Echeverría, Guadalupe; Dussaillant, Catalina; Villarroel, Luis; Rigotti, Attilio
2016-01-01
In 2013, the American College of Cardiology and the American Heart Association (ACC/AHA) jointly released new guidelines for cardiovascular risk assessment and cholesterol management that substantially modified the previous recommendations proposed by the National Cholesterol Education Program (NCEP) in 2001. The relative impact of these new guidelines on potential statin use has not been estimated in Latin American populations. To estimate and compare eligibility for statin therapy based on ACC/AHA and NCEP guidelines in adult Chilean population. Using data from the last National Health Survey (2009-2010 NHS), we conducted a cross-sectional analysis in a representative sample of the Chilean adult population and calculated the proportion of individuals that would receive statins under each set of guidelines. According to ACC/AHA guidelines, the population eligible for statin treatment increased from 21.7% (NCEP guidelines) to 33.2% (overall 53% increase). This effect was more pronounced among women (29.6% under ACC/AHA vs 15.6% under NCEP) and with those of advanced age (75% of the subjects >60 years of age compared with 46% under NCEP). The newly eligible group included more women and older subjects and individuals with lower LDL cholesterol levels. Compared with NCEP recommendations, the new ACC/AHA guidelines significantly increased the number of Chilean adults eligible for statin therapy. Full implementation of the new recommendations may have important public health implications in Chile and other Latin American countries, as more women and older subjects without cardiovascular disease would qualify for statin treatment. Copyright © 2016 National Lipid Association. Published by Elsevier Inc. All rights reserved.
Perceptions about the management of dyslipidaemia among physicians in Jamaica and Trinidad.
Monsanto, H A; Prann, M; Quijada, J G
2007-09-01
Proper management of dyslipidaemia in patients may reduce morbidity and mortality related to coronary heart disease. To determine physician perceptions of the management of dyslipidaemia in Jamaica and Trinidad Personal interviews were conducted from March to May, 2005, by an independent research firm using a structured questionnaire. A total of 111 interviews were conducted, 61 in Jamaica and 50 in Trinidad Respondents were mostly primary care physicians (PCP) or internal medicine physicians (76.5%) and 58% were in private practice. The most important factors for prescribing a drug for dyslipidaemia were related to efficacy (76%), safety (59%) and price (36%). The majority (92%) reported using treatment guidelines. The National Cholesterol Education Program (NCEP) guidelines were the most widely mentioned by physicians but there were reports of using guidelines from other organizations and physician groups. Nearly a third of all physicians, most of whom were PCPs, had not heard of the NCEP The LDL-C level at which drug therapy should be started and the LDL-C treatment goals were higher among Jamaican physicians. Physicians are aware of the existence of treatment guidelines for dyslipidaemia. However, the source and adherence to the guidelines varies according to country and specialty. Information about the proper management of dyslipidaemia must be reinforced by professional societies and government agencies.
Qureshi, Waqas T; Kaplan, Robert C; Swett, Katrina; Burke, Gregory; Daviglus, Martha; Jung, Molly; Talavera, Gregory A; Chirinos, Diana A; Reina, Samantha A; Davis, Sonia; Rodriguez, Carlos J
2017-05-11
The prevalence estimates of statin eligibility among Hispanic/Latinos living in the United States under the new 2013 American College of Cardiology/American Heart Association (ACC/AHA) cholesterol treatment guidelines are not known. We estimated prevalence of statin eligibility under 2013 ACC/AHA and 3rd National Cholesterol Education Program Adult Treatment Panel (NCEP/ATP III) guidelines among Hispanic Community Health Study/Study of Latinos (n=16 415; mean age 41 years, 40% males) by using sampling weights calibrated to the 2010 US census. We examined the characteristics of Hispanic/Latinos treated and not treated with statins under both guidelines. We also redetermined the statin-therapy eligibility by using black risk estimates for Dominicans, Cubans, Puerto Ricans, and Central Americans. Compared with NCEP/ATP III guidelines, statin eligibility increased from 15.9% (95% CI 15.0-16.7%) to 26.9% (95% CI 25.7-28.0%) under the 2013 ACC/AHA guidelines. This was mainly driven by the ≥7.5% atherosclerotic cardiovascular disease risk criteria (prevalence 13.9% [95% CI 13.0-14.7%]). Of the participants eligible for statin eligibility under NCEP/ATP III and ACC/AHA guidelines, only 28.2% (95% CI 26.3-30.0%) and 20.6% (95% CI 19.4-21.9%) were taking statins, respectively. Statin-eligible participants who were not taking statins had a higher prevalence of cardiovascular risk factors compared with statin-eligible participants who were taking statins. There was no significant increase in statin eligibility when atherosclerotic cardiovascular disease risk was calculated by using black estimates instead of recommended white estimates (increase by 1.4%, P =0.12) for Hispanic/Latinos. The eligibility of statin therapy increased consistently across all Hispanic/Latinos subgroups under the 2013 ACC/AHA guidelines and therefore will potentially increase the number of undertreated Hispanic/Latinos in the United States. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
Cho, Yun Kyung; Jung, Chang Hee; Kang, Yu Mi; Hwang, Jenie Yoonoo; Kim, Eun Hee; Yang, Dong Hyun; Kang, Joon-Won; Park, Joong-Yeol; Kim, Hong-Kyu; Lee, Woo Je
2016-08-19
Since the release of the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines, significant controversy has surrounded the applicability of the new cholesterol guidelines and the Pooled Cohort Equations. In this present study, we investigated whether eligibility for statin therapy determined by the 2013 ACC/AHA guidelines on the management of blood cholesterol is better aligned with the progression of coronary artery calcification (CAC) detected by coronary computed tomography angiography (CCTA) than the previously recommended 2004 National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III guidelines. We enrolled 1246 asymptomatic participants who underwent repeated CAC score measurement during routine health examinations. The CAC score progression was defined as either incident CAC in a population free of CAC at baseline or increase ≥2.5 units between the baseline and final square root of CAC scores participants who had detectable CAC at baseline examination. Application of the ACC/AHA guidelines to the study population increased the proportion of statin-eligible subjects from 20.5% (according to ATP III) to 54.7%. Statin-eligible subjects, as defined by ACC/AHA guidelines, showed a higher odds ratio for CAC score progression than those considered statin eligible according to ATP III guidelines (2.73 [95% CI, 2.07-3.61] vs 2.00 [95% CI, 1.49-2.68]). Compared with the ATP III guidelines, the new ACC/AHA guidelines result in better discrimination of subjects with cardiovascular risk detected by CAC score progression in an Asian population. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.
Metabolic Syndrome and Risk of Development of Atrial Fibrillation
Watanabe, Hiroshi; Tanabe, Naohito; Watanabe, Toru; Darbar, Dawood; Roden, Dan M.; Sasaki, Shigeru; Aizawa, Yoshifusa
2008-01-01
Background The metabolic syndrome consists of a cluster of atherosclerotic risk factors, many of which also have been implicated in the genesis of atrial fibrillation (AF). However, the precise role of the metabolic syndrome in the development of AF is unknown. Methods and Results This prospective, community-based, observational cohort study was based on an annual health check-up program in Japan. We studied 28 449 participants without baseline AF. We used 2 different criteria for the metabolic syndrome—the guidelines of the National Cholesterol Education Program Third Adult Treatment Panel (NCEP-ATP III) and those of the American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI)—to study the risk of development of new-onset AF. The metabolic syndrome was present in 3716 subjects (13%) and 4544 subjects (16%) using the NCEP-ATP III and AHA/NHLBI definitions, respectively. During a mean follow-up of 4.5 years, AF developed in 265 subjects (105 women). Among the metabolic syndrome components, obesity (age- and sex-adjusted hazard ratio [HR], 1.64), elevated blood pressure (HR, 1.69), low high-density lipoprotein cholesterol (HR, 1.52), and impaired insulin tolerance (HR, 1.44 [NCEP-ATP III] and 1.35 [AHA/NHLBI]) showed an increased risk for AF. The association between the metabolic syndrome and AF remained significant in subjects without treated hypertension or diabetes by the NCEP-ATP III definition (HR, 1.78) but not by the AHA/NHLBI definition (HR, 1.28). Conclusions The metabolic syndrome was associated with increased risk of AF. The metabolic derangements of the syndrome may be important in the pathogenesis of AF. PMID:18285562
Yeboah, Joseph; Sillau, Stefan; Delaney, Joseph C; Blaha, Michael J.; Michos, Erin D; Young, Rebekah; Qureshi, Waqas T; McClelland, Robyn; Burke, Gregory L; Psaty, Bruce M; Herrington, David M
2015-01-01
Background The impact of replacing the NCEP/ ATPIII cholesterol guidelines with the new 2013 ACC/AHA guidelines for primary prevention of cardiovascular disease is unclear. Methods We used risk factor and 10-year clinical event rate data from the Multi-Ethnic Study of Atherosclerosis (MESA), combined with estimates of efficacy of moderate and high intensity statin therapy from meta-analyses of statin primary prevention trials to estimate 1.) the change in number of subjects eligible for drug therapy, and 2.) the anticipated reduction in atherosclerotic cardiovascular disease (ASCVD) events and increment in Type II diabetes (T2DM) associated with the change in cholesterol guidelines. Results Of the 6814 MESA participants, 5437 were not on statins at baseline and had complete data for analysis (mean age 61.4 ±10.3). Using the NCEP/ATP III guidelines 1334 (24.5%) would have been eligible for statin therapy compared with 3015 (55.5%) under the new ACC/AHA guidelines. Among the subset of newly eligible, 127/1742 (7.3%) had an ASCVD event during 10 years of follow-up. Assuming 10 years of moderate intensity statin therapy, the estimated absolute reduction in ASCVD events for the newly eligible group was 2.06% (NNT: 48.6) and the estimated absolute increase in T2DM was 0.90% (NNH: 110.7). Assuming 10 years of high intensity statin therapy, the corresponding estimates for reductions in ASCVD and increases in T2DM were: ASCVD; 2.70% (NNT: 37.5) and T2DM: 2.60% (NNH: 38.6). The estimated effects of moderate intensity statins on 10 year risk for ASCVD and T2DM in participants eligible for statins under the NCEP/ATP III were: 3.20% (NNT: 31.5) and 1.06% (NNH: 94.2) respectively. Conclusion Substituting the NCEP/ATP III cholesterol guidelines with the 2013 ACC/AHA cholesterol guidelines in MESA more than doubled the number of participants eligible for statin therapy. If the new ACC/AHA cholesterol guidelines are adopted and extend the primary prevention population eligible for treatment, the risk-benefit profile is much better for moderate intensity than high intensity statin treatment. PMID:25728729
Mannucci, E; Monami, M; Bardini, G; Ognibene, A; Rotella, C M
2007-12-01
The adoption of the International Diabetes Federation (IDF) criteria for metabolic syndrome (MS), in comparison with the National Cholesterol Educational Program (NCEP) criteria, produces different changes in estimates of prevalence in diverse populations. Few data are available in Caucasian non-diabetic subjects. The prevalence of NCEP- and IDF-defined MS was assessed in a sample of 2,945 individuals, aged 55.2+/-11.5 yr, enrolled in a screening program for diabetes. Association of different definitions of MS with glucose intolerance (120-min glucose 7.8 mmol/l after a 75 g-oral glucose load) and hyperuricemia (>0.38 mmol/l) was also assessed. The prevalence of MS was 16.6% and 29.7% with NCEP and IDF definitions, respectively. The prevalence of NCEP-defined MS was higher than IDF-MS through all age ranges; among those aged >60 yr, the prevalence of IDF-MS reached 52.8% (vs 33.1% for NCEP-MS). Both NCEP- and IDF-MS were associated with glucose intolerance and hyperuricemia. Individuals fulfilling IDF, but not NCEP criteria for MS, showed a prevalence of glucose intolerance (22.7%) significantly (p<0.05) lower than those fulfilling NCEP criteria only (31.6%) or both sets of criteria (31.8%). In Caucasian subjects without known diabetes, IDF criteria produce a relevant increase in estimates of prevalence of MS, particularly in older subjects, when compared with NCEP criteria. NCEP-MS seems to be more effective than IDF-MS in the identification of glucose intolerant subjects.
Echlin, Paul S; Upshur, Ross E G; Markova, Tsveti P
2004-07-05
The literature demonstrates that medical residents and practicing physicians have an attitudinal-behavioral discordance concerning their positive attitudes towards clinical practice guidelines (CPG), and the implementation of these guidelines into clinical practice patterns. A pilot study was performed to determine if change in a previously identified CPG compliance factor (accessibility) would produce a significant increase in family medicine resident knowledge and attitude toward the guidelines. The primary study intervention involved placing a summary of the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) and the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP III) CPGs in all patient (>18 yr.) charts for a period of three months. The JNC VI and NCEP III CPGs were also distributed to each Wayne State family medicine resident, and a copy of each CPG was placed in the preceptor's area of the involved clinics. Identical pre- and post- intervention questionnaires were administered to all residents concerning CPG knowledge and attitude. Post-intervention analysis failed to demonstrate a significant difference in CPG knowledge. A statistically significant post-intervention difference was found in only on attitude question. The barriers to CPG compliance were identified as 1) lack of CPG instruction; 2) lack of critical appraisal ability; 3) insufficient time; 4) lack of CPG accessibility; and 5) lack of faculty modeling. This study demonstrated no significant post intervention changes in CPG knowledge, and only one question that reflected attitude change. Wider resident access to dedicated clinic time, increased faculty modeling, and the implementation of an electronic record/reminder system that uses a team-based approach are compliance factors that should be considered for further investigation. The interpretation of CPG non-compliance will benefit from a causal matrix focused on physician knowledge, attitudes, and behavior. Recent findings in resident knowledge-behavior discordance may direct the future investigation of physician CPG non-compliance away from generalized barrier research, and toward the development of information that maximizes the sense of individual practitioner urgency and certainty.
Cabrera-Rode, Eduardo; Stusser, Beatriz; Cálix, Wenny; Orlandi, Neraldo; Rodríguez, Janet; Cubas-Dueñas, Ileana; Echevarría, Ragmila; Álvarez, Aimee
2017-01-01
The aim of this study was to determine the level of diagnostic concordance between seven definitions of metabolic syndrome (MS) in a group of overweight and obese adults. 350 subjects aged from 19 to 70 years were recruited for study from a clinic for overweight and obese subjects. The definitions of MS used were those given by the WHO (World Health Organization), EGIR (European Group for the Study of Insulin Resistance), NCEP- ATPIII (Adult Treatment Panel), AHA/NHLBI (American Heart Association), IDF (International Diabetes Federation), and JIS (Joint Interim Statement) as well as the Szabo criteria. Concordance between the definitions was calculated with the Kappa coefficient. Insulin resistance (IR) was assessed using the HOMA-IR index. According to the Szabo, WHO, EGIR, NCEP-ATPIII, AHA/NHLBI, IDF, and JIS criteria, MS frequency was 74.3%, 42.0%, 46.8%, 56.0%, 52.9%, 58.6%, and 58.6%, respectively. The concordance between the Szabo and AHA/NHLBI criteria was 0.559, while the Kappa coefficient between the Szabo criteria and the rest of the guides (NCEP-ATPIII, IDF, and JIS) was from 0.612 to 0.657, respectively. The concordance of the WHO with the EGIR was 0.602, but it was between 0.358 and 0.422 with the other guidelines. IR was distributed similarly in all guidelines. There is a considerable concordance between the NCEP-ATPIII, IDF, and JIS guidelines and the Szabo criteria. The Szabo criteria could be an option for the active surveillance of MS in populations.
Ní Chróinín, Danielle; Ní Chróinín, Chantelle; Akijian, Layan; Callaly, Elizabeth L; Hannon, Niamh; Kelly, Lisa; Marnane, Michael; Merwick, Áine; Sheehan, Órla; Horgan, Gillian; Duggan, Joseph; Kyne, Lorraine; Dolan, Eamon; Murphy, Seán; Williams, David; Kelly, Peter J
2018-01-24
Few population-based studies have assessed lipid adherence to international guidelines for primary and secondary prevention in stroke/transient ischaemic attack (TIA) patients. This study aims to evaluate adherence to lipid-lowering therapy (LLT) guidelines amongst patients with ischaemic stroke/TIA. Using hot and cold pursuit methods from multiple hospital/community sources, all stroke and TIA cases in North Dublin City were prospectively ascertained over a 1-year period. Adherence to National Cholesterol Education Programme (NCEP) III guidelines, before and after index ischaemic stroke/TIA, was assessed. Amongst 616 patients (428 ischaemic stroke, 188 TIA), total cholesterol was measured following the qualifying event in 76.5% (471/616) and low-density lipoprotein (LDL) in 60.1% (370/616). At initial stroke/TIA presentation, 54.1% (200/370) met NCEP III LDL goals. Compliance was associated with prior stroke (odds ratio [OR] 2.19, p = 0.02), diabetes (OR 1.91, p = 0.04), hypertension (OR 1.57, p = 0.03), atrial fibrillation (OR 1.78, p = 0.01), pre-event LLT (OR 2.85, p < 0.001) and higher individual LDL goal (p = 0.001). At stroke/TIA onset, 32.7% (195/596) was on LLT. Nonetheless, LDL exceeded individual NCEP goal in 29.2% (56/192); 21.6% (53/245) warranting LLT was not on treatment prior to stroke/TIA onset. After index stroke/TIA, 75.9% (422/556) was on LLT; 15.3% (30/196) meeting NCEP III criteria was not prescribed a statin as recommended. By 2 years, actuarial survival was 72.8% and 11.9% (59/497) experienced stroke recurrence. No association was observed between initial post-event target adherence and 2-year outcomes. In this population-based study, LLT recommended by international guidelines was under-used, before and after index stroke/TIA. Strategies to improve adherence are needed.
[Cardiovascular risk by Framingham and SCORE in patients 40-65 years old].
González, Carmen; Rodilla, Enrique; Costa, José A; Justicia, Jorge; Pascual, José M
2006-04-15
The aim of this study was to compare the clinical and treatment implications of 2 cardiovascular risk stratification systems in a population of patients 40-65 years old. 929 non diabetic patients (40-65 years old) (51% female) with no evidence of previous cardiovascular disease were included in the study. The risk of cardiovascular death was assessed with the charts of the Systematic Coronary Risk Evaluation (SCORE), and coronary risk by the Framingham function (National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults -NCEP-ATP-III-). Patients were considered of high risk if risk of cardiovascular death was >or= 5% and coronary risk was > 20%, respectively. 4.1% of patients were considered as high risk by SCORE and 2.5% by Framingham. Only 0.2% of females were classified as high risk with either system. 8.2% and 4.8% of male population were considered as high risk by SCORE and Framingham, respectively. There was a low level of concordance between both systems. Patients classified as high risk by SCORE but not by Framingham were older, smoke less and had a better lipid profile. According to European Guidelines 28% of male and 23% of female were candidates to hypolipemic treatment, that proportion was higher, 43% of males and 28% of females, by NCEP-ATP-III guidelines. In Spanish patients 40-65 years old, SCORE charts almost duplicate the number of high risk individuals compared to Framingham. although the number of patients candidates to hypolipemic treatment is lower with the European than ATP-III guidelines. Differences were more evident in male.
Jung, Chang Hee; Lee, Min Jung; Kang, Yu Mi; Yang, Dong Hyun; Kang, Joon-Won; Kim, Eun Hee; Park, Duk-Woo; Park, Joong-Yeol; Kim, Hong-Kyu; Lee, Woo Je
2015-01-01
The usefulness of the 2013 ACC/AHA guidelines for the management of blood cholesterol in the Asian population remains controversial. In this study, we investigated whether eligibility for statin therapy determined by the 2013 ACC/AHA guidelines is better aligned with the presence of subclinical coronary atherosclerosis detected by CCTA (coronary computed tomography angiography) compared to the previously recommended 2004 NCEP ATP III guidelines. We collected the data from 5,837 asymptomatic subjects who underwent CCTA using MDCT during routine health examinations. Based on risk factor assessment and lipid data, we determined guideline-based eligibility for statin therapy according to the 2013 ACC/AHA and 2004 NCEP ATP III guidelines. We defined the presence and severity of subclinical coronary atherosclerosis detected in CCTA according to the presence of significant coronary artery stenosis (defined as >50% stenosis), plaques, and the degree of coronary calcification. As compared to the 2004 ATP III guidelines, a significantly higher proportion of subjects with significant coronary stenosis (61.8% vs. 33.8%), plaques (52.3% vs. 24.7%), and higher CACS (CACS >100, 63.6% vs. 26.5%) was assigned to statin therapy using the 2013 ACC/AHA guidelines (P < .001 for all variables). The area under the curves of the pooled cohort equation of the new guidelines in detecting significant stenosis, plaques, and higher CACS were significantly higher than those of the Framingham risk calculator. Compared to the previous ATP III guidelines, the 2013 ACC/AHA guidelines were more sensitive in identifying subjects with subclinical coronary atherosclerosis detected by CCTA in an Asian population.
Kang, Yu Mi; Yang, Dong Hyun; Kang, Joon-Won; Kim, Eun Hee; Park, Duk-Woo; Park, Joong-Yeol; Kim, Hong-Kyu; Lee, Woo Je
2015-01-01
Background The usefulness of the 2013 ACC/AHA guidelines for the management of blood cholesterol in the Asian population remains controversial. In this study, we investigated whether eligibility for statin therapy determined by the 2013 ACC/AHA guidelines is better aligned with the presence of subclinical coronary atherosclerosis detected by CCTA (coronary computed tomography angiography) compared to the previously recommended 2004 NCEP ATP III guidelines. Methods We collected the data from 5,837 asymptomatic subjects who underwent CCTA using MDCT during routine health examinations. Based on risk factor assessment and lipid data, we determined guideline-based eligibility for statin therapy according to the 2013 ACC/AHA and 2004 NCEP ATP III guidelines. We defined the presence and severity of subclinical coronary atherosclerosis detected in CCTA according to the presence of significant coronary artery stenosis (defined as >50% stenosis), plaques, and the degree of coronary calcification. Results As compared to the 2004 ATP III guidelines, a significantly higher proportion of subjects with significant coronary stenosis (61.8% vs. 33.8%), plaques (52.3% vs. 24.7%), and higher CACS (CACS >100, 63.6% vs. 26.5%) was assigned to statin therapy using the 2013 ACC/AHA guidelines (P < .001 for all variables). The area under the curves of the pooled cohort equation of the new guidelines in detecting significant stenosis, plaques, and higher CACS were significantly higher than those of the Framingham risk calculator. Conclusions Compared to the previous ATP III guidelines, the 2013 ACC/AHA guidelines were more sensitive in identifying subjects with subclinical coronary atherosclerosis detected by CCTA in an Asian population. PMID:26372638
Precision of a dry-chemistry method of lipid screening.
Bowden, Rodney G; Kingery, Paul M; Long, Lindsey
2006-06-01
The purpose of this study was to compare total capillary cholesterol values acquired using the Reflotron with a venous sample taken simultaneously, to determine if the Reflotron meets the guidelines of the National Cholesterol Education Program (NCEP) for accuracy. An announcement and a registration form for a cholesterol screening programme were distributed with employee pay slips at a large southern university. Approximately 15 employees were scheduled for each screening date, with walk-ins allowed at the health assessment site as space allowed. Capillary and venous samples were collected from screening participants (n=285). Approximately 20 ml of blood was collected from each participant, after fasting for 12 h, using standardized venepuncture techniques in the antecubital vein in the bend of the elbow. In order to overcome technician error, two drops of blood (30 microl) were collected immediately from the previously drawn venous sample by drawing blood into the capillary tube from the opening in the top of the venous tube before centrifuging the venous sample, rather than 'sticking' the finger. A Kolmogorov-Smirnov (KS) test of normality was calculated for total capillary cholesterol (KS=1.27, P=0.79) and total venous cholesterol (KS=0.99, P=0.28), which revealed insufficient evidence that the distributions were not normal. Participants' total capillary cholesterol values averaged 213.27 mg/dl [standard deviation (SD)=44.66 mg/dl)] when analysed on the Reflotron, and slightly higher (228.86 mg/dl, SD=40.50 mg/dl) for venepuncture. A paired t-test for variance between groups revealed significant differences in total capillary and total venous cholesterol values (t=-41.93, P<0.0001). A mean centered coefficient of variation was performed, revealing a 3.3% error rate, i.e. greater than the 3% allowable by the NCEP III guidelines. The mean percent bias was -7.28% (SD=3.10%) and the absolute mean percent bias was 7.46% (SD=2.64%). The percentage of participants with total cholesterol misclassified was 16.85%. Concomitantly, Spearman correlation coefficients were high (r2=0.94, P=0.01). Although the Reflotron met most of the NCEP III guidelines for accuracy, the portable analyser provided clinically relevant underestimations of total cholesterol values, especially for the lower and upper values. Consequently, lipid values obtained using the Reflotron may be useful for screening, but the Reflotron should not be used as a diagnostic and management tool.
Forecasting patient outcomes in the management of hyperlipidemia.
Brier, K L; Tornow, J J; Ries, A J; Weber, M P; Downs, J R
1999-03-22
To forecast adult patient outcomes in the management of hyperlipidemia using adult National Health and Examination Survey III (NHANES III) population statistics and National Cholesterol Education Program (NCEP) guidelines for goals of therapy. Review of the hyperlipidemia drug therapy English-language medical literature with emphasis on randomized controlled trials of more than 6 weeks' duration published in the last 7 years, product package inserts, US Food and Drug Administration submission information, and NHANES III population statistics. Data were extracted from studies of lipid-lowering therapy to modify low-density lipoprotein (LDL) levels for primary and secondary prevention of coronary heart disease. The data that were evaluated included sample size, study design, therapeutic intervention, length of study, percentage change in LDL levels, and patient demographics. Cumulative frequency curves of the LDL distribution among the US adult population were constructed. The mean efficacy of drug therapy from qualified studies was used to extrapolate the percentage of the population expected to respond to the intervention and to forecast the patient outcome. A useful tool for clinicians was constructed to approximate the percentage of patients, based on risk stratification, who would reach NCEP target goal after a given pharmacotherapeutic intervention to decrease LDL levels.
Bee, Ying Tan; Haresh, Kumar Kantilal; Rajibans, Singh
2008-03-01
The World Health Organization (WHO), National Cholesterol Education Program Adults Treatment Panel III (NCEP ATP III) and International Diabetes Federation (IDF) have proposed different criteria to diagnose metabolic syndrome (MetS). However, there is no single definition to accurately diagnose MetS. The objective of this study is to estimate the prevalence of MetS using WHO, NCEP ATP III and IDF in the Malaysian community, and to determine the concordance between these definitions for MetS. 109 men and women aged > 30 years participated in the study, and the prevalence of MetS was determined according to the three definitions. Weight, height, body mass index (BMI), waist-hip circumference, blood pressure, blood lipid profile and plasma fasting glucose were measured. In order to determine the concordance between IDF and the other two definitions, the kappa index (κ-test) was used. The prevalence of MetS (95% confidence interval) was 22.9% (22.8-23.1) by IDF definition, 16.5% (16.3-16.9) by NCEP ATP III definition and 6.4% (6.2-6.6) by modified WHO definition. The sensitivity and specificity of IDF against NCEP ATP III were 88.9% and 90.1% respectively, IDF against WHO definition were 85.7% and 81.4%. The κ statistics for the agreement of the IDF definition was 68.3 ± 0.1 with the NCEP ATP III, and 30.5 ± 0.1 with the modified WHO definition. The prevalence of the MetS among respondents using the IDF definition was highest, followed by NCEP ATP III, and finally modified WHO definition. There was a good concordance between the IDF and NCEP ATP III definitions, and a low concordance between IDF and modified WHO definitions.
Vogel, R A
1998-01-01
More than 10 million individuals in the United States currently have symptomatic coronary artery disease (CAD). Asymptomatic CAD is even more prevalent. CAD in the United States is responsible for approximately 1.5 million myocardial infarctions, 500,000 deaths, and a total economic burden in excess of $120 billion annually. Fortunately, CAD is preventable in many individuals. Our understanding of CAD has steadily progressed throughout the 20th century, and now several lines of evidence support the importance of cholesterol in both the genesis and management of coronary atherosclerosis. Following identification of the presence of cholesterol in atheromas, Anitschkov early this century demonstrated that atherosclerotic lesions can be induced in susceptible animals by high-saturated-fat and cholesterol diets. These lesions regressed when low-fat and cholesterol diets were resumed. In the 1970s and 1980s, findings from the landmark Framingham Heart, Seven Countries, and Multiple Risk Factor Intervention Trial studies firmly established that hypercholesterolemia was a major risk factor for cardiovascular morbidity and mortality. During the 1980s and 1990s, 21 of 22 angiographic trials demonstrated reduced progression of coronary and/or carotid artery disease using lifestyle, drug, and surgical means for reducing cholesterol. The later trials commonly employed hydroxymethylglutaryl coenzyme A reductase inhibitors (statins), reflecting increasing clinical use of these drugs. In 1988, the Adult Treatment Panel of the National Cholesterol Education Program (NCEP) published guidelines on testing and treating hypercholesterolemic patients, which outlined a more aggressive approach to cholesterol lowering than was currently in practice. Since 1994, five large cardiovascular event trials and a large angiographic trial have shown that aggressive cholesterol lowering reduces both cardiac morbidity and mortality, largely substantiating the NCEP guidelines. Although important clinical questions remain regarding patient subsets and treatment goals, lifestyle changes and appropriate drug therapy have proved to be highly effective in preventing initial and recurrent cardiovascular events.
Aekplakorn, Wichai; Chongsuvivatwong, Virasakdi; Tatsanavivat, Pyatat; Suriyawongpaisal, Paibul
2011-09-01
This study determines the prevalence of metabolic syndrome (MetS) according to the International Diabetes Federation (IDF) and National Cholesterol Education Program III (NCEP) criteria in Thai adults. Data from a national representative sample, InterASIA study, including a total of 5305 Thai adults 35 years and older were analyzed. Overall, the age-standardized prevalence of MetS by IDF and NCEP criteria were 24.0% (men 16.4%, women 31.6%) and 32.6% (men 28.7%, women 36.4%), respectively. The difference in prevalence of MetS between genders was much greater for the IDF compared with the NCEP definition. The age-standardized prevalence rates distributed by geographic region were relatively uniform with a lowest prevalence in the northeast. Among all possible sets of components for MetS, the most common combinations were a set of low high-density lipoprotein cholesterol, high triglyceride, and hyperglycemia in men (3.9%) and a set of abdominal obesity, low high-density lipoprotein cholesterol, and high triglycerides in women (6.7%). MetS is common in Thai adults and NCEP definition captures more cases of MetS compared with the IDF definition. Implementation of programs to prevent obesity and metabolic factors along with future periodic survey to monitor the problem is crucial.
[Prevalence of metabolic syndrome in elderly patients].
Castro Vilela, María Elena; Quílez Pina, Raquel María; Bonafonte Marteles, José Luis; Morlanes Navarro, Teresa; Calvo Gracia, Fernando
2014-01-01
To determine the prevalence of metabolic syndrome (MS) according to the definitions of the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) and the International Diabetes Federation (IDF) and its relation to cardiovascular disease (CVD) in hospitalized elderly patients. This descriptive and prospective study (February-March 2011) included 200 consecutive patients hospitalized in a Geriatric Department. Sociodemographic, clinical and biochemical data was collected. The prevalence of MS was 65% (NCEP-ATP III) and 67.5% (IDF) and was greater in women (NCEP-ATP III=72.8%, IDF=73.6%) than in men (NCEP-ATP III=50.7%; IDF=56.3%). The mean age of patients diagnosed with MS by both diagnostic criteria were similar: 84.7 years. MS was not associated with an increased prevalence of CVD. MS is highly prevalent in elderly hospitalized patients, being higher in women, with both diagnostic criteria (NCEP- ATP III and IDF). In our population the MS was not associated with an increased prevalence of CVD. Copyright © 2013 SEGG. Published by Elsevier Espana. All rights reserved.
Successful implementation of a guideline program for the rational use of lipid-lowering drugs.
Stuart, M E; Handley, M A; Chamberlain, M A; Wallach, R W; Penna, P M; Stergachis, A
1991-01-01
Following the National Cholesterol Educational Program's (NCEP) 1988 screening and treatment recommendations, an educational and behavior-change program at Group Health Cooperative of Puget Sound (GHC) was developed to guide the use of lipid-lowering drugs within the larger context of cardiac risk reduction. The program has been successful in advancing a rational program to enhance care and manage costs of the use of lipid-lowering agents at GHC. Cost savings have been significant over the past two years. The educational design of the program includes training and ongoing education of a core group of "lipid gurus," who educate colleagues in area medical centers in a rational approach to hyperlipidemia. Patient education and patient participation in decision-making was emphasized. Program evaluation has demonstrated that physicians and patients are satisfied with the program, and inappropriate drug expenditures have been prevented. Key elements of the program include a critical review of outcome studies in the medical literature, use of information systems, algorithms and written materials organized into a well-designed, ongoing educational program, and development of a core group of physicians and pharmacists to administer the program at the clinic level.
Climate Prediction Center - NCEP Global Ocean Data Assimilation System:
home page National Weather Service NWS logo - Click to go to the NWS home page Climate Prediction Monthly in NetCDF Other formats Links NOAA Ocean Climate Observation Program (OCO) Climate Test Bed About Prediction (NCEP) are a valuable community asset for monitoring different aspects of ocean climate
The control of dyslipidemia in outpatient clinics in Greece (OLYMPIC) Study.
Diamantopoulos, E J; Athyros, V G; Yfanti, G K; Migdalis, E N; Elisaf, M; Vardas, P E; Manolis, A S; Karamitsos, D T; Ganotakis, E S; Hatseras, D
2005-01-01
The objective of this study was to determine the proportion of Greek patients referred to outpatient clinics for dyslipidemia who achieved the low-density lipoprotein cholesterol (LDL-C) goal defined by the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) guidelines, using lifestyle changes, lipid-lowering drug treatment (LLDT), or both. Adult patients with dyslipidemia, who had been receiving a hypolipidemic diet and/or LLDT for at least 3 months were assessed in a multicenter study performed at 66 sites across Greece. Patients were followed up for an additional 3-month treatment period. Lipid levels were recorded at baseline and at the end of the study. The primary endpoint was the proportion of patients achieving their individual LDL-C target at the end of the study, according to their coronary heart disease (CHD) risk status or its equivalents, as defined by the NCEP-ATP III guidelines. Multivariate logistic models were used to identify determinants of undertreatment. The study included 2,660 adults (20-75 years) from 7 regions of Greece. Of the evaluable sample (n = 2,211; men 51%; mean age 62 +/-9 years) 81% were receiving LLDT (96% with statins and 3% with fibrates), 44% had a history of CHD, 61% arterial hypertension, 36% diabetes, and 26% a family history of premature CHD. Overall, 6% were at low CHD risk, 30% at medium CHD risk, and 63% at high CHD risk. At the end of the study, 26% of all patients and 30% of those receiving LLDT achieved the NCEP-specified LDL-C target levels. The percentage of patients at LDL-C goal according to CHD risk status was: low risk 67% (95% CI = 59-75), medium risk 29% (95% CI = 26-33), and high risk 20% (95% CI = 18-22). Statins proved to be more effective than fibrates (p <0.0001). Atorvastatin-treated subjects (n = 1,222, mean dose 19 mg/day) attained the LDL-C target (31% of the cases) at a higher rate than those receiving other LLDT (n = 574, 26% at target, p <0.01) or not receiving drug treatment (n = 415, 8%, p <0.001). This outcome was more evident in the high-CHD risk group (n = 1,402, 26% with atorvastatin vs 16% with other LLDT and 3% not receiving LLDT attained the LDL-C goal, ANOVA, p <0.001). The majority of dyslipidemic patients receiving LLDT, mainly those with high-CHD risk, are not achieving the NCEP LDL-C target. This is mainly explained by inadequate dose titration to ensure target goals are met. Promoting healthy lifestyle and appropriate LLDT (potent statins with sufficient dose titration) must be implemented to ensure that patients attain LDL-C treatment goals and thus benefit from the reduction in individual CHD risk.
Mannucci, E; Monami, M; Cresci, B; Pala, L; Bardini, G; Petracca, M G; Dicembrini, I; Pasqua, A; Buiatti, E; Rotella, C M
2008-05-01
The International Diabetes Federation (IDF) proposed to modify the diagnostic criteria for metabolic syndrome (MS) previously issued by the National Cholesterol Education Program (NCEP). Aim of the present investigation is to compare the predictive value for diabetes of NCEP and IDF definitions of MS in a large sample of predominantly Caucasian subjects. A prospective observational study was performed on a cohort study (n = 3096) enrolled in a diabetes-screening programme, the FIrenze-Bagno A Ripoli study. All subjects with fasting glucose >126 mg/dl and/or post-load glucose > or =200 mg/dl (5.7%) were excluded from the present analysis. Follow-up of each subject was continued until diagnosis of diabetes, death or until 31 December 2005. Mean follow-up was 27.7 +/- 11.3 months. Among subjects enrolled, 13.7 and 25.2% were affected by MS using NCEP and IDF criteria respectively. During follow-up, 38 new cases of diabetes were diagnosed, with a yearly incidence rate of 0.5%. The relative risk for diabetes in subjects with MS was 10.10 [5.13; 20.00] and 7.87 [3.70; 16.7] using NCEP and IDF definitions respectively. After adjustment for age, sex, fasting glucose and waist circumference, NCEP-defined MS, but not IDF-, was significantly associated with incident diabetes (hazard ratio, 95% CI: 2.41 [1.01; 5.95] and 2.05 [0.80; 5.29] respectively). Although the reasons for the proposed changes in diagnostic criteria for MS are easily understandable, the newer IDF definition, while increasing estimates of prevalence of the syndrome, reduces the effectiveness of MS in identifying subjects at risk for diabetes. Further research is needed before the previous NCEP criteria are abandoned.
Zainuddin, Laila Ruwaida Mohd; Isa, Nurfirdaus; Muda, Wan Manan Wan; Mohamed, Hamid Jan
2011-10-01
Metabolic syndrome can be diagnosed according to several different criteria such as the latest International Diabetes Federation (IDF), National Cholesterol Education Program Adult Treatment Program III (NCEP ATPIII), and World Health Organization (WHO). The objectives of this study were to determine the prevalence of metabolic syndrome and the concordance between the above mentioned definition, and hypertriglyceridemic-waist criteria. This cross sectional study was done in Bachok, Malaysia and involved 298 respondents aged between 18 to 70 years. Multistage random sampling method was used to identify study locations while convenient random sampling method was applied to select individuals. Hypertriglyceridemic waist was defined from an internationally acceptable cut-off criterion. Kappa statistic (κ test) was used to determine the concordance between various definitions and hypertriglyceridemic-waist. The prevalence of metabolic syndrome based on different definitions was 32.2% (IDF), 28.5% (NCEP ATP III) and 12.4% (modified WHO). The prevalence of hypertriglyceridemic-waist was 19.7% and based on the IDF criteria a total of 97.5% participants with hypertriglyceridemic-waist had metabolic syndrome. The IDF criteria showed the highest concordance with NCEP ATPIII criteria (κ = 0.63), followed by hypertriglyceridemic-waist criteria (κ = 0.62) and WHO criteria (κ = 0.26). The prevalence of metabolic syndrome was highest using the IDF criteria compared to NCEP ATPIII, modified WHO and hypertriglyceridemic-waist. There was a good concordance of IDF criteria with NCEP ATP III and hypertriglyceridemic-waist criteria.
Pursnani, Amit; Mayrhofer, Thomas; Ferencik, Maros; Hoffmann, Udo
2014-11-01
The recently released 2013 ACC/AHA guidelines for management of blood cholesterol have substantially increased the number of adults who are eligible for preventive statin therapy. We sought to determine whether eligibility for statin therapy as determined by the 2013 ACC/AHA guideline recommendation is better aligned with the actual presence of coronary artery disease (CAD) as detected by coronary CT angiography (CCTA) when compared to prior guidelines including the 2004 NCEP ATP III and 2011 ESC/EAS guidelines. In this secondary analysis of the prospective observational ROMICAT I (Rule Out Myocardial Infarction with Computer Assisted Tomography) cohort study, we included all men and women aged 40-79 years presenting with acute chest pain but not diagnosed with acute coronary syndrome nor on admission statin. Based on risk factor assessment and lipid data, we determined guideline-based eligibility for statin therapy by the 2013 ACC/AHA, the 2004 NCEP ATP III, and the 2011 ESC/EAS guidelines. We determined the presence and severity of CAD as detected by CCTA. The 2013 ACC/AHA algorithm identified nearly twice as many individuals as eligible for statins (n = 77/189; 41%) as compared to the 2004 ATP III criteria: (n = 41/189; 22%), (p < .0001) In addition, the 2013 ACC/AHA guidelines were more sensitive for treatment of CCTA-detected CAD than the 2004 ATP III guidelines [53.4% (42.5-64.1) vs 27.3% (18.3-37.8), p < .001] and the 2011 ESC/EAE guidelines [53.4% (42.5-64.1) vs 34.1% (24.3-45.0), p < .001]. However, the specificity of these guidelines was modestly reduced compared to the 2004 ATP III guidelines [70.3 (60.4-79.0) vs 83.2 (74.4-89.9), p < .001] and the 2011 ESC/EAE guidelines [70.3 (60.4-79.0) vs 86.1 (77.8-92.2), p < .001], suggesting increased treatment of subjects without CCTA-detected CAD. Overall, the 2013 ACC/AHA guidelines are more sensitive to identify patients who have CAD detected by CCTA eligible for statin therapy as compared with prior guidelines, with an acceptable trade-off in specificity for recommending statin therapy in those without CAD. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Pursnani, Amit; Mayrhofer, Thomas; Ferencik, Maros; Hoffmann, Udo
2018-01-01
The recently released 2013 ACC/AHA guidelines for management of blood cholesterol have substantially increased the number of adults who are eligible for preventive statin therapy. We sought to determine whether eligibility for statin therapy as determined by the 2013 ACC/AHA guideline recommendation is better aligned with the actual presence of coronary artery disease (CAD) as detected by coronary CT angiography (CCTA) when compared to prior guidelines including the 2004 NCEP ATP III and 2011 ESC/EAS guidelines. In this secondary analysis of the prospective observational ROMICAT I (Rule Out Myocardial Infarction with Computer Assisted Tomography) cohort study, we included all men and women aged 40–79 years presenting with acute chest pain but not diagnosed with acute coronary syndrome nor on admission statin. Based on risk factor assessment and lipid data, we determined guideline-based eligibility for statin therapy by the 2013 ACC/AHA, the 2004 NCEP ATP II, and the 2011 ESC/EAS guidelines. We determined the presence and severity of CAD as detected by CCTA. The 2013 ACC/AHA algorithm identified nearly twice as many individuals as eligible for statins (n=77/189; 41%) as compared to the 2004 ATPIII criteria: (n=41/189; 22%), (P<.0001) In addition, the 2013 ACC/AHA guidelines were more sensitive for treatment of CCTA-detected CAD than the 2004 ATP III guidelines [53.4% (42.5–64.1) vs 27.3% (18.3–37.8), p<.001] and the 2011 ESC/EAE guidelines [53.4% (42.5–64.1) vs 34.1% (24.3–45.0), p<.001]. However, the specificity of these guidelines was modestly reduced compared to the 2004 ATP III guidelines [70.3 (60.4–79.0) vs 83.2 (74.4–89.9), p<.001] and the 2011 ESC/EAE guidelines [70.3 (60.4–79.0) vs 86.1 (77.8–92.2), p<.001], suggesting increased treatment of subjects without CCTA-detected CAD. Overall, the 2013 ACC/AHA guidelines are more sensitive to identify patients who have CAD detected by CCTA eligible for statin therapy as compared with prior guidelines, with an acceptable trade-off in specificity for recommending statin therapy in those without CAD. PMID:25299966
Aude, Y Wady; Agatston, Arthur S; Lopez-Jimenez, Francisco; Lieberman, Eric H; Marie Almon; Hansen, Melinda; Rojas, Gerardo; Lamas, Gervasio A; Hennekens, Charles H
2004-10-25
In the United States, obesity is a major clinical and public health problem causing diabetes, dyslipidemia, and hypertension, as well as increasing cardiovascular and total mortality. Dietary restrictions of calories and saturated fat are beneficial. However, it remains unclear whether replacement of saturated fat with carbohydrates (as in the US National Cholesterol Education Program [NCEP] diet) or protein and monounsaturated fat (as in our isocaloric modified low-carbohydrate [MLC] diet, which is lower in total carbohydrates but higher in protein, monounsaturated fat, and complex carbohydrates) is optimal. We randomized 60 participants (29 women and 31 men) to the NCEP or the MLC diet and evaluated them every 2 weeks for 12 weeks. They were aged 28 to 71 years (mean age, 44 years in the NCEP and 46 years in the MLC group). A total of 36% of participants from the NCEP group and 35% from the MLC group had a body mass index (calculated as weight in kilograms divided by the square of height in meters) greater than 27. The primary end point was weight loss, and secondary end points were blood lipid levels and waist-to-hip ratio. Weight loss was significantly greater in the MLC (13.6 lb) than in the NCEP group (7.5 lb), a difference of 6.1 lb (P = .02). There were no significant differences between the groups for total, low density, and high-density lipoprotein cholesterol, triglycerides, or the proportion of small, dense low-density lipoprotein particles. There were significantly favorable changes in all lipid levels within the MLC but not within the NCEP group. Waist-to-hip ratio was not significantly reduced between the groups (P = .27), but it significantly decreased within the MLC group (P = .009). Compared with the NCEP diet, the MLC diet, which is lower in total carbohydrates but higher in complex carbohydrates, protein, and monounsaturated fat, caused significantly greater weight loss over 12 weeks. There were no significant differences between the groups in blood lipid levels, but favorable changes were observed within the MLC diet group.
Sy, Rody G; Llanes, Elmer Jasper B; Reganit, Paul Ferdinand M; Castillo-Carandang, Nina; Punzalan, Felix Eduardo R; Sison, Olivia T; Khaing, Nang Ei Ei; Poulton, Richie; Woodward, Mark; Tai, E Shyong
2014-01-01
Metabolic syndrome(MetS) is an aggregation of multiple metabolic risk factors shown to lead to the development of cardiovascular disease. The International Diabetes Federation(IDF) and the modified National Cholesterol Education Program Adult Treatment Panel Ⅲ(mNCEP) criteria are used in identifying MetS. This report will determine the prevalence of MetS and its component risk factors of the Philippine cohort of the LIFE course study in CARdiovascular disease Epidemiology(LIFECARE). Our study recruited 3,072 participants aged 20-50 years old from Metro Manila and four nearby provinces. Baseline anthropometric and clinical parameters were measured. Prevalence of MetS and its component factors were determined. Associations with socio-demographic factors were determined. The prevalence of MetS was 19.7% and 25.6% by IDF and mNCEP, respectively(kappa 0.83). Both were associated with increasing age, urban residence, and employed status. It was higher in females by IDF and in males by mNCEP. IDF missed 40% of males and 10% of females identified with MetS by mNCEP. More males were identified by the mNCEP as MetS despite relatively normal waist circumference. MetS is common in the Philippines among older, educated, and urban residents. The mNCEP criteria identified more MetS than the IDF criteria.
Household income is associated with the risk of metabolic syndrome in a sex-specific manner.
Dallongeville, Jean; Cottel, Dominique; Ferrières, Jean; Arveiler, Dominique; Bingham, Annie; Ruidavets, Jean Bernard; Haas, Bernadette; Ducimetière, Pierre; Amouyel, Philippe
2005-02-01
To assess the relationship between household income and metabolic syndrome in men and women. A total of 1,695 men and 1,664 women, aged 35-64 years, from three distinct geographical areas of France were investigated. Waist girth, plasma triglycerides, HDL cholesterol, glucose, and systolic blood pressure were used to define metabolic syndrome according to the National Cholesterol Education Program (NCEP)/Adult Treatment Panel III (ATPIII) guidelines. Household income, educational level, occupational category, working status, consumption of psychotropic drugs, accommodation status, household composition, physical activity at work and during leisure time, alcohol consumption, and smoking habits were recorded with a standardized questionnaire. There were 390 (23.0%) men and 381 (16.9%) women who satisfied NCEP/ATPIII criteria for metabolic syndrome. Household income (P < 0.0001) and consumption of psychotropic drugs (P = 0.0005) were associated with metabolic syndrome in women but not in men. In contrast, educational level, occupational category, working status, and accommodation status were associated with metabolic syndrome in both men and women. After adjustment on lifestyle variables, household income (interaction P < 0.004) remained inversely associated with metabolic syndrome in women but not in men. These data suggest that limited household income, which reflects a complex unfavorable social and economic environment, may increase the risk of metabolic syndrome in a sex-specific manner.
Eaton, Charles B; Galliher, James M; McBride, Patrick E; Bonham, Aaron J; Kappus, Jennifer A; Hickner, John
2006-01-01
Family physicians have the potential to make a major impact on reducing the burden of cardiovascular disease through the optimal assessment and management of hyperlipidemia. We were interested in assessing the knowledge, beliefs, and self-reported practice patterns of a representative sample of family physicians regarding the assessment and management of hyperlipidemia 2 years after the release of the evidence-based National Cholesterol Education Program (NCEP) Adult Treatment Panel (ATP) III guidelines. A 33-item survey was mailed to a random sample (N = 1200) of members of the American Academy of Family Physicians in April of 2004, with 2 follow-up mailings to nonresponders. Physicians were queried about sociodemographic characteristics, their knowledge, attitudes, and self-reported practice patterns regarding the assessment and management of hyperlipidemia. Four case scenarios also were presented. Response rate was 58%. Over 90% of surveyed family physicians screened adults for hyperlipidemia as part of a cardiovascular disease prevention strategy. Most (89%) did this screening by themselves without the support of office staff, and 36% reported routine use of a flow sheet. Most had heard of the ATP III guidelines (85%), but only 13% had read them carefully. Only 17% of respondents used a coronary heart disease (CHD) risk calculator usually or always. Over 90% of those responding reported using low-density lipoprotein (LDL) as the treatment goal but only 76% reported using non-high-density lipoprotein (HDL) cholesterol as a secondary goal of therapy. We found a large variability in knowledge, beliefs, and practice patterns among practicing family physicians. We found general agreement on universal screening of adults for hyperlipidemia as part of cardiovascular disease prevention strategy and use of LDL cholesterol as a treatment goal. Many other aspects of the NCEP ATP III guidelines, such as use of a systematic, multidisciplinary approach, using non-HDL cholesterol as a secondary goal, routinely using a CHD risk calculator for risk assessment to guide cholesterol management, have not yet penetrated into self-reported clinical practice.
Bhowmik, Bishwajit; Afsana, Faria; Siddiquee, Tasnima; Munir, Sanjida B; Sheikh, Fareeha; Wright, Erica; Bhuiyan, Farjana R; Ashrafuzzaman, Sheikh Mohammad; Mahtab, Hajera; Azad Khan, Abul Kalam; Hussain, Akhtar
2015-01-01
Aims/Introduction To compare the prevalence of metabolic syndrome (MS) using the modified National Cholesterol Education Program Adult Treatment Plan III (NCEP) and the International Diabetes Federation (IDF) definitions and, using both definitions, determine and compare the association of MS, prediabetes, type 2 diabetes, hypertension (HTN) and cardiovascular disease risk (CVD). Materials and Methods A total of 2,293 randomly selected participants (aged ≥20 years) in a rural community in Bangladesh were investigated in a population-based cross-sectional study. Sociodemographic and anthropometric characteristics, blood pressure, blood glucose, and lipid profiles were studied. Age-adjusted data for MS and cardiometabolic risk factors were assessed, and their relationships were examined. Results The age-adjusted prevalence of MS was 30.7% (males 30.5%; females 30.5%) using the NCEP definition, and 24.5% (males 19.2%, females 27.5%) using the IDF definition. The prevalence of MS using the NCEP definition was also higher in study participants with prediabetes, type 2 diabetes, HTN and CVD risk. The agreement rate between both definitions was 92% (k = 0.80). The NCEP definition had a stronger association with type 2 diabetes and HTN (odds ratio 12.4 vs 5.2; odds ratio 7.0 vs 4.7, respectively) than the IDF definition. However, the odds ratios for prediabetes and CVD risk were not significantly different. Conclusions The prevalence of MS was higher using the NCEP definition, and was more strongly associated with prediabetes, type 2 diabetes, HTN and CVD in this Bangladeshi population. PMID:25969712
Kim, Seonho; So, Wi-Young
2016-10-01
In both adults and children, metabolic syndrome (MetS) has been attributed to risk factors for type 2 diabetes and cardiovascular disease such as insulin resistance, abdominal obesity, hypertension, and dyslipidemia. This descriptive study aimed to compare the prevalence of MetS and diagnostic components according to the National Cholesterol Education Program, Adult Treatment Panel III (NCEP-ATP III) and International Diabetes Federation (IDF) in 2330 Korean adolescents (10-18 years), using data from the 2010-2012 Korea National Health and Nutrition Examination Survey-V. The NCEP-ATP III and IDF were used to diagnose MetS and yielded prevalence rates of 5.7% and 2.1%, respectively, with no sex-related differences. The most frequent MetS diagnostic components according to the NCEP-ATP III and IDF criteria were high triglyceride levels (21.2%) and low high-density lipoprotein cholesterol levels (13.6%), respectively; approximately 50.1% and 33.1% of adolescents had at least one MetS diagnostic component according to the respective criteria. Both overweight/obese male and female adolescents exhibited significantly increased prevalence rates of MetS and related diagnostic components, compared to normal-weight adolescents. In conclusion, the prevalence rates of MetS and diagnostic components differ according to the NCEP-ATP III and IDF criteria. Henceforth, efforts are needed to establish diagnostic criteria for Korean adolescents.
6th NCEP/NWS Ensemble User Workshop
5th Ensemble Users Workshop pdf<> Discussion Hogsett/Bright pdf Session 2: NCEP Centers Review Chair: Jun Du Israel Jirak NCEP SPC's Review pdf David Bright NCEP AWC's Review pdf Wallace Hogsett NCEP WPC's Review pdf Joseph Sienkiewicz NCEP OPC's Review pdf Dave Unger NCEP CPC's Review pdf<>
Sirdah, Mahmoud M; Abu Ghali, Asmaa S; Al Laham, Nahed A
2012-01-01
Metabolic syndrome (MetS) which is a multifaceted syndrome, has been demonstrated as a common precursor for developing cardiovascular diseases and/or type 2 diabetes mellitus. Different diagnostic definitions for MetS have been proposed and recommended. We set up to evaluate the reliabilities of the National Cholesterol Education Program's Adult Treatment Panel III (NCEP/ATP III) and the International Diabetes Federation (IDF) definitions in diagnosing MetS among Gaza Strip Palestinians. This cross sectional study involved a randomly selected two hundred and thirty apparently healthy adults from the Gaza Strip. Anthropometric measurements, blood pressure, fasting plasma glucose, lipid profile, and questionnaire interviews were performed. The overall prevalence of MetS in our Gaza Strip cohort was 23.0% and 39.5% according to NCEP/ATP III and IDF definitions respectively (p<0.001). No significant differences were seen in the number of MetS components in individuals having MetS by either definition (mean 3.42 ± 0.63 vs 3.52 ± 0.69 respectively, p=0.865). Both IDF and NCEP/ATP III showed an increased prevalence of MetS with age, and body mass index (BMI), however they revealed different prevalence trends with sex. Except for BMI, there were no significant differences in the general and metabolic related characteristics between subjects with MetS of IDF and NCEP/ATP III definitions. Independently of the definition used, MetS is highly prevalent in Gaza Strip population, with a steady increase in MetS prevalence through age and BMI. The IDF definition tends to give higher values for MetS prevalence, and therefore could be more appropriate for diagnosing MetS in Gaza Strip cohort. Copyright © 2012 Diabetes India. Published by Elsevier Ltd. All rights reserved.
Documentation (pdf) Latest statistics (comparing FNMOC raw and bias corrected ensemble forecast) Statistics For September (comparing NCEP20s, NCEP20sb, NAEFS40nb, NAEFS/NUOPC60gb) Statistics For October (comparing NCEP20s, NCEP20sb, NAEFS40nb, NAEFS/NUOPC60gb) Statistics For November (comparing NCEP20s, NCEP20sb
Woloshin, Steven; Schwartz, Lisa M; Kerin, Kevin; Welch, H Gilbert
2007-02-01
There is growing interest in using C-reactive protein (CRP) levels to help select patients for lipid lowering therapy--although this practice is not yet supported by evidence of benefit in a randomized trial. To estimate the number of Americans potentially affected if a CRP criteria were adopted as an additional indication for lipid lowering therapy. To provide context, we also determined how well current lipid lowering guidelines are being implemented. We analyzed nationally representative data to determine how many Americans age 35 and older meet current National Cholesterol Education Program (NCEP) treatment criteria (a combination of risk factors and their Framingham risk score). We then determined how many of the remaining individuals would meet criteria for treatment using 2 different CRP-based strategies: (1) narrow: treat individuals at intermediate risk (i.e., 2 or more risk factors and an estimated 10-20% risk of coronary artery disease over the next 10 years) with CRP > 3 mg/L and (2) broad: treat all individuals with CRP > 3 mg/L. Analyses are based on the 2,778 individuals participating in the 1999-2002 National Health and Nutrition Examination Survey with complete data on cardiac risk factors, fasting lipid levels, CRP, and use of lipid lowering agents. The estimated number and proportion of American adults meeting NCEP criteria who take lipid-lowering drugs, and the additional number who would be eligible based on CRP testing. About 53 of the 153 million Americans aged 35 and older meet current NCEP criteria (that do not involve CRP) for lipid-lowering treatment. Sixty-five percent, however, are not currently being treated, even among those at highest risk (i.e., patients with established heart disease or its risk equivalent)-62% are untreated. Adopting the narrow and broad CRP strategies would make an additional 2.1 and 25.3 million Americans eligible for treatment, respectively. The latter strategy would make over half the adults age 35 and older eligible for lipid-lowering therapy, with most of the additionally eligible (57%) coming from the lowest NCEP heart risk category (i.e., 0-1 risk factors). There is substantial underuse of lipid lowering therapy for American adults at high risk for coronary disease. Rather than adopting CRP-based strategies, which would make millions more lower risk patients eligible for treatment (and for whom treatment benefit has not yet been demonstrated in a randomized trial), we should ensure the treatment of currently defined high-risk patients for whom the benefit of therapy is established.
Trepanowski, John F; Varady, Krista A
2015-01-01
The American Diabetes Association (ADA) and the National Cholesterol Education Program (NCEP) have each outlined a set of dietary recommendations aimed at improving glycemic control and blood lipids, respectively. However, traditional vegan diets (low-fat diets that proscribe animal product consumption) are also effective at improving glycemic control, and dietary portfolios (vegan diets that contain prescribed amounts of plant sterols, viscous fibers, soy protein, and nuts) are also effective at improving blood lipids. The purpose of this review was to compare the effects of traditional vegan diets and dietary portfolios with ADA and NCEP diets on body weight, blood lipids, blood pressure, and glycemic control. The main findings are that traditional vegan diets appear to improve glycemic control better than ADA diets in individuals with type 2 diabetes mellitus (T2DM), while dietary portfolios have been consistently shown to improve blood lipids better than NCEP diets in hypercholesterolemic individuals.
Hanley, Anthony J G; Wagenknecht, Lynne E; D'Agostino, Ralph B; Zinman, Bernard; Haffner, Steven M
2003-11-01
Recently, the metabolic syndrome (MetS) has attracted much attention as a risk cluster for cardiovascular disease. Although it is believed that individuals with the MetS have insulin resistance (IR), there are few data using direct measures of IR such as glucose clamps or frequently sampled intravenous glucose tolerance tests (FSIGTTs). We examined associations of MetS with FSIGTT-derived measures of insulin sensitivity and secretion among nondiabetic subjects in the Insulin Resistance Atherosclerosis Study. Two sets of MetS criteria were evaluated: those from the 1999 World Health Organization (WHO) and the 2001 National Cholesterol Education Program (NCEP). Both WHO and NCEP MetS definitions were significantly associated with risk of being in the lowest quartile of directly measured insulin sensitivity (P < 0.0001 for all subjects as well as within ethnic subgroups). However, the associations with WHO-MetS were stronger for all subjects combined (WHO: odds ratio [OR] = 10.2; 95% CI 7.5-13.9; NCEP: OR = 4.6; 3.4-6.2) and in separate analyses of non-Hispanic whites, blacks, and Hispanics. WHO and NCEP MetS definitions were also significantly associated with risk of being in the lowest quartile of insulin sensitivity-adjusted acute insulin response (AIR) and disposition index (DI; all P < 0.01), although the associations were generally weaker than those for insulin sensitivity and there was no difference between the two definitions in all subjects combined (low AIR, WHO: OR = 1.7, 1.2-2.4; NCEP: OR = 1.7, 1.2-2.5). There were, however, a number of ethnic differences, including a stronger association of NCEP-MetS with low AIR among blacks. WHO-MetS was significantly more sensitive than NCEP-MetS in detecting low insulin sensitivity (65.4 vs. 45.6%, respectively; P < 0.0001), with no significant differences in specificity between the definitions (84.4 vs. 84.6%; P = 0.91), although WHO-MetS had a larger area under the receiver operating characteristic curve (75% vs. 65%; P < 0.0001). In conclusion, although both the WHO and NCEP MetS criteria identify nondiabetic individuals with low insulin sensitivity, the associations were notably stronger using the WHO definition. The definitions are generally less useful for identifying those with low AIR or DI, although NCEP-MetS seems to differentiate black subjects with insulin secretion defects.
National Centers for Environmental Prediction
Ensemble Users Meetings 7th NCEP/NWS Ensemble User Workshop 13-15 June 2016 6th NCEP/NWS Ensemble User Workshop 25 - 27 March 2014 5th NCEP/NWS Ensemble User Workshop 10 - 12 May, 2011 4th NCEP/NWS Ensemble User Workshop 13 - 15 May, 2008 3rd NCEP/NWS Ensemble User Workshop 31 Oct - 2 Nov, 2006 2nd NCEP/NWS
Sun, Fei; Gao, Bin; Wang, Li; Xing, Ying; Ming, Jie; Zhou, Jie; Fu, Jianfang; Li, Xiaomiao; Xu, Shaoyong; Liu, Guocai; Ji, Qiuhe
2018-05-28
The Joint Committee for Developing Chinese Guidelines (JCDCG) introduced the Chinese definition for metabolic syndrome (MS), which has been verified in southern Chinese people but not in northwestern Chinese people. We evaluated the MS definition proposed by the JCDCG in a northwestern Chinese population, in comparison with those of the revised National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF). This population-based cross-sectional study was a part of the China National Diabetes and Metabolic Disorders Study conducted in Shaanxi province. We included 3243 participants aged ≥ 20 years. The age-adjusted MS prevalence was assessed per the 2007 Chinese population structure. The agreement between different definitions was assessed by the kappa statistic. The standardized prevalence of JCDCG-MS, revised ATPIII-MS, and IDF-MS was 22.4%, 29.4%, and 24.9%, respectively. Among women, the agreement of the JCDCG definition with the revised ATPIII and the IDF definition was not good (κ = 0.599 and 0.601, respectively); 54.6% of the revised ATPIII-MS and 56% of the IDF-MS were defined as MS according to the JCDCG definition. Among men, the agreement of JCDCG definition with the revised ATPIII and IDF definitions was very good (κ = 0.863) and substantial (κ = 0.741), respectively. The agreement of the JCDCG definition with the revised ATPIII and IDF definitions was insufficient in women. Compared with the other two definitions, the JCDCG definition underestimates MS prevalence in northwestern women.
Waite, Laura H; Phan, Yvonne L; Spinler, Sarah A
2016-01-01
To compare and contrast the 2013 American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines and the 2014/2015 National Lipid Association (NLA) Recommendations for Management of Dyslipidemia in the context of evolving evidence. Guidelines from the National Cholesterol Education Program (NCEP), ACC/AHA, and NLA; recent clinical trials involving non-statin therapies. Not applicable. At the authors' discretion, preference was given to references focusing on guidelines and recent clinical trials involving dyslipidemia management. In late 2013, the ACC/AHA released guidelines on the treatment of blood cholesterol to reduce risk for atherosclerotic cardiovascular disease (ASCVD) in adults. Reflecting contemporary evidence-based literature, low-density lipoprotein cholesterol (LDL-C) and non-high-density lipoprotein cholesterol (non-HDL-C) numeric treatment goals were eliminated, and a new method of risk assessment (the Pooled Cohort Equations) was recommended. The guidelines emphasized lipid lowering in 4 patient populations proven to benefit from statin therapy, recommending moderate to high-intensity statin dosing, with no additional drug therapies and limited ongoing monitoring. Clinical controversies ignited by these guidelines led to the publication of recommendations by the NLA in 2014 and 2015. Part 1 of the NLA recommendations incorporated parts of both the ATP III guidelines and the 2013 ACC/AHA guidelines along with updated original recommendations. These recommendations provided numeric LDL-C, non-HDL-C, and apolipoprotein B treatment goals and potential additional ASCVD risk factors, with stepwise risk assessment based on traditional cardiac risk factors and multiple assessment tools. In addition to statins, the 2014 NLA recommendations highlighted the benefit of additional or alternative lipid-lowering therapies. Part 2 of the NLA recommendations expanded the guidance for treatment of special populations and prioritized ezetimibe as a non-statin agent based on recent evidence. Finally, the US Food and Drug Administration recently approved 2 medications from a new class, the PCSK9 inhibitors, although their role in therapy remains unclear pending outcomes data. We aim to highlight the core recommendations of recent guideline publications and to discuss similarities and differences in the context of the future management of dyslipidemia. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.
Hypertension and hyperlipidemia management in patients treated at community health centers.
Kirchhoff, Anne C; Drum, Melinda L; Zhang, James X; Schlichting, Jennifer; Levie, Jessica; Harrison, James F; Lippold, Susan A; Schaefer, Cynthia T; Chin, Marshall H
2008-01-01
OBJECTIVE: Community health centers (HCs) provide care for millions of medically underserved Americans with disproportionate burdens of hypertension and hyperlipidemia. For both conditions, treatment guidelines recently became more stringent and quality improvement (QI) efforts have intensified. We assessed hypertension and hyperlipidemia management in HCs during this time of guideline revision and increased QI efforts. DESIGN: Cross-sectional chart review. SETTING AND PARTICIPANTS: Eleven Midwestern HCs for 2000 and 9 for 2002 provided audit data from 2,976 randomly chosen patients with hypertension and/or hyperlipidemia. MEASUREMENT: Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC VI/VII) and National Cholesterol Education Program Adult Treatment Panel (NCEP-ATP III) guidelines were used to assess management of these conditions. RESULTS: Hypertension (2000, N=808; 2002, N=692) and hyperlipidemia (2000, N=774; 2002, N=702) outcomes improved for specific clinical subgroups. Hypertensive patients with 1 or more cardiovascular risk factors demonstrated significant improvement (34% vs. 45% controlled at <140/90 mm Hg, p=0.02). Hypertension control for persons with diabetes, renal failure and heart failure increased (16% vs. 28% controlled at <130/85 mm Hg, p=0.006). LDL control increased significantly for patients with 2 or more risk factors (39% vs. 58% controlled at <130 mg/dl, p=0.008). Other clinical subgroups showed trends toward better control, although there was insufficient power to detect significant differences for these groups. CONCLUSION: Hypertension and hyperlipidemia outcomes improved for some risk groups; however, ongoing QI is necessary.
Lee, Ju-Hee; Kim, Sang-Hyun; Choi, Dong-Ju; Tahk, Seung-Jea; Yoon, Jung-Han; Choi, Si Wan; Hong, Taek-Jong; Kim, Hyo-Soo
2017-01-01
This study was designed to compare the efficacy and tolerability of the generic formulation (Atorva ® ) and the reference formulation (Lipitor ® ) of atorvastatin, both at a dosage of 20 mg once daily. This study was a prospective open-label, randomized controlled study. Hypercholesterolemic patients who had not achieved low-density lipoprotein (LDL) cholesterol goals according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) guideline were randomized to generic formulation or reference formulation of atorvastatin. The primary end point was the percent change of blood LDL cholesterol at 8 weeks from the baseline. The secondary end points included the percent changes of total cholesterol, high-density lipoprotein (HDL) cholesterol, triglyceride (TG), apolipoprotein B (ApoB), and apolipoprotein A1 (ApoA1) levels, the percent changes of ApoB/ApoA1 and total cholesterol/HDL cholesterol ratios, and the change in high-sensitivity C-reactive protein (hsCRP) levels. The LDL cholesterol goal achievement rate according to the NCEP-ATP III guideline was also evaluated. Three hundred and seventy-six patients were randomized, and 346 patients (176 in the generic group and 170 in the reference group) completed the study. After the 8 weeks of treatment, LDL cholesterol level was significantly decreased in both the groups, and the decrement was comparable between the two groups (-43.9%±15.3% in the generic group, -43.3%±17.0% in the reference group, P =0.705). The percent changes of total cholesterol, HDL cholesterol, TG, ApoB, ApoA1, ApoB/ApoA1 ratio, total cholesterol/HDL cholesterol ratio, and hsCRP showed insignificant difference between the two groups. However, LDL cholesterol goal achievement rate was significantly higher in the generic group compared to the reference group (90.6% vs 83.0%, P =0.039) in per-protocol analysis. Adverse event rate was comparable between the two groups (12.0% vs 13.7%, P =0.804). The generic formulation of atorvastatin 20 mg was not inferior to the reference formulation of atorvastatin 20 mg in the management of hypercholesterolemia.
Lee, Ju-Hee; Kim, Sang-Hyun; Choi, Dong-Ju; Tahk, Seung-Jea; Yoon, Jung-Han; Choi, Si Wan; Hong, Taek-Jong; Kim, Hyo-Soo
2017-01-01
Purpose This study was designed to compare the efficacy and tolerability of the generic formulation (Atorva®) and the reference formulation (Lipitor®) of atorvastatin, both at a dosage of 20 mg once daily. Methods This study was a prospective open-label, randomized controlled study. Hypercholesterolemic patients who had not achieved low-density lipoprotein (LDL) cholesterol goals according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) guideline were randomized to generic formulation or reference formulation of atorvastatin. The primary end point was the percent change of blood LDL cholesterol at 8 weeks from the baseline. The secondary end points included the percent changes of total cholesterol, high-density lipoprotein (HDL) cholesterol, triglyceride (TG), apolipoprotein B (ApoB), and apolipoprotein A1 (ApoA1) levels, the percent changes of ApoB/ApoA1 and total cholesterol/HDL cholesterol ratios, and the change in high-sensitivity C-reactive protein (hsCRP) levels. The LDL cholesterol goal achievement rate according to the NCEP-ATP III guideline was also evaluated. Results Three hundred and seventy-six patients were randomized, and 346 patients (176 in the generic group and 170 in the reference group) completed the study. After the 8 weeks of treatment, LDL cholesterol level was significantly decreased in both the groups, and the decrement was comparable between the two groups (−43.9%±15.3% in the generic group, −43.3%±17.0% in the reference group, P=0.705). The percent changes of total cholesterol, HDL cholesterol, TG, ApoB, ApoA1, ApoB/ApoA1 ratio, total cholesterol/HDL cholesterol ratio, and hsCRP showed insignificant difference between the two groups. However, LDL cholesterol goal achievement rate was significantly higher in the generic group compared to the reference group (90.6% vs 83.0%, P=0.039) in per-protocol analysis. Adverse event rate was comparable between the two groups (12.0% vs 13.7%, P=0.804). Conclusion The generic formulation of atorvastatin 20 mg was not inferior to the reference formulation of atorvastatin 20 mg in the management of hypercholesterolemia. PMID:28814835
NASA Astrophysics Data System (ADS)
Brahmananda Rao, V.; Santo, Clóvis E.; Franchito, Sergio H.
2002-03-01
A comparison between the National Centers for Environmental Predictions-National Center for Atmospheric Research (NCEP-NCAR) reanalysis rainfall data and the Agência Nacional de Energia Elétrica (ANEEL) rain gauge data over Brazil is made. It is found that over northeast Brazil, NCEP-NCAR rainfall is overestimated. But over south and southeast Brazil, the correlation between the two datasets is highly significant showing the utility of NCEP-NCAR rainfall data. Over other parts of Brazil the validity of NCEP-NCAR rainfall data is questionable. A detailed comparison between NCEP-NCAR rainfall data over northwest South America and rain gauge data showed that NCEP-NCAR rainfall data are useful despite important differences between the characteristics in the two data sources. NCEP-NCAR reanalysis data seem to have difficulty in correctly reproducing the strength and orientation of the South Atlantic convergence zone.
Arafah, Mohamed; Al-Hinai, Ali T; Al Mahmeed, Wael; Al-Rasadi, Khalid; Al Tamimi, Omer; Al Herz, Shorook; Al Anazi, Faisal; Al Nemer, Khalid; Metwally, Othman; Alkhadra, Akram; Fakhry, Mohammed; Elghetany, Hossam; Medani, Abdel Razak; Yusufali, Afzal Hussein; Al Jassim, Obaid; Al Hallaq, Omar; Baslaib, Fahad Omar Ahmed S; Alawadhi, Mahmoud; Amin, Haitham; Al-Hashmi, Khamis; Shehab, Abdullah
2014-11-01
The Centralized pan-Middle East Survey on the undertreatment of hypercholesterolemia (CEPHEUS) survey evaluated the attainment of low-density lipoprotein cholesterol (LDL-C) goals among patients on lipid-lowering drugs (LLDs) according to the updated National Cholesterol Education Program (NCEP)-Adult Treatment Panel (ATP-III) guideline. The survey was conducted in 6 Arabian Gulf countries. Patients aged ≥18 years on LLDs for at least ≥3 months (stable medication for ≥6 weeks) were recruited. Fasting blood samples were collected at a single visit. In this survey, 5276 (58.2% male) patients were included in the final analysis. The LDL-C goal was attained in 91.1% of low-risk, 52.7% of high-risk, and 32.0% in very-high-risk categories. Goal attainment was directly related to female gender, age<40 years, history of diabetes, and family history of cardiovascular disease. The results of this survey highlight the suboptimal management of hypercholesterolemia across Arabian Gulf countries. © The Author(s) 2013.
Schwartz, Lisa M.; Kerin, Kevin; Welch, H. Gilbert
2007-01-01
Background There is growing interest in using C-reactive protein (CRP) levels to help select patients for lipid lowering therapy—although this practice is not yet supported by evidence of benefit in a randomized trial. Objective To estimate the number of Americans potentially affected if a CRP criteria were adopted as an additional indication for lipid lowering therapy. To provide context, we also determined how well current lipid lowering guidelines are being implemented. Methods We analyzed nationally representative data to determine how many Americans age 35 and older meet current National Cholesterol Education Program (NCEP) treatment criteria (a combination of risk factors and their Framingham risk score). We then determined how many of the remaining individuals would meet criteria for treatment using 2 different CRP-based strategies: (1) narrow: treat individuals at intermediate risk (i.e., 2 or more risk factors and an estimated 10–20% risk of coronary artery disease over the next 10 years) with CRP > 3 mg/L and (2) broad: treat all individuals with CRP > 3 mg/L. Data source Analyses are based on the 2,778 individuals participating in the 1999–2002 National Health and Nutrition Examination Survey with complete data on cardiac risk factors, fasting lipid levels, CRP, and use of lipid lowering agents. Main measures The estimated number and proportion of American adults meeting NCEP criteria who take lipid-lowering drugs, and the additional number who would be eligible based on CRP testing. Results About 53 of the 153 million Americans aged 35 and older meet current NCEP criteria (that do not involve CRP) for lipid-lowering treatment. Sixty-five percent, however, are not currently being treated, even among those at highest risk (i.e., patients with established heart disease or its risk equivalent)—62% are untreated. Adopting the narrow and broad CRP strategies would make an additional 2.1 and 25.3 million Americans eligible for treatment, respectively. The latter strategy would make over half the adults age 35 and older eligible for lipid-lowering therapy, with most of the additionally eligible (57%) coming from the lowest NCEP heart risk category (i.e., 0–1 risk factors). Conclusion There is substantial underuse of lipid lowering therapy for American adults at high risk for coronary disease. Rather than adopting CRP-based strategies, which would make millions more lower risk patients eligible for treatment (and for whom treatment benefit has not yet been demonstrated in a randomized trial), we should ensure the treatment of currently defined high-risk patients for whom the benefit of therapy is established. PMID:17356986
Postmenopausal vegetarians' low serum ferritin level may reduce the risk for metabolic syndrome.
Kim, Mi-Hyun; Bae, Yun Jung
2012-10-01
The present study was conducted to compare the serum ferritin status between the postmenopausal vegetarians and non-vegetarians and to identify the relation of serum ferritin with metabolic syndrome (MetS) risk factors in postmenopausal women. The two study groups consisted of postmenopausal vegetarians (n=59) who maintained a vegetarian diet for over 20 years and age-matched non-vegetarian controls (n=48). Anthropometric measurements, dietary intakes, serum metabolic syndrome-related parameters, and serum ferritin level between the two groups were compared. The vegetarians exhibited significantly lower weight (p<0.01), body mass index (BMI) (p<0.001), percentage of body fat (p<0.001), waist circumference (p<0.01), SBP (p<0.001), DBP (p<0.001), and fasting glucose (p<0.05). According to the National Cholesterol Education Program (NCEP)-Adult Treatment Panel III criteria for MetS applying Korean guidelines for waist circumference, the prevalence of MetS was lower in vegetarians (33.9 %) than in non-vegetarians (47.9 %). Vegetarians had significantly lower serum level of ferritin (p<0.01) than non-vegetarians. In the correlation analysis, serum ferritin was positively related to fasting glucose (r=0.264, p<0.01), triglycerides (r=0.232, p<0.05), and the NCEP score (r=0.214, p<0.05) and negatively related to high-density lipoprotein-cholesterol (r=-0.225, p<0.05) after adjusting for BMI, lifestyle, and dietary factors (animal protein, animal fat, and dietary fiber intake). In conclusion, postmenopausal vegetarians had lower MetS presence and a lower serum ferritin level compared to non-vegetarians. Furthermore, vegetarians' low serum ferritin level may reduce the risk of MetS in postmenopausal women.
Asgari, Samaneh; Abdi, Hengameh; Hezaveh, Alireza Mahdavi; Moghisi, Alireza; Etemad, Koorosh; Beni, Hassan Riahi; Khalili, Davood
2018-03-21
To compare the burden of statin therapy according to the Third Adult Treatment Panel (ATP-III) and the American College of Cardiology/American Heart Association (ACC/AHA) guidelines the Survey of Risk Factors of Non-Communicable Disease (SuRFNCD)-2011of Iran was used. A survey analysis associated with sex and age categorization was run. Of total 3496 persons (1322 men) aged 40-70 years, based on the ACC/AHA guidelines, about 46.5% were eligible to receive moderate- to high-intensity statin therapy. Based on the ATP-III guidelines, 17.0% were considered as needing statin drugs. Among adults aged <60 years, the proportion of those who were eligible for statin therapy was higher (38.3%) according to the ACC/AHA guidelines compared to the ATP-III guidelines (15.2%), a difference more prominent in adults aged ≥60 years (85.2% versus 25.0%). Agreement between the two guidelines was low (kappa: 0.32). Compared to the ATP-III guidelines, the ACC/AHA guidelines increase the number of adults eligible for statin therapy in an Iraninan population from 2.5 million to 7.0 million people according to the 2011 census, specifically in those aged ≥ 60 years, a finding in agreement with those of studies from different countries.
OBSERVATIONAL DATA PROCESSING AT NCEP
operations, but also for research and study. 2. The various NCEP networks access the observational data base Statistics Observational Data Processing Data Assimilation Monsoon Desk Model Transition Seminars Seminar / VISION | About EMC Observational Data Processing at NCEP Dennis Keyser - NOAA/NWS/NCEP/EMC (Last Revised
Clearfield, Michael; Pearce, Melissa; Nibbe, Yasmin; Crotty, David; Wagner, Alesia
2014-01-01
Despite population-based improvements in cardiovascular risk factors, such as blood pressure, cholesterol and smoking, cardiovascular disease still remains the number-one cause of mortality in the United States. In 1989, Kaplan coined the term "Deadly Quartet" to represent a combination of risk factors that included upper body obesity, glucose intolerance, hypertriglyceridemia and hypertension [Kaplan in Arch Int Med 7:1514-1520, 1989]. In 2002, the third report of the National Cholesterol Education Program Adult Treatment Panel (NCEP-ATP III) essentially added low HDL-C criteria and renamed this the "metabolic syndrome." [The National Cholesterol Education Program (NCEP) in JAMA 285:2486-2497, 2001] However, often forgotten was that a pro-inflammatory state and pro-thrombotic state were also considered components of the syndrome, albeit the panel did not find enough evidence at the time to recommend routine screening for these risk factors [The National Cholesterol Education Program (NCEP) in JAMA 285:2486-2497, 2001]. Now over a decade later, it may be time to reconsider this deadly quartet by reevaluating the roles of obesity and subclinical inflammation as they relate to the metabolic syndrome. To complete this new quartet, the addition of increased exposure to elevated levels of particulate matter in the atmosphere may help elucidate why this cardiovascular pandemic continues, despite our concerted efforts. In this article, we will summarize the evidence, focusing on how statin therapy may further impact this new version of the "deadly quartet".
National Centers for Environmental Prediction
Mailing Lists There are two listservs for the MTT group: announce and discuss To join the listservs go here: Announce - https://lstsrv.ncep.noaa.gov/mailman/listinfo/ncep.list.emc_porting-announce Discuss - https://lstsrv.ncep.noaa.gov/mailman/listinfo/ncep.list.emc_porting-discuss To email the lists: Announce
Chiavaroli, Laura; Nishi, Stephanie K; Khan, Tauseef A; Braunstein, Catherine R; Glenn, Andrea J; Mejia, Sonia Blanco; Rahelić, Dario; Kahleová, Hana; Salas-Salvadó, Jordi; Jenkins, David J A; Kendall, Cyril W C; Sievenpiper, John L
2018-05-25
The evidence for the Portfolio dietary pattern, a plant-based dietary pattern that combines recognized cholesterol-lowering foods (nuts, plant protein, viscous fibre, plant sterols), has not been summarized. To update the European Association for the Study of Diabetes clinical practice guidelines for nutrition therapy, we conducted a systematic review and meta-analysis of controlled trials using GRADE of the effect of the Portfolio dietary pattern on the primary therapeutic lipid target for cardiovascular disease prevention, low-density lipoprotein cholesterol (LDL-C), and other established cardiometabolic risk factors. We searched MEDLINE, EMBASE, and The Cochrane Library through April 19, 2018. We included controlled trials ≥ 3-weeks assessing the effect of the Portfolio dietary pattern on cardiometabolic risk factors compared with an energy-matched control diet free of Portfolio dietary pattern components. Two independent reviewers extracted data and assessed risk of bias. The primary outcome was LDL-C. Data were pooled using the generic inverse-variance method and expressed as mean differences (MDs) with 95% confidence intervals (CIs). Heterogeneity was assessed (Cochran Q statistic) and quantified (I 2 -statistic). GRADE assessed the certainty of the evidence. Eligibility criteria were met by 7 trial comparisons in 439 participants with hyperlipidemia, in which the Portfolio dietary pattern was given on a background of a National Cholesterol Education Program (NCEP) Step II diet. The combination of a portfolio dietary pattern and NCEP Step II diet significantly reduced the primary outcome LDL-C by ~17% (MD, -0.73mmol/L, [95% CI, -0.89 to -0.56 mmol/L]) as well as non-high-density lipoprotein cholesterol, apolipoprotein B, total cholesterol, triglycerides, systolic and diastolic blood pressure, C-reactive protein, and estimated 10-year coronary heart disease (CHD) risk, compared with an NCEP Step 2 diet alone (P<0.05). There was no effect on high-density lipoprotein cholesterol or body weight. The certainty of the evidence was high for LDL-cholesterol and most lipid outcomes and moderate for all others outcomes. Current evidence demonstrates that the Portfolio dietary pattern leads to clinically meaningful improvements in LDL-C as well as other established cardiometabolic risk factors and estimated 10-year CHD risk. Copyright © 2018. Published by Elsevier Inc.
through programs of applied research in data analysis, modeling and product development in partnership with the broader research community. The National Hurricane Center (NHC) provides official NWS ) provides analysis and forecast products, specializing in quantitative precipitation forecasts to five days
NASA Astrophysics Data System (ADS)
Meng, J.; Mitchell, K.; Wei, H.; Yang, R.; Kumar, S.; Geiger, J.; Xie, P.
2008-05-01
Over the past several years, the Environmental Modeling Center (EMC) of the National Centers for Environmental Prediction (NCEP) of the U.S. National Weather Service has developed a Global Land Data Assimilation System (GLDAS). For its computational infrastructure, the GLDAS applies the NASA Land Information System (LIS), developed by the Hydrological Science Branch of NASA Goddard Space Flight Center. The land model utilized in the NCEP GLDAS is the NCEP Noah Land Surface Model (Noah LSM). This presentation will 1) describe how the GLDAS component has been included in the development of NCEP's third global reanalysis (with special attention to the input sources of global precipitation), and 2) will present results from the GLDAS component of pilot tests of the new NCEP global reanalysis. Unlike NCEP's past two global reanalysis projects, this new NCEP global reanalysis includes both a global land data assimilation system (GLDAS) and a global ocean data assimilation system (GODAS). The new global reanalysis will span 30-years (1979-2008) and will include a companion realtime operational component. The atmospheric, ocean, and land states of this global reanalysis will provide the initial conditions for NCEP's 3rd- generation global coupled Climate Forecast System (CFS). NCEP is now preparing to launch a 28-year seasonal reforecast project with its new CFS, to provide the reforecast foundation for operational NCEP seasonal climate forecasts using the new CFS. Together, the new global reanalysis and companion CFS reforecasts constitute what NCEP calls the Climate Forecast System Reanalysis and Reforecast (CFSRR) project. Compared to the previous two generations of NCEP global reanalysis, the hallmark of the GLDAS component of CFSRR is GLDAS use of global analyses of observed precipitation to drive the land surface component of the reanalysis (rather than the typical reanalysis approach of using precipitation from the assimilating background atmospheric model). Specifically, the GLDAS merges two global analyses of observed precipitation produced by the Climate Prediction Center (CPC) of NCEP, as follows: 1) a new CPC daily gauge-only land-only global precipitation analysis at 0.5-degree resolution and 2) the well-known CPC CMAP global 2.0 x 2.5 degree 5-day precipitation analysis, which utilizes satellite estimates of precipitation, as well as some gauge observations. The presentation will describe how these two analyses are merged with latitude-dependent weights that favor the gauge-only analysis in mid-latitudes and the satellite-dominated CMAP analysis in tropical latitudes. Finally, we will show some impacts of using GLDAS to initialize the land states of seasonal CFS reforecasts, versus using the previous generation of NCEP global reanalysis as the source for CFS initial land states.
National Centers for Environmental Prediction
Statistics Observational Data Processing Data Assimilation Monsoon Desk Model Transition Seminars Seminar conducts a program of research and development in support of the National Centers for Environmental Prediction (NCEP) operational forecasting mission for global prediction. This research and development in
Ford, Earl S; Schulze, Matthias B; Pischon, Tobias; Bergmann, Manuela M; Joost, Hans-Georg; Boeing, Heiner
2008-01-01
Background Several aspects concerning the relationship between the metabolic syndrome and incident diabetes are incompletely understood including the magnitude of the risk estimate, potential gender differences in the associations between the metabolic syndrome and incident diabetes, the associations between the components of the metabolic syndrome and incident diabetes, and whether the metabolic syndrome provides additional prediction beyond its components. To shed light on these issues, we examined the prospective association between the metabolic syndrome defined by the National Cholesterol Education Program (NCEP) and International Diabetes Federation (IDF) and diabetes. Methods We used data for 2796 men and women aged 35–65 years from the European Prospective Investigation into Cancer and Nutrition-Potsdam Study followed for an average of 6.9 years. This analysis employed a case-cohort design that included 697 participants who developed diabetes and 2099 participants who did not. Incident diabetes was identified on the basis of self-reports and verified by contacting the patient's attending physician. Results The adjusted hazard ratio for the NCEP definition was 4.62 (95% confidence interval [CI]: 3.90–5.48) and that for the IDF definition was 4.59 (95% CI: 3.84–5.50). The adjusted hazard ratios for the NCEP but not IDF definition were higher for women than men. When participants who had no cardiometabolic abnormalities were used as the reference group for the NCEP definition, the adjusted hazard ratio for having 3 or more abnormalities increased to 22.50 (95% CI: 11.21–45.19). Of the five components, abdominal obesity and hyperglycemia were most strongly associated with incident diabetes. Conclusion In this study population, both definitions of the metabolic syndrome provided similar estimates of relative risk for incident diabetes. The increase in risk for participants with the metabolic syndrome according to the NCEP definition was very large when contrasted with the risk among those who had no cardiometabolic abnormalities. PMID:19077281
://www.emc.ncep.noaa.gov/GEFS/ The links to the various Forecast Plots are listed under Experimental Data on the new GEFS page. This NCEP Ensemble Home Page is a collection of experimental analysis and forecast products
NCEP/NLDAS Drought Monitoring and Prediction
NASA Astrophysics Data System (ADS)
Xia, Y.; Ek, M.; Wood, E.; Luo, L.; Sheffield, J.; Lettenmaier, D.; Livneh, B.; Cosgrove, B.; Mocko, D.; Meng, J.; Wei, H.; Restrepo, P.; Schaake, J.; Mo, K.
2009-05-01
The NCEP Environmental Modeling Center (EMC) collaborated with its CPPA (Climate Prediction Program of the Americas) partners to develop a North American Land Data Assimilation System (NLDAS, http://www.emc.ncep.noaa.gov/mmb/nldas) to monitor and predict the drought over the Continental United States (CONUS). The realtime NLDAS drought monitor, executed daily at NCEP/EMC, including daily, weekly and monthly anomaly and percentile of six fields (soil moisture, snow water equivalent, total runoff, streamflow, evaporation, precipitation) outputted from four land surface models (Noah, Mosaic, SAC, and VIC) on a common 1/8th degree grid using common hourly land surface forcing. The non-precipitation surface forcing is derived from NCEP's retrospective and realtime North American Regional Reanalysis System (NARR). The precipitation forcing is anchored to a daily gauge-only precipitation analysis over CONUS that applies a Parameter-elevation Regressions on Independent Slopes Model (PRISM) correction. This daily precipitation analysis is then temporally disaggregated to hourly precipitation amounts using radar and satellite precipitation. The NARR- based surface downward solar radiation is bias-corrected using seven years (1997-2004) of GOES satellite- derived solar radiation retrievals. The uncoupled ensemble seasonal drought prediction utilizes the following three independent approaches for generating downscaled ensemble seasonal forecasts of surface forcing: (1) Ensemble Streamflow Prediction, (2) CPC Official Seasonal Climate Outlook, and (3) NCEP CFS ensemble dynamical model prediction. For each of these three approaches, twenty ensemble members of forcing realizations are generated using a Bayesian merging algorithm developed by Princeton University. The three forcing methods are then used to drive the VIC model in seasonal prediction mode over thirteen large river basins that together span the CONUS domain. One to nine month ensemble seasonal prediction products such as air temperature, precipitation, soil moisture, snowpack, total runoff, evaporation and streamflow are derived for each forcing approach. The anomalies and percentiles of the predicted products for each approach may be used for CONUS drought prediction. This system is executed at the beginning of each month and distributes its products by the 10th of each month. The prediction products are evaluated using corresponding monitoring products for the VIC model and are compared with the prediction products from other research groups (e.g., University of Washington at Seattle, NASA Goddard) in the CONUS.
Metabolic syndrome among overweight and obese adults in Palestinian refugee camps.
Damiri, Basma; Abualsoud, Mohammed S; Samara, Amjad M; Salameh, Sakhaa K
2018-01-01
Metabolic syndrome (MetS) is one of the main reasons for elevated cardiovascular morbidity and mortality worldwide. Obese and overweight individuals are at high risk of developing these chronic diseases. The aim of this study was to characterize and establish sex-adjusted prevalence of metabolic syndrome and its components. A cross-sectional study was conducted in 2015, 689 (329 men and 360 women) aged 18-65 years from three refugee camps in the West Bank. International Diabetes Federation and modified National Cholesterol Education Program-Third Adult Treatment Panel definitions were used to identify MetS. The overall prevalence of obesity and overweight was high, 63.1%; Obesity (42 and 29.2% in women men; respectively and overweight 25.8 and 28.9% in women and men; respectively. The prevalence of MetS among obese and overweight was significantly higher (69.4%) according to IDF than NCEP definition (52%) ( p < 0.002) with no significant differences between men and women using both definitions; (IDF; 71.8% men vs. 67.6% women, and (NCEP/ATP III; 51.9% men vs. 52.2% women). The prevalence of MetS increased significantly with increasing obesity and age when NCEP criterion is applied but not IDF. The prevalence of individual MetS components was: high waist circumference 81.3% according to IDF and 56.5% according to NCEP, elevated FBS 65.3% according to IDF and 56% according to NCEP, elevated blood pressure 48%, decreased HDL 65.8%, and elevated triglycerides 31.7%. Based on gender differences, waist circumferences were significantly higher in women according to both criteria and only elevated FBS was higher in women according to IDF criteria. Physical activity was inversely associated with MetS prevalence according to NCEP but not IDF. No significant associations were found with gender, smoking, TV watching, and family history of hypertension or diabetes mellitus. In this study, irrespective of the definition used, metabolic syndrome is highly prevalent in obese and overweight Palestinian adults with no gender-based differences. The contribution of the metabolic components to the metabolic syndrome is different in men and women. With the increase of age and obesity, the clustering of metabolic syndrome components increased remarkably. More attention through health care providers should, therefore, be given to the adult population at risk to reduce adulthood obesity and subsequent cardiovascular diseases.
Metabolic syndrome in type 2 diabetes: comparison of WHO, modified ATPIII & IDF criteria.
Ahmed, Asma; Khan, Talha Ehsan; Yasmeen, Tahira; Awan, Safia; Islam, Najmul
2012-06-01
To determine the frequency of metabolic syndrome in type 2 diabetes according to three commonly used operational definitions {World Health Organization (WHO), National Cholesterol Education Program Adult Treatment Panel (NCEP ATP III) and International Diabetes Federation( IDF)}. To evaluate the agreement between these classifications in the Pakistani cohort. Data was collected retrospectively of 210 patients with type 2 diabetes visiting outpatient clinics of one of the large tertiary care hospitals at Karachi, Pakistan between June 2008 to November 2008. The prevalence of metabolic syndrome was found to be 81.4% (WHO), 86.7 % (IDF) and 91.9 % (NCEP ATPIII). The degree of agreement (kappa statistic) was found to be highest among IDF & NCEP ATPIII (0.728) as compared to (0.436 & 0.417) between WHO & ATP and WHO & IDF respectively. The most significant predictors for metabolic syndrome were found out to be female gender OR= 8.74 95% CI 1.51-50.53, low HDL cholesterol levels OR = 0.89 95% CI 0.84-0.94 and high systolic blood pressure OR= 1.06 95% CI 1.009-1.11. Our study results suggested that NCEP ATPIII and IDF are the most reliable criteria for diagnosing metabolic syndrome in type 2 diabetic patients, with NECP capturing more patients in comparison to IDF definition. The alarmingly high frequency of metabolic syndrome in type 2 diabetes found in this study suggests that primary prevention strategies should be initiated earlier and early in this ethnic group and our health care system should be geared up to cope with this deadly quartet.
The importance of reaching lipid targets: statins and the prevention of atherosclerosis.
Schwandt, P
2003-06-01
To help prevent the development of coronary heart disease (CHD), the European and NCEP guidelines have recommended target cholesterol levels for all individuals. Lifestyle changes are advocated for individuals not achieving these targets. Intervention with lipid-modifying agents may be required for patients at high risk of a cardiovascular event and statins are generally recognised as first-line therapy. Unfortunately, large numbers of patients at risk of cardiovascular events are not being treated to the guideline targets. Primary care physicians are in a good position to improve lipid management by assessing risk factors, implementing lipid management strategies, monitoring whether targets are being reached and amending treatment appropriately. Furthermore, by educating and motivating patients,primary care physicians may improve compliance with lifestyle changes and medication. These approaches may help more patients to achieve recommended lipid levels and prevent the development of cardiovascular disease.
FORMAT OF TROPICAL CYCLONE RECORDS ("TCVITALS")
FORMAT OF TROPICAL CYCLONE VITAL STATISTICS RECORDS ("TCVITALS") 8-16-2007 CHARACTER(S - These appear only in records that have been processed by the NCEP tropical cyclone quality control program SYNDAT_QCTROPCY. BOLDFACE - These appear only in NHC records. 1 - Prior to 1999, report date was
Heng, K S; Hejar, A R; Rushdan, A Z; Loh, S P
2013-04-01
Metabolic syndrome (MetSyn) as defined by the latest Harmonised definition and the agreement between the Harmonised definition and other definitions is poorly studied among Malaysians. This study was conducted to determine and compare the prevalence of MetSyn according to the Harmonised, International Diabetes Federation (IDF) and National Cholesterol Education Program (NCEP ATPIII) definitions among Malay staff of Universiti Putra Malaysia (UPM). Subjects aged between 20 to 65 years were recruited by convenient sampling. Waist circumference, blood pressure, lipid profiles and fasting plasma glucose levels were assessed. The agreement between the Harmonised and other definitions was determined by Kappa statistics. A total of 227 subjects with a mean +/- SD age of 37.9 +/- 9.6 years participated in the study. The overall prevalence of MetSyn was 38.3%, 38.8% and 33.5% according to Harmonised, IDF and NCEP ATP III definitions, respectively. Generally, men had higher prevalence of MetSyn than women. The prevalence increased with age in both genders with a more progressive trend in women. Men in the age group of 20-39 years had a high prevalence of metabolic syndrome. A strong agreement was found between the Harmonised and the IDF definitions (Kappa index = 0.991), and between the Harmonised and the NCEP ATP III definitions (Kappa index = 0.857). Regardless of definitions used, the prevalence of metabolic syndrome in the study, especially in young men, was high and warrants further investigation. The Harmonised definition is suitable for diagnosing metabolic syndrome in any population with similar sociodemographic characteristics.
Intercomparisons of Total Precipitable Water from Satellite and Other Long Term Data Sets
NASA Technical Reports Server (NTRS)
Chang, Fong-Chiau; Jedlovec, Gary J.; Suggs, Ronnie J.; Guillory, Anthony R.
1998-01-01
Global water vapor data sets from satellite (NVAP) and reanalysis (NCEP and DAO) are intercompared for a 5 year period (1988-1992). Global average indicates that the NCEP and DAO reanalyses are dryer than NVAP over much of the period. Spatial patterns of the NCEP/NVAP and DAO/NVAP differences show regional variations in the 60 month climatogical fields. For example, in the Eastern Pacific just south of the equator NVAP is much dryer than the NCEP and more moist than DAO. Rather large discrepancies exist in other regions as well. North Africa, Saudi Arabia, India, and Australia show that NVAP TPW values are more moist than the NCEP and DAO model analyses by 4-8 mm. In general, the NCEP and DAO exhibits a tendency to be dryer than NVAP over the tropical ocean region. Over the Americas little differences exist except over the west coast. The shapes of the differences fields over the Eastern Pacific region are significantly different between NCEP/NVAP and DAO/NVAP differences. Over South America and Central Africa, DAO TPW values are significantly higher than those of NVAP. These difference fields show monthly and seasonal variability as well. These results will be highlighted in the paper and on the poster.
the NCO PMB model changes web site for more information concerning NCEP model changes. http ://www.nco.ncep.noaa.gov/pmb/changes/ Thanks, Joey Carr EFFECTIVE TUE DEC 4 2007...WITH THE 1200 COORDINATED UNIVERSAL TIME /CONTENT CHANGES: NOAAPORT DATA: - THE NCEP GEFS ENSEMBLE PRODUCTS WHICH ARE DELIVERED TO NOAAPORT
: AWC CPC EMC NCO NHC OPC SPC SWPC WPC Search by city or zip code. Press enter or select the go button to submit request Local forecast by "City, St" City, St Go Search NCEP Go NCEP Quarterly Surface Analysis Product Loops Environmental Models Product Info Current Status Model Analyses &
Lu, Cheng-Hsuan; da Silva, Arlindo; Wang, Jun; Moorthi, Shrinivas; Chin, Mian; Colarco, Peter; Tang, Youhua; Bhattacharjee, Partha S.; Chen, Shen-Po; Chuang, Hui-Ya; Juang, Hann-Ming Henry; McQueen, Jeffery; Iredell, Mark
2018-01-01
The NOAA National Centers for Environmental Prediction (NCEP) implemented NEMS GFS Aerosol Component (NGAC) for global dust forecasting in collaboration with NASA Goddard Space Flight Center (GSFC). NGAC Version 1.0 has been providing 5 day dust forecasts at 1°×1° resolution on a global scale, once per day at 00:00 Coordinated Universal Time (UTC), since September 2012. This is the first global system capable of interactive atmosphere aerosol forecasting at NCEP. The implementation of NGAC V1.0 reflects an effective and efficient transitioning of NASA research advances to NCEP operations, paving the way for NCEP to provide global aerosol products serving a wide range of stakeholders as well as to allow the effects of aerosols on weather forecasts and climate prediction to be considered. PMID:29652411
Lu, Cheng-Hsuan; da Silva, Arlindo; Wang, Jun; Moorthi, Shrinivas; Chin, Mian; Colarco, Peter; Tang, Youhua; Bhattacharjee, Partha S; Chen, Shen-Po; Chuang, Hui-Ya; Juang, Hann-Ming Henry; McQueen, Jeffery; Iredell, Mark
2016-01-01
The NOAA National Centers for Environmental Prediction (NCEP) implemented NEMS GFS Aerosol Component (NGAC) for global dust forecasting in collaboration with NASA Goddard Space Flight Center (GSFC). NGAC Version 1.0 has been providing 5 day dust forecasts at 1°×1° resolution on a global scale, once per day at 00:00 Coordinated Universal Time (UTC), since September 2012. This is the first global system capable of interactive atmosphere aerosol forecasting at NCEP. The implementation of NGAC V1.0 reflects an effective and efficient transitioning of NASA research advances to NCEP operations, paving the way for NCEP to provide global aerosol products serving a wide range of stakeholders as well as to allow the effects of aerosols on weather forecasts and climate prediction to be considered.
Gronner, M F; Bosi, P L; Carvalho, A M; Casale, G; Contrera, D; Pereira, M A; Diogo, T M; Torquato, M T C G; Souza, G M D; Oishi, J; Leal, A M O
2011-07-01
The present study estimated the prevalence of metabolic syndrome (MS) according to the criteria established by the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF) and analyzed the contribution of social factors in an adult urban population in the Southeastern region of Brazil. The sample plan was based on multistage probability sampling according to family head income and educational level. A random sample of 1116 subjects aged 30 to 79 years was studied. Participants answered a questionnaire about socio-demographic variables and medical history. Fasting capillary glucose (FCG), total cholesterol, high-density lipoprotein cholesterol (HDL-C), and triglycerides were determined and all non-diabetic subjects were submitted to the 75-g oral glucose tolerance test. Body mass index (BMI, kg/m(2)), waist circumference and blood pressure (BP) were determined. Age- and gender-adjusted prevalence of MS was 35.9 and 43.2% according to NCEP-ATPIII and IDF criteria, respectively. Substantial agreement was found between NCEP-ATPIII and IDF definitions. Low HDL-C levels and high BP were the most prevalent MS components according to NCEP-ATPIII criteria (76.3 and 59.2%, respectively). Considering the diagnostic criteria adopted, 13.5% of the subjects had diabetes and 9.7% had FCG ≥100 mg/dL. MS prevalence was significantly associated with age, skin color, BMI, and educational level. This cross-sectional population-based study in the Southeastern region of Brazil indicates that MS is highly prevalent and associated with an important social indicator, i.e., educational level. This result suggests that in developing countries health policy planning to reduce the risk of MS, in particular, should consider improvement in education.
A two-year randomized weight loss trial comparing a vegan diet to a more moderate low-fat diet.
Turner-McGrievy, Gabrielle M; Barnard, Neal D; Scialli, Anthony R
2007-09-01
The objective was to assess the effect of a low-fat, vegan diet compared with the National Cholesterol Education Program (NCEP) diet on weight loss maintenance at 1 and 2 years. Sixty-four overweight, postmenopausal women were randomly assigned to a vegan or NCEP diet for 14 weeks, and 62 women began the study. The study was done in two replications. Participants in the first replication (N = 28) received no follow-up support after the 14 weeks, and those in the second replication (N = 34) were offered group support meetings for 1 year. Weight and diet adherence were measured at 1 and 2 years for all participants. Weight loss is reported as median (interquartile range) and is the difference from baseline weight at years 1 and 2. Individuals in the vegan group lost more weight than those in the NCEP group at 1 year [-4.9 (-0.5, -8.0) kg vs. -1.8 (0.8, -4.3); p < 0.05] and at 2 years [-3.1 (0.0, -6.0) kg vs. -0.8 (3.1, -4.2) kg; p < 0.05]. Those participants offered group support lost more weight at 1 year (p < 0.01) and 2 years (p < 0.05) than those without support. Attendance at meetings was associated with improved weight loss at 1 year (p < 0.001) and 2 years (p < 0.01). A vegan diet was associated with significantly greater weight loss than the NCEP diet at 1 and 2 years. Both group support and meeting attendance were associated with significant weight loss at follow-up.
Yadav, Dhananjay; Mahajan, Sunil; Subramanian, Senthil K.; Bisen, Prakash Singh; Chung, Choon Hee; Prasad, GBKS
2013-01-01
The aim of study was to determine the prevalence of metabolic syndrome (MetS) in people with type 2 diabetes mellitus (T2DM). National Cholesterol Education Program (NCEP) ATPIII Criteria, International Diabetes Federation and the World Health Organization (WHO) definitions were used in quantifying the metabolic syndrome and also the concordance between these three criteria’s used for identifying metabolic syndrome. Methods: This cross-sectional study involved 700 type 2 diabetic subjects from the urban areas of Gwalior Chambal region (Central India). Subjects in the age group of 28-87 yrs were included in the study. Type I diabetics, pregnant ladies and those with chronic viral and bacterial infections and serious metabolic disorders were excluded from the study. Fasting blood glucose, Blood lipids (T-cholesterol, triglyceride, HDL-cholesterol) were assessed and anthropometry blood pressure were measured from all the subjects. Results: The Prevalence of metabolic syndrome was found to be 45.8%, 57.7% and 28% following NCEP-ATPIII Criteria, IDF and WHO definitions, respectively. Using all the three definitions the prevalence was higher in women in all age groups. ATP III and IDF criteria showed good agreement (κ 0.68) compared to ATP III with WHO (κ 0.54) and IDF with WHO (κ 0.34) criteria. Highest prevalence was observed following IDF definition. Conclusions: A good agreement was observed between ATPIII and IDF criteria. Maximum prevalence of Metabolic syndrome was recorded when IDF criteria was followed. NCEP-ATPIII criteria for the diagnosis of MetS and this criterion reflected equal importance to the every variable and showed a good agreement between the different criteria used. PMID:24171882
Xavier, Natasha P; Chaim, Rita C; Gimeno, Suely G A; Ferreira, Sandra R G; Hirai, Amelia T; Padovani, Carlos R; Okoshi, Marina P; Okoshi, Katashi
2010-04-01
The American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI), revising the National Cholesterol Evaluation Program for Adult Treatment Panel III (NCEP ATP III), and the International Diabetes Federation (IDF) have proposed definitions of metabolic syndrome that take into account waist circumference thresholds according to ethnicity. In this study we estimated the prevalence of metabolic syndrome in a Japanese-Brazilian population using NCEP definitions for Westerners (NCEPwe) and Asians (NCEPas), and IDF for Japanese (IDF). A total of 650 Japanese-Brazilians living in a developed Brazilian city and aged 30-88 years were included. Metabolic syndrome prevalence according to NCEPwe, NCEPas, and IDF was, respectively, 46.5%, 56.5%, and 48.3%. Only 43.5% of subjects did not have metabolic syndrome by any of the 3 definitions, and 38.3% fulfilled metabolic syndrome criteria for all 3 definitions. Ten percent of subjects were positive for metabolic syndrome based on NCEPas and IDF, but not for NCEPwe. Because IDF requires abdominal obesity as a criterion, the frequency of subjects without metabolic syndrome according to IDF, but with metabolic syndrome by NCEPwe and NCEPas was 8.2%. Independent of the metabolic syndrome definition, Japanese-Brazilians present an elevated metabolic syndrome prevalence, which was higher when using NCEP criteria for Asians, followed by the IDF definition for Japanese.
Katzmarzyk, Peter T; Janssen, Ian; Ross, Robert; Church, Timothy S; Blair, Steven N
2006-02-01
The purpose of this study was to compare the predictive ability of the National Cholesterol Education Panel (NCEP), revised NCEP (NCEP-R), and International Diabetes Federation (IDF) metabolic syndrome criteria for mortality risk, and to examine the effects of waist circumference on mortality within the context of these criteria. The sample included 20,789 white, non-Hispanic men 20-83 years of age from the Aerobics Center Longitudinal Study. The main outcome measures were all-cause and cardiovascular disease (CVD) mortality over 11.4 years of follow-up. The proportions of men with the metabolic syndrome were 19.7, 27, and 30% at baseline, respectively, according to NCEP, NCEP-R, and IDF criteria. A total of 632 deaths (213 CVD) occurred. The relative risks (RRs) and 95% CIs of all-cause mortality were 1.36 (1.14-1.62), 1.31 (1.11-1.54), and 1.26 (1.07-1.49) for the NCEP, NCEP-R, and IDF definitions, respectively. The corresponding RRs for CVD mortality were 1.79 (1.35-2.37), 1.67 (1.27-2.19), and 1.67 (1.27-2.20). Additionally, there was a significant trend for a higher risk of CVD mortality across waist circumference categories (<94, 94-102, and >102 cm) among men with at least two additional metabolic syndrome risk factors (P = 0.01). The prediction of mortality with IDF and NCEP metabolic syndrome criteria was comparable in men. Waist circumference is a valuable component of metabolic syndrome; however, the IDF requirement of an elevated waist circumference warrants caution given that a large proportion of men with normal waist circumference have multiple risk factors and an increased risk of mortality.
NASA Technical Reports Server (NTRS)
Lu, Cheng-Hsuan; Da Silva, Arlindo M.; Wang, Jun; Moorthi, Shrinivas; Chin, Mian; Colarco, Peter; Tang, Youhua; Bhattacharjee, Partha S.; Chen, Shen-Po; Chuang, Hui-Ya;
2016-01-01
The NOAA National Centers for Environmental Prediction (NCEP) implemented the NOAA Environmental Modeling System (NEMS) Global Forecast System (GFS) Aerosol Component (NGAC) for global dust forecasting in collaboration with NASA Goddard Space Flight Center (GSFC). NGAC Version 1.0 has been providing 5-day dust forecasts at 1deg x 1deg resolution on a global scale, once per day at 00:00 Coordinated Universal Time (UTC), since September 2012. This is the first global system capable of interactive atmosphere aerosol forecasting at NCEP. The implementation of NGAC V1.0 reflects an effective and efficient transitioning of NASA research advances to NCEP operations, paving the way for NCEP to provide global aerosol products serving a wide range of stakeholders, as well as to allow the effects of aerosols on weather forecasts and climate prediction to be considered.
Forecasting Ocean Waves: Comparing a Physics-Based Model with Statistical Models
2011-01-01
m) 46029 (135 m) 46211 (38 m) ( CDIP -036) 42039 (307 m) 42040 (165 m) 42007 (14 m) Boundary forcing from NCEP WW3 ENP 15′×15′ resolution SWAN CNW-G1...wave energy. Acronyms and abbreviations CenGOOS Central Gulf Ocean Observing System CDIP Coastal Data Information Program CNW Coastal Northwest SWAN
An assessment of TropFlux and NCEP air-sea fluxes on ROMS simulations over the Bay of Bengal region
NASA Astrophysics Data System (ADS)
Dey, Dipanjan; Sil, Sourav; Jana, Sudip; Pramanik, Saikat; Pandey, P. C.
2017-12-01
This study presents an assessment of the TropFlux and the National Centers for Environmental Prediction (NCEP) reanalysis air-sea fluxes in simulating the surface and subsurface oceanic parameters over the Bay of Bengal (BoB) region during 2002-2014 using the Regional Ocean Modelling System (ROMS). The assessment has been made by comparing the simulated fields with in-situ and satellite observations. The simulated surface and subsurface temperatures in the TropFlux forced experiment (TropFlux-E) show better agreement with the Research Moored Array for African-Asian-Australian Monsoon Analysis (RAMA) and Argo observations than the NCEP forced experiment (NCEP-E). The BoB domain averaged sea surface temperature (SST) simulated in the NCEP-E is consistently cooler than the satellite SST, with a root mean square error (RMSE) of 0.79 °C. Moreover, NCEP-E shows a limitation in simulating the observed seasonal cycle of the SST due to substantial underestimation of the pre-monsoon SST peak. These limitations are mostly due to the lower values of the NCEP net heat flux. The seasonal and interannual variations of SST in the TropFlux-E are better comparable to the observations with correlations and skills more than 0.80 and 0.90 respectively. However, SST is overestimated during summer monsoon periods mainly due to higher net heat flux. The superiority of TropFlux forcing over the NCEP reanalysis can also be seen when simulating the interannual variabilities of the magnitude and vertical extent of Wyrtki jets at two equatorial RAMA buoy locations. The jet is weaker in the NCEP-E relative to the TropFlux-E and observations. The simulated sea surface height anomalies (SSHA) from both the experiments are able to capture the regions of positive and negative SSHA with respect to satellite-derived altimeter data with better performance in the TropFlux-E. The speed of the westward propagating Rossby wave along 18°N in the TropFlux-E is found to be about 4.7 cm/s, which is close to the theoretical phase speed of Rossby waves.
Barnard, Neal D; Scialli, Anthony R; Turner-McGrievy, Gabrielle; Lanou, Amy J
2004-01-01
This study aimed to assess the acceptability of a low-fat vegan diet, as compared with a more typical fat-modified diet, among overweight and obese adults. Through newspaper advertisements, 64 overweight, postmenopausal women were recruited, 59 of whom completed the study. The participants were assigned randomly to a low-fat vegan diet or, for comparison, to a National Cholesterol Education Program Step II (NCEP) diet. At baseline and 14 weeks later, dietary intake, dietary restraint, disinhibition, and hunger, as well as the acceptability and perceived benefits and adverse effects of each diet were assessed. Dietary restraint increased in the NCEP group (P <.001), indicating a greater subjective sense of constraint with regard to diet requirements, but was unchanged in the vegan group. Disinhibition and hunger scores fell in each group (P <.001 and P <.01, respectively). The acceptability of both diets was high, although the vegan group participants rated their diet as less easy to prepare than their usual diets (P <.05) and the NCEP participants foresaw continuation of their assigned diet to be more difficult than continuation of their baseline diets (P <.05). There were no between-group differences on any acceptability measures. The acceptability of a low-fat vegan diet is high and not demonstrably different from that of a more moderate low-fat diet among well-educated, postmenopausal women in a research environment.
code. Press enter or select the go button to submit request Local forecast by "City, St" City , St Go Search NCEP Go Current Hazards Watches/Warnings Outlooks National Current Conditions
Hypertriglyceridemic waist phenotype in primary health care: comparison of two cutoff points
Braz, Marina Augusta Dias; Vieira, Jallyne Nunes; Gomes, Flayane Oliveira; da Silva, Priscilla Rafaella; Santos, Ohanna Thays de Medeiros; da Rocha, Ilanna Marques Gomes; de Sousa, Iasmin Matias; Fayh, Ana Paula Trussardi
2017-01-01
Objective We aimed to evaluate the prevalence of hypertriglyceridemic waist (HTGW) phenotype among users of primary health care using two different cutoff points used in the literature. Methods We evaluated adults and elderly individuals of both sexes who attended the same level of primary health care. HTGW phenotype was determined with measurements of waist circumference (WC) and triglyceride levels and compared using cutoff points proposed by the National Cholesterol Education Program – NCEP/ATP III (WC ≥102 cm for men and ≥88 cm for women; triglyceride levels ≥150 mg/dL for both sexes) and by Lemieux et al (WC ≥90 cm for men and ≥85 cm for women; triglyceride levels ≥177 mg/dL for both). Results Within the sample of 437 individuals, 73.7% was female. The prevalence of HTGW phenotype was high and statistically different with the use of different cutoff points from the literature. The prevalence was higher using the NCEP/ATP III criteria compared to those proposed by Lemieux et al (36.2% and 32.5%, respectively, p<0.05). Individuals with the presence of the phenotype also presented alterations in other traditional cardiovascular risk markers. Conclusion The HTGW phenotype identified high prevalence of cardiovascular risk in the population, with higher cutoff points from the NCEP/ATP III criteria. The difference in frequency of risk alerts us to the need to establish cutoff points for the Brazilian population. PMID:28979152
Willey, V J; Reinhold, J A; Willey, K H; Kelly, B L; Cziraky, M J
2010-08-01
The introduction of a generic formulation of simvastatin has created the potential to provide significant low-density lipoprotein cholesterol (LDL-C) reduction in a highly cost-effective manner. This retrospective cohort analysis utilised electronic medical record data from a United States, community-based, independent physician family medicine practice. Patients switched from other statins or statin combinations to simvastatin by the family medicine physicians during routine patient care from January 2002 to October 2008 were identified. Equivalent statin dosing, lipid panel changes and National Cholesterol Education Program--Adult Treatment Panel III (NCEP) LDL-C goal attainment rates were compared preswitch and postswitch. The potential economic impact of simvastatin switching was also evaluated. A total of 78 patients were identified, and in 76.9% of the switches, an equipotent dose of simvastatin was prescribed. All lipid fractions showed small, non-significant increases, with LDL-C having a 2.2 mg/dl (0.06 mmol/l) increase after switching (p = 0.476). NCEP LDL-C goal attainment rates were 79.5% and 78.2% before and after switching, respectively (p = 1.00). Modelled annual cost savings associated with switching were estimated at $671.99 per patient. These results demonstrate that an independent family medicine physician practice can successfully perform statin therapeutic substitution during routine patient care. Equivalent clinical outcomes with regards to changes in lipid fractions and NCEP LDL-C goal attainment were observed in conjunction with the potential for reduced costs for patients.
NASA Astrophysics Data System (ADS)
Mitchell, K. E.
2006-12-01
The Environmental Modeling Center (EMC) of the National Centers for Environmental Prediction (NCEP) applies several different analyses of observed precipitation in both the data assimilation and validation components of NCEP's global and regional numerical weather and climate prediction/analysis systems (including in NCEP global and regional reanalysis). This invited talk will survey these data assimilation and validation applications and methodologies, as well as the temporal frequency, spatial domains, spatial resolution, data sources, data density and data quality control in the precipitation analyses that are applied. Some of the precipitation analyses applied by EMC are produced by NCEP's Climate Prediction Center (CPC), while others are produced by the River Forecast Centers (RFCs) of the National Weather Service (NWS), or by automated algorithms of the NWS WSR-88D Radar Product Generator (RPG). Depending on the specific type of application in data assimilation or model forecast validation, the temporal resolution of the precipitation analyses may be hourly, daily, or pentad (5-day) and the domain may be global, continental U.S. (CONUS), or Mexico. The data sources for precipitation include ground-based gauge observations, radar-based estimates, and satellite-based estimates. The precipitation analyses over the CONUS are analyses of either hourly, daily or monthly totals of precipitation, and they are of two distinct types: gauge-only or primarily radar-estimated. The gauge-only CONUS analysis of daily precipitation utilizes an orographic-adjustment technique (based on the well-known PRISM precipitation climatology of Oregon State University) developed by the NWS Office of Hydrologic Development (OHD). The primary NCEP global precipitation analysis is the pentad CPC Merged Analysis of Precipitation (CMAP), which blends both gauge observations and satellite estimates. The presentation will include a brief comparison between the CMAP analysis and other global precipitation analyses by other institutions. Other global precipitation analyses produced by other methodologies are also used by EMC in certain applications, such as CPC's well-known satellite-IR based technique known as "GPI", and satellite-microwave based estimates from NESDIS or NASA. Finally, the presentation will cover the three assimilation methods used by EMC to assimilate precipitation data, including 1) 3D-VAR variational assimilation in NCEP's Global Data Assimilation System (GDAS), 2) direct insertion of precipitation-inferred vertical latent heating profiles in NCEP's N. American Data Assimilation System (NDAS) and its N. American Regional Reanalysis (NARR) counterpart, and 3) direct use of observed precipitation to drive the Noah land model component of NCEP's Global and N. American Land Data Assimilation Systems (GLDAS and NLDAS). In the applications of precipitation analyses in data assimilation at NCEP, the analyses are temporally disaggregated to hourly or less using time-weights calculated from A) either radar-based estimates or an analysis of hourly gauge-observations for the CONUS-domain daily precipitation analyses, or B) global model forecasts of 6-hourly precipitation (followed by linear interpolation to hourly or less) for the global CMAP precipitation analysis.
NASA Astrophysics Data System (ADS)
Mirvis, E.; Iredell, M.
2015-12-01
The operational (OPS) NOAA National Centers for Environmental Prediction (NCEP) suite, traditionally, consist of a large set of multi- scale HPC models, workflows, scripts, tools and utilities, which are very much depending on the variety of the additional components. Namely, this suite utilizes a unique collection of the in-house developed 20+ shared libraries (NCEPLIBS), certain versions of the 3-rd party libraries (like netcdf, HDF, ESMF, jasper, xml etc.), HPC workflow tool within dedicated (sometimes even vendors' customized) HPC system homogeneous environment. This domain and site specific, accompanied with NCEP's product- driven large scale real-time data operations complicates NCEP collaborative development tremendously by reducing chances to replicate this OPS environment anywhere else. The NOAA/NCEP's Environmental Modeling Center (EMC) missions to develop and improve numerical weather, climate, hydrological and ocean prediction through the partnership with the research community. Realizing said difficulties, lately, EMC has been taken an innovative approach to improve flexibility of the HPC environment by building the elements and a foundation for NCEP OPS functionally equivalent environment (FEE), which can be used to ease the external interface constructs as well. Aiming to reduce turnaround time of the community code enhancements via Research-to-Operations (R2O) cycle, EMC developed and deployed several project sub-set standards that already paved the road to NCEP OPS implementation standards. In this topic we will discuss the EMC FEE for O2R requirements and approaches in collaborative standardization, including NCEPLIBS FEE and models code version control paired with the models' derived customized HPC modules and FEE footprints. We will share NCEP/EMC experience and potential in the refactoring of EMC development processes, legacy codes and in securing model source code quality standards by using combination of the Eclipse IDE, integrated with the reverse engineering tools/APIs. We will also inform on collaborative efforts in the restructuring of the NOAA Environmental Modeling System (NEMS) - the multi- model and coupling framework, and transitioning FEE verification methodology.
Conveying Global Circulation Patterns in HDTV
NASA Astrophysics Data System (ADS)
Gardiner, N.; Janowiak, J.; Kinzler, R.; Trakinski, V.
2006-12-01
The American Museum of Natural History has partnered with the National Centers for Environmental Prediction (NCEP) to educate general audiences about weather and climate using high definition video broadcasts built from half-hourly global mosaics of infrared (IR) data from five geostationary satellites. The dataset being featured was developed by NCEP to improve precipitation estimates from microwave data that have finer spatial resolution but poorer temporal coverage. The IR data span +/-60 degrees latitude and show circulation patterns at sufficient resolution to teach informal science center visitors about both weather and climate events and concepts. Design and editorial principles for this media program have been guided by lessons learned from production and annual updates of visualizations that cover eight themes in both biological and Earth system sciences. Two formative evaluations on two dates, including interviews and written surveys of 480 museum visitors ranging in age from 13 to over 60, helped refine the design and implementation of the weather and climate program and demonstrated that viewers understood the program's initial literacy objectives, including: (1) conveying the passage of time and currency of visualized data; (2) geographic relationships inherent to atmospheric circulation patterns; and (3) the authenticity of visualized data, i.e., their origin from earth-orbiting satellites. Surveys also indicated an interest and willingness to learn more about weather and climate principles and events. Expanded literacy goals guide ongoing, biweekly production and distribution of global cloud visualization pieces that reach combined audiences of approximately 10 million. Two more rounds of evaluation are planned over the next two years to assess the effectiveness of the media program in addressing these expanded literacy goals.
NASA Astrophysics Data System (ADS)
Chen, Biyan; Liu, Zhizhao
2016-10-01
The variability and trend in global precipitable water vapor (PWV) from 1979 to 2014 are analyzed using the PWV data sets from the ERA-Interim reanalysis of the European Centre for Medium-Range Weather Forecasts (ECMWF), reanalysis of the National Centers for Environmental Prediction (NCEP), radiosonde, Global Positioning System (GPS), and microwave satellite observations. PWV data from the ECMWF and NCEP have been evaluated by radiosonde, GPS, and microwave satellite observations, showing that ECMWF has higher accuracy than NCEP. Over the oceans, ECMWF has a much better agreement with the microwave satellite than NCEP. An upward trend in the global PWV is evident in all the five PWV data sets over three study periods: 1979-2014, 1992-2014, and 2000-2014. Positive global PWV trends, defined as percentage normalized by annual average, of 0.61 ± 0.33% decade-1, 0.57 ± 0.28% decade-1, and 0.17 ± 0.35% decade-1, have been derived from the NCEP, radiosonde, and ECMWF, respectively, for the period 1979-2014. It is found that ECMWF overestimates the PWV over the ocean prior to 1992. Thus, two more periods, 1992-2014 and 2000-2014, are studied. Increasing PWV trends are observed from all the five data sets in the two periods: 1992-2014 and 2000-2014. The linear relationship between PWV and surface temperature is positive over most oceans and the polar region. Steep positive/negative regression slopes are generally found in regions where large regional moisture flux divergence/convergence occurs.
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Hay, L.E.; Clark, M.P.
2003-01-01
This paper examines the hydrologic model performance in three snowmelt-dominated basins in the western United States to dynamically- and statistically downscaled output from the National Centers for Environmental Prediction/National Center for Atmospheric Research Reanalysis (NCEP). Runoff produced using a distributed hydrologic model is compared using daily precipitation and maximum and minimum temperature timeseries derived from the following sources: (1) NCEP output (horizontal grid spacing of approximately 210 km); (2) dynamically downscaled (DDS) NCEP output using a Regional Climate Model (RegCM2, horizontal grid spacing of approximately 52 km); (3) statistically downscaled (SDS) NCEP output; (4) spatially averaged measured data used to calibrate the hydrologic model (Best-Sta) and (5) spatially averaged measured data derived from stations located within the area of the RegCM2 model output used for each basin, but excluding Best-Sta set (All-Sta). In all three basins the SDS-based simulations of daily runoff were as good as runoff produced using the Best-Sta timeseries. The NCEP, DDS, and All-Sta timeseries were able to capture the gross aspects of the seasonal cycles of precipitation and temperature. However, in all three basins, the NCEP-, DDS-, and All-Sta-based simulations of runoff showed little skill on a daily basis. When the precipitation and temperature biases were corrected in the NCEP, DDS, and All-Sta timeseries, the accuracy of the daily runoff simulations improved dramatically, but, with the exception of the bias-corrected All-Sta data set, these simulations were never as accurate as the SDS-based simulations. This need for a bias correction may be somewhat troubling, but in the case of the large station-timeseries (All-Sta), the bias correction did indeed 'correct' for the change in scale. It is unknown if bias corrections to model output will be valid in a future climate. Future work is warranted to identify the causes for (and removal of) systematic biases in DDS simulations, and improve DDS simulations of daily variability in local climate. Until then, SDS based simulations of runoff appear to be the safer downscaling choice.
NASA Astrophysics Data System (ADS)
Maurer, Edwin P.; O'Donnell, Greg M.; Lettenmaier, Dennis P.; Roads, John O.
2001-08-01
The ability of the National Centers for Environmental Prediction (NCEP)/National Center for Atmospheric Research (NCAR) reanalysis (NRA1) and the follow-up NCEP/Department of Energy (DOE) reanalysis (NRA2), to reproduce the hydrologic budgets over the Mississippi River basin is evaluated using a macroscale hydrology model. This diagnosis is aided by a relatively unconstrained global climate simulation using the NCEP global spectral model, and a more highly constrained regional climate simulation using the NCEP regional spectral model, both employing the same land surface parameterization (LSP) as the reanalyses. The hydrology model is the variable infiltration capacity (VIC) model, which is forced by gridded observed precipitation and temperature. It reproduces observed streamflow, and by closure is constrained to balance other terms in the surface water and energy budgets. The VIC-simulated surface fluxes therefore provide a benchmark for evaluating the predictions from the reanalyses and the climate models. The comparisons, conducted for the 10-year period 1988-1997, show the well-known overestimation of summer precipitation in the southeastern Mississippi River basin, a consistent overestimation of evapotranspiration, and an underprediction of snow in NRA1. These biases are generally lower in NRA2, though a large overprediction of snow water equivalent exists. NRA1 is subject to errors in the surface water budget due to nudging of modeled soil moisture to an assumed climatology. The nudging and precipitation bias alone do not explain the consistent overprediction of evapotranspiration throughout the basin. Another source of error is the gravitational drainage term in the NCEP LSP, which produces the majority of the model's reported runoff. This may contribute to an overprediction of persistence of surface water anomalies in much of the basin. Residual evapotranspiration inferred from an atmospheric balance of NRA1, which is more directly related to observed atmospheric variables, matches the VIC prediction much more closely than the coupled models. However, the persistence of the residual evapotranspiration is much less than is predicted by the hydrological model or the climate models.
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Daher, Aqil Mohammad; Noor Khan Nor-Ashikin, Mohamed; Mat-Nasir, Nafiza; Keat Ng, Kien; Ambigga, Krishnapillai S.; Ariffin, Farnaza; Yasin Mazapuspavina, Md; Abdul-Razak, Suraya; Abdul-Hamid, Hasidah; Abd-Majid, Fadhlina; Abu-Bakar, Najmin; Nawawi, Hapizah; Yusoff, Khalid
2013-01-01
Metabolic syndrome (MetS) is a steering force for the cardiovascular diseases epidemic in Asia. This study aimed to compare the prevalence of MetS in Malaysian adults using NCEP-ATP III, IDF, and JIS definitions, identify the demographic factors associated with MetS, and determine the level of agreement between these definitions. The analytic sample consisted of 8,836 adults aged ≥30 years recruited at baseline in 2007–2011 from the Cardiovascular Risk Prevention Study (CRisPS), an ongoing, prospective cohort study involving 18 urban and 22 rural communities in Malaysia. JIS definition gave the highest overall prevalence (43.4%) compared to NCEP-ATP III (26.5%) and IDF (37.4%), P < 0.001. Indians had significantly higher age-adjusted prevalence compared to other ethnic groups across all MetS definitions (30.1% by NCEP-ATP III, 50.8% by IDF, and 56.5% by JIS). The likelihood of having MetS amongst the rural and urban populations was similar across all definitions. A high level of agreement between the IDF and JIS was observed (Kappa index = 0.867), while there was a lower level of agreement between the IDF and NCEP-ATP III (Kappa index = 0.580). JIS definition identified more Malaysian adults with MetS and therefore should be recommended as the preferred diagnostic criterion. PMID:24175300
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wang, Jiali; Swati, F. N. U.; Stein, Michael L.
Regional climate models (RCMs) are a standard tool for downscaling climate forecasts to finer spatial scales. The evaluation of RCMs against observational data is an important step in building confidence in the use of RCMs for future prediction. In addition to model performance in climatological means and marginal distributions, a model’s ability to capture spatio-temporal relationships is important. This study develops two approaches: (1) spatial correlation/variogram for a range of spatial lags, with total monthly precipitation and non-seasonal precipitation components used to assess the spatial variations of precipitation; and (2) spatio-temporal correlation for a wide range of distances, directions, andmore » time lags, with daily precipitation occurrence used to detect the dynamic features of precipitation. These measures of spatial and spatio-temporal dependence are applied to a high-resolution RCM run and to the National Center for Environmental Prediction (NCEP)-U.S. Department of Energy (DOE) AMIP II reanalysis data (NCEP-R2), which provides initial and lateral boundary conditions for the RCM. The RCM performs better than NCEP-R2 in capturing both the spatial variations of total and non-seasonal precipitation components and the spatio-temporal correlations of daily precipitation occurrences, which are related to dynamic behaviors of precipitating systems. The improvements are apparent not just at resolutions finer than that of NCEP-R2, but also when the RCM and observational data are aggregated to the resolution of NCEP-R2.« less
2007-04-01
To estimate the prevalence of the metabolic syndrome using the IDF versus NCEP definition. 14222 non-diabetic and 1516 diabetic subjects, aged 25-74 years. The age-standardized prevalence of the IDF metabolic syndrome in non-diabetic men (women) was 12.0% (15.0%), 13.8% (2.5%), 12.8% (17.0%), and 13.2% (20.3%), respectively, in Chinese, Japanese, Mauritian Indians, and native Indians. The prevalence ratio of IDF to NCEP was 1.5 (1.5), 2.7 (0.4), 1.2 (1.2), and 1.0 (1.3) in Chinese, Japanese, Mauritian, and Native Indian men (women), respectively. When the same obesity criteria for Japanese as for others were used the ratio for Japanese was 1.5 in both genders. Of all subjects fulfilling either of the two definitions, only 28% of men and 47% of women met the both. The prevalence of central obesity was 52 times greater using the IDF definition than using the NCEP definition in Japanese men but it was 0.8 times lower in Japanese women. The IDF definition brought a higher prevalence of the metabolic syndrome than the NCEP in all except for Japanese women but many lean subjects with hypertension and/or dyslipidemia were undetected by this definition. The IDF criterion for central obesity for Japanese needs to be reconsidered.
NASA Technical Reports Server (NTRS)
Dreher, Joseph G.
2009-01-01
For expedience in delivering dispersion guidance in the diversity of operational situations, National Weather Service Melbourne (MLB) and Spaceflight Meteorology Group (SMG) are becoming increasingly reliant on the PC-based version of the HYSPLIT model run through a graphical user interface (GUI). While the GUI offers unique advantages when compared to traditional methods, it is difficult for forecasters to run and manage in an operational environment. To alleviate the difficulty in providing scheduled real-time trajectory and concentration guidance, the Applied Meteorology Unit (AMU) configured a Linux version of the Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) (HYSPLIT) model that ingests the National Centers for Environmental Prediction (NCEP) guidance, such as the North American Mesoscale (NAM) and the Rapid Update Cycle (RUC) models. The AMU configured the HYSPLIT system to automatically download the NCEP model products, convert the meteorological grids into HYSPLIT binary format, run the model from several pre-selected latitude/longitude sites, and post-process the data to create output graphics. In addition, the AMU configured several software programs to convert local Weather Research and Forecast (WRF) model output into HYSPLIT format.
National Centers for Environmental Prediction
Reference List Table of Contents NCEP OPERATIONAL MODEL FORECAST GRAPHICS PARALLEL/EXPERIMENTAL MODEL Developmental Air Quality Forecasts and Verification Back to Table of Contents 2. PARALLEL/EXPERIMENTAL GRAPHICS VERIFICATION (GRID VS.OBS) WEB PAGE (NCEP EXPERIMENTAL PAGE, INTERNAL USE ONLY) Interactive web page tool for
surface reports in the NMC observational files. This revision represents the final update to NMC/NCEP Office Note Number 124. This format for representing meteorological surface observational data at NMC observational data format at NCEP. An accurate version of this Office Note is still necessary for historical
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Trends in the Zonal Winds over the Southern Ocean from the NCEP/NCAR Reanalysis and Scatterometers
NASA Astrophysics Data System (ADS)
Richman, J. G.
2002-12-01
The winds over the Southern Ocean for the entire 54-year (1948-2001) period of the NCEP/NCAR Reanalysis have been decomposed into Principal Components (Empirical Orthogonal Functions). The first EOF describes 83 percent of the variance in the zonal wind. The loading of the EOF shows the predominately westerly surface flow with strongest winds in the Indian sector of the Southern Ocean. The structure of this EOF is similar to the Southern Annular Mode (SAM) identified by Thompson, et al 2000. The amplitude of this EOF reveals a large trend of 4.42 cm/s/yr in the strength of the zonal wind corresponding to a nearly 50 percent increase in the wind stress over the Southern Ocean. Such a trend, if real, would be important in the dynamics of the Antarctic Circumpolar Current (ACC). Recent studies by Gille, et al. (2001), Olbers and Ivchenko (2001) and Gent et al. (2001) have shown that the transport of the ACC is correlated to the variability in the zonal wind with a monotonic increase in the transport with increasing zonal wind strength. However, errors in the data assimilation scheme for surface pressure observations on the Antarctic continent appears to have caused a spurious trend in the sea level pressure south of 40S of -0.2 hPa/yr (Hines, et al. 2000 and Marshall, 2002). The sea level pressure difference between 40S and 60S has risen by 8 hPa over the same period. This sea level pressure difference is used as a proxy for the strength of the zonal winds. Thus, the trend in the zonal wind EOF amplitude may be an artifact of model errors in the NCEP Reanalysis. To check this trend, we analyzed scatterometer winds over the Southern Ocean from the SEASAT, ERS (1 and 2), NSCAT and QuikScat satellites. The scatterometer data is not used in the NCEP Reanalysis and, thus, is an independent estimate of the winds. The SEASAT Scatterometer (SASS) operated for 90 days in July-September, 1978, while the ERS, NSCAT and QuikScat scatterometers provide a continuous dataset from September 1992 through the present. The zonal winds for the combined ERS/NSCAT dataset were decomposed into Principal Components, similar to the NCEP winds. The first EOF describes 78 percent of the variance in the zonal wind. The loading of the EOF is nearly identical in structure to the loading of the NCEP EOF, and the correlation between the amplitudes is 0.93 for the coincident period. The trend in the scatterometer winds is 3.9 cm/s/yr for the eight years, which is not significantly different from the 4.4 cm /s/yr trend of the NCEP winds. The three months of SASS data were projected onto the scatterometer EOF and the amplitudes compared to the long-term NCEP amplitudes. The agreement between the scatterometer amplitudes and the NCEP is remarkable. The comparison between the scatterometer winds and NCEP Reanalysis winds suggests that the trend towards increasing zonal winds is real. The increasing zonal winds over the Southern Ocean may lead to a substantial increase in the transport of the ACC over the past 50 years.
Van der Wees, Philip J; Hendriks, Erik JM; Custers, Jan WH; Burgers, Jako S; Dekker, Joost; de Bie, Rob A
2007-01-01
Background Clinical guidelines are considered important instruments to improve quality in health care. Since 1998 the Royal Dutch Society for Physical Therapy (KNGF) produced evidence-based clinical guidelines, based on a standardized program. New developments in the field of guideline research raised the need to evaluate and update the KNGF guideline program. Purpose of this study is to compare different guideline development programs and review the KNGF guideline program for physical therapy in the Netherlands, in order to update the program. Method Six international guideline development programs were selected, and the 23 criteria of the AGREE Instrument were used to evaluate the guideline programs. Information about the programs was retrieved from published handbooks of the organizations. Also, the Dutch program for guideline development in physical therapy was evaluated using the AGREE criteria. Further comparison the six guideline programs was carried out using the following elements of the guideline development processes: Structure and organization; Preparation and initiation; Development; Validation; Dissemination and implementation; Evaluation and update. Results Compliance with the AGREE criteria of the guideline programs was high. Four programs addressed 22 AGREE criteria, and two programs addressed 20 AGREE criteria. The previous Dutch program for guideline development in physical therapy lacked in compliance with the AGREE criteria, meeting only 13 criteria. Further comparison showed that all guideline programs perform systematic literature searches to identify the available evidence. Recommendations are formulated and graded, based on evidence and other relevant factors. It is not clear how decisions in the development process are made. In particular, the process of translating evidence into practice recommendations can be improved. Conclusion As a result of international developments and consensus, the described processes for developing clinical practice guidelines have much in common. The AGREE criteria are common basis for the development of guidelines, although it is not clear how final decisions are made. Detailed comparison of the different guideline programs was used for updating the Dutch program. As a result the updated KNGF program complied with 22 AGREE criteria. International discussion is continuing and will be used for further improvement of the program. PMID:18036215
Van der Wees, Philip J; Hendriks, Erik J M; Custers, Jan W H; Burgers, Jako S; Dekker, Joost; de Bie, Rob A
2007-11-23
Clinical guidelines are considered important instruments to improve quality in health care. Since 1998 the Royal Dutch Society for Physical Therapy (KNGF) produced evidence-based clinical guidelines, based on a standardized program. New developments in the field of guideline research raised the need to evaluate and update the KNGF guideline program. Purpose of this study is to compare different guideline development programs and review the KNGF guideline program for physical therapy in the Netherlands, in order to update the program. Six international guideline development programs were selected, and the 23 criteria of the AGREE Instrument were used to evaluate the guideline programs. Information about the programs was retrieved from published handbooks of the organizations. Also, the Dutch program for guideline development in physical therapy was evaluated using the AGREE criteria. Further comparison the six guideline programs was carried out using the following elements of the guideline development processes: Structure and organization; Preparation and initiation; Development; Validation; Dissemination and implementation; Evaluation and update. Compliance with the AGREE criteria of the guideline programs was high. Four programs addressed 22 AGREE criteria, and two programs addressed 20 AGREE criteria. The previous Dutch program for guideline development in physical therapy lacked in compliance with the AGREE criteria, meeting only 13 criteria. Further comparison showed that all guideline programs perform systematic literature searches to identify the available evidence. Recommendations are formulated and graded, based on evidence and other relevant factors. It is not clear how decisions in the development process are made. In particular, the process of translating evidence into practice recommendations can be improved. As a result of international developments and consensus, the described processes for developing clinical practice guidelines have much in common. The AGREE criteria are common basis for the development of guidelines, although it is not clear how final decisions are made. Detailed comparison of the different guideline programs was used for updating the Dutch program. As a result the updated KNGF program complied with 22 AGREE criteria. International discussion is continuing and will be used for further improvement of the program.
NASA Astrophysics Data System (ADS)
Mitchell, K.; Xia, Y.; Ek, M. B.; Mocko, D. M.; Kumar, S.; Peters-Lidard, C. D.
2016-12-01
NLDAS is a multi-institutional collaborative project sponsored by NOAA's Climate Program Office and NASA's Terrestrial Hydrological Program. NLDAS has a long successful history of producing soil moisture, snow cover, total runoff and streamflow products via application of surface meteorology and precipitation datasets to drive four land-surface models (i.e., Noah, Mosaic, SAC, VIC). The purpose of the NLDAS system is to support numerous research and operational applications in the land modeling and water resources management communities. Since the operational NLDAS version was successfully implemented at NCEP in August 2014, NLDAS products are being used by over 5000 users annually worldwide, including academia, governmental agencies, and private enterprises. Over 71 million files and 144 Tb of data were downloaded in 2015. As we endeavor to increase the quality and breadth of NLDAS products, a joint effort between NASA and NCEP is underway to enable the assimilation of hydrology-relevant remote sensing datasets within NLDAS through the NASA Land Information System (LIS). The use of LIS will also enable easier transition of newly upgraded land surface models into NCEP NLDAS operations. Cold season processes significantly affect water and energy cycles, and their partitioning. As such, in the evaluation of NLDAS systems it is important to assess water and energy exchanges and/or partitioning processes over high-elevations. The Rocky Mountain region of the western U. S. is chosen as such a region to analyze and compare snow water equivalent (SWE), snow cover, snow melt, snow sublimation, total runoff, and sensible heat and latent heat flux. Reference data sets (observation-based and reanalysis) of monthly SWE, streamflow, evapotranspiration, GRACE-based total water storage change, and energy fluxes are used to evaluate model-simulated results. The results show several key factors that affect model simulations: (1) forcing errors such as precipitation partitioning into snowfall and rainfall, (2) snow albedo, (3) refreezing of melted snow, (4) boundary layer stability, and (5) freezing and thawing of soil. Though the anomaly correlations indicate good agreement with the observations or reanalysis products, large quantitative differences are evident in certain cases.
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NASA Astrophysics Data System (ADS)
Valdivieso, Maria
2014-05-01
The GODAE OceanView and CLIVAR-GSOP ocean synthesis program has been assessing the degree of consistency between global air-sea flux data sets obtained from ocean or coupled reanalyses (Valdivieso et al., 2014). So far, fifteen global air-sea heat flux products obtained from ocean or coupled reanalyses have been examined: seven are from low-resolution ocean reanalyses (BOM PEODAS, ECMWF ORAS4, JMA/MRI MOVEG2, JMA/MRI MOVECORE, Hamburg Univ. GECCO2, JPL ECCOv4, and NCEP GODAS), five are from eddy-permitting ocean reanalyses developed as part of the EU GMES MyOcean program (Mercator GLORYS2v1, Reading Univ. UR025.3, UR025.4, UKMO GloSea5, and CMCC C-GLORS), and the remaining three are couple reanalyses based on coupled climate models (JMA/MRI MOVE-C, GFDL ECDA and NCEP CFSR). The global heat closure in the products over the period 1993-2009 spanned by all data sets is presented in comparison with observational and atmospheric reanalysis estimates. Then, global maps of ensemble spread in the seasonal cycle, and of the Signal to Noise Ratio of interannual flux variability over the 17-yr common period are shown to illustrate the consistency between the products. We have also studied regional variability in the products, particularly at the OceanSITES project locations (such as, for instance, the TAO/TRITON and PIRATA arrays in the Tropical Pacific and Atlantic, respectively). Comparisons are being made with other products such as OAFlux latent and sensible heat fluxes (Yu et al., 2008) combined with ISCCP satellite-based radiation (Zhang et al., 2004), the ship-based NOC2.0 product (Berry and Kent, 2009), the Large and Yeager (2009) hybrid flux dataset CORE.2, and two atmospheric reanalysis products, the ECMWF ERA-Interim reanalysis (referred to as ERAi, Dee et al., 2011) and the NCEP/DOE reanalysis R2 (referred to as NCEP-R2, Kanamitsu et al., 2002). Preliminary comparisons with the observational flux products from OceanSITES are also underway. References Berry, D.I. and E.C. Kent (2009), A New Air-Sea Interaction Gridded Dataset from ICOADS with Uncertainty Estimates. Bull. Amer. Meteor. Soc 90(5), 645-656. doi: 10.1175/2008BAMS2639.1. Dee, D. P. et al. (2011), The ERA-Interim reanalysis: configuration and performance of the data assimilation system. Q.J.R. Meteorol. Soc., 137: 553-597. doi: 10.1002/qj.828. Kanamitsu M., Ebitsuzaki W., Woolen J., Yang S.K., Hnilo J.J., Fiorino M., Potter G. (2002), NCEP-DOE AMIP-II reanalysis (R-2). Bull. Amer. Meteor. Soc., 83:1631-1643. Large, W. and Yeager, S. (2009), The global climatology of an interannually varying air-sea flux data set. Clim. Dynamics, Volume 33, pp 341-364 Valdivieso, M. and co-authors (2014): Heat fluxes from ocean and coupled reanalyses, Clivar Exchanges. Issue 64. Yu, L., X. Jin, and R. A. Weller (2008), Multidecade Global Flux Datasets from the Objectively Analyzed Air-sea Fluxes (OAFlux) Project: Latent and Sensible Heat Fluxes, Ocean Evaporation, and Related Surface Meteorological Variables. Technical Report OAFlux Project (OA2008-01), Woods Hole Oceanographic Institution. Zhang, Y., WB Rossow, AA Lacis, V Oinas, MI Mishchenk (2004), Calculation of radiative fluxes from the surface to top of atmsophere based on ISCCP and other global data sets. Journal of Geophysical Research: Atmospheres (1984-2012) 109 (D19).
[Impact of metabolic syndrome in the control of blood pressure and dyslipemia].
Rodilla, Enrique; García, Luis; Merino, Consolación; Costa, José A; González, Carmen; Pascual, José M
2004-11-06
The objective of the study was to assess the influence of metabolic syndrome (MS) in the control of blood pressure (BP) and dyslipemia. A cross sectional study was performed with 1,320 (634 M and 686 F), 40.1 (13.3) years-old, BMI 29.8 (4.7) hypertensive non-diabetic patients. MS was diagnosed according to NCEP-ATP-III guidelines. Blood pressure control goal was BP < 140/90 mmHg. Coronary risk (CR) was calculated according to Framingham (low < 10%, intermediate 10-20% and high > 20% at 10 years). Goals of C-LDL levels were those of NCEP-ATP-III. 461 (35%) patients had MS and the remaining 859 became controls. Patients with MS had higher initial levels of hypertension and were receiving more antihypertensive drugs: 2.1 [1.3] vs. 1.7 [1.3]; p < 0.001), yet the average systolic and diastolic BP achieved and the degree of control was similar in both groups 53% vs. 52%; (p = ns). Patients with MS had higher CR at ten years than controls (10.7 [8.3] vs. 7.9 [6.8], p < 0.001) but achieved the C-LDL goals at fewer proportions than controls (57% vs. 74%; p < 0.001). In a regression analysis, patients with MS had 26% less probabilities of achieving both goals (p < 0.001). Hypertensive patients with MS have higher CR, and need more antihypertensive drugs to achieve the same BP goals. Yet it is more difficult for them to achieve LDL cholesterol goals. Patients with MS remain a target for cardiovascular prevention.
Unwin, Nigel; Bhopal, Raj; Hayes, Louise; White, Martin; Patel, Sheila; Ragoobirsingh, Dalip; Alberti, George
2007-01-01
To compare the prevalence, agreement and phenotypic characteristics in three ethnic groups of the new International Diabetes Federation (IDF) definition of metabolic syndrome (MS) to the World Health Organization (WHO) and national cholesterol education program (NCEP) definitions. Newcastle upon Tyne, England. Cross-sectional surveys. Chinese (171 men and 185 women), European (257 men and 301 women), and South Asian (264 men and 295 women) adults, ages 25 to 64 years. Anthropometric indices: blood pressure, fasting lipids, urine albumin-to-creatinine ratio, glucose intolerance, insulin resistance. IDF-defined MS was highly prevalent in all groups, ranging from 12.3% (95% CIs 7.4-17.2) in Chinese men to 45.5% (39.5-51.5) in South Asian men. In women, of all ethnic groups, more than 80% of those with WHO- or NCEP-defined MS also had IDF-defined MS. In men, however, agreement was less good. For example, in each ethnic group, more than a third of those with WHO-defined MS did not have IDF-defined MS. Within each ethnic group, the biological characteristics of those with MS by any definition were largely the same. However, differences existed between ethnic groups. For example, in those with IDF-defined MS, both South Asian men and women had significantly (P < .05) higher insulin resistance and significantly lower systolic and diastolic blood pressure than Europeans or Chinese. Agreement between the IDF and other definitions is better in women than men. The phenotype is similar within each ethnic group whatever the definition, but differs between groups suggesting that risks associated with MS differ by ethnic group.
Cussons, Andrea J; Watts, Gerald F; Burke, Valerie; Shaw, Jonathan E; Zimmet, Paul Z; Stuckey, Bronwyn G A
2008-10-01
Polycystic ovary syndrome (PCOS) is associated with insulin resistance and features in common with the metabolic syndrome (MetS)--factors shown to predict cardiovascular risk and type 2 diabetes. We investigated the prevalence and characteristics of the MetS in PCOS by three definitions-World Health Organization (WHO), National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP-III) and International Diabetes Federation (IDF)--and compared that with the background population. Cross-sectional study of 168 women with PCOS and 883 age-matched controls from the Australian Diabetes, Obesity and Lifestyle (AusDiab) study. Prevalence of the MetS in PCOS subjects was 33% by WHO, 37% by NCEP-ATP-III and 40% by IDF criteria, compared with 10% by NCEP-ATP-III and 13% by IDF in controls (P < 0.001). MetS by WHO criteria was not calculated in the AusDiab population. Age was an independent predictor of MetS in PCOS and controls. The prevalence of MetS was significantly higher among those with PCOS (P = 0.027) in obese women (BMI > 30 kg/m(2)), and higher but not significantly so in overweight (BMI 25-30 kg/m(2)) women (P = 0.052). Dehydroepiandrosterone sulphate was associated with a lower risk of the MetS--Odds ratio 0.86 (95% confidence interval, 0.77-0.97, P = 0.011). An approximate 4-fold increase in the prevalence of the MetS in women with PCOS compared with the general population, consistent with the proposed major role of insulin and obesity in the syndrome, implies greater risk of cardiometabolic disease in women with PCOS. However, this estimate is likely to vary according to PCOS definition, ethnicity and different aetiological pathways to PCOS.
Takami, Hidenobu; Nakamoto, Mariko; Uemura, Hirokazu; Katsuura, Sakurako; Yamaguchi, Miwa; Hiyoshi, Mineyoshi; Sawachika, Fusakazu; Juta, Tomoya; Arisawa, Kokichi
2013-01-01
It is unclear whether consumption of coffee and green tea is associated with metabolic syndrome. This cross-sectional study enrolled 554 adults who had participated in the baseline survey of the Japan Multi-Institutional Collaborative Cohort (J-MICC) Study in Tokushima Prefecture, Japan. Consumption of coffee and green tea was assessed using a questionnaire. Metabolic syndrome was diagnosed using the criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) and the Japan Society for the Study of Obesity (JASSO). Logistic regression analysis was used to examine the association between consumption of coffee and green tea and prevalence of metabolic syndrome and its components. After adjustment for sex, age, and other potential confounders, greater coffee consumption was associated with a significantly lower prevalence of metabolic syndrome, as defined by NCEP ATP III criteria (P for trend = 0.03). Participants who drank more coffee had a lower odds ratio (OR) for high serum triglycerides (P for trend = 0.02), but not for increased waist circumference or high blood pressure. Using JASSO criteria, moderate coffee consumption (1.5 to <3 cups/day) was associated with a significantly lower OR for high plasma glucose (OR = 0.51, 95% CI 0.28-0.93). Green tea consumption was not associated with the prevalence of metabolic syndrome or any of its components. Coffee consumption was inversely correlated with metabolic syndrome diagnosed using NCEP ATP III criteria, mainly because it was associated with lower serum triglyceride levels. This association highlights the need for further prospective studies of the causality of these relationships.
Galera-Martínez, Rafael; García-García, Emilio; Vázquez-López, M Ángeles; Ortiz-Pérez, María; Ruiz-Sánchez, Ana Mar; Martín-González, Manuel; Garrido-Fernández, Pablo; Bonillo-Perales, Antonio
2015-08-01
there are few studies on the prevalence of metabolic syndrome (MetS) in European adolescent populations, and some have reported a higher prevalence in the Mediterranean basin area. Our objective was to examine the prevalence of MetS in adolescents in a Mediterranean city of Spain, comparing two different definitions of MetS and the associated risk factors. a cross-sectional population-based study was conducted among 379 adolescents aged 12-16.9 years, selected using a random sampling method. Anthropometric measurements and fasting blood samples were obtained. The definitions of MetS used were that of the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATPIII) and that of the International Diabetes Federation (IDF). Kappa coefficient was used to measure the agreement between definitions and a multivariate logistic regression model to determine the associated risk factors. the prevalence of MetS was 5.7% (95%CI 3.33-8.07) according to the NCEP-ATPIII definition and 3.8% (95%CI 1.85-5.75) according to the IDF definition. No differences between the sexes or by age groups were found. The agreement between the two definitions was very good (kappa 0.815), especially in the obese subsample, but was lower in normal weight adolescents (kappa 0.497). Insulin resistance and obesity were associated with both definitions. the prevalence of MetS in our adolescent population is higher than the European media. Although the overall agreement between both definitions was very good, the prevalence was higher using the NCEP-ATPIII criteria. Independently of the definition used, obesity and insulin resistance were risk factors for MetS. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
NASA Astrophysics Data System (ADS)
Holt, C. R.; Szunyogh, I.; Gyarmati, G.; Hoffman, R. N.; Leidner, M.
2011-12-01
Tropical cyclone (TC) track and intensity forecasts have improved in recent years due to increased model resolution, improved data assimilation, and the rapid increase in the number of routinely assimilated observations over oceans. The data assimilation approach that has received the most attention in recent years is Ensemble Kalman Filtering (EnKF). The most attractive feature of the EnKF is that it uses a fully flow-dependent estimate of the error statistics, which can have important benefits for the analysis of rapidly developing TCs. We implement the Local Ensemble Transform Kalman Filter algorithm, a vari- ation of the EnKF, on a reduced-resolution version of the National Centers for Environmental Prediction (NCEP) Global Forecast System (GFS) model and the NCEP Regional Spectral Model (RSM) to build a coupled global-limited area anal- ysis/forecast system. This is the first time, to our knowledge, that such a system is used for the analysis and forecast of tropical cyclones. We use data from summer 2004 to study eight tropical cyclones in the Northwest Pacific. The benchmark data sets that we use to assess the performance of our system are the NCEP Reanalysis and the NCEP Operational GFS analyses from 2004. These benchmark analyses were both obtained by the Statistical Spectral Interpolation, which was the operational data assimilation system of NCEP in 2004. The GFS Operational analysis assimilated a large number of satellite radiance observations in addition to the observations assimilated in our system. All analyses are verified against the Joint Typhoon Warning Center Best Track data set. The errors are calculated for the position and intensity of the TCs. The global component of the ensemble-based system shows improvement in po- sition analysis over the NCEP Reanalysis, but shows no significant difference from the NCEP operational analysis for most of the storm tracks. The regional com- ponent of our system improves position analysis over all the global analyses. The intensity analyses, measured by the minimum sea level pressure, are of similar quality in all of the analyses. Regional deterministic forecasts started from our analyses are generally not significantly different from those started from the GFS operational analysis. On average, the regional experiments performed better for longer than 48 h sea level pressure forecasts, while the global forecast performed better in predicting the position for longer than 48 h.
Wind Wave Climate of the Baltic Sea
NASA Astrophysics Data System (ADS)
Medvedeva, Alisa
2017-04-01
Storms in the Baltic Sea in autumn and winter are very frequent. In this research the goal is to estimate decadal and interannual changes of the wave fields for the entire Baltic Sea. The wave parameters, such as significant wave heights and periods, were simulated for the period 1979-2015 years based on NCEP/CFSR Reanalysis data fields and for the period 1948-2010 years based on NCEP/NCAR Reanalysis data. For accuracy estimation of the model the statistical characteristics, such as correlation coefficient, bias, scatter index and RMSE were calculated. Also two computational meshes were compared: rectangular and triangulated. In this study the third generation spectral wind-wave model SWAN was used for simulations. For wind input data two types of wind reanalysis were chosen: NCEP/CFSR with 1-hour time step and NCEP/NCAR with time step of 6 hours. The final computational grid for rectangular mesh for the Baltic Sea is 0.05×0.05°. The simulated data were compared with instrumental data of the Sweden buoys and of the acoustic wave recorder fixed at the Russian oil platform. The results reveal that for the Baltic Sea it is more efficient to use rectangular mesh for the deep open area and irregular mesh near the coast. Simulations using wind data from NCEP/NCAR significantly decreases the quality of the results compared with NCEP/CFSR wind data: Bias increases in 10 times (-0.730), RMSE - in 2-3 times (0.89). The following results of numerical modeling using NCEP/NCAR the storm situations, when the significant wave height exceeded 2 meters, were identified for the 63-year period. An average of about 50 storms per year happened in the Baltic Sea in this time period. The storminess of the Baltic Sea tends to increase. The twenty-year periodicity with the increase in the 70-s and 90-s years of XX century was revealed. The average yearly significant wave height increases in the second part of the century too and differs from 2.4 to 3.3 m. Storm cyclones are connected with the global atmosphere circulation patterns. According to similar research of the other west seas of Russia by the analogous methods, such kind of twenty-year periodicity was identified for the Caspian Sea and the Sea of Azov, but the storminess there for the period from 1948 to 2010 decreases.
NASA Astrophysics Data System (ADS)
Hoyos, Isabel; Baquero-Bernal, Astrid; Hagemann, Stefan
2013-09-01
In Colombia, the access to climate related observational data is restricted and their quantity is limited. But information about the current climate is fundamental for studies on present and future climate changes and their impacts. In this respect, this information is especially important over the Colombian Caribbean Catchment Basin (CCCB) that comprises over 80 % of the population of Colombia and produces about 85 % of its GDP. Consequently, an ensemble of several datasets has been evaluated and compared with respect to their capability to represent the climate over the CCCB. The comparison includes observations, reconstructed data (CPC, Delaware), reanalyses (ERA-40, NCEP/NCAR), and simulated data produced with the regional climate model REMO. The capabilities to represent the average annual state, the seasonal cycle, and the interannual variability are investigated. The analyses focus on surface air temperature and precipitation as well as on surface water and energy balances. On one hand the CCCB characteristics poses some difficulties to the datasets as the CCCB includes a mountainous region with three mountain ranges, where the dynamical core of models and model parameterizations can fail. On the other hand, it has the most dense network of stations, with the longest records, in the country. The results can be summarised as follows: all of the datasets demonstrate a cold bias in the average temperature of CCCB. However, the variability of the average temperature of CCCB is most poorly represented by the NCEP/NCAR dataset. The average precipitation in CCCB is overestimated by all datasets. For the ERA-40, NCEP/NCAR, and REMO datasets, the amplitude of the annual cycle is extremely high. The variability of the average precipitation in CCCB is better represented by the reconstructed data of CPC and Delaware, as well as by NCEP/NCAR. Regarding the capability to represent the spatial behaviour of CCCB, temperature is better represented by Delaware and REMO, while precipitation is better represented by Delaware. Among the three datasets that permit an analysis of surface water and energy balances (REMO, ERA-40, and NCEP/NCAR), REMO best demonstrates the closure property of the surface water balance within the basin, while NCEP/NCAR does not demonstrate this property well. The three datasets represent the energy balance fairly well, although some inconsistencies were found in the individual balance components for NCEP/NCAR.
. These tables may be defined within a separate ASCII text file (see Description and Format of BUFR Tables time, the BUFR tables are usually read from an external ASCII text file (although it is also possible reports. Click here to view the ASCII text file (called /nwprod/fix/bufrtab.002 on the NCEP CCS machines
NCEP BUFRLIB Software User Guide
Integration Branch > Decoders > BUFRLIB BUFRLIB Software User Guide This document set describes how to use the NCEP BUFRLIB software to encode or decode BUFR messages. It is not intended to be a primer on background knowledge of the basic concepts of BUFR and will focus solely on how to use the BUFRLIB software
Global Ensemble Upgrade - 20060530
products available on both the NCEP ftp server (ftpprd.ncep.noaa.gov/pub/data/) and the NWS ftp server processing routines so that they can continue to receive and use these data. The nature of these changes are of global ensemble data will be drastically changed to allow for better system performance on the
Allan, Andrea M.; Hostetler, Steven W.; Alder, Jay R.
2014-01-01
We use the NCEP/NCAR Reanalysis (NCEP) and the MPI/ECHAM5 general circulation model to drive the RegCM3 regional climate model to assess the ability of the models to reproduce the spatiotemporal aspects of the Pacific-North American teleconnection (PNA) pattern. Composite anomalies of the NCEP-driven RegCM3 simulations for 1982–2000 indicate that the regional model is capable of accurately simulating the key features (500-hPa heights, surface temperature, and precipitation) of the positive and negative phases of the PNA with little loss of information in the downscaling process. The basic structure of the PNA is captured in both the ECHAM5 global and ECHAM5-driven RegCM3 simulations. The 1950–2000 ECHAM5 simulation displays similar temporal and spatial variability in the PNA index as that of NCEP; however, the magnitudes of the positive and negative phases are weaker than those of NCEP. The RegCM3 simulations clearly differentiate the climatology and associated anomalies of snow water equivalent and soil moisture of the positive and negative PNA phases. In the RegCM3 simulations of the future (2050–2100), changes in the location and extent of the Aleutian low and the continental high over North America alter the dominant flow patterns associated with positive and negative PNA modes. The future projections display a shift in the patterns of the relationship between the PNA and surface climate variables, which suggest the potential for changes in the PNA-related surface hydrology of North America.
NCEP MMAB Sea Ice Home Page The Polar and Great Lakes Ice group works on sea ice analysis from satellite, sea ice modeling, and ice-atmosphere-ocean coupling. Our work supports the Alaska Region of the @noaa.gov Last Modified 2 July 2012 Pages of Interest Analysis Daily Sea Ice Analyses Animations of the
An air quality forecast (AQF) system has been established at NOAA/NCEP since 2003 as a collaborative effort of NOAA and EPA. The system is based on NCEP's Eta mesoscale meteorological model and EPA's CMAQ air quality model (Davidson et al, 2004). The vision behind this system is ...
HOME PAGE Image of NCEP Logo WHERE AMERICA'S CLIMATE AND WEATHER SERVICES BEGIN NCEP Products Inventory Image of horizontal rule Rapid Refresh (RAP) Products Updated: 11/28/2016 * Information about the rap.tccz.awp243fxx.grib2 Not Available RAP - BUFR Sounding products Model Runs every hour (00z-23z) Filename Inventory
NCEP Air Quality Forecast(AQF) for Alaska/Hawaii. NOAA/NWS/NCEP/EMC
: Daily sfc max or avg 2D fields Quick verification O3/PM2.5 Meteor Year: 2012 2013 2014 2015 Month: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Grundy, Scott M
2005-07-04
Use of plant stanols/sterols in forms that are sufficiently bioavailable for therapeutic effect should be a key element of maximal dietary therapy. This principle was recognized by National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III) and has been amply confirmed by experimental studies in humans. Since the introduction of statins, dietary therapy for control of elevated low-density lipoprotein (LDL) cholesterol levels has received less attention. The time has come, however, to reassert the importance of maximal dietary therapy as a cost-effective means for treatment of elevated LDL concentrations and for lifetime prevention of coronary heart disease.
Use of medium-range numerical weather prediction model output to produce forecasts of streamflow
Clark, M.P.; Hay, L.E.
2004-01-01
This paper examines an archive containing over 40 years of 8-day atmospheric forecasts over the contiguous United States from the NCEP reanalysis project to assess the possibilities for using medium-range numerical weather prediction model output for predictions of streamflow. This analysis shows the biases in the NCEP forecasts to be quite extreme. In many regions, systematic precipitation biases exceed 100% of the mean, with temperature biases exceeding 3??C. In some locations, biases are even higher. The accuracy of NCEP precipitation and 2-m maximum temperature forecasts is computed by interpolating the NCEP model output for each forecast day to the location of each station in the NWS cooperative network and computing the correlation with station observations. Results show that the accuracy of the NCEP forecasts is rather low in many areas of the country. Most apparent is the generally low skill in precipitation forecasts (particularly in July) and low skill in temperature forecasts in the western United States, the eastern seaboard, and the southern tier of states. These results outline a clear need for additional processing of the NCEP Medium-Range Forecast Model (MRF) output before it is used for hydrologic predictions. Techniques of model output statistics (MOS) are used in this paper to downscale the NCEP forecasts to station locations. Forecasted atmospheric variables (e.g., total column precipitable water, 2-m air temperature) are used as predictors in a forward screening multiple linear regression model to improve forecasts of precipitation and temperature for stations in the National Weather Service cooperative network. This procedure effectively removes all systematic biases in the raw NCEP precipitation and temperature forecasts. MOS guidance also results in substantial improvements in the accuracy of maximum and minimum temperature forecasts throughout the country. For precipitation, forecast improvements were less impressive. MOS guidance increases he accuracy of precipitation forecasts over the northeastern United States, but overall, the accuracy of MOS-based precipitation forecasts is slightly lower than the raw NCEP forecasts. Four basins in the United States were chosen as case studies to evaluate the value of MRF output for predictions of streamflow. Streamflow forecasts using MRF output were generated for one rainfall-dominated basin (Alapaha River at Statenville, Georgia) and three snowmelt-dominated basins (Animas River at Durango, Colorado: East Fork of the Carson River near Gardnerville, Nevada: and Cle Elum River near Roslyn, Washington). Hydrologic model output forced with measured-station data were used as "truth" to focus attention on the hydrologic effects of errors in the MRF forecasts. Eight-day streamflow forecasts produced using the MOS-corrected MRF output as input (MOS) were compared with those produced using the climatic Ensemble Streamflow Prediction (ESP) technique. MOS-based streamflow forecasts showed increased skill in the snowmelt-dominated river basins, where daily variations in streamflow are strongly forced by temperature. In contrast, the skill of MOS forecasts in the rainfall-dominated basin (the Alapaha River) were equivalent to the skill of the ESP forecasts. Further improvements in streamflow forecasts require more accurate local-scale forecasts of precipitation and temperature, more accurate specification of basin initial conditions, and more accurate model simulations of streamflow. ?? 2004 American Meteorological Society.
75 FR 48934 - Coral Reef Conservation Program Implementation Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2010-08-12
...-01] RIN 0648-ZC19 Coral Reef Conservation Program Implementation Guidelines AGENCY: National Oceanic... Guidelines (Guidelines) for the Coral Reef Conservation Program (CRCP or Program) under the Coral Reef... assistance for coral reef conservation projects under the Act. NOAA revised the Implementation Guidelines for...
NASA Astrophysics Data System (ADS)
Shi, Chunhua; Huang, Ying; Guo, Dong; Zhou, Shunwu; Hu, Kaixi; Liu, Yu
2018-05-01
The South Asian High (SAH) has an important influence on atmospheric circulation and the Asian climate in summer. However, current comparative analyses of the SAH are mostly between reanalysis datasets and there is a lack of sounding data. We therefore compared the climatology, trends and abrupt changes in the SAH in the Japanese 55-year Reanalysis (JRA-55) dataset, the National Centers for Environmental Prediction Climate Forecast System Reanalysis (NCEP-CFSR) dataset, the European Center for Medium-Range Weather Forecasts Reanalysis Interim (ERA-interim) dataset and radiosonde data from China using linear analysis and a sliding t-test. The trends in geopotential height in the control area of the SAH were positive in the JRA-55, NCEP-CFSR and ERA-interim datasets, but negative in the radiosonde data in the time period 1979-2014. The negative trends for the SAH were significant at the 90% confidence level in the radiosonde data from May to September. The positive trends in the NCEP-CFSR dataset were significant at the 90% confidence level in May, July, August and September, but the positive trends in the JRA-55 and ERA-Interim were only significant at the 90% confidence level in September. The reasons for the differences in the trends of the SAH between the radiosonde data and the three reanalysis datasets in the time period 1979-2014 were updates to the sounding systems, changes in instrumentation and improvements in the radiation correction method for calculations around the year 2000. We therefore analyzed the trends in the two time periods of 1979-2000 and 2001-2014 separately. From 1979 to 2000, the negative SAH trends in the radiosonde data mainly agreed with the negative trends in the NCEP-CFSR dataset, but were in contrast with the positive trends in the JRA-55 and ERA-Interim datasets. In 2001-2014, however, the trends in the SAH were positive in all four datasets and most of the trends in the radiosonde and NCEP-CFSR datasets were significant. It is therefore better to use the NCEP-CFSR dataset than the JRA-55 and ERA-Interim datasets when discussing trends in the SAH.
50 CFR 253.18 - Program operating guidelines.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Program operating guidelines. 253.18 Section 253.18 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC... Guarantee Program § 253.18 Program operating guidelines. The Division may issue Program operating guidelines...
Precipitation From a Multiyear Database of Convection-Allowing WRF Simulations
NASA Astrophysics Data System (ADS)
Goines, D. C.; Kennedy, A. D.
2018-03-01
Convection-allowing models (CAMs) have become frequently used for operational forecasting and, more recently, have been utilized for general circulation model downscaling. CAM forecasts have typically been analyzed for a few case studies or over short time periods, but this limits the ability to judge the overall skill of deterministic simulations. Analysis over long time periods can yield a better understanding of systematic model error. Four years of warm season (April-August, 2010-2013)-simulated precipitation has been accumulated from two Weather Research and Forecasting (WRF) models with 4 km grid spacing. The simulations were provided by the National Center for Environmental Prediction (NCEP) and the National Severe Storms Laboratory (NSSL), each with different dynamic cores and parameterization schemes. These simulations are evaluated against the NCEP Stage-IV precipitation data set with similar 4 km grid spacing. The spatial distribution and diurnal cycle of precipitation in the central United States are analyzed using Hovmöller diagrams, grid point correlations, and traditional verification skill scoring (i.e., ETS; Equitable Threat Score). Although NCEP-WRF had a high positive error in total precipitation, spatial characteristics were similar to observations. For example, the spatial distribution of NCEP-WRF precipitation correlated better than NSSL-WRF for the Northern Plains. Hovmöller results exposed a delay in initiation and decay of diurnal precipitation by NCEP-WRF while both models had difficulty in reproducing the timing and location of propagating precipitation. ETS was highest for NSSL-WRF in all domains at all times. ETS was also higher in areas of propagating precipitation compared to areas of unorganized diurnal scattered precipitation. Monthly analysis identified unique differences between the two models in their abilities to correctly simulate the spatial distribution and zonal motion of precipitation through the warm season.
Ivezić-Lalić, Dragica; Bergman Marković, Biserka; Kranjčević, Ksenija; Kern, Josipa; Vrdoljak, Davorka; Vučak, Jasna
2013-07-12
This study compared the association between the 3 definitions of metabolic syndrome (MetS) suggested by the World Health Organization (WHO), National Cholesterol Education Programme (NCEP ATP III), and International Diabetes Federation (IDF), and the risk of cardiovascular diseases (CVD) and shows the prevalence and characteristics of persons with MetS in continental vs. coastal regions and rural vs. urban residence in Croatia. A prospective multicenter study was conducted on 3245 participants≥40 years, who visited general practices from May to July 2008 for any reason. This was a cross-sectional study of the Cardiovascular Risk and Intervention Study in Croatia-family medicine project (ISRCTN31857696). All analyzed MetS definitions showed an association with CVD, but the strongest was shown by NCEP ATP III; coronary disease OR 2.48 (95% CI 1.80-3.82), cerebrovascular disease OR 2.14 (1.19-3.86), and peripheral artery disease OR 1.55 (1.04-2.32), especially for age and male sex. According to the NCEP ATP III (IDF), the prevalence was 38.7% (45.9%) [15.9% (18.6%) in men, and 22.7% (27.3%) in women, and 28.4% (33.9%) in the continental region, 10.2% (10.9%) in the coastal region, 26.2% (31.5%) in urban areas, and 12.4% (14.4%) in rural areas. Older age, male sex, and residence in the continental area were positively associated with MetS diagnosis according to NCEP ATP III, and current smoking and Mediterranean diet adherence have protective effects. The NCEP ATP III definition seems to provide the strongest association with CVD and should therefore be preferred for use in this population.
Whether the decadal shift of South Asia High intensity around the late 1970s exists or not
NASA Astrophysics Data System (ADS)
Xue, Xu; Chen, Wen; Nath, Debashis; Zhou, Dingwen
2015-05-01
This study compares the decadal means of the seasonal (June-July-August (JJA)) mean geopotential heights available from the NCEP1 and ERA-40 reanalysis data in the Northern Hemisphere. The interdecadal changes in the South Asia High (SAH) intensity derived from the reanalysis data are also compared with ground-based radiosonde observations and atmospheric model outputs. The JJA mean geopotential heights in the 1980s are distinctly larger than the 1970s in NCEP1 over most of the regions in the Northern Hemisphere, while no obvious difference is observed in ERA-40. The interannual variation of the SAH strength is very close in the two reanalysis data, so that it is appropriate to utilize the reanalysis data to study the interannual variation of SAH strength after removing the interdecadal trend. However, the discrepancy in SAH intensity between NCEP1 and ERA-40 mainly exists on the interdecadal time scale. The SAH intensity in the NCEP1 was close to that in the ERA-40 before the late 1970s but became remarkably stronger after the late 1970s, leading to a much larger decadal strengthening during the period 1970-1990. Based on the six radiosonde observation stations in the area of the SAH, the results indicate that the decadal reinforcing in the SAH strength occurs around the mid-1980s. Thus, NCEP1 may overestimate the decadal shift in the SAH intensity around the late 1970s, while ERA-40 may underestimate it. Much attention needs to be paid when we use the reanalysis data to study the decadal variability of the SAH intensity.
NASA Astrophysics Data System (ADS)
Zhang, Hongxing; Yuan, Yunbin; Li, Wei; Ou, Jikun; Li, Ying; Zhang, Baocheng
2017-04-01
Weighted mean temperature (Tm) and pressure (Ps) are two parameters of great relevance to precipitable water vapor (PWV) retrieval from global positioning system (GPS) data. However, information about the Tm and Ps cannot be available for those GPS stations that are not colocated with meteorological sensors. To investigate the optimal GPS-PWV retrieval method for China, two enhanced Tm models, GM-Tm (temperature dependent) and GH-Tm (temperature independent), are developed. Additionally, the potentials of the Ps data from the two reanalysis data sets, the National Centers for Environmental Prediction (NCEP)-Department of Energy (DOE) Reanalysis II (NCEP II) and ERA-Interim, and from the empirical model GPT2w for GPS-PWV retrieval are investigated over China. To evaluate the performances of multisources Tm and Ps data for GPS-PWV retrieval, GPS data (2011-2013) collected from 22 stations of the Crustal Movement Observation Network of China (CMONOC) were processed by using the precise point positioning (PPP) technique, estimating the zenith tropospheric delay (ZTD) so as to be subsequently converted to GPS-PWV. The retrieved GPS-PWVs are compared with their counterparts derived from NCEP II and radiosonde data over China. The results show that (1) the GM-Tm model consistently shows the highest accuracy (with root mean square error of 2.3 K), and the GH-Tm model should be selected when temperature observations are not available, and that (2) the performances of Ps from NCEP II and ERA-Interim differ marginally for GPS-PWV retrieval, and significant seasonal variations are found in the agreement between the GPS-PWVs and the PWVs derived from NCEP II and radiosonde data over China.
Improving Incremental Balance in the GSI 3DVAR Analysis System
NASA Technical Reports Server (NTRS)
Errico, Ronald M.; Yang, Runhua; Kleist, Daryl T.; Parrish, David F.; Derber, John C.; Treadon, Russ
2008-01-01
The Gridpoint Statistical Interpolation (GSI) analysis system is a unified global/regional 3DVAR analysis code that has been under development for several years at the National Centers for Environmental Prediction (NCEP)/Environmental Modeling Center. It has recently been implemented into operations at NCEP in both the global and North American data assimilation systems (GDAS and NDAS). An important aspect of this development has been improving the balance of the analysis produced by GSI. The improved balance between variables has been achieved through the inclusion of a Tangent Linear Normal Mode Constraint (TLNMC). The TLNMC method has proven to be very robust and effective. The TLNMC as part of the global GSI system has resulted in substantial improvement in data assimilation both at NCEP and at the NASA Global Modeling and Assimilation Office (GMAO).
Taraphdar, S.; Mukhopadhyay, P.; Leung, L. Ruby; ...
2016-12-05
The prediction skill of tropical synoptic scale transients (SSTR) such as monsoon low and depression during the boreal summer of 2007–2009 are assessed using high resolution ECMWF and NCEP TIGGE forecasts data. By analyzing 246 forecasts for lead times up to 10 days, it is found that the models have good skills in forecasting the planetary scale means but the skills of SSTR remain poor, with the latter showing no skill beyond 2 days for the global tropics and Indian region. Consistent forecast skills among precipitation, velocity potential, and vorticity provide evidence that convection is the primary process responsible formore » precipitation. The poor skills of SSTR can be attributed to the larger random error in the models as they fail to predict the locations and timings of SSTR. Strong correlation between the random error and synoptic precipitation suggests that the former starts to develop from regions of convection. As the NCEP model has larger biases of synoptic scale precipitation, it has a tendency to generate more random error that ultimately reduces the prediction skill of synoptic systems in that model. Finally, the larger biases in NCEP may be attributed to the model moist physics and/or coarser horizontal resolution compared to ECMWF.« less
Sea Ice in the NCEP Seasonal Forecast System
NASA Astrophysics Data System (ADS)
Wu, X.; Saha, S.; Grumbine, R. W.; Bailey, D. A.; Carton, J.; Penny, S. G.
2017-12-01
Sea ice is known to play a significant role in the global climate system. For a weather or climate forecast system (CFS), it is important that the realistic distribution of sea ice is represented. Sea ice prediction is challenging; sea ice can form or melt, it can move with wind and/or ocean current; sea ice interacts with both the air above and ocean underneath, it influences by, and has impact on the air and ocean conditions. NCEP has developed coupled CFS (version 2, CFSv2) and also carried out CFS reanalysis (CFSR), which includes a coupled model with the NCEP global forecast system, a land model, an ocean model (GFDL MOM4), and a sea ice model. In this work, we present the NCEP coupled model, the CFSv2 sea ice component that includes a dynamic thermodynamic sea ice model and a simple "assimilation" scheme, how sea ice has been assimilated in CFSR, the characteristics of the sea ice from CFSR and CFSv2, and the improvements of sea ice needed for future seasonal prediction system, part of the Unified Global Coupled System (UGCS), which is being developed and under testing, including sea ice data assimilation with the Local Ensemble Transform Kalman Filter (LETKF). Preliminary results from the UGCS testing will also be presented.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Taraphdar, S.; Mukhopadhyay, P.; Leung, L. Ruby
The prediction skill of tropical synoptic scale transients (SSTR) such as monsoon low and depression during the boreal summer of 2007–2009 are assessed using high resolution ECMWF and NCEP TIGGE forecasts data. By analyzing 246 forecasts for lead times up to 10 days, it is found that the models have good skills in forecasting the planetary scale means but the skills of SSTR remain poor, with the latter showing no skill beyond 2 days for the global tropics and Indian region. Consistent forecast skills among precipitation, velocity potential, and vorticity provide evidence that convection is the primary process responsible formore » precipitation. The poor skills of SSTR can be attributed to the larger random error in the models as they fail to predict the locations and timings of SSTR. Strong correlation between the random error and synoptic precipitation suggests that the former starts to develop from regions of convection. As the NCEP model has larger biases of synoptic scale precipitation, it has a tendency to generate more random error that ultimately reduces the prediction skill of synoptic systems in that model. Finally, the larger biases in NCEP may be attributed to the model moist physics and/or coarser horizontal resolution compared to ECMWF.« less
Jellinger, Paul S; Handelsman, Yehuda; Rosenblit, Paul D; Bloomgarden, Zachary T; Fonseca, Vivian A; Garber, Alan J; Grunberger, George; Guerin, Chris K; Bell, David S H; Mechanick, Jeffrey I; Pessah-Pollack, Rachel; Wyne, Kathleen; Smith, Donald; Brinton, Eliot A; Fazio, Sergio; Davidson, Michael; Zangeneh, Farhad; Bush, Michael A
2017-04-02
The development of these guidelines is mandated by the American Association of Clinical Endocrinologists (AACE) Board of Directors and American College of Endocrinology (ACE) Board of Trustees and adheres with published AACE protocols for the standardized production of clinical practice guidelines (CPGs). Each Recommendation is based on a diligent review of the clinical evidence with transparent incorporation of subjective factors. The Executive Summary of this document contains 87 Recommendations of which 45 are Grade A (51.7%), 18 are Grade B (20.7%), 15 are Grade C (17.2%), and 9 (10.3%) are Grade D. These detailed, evidence-based recommendations allow for nuance-based clinical decision making that addresses multiple aspects of real-world medical care. The evidence base presented in the subsequent Appendix provides relevant supporting information for Executive Summary Recommendations. This update contains 695 citations of which 202 (29.1 %) are evidence level (EL) 1 (strong), 137 (19.7%) are EL 2 (intermediate), 119 (17.1%) are EL 3 (weak), and 237 (34.1%) are EL 4 (no clinical evidence). This CPG is a practical tool that endocrinologists, other healthcare professionals, regulatory bodies and health-related organizations can use to reduce the risks and consequences of dyslipidemia. It provides guidance on screening, risk assessment, and treatment recommendations for a range of patients with various lipid disorders. These recommendations emphasize the importance of treating low-density lipoprotein cholesterol (LDL-C) in some individuals to lower goals than previously recommended and support the measurement of coronary artery calcium scores and inflammatory markers to help stratify risk. Special consideration is given to patients with diabetes, familial hypercholesterolemia, women, and pediatric patients with dyslipidemia. Both clinical and cost-effectiveness data are provided to support treatment decisions. A1C = hemoglobin A1C ACE = American College of Endocrinology ACS = acute coronary syndrome AHA = American Heart Association ASCVD = atherosclerotic cardiovascular disease ATP = Adult Treatment Panel apo = apolipoprotein BEL = best evidence level CKD = chronic kidney disease CPG = clinical practice guidelines CVA = cerebrovascular accident EL = evidence level FH = familial hypercholesterolemia HDL-C = high-density lipoprotein cholesterol HeFH = heterozygous familial hypercholesterolemia HIV = human immunodeficiency virus HoFH = homozygous familial hypercholesterolemia hsCRP = high-sensitivity C-reactive protein LDL-C = low-density lipoprotein cholesterol Lp-PLA 2 = lipoprotein-associated phospholipase A 2 MESA = Multi-Ethnic Study of Atherosclerosis MetS = metabolic syndrome MI = myocardial infarction NCEP = National Cholesterol Education Program PCOS = polycystic ovary syndrome PCSK9 = proprotein convertase subtilisin/kexin type 9 T1DM = type 1 diabetes mellitus T2DM = type 2 diabetes mellitus TG = triglycerides VLDL-C = very low-density lipoprotein cholesterol.
Intra-Seasonal Monthly Oscillations in Stratospheric NCEP Data and Model Results
NASA Technical Reports Server (NTRS)
Mayr, H. G.; Mengel, J. G.; Huang, F. T.; Nash, E. R.
2009-01-01
Intra-seasonal oscillations (ISO) are observed in the zonal-mean of mesospheric wind and temperature measurements-and the numerical spectral model (NSM) generates such oscillations. Relatively large temperature ISO are evident also in stratospheric CPC (NCEP) data at high latitudes, where the NSM produces amplitudes around 3 K at 30 km. Analyzing the NCEP data for the years 1996-2006, we find in Fourier spectra signatures of oscillations with periods between 1.7 and 3 months. With statistical confidence levels exceeding 70%, the spectral features are induced by nonlinear interactions involving the annual and semi-annual variations. The synthesized data show for the 10-year average that the temperature ISO peak in winter, having amplitudes close to 4 K. The synthesized complete spectrum for periods around 2 months produces oscillations, varying from year to year, which can reach peak amplitudes of 15 and 5 K respectively at northern and southern polar latitudes.
NASA Astrophysics Data System (ADS)
Kim, J. B.; Um, M. J.; Kim, Y.
2016-12-01
Drought is one of the most powerful and extensive disasters and has the highest annual average damage among all the disasters. Focusing on East Asia, where over one fifth of all the people in the world live, drought has impacted as well as been projected to impact the region significantly. .Therefore it is critical to reasonably simulate the drought phenomenon in the region and thus this study would focus on the reproducibility of drought with the NCAR CLM. In this study, we examine the propagation of drought processes with different runoff parameterization of CLM in East Asia. Two different schemes are used; TOPMODEL-based and VIC-based schemes, which differentiate the result of runoff through the surface and subsurface runoff parameterization. CLM with different runoff scheme are driven with two atmospheric forcings from CRU/NCEP and NCEP reanalysis data. Specifically, propagation of drought from meteorological, agricultural to hydrologic drought is investigated with different drought indices, estimated with not only model simulated results but also observational data. The indices include the standardized precipitation evapotranspiration index (SPEI), standardized runoff index (SRI) and standardized soil moisture index (SSMI). Based on these indices, the drought characteristics such as intensity, frequency and spatial extent are investigated. At last, such drought assessments would reveal the possible model deficiencies in East Asia. AcknowledgementsThis work was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (2015R1C1A2A01054800) and the Korea Meteorological Administration R&D Program under Grant KMIPA 2015-6180.
Applications For Real Time NOMADS At NCEP To Disseminate NOAA's Operational Model Data Base
NASA Astrophysics Data System (ADS)
Alpert, J. C.; Wang, J.; Rutledge, G.
2007-05-01
A wide range of environmental information, in digital form, with metadata descriptions and supporting infrastructure is contained in the NOAA Operational Modeling Archive Distribution System (NOMADS) and its Real Time (RT) project prototype at the National Centers for Environmental Prediction (NCEP). NOMADS is now delivering on its goal of a seamless framework, from archival to real time data dissemination for NOAA's operational model data holdings. A process is under way to make NOMADS part of NCEP's operational production of products. A goal is to foster collaborations among the research and education communities, value added retailers, and public access for science and development. In the National Research Council's "Completing the Forecast", Recommendation 3.4 states: "NOMADS should be maintained and extended to include (a) long-term archives of the global and regional ensemble forecasting systems at their native resolution, and (b) re-forecast datasets to facilitate post-processing." As one of many participants of NOMADS, NCEP serves the operational model data base using data application protocol (Open-DAP) and other services for participants to serve their data sets and users to obtain them. Using the NCEP global ensemble data as an example, we show an Open-DAP (also known as DODS) client application that provides a request-and-fulfill mechanism for access to the complex ensemble matrix of holdings. As an example of the DAP service, we show a client application which accesses the Global or Regional Ensemble data set to produce user selected weather element event probabilities. The event probabilities are easily extended over model forecast time to show probability histograms defining the future trend of user selected events. This approach insures an efficient use of computer resources because users transmit only the data necessary for their tasks. Data sets are served by OPeN-DAP allowing commercial clients such as MATLAB or IDL as well as freeware clients such as GrADS to access the NCEP real time database. We will demonstrate how users can use NOMADS services to repackage area subsets and select levels and variables that are sent to a users selected ftp site. NOMADS can also display plots on demand for area subsets, selected levels, time series and selected variables.
Hanchaiphiboolkul, Suchat; Suwanwela, Nijasri Charnnarong; Poungvarin, Niphon; Nidhinandana, Samart; Puthkhao, Pimchanok; Towanabut, Somchai; Tantirittisak, Tasanee; Suwantamee, Jithanorm; Samsen, Maiyadhaj
2013-11-01
Limited information is available on the association between the metabolic syndrome (MetS) and stroke. Whether or not MetS confers a risk greater than the sum of its components is controversial. This study aimed to assess the association of MetS with stroke, and to evaluate whether the risk of MetS is greater than the sum of its components. The Thai Epidemiologic Stroke (TES) study is a community-based cohort study with 19,997 participants, aged 45-80 years, recruited from the general population from 5 regions of Thailand. Baseline survey data were analyzed in cross-sectional analyses. MetS was defined according to criteria from the National Cholesterol Education Program (NCEP) Adult Treatment Panel III, the American Heart Association/National Heart, Lung, and Blood Institute (revised NCEP), and International Diabetes Federation (IDF). Logistic regression analysis was used to estimate association of MetS and its components with stroke. Using c statistics and the likelihood ratio test we compared the capability of discriminating participants with and without stroke of a logistic model containing all components of MetS and potential confounders and a model also including the MetS variable. We found that among the MetS components, high blood pressure and hypertriglyceridemia were independently and significantly related to stroke. MetS defined by the NCEP (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.32-2.04), revised NCEP (OR, 2.27; 95% CI, 1.80-2.87), and IDF definitions (OR, 1.70; 95% CI, 1.37-2.13) was significantly associated with stroke after adjustment for age, sex, geographical area, education level, occupation, smoking status, alcohol consumption, and low-density lipoprotein cholesterol. After additional adjustment for all MetS components, these associations were not significant. There were no statistically significant difference (P=.723-.901) in c statistics between the model containing all MetS components and potential confounders and the model also including the MetS variable. The likelihood ratio test also showed no statistically significant (P=.166-.718) difference between these 2 models. Our findings suggest that MetS is associated with stroke, but not to a greater degree than the sum of its components. Thus, the focus should be on identification and appropriate control of its individual components, particularly high blood pressure and hypertriglyceridemia, rather than of MetS itself. Copyright © 2013 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Godin, Katelyn M; Kirkpatrick, Sharon I; Hanning, Rhona M; Stapleton, Jackie; Leatherdale, Scott T
2017-06-01
School breakfast programs are widespread and serve varying objectives regarding youth health promotion. Evidence-based guidelines for breakfast programs may be important in maximizing their effectiveness related to student outcomes, yet it is unclear what is available in Canada. A systematic review was conducted to identify and compare Canadian guidelines related to breakfast programs. Data sources included grey literature databases, customized search engines, targeted websites, and content expert consultations. Eligible guidelines met the following criteria: government and nongovernment sources at the federal and provincial/territorial levels, current version, and intended for program coordinators. Recommendations for program delivery were extracted, categorized, and mapped onto the 4 environments outlined in the ANGELO framework, and they were classified as "common" or "inconsistent" across guidelines. Fifteen sets of guidelines were included. No guidelines were available from federal or territorial governments and 4 provincial governments. There were few references to peer-reviewed literature within the guidelines and despite many common recommendations for program delivery, conflicting recommendations were also identified. Potential barriers to program participation, including a lack of consideration of allergies and other dietary restrictions, were identified. Future research should identify how guidelines are implemented and evaluate what effect their implementation has on program delivery and student outcomes.
Data Serving for ASIRI Participants
2015-09-30
Indian satellite INSAT 3D visible satellite image (April 24, 2015) with select WHOI mooring atmospheric and air- sea fluxes compared the NASA MERRA...evaluated the Bay of Bengal fluxes from field studies against a number of re-analyses (ECMWF, NCEP-1 and NCEP-2, NASA MERRA), and is currently...fluxes from the air-sea flux WHOI mooring at 18N and atmospheric reanalysis air-sea fluxes from NASA MERRA for a week in April 2015. It also shows the
NCEP Air Quality Forecast(AQF). NOAA/NWS/NCEP/EMC
19 20 21 22 23 24 25 26 27 28 29 30 31 Select Cycle: 12Z 06Z Select Field: target(4Z-4Z) day_1 O3 1h max target(4Z-4Z) day_2 O3 1h max target(4Z-4Z) day_1 O3 8h max target(4Z-4Z) day_2 O3 8h max Select
NASA Astrophysics Data System (ADS)
Srivastava, Prashant K.; Han, Dawei; Islam, Tanvir; Petropoulos, George P.; Gupta, Manika; Dai, Qiang
2016-04-01
Reference evapotranspiration (ETo) is an important variable in hydrological modeling, which is not always available, especially for ungauged catchments. Satellite data, such as those available from the MODerate Resolution Imaging Spectroradiometer (MODIS), and global datasets via the European Centre for Medium Range Weather Forecasts (ECMWF) reanalysis (ERA) interim and National Centers for Environmental Prediction (NCEP) reanalysis are important sources of information for ETo. This study explored the seasonal performances of MODIS (MOD16) and Weather Research and Forecasting (WRF) model downscaled global reanalysis datasets, such as ERA interim and NCEP-derived ETo, against ground-based datasets. Overall, on the basis of the statistical metrics computed, ETo derived from ERA interim and MODIS were more accurate in comparison to the estimates from NCEP for all the seasons. The pooled datasets also revealed a similar performance to the seasonal assessment with higher agreement for the ERA interim (r = 0.96, RMSE = 2.76 mm/8 days; bias = 0.24 mm/8 days), followed by MODIS (r = 0.95, RMSE = 7.66 mm/8 days; bias = -7.17 mm/8 days) and NCEP (r = 0.76, RMSE = 11.81 mm/8 days; bias = -10.20 mm/8 days). The only limitation with downscaling ERA interim reanalysis datasets using WRF is that it is time-consuming in contrast to the readily available MODIS operational product for use in mesoscale studies and practical applications.
2015-07-14
Development Program SLP - Sea Level Pressure SOI - Southern Oscillation Index SON - Statement of Need SST - Sea Surface Temperature iv SWL - Still Water...Level Pressure ( SLP ) from NCEP/NCAR reanalysis). Midway has known wave setup (Aucan et al., 2012) so we explored to what extent we could find an 12...Guam ONI 0.9 Kwajalein ONI 1.1 Pago Pago ONI 1.0 Honolulu SLP 1.3 Nawiliwili SLP 1.4 Kahului SLP 1.2 Hilo SLP 1.3 Mokuoloe SLP 1.2 Naha PDO 1.0 Kawaihae
Tropospheric Airborne Meteorological Data Reporting (TAMDAR) Sensor Development
NASA Technical Reports Server (NTRS)
Daniels, Taumi S.
2002-01-01
In response to recommendations from the National Aviation Weather Program Council, the National Aeronautics and Space Administration (NASA) is working with industry to develop an electronic pilot reporting capability for small aircraft. This paper describes the Tropospheric Airborne Meteorological Data Reporting (TAMDAR) sensor development effort. NASA is working with industry to develop a sensor capable of measuring temperature, relative humidity, magnetic heading, pressure, icing, and average turbulence energy dissipation. Users of the data include National Centers for Environmental Prediction (NCEP) forecast modelers, air traffic controllers, flight service stations, airline operation centers, and pilots. Preliminary results from flight tests are presented.
Testing forward model against OCO-2 and TANSO-FTS/GOSAT observed spectra in near infrared range
NASA Astrophysics Data System (ADS)
Zadvornykh, Ilya V.; Gribanov, Konstantin G.
2015-11-01
An existing software package FIRE-ARMS (Fine InfraRed Explorer for Atmospheric Remote MeasurementS) was modified by embedding vector radiative transfer model VLIDORT. Thus the program tool includes both thermal (TIR) and near infrared (NIR) regions. We performed forward simulation of near infrared spectra on the top of the atmosphere for outgoing radiation accounting multiple scattering in cloudless atmosphere. Simulated spectra are compared with spectra measured by TANSO-FTS/GOSAT and OCO-2 in the condition of cloudless atmosphere over Western Siberia. NCEP/NCAR reanalysis data were used to complete model atmosphere.
The Wrong Tool for the Job: Diabetes Public Health Programs and Practice Guidelines
López, Andrea; Black, Karen; Schillinger, Dean
2011-01-01
We surveyed state diabetes programs to determine whether they develop and disseminate diabetes guidelines. We found they largely disseminate clinical practice guidelines developed from subspecialty organizations, do not prioritize among the many recommendations contained in diabetes guidelines, and have not adapted guidelines to focus on population rather than individual health. An opportunity exists for state diabetes control programs to better align guidelines with public health goals. PMID:21852653
Diagnostic Comparison of Meteorological Analyses during the 2002 Antarctic Winter
NASA Technical Reports Server (NTRS)
Manney, Gloria L.; Allen, Douglas R.; Kruger, Kirstin; Naujokat, Barbara; Santee, Michelle L.; Sabutis, Joseph L.; Pawson, Steven; Swinbank, Richard; Randall, Cora E.; Simmons, Adrian J.;
2005-01-01
Several meteorological datasets, including U.K. Met Office (MetO), European Centre for Medium-Range Weather Forecasts (ECMWF), National Centers for Environmental Prediction (NCEP), and NASA's Goddard Earth Observation System (GEOS-4) analyses, are being used in studies of the 2002 Southern Hemisphere (SH) stratospheric winter and Antarctic major warming. Diagnostics are compared to assess how these studies may be affected by the meteorological data used. While the overall structure and evolution of temperatures, winds, and wave diagnostics in the different analyses provide a consistent picture of the large-scale dynamics of the SH 2002 winter, several significant differences may affect detailed studies. The NCEP-NCAR reanalysis (REAN) and NCEP-Department of Energy (DOE) reanalysis-2 (REAN-2) datasets are not recommended for detailed studies, especially those related to polar processing, because of lower-stratospheric temperature biases that result in underestimates of polar processing potential, and because their winds and wave diagnostics show increasing differences from other analyses between similar to 30 and 10 hPa (their top level). Southern Hemisphere polar stratospheric temperatures in the ECMWF 40-Yr Re-analysis (ERA-40) show unrealistic vertical structure, so this long-term reanalysis is also unsuited for quantitative studies. The NCEP/Climate Prediction Center (CPC) objective analyses give an inferior representation of the upper-stratospheric vortex. Polar vortex transport barriers are similar in all analyses, but there is large variation in the amount, patterns, and timing of mixing, even among the operational assimilated datasets (ECMWF, MetO, and GEOS-4). The higher-resolution GEOS-4 and ECMWF assimilations provide significantly better representation of filamentation and small-scale structure than the other analyses, even when fields gridded at reduced resolution are studied. The choice of which analysis to use is most critical for detailed transport studies (including polar process modeling) and studies involving synoptic evolution in the upper stratosphere. The operational assimilated datasets are better suited for most applications than the NCEP/CPC objective analyses and the reanalysis datasets.
[Metabolic syndrome: what, why, how and who?].
Pavlić-Renar, Ivana; Poljicanin, Tamara; Metelko, Zeljko
2007-06-01
Although first knowledge on the joint onset of cardiovascular risk factors had been gained earlier, the first systematic review of this condition was made by G. Reaven in 1988 with his thesis on syndrome X, today known as the metabolic syndrome, with insulin resistance as the common denominator. Four elements have been identified: central obesity, dyslipoproteinemia (increased triglycerides, reduced HDL cholesterol), hypertension and glucose intolerance. There are two most influential definitions: one by the National Cholesterol Education Program (NCEP) and the other by the International Diabetes Federation (/IDF). NCEP requires the presence of at least three of the following factors: abdominal obesity as assessed by waist circumference >102 cm (m) or >88 cm (f), dyslipoproteinemia defined as triglyceridemia > or =1.7 mmol/L and/or HDL cholesterol <1.03 mmol/L (m); <1.29 mmol/L (f), hypertension (blood pressure > or =30/85 mmHg) and fasting glycemia > or =5.6 mmol/L (previously 6.1). IDF focuses on central obesity defined as waist circumference, taking into consideration sex and ethnic group specificities, with the presence of at least two additional factors (dyslipoproteinemia, hypertension, or increased fasting glycemia - all criteria virtually the same as in NCEP definition). Both IDF and NCEP define abdominal obesity by waist circumference, taking account of sex differences, and, in case of IDF, ethnic ones as well. The idea is to identify the simplest measure to indirectly determine the accumulation of visceral fat, which is, contrary to subcutaneous fat, a significant cardiovascular risk factor. However, waist circumference as the only criterion seems to be less specific than the waist-to-hip circumference ratio, which defines the risk more specifically and also better reflects insulin resistance. There is broad discussion as to whether the term metabolic syndrome contributes to the identification of persons at risk of cardiovascular disease better than its components, and, if so, which is the right set of components. It is being recommended that the discussion on the metabolic syndrome be limited to persons without diabetes or already diagnosed cardiovascular disease, as the primary goal for these individuals is to prevent these diseases. It has already been shown that this was possible, primarily by intensive change in lifestyle - healthy diet and exercise. In conclusion, further basic research is necessary to explain the pathophysiologic mechanisms, which might serve to develop new therapies. Moreover, epidemiological and public health aspects are extremely important in the creation of a prevention program. Preliminary results of the Croatian Health Survey (2003) indicate that the metabolic syndrome according to the IDF criteria is present even in the youngest age group, with expected age-dependent increase in both men and women. This is even an underestimate since in this survey only blood pressure and waist circumference were actually measured, and data on dislipidemia and blood glucose were based on a questionnaire. It is already obvious that a wide action with two main goals aimed primarily at the youngest population is necessary: an increase in regular physical activity and the promotion of healthy and energy-adequate diet in the population at large.
78 FR 71715 - Amendments to Highway Safety Program Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2013-11-29
... promulgate uniform guidelines for State highway safety programs. This notice revises five of the existing... successful and are based on sound science and program administration. The revised guidelines are Guideline No... become effective as of the date of publication of this document in the Federal Register. FOR FURTHER...
NASA Astrophysics Data System (ADS)
Gumley, L.
2013-12-01
The Space Science and Engineering Center at the University of Wisconsin-Madison is creating a network of direct broadcast satellite data reception stations to acquire and process infrared and microwave sounder data in real-time from polar orbiting meteorological satellites and deliver the resulting products to NOAA with low latency for assimilation in NCEP numerical weather prediction models. The network will include 4 antenna sites that will be operated directly by SSEC, including Madison WI, Honolulu HI, Miami FL, and Mayaguez PR. The network will also include partner antenna sites not directly controlled by SSEC, including Corvallis OR, Monterey CA, Suitland MD, Fairbanks AK, and Guam. All of the antenna sites will have a combined X/L-band reception system capable of receiving data via direct broadcast from polar orbiting satellites including Suomi NPP and JPSS-1, Metop-A/B, POES,Terra, and Aqua. Each site will collect raw data from these satellites locally, process it to Level 1 (SDR) and Level 2 (EDR) products, and transmit the products back to SSEC for delivery to NOAA/NCEP. The primary purpose of the antenna systems is to provide real-time infrared and microwave sounder data from Metop and Suomi-NPP to NOAA to support data assimilation for NOAA/NCEP operational numerical weather prediction models. At present, NOAA/NCEP use of advanced infrared (CrIS, IASI, AIRS) and microwave (ATMS, AMSU) sounder data over North America in NWP data assimilation is limited because of the latency of the products in relation to the cutoff times for assimilation runs. This network will deliver infrared and microwave sounder data to NCEP with the lowest latency possible, via the reception and processing of data received via direct broadcast. CIMSS/SSEC is managing the procurement and installation of the antenna systems at the two new sites, and will operate the stations remotely. NOAA will establish the reception priorities (Metop and SNPP will be at the highest priority) and SSEC will set the reception schedule to acquire data from these satellites, and any other satellites at lower priority as determined jointly by NOAA, CIMSS/SSEC, and the antenna site hosts. SSEC is providing a product generation server at each site (where applicable) as part of the installed hardware to create satellite products in real-time. The host locations will provide the necessary network resources to enable infrared sounder (CrIS, IASI, and AIRS) and microwave sounder (ATMS and AMSU) data to be sent back to SSEC (and hence to NOAA/NCEP) with low latency (< 15 minutes). This presentation will described how the network realizes the goal of providing data to end users within 15 minutes of observation, and will give examples of the positive impact already observed on NCEP forecast model skill from assimilating real-time infrared and microwave sounder data in the NAM regional domain.
Hindcast of breaking waves and its impact at an island sheltered coast, Karwar
NASA Astrophysics Data System (ADS)
Dora, G. Udhaba; Kumar, V. Sanil
2018-01-01
Variability in the characteristics of depth-induced wave breakers along a non-uniform coastal topography and its impact on the morpho-sedimentary processes is examined at the island sheltered wave-dominated micro-tidal coast, Karwar, west coast of India. Waves are simulated using the coupled wind wave model, SWAN nested in WAVEWATCH III, forced by the reanalysis winds from different sources (NCEP/NCAR, ECMWF, and NCEP/CFSR). Impact of the wave breakers is evaluated through mean longshore current and sediment transport for various wave energy conditions across different coastal morphology. Study revealed that the NCEP/CFSR wind is comparatively reasonable in simulation of nearshore waves using the SWAN model nested by 2D wave spectra generated from WAVEWATCH III. The Galvin formula for estimating mean longshore current using the crest wave period and the Kamphuis approximation for longshore sediment transport is observed realistically at the sheltered coastal environment while the coast interacts with spilling and plunging breakers.
Improving Forecast Skill by Assimilation of AIRS Cloud Cleared Radiances RiCC
NASA Technical Reports Server (NTRS)
Susskind, Joel; Rosenberg, Robert I.; Iredell, Lena
2015-01-01
ECMWF, NCEP, and GMAO routinely assimilate radiosonde and other in-situ observations along with satellite IR and MW Sounder radiance observations. NCEP and GMAO use the NCEP GSI Data Assimilation System (DAS).GSI DAS assimilates AIRS, CrIS, IASI channel radiances Ri on a channel-by-channel, case-by-case basis, only for those channels i thought to be unaffected by cloud cover. This test excludes Ri for most tropospheric sounding channels under partial cloud cover conditions. AIRS Version-6 RiCC is a derived quantity representative of what AIRS channel i would have seen if the AIRS FOR were cloud free. All values of RiCC have case-by-case error estimates RiCC associated with them. Our experiments present to the GSI QCd values of AIRS RiCC in place of AIRS Ri observations. GSI DAS assimilates only those values of RiCC it thinks are cloud free. This potentially allows for better coverage of assimilated QCd values of RiCC as compared to Ri.
Speed enforcement camera systems operational guidelines
DOT National Transportation Integrated Search
2008-03-01
The ASE guidelines are intended to serve program managers, administrators, law enforcement, traffic engineers, program evaluators, and other individuals responsible for the strategic vision and daily op-erations of the program. The guidelines are wri...
Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Guidelines. 42.306 Section 42.306... PROCEDURES Equal Employment Opportunity Program Guidelines § 42.306 Guidelines. (a) Recipient agencies are... guidelines under their equal employment opportunity program which will correct, in a timely manner, any...
Guidelines for the Podiatrist in the School Health Program.
ERIC Educational Resources Information Center
Pigg, R. Morgan, Jr.
1978-01-01
These guidelines were compiled to provide a model for integrating the services of the podiatrist into the health program of the school. The guidelines are intended to enable the podiatrist to supplement or complement the services of other medical specialists involved in the school health program. The scope of the guidelines encompasses the…
AWIPS II in the University Community: Unidata's efforts and capabilities of the software
NASA Astrophysics Data System (ADS)
Ramamurthy, Mohan; James, Michael
2015-04-01
The Advanced Weather Interactive Processing System, version II (AWIPS II) is a weather forecasting, display and analysis tool that is used by the National Oceanic and Atmospheric Administration/National Weather Service (NOAA/NWS) and the National Centers for Environmental Prediction (NCEP) to ingest analyze and disseminate operational weather data. The AWIPS II software is built on a Service Oriented Architecture, takes advantage of open source software, and its design affords expandability, flexibility, and portability. Since many university meteorology programs are eager to use the same tools used by NWS forecasters, Unidata community interest in AWIPS II is high. The Unidata Program Center (UPC) has worked closely with NCEP staff during AWIPS II development in order to devise a way to make it available to the university. The Unidata AWIPS II software was released in beta form in 2014, and it incorporates a number of key changes to the baseline U. S. National Weather Service release to process and display additional data formats and run all components in a single-server standalone configuration. In addition to making available open-source instances of the software libraries that can be downloaded and run at any university, Unidata has also deployed the data-server side of AWIPS II, known as EDEX, in the Amazon Web Service and Microsoft Azure cloud environments. In this set up, universities receive all of the data from remote cloud instances, while they only have to run the AWIPS II client, known as CAVE, to analyze and visualize the data. In this presentation, we will describe Unidata's AWIPS II efforts, including the capabilities of the software in visualizing many different types of real-time meteorological data and its myriad uses in university and other settings.
ERIC Educational Resources Information Center
Utah State Library, Salt Lake City.
Two manuals provide guidelines for users of the Utah Publications Depository Program. The first, "Guidelines for State Agencies," is designed to assist agencies in complying with the depository law. The program is designed to collect Utah State Governmental publications and to make them available through libraries. State publications…
32 CFR 310.36 - OMB training guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 32 National Defense 2 2010-07-01 2010-07-01 false OMB training guidelines. 310.36 Section 310.36... PROGRAM DOD PRIVACY PROGRAM Training Requirements § 310.36 OMB training guidelines. The OMB guidelines (OMB Privacy Guidelines, 40 FR 28948 (July 9, 1975) require all agencies additionally to: (a) Instruct...
Ollenschläger, Günter; Lelgemann, Monika; Kopp, Ina
2007-07-15
In Germany, physicians enrolled in disease management programs are legally obliged to follow evidence-based clinical practice guidelines. That is why a Program for National Disease Management Guidelines (German DM-CPG Program) was established in 2002 aiming at implementation of best-practice evidence-based recommendations for nationwide as well as regional disease management programs. Against this background the article reviews programs, methods and tools for implementing DM-CPGs via clinical pathways as well as regional guidelines for outpatient care. Special reference is given to the institutionalized program of adapting DM-CPGs for regional use by primary-care physicians in the State of Hesse.
Hydrological responses to dynamically and statistically downscaled climate model output
Wilby, R.L.; Hay, L.E.; Gutowski, W.J.; Arritt, R.W.; Takle, E.S.; Pan, Z.; Leavesley, G.H.; Clark, M.P.
2000-01-01
Daily rainfall and surface temperature series were simulated for the Animas River basin, Colorado using dynamically and statistically downscaled output from the National Center for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) re-analysis. A distributed hydrological model was then applied to the downscaled data. Relative to raw NCEP output, downscaled climate variables provided more realistic stimulations of basin scale hydrology. However, the results highlight the sensitivity of modeled processes to the choice of downscaling technique, and point to the need for caution when interpreting future hydrological scenarios.
Prevalence of the metabolic syndrome in people of Asian Indian origin: outcomes by definitions.
Das, M; Pal, S; Ghosh, A
2011-01-01
The prevalence of the metabolic syndrome (MS) is high among south Asian Indians. In order to better comprehend the MS, its definition and modifications require region-specific cut-off values and common minimum criteria for people of Indian origin. To define the MS, the criteria as defined in the National Cholesterol Education Program (NCEP): expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) (ATP III 2001), followed by the modified ATP III of 2005 were used, along with a modified version specific to the people of south Asian origin (ATP III SAS, 2009). The three definitions showed differences in prevalence of the MS among the adult Asian Indians. According to the criteria of NCEP ATP III 2001, the prevalence was found to be 32.3%. Using the modified ATP III 2005, the prevalence was 48.3%, and for south Asian-specific (SAS) ATP III, it was 31.4%. For all three definitions, females had a considerably higher prevalence of the MS than males. It was also observed that that a large number of individuals were misclassified due to lack of common minimum criteria. In order to curb the growing threat of the MS, and to aid clinical management among people of Indian origin, a more comprehensive definition of the MS is urgently required.
Freitas, Roberta Souza; Fonseca, Maria de Jesus Mendes da; Schmidt, Maria Inês; Molina, Maria Del Carmen Bisi; Almeida, Maria da Conceição Chagas de
2018-03-29
This study's objectives were to estimate the prevalence of hypertriglyceridemic waist (HTW) phenotype in participants in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), identify associated risk factors, and compare with other cardiovascular and metabolic risk indicators. This was a cross-sectional study with baseline data from a cohort of public employees. HTW is defined as the simultaneous presence of increased waist circumference (WC) (≥ 80cm for women, ≥ 90cm for men according to the International Diabetes Federation - IDF; and ≥ 88cm for women, ≥ 102cm for men according to the U.S. National Cholesterol Education Program - NCEP) and hypertriglyceridemia. Associations between independent variables and HTW were tested with multivariate logistic regression models. HTW was also compared to other cardiovascular and metabolic risk indicators by means of correlation tests, kappa index, sensitivity, and specificity. After exclusions, 12,811 participants were analyzed. Prevalence of HTW ranged from 24.7% (IDF) to 13.3% (NCEP). HTW was associated with age, excessive alcohol consumption, former smoking, low HDL, non-high HDL, and increased C-reactive protein, independently of gender or the criterion used to define HTW. HTW was associated with cardiovascular risk indicators, especially metabolic syndrome. The high prevalence of HTW and its association with cardiovascular risk indicators, especially metabolic syndrome, supports its use as a cardiometabolic risk screening tool in clinical practice.
Rodriguez, Fátima; Naderi, Sahar; Wang, Yun; Johnson, Caitlin E; Foody, JoAnne M
2013-04-01
Hispanics are the fastest growing segment of the U.S. population and have a higher prevalence of cardiometabolic risk factors as compared with non-Hispanic whites. Further data suggests that Hispanics have undiagnosed complications of metabolic syndrome, namely diabetes mellitus, at an earlier age. We sought to better understand the epidemiology of metabolic syndrome in Hispanic women using data from a large, community-based health screening program. Using data from the Sister to Sister: The Women's Heart Health Foundation community health fairs from 2008 to 2009 held in 17 U.S. cities, we sought to characterize how cardiometabolic risk profiles vary across age for women by race and ethnicity. Metabolic syndrome was defined using the updated National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guidelines, which included three or more of the following: Waist circumference ≥35 inches, triglycerides ≥150 mg/dL, high-density lipoprotein (HDL) <50 mg/dL, systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥85 mmHg, or a fasting glucose ≥100 mg/dL. A total of 6843 community women were included in the analyses. Metabolic syndrome had a prevalence of 35%. The risk-adjusted odds ratio for metabolic syndrome in Hispanic women versus white women was 1.7 (95% confidence interval, 1.4, 2.0). Dyslipidemia was the strongest predictor of metabolic syndrome among Hispanic women. This disparity appeared most pronounced for younger women. Additional predictors of metabolic syndrome included black race, increasing age, and smoking. In a large, nationally representative sample of women, we found that metabolic syndrome was highly prevalent among young Hispanic women. Efforts specifically targeted to identifying these high-risk women are necessary to prevent the cardiovascular morbidity and mortality associated with metabolic syndrome.
Monitoring the Global Soil Moisture Climatology Using GLDAS/LIS
NASA Astrophysics Data System (ADS)
Meng, J.; Mitchell, K.; Wei, H.; Gottschalck, J.
2006-05-01
Soil moisture plays a crucial role in the terrestrial water cycle through governing the process of partitioning precipitation among infiltration, runoff and evaporation. Accurate assessment of soil moisture and other land states, namely, soil temperature, snowpack, and vegetation, is critical in numerical environmental prediction systems because of their regulation of surface water and energy fluxes between the surface and atmosphere over a variety of spatial and temporal scales. The Global Land Data Assimilation System (GLDAS) is developed, jointly by NASA Goddard Space Flight Center (GSFC) and NOAA National Centers for Environmental Prediction (NCEP), to perform high-quality global land surface simulation using state-of-art land surface models and further minimizing the errors of simulation by constraining the models with observation- based precipitation, and satellite land data assimilation techniques. The GLDAS-based Land Information System (LIS) infrastructure has been installed on the NCEP supercomputer that serves the operational weather and climate prediction systems. In this experiment, the Noah land surface model is offline executed within the GLDAS/LIS infrastructure, driven by the NCEP Global Reanalysis-2 (GR2) and the CPC Merged Analysis of Precipitation (CMAP). We use the same Noah code that is coupled to the operational NCEP Global Forecast System (GFS) for weather prediction and test bed versions of the NCEP Climate Forecast System (CFS) for seasonal prediction. For assessment, it is crucial that this uncoupled GLDAS/Noah uses exactly the same Noah code (and soil and vegetation parameters therein), and executes with the same horizontal grid, landmask, terrain field, soil and vegetation types, seasonal cycle of green vegetation fraction and surface albedo as in the coupled GFS/Noah and CFS/Noah. This execution is for the 25-year period of 1980-2005, starting with a pre-execution 10-year spin-up. This 25-year GLDAS/Noah global land climatology will be used for both climate variability assessment and as a source of land initial conditions for ensemble CFS/Noah seasonal hindcast experiments. Finally, this GLDAS/Noah climatology will serve as the foundation for a global drought/flood monitoring system that includes near realtime daily updates of the global land states.
Assimilation of Quality Controlled AIRS Temperature Profiles using the NCEP GFS
NASA Technical Reports Server (NTRS)
Susskind, Joel; Reale, Oreste; Iredell, Lena; Rosenberg, Robert
2013-01-01
We have previously conducted a number of data assimilation experiments using AIRS Version-5 quality controlled temperature profiles as a step toward finding an optimum balance of spatial coverage and sounding accuracy with regard to improving forecast skill. The data assimilation and forecast system we used was the Goddard Earth Observing System Model , Version-5 (GEOS-5) Data Assimilation System (DAS), which represents a combination of the NASA GEOS-5 forecast model with the National Centers for Environmental Prediction (NCEP) operational Grid Point Statistical Interpolation (GSI) global analysis scheme. All analyses and forecasts were run at a 0.5deg x 0.625deg spatial resolution. Data assimilation experiments were conducted in four different seasons, each in a different year. Three different sets of data assimilation experiments were run during each time period: Control; AIRS T(p); and AIRS Radiance. In the "Control" analysis, all the data used operationally by NCEP was assimilated, but no AIRS data was assimilated. Radiances from the Aqua AMSU-A instrument were also assimilated operationally by NCEP and are included in the "Control". The AIRS Radiance assimilation adds AIRS observed radiance observations for a select set of channels to the data set being assimilated, as done operationally by NCEP. In the AIRS T(p) assimilation, all information used in the Control was assimilated as well as Quality Controlled AIRS Version-5 temperature profiles, i.e., AIRS T(p) information was substituted for AIRS radiance information. The AIRS Version-5 temperature profiles were presented to the GSI analysis as rawinsonde profiles, assimilated down to a case-by-case appropriate pressure level p(sub best) determined using the Quality Control procedure. Version-5 also determines case-by-case, level-by-level error estimates of the temperature profiles, which were used as the uncertainty of each temperature measurement. These experiments using GEOS-5 have shown that forecasts resulting from analyses using the AIRS T(p) assimilation system were superior to those from the Radiance assimilation system, both with regard to global 7 day forecast skill and also the ability to predict storm tracks and intensity.
NASA Technical Reports Server (NTRS)
Manney, Gloria L.; Sabutis, Joseph L.; Pawson, Steven; Santee, Michelle L.; Naujokat, Barbara; Swinbank, Richard; Gelman, Melvyn E.; Ebisuzaki, Wesley; Atlas, Robert (Technical Monitor)
2001-01-01
A quantitative intercomparison of six meteorological analyses is presented for the cold 1999-2000 and 1995-1996 Arctic winters. The impacts of using different analyzed temperatures in calculations of polar stratospheric cloud (PSC) formation potential, and of different winds in idealized trajectory-based temperature histories, are substantial. The area with temperatures below a PSC formation threshold commonly varies by approximately 25% among the analyses, with differences of over 50% at some times/locations. Freie University at Berlin analyses are often colder than others at T is less than or approximately 205 K. Biases between analyses vary from year to year; in January 2000. U.K. Met Office analyses were coldest and National Centers for Environmental Prediction (NCEP) analyses warmest. while NCEP analyses were usually coldest in 1995-1996 and Met Office or NCEP[National Center for Atmospheric Research Reanalysis (REAN) warmest. European Centre for Medium Range Weather Forecasting (ECMWF) temperatures agreed better with other analyses in 1999-2000, after improvements in the assimilation model. than in 1995-1996. Case-studies of temperature histories show substantial differences using Met Office, NCEP, REAN and NASA Data Assimilation Office (DAO) analyses. In January 2000 (when a large cold region was centered in the polar vortex), qualitatively similar results were obtained for all analyses. However, in February 2000 (a much warmer period) and in January and February 1996 (comparably cold to January 2000 but with large cold regions near the polar vortex edge), distributions of "potential PSC lifetimes" and total time spent below a PSC formation threshold varied significantly among the analyses. Largest peaks in "PSC lifetime" distributions in January 2000 were at 4-6 and 11-14 days. while in the 1996 periods, they were at 1-3 days. Thus different meteorological conditions in comparably cold winters had a large impact on expectations for PSC formation and on the discrepancies between different meteorological analyses. Met Office. NCEP, REAN, ECMWF and DAO analyses are commonly used for trajectory calculations and in chemical transport models; the choice of which analysis to use can strongly influence the results of such studies.
The stratospheric quasi-biennial oscillation in the NCEP reanalyses: Climatological structures
NASA Astrophysics Data System (ADS)
Huesmann, Amihan S.; Hitchman, Matthew H.
2001-06-01
Global quasi-biennial variation in the lower stratosphere and tropopause region is studied using 41 years (1958-1998) of reanalyses from the National Centers for Environmental Prediction (NCEP). Horizontal wind, temperature, geopotential height, tropopause temperature and pressure fields are used. A new quasi-biennial oscillation (QBO) indexing method is presented, which is based on the zonal mean zonal wind shear anomaly at the equator and is compared to the Singapore index. A phase difference composting technique provides ``snapshots'' of the QBO meridional-vertical structure as it descends, and ``composite phases'' provide a look at its time progression. Via binning large amounts of data, the first observation-based estimate of the QBO meridional circulation is obtained. High-latitude QBO variability supports previous studies that invoke planetary wave-mean flow interaction as an explanation. The meridional distribution of the range in QBO zonal wind is compared with the stratospheric annual cycle, with the annual cycle dominating poleward of ~12° latitude but still being significant in the deep tropics. The issues of temporal shear zone asymmetries and phase locking with the annual cycle are critically examined. Subtracting the time mean and annual cycle removes ~2/3 of the asymmetry in wind (and wind shear) zone descent rate. The NCEP data validate previous findings that both the easterly and westerly QBO anomalous wind regimes in the lower stratosphere change sign preferentially during northern summer. It is noteworthy that the NCEP QBO amplitude and the relationships among the reanalysed zonal wind, temperature, and meridional circulation undergo a substantial change around 1978.
Guidelines for Evaluating Auditory-Oral Programs for Children Who Are Hearing Impaired.
ERIC Educational Resources Information Center
Alexander Graham Bell Association for the Deaf, Inc., Washington, DC.
These guidelines are intended to assist parents in evaluating educational programs for children who are hearing impaired, where a program's stated intention is promoting the child's optimal use of spoken language as a mode of everyday communication and learning. The guidelines are applicable to programs where spoken language is the sole mode or…
Measuring feed intake and BRD susceptibility:BIF guidelines
USDA-ARS?s Scientific Manuscript database
BIF Guidelines, more properly titled Uniform Guidelines for Beef Improvement Programs, are a set of suggested approaches to assist member organizations in the development and operation of performance programs for their members. In early versions of the Guidelines these approaches primarily related ...
Evaluation of blocking performance in ensemble seasonal integrations
NASA Astrophysics Data System (ADS)
Casado, M. J.; Doblas-Reyes, F. J.; Pastor, M. A.
2003-04-01
EVALUATION OF BLOCKING PERFOMANCE IN ENSEMBLE SEASONAL INTEGRATIONS M. J. Casado (1), F. J. Doblas-Reyes (2), A. Pastor (1) (1) I Instituto Nacional de Meteorología, c/Leonardo Prieto Castro,8,28071 ,Madrid,Spain, mjcasado@inm.es (2) ECMWF, Shinfield Park,RG2 9AX, Reading, UK, f.doblas-reyes@ecmwf.int Climate models have shown a robust inability to reliably predict blocking onset and frequency. This systematic error has been evaluated using multi-model ensemble seasonal integrations carried out in the framework of the Prediction Of climate Variations On Seasonal and interanual Timescales (PROVOST) project and compared to a blocking features assessment of the NCEP re-analyses. The PROVOST GCMs are able to adequately reproduce the spatial NCEP teleconnection patterns over the Northern Hemisphere, being notorious the great spatial correlation coefficient with some of the corresponding NCEP patterns. In spite of that, the different models show a consistent underestimation of blocking frequency which may impact on the ability to predict the seasonal amplitude of the leading modes of variability over the Northern Hemisphere.
5 CFR 720.206 - Selection guidelines.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Selection guidelines. 720.206 Section 720... guidelines. This subpart sets forth requirements for a recruitment program, not a selection program... procedures and criteria must be consistent with the Uniform Guidelines on Employee Selection Procedures (43...
49 CFR Appendix D to Part 26 - Mentor-Protégé Program Guidelines
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 1 2010-10-01 2010-10-01 false Mentor-Protégé Program Guidelines D Appendix D... D to Part 26—Mentor-Protégé Program Guidelines (A) The purpose of this program element is to further... and assistance from other firms. To operate a mentor-protégé program, a recipient must obtain the...
Guidelines for Implementing State Skill Standards Certificate Program in Construction.
ERIC Educational Resources Information Center
Wisconsin State Dept. of Workforce Development, Madison.
This packet contains guidelines, a student competency checklist, and student evaluation sheet for use in a Wisconsin school-to-work state skill standards certificate program in construction. The guidelines provide a planning resource for implementing the program, which was created in partnership with unions, employers, the state Department of…
75 FR 22809 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2010-04-30
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... for Federal Workplace Drug Testing Programs (Mandatory Guidelines) from May 1, 2010, to October 1... drug testing programs as soon as possible that they will not be expected to implement the revisions to...
School Business Community Partnership Brokers. Program Guidelines, 2010-2013
ERIC Educational Resources Information Center
Australian Government Department of Education, Employment and Workplace Relations, 2009
2009-01-01
These guidelines for 2010-2013 relate specifically to the Partnership Brokers program. This program is part of the Australian Government's contribution to the Youth Attainment and Transitions National Partnership and will commence on 1 January 2010. These Guidelines set out the requirements for the provision of services by organisations contracted…
ERIC Educational Resources Information Center
Repp, Charles A.; Brach, Ronald C.
The manual provides a rationale, procedural guidelines, time-schedules, instruments, and supporting documentation for student services program evaluation at SUNY Agricultural and Technical College, Delhi. Six procedural guidelines include: (1) all programs and services should be evaluated at least once every four years, with provision for annual…
Adult Literacy Programs: Guidelines for Effectiveness.
ERIC Educational Resources Information Center
Lord, Jerome E.
This report is a summary of information from both research and experience about the assumptions and practices that guide successful basic skills programs. The 31 guidelines are basic to building a solid foundation on which effective instructional programs for adults can be developed. The first six guidelines address some important characteristics…
NCEP Air Quality Forecast(AQF). Web designed by Binbin Zhou,
NOAA/NWS/NCEP/EMC 2D Fields 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Select speed: normal 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Cycle: 12Z
OceanNOMADS: Real-time and retrospective access to operational U.S. ocean prediction products
NASA Astrophysics Data System (ADS)
Harding, J. M.; Cross, S. L.; Bub, F.; Ji, M.
2011-12-01
The National Oceanic and Atmospheric Administration (NOAA) National Operational Model Archive and Distribution System (NOMADS) provides both real-time and archived atmospheric model output from servers at the National Centers for Environmental Prediction (NCEP) and National Climatic Data Center (NCDC) respectively (http://nomads.ncep.noaa.gov/txt_descriptions/marRutledge-1.pdf). The NOAA National Ocean Data Center (NODC) with NCEP is developing a complementary capability called OceanNOMADS for operational ocean prediction models. An NCEP ftp server currently provides real-time ocean forecast output (http://www.opc.ncep.noaa.gov/newNCOM/NCOM_currents.shtml) with retrospective access through NODC. A joint effort between the Northern Gulf Institute (NGI; a NOAA Cooperative Institute) and the NOAA National Coastal Data Development Center (NCDDC; a division of NODC) created the developmental version of the retrospective OceanNOMADS capability (http://www.northerngulfinstitute.org/edac/ocean_nomads.php) under the NGI Ecosystem Data Assembly Center (EDAC) project (http://www.northerngulfinstitute.org/edac/). Complementary funding support for the developmental OceanNOMADS from U.S. Integrated Ocean Observing System (IOOS) through the Southeastern University Research Association (SURA) Model Testbed (http://testbed.sura.org/) this past year provided NODC the analogue that facilitated the creation of an NCDDC production version of OceanNOMADS (http://www.ncddc.noaa.gov/ocean-nomads/). Access tool development and storage of initial archival data sets occur on the NGI/NCDDC developmental servers with transition to NODC/NCCDC production servers as the model archives mature and operational space and distribution capability grow. Navy operational global ocean forecast subsets for U.S waters comprise the initial ocean prediction fields resident on the NCDDC production server. The NGI/NCDDC developmental server currently includes the Naval Research Laboratory Inter-America Seas Nowcast/Forecast System over the Gulf of Mexico from 2004-Mar 2011, the operational Naval Oceanographic Office (NAVOCEANO) regional USEast ocean nowcast/forecast system from early 2009 to present, and the NAVOCEANO operational regional AMSEAS (Gulf of Mexico/Caribbean) ocean nowcast/forecast system from its inception 25 June 2010 to present. AMSEAS provided one of the real-time ocean forecast products accessed by NOAA's Office of Response and Restoration from the NGI/NCDDC developmental OceanNOMADS during the Deep Water Horizon oil spill last year. The developmental server also includes archived, real-time Navy coastal forecast products off coastal Japan in support of U.S./Japanese joint efforts following the 2011 tsunami. Real-time NAVOCEANO output from regional prediction systems off Southern California and around Hawaii, currently available on the NCEP ftp server, are scheduled for archival on the developmental OceanNOMADS by late 2011 along with the next generation Navy/NOAA global ocean prediction output. Accession and archival of additional regions is planned as server capacities increase.
Smith, Katherine; Firth, Kimberly; Smeeding, Sandra; Wolever, Ruth; Kaufman, Joanna; Delgado, Roxana; Bellanti, Dawn; Xenakis, Lea
2016-01-01
Research suggests that the development of mind-body skills can improve individual and family resilience, particularly related to the stresses of illness, trauma, and caregiving. To operationalize the research evidence that mind-body skills help with health and recovery, Samueli Institute, in partnership with experts in mind-body programming, created a set of guidelines for developing and evaluating mind-body programs for service members, veterans, and their families. The Guidelines for Creating, Implementing, and Evaluating Mind-Body Programs in a Military Healthcare Setting outline key strategies and issues to consider when developing, implementing, and evaluating a mind-body focused family empowerment approach in a military healthcare setting. Although these guidelines were developed specifically for a military setting, most of the same principles can be applied to the development of programs in the civilian setting as well. The guidelines particularly address issues unique to mind-body programs, such as choosing evidence-based modalities, licensure and credentialing, safety and contraindications, and choosing evaluation measures that capture the holistic nature of these types of programs. The guidelines are practical, practice-based guidelines, developed by experts in the fields of program development and evaluation, mind-body therapies, patient- and family-centered care, as well as, experts in military and veteran's health systems. They provide a flexible framework to create mind-body family empowerment programs and describe important issues that program developers and evaluators are encouraged to address to ensure the development of the most impactful, successful, evidence-supported programs possible. Copyright © 2016 Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Bundy, Clarence E.
1974-01-01
Guidelines developed at a national seminar establish goals and action steps for developing, expanding, and/or evaluating agriculture/agribusiness programs. America's role as a major food and fiber source for the world demands educated farmers. The guidelines apply to all levels of the agriculture education program. (AG)
Code of Federal Regulations, 2012 CFR
2012-07-01
... denying equal employment opportunities to minority individuals and women. (b) Equal employment program... Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION; EQUAL EMPLOYMENT OPPORTUNITY; POLICIES AND PROCEDURES Equal Employment Opportunity Program Guidelines § 42.306 Guidelines. (a) Recipient agencies are...
NASA Astrophysics Data System (ADS)
Deng, Xueliang; Nie, Suping; Deng, Weitao; Cao, Weihua
2018-04-01
In this study, we compared the following four different gridded monthly precipitation products: the National Centers for Environmental Prediction version 2 (NCEP-2) reanalysis data, the satellite-based Climate Prediction Center Morphing technique (CMORPH) data, the merged satellite-gauge Global Precipitation Climatology Project (GPCP) data, and the merged satellite-gauge-model data from the Beijing Climate Center Merged Estimation of Precipitation (BMEP). We evaluated the performances of these products using monthly precipitation observations spanning the period of January 2003 to December 2013 from a dense, national, rain gauge network in China. Our assessment involved several statistical techniques, including spatial pattern, temporal variation, bias, root-mean-square error (RMSE), and correlation coefficient (CC) analysis. The results show that NCEP-2, GPCP, and BMEP generally overestimate monthly precipitation at the national scale and CMORPH underestimates it. However, all of the datasets successfully characterized the northwest to southeast increase in the monthly precipitation over China. Because they include precipitation gauge information from the Global Telecommunication System (GTS) network, GPCP and BMEP have much smaller biases, lower RMSEs, and higher CCs than NCEP-2 and CMORPH. When the seasonal and regional variations are considered, NCEP-2 has a larger error over southern China during the summer. CMORPH poorly reproduces the magnitude of the precipitation over southeastern China and the temporal correlation over western and northwestern China during all seasons. BMEP has a lower RMSE and higher CC than GPCP over eastern and southern China, where the station network is dense. In contrast, BMEP has a lower CC than GPCP over western and northwestern China, where the gauge network is relatively sparse.
NASA Astrophysics Data System (ADS)
Tallapragada, V.
2017-12-01
NOAA's Next Generation Global Prediction System (NGGPS) has provided the unique opportunity to develop and implement a non-hydrostatic global model based on Geophysical Fluid Dynamics Laboratory (GFDL) Finite Volume Cubed Sphere (FV3) Dynamic Core at National Centers for Environmental Prediction (NCEP), making a leap-step advancement in seamless prediction capabilities across all spatial and temporal scales. Model development efforts are centralized with unified model development in the NOAA Environmental Modeling System (NEMS) infrastructure based on Earth System Modeling Framework (ESMF). A more sophisticated coupling among various earth system components is being enabled within NEMS following National Unified Operational Prediction Capability (NUOPC) standards. The eventual goal of unifying global and regional models will enable operational global models operating at convective resolving scales. Apart from the advanced non-hydrostatic dynamic core and coupling to various earth system components, advanced physics and data assimilation techniques are essential for improved forecast skill. NGGPS is spearheading ambitious physics and data assimilation strategies, concentrating on creation of a Common Community Physics Package (CCPP) and Joint Effort for Data Assimilation Integration (JEDI). Both initiatives are expected to be community developed, with emphasis on research transitioning to operations (R2O). The unified modeling system is being built to support the needs of both operations and research. Different layers of community partners are also established with specific roles/responsibilities for researchers, core development partners, trusted super-users, and operations. Stakeholders are engaged at all stages to help drive the direction of development, resources allocations and prioritization. This talk presents the current and future plans of unified model development at NCEP for weather, sub-seasonal, and seasonal climate prediction applications with special emphasis on implementation of NCEP FV3 Global Forecast System (GFS) and Global Ensemble Forecast System (GEFS) into operations by 2019.
Applying an economical scale-aware PDF-based turbulence closure model in NOAA NCEP GCMs
NASA Astrophysics Data System (ADS)
Belochitski, A.; Krueger, S. K.; Moorthi, S.; Bogenschutz, P.; Pincus, R.
2016-12-01
A novel unified representation of sub-grid scale (SGS) turbulence, cloudiness, and shallow convection is being implemented into the NOAA NCEP Global Forecasting System (GFS) general circulation model. The approach, known as Simplified High Order Closure (SHOC), is based on predicting a joint PDF of SGS thermodynamic variables and vertical velocity and using it to diagnose turbulent diffusion coefficients, SGS fluxes, condensation and cloudiness. Unlike other similar methods, only one new prognostic variable, turbulent kinetic energy (TKE), needs to be intoduced, making the technique computationally efficient.SHOC is now incorporated into a version of GFS, as well as into the next generation of the NCEP global model - NOAA Environmental Modeling System (NEMS). Turbulent diffusion coefficients computed by SHOC are now used in place of those produced by the boundary layer turbulence and shallow convection parameterizations. Large scale microphysics scheme is no longer used to calculate cloud fraction or the large-scale condensation/deposition. Instead, SHOC provides these variables. Radiative transfer parameterization uses cloudiness computed by SHOC.Outstanding problems include high level tropical cloud fraction being too high in SHOC runs, possibly related to the interaction of SHOC with condensate detrained from deep convection.Future work will consist of evaluating model performance and tuning the physics if necessary, by performing medium-range NWP forecasts with prescribed initial conditions, and AMIP-type climate tests with prescribed SSTs. Depending on the results, the model will be tuned or parameterizations modified. Next, SHOC will be implemented in the NCEP CFS, and tuned and evaluated for climate applications - seasonal prediction and long coupled climate runs. Impact of new physics on ENSO, MJO, ISO, monsoon variability, etc will be examined.
The virtual asthma guideline e-learning program: learning effectiveness and user satisfaction.
Kang, Sung-Yoon; Kim, Sae-Hoon; Kwon, Yong-Eun; Kim, Tae-Bum; Park, Hye-Kyung; Park, Heung-Woo; Chang, Yoon-Seok; Jee, Young-Koo; Moon, Hee-Bom; Min, Kyung-Up; Cho, Sang-Heon
2018-05-01
Effective educational tools are important for increasing adherence to asthma guidelines and clinical improvement of asthma patients. We developed a computer-based interactive education program for asthma guideline named the Virtual Learning Center for Asthma Management (VLCAM). We evaluated the usefulness of program in terms of its effects on user awareness of asthma guideline and level of satisfaction. Physicians-in-training at tertiary hospitals in Korea were enrolled in a cross-sectional questionnaire survey. The e-learning program on asthma guideline was conducted over a 2-week period. We investigated changes in the awareness of asthma guideline using 35-item self-administered questionnaire aiming at assessing physicians' knowledge, attitude, and practice. Satisfaction with the program was scored on 4-point Likert scales. A total of 158 physicians-in-training at six tertiary hospitals completed the survey. Compared with baseline, the overall awareness obtained from the scores of knowledge, attitude, and practice was improved significantly. Participants were satisfied with the VLCAM program in the following aspects: helpfulness, convenience, motivation, effectiveness, physicians' confidence, improvement of asthma management, and willingness to recommend. All items in user satisfaction questionnaires received high scores over 3 points. Moreover, the problem-based learning with a virtual patient received the highest user satisfaction among all parts of the program. Our computer-based e-learning program is useful for improving awareness of asthma management. It could improve adherence to asthma guidelines and enhance the quality of asthma care.
ERIC Educational Resources Information Center
Zeidner, Moshe
2017-01-01
This paper presents a number of general principles and guidelines for the development of an emotional intelligence training program designed to foster emotional abilities in gifted students. The presented guidelines underscore the need for EI theory-driven program planning geared to the needs of gifted students; integrating activities into routine…
Guidelines for postdoctoral training in rehabilitation psychology.
Stiers, William; Hanson, Stephanie; Turner, Aaron P; Stucky, Kirk; Barisa, Mark; Brownsberger, Mary; Van Tubbergen, Marie; Ashman, Teresa; Kuemmel, Angela
2012-11-01
This article describes the methods and results of a national conference that was held to (1) develop consensus guidelines about the structure and process of rehabilitation psychology postdoctoral training programs and (2) create a Council of Rehabilitation Psychology Postdoctoral Training Programs to promote training programs' abilities to implement the guidelines and to formally recognize programs in compliance with the guidelines. Forty-six conference participants were chosen to include important stakeholders in rehabilitation psychology, representatives of rehabilitation psychology training and practice communities, representatives of psychology accreditation and certification bodies, and persons involved in medical education practice and research. Consensus guidelines were developed for rehabilitation psychology postdoctoral training program structure and process and for establishing the Council of Rehabilitation Psychology Postdoctoral Training Programs. The Conference developed aspirational guidelines for postdoctoral education and training programs in applied rehabilitation psychology and established a Council of Rehabilitation Psychology Postdoctoral Training Programs as a means of promoting their adoption by training programs. These efforts are designed to promote quality, consistency, and excellence in the education and training of rehabilitation psychology practitioners and to promote competence in their practice. It is hoped that these efforts will stimulate discussion, assist in the development of improved teaching and evaluation methods, lead to interesting research questions, and generally facilitate the continued systematic development of the profession of rehabilitation psychology. PsycINFO Database Record (c) 2012 APA, all rights reserved
Mohapatra, Sonali; Bansal, Deepak; Bhalla, A K; Verma Attri, Savita; Sachdeva, Naresh; Trehan, Amita; Marwaha, R K
2016-03-01
Data on metabolic syndrome (MS) in survivors of childhood acute lymphoblastic leukemia (ALL) from developing countries are lacking. The purpose of this single-center, uncontrolled, observational study was to assess the frequency of MS in our survivors. The survivors of ALL ≤15 years at diagnosis, who had completed therapy ≥2 years earlier, were enrolled. Anthropometric measurements (weight, height, waist circumference), biochemistry (glucose, insulin, triglycerides, high-density lipoprotein [HDL], thyroid function tests, C-reactive protein [CRP], magnesium), measurement of blood pressure, and Tanner staging were performed. MS was defined by International Diabetes Federation (IDF) and the National Cholesterol Education Program Third Adult Treatment Panel guidelines (NCEP ATP III) criteria, modified by Cook et al. (Arch Pediatr Adolesc Med. 2003;157:821-827) and Ford et al. (Diabetes Care. 2005;28:878-881). The median age of 76 survivors was 11.9 years (interquartile range [IQR]: 9.6-13.5). Twenty-four (32%) survivors were obese or overweight. The prevalence of insulin resistance (17%), hypertension (7%), hypertriglyceridemia (20%), and low HDL (37%) was comparable to the prevalence in children/adolescents in historical population-based studies from India. The prevalence of MS ranged from 1.3% to 5.2%, as per different defining criteria. Cranial radiotherapy, age at diagnosis, sex, or socioeconomic status were not risk factors for MS. The prevalence of MS in survivors of childhood ALL, at a median duration of 3 years from completion of chemotherapy, was comparable to the reference population. The prevalence of being obese or overweight was, however, greater than historical controls.
Blood rheological properties are strongly related to the metabolic syndrome in middle-aged Chinese.
Zhang, Lei; Pu, Kui; Zhang, Su-Yan; Ren, Wen-Qi
2006-09-20
The current investigation sought to evaluate the relation between hemorheological properties and the metabolic syndrome. 1400 office workers aged 35 to 59 years were enrolled in this study. Waist circumference and blood pressure were determined. Plasma high-density lipoprotein (HDL cholesterol), triglyceride, fasting blood glucose, plasma insulin and whole blood viscosity (WBV) at a high-shear rate of 200 s(-1) were measured at the attendance. Metabolic syndrome was defined according to National Cholesterol Education Program (NCEP)/ATP III guidelines. The metabolic syndrome was identified in 18% of this sedentary population. Mean WBV was 4.71+/-0.56 mPa s. One-way ANOVA indicated WBV increased across subjects with 0-4 metabolic syndrome components (F=3.86, p<0.01). The highest vs. lowest quartiles of WBV occurred significantly more often among subjects as the number of metabolic syndrome components increased. Across five categories of the metabolic syndrome, the frequencies of the occurrence of the highest vs. lowest quartiles were: 0.40, 0.87, 1.31, 1.92, and 4.80, respectively, showing a significant correlation (R=0.817, p<0.05). Univariate logistic regression analysis showed that the prevalence of hyperviscosity was predicted positively by waist circumference (OR=1.018, 95% CI: 1.002-1.035, p<0.05) and negatively by HDL cholesterol (OR=0.295, 95% CI: 0.133-0.680, p<0.01), independently of age, sex, and smoking status. In summary, this study has shown that WBV is strongly related to the severity of the metabolic syndrome. We suggest that the hemorheological parameters could potentially be used as an additional indicator of the metabolic syndrome.
Kawajiri, Tomoka; Osaki, Yoneatsu; Kishimoto, Takuji
2012-06-01
To investigate whether gene polymorphism of the fat mass and obesity associated gene (FTO) is associated with metabolic syndrome (MS), we used two MS criteria, the National Cholesterol Education Program-Adult Treatment panel III (NCEP-ATPIII) definition in 2003 and the Japanese definition in 2005. Subjects were respectively 859 and 865 Japanese workers at a company in Shimane Prefecture, Japan. They were non-MS individuals in 1998 and had regular health checkups between 1998 and 2006. The Cox proportional hazard regression was used to predict MS. Three SNPs in the FTO, rs9939609, rs1121980 and rs1558902, were genotyped by the TaqMan PCR assay and a retrospective study was performed. The three SNPs in the FTO were significantly associated with body mass index, and rs1121980 and rs1558902 were associated with fasting plasma glucose. MS defined by the NCEP-ATPIII definition was significantly associated with additive and dominant models of rs9939609 and rs1121980, and the dominant model of rs1558902, even after adjusting for confounding factors such as age, sex and lifestyle. MS defined by the Japanese definition was significantly associated with the additive model of rs1121980 and additive and dominant models of rs1558902 in multivariate analysis. These results suggested that FTO gene polymorphisms, rs9939609, rs1121980 and rs1558902, were associated with an increased risk of MS among Japanese workers.
Raposo, Mariana Amaral; Armiliato, Geyza Nogueira de Almeida; Guimarães, Nathalia Sernizon; Caram, Camila Abrahão; Silveira, Raíssa Domingues de Simoni; Tupinambás, Unaí
2017-01-01
Metabolic disorders in people living with HIV/AIDS (PLH) have been described even before the introduction of antiretroviral (ARV) drugs in the treatment of HIV infection and are risk factors for cardiovascular diseases. Based on this, the purpose of this study was to assess metabolic disorders and cardiovascular risk in PLH before the initiation of antiretroviral treatment (ART). This was a cross-sectional descriptive study of 87 PLH without the use of ART, which was carried out between January and September 2012 at a specialized infectious diseases center in Minas Gerais, Brazil. The main metabolic disorders in the population were low serum levels of HDL-cholesterol, hypertriglyceridemia and abdominal obesity. Dyslipidemia was prevalent in 62.6% of the study population, whereas metabolic syndrome (MS) was prevalent in 11.5% of patients assessed by the International Diabetes Federation (IDF) criteria and 10.8% assessed by the National Cholesterol Education Program-Adult Treatment Panel (NCEP-ATPIII) criteria. Regarding cardiovascular risk, 89.7% of the population presented a low coronary risk according to the Framingham Risk Score. A greater proportion of patients diagnosed with MS presented low cardiovascular risk (80% assessed by IDF criteria and 77.8% assessed by NCEP-ATPIII criteria). Metabolic disorders in this population may be due to HIV infection or lifestyle (smoking, sedentary lifestyle and inadequate diet). The introduction of ART can enhance dyslipidemia, increasing cardiovascular risk, especially among those who have classic risks of cardiovascular disease.
Long-term change of the atmospheric energy cycles and weather disturbances
NASA Astrophysics Data System (ADS)
Kim, WonMoo; Choi, Yong-Sang
2017-11-01
Weather disturbances are the manifestation of mean atmospheric energy cascading into eddies, thus identifying atmospheric energy structure is of fundamental importance to understand the weather variability in a changing climate. The question is whether our observational data can lead to a consistent diagnosis on the energy conversion characteristics. Here we investigate the atmospheric energy cascades by a simple framework of Lorenz energy cycle, and analyze the energy distribution in mean and eddy fields as forms of potential and kinetic energy. It is found that even the widely utilized independent reanalysis datasets, NCEP-DOE AMIP-II Reanalysis (NCEP2) and ERA-Interim (ERA-INT), draw different conclusions on the change of weather variability measured by eddy-related kinetic energy. NCEP2 shows an increased mean-to-eddy energy conversion and enhanced eddy activity due to efficient baroclinic energy cascade, but ERA-INT shows relatively constant energy cascading structure between the 1980s and the 2000s. The source of discrepancy mainly originates from the uncertainties in hydrological variables in the mid-troposphere. Therefore, much efforts should be made to improve mid-tropospheric observations for more reliable diagnosis of the weather disturbances as a consequence of man-made greenhouse effect.
Impact of Lidar Wind Sounding on Mesoscale Forecast
NASA Technical Reports Server (NTRS)
Miller, Timothy L.; Chou, Shih-Hung; Goodman, H. Michael (Technical Monitor)
2001-01-01
An Observing System Simulation Experiment (OSSE) was conducted to study the impact of airborne lidar wind sounding on mesoscale weather forecast. A wind retrieval scheme, which interpolates wind data from a grid data system, simulates the retrieval of wind profile from a satellite lidar system. A mesoscale forecast system based on the PSU/NCAR MM5 model is developed and incorporated the assimilation of the retrieved line-of-sight wind. To avoid the "identical twin" problem, the NCEP reanalysis data is used as our reference "nature" atmosphere. The simulated space-based lidar wind observations were retrieved by interpolating the NCEP values to the observation locations. A modified dataset obtained by smoothing the NCEP dataset was used as the initial state whose forecast was sought to be improved by assimilating the retrieved lidar observations. Forecasts using wind profiles with various lidar instrument parameters has been conducted. The results show that to significantly improve the mesoscale forecast the satellite should fly near the storm center with large scanning radius. Increasing lidar firing rate also improves the forecast. Cloud cover and lack of aerosol degrade the quality of the lidar wind data and, subsequently, the forecast.
State Guidelines for School Athletic Programs.
ERIC Educational Resources Information Center
California State Dept. of Education, Sacramento.
The guidelines presented here are designed to assist school personnel in developing, administering, and evaluating school athletic programs in California. Topics include: (1) the basic philosophy for school athletic programs; (2) procedures for evaluating school athletic programs; (3) the three-phase school athletic program; (4) resources to…
Klein, Penelope; Picard, George; Schneider, Roger; Oh, Byeongsang
2017-01-01
Integrative oncology, including Qigong, is a relatively new concept in modern healthcare. Evidence of benefits of Qigong in cancer survivors is emerging. As such, several cancer centers, world-wide, have introduced Qigong as part of integrative medicine within supportive cancer care programming. Qigong exercise programming content and quality varies among institutions due to lack of standard guidelines and, at present, relies solely on the instructor’s skills, knowledge, personal preferences and clinical experience. Development of consensus guidelines recommending the basic structure and delivery of Qigong programming in cancer care can potentiate quality assurance and reduce risk of harm. This applied qualitative research utilized a modified Delphi approach to formulate consensus guidelines. Guidelines were developed through discussions among an international expert panel (N = 13) with representation from Australia, Canada, Ireland, and the United States. Panel communication was predominantly conducted by email and occurred from November 2016 through February 2017. Expert panel work resulted in the generation of a work product: Qigong in Cancer Care Guidelines: A Working Paper including: (a) Consensus Guidelines for structure and delivery of Qigong exercise for Cancer care programming; (b) Consensus guidelines for instructor competence for teaching Qigong exercise for cancer care classes; (c) Screening tool for safe participation in Qigong exercise; (d) Class participant instructions for maintaining safety during Qigong exercise; and (e) Advice from the field. Generation of these resources is the first step in establishing recommendations for ‘best practice’ in the area of Qigong for cancer care programming.
ERIC Educational Resources Information Center
ANDERSON, B. HAROLD; BENDER, RALPH E.
THE SPECIFIC OBJECTIVES OF THE STUDY WERE TO--(1) IDENTIFY AND EVALUATE GUIDELINES, (2) COMPARE TEACHER AND PROGRAM CHARACTERISTICS IN DISTRIBUTIVE, TRADE AND INDUSTRIAL, AND AGRICULTURAL EDUCATION WITH COOPERATIVE WORK EXPERIENCE PROGRAMS, (3) DETERMINE SITUATIONAL FACTORS AND CHARACTERISTICS THAT INFLUENCE THE IMPORTANCE ASSIGNED TO GUIDELINES,…
Evaluation of clinical practice guidelines.
Basinski, A S
1995-01-01
Compared with the current focus on the development of clinical practice guidelines the effort devoted to their evaluation is meagre. Yet the ultimate success of guidelines depends on routine evaluation. Three types of evaluation are identified: evaluation of guidelines under development and before dissemination and implementation, evaluation of health care programs in which guidelines play a central role, and scientific evaluation, through studies that provide the scientific knowledge base for further evolution of guidelines. Identification of evaluation and program goals, evaluation design and a framework for evaluation planning are discussed. PMID:7489550
78 FR 17628 - Child Nutrition Programs; Income Eligibility Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-22
... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Child Nutrition Programs; Income Eligibility Guidelines AGENCY: Food and Nutrition Service, USDA. ACTION: Notice SUMMARY: This Notice announces the..., Supervisory Program Analyst, School Programs Section, Child Nutrition Division, Food and Nutrition Service...
77 FR 17004 - Child Nutrition Programs-Income Eligibility Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-23
... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Child Nutrition Programs--Income Eligibility Guidelines AGENCY: Food and Nutrition Service, USDA. ACTION: Notice. SUMMARY: This Notice announces the..., Supervisory Program Analyst, School Programs Section, Child Nutrition Division, Food and Nutrition Service...
ERIC Educational Resources Information Center
Beckman, Brenda Marshall; Ventura-Merkel, Catherine
In an effort to more effectively disseminate information about community college programs for older adults, this directory was developed for three purposes: to make guidelines available for establishing, expanding, or revising programs; to offer a selection of successful programming models; and to provide a compendium of existing programs. Part I…
12 CFR Appendix B to Part 30 - Interagency Guidelines Establishing Information Security Standards
Code of Federal Regulations, 2011 CFR
2011-01-01
... Establishing Information Security Standards Table of Contents I. Introduction A. Scope B. Preservation of... Security Program B. Objectives III. Development and Implementation of Customer Information Security Program.... Introduction The Interagency Guidelines Establishing Information Security Standards (Guidelines) set forth...
Transit Reliability Information Program Participants Guidelines
DOT National Transportation Integrated Search
1981-03-01
The document provides guidelines for participation in the Transit Reliability Information Program (TRIP). TRIP is a government-initiated program designed to assist the transit industry in satisfying its need for transit equipment reliability data. TR...
Verification of Meteorological and Oceanographic Ensemble Forecasts in the U.S. Navy
NASA Astrophysics Data System (ADS)
Klotz, S.; Hansen, J.; Pauley, P.; Sestak, M.; Wittmann, P.; Skupniewicz, C.; Nelson, G.
2013-12-01
The Navy Ensemble Forecast Verification System (NEFVS) has been promoted recently to operational status at the U.S. Navy's Fleet Numerical Meteorology and Oceanography Center (FNMOC). NEFVS processes FNMOC and National Centers for Environmental Prediction (NCEP) meteorological and ocean wave ensemble forecasts, gridded forecast analyses, and innovation (observational) data output by FNMOC's data assimilation system. The NEFVS framework consists of statistical analysis routines, a variety of pre- and post-processing scripts to manage data and plot verification metrics, and a master script to control application workflow. NEFVS computes metrics that include forecast bias, mean-squared error, conditional error, conditional rank probability score, and Brier score. The system also generates reliability and Receiver Operating Characteristic diagrams. In this presentation we describe the operational framework of NEFVS and show examples of verification products computed from ensemble forecasts, meteorological observations, and forecast analyses. The construction and deployment of NEFVS addresses important operational and scientific requirements within Navy Meteorology and Oceanography. These include computational capabilities for assessing the reliability and accuracy of meteorological and ocean wave forecasts in an operational environment, for quantifying effects of changes and potential improvements to the Navy's forecast models, and for comparing the skill of forecasts from different forecast systems. NEFVS also supports the Navy's collaboration with the U.S. Air Force, NCEP, and Environment Canada in the North American Ensemble Forecast System (NAEFS) project and with the Air Force and the National Oceanic and Atmospheric Administration (NOAA) in the National Unified Operational Prediction Capability (NUOPC) program. This program is tasked with eliminating unnecessary duplication within the three agencies, accelerating the transition of new technology, such as multi-model ensemble forecasting, to U.S. Department of Defense use, and creating a superior U.S. global meteorological and oceanographic prediction capability. Forecast verification is an important component of NAEFS and NUOPC. Distribution Statement A: Approved for Public Release; distribution is unlimited
Verification of Meteorological and Oceanographic Ensemble Forecasts in the U.S. Navy
NASA Astrophysics Data System (ADS)
Klotz, S. P.; Hansen, J.; Pauley, P.; Sestak, M.; Wittmann, P.; Skupniewicz, C.; Nelson, G.
2012-12-01
The Navy Ensemble Forecast Verification System (NEFVS) has been promoted recently to operational status at the U.S. Navy's Fleet Numerical Meteorology and Oceanography Center (FNMOC). NEFVS processes FNMOC and National Centers for Environmental Prediction (NCEP) meteorological and ocean wave ensemble forecasts, gridded forecast analyses, and innovation (observational) data output by FNMOC's data assimilation system. The NEFVS framework consists of statistical analysis routines, a variety of pre- and post-processing scripts to manage data and plot verification metrics, and a master script to control application workflow. NEFVS computes metrics that include forecast bias, mean-squared error, conditional error, conditional rank probability score, and Brier score. The system also generates reliability and Receiver Operating Characteristic diagrams. In this presentation we describe the operational framework of NEFVS and show examples of verification products computed from ensemble forecasts, meteorological observations, and forecast analyses. The construction and deployment of NEFVS addresses important operational and scientific requirements within Navy Meteorology and Oceanography (METOC). These include computational capabilities for assessing the reliability and accuracy of meteorological and ocean wave forecasts in an operational environment, for quantifying effects of changes and potential improvements to the Navy's forecast models, and for comparing the skill of forecasts from different forecast systems. NEFVS also supports the Navy's collaboration with the U.S. Air Force, NCEP, and Environment Canada in the North American Ensemble Forecast System (NAEFS) project and with the Air Force and the National Oceanic and Atmospheric Administration (NOAA) in the National Unified Operational Prediction Capability (NUOPC) program. This program is tasked with eliminating unnecessary duplication within the three agencies, accelerating the transition of new technology, such as multi-model ensemble forecasting, to U.S. Department of Defense use, and creating a superior U.S. global meteorological and oceanographic prediction capability. Forecast verification is an important component of NAEFS and NUOPC.
Fleiszer, Andrea R; Semenic, Sonia E; Ritchie, Judith A; Richer, Marie-Claire; Denis, Jean-Louis
2016-01-01
Best practice guidelines are a tool for narrowing research-to-practice gaps and improving care outcomes. There is some empirical understanding of guideline implementation in nursing settings, yet there has been almost no consideration of the longer-term sustainability of guideline-based practice improvements. Many healthcare innovations are not sustained, underscoring the need for knowledge about how to promote their survival. To understand how a nursing best practice guidelines program was sustained on acute healthcare center nursing units. We undertook a qualitative descriptive case study of an organization-wide nursing best practice guidelines program with four embedded nursing unit subcases. The setting was a large, tertiary/quaternary urban health center in Canada. The nursing department initiated a program to enhance patient safety through the implementation of three guidelines: falls prevention, pressure ulcer prevention, and pain management. We selected four inpatient unit subcases that had differing levels of program sustainability at an average of almost seven years post initial program implementation. Data sources included 39 key informant interviews with nursing leaders/administrators and frontline nurses; site visits; and program-related documents. Data collection and content analysis were guided by a framework for the sustainability of healthcare innovations. Program sustainability was characterized by three elements: benefits, routinization, and development. Seven key factors most accounted for the differences in the level of program sustainability between subcases. These factors were: perceptions of advantages, collaboration, accountability, staffing, linked levels of leadership, attributes of formal unit leadership, and leaders' use of sustainability activities. Some prominent relationships between characteristics and factors explained long-term program sustainability. Of primary importance was the extent to which unit leaders used sustainability-oriented activities in both regular and responsive ways to attend to the relationships between sustainability characteristics and factors. Continued efforts are required to ensure long-term program sustainability on nursing units. Persistent and adaptive orchestration of sustainability-oriented activities by formal unit leadership teams is necessary for maintaining best practice guidelines over the long term. Leaders should consider a broad conceptualization of sustainability, beyond guideline-based benefits and routinization, because the development of unit capacity in response to changing circumstances appears essential. Copyright © 2015 Elsevier Ltd. All rights reserved.
Facilities Guidelines for Fine Arts Programs.
ERIC Educational Resources Information Center
Maryland State Dept. of Education, Baltimore.
This manual of facility guidelines examines the planning process and design features and considerations for public school fine arts programs in Maryland. Planning concepts and trends are highlighted followed by planning guidelines for dance, music, theater, visual arts, general education, and performance spaces. General design considerations…
76 FR 74063 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-30
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... Federal Workplace Drug Testing Programs (Mandatory Guidelines), effective on October 1, 2010, addresses... for physicians performing a review of Federal employee drug testing results that seek approval by the...
Guidelines for development structured FORTRAN programs
NASA Technical Reports Server (NTRS)
Earnest, B. M.
1984-01-01
Computer programming and coding standards were compiled to serve as guidelines for the uniform writing of FORTRAN 77 programs at NASA Langley. Software development philosophy, documentation, general coding conventions, and specific FORTRAN coding constraints are discussed.
Guidelines for the Administration of Matching Gift Programs.
ERIC Educational Resources Information Center
Business Officer, 1984
1984-01-01
Guidelines are presented to help colleges consider their matching gift program, to develop clear policies and procedures, and communicate them to interested and appropriate parties. Responsibilities of companies sponsoring matching gift programs are outlined with attention to policy and program administration. The eight policy recommendations…
78 FR 2675 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2013-01-14
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... Federal Workplace Drug Testing Programs (Mandatory Guidelines), effective on October 1, 2010, addresses... performing a review of Federal employee drug testing results that seek approval by the Secretary must submit...
75 FR 76478 - Mandatory Guidelines for Federal Workplace Drug Testing Programs
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-08
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Mandatory Guidelines for Federal Workplace Drug Testing... Drug Testing Programs (Mandatory Guidelines) which took effect on October 1, 2010 address the role and... Federal employee drug testing results that seek approval by the Secretary must submit their qualifications...
Coordination Problems in Graduate Programs for Two-Year College English Teachers.
ERIC Educational Resources Information Center
Sparrow, W. Keats
Six problems in coordinating a graduate program for two-year college English teachers are discussed in this paper. The problems are: how to implement national guidelines for such programs, how to staff the programs, how to accommodate traditional university personnel guidelines and regulations to the nontraditional staff for the programs, how to…
78 FR 52877 - VOCA Victim Assistance Program
Federal Register 2010, 2011, 2012, 2013, 2014
2013-08-27
... SAAs may use for these purposes. Funding victim service programs located in adjacent States. Program... State and eligible territory for the financial support of services to victims of crime by eligible crime... Program Guidelines (``Guidelines'') to reflect changes in OVC policy, needs of the crime victims services...
15 CFR 917.11 - Guidelines for Sea Grant Fellowships.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 15 Commerce and Foreign Trade 3 2014-01-01 2014-01-01 false Guidelines for Sea Grant Fellowships... NATIONAL SEA GRANT PROGRAM FUNDING REGULATIONS Sea Grant Matched Funding Program § 917.11 Guidelines for Sea Grant Fellowships. (a) Sea Grant Fellowships are designed to provide educational and training...
15 CFR 917.11 - Guidelines for Sea Grant Fellowships.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 15 Commerce and Foreign Trade 3 2013-01-01 2013-01-01 false Guidelines for Sea Grant Fellowships... NATIONAL SEA GRANT PROGRAM FUNDING REGULATIONS Sea Grant Matched Funding Program § 917.11 Guidelines for Sea Grant Fellowships. (a) Sea Grant Fellowships are designed to provide educational and training...
15 CFR 917.11 - Guidelines for Sea Grant Fellowships.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Guidelines for Sea Grant Fellowships... NATIONAL SEA GRANT PROGRAM FUNDING REGULATIONS Sea Grant Matched Funding Program § 917.11 Guidelines for Sea Grant Fellowships. (a) Sea Grant Fellowships are designed to provide educational and training...
15 CFR 917.11 - Guidelines for Sea Grant Fellowships.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 15 Commerce and Foreign Trade 3 2011-01-01 2011-01-01 false Guidelines for Sea Grant Fellowships... NATIONAL SEA GRANT PROGRAM FUNDING REGULATIONS Sea Grant Matched Funding Program § 917.11 Guidelines for Sea Grant Fellowships. (a) Sea Grant Fellowships are designed to provide educational and training...
15 CFR 917.11 - Guidelines for Sea Grant Fellowships.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 15 Commerce and Foreign Trade 3 2012-01-01 2012-01-01 false Guidelines for Sea Grant Fellowships... NATIONAL SEA GRANT PROGRAM FUNDING REGULATIONS Sea Grant Matched Funding Program § 917.11 Guidelines for Sea Grant Fellowships. (a) Sea Grant Fellowships are designed to provide educational and training...
Guidelines for Energy Education in Social Studies.
ERIC Educational Resources Information Center
Allen, Rodney F.; And Others
1981-01-01
Offers energy education guidelines to aid social studies educators at all grade levels respond to increasing interest in energy-related topics. Guidelines are intended to serve as an outline of a multidisciplinary education program, a baseline from which to assess existing energy-related instructional programs, and a starting point for development…
Social Studies Curriculum Guidelines.
ERIC Educational Resources Information Center
Manson, Gary; And Others
These guidelines, which set standards for social studies programs K-12, can be used to update existing programs or may serve as a baseline for further innovation. The first section, "A Basic Rationale for Social Studies Education," identifies the theoretical assumptions basic to the guidelines as knowledge, thinking, valuing, social participation,…
Guidelines for Establishing and Evaluating High School Technical Electromechanics Programs.
ERIC Educational Resources Information Center
Florida State Dept. of Education, Tallahassee. Div. of Vocational, Technical and Adult Education.
Educators and industrial representatives developed these guidelines for school officials, instructors in technical education, and program and facility planners to use in planning a high school program in technical electromechanics. Designed to train students for entry into industry in applied electromechanics, the program includes electricity,…
Ada programming guidelines for deterministic storage management
NASA Technical Reports Server (NTRS)
Auty, David
1988-01-01
Previous reports have established that a program can be written in the Ada language such that the program's storage management requirements are determinable prior to its execution. Specific guidelines for ensuring such deterministic usage of Ada dynamic storage requirements are described. Because requirements may vary from one application to another, guidelines are presented in a most-restrictive to least-restrictive fashion to allow the reader to match appropriate restrictions to the particular application area under investigation.
Kaler, Sharndeep Norry; Ralph-Campbell, Kelli; Pohar, Sheri; King, Malcolm; Laboucan, Chief Rose; Toth, Ellen L
2006-12-01
Increasing type 2 diabetes in Aboriginal communities across North America raises concerns about metabolic syndrome in these populations. Some prevalence information for American Indians exists, but little has been available for Canada's First Nations. We screened 60% of the eligible population of a single First Nation in Alberta for diabetes, pre-diabetes, cardiovascular risk, and metabolic syndrome. NCEP/ATP III and IDF criteria were used to identify metabolic syndrome in participants aged > or = 18; modified NCEP/ATP III criteria were used for participants aged < 18. Logistic regression identified factors associated with the metabolic syndrome. 297 individuals were screened (176 adults, 84 children/adolescents, with complete data). 52.3% of adults had metabolic syndrome using NCEP/ATP III criteria, and 50% using IDF criteria. 40.5% of individuals aged < 18 had the condition. Waist circumference was the most prevalent correlate. Bivariate analysis suggested that age, BMI, weight, Alc, LDL-C, ADA risk score and activity pattern were associated with metabolic syndrome. Our data represent the first available for Western Cree and are consistent with prevalence reported for Aboriginal populations in Ontario and Manitoba. High rates of obesity, pre-diabetes and metabolic syndrome for participants aged < 18 raise concerns about future prevalence of diabetes and cardiovascular disease.
'Electrically-Hot' Convection and Tropical Cyclone Development in the Eastern Atlantic
NASA Technical Reports Server (NTRS)
Leppert, Kenneth, II; Petersen, Walter A.; Williams, Earle
2008-01-01
The depth and intensity of convective-scale "hot" towers in intensifying tropical disturbances has been hypothesized to play a role in tropical cyclogenesis via dynamic and thermodynamic feedbacks on the larger meso-to-synoptic scale circulation. In this investigation we investigate the role that widespread and/or intense lightning-producing convection (i.e., "electrically-hot towers") resident in African Easterly Waves (AEW) may play in tropical cyclogenesis over the eastern Atlantic Ocean. NCEP reanalysis data for the months of July to November for the years 2004, 2006, and 2007 are analyzed for the domain of 5 N - 15 N and 500W - 300 E. Specifically, NCEP data for individual AEWs are partitioned into northerly, southerly, trough, and ridge phases using the 700 hPa meridional winds. Subsequently, information from National Hurricane Center storm reports were divided up into developing and non-developing waves (i.e. tropical cyclogenesis). Finally, composites were created of developing and non-developing waves using the NCEP variables, but with the inclusion of lightning flash count and infrared brightness temperature information. The Zeus and World Wide Lightning Location Network lightning data were used for the lightning information, and the IR brightness temperature data was extracted from the NASA global-merged infrared brightness temperature dataset.
NASA Astrophysics Data System (ADS)
Wang, Jiali; Kotamarthi, Veerabhadra R.
2014-07-01
The Weather Research and Forecasting (WRF) model is used for dynamic downscaling of 2.5-degree National Centers for Environmental Prediction-U.S. Department of Energy Reanalysis II (NCEP-R2) data for 1980-2010 at 12 km resolution over most of North America. The model's performance for surface air temperature and precipitation is evaluated by comparison with high-resolution observational data sets. The model's ability to add value is investigated by comparison with NCEP-R2 data and a 50 km regional climate simulation. The causes for major model bias are studied through additional sensitivity experiments with various model setup/integration approaches and physics representations. The WRF captures the main features of the spatial patterns and annual cycles of air temperature and precipitation over most of the contiguous United States. However, simulated air temperatures over the south central region and precipitation over the Great Plains and the Southwest have significant biases. Allowing longer spin-up time, reducing the nudging strength, or replacing the WRF Single-Moment six-class microphysics with Morrison microphysics reduces the bias over some subregions. However, replacing the Grell-Devenyi cumulus parameterization with Kain-Fritsch shows no improvement. The 12 km simulation does add value above the NCEP-R2 data and the 50 km simulation over mountainous and coastal zones.
Sensitivity of Simulated Global Ocean Carbon Flux Estimates to Forcing by Reanalysis Products
NASA Technical Reports Server (NTRS)
Gregg, Watson W.; Casey, Nancy W.; Rousseaux, Cecile S.
2015-01-01
Reanalysis products from MERRA, NCEP2, NCEP1, and ECMWF were used to force an established ocean biogeochemical model to estimate air-sea carbon fluxes (FCO2) and partial pressure of carbon dioxide (pCO2) in the global oceans. Global air-sea carbon fluxes and pCO2 were relatively insensitive to the choice of forcing reanalysis. All global FCO2 estimates from the model forced by the four different reanalyses were within 20% of in situ estimates (MERRA and NCEP1 were within 7%), and all models exhibited statistically significant positive correlations with in situ estimates across the 12 major oceanographic basins. Global pCO2 estimates were within 1% of in situ estimates with ECMWF being the outlier at 0.6%. Basin correlations were similar to FCO2. There were, however, substantial departures among basin estimates from the different reanalysis forcings. The high latitudes and tropics had the largest ranges in estimated fluxes among the reanalyses. Regional pCO2 differences among the reanalysis forcings were muted relative to the FCO2 results. No individual reanalysis was uniformly better or worse in the major oceanographic basins. The results provide information on the characterization of uncertainty in ocean carbon models due to choice of reanalysis forcing.
Development of the Champlain primary care cardiovascular disease prevention and management guideline
Montoya, Lorraine; Liddy, Clare; Hogg, William; Papadakis, Sophia; Dojeiji, Laurie; Russell, Grant; Akbari, Ayub; Pipe, Andrew; Higginson, Lyall
2011-01-01
Abstract Problem addressed A well documented gap remains between evidence and practice for clinical practice guidelines in cardiovascular disease (CVD) care. Objective of program As part of the Champlain CVD Prevention Strategy, practitioners in the Champlain District of Ontario launched a large quality-improvement initiative that focused on increasing the uptake in primary care practice settings of clinical guidelines for heart disease, stroke, diabetes, and CVD risk factors. Program description The Champlain Primary Care CVD Prevention and Management Guideline is a desktop resource for primary care clinicians working in the Champlain District. The guideline was developed by more than 45 local experts to summarize the latest evidence-based strategies for CVD prevention and management, as well as to increase awareness of local community-based programs and services. Conclusion Evidence suggests that tailored strategies are important when implementing specific practice guidelines. This article describes the process of creating an integrated clinical guideline for improvement in the delivery of cardiovascular care. PMID:21673196
Supervised toothbrushing programs in primary schools and early childhood settings: A scoping review.
Dickson-Swift, V; Kenny, A; Gussy, M; de Silva, A M; Farmer, J; Bracksley-O'Grady, S
2017-12-01
In this article we report the findings of a scoping review that aimed to identify and summarise the range of programs and guidelines available for toothbrushing programs in schools and early childhood settings. Dental caries is one of the most common preventable diseases affecting children worldwide. Untreated caries can impact on child health and wellbeing, development, socialisation and school attendance. Supervised toothbrushing programs in schools and other early childhood settings can be effective in improving the oral health of young children. There is limited understanding of the salient issues to consider when developing such programs or how they are best implemented in real world settings. A scoping review methodology was utilised to provide a summary of the guidelines and programs available. Key search terms were developed, mapped and utilised to identify guidelines and programs across 6 databases and key search engines. We located 26 programs and guidelines that met the inclusion and exclusion criteria for the review. These were collated and summarised across key countries and critical aspects of program development and implementation were identified. Toothbrush type and storage, toothpaste strength and method of dispensing, toothbrush storage, staff training and parental consent are key considerations that varied widely. Guidelines for supervised toothbrushing programs vary within and across countries due to differences in water fluoridation and availability of low fluoride toothpastes. The results of this review provide critical information to be considered when establishing and implementing toothbrushing programs in these settings. Copyright© 2017 Dennis Barber Ltd.
Guidelines for Gifted/Talented Programs.
ERIC Educational Resources Information Center
Christensen, Genelle
Presented are guidelines for planning, establishing, and operating gifted/talented programs for exceptional children in Idaho. Topics are outlined which include definitions of terms related to gifted/talented education; general and specific program criteria; criteria for student selection (identification, comprehensive evaluation/assessment,…
NASA Technical Reports Server (NTRS)
White, Warren; Cayan, Daniel R.; Lindstrom, Eric (Technical Monitor)
2002-01-01
This study quantifies uncertainties in closing the seasonal cycle of diabatic heat storage over the Pacific Ocean from 20 degrees S to 60 degrees N through the synthesis of World Ocean Circulation Experiment (WOCE) products over 7 years from 1993-1999. We utilize WOCE reanalysis products from the following sources: diabatic heat storage (DHS) from the Scripps Institution of Oceanography (SIO); near-surface geostrophic and Ekman currents from the Earth and Space Research (ESR); and air-sea heat fluxes from Comprehensive Ocean-Atmosphere Data Set (COADS), National Centers for Environmental Prediction (NCEP), and European Center for Mid-Range Weather Forecasts (ECMWF). We interpolate these products onto a common grid, allowing the seasonal cycle of DHS to be modeled for comparison with that observed. Everywhere latent heat flux residuals dominate sensible heat flux residuals and shortwave heat flux residuals dominate longwave heat flux residuals, both comparable in magnitude to the residual horizontal heat advection. We find the root-mean-square (RMS) of the differences between observed and model residual DHS tendencies to be less than 15 W per square meters everywhere except in the Kuroshio extension. Comparable COADS and NCEP products perform better than ECMWF products in the extra-tropics, while the NCEP product performs best in the tropics. Radiative and turbulent air-sea heat flux residuals computed from ship-born measurements perform better than those computed from satellite cloud and wind measurements. Since the RMS differences derive largely from biases in measured wind speed and cloud fraction, least-squares minimization is used to correct the residual Ekman heat advection and air-sea heat flux. Minimization reduces RMS differences less than 5 W per square meters except in the Kuroshio extension, suggesting how winds, clouds, and exchange coefficients in the NCEP, ECMWF, and ESR products can be improved.
NASA Astrophysics Data System (ADS)
Zhao, T.; Wang, J.; Dai, A.
2015-12-01
Many multi-decadal atmospheric reanalysis products are avialable now, but their consistencies and reliability are far from perfect. In this study, atmospheric precipitable water (PW) from the NCEP/NCAR, NCEP/DOE, MERRA, JRA-55, JRA-25, ERA-Interim, ERA-40, CFSR and 20CR reanalyses is evaluated against homogenized radiosonde observations over China during 1979-2012 (1979-2001 for ERA-40). Results suggest that the PW biases in the reanalyses are within ˜20% for most of northern and eastern China, but the reanalyses underestimate the observed PW by 20%-40% over western China, and by ˜60% over the southwestern Tibetan Plateau. The newer-generation reanalyses (e.g., JRA25, JRA55, CFSR and ERA-Interim) have smaller root-mean-square error (RMSE) than the older-generation ones (NCEP/NCAR, NCEP/DOE and ERA-40). Most of the reanalyses reproduce well the observed PW climatology and interannual variations over China. However, few reanalyses capture the observed long-term PW changes, primarily because they show spurious wet biases before about 2002. This deficiency results mainly from the discontinuities contained in reanalysis RH fields in the mid-lower troposphere due to the wet bias in older radiosonde records that are assimilated into the reanalyses. An empirical orthogonal function (EOF) analysis revealed two leading modes that represent the long-term PW changes and ENSO-related interannual variations with robust spatial patterns. The reanalysis products, especially the MERRA and JRA-25, roughly capture these EOF modes, which account for over 50% of the total variance. The results show that even during the post-1979 satellite era, discontinuities in radiosonde data can still induce large spurious long-term changes in reanalysis PW and other related fields. Thus, more efforts are needed to remove spurious changes in input data for future long-term reanlayses.
Modeling the Pineapple Express phenomenon via Multivariate Extreme Value Theory
NASA Astrophysics Data System (ADS)
Weller, G.; Cooley, D. S.
2011-12-01
The pineapple express (PE) phenomenon is responsible for producing extreme winter precipitation events in the coastal and mountainous regions of the western United States. Because the PE phenomenon is also associated with warm temperatures, the heavy precipitation and associated snowmelt can cause destructive flooding. In order to study impacts, it is important that regional climate models from NARCCAP are able to reproduce extreme precipitation events produced by PE. We define a daily precipitation quantity which captures the spatial extent and intensity of precipitation events produced by the PE phenomenon. We then use statistical extreme value theory to model the tail dependence of this quantity as seen in an observational data set and each of the six NARCCAP regional models driven by NCEP reanalysis. We find that most NCEP-driven NARCCAP models do exhibit tail dependence between daily model output and observations. Furthermore, we find that not all extreme precipitation events are pineapple express events, as identified by Dettinger et al. (2011). The synoptic-scale atmospheric processes that drive extreme precipitation events produced by PE have only recently begun to be examined. Much of the current work has focused on pattern recognition, rather than quantitative analysis. We use daily mean sea-level pressure (MSLP) fields from NCEP to develop a "pineapple express index" for extreme precipitation, which exhibits tail dependence with our observed precipitation quantity for pineapple express events. We build a statistical model that connects daily precipitation output from the WRFG model, daily MSLP fields from NCEP, and daily observed precipitation in the western US. Finally, we use this model to simulate future observed precipitation based on WRFG output driven by the CCSM model, and our pineapple express index derived from future CCSM output. Our aim is to use this model to develop a better understanding of the frequency and intensity of extreme precipitation events produced by PE under climate change.
Library of Michigan FY 2000 LSTA Subgrant Program Guidelines.
ERIC Educational Resources Information Center
Michigan Library, Lansing.
This handbook provides FY (fiscal year) 2000 guidelines developed by the Library of Michigan for applying for LSTA (Library Services and Technology Act) subgrant funding. The handbook includes the following sections: (1) overview of the LSTA subgrant program; (2) general application guidelines for all funding areas; (3) required elements of the…
OHD/HL - National Weather Hydrology Laboratory
resources and services. Design and Programming Standards and Guidelines General Programming C C++ FORTRAN Java v 2.0 updated 3/28/2008 Java v 1.9 Korn and Bash Shell Software Design Phase Guidelines OHD Design Specification Template OHD Design Specification Example Software Peer Review Guidelines and Checklists Software
Draft Guidelines for State and Areawide Water Quality Management Program Development.
ERIC Educational Resources Information Center
Environmental Protection Agency, Washington, DC.
This document discusses the draft guidelines formulated by the Environmental Protection Agency (EPA) to assist the states in establishing a management program to integrate water quality and other resource management decisions. These guidelines are pfovided so that the long range goals of the Federal Water Pollution Control Act Amendments of 1972…
32 CFR 806b.2 - Basic guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 32 National Defense 6 2010-07-01 2010-07-01 false Basic guidelines. 806b.2 Section 806b.2 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM Overview of the Privacy Act Program § 806b.2 Basic guidelines. This part implements the Privacy Act of 1974...
Standards Guidelines. Safety in Oregon Schools. OAR 581-22-706.
ERIC Educational Resources Information Center
Oregon State Dept. of Education, Salem.
This document contains guidelines that help Oregon schools meet the components of Oregon Administrative Rule 581-22-706, Emergency Plans and Safety Programs. The standard mandates that Oregon schools shall maintain a comprehensive safety program for all employees and students. School districts may alter the guidelines provided in this guidebook to…
ERIC Educational Resources Information Center
Mills, Robert J.; Velasquez, Nicole Forsgren; Fadel, Kelly J.; Bell, Corbin C.
2012-01-01
The IS 2010 Model Curriculum Guidelines were developed to provide recommendations for standardized information systems curricula while simultaneously allowing for customization within individual programs. While some studies have examined program adherence to the IS 2010 Model Curriculum Guidelines, a more detailed analysis of IS curriculum…
NASA Astrophysics Data System (ADS)
Ioannidis, Eleftherios; Lolis, Christos J.; Papadimas, Christos D.; Hatzianastassiou, Nikolaos; Bartzokas, Aristides
2017-04-01
The seasonal variability of total cloud cover in the Mediterranean region is examined for the period 1948-2014 using a multivariate statistical methodology. The data used consist of: i) daily gridded (1.875°x1.905°) values of total cloud cover over the broader Mediterranean region for the 66-year period 1948-2014, obtained from NCEP/NCAR Reanalysis data set, ii) daily gridded (1°x1°) values of total cloud cover for the period 2003-2014 obtained from the Moderate resolution Imaging Spectroradiometer (MODIS) satellite data set and iii) daily station cloud cover data for the period 2003-2014 obtained from the European Climate Assessment & Dataset (ECA&D). At first, the multivariate statistical method of Factor Analysis (S-mode) with varimax rotation is applied as a dimensionality reduction tool on the mean day to day intra-annual variation of NCEP/NCAR cloud cover for the period 1948-2014. According to the results, three main modes of intra-annual variation of cloud cover are found. The first mode is characterized by a winter maximum and a summer minimum and prevails mainly over the sea; a weak see-saw teleconnection over the Alps represents the opposite intra-annual marching. The second mode presents maxima in early autumn and late spring, and minima in late summer and winter, and prevails over the SW Europe and NW Africa inland regions. The third mode shows a maximum in June and a minimum in October and prevails over the eastern part of central Europe. Next, the mean day to day intra-annual variation of NCEP/NCAR cloud cover over the core regions of the above factors is calculated for the entire period 1948-2014 and the three 22-year sub-periods 1948-70, 1970-92 and 1992-2014. A comparison is carried out between each of the three sub-periods and the total period in order to reveal possible long-term changes in seasonal march of total cloud cover. The results show that cloud cover was reduced above all regions during the last 22-year sub-period 1992-2014 throughout the year, but especially in winter. Finally, given the different nature of the utilized NCEP/NCAR (Reanalysis), MODIS (satellite) and ECAD (stations) cloud cover data sets, an inter-comparison is made among them as it concerns the intra-annual variation of cloud cover for the common period 2003-2014. The results show a nice similarity among the three datasets, with some differences in magnitude during the cold period of the year.
NASA Astrophysics Data System (ADS)
Hodges, K.
2010-12-01
Re-analyses are produced using a forecast model, data assimilation system and historical observations. Whilst the observations are common between the re-analyses the way they are assimilated and the forecast model used are often different between the re-analyses which can introduce uncertainty in the representation of particular phenomena between the re-analyses, for example the distribution and properties of weather systems. It is important to inter-compare re-analyses to determine the uncertainty in their representation of the atmosphere, its circulation and weather systems in order to have confidence in their use for studies of the atmosphere and validating climate models. The four recent re-analyses, ERA-Interim, NASA-MERRA, NCEP-CFS and JRA25 are explored and compared for the representation of synoptic scale extra-tropical cyclones. Previous studies of the older re-analyses. ERA40, NCEP-NCAR and DOE has shown that whilst in the NH there was relatively good agreement between the re-analyses in terms of the distribution and properties of extra-tropical cyclones, in the SH there was much larger uncertainty. The newest re-analyses are produced at much higher resolutions than previous re-analyses, in addition more modern data assimilation systems and forecast models have been used. Hence, it would be hoped that the representation of cyclones will be improved to the same extent as that seen in modern NWP systems. This study contrasts extra-tropical cyclones, their distribution and properties, between these new re-analyses and compares them with cyclones in the slightly older though lower resolution JRA25 re-analysis. Results will show that in general in the higher resolution re-analysis more cyclones are identified than in JRA25. In the NH the distribution of storms agrees as well if not better than was the case for the older re-analyses. However, it is in the SH that the largest improvement in agreement is seen for the distribution of storms. For ERA-Interim, NASA-MERRA and NCEP-CFS the agreement in the SH is almost as good as in the NH with the best agreement occurring between ERA-Interim and NCEP-CFS. However, the comparison with JRA25 shows the same level of uncertainty as seen with the older re-analyses. Determining the separation distances of storms using storm matching confirm these results. The biggest differences between the re-analyses occurs for the intensity of storms with the NASA-MERRA having consistently the strongest extreme storms in terms of pressure and winds and JRA25 the weakest, ERA-Interim and NCEP-CFS are very similar in this respect. Using vorticity as an intensity measure shows the greatest sensitivity and goes with resolution. If time permits a comparison of the structure of the storms will also be presented. The approach used only highlights the uncertainty between the re-analyses it does not say which one is right. To try to address this some early results of comparing the re-analyses directly with observations of low level winds from scatterometers in the vicinity of storms will be presented if time permits.
[New definition of metabolic syndrome: does it have the same cardiovascular risk?].
Rodilla, E; González, C; Costa, J A; Pascual, J M
2007-02-01
The International Diabetes Federation (IDF) has recently published the new criteria for the diagnosis of metabolic syndrome. The aim of this study was to compare the clinical characteristics and cardiovascular risk of the new patients with MS compared to the previous National Cholesterol Education Program ATP III definition, its differential characteristics and cardiovascular risk. Cross sectional study in a hypertension clinic. Coronary risk was calculated (Framingham function NCEP-ATP III) and other cardiovascular markers, urinary albumin excretion (UAE in mg/24 hours) and high sensitivity C-reactive protein (CRP) were assessed. A total 2,404 patients were evaluated, 1,901 non-diabetic and 503 diabetic hypertensive subjects. The non-diabetics 726 (38.2%) had MS with the previous NCEP ATP-III definition, the number increasing sharply to 1,091 (57.4%) with the new IDF definition. The proportion did not increase in diabetics (93% vs. 92%). Concordance in the diagnosis was 78% in non-diabetics and 91% in diabetics. The new patients had a similar coronary risk (Framingham) but lower values of other cardiovascular markers: logUAE 1.00 (0.49) mg/24 hours vs. 1.06 (0.55) mg/24 hours (p = 0.003), and CRP 1.9 (2.7) mg/L vs. 2.5 (3.2) mg/L (median, interquartile range; p < 0.001). The new IDF definition of MS increases the number of patients with MS. The new patients have a similar coronary risk (Framingham) but the new parameters used to assess cardiovascular risk (UAE and CRP) were lower. The relationship of the new definition of MS and cardiovascular risk remains to be defined.
Božić-Antić, Ivana; Ilić, Dušan; Bjekić-Macut, Jelica; Bogavac, Tamara; Vojnović-Milutinović, Danijela; Kastratovic-Kotlica, Biljana; Milić, Nataša; Stanojlović, Olivera; Andrić, Zoran; Macut, Djuro
2016-12-01
There are limited data on cardiometabolic risk factors and the prevalence of metabolic syndrome (MetS) across the different PCOS phenotypes in Caucasian population. Lipid accumulation product (LAP) is a clinical surrogate marker that could be used for evaluation of MetS in clinical practice. The aim of the study was to analyze metabolic characteristics and the ability of LAP to predict MetS in different PCOS phenotypes. Cross-sectional clinical study analyzing 365 women with PCOS divided into four phenotypes according to the ESHRE/ASRM criteria, and 125 healthy BMI-matched controls. In all subjects, LAP was determined and MetS was diagnosed according to the National Cholesterol Education Program/Adult Treatment Panel III (NCEP-ATP III), the International Diabetes Federation (IDF) and the Joint Interim Statement (JIS) criteria. Logistic regression and ROC curve analyses were used to determine predictors of MetS in each PCOS phenotype. All analyses were performed with age and BMI adjustment. All PCOS phenotypes in comparison to controls had higher prevalence of MetS assessed by NCEP-ATP III criteria, and only classic phenotypes when IDF and JIS criteria were used. All phenotypes had the same prevalence of MetS irrespective of used definition. LAP and exhibited the highest diagnostic accuracy and was an independent predictor of MetS in all phenotypes. LAP is an independent and accurate clinical determinant of MetS in all PCOS phenotypes in our Caucasian population. All PCOS phenotypes, including non-classic ones, are metabolically challenged and with cardiovascular risk, particularly phenotype B. © 2016 European Society of Endocrinology.
The metabolic syndrome: a concept hard to define.
Aguilar-Salinas, Carlos A; Rojas, Rosalba; Gómez-Pérez, Francisco J; Mehta, Roopa; Franco, Aurora; Olaiz, Gustavo; Rull, Juan A
2005-01-01
The metabolic syndrome integrates, in a single diagnosis, the manifestations of insulin resistance that may lead to increased cardiovascular morbidity and precedes type 2 diabetes. Here we discuss the strengths and limitations of the definitions of the metabolic syndrome and the epidemiology of the syndrome including information from non-Caucasian populations. The definitions proposed by the World Health Organization (WHO) and the National Cholesterol Education Program (NCEP) are the most frequently used. The relative risk of having long-term complications is greater for the WHO definition; this is explained by the inclusion of the insulin resistance criteria. The cut-off points used in these definitions should be, but are not, adjusted for ethnicity; as a result, in non-Caucasian subjects, there is lack of agreement among these criteria. In a Mexican population-based survey the prevalence was 13.61% using the WHO definition and 26.6% using the NCEP-III criteria. Cases identified by the WHO criteria had a more severe form of the disease. We propose that the metabolic syndrome should be viewed as a progressive long-term process that leads to major complications. Its definition should reflect the continuous nature of the disease; the categorical approach of the current criteria oversimplifies the complexity of the syndrome. The threshold for defining abnormality should be based on the associated risk of the identified phenotype. Refinement of the definition of both affected and nonaffected subjects is required. The available definitions include, in each of these categories, heterogeneous groups with a broad range of risk of future complications.
Yary, Teymoor; Virtanen, Jyrki K; Ruusunen, Anu; Tuomainen, Tomi-Pekka; Voutilainen, Sari
2017-05-01
The aim of this study was to investigate associations of serum zinc with incident metabolic syndrome and its components in middle-aged and older Finnish men. An 11-y prospective follow-up study conducted among 683 men from the Kuopio Ischaemic Heart Disease Risk Factor Study who were 42 to 60 y old at baseline in 1984 to 1989. The main outcome was incident metabolic syndrome, defined by the National Cholesterol Education Program (NCEP) criteria. Other outcomes were the individual components of the NCEP metabolic syndrome: Fasting blood glucose, serum triacylglycerols, serum high-density lipoprotein (HDL) cholesterol, hypertension, and waist circumference. During the average follow-up of 11 y, 139 men (20.4%) developed metabolic syndrome. Those in the highest tertile of serum zinc had 84% higher risk (95% confidence interval 12 to 201%, P trend across tertiles = 0.015) to develop metabolic syndrome compared with those in the lowest tertile, after adjustment for several potential confounders. The association between serum zinc and incident metabolic syndrome was attenuated by adjustment for waist circumference, serum HDL cholesterol, or hypertension. Serum zinc was also directly associated with higher waist circumference and hypertension and inversely associated with HDL cholesterol at the 11 y examinations. We found a direct association between serum zinc and incidence of metabolic syndrome in middle-aged and older eastern Finnish men. Further studies are warranted to explore the mechanisms. Copyright © 2016 Elsevier Inc. All rights reserved.
Prevalence of the Metabolic Syndrome Among Employees in Northeast China
Wang, Xin; Yang, Fang; Bots, Michiel L; Guo, Wei-Ying; Zhao, Bing; Hoes, Arno W; Vaartjes, Ilonca
2015-01-01
Background: The metabolic syndrome is a clustering of metabolic abnormalities and has been associated with increased risk of type 2 diabetes mellitus and cardiovascular disease. This study aimed to estimate the prevalence of the metabolic syndrome among employees in Northeast China. Methods: Totally, 33,149 employees who received health screening in the International Health Promotion Center in the First Hospital of Jilin University were enrolled. Height, weight, waist circumference, blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein, and low-density lipoprotein were recorded. Three definitions for the metabolic syndrome were applied, revised National Cholesterol Education Program's Adult Treatment Panel III (NCEP ATP III) criteria, the International Diabetes Federation (IDF) criteria, and the Chinese Diabetes Society (CDS) criteria. Results: Overall, the age-standardized prevalence of the metabolic syndrome was 22.9%, 20.6%, and 15.3% based on definitions of revised NCEP ATP III criteria, the IDF criteria, and the CDS criteria, respectively. Men had higher age-standardized prevalence than women in all three definitions (P < 0.05). The prevalence was 27.1%, 24.5%, and 20.4% for men; 17.1%, 15.4%, and 8.3% for women, respectively. The most common metabolic component with the metabolic syndrome was overweight (54.7% of men had an elevated body mass index, and 35.9% of women had central obesity). Conclusions: A large proportion of employees among Northeast China have the metabolic syndrome. These findings place emphasis on the need to develop aggressive lifestyle modification for patients with the metabolic syndrome and population level strategies for the prevention, detection, and treatment of cardiovascular risk. PMID:26228207
Adapting Physical Education: A Guide for Individualizing Physical Education Programs.
ERIC Educational Resources Information Center
Buckanavage, Robert, Ed.; And Others
Guidelines are presented for organizing programs and modifying activities in physical education programs for children with a wide range of physical and emotional disabilities. The guidelines should result in a program that allows students to work to their maximum potential within the framework of regular physical education classes. In planning the…
Get Well Care: Guidelines for Programs Serving Mildly Ill Children.
ERIC Educational Resources Information Center
Montanari, Ellen Orton, Ed.
Although child care programs for mildly ill children are proliferating around the country, very few states have developed regulations for these types of programs, and no states have developed standards or guidelines. Based upon this concern, a group of medical and early childhood professionals, parents, and directors of programs for mildly ill…
Comprehensive School Alienation Program, Guidelines.
ERIC Educational Resources Information Center
Hawaii State Dept. of Education, Honolulu. Office of Instructional Services.
This document presents guidelines developed by the Hawaii State Department of Education's Comprehensive School Alienation Program to consolidate and strengthen the delivery of services to alienated students. It is intended to assist district staff, school administrators, and project personnel in planning and implementing program activities and…
Mina, D Santa; Sabiston, C M; Au, D; Fong, A J; Capozzi, L C; Langelier, D; Chasen, M; Chiarotto, J; Tomasone, J R; Jones, J M; Chang, E; Culos-Reed, S N
2018-04-01
Recent guidelines concerning exercise for people with cancer provide evidence-based direction for exercise assessment and prescription for clinicians and their patients. Although the guidelines promote exercise integration into clinical care for people with cancer, they do not support strategies for bridging the guidelines with related resources or programs. Exercise program accessibility remains a challenge in implementing the guidelines, but that challenge might be mitigated with conceptual frameworks ("pathways") that connect patients with exercise-related resources. In the present paper, we describe a pathway model and related resources that were developed by an expert panel of practitioners and researchers in the field of exercise and rehabilitation in oncology and that support the transition from health care practitioner to exercise programs or services for people with cancer. The model acknowledges the nuanced distinctions between research and exercise programming, as well as physical activity promotion, that, depending on the available programming in the local community or region, might influence practitioner use. Furthermore, the pathway identifies and provides examples of processes for referral, screening, medical clearance, and programming for people after a cancer diagnosis. The pathway supports the implementation of exercise guidelines and should serve as a model of enhanced care delivery to increase the health and well-being of people with cancer.
Stiers, William; Barisa, Mark; Stucky, Kirk; Pawlowski, Carey; Van Tubbergen, Marie; Turner, Aaron P; Hibbard, Mary; Caplan, Bruce
2015-05-01
This study describes the results of a multidisciplinary conference (the Baltimore Conference) that met to develop consensus guidelines for competency specification and measurement in postdoctoral training in rehabilitation psychology. Forty-six conference participants were chosen to include representatives of rehabilitation psychology training and practice communities, representatives of psychology accreditation and certification bodies, persons involved in medical education practice and research, and consumers of training programs (students). Consensus education and training guidelines were developed that specify the key competencies in rehabilitation psychology postdoctoral training, and structured observation checklists were developed for their measurement. This study continues the development of more than 50 years of thinking about education and training in rehabilitation psychology and builds on the existing work to further advance the development of guidelines in this area. The conference developed aspirational guidelines for competency specification and measurement in rehabilitation psychology postdoctoral training (i.e., for studying the outcomes of these training programs). Structured observation of trainee competencies allows examination of actual training outcomes in relation to intended outcomes and provides a methodology for studying how program outcomes are related to program structures and processes so that program improvement can occur. Best practices in applying program evaluation research methods to the study of professional training programs are discussed. (c) 2015 APA, all rights reserved).
Mina, D. Santa; Sabiston, C.M.; Au, D.; Fong, A.J.; Capozzi, L.C.; Langelier, D.; Chasen, M.; Chiarotto, J.; Tomasone, J.R.; Jones, J.M.; Chang, E.; Culos-Reed, S.N.
2018-01-01
Recent guidelines concerning exercise for people with cancer provide evidence-based direction for exercise assessment and prescription for clinicians and their patients. Although the guidelines promote exercise integration into clinical care for people with cancer, they do not support strategies for bridging the guidelines with related resources or programs. Exercise program accessibility remains a challenge in implementing the guidelines, but that challenge might be mitigated with conceptual frameworks (“pathways”) that connect patients with exercise-related resources. In the present paper, we describe a pathway model and related resources that were developed by an expert panel of practitioners and researchers in the field of exercise and rehabilitation in oncology and that support the transition from health care practitioner to exercise programs or services for people with cancer. The model acknowledges the nuanced distinctions between research and exercise programming, as well as physical activity promotion, that, depending on the available programming in the local community or region, might influence practitioner use. Furthermore, the pathway identifies and provides examples of processes for referral, screening, medical clearance, and programming for people after a cancer diagnosis. The pathway supports the implementation of exercise guidelines and should serve as a model of enhanced care delivery to increase the health and well-being of people with cancer. PMID:29719431
de Ruijter, Dennis; Candel, Math; Smit, Eline Suzanne; de Vries, Hein; Hoving, Ciska
2018-05-22
Improving practice nurses' (PN) adherence to smoking cessation counseling guidelines will benefit the quality of smoking cessation care and will potentially lead to higher smoking abstinence rates. However, support programs to aid PNs in improving their guideline uptake and adherence do not exist yet. The aim of this study was to assess the effects of a novel computer-tailored electronic learning (e-learning) program on PNs' smoking cessation guideline adherence. A Web-based randomized controlled trial (RCT) was conducted in which an intervention group (N=147) with full access to the e-learning program for 6 months was compared with a control group (N=122) without access. Data collection was fully automated at baseline and 6-month follow-up via online questionnaires, assessing PNs' demographics, work-related factors, potential behavioral predictors based on the I-Change model, and guideline adherence. PNs also completed counseling checklists to retrieve self-reported counseling activities for each consultation with a smoker (N=1175). To assess the program's effectiveness in improving PNs' guideline adherence (ie, overall adherence and adherence to individual counseling guideline steps), mixed linear and logistic regression analyses were conducted, thus accommodating for the smokers being nested within PNs. Potential effect moderation by work-related factors and behavioral predictors was also examined. After 6 months, 121 PNs in the intervention group (82.3%, 121/147) and 103 in the control group (84.4%, 103/122) completed the follow-up questionnaire. Mixed linear regression analysis revealed that counseling experience moderated the program's effect on PNs' overall guideline adherence (beta=.589; 95% CI 0.111-1.068; P Holm-Bonferroni =.048), indicating a positive program effect on adherence for PNs with a more than average level of counseling experience. Mixed logistic regression analyses regarding adherence to individual guideline steps revealed a trend toward moderating effects of baseline levels of behavioral predictors and counseling experience. More specifically, for PNs with less favorable scores on behavioral predictors (eg, low baseline self-efficacy) and high levels of counseling experience, the program significantly increased adherence. Results from our RCT showed that among PNs with more than average counseling experience, the e-learning program resulted in significantly better smoking cessation guideline adherence. Experienced PNs might have been better able to translate the content of our e-learning program into practically applicable counseling strategies compared with less experienced colleagues. Less favorable baseline levels of behavioral predictors among PNs possibly contributed to this effect, as there was more room for improvement by consulting the tailored content of the e-learning program. To further substantiate the effectiveness of e-learning programs on guideline adherence by health care professionals (HCPs), it is important to assess how to support a wider range of HCPs. Netherlands Trial Register NTR4436; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4436 (Archived by WebCite at http://www.webcitation.org/6zJQuSRq0). ©Dennis de Ruijter, Math Candel, Eline Suzanne Smit, Hein de Vries, Ciska Hoving. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 22.05.2018.
NASA Astrophysics Data System (ADS)
Goswami, B. B.; Khouider, B.; Krishna, R. P. M.; Mukhopadhyay, P.; Majda, A.
2017-12-01
A stochastic multicloud (SMCM) cumulus parameterization is implemented in the National Centres for Environmental Predictions (NCEP) Climate Forecast System version 2 (CFSv2) model, named as the CFSsmcm model. We present here results from a systematic attempt to understand the CFSsmcm model's sensitivity to the SMCM parameters. To asses the model-sentivity to the different SMCM parameters, we have analized a set of 14 5-year long climate simulations produced by the CFSsmcm model. The model is found to be resilient to minor changes in the parameter values. The middle tropospheric dryness (MTD) and the stratiform cloud decay timescale are found to be most crucial parameters in the SMCM formulation in the CFSsmcm model.
Comparisons of regional Hydrological Angular Momentum (HAM) of the different models
NASA Astrophysics Data System (ADS)
Nastula, J.; Kolaczek, B.; Popinski, W.
2006-10-01
In the paper hydrological excitations of the polar motion (HAM) were computed from various hydrological data series (NCEP, ECMWF, CPC water storage and LaD World Simulations of global continental water). HAM series obtained from these four models and the geodetic excitation function GEOD computed from the polar motion COMB03 data were compared in the seasonal spectral band. The results show big differences of these hydrological excitation functions as well as of their spectra in the seasonal spectra band. Seasonal oscillations of the global geophysical excitation functions (AAM + OAM + HAM) in all cases besides the NCEP/NCAR model are smaller than the geodetic excitation function. It means that these models need further improvement and perhaps not only hydrological models need improvements.
Toward More Effective Drug Prevention Programs.
ERIC Educational Resources Information Center
Ellickson, Phyllis L.; Robyn, Abby E.
This report discusses guidelines for developing drug prevention programs. It reflects knowledge acquired in developing and implementing Project ALERT, an adolescent drug prevention program currently being evaluated with more than 6,500 students in California and Oregon schools. The guidelines discussed are based on information about the…
ERIC Educational Resources Information Center
Blaschke, Charles L.; Steiger, JoAnn
This report of a project to design a set of training guidelines for planning, managing, and evaluating cooperative education programs describes briefly the procedures used in developing the guidelines and model; discusses the various components of the planning, management, and evaluation process; and presents guidelines and criteria for designing…
Code of Federal Regulations, 2010 CFR
2010-07-01
... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Guidelines. 42.404 Section 42.404... Guidelines. (a) Federal agencies shall publish title VI guidelines for each type of program to which they extend financial assistance, where such guidelines would be appropriate to provide detailed information...
Katz, Josh M; Winter, Carl K; Buttrey, Samuel E; Fadel, James G
2012-03-01
Western and guideline based diets were compared to determine if dietary improvements resulting from following dietary guidelines reduce acrylamide intake. Acrylamide forms in heat treated foods and is a human neurotoxin and animal carcinogen. Acrylamide intake from the Western diet was estimated with probabilistic techniques using teenage (13-19 years) National Health and Nutrition Examination Survey (NHANES) food consumption estimates combined with FDA data on the levels of acrylamide in a large number of foods. Guideline based diets were derived from NHANES data using linear programming techniques to comport to recommendations from the Dietary Guidelines for Americans, 2005. Whereas the guideline based diets were more properly balanced and rich in consumption of fruits, vegetables, and other dietary components than the Western diets, acrylamide intake (mean±SE) was significantly greater (P<0.001) from consumption of the guideline based diets (0.508±0.003 μg/kg/day) than from consumption of the Western diets (0.441±0.003 μg/kg/day). Guideline based diets contained less acrylamide contributed by French fries and potato chips than Western diets. Overall acrylamide intake, however, was higher in guideline based diets as a result of more frequent breakfast cereal intake. This is believed to be the first example of a risk assessment that combines probabilistic techniques with linear programming and results demonstrate that linear programming techniques can be used to model specific diets for the assessment of toxicological and nutritional dietary components. Copyright © 2011 Elsevier Ltd. All rights reserved.
Guidelines for Implementing a Real Estate Cooperative Education Program.
ERIC Educational Resources Information Center
Pearson, Thomas R.
Background information and guidelines are provided for the development of cooperative education programs for real estate industry personnel. The first section outlines the operation of cooperative education programs and presents two organizational plans: the alternating plan, where students attend class full-time and work full-time during…
Reviewing a Reading Program: Professional Development Module. Participant's Guide
ERIC Educational Resources Information Center
Kosanovich, Marcia; Jordan, Georgia; Arndt, Elissa; Van Sciver, Mary; Wahl, Michelle; Rissman, Lila
2008-01-01
The Curriculum and Instructional Projects Team at the Florida Center for Reading Research (FCRR) developed "Guidelines for Reviewing a Reading Program" ("Guidelines") to assist reviewers in determining if a program is consistent with the scientific research on reading. Based on that work, the Center on Instruction Reading Strand developed this…
Virginia School Health Guidelines.
ERIC Educational Resources Information Center
Virginia State Dept. of Education, Richmond.
Virginia's Department of Education and Department of Health are concerned with the health of children and youth, and with the implementation of comprehensive school health programs. These guidelines provide a basis for developing a model school health program or for enriching an existing program, focusing on health services and school environment.…
Medicare program; Medicare depreciation, useful life guidelines--HCFA. Final rule.
1983-08-18
These final rules amend Medicare regulations to clarify which useful life guidelines may be used by providers of health care services to determine the useful life of a depreciable asset for Medicare reimbursement purposes. Current regulations state that providers must utilize the Departmental useful life guidelines or, if none have been published by the Department, either the American Hospital Association (AHA) useful life guidelines of 1973 of IRS guidelines. We are eliminating the reference to IRS guidelines because these are now outdated for Medicare purposes since they have been rendered obsolete either by the IRS or by statutory change. We are also deleting the specific reference to the 1973 AHA guidelines since these guidelines are updated by the AHA periodically. In addition, we are clarifying that certain tax legislation on accelerated depreciation, passed by Congress, does not apply to the Medicare program.
Bloom, Benjamin; Mehta, Ambereen K.; Clark, Jeanne M.; Gudzune, Kimberly A.
2015-01-01
Objective To determine the reliability of Internet-based information on community-based weight-loss programs and grade their degree of concordance with 2013 American Heart Association, American College of Cardiology, and The Obesity Society weight management guidelines. Methods We conducted an online search for weight-loss programs in the Maryland-Washington, DC-Virginia corridor. We performed content analysis to abstract program components from their websites, and then randomly selected 80 programs for a telephone survey to verify this information. We determined reliability of Internet information in comparison with telephone interview responses. Results Of the 191 programs, we graded 1% as high, 8% as moderate, and 91% as low with respect to guideline concordance based on website content. Fifty-two programs participated in the telephone survey (65% response rate). Program intensity, diet, physical activity, and use of behavioral strategies were underreported on websites as compared to description of these activities during phone interview. Within our subsample, we graded 6% of programs as high based on website information, whereas we graded 19% as high after telephone interview. Conclusions Most weight-loss programs in an urban, mid-Atlantic region do not currently offer guideline-concordant practices and fail to disclose key information online, which may make clinician referrals challenging. PMID:26861769
NASA Astrophysics Data System (ADS)
Tsai, Hsiao-Chung; Chen, Pang-Cheng; Elsberry, Russell L.
2017-04-01
The objective of this study is to evaluate the predictability of the extended-range forecasts of tropical cyclone (TC) in the western North Pacific using reforecasts from National Centers for Environmental Prediction (NCEP) Global Ensemble Forecast System (GEFS) during 1996-2015, and from the Climate Forecast System (CFS) during 1999-2010. Tsai and Elsberry have demonstrated that an opportunity exists to support hydrological operations by using the extended-range TC formation and track forecasts in the western North Pacific from the ECMWF 32-day ensemble. To demonstrate this potential for the decision-making processes regarding water resource management and hydrological operation in Taiwan reservoir watershed areas, special attention is given to the skill of the NCEP GEFS and CFS models in predicting the TCs affecting the Taiwan area. The first objective of this study is to analyze the skill of NCEP GEFS and CFS TC forecasts and quantify the forecast uncertainties via verifications of categorical binary forecasts and probabilistic forecasts. The second objective is to investigate the relationships among the large-scale environmental factors [e.g., El Niño Southern Oscillation (ENSO), Madden-Julian Oscillation (MJO), etc.] and the model forecast errors by using the reforecasts. Preliminary results are indicating that the skill of the TC activity forecasts based on the raw forecasts can be further improved if the model biases are minimized by utilizing these reforecasts.
Improving Subtropical Boundary Layer Cloudiness in the 2011 NCEP GFS
DOE Office of Scientific and Technical Information (OSTI.GOV)
Fletcher, J. K.; Bretherton, Christopher S.; Xiao, Heng
2014-09-23
The current operational version of National Centers for Environmental Prediction (NCEP) Global Forecasting System (GFS) shows significant low cloud bias. These biases also appear in the Coupled Forecast System (CFS), which is developed from the GFS. These low cloud biases degrade seasonal and longer climate forecasts, particularly of short-wave cloud radiative forcing, and affect predicted sea surface temperature. Reducing this bias in the GFS will aid the development of future CFS versions and contributes to NCEP's goal of unified weather and climate modelling. Changes are made to the shallow convection and planetary boundary layer parameterisations to make them more consistentmore » with current knowledge of these processes and to reduce the low cloud bias. These changes are tested in a single-column version of GFS and in global simulations with GFS coupled to a dynamical ocean model. In the single-column model, we focus on changing parameters that set the following: the strength of shallow cumulus lateral entrainment, the conversion of updraught liquid water to precipitation and grid-scale condensate, shallow cumulus cloud top, and the effect of shallow convection in stratocumulus environments. Results show that these changes improve the single-column simulations when compared to large eddy simulations, in particular through decreasing the precipitation efficiency of boundary layer clouds. These changes, combined with a few other model improvements, also reduce boundary layer cloud and albedo biases in global coupled simulations.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wang, Jiali; Kotamarthi, Veerabhadra R.
The Weather Research and Forecasting (WRF) model is used for dynamic downscaling of 2.5 degree National Centers for Environmental Prediction-U.S. Department of Energy Reanalysis II (NCEP-R2) data for 1980-2010 at 12 km resolution over most of North America. The model's performance for surface air temperature and precipitation is evaluated by comparison with high-resolution observational data sets. The model's ability to add value is investigated by comparison with NCEP-R2 data and a 50 km regional climate simulation. The causes for major model bias are studied through additional sensitivity experiments with various model setup/integration approaches and physics representations. The WRF captures themore » main features of the spatial patterns and annual cycles of air temperature and precipitation over most of the contiguous United States. However, simulated air temperatures over the south central region and precipitation over the Great Plains and the Southwest have significant biases. Allowing longer spin-up time, reducing the nudging strength, or replacing the WRF Single-Moment 6-class microphysics with Morrison microphysics reduces the bias over some subregions. However, replacing the Grell-Devenyi cumulus parameterization with Kain-Fritsch shows no improvement. The 12 km simulation does add value above the NCEP-R2 data and the 50 km simulation over mountainous and coastal zones.« less
NASA Astrophysics Data System (ADS)
Zhang, X.; Liang, S.; Wang, G.; Yao, Y.; Jiang, B.; Cheng, J.
2016-12-01
Solar radiation incident at the Earth's surface (Rs) is an essential component of the total energy exchange between the atmosphere and the surface. Reanalysis data have been widely used, but a comprehensive validation using surface measurements is still highly needed. In this study, we evaluated the Rs estimates from six current representative global reanalyses [NCEP-NCAR, NCEP-DOE; CFSR; ERA-Interim; MERRA; and JRA-55] using surface measurements from different observation networks [GEBA; BSRN; GC-NET; Buoy; and CMA] (674 sites in total) and the Earth's Radiant Energy System (CERES) EBAF product from 2001 to 2009. The global mean biases between the reanalysis Rs and surface measurements at all sites ranged from 11.25 W/m2 to 49.80 W/m2. Comparing with the CERES-EBAF Rs product, all the reanalyses overestimate Rs, except for ERA-Interim, with the biases ranging from -2.98 W/m2 to 21.97 W/m2 over the globe. It was also found that the biases of cloud fraction (CF) in the reanalyses caused the overestimation of Rs. After removing the averaged bias of CERES-EBAF, weighted by the area of the latitudinal band, a global annual mean Rs values of 184.6 W/m2, 180.0 W/m2, and 182.9 W/m2 was obtained over land, ocean, and the globe, respectively.
Supporting Operational Data Assimilation Capabilities to the Research Community
NASA Astrophysics Data System (ADS)
Shao, H.; Hu, M.; Stark, D. R.; Zhou, C.; Beck, J.; Ge, G.
2017-12-01
The Developmental Testbed Center (DTC), in partnership with the National Centers for Environmental Prediction (NCEP) and other operational and research institutions, provides operational data assimilation capabilities to the research community and helps transition research advances to operations. The primary data assimilation system supported currently by the DTC is the Gridpoint Statistical Interpolation (GSI) system and the National Oceanic and Atmospheric Administration (NOAA) Ensemble Kalman Filter (EnKF) system. GSI is a variational based system being used for daily operations at NOAA, NCEP, the National Aeronautics and Space Administration, and other operational agencies. Recently, GSI has evolved into a four-dimensional EnVar system. Since 2009, the DTC has been releasing the GSI code to the research community annually and providing user support. In addition to GSI, the DTC, in 2015, began supporting the ensemble based EnKF data assimilation system. EnKF shares the observation operator with GSI and therefore, just as GSI, can assimilate both conventional and non-conventional data (e.g., satellite radiance). Currently, EnKF is being implemented as part of the GSI based hybrid EnVar system for NCEP Global Forecast System operations. This paper will summarize the current code management and support framework for these two systems. Following that is a description of available community services and facilities. Also presented is the pathway for researchers to contribute their development to the daily operations of these data assimilation systems.
Evaluation of snow modeling with Noah and Noah-MP land surface models in NCEP GFS/CFS system
NASA Astrophysics Data System (ADS)
Dong, J.; Ek, M. B.; Wei, H.; Meng, J.
2017-12-01
Land surface serves as lower boundary forcing in global forecast system (GFS) and climate forecast system (CFS), simulating interactions between land and the atmosphere. Understanding the underlying land model physics is a key to improving weather and seasonal prediction skills. With the upgrades in land model physics (e.g., release of newer versions of a land model), different land initializations, changes in parameterization schemes used in the land model (e.g., land physical parametrization options), and how the land impact is handled (e.g., physics ensemble approach), it always prompts the necessity that climate prediction experiments need to be re-conducted to examine its impact. The current NASA LIS (version 7) integrates NOAA operational land surface and hydrological models (NCEP's Noah, versions from 2.7.1 to 3.6 and the future Noah-MP), high-resolution satellite and observational data, and land DA tools. The newer versions of the Noah LSM used in operational models have a variety of enhancements compared to older versions, where the Noah-MP allows for different physics parameterization options and the choice could have large impact on physical processes underlying seasonal predictions. These impacts need to be reexamined before implemented into NCEP operational systems. A set of offline numerical experiments driven by the GFS forecast forcing have been conducted to evaluate the impact of snow modeling with daily Global Historical Climatology Network (GHCN).
Qaseem, Amir; Snow, Vincenza; Owens, Douglas K; Shekelle, Paul
2010-08-03
The American College of Physicians (ACP) established its evidence-based clinical practice guidelines program in 1981. The ACP's Guidelines Committee and the staff of the Clinical Programs and Quality of Care Department develop the clinical recommendations. The ACP develops 2 different types of clinical recommendations: clinical practice guidelines and clinical guidance statements. The ACP clinical practice guidelines and guidance statements follow a multistep development process that includes a systematic review of the evidence, deliberation of the evidence by the committee, summary recommendations, and evidence and recommendation grading. All ACP clinical practice guidelines and clinical guidance statements, if not updated, are considered automatically withdrawn or invalid 5 years after publication or once an update has been issued.
Employment Guidelines Provide Growth Environment for Engineering Productivity.
ERIC Educational Resources Information Center
Reese, Francis E.
1982-01-01
Discusses the use of "Guidelines to Professional Employment for Engineers and Scientists" at Monsanto Corporation in such areas as continuing education programs, career planning workshops, career redirection programs, and on-the-job development. (JN)
DOT National Transportation Integrated Search
2008-11-01
This document provides information on the compliance of the LTPP program with the guidelines the Department of Transportation (DOT) issued Information Dissemination Quality Guidelines (IDQG). These guidelines were developed in response to requirement...
Darzi, Andrea; Abou-Jaoude, Elias A; Agarwal, Arnav; Lakis, Chantal; Wiercioch, Wojtek; Santesso, Nancy; Brax, Hneine; El-Jardali, Fadi; Schünemann, Holger J; Akl, Elie A
2017-06-01
Our objective was to identify and describe published frameworks for adaptation of clinical, public health, and health services guidelines. We included reports describing methods of adaptation of guidelines in sufficient detail to allow its reproducibility. We searched Medline and EMBASE databases. We also searched personal files, as well manuals and handbooks of organizations and professional societies that proposed methods of adaptation and adoption of guidelines. We followed standard systematic review methodology. Our search captured 12,021 citations, out of which we identified eight proposed methods of guidelines adaptation: ADAPTE, Adapted ADAPTE, Alberta Ambassador Program adaptation phase, GRADE-ADOLOPMENT, MAGIC, RAPADAPTE, Royal College of Nursing (RCN), and Systematic Guideline Review (SGR). The ADAPTE framework consists of a 24-step process to adapt guidelines to a local context taking into consideration the needs, priorities, legislation, policies, and resources. The Alexandria Center for Evidence-Based Clinical Practice Guidelines updated one of ADAPTE's tools, modified three tools, and added three new ones. In addition, they proposed optionally using three other tools. The Alberta Ambassador Program adaptation phase consists of 11 steps and focused on adapting good-quality guidelines for nonspecific low back pain into local context. GRADE-ADOLOPMENT is an eight-step process based on the GRADE Working Group's Evidence to Decision frameworks and applied in 22 guidelines in the context of national guideline development program. The MAGIC research program developed a five-step adaptation process, informed by ADAPTE and the GRADE approach in the context of adapting thrombosis guidelines. The RAPADAPTE framework consists of 12 steps based on ADAPTE and using synthesized evidence databases, retrospectively derived from the experience of producing a high-quality guideline for the treatment of breast cancer with limited resources in Costa Rica. The RCN outlines five key steps strategy for adaptation of guidelines to the local context. The SGR method consists of nine steps and takes into consideration both methodological gaps and context-specific normative issues in source guidelines. We identified through searching personal files two abandoned methods. We identified and described eight proposed frameworks for the adaptation of health-related guidelines. There is a need to evaluate these different frameworks to assess rigor, efficiency, and transparency of their proposed processes. Copyright © 2017 Elsevier Inc. All rights reserved.
ERIC Educational Resources Information Center
Department of Education, Washington, DC. Office of the Secretary.
New guidelines to provide more flexibility and certainty in meeting federal time distribution recordkeeping requirements for U.S. Department of Education programs are outlined in this document. Directed to state, local and Indian tribal governments, the new guidelines are expected to avoid audit appeals and disputes, freeing teachers and…
Zhang, Banglin; Tallapragada, Vijay; Weng, Fuzhong; Liu, Qingfu; Sippel, Jason A.; Ma, Zaizhong; Bender, Morris A.
2016-01-01
The atmosphere−ocean coupled Hurricane Weather Research and Forecast model (HWRF) developed at the National Centers for Environmental Prediction (NCEP) is used as an example to illustrate the impact of model vertical resolution on track forecasts of tropical cyclones. A number of HWRF forecasting experiments were carried out at different vertical resolutions for Hurricane Joaquin, which occurred from September 27 to October 8, 2015, in the Atlantic Basin. The results show that the track prediction for Hurricane Joaquin is much more accurate with higher vertical resolution. The positive impacts of higher vertical resolution on hurricane track forecasts suggest that National Oceanic and Atmospheric Administration/NCEP should upgrade both HWRF and the Global Forecast System to have more vertical levels. PMID:27698121
Essentials and guidelines of an accredited educational program for the radiographer.
1980-01-01
The Essentials were initially adopted in 1944, and revised in 1955, 1969, and 1978. They were adopted by the American College of Radiology, the American Medical Association, The American Society of Radiologic Technologists, and the Program Review Committee of the Joint Review Committee on Education in Radiologic Technology. The Essentials, which represent the minimum accreditation standards for an educational program, are printed here in regular type face. The extent to which a program complies with these standards determines its accreditation status; the Essentials, therefore, include all requirements for which an accredited program is held accountable. The Guidelines, explanatory documents that clarify the Essentials, are printed in italic. Guidelines provide examples, etc., to assist in interpreting the Essentials.
de Beurs, Derek P; de Groot, Marieke H; de Keijser, Jos; Verwey, Bastiaan; Mokkenstorm, Jan; Twisk, Jos W R; van Duijn, Erik; van Hemert, Albert M; Verlinde, Lia; Spijker, Jan; van Luijn, Bert; Vink, Jan; Kerkhof, Ad J F M
2013-01-09
In 2012, in The Netherlands a multidisciplinary practice guideline for the assessment and treatment of suicidal behavior was issued. The release of guidelines often fails to change professional behavior due to multiple barriers. Structured implementation may improve adherence to guidelines. This article describes the design of a study measuring the effect of an e-learning supported Train-the-Trainer program aiming at the training of the full staff of departments in the application of the guideline. We hypothesize that both professionals and departments will benefit from the program. In a multicenter cluster randomized controlled trial, 43 psychiatric departments spread over 10 regional mental health institutions throughout The Netherlands will be clustered in pairs with respect to the most prevalent diagnostic category of patients and average duration of treatment. Pair members are randomly allocated to either the experimental or the control condition. In the experimental condition, the full staff of departments, that is, all registered nurses, psychologists, physicians and psychiatrists (n = 532, 21 departments) will be trained in the application of the guideline, in a one-day small interactive group Train-the-Trainer program. The program is supported by a 60-minute e-learning module with video vignettes of suicidal patients and additional instruction. In the control condition (22 departments, 404 professionals), the guideline shall be disseminated in the traditional way: through manuals, books, conferences, internet, reviews and so on. The effectiveness of the program will be assessed at the level of both health care professionals and departments. We aim to demonstrate the effect of training of the full staff of departments with an e-learning supported Train-the-Trainer program in the application of a new clinical guideline. Strengths of the study are the natural setting, the training of full staff, the random allocation to the conditions, the large scale of the study and the willingness of both staff and management to participate in the study. Dutch trial register: NTR3092.
2013-01-01
Background In 2012, in The Netherlands a multidisciplinary practice guideline for the assessment and treatment of suicidal behavior was issued. The release of guidelines often fails to change professional behavior due to multiple barriers. Structured implementation may improve adherence to guidelines. This article describes the design of a study measuring the effect of an e-learning supported Train-the-Trainer program aiming at the training of the full staff of departments in the application of the guideline. We hypothesize that both professionals and departments will benefit from the program. Method In a multicenter cluster randomized controlled trial, 43 psychiatric departments spread over 10 regional mental health institutions throughout The Netherlands will be clustered in pairs with respect to the most prevalent diagnostic category of patients and average duration of treatment. Pair members are randomly allocated to either the experimental or the control condition. In the experimental condition, the full staff of departments, that is, all registered nurses, psychologists, physicians and psychiatrists (n = 532, 21 departments) will be trained in the application of the guideline, in a one-day small interactive group Train-the-Trainer program. The program is supported by a 60-minute e-learning module with video vignettes of suicidal patients and additional instruction. In the control condition (22 departments, 404 professionals), the guideline shall be disseminated in the traditional way: through manuals, books, conferences, internet, reviews and so on. The effectiveness of the program will be assessed at the level of both health care professionals and departments. Discussion We aim to demonstrate the effect of training of the full staff of departments with an e-learning supported Train-the-Trainer program in the application of a new clinical guideline. Strengths of the study are the natural setting, the training of full staff, the random allocation to the conditions, the large scale of the study and the willingness of both staff and management to participate in the study. Trial registration Dutch trial register: NTR3092 PMID:23302322
ERIC Educational Resources Information Center
Pritchard, Tony; Penix, Kellie; Colquitt, Gavin; McCollum, Starla
2012-01-01
Effective instruction in a university physical activity program is essential if the program desires to meet the National Association for Sport and Physical Education (NASPE, 1998) guidelines for an appropriate college/university physical activity instructional program. To meet these guidelines, an instructor can use the Personalized System of…
ERIC Educational Resources Information Center
Georgantaki, Stavroula C.; Retalis, Symeon D.
2007-01-01
"Object-Oriented Programming" subject is included in the ACM Curriculum Guidelines for Undergraduate and Graduate Degree Programs in Computer Science as well as in Curriculum for K-12 Computer Science. In a few research studies learning problems and difficulties have been recorded, and therefore, specific pedagogical guidelines and…
Peer Tutoring: A Guide to Program Design. Research and Development Series No. 260.
ERIC Educational Resources Information Center
Ashley, William L.; And Others
This publication presents guidelines for planning, implementing, and evaluating a peer tutoring program within a vocational setting. Chapter 1 discusses benefits of peer tutoring and presents a compilation of guidelines, suggestions, and examples for planning, developing, and evaluating a peer tutoring program. Tasks in each area--program…
ERIC Educational Resources Information Center
Riverside County Office of Education, CA. Div. of Special Schools and Services.
The special education procedural handbook and the special education curriculum guide provide guidelines for teachers and other school personnel. The procedural handbook covers the following areas: individual education program process (IEP) and program placement, individual education program team, administrative placements, parent interviews,…
Guidelines for Self-Study and External Evaluation of Undergraduate Physics Programs
ERIC Educational Resources Information Center
American Association of Physics Teachers (NJ1), 2005
2005-01-01
Influenced by the project entitled "Strategic Programs for Innovations in Undergraduate Physics", this document is intended to guide a physics department in initial, or mid-stream evaluation of a program of undergraduate physics education. The original Guidelines were developed by the American Association of Physics Teachers (AAPT) in 1986. The…
Regional Medical Program; Guidelines for Evaluation.
ERIC Educational Resources Information Center
Dean, Gary S., And Others
This set of guidelines was written to provide a systematic explanation of the process of evaluation applied to Regional Medical Programs, as required by Public Law 89-239. Goals of the programs are the improvement of health care of patients suffering from heart disease, cancer, stroke and related diseases and improvement in the practice of health…
Policy Statement and General Guidelines on Family Life and Sex Education.
ERIC Educational Resources Information Center
Illinois State Board of Education, Springfield.
This guide is a statement of policy and guidelines on family life and sex education devised by the Illinois State Board of Education to aid local boards of education, school administrators, and community groups in developing and implementing new programs or extending existing programs. A statement of policy including purpose, programs, and…
ERIC Educational Resources Information Center
National Association of School Security Directors, Bellevue, WA.
These workshop materials are the guidelines Broward County (Florida) has established to carry out the state legislative mandate authorizing school boards to establish educational alternative programs to meet the individual needs and interests of students who are disruptive, unsucessful, or disinterested in the normal school environment. Included…
GSFC Ada programming guidelines
NASA Technical Reports Server (NTRS)
Roy, Daniel M.; Nelson, Robert W.
1986-01-01
A significant Ada effort has been under way at Goddard for the last two years. To ease the center's transition toward Ada (notably for future space station projects), a cooperative effort of half a dozen companies and NASA personnel was started in 1985 to produce programming standards and guidelines for the Ada language. The great richness of the Ada language and the need of programmers for good style examples makes Ada programming guidelines an important tool to smooth the Ada transition. Because of the natural divergence of technical opinions, the great diversity of our government and private organizations and the novelty of the Ada technology, the creation of an Ada programming guidelines document is a difficult and time consuming task. It is also a vital one. Steps must now be taken to ensure that the guide is refined in an organized but timely manner to reflect the growing level of expertise of the Ada community.
Guidelines for Biosafety Training Programs for Workers Assigned to BSL-3 Research Laboratories.
Homer, Lesley C; Alderman, T Scott; Blair, Heather Ann; Brocard, Anne-Sophie; Broussard, Elaine E; Ellis, Robert P; Frerotte, Jay; Low, Eleanor W; McCarthy, Travis R; McCormick, Jessica M; Newton, JeT'Aime M; Rogers, Francine C; Schlimgen, Ryan; Stabenow, Jennifer M; Stedman, Diann; Warfield, Cheryl; Ntiforo, Corrie A; Whetstone, Carol T; Zimmerman, Domenica; Barkley, Emmett
2013-03-01
The Guidelines for Biosafety Training Programs for Workers Assigned to BSL-3 Research Laboratories were developed by biosafety professionals who oversee training programs for the 2 national biocontainment laboratories (NBLs) and the 13 regional biocontainment laboratories (RBLs) that participate in the National Institute of Allergy and Infectious Diseases (NIAID) NBL/RBL Network. These guidelines provide a general training framework for biosafety level 3 (BSL-3) high-containment laboratories, identify key training concepts, and outline training methodologies designed to standardize base knowledge, understanding, and technical competence of laboratory personnel working in high-containment laboratories. Emphasis is placed on building a culture of risk assessment-based safety through competency training designed to enhance understanding and recognition of potential biological hazards as well as methods for controlling these hazards. These guidelines may be of value to other institutions and academic research laboratories that are developing biosafety training programs for BSL-3 research.
ERIC Educational Resources Information Center
Carvell Education Managment Planning, Inc., Los Angeles, CA.
The second part of a report on a comprehensive review of the credit instructional programs offered by Pasadena City College (PCC), this volume contains a technical description of the data collection and assembly procedures used in the program review and provides guidelines for the implementation of the program review model. The first section…
Cooking Up a Food Service Program in Rural Alaska. Guidelines for Consumer and Homemaking Education.
ERIC Educational Resources Information Center
Shelton, Nicki
This guide shows teachers how to offer successfully a food service program as part of the home economics curriculum. It describes a rural, secondary-level food service program--a bakery service offered to the community--and gives step-by-step instructions for starting the program as well as guidelines for developing it each year. The first section…
2011-01-01
The Regional Anesthesiology and Acute Pain Medicine Fellowship Directors Group develops and maintains guidelines for fellowship training in the subspecialty. These guidelines update the original guidelines that were published in 2005. The guidelines address 3 major topic areas: organization and resources, the educational program, and the evaluation process.
The SBHE Guideline for Operating Budget Funding. Postsecondary Education Research Reports.
ERIC Educational Resources Information Center
Maryland State Board for Higher Education, Annapolis.
New Maryland State Board for Higher Education funding guidelines for public four-year institutions in Maryland are presented, along with information on the development of the guidelines. Four guidelines models were studied and evaluated by criteria endorsed by state and university officials. To derive the guidelines, each program area…
Ebben, Remco H A; van Grunsven, Pierre M; Moors, Marie Louise; Aldenhoven, Peter; de Vaan, Jordan; van Hout, Roger; van Achterberg, Theo; Vloet, Lilian C M
2015-04-16
To standardize patient handover in the chain of emergency care a handover guideline was developed. The main guideline recommendation is to use the DeMIST model (Demographics, Mechanism of Injury/illness, Injury/Illness, Signs, Treatment given) to structure pre-hospital notification and handover. To benefit from the new guideline, guideline adherence is necessary. As adherence to guidelines in emergency care settings is variable, there is a need to systematically implement the new guideline. For implementation of the guideline we developed a e-learning program tailored to influencing factors. The aim of the study was to evaluate the effectiveness of this e-learning program to improve emergency care professionals' adherence to the handover guideline during pre-hospital notification and handover in the chain of emergency medical service (EMS), emergency medical dispatch (EMD), and emergency department (ED). A prospective pre-test post-test study was conducted. The intervention was a tailored e-learning program that was offered to ambulance crew and emergency medical dispatchers (n=88). Data on adherence included pre-hospital notifications and handovers and were collected through observations and audiotapes before and after the e-learning program. Data were analyzed using X(2)-tests and t-tests. In total, 78/88 (88.6%) professionals followed the e-learning program. During pre- and post-test, 146 and 169 handovers were observed respectively. After the e-learning program, no significant difference in the number of handovers with the DeMIST model (77.9% vs. 73.1%, p=.319) and the number of handovers with the correct sequence of the DeMIST model (69.9% vs. 70.5%, p=.159) existed. During the handover, the number of questions by ED staff and interruptions significantly increased from 49.0% to 68.9% and from 15.2% to 52.7% respectively (both p=.000). Most handovers were performed after patient transfer, this did not change after the intervention (p=.167). The number of handovers where information was documented during handover slightly increased from 26.9% to 29.3% (p=.632). The tailored e-learning program did not improve adherence to a handover guideline in the chain of emergency care. Results show a relatively high baseline adherence rate to usage and correct sequence of the DeMIST model. Improvements in the handover process can be made on the documentation of information during handover, the number of interruptions and questions, and the handover moment.
Guidelines for PCC inputs to AASHTOWare Pavement ME.
DOT National Transportation Integrated Search
2014-12-01
The objective of this research study was to develop guidelines for portland cement concrete (PCC) material inputs to the : AASHTOWare Pavement ME Design program. The AASHTOWare Pavement ME Design is the software program used by the : Mississippi Depa...
Science Facilities Design Guidelines.
ERIC Educational Resources Information Center
Maryland State Dept. of Education, Baltimore.
These guidelines, presented in five chapters, propose a framework to support the planning, designing, constructing, and renovating of school science facilities. Some program issues to be considered in the articulation of a science program include environmental concerns, interdisciplinary approaches, space flexibility, and electronic…
Carlsson, Axel C; Wändell, Per E; Halldin, Mats; de Faire, Ulf; Hellénius, Mai-Lis
2009-06-01
There are three commonly used definitions of the metabolic syndrome, making scientific studies hard to compare. The aim of this study was to investigate agreement in the prevalence of the metabolic syndrome defined by three different definitions and to analyze definition and gender differences. A population-based, cross-sectional study of a total of 4232 participants--2039 men and 2193 women, aged 60 years--was employed. Three different metabolic syndrome definitions were compared: European Group for the Study of Insulin Resistance (EGIR), International Diabetes Federation (IDF), and National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III). Medical history, socioeconomic information, and lifestyle data were collected by a questionnaire. A medical examination including laboratory tests was performed. Significant factors for the metabolic syndrome were calculated by multivariate logistic regression. Forty five percent of men and 30% of women met the criteria for the metabolic syndrome by any definition, but only 17% of men and 9% of women met the criteria of all three definitions. The highest agreement was found between IDF and NCEP ATP III definition. Two significant associations were identified in both men and women by the three metabolic syndrome definitions; former smokers were highly associated with the metabolic syndrome (odds ratio [OR] congruent with 1.5), and regular physical activity (OR congruent with 0.6) was inversely associated with the metabolic syndrome. Depending on the definition used, different individuals were identified as having the metabolic syndrome, which affects the reliability of interpretations to be made from scientific studies of the metabolic syndrome. Unified criteria are warranted. Physicians facing a physically inactive former smoker may consider diagnosing metabolic syndrome.
Méndez-Hernández, Pablo; Dosamantes-Carrasco, Libia Darina; Siani, Carole; Pierlot, Romain; Martínez-Gómez, Margarita; Rivera-Paredez, Berenice; Cervantes-Popoca, Laura; Rojas-Lima, Elodia; Salazar-Martínez, Eduardo; Flores, Yvonne N; Salmerón, Jorge
2016-11-15
Meals are an important source of food intake, contributing to body weight and health status. Previous studies have examined the relationship between isolated mealtime behaviours and the metabolic syndrome (MetS). The aim of this study was to examine the influence over time of ten interrelated mealtime habits on the risk of developing the MetS and insulin resistance (IR) among Mexican adults. We conducted a prospective cohort study with a sample of 956 health workers. The Mealtime Habits Quality (MHQ) scale is based on four mealtime situations (availability of time to eat, distractions while eating, environmental and social context of eating, and familiar or cultural eating habits), which were used to assess the participants' MHQ at the baseline (2004-2006) and follow-up (2010-2012) evaluations. The MetS was assessed using criteria from the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) and the International Diabetes Federation (IDF). IR was defined using the homoeostasis model assessment. Crude and adjusted relative risks were calculated to estimate the relationship between MHQ and the risk of developing the MetS or IR. Participants classified in the lower MHQ category had an 8·8 (95 % CI 3·1, 25) and 11·1 (95 % CI 3·4, 36·1) times greater risk of developing the MetS (using the NCEP-ATP III and IDF criteria, respectively), and an 11·2 times (95 % CI 3·9, 31·5) greater likelihood of developing IR, compared with those in the higher MHQ group. This prospective study reveals that individuals who engaged in more undesirable than recommended mealtime behaviours had a >10-fold risk of developing the MetS or IR.
Steinhardt, Alberto Penas; Aranguren, Florencia; Tellechea, Mariana L; Gómez Rosso, Leonardo A; Brites, Fernando D; Martínez-Larrad, Maria T; Serrano-Ríos, Manuel; Frechtel, Gustavo D; Taverna, Mariano J
2010-05-01
Toll-like receptor 4 (TLR4) plays a key role in the activation of innate immune responses. Loss-of-function mutations in TLR4 prevent diet-induced obesity and insulin resistance (IR). We conducted a population cross-sectional study to evaluate whether Asp299Gly (rs4986790) TLR4 gene polymorphism is associated with metabolic syndrome (MS), surrogates of IR, and syndromes of lipid accumulation (SLAs) in Argentinean healthy male subjects. rs4986790 was genotyped in 621 healthy unrelated male blood donors. National Cholesterol Education Program/Adult Treatment Panel III-MS (NCEP/ATP III-MS); SLAs such as enlarged waist elevated triglyceride syndrome (EWET), hypertriglyceridemic waist (HW), and overweight-lipid syndrome (OLS); and surrogates of IR were assessed. The prevalence of MS, OLS, and EWET was significantly higher among Asp299Asp carriers (P < .05). These findings were confirmed using 32 000 bootstrap samples. Surrogate markers of IR were also significantly higher in Asp299Asp carriers (P < .05). Most findings were especially strengthened among individuals with C-reactive protein below the 95th percentile and/or total cholesterol to high-density lipoprotein cholesterol ratio >or=5. This is the first report to find, in Argentinean healthy male blood donors, associations between the Asp299Asp genotype of rs4986790 TLR4 gene polymorphism and high risk for NCEP/ATP III-MS, SLAs, and surrogates of IR. These findings are consistent with previous functional and observational studies showing that Asp299 allele, in comparison with Gly299, is associated with increased TLR4 activation, higher levels of inflammatory cytokines, acute-phase reactants and soluble adhesion molecules, and higher risk of atherosclerosis.
Kim, Sung-Tae; Kim, Byung-Joon; Song, In-Geol; Jung, Jang-Han; Lee, Kang-Woo; Park, Keun-Young; Cho, Youn-Zoo; Lee, Dae-Ho; Koh, Gwan-Pyo
2011-01-01
Background Recent studies have revealed that C-peptide induces smooth muscle cell proliferation and causes human atherosclerotic lesions in diabetic patients. The present study was designed to examine whether the basal C-peptide levels correlate with cardiovascular risk in type 2 diabetes mellitus (T2DM) patients. Methods Data was obtained from 467 patients with T2DM from two institutions who were followed for four years. The medical findings of all patients were reviewed, and patients with creatinine >1.4 mg/dL, any inflammation or infection, hepatitis, or type 1 DM were excluded. The relationships between basal C-peptide and other clinical values were statistically analyzed. Results A simple correlation was found between basal C-peptide and components of metabolic syndrome (MS). Statistically basal C-peptide levels were significantly higher than the three different MS criteria used in the present study, the Adult Treatment Panel III (ATP III) of the National Cholesterol Education Program's (NCEP's), World Health Organization (WHO), and the International Diabetes Federation (IDF) criteria (NCEP-ATP III, P=0.001; IDF, P<0.001; WHO, P=0.029). The multiple regression analysis between intima-media thickness (IMT) and clinical values showed that basal C-peptide significantly correlated with IMT (P=0.043), while the analysis between the 10-year coronary heart disease risk by the United Kingdom Prospective Diabetes Study risk engine and clinical values showed that basal C-peptide did not correlate with IMT (P=0.226). Conclusion Basal C-peptide is related to cardiovascular predictors (IMT) of T2DM, suggesting that basal C-peptide does provide a further indication of cardiovascular disease. PMID:21537412
Pirilä, Satu; Taskinen, Mervi; Viljakainen, Heli; Mäkitie, Outi; Kajosaari, Merja; Saarinen-Pihkala, Ulla M; Turanlahti, Maila
2014-03-28
The aim of the present study was to evaluate the impact of infant breast-feeding on cardiovascular risk in young adults. This unique study group involved 158 subjects (eighty-two females) originally collected prospectively at birth in 1975 and followed up to the age of 32 years. Frequent visits during the first year guaranteed the knowledge of the precise duration of breast-feeding. All infants received at least some breast milk. Participants were assessed for both individual cardiovascular risk factors (blood pressure, plasma lipids, homeostatic model assessment of insulin resistance and waist circumference) and the general clinical risk of cardiovascular events by calculating the Framingham risk score (FRS) and the metabolic syndrome criteria score (NCEP-ATPIII; National Cholesterol Education Program's Adult Treatment Panel III). Data on lifestyle factors were carefully collected. Linear regression analyses revealed that the effect of the duration of breast-feeding was not relevant (0·02 decrease in the FRS per one additional breast-feeding month; 95 % CI - 0·19, 0·09). Similarly, the effect of breast-feeding was minor on all of the individual cardiovascular risk factors. We used sex, physical activity, dietary fat and vitamin C, smoking and alcohol consumption as covariates. Again, logistic regression analyses detected no significant impact of the duration of breast-feeding on the risk of the metabolic syndrome according to the NCEP-ATPIII (OR 0·95, 95 % CI 0·8, 1·1). The strongest independent predictor for later CVD risk was male sex. In conclusion, in this prospectively followed cohort of young adults born at term and at weight appropriate for gestational age, the duration of breast-feeding did not have an impact on the accumulation of cardiovascular risk factors.
Escobedo, Jorge; Schargrodsky, Herman; Champagne, Beatriz; Silva, Honorio; Boissonnet, Carlos P; Vinueza, Raul; Torres, Marta; Hernandez, Rafael; Wilson, Elinor
2009-01-01
Background Metabolic syndrome increases cardiovascular risk. Limited information on its prevalence in Latin America is available. The Cardiovascular Risk Factor Multiple Evaluation in Latin America (CARMELA) study included assessment of metabolic syndrome in 7 urban Latin American populations. Methods CARMELA was a cross-sectional, population-based, observational study conducted in Barquisimeto, Venezuela; Bogota, Colombia; Buenos Aires, Argentina; Lima, Peru; Mexico City, Mexico; Quito, Ecuador; and Santiago, Chile. The prevalence of metabolic syndrome, defined according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III), and associated carotid atherosclerosis were investigated in 11,502 participants aged 25 to 64 years. Results Across CARMELA cities, metabolic syndrome was most prevalent in Mexico City (27%) and Barquisimeto (26%), followed by Santiago (21%), Bogota (20%), Lima (18%), Buenos Aires (17%), and Quito (14%). In nondiabetic participants, prevalence was slightly lower but followed a comparable ranking. Overall, 59%, 59%, and 73% of women with high triglycerides, hypertension, or glucose abnormalities, respectively, and 64%, 48% and 71% of men with abdominal obesity, hypertension, or glucose abnormalities, respectively, had the full metabolic syndrome. Prevalence of metabolic syndrome increased with age, markedly so in women. Mean common carotid artery intima-media thickness (CCAIMT) and prevalence of carotid plaque increased steeply with increasing numbers of metabolic syndrome components; mean CCAIMT was higher and plaque more prevalent in participants with metabolic syndrome than without. Conclusion The prevalence of metabolic syndrome and its components by NCEP ATP III criteria was substantial across cities, ranging from 14% to 27%. CARMELA findings, including evidence of the association of metabolic syndrome and carotid atherosclerosis, should inform appropriate clinical and public health interventions. PMID:19781089
Results of an asthma disease management program in an urban pediatric community clinic.
Newcomb, Patricia
2006-07-01
Asthma is increasing in incidence, but adherence to national diagnosis and treatment guidelines is poor. The Children's Asthma Management Program (CHAMP) was designed and implemented by nurse practitioners to address the problem of inconsistent asthma management. This is an outcome-based evaluation of a novel asthma management program in which practitioners created a structured mechanism for implementing national evidence-based asthma treatment guidelines. Children who completed the program experienced an 85% decrease in hospitalizations for asthma, 87% decrease in emergency room visits for asthma, and 71% decrease in acute office visits for asthma exacerbations. Patients may benefit from microsystem structures intentionally designed to facilitate implementation of evidence-based guidelines.
Robert.Grumbine@noaa.gov. Last modified 2 July 2012. Return to NCEP Marine Modeling and Analysis Branch Home Page Webmaster Disclaimer Credits Glossary Privacy Policy About Us Career Opportunities Page last modified
NASA Astrophysics Data System (ADS)
Zhao, Tianbao; Wang, Juanhuai; Dai, Aiguo
2015-10-01
Many multidecadal atmospheric reanalysis products are available now, but their consistencies and reliability are far from perfect. In this study, atmospheric precipitable water (PW) from the National Centers for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR), NCEP/Department of Energy (DOE), Modern Era Retrospective-Analysis for Research and Applications (MERRA), Japanese 55 year Reanalysis (JRA-55), JRA-25, ERA-Interim, ERA-40, Climate Forecast System Reanalysis (CFSR), and 20th Century Reanalysis version 2 is evaluated against homogenized radiosonde observations over China during 1979-2012 (1979-2001 for ERA-40). Results suggest that the PW biases in the reanalyses are within ˜20% for most of northern and eastern China, but the reanalyses underestimate the observed PW by 20%-40% over western China and by ˜60% over the southwestern Tibetan Plateau. The newer-generation reanalyses (e.g., JRA25, JRA55, CFSR, and ERA-Interim) have smaller root-mean-square error than the older-generation ones (NCEP/NCAR, NCEP/DOE, and ERA-40). Most of the reanalyses reproduce well the observed PW climatology and interannual variations over China. However, few reanalyses capture the observed long-term PW changes, primarily because they show spurious wet biases before about 2002. This deficiency results mainly from the discontinuities contained in reanalysis relative humidity fields in the middle-lower troposphere due to the wet bias in older radiosonde records that are assimilated into the reanalyses. An empirical orthogonal function (EOF) analysis revealed two leading modes that represent the long-term PW changes and El Niño-Southern Oscillation-related interannual variations with robust spatial patterns. The reanalysis products, especially the MERRA and JRA-25, roughly capture these EOF modes, which account for over 50% of the total variance. The results show that even during the post-1979 satellite era, discontinuities in radiosonde data can still induce large spurious long-term changes in reanalysis PW and other related fields. Thus, more efforts are needed to remove spurious changes in input data for future long-term reanalyses.
NASA Astrophysics Data System (ADS)
Betts, Alan K.; Viterbo, Pedro; Beljaars, Anton; Pan, Hua-Lu; Hong, Song-You; Goulden, Mike; Wofsy, Steve
1998-09-01
The National Center for Environmental Prediction and National Center for Atmospheric Research (NCEP/NCAR) and European Centre for Medium-Range Weather Forecasts (ECMWF) reanalysis models are compared with First ISLSCP (International Satellite Land Surface Climatology Project) Field Experiment (FIFE) grassland data from Kansas in 1987 and Boreal Ecosystem-Atmosphere Study (BOREAS) data from an old black spruce site in 1996 near Thompson, Manitoba. Some aspects of the comparison are similar for the two ecosystems. Over grassland and after snowmelt in the boreal forest, both models represent the seasonal cycle of near-surface temperature well. The two models have quite different soil hydrology components. The ECMWF model includes soil water nudging based on low level humidity errors. While this works quite well for the FIFE grassland, it appears to give too high evaporation over the boreal forest. The NCEP/NCAR model constrains long-term drifts by nudging deep soil water toward climatology. Over the FIFE site, this seems to give too low evaporation in midsummer, while at the BOREAS site, evaporation in this model is high. Both models have some difficulty representing the surface diurnal cycle of humidity. In the NCEP/NCAR reanalysis this leads to errors primarily in June, when the surface boundary layer stays saturated and too much precipitation occurs. In the ECMWF reanalysis there is a morning peak of mixing ratio, which an earlier work showed resulted from too shallow a boundary layer in the morning. Over the northern boreal forest there are important physical processes, which are not represented in either reanalysis model. In particular very high model albedos in spring, when there is snow under the forest canopy, lead to a very low daytime net radiation. This in turn leads to a large underestimate of the daytime surface fluxes, particularly the sensible heat flux, and to daytime model surface temperatures that are as much as 15 K low. In addition, the models do not account for the reduction in evaporation associated with frozen soil, and they generally have too large evapotranspiration in June and July, probably because they do not model the tight stomatal control of the coniferous forest.
Applying an economical scale-aware PDF-based turbulence closure model in NOAA NCEP GCMs.
NASA Astrophysics Data System (ADS)
Krueger, S. K.; Belochitski, A.; Moorthi, S.; Bogenschutz, P.; Pincus, R.
2015-12-01
A novel unified representation of sub-grid scale (SGS) turbulence, cloudiness, and shallow convection is being implemented into the NOAA NCEP Global Forecasting System (GFS) general circulation model. The approach, known as Simplified High Order Closure (SHOC), is based on predicting a joint PDF of SGS thermodynamic variables and vertical velocity and using it to diagnose turbulent diffusion coefficients, SGS fluxes, condensation and cloudiness. Unlike other similar methods, only one new prognostic variable, turbulent kinetic energy (TKE), needs to be intoduced, making the technique computationally efficient.SHOC code was adopted for a global model environment from its origins in a cloud resolving model, and incorporated into NCEP GFS. SHOC was first tested in a non-interactive mode, a configuration where SHOC receives inputs from the host model, but its outputs are not returned to the GFS. In this configuration: a) SGS TKE values produced by GFS SHOC are consistent with those produced by SHOC in a CRM, b) SGS TKE in GFS SHOC exhibits a well defined diurnal cycle, c) there's enhanced boundary layer turbulence in the subtropical stratocumulus and tropical transition-to-cumulus areas d) buoyancy flux diagnosed from the assumed PDF is consistent with independently calculated Brunt-Vaisala frequency in identifying stable and unstable regions.Next, SHOC was coupled to GFS, namely turbulent diffusion coefficients computed by SHOC are now used in place of those currently produced by the GFS boundary layer and shallow convection schemes (Han and Pan, 2011), as well as condensation and cloud fraction diagnosed from the SGS PDF replace those calculated in the current large-scale cloudines scheme (Zhao and Carr, 1997). Ongoing activities consist of debugging the fully coupled GFS/SHOC.Future work will consist of evaluating model performance and tuning the physics if necessary, by performing medium-range NWP forecasts with prescribed initial conditions, and AMIP-type climate tests with prescribed SSTs. Depending on the results, the model will be tuned or parameterizations modified. Next, SHOC will be implemented in the NCEP CFS, and tuned and evaluated for climate applications - seasonal prediction and long coupled climate runs. Impact of new physics on ENSO, MJO, ISO, monsoon variability, etc will be examined.
ERIC Educational Resources Information Center
Seo, You-Jin; Woo, Honguk
2010-01-01
Critical user interface design features of computer-assisted instruction programs in mathematics for students with learning disabilities and corresponding implementation guidelines were identified in this study. Based on the identified features and guidelines, a multimedia computer-assisted instruction program, "Math Explorer", which delivers…
Code of Federal Regulations, 2014 CFR
2014-10-01
... 42 Public Health 1 2014-10-01 2014-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 1 2010-10-01 2010-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 1 2011-10-01 2011-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
Code of Federal Regulations, 2012 CFR
2012-10-01
... 42 Public Health 1 2012-10-01 2012-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
Code of Federal Regulations, 2013 CFR
2013-10-01
... 42 Public Health 1 2013-10-01 2013-10-01 false Effect of these regulations on Federal program... SELF-GOVERNANCE General Provisions § 137.5 Effect of these regulations on Federal program guidelines... funding agreement, the Self-Governance Tribe shall not be subject to any agency circular, policy, manual...
Guidelines for Out-of-School Credit in Foreign Travel.
ERIC Educational Resources Information Center
Hartman, Don, Comp.; Hutto, Max, Comp.
Guidelines for out-of-school credit in foreign travel through the Foreign Study Program for high school students are presented. This program is offered to high school students in a format that encompasses areas contiguous to all major curriculum courses of the secondary school. The following topics are addressed: (1) program goals and objectives,…
The Role of Faculty in the Effectiveness of Fully Online Programs
ERIC Educational Resources Information Center
Al-Salman, Sami M.
2013-01-01
The enormous growth of online learning creates the need to develop a set of standards and guidelines for fully online programs. While many guidelines do exist, web-based programs still fall short in the recognition, adoption, or the implementation of these standards. One consequence is the high attrition rates associated with web-based distance…
PEPFAR/DOD/Pharmaccess/Tanzania Peoples Defence Forces HIV/AIDS Program
2009-09-01
NACP National AIDS Control Program NGO Non Governmental Organization NLTP National Leprosy and TB Program NS National Service OIS...have an ongoing DOT-TB program monitored by the Regional Medical Officer, in line with the guidelines of the National Tuberculosis and Leprosy ...and treatment, according to the guidelines of the NACP TB Unit and the National TB and Leprosy Programme (NTLP). 48 48 C Train medical officers
40 CFR 60.38e - Reporting and recordkeeping guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Reporting and recordkeeping guidelines... PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY SOURCES Emission Guidelines and Compliance Times for Hospital/Medical/Infectious Waste Incinerators § 60.38e Reporting and recordkeeping guidelines...
DOT National Transportation Integrated Search
2014-10-01
This research program develops and validates structural design guidelines and details for concrete bridge decks with : corrosion-resistant reinforcing (CRR) bars. A two-phase experimental program was conducted where a control test set consistent : wi...
NASA Technical Reports Server (NTRS)
Witkin, S. A.
1976-01-01
A viable quality program for the urban mass transit industry, and a management approach to ensure compliance with the program are outlined. Included are: (1) a set of guidelines for quality assurance to be imposed on transit authorities, and a management approach to ensure compliance with them; (2) a management approach to be used by the transit authorities (properties) for assuring compliance with the QA guidelines; and (3) quality assurance guidelines to be imposed by properties and umta for procurement of hardware and systems.
Goldstein, Naomi E. S.; Kemp, Kathleen A.; Leff, Stephen S.; Lochman, John E.
2014-01-01
The use of manual-based interventions tends to improve client outcomes and promote replicability. With an increasingly strong link between funding and the use of empirically supported prevention and intervention programs, manual development and adaptation have become research priorities. As a result, researchers and scholars have generated guidelines for developing manuals from scratch, but there are no extant guidelines for adapting empirically supported, manualized prevention and intervention programs for use with new populations. Thus, this article proposes step-by-step guidelines for the manual adaptation process. It also describes two adaptations of an extensively researched anger management intervention to exemplify how an empirically supported program was systematically and efficiently adapted to achieve similar outcomes with vastly different populations in unique settings. PMID:25110403
National Centers for Environmental Prediction
/ VISION | About EMC EMC > NOAH > HOME Home Operational Products Experimental Data Verification Model PAGE LOGO NCEP HOME NWS LOGO NOAA HOME NOAA HOME Disclaimer for this non-operational web page
National Centers for Environmental Prediction
code. Press enter or select the go button to submit request Local forecast by "City, St" City , St Go Search NCEP Go Current Hazards Watches/Warnings Outlooks National Current Conditions
EVALUATION GUIDELINES FOR ECOLOGICAL INDICATORS
This document presents fifteen technical guidelines to evaluate the suitability of an ecological indicator for a particular monitoring program. The guidelines are organized within four evaluation phrases: conceptual relevance, feasibility of implementation, response variability...
40 CFR 60.35c - Reporting and recordkeeping guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 6 2010-07-01 2010-07-01 false Reporting and recordkeeping guidelines... PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY SOURCES Emission Guidelines and Compliance Times for Municipal Solid Waste Landfills § 60.35c Reporting and recordkeeping guidelines. For approval...
Code of Federal Regulations, 2010 CFR
2010-01-01
... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Guidelines. 1170.4 Section 1170.4... ADMINISTRATION, DEPARTMENT OF COMMERCE METRIC CONVERSION POLICY FOR FEDERAL AGENCIES § 1170.4 Guidelines. Each... agency actions, activities or programs undertaken in compliance with these guidelines or other laws or...
Impact of a public cholesterol screening program.
Fischer, P M; Guinan, K H; Burke, J J; Karp, W B; Richards, J W
1990-12-01
The National Cholesterol Education Program (NCEP) has endorsed physician case finding as the primary method to detect individuals with elevated cholesterol levels. Despite this recommendation, promotional and for-profit public screening programs have flourished. We surveyed participants of a mall-based cholesterol screening program 1 year after their screening. Sixty-four percent of those screened had not previously known their cholesterol levels. Those who were newly screened were less likely to benefit from this testing than the general public, since they were older (mean age, 55.3 years), more likely to be female (67.4%), and nonsmokers (88%). Screenees had excellent recall of their cholesterol level (mean absolute reporting error, 0.24 mmol/L [9 mg/dL]) and a good understanding of cholesterol as a coronary heart disease risk. Those with elevated cholesterol levels reported high distress from screening but no reduction in overall psychosocial well-being and an actual decrease in absenteeism. Only 53.7% of all who were advised to seek follow-up because of an elevated screening value had done so within the year following the screening program. However, of those with values greater than 6.2 mmol/L (240 mg/dL), 68% had sought follow-up. Many of those who participate in public screening programs have been previously tested, fall into low-benefit groups, or fail to comply with recommended follow-up. We therefore conclude that cholesterol screening programs of the type now commonly offered are unlikely to contribute greatly to the national efforts to further reduce coronary heart disease.
TEACHER PREPARATION--SELECTED READINGS.
ERIC Educational Resources Information Center
Modern Language Association of America, New York, NY.
DESIGNED PRIMARILY FOR PERSONS INTERESTED IN ESTABLISHING OR IMPROVING PROGRAMS OF TEACHER EDUCATION IN FOREIGN LANGUAGES, THIS COLLECTION CONTAINS ARTICLES, RESEARCH REPORTS, SURVEYS, AND GUIDELINES PUBLISHED FROM 1956 TO 1966. INCLUDED ARE--(1) "GUIDELINES FOR TEACHER EDUCATION PROGRAMS IN MFLS," (2) "THE EDUCATION OF THE MFL…
NASA Technical Reports Server (NTRS)
Al Hassan, Mohammad; Novack, Steven D.; Hatfield, Glen S.; Britton, Paul
2017-01-01
Today's launch vehicles complex electronic and avionic systems heavily utilize the Field Programmable Gate Array (FPGA) integrated circuit (IC). FPGAs are prevalent ICs in communication protocols such as MIL-STD-1553B, and in control signal commands such as in solenoid/servo valves actuations. This paper will demonstrate guidelines to estimate FPGA failure rates for a launch vehicle, the guidelines will account for hardware, firmware, and radiation induced failures. The hardware contribution of the approach accounts for physical failures of the IC, FPGA memory and clock. The firmware portion will provide guidelines on the high level FPGA programming language and ways to account for software/code reliability growth. The radiation portion will provide guidelines on environment susceptibility as well as guidelines on tailoring other launch vehicle programs historical data to a specific launch vehicle.
. UPCOMING CHANGES...THE CHANGES LISTED BELOW WILL BE INCORPORATED INTO THE MODEL ON THE EFFECTIVE CHANGE /WPS/. IF YOU HAVE ANY QUESTIONS CONCERNING THESE CHANGES...PLEASE CONTACT: GEOFF DIMEGO NCEP
Impacts of Modeled Recommendations of the National Commission on Energy Policy
2005-01-01
This report provides the Energy Information Administration's analysis of those National Commission on Energy Policy (NCEP) energy policy recommendations that could be simulated using the National Energy Modeling System (NEMS).
Using Ground Measurements to Examine the Surface Layer Parameterization Scheme in NCEP GFS
NASA Astrophysics Data System (ADS)
Zheng, W.; Ek, M. B.; Mitchell, K.
2017-12-01
Understanding the behavior and the limitation of the surface layer parameneterization scheme is important for parameterization of surface-atmosphere exchange processes in atmospheric models, accurate prediction of near-surface temperature and identifying the role of different physical processes in contributing to errors. In this study, we examine the surface layer paramerization scheme in the National Centers for Environmental Prediction (NCEP) Global Forecast System (GFS) using the ground flux measurements including the FLUXNET data. The model simulated surface fluxes, surface temperature and vertical profiles of temperature and wind speed are compared against the observations. The limits of applicability of the Monin-Obukhov similarity theory (MOST), which describes the vertical behavior of nondimensionalized mean flow and turbulence properties within the surface layer, are quantified in daytime and nighttime using the data. Results from unstable regimes and stable regimes are discussed.
NASA Technical Reports Server (NTRS)
Min, Wei; Schubert, Siegfried D.; Suarez, Max J. (Editor)
1997-01-01
The Data Assimilation Office (DAO) at Goddard Space Flight Center and the National Center for Environmental Prediction and National Center for Atmospheric Research (NCEP/NCAR) have produced multi-year global assimilations of historical data employing fixed analysis systems. These "reanalysis" products are ideally suited for studying short-term climatic variations. The availability of multiple reanalysis products also provides the opportunity to examine the uncertainty in the reanalysis data. The purpose of this document is to provide an updated estimate of seasonal and interannual variability based on the DAO and NCEP/NCAR reanalyses for the 15-year period 1980-1995. Intercomparisons of the seasonal means and their interannual variations are presented for a variety of prognostic and diagnostic fields. In addition, atmospheric potential predictability is re-examined employing selected DAO reanalysis variables.
NASA Astrophysics Data System (ADS)
Fletcher, S. J.; Kleist, D.; Ide, K.
2017-12-01
As the resolution of operational global numerical weather prediction system approach the meso-scale, then the assumption of Gaussianity for the errors at these scales may not valid. However, it is also true that synoptic variables that are positive definite in behavior, for example humidity, cannot be optimally analyzed with a Gaussian error structure, where the increment could force the full field to go negative. In this presentation we present the initial work of implementing a mixed Gaussian-lognormal approximation for the temperature and moisture variable in both the ensemble and variational component of the NCEP GSI hybrid EnVAR. We shall also lay the foundation for the implementation of the lognormal approximation to cloud related control variables to allow for a possible more consistent assimilation of cloudy radiances.
NASA Astrophysics Data System (ADS)
Xavier, V. F.; Chandrasekar, A.; Singh, Devendra
2006-12-01
The present study utilized the Penn State/NCAR mesoscale model (MM5), to assimilate the INSAT-CMV (Indian National Satellite System-Cloud Motion Vector) wind observations using analysis nudging to improve the prediction of a monsoon depression which occurred over the Arabian Sea, India during 14 September 2005 to 17 September 2005. NCEP-FNL analysis has been utilized as the initial and lateral boundary conditions and two sets of numerical experiments were designed to reveal the impact of assimilation of satellite-derived winds. The model was integrated from 14 September 2005 00 UTC to 17 September 2005 00 UTC, with just the NCEP FNL analysis in the NOFDDA run. In the FDDA run, the NCEP FNL analysis fields were improved by assimilating the INSAT-CMV (wind speed and wind direction) as well as QuickSCAT sea surface winds during the 24 hour pre-forecast period (14 September 2005 00 UTC to 15 September 2005 00 UTC) using analysis nudging. The model was subsequently run in the free forecast mode from 15 September 2005 00 UTC to 17 September 2005 12 UTC. The simulated sea level pressure field from the NOFDDA run reveals a relatively stronger system as compared to the FDDA run. However, the sea level pressure fields corresponding to the FDDA run are closer to the analysis. The simulated lower tropospheric winds from both experiments reveal a well-developed cyclonic circulation as compared to the analysis.
NASA Astrophysics Data System (ADS)
Zhang, J.; Fang, N. Z.
2017-12-01
A potential flood forecast system is under development for the Upper Trinity River Basin (UTRB) in North Central of Texas using the WRF-Hydro model. The Routing Application for the Parallel Computation of Discharge (RAPID) is utilized as channel routing module to simulate streamflow. Model performance analysis was conducted based on three quantitative precipitation estimates (QPE): the North Land Data Assimilation System (NLDAS) rainfall, the Multi-Radar Multi-Sensor (MRMS) QPE and the National Centers for Environmental Prediction (NCEP) quality-controlled stage IV estimates. Prior to hydrologic simulation, QPE performance is assessed on two time scales (daily and hourly) using the Community Collaborative Rain, Hail and Snow Network (CoCoRaHS) and Hydrometeorological Automated Data System (HADS) hourly products. The calibrated WRF-Hydro model was then evaluated by comparing the simulated against the USGS observed using various QPE products. The results imply that the NCEP stage IV estimates have the best accuracy among the three QPEs on both time scales, while the NLDAS rainfall performs poorly because of its coarse spatial resolution. Furthermore, precipitation bias demonstrates pronounced impact on flood forecasting skills, as the root mean squared errors are significantly reduced by replacing NLDAS rainfall with NCEP stage IV estimates. This study also demonstrates that accurate simulated results can be achieved when initial soil moisture values are well understood in the WRF-Hydro model. Future research effort will therefore be invested on incorporating data assimilation with focus on initial states of the soil properties for UTRB.
A CPT for Improving Turbulence and Cloud Processes in the NCEP Global Models
NASA Astrophysics Data System (ADS)
Krueger, S. K.; Moorthi, S.; Randall, D. A.; Pincus, R.; Bogenschutz, P.; Belochitski, A.; Chikira, M.; Dazlich, D. A.; Swales, D. J.; Thakur, P. K.; Yang, F.; Cheng, A.
2016-12-01
Our Climate Process Team (CPT) is based on the premise that the NCEP (National Centers for Environmental Prediction) global models can be improved by installing an integrated, self-consistent description of turbulence, clouds, deep convection, and the interactions between clouds and radiative and microphysical processes. The goal of our CPT is to unify the representation of turbulence and subgrid-scale (SGS) cloud processes and to unify the representation of SGS deep convective precipitation and grid-scale precipitation as the horizontal resolution decreases. We aim to improve the representation of small-scale phenomena by implementing a PDF-based SGS turbulence and cloudiness scheme that replaces the boundary layer turbulence scheme, the shallow convection scheme, and the cloud fraction schemes in the GFS (Global Forecast System) and CFS (Climate Forecast System) global models. We intend to improve the treatment of deep convection by introducing a unified parameterization that scales continuously between the simulation of individual clouds when and where the grid spacing is sufficiently fine and the behavior of a conventional parameterization of deep convection when and where the grid spacing is coarse. We will endeavor to improve the representation of the interactions of clouds, radiation, and microphysics in the GFS/CFS by using the additional information provided by the PDF-based SGS cloud scheme. The team is evaluating the impacts of the model upgrades with metrics used by the NCEP short-range and seasonal forecast operations.
NASA Astrophysics Data System (ADS)
Greatbatch, Richard J.; Zhu, Xiaoting; Claus, Martin
2018-03-01
Monthly mean sea level anomalies in the tropical Pacific for the period 1961-2002 are reconstructed using a linear, multimode model driven by monthly mean wind stress anomalies from the NCEP/NCAR and ERA-40 reanalysis products. Overall, the sea level anomalies reconstructed by both wind stress products agree well with the available tide gauge data, although with poor performance at Kanton Island in the western-central equatorial Pacific and reduced amplitude at Christmas Island. The reduced performance is related to model error in locating the pivot point in sea level variability associated with the so-called "tilt" mode. We present evidence that the pivot point was further west during the period 1993-2014 than during the period 1961-2002 and attribute this to a persistent upward trend in the zonal wind stress variance along the equator west of 160° W throughout the period 1961-2014. Experiments driven by the zonal component of the wind stress alone reproduce much of the trend in sea level found in the experiments driven by both components of the wind stress. The experiments show an upward trend in sea level in the eastern tropical Pacific over the period 1961-2002, but with a much stronger upward trend when using the NCEP/NCAR product. We argue that the latter is related to an overly strong eastward trend in zonal wind stress in the eastern-central Pacific that is believed to be a spurious feature of the NCEP/NCAR product.
Trends in solar radiation in NCEP/NCAR database and measurements in northeastern Brazil
DOE Office of Scientific and Technical Information (OSTI.GOV)
Silva, Vicente de Paulo Rodrigues da; Silva, Roberta Araujo e; Cavalcanti, Enilson Palmeira
2010-10-15
The database from the National Center for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) re-analysis project available for the period from 1948 to 2009 was used for obtaining long-term solar radiation for northeastern Brazil. Measurements of global solar radiation (R{sub s}) from data collection platform (DCP) for four climatic zones of northeastern Brazil were compared to the re-analysis data. Applying cluster analysis to R{sub s} from database, homogeneous sub-regions in northeastern Brazil were determined. Long times series of R{sub s} and sunshine duration measurements data for two sites, Petrolina (09 09'S, 40 22'W) and Juazeiro (09 24'S, 40 26'W), exceedingmore » 30 years, were analyzed. In order to exclude the decadal variations which are linked to the Pacific Decadal Oscillation, high-frequency cycles in the solar radiation and sunshine duration time series were eliminated by using a 14-year moving average, and the Mann-Kendall test was employed to assess the long-term variability of re-analysis and measured solar radiation. This study provides an overview of the decrease in solar radiation in a large area, which can be attributed to the global dimming effect. The global solar radiation obtained from the NCEP/NCAR re-analysis data overestimate that obtained from DCP measurements by 1.6% to 18.6%. Results show that there is a notable symmetry between R{sub s} from the re-analysis data and sunshine duration measurements. (author)« less
ERIC Educational Resources Information Center
Colorado State Dept. of Education, Denver.
This booklet defines law-related education as an educational program for teaching non-lawyers about law, the legal system, and the fundamental principles and values on which constitutional democracy is based. The program's approach is characterized by relevant curriculum materials, interactive teaching strategies, and extensive use of the…
Human Research Program Unique Processes, Criteria, and Guidelines (UPCG). Revision C, July 28, 2011
NASA Technical Reports Server (NTRS)
Chin, Duane
2011-01-01
This document defines the processes, criteria, and guidelines exclusive to managing the Human Research Program (HRP). The intent of this document is to provide instruction to the reader in the form of processes, criteria, and guidelines. Of the three instructional categories, processes contain the most detail because of the need for a systematic series of actions directed to some end. In contrast, criteria have lesser detail than processes with the idea of creating a rule or principle structure for evaluating or testing something. Guidelines are a higher level indication of a course of action typically with the least amount of detail. The lack of detail in guidelines allows the reader flexibility when performing an action or actions.
DOT National Transportation Integrated Search
2013-08-01
The Sustainable Design Guidelines were developed in Phase I of this research program (WA-RD : 816.1). Here we are reporting on the Phase II effort that beta-tested the Phase I Guidelines on : example ferry terminal designs and refinements made ...
49 CFR 350.339 - What are tolerance guidelines?
Code of Federal Regulations, 2010 CFR
2010-10-01
... 49 Transportation 5 2010-10-01 2010-10-01 false What are tolerance guidelines? 350.339 Section 350... MOTOR CARRIER SAFETY ASSISTANCE PROGRAM Funding § 350.339 What are tolerance guidelines? Tolerance guidelines set forth the limited deviations from the FMCSRs allowed in your State's laws and regulations...
76 FR 16724 - Child Nutrition Programs-Income Eligibility Guidelines
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-25
... for Children (7 CFR part 215). These eligibility guidelines are based on the Federal income poverty... price meals were obtained by multiplying the year 2011 Federal income poverty guidelines by 1.30 and 1... only the annual Federal poverty guidelines issued by the Department of Health and Human Services...
Curriculum Planning Guidelines for Tobacco Use Prevention and Education.
ERIC Educational Resources Information Center
Montana State Office of Public Instruction, Helena.
This curriculum planning guide is designed to help Montana school districts design an appropriate tobacco use prevention and education program. It focuses on: "Tobacco Use Prevention Education: The OPI (Office of Public Instruction) Perspective"; "Instructional Guidelines" (key issues in program planning and major health…
Hajsadeghi, Shokoufeh; Chitsazan, Mitra; Chitsazan, Mandana; Haghjoo, Majid; Babaali, Nima; Norouzzadeh, Zahra; Mohsenian, Maryam
2015-01-01
Background: Infarct size is an important surrogate end point for early and late mortality after acute myocardial infarction. Despite the high prevalence of metabolic syndrome in patients with atherosclerotic diseases, adequate data are still lacking regarding the extent of myocardial necrosis after acute myocardial infarction in these patients. Objectives: In the present study we aimed to compare myocardial infarction size in patients with metabolic syndrome to those without metabolic syndrome using peak CK-MB and cardiac troponin I (cTnI) at 72 hours after the onset of symptoms. Patients and Methods: One-hundred patients with metabolic syndrome (group I) and 100 control subjects without metabolic syndrome (group II) who experienced acute myocardial infarction were included in the study. Diagnosis of metabolic syndrome was based on the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guidelines published in 2001. Myocardial infarction size was compared between the two groups of patients using peak CK-MB and cTnI level in 72 hours after the onset of symptoms. Results: Peak CK-MB and cTnI in 72 hours were found to be significantly higher in patients with metabolic syndrome compared with control subjects (both P < 0.001). Patients with metabolic syndrome also had markedly higher wall motion abnormality at 72 hours after the onset of symptoms as assessed by echocardiographically-derived Wall Motion Score Index (WMSI) (P < 0.001). Moreover, statistically significant relationships were found between WMSI and peak CK-MB and also cTnI at 72 hours (Spearman's rho = 0.56, P < 0.001 and Spearman's rho = 0.5, P < 0.001; respectively). However, association between WMSI and left ventricular ejection fraction was insignificant (Spearman's rho = -0.05, P = 0.46). Conclusions: We showed that patients with metabolic syndrome have larger infarct size compared to control subjects. PMID:25789257
ERIC Educational Resources Information Center
Virginia State General Assembly, Richmond. House.
This study of existing guidelines and standards for international travel by students in local school divisions is the result of a Virginia Department of Education team effort over four months. The interdisciplinary team reviewed guidelines and standards for international travel and student exchange programs from major organizations and developed…
[The German program for disease management guidelines: evaluation by use of quality indicators].
Kopp, Ina B; Geraedts, Max; Jäckel, Wilfried H; Altenhofen, Lutz; Thomeczek, Christian; Ollenschläger, Günter
2007-08-15
The Program for National Disease Management Guidelines (German DM-CPG Program) in Germany aims at the implementation of best-practice recommendations for prevention, acute care, rehabilitation and chronic care in the setting of disease management programs and integrated health-care systems. Like other guidelines, DM-CPG need to be assessed regarding their influence on structures, processes and outcomes of care. However, quality assessment in integrated health-care systems is challenging. On the one hand, a multitude of potential domains for measurement, actors and perspectives need to be considered. On the other hand, measures need to be identified that assess the function of the diagnostic and therapeutic chain in terms of cooperation and coordination of care. The article reviews methods and use of quality indicators in the context of the German DM-CPG Program.
Practice guidelines for program evaluation in community-based rehabilitation.
Grandisson, Marie; Hébert, Michèle; Thibeault, Rachel
2017-06-01
This paper proposes practice guidelines to evaluate community-based rehabilitation (CBR) programs. These were developed through a rigorous three-phase research process including a literature review on good practices in CBR program evaluation, a field study during which a South Africa CBR program was evaluated, and a Delphi study to generate consensus among a highly credible panel of CBR experts from a wide range of backgrounds and geographical areas. The 10 guidelines developed are summarized into a practice model highlighting key features of sound CBR program evaluation. They strongly indicate that sound CBR evaluations are those that give a voice and as much control as possible to the most affected groups, embrace the challenge of diversity, and foster use of evaluation processes and findings through a rigorous, collaborative and empowering approach. The practice guidelines should facilitate CBR evaluation decisions in respect to facilitating an evaluation process, using frameworks and designing methods. Implications for rehabilitation Ten practice guidelines provide guidance to facilitate sound community-based rehabilitation (CBR) program evaluation decisions. Key indications of good practice include: • being as participatory and empowering as possible; • ensuring that all, including the most affected, have a real opportunity to share their thoughts; • highly considering mixed methods and participatory tools; • adapting to fit evaluation context, local culture and language(s); • defining evaluation questions and reporting findings using shared CBR language when possible, which the framework offered may facilitate.
The Fleet Numerical Meteorology and Oceanography Center (FNMOC) - Naval
Prediction Charts (EFS). WxMAP depictions of NAVGEM predictions for side-by-side comparison with NCEP global NWP model (GFS) are also available. Oceanography Products This area provides Global & Regional
Version] Short Range Forecast Discussion NWS Weather Prediction Center College Park MD 337 PM EDT Sun May available at www.wpc.ncep.noaa.gov/basicwx/basicwx_ndfd.php Last Updated: 337 PM EDT Sun May 27 2018
Motivation of employers to encourage their employees to use safety belts (phase 2).
DOT National Transportation Integrated Search
1983-08-01
An employer manual is developed which offers guidelines for the elements of a successful safety bell program. The guidelines are based upon the model developed as a result of site visits to successful programs and synthesis of expert opinion. A needs...
Students.edu: Guidelines for Online Education Programs.
ERIC Educational Resources Information Center
Lane-Maher, Maureen; Ashar, Hanna
2001-01-01
Suggests that higher education administrators can learn from the emerging practices of electronic commerce. Adapting a model laid out by Patricia Seybold with Ronni Marshak in "Customers.com," provides administrative guidelines for online education programs that combine sound business practice with information technology to make it easy for…
12 CFR Appendix B to Part 364 - Interagency Guidelines Establishing Information Security Standards
Code of Federal Regulations, 2011 CFR
2011-01-01
... Part 364—Interagency Guidelines Establishing Information Security Standards Table of Contents I... Customer Information A. Information Security Program B. Objectives III. Development and Implementation of Customer Information Security Program A. Involve the Board of Directors B. Assess Risk C. Manage and...
Guidelines for Science Curriculum in Washington Schools.
ERIC Educational Resources Information Center
Duxbury, Alyn, Ed.
This document contains guidelines for science curriculum in Washington State schools. Statements of philosophy and program goals are presented and explained. Four major program goals (which address societal demands) operationally describe science education toward the learning of: (1) factual and theoretical knowledge; (2) applied science skills;…
Message Design Guidelines For Screen-Based Programs.
ERIC Educational Resources Information Center
Rimar, G. I.
1996-01-01
Effective message design for screen-based computer or video instructional programs requires knowledge from many disciplines. Evaluates current conventions and suggests a new set of guidelines for screen-based designers. Discusses screen layout, highlighting and cueing, text font and style, text positioning, color, and graphical user interfaces for…
Instructional Guidelines. Welding.
ERIC Educational Resources Information Center
Fordyce, H. L.; Doshier, Dale
Using the standards of the American Welding Society and the American Society of Mechanical Engineers, this welding instructional guidelines manual presents a course of study in accordance with the current practices in industry. Intended for use in welding programs now practiced within the Federal Prison System, the phases of the program are…
78 FR 25282 - Agency Information Collection Activities: Proposed Collection; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-30
... Project: Mandatory Guidelines for Federal Workplace Drug Testing Programs (OMB No. 0930-0158)--Revision SAMHSA's Mandatory Guidelines for Federal Workplace Drug Testing Programs will request OMB approval for the Federal Drug Testing Custody and Control Form for federal agency and federally regulated drug...
36 CFR 910.3 - Program administration.
Code of Federal Regulations, 2011 CFR
2011-07-01
... DEVELOPMENT AREA General § 910.3 Program administration. (a) This part 910, together with Square Guidelines... understand and participate in the process of square development within the Development Area. (1) This part... provides a glossary of defined terms applicable to this part as well as Square Guidelines. (2) Square...
36 CFR 910.3 - Program administration.
Code of Federal Regulations, 2012 CFR
2012-07-01
... DEVELOPMENT AREA General § 910.3 Program administration. (a) This part 910, together with Square Guidelines... understand and participate in the process of square development within the Development Area. (1) This part... provides a glossary of defined terms applicable to this part as well as Square Guidelines. (2) Square...
36 CFR 910.3 - Program administration.
Code of Federal Regulations, 2010 CFR
2010-07-01
... DEVELOPMENT AREA General § 910.3 Program administration. (a) This part 910, together with Square Guidelines... understand and participate in the process of square development within the Development Area. (1) This part... provides a glossary of defined terms applicable to this part as well as Square Guidelines. (2) Square...
36 CFR 910.3 - Program administration.
Code of Federal Regulations, 2014 CFR
2014-07-01
... DEVELOPMENT AREA General § 910.3 Program administration. (a) This part 910, together with Square Guidelines... understand and participate in the process of square development within the Development Area. (1) This part... provides a glossary of defined terms applicable to this part as well as Square Guidelines. (2) Square...
[The German program for disease management guidelines. Results and perspectives].
Ollenschläger, Günter; Kopp, Ina
2007-05-15
The Program for National Disease Management Guidelines (German DM-CPG Program) is a joint initiative of the German Medical Association (umbrella organization of the German Chambers of Physicians), the Association of the Scientific Medical Societies (AWMF), and of the National Association of Statutory Health Insurance Physicians (NASHIP). The program aims at developing, implementing and continuously updating best-practice recommendations for countrywide and regional disease management programs in Germany. Since 2003 twelve national guidelines (topics: asthma, chronic obstructive pulmonary disease, HI (Chronic heart failure), CVD (Chronic coronary heart disease) back pain, depression, several aspects of diabetes) have been produced by use of a standardized procedure in accordance with internationally consented methodologies. For countrywide dissemination and implementation the program uses a wide range of specialist journals, continuous medical education and quality management programs. So far, 36 out of 150 national scientific medical associations, four allied health profession organizations, and twelve national consumer organizations have been participating in the DM-CPG Program. Studies to evaluate the program's effects on health-care providers' behavior and patients' outcomes are under way.
ERIC Educational Resources Information Center
Granito, Dolores
These guidelines for in-service and preservice teacher education related to the conversion to the metric system were developed from a survey of published materials, university faculty, and mathematics supervisors. The eleven guidelines fall into three major categories: (1) design of teacher training programs, (2) teacher training, and (3)…
Implementing exertional heat illness prevention strategies in US high school football.
Kerr, Zachary Y; Marshall, Stephen W; Comstock, R Dawn; Casa, Douglas J
2014-01-01
Approximately 6500 high school football athletes are treated annually for exertional heat illness (EHI). In 2009, the National Athletic Trainers Association (NATA)-led Inter-Association Task Force (NATA-IATF) released preseason heat acclimatization guidelines to help athletes become accustomed to environmental factors contributing to EHI. This study examines compliance with NATA-IATF guidelines and related EHI prevention strategies. The study used a cross-sectional survey completed by 1142 certified athletic trainers (AT), which captured compliance with 17 NATA-IATF guidelines and EHI prevention strategies in high school football during the 2011 preseason. On average, AT reported football programs complying with 10.4 NATA-IATF guidelines (SD = 3.2); 29 AT (2.5%) reported compliance with all 17. Guidelines with the lowest compliance were as follows: "Single-practice days consisted of practice no more than three hours in length" (39.7%); and "During days 3-5 of acclimatization, only helmets and shoulder pads should be worn" (39.0%). An average of 7.6 EHI prevention strategies (SD = 2.5) were used. Common EHI prevention strategies were as follows: having ice bags/cooler available (98.5%) and having a policy with written instructions for initiating emergency medical service response (87.8%). Programs in states with mandated guidelines had higher levels of compliance with guidelines and greater prevalence of EHI prevention strategies. A low proportion of surveyed high school football programs fully complied with all 17 NATA-IATF guidelines. However, many EHI prevention strategies were voluntarily implemented. State-level mandated EHI prevention guidelines may increase compliance with recognized best practices recommendations. Ongoing longitudinal monitoring of compliance is also recommended.
Consumer Economics Education Guidelines.
ERIC Educational Resources Information Center
VanPatten, Muriel; And Others
These guidelines are designed to assist school districts in the development and implementation of new programs or in strengthening existing programs in consumer economics education at all levels. A variety of resources are included. The need for consumer economics education is discussed and a definition is provided. Goals are listed. Objectives,…
Guidelines for Energy Education in Social Studies.
ERIC Educational Resources Information Center
Indiana Social Studies Quarterly, 1982
1982-01-01
These National Council for the Social Studies guidelines can be used as a guide for educators interested in introducing multidisciplinary energy education programs, a baseline from which to assess instructional programs, and a starting point for a wider dialog on the nature, scope, goals, and methods of energy education. (RM)
Guidelines for Cataloguing-in-Publication.
ERIC Educational Resources Information Center
Anderson, Dorothy, Comp.
The guidelines provide the criteria for the design of a national cataloguing-in-publication (CIP) program which will both be a component part of the international CIP network and fit the requirements of a specific library and publishing environment. Cataloguing-in-publication is defined, its development is traced, and current CIP programs in nine…
75 FR 41488 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Working with Business and Industry.
ERIC Educational Resources Information Center
Stempel, Ellen F.
This publication contains guidelines for fostering cooperation between the business and professional community and a community adult learning center. It is based on a program in operation at the Great Neck (New York) Adult Learning Center. The guidelines for initiating and conducting the program cover the following processes: selection of the…
Network Influences on Dissemination of Evidence-Based Guidelines in State Tobacco Control Programs
ERIC Educational Resources Information Center
Luke, Douglas A.; Wald, Lana M.; Carothers, Bobbi J.; Bach, Laura E.; Harris, Jenine K.
2013-01-01
Little is known regarding the social network relationships that influence dissemination of evidence-based public health practices and policies. In public health, it is critical that evidence-based guidelines, such as the Centers for Disease Control and Prevention's "Best Practices for Comprehensive Tobacco Control Programs," are…
Program Standards for the Initial Preparation of Teachers of Social Studies.
ERIC Educational Resources Information Center
National Council for the Social Studies, Washington, DC.
These guidelines are derived from the National Council for the Social Studies (NCSS) document, "National Standards for Social Studies Teachers." The guidelines are intended to be used by institutions that prepare teachers to assess the quality of their teacher preparation programs for licensure (or certification) in comprehensive social…
Health Services for the School-Age Child: Suggested Guidelines for School Districts.
ERIC Educational Resources Information Center
Oregon State Dept. of Education, Salem.
Organized around eight topics, this document provides guidelines for Oregon school district health services programs for students in preschool/kindergarten through grade twelve. A list of principles related to health program development, a summary of related health legislation, and a checklist for assessing compliance with Oregon administration…
Carbon accounting rules and guidelines for the United States Forest Sector
Richard A. Birdsey
2006-01-01
The United States Climate Change initiative includes improvements to the U.S. Department of Energy's Voluntary Greenhouse Gas Reporting Program. The program includes specific accounting rules and guidelines for reporting and registering forestry activities that reduce atmospheric CO2 by increasing carbon sequestration or reducing emissions....
Guidelines for development of structural integrity programs for DOE high-level waste storage tanks
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bandyopadhyay, K.; Bush, S.; Kassir, M.
Guidelines are provided for developing programs to promote the structural integrity of high-level waste storage tanks and transfer lines at the facilities of the Department of Energy. Elements of the program plan include a leak-detection system, definition of appropriate loads, collection of data for possible material and geometric changes, assessment of the tank structure, and non-destructive examination. Possible aging degradation mechanisms are explored for both steel and concrete components of the tanks, and evaluated to screen out nonsignificant aging mechanisms and to indicate methods of controlling the significant aging mechanisms. Specific guidelines for assessing structural adequacy will be provided inmore » companion documents. Site-specific structural integrity programs can be developed drawing on the relevant portions of the material in this document.« less
Implementation guidelines for drug and alcohol regulations in mass transit
DOT National Transportation Integrated Search
2002-08-01
These guidelines will assist transit agencies in developing drug and alcohol testing programs that comply with regulations of the Federal Transit Administration (FTA). The guidelines provide a comprehensive, up-to-date summary of the regulatory requi...
DOT National Transportation Integrated Search
2013-01-01
The Federal Highway Administration (FHWA) Road Weather Management Program (RWMP) recently published a document titled Guidelines for Disseminating Road Weather Advisory and Control Information (FHWA-JPO-12- 046). The guidelines are intended for use b...
2008073000 2008072900 2008072800 Background information bias reduction = ( | domain-averaged ensemble mean bias | - | domain-averaged bias-corrected ensemble mean bias | / | domain-averaged bias-corrected ensemble mean bias | NAEFS Products | NAEFS | EMC Ensemble Products EMC | NCEP | National Weather Service
The structure and rainfall features of Tropical Cyclone Rammasun (2002)
NASA Astrophysics Data System (ADS)
Ma, Leiming; Duan, Yihong; Zhu, Yongti
2004-12-01
Tropical Rainfall Measuring Mission (TRMM) data [TRMM Microwave Imager/Precipitation Radar/Visible and Infrared Scanner (TMI/PR/VIRS)] and a numerical model are used to investigate the structure and rainfall features of Tropical Cyclone (TC) Rammasun (2002). Based on the analysis of TRMM data, which are diagnosed together with NCEP/AVN [Aviation (global model)] analysis data, some typical features of TC structure and rainfall are preliminary discovered. Since the limitations of TRMM data are considered for their time resolution and coverage, the world observed by TRMM at several moments cannot be taken as the representation of the whole period of the TC lifecycle, therefore the picture should be reproduced by a numerical model of high quality. To better understand the structure and rainfall features of TC Rammasun, a numerical simulation is carried out with mesoscale model MM5 in which the validations have been made with the data of TRMM and NCEP/AVN analysis.
NASA Astrophysics Data System (ADS)
Jieying, HE; Shengwei, ZHANG; Na, LI
2017-02-01
A passive sub-millimeter precipitation retrievals algorithm is provided based on Microwave Humidity and Temperature Sounder (MWHTS) onboard the Chinese Feng Yun 3C (FY-3C) satellite. Using the validated global reference physical model NCEP/WRF/VDISORT), NCEP data per 6 hours are downloaded to run the Weather Research and Forecast model WRF, and derive the typical precipitation data from the whole world. The precipitation retrieval algorithm can operate either on land or on seawater for global. To simply the calculation procedure and save the training time, principle component analysis (PCA) was adapted to filter out the redundancy caused by scanning angle and surface effects, as well as system noise. According to the comparison and validation combing with other precipitation sources, it is demonstrated that the retrievals are reliable for surface precipitation rate higher than 0.1 mm/h at 15km resolution.
The stratospheric QBO signal in the NCEP reanalysis, 1958-2001
NASA Astrophysics Data System (ADS)
Ribera, Pedro; Gallego, David; Peña-Ortiz, Cristina; Gimeno, Luis; Garcia-Herrera, Ricardo; Hernandez, Emiliano; Calvo, Natalia
2003-07-01
The spatiotemporal evolution of the zonal wind in the stratosphere is analyzed based on the use of the NCEP reanalysis (1958-2001). MultiTaper Method-Singular Value Decomposition (MTM-SVD), a frequency-domain analysis method, is applied to isolate significant spatially-coherent variability with narrowband oscillatory character. A quasibiennial oscillation is detected as the most intense coherent signal in the stratosphere, the signal being less intense in the lower levels. There is a clear downward propagation of the signal with time at low latitudes, not evident at mid and high latitudes. There are differences in the behavior of the signal over both hemispheres, being much weaker over the SH. In the NH an anomaly in the zonal wind field, in phase with the equatorial signal, is detected at approximately 60°N. Two different areas at subtropical latitudes are detected to be characterized by wind anomalies opposed to that of the equator.
Weekly cycle in the NCAR-NCEP reanalysis of the surface temperature over northern atlantic
NASA Astrophysics Data System (ADS)
Tesouro, M.; Gimeno, L.; Nieto, R.; Añel, J. A.; de La Torre, L.; Ribera, P.; García, R.; Hernández, E.
2003-04-01
Anthropogenic influences on climate has been detected in several climate variables, such as temperature increases and precipitation enhacement. An indicator of the anthropogenic effect is the identification of equivalent weekly cycle in climate parameters. In this case, we analyze the weekly cycle of the daily temperature at 2 metres from the NCAR-NCEP Reanalysis. The region of study is the window from 90ºW to 90ºE and from 88.5ºN to Equator and for the last 44 years. Results don´t show a clear pattern of the weekly cycle although it was possible to identify a minimum on Saturday in most of the grid points. We also analyze the weekly cycle of the temperature channel-2 MSU data that represent the lower troposphere and results don´t show any weekly cycle.
An Investigation of Bomb Cyclone Climatology: Reanalysis vs. NCEP's CFS Model
NASA Astrophysics Data System (ADS)
Alvarez, F. M.; Eichler, T.; Gottschalck, J.
2009-12-01
Given the concerns and potential impacts of climate change, the need for climate models to simulate weather phenomena is as important as ever. An example of such phenomena is rapidly intensifying cyclones, also known as "bombs." These intense cyclones have devastating effects on residential and marine commercial interests as well as the transportation industry. In this study, we generate a climatology of rapid cyclogenesis using the National Centers for Environmental Prediction’s (NCEP) Climate Forecast System (CFS) model. Results are compared to NCEP’s global reanalysis data to determine if the CFS model is capable of producing a realistic extreme storm climatology. This represents the first step in quantifying rapidly intensifying cyclones in the CFS model, which will be useful in contributing towards future model improvements, as well as gauging its ability in determining the role of synoptic-scale storms in climate change.
Diagnosing causes of cloud parameterization deficiencies using ARM measurements over SGP site
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wu, W.; Liu, Y.; Betts, A. K.
2010-03-15
Decade-long continuous surface-based measurements at Great Southern Plains (SGP) collected by the US Department of Energy’s Atmospheric Radiation Measurement (ARM) Climate Research Facility are first used to evaluate the three major reanalyses (i.e., ERA-Interim, NCEP/NCAR Reanalysis I and NCEP/DOE Reanalysis II) to identify model biases in simulating surface shortwave cloud forcing and total cloud fraction. The results show large systematic lower biases in the modeled surface shortwave cloud forcing and cloud fraction from all the three reanalysis datasets. Then we focus on diagnosing the causes of these model biases using the Active Remote Sensing of Clouds (ARSCL) products (e.g., verticalmore » distribution of cloud fraction, cloud-base and cloud-top heights, and cloud optical depth) and meteorological measurements (temperature, humidity and stability). Efforts are made to couple cloud properties with boundary processes in the diagnosis.« less
Solar cycle signatures in the NCEP equatorial annual oscillation
NASA Astrophysics Data System (ADS)
Mayr, H. G.; Mengel, J. G.; Huang, F. T.; Nash, E. R.
2009-08-01
Our analysis of temperature and zonal wind data (1958 to 2006) from the National Center for Atmospheric Research (NCAR) reanalysis (Re-1), supplied by the National Centers for Environmental Prediction (NCEP), shows that the hemispherically symmetric 12-month equatorial annual oscillation (EAO) contains spectral signatures with periods around 11 years. Moving windows of 44 years show that, below 20 km, the 11-year modulation of the EAO is phase locked to the solar cycle (SC). The spectral features from the 48-year data record reveal modulation signatures of 9.6 and 12 years, which produce EAO variations that mimic in limited altitude regimes the varying maxima and minima of the 10.7 cm flux solar index. Above 20 km, the spectra also contain modulation signatures with periods around 11 years, but the filtered variations are too irregular to suggest that systematic SC forcing is the principal agent.
Berkowitz, Seth A; Aragon, Katherine; Hines, Jonas; Seligman, Hilary; Lee, Sei; Sarkar, Urmimala
2013-01-01
Objective To determine whether diabetes clinical standards consider increased hypoglycemia risk in vulnerable patients. Data Sources MEDLINE, the National Guidelines Clearinghouse, the National Quality Measures Clearinghouse, and supplemental sources. Study Design Systematic review of clinical standards (guidelines, quality metrics, or pay-for-performance programs) for glycemic control in adult diabetes patients. The primary outcome was discussion of increased risk for hypoglycemia in vulnerable populations. Data Collection/Extraction Methods Manuscripts identified were abstracted by two independent reviewers using prespecified inclusion/exclusion criteria and a standardized abstraction form. Principal Findings We screened 1,166 titles, and reviewed 220 manuscripts in full text. Forty-four guidelines, 17 quality metrics, and 8 pay-for-performance programs were included. Five (11 percent) guidelines and no quality metrics or pay-for-performance programs met the primary outcome. Conclusions Clinical standards do not substantively incorporate evidence about increased risk for hypoglycemia in vulnerable populations. PMID:23445498
Berkowitz, Seth A; Aragon, Katherine; Hines, Jonas; Seligman, Hilary; Lee, Sei; Sarkar, Urmimala
2013-08-01
To determine whether diabetes clinical standards consider increased hypoglycemia risk in vulnerable patients. MEDLINE, the National Guidelines Clearinghouse, the National Quality Measures Clearinghouse, and supplemental sources. Systematic review of clinical standards (guidelines, quality metrics, or pay-for-performance programs) for glycemic control in adult diabetes patients. The primary outcome was discussion of increased risk for hypoglycemia in vulnerable populations. Manuscripts identified were abstracted by two independent reviewers using prespecified inclusion/exclusion criteria and a standardized abstraction form. We screened 1,166 titles, and reviewed 220 manuscripts in full text. Forty-four guidelines, 17 quality metrics, and 8 pay-for-performance programs were included. Five (11 percent) guidelines and no quality metrics or pay-for-performance programs met the primary outcome. Clinical standards do not substantively incorporate evidence about increased risk for hypoglycemia in vulnerable populations. © Health Research and Educational Trust.
Strategies of Computer-Based Instructional Design: A Review of Guidelines and Empirical Research
1990-05-01
tutorial or information-oriented lesson, a flashcard -type drill, or a simulation or game. 6 Guidelines. Instructional designers must decide whether...amount of inter- activity and feedback. An information-only program presented textual material without any questions. A flashcard -type drill program...educational game program was identical to the flashcard -type drill, except feedback was provided for responses. Results showed no differences in posttest
Joint Task Force on Undergraduate Physics Programs
NASA Astrophysics Data System (ADS)
This session will focus on the guidelines and recommendations being developed by the APS/AAPT Joint Task Force on Undergraduate Physics Programs. J-TUPP is studying how undergraduate physics programs might better prepare physics majors for diverse careers. The guidelines and recommendations will focus on curricular content, flexible tracks, pedagogical methods, research experiences and internships, the development of professional skills, and enhanced advising and mentoring for all physics majors.
ERIC Educational Resources Information Center
Artesia Public Schools, NM.
This volume contains suggested curriculum guidelines for an effective bilingual program, with specific focus on Spanish language skills for the third grade level. The philosophy of the program views bilingual education as a vehicle and pedagogical tool to be used to better prepare all children to function in society. The point of departure for…
ERIC Educational Resources Information Center
Artesia Public Schools, NM.
This volume contains suggested curriculum guidelines for an effective bilingual program, with specific focus on Spanish language skills for the second grade level. The philosophy of the program views bilingual education as a vehicle and pedagogical tool to be used to better prepare all children to function in society. The point of departure for…
Visualization of International Solar-Terrestrial Physics Program (ISTP) data
NASA Technical Reports Server (NTRS)
Kessel, Ramona L.; Candey, Robert M.; Hsieh, Syau-Yun W.; Kayser, Susan
1995-01-01
The International Solar-Terrestrial Physics Program (ISTP) is a multispacecraft, multinational program whose objective is to promote further understanding of the Earth's complex plasma environment. Extensive data sharing and data analysis will be needed to ensure the success of the overall ISTP program. For this reason, there has been a special emphasis on data standards throughout ISTP. One of the key tools will be the common data format (CDF), developed, maintained, and evolved at the National Space Science Data Center (NSSDC), with the set of ISTP implementation guidelines specially designed for space physics data sets by the Space Physics Data Facility (associated with the NSSDC). The ISTP guidelines were developed to facilitate searching, plotting, merging, and subsetting of data sets. We focus here on the plotting application. A prototype software package was developed to plot key parameter (KP) data from the ISTP program at the Science Planning and Operations Facility (SPOF). The ISTP Key Parameter Visualization Tool is based on the Interactive Data Language (IDL) and is keyed to the ISTP guidelines, reading data stored in CDF. With the combination of CDF, the ISTP guidelines, and the visualization software, we can look forward to easier and more effective data sharing and use among ISTP scientists.
Creating the Action Model for High Risk Infant Follow Up Program in Iran.
Heidarzadeh, Mohammad; Jodiery, Behzad; Mirnia, Kayvan; Akrami, Forouzan; Hosseini, Mohammad Bagher; Heidarabadi, Seifollah; HabibeLahi, Abbas
2013-11-01
Intervention in early childhood development as one of the social determinants of health, is important for reducing social gap and inequity. In spite of increasingly developing intensive neonatal care wards and decreasing neonatal mortality rate, there is no follow up program in Iran. This study was carreid out to design high risk infants follow up care program with the practical aim of creating an model action for whole country, in 2012. This qualitative study has been done by the Neonatal Department of the Deputy of Public Health in cooperation with Pediatrics Health Research Center of Tabriz University of Medical Sciences, Iran. After study of international documents, consensus agreement about adapted program for Iran has been accomplished by focus group discussion and attended Delphi agreement technique. After compiling primary draft included evidence based guidelines and executive plan, 14 sessions including expert panels were hold to finalize the program. After finalizing the program, high risk infants follow up care service package has been designed in 3 chapters: Evidence based clinical guidelines; eighteen main clinical guidelines and thirteen subsidiaries clinical guidelines, executive plan; 6 general, 6 following up and 5 backup processes. Education program including general and especial courses for care givers and follow up team, and family education processes. We designed and finalized high risk infants follow up care service package. It seems to open a way to extend it to whole country.
Griffin, Brenda; Bushby, Philip A; McCobb, Emily; White, Sara C; Rigdon-Brestle, Y Karla; Appel, Leslie D; Makolinski, Kathleen V; Wilford, Christine L; Bohling, Mark W; Eddlestone, Susan M; Farrell, Kelly A; Ferguson, Nancy; Harrison, Kelly; Howe, Lisa M; Isaza, Natalie M; Levy, Julie K; Looney, Andrea; Moyer, Michael R; Robertson, Sheilah Ann; Tyson, Kathy
2016-07-15
As community efforts to reduce the overpopulation and euthanasia of unwanted and unowned cats and dogs have increased, many veterinarians have increasingly focused their clinical efforts on the provision of spay-neuter services. Because of the wide range of geographic and demographic needs, a wide variety of spay-neuter programs have been developed to increase delivery of services to targeted populations of animals, including stationary and mobile clinics, MASH-style operations, shelter services, community cat programs, and services provided through private practitioners. In an effort to promote consistent, high-quality care across the broad range of these programs, the Association of Shelter Veterinarians convened a task force of veterinarians to develop veterinary medical care guidelines for spay-neuter programs. These guidelines consist of recommendations for general patient care and clinical procedures, preoperative care, anesthetic management, surgical procedures, postoperative care, and operations management. They were based on current principles of anesthesiology, critical care medicine, infection control, and surgical practice, as determined from published evidence and expert opinion. They represent acceptable practices that are attainable in spay-neuter programs regardless of location, facility, or type of program. The Association of Shelter Veterinarians envisions that these guidelines will be used by the profession to maintain consistent veterinary medical care in all settings where spay-neuter services are provided and to promote these services as a means of reducing sheltering and euthanasia of cats and dogs.
Guidelines for the collection of long-term pavement performance data
DOT National Transportation Integrated Search
2006-03-01
A set of data collection guidelines has been provided for the collection of all data obtained for the Long-Term Pavement Performance (LTPP) program. These guidelines were provided to the Regional Support Contractors (RSC) to facilitate data collectio...
Selected Guidelines for the Management of Records and Archives: A RAMP Reader.
ERIC Educational Resources Information Center
Walne, Peter, Comp.
The guidelines contained in this book are taken from studies published by UNESCO's Records and Archives Management Program (RAMP) between 1981 and 1987. Each set of guidelines is accompanied by an introduction to provide chronological or methodological context. The guidelines are titled as follows: (1) "The Use of Sampling Techniques in the…
Assessment of the NASA Flight Assurance Review Program
NASA Technical Reports Server (NTRS)
Holmes, J.; Pruitt, G.
1983-01-01
The NASA flight assurance review program to develop minimum standard guidelines for flight assurance reviews was assessed. Documents from NASA centers and NASA headquarters to determine current design review practices and procedures were evaluated. Six reviews were identified for the recommended minimum. The practices and procedures used at the different centers to incorporate the most effective ones into the minimum standard review guidelines were analyzed and guidelines for procedures, personnel and responsibilies, review items/data checklist, and feedback and closeout were defined. The six recommended reviews and the minimum standards guidelines developed for flight assurance reviews are presented. Observations and conclusions for further improving the NASA review and quality assurance process are outlined.
NAME Modeling and Climate Process Team
NASA Astrophysics Data System (ADS)
Schemm, J. E.; Williams, L. N.; Gutzler, D. S.
2007-05-01
NAME Climate Process and Modeling Team (CPT) has been established to address the need of linking climate process research to model development and testing activities for warm season climate prediction. The project builds on two existing NAME-related modeling efforts. One major component of this project is the organization and implementation of a second phase of NAMAP, based on the 2004 season. NAMAP2 will re-examine the metrics proposed by NAMAP, extend the NAMAP analysis to transient variability, exploit the extensive observational database provided by NAME 2004 to analyze simulation targets of special interest, and expand participation. Vertical column analysis will bring local NAME observations and model outputs together in a context where key physical processes in the models can be evaluated and improved. The second component builds on the current NAME-related modeling effort focused on the diurnal cycle of precipitation in several global models, including those implemented at NCEP, NASA and GFDL. Our activities will focus on the ability of the operational NCEP Global Forecast System (GFS) to simulate the diurnal and seasonal evolution of warm season precipitation during the NAME 2004 EOP, and on changes to the treatment of deep convection in the complicated terrain of the NAMS domain that are necessary to improve the simulations, and ultimately predictions of warm season precipitation These activities will be strongly tied to NAMAP2 to ensure technology transfer from research to operations. Results based on experiments conducted with the NCEP CFS GCM will be reported at the conference with emphasis on the impact of horizontal resolution in predicting warm season precipitation over North America.
NASA Astrophysics Data System (ADS)
Moalafhi, Ditiro B.; Evans, Jason P.; Sharma, Ashish
2016-11-01
Regional climate modelling studies often begin by downscaling a reanalysis dataset in order to simulate the observed climate, allowing the investigation of regional climate processes and quantification of the errors associated with the regional model. To date choice of reanalysis to perform such downscaling has been made based either on convenience or on performance of the reanalyses within the regional domain for relevant variables such as near-surface air temperature and precipitation. However, the only information passed from the reanalysis to the regional model are the atmospheric temperature, moisture and winds at the location of the boundaries of the regional domain. Here we present a methodology to evaluate reanalyses derived lateral boundary conditions for an example domain over southern Africa using satellite data. This study focusses on atmospheric temperature and moisture which are easily available. Five commonly used global reanalyses (NCEP1, NCEP2, ERA-I, 20CRv2, and MERRA) are evaluated against the Atmospheric Infrared Sounder satellite temperature and relative humidity over boundaries of two domains centred on southern Africa for the years 2003-2012 inclusive. The study reveals that MERRA is the most suitable for climate mean with NCEP1 the next most suitable. For climate variability, ERA-I is the best followed by MERRA. Overall, MERRA is preferred for generating lateral boundary conditions for this domain, followed by ERA-I. While a "better" LBC specification is not the sole precursor to an improved downscaling outcome, any reduction in uncertainty associated with the specification of LBCs is a step in the right direction.
Stratospheric Semi-Decadal Oscillations in NCEP Data
NASA Technical Reports Server (NTRS)
Mayr, H. G.; Mengel, J. G.; Huang, F. T.; Talaat, E. R.; Nash, E. R.; Reddy, C. A.
2008-01-01
An analysis of the National Centers for Environmental Prediction (NCEP)/National Center for Atmospheric Research (NCAR) data is presented to provide a more complete description of the stratospheric 5-year semi-decadal (SD) oscillation (Mayr et al., 2007). The zonal-mean temperature and zonal wind data from the Atmospheric Research R-1 analysis are employed, covering the years from 1962 to 2002 in the altitude range from 10 to 30km. For diagnostic purposes, the data are separated into the hemispherically symmetric and anti-symmetric components, and spectral analysis is applied to identify the signatures of the SD oscillations. Through the synthesis or filtering of spectral features, the SD modulations of the annual oscillation (AO) and quasi-biennial oscillation (QBO) are delineated. In agreement with the earlier findings, the magnitude of the SD oscillation is more pronounced when the 30-month QBO dominates during the years from 1975 to 1995. This is consistent with results from a numerical model, which shows that such a QBO generates the SD oscillation through interaction with the 12-month AO. In the zonal winds, the SD oscillation in the NCEP data is confined to equatorial latitudes, where it modulates the symmetric AO and QBO by about 5 m/s below 30 km. In the temperature data, the effect is also seen around the equator, but it is much larger at polar latitudes where the SD oscillation produces variations as large as 2 K. Our data analysis indicates that the SD oscillation is mainly hemispherically symmetric, and it appears to originate at equatorial latitudes where most of the energy resides.
Vikram, Naval K; Misra, Anoop; Pandey, Ravindra M; Luthra, Kalpana; Wasir, Jasjeet S; Dhingra, Vibha
2006-05-01
To assess the phenotypic correlations of insulin resistance with obesity and its relationship with the metabolic syndrome in Asian Indian adolescents. We analyzed clinical, anthropometric (body mass index [BMI], waist circumference [WC]) and laboratory (fasting blood glucose [FBG], lipids and fasting serum insulin) data from 793 subjects (401 males and 392 females) aged 14-19 years randomly selected from Epidemiological Study of Adolescents and Young (ESAY) adults (n=1447). The percentile cut-offs for 14-19 years age from ESAY cohort were used for defining abnormal values of variables. We devised three sets of definitions of metabolic syndrome by including BMI and fasting insulin levels with other defining variables. Nearly 28.9% of adolescents had fasting hyperinsulinemia despite normal values of BMI, WC, FBG, lipids, and blood pressure. Remarkably, NCEP criteria with appropriate percentile cut-off points for Asian Indian adolescents identified metabolic syndrome in only six (0.8%) subjects. Inclusion of both BMI and WC in the definition resulted in increase in the prevalence of metabolic syndrome to 4.3%. With inclusion of hyperinsulinemia, the prevalence of metabolic syndrome increased to 4.2% (from 0.8%) in the modified NCEP definition, 5.2% (from 0.9%) when BMI was substituted for WC, and 10.2 (from 4.3%) when both BMI and WC were included. Our data show marked heterogeneity of phenotypes of insulin resistance and poor value of NCEP definition to identify metabolic syndrome. We propose that BMI and fasting insulin should be evaluated in candidate definitions of metabolic syndrome in Asian Indian adolescents.
NASA Astrophysics Data System (ADS)
Ashfaqur Rahman, M.; Almazroui, Mansour; Nazrul Islam, M.; O'Brien, Enda; Yousef, Ahmed Elsayed
2018-02-01
A new version of the Community Land Model (CLM) was introduced to the Saudi King Abdulaziz University Atmospheric Global Climate Model (Saudi-KAU AGCM) for better land surface component representation, and so to enhance climate simulation. CLM replaced the original land surface model (LSM) in Saudi-KAU AGCM, with the aim of simulating more accurate land surface fluxes globally, but especially over the Arabian Peninsula. To evaluate the performance of Saudi-KAU AGCM, simulations were completed with CLM and LSM for the period 1981-2010. In comparison with LSM, CLM generates surface air temperature values that are closer to National Centre for Environmental Prediction (NCEP) observations. The global annual averages of land surface air temperature are 9.51, 9.52, and 9.57 °C for NCEP, CLM, and LSM respectively, although the same atmospheric radiative and surface forcing from Saudi-KAU AGCM are provided to both LSM and CLM at every time step. The better temperature simulations when using CLM can be attributed to the more comprehensive plant functional type and hierarchical tile approach to the land cover type in CLM, along with better parameterization of upward land surface fluxes compared to LSM. At global scale, CLM exhibits smaller annual and seasonal mean biases of temperature with respect to NCEP data. Moreover, at regional scale, CLM demonstrates reasonable seasonal and annual mean temperature over the Arabian Peninsula as compared to the Climatic Research Unit (CRU) data. Finally, CLM generated better matches to single point-wise observations of surface air temperature and surface fluxes for some case studies.
IEP-2005: Writing and Implementing Individualized Education Programs (IEPs)
ERIC Educational Resources Information Center
Burns, Edward
2006-01-01
The purpose of this book is to provide guidelines to develop appropriate Individualized Education Programs (IEPs) for children with disabilities based on the Individuals with Disabilities Education Act amendments of 2004 (IDEA-2004) or Public Law 108-446. These guidelines are intended to result in IEPs that are streamlined, focused, and reasonably…
Foreign Languages in the Elementary Schools: Guidelines and Regulations.
ERIC Educational Resources Information Center
Smith, Philip D., Jr.
This state handbook details guidelines and regulations for teachers of foreign language in the elementary schools. Principal factors to be considered in the establishment of a FLES program are examined; they include: (1) community and professional support, (2) choice of a foreign language, (3) teachers, (4) students, (5) programs, (6) syllabuses…
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-02
...] RIN 1018-AX45 Fisheries and Habitat Conservation and Migratory Birds Programs; Draft Land-Based Wind... Register on February 18, 2011, announcing the availability for public comment of draft Land-Based Wind... Guidelines are intended to supersede the Service's 2003 voluntary, interim guidelines for land-based wind...
Guidelines for School-Based Alcohol and Drug Abuse Prevention Programs.
ERIC Educational Resources Information Center
California State Dept. of Education, Sacramento.
This paper contains the revised drug education guidelines for the state of California, which emphasize prevention of alcohol and drug abuse. The materials define school-based alcohol and drug abuse prevention programming as a comprehensive process that not only provides students with accurate information about alcohol and drugs, but also enhances…
AAPT Guidelines for Two-Year College Physics Programs.
ERIC Educational Resources Information Center
Dickison, Alexander, Ed.; And Others
The quality of a two-year college's physics program is determined in part by the quality of preparation and the overall workload of its teachers, along with the provision for adequate budgets, facilities, and support services. The guidelines presented in this booklet were prepared by a task force of the American Association of Physics Teachers…
AAPT Guidelines for High School Physics Programs.
ERIC Educational Resources Information Center
Mays, Katherine
The quality of a high school's physics program is determined in part by the quality of preparation and the overall workload of its teachers, along with the provision for adequate budgets, facilities, and support services. The guidelines presented in this booklet were prepared by a task force of the American Association of Physics Teachers (AAPT)…
Formulating Independent School K-12 Quality Physical Education Program Guidelines
ERIC Educational Resources Information Center
Currie, Stuart M.; Phillips, Michael B.; Jubenville, Colby B.
2012-01-01
The purpose of this study was to formulate Tennessee independent school K-12 quality physical education program guidelines. A panel of 18 physical education representatives from Tennessee independent schools K-12 participated in a three-phase Delphi study and completed three opinionnaires via e-mail. In Phase One, Opinionnaire One solicited panel…
ERIC Educational Resources Information Center
Library Trends, 1971
1971-01-01
It is apparent that there are many roadblocks preventing the release of the human potential in our libraries. These guidelines take the position that a great deal can be done toward diagnosing and removing these roadblocks by establishing and developing meaningful policies and programs. (49 references) (Author/NH)
Cooperative Education Guidelines for Technical Colleges and Other Associate Degree Programs.
ERIC Educational Resources Information Center
Streb, Thomas C.; Hammen, William C.
Guidelines for cooperative education in two-year technical colleges as well as for other associate degree programs are presented in this 15 chapter manual. Chapter 1 covers cooperative education history, current status, advantages and disadvantages, purposes, and information sources. Chapter 2 on personnel presents an overview and discusses the…
ERIC Educational Resources Information Center
Ross, Margaret E.; Narayanan, N. Hari; Hendrix, Theron Dean; Myneni, Lakshman Sundeep
2011-01-01
Background: The philosophical underpinnings of evaluation guidelines set forth by a funding agency can sometimes seem inconsistent with that of the intervention. Purpose: Our purpose is to introduce questions pertaining to the contrast between the instructional program's underlying philosophical beliefs and assumptions and those underlying our…
77 FR 1708 - Center for Substance Abuse Prevention; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-11
... Abuse Prevention (CSAP) Drug Testing Advisory Board (DTAB) will meet on January 31 and February 1, 2012... opioids as potential analytes in the Mandatory Guidelines for Federal Workplace Drug Testing Programs. The... Guidelines for Federal Workplace Drug Testing Programs. This portion of the meeting is closed to the public...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-03
... Engage in Urine Drug Testing for Federal Agencies AGENCY: Substance Abuse and Mental Health Services... certified to meet the standards of the Mandatory Guidelines for Federal Workplace Drug Testing Programs... ``Mandatory Guidelines for Federal Workplace Drug Testing Programs'', as amended in the revisions listed above...
ERIC Educational Resources Information Center
Butler, Richard T.; Smith, William J.
The guidelines for an aviation education program give directions and provide coordination and correlation for the program in Pennsylvania's schools. Chapter 1 discusses the approach to aviation education--the problem, procedure, and definition of terms. Chapter 2 briefly outlines teacher responsibilities and student advantages. Focusing on…
Measuring the Quality of Early Childhood Programs--Guidelines for Effective Evaluation Tools.
ERIC Educational Resources Information Center
Epstein, Ann S.
2000-01-01
Summarizes what High/Scope discovered to be the critical characteristics of a comprehensive and valid measure of early childhood program quality. Provides suggestions for how the tool can be used, and highlights with examples. Asserts that the guidelines effectively assess efforts of child development, staff development, and soundness of…
Guidelines for Planning the School Breakfast Program. Revised.
ERIC Educational Resources Information Center
Georgia State Dept. of Education, Atlanta. Office of School Administrative Services.
Some of the factors considered in these guidelines include basic nutritional requirements, food component minimums, food variety, and amounts of food served in elementary and secondary school breakfast programs. Suggestions are made for serving foods that will appeal to young people. Samples of hot and cold menus are provided. Forms for evaluating…
25 CFR 256.6 - Am I eligible for the Housing Improvement Program?
Code of Federal Regulations, 2010 CFR
2010-04-01
... Section 256.6 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HOUSING HOUSING IMPROVEMENT... Improvement Program if: (a) You are a member of a Federally recognized American Indian tribe or Alaska Native... percent of the Department of Health and Human Services poverty income guidelines. These guidelines are...
Choma, Kim; McKeever, Amy E
2015-02-01
The literature reports great variation in the knowledge levels and application of the recent changes of cervical cancer screening guidelines into clinical practice. Evidence-based screening guidelines for the prevention and early detection of cervical cancer offers healthcare providers the opportunity to improve practice patterns among female adolescents by decreasing psychological distress as well as reducing healthcare costs and morbidities associated with over-screening. The purpose of this pilot intervention study was to determine the effects of a Web-based continuing education unit (CEU) program on advanced practice nurses' (APNs) knowledge of current cervical cancer screening evidence-based recommendations and their application in practice. This paper presents a process improvement project as an example of a way to disseminate updated evidence-based practice guidelines among busy healthcare providers. This Web-based CEU program was developed, piloted, and evaluated specifically for APNs. The program addressed their knowledge level of cervical cancer and its relationship with high-risk human papillomavirus. It also addressed the new cervical cancer screening guidelines and the application of those guidelines into clinical practice. Results of the study indicated that knowledge gaps exist among APNs about cervical cancer screening in adolescents. However, when provided with a CEU educational intervention, APNs' knowledge levels increased and their self-reported clinical practice behaviors changed in accordance with the new cervical cancer screening guidelines. Providing convenient and readily accessible up-to-date electronic content that provides CEU enhances the adoption of clinical practice guidelines, thereby decreasing the potential of the morbidities associated with over-screening for cervical cancer in adolescents and young women. © 2014 Sigma Theta Tau International.
NSPWG-recommended safety requirements and guidelines for SEI nuclear propulsion
NASA Technical Reports Server (NTRS)
Marshall, Albert C.; Sawyer, J. C., Jr.; Bari, Robert A.; Brown, Neil W.; Cullingford, Hatice S.; Hardy, Alva C.; Lee, James H.; Mcculloch, William H.; Niederauer, George F.; Remp, Kerry
1992-01-01
An interagency Nuclear Safety Policy Working Group (NSPWG) was chartered to recommend nuclear safety policy, requirements, and guidelines for the Space Exploration Initiative (SEI) nuclear propulsion program to facilitate the implementation of mission planning and conceptual design studies. The NSPWG developed a top-level policy to provide the guiding principles for the development and implementation of the nuclear propulsion safety program and the development of safety functional requirements. In addition, the NSPWG reviewed safety issues for nuclear propulsion and recommended top-level safety requirements and guidelines to address these issues. Safety requirements were developed for reactor start-up, inadvertent criticality, radiological release and exposure, disposal, entry, and safeguards. Guidelines were recommended for risk/reliability, operational safety, flight trajectory and mission abort, space debris and meteoroids, and ground test safety. In this paper the specific requirements and guidelines will be discussed.
How is Version 6 different than earlier versions?
Atmospheric Science Data Center
2015-10-28
... integrated a priori CO profile. Second, the diagnostic 'Water Vapor Climatology Content' has been deleted. This diagnostic was included in previous products because of a data quality issue with the NCEP water vapor profiles. MERRA-based water vapor ...
NCEP Air Quality Forecast(AQF) Graphics
NAM-CMAQ Experimental Run predictions 00 03 06 09 12 15 18 21 24 27 30 33 36 39 42 45 48 Select experimental bias correction predictions NAM vs Nest forecasts Change Variable Type: Hourly CMAQ Forecasts
NASA Technical Reports Server (NTRS)
Tian, Baijun; Waliser, Duane E.; Fetzer, Eric J.; Lambrigtsen, Bjorn H.; Yung, Yuk L.; Wang, Bin
2006-01-01
The atmospheric moisture and temperature profiles from the Atmospheric Infrared Sounder (AIRS)/Advanced Microwave Sounding Unit on the NASA Aqua mission, in combination with the precipitation from the Tropical Rainfall Measuring Mission (TRMM), are employed to study the vertical moist thermodynamic structure and spatial-temporal evolution of the Madden-Julian oscillation (MJO). The AIRS data indicate that, in the Indian Ocean and western Pacific, the temperature anomaly exhibits a trimodal vertical structure: a warm (cold) anomaly in the free troposphere (800-250 hPa) and a cold (warm) anomaly near the tropopause (above 250 hPa) and in the lower troposphere (below 800 hPa) associated with enhanced (suppressed) convection. The AIRS moisture anomaly also shows markedly different vertical structures as a function of longitude and the strength of convection anomaly. Most significantly, the AIRS data demonstrate that, over the Indian Ocean and western Pacific, the enhanced (suppressed) convection is generally preceded in both time and space by a low-level warm and moist (cold and dry) anomaly and followed by a low-level cold and dry (warm and moist) anomaly. The MJO vertical moist thermodynamic structure from the AIRS data is in general agreement, particularly in the free troposphere, with previous studies based on global reanalysis and limited radiosonde data. However, major differences in the lower-troposphere moisture and temperature structure between the AIRS observations and the NCEP reanalysis are found over the Indian and Pacific Oceans, where there are very few conventional data to constrain the reanalysis. Specifically, the anomalous lower-troposphere temperature structure is much less well defined in NCEP than in AIRS for the western Pacific, and even has the opposite sign anomalies compared to AIRS relative to the wet/dry phase of the MJO in the Indian Ocean. Moreover, there are well-defined eastward-tilting variations of moisture with height in AIRS over the central and eastern Pacific that are less well defined, and in some cases absent, in NCEP. In addition, the correlation between MJO-related mid-tropospheric water vapor anomalies and TRMM precipitation anomalies is considerably more robust in AIRS than in NCEP, especially over the Indian Ocean. Overall, the AIRS results are quite consistent with those predicted by the frictional Kelvin-Rossby wave/conditional instability of the second kind (CISK) theory for the MJO.
NASA Astrophysics Data System (ADS)
Norris, Joel R.; Klein, Stephen A.
2000-01-01
Composite large-scale dynamical fields contemporaneous with low cloud types observed at midlatitude Ocean Weather Station (OWS) C and eastern subtropical OWS N are used to establish representative relationships between low cloud type and the synoptic environment. The composites are constructed by averaging meteorological observations of surface wind and sea level pressure from volunteering observing ships (VOS) and analyses of sea level pressure, 1000-mb wind, and 700-mb pressure vertical velocity from the National Centers for Environmental Prediction-National Center for Atmospheric Research (NCEP-NCAR) reanalysis project on those dates and times of day when a particular low cloud type was reported at the OWS.VOS and NCEP results for OWS C during summer show that bad-weather stratus occurs with strong convergence and ascent slightly ahead of a surface low center and trough. Cumulus-under-stratocumulus and moderate and large cumulus occur with divergence and subsidence in the cold sector of an extratropical cyclone. Both sky-obscuring fog and no-low-cloud typically occur with southwesterly flow from regions of warmer sea surface temperature and differ primarily according to slight surface convergence and stronger warm advection in the case of sky-obscuring fog or surface divergence and weaker warm advection in the case of no-low-cloud. Fair-weather stratus and ordinary stratocumulus are associated with a mixture of meteorological conditions, but differ with respect to vertical motion in the environment. Fair-weather stratus occurs most commonly in the presence of slight convergence and ascent, while stratocumulus often occurs in the presence of divergence and subsidence.Surface divergence and estimated subsidence at the top of the boundary layer are calculated from VOS observations. At both OWS C and OWS N during summer and winter these values are large for ordinary stratocumulus, less for cumulus-under-stratocumulus, and least (and sometimes slightly negative) for moderate and large cumulus. Subsidence interpolated from NCEP analyses to the top of the boundary layer does not exhibit such variation, but the discrepancy may be due to deficiencies in the analysis procedure or the boundary layer parameterization of the NCEP model. The VOS results suggest that decreasing divergence and subsidence in addition to increasing sea surface temperature may promote the transition from stratocumulus to trade cumulus observed over low-latitude oceans.
Effects of Real-Time NASA Vegetation Data on Model Forecasts of Severe Weather
NASA Technical Reports Server (NTRS)
Case, Jonathan L.; Bell, Jordan R.; LaFontaine, Frank J.; Peters-Lidard, Christa D.
2012-01-01
The NASA Short-term Prediction Research and Transition (SPoRT) Center has developed a Greenness Vegetation Fraction (GVF) dataset, which is updated daily using swaths of Normalized Difference Vegetation Index data from the Moderate Resolution Imaging Spectroradiometer (MODIS) data aboard the NASA-EOS Aqua and Terra satellites. NASA SPoRT started generating daily real-time GVF composites at 1-km resolution over the Continental United States beginning 1 June 2010. A companion poster presentation (Bell et al.) primarily focuses on impact results in an offline configuration of the Noah land surface model (LSM) for the 2010 warm season, comparing the SPoRT/MODIS GVF dataset to the current operational monthly climatology GVF available within the National Centers for Environmental Prediction (NCEP) and Weather Research and Forecasting (WRF) models. This paper/presentation primarily focuses on individual case studies of severe weather events to determine the impacts and possible improvements by using the real-time, high-resolution SPoRT-MODIS GVFs in place of the coarser-resolution NCEP climatological GVFs in model simulations. The NASA-Unified WRF (NU-WRF) modeling system is employed to conduct the sensitivity simulations of individual events. The NU-WRF is an integrated modeling system based on the Advanced Research WRF dynamical core that is designed to represents aerosol, cloud, precipitation, and land processes at satellite-resolved scales in a coupled simulation environment. For this experiment, the coupling between the NASA Land Information System (LIS) and the WRF model is utilized to measure the impacts of the daily SPoRT/MODIS versus the monthly NCEP climatology GVFs. First, a spin-up run of the LIS is integrated for two years using the Noah LSM to ensure that the land surface fields reach an equilibrium state on the 4-km grid mesh used. Next, the spin-up LIS is run in two separate modes beginning on 1 June 2010, one continuing with the climatology GVFs while the other uses the daily SPoRT/MODIS GVFs. Finally, snapshots of the LIS land surface fields are used to initialize two different simulations of the NU-WRF, one running with climatology LIS and GVFs, and the other running with experimental LIS and NASA/SPoRT GVFs. In this paper/presentation, case study results will be highlighted in regions with significant differences in GVF between the NCEP climatology and SPoRT product during severe weather episodes.
The northern annular mode in summer and its relation to solar activity variations in the GISS ModelE
NASA Astrophysics Data System (ADS)
Lee, Jae N.; Hameed, Sultan; Shindell, Drew T.
2008-03-01
The northern annular mode (NAM) has been successfully used in several studies to understand the variability of the winter atmosphere and its modulation by solar activity. The variability of summer circulation can also be described by the leading empirical orthogonal function (EOF) of geopotential heights. We compare the annular modes of the summer geopotential heights in the northern hemisphere stratosphere and troposphere in the Goddard Institute for Space Studies (GISS) ModelE with those in the National Centers for Environmental Prediction/National Center for Atmospheric Research (NCEP/NCAR) reanalysis. In the stratosphere, the summer NAM obtained from NCEP/NCAR reanalysis as well as from the ModelE simulations has the same sign throughout the northern hemisphere, but shows greater variability at low latitudes. The patterns in both analyses are consistent with the interpretation that low NAM conditions represent an enhancement of the seasonal difference between the summer and the annual averages of geopotential height, temperature and velocity distributions, while the reverse holds for high NAM conditions. Composite analysis of high and low NAM cases in both model and observation suggests that the summer stratosphere is more "summer-like" when the solar activity is near a maximum. This means that the zonal easterly wind flow is stronger and the temperature is higher than normal. Thus increased irradiance favors a low summer NAM. A quantitative comparison of the anti-correlation between the NAM and the solar forcing is presented in the model and in the observation, both of which show lower/higher NAM index in solar maximum/minimum conditions. The temperature fluctuations in simulated solar minimum conditions are greater than in solar maximum throughout the summer stratosphere. The summer NAM in the troposphere obtained from NCEP/NCAR reanalysis has a dipolar zonal structure with maximum variability over the Asian monsoon region. The corresponding EOF in ModelE has a qualitatively similar structure but with less variability in the Asian monsoon region which is displaced eastward of its observed position. In both the NCEP/NCAR reanalysis and the GCM the negative anomalies associated with the NAM in the Euro-Atlantic and Aleutian island regions are enhanced in the solar minimum conditions, though the results are not statistically significant.
NASA Astrophysics Data System (ADS)
Vargas, Marco; Miura, Tomoaki; Csiszar, Ivan; Zheng, Weizhong; Wu, Yihua; Ek, Michael
2017-04-01
The first Joint Polar Satellite System (JPSS) mission, the Suomi National Polar-orbiting Partnership (S-NPP) satellite, was successfully launched in October, 2011, and it will be followed by JPSS-1, slated for launch in 2017. JPSS provides operational continuity of satellite-based observations and products for NOAA's Polar Operational Environmental Satellites (POES). Vegetation products derived from satellite measurements are used for weather forecasting, land modeling, climate research, and monitoring the environment including drought, the health of ecosystems, crop monitoring and forest fires. The operationally produced S-NPP VIIRS Vegetation Index (VI) Environmental Data Record (EDR) includes two vegetation indices: the Top of the Atmosphere (TOA) Normalized Difference Vegetation Index (NDVI), and the Top of the Canopy (TOC) Enhanced Vegetation Index (EVI). For JPSS-1, the S-NPP Vegetation Index EDR algorithm has been updated to include the TOC NDV. The current JPSS operational VI products are generated in granule style at 375 meter resolution at nadir, but these products in granule format cannot be ingested into NOAA operational monitoring and decision making systems. For that reason, the NOAA JPSS Land Team is developing a new global gridded Vegetation Index (VI) product suite for operational use by the NOAA National Centers for Environmental Prediction (NCEP). The new global gridded VIs will be used in the Multi-Physics (MP) version of the Noah land surface model (Noah-MP) in NCEP NOAA Environmental Modeling System (NEMS) for plant growth and data assimilation and to describe vegetation coverage and density in order to model the correct surface energy partition. The new VI 4km resolution global gridded products (TOA NDVI, TOC NDVI and TOC EVI) are being designed to meet the needs of directly ingesting vegetation index variables without the need to develop local gridding and compositing procedures. These VI products will be consistent with the already operational SNPP VIIRS Green Vegetation Fraction (GVF) global gridded 4km resolution. The ultimate goal is a global consistent set of global gridded land products at 1-km resolution to enable consistent use of the products in the full suite of global and regional NCEP land models. The new JPSS vegetation products system is scheduled to transition to operations in the fall of 2017.
Utility of NCEP Operational and Emerging Meteorological Models for Driving Air Quality Prediction
NASA Astrophysics Data System (ADS)
McQueen, J.; Huang, J.; Huang, H. C.; Shafran, P.; Lee, P.; Pan, L.; Sleinkofer, A. M.; Stajner, I.; Upadhayay, S.; Tallapragada, V.
2017-12-01
Operational air quality predictions for the United States (U. S.) are provided at NOAA by the National Air Quality Forecasting Capability (NAQFC). NAQFC provides nationwide operational predictions of ozone and particulate matter twice per day (at 06 and 12 UTC cycles) at 12 km resolution and 1 hour time intervals through 48 hours and distributed at http://airquality.weather.gov. The NOAA National Centers for Environmental Prediction (NCEP) operational North American Mesoscale (NAM) 12 km weather prediction is used to drive the Community Multiscale Air Quality (CMAQ) model. In 2017, the NAM was upgraded in part to reduce a warm 2m temperature bias in Summer (V4). At the same time CMAQ was updated to V5.0.2. Both versions of the models were run in parallel for several months. Therefore the impact of improvements from the atmospheric chemistry model versus upgrades with the weather prediction model could be assessed. . Improvements to CMAQ were related to improvements to improvements in NAM 2 m temperature bias through increasing the opacity of clouds and reducing downward shortwave radiation resulted in reduced ozone photolysis. Higher resolution operational NWP models have recently been introduced as part of the NCEP modeling suite. These include the NAM CONUS Nest (3 km horizontal resolution) run four times per day through 60 hours and the High Resolution Rapid Refresh (HRRR, 3 km) run hourly out to 18 hours. In addition, NCEP with other NOAA labs has begun to develop and test the Next Generation Global Prediction System (NGGPS) based on the FV3 global model. This presentation also overviews recent developments with operational numerical weather prediction and evaluates the ability of these models for predicting low level temperatures, clouds and capturing boundary layer processes important for driving air quality prediction in complex terrain. The assessed meteorological model errors could help determine the magnitude of possible pollutant errors from CMAQ if used for driving meteorology. The NWP models will be evaluated against standard and mesonet fields averaged for various regions during the summer 2017. An evaluation of meteorological fields important to air quality modeling (eg: near surface winds, temperatures, moisture and boundary layer heights, cloud cover) will be reported on.
NASA Astrophysics Data System (ADS)
Roobaert, Alizée; Laruelle, Goulven G.; Landschützer, Peter; Regnier, Pierre
2018-03-01
The calculation of the air-water CO2 exchange (FCO2) in the ocean not only depends on the gradient in CO2 partial pressure at the air-water interface but also on the parameterization of the gas exchange transfer velocity (k) and the choice of wind product. Here, we present regional and global-scale quantifications of the uncertainty in FCO2 induced by several widely used k formulations and four wind speed data products (CCMP, ERA, NCEP1 and NCEP2). The analysis is performed at a 1° × 1° resolution using the sea surface pCO2 climatology generated by Landschützer et al. (2015a) for the 1991-2011 period, while the regional assessment relies on the segmentation proposed by the Regional Carbon Cycle Assessment and Processes (RECCAP) project. First, we use k formulations derived from the global 14C inventory relying on a quadratic relationship between k and wind speed (k = c ṡ U102; Sweeney et al., 2007; Takahashi et al., 2009; Wanninkhof, 2014), where c is a calibration coefficient and U10 is the wind speed measured 10 m above the surface. Our results show that the range of global FCO2, calculated with these k relationships, diverge by 12 % when using CCMP, ERA or NCEP1. Due to differences in the regional wind patterns, regional discrepancies in FCO2 are more pronounced than global. These global and regional differences significantly increase when using NCEP2 or other k formulations which include earlier relationships (i.e., Wanninkhof, 1992; Wanninkhof et al., 2009) as well as numerous local and regional parameterizations derived experimentally. To minimize uncertainties associated with the choice of wind product, it is possible to recalculate the coefficient c globally (hereafter called c∗) for a given wind product and its spatio-temporal resolution, in order to match the last evaluation of the global k value. We thus performed these recalculations for each wind product at the resolution and time period of our study but the resulting global FCO2 estimates still diverge by 10 %. These results also reveal that the Equatorial Pacific, the North Atlantic and the Southern Ocean are the regions in which the choice of wind product will most strongly affect the estimation of the FCO2, even when using c∗.
Users Guide for NASA Lewis Research Center DC-9 Reduced-Gravity Aircraft Program
NASA Technical Reports Server (NTRS)
Yaniec, John S.
1995-01-01
The document provides guidelines and information for users of the DC-9 Reduced-Gravity Aircraft Program. It describes the facilities, requirements for test personnel, equipment design and installation, mission preparation, and in-flight procedures. Those who have used the KC-135 reduced-gravity aircraft will recognize that many of the procedures and guidelines are the same, to ensure a commonality between the DC-9 and KC-135 programs.
Flórez-Arango, José F; Sriram Iyengar, M; Caicedo, Indira T; Escobar, German
2017-01-01
Development and electronic distribution of Clinical Practice Guidelines production is costly and challenging. This poster presents a rapid method to represent existing guidelines in auditable, computer executable multimedia format. We used a technology that enables a small number of clinicians to, in a short period of time, develop a substantial amount of computer executable guidelines without programming.
2009-01-01
Background Since 2002 the sick funds in Germany have widely implemented disease management programs (DMPs) for patients with type 2 diabetes mellitus (DM) and coronary heart disease (CHD). Little is known about the characteristics, treatment and target attainment lipid levels of these patients enrolled in DMPs compared to patients in routine care (non-DMP). Methods In an open, non-interventional registry (LUTZ) in Germany, 6551 physicians documented 15,211 patients with DM (10,110 in DMP, 5101 in routine care) and 14,222 (6259 in DMP, 7963 in routine care) over a follow-up period of 4 months. They received the NCEP ATP III guidelines as a reminder on lipid level targets. Results While demographic characteristics of DMP patients were similar to routine care patients, the former had higher rates of almost all cardiovascular comorbidities. Patients in DMPs received pharmacological treatment (in almost all drug classes) more often than non-DMP patients (e.g. antiplatelets: in DM 27.0% vs 23.8%; in CHD 63.0% vs. 53.6%). The same applied for educational measures (on life style changes and diet etc.). The rate of target level attainment for low density lipoprotein cholesterol (LDL-C) < 100 mg/dl was somewhat higher in DMP patients at inclusion compared to non-DMP patients (DM: 23.9% vs. 21.3%; CHD: 30.6% vs. 23.8%) and increased after 4 months (DM: 38.3% vs. 36.9%; CHD: 49.8% vs. 43.3%). Individual LDL-C target level attainment rates as assessed by the treating physicians were higher (at 4 months in DM: 59.6% vs. 56.5%; CHD: 49.8% vs 43.3%). Mean blood pressure (BP) and HbA1c values were slightly lowered during follow-up, without substantial differences between DMP and non-DMP patients. Conclusion Patients with DM, and (to a greater extent) with CHD in DMPs compared to non-DMP patients in routine care have a higher burden of comorbidities, but also receive more intensive pharmacological treatment and educational measures. The present data support that the substantial additional efforts in DMPs aimed at improving outcomes resulted in quality gains for achieving target LDL-C levels, but not for BP or HbA1c. Longer-term follow-up is needed to substantiate these results. PMID:19653899
41 CFR 60-3.13 - Affirmative action.
Code of Federal Regulations, 2012 CFR
2012-07-01
... action programs. These guidelines are also intended to encourage the adoption and implementation of... 3-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) General Principles § 60-3.13... validated pursuant to these guidelines does not relieve users of any obligations they may have to undertake...
41 CFR 60-3.13 - Affirmative action.
Code of Federal Regulations, 2014 CFR
2014-07-01
... action programs. These guidelines are also intended to encourage the adoption and implementation of... 3-UNIFORM GUIDELINES ON EMPLOYEE SELECTION PROCEDURES (1978) General Principles § 60-3.13... validated pursuant to these guidelines does not relieve users of any obligations they may have to undertake...
Bibliographic Instruction Handbook.
ERIC Educational Resources Information Center
Association of Coll. and Research Libraries, Chicago, IL.
Based on the ACRL Guidelines for Bibliographic Instruction, this handbook is intended not only to provide guidance in the development of instruction programs, but also to stimulate discussion within the profession. It consists of the guidelines, five model statements and checklists, a glossary, and a pathfinder. The guidelines present generally…
Guidelines for Energy-Efficient Sustainable Schools.
ERIC Educational Resources Information Center
Nicklas, Michael; Bailey, Gary; Rosemain, Pascale; Olin, Samuel
These guidelines present optional strategies to be considered in designing schools to be more energy efficient and sustainable. The guidelines are organized by the following design and construction process: site selection; selection of A & E design team; programming and goal setting; schematic design; design development; construction…
Code of Federal Regulations, 2012 CFR
2012-07-01
... approval of these supplementary guidelines from the ASD(MRA&L), or designee, before issuing them. Prior to their issuance, the ASD(MRA&L), or designee, shall submit supplementary guidelines prepared pursuant to... Components deal with the employment of civilians in programs and activities subject to this part the ASD(MRA...
Code of Federal Regulations, 2013 CFR
2013-07-01
... approval of these supplementary guidelines from the ASD(MRA&L), or designee, before issuing them. Prior to their issuance, the ASD(MRA&L), or designee, shall submit supplementary guidelines prepared pursuant to... Components deal with the employment of civilians in programs and activities subject to this part the ASD(MRA...
Code of Federal Regulations, 2014 CFR
2014-07-01
... approval of these supplementary guidelines from the ASD(MRA&L), or designee, before issuing them. Prior to their issuance, the ASD(MRA&L), or designee, shall submit supplementary guidelines prepared pursuant to... Components deal with the employment of civilians in programs and activities subject to this part the ASD(MRA...
Guidelines for Evaluating Foreign Language Programs Abroad for High School Students: A Reappraisal.
ERIC Educational Resources Information Center
National Council of State Supervisors of Foreign Language.
Criteria for the evaluation of study/travel abroad programs for high school students of foreign language originally approved in 1966 by the National Council of State Supervisors of Foreign Languages are reevaluated and reexamined in this pamphlet. Guidelines are presented in these areas: (1) selection of students, (2) recruitment of group leaders,…
New ACGME Work-Hour Guidelines and Their Impact on Current Residency Training Practices
ERIC Educational Resources Information Center
Sattar, S. Pirzada; Basith, Fatima; Madison, James; Bhatia, Subhash C.
2005-01-01
Objective: Accreditation Council for Graduate Medical Education (ACGME) has introduced new work-hour guidelines for residents in ACGME accredited programs that were implemented in July 2003. The new ACGME policies impact several practices in various psychiatry residency programs across the U.S., even though psychiatry has not been at the forefront…
ERIC Educational Resources Information Center
Godbey, Frank W.
This guide is intended to help administrators at schools having vocational education programs assess their occupational safety and health needs and establish a program to ensure a safer and more healthful work environment. It consists of three sections: (1) administrative guidelines, (2) technical-regulatory guidelines, and (3) a self-evaluation…
NASA Technical Reports Server (NTRS)
Chapman, R. L.; Cleaveland, F. N.
1973-01-01
The educational programs for public administration were studied to develop guidelines for meeting the requirements of public service in the 1980's. The current state of education for public service is discussed along with a prospective view of the service over the next decade. Criteria for evaluating graduate programs are presented.
ERIC Educational Resources Information Center
Federal Information Processing Standards Publication, 1976
1976-01-01
These guidelines provide a basis for determining the content and extent of documentation for computer programs and automated data systems. Content descriptions of ten document types plus examples of how management can determine when to use the various types are included. The documents described are (1) functional requirements documents, (2) data…
APSIC Guidelines for environmental cleaning and decontamination.
Ling, Moi Lin; Apisarnthanarak, Anucha; Thu, Le Thi Anh; Villanueva, Victoria; Pandjaitan, Costy; Yusof, Mohamad Yasim
2015-01-01
This document is an executive summary of APSIC Guidelines for Environmental Cleaning and Decontamination. It describes best practices in routine cleaning and decontamination in healthcare facilities as well as in specific settings e.g. management of patients with isolation precautions, food preparation areas, construction and renovation, and following a flood. It recommends the implementation of environmental hygiene program to keep the environment safe for patients, staff and visitors visiting a healthcare facility. Objective assessment of cleanliness and quality is an essential component of this program as a method for identifying quality improvement opportunities. Recommendations for safe handling of linen and bedding; as well as occupational health and safety issues are included in the guidelines. A training program is vital to ensure consistent adherence to best practices.
The principle of integrality of care in the political-pedagogical projects of nursing programs
Kloh, Daiana; Reibnitz, Kenya Schmidt; Boehs, Astrid Eggert; Wosny, Antônio de Miranda; de Lima, Margarete Maria
2014-01-01
Objective: to identify the political-pedagogical projects of the undergraduate nursing programs in Santa Catarina, Brazil according to the guidelines of the Ministries of Health and Education, considering the education of professionals under the principle of integrality. Method: documentary study with a qualitative approach. Nine projects were analyzed. Results: the colleges from the Southern region of Brazil are gradually incorporating the theoretical framework of the Brazilian health system and curricular guidelines, which includes the principle of integrality of care, into their political-pedagogical projects of undergraduate nursing programs. Some institutions strictly follow the curricular guidelines, while others make their own interpretation. Conclusion: most teaching institutions do not provide pedagogical support to students. PMID:25054869
EPA OFFICE OF RESEARCH AND DEVELOPMENT GUIDELINES FOR TECHNICAL EVALUATION OF ECOLOGICAL INDICATORS
EPA's Office of Research and Development (ORD) has prepared fifteen technical guidelines to evaluate the suitability of an ecological indicator in a monitoring program. The guidelines were fashioned to provide a consistent framework for indicator review and to provide direction f...
The Environmental Protection Agency's Office of Research and Development (ORD) has prepared technical guidelines to evaluate the suitability of ecological indicators for monitoring programs. The guidelines were adopted by ORD to provide a consistent framework for indicator review...
Facilities Guidelines. North Carolina Public Schools.
ERIC Educational Resources Information Center
North Carolina State Dept. of Public Instruction, Raleigh.
The 1986 North Carolina Public School Facilities Standards were legislated in 1996 to become Facility Guidelines. A Public School Facilities Task Force was appointed to review and make revisions. These 1997 guidelines define and describe minimum facilities to ensure educational program appropriateness and long-term cost efficiency. They were…
40 CFR 80.127 - Sample size guidelines.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Sample size guidelines. 80.127 Section 80.127 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) REGULATION OF FUELS AND FUEL ADDITIVES Attest Engagements § 80.127 Sample size guidelines. In performing the...
Child Development Guidelines. (Revised Edition).
ERIC Educational Resources Information Center
California State Dept. of Education, Sacramento.
This publication represents the compilation of various statutes, regulations, state plan materials, and guidelines developed by the Office of Child Development of the California State Department of Education, which are applicable to subsidized child care service programs. It is the intent of these guidelines to assist eligible agencies in the…
45 CFR 96.85 - Income eligibility.
Code of Federal Regulations, 2013 CFR
2013-10-01
... Assistance Program § 96.85 Income eligibility. (a) Application of poverty income guidelines and State median...-35 (42 U.S.C. 8624(b)(2)), grantees using the Federal government's official poverty income guidelines... with the most recently published revision to the poverty income guidelines or State median income...