zero and span adjustments of the monitoring system), you must conduct all monitoring.... An operating day is any day the unit combusts any municipal or institutional solid waste. (c) If you...

40 CFR 60.3044 - Is there a minimum amount of operating parameter monitoring data I must obtain?

Code of Federal Regulations, 2014 CFR

2014-07-01

... Emission Guidelines and Compliance Times for Other Solid Waste Incineration Units That Commenced... checks and required zero and span adjustments of the monitoring system), you must conduct all monitoring.... An operating day is any day the unit combusts any municipal or institutional solid waste. (c) If you...

40 CFR 60.3044 - Is there a minimum amount of operating parameter monitoring data I must obtain?

Code of Federal Regulations, 2013 CFR

2013-07-01

... Emission Guidelines and Compliance Times for Other Solid Waste Incineration Units That Commenced... checks and required zero and span adjustments of the monitoring system), you must conduct all monitoring.... An operating day is any day the unit combusts any municipal or institutional solid waste. (c) If you...

Arden Syntax Clinical Foundation Framework for Event Monitoring in Intensive Care Units: Report on a Pilot Study.

PubMed

de Bruin, Jeroen S; Zeckl, Julia; Adlassnig, Katharina; Blacky, Alexander; Koller, Walter; Rappelsberger, Andrea; Adlassnig, Klaus-Peter

2017-01-01

The creation of clinical decision support systems has received a strong impulse over the last years, but their integration into a clinical routine has lagged behind, partly due to a lack of interoperability and trust by physicians. We report on the implementation of a clinical foundation framework in Arden Syntax, comprising knowledge units for (a) preprocessing raw clinical data, (b) the determination of single clinical concepts, and (c) more complex medical knowledge, which can be modeled through the composition and configuration of knowledge units in this framework. Thus, it can be tailored to clinical institutions or patients' caregivers. In the present version, we integrated knowledge units for several infection-related clinical concepts into the framework and developed a clinical event monitoring system over the framework that employs three different scenarios for monitoring clinical signs of bloodstream infection. The clinical event monitoring system was tested using data from intensive care units at Vienna General Hospital, Austria.

A Journey to Improved Inpatient Glycemic Control by Redesigning Meal Delivery and Insulin Administration.

PubMed

Engle, Martha; Ferguson, Allison; Fields, Willa

2016-01-01

The purpose of this quality improvement project was to redesign a hospital meal delivery process in order to shorten the time between blood glucose monitoring and corresponding insulin administration and improve glycemic control. This process change redesigned the workflow of the dietary and nursing departments. Modifications included nursing, rather than dietary, delivering meal trays to patients receiving insulin. Dietary marked the appropriate meal trays and phoned each unit prior to arrival on the unit. The process change was trialed on 2 acute care units prior to implementation hospital wide. Elapsed time between blood glucose monitoring and insulin administration was analyzed before and after process change as well as evaluation of glucometrics: percentage of patients with blood glucose between 70 and 180 mg/dL (percent perfect), blood glucose greater than 300 mg/dL (extreme hyperglycemia), and blood glucose less than 70 mg/dL (hypoglycemia). Percent perfect glucose results improved from 45% to 53%, extreme hyperglycemia (blood glucose >300 mg/dL) fell from 11.7% to 5%. Hypoglycemia demonstrated a downward trend line, demonstrating that with improving glycemic control hypoglycemia rates did not increase. Percentage of patients receiving meal insulin within 30 minutes of blood glucose check increased from 35% to 73%. In the hospital, numerous obstacles were present that interfered with on-time meal insulin delivery. Establishing a meal delivery process with the nurse performing the premeal blood glucose check, delivering the meal, and administering the insulin improves overall blood glucose control. Nurse-led process improvement of blood glucose monitoring, meal tray delivery, and insulin administration does lead to improved glycemic control for the inpatient population.

TITRATION: A Randomized Study to Assess 2 Treatment Algorithms with New Insulin Glargine 300 units/mL.

PubMed

Yale, Jean-François; Berard, Lori; Groleau, Mélanie; Javadi, Pasha; Stewart, John; Harris, Stewart B

2017-10-01

It was uncertain whether an algorithm that involves increasing insulin dosages by 1 unit/day may cause more hypoglycemia with the longer-acting insulin glargine 300 units/mL (GLA-300). The objective of this study was to compare safety and efficacy of 2 titration algorithms, INSIGHT and EDITION, for GLA-300 in people with uncontrolled type 2 diabetes mellitus, mainly in a primary care setting. This was a 12-week, open-label, randomized, multicentre pilot study. Participants were randomly assigned to 1 of 2 algorithms: they either increased their dosage by 1 unit/day (INSIGHT, n=108) or the dose was adjusted by the investigator at least once weekly, but no more often than every 3 days (EDITION, n=104). The target fasting self-monitored blood glucose was in the range of 4.4 to 5.6 mmol/L. The percentages of participants reaching the primary endpoint of fasting self-monitored blood glucose ≤5.6 mmol/L without nocturnal hypoglycemia were 19.4% (INSIGHT) and 18.3% (EDITION). At week 12, 26.9% (INSIGHT) and 28.8% (EDITION) of participants achieved a glycated hemoglobin value of ≤7%. No differences in the incidence of hypoglycemia of any category were noted between algorithms. Participants in both arms of the study were much more satisfied with their new treatment as assessed by the Diabetes Treatment Satisfaction Questionnaire. Most health-care professionals (86%) preferred the INSIGHT over the EDITION algorithm. The frequency of adverse events was similar between algorithms. A patient-driven titration algorithm of 1 unit/day with GLA-300 is effective and comparable to the previously tested EDITION algorithm and is preferred by health-care professionals. Copyright © 2017 Diabetes Canada. Published by Elsevier Inc. All rights reserved.

10 CFR 35.647 - Additional technical requirements for mobile remote afterloader units.

Code of Federal Regulations, 2010 CFR

2010-01-01

... on the remote afterloader unit, on the control console, and in the facility; (3) Viewing and intercom... monitors used to indicate room exposures; (6) Source positioning (accuracy); and (7) Radiation monitors...

Flow-injection assay of catalase activity.

PubMed

Ukeda, Hiroyuki; Adachi, Yukiko; Sawamura, Masayoshi

2004-03-01

A novel flow-injection assay (FIA) system with a double line for catalase activity was constructed in which an oxidase is immobilized and the substrate is continuously pumped to reduce the dissolved oxygen and to generate a given level of hydrogen peroxide. The catalase in a sample decomposed the hydrogen peroxide, and thus the increase in dissolved oxygen dependent on the activity was amperometrically monitored using a Clark-type oxygen electrode. Among the examined several oxidases, uricase was most suitable for the continuous formation of hydrogen peroxide from a consideration of the stability and the conversion efficiency. Under the optimum conditions, a linear calibration curve was obtained in the range from 21 to 210 units/mg and the reproducibility (CV) was better than 2% by 35 successive determinations of 210 units/ml catalase preparation. The sampling frequency was about 15 samples/h. The present FIA system was applicable to monitor the inactivation of catalase by glycation.

Designing User Interfaces for Smart-Applications for Operating Rooms and Intensive Care Units

NASA Astrophysics Data System (ADS)

Kindsmüller, Martin Christof; Haar, Maral; Schulz, Hannes; Herczeg, Michael

Today’s physicians and nurses working in operating rooms and intensive care units have to deal with an ever increasing amount of data. More and more medical devices are delivering information, which has to be perceived and interpreted in regard to patient status and the necessity to adjust therapy. The combination of high information load and insufficient usability creates a severe challenge for the health personnel with respect to proper monitoring of these devices respective to acknowledging alarms and timely reaction to critical incidents. Smart Applications are a new kind of decision support systems that incorporate medical expertise in order to help health personnel in regard to diagnosis and therapy. By means of a User Centered Design process of two Smart Applications (anaesthesia monitor display, diagnosis display), we illustrate which approach should be followed and which processes and methods have been successfully applied in fostering the design of usable medical devices.

The 'Severe Hypertensive Illness in Pregnancy' (SHIP) audit: promoting quality care using a high risk monitoring chart and eclampsia treatment pack.

PubMed

Baldwin, K Joanne; Leighton, Nicola A; Kilby, M D; Wyldes, M; Churchill, D; Jones, P W; Johanson, R B

2002-07-01

We set out to measure the standards of care in a regional cohort of women with severe hypertensive illness of pregnancy and to subsequently improve the quality of care using a series of interventions. This was a multi centre cyclical criterion audit involving 21 maternity units in the West Midlands Region. Prospective data collection involved named co-ordinators in each unit using customised proformas. Intervention comprised feedback of baseline results to each hospital, a monitoring chart and eclampsia treatment pack. The first audit period (n = 183) was for a 4-month period between 1/9/96 and 31/12/96 and the second audit period (n = 111) was during the same 4-month period 1 year later. Although compliance with the audit standards set increased in all but one standard, there is clearly a need to make further improvements in the quality of care administered.

Battery management system with distributed wireless sensors

DOEpatents

Farmer, Joseph C.; Bandhauer, Todd M.

2016-02-23

A system for monitoring parameters of an energy storage system having a multiplicity of individual energy storage cells. A radio frequency identification and sensor unit is connected to each of the individual energy storage cells. The radio frequency identification and sensor unit operates to sense the parameter of each individual energy storage cell and provides radio frequency transmission of the parameters of each individual energy storage cell. A management system monitors the radio frequency transmissions from the radio frequency identification and sensor units for monitoring the parameters of the energy storage system.

Development of a reference Phasor Measurement Unit (PMU) for the monitoring and control of grid stability and quality

NASA Astrophysics Data System (ADS)

Ndilimabaka, Hervé; Blanc, Isabelle

2014-08-01

This paper discusses the details of the development of a Phasor Measurement Unit regarding the requirements of the IEEE C37.118-2005 synchrophasor standard relative to steady-state conditions on grid monitoring and control. This phasor measurement unit is intended to be used for field tests sooner.

Transport and fate of gaseous pollutants associated with the National Energy Program.

PubMed Central

Altshuller, A P; Johnson, W B; Nader, J S; Niemann, B L; Turner, D B; Wilson, W E; D'Alessio, G

1980-01-01

The experimental evidence related to the long-range transport and transformations of sulfates has been critically reviewed. It has been concluded that sulfate emissions from various sources can be superimposed on each other during long-range transport to create episodes far from the contributing sources. Sulfates are important contributors to degrading visibility through the United States including relatively pristine areas in the western United States. Acid sulfate components, along with nitric acid, may increase the problem of acidity in precipitation on soils, vegetation, and lakes in certain areas of the eastern United States. Improvements in monitoring of these pollutants are required to follow changes in air quality caused by long-range transport. PMID:7428742

Concurrent Temporal and Spatial Trends in Sulfate and Organic Mass Concentrations Measured in the IMPROVE Monitoring Program

NASA Astrophysics Data System (ADS)

Malm, William C.; Schichtel, Bret A.; Hand, Jenny L.; Collett, Jeffrey L.

2017-10-01

Recent modeling and field studies have highlighted a relationship between sulfate concentrations and secondarily formed organic aerosols related to isoprene and other volatile biogenic gaseous emissions. The relationship between these biogenic emissions and sulfate is thought to be primarily associated with the effect of sulfate on aerosol acidity, increased aerosol water at high relative humidities, and aerosol volume. The Interagency Monitoring of Protected Visual Environments (IMPROVE) program provides aerosol concentration levels of sulfate (SO4) and organic carbon (OC) at 136 monitoring sites in rural and remote areas of the United States over time periods of between 15 and 28 years. This data set allows for an examination of relationships between these variables over time and space. The relative decreases in SO4 and OC were similar over most of the eastern United States, even though concentrations varied dramatically from one region to another. The analysis implied that for every unit decrease in SO4 there was about a 0.29 decrease in organic aerosol mass (OA = 1.8 × OC). This translated to a 2 μg/m3 decrease in biogenically derived secondary organic aerosol over 15 years in the southeastern United States. The analysis further implied that 35% and 27% in 2001 and 2015, respectively, of average total OA may be biogenically derived secondary organic aerosols and that there was a small but significant decrease in OA not linked to changes in SO4 concentrations. The analysis yields a constraint on ambient SO4-OC relationships that should help to refine and improve regional-scale chemical transport models.

Evaluating the Use of Tissue Oximetry to Decrease Intensive Unit Monitoring for Free Flap Breast Reconstruction.

PubMed

Ricci, Joseph A; Vargas, Christina R; Ho, Olivia A; Lin, Samuel J; Tobias, Adam M; Lee, Bernard T

2017-07-01

Postoperative free flap care has historically required intensive monitoring for 24 hours in an intensive care unit. Continuous monitoring with tissue oximetry has allowed earlier detection of vascular compromise, decreasing flap loss and improving salvage. This study aims to identify whether a fast-track postoperative paradigm can be safely used with tissue oximetry to decrease intensive monitoring and costs. All consecutive microsurgical breast reconstructions performed at a single institution were reviewed (2008-2014) and cases requiring return to the operating room were identified. Data evaluated included patient demographics, the take back time course, and complications of flap loss and salvage. A cost-benefit analysis was performed to analyse the utility of a postoperative intensive monitoring setting. There were 900 flaps performed and 32 required an unplanned return to the operating room. There were 16 flaps that required a reexploration within the first 24 hours; the standard length of intensive unit monitoring. After 4 hours, there were 7 flaps (44%) detected by tissue oximetry for reexploration. After 15 hours of intensive monitoring postoperatively, cost analysis revealed that the majority (15/16; 94%) of failing flaps had been identified and the cost of identifying each subsequent failing flap exceeded the cost of another hour of intensive monitoring. The postoperative paradigm for microsurgical flaps has historically required intensive unit monitoring. Using tissue oximetry, a fast-track pathway can reduce time spent in an intensive monitoring setting from 24 to 15 hours with significant cost savings and minimal risk of missing a failing free flap.

40 CFR Table 31 to Subpart Uuu of... - Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units 31 Table 31 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 31 Table 31 to Subpart UUU of Part 63—Continuous Monitoring Systems for HAP Emissions...

40 CFR Table 31 to Subpart Uuu of... - Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 12 2011-07-01 2009-07-01 true Continuous Monitoring Systems for HAP Emissions From Sulfur Recovery Units 31 Table 31 to Subpart UUU of Part 63 Protection of Environment..., Subpt. UUU, Table 31 Table 31 to Subpart UUU of Part 63—Continuous Monitoring Systems for HAP Emissions...

An Advanced NSSS Integrity Monitoring System for Shin-Kori Nuclear Units 3 and 4

NASA Astrophysics Data System (ADS)

Oh, Yang Gyun; Galin, Scott R.; Lee, Sang Jeong

2010-12-01

The advanced design features of NSSS (Nuclear Steam Supply System) Integrity Monitoring System for Shin-Kori Nuclear Units 3 and 4 are summarized herein. During the overall system design and detailed component design processes, many design improvements have been made for the system. The major design changes are: 1) the application of a common software platform for all subsystems, 2) the implementation of remote access, control and monitoring capabilities, and 3) the equipment redesign and rearrangement that has simplified the system architecture. Changes give an effect on cabinet size, number of cables, cyber-security, graphic user interfaces, and interfaces with other monitoring systems. The system installation and operation for Shin-Kori Nuclear Units 3 and 4 will be more convenient than those for previous Korean nuclear units in view of its remote control capability, automated test functions, improved user interface functions, and much less cabling.

Timely confirmation of gastro-esophageal reflux disease via pH monitoring: estimating budget impact on managed care organizations.

PubMed

Lee, W C; Yeh, Y C; Lacy, B E; Pandolfino, J E; Brill, J V; Weinstein, M L; Carlson, A M; Williams, M J; Wittek, M R; Pashos, C L

2008-05-01

Current guidelines recommend the use of pH monitoring to confirm the diagnosis of acid reflux in patients with a normal endoscopy. This analysis evaluated the financial impact of pH monitoring with the wireless pH capsule on a managed care organization (MCO) in the United States. A decision model was constructed to project total 1-year costs to manage GERD symptoms with and without the adoption of wireless pH capsules in a hypothetical MCO with 10 000 eligible adult enrollees, of whom 600 presented with GERD-like symptoms. Costs of GERD diagnosis, treatment, and symptom management for those in whom a GERD diagnosis was ruled out by pH monitoring were assessed. The incremental per-member-per-month (PMPM) and per-treated-member-per-month (PTMPM) costs were the primary outcomes. Data sources included literature, expert input, and standardized fee schedules. An increase of 10 percentage points in the use of pH monitoring with wireless pH capsules yielded incremental PMPM and PTMPM costs of $0.029 and $0.481, respectively. The costs of proton pump inhibitor (PPI) therapy to the plan dropped to $236,363 from $238,086, while increases were observed in pH monitoring (from $16 739 to $21 973) and non-GERD therapy costs (from $1392 to $1740). The results were sensitive to the percentage of patients requiring repeat endoscopy before wireless pH monitoring and the cost of PPIs. Timely and increased use of pH monitoring as recommended in published guidelines leads to less unnecessary use of PPIs with a modest budgetary impact on health plans.

Burst-by-burst laser frequency monitor

NASA Technical Reports Server (NTRS)

Esproles, Carlos (Inventor)

1994-01-01

The invention is a system for real-time frequency monitoring and display of an RF burst where the burst frequency is analyzed and displayed on a burst-by-burst basis in order to allow for frequency control. Although the invention was made for monitoring the laser frequency of a LIDAR system, it has other applications where realtime monitoring is required. The novelty of the invention resides in the use of a counter that is reset at the beginning of each unit time of monitoring and then gated for a unit of time. The invention also has an LED bar graph for displaying the measure of frequency at the end of each unit time in either a bar length mode or a moving dot mode. In the latter mode, the operator makes necessary adjustments to maintain the dot at the center of the bar graph.

High-resolution monitoring of stormwater quality in an urbanising catchment in the United Kingdom during the 2013/2014 winter storms

NASA Astrophysics Data System (ADS)

McGrane, S. J.; Hutchins, M. G.; Kjeldsen, T. R.; Miller, J. D.; Bussi, G.; Loewenthal, M.

2015-12-01

Urban areas are widely recognised as a key source of contaminants entering our freshwater systems, yet in spite of this, our understanding of stormwater quality dynamics remains limited. The development of in-situ, high-resolution monitoring equipment has revolutionised our capability to capture flow and water quality data at a sub-hourly resolution, enabling us to potentially enhance our understanding of hydrochemical variations from contrasting landscapes during storm events. During the winter of 2013/2014, the United Kingdom experienced a succession of intense storm events, where the south of the country experienced 200% of the average rainfall, resulting in widespread flooding across the Thames basin. We applied high-frequency (15 minute resolution) water quality monitoring across ten contrasting subcatchments (including rural, urban and mixed land-use catchments), seeking to classify the disparity in water quality conditions both within- and between events. Rural catchments increasingly behave like "urban" catchments as soils wet up and become increasingly responsive to subsequent events, however water quality response during the winter months remains limited. By contrast, increasingly urban catchments yield greater contaminant loads during events, and pre-event baseline chemistry highlights a resupply source in dense urban catchments. Wastewater treatment plants were shown to dominate baseline chemistry during low-flow events but also yield a considerable impact on stormwater outputs during peak-flow events, as hydraulic push results in the outflow of untreated solid wastes into the river system. Results are discussed in the context of water quality policy; urban growth scenarios and BMP for stormwater runoff in contrasting landscapes.

76 FR 30987 - Termination of Action and Further Monitoring in Connection With the EC-Beef Hormones Dispute

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-27

... Connection With the EC-Beef Hormones Dispute AGENCY: Office of the United States Trade Representative. ACTION... Hormones dispute. In January 2009, the Trade Representative announced a determination to modify the list of...) in the EC-Beef Hormones dispute. The MOU provides for the EU to make phased increases in market...

Detecting long-term vegetation change in an arid rangeland ecosystem: Investigating effects of spatial image support within satellite time-series

USDA-ARS?s Scientific Manuscript database

Arid rangelands within the southwestern United States have been severely degraded over the past century due to intensive land-use practices (e.g., livestock overgrazing, recreation) and the increasing effects of drought and climate change. Consequently, there is a critical need to develop monitoring...

Monitoring tree secies diversity over large spatial and temporal scales

Treesearch

James F. Rosson; Clifford C. Amundsen

2004-01-01

The prospect of decline in biological diversity has become a central concern in the life sciences, both around the world and across the United States. Anthropogenic disturbance has been identified as a major factor affecting species diversity trends. An increase in the harvesting of naturally diverse timber stands in the South has become an important issue. The...

Mapping, Measuring and Monitoring Achievement: Can a New Evaluation Framework Help Schools Challenge Inequalities?

ERIC Educational Resources Information Center

McCluskey, Gillean

2017-01-01

While mainstream schools have seen an increasing focus on performance and attainment in recent years, this focus has often been resisted by special and alternative educational provision in the United Kingdom. However, concern is now growing about the low levels of achievement for children and young people educated outside mainstream schools. This…

Plateau Waves of Intracranial Pressure and Multimodal Brain Monitoring.

PubMed

Dias, Celeste; Maia, Isabel; Cerejo, Antonio; Smielewski, Peter; Paiva, José-Artur; Czosnyka, Marek

2016-01-01

The aim of this study was to describe multimodal brain monitoring characteristics during plateau waves of intracranial pressure (ICP) in patients with head injury, using ICM+ software for continuous recording. Plateau waves consist of an abrupt elevation of ICP above 40 mmHg for 5-20 min. This is a prospective observational study of patients with head injury who were admitted to a neurocritical care unit and who developed plateau waves. We analyzed 59 plateau waves that occurred in 8 of 18 patients (44 %). At the top of plateau waves arterial blood pressure remained almost constant, but cerebral perfusion pressure, cerebral blood flow, brain tissue oxygenation, and cerebral oximetry decreased. After plateau waves, patients with a previously better autoregulation status developed hyperemia, demonstrated by an increase in cerebral blood flow and brain oxygenation. Pressure and oxygen cerebrovascular reactivity indexes (pressure reactivity index and ORxshort) increased significantly during the plateau wave as a sign of disruption of autoregulation. Bedside multimodal brain monitoring is important to characterize increases in ICP and give differential diagnoses of plateau waves, as management of this phenomenon differs from that of regular ICP.

Occupational lead poisoning: can it be eliminated?

PubMed

Kaufman, J D; Burt, J; Silverstein, B

1994-11-01

The continued occurrence of occupational lead poisoning and overexposure in the United States represents a serious challenge to the occupational health community. We outline a proposed action strategy which integrates case-based surveillance, hazard surveillance, increased requirements for biological monitoring, and targeted educational activities, with a goal of eliminating occupational lead poisoning. The system provides a simple mechanism for monitoring compliance in lead-using employers, in order to identify employers for enforcement action. Lead poisoning should be viewed as an eradicable condition; successfully solving the persistent lead overexposure problem can serve as a model for approaching other occupational diseases.

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education--2003.

PubMed

Pedersen, Craig A; Schneider, Philip J; Scheckelhoff, Douglas J

2004-03-01

Results of the 2003 ASHP national survey of pharmacy practice in hospital settings that pertain to monitoring and patient education are presented. A stratified random sample of pharmacy directors at 1173 general and children's medical-surgical hospitals in the United States was surveyed by mail. SMG Marketing Group, Inc., supplied data on hospital characteristics; the survey sample was drawn from SMG's hospital database. The response rate was 47.1%. Virtually all hospitals (95.3%) had pharmacists regularly monitoring medication therapy in some capacity. Patient monitoring has improved since 2000; fewer respondents reported monitoring less than 25% of patients in the hospital, and most hospitals reported an increase in the amount of time pharmacists devoted to monitoring activities. Pharmacists were provided computer access to laboratory information in 78% of hospitals to facilitate this function. Detection and reporting of adverse drug events (ADEs) have substantially increased since 1999, with an increase of 42% in events reported internally. Strategies to improve ADE reporting were in place in 84% of hospitals, indicating that pharmacists are adopting the widely recommended philosophy of learning from errors. Errors were less widely reported externally, limiting the value of aggregated data for improving the medication-use process. Most hospitals (85.5%) had an interprofessional infrastructure in place to discuss and learn from voluntary reports of ADEs. Medication counseling continued to be relatively infrequent, with nearly three fourths of hospitals reporting fewer than 26% of inpatients received medication education. Pharmacist staffing in hospitals has risen significantly, from an average of 8.6 full-time equivalents (FTEs) in 2002 to 9.4 FTEs per hospital. Vacancy rates for pharmacists decreased from 7.3% in 2002 to 43%. It is now estimated that there are 1846 vacancies in hospital pharmacies. Notable improvements in hospital pharmacy practice have been made. The percentage of patients whose medication therapy is monitored by pharmacists has increased, and most hospitals reported that the amount of time pharmacists spent monitoring patients' medication therapy had increased. Internal and external reporting of ADEs has increased, and pharmacist vacancies have decreased from 2002. Staffing has also improved, suggesting an abatement of the critical shortage of pharmacists in the hospital setting.

Sustainable Seas Student Monitoring Project at the Branson School in Ross, CA

NASA Astrophysics Data System (ADS)

Rainsford, A.; Soave, K.; Costolo, R.; Kudler, J.; Emunah, M.; Hatfield, J.; Kiyasu, J.

2015-12-01

Alina Rainsford, Kathy Soave, Julia Kudler, Jane Hatfield, Melea Emunah, Rose Costelo, Jenna Kiyasu, Amy Dean and Sustainable Seas Monitoring Project, Branson School, Ross, CA, United States, Farallones Marine Sanctuary Association, San Francisco, CA, United StatesAbstract:The Sustainable Seas Student Monitoring Project at the Branson School in Ross, CA has monitored Duxbury Reef in Bolinas, CA since 1999, in cooperation with the Farallones Marine Sanctuary Association and the Gulf of Farallones National Marine Sanctuary. Goals of this student-run project include: 1) To monitor the rocky intertidal habitat and develop a baseline database of invertebrates and algal density and abundance; 2) To contribute to the conservation of the rocky intertidal habitat through education of students and visitors about intertidal species; 3) To increase stewardship in the Gulf of the Farallones National Marine Sanctuary; and 4) To contribute abundance and population data on key algae and invertebrate species to the national database, LiMPETS (Long Term Monitoring Program & Experiential Training for Students). Each fall student volunteers complete an intensive training course on the natural history of intertidal invertebrates and algae, identification of key species, rocky intertidal monitoring techniques, and history of the sanctuary. Students identify and count key invertebrate and algae species along two permanent transects and, using randomly determined points, within two permanent 200 m2 areas, in fall, winter, and late spring. Using data from the previous years, we will compare population densities, seasonal abundance and long-term population trends of key algal and invertebrate species, including Tegula funebralis, Anthopluera elegantissima, Cladophora sp. and Fucus sp.. Future analyses and investigations will include intertidal abiotic factors (including water temperature, pH and human foot-traffic) to enhance insights into the Duxbury Reef ecosystem, in particular, the high and mid-intertidal zones experiencing the greatest amount of human impacts.

Enhanced central venous catheter bundle for pediatric parenteral-dependent intestinal failure.

PubMed

Ormsby, Jennifer A; Bukoye, Bola; Lajoie, Debra; Shermont, Herminia; Martin, Lisa; Leger, Kierrah; Mahoney, Judy; Potter-Bynoe, Gail; Carpenter, Jane; Ozonoff, Al; Lee, Grace M

2018-05-16

Central line-associated bloodstream infections (CLABSIs) cause substantial morbidity and increase antimicrobial use and length of stay among hospitalized children in the United States. CLABSI occurs more frequently among high-risk pediatric patients, such as those with intestinal failure (IF) who are parenteral nutrition (PN) dependent. Following an increase in CLABSI rates, a quality improvement (QI) initiative was implemented. Using QI methodology, an enhanced central venous catheter (CVC) maintenance bundle was developed and implemented on 2 units for pediatric PN-dependent patients with IF. CLABSI rates were prospectively monitored pre- and postimplementation, and bundle element adherence was monitored. Enhanced bundle elements included chlorhexidine-impregnated patch, daily bathing, ethanol locks, 2 nurses for CVC care in a distraction-free zone, peripheral laboratory draws, bundling routine laboratory tests, and PN administration set changes every 24 hours. Adherence to enhanced bundle elements increased to >90% over 3 months. CLABSI rates averaged 1.41 per 1,000 central line days preimplementation compared with 0.40 per 1,000 device days postimplementation (P = .003), an 85% absolute reduction in CLABSI rates over 12 months. Patients with IF are at an increased risk for CLABSI. Enhanced CVC maintenance bundles that specifically target prevention practices in this population may be beneficial. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Factors influencing the growth of Salmonella during sprouting of naturally contaminated alfalfa seeds.

PubMed

Fu, Tong-Jen; Reineke, Karl F; Chirtel, Stuart; VanPelt, Olif M

2008-05-01

In this study, the factors that affect Salmonella growth during sprouting of naturally contaminated alfalfa seeds associated with two previous outbreaks of salmonellosis were examined. A minidrum sprouter equipped with automatic irrigation and rotation systems was built to allow sprouting to be conducted under conditions similar to those used commercially. The growth of Salmonella during sprouting in the minidrum was compared with that observed in sprouts grown in glass jars under conditions commonly used at home. The level of Salmonella increased by as much as 4 log units after 48 h of sprouting in jars but remained constant during the entire sprouting period in the minidrum. The effect of temperature and irrigation frequency on Salmonella growth was examined. Increasing the sprouting temperature from 20 to 30 degrees C increased the Salmonella counts by as much as 2 log units on sprouts grown both in the minidrum and in the glass jars. Decreasing the irrigation frequency from every 20 min to every 2 h during sprouting in the minidrum or from every 4 h to every 24 h during sprouting in the glass jars resulted in an approximately 2-log increase in Salmonella counts. The levels of total aerobic mesophilic bacteria, coliforms, and Salmonella in spent irrigation water closely reflected those found in sprouts, confirming that monitoring of spent irrigation water is a good way to monitor pathogen levels during sprouting.

Water Quality Monitoring: An Environmental Studies Unit for Biology 20/30. Teacher's Guide.

ERIC Educational Resources Information Center

Alberta Environment, Edmonton. Environmental Education Resources Branch.

The objective of this environmental studies unit is to establish a water quality monitoring project for high school students in Alberta while simultaneously providing a unit which meets the objectives of the Biology 20 program (and which may also be used in Biology 10 and 30). Through this project, students assist in the collection,…

Water Quality Monitoring: An Environmental Studies Unit for Biology 20/30. Student Manual.

ERIC Educational Resources Information Center

Alberta Environment, Edmonton. Environmental Education Resources Branch.

The objective of this environmental studies unit is to establish a water quality monitoring project for high school students in Alberta while simultaneously providing a unit which meets the objectives of the Biology 20 program (and which may also be used in Biology 10 and 30). Through this project, students assist in the collection,…

Global case management: Scotland. Real-time monitoring of patient flow as an instrument to optimize quality of care in acute receiving units.

PubMed

Thuemmler, Christoph; Morris, Carole

2005-01-01

Recent audits within our hospital suggest that especially during peak phases the patient flow from our acute admission units downstream into hospital beds is not directed in the most efficient way and patients may be placed inappropriately. This inevitably causes time delays and potentially increases the risk of malpractice as patients have to spend an extended period of time in admission areas with a high workload and very busy staff. Using latest information technology, such as wireless local area networks and handheld devices, can improve the efficiency of patient management and can increase the quality of care by helping to avoid unnecessary treatment delays in overcrowded admission areas.

Modern trends in infection control practices in intensive care units.

PubMed

Gandra, Sumanth; Ellison, Richard T

2014-01-01

Hospital-acquired infections (HAIs) are common in intensive care unit (ICU) patients and are associated with increased morbidity and mortality. There has been an increasing effort to prevent HAIs, and infection control practices are paramount in avoiding these complications. In the last several years, numerous developments have been seen in the infection prevention strategies in various health care settings. This article reviews the modern trends in infection control practices to prevent HAIs in ICUs with a focus on methods for monitoring hand hygiene, updates in isolation precautions, new methods for environmental cleaning, antimicrobial bathing, prevention of ventilator-associated pneumonia, central line-associated bloodstream infections, catheter-associated urinary tract infections, and Clostridium difficile infection. © The Author(s) 2013.

Integration of strategic inventory and monitoring programs for the forest lands, wood lands, range lands and agricultural lands of the United States

Treesearch

Raymond L. Czaplewski

1999-01-01

The United States Department of Agriculture uses the Forest Inventory and Analysis (FIA) program to monitor the nation's forests and wood lands, and the National Resources Inventory (NRI) program to monitor the nation's agricultural and range lands. Although their measurement methods and sampling frames are very different, both programs are developing annual...

Is the caesarean section rate a performance indicator of an obstetric unit?

PubMed

Singh, Ruchi; Nath Trivedi, Amarendra

2011-02-01

The indications of caesarean section are increasing. The need to respect maternal desire in the decision making has been supported by law and ethics. Some of the other contributors to the increasing caesarean section rate are breech with failed external cephalic version, decreasing rate of trial of scar, increasing induction rate and electronic fetal heart rate monitoring and changing demography. Despite the adverse effects of caesarean section, the incidence of severe morbidity and mortality is low. The strategies put forward to reduce the caesarean section rate (CSR) have not been effective and in no country or province, the CSR has come down. CSR should not be looked at in isolation or as high or low. It is the product of changing obstetric practice and societal norms and demographics. CSR not reflect the performance of a maternity unit.

A facility-wide approach to recreation programming for adults who are severely and profoundly retarded.

PubMed

Burch, M R; Reiss, M; Bailey, J S

1985-01-01

A facility-wide recreation program was designed and implemented in order to increase staff and client participation in daily leisure activities at an intermediate care facility for severely and profoundly mentally retarded adults. The baseline phase of the study consisted of having recreational materials available during scheduled recreation periods. The treatment was a package program consisting of (1) providing the staff with preplanned materials and activities, (2) assigning staff to specific roles, and (3) monitoring staff and providing feedback by supervisors. The treatment was implemented on the two living units of the Liberty Intermediate Care Facility. Treatment effects were similar on both units. Client participation increased from a baseline average of less than 10% to nearly 50% and staff participation increased from less than 10% to an average of 60% during program implementation.

The Evolution of Teleophthalmology Programs in the United Kingdom: Beyond Diabetic Retinopathy Screening.

PubMed

Sim, Dawn A; Mitry, Danny; Alexander, Philip; Mapani, Adam; Goverdhan, Srini; Aslam, Tariq; Tufail, Adnan; Egan, Catherine A; Keane, Pearse A

2016-02-01

Modern ophthalmic practice in the United Kingdom is faced by the challenges of an aging population, increasing prevalence of systemic pathologies with ophthalmic manifestations, and emergent treatments that are revolutionary but dependent on timely monitoring and diagnosis. This represents a huge strain not only on diagnostic services but also outpatient management and surveillance capacity. There is an urgent need for newer means of managing this surge in demand and the socioeconomic burden it places on the health care system. Concurrently, there have been exponential increases in computing power, expansions in the strength and ubiquity of communications technologies, and developments in imaging capabilities. Advances in imaging have been not only in terms of resolution, but also in terms of anatomical coverage, allowing new inferences to be made. In spite of this, image analysis techniques are still currently superseded by expert ophthalmologist interpretation. Teleophthalmology is therefore currently perfectly placed to face this urgent and immediate challenge of provision of optimal and expert care to remote and multiple patients over widespread geographical areas. This article reviews teleophthalmology programs currently deployed in the United Kingdom, focusing on diabetic eye care but also discussing glaucoma, emergency eye care, and other retinal diseases. We examined current programs and levels of evidence for their utility, and explored the relationships between screening, teleophthalmology, disease detection, and monitoring before discussing aspects of health economics pertinent to diabetic eye care. The use of teleophthalmology presents an immense opportunity to manage the steadily increasing demand for eye care, but challenges remain in the delivery of practical, viable, and clinically proven solutions. © 2016 Diabetes Technology Society.

The Evolution of Teleophthalmology Programs in the United Kingdom

PubMed Central

Sim, Dawn A.; Mitry, Danny; Alexander, Philip; Mapani, Adam; Goverdhan, Srini; Aslam, Tariq; Tufail, Adnan; Egan, Catherine A.; Keane, Pearse A.

2016-01-01

Modern ophthalmic practice in the United Kingdom is faced by the challenges of an aging population, increasing prevalence of systemic pathologies with ophthalmic manifestations, and emergent treatments that are revolutionary but dependent on timely monitoring and diagnosis. This represents a huge strain not only on diagnostic services but also outpatient management and surveillance capacity. There is an urgent need for newer means of managing this surge in demand and the socioeconomic burden it places on the health care system. Concurrently, there have been exponential increases in computing power, expansions in the strength and ubiquity of communications technologies, and developments in imaging capabilities. Advances in imaging have been not only in terms of resolution, but also in terms of anatomical coverage, allowing new inferences to be made. In spite of this, image analysis techniques are still currently superseded by expert ophthalmologist interpretation. Teleophthalmology is therefore currently perfectly placed to face this urgent and immediate challenge of provision of optimal and expert care to remote and multiple patients over widespread geographical areas. This article reviews teleophthalmology programs currently deployed in the United Kingdom, focusing on diabetic eye care but also discussing glaucoma, emergency eye care, and other retinal diseases. We examined current programs and levels of evidence for their utility, and explored the relationships between screening, teleophthalmology, disease detection, and monitoring before discussing aspects of health economics pertinent to diabetic eye care. The use of teleophthalmology presents an immense opportunity to manage the steadily increasing demand for eye care, but challenges remain in the delivery of practical, viable, and clinically proven solutions. PMID:26830492

Electronic fetal heart rate monitoring and its relationship to neonatal and infant mortality in the United States.

PubMed

Chen, Han-Yang; Chauhan, Suneet P; Ananth, Cande V; Vintzileos, Anthony M; Abuhamad, Alfred Z

2011-06-01

To examine the association between electronic fetal heart rate monitoring and neonatal and infant mortality, as well as neonatal morbidity. We used the United States 2004 linked birth and infant death data. Multivariable log-binomial regression models were fitted to estimate risk ratio for association between electronic fetal heart rate monitoring and mortality, while adjusting for potential confounders. In 2004, 89% of singleton pregnancies had electronic fetal heart rate monitoring. Electronic fetal heart rate monitoring was associated with significantly lower infant mortality (adjusted relative risk, 0.75); this was mainly driven by the lower risk of early neonatal mortality (adjusted relative risk, 0.50). In low-risk pregnancies, electronic fetal heart rate monitoring was associated with decreased risk for Apgar scores <4 at 5 minutes (relative risk, 0.54); in high-risk pregnancies, with decreased risk of neonatal seizures (relative risk, 0.65). In the United States, the use of electronic fetal heart rate monitoring was associated with a substantial decrease in early neonatal mortality and morbidity that lowered infant mortality. Copyright © 2011 Mosby, Inc. All rights reserved.

Measuring Time-Averaged Blood Pressure

NASA Technical Reports Server (NTRS)

Rothman, Neil S.

1988-01-01

Device measures time-averaged component of absolute blood pressure in artery. Includes compliant cuff around artery and external monitoring unit. Ceramic construction in monitoring unit suppresses ebb and flow of pressure-transmitting fluid in sensor chamber. Transducer measures only static component of blood pressure.

Exploding Head Syndrome in the Epilepsy Monitoring Unit: Case Report and Literature Review.

PubMed

Gillis, Kara; Ng, Marcus C

2017-01-01

Diagnosis of paroxysmal events in epilepsy patients is often made through video-telemetry electroencephalography in the epilepsy monitoring unit. This case report describes the first-ever diagnosis of exploding head syndrome in a patient with longstanding epilepsy and novel nocturnal events. In this report, we describe the presentation of exploding head syndrome and its prevalence and risk factors. In addition, the prevalence of newly diagnosed sleep disorders through video-telemetry electroencephalography in the epilepsy monitoring unit is briefly reviewed. This report also illustrates the novel use of clobazam for the treatment of exploding head syndrome.

Helium gas purity monitor based on low frequency acoustic resonance

NASA Astrophysics Data System (ADS)

Kasthurirengan, S.; Jacob, S.; Karunanithi, R.; Karthikeyan, A.

1996-05-01

Monitoring gas purity is an important aspect of gas recovery stations where air is usually one of the major impurities. Purity monitors of Katherometric type are commercially available for this purpose. Alternatively, we discuss here a helium gas purity monitor based on acoustic resonance of a cavity at audio frequencies. It measures the purity by monitoring the resonant frequency of a cylindrical cavity filled with the gas under test and excited by conventional telephone transducers fixed at the ends. The use of the latter simplifies the design considerably. The paper discusses the details of the resonant cavity and the electronic circuit along with temperature compensation. The unit has been calibrated with helium gas of known purities. The unit has a response time of the order of 10 minutes and measures the gas purity to an accuracy of 0.02%. The unit has been installed in our helium recovery system and is found to perform satisfactorily.

Physiologic Monitor Alarm Rates at 5 Children's Hospitals.

PubMed

Schondelmeyer, Amanda C; Brady, Patrick W; Goel, Veena V; Cvach, Maria; Blake, Nancy; Mangeot, Colleen; Bonafide, Christopher P

2018-06-01

Alarm fatigue has been linked to patient morbidity and mortality in hospitals due to delayed or absent responses to monitor alarms. We sought to describe alarm rates at 5 freestanding children's hospitals during a single day and the types of alarms and proportions of patients monitored by using a point-prevalence, cross-sectional study design. We collected audible alarms on all inpatient units and calculated overall alarm rates and rates by alarm type per monitored patient per day. We found a total of 147,213 alarms during the study period, with 3-fold variation in alarm rates across hospitals among similar unit types. Across hospitals, onequarter of monitored beds were responsible for 71%, 61%, and 63% of alarms in medical-surgical, neonatal intensive care, and pediatric intensive care units, respectively. Future work focused on addressing nonactionable alarms in patients with the highest alarm counts may decrease alarm rates. © 2018 Society of Hospital Medicine.

Do you think you have what it takes to set up a long-term video monitoring unit?

PubMed

Smith, Sheila L

2006-03-01

The single most important factor when setting up a long-term video monitoring unit is research. Research all vendors by traveling to other sites and calling other facilities. Considerations with equipment include the server, acquisition units, review units, cameras, software, and monitors as well as other factors including Health Insurance Portability and Accountability Act (HIPAA) compliance. Research customer support including both field and telephone support. Involve your Clinical Engineering Department in your investigations. Be sure to obtain warranty information. Researching placement of the equipment is essential. Communication with numerous groups is vital. Administration, engineers, clinical engineering, physicians, infection control, environmental services, house supervisors, security, and all involved parties should be involved in the planning.

US Environmental rotection Agency's strategy for ground-water-quality monitoring at hazardous-waste land-disposal facilities located in karst terranes

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

Field, M.S.

1988-11-01

Ground-water monitoring of hazardous-waste land-disposal units by a network of wells is ineffective when located in karstic terranes. The U.S. Environmental Protection Agency (EPA) is currently proposing to modify its current ground-water-quality monitoring requirement of one upgradient well and three downgradient wells for disposal units located in karstic terranes. The convergent nature of subsurface flow to cave streams in karstic terranes requires that effective monitoring wells intercept the cave streams. Wells located around a hazardous-waste disposal unit, but not in the specific cave stream draining the site, are only providing irrelevant data and a false sense of security because themore » water samples from such wells are not necessarily from the hazardous-waste disposal unit. A case study is provided in this paper. EPA is drafting a guidance document that will allow monitoring by wells, only if the up- and down-gradient wells can be demonstrated to be hydraulically connected by means of dye-trace studies. If not, then the monitoring of springs shown to be hydraulically connected to the facility by dye-tracing studies would be required. Monitoring for sinkhole development will also be required to provide advance warning of sinkhole collapse. The investigation and determination of the probability of sinkhole collapse is given special treatment.« less

Multi-terminal remote monitoring and warning system using Micro Air Vehicle for dangerous environment

NASA Astrophysics Data System (ADS)

Yu, Yanan; Wang, Xiaoxun; He, Chengcheng; Lai, Chenlong; Liu, Yuanchao

2015-11-01

For overcoming the problems such as remote operation and dangerous tasks, multi-terminal remote monitoring and warning system based on STC89C52 Micro Control Unit and wireless communication technique was proposed. The system with MCU as its core adopted multiple sets of sensor device to monitor environment parameters of different locations, such as temperature, humidity, smoke other harmful gas concentration. Data information collected was transmitted remotely by wireless transceiver module, and then multi-channel data parameter was processed and displayed through serial communication protocol between the module and PC. The results of system could be checked in the form of web pages within a local network which plays a wireless monitoring and warning role. In a remote operation, four-rotor micro air vehicle which fixed airborne data acquisition device was utilized as a middleware between collecting terminal and PC to increase monitoring scope. Whole test system has characteristics of simple construction, convenience, real time ability and high reliability, which could meet the requirements of actual use.

Design of smart neonatal health monitoring system using SMCC

PubMed Central

Mukherjee, Anwesha; Bhakta, Ishita

2016-01-01

Automated health monitoring and alert system development is a demanding research area today. Most of the currently available monitoring and controlling medical devices are wired which limits freeness of working environment. Wireless sensor network (WSN) is a better alternative in such an environment. Neonatal intensive care unit is used to take care of sick and premature neonates. Hypothermia is an independent risk factor for neonatal mortality and morbidity. To prevent it an automated monitoring system is required. In this Letter, an automated neonatal health monitoring system is designed using sensor mobile cloud computing (SMCC). SMCC is based on WSN and MCC. In the authors’ system temperature sensor, acceleration sensor and heart rate measurement sensor are used to monitor body temperature, acceleration due to body movement and heart rate of neonates. The sensor data are stored inside the cloud. The health person continuously monitors and accesses these data through the mobile device using an Android Application for neonatal monitoring. When an abnormal situation arises, an alert is generated in the mobile device of the health person. By alerting health professional using such an automated system, early care is provided to the affected babies and the probability of recovery is increased. PMID:28261491

Design of smart neonatal health monitoring system using SMCC.

PubMed

De, Debashis; Mukherjee, Anwesha; Sau, Arkaprabha; Bhakta, Ishita

2017-02-01

Automated health monitoring and alert system development is a demanding research area today. Most of the currently available monitoring and controlling medical devices are wired which limits freeness of working environment. Wireless sensor network (WSN) is a better alternative in such an environment. Neonatal intensive care unit is used to take care of sick and premature neonates. Hypothermia is an independent risk factor for neonatal mortality and morbidity. To prevent it an automated monitoring system is required. In this Letter, an automated neonatal health monitoring system is designed using sensor mobile cloud computing (SMCC). SMCC is based on WSN and MCC. In the authors' system temperature sensor, acceleration sensor and heart rate measurement sensor are used to monitor body temperature, acceleration due to body movement and heart rate of neonates. The sensor data are stored inside the cloud. The health person continuously monitors and accesses these data through the mobile device using an Android Application for neonatal monitoring. When an abnormal situation arises, an alert is generated in the mobile device of the health person. By alerting health professional using such an automated system, early care is provided to the affected babies and the probability of recovery is increased.

OXIDIZED NITROGEN DEPOSITION IN THE EASTERN UNITED STATES

EPA Science Inventory

Air quality and selected meteorological parameters have been monitored at rural sites in the United States (US) by EPA's Clean Air Status and Trends Network, (CASTNet) sites. The National Atmospheric Deposition Program (NADP) monitors wet deposition of numerous ions in precip...

Technical note: Development of a self-contained, indwelling rectal temperature probe for cattle research.

PubMed

Reuter, R R; Carroll, J A; Hulbert, L E; Dailey, J W; Galyean, M L

2010-10-01

A device was developed to monitor rectal temperature automatically in cattle for application in research settings. Compared with manual measurement of rectal temperature, this device decreases labor and time requirements and allows data collection without the influence of animal handling or restraint. The device consists of a custom-fabricated aluminum tail harness that supports an indwelling rectal temperature data logger. Materials cost approximately US $300 per unit, and units are completely reusable. Use of this device would increase the conditions under which accurate rectal temperature measurements can be obtained in experiments with cattle.

Intelligent MONitoring System for antiviral pharmacotherapy in patients with chronic hepatitis C (SiMON-VC).

PubMed

Margusino-Framiñán, Luis; Cid-Silva, Purificación; Mena-de-Cea, Álvaro; Sanclaudio-Luhía, Ana Isabel; Castro-Castro, José Antonio; Vázquez-González, Guillermo; Martín-Herranz, Isabel

2017-01-01

Two out of six strategic axes of pharmaceutical care in our hospital are quality and safety of care, and the incorporation of information technologies. Based on this, an information system was developed in the outpatient setting for pharmaceutical care of patients with chronic hepatitis C, SiMON-VC, which would improve the quality and safety of their pharmacotherapy. The objective of this paper is to describe requirements, structure and features of Si- MON-VC. Requirements demanded were that the information system would enter automatically all critical data from electronic clinical records at each of the visits to the Outpatient Pharmacy Unit, allowing the generation of events and alerts, documenting the pharmaceutical care provided, and allowing the use of data for research purposes. In order to meet these requirements, 5 sections were structured for each patient in SiMON-VC: Main Record, Events, Notes, Monitoring Graphs and Tables, and Follow-up. Each section presents a number of tabs with those coded data needed to monitor patients in the outpatient unit. The system automatically generates alerts for assisted prescription validation, efficacy and safety of using antivirals for the treatment of this disease. It features a completely versatile Indicator Control Panel, where temporary monitoring standards and alerts can be set. It allows the generation of reports, and their export to the electronic clinical record. It also allows data to be exported to the usual operating systems, through Big Data and Business Intelligence. Summing up, we can state that SiMON-VC improves the quality of pharmaceutical care provided in the outpatient pharmacy unit to patients with chronic hepatitis C, increasing the safety of antiviral therapy. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

Geophysical data collected during the 2014 minute 319 pulse flow on the Colorado River below Morelos Dam, United States and Mexico

USGS Publications Warehouse

Kennedy, Jeffrey R.; Callegary, James B.; Macy, Jamie P.; Reyes-Lopez, Jaime; Pérez-Flores, Marco

2017-05-09

Geophysical methods were used to monitor infiltration during a water release, referred to as a “pulse flow,” in the Colorado River delta in March and April 2014. The pulse flow was enabled by Minute 319 of the 1944 United States–Mexico Treaty concerning water of the Colorado River. Fieldwork was carried out by the U.S. Geological Survey and the Centro de Investigación Científica y de Educación Superior de Ensenada as part of a binational effort to monitor the hydrologic effects of the pulse flow along the limitrophe (border) reach of the Colorado River and into Mexico. Repeat microgravity measurements were made at 25 locations in the southern limitrophe reach to quantify aquifer storage change during the pulse flow. Observed increases in storage along the river were greater with distance to the south, and the amount of storage change decreased away from the river channel. Gravity data at four monitoring well sites indicate specific yield equal to 0.32±0.05. Electromagnetic induction methods were used at 12 transects in the limitrophe reach of the river along the United States– Mexico border, and farther south into Mexico. These data, which are sensitive to variation in soil texture and water content, suggest relatively homogeneous conditions. Repeat direct-current resistivity measurements were collected at two locations to monitor groundwater elevation. Results indicate rapid groundwater-level rise during the pulse flow in the limitrophe reach and smaller variation at a more southern transect. Together, these data are useful for hydrogeologic characterization and hydrologic model development. Electronic data files are provided in the accompanying data release (Kennedy and others, 2016a).

A review of traffic-related air pollution exposure assessment studies in the developing world.

PubMed

Han, Xianglu; Naeher, Luke P

2006-01-01

Exposure assessment studies in the developing world are important. Although recent years have seen an increasing number of traffic-related pollution exposure studies, exposure assessment data on this topic are still limited. Differences among measuring methods and a lack of strict quality control in carrying out exposure assessment make it difficult to generalize and compare findings between studies. In this article, exposure assessment studies carried out in the developing world on several traffic-related air pollutants are reviewed. These pollutants include particulate matter (PM), carbon monoxide (CO), nitrogen dioxide (NO(2)), volatile organic compounds (VOCs), and polycyclic aromatic hydrocarbons (PAHs). In addition, it discusses advantages and disadvantages of various monitoring methods (ambient fixed-site monitoring, microenvironment monitoring, and personal exposure assessment using portable samplers) for these pollutants in exposure assessment studies. Also included in this paper is a brief introduction of standards for these pollutants in ambient air or in occupational settings established by the United States Environmental Protection Agency (USEPA), the United States Occupational Safety and Health Administration (OSHA) and the World Health Organization (WHO). The review ends with a summary of the limitations and gaps in recent studies and suggestions for future research in the developing world.

Miniaturized, on-head, invasive electrode connector integrated EEG data acquisition system.

PubMed

Ives, John R; Mirsattari, Seyed M; Jones, D

2007-07-01

Intracranial electroencephalogram (EEG) monitoring involves recording multi-contact electrodes. The current systems require separate wires from each recording contact to the data acquisition unit resulting in many connectors and cables. To overcome limitations of such systems such as noise, restrictions in patient mobility and compliance, we developed a miniaturized EEG monitoring system with the amplifiers and multiplexers integrated into the electrode connectors and mounted on the head. Small, surface-mounted instrumentation amplifiers, coupled with 8:1 analog multiplexers, were assembled into 8-channel modular units to connect to 16:1 analog multiplexer manifold to create a small (55 cm(3)) head-mounted 128-channel system. A 6-conductor, 30 m long cable was used to transmit the EEG signals from the patient to the remote data acquisition system. Miniaturized EEG amplifiers and analog multiplexers were integrated directly into the electrode connectors. Up to 128-channels of EEG were amplified and analog multiplexed directly on the patient's head. The amplified EEG data were obtained over one long wire. A miniaturized system of invasive EEG recording has the potential to reduce artefact, simplify trouble-shooting, lower nursing care and increase patient compliance. Miniaturization technology improves intracranial EEG monitoring and leads to >128-channel capacity.

Dissolved organic nitrogen budgets for upland, forested ecosystems in New England

Treesearch

John L. Campbell; James W. Hornbeck; William H. McDowell; Donald C. Buso; James B. Shanley; Gene E. Likens

2000-01-01

Relatively high deposition of nitrogen (N) in the northeastern United States has caused concern because sites could become N saturated. In the past, mass-balance studies have been used to monitor the N status of sites and to investigate the impact of increased N deposition. Typically, these efforts have focused on dissolved inorganic forms of N (DIN = NH4-...

Short-term ecological consequences of collaborative restoration treatments in ponderosa pine forests of Colorado

Treesearch

Jennifer S. Briggs; Paula J. Fornwalt; Jonas A. Feinstein

2017-01-01

Ecological restoration treatments are being implemented at an increasing rate in ponderosa pine and other dry conifer forests across the western United States, via the USDA Forest Service’s Collaborative Forest Landscape Restoration (CFLR) program. In this program, collaborative stakeholder groups work with National Forests (NFs) to adaptively implement and monitor...

Theater Blood Application Was Not Effectively Developed and Implemented

DTIC Science & Technology

2015-07-17

blood product by unit; and • monitor non- Food and Drug Administration Blood Product Testing. The CONOPS document also identified over 400 specific...time of a transfusion. However, this requirement was not identified in the CONOPS document. Further, PEO DHCS officials provided a traceability ...the CONOPS document, requirements management database, and the traceability matrix increased the risk that the Theater Blood Application

Comparison of methods for estimating bird abundance and trends from historical count data

Treesearch

Frank R. Thompson; Frank A. La Sorte

2008-01-01

The use of bird counts as indices has come under increasing scrutiny because assumptions concerning detection probabilities may not be met, but there also seems to be some resistance to use of model-based approaches to estimating abundance. We used data from the United States Forest Service, Southern Region bird monitoring program to compare several common approaches...

Characterization of storm flow dynamics of headwater streams in the South Carolina lower coastal plain

Treesearch

Thomas H. Epps; Daniel R. Hitchcock; Anand D. Jayakaran; Drake R. Loflin; Thomas M. Williams; Devendra M. Amatya

2013-01-01

Hydrologic monitoring was conducted in two first-order lower coastal plain watersheds in South Carolina, United States, a region with increasing growth and land use change. Storm events over a three-year period were analyzed for direct runoff coefficients (ROC) and the total storm response (TSR) as percent rainfall. ROC calculations utilized an empirical hydrograph...

40 CFR 60.105a - Monitoring of emissions and operations for fluid catalytic cracking units (FCCU) and fluid coking...

Code of Federal Regulations, 2012 CFR

2012-07-01

... for air leaks, torn or broken bags or filter media, or any other condition that may cause an increase... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF... nozzles must conduct a daily check of the air or water pressure to the spray nozzles and record the...

Design, development, and field demonstration of a remotely deployable water quality monitoring system

NASA Technical Reports Server (NTRS)

Wallace, J. W.; Lovelady, R. W.; Ferguson, R. L.

1981-01-01

A prototype water quality monitoring system is described which offers almost continuous in situ monitoring. The two-man portable system features: (1) a microprocessor controlled central processing unit which allows preprogrammed sampling schedules and reprogramming in situ; (2) a subsurface unit for multiple depth capability and security from vandalism; (3) an acoustic data link for communications between the subsurface unit and the surface control unit; (4) eight water quality parameter sensors; (5) a nonvolatile magnetic bubble memory which prevents data loss in the event of power interruption; (6) a rechargeable power supply sufficient for 2 weeks of unattended operation; (7) a water sampler which can collect samples for laboratory analysis; (8) data output in direct engineering units on printed tape or through a computer compatible link; (9) internal electronic calibration eliminating external sensor adjustment; and (10) acoustic location and recovery systems. Data obtained in Saginaw Bay, Lake Huron are tabulated.

Validation of a wireless modular monitoring system for structures

NASA Astrophysics Data System (ADS)

Lynch, Jerome P.; Law, Kincho H.; Kiremidjian, Anne S.; Carryer, John E.; Kenny, Thomas W.; Partridge, Aaron; Sundararajan, Arvind

2002-06-01

A wireless sensing unit for use in a Wireless Modular Monitoring System (WiMMS) has been designed and constructed. Drawing upon advanced technological developments in the areas of wireless communications, low-power microprocessors and micro-electro mechanical system (MEMS) sensing transducers, the wireless sensing unit represents a high-performance yet low-cost solution to monitoring the short-term and long-term performance of structures. A sophisticated reduced instruction set computer (RISC) microcontroller is placed at the core of the unit to accommodate on-board computations, measurement filtering and data interrogation algorithms. The functionality of the wireless sensing unit is validated through various experiments involving multiple sensing transducers interfaced to the sensing unit. In particular, MEMS-based accelerometers are used as the primary sensing transducer in this study's validation experiments. A five degree of freedom scaled test structure mounted upon a shaking table is employed for system validation.

Development of living body information monitoring system

NASA Astrophysics Data System (ADS)

Sakamoto, Hidetoshi; Ohbuchi, Yoshifumi; Torigoe, Ippei; Miyagawa, Hidekazu; Murayama, Nobuki; Hayashida, Yuki; Igasaki, Tomohiko

2010-03-01

The easy monitoring systems of contact and non-contact living body information for preventing the the Sudden Infant Death Syndrome (SIDS) were proposed as an alternative monitoring system of the infant's vital information. As for the contact monitoring system, respiration sensor, ECG electrodes, thermistor and IC signal processor were integrated into babies' nappy holder. This contact-monitoring unit has RF transmission function and the obtained data are analyzed in real time by PC. In non-contact mortaring system, the infrared thermo camera was used. The surrounding of the infant's mouth and nose is monitored and the respiration rate is obtained by thermal image processing of its temperature change image of expired air. This proposed system of in-sleep infant's vital information monitoring system and unit are very effective as not only infant's condition monitoring but also nursing person's one.

Development of living body information monitoring system

NASA Astrophysics Data System (ADS)

Sakamoto, Hidetoshi; Ohbuchi, Yoshifumi; Torigoe, Ippei; Miyagawa, Hidekazu; Murayama, Nobuki; Hayashida, Yuki; Igasaki, Tomohiko

2009-12-01

The easy monitoring systems of contact and non-contact living body information for preventing the the Sudden Infant Death Syndrome (SIDS) were proposed as an alternative monitoring system of the infant's vital information. As for the contact monitoring system, respiration sensor, ECG electrodes, thermistor and IC signal processor were integrated into babies' nappy holder. This contact-monitoring unit has RF transmission function and the obtained data are analyzed in real time by PC. In non-contact mortaring system, the infrared thermo camera was used. The surrounding of the infant's mouth and nose is monitored and the respiration rate is obtained by thermal image processing of its temperature change image of expired air. This proposed system of in-sleep infant's vital information monitoring system and unit are very effective as not only infant's condition monitoring but also nursing person's one.

Residues of organochlorine compounds in starlings (Sturnus vulgaris), 1979

USGS Publications Warehouse

Cain, B.W.; Bunck, C.M.

1983-01-01

Starlings were collected for the National Pesticides Monitoring Program from 112 sites throughout the contiguous United States and analyzed for organochlorine compounds. Starling samples from 14 sites had greater than 1.0 ppm DDE residues with the highest DDE level being 15.8 ppm in a sample taken near Roswell, New Mexico. The occurrence of PCBs and chlordane isomers increased since the 1976 collection, but DDT, and dieldrin occurrences decreased. DDE and dieldrin levels decreased since the 1976 collection, but the level of PCBs has increased

The efficacy and resource utilization of remifentanil and fentanyl in fast-track coronary artery bypass graft surgery: a prospective randomized, double-blinded controlled, multi-center trial.

PubMed

Cheng, D C; Newman, M F; Duke, P; Wong, D T; Finegan, B; Howie, M; Fitch, J; Bowdle, T A; Hogue, C; Hillel, Z; Pierce, E; Bukenya, D

2001-05-01

We compared (a) the perioperative complications; (b) times to eligibility for, and actual time of the following: extubation, less intense monitoring, intensive care unit (ICU), and hospital discharge; and (c) resource utilization of nursing ratio for patients receiving either a typical fentanyl/isoflurane/propofol regimen or a remifentanil/isoflurane/propofol regimen for fast-track cardiac anesthesia in 304 adults by using a prospective randomized, double-blinded, double-dummy trial. There were no differences in demographic data, or perioperative mortality and morbidity between the two study groups. The mini-mental status examination at postoperative Days 1 to 3 were similar between the two groups. The eligible and actual times for extubation, less intense monitoring, ICU discharge, and hospital discharge were not significantly different. Further analyses revealed no differences in times for extubation and resource utilization after stratification by preoperative risk scores, age, and country. The nurse/patient ratio was similar between the remifentanil/isoflurane/propofol and fentanyl/isoflu-rane/propofol groups during the initial ICU phase and less intense monitoring phase. Increasing preoperative risk scores and older age (>70 yr) were associated with longer times until extubation (eligible), ICU discharge (eligible and actual), and hospital discharge (eligible and actual). Times until extubation (eligible and actual) and less intense monitoring (eligible) were significantly shorter in Canadian patients than United States' patients. However, there was no difference in hospital length of stay in Canadian and United States' patients. We conclude that both anesthesia techniques permit early and similar times until tracheal extubation, less intense monitoring, ICU and hospital discharge, and reduced resource utilization after coronary artery bypass graft surgery. An ultra-short opioid technique was compared with a standard fast-track small-dose opioid technique in coronary artery bypass graft patients in a prospective randomized, double-blinded controlled study. The postoperative recovery and resource utilization, including stratification of preoperative risk score, age, and country, were analyzed.

Collection of Data on Race, Ethnicity, Language, and Nativity by US Public Health Surveillance and Monitoring Systems: Gaps and Opportunities.

PubMed

Rodriguez-Lainz, Alfonso; McDonald, Mariana; Fonseca-Ford, Maureen; Penman-Aguilar, Ana; Waterman, Stephen H; Truman, Benedict I; Cetron, Martin S; Richards, Chesley L

Despite increasing diversity in the US population, substantial gaps in collecting data on race, ethnicity, primary language, and nativity indicators persist in public health surveillance and monitoring systems. In addition, few systems provide questionnaires in foreign languages for inclusion of non-English speakers. We assessed (1) the extent of data collected on race, ethnicity, primary language, and nativity indicators (ie, place of birth, immigration status, and years in the United States) and (2) the use of data-collection instruments in non-English languages among Centers for Disease Control and Prevention (CDC)-supported public health surveillance and monitoring systems in the United States. We identified CDC-supported surveillance and health monitoring systems in place from 2010 through 2013 by searching CDC websites and other federal websites. For each system, we assessed its website, documentation, and publications for evidence of the variables of interest and use of data-collection instruments in non-English languages. We requested missing information from CDC program officials, as needed. Of 125 data systems, 100 (80%) collected data on race and ethnicity, 2 more collected data on ethnicity but not race, 26 (21%) collected data on racial/ethnic subcategories, 40 (32%) collected data on place of birth, 21 (17%) collected data on years in the United States, 14 (11%) collected data on immigration status, 13 (10%) collected data on primary language, and 29 (23%) used non-English data-collection instruments. Population-based surveys and disease registries more often collected data on detailed variables than did case-based, administrative, and multiple-source systems. More complete and accurate data on race, ethnicity, primary language, and nativity can improve the quality, representativeness, and usefulness of public health surveillance and monitoring systems to plan and evaluate targeted public health interventions to eliminate health disparities.

Continuous EEG monitoring in the intensive care unit.

PubMed

Scheuer, Mark L

2002-01-01

Continuous EEG (CEEG) monitoring allows uninterrupted assessment of cerebral cortical activity with good spatial resolution and excellent temporal resolution. Thus, this procedure provides a means of constantly assessing brain function in critically ill obtunded and comatose patients. Recent advances in digital EEG acquisition, storage, quantitative analysis, and transmission have made CEEG monitoring in the intensive care unit (ICU) technically feasible and useful. This article summarizes the indications and methodology of CEEG monitoring in the ICU, and discusses the role of some quantitative EEG analysis techniques in near real-time remote observation of CEEG recordings. Clinical examples of CEEG use, including monitoring of status epilepticus, assessment of ongoing therapy for treatment of seizures in critically ill patients, and monitoring for cerebral ischemia, are presented. Areas requiring further development of CEEG monitoring techniques and indications are discussed.

Long-Term Monitoring Network Optimization Evaluation for Operable Unit 2, Bunker Hill Mining and Metallurgical Complex Superfund Site, Idaho

EPA Pesticide Factsheets

This report presents a description and evaluation of the ground water and surface water monitoring program associated with the Bunker Hill Mining and Metallurgical Complex Superfund Site (Bunker Hill) Operable Unit (OU) 2.

Seagrass-Watch: Engaging Torres Strait Islanders in marine habitat monitoring

NASA Astrophysics Data System (ADS)

Mellors, Jane E.; McKenzie, Len J.; Coles, Robert G.

2008-09-01

Involvement in scientifically structured habitat monitoring is a relatively new concept to the peoples of Torres Strait. The approach we used was to focus on awareness, and to build the capacity of groups to participate using Seagrass-Watch as the vehicle to provide education and training in monitoring marine ecosystems. The project successfully delivered quality scientifically rigorous baseline information on the seasonality of seagrasses in the Torres Strait—a first for this region. Eight seagrass species were identified across the monitoring sites. Seagrass cover varied within and between years. Preliminary evidence indicated that drivers for seagrass variability were climate related. Generally, seagrass abundance increased during the north-west monsoon ( Kuki), possibly a consequence of elevated nutrients, lower tidal exposure times, less wind, and higher air temperatures. Low seagrass abundance coincided with the presence of greater winds and longer periods of exposure at low tides during the south-east trade wind season ( Sager). No seasonal patterns were apparent when frequency of disturbance from high sedimentation and human impacts was high. Seagrass-Watch has been incorporated in to the Thursday Island High School's Marine Studies Unit ensuring continuity of monitoring. The students, teachers, and other interested individuals involved in Seagrass-Watch have mastered the necessary scientific procedures to monitor seagrass meadows, and developed skills in coordinating a monitoring program and skills in mentoring younger students. This has increased the participants' self-esteem and confidence, and given them an insight into how they may participate in the future management of their sea country.

Atmospheric Radiation Measurement program facilities newsletter, April 2002.

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

Holdridge, D. J.

The National Oceanic and Atmospheric Administration (NOAA) recently announced the development of El Nino conditions in the tropical Pacific Ocean near the South American coastline. Scientists detected a 4 F increase in the sea-surface temperatures during February. Conrad C. Lautenbacher, NOAA administrator and Under Secretary of Commerce for Oceans and Atmosphere, indicated that this warming is a sign that the Pacific Ocean is heading toward an El Nino condition. Although it is too early to predict how strong the El Nino will become or the conditions it will bring to the United States, Lautenbacher said that the country is likelymore » to feel the effects as soon as midsummer (Figure 1). During the last El Nino in 1997-1998, the United States experienced strong weather impacts. Even though researchers don't understand what causes the onset of El Nino, they do recognize what to expect once development has begun. Scientists can monitor the development of El Nino through NOAA's advanced global climate monitoring system of polar-orbiting satellites and 72 ocean buoys moored across the equator in the Pacific Ocean. The resulting measurements of surface meteorological parameters and upper ocean temperatures are made available to scientists on a real-time basis, allowing for timely monitoring and predictions. This complex monitoring array enabled NOAA to predict the 1997-1998 El Nino six months in advance.« less

Temporal variability of selected air toxics in the United States

NASA Astrophysics Data System (ADS)

McCarthy, Michael C.; Hafner, Hilary R.; Chinkin, Lyle R.; Charrier, Jessica G.

Ambient measurements of hazardous air pollutants (HAPs, air toxics) collected in the United States from 1990 to 2005 were analyzed for diurnal, seasonal, and/or annual variability and trends. Visual and statistical analyses were used to identify and quantify temporal variations in air toxics at national and regional levels. Sufficient data were available to analyze diurnal variability for 14 air toxics, seasonal variability for 24 air toxics, and annual trends for 26 air toxics. Four diurnal variation patterns were identified and labeled invariant, nighttime peak, morning peak, and daytime peak. Three distinct seasonal patterns were identified and labeled invariant, cool, and warm. Multiple air toxics showed consistent decreasing trends over three trend periods, 1990-2005, 1995-2005, and 2000-2005. Trends appeared to be relatively consistent within chemically similar pollutant groups. Hydrocarbons such as benzene, 1,3-butadiene, styrene, xylene, and toluene decreased by approximately 5% or more per year at more than half of all monitoring sites. Concentrations of carbonyl compounds such as formaldehyde, acetaldehyde, and propionaldehyde were equally likely to have increased or decreased at monitoring sites. Chlorinated volatile organic compounds (VOCs) such as tetrachloroethylene, dichloromethane, and methyl chloroform decreased at more than half of all monitoring sites, but decreases among these species were much more variable than among the hydrocarbons. Lead particles decreased in concentration at most monitoring sites, but trends in other metals were not consistent over time.

New developments in automated biosensing from remote water quality stations and satellite data retrieval for resources management

NASA Astrophysics Data System (ADS)

Morgan, E. L.; Eagleson, K. W.; Hermann, R.; McCollough, N. D.

1981-05-01

Maintaining adequate water quality in a multipurpose drainage system becomes increasingly important as demands on resources become greater. Real-time water quality monitoring plays a crucial role in meeting this objective. In addition to remote automated physical monitoring, developments at the end of the 1970's allow simultaneous real-time measurements of fish breathing response to water quality changes. These advantages complement complex in-stream surveys typically carried out to evaluate the environmental quality of a system. Automated biosensing units having remote capabilities are designed to aid in the evaluation of subtle water quality changes contributing to undesirable conditions in a drainage basin. Using microprocessor-based monitors to measure fish breathing rates, the biosensing units are interfaced to a U.S. National Aeronautics and Space Administration (N.A.S.A.) remote data collection platform for National Oceanic and Atmospheric Administration (N.O.A.A.) GOES satellite retrieval and transmission of data. Simultaneously, multiparameter physical information is collected from site-specific locations and recovered in a similar manner. Real-time biological and physical data received at a data processing center are readily available for interpretation by resource managers. Management schemes incorporating real-time monitoring networks into on-going programs to simultaneously retrieve biological and physical data by satellite, radio and telephone cable give added advantages in maintaining water quality for multipurpose needs.

SU-E-T-605: Performance Evaluation of MLC Leaf-Sequencing Algorithms in Head-And-Neck IMRT

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

Jing, J; Lin, H; Chow, J

2015-06-15

Purpose: To investigate the efficiency of three multileaf collimator (MLC) leaf-sequencing algorithms proposed by Galvin et al, Chen et al and Siochi et al using external beam treatment plans for head-and-neck intensity modulated radiation therapy (IMRT). Methods: IMRT plans for head-and-neck were created using the CORVUS treatment planning system. The plans were optimized and the fluence maps for all photon beams determined. Three different MLC leaf-sequencing algorithms based on Galvin et al, Chen et al and Siochi et al were used to calculate the final photon segmental fields and their monitor units in delivery. For comparison purpose, the maximum intensitymore » of fluence map was kept constant in different plans. The number of beam segments and total number of monitor units were calculated for the three algorithms. Results: From results of number of beam segments and total number of monitor units, we found that algorithm of Galvin et al had the largest number of monitor unit which was about 70% larger than the other two algorithms. Moreover, both algorithms of Galvin et al and Siochi et al have relatively lower number of beam segment compared to Chen et al. Although values of number of beam segment and total number of monitor unit calculated by different algorithms varied with the head-and-neck plans, it can be seen that algorithms of Galvin et al and Siochi et al performed well with a lower number of beam segment, though algorithm of Galvin et al had a larger total number of monitor units than Siochi et al. Conclusion: Although performance of the leaf-sequencing algorithm varied with different IMRT plans having different fluence maps, an evaluation is possible based on the calculated number of beam segment and monitor unit. In this study, algorithm by Siochi et al was found to be more efficient in the head-and-neck IMRT. The Project Sponsored by the Fundamental Research Funds for the Central Universities (J2014HGXJ0094) and the Scientific Research Foundation for the Returned Overseas Chinese Scholars, State Education Ministry.« less

Monitoring eradication of European mouflon sheep from the Kahuku Unit of Hawai‘i Volcanoes National Park

USGS Publications Warehouse

Judge, Seth; Hess, Steven C.; Faford, Jonathan K.; Pacheco, Dexter; Leopold, Christina

2017-01-01

European mouflon (Ovis gmelini musimon), the world's smallest wild sheep, have proliferated and degraded fragile native ecosystems in the Hawaiian Islands through browsing, bark stripping, and trampling, including native forests within Hawai‘i Volcanoes National Park (HAVO). HAVO resource managers initiated ungulate control efforts in the 469 km2 Kahuku Unit after it was acquired in 2003. We tracked control effort and used aerial surveys in a 64.7 km2 area from 2004 to 2017 and more intensive ground surveys and camera-trap monitoring to detect the last remaining animals within a 25.9 km2 subunit after it was enclosed by fence in 2012. Aerial shooting yielded the most removals per unit effort (3.2 animals/ hour), resulting in 261 animals. However, ground-based methods yielded 4,607 removals overall, 3,038 of which resulted from assistance of volunteers. Ground shooting with dogs, intensive aerial shooting, ground sweeps, and forward-looking infrared (FLIR)-assisted shooting were necessary to find and remove the last remaining mouflon. The Judas technique, baiting, and trapping were not successful in attracting or detecting small numbers of remaining individuals. Effort expended to remove each mouflon increased nearly 15-fold during the last 3 yr of eradication effort from 2013 to 2016. Complementary active and passive monitoring techniques allowed us to track the effectiveness of control effort and reveal locations of small groups to staff. The effort and variety of methods required to eradicate mouflon from an enclosed unit of moderate size illustrates the difficulty of scaling up to entire populations of wild ungulates from unenclosed areas.

Design and implementation of the monitoring system for underground coal fires in Xinjiang region, China

NASA Astrophysics Data System (ADS)

Li-bo, Dang; Jia-chun, Wu; Yue-xing, Liu; Yuan, Chang; Bin, Peng

2017-04-01

Underground coal fire (UCF) is serious in Xinjiang region of China. In order to deal with this problem efficiently, a UCF monitoring System, which is based on the use of wireless communication technology and remote sensing images, was designed and implemented by Xinjiang Coal Fire Fighting Bureau. This system consists of three parts, i.e., the data collecting unit, the data processing unit and the data output unit. For the data collecting unit, temperature sensors and gas sensors were put together on the sites with depth of 1.5 meter from the surface of coal fire zone. Information on these sites' temperature and gas was transferred immediately to the data processing unit. The processing unit was developed by coding based on GIS software. Generally, the processed datum were saved in the computer by table format, which can be displayed on the screen as the curve. Remote sensing image for each coal fire was saved in this system as the background for each monitoring site. From the monitoring data, the changes of the coal fires were displayed directly. And it provides a solid basis for analyzing the status of coal combustion of coal fire, the gas emission and possible dominant direction of coal fire propagation, which is helpful for making-decision of coal fire extinction.

Trends in Sexual Behavior Among Men Who have Sex with Men (MSM) in High-Income Countries, 1990-2013: A Systematic Review.

PubMed

Hess, Kristen L; Crepaz, Nicole; Rose, Charles; Purcell, David; Paz-Bailey, Gabriela

2017-10-01

HIV diagnoses among men who have sex with men (MSM) have been increasing in several high-income countries. A better understanding of the sexual behavior trends among MSM can be useful for informing HIV prevention. We conducted a systematic review of studies that examined behavioral trends (1990-2013) in any condomless anal sex, condomless anal sex with an HIV-discordant partner, and number of partners. Studies included come from the United States, Europe, and Australia. We found increasing trends in condomless anal sex and condomless anal sex with an HIV-discordant partner, and a decreasing trend in number of partners. The increase in condomless anal sex may help to explain the increase in HIV infections. More explanatory research is needed to provide insight into factors that contribute to these behavior trends. Continuous monitoring of HIV, risk behaviors, and use of prevention and treatment is needed to evaluate prevention efforts and monitor HIV transmission risk.

Electronic monitoring and voice prompts improve hand hygiene and decrease nosocomial infections in an intermediate care unit.

PubMed

Swoboda, Sandra M; Earsing, Karen; Strauss, Kevin; Lane, Stephen; Lipsett, Pamela A

2004-02-01

To determine whether electronic monitoring of hand hygiene and voice prompts can improve hand hygiene and decrease nosocomial infection rates in a surgical intermediate care unit. Three-phase quasi-experimental design. Phase I was electronic monitoring and direct observation; phase II was electronic monitoring and computerized voice prompts for failure to perform hand hygiene on room exit; and phase III was electronic monitoring only. Nine-room, 14-bed intermediate care unit in a university, tertiary-care institution. All patient rooms, utility room, and staff lavatory were monitored electronically. All healthcare personnel including physicians, nurses, nursing support personnel, ancillary staff, all visitors and family members, and any other personnel interacting with patients on the intermediate care unit. All patients with an intermediate care unit length of stay >48 hrs were followed for nosocomial infection. Electronic monitoring during all phases, computerized voice prompts during phase II only. We evaluated a total of 283,488 electronically monitored entries into a patient room with 251,526 exits for 420 days (10,080 hrs and 3,549 patient days). Compared with phase I, hand hygiene compliance in patient rooms improved 37% during phase II (odds ratio, 1.38; 95% confidence interval, 1.04-1.83) and 41% in phase III (odds ratio, 1.41; 95% confidence interval, 1.07-1.84). When adjusting for patient admissions during each phase, point estimates of nosocomial infections decreased by 22% during phase II and 48% during phase III; when adjusting for patient days, the number of infections decreased by 10% during phase II and 40% during phase III. Although the overall rate of nosocomial infections significantly decreased when combining phases II and III, the association between nosocomial infection and individual phase was not significant. Electronic monitoring provided effective ongoing feedback about hand hygiene compliance. During both the voice prompt phase and post-intervention phase, hand hygiene compliance and nosocomial infection rates improved suggesting that ongoing monitoring and feedback had both a short-term and, perhaps, a longer-term effect.

What is Mine is Yours: The Art of Operational Integration

DTIC Science & Technology

2016-05-10

United States Army School of Advanced Military Studies United States Army Command and General Staff College Fort Leavenworth, Kansas 2016...9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) School of Advanced Military Studies 11. SPONSOR/MONITOR’S...services or national boundaries. Two contrasting World War II case studies , L TG Patch in southern France and L TG Stilwell in Burma, will be used to

Improvement of in-hospital telemetry monitoring in coronary care units: an intervention study for achieving optimal electrode placement and attachment, hygiene and delivery of critical information to patients.

PubMed

Pettersen, Trond R; Fålun, Nina; Norekvål, Tone M

2014-12-01

In-hospital telemetry monitoring is important for diagnosis and treatment of patients at risk of developing life-threatening arrhythmias. It is widely used in critical and non-critical care wards. Nurses are responsible for correct electrode placement, thus ensuring optimal quality of the monitoring. The aims of this study were to determine whether a complex educational intervention improves (a) optimal electrode placement, (b) hygiene, and (c) delivery of critical information to patients (reason for monitoring, limitations in cellular phone use, and not to leave the ward without informing a member of staff). A prospective interventional study design was used, with data collection occurring over two six-week periods: before implementation of the intervention (n=201) and after the intervention (n=165). Standard abstraction forms were used to obtain data on patients' clinical characteristics, and 10 variables related to electrode placement and attachment, hygiene and delivery of critical information. At pre-intervention registration, 26% of the electrodes were misplaced. Twelve per cent of the patients received information about limiting their cellular phone use while monitored, 70% were informed of the purpose of monitoring, and 71% used a protective cover for their unit. Post-intervention, outcome measures for the three variables improved significantly: use of protective cover (p<0.001), information about the purpose of monitoring (p=0.005) and information about limitations in cellular phone use (p=0.003). Nonetheless, 23% of the electrodes were still misplaced. The study highlights the need for better, continued education for in-hospital telemetry monitoring in coronary care units, and other units that monitor patients with telemetry. © The European Society of Cardiology 2013.

Central-Monitor Software Module

NASA Technical Reports Server (NTRS)

Bachelder, Aaron; Foster, Conrad

2005-01-01

One of the software modules of the emergency-vehicle traffic-light-preemption system of the two preceding articles performs numerous functions for the central monitoring subsystem. This module monitors the states of all units (vehicle transponders and intersection controllers): It provides real-time access to the phases of traffic and pedestrian lights, and maps the positions and states of all emergency vehicles. Most of this module is used for installation and configuration of units as they are added to the system. The module logs all activity in the system, thereby providing information that can be analyzed to minimize response times and optimize response strategies. The module can be used from any location within communication range of the system; with proper configuration, it can also be used via the Internet. It can be integrated into call-response centers, where it can be used for alerting emergency vehicles and managing their responses to specific incidents. A variety of utility subprograms provide access to any or all units for purposes of monitoring, testing, and modification. Included are "sniffer" utility subprograms that monitor incoming and outgoing data for accuracy and timeliness, and that quickly and autonomously shut off malfunctioning vehicle or intersection units.

Influence of power density on the setting behaviour of light-cured glass-ionomer cements monitored by ultrasound measurements.

PubMed

Tonegawa, Motoka; Yasuda, Genta; Chikako, Takubo; Tamura, Yukie; Yoshida, Takeshi; Kurokawa, Hiroyasu; Miyazaki, Masashi

2009-07-01

To monitor the influence of the power density of the curing unit on the setting behaviour of light-cured glass-ionomer cements (LCGICs) using ultrasound measurements. The ultrasound equipment comprised a pulser-receiver, transducers and an oscilloscope. The LCGICs used were Fuji II LC, Fuji II LC EM and Fuji Filling LC. The cements were mixed according to the manufacturer's instructions and then inserted into a transparent mould. The specimens were placed on the sample stage and cured with power densities of 0 (no irradiation), 200 or 600 mW/cm(2). The transit time through the cement disk was divided by the specimen thickness and then the longitudinal ultrasound velocity (V) within the material was obtained. Analysis of variance and Tukey's Honestly Significantly Different test were used to compare the V values between the set cements. When the LCGICs were light-irradiated, each curve displayed an initial plateau at approximately 1500 m/s and then rapidly increased to a second plateau at approximately 2600 m/s. The rate of increase of V was retarded when the cements were light-irradiated with a power density of 200 mW/cm(2) than with a power density of 600 mW/cm(2). Although sonic echoes were detected from the beginning of the measurements, the rates of increase of the sonic velocity were relatively slow when the cement was not light-irradiated. The ultrasound device monitored the setting processes of LCGICs accurately based on the longitudinal V. The polymerization behaviour of LCGICs was shown to be affected by the power density of the curing unit.

A mechanism for upper airway stability during slow wave sleep.

PubMed

McSharry, David G; Saboisky, Julian P; Deyoung, Pam; Matteis, Paul; Jordan, Amy S; Trinder, John; Smales, Erik; Hess, Lauren; Guo, Mengshuang; Malhotra, Atul

2013-04-01

The severity of obstructive sleep apnea is diminished (sometimes markedly) during slow wave sleep (SWS). We sought to understand why SWS stabilizes the upper airway. Increased single motor unit (SMU) activity of the major upper airway dilating muscle (genioglossus) should improve upper airway stability. Therefore, we hypothesized that genioglossus SMUs would increase their activity during SWS in comparison with Stage N2 sleep. The activity of genioglossus SMUs was studied on both sides of the transition between Stage N2 sleep and SWS. Sleep laboratory. Twenty-nine subjects (age 38 ± 13 yr, 17 males) were studied. SWS. Subjects slept overnight with fine-wire electrodes in their genioglossus muscles and with full polysomnographic and end tidal carbon dioxide monitors. Fifteen inspiratory phasic (IP) and 11 inspiratory tonic (IT) units were identified from seven subjects and these units exhibited significantly increased inspiratory discharge frequencies during SWS compared with Stage N2 sleep. The peak discharge frequency of the inspiratory units (IP and IT) was 22.7 ± 4.1 Hz in SWS versus 20.3 ± 4.5 Hz in Stage N2 (P < 0.001). The IP units also fired for a longer duration (expressed as a percentage of inspiratory time) during SWS (104.6 ± 39.5 %TI) versus Stage N2 sleep (82.6 ± 39.5 %TI, P < 0.001). The IT units fired faster during expiration in SWS (14.2 ± 1.8 Hz) versus Stage N2 sleep (12.6 ± 3.1 Hz, P = 0.035). There was minimal recruitment or derecruitment of units between SWS and Stage N2 sleep. Increased genioglossus SMU activity likely makes the airway more stable and resistant to collapse throughout the respiratory cycle during SWS.

Automatic Flushing Unit With Cleanliness Monitor

NASA Technical Reports Server (NTRS)

Hildebrandt, N. E.

1982-01-01

Liquid-level probe kept clean, therefore at peak accuracy, by unit that flushes probe with solvent, monitors effluent for contamination, and determines probe is particle-free. Approach may be adaptable to industrial cleaning such as flushing filters and pipes, and ensuring that manufactured parts have been adequately cleaned.

STATISTICAL ISSUES FOR MONITORING ECOLOGICAL AND NATURAL RESOURCES IN THE UNITED STATES

EPA Science Inventory

The United States funds a number of national monitoring programs to measure the status and trends of ecological and natural resources. Each of these programs has a unique focus: the scientific objectives are different as are the sample designs. However, individuals and committees...

Challenges to natural resource monitoring in a small border park: terrestrial mammals at Coronado National Memorial, Cochise County, Arizona

USGS Publications Warehouse

Swann, Don E.; Bucci, Melanie; Kuenzi, Amy J.; Alberti, Barbara N.; Schwalbe, Cecil R.; Halvorson, William L.; van Riper, Charles; Schwalbe, Cecil R.

2010-01-01

Long-term monitoring in national parks is essential to meet National Park Service and other important public goals. Terrestrial mammals are often proposed for monitoring because large mammals are of interest to visitors and small mammals are important as prey. However, traditional monitoring strategies for mammals are often too expensive and complex to sustain for long periods, particularly in small parks. To evaluate potential strategies for long-term monitoring in small parks, we conducted an intensive one-year inventory of terrestrial mammals at Coronado National Memorial, located in Arizona on the U.S.-Mexico international border, then continued less-intensive monitoring at the site for 7 additional years. During 1996-2003 we confirmed 44 species of terrestrial mammals. Most species (40) were detected in the intensive first year of the study, but we continued to detect new species in later years. Mark-recapture data on small mammals indicated large inter-annual fluctuations in population size, but no significant trend over the 7-year period. Issues associated with the international border affected monitoring efforts and increased sampling costs. Our study confirms that sustained annual monitoring of mammals is probably not feasible in small park units like Coronado. However, comparisons of our data with past studies provide insight into important changes in the mammal community since the 1970s, including an increase in abundance and diversity of grassland rodents. Our results suggest that intensive inventories every 10-20 years may be a valuable and cost-effective approach for detecting long-term trends in terrestrial mammal communities in small natural areas.

Do critical care units play a role in the management of gynaecological oncology patients? The contribution of gynaecologic oncologist in running critical care units.

PubMed

Davidovic-Grigoraki, Miona; Thomakos, Nikolaos; Haidopoulos, Dimitrios; Vlahos, Giorgos; Rodolakis, Alexandros

2017-03-01

Routine post-operative care in high dependency unit (HDU), surgical intensive care unit (SICU) and intensive care unit (ICU) after high-risk gynaecological oncology surgical procedures may allow for greater recognition and correct management of post-operative complications, thereby reducing long-term morbidity and mortality. On the other hand, unnecessary admissions to these units lead to increased morbidity - nosocomial infections, increased length of hospital stay and higher hospital costs. Gynaecological oncology surgeons continue to look after their patient in the HDU/SICU and have the final role in decision-making on day-to-day basis, making it important to be well versed in critical care management and ensure the best care for their patients. Post-operative monitoring and the presence of comorbid illnesses are the most common reasons for admission to the HDU/SICU. Elderly and malnutritioned patients, as well as, bowel resection, blood loss or greater fluid resuscitation during the surgery have prolonged HDU/SICU stay. Patients with ovarian cancer have a worse survival outcome than the patients with other types of gynaecological cancer. Dependency care is a part of surgical management and it should be incorporated formally into gynaecologic oncology training programme. © 2016 John Wiley & Sons Ltd.

Remote monitoring for active cardiovascular implantable electronic devices: a European survey.

PubMed

Halimi, Franck; Cantù, Francesco

2010-12-01

This survey sampled today's European practices in the use of remote monitoring (RM) for the follow-up of active cardiovascular implantable electronic devices. Eighty-five per cent of the responding centres are currently using RM. For the majority, RM is expected to increase importantly within 5 years, and it has already led to a new organization of care based on dedicated allied professionals and/or the creation of RM units. There are still major limitations for the development of RM, such as ethical and legal aspects, reimbursement issues, and the lack of specific national- and European-updated guidelines which need to be informed.

Management of Complex Cardiac Issues in the Pregnant Patient.

PubMed

Hu, Huayong; Pasca, Ioana

2016-01-01

Management of peripartum heart disease in the intensive care unit requires optimization of maternal hemodynamics and maintenance of fetal perfusion. This requires fetal monitoring and should address the parturient's oxygen saturation, hemoglobin, and cardiac output as it relates to uterine blood flow. Pharmacologic strategies have limited evidence pertaining to hemodynamic stabilization and fetal perfusion. There is some evidence that surgical management of critical mitral stenosis should be percutaneous when possible because cardiac bypass is associated with increased fetal mortality. Fetal monitoring strategies should address central organ perfusion because peripheral scalp pH has not been associated with improved fetal outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

Monitoring Urban Heat Island Through Google Earth Engine: Potentialities and Difficulties in Different Cities of the United States

NASA Astrophysics Data System (ADS)

Ravanelli, R.; Nascetti, A.; Cirigliano, R. V.; Di Rico, C.; Monti, P.; Crespi, M.

2018-04-01

The aim of this work is to exploit the large-scale analysis capabilities of the innovative Google Earth Engine platform in order to investigate the temporal variations of the Urban Heat Island phenomenon as a whole. A intuitive methodology implementing a largescale correlation analysis between the Land Surface Temperature and Land Cover alterations was thus developed.The results obtained for the Phoenix MA are promising and show how the urbanization heavily affects the magnitude of the UHI effects with significant increases in LST. The proposed methodology is therefore able to efficiently monitor the UHI phenomenon.

Infrared system for monitoring movement of objects

DOEpatents

Valentine, Kenneth H.; Falter, Diedre D.; Falter, Kelly G.

1991-01-01

A system for monitoring moving objects, such as the flight of honeybees and other insects, using a pulsed laser light source. This system has a self-powered micro-miniaturized transmitting unit powered, in the preferred embodiment, with an array solar cells. This transmitting unit is attached to the object to be monitored. These solar cells provide current to a storage energy capacitor to produce, for example, five volts for the operation of the transmitter. In the simplest embodiment, the voltage on the capacitor operates a pulse generator to provide a pulsed energizing signal to one or more very small laser diodes. The pulsed light is then received at a receiving base station using substantially standard means which converts the light to an electrical signal for processing in a microprocessor to create the information as to the movement of the object. In the case of a unit for monitoring honeybees and other insects, the transmitting unit weighs less than 50 mg, and has a size no larger than 1.times.3.times.5 millimeters. Also, the preferred embodiment provides for the coding of the light to uniquely identify the particular transmitting unit that is being monitored. A "wake-up" circuit is provided in the preferred embodiment whereby there is no transmission until the voltage on the capacitor has exceeded a pre-set threshold. Various other uses of the motion-detection system are described.

Infrared system for monitoring movement of objects

DOEpatents

Valentine, K.H.; Falter, D.D.; Falter, K.G.

1991-04-30

A system is described for monitoring moving objects, such as the flight of honeybees and other insects, using a pulsed laser light source. This system has a self-powered micro-miniaturized transmitting unit powered, in the preferred embodiment, with an array of solar cells. This transmitting unit is attached to the object to be monitored. These solar cells provide current to a storage energy capacitor to produce, for example, five volts for the operation of the transmitter. In the simplest embodiment, the voltage on the capacitor operates a pulse generator to provide a pulsed energizing signal to one or more very small laser diodes. The pulsed light is then received at a receiving base station using substantially standard means which converts the light to an electrical signal for processing in a microprocessor to create the information as to the movement of the object. In the case of a unit for monitoring honeybees and other insects, the transmitting unit weighs less than 50 mg, and has a size no larger than 1[times]3[times]5 millimeters. Also, the preferred embodiment provides for the coding of the light to uniquely identify the particular transmitting unit that is being monitored. A wake-up' circuit is provided in the preferred embodiment whereby there is no transmission until the voltage on the capacitor has exceeded a pre-set threshold. Various other uses of the motion-detection system are described. 4 figures.

Comparison of Insulin Glargine 300 Units/mL and 100 Units/mL in Adults With Type 1 Diabetes: Continuous Glucose Monitoring Profiles and Variability Using Morning or Evening Injections.

PubMed

Bergenstal, Richard M; Bailey, Timothy S; Rodbard, David; Ziemen, Monika; Guo, Hailing; Muehlen-Bartmer, Isabel; Ahmann, Andrew J

2017-04-01

The objective of this study was to compare glucose control in participants with type 1 diabetes receiving insulin glargine 300 units/mL (Gla-300) or glargine 100 units/mL (Gla-100) in the morning or evening, in combination with mealtime insulin. In this 16-week, exploratory, open-label, parallel-group, two-period crossover study (clinicaltrials.gov identifier NCT01658579), 59 adults with type 1 diabetes were randomized (1:1:1:1) to once-daily Gla-300 or Gla-100 given in the morning or evening (with crossover in the injection schedule). The primary efficacy end point was the mean percentage of time in the target glucose range (80-140 mg/dL), as measured using continuous glucose monitoring (CGM), during the last 2 weeks of each 8-week period. Additional end points included other CGM glycemic control parameters, hypoglycemia (per self-monitored plasma glucose [SMPG]), and adverse events. The percentage of time within the target glucose range was comparable between the Gla-300 and Gla-100 groups. There was significantly less increase in CGM-based glucose during the last 4 h of the 24-h injection interval for Gla-300 compared with Gla-100 (least squares mean difference -14.7 mg/dL [95% CI -26.9 to -2.5]; P = 0.0192). Mean 24-h glucose curves for the Gla-300 group were smoother (lower glycemic excursions), irrespective of morning or evening injection. Four metrics of intrasubject interstitial glucose variability showed no difference between Gla-300 and Gla-100. Nocturnal confirmed (<54 mg/dL by SMPG) or severe hypoglycemia rate was lower for Gla-300 participants than for Gla-100 participants (4.0 vs. 9.0 events per participant-year; rate ratio 0.45 [95% CI 0.24-0.82]). Less increase in CGM-based glucose levels in the last 4 h of the 24-h injection interval, smoother average 24-h glucose profiles irrespective of injection time, and reduced nocturnal hypoglycemia were observed with Gla-300 versus Gla-100. © 2017 by the American Diabetes Association.

Bosnian and American students' attitudes toward electronic monitoring: is it about what we know or where we come from?

PubMed

Muftić, Lisa R; Payne, Brian K; Maljević, Almir

2015-06-01

The use of community corrections continues to grow across the globe as alternatives to incarceration are sought. Little research attention, however, has been directed at correctional alternatives from a global orientation. The purpose of this research study is to compare the way that a sample of criminal justice students from the United States (n = 118) and Bosnia and Herzegovina (n = 133) perceive electronic monitoring. Because electronic monitoring is a newer sentencing alternative and it is used differently in Bosnia and Herzegovina than it is in the United States, it is predicted that Bosnian students will view electronic monitoring differently than will students from the United States. This study finds that while students are largely supportive of electronic monitoring sentences, support is affected by offender type and student nationality. For example, Bosnian students are more supportive of electronic monitoring sentences for drug offenders while American students are more supportive of electronic monitoring sentences for juvenile offenders. Differences were also found across student groups when attitudes toward electronic monitoring and the costs and pains associated with electronic monitoring were assessed. Specifically, American students were less likely to view electronic monitoring as meeting the goals of rehabilitation and more likely to view the conditions and restrictions associated with electronic monitoring as being punitive than Bosnian students were. Implications from these findings, as well as limitations and suggestions for further research are discussed. © The Author(s) 2013.

Evaluation of autonomous recording units for detecting 3 species of secretive marsh birds

USGS Publications Warehouse

Sidie-Slettehahl, Anna M.; Jensen, Kent C.; Johnson, Rex R.; Arnold, Todd W.; Austin, Jane; Stafford, Joshua D.

2015-01-01

Population status and habitat use of yellow rails (Coturnicops noveboracensis), Nelson's sparrows (Ammodramus nelsoni), and Le Conte's sparrows (A. leconteii) are poorly known, so standardized surveys of these species are needed to inform conservation planning and management. A protocol for monitoring secretive marsh birds exists; however, these species regularly call at night and may be missed during early morning surveys. We tested the effectiveness of autonomous recording units (hereafter, recording units) to survey these species by analyzing recorded vocalizations using bioacoustics software. We deployed 22 recording units at 54 sites in northern Minnesota and eastern North Dakota, USA, and conducted traditional broadcast surveys during May–June, 2010 and 2011. We compared detection probabilities between recording units and standard monitoring protocols using robust-design occupancy models. On average, recording units detected 0.59 (SE = 0.11) fewer Le Conte's sparrows, 0.76 (SE = 0.15) fewer Nelson's sparrows, and 1.01 (SE = 0.14) fewer yellow rails per survey than were detected using the standard protocol. Detection probabilities using the standard protocol averaged 0.95 (yellow rail; 95% CI = 0.86–0.98), 0.93 (Le Conte's sparrow; 95% CI = 0.78–0.98), and 0.89 (Nelson's sparrow; 95% CI = 0.56–0.98), but averaged 0.71 (yellow rail; 95% CI = 0.56–0.83), 0.61 (Le Conte's sparrow; 95% CI = 0.42–0.78), and 0.51 (Nelson's sparrow; 95% CI = 0.19–0.82) using recording units. Reduced detection by recording units was likely due to the ability of human listeners to identify birds calling at greater distances. Recording units may be effective for surveying nocturnal secretive marsh birds if investigators correct for differential detectability. Reduced detectability may be outweighed by the increased spatial and temporal coverage feasible with recording units.

Improved perception of communication and compliance with a revised, intensive care unit-specific bedside communication sheet.

PubMed

Aponte-Patel, Linda; Sen, Anita

2015-01-01

Although many pediatric intensive care units (PICUs) use beside communication sheets (BCSs) to highlight daily goals, the optimal format is unknown. A site-specific BCS could improve both PICU communication and compliance completing the BCS. Via written survey, PICU staff at an academic children's hospital provided recommendations for improving and revising an existing BCS. Pre- and post-BCS revision, PICU staff were polled regarding PICU communication and BCS effectiveness, and daily compliance for completing the BCS was monitored. After implementation of the revised BCS, staff reporting "excellent" or "very good" day-to-day communication within the PICU increased from 57% to 77% (P = .02). Compliance for completing the BCS also increased significantly (75% vs 83%, P = .03). Introduction of a focused and concise BCS tailored to a specific PICU leads to improved perceptions of communication by PICU staff and increased compliance completing the daily BCS. © The Author(s) 2014.

Implementation of a Legionella Ordinance for Multifamily Housing, Garland, Texas.

PubMed

Whitney, Ellen A; Blake, Sarah; Berkelman, Ruth L

The incidence of legionellosis has sharply increased in the United States as a result of contaminated water systems. Jurisdictions across the country are considering whether to develop and implement regulations to protect individuals against Legionnaires' disease with its associated high morbidity and mortality. This article sheds light on the implementation and effectiveness of a 2005 citywide Legionella testing mandate of multifamily housing cooling towers in Garland, Texas. This ordinance has been in place for more than 10 years and represents the first of its kind in the United States to mandate routine testing of cooling towers for Legionella in multifamily housing. We utilized a mix of both qualitative and quantitative methods to explore the development, adoption, and implementation of the ordinance. Phone interviews were conducted with individuals from the City of Garland Health Department and apartment managers. Quantitative data included public health surveillance data on legionellosis. Barriers and facilitators of implementation, number and percentage of cooling towers from multifamily housing units that tested positive for Legionella by year, and number of legionellosis cases by year in Garland, Texas. Study outcomes highlight key themes that facilitated the successful implementation of the Legionella testing mandate, including the importance of timing, leadership support, stakeholder engagement, and education and outreach. The number of contaminated cooling towers was reduced over time. Mandatory monitoring for legionella in a local jurisdiction may result in reduced risk of legionellosis from cooling towers through raising awareness and education of building owners and managers about the need to prevent, detect, and remediate legionella contamination in their building water systems. Garland, Texas, broke new ground in the United States in moving toward primary prevention of legionellosis. The ordinance may be useful both in serving to educate and increase awareness about the need for Legionella prevention and to monitor effectiveness of maintenance procedures.

Monitoring forest changes in the southwestern United States using multitemporal Landsat data

USGS Publications Warehouse

Vogelmann, James E.; Tolk, Brian L.; Zhu, Zhiliang

2009-01-01

Landsat time series data sets were acquired for the Santa Fe National Forest in New Mexico. This area includes the San Pedro Parks Wilderness area, which was designated as an official wilderness in 1964. Eight autumnal Landsat Thematic Mapper (TM) scenes acquired from 1988 to 2006 were analyzed to determine whether significant changes have occurred throughout the region during the past 18 years and, if so, to assess whether the changes are long-term and gradual or short-term and abrupt. It was found that, starting in about 1995, many of the conifer stands within the Wilderness area showed consistently gradual and marked increases in the Shortwave Infrared/Near Infrared Index. These trends generally imply decreases in canopy greenness or increases in mortality. Other high-elevation conifer forests located outside of the Wilderness area showed similar spectral trends, indicating that changes are potentially widespread. The spatial patterns of forest damage as inferred from the image analyses were very similar to the general patterns of insect defoliation damage mapped via aerial sketch mapping by the United States Department of Agriculture Forest Service Forest Health Monitoring Program. A field visit indicated that zones of spectral change are associated with high levels of forest damage and mortality, likely caused by a combination of insects and drought. The study demonstrates the effectiveness of using historical Landsat data for providing objective and consistent long-term assessments of the gradual ecosystem changes that are occurring within the western United States.

Systems workplace for endoscopic surgery.

PubMed

Irion, K M; Novak, P

2000-01-01

With the advent of minimally invasive surgery (MIS) a decade ago, the requirements for operating rooms (OR) and their equipment have been increased. Compared with conventional open surgery, the new endoscopic techniques require additional tools. Television systems, for video-assisted image acquisition and visualisation, including cameras, monitors and light systems, as well as insufflators, pumps, high-frequency units, lasers and motorised therapy units, are nowadays usually made available on carts during endoscopic surgery. In conjunction with a set of endoscopic instruments, these high-tech units allow new operating techniques to be performed. The benefit for patients has become clear in recent years; however, the technical complexity of OR has also increased considerably. To minimise this problem for the OR personnel, the MIS concept 'OR1' (Operating Room 1) was developed and implemented. OR1 is a fully functional and integrated multi-speciality surgical suite for MIS. The centrepieces of the OR1 are the Storz Communication Bus (SCB) and the advanced image and data archiving system (Aida) from Karl Storz, Tuttlingen, Germany. Both components allow monitoring, access and networking of the MIS equipment and other OR facilities, as well as the acquisition, storage and display of image, patient and equipment data during the endoscopic procedure. A central user interface allows efficient, simplified operation and online clinical images. Due to the system integration, the handling of complex equipment is considerably simplified, logistical procedures in the OR are improved, procedure times are shorter and, particularly noteworthy, operative risk can be reduced through simplified device operation.

Piezometer completion report for borehole cluster sites DC-19, DC-20, and DC-22

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

Jackson, R.L.; Diediker, L.D.; Ledgerwood, R.K.

1984-07-01

This report describes the design and installation of multi-level piezometers at borehole cluster sites DC-19, DC-20 and DC-22. The network of borehole cluster sites will provide facilities for multi-level water-level monitoring across the RRL for piezometer baseline monitoring and for large-scale hydraulic stress testing. These groundwater-monitoring facilities were installed between August 1983 and March 1984. Three series of piezometer nests (A-, C- and D-series) were installed in nine hydrogeologic units (monitoring horizons) within the Columbia River Basalt Group at each borehole cluster site. In addition to the piezometer facilities, a B-series pumping well was installed at borehole cluster sites DC-20more » and DC-22. The A-series piezometer nest monitors the basal Ringold sediments and the Rattlesnake Ridge interbed. The C-series piezometer nests monitors the six deepest horizons, which are in increasing depth, the Priest Rapids interflow, Sentinel Gap flow top, Ginkgo flow top, Rocky Coulee flow top, Cohassett flow top and Umtanum flow top. The D-series piezometer monitors the Mabton interbed. The B-series pumping well was completed in the Priest Rapids interflow. 21 refs., 6 figs., 6 tabs.« less

Elk monitoring in Lewis and Clark National Historical Park: 2008-2012 synthesis report

USGS Publications Warehouse

Griffin, Paul C.; Jenkins, Kurt J.; Cole, Carla; Clatterbuck, Chris; Boetsch, John; Beirne, Katherine

2014-01-01

tailed P=0.17). Statistical significance of a measure’s trend depends on both the magnitude (i.e., slope) of the observed trend and the number of years the trend continues in the same increasing or decreasing direction. Through simulation modeling we determined how many additional years of surveys would be required to reveal a statistically significant trend, based on the same trends in pellet group density and PAO, and associated variation, observed from 2009-2012. Assuming the same trends persist in the future, simulations indicated that there is a 70% probability that a statistically significant trend would be detected after two more years of conducting pellet group surveys. Relative use by elk during winter, as indexed by elk pellet group density, was generally greatest in the southeast region of the Fort Clatsop unit in or near the large freshwater marsh at the mouth of Colewort Creek and adjacent upland areas. Pellet group density was also higher than average in the north-central forested area, not far from a privately-owned pasture north of the park boundary. This spatial pattern in pellet group densities across the Fort Clatsop unit was consistent across all four years, although specific pellet group densities varied from year to year. Pellet group density declined significantly over time at two points in the southeast of the Fort Clatsop unit, even though pellet group density at those points remained higher than the unit average. Pellet group density increased significantly over time at one point in the north-central region, and at one point in the south-central region of the unit, indicating a slight shift in the distribution of elk use within the Fort Clatsop Unit over the four years. As an index of visitors’ opportunities to see elk in and around the Fort Clatsop Unit, we conducted replicated roadside elk surveys 3-5 times monthly during February, April, June, August, October and December 2008-2012. During each morning of survey, we searched for elk along four routes that totaled 32 km. We examined bimonthly trends in the numbers of elk groups seen, the total number of elk seen, and the observed composition ratios for those six months of the year. The average number of elk groups seen per survey ranged from 0.75 (+/- 0.32 SE) during February to a peak of 1.95 (+/- 0.36 SE) during June. Despite this seasonal variation in numbers of elk groups seen, the average total number of elk seen per morning was less variable. The average ratios of antlered elk to antlerless adult elk (i.e., bulls:cows) and calves to antlerless adult elk (i.e. calves:cows) varied seasonally, with the highest of both average ratios observed in August. We detected no significant trends in the average number of elk groups and total numbers of elk seen per survey from 2008-2012. Similarly, ratios of calves and antlered elk per antlerless elk did not differ over time. Elk groups were frequently seen from January to August in the southeast region of the Fort Clatsop unit, in the vicinity of Colewort Creek. Outside of NPS lands, we observed elk most frequently in open areas near the Astoria regional airport, in the pastures and forests immediately north of the Fort Clatsop unit and, prior to the construction of a residential development, in a pasture northwest of the Fort Clatsop unit. Elk monitoring at Lewis and Clark NHP is still in its initial years and additional monitoring will be required to verify trends that appear to be emerging. For example, the initial monitoring suggested incipient declining trends in both pellet group density and proportion of plots with pellets present, as well as, potentially, a small shift in elk distribution away from a new trail that was recently constructed in the southeast portion of the Fort Clatsop unit. Continued monitoring will aid in determining whether this local change in distribution persists (or, alternatively, resulted from short-term random variation), and whether there will be any positive or negative effect in the northern portion of the unit where a new trail has been constructed. High variability in road counts prevented our ability to find any clear trend in numbers or composition of elk observed in and near Fort Clatsop, but changes in the patterns of observations of elk from roadways suggest that residential development outside the park has reduced the available habitat for elk in some of the areas surveyed, and may have affected spatial use patterns of elk adjacent to some areas of the park. In addition to monitoring future effects of land use changes outside the park, continued monitoring may also prove useful for assessing elk responses to natural succession in forests disturbed by windthrow in December 2007 and to NPS vegetation management activities such as variable density thinning in the forest, trail development, and restoration at Otter Point tidal area and Colewort Creek Slough.

Nonnative Fishes in the Upper Mississippi River System

USGS Publications Warehouse

Irons, Kevin S.; DeLain, Steven A.; Gittinger, Eric; Ickes, Brian S.; Kolar, Cindy S.; Ostendort, David; Ratcliff, Eric N.; Benson, Amy J.; Irons, Kevin S.

2009-01-01

The introduction, spread, and establishment of nonnative species is widely regarded as a leading threat to aquatic biodiversity and consequently is ranked among the most serious environmental problems facing the United States today. This report presents information on nonnative fish species observed by the Long Term Resource Monitoring Program on the Upper Mississippi River System a nexus of North American freshwater fish diversity for the Nation. The Long Term Resource Monitoring Program, as part of the U.S. Army Corps of Engineers' Environmental Management Plan, is the Nation's largest river monitoring program and stands as the primary source of standardized ecological information on the Upper Mississippi River System. The Long Term Resource Monitoring Program has been monitoring fish communities in six study areas on the Upper Mississippi River System since 1989. During this period, more than 3.5 million individual fish, consisting of 139 species, have been collected. Although fish monitoring activities of the Long Term Resource Monitoring Program focus principally on entire fish communities, data collected by the Program are useful for detecting and monitoring the establishment and spread of nonnative fish species within the Upper Mississippi River System Basin. Sixteen taxa of nonnative fishes, or hybrids thereof, have been observed by the Long Term Resource Monitoring Program since 1989, and several species are presently expanding their distribution and increasing in abundance. For example, in one of the six study areas monitored by the Long Term Resource Monitoring Program, the number of established nonnative species has increased from two to eight species in less than 10 years. Furthermore, contributions of those eight species can account for up to 60 percent of the total annual catch and greater than 80 percent of the observed biomass. These observations are critical because the Upper Mississippi River System stands as a nationally significant pathway for nonnative species expansion between the Mississippi River and the Great Lakes Basin. This report presents a synthesis of data on nonnative fish species observed during Long Term Resource Monitoring Program monitoring activities.

Transcutaneous blood glucose monitoring system based on an ISFET glucose sensor and studies on diabetic patients.

PubMed

Ito, N; Saito, A; Kayashima, S; Kimura, J; Kuriyama, T; Nagata, N; Arai, T; Kikuchi, M

1995-01-01

A transcutaneous blood glucose monitoring system consists of an ion-sensitive field-effect transistor (ISFET) glucose sensor unit and a suction effusion fluid (SEF) collecting unit. The SEF is directly collected by a weak suction (400 mmHg absolute pressure) through the skin from which the corneum layer of the epidermis has been previously removed. An ISFET glucose sensor unit is able to measure glucose concentrations in a microliter order sampling volume. The system was applied to three diabetic patients during a 75 g oral glucose tolerance test for monitoring blood glucose levels. During the experiments, glucose changes in the SEF followed actual blood glucose levels with 10 min delays. Results suggest the feasibility of utilizing quasi-continuous, transcutaneous blood glucose monitoring for individual patients with various diabetic histories or diabetic complications.

40 CFR 75.84 - Recordkeeping and reporting.

Code of Federal Regulations, 2010 CFR

2010-07-01

... (CONTINUED) CONTINUOUS EMISSION MONITORING Hg Mass Emission Provisions § 75.84 Recordkeeping and reporting... Federal Hg mass emission reduction program”; (2) The information required in § 75.58(b)(3), for units with... or sorbent trap monitoring systems, for each hour when the unit is operating, record the Hg mass...

Portable Intelligent Tritium in Air Monitor

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

Purghel, L.; Calin, M.R.; Bartos, D.

2005-07-15

The tritium detection method used for this monitor is original, patented in Romania. The detection unit consists of a single ionization chamber, a special fast preamplifier and a dedicated software associated to the detection unit, for signals processing. Some results concerning the tritium in relative strong gamma-ray fields are presented.

Performance Evaluation of the United Nations Environment Programme Air Quality Monitoring Unit

EPA Science Inventory

A request for technical collaboration between the UNEP and the US EPA resulted in the establishment of a MCRADA. The purpose of this agreement was to evaluate an air quality monitoring system (referred to as the UNEP pod) developed by the UNEP for use in environmental situations ...

Impact of Shutting Down En Route Primary Radars within CONUS Interior

DTIC Science & Technology

1993-06-01

Remote Control Interface Unit ( RCIU ) RMS software for the primary radar will be deleted. Any dependency of the secondary radar on the primary radar data...Generators RCIU Remote Control and Interface Unit RMM Remote Monitoring and Maintenance RMMS Remote Maintenance Monitoring System RMS Remote Maintenance

75 FR 63445 - Vessel Monitoring Systems; Approved Mobile Transmitting Units and Communications Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-15

... Monitoring Systems; Approved Mobile Transmitting Units and Communications Service Providers for Use in the... and NOAA-approved VMS communications service providers, please contact the VMS Support Center at... degrees above or below the horizon anywhere on Earth. The GSM/GPRS capability (if activated) gives the...

78 FR 18323 - Notice of Availability of a Draft Programmatic Environmental Assessment of the Proposed United...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-26

... Proposed United States Regional Climate Reference Network (USRCRN) AGENCY: National Weather Service (NWS..., is proposing to implement, operate, and manage a USRCRN. With other climate monitoring efforts..., high-quality climate data for use in climate-monitoring activities and for placing current climate...

NOAA Marine and Arctic Monitoring Using UASs

NASA Astrophysics Data System (ADS)

Jacobs, T.; Coffey, J. J.; Hood, R. E.; Hall, P.; Adler, J.

2014-12-01

Unmanned systems have the potential to efficiently, effectively, economically and safely bridging critical observation requirements in an environmentally friendly manner. As the United States' Marine and Arctic areas of interest expand and include hard-to-reach regions of the Earth (such as the Arctic and remote oceanic areas) optimizing unmanned capabilities will be needed to advance the United States' science, technology and security efforts. Through increased multi-mission and multi-agency operations using improved inter-operable and autonomous unmanned systems, the research and operations communities will better collect environmental intelligence and better protect our Country against hazardous weather, environmental, marine and polar hazards. This presentation will examine NOAA's Marine and Arctic Monitoring UAS strategies which includes developing a coordinated effort to maximize the efficiency and capabilities of unmanned systems across the federal government and research partners. Numerous intra- and inter-agency operational demonstrations and assessments have been made to verify and validated these strategies. The presentation will also discuss the requisite sUAS capabilities and our experience in using them.

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

USGS Publications Warehouse

,

1999-01-01

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

Groundwater quality in the Northern Sacramento Valley, California

USGS Publications Warehouse

Bennett, George L.; Fram, Miranda S.; Belitz, Kenneth

2011-01-01

Groundwater provides more than 40 percent of California's drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State's groundwater quality and increases public access to groundwater-quality information. The Northern Sacramento Valley is one of the study units being evaluated.

Groundwater quality in the Southern Sacramento Valley, California

USGS Publications Warehouse

Bennett, George L.; Fram, Miranda S.; Belitz, Kenneth

2011-01-01

Groundwater provides more than 40 percent of California's drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State's groundwater quality and increases public access to groundwater-quality information. The Southern Sacramento Valley is one of the study units being evaluated.

Groundwater quality in the Santa Barbara Coastal Plain, California

USGS Publications Warehouse

Davis, Tracy A.; Belitz, Kenneth

2016-10-03

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California established the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Santa Barbara Coastal Plain is one of the study units.

American Board of Medical Specialties and Repositioning for Excellence in Lifelong Learning: Maintenance of Certification

ERIC Educational Resources Information Center

Miller, Stephen H.

2005-01-01

The board certification movement was founded out of a concern for the quality of care, and today, more than 85% of all physicians licensed to practice medicine in the United States have been certified by an American Board of Medical Specialties (ABMS) member board. There is increasing evidence of a need for continuous monitoring and promotion of…

Groundwater quality in the Klamath Mountains, California

USGS Publications Warehouse

Bennett, George L.; Fram, Miranda S.

2014-01-01

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Klamath Mountains constitute one of the study units being evaluated.

Online Course Use in Iowa and Wisconsin Public High Schools: The Results of Two Statewide Surveys. REL 2015-065

ERIC Educational Resources Information Center

Clements, Margaret; Stafford, Erin; Pazzaglia, Angela M.; Jacobs, Pamela

2015-01-01

As the use of online courses in high schools increases rapidly across the United States, schools are using courses from a multitude of sources to achieve a variety of educational goals. Policies and practices for monitoring student progress and success in online courses are also diverse. Yet few states formally track or report student…

Management of intracerebral pressure in the neurosciences critical care unit.

PubMed

Marshall, Scott A; Kalanuria, Atul; Markandaya, Manjunath; Nyquist, Paul A

2013-07-01

Management of intracranial pressure in neurocritical care remains a potentially valuable target for improvements in therapy and patient outcomes. Surrogate markers of increased intracranial pressure, invasive monitors, and standard therapy, as well as promising new approaches to improve cerebral compliance are discussed, and a current review of the literature addressing this metric in neuroscience critical care is provided. Published by Elsevier Inc.

The Use of Online Technology to Facilitate Pre-Service Teachers' Engagement and Cultural Competency Development during an International Field Placement: Reflections from Austria

ERIC Educational Resources Information Center

Boury, Tiffany T.; Hineman, John M.; Klentzin, Jacqueline Courtney; Semich, George W.

2013-01-01

Student teaching abroad is becoming increasingly popular in many colleges and universities in the United States. This experience can be highly rewarding in terms of developing pre-service teachers' culture competency, yet can pose challenges for faculty monitoring such placements. Stewart and Kagan (2005) suggest a framework for teacher…

Structural health monitoring of wind turbine blades

NASA Astrophysics Data System (ADS)

Rumsey, Mark A.; Paquette, Joshua A.

2008-03-01

As electric utility wind turbines increase in size, and correspondingly, increase in initial capital investment cost, there is an increasing need to monitor the health of the structure. Acquiring an early indication of structural or mechanical problems allows operators to better plan for maintenance, possibly operate the machine in a de-rated condition rather than taking the unit off-line, or in the case of an emergency, shut the machine down to avoid further damage. This paper describes several promising structural health monitoring (SHM) techniques that were recently exercised during a fatigue test of a 9 meter glass-epoxy and carbon-epoxy wind turbine blade. The SHM systems were implemented by teams from NASA Kennedy Space Center, Purdue University and Virginia Tech. A commercial off-the-shelf acoustic emission (AE) NDT system gathered blade AE data throughout the test. At a fatigue load cycle rate around 1.2 Hertz, and after more than 4,000,000 fatigue cycles, the blade was diagnostically and visibly failing at the out-board blade spar-cap termination point at 4.5 meters. For safety reasons, the test was stopped just before the blade completely failed. This paper provides an overview of the SHM and NDT system setups and some current test results.

Increasing Antimicrobial Resistance Monitored in Surveillance Analysis of Blood Stream Infections in Febrile Neutropenic Pediatric Oncology Patients.

PubMed

El-Mahallawy, Hadir A; Hassan, Safaa Shawky; El-Wakil, Mohamed; Moneer, Manar M; Shalaby, Lobna

2015-01-01

Continuous surveillance of pattern of blood stream infection is necessary in febrile neutropenia (FN)especially with the recent escalating trend in the management of pediatric cancer patients towards intensified regimens and with the increase in infections caused by resistant organisms limiting the choice of antibiotics. To monitor change in pattern of blood stream infections (BSI) in FN pediatric cancer patients. Surveillance of FN episodes with positive BSI was prospectively monitored and compared to a previous surveillance in the same pediatric oncology unit. A total of 232 BSI positive episodes were documented in 192 patients during a 6 months period. The results of recent surveillance analysis showed an increase in intensified regimens of chemotherapy, antimicrobial resistance, fungal infections, and prolonged duration of episodes when compared to previous surveillance, with p value sof <0.001, 0.005, 0.021, and <0.001, respectively. There was an apparent decrease in the crude mortality but this was not statistically significant, to 6% in 2011 from 10 % in 2006. The pattern of BSI at our institution is still inclining towards gram positive organisms but is showing a shift towards more antibiotic resistance and fungal infections.

Browns Ferry-1 single-loop operation tests

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

March-Leuba, J.; Wood, R.T.; Otaduy, P.J.

1985-09-01

This report documents the results of the stability tests performed on February 9, 1985, at the Browns Ferry Nuclear Power Plant Unit 1 under single-loop operating conditions. The observed increase in neutron noise during single-loop operation is solely due to an increase in flow noise. The Browns Ferry-1 reactor has been found to be stable in all modes of operation attained during the present tests. The most unstable test plateau corresponded to minimum recirculation pump speed in single-loop operation (test BFTP3). This operating condition had the minimum flow and maximum power-to-flow ratio. The estimated decay ratio in this plateau ismore » 0.53. The decay ratio decreased as the flow was increased during single-loop operation (down to 0.34 for test plateau BFTP6). This observation implies that the core-wide reactor stability follows the same trends in single-loop as it does in two-loop operation. Finally, no local or higher mode instabilities were found in the data taken from local power range monitors. The decay ratios estimated from the local power range monitors were not significantly different from those estimated from the average power range monitors.« less

Case Series of a Knowledge Translation Intervention to Increase Upper Limb Exercise in Stroke Rehabilitation.

PubMed

Connell, Louise A; McMahon, Naoimh E; Tyson, Sarah F; Watkins, Caroline L; Eng, Janice J

2016-12-01

Current approaches to upper limb rehabilitation are not sufficient to drive neural reorganization and maximize recovery after stroke. To address this evidence-practice gap, a knowledge translation intervention using the Behaviour Change Wheel was developed. The intervention involves collaboratively working with stroke therapy teams to change their practice and increase therapy intensity by therapists prescribing supplementary self-directed arm exercise. The purposes of this case series are: (1) to provide an illustrative example of how a research-informed process changed clinical practice and (2) to report on staff members' and patients' perceptions of the utility of the developed intervention. A participatory action research approach was used in 3 stroke rehabilitation units in the United Kingdom. The intervention aimed to change 4 therapist-level behaviors: (1) screening patients for suitability for supplementary self-directed arm exercise, (2) provision of exercises, (3) involving family and caregivers in assisting with exercises, and (4) monitoring and progressing exercises. Data on changes in practice were collected by therapy teams using a bespoke audit tool. Utility of the intervention was explored in qualitative interviews with patients and staff. Components of the intervention were successfully embedded in 2 of the 3 stroke units. At these sites, almost all admitted patients were screened for suitability for supplementary self-directed exercise. Exercises were provided to 77%, 70%, and 88% of suitable patients across the 3 sites. Involving family and caregivers and monitoring and progressing exercises were not performed consistently. This case series is an example of how a rigorous research-informed knowledge translation process resulted in practice change. Research is needed to demonstrate that these changes can translate into increased intensity of upper limb exercise and affect patient outcomes. © 2016 American Physical Therapy Association.

Development of A Dust Climate Indicator for the US National Climate Assessment

NASA Astrophysics Data System (ADS)

Tong, D.; Wang, J. X. L.; Gill, T. E.; Van Pelt, S.; Kim, D.

2016-12-01

Dust activity is a relatively simple but practical indicator to document the response of dryland ecosystems to climate change, making it an integral part of the National Climate Assessment (NCA). We present here a multi-agency collaboration that aims at developing a suite of dust climate indicators to document and monitor the long-term variability and trend of dust storm activity in the western United States. Recent dust observations have revealed rapid intensification of dust storm activity in the western United States. This trend is also closely correlated with a rapid increase in dust deposition in rainwater and "valley fever" hospitalization in southwestern states. It remains unclear, however, if such a trend, when enhanced by predicted warming and rainfall oscillation in the Southwest, will result in irreversible environmental development such as desertification or even another "Dust Bowl". Based on continuous ground aerosol monitoring, we have reconstructed a long-term dust storm climatology in the western United States. We report here direct evidence of rapid intensification of dust storm activity over US deserts in the past decades (1990 to 2013), in contrast to the decreasing trends in Asia and Africa. The US trend is spatially and temporally correlated with incidences of valley fever, an infectious disease caused by soil-dwelling fungus that has increased eight-fold in the past decade. We further investigate the linkage between dust variations and possible climate drivers and find that the regional dust trends are likely driven by large-scale variations of sea surface temperature in the Pacific Ocean, with the strongest correlation with the Pacific Decadal Oscillation (PDO). Future study will explore the link between the temporal and spatial trends of increase in dustiness and vegetation change in southwestern semi-arid and arid ecosystems.

Detection of lower tropospheric responses to solar energetic particles at midlatitudes.

PubMed

Nicoll, K A; Harrison, R G

2014-06-06

Solar energetic particles (SEPs) occasionally contribute additional atmospheric ionization beyond that arising from the usual galactic cosmic ray background. During an SEP event associated with a solar flare on April 11, 2013, the vertical ionization rate profile obtained using a balloon-borne detector showed enhanced ionization with a 26% increase at 20 km, over Reading, United Kingdom. Fluctuations in atmospheric electrical parameters were also detected at the surface, beneath the balloon's trajectory. As no coincident changes in geomagnetism occurred, the electrical fluctuations are very likely to be associated with increased ionization, as observed by the balloon measurements. The lack of response of surface neutron monitors during this event indicates that energetic particles that are not detected at the surface by neutron monitors can nevertheless enter and influence the atmosphere's weather-generating regions.

Hand hygiene compliance rates in the United States--a one-year multicenter collaboration using product/volume usage measurement and feedback.

PubMed

McGuckin, Maryanne; Waterman, Richard; Govednik, John

2009-01-01

Hand hygiene (HH) is the single most important factor in the prevention of health care-acquired infections. The 3 most frequently reported methods of measuring HH compliance are: (1) direct observation, (2) self-reporting by health care workers (HCWs), and (3) indirect calculation based on HH product usage. This article presents the results of a 12-month multicenter collaboration assessing HH compliance rates at US health care facilities by measuring product usage and providing feedback about HH compliance. Our results show that HH compliance at baseline was 26% for intensive care units (ICUs) and 36% for non-ICUs. After 12 months of measuring product usage and providing feedback, compliance increased to 37% for ICUs and 51% for non-ICUs. (ICU, P = .0119; non-ICU, P < .001). HH compliance in the United States can increase when monitoring is combined with feedback. However, HH still occurs at or below 50% compli- ance for both ICUs and non-ICUs.

Mapping the world: cartographic and geographic visualization by the United Nations Geospatial Information Section (formerly Cartographic Section)

NASA Astrophysics Data System (ADS)

Kagawa, Ayako; Le Sourd, Guillaume

2018-05-01

United Nations Secretariat activities, mapping began in 1946, and by 1951, the need for maps increased and an office with a team of cartographers was established. Since then, with the development of technologies including internet, remote sensing, unmanned aerial systems, relationship database management and information systems, geospatial information provides an ever-increasing variation of support to the work of the Organization for planning of operations, decision-making and monitoring of crises. However, the need for maps has remained intact. This presentation aims to highlight some of the cartographic representation styles over the decades by reviewing the evolution of selected maps by the office, and noting the changing cognitive and semiotic aspects of cartographic and geographic visualization required by the United Nations. Through presentation and analysis of these maps, the changing dynamics of the Organization in information management can be reflected, with a reminder of the continuing and expanding deconstructionist role of a cartographer, now geospatial information management experts.

Energy consumption and energy-saving potential analysis of pollutant abatement systems in a 1000MW coal-fired power plant.

PubMed

Yang, Hang; Zhang, Yongxin; Zheng, Chenghang; Wu, Xuecheng; Chen, Linghong; Gao, Xiang; Fu, Joshua S

2018-05-10

The pollutant abatement systems are widely applied in the coal-fired power sector and the energy consumption was considered an important part of the auxiliary power. An energy consumption analysis and assessment model of pollutant abatement systems in a power unit was developed based on the dynamic parameters and technology. The energy consumption of pollutant abatement systems in a 1000 MW coal-fired power unit which meet the ultra-low emission limits and the factors of operating parameters including unit load and inlet concentration of pollutants on the operating power were analyzed. The results show that the total power consumption of the pollutant abatement systems accounted for 1.27% of the gross power generation during the monitoring period. The WFGD system consumed 67% of the rate while the SCR and ESP systems consumed 8.9% and 24.1%. The power consumption rate of pollutant abatement systems decreased with the increase of unit load and increased with the increase of the inlet concentration of pollutants. The operation adjustment was also an effective method to increase the energy efficiency. For example, the operation adjustment of slurry circulation pumps could promote the energy-saving operation of WFGD system. Implication Statement The application of pollutant abatement technologies increases the internal energy consumption of the power plant, which will lead to an increase of power generation costs. The real-time energy consumption of the different pollutant abatement systems in a typical power unit is analyzed based on the dynamic operating data. Further, the influence of different operating parameters on the operating power of the system and the possible energy-saving potential are analyzed.

Can I go out for a smoke? A nursing challenge in the epilepsy monitoring unit.

PubMed

Hamilton, M; McLachlan, R S; Burneo, J G

2009-05-01

Cigarette smoking is common in patients with intractable epilepsy. As a preliminary assessment of epilepsy and smoking, we evaluated the impact of breaks for smoking on the investigation of epilepsy patients admitted to our epilepsy monitoring unit. Absences from the epilepsy unit at the London Health Sciences Center were monitored for 6 months by nursing personnel. During these absences, events that occurred were registered as well. This is possible using portable EEG recorders (XLTEK) that patients carry with them all the time. A disadvantage is that video recording is not available if the patient has a seizure outside the unit. Information was entered consecutively in a datasheet. Diagnosis, duration of hospital stay, frequency of breaks, and time outside the unit were recorded. Descriptive and statistical analysis was performed. Two thousand two hundred and ninety trips were recorded. Mean duration of stay was 10 days for smokers and 8.5 for non-smokers. Non-smokers had a total of 439 seizures of which 6 (1.4%) were not recorded, while the smokers had 213, of which 11 (5.2%) were not recorded. Five events did not have electroencephalographic correlation, raising a suspicion of non-epileptic events (pseudoseizures). Despite the low number of events missed, precious information may be lost during smoking trips by patients admitted to the epilepsy unit. Ways to avoid such trips should be implemented in epilepsy monitoring units allowing smoking breaks for patients.

Alarm characterization for continuous glucose monitors used as adjuncts to self-monitoring of blood glucose.

PubMed

McGarraugh, Geoffrey

2010-01-01

Continuous glucose monitoring (CGM) devices available in the United States are approved for use as adjuncts to self-monitoring of blood glucose (SMBG). Alarm evaluation in the Clinical and Laboratory Standards Institute (CLSI) guideline for CGM does not specifically address devices that employ both CGM and SMBG. In this report, an alarm evaluation method is proposed for these devices. The proposed method builds on the CLSI method using data from an in-clinic study of subjects with type 1 diabetes. CGM was used to detect glycemic events, and SMBG was used to determine treatment. To optimize detection of a single glucose level, such as 70 mg/dl, a range of alarm threshold settings was evaluated. The alarm characterization provides a choice of alarm settings that trade off detection and false alarms. Detection of a range of high glucose levels was similarly evaluated. Using low glucose alarms, detection of 70 mg/dl within 30 minutes increased from 64 to 97% as alarm settings increased from 70 to 100 mg/dl, and alarms that did not require treatment (SMBG >85 mg/dl) increased from 18 to 52%. Using high glucose alarms, detection of 180 mg/dl within 30 minutes increased from 87 to 96% as alarm settings decreased from 180 to 165 mg/dl, and alarms that did not require treatment (SMBG <180 mg/dl) increased from 24 to 42%. The proposed alarm evaluation method provides information for choosing appropriate alarm thresholds and reflects the clinical utility of CGM alarms. 2010 Diabetes Technology Society.

Current status and standards for establishment of hemodialysis units in Korea

PubMed Central

Lee, Young-Ki; Kim, Kiwon

2013-01-01

The number of hemodialysis patients and dialysis facilities is increasing each year, but there are no surveillance programs validating that the services and equipment of each hemodialysis unit meet specified safety and quality standards. There is a concern that excessive competition and illegal activities committed by some dialysis facilities may violate patients' right to health. Contrastingly, developed countries often have their own survey program to provide initial certification and monitoring to ensure that these clinics continue to meet basic requirements. Because hemodialysis units provide renal replacement therapy to critical patients suffering from severe chronic renal failure, appropriate legal regulation is important for the provision of initial certification and maintenance of facility, equipment, and human resource quality. Therefore, several standards providing minimum requirements for the area of hemodialysis unit, equipment for emergency care, physician and nurse staffs, water purification and quality management are urgently needed. PMID:23682218

Developing and applying modern methods of leakage monitoring and state estimation of fuel at the Novovoronezh nuclear power plant

NASA Astrophysics Data System (ADS)

Povarov, V. P.; Tereshchenko, A. B.; Kravchenko, Yu. N.; Pozychanyuk, I. V.; Gorobtsov, L. I.; Golubev, E. I.; Bykov, V. I.; Likhanskii, V. V.; Evdokimov, I. A.; Zborovskii, V. G.; Sorokin, A. A.; Kanyukova, V. D.; Aliev, T. N.

2014-02-01

The results of developing and implementing the modernized fuel leakage monitoring methods at the shut-down and running reactor of the Novovoronezh nuclear power plant (NPP) are presented. An automated computerized expert system integrated with an in-core monitoring system (ICMS) and installed at the Novovoronezh NPP unit no. 5 is described. If leaky fuel elements appear in the core, the system allows one to perform on-line assessment of the parameters of leaky fuel assemblies (FAs). The computer expert system units designed for optimizing the operating regimes and enhancing the fuel usage efficiency at the Novovoronezh NPP unit no. 5 are now being developed.

Preserving prairies: Understanding temporal and spatial patterns of invasive annual bromes in the Northern Great Plains

USGS Publications Warehouse

Ashton, Isabel; Symstad, Amy J.; Davis, Christopher; Swanson, Daniel J.

2016-01-01

Two Eurasian invasive annual brome grasses, cheatgrass (Bromus tectorum) and Japanese brome (Bromus japonicus), are well known for their impact in steppe ecosystems of the western United States where these grasses have altered fire regimes, reduced native plant diversity and abundance, and degraded wildlife habitat. Annual bromes are also abundant in the grasslands of the Northern Great Plains (NGP), but their impact and ecology are not as well studied. It is unclear whether the lessons learned from the steppe will translate to the mixed-grass prairie where native plant species are adapted to frequent fires and grazing. Developing a successful annual brome management strategy for National Park Service units and other NGP grasslands requires better understanding of (1) the impact of annual bromes on grassland condition; (2) the dynamics of these species through space and time; and (3) the relative importance of environmental factors within and outside managers' control for these spatiotemporal dynamics. Here, we use vegetation monitoring data collected from 1998 to 2015 in 295 sites to relate spatiotemporal variability of annual brome grasses to grassland composition, weather, physical environmental characteristics, and ecological processes (grazing and fire). Concern about the impact of these species in NGP grasslands is warranted, as we found a decline in native species richness with increasing annual brome cover. Annual brome cover generally increased over the time of monitoring but also displayed a 3- to 5-yr cycle of reduction and resurgence. Relative cover of annual bromes in the monitored areas was best predicted by park unit, weather, extant plant community, slope grade, soil composition, and fire history. We found no evidence that grazing reduced annual brome cover, but this may be due to the relatively low grazing pressure in our study. By understanding the consequences and patterns of annual brome invasion, we will be better able to preserve and restore these grassland landscapes for future generations.

Configurable technology development for reusable control and monitor ground systems

NASA Technical Reports Server (NTRS)

Uhrlaub, David R.

1994-01-01

The control monitor unit (CMU) uses configurable software technology for real-time mission command and control, telemetry processing, simulation, data acquisition, data archiving, and ground operations automation. The base technology is currently planned for the following control and monitor systems: portable Space Station checkout systems; ecological life support systems; Space Station logistics carrier system; and the ground system of the Delta Clipper (SX-2) in the Single-Stage Rocket Technology program. The CMU makes extensive use of commercial technology to increase capability and reduce development and life-cycle costs. The concepts and technology are being developed by McDonnell Douglas Space and Defense Systems for the Real-Time Systems Laboratory at NASA's Kennedy Space Center under the Payload Ground Operations Contract. A second function of the Real-Time Systems Laboratory is development and utilization of advanced software development practices.

Improved salvage of complicated microvascular transplants monitored with quantitative fluorometry.

PubMed

Whitney, T M; Lineaweaver, W C; Billys, J B; Siko, P P; Buncke, G M; Alpert, B S; Oliva, A; Buncke, H J

1992-07-01

Quantitative fluorometry has been used to monitor circulation in transplanted toes and cutaneous flaps in our unit since 1982. Analysis of 177 uncomplicated transplants monitored by quantitative fluorometry shows that this technique has low false indication rates for arterial occlusion (0.6 percent of patients) and venous occlusion (6.2 percent of patients). None of these patients was reexplored because of a false monitor reading, and except for single abnormal sequences, monitoring appropriately indicated intact circulation throughout the postoperative period. Quantitative fluorometry has correctly indicated vascular complications in 21 (91.3 percent) of 23 transplants over an 8-year period. The salvage rate (85.7 percent) of the fluorescein-monitored reexplored transplants was significantly higher than the salvage rates of similar reexplored transplants not monitored with fluorescein and of reexplored muscle flaps (which cannot be monitored with the fluorometer used at this unit). These clinical data indicate that quantitative fluorometry is a valid and useful postoperative monitor for transplanted toes and cutaneous flaps.

Air sampling unit for breath analyzers

NASA Astrophysics Data System (ADS)

Szabra, Dariusz; Prokopiuk, Artur; Mikołajczyk, Janusz; Ligor, Tomasz; Buszewski, Bogusław; Bielecki, Zbigniew

2017-11-01

The paper presents a portable breath sampling unit (BSU) for human breath analyzers. The developed unit can be used to probe air from the upper airway and alveolar for clinical and science studies. The BSU is able to operate as a patient interface device for most types of breath analyzers. Its main task is to separate and to collect the selected phases of the exhaled air. To monitor the so-called I, II, or III phase and to identify the airflow from the upper and lower parts of the human respiratory system, the unit performs measurements of the exhaled CO2 (ECO2) in the concentration range of 0%-20% (0-150 mm Hg). It can work in both on-line and off-line modes according to American Thoracic Society/European Respiratory Society standards. A Tedlar bag with a volume of 5 dm3 is mounted as a BSU sample container. This volume allows us to collect ca. 1-25 selected breath phases. At the user panel, each step of the unit operation is visualized by LED indicators. This helps us to regulate the natural breathing cycle of the patient. There is also an operator's panel to ensure monitoring and configuration setup of the unit parameters. The operation of the breath sampling unit was preliminarily verified using the gas chromatography/mass spectrometry (GC/MS) laboratory setup. At this setup, volatile organic compounds were extracted by solid phase microextraction. The tests were performed by the comparison of GC/MS signals from both exhaled nitric oxide and isoprene analyses for three breath phases. The functionality of the unit was proven because there was an observed increase in the signal level in the case of the III phase (approximately 40%). The described work made it possible to construct a prototype of a very efficient breath sampling unit dedicated to breath sample analyzers.

40 CFR 75.11 - Specific provisions for monitoring SO2 emissions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 17 2014-07-01 2014-07-01 false Specific provisions for monitoring SO2... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.11 Specific provisions for monitoring SO2 emissions. (a) Coal-fired units. The owner or operator shall meet the general operating...

40 CFR 75.11 - Specific provisions for monitoring SO2 emissions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 17 2012-07-01 2012-07-01 false Specific provisions for monitoring SO2... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.11 Specific provisions for monitoring SO2 emissions. (a) Coal-fired units. The owner or operator shall meet the general operating...

40 CFR 75.11 - Specific provisions for monitoring SO2 emissions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 17 2013-07-01 2013-07-01 false Specific provisions for monitoring SO2... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Monitoring Provisions § 75.11 Specific provisions for monitoring SO2 emissions. (a) Coal-fired units. The owner or operator shall meet the general operating...

40 CFR 257.22 - Ground-water monitoring systems.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Ground-water monitoring systems. 257... Waste Disposal Units Ground-Water Monitoring and Corrective Action § 257.22 Ground-water monitoring systems. (a) A ground-water monitoring system must be installed that consists of a sufficient number of...

40 CFR 257.22 - Ground-water monitoring systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Ground-water monitoring systems. 257... Waste Disposal Units Ground-Water Monitoring and Corrective Action § 257.22 Ground-water monitoring systems. (a) A ground-water monitoring system must be installed that consists of a sufficient number of...

OFF-SITE ENVIRONMENTAL MONITORING REPORT: RADIATION MONITORING AROUND UNITED STATES NUCLEAR TEST AREAS, CALENDAR YEAR 1984

EPA Science Inventory

This report covers the routine radiation monitoring activities conducted by the Environmental Monitoring Systems Laboratory-Las Vegas in areas which may be affected by nuclear testing programs of the Department of Energy. This monitoring is conducted to document compliance with s...

OFFSITE ENVIRONMENTAL MONITORING REPORT. RADIATION MONITORING AROUND UNITED STATES NUCLEAR TEST AREAS, CALENDAR YEAR 1983

EPA Science Inventory

This report covers the routine radiation monitoring activities conducted by the Environmental Monitoring Systems Laboratory-Las Vegas in areas which may be affected by nuclear testing programs of the Department of Energy. This monitoring is conducted to document compliance with s...

OFF-SITE ENVIRONMENTAL MONITORING REPORT: RADIATION MONITORING AROUND UNITED STATES NUCLEAR TEST AREAS, CALENDAR YEAR 1987

EPA Science Inventory

This report covers the routine radiation monitoring activities conducted by the Environmental Monitoring Systems Laboratory-Las Vegas in areas which may be affected by nuclear testing programs of the Department of Energy. This monitoring is conducted to document compliance with s...

State behavior during the Ukrainian crisis: the perspectives of Romania, France, and the United States

DTIC Science & Technology

2016-05-26

Four Leaders, Three Cease-Fires, and Two Summits.” Center for Strategic and International Studies , October 23, 2015. Accessed April 17, 2016. http...United States A Monograph By MAJ Valerică-Iulian Sărățeanu Romanian Army School of Advanced Military Studies United States Army Command...SPONSOR/MONITOR’S ACRONYM(S) School of Advanced Military Studies , Advanced Military Studies Program 11. SPONSOR/MONITOR’S REPORT NUMBER(S) 12

Global Atmospheric Monitoring

ERIC Educational Resources Information Center

Wallen, Carl C.

1975-01-01

The global atmospheric monitoring plans of the World Meteorological Organization are detailed. Single and multipurpose basic monitoring systems and the monitoring of chemical properties are discussed. The relationship of the World Meteorological Organization with the United Nations environment program is discussed. A map of the World…

Method and system for redundancy management of distributed and recoverable digital control system

NASA Technical Reports Server (NTRS)

Stange, Kent (Inventor); Hess, Richard (Inventor); Kelley, Gerald B (Inventor); Rogers, Randy (Inventor)

2012-01-01

A method and system for redundancy management is provided for a distributed and recoverable digital control system. The method uses unique redundancy management techniques to achieve recovery and restoration of redundant elements to full operation in an asynchronous environment. The system includes a first computing unit comprising a pair of redundant computational lanes for generating redundant control commands. One or more internal monitors detect data errors in the control commands, and provide a recovery trigger to the first computing unit. A second redundant computing unit provides the same features as the first computing unit. A first actuator control unit is configured to provide blending and monitoring of the control commands from the first and second computing units, and to provide a recovery trigger to each of the first and second computing units. A second actuator control unit provides the same features as the first actuator control unit.

A clinical evaluation of a remote mobility monitoring system based on SMS messaging.

PubMed

Dalton, Anthony F; Ní Scanaill, Cliodhna; Carew, Sheila; Lyons, Declan; OLaighin, Gearóid

2007-01-01

The objective of this work was to evaluate the accuracy and viability of a mobility telemonitoring system, based on the short message service (SMS), to monitor the functional mobility of elderly subjects in an unsupervised environment. A clinical trial was conducted consisting of 6 elderly subjects; 3 male, 3 female (mean: 81.7, SD: 5.09). Mobility was monitored using an accelerometer based portable unit worn by each monitored subject for eleven hours. Every 15 minutes the mobility of the subject was summarized and transmitted as an SMS message from the portable unit to a remote server for long term analysis. The activPAL Trio Professional physical activity logger was simultaneously used for comparison with the portable unit. On conclusion of the trial each subject completed a questionnaire detailing their satisfaction with the portable unit and any recommendations for improvements. Overall a percentage difference of 2.31% was found between the activPAL Trio and the portable unit for the detection of sitting. For the combined postures of standing and walking the percentage difference was calculated as 2.9%. A bivariate correlation and regression analysis was performed on the entire data set of one subject. Strong positive correlation's were found for the detection of sitting (r = 0.996) and for the combined postures of standing and walking (r = 0.994). Subjects suggested that a lighter, smaller and wireless unit would be more effective.

Continuous quality improvement for the clinical decision unit.

PubMed

Mace, Sharon E

2004-01-01

Clinical decision units (CDUs) are a relatively new and growing area of medicine in which patients undergo rapid evaluation and treatment. Continuous quality improvement (CQI) is important for the establishment and functioning of CDUs. CQI in CDUs has many advantages: better CDU functioning, fulfillment of Joint Commission on Accreditation of Healthcare Organizations mandates, greater efficiency/productivity, increased job satisfaction, better performance improvement, data availability, and benchmarking. Key elements include a database with volume indicators, operational policies, clinical practice protocols (diagnosis specific/condition specific), monitors, benchmarks, and clinical pathways. Examples of these important parameters are given. The CQI process should be individualized for each CDU and hospital.

76 FR 8769 - Notice of Receipt of Complaint; Solicitation of Comments Relating to the Public Interest

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-15

... Certain Display Devices, Including Digital Televisions and Monitors II, DN 2787; the Commission is... importation of certain display devices, including digital televisions and monitors II. The complaint names as... in the United States economy, the production of like or directly competitive articles in the United...

Monitoring and Evaluation of Public Policies for Educational Infrastructure.

ERIC Educational Resources Information Center

Wilkinson, Richard

This paper provides an overview of how the Department for Education and Skills (the Ministry of Education of the United Kingdom) is managing, monitoring, and evaluating investment in school accommodation in England. School infrastructure in the United Kingdom is going through a period of significant change as the government seeks dramatic…

40 CFR 75.34 - Units with add-on emission controls.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Missing Data Substitution Procedures § 75.34 Units with... monitoring system(s) are not obtained. (1) The owner or operator may use the missing data substitution procedures specified in §§ 75.31 through 75.33 to provide substitute data for any missing data hour(s) in...

40 CFR 75.34 - Units with add-on emission controls.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Missing Data Substitution Procedures § 75.34 Units with... monitoring system(s) are not obtained. (1) The owner or operator may use the missing data substitution procedures specified in §§ 75.31 through 75.33 to provide substitute data for any missing data hour(s) in...

40 CFR 75.34 - Units with add-on emission controls.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Missing Data Substitution Procedures § 75.34 Units with... monitoring system(s) are not obtained. (1) The owner or operator may use the missing data substitution procedures specified in §§ 75.31 through 75.33 to provide substitute data for any missing data hour(s) in...

40 CFR 75.34 - Units with add-on emission controls.

Code of Federal Regulations, 2012 CFR

2012-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Missing Data Substitution Procedures § 75.34 Units with... monitoring system(s) are not obtained. (1) The owner or operator may use the missing data substitution procedures specified in §§ 75.31 through 75.33 to provide substitute data for any missing data hour(s) in...

40 CFR 75.34 - Units with add-on emission controls.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROGRAMS (CONTINUED) CONTINUOUS EMISSION MONITORING Missing Data Substitution Procedures § 75.34 Units with... monitoring system(s) are not obtained. (1) The owner or operator may use the missing data substitution procedures specified in §§ 75.31 through 75.33 to provide substitute data for any missing data hour(s) in...

78 FR 7411 - Vessel Monitoring Systems (VMS); Certification of New VMS Unit for Use in Northeast Fisheries

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-01

... Monitoring Systems (VMS); Certification of New VMS Unit for Use in Northeast Fisheries AGENCY: National... used effective January 24, 2013. FOR FURTHER INFORMATION CONTACT: Office of Law Enforcement, Northeast Division, Northeast VMS Team, telephone 978-281-9213. SUPPLEMENTARY INFORMATION: Regulations at 50 CFR 648...

Monitoring U.S. forest dynamics with Landsat [Chapter 12

Treesearch

Jeffrey G. Masek; Sean P. Healey

2012-01-01

Forest dynamics in the United States differ substantially from those in the developing world and thus present unique monitoring requirements. While deforestation and conversion to semipermanent agriculture dominate tropical forest dynamics, the area of forest land in the United States has remained fairly constant for the last 50-60 years (Birdsey and Lewis 2003)....

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

PubMed

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

2018-08-01

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

[Validation of a method for notifying and monitoring medication errors in pediatrics].

PubMed

Guerrero-Aznar, M D; Jiménez-Mesa, E; Cotrina-Luque, J; Villalba-Moreno, A; Cumplido-Corbacho, R; Fernández-Fernández, L

2014-12-01

To analyze the impact of a multidisciplinary and decentralized safety committee in the pediatric management unit, and the joint implementation of a computing network application for reporting medication errors, monitoring the follow-up of the errors, and an analysis of the improvements introduced. An observational, descriptive, cross-sectional, pre-post intervention study was performed. An analysis was made of medication errors reported to the central safety committee in the twelve months prior to introduction, and those reported to the decentralized safety committee in the management unit in the nine months after implementation, using the computer application, and the strategies generated by the analysis of reported errors. Number of reported errors/10,000 days of stay, number of reported errors with harm per 10,000 days of stay, types of error, categories based on severity, stage of the process, and groups involved in the notification of medication errors. Reported medication errors increased 4.6 -fold, from 7.6 notifications of medication errors per 10,000 days of stay in the pre-intervention period to 36 in the post-intervention, rate ratio 0.21 (95% CI; 0.11-0.39) (P<.001). The medication errors with harm or requiring monitoring reported per 10,000 days of stay, was virtually unchanged from one period to the other ratio rate 0,77 (95% IC; 0,31-1,91) (P>.05). The notification of potential errors or errors without harm per 10,000 days of stay increased 17.4-fold (rate ratio 0.005., 95% CI; 0.001-0.026, P<.001). The increase in medication errors notified in the post-intervention period is a reflection of an increase in the motivation of health professionals to report errors through this new method. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

A wireless blood pressure monitoring system for personal health management.

PubMed

Li, Wun-Jin; Luo, Yuan-Long; Chang, Yao-Shun; Lin, Yuan-Hsiang

2010-01-01

In this paper, we developed a wireless blood pressure monitoring system which provides a useful tool for users to measure and manage their daily blood pressure values. This system includes an ARM-based blood pressure monitor with a ZigBee wireless transmission module and a PC-based management unit with graphic user interface and database. The wireless blood pressure monitor can measure the blood pressure and heart rate and then store and forward the measuring information to the management unit through the ZigBee wireless transmission. On the management unit, user can easy to see their blood pressure variation in the past using a line chart. Accuracy of blood pressure measurement has been verified by a commercial blood pressure simulator and shown the bias of systolic blood pressure is ≤ 1 mmHg and the bias of diastolic blood pressure is ≤ 1.4 mmHg.

Remote Monitor Alarm System

NASA Technical Reports Server (NTRS)

Stute, Robert A. (Inventor); Galloway, F. Houston (Inventor); Medelius, Pedro J. (Inventor); Swindle, Robert W. (Inventor); Bierman, Tracy A. (Inventor)

1996-01-01

A remote monitor alarm system monitors discrete alarm and analog power supply voltage conditions at remotely located communications terminal equipment. A central monitoring unit (CMU) is connected via serial data links to each of a plurality of remote terminal units (RTUS) that monitor the alarm and power supply conditions of the remote terminal equipment. Each RTU can monitor and store condition information of both discrete alarm points and analog power supply voltage points in its associated communications terminal equipment. The stored alarm information is periodically transmitted to the CMU in response to sequential polling of the RTUS. The number of monitored alarm inputs and permissible voltage ranges for the analog inputs can be remotely configured at the CMU and downloaded into programmable memory at each RTU. The CMU includes a video display, a hard disk memory, a line printer and an audio alarm for communicating and storing the alarm information received from each RTU.

Self-testing security sensor for monitoring closure of vault doors and the like

DOEpatents

Cawthorne, Duane C.

1997-05-27

A self-testing device is provided for a monitoring system for monitoring whether a closure member such as a door or window is closed. The monitoring system includes a switch unit mounted on the frame of the closure member being monitored and including magnetically biased switches connected in one or more electrical monitoring circuits, and a door magnet unit mounted on the closure member being monitored. The door magnet includes one or more permanent magnets that produce a magnetic field which, when the closure member is closed, cause said switches to assume a first state. When the closure member is opened, the switches switch to a second, alarm state. The self-testing device is electrically controllable from a remote location and produces a canceling or diverting magnetic field which simulates the effect of movement of the closure member from the closed position thereof without any actual movement of the member.

Self-testing security sensor for monitoring closure of vault doors and the like

DOEpatents

Cawthorne, D.C.

1997-05-27

A self-testing device is provided for a monitoring system for monitoring whether a closure member such as a door or window is closed. The monitoring system includes a switch unit mounted on the frame of the closure member being monitored and including magnetically biased switches connected in one or more electrical monitoring circuits, and a door magnet unit mounted on the closure member being monitored. The door magnet includes one or more permanent magnets that produce a magnetic field which, when the closure member is closed, cause said switches to assume a first state. When the closure member is opened, the switches switch to a second, alarm state. The self-testing device is electrically controllable from a remote location and produces a canceling or diverting magnetic field which simulates the effect of movement of the closure member from the closed position thereof without any actual movement of the member. 5 figs.

A Piezoelectric Passive Wireless Sensor for Monitoring Strain

NASA Technical Reports Server (NTRS)

Zou, Xiyue; Ferri, Paul N.; Hogan, Ben; Mazzeo, Aaron D.; Hull. Patrick V.

2017-01-01

Interest in passive wireless sensing has grown over the past few decades to meet demands in structural health monitoring.(Deivasigamani et al., 2013; Wilson and Juarez, 2014) This work describes a passive wireless sensor for monitoring strain, which does not have an embedded battery or chip. Without an embedded battery, the passive wireless sensor has the potential to maintain its functionality over long periods in remote/harsh environments. This work also focuses on monitoring small strain (less than 1000 micro-?). The wireless sensing system includes a reader unit, a coil-like transponder, and a sensing unit. It operates in the Megahertz (MHz) frequency range, which allows for a few centimeters of separation between the reader and sensing unit during measurements. The sensing unit is a strain-sensitive piezoelectric resonator that maximizes the energy efficiency at the resonance frequency, so it converts nanoscale mechanical variations to detectable differences in electrical signal. In response to an external loading, the piezoelectric sensor breaks from its original electromechanical equilibrium, and the resonant frequency shifts as the system reaches a new balanced equilibrium. In this work, the fixture of the sensing unit is a small, sticker-like package that converts the surface strain of a test material to measurable shifts in resonant frequencies. Furthermore, electromechanical modeling provides a lumped-parameter model of the system to describe and predict the measured wireless signals of the sensor. Detailed characterization demonstrates how this wireless sensor has resolution comparable to that of conventional wired strain sensors for monitoring small strain.

Association of medication errors with drug classifications, clinical units, and consequence of errors: Are they related?

PubMed

Muroi, Maki; Shen, Jay J; Angosta, Alona

2017-02-01

Registered nurses (RNs) play an important role in safe medication administration and patient safety. This study examined a total of 1276 medication error (ME) incident reports made by RNs in hospital inpatient settings in the southwestern region of the United States. The most common drug class associated with MEs was cardiovascular drugs (24.7%). Among this class, anticoagulants had the most errors (11.3%). The antimicrobials was the second most common drug class associated with errors (19.1%) and vancomycin was the most common antimicrobial that caused errors in this category (6.1%). MEs occurred more frequently in the medical-surgical and intensive care units than any other hospital units. Ten percent of MEs reached the patients with harm and 11% reached the patients with increased monitoring. Understanding the contributing factors related to MEs, addressing and eliminating risk of errors across hospital units, and providing education and resources for nurses may help reduce MEs. Copyright © 2016 Elsevier Inc. All rights reserved.

Improving the Reliability of Technological Subsystems Equipment for Steam Turbine Unit in Operation

NASA Astrophysics Data System (ADS)

Brodov, Yu. M.; Murmansky, B. E.; Aronson, R. T.

2017-11-01

The authors’ conception is presented of an integrated approach to reliability improving of the steam turbine unit (STU) state along with its implementation examples for the various STU technological subsystems. Basing on the statistical analysis of damage to turbine individual parts and components, on the development and application of modern methods and technologies of repair and on operational monitoring techniques, the critical components and elements of equipment are identified and priorities are proposed for improving the reliability of STU equipment in operation. The research results are presented of the analysis of malfunctions for various STU technological subsystems equipment operating as part of power units and at cross-linked thermal power plants and resulting in turbine unit shutdown (failure). Proposals are formulated and justified for adjustment of maintenance and repair for turbine components and parts, for condenser unit equipment, for regeneration subsystem and oil supply system that permit to increase the operational reliability, to reduce the cost of STU maintenance and repair and to optimize the timing and amount of repairs.

Ozone monitoring instrument observations of interannual increases in SO2 emissions from Indian coal-fired power plants during 2005-2012.

PubMed

Lu, Zifeng; Streets, David G; de Foy, Benjamin; Krotkov, Nickolay A

2013-12-17

Due to the rapid growth of electricity demand and the absence of regulations, sulfur dioxide (SO2) emissions from coal-fired power plants in India have increased notably in the past decade. In this study, we present the first interannual comparison of SO2 emissions and the satellite SO2 observations from the Ozone Monitoring Instrument (OMI) for Indian coal-fired power plants during the OMI era of 2005-2012. A detailed unit-based inventory is developed for the Indian coal-fired power sector, and results show that its SO2 emissions increased dramatically by 71% during 2005-2012. Using the oversampling technique, yearly high-resolution OMI maps for the whole domain of India are created, and they reveal a continuous increase in SO2 columns over India. Power plant regions with annual SO2 emissions greater than 50 Gg year(-1) produce statistically significant OMI signals, and a high correlation (R = 0.93) is found between SO2 emissions and OMI-observed SO2 burdens. Contrary to the decreasing trend of national mean SO2 concentrations reported by the Indian Government, both the total OMI-observed SO2 and annual average SO2 concentrations in coal-fired power plant regions increased by >60% during 2005-2012, implying the air quality monitoring network needs to be optimized to reflect the true SO2 situation in India.

Digital High-Current Monitor

NASA Technical Reports Server (NTRS)

Cash, B.

1985-01-01

Simple technique developed for monitoring direct currents up to several hundred amperes and digitally displaying values directly in current units. Used to monitor current magnitudes beyond range of standard laboratory ammeters, which typically measure 10 to 20 amperes maximum. Technique applicable to any current-monitoring situation.

Integrated wireless sensor network and real time smart controlling and monitoring system for efficient energy management in standalone photovoltaic systems

NASA Astrophysics Data System (ADS)

Abou-Elnour, Ali; Thabt, A.; Helmy, S.; Kashf, Y.; Hadad, Y.; Tarique, M.; Abo-Elnor, Ossama

2014-04-01

In the present work, wireless sensor network and smart real-time controlling and monitoring system are integrated for efficient energy management of standalone photovoltaic system. The proposed system has two main components namely the monitoring and controlling system and the wireless communication system. LabView software has been used in the implementation of the monitoring and controlling system. On the other hand, ZigBee wireless modules have been used to implement the wireless system. The main functions of monitoring and controlling unit is to efficiently control the energy consumption form the photovoltaic system based on accurate determination of the periods of times at which the loads are required to be operated. The wireless communication system send the data from the monitoring and controlling unit to the loads at which desired switching operations are performed. The wireless communication system also continuously feeds the monitoring and controlling unit with updated input data from the sensors and from the photovoltaic module send to calculate and record the generated, the consumed, and the stored energy to apply load switching saving schemes if necessary. It has to be mentioned that our proposed system is a low cost and low power system because and it is flexible to be upgraded to fulfill additional users' requirements.

Monitoring Drought Conditions in the Navajo Nation Using NASA Earth Observations

NASA Technical Reports Server (NTRS)

Ly, Vickie; Gao, Michael; Cary, Cheryl; Turnbull-Appell, Sophie; Surunis, Anton

2016-01-01

The Navajo Nation, a 65,700 sq km Native American territory located in the southwestern United States, has been increasingly impacted by severe drought events and changes in climate. These events are coupled with a lack of domestic water infrastructure and economic resources, leaving approximately one-third of the population without access to potable water in their homes. Current methods of monitoring drought are dependent on state-based monthly Standardized Precipitation Index value maps calculated by the Western Regional Climate Center. However, these maps do not provide the spatial resolution needed to illustrate differences in drought severity across the vast Nation. To better understand and monitor drought events and drought regime changes in the Navajo Nation, this project created a geodatabase of historical climate information specific to the area, and a decision support tool to calculate average Standardized Precipitation Index values for user-specified areas. The tool and geodatabase use Tropical Rainfall Monitoring Mission (TRMM) and Global Precipitation Monitor (GPM) observed precipitation data and Parameter-elevation Relationships on Independent Slopes Model modeled historical precipitation data, as well as NASA's modeled Land Data Assimilation Systems deep soil moisture, evaporation, and transpiration data products. The geodatabase and decision support tool will allow resource managers in the Navajo Nation to utilize current and future NASA Earth observation data for increased decision-making capacity regarding future climate change impact on water resources.

Southeast regional and state trends in anuran occupancy from calling survey data (2001-2013) from the North American Amphibian Monitoring Program

USGS Publications Warehouse

Villena Carpio, Oswaldo; Royle, J. Andrew; Weir, Linda; Foreman, Tasha M.; Gazenski, Kimberly D.; Campbell Grant, Evan H.

2016-01-01

We present the first regional trends in anuran occupancy for eight states of the southeastern United States, based on 13 y (2001–2013) of North American Amphibian Monitoring Program (NAAMP) data. The NAAMP is a longterm monitoring program in which observers collect anuran calling observation data at fixed locations along random roadside routes. We assessed occupancy trends for 14 species. We found weak evidence for a general regional pattern of decline in calling anurans within breeding habitats along roads in the southeastern USA over the last 13 y. Two species had positive regional trends with 95% posterior intervals that did not include zero (Hyla cinerea and Pseudacris crucifer). Five other species also showed an increasing trend, while eight species showed a declining trend, although 95% posterior intervals included zero. We also assessed state level trends for 107 species/state combinations. Of these, 14 showed a significant decline and 12 showed a significant increase in occupancy (i.e., credible intervals did not include zero for these 26 trends).

Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada: For Calendar Year 2017, Revision 0

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

Matthews, Patrick; Alvarado, Juan

This report serves as the combined annual report for post-closure activities for the following closed corrective action units (CAUs): CAU 90, Area 2 Bitcutter Containment CAU 91, Area 3 U-3fi Injection Well CAU 92, Area 6 Decon Pond Facility CAU 110, Area 3 WMD U-3ax/bl Crater CAU 111, Area 5 WMD Retired Mixed Waste Pits CAU 112, Area 23 Hazardous Waste Trenches The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report. Site inspections are conducted annually at CAUs 90, 91, and 112; semiannually at CAUs 92 and 110;more » and quarterly at CAU 111. Additional inspections are conducted at CAU 92 if precipitation occurs in excess of 1.0 inches in a 24-hour period and at CAU 111 if precipitation occurs in excess of 1.0 inch in a 24-hour period. Inspections include an evaluation of the condition of the units, including covers, fences, signs, gates, and locks. At CAU 110, soil moisture monitoring, vegetation evaluations, and subsidence surveys are conducted in addition to the visual inspections. At CAU 111, soil moisture monitoring, vegetation evaluations, subsidence surveys, direct radiation monitoring, air monitoring, radon flux monitoring, and groundwater monitoring are conducted. This report will address all monitoring items notes above except groundwater monitoring. Groundwater monitoring is documented in the Nevada National Security Site Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site. All required inspections, maintenance, and monitoring were conducted in accordance with the post-closure requirements of the permit. Revision 4 of Permit NEV HW0101 was issued effective December 10, 2015, and remains in effect until December 10, 2020.« less

Cycle chemistry monitoring system as means of improving the reliability of the equipment at the power plants

NASA Astrophysics Data System (ADS)

Yegoshina, O. V.; Voronov, V. N.; Yarovoy, V. O.; Bolshakova, N. A.

2017-11-01

There are many problems in domestic energy at the present that require urgent solutions in the near future. One of these problems - the aging of the main and auxiliary equipment. Wear of equipment is the cause of decrease reliability and efficiency of power plants. Reliability of the equipment are associated with the introduction of cycle chemistry monitoring system. The most damageable equipment’s are boilers (52.2 %), turbines (12.6 %) and heating systems (12.3 %) according to the review of failure rate on the power plants. The most part of the damageability of the boiler is heated surfaces (73.2 %). According to the Russian technical requirements, the monitoring systems are responsible to reduce damageability the boiler heating surfaces and to increase the reliability of the equipment. All power units capacity of over 50 MW are equipped with cycle chemistry monitoring systems in order to maintain water chemistry within operating limits. The main idea of cycle chemistry monitoring systems is to improve water chemistry at power plants. According to the guidelines, cycle chemistry monitoring systems of a single unit depends on its type (drum or once-through boiler) and consists of: 20…50 parameters of on-line chemical analyzers; 20…30 «grab» sample analyses (daily) and about 15…20 on-line monitored operating parameters. The operator of modern power plant uses with many data at different points of steam/water cycle. Operators do not can estimate quality of the cycle chemistry due to the large volume of daily and every shift information and dispersion of data, lack of systematization. In this paper, an algorithm for calculating the quality index developed for improving control the water chemistry of the condensate, feed water and prevent scaling and corrosion in the steam/water cycle.

SU-F-P-11: Long Term Dosimetric Stability of 6 TomoTherapy Systems

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

Smilowitz, J; Dunkerley, D; Geurts, M

2016-06-15

Purpose: The dosimetric stability of six TomoTherapy units was analyzed to investigate changes in performance over time and with system upgrades. Methods: Energy and output were tracked using monitor chamber signal, onboard MVCT detector signal and external ion chamber measurements. The systems (and monitoring periods) include 3 Hi-Art (67, 61 and 65 mos.), 2 HDA (29 and 25 mos.) and one research unit (7 mo.). Dose Control Stability system (DCS) was installed on 4 systems. Output stability is reported as deviation from reference monitor chamber signal for all systems, and from an external chamber for 4 systems. Energy stability wasmore » monitored using the relative (center versus off-axis) MVCT detector signal and/or the ratio of chamber measurements at 2 depths. The results from the clinical systems were used to benchmark the stability of the research unit, which has the same linear accelerator but runs at a higher dose rate. Results: The output based on monitor chamber data of all six systems is very stable. Non- DCS had a standard deviation of 1.7% and 1.8%. As expected, DCS systems had improved standard deviation: 0.003–0.05%. The energy was also very stable for all units. The standard deviation in exit detector flatness was 0.02–0.3%. Ion chamber output and 20/10 cm ratios supported these results. The stability for the research system, as monitored with a variety of metrics, is on par with the existing systems. Conclusion: The output and energy of six TomoTherapy units over a total of almost 10 years is quite stable. For each system, the results are consistent between the different measurement tools and techniques, proving not only the dosimetric stability, but that these quality parameters can be confirmed with various metrics. A research unit operating at a higher dose rate performed as well as the clinical treatment units. University of Wisconsin and Accuray Inc. (vendor of TomoTherapy systems) have a research agreement which supplies funds for research to the University. This project was partially supporting with these funds.« less

40 CFR 60.4905 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2014 CFR

2014-07-01

... malfunctions, or required monitoring system quality assurance or control activities conducted during monitoring... 40 Protection of Environment 7 2014-07-01 2014-07-01 false What are the monitoring and calibration... SOURCES Standards of Performance for New Sewage Sludge Incineration Units Performance Testing, Monitoring...

40 CFR 60.4905 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2011 CFR

2011-07-01

... malfunctions, or required monitoring system quality assurance or control activities conducted during monitoring... 40 Protection of Environment 6 2011-07-01 2011-07-01 false What are the monitoring and calibration... SOURCES Standards of Performance for New Sewage Sludge Incineration Units Performance Testing, Monitoring...

40 CFR 60.4905 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2012 CFR

2012-07-01

... malfunctions, or required monitoring system quality assurance or control activities conducted during monitoring... 40 Protection of Environment 7 2012-07-01 2012-07-01 false What are the monitoring and calibration... SOURCES Standards of Performance for New Sewage Sludge Incineration Units Performance Testing, Monitoring...

40 CFR 60.4905 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2013 CFR

2013-07-01

... malfunctions, or required monitoring system quality assurance or control activities conducted during monitoring... 40 Protection of Environment 7 2013-07-01 2013-07-01 false What are the monitoring and calibration... SOURCES Standards of Performance for New Sewage Sludge Incineration Units Performance Testing, Monitoring...

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

PubMed

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

2009-01-01

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

Development of Non-contact Respiratory Monitoring System for Newborn Using a FG Vision Sensor

NASA Astrophysics Data System (ADS)

Kurami, Yoshiyuki; Itoh, Yushi; Natori, Michiya; Ohzeki, Kazuo; Aoki, Yoshimitsu

In recent years, development of neonatal care is strongly hoped, with increase of the low-birth-weight baby birth rate. Especially respiration of low-birth-weight baby is incertitude because central nerve and respiratory function is immature. Therefore, a low-birth-weight baby often causes a disease of respiration. In a NICU (Neonatal Intensive Care Unit), neonatal respiration is monitored using cardio-respiratory monitor and pulse oximeter at all times. These contact-type sensors can measure respiratory rate and SpO2 (Saturation of Peripheral Oxygen). However, because a contact-type sensor might damage the newborn's skin, it is a real burden to monitor neonatal respiration. Therefore, we developed the respiratory monitoring system for newborn using a FG (Fiber Grating) vision sensor. FG vision sensor is an active stereo vision sensor, it is possible for non-contact 3D measurement. A respiratory waveform is calculated by detecting the vertical motion of the thoracic and abdominal region with respiration. We attempted clinical experiment in the NICU, and confirmed the accuracy of the obtained respiratory waveform was high. Non-contact respiratory monitoring of newborn using a FG vision sensor enabled the minimally invasive procedure.

Design of ecoregional monitoring in conservation areas of high-latitude ecosystems under contemporary climate change

USGS Publications Warehouse

Beever, Erik A.; Woodward, Andrea

2011-01-01

Land ownership in Alaska includes a mosaic of federally managed units. Within its agency’s context, each unit has its own management strategy, authority, and resources of conservation concern, many of which are migratory animals. Though some units are geographically isolated, many are nevertheless linked by paths of abiotic and biotic flows, such as rivers, air masses, flyways, and terrestrial and aquatic migration routes. Furthermore, individual land units exist within the context of a larger landscape pattern of shifting conditions, requiring managers to understand at larger spatial scales the status and trends in the synchrony and spatial concurrence of species and associated suitable habitats. Results of these changes will determine the ability of Alaska lands to continue to: provide habitat for local and migratory species; absorb species whose ranges are shifting northward; and experience mitigation or exacerbation of climate change through positive and negative atmospheric feedbacks. We discuss the geographic and statutory contexts that influence development of ecological monitoring; argue for the inclusion of significant amounts of broad-scale monitoring; discuss the importance of defining clear programmatic and monitoring objectives; and draw from lessons learned from existing long-term, broad-scale monitoring programs to apply to the specific contexts relevant to high-latitude protected areas such as those in Alaska. Such areas are distinguished by their: marked seasonality; relatively large magnitudes of contemporary change in climatic parameters; and relative inaccessibility due to broad spatial extent, very low (or zero) road density, and steep and glaciated areas. For ecological monitoring to effectively support management decisions in high-latitude areas such as Alaska, a monitoring program ideally would be structured to address the actual spatial and temporal scales of relevant processes, rather than the artificial boundaries of individual land-management units. Heuristic models provide a means by which to integrate understanding of ecosystem structure, composition, and function, in the midst of numerous ecosystem drivers.

Groundwater quality in the Tahoe and Martis Basins, California

USGS Publications Warehouse

Fram, Miranda S.; Belitz, Kenneth

2012-01-01

Groundwater provides more than 40 percent of California's drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State's groundwater quality and increases public access to groundwater-quality information. The Tahoe and Martis Basins and surrounding watersheds constitute one of the study units being evaluated.

Groundwater quality in the South Coast Interior Basins, California

USGS Publications Warehouse

Parsons, Mary C.; Belitz, Kenneth

2014-01-01

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s untreated groundwater quality and increases public access to groundwater-quality information. The South Coast Interior Basins constitute one of the study units being evaluated.

Groundwater quality in the western San Joaquin Valley, California

USGS Publications Warehouse

Fram, Miranda S.

2017-06-09

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Western San Joaquin Valley is one of the study units being evaluated. 

Negligible senescence: how will we know it when we see it?

PubMed

Heward, Christopher B

2006-01-01

The recent public claim that "SENS is a practical, foreseeable approach to curing aging" has stirred considerable controversy among bio-gerontologists. Testing this hypothesis will not only require precise definitions for the somewhat subjective terms "practical," "foreseeable," and "curing," it will require a precise definition of the term "aging." To facilitate proper experimental design, this definition must focus on the nature of aging itself, not its causes or consequences. Aging in mammals is a process that begins early in adult life and continues steadily thereafter until death. It is manifested by a decline in the functional capacity (or, more precisely, reserve capacity) of a variety of vital physiologic systems leading to increasing risk of morbidity and mortality over time. Aging, however, cannot be measured by simply monitoring morbidity and/or mortality. Aging can only be measured by monitoring the decline of global functional capacity itself. This, in turn, will require an operational definition of aging expressed as a rate function (i.e., it will have units expressing aging as an overall rate of functional change per unit time). Widespread acceptance of such global indexes of aging rate in animal models and humans will greatly facilitate research activity specifically designed to increase the understanding of aging mechanisms and antiaging interventions.

The Influence of Marcellus Shale Extraction Emissions on Regionally Monitored Dry Reactive Nitrogen Deposition.

PubMed

Coughlin, Justin G; Rose, Lucy A; Bain, Daniel J; Elliott, Emily M

2017-03-21

Emissions of nitrogen oxides (NO x ) in the United States (U.S.) from large stationary sources, such as electric generating units, have decreased since 1995, driving decreases in nitrogen deposition. However, increasing NO x emissions from emerging industries, such as unconventional natural gas (UNG) extraction, could offset stationary source emission reductions in shale gas producing regions of the U.S. The Marcellus Shale in the northeastern U.S. has seen dramatic increases in the number of wells and associated natural gas production during the past 10 years. In this study, we examine the potential impacts of shale gas development on regional NO x emission inventories and dry deposition fluxes to Clean Air Status and Trends (CASTNET) sites in Pennsylvania and New York. Our results demonstrate that the current distribution of CASTNET sites is ineffective for monitoring the influence of Marcellus well NO x emissions on regional nitrogen deposition. Despite the fact that existing CASTNET sites are not influenced by UNG extraction activity, NO x emissions densities from shale gas extraction are substantial and are estimated to reach up to 21 kg NO x ha -1 year -1 in some regions. If these emissions deposit locally, UNG extraction activity could contribute to critical nitrogen load exceedances in areas of high well density.

Transport and Sources of Suspended Sediment in the Mill Creek Watershed, Johnson County, Northeast Kansas, 2006-07

USGS Publications Warehouse

Lee, Casey J.; Rasmussen, Patrick P.; Ziegler, Andrew C.; Fuller, Christopher C.

2009-01-01

The U.S. Geological Survey, in cooperation with the Johnson County Stormwater Management Program, evaluated suspended-sediment transport and sources in the urbanizing, 57.4 mi2 Mill Creek watershed from February 2006 through June 2007. Sediment transport and sources were assessed spatially by continuous monitoring of streamflow and turbidity as well as sampling of suspended sediment at nine sites in the watershed. Within Mill Creek subwatersheds (2.8-16.9 mi2), sediment loads at sites downstream from increased construction activity were substantially larger (per unit area) than those at sites downstream from mature urban areas or less-developed watersheds. Sediment transport downstream from construction sites primarily was limited by transport capacity (streamflow), whereas availability of sediment supplies primarily influenced transport downstream from mature urban areas. Downstream sampling sites typically had smaller sediment loads (per unit area) than headwater sites, likely because of sediment deposition in larger, less sloping stream channels. Among similarly sized storms, those with increased precipitation intensity transported more sediment at eight of the nine monitoring sites. Storms following periods of increased sediment loading transported less sediment at two of the nine monitoring sites. In addition to monitoring performed in the Mill Creek watershed, sediment loads were computed for the four other largest watersheds (48.6-65.7 mi2) in Johnson County (Blue River, Cedar, Indian, and Kill Creeks) during the study period. In contrast with results from smaller watersheds in Mill Creek, sediment load (per unit area) from the most urbanized watershed in Johnson County (Indian Creek) was more than double that of other large watersheds. Potential sources of this sediment include legacy sediment from earlier urban construction, accelerated stream-channel erosion, or erosion from specific construction sites, such as stream-channel disturbance during bridge renovation. The implication of this finding is that sediment yields from larger watersheds may remain elevated after the majority of urban development is complete. Surface soil, channel-bank, suspended-sediment, and streambed-sediment samples were analyzed for grain size, nutrients, trace elements, and radionuclides in the Mill Creek watershed to characterize suspended sediment between surface or channel-bank sources. Although concentrations and activities of cobalt, nitrogen, selenium, total organic carbon, cesium-137, and excess lead-210 had significant differences between surface and channel-bank samples, biases resulting from urban construction, additional sorption of constituents during sediment transport, and inability to accurately represent erosion from rills and gullies precluded accurate characterization of suspended-sediment source.

The Next Generation of Interoperability Agents in Healthcare

PubMed Central

Cardoso, Luciana; Marins, Fernando; Portela, Filipe; Santos, Manuel ; Abelha, António; Machado, José

2014-01-01

Interoperability in health information systems is increasingly a requirement rather than an option. Standards and technologies, such as multi-agent systems, have proven to be powerful tools in interoperability issues. In the last few years, the authors have worked on developing the Agency for Integration, Diffusion and Archive of Medical Information (AIDA), which is an intelligent, agent-based platform to ensure interoperability in healthcare units. It is increasingly important to ensure the high availability and reliability of systems. The functions provided by the systems that treat interoperability cannot fail. This paper shows the importance of monitoring and controlling intelligent agents as a tool to anticipate problems in health information systems. The interaction between humans and agents through an interface that allows the user to create new agents easily and to monitor their activities in real time is also an important feature, as health systems evolve by adopting more features and solving new problems. A module was installed in Centro Hospitalar do Porto, increasing the functionality and the overall usability of AIDA. PMID:24840351

The effect of biofouling in simulated Ocean Thermal Energy Conversion (OTEC) evaporator tubes at a potential site in Puerto Rico

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

Sasscer, D.S.; Morgan, T.O.; Tosteson, T.R.

1980-12-01

Since 29 January 1980, continuous flow of ocean surface water has been maintained through simulated Ocean Thermal Energy Conversion (OTEC) evaporator tubes in order to determine in situ, long-term effects of microbiofouling on heat exchanger efficiency. The experimental apparatus consists of two aluminum and two titanium modules mounted on a research platform moored at the potential OTEC site off Punta Tuna, Puerto Rico. The fouling resistance (R /SUB f/ ), a relative measure of heat transfer efficiency, is being monitored regularly, and the units have been cleaned four times. Postcleaning fouling rates (dR /SUB f/ /dt) for the aluminum unitsmore » have not changed significantly but are considerably higher than the initial fouling rates. At first, post-cleaning fouling rates for the titanium units were less than for the aluminum units, but this value has been progressively increasing and now all units are fouling at approximately the same rate. Cleaning with manually operated M.A.N. brushes did not reduce R /SUB f/ to zero. On four occasions, flow velocity through the units has been increased. Results from these experiments suggest that initially the fouling layer is easily dislodged from the tube surface but that, with time, it becomes more firmly attached.« less

Monitoring of Microscopic Filamentous Fungi in Indoor Air of Transplant Unit.

PubMed

Holý, Ondřej; Matoušková, Ivanka; Kubátová, Alena; Hamal, Petr; Svobodová, Lucie; Jurásková, Eva; Raida, Luděk

2015-12-01

The aim of the study was to control the microbial contamination of indoor air monitored monthly at the Transplant Unit of the University Hospital Olomouc from August 2010 to July 2011. The unit is equipped with a three-stage air filtration system with HEPA filters. The MAS-100 air sampler (Merck, GER) was used. Twenty locations were singled out for the purposes of collecting a total of 720 samplings of the indoor air. Swabs of the HVAC diffusers at the sampling locations were always carried out after the sampling of the indoor air. In total, 480 samples of the indoor air were taken for Sabouraud chloramphenicol agar. In 11 cases (2.29%) the cultivation verified the presence of microscopic filamentous fungi. Only two cases involved the sanitary facilities of a patient isolation box; the other positive findings were from the facilities. The most frequent established genus was Aspergillus spp. (4x), followed by Trichoderma spp. (2x) and Penicillium spp. (2x), Paecilomyces spp., Eurotium spp., and Chrysonilia spp. (1x each). In 2 cases the cultivation established sterile aerial mycelium, unfortunately no further identification was possible. A total of 726 swabs of HVAC diffusers were collected (2 positive-0.28%). The study results demonstrated the efficacy of the HVAC equipment. With the continuing increase in the number of severely immunocompromised patients, hospitals are faced with the growing problem of invasive aspergillosis and other opportunistic infections. Preventive monitoring of microbial air contaminants is of major importance for the control of invasive aspergillosis. Copyright© by the National Institute of Public Health, Prague 2015.

Indicator Organisms: Learner's Guide for a Critical Path in Water Quality Monitoring.

ERIC Educational Resources Information Center

Glazer, Richard B.; And Others

This learner's guide on indicator organisms is derived from a water monitoring curriculum developed at Ulster County Community College. There are 37 modules in this guide; each is introduced with a statement of purpose and then broken down into units of instruction. These units contain an objective, learning conditions, and a performance level.…

40 CFR 60.4176 - Additional requirements to provide heat input data.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Additional requirements to provide heat... Compliance Times for Coal-Fired Electric Steam Generating Units Monitoring and Reporting § 60.4176 Additional requirements to provide heat input data. The owner or operator of a Hg Budget unit that monitors and reports Hg...

40 CFR 60.646 - Monitoring of emissions and operations.

Code of Federal Regulations, 2011 CFR

2011-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period: At least one sample per 24-hour... require a more frequent sampling schedule. (3) The average acid gas flow rate from the sweetening unit... rate of acid gas. The monitoring device reading shall be recorded at least once per hour during each 24...

40 CFR 60.646 - Monitoring of emissions and operations.

Code of Federal Regulations, 2012 CFR

2012-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period: At least one sample per 24-hour... require a more frequent sampling schedule. (3) The average acid gas flow rate from the sweetening unit... rate of acid gas. The monitoring device reading shall be recorded at least once per hour during each 24...

40 CFR 60.646 - Monitoring of emissions and operations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period: At least one sample per 24-hour... require a more frequent sampling schedule. (3) The average acid gas flow rate from the sweetening unit... rate of acid gas. The monitoring device reading shall be recorded at least once per hour during each 24...

40 CFR 60.646 - Monitoring of emissions and operations.

Code of Federal Regulations, 2014 CFR

2014-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period: At least one sample per 24-hour... require a more frequent sampling schedule. (3) The average acid gas flow rate from the sweetening unit... rate of acid gas. The monitoring device reading shall be recorded at least once per hour during each 24...

40 CFR 60.646 - Monitoring of emissions and operations.

Code of Federal Regulations, 2013 CFR

2013-07-01

... concentration in the acid gas from the sweetening unit for each 24-hour period: At least one sample per 24-hour... require a more frequent sampling schedule. (3) The average acid gas flow rate from the sweetening unit... rate of acid gas. The monitoring device reading shall be recorded at least once per hour during each 24...

Accuracy of pulse oximetry in assessing heart rate of infants in the neonatal intensive care unit.

PubMed

Singh, Jasbir K S B; Kamlin, C Omar F; Morley, Colin J; O'Donnell, Colm P F; Donath, Susan M; Davis, Peter G

2008-05-01

To determine the accuracy of pulse oximetry measurement of heart rate in the neonatal intensive care unit. Stable preterm infants were monitored with a pulse oximeter and an ECG. The displays of both monitors were captured on video. Heart rate data from both monitors, including measures of signal quality, were extracted and analysed using Bland Altman plots. In 30 infants the mean (SD) difference between heart rate measured by pulse oximetry and electrocardiography was -0.4 (12) beats per minute. Accuracy was maintained when the signal quality or perfusion was low. Pulse oximetry may provide a useful measurement of heart rate in the neonatal intensive care unit. Studies of this technique in the delivery room are indicated.

Improved nurse-parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy.

PubMed

Weis, Janne; Zoffmann, Vibeke; Egerod, Ingrid

2014-12-01

To evaluate and adjust systematic implementation of guided family-centred care in a neonatal intensive care unit. Family-centred care is valued in neonatal intensive care units internationally, but innovative strategies are needed to realise the principles. Guided family-centred care was developed to facilitate person-centred communication by bridging the gap between theory and practice in family-centred care. Main mechanisms of guided family-centred care are structured dialogue, reflection and person-centred communication. Qualitative and quantitative data were used to monitor participatory implementation of a systematic approach to training and certification of nurses delivering guided family-centred care. Systematic implementation of guided family-centred care included workshops, supervised delivery and certification. Evaluation and adjustment of nurse adherence to guided family-centred care was conducted by monitoring (1) knowledge, (2) delivery, (3) practice uptake and (4) certification. Implementation was improved by the development of a strategic framework and by adjusting the framework according to the real-life context of a busy neonatal care unit. Promoting practice uptake was initially underestimated, but nurse guided family-centred care training was improved by increasing the visibility of the study in the unit, demonstrating intervention progress to the nurses and assuring a sense of ownership among nurse leaders and nonguided-family-centred-care-trained nurses. An adjusted framework for guided family-centred care implementation was successful in overcoming barriers and promoting facilitators. Insights gained from our pioneering work might help nurses in a similar context to reach their goals of improving family-centred care. © 2014 John Wiley & Sons Ltd.

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

Cho, M; Kim, T; Kang, S

Purpose: The purpose of this work is to develop a new patient set-up monitoring system using force sensing resistor (FSR) sensors that can confirm pressure of contact surface and evaluate its feasibility. Methods: In this study, we focused on develop the patient set-up monitoring system to compensate for the limitation of existing optical based monitoring system, so the developed system can inform motion in the radiation therapy. The set-up monitoring system was designed consisting of sensor units (FSR sensor), signal conditioning devices (USB cable/interface electronics), a control PC, and a developed analysis software. The sensor unit was made by attachingmore » FSR sensor and dispersing pressure sponge to prevent error which is caused by concentrating specific point. Measured signal from the FSR sensor was sampled to arduino mega 2560 microcontroller, transferred to control PC by using serial communication. The measured data went through normalization process. The normalized data was displayed through the developed graphic user interface (GUI) software. The software was designed to display a single sensor unit intensity (maximum 16 sensors) and display 2D pressure distribution (using 16 sensors) according to the purpose. Results: Changes of pressure value according to motion was confirmed by the developed set-up monitoring system. Very small movement such as little physical change in appearance can be confirmed using a single unit and using 2D pressure distribution. Also, the set-up monitoring system can observe in real time. Conclusion: In this study, we developed the new set-up monitoring system using FSR sensor. Especially, we expect that the new set-up monitoring system is suitable for motion monitoring of blind area that is hard to confirm existing optical system and compensate existing optical based monitoring system. As a further study, an integrated system will be constructed through correlation of existing optical monitoring system. This work was supported by the Industrial R&D program of MOTIE/KEIT. [10048997, Development of the core technology for integrated therapy devices based on real-time MRI guided tumor tracking] and the Mid-career Researcher Program (2014R1A2A1A10050270) through the National Research Foundation of Korea funded by the Ministry of Science, ICT&Future Planning.« less

Cryptosporidium surveillance and risk factors in the United States.

PubMed

Yoder, Jonathan S; Beach, Michael J

2010-01-01

Surveillance for Cryptosporidium in the United States indicates that the reported incidence of infection has increased dramatically since 2004. The reasons for this increase are unclear but might be caused by an actual increase in incidence, improved surveillance, improved awareness about cryptosporidiosis, and/or increases in testing practices resulting from the licensing of the first-ever treatment for cryptosporidiosis. While regional differences remain, the incidence of cryptosporidiosis appears to be increasing across the United States. Onset of illness is most common during the summer, particularly among younger children. Cryptosporidiosis case reporting also influences outbreak detection and reporting; the recent rise in cases coincides with an increase in the number of reported cryptosporidiosis outbreaks, particularly in treated recreational water venues. Risk factors include ingesting contaminated recreational or drinking water, exposure to infected animals, having close contacts with cryptosporidiosis, travel to disease-endemic areas, and ingestion of contaminated food. Advances in molecular characterization of clinical specimens have improved our understanding of the changing epidemiology and risk factors. Prevention and control of cryptosporidiosis requires continued efforts to interrupt the transmission of Cryptosporidium through water, food, and contact with infected persons or animals. Of particular importance is continued improvement and monitoring of drinking water treatment and advances in the design, operation, and management of recreational water venues coupled with behavioral changes among the swimming public. Published by Elsevier Inc.

MS-BWME: A Wireless Real-Time Monitoring System for Brine Well Mining Equipment

PubMed Central

Xiao, Xinqing; Zhu, Tianyu; Qi, Lin; Moga, Liliana Mihaela; Zhang, Xiaoshuan

2014-01-01

This paper describes a wireless real-time monitoring system (MS-BWME) to monitor the running state of pumps equipment in brine well mining and prevent potential failures that may produce unexpected interruptions with severe consequences. MS-BWME consists of two units: the ZigBee Wireless Sensors Network (WSN) unit and the real-time remote monitoring unit. MS-BWME was implemented and tested in sampled brine wells mining in Qinghai Province and four kinds of indicators were selected to evaluate the performance of the MS-BWME, i.e., sensor calibration, the system's real-time data reception, Received Signal Strength Indicator (RSSI) and sensor node lifetime. The results show that MS-BWME can accurately judge the running state of the pump equipment by acquiring and transmitting the real-time voltage and electric current data of the equipment from the spot and provide real-time decision support aid to help workers overhaul the equipment in a timely manner and resolve failures that might produce unexpected production down-time. The MS-BWME can also be extended to a wide range of equipment monitoring applications. PMID:25340455

Assessing and Maximizing the Acceptability of Global Positioning System Device Use for Studying the Role of Human Movement in Dengue Virus Transmission in Iquitos, Peru

PubMed Central

Paz-Soldan, Valerie A.; Stoddard, Steven T.; Vazquez-Prokopec, Gonzalo; Morrison, Amy C.; Elder, John P.; Kitron, Uriel; Kochel, Tadeusz J.; Scott, Thomas W.

2010-01-01

As use of global positioning system (GPS) technology to study disease transmission increases, it is important to assess possible barriers to its use from the perspective of potential study participants. Fifteen focus group discussions stratified by sex, age, and motherhood status were conducted in 2008 in Iquitos, Peru. All participants said they would accept using a GPS unit for study purposes for 2–4 weeks. Participants' main concerns included caring properly for the unit, whether the unit would audio/videotape them, health effects of prolonged use, responsibility for units, and confidentiality of information. A pilot study was then conducted in which 126 persons were asked to carry GPS units for 2–4 weeks; 98% provided consent. All persons used the units expressing minimal concerns, although 44% reported forgetting the device at least once. Our study is the first to highlight participant concerns related to use of GPS for long-term monitoring of individual behavior in a resource-limited setting. PMID:20348526

Health monitoring with optical fiber sensors: from human body to civil structures

NASA Astrophysics Data System (ADS)

Pinet, Éric; Hamel, Caroline; Glišić, Branko; Inaudi, Daniele; Miron, Nicolae

2007-04-01

Although structural health monitoring and patient monitoring may benefit from the unique advantages of optical fiber sensors (OFS) such as electromagnetic interferences (EMI) immunity, sensor small size and long term reliability, both applications are facing different realities. This paper presents, with practical examples, several OFS technologies ranging from single-point to distributed sensors used to address the health monitoring challenges in medical and in civil engineering fields. OFS for medical applications are single-point, measuring mainly vital parameters such as pressure or temperature. In the intra-aortic balloon pumping (IABP) therapy, a miniature OFS can monitor in situ aortic blood pressure to trigger catheter balloon inflation/deflation in counter-pulsation with heartbeats. Similar sensors reliably monitor the intracranial pressure (ICP) of critical care patients, even during surgical interventions or examinations under medical resonance imaging (MRI). Temperature OFS are also the ideal monitoring solution for such harsh environments. Most of OFS for structural health monitoring are distributed or have long gage length, although quasi-distributed short gage sensors are also used. Those sensors measure mainly strain/load, temperature, pressure and elongation. SOFO type deformation sensors were used to monitor and secure the Bolshoi Moskvoretskiy Bridge in Moscow. Safety of Plavinu dam built on clay and sand in Latvia was increased by monitoring bitumen joints displacement and temperature changes using SMARTape and Temperature Sensitive Cable read with DiTeSt unit. A similar solution was used for monitoring a pipeline built in an unstable area near Rimini in Italy.

Policy implications of drug importation.

PubMed

Palumbo, Francis B; Mullins, C Daniel; Slagle, Ashley F; Rizer, Jessica

2007-12-01

Importation of prescription drugs into the United States has been a major health policy issue for some time. The original objective of personal importation was to allow patients to have access to drugs that were not available to them in the United States either for continuation of therapy begun in another country or when all US Food and Drug Administration (FDA)-approved drug options for their condition had been exhausted. An increasing proportion of personally imported drugs are currently marketed in the United States, but imported drugs are presumably available at a lower cost to the consumer. As US consumers opt for importation through Internet sites and other means of purchase from other countries, potential risks of exposure to counterfeit products have increased, presenting challenges to both the US regulatory system and pharmaceutical companies. This commentary summarizes the current state of importation of prescription drugs into the United States. Regulators and policymakers are under increasing pressure to address the high cost of branded drugs in the United States and the desires of many US patients to purchase less expensive formulations of these products through importation. In many cases, the historical policies surrounding personal importation of prescription drugs that are not sold in the United States have been blatantly ignored, leaving the FDA in a quandary. While current legislative proposals would allow for greater access to drugs directly to consumers from other countries, they do not address the fact that the FDA has no ability to monitor the safety and efficacy of imported products. As such, the possibility of the entry of counterfeit medications and the related potential harm remain concerns.

40 CFR 75.62 - Monitoring plan submittals.

Code of Federal Regulations, 2010 CFR

2010-07-01

... representative for an affected unit shall submit a complete, electronic, up-to-date monitoring plan file (except... quarterly report for a reporting quarter where an update of the electronic monitoring plan information is... associated, pursuant to § 75.53(b). Electronic submittal of all monitoring plan information, including...

Social Media and Sexual Behavior Among Adolescents: Is there a link?

PubMed Central

2017-01-01

Background Adolescent sexual risk taking and its consequences remain a global public health concern. Empirical evidence on the impact that social media has on sexual health behaviors among youth is sparse. Objective The study aimed to examine the relationship between social media and the change in sexual risk over time and whether parental monitoring moderates this relationship. Methods This study comprised a sample of 555 Latino youth aged 13-19 years from Maryland, United States completing baseline and follow-up surveys. Mixed-effects linear regression was used to examine the relationship between social media and the change in sexual risk over time and whether parental monitoring moderated the relationship. Results Sexual risk behaviors significantly increased between baseline (T1) and follow up (T2) (mean=0.432 vs mean=0.734, P<.001). Youth sending more than 100 text messages per day had significantly higher sexual risk scores (beta=1.008, P<.001) but significantly larger declines in sexual risk scores for higher levels of parental monitoring (beta=−.237, P=.009). Conclusions Although adolescents exchange SMS at high rates, parental monitoring remains vital to parent-child relationships and can moderate SMS frequency and sexual risk behaviors, despite parental influence diminishing and peer pressure and social influences increasing during adolescence. PMID:28526670

Biomedical Equipment Maintenance Career Ladder, AFSC 918X0

DTIC Science & Technology

1989-01-01

incubators, fetal heart monitors, and vital sign monitors. In comparison, higher percent- ages of the 5-skill level group maintain x-ray equipment...ECG) Monitors 87 Hypo/Hyperthermia Units 85 Incubators 85 Audiometer Systems 84 Blood Pressure Monitors, Automatic 81 Fetal Heart Monitors 80 X-Ray...01462 VERIFY CALIBRATION OF FETAL HEART MONITORS 100 G281 PERFORM OPERATIONAL INSPECTIONS OF VITAL SIGN MONITORS 100 01435 PERFORM PREVENTIVE

Efficacy of feral pig removals at Hakalau Forest National Wildlife Refuge

USGS Publications Warehouse

Hess, Steven C.; Jeffrey, John J.; Ball, Donna; Babich, Lev

2006-01-01

We compiled and analyzed data from 1987–2004 on feral pig (Sus scrofa) management and monitoring activities at Hakalau Forest National Wildlife Refuge, a tropical montane rainforest on the island of Hawai`i. These data included annual surveys of feral pig and cattle (Bos taurus) activity, the number of feral ungulates removed from closed management units, age and reproductive status from necropsies, and vegetation surveys repeated 4 times over a 16 year period. We found an essentially even sex ratio within the feral pig population and within age classes, although males lived to 60 months while females lived to only 48 months. The pregnancy rate was 23.5%, and lactation rate was 8.3%, regardless of season and age, but lactation peaked in April-June. Reproductive rates also increased with age, peaking at 2–4 years in females. We reconstructed the standing population within a closed unit to examine demographic processes. We estimated that annual removal in excess of approximately 41–43% would be necessary to affect a population decline. We examined annual feral pig activity surveys and found a strong and sustained decline in pig sign after 1997 relative to unmanaged areas. We related the standing population to feral pig activity surveys to build a predictive model of feral pig density, and then applied this model to other management units. We evaluated control methods and found snaring to be more efficient than staff or public hunting. Vegetation monitoring revealed a strong temporal increase in cover of native ferns, and marginally non-significant decreases in cover of bryophytes and exposed soil.

A new approach to determine the capture conditions of bark beetles in pheromone-baited traps

PubMed Central

Ozcan, Gonca Ece; Cicek, Osman; Enez, Korhan; Yildiz, Mustafa

2014-01-01

Forests form an organic unity with a great number of organic and inorganic components and tend to maintain the sustainability of their existing balance. However, some factors which adversely affect the balance of nature may interrupt this sustainability. The epidemic which is formed by bark beetles in their spreading region, due to various factors, changes the stability so much that interference is required. One of the most common methods used to monitor these beetles is pheromone-baited traps. The recognition of parameters, such as date (day/month/year), temperature and humidity, when bark beetles are captured in pheromone-baited traps, especially those used for monitoring will help to increase the trap efficiency on land and to develop an effective strategy for combating pests. In this study, an electronic control unit was added to pheromone-baited traps in order to obtain all of the above mentioned parameters. This unit operates with microcontrollers and data related to the parameters is saved in a storage unit. This is triggered by the beetle at the moment it is captured in the trap. A photovoltaic system was used to meet the energy needed for the system functioning and to complete the counting process in due time. PMID:26019592

Valve Health Monitoring System Utilizing Smart Instrumentation

NASA Technical Reports Server (NTRS)

Jensen, Scott L.; Drouant, George J.

2006-01-01

The valve monitoring system is a stand alone unit with network capabilities for integration into a higher level health management system. The system is designed for aiding in failure predictions of high-geared ball valves and linearly actuated valves. It performs data tracking and archiving for identifying degraded performance. The data collection types are cryogenic cycles, total cycles, inlet temperature, body temperature torsional strain, linear bonnet strain, preload position, total travel and total directional changes. Events are recorded and time stamped in accordance with the IRIG B True Time. The monitoring system is designed for use in a Class 1 Division II explosive environment. The basic configuration consists of several instrumentation sensor units and a base station. The sensor units are self contained microprocessor controlled and remotely mountable in three by three by two inches. Each unit is potted in a fire retardant substance without any cavities and limited to low operating power for maintaining safe operation in a hydrogen environment. The units are temperature monitored to safeguard against operation outside temperature limitations. Each contains 902-928 MHz band digital transmitters which meet Federal Communication Commission's requirements and are limited to a 35 foot transmission radius for preserving data security. The base-station controller correlates data from the sensor units and generates data event logs on a compact flash memory module for database uploading. The entries are also broadcast over an Ethernet network. Nitrogen purged National Electrical Manufactures Association (NEMA) Class 4 enclosures are used to house the base-station

Valve health monitoring system utilizing smart instrumentation

NASA Astrophysics Data System (ADS)

Jensen, Scott L.; Drouant, George J.

2006-05-01

The valve monitoring system is a stand alone unit with network capabilities for integration into a higher level health management system. The system is designed for aiding in failure predictions of high-geared ball valves and linearly actuated valves. It performs data tracking and archiving for identifying degraded performance. The data collection types are: cryogenic cycles, total cycles, inlet temperature, outlet temperature, body temperature, torsional strain, linear bonnet strain, preload position, total travel, and total directional changes. Events are recorded and time stamped in accordance with the IRIG B True Time. The monitoring system is designed for use in a Class 1 Division II explosive environment. The basic configuration consists of several instrumentation sensor units and a base station. The sensor units are self contained microprocessor controlled and remotely mountable in three by three by two inches. Each unit is potted in a fire retardant substance without any cavities and limited to low operating power for maintaining safe operation in a hydrogen environment. The units are temperature monitored to safeguard against operation outside temperature limitations. Each contains 902-928 MHz band digital transmitters which meet Federal Communication Commissions requirements and are limited to a 35 foot transmission radius for preserving data security. The base-station controller correlates related data from the sensor units and generates data event logs on a compact flash memory module for database uploading. The entries are also broadcast over an Ethernet network. Nitrogen purged National Electrical Manufactures Association (NEMA) Class 4 Enclosures are used to house the base-station.

Unit undergoes controls upgrade to meet cycling needs

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

Weston, B.; Tinkham, R.; Chloupek, J.

1994-04-01

New England Electric System's Brayton Point Unit 3, Somerset, Mass, along with many other units in the US, has been forced into cycling operation on a much more frequent basis than was intended when the original controls were installed. Low-load operation and lengthy startup times also had to be addressed. An integrated control and monitoring system installed at Unit 3 to handle the boiler/turbine controls, burner management, and equipment monitoring functions. New strategies, particularly with the startup valves, were implemented to provide faster, safer, and more economical startups. The retrofit has been a success, with marked improvement in both startupmore » and operation.« less

LACIE - A look to the future. [Large Area Crop Inventory Experiment

NASA Technical Reports Server (NTRS)

Macdonald, R. B.; Hall, F. G.

1977-01-01

The Large Area Crop Inventory Experiment (LACIE) is a 'proof of concept' project designed to demonstrate the applicability of remote sensing technology to the global monitoring of wheat. This paper discusses the need for more timely and reliable monitoring of food and fiber supplies, reviews the monitoring systems currently utilized by the USDA and United Nations Food and Agriculture Organization in the United States and in foreign countries, and elucidates the fundamentals involved in assessing the impact of variable weather and economic conditions on wheat acreage, yield, and production. The experiment's approach to production monitoring is described briefly, and its status is reviewed as of the conclusion of 2 years of successful operation. Examples of acreage and yield monitoring in the Soviet Union are used to illustrate the experiment's approach.

Analysis: Continuous Glucose Monitoring in the Intensive Care Unit

PubMed Central

Kenneth Ward, W.

2012-01-01

Control of glycemia in hospitalized patients is important; hypoglycemia is associated with increased mortality, and hyperglycemia is associated with adverse outcomes. For these reasons, though no such device is currently available, continuous glucose monitoring (CGM) is an attractive option, especially in the critical care setting. Schierenbeck and coauthors, in this issue of Journal of Diabetes Science and Technology, report on the use of a specialized central catheter designed to monitor glucose continuously in post cardiac surgery patients. This catheter, which was indwelled within the great veins, was specially designed with a separate lumen and membrane that allowed continuous glucose microdialysis. Accuracy was quite good, better than has been reported with the use of commercially-available CGM devices. Ideally, further development of this quite promising catheter-based device would allow it to be used also to deliver fluids and drugs, thus avoiding the need for a second catheter elsewhere. PMID:23294782

Development of an atmospheric monitoring plan for space station

NASA Technical Reports Server (NTRS)

Casserly, Dennis M.

1989-01-01

An environmental health monitoring plan for Space Station will ensure crew health during prolonged habitation. The Space Station, Freedom, will operate for extended periods, 90+ days, without resupply. A regenerative, closed loop life support system will be utilized in order to minimize resupply logistics and costs. Overboard disposal of wastes and venting of gases to space will be minimal. All waste material will be treated and recycled. The concentrated wastes will be stabilized and stored for ground disposal. The expected useful life of the station (decades) and the diversity of materials brought aboard for experimental or manufacturing purposes, increases the likelihood of cabin contamination. Processes by which cabin contamination can occur include: biological waste production, material off-gassing, process leakage, accidental containment breach, and accumulation due to poor removal efficiencies of the purification units. An industrial hygiene approach was taken to rationalize monitoring needs and to identify the substances likely to be present, the amount, and their hazard.

Cardiovascular Assessment of Falls in Older People

PubMed Central

Tan, Maw Pin; Kenny, Rose Anne

2006-01-01

Falls in older people can be caused by underlying cardiovascular disorders, either because of balance instability in persons with background gait and balance disorders, or because of amnesia for loss of consciousness during unwitnessed syncope. Pertinent investigations include a detailed history, 12-lead electrocardiography, lying and standing blood pressure, carotid sinus massage (CSM), head-up tilt, cardiac electrophysiological tests, and ambulatory blood pressure and heart rate monitoring, which includes external and internal cardiac monitoring. The presence of structural heart disease predicts an underlying cardiac cause. Conversely, the absence of either indicates that neurally mediated etiology is likely. CSM and tilt-table testing should be considered in patients with unexplained and recurrent falls. Holter monitoring over 24 hours has a low diagnostic yield. Early use of an implantable loop recorder may be more cost-effective. A dedicated investigation unit increases the likelihood of achieving positive diagnoses and significantly reduces hospital stay and health expenditure. PMID:18047258

Regional monitoring programs in the United States: Synthesis of four case studies from Pacific, Atlantic, and Gulf Coasts

USGS Publications Warehouse

Tango, Peter J.; Schiff, K.; Trowbridge, P.R.; Sherwood, E.T.; Batiuk, R.A.

2016-01-01

Water quality monitoring is a cornerstone of environmental protection and ambient monitoring provides managers with the critical data they need to take informed action. Unlike site-specific monitoring that is at the heart of regulatory permit compliance, regional monitoring can provide an integrated, holistic view of the environment, allowing managers to obtain a more complete picture of natural variability and cumulative impacts, and more effectively prioritize management actions. By reviewing four long-standing regional monitoring programs that cover portions of all three coasts in the United States – Chesapeake Bay, Tampa Bay, Southern California Bight, and San Francisco Bay – important insights can be gleaned about the benefits that regional monitoring provides to managers. These insights include the underlying reasons that make regional monitoring programs successful, the challenges to maintain relevance and viability in the face of ever-changing technology, competing demands and shifting management priorities. The lessons learned can help other managers achieve similar successes as they seek to establish and reinvigorate their own monitoring programs.

COMPARISON OF DATA FROM THE STN AND IMPROVE NETWORKS

EPA Science Inventory

Two national chemical speciation-monitoring networks operate currently within the United States. The Interagency Monitoring of Protected Visual Environments (IMPROVE) monitoring network operates primarily in rural areas collecting aerosol and optical data to better understand th...

ENVIRONMENTAL CHEMICAL MONITORING IN THE U.S.

EPA Science Inventory

Chemical monitoring of the environment is performed in the United States by Federal and State agencies, local governments, industries, organizations, and private individuals. The major reasons for monitoring are for compliance with laws and regulations, investigation of suspec...

Amphibian Research and Monitoring Initiative (ARMI): A successful start to a national program in the United States

USGS Publications Warehouse

Muths, Erin; Jung, Robin E.; Bailey, Larissa L.; Adams, Michael J.; Corn, P. Stephen; Dodd, C. Kenneth; Fellers, Gary M.; Sadinski, Walter J.; Schwalbe, Cecil R.; Walls, Susan C.; Fisher, Robert N.; Gallant, Alisa L.; Battaglin, William A.; Green, D. Earl

2005-01-01

Most research to assess amphibian declines has focused on local-scale projects on one or a few species. The Amphibian Research and Monitoring Initiative (ARMI) is a national program in the United States mandated by congressional directive and implemented by the U.S. Department of the Interior (specifically the U.S. Geological Survey, USGS). Program goals are to monitor changes in populations of amphibians across U.S. Department of the Interior lands and to address research questions related to amphibian declines using a hierarchical framework of base-, mid- and apex-level monitoring sites. ARMI is currently monitoring 83 amphibian species (29% of species in the U.S.) at mid- and apex-level areas. We chart the progress of this 5-year-old program and provide an example of mid-level monitoring from 1 of the 7 ARMI regions.

40 CFR 264.99 - Compliance monitoring program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... be based on a compliance monitoring program developed to meet the requirements of this section. (i... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Compliance monitoring program. 264.99... Releases From Solid Waste Management Units § 264.99 Compliance monitoring program. An owner or operator...

40 CFR 63.2270 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2011 CFR

2011-07-01

... appropriate, monitor malfunctions, associated repairs, and required quality assurance or control activities... monitoring in continuous operation at all times that the process unit is operating. For purposes of calculating data averages, you must not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.2270 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... appropriate, monitor malfunctions, associated repairs, and required quality assurance or control activities... monitoring in continuous operation at all times that the process unit is operating. For purposes of calculating data averages, you must not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 97.71 - Initial certification and recertification procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Monitoring and Reporting § 97.71 Initial certification and recertification procedures. (a) The owner or... monitors, NOX concentration CEMS, or excepted monitoring systems under appendix E of part 75 of this... operator of such a unit that qualifies to use the low mass emissions excepted monitoring methodology under...

40 CFR 97.71 - Initial certification and recertification procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Monitoring and Reporting § 97.71 Initial certification and recertification procedures. (a) The owner or... monitors, NOX concentration CEMS, or excepted monitoring systems under appendix E of part 75 of this... operator of such a unit that qualifies to use the low mass emissions excepted monitoring methodology under...

78 FR 58286 - Proposed Information Collection; Comment Request; Western Region Vessel Monitoring System and Pre...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-23

... Collection; Comment Request; Western Region Vessel Monitoring System and Pre-Trip Reporting Requirements... information or new problems in the fisheries. Vessel Monitoring System (VMS) units will facilitate enforcement... monitoring system (VMS) activation reports, 15 minutes; pre-trip reports, 5 minutes. Estimated Burden Hours...

40 CFR 75.82 - Monitoring of Hg mass emissions and heat input at common and multiple stacks.

Code of Federal Regulations, 2010 CFR

2010-07-01

... heat input at common and multiple stacks. 75.82 Section 75.82 Protection of Environment ENVIRONMENTAL... Provisions § 75.82 Monitoring of Hg mass emissions and heat input at common and multiple stacks. (a) Unit... systems and perform the Hg emission testing described under § 75.81(b). If reporting of the unit heat...

40 CFR 60.4176 - Additional requirements to provide heat input data.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 6 2011-07-01 2011-07-01 false Additional requirements to provide heat... requirements to provide heat input data. The owner or operator of a Hg Budget unit that monitors and reports Hg... monitor and report heat input rate at the unit level using the procedures set forth in part 75 of this...

Portable Mass Spectrometer Applications for In Situ Environmental Gas Monitoring

NASA Technical Reports Server (NTRS)

Griffin, Timothy P.; Diaz, J. Andres; Arkin, C. Richard; Conejo, Elian

2005-01-01

Primary Goal of this project is to (1) Design/build a flexible system to monitor air contamination (2) Learn requirements for operating system in low pressure and low temperature environments (3) Design/build system for integration into aircraft and automobiles Secondary Goals/Offshoots are (1) Fly aboard different aircraft (2)Hand-carry unit (3) Drive unit in automobiles.

Net change in forest density, 1873-2001. Using historical maps to monitor long-term forest trends.

Treesearch

Greg C. Liknes; Mark D. Nelson; Daniel J. Kaisershot

2013-01-01

European settlement of the United States and utilization of forests are inextricably linked. Forest products fueled development, providing the building blocks for railroads, bridges, ships, and homes. Perhaps because of the importance of its forests, the United States has a rich cartographic history documenting its resources. Long-term, broad-scale monitoring efforts...

The extratemporal lobe epilepsies in the epilepsy monitoring unit

PubMed Central

Dash, Deepa; Tripathi, Manjari

2014-01-01

Extratemporal lobe epilepsies (ETLE) are characterized by the epileptogenic foci outside the temporal lobe. They have a wide spectrum of semiological presentation depending upon the site of origin. They can arise from frontal, parietal, occipital lobes and from hypothalamic hamartoma. We discuss in this review the semiology of different types of ETLE encountered in the epilepsy monitoring unit. PMID:24791090

40 CFR Table 10 to Subpart Uuu of... - Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 13 2014-07-01 2014-07-01 false Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units 10 Table 10 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

40 CFR Table 10 to Subpart Uuu of... - Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 13 2013-07-01 2012-07-01 true Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units 10 Table 10 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

40 CFR Table 10 to Subpart Uuu of... - Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units 10 Table 10 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

40 CFR Table 10 to Subpart Uuu of... - Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 13 2012-07-01 2012-07-01 false Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units 10 Table 10 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

40 CFR Table 10 to Subpart Uuu of... - Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 12 2011-07-01 2009-07-01 true Continuous Monitoring Systems for Organic HAP Emissions From Catalytic Cracking Units 10 Table 10 to Subpart UUU of Part 63 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE...

40 CFR Table 41 to Subpart Uuu of... - Requirements for Installation, Operation, and Maintenance of Continuous Parameter Monitoring Systems

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 13 2013-07-01 2012-07-01 true Requirements for Installation, Operation, and Maintenance of Continuous Parameter Monitoring Systems 41 Table 41 to Subpart UUU of Part 63... Reforming Units, and Sulfur Recovery Units Pt. 63, Subpt. UUU, Table 41 Table 41 to Subpart UUU of Part 63...

40 CFR Table 41 to Subpart Uuu of... - Requirements for Installation, Operation, and Maintenance of Continuous Parameter Monitoring Systems

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 13 2012-07-01 2012-07-01 false Requirements for Installation, Operation, and Maintenance of Continuous Parameter Monitoring Systems 41 Table 41 to Subpart UUU of Part 63... Reforming Units, and Sulfur Recovery Units Pt. 63, Subpt. UUU, Table 41 Table 41 to Subpart UUU of Part 63...

40 CFR Table 41 to Subpart Uuu of... - Requirements for Installation, Operation, and Maintenance of Continuous Parameter Monitoring Systems

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 13 2014-07-01 2014-07-01 false Requirements for Installation, Operation, and Maintenance of Continuous Parameter Monitoring Systems 41 Table 41 to Subpart UUU of Part 63... Reforming Units, and Sulfur Recovery Units Pt. 63, Subpt. UUU, Table 41 Table 41 to Subpart UUU of Part 63...

Use of risk-adjusted CUSUM charts to monitor 30-day mortality in Danish hospitals.

PubMed

Rasmussen, Thomas Bøjer; Ulrichsen, Sinna Pilgaard; Nørgaard, Mette

2018-01-01

Monitoring hospital outcomes and clinical processes as a measure of clinical performance is an integral part of modern health care. The risk-adjusted cumulative sum (CUSUM) chart is a frequently used sequential analysis technique that can be implemented to monitor a wide range of different types of outcomes. The aim of this study was to describe how risk-adjusted CUSUM charts based on population-based nationwide medical registers were used to monitor 30-day mortality in Danish hospitals and to give an example on how alarms of increased hospital mortality from the charts can guide further in-depth analyses. We used routinely collected administrative data from the Danish National Patient Registry and the Danish Civil Registration System to create risk-adjusted CUSUM charts. We monitored 30-day mortality after hospital admission with one of 77 selected diagnoses in 24 hospital units in Denmark in 2015. The charts were set to detect a 50% increase in 30-day mortality, and control limits were determined by simulations. Among 1,085,576 hospital admissions, 441,352 admissions had one of the 77 selected diagnoses as their primary diagnosis and were included in the risk-adjusted CUSUM charts. The charts yielded a total of eight alarms of increased mortality. The median of the hospitals' estimated average time to detect a 50% increase in 30-day mortality was 50 days (interquartile interval, 43;54). In the selected example of an alarm, descriptive analyses indicated performance problems with 30-day mortality following hip fracture surgery and diagnosis of chronic obstructive pulmonary disease. The presented implementation of risk-adjusted CUSUM charts can detect significant increases in 30-day mortality within 2 months, on average, in most Danish hospitals. Together with descriptive analyses, it was possible to use an alarm from a risk-adjusted CUSUM chart to identify potential performance problems.

Audit of transfusion procedures in 660 hospitals. A College of American Pathologists Q-Probes study of patient identification and vital sign monitoring frequencies in 16494 transfusions.

PubMed

Novis, David A; Miller, Karen A; Howanitz, Peter J; Renner, Stephen W; Walsh, Molly K

2003-05-01

Hemolytic transfusion reactions are often the result of failure to follow established identification and monitoring procedures. To measure the frequencies with which health care workers completed specific transfusion procedures required for laboratory and blood bank accreditation. In 2 separate studies, participants in the College of American Pathologists Q-Probes laboratory quality improvement program audited nonemergent red blood cell transfusions prospectively and completed questionnaires profiling their institutions' transfusion policies. A total of 660 institutions, predominantly in the United States, at which transfusion medicine services are provided. The percentages of transfusions for which participants completed 4 specific components of patient and blood unit identifications, and for which participants monitored vital signs at 3 specific intervals during transfusions. In the first study, all components of patient identification procedures were performed in 62.3%, and all required patient vital sign monitoring was performed in 81.6% of 12 448 transfusions audited. The median frequencies with which institutions participating in the first study performed all patient identification and monitoring procedures were 69.0% and 90.2%, respectively. In the second study, all components of patient identification were performed in 25.4% and all patient vital sign monitoring was performed in 88.3% of 4046 transfusions audited. The median frequencies with which institutions participating in the second study performed all patient identification and monitoring procedures were 10.0% and 95.0%, respectively. Individual practices and/or institutional policies associated with greater frequencies of patient identification and/or vital sign monitoring included transporting units of blood directly to patient bedsides, having no more than 1 individual handle blood units in route, checking unit labels against physicians' orders, having patients wear identification tags (wristbands), reading identification information aloud when 2 or more transfusionists participated, using written checklists to guide the administration of blood, instructing health care personnel in transfusion practices, and routinely auditing the administration of transfusions. In many hospitals, the functions of identification and vital sign monitoring of patients receiving blood transfusions do not meet laboratory and blood bank accreditation standards. Differences in hospital transfusion policies influence how well health care workers comply with standard practices. We would expect that efforts designed to perfect transfusion policies might also improve performance in those hospitals in which practice compliance is substandard.

Monitoring Exposure to Ebola and Health of U.S. Military Personnel Deployed in Support of Ebola Control Efforts - Liberia, October 25, 2014-February 27, 2015.

PubMed

Cardile, Anthony P; Murray, Clinton K; Littell, Christopher T; Shah, Neel J; Fandre, Matthew N; Drinkwater, Dennis C; Markelz, Brian P; Vento, Todd J

2015-07-03

In response to the unprecedented Ebola virus disease (Ebola) outbreak in West Africa, the U.S. government deployed approximately 2,500 military personnel to support the government of Liberia. Their primary missions were to construct Ebola treatment units (ETUs), train health care workers to staff ETUs, and provide laboratory testing capacity for Ebola. Service members were explicitly prohibited from engaging in activities that could result in close contact with an Ebola-infected patient or coming in contact with the remains of persons who had died from unknown causes. Military units performed twice-daily monitoring of temperature and review of exposures and symptoms ("unit monitoring") on all persons throughout deployment, exit screening at the time of departure from Liberia, and post-deployment monitoring for 21 days at segregated, controlled monitoring areas on U.S. military installations. A total of 32 persons developed a fever during deployment from October 25, 2014, through February 27, 2015; none had a known Ebola exposure or developed Ebola infection. Monitoring of all deployed service members revealed no Ebola exposures or infections. Given their activity restrictions and comprehensive monitoring while deployed to Liberia, U.S. military personnel constitute a unique population with a lower risk for Ebola exposure compared with those working in the country without such measures.

A Decade of Change in NO2 and SO2 over the Canadian Oil Sands As Seen from Space

NASA Technical Reports Server (NTRS)

Mclinden, Chris A.; Fioletov, Vitali; Krotkov, Nickolay A.; Li, Can; Boersma, K. Folkert; Adams, Cristen

2015-01-01

A decade (20052014) of observations from the Ozone Monitoring Instrument (OMI) were used to examine trends in nitrogen dioxide(NO2) and sulfur dioxide (SO2) over a large region of western Canada and the northern United States, with a focus on the Canadian oil sands. In the oil sands, primarily over an area of intensive surface mining, NO2 tropospheric vertical column densities (VCDs) are seen to be increasing by as much as 10year, with the location of the largest trends in a newly developing NO2 lobe well removed from surface monitoring stations. SO2 VCDs in the oil sands have remained approximately constant. The only other significant increase in the region was seen in NO2 over Bakken gas fields in North Dakota which showed increases of up to5yr. By contrast, other locations in the region show substantial declines in both pollutants, providing strong evidence to the efficacy of environmental pollution control measures implemented by both nations. The OMI-derived trends were found to be consistent with those from the Canadian surface monitoring network, although in the case of SO2, it was necessary to apply a correction in order to remove the residual signal from volcanic eruptions present in the OMI data.

Development of a wearable measurement and control unit for personal customizing machine-supported exercise.

PubMed

Wang, Zhihui; Tamura, Naoki; Kiryu, Tohru

2005-01-01

Wearable technology has been used in various health-related fields to develop advanced monitoring solutions. However, the monitoring function alone cannot meet all the requirements of personal customizing machine-supported exercise that have biosignal-based controls. In this paper, we propose a new wearable unit design equipped with measurement and control functions to support the personal customization process. The wearable unit can measure the heart rate and electromyogram signals during exercise and output workload control commands to the exercise machines. We then applied a prototype of the wearable unit to an Internet-based cycle ergometer system. The wearable unit was examined using twelve young people to check its feasibility. The results verified that the unit could successfully adapt to the control of the workload and was effective for continuously supporting gradual changes in physical activities.

CTX-M-producing non-Typhi Salmonella spp. isolated from humans, United States.

PubMed

Sjölund-Karlsson, Maria; Howie, Rebecca; Krueger, Amy; Rickert, Regan; Pecic, Gary; Lupoli, Kathryn; Folster, Jason P; Whichard, Jean M

2011-01-01

CTX-M-type beta-lactamases are increasing among US Enterobacteriaceae isolates. Of 2,165 non-Typhi Salmonella isolates submitted in 2007 to the National Antimicrobial Resistance Monitoring System, 100 (4.6%) displayed elevated MICs (≥2 mg/L) of ceftriaxone or ceftiofur. Three isolates (serotypes Typhimurium, Concord, and I 4,5,12:i:-) contained bla(CTX-M-5), bla(CTX-M-15), and bla(CTX-M-55/57), respectively.

CTX-M–producing Non-Typhi Salmonella spp. Isolated from Humans, United States

PubMed Central

Howie, Rebecca; Krueger, Amy; Rickert, Regan; Pecic, Gary; Lupoli, Kathryn; Folster, Jason P.; Whichard, Jean M.

2011-01-01

CTX-M–type β-lactamases are increasing among US Enterobacteriaceae isolates. Of 2,165 non-Typhi Salmonella isolates submitted in 2007 to the National Antimicrobial Resistance Monitoring System, 100 (4.6%) displayed elevated MICs (>2 mg/L) of ceftriaxone or ceftiofur. Three isolates (serotypes Typhimurium, Concord, and I 4,5,12:i:–) contained blaCTX-M-5, blaCTX-M-15, and blaCTX-M-55/57, respectively. PMID:21192864

Groundwater quality in the San Francisco Bay groundwater basins, California

USGS Publications Warehouse

Parsons, Mary C.; Kulongoski, Justin T.; Belitz, Kenneth

2013-01-01

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. Selected groundwater basins of the San Francisco Bay area constitute one of the study units being evaluated.

A Pattern for Increased Monitoring for Intellectual Property Theft by Departing Insiders

DTIC Science & Technology

2012-04-01

2012 TECHNICAL REPORT CMU/SEI-2012-TR-008 ESC-TR-2012-008 CERT® Program http://www.sei.cmu.edu SEI markings v3.2 / 30 August 2011... Programs Conference (PLoP) 2011 (http://www.hillside.net/plop/2011/). This material is based upon work funded and supported by the United States...research project at the CERT® Program is identifying enterprise architectural patterns to protect against the insider threat to organizations. This

Groundwater quality in the North San Francisco Bay shallow aquifer, California

USGS Publications Warehouse

Bennett, George L.; Fram, Miranda S.

2018-02-23

Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The North San Francisco Bay Shallow Aquifer constitutes one of the study units being evaluated.

INTEGRATED STATE-FEDERAL PARTNERSHIP FOR AQUATIC RESOURCE MONITORING

EPA Science Inventory

Fifteen federal agencies, 50 states, cities, counties, and 800-1000 volunteer organizations conduct aquatic resource monitoring in the United States. Most aquatic monitoring is project-specific focusing on individual locations or watersheds. The Clean Water Act requires states ...

Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting.

PubMed

Fink, Douglas; Cropley, Ian; Jacobs, Michael; Mepham, Stephen

2017-01-26

Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community risk. International policies for monitoring HCWs vary considerably and their effectiveness is unknown. Here we describe the United Kingdom (UK) experience of illness in HCWs who cared for three patients who acquired EVD in West Africa. Five of these 93 high-level isolation unit (HLIU) HCWs presented with fever within 21 days of working on the unit; one of these five presented outside of the UK. This article discusses different approaches to monitoring of HCW symptom reporting. The potential impact of these approaches on HLIU staff recruitment, including travel restrictions, is also considered. An international surveillance system enhancing collaboration between national public health authorities may assist HLIU HCW monitoring in case they travel. This article is copyright of The Authors, 2017.

Febrile illness in healthcare workers caring for Ebola virus disease patients in a high-resource setting

PubMed Central

Fink, Douglas; Cropley, Ian; Jacobs, Michael; Mepham, Stephen

2017-01-01

Ebola virus disease (EVD) patients treated in high-resource facilities are cared for by large numbers of healthcare staff. Monitoring these healthcare workers (HCWs) for any illness that may represent transmission of Ebola virus is important both for the individuals and to minimise the community risk. International policies for monitoring HCWs vary considerably and their effectiveness is unknown. Here we describe the United Kingdom (UK) experience of illness in HCWs who cared for three patients who acquired EVD in West Africa. Five of these 93 high-level isolation unit (HLIU) HCWs presented with fever within 21 days of working on the unit; one of these five presented outside of the UK. This article discusses different approaches to monitoring of HCW symptom reporting. The potential impact of these approaches on HLIU staff recruitment, including travel restrictions, is also considered. An international surveillance system enhancing collaboration between national public health authorities may assist HLIU HCW monitoring in case they travel. PMID:28182538

The immunization data quality audit: verifying the quality and consistency of immunization monitoring systems.

PubMed Central

Ronveaux, O.; Rickert, D.; Hadler, S.; Groom, H.; Lloyd, J.; Bchir, A.; Birmingham, M.

2005-01-01

OBJECTIVE: To evaluate the consistency and quality of immunization monitoring systems in 27 countries during 2002-03 using standardized data quality audits (DQAs) that had been launched within the framework of the Global Alliance for Vaccines and Immunization. METHODS: The consistency of reporting systems was estimated by determining the proportion of third doses of diphtheria-tetanuspertussis (DTP-3) vaccine reported as being administered that could be verified by written documentation at health facilities and districts. The quality of monitoring systems was measured using quality indices for different components of the monitoring systems. These indices were applied to each level of the health service (health unit, district and national). FINDINGS: The proportion of verified DTP-3 doses was lower than 85% in 16 countries. Difficulties in verifying the doses administered often arose at the peripheral level of the health service, usually as the result of discrepancies in information between health units and their corresponding districts or because completed recording forms were not available from health units. All countries had weaknesses in their monitoring systems; these included the inconsistent use of monitoring charts; inadequate monitoring of vaccine stocks, injection supplies and adverse events; unsafe computer practices; and poor monitoring of completeness and timeliness of reporting. CONCLUSION: Inconsistencies in immunization data occur in many countries, hampering their ability to manage their immunization programmes. Countries should use these findings to strengthen monitoring systems so that data can reliably guide programme activities. The DQA is an innovative tool that provides a way to independently assess the quality of immunization monitoring systems at all levels of a health service and serves as a point of entry to make improvements. It provides a useful example for other global health initiatives. PMID:16175824

The effects of perceived quality on the behavioural economics of alcohol, amphetamine, cannabis, cocaine, and ecstasy purchases.

PubMed

Cole, Jon C; Goudie, Andrew J; Field, Matt; Loverseed, Anne-Claire; Charlton, Sarah; Sumnall, Harry R

2008-04-01

Previous research has indicated that non-dependent polydrug users are willing to pay more money to buy good quality drugs as their income increased. This study sought to examine whether altering the perceived quality of controlled drugs would affect drug purchases if the monetary price remained fixed. A random sample of 80 polydrug users were recruited. All participants were administered an anonymous questionnaire consisting of the Drug Abuse Screening Test for Adolescents (DAST-A), the Severity of Dependence Scale for cannabis (SDS), the Alcohol Use Disorders Identification Test (AUDIT), the Hospital Anxiety and Depression Scale (HADS), and questions about their drug use. Participants then completed a simulation of controlled drug purchases where the price of alcohol, amphetamine, cannabis, cocaine, and ecstasy remained the same but their perceived quality changed (i.e. unit price increased as the perceived quality decreased). The demand for alcohol was quality inelastic and alcohol quality had no effects on the purchase of any other controlled drug. Demand for cannabis was quality elastic and alcohol substituted for cannabis as its unit price increased. Demand for cocaine was quality elastic and alcohol, cannabis, and ecstasy substituted for cocaine as its unit price increased. Demand for ecstasy was quality elastic and alcohol and cocaine both substituted for ecstasy as its unit price increased. These results suggest that perceived quality influences the demand for controlled drugs and that monitoring the perceived quality of controlled drugs may provide a warning of potential public health problems in the near future.

Increasing Anthropogenic Emissions in China Offset Air Quality Policy Efforts in Western United States: A Satellite and Modelling Perspective

NASA Astrophysics Data System (ADS)

Boersma, F. F.; Verstraeten, W. W.; Williams, J. E.; Neu, J. L.; Bowman, K. W.; Worden, J.

2014-12-01

Tropospheric ozone is an important greenhouse gas and a global air pollutant originating from photo-chemical oxidation of ozone precursors in the presence of NOX. Eastern Asia has the fastest growing anthropogenic emissions in the world, possibly affecting both the pollution in the local troposphere as well as in the trans-Pacific region. Local measurements over Asia show that tropospheric ozone has increased by 1 to 3% per year since the start of the millennium. This increase is often invoked to explain positive ozone trends observed in western United States, but to date there is no unambiguous evidence showing that enhanced Asian pollution is responsible for these trends. Here we interpret satellite measurements of tropospheric ozone and its precursor nitrate dioxide from the Aura Tropospheric Emission Spectrometer (TES) and Ozone Monitoring Instrument (OMI) using the TM5 global chemistry-transport model to directly show that tropospheric ozone over China has increased by ~10% from 2005-2010 in response to both a ~15% rise in Chinese emissions and an increased downward ozone transport from the stratosphere. What is more, we demonstrate that Chinese export of ozone and its precursors have offset one-third of the reduction in free tropospheric ozone over the western United States that should have occurred during 2005-2010 via emissions reductions associated with air quality policies in the United States. The issue of export and long-range transport of pollution from other countries indicates that global efforts may be required to address both the global as well as the regional air quality and climate change.

40 CFR 60.105a - Monitoring of emissions and operations for fluid catalytic cracking units (FCCU) and fluid coking...

Code of Federal Regulations, 2011 CFR

2011-07-01

... for fluid catalytic cracking units (FCCU) and fluid coking units (FCU). 60.105a Section 60.105a... and operations for fluid catalytic cracking units (FCCU) and fluid coking units (FCU). (a) FCCU and... Emission Standards for Hazardous Air Pollutants for Petroleum Refineries: Catalytic Cracking Units...

40 CFR 60.105a - Monitoring of emissions and operations for fluid catalytic cracking units (FCCU) and fluid coking...

Code of Federal Regulations, 2010 CFR

2010-07-01

... for fluid catalytic cracking units (FCCU) and fluid coking units (FCU). 60.105a Section 60.105a... and operations for fluid catalytic cracking units (FCCU) and fluid coking units (FCU). (a) FCCU and... Emission Standards for Hazardous Air Pollutants for Petroleum Refineries: Catalytic Cracking Units...

Vegetation and non-native ungulate monitoring at the Big Island National Wildlife Refuge Complex 2010–2014.

USGS Publications Warehouse

Hess, Steven C.; Leopold, Christina R.; Kendall, Steven J.

2015-01-01

The Hakalau Forest Unit (HFU) of Big Island National Wildlife Refuge Complex (BINWRC) has intensively managed feral cattle (Bos taurus) and pigs (Sus scrofa) and monitored non-native ungulate presence and distribution during surveys of all managed areas since 1988. We: 1) provide results from recent ungulate surveys at HFU to determine current feral pig abundance and distribution; 2) present results of surveys of ungulate presence and distribution at the Kona Forest Unit (KFU); 3) present results of surveys of weed presence and cover at both refuge units; and 4) present baseline results from long-term vegetation monitoring plots at KFU. Overall pig abundance appears to have decreased at HFU, although not significantly, over the period from 2010 to 2014. Management units 2 and 4 contained the majority of pigs at HFU. Pig density outside of adjacent managed areas has declined significantly from 2010 to 2014 for unknown reasons. Ungulate sign occurred in > 50% of plots at KFU during the November 2012 and September 2013 surveys, but ungulate sign occurred in < 28% of plots during three other surveys. The ability to differentiate sign of ungulate species remains problematic at KFU. Changes in weed cover do not yet demonstrate any strong temporal pattern. Spatial patterns are more pronounced; however, some weed species may not be reliably represented due to observers’ abilities to recognize less common weeds. Nonetheless, the distribution and cover of fireweed (Senecio madagascariensis) at KFU may have increased over the study period. Vegetation surveys documented baseline floristic composition and forest structure at KFU. It is not known if this current amount of emerging cover is sufficient for long-term self-sustaining forest canopy regeneration; however, numerous ‘ōhi‘a seedlings were found in the wet forest and mesic ‘ōhi‘a habitats, indicating an ample viable seed source and robust potential for forest regeneration.

Feasibility of Telemetric Intracranial Pressure Monitoring in the Neuro Intensive Care Unit.

PubMed

Lilja-Cyron, Alexander; Kelsen, Jesper; Andresen, Morten; Fugleholm, Kåre; Juhler, Marianne

2018-05-03

Intracranial pressure (ICP) monitoring is crucial in the management of acute neurosurgical conditions such as traumatic brain injury (TBI). However, pathological ICP may persist beyond the admission to the neuro intensive care unit (NICU). We investigated the feasibility of telemetric ICP monitoring in the NICU, as this technology provides the possibility of long-term ICP assessment beyond NICU discharge. In this prospective investigation, we implanted telemetric ICP sensors (Raumedic Neurovent-P-tel) instead of conventional, cabled ICP sensors in patients undergoing decompressive craniectomy. We recorded ICP curves, duration of ICP monitoring, signal quality, and complications. Seventeen patients were included (median age 55 years) and diagnoses were: severe TBI (8), malignant middle cerebral artery infarction (8), and spontaneous intracerebral hemorrhage (1). In total, 3015 h of ICP monitoring were performed, and the median duration of ICP monitoring was 188 h (interquartile range [IQR] 54-259). The ICP signal was lost 613 times (displacement of the reader unit on the skin) for a median of 1.5 min, corresponding to 0.8% of the total monitoring period. When the signal was lost, it could always be restored by realignment of the reader unit on the skin above the telemetric sensor. Sixteen of 17 patients survived the NICU admission, and ICP gradually decreased from 10.7 mm Hg (IQR 7.5-13.6) during the first postoperative day to 6.3 mm Hg (IQR 4.0-8.3) after 1 week in the NICU. All 17 implanted telemetric sensors functioned throughout the NICU admission, and no wound infections were observed. Therefore, telemetric ICP monitoring in an acute neurosurgical setting is feasible. Signal quality and stability are sufficient for clinical decision making based on mean ICP. The low sampling frequency (5 Hz) does not permit analysis of intracranial pulse wave morphology, but resolution is sufficient for calculation of derived indices such as the pressure reactivity index (PRx).

Characteristics of Hydrogen Monitoring Systems for Severe Accident Management at a Nuclear Power Plant

NASA Astrophysics Data System (ADS)

Petrosyan, V. G.; Yeghoyan, E. A.; Grigoryan, A. D.; Petrosyan, A. P.; Movsisyan, M. R.

2018-02-01

One of the main objectives of severe accident management at a nuclear power plant is to protect the integrity of the containment, for which the most serious threat is possible ignition of the generated hydrogen. There should be a monitoring system providing information support of NPP personnel, ensuring data on the current state of a containment gaseous environment and trends in its composition changes. Monitoring systems' requisite characteristics definition issues are considered by the example of a particular power unit. Major characteristics important for proper information support are discussed. Some features of progression of severe accident scenarios at considered power unit are described and a possible influence of the hydrogen concentration monitoring system performance on the information support reliability in a severe accident is analyzed. The analysis results show that the following technical characteristics of the combustible gas monitoring systems are important for the proper information support of NPP personnel in the event of a severe accident at a nuclear power plant: measured parameters, measuring ranges and errors, update rate, minimum detectable concentration of combustible gas, monitoring reference points, environmental qualification parameters of the system components. For NPP power units with WWER-440/270 (230) type reactors, which have a relatively small containment volume, the update period for measurement results is a critical characteristic of the containment combustible gas monitoring system, and the choice of monitoring reference points should be focused not so much on the definition of places of possible hydrogen pockets but rather on the definition of places of a possible combustible mixture formation. It may be necessary for the above-mentioned power units to include in the emergency operating procedures measures aimed at a timely heat removal reduction from the containment environment if there are signs of a severe accident phase approaching to prevent a combustible mixture formation in the containment.

First-time blood donors: demographic trends.

PubMed

Wu, Y; Glynn, S A; Schreiber, G B; Wright, D J; Lo, A; Murphy, E L; Kleinman, S H; Garratty, G

2001-03-01

With changing demographics of the United States population and the continuous need to recruit new donors, it is important to monitor the demographic profile of first-time donors and to evaluate changes in the donor pool to improve recruitment targeting. First-time whole blood (n = 901,862) donors at five United States blood centers between 1991 and 1996 were analyzed. The total number of first-time donors appears to be decreasing. Over the 6-year period, there was an overall increase in the proportion of Hispanic and other minority first-time donors and a concurrent decrease in the proportion of white donors at Retrovirus Epidemiology Donor Study centers. Other variables, including age, sex, and education, did not show a consistent trend. The demographic profile of first-time donors is changing. These data highlight the importance for blood centers to continuously monitor the donor population. A better understanding of the donor population may help blood centers adjust their donor outreach, recruitment, and retention programs. New recruitment efforts appear needed to counter general apathy toward donating blood, and minority groups appear to be receptive to becoming blood donors.

The influence of impression management scales on the Personality Assessment Inventory in the epilepsy monitoring unit.

PubMed

Purdom, Catherine L; Kirlin, Kristin A; Hoerth, Matthew T; Noe, Katherine H; Drazkowski, Joseph F; Sirven, Joseph I; Locke, Dona E C

2012-12-01

The Somatic Complaints scale (SOM) and Conversion subscale (SOM-C) of the Personality Assessment Inventory perform best in classifying psychogenic non-epileptic seizures (PNES) from epileptic seizures (ES); however, the impact of positive impression management (PIM) and negative impression management (NIM) scales on SOM and SOM-C classification has not been examined. We studied 187 patients from an epilepsy monitoring unit with confirmed PNES or ES. On SOM, the best cut score was 72.5 T when PIM was elevated and 69.5 T when there was no bias. On SOM-C, when PIM was elevated, the best cut score was 67.5 T and 76.5 T when there was no bias. Negative impression management elevations (n=9) were too infrequent to analyze separately. Despite similarities in classification accuracy, there were differences in sensitivity and specificity with and without PIM, impacting positive and negative predictive values. The presence of PIM bias generally increases positive predictive power of SOM and SOM-C but decreases negative predictive power. Copyright © 2012 Elsevier Inc. All rights reserved.

Role of the Australian Paediatric Surveillance Unit in monitoring communicable diseases of childhood.

PubMed

Williams, K; Elliott, E

1998-12-24

The Australian Paediatric Surveillance Unit (APSU) conducts active national surveillance of conditions affecting children, including communicable diseases and their complications. By mailing over 900 clinicians each month the APSU gathers national information, not available from other sources, about the incidence, demographic and clinical features of these conditions. In some conditions APSU data supplements that available from existing schemes. The APSU has monitored 20 conditions to date. Eight of these are communicable diseases or their complications, two have a possible infectious aetiology and one frequently presents with infection. Since its inception in 1993 the return rate of monthly report cards by the mailing list has increased from 88 per cent to 94 per cent. Return rate of questionnaires for the communicable diseases studied ranged from 74 per cent to 100 per cent. Studies have enabled estimation of disease incidence, identification of risk factors and possible preventive strategies and provision of detailed clinical information. Although the APSU cannot serve a public health role by case identification and contact tracing it provides information that contributes to the communicable disease strategy for Australia.

Evaluation of the Botanical Authenticity and Phytochemical Profile of Black Cohosh Products by High-Performance Liquid Chromatography with Selected Ion Monitoring Liquid Chromatography–Mass Spectrometry

PubMed Central

Jiang, Bei; Kronenberg, Fredi; Nuntanakorn, Paiboon; Qiu, Ming-Hua; Kennelly, Edward J.

2011-01-01

Black cohosh (Actaea racemosa L., syn. Cimicifuga racemosa L.) has become increasingly popular as a dietary supplement in the United States for the treatment of symptoms related to menopause, but the botanical authenticity of most products containing black cohosh has not been evaluated, nor is manufacturing highly regulated in the United States. In this study, 11 black cohosh products were analyzed for triterpene glycosides, phenolic constituents, and formononetin by high-performance liquid chromatography–photodiode array detection and a new selected ion monitoring liquid chromatography–mass spectrometry method. Three of the 11 products were found to contain the marker compound cimifugin and not cimiracemoside C, thereby indicating that these plants contain Asian Actaea instead of black cohosh. One product contained both black cohosh and an Asian Actaea species. For the products containing only black cohosh, there was significant product-to-product variability in the amounts of the selected triterpene glycosides and phenolic constituents, and as expected, no formononetin was detected. PMID:16637680

Ozone Monitoring Instrument Observations of Interannual Increases in SO2 Emissions from Indian Coal-fired Power Plants During 2005-2012

NASA Technical Reports Server (NTRS)

Lu, Zifeng; Streets, David D.; de Foy, Benjamin; Krotkov, Nickolay A.

2014-01-01

Due to the rapid growth of electricity demand and the absence of regulations, sulfur dioxide (SO2) emissions from coal-fired power plants in India have increased notably in the past decade. In this study, we present the first interannual comparison of SO2 emissions and the satellite SO2 observations from the Ozone Monitoring Instrument (OMI) for Indian coal-fired power plants during the OMI era of 2005-2012. A detailed unit-based inventory is developed for the Indian coal-fired power sector, and results show that its SO2 emissions increased dramatically by 71 percent during 2005-2012. Using the oversampling technique, yearly high-resolution OMI maps for the whole domain of India are created, and they reveal a continuous increase in SO2 columns over India. Power plant regions with annual SO2 emissions greater than 50 Gg year-1 produce statistically significant OMI signals, and a high correlation (R equals 0.93) is found between SO2 emissions and OMI-observed SO2 burdens. Contrary to the decreasing trend of national mean SO2 concentrations reported by the Indian Government, both the total OMI-observed SO2 and average SO2 concentrations in coal-fired power plant regions increased by greater than 60 percent during 2005-2012, implying the air quality monitoring network needs to be optimized to reflect the true SO2 situation in India.

40 CFR 60.482-1 - Standards: General.

Code of Federal Regulations, 2011 CFR

2011-07-01

... operations. An owner or operator may monitor at any time during the specified monitoring period (e.g., month... shared among two or more batch process units that are subject to this subpart may be monitored at the... conducted annually, monitoring events must be separated by at least 120 calendar days. (g) If the storage...

40 CFR 60.482-1 - Standards: General.

Code of Federal Regulations, 2012 CFR

2012-07-01

... operations. An owner or operator may monitor at any time during the specified monitoring period (e.g., month... shared among two or more batch process units that are subject to this subpart may be monitored at the... conducted annually, monitoring events must be separated by at least 120 calendar days. (g) If the storage...

40 CFR 60.482-1 - Standards: General.

Code of Federal Regulations, 2013 CFR

2013-07-01

... operations. An owner or operator may monitor at any time during the specified monitoring period (e.g., month... shared among two or more batch process units that are subject to this subpart may be monitored at the... conducted annually, monitoring events must be separated by at least 120 calendar days. (g) If the storage...

40 CFR 60.482-1 - Standards: General.

Code of Federal Regulations, 2014 CFR

2014-07-01

... operations. An owner or operator may monitor at any time during the specified monitoring period (e.g., month... are shared among two or more batch process units that are subject to this subpart may be monitored at... conducted annually, monitoring events must be separated by at least 120 calendar days. (g) If the storage...

40 CFR 60.482-1 - Standards: General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... operations. An owner or operator may monitor at any time during the specified monitoring period (e.g., month... shared among two or more batch process units that are subject to this subpart may be monitored at the... conducted annually, monitoring events must be separated by at least 120 calendar days. (g) If the storage...

40 CFR 60.2730 - What monitoring equipment must I install and what parameters must I monitor?

Code of Federal Regulations, 2014 CFR

2014-07-01

... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY... Units Model Rule-Monitoring § 60.2730 What monitoring equipment must I install and what parameters must...) of this section must be expressed in milligrams per dry standard cubic meter corrected to 7 percent...

40 CFR 60.2730 - What monitoring equipment must I install and what parameters must I monitor?

Code of Federal Regulations, 2013 CFR

2013-07-01

... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY... Units Model Rule-Monitoring § 60.2730 What monitoring equipment must I install and what parameters must...) of this section must be expressed in milligrams per dry standard cubic meter corrected to 7 percent...

40 CFR 60.5225 - What are the monitoring and calibration requirements for compliance with my operating limits?

Code of Federal Regulations, 2012 CFR

2012-07-01

... SOURCES Emission Guidelines and Compliance Times for Existing Sewage Sludge Incineration Units Model Rule... monitoring system according to your monitoring plan required under § 60.4880. Additionally: (i) For carrier gas flow rate monitors (for activated carbon injection), during the performance test conducted...

40 CFR Appendix A to Subpart Uuuuu... - Hg Monitoring Provisions

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 15 2014-07-01 2014-07-01 false Hg Monitoring Provisions A Appendix A... Steam Generating Units Pt. 63, Subpt. UUUUU, App. A Appendix A to Subpart UUUUU of Part 63—Hg Monitoring Provisions 1. General Provisions 1.1Applicability. These monitoring provisions apply to the measurement of...

40 CFR Appendix A to Subpart Uuuuu... - Hg Monitoring Provisions

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 15 2013-07-01 2013-07-01 false Hg Monitoring Provisions A Appendix A... Steam Generating Units Pt. 63, Subpt. UUUUU, App. A Appendix A to Subpart UUUUU of Part 63—Hg Monitoring Provisions 1. General Provisions 1.1Applicability. These monitoring provisions apply to the measurement of...

40 CFR 75.74 - Annual and ozone season monitoring and reporting requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... owner or operator of an affected unit subject both to an Acid Rain emission limitation and to a State or... State or federal NOX mass reduction program that adopts the provisions of this part and that requires...-diluent monitoring system, each flow rate monitoring system, each moisture monitoring system and each...

A method for estimation of bias and variability of continuous gas monitor data: application to carbon monoxide monitor accuracy.

PubMed

Shulman, Stanley A; Smith, Jerome P

2002-01-01

A method is presented for the evaluation of the bias, variability, and accuracy of gas monitors. This method is based on using the parameters for the fitted response curves of the monitors. Thereby, variability between calibrations, between dates within each calibration period, and between different units can be evaluated at several different standard concentrations. By combining variability information with bias information, accuracy can be assessed. An example using carbon monoxide monitor data is provided. Although the most general statistical software required for these tasks is not available on a spreadsheet, when the same number of dates in a calibration period are evaluated for each monitor unit, the calculations can be done on a spreadsheet. An example of such calculations, together with the formulas needed for their implementation, is provided. In addition, the methods can be extended by use of appropriate statistical models and software to evaluate monitor trends within calibration periods, as well as consider the effects of other variables, such as humidity and temperature, on monitor variability and bias.

40 CFR 61.354 - Monitoring of operations.

Code of Federal Regulations, 2013 CFR

2013-07-01

... management unit in each waste treatment train, other than an enhanced biodegradation unit, measure the flow... specified in § 61.355(c)(3). (2) For each enhanced biodegradation unit that is the first exempt waste...

40 CFR 61.354 - Monitoring of operations.

Code of Federal Regulations, 2012 CFR

2012-07-01

... management unit in each waste treatment train, other than an enhanced biodegradation unit, measure the flow... specified in § 61.355(c)(3). (2) For each enhanced biodegradation unit that is the first exempt waste...

40 CFR 61.354 - Monitoring of operations.

Code of Federal Regulations, 2014 CFR

2014-07-01

... management unit in each waste treatment train, other than an enhanced biodegradation unit, measure the flow... specified in § 61.355(c)(3). (2) For each enhanced biodegradation unit that is the first exempt waste...

Real-Time Bridge Monitoring : Developing Wireless Nanosensors to Monitor Structural Integrity

DOT National Transportation Integrated Search

2013-04-17

With steel bridges representing approximately 34 percent of the nearly 600,000 highway bridges in the United States, continual monitoring and early detection of deterioration in these structures is vital to prevent expensive repairs or catastrophic f...

PSE Aysis of Crossflow Instability on HifIre-5B Flight Test

DTIC Science & Technology

2017-06-05

AIR FORCE RESEARCH LABORATORY AEROSPACE SYSTEMS DIRECTORATE WRIGHT-PATTERSON AIR FORCE BASE, OH 45433-7542 AIR FORCE MATERIEL COMMAND UNITED...Air Force Research Laboratory, Aerospace Systems Directorate Wright-Patterson Air Force Base, OH 45433-7542 Air Force Materiel Command, United...States Air Force 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSORING/MONITORING Air Force Research Laboratory Aerospace Systems

40 CFR Table 24 to Subpart Uuu of... - Continuous Monitoring Systems for Inorganic HAP Emissions From Catalytic Reforming Units

Code of Federal Regulations, 2010 CFR

2010-07-01

... Inorganic HAP Emissions From Catalytic Reforming Units As stated in § 63.1567(b)(1), you shall meet each requirement in the following table that applies to you. If you use this type of control device for your vent . . . You shall install and operate this type of continuous monitoring system . . . 1. Wet scrubber...

Water quality of the Delaware and Raritan Canal, New Jersey, 1998-99

USGS Publications Warehouse

Gibs, Jacob; Gray, Bonnie; Rice, Donald E.; Tessler, Steven; Barringer, Thomas H.

2001-01-01

The mean and median of continuously monitored turbidity varied along the length of the canal. In the reach between Raven Rock and Lower Ferry Road, the mean and median for continuously monitored turbidity during the study period increased by 7.2 and 6.2 NTU (nephelometric turbidity units), respectively. The mean of continuously monitored turbidity decreased downstream from Lower Ferry Road to Ten Mile Lock. Turbidity could increase locally downstream from influent streams or outfalls, but because the average velocity of water in the canal is low, particles that cause turbidity are not transported appreciable distances. In the reach between Ten Mile Lock and the Route 18 Spillway, the mean and median of the continuously monitored turbidity changed less than 0.5 NTU during the period of record. The small change in turbidity in this reach is not consistent with an average velocity for the reach; the average velocity in this reach was the lowest in all of the reaches studied. The expected decrease in turbidity due to settling of suspended solids is likely offset by turbid water entering the canal from influent streams or discharges from storm drains. Field observation of a sand bar immediately downstream from the confluence of Als Brook and the canal confirmed that the Als Brook drainage basin has contributed stormwatergenerated sediment to the canal that could reach the monitor located at the Route 18 Spillway and the raw water intakes for two drinking-water treatment plants.

DNA Probe Design for Preflight and Inflight Microbial Monitoring

NASA Technical Reports Server (NTRS)

Fox, George E.

1999-01-01

Crew health is a dominant issue in manned space flight. Microbiological concerns, in particular, have repeatedly emerged as determinants of flight readiness. For example, in at least one case, suspected contamination of the potable water supply nearly forced a launch delay. In another instance, a crew member's urinary tract infection nearly led to early termination of the mission, in part due to the difficulty of accurately diagnosing the nature of the infection in-flight. Microbial problems are an increasing concern with the trend towards longer-duration missions. It is essential to the success of such missions that systems that deliver acceptable quality of air and water during the anticipated lifetime of the spacecraft be available. As mission duration and resupply intervals increase, it will be necessary to rely on advanced life support systems which incorporate both biological and physical-chemical recycling methods for air and water as well as provide food for the crew. It therefore is necessary to develop real-time, robust, in-flight monitoring procedures that are sensitive enough to detect less than 100 CFU (colony forming units) of bacteria per 100 milliliters of water. It would be desirable if the monitoring system could be readily "reprogrammed" to identify specific pathogens if an in-flight incident were to occur. Thus, the monitoring technology must simultaneously detect many organisms of interest, be subject to miniaturization and be highly automated The long range goal of project is to develop such monitoring systems.

40 CFR 60.1810 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2012 CFR

2012-07-01

... municipal waste combustion unit? 60.1810 Section 60.1810 Protection of Environment ENVIRONMENTAL PROTECTION... Guidelines and Compliance Times for Small Municipal Waste Combustion Units Constructed on or Before August 30... combustion unit? (a) If your municipal waste combustion unit generates steam, you must install, calibrate...

40 CFR 60.1810 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2011 CFR

2011-07-01

... municipal waste combustion unit? 60.1810 Section 60.1810 Protection of Environment ENVIRONMENTAL PROTECTION... Guidelines and Compliance Times for Small Municipal Waste Combustion Units Constructed on or Before August 30... combustion unit? (a) If your municipal waste combustion unit generates steam, you must install, calibrate...

40 CFR 60.1810 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2013 CFR

2013-07-01

... municipal waste combustion unit? 60.1810 Section 60.1810 Protection of Environment ENVIRONMENTAL PROTECTION... Guidelines and Compliance Times for Small Municipal Waste Combustion Units Constructed on or Before August 30... combustion unit? (a) If your municipal waste combustion unit generates steam, you must install, calibrate...

40 CFR 60.1810 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2010 CFR

2010-07-01

... municipal waste combustion unit? 60.1810 Section 60.1810 Protection of Environment ENVIRONMENTAL PROTECTION... Guidelines and Compliance Times for Small Municipal Waste Combustion Units Constructed on or Before August 30... combustion unit? (a) If your municipal waste combustion unit generates steam, you must install, calibrate...

40 CFR 60.1810 - How do I monitor the load of my municipal waste combustion unit?

Code of Federal Regulations, 2014 CFR

2014-07-01

... municipal waste combustion unit? 60.1810 Section 60.1810 Protection of Environment ENVIRONMENTAL PROTECTION... Guidelines and Compliance Times for Small Municipal Waste Combustion Units Constructed on or Before August 30... combustion unit? (a) If your municipal waste combustion unit generates steam, you must install, calibrate...

Post-construction monitoring of a Core-Loc™ breakwater using tripod-based LiDAR

USGS Publications Warehouse

Podoski, Jessica H.; Bawden, Gerald W.; Bond, Sandra; Smith, Thomas D.; Foster, James

2010-01-01

The goal of the technology application described herein is to determine whether breakwater monitoring data collected using Tripod (or Terrestrial) Light Detection and Ranging (T-LiDAR) can give insight into processes such as how Core-Loc™ concrete armour units nest following construction, and in turn how settlement affects armour layer stability, concrete cap performance, and armour unit breakage.  A further objective is that this information can then be incorporated into the design of future projects using concrete armour units.  The results of this application of T-LiDAR, including the challenges encountered and the conclusions drawn regarding initial concrete armour unit movement will be presented in this paper.

Evaluation of EDR-3 vibration, shock, temperature, and humidity recording unit

NASA Technical Reports Server (NTRS)

Rees, Kevin G.; Mondale, C. F.

1990-01-01

The purpose of this evaluation was to determine if the self-contained, off-the-shelf, Environmental Data Recorder 3 (EDR-3) could be qualified to monitor shock, vibration, and temperature during rail transportation of space shuttle solid rocket components. The evaluation testing started in November 1989 and continued until June 1990. Two EDR-3 units were used to monitor both on- and off-plant shipments of shuttle components. In addition, extensive testing was performed at Thiokol's Vibration Test facility, T-53. Testing demonstrated that the EDR-3 is capable of successfully monitoring actual shipments of solid rocket hardware. Thiokol metrology has verified the accuracy of temperature monitoring. In addition, calibrated shock/vibration testing demonstrated that the EDR-3 does accurately record acceleration. It is recommended that the vendor modify the EDR-3 data recovery system to allow remote communication via a 30-foot cable. This would permit communication with the unit mounted on a case segment after a rail car cover is installed. The vendor will make this change and produce a new model, designated EDR-3-10. It is further recommended that Thiokol qualify the EDR-3-10 for transportation monitoring of redesigned solid rocket motor (RSRM) components.

Continuous monitoring the vehicle dynamics and driver behavior using navigation systems

NASA Astrophysics Data System (ADS)

Ene, George

2017-10-01

In all fields cost is very important and the increasing amount of data that are needed for active safety systems, like ADAS, lead to implementation of some complex and powerful unit for processing raw data. In this manner is necessary a cost-effective method to estimate the maximum available tire road friction during acceleration and braking by continuous monitoring the vehicle dynamics and driver behavior. The method is based on the hypothesis that short acceleration and braking periods can indicate vehicle dynamics, and thus the available tire road friction coefficient, and also human behavior and his limits. Support for this hypothesis is found in the literature and is supported by the result of experiments conducted under different conditions and seasons.

Drought Monitoring with VegDRI

USGS Publications Warehouse

Brown, Jesslyn F.

2010-01-01

Drought strikes somewhere in the United States every year, turning green landscapes brown as precipitation falls below normal levels and water supplies dwindle. Drought is typically a temporary climatic aberration, but it is also an insidious natural hazard. It might last for weeks, months, or years and may have many negative effects. Drought can threaten crops, livestock, and livelihoods, stress wildlife and habitats, and increase wildfire risks and threats to human health. Drought conditions can vary tremendously from place to place and week to week. Accurate drought monitoring is essential to understand a drought's progression and potential effects, and to provide information necessary to support drought mitigation decisions. It is also crucial in light of climate change where droughts could become more frequent, severe, and persistent.

Hyperspectral forest monitoring and imaging implications

NASA Astrophysics Data System (ADS)

Goodenough, David G.; Bannon, David

2014-05-01

The forest biome is vital to the health of the earth. Canada and the United States have a combined forest area of 4.68 Mkm2. The monitoring of these forest resources has become increasingly complex. Hyperspectral remote sensing can provide a wealth of improved information products to land managers to make more informed decisions. Research in this area has demonstrated that hyperspectral remote sensing can be used to create more accurate products for forest inventory (major forest species), forest health, foliar biochemistry, biomass, and aboveground carbon. Operationally there is a requirement for a mix of airborne and satellite approaches. This paper surveys some methods and results in hyperspectral sensing of forests and discusses the implications for space initiatives with hyperspectral sensing

Inferential control -- Part 1: Crude unit advanced controls pass accuracy and repeatability tests

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

San, Y.P.; Landells, K.C.; Mackay, D.C.

1994-11-28

An inferential model is one that provides a quality for which an analyzer is not available. This type of model uses readily available physical measurements -- such as temperatures, pressures, and flow rates -- to infer a quality such as kerosine flash point. The No. 2 crude distillation unit (CDU-2) at Singapore Refining Co. Pte. Ltd.'s Pulau Merlimau refinery has a nominal 130,000 b/d capacity. It produces naphtha, kerosine, diesel, and residue products from a wide range of crude blends. Over the past 12 months, extensive advanced control applications have been implemented on the unit. This first of two articlesmore » will describe the control system and its implementation. The second will outline the project's achievements, including reduced quality giveaway and increased profits. The paper describes background of the company and unit, the process, project implementation, the Infer model, model tuning, closed-loop control, feed rate maximization, and economic monitoring.« less

Residues of organochlorine pesticides and polychloribiphenyls [sic] in starlings (Sturnus vulgaris), from the continental United States, 1982

USGS Publications Warehouse

Bunck, C.M.; Prouty, R.M.; Krynitsky, A.J.

1987-01-01

Starlings were collected from 129 sites throughout the contiguous United States in the fall of 1982 and analyzed for organochlorine compounds as part of a nationwide monitoring program. Residues of 14 organochlorine compounds were found. Only DDE, polychlorobiphenyls (PCB), dieldrin, and heptachlor epoxide occurred in more than 50% of the lO-starling pools. Geographical variation in the occurrence of seven organochlorine compounds was noted. Mean DDE levels were higher in the southwestern United States. Mean PCB levels were higher in the eastern United States. The occurrence frequency of most organochlorines in 1982 was similar to that which was reported in the previous nationwide study in 1979. A slight increase in occurrence was noted for trans-nonachlor. Mean DDE level I in 1982 was similar to that of 1979. Mean PCB level in 1982 was lower than the 1979 mean, but this change may not reflect a decrease in environmental PCB levels.

Seasonal, Spatial, and Long-term Variability of Fine Mineral Dust in the United States

NASA Astrophysics Data System (ADS)

Hand, J. L.; White, W. H.; Gebhart, K. A.; Hyslop, N. P.; Gill, T. E.; Schichtel, B. A.

2017-12-01

Characterizing the seasonal, spatial, and long-term variability of fine mineral dust (FD) is important to assess its environmental and climate impacts. FD concentrations (mineral particles with aerodynamic diameters less than 2.5 µm) were estimated using ambient, ground-based PM2.5 elemental chemistry data from over 160 remote and rural Interagency Monitoring of Protected Visual Environments (IMPROVE) sites from 2011 through 2015. FD concentrations were highest and contributed over 50% of PM2.5 mass at southwestern sites in spring and across the central and southeastern United States in summer (20-30% of PM2.5). The highest seasonal variability in FD occurred at sites in the Southeast during summer, likely associated with impacts from North African transport, which was also evidenced in the elemental ratios of calcium, iron, and aluminum. Long-term trend analyses (2000-2015) indicated widespread, regional increases in FD concentrations during spring in the West, especially in March in the Southwest. This increase was associated with an early onset of the spring dust season and correlated with the Pacific Decadal Oscillation and the El Niño Southern Oscillation. The Southeast and central United States also experienced increased FD concentrations during summer and fall, respectively. Contributions of FD to PM2.5 mass have increased in regions across the United States during all seasons, in part due to increased FD concentrations but also as a result of reductions in secondary aerosols (e.g., sulfates, nitrates, and organic carbon). Increased levels of FD have important implications for its environmental and climate impacts; mitigating these impacts will require identifying and characterizing source regions and underlying mechanisms for dust episodes.

Shifts in intended and unintended pregnancies in the United States, 2001-2008.

PubMed

Finer, Lawrence B; Zolna, Mia R

2014-02-01

We monitored trends in pregnancy by intendedness and outcomes of unintended pregnancies nationally and for key subgroups between 2001 and 2008. Data on pregnancy intentions from the National Survey of Family Growth (NSFG) and a nationally representative survey of abortion patients were combined with counts of births (from the National Center for Health Statistics), counts of abortions (from a census of abortion providers), estimates of miscarriages (from the NSFG), and population denominators from the US Census Bureau to obtain pregnancy rates by intendedness. In 2008, 51% of pregnancies in the United States were unintended, and the unintended pregnancy rate was 54 per 1000 women ages 15 to 44 years. Between 2001 and 2008, intended pregnancies decreased and unintended pregnancies increased, a shift previously unobserved. Large disparities in unintended pregnancy by relationship status, income, and education increased; the percentage of unintended pregnancies ending in abortion decreased; and the rate of unintended pregnancies ending in birth increased, reaching 27 per 1000 women. Reducing unintended pregnancy likely requires addressing fundamental socioeconomic inequities, as well as increasing contraceptive use and the uptake of highly effective methods.

Susceptibility patterns and ESBL rates of Escherichia coli from urinary tract infections in Canada and the United States, SMART 2010-2014.

PubMed

Lob, Sibylle H; Nicolle, Lindsay E; Hoban, Daryl J; Kazmierczak, Krystyna M; Badal, Robert E; Sahm, Daniel F

2016-08-01

Increasing antimicrobial resistance in urinary tract infections (UTI) is a concern. To evaluate resistance trends, 3498 Escherichia coli UTI isolates were collected from 2010 to 2014 in the Study for Monitoring Antimicrobial Resistance Trends (SMART) in Canada and United States (US). ESBL phenotype and susceptibility were determined using CLSI microdilution and breakpoints. US ESBL rates increased in 2010-2014 (7.8-18.3%, P < 0.0001), especially among hospital-associated (HA) infections, males, and older patients (≥65 years). Overall, ESBL rates in Canada showed no significant trend (10.4-13.0%. P = 0.079), and were lower than US rates in recent years, but increased significantly among community-associated (CA) infections, females, and older patients. In the US, but not Canada, susceptibility to cephalosporins and fluoroquinolones among 2013-2014 isolates was significantly lower in isolates from HA than CA UTI, males than females, and ≥65- than <65-year-olds. These observations confirm increasing resistance in E. coli. Subgroup analyses like these may help direct empirical therapy. Copyright © 2016 Elsevier Inc. All rights reserved.

Electronic hand hygiene monitoring as a tool for reducing health care-associated methicillin-resistant Staphylococcus aureus infection.

PubMed

Kelly, J William; Blackhurst, Dawn; McAtee, Wendy; Steed, Connie

2016-08-01

Electronic monitoring of hand hygiene compliance using the World Health Organization's My 5 Moments for Hand Hygiene is a new innovation that has not yet been shown to reduce hospital infections. We analyzed existing data from 23 inpatient units over a 33-month period and found a significant correlation between unit-specific improvements in electronic monitoring compliance and reductions in methicillin-resistant Staphylococcus aureus infection rates (r = -0.37, P < .001). Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Recent cancer survival in Germany: an analysis of common and less common cancers.

PubMed

Jansen, Lina; Castro, Felipe A; Gondos, Adam; Krilaviciute, Agne; Barnes, Benjamin; Eberle, Andrea; Emrich, Katharina; Hentschel, Stefan; Holleczek, Bernd; Katalinic, Alexander; Brenner, Hermann

2015-06-01

The monitoring of cancer survival by population-based cancer registries is a prerequisite to evaluate the current quality of cancer care. Our study provides 1-, 5- and 10-year relative survival as well as 5-year relative survival conditional on 1-year survival estimates and recent survival trends for Germany using data from 11 population-based cancer registries, covering around one-third of the German population. Period analysis was used to estimate relative survival for 24 common and 11 less common cancer sites for the period 2007-2010. The German and the United States survival estimates were compared using the Surveillance, Epidemiology and End Results 13 database. Trends in cancer survival in Germany between 2002-2004 and 2008-2010 were described. Five-year relative survival increased in Germany from 2002-2004 to 2008-2010 for most cancer sites. Among the 24 most common cancers, largest improvements were seen for multiple myeloma (8.0% units), non-Hodgkin lymphoma (6.2% units), prostate cancer (5.2% units) and colorectal cancer (4.6% units). In 2007-2010, the survival disadvantage in Germany compared to the United States was largest for cancers of the mouth/pharynx (-11.0% units), thyroid (-6.8% units) and prostate (-7.5% units). Although survival estimates were much lower for elderly patients in both countries, differences in age patterns were observed for some cancer sites. The reported improvements in cancer survival might reflect advances in the quality of cancer care on the population level as well as increased use of screening in Germany. The survival differences across countries and the survival disadvantage in the elderly require further investigation. © 2014 UICC.

Aerobic plate counts and ATP levels correlate with Listeria monocytogenes detection in retail delis.

PubMed

Hammons, Susan R; Stasiewicz, Matthew J; Roof, Sherry; Oliver, Haley F

2015-04-01

Listeria monocytogenes is a foodborne pathogen that causes an estimated 1,591 cases of illness and 255 deaths annually in the United States, the majority of which are attributed to ready-to-eat deli meats processed in retail delis. Because retail delis distribute product directly to consumers, rapid methods to validate cleaning and sanitation are needed to improve retail food safety. This study investigated the relationships among ATP levels, standard aerobic plate count (APC), and L. monocytogenes presence in fully operational delis. Fifteen full-service delis were concurrently sampled for ATP, APC, and L. monocytogenes during preoperational hours once monthly for 3 months. Fifteen additional delis were recruited for 6 months of operational sampling (n = 30). A 1-log increase in APC was equivalent to a 3.3-fold increase in the odds of detecting L. monocytogenes (P < 0.001) and a 1.9-log increase in L monocytogenes population (P = 0.03). An ATP level increase of 1 log relative light unit correlated to a 0.22-log increase in APC (P < 0.001). A preoperational ATP level mean increase by 1 log relative light unit increased the odds of detecting L. monocytogenes concurrently fourfold. A 0.5-log increase in mean ATP level during preoperational sampling corresponded to a 2% increase in the predicted L. monocytogenes prevalence during operation (P < 0.01). Additionally, 10 statistically representative sites were identified and recommended for use in sanitation monitoring programs. Our data support the use of ATP as a rapid method to validate effective cleaning and sanitation to reduce L. monocytogenes in retail delis.

Colorado River fish monitoring in Grand Canyon, Arizona; 2000 to 2009 summary

USGS Publications Warehouse

Makinster, Andrew S.; Persons, William R.; Avery, Luke A.; Bunch, Aaron J.

2010-01-01

Long-term fish monitoring in the Colorado River below Glen Canyon Dam is an essential component of the Glen Canyon Dam Adaptive Management Program (GCDAMP). The GCDAMP is a federally authorized initiative to ensure that the primary mandate of the Grand Canyon Protection Act of 1992 to protect resources downstream from Glen Canyon Dam is met. The U.S. Geological Survey's Grand Canyon Monitoring and Research Center is responsible for the program's long-term fish monitoring, which is implemented in cooperation with the Arizona Game and Fish Department, U.S. Fish and Wildlife Service, SWCA Environmental Consultants, and others. Electrofishing and tagging protocols have been developed and implemented for standardized annual monitoring of Colorado River fishes since 2000. In 2009, sampling occurred throughout the river between Lees Ferry and Lake Mead for 38 nights over two trips. During the two trips, scientists captured 6,826 fish representing 11 species. Based on catch-per-unit-effort, salmonids (for example, rainbow trout (Oncorhynchus mykiss) and brown trout (Salmo trutta)) increased eightfold between 2006 and 2009. Flannelmouth sucker (Catostomus latipinnis) catch rates were twice as high in 2009 as in 2006. Humpback chub (Gila cypha) catches were low throughout the 10-year sampling period.

Coma Patient Monitoring System Using Image Processing

NASA Astrophysics Data System (ADS)

Sankalp, Meenu

2011-12-01

COMA PATIENT MONITORING SYSTEM provides high quality healthcare services in the near future. To provide more convenient and comprehensive medical monitoring in big hospitals since it is tough job for medical personnel to monitor each patient for 24 hours.. The latest development in patient monitoring system can be used in Intensive Care Unit (ICU), Critical Care Unit (CCU), and Emergency Rooms of hospital. During treatment, the patient monitor is continuously monitoring the coma patient to transmit the important information. Also in the emergency cases, doctor are able to monitor patient condition efficiently to reduce time consumption, thus it provides more effective healthcare system. So due to importance of patient monitoring system, the continuous monitoring of the coma patient can be simplified. This paper investigates about the effects seen in the patient using "Coma Patient Monitoring System" which is a very advanced product related to physical changes in body movement of the patient and gives Warning in form of alarm and display on the LCD in less than one second time. It also passes a sms to a person sitting at the distant place if there exists any movement in any body part of the patient. The model for the system uses Keil software for the software implementation of the developed system.

[Surface Cleaning and Disinfection in the Hospital. Improvement by Objective Monitoring and Intervention].

PubMed

Woltering, R; Hoffmann, G; Isermann, J; Heudorf, U

2016-11-01

Background and Objective: An assessment of cleaning and disinfection in hospitals by the use of objective surveillance and review of mandatory corrective measures was undertaken. Methods: A prospective examination of the cleaning and disinfection of surfaces scheduled for daily cleaning in 5 general care hospitals by use of an ultraviolet fluorescence targeting method (UVM) was performed, followed by structured educational and procedural interventions. The survey was conducted in hospital wards, operating theatres and intensive care units. Cleaning performance was measured by complete removal of UVM. Training courses and reinforced self-monitoring were implemented after the first evaluation. 6 months later, we repeated the assessment for confirmation of success. Results: The average cleaning performance was 34% (31/90) at base-line with significant differences between the 5 hospitals (11-67%). The best results were achieved in intensive care units (61%) and operating theatres (58%), the worst results in hospital wards (22%). The intervention significantly improved cleaning performance up to an average of 69% (65/94; +34.7%; 95% confidence interval (CI): 21.2-48.3; p<0.05), with differences between the hospitals (20-95%). The largest increase was achieved in hospital wards (+45%; CI 29.2-60.8; p<0.05). Improvements in operating theatres (+22.9%; CI 10.9-56.7) and intensive care units (+5.6%; CI 25.8-36.9) were statistically not significant. Conclusions: The monitoring of cleaning and disinfection of surfaces by fluorescence targeting is appropriate for evaluating hygiene regulations. An intervention can lead to a significant improvement of cleaning performance. As part of a strategy to improve infection control in hospitals, fluorescence targeting enables a simple inexpensive and effective surveillance of the cleaning performance and corrective measures. © Georg Thieme Verlag KG Stuttgart · New York.

40 CFR 63.1573 - What are my monitoring alternatives?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Standards for Hazardous Air Pollutants for Petroleum Refineries: Catalytic Cracking Units, Catalytic... for your catalytic cracking unit if the unit does not introduce any other gas streams into the... record the hourly average volumetric air flow rate to the catalytic cracking unit or catalytic reforming...

40 CFR 63.1573 - What are my monitoring alternatives?

Code of Federal Regulations, 2011 CFR

2011-07-01

... Standards for Hazardous Air Pollutants for Petroleum Refineries: Catalytic Cracking Units, Catalytic... for your catalytic cracking unit if the unit does not introduce any other gas streams into the... record the hourly average volumetric air flow rate to the catalytic cracking unit or catalytic reforming...

MONITORING STREAM CONDITION IN THE WESTERN UNITED STATES

EPA Science Inventory

The U.S. Environmental Protection Agency Environmental Monitoring and Assessment Program (EMAP) is a national research program to develop the tools necessary to monitor and assess the- status and trends of ecological resources. EMAP's goal is to develop the scientific underst...

United States Postal Service Hovercraft Transport of Alaska Bypass Mail Ecological Monitoring Summary Report

DOT National Transportation Integrated Search

2000-03-01

The Alaska Hovercraft Ecological Monitoring Program evaluated the nature and extent of impacts, if any, from use of the hovercraft to fish, waterfowl, and subsistence efforts. This report documents monitoring methods, and presents results of the data...

Chronology and References of Volcanic Eruptions and Selected Unrest in the United States, 1980-2008

USGS Publications Warehouse

Diefenbach, Angela K.; Guffanti, Marianne; Ewert, John W.

2009-01-01

The United States ranks as one of the top countries in the world in the number of young, active volcanoes within its borders. The United States, including the Commonwealth of the Northern Mariana Islands, is home to approximately 170 geologically active (age <10,000 years) volcanoes. As our review of the record shows, 30 of these volcanoes have erupted since 1980, many repeatedly. In addition to producing eruptions, many U.S. volcanoes exhibit periods of anomalous activity, unrest, that do not culminate in eruptions. Monitoring volcanic activity in the United States is the responsibility of the U.S. Geological Survey (USGS) Volcano Hazards Program (VHP) and is accomplished with academic, Federal, and State partners. The VHP supports five Volcano Observatories - the Alaska Volcano Observatory (AVO), Cascades Volcano Observatory (CVO), Yellowstone Volcano Observatory (YVO), Long Valley Observatory (LVO), and Hawaiian Volcano Observatory (HVO). With the exception of HVO, which was established in 1912, the U.S. Volcano Observatories have been established in the past 27 years in response to specific volcanic eruptions or sustained levels of unrest. As understanding of volcanic activity and hazards has grown over the years, so have the extent and types of monitoring networks and techniques available to detect early signs of anomalous volcanic behavior. This increased capability is providing us with a more accurate gauge of volcanic activity in the United States. The purpose of this report is to (1) document the range of volcanic activity that U.S. Volcano Observatories have dealt with, beginning with the 1980 eruption of Mount St. Helens, (2) describe some overall characteristics of the activity, and (3) serve as a quick reference to pertinent published literature on the eruptions and unrest documented in this report.

Implementation of a Legionella Ordinance for Multifamily Housing, Garland, Texas

PubMed Central

Whitney, Ellen A.; Blake, Sarah

2017-01-01

Context: The incidence of legionellosis has sharply increased in the United States as a result of contaminated water systems. Jurisdictions across the country are considering whether to develop and implement regulations to protect individuals against Legionnaires' disease with its associated high morbidity and mortality. Objective: This article sheds light on the implementation and effectiveness of a 2005 citywide Legionella testing mandate of multifamily housing cooling towers in Garland, Texas. This ordinance has been in place for more than 10 years and represents the first of its kind in the United States to mandate routine testing of cooling towers for Legionella in multifamily housing. Design, Setting, and Population: We utilized a mix of both qualitative and quantitative methods to explore the development, adoption, and implementation of the ordinance. Phone interviews were conducted with individuals from the City of Garland Health Department and apartment managers. Quantitative data included public health surveillance data on legionellosis. Main Outcome Measures: Barriers and facilitators of implementation, number and percentage of cooling towers from multifamily housing units that tested positive for Legionella by year, and number of legionellosis cases by year in Garland, Texas. Results: Study outcomes highlight key themes that facilitated the successful implementation of the Legionella testing mandate, including the importance of timing, leadership support, stakeholder engagement, and education and outreach. The number of contaminated cooling towers was reduced over time. Conclusion: Mandatory monitoring for legionella in a local jurisdiction may result in reduced risk of legionellosis from cooling towers through raising awareness and education of building owners and managers about the need to prevent, detect, and remediate legionella contamination in their building water systems. Garland, Texas, broke new ground in the United States in moving toward primary prevention of legionellosis. The ordinance may be useful both in serving to educate and increase awareness about the need for Legionella prevention and to monitor effectiveness of maintenance procedures. PMID:28141673

Current issues with blood transfusions in sickle cell disease.

PubMed

Vichinsky, E P

2001-01-01

With increased recognition of the profound morbidity of sickle cell disease and with growing evidence of the efficacy of transfusion therapy in prevention and treatment of sickle cell complications, most patients now receive intermittent transfusion therapy. The purpose of this report is to review blood component therapy and Its risks for sickle cell patients. Packed red cells are the preferred blood component. Leukocyte-reduced units should be standard because of their beneficial effects in reducing alloimmunization, transfusion reactions, platelet refractoriness, and infection transmission. The use of washed, frozen, or Irradiated units is limited to specific problems. Sickle trait-positive units function normally, but because of difficulties with calculating hemoglobin S percentages and leukocyte filters, they are not routinely used. Transfusion-acquired infections have shown a marked decrease but still present a major risk. Viral hepatitis transmission is currently low, but at least 10% of adult sickle cell patients are hepatitis C positive, and they often have liver damage. Although bacterial infections are rare, they account for 16% of transfusion-related fatalities. Patients who are iron overloaded are particularly vulnerable to Yersina enterocolitica. Red cell alloimmunization is a serious problem that could potentially affect 50% of transfused patients. However, preventive phenotypic matching for common antigens can minimize alloimmunization; limited matching for at least E, C, and K has become the standard of care. Recently, more patients are being identified who have developed red cell autoantibodies, which can mask alloantibodies and occasionally are hemolytic. Careful laboratory evaluation of all cases is essential. Transfusions also may trigger sickle cell events, including pain crises, stroke, and acute pulmonary deterioration. In part, these are induced by blood viscosity and increased blood pressure. Diuretic therapy and close monitoring of transfusion volume and vital signs can minimize these events. In summary, transfusion therapy carries risks, but the routine use of leukocyte-reduced, phenotypically matched units in conjunction with close monitoring of patients can make transfusion therapy safer.

Trends in use of medical abortion in the United States: reanalysis of surveillance data from the Centers for Disease Control and Prevention, 2001-2008.

PubMed

Pazol, Karen; Creanga, Andreea A; Zane, Suzanne B

2012-12-01

With changing patterns and increasing use of medical abortion in the United States, it is important to have accurate statistics on the use of this method regularly available. This study assesses the accuracy of medical abortion data reported annually to the Centers for Disease Control and Prevention (CDC) and describes trends over time in the use of medical abortion relative to other methods. This analysis included data reported to CDC for 2001-2008. Year-specific analyses included all states that monitored medical abortion for a given year, while trend analyses were restricted to states that monitored medical abortion continuously from 2001 to 2008. Data quality and completeness were assessed by (a) examining abortions reported with an unspecified method type within the gestational age limit for medical abortion (med-eligible abortions) and (b) comparing the percentage of all abortions and med-eligible abortions reported to CDC as medical abortions with estimates based on published mifepristone sales data for the United States from 2001 to 2007. During 2001-2008, the percentage of med-eligible abortions reported to CDC with an unspecified method type remained low (1.0%-2.2%); CDC data and mifepristone sales estimates for 2001-2007 demonstrated strong agreement [all abortions: intraclass correlation coefficient (ICC)=0.983; med-eligible abortions: ICC=0.988]. During 2001-2008, the percentage of abortions reported to CDC as medical abortions increased (p<.001 for all abortions and for med-eligible abortions). Among states that reported medical abortions for 2008, 15% of all abortions and 23% of med-eligible abortions were reported as medical abortions. CDC's Abortion Surveillance System provides an important annual data source that accurately describes the use of medical abortion relative to other methods in the United States. Published by Elsevier Inc.

Monitoring sleep depth: analysis of bispectral index (BIS) based on polysomnographic recordings and sleep deprivation.

PubMed

Giménez, Sandra; Romero, Sergio; Alonso, Joan Francesc; Mañanas, Miguel Ángel; Pujol, Anna; Baxarias, Pilar; Antonijoan, Rosa Maria

2017-02-01

The assessment and management of sleep are increasingly recommended in the clinical practice. Polysomnography (PSG) is considered the gold standard test to monitor sleep objectively, but some practical and technical constraints exist due to environmental and patient considerations. Bispectral index (BIS) monitoring is commonly used in clinical practice for guiding anesthetic administration and provides an index based on relationships between EEG components. Due to similarities in EEG synchronization between anesthesia and sleep, several studies have assessed BIS as a sleep monitor with contradictory results. The aim of this study was to evaluate objectively both the feasibility and reliability of BIS for sleep monitoring through a robust methodology, which included full PSG recordings at a baseline situation and after 40 h of sleep deprivation. Results confirmed that the BIS index was highly correlated with the hypnogram (0.89 ± 0.02), showing a progressive decrease as sleep deepened, and an increase during REM sleep (awake: 91.77 ± 8.42; stage N1: 83.95 ± 11.05; stage N2: 71.71 ± 11.99; stage N3: 42.41 ± 9.14; REM: 80.11 ± 8.73). Mean and median BIS values were lower in the post-deprivation night than in the baseline night, showing statistical differences for the slow wave sleep (baseline: 42.41 ± 9.14 vs. post-deprivation: 39.49 ± 10.27; p = 0.02). BIS scores were able to discriminate properly between deep (N3) and light (N1, N2) sleep. BIS values during REM overlapped those of other sleep stages, although EMG activity provided by the BIS monitor could help to identify REM sleep if needed. In conclusion, BIS monitors could provide a useful measure of sleep depth in especially particular situations such as intensive care units, and they could be used as an alternative for sleep monitoring in order to reduce PSG-derived costs and to increase capacity in ambulatory care.

A detector for monitoring the onset of cavitation during therapy-level measurements of ultrasonic power

NASA Astrophysics Data System (ADS)

Hodnett, M.; Zeqiri, B.

2004-01-01

Acoustic cavitation occurring in the water path between a transducer and the target of a radiation force balance can provide a significant source of error during measurements of ultrasonic power. These problems can be particularly acute at physiotherapy levels (>1 W), and low frequencies (leq 1 MHz). The cavitating bubbles can absorb and scatter incident ultrasound, leading to an underestimate in the measured power. For these reasons, International Specification standards demand the use of degassed water. This imposes requirements that may actually be difficult to meet, for example, in the case of hospitals. Also, initially degassed water will rapidly re-gas, increasing the likelihood of cavitation occurring. For these reasons, NPL has developed a device that monitors acoustic emissions generated by bubble activity, for detecting the onset of cavitation during power measurements. A commercially available needle hydrophone is used to detect these emissions. The acoustic signals are then monitored using a Cavitation Detector (CD) unit, comprising an analogue electrical filter that may be tuned to detect frequency components generated by cavitating bubbles, and which provides an indication of when the measured level exceeds a pre-defined threshold. This paper describes studies to establish a suitable detection scheme, the principles of operation of the CD unit, and the performance tests carried out with a range of propagation media.

Harmonization of Multiple Forest Disturbance Data to Create a 1986-2011 Database for the Conterminous United States

NASA Astrophysics Data System (ADS)

Soulard, C. E.; Acevedo, W.; Yang, Z.; Cohen, W. B.; Stehman, S. V.; Taylor, J. L.

2015-12-01

A wide range of spatial forest disturbance data exist for the conterminous United States, yet inconsistencies between map products arise because of differing programmatic objectives and methodologies. Researchers on the Land Change Research Project (LCRP) are working to assess spatial agreement, characterize uncertainties, and resolve discrepancies between these national level datasets, in regard to forest disturbance. Disturbance maps from the Global Forest Change (GFC), Landfire Vegetation Disturbance (LVD), National Land Cover Dataset (NLCD), Vegetation Change Tracker (VCT), Web-enabled Landsat Data (WELD), and Monitoring Trends in Burn Severity (MTBS) were harmonized using a pixel-based data fusion process. The harmonization process reconciled forest harvesting, forest fire, and remaining forest disturbance across four intervals (1986-1992, 1992-2001, 2001-2006, and 2006-2011) by relying on convergence of evidence across all datasets available for each interval. Pixels with high agreement across datasets were retained, while moderate-to-low agreement pixels were visually assessed and either manually edited using reference imagery or discarded from the final disturbance map(s). National results show that annual rates of forest harvest and overall fire have increased over the past 25 years. Overall, this study shows that leveraging the best elements of readily-available data improves forest loss monitoring relative to using a single dataset to monitor forest change, particularly by reducing commission errors.

New Local, National and Regional Cereal Price Indices for Improved Identification of Food Insecurity

NASA Technical Reports Server (NTRS)

Brown, Molly E.; Tondel, Fabien; Thorne, Jennifer A.; Essam, Timothy; Mann, Bristol F.; Stabler, Blake; Eilerts, Gary

2011-01-01

Large price increases over a short time period can be indicative of a deteriorating food security situation. Food price indices developed by the United Nations Food and Agriculture Organization (FAO) are used to monitor food price trends at a global level, but largely reflect supply and demand conditions in export markets. However, reporting by the United States Agency for International Development (USAID)'s Famine Early Warning Systems Network (FEWS NET) indicates that staple cereal prices in many markets of the developing world, especially in surplus-producing areas, often have a delayed and variable response to international export market price trends. Here we present new price indices compiled for improved food security monitoring and assessment, and specifically for monitoring conditions of food access across diverse food insecure regions. We found that cereal price indices constructed using market prices within a food insecure region showed significant differences from the international cereals price, and had a variable price dispersion across markets within each marketshed. Using satellite-derived remote sensing information that estimates local production and the FAO Cereals Index as predictors, we were able to forecast movements of the local or national price indices in the remote, arid and semi-arid countries of the 38 countries examined. This work supports the need for improved decision-making about targeted aid and humanitarian relief, by providing earlier early warning of food security crises.

Preliminary study on activity monitoring using an android smart-watch

PubMed Central

Ahanathapillai, Vijayalakshmi; Goodwin, Zoe; James, Christopher J.

2015-01-01

The global trend for increasing life expectancy is resulting in aging populations in a number of countries. This brings to bear a pressure to provide effective care for the older population with increasing constraints on available resources. Providing care for and maintaining the independence of an older person in their own home is one way that this problem can be addressed. The EU Funded Unobtrusive Smart Environments for Independent Living (USEFIL) project is an assistive technology tool being developed to enhance independent living. As part of USEFIL, a wrist wearable unit (WWU) is being developed to monitor the physical activity (PA) of the user and integrate with the USEFIL system. The WWU is a novel application of an existing technology to the assisted living problem domain. It combines existing technologies and new algorithms to extract PA parameters for activity monitoring. The parameters that are extracted include: activity level, step count and worn state. The WWU, the algorithms that have been developed and a preliminary validation are presented. The results show that activity level can be successfully extracted, that worn state can be correctly identified and that step counts in walking data can be estimated within 3% error, using the controlled dataset. PMID:26609402