[Impact of a quality assurance program on the use of neuromuscular monitoring and reversal of muscle relaxants].

PubMed

Motamed, C; Bourgain, J-L

2009-04-01

As part of a quality assurance in the anaesthesia department, this study was designed to enhance the rate of neuromuscular blockade monitoring for patients receiving muscle relaxant during anaesthesia. After approval of our local ethical committee, we assessed 200 computerized anaesthesia records in which neuromuscular relaxants were used. The following data were collected: demographic characteristics, durations of anaesthesia and surgery, use of neuromuscular monitoring, reversal agents and the quality of neuromuscular monitoring. The results were discussed with all anaesthesia providers of the department and an internal guideline was elaborated with the endpoint that all patients having muscle relaxants should have quantitative neuromuscular monitoring. Six months later, another assessment of 200 consecutive records collected the same data to check the efficiency of the elaborated guideline. The monitoring rate was of 67% at the first assessment and increased to 94% (p<0.05). The reversal rate was at 48% in the first assessment and was stable at the second assessment (50%). The rate of patients not monitored and not reversed decreased from 5 to 2% (p<0.05). This study shows that as part of a quality assurance program systematic quantitative monitoring of neuromuscular blockade can be significantly increased.

A multiyear quality control study of alpha-track radon monitors.

PubMed

Pearson, M D; Martz, D E; George, J L; Langner, G H

1992-01-01

Quality control exposures of commercial alpha-track radon monitors have been conducted approximately weekly at the U.S. Department of Energy (DOE) Grand Junction Projects Office since early 1987 in support of DOE remedial action programs. The results of these exposures provide a historical record of the comparative performances of these radon monitors.

The utility of conductive plastic electrodes in prolonged ICU EEG monitoring.

PubMed

Das, Rohit R; Lucey, Brendan P; Chou, Sherry H-Y; Espinosa, Patricio S; Zamani, Amir A; Dworetzky, Barbara A; Bromfield, Edward B; Lee, Jong Woo

2009-01-01

We investigated the feasibility and utilization of conductive plastic electrodes (CPEs) in patients undergoing continuous video-electroencephalographic (EEG) monitoring in the intensive care unit (ICU), and assessed the quality of brain magnetic resonance imaging (MRI) and computed tomography (CT) images obtained during this period. A total of 54 patients were monitored. Seizures were recorded in 16 patients. Twenty-five patients had neuroimaging performed with electrodes in place; 15 MRI and 23 CT scans were performed. All patients had excellent quality anatomical images without clinically significant artifacts, and without any signs or symptoms that raised safety concerns. Recording quality of the EEG was indistinguishable to that achieved with standard gold electrodes. The use of CPEs allowed for uninterrupted EEG recording of patients who required urgent neuroimaging, and decreased the amount of time spent by the technologists required to remove and reattach leads.

40 CFR 270.30 - Conditions applicable to all permits.

Code of Federal Regulations, 2011 CFR

2011-07-01

... operator staffing and training, and adequate laboratory and process controls, including appropriate quality... any location. (j) Monitoring and records. (1) Samples and measurements taken for the purpose of... recordings for continuous monitoring instrumentation, copies of all reports required by this permit, the...

40 CFR 270.30 - Conditions applicable to all permits.

Code of Federal Regulations, 2010 CFR

2010-07-01

... operator staffing and training, and adequate laboratory and process controls, including appropriate quality... any location. (j) Monitoring and records. (1) Samples and measurements taken for the purpose of... recordings for continuous monitoring instrumentation, copies of all reports required by this permit, the...

Technology Transfer Opportunities: Automated Ground-Water Monitoring

USGS Publications Warehouse

Smith, Kirk P.; Granato, Gregory E.

1997-01-01

Introduction A new automated ground-water monitoring system developed by the U.S. Geological Survey (USGS) measures and records values of selected water-quality properties and constituents using protocols approved for manual sampling. Prototypes using the automated process have demonstrated the ability to increase the quantity and quality of data collected and have shown the potential for reducing labor and material costs for ground-water quality data collection. Automation of water-quality monitoring systems in the field, in laboratories, and in industry have increased data density and utility while reducing operating costs. Uses for an automated ground-water monitoring system include, (but are not limited to) monitoring ground-water quality for research, monitoring known or potential contaminant sites, such as near landfills, underground storage tanks, or other facilities where potential contaminants are stored, and as an early warning system monitoring groundwater quality near public water-supply wells.

77 FR 3417 - Approval and Promulgation of Air Quality Implementation Plans; Massachusetts; Determination of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-24

... recorded in EPA's Air Quality System (AQS) database. To account for missing data, the procedures found in... three-year period and then adjusts for missing data. In short, if the three-year average expected... ambient air quality monitoring data for the 2001-2003 monitoring period showing that the area had an...

Signal loss during fetal heart rate monitoring using maternal abdominal surface electrodes between 28 and 42 weeks of pregnancy.

PubMed

Fuchs, Tomasz; Pomorski, Michał; Grobelak, Krzysztof; Tomiałowicz, Marek; Zimmer, Mariusz

2014-01-01

Fetal electrocardiography is one of the methods for monitoring the well-being of the fetus. Signal loss limits the proper interpretation of electrocardiogram traces. The aim of this study was to assess the average signal loss in non-invasive abdominal fetal electrocardiogram (fECG) monitoring using the KOMPOREL fetal monitoring system (ITAM, Zabrze, Poland) in women between 28 and 42 week of pregnancy. The results were compared to FIGO (International Federation of Gynaecology and Obstetric) and DGGG (Deutsche Gesellschaft für Gynäkologie und Geburtshilfe e.V.) recommendations concerning fetal heart monitoring. The correlation between fetal ECG signal quality, week of pregnancy and patient BMI was evaluated. 773 pregnant women, hospitalized and diagnosed in the Department of Gynecology and Obstetrics, Wroclaw Medical University, underwent 30 min of abdominal fECG recordings using the KOMPOREL fetal monitoring system. The average signal loss in abdominal fECG monitoring in the study group was 32%. FIGO recommendations describe an acceptable fetal signal loss of 20%. In our study, 46% (357/773) of the recordings were up to FIGO standards, with fetal heart rate success rates above 80%. According to DGGG guidelines, with acceptable fetal signal loss of 15%, only 39% (303/773) of the recordings could be assessed as accurate. No correlation between fECG signal quality, week of pregnancy and patient BMI was proved. The average signal loss in abdominal fECG monitoring in our study group was 32%. Low fECG signal quality may constitute a potentially limiting factor of the described fetal heart monitoring system. No relationship between fECG signal quality, week of pregnancy and patient BMI was proved.

A Framework for Evaluating the Software Product Quality of Pregnancy Monitoring Mobile Personal Health Records.

PubMed

Idri, Ali; Bachiri, Mariam; Fernández-Alemán, José Luis

2016-03-01

Stakeholders' needs and expectations are identified by means of software quality requirements, which have an impact on software product quality. In this paper, we present a set of requirements for mobile personal health records (mPHRs) for pregnancy monitoring, which have been extracted from literature and existing mobile apps on the market. We also use the ISO/IEC 25030 standard to suggest the requirements that should be considered during the quality evaluation of these mPHRs. We then go on to design a checklist in which we contrast the mPHRs for pregnancy monitoring requirements with software product quality characteristics and sub-characteristics in order to calculate the impact of these requirements on software product quality, using the ISO/IEC 25010 software product quality standard. The results obtained show that the requirements related to the user's actions and the app's features have the most impact on the external sub-characteristics of the software product quality model. The only sub-characteristic affected by all the requirements is Appropriateness of Functional suitability. The characteristic Operability is affected by 95% of the requirements while the lowest degrees of impact were identified for Compatibility (15%) and Transferability (6%). Lastly, the degrees of the impact of the mPHRs for pregnancy monitoring requirements are discussed in order to provide appropriate recommendations for the developers and stakeholders of mPHRs for pregnancy monitoring.

Technology Transfer Opportunities: Automated Ground-Water Monitoring, A Proven Technology

USGS Publications Warehouse

Smith, Kirk P.; Granato, Gregory E.

1998-01-01

Introduction The U.S. Geological Survey (USGS) has developed and tested an automated ground-water monitoring system that measures and records values of selected water-quality properties and constituents using protocols approved for manual sampling. Prototypes using the automated process have demonstrated the ability to increase the quantity and quality of data collected and have shown the potential for reducing labor and material costs for ground-water quality data collection. Automated ground-water monitoring systems can be used to monitor known or potential contaminant sites, such as near landfills, underground storage tanks, or other facilities where potential contaminants are stored, to serve as early warning systems monitoring ground-water quality near public water-supply wells, and for ground-water quality research.

U.S. Forest Service Region 1 Lake Chemistry, NADP, and IMPROVE air quality data analysis

Treesearch

Jill Grenon; Mark Story

2009-01-01

This report was developed to address the need for comprehensive analysis of U.S. Forest Service (USFS) Region 1 air quality monitoring data. The monitoring data includes Phase 3 (long-term data) lakes, National Atmospheric Deposition Program (NADP), and Interagency Monitoring of Protected Visual Environments (IMPROVE). Annual and seasonal data for the periods of record...

Closed-Loop Control of Humidification for Artifact Reduction in Capacitive ECG Measurements.

PubMed

Leicht, Lennart; Eilebrecht, Benjamin; Weyer, Soren; Leonhardt, Steffen; Teichmann, Daniel

2017-04-01

Recording biosignals without the need for direct skin contact offers new opportunities for ubiquitous health monitoring. Electrodes with capacitive coupling have been shown to be suitable for the monitoring of electrical potentials on the body surface, in particular ECG. However, due to triboelectric charge generation and motion artifacts, signal and thus diagnostic quality is inferior to galvanic coupling. Active closed-loop humidification of capacitive electrodes is proposed in this work as a new concept to improve signal quality. A capacitive ECG recording system integrated into a common car seat is presented. It can regulate the micro climate at the interface of electrode and patient by actively dispensing water vapour and monitoring humidity in a closed-loop approach. As a regenerative water reservoir, silica gel is used. The system was evaluated with respect to subjective and objective ECG signal quality. Active humidification was found to have a significant positive effect in case of previously poor quality. Also, it had no diminishing effect in case of already good signal quality.

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

Code of Federal Regulations, 2012 CFR

2012-07-01

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

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

Code of Federal Regulations, 2011 CFR

2011-07-01

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

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

Code of Federal Regulations, 2014 CFR

2014-07-01

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

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

Code of Federal Regulations, 2010 CFR

2010-07-01

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

Robowell: An automated process for monitoring ground water quality using established sampling protocols

USGS Publications Warehouse

Granato, G.E.; Smith, K.P.

1999-01-01

Robowell is an automated process for monitoring selected ground water quality properties and constituents by pumping a well or multilevel sampler. Robowell was developed and tested to provide a cost-effective monitoring system that meets protocols expected for manual sampling. The process uses commercially available electronics, instrumentation, and hardware, so it can be configured to monitor ground water quality using the equipment, purge protocol, and monitoring well design most appropriate for the monitoring site and the contaminants of interest. A Robowell prototype was installed on a sewage treatment plant infiltration bed that overlies a well-studied unconfined sand and gravel aquifer at the Massachusetts Military Reservation, Cape Cod, Massachusetts, during a time when two distinct plumes of constituents were released. The prototype was operated from May 10 to November 13, 1996, and quality-assurance/quality-control measurements demonstrated that the data obtained by the automated method was equivalent to data obtained by manual sampling methods using the same sampling protocols. Water level, specific conductance, pH, water temperature, dissolved oxygen, and dissolved ammonium were monitored by the prototype as the wells were purged according to U.S Geological Survey (USGS) ground water sampling protocols. Remote access to the data record, via phone modem communications, indicated the arrival of each plume over a few days and the subsequent geochemical reactions over the following weeks. Real-time availability of the monitoring record provided the information needed to initiate manual sampling efforts in response to changes in measured ground water quality, which proved the method and characterized the screened portion of the plume in detail through time. The methods and the case study described are presented to document the process for future use.

Improving the quality of physical health monitoring in CAMHS for children and adolescents prescribed medication for ADHD.

PubMed

Oxley, Cristal; Moghraby, Omer S; Samuel, Rani; Joyce, Dan W

2018-01-01

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterised by a persistent, pervasive pattern of inattention, impulsivity and hyperactivity. Stimulant medication such as methylphenidate has an established evidence base in the treatment of children and adolescents with ADHD. However, it is also associated with a risk of side effects which may include decreased appetite, increased blood pressure and possible reduced growth. Monitoring physical health in children and adolescents prescribed medication for ADHD is a key clinical responsibility and includes a number of parameters as outlined in the National Institute for Health and Care Excellence Guidelines. Ascertaining the centiles of physical observations is essential to put these into developmental context and accurately inform treatment decisions. This quality improvement project aimed to improve physical health monitoring in children and adolescents prescribed stimulant medication for ADHD within a large specialist urban inner-city Child and Adolescent Mental Health Service (CAMHS) in South London and Maudsley NHS Foundation Trust. Baseline data were obtained to establish the quality of physical monitoring including blood pressure, height, weight and centiles. Targeted interventions included the development of a novel web-based application designed to calculate and record centiles. We report an improvement in total proportion compliance with physical health monitoring from 24% to 75%. The frequency of recording baseline blood pressure centiles increased from 0% to 62%; recording baseline height centiles increased from 37% to 81% and recording baseline weight centiles increased from 37% to 81%. Improvement in the delivery of high-quality care was achieved and sustained through close collaboration with clinicians involved in the treatment pathway in order to elicit and respond effectively to feedback for improvement and codevelop interventions which were highly effective within the clinical system. We believe this model to be replicable in other CAMHS services and ADHD clinics to improve the delivery of high-quality clinical care.

40 CFR 63.2270 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2011 CFR

2011-07-01

... appropriate, monitor malfunctions, associated repairs, and required quality assurance or control activities... monitoring in continuous operation at all times that the process unit is operating. For purposes of calculating data averages, you must not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.2270 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... appropriate, monitor malfunctions, associated repairs, and required quality assurance or control activities... monitoring in continuous operation at all times that the process unit is operating. For purposes of calculating data averages, you must not use data recorded during monitoring malfunctions, associated repairs...

The role of remotely sensed and relayed data in the Delaware River Basin

NASA Technical Reports Server (NTRS)

Paulson, R. W.

1970-01-01

A discussion is presented of the planned integration of the existing Delaware River Basin water quality monitoring and data processing systems with a data relay experiment proposed for the Earth Resources Technology Satellite (ERTS)-A, which will be launched in 1972. The experiment is designed to use ERTS-A as a data relay link for a maximum of 20 hydrologic stations in the basin, including streamgaging, reservoir level, ground water level,and water quality monitoring stations. This experiment has the potential for reducing the timelag between data collection and dissemination to less than 12 hours. At present there is a significant timelag between the time when the data are recorded at a monitoring site and the water resources agencies receive the data. The timelag exists because most of these instruments operate in remote locations without telementry, and the data records are removed manually, generally at a weekly frequency. For most water quality monitoring, the data do not reach water resources agencies for a period of 2 weeks to 2 months.

Guidelines and standard procedures for continuous water-quality monitors: Site selection, field operation, calibration, record computation, and reporting

USGS Publications Warehouse

Wagner, Richard J.; Mattraw, Harold C.; Ritz, George F.; Smith, Brett A.

2000-01-01

The U.S. Geological Survey uses continuous water-quality monitors to assess variations in the quality of the Nation's surface water. A common system configuration for data collection is the four-parameter water-quality monitoring system, which collects temperature, specific conductance, dissolved oxygen, and pH data, although systems can be configured to measure other properties such as turbidity or chlorophyll. The sensors that are used to measure these water properties require careful field observation, cleaning, and calibration procedures, as well as thorough procedures for the computation and publication of final records. Data from sensors can be used in conjunction with collected samples and chemical analyses to estimate chemical loads. This report provides guidelines for site-selection considerations, sensor test methods, field procedures, error correction, data computation, and review and publication processes. These procedures have evolved over the past three decades, and the process continues to evolve with newer technologies.

Evaluation of Measurements Collected with Multi-Parameter Continuous Water-Quality Monitors in Selected Illinois Streams, 2001-03

USGS Publications Warehouse

Groschen, George E.; King, Robin B.

2005-01-01

Eight streams, representing a wide range of environmental and water-quality conditions across Illinois, were monitored from July 2001 to October 2003 for five water-quality parameters as part of a pilot study by the U.S. Geological Survey (USGS) in cooperation with the Illinois Environmental Protection Agency (IEPA). Continuous recording multi-parameter water-quality monitors were installed to collect data on water temperature, dissolved-oxygen concentrations, specific conductivity, pH, and turbidity. The monitors were near USGS streamflow-gaging stations where stage and streamflow are continuously recorded. During the study period, the data collected for these five parameters generally met the data-quality objectives established by the USGS and IEPA at all eight stations. A similar pilot study during this period for measurement of chlorophyll concentrations failed to achieve the data-quality objectives. Of all the sensors used, the temperature sensors provided the most accurate and reliable measurements (generally within ?5 percent of a calibrated thermometer reading). Signal adjustments and calibration of all other sensors are dependent upon an accurate and precise temperature measurement. The dissolved-oxygen sensors were the next most reliable during the study and were responsive to changing conditions and accurate at all eight stations. Specific conductivity was the third most accurate and reliable measurement collected from the multi-parameter monitors. Specific conductivity at the eight stations varied widely-from less than 40 microsiemens (?S) at Rayse Creek near Waltonville to greater than 3,500 ?S at Salt Creek at Western Springs. In individual streams, specific conductivity often changed quickly (greater than 25 percent in less than 3 hours) and the sensors generally provided good to excellent record of these variations at all stations. The widest range of specific-conductivity measurements was in Salt Creek at Western Springs in the Greater Chicago metropolitan area. Unlike temperature, dissolved oxygen, and specific conductivity that have been typically measured over a wide range of historical streamflow conditions in many streams, there are few historical turbidity data and the full range of turbidity values is not well known for many streams. Because proposed regional criteria for turbidity in regional streams are based on upper 25th percentiles of concentration in reference streams, accurate determination of the distribution of turbidity in monitored streams is important. Digital data from all five sensors were recorded within each of the eight sondes deployed in the streams and in automated data recorders in the nearby streamflow-gaging houses at each station. The data recorded on each sonde were retrieved to a field laptop computer at each station visit. The feasibility of transmitting these data in near-real time to a central processing point for dissemination on the World-Wide Web was tested successfully. Data collected at all eight stations indicate that a number of factors affect the dissolved-oxygen concentration in the streams and rivers monitored. These factors include: temperature, biological activity, nutrient runoff, and weather (storm runoff). During brief periods usually in late summer, dissolved-oxygen concentrations in half or more of the eight streams and rivers monitored were below the 5 milligrams per liter minimum established by the Illinois Pollution Control Board to protect aquatic life. Because the streams monitored represent a wide range in water-quality and environmental conditions, including diffuse (non-point) runoff and wastewater-effluent contributions, this result indicates that deleterious low dissolved-oxygen concentrations during late summer may be widespread in Illinois streams.

Improving data quality and supervision of antiretroviral therapy sites in Malawi: an application of Lot Quality Assurance Sampling

PubMed Central

2012-01-01

Background High quality program data is critical for managing, monitoring, and evaluating national HIV treatment programs. By 2009, the Malawi Ministry of Health had initiated more than 270,000 patients on HIV treatment at 377 sites. Quarterly supervision of these antiretroviral therapy (ART) sites ensures high quality care, but the time currently dedicated to exhaustive record review and data cleaning detracts from other critical components. The exhaustive record review is unlikely to be sustainable long term because of the resources required and increasing number of patients on ART. This study quantifies the current levels of data quality and evaluates Lot Quality Assurance Sampling (LQAS) as a tool to prioritize sites with low data quality, thus lowering costs while maintaining sufficient quality for program monitoring and patient care. Methods In January 2010, a study team joined supervision teams at 19 sites purposely selected to reflect the variety of ART sites. During the exhaustive data review, the time allocated to data cleaning and data discrepancies were documented. The team then randomly sampled 76 records from each site, recording secondary outcomes and the time required for sampling. Results At the 19 sites, only 1.2% of records had discrepancies in patient outcomes and 0.4% in treatment regimen. However, data cleaning took 28.5 hours in total, suggesting that data cleaning for all 377 ART sites would require over 350 supervision-hours quarterly. The LQAS tool accurately identified the sites with the low data quality, reduced the time for data cleaning by 70%, and allowed for reporting on secondary outcomes. Conclusions Most sites maintained high quality records. In spite of this, data cleaning required significant amounts of time with little effect on program estimates of patient outcomes. LQAS conserves resources while maintaining sufficient data quality for program assessment and management to allow for quality patient care. PMID:22776745

Improving data quality and supervision of antiretroviral therapy sites in Malawi: an application of Lot Quality Assurance Sampling.

PubMed

Hedt-Gauthier, Bethany L; Tenthani, Lyson; Mitchell, Shira; Chimbwandira, Frank M; Makombe, Simon; Chirwa, Zengani; Schouten, Erik J; Pagano, Marcello; Jahn, Andreas

2012-07-09

High quality program data is critical for managing, monitoring, and evaluating national HIV treatment programs. By 2009, the Malawi Ministry of Health had initiated more than 270,000 patients on HIV treatment at 377 sites. Quarterly supervision of these antiretroviral therapy (ART) sites ensures high quality care, but the time currently dedicated to exhaustive record review and data cleaning detracts from other critical components. The exhaustive record review is unlikely to be sustainable long term because of the resources required and increasing number of patients on ART. This study quantifies the current levels of data quality and evaluates Lot Quality Assurance Sampling (LQAS) as a tool to prioritize sites with low data quality, thus lowering costs while maintaining sufficient quality for program monitoring and patient care. In January 2010, a study team joined supervision teams at 19 sites purposely selected to reflect the variety of ART sites. During the exhaustive data review, the time allocated to data cleaning and data discrepancies were documented. The team then randomly sampled 76 records from each site, recording secondary outcomes and the time required for sampling. At the 19 sites, only 1.2% of records had discrepancies in patient outcomes and 0.4% in treatment regimen. However, data cleaning took 28.5 hours in total, suggesting that data cleaning for all 377 ART sites would require over 350 supervision-hours quarterly. The LQAS tool accurately identified the sites with the low data quality, reduced the time for data cleaning by 70%, and allowed for reporting on secondary outcomes. Most sites maintained high quality records. In spite of this, data cleaning required significant amounts of time with little effect on program estimates of patient outcomes. LQAS conserves resources while maintaining sufficient data quality for program assessment and management to allow for quality patient care.

Validation of a metered dose inhaler electronic monitoring device: implications for asthma clinical trial use.

PubMed

Pilcher, Janine; Holliday, Mark; Ebmeier, Stefan; McKinstry, Steve; Messaoudi, Fatiha; Weatherall, Mark; Beasley, Richard

2016-01-01

The SmartTouch Ventolin monitor (Adherium, Auckland, New Zealand) is an electronic monitor for use with a Ventolin metered dose inhaler, which records the date and time of inhaler actuations. This technology has the potential to allow in-depth analysis of patterns of inhaler use in clinical trial settings. The aim of this study was to determine the accuracy of the SmartTouch Ventolin monitor in recording Ventolin actuations. 20 SmartTouch Ventolin monitors were attached to Ventolin metered dose inhalers. Bench testing was performed over a 10-week period, to reflect the potential time frame between visits in a clinical trial. Inhaler actuations were recorded in a paper diary, which was compared with data uploaded from the monitors. 2560 actuations were performed during the 10-week study period. Monitor sensitivity for diary-recorded actuations was 99.9% with a lower 97.5% confidence bound of 99.7%. The positive predictive value for diary-recorded actuations was 100% with a 97.5% lower confidence bound of 99.9%. The SmartTouch Ventolin monitor is highly accurate in recording and retaining electronic data. It can be recommended for use in clinical trial settings in which training and quality control systems are incorporated into study protocols to ensure accurate data acquisition.

Validation of a metered dose inhaler electronic monitoring device: implications for asthma clinical trial use

PubMed Central

Pilcher, Janine; Holliday, Mark; Ebmeier, Stefan; McKinstry, Steve; Messaoudi, Fatiha; Weatherall, Mark; Beasley, Richard

2016-01-01

Background The SmartTouch Ventolin monitor (Adherium, Auckland, New Zealand) is an electronic monitor for use with a Ventolin metered dose inhaler, which records the date and time of inhaler actuations. This technology has the potential to allow in-depth analysis of patterns of inhaler use in clinical trial settings. The aim of this study was to determine the accuracy of the SmartTouch Ventolin monitor in recording Ventolin actuations. Methods 20 SmartTouch Ventolin monitors were attached to Ventolin metered dose inhalers. Bench testing was performed over a 10-week period, to reflect the potential time frame between visits in a clinical trial. Inhaler actuations were recorded in a paper diary, which was compared with data uploaded from the monitors. Results 2560 actuations were performed during the 10-week study period. Monitor sensitivity for diary-recorded actuations was 99.9% with a lower 97.5% confidence bound of 99.7%. The positive predictive value for diary-recorded actuations was 100% with a 97.5% lower confidence bound of 99.9%. Conclusions The SmartTouch Ventolin monitor is highly accurate in recording and retaining electronic data. It can be recommended for use in clinical trial settings in which training and quality control systems are incorporated into study protocols to ensure accurate data acquisition. PMID:27026805

From Field Notes to Data Portal - A Scalable Data QA/QC Framework for Tower Networks: Progress and Preliminary Results

NASA Astrophysics Data System (ADS)

Sturtevant, C.; Hackley, S.; Lee, R.; Holling, G.; Bonarrigo, S.

2017-12-01

Quality assurance and control (QA/QC) is one of the most important yet challenging aspects of producing research-quality data. Data quality issues are multi-faceted, including sensor malfunctions, unmet theoretical assumptions, and measurement interference from humans or the natural environment. Tower networks such as Ameriflux, ICOS, and NEON continue to grow in size and sophistication, yet tools for robust, efficient, scalable QA/QC have lagged. Quality control remains a largely manual process heavily relying on visual inspection of data. In addition, notes of measurement interference are often recorded on paper without an explicit pathway to data flagging. As such, an increase in network size requires a near-proportional increase in personnel devoted to QA/QC, quickly stressing the human resources available. We present a scalable QA/QC framework in development for NEON that combines the efficiency and standardization of automated checks with the power and flexibility of human review. This framework includes fast-response monitoring of sensor health, a mobile application for electronically recording maintenance activities, traditional point-based automated quality flagging, and continuous monitoring of quality outcomes and longer-term holistic evaluations. This framework maintains the traceability of quality information along the entirety of the data generation pipeline, and explicitly links field reports of measurement interference to quality flagging. Preliminary results show that data quality can be effectively monitored and managed for a multitude of sites with a small group of QA/QC staff. Several components of this framework are open-source, including a R-Shiny application for efficiently monitoring, synthesizing, and investigating data quality issues.

Use of electronic medical record data for quality improvement in schizophrenia treatment.

PubMed

Owen, Richard R; Thrush, Carol R; Cannon, Dale; Sloan, Kevin L; Curran, Geoff; Hudson, Teresa; Austen, Mark; Ritchie, Mona

2004-01-01

An understanding of the strengths and limitations of automated data is valuable when using administrative or clinical databases to monitor and improve the quality of health care. This study discusses the feasibility and validity of using data electronically extracted from the Veterans Health Administration (VHA) computer database (VistA) to monitor guideline performance for inpatient and outpatient treatment of schizophrenia. The authors also discuss preliminary results and their experience in applying these methods to monitor antipsychotic prescribing using the South Central VA Healthcare Network (SCVAHCN) Data Warehouse as a tool for quality improvement.

78 FR 57631 - Information Collection Request Submitted to OMB for Review and Approval; Comment Request; Ambient...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-19

..., tribal entities, environmental groups, academic institutions, industrial groups) use the ambient air... System (AQS) database. Quality assurance/quality control records and monitoring network documentation are...

Wrist ambulatory monitoring system and smart glove for real time emotional, sensorial and physiological analysis.

PubMed

Axisa, F; Gehin, C; Delhomme, G; Collet, C; Robin, O; Dittmar, A

2004-01-01

Improvement of the quality and efficiency of the quality of health in medicine, at home and in hospital becomes more and more important Designed to be user-friendly, smart clothes and gloves fit well for such a citizen use and health monitoring. Analysis of the autonomic nervous system using non-invasive sensors provides information for the emotional, sensorial, cognitive and physiological analysis. MARSIAN (modular autonomous recorder system for the measurement of autonomic nervous system) is a wrist ambulatory monitoring and recording system with a smart glove with sensors for the detection of the activity of the autonomic nervous system. It is composed of a "smart tee shirt", a "smart glove", a wrist device and PC which records data. The smart glove is one of the key point of MARSIAN. Complex movements, complex geometry, sensation make smart glove designing a challenge. MARSIAN has a large field of applications and researches (vigilance, behaviour, sensorial analysis, thermal environment for human, cognition science, sport, etc...) in various fields like neurophysiology, affective computing and health monitoring.

Vital Recorder-a free research tool for automatic recording of high-resolution time-synchronised physiological data from multiple anaesthesia devices.

PubMed

Lee, Hyung-Chul; Jung, Chul-Woo

2018-01-24

The current anaesthesia information management system (AIMS) has limited capability for the acquisition of high-quality vital signs data. We have developed a Vital Recorder program to overcome the disadvantages of AIMS and to support research. Physiological data of surgical patients were collected from 10 operating rooms using the Vital Recorder. The basic equipment used were a patient monitor, the anaesthesia machine, and the bispectral index (BIS) monitor. Infusion pumps, cardiac output monitors, regional oximeter, and rapid infusion device were added as required. The automatic recording option was used exclusively and the status of recording was frequently checked through web monitoring. Automatic recording was successful in 98.5% (4,272/4,335) cases during eight months of operation. The total recorded time was 13,489 h (3.2 ± 1.9 h/case). The Vital Recorder's automatic recording and remote monitoring capabilities enabled us to record physiological big data with minimal effort. The Vital Recorder also provided time-synchronised data captured from a variety of devices to facilitate an integrated analysis of vital signs data. The free distribution of the Vital Recorder is expected to improve data access for researchers attempting physiological data studies and to eliminate inequalities in research opportunities due to differences in data collection capabilities.

Water Resources Data--Kansas, Water Year 2003

USGS Publications Warehouse

Putnam, J.E.; Schneider, D.R.

2004-01-01

Water-resources data for the 2003 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 148 complete-record gaging stations; elevation and contents at 17 lakes and reservoirs; water-quality records at 2 precipitation stations, water-level data at 12 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 11 gaging stations and 2 lakes with water-quality monitors. Also included are discharge data for 27 high-flow partial-record stations, miscellaneous onsite water-quality data collected at 138 stations, and suspended-sediment concentration for 11 stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

40 CFR 63.7742 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2013 CFR

2013-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... emissions is operating. (b) You may not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.7742 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2012 CFR

2012-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... emissions is operating. (b) You may not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.9922 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2013 CFR

2013-07-01

... demonstrate continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including, as applicable, calibration checks and required zero... all times an affected source is operating. (b) You may not use data recorded during monitoring...

40 CFR 63.9922 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2014 CFR

2014-07-01

... demonstrate continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including, as applicable, calibration checks and required zero... all times an affected source is operating. (b) You may not use data recorded during monitoring...

40 CFR 63.8465 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... use data recorded during monitoring malfunctions, associated repairs, out-of-control periods, or required quality assurance or control activities for purposes of calculating data averages. A monitoring... assurance or control activities (including, as applicable, calibration checks and required zero and span...

40 CFR 63.7742 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... emissions is operating. (b) You may not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.9633 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2013 CFR

2013-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... affected source is operating. (b) You may not use data recorded during monitoring malfunctions, associated...

40 CFR 63.9922 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2012 CFR

2012-07-01

... demonstrate continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including, as applicable, calibration checks and required zero... all times an affected source is operating. (b) You may not use data recorded during monitoring...

40 CFR 63.9922 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... demonstrate continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including, as applicable, calibration checks and required zero... all times an affected source is operating. (b) You may not use data recorded during monitoring...

40 CFR 63.7742 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2014 CFR

2014-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... emissions is operating. (b) You may not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.7742 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2011 CFR

2011-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... emissions is operating. (b) You may not use data recorded during monitoring malfunctions, associated repairs...

40 CFR 63.9633 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2010 CFR

2010-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... affected source is operating. (b) You may not use data recorded during monitoring malfunctions, associated...

40 CFR 63.9633 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2014 CFR

2014-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... affected source is operating. (b) You may not use data recorded during monitoring malfunctions, associated...

40 CFR 63.9633 - How do I monitor and collect data to demonstrate continuous compliance?

Code of Federal Regulations, 2012 CFR

2012-07-01

... continuous compliance? (a) Except for monitoring malfunctions, associated repairs, and required quality assurance or control activities (including as applicable, calibration checks and required zero and span... affected source is operating. (b) You may not use data recorded during monitoring malfunctions, associated...

MS-QI: A Modulation Spectrum-Based ECG Quality Index for Telehealth Applications.

PubMed

Tobon V, Diana P; Falk, Tiago H; Maier, Martin

2016-08-01

As telehealth applications emerge, the need for accurate and reliable biosignal quality indices has increased. One typical modality used in remote patient monitoring is the electrocardiogram (ECG), which is inherently susceptible to several different noise sources, including environmental (e.g., powerline interference), experimental (e.g., movement artifacts), and physiological (e.g., muscle and breathing artifacts). Accurate measurement of ECG quality can allow for automated decision support systems to make intelligent decisions about patient conditions. This is particularly true for in-home monitoring applications, where the patient is mobile and the ECG signal can be severely corrupted by movement artifacts. In this paper, we propose an innovative ECG quality index based on the so-called modulation spectral signal representation. The representation quantifies the rate of change of ECG spectral components, which are shown to be different from the rate of change of typical ECG noise sources. The proposed modulation spectral-based quality index, MS-QI, was tested on 1) synthetic ECG signals corrupted by varying levels of noise, 2) single-lead recorded data using the Hexoskin garment during three activity levels (sitting, walking, running), 3) 12-lead recorded data using conventional ECG machines (Computing in Cardiology 2011 dataset), and 4) two-lead ambulatory ECG recorded from arrhythmia patients (MIT-BIH Arrhythmia Database). Experimental results showed the proposed index outperforming two conventional benchmark quality measures, particularly in the scenarios involving recorded data in real-world environments.

Water resources data, Kansas, water year 2004

USGS Publications Warehouse

Putnam, J.E.; Schneider, D.R.

2005-01-01

Water-resources data for the 2004 water year for Kansas consist of records of stage, discharge, and water quality of streams; elevation and contents of lakes and reservoirs; and water levels of ground-water wells. This report contains records for water discharge at 155 complete-record gaging stations; elevation and contents at 17 lakes and reservoirs; water-quality records at 2 precipitation stations, water-level data at 14 observation wells; and records of specific conductance, pH, water temperature, dissolved oxygen, and turbidity at 16 gaging stations and 2 lakes with water-quality monitors. Also included are discharge data for 29 high-flow partial-record stations. These data represent that part of the National Water Information System collected by the U.S. Geological Survey in cooperation with local, State, and Federal agencies in Kansas.

42 CFR 460.200 - Maintenance of records and reporting of data.

Code of Federal Regulations, 2010 CFR

2010-10-01

... agency require to monitor the operation, cost, quality, and effectiveness of the program and establish... Federal and State laws regarding confidentiality and disclosure for mental health records, medical records... audit arising from the operation of the PACE program is started before the expiration of the retention...

Amperometric Gas Sensors as a Low Cost Emerging Technology Platform for Air Quality Monitoring Applications: A Review.

PubMed

Baron, Ronan; Saffell, John

2017-11-22

This review examines the use of amperometric electrochemical gas sensors for monitoring inorganic gases that affect urban air quality. First, we consider amperometric gas sensor technology including its development toward specifically designed air quality sensors. We then review recent academic and research organizations' studies where this technology has been trialed for air quality monitoring applications: early studies showed the potential of electrochemical gas sensors when colocated with reference Air Quality Monitoring (AQM) stations. Spatially dense networks with fast temporal resolution provide information not available from sparse AQMs with longer recording intervals. We review how this technology is being offered as commercial urban air quality networks and consider the remaining challenges. Sensors must be sensitive, selective, and stable; air quality monitors/nodes must be electronically and mechanically well designed. Data correction is required and models with differing levels of sophistication are being designed. Data analysis and validation is possibly the biggest remaining hurdle needed to deliver reliable concentration readings. Finally, this review also considers the roles of companies, urban infrastructure requirements, and public research in the development of this technology.

Cooperative water-resources monitoring in the St. Clair River/Lake St. Clair Basin, Michigan

USGS Publications Warehouse

Rheaume, Stephen J.; Neff, Brian P.; Blumer, Stephen P.

2007-01-01

As part of the Lake St. Clair Regional Monitoring Project, this report describes numerous cooperative water-resources monitoring efforts conducted in the St. Clair River/Lake St. Clair Basin over the last 100 years. Cooperative monitoring is a tool used to observe and record changes in water quantity and quality over time. This report describes cooperative efforts for monitoring streamflows and flood magnitudes, past and present water-quality conditions, significant human-health threats, and flow-regime changes that are the result of changing land use. Water-resources monitoring is a long-term effort that can be made cost-effective by leveraging funds, sharing data, and avoiding duplication of effort. Without long-term cooperative monitoring, future water-resources managers and planners may find it difficult to establish and maintain public supply, recreational, ecological, and esthetic water-quality goals for the St. Clair River/Lake St. Clair Basin.

Video Monitoring a Simulation-Based Quality Improvement Program in Bihar, India.

PubMed

Dyer, Jessica; Spindler, Hilary; Christmas, Amelia; Shah, Malay Bharat; Morgan, Melissa; Cohen, Susanna R; Sterne, Jason; Mahapatra, Tanmay; Walker, Dilys

2018-04-01

Simulation-based training has become an accepted clinical training andragogy in high-resource settings with its use increasing in low-resource settings. Video recordings of simulated scenarios are commonly used by facilitators. Beyond using the videos during debrief sessions, researchers can also analyze the simulation videos to quantify technical and nontechnical skills during simulated scenarios over time. Little is known about the feasibility and use of large-scale systems to video record and analyze simulation and debriefing data for monitoring and evaluation in low-resource settings. This manuscript describes the process of designing and implementing a large-scale video monitoring system. Mentees and Mentors were consented and all simulations and debriefs conducted at 320 Primary Health Centers (PHCs) were video recorded. The system design, number of video recordings, and inter-rater reliability of the coded videos were assessed. The final dataset included a total of 11,278 videos. Overall, a total of 2,124 simulation videos were coded and 183 (12%) were blindly double-coded. For the double-coded sample, the average inter-rater reliability (IRR) scores were 80% for nontechnical skills, and 94% for clinical technical skills. Among 4,450 long debrief videos received, 216 were selected for coding and all were double-coded. Data quality of simulation videos was found to be very good in terms of recorded instances of "unable to see" and "unable to hear" in Phases 1 and 2. This study demonstrates that video monitoring systems can be effectively implemented at scale in resource limited settings. Further, video monitoring systems can play several vital roles within program implementation, including monitoring and evaluation, provision of actionable feedback to program implementers, and assurance of program fidelity.

40 CFR 75.11 - Specific provisions for monitoring SO2 emissions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... wood and 14.0% for natural gas (boilers, only); or (2) Install, operate, maintain, and quality assure a continuous moisture monitoring system for measuring and recording the moisture content of the flue gases, in... monitoring systems are acceptable: a continuous moisture sensor; an oxygen analyzer (or analyzers) capable of...

40 CFR 75.11 - Specific provisions for monitoring SO2 emissions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... wood and 14.0% for natural gas (boilers, only); or (2) Install, operate, maintain, and quality assure a continuous moisture monitoring system for measuring and recording the moisture content of the flue gases, in... monitoring systems are acceptable: a continuous moisture sensor; an oxygen analyzer (or analyzers) capable of...

Water-quality data for the Ohio River from Willow Island Dam to Belleville Dam, West Virginia and Ohio, May-October 1993

USGS Publications Warehouse

Miller, K.F.

1996-01-01

This report contains water-quality data for the Ohio River from river mile 160.6 (1.1 mile upstream from Willow Island Dam) to river mile 203.6 (0.3 mile upstream from Belleville Dam) that were collected during the summer and fall of 1993. The data were collected to establish the water quality of the Ohio River and to use in assessing the proposed effects of hydropower development on the water quality of the Ohio River. Water quality was monitored by a combination of synoptic field measurements, laboratory analyses, and continuous- record monitoring. Field measurements of water- quality characteristics were made along a longitudinal transect with 24 mid-channel sampling sites; cross-sectional transects of water-quality measurements were made at six of these sites. Water-quality measurements also were made at six sites located on the back-channel (West Virginia) sides of Marietta, Muskingum, and Blennerhassett Islands. At each longitudinal-transect and back- channel sampling site, measurements of specific conductance, pH, water temperature, and dissolved oxygen concentration were made at three depths (about 3.3 feet below the surface of the water, middle of the water column, and near the bottom of the river). Cross-sectional transects consisted of three to four detailed vertical profiles of the same characteristics. Water samples were collected at three depths in the mid-channel vertical profile in each cross-sectional transect and were analyzed for concentrations of phytoplankton chlorophyll a and chlorophyll b. Estimates of the depth of light penetration (Secchi disk transparency) were made at phytoplankton- pigment-sampling locations whenever light and river-surface conditions were appropriate. Each synoptic sampling event was completed in 2 days or less. The entire network was sampled 10 times from May 24 to October 27, 1993. Continuous-record monitoring of water quality consisted of hourly measurments of specific conductance, pH, water temperature, and dissolved oxygen concentration that were made at a depth of 6.6 feet at the ends of the upstream and downstream wingwalls at Willow Island Dam. Continuous-record monitors were operated from May through October 1993.

Comparison of non-invasive electrohysterographic recording techniques for monitoring uterine dynamics.

PubMed

Alberola-Rubio, J; Prats-Boluda, G; Ye-Lin, Y; Valero, J; Perales, A; Garcia-Casado, J

2013-12-01

Non-invasive recording of uterine myoelectric activity (electrohysterogram, EHG) could provide an alternative to monitoring uterine dynamics by systems based on tocodynamometers (TOCO). Laplacian recording of bioelectric signals has been shown to give better spatial resolution and less interference than mono- and bipolar surface recordings. The aim of this work was to study the signal quality obtained from monopolar, bipolar and Laplacian techniques in EHG recordings, as well as to assess their ability to detect uterine contractions. Twenty-two recording sessions were carried out on singleton pregnant women during the active phase of labour. In each session the following simultaneous recordings were obtained: internal uterine pressure (IUP), external tension of abdominal wall (TOCO) and EHG signals (5 monopolar and 4 bipolar recordings, 1 discrete approximation to the Laplacian of the potential and 2 estimates of the Laplacian from two active annular electrodes). The results obtained show that EHG is able to detect a higher number of uterine contractions than TOCO. Laplacian recordings give improved signal quality over monopolar and bipolar techniques, reduce maternal cardiac interference and improve the signal-to-noise ratio. The optimal position for recording EHG was found to be the uterine median axis and the lower centre-right umbilical zone. Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.

77 FR 3147 - Approval and Promulgation of Air Quality Implementation Plans; Delaware, New Jersey, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-23

... monitors with missing data. Maximum recorded values are substituted for the missing data. The resulting... which the incomplete site is missing data. The linear regression relationship is based on time periods... between the monitors is used to fill in missing data for the incomplete monitor, so that the normal data...

Water quality and relation to taste-and-odor compounds in North Fork Ninnescah River and Cheney Reservoir, south-central Kansas, 1997-2003

USGS Publications Warehouse

Christensen, Victoria G.; Graham, Jennifer L.; Milligan, Chad R.; Pope, Larry M.; Ziegler, Andrew C.

2006-01-01

Regression models were developed between geosmin and the physical property measurements continuously recorded by water-quality monitors at each site. The geosmin regression model was applied to water-quality monitor measurements, providing a continuous estimate of geosmin for 2003. The city of Wichita will be able to use this type of analysis to determine the probability of when concentrations of geosmin are likely to be at or above the human detection level of 0.01 microgram per liter.

Statistical Analysis of Regional Surface Water Quality in Southeastern Ontario.

ERIC Educational Resources Information Center

Bodo, Byron A.

1992-01-01

Historical records from Ontario's Provincial Water Quality Monitoring Network for rivers and streams were analyzed to assess the feasibility of mapping regional water quality patterns in southeastern Ontario, spanning the Precambrian Shield and the St. Lawrence Lowlands. The study served as a model for much of Ontario. (54 references) (Author/MDH)

Healthcare Reimbursement and Quality Improvement: Integration Using the Electronic Medical Record

PubMed Central

Britton, John R.

2015-01-01

Reimbursement for healthcare has utilized a variety of payment mechanisms with varying degrees of effectiveness. Whether these mechanisms are used singly or in combination, it is imperative that the resulting systems remunerate on the basis of the quantity, complexity, and quality of care provided. Expanding the role of the electronic medical record (EMR) to monitor provider practice, patient responsiveness, and functioning of the healthcare organization has the potential to not only enhance the accuracy and efficiency of reimbursement mechanisms but also to improve the quality of medical care. PMID:26340397

75 FR 39635 - Approval and Promulgation of Implementation Plans and Designation of Areas for Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-12

..., quality-assured and certified ambient air quality monitoring data for the 2006-2008 ozone seasons that... data for the 2009 ozone season have been recorded in the EPA's Air Quality System (AQS) and show that... NAAQS through 2020 in the areas. EPA is approving the 2005 base year emissions inventories for the...

Dynamic extreme values modeling and monitoring by means of sea shores water quality biomarkers and valvometry.

PubMed

Durrieu, Gilles; Pham, Quang-Khoai; Foltête, Anne-Sophie; Maxime, Valérie; Grama, Ion; Tilly, Véronique Le; Duval, Hélène; Tricot, Jean-Marie; Naceur, Chiraz Ben; Sire, Olivier

2016-07-01

Water quality can be evaluated using biomarkers such as tissular enzymatic activities of endemic species. Measurement of molluscs bivalves activity at high frequency (e.g., valvometry) during a long time period is another way to record the animal behavior and to evaluate perturbations of the water quality in real time. As the pollution affects the activity of oysters, we consider the valves opening and closing velocities to monitor the water quality assessment. We propose to model the huge volume of velocity data collected in the framework of valvometry using a new nonparametric extreme values statistical model. The objective is to estimate the tail probabilities and the extreme quantiles of the distribution of valve closing velocity. The tail of the distribution function of valve closing velocity is modeled by a Pareto distribution with parameter t,τ , beyond a threshold τ according to the time t of the experiment. Our modeling approach reveals the dependence between the specific activity of two enzymatic biomarkers (Glutathione-S-transferase and acetylcholinesterase) and the continuous recording of oyster valve velocity, proving the suitability of this tool for water quality assessment. Thus, valvometry allows in real-time in situ analysis of the bivalves behavior and appears as an effective early warning tool in ecological risk assessment and marine environment monitoring.

Does self-perceived sleep reflect sleep estimated via activity monitors in professional rugby league athletes?

PubMed

Caia, Johnpaul; Thornton, Heidi R; Kelly, Vincent G; Scott, Tannath J; Halson, Shona L; Cupples, Balin; Driller, Matthew W

2018-07-01

This study examined agreement between self-perceived sleep and sleep estimated via activity monitors in professional rugby league athletes. 63 athletes, from three separate teams wore actigraphy monitors for 10.3 ± 3.9 days. During the monitoring period, ratings of perceived sleep quality (on a 1-5 and 1-10 Likert scale), and an estimate of sleep duration were recorded daily. Agreement between sleep estimated via activity monitors and self-perceived sleep was examined using mean bias, Pearson correlation (r) and typical error of the estimate (TEE). 641 nights of sleep were recorded, with a very large, positive correlation observed between sleep duration estimated via activity monitors and subjective sleep duration (r = 0.85), and a TEE of 48 minutes. Mean bias revealed subjective sleep duration overestimated sleep by an average of 19.8 minutes. The relationship between sleep efficiency estimated via activity monitors and self-perceived sleep quality on a 1-5 (r = 0.22) and 1-10 Likert scale (r = 0.28) was limited. The outcomes of this investigation support the use of subjective measures to monitor sleep duration in rugby league athletes when objective means are unavailable. However, practitioners should be aware of the tendency of athletes to overestimate sleep duration.

40 CFR Appendix N to Part 50 - Interpretation of the National Ambient Air Quality Standards for PM2.5

Code of Federal Regulations, 2013 CFR

2013-07-01

... monitors utilize the same specific sampling and analysis method. Combined site data record is the data set... monitors are suitable monitors designated by a state or local agency in their annual network plan (and in... appendix. Seasonal sampling is the practice of collecting data at a reduced frequency during a season of...

Lessons from a 5 yr citizen-science monitoring program, Mountain Watch, to engage hikers in air quality/visibility and plant phenology monitoring in the mountains

NASA Astrophysics Data System (ADS)

Murray, G.; Weihrauch, D.; Kimball, K.; McDonough, C.

2010-12-01

The AMC’s citizen scientist monitoring program, Mountain Watch, engages hikers in observational monitoring while recreating in the northern Appalachian Mountains. The program uses two monitoring activities:1) tracking the phenology of 11 mountain flowers species, and 2) the visitors real world perception of on-mountain visibility and its ‘quality’ with proximate monitored air quality parameters. The Mountain Watch program objectives are a) to engage and educate the public through hands-on monitoring, b) to motivate the participant to take further action towards environmental stewardship, and c) to provide supplemental data to AMC’s ongoing science-based research to further our understanding of the impact of human activity on mountain ecosystems. The Mountain Watch plant monitoring includes recording the time and location of alpine and forest plants flowering and other phenological phases using AMC field guides and datasheets. In the White Mountains of New Hampshire concurrent meteorological data, including soil temperature, is paired with the phenology observations as part of AMC’s research to develop spatial and temporal phenology models with air and soil temperature for northeastern mountains. Mountain Watch’s visibility monitoring program has hikers record visual range and rate the view at select vistas in comparison to a clear day view photo guide when visiting AMC’s backcountry huts. The results are compared to proximate air quality measurements, which assists in determining how White Mountain National Forest air quality related values and natural resources management objectives are being met. Since 2006 the Mountain Watch program has received over 3,500 citizen datasheets for plant reproductive phenology and visibility monitoring. We estimate that we have reached more than 15,000 hikers through our facility based education programming focused on air quality and phenology and field monitoring hikes. While we consider this good success in engaging hikers to date, the ratio of resource expenditures in recruiting volunteers and QA/QCing their data for actual research application has been high. Mountain Watch staff are now refining the program to achieve education and research goals a manner that is sustainable into the future with limited fiscal and staff resources. The quality of our citizen phenology observations, in comparison to staff monitoring, has lead to refinements including directing general audience hikers to well-defined trailside observation stations, growing our more skilled amateur botanist volunteer base, and use of remote cameras for quality controls and better temporal coverage. Visibility monitoring at four mountain vistas has recently been analyzed in the context of policy applications. Refinements will be presented that will further inform natural resource management of air quality in relation to Clean Air Act Air Quality Related Values and a potential visibility focused particulate matter secondary National Ambient Air Quality Standard. Overall lessons learned, regarding audience considerations, resource needs, and long-term sustainability, from our 5-year field based geoscience programs will be discussed.

Uterine activity monitoring during labour--a multi-centre, blinded two-way trial of external tocodynamometry against electrohysterography.

PubMed

Reinhard, J; Hayes-Gill, B R; Schiermeier, S; Löser, H; Niedballa, L M; Haarmann, E; Sonnwald, A; Hatzmann, W; Heinrich, T M; Louwen, F

2011-10-01

The aim of this study was to determine the quality of intrapartum uterine activity (UA) monitoring in daily practice during the first and second stages of labour. The total duration of inadequate UA monitoring is quantified in relation to the technique applied, namely, external tocodynamometry (TOCO) or electrohysterography (EHG). 144 UA recordings, collected from 1st September 2008 until 15th October 2009 from deliveries at the Marien-Hospital Witten, Germany, were analysed by obstetricians based at different centres. The included recordings were from singleton and simultaneously with external TOCO and EHG monitored pregnancies. External TOCO and EHG UA recordings were blinded. The percentages of "adequate" UA recordings in the first and second stages of labour were much higher for the external EHG than the external TOCO mode (p<0.001). All doctors evaluated the UA assessment as "easier" (p <0.001) using the EHG compared with TOCO. Intrapartum UA monitoring in -daily practice via the EHG mode provides a more recognisable UA trace than the TOCO. © Georg Thieme Verlag KG Stuttgart · New York.

Systematic monitoring and evaluation of M7 scanner performance and data quality

NASA Technical Reports Server (NTRS)

Stewart, S.; Christenson, D.; Larsen, L.

1974-01-01

An investigation was conducted to provide the information required to maintain data quality of the Michigan M7 Multispectral scanner by systematic checks on specific system performance characteristics. Data processing techniques which use calibration data gathered routinely every mission have been developed to assess current data quality. Significant changes from past data quality are thus identified and attempts made to discover their causes. Procedures for systematic monitoring of scanner data quality are discussed. In the solar reflective region, calculations of Noise Equivalent Change in Radiance on a permission basis are compared to theoretical tape-recorder limits to provide an estimate of overall scanner performance. M7 signal/noise characteristics are examined.

Enhancing the routine health information system in rural southern Tanzania: successes, challenges and lessons learned.

PubMed

Maokola, W; Willey, B A; Shirima, K; Chemba, M; Armstrong Schellenberg, J R M; Mshinda, H; Alonso, P; Tanner, M; Schellenberg, D

2011-06-01

To describe and evaluate the use of handheld computers for the management of Health Management Information System data. Electronic data capture took place in 11 sentinel health centres in rural southern Tanzania. Information from children attending the outpatient department (OPD) and the Expanded Program on Immunization vaccination clinic was captured by trained local school-leavers, supported by monthly supervision visits. Clinical data included malaria blood slides and haemoglobin colour scale results. Quality of captured data was assessed using double data entry. Malaria blood slide results from health centre laboratories were compared to those from the study's quality control laboratory. The system took 5 months to implement, and few staffings or logistical problems were encountered. Over the following 12 months (April 2006-March 2007), 7056 attendances were recorded in 9880 infants aged 2-11 months, 50% with clinical malaria. Monthly supervision visits highlighted incomplete recording of information between OPD and laboratory records, where on average 40% of laboratory visits were missing the record of their corresponding OPD visit. Quality of microscopy from health facility laboratories was lower overall than that from the quality assurance laboratory. Electronic capture of HMIS data was rapidly and successfully implemented in this resource-poor setting. Electronic capture alone did not resolve issues of data completeness, accuracy and reliability, which are essential for management, monitoring and evaluation; suggestions to monitor and improve data quality are made. © 2011 Blackwell Publishing Ltd.

40 CFR 97.172 - Out of control periods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.372 - Out of control periods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.172 - Out of control periods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.172 - Out of control periods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.172 - Out of control periods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.172 - Out of control periods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.372 - Out of control periods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.372 - Out of control periods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.372 - Out of control periods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

40 CFR 97.372 - Out of control periods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D or subpart H of, or appendix D or... monitoring system. The data measured and recorded by the monitoring system shall not be considered valid...

The Savannah River Site's Groundwater Monitoring Program

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

Not Available

This report summarizes the Savannah River Site (SRS) groundwater monitoring program conducted during the first quarter of 1992. It includes the analytical data, field data, data review, quality control, and other documentation for this program; provides a record of the program's activities; and serves as an official document of the analytical results.

Remote Sensing for Inland Water Quality Monitoring: A U.S. Army Corps of Engineers Perspective

DTIC Science & Technology

2011-10-01

outlined in Water Quality Management Plans , including traditional field sampling (water, sediment, and biological) and measure- ment of physical...at one time, a more comprehen- sive historical record or trend analysis, a planning tool for prioritizing field surveying and sampling, and accurate...estimations of optically active constituents used to characterize water quality. Furthermore, when utilized in water quality management planning

Temporal and spatial characteristics of the water pollutant concentration in Huaihe River Basin from 2003 to 2012, China.

PubMed

Dou, Ming; Zhang, Yan; Li, Guiqiu

2016-09-01

Based on the monitoring data of 78 monitoring stations from 2003 to 2012, five key water quality indexes (biochemical oxygen demand: BOD5, permanganate index: CODMn, dissolved oxygen: DO, ammonium nitrogen: NH3-N, and total phosphorus: TP) were selected to analyze their temporal and spatial characteristics in the highly disturbed Huaihe River Basin via Mann-Kendall trend analysis and boxplot analysis. The temporal and spatial variations of water pollutant concentrations in the Huaihe River Basin were investigated and analyzed to provide a scientific basis for water pollution control, water environment protection, and ecological restoration. The results indicated that the Yinghe River, Quanhe River, Honghe River, Guohe River, and Baohe River were the most seriously polluted rivers, followed by Hongze Lake, Luoma Lake, Yishuhe River, and Nansi Lake. BOD5, CODMn, and NH3-N were the major pollution indexes, for which the monitoring stations reported that more than 40 % of the water quality concentrations exceeded the class IV level. There were 21, 50, 36, and 21 monitoring stations that recorded significantly decreasing trends for BOD5, CODMn, NH3-N, and TP, respectively, and 39 monitoring stations showed a significantly increasing trend for DO. Moreover, the water quality concentrations had a certain concentricity and volatility according to boxplot analysis for the 20 monitoring stations. The majority of monitoring stations recorded a large fluctuation for the monitoring indexes in 2003 and 2004, which indicated that the water quality concentrations were unstable. According to the seasonal variations of the water quality concentrations in the mainstream of Huaihe River, the monthly variation trends of the BOD5, CODMn, DO, NH3-N, and TP concentrations were basically consistent among the seven monitoring stations. The BOD5, CODMn, NH3-N, and TP concentrations were affected by the change of the stream discharge; changes in DO and NH3-N concentrations were influenced by the regional environmental temperature, and the DO and NH3-N concentrations decreased when the water temperature increased.

40 CFR 96.272 - Out of control periods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... the quality-assurance and quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of or... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 96.272 - Out of control periods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... the quality-assurance and quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of or... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 96.272 - Out of control periods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... the quality-assurance and quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of or... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 96.272 - Out of control periods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the quality-assurance and quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of or... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 96.272 - Out of control periods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the quality-assurance and quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of or... prospectively the certification status of the monitoring system. The data measured and recorded by the...

Establishing and maintaining the National Vaccination Register in Finland.

PubMed

Baum, Ulrike; Sundman, Jonas; Jääskeläinen, Susanna; Nohynek, Hanna; Puumalainen, Taneli; Jokinen, Jukka

2017-04-27

Computerised, population-based vaccination registers are valuable tools for assessing the vaccine uptake and impact in populations. However, reliable impact assessment is only possible if the data quality can be reviewed and monitored continuously. This report describes the establishment and maintenance of the National Vaccination Register (NVR) in Finland. Currently, the NVR covers nationwide records of vaccinations given within the frame of the National Vaccination Programme since 2009. All vaccinations registered in the NVR contain a record of the personal identity code, the administered vaccine, and the date of vaccination. The vaccine lot number is the key component for recording and identifying vaccinations, because of its broad availability across patient information systems and its importance in vaccine safety monitoring. Vaccination records are accumulated and updated daily into the NVR, and their completeness is monitored monthly to assess deficiencies in data entry and data collection. Additionally, an alert system reports unexpected changes in data accumulation prompting the validation of observed changes in vaccination coverage. The presented process documentation may serve as basis to improve the design and quality of other vaccination or healthcare registers and aims to inspire the set-up of vaccination registers in those countries which still do not have one. This article is copyright of The Authors, 2017.

Skylab

NASA Image and Video Library

1973-01-01

This photograph is of Astronaut Kerwin wearing the Sleep Monitoring cap (Experiment M133) taken during the Skylab-2 mission. The Sleep Monitoring Experiment was a medical evaluation designed to objectively determine the amount and quality of crew members' inflight sleep. The experiment monitored and recorded electroencephalographic (EEG) and electrooculographic (EOG) activity during astronauts' sleep periods. One of the astronauts was selected for this experiment and wore a fitted cap during his sleep periods.

Factors controlling stream water nitrate and phosphor loads during precipitation events

NASA Astrophysics Data System (ADS)

Rozemeijer, J. C.; van der Velde, Y.; van Geer, F. G.; de Rooij, G. H.; Broers, H. P.; Bierkens, M. F. P.

2009-04-01

Pollution of surface waters in densely populated areas with intensive land use is a serious threat to their ecological, industrial and recreational utilization. European and national manure policies and several regional and local pilot projects aim at reducing pollution loads to surface waters. For the evaluation of measures, water authorities and environmental research institutes are putting a lot of effort into monitoring surface water quality. Fro regional surface water quality monitoring, the measurement locations are usually situated in the downstream part of the catchment to represent a larger area. The monitoring frequency is usually low (e.g. monthly), due to the high costs for sampling and analysis. As a consequence, human induced trends in nutrient loads and concentrations in these monitoring data are often concealed by the large variability of surface water quality caused by meteorological variations. Because natural surface water quality variability is poorly understood, large uncertainties occur in the estimates of (trends in) nutrient loads or average concentrations. This study aims at uncertainty reduction in the estimates of mean concentrations and loads of N and P from regional monitoring data. For this purpose, we related continuous N and P records of stream water to variations in precipitation, discharge, groundwater level and tube drain discharge. A specially designed multi scale experimental setup was installed in an agricultural lowland catchment in The Netherlands. At the catchment outlet, continuous measurements of water quality and discharge were performed from July 2007-January 2009. At an experimental field within the catchment continuous measurements of precipitation, groundwater levels and tube drain discharges were collected. 20 significant rainfall events with a variety of antecedent conditions, durations and intensities were selected for analysis. Singular and multiple regression analysis was used to identify relations between the continuous N and P records and characteristics of the dynamics of discharge, precipitation, groundwater level and tube drain discharge. From this study, we conclude that generally available and easy to measure explanatory data (such as continuous records of discharge, precipitation and groundwater level) can reduce uncertainty in estimations of N and P loads and mean concentrations. However, for capturing the observed short load pulses of P, continuous or discharge proportional sampling is needed.

The immunization data quality audit: verifying the quality and consistency of immunization monitoring systems.

PubMed Central

Ronveaux, O.; Rickert, D.; Hadler, S.; Groom, H.; Lloyd, J.; Bchir, A.; Birmingham, M.

2005-01-01

OBJECTIVE: To evaluate the consistency and quality of immunization monitoring systems in 27 countries during 2002-03 using standardized data quality audits (DQAs) that had been launched within the framework of the Global Alliance for Vaccines and Immunization. METHODS: The consistency of reporting systems was estimated by determining the proportion of third doses of diphtheria-tetanuspertussis (DTP-3) vaccine reported as being administered that could be verified by written documentation at health facilities and districts. The quality of monitoring systems was measured using quality indices for different components of the monitoring systems. These indices were applied to each level of the health service (health unit, district and national). FINDINGS: The proportion of verified DTP-3 doses was lower than 85% in 16 countries. Difficulties in verifying the doses administered often arose at the peripheral level of the health service, usually as the result of discrepancies in information between health units and their corresponding districts or because completed recording forms were not available from health units. All countries had weaknesses in their monitoring systems; these included the inconsistent use of monitoring charts; inadequate monitoring of vaccine stocks, injection supplies and adverse events; unsafe computer practices; and poor monitoring of completeness and timeliness of reporting. CONCLUSION: Inconsistencies in immunization data occur in many countries, hampering their ability to manage their immunization programmes. Countries should use these findings to strengthen monitoring systems so that data can reliably guide programme activities. The DQA is an innovative tool that provides a way to independently assess the quality of immunization monitoring systems at all levels of a health service and serves as a point of entry to make improvements. It provides a useful example for other global health initiatives. PMID:16175824

The construction of control chart for PM10 functional data

NASA Astrophysics Data System (ADS)

Shaadan, Norshahida; Jemain, Abdul Aziz; Deni, Sayang Mohd

2014-06-01

In this paper, a statistical procedure to construct a control chart for monitoring air quality (PM10) using functional data is proposed. A set of daily indices that represent the daily PM10 curves were obtained using Functional Principal Component Analysis (FPCA). By means of an iterative charting procedure, a reference data set that represented a stable PM10 process was obtained. The data were then used as a reference for monitoring future data. The application of the procedure was conducted using seven-year (2004-2010) period of recorded data from the Klang air quality monitoring station located in the Klang Valley region of Peninsular Malaysia. The study showed that the control chart provided a useful visualization tool for monitoring air quality and was capable in detecting abnormality in the process system. As in the case of Klang station, the results showed that with reference to 2004-2008, the air quality (PM10) in 2010 was better than that in 2009.

The inland water macro-invertebrate occurrences in Flanders, Belgium.

PubMed

Vannevel, Rudy; Brosens, Dimitri; Cooman, Ward De; Gabriels, Wim; Frank Lavens; Mertens, Joost; Vervaeke, Bart

2018-01-01

The Flanders Environment Agency (VMM) has been performing biological water quality assessments on inland waters in Flanders (Belgium) since 1989 and sediment quality assessments since 2000. The water quality monitoring network is a combined physico-chemical and biological network, the biological component focusing on macro-invertebrates. The sediment monitoring programme produces biological data to assess the sediment quality. Both monitoring programmes aim to provide index values, applying a similar conceptual methodology based on the presence of macro-invertebrates. The biological data obtained from both monitoring networks are consolidated in the VMM macro-invertebrates database and include identifications at family and genus level of the freshwater phyla Coelenterata, Platyhelminthes, Annelida, Mollusca, and Arthropoda. This paper discusses the content of this database, and the dataset published thereof: 282,309 records of 210 observed taxa from 4,140 monitoring sites located on 657 different water bodies, collected during 22,663 events. This paper provides some background information on the methodology, temporal and spatial coverage, and taxonomy, and describes the content of the dataset. The data are distributed as open data under the Creative Commons CC-BY license.

Monitoring and reporting of preanalytical errors in laboratory medicine: the UK situation.

PubMed

Cornes, Michael P; Atherton, Jennifer; Pourmahram, Ghazaleh; Borthwick, Hazel; Kyle, Betty; West, Jamie; Costelloe, Seán J

2016-03-01

Most errors in the clinical laboratory occur in the preanalytical phase. This study aimed to comprehensively describe the prevalence and nature of preanalytical quality monitoring practices in UK clinical laboratories. A survey was sent on behalf of the Association for Clinical Biochemistry and Laboratory Medicine Preanalytical Working Group (ACB-WG-PA) to all heads of department of clinical laboratories in the UK. The survey captured data on the analytical platform and Laboratory Information Management System in use; which preanalytical errors were recorded and how they were classified and gauged interest in an external quality assurance scheme for preanalytical errors. Of the 157 laboratories asked to participate, responses were received from 104 (66.2%). Laboratory error rates were recorded per number of specimens, rather than per number of requests in 51% of respondents. Aside from serum indices for haemolysis, icterus and lipaemia, which were measured in 80% of laboratories, the most common errors recorded were booking-in errors (70.1%) and sample mislabelling (56.9%) in laboratories who record preanalytical errors. Of the laboratories surveyed, 95.9% expressed an interest in guidance on recording preanalytical error and 91.8% expressed interest in an external quality assurance scheme. This survey observes a wide variation in the definition, repertoire and collection methods for preanalytical errors in the UK. Data indicate there is a lot of interest in improving preanalytical data collection. The ACB-WG-PA aims to produce guidance and support for laboratories to standardize preanalytical data collection and to help establish and validate an external quality assurance scheme for interlaboratory comparison. © The Author(s) 2015.

Near-Field Receiving Water Monitoring of Trace Metals and a Benthic Community Near the Palo Alto Regional Water Quality Control Plant in South San Francisco Bay, California: 2004

DTIC Science & Technology

2005-01-01

11 Salinity ...24 Figure 3. Water column salinity ...sediments serve as a record of metal exposure in an estuary , with some integration over time. Fluctuations in the record may be indicative of changes in

A knowledge-based patient assessment system: conceptual and technical design.

PubMed Central

Reilly, C. A.; Zielstorff, R. D.; Fox, R. L.; O'Connell, E. M.; Carroll, D. L.; Conley, K. A.; Fitzgerald, P.; Eng, T. K.; Martin, A.; Zidik, C. M.; Segal, M.

2000-01-01

This paper describes the design of an inpatient patient assessment application that captures nursing assessment data using a wireless laptop computer. The primary aim of this system is to capture structured information for facilitating decision support and quality monitoring. The system also aims to improve efficiency of recording patient assessments, reduce costs, and improve discharge planning and early identification of patient learning needs. Object-oriented methods were used to elicit functional requirements and to model the proposed system. A tools-based development approach is being used to facilitate rapid development and easy modification of assessment items and rules for decision support. Criteria for evaluation include perceived utility by clinician users, validity of decision support rules, time spent recording assessments, and perceived utility of aggregate reports for quality monitoring. PMID:11079970

A knowledge-based patient assessment system: conceptual and technical design.

PubMed

Reilly, C A; Zielstorff, R D; Fox, R L; O'Connell, E M; Carroll, D L; Conley, K A; Fitzgerald, P; Eng, T K; Martin, A; Zidik, C M; Segal, M

2000-01-01

This paper describes the design of an inpatient patient assessment application that captures nursing assessment data using a wireless laptop computer. The primary aim of this system is to capture structured information for facilitating decision support and quality monitoring. The system also aims to improve efficiency of recording patient assessments, reduce costs, and improve discharge planning and early identification of patient learning needs. Object-oriented methods were used to elicit functional requirements and to model the proposed system. A tools-based development approach is being used to facilitate rapid development and easy modification of assessment items and rules for decision support. Criteria for evaluation include perceived utility by clinician users, validity of decision support rules, time spent recording assessments, and perceived utility of aggregate reports for quality monitoring.

Monitoring environmental effects of shale gas exploitation at Wysin in Poland.

NASA Astrophysics Data System (ADS)

Lasocki, Stanislaw; Mirek, Janusz; Bialon, Wojciech; Cielesta, Szymon; Lasak, Mateusz; Cesca, Simone; Lopez Comino, Jose Angel; Dahm, Torsten; Scarpa, Roberto; Gunning, Andrew; Montcoudiol, Nelly; Isherwood, Catherine; Jaroslawski, Janusz; Guzikowski, Jakub

2017-04-01

Environmental effects of shale gas exploration and exploitation are extensively studied in the framework of "Shale Gas Exploration and Exploitation Induced Risks" project (SHEER, H2020-LCE 16-2014-1). One of the main component of this study is on-site monitoring of the effects at Wysin shale-gas play of Polish Oil and Gas Company in Poland. This includes monitoring of seismicity and water and air quality. Surface seismic monitoring network consists of 6 surface broadband (BB) seismometers and 25 surface short-period (SP) seismometers The SPs are assembled into three small aperture arrays with 9, 8 and 8 stations, respectively, distributed in a triangle geometry at a distance of about 2-4 km from the hydrofracturing rig. Each array is complemented with one BB station. The three remaining BBs are located up to about 5 km from the rig. In addition 3 borehole broadband seismometers are located in three shallow boreholes. The groundwater monitoring makes use of four wells, which reach a main underground water reservoir. Three complementary datasets are collected: continuous monitoring of borehole data, laboratory analyses of water samples and field monitoring of water quality parameters. The continuous monitoring makes use of down-hole probes, which have been installed in each borehole. The probes record absolute pressure, temperature and electrical conductivity. In addition, a barometric probe has been installed above ground to record atmospheric pressure in order to allow conversion of absolute pressure to a water level. After collection, water samples are sent to an accredited laboratory for analysis. The field monitoring is undertaken during the sampling visits. Whilst the borehole is being purged, physico-chemical parameters are monitored using a multi-parameter probe. This measures and records temperature, specific conductivity, pH, dissolved oxygen and oxidation-reduction potential within the water. Hydrocarbon gas content within the water is below detection limits for methane, ethane, ethene and propane gases. Air pollution monitoring is performed by means of an automatic station. The station is situated east from the Wysin rig at the distance of some 1200 m. This distance is appropriate in order not to measure a direct emission of pollutants. The station monitors the content of NO, NO2, NOx, CO, PM10, O3, CO2, CH4, NMHC and Radon. At the beginning of SHEER project in May 2015, there was one vertical well at the site, reaching gas-bearing shale formations at the nearly 4km depth. Further on two horizontal wells, each of about 1.7km length, were drilled (late Autumn 2015) and fracked (June - August, 2016). This time table has provided the opportunity to record background seismicity and baseline levels of water and air quality, and then to record the immediate and delayed effects of hydrofracturing operations. The monitoring will continue at least 1.5 year after completion of technological activity at the site. This work was supported within SHEER: "Shale Gas Exploration and Exploitation Induced Risks" project funded from Horizon 2020 - R&I Framework Programme, call H2020-LCE-2014-1 and within statutory activities No3841/E-41/S/2016 of Ministry of Science and Higher Education of Poland.

CDC Vital Signs: Child Injury

MedlinePlus

... first aid training). Health care systems can Use technology, such as electronic medical records, to improve the speed and quality of care for injured children, and to monitor the number and severity of ...

40 CFR 75.59 - Certification, quality assurance, and quality control record provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... and the run average); (B) The raw data and results for all required pre-test, post-test, pre-run and...-day calibration error tests, all daily system integrity checks (Hg monitors, only), and all off-line calibration demonstrations, including any follow-up tests after corrective action: (i) Component-system...

40 CFR 85.1412 - Maintenance and submittal of records for equipment certifiers.

Code of Federal Regulations, 2010 CFR

2010-07-01

... original equipment being replaced; (4) A description of the quality control plan used to monitor production... taken in implementing the quality control plan, and any subsequent analyses of that data; and (6) All in... the equipment certifier has offered to sell its certified equipment for less than the life cycle cost...

40 CFR 85.1412 - Maintenance and submittal of records for equipment certifiers.

Code of Federal Regulations, 2013 CFR

2013-07-01

... original equipment being replaced; (4) A description of the quality control plan used to monitor production... taken in implementing the quality control plan, and any subsequent analyses of that data; and (6) All in... the equipment certifier has offered to sell its certified equipment for less than the life cycle cost...

78 FR 72040 - Approval and Promulgation of Implementation Plans and Designation of Areas for Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-02

... ambient ozone monitoring stations in the Atlanta Area from 2008-2011, as recorded in Air Quality System... redesignation request to change the legal designation of the Atlanta Area from nonattainment to attainment for... to change. Comment 2: The Commenter contends that Georgia's redesignation submittal is flawed because...

40 CFR Appendix B to Part 75 - Quality Assurance and Quality Control Procedures

Code of Federal Regulations, 2011 CFR

2011-07-01

... suitable for inspection. A maintenance log may be used for this purpose. The following records should be... the previous 26 unit (or stack) operating hours; and (b) the 26 clock hour data validation window for... official test log for each monitoring system. (i) The results of any certification, recertification...

78 FR 49403 - Approval and Promulgation of Air Quality Implementation Plans; Pennsylvania; Determination of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-14

... requirement for one or more quarters during 2010-2012 monitoring period. EPA has addressed missing data from... recorded values are substituted for the missing data, and the resulting 24-hour design value is compared to... missing data from the Greensburg monitor by performing a statistical analysis of the data, in which a...

77 FR 8160 - Quality Assurance Requirements for Continuous Opacity Monitoring Systems at Stationary Sources

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-14

..., glass windows (uncoated or anti-reflection coated, but with no curvature), lenses with mounts where such... requirements must I meet if I use a substitute opacity monitor? In the event that your certified opacity... the above in the maintenance log or in other appropriate permanently maintained records. 10.7 When do...

The Savannah River Site's groundwater monitoring program

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

Not Available

This report summarizes the Savannah River Site (SRS) groundwater monitoring program conducted by EPD/EMS in the first quarter of 1991. In includes the analytical data, field data, data review, quality control, and other documentation for this program, provides a record of the program's activities and rationale, and serves as an official document of the analytical results.

The Savannah River Site`s Groundwater Monitoring Program. First quarter 1992

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

Not Available

This report summarizes the Savannah River Site (SRS) groundwater monitoring program conducted during the first quarter of 1992. It includes the analytical data, field data, data review, quality control, and other documentation for this program; provides a record of the program`s activities; and serves as an official document of the analytical results.

A Review of Quality Assurance Methods to Assist Professional Record Keeping: Implications for Providers of Interpersonal Violence Treatment

PubMed Central

Bradshaw, Kelsey M.; Donohue, Brad; Wilks, Chelsey

2014-01-01

Errors have been found to frequently occur in the management of case records within mental health service systems. In cases involving interpersonal violence, such errors have been found to negatively impact service implementation and lead to significant trauma and fatalities. In an effort to ensure adherence to specified standards of care, quality assurance programs (QA) have been developed to monitor and enhance service implementation. These programs have generally been successful in facilitating record management. However, these systems are rarely disseminated, and not well integrated. Therefore, within the context of interpersonal violence, we provide an extensive review of evidence supported record keeping practices, and methods to assist in assuring these practices are implemented with adherence. PMID:24976786

Monitoring changes in Greater Yellowstone Lake water quality following the 1988 wildfires

NASA Technical Reports Server (NTRS)

Lathrop, Richard G., Jr.; Vande Castle, John D.; Brass, James A.

1994-01-01

The fires that burned the Greater Yellowstone Area (GYA) during the summer of 1988 were the largest ever recorded for the region. Wildfire can have profound indirect effects on associated aquatic ecosystems by increased nutrient loading, sediment, erosion, and runoff. Satellite remote sensing and water quality sampling were used to compare pre- versus post-fire conditions in the GYA's large oliotrophic (high transparency, low productivity) lakes. Inputs of suspended sediment to Jackson Lake appear to have increased. Yellowstone Lake has not shown any discernable shift in water quality. The insights gained separately from the Landsat Thematic and NOAA Advanced Very High Resolution Radiometer (AVHRR) remote sensing systems, along with conventional in-situ sampling, can be combined into a useful water quality monitoring tool.

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

PubMed

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

2017-01-01

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

Water quality monitoring records for estimating tap water arsenic and nitrate: a validation study.

PubMed

Searles Nielsen, Susan; Kuehn, Carrie M; Mueller, Beth A

2010-01-28

Tap water may be an important source of exposure to arsenic and nitrate. Obtaining and analyzing samples in the context of large studies of health effects can be expensive. As an alternative, studies might estimate contaminant levels in individual homes by using publicly available water quality monitoring records, either alone or in combination with geographic information systems (GIS). We examined the validity of records-based methods in Washington State, where arsenic and nitrate contamination is prevalent but generally observed at modest levels. Laboratory analysis of samples from 107 homes (median 0.6 microg/L arsenic, median 0.4 mg/L nitrate as nitrogen) served as our "gold standard." Using Spearman's rho we compared these measures to estimates obtained using only the homes' street addresses and recent and/or historical measures from publicly monitored water sources within specified distances (radii) ranging from one half mile to 10 miles. Agreement improved as distance decreased, but the proportion of homes for which we could estimate summary measures also decreased. When including all homes, agreement was 0.05-0.24 for arsenic (8 miles), and 0.31-0.33 for nitrate (6 miles). Focusing on the closest source yielded little improvement. Agreement was greatest among homes with private wells. For homes on a water system, agreement improved considerably if we included only sources serving the relevant system (rho = 0.29 for arsenic, rho = 0.60 for nitrate). Historical water quality databases show some promise for categorizing epidemiologic study participants in terms of relative tap water nitrate levels. Nonetheless, such records-based methods must be used with caution, and their use for arsenic may be limited.

The study of key issues about integration of GNSS and strong-motion records for real-time earthquake monitoring

NASA Astrophysics Data System (ADS)

Tu, Rui; Zhang, Pengfei; Zhang, Rui; Liu, Jinhai

2016-08-01

This paper has studied the key issues about integration of GNSS and strong-motion records for real-time earthquake monitoring. The validations show that the consistence of the coordinate system must be considered firstly to exclude the system bias between GNSS and strong-motion. The GNSS sampling rate is suggested about 1-5 Hz, and we should give the strong-motion's baseline shift with a larger dynamic noise as its variation is very swift. The initialization time of solving the baseline shift is less than one minute, and ambiguity resolution strategy is not greatly improved the solution. The data quality is very important for the solution, we advised to use multi-frequency and multi-system observations. These ideas give an important guide for real-time earthquake monitoring and early warning by the tight integration of GNSS and strong-motion records.

Water resources data for Texas, water year 1993. Volume 4. Ground-water data. Water-data report (Annual), 1 October 1992-30 September 1993

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

Gandara, S.C.; Jones, R.E.

1993-11-01

Water-resources data for the 1993 water year for Texas consists of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water quality in wells. Volume 4 contains water levels for 771 observation wells and water-quality data for 226 monitoring wells.

Water resources data for Texas, water year 1996. Volume 4. Ground-water data. Water-data report (Annual), 1 October 1995-30 September 1996

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

Gandara, S.C.; Jones, R.E.; Barbie, D.L.

1996-11-22

Water-resources data for the 1996 water year for Texas consists of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water quality in wells. Volume 4 contains water levels for 845 observation wells and 187 water-quality data for monitoring wells.

Water resources data for Texas, water year 1994. Volume 4. Ground-water data. Water-data report (Annual), 1 October 1993-30 September 1994

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

Gandara, S.C.; Jones, R.E.

1994-12-12

Water-resources data for the 1994 water year for Texas consists of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water quality in wells. Volume 4 contains water levels for 698 observation wells and water-quality data for 97 monitoring wells.

Water resources data for Texas, water year 1997. Volume 4. Ground-water data. Water-data report (Annual), 1 October 1996-30 September 1997

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

Gandara, S.C.; Jones, R.E.; Barbie, D.L.

1997-12-03

Water-resources data for the 1997 water year for Texas consists of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water quality in wells. Volume 4 contains water levels for 790 observation wells and 245 water-quality data for monitoring wells.

Water resources data for Texas, water year 1995. Volume 4. Ground-water data. Water-data report (Annual), 1 October 1994-30 September 1995

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

Gandara, S.C.; Jones, R.E.

1995-12-18

Water-resources data for the 1995 water year for Texas consists of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water quality in wells. Volume 4 contains water levels for 919 observation wells and 226 water-quality data for monitoring wells.

Age differences in false memory: The importance of retrieval monitoring processes and their modulation by memory quality.

PubMed

Fandakova, Yana; Sander, Myriam C; Grandy, Thomas H; Cabeza, Roberto; Werkle-Bergner, Markus; Shing, Yee Lee

2018-02-01

Older adults are more likely than younger adults to falsely recall past episodes that occurred differently or not at all. We examined whether older adults' propensity for false associative memory is related to declines in postretrieval monitoring processes and their modulation with varying memory representations. Younger (N = 20) and older adults (N = 32) studied and relearned unrelated scene-word pairs, followed by a final cued recall that was used to distribute the pairs for an associative recognition test 24 hours later. This procedure allowed individualized formation of rearranged pairs that were made up of elements of pairs that were correctly recalled in the final cued recall ("high-quality" pairs), and of pairs that were not correctly recalled ("low-quality" pairs). Both age groups falsely recognized more low-quality than high-quality rearranged pairs, with a less pronounced reduction in false alarms to high-quality pairs in older adults. In younger adults, cingulo-opercular activity was enhanced for false alarms and for low-quality correct rejections, consistent with its role in postretrieval monitoring. Older adults did not show such modulated recruitment, suggesting deficits in their selective engagement of monitoring processes given variability in the fidelity of memory representations. There were no age differences in hippocampal activity, which was higher for high-quality than low-quality correct rejections in both age groups. These results demonstrate that the engagement of cingulo-opercular monitoring mechanisms varies with memory representation quality and contributes to age-related deficits in false associative memory. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

The role of territory settlement, individual quality, and nesting initiation on productivity of Bell's vireos

Treesearch

Cara J. Joos; Frank R., III Thompson; John Faaborg

2014-01-01

Variation in habitat quality among territories within a heterogeneous patch should influence reproductive success of territory owners. Further, territory settlement order following an ideal despotic distribution (IDD) should predict the fitness of occupants if territory selection is adaptive. We recorded settlement order and monitored nests in territories occupied by...

The Savannah River Site`s groundwater monitoring program. First quarter 1991

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

Not Available

This report summarizes the Savannah River Site (SRS) groundwater monitoring program conducted by EPD/EMS in the first quarter of 1991. In includes the analytical data, field data, data review, quality control, and other documentation for this program, provides a record of the program`s activities and rationale, and serves as an official document of the analytical results.

Smart healthcare textile sensor system for unhindered-pervasive health monitoring

NASA Astrophysics Data System (ADS)

Rai, Pratyush; Kumar, Prashanth S.; Oh, Sechang; Kwon, Hyeokjun; Mathur, Gyanesh N.; Varadan, Vijay K.; Agarwal, M. P.

2012-04-01

Simultaneous monitoring of physiological parameters- multi-lead Electrocardiograph (ECG), Heart rate variability, and blood pressure- is imperative to all forms of medical treatments. Using an array of signal recording devices imply that the patient will have to be confined to a bed. Textiles offer durable platform for embedded sensor and communication systems. The smart healthcare textile, presented here, is a mobile system for remote/wireless data recording and conditioning. The wireless textile system has been designed to monitor a patient in a non-obstructive way. It has a potential for facilitating point of care medicine and streamlining ambulatory medicine. The sensor systems were designed and fabricated with textile based components for easy integration on textile platform. An innovative plethysmographic blood pressure monitoring system was designed and tested as an alternative to inflatable blood pressure sphygmomanometer. Flexible dry electrodes technology was implemented for ECG. The sensor systems were tested and conditioned to daily activities of patients, which is not permissible with halter type systems. The signal quality was assessed for it applicability to medical diagnosis. The results were used to corroborate smart textile sensor system's ability to function as a point of care system that can provide quality healthcare.

Ensuring long-term reliability of the data storage on optical disc

NASA Astrophysics Data System (ADS)

Chen, Ken; Pan, Longfa; Xu, Bin; Liu, Wei

2008-12-01

"Quality requirements and handling regulation of archival optical disc for electronic records filing" is released by The State Archives Administration of the People's Republic of China (SAAC) on its network in March 2007. This document established a complete operative managing process for optical disc data storage in archives departments. The quality requirements of the optical disc used in archives departments are stipulated. Quality check of the recorded disc before filing is considered to be necessary and the threshold of the parameter of the qualified filing disc is set down. The handling regulations for the staffs in the archives departments are described. Recommended environment conditions of the disc preservation, recording, accessing and testing are presented. The block error rate of the disc is selected as main monitoring parameter of the lifetime of the filing disc and three classes pre-alarm lines are created for marking of different quality check intervals. The strategy of monitoring the variation of the error rate curve of the filing discs and moving the data to a new disc or a new media when the error rate of the disc reaches the third class pre-alarm line will effectively guarantee the data migration before permanent loss. Only when every step of the procedure is strictly implemented, it is believed that long-term reliability of the data storage on optical disc for archives departments can be effectively ensured.

Assessing a computerized routine health information system in Mali using LQAS.

PubMed

Stewart, J C; Schroeder, D G; Marsh, D R; Allhasane, S; Kone, D

2001-09-01

Between 1987 and 1998 Save the Children conducted a child survival programme in Mali with the goal of reducing maternal and child morbidity and mortality. An integral part of this programme was a computerized demographic surveillance and health information system (HIS) that gathered data on individuals on an on-going basis. To assess the overall coverage and quality of the data in the HIS, to identify specific health districts that needed improvements in data collection methods, and to determine particular areas of weakness in data collection. Random samples of 20 mothers with children <5 years were selected in each of 14 health districts. Mothers were interviewed about pregnancies, live births, deaths of children <5, and children's growth monitoring and immunization status. The Lot Quality Assurance Method (LQAS) was used to identify districts in which records and interview results did not meet predetermined levels of acceptability. Data collected in the interviews were combined to estimate overall coverage and quality. When all variables were analyzed, all 14 lots were rejected, and it was estimated that 52% of all events occurring in the community were registered in ProMIS. Much of this poor performance was due to immunization and growth monitoring data, which were not updated due to printer problems. Coverage of events increased (92%) when immunizations and growth monitoring were excluded, and no lots were rejected. When all variables were analyzed for quality of data recorded, six lots were rejected and the overall estimation was 83%. With immunizations and growth monitoring excluded, overall quality was 86% and no lots were rejected. The comprehensive computerized HIS did not meet expectations. This may be due, in part, to the ambitious objective of complete and intensive monitoring of a large population without adequate staff and equipment. Future efforts should consider employing a more targeted and streamlined HIS so that data can be more complete and useful.

Internet-Based Recording Service Solves Maintenance Reporting Problems.

ERIC Educational Resources Information Center

Noah, Marilyn

2001-01-01

Details the response to a health threat caused by illegal wastewater disposal in Wisconsin. Traces the identification of the problem, ordinances and policies adopted to guide the remedy, and subsequent monitoring of environmental quality. (DDR)

[Monitoring medication errors in personalised dispensing using the Sentinel Surveillance System method].

PubMed

Pérez-Cebrián, M; Font-Noguera, I; Doménech-Moral, L; Bosó-Ribelles, V; Romero-Boyero, P; Poveda-Andrés, J L

2011-01-01

To assess the efficacy of a new quality control strategy based on daily randomised sampling and monitoring a Sentinel Surveillance System (SSS) medication cart, in order to identify medication errors and their origin at different levels of the process. Prospective quality control study with one year follow-up. A SSS medication cart was randomly selected once a week and double-checked before dispensing medication. Medication errors were recorded before it was taken to the relevant hospital ward. Information concerning complaints after receiving medication and 24-hour monitoring were also noted. Type and origin error data were assessed by a Unit Dose Quality Control Group, which proposed relevant improvement measures. Thirty-four SSS carts were assessed, including 5130 medication lines and 9952 dispensed doses, corresponding to 753 patients. Ninety erroneous lines (1.8%) and 142 mistaken doses (1.4%) were identified at the Pharmacy Department. The most frequent error was dose duplication (38%) and its main cause inappropriate management and forgetfulness (69%). Fifty medication complaints (6.6% of patients) were mainly due to new treatment at admission (52%), and 41 (0.8% of all medication lines), did not completely match the prescription (0.6% lines) as recorded by the Pharmacy Department. Thirty-seven (4.9% of patients) medication complaints due to changes at admission and 32 matching errors (0.6% medication lines) were recorded. The main cause also was inappropriate management and forgetfulness (24%). The simultaneous recording of incidences due to complaints and new medication coincided in 33.3%. In addition, 433 (4.3%) of dispensed doses were returned to the Pharmacy Department. After the Unit Dose Quality Control Group conducted their feedback analysis, 64 improvement measures for Pharmacy Department nurses, 37 for pharmacists, and 24 for the hospital ward were introduced. The SSS programme has proven to be useful as a quality control strategy to identify Unit Dose Distribution System errors at initial, intermediate and final stages of the process, improving the involvement of the Pharmacy Department and ward nurses. Copyright © 2009 SEFH. Published by Elsevier Espana. All rights reserved.

Healthcare Reimbursement and Quality Improvement: Integration Using the Electronic Medical Record Comment on "Fee-for-Service Payment--an Evil Practice That Must Be Stamped Out?".

PubMed

Britton, John R

2015-05-08

Reimbursement for healthcare has utilized a variety of payment mechanisms with varying degrees of effectiveness. Whether these mechanisms are used singly or in combination, it is imperative that the resulting systems remunerate on the basis of the quantity, complexity, and quality of care provided. Expanding the role of the electronic medical record (EMR) to monitor provider practice, patient responsiveness, and functioning of the healthcare organization has the potential to not only enhance the accuracy and efficiency of reimbursement mechanisms but also to improve the quality of medical care. © 2015 by Kerman University of Medical Sciences.

Field evaluations of newly available "interference-free" monitors for nitrogen dioxide and ozone at near-road and conventional National Ambient Air Quality Standards compliance sites.

PubMed

Leston, Alan R; Ollison, Will M

2017-11-01

Long-standing measurement techniques for determining ground-level ozone (O 3 ) and nitrogen dioxide (NO 2 ) are known to be biased by interfering compounds that result in overestimates of high O 3 and NO 2 ambient concentrations under conducive conditions. An increasing near-ground O 3 gradient (NGOG) with increasing height above ground level is also known to exist. Both the interference bias and NGOG were investigated by comparing data from a conventional Federal Equivalent Method (FEM) O 3 photometer and an identical monitor upgraded with an "interference-free" nitric oxide O 3 scrubber that alternatively sampled at 2 m and 6.2 m inlet heights above ground level (AGL). Intercomparison was also made between a conventional nitrogen oxide (NO x ) chemiluminescence Federal Reference Method (FRM) monitor and a new "direct-measure" NO 2 NO x 405 nm photometer at a near-road air quality measurement site. Results indicate that the O 3 monitor with the upgraded scrubber recorded lower regulatory-oriented concentrations than the deployed conventional metal oxide-scrubbed monitor and that O 3 concentrations 6.2 m AGL were higher than concentrations 2.0 m AGL, the nominal nose height of outdoor populations. Also, a new direct-measure NO 2 photometer recorded generally lower NO 2 regulatory-oriented concentrations than the conventional FRM chemiluminescence monitor, reporting lower daily maximum hourly average concentrations than the conventional monitor about 3 of every 5 days. Employing bias-prone instruments for measurement of ambient ozone or nitrogen dioxide from inlets at inappropriate heights above ground level may result in collection of positively biased data. This paper discusses tests of new regulatory instruments, recent developments in bias-free ozone and nitrogen dioxide measurement technology, and the presence/extent of a near-ground O 3 gradient (NGOG). Collection of unbiased monitor inlet height-appropriate data is crucial for determining accurate design values and meeting National Ambient Air Quality Standards.

Quality assurance and the need to evaluate interventions and audit programme outcomes.

PubMed

Zhao, Min; Vaartjes, Ilonca; Klipstein-Grobusch, Kerstin; Kotseva, Kornelia; Jennings, Catriona; Grobbee, Diederick E; Graham, Ian

2017-06-01

Evidence-based clinical guidelines provide standards for the provision of healthcare. However, these guidelines have been poorly implemented in daily practice. Clinical audit is a quality improvement tool to promote quality of care in daily practice and to improve outcomes through the systematic review of care delivery and implementation of changes. A major priority in the management of subjects with cardiovascular disease (CVD) management is secondary prevention by controlling cardiovascular risk factors and providing appropriate medical treatment. Clinical audits can be applied to monitor modifiable risk factors and evaluate quality improvements of CVD management in daily practice. Existing clinical audits have provided an overview of the burden of risk factors in subjects with CVD and reflect real-world risk factor recording and management. However, consistent and representative data from clinic audits are still insufficient to fully monitor quality improvement of CVD management. Data are lacking in particular from low- and middle-income countries, limiting the evaluation of CVD management quality by clinical audit projects in many settings. To support the development of clinical standards, monitor daily practice performance, and improve quality of care in CVD management at national and international levels, more widespread clinical audits are warranted.

40 CFR Appendix B to Part 75 - Quality Assurance and Quality Control Procedures

Code of Federal Regulations, 2010 CFR

2010-07-01

... in section 2.3 of this appendix and the Hg emission tests described in §§ 75.81(c) and 75.81(d)(4). 1.2Specific Requirements for Continuous Emissions Monitoring Systems 1.2.1Calibration Error Test and Linearity Check Procedures Keep a written record of the procedures used for daily calibration error tests and...

Association of Implementation of Practice Standards for Electrocardiographic Monitoring With Nurses' Knowledge, Quality of Care, and Patient Outcomes: Findings From the Practical Use of the Latest Standards of Electrocardiography (PULSE) Trial.

PubMed

Funk, Marjorie; Fennie, Kristopher P; Stephens, Kimberly E; May, Jeanine L; Winkler, Catherine G; Drew, Barbara J

2017-02-01

Although continuous electrocardiographic (ECG) monitoring is ubiquitous in hospitals, monitoring practices are inconsistent. We evaluated implementation of American Heart Association practice standards for ECG monitoring on nurses' knowledge, quality of care, and patient outcomes. The PULSE (Practical Use of the Latest Standards of Electrocardiography) Trial was a 6-year multisite randomized clinical trial with crossover that took place in 65 cardiac units in 17 hospitals. We measured outcomes at baseline, time 2 after group 1 hospitals received the intervention, and time 3 after group 2 hospitals received the intervention. Measurement periods were 15 months apart. The 2-part intervention consisted of an online ECG monitoring education program and strategies to implement and sustain change in practice. Nurses' knowledge (N=3013 nurses) was measured by a validated 20-item online test, quality of care related to ECG monitoring (N=4587 patients) by on-site observation, and patient outcomes (mortality, in-hospital myocardial infarction, and not surviving a cardiac arrest; N=95 884 hospital admissions) by review of administrative, laboratory, and medical record data. Nurses' knowledge improved significantly immediately after the intervention in both groups but was not sustained 15 months later. For most measures of quality of care (accurate electrode placement, accurate rhythm interpretation, appropriate monitoring, and ST-segment monitoring when indicated), the intervention was associated with significant improvement, which was sustained 15 months later. Of the 3 patient outcomes, only in-hospital myocardial infarction declined significantly after the intervention and was sustained. Online ECG monitoring education and strategies to change practice can lead to improved nurses' knowledge, quality of care, and patient outcomes. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01269736. © 2017 American Heart Association, Inc.

Association of Implementation of Practice Standards for Electrocardiographic Monitoring with Nurses’ Knowledge, Quality of Care, and Patient Outcomes: Findings from the Practical Use of the Latest Standards of Electrocardiography (PULSE) Trial

PubMed Central

Funk, Marjorie; Fennie, Kristopher P.; Stephens, Kimberly E.; May, Jeanine L.; Winkler, Catherine G.; Drew, Barbara J.

2017-01-01

Background Although continuous electrocardiographic (ECG) monitoring is ubiquitous in hospitals, monitoring practices are inconsistent. We evaluated implementation of American Heart Association practice standards for ECG monitoring on nurses’ knowledge, quality of care, and patient outcomes. Methods and Results The PULSE Trial was a 6-year multi-site randomized clinical trial with crossover that took place in 65 cardiac units in 17 hospitals. We measured outcomes at baseline, Time 2 after Group 1 hospitals received the intervention, and Time 3 after Group 2 hospitals received the intervention. Measurement periods were 15 months apart. The 2-part intervention consisted of an online ECG monitoring education program and strategies to implement and sustain change in practice. Nurses’ knowledge (N=3,013 nurses) was measured by a validated 20-item online test, quality of care related to ECG monitoring (N=4,587 patients) by on-site observation, and patient outcomes (mortality, in-hospital myocardial infarction, and not surviving a cardiac arrest) (N=95,884 hospital admissions) by review of administrative, laboratory, and medical record data. Nurses’ knowledge improved significantly immediately following the intervention in both groups, but was not sustained 15 months later. For most measures of quality of care (accurate electrode placement, accurate rhythm interpretation, appropriate monitoring, and ST-segment monitoring when indicated), the intervention was associated with significant improvement, which was sustained 15 months later. Of the 3 patient outcomes, only in-hospital myocardial infarction declined significantly after the intervention, and was sustained. Conclusions Online ECG monitoring education and strategies to change practice can lead to improved nurses’ knowledge, quality of care, and patient outcomes. PMID:28174175

Air Quality Applications Based on Space Observations: The Role of the 11 Years OMI Data Record and the Potentials for TROPOMI

NASA Astrophysics Data System (ADS)

Levelt, P.; Veefkind, J. P.; Kleipool, Q.; Eskes, H.; A, R. V. D.; Mijling, B.; Tamminen, J.; Joiner, J.; Bhartia, P. K.

2015-12-01

In the last three decades the capabilities of measuring the atmospheric composition from space did grow tremendously with ESA's ENVISAT and NASA's Eos-Aura satellite programmes. The potential to operationally monitor the atmospheric composition, like the meteorological community is doing for the physical parameters, is now within reach. At the same time, the importance for society of operational environmental monitoring, related to the ozone layer, air quality and climate change, became apparent. The Ozone Monitoring Instrument (OMI), launched on board of NASA's EOS-Aura spacecraft in on July 15, 2004, provides unique contributions to air quality monitoring from Space. The combination of urban scale resolution (13 x 24 km2 in nadir) and daily global coverage proved to be key features for the air quality community. The OMI data is currently used for improving the air quality forecasts, for inverting high-resolution emission maps, for UV forecast and for volcanic plume warning systems for aviation. Due to its 11 year continuous operation OMI now provides the longest NO2 record from space, which is essential to understand the changes in emissions globally. In 2016 Tropospheric Monitoring Instrument (TROPOMI), will be launched on board ESA's Sentinel 5 Precursor satellite. TROPOMI will have a spatial resolution of 7x7 km2 in nadir; a more than 6 times improvement over OMI. The high spatial resolution serves two goals: (1) emissions sources can be detected with even better accuracy and (2) the number of cloud-free ground pixels will increase substantially. TROPOMI also adds additional spectral bands that allow for better cloud corrections, as well as the retrieval of carbon monoxide and methane. TROPOMI will be an important satellite mission for the Copernicus atmosphere service. TROPOMI will play a key role in the Air Quality Constellation, being the polar instruments that can link the 3 GEO UVN instruments, Sentinel 4, TEMPO and GEMS. Thus, TROPOMI can serve as a travelling standard that allows intercomparison of the calibration of the geostationary instruments. An overview of air quality applications, emission inversions and trend analyses will be presented, based on the 11 years of OMI data. An outlook will be presented on the potentials of TROPOMI, including its role in the Air Quality Constellation.

Long-Term Continuous Ambulatory ECG Monitors and External Cardiac Loop Recorders for Cardiac Arrhythmia: A Health Technology Assessment

PubMed Central

Kabali, Conrad; Xie, Xuanqian; Higgins, Caroline

2017-01-01

Background Ambulatory electrocardiography (ECG) monitors are often used to detect cardiac arrhythmia. For patients with symptoms, an external cardiac loop recorder will often be recommended. The improved recording capacity of newer Holter monitors and similar devices, collectively known as longterm continuous ambulatory ECG monitors, suggests that they will perform just as well as, or better than, external loop recorders. This health technology assessment aimed to evaluate the effectiveness, cost-effectiveness, and budget impact of longterm continuous ECG monitors compared with external loop recorders in detecting symptoms of cardiac arrhythmia. Methods Based on our systematic search for studies published up to January 15, 2016, we did not identify any studies directly comparing the clinical effectiveness of longterm continuous ECG monitors and external loop recorders. Therefore, we conducted an indirect comparison, using a 24-hour Holter monitor as a common comparator. We used a meta-regression model to control for bias due to variation in device-wearing time and baseline syncope rate across studies. We conducted a similar systematic search for cost-utility and cost-effectiveness studies comparing the two types of devices; none were found. Finally, we used historical claims data (2006–2014) to estimate the future 5-year budget impact in Ontario, Canada, of continued public funding for both types of longterm ambulatory ECG monitors. Results Our clinical literature search yielded 7,815 non-duplicate citations, of which 12 cohort studies were eligible for indirect comparison. Seven studies assessed the effectiveness of longterm continuous monitors and five assessed external loop recorders. Both types of devices were more effective than a 24-hour Holter monitor, and we found no substantial difference between them in their ability to detect symptoms (risk difference 0.01; 95% confidence interval −0.18, 0.20). Using GRADE for network meta-analysis, we evaluated the quality of the evidence as low. Our budget impact analysis showed that use of the longterm continuous monitors has grown steadily in Ontario since they became publicly funded in 2006, particularly since 2011 when monitors that can record for 14 days or longer became funded, and the use of external cardiac loop recorders has correspondingly declined. The analysis suggests that, with these trends, continued public funding of both types of longterm ambulatory ECG testing will result in additional costs ranging from $130,000 to $370,000 per year over the next 5 years. Conclusions Although both longterm continuous ambulatory ECG monitors and external cardiac loop recorders were more effective than a 24-hour Holter monitor in detecting symptoms of cardiac arrhythmia, we found no evidence to suggest that these two devices differ in effectiveness. Assuming that the use of longterm continuous monitors will continue to increase in the next 5 years, the public health care system in Ontario can expect to see added costs of $130,000 to $370,000 per year. PMID:28194254

Assessment of Historical Water-Quality Data for National Park Units in the Rocky Mountain Network, Colorado and Montana, through 2004

USGS Publications Warehouse

Mast, M. Alisa

2007-01-01

This report summarizes historical water-quality data for six National Park units that compose the Rocky Mountain Network. The park units in Colorado are Florissant Fossil Beds National Monument, Great Sand Dunes National Park and Preserve, and Rocky Mountain National Park; and in Montana, they are Glacier National Park, Grant-Kohrs Ranch National Historic Site, and Little Bighorn Battlefield National Monument. This study was conducted in cooperation with the Inventory and Monitoring Program of the National Park Service to aid in the design of an effective and efficient water-quality monitoring plan for each park. Data were retrieved from a number of sources for the period of record through 2004 and compiled into a relational database. Descriptions of the environmental setting of each park and an overview of the park's water resources are presented. Statistical summaries of water-quality constituents are presented and compared to aquatic-life and drinking-water standards. Spatial, seasonal, and temporal patterns in constituent concentrations also are described and suggestions for future water-quality monitoring are provided.

Triangle area water supply monitoring project, October 1988 through September 2001, North Carolina -- description of the water-quality network, sampling and analysis methods, and quality-assurance practices

USGS Publications Warehouse

Oblinger, Carolyn J.

2004-01-01

The Triangle Area Water Supply Monitoring Project was initiated in October 1988 to provide long-term water-quality data for six area water-supply reservoirs and their tributaries. In addition, the project provides data that can be used to determine the effectiveness of large-scale changes in water-resource management practices, document differences in water quality among water-supply types (large multiuse reservoir, small reservoir, run-of-river), and tributary-loading and in-lake data for water-quality modeling of Falls and Jordan Lakes. By September 2001, the project had progressed in four phases and included as many as 34 sites (in 1991). Most sites were sampled and analyzed by the U.S. Geological Survey. Some sites were already a part of the North Carolina Division of Water Quality statewide ambient water-quality monitoring network and were sampled by the Division of Water Quality. The network has provided data on streamflow, physical properties, and concentrations of nutrients, major ions, metals, trace elements, chlorophyll, total organic carbon, suspended sediment, and selected synthetic organic compounds. Project quality-assurance activities include written procedures for sample collection, record management and archive, collection of field quality-control samples (blank samples and replicate samples), and monitoring the quality of field supplies. In addition to project quality-assurance activities, the quality of laboratory analyses was assessed through laboratory quality-assurance practices and an independent laboratory quality-control assessment provided by the U.S. Geological Survey Branch of Quality Systems through the Blind Inorganic Sample Project and the Organic Blind Sample Project.

[The evolution of nursing record-keeping].

PubMed

Didry, Pascale

2017-05-01

Nursing record-keeping forms an integral part of the provision of care. It helps to assure its traceability and monitoring. It also contributes to the circulation of information among the different players involved in the patient's treatment, thereby helping to assure the quality and safety of care. For nurses, whose professional history has its roots in a culture of oral communication, record-keeping represents the affirmation of a real nursing way of thinking. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

The network of Shanghai Stroke Service System (4S): A public health-care web-based database using automatic extraction of electronic medical records.

PubMed

Dong, Yi; Fang, Kun; Wang, Xin; Chen, Shengdi; Liu, Xueyuan; Zhao, Yuwu; Guan, Yangtai; Cai, Dingfang; Li, Gang; Liu, Jianmin; Liu, Jianren; Zhuang, Jianhua; Wang, Panshi; Chen, Xin; Shen, Haipeng; Wang, David Z; Xian, Ying; Feng, Wuwei; Campbell, Bruce Cv; Parsons, Mark; Dong, Qiang

2018-07-01

Background Several stroke outcome and quality control projects have demonstrated the success in stroke care quality improvement through structured process. However, Chinese health-care systems are challenged with its overwhelming numbers of patients, limited resources, and large regional disparities. Aim To improve quality of stroke care to address regional disparities through process improvement. Method and design The Shanghai Stroke Service System (4S) is established as a regional network for stroke care quality improvement in the Shanghai metropolitan area. The 4S registry uses a web-based database that automatically extracts data from structured electronic medical records. Site-specific education and training program will be designed and administrated according to their baseline characteristics. Both acute reperfusion therapies including thrombectomy and thrombolysis in the acute phase and subsequent care were measured and monitored with feedback. Primary outcome is to evaluate the differences in quality metrics between baseline characteristics (including rate of thrombolysis in acute stroke and key performance indicators in secondary prevention) and post-intervention. Conclusions The 4S system is a regional stroke network that monitors the ongoing stroke care quality in Shanghai. This project will provide the opportunity to evaluate the spectrum of acute stroke care and design quality improvement processes for better stroke care. A regional stroke network model for quality improvement will be explored and might be expanded to other large cities in China. Clinical Trial Registration-URL http://www.clinicaltrials.gov . Unique identifier: NCT02735226.

Telefetalcare: a first prototype of a wearable fetal electrocardiograph.

PubMed

Fanelli, A; Signorini, M G; Ferrario, M; Perego, P; Piccini, L; Andreoni, G; Magenes, G

2011-01-01

Fetal heart rate monitoring is fundamental to infer information about fetal health state during pregnancy. The cardiotocography (CTG) is the most common antepartum monitoring technique. Abdominal ECG recording represents the most valuable alternative to cardiotocography, as it allows passive, non invasive and long term fetal monitoring. Unluckily fetal ECG has low SNR and needs to be extracted from abdominal recordings using ad hoc algorithms. This work describes a prototype of a wearable fetal ECG electrocardiograph. The system has flat band frequency response between 1-60 Hz and guarantees good signal quality. It was tested on pregnant women between the 30(th) and 34(th) gestational week. Several electrodes configurations were tested, in order to identify the best solution. Implementation of a simple algorithm for FECG extraction permitted the reliable detection of maternal and fetal QRS complexes. The system will allow continuative and deep screening of fetal heart rate, introducing the possibility of home fetal monitoring.

Comparison of diagnostic value using a small, single channel, P-wave centric sternal ECG monitoring patch with a standard 3-lead Holter system over 24 hours.

PubMed

Smith, Warren M; Riddell, Fiona; Madon, Morag; Gleva, Marye J

2017-03-01

To compare simultaneous recordings from an external patch system specifically designed to ensure better P-wave recordings and standard Holter monitor to determine diagnostic efficacy. Holter monitors are a mainstay of clinical practice, but are cumbersome to access and wear and P-wave signal quality is frequently inadequate. This study compared the diagnostic efficacy of the P-wave centric electrocardiogram (ECG) patch (Carnation Ambulatory Monitor) to standard 3-channel (leads V1, II, and V5) Holter monitor (Northeast Monitoring, Maynard, MA). Patients were referred to a hospital Holter clinic for standard clinical indications. Each patient wore both devices simultaneously and served as their own control. Holter and Patch reports were read in a blinded fashion by experienced electrophysiologists unaware of the findings in the other corresponding ECG recording. All patients, technicians, and physicians completed a questionnaire on comfort and ease of use, and potential complications. In all 50 patients, the P-wave centric patch recording system identified rhythms in 23 patients (46%) that altered management, compared to 6 Holter patients (12%), P<.001. The patch ECG intervals PR, QRS and QT correlated well with the Holter ECG intervals having correlation coefficients of 0.93, 0.86, and 0.94, respectively. Finally, 48 patients (96%) preferred wearing the patch monitor. A single-channel ambulatory patch ECG monitor, designed specifically to ensure that the P-wave component of the ECG be visible, resulted in a significantly improved rhythm diagnosis and avoided inaccurate diagnoses made by the standard 3-channel Holter monitor. Copyright © 2016 Elsevier Inc. All rights reserved.

Dose Tracker Application for Monitoring Crew Medication Usage, Symptoms, and Adverse Effects During Missions

NASA Technical Reports Server (NTRS)

Wotring, Virginia; Smith, LaRona

2015-01-01

Medication usage records can be used as a relatively nonintrusive means of monitoring health. This has been attempted previously through crew medical records, but these records are incomplete from the perspective of a research pharmacologist. During the shuttle era, NASA operations did not include routine questioning of crewmembers about their medication use until after missions were complete. The (long!) questionnaire was on paper. Asking crewmembers to recall medication use from weeks before questioning made getting complete and accurate information virtually impossible. This study will document medication usage of crewmembers before and during their missions. It will capture previously unrecorded data regarding medication use during spaceflight, including side effect qualities, frequencies and severities. The research-oriented data will be collected for research purposes, separate from medical records. Dose Tracker employs an iOS application (app) for fast & easy collection of medication usage data from crewmember participants during their missions.

Multileaf collimator performance monitoring and improvement using semiautomated quality control testing and statistical process control.

PubMed

Létourneau, Daniel; Wang, An; Amin, Md Nurul; Pearce, Jim; McNiven, Andrea; Keller, Harald; Norrlinger, Bernhard; Jaffray, David A

2014-12-01

High-quality radiation therapy using highly conformal dose distributions and image-guided techniques requires optimum machine delivery performance. In this work, a monitoring system for multileaf collimator (MLC) performance, integrating semiautomated MLC quality control (QC) tests and statistical process control tools, was developed. The MLC performance monitoring system was used for almost a year on two commercially available MLC models. Control charts were used to establish MLC performance and assess test frequency required to achieve a given level of performance. MLC-related interlocks and servicing events were recorded during the monitoring period and were investigated as indicators of MLC performance variations. The QC test developed as part of the MLC performance monitoring system uses 2D megavoltage images (acquired using an electronic portal imaging device) of 23 fields to determine the location of the leaves with respect to the radiation isocenter. The precision of the MLC performance monitoring QC test and the MLC itself was assessed by detecting the MLC leaf positions on 127 megavoltage images of a static field. After initial calibration, the MLC performance monitoring QC test was performed 3-4 times/week over a period of 10-11 months to monitor positional accuracy of individual leaves for two different MLC models. Analysis of test results was performed using individuals control charts per leaf with control limits computed based on the measurements as well as two sets of specifications of ± 0.5 and ± 1 mm. Out-of-specification and out-of-control leaves were automatically flagged by the monitoring system and reviewed monthly by physicists. MLC-related interlocks reported by the linear accelerator and servicing events were recorded to help identify potential causes of nonrandom MLC leaf positioning variations. The precision of the MLC performance monitoring QC test and the MLC itself was within ± 0.22 mm for most MLC leaves and the majority of the apparent leaf motion was attributed to beam spot displacements between irradiations. The MLC QC test was performed 193 and 162 times over the monitoring period for the studied units and recalibration had to be repeated up to three times on one of these units. For both units, rate of MLC interlocks was moderately associated with MLC servicing events. The strongest association with the MLC performance was observed between the MLC servicing events and the total number of out-of-control leaves. The average elapsed time for which the number of out-of-specification or out-of-control leaves was within a given performance threshold was computed and used to assess adequacy of MLC test frequency. A MLC performance monitoring system has been developed and implemented to acquire high-quality QC data at high frequency. This is enabled by the relatively short acquisition time for the images and automatic image analysis. The monitoring system was also used to record and track the rate of MLC-related interlocks and servicing events. MLC performances for two commercially available MLC models have been assessed and the results support monthly test frequency for widely accepted ± 1 mm specifications. Higher QC test frequency is however required to maintain tighter specification and in-control behavior.

Water Resources Data North Dakota Water Year 2002 Volume 1. Surface Water

USGS Publications Warehouse

Harkness, R.E.; Lundgren, R.F.; Norbeck, S.W.; Robinson, S.M.; Sether, B.A.

2003-01-01

Water-resources data for the 2002 water year for North Dakota consists of records of discharge, stage, and water quality for streams; contents, stage, and water quality for lakes and reservoirs; and water levels and water quality for ground-water wells. Volume 1 contains records of water discharge for 106 streamflow-gaging stations; stage only for 22 river-stage stations; contents and/or stage for 14 lake or reservoir stations; annual maximum discharge for 35 crest-stage stations; and water-quality for 96 streamflow-gaging stations, 3 river-stage stations, 11 lake or reservoir stations, 8 miscellaneous sample sites on rivers, and 63 miscellaneous sample sites on lakes and wetlands. Data are included for 7 water-quality monitor sites on streams and 2 precipitation-chemistry stations. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in North Dakota.

Water Resources Data North Dakota Water Year 2003, Volume 1. Surface Water

USGS Publications Warehouse

Robinson, S.M.; Lundgren, R.F.; Sether, B.A.; Norbeck, S.W.; Lambrecht, J.M.

2004-01-01

Water-resources data for the 2003 water year for North Dakota consists of records of discharge, stage, and water quality for streams; contents, stage, and water quality for lakes and reservoirs; and water levels and water quality for ground-water wells. Volume 1 contains records of water discharge for 108 streamflow-gaging stations; stage only for 24 river-stage stations; contents and/or stage for 14 lake or reservoir stations; annual maximum discharge for 32 crest-stage stations; and water-quality for 99 streamflow-gaging stations, 5 river-stage stations, 11 lake or reservoir stations, 8 miscellaneous sample sites on rivers, and 63 miscellaneous sample sites on lakes and wetlands. Data are included for 7 water-quality monitor sites on streams and 2 precipitation-chemistry stations. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in North Dakota.

Water resources data--North Dakota water year 2005, Volume 1. Surface water

USGS Publications Warehouse

Robinson, S.M.; Lundgren, R.F.; Sether, B.A.; Norbeck, S.W.; Lambrecht, J.M.

2006-01-01

Water-resources data for the 2005 water year for North Dakota consists of records of discharge, stage, and water quality for streams; contents, stage, and water quality for lakes and reservoirs; and water levels and water quality for ground-water wells. Volume 1 contains records of water discharge for 107 streamflow-gaging stations; stage only for 22 river-stage stations; contents and/or stage for 13 lake or reservoir stations; annual maximum discharge for 31 crest-stage stations; and water quality for 93 streamflow-gaging stations, 6 river-stage stations, 15 lake or reservoir stations, and about 50 miscellaneous sample sites on lakes and wetlands. Data are included for 8 water-quality monitor sites on streams and 2 precipitation-chemistry stations. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in North Dakota.

Water Resources Data North Dakota Water Year 2001, Volume 1. Surface Water

USGS Publications Warehouse

Harkness, R.E.; Berkas, W.R.; Norbeck, S.W.; Robinson, S.M.

2002-01-01

Water-resources data for the 2001 water year for North Dakota consists of records of discharge, stage, and water quality for streams; contents, stage, and water quality for lakes and reservoirs; and water levels and water quality for ground-water wells. Volume 1 contains records of water discharge for 103 streamflow-gaging stations; stage only for 20 river-stage stations; contents and/or stage for 13 lake or reservoir stations; annual maximum discharge for 35 crest-stage stations; and water-quality for 94 streamflow-gaging stations, 2 river-stage stations, 9 lake or reservoir stations, 7 miscellaneous sample sites on rivers, and 58 miscellaneous sample sites on lakes and wetlands. Data are included for 9 water-quality monitor sites on streams and 2 precipitation-chemistry stations. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in North Dakota.

Skylab

NASA Image and Video Library

1970-01-01

This 1970 photograph shows equipment for the Skylab's Sleep Monitoring Experiment (M133), a medical evaluation designed to objectively determine the amount and quality of crewmembers' inflight sleep. The experiment monitored and recorded electroencephalographic (EEG) and electrooculographic (EOG) activity during astronauts' sleep periods. One of the astronauts was selected for this experiment and wore a fitted cap during his sleep periods. The Marshall Space Flight Center had program management responsibility for the development of Skylab hardware and experiments.

In Brief: Improving Mississippi River water quality

NASA Astrophysics Data System (ADS)

Showstack, Randy

2007-10-01

If water quality in the Mississippi River and the northern Gulf of Mexico is to improve, the U.S. Environmental Protection Agency (EPA) needs to take a stronger leadership role in implementing the federal Clean Water Act, according to a 16 October report from the U.S. National Research Council. The report notes that EPA has failed to use its authority to coordinate and oversee activities along the river. In addition, river states need to be more proactive and cooperative in efforts to monitor and improve water quality, and the river should be monitored and evaluated as a single system, the report indicates. Currently, the 10 states along the river conduct separate and widely varying water quality monitoring programs. ``The limited attention being given to monitoring and managing the Mississippi's water quality does not match the river's significant economic, ecological, and cultural importance,'' said committee chair David A. Dzombak, director of the Steinbrenner Institute for Environmental Education and Research at Carnegie Mellon University, Pittsburgh, Pa. The report notes that while measures taken under the Clean Water Act have successfully reduced much point source pollution, nutrient and sediment loads from nonpoint sources continue to be significant problems. For more information, visit the Web site: http://books.nap.edu/catalog.php?record_id=12051.

A new kind of universal smart home security safety monitoring system

NASA Astrophysics Data System (ADS)

Li, Biqing; Li, Zhao

2018-04-01

With the current level of social development, improved quality of life, existence and security issues of law and order has become an important issue. This graduation project adopts the form of wireless transmission, to STC89C52 microcontroller as the host control human infrared induction anti-theft monitoring system. The system mainly consists of main control circuit, power supply circuit, activities of the human body detection module, sound and light alarm circuit, record and display circuit. The main function is to achieve exploration activities on the human body, then the information is transmitted to the control panel, according to the system microcontroller program control sound and light alarm circuit, while recording the alarm location and time, and always check the record as required, and ultimately achieve the purpose of monitoring. The advantage of using pyroelectric infrared sensor can be installed in a hidden place, not easy to find, and low cost, good detection results, and has broad prospects for development.

Adherence to self-monitoring healthy lifestyle behaviours through mobile phone-based ecological momentary assessments and photographic food records over 6 months in mostly ethnic minority mothers.

PubMed

Comulada, W Scott; Swendeman, Dallas; Koussa, Maryann K; Mindry, Deborah; Medich, Melissa; Estrin, Deborah; Mercer, Neil; Ramanathan, Nithya

2018-03-01

Mobile phones can replace traditional self-monitoring tools through cell phone-based ecological momentary assessment (CEMA) of lifestyle behaviours and camera phone-based images of meals, i.e. photographic food records (PFR). Adherence to mobile self-monitoring needs to be evaluated in real-world treatment settings. Towards this goal, we examine CEMA and PFR adherence to the use of a mobile app designed to help mothers self-monitor lifestyle behaviours and stress. Design/Setting In 2012, forty-two mothers recorded CEMA of diet quality, exercise, sleep, stress and mood four times daily and PFR during meals over 6 months in Los Angeles, California, USA. A purposive sample of mothers from mixed ethnicities. Adherence to recording CEMA at least once daily was higher compared with recording PFR at least once daily over the study period (74 v. 11 %); adherence to both types of reports decreased over time. Participants who recorded PFR for more than a day (n 31) were more likely to be obese v. normal- to overweight and to have higher blood pressure, on average (all P<0·05). Based on random-effects regression, CEMA and PFR adherence was highest during weekdays (both P<0·01). Additionally, PFR adherence was associated with older age (P=0·04). CEMA adherence was highest in the morning (P<0·01). PFR recordings occurred throughout the day. Variations in population and temporal characteristics should be considered for mobile assessment schedules. Neither CEMA nor PFR alone is ideal over extended periods.

Water Resources Data - New Jersey, Water Year 1999, Volume 3, Water-Quality Data

USGS Publications Warehouse

DeLuca, M.J.; Romanok, K.M.; Riskin, M.L.; Mattes, G.L.; Thomas, A.M.; Gray, B.J.

2000-01-01

Water-resources data for the 1999 water year for New Jersey are presented in three volumes, and consists of records of stage, discharge, and water quality of streams; stage and contents of lakes and reservoirs; and water levels and water quality of ground water. Volume 3 contains a summary of surface and ground water hydrologic conditions for the 1999 water year, a listing of current water-resource projects in New Jersey, a bibliography of water-related reports, articles, and fact sheets for New Jersey completed by the Geological Survey in recent years, water-quality records of chemical analyses from 133 surface-water stations, 46 miscellaneous surface-water sites, 30 ground-water stations, 41 miscellaneous ground-water sites, and records of daily statistics of temperature and other physical measurements from 17 continuous-monitoring stations. Locations of water-quality stations are shown in figures 11 and 17-20. Locations of miscellaneous water-quality sites are shown in figures 29-32 and 34. These data represent the part of the National Water Data System operated by the U.S. Geological Survey and cooperating Federal, State, and local agencies in New Jersey.

Water Resources Data, California, Water Year 1989. Volume 5. Ground-Water Data

USGS Publications Warehouse

Lamb, C.E.; Johnson, J.A.; Fogelman, R.P.; Grillo, D.A.

1990-01-01

Water resources data for the 1989 water year for California consist of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water quality in weils. Volume 5 contains water levels for 1,037 observation wells and water-quality data for 254 monitoring wells. These data represent that part of the National Water Data System operated by the U.S. Geological Survey and cooperatine State and Federal agencies in California.

Water Resources Data for California, Water Year 1988. Volume 5. Ground-Water Data for California

USGS Publications Warehouse

Lamb, C.E.; Fogelman, R.P.; Grillo, D.A.

1989-01-01

Water resources data for the 1988 water year for California consist of records of stage, discharge, and water quality of streams; stage and contents in lakes and reservoirs; and water levels and water-quality in wells. Volume 5 contains water levels for 980 observation wells and water-quality data for 239 observation monitoring wells. These data represent that part of the National water Data System operated by the U.S. Geological Survey and cooperating State and Federal agencies in California.

Low-complexity R-peak detection in ECG signals: a preliminary step towards ambulatory fetal monitoring.

PubMed

Rooijakkers, Michiel; Rabotti, Chiara; Bennebroek, Martijn; van Meerbergen, Jef; Mischi, Massimo

2011-01-01

Non-invasive fetal health monitoring during pregnancy has become increasingly important. Recent advances in signal processing technology have enabled fetal monitoring during pregnancy, using abdominal ECG recordings. Ubiquitous ambulatory monitoring for continuous fetal health measurement is however still unfeasible due to the computational complexity of noise robust solutions. In this paper an ECG R-peak detection algorithm for ambulatory R-peak detection is proposed, as part of a fetal ECG detection algorithm. The proposed algorithm is optimized to reduce computational complexity, while increasing the R-peak detection quality compared to existing R-peak detection schemes. Validation of the algorithm is performed on two manually annotated datasets, the MIT/BIH Arrhythmia database and an in-house abdominal database. Both R-peak detection quality and computational complexity are compared to state-of-the-art algorithms as described in the literature. With a detection error rate of 0.22% and 0.12% on the MIT/BIH Arrhythmia and in-house databases, respectively, the quality of the proposed algorithm is comparable to the best state-of-the-art algorithms, at a reduced computational complexity.

Water Resources Data, Georgia, 2000, Volume 1: Continuous water-level, streamflow, water-quality data, and periodic water-quality data, Water Year 2000

USGS Publications Warehouse

McCallum, Brian E.; Hickey, Andrew C.

2000-01-01

Water resources data for the 2000 water year for Georgia consists of records of stage, discharge, and water quality of streams; and the stage and contents of lakes and reservoirs published in one volume in a digital format on a CD-ROM. This volume contains discharge records of 125 gaging stations; stage for 20 gaging stations; information for 18 lakes and reservoirs; continuous water-quality records for 10 stations; the annual peak stage and annual peak discharge for 77 crest-stage partial-record stations; and miscellaneous streamflow measurements at 21 stations. These data represent that part of the National Water Data System collected by the U.S. Geological Survey and cooperating State and Federal agencies in Georgia. Note: Historically, this report was published as a paper report. For the 1999 and subsequent water-year reports, the Water Resources Data for Georgia changed to a new, more informative and functional format on CD-ROM. The format is based on a geographic information system (GIS) user interface that allows the user to view map locations of the hydrologic monitoring stations and networks within respective river basins.

Motif Discovery in Speech: Application to Monitoring Alzheimer's Disease.

PubMed

Garrard, Peter; Nemes, Vanda; Nikolic, Dragana; Barney, Anna

2017-01-01

Perseveration - repetition of words, phrases or questions in speech - is commonly described in Alzheimer's disease (AD). Measuring perseveration is difficult, but may index cognitive performance, aiding diagnosis and disease monitoring. Continuous recording of speech would produce a large quantity of data requiring painstaking manual analysis, and risk violating patients' and others' privacy. A secure record and an automated approach to analysis are required. To record bone-conducted acoustic energy fluctuations from a subject's vocal apparatus using an accelerometer, to describe the recording and analysis stages in detail, and demonstrate that the approach is feasible in AD. Speech-related vibration was captured by an accelerometer, affixed above the temporomandibular joint. Healthy subjects read a script with embedded repetitions. Features were extracted from recorded signals and combined using Principal Component Analysis to obtain a one-dimensional representation of the feature vector. Motif discovery techniques were used to detect repeated segments. The equipment was tested in AD patients to determine device acceptability and recording quality. Comparison with the known location of embedded motifs suggests that, with appropriate parameter tuning, the motif discovery method can detect repetitions. The device was acceptable to patients and produced adequate signal quality in their home environments. We established that continuously recording bone-conducted speech and detecting perseverative patterns were both possible. In future studies we plan to associate the frequency of verbal repetitions with stage, progression and type of dementia. It is possible that the method could contribute to the assessment of disease-modifying treatments. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

[Quality assurance of hospital medical records as a risk management tool].

PubMed

Terranova, Giuseppina; Cortesi, Elisabetta; Briani, Silvia; Giannini, Raffaella

2006-01-01

A retrospective analysis of hospital medical records was performed jointly by the Medicolegal department of the Pistoia Local Health Unit N. 3 and by the management of the SS. Cosma and Damiano di Pescia Hospital. Evaluation was based on ANDEM criteria, JCAHO standards, and the 1992 discharge abstract guidelines of the Italian Health Ministry. In the first phase of the study, data were collected and processed for each hospital ward and then discussed with clinicians and audited. After auditing, appropriate actions were agreed upon for correcting identified problems. Approximately one year later a second smaller sample of medical records was evaluated and a higher compliance rate with the established corrective actions was found in all wards for all data categories. In this study the evaluation of medical records can be considered in the wider context of risk management, a multidisciplinary process directed towards identifying and monitoring risk through the use of appropriate quality indicators.

SPARROW MODELING - Enhancing Understanding of the Nation's Water Quality

USGS Publications Warehouse

Preston, Stephen D.; Alexander, Richard B.; Woodside, Michael D.; Hamilton, Pixie A.

2009-01-01

The information provided here is intended to assist water-resources managers with interpretation of the U.S. Geological Survey (USGS) SPARROW model and its products. SPARROW models can be used to explain spatial patterns in monitored stream-water quality in relation to human activities and natural processes as defined by detailed geospatial information. Previous SPARROW applications have identified the sources and transport of nutrients in the Mississippi River basin, Chesapeake Bay watershed, and other major drainages of the United States. New SPARROW models with improved accuracy and interpretability are now being developed by the USGS National Water Quality Assessment (NAWQA) Program for six major regions of the conterminous United States. These new SPARROW models are based on updated geospatial data and stream-monitoring records from local, State, and other federal agencies.

Analysis And Control System For Automated Welding

NASA Technical Reports Server (NTRS)

Powell, Bradley W.; Burroughs, Ivan A.; Kennedy, Larry Z.; Rodgers, Michael H.; Goode, K. Wayne

1994-01-01

Automated variable-polarity plasma arc (VPPA) welding apparatus operates under electronic supervision by welding analysis and control system. System performs all major monitoring and controlling functions. It acquires, analyzes, and displays weld-quality data in real time and adjusts process parameters accordingly. Also records pertinent data for use in post-weld analysis and documentation of quality. System includes optoelectronic sensors and data processors that provide feedback control of welding process.

ANMCO/AIIC/SIT Consensus Information Document: definition, precision, and suitability of electrocardiographic signals of electrocardiographs, ergometry, Holter electrocardiogram, telemetry, and bedside monitoring systems.

PubMed

Gulizia, Michele Massimo; Casolo, Giancarlo; Zuin, Guerrino; Morichelli, Loredana; Calcagnini, Giovanni; Ventimiglia, Vincenzo; Censi, Federica; Caldarola, Pasquale; Russo, Giancarmine; Leogrande, Lorenzo; Franco Gensini, Gian

2017-05-01

The electrocardiogram (ECG) signal can be derived from different sources. These include systems for surface ECG, Holter monitoring, ergometric stress tests, and telemetry systems and bedside monitoring of vital parameters, which are useful for rhythm and ST-segment analysis and ECG screening of electrical sudden cardiac death predictors. A precise ECG diagnosis is based upon correct recording, elaboration, and presentation of the signal. Several sources of artefacts and potential external causes may influence the quality of the original ECG waveforms. Other factors that may affect the quality of the information presented depend upon the technical solutions employed to improve the signal. The choice of the instrumentations and solutions used to offer a high-quality ECG signal are, therefore, of paramount importance. Some requirements are reported in detail in scientific statements and recommendations. The aim of this consensus document is to give scientific reference for the choice of systems able to offer high quality ECG signal acquisition, processing, and presentation suitable for clinical use.

ANMCO/AIIC/SIT Consensus Information Document: definition, precision, and suitability of electrocardiographic signals of electrocardiographs, ergometry, Holter electrocardiogram, telemetry, and bedside monitoring systems

PubMed Central

Casolo, Giancarlo; Zuin, Guerrino; Morichelli, Loredana; Calcagnini, Giovanni; Ventimiglia, Vincenzo; Censi, Federica; Caldarola, Pasquale; Russo, Giancarmine; Leogrande, Lorenzo; Franco Gensini, Gian

2017-01-01

Abstract The electrocardiogram (ECG) signal can be derived from different sources. These include systems for surface ECG, Holter monitoring, ergometric stress tests, and telemetry systems and bedside monitoring of vital parameters, which are useful for rhythm and ST-segment analysis and ECG screening of electrical sudden cardiac death predictors. A precise ECG diagnosis is based upon correct recording, elaboration, and presentation of the signal. Several sources of artefacts and potential external causes may influence the quality of the original ECG waveforms. Other factors that may affect the quality of the information presented depend upon the technical solutions employed to improve the signal. The choice of the instrumentations and solutions used to offer a high-quality ECG signal are, therefore, of paramount importance. Some requirements are reported in detail in scientific statements and recommendations. The aim of this consensus document is to give scientific reference for the choice of systems able to offer high quality ECG signal acquisition, processing, and presentation suitable for clinical use. PMID:28751842

HIV Drug Resistance Early Warning Indicators in Namibia for Public Health Action

PubMed Central

Jonas, Anna; Gweshe, Justice; Siboleka, Milner; DeKlerk, Michael; Gawanab, Michael; Badi, Alfons; Sumbi, Victor; Pereko, Dawn; Blom, Abraham; Mwinga, Samson; Jordan, Michael R.; Jerger, Logan; Lau, Kiger; Hong, Steven Y.

2013-01-01

Background HIV drug resistance (HIVDR) testing is not routinely available in many resource-limited settings, therefore antiretroviral therapy (ART) program and site factors known to be associated with emergence of HIVDR should be monitored to optimize the quality of patient care and minimize the emergence of preventable HIVDR. Methods In 2010, Namibia selected five World Health Organization Early Warning Indicators (EWIs) and scaled-up monitoring from 9 to 33 ART sites: ART prescribing practices, Patients lost to follow-up (LTFU) at 12 months, Patients switched to a second-line regimen at 12 months, On-time antiretroviral (ARV) drug pick-up, and ARV drug-supply continuity. Results Records allowed reporting on three of the five selected EWIs. 22 of 33 (67%) sites met the target of 100% initiated on appropriate first-line regimens. 17 of 33 (52%) sites met the target of ≤20% LTFU. 15 of 33 (45%) sites met the target of 0% switched to a second-line regimen. Conclusions EWI monitoring directly resulted in public health action which will optimize the quality of care, specifically the strengthening of ART record systems, engagement of ART sites, and operational research for improved adherence assessment and ART patient defaulter tracing. PMID:23762406

A new approach to power quality and electricity reliability monitoring-case study illustrations of the capabilities of the I-GridTM system

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

Divan, Deepak; Brumsickle, William; Eto, Joseph

2003-04-01

This report describes a new approach for collecting information on power quality and reliability and making it available in the public domain. Making this information readily available in a form that is meaningful to electricity consumers is necessary for enabling more informed private and public decisions regarding electricity reliability. The system dramatically reduces the cost (and expertise) needed for customers to obtain information on the most significant power quality events, called voltage sags and interruptions. The system also offers widespread access to information on power quality collected from multiple sites and the potential for capturing information on the impacts ofmore » power quality problems, together enabling a wide variety of analysis and benchmarking to improve system reliability. Six case studies demonstrate selected functionality and capabilities of the system, including: Linking measured power quality events to process interruption and downtime; Demonstrating the ability to correlate events recorded by multiple monitors to narrow and confirm the causes of power quality events; and Benchmarking power quality and reliability on a firm and regional basis.« less

Coral skeletal geochemistry as a monitor of inshore water quality.

PubMed

Saha, Narottam; Webb, Gregory E; Zhao, Jian-Xin

2016-10-01

Coral reefs maintain extraordinary biodiversity and provide protection from tsunamis and storm surge, but inshore coral reef health is degrading in many regions due to deteriorating water quality. Deconvolving natural and anthropogenic changes to water quality is hampered by the lack of long term, dated water quality data but such records are required for forward modelling of reef health to aid their management. Reef corals provide an excellent archive of high resolution geochemical (trace element) proxies that can span hundreds of years and potentially provide records used through the Holocene. Hence, geochemical proxies in corals hold great promise for understanding changes in ancient water quality that can inform broader oceanographic and climatic changes in a given region. This article reviews and highlights the use of coral-based trace metal archives, including metal transported from rivers to the ocean, incorporation of trace metals into coral skeletons and the current 'state of the art' in utilizing coral trace metal proxies as tools for monitoring various types of local and regional source-specific pollution (river discharge, land use changes, dredging and dumping, mining, oil spills, antifouling paints, atmospheric sources, sewage). The three most commonly used coral trace element proxies (i.e., Ba/Ca, Mn/Ca, and Y/Ca) are closely associated with river runoff in the Great Barrier Reef, but considerable uncertainty remains regarding their complex biogeochemical cycling and controlling mechanisms. However, coral-based water quality reconstructions have suffered from a lack of understanding of so-called vital effects and early marine diagenesis. The main challenge is to identify and eliminate the influence of extraneous local factors in order to allow accurate water quality reconstructions and to develop alternate proxies to monitor water pollution. Rare earth elements have great potential as they are self-referencing and reflect basic terrestrial input. Copyright © 2016 Elsevier B.V. All rights reserved.

Operating manual for the U.S. Geological Survey minimonitor, 1988 revised edition; punched-paper-tape model

USGS Publications Warehouse

Ficken, James H.; Scott, Carl T.

1988-01-01

This manual describes the U.S. Geological Survey Minimonitor Water Quality Data Measuring and Recording System. Instructions for calibrating, servicing, maintaining, and operating the system are provided. The Survey Minimonitor is a battery-powered , multiparameter water quality monitoring instrument designed for field use. A watertight can containing signal conditioners is connected with cable and waterproof connectors to various water quality sensors. Data are recorded on a punched paper-tape recorder. An external battery is required. The operation and maintenance of various sensors and signal conditioners are discussed, for temperature, specific conductance, dissolved oxygen, and pH. Calibration instructions are provided for each parameter, along with maintenance instructions. Sections of the report explain how to connect the Minimonitor to measure direct-current voltages, such as signal outputs from other instruments. Instructions for connecting a satellite data-collection platform or a solid-state data recorder to the Minimonitor are given also. Basic information is given for servicing the Minimonitor and trouble-shooting some of its electronic components. The use of test boxes to test sensors, isolate component problems, and verify calibration values is discussed. (USGS)

Manual for monitoring the quality of nursing home care records.

PubMed

Barbosa, Silvia Freitas; Tronchin, Daisy Maria Rizatto

2015-01-01

to build and validate an instrument aimed at monitoring the quality of nursing records in the Home Care Program (HCP) of a university hospital. methodological study involving the elaboration of a manual, whose content was later submitted to six experts for validation, reaching a ≥ 80% consensus. The data collection process was carried out in 2012 by means of a questionnaire comprised of the following issues: nursing evolution, nursing diagnosis, and nursing prescription, and standards for the nursing team recommended by the Regional Nursing Council of São Paulo and by the assessed institution. Manual items were judged according to the following variables: relevance, pertinence, clarity and simplicity. of the 39 propositions, 100% achieved ≥ 80% agreement in the relevance, pertinence and clarity variables; 92.3% in the simplicity variable. Sleep/rest, Mobility and Check-out variables did not reach a favorable minimum consensus in the prescribed activities and were improved following suggestions from the experts. we believe that the instrument will enable the improvement of the HCP's work process.

Exploring practical approaches to maximising data quality in electronic healthcare records in the primary care setting and associated benefits. Report of panel-led discussion held at SAPC in July 2014.

PubMed

Dungey, Sheena; Glew, Simon; Heyes, Barbara; Macleod, John; Tate, A Rosemary

2016-09-01

Electronic healthcare records provide information about patient care over time which not only affords the opportunity to improve patient care directly through effective monitoring and identification of care requirements but also offers a unique platform for both clinical and service-model research essential to the longer-term development of the health service. The quality of the recorded data can, however, be variable and can compromise the validity of data use both for primary and secondary purposes. In order to explore the challenges and benefits of and approaches to recording high quality primary care electronic records, a Clinical Practice Research Datalink (CPRD) sponsored workshop was held at the Society of Academic Primary Care (SAPC) conference in 2014 with the aim of engaging GPs and other data users. The workshop was held as a structured discussion, led by an expert panel and focused around three questions: (1) What are the data quality priorities for clinicians and researchers? How do these priorities differ or overlap? (2) What challenges might GPs face in provision of good data quality both for treating their patients and for research? Do these aims conflict? (3) What tools (such as data metrics and visualisations or software components) could assist the GP in improving data quality and patient management and could this tie in with analytical processes occurring at the research stage? The discussion highlighted both overlap and differences in the perceived data quality priorities and challenges for different user groups. Five key areas of focus were agreed upon and recommendations determined for moving forward in improving quality. The importance of good high quality electronic healthcare records has been set forth along with the need for a practical user-considered and collaborative approach to its improvement.

Recognition and management of depression in skilled-nursing and long-term care settings: evolving targets for quality improvement.

PubMed

Boyle, Vicki L; Roychoudhury, Canopy; Beniak, Renee; Cohn, Lisa; Bayer, Albert; Katz, Ira

2004-01-01

Depression is a common disorder associated with suffering, morbidity, and mortality in nursing home residents. It is treatable, and improving the quality of treatment can have a major impact. MPRO, Michigan's Quality Improvement Organization, initiated a quality-improvement project in 14 nursing facilities to improve the accuracy of assessments, targeting, and monitoring of care. Electronic Minimum Data Set (MDS) data and medical-record abstraction results were combined to form the analytic dataset. Findings from the baseline phase demonstrated that, according to medical and administrative records, 26% of newly admitted nursing home residents had symptoms of depression that were apparent at admission, and an additional 12% were recognized early in their stay. Eighty-one percent of residents with depression were receiving treatment on admission to the facility, and 79% of those with depression recognized by Day 14 were treated by then. These data demonstrate progress toward improving the initiation of treatment for depression in nursing homes; however, there are still opportunities for improving the quality of care and, especially, the quality of assessments. The authors recommend the addition of the Geriatric Depression Scale to the federally mandated MDS for cognitively intact patients. There could also be mechanisms to ensure that providers and facilities follow recommended practice guidelines. Initiating treatment with antidepressant medications should be followed with monitoring of residents to identify those who still have depressive symptoms and to modify or intensify their treatment.

Examining the Relationship Between Nursing Informatics Competency and the Quality of Information Processing.

PubMed

Al-Hawamdih, Sajidah; Ahmad, Muayyad M

2018-03-01

The purpose of this study was to examine nursing informatics competency and the quality of information processing among nurses in Jordan. The study was conducted in a large hospital with 380 registered nurses. The hospital introduced the electronic health record in 2010. The measures used in this study were personal and job characteristics, self-efficacy, Self-Assessment Nursing Informatics Competencies, and Health Information System Monitoring Questionnaire. The convenience sample consisted of 99 nurses who used the electronic health record for at least 3 months. The analysis showed that nine predictors explained 22% of the variance in the quality of information processing, whereas the statistically significant predictors were nursing informatics competency, clinical specialty, and years of nursing experience. There is a need for policies that advocate for every nurse to be educated in nursing informatics and the quality of information processing.

Multileaf collimator performance monitoring and improvement using semiautomated quality control testing and statistical process control

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

Létourneau, Daniel, E-mail: daniel.letourneau@rmp.uh.on.ca; McNiven, Andrea; Keller, Harald

2014-12-15

Purpose: High-quality radiation therapy using highly conformal dose distributions and image-guided techniques requires optimum machine delivery performance. In this work, a monitoring system for multileaf collimator (MLC) performance, integrating semiautomated MLC quality control (QC) tests and statistical process control tools, was developed. The MLC performance monitoring system was used for almost a year on two commercially available MLC models. Control charts were used to establish MLC performance and assess test frequency required to achieve a given level of performance. MLC-related interlocks and servicing events were recorded during the monitoring period and were investigated as indicators of MLC performance variations. Methods:more » The QC test developed as part of the MLC performance monitoring system uses 2D megavoltage images (acquired using an electronic portal imaging device) of 23 fields to determine the location of the leaves with respect to the radiation isocenter. The precision of the MLC performance monitoring QC test and the MLC itself was assessed by detecting the MLC leaf positions on 127 megavoltage images of a static field. After initial calibration, the MLC performance monitoring QC test was performed 3–4 times/week over a period of 10–11 months to monitor positional accuracy of individual leaves for two different MLC models. Analysis of test results was performed using individuals control charts per leaf with control limits computed based on the measurements as well as two sets of specifications of ±0.5 and ±1 mm. Out-of-specification and out-of-control leaves were automatically flagged by the monitoring system and reviewed monthly by physicists. MLC-related interlocks reported by the linear accelerator and servicing events were recorded to help identify potential causes of nonrandom MLC leaf positioning variations. Results: The precision of the MLC performance monitoring QC test and the MLC itself was within ±0.22 mm for most MLC leaves and the majority of the apparent leaf motion was attributed to beam spot displacements between irradiations. The MLC QC test was performed 193 and 162 times over the monitoring period for the studied units and recalibration had to be repeated up to three times on one of these units. For both units, rate of MLC interlocks was moderately associated with MLC servicing events. The strongest association with the MLC performance was observed between the MLC servicing events and the total number of out-of-control leaves. The average elapsed time for which the number of out-of-specification or out-of-control leaves was within a given performance threshold was computed and used to assess adequacy of MLC test frequency. Conclusions: A MLC performance monitoring system has been developed and implemented to acquire high-quality QC data at high frequency. This is enabled by the relatively short acquisition time for the images and automatic image analysis. The monitoring system was also used to record and track the rate of MLC-related interlocks and servicing events. MLC performances for two commercially available MLC models have been assessed and the results support monthly test frequency for widely accepted ±1 mm specifications. Higher QC test frequency is however required to maintain tighter specification and in-control behavior.« less

Data Quality in Institutional Arthroplasty Registries: Description of a Model of Validation and Report of Preliminary Results.

PubMed

Bautista, Maria P; Bonilla, Guillermo A; Mieth, Klaus W; Llinás, Adolfo M; Rodríguez, Fernanda; Cárdenas, Laura L

2017-07-01

Arthroplasty registries are a relevant source of information for research and quality improvement in patient care and its value depends on the quality of the recorded data. The purpose of this study is to describe a model of validation and present the findings of validation of an Institutional Arthroplasty Registry (IAR). Information from 209 primary arthroplasties and revision surgeries of the hip, knee, and shoulder recorded in the IAR between March and September 2015 were analyzed in the following domains. Adherence is defined as the proportion of patients included in the registry, completeness is defined as the proportion of data effectively recorded, and accuracy is defined as the proportion of data consistent with medical records. A random sample of 53 patients (25.4%) was selected to assess the latest 2 domains. A direct comparison between the registry's database and medical records was performed. In total, 324 variables containing information on demographic data, surgical procedure, clinical outcomes, and key performance indicators were analyzed. Two hundred nine of 212 patients who underwent surgery during the study period were included in the registry, accounting for an adherence of 98.6%. Completeness was 91.7% and accuracy was 85.8%. Most errors were found in the preoperative range of motion and timely administration of prophylactic antibiotics and thromboprophylaxis. This model provides useful information regarding the quality of the recorded data since it identified deficient areas within the IAR. We recommend that institutional arthroplasty registries be constantly monitored for data quality before using their information for research or quality improvement purposes. Copyright © 2017 Elsevier Inc. All rights reserved.

Clinical applications of commercially available video recording and monitoring systems: inexpensive, high-quality video recording and monitoring systems for endoscopy and microsurgery.

PubMed

Tsunoda, Koichi; Tsunoda, Atsunobu; Ishimoto, ShinnIchi; Kimura, Satoko

2006-01-01

The exclusive charge-coupled device (CCD) camera system for the endoscope and electronic fiberscopes are in widespread use. However, both are usually stationary in an office or examination room, and a wheeled cart is needed for mobility. The total costs of the CCD camera system and electronic fiberscopy system are at least US Dollars 10,000 and US Dollars 30,000, respectively. Recently, the performance of audio and visual instruments has improved dramatically, with a concomitant reduction in their cost. Commercially available CCD video cameras with small monitors have become common. They provide excellent image quality and are much smaller and less expensive than previous models. The authors have developed adaptors for the popular mini-digital video (mini-DV) camera. The camera also provides video and acoustic output signals; therefore, the endoscopic images can be viewed on a large monitor simultaneously. The new system (a mini-DV video camera and an adaptor) costs only US Dollars 1,000. Therefore, the system is both cost-effective and useful for the outpatient clinic or casualty setting, or on house calls for the purpose of patient education. In the future, the authors plan to introduce the clinical application of a high-vision camera and an infrared camera as medical instruments for clinical and research situations.

SU-E-T-235: Data Mining for Evaluating Treatment Performances Over a Large Quantity of Data to Monitor and Improve SBRT Workflow

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

Feng, W; Bayhealth Medical Center, Dover, DE; Chu, A

Purpose: To quality assure a large quantity of retrospective treatment cases for treatment performances by randomly sampling is inefficient. Here we provide a method to efficiently monitor and investigate the QA of SBRT workflow over Mosaiq. Methods: The code developed with Microsoft SQL Server Management Studio 2008R2 and VBA was used for retrieving and sorting data from Mosaiq (version 2.3–2.6 during 2012–2015). SBRT patients were filtered by fractional dose over 350cGy and total fraction number less than 6, which SBRT prescriptions were defined. The quality assurance on the SBRT workflow was focused on the treatment deliveries such as patient positioningmore » setup, CBCT indicated offsets and couch shifted corrections. The treatment delivery were done by Varian Truebeam systems and the record/verify by Mosaiq. Results: Total 82 SBRT patients corresponding to 103 courses and 854 CBCT images were found by the retrieval query. Most centers record daily pre-treatment (Pre-Tx: before treatment shift) image-guided shifts along treatment course for inter-fraction motion record, and it is useful to also verify it with post-treatment imaging (Post-Tx: after treatment CBCT verification) to verify intra-fraction motion. Analyzing the details of daily recorded shifts can reveals the information of patient-setup and staff’s record/verify behaviors. 3 examples were provided as solid evidences and on-going rectification for preventing future mistakes. Conclusions: The report gave feasible examples for inspector to verify a large amount of data during site investigation. This program can also be extended to a scheduled data mining with software to periodical analyze the timely records in Mosaiq, for example, a various control charts for different QA purposes. As the current trend of automation in radiation therapy field, the data mining would be a necessary tool in the future, just as the automatic plan quality evaluation has been under development in Eclipse.« less

A capacitive, biocompatible and adhesive electrode for long-term and cap-free monitoring of EEG signals.

PubMed

Lee, Seung Min; Kim, Jeong Hun; Byeon, Hang Jin; Choi, Yoon Young; Park, Kwang Suk; Lee, Sang-Hoon

2013-06-01

Long-term electroencephalogram (EEG) monitoring broadens EEG applications to various areas, but it requires cap-free recording of EEG signals. Our objective here is to develop a capacitive, small-sized, adhesive and biocompatible electrode for the cap-free and long-term EEG monitoring. We have developed an electrode made of polydimethylsiloxane (PDMS) and adhesive PDMS for EEG monitoring. This electrode can be attached to a hairy scalp and be completely hidden by the hair. We tested its electrical and mechanical (adhesive) properties by measuring voltage gain to frequency and adhesive force using 30 repeat cycles of the attachment and detachment test. Electrode performance on EEG was evaluated by alpha rhythm detection and measuring steady state visually evoked potential and N100 auditory evoked potential. We observed the successful recording of alpha rhythm and evoked signals to diverse stimuli with high signal quality. The biocompatibility of the electrode was verified and a survey found that the electrode was comfortable and convenient to wear. These results indicate that the proposed EEG electrode is suitable and convenient for long term EEG monitoring.

Surface-Water Quantity and Quality of the Upper Milwaukee River, Cedar Creek, and Root River Basins, Wisconsin, 2004

USGS Publications Warehouse

Hall, David W.

2006-01-01

The U.S. Geological Survey, in cooperation with the Southeastern Wisconsin Regional Planning Commission (SEWRPC), collected discharge and water-quality data at nine sites in previously monitored areas of the upper Milwaukee River, Cedar Creek, and Root River Basins, in Wisconsin from May 1 through November 15, 2004. The data were collected for calibration of hydrological models that will be used to simulate how various management strategies will affect the water quality of streams. The data also will support SEWRPC and Milwaukee Metropolitan Sewerage District (MMSD) managers in development of the SEWRPC Regional Water Quality Management Plan and the MMSD 2020 Facilities Plan. These management plans will provide a scientific basis for future management decisions regarding development and maintenance of public and private waste-disposal systems. In May 2004, parts of the study area received over 13 inches of precipitation (3.06 inches is normal). In June 2004, most of the study area received between 7 and 11 inches of rainfall (3.56 inches is normal). This excessive rainfall caused flooding throughout the study area and resultant high discharges were measured at all nine monitoring sites. For example, the mean daily discharge recorded at the Cedar Creek site on May 27, 2004, was 2,120 cubic feet per second. This discharge ranked ninth of the largest 10 mean daily discharges in the 75-year record, and was the highest discharge recorded since March 30, 1960. Discharge records from continuous monitoring on the Root River Canal near Franklin since October 1, 1963, indicated that the discharge recorded on May 23, 2004, ranked second highest on record, and was the highest discharge recorded since March 4, 1974. Water-quality samples were taken during two base-flow events and six storm events at each of the nine sites. Analysis of water-quality data indicated that most concentrations of dissolved oxygen, biological oxygen demand, fecal coliform bacteria, chloride, suspended solids, nitrate plus nitrite nitrogen, ammonia nitrogen, Kjeldahl nitrogen, total phosphorus, dissolved orthophosphorus, total copper, particulate mercury, dissolved mercury, particulate methylmercury, dissolved methylmercury, and total zinc were below U.S. Environmental Protection Agency (USEPA) and State of Wisconsin water-quality standards at all sites, with the exception of dissolved oxygen at the Kewaskum, Farmington, Root River Canal, Root River Racine, and Root River Mouth sites. Each of these sites had from several days to several weeks of daily average dissolved oxygen concentrations below the 5 milligrams per liter State of Wisconsin standard for aquatic life. The lowest dissolved oxygen concentrations were measured at the heavily urbanized Root River Mouth site in downtown Racine, Wisconsin, where elevated concentrations of ammonia may have contributed to oxygen consumption during oxidation of ammonia to nitrate. Additionally, the maximum concentrations of copper in several Root River samples exceeded draft USEPA Ambient Water-Quality Criteria (U.S. Environmental Protection Agency, 2003) for acute toxicity to several species of aquatic organisms. Substantial water-quality changes were not correlated with hydrologic changes at any of the nine sites. Base-flow water-quality was generally indistinguishable from that sampled during storm events. The sparsely developed upper Milwaukee River and Cedar Creek Basins had relatively low ranges of contamination for all laboratory-reported parameters. For all nine sites, the highest reported concentrations of chloride (216 mg/L), total phosphorus (0.627 mg/L), ortho-phosphorus (0.136 mg/L), nitrate plus nitrate (9.32 mg/L), and copper (38 ?g/L) were reported for samples collected at the Root River Canal site. The highest concentrations of fecal coliforms (3,600 colonies per 100 mL) and Escherichia coli (2,300 colonies per 100 mL) were reported in samples collected at Kewaskum. The highest concentrations of s

Optogalvanic wavelength calibration for laser monitoring of reactive atmospheric species

NASA Technical Reports Server (NTRS)

Webster, C. R.

1982-01-01

Laser-based techniques have been successfully employed for monitoring atmospheric species of importance to stratospheric ozone chemistry or tropospheric air quality control. When spectroscopic methods using tunable lasers are used, a simultaneously recorded reference spectrum is required for wavelength calibration. For stable species this is readily achieved by incorporating into the sensing instrument a reference cell containing the species to be monitored. However, when the species of interest is short-lived, this approach is unsuitable. It is proposed that wavelength calibration for short-lived species may be achieved by generating the species of interest in an electrical or RF discharge and using optogalvanic detection as a simple, sensitive, and reliable means of recording calibration spectra. The wide applicability of this method is emphasized. Ultraviolet, visible, or infrared lasers, either CW or pulsed, may be used in aircraft, balloon, or shuttle experiments for sensing atoms, molecules, radicals, or ions.

Data recording and trend display during anaesthesia using 'MacLab'.

PubMed

Kennedy, R R

1991-08-01

A single screen display of variables monitored during anaesthesia may be ergonomically superior to the 'stack' of monitors seen in many anaesthetising locations. A system based on a MacLab (Analogue Digital Instruments) analogue-to-digital convertor used in conjunction with a Macintosh computer was evaluated. The system was configured to provide trend displays of up to eight variables on a single screen. It was found to be a useful adjunct to monitoring during anaesthesia. Advantages of this system are low cost, flexibility, and the quality of the software and support provided. Limitations of this and other similar systems are discussed.

U.S. Geological Survey Catskill/Delaware Water-Quality Network: Water-Quality Report Water Year 2006

USGS Publications Warehouse

McHale, Michael R.; Siemion, Jason

2010-01-01

The U.S. Geological Survey operates a 60-station streamgaging network in the New York City Catskill/Delaware Water Supply System. Water-quality samples were collected at 13 of the stations in the Catskill/Delaware streamgaging network to provide resource managers with water-quality and water-quantity data from the water-supply system that supplies about 85 percent of the water needed by the more than 9 million residents of New York City. This report summarizes water-quality data collected at those 13 stations plus one additional station operated as a part of the U.S. Environmental Protection Agency's Regional Long-Term Monitoring Network for the 2006 water year (October 1, 2005 to September 30, 2006). An average of 62 water-quality samples were collected at each station during the 2006 water year, including grab samples collected every other week and storm samples collected with automated samplers. On average, 8 storms were sampled at each station during the 2006 water year. The 2006 calendar year was the second warmest on record and the summer of 2006 was the wettest on record for the northeastern United States. A large storm on June 26-28, 2006, caused extensive flooding in the western part of the network where record peak flows were measured at several watersheds.

Security and privacy issues with health care information technology.

PubMed

Meingast, Marci; Roosta, Tanya; Sastry, Shankar

2006-01-01

The face of health care is changing as new technologies are being incorporated into the existing infrastructure. Electronic patient records and sensor networks for in-home patient monitoring are at the current forefront of new technologies. Paper-based patient records are being put in electronic format enabling patients to access their records via the Internet. Remote patient monitoring is becoming more feasible as specialized sensors can be placed inside homes. The combination of these technologies will improve the quality of health care by making it more personalized and reducing costs and medical errors. While there are benefits to technologies, associated privacy and security issues need to be analyzed to make these systems socially acceptable. In this paper we explore the privacy and security implications of these next-generation health care technologies. We describe existing methods for handling issues as well as discussing which issues need further consideration.

An evaluation of the quality of obstetric morbidity coding using an objective assessment tool, the Performance Indicators For Coding Quality (PICQ).

PubMed

Lamb, Mary K; Innes, Kerry; Saad, Patricia; Rust, Julie; Dimitropoulos, Vera; Cumerlato, Megan

The Performance Indicators for Coding Quality (PICQ) is a data quality assessment tool developed by Australia's National Centre for Classification in Health (NCCH). PICQ consists of a number of indicators covering all ICD-10-AM disease chapters, some procedure chapters from the Australian Classification of Health Intervention (ACHI) and some Australian Coding Standards (ACS). The indicators can be used to assess the coding quality of hospital morbidity data by monitoring compliance of coding conventions and ACS; this enables the identification of particular records that may be incorrectly coded, thus providing a measure of data quality. There are 31 obstetric indicators available for the ICD-10-AM Fourth Edition. Twenty of these 31 indicators were classified as Fatal, nine as Warning and two Relative. These indicators were used to examine coding quality of obstetric records in the 2004-2005 financial year Australian national hospital morbidity dataset. Records with obstetric disease or procedure codes listed anywhere in the code string were extracted and exported from the SPSS source file. Data were then imported into a Microsoft Access database table as per PICQ instructions, and run against all Fatal and Warning and Relative (N=31) obstetric PICQ 2006 Fourth Edition Indicators v.5 for the ICD-10- AM Fourth Edition. There were 689,905 gynaecological and obstetric records in the 2004-2005 financial year, of which 1.14% were found to have triggered Fatal degree errors, 3.78% Warning degree errors and 8.35% Relative degree errors. The types of errors include completeness, redundancy, specificity and sequencing problems. It was found that PICQ is a useful initial screening tool for the assessment of ICD-10-AM/ACHI coding quality. The overall quality of codes assigned to obstetric records in the 2004- 2005 Australian national morbidity dataset is of fair quality.

Loch Vale Watershed Long-Term Ecological Research and Monitoring Program: Quality Assurance Report, 2003-09

USGS Publications Warehouse

Richer, Eric E.; Baron, Jill S.

2011-01-01

The Loch Vale watershed project is a long-term research and monitoring program located in Rocky Mountain National Park that addresses watershed-scale ecosystem processes, particularly as they respond to atmospheric deposition and climate variability. Measurements of precipitation depth, precipitation chemistry, discharge, and surface-water quality are made within the watershed and elsewhere in Rocky Mountain National Park. As data collected for the program are used by resource managers, scientists, policy makers, and students, it is important that all data collected in Loch Vale watershed meet high standards of quality. In this report, data quality was evaluated for precipitation, discharge, and surface-water chemistry measurements collected during 2003-09. Equipment upgrades were made at the Loch Vale National Atmospheric Deposition Program monitoring site to improve precipitation measurements and evaluate variability in precipitation depth and chemistry. Additional solar panels and batteries have been installed to improve the power supply, and data completeness, at the NADP site. As a result of equipment malfunction, discharge data for the Loch Outlet were estimated from October 18, 2005, to August 17, 2006. Quality-assurance results indicate that more than 98 percent of all surface-water chemistry measurements were accurate and precise. Records that did not meet quality criteria were removed from the database. Measurements of precipitation depth, precipitation chemistry, discharge, and surface-water quality were all sufficiently complete and consistent to support project data needs.

40 CFR 97.272 - Out of control periods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of appendix D to part 75 of this chapter... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 97.272 - Out of control periods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of appendix D to part 75 of this chapter... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 97.272 - Out of control periods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of appendix D to part 75 of this chapter... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 97.272 - Out of control periods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of appendix D to part 75 of this chapter... prospectively the certification status of the monitoring system. The data measured and recorded by the...

40 CFR 97.272 - Out of control periods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... quality-control requirements or data validation requirements of part 75 of this chapter, data shall be substituted using the applicable missing data procedures in subpart D of appendix D to part 75 of this chapter... prospectively the certification status of the monitoring system. The data measured and recorded by the...

Using Satellite Data to Monitor the Impacts of CyanoHAB Events on Drinking Water: A Texas Case Study

EPA Science Inventory

Overview of CYAN and it's mission to support the environmental management and public use of U.S. lakes and estuaries by providing a capability of detecting and quantifying algal blooms and related water quality using satellite data records.

77 FR 65938 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-31

... social security number, to a state prescription drug monitoring program (PDMP), or similar program, for... organizations in connection with the audit of claims or other review activities to determine quality of care or.... VA may disclose relevant information, including but not limited to, patient name, address, and social...

21 CFR 111.123 - What quality control operations are required for the master manufacturing record, the batch...

Code of Federal Regulations, 2010 CFR

2010-04-01

... monitoring required under subpart E; (4) Conducting any required material review and making any required disposition decision; (5) Approving or rejecting any reprocessing; (6) Determining whether all in-process... and to determine that the product is consistent with your purchase order. ...

Renal function monitoring in patients prescribed dabigatran in the Compass Health Primary Health Organisation: a quality improvement audit.

PubMed

McBain, Lynn; Kyle, Anna

2018-03-09

To assess annual renal function monitoring and clinical indications for use in patients prescribed dabigatran. A quality improvement activity included all patients in the Compass Health Primary Health Organisation (PHO) prescribed dabigatran. Information recorded: demographics; indication for use; daily dose; height; weight; serum creatinine; and estimated glomerular filtration rate (eGFR). The first audit occurred during July 2013 - May 2014, the second during May 2014 - October 2016. Across the PHO, all patients prescribed dabigatran were reviewed: 941 patients and 1,564 respectively. At the time of the second pass audit, renal function monitoring improved from 88% to 90%, and 96% were prescribed dabigatran for an approved indication. Results showed a continuing high level of renal function monitoring across the PHO in 90% of patients prescribed dabigatran. Practitioners were reminded to use creatinine clearance as a marker of renal function. Dabigatran was prescribed for an approved indication in 96% of patients. Our results are in line with recommended best practice and clinical guidelines.

Microseismic Monitoring Design Optimization Based on Multiple Criteria Decision Analysis

NASA Astrophysics Data System (ADS)

Kovaleva, Y.; Tamimi, N.; Ostadhassan, M.

2017-12-01

Borehole microseismic monitoring of hydraulic fracture treatments of unconventional reservoirs is a widely used method in the oil and gas industry. Sometimes, the quality of the acquired microseismic data is poor. One of the reasons for poor data quality is poor survey design. We attempt to provide a comprehensive and thorough workflow, using multiple criteria decision analysis (MCDA), to optimize planning micriseismic monitoring. So far, microseismic monitoring has been used extensively as a powerful tool for determining fracture parameters that affect the influx of formation fluids into the wellbore. The factors that affect the quality of microseismic data and their final results include average distance between microseismic events and receivers, complexity of the recorded wavefield, signal-to-noise ratio, data aperture, etc. These criteria often conflict with each other. In a typical microseismic monitoring, those factors should be considered to choose the best monitoring well(s), optimum number of required geophones, and their depth. We use MDCA to address these design challenges and develop a method that offers an optimized design out of all possible combinations to produce the best data acquisition results. We believe that this will be the first research to include the above-mentioned factors in a 3D model. Such a tool would assist companies and practicing engineers in choosing the best design parameters for future microseismic projects.

Lithologic and ground-water data for monitoring sites in the Mojave River and Warren Valley basins, San Bernardino County, California, 1992-1998

USGS Publications Warehouse

Huff, Julia A.; Clark, Dennis A.; Martin, Peter

2002-01-01

Lithologic and ground-water data were collected at 85 monitoring sites constructed in the Mojave Water Agency Management area in San Bernardino County, California, as part of a series of cooperative studies between the U.S. Geological Survey and the Mojave Water Agency. The data are being used to evaluate and address water-supply and water-quality issues. This report presents a compilation of the data collected at these sites from 1992 through 1998, including location and design of the monitoring sites, lithologic data, geophysical logs, ground-water-level measurements, and water-quality analyses.One to five small (generally 2-inch) diameter wells were installed at each of the 85 monitoring sites to collect depth-dependent hydrologic data. Lithologic logs were compiled from descriptions of drill cuttings collected at each site and from observations recorded during the drilling of the borehole. Generalized stratigraphic columns were compiled by grouping similar lithologic units. Geophysical logs provide information on the character of the lithologic units and on the presence of ground water and the chemical characteristics of that water. Water-level and water-quality data were collected periodically from the sites during 1992 through 1998.

Water-quality data for the Ohio River from New Cumberland Dam to Pike Island Dam, West Virginia and Ohio, May-October 1993

USGS Publications Warehouse

Miller, K.F.; Messinger, Terence; Waldron, M.C.; Faulkenburg, C.W.

1996-01-01

This report contains water-quality data for the Ohio River from river mile 51.1 (3.3 miles upstream from New Cumberland Dam) to river mile 84.0 (0.2 miles upstream from Pike Island Dam) that were collected during the summer and fall of 1993. The data were collected to establish the water quality of the Ohio River and to use in assessing the proposed effects of hydropower development on the water quality of the Ohio River. Water quality was determined by a combination of repeated synoptic field measurements, continuous-record monitoring, and laboratory analyses. Synoptic measurements were made along a longitudinal transect with 18 mid-channel sampling sites; cross-sectional transects of water-quality measurements were made at 5 of these sites. Water-quality measurements also were made at two sites located on the back-channel (Ohio) side of Browns Island. At each longitudinal-transect and back-channel sampling site, measurements were made of specific conductance, pH, water temperature, and dissolved oxygen conentration. Longitudinal-transect and back-channel stations were sampled at four depths (at the surface, about 3.3 feet below the surface, middle of the water column, and near the bottom of the river). Cross-sectional transects consisted of three to four detailed vertical profiles of the same characteristics. Water samples were collected from three depths at the mid-channel vertical profile in each cross-sectional transect and were analyzed for concentrations of phytoplankton photosynthetic pigments chlorophyll a and chlorophyll b. Estimates of the depth of light penetration (Secchi-disk transparency) were made at pigment-sampling locations whenever light and river-surface conditions were appropriate. Synoptic sampling usually was completed in 12 hours or less and was repeated 10 times from May through October 1993. Continuous-record monitoring of water quality consisted of hourly measurements of specific conductance, pH, water temperature, and dissolved oxygen concentration, made at a depth of 6.6 feet upstream and downstream of New Cumberland Dam. Continuous monitors were operated from May through October 1993.

Developing clinical indicators for the secondary health system in India.

PubMed

Thakur, Harshad; Chavhan, S; Jotkar, Raju; Mukherjee, Kanchan

2008-08-01

One of the prime goals of any health system is to deliver good and competent quality of healthcare. Through World Bank-assisted Maharashtra Health Systems Development Project, Government of Maharashtra in India developed and implemented clinical indicators to improve quality. During this, clinical areas eligible for monitoring quality of care and roles of health staff working at various levels were identified. Brainstorming discussion sessions were conducted to refine list of potential clinical indicators and to identify implementation problems. It was implemented in four stages. (a) Self-explanatory tool of record, standard operating procedures and training manual were prepared during tools preparation stage. (b) Pilot implementation was done to monitor the usefulness of indicators, document the experiences and standardize the system accordingly. (c) The final selection of indicators was done taking into consideration points like data reliability, indicator usefulness etc. For final implementation, 15 indicators for district and 6 indicators for rural hospitals were selected. (d) Transfer of skills was done through training of various hospital functionaries. Selection and prioritization of clinical indicators is the most crucial part. Active participation of local employees is essential for sustainability of the scheme. It is also important to ensure that data recorded/reported is both reliable and valid, to conduct monthly review of the scheme at various levels and to link it with the quality improvement programme.

Development of a CCTV system for welder training and monitoring of Space Shuttle Main Engine welds

NASA Technical Reports Server (NTRS)

Gordon, S. S.; Flanigan, L. A.; Dyer, G. E.

1987-01-01

A Weld Operator's Remote Monitoring System (WORMS) for remote viewing of manual and automatic GTA welds has been developed for use in Space Shuttle Main Engine (SSME) manufacturing. This system utilizes fiberoptics to transmit images from a receiving lens to a small closed-circuit television (CCTV) camera. The camera converts the image to an electronic signal, which is sent to a videotape recorder (VTR) and a monitor. The overall intent of this system is to provide a clearer, more detailed view of welds than is available by direct observation. This system has six primary areas of application: (1) welder training; (2) viewing of joint penetration; (3) viewing visually inaccessible welds; (4) quality control and quality assurance; (5) remote joint tracking and adjustment of variables in machine welds; and (6) welding research and development. This paper describes WORMS and how it applies to each application listed.

A national clinical quality program for Veterans Affairs catheterization laboratories (from the Veterans Affairs clinical assessment, reporting, and tracking program).

PubMed

Maddox, Thomas M; Plomondon, Mary E; Petrich, Megan; Tsai, Thomas T; Gethoffer, Hans; Noonan, Gregory; Gillespie, Brian; Box, Tamara; Fihn, Stephen D; Jesse, Robert L; Rumsfeld, John S

2014-12-01

A "learning health care system", as outlined in a recent Institute of Medicine report, harnesses real-time clinical data to continuously measure and improve clinical care. However, most current efforts to understand and improve the quality of care rely on retrospective chart abstractions complied long after the provision of clinical care. To align more closely with the goals of a learning health care system, we present the novel design and initial results of the Veterans Affairs (VA) Clinical Assessment, Reporting, and Tracking (CART) program-a national clinical quality program for VA cardiac catheterization laboratories that harnesses real-time clinical data to support clinical care and quality-monitoring efforts. Integrated within the VA electronic health record, the CART program uses a specialized software platform to collect real-time patient and procedural data for all VA patients undergoing coronary procedures in VA catheterization laboratories. The program began in 2005 and currently contains data on 434,967 catheterization laboratory procedures, including 272,097 coronary angiograms and 86,481 percutaneous coronary interventions, performed by 801 clinicians on 246,967 patients. We present the initial data from the CART program and describe 3 quality-monitoring programs that use its unique characteristics-procedural and complications feedback to individual labs, coronary device surveillance, and major adverse event peer review. The VA CART program is a novel approach to electronic health record design that supports clinical care, quality, and safety in VA catheterization laboratories. Its approach holds promise in achieving the goals of a learning health care system. Published by Elsevier Inc.

Can volunteers collect data that are comparable to professional scientists? A study of variables used in monitoring the outcomes of ecosystem rehabilitation.

PubMed

Gollan, John; de Bruyn, Lisa Lobry; Reid, Nick; Wilkie, Lance

2012-11-01

Having volunteers collect data can be a cost-effective strategy to complement or replace those collected by scientists. The quality of these data is essential where field-collected data are used to monitor progress against predetermined standards because they provide decision makers with confidence that choices they make will not cause more harm than good. The integrity of volunteer-collected data is often doubted. In this study, we made estimates of seven vegetation attributes and a composite measure of six of those seven, to simulate benchmark values. These attributes are routinely recorded as part of rehabilitation projects in Australia and elsewhere in the world. The degree of agreement in data collected by volunteers was compared with those recorded by professional scientists. Combined results showed that scientists collected data that was in closer agreement with benchmarks than those of volunteers, but when data collected by individuals were analyzed, some volunteers collected data that were in similar or closer agreement, than scientists. Both groups' estimates were in closer agreement for particular attributes than others, suggesting that some attributes are more difficult to estimate than others, or that some are more subjective than others. There are a number of ways in which higher degrees of agreement could be achieved and introducing these will no doubt result in better, more effective programs, to monitor rehabilitation activities. Alternatively, less subjective measures should be sought when developing monitoring protocols. Quality assurance should be part of developing monitoring methods and explicitly budgeted for in project planning to prevent misleading declarations of rehabilitation success.

Using colony monitoring devices to evaluate the impacts of land use and nutritional value of forage on honey bee health

USGS Publications Warehouse

Smart, Matthew; Otto, Clint R.; Cornman, Robert S.; Iwanowicz, Deborah

2018-01-01

Colony monitoring devices used to track and assess the health status of honey bees are becoming more widely available and used by both beekeepers and researchers. These devices monitor parameters relevant to colony health at frequent intervals, often approximating real time. The fine-scale record of hive condition can be further related to static or dynamic features of the landscape, such as weather, climate, colony density, land use, pesticide use, vegetation class, and forage quality. In this study, we fit commercial honey bee colonies in two apiaries with pollen traps and digital scales to monitor floral resource use, pollen quality, and honey production. One apiary was situated in low-intensity agriculture; the other in high-intensity agriculture. Pollen traps were open for 72 h every two weeks while scales recorded weight every 15 min throughout the growing season. From collected pollen, we determined forage quantity per day, species identity using DNA sequencing, pesticide residues, amino acid content, and total protein content. From scales, we determined the accumulated hive weight change over the growing season, relating to honey production and final colony weight going into winter. Hive scales may also be used to identify the occurrence of environmental pollen and nectar dearth, and track phenological changes in plant communities. We provide comparisons of device-derived data between two apiaries over the growing season and discuss the potential for employing apiary monitoring devices to infer colony health in the context of divergent agricultural land use conditions.

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

PubMed

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

2014-01-01

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

Developing A National Groundwater-Monitoring Network In Korea

NASA Astrophysics Data System (ADS)

Kim, N. J.; Cho, M. J.; Woo, N. C.

1995-04-01

Since the 1960's, the groundwater resources of Korea have been developed without a proper regulatory system for monitoring and preservation, resulting in significant source depletion, land subsidence, water contamination, and sea-water intrusion. With the activation of the "Groundwater Law" in June 1994, the government initiated a project to develop a groundwater-monitoring network to describe general groundwater quality, to define its long-term changes, and to identify major factors affecting changes in groundwater quality and yield. In selecting monitoring locations nationwide, criteria considered are 1) spatial distribution, 2) aquifer characteristics of hydrogeologic units, 3) local groundwater flow regime, 4) linkage with surface hydrology observations, 5) site accessibility, and 6) financial situations. A total of 310 sites in 78 small hydrologic basins were selected to compose the monitoring network. Installation of monitoring wells is scheduled to start in 1995 for 15 sites; the remainder are scheduled to be completed by 2001. At each site, a nest of monitoring wells was designed; shallow and deep groundwater will be monitored for water temperature, pH, EC, DO and TDS every month. Water-level fluctuations will also be measured by automatic recorders equipped with pressure transducers. As a next step, the government plans to develop a groundwater-database management system, which could be linked with surface hydrologic data.

Methods for implantation of micro-wire bundles and optimization of single/multiunit recordings from human mesial temporal lobe

PubMed Central

Misra, A; Burke, JF; Ramayya, A; Jacobs, J; Sperling, MR; Moxon, KA; Kahana, MJ; Evans, JJ; Sharan, AD

2014-01-01

Objective The authors report methods developed for the implantation of micro-wire bundles into mesial temporal lobe structures and subsequent single neuron recording in epileptic patients undergoing in-patient diagnostic monitoring. This is done with the intention of lowering the perceived barriers to routine single neuron recording from deep brain structures in the clinical setting. Approach Over a 15 month period, 11 patients were implanted with platinum micro-wire bundles into mesial temporal structures. Protocols were developed for A) monitoring electrode integrity through impedance testing, B) ensuring continuous 24-7 recording, C) localizing micro-wire position and “splay” pattern and D) monitoring grounding and referencing to maintain the quality of recordings. Main Result Five common modes of failure were identified: 1) broken micro-wires from acute tensile force, 2) broken micro-wires from cyclic fatigue at stress points, 3) poor in-vivo micro-electrode separation, 4) motion artifact and 5) deteriorating ground connection and subsequent drop in common mode noise rejection. Single neurons have been observed up to 14 days post implantation and on 40% of micro-wires. Significance Long-term success requires detailed review of each implant by both the clinical and research teams to identify failure modes, and appropriate refinement of techniques while moving forward. This approach leads to reliable unit recordings without prolonging operative times, which will help increase the availability and clinical viability of human single neuron data. PMID:24608589

High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit

PubMed Central

Mungun, Tuya; Dorj, Narangerel; Volody, Baigal; Chuluundorj, Uranjargal; Munkhbat, Enkhtuya; Danzan, Gerelmaa; Nguyen, Cattram D; La Vincente, Sophie; Russell, Fiona

2017-01-01

Introduction Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electronic registers in low- and middle-income countries such as Mongolia. We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records. Methods We conducted a cross-sectional record review among children 2–23 months of age vaccinated at immunization clinics within the two districts. We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register. Results Both completeness (90.9%; 95% CI: 88.4–93.4) and accuracy (93.3%; 95% CI: 84.1–97.4) of the electronic immunization register were high when compared to written records. The increase in completeness over time indicated a delay in data entry. Conclusion Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings. PMID:29051836

Three-month validation of a turbuhaler electronic monitoring device: implications for asthma clinical trial use.

PubMed

Pilcher, Janine; Shirtcliffe, Philippa; Patel, Mitesh; McKinstry, Steve; Cripps, Terrianne; Weatherall, Mark; Beasley, Richard

2015-01-01

Electronic monitoring of inhaled asthma therapy is suggested as the 'gold standard' for measuring patterns of medication use in clinical trials. The SmartTurbo (Adherium (NZ) Ltd, Auckland, New Zealand) is an electronic monitor for use with a turbuhaler device (AstraZeneca, UK). The aim of this study was to determine the accuracy of the SmartTurbo in recording Symbicort actuations over a 12-week period of use. Twenty SmartTurbo monitors were attached to the base of 20 Symbicort turbuhalers. Bench testing in a research facility was undertaken on days 0, 5, 6, 7, 8, 9, 14, 21, 28, 56 and 84. Patterns of 'low-use' (2 sets of 2 actuations on the same day) and 'high-use' (2 sets of 8 actuations on the same day) were performed. The date and time of actuations were recorded in a paper diary and compared with data uploaded from the SmartTurbo monitors. 2800 actuations were performed. Monitor sensitivity was 99.9% with a lower 97.5% confidence bound of 99.6%. The positive predictive value was 99.9% with a 97.5% lower confidence bound of 99.7%. Accuracy was not affected by whether the pattern of inhaler use was low or high, or whether there was a delay in uploading the actuation data. The SmartTurbo monitor is highly accurate in recording and retaining electronic data in this 12-week bench study. It can be recommended for use in clinical trial settings, in which quality control systems are incorporated into study protocols to ensure accurate data acquisition.

The Self-Adapting Focused Review System. Probability sampling of medical records to monitor utilization and quality of care.

PubMed

Ash, A; Schwartz, M; Payne, S M; Restuccia, J D

1990-11-01

Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups be determined, particularly since the locus of problems can change over time? What standard of comparison should be used in interpreting rates of problems found in subgroups? How can population problem rates be estimated from observed subgroup rates? How can the bias be avoided that arises because reviewers know that selected cases are suspected of having problems? How can changes in problem rates over time be interpreted when evaluating intervention programs? Simple random sampling, an alternative to subgroup review, overcomes the problems implied by these questions but is inefficient. The Self-Adapting Focused Review System (SAFRS), introduced and described here, provides an adaptive approach to record selection that is based upon model-weighted probability sampling. It retains the desirable inferential properties of random sampling while allowing reviews to be concentrated on cases currently thought most likely to be problematic. Model development and evaluation are illustrated using hospital data to predict inappropriate admissions.

Introduction of software tools for epidemiological surveillance in infection control in Colombia

PubMed Central

Motoa, Gabriel; Vallejo, Marta; Blanco, Víctor M; Correa, Adriana; de la Cadena, Elsa; Villegas, María Virginia

2015-01-01

Introduction: Healthcare-Associated Infections (HAI) are a challenge for patient safety in the hospitals. Infection control committees (ICC) should follow CDC definitions when monitoring HAI. The handmade method of epidemiological surveillance (ES) may affect the sensitivity and specificity of the monitoring system, while electronic surveillance can improve the performance, quality and traceability of recorded information. Objective: To assess the implementation of a strategy for electronic surveillance of HAI, Bacterial Resistance and Antimicrobial Consumption by the ICC of 23 high-complexity clinics and hospitals in Colombia, during the period 2012-2013. Methods: An observational study evaluating the introduction of electronic tools in the ICC was performed; we evaluated the structure and operation of the ICC, the degree of incorporation of the software HAI Solutions and the adherence to record the required information. Results: Thirty-eight percent of hospitals (8/23) had active surveillance strategies with standard criteria of the CDC, and 87% of institutions adhered to the module of identification of cases using the HAI Solutions software. In contrast, compliance with the diligence of the risk factors for device-associated HAIs was 33%. Conclusions: The introduction of ES could achieve greater adherence to a model of active surveillance, standardized and prospective, helping to improve the validity and quality of the recorded information. PMID:26309340

Introduction of software tools for epidemiological surveillance in infection control in Colombia.

PubMed

Hernández-Gómez, Cristhian; Motoa, Gabriel; Vallejo, Marta; Blanco, Víctor M; Correa, Adriana; de la Cadena, Elsa; Villegas, María Virginia

2015-01-01

Healthcare-Associated Infections (HAI) are a challenge for patient safety in the hospitals. Infection control committees (ICC) should follow CDC definitions when monitoring HAI. The handmade method of epidemiological surveillance (ES) may affect the sensitivity and specificity of the monitoring system, while electronic surveillance can improve the performance, quality and traceability of recorded information. To assess the implementation of a strategy for electronic surveillance of HAI, Bacterial Resistance and Antimicrobial Consumption by the ICC of 23 high-complexity clinics and hospitals in Colombia, during the period 2012-2013. An observational study evaluating the introduction of electronic tools in the ICC was performed; we evaluated the structure and operation of the ICC, the degree of incorporation of the software HAI Solutions and the adherence to record the required information. Thirty-eight percent of hospitals (8/23) had active surveillance strategies with standard criteria of the CDC, and 87% of institutions adhered to the module of identification of cases using the HAI Solutions software. In contrast, compliance with the diligence of the risk factors for device-associated HAIs was 33%. The introduction of ES could achieve greater adherence to a model of active surveillance, standardized and prospective, helping to improve the validity and quality of the recorded information.

Electro-optic electrodes based on Lithium Niobate Mach Zhender Interferometer Modulators for wearable bioelectric activity recording

NASA Astrophysics Data System (ADS)

Fernandes, Mariana S.; Correia, José H.; Mendes, Paulo M.

2011-05-01

Wearable devices are used to record several physiological signals, providing unobtrusive and continuous monitoring. A main challenge in these systems is to develop new recording sensors, specially envisioning bioelectric activity detection. Available devices are difficult to integrate, mainly due to the amount of electrical wires and components needed. This work proposes a fiber-optic based device, which basis of operation relies on the electro-optic effect. A Lithium Niobate (LiBnO3) Mach-Zehnder Interferometer (MZI) modulator is used as the core sensing component, followed by a signal conversion and processing stage. Tests were performed in order to validate the proposed acquisition system in terms of signal amplification and quality, stability and frequency response. A light source with a wavelength operation of 1530- 1565 nm was used. The modulated intensity is amplified and converted to an output voltage with a high transimpedance gain. The filtering and electric amplification included a 50Hz notch filter, a bandpass filter with a -3 dB bandwidth from 0.50 to 35 Hz. The obtained system performance on key elements such as sensitivity, frequency content, and signal quality, have shown that the proposed acquisition system allows the development of new wearable bioelectric monitoring solutions based on optical technologies.

Comparison of accuracy and completeness of data obtained from three types of automatic water-quality monitors

USGS Publications Warehouse

Katzenbach, Max

1990-01-01

A comparison of data (specific conductance, dissolved-oxygen concentration, temperature, and pH) collected by the U.S. Geological Survey flowthrough monitor, the U.S. Geological Survey minimonitor, and a self-contained commercial 'packaged-sensor' system indicates that the data obtained by means of the most complete of the three systems. The U.S. Geological Survey flowthrough monitor is powered by 120-volt alternating current and in a heated weather-proof shelter. A pumping system brings water from the stream to sensors clustered in a sample clustered in a sample chamber located in the shelter. This instrument measures output from the senors; data are recorded in binary-coded decimal form on a 16-channel punched-paper tape recorder tape recorder housed in the shelter. The U.S. Geological Survey's minimonitor is powered by an external battery and is housed in a weatherproof shelter. This instrument measures output of instream sensors with extension cables having underwater connectors; data are recorded in binary-coded decimal form on a 16-channel punched-paper tape recorder housed in the shelter. The packaged-sensor system also measures output of senors housed in a packages that is submerged in the stream. It has internal power supply, no moving parts, and does not requires a weatherproof shelter; data are stored are stored in solid-state memory. Minimonitors were installed at four sites in Ohio where U.S. Geological survey flowthrough were in operation. Two package-sensor systems also were assigned to each site and were alternated every two weeks. Detailed records were kept of (1) field measurements, for comparison with monitor-system data from each instrument, and (2) equipment problems that resulted in loss of data. Results of the comparisons shows that the flow-through monitor gave the most accurate and the most complete data.

Stage-discharge relations and annual nitrogen and phosphorus load estimates for stream sites in the Elk River Basin, 2006–2008

USGS Publications Warehouse

Hoos, Anne B.; Williams, Shannon D.; Wolfe, William J.

2016-11-22

The U.S. Geological Survey, in cooperation with the Tennessee Department of Environment and Conservation (TDEC), measured continuous discharge at 4 water-quality monitoring sites and developed stage-discharge ratings for 10 additional water-quality monitoring sites in the Elk River Basin during 2006 through 2008. The discharge data were collected to support stream load assessments by TDEC. Annual nitrogen and phosphorus loads were estimated for the four sites where continuous daily discharge records were collected. Reported loads for the period 2006 through 2008 are not representative of long-term mean annual conditions at the sites in this study, however, because of severe drought conditions in the Elk River Basin during this period.

Network modeling of PM10 concentration in Malaysia

NASA Astrophysics Data System (ADS)

Supian, Muhammad Nazirul Aiman Abu; Bakar, Sakhinah Abu; Razak, Fatimah Abdul

2017-08-01

Air pollution is not a new phenomenon in Malaysia. The Department of Environment (DOE) monitors the country's ambient air quality through a network of 51 stations. The air quality is measured using the Air Pollution Index (API) which is mainly recorded based on the concentration of particulate matter, PM10 readings. The Continuous Air Quality Monitoring (CAQM) stations are located in various places across the country. In this study, a network model of air quality based on PM10 concen tration for selected CAQM stations in Malaysia has been developed. The model is built using a graph formulation, G = (V, E) where vertex, V is a set of CAQM stations and edges, E is a set of correlation values for each pair of vertices. The network measurements such as degree distributions, closeness centrality, and betweenness centrality are computed to analyse the behaviour of the network. As a result, a rank of CAQM stations has been produced based on their centrality characteristics.

Washable and Reliable Textile Electrodes Embedded into Underwear Fabric for Electrocardiography (ECG) Monitoring

PubMed Central

Ankhili, Amale; Tao, Xuyuan; Cochrane, Cédric; Coulon, David; Koncar, Vladan

2018-01-01

A medical quality electrocardiogram (ECG) signal is necessary for permanent monitoring, and an accurate heart examination can be obtained from instrumented underwear only if it is equipped with high-quality, flexible, textile-based electrodes guaranteeing low contact resistance with the skin. The main objective of this article is to develop reliable and washable ECG monitoring underwear able to record and wirelessly send an ECG signal in real time to a smart phone and further to a cloud. The article focuses on textile electrode design and production guaranteeing optimal contact impedance. Therefore, different types of textile fabrics were coated with modified poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) in order to develop and manufacture reliable and washable textile electrodes assembled to female underwear (bras), by sewing using commercially available conductive yarns. Washability tests of connected underwear containing textile electrodes and conductive threads were carried out up to 50 washing cycles. The influence of standardized washing cycles on the quality of ECG signals and the electrical properties of the textile electrodes were investigated and characterized. PMID:29414849

Washable and Reliable Textile Electrodes Embedded into Underwear Fabric for Electrocardiography (ECG) Monitoring.

PubMed

Ankhili, Amale; Tao, Xuyuan; Cochrane, Cédric; Coulon, David; Koncar, Vladan

2018-02-07

A medical quality electrocardiogram (ECG) signal is necessary for permanent monitoring, and an accurate heart examination can be obtained from instrumented underwear only if it is equipped with high-quality, flexible, textile-based electrodes guaranteeing low contact resistance with the skin. The main objective of this article is to develop reliable and washable ECG monitoring underwear able to record and wirelessly send an ECG signal in real time to a smart phone and further to a cloud. The article focuses on textile electrode design and production guaranteeing optimal contact impedance. Therefore, different types of textile fabrics were coated with modified poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) in order to develop and manufacture reliable and washable textile electrodes assembled to female underwear (bras), by sewing using commercially available conductive yarns. Washability tests of connected underwear containing textile electrodes and conductive threads were carried out up to 50 washing cycles. The influence of standardized washing cycles on the quality of ECG signals and the electrical properties of the textile electrodes were investigated and characterized.

Continuous water quality monitoring for the hard clam industry in Florida, USA.

PubMed

Bergquist, Derk C; Heuberger, David; Sturmer, Leslie N; Baker, Shirley M

2009-01-01

In 2000, Florida's fast-growing hard clam aquaculture industry became eligible for federal agricultural crop insurance through the US Department of Agriculture, but the responsibility for identifying the cause of mortality remained with the grower. Here we describe the continuous water quality monitoring system used to monitor hard clam aquaculture areas in Florida and show examples of the data collected with the system. Systems recording temperature, salinity, dissolved oxygen, water depth, turbidity and chlorophyll at 30 min intervals were installed at 10 aquaculture lease areas along Florida's Gulf and Atlantic coasts. Six of these systems sent data in real-time to a public website, and all 10 systems provided data for web-accessible archives. The systems documented environmental conditions that could negatively impact clam survival and productivity and identified biologically relevant water quality differences among clam aquaculture areas. Both the real-time and archived data were used widely by clam growers and nursery managers to make management decisions and in filing crop loss insurance claims. While the systems were labor and time intensive, we recommend adjustments that could reduce costs and staff time requirements.

Using 2H and 18O in assessing evaporation and water residence time of lakes in EPA’s National Lakes Assessment.

EPA Science Inventory

Stable isotopes of water and organic material can be very useful in monitoring programs because stable isotopes integrate information about ecological processes and record this information. Most ecological processes of interest for water quality (i.e. denitrification) require si...

Academic Achievement of Ugandan Sixth Grade Students: Influence of Parents' Education Levels

ERIC Educational Resources Information Center

Wamala, Robert; Kizito, Omala Saint; Jjemba, Evans

2013-01-01

The study investigates the influence of a father and mother's education on the academic achievement of their child. The investigation is based on data sourced from the 2009 Southern African Consortium for Monitoring Education Quality survey comprising 5,148 records of sixth grade students enrolled in Ugandan primary schools. Students' percentage…

Quality of diagnosis and monitoring of tuberculosis in Northern Ethiopia: medical records-based retrospective study.

PubMed

Mala, George; Spigt, Mark G; Gidding, Luc G; Blanco, Roman; Dinant, Geert-Jan

2015-10-01

To determine quality of diagnosis and monitoring of treatment response of patients with smear-negative pulmonary tuberculosis (TB) compared with smear-positive cases in Ethiopia. A retrospective analysis of medical records of newly diagnosed pulmonary TB cases that were registered for taking anti-TB medication and had completed treatment between 2010 and 2012. We evaluated the percentage of cases that were managed according to the International Standards of Tuberculosis Care (ISTC) and compared smear-negative with smear-positive cases. We analysed 1168 cases of which 742 (64%) were sputum smear-negative cases. Chest radiography examination at diagnosis and microbiological testing at the end of the intensive phase of treatment was performed in a smaller proportion than in smear-positive TB cases (70% vs. 79%, P value <0.001) and (70% vs. 95%, P value <0.001), respectively. Clinical actions recommended in the ISTC are of greatest importance in minimising pitfalls in care of smear-negative TB yet were performed less often in smear-negative than smear-positive TB cases. © The Author(s) 2015.

Ground-water conditions in Georgia, 1999

USGS Publications Warehouse

Cressler, Alan M.

2000-01-01

Ground-water conditions in Georgia during 1999 and for the period of record were evaluated using data from U.S. Geological Survey ground-water-level and ground-water-quality monitoring networks. Data for 1999 included in this report are from continuous water-level records from 130 wells and chloride analyses from 14 wells. Data from one well is incomplete because data collection was discontinued. Chloride concentration in water from the Upper Floridan aquifer in most of coastal Georgia was within drinking-water standards established by the Georgia Department of Natural Resources and the U.S. Environmental Protection Agency. In the Savannah area, chloride concentration has not changed appreciably with time. However, chloride concentration in water from some wells that tap the Floridan aquifer system in the Brunswick area exceeds the drinking-water standards. Ground-water-level and ground-water-quality data are essential for water assessment and management. Ground-water-level fluctuations and trends can be used to estimate changes in aquifer storage resulting from the effects of ground-water withdrawal and recharge from precipitation. These data can be used to address water-management needs and to evaluate the effects of management and conservation programs. As part of the ground-water investigations conducted by the U.S. Geological Survey (USGS), in cooperation with the State of Georgia and city and county governments, a Statewide water-level-measurement program was started in 1938. Initially, this program consisted of an observation-well network in the coastal area of Georgia to monitor variations in ground-water storage and quality. Additional wells were later included in areas where data could be used to aid in water resources development and management. During 1999, periodic water-level measurements were made in 46 wells, and continuous water-level measurements were obtained from 165 wells. Continuous water-level records were obtained using analog (pen and chart) recorders and electronic data recorders that record the water level at 60-minute intervals. For wells having incomplete water-level record, water levels during periods of missing record may have been higher or lower than recorded water levels. Water samples collected from 85 wells during May, June, July, August, September, October, November, and December 1999 were analyzed to determine chloride concentration in the Savannah and Brunswick areas.

Using a crowdsourced approach for monitoring water level in a remote Kenyan catchment

NASA Astrophysics Data System (ADS)

Weeser, Björn; Jacobs, Suzanne; Rufino, Mariana; Breuer, Lutz

2017-04-01

Hydrological models or effective water management strategies only succeed if they are based on reliable data. Decreasing costs of technical equipment lower the barrier to create comprehensive monitoring networks and allow both spatial and temporal high-resolution measurements. However, these networks depend on specialised equipment, supervision, and maintenance producing high running expenses. This becomes particularly challenging for remote areas. Low income countries often do not have the capacity to run such networks. Delegating simple measurements to citizens living close to relevant monitoring points may reduce costs and increase the public awareness. Here we present our experiences of using a crowdsourced approach for monitoring water levels in remote catchments in Kenya. We established a low-cost system consisting of thirteen simple water level gauges and a Raspberry Pi based SMS-Server for data handling. Volunteers determine the water level and transmit their records using a simple text message. These messages are automatically processed and real-time feedback on the data quality is given. During the first year, more than 1200 valid records with high quality have been collected. In summary, the simple techniques for data collecting, transmitting and processing created an open platform that has the potential for reaching volunteers without the need for special equipment. Even though the temporal resolution of measurements cannot be controlled and peak flows might be missed, this data can still be considered as a valuable enhancement for developing management strategies or for hydrological modelling.

Ambient concentrations of total suspended particulate matter and its elemental constituents at the wider area of the mining facilities of TVX Hellas in Chalkidiki, Greece.

PubMed

Gaidajis, George

2003-01-01

To assess ambient air quality at the wider area of TVX Hellas mining facilities, the Total Suspended Particulate matter (TSP) and its content in characteristic elements, i.e., As, Cd, Cu, Fe, Mn, Pb, Zn are being monitored for more than thirty months as part of the established Environmental Monitoring Program. High Volume air samplers equipped with Tissue Quartz filters were employed for the collection of TSP. Analyses were effected after digestion of the suspended particulate with an HNO3-HCl solution and determination of elemental concentrations with an Atomic Absorption Spectroscopy equipped with graphite furnace. The sampling stations were selected to record representatively the existing ambient air quality in the vicinity of the facilities and at remote sites not affected from industrial activities. Monitoring data indicated that the background TSP concentrations ranged from 5-60 microg/m3. Recorded TSP concentrations at the residential sites close to the facilities ranged between 20-100 microg/m3, indicating only a minimal influence from the mining and milling activities. Similar spatial variation was observed for the TSP constituents and specifically for Pb and Zn. To validate the monitoring procedures, a parallel sampling campaign took place with different High Volume samplers at days where low TSP concentrations were expected. The satisfactory agreement (+/- 11%) at low concentrations (50-100 microg/m3) clearly supported the reproducibility of the techniques employed specifically at the critical range of lower concentrations.

Process mining routinely collected electronic health records to define real-life clinical pathways during chemotherapy.

PubMed

Baker, Karl; Dunwoodie, Elaine; Jones, Richard G; Newsham, Alex; Johnson, Owen; Price, Christopher P; Wolstenholme, Jane; Leal, Jose; McGinley, Patrick; Twelves, Chris; Hall, Geoff

2017-07-01

There is growing interest in the use of routinely collected electronic health records to enhance service delivery and facilitate clinical research. It should be possible to detect and measure patterns of care and use the data to monitor improvements but there are methodological and data quality challenges. Driven by the desire to model the impact of a patient self-test blood count monitoring service in patients on chemotherapy, we aimed to (i) establish reproducible methods of process-mining electronic health records, (ii) use the outputs derived to define and quantify patient pathways during chemotherapy, and (iii) to gather robust data which is structured to be able to inform a cost-effectiveness decision model of home monitoring of neutropenic status during chemotherapy. Electronic Health Records at a UK oncology centre were included if they had (i) a diagnosis of metastatic breast cancer and received adjuvant epirubicin and cyclosphosphamide chemotherapy or (ii) colorectal cancer and received palliative oxaliplatin and infusional 5-fluorouracil chemotherapy, and (iii) were first diagnosed with cancer between January 2004 and February 2013. Software and a Markov model were developed, producing a schematic of patient pathways during chemotherapy. Significant variance from the assumed care pathway was evident from the data. Of the 535 patients with breast cancer and 420 with colorectal cancer there were 474 and 329 pathway variants respectively. Only 27 (5%) and 26 (6%) completed the planned six cycles of chemotherapy without having unplanned hospital contact. Over the six cycles, 169 (31.6%) patients with breast cancer and 190 (45.2%) patients with colorectal cancer were admitted to hospital. The pathways of patients on chemotherapy are complex. An iterative approach to addressing semantic and data quality issues enabled the effective use of routinely collected patient records to produce accurate models of the real-life experiences of chemotherapy patients and generate clinically useful information. Very few patients experience the idealised patient pathway that is used to plan their care. A better understanding of real-life clinical pathways through process mining can contribute to care and data quality assurance, identifying unmet needs, facilitating quantification of innovation impact, communicating with stakeholders, and ultimately improving patient care and outcomes. Copyright © 2017 Elsevier B.V. All rights reserved.

Spacelab Data Processing Facility (SLDPF) quality assurance expert systems development

NASA Technical Reports Server (NTRS)

Kelly, Angelita C.; Basile, Lisa; Ames, Troy; Watson, Janice; Dallam, William

1987-01-01

Spacelab Data Processing Facility (SLDPF) expert system prototypes were developed to assist in the quality assurance of Spacelab and/or Attached Shuttle Payload (ASP) processed telemetry data. The SLDPF functions include the capturing, quality monitoring, processing, accounting, and forwarding of mission data to various user facilities. Prototypes for the two SLDPF functional elements, the Spacelab Output Processing System and the Spacelab Input Processing Element, are described. The prototypes have produced beneficial results including an increase in analyst productivity, a decrease in the burden of tedious analyses, the consistent evaluation of data, and the providing of concise historical records.

Spacelab Data Processing Facility (SLDPF) quality assurance expert systems development

NASA Technical Reports Server (NTRS)

Kelly, Angelita C.; Basile, Lisa; Ames, Troy; Watson, Janice; Dallam, William

1987-01-01

Spacelab Data Processing Facility (SLDPF) expert system prototypes have been developed to assist in the quality assurance of Spacelab and/or Attached Shuttle Payload (ASP) processed telemetry data. SLDPF functions include the capturing, quality monitoring, processing, accounting, and forwarding of mission data to various user facilities. Prototypes for the two SLDPF functional elements, the Spacelab Output Processing System and the Spacelab Input Processing Element, are described. The prototypes have produced beneficial results including an increase in analyst productivity, a decrease in the burden of tedious analyses, the consistent evaluation of data, and the providing of concise historical records.

Effects of an Asthma Training and Monitoring Program on Children’s Disease Management and Quality of Life

PubMed Central

Ekici, Behice; Cimete, Güler

2015-01-01

OBJECTIVES To determine the effects of an asthma training and monitoring program on children’s disease management and quality of life. MATERIAL AND METHODS The sample consisted of 120 children and their parents. Data were collected during, at the beginning, and at the end of the 3-month monitoring period using four forms and a quality of life scale. After an initial evaluation, approaches to control symptoms and asthma triggers and measures that might be taken for them were taught to the children and parents. The children recorded the conditions of trigger exposure, experience of disease symptoms, their effects on daily activities, and therapeutic implementations on a daily basis. RESULTS During the 3-month monitoring period, the number of days when the children were exposed to triggers (p=0.000) and experienced disease symptoms decreased to a statistically significant level (p=0.006). Majority of domestic triggers disappeared, but those stemming from the structure of the house and non-domestic triggers indicated no change (p>0.05). Moreover, 30.8% of the children applied to a physician/hospital/emergency service, 4.2% of the children were hospitalized, and 30% of them could not go to school. The number of times when the children applied to a physician/hospital/emergency (p=0.013), the number of times they used medicines (p=0.050), and the number of days they could not go to school (p=0.002) decreased at a statistically significant level, and their quality of life increased (p=0.001). CONCLUSION Asthma training and monitoring program decreased children’s rate of experiencing asthma symptoms and implementations of therapeutic purposes and increased their life quality. PMID:29404097

Monitoring long-term oral corticosteroids

PubMed Central

Mundell, Lewis; Lindemann, Roberta; Douglas, James

2017-01-01

Corticosteroids are synthetic analogues of human hormones normally produced by the adrenal cortex. They have both glucocorticoid and mineralocorticoid properties. The glucocortoid components are anti-inflammatory, immunosuppressive, anti-proliferative and vasoconstrictive. They influence the metabolism of carbohydrate and protein, in addition to playing a key role in the body’s stress response. Mineralocorticoid’s main significance is in the balance of salt and water concentrations. Due to the combination of these effects, corticosteroids can cause many adverse effects. Oral corticosteroids are absorbed systemically and are therefore more likely to cause adverse effects than topical or inhaled corticosteroids. Furthermore, it is assumed that greater duration of treatment will lead to a greater number of adverse effects, and therefore the most at risk group are those taking high dose, long-term oral corticosteroids (LTOC). High dose is defined as a prescription of >5 mg oral prednisolone and long term as duration of treatment >1 month (based on National Institute for Health and Care Excellence guidance for patient’s ’at risk' of systemic side effects). Parameters to be monitored in primary care include weight, blood pressure, triglycerides, glucose and urea and electrolytes. From clinical experience within the general practice setting, the authors propose that these patients do not receive adequate baseline monitoring before starting corticosteroids nor are these markers monitored consistently thereafter. This project intended to evidence this claim, evaluate the adverse effect profile and improve monitoring in this patient group. The initial audit of 22 patients, within a single general practice, detected at least one documented adverse effect in 64% of patients, while 41% reported more than one adverse effect. 45% had recorded weight gain, 18% had recorded osteoporosis, 18% had at least one recorded cataract, 14% had recorded Hypertension, 14% had recorded diabetes mellitus, 9% had recorded dyspepsia and 5% had a recorded psychiatric complaint. All of these recorded conditions were either directly attributed to steroid medication or occurred since LTOC were prescribed. The aim of this project was to increase the percentage of patients on LTOC with complete baseline monitoring to 100%. ’Baseline monitoring' was defined as a measurement taken within the previous 5 years. Although somewhat arbitrary, 5 years was felt to be the maximum timeframe in which monitoring would still be relevant for comparison following introduction of LTOC. Quality improvement methodology was used throughout this project with multiple PDSA (Plan, Study, Do and Act) cycles. Through this, a monitoring system and protocol for patients taking LTOC was developed. As a result of this project, five adverse effects were detected in five different patients. These included two cases of secondary hypertension, one case of diabetes mellitus, one cataract and one case of adrenal insufficiency. 12 out of 20 patients achieved complete baseline monitoring. While this study did not fully achieve its aim, the aim was deliberately ambitious. As not all patients in this study attended for monitoring, a figure of 100% was impossible to achieve. The remaining ’incompletely monitored patients' had some but not all parameters measured. The creation of a staff protocol and increased clinical experience will ensure that complete monitoring takes place in the future. In conclusion, this project has shown that adverse effects from LTOC are prevalent in a single general practice population. It is also shown that monitoring for LTOC adverse effects is inadequate but can be improved relatively easily as skills and competencies from other medication monitoring systems already exist within healthcare settings and are immediately transferable. PMID:29450303

Monitoring long-term oral corticosteroids.

PubMed

Mundell, Lewis; Lindemann, Roberta; Douglas, James

2017-01-01

Corticosteroids are synthetic analogues of human hormones normally produced by the adrenal cortex. They have both glucocorticoid and mineralocorticoid properties. The glucocortoid components are anti-inflammatory, immunosuppressive, anti-proliferative and vasoconstrictive. They influence the metabolism of carbohydrate and protein, in addition to playing a key role in the body's stress response. Mineralocorticoid's main significance is in the balance of salt and water concentrations. Due to the combination of these effects, corticosteroids can cause many adverse effects. Oral corticosteroids are absorbed systemically and are therefore more likely to cause adverse effects than topical or inhaled corticosteroids. Furthermore, it is assumed that greater duration of treatment will lead to a greater number of adverse effects, and therefore the most at risk group are those taking high dose, long-term oral corticosteroids (LTOC). High dose is defined as a prescription of >5 mg oral prednisolone and long term as duration of treatment >1 month (based on National Institute for Health and Care Excellence guidance for patient's 'at risk' of systemic side effects). Parameters to be monitored in primary care include weight, blood pressure, triglycerides, glucose and urea and electrolytes. From clinical experience within the general practice setting, the authors propose that these patients do not receive adequate baseline monitoring before starting corticosteroids nor are these markers monitored consistently thereafter. This project intended to evidence this claim, evaluate the adverse effect profile and improve monitoring in this patient group. The initial audit of 22 patients, within a single general practice, detected at least one documented adverse effect in 64% of patients, while 41% reported more than one adverse effect. 45% had recorded weight gain, 18% had recorded osteoporosis, 18% had at least one recorded cataract, 14% had recorded Hypertension, 14% had recorded diabetes mellitus, 9% had recorded dyspepsia and 5% had a recorded psychiatric complaint. All of these recorded conditions were either directly attributed to steroid medication or occurred since LTOC were prescribed. The aim of this project was to increase the percentage of patients on LTOC with complete baseline monitoring to 100%. 'Baseline monitoring' was defined as a measurement taken within the previous 5 years. Although somewhat arbitrary, 5 years was felt to be the maximum timeframe in which monitoring would still be relevant for comparison following introduction of LTOC. Quality improvement methodology was used throughout this project with multiple PDSA (Plan, Study, Do and Act) cycles. Through this, a monitoring system and protocol for patients taking LTOC was developed. As a result of this project, five adverse effects were detected in five different patients. These included two cases of secondary hypertension, one case of diabetes mellitus, one cataract and one case of adrenal insufficiency. 12 out of 20 patients achieved complete baseline monitoring. While this study did not fully achieve its aim, the aim was deliberately ambitious. As not all patients in this study attended for monitoring, a figure of 100% was impossible to achieve. The remaining 'incompletely monitored patients' had some but not all parameters measured. The creation of a staff protocol and increased clinical experience will ensure that complete monitoring takes place in the future. In conclusion, this project has shown that adverse effects from LTOC are prevalent in a single general practice population. It is also shown that monitoring for LTOC adverse effects is inadequate but can be improved relatively easily as skills and competencies from other medication monitoring systems already exist within healthcare settings and are immediately transferable.

[Spatial representativeness of monitoring stations for air quality in Florence (Tuscany Region, Central Italy) according to ARPAT e LaMMA. Critical observations].

PubMed

Grechi, Daniele

2016-01-01

On March 2015, the Environmental Protection Agency of Tuscany Region (Central Italy) and the Laboratory of monitoring and environmental modelling published a Report on spatial representativeness of monitoring stations for Tuscan air quality, where they supported the decommissioning of modelling stations located in the Florentine Plain. The stations of Signa, Scandicci, and Firenze-Bassi, located in a further South area, were considered representative Believing that air quality of the Plain could be evaluated by these stations is a stretch. In this text the author show the inconsistency of the conclusion of the Report through correlation graphs comparing daily means of PM10 detected in the disposed stations and in the active ones, showing relevant differences between the reported values and the days when the limits are exceeded. The discrepancy is due to the fact that uncertainty of theoretical estimates is greater than the differences recorded by the stations considered as a reference and the areas they may represent. The area of the Plain has a population of 150,000 individuals and it is subject to a heavy environmental pression, which will change for the urban works planned for the coming years. The population's legitimate request for the analytical monitoring of air pollution could be met through the organization of participated monitoring based on the use of low-cost innovative tools.

Low-Dose Naltrexone Treatment of Familial Benign Pemphigus (Hailey-Hailey Disease).

PubMed

Ibrahim, Omer; Hogan, Sara R; Vij, Alok; Fernandez, Anthony P

2017-10-01

Familial benign pemphigus, or Hailey-Hailey disease (HHD), is a rare and debilitating genetic dermatosis characterized by chronic, recurrent vesicles, erosions, and maceration in flexural areas. Despite the reported therapeutic modalities, such as topical and systemic corticosteroids, systemic immunomodulators, topical and systemic retinoids, and laser, HHD can still be markedly difficult to control. To assess low-dose naltrexone hydrochloride in the treatment of recalcitrant HHD. In this case series, 3 patients with biopsy-proven recalcitrant HHD were evaluated in the outpatient dermatology clinic at the Cleveland Clinic. Each patient was treated with low-dose naltrexone hydrochloride at a dosage of 1.5 to 3.0 mg per day. No laboratory monitoring was necessary. Clinical response (healing of erosions, improvement in erythema, and alleviation of pain), adverse effects, and subjective quality of life were monitored throughout the treatment. The study dates were January 2016 to January 2017. Objective clinical response as assessed by the treating dermatologist, subjective quality of life as reported by the patient, and recorded adverse effects were monitored throughout the treatment at intervals of 2 to 3 months. The 3 patients included a woman in her 40s and 2 men in their 60s. Each patient exhibited at least an 80% improvement in extent of disease, with one patient demonstrating 90% clearance. All 3 patients had substantial improvement in quality of life, with one patient reporting improvement in his depression. No adverse effects were recorded. Low-dose naltrexone may represent a low-cost and low-risk alternative or adjunct in the treatment of HHD.

[Classification and monitoring of the appropriateness of emergency admissions in a tertiary hospital].

PubMed

López-Picazo Ferrer, J J; Tomás García, N; Cubillana Herrero, J D; Gómez Company, J A; de Dios Cánovas García, J

2014-01-01

To measure the appropriateness of hospital admissions, to classify its Clinical Services (CS) according to the level of inappropriateness, and to determine the usefulness of applying rapid assessment techniques (lot quality assurance sampling) in these types of measurements. A descriptive, retrospective study was conducted in a tertiary hospital to assess the clinical records of emergency admissions to the 12 CS with a higher volume of admissions, using the Appropriateness Evaluation Protocol (AEP). A four-level («A» to «D») increasingly inadequate admissions scale was constructed setting both standard and threshold values in every stratum. Every CS was classified in one of them using lot quality assurance sampling (LQAS). A total of 156 cases (13 cases from every CS) were assessed. The assessment effort (devoted time) was also estimated. There were 22.4±6.3% of inadequate admissions. In the CS classification, 9 (75%) got a good or acceptable appropriateness level, and only 1 (8%) got an inacceptable level. The time devoted was estimated at 17 hours. AEP is useful to assess the admission appropriateness and may be included in the «Emergencies» process management, although its variability prevents the use for external comparisons. If both LQAS and the appropriateness classification level and the global estimation (by unifying lot samples) are combined, the monitoring is affordable without a great effort. To extend these tools to other quality indicators requiring direct observation or clinical records, manual assessment could improve the monitoring efficiency. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

Water Resources Data, Georgia, 2001, Volume 2: Continuous ground-water level data, and periodic surface-water- and ground-water-quality data, Calendar Year 2001

USGS Publications Warehouse

Coffin, Robert; Grams, Susan C.; Cressler, Alan M.; Leeth, David C.

2001-01-01

Water resources data for the 2001 water year for Georgia consists of records of stage, discharge, and water quality of streams; and the stage and contents of lakes and reservoirs published in two volumes in a digital format on a CD-ROM. Volume one of this report contains water resources data for Georgia collected during water year 2001, including: discharge records of 133 gaging stations; stage for 144 gaging stations; precipitation for 58 gaging stations; information for 19 lakes and reservoirs; continuous water-quality records for 17 stations; the annual peak stage and annual peak discharge for 76 crest-stage partial-record stations; and miscellaneous streamflow measurements at 27 stations, and miscellaneous water-quality data recorded by the NAWQA program in Georgia. Volume two of this report contains water resources data for Georgia collected during calendar year 2001, including continuous water-level records of 159 ground-water wells and periodic records at 138 water-quality stations. These data represent that part of the National Water Data System collected by the U.S. Geological Survey and cooperating State and Federal agencies in Georgia. Note: Historically, this report was published as a paper report. For the 1999 and subsequent water-year reports, the Water Resources Data for Georgia changed to a new, more informative and functional format on CD-ROM. The format is based on a geographic information system (GIS) user interface that allows the user to view map locations of the hydrologic monitoring stations and networks within respective river basins. To obtain a copy of the CD version of this report, you may call the U.S. Geological Survey office in Atlanta at (770) 903-9100, or send e-mail to request the publication. Please include your name and mailing address in your e-mail.

Preventing extravasation injuries in neonates.

PubMed

Tong, Rachael

2007-10-01

Sick and preterm neonates are particularly vulnerable to extravasation injury but many of these injuries could be prevented if a 'hyper-vigilant' approach to monitoring of the intravenous access is adopted. A number of barriers exist that may prevent rigorous and continuous monitoring of intravenous access sites in neonatal units. Several themes were identified in the literature as supporting quality nursing practice in this area, including: staffing and skill mix, preceptorship of newly qualified staff, continuing professional development, record keeping and communication. These themes are explored and recommendations made to help reduce the incidence of extravasation injury.

Non-invasive continuous blood pressure monitoring of tachycardic episodes during interventional electrophysiology.

PubMed

Maggi, Roberto; Viscardi, Valentina; Furukawa, Toshiyuki; Brignole, Michele

2010-11-01

We thought to evaluate feasibility of continuous non-invasive blood pressure monitoring during procedures of interventional electrophysiology. We evaluated continuous non-invasive finger blood pressure (BP) monitoring by means of the Nexfin device in 22 patients (mean age 70 ± 24 years), undergoing procedures of interventional electrophysiology, in critical situations of hypotension caused by tachyarrhythmias or by intermittent incremental ventricular temporary pacing till to the maximum tolerated systolic BP fall (mean 61 ± 14 mmHg per patient at a rate of 195 ± 37 bpm). In all patients, Nexfin was able to detect immediately, at the onset of tachyarrythmia, the changes in BP and recorded reliable waveforms. The quality of the signal was arbitrarily classified as excellent in 11 cases, good in 10 cases, and sufficient in 1 case. In basal conditions, calibrations of the signal occurred every 49.2 ± 24.3 s and accounted for 4% of total monitoring time; during tachyarrhythmias their frequency increased to one every 12.7 s and accounted for 19% of total recording duration. A linear correlation for a range of BP values from 41 to 190 mmHg was found between non-invasive and intra-arterial BP among a total of 1055 beats from three patients who underwent simultaneous recordings with both methods (coefficient of correlation of 0.81, P < 0.0001). In conclusion, continuous non-invasive BP monitoring is feasible in the clinical practise of an interventional electrophysiology laboratory without the need of utilization of an intra-arterial BP line.

Three-month validation of a turbuhaler electronic monitoring device: implications for asthma clinical trial use

PubMed Central

Pilcher, Janine; Shirtcliffe, Philippa; Patel, Mitesh; McKinstry, Steve; Cripps, Terrianne; Weatherall, Mark; Beasley, Richard

2015-01-01

Background Electronic monitoring of inhaled asthma therapy is suggested as the ‘gold standard’ for measuring patterns of medication use in clinical trials. The SmartTurbo (Adherium (NZ) Ltd, Auckland, New Zealand) is an electronic monitor for use with a turbuhaler device (AstraZeneca, UK). The aim of this study was to determine the accuracy of the SmartTurbo in recording Symbicort actuations over a 12-week period of use. Methods Twenty SmartTurbo monitors were attached to the base of 20 Symbicort turbuhalers. Bench testing in a research facility was undertaken on days 0, 5, 6, 7, 8, 9, 14, 21, 28, 56 and 84. Patterns of ‘low-use’ (2 sets of 2 actuations on the same day) and ‘high-use’ (2 sets of 8 actuations on the same day) were performed. The date and time of actuations were recorded in a paper diary and compared with data uploaded from the SmartTurbo monitors. Results 2800 actuations were performed. Monitor sensitivity was 99.9% with a lower 97.5% confidence bound of 99.6%. The positive predictive value was 99.9% with a 97.5% lower confidence bound of 99.7%. Accuracy was not affected by whether the pattern of inhaler use was low or high, or whether there was a delay in uploading the actuation data. Conclusions The SmartTurbo monitor is highly accurate in recording and retaining electronic data in this 12-week bench study. It can be recommended for use in clinical trial settings, in which quality control systems are incorporated into study protocols to ensure accurate data acquisition. PMID:26629345

Teacher Competence and the Academic Achievement of Sixth Grade Students in Uganda

ERIC Educational Resources Information Center

Wamala, Robert; Seruwagi, Gerald

2013-01-01

The study investigates the influence of teacher competence on the academic achievement of sixth grade students in Uganda. The investigation is based on data sourced from the 2009 Southern African Consortium for Monitoring Education Quality (SACMEQ) survey comprising 5,148 records of sixth grade students enrolled in primary schools in Uganda. The…

Cutaneous Recording and Stimulation of Muscles Using Organic Electronic Textiles.

PubMed

Papaiordanidou, Maria; Takamatsu, Seiichi; Rezaei-Mazinani, Shahab; Lonjaret, Thomas; Martin, Alain; Ismailova, Esma

2016-08-01

Electronic textiles are an emerging field providing novel and non-intrusive solutions for healthcare. Conducting polymer-coated textiles enable a new generation of fully organic surface electrodes for electrophysiological evaluations. Textile electrodes are able to assess high quality muscular monitoring and to perform transcutaneous electrical stimulation. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

ATLAS fast physics monitoring: TADA

NASA Astrophysics Data System (ADS)

Sabato, G.; Elsing, M.; Gumpert, C.; Kamioka, S.; Moyse, E.; Nairz, A.; Eifert, T.; ATLAS Collaboration

2017-10-01

The ATLAS experiment at the LHC has been recording data from proton-proton collisions with 13 TeV center-of-mass energy since spring 2015. The collaboration is using a fast physics monitoring framework (TADA) to automatically perform a broad range of fast searches for early signs of new physics and to monitor the data quality across the year with the full analysis level calibrations applied to the rapidly growing data. TADA is designed to provide fast feedback directly after the collected data has been fully calibrated and processed at the Tier-0. The system can monitor a large range of physics channels, offline data quality and physics performance quantities. TADA output is available on a website accessible by the whole collaboration. It gets updated twice a day with the data from newly processed runs. Hints of potentially interesting physics signals or performance issues identified in this way are reported to be followed up by physics or combined performance groups. The note reports as well about the technical aspects of TADA: the software structure to obtain the input TAG files, the framework workflow and structure, the webpage and its implementation.

Water Quality Sensing and Spatio-Temporal Monitoring Structure with Autocorrelation Kernel Methods.

PubMed

Vizcaíno, Iván P; Carrera, Enrique V; Muñoz-Romero, Sergio; Cumbal, Luis H; Rojo-Álvarez, José Luis

2017-10-16

Pollution on water resources is usually analyzed with monitoring campaigns, which consist of programmed sampling, measurement, and recording of the most representative water quality parameters. These campaign measurements yields a non-uniform spatio-temporal sampled data structure to characterize complex dynamics phenomena. In this work, we propose an enhanced statistical interpolation method to provide water quality managers with statistically interpolated representations of spatial-temporal dynamics. Specifically, our proposal makes efficient use of the a priori available information of the quality parameter measurements through Support Vector Regression (SVR) based on Mercer's kernels. The methods are benchmarked against previously proposed methods in three segments of the Machángara River and one segment of the San Pedro River in Ecuador, and their different dynamics are shown by statistically interpolated spatial-temporal maps. The best interpolation performance in terms of mean absolute error was the SVR with Mercer's kernel given by either the Mahalanobis spatial-temporal covariance matrix or by the bivariate estimated autocorrelation function. In particular, the autocorrelation kernel provides with significant improvement of the estimation quality, consistently for all the six water quality variables, which points out the relevance of including a priori knowledge of the problem.

Water Quality Sensing and Spatio-Temporal Monitoring Structure with Autocorrelation Kernel Methods

PubMed Central

Vizcaíno, Iván P.; Muñoz-Romero, Sergio; Cumbal, Luis H.

2017-01-01

Pollution on water resources is usually analyzed with monitoring campaigns, which consist of programmed sampling, measurement, and recording of the most representative water quality parameters. These campaign measurements yields a non-uniform spatio-temporal sampled data structure to characterize complex dynamics phenomena. In this work, we propose an enhanced statistical interpolation method to provide water quality managers with statistically interpolated representations of spatial-temporal dynamics. Specifically, our proposal makes efficient use of the a priori available information of the quality parameter measurements through Support Vector Regression (SVR) based on Mercer’s kernels. The methods are benchmarked against previously proposed methods in three segments of the Machángara River and one segment of the San Pedro River in Ecuador, and their different dynamics are shown by statistically interpolated spatial-temporal maps. The best interpolation performance in terms of mean absolute error was the SVR with Mercer’s kernel given by either the Mahalanobis spatial-temporal covariance matrix or by the bivariate estimated autocorrelation function. In particular, the autocorrelation kernel provides with significant improvement of the estimation quality, consistently for all the six water quality variables, which points out the relevance of including a priori knowledge of the problem. PMID:29035333

Remote monitoring of videourodynamics using smart phone and free instant messaging software.

PubMed

Hsieh, Po-Fan; Chang, Chao-Hsiang; Lien, Chi-Shun; Wu, Hsi-Chin; Hsiao, Po-Jen; Chou, Eric Chieh-Lung

2013-11-01

To evaluate the feasibility of using smart phones plus free instant messaging software for remote monitoring of videourodynamics. From November 2011 to October 2012, 85 females with voiding disorders were enrolled for videourodynamic tests. The patients were assigned to videourodynamics remotely monitored by the attending physician by using iPhone/iPad and Skype (group 1) and videourodynamics with the attending physician present (group 2). The procedural time and videourodynamic qualities, assessed by the frequency of adherence to the modified Sullivan criteria, in each group were recorded and compared. There were 44 and 41 patients in group 1 and group 2, respectively. The mean procedural time was comparable between group 1 and group 2 (56.3 vs. 54.4 min, P = 0.25). The frequencies of adherence to the modified Sullivan criteria were similar in each group. The qualities of videourodynamics under the attending physician's remote or direct monitoring were both appropriate. Based on the convenience of Internet, the popularity of smart phones and the intention to make the urologists use their time more efficiently, our study provides remote monitoring as an alternative way for performing videourodynamics. © 2013 Wiley Periodicals, Inc.

Assessment of air quality in and around a steel industry with direct reduction iron route.

PubMed

Jena, Pradip K; Behera, Dillip K; Mishra, C S K; Mohanty, Saswat K

2011-10-01

The coal based Direct Reduced Iron (DRI) route for secondary steel production is now a preferred choice in India. Steel making is invariably associated with emission of air pollutants into the environment. Air quality monitoring was carried out in Winter, Summer and Rainy seasons of 2008 in eight monitoring stations in the work zone and five stations in the residential zone of an Integrated Steel Industry located in Orissa state, India. Four air quality parameters i.e. SPM, RSPM, SO2 and NO2 were monitored. Mean SPM and RSPM values were found to be significantly high (p < 0.01) at stations nearer to source in both work zone and residential zone .The highest average SPM and RSPM values in the work zone recorded were 4869 microg/m3 and 1420 microg/m3 and in the residential zone 294 microg/m3 and 198 microg/m3 respectively. No significant difference in the SO2 and NO2 levels was observed between the work and residential zones. In general, the values of air pollutants were highest in Winter followed by Summer and Rainy season. SPM and RSPM values exceeded the National Air Quality Standards (NAAQS) in both the residential and work zones.

Identification and description of potential ground-water quality monitoring wells in Florida

USGS Publications Warehouse

Seaber, P.R.; Thagard, M.E.

1986-01-01

The results of a survey of existing wells in Florida that meet the following criteria are presented: (1) well location is known , (2) principal aquifer is known, (3) depth of well is known, (4) well casing depth is known, (5) well water had been analyzed between 1970 and 1982, and (6) well data are stored in the U.S. Geological Survey 's (USGS) computer files. Information for more than 20,000 wells in Florida were stored in the USGS Master Water Data Index of the National Water Data Exchange and in the National Water Data Storage and Retrieval System 's Groundwater Site Inventory computerized files in 1982. Wells in these computer files that had been sampled for groundwater quality before November 1982 in Florida number 13,739; 1,846 of these wells met the above criteria and are the potential (or candidate) groundwater quality monitoring wells included in this report. The distribution by principal aquifer of the 1,846 wells identified as potential groundwater quality monitoring wells is as follows: 1,022 tap the Floridan aquifer system, 114 tap the intermediate aquifers, 232 tap the surficial aquifers, 246 tap the Biscayne aquifer, and 232 tap the sand-and-gravel aquifer. These wells are located in 59 of Florida 's 67 counties. This report presents the station descriptions, which include location , site characteristics, period of record, and the type and frequency of chemical water quality data collected for each well. The 1,846 well locations are plotted on 14 USGS 1:250,000 scale, 1 degree by 2 degree, quadrangle maps. This relatively large number of potential (or candidate) monitoring wells, geographically and geohydrologically dispersed, provides a basis for a future groundwater quality monitoring network and computerized data base for Florida. There is a large variety of water quality determinations available from these wells, both areally and temporally. Future sampling of these wells would permit analyses of time and areal trends for selected water quality characteristics throughout the State. The identification and description of the potential monitoring wells and the listing of the type and frequency of the groundwater quality data forms a foundation for both the network and the data base. (Author 's abstract)

Biomagnetic Monitoring of Atmospheric Pollution: A Review of Magnetic Signatures from Biological Sensors.

PubMed

Hofman, Jelle; Maher, Barbara A; Muxworthy, Adrian R; Wuyts, Karen; Castanheiro, Ana; Samson, Roeland

2017-06-20

Biomagnetic monitoring of atmospheric pollution is a growing application in the field of environmental magnetism. Particulate matter (PM) in atmospheric pollution contains readily measurable concentrations of magnetic minerals. Biological surfaces, exposed to atmospheric pollution, accumulate magnetic particles over time, providing a record of location-specific, time-integrated air quality information. This review summarizes current knowledge of biological material ("sensors") used for biomagnetic monitoring purposes. Our work addresses the following: the range of magnetic properties reported for lichens, mosses, leaves, bark, trunk wood, insects, crustaceans, mammal and human tissues; their associations with atmospheric pollutant species (PM, NO x , trace elements, PAHs); the pros and cons of biomagnetic monitoring of atmospheric pollution; current challenges for large-scale implementation of biomagnetic monitoring; and future perspectives. A summary table is presented, with the aim of aiding researchers and policy makers in selecting the most suitable biological sensor for their intended biomagnetic monitoring purpose.

Establishing a gold standard for manual cough counting: video versus digital audio recordings

PubMed Central

Smith, Jaclyn A; Earis, John E; Woodcock, Ashley A

2006-01-01

Background Manual cough counting is time-consuming and laborious; however it is the standard to which automated cough monitoring devices must be compared. We have compared manual cough counting from video recordings with manual cough counting from digital audio recordings. Methods We studied 8 patients with chronic cough, overnight in laboratory conditions (diagnoses were 5 asthma, 1 rhinitis, 1 gastro-oesophageal reflux disease and 1 idiopathic cough). Coughs were recorded simultaneously using a video camera with infrared lighting and digital sound recording. The numbers of coughs in each 8 hour recording were counted manually, by a trained observer, in real time from the video recordings and using audio-editing software from the digital sound recordings. Results The median cough frequency was 17.8 (IQR 5.9–28.7) cough sounds per hour in the video recordings and 17.7 (6.0–29.4) coughs per hour in the digital sound recordings. There was excellent agreement between the video and digital audio cough rates; mean difference of -0.3 coughs per hour (SD ± 0.6), 95% limits of agreement -1.5 to +0.9 coughs per hour. Video recordings had poorer sound quality even in controlled conditions and can only be analysed in real time (8 hours per recording). Digital sound recordings required 2–4 hours of analysis per recording. Conclusion Manual counting of cough sounds from digital audio recordings has excellent agreement with simultaneous video recordings in laboratory conditions. We suggest that ambulatory digital audio recording is therefore ideal for validating future cough monitoring devices, as this as this can be performed in the patients own environment. PMID:16887019

Use of retrospective data to assess ecotoxicological monitoring needs for terrestrial vertebrates residing in Atlantic coast estuaries

USGS Publications Warehouse

Cohen, J.B.; Rattner, B.A.; Golden, N.H.

2003-01-01

The 'Contaminant Exposure and Effects--Terrestrial Vertebrates' (CEE-TV) database contains 4,336 records of ecotoxicological information for free-ranging amphibians, reptiles, birds, and mammals residing in Atlantic and Florida Gulf coast estuaries and their drainages. To identify spatial data gaps, those CEE-TV records for which the specific study location were known (n=2,740) were combined with watershed and wildlife management unit boundaries using Geographic Information Systems software. The U.S. Environmental Protection Agency's Index of Watershed Indicators (IWI), which classifies watersheds based on water quality and their vulnerability to pollution, was used to prioritize these data gaps. Of 136 watersheds in the study area, 15 that are classified by the IWI as having water quality problems or high vulnerability to pollution lacked terrestrial vertebrate ecotoxicological monitoring or research in the past decade. Older studies within some of these watersheds documented high levels of contaminants in wildlife tissues. Of 90 National Wildlife Refuge units, 42 without current data fall within watersheds of concern. Of 40 National Park units larger than 1 km2, 17 without current data fall within watersheds of concern. Issues encountered in this analysis highlighted the need for spatially and temporally replicated field monitoring programs that utilize random sampling. Without data from such studies, it will be difficult to perform unbiased assessments of regional trends in contaminant exposure and effects in terrestrial vertebrates.

Use of retrospective data to assess ecotoxicological monitoring needs for terrestrial vertebrates residing in Atlantic coast estuaries.

PubMed

Cohen, Jonathan B; Rattner, Barnett A; Golden, Nancy H

2003-01-01

The "Contaminant Exposure and Effects-Terrestrial Vertebrates" (CEE-TV) database contains 4,336 records of ecotoxicological information for free-ranging amphibians, reptiles, birds, and mammals residing in Atlantic and Florida Gulf coast estuaries and their drainages. To identify spatial data gaps, those CEE-TV records for which the specific study location were known (n = 2,740) were combined with watershed and wildlife management unit boundaries using Geographic Information Systems software. The US Environmental Protection Agency's Index of Watershed Indicators (IWI), which classifies watersheds based on water quality and their vulnerability to pollution, was used to prioritize these data gaps. Of 136 watersheds in the study area, 15 that are classified by the IWI as having water quality problems or high vulnerability to pollution lacked terrestrial vertebrate ecotoxicological monitoring or research in the past decade. Older studies within some of these watersheds documented high levels of contaminants in wildlife tissues. Of 90 National Wildlife Refuge units, 42 without current data fall within watersheds of concern. Of 40 National Park units larger than 1 km2, 17 without current data fall within watersheds of concern. Issues encountered in this analysis highlighted the need for spatially and temporally replicated field monitoring programs that utilize random sampling. Without data from such studies, it will be difficult to perform unbiased assessments of regional trends in contaminant exposure and effects in terrestrial vertebrates.

Computerized wheeze detection in young infants: comparison of signals from tracheal and chest wall sensors.

PubMed

Puder, Lia C; Wilitzki, Silke; Bührer, Christoph; Fischer, Hendrik S; Schmalisch, Gerd

2016-12-01

Computerized wheeze detection is an established method for objective assessment of respiratory sounds. In infants, this method has been used to detect subclinical airway obstruction and to monitor treatment effects. The optimal location for the acoustic sensors, however, is unknown. The aim of this study was to evaluate the quality of respiratory sound recordings in young infants, and to determine whether the position of the sensor affected computerized wheeze detection. Respiratory sounds were recorded over the left lateral chest wall and the trachea in 112 sleeping infants (median postmenstrual age: 49 weeks) on 129 test occasions using an automatic wheeze detection device (PulmoTrack ® ). Each recording lasted 10 min and the recordings were stored. A trained clinician retrospectively evaluated the recordings to determine sound quality and disturbances. The wheeze rates of all undisturbed tracheal and chest wall signals were compared using Bland-Altman plots. Comparison of wheeze rates measured over the trachea and the chest wall indicated strong correlation (r  ⩾  0.93, p  <  0.001), with a bias of 1% or less and limits of agreement of within 3% for the inspiratory wheeze rate and within 6% for the expiratory wheeze rate. However, sounds from the chest wall were more often affected by disturbances than sounds from the trachea (23% versus 6%, p  <  0.001). The study suggests that in young infants, a better quality of lung sound recordings can be obtained with the tracheal sensor.

OASYS: a computerized auditing system for orthopaedic surgery.

PubMed

Stoodley, M A; Sikorski, J M

1991-11-01

Medical auditing based on individual diagnoses or specific therapies is well established. Auditing of all medical activity has an expanding role in quality assurance and research. In an attempt to overcome the limitations of existing auditing systems, a fundamentally different, flexible, high quality and easily accessible orthopaedic auditing system has been developed. This records a description of each component of patients' orthopaedic diagnoses, records treatment and complications, produces discharge letters and surgical log books and allows flexible and comprehensive audits. It has been in use in an orthopaedic service since January 1990 and has been successful in identifying problems and monitoring the effectiveness of changes. It is anticipated that the system will become more widely used and provide the basis for a 'user group' which will share the accumulated data and further development costs.

Role of Large Clinical Datasets From Physiologic Monitors in Improving the Safety of Clinical Alarm Systems and Methodological Considerations: A Case From Philips Monitors.

PubMed

Sowan, Azizeh Khaled; Reed, Charles Calhoun; Staggers, Nancy

2016-09-30

Large datasets of the audit log of modern physiologic monitoring devices have rarely been used for predictive modeling, capturing unsafe practices, or guiding initiatives on alarm systems safety. This paper (1) describes a large clinical dataset using the audit log of the physiologic monitors, (2) discusses benefits and challenges of using the audit log in identifying the most important alarm signals and improving the safety of clinical alarm systems, and (3) provides suggestions for presenting alarm data and improving the audit log of the physiologic monitors. At a 20-bed transplant cardiac intensive care unit, alarm data recorded via the audit log of bedside monitors were retrieved from the server of the central station monitor. Benefits of the audit log are many. They include easily retrievable data at no cost, complete alarm records, easy capture of inconsistent and unsafe practices, and easy identification of bedside monitors missed from a unit change of alarm settings adjustments. Challenges in analyzing the audit log are related to the time-consuming processes of data cleaning and analysis, and limited storage and retrieval capabilities of the monitors. The audit log is a function of current capabilities of the physiologic monitoring systems, monitor's configuration, and alarm management practices by clinicians. Despite current challenges in data retrieval and analysis, large digitalized clinical datasets hold great promise in performance, safety, and quality improvement. Vendors, clinicians, researchers, and professional organizations should work closely to identify the most useful format and type of clinical data to expand medical devices' log capacity.

Normal streamflows and water levels continue—Summary of hydrologic conditions in Georgia, 2014

USGS Publications Warehouse

Knaak, Andrew E.; Ankcorn, Paul D.; Peck, Michael F.

2016-03-31

The U.S. Geological Survey (USGS) South Atlantic Water Science Center (SAWSC) Georgia office, in cooperation with local, State, and other Federal agencies, maintains a long-term hydrologic monitoring network of more than 350 real-time, continuous-record, streamflow-gaging stations (streamgages). The network includes 14 real-time lake-level monitoring stations, 72 real-time surface-water-quality monitors, and several water-quality sampling programs. Additionally, the SAWSC Georgia office operates more than 204 groundwater monitoring wells, 39 of which are real-time. The wide-ranging coverage of streamflow, reservoir, and groundwater monitoring sites allows for a comprehensive view of hydrologic conditions across the State. One of the many benefits this monitoring network provides is a spatially distributed overview of the hydrologic conditions of creeks, rivers, reservoirs, and aquifers in Georgia.Streamflow and groundwater data are verified throughout the year by USGS hydrographers and made available to water-resource managers, recreationists, and Federal, State, and local agencies. Hydrologic conditions are determined by comparing the statistical analyses of data collected during the current water year to historical data. Changing hydrologic conditions underscore the need for accurate, timely data to allow informed decisions about the management and conservation of Georgia’s water resources for agricultural, recreational, ecological, and water-supply needs and in protecting life and property.

An ultra-high input impedance ECG amplifier for long-term monitoring of athletes.

PubMed

Gargiulo, Gaetano; Bifulco, Paolo; Cesarelli, Mario; Ruffo, Mariano; Romano, Maria; Calvo, Rafael A; Jin, Craig; van Schaik, André

2010-01-01

We present a new, low-power electrocardiogram (ECG) recording system with an ultra-high input impedance that enables the use of long-lasting, dry electrodes. The system incorporates a low-power Bluetooth module for wireless connectivity and is designed to be suitable for long-term monitoring during daily activities. The new system using dry electrodes was compared with a clinically approved ECG reference system using gelled Ag/AgCl electrodes and performance was found to be equivalent. In addition, the system was used to monitor an athlete during several physical tasks, and a good quality ECG was obtained in all cases, including when the athlete was totally submerged in fresh water.

Monitoring and evaluation of the water quality of Budeasa Reservoir-Arges River, Romania.

PubMed

Ion, Antoanela; Vladescu, Luminita; Badea, Irinel Adriana; Comanescu, Laura

2016-09-01

The purpose of this study was to monitor and record the specific characteristics and properties of the Arges River water in the Budeasa Reservoir (the principal water resources of municipal tap water of the big Romanian city Pitesti and surrounding area) for a period of 5 years (2005-2009). The monitored physical and chemical parameters were turbidity, pH, electrical conductivity, chemical oxygen demand, 5 days biochemical oxygen demand, free dissolved oxygen, nitrite, nitrate, ammonia nitrogen, chloride, total dissolved iron ions, sulfate, manganese, phosphate, total alkalinity, and total hardness. The results were discussed in correlation with the precipitation values during the study. Monthly and annual values of each parameter determined in the period January 2005-December 2009 were used as a basis for the classification of Budeasa Reservoir water, according to the European legislation, as well as for assessing its quality as a drinking water supply. Principal component analysis and Pearson correlation coefficients were used as statistical procedures in order to evaluate the data obtained during this study.

Hanford Internal Dosimetry Project manual. Revision 1

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

Carbaugh, E.H.; Bihl, D.E.; MacLellan, J.A.

1994-07-01

This document describes the Hanford Internal Dosimetry Project, as it is administered by Pacific Northwest Laboratory (PNL) in support of the US Department of Energy and its Hanford contractors. Project services include administrating the bioassay monitoring program, evaluating and documenting assessment of potential intakes and internal dose, ensuring that analytical laboratories conform to requirements, selecting and applying appropriate models and procedures for evaluating radionuclide deposition and the resulting dose, and technically guiding and supporting Hanford contractors in matters regarding internal dosimetry. Specific chapters deal with the following subjects: practices of the project, including interpretation of applicable DOE Orders, regulations, andmore » guidance into criteria for assessment, documentation, and reporting of doses; assessment of internal dose, including summary explanations of when and how assessments are performed; recording and reporting practices for internal dose; selection of workers for bioassay monitoring and establishment of type and frequency of bioassay measurements; capability and scheduling of bioassay monitoring services; recommended dosimetry response to potential internal exposure incidents; quality control and quality assurance provisions of the program.« less

Methods to achieve high interrater reliability in data collection from primary care medical records.

PubMed

Liddy, Clare; Wiens, Miriam; Hogg, William

2011-01-01

We assessed interrater reliability (IRR) of chart abstractors within a randomized trial of cardiovascular care in primary care. We report our findings, and outline issues and provide recommendations related to determining sample size, frequency of verification, and minimum thresholds for 2 measures of IRR: the κ statistic and percent agreement. We designed a data quality monitoring procedure having 4 parts: use of standardized protocols and forms, extensive training, continuous monitoring of IRR, and a quality improvement feedback mechanism. Four abstractors checked a 5% sample of charts at 3 time points for a predefined set of indicators of the quality of care. We set our quality threshold for IRR at a κ of 0.75, a percent agreement of 95%, or both. Abstractors reabstracted a sample of charts in 16 of 27 primary care practices, checking a total of 132 charts with 38 indicators per chart. The overall κ across all items was 0.91 (95% confidence interval, 0.90-0.92) and the overall percent agreement was 94.3%, signifying excellent agreement between abstractors. We gave feedback to the abstractors to highlight items that had a κ of less than 0.70 or a percent agreement less than 95%. No practice had to have its charts abstracted again because of poor quality. A 5% sampling of charts for quality control using IRR analysis yielded κ and agreement levels that met or exceeded our quality thresholds. Using 3 time points during the chart audit phase allows for early quality control as well as ongoing quality monitoring. Our results can be used as a guide and benchmark for other medical chart review studies in primary care.

Data acquisition and processing history for the Explorer 33 (AIMP-D) satellite

NASA Technical Reports Server (NTRS)

Karras, T. J.

1972-01-01

The quality control monitoring system, using accounting and quality control data bases, made it possible to perform an in-depth analysis. Results show that the percentage of useable data files for experimenter analysis was 97.7%; only 0.4% of the data sequences supplied to the experimenter exhibited missing data. The 50 percentile probability delay values (referenced to station record data) indicate that the analog tapes arrived within 11 days, the data were digitized within 4.2 weeks, and the experimenter tapes were delivered in 8.95 weeks or less.

13 point video tape quality guidelines

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

Gaunt, R.

1997-05-01

Until high definition television (ATV) arrives, in the U.S. we must still contend with the National Television Systems Committee (NTSC) video standard (or PAL or SECAM-depending on your country). NTSC, a 40-year old standard designed for transmission of color video camera images over a small bandwidth, is not well suited for the sharp, full-color images that todays computers are capable of producing. PAL and SECAM also suffers from many of NTSC`s problems, but to varying degrees. Video professionals, when working with computer graphic (CG) images, use two monitors: a computer monitor for producing CGs and an NTSC monitor to viewmore » how a CG will look on video. More often than not, the NTSC image will differ significantly from the CG image, and outputting it to NTSC as an artist works enables the him or her to see the images as others will see it. Below are thirteen guidelines designed to increase the quality of computer graphics recorded onto video tape. Viewing your work in NTSC and attempting to follow the below tips will enable you to create higher quality videos. No video is perfect, so don`t expect to abide by every guideline every time.« less

Short-Run Prosocial Behavior in Response to Receiving Corrections and Affirmations in Three Therapeutic Communities

ERIC Educational Resources Information Center

Warren, Keith L.; Doogan, Nathan; De Leon, George; Phillips, Gary S.; Moody, James; Hodge, Ashleigh

2013-01-01

Therapeutic communities (TCs) have a strong record of maintaining high quality social climates in prison units. One possible reason for this is the system of mutual monitoring among TC residents, based on the assumption that peer affirmation of behavior in accord with TC norms, and peer correction of behavior contrary to TC norms, will lead to…

Daily Snow Depth Measurements from 195 Stations in the United States (1997) (NDP-059)

DOE Data Explorer

Easterling, D. R. [NOAA, National Climatic Data Center; Jamason, P. [NOAA, National Climatic Data Center; Bowman, D. P. [NOAA, National Climatic Data Center; Hughes, P. Y. [NOAA, National Climatic Data Center; Mason, E. H. [NOAA, National Climatic Data Center; Allison, L. J. [ORNL, Carbon Dioxide Information Analysis Center (CDIAC)

1997-02-01

This data package provides daily measurements of snow depth at 195 National Weather Service (NWS) first-order climatological stations in the United States. The data have been assembled and made available by the National Climatic Data Center (NCDC) in Asheville, North Carolina. The 195 stations encompass 388 unique sampling locations in 48 of the 50 states; no observations from Delaware or Hawaii are included in the database. Station selection criteria emphasized the quality and length of station records while seeking to provide a network with good geographic coverage. Snow depth at the 388 locations was measured once per day on ground open to the sky. The daily snow depth is the total depth of the snow on the ground at measurement time. The time period covered by the database is 1893-1992; however, not all station records encompass the complete period. While a station record ideally should contain daily data for at least the seven winter months (January through April and October through December), not all stations have complete records. Each logical record in the snow depth database contains one station's daily data values for a period of one month, including data source, measurement, and quality flags. The snow depth data have undergone extensive manual and automated quality assurance checks by NCDC and the Carbon Dioxide Information Analysis Center (CDIAC). These reviews involved examining the data for completeness, reasonableness, and accuracy, and included comparison of some data records with records in NCDC's Summary of the Day First Order online database. Since the snow depth measurements have been taken at NWS first-order stations that have long periods of record, they should prove useful in monitoring climate change.

Evaluation of the Sensor Data Record from the Nadir Instruments of the Ozone Mapping Profiler Suite (OMPS)

NASA Technical Reports Server (NTRS)

Wu, Xiangqian; Liu, Quanhua; Zeng, Jian; Grotenhuis, Michael; Qian, Haifeng; Caponi, Maria; Flynn, Larry; Jaross, Glen; Sen, Bhaswar; Buss, Richard H., Jr.;

Hydrologic data for the Larimer-Weld regional water-monitoring program, Colorado, 1975-82

USGS Publications Warehouse

Blakely, S.R.; Steinheimer, J.T.

1984-01-01

The Larimer-Weld, Colorado, regional Monitoring Program was begun in 1976 to provide information on the quality and quantity of the surface-water resources in the area. Three stations on the big Thompson River and five stations on the Cache La Poudre River were selected for a data-collection network. Four previously established stations were added to complete the data-collection network: Horsetooth Reservoir, Joe Wright Creek above and below Joe Wright Reservoir, and Michigan River near Cameron Pass. Station description, location, and period of record are given for each station. A statistical summary of the water-quality data for each station is tabulated. Frequency of occurrence is given at the 95th, 75th, 50th, and 25th percentiles. Monthly water-quality data and daily average streamflow data are tabulated for each streamflow station for which this data was collected; Monthly contents data are presented for Horsetooth Reservoir. All data tabulated and summarized are from the period October 1, 1975, through September 30, 1982. (USGS)

ChronQC: a quality control monitoring system for clinical next generation sequencing.

PubMed

Tawari, Nilesh R; Seow, Justine Jia Wen; Perumal, Dharuman; Ow, Jack L; Ang, Shimin; Devasia, Arun George; Ng, Pauline C

2018-05-15

ChronQC is a quality control (QC) tracking system for clinical implementation of next-generation sequencing (NGS). ChronQC generates time series plots for various QC metrics to allow comparison of current runs to historical runs. ChronQC has multiple features for tracking QC data including Westgard rules for clinical validity, laboratory-defined thresholds and historical observations within a specified time period. Users can record their notes and corrective actions directly onto the plots for long-term recordkeeping. ChronQC facilitates regular monitoring of clinical NGS to enable adherence to high quality clinical standards. ChronQC is freely available on GitHub (https://github.com/nilesh-tawari/ChronQC), Docker (https://hub.docker.com/r/nileshtawari/chronqc/) and the Python Package Index. ChronQC is implemented in Python and runs on all common operating systems (Windows, Linux and Mac OS X). tawari.nilesh@gmail.com or pauline.c.ng@gmail.com. Supplementary data are available at Bioinformatics online.

Challenges with secondary use of multi-source water-quality data in the United States

USGS Publications Warehouse

Sprague, Lori A.; Oelsner, Gretchen P.; Argue, Denise M.

2017-01-01

Combining water-quality data from multiple sources can help counterbalance diminishing resources for stream monitoring in the United States and lead to important regional and national insights that would not otherwise be possible. Individual monitoring organizations understand their own data very well, but issues can arise when their data are combined with data from other organizations that have used different methods for reporting the same common metadata elements. Such use of multi-source data is termed “secondary use”—the use of data beyond the original intent determined by the organization that collected the data. In this study, we surveyed more than 25 million nutrient records collected by 488 organizations in the United States since 1899 to identify major inconsistencies in metadata elements that limit the secondary use of multi-source data. Nearly 14.5 million of these records had missing or ambiguous information for one or more key metadata elements, including (in decreasing order of records affected) sample fraction, chemical form, parameter name, units of measurement, precise numerical value, and remark codes. As a result, metadata harmonization to make secondary use of these multi-source data will be time consuming, expensive, and inexact. Different data users may make different assumptions about the same ambiguous data, potentially resulting in different conclusions about important environmental issues. The value of these ambiguous data is estimated at \\$US12 billion, a substantial collective investment by water-resource organizations in the United States. By comparison, the value of unambiguous data is estimated at \\$US8.2 billion. The ambiguous data could be preserved for uses beyond the original intent by developing and implementing standardized metadata practices for future and legacy water-quality data throughout the United States.

Improving rates of cotrimoxazole prophylaxis in resource-limited settings: implementation of a quality improvement approach.

PubMed

Bardfield, J; Agins, B; Palumbo, M; Wei, A L; Morris, J; Marston, B

2014-12-01

To demonstrate the effectiveness of quality improvement methods to monitor and improve administration of cotrimoxazole (CTX) prophylaxis to improve health outcomes among adults living with HIV/AIDS in low resource countries. Program evaluation. HIV/AIDS health care facilities in Uganda, Mozambique, Namibia and Haiti. Performance measures based on national guidelines are developed in each country. These may include CD4 monitoring, ART adherence and uptake of CTX prophylaxis. CTX prophylaxis is routinely selected, because it has been shown to reduce HIV-related morbidity and mortality. Patient records are sampled using a standard statistical table to achieve a minimum confidence interval of 90% with a spread of ±8% in participating clinics. If an electronic medical record is available, all patients are reviewed. Routine review of performance measures, usually every 6 months, is conducted to identify gaps in care. Improvement interventions are developed and implemented at health facilities, informed by performance results, and local/national public health priorities. Median clinic rates of CTX prophylaxis. Median performance rates of CTX prophylaxis generally improved for adult HIV+ patients between 2006 and 2013 across countries, with median clinic rates higher than baseline at follow-up in 16 of 18 groups of clinics implementing CTX -focused improvement projects. Quality management offers a data-driven method to improve the quality of HIV care in low resource countries. Application of improvement principles has been shown to be effective to increase the rates of CTX prophylaxis in national HIV programs in multiple countries. © The Author 2014. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Non-invasive continuous blood pressure monitoring of tachycardic episodes during interventional electrophysiology

PubMed Central

Maggi, Roberto; Viscardi, Valentina; Furukawa, Toshiyuki; Brignole, Michele

2010-01-01

Aims We thought to evaluate feasibility of continuous non-invasive blood pressure monitoring during procedures of interventional electrophysiology. Methods and results We evaluated continuous non-invasive finger blood pressure (BP) monitoring by means of the Nexfin device in 22 patients (mean age 70 ± 24 years), undergoing procedures of interventional electrophysiology, in critical situations of hypotension caused by tachyarrhythmias or by intermittent incremental ventricular temporary pacing till to the maximum tolerated systolic BP fall (mean 61 ± 14 mmHg per patient at a rate of 195 ± 37 bpm). In all patients, Nexfin was able to detect immediately, at the onset of tachyarrythmia, the changes in BP and recorded reliable waveforms. The quality of the signal was arbitrarily classified as excellent in 11 cases, good in 10 cases, and sufficient in 1 case. In basal conditions, calibrations of the signal occurred every 49.2 ± 24.3 s and accounted for 4% of total monitoring time; during tachyarrhythmias their frequency increased to one every 12.7 s and accounted for 19% of total recording duration. A linear correlation for a range of BP values from 41 to 190 mmHg was found between non-invasive and intra-arterial BP among a total of 1055 beats from three patients who underwent simultaneous recordings with both methods (coefficient of correlation of 0.81, P < 0.0001). Conclusion In conclusion, continuous non-invasive BP monitoring is feasible in the clinical practise of an interventional electrophysiology laboratory without the need of utilization of an intra-arterial BP line. PMID:20837572

Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment.

PubMed

Hoogenboom, Gabie; Thwin, May Myo; Velink, Kris; Baaijens, Marijke; Charrunwatthana, Prakaykaew; Nosten, François; McGready, Rose

2015-02-05

Increasing the number of women birthing with skilled birth attendants (SBAs) as one of the strategies to reduce maternal mortality and morbidity must be partnered with a minimum standard of care. This manuscript describes the quality of intrapartum care provided by SBAs in Mae La camp, a low resource, protracted refugee context on the Thai-Myanmar border. In the obstetric department of Shoklo Malaria Research Unit (SMRU) the standardized WHO Safe Motherhood Needs Assessment tool was adapted to the setting and used: to assess the facility; interview SBAs; collect data from maternal records during a one year period (August 2007 - 2008); and observe practice during labour and childbirth. The facility assessment recorded no 'out of stock' or 'out of date' drugs and supplies, equipment was in operating order and necessary infrastructure e.g. a stand-by emergency car, was present. Syphilis testing was not available. SBA interviews established that danger signs and symptoms were recognized except for sepsis and endometritis. All SBAs acknowledged receiving theoretical and 'hands-on' training and regularly attended deliveries. Scores for the essential elements of antenatal care from maternal records were high (>90%) e.g. providing supplements, recording risk factors as well as regular and correct partogram use. Observed good clinical practice included: presence of a support person; active management of third stage; post-partum monitoring; and immediate and correct neonatal care. Observed incorrect practice included: improper controlled cord traction; inadequate hand washing; an episiotomy rate in nulliparous women 49% (34/70) and low rates 30% (6/20) of newborn monitoring in the first hours following birth. Overall observed complications during labour and birth were low with post-partum haemorrhage being the most common in which case the SBAs followed the protocol but were slow to recognize severity and take action. In the clinic of SMRU in Mae La refugee camp, SBAs were able to comply with evidence-based guidelines but support to improve quality of care in specific areas is required. The structure of the WHO Safe Motherhood Needs Assessment allowed significant insights into the quality of intrapartum care particularly through direct observation, identifying a clear pathway for quality improvement.

Implementation of Quality Assurance and Quality Control Measures in the National Phenology Database

NASA Astrophysics Data System (ADS)

Gerst, K.; Rosemartin, A.; Denny, E. G.; Marsh, L.; Barnett, L.

2015-12-01

The USA National Phenology Network (USA-NPN; www.usanpn.org) serves science and society by promoting a broad understanding of plant and animal phenology and the relationships among phenological patterns and environmental change. The National Phenology Database has over 5.5 million observation records for plants and animals for the period 1954-2015. These data have been used in a number of science, conservation and resource management applications, including national assessments of historical and potential future trends in phenology, regional assessments of spatio-temporal variation in organismal activity, and local monitoring for invasive species detection. Customizable data downloads are freely available, and data are accompanied by FGDC-compliant metadata, data-use and data-attribution policies, and vetted documented methodologies and protocols. The USA-NPN has implemented a number of measures to ensure both quality assurance and quality control. Here we describe the resources that have been developed so that incoming data submitted by both citizen and professional scientists are reliable; these include training materials, such as a botanical primer and species profiles. We also describe a number of automated quality control processes applied to incoming data streams to optimize data output quality. Existing and planned quality control measures for output of raw and derived data include: (1) Validation of site locations, including latitude, longitude, and elevation; (2) Flagging of records that conflict for a given date for an individual plant; (3) Flagging where species occur outside known ranges; (4) Flagging of records when phenophases occur outside of the plausible order for a species; (5) Flagging of records when intensity measures do not follow a plausible progression for a phenophase; (6) Flagging of records when a phenophase occurs outside of the plausible season, and (7) Quantification of precision and uncertainty for estimation of phenological metrics. Finally, we will describe preliminary work to develop methods for outlier detection that will inform plausibility checks. Ultimately we aim to maximize data quality of USA-NPN data and data products to ensure that this database can continue to be reliably applied for science and decision-making for multiple scales and applications.

A simple graphical approach to quantitative monitoring of rangelands

USGS Publications Warehouse

Riginos, C.; Herrick, J.E.; Sundaresan, S.R.; Farley, C.; Belnap, J.

2011-01-01

The article reviews graphical interpretation of the four monitoring methods that can be used to generate a variety of indicators of rangeland ecosystem function. Data for all four of the monitoring methods can be recorded on a single data sheet that is designed to be usable by somebody with minimal literacy. Indicators of plant and ground cover are central to most long-term monitoring systems. Plant and ground-cover data inform managers about forage availability, plant community composition and structure, and risk of runoff and erosion. The spatial arrangement of plants at a site in addition to the percent of the ground that is covered by plants is an important determinant of erosion potential. Vertical vegetation structure can be monitored by capturing data on maximum plant height at each stick location. Plant density method can provide an early indicator of future changes in plant cover, forage, quality, and habitat structure.

Evaluating Land-Atmosphere Interactions with the North American Soil Moisture Database

NASA Astrophysics Data System (ADS)

Giles, S. M.; Quiring, S. M.; Ford, T.; Chavez, N.; Galvan, J.

2015-12-01

The North American Soil Moisture Database (NASMD) is a high-quality observational soil moisture database that was developed to study land-atmosphere interactions. It includes over 1,800 monitoring stations the United States, Canada and Mexico. Soil moisture data are collected from multiple sources, quality controlled and integrated into an online database (soilmoisture.tamu.edu). The period of record varies substantially and only a few of these stations have an observation record extending back into the 1990s. Daily soil moisture observations have been quality controlled using the North American Soil Moisture Database QAQC algorithm. The database is designed to facilitate observationally-driven investigations of land-atmosphere interactions, validation of the accuracy of soil moisture simulations in global land surface models, satellite calibration/validation for SMOS and SMAP, and an improved understanding of how soil moisture influences climate on seasonal to interannual timescales. This paper provides some examples of how the NASMD has been utilized to enhance understanding of land-atmosphere interactions in the U.S. Great Plains.

Long-term records reveal decoupling of nitrogen and phosphorus cycles in a large, urban lake in response to an extreme rainfall event

NASA Astrophysics Data System (ADS)

Corman, J. R.; Loken, L. C.; Oliver, S. K.; Collins, S.; Butitta, V.; Stanley, E. H.

2017-12-01

Extreme events can play powerful roles in shifting ecosystem processes. In lakes, heavy rainfall can transport large amounts of particulates and dissolved nutrients into the water column and, potentially, alter biogeochemical cycling. However, the impacts of extreme rainfall events are often difficult to study due to a lack of long-term records. In this paper, we combine daily discharge records with long-term lake water quality information collected by the North Temperate Lakes Long-Term Ecological Research (NTL LTER) site to investigate the impacts of extreme events on nutrient cycling in lakes. We focus on Lake Mendota, an urban lake within the Yahara River Watershed in Madison, Wisconsin, USA, where nutrient data are available at least seasonally from 1995 - present. In June 2008, precipitation amounts in the Yahara watershed were 400% above normal values, triggering the largest discharge event on record for the 40 years of monitoring at the streamgage station; hence, we are able to compare water quality records before and after this event as a case study of how extreme rain events couple or decouple lake nutrient cycling. Following the extreme event, the lake-wide mass of nitrogen and phosphorus increased in the summer of 2008 by 35% and 21%, respectively, shifting lake stoichiometry by increasing N:P ratios (Figure 1). Nitrogen concentrations remained elevated longer than phosphorus, suggesting (1) that nitrogen inputs into the lake were sustained longer than phosphorus (i.e., a "smear" versus "pulse" loading of nitrogen versus phosphorus, respectively, in response to the extreme event) and/or (2) that in-lake biogeochemical processing was more efficient at removing phosphorus compared to nitrogen. While groundwater loading data are currently unavailable to test the former hypothesis, preliminary data from surficial nitrogen and phosphorus loading to Lake Mendota (available for 2011 - 2013) suggest that nitrogen removal efficiency is less than phosphorus, supporting the latter hypothesis. As climate change is expected to increase the frequency of extreme events, continued monitoring of lakes is needed to understand biogeochemical responses and when and how water quality threats may occur.

Use and availability of continuous streamflow records in Wyoming

USGS Publications Warehouse

Schuetz, J.R.

1986-01-01

This report documents a survey that identifies local, State, and Federal uses of data from 139 continuous-record, surface-water stations, presently (1984) operated by the Wyoming District of the U. S. Geological Survey; identifies sources of funding pertaining to collections of streamflow data; and presents frequency of data availability. Uses of data from the 139 stations are categorized into seven classes: Regional Hydrology, Hydrology Systems, Legal Obligations, Planning and Design, Project Operation, Hydrologic Forecasts, and Water Quality Monitoring. Sufficient use of surface water data collected from the stations justifies the continued operation of all stations. (USGS)

Accounting for water quality in monitoring access to safe drinking-water as part of the Millennium Development Goals: lessons from five countries.

PubMed

Bain, Rob E S; Gundry, Stephen W; Wright, Jim A; Yang, Hong; Pedley, Steve; Bartram, Jamie K

2012-03-01

To determine how data on water source quality affect assessments of progress towards the 2015 Millennium Development Goal (MDG) target on access to safe drinking-water. Data from five countries on whether drinking-water sources complied with World Health Organization water quality guidelines on contamination with thermotolerant coliform bacteria, arsenic, fluoride and nitrates in 2004 and 2005 were obtained from the Rapid Assessment of Drinking-Water Quality project. These data were used to adjust estimates of the proportion of the population with access to safe drinking-water at the MDG baseline in 1990 and in 2008 made by the Joint Monitoring Programme for Water Supply and Sanitation, which classified all improved sources as safe. Taking account of data on water source quality resulted in substantially lower estimates of the percentage of the population with access to safe drinking-water in 2008 in four of the five study countries: the absolute reduction was 11% in Ethiopia, 16% in Nicaragua, 15% in Nigeria and 7% in Tajikistan. There was only a slight reduction in Jordan. Microbial contamination was more common than chemical contamination. The criterion used by the MDG indicator to determine whether a water source is safe can lead to substantial overestimates of the population with access to safe drinking-water and, consequently, also overestimates the progress made towards the 2015 MDG target. Monitoring drinking-water supplies by recording both access to water sources and their safety would be a substantial improvement.

Assessments of Voice Use and Voice Quality among College/University Singing Students Ages 18–24 through Ambulatory Monitoring with a Full Accelerometer Signal

PubMed Central

Schloneger, Matthew; Hunter, Eric

2016-01-01

The multiple social and performance demands placed on college/university singers could put their still developing voices at risk. Previous ambulatory monitoring studies have analyzed the duration, intensity, and frequency (in Hz) of voice use among such students. Nevertheless, no studies to date have incorporated the simultaneous acoustic voice quality measures into the acquisition of these measures to allow for direct comparison during the same voicing period. Such data could provide greater insight into how young singers use their voices, as well as identify potential correlations between vocal dose and acoustic changes in voice quality. The purpose of this study was to assess the voice use and estimated voice quality of college/university singing students (18–24 y/o, N = 19). Ambulatory monitoring was conducted over three full, consecutive weekdays measuring voice from an unprocessed accelerometer signal measured at the neck. From this signal were analyzed traditional vocal dose metrics such as phonation percentage, dose time, cycle dose, and distance dose. Additional acoustic measures included perceived pitch, pitch strength, LTAS slope, alpha ratio, dB SPL 1–3 kHz, and harmonic-to-noise ratio. Major findings from more than 800 hours of recording indicated that among these students (a) higher vocal doses correlated significantly with greater voice intensity, more vocal clarity and less perturbation; and (b) there were significant differences in some acoustic voice quality metrics between non-singing, solo singing and choral singing. PMID:26897545

ICP-Forests (International Co-operative Programme on Assessment and Monitoring of Air Pollution Effects on Forests): Quality Assurance procedure in plant diversity monitoring.

PubMed

Allegrini, Maria-Cristina; Canullo, Roberto; Campetella, Giandiego

2009-04-01

Knowledge of accuracy and precision rates is particularly important for long-term studies. Vegetation assessments include many sources of error related to overlooking and misidentification, that are usually influenced by some factors, such as cover estimate subjectivity, observer biased species lists and experience of the botanist. The vegetation assessment protocol adopted in the Italian forest monitoring programme (CONECOFOR) contains a Quality Assurance programme. The paper presents the different phases of QA, separates the 5 main critical points of the whole protocol as sources of random or systematic errors. Examples of Measurement Quality Objectives (MQOs) expressed as Data Quality Limits (DQLs) are given for vascular plant cover estimates, in order to establish the reproducibility of the data. Quality control activities were used to determine the "distance" between the surveyor teams and the control team. Selected data were acquired during the training and inter-calibration courses. In particular, an index of average cover by species groups was used to evaluate the random error (CV 4%) as the dispersion around the "true values" of the control team. The systematic error in the evaluation of species composition, caused by overlooking or misidentification of species, was calculated following the pseudo-turnover rate; detailed species censuses on smaller sampling units were accepted as the pseudo-turnover which always fell below the 25% established threshold; species density scores recorded at community level (100 m(2) surface) rarely exceeded that limit.

Designing and implementing a trust-wide quality assurance programme.

PubMed

Coope, Sally-Ann

2018-04-02

Derbyshire Community Health Services (DCHS) NHS Foundation Trust provides a wide range of community-based health services. After the Care Quality Commission (CQC) found gaps in the trust's assurance process, its board decided to develop a method of continuous quality improvements that could be used as a basis for the trust's quality assurance system. The trust adapted and built on an acute model so it was suitable for community services. The final assurance system, Quality Always, has four elements: the clinical assessment and accreditation scheme; leadership development; 'champions' within clinical teams to support and promote the scheme; and dashboards to record and monitor progress. A system to recognise and reward achievement was essential for success. Quality Always has resulted in better care quality, an improved CQC rating, a sense of achievement among staff, the development of support networks, learning (especially among support staff) and good practice being shared.

Initial In-flight Results: The Total Solar Irradiance Monitor on the FY-3C Satellite, an Instrument with a Pointing System

NASA Astrophysics Data System (ADS)

Wang, Hongrui; Qi, Jin; Li, Huiduan; Fang, Wei

2017-01-01

The total solar irradiance (TSI) has been recorded daily since October 2013 by the Total Solar Irradiance Monitor (TSIM) onboard the FY-3C satellite, which is mainly designed for Earth observation. The TSIM has a pointing system to perform solar tracking using a sun sensor. The TSI is measured by two electrical substitution radiometers with traceability to the World Radiation Reference. The TSI value measured with the TSIM on 2 October 2013 is 1364.88 W m^{-2} with an uncertainty of 1.08 W m^{-2}. Short-term TSI variations recorded with the TSIM show good agreement with SOHO/VIRGO and SORCE/TIM. The data quality and accuracy of FY-3C/TSIM are much better than its predecessors on the FY-3A and FY-3B satellites, which operated in a scanning mode.

Transfer of European Approach to Groundwater Monitoring in China

NASA Astrophysics Data System (ADS)

Zhou, Y.

2007-12-01

Major groundwater development in North China has been a key factor in the huge economic growth and the achievement of self sufficiency in food production. Groundwater accounts for more than 70 percent of urban water supply and provides important source of irrigation water during dry period. This has however caused continuous groundwater level decline and many associated problems: hundreds of thousands of dry wells, dry river beds, land subsidence, seawater intrusion and groundwater quality deterioration. Groundwater levels in the shallow unconfined aquifers have fallen 10m up to 50m, at an average rate of 1m/year. In the deep confined aquifers groundwater levels have commonly fallen 30m up to 90m, at an average rate of 3 to 5m/year. Furthermore, elevated nitrate concentrations have been found in shallow groundwater in large scale. Pesticides have been detected in vulnerable aquifers. Urgent actions are necessary for aquifer recovery and mitigating groundwater pollution. Groundwater quantity and quality monitoring plays a very important role in formulating cost-effective groundwater protection strategies. In 2000 European Union initiated a Water Framework Directive (2000/60/EC) to protect all waters in Europe. The objective is to achieve good water and ecological status by 2015 cross all member states. The Directive requires monitoring surface and groundwater in all river basins. A guidance document for monitoring was developed and published in 2003. Groundwater monitoring programs are distinguished into groundwater level monitoring and groundwater quality monitoring. Groundwater quality monitoring is further divided into surveillance monitoring and operational monitoring. The monitoring guidance specifies key principles for the design and operation of monitoring networks. A Sino-Dutch cooperation project was developed to transfer European approach to groundwater monitoring in China. The project aims at building a China Groundwater Information Centre. Case studies in 3 pilot areas have been conducted to build research capacities of the central and provincial groundwater information centers in providing groundwater information services to decision makers and public. Groundwater regime zoning and pollution risk maps were used to lay-out groundwater quantity and quality monitoring networks, respectively. Automatic groundwater recorders were installed in selected observation wells. ArcGIS based regional groundwater information systems were constructed and used to create groundwater regime zoning and pollution risk maps. Steady state groundwater models have been constructed and calibrated. Transient groundwater models are under calibration. Groundwater resources development scenarios were formulated. The model will be used to predict what will be consequences in next 20 years if current situation continues as business as usual. Possibilities of reducing groundwater abstraction and opportunities of artificially enhanced groundwater recharge will be analyzed. Combination of decreasing abstraction and increasing recharge may lead to a sustainable plan of future groundwater resources development.

Application of Laser Induced Breakdown Spectroscopy to Monitor Rare Earth Ions in Glass Matrix

NASA Astrophysics Data System (ADS)

Sharma, Prakash; Carter, Michael; Kumar, Akshaya

2013-05-01

The Laser Induced breakdown spectroscopy (LIBS) is a real time online technique that can be used to monitor the concentration of rare earth ions in amorphous glass matrix. This study has significant application in the glass industry where the composition of the glass can be monitored in real time using LIBS technology for quality control. The Eu3 + ions doped silicate glasses were developed via sol gel method. The glasses of varying molar percentages of Eu3 + (0.02, 0.05 and 0.08 mole percent), were prepared to study the effect of variation in concentration of Eu3 + ions on the LIBS signal and to calculate its limit of detection (LOD). The spectral assignment of the observed LIBS spectrum has been made. In order to find the maximum signal to noise ratio, we also recorded the intensity of LIBS signal for various integration start delay (ISD) time at a constant power of (pulsed Nd: YAG) laser. The ocean optics LIBS 2500plus spectrometer along with a Q switched Nd:YAG laser (Quantel, Big Sky) were used to record the LIBS spectrum.

The influence of a season of extreme wet weather events on exposure of the World Heritage Area Great Barrier Reef to pesticides.

PubMed

Kennedy, Karen; Devlin, Michelle; Bentley, Christie; Lee-Chue, Kristie; Paxman, Chris; Carter, Steve; Lewis, Stephen E; Brodie, Jon; Guy, Ellia; Vardy, Suzanne; Martin, Katherine C; Jones, Alison; Packett, Robert; Mueller, Jochen F

2012-07-01

The 2010-2011 wet season was one of extreme weather for the State of Queensland, Australia. Major rivers adjacent to the Great Barrier Reef (GBR) were discharging at rates 1.5 to >3 times higher than their long term median. Exposure to photosystem II herbicides has been routinely monitored over a period of up to 5 years at 12 inshore GBR sites. The influence of this wet season on exposure to photosystem II herbicides was examined in the context of this long-term monitoring record and during flood plume events in specific regions. Median exposures expressed as diuron equivalent concentration were an average factor of 2.3 times higher but mostly not significantly different (p<0.05) to the median for the long-term monitoring record. The herbicides metolachlor and tebuthiuron were frequently detected in flood plume waters at concentrations that reached or exceeded relevant water quality guidelines (by up to 4.5 times). Copyright © 2012 Elsevier Ltd. All rights reserved.

A portable Raman acoustic levitation spectroscopic system for the identification and environmental monitoring of algal cells.

PubMed

Wood, Bayden R; Heraud, Philip; Stojkovic, Slobodanka; Morrison, Danielle; Beardall, John; McNaughton, Don

2005-08-01

We report the coupling of a portable Raman spectrometer to an acoustic levitation device to enable environmental monitoring and the potential taxonomic identification of microalgae. Spectra of living cells were recorded at 785 nm using a fiber-optic probe coupled to a portable Raman spectrometer. The spectra exhibit an excellent signal-to-noise ratio and clearly show bands from chlorophyll a and beta-carotene. Spectra of levitated photobleached microalgae clearly show a reduction in chlorophyll a concentration relative to beta-carotene after 10 min of exposure to a quartz halogen lamp. Spectra recorded from levitated nitrogen-limited cells also show a significant reduction in bands associated with chlorophyll a, as compared to nitrogen-replete cells. To investigate the diagnostic capability of the technique, four species of microalgae were analyzed. Good quality spectra of all four species were obtained showing varying ratios of beta-carotene to chlorophyll. The combination of an acoustic levitation device and a portable Raman spectrometer shows potential as a taxonomic and environmental monitoring tool with direct application to field studies in remote environments.

The use of hand-held 35 mm color infrared imagery for estimates of suspended solids - A progress report. [in water pollution monitoring

NASA Technical Reports Server (NTRS)

Miller, W. F.; Whisler, F. D.; Robinette, H. R.; Finnie, D.; Cannon, T.

1975-01-01

A cost-effective aerial surveillance technique is proposed for detection and identification of suspended solids which would be operational for both governmental monitoring organizations and private individuals operating catfish farms. Sixteen catfish ponds were flown daily for seven days using two hand-held 35 mm cameras with both Kodachrome X and Ektachrome infrared film. Hue, value, and chroma designations were recorded for each pond on each date by three interpreters, and the accepted color was that recorded by at least two of the interpreters, or if there was a three hue range, the median was accepted. Relations between suspended solids and color designations were analyzed graphically, and chroma was discarded due to an apparent lack of correlation. The data obtained were then analyzed by multiple regression. Significant correlations were revealed between hue and value and total and inorganic suspended solids. If perfected, this technique could be developed to sufficent accuracy for large-scale reconnaissance surveys to monitor the quality of rivers and streams.

Monitoring, documenting and reporting the quality of antibiotic use in the Netherlands: a pilot study to establish a national antimicrobial stewardship registry.

PubMed

Berrevoets, Marvin Ah; Ten Oever, Jaap; Sprong, Tom; van Hest, Reinier M; Groothuis, Ingeborg; van Heijl, Inger; Schouten, Jeroen A; Hulscher, Marlies E; Kullberg, Bart-Jan

2017-08-15

The Dutch Working Party on Antibiotic Policy is developing a national antimicrobial stewardship registry. This registry will report both the quality of antibiotic use in hospitals in the Netherlands and the stewardship activities employed. It is currently unclear which aspects of the quality of antibiotic use are monitored by antimicrobial stewardship teams (A-teams) and can be used as indicators for the stewardship registry. In this pilot study we aimed to determine which stewardship objectives are eligible for the envisioned registry. We performed an observational pilot study among five Dutch hospitals. We assessed which of the 14 validated stewardship objectives (11 process of care recommendations and 3 structure of care recommendations) the A-teams monitored and documented in individual patients. They provided, where possible, data to compute quality indicator (QI) performance scores in line with recently developed QIs to measure appropriate antibiotic use in hospitalized adults for the period of January 2015 through December 2015 RESULTS: All hospitals had a local antibiotic guideline describing recommended antimicrobial use. All A-teams monitored the performance of bedside consultations in Staphylococcus aureus bacteremia and the prescription of restricted antimicrobials. Documentation and reporting were the best for the use of restricted antimicrobials: 80% of the A-teams could report data. Lack of time and the absence of an electronic medical record system enabling documentation during the daily work flow were the main barriers hindering documentation and reporting. Five out of 11 stewardship objectives were actively monitored by A-teams. Without extra effort, 4 A-teams could report on the quality of use of restricted antibiotics. Therefore, this aspect of antibiotic use should be the starting point of the national antimicrobial stewardship registry. Our registry is expected to become a powerful tool to evaluate progress and impact of antimicrobial stewardship programs in hospitals.

Mobile personal health records for pregnancy monitoring functionalities: Analysis and potential.

PubMed

Bachiri, Mariam; Idri, Ali; Fernández-Alemán, José Luis; Toval, Ambrosio

2016-10-01

Personal Health Records (PHRs) are a rapidly growing area of health information technology. PHR users are able to manage their own health data and communicate with doctors in order to improve healthcare quality and efficiency. Mobile PHR (mPHR) applications for mobile devices have obtained an interesting market quota since the appearance of more powerful mobile devices. These devices allow users to gain access to applications that used to be available only for personal computers. This paper analyzes the functionalities of mobile PHRs that are specific to pregnancy monitoring. A well-known Systematic Literature Review (SLR) protocol was used in the analysis process. A questionnaire was developed for this task, based on the rigorous study of scientific literature concerning pregnancy and applications available on the market, with 9 data items and 35 quality assessments. The data items contain calendars, pregnancy information, health habits, counters, diaries, mobile features, security, backup, configuration and architectural design. A total of 33 mPHRs for pregnancy monitoring, available for iOS and Android, were selected from Apple App store and Google Play store, respectively. The results show that none of the mPHRs selected met 100% of the functionalities analyzed in this paper. The highest score achieved was 77%, while the lowest was 17%. In this paper, these features are discussed and possible paths for future development of similar applications are proposed, which may lead to a more efficient use of smartphone capabilities. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

40 CFR 63.9632 - What are the installation, operation, and maintenance requirements for my monitoring equipment?

Code of Federal Regulations, 2012 CFR

2012-07-01

... document is available on the EPA's Technology Transfer Network at http://www.epa.gov/ttn/emc/cem/tribo.pdf... alignment of each COMS. (3) You must operate and maintain each COMS according to § 63.8(e) and your quality... alignment audit. (4) You must determine and record the 6-minute average opacity for periods during which the...

40 CFR 63.9632 - What are the installation, operation, and maintenance requirements for my monitoring equipment?

Code of Federal Regulations, 2013 CFR

2013-07-01

... document is available on the EPA's Technology Transfer Network at http://www.epa.gov/ttn/emc/cem/tribo.pdf... alignment of each COMS. (3) You must operate and maintain each COMS according to § 63.8(e) and your quality... alignment audit. (4) You must determine and record the 6-minute average opacity for periods during which the...

40 CFR 63.9632 - What are the installation, operation, and maintenance requirements for my monitoring equipment?

Code of Federal Regulations, 2014 CFR

2014-07-01

... document is available on the EPA's Technology Transfer Network at http://www.epa.gov/ttn/emc/cem/tribo.pdf... alignment of each COMS. (3) You must operate and maintain each COMS according to § 63.8(e) and your quality... alignment audit. (4) You must determine and record the 6-minute average opacity for periods during which the...

A linear and non-linear polynomial neural network modeling of dissolved oxygen content in surface water: Inter- and extrapolation performance with inputs' significance analysis.

PubMed

Šiljić Tomić, Aleksandra; Antanasijević, Davor; Ristić, Mirjana; Perić-Grujić, Aleksandra; Pocajt, Viktor

2018-01-01

Accurate prediction of water quality parameters (WQPs) is an important task in the management of water resources. Artificial neural networks (ANNs) are frequently applied for dissolved oxygen (DO) prediction, but often only their interpolation performance is checked. The aims of this research, beside interpolation, were the determination of extrapolation performance of ANN model, which was developed for the prediction of DO content in the Danube River, and the assessment of relationship between the significance of inputs and prediction error in the presence of values which were of out of the range of training. The applied ANN is a polynomial neural network (PNN) which performs embedded selection of most important inputs during learning, and provides a model in the form of linear and non-linear polynomial functions, which can then be used for a detailed analysis of the significance of inputs. Available dataset that contained 1912 monitoring records for 17 water quality parameters was split into a "regular" subset that contains normally distributed and low variability data, and an "extreme" subset that contains monitoring records with outlier values. The results revealed that the non-linear PNN model has good interpolation performance (R 2 =0.82), but it was not robust in extrapolation (R 2 =0.63). The analysis of extrapolation results has shown that the prediction errors are correlated with the significance of inputs. Namely, the out-of-training range values of the inputs with low importance do not affect significantly the PNN model performance, but their influence can be biased by the presence of multi-outlier monitoring records. Subsequently, linear PNN models were successfully applied to study the effect of water quality parameters on DO content. It was observed that DO level is mostly affected by temperature, pH, biological oxygen demand (BOD) and phosphorus concentration, while in extreme conditions the importance of alkalinity and bicarbonates rises over pH and BOD. Copyright © 2017 Elsevier B.V. All rights reserved.

Non-invasive Fetal ECG Signal Quality Assessment for Multichannel Heart Rate Estimation.

PubMed

Andreotti, Fernando; Graser, Felix; Malberg, Hagen; Zaunseder, Sebastian

2017-12-01

The noninvasive fetal ECG (NI-FECG) from abdominal recordings offers novel prospects for prenatal monitoring. However, NI-FECG signals are corrupted by various nonstationary noise sources, making the processing of abdominal recordings a challenging task. In this paper, we present an online approach that dynamically assess the quality of NI-FECG to improve fetal heart rate (FHR) estimation. Using a naive Bayes classifier, state-of-the-art and novel signal quality indices (SQIs), and an existing adaptive Kalman filter, FHR estimation was improved. For the purpose of training and validating the proposed methods, a large annotated private clinical dataset was used. The suggested classification scheme demonstrated an accuracy of Krippendorff's alpha in determining the overall quality of NI-FECG signals. The proposed Kalman filter outperformed alternative methods for FHR estimation achieving accuracy. The proposed algorithm was able to reliably reflect changes of signal quality and can be used in improving FHR estimation. NI-ECG signal quality estimation and multichannel information fusion are largely unexplored topics. Based on previous works, multichannel FHR estimation is a field that could strongly benefit from such methods. The developed SQI algorithms as well as resulting classifier were made available under a GNU GPL open-source license and contributed to the FECGSYN toolbox.

Investigating the application of motion accelerometers as a sleep monitoring technique and the clinical burden of the intensive care environment on sleep quality: study protocol for a prospective observational study in Australia

PubMed Central

Currie, Marian J; Huang, Hsin-Chia Carol; Litton, Edward; Wibrow, Bradley; Lopez, Violeta; Haren, Frank Van

2018-01-01

Introduction Sleep is a state of quiescence that facilitates the significant restorative processes that enhance individuals’ physiological and psychological well-being. Patients admitted to the intensive care unit (ICU) experience substantial sleep disturbance. Despite the biological importance of sleep, sleep monitoring does not form part of standard clinical care for critically ill patients. There exists an unmet need to assess the feasibility and accuracy of a range of sleep assessment techniques that have the potential to allow widespread implementation of sleep monitoring in the ICU. Key measures The coprimary outcome measures of this study are to: determine the accuracy and feasibility of motion accelerometer monitoring (ie, actigraphy) and subjective assessments of sleep (nursing-based observations and patient self-reports) to the gold standard of sleep monitoring (ie, polysomnography) in evaluating sleep continuity and disturbance. The secondary outcome measures of the study will include: (1) the association between sleep disturbance and environmental factors (eg, noise, light and clinical interactions) and (2) to describe the sleep architecture of intensive care patients. Methods and analysis A prospective, single centre observational design with a within subjects’ assessment of sleep monitoring techniques. The sample will comprise 80 adults (aged 18 years or more) inclusive of ventilated and non-ventilated patients, admitted to a tertiary ICU with a Richmond Agitation-Sedation Scale score between +2 (agitated) and −3 (moderate sedation) and an anticipated length of stay >24 hours. Patients’ sleep quality, total sleep time and sleep fragmentations will be continuously monitored for 24 hours using polysomnography and actigraphy. Behavioural assessments (nursing observations) and patients’ self-reports of sleep quality will be assessed during the 24-hour period using the Richards-Campbell Sleep Questionnaire, subjective sleepiness evaluated via the Karolinska Sleepiness Scale, along with a prehospital discharge survey regarding patients’ perception of sleep quality and disturbing factors using the Little Sleep Questionnaire will be undertaken. Associations between sleep disturbance, noise and light levels, and the frequency of clinical interactions will also be investigated. Sound and luminance levels will be recorded at 1 s epochs via Extech SDL600 and SDL400 monitoring devices. Clinical interactions will be logged via the electronic patient record system Metavision which documents patient monitoring and clinical care. Ethics and dissemination The relevant institutions have approved the study protocol and consent procedures. The findings of the study will contribute to the understanding of sleep disturbance, and the ability to implement sleep monitoring methods within ICUs. Understanding the contribution of a clinical environment on sleep disturbance may provide insight into the need to address clinical environmental issues that may positively influence patient outcomes, and could dispel notions that the environment is a primary factor in sleep disturbance. The research findings will be disseminated via presentations at national and international conferences, proceedings and published articles in peer-reviewed journals. Trial registration number ACTRN12615000945527; Pre-results. PMID:29358448

Investigating the application of motion accelerometers as a sleep monitoring technique and the clinical burden of the intensive care environment on sleep quality: study protocol for a prospective observational study in Australia.

PubMed

Delaney, Lori J; Currie, Marian J; Huang, Hsin-Chia Carol; Litton, Edward; Wibrow, Bradley; Lopez, Violeta; Haren, Frank Van

2018-01-21

Sleep is a state of quiescence that facilitates the significant restorative processes that enhance individuals' physiological and psychological well-being. Patients admitted to the intensive care unit (ICU) experience substantial sleep disturbance. Despite the biological importance of sleep, sleep monitoring does not form part of standard clinical care for critically ill patients. There exists an unmet need to assess the feasibility and accuracy of a range of sleep assessment techniques that have the potential to allow widespread implementation of sleep monitoring in the ICU. The coprimary outcome measures of this study are to: determine the accuracy and feasibility of motion accelerometer monitoring (ie, actigraphy) and subjective assessments of sleep (nursing-based observations and patient self-reports) to the gold standard of sleep monitoring (ie, polysomnography) in evaluating sleep continuity and disturbance. The secondary outcome measures of the study will include: (1) the association between sleep disturbance and environmental factors (eg, noise, light and clinical interactions) and (2) to describe the sleep architecture of intensive care patients. A prospective, single centre observational design with a within subjects' assessment of sleep monitoring techniques. The sample will comprise 80 adults (aged 18 years or more) inclusive of ventilated and non-ventilated patients, admitted to a tertiary ICU with a Richmond Agitation-Sedation Scale score between +2 (agitated) and -3 (moderate sedation) and an anticipated length of stay >24 hours. Patients' sleep quality, total sleep time and sleep fragmentations will be continuously monitored for 24 hours using polysomnography and actigraphy. Behavioural assessments (nursing observations) and patients' self-reports of sleep quality will be assessed during the 24-hour period using the Richards-Campbell Sleep Questionnaire, subjective sleepiness evaluated via the Karolinska Sleepiness Scale, along with a prehospital discharge survey regarding patients' perception of sleep quality and disturbing factors using the Little Sleep Questionnaire will be undertaken. Associations between sleep disturbance, noise and light levels, and the frequency of clinical interactions will also be investigated. Sound and luminance levels will be recorded at 1 s epochs via Extech SDL600 and SDL400 monitoring devices. Clinical interactions will be logged via the electronic patient record system Metavision which documents patient monitoring and clinical care. The relevant institutions have approved the study protocol and consent procedures. The findings of the study will contribute to the understanding of sleep disturbance, and the ability to implement sleep monitoring methods within ICUs. Understanding the contribution of a clinical environment on sleep disturbance may provide insight into the need to address clinical environmental issues that may positively influence patient outcomes, and could dispel notions that the environment is a primary factor in sleep disturbance. The research findings will be disseminated via presentations at national and international conferences, proceedings and published articles in peer-reviewed journals. ACTRN12615000945527; Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

10 CFR 835.703 - Other monitoring records.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false Other monitoring records. 835.703 Section 835.703 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Records § 835.703 Other monitoring records. The following information shall be documented and maintained: (a) Results of monitoring for radiation and...

10 CFR 835.703 - Other monitoring records.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false Other monitoring records. 835.703 Section 835.703 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Records § 835.703 Other monitoring records. The following information shall be documented and maintained: (a) Results of monitoring for radiation and...

10 CFR 835.703 - Other monitoring records.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false Other monitoring records. 835.703 Section 835.703 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Records § 835.703 Other monitoring records. The following information shall be documented and maintained: (a) Results of monitoring for radiation and...

10 CFR 835.703 - Other monitoring records.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false Other monitoring records. 835.703 Section 835.703 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Records § 835.703 Other monitoring records. The following information shall be documented and maintained: (a) Results of monitoring for radiation and...

Plant Habitat (PH)

NASA Technical Reports Server (NTRS)

Onate, Bryan

2016-01-01

The International Space Station (ISS) will soon have a platform for conducting fundamental research of Large Plants. Plant Habitat (PH) is designed to be a fully controllable environment for high-quality plant physiological research. PH will control light quality, level, and timing, temperature, CO2, relative humidity, and irrigation, while scrubbing ethylene. Additional capabilities include leaf temperature and root zone moisture and oxygen sensing. The light cap will have red (630 nm), blue (450 nm), green (525 nm), far red (730 nm) and broad spectrum white LEDs. There will be several internal cameras (visible and IR) to monitor and record plant growth and operations.

Water Quality Monitor

NASA Technical Reports Server (NTRS)

1979-01-01

In the photo above, the cylindrical container being lowered into the water is a water quality probe developed by NASA's Langley Research Center for the Environmental Protection Agency (EPA) in an applications engineering project. It is part of a system- which also includes recording equipment in the helicopter-for on-the-spot analysis of water samples. It gives EPA immediate and more accurate information than the earlier method, in which samples are transported to a lab for analysis. Designed primarily for rapid assessment of hazardous spills in coastal and inland waters, the system provides a wide range of biological and chemical information relative to water pollution.

Integrated photovoltaic (PV) monitoring system

NASA Astrophysics Data System (ADS)

Mahinder Singh, Balbir Singh; Husain, NurSyahidah; Mohamed, Norani Muti

2012-09-01

The main aim of this research work is to design an accurate and reliable monitoring system to be integrated with solar electricity generating system. The performance monitoring system is required to ensure that the PVEGS is operating at an optimum level. The PV monitoring system is able to measure all the important parameters that determine an optimum performance. The measured values are recorded continuously, as the data acquisition system is connected to a computer, and data is stored at fixed intervals. The data can be locally used and can also be transmitted via internet. The data that appears directly on the local monitoring system is displayed via graphical user interface that was created by using Visual basic and Apache software was used for data transmission The accuracy and reliability of the developed monitoring system was tested against the data that captured simultaneously by using a standard power quality analyzer device. The high correlation which is 97% values indicates the level of accuracy of the monitoring system. The aim of leveraging on a system for continuous monitoring system is achieved, both locally, and can be viewed simultaneously at a remote system.

Looking inward and back: Real-time monitoring of visual working memories.

PubMed

Suchow, Jordan W; Fougnie, Daryl; Alvarez, George A

2017-04-01

Confidence in our memories is influenced by many factors, including beliefs about the perceptibility or memorability of certain kinds of objects and events, as well as knowledge about our skill sets, habits, and experiences. Notoriously, our knowledge and beliefs about memory can lead us astray, causing us to be overly confident in eyewitness testimony or to overestimate the frequency of recent experiences. Here, using visual working memory as a case study, we stripped away all these potentially misleading cues, requiring observers to make confidence judgments by directly assessing the quality of their memory representations. We show that individuals can monitor the status of information in working memory as it degrades over time. Our findings suggest that people have access to information reflecting the existence and quality of their working memories, and furthermore, that they can use this information to guide their behavior. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Analysis of acoustic emission during abrasive waterjet machining of sheet metals

NASA Astrophysics Data System (ADS)

Mokhtar, Nazrin; Gebremariam, MA; Zohari, H.; Azhari, Azmir

2018-04-01

The present paper reports on the analysis of acoustic emission (AE) produced during abrasive waterjet (AWJ) machining process. This paper focuses on the relationship of AE and surface quality of sheet metals. The changes in acoustic emission signals recorded by the mean of power spectral density (PSD) via covariance method in relation to the surface quality of the cut are discussed. The test was made using two materials for comparison namely aluminium 6061 and stainless steel 304 with five different feed rates. The acoustic emission data were captured by Labview and later processed using MATLAB software. The results show that the AE spectrums correlated with different feed rates and surface qualities. It can be concluded that the AE is capable of monitoring the changes of feed rate and surface quality.

Quality performance measurement using the text of electronic medical records.

PubMed

Pakhomov, Serguei; Bjornsen, Susan; Hanson, Penny; Smith, Steven

2008-01-01

Annual foot examinations (FE) constitute a critical component of care for diabetes. Documented evidence of FE is central to quality-of-care reporting; however, manual abstraction of electronic medical records (EMR) is slow, expensive, and subject to error. The objective of this study was to test the hypothesis that text mining of the EMR results in ascertaining FE evidence with accuracy comparable to manual abstraction. The text of inpatient and outpatient clinical reports was searched with natural-language (NL) queries for evidence of neurological, vascular, and structural components of FE. A manual medical records audit was used for validation. The reference standard consisted of 3 independent sets used for development (n=200 ), validation (n=118), and reliability (n=80). The reliability of manual auditing was 91% (95% confidence interval [CI]= 85-97) and was determined by comparing the results of an additional audit to the original audit using the records in the reliability set. The accuracy of the NL query requiring 1 of 3 FE components was 89% (95% CI=83-95). The accuracy of the query requiring any 2 of 3 components was 88% (95% CI=82-94). The accuracy of the query requiring all 3 components was 75% (95% CI= 68- 83). The free text of the EMR is a viable source of information necessary for quality of health care reporting on the evidence of FE for patients with diabetes. The low-cost methodology is scalable to monitoring large numbers of patients and can be used to streamline quality-of-care reporting.

Assessing the Impact of Fires on Air Quality in the Southeastern U.S. with a Unified Prescribed Burning Database

NASA Astrophysics Data System (ADS)

Garcia Menendez, F.; Afrin, S.

2017-12-01

Prescribed fires are used extensively across the Southeastern United States and are a major source of air pollutant emissions in the region. These land management projects can adversely impact local and regional air quality. However, the emissions and air pollution impacts of prescribed fires remain largely uncertain. Satellite data, commonly used to estimate fire emissions, is often unable to detect the low-intensity, short-lived prescribed fires characteristic of the region. Additionally, existing ground-based prescribed burn records are incomplete, inconsistent and scattered. Here we present a new unified database of prescribed fire occurrence and characteristics developed from systemized digital burn permit records collected from public and private land management organizations in the Southeast. This bottom-up fire database is used to analyze the correlation between high PM2.5 concentrations measured by monitoring networks in southern states and prescribed fire occurrence at varying spatial and temporal scales. We show significant associations between ground-based records of prescribed fire activity and the observational air quality record at numerous sites by applying regression analysis and controlling confounding effects of meteorology. Furthermore, we demonstrate that the response of measured PM2.5 concentrations to prescribed fire estimates based on burning permits is significantly stronger than their response to satellite fire observations from MODIS (moderate-resolution imaging spectroradiometer) and geostationary satellites or prescribed fire emissions data in the National Emissions Inventory. These results show the importance of bottom-up smoke emissions estimates and reflect the need for improved ground-based fire data to advance air quality impacts assessments focused on prescribed burning.

A new data logger for integrated geophysical monitoring

NASA Astrophysics Data System (ADS)

Orazi, Massimo; Peluso, Rosario; Caputo, Antonio; Giudicepietro, Flora; Martini, Marcello

2015-04-01

GILDA digital recorder is a data logger developed at Osservatorio Vesuviano (INGV). It provides excellent data quality with low power consumption and low production cost. It is widely used in the multi-parametric monitoring networks of Neapolitan volcanoes and Stromboli volcano. We have improved the characteristics of GILDA recorder to realize a robust user-oriented acquisition system for integrated geophysical monitoring. We have designed and implemented new capabilities concerning the use of the low rate channels to get data of environmental parameters of the station. We also improved the stand-alone version of the data logger. This version can be particularly useful for scientific experiments and to rapidly upgrade permanent monitoring networks. Furthermore, the local storage can be used as back-up for the monitoring systems in continuous transmission, in case of failure of the transmission system. Some firmware changes have been made in order to improve the performance of the instrument. In particular, the low rate acquisition channels were conditioned to acquire internal parameters of the recorder such as the temperature and voltage. A prototype of the new version of the logger is currently installed at Campi Flegrei for a experimental application. Our experiment is aimed at testing the new version of GILDA data logger in multi-board configuration for multiparametric acquisitions. A second objective of the experiment is the comparison of the recorded data with geochemical data acquired by a multiparametric geochemical station to investigate possible correlations between seismic and geochemical parameters. The target site of the experiment is "Bocca Grande" fumarole in Solfatara volcano. By exploiting the modularity of GILDA, for the experiment has been realized an acquisition system based on three dataloggers for a total of 12 available channels. One of GILDA recorders is the Master and the other two are Slaves. The Master is responsible for the initial configuration of the GPS receiver for timing data. The two data loggers configured in slave mode await the end of the initial configuration and then receive the GPS timing data and PPS from the Master. This allows you to use one GPS receiver and optimize power consumption. The whole system is configured to continuously transmit data via WiFi and to locally store data.

Selected water-quality data from the Cedar River and Cedar Rapids well fields, Cedar Rapids, Iowa, 2006-10

USGS Publications Warehouse

Littin, Gregory R.

2012-01-01

The Cedar River alluvial aquifer is the primary source of municipal water in the Cedar Rapids, Iowa area. Municipal wells are completed in the alluvial aquifer approximately 40 to 80 feet below land surface. The City of Cedar Rapids and the U.S. Geological Survey have been conducting a cooperative study of the groundwater-flow system and water quality of the aquifer since 1992. Cooperative reports between the City of Cedar Rapids and the U.S. Geological Survey have documented hydrologic and water-quality data, geochemistry, and groundwater models. Water-quality samples were collected for studies involving well field monitoring, trends, source-water protection, groundwater geochemistry, surface-water-groundwater interaction, and pesticides in groundwater and surface water. Water-quality analyses were conducted for major ions (boron, bromide, calcium, chloride, fluoride, iron, magnesium, manganese, potassium, silica, sodium, and sulfate), nutrients (ammonia as nitrogen, nitrite as nitrogen, nitrite plus nitrate as nitrogen, and orthophosphate as phosphorus), dissolved organic carbon, and selected pesticides including two degradates of the herbicide atrazine. Physical characteristics (alkalinity, dissolved oxygen, pH, specific conductance and water temperature) were measured in the field and recorded for each water sample collected. This report presents the results of routine water-quality data-collection activities from January 2006 through December 2010. Methods of data collection, quality-assurance, and water-quality analyses are presented. Data include the results of water-quality analyses from quarterly sampling from monitoring wells, municipal wells, and the Cedar River.

Continuous on-line steam quality monitoring system of the Bacman Geothermal Production Field, Philippines

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

Solis, R.P.; Chavez, F.C.; Garcia, S.E.

1997-12-31

In any operating geothermal power plant, steam quality is one of the most important parameters being monitored. In the Bacon-Manito Geothermal Production Field (BGPF), an online steam quality monitoring system have been installed in two operating power plants which provides an accurate, efficient and continuous real-time data which is more responsive to the various requirements of the field operation. The system utilizes sodium as an indicator of steam purity. Sodium concentration is read by the flame photometer located at the interface after aspirating a sample of the condensed steam through a continuous condensate sampler. The condensate has been degassed throughmore » a condensate-NCG separator. The flame photometer analog signal is then converted by a voltage-to-current converter/transmitter and relayed to the processor which is located at the control center through electrical cable to give a digital sodium concentration read-out at the control panel. The system features a high and high-high sodium level alarm, a continuous strip-chart recorder and a central computer for data capture, retrieval, and processing for further interpretation. Safety devices, such as the flame-off indicator at the control center and the automatic fuel cut-off device along the fuel line, are incorporated in the system.« less

Electronic adherence monitoring device performance and patient acceptability: a randomized control trial.

PubMed

Chan, Amy Hai Yan; Stewart, Alistair William; Harrison, Jeff; Black, Peter Nigel; Mitchell, Edwin Arthur; Foster, Juliet Michelle

2017-05-01

To investigate the performance and patient acceptability of an inhaler electronic monitoring device in a real-world childhood asthma population. Children 6 to 15 years presenting with asthma to the hospital emergency department and prescribed inhaled corticosteroids were included. Participants were randomized to receive a device with reminder features enabled or disabled for use with their preventer. Device quality control tests were conducted. Questionnaires on device acceptability, utility and ergonomics were completed at six months. A total of 1306 quality control tests were conducted; 84% passed pre-issue and 87% return testing. The most common failure reason was actuation under-recording. Acceptability scores were high, with higher scores in the reminder than non-reminder group (median, 5 th -95 th percentile: 4.1, 3.1-5.0 versus 3.7, 2.3-4.8; p < 0.001). Most (>90%) rated the device easy to use. Feedback was positive across five themes: device acceptability, ringtone acceptability, suggestions for improvement, effect on medication use, and effect on asthma control. This study investigates electronic monitoring device performance and acceptability in children using quantitative and qualitative measures. Results indicate satisfactory reliability, although failure rates of 13-16% indicate the importance of quality control. Favorable acceptability ratings support the use of these devices in children.

Compilation and analysis of multiple groundwater-quality datasets for Idaho

USGS Publications Warehouse

Hundt, Stephen A.; Hopkins, Candice B.

2018-05-09

Groundwater is an important source of drinking and irrigation water throughout Idaho, and groundwater quality is monitored by various Federal, State, and local agencies. The historical, multi-agency records of groundwater quality include a valuable dataset that has yet to be compiled or analyzed on a statewide level. The purpose of this study is to combine groundwater-quality data from multiple sources into a single database, to summarize this dataset, and to perform bulk analyses to reveal spatial and temporal patterns of water quality throughout Idaho. Data were retrieved from the Water Quality Portal (https://www.waterqualitydata.us/), the Idaho Department of Environmental Quality, and the Idaho Department of Water Resources. Analyses included counting the number of times a sample location had concentrations above Maximum Contaminant Levels (MCL), performing trends tests, and calculating correlations between water-quality analytes. The water-quality database and the analysis results are available through USGS ScienceBase (https://doi.org/10.5066/F72V2FBG).

Hourly Water Quality Dynamics in Rivers Downstream of Urban Areas: Quantifying Seasonal Variation and Modelling Impacts of Urban Growth

NASA Astrophysics Data System (ADS)

Hutchins, M.; McGrane, S. J.; Miller, J. D.; Hitt, O.; Bowes, M.

2016-12-01

Continuous monitoring of water flows and quality is invaluable in improving understanding of the influence of urban areas on river health. When used to inform predictive modelling, insights can be gained as to how urban growth may affect the chemical and biological quality of rivers as they flow downstream into larger waterbodies. Water flow and quality monitoring in two urbanising sub-catchments (<100 km2) of the River Thames (southern UK) is described. Temperature, conductivity, turbidity, dissolved oxygen (DO) and ammonium (NH4) were measured at downstream locations where long term flow records are available, but particular focus is given to monitoring of an extended set of sites during prolonged winter rainfall. In the Ray sub-catchment streams were monitored in which urban cover varied across a range of 7-78%. A rural-urban gradient in DO was apparent in the low flow period prior to the storms. Transient low DO (< 8 mg L-1) as a response to pollutant first flushes was particularly apparent in urban streams but this was followed by a rapid recovery. Chronic effects lasting for three to four weeks were only seen downstream of a sewage treatment works (STW). In this respect temperature- and respiration-driven DO sags in summer were at least if not more severe than those driven by the winter storms. Likewise, although winter storm NH4 concentrations violated EU legislation downstream of the STW, they were lower than summer concentrations in pollutant flushes following dry spells. In contrast the predominant phenomenon affecting water quality in the Cut during the storms was dilution. Here, a river water quality model was calibrated and applied over the course of a year to capture the importance of periphyton photosynthesis and respiration cycles in determining water quality and to predict the influence of hypothetical urban growth on downstream river health. The periods monitored intensively, dry spells followed by prolonged rainfall, represent: (i) marked changes in conditions likely to become more prevalent in future, (ii) situations under which water quality in urban areas is likely to be particularly vulnerable, being influenced for example by first flush effects followed by capacity exceedance at STW. Despite this, whilst being somewhat long lasting in places, impacts on DO were not severe.

Frequency-duration analysis of dissolved-oxygen concentrations in two southwestern Wisconsin streams

USGS Publications Warehouse

Greb, Steven R.; Graczyk, David J.

2007-01-01

Historically, dissolved-oxygen (DO) data have been collected in the same manner as other water-quality constituents, typically at infrequent intervals as a grab sample or an instantaneous meter reading. Recent years have seen an increase in continuous water-quality monitoring with electronic dataloggers. This new technique requires new approaches in the statistical analysis of the continuous record. This paper presents an application of frequency-duration analysis to the continuous DO records of a cold and a warm water stream in rural southwestern Wisconsin. This method offers a quick, concise way to summarize large time-series data bases in an easily interpretable manner. Even though the two streams had similar mean DO concentrations, frequency-duration analyses showed distinct differences in their DO-concentration regime. This type of analysis also may be useful in relating DO concentrations to biological effects and in predicting low DO occurrences.

Measuring Data Quality Through a Source Data Verification Audit in a Clinical Research Setting.

PubMed

Houston, Lauren; Probst, Yasmine; Humphries, Allison

2015-01-01

Health data has long been scrutinised in relation to data quality and integrity problems. Currently, no internationally accepted or "gold standard" method exists measuring data quality and error rates within datasets. We conducted a source data verification (SDV) audit on a prospective clinical trial dataset. An audit plan was applied to conduct 100% manual verification checks on a 10% random sample of participant files. A quality assurance rule was developed, whereby if >5% of data variables were incorrect a second 10% random sample would be extracted from the trial data set. Error was coded: correct, incorrect (valid or invalid), not recorded or not entered. Audit-1 had a total error of 33% and audit-2 36%. The physiological section was the only audit section to have <5% error. Data not recorded to case report forms had the greatest impact on error calculations. A significant association (p=0.00) was found between audit-1 and audit-2 and whether or not data was deemed correct or incorrect. Our study developed a straightforward method to perform a SDV audit. An audit rule was identified and error coding was implemented. Findings demonstrate that monitoring data quality by a SDV audit can identify data quality and integrity issues within clinical research settings allowing quality improvement to be made. The authors suggest this approach be implemented for future research.

A prospective pilot study of home monitoring in adults with cystic fibrosis (HOME-CF): protocol for a randomised controlled trial.

PubMed

Choyce, Jocelyn; Shaw, Karen L; Sitch, Alice J; Mistry, Hema; Whitehouse, Joanna L; Nash, Edward F

2017-01-23

Home monitoring has the potential to detect early pulmonary exacerbations in people with cystic fibrosis (CF), with consequent improvements in health outcomes and healthcare associated costs. This study aims to assess the effects of home monitoring on hospital admissions, quality of life, antibiotic requirements, exacerbation frequency, lung function, nutritional outcomes, anxiety, depression, costs and health outcomes, as well as the qualitative effects on the patient experience. This randomised controlled mixed-methods trial aims to recruit 100 adults with CF cared for in one large regional CF centre. Participants are randomly allocated 1:1 to the intervention group (twice-weekly home monitoring of symptoms measured by the Cystic Fibrosis Respiratory Symptom Diary - Chronic Respiratory Infection Symptom Score (CFRSD-CRISS) and Forced Expiratory Volume in one second (FEV 1 )) or a control group (routine clinical care) for the 12-month study period. Measurements are recorded at study visits at baseline, 3, 6, 9 and 12 months. Spirometry, body weight, co-morbidities, medications, hospital inpatient days, courses of antibiotics (oral and intravenous), pulmonary exacerbations (defined by the modified Fuchs criteria) are recorded at each study visit. Health status, capability and health economics are measured at each study visit by the Hospital Anxiety and Depression Scale (HADS), the ICEpop CAPability measure for Adults (ICECAP-A), EuroQol 5 dimensions (EQ-5D-5L) questionnaire and an adapted resource use questionnaire. The patient experience is assessed by semi-structured qualitative interviews at baseline and 12 months. Results from this study will help to determine the effect of home monitoring on inpatient bed days and quality of life in adults with CF, as well as other relevant health and health economic outcomes. This study protocol is registered with Clinicaltrials.gov ( NCT02994706 ), date registered 16 th July 2014.

The role of health informatics in clinical audit: part of the problem or key to the solution?

PubMed

Georgiou, Andrew; Pearson, Michael

2002-05-01

The concepts of quality assurance (for which clinical audit is an essential part), evaluation and clinical governance each depend on the ability to derive and record measurements that describe clinical performance. Rapid IT developments have raised many new possibilities for managing health care. They have allowed for easier collection and processing of data in greater quantities. These developments have encouraged the growth of quality assurance as a key feature of health care delivery. In the past most of the emphasis has been on hospital information systems designed predominantly for the administration of patients and the management of financial performance. Large, hi-tech information system capacity does not guarantee quality information. The task of producing information that can be confidently used to monitor the quality of clinical care requires attention to key aspects of the design and operation of the audit. The Myocardial Infarction National Audit Project (MINAP) utilizes an IT-based system to collect and process data on large numbers of patients and make them readily available to contributing hospitals. The project shows that IT systems that employ rigorous health informatics methodologies can do much to improve the monitoring and provision of health care.

Methods developed to elucidate nursing related adverse events in Japan.

PubMed

Yamagishi, Manaho; Kanda, Katsuya; Takemura, Yukie

2003-05-01

Financial resources for quality assurance in Japanese hospitals are limited and few hospitals have quality monitoring systems of nursing service systems. However, recently its necessity has been recognized. This study has cost effectively used adverse event occurrence rates as indicators of the quality of nursing service, and audited methods of collecting data on adverse events to elucidate their approximate true numbers. Data collection was conducted in July, August and November 2000 at a hospital in Tokyo that administered both primary and secondary health care services (281 beds, six wards, average length of stay 23 days). We collected adverse events through incident reports, logs, check-lists, nurse interviews, medication error questionnaires, urine leucocyte tests, patient interviews and medical records. Adverse events included the unplanned removals of invasive lines, medication errors, falls, pressure sores, skin deficiencies, physical restraints, and nosocomial infections. After evaluating the time and useful outcomes of each source, it soon became clear that we could elucidate adverse events most consistently and cost-effectively through incident reports, check lists, nurse interviews, urine leucocyte tests and medication error questionnaires. This study suggests that many hospitals in Japan could monitor the quality of the nursing service using these sources.

[Introduction of computerized anesthesia-recording systems and construction of comprehensive medical information network for patients undergoing surgery in the University of Tokyo Hospital].

PubMed

Kitamura, Takayuki; Hoshimoto, Hiroyuki; Yamada, Yoshitsugu

2009-10-01

The computerized anesthesia-recording systems are expensive and the introduction of the systems takes time and requires huge effort. Generally speaking, the efficacy of the computerized anesthesia-recording systems on the anesthetic managements is focused on the ability to automatically input data from the monitors to the anesthetic records, and tends to be underestimated. However, once the computerized anesthesia-recording systems are integrated into the medical information network, several features, which definitely contribute to improve the quality of the anesthetic management, can be developed; for example, to prevent misidentification of patients, to prevent mistakes related to blood transfusion, and to protect patients' personal information. Here we describe our experiences of the introduction of the computerized anesthesia-recording systems and the construction of the comprehensive medical information network for patients undergoing surgery in The University of Tokyo Hospital. We also discuss possible efficacy of the comprehensive medical information network for patients during surgery under anesthetic managements.

Radiation Internal Monitoring by In Vivo Scanning in Operation Tomodachi

DTIC Science & Technology

2013-08-01

2 cubic meter (m3) Mass /Density pound (lb) 4.535 924 × 10–1 kilogram (kg) atomic mass unit (AMU) 1.660 539 × 10–27 kilogram (kg) pound- mass per...40 2.2.5. Critical Level and Minimum Detectable Activity ............................... 42 ii Section 3. Radiological Properties...operation quality assurance program. x Operation Tomodachi Dose Assessment and Recording Working Group members, who provided critical information

A multi-country study of the “intrapartum stillbirth and early neonatal death indicator” in hospitals in low-resource settings

PubMed Central

Goldenberg, Robert L.; McClure, Elizabeth M.; Kodkany, Bhala; Wembodinga, Gilbert; Pasha, Omrana; Esamai, Fabian; Tshefu, Antoinette; Patel, Archana; Mabaye, Hillary; Goudar, Shivaparasad; Saleem, Sarah; Waikar, Manjushri; Langer, Ana; Bose, Carl L.; Rubens, Craig E.; Wright, Linda L.; Moore, Janet; Blanc, Ann

2013-01-01

Objective To determine the feasibility of introducing a simple indicator of quality of obstetric and neonatal care and to determine the proportion of potentially avoidable perinatal deaths in hospitals in low-income countries. Methods Between September 1, 2011, and February 29, 2012, data were collected from women who had a term pregnancy and were admitted to the labor ward of 1 of 6 hospitals in 4 low-income countries. Fetal heart tones on admission were monitored, and demographic and birth data were recorded. Results Data were obtained for 3555 women and 3593 neonates (including twins). The doptone was used on 97% of women admitted. The overall perinatal mortality rate was 34 deaths per 1000 deliveries. Of the perinatal deaths, 40%–45% occurred in the hospital and were potentially preventable by better hospital care. Conclusion The results demonstrated that it is possible to accurately determine fetal viability on admission via a doptone. Implementation of doptone use, coupled with a concise data record, might form the basis of a low-cost and sustainable program to monitor and evaluate efforts to improve quality of care and ultimately might to help to reduce the in-hospital component of perinatal mortality in low-income countries. PMID:23796259

[Status of cardiorespiratory polysomnographic diagnosis in the sleep laboratory].

PubMed

Penzel, T

1995-03-01

The different types of sleep related breathing and cardiovascular disorders are well known and defined nowadays. Thereby it is possible to present a configuration by which a cardiorespiratory sleep laboratory is enabled to perform a complete differential diagnosis. This configuration consists of the function sleep with EEG, EOG and EMG, the function respiration with respiratory effort, respiratory flow and oxygen saturation, and the cardiovascular function with ECG and blood pressure if indicated. Continuous monitoring by videocamera and a patient call system with a technician present during the entire recording time must be assured. Recording and evaluation of all signals can be done with chart polygraphs or with computer systems if they provide a high-resolution graphic monitor. Automatic sleep analysis systems support evaluation of polysomnograms. But automatic analysis of sleep stages as well as automatic analysis of respiratory disorders needs visual counterchecking before results can be accepted. On the basis of today's knowledge recommendation for the setting of a sleep laboratory were set and new sleep labs are controlled on a voluntary basis by a commission of the German society for sleep research and sleep medicine. This first step of quality control is introduced to establish a procedure to keep quality of diagnosis and treatment on a high level in this medical specialty.

A preliminary study into performing routine tube output and automatic exposure control quality assurance using radiology information system data.

PubMed

Charnock, P; Jones, R; Fazakerley, J; Wilde, R; Dunn, A F

2011-09-01

Data are currently being collected from hospital radiology information systems in the North West of the UK for the purposes of both clinical audit and patient dose audit. Could these data also be used to satisfy quality assurance (QA) requirements according to UK guidance? From 2008 to 2009, 731 653 records were submitted from 8 hospitals from the North West England. For automatic exposure control QA, the protocol from Institute of Physics and Engineering in Medicine (IPEM) report 91 recommends that milliamperes per second can be monitored for repeatability and reproducibility using a suitable phantom, at 70-81 kV. Abdomen AP and chest PA examinations were analysed to find the most common kilovoltage used with these records then used to plot average monthly milliamperes per second with time. IPEM report 91 also recommends that a range of commonly used clinical settings is used to check output reproducibility and repeatability. For each tube, the dose area product values were plotted over time for two most common exposure factor sets. Results show that it is possible to do performance checks of AEC systems; however more work is required to be able to monitor tube output performance. Procedurally, the management system requires work and the benefits to the workflow would need to be demonstrated.

Automated Collection of Real-Time Alerts of Citizens as a Useful Tool to Continuously Monitor Malodorous Emissions.

PubMed

Brattoli, Magda; Mazzone, Antonio; Giua, Roberto; Assennato, Giorgio; de Gennaro, Gianluigi

2016-02-26

The evaluation of odor emissions and dispersion is a very arduous topic to face; the real-time monitoring of odor emissions, the identification of chemical components and, with proper certainty, the source of annoyance represent a challenge for stakeholders such as local authorities. The complaints of people, often not systematic and variously distributed, in general do not allow us to quantify the perceived annoyance. Experimental research has been performed to detect and evaluate olfactory annoyance, based on field testing of an innovative monitoring methodology grounded in automatic recording of citizen alerts. It has been applied in Taranto, in the south of Italy where a relevant industrial area is located, by using Odortel(®) for automated collection of citizen alerts. To evaluate its reliability, the collection system has been integrated with automated samplers, able to sample odorous air in real time, according to the citizen alerts of annoyance and, moreover, with meteorological data (especially the wind direction) and trends in odor marker compounds, recorded by air quality monitoring stations. The results have allowed us, for the first time, to manage annoyance complaints, test their reliability, and obtain information about the distribution and entity of the odor phenomena, such that we were able to identify, with supporting evidence, the source as an oil refinery plant.

Long-Term Water Quality Studies in a Eutrophic Lake Catchment: Slapton Ley, SW England

NASA Astrophysics Data System (ADS)

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

2014-12-01

Monitoring is the process by which we keep the behaviour of the environment in view, an essential way of discovering whether there are significant undesirable changes taking place. Long-term datasets reveal important patterns for scientists to explain and are essential for testing hypotheses undreamt of at the time monitoring scheme was set up. Many environmental processes take place over relatively long periods of time; very often, subtle processes are embedded within highly variable systems so that their weak signal cannot be extracted without a long record. Slapton Ley is a freshwater coastal lagoon in SW England. The Ley is part of a National Nature Reserve, wetland 116 ha in area which is divided into two basins: the Higher Ley (39 ha) is mainly reed swamp; the Lower Ley (77 ha) is open water. In the 1960s it became apparent that the Ley was becoming increasingly eutrophic. In order to gauge water, sediment and nutrient inputs into the lake, measurements began on the main catchments in late 1969. Continuous monitoring of discharge and a weekly water-sampling programme have been maintained by the Slapton Ley Field Centre ever since. The monitoring programme has been supplemented by a number of research projects which have sought to identify the salient hydrological processes operating within the Slapton catchments and to relate these to the delivery of sediment and solute to the stream system. The nitrate issue has been of particular interest at Slapton; although many longer series exist for large rivers like the Thames, the long record of nitrate data for the Slapton catchments is unique in Britain for small rural basins. Other issues to be explored will be the phosphorus legacy in lake sediments and a long-term decline in lake pH. The Slapton water quality record has confirmed that undesirable changes are taking place, revealed evidence of important patterns to be explained, allowed testing of new hypotheses (e.g. links with land-use change) and helped provide strategies for more successful management of the catchment area.

A vehicle health monitoring system for the Space Shuttle Reaction Control System during reentry. M.S. Thesis - Massachusetts Inst. of Technology

NASA Technical Reports Server (NTRS)

Rosello, Anthony David

1995-01-01

A general two tier framework for vehicle health monitoring of Guidance Navigation and Control (GN&C) system actuators, effectors, and propulsion devices is presented. In this context, a top level monitor that estimates jet thrust is designed for the Space Shuttle Reaction Control System (RCS) during the reentry phase of flight. Issues of importance for the use of estimation technologies in vehicle health monitoring are investigated and quantified for the Shuttle RCS demonstration application. These issues include rate of convergence, robustness to unmodeled dynamics, sensor quality, sensor data rates, and information recording objectives. Closed loop simulations indicate that a Kalman filter design is sensitive to modeling error and robust estimators may reduce this sensitivity. Jet plume interaction with the aerodynamic flowfield is shown to be a significant effect adversely impacting the ability to accurately estimate thrust.

Selected hydrologic data for the field demonstration of three permeable reactive barriers near Fry Canyon, Utah, 1996-2000

USGS Publications Warehouse

Wilkowske, Chris D.; Rowland, Ryan C.; Naftz, David L.

2001-01-01

Three permeable reactive barriers (PRBs) were installed near Fry Canyon, Utah, in August 1997 to demonstrate the use of PRBs to control the migration of uranium in ground water. Reactive material included (1) bone-char phosphate, (2) zero-valent iron pellets, and (3) amorphous ferric oxyhydroxide coated gravel. An extensive monitoring network was installed in and around each PRB for collection of water samples, analysis of selected water-quality parameters, and monitoring of water levels. Water temperature, specific conductance, pH, Eh (oxidation-reduction potential), and dissolved oxygen were measured continuously within three different barrier materials, and in two monitoring wells. Water temperature and water level below land surface were electronically recorded every hour with pressure transducers. Data were collected from ground-water monitoring wells installed in and around the PRBs during 1996-98 and from surface-water sites in Fry Creek.

Optical Sensor for real-time Monitoring of CO(2) Laser Welding Process.

PubMed

Ancona, A; Spagnolo, V; Lugarà, P M; Ferrara, M

2001-11-20

An optical sensor for real-time monitoring of laser welding based on a spectroscopic study of the optical emission of plasma plumes has been developed. The welding plasma's electron temperature was contemporarily monitored for three of the chemical species that constitute the plasma plume by use of related emission lines. The evolution of electron temperature was recorded and analyzed during several welding procedures carried out under various operating conditions. A clear correlation between the mean value and the standard deviation of the plasma's electron temperature and the quality of the welded joint has been found. We used this information to find optimal welding parameters and for real-time detection of weld defects such as crater formation, lack of penetration, weld disruptions, and seam oxidation.

Ground-water conditions in Georgia, 1997

USGS Publications Warehouse

Cressler, A.M.

1998-01-01

Ground-water conditions in Georgia during 1997 and for the period of record were evaluated using data from ground-water-level and ground-water-quality monitoring networks. Data for 1997 included in this report are from continuous water-level records from 71 wells and chloride analyses from 14 wells. In 1997, annual mean ground-water levels in Georgia ranged from 6.2 feet (ft) lower to 5.6 ft higher than in 1996. Of the 71 wells summarized in this report, 23 wells had annual mean water levels that were higher, 35 wells had annual mean water levels that were lower, and 11 wells had annual mean water levels that were about the same in 1997 as during 1996. Data for two wells are incomplete because data collection was discontinued at one well, and the equipment was vandalized at one well. Record-low daily mean water levels were recorded in six wells tapping the Upper Floridan aquifer, one well tapping the Caliborne aquifer, two wells tapping the Clayton aquifer, and three wells tapping Cretaceous aquifers. These record lows were from 0.2 to 5.6 ft lower than previous record lows. Chloride concentration in water from the Upper Floridan aquifer in most of coastal Georgia was within drinking-water standards established by the Georgia Department of Natural Resources and the U.S. Environmental Protection Agency. In the Savannah area, chloride concentration has not changed appreciably with time. However, chloride concentration in water from some wells that tap the Floridan aquifer system in the Brunswick area exceeds the drinking-water standard. Ground-water-level and ground-water-quality data are essential for water assessment and management. Ground-water-level fluctuations and trends can be used to estimate changes in aquifer storage resulting from the effects of ground-water withdrawal and recharge from precipitation. These data can be used to address water-management needs and to evaluate the effects of management and conservation programs. As part of the ground-water investigations conducted by the U.S. Geological Survey (USGS), in cooperation with the State of Georgia and city and county governments, a Statewide water-level- measurement program was started in 1938. Initially, this program consisted of an observation-well network in the coastal area of Georgia to monitor variations in ground- water storage and quality. Additional wells were later included in areas where data could be used to predict potential water-resource problems. During 1997, periodic water-level measurements were made in 67 wells, and continuous water-level measurements were obtained from 151 wells. Continuous water-level records were obtained using analog (pen and chart) recorders, digital recorders that record the water level at 30-minute or 60-minute intervals, and electronic data recorders that record the water level at 60-minute intervals. For wells having incomplete water-level record, water levels during periods of missing record may have been higher or lower than recorded water levels. Water samples collected from 23 wells during April and November 1997 were analyzed to determine chloride concentration in the Savannah and Brunswick areas.

Camera Traps on Wildlife Crossing Structures as a Tool in Gray Wolf (Canis lupus) Management - Five-Years Monitoring of Wolf Abundance Trends in Croatia

PubMed Central

Križan, Josip; Gužvica, Goran

2016-01-01

The conservation of gray wolf (Canis lupus) and its coexistence with humans presents a challenge and requires continuous monitoring and management efforts. One of the non-invasive methods that produces high-quality wolf monitoring datasets is camera trapping. We present a novel monitoring approach where camera traps are positioned on wildlife crossing structures that channel the animals, thereby increasing trapping success and increasing the cost-efficiency of the method. In this way we have followed abundance trends of five wolf packs whose home ranges are intersected by a motorway which spans throughout the wolf distribution range in Croatia. During the five-year monitoring of six green bridges we have recorded 28 250 camera-events, 132 with wolves. Four viaducts were monitored for two years, recording 4914 camera-events, 185 with wolves. We have detected a negative abundance trend of the monitored Croatian wolf packs since 2011, especially severe in the northern part of the study area. Further, we have pinpointed the legal cull as probable major negative influence on the wolf pack abundance trends (linear regression, r2 > 0.75, P < 0.05). Using the same approach we did not find evidence for a negative impact of wolves on the prey populations, both wild ungulates and livestock. We encourage strict protection of wolf in Croatia until there is more data proving population stability. In conclusion, quantitative methods, such as the one presented here, should be used as much as possible when assessing wolf abundance trends. PMID:27327498

Camera Traps on Wildlife Crossing Structures as a Tool in Gray Wolf (Canis lupus) Management - Five-Years Monitoring of Wolf Abundance Trends in Croatia.

PubMed

Šver, Lidija; Bielen, Ana; Križan, Josip; Gužvica, Goran

2016-01-01

The conservation of gray wolf (Canis lupus) and its coexistence with humans presents a challenge and requires continuous monitoring and management efforts. One of the non-invasive methods that produces high-quality wolf monitoring datasets is camera trapping. We present a novel monitoring approach where camera traps are positioned on wildlife crossing structures that channel the animals, thereby increasing trapping success and increasing the cost-efficiency of the method. In this way we have followed abundance trends of five wolf packs whose home ranges are intersected by a motorway which spans throughout the wolf distribution range in Croatia. During the five-year monitoring of six green bridges we have recorded 28 250 camera-events, 132 with wolves. Four viaducts were monitored for two years, recording 4914 camera-events, 185 with wolves. We have detected a negative abundance trend of the monitored Croatian wolf packs since 2011, especially severe in the northern part of the study area. Further, we have pinpointed the legal cull as probable major negative influence on the wolf pack abundance trends (linear regression, r2 > 0.75, P < 0.05). Using the same approach we did not find evidence for a negative impact of wolves on the prey populations, both wild ungulates and livestock. We encourage strict protection of wolf in Croatia until there is more data proving population stability. In conclusion, quantitative methods, such as the one presented here, should be used as much as possible when assessing wolf abundance trends.

[Perinatal Information System. Incorporation latency and impact on perinatal clinical registry].

PubMed

Simini, F; Fernández, A; Sosa, C; Díaz Rossello, J L

2001-10-01

The Perinatal Information System (SIP) is a clinical record, local management and quality assurance software standard in Latin America and the Caribbean. The time to implement SIP in a Maternity Hospital is evaluated as well as the effect of statistics on perinatal health indicators in subsequent years. In the sample of 20 Maternity Hospitals (5 Countries, 40% Private and 60% Public) 85% had a reliable information system by the third year of use of SIP. 15% of hospitals still had problems at that time that were already clear during the second year, a time corrective measures can still be taken. The evaluation of the impact of yearly reports shows that 58% of recommendations were fulfilled, specially those regarding the complete filling-in of clinical records (62%) and to a lesser extent variables that reflect clinical practices and organization of services (52%). The conclusion is that Maternity Hospitals in Latin America and the Caribbean have the capacity to adopt a complex tool of computerized clinical records for quality assurance of perinatal care and monitoring of health indicators.

Contact lenses fitting teaching: learning improvement with monitor visualization of webcam video recordings

NASA Astrophysics Data System (ADS)

Gargallo, Ana; Arines, Justo

2014-08-01

We have adapted low cost webcams to the slit lamps objectives with the aim of improving contact lens fitting practice. With this solution we obtain good quality pictures and videos, we also recorded videos of eye examination, evaluation routines of contact lens fitting, and the final practice exam of our students. In addition, the video system increases the interactions between students because they could see what their colleagues are doing and take conscious of their mistakes, helping and correcting each others. We think that the proposed system is a low cost solution for supporting the training in contact lens fitting practice.

Analysis of air quality in Dire Dawa, Ethiopia.

PubMed

Kasim, Oluwasinaayomi Faith; Woldetisadik Abshare, Muluneh; Agbola, Samuel Babatunde

2017-12-07

Ambient air quality was monitored and analyzed to develop air quality index and its implications for livability and climate change in Dire Dawa, Ethiopia. Using survey research design, 16 georeferenced locations, representing different land uses, were randomly selected and assessed for sulfur dioxide (SO 2 ), nitrogen dioxide (NO 2 ), carbon dioxide (CO 2 ), carbon monoxide (CO),volatile organic compounds (VOCs), and meteorological parameters (temperature and relative humidity). The study found mean concentrations across all land uses for SO 2 of 0.37 ± 0.08 ppm, NO 2 of 0.13 ± 0.17 ppm, CO 2 of 465.65 ± 28.63 ppm, CO of 3.35 ± 2.04 ppm, and VOCs of 1850.67 ± 402 ppm. An air quality index indicated that ambient air quality for SO 2 was very poor, NO 2 ranged from moderate to very poor, whereas CO rating was moderate. Significant positive correlations existed between temperature and NO 2 , CO 2 , and CO and between humidity and VOCs. Significant relationships were also recorded between CO 2 and NO 2 and between CO and CO 2 . Poor urban planning, inadequate pollution control measure, and weak capacity to monitor air quality have implications for energy usage, air quality, and local meteorological parameters, with subsequent feedback into global climate change. Implementation of programs to monitor and control emissions in order to reduce air pollution will provide health, economic, and environmental benefits to the city. The need to develop and implement emission control programs to reduce air pollution in Dire Dawa City is urgent. This will provide enormous economic, health, and environmental benefits. It is expected that economic effects of air quality improvement will offset the expenditures for pollution control. Also, strategies that focus on air quality and climate change present a unique opportunity to engage different stakeholders in providing inclusive and sustainable development agenda for Dire Dawa.

Accounting for water quality in monitoring access to safe drinking-water as part of the Millennium Development Goals: lessons from five countries

PubMed Central

Bain, Rob ES; Wright, Jim A; Yang, Hong; Pedley, Steve; Bartram, Jamie K

2012-01-01

Abstract Objective To determine how data on water source quality affect assessments of progress towards the 2015 Millennium Development Goal (MDG) target on access to safe drinking-water. Methods Data from five countries on whether drinking-water sources complied with World Health Organization water quality guidelines on contamination with thermotolerant coliform bacteria, arsenic, fluoride and nitrates in 2004 and 2005 were obtained from the Rapid Assessment of Drinking-Water Quality project. These data were used to adjust estimates of the proportion of the population with access to safe drinking-water at the MDG baseline in 1990 and in 2008 made by the Joint Monitoring Programme for Water Supply and Sanitation, which classified all improved sources as safe. Findings Taking account of data on water source quality resulted in substantially lower estimates of the percentage of the population with access to safe drinking-water in 2008 in four of the five study countries: the absolute reduction was 11% in Ethiopia, 16% in Nicaragua, 15% in Nigeria and 7% in Tajikistan. There was only a slight reduction in Jordan. Microbial contamination was more common than chemical contamination. Conclusion The criterion used by the MDG indicator to determine whether a water source is safe can lead to substantial overestimates of the population with access to safe drinking-water and, consequently, also overestimates the progress made towards the 2015 MDG target. Monitoring drinking-water supplies by recording both access to water sources and their safety would be a substantial improvement. PMID:22461718

Assessments of Voice Use and Voice Quality Among College/University Singing Students Ages 18-24 Through Ambulatory Monitoring With a Full Accelerometer Signal.

PubMed

Schloneger, Matthew J; Hunter, Eric J

2017-01-01

The multiple social and performance demands placed on college/university singers could put their still-developing voices at risk. Previous ambulatory monitoring studies have analyzed the duration, intensity, and frequency (in Hertz) of voice use among such students. Nevertheless, no studies to date have incorporated the simultaneous acoustic voice quality measures into the acquisition of these measures to allow for direct comparison during the same voicing period. Such data could provide greater insight into how young singers use their voices, as well as identify potential correlations between vocal dose and acoustic changes in voice quality. The purpose of this study was to assess the voice use and the estimated voice quality of college/university singing students (18-24 years old, N = 19). Ambulatory monitoring was conducted over three full, consecutive weekdays measuring voice from an unprocessed accelerometer signal measured at the neck. From this signal, traditional vocal dose metrics such as phonation percentage, dose time, cycle dose, and distance dose were analyzed. Additional acoustic measures included perceived pitch, pitch strength, long-term average spectrum slope, alpha ratio, dB sound pressure level 1-3 kHz, and harmonic-to-noise ratio. Major findings from more than 800 hours of recording indicated that among these students (a) higher vocal doses correlated significantly with greater voice intensity, more vocal clarity and less perturbation; and (b) there were significant differences in some acoustic voice quality metrics between nonsinging, solo singing, and choral singing. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

Asan medical information system for healthcare quality improvement.

PubMed

Ryu, Hyeon Jeong; Kim, Woo Sung; Lee, Jae Ho; Min, Sung Woo; Kim, Sun Ja; Lee, Yong Su; Lee, Young Ha; Nam, Sang Woo; Eo, Gi Seung; Seo, Sook Gyoung; Nam, Mi Hyun

2010-09-01

This purpose of this paper is to introduce the status of the Asan Medical Center (AMC) medical information system with respect to healthcare quality improvement. Asan Medical Information System (AMIS) is projected to become a completely electronic and digital information hospital. AMIS has played a role in improving the health care quality based on the following measures: safety, effectiveness, patient-centeredness, timeliness, efficiency, privacy, and security. AMIS CONSISTED OF SEVERAL DISTINCTIVE SYSTEMS: order communication system, electronic medical record, picture archiving communication system, clinical research information system, data warehouse, enterprise resource planning, IT service management system, and disaster recovery system. The most distinctive features of AMIS were the high alert-medication recognition & management system, the integrated and severity stratified alert system, the integrated patient monitoring system, the perioperative diabetic care monitoring and support system, and the clinical indicator management system. AMIS provides IT services for AMC, 7 affiliated hospitals and over 5,000 partners clinics, and was developed to improve healthcare services. The current challenge of AMIS is standard and interoperability. A global health IT strategy is needed to get through the current challenges and to provide new services as needed.

Graphite Based Electrode for ECG Monitoring: Evaluation under Freshwater and Saltwater Conditions.

PubMed

Thap, Tharoeun; Yoon, Kwon-Ha; Lee, Jinseok

2016-04-15

We proposed new electrodes that are applicable for electrocardiogram (ECG) monitoring under freshwater- and saltwater-immersion conditions. Our proposed electrodes are made of graphite pencil lead (GPL), a general-purpose writing pencil. We have fabricated two types of electrode: a pencil lead solid type (PLS) electrode and a pencil lead powder type (PLP) electrode. In order to assess the qualities of the PLS and PLP electrodes, we compared their performance with that of a commercial Ag/AgCl electrode, under a total of seven different conditions: dry, freshwater immersion with/without movement, post-freshwater wet condition, saltwater immersion with/without movement, and post-saltwater wet condition. In both dry and post-freshwater wet conditions, all ECG-recorded PQRST waves were clearly discernible, with all types of electrodes, Ag/AgCl, PLS, and PLP. On the other hand, under the freshwater- and saltwater-immersion conditions with/without movement, as well as post-saltwater wet conditions, we found that the proposed PLS and PLP electrodes provided better ECG waveform quality, with significant statistical differences compared with the quality provided by Ag/AgCl electrodes.

Seasonal cycles in streamwater quality on Catoctin Mountain, Maryland

USGS Publications Warehouse

Rice, Karen C.; Bricker, Owen P.

1995-01-01

In 1980, the U.S. Congress mandated the National Acid Precipitation Assessment Program (NAPAP) to study the effects of acidic precipitation (acid rain). In 1982, the U.S. Geological Survey (USGS) was selected to be the lead Federal agency under NAPAP to monitor the composition of precipitation and its effects on the environment. In 1982, the USGS began to monitor precipitation and streamwater on Catoctin Mountain in north-central Maryland (fig. 1); the effort has continued through the present. Beginning in 1990, funding for these data-collection and interpretation activities was supplemented by the Maryland Department of the Environment and the Maryland Department of Natural Re- sources. The collection and interpretation of long-term precipitation and streamwater-quality records, such as those at Catoctin Mountain, provide valuable information for management decisions. At the local level, the information can be used to identify periods when streamwater quality may pose a danger to aquatic resources, such as finfish; at the national level, the information can be used to assess the effectiveness of the Clean Air Act Amendments.

Water Quality Standards for Coral Reef Protection | Science ...

EPA Pesticide Factsheets

The U.S. Clean Water Act provides a legal framework to protect coastal biological resources such as coral reefs, mangrove forests, and seagrass meadows from the damaging effects of human activities. Even though many resources are protected under this authority, water quality standards have not been effectively applied to coral reefs. The Environmental Protection Agency is promoting biocriteria and other water quality standards through collaborative development of bioassessment procedures, indicators and monitoring strategies. To support regulatory action, bioassessment indicators must be biologically meaningful, relevant to management, responsive to human disturbance, and relatively immune to natural variability. A rapid bioassessment protocol for reef-building stony corals was developed and tested for regulatory applicability. Preliminary testing in the Florida Keys found indicators had sufficient precision and provided information relevant to coral reef management. Sensitivity to human disturbance was demonstrated in the U.S. Virgin Islands for five of eight indicators tested. Once established, monitoring programs using these indicators can provide valuable, long-term records of coral condition and regulatory compliance. Development of a rapid bioassement protocol for reef-building stony corals was tested for regulatory applicability.

Feasibility of an electronic stethoscope system for monitoring neonatal bowel sounds.

PubMed

Dumas, Jasmine; Hill, Krista M; Adrezin, Ronald S; Alba, Jorge; Curry, Raquel; Campagna, Eric; Fernandes, Cecilia; Lamba, Vineet; Eisenfeld, Leonard

2013-09-01

Bowel dysfunction remains a major problem in neonates. Traditional auscultation of bowel sounds as a diagnostic aid in neonatal gastrointestinal complications is limited by skill and inability to document and reassess. Consequently, we built a unique prototype to investigate the feasibility of an electronic monitoring system for continuous assessment of bowel sounds. We attained approval by the Institutional Review Boards for the investigational study to test our system. The system incorporated a prototype stethoscope head with a built-in microphone connected to a digital recorder. Recordings made over extended periods were evaluated for quality. We also considered the acoustic environment of the hospital, where the stethoscope was used. The stethoscope head was attached to the abdomen with a hydrogel patch designed especially for this purpose. We used the system to obtain recordings from eight healthy, full-term babies. A scoring system was used to determine loudness, clarity, and ease of recognition comparing it to the traditional stethoscope. The recording duration was initially two hours and was increased to a maximum of eight hours. Median duration of attachment was three hours (3.75, 2.68). Based on the scoring, the bowel sound recording was perceived to be as loud and clear in sound reproduction as a traditional stethoscope. We determined that room noise and other noises were significant forms of interference in the recordings, which at times prevented analysis. However, no sound quality drift was noted in the recordings and no patient discomfort was noted. Minimal erythema was observed over the fixation site which subsided within one hour. We demonstrated the long-term recording of infant bowel sounds. Our contributions included a prototype stethoscope head, which was affixed using a specially designed hydrogel adhesive patch. Such a recording can be reviewed and reassessed, which is new technology and an improvement over current practice. The use of this system should also, theoretically, reduce risk of infection. Based on our research we concluded that while automatic assessment of bowel sounds is feasible over an extended period, there will be times when analysis is not possible. One limitation is noise interference. Our larger goals include producing a meaningful vital sign to characterize bowel sounds that can be produced in real-time, as well as providing automatic control for patient feeding pumps.

Performance indicators for quality in surgical and laboratory services at Muhimbili National Hospital (MNH) in Tanzania.

PubMed

Mbembati, Naboth A; Mwangu, Mugwira; Muhondwa, Eustace P Y; Leshabari, Melkizedek M

2008-04-01

Muhimbili National Hospital (MNH), a teaching and national referral hospital, is undergoing major reforms to improve the quality of health care. We performed a retrospective descriptive study using a set of performance indicators for the surgical and laboratory services of MNH in years 2001 and 2002, to help monitor and evaluate the impact of reforms on the quality of health care during and after the reform process. Hospital records were reviewed and information recorded for planned and postponed operations, laboratory equipment, reagents, laboratory tests and quality assurance programmes. In the year 2001 a total of 4332 non-emergency operations were planned, 3313 operations were performed and 1019 (23.5%) operations were postponed. In the year 2002, 4301 non-emergency operations were planned, 3046 were performed and 1255 (29%) were postponed. The most common reasons for operation postponement were "time-barred", interference by emergency operations, no show of patients and inoperable anaesthetic machines. Equipment problems and supply and staff shortages together accounted for one quarter of postponements. In the laboratory, a lack of equipment prevented some tests, but quality assurance was performed for most tests. Current surgical services at MNH are inadequate; operating theatres require modern, functioning equipment and adequate supplies of consumables to provide satisfactory care.

Real time high frequency monitoring of water quality in river streams using a UV-visible spectrometer: interest, limits and consequences for monitoring strategies

NASA Astrophysics Data System (ADS)

Faucheux, Mikaël; Fovet, Ophélie; Gruau, Gérard; Jaffrézic, Anne; Petitjean, Patrice; Gascuel-Odoux, Chantal; Ruiz, Laurent

2013-04-01

Stream water chemistry is highly variable in space and time, therefore high frequency water quality measurement methods are likely to lead to conceptual advances in the hydrological sciences. Sub-daily data on water quality improve the characterization of pollutant sources and pathways during flood events as well as during long-term periods [1]. However, real time, high frequency monitoring devices needs to be properly calibrated and validated in real streams. This study analyses data from in situ monitoring of a stream water quality. During two hydrological years (2010-11, 2011-12), a submersible UV-visible spectrometer (Scan Spectrolyser) was used for surface water quality measurement at the outlet of a headwater catchment located at Kervidy-Naizin, Western France (AgrHys long-term hydrological observatory, http://www.inra.fr/ore_agrhys/). The spectrometer is reagentless and equipped with an auto-cleaning system. It allows real time, in situ and high frequency (20 min) measurements and uses a multiwavelengt spectral (200-750 nm) for simultaneous measurement of nitrate, dissolved organic carbon (DOC) and total suspended solids (TSS). A global calibration based on a PLS (Partial Least Squares) regression is provided by the manufacturer as default configuration of the UV-visible spectrometer. We carried out a local calibration of the spectrometer based on nitrates and DOC concentrations analysed in the laboratory from daily manual sampling and sub-daily automatic sampling of flood events. TSS results are compared with 15 min turbidity records from a continuous turdidimeter (Ponsel). The results show a good correlation between laboratory data and spectrometer data both during basis flows periods and flood events. However, the local calibration gives better results than the global one. Nutrient fluxes estimates based on high and different low frequency time series (daily to monthly) are compared to discuss the implication for environmental monitoring strategies. Such monitoring methods can therefore be interesting for designing monitoring strategy of environmental observatory and provide dense time series likely to highlight patterns or trends using appropriate approaches such as spectral analysis [2]. 1. Wade, A.J. et al., HESS Discuss., 2012. 9(5), p.6458- 6506. 2. Aubert, A. et al., submitted to EGU 2013-4745 vol. 15.

Interventionist training and intervention fidelity monitoring and maintenance for CONNECT, a nurse-led primary palliative care in oncology trial.

PubMed

Robbins-Welty, Gregg A; Mueser, Lisa; Mitchell, Chandler; Pope, Nicole; Arnold, Robert; Park, SeoYoung; White, Doug; Smith, Kenneth J; Reynolds, Charles; Rosenzweig, Margaret; Bakitas, Marie; Schenker, Yael

2018-06-01

Intervention fidelity is a critical component of behavioral research that has received inadequate attention in palliative care studies. With increasing focus on the need for palliative care models that can be widely disseminated and delivered by non-specialists, rigorous yet pragmatic strategies for training interventionists and maintaining intervention fidelity are needed. (1) Describe components of a plan for interventionist training and monitoring and maintaining intervention fidelity as part of a primary palliative care trial (CONNECT) and (2) present data about perceived training effectiveness and delivery of key intervention content. Post-training evaluations, visit checklists, and visit audio-recordings. Data were collected from June, 2016 through April, 2017. We include procedures for (1) identification, training and certification of oncology nurses as CONNECT interventionists; (2) monitoring intervention delivery; and (3) maintaining intervention quality. All nurses (N = 14) felt prepared to deliver key competencies after a 3-day in-person training. As assessed via visit checklists, interventionists delivered an average of 94% (SD 13%) of key content for first intervention visits and 85% (SD 14%) for subsequent visits. As assessed via audio-recordings, interventionists delivered an average of 85% (SD 8%) of key content for initial visits and 85% (SD 12%) for subsequent visits. We present a 3-part strategy for training interventionists and monitoring and maintaining intervention delivery in a primary palliative care trial. Training was effective in having nurses feel prepared to deliver primary palliative care skills. As assessed via nursing checklists and visit audio-recordings, intervention fidelity was high.

Water quality assessment of a small peri-urban river using low and high frequency monitoring.

PubMed

Ivanovsky, A; Criquet, J; Dumoulin, D; Alary, C; Prygiel, J; Duponchel, L; Billon, G

2016-05-18

The biogeochemical behaviors of small rivers that pass through suburban areas are difficult to understand because of the multi-origin inputs that can modify their behavior. In this context, a monitoring strategy has been designed for the Marque River, located in Lille Metropolitan area of northern France, that includes both low-frequency monitoring over a one-year period (monthly sampling) and high frequency monitoring (measurements every 10 minutes) in spring and summer. Several environmental and chemical parameters are evaluated including rainfall events, river flow, temperature, dissolved oxygen, turbidity, conductivity, nutritive salts and dissolved organic matter. Our results from the Marque River show that (i) it is impacted by both urban and agricultural inputs, and as a consequence, the concentrations of phosphate and inorganic nitrogen have degraded the water quality; (ii) the classic photosynthesis/respiration processes are disrupted by the inputs of organic matter and nutritive salts; (iii) during dry periods, the urban sewage inputs (treated or not) are more important during the day, as indicated by higher river flows and maximal concentrations of ammonium; (iv) phosphate concentrations depend on oxygen contents in the river; (v) high nutrient concentrations result in eutrophication of the Marque River with lower pH and oxygen concentrations in summer. During rainfalls, additional inputs of ammonium, biodegradable organic matter as well as sediment resuspension result in anoxic events; and finally (vi) concentrations of nitrate are approximately constant over the year, except in winter when higher inputs can be recorded. Having better identified the processes responsible for the observed water quality, a more informed remediation effort can be put forward to move this suburban river to a good status of water quality.

Guidelines for the collection of continuous stream water-temperature data in Alaska

USGS Publications Warehouse

Toohey, Ryan C.; Neal, Edward G.; Solin, Gary L.

2014-01-01

Objectives of stream monitoring programs differ considerably among many of the academic, Federal, state, tribal, and non-profit organizations in the state of Alaska. Broad inclusion of stream-temperature monitoring can provide an opportunity for collaboration in the development of a statewide stream-temperature database. Statewide and regional coordination could reduce overall monitoring cost, while providing better analyses at multiple spatial and temporal scales to improve resource decision-making. Increased adoption of standardized protocols and data-quality standards may allow for validation of historical modeling efforts with better projection calibration. For records of stream water temperature to be generally consistent, unbiased, and reproducible, data must be collected and analyzed according to documented protocols. Collection of water-temperature data requires definition of data-quality objectives, good site selection, proper selection of instrumentation, proper installation of sensors, periodic site visits to maintain sensors and download data, pre- and post-deployment verification against an NIST-certified thermometer, potential data corrections, and proper documentation, review, and approval. A study created to develop a quality-assurance project plan, data-quality objectives, and a database management plan that includes procedures for data archiving and dissemination could provide a means to standardize a statewide stream-temperature database in Alaska. Protocols can be modified depending on desired accuracy or specific needs of data collected. This document is intended to guide users in collecting time series water-temperature data in Alaskan streams and draws extensively on the broader protocols already published by the U.S. Geological Survey.

Notes on the Iran Caddisflies and Role of Annulipalpian Hydropsychid Caddisflies as a Bio-monitoring Agent

PubMed Central

Malekei-Ravasan, Naseh; Bahrami, Abbas; Shayeghi, Mansoreh; Oshaghi, Mohamad Ali; Malek, Masomeh; Mansoorian, Allah Bedasht; Vatandoost, Hassan

2013-01-01

Background: Eco-faunistic studies are inevitable step in environmental researches. Aquatic organisms like caddisflies are known as biological indicators for water quality assessment and water resource management. They have special role for energy flow in the freshwater habitats as food web and food chain among aquatic creatures. Methods: In addition to an extensive literature review on Iran Caddisflies, a field study was carried out in Lavasan river flows in north east of Tehran to collect aquatic insects using D-frame nets and or direct search on stone beneath. The water quality was measured using analytical method. Results: Literature revealed record of 62 trichopterid species in the country comprising 14 families. The most abundant species belonged to the Hydropsychidae. Herein we report presence of the Annulipalpian Hydropsyche sciligra H Malicky, 1977 in the study area. Habitat water quality of H. sciligra resembled human drinkable water. However presence of snail, Physa acuta and fish Capoeta buhsei in the water sampling area indicated inferior quality. Conclusion: From ecological point of view caddisfly larvae are predators of most important medical vectors like mosquitoes, blackflies and midges. Also they are useful and important indicator for monitoring physicochemical effects in the nature, so that they can be used for bio-monitoring program. From medical point of view, wing hairs or other body parts of caddisflies can be inhalant and contact allergens in Trichopterists and in sensitive individuals who come in contact. PMID:23785697

Application of video-cameras for quality control and sampling optimisation of hydrological and erosion measurements in a catchment

NASA Astrophysics Data System (ADS)

Lora-Millán, Julio S.; Taguas, Encarnacion V.; Gomez, Jose A.; Perez, Rafael

2014-05-01

Long term soil erosion studies imply substantial efforts, particularly when there is the need to maintain continuous measurements. There are high costs associated to maintenance of field equipment keeping and quality control of data collection. Energy supply and/or electronic failures, vandalism and burglary are common causes of gaps in datasets, reducing their reach in many cases. In this work, a system of three video-cameras, a recorder and a transmission modem (3G technology) has been set up in a gauging station where rainfall, runoff flow and sediment concentration are monitored. The gauging station is located in the outlet of an olive orchard catchment of 6.4 ha. Rainfall is measured with one automatic raingauge that records intensity at one minute intervals. The discharge is measured by a flume of critical flow depth, where the water is recorded by an ultrasonic sensor. When the water level rises to a predetermined level, the automatic sampler turns on and fills a bottle at different intervals according to a program depending on the antecedent precipitation. A data logger controls the instruments' functions and records the data. The purpose of the video-camera system is to improve the quality of the dataset by i) the visual analysis of the measurement conditions of flow into the flume; ii) the optimisation of the sampling programs. The cameras are positioned to record the flow at the approximation and the gorge of the flume. In order to contrast the values of ultrasonic sensor, there is a third camera recording the flow level close to a measure tape. This system is activated when the ultrasonic sensor detects a height threshold, equivalent to an electric intensity level. Thus, only when there is enough flow, video-cameras record the event. This simplifies post-processing and reduces the cost of download of recordings. The preliminary contrast analysis will be presented as well as the main improvements in the sample program.

Data Quality and Interoperability Challenges for eHealth Exchange Participants: Observations from the Department of Veterans Affairs' Virtual Lifetime Electronic Record Health Pilot Phase.

PubMed

Botts, Nathan; Bouhaddou, Omar; Bennett, Jamie; Pan, Eric; Byrne, Colene; Mercincavage, Lauren; Olinger, Lois; Hunolt, Elaine; Cullen, Theresa

2014-01-01

Authors studied the United States (U.S.) Department of Veterans Affairs' (VA) Virtual Lifetime Electronic Record (VLER) Health pilot phase relative to two attributes of data quality - the adoption of eHealth Exchange data standards, and clinical content exchanged. The VLER Health pilot was an early effort in testing implementation of eHealth Exchange standards and technology. Testing included evaluation of exchange data from the VLER Health pilot sites partners: VA, U.S. Department of Defense (DoD), and private sector health care organizations. Domains assessed data quality and interoperability as it relates to: 1) conformance with data standards related to the underlying structure of C32 Summary Documents (C32) produced by eHealth Exchange partners; and 2) the types of C32 clinical content exchanged. This analysis identified several standards non-conformance issues in sample C32 files and informed further discourse on the methods needed to effectively monitor Health Information Exchange (HIE) data content and standards conformance.

Home telemonitoring of vital signs--technical challenges and future directions.

PubMed

Celler, Branko G; Sparks, Ross S

2015-01-01

The telemonitoring of vital signs from the home is an essential element of telehealth services for the management of patients with chronic conditions, such as congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), diabetes, or poorly controlled hypertension. Telehealth is now being deployed widely in both rural and urban settings, and in this paper, we discuss the contribution made by biomedical instrumentation, user interfaces, and automated risk stratification algorithms in developing a clinical diagnostic quality longitudinal health record at home. We identify technical challenges in the acquisition of high-quality biometric signals from unsupervised patients at home, identify new technical solutions and user interfaces, and propose new measurement modalities and signal processing techniques for increasing the quality and value of vital signs monitoring at home. We also discuss use of vital signs data for the automated risk stratification of patients, so that clinical resources can be targeted to those most at risk of unscheduled admission to hospital. New research is also proposed to integrate primary care, hospital, personal genomic, and telehealth electronic health records, and apply predictive analytics and data mining for enhancing clinical decision support.

Statistical process control for electron beam monitoring.

PubMed

López-Tarjuelo, Juan; Luquero-Llopis, Naika; García-Mollá, Rafael; Quirós-Higueras, Juan David; Bouché-Babiloni, Ana; Juan-Senabre, Xavier Jordi; de Marco-Blancas, Noelia; Ferrer-Albiach, Carlos; Santos-Serra, Agustín

2015-07-01

To assess the electron beam monitoring statistical process control (SPC) in linear accelerator (linac) daily quality control. We present a long-term record of our measurements and evaluate which SPC-led conditions are feasible for maintaining control. We retrieved our linac beam calibration, symmetry, and flatness daily records for all electron beam energies from January 2008 to December 2013, and retrospectively studied how SPC could have been applied and which of its features could be used in the future. A set of adjustment interventions designed to maintain these parameters under control was also simulated. All phase I data was under control. The dose plots were characterized by rising trends followed by steep drops caused by our attempts to re-center the linac beam calibration. Where flatness and symmetry trends were detected they were less-well defined. The process capability ratios ranged from 1.6 to 9.3 at a 2% specification level. Simulated interventions ranged from 2% to 34% of the total number of measurement sessions. We also noted that if prospective SPC had been applied it would have met quality control specifications. SPC can be used to assess the inherent variability of our electron beam monitoring system. It can also indicate whether a process is capable of maintaining electron parameters under control with respect to established specifications by using a daily checking device, but this is not practical unless a method to establish direct feedback from the device to the linac can be devised. Copyright © 2015 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Monitoring nocturnal heart rate with bed sensor.

PubMed

Migliorini, M; Kortelainen, J M; Pärkkä, J; Tenhunen, M; Himanen, S L; Bianchi, A M

2014-01-01

This article is part of the Focus Theme of Methods of Information in Medicine on "Biosignal Interpretation: Advanced Methods for Studying Cardiovascular and Respiratory Systems". The aim of this study is to assess the reliability of the estimated Nocturnal Heart Rate (HR), recorded through a bed sensor, compared with the one obtained from standard electrocardiography (ECG). Twenty-eight sleep deprived patients were recorded for one night each through matrix of piezoelectric sensors, integrated into the mattress, through polysomnography (PSG) simultaneously. The two recording methods have been compared in terms of signal quality and differences in heart beat detection. On average, coverage of 92.7% of the total sleep time was obtained for the bed sensor, testifying the good quality of the recordings. The average beat-to-beat error of the inter-beat intervals was 1.06%. These results suggest a good overall signal quality, however, considering fast heart rates (HR > 100 bpm), performances were worse: in fact, the sensitivity in the heart beat detection was 28.4% while the false positive rate was 3.8% which means that a large amount of fast beats were not detected. The accuracy of the measurements made using the bed sensor has less than 10% of failure rate especially in periods with HR lower than 70 bpm. For fast heart beats the uncertainty increases. This can be explained by the change in morphology of the bed sensor signal in correspondence of a higher HR.

Year-long continuous personal exposure to PM 2.5 recorded by a fast responding portable nephelometer

NASA Astrophysics Data System (ADS)

Braniš, Martin; Kolomazníková, Jana

2010-08-01

Personal exposure to particulate matter of aerodynamic diameter under 2.5 μm (PM 2.5) was monitored using a DustTrak nephelometer. The battery-operated unit, worn by an adult individual for a period of approximately one year, logged integrated average PM 2.5 concentrations over 5 min intervals. A detailed time-activity diary was used to record the experimental subject's movement and the microenvironments visited. Altogether 239 days covering all the months (except April) were available for the analysis. In total, 60 463 acceptable 5-min averages were obtained. The dataset was divided into 7 indoor and 4 outdoor microenvironments. Of the total time, 84% was spent indoors, 10.9% outdoors and 5.1% in transport. The indoor 5-min PM 2.5 average was higher (55.7 μg m -3) than the outdoor value (49.8 μg m -3). The highest 5-min PM 2.5 average concentration was detected in restaurant microenvironments (1103 μg m -3), the second highest 5-min average concentration was recorded in indoor spaces heated by stoves burning solid fuels (420 μg m -3). The lowest 5-min mean aerosol concentrations were detected outdoors in rural/natural environments (25 μg m -3) and indoors at the monitored person's home (36 μg m -3). Outdoor and indoor concentrations of PM 2.5 measured by the nephelometer at home and during movement in the vicinity of the experimental subject's home were compared with those of the nearest fixed-site monitor of the national air quality monitoring network. The high correlation coefficient (0.78) between the personal and fixed-site monitor aerosol concentrations suggested that fixed-site monitor data can be used as proxies for personal exposure in residential and some other microenvironments. Collocated measurements with a reference method (β-attenuation) showed a non-linear systematic bias of the light-scattering method, limiting the use of direct concentration readings for exact exposure analysis.

CURRENT STATUS OF INDIVIDUAL DOSIMETRIC MONITORING IN UKRAINE.

PubMed

Chumak, V; Deniachenko, N; Makarovska, O; Mihailescu, L-C; Prykhodko, A; Voloskyi, V; Vanhavere, F

2016-09-01

About 50 000 workers are being occupationally exposed to radiation in Ukraine. Individual dosimetric monitoring (IDM) is provided by 77 dosimetry services and laboratories of very different scale with a number of monitored workers ranging from several persons to ∼9000. In the present work, the current status of personal dosimetry in Ukraine was studied. The First National Intercomparison (FNI) of the IDM labs was accompanied by a survey of the laboratory operation in terms of coverage, types of dosimetry provided, instrumentation and methodologies used, metrological support, data recording, etc. Totally, 34 laboratories responded to the FNI call, and 18 services with 19 different personal dosimetry systems took part in the intercomparison exercise providing 24 dosimeters each for blind irradiation to photons of 6 different qualities (ISO N-series X-rays, S-Cs and S-Co sources) in a dose range of 5-60 mSv. Performance of the dosimetry labs was evaluated according to ISO 14146 criteria of matching trumpet curves with H0 = 0.2 mSv. The test revealed that 8 of the 19 systems meet ISO 14146 criteria in full, 5 other labs show marginal performance and 6 laboratories demonstrated catastrophic quality of dosimetric results. Altogether, 18 participating labs provide dosimetric monitoring to 37 477 workers (about three-fourths of all occupationally exposed workers), usually on monthly (nuclear industry) or quarterly (rest of applications) basis. Of this number, 20 664 persons (55 %) receive completely adequate individual monitoring, and the number of personnel receiving IDM of inadequate quality counts 3054 persons. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Water-Surface Elevations, Discharge, and Water-Quality Data for Selected Sites in the Warm Springs Area near Moapa, Nevada

USGS Publications Warehouse

Beck, David A.; Ryan, Roslyn; Veley, Ronald J.; Harper, Donald P.; Tanko, Daron J.

2006-01-01

The U.S. Geological Survey, in cooperation with Southern Nevada Water Authority and the Nevada Division of Water Resources, operates and maintains a surface-water monitoring network of 6 continuous-record stream-flow gaging stations and 11 partial-record stations in the Warm Springs area near Moapa, Nevada. Permanent land-surface bench marks were installed within the Warm Springs area by the Las Vegas Valley Water District, the Southern Nevada Water Authority, and the U.S. Geological Survey to determine water-surface elevations at all network monitoring sites. Vertical datum elevation and horizontal coordinates were established for all bench marks through a series of Differential Global Positioning System surveys. Optical theodolite surveys were made to transfer Differential Global Positioning System vertical datums to reference marks installed at each monitoring site. The surveys were completed in June 2004 and water-surface elevations were measured on August 17, 2004. Water-surface elevations ranged from 1,810.33 feet above North American Vertical Datum of 1988 at a stream-gaging station in the Pederson Springs area to 1,706.31 feet at a station on the Muddy River near Moapa. Discharge and water-quality data were compiled for the Warm Springs area and include data provided by the U.S. Geological Survey, Nevada Division of Water Resources, U.S. Fish and Wildlife Service, Moapa Valley Water District, Desert Research Institute, and Converse Consultants. Historical and current hydrologic data-collection networks primarily are related to changes in land- and water-use activities in the Warm Springs area. These changes include declines in ranching and agricultural use, the exportation of water to other areas of Moapa Valley, and the creation of a national wildlife refuge. Water-surface elevations, discharge, and water-quality data compiled for the Warm Springs area will help identify (1) effects of changing vegetation within the former agricultural lands, (2) effects of restoration activities in the wildlife refuge, and (3) potential impacts of ground-water withdrawals.

The introduction of a midwife-led obstetric triage system into a regional referral hospital in Ghana.

PubMed

Floyd, Liz; Bryce, Fiona; Ramaswamy, Rohit; Olufolabi, Adeyemi; Srofenyoh, Emmanuel; Goodman, David; Pearson, Nancy; Morgan, Kerry; Tetteh, Cecilia; Ahwireng, Victoria; Owen, Medge

2018-06-01

to introduce and embed a midwife-led obstetric triage system in a busy labour ward in Accra, Ghana to improve the quality of care and to reduce delay. the study utilized a participatory action research design. Local staff participated in baseline data collection, the triage training course design and delivery, and post-training monitoring and evaluation. a regional referral hospital in Accra, Ghana undertaking 11,032 deliveries in 2012. all midwives and medical staff. measurements included maternal health outcomes, observations of labour ward activity, structured assessments of midwife actions during admission, waiting times, focus group discussions, and learning needs assessments which informed the course content. During training, two quality improvement tools were developed; coloured risk acuity wristbands and a one page triage assessment form. Participants measured compliance and accuracy in the use of these tools following course completion. initially, no formal triage system was in place. The environment was chaotic with poor compliance to existing protocols. Sixty-two midwives received triage training between 2013 and 2014. Two Triage Champions became responsible for triage implementation, monitoring and further training. Following training, the 'in-charge' midwives recorded a cumulative average of 83.4% of women wearing coloured wristbands. A separate audit by the Triage Champions found that 495/535 (93%) of the wristbands were correctly applied based on the diagnosis. Quarterly monitoring of the triage assessment forms by Kybele trainers, showed that 92% recorded the risk acuity colour, 85% a 'working diagnosis' and 82% a 'plan.' Median (interquartile range) waiting times were reduced from 40 (15-100) to 29 (11-60) minutes (p = 007). Twenty of 25 of the staff reported that the wristbands were helpful. an interactive triage training course led to the development of a triage assessment form and the use of coloured patient wristbands which resulted in delay reduction and improved quality of maternity care. Copyright © 2018 Elsevier Ltd. All rights reserved.

Implementation and application of an interactive user-friendly validation software for RADIANCE

NASA Astrophysics Data System (ADS)

Sundaram, Anand; Boonn, William W.; Kim, Woojin; Cook, Tessa S.

2012-02-01

RADIANCE extracts CT dose parameters from dose sheets using optical character recognition and stores the data in a relational database. To facilitate validation of RADIANCE's performance, a simple user interface was initially implemented and about 300 records were evaluated. Here, we extend this interface to achieve a wider variety of functions and perform a larger-scale validation. The validator uses some data from the RADIANCE database to prepopulate quality-testing fields, such as correspondence between calculated and reported total dose-length product. The interface also displays relevant parameters from the DICOM headers. A total of 5,098 dose sheets were used to test the performance accuracy of RADIANCE in dose data extraction. Several search criteria were implemented. All records were searchable by accession number, study date, or dose parameters beyond chosen thresholds. Validated records were searchable according to additional criteria from validation inputs. An error rate of 0.303% was demonstrated in the validation. Dose monitoring is increasingly important and RADIANCE provides an open-source solution with a high level of accuracy. The RADIANCE validator has been updated to enable users to test the integrity of their installation and verify that their dose monitoring is accurate and effective.

Amalgamation of management information system into anaesthesiology practice: A boon for the modern anaesthesiologists

PubMed Central

Bajwa, Sukhminder Jit Singh

2014-01-01

Over the years, traditional anaesthesia record keeping system has been the backbone of anaesthesiology ever since its introduction in the 1890s by Dr. Harvey Cushing and Dr. Ernest A. Codman. Besides providing the important information regarding patients’ vital physiologic parameters, paper records had been a reliable source for various clinical research activities. The introduction of electronic monitoring gadgets and electronic record keeping systems has revolutionised the anaesthesiology practice to a large extent. Recently, the introduction of anaesthesia information management system (AIMS), which incorporates all the features of monitoring gadgets, such as electronic storage of large accurate data, quality assurance in anaesthesia, enhancing patient safety, ensuring legal protection, improved billing services and effecting an organisational change, is almost a revolution in modern-day anaesthesiology practice. The clinical research activities that are responsible for taking anaesthesiology discipline to higher peaks have also been boosted by the amalgamation of AIMS, enabling multicenter studies and sharing of clinical data. Barring few concerns in its installation, cost factors and functional aspects, the future of AIMS seems to be bright and will definitely prove to be a boon for modern-day anaesthesiology practice. PMID:24963173

Hydraulic fracturing near domestic groundwater wells.

PubMed

Jasechko, Scott; Perrone, Debra

2017-12-12

Hydraulic fracturing operations are generating considerable discussion about their potential to contaminate aquifers tapped by domestic groundwater wells. Groundwater wells located closer to hydraulically fractured wells are more likely to be exposed to contaminants derived from on-site spills and well-bore failures, should they occur. Nevertheless, the proximity of hydraulic fracturing operations to domestic groundwater wells is unknown. Here, we analyze the distance between domestic groundwater wells (public and self-supply) constructed between 2000 and 2014 and hydraulically fractured wells stimulated in 2014 in 14 states. We show that 37% of all recorded hydraulically fractured wells stimulated during 2014 exist within 2 km of at least one recently constructed (2000-2014) domestic groundwater well. Furthermore, we identify 11 counties where most ([Formula: see text]50%) recorded domestic groundwater wells exist within 2 km of one or more hydraulically fractured wells stimulated during 2014. Our findings suggest that understanding how frequently hydraulic fracturing operations impact groundwater quality is of widespread importance to drinking water safety in many areas where hydraulic fracturing is common. We also identify 236 counties where most recorded domestic groundwater wells exist within 2 km of one or more recorded oil and gas wells producing during 2014. Our analysis identifies hotspots where both conventional and unconventional oil and gas wells frequently exist near recorded domestic groundwater wells that may be targeted for further water-quality monitoring.

Hydraulic fracturing near domestic groundwater wells

PubMed Central

Jasechko, Scott; Perrone, Debra

2017-01-01

Hydraulic fracturing operations are generating considerable discussion about their potential to contaminate aquifers tapped by domestic groundwater wells. Groundwater wells located closer to hydraulically fractured wells are more likely to be exposed to contaminants derived from on-site spills and well-bore failures, should they occur. Nevertheless, the proximity of hydraulic fracturing operations to domestic groundwater wells is unknown. Here, we analyze the distance between domestic groundwater wells (public and self-supply) constructed between 2000 and 2014 and hydraulically fractured wells stimulated in 2014 in 14 states. We show that 37% of all recorded hydraulically fractured wells stimulated during 2014 exist within 2 km of at least one recently constructed (2000–2014) domestic groundwater well. Furthermore, we identify 11 counties where most (>50%) recorded domestic groundwater wells exist within 2 km of one or more hydraulically fractured wells stimulated during 2014. Our findings suggest that understanding how frequently hydraulic fracturing operations impact groundwater quality is of widespread importance to drinking water safety in many areas where hydraulic fracturing is common. We also identify 236 counties where most recorded domestic groundwater wells exist within 2 km of one or more recorded oil and gas wells producing during 2014. Our analysis identifies hotspots where both conventional and unconventional oil and gas wells frequently exist near recorded domestic groundwater wells that may be targeted for further water-quality monitoring. PMID:29180405

Three Dimensional Modeling of Agricultural Contamination of Groundwater: a Case Study in the Nebraska Management Systems Evaluation Area (MSEA) Site

NASA Astrophysics Data System (ADS)

Akbariyeh, S.; Snow, D. D.; Bartelt-Hunt, S.; Li, X.; Li, Y.

2015-12-01

Contamination of groundwater from nitrogen fertilizers and pesticides in agricultural lands is an important environmental and water quality management issue. It is well recognized that in agriculturally intensive areas, fertilizers and pesticides may leach through the vadose zone and eventually reach groundwater, impacting future uses of this limited resource. While numerical models are commonly used to simulate fate and transport of agricultural contaminants, few models have been validated based on realistic three dimensional soil lithology, hydrological conditions, and historical changes in groundwater quality. In this work, contamination of groundwater in the Nebraska Management Systems Evaluation Area (MSEA) site was simulated based on extensive field data including (1) lithology from 69 wells and 11 test holes; (2) surface soil type, land use, and surface elevations; (3) 5-year groundwater level and flow velocity; (4) daily meteorological monitoring; (5) 5-year seasonal irrigation records; (6) 5-years of spatially intensive contaminant concentration in 40 multilevel monitoring wells; and (7) detailed cultivation records. Using this data, a three-dimensional vadose zone lithological framework was developed using a commercial software tool (RockworksTM). Based on the interpolated lithology, a hydrological model was developed using HYDRUS-3D to simulate water flow and contaminant transport. The model was validated through comparison of simulated atrazine and nitrate concentration with historical data from 40 wells and multilevel samplers. The validated model will be used to predict potential changes in ground water quality due to agricultural contamination under future climate scenarios in the High Plain Aquifer system.

Factors controlling stream water nitrate and phosphor loads during precipitation events

NASA Astrophysics Data System (ADS)

Rozemeijer, J.; van der Velde, Y.; van Geer, F.; de Rooij, G. H.; Broers, H.; Bierkens, M. F.

2009-12-01

Pollution of surface waters in densely populated areas with intensive land use is a serious threat to their ecological, industrial and recreational utilization. European and national manure policies and several regional and local pilot projects aim at reducing pollution loads to surface waters. For the evaluation of measures, water authorities and environmental research institutes are putting a lot of effort into monitoring surface water quality. Within regional surface water quality monitoring networks, the measurement locations are usually situated in the downstream part of the catchment to represent a larger area. The monitoring frequency is usually low (e.g. monthly), due to the high costs for sampling and analysis. As a consequence, human induced trends in nutrient loads and concentrations in these monitoring data are often concealed by the large variability of surface water quality caused by meteorological variations. Because this natural variability in surface water quality is poorly understood, large uncertainties occur in the estimates of (trends in) nutrient loads or average concentrations. This study aims at uncertainty reduction in the estimates of mean concentrations and loads of N and P from regional monitoring data. For this purpose, we related continuous records of stream water N and P concentrations to easier and cheaper to collect quantitative data on precipitation, discharge, groundwater level and tube drain discharge. A specially designed multi scale experimental setup was installed in an agricultural lowland catchment in The Netherlands. At the catchment outlet, continuous measurements of water quality and discharge were performed from July 2007-January 2009. At an experimental field within the catchment we collected continuous measurements of precipitation, groundwater levels and tube drain discharges. 20 significant rainfall events with a variety of antecedent conditions, durations and intensities were selected for analysis. Singular and multiple regression analysis were used to identify relations between the N and P response to the rainfall events and the quantitative event characteristics. We successfully used these relations to predict the N and P responses to events and to improve the interpolation between low frequency grab sample measurements. Incorporating the predicted concentration changes during high discharge events dramatically improved the precision of our load estimations.

Satellite-based trends of solar radiation and cloud parameters in Europe

NASA Astrophysics Data System (ADS)

Pfeifroth, Uwe; Bojanowski, Jedrzej S.; Clerbaux, Nicolas; Manara, Veronica; Sanchez-Lorenzo, Arturo; Trentmann, Jörg; Walawender, Jakub P.; Hollmann, Rainer

2018-04-01

Solar radiation is the main driver of the Earth's climate. Measuring solar radiation and analysing its interaction with clouds are essential for the understanding of the climate system. The EUMETSAT Satellite Application Facility on Climate Monitoring (CM SAF) generates satellite-based, high-quality climate data records, with a focus on the energy balance and water cycle. Here, multiple of these data records are analyzed in a common framework to assess the consistency in trends and spatio-temporal variability of surface solar radiation, top-of-atmosphere reflected solar radiation and cloud fraction. This multi-parameter analysis focuses on Europe and covers the time period from 1992 to 2015. A high correlation between these three variables has been found over Europe. An overall consistency of the climate data records reveals an increase of surface solar radiation and a decrease in top-of-atmosphere reflected radiation. In addition, those trends are confirmed by negative trends in cloud cover. This consistency documents the high quality and stability of the CM SAF climate data records, which are mostly derived independently from each other. The results of this study indicate that one of the main reasons for the positive trend in surface solar radiation since the 1990's is a decrease in cloud coverage even if an aerosol contribution cannot be completely ruled out.

[Information technologies: new partners in treating diabetes].

PubMed

Colombet, I; Chatellier, G

2001-10-15

The management of chronic diseases such as diabetes is becoming a crucial issue in developed countries. Innovative communication technologies should now be included as new partners in the health care system. These technologies can help both in managing patients and measuring quality of care. Internet-based health promotion programs may improve compliance with treatment. Decision systems are available on the Net to help patients monitoring their diet and insulin doses. The use of electronic medical record shared on Internet may help both physicians and patients to monitor on the long term the effect of interventions. It is now time to perform appropriate trials to determine, beside other interventions, the precise role of innovative communication technologies in diabetes management.

Photochemical oxidant transport - Mesoscale lake breeze and synoptic-scale aspects

NASA Technical Reports Server (NTRS)

Lyons, W. A.; Cole, H. S.

1976-01-01

Data from routine ozone monitoring in southeastern Wisconsin and limited monitoring of the Milwaukee area by the Environmental Protection Agency are examined. Hourly averages as high as 30 pphm have been recorded in southeastern Wisconsin, and high readings have been reported in rural regions throughout the state. The observations indicate that photochemical oxidants and their nitrogen oxide and reactive hydrocarbon precursers advect from Chicago and northern Indiana into southeastern Wisconsin. There is evidence that synoptic-scale transport of photochemical oxidants occurs, allowing the pollution of entire anticyclones. These results cast doubt on the validity of the Air Quality Control Regions established by amendment to the Clean Air Act of 1970.

Intelligent artifact classification for ambulatory physiological signals.

PubMed

Sweeney, Kevin T; Leamy, Darren J; Ward, Tomas E; McLoone, Sean

2010-01-01

Connected health represents an increasingly important model for health-care delivery. The concept is heavily reliant on technology and in particular remote physiological monitoring. One of the principal challenges is the maintenance of high quality data streams which must be collected with minimally intrusive, inexpensive sensor systems operating in difficult conditions. Ambulatory monitoring represents one of the most challenging signal acquisition challenges of all in that data is collected as the patient engages in normal activities of everyday living. Data thus collected suffers from considerable corruption as a result of artifact, much of it induced by motion and this has a bearing on its utility for diagnostic purposes. We propose a model for ambulatory signal recording in which the data collected is accompanied by labeling indicating the quality of the collected signal. As motion is such an important source of artifact we demonstrate the concept in this case with a quality of signal measure derived from motion sensing technology viz. accelerometers. We further demonstrate how different types of artifact might be tagged to inform artifact reduction signal processing elements during subsequent signal analysis. This is demonstrated through the use of multiple accelerometers which allow the algorithm to distinguish between disturbance of the sensor relative to the underlying tissue and movement of this tissue. A brain monitoring experiment utilizing EEG and fNIRS is used to illustrate the concept.

Project officer's perspective: quality assurance as a management tool.

PubMed

Heiby, J

1993-06-01

Advances in the management of health programs in less developed countries (LDC) have not kept pace with the progress of the technology used. The US Agency for International Development mandated the Quality Assurance Project (QAP) to provide quality improvement technical assistance to primary health care systems in LDCs while developing appropriate quality assurance (QA) strategies. The quality of health care in recent years in the US and Europe focused on the introduction of management techniques developed for industry into health systems. The experience of the QAP and its predecessor, the PRICOR Project, shows that quality improvement techniques facilitate measurement of quality of care. A recently developed WHO model for the management of the sick child provides scientifically based standards for actual care. Since 1988, outside investigators measuring how LDC clinicians perform have revealed serious deficiencies in quality compared with the program's own standards. This prompted developed of new QA management initiatives: 1) communicating standards clearly to the program staff; 2) actively monitoring actual performance corresponds to these standards; and 3) taking action to improve performance. QA means that managers are expected to monitor service delivery, undertake problem solving, and set specific targets for quality improvement. Quality improvement methods strengthen supervision as supervisors can objectively assess health worker performance. QA strengthens the management functions that support service delivery, e.g., training, records management, finance, logistics, and supervision. Attention to quality can contribute to improved health worker motivation and effective incentive programs by recognition for a job well done and opportunities for learning new skills. These standards can also address patient satisfaction. QA challenges managers to aim for the optimal level of care attainable.

Winter wheat quality monitoring and forecasting system based on remote sensing and environmental factors

NASA Astrophysics Data System (ADS)

Haiyang, Yu; Yanmei, Liu; Guijun, Yang; Xiaodong, Yang; Dong, Ren; Chenwei, Nie

2014-03-01

To achieve dynamic winter wheat quality monitoring and forecasting in larger scale regions, the objective of this study was to design and develop a winter wheat quality monitoring and forecasting system by using a remote sensing index and environmental factors. The winter wheat quality trend was forecasted before the harvest and quality was monitored after the harvest, respectively. The traditional quality-vegetation index from remote sensing monitoring and forecasting models were improved. Combining with latitude information, the vegetation index was used to estimate agronomy parameters which were related with winter wheat quality in the early stages for forecasting the quality trend. A combination of rainfall in May, temperature in May, illumination at later May, the soil available nitrogen content and other environmental factors established the quality monitoring model. Compared with a simple quality-vegetation index, the remote sensing monitoring and forecasting model used in this system get greatly improved accuracy. Winter wheat quality was monitored and forecasted based on the above models, and this system was completed based on WebGIS technology. Finally, in 2010 the operation process of winter wheat quality monitoring system was presented in Beijing, the monitoring and forecasting results was outputted as thematic maps.

Noise Maps for Quantitative and Clinical Severity Towards Long-Term ECG Monitoring.

PubMed

Everss-Villalba, Estrella; Melgarejo-Meseguer, Francisco Manuel; Blanco-Velasco, Manuel; Gimeno-Blanes, Francisco Javier; Sala-Pla, Salvador; Rojo-Álvarez, José Luis; García-Alberola, Arcadi

2017-10-25

Noise and artifacts are inherent contaminating components and are particularly present in Holter electrocardiogram (ECG) monitoring. The presence of noise is even more significant in long-term monitoring (LTM) recordings, as these are collected for several days in patients following their daily activities; hence, strong artifact components can temporarily impair the clinical measurements from the LTM recordings. Traditionally, the noise presence has been dealt with as a problem of non-desirable component removal by means of several quantitative signal metrics such as the signal-to-noise ratio (SNR), but current systems do not provide any information about the true impact of noise on the ECG clinical evaluation. As a first step towards an alternative to classical approaches, this work assesses the ECG quality under the assumption that an ECG has good quality when it is clinically interpretable. Therefore, our hypotheses are that it is possible (a) to create a clinical severity score for the effect of the noise on the ECG, (b) to characterize its consistency in terms of its temporal and statistical distribution, and (c) to use it for signal quality evaluation in LTM scenarios. For this purpose, a database of external event recorder (EER) signals is assembled and labeled from a clinical point of view for its use as the gold standard of noise severity categorization. These devices are assumed to capture those signal segments more prone to be corrupted with noise during long-term periods. Then, the ECG noise is characterized through the comparison of these clinical severity criteria with conventional quantitative metrics taken from traditional noise-removal approaches, and noise maps are proposed as a novel representation tool to achieve this comparison. Our results showed that neither of the benchmarked quantitative noise measurement criteria represent an accurate enough estimation of the clinical severity of the noise. A case study of long-term ECG is reported, showing the statistical and temporal correspondences and properties with respect to EER signals used to create the gold standard for clinical noise. The proposed noise maps, together with the statistical consistency of the characterization of the noise clinical severity, paves the way towards forthcoming systems providing us with noise maps of the noise clinical severity, allowing the user to process different ECG segments with different techniques and in terms of different measured clinical parameters.

Scandinavian systems monitoring the oral health in children and adolescents; an evaluation of their quality and utility in the light of modern perspectives of caries management.

PubMed

Skeie, Marit S; Klock, Kristin S

2014-04-30

Recording reliable oral health data is a challenge. The aims were a) to outline different Scandinavian systems of oral health monitoring, b) to evaluate the quality and utility of the collected data in the light of modern concepts of disease management and to suggest improvements. The information for in this study was related to (a) children and adolescents, (b) oral health data and (c) routines for monitoring such data. This meant information available in the official web sites of the "KOSTRA-data" (Municipality-State-Report) in Norway, the Swedish National Board of Health and Welfare ("Socialstyrelsen") and Oral Health Register (the SCOR system, National Board of Health) in Denmark. A potential for increasing the reliability and validity of the data existed. Routines for monitoring other oral diseases than caries were limited. Compared with the other Scandinavian countries, the data collection system in Denmark appeared more functional and had adopted more modern concepts of disease management than other systems. In the light of modern concepts of caries management, data collected elsewhere had limited utility. The Scandinavian systems of health reporting had much in common, but some essential differences existed. If the quality of epidemiological data were enhanced, it would be possible to use the data for planning oral health care. Routines and procedures should be improved and updated in accordance with the modern ideas about caries prevention and therapy. For appropriate oral health planning in an organised dental service, reporting of enamel caries is essential.

Noninvasive Fetal Electrocardiography Part II: Segmented-Beat Modulation Method for Signal Denoising

PubMed Central

Agostinelli, Angela; Sbrollini, Agnese; Burattini, Luca; Fioretti, Sandro; Di Nardo, Francesco; Burattini, Laura

2017-01-01

Background: Fetal well-being evaluation may be accomplished by monitoring cardiac activity through fetal electrocardiography. Direct fetal electrocardiography (acquired through scalp electrodes) is the gold standard but its invasiveness limits its clinical applicability. Instead, clinical use of indirect fetal electrocardiography (acquired through abdominal electrodes) is limited by its poor signal quality. Objective: Aim of this study was to evaluate the suitability of the Segmented-Beat Modulation Method to denoise indirect fetal electrocardiograms in order to achieve a signal-quality at least comparable to the direct ones. Method: Direct and indirect recordings, simultaneously acquired from 5 pregnant women during labor, were filtered with the Segmented-Beat Modulation Method and correlated in order to assess their morphological correspondence. Signal-to-noise ratio was used to quantify their quality. Results: Amplitude was higher in direct than indirect fetal electrocardiograms (median:104 µV vs. 22 µV; P=7.66·10-4), whereas noise was comparable (median:70 µV vs. 49 µV, P=0.45). Moreover, fetal electrocardiogram amplitude was significantly higher than affecting noise in direct recording (P=3.17·10-2) and significantly in indirect recording (P=1.90·10-3). Consequently, signal-to-noise ratio was initially higher for direct than indirect recordings (median:3.3 dB vs. -2.3 dB; P=3.90·10-3), but became lower after denoising of indirect ones (median:9.6 dB; P=9.84·10-4). Eventually, direct and indirect recordings were highly correlated (median: ρ=0.78; P<10-208), indicating that the two electrocardiograms were morphologically equivalent. Conclusion: Segmented-Beat Modulation Method is particularly useful for denoising of indirect fetal electrocardiogram and may contribute to the spread of this noninvasive technique in the clinical practice. PMID:28567129

AATSR: global-change and surface-temperature measurements from Envisat

NASA Astrophysics Data System (ADS)

Llewellyn-Jones, D.; Edwards, M. C.; Mutlow, C. T.; Birks, A. R.; Barton, I. J.; Tait, H.

2001-02-01

The Advanced Along-Track Scanning Radiometer (AATSR) onboard ESA's Envisat spacecraft is designed to meet the challenging task of monitoring and detecting climate change. It builds on the success of its predecessor instruments on the ERS-1 and ERS-2 satellites, and will lead to a 15+ year record of precise and accurate global Sea-Surface Temperature (SST) measurements, thereby making a valuable contribution to the long-term climate record. With its high-accuracy, high-quality imagery and channels in the visible, near-infrared and thermal wavelengths, AATSR data will support many applications in addition to oceanographic and climate research, including a wide range of land-surface, cryosphere and atmospheric studies.

Rainfall, runoff, and water-quality data for the urban storm-water program in the Albuquerque, New Mexico, metropolitan area, water year 2004

USGS Publications Warehouse

Kelly, Todd; Romero, Orlando; Jimenez, Mike

2006-01-01

Urbanization has dramatically increased precipitation runoff to the system of drainage channels and natural stream channels in the Albuquerque, New Mexico, metropolitan area. Rainfall and runoff data are important for planning and designing future storm-water conveyance channels in newly developing areas. Storm-water quality also is monitored in accordance with the National Pollutant Discharge Elimination System mandated by the U.S. Environmental Protection Agency. The Albuquerque Metropolitan Arroyo Flood Control Authority, the City of Albuquerque, and the U.S. Geological Survey began a cooperative program to collect hydrologic data to assist in assessing the quality and quantity of surface-water resources in the Albuquerque area. This report presents water-quality, streamflow, and rainfall data collected from October 1, 2003, to September 30, 2004 (water year 2004). Also provided is a station analysis for each of the 18 streamflow-gaging sites and 39 rainfall-gaging sites, which includes a description of monitoring equipment, problems associated with data collection during the year, and other information used to compute streamflow discharges or rainfall records. A hydrographic comparison shows the effects that the largest drainage channel in the metropolitan area, the North Floodway Channel, has on total flow in the Rio Grande.

The Danish Schizophrenia Registry

PubMed Central

Baandrup, Lone; Cerqueira, Charlotte; Haller, Lea; Korshøj, Lene; Voldsgaard, Inge; Nordentoft, Merete

2016-01-01

Aim of database To systematically monitor and improve the quality of treatment and care of patients with schizophrenia in Denmark. In addition, the database is accessible as a resource for research. Study population Patients diagnosed with schizophrenia and receiving mental health care in psychiatric hospitals or outpatient clinics. During the first year after the diagnosis, patients are classified as incident patients, and after this period as prevalent patients. Main variables The registry currently contains 21 clinical quality measures in relation to the following domains: diagnostic evaluation, antipsychotic treatment including adverse reactions, cardiovascular risk factors including laboratory values, family intervention, psychoeducation, postdischarge mental health care, assessment of suicide risk in relation to discharge, and assessment of global functioning. Descriptive data The recorded data are available electronically for the reporting clinicians and responsible administrative personnel, and they are updated monthly. The registry publishes the national and regional results of all included quality measures in the annual audit reports. External researchers may obtain access to the data for use in specific research projects by applying to the steering committee. Conclusion The Danish Schizophrenia Registry represents a valuable source of informative data to monitor and improve the quality of care of patients with schizophrenia in Denmark. However, continuous resources and time devoted is necessary to maintain the integrity of the registry and the validity of the data. PMID:27843348

The Danish Schizophrenia Registry.

PubMed

Baandrup, Lone; Cerqueira, Charlotte; Haller, Lea; Korshøj, Lene; Voldsgaard, Inge; Nordentoft, Merete

2016-01-01

To systematically monitor and improve the quality of treatment and care of patients with schizophrenia in Denmark. In addition, the database is accessible as a resource for research. Patients diagnosed with schizophrenia and receiving mental health care in psychiatric hospitals or outpatient clinics. During the first year after the diagnosis, patients are classified as incident patients, and after this period as prevalent patients. The registry currently contains 21 clinical quality measures in relation to the following domains: diagnostic evaluation, antipsychotic treatment including adverse reactions, cardiovascular risk factors including laboratory values, family intervention, psychoeducation, postdischarge mental health care, assessment of suicide risk in relation to discharge, and assessment of global functioning. The recorded data are available electronically for the reporting clinicians and responsible administrative personnel, and they are updated monthly. The registry publishes the national and regional results of all included quality measures in the annual audit reports. External researchers may obtain access to the data for use in specific research projects by applying to the steering committee. The Danish Schizophrenia Registry represents a valuable source of informative data to monitor and improve the quality of care of patients with schizophrenia in Denmark. However, continuous resources and time devoted is necessary to maintain the integrity of the registry and the validity of the data.

Trends in Surface-Water Quality at Selected Ambient-Monitoring Network Stations in Kentucky, 1979-2004

USGS Publications Warehouse

Crain, Angela S.; Martin, Gary R.

2009-01-01

Increasingly complex water-management decisions require water-quality monitoring programs that provide data for multiple purposes, including trend analyses, to detect improvement or deterioration in water quality with time. Understanding surface-water-quality trends assists resource managers in identifying emerging water-quality concerns, planning remediation efforts, and evaluating the effectiveness of the remediation. This report presents the results of a study conducted by the U.S. Geological Survey, in cooperation with the Kentucky Energy and Environment Cabinet-Kentucky Division of Water, to analyze and summarize long-term water-quality trends of selected properties and water-quality constituents in selected streams in Kentucky's ambient stream water-quality monitoring network. Trends in surface-water quality for 15 properties and water-quality constituents were analyzed at 37 stations with drainage basins ranging in size from 62 to 6,431 square miles. Analyses of selected physical properties (temperature, specific conductance, pH, dissolved oxygen, hardness, and suspended solids), for major ions (chloride and sulfate), for selected metals (iron and manganese), for nutrients (total phosphorus, total nitrogen, total Kjeldahl nitrogen, nitrite plus nitrate), and for fecal coliform were compiled from the Commonwealth's ambient water-quality monitoring network. Trend analyses were completed using the S-Plus statistical software program S-Estimate Trend (S-ESTREND), which detects trends in water-quality data. The trend-detection techniques supplied by this software include the Seasonal Kendall nonparametric methods for use with uncensored data or data censored with only one reporting limit and the Tobit-regression parametric method for use with data censored with multiple reporting limits. One of these tests was selected for each property and water-quality constituent and applied to all station records so that results of the trend procedure could be compared among stations. Flow-adjustment procedures were used with these techniques at all stations to remove the effects of streamflow on water-quality variability. Flow adjustments were used for all constituents, except temperature. A decreasing trend indicates a decrease in concentration of a particular constituent; whereas, an increasing trend indicates an increase in concentration and potential degradation in water quality. Trend results varied statewide by station and by physical property and water-quality constituent. The results for all stations and all physical properties and water-quality constituents examined had at least one statistically significant (p-value <0.05) increasing or decreasing trend during the specified period of record. Water temperature and concentrations of dissolved oxygen had no significant decreasing trends at any station. Water temperature had one significant increasing trend at the South Fork Cumberland River near Blue Heron station. Specific conductance and concentrations of hardness had one significant decreasing trend at the South Fork Cumberland River near Blue Heron station. pH also had a significant decreasing trend at the Mud River near Gus station. Concentrations of total suspended solids had 1 increasing trend at the Kentucky River at High Bridge station and 10 decreasing trends with 5 of those stations located in the Cumberland River Basin. Major ions analyzed for trends included chloride and sulfate. Concentrations of chloride at the 37 stations had increasing trends at 15 stations, decreasing trends at 3 stations, and no significant trend in concentration over time at 19 stations. Most of the increasing trends in concentrations of chloride are located in the northern part of Kentucky, possibly indicating an increase in the use of road salts for road deicing and (or) the result of resource extraction (oil, gas, and coal). Increasing trends of sulfate concentrations were detected at seven stations, all located in the Appalachian

Process audits versus product quality monitoring of bulk milk.

PubMed

Velthuis, A G J; van Asseldonk, M A P M

2011-01-01

Assessment of milk quality is based on bulk milk testing and farm certification on process quality audits. It is unknown to what extent dairy farm audits improve milk quality. A statistical analysis was conducted to quantify possible associations between bulk milk testing and dairy farm audits. The analysis comprised 64.373 audit outcomes on 26,953 dairy farms, which were merged with all conducted laboratory tests of bulk milk samples 12 mo before the audit. Each farm audit record included 271 binary checklist items and 52 attention point variables (given to farmers if serious deviations were observed), both indicating possible deviations from the desired farm situation. Test results included somatic cell count (SCC), total bacterial count (TBC), antimicrobial drug residues (ADR), level of butyric acid spores (BAB), freezing point depression (FPD), level of free fatty acid (FFA), and milk sediment (SED). Results show that numerous audit variables were related to bulk milk test results, although the goodness of fit of the models was generally low. Cow hygiene, clean cubicles, hygiene of milking parlor, and utility room were positively correlated with superior product quality, mainly with respect to SCC, TBC, BAB, FPD, FFA, and SED. Animal health or veterinary drugs management (i.e., drug treatment recording, marking of treated animals, and storage of veterinary drugs) related to SCC, FPD, FFA, and SED. The availability of drinking water was related to TBC, BAB, FFA, and SED, whereas maintenance of the milking equipment was related mainly to SCC, FPD, and FFA. In summary, bulk milk quality and farm audit outcomes are, to some degree, associated: if dairy farms are assessed negatively on specific audit aspects, the bulk milk quality is more likely to be inferior. However, the proportion of the total variance in milk test results explained by audits ranged between 4 and 13% (depending on the specific bulk milk test), showing that auditing dairy farms provides additional information but has a limited association with the outcome of a product quality control program. This study suggests that farm audits could be streamlined to include only relevant checklist items and that bulk milk quality monitoring could be used as a basis of selecting farms for more or less frequent audits. Copyright © 2011 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Fabrication, test and demonstration of critical environment monitoring system

NASA Technical Reports Server (NTRS)

Heimendinger, K. W.

1972-01-01

Design and performance of an analytical system for the evaluation of certain environmental constituents in critical environmental areas of the Quality Reliability and Assurance Laboratory are reported. Developed was a self-contained, integrated, minimum sized unit that detects, interrogates, and records those parameters of the environment dictated for control in large storage facilities, clean rooms, temporarily curtained enclosures, and special working benches. The system analyzes humidity, temperature, hydrocarbons particle size, and particle count within prescribed clean areas.

A qualitative assessment of ante-natal care provided by auxillary nurse midwives.

PubMed

Prasad, B; Gupta, V M

1999-01-01

Two hundred sixty eight antenatal mothers were observed for the quality of services provided by Auxillary Nurse Midwives (ANMs). History taking was found to be satisfactory in only 2.6% women. Obstetric examination was done unsatisfactorily in majority (52.6%) of the mothers. General physical examination was not done in 69% women. ANMs in all 31 sub-centres were not performing investigation like haemoglobin estimation, urine testing, foetal heart sound monitoring and blood pressure recording.

A compact field fluorometer and its application to dye tracing in karst environments

NASA Astrophysics Data System (ADS)

Poulain, Amaël; Rochez, Gaëtan; Van Roy, Jean-Pierre; Dewaide, Lorraine; Hallet, Vincent; De Sadelaer, Geert

2017-08-01

Dye tracing is a classic technique in hydrogeology to investigate surface-water or groundwater flow characteristics, and it is useful for many applications including natural or industrial issues. The Fluo-Green field fluorometer has been successfully tested in a karst environment and is specifically suitable for in-cave karst water monitoring. Karst research often uses dyes to obtain information about groundwater flow in unexplored cave passages. The compact device, alternatively named Fluo-G, meets the requirements of cave media: small (10 × 16 × 21 cm), lightweight (0.75 kg without ballast) and simple in conception. It is easy for cavers to set up and handle compared to other sampling methods. The fluorometer records uranine, turbidity and temperature with a user-defined time-step (1 min - 1 day). Very low energy consumption allows 9,000 measurements with six AA batteries. The device was calibrated and tested in the laboratory and in field conditions in Belgian karst systems. Results are in good fit with other sampling methods: in-situ fluorometers and automatic water sampling plus laboratory analysis. Recording high quality data (breakthrough curves) in karst with in-cave monitoring is valuable to improve knowledge of karst systems. Many hydrological and hydrogeological applications can benefit from such a low-cost and compact device, and finding the best compromise between resources and quality data is essential. Several improvements are possible but preliminary field tests are very promising.

Selected Water-Quality Data from the Cedar River and Cedar Rapids Well Fields, Cedar Rapids, Iowa, 1999-2005

USGS Publications Warehouse

Littin, Gregory R.; Schnoebelen, Douglas J.

2010-01-01

The Cedar River alluvial aquifer is the primary source of municipal water in the Cedar Rapids, Iowa area. Municipal wells are completed in the alluvial aquifer at approximately 40 to 80 feet deep. The City of Cedar Rapids and the U.S. Geological Survey have been conducting a cooperative study of the groundwater-flow system and water quality near the well fields since 1992. Previous cooperative studies between the City of Cedar Rapids and the U.S. Geological Survey have documented hydrologic and water-quality data, geochemistry, and groundwater models. Water-quality samples were collected for studies involving well field monitoring, trends, source-water protection, groundwater geochemistry, evaluation of surface and ground-water interaction, assessment of pesticides in groundwater and surface water, and to evaluate water quality near a wetland area in the Seminole well field. Typical water-quality analyses included major ions (boron, bromide, calcium, chloride, fluoride, iron, magnesium, manganese, potassium, silica, sodium, and sulfate), nutrients (ammonia as nitrogen, nitrite as nitrogen, nitrite plus nitrate as nitrogen, and orthophosphate as phosphorus), dissolved organic carbon, and selected pesticides including two degradates of the herbicide atrazine. In addition, two synoptic samplings included analyses of additional pesticide degradates in water samples. Physical field parameters (alkalinity, dissolved oxygen, pH, specific conductance and water temperature) were recorded with each water sample collected. This report presents the results of water quality data-collection activities from January 1999 through December 2005. Methods of data collection, quality-assurance samples, water-quality analyses, and statistical summaries are presented. Data include the results of water-quality analyses from quarterly and synoptic sampling from monitoring wells, municipal wells, and the Cedar River.

Long Term Monitoring of Atmospheric Composition at NOAA - Driving Science with 60 Year-old Records

NASA Astrophysics Data System (ADS)

Butler, J. H.

2017-12-01

NOAA's Global Monitoring Division and its precursor organizations have provided some of the longest real-time records of the trends and distributions of climatically relevant substances in the atmosphere, some going back for 60 years (http://www.esrl.noaa.gov/gmd). The focus of these measurements has been on obtaining reliable records of global trends and distributions of these substances, but the experimental design and use of measurements have advanced over time with evolving scientific questions. Today, and into this century, scientific questions continue to progress and the observing systems that address them will need to progress accordingly. Long-term, ground based observing systems in NOAA's Global Monitoring Division focus largely on three sets of questions, two of which align with WCRP grand challenges. These are Carbon Cycle System Feedbacks, Trends in Surface Radiation and Cloud Distributions, and Recovery of Stratospheric Ozone. The data collected and analyzed help us understand radiative forcing, climate sensitivity, air quality, climate modification, renewable energy options, and arctic processes, and they are useful for verifying model output and satellite retrievals. Regional information will become increasingly important for mitigating and adapting to climate change, and this information must be accurate, precise, and without bias. NOAA, with its long-standing networks and its role in providing calibrations for partnering organizations, is well positioned to provide the linkages necessary to assure that regional measurements are comparable. This presentation will identify major, climate-relevant findings that have come from NOAA's networks in the past and will address the long-term monitoring needs to support decision-making over coming decades as society begins to seriously address climate change.

75 FR 63434 - Availability of Compliance Guide for the Use of Video or Other Electronic Monitoring or Recording...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-15

...] Availability of Compliance Guide for the Use of Video or Other Electronic Monitoring or Recording Equipment in... the availability of a compliance guide on the use of video or other electronic monitoring or recording... Procedures video records. FSIS is soliciting comments on this compliance guide. Once FSIS receives OMB...

Hydrologic and chemical-quality data from four rural basins in Guilford County, North Carolina, 1985-88

USGS Publications Warehouse

Hill, C.L.

1989-01-01

An investigation was begun in 1984 in Guilford County, North Carolina, to monitor water quality and soil erosion in basins with various land-management practices. Hydrologic and chemical-quality data were collected from four rural drainage basins, including two agricultural basins (7.4 and 4.8 acres) cultivated in tobacco and small grains, a mixed rural land-use basin (665 acres) currently under standard land-management practices, and a forested control basin (44 acres) characterizing background conditions. Mean concentrations of total nitrite plus nitrate were 1.0 milligrams per liter from the agricultural basin under standard land-management practices. This was nearly 10 times greater than concentrations from the forested basin. Records of streamflow discharge, chemical quality, ground-water levels, precipitation, and farming activities collected from October 1984 through September 1988 at one or more of the basins are also presented in this report.

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

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

Syh, J; Ding, X; Syh, J

2015-06-15

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

MSNoise: a Python Package for Monitoring Seismic Velocity Changes using Ambient Seismic Noise

NASA Astrophysics Data System (ADS)

Lecocq, T.; Caudron, C.; Brenguier, F.

2013-12-01

Earthquakes occur every day all around the world and are recorded by thousands of seismic stations. In between earthquakes, stations are recording "noise". In the last 10 years, the understanding of this noise and its potential usage have been increasing rapidly. The method, called "seismic interferometry", uses the principle that seismic waves travel between two recorders and are multiple-scattered in the medium. By cross-correlating the two records, one gets an information on the medium below/between the stations. The cross-correlation function (CCF) is a proxy to the Green Function of the medium. Recent developments of the technique have shown those CCF can be used to image the earth at depth (3D seismic tomography) or study the medium changes with time. We present MSNoise, a complete software suite to compute relative seismic velocity changes under a seismic network, using ambient seismic noise. The whole is written in Python, from the monitoring of data archives, to the production of high quality figures. All steps have been optimized to only compute the necessary steps and to use 'job'-based processing. We present a validation of the software on a dataset acquired during the UnderVolc[1] project on the Piton de la Fournaise Volcano, La Réunion Island, France, for which precursory relative changes of seismic velocity are visible for three eruptions betwee 2009 and 2011.

Coral Reef Surveillance: Infrared-Sensitive Video Surveillance Technology as a New Tool for Diurnal and Nocturnal Long-Term Field Observations.

PubMed

Dirnwoeber, Markus; Machan, Rudolf; Herler, Juergen

2012-10-31

Direct field observations of fine-scaled biological processes and interactions of the benthic community of corals and associated reef organisms (e.g., feeding, reproduction, mutualistic or agonistic behavior, behavioral responses to changing abiotic factors) usually involve a disturbing intervention. Modern digital camcorders (without inflexible land-or ship-based cable connection) such as the GoPro camera enable undisturbed and unmanned, stationary close-up observations. Such observations, however, are also very time-limited (~3 h) and full 24 h-recordings throughout day and night, including nocturnal observations without artificial daylight illumination, are not possible. Herein we introduce the application of modern standard video surveillance technology with the main objective of providing a tool for monitoring coral reef or other sessile and mobile organisms for periods of 24 h and longer. This system includes nocturnal close-up observations with miniature infrared (IR)-sensitive cameras and separate high-power IR-LEDs. Integrating this easy-to-set up and portable remote-sensing equipment into coral reef research is expected to significantly advance our understanding of fine-scaled biotic processes on coral reefs. Rare events and long-lasting processes can easily be recorded, in situ -experiments can be monitored live on land, and nocturnal IR-observations reveal undisturbed behavior. The options and equipment choices in IR-sensitive surveillance technology are numerous and subject to a steadily increasing technical supply and quality at decreasing prices. Accompanied by short video examples, this report introduces a radio-transmission system for simultaneous recordings and real-time monitoring of multiple cameras with synchronized timestamps, and a surface-independent underwater-recording system.

Validation of two novel electronic devices to time-link transcutaneous electrical nerve stimulation and pain report in patients with chronic back pain.

PubMed

Pallett, Edward J; Rentowl, Patricia; Watson, Paul J

2013-01-01

The analgesic effectiveness of transcutaneous electrical nerve stimulation (TENS) is uncertain. Negative findings, interpreted as ineffectiveness, might be due to poor methodological quality. Monitoring is necessary to differentiate between ineffectiveness and low implementation fidelity. Electronic data-logging devices, "TLOG" and "TSCORE," were developed to monitor and time-link TENS and pain report. TLOG records the time and duration of TENS use and output parameters; TSCORE records time-stamped pain scores. The purpose was to determine the accuracy, reliability, and acceptability of the devices. Forty-two outpatients with chronic back pain consented to use TENS daily for 2 weeks. Treatment times and durations were recorded in paper diaries and compared with TLOG data. Using TSCORE, patients reported pain before, during, and after TENS. Pain scores, reported using TSCORE or paper numerical rating scale at the beginning and end of 2 study visits, were compared using Bland-Altman methodology. The mean (SD) difference between paper and TSCORE pain scores was -0.05 (0.81). Limits of agreement (mean difference ± 1.96 SD) were -1.65 to 1.55. Test-retest reliabilities of paper and TSCORE were comparable: Paper mean (SD) difference was -0.33 (0.66), limits of agreement were -1.62 to 0.96; TSCORE mean (SD) difference was -0.10 (0.31), limits were -0.7 to 0.5. TLOG recorded TENS use accurately and worked reliably for 2 weeks in 84% of cases. An overall 79% of participants preferred TSCORE to paper numerical rating scale. TLOG and TSCORE are accurate, reliable, and acceptable devices for monitoring TENS implementation fidelity and pain outcome, with potential for improving TENS research methodology and clinical application.

Water quality in Rhode River at Smithsonian Institution Pier near Annapolis, Maryland, January 1976 through December 1978

USGS Publications Warehouse

Cory, Robert L.; Dresler, P.V.

1980-01-01

Water temperature, salinity, turbidity, dissolved oxygen, pH, and water level data were continuously monitored and recorded from the Smithsonian Institution pier near Annapolis, Md., from January 1976 through December 1978. Daily maximum and minimum values are tabulated and summarized, and monthly averages and extremes are presented. Water temperature ranged from 0.0 to 33.9 Celsius. Both high and low extreme values exceeded those recorded during the previous 6 years. Salinity patterns showed normal seasonal variations and were related to the Susquehanna River inflow, which controls the upper bay salinity. Salinity between 13 and 15 parts per thousand in November and December 1978 were the highest recorded over a 9-year period. Turbidity varied seasonally, with lowest values in winter and highest in spring. Dissolved oxygen ranged from 2.0 to 18.7 milligrams per liter. Large variations between summertime daily minima and maxima indicated the high state of eutrophication of the water being monitored. Hydrogen-ion activity (pH) ranged from 7.0 to 10.2 over the 3-year period. The pH changes reflect daily variation in partial pressure of carbon dioxide, which varies inversely with the dissolved oxygen. Water level variation at the monitoring site for the 3-year period was 1.89 meters, with highest water 0.59 meter above mean high water and lowest 0.83 meter below mean low water. An apparent decline of 0.07 meter below previously recorded mean high and mean low water was associated with stronger winds and a prevalance of westerly winds in February during the winter of 1976-1977. (USGS)

Coral Reef Surveillance: Infrared-Sensitive Video Surveillance Technology as a New Tool for Diurnal and Nocturnal Long-Term Field Observations

PubMed Central

Dirnwoeber, Markus; Machan, Rudolf; Herler, Juergen

2014-01-01

Direct field observations of fine-scaled biological processes and interactions of the benthic community of corals and associated reef organisms (e.g., feeding, reproduction, mutualistic or agonistic behavior, behavioral responses to changing abiotic factors) usually involve a disturbing intervention. Modern digital camcorders (without inflexible land-or ship-based cable connection) such as the GoPro camera enable undisturbed and unmanned, stationary close-up observations. Such observations, however, are also very time-limited (~3 h) and full 24 h-recordings throughout day and night, including nocturnal observations without artificial daylight illumination, are not possible. Herein we introduce the application of modern standard video surveillance technology with the main objective of providing a tool for monitoring coral reef or other sessile and mobile organisms for periods of 24 h and longer. This system includes nocturnal close-up observations with miniature infrared (IR)-sensitive cameras and separate high-power IR-LEDs. Integrating this easy-to-set up and portable remote-sensing equipment into coral reef research is expected to significantly advance our understanding of fine-scaled biotic processes on coral reefs. Rare events and long-lasting processes can easily be recorded, in situ-experiments can be monitored live on land, and nocturnal IR-observations reveal undisturbed behavior. The options and equipment choices in IR-sensitive surveillance technology are numerous and subject to a steadily increasing technical supply and quality at decreasing prices. Accompanied by short video examples, this report introduces a radio-transmission system for simultaneous recordings and real-time monitoring of multiple cameras with synchronized timestamps, and a surface-independent underwater-recording system. PMID:24829763

Water quality variation during a strong El Niño event in 2016: a case study in Kampar River, Malaysia.

PubMed

Ng, Casey Keat-Chuan; Goh, Choo-Hou; Lin, Jia-Chun; Tan, Minn-Syenn; Bong, Willie; Yong, Chea-Soon; Chong, Jun-Yao; Ooi, Peter Aun-Chuan; Wong, Wey-Lim; Khoo, Gideon

2018-06-15

El Niño and Southern Oscillation (ENSO) is a natural forcing that affects global climate patterns, thereon influencing freshwater quality and security. In the advent of a strong El Niño warming event in 2016 which induced an extreme dry weather in Malaysia, water quality variation was investigated in Kampar River which supplies potable water to a population of 92,850. Sampling points were stratified into four ecohydrological units and 144 water samples were examined from October 2015 to March 2017. The Malaysian Water Quality Index (WQI) and some supplementary parameters were analysed in the context of reduced precipitation. Data shows that prolonged dry weather, episodic and sporadic pollution incidents have caused some anomalies in dissolved oxygen (DO), total suspended solids (TSS), turbidity and ammoniacal nitrogen (AN) values recorded and the possible factors are discussed. The month of March and August 2016 recorded the lowest precipitation, but the overall resultant WQI remained acceptable. Since the occurrence of a strong El Niño event is infrequent and far between in decadal time scale, this paper gives some rare insights that may be central to monitoring and managing freshwater resource that has a crucial impact to the mass population in the region of Southeast Asia.

Are We Monitoring the Quality of Cataract Surgery Services? A Qualitative Situation Analysis of Attitudes and Practices in a Large City in South Africa

PubMed Central

Haastrup, Oluwatosin O. O.; Buchan, John C.; Cassels-Brown, Andy; Cook, Colin

2015-01-01

Purpose: To evaluate the current quality “assurance” and “improvement” mechanisms, the knowledge, attitudes and practices of cataract surgeons in a large South African city. Methodology: A total of 17 in-depth semi-structured interviews were conducted with ophthalmologists in June 2012 at 2 tertiary institutions in the Republic of South Africa. Recruitment of the purposive sample was supplemented by snowball sampling. The study participants were 5 general ophthalmologists and 2 pediatric ophthalmologists; 4 senior and 4 junior registrars and a medical officer. Participants were interviewed by a trained qualitative interviewer. The interview lasted between 20 and 60 min. The interviews were recorded, transcribed verbatim and analyzed for thematic content. Results: Mechanisms for quality assurance were trainee logbooks and subjective senior staff observation. Clinicians were encouraged, but not obliged to self-audit. Quality improvement is incentivized by personal integrity and ambition. Poorly performing departments are inconspicuous, especially nationally, and ophthalmologists rely on the impression to gauge the quality of service provided by colleagues. Currently, word of mouth is the method for determining the better cataract surgical centers. Conclusion: The quality assurance mechanisms were dependent on insight and integrity of the individual surgeons. No structures were described that would ensure the detection of surgeons with higher than expected complication rates. Currently, audits are not enforced, and surgical outcomes are not well monitored due to concerns that this may lead to lack of openness among ophthalmologists. PMID:25949081

Are we monitoring the quality of cataract surgery services? A qualitative situation analysis of attitudes and practices in a large city in South Africa.

PubMed

Haastrup, Oluwatosin O O; Buchan, John C; Cassels-Brown, Andy; Cook, Colin

2015-01-01

To evaluate the current quality "assurance" and "improvement" mechanisms, the knowledge, attitudes and practices of cataract surgeons in a large South African city. A total of 17 in-depth semi-structured interviews were conducted with ophthalmologists in June 2012 at 2 tertiary institutions in the Republic of South Africa. Recruitment of the purposive sample was supplemented by snowball sampling. The study participants were 5 general ophthalmologists and 2 pediatric ophthalmologists; 4 senior and 4 junior registrars and a medical officer. Participants were interviewed by a trained qualitative interviewer. The interview lasted between 20 and 60 min. The interviews were recorded, transcribed verbatim and analyzed for thematic content. Mechanisms for quality assurance were trainee logbooks and subjective senior staff observation. Clinicians were encouraged, but not obliged to self-audit. Quality improvement is incentivized by personal integrity and ambition. Poorly performing departments are inconspicuous, especially nationally, and ophthalmologists rely on the impression to gauge the quality of service provided by colleagues. Currently, word of mouth is the method for determining the better cataract surgical centers. The quality assurance mechanisms were dependent on insight and integrity of the individual surgeons. No structures were described that would ensure the detection of surgeons with higher than expected complication rates. Currently, audits are not enforced, and surgical outcomes are not well monitored due to concerns that this may lead to lack of openness among ophthalmologists.

Trends of NOx, NO2 and O3 concentrations at three different types of air quality monitoring stations in Athens, Greece

NASA Astrophysics Data System (ADS)

Mavroidis, I.; Ilia, M.

2012-12-01

This work presents a systematic analysis and evaluation of the historic and current levels of atmospheric pollution in the Athens metropolitan region, regarding nitrogen oxides (NOx = NO + NO2), ozone (O3) and the NO2/NOx and NO/NO2 concentration ratios. Hourly, daily, monthly, seasonal and annual pollutant variations are examined and compared, using the results of concentration time series from three different stations of the national network for air pollution monitoring, one urban-traffic, one urban-background and one suburban-background. Concentration data are also related to meteorological parameters. The results show that the traffic affected station of Patission Street presents the higher NOx values and the lower concentrations of O3, while it is the station with the highest number of NO2 limit exceedances. The monitoring data suggest, inter alia, that there is a change in the behaviour of the suburban-background station of Liossia at about year 2000, indicating that the exact location of this station may need to be reconsidered. Comparison of NOx concentrations in Athens with concentrations in urban areas of other countries reveal that the Patission urban-traffic station records very high NOx concentrations, while remarkably high is the ratio of NO2 concentrations recorded at the urban-traffic vs. the urban-background station in Athens, indicating the overarching role of vehicles and traffic congestion on NO2 formation. The NO2/NOx ratio in the urban-traffic station appears to be almost constant with time, while it has been increasing in other urban areas, such as London and Seoul, suggesting an increased effect of primary NO2 in these areas. Diesel passenger cars were only recently allowed in Athens and, therefore, NO2 trends should be carefully monitored since a possible increase in primary NO2 may affect compliance with NO2 air quality standards.

Nursing Home Medication Reconciliation: A Quality Improvement Initiative.

PubMed

Tong, Monica; Oh, Hye Young; Thomas, Jennifer; Patel, Sheila; Hardesty, Jennifer L; Brandt, Nicole J

2017-04-01

The current quality improvement initiative evaluated the medication reconciliation process within select nursing homes in Washington, DC. The identification of common types of medication discrepancies through monthly retrospective chart reviews of newly admitted patients in two different nursing homes were described. The use of high-risk medications, namely antidiabetic, anticoagulant, and opioid agents, was also recorded. A standardized spreadsheet tool based on multiple medication reconciliation implementation tool kits was created to record the information. The five most common medication discrepancies were incorrect indication (21%), no monitoring parameters (17%), medication name omitted (11%), incorrect dose (10%), and incorrect frequency (8%). Antidiabetic agents in both sites were the most used high-risk medication. This initiative highlights that medication discrepancies on admission are common in nursing homes and may be clinically impactful. More attention needs to be given to work flow processes to improve medication reconciliation considering the increased risk for adverse drug events and hospitalizations. [Journal of Gerontological Nursing and Mental Health Services, 43(4), 9-14.]. Copyright 2017, SLACK Incorporated.

40 CFR 60.2170 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2013 CFR

2013-07-01

... monitoring system quality assurance or quality control activities (including, as applicable, calibration... required monitoring system quality assurance or quality control activities including, as applicable... required monitoring system quality assurance or control activities in calculations used to report emissions...

Implementation of a cloud-based electronic medical record for maternal and child health in rural Kenya.

PubMed

Haskew, John; Rø, Gunnar; Saito, Kaori; Turner, Kenrick; Odhiambo, George; Wamae, Annah; Sharif, Shahnaaz; Sugishita, Tomohiko

2015-05-01

Complete and timely health information is essential to inform public health decision-making for maternal and child health, but is often lacking in resource-constrained settings. Electronic medical record (EMR) systems are increasingly being adopted to support the delivery of health care, and are particularly amenable to maternal and child health services. An EMR system could enable the mother and child to be tracked and monitored throughout maternity shared care, improve quality and completeness of data collected and enhance sharing of health information between outpatient clinic and the hospital, and between clinical and public health services to inform decision-making. This study implemented a novel cloud-based electronic medical record system in a maternal and child health outpatient setting in Western Kenya between April and June 2013 and evaluated its impact on improving completeness of data collected by clinical and public health services. The impact of the system was assessed using a two-sample test of proportions pre- and post-implementation of EMR-based data verification. Significant improvements in completeness of the antenatal record were recorded through implementation of EMR-based data verification. A difference of 42.9% in missing data (including screening for hypertension, tuberculosis, malaria, HIV status or ART status of HIV positive women) was recorded pre- and post-implementation. Despite significant impact of EMR-based data verification on data completeness, overall screening rates in antenatal care were low. This study has shown that EMR-based data verification can improve the completeness of data collected in the patient record for maternal and child health. A number of issues, including data management and patient confidentiality, must be considered but significant improvements in data quality are recorded through implementation of this EMR model. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Comprehensive monitoring of drinking well water quality in Seoul metropolitan city, Korea.

PubMed

Kim, Ki-Hyun; Susaya, Janice P; Park, Chan Goo; Uhm, Jung-Hoon; Hur, Jin

2013-08-01

In this research, the quality of drinking well waters from 14 districts around Seoul metropolitan city, Korea was assessed by measuring a number of parameters with established guideline (e.g., arsenic, fluoride, nitrate nitrogen, benzene, 1,2-dichloroethene, dichloromethane, copper, and lead) and without such criteria (e.g., hardness, chloride ion, sulfate ion, ammonia nitrogen, aluminum, iron, manganese, and zinc). Physical parameters such as evaporation residue (or total dissolved solids) and turbidity were also measured. The importance of each parameter in well waters was examined in terms of the magnitude and exceedance frequency of guideline values established by international (and national) health agencies. The results of this study indicate that among the eight parameters with well-established guidelines (e.g., WHO), arsenic and lead (guideline value of 0.01 mg L(-1) for both) recorded the highest exceedance frequency of 18 and 16 well samples ranging in 0.06-136 and 2-9 mg L(-1), respectively. As such, a number of water quality parameters measured from many well waters in this urban area were in critical levels which require immediate attention for treatment and continuous monitoring.

A retrospective view of the quality of the fauna component of the Olympic Dam Project Environmental Impact Statement

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

Read, J.L.

1994-06-01

The merits of the fauna section of the Olympic Dam Project Environmental Impact Statement (EIS) are discussed. The values of different survey methods and monitoring organisms used in this document are evaluated following 10 years of fauna monitoring and research subsequent to the preparation of the EIS. The pilot fauna reconnaissance was found to be of little value, although the associated literature review formed an integral part of the EIS. Over 95% of all amphibian, reptile and bird species recorded at Olympic Dam were confirmed or predicted to occur in the EIS. Mammal predictions were less accurate because of themore » sparse populations and irruptive nature of several arid-zone species. Prediction and monitoring of rare species were demonstrably difficult. The Olympic Dam Project EIS was found in general to be an accurate and useful document. However, it is suggested that more emphasis be placed on establishing monitoring programmes for future EISs, particularly for invertebrates. 35 refs., 1 fig., 3 tabs.« less

Improving Cardiometabolic Monitoring of Children on Antipsychotics.

PubMed

Cotes, Robert O; Fernandes, Nisha K; McLaren, Jennifer L; McHugo, Gregory J; Bartels, Stephen J; Brunette, Mary F

2017-12-01

This study evaluated changes in cardiometabolic monitoring for children and adolescents who were prescribed an antipsychotic medication in a state mental health system before and after a quality improvement intervention. The intervention included education for prescribers, auditing on metabolic monitoring, and feedback to mental health center leaders regarding their monitoring. Research staff extracted yearly data on cardiometabolic monitoring from randomly selected community mental health center records before and after the intervention. Pre- and postintervention changes in monitoring were assessed with chi-squared tests. Evidence of past year monitoring increased: for glucose 18.9%-42.1% (χ 2  = 6.75, p < 0.001), for triglycerides 13.5%-31.0% (χ 2  = 4.54, p = 0.033), for cholesterol 13.5%-33.1% (χ 2  = 5.48, p = 0.019), and for weight 67.6%-84.1% (χ 2  = 5.21, p = 0.022). Rates of monitoring for blood pressure and waist circumference increased but not significantly. In both years studied, weight was obtained most frequently and waist circumference was obtained least frequently. Monitoring rates significantly improved for four out of six parameters evaluated, but overall monitoring rates remained low at the end of the study period. Prescriber education with audit and feedback may improve cardiometabolic monitoring rates, but research is needed to evaluate barriers to monitoring in children.

Data Quality Monitoring in Clinical Trials: Has It Been Worth It? An Evaluation and Prediction of the Future by All Stakeholders

PubMed Central

Kalali, Amir; West, Mark; Walling, David; Hilt, Dana; Engelhardt, Nina; Alphs, Larry; Loebel, Antony; Vanover, Kim; Atkinson, Sarah; Opler, Mark; Sachs, Gary; Nations, Kari; Brady, Chris

2016-01-01

This paper summarizes the results of the CNS Summit Data Quality Monitoring Workgroup analysis of current data quality monitoring techniques used in central nervous system (CNS) clinical trials. Based on audience polls conducted at the CNS Summit 2014, the panel determined that current techniques used to monitor data and quality in clinical trials are broad, uncontrolled, and lack independent verification. The majority of those polled endorse the value of monitoring data. Case examples of current data quality methodology are presented and discussed. Perspectives of pharmaceutical companies and trial sites regarding data quality monitoring are presented. Potential future developments in CNS data quality monitoring are described. Increased utilization of biomarkers as objective outcomes and for patient selection is considered to be the most impactful development in data quality monitoring over the next 10 years. Additional future outcome measures and patient selection approaches are discussed. PMID:27413584

Quality of clinical trials: A moving target

PubMed Central

Bhatt, Arun

2011-01-01

Quality of clinical trials depends on data integrity and subject protection. Globalization, outsourcing and increasing complexicity of clinical trials have made the target of achieving global quality challenging. The quality, as judged by regulatory inspections of the investigator sites, sponsors/contract research organizations and Institutional Review Board, has been of concern to the US Food and Drug Administration, as there has been hardly any change in frequency and nature of common deficiencies. To meet the regulatory expectations, the sponsors need to improve quality by developing systems with specific standards for each clinical trial process. The quality systems include: personnel roles and responsibilities, training, policies and procedures, quality assurance and auditing, document management, record retention, and reporting and corrective and preventive action. With an objective to improve quality, the FDA has planned new inspection approaches such as risk-based inspections, surveillance inspections, real-time oversight, and audit of sponsor quality systems. The FDA has partnered with Duke University for Clinical Trials Transformation Initiative, which will conduct research projects on design principles, data quality and quantity including monitoring, study start-up, and adverse event reporting. These recent initiatives will go a long way in improving quality of clinical trials. PMID:22145122

An ultra-low power (ULP) bandage-type ECG sensor for efficient cardiac disease management.

PubMed

Shin, Kunsoo; Park, G G; Kim, J P; Lee, T H; Ko, B H; Kim, Y H

2013-01-01

This paper proposed an ultra-low power bandage-type ECG sensor (the size: 76 × 34 × 3 (mm(3)) and the power consumption: 1 mW) which allows for a continuous and real-time monitoring of a user's ECG signals over 24h during daily activities. For its compact size and lower power consumption, we designed the analog front-end, the SRP (Samsung Reconfigurable Processor) based DSP of 30 uW/MHz, and the ULP wireless RF of 1 nJ/bit. Also, to tackle motion artifacts(MA), a MA monitoring technique based on the HCP (Half-cell Potential) is proposed which resulted in the high correlation between the MA and the HCP, the correlation coefficient of 0.75 ± 0.18. To assess its feasibility and validity as a wearable health monitor, we performed the comparison of two ECG signals recorded form it and a conventional Holter device. As a result, the performance of the former is a little lower as compared with the latter, although showing no statistical significant difference (the quality of the signal: 94.3% vs 99.4%; the accuracy of arrhythmia detection: 93.7% vs 98.7%). With those results, it has been confirmed that it can be used as a wearable health monitor due to its comfortability, its long operation lifetime and the good quality of the measured ECG signal.

Helmet-based physiological signal monitoring system.

PubMed

Kim, Youn Sung; Baek, Hyun Jae; Kim, Jung Soo; Lee, Haet Bit; Choi, Jong Min; Park, Kwang Suk

2009-02-01

A helmet-based system that was able to monitor the drowsiness of a soldier was developed. The helmet system monitored the electrocardiogram, electrooculogram and electroencephalogram (alpha waves) without constraints. Six dry electrodes were mounted at five locations on the helmet: both temporal sides, forehead region and upper and lower jaw strips. The electrodes were connected to an amplifier that transferred signals to a laptop computer via Bluetooth wireless communication. The system was validated by comparing the signal quality with conventional recording methods. Data were acquired from three healthy male volunteers for 12 min twice a day whilst they were sitting in a chair wearing the sensor-installed helmet. Experimental results showed that physiological signals for the helmet user were measured with acceptable quality without any intrusions on physical activities. The helmet system discriminated between the alert and drowsiness states by detecting blinking and heart rate variability (HRV) parameters extracted from ECG. Blinking duration and eye reopening time were increased during the sleepiness state compared to the alert state. Also, positive peak values of the sleepiness state were much higher, and the negative peaks were much lower than that of the alert state. The LF/HF ratio also decreased during drowsiness. This study shows the feasibility for using this helmet system: the subjects' health status and mental states could be monitored without constraints whilst they were working.

An intelligent remote monitoring system for artificial heart.

PubMed

Choi, Jaesoon; Park, Jun W; Chung, Jinhan; Min, Byoung G

2005-12-01

A web-based database system for intelligent remote monitoring of an artificial heart has been developed. It is important for patients with an artificial heart implant to be discharged from the hospital after an appropriate stabilization period for better recovery and quality of life. Reliable continuous remote monitoring systems for these patients with life support devices are gaining practical meaning. The authors have developed a remote monitoring system for this purpose that consists of a portable/desktop monitoring terminal, a database for continuous recording of patient and device status, a web-based data access system with which clinicians can access real-time patient and device status data and past history data, and an intelligent diagnosis algorithm module that noninvasively estimates blood pump output and makes automatic classification of the device status. The system has been tested with data generation emulators installed on remote sites for simulation study, and in two cases of animal experiments conducted at remote facilities. The system showed acceptable functionality and reliability. The intelligence algorithm also showed acceptable practicality in an application to animal experiment data.

Home monitoring and decision support for international liver transplant children.

PubMed

Song, Bianying; Schulze, Mareike; Goldschmidt, Imeke; Haux, Reinhold; Baumann, Ulrich; Marschollek, Michael

2013-01-01

Complications may occur after a liver transplantation, therefore proper monitoring and care in the post-operation phase plays a very important role. Sometimes, monitoring and care for patients from abroad is difficult due to a variety of reasons, e.g., different care facilities. The objective of our research for this paper is to design, implement and evaluate a home monitoring and decision support infrastructure for international children who underwent liver transplant operation. A point-of-care device and the PedsQL questionnaire were used in patients' home environment for measuring the blood parameters and assessing quality of life. By using a tablet PC and a specially developed software, the measured results were able to be transmitted to the health care providers via internet. So far, the developed infrastructure has been evaluated with four international patients/families transferring 38 records of blood test. The evaluation showed that the home monitoring and decision support infrastructure is technically feasible and is able to give timely alarm in case of abnormal situation as well as may increase parent's feeling of safety for their children.

40 CFR 270.31 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2014 CFR

2014-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results. 270.31 Section 270.31 Protection of Environment ENVIRONMENTAL PROTECTION... PROGRAM Permit Conditions § 270.31 Requirements for recording and reporting of monitoring results. All...

40 CFR 270.31 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2011 CFR

2011-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results. 270.31 Section 270.31 Protection of Environment ENVIRONMENTAL PROTECTION... PROGRAM Permit Conditions § 270.31 Requirements for recording and reporting of monitoring results. All...

40 CFR 270.31 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2012 CFR

2012-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results. 270.31 Section 270.31 Protection of Environment ENVIRONMENTAL PROTECTION... PROGRAM Permit Conditions § 270.31 Requirements for recording and reporting of monitoring results. All...

40 CFR 270.31 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2013 CFR

2013-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results. 270.31 Section 270.31 Protection of Environment ENVIRONMENTAL PROTECTION... PROGRAM Permit Conditions § 270.31 Requirements for recording and reporting of monitoring results. All...

40 CFR 270.31 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2010 CFR

2010-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results. 270.31 Section 270.31 Protection of Environment ENVIRONMENTAL PROTECTION... PROGRAM Permit Conditions § 270.31 Requirements for recording and reporting of monitoring results. All...

Classification Models for Pulmonary Function using Motion Analysis from Phone Sensors.

PubMed

Cheng, Qian; Juen, Joshua; Bellam, Shashi; Fulara, Nicholas; Close, Deanna; Silverstein, Jonathan C; Schatz, Bruce

2016-01-01

Smartphones are ubiquitous, but it is unknown what physiological functions can be monitored at clinical quality. Pulmonary function is a standard measure of health status for cardiopulmonary patients. We have shown phone sensors can accurately measure walking patterns. Here we show that improved classification models can accurately measure pulmonary function, with sole inputs being sensor data from carried phones. Twenty-four cardiopulmonary patients performed six minute walk tests in pulmonary rehabilitation at a regional hospital. They carried smartphones running custom software recording phone motion. For every patient, every ten-second interval was correctly computed. The trained model perfectly computed the GOLD level 1/2/3, which is a standard categorization of pulmonary function as measured by spirometry. These results are encouraging towards field trials with passive monitors always running in the background. We expect patients can simply carry their phones during daily living, while supporting automatic computation ofpulmonary function for health monitoring.

Building a Rapid Learning Health Care System for Oncology: Why CancerLinQ Collects Identifiable Health Information to Achieve Its Vision.

PubMed

Shah, Alaap; Stewart, Andrew K; Kolacevski, Andrej; Michels, Dina; Miller, Robert

2016-03-01

The ever-increasing volume of scientific discoveries, clinical knowledge, novel diagnostic tools, and treatment options juxtaposed with rising costs in health care challenge physicians to identify, prioritize, and use new information rapidly to deliver efficient and high-quality care to a growing and aging patient population. CancerLinQ, a rapid learning health care system in oncology, is an initiative of the American Society of Clinical Oncology and its Institute for Quality that addresses these challenges by collecting information from the electronic health records of large numbers of patients with cancer. CancerLinQ is first and foremost a quality measurement and reporting system through which oncologists can harness the depth and power of their patients' clinical records and other data to assess, monitor, and improve the care they deliver. However, in light of privacy and security concerns with regard to collection, use, and disclosure of patient information, this article addresses the need to collect protected health information as defined under the Health Insurance Portability and Accountability Act of 1996 to drive rapid learning through CancerLinQ. © 2016 by American Society of Clinical Oncology.

77 FR 551 - Privacy Act of 1974; Amended System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-05

... Act system of records entitled ``Treasury/BEP .027--Access Control and Alarm Monitoring Systems (ACAMS... .027--Access Control and Alarm Monitoring Systems (ACAMS).'' BEP proposes to amend that system of... records entitled ``BEP .027--Access Control and Alarm Monitoring Systems (ACAMS),'' as follows: Treasury...

[Study on the optimization of monitoring indicators of drinking water quality during health supervision].

PubMed

Ye, Bixiong; E, Xueli; Zhang, Lan

2015-01-01

To optimize non-regular drinking water quality indices (except Giardia and Cryptosporidium) of urban drinking water. Several methods including drinking water quality exceed the standard, the risk of exceeding standard, the frequency of detecting concentrations below the detection limit, water quality comprehensive index evaluation method, and attribute reduction algorithm of rough set theory were applied, redundancy factor of water quality indicators were eliminated, control factors that play a leading role in drinking water safety were found. Optimization results showed in 62 unconventional water quality monitoring indicators of urban drinking water, 42 water quality indicators could be optimized reduction by comprehensively evaluation combined with attribute reduction of rough set. Optimization of the water quality monitoring indicators and reduction of monitoring indicators and monitoring frequency could ensure the safety of drinking water quality while lowering monitoring costs and reducing monitoring pressure of the sanitation supervision departments.

Ambient Monitoring Technology Information Center (AMTIC)

EPA Pesticide Factsheets

This site contains information on ambient air quality monitoring programs, monitoring methods, quality assurance and control procedures, and federal regulations related to ambient air quality monitoring.

A Comprehensive Approach to Phonon Control for Enhanced Device Performance

DTIC Science & Technology

2006-07-12

substantially on parameters of the transit space . 300 kV/cm (drift region) but also specifically on the AC com- >, k\\/cm ponent of the tunnel emission... reseracher to grow well-controlled and high quality -, N2/Ar: V 35x 10 (old) multilayers and heterostructures, resulting in record electron . V 3 x 109...reflected from the sample, back through the viewport, and into a CCD camera. Monitoring fractional changes in the spacing between these re- flected spots

76 FR 28696 - Approval and Promulgation of Air Quality Implementation Plans; California; Determination of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-18

... based on complete, quality-assured and certified ambient air quality monitoring data for 2007-2009... certain air quality monitoring data because they meet the criteria for ozone exceptional events that are... certified monitoring data. A violation occurs when the ambient ozone air quality monitoring data show...

[Implementation of a hypertension protocol in a basic health area as a basis for a medical audit].

PubMed

Vilaplana Vivancos, R; Tobías Ferrer, J

1994-04-15

To analyse compliance in the application of the Arterial Hypertension procedure and the level of monitoring of our hypertensive patients. To introduce quality control methodology into the Primary Care team's work systems. Observation study of a crossover type. Primary Care. Plaza Cataluña PCC, Manresa (Barcelona). Audit of 100 medical records of hypertensive patients selected by systematic random sampling from a total of 533 hypertensive patients under 70 years old. 43% of the hypertensive patients had their pressure figures adequately monitored (CI 95%: 33.3-52.7) with 4.86 average number of checks per year. Analytic blood controls were performed on 66% and urine controls on 56%. Only 34% of patients had a minimal cardiovascular investigation, while back-of-eye investigation and ECGs were performed on 44% and 49%, respectively. The arterial pressure monitoring level is acceptable. Compliance with the procedure is deficient in most complementary investigations. The periodicity of ECGs should be agreed. It is clear that patients for whom compliance with the procedure is most deficient are those who have fewer arterial pressure recordings as well as those receiving no drugs treatment. New objectives are proposed. Lastly, corrective measures are suggested, with a reassessment after two years.

40 CFR 63.6655 - What records must I keep?

Code of Federal Regulations, 2010 CFR

2010-07-01

... equipment) or the air pollution control and monitoring equipment. (3) Records of performance tests and... on the air pollution control and monitoring equipment. (5) Records of actions taken during periods of... malfunctioning process and air pollution control and monitoring equipment to its normal or usual manner of...

40 CFR 63.6655 - What records must I keep?

Code of Federal Regulations, 2013 CFR

2013-07-01

... equipment) or the air pollution control and monitoring equipment. (3) Records of performance tests and... on the air pollution control and monitoring equipment. (5) Records of actions taken during periods of... malfunctioning process and air pollution control and monitoring equipment to its normal or usual manner of...

The Hepatitis Testing and Linkage-to-Care Data Review Process: An Approach to Ensuring the Quality of Program Data.

PubMed

Mezzo, Jennifer L; Lamia, Tamara L; Danelski, Lisa L; Schipani, Anne Marie; Stokes, Scott A; Jacobs-Ware, Elizabeth D

2016-01-01

CDC's 2012 Hepatitis Testing and Linkage to Care (HepTLC) initiative was a nationally coordinated effort to conduct hepatitis B and hepatitis C screening, posttest counseling, and linkage to care at 34 U.S. sites. This project provided support for data management and monthly data reviews between awardees and a data manager, which facilitated monitoring of awardee progress and regular program improvement opportunities. CDC provided technical assistance to awardees for testing processes and program improvement, including Internet-based data submission, reporting software and data management to awardees, offering assistance with submitting, and reviewing data in real time. We describe how one awardee, AIDS Resource Center of Wisconsin (ARCW), used the data management process to improve data quality, inform testing processes and implementation, and measure and report missing variables from an online database. From October 2012 through July 2014, ARCW performed 2,255 HCV antibody (anti-HCV) tests and 244 HCV ribonucleic acid (RNA) tests as part of the HepTLC initiative. Participants who tested HCV RNA positive (n=189) were referred to medical care. At the end of the study, no records were missing for the anti-HCV test result or HCV RNA test result variables, and only one record was missing for those who were referred to medical care. Regular data review and monitoring by awardees and CDC-supported data managers provided opportunities for data quality and program improvement. Through regular data review, ARCW reduced the amount of missing data and promoted timely follow-up with participants testing positive for HCV to ensure receipt of results and linkage to care. Other programs can adopt a similar data management model.

Tablet-based cardiac arrest documentation: a pilot study.

PubMed

Peace, Jack M; Yuen, Trevor C; Borak, Meredith H; Edelson, Dana P

2014-02-01

Conventional paper-based resuscitation transcripts are notoriously inaccurate, often lacking the precision that is necessary for recording a fast-paced resuscitation. The aim of this study was to evaluate whether a tablet computer-based application could improve upon conventional practices for resuscitation documentation. Nurses used either the conventional paper code sheet or a tablet application during simulated resuscitation events. Recorded events were compared to a gold standard record generated from video recordings of the simulations and a CPR-sensing defibrillator/monitor. Events compared included defibrillations, medication deliveries, and other interventions. During the study period, 199 unique interventions were observed in the gold standard record. Of these, 102 occurred during simulations recorded by the tablet application, 78 by the paper code sheet, and 19 during scenarios captured simultaneously by both documentation methods These occurred over 18 simulated resuscitation scenarios, in which 9 nurses participated. The tablet application had a mean sensitivity of 88.0% for all interventions, compared to 67.9% for the paper code sheet (P=0.001). The median time discrepancy was 3s for the tablet, and 77s for the paper code sheet when compared to the gold standard (P<0.001). Similar to prior studies, we found that conventional paper-based documentation practices are inaccurate, often misreporting intervention delivery times or missing their delivery entirely. However, our study also demonstrated that a tablet-based documentation method may represent a means to substantially improve resuscitation documentation quality, which could have implications for resuscitation quality improvement and research. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

A remote access ecg monitoring system - biomed 2009.

PubMed

Ogawa, Hidekuni; Yonezawa, Yoshiharu; Maki, Hiromichi; Iwamoto, Junichi; Hahn, Allen W; Caldwell, W Morton

2009-01-01

We have developed a remotely accessible telemedicine system for monitoring a patient's electrocardiogram (ECG). The system consists of an ECG recorder mounted on chest electrodes and a physician's laptop personal computer. This ECG recorder is designed with a variable gain instrumentation amplifier; a low power 8-bit single-chip microcomputer; two 128KB EEPROMs and 2.4 GHz low transmit power mobile telephone. When the physician wants to monitor the patient's ECG, he/she calls directly from the laptop PC to the ECG recorder's phone and the recorder sends the ECG to the computer. The electrode-mounted recorder continuously samples the ECG. Additionally, when the patient feels a heart discomfort, he/she pushes a data transmission switch on the recorder and the recorder sends the recorded ECG waveforms of the two prior minutes, and for two minutes after the switch is pressed. The physician can display and monitor the data on the computer's liquid crystal display.

Herd monitoring to optimise fertility in the dairy cow: making the most of herd records, metabolic profiling and ultrasonography (research into practice).

PubMed

Smith, R F; Oultram, J; Dobson, H

2014-05-01

Fertility performance is intrinsically linked to the quality of the animal environment, overall management and nutrition. This review describes the use of dairy herd records, metabolic profiles and ultrasonographic findings at veterinary fertility examinations to monitor and manage dairy herd fertility. After calving, a cow has to overcome a series of physiological hurdles before establishing a pregnancy. The selection of timely key performance indicators (KPIs) that monitor specific events in the postpartum and service periods is vital to correctly identify problems and their potential causes that hopefully can be rectified. Cumulative sum charts are the timeliest monitors of efficiency of detection of oestrus, insemination outcome and relationship between postpartum events and fertility, with the point of inflection indicating when a change took place. Other KPIs use data from specific cohorts, adding an inherent delay to when change is indicated. Metabolic profiles and milk constituent data allow monitoring of nutritional adequacy and developments to offer new possibilities of on-farm systems for regular measurements of milk constituents (including progesterone) and energy status. Examination of the reproductive tract can be used to indicate individual and herd fertility status but the currently available detail is under used. Recent advances in ultrasonography can improve the diagnosis of reproductive tract pathophysiology still further but the clinical use of these methods in veterinary practice needs further evaluation. Development of new KPIs to exploit research findings are needed to ensure this knowledge is used to improve on-farm performance.

Classification management plan of groundwater quality in Taiwan

NASA Astrophysics Data System (ADS)

Chen, Chun Ming; Chen, Yu Ying; Pan, Shih Cheng; Li, Hui Jun; Hsiao, Fang Ke

2017-04-01

Taiwan Environmental Protection Administration has been monitoring regional water quality for 14 years. Since the beginning of 2002 till now, there are 453 regional groundwater monitoring wells in ten groundwater subregions in Taiwan, and the monitoring of groundwater quality has been carried out for a long time. Currently, water quality monitoring project has reached 50 items, while the number of water quality monitoring data has reached more than 20,000. In order to use the monitoring data efficiently, this study constructed the localized groundwater quality indicators of Taiwan. This indicator takes into account the different users' point of view, incorporating the Taiwan groundwater pollution monitoring standards (Category II), irrigation water quality standard and drinking water source water quality standard. 50 items of water quality monitoring projects were simplified and classified. The groundwater quality parameters were divided into five items, such as potability for drinking water, salting, external influence, health influences and toxicity hazard. The weight of the five items of groundwater was calculated comprehensively, and the groundwater quality of each monitoring well was evaluated with three grades of good, ordinary, and poor. According to the monitoring results of the groundwater monitoring wells in October to December of 2016, about 70% of groundwater quality in Taiwan is in good to ordinary grades. The areas with poor groundwater quality were mostly distributed in coastal, agriculture and part of the urban areas. The conductivity or ammonia nitrogen concentration was higher in those regions, showing that groundwater may be salinized or affected by external influences. Groundwater quality indicators can clearly show the current comprehensive situation of the groundwater environment in Taiwan and can be used as a tool for groundwater quality classification management. The indicators can coordinate with the Taiwan land planning policy in the future, and will be able to effectively grasp the changes of the national sub-regional environmental resources, which can serve as one of the important references in national land zoning according to environmental resources. Keywords: Groundwater Quality Indicators, Groundwater Quality Classification management

Apps for People With Rheumatoid Arthritis to Monitor Their Disease Activity: A Review of Apps for Best Practice and Quality

PubMed Central

Townsley, Hermaleigh; White, Bonnie; Langlotz, Tobias; Taylor, William J

2017-01-01

Background Rheumatoid arthritis (RA) is a chronic inflammatory arthritis requiring long-term treatment with regular monitoring by a rheumatologist to achieve good health outcomes. Since people with RA may wish to monitor their own disease activity with a smartphone app, it is important to understand the functions and quality of apps for this purpose. Objective The aim of our study was to assess the features and quality of apps to assist people to monitor their RA disease activity by (1) summarizing the available apps, particularly the instruments used for measurement of RA disease activity; (2) comparing the app features with American College of Rheumatology and European League against Rheumatism (ACR and EULAR) guidelines for monitoring of RA disease activity; and (3) rating app quality with the Mobile App Rating Scale (MARS). Methods Systematic searches of the New Zealand iTunes and Google Play app stores were used to identify all apps for monitoring of RA disease activity that could be used by people with RA. The apps were described by both key metadata and app functionality. App adherence with recommendations for monitoring of RA disease activity in clinical practice was evaluated by identifying whether apps included calculation of a validated composite disease activity measure and recorded results for future retrieval. App quality was assessed by 2 independent reviewers using the MARS. Results The search identified 721 apps in the Google Play store and 216 in the iTunes store, of which 19 unique apps met criteria for inclusion (8 from both app stores, 8 iTunes, and 3 Google Play). In total, 14 apps included at least one validated instrument measuring RA disease activity; 7 of 11 apps that allowed users to enter a joint count used the standard 28 swollen and tender joint count; 8 apps included at least one ACR and EULAR-recommended RA composite disease activity (CDA) measure; and 10 apps included data storage and retrieval. Only 1 app, Arthritis Power, included both an RA CDA measure and tracked data, but this app did not include the standard 28 tender and swollen joint count. The median overall MARS score for apps was 3.41/5. Of the 6 apps that scored ≥4/5 on the overall MARS rating, only 1 included a CDA score endorsed by ACR and EULAR; however, this app did not have a data tracking function. Conclusions This review found a lack of high-quality apps for longitudinal assessment of RA disease activity. Current apps fall into two categories: simple calculators primarily for rheumatologists and data tracking tools for people with RA. The latter do not uniformly collect data using validated instruments or composite disease activity measures. There is a need for appropriate, high-quality apps for use by rheumatologists and patients together in co-management of RA. PMID:28223263

The Electronic McPhail Trap

PubMed Central

Potamitis, Ilyas; Rigakis, Iraklis; Fysarakis, Konstantinos

2014-01-01

Certain insects affect cultivations in a detrimental way. A notable case is the olive fruit fly (Bactrocera oleae (Rossi)), that in Europe alone causes billions of euros in crop-loss/per year. Pests can be controlled with aerial and ground bait pesticide sprays, the efficiency of which depends on knowing the time and location of insect infestations as early as possible. The inspection of traps is currently carried out manually. Automatic monitoring traps can enhance efficient monitoring of flying pests by identifying and counting targeted pests as they enter the trap. This work deals with the hardware setup of an insect trap with an embedded optoelectronic sensor that automatically records insects as they fly in the trap. The sensor responsible for detecting the insect is an array of phototransistors receiving light from an infrared LED. The wing-beat recording is based on the interruption of the emitted light due to the partial occlusion from insect's wings as they fly in the trap. We show that the recordings are of high quality paving the way for automatic recognition and transmission of insect detections from the field to a smartphone. This work emphasizes the hardware implementation of the sensor and the detection/counting module giving all necessary implementation details needed to construct it. PMID:25429412

QRS classification and spatial combination for robust heart rate detection in low-quality fetal ECG recordings.

PubMed

Warmerdam, G; Vullings, R; Van Pul, C; Andriessen, P; Oei, S G; Wijn, P

2013-01-01

Non-invasive fetal electrocardiography (ECG) can be used for prolonged monitoring of the fetal heart rate (FHR). However, the signal-to-noise-ratio (SNR) of non-invasive ECG recordings is often insufficient for reliable detection of the FHR. To overcome this problem, source separation techniques can be used to enhance the fetal ECG. This study uses a physiology-based source separation (PBSS) technique that has already been demonstrated to outperform widely used blind source separation techniques. Despite the relatively good performance of PBSS in enhancing the fetal ECG, PBSS is still susceptible to artifacts. In this study an augmented PBSS technique is developed to reduce the influence of artifacts. The performance of the developed method is compared to PBSS on multi-channel non-invasive fetal ECG recordings. Based on this comparison, the developed method is shown to outperform PBSS for the enhancement of the fetal ECG.

[Development and clinical evaluation of an anesthesia information management system].

PubMed

Feng, Jing-yi; Chen, Hua; Zhu, Sheng-mei

2010-09-21

To study the design, implementation and clinical evaluation of an anesthesia information management system. To record, process and store peri-operative patient data automatically, all kinds of bedside monitoring equipments are connected into the system based on information integrating technology; after a statistical analysis of those patient data by data mining technology, patient status can be evaluated automatically based on risk prediction standard and decision support system, and then anesthetist could perform reasonable and safe clinical processes; with clinical processes electronically recorded, standard record tables could be generated, and clinical workflow is optimized, as well. With the system, kinds of patient data could be collected, stored, analyzed and archived, kinds of anesthesia documents could be generated, and patient status could be evaluated to support clinic decision. The anesthesia information management system is useful for improving anesthesia quality, decreasing risk of patient and clinician, and aiding to provide clinical proof.

Dual vs. single computer monitor in a Canadian hospital Archiving Department: a study of efficiency and satisfaction.

PubMed

Poder, Thomas G; Godbout, Sylvie T; Bellemare, Christian

This paper describes a comparative study of clinical coding by Archivists (also known as Clinical Coders in some other countries) using single and dual computer monitors. In the present context, processing a record corresponds to checking the available information; searching for the missing physician information; and finally, performing clinical coding. We collected data for each Archivist during her use of the single monitor for 40 hours and during her use of the dual monitor for 20 hours. During the experimental periods, Archivists did not perform other related duties, so we were able to measure the real-time processing of records. To control for the type of records and their impact on the process time required, we categorised the cases as major or minor, based on whether acute care or day surgery was involved. Overall results show that 1,234 records were processed using a single monitor and 647 records using a dual monitor. The time required to process a record was significantly higher (p= .071) with a single monitor compared to a dual monitor (19.83 vs.18.73 minutes). However, the percentage of major cases was significantly higher (p= .000) in the single monitor group compared to the dual monitor group (78% vs. 69%). As a consequence, we adjusted our results, which reduced the difference in time required to process a record between the two systems from 1.1 to 0.61 minutes. Thus, the net real-time difference was only 37 seconds in favour of the dual monitor system. Extrapolated over a 5-year period, this would represent a time savings of 3.1% and generate a net cost savings of $7,729 CAD (Canadian dollars) for each workstation that devoted 35 hours per week to the processing of records. Finally, satisfaction questionnaire responses indicated a high level of satisfaction and support for the dual-monitor system. The implementation of a dual-monitor system in a hospital archiving department is an efficient option in the context of scarce human resources and has the strong support of Archivists.

A Device for Fetal Monitoring by Means of Control Over Cardiovascular Parameters Based on Acoustic Data

NASA Astrophysics Data System (ADS)

Khokhlova, L. A.; Seleznev, A. I.; Zhdanov, D. S.; Zemlyakov, I. Yu; Kiseleva, E. Yu

2016-01-01

The problem of monitoring fetal health is topical at the moment taking into account a reduction in the level of fertile-age women's health and changes in the concept of perinatal medicine with reconsideration of live birth criteria. Fetal heart rate monitoring is a valuable means of assessing fetal health during pregnancy. The routine clinical measurements are usually carried out by the means of ultrasound cardiotocography. Although the cardiotocography monitoring provides valuable information on the fetal health status, the high quality ultrasound devices are expensive, they are not available for home care use. The recommended number of measurement is also limited. The passive and fully non-invasive acoustic recording provides an alternative low-cost measurement method. The article describes a device for fetal and maternal health monitoring by analyzing the frequency and periodicity of heart beats by means of acoustic signal received on the maternal abdomen. Based on the usage of this device a phonocardiographic fetal telemedicine system, which will allow to reduce the antenatal fetal mortality rate significantly due to continuous monitoring over the state of fetus regardless of mother's location, can be built.

Evaluation and Analysis of Regional Best Management Practices in San Diego, California (USA)

NASA Astrophysics Data System (ADS)

Flint, K.; Kinoshita, A. M.

2017-12-01

In urban areas, surface water quality is often impaired due to pollutants transported by stormwater runoff. To maintain and improve surface water quality, the United States Clean Water Act (CWA) requires an evaluation of available water quality information to develop a list of impaired water bodies and establish contaminant restrictions. Structural Best Management Practices (BMPs) are designed to reduce runoff volume and/or pollutant concentrations to comply with CWA requirements. Local level policy makers and managers require an improved understanding of the costs and benefits associated with BMP installation, performance, and maintenance. The International Stormwater BMP Database (Database) is an online platform for submittal of information about existing BMPs, such as cost, design details, and statistical analysis of influent and effluent pollutant concentrations. While the Database provides an aggregation of data which supports analysis of overall BMP performance at international and national scales, the sparse spatial distribution of the data is not suitable for regional and local analysis. This research conducts an extensive review of local inventory and spatial analysis of existing permanent BMPs throughout the San Diego River watershed in California, USA. Information collected from cities within the San Diego River watershed will include BMP types, locations, dates of installation, costs, expected removal efficiencies, monitoring data, and records of maintenance. Aggregating and mapping this information will facilitate BMP evaluation. Specifically, the identification of spatial trends, inconsistencies in BMP performances, and gaps in current records. Regression analysis will provide insight into the nature and significance of correlations between BMP performance and physical characteristics such as land use, soil type, and proximity to impaired waters. This analysis will also result in a metric of relative BMP performance and will provide a basis for future predictions of BMP effectiveness. Ultimately, results from this work will provide information to local governments and agencies for prioritizing, maintaining and monitoring BMPs, and improvement of hydrologic and water quality modeling in urban systems subject to compliance.

40 CFR 52.346 - Air quality monitoring requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 3 2012-07-01 2012-07-01 false Air quality monitoring requirements. 52... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS Colorado § 52.346 Air quality monitoring... VIII Administrator, the State submitted a revised Air Quality Monitoring State Implementation Plan. The...

40 CFR 51.190 - Ambient air quality monitoring requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 2 2013-07-01 2013-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...

40 CFR 51.190 - Ambient air quality monitoring requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 2 2014-07-01 2014-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...

40 CFR 52.346 - Air quality monitoring requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 3 2014-07-01 2014-07-01 false Air quality monitoring requirements. 52... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS Colorado § 52.346 Air quality monitoring... VIII Administrator, the State submitted a revised Air Quality Monitoring State Implementation Plan. The...

40 CFR 52.346 - Air quality monitoring requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 3 2013-07-01 2013-07-01 false Air quality monitoring requirements. 52... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS Colorado § 52.346 Air quality monitoring... VIII Administrator, the State submitted a revised Air Quality Monitoring State Implementation Plan. The...

40 CFR 52.346 - Air quality monitoring requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 3 2011-07-01 2011-07-01 false Air quality monitoring requirements. 52... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS Colorado § 52.346 Air quality monitoring... VIII Administrator, the State submitted a revised Air Quality Monitoring State Implementation Plan. The...

40 CFR 51.190 - Ambient air quality monitoring requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 2 2011-07-01 2011-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...

40 CFR 51.190 - Ambient air quality monitoring requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 2 2012-07-01 2012-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...

40 CFR 52.346 - Air quality monitoring requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Air quality monitoring requirements. 52... (CONTINUED) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS Colorado § 52.346 Air quality monitoring... VIII Administrator, the State submitted a revised Air Quality Monitoring State Implementation Plan. The...

40 CFR 51.190 - Ambient air quality monitoring requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...

77 FR 18709 - Quality Assurance Requirements for Continuous Opacity Monitoring Systems at Stationary Sources

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-28

... Quality Assurance Requirements for Continuous Opacity Monitoring Systems at Stationary Sources AGENCY... direct final rule titled ``Quality Assurance Requirements for Continuous Opacity Monitoring Systems at...--Quality Assurance Requirements for Continuous Opacity Monitoring Systems at Stationary Sources Docket, EPA...

Scandinavian systems monitoring the oral health in children and adolescents; an evaluation of their quality and utility in the light of modern perspectives of caries management

PubMed Central

2014-01-01

Background Recording reliable oral health data is a challenge. The aims were a) to outline different Scandinavian systems of oral health monitoring, b) to evaluate the quality and utility of the collected data in the light of modern concepts of disease management and to suggest improvements. Material and methods The information for in this study was related to (a) children and adolescents, (b) oral health data and (c) routines for monitoring such data. This meant information available in the official web sites of the “KOSTRA-data” (Municipality-State-Report) in Norway, the Swedish National Board of Health and Welfare (“Socialstyrelsen”) and Oral Health Register (the SCOR system, National Board of Health) in Denmark. Results A potential for increasing the reliability and validity of the data existed. Routines for monitoring other oral diseases than caries were limited. Compared with the other Scandinavian countries, the data collection system in Denmark appeared more functional and had adopted more modern concepts of disease management than other systems. In the light of modern concepts of caries management, data collected elsewhere had limited utility. Conclusions The Scandinavian systems of health reporting had much in common, but some essential differences existed. If the quality of epidemiological data were enhanced, it would be possible to use the data for planning oral health care. Routines and procedures should be improved and updated in accordance with the modern ideas about caries prevention and therapy. For appropriate oral health planning in an organised dental service, reporting of enamel caries is essential. PMID:24885243

Water-Quality, Bed-Sediment, and Biological Data (October 2005 through September 2006) and Statistical Summaries of Long-Term Data for Streams in the Clark Fork Basin, Montana

USGS Publications Warehouse

Dodge, Kent A.; Hornberger, Michelle I.; Dyke, Jessica

2007-01-01

Water, bed sediment, and biota were sampled in streams from Butte to below Milltown Reservoir as part of a long-term monitoring program in the upper Clark Fork basin; additional water-quality samples were collected in the Clark Fork basin from sites near Milltown Reservoir downstream to near the confluence of the Clark Fork and Flathead River as part of a supplemental sampling program. The sampling programs were conducted in cooperation with the U.S. Environmental Protection Agency to characterize aquatic resources in the Clark Fork basin of western Montana, with emphasis on trace elements associated with historic mining and smelting activities. Sampling sites were located on the Clark Fork and selected tributaries. Water-quality samples were collected periodically at 22 sites from October 2005 through September 2006. Bed-sediment and biological samples were collected once at 12 sites during August 2006. This report presents the analytical results and quality-assurance data for water-quality, bed-sediment, and biota samples collected at all long-term and supplemental monitoring sites from October 2005 through September 2006. Water-quality data include concentrations of selected major ions, trace ele-ments, and suspended sediment. Nutrients also were analyzed in the supplemental water-quality samples. Daily values of suspended-sed-iment concentration and suspended-sediment discharge were determined for four sites, and seasonal daily values of turbidity were determined for four sites. Bed-sediment data include trace-ele-ment concentrations in the fine-grained fraction. Bio-logical data include trace-element concentrations in whole-body tissue of aquatic benthic insects. Statistical summaries of long-term water-quality, bed-sediment, and biological data for sites in the upper Clark Fork basin are provided for the period of record since 1985.

The CM SAF CLAAS-2 cloud property data record

NASA Astrophysics Data System (ADS)

Benas, Nikos; Finkensieper, Stephan; Stengel, Martin; van Zadelhoff, Gerd-Jan; Hanschmann, Timo; Hollmann, Rainer; Fokke Meirink, Jan

2017-04-01

A new cloud property data record was lately released by the EUMETSAT Satellite Application Facility on Climate Monitoring (CM SAF), based on measurements from geostationary Meteosat Spinning Enhanced Visible and Infrared Imager (SEVIRI) sensors, spanning the period 2004-2015. The CLAAS-2 (Cloud property dAtAset using SEVIRI, Edition 2) data record includes cloud fractional coverage, thermodynamic phase, cloud top height, water path and corresponding optical thickness and particle effective radius separately for liquid and ice clouds. These variables are available at high resolution 15-minute, daily and monthly basis. In this presentation the main improvements in the retrieval algorithms compared to the first edition of the data record (CLAAS-1) are highlighted along with their impact on the quality of the data record. Subsequently, the results of extensive validation and inter-comparison efforts against ground observations, as well as active and passive satellite sensors are summarized. Overall good agreement is found, with similar spatial and temporal characteristics, along with small biases caused mainly by differences in retrieval approaches, spatial/temporal samplings and viewing geometries.

Problems with the electronic health record.

PubMed

de Ruiter, Hans-Peter; Liaschenko, Joan; Angus, Jan

2016-01-01

One of the most significant changes in modern healthcare delivery has been the evolution of the paper record to the electronic health record (EHR). In this paper we argue that the primary change has been a shift in the focus of documentation from monitoring individual patient progress to recording data pertinent to Institutional Priorities (IPs). The specific IPs to which we refer include: finance/reimbursement; risk management/legal considerations; quality improvement/safety initiatives; meeting regulatory and accreditation standards; and patient care delivery/evidence based practice. Following a brief history of the transition from the paper record to the EHR, the authors discuss unintended or contested consequences resulting from this change. These changes primarily reflect changes in the organization and amount of clinician work and clinician-patient relationships. The paper is not a research report but was informed by an institutional ethnography the aim of which was to understand how the EHR impacted clinicians and administrators in a large, urban hospital in the United States. The paper was also informed by other sources, including the philosophies of Jacques Ellul, Don Idhe, and Langdon Winner. © 2015 John Wiley & Sons Ltd.

Self-monitored blood pressure: a role in clinical practice?

PubMed

Padfield, Paul L

2002-02-01

Electronic self-monitoring of blood pressure is increasing in popularity and most international guidelines on the management of hypertension approve cautious use of the technique in the assessment of potentially hypertensive individuals. A recent editorial in the Archives of Internal Medicine suggested that it was "appropriate to encourage the widespread use of self recorded BP as an important adjunct to the clinical care of the patient with hypertension". Such a statement is based on increasing evidence that self-monitoring of blood pressure gives similar information to daytime ambulatory blood pressure -- a now well-established technology in the management of hypertension. Suggested strategies for the use of self-monitoring of blood pressure include monitoring in individuals whose clinical risk status is low enough that they need not necessarily be given medical therapy simply on the basis of a clinic pressure (i.e. at a 10 year risk of cardiovascular disease below 20%). The threshold for defining 'normotension/hypertension' is now regarded as being broadly similar for ABPM and SBPM and is set at 135/85 mmHg. In a recent meta-analysis of all available studies the average difference between these techniques, using the same patients, is -1.7/1.2 mmHg. There is some evidence that careful use of self-monitoring may improve blood pressure control in patients who are otherwise resistant to care. Self-monitoring of blood pressure has now been shown in at least one major prospective study to predict outcome better than clinic pressures and in that setting it now has equivalence to the use of ABPM. There remain issues regarding the availability of validated devices, the quality of training of patients in their use and the possibility that inaccurate recording might occur, either deliberately or by accident. Self-monitoring of blood pressure may well not give the same readings as carefully measured blood pressure by research nurses but its use is clearly superior to routine clinical practice. The technique is ripe for widespread application.

Technical note: The US Dobson station network data record prior to 2015, re-evaluation of NDACC and WOUDC archived records with WinDobson processing software

NASA Astrophysics Data System (ADS)

Evans, Robert D.; Petropavlovskikh, Irina; McClure-Begley, Audra; McConville, Glen; Quincy, Dorothy; Miyagawa, Koji

2017-10-01

The United States government has operated Dobson ozone spectrophotometers at various sites, starting during the International Geophysical Year (1 July 1957 to 31 December 1958). A network of stations for long-term monitoring of the total column content (thickness of the ozone layer) of the atmosphere was established in the early 1960s and eventually grew to 16 stations, 14 of which are still operational and submit data to the United States of America's National Oceanic and Atmospheric Administration (NOAA). Seven of these sites are also part of the Network for the Detection of Atmospheric Composition Change (NDACC), an organization that maintains its own data archive. Due to recent changes in data processing software the entire dataset was re-evaluated for possible changes. To evaluate and minimize potential changes caused by the new processing software, the reprocessed data record was compared to the original data record archived in the World Ozone and UV Data Center (WOUDC) in Toronto, Canada. The history of the observations at the individual stations, the instruments used for the NOAA network monitoring at the station, the method for reducing zenith-sky observations to total ozone, and calibration procedures were re-evaluated using data quality control tools built into the new software. At the completion of the evaluation, the new datasets are to be published as an update to the WOUDC and NDACC archives, and the entire dataset is to be made available to the scientific community. The procedure for reprocessing Dobson data and the results of the reanalysis on the archived record are presented in this paper. A summary of historical changes to 14 station records is also provided.

Shallow observatory installations unravel earthquake processes in the Nankai accretionary complex (IODP Expedition 365)

NASA Astrophysics Data System (ADS)

Kopf, A.; Saffer, D. M.; Toczko, S.

2016-12-01

NanTroSEIZE is a multi-expedition IODP project to investigate fault mechanics and seismogenesis along the Nankai Trough subduction zone through direct sampling, in situ measurements, and long-term monitoring. Recent Expedition 365 had three primary objectives at a major splay thrust fault (termed the "megasplay") in the forearc: (1) retrieval of a temporary observatory (termed a GeniusPlug) that has been monitoring temperature and pore pressure within the fault zone at 400 meters below seafloor for since 2010; (2) deployment of a complex long-term borehole monitoring system (LTBMS) across the same fault; and (3) coring of key sections of the hanging wall, deformation zone and footwall of the shallow megasplay. Expedition 365 achieved its primary monitoring objectives, including recovery of the GeniusPlug with a >5-year record of pressure and temperature conditions, geochemical samples, and its in situ microbial colonization experiment; and installation of the LTBMS. The pressure records from the GeniusPlug include high-quality records of formation and seafloor responses to multiple fault slip events, including the 2011 M9 Tohoku and the 1 April Mie-ken Nanto-oki M6 earthquakes. The geochemical sampling coils yielded in situ pore fluids from the fault zone, and microbes were successfully cultivated from the colonization unit. The LTBMS incorporates multi-level pore pressure sensing, a volumetric strainmeter, tiltmeter, geophone, broadband seismometer, accelerometer, and thermistor string. This multi-level hole completion was meanwhile connected to the DONET seafloor cabled network for tsunami early warning and earthquake monitoring. Coring the shallow megasplay site in the Nankai forearc recovered ca. 100m of material across the fault zone, which contained indurated silty clay with occasional ash layers and sedimentary breccias in the hangingwall and siltstones in the footwall of the megasplay. The mudstones show different degrees of deformation spanning from occasional fractures to intensely fractured scaly claystones of up to >10 cm thickness. Sparse faulting with low displacement (usually <2cm) is seen with both normal and reverse sense of slip. Post-cruise rock deformation experiments will relate physical properties to the earthquake response monitored by the observatory array.

Efficacy of computer-based endoscope cleaning and disinfection using a hospital management information system.

PubMed

Wang, Caixia; Chen, Yuanyuan; Yang, Feng; Ren, Jie; Yu, Xin; Wang, Jiani; Sun, Siyu

2016-08-01

The present study aimed to assess the efficacy of computer-based endoscope cleaning and disinfection using a hospital management information system (HMIS). A total of 2,674 gastroscopes were eligible for inclusion in this study. For the processes of disinfection management, the gastroscopes were randomly divided into 2 groups: gastroscope disinfection HMIS (GD-HMIS) group and manual group. In the GD-HMIS group, an integrated circuit card (IC card) chip was installed to monitor and record endoscope cleaning and disinfection automatically and in real time, whereas the endoscope cleaning and disinfection in the manual group was recorded manually. The overall disinfection progresses for both groups were recorded, and the total operational time was calculated. For the GD-HMIS group, endoscope disinfection HMIS software was successfully developed. The time to complete a single session of cleaning and disinfecting on a gastroscope was 15.6 minutes (range, 14.3-17.2 minutes) for the GD-HMIS group and 21.3 minutes (range, 20.2-23.9 minutes) for the manual group. Failure to record information, such as the identification number of the endoscope, occasionally occurred in the manual group, which affected the accuracy and reliability of manual recording. Computer-based gastroscope cleaning and disinfection using a hospital management information system could monitor the process of gastroscope cleaning and disinfection in real time and improve the accuracy and reliability, thereby ensuring the quality of gastroscope cleaning and disinfection. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Indoor air quality of environments used for physical exercise and sports practice: Systematic review.

PubMed

Andrade, Alexandro; Dominski, Fábio Hech

2018-01-15

Systematic reviews have the potential to contribute substantially to environmental health and risk assessment. This study aimed to investigate indoor air quality of environments used for physical exercise and sports practice through a systematic review. The systematic review followed the PRISMA guidelines and was recorded in the PROSPERO registry (CRD42016036057). The search was performed using the SciELO, Science Direct, Scopus, LILACS, MEDLINE via PubMed, and SPORTDiscus databases, from their inception through April 2017. The search terms used in the databases were {air pollution" OR "air pollutants" OR "air quality"} AND {"physical exercise" OR "physical activity" OR "sport"}. The results of selected studies were divided into 5 categories for analysis: monitoring of air quality in the environment according to international guidelines, indoor-to-outdoor ratio (I/O), air quality during physical exercise, impact of air quality on health, and interventions to improve indoor air quality. Among 1281 studies screened, 34 satisfied the inclusion criteria. The monitoring of pollutants was conducted in 20 studies. CO and NO 2 were the most investigated pollutants, and guidelines were discussed in most studies. The I/O ratio was investigated in 12 studies, of which 9 showed a higher concentration of some pollutants in indoor rather than outdoor environments. Among the 34 studies selected, only 7 investigated the impact of indoor air pollution on human health. The population in most of these studies consisted of hockey players. Most studies conducted monitoring of pollutants in indoor environments used for physical exercise and sports practice. The earliest studies were conducted in ice skating rinks and the most recent evaluated gymnasiums, fitness centers, and sports centers. The CO, particulate matter, and NO 2 concentrations were the most investigated and have the longest history of investigation. These pollutants were within the limits established by guidelines in most studies. Studies that examined the association between air quality documented the adverse effects of pollution. There is a need for more studies focused on the relationship between pollution and health. Copyright © 2017 Elsevier Ltd. All rights reserved.

21 CFR 820.186 - Quality system record.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Quality system record. 820.186 Section 820.186...) MEDICAL DEVICES QUALITY SYSTEM REGULATION Records § 820.186 Quality system record. Each manufacturer shall maintain a quality system record (QSR). The QSR shall include, or refer to the location of, procedures and...

Field Evaluation in Four NEEMO Divers of a Prototype In-suit Doppler Ultrasound Bubble Detector

NASA Technical Reports Server (NTRS)

Acock, K. E.; Gernhardt, M. L.; Conkin, J.; Powell, M. R.

2004-01-01

It is desirable to know if astronauts produce venous gas emboli (VGE) as a result of their exposure to 4.3 psia during space walks. The current prototype in-suit Doppler (ISD) ultrasound bubble detector provides an objective assessment of decompression stress by monitoring for VGE. The NOAA Aquarius habitat and NASA Extreme Environment Mission Operations (NEEMO) series of dives provided an opportunity to assess the ability of the prototype ISDs to record venous blood flow and possibly detect VGE in the pulmonary artery. From July 16 to 29,2003, four aquanauts (two males and two females) donned the ISD for a 4 hr automated recording session, following excursion dives (up to 6hrs and 29 MSW below storage depth) from air saturation at 17 MSW. Doppler recordings for 32 excursion dives were collected. The recordings consisted of approximately 150 digital wave files. Each wave file contained 24 sec of recording for each min. A 1 - 4 Doppler Quality Score (DQS) was assigned to each wave file in 17 of the 32 records evaluated to date. A DQS of 1 indicates a poor flow signal and a score of 4 indicates an optimum signal. Only 23% of all wave files had DQSs considered adequate to detect low grade VGE (Spencer I-II). The distribution of DQS in 2,356 wave files is as follows: DQS 1-56%, DQS 2-21%, DQS 3-18% and DQS 4-5%. Six of the 17 records had false positive VGE (Spencer I-IV) detected in one or more wave files per dive record. The false positive VGE recordings are attributable to air entrainment associated with drinking (verified by control tests), and this observation is important as astronauts drink water during space walks. The current ISD design provides quality recordings only over a narrow range of chest anatomy.

Quality improvement project in cervical cancer screening: practical measures for monitoring laboratory performance.

PubMed

Tarkkanen, Jussi; Geagea, Antoine; Nieminen, Pekka; Anttila, Ahti

2003-01-01

We conducted a quality improvement project in a cervical cancer screening programme in Helsinki in order to see if detection of precancerous lesions could be influenced by external (participation rate) and internal (laboratory praxis) quality measures. In order to increase the participation rate, a second personal invitation to Pap-test was mailed to nonparticipants of the first call. In order to improve the quality of screening, the cytotechnicians monitored their performance longitudinally by recording the number of slides reviewed per day, the pick-up rate of abnormal smears, the report of the consulting cytopathologist, and the number of histologically verified lesions detected from the cases that they had screened. Regular sessions were held to compare the histological findings with the cytological findings of all cases referred for colposcopy. No pressure was applied on the cytotechnicians to ensure that they felt comfortable with their daily workload. A total of 110 000 smears were screened for cervical cancer at the Helsinki City Hospital during 1996-99. Initially, the overall participation rate increased from 62% to 71%. The number of histologically confirmed precancerous lesions (CIN 1-3) more than doubled and their detection rate increased from 0.32% to 0.72%. Continuous education and feedback from daily work performance were important, yet rather inexpensive means in increasing laboratory performance. Additional measures are needed to further increase the participation rate. Impact of the quality measures on cancer incidence needs to be assessed later on.

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2013 CFR

2013-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2014 CFR

2014-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2012 CFR

2012-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2010 CFR

2010-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2011 CFR

2011-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

Ability to monitor driving under the influence of marijuana among non-fatal motor-vehicle crashes: An evaluation of the Colorado electronic accident reporting system.

PubMed

Peterson, Alexis B; Sauber-Schatz, Erin K; Mack, Karin A

2018-06-01

As more states legalize medical/recreational marijuana use, it is important to determine if state motor-vehicle surveillance systems can effectively monitor and track driving under the influence (DUI) of marijuana. This study assessed Colorado's Department of Revenue motor-vehicle crash data system, Electronic Accident Reporting System (EARS), to monitor non-fatal crashes involving driving under the influence (DUI) of marijuana. Centers for Disease Control and Prevention guidelines on surveillance system evaluation were used to assess EARS' usefulness, flexibility, timeliness, simplicity, acceptability, and data quality. We assessed system components, interviewed key stakeholders, and analyzed completeness of Colorado statewide 2014 motor-vehicle crash records. EARS contains timely and complete data, but does not effectively monitor non-fatal motor-vehicle crashes related to DUI of marijuana. Information on biological sample type collected from drivers and toxicology results were not recorded into EARS; however, EARS is a flexible system that can incorporate new data without increasing surveillance system burden. States, including Colorado, could consider standardization of drug testing and mandatory reporting policies for drivers involved in motor-vehicle crashes and proactively address the narrow window of time for sample collection to improve DUI of marijuana surveillance. Practical applications: The evaluation of state motor-vehicle crash systems' ability to capture crashes involving drug impaired driving (DUID) is a critical first step for identifying frequency and risk factors for crashes related to DUID. Published by Elsevier Ltd.

40 CFR 63.11221 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2013 CFR

2013-07-01

...-control periods, and required monitoring system quality assurance or quality control activities including... monitoring system quality assurance or quality control activities in calculations used to report emissions or... monitoring data I must obtain? 63.11221 Section 63.11221 Protection of Environment ENVIRONMENTAL PROTECTION...

40 CFR 60.2170 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2014 CFR

2014-07-01

... monitoring system quality assurance or quality control activities (including, as applicable, calibration... required monitoring system quality assurance or quality control activities including, as applicable... 40 Protection of Environment 7 2014-07-01 2014-07-01 false Is there a minimum amount of monitoring...

40 CFR 63.11221 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2014 CFR

2014-07-01

...-control periods, and required monitoring system quality assurance or quality control activities including... monitoring system quality assurance or quality control activities in calculations used to report emissions or... monitoring data I must obtain? 63.11221 Section 63.11221 Protection of Environment ENVIRONMENTAL PROTECTION...

24h seismocardiogram monitoring in ambulant subjects.

PubMed

Di Rienzo, M; Meriggi, P; Vaini, E; Castiglioni, P; Rizzo, F

2012-01-01

Sternal seismocardiogram (SCG) is the assessment of microvibrations produced by the beating heart as detected by an accelerometer positioned on the sternum. This signal reflects mechanical events of the heart contraction, including the opening and closure of mitral and aortic valves and maximal blood flow acceleration. Traditionally, SCG has been detected in a laboratory setting with the subject lying at rest in supine position. Aims of this study were 1) to investigate the feasibility of a SCG monitoring over the 24 hours in ambulant subjects, and 2) to calculate number and time distribution of the SCG estimates obtainable over the 24 hours. In 5 healthy subjects ECG, respiration, body accelerations and sternal SCG were recorded for 24 hours in a workday by a smart garment recently developed in our laboratory, the MagIC-SCG system. Each recording was split into a series of contiguous 5-s data segments and SCG was estimated in each segment where the magnitude of the acceleration vector was < 4 milli-g (this condition indicates that the subject was not moving).All the 24-h recordings were found of good quality and could be entirely analyzed. A large number of SCG estimates could be obtained over the 24 hours. In particular, more than 100 estimates per hour were available during the day; at night this rate was three times higher.Thus our study indicates that not only the 24h SCG monitoring in daily life is feasible but also that possible changes over time in SCG and its derived parameters may be tracked with an extreme temporal detail.

Temporal and spatial trends in nutrient and sediment loading to Lake Tahoe, California-Nevada, USA

USGS Publications Warehouse

Coats, Robert; Lewis, Jack; Alvarez, Nancy L.; Arneson, Patricia

2016-01-01

Since 1980, the Lake Tahoe Interagency Monitoring Program (LTIMP) has provided stream-discharge and water quality data—nitrogen (N), phosphorus (P), and suspended sediment—at more than 20 stations in Lake Tahoe Basin streams. To characterize the temporal and spatial patterns in nutrient and sediment loading to the lake, and improve the usefulness of the program and the existing database, we have (1) identified and corrected for sources of bias in the water quality database; (2) generated synthetic datasets for sediments and nutrients, and resampled to compare the accuracy and precision of different load calculation models; (3) using the best models, recalculated total annual loads over the period of record; (4) regressed total loads against total annual and annual maximum daily discharge, and tested for time trends in the residuals; (5) compared loads for different forms of N and P; and (6) tested constituent loads against land use-land cover (LULC) variables using multiple regression. The results show (1) N and P loads are dominated by organic N and particulate P; (2) there are significant long-term downward trends in some constituent loads of some streams; and (3) anthropogenic impervious surface is the most important LULC variable influencing water quality in basin streams. Many of our recommendations for changes in water quality monitoring and load calculation methods have been adopted by the LTIMP.

The monitoring and data quality assessment of the ATLAS liquid argon calorimeter

NASA Astrophysics Data System (ADS)

Simard, Olivier; ATLAS Liquid Argon Calorimeter Group

2015-02-01

The ATLAS experiment is designed to study the proton-proton (pp) collisions produced at the Large Hadron Collider (LHC) at CERN. Liquid argon (LAr) sampling calorimeters are used for all electromagnetic calorimetry in the pseudo-rapidity region |η| < 3.2, as well as for hadronic calorimetry in the range 1.5 < |η| < 4.9. The electromagnetic calorimeters use lead as passive material and are characterized by an accordion geometry that allows a fast and uniform response without azimuthal gaps. Copper and tungsten were chosen as passive material for the hadronic calorimetry; while a classic parallel-plate geometry was adopted at large polar angles, an innovative design based on cylindrical electrodes with thin liquid argon gaps is employed at low angles, where the particle flux is higher. All detectors are housed in three cryostats maintained at about 88.5 K. The 182,468 cells are read out via front-end boards housed in on-detector crates that also contain monitoring, calibration, trigger and timing boards. In the first three years of LHC operation, approximately 27 fb-1 of pp collision data were collected at centre-of-mass energies of 7-8 TeV. Throughout this period, the calorimeter consistently operated with performances very close to specifications, with high data-taking efficiency. This is in large part due to a sophisticated data monitoring procedure designed to quickly identify issues that would degrade the detector performance, to ensure that only the best quality data are used for physics analysis. After a description of the detector design, main characteristics and operation principles, this paper details the data quality assessment procedures developed during the 2011 and 2012 LHC data-taking periods, when more than 98% of the luminosity recorded by ATLAS had high quality LAr calorimeter data suitable for physics analysis.

Information for mental health systems: an instrument for policy-making and system service quality.

PubMed

Lora, A; Lesage, A; Pathare, S; Levav, I

2017-08-01

Information is crucial in mental healthcare, yet it remains undervalued by stakeholders. Its absence undermines rationality in planning, makes it difficult to monitor service quality improvement, impedes accountability and human rights monitoring. For international organizations (e.g., WHO, OECD), information is indispensable for achieving better outcomes in mental health policies, services and programs. This article reviews the importance of developing system level information with reference to inputs, processes and outputs, analyzes available tools for collecting and summarizing information, highlights the various goals of information gathering, discusses implementation issues and charts the way forward. Relevant publications and research were consulted, including WHO studies that purport to promote the use of information systems to upgrade mental health care in high- and low-middle income countries. Studies have shown that once information has been collected by relevant systems and analyzed through indicator schemes, it can be put to many uses. Monitoring mental health services, represents a first step in using information. In addition, studies have noted that information is a prime resource in many other areas such as evaluation of quality of care against evidence based standards of care. Services data may support health services research where it is possible to link mental health data with other health and non-health databases. Information systems are required to carefully monitor involuntary admissions, restrain and seclusion, to reduce human rights violations in care facilities. Information has been also found useful for policy makers, to monitor the implementation of policies, to evaluate their impact, to rationally allocate funding and to create new financing models. Despite its manifold applications, Information systems currently face many problems such as incomplete recording, poor data quality, lack of timely reporting and feedback, and limited application of information. Corrective action is needed to upgrade data collection in outpatient facilities, to improve data quality, to establish clear rules and norms, to access adequate information technology equipment and to train health care personnel in data collection. Moreover, it is necessary to shift from mere administrative data collection to analysis, dissemination and use by relevant stakeholders and to develop a "culture of information" to dismantle the culture of intuition and mere tradition. Clinical directors, mental health managers, patient and family representatives, as well as politicians should be educated to operate with information and not just intuition.

Measuring sub-bandage pressure: comparing the use of pressure monitors and pulse oximeters.

PubMed

Satpathy, A; Hayes, S; Dodds, S R

2006-03-01

To test the use of low-cost sub-bandage pressure monitors and pulse oximeters as part of a quality-control measure for graduated compression bandaging in leg ulcer clinics. Twenty-five healthy volunteers (mean age 40 years) providing 50 limbs were bandaged with a four-layer compression bandaging system. The ankle systolic pressure (ASP) was measured using a pulse oximeter (Nellcor NBP-40) before applying the graduated compression bandages. Interface pressure was measured by placing pressure sensors on the skin at three points (2cm above the medial malleolus; the widest part of the calf; and a point midway between them) in the supine and standing positions. The ASP was measured again with the pulse oximeter after the bandage had been applied, and the effect of the bandage on the ASP was recorded. The actual pressure created by the bandage was compared with the required pressure profile. Interface pressures varied with change of position and movement. With the operator blinded to the pressure monitors while applying the bandages, the target pressure of 35-40mmHg at the ankle was achieved in only 36% of limbs ([mean +/- 95% confidence interval]; 32.3 +/- 1.6mmHg [supine]; 38.4 +/- 2.4mmHg [standing position]). With the help of the pressure monitors, the target pressure was achieved in 78% of the limbs. There was no correlation between the pressure monitors and pulse oximeter pressures, demonstrating that the pulse oximeter is not a useful tool for measuring sub-bandage pressures. The results suggest a tool (interface pressure monitors) that is easy to operate should be available as part of quality assurance for treatment, training of care providers and education.

40 CFR 144.54 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2013 CFR

2013-07-01

... activity including when appropriate, continuous monitoring; (c) Applicable reporting requirements based... reporting of monitoring results. 144.54 Section 144.54 Protection of Environment ENVIRONMENTAL PROTECTION... § 144.54 Requirements for recording and reporting of monitoring results. All permits shall specify: (a...

40 CFR 144.54 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2014 CFR

2014-07-01

... activity including when appropriate, continuous monitoring; (c) Applicable reporting requirements based... reporting of monitoring results. 144.54 Section 144.54 Protection of Environment ENVIRONMENTAL PROTECTION... § 144.54 Requirements for recording and reporting of monitoring results. All permits shall specify: (a...

40 CFR 144.54 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2012 CFR

2012-07-01

... activity including when appropriate, continuous monitoring; (c) Applicable reporting requirements based... reporting of monitoring results. 144.54 Section 144.54 Protection of Environment ENVIRONMENTAL PROTECTION... § 144.54 Requirements for recording and reporting of monitoring results. All permits shall specify: (a...

40 CFR 144.54 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2011 CFR

2011-07-01

... activity including when appropriate, continuous monitoring; (c) Applicable reporting requirements based... reporting of monitoring results. 144.54 Section 144.54 Protection of Environment ENVIRONMENTAL PROTECTION... § 144.54 Requirements for recording and reporting of monitoring results. All permits shall specify: (a...

40 CFR 144.54 - Requirements for recording and reporting of monitoring results.

Code of Federal Regulations, 2010 CFR

2010-07-01

... activity including when appropriate, continuous monitoring; (c) Applicable reporting requirements based... reporting of monitoring results. 144.54 Section 144.54 Protection of Environment ENVIRONMENTAL PROTECTION... § 144.54 Requirements for recording and reporting of monitoring results. All permits shall specify: (a...

Trace elements in groundwater used for water supply in Latvia

NASA Astrophysics Data System (ADS)

Retike, Inga; Kalvans, Andis; Babre, Alise; Kalvane, Gunta; Popovs, Konrads

2014-05-01

Latvia is rich with groundwater resources of various chemical composition and groundwater is the main drinking source. Groundwater quality can be easily affected by pollution or overexploitation, therefore drinking water quality is an issue of high importance. Here the first attempt is made to evaluate the vast data base of trace element concentrations in groundwater collected by Latvian Environment, Geology and Meteorology Centre. Data sources here range from National monitoring programs to groundwater resources prospecting and research projects. First available historical records are from early 1960, whose quality is impossible to test. More recent systematic research has been focused on the agricultural impact on groundwater quality (Levins and Gosk, 2007). This research was mainly limited to Quaternary aquifer. Monitoring of trace elements arsenic, cadmium and lead was included in National groundwater monitoring program of Latvia in 2008 and 2009, but due to lack of funding the monitoring was suspended until 2013. As a result there are no comprehensive baseline studies regarding the trace elements concentration in groundwater. The aim of this study is to determine natural major and trace element concentration in aquifers mainly used for water supply in Latvia and to compare the results with EU potable water standards. A new overview of artesian groundwater quality will be useful for national and regional planning documents. Initial few characteristic traits of trace element concentration have been identified. For example, elevated fluorine, strontium and lithium content can be mainly associated with gypsum dissolution, but the highest barium concentrations are found in groundwaters with low sulphate content. The groundwater composition data including trace element concentrations originating from heterogeneous sources will be processed and analyzed as a part of a newly developed geologic and hydrogeological data management and modeling system with working name "GeoVipum". This study is supported by the European Social Fund project Nr.2013/0054/2DP/2.1.1.1.0/13/APIA/VIAA/007 in Latvia and European Social Fund Mobilitas grant No MJD309 in Estonia. Reference: Levins I., Gosk, E. 2007. Trace elements in groundwater as indicators of anthropogenic impact. Environmental Geology, 55, 285-290.

Performance of the bispectral index during electrocautery.

PubMed

Chan, Matthew T V; Ho, Sin Shing; Gin, Tony

2012-01-01

The electroencephalogram contains small electrical signals that are vulnerable to contamination from high-frequency noise during electrocautery. The bispectral index (BIS) monitor incorporated hardware and software changes to eliminate artifacts, thus allowing BIS monitoring even in the presence of electrocautery. We evaluated the accuracy of BIS to measure anesthetic effect during electrocautery interference. Anesthesia was induced and maintained with target-controlled infusions of propofol (3 μg/mL) and remifentanil (4 ng/mL). After baseline BIS recordings, "simulated" electrocautery interference was induced continuously for 20 minutes. Five minutes after the start of electrocautery, propofol infusion was increased to achieve an effect site concentration of 6 μg/mL. Patients remained undisturbed during the study. BIS values and signal quality index were recorded continuously. During electrocautery, there was a significant decrease in signal quality index (mean difference: 16.9; 95% confidence intervals: 15.9-17.9; P<0.001). There was, however, no change in BIS value even after a step increase in propofol infusion from 3 to 6 μg/mL (P=0.93). In 22% of the patients there was a paradoxical increase in BIS values after doubling of propofol concentration. Following cessation of electrocautery, there was a prompt decrease in BIS (P<0.001), indicating a lack of response to the change in anesthetic depth during electrocautery. Rejecting and filtering artifacts from electrocautery interference reduced the ability of BIS to respond to a change in anesthetic depth. BIS values during electrocautery should be interpreted with caution.

40 CFR 63.7535 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2014 CFR

2014-07-01

...-control periods, or required monitoring system quality assurance or control activities in data averages... required monitoring system quality assurance or quality control activities (including, as applicable... control activities. You must calculate monitoring results using all other monitoring data collected while...

40 CFR 63.7535 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2013 CFR

2013-07-01

...-control periods, or required monitoring system quality assurance or control activities in data averages... required monitoring system quality assurance or quality control activities (including, as applicable... control activities. You must calculate monitoring results using all other monitoring data collected while...

SU-F-R-11: Designing Quality and Safety Informatics Through Implementation of a CT Radiation Dose Monitoring Program

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

Wilson, JM; Samei, E; Departments of Physics, Electrical and Computer Engineering, and Biomedical Engineering, and Medical Physics Graduate Program, Duke University, Durham, NC

2016-06-15

Purpose: Recent legislative and accreditation requirements have driven rapid development and implementation of CT radiation dose monitoring solutions. Institutions must determine how to improve quality, safety, and consistency of their clinical performance. The purpose of this work was to design a strategy and meaningful characterization of results from an in-house, clinically-deployed dose monitoring solution. Methods: A dose monitoring platform was designed by our imaging physics group that focused on extracting protocol parameters, dose metrics, and patient demographics and size. Compared to most commercial solutions, which focus on individual exam alerts and global thresholds, the program sought to characterize overall consistencymore » and targeted thresholds based on eight analytic interrogations. Those were based on explicit questions related to protocol application, national benchmarks, protocol and size-specific dose targets, operational consistency, outliers, temporal trends, intra-system variability, and consistent use of electronic protocols. Using historical data since the start of 2013, 95% and 99% intervals were used to establish yellow and amber parameterized dose alert thresholds, respectively, as a function of protocol, scanner, and size. Results: Quarterly reports have been generated for three hospitals for 3 quarters of 2015 totaling 27880, 28502, 30631 exams, respectively. Four adult and two pediatric protocols were higher than external institutional benchmarks. Four protocol dose levels were being inconsistently applied as a function of patient size. For the three hospitals, the minimum and maximum amber outlier percentages were [1.53%,2.28%], [0.76%,1.8%], [0.94%,1.17%], respectively. Compared with the electronic protocols, 10 protocols were found to be used with some inconsistency. Conclusion: Dose monitoring can satisfy requirements with global alert thresholds and patient dose records, but the real value is in optimizing patient-specific protocols, balancing image quality trade-offs that dose-reduction strategies promise, and improving the performance and consistency of a clinical operation. Data plots that capture patient demographics and scanner performance demonstrate that value.« less

The use of missing birth record data as a marker for adverse reproductive outcomes: a geocoded analysis of birth record data.

PubMed Central

Headley, Adrienne J.; Fulcomer, Mark C.; Bastardi, Matthew M.; Im, Wansoo; Sass, Marcia M.; Chung, Katherine

2006-01-01

Adverse reproductive outcomes (AROs) disproportionately affect black American infants and significantly contribute to the U.S. infant mortality rate. Without accurate understanding of AROs, there remains little hope of ameliorating infant mortality rates or eliminating infant health disparities. However, despite the importance of monitoring infant mortality rates and health disparities, birth record data quality is not assured. Racial disparities in the reporting of birth record data have been documented, and missing birth record data for AROs appears to be disproportionate. Due to the extent of missing birth record data, innovative strategies have been developed to evaluate relationships between maternal socioeconomic status (SES) and community-based ARO rates. Because addresses convey aggregate information about income level, education and occupation, ZIP codes, census tracts and census block-groups have been applied to geocoding efforts. The goals of this study are to: 1) analyze the extent of missing birth record data for New Jersey areas with high rates of an ARO (preterm birth), 2) evaluate associations between the extent of missing birth record data and other AROs, and 3) consider how geocoding strategies could be applied to provide a basis for understanding maternal SES risk factors and ARO resource allocation for at-risk communities. PMID:16895276

Continuing the Total and Spectral Solar Irradiance Climate Data Record

NASA Astrophysics Data System (ADS)

Coddington, O.; Pilewskie, P.; Kopp, G.; Richard, E. C.; Sparn, T.; Woods, T. N.

2017-12-01

Radiative energy from the Sun establishes the basic climate of the Earth's surface and atmosphere and defines the terrestrial environment that supports all life on the planet. External solar variability on a wide range of scales ubiquitously affects the Earth system, and combines with internal forcings, including anthropogenic changes in greenhouse gases and aerosols, and natural modes such as ENSO, and volcanic forcing, to define past, present, and future climates. Understanding these effects requires continuous measurements of total and spectrally resolved solar irradiance that meet the stringent requirements of climate-quality accuracy and stability over time. The current uninterrupted 39-year total solar irradiance (TSI) climate data record is the result of several overlapping instruments flown on different missions. Measurement continuity, required to link successive instruments to the existing data record to discern long-term trends makes this important climate data record susceptible to loss in the event of a gap in measurements. While improvements in future instrument accuracy will reduce the risk of a gap, the 2017 launch of TSIS-1 ensures continuity of the solar irradiance record into the next decade. There are scientific and programmatic motivations for addressing the challenges of maintaining the solar irradiance data record beyond TSIS-1. The science rests on well-founded requirements of establishing a trusted climate observing network that can monitor trends in fundamental climate variables. Programmatically, the long-term monitoring of solar irradiance must be balanced within the broader goals of NASA Earth Science. New concepts for a low-risk, cost efficient observing strategy is a priority. New highly capable small spacecraft, low-cost launch vehicles and a multi-decadal plan to provide overlapping TSI and SSI data records are components of a low risk/high reliability plan with lower annual cost than past implementations. This paper provides the justification for prioritizing solar irradiance observations and plans for extending the record into the next two decades that adheres to the rigors of quantifiable methods for meeting objectives.

[Clinical data that are essential for the primary care clinical records: an experience of evaluation and improvement].

PubMed

López-Picazo Ferrer, J J; Agulló Roca, F; Villaescusa Pedemonte, M; Cerezo Corbalán, J M

2002-06-30

To evaluate and improve the presence of essential clinical data in the clinical records of a primary care management area (PCMA) by means of an intervention programme. Intervention study without a control, using evaluation and improvement-of-quality methods. We chose 4 criteria from the minimum technical standards: personal history (PH), family background (FB), allergies to medicines (AM) and list of problems (LP). We evaluated overall compliance and compliance per primary care team (PCT) through batch quality acceptance of samples (LQAS), designed an intervention to improve the situation, and then re-evaluated. PCMA of Murcia (45 PCTs). Participants. 42 PCTs (3 were excluded because they had poor coverage in their records). These lasted 12 months (October 1999-October 2000) and involved the following: graphic report per PCT; session with the PCT; discussion on results and strategies in the Area Management Council; and inclusion of an explicit objective, with incentives, in the management contracts. Significant improvement of the four criteria of the PCMA (improvements: FB, 48.1%; PH, 51.1%; AM, 55.4%; LP, 50.9%). LQAS analysis: we rejected 24 batches (14.3%) at the 1st evaluation and 15 (9.0%) at the second, with FB being the criterion most rejected in both instances. Defects appeared in 14 PCT (33.3%; 3 PCT accounted for 41.7%) at the 1st evaluation, and 7 PCT at the re-evaluation (16.7%; 2 reaching 46.7%). The presence of essential clinical data in clinical records has improved. LQAS proved to be a rapid and simple method for evaluating, improving and monitoring quality in primary care.

Miniaturized video-microscopy system for near real-time water quality biomonitoring using microfluidic chip-based devices

NASA Astrophysics Data System (ADS)

Huang, Yushi; Nigam, Abhimanyu; Campana, Olivia; Nugegoda, Dayanthi; Wlodkowic, Donald

2016-12-01

Biomonitoring studies apply biological responses of sensitive biomonitor organisms to rapidly detect adverse environmental changes such as presence of physic-chemical stressors and toxins. Behavioral responses such as changes in swimming patterns of small aquatic invertebrates are emerging as sensitive endpoints to monitor aquatic pollution. Although behavioral responses do not deliver information on an exact type or the intensity of toxicants present in water samples, they could provide orders of magnitude higher sensitivity than lethal endpoints such as mortality. Despite the advantages of behavioral biotests performed on sentinel organisms, their wider application in real-time and near realtime biomonitoring of water quality is limited by the lack of dedicated and automated video-microscopy systems. Current behavioral analysis systems rely mostly on static test conditions and manual procedures that are time-consuming and labor intensive. Tracking and precise quantification of locomotory activities of multiple small aquatic organisms requires high-resolution optical data recording. This is often problematic due to small size of fast moving animals and limitations of culture vessels that are not specially designed for video data recording. In this work, we capitalized on recent advances in miniaturized CMOS cameras, high resolution optics and biomicrofluidic technologies to develop near real-time water quality sensing using locomotory activities of small marine invertebrates. We present proof-of-concept integration of high-resolution time-resolved video recording system and high-throughput miniaturized perfusion biomicrofluidic platform for optical tracking of nauplii of marine crustacean Artemia franciscana. Preliminary data demonstrate that Artemia sp. exhibits rapid alterations of swimming patterns in response to toxicant exposure. The combination of video-microscopy and biomicrofluidic platform facilitated straightforward recording of fast moving objects. We envisage that prospectively such system can be scaled up to perform high-throughput water quality sensing in a robotic biomonitoring facility.

e-Monitoring of Asthma Therapy to Improve Compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol.

PubMed

Vasbinder, Erwin C; Janssens, Hettie M; Rutten-van Mölken, Maureen P M H; van Dijk, Liset; de Winter, Brenda C M; de Groot, Ruben C A; Vulto, Arnold G; van den Bemt, Patricia M L A

2013-03-21

Many children with asthma do not have sufficient asthma control, which leads to increased healthcare costs and productivity loss of parents. One of the causative factors are adherence problems. Effective interventions improving medication adherence may therefore improve asthma control and reduce costs. A promising solution is sending real time text-messages via the mobile phone network, when a medicine is about to be forgotten. As the effect of real time text-messages in children with asthma is unknown, the primary aim of this study is to determine the effect of a Real Time Medication Monitoring system (RTMM) with text-messages on adherence to inhaled corticosteroids (ICS). The secondary objective is to study the effects of RTMM on asthma control, quality of life and cost-effectiveness of treatment. A multicenter, randomized controlled trial involving 220 children (4-11 years) using ICS for asthma. All children receive an RTMM-device for one year, which registers time and date of ICS doses. Children in the intervention group also receive tailored text-messages, sent only when a dose is at risk of omission. Primary outcome measure is the proportion of ICS dosages taken within the individually predefined time-interval. Secondary outcome measures include asthma control (monthly Asthma Control Tests), asthma exacerbations, healthcare use (collected from hospital records, patient reports and pharmacy record data), and disease-specific quality of life (PAQLQ questionnaire). Parental and children's acceptance of RTMM is evaluated with online focus groups and patient questionnaires. An economic evaluation is performed adopting a societal perspective, including relevant healthcare costs and parental productivity loss. Furthermore, a decision-analytic model is developed in which different levels of adherence are associated with clinical and financial outcomes. Also, sensitivity analyses are carried out on different price levels for RTMM. If RTMM with tailored text-message reminders proves to be effective, this technique can be used in daily practice, which would support children with suboptimal adherence in their asthma (self)management and in achieving better asthma control and better quality of life. Netherlands Trial Register NTR2583.

The OA System of College - - Design of the Teaching Quality Monitoring Subsystem

NASA Astrophysics Data System (ADS)

Wu, Hongjuan; Ying, Hong; Jiang, Youyi; Yan, Pei

According to the drawbacks of traditional teaching quality monitoring subsystems and based on the achievements of practical research in the teaching quality monitoring administration in College, this paper provides a design of overall structure of teaching quality monitoring subsystem, that is more suitable for colleges' management. This new system is endowed with the same features as .NET application programes: easy to extend, easy to maintain, flexible, convenient, and it let enterprises, students' parents and excellent graduates participate in teaching quality monitoring administration, have significant effect to ensure the quality of talent training in colleges.

Spying on small wildlife sounds using affordable collar-mounted miniature microphones: an innovative method to record individual daylong vocalisations in chipmunks.

PubMed

Couchoux, Charline; Aubert, Maxime; Garant, Dany; Réale, Denis

2015-05-06

Technological advances can greatly benefit the scientific community by making new areas of research accessible. The study of animal vocal communication, in particular, can gain new insights and knowledge from technological improvements in recording equipment. Our comprehension of the acoustic signals emitted by animals would be greatly improved if we could continuously track the daily natural emissions of individuals in the wild, especially in the context of integrating individual variation into evolutionary ecology research questions. We show here how this can be accomplished using an operational tiny audio recorder that can easily be fitted as an on-board acoustic data-logger on small free-ranging animals. The high-quality 24 h acoustic recording logged on the spy microphone device allowed us to very efficiently collect daylong chipmunk vocalisations, giving us much more detailed data than the classical use of a directional microphone over an entire field season. The recordings also allowed us to monitor individual activity patterns and record incredibly long resting heart rates, and to identify self-scratching events and even whining from pre-emerging pups in their maternal burrow.

Spying on small wildlife sounds using affordable collar-mounted miniature microphones: an innovative method to record individual daylong vocalisations in chipmunks

PubMed Central

Couchoux, Charline; Aubert, Maxime; Garant, Dany; Réale, Denis

2015-01-01

Technological advances can greatly benefit the scientific community by making new areas of research accessible. The study of animal vocal communication, in particular, can gain new insights and knowledge from technological improvements in recording equipment. Our comprehension of the acoustic signals emitted by animals would be greatly improved if we could continuously track the daily natural emissions of individuals in the wild, especially in the context of integrating individual variation into evolutionary ecology research questions. We show here how this can be accomplished using an operational tiny audio recorder that can easily be fitted as an on-board acoustic data-logger on small free-ranging animals. The high-quality 24 h acoustic recording logged on the spy microphone device allowed us to very efficiently collect daylong chipmunk vocalisations, giving us much more detailed data than the classical use of a directional microphone over an entire field season. The recordings also allowed us to monitor individual activity patterns and record incredibly long resting heart rates, and to identify self-scratching events and even whining from pre-emerging pups in their maternal burrow. PMID:25944509

40 CFR 60.2735 - Is there a minimum amount of monitoring data I must obtain?

Code of Federal Regulations, 2011 CFR

2011-07-01

....2770(o) of this part), and required monitoring system quality assurance or quality control activities... periods, and required monitoring system quality assurance or quality control activities including, as... 40 Protection of Environment 6 2011-07-01 2011-07-01 false Is there a minimum amount of monitoring...