Analysis of chaos attractors of MCG-recordings.

PubMed

Jiang, Shiqin; Yang, Fan; Yi, Panke; Chen, Bo; Luo, Ming; Wang, Lemin

2006-01-01

By studying the chaos attractor of cardiac magnetic induction strength B(z) generated by the electrical activity of the heart, we found that its projection in the reconstructed phase space has a similar shape with the map of the total current dipole vector. It is worth noting that the map of the total current dipole vector is computed with MCG recordings measured at 36 locations, whereas the chaos attractor of B(z) is generated by only one cardiac magnetic field recordings on the measured plan. We discuss only two subjects of different ages in this paper.

Pressing for Elaboration in Student Talk about Texts

ERIC Educational Resources Information Center

McElhone, D.

2013-01-01

This article explores the practice of one accomplished teacher who uses follow-up probes to press her fourth- and fifth-grade students to clarify and articulate their ideas more fully. Qualitative analysis of field notes, teacher and student interviews, and video recordings of instruction, and discourse analysis of reading conferences revealed…

The Goat Portage: Students' Stories and Learning from Canoe Trips.

ERIC Educational Resources Information Center

Horwood, Bert

This study explores how high school students learn from their experiences in an extracurricular adventure program and illustrates how students' narrative inquiries relate to experiential learning. Twelve canoe trips were studied by participant observation methods. Data were collected from recorded interviews with students and staff, field notes,…

Three archives of the U. S. Geological Survey's Western Mineral Resources Team

USGS Publications Warehouse

Bolm, Karen Sue; Frank, David G.; Schneider, Jill L.

2000-01-01

The Western Mineral Resources Team of the U.S. Geological Survey (USGS) has three archives, which hold unpublished or difficult-to-obtain records and literature. The Technical Data Unit in Anchorage, Alaska, holds maps, field notes, and other records of the USGS work in Alaska. The USGS Field Office in Spokane, Washington, houses the more than 5,000 files from Federal government exploration programs that contracted to fund exploration for some commodities from 1950 until 1974. The Latin American Archive in Tucson, Arizona, holds material on Latin American mineral resources collected by the Center for Inter-American MineralResources Investigations.

Suggestions for maintaining records for long-term field studies. A supplement to papers by Berven et al. and Kenefic and Kern (this volume)

Treesearch

Laura S. Kenefic; Christel C. Kern; John Brissette; Matthew Russell; Lloyd Irland; Aaron Weiskittel; Kate Berven

2013-01-01

Robert Lewis, former U.S. Forest Service Deputy Chief for Research and Development, used to say that "researchers leave tracks." By this he meant that part of the research process is recording all aspects of a study from initial plans to notes about installation and changes, as well as the raw data. This is especially important for long-term studies, which...

Smartphones for Geological Data Collection- an Android Phone Application

NASA Astrophysics Data System (ADS)

Sun, F.; Weng, Y.; Grigsby, J. D.

2010-12-01

Recently, smartphones have attracted great attention in the wireless device market because of their powerful processors, ample memory capacity, advanced connectivity, and numerous utility programs. Considering the prominent new features a smartphone has, such as the large touch screen, speaker, microphone, camera, GPS receiver, accelerometer, and Internet connections, it can serve as a perfect digital aide for data recording on any geological field trip. We have designed and developed an application by using aforementioned features in an Android phone to provide functionalities used in field studies. For example, employing the accelerometer in the Android phone, the application turns the handset into a brunton-like device by which users can measure directions, strike and dip of a bedding plane or trend and plunge of a fold. Our application also includes functionalities of image taking, GPS coordinates tracking, videotaping, audio recording, and note writing. Data recorded from the application are tied together by the time log, which makes the task easy to track all data regarding a specific geologic object. The application pulls the GPS reading from the phone’s built-in GPS receiver and uses it as a spatial index to link up the other type of data, then maps them to the Google Maps/Earth for visualization. In this way, notes, pictures, audio or video recordings to depict the characteristics of the outcrops and their spatial relations, all can be well documented and organized in one handy gadget.

Primary Generators of Visually Evoked Field Potentials Recorded in the Macaque Auditory Cortex.

PubMed

Kajikawa, Yoshinao; Smiley, John F; Schroeder, Charles E

2017-10-18

Prior studies have reported "local" field potential (LFP) responses to faces in the macaque auditory cortex and have suggested that such face-LFPs may be substrates of audiovisual integration. However, although field potentials (FPs) may reflect the synaptic currents of neurons near the recording electrode, due to the use of a distant reference electrode, they often reflect those of synaptic activity occurring in distant sites as well. Thus, FP recordings within a given brain region (e.g., auditory cortex) may be "contaminated" by activity generated elsewhere in the brain. To determine whether face responses are indeed generated within macaque auditory cortex, we recorded FPs and concomitant multiunit activity with linear array multielectrodes across auditory cortex in three macaques (one female), and applied current source density (CSD) analysis to the laminar FP profile. CSD analysis revealed no appreciable local generator contribution to the visual FP in auditory cortex, although we did note an increase in the amplitude of visual FP with cortical depth, suggesting that their generators are located below auditory cortex. In the underlying inferotemporal cortex, we found polarity inversions of the main visual FP components accompanied by robust CSD responses and large-amplitude multiunit activity. These results indicate that face-evoked FP responses in auditory cortex are not generated locally but are volume-conducted from other face-responsive regions. In broader terms, our results underscore the caution that, unless far-field contamination is removed, LFPs in general may reflect such "far-field" activity, in addition to, or in absence of, local synaptic responses. SIGNIFICANCE STATEMENT Field potentials (FPs) can index neuronal population activity that is not evident in action potentials. However, due to volume conduction, FPs may reflect activity in distant neurons superimposed upon that of neurons close to the recording electrode. This is problematic as the default assumption is that FPs originate from local activity, and thus are termed "local" (LFP). We examine this general problem in the context of previously reported face-evoked FPs in macaque auditory cortex. Our findings suggest that face-FPs are indeed generated in the underlying inferotemporal cortex and volume-conducted to the auditory cortex. The note of caution raised by these findings is of particular importance for studies that seek to assign FP/LFP recordings to specific cortical layers. Copyright © 2017 the authors 0270-6474/17/3710139-15$15.00/0.

Specimens as records: scientific practice and recordkeeping in natural history research.

PubMed

Ilerbaig, Juan

2010-01-01

For the past two decades, scholars in archival science have begun to question traditional assumptions about the nature of the record. Drawing on theories from fields such as sociology, organization theory, and science studies, and on their own ethnographic studies, they propose more inclusive definitions and widening the contexts of analysis of record making and recordkeeping. This paper continues this critical consideration of the concept of record by examining the nature of nonprototypical records in the scientific world. The paper focuses on the system of specimens and field notes established by biologist Joseph Grinnell at the Museum of Vertebrate Zoology (University of California, Berkeley) as a means of examining several aspects of the nature of the scientific record: materiality, representation, and the triad evidence/memory/accountability. Focusing on the creation and management of these scientific records, the paper argues that further analyses of scientific record making and recordkeeping are bound to benefit both scientific work, which depends more and more on databases and archives, as well as archival science, which is becoming more relevant beyond its traditional realm of the legal/business/administrative world.

Automatically Detecting Likely Edits in Clinical Notes Created Using Automatic Speech Recognition

PubMed Central

Lybarger, Kevin; Ostendorf, Mari; Yetisgen, Meliha

2017-01-01

The use of automatic speech recognition (ASR) to create clinical notes has the potential to reduce costs associated with note creation for electronic medical records, but at current system accuracy levels, post-editing by practitioners is needed to ensure note quality. Aiming to reduce the time required to edit ASR transcripts, this paper investigates novel methods for automatic detection of edit regions within the transcripts, including both putative ASR errors but also regions that are targets for cleanup or rephrasing. We create detection models using logistic regression and conditional random field models, exploring a variety of text-based features that consider the structure of clinical notes and exploit the medical context. Different medical text resources are used to improve feature extraction. Experimental results on a large corpus of practitioner-edited clinical notes show that 67% of sentence-level edits and 45% of word-level edits can be detected with a false detection rate of 15%. PMID:29854187

Vocalizations, tadpole, and natural history of Crossodactylus werneri Pimenta, Cruz Caramaschi, 2014 (Anura: Hylodidae), with comments on distribution and intraspecific variation.

PubMed

Vidigal, Izadora; De Carvalho, Thiago R; Clemente-Carvalho, Rute B G; Giaretta, Ariovaldo A

2018-02-28

Crossodactylus werneri was described based on specimens collected in the 1970's at Parque Nacional do Itatiaia, being also reported for nearby localities. We collected specimens that we assigned to C. werneri, and recorded calls of the species during fieldworks at Serra das Cabras (Campinas, state of São Paulo). In this paper, we describe for the first time the vocalizations, tadpole, coloration in life, and comment on aspects of the natural history of C. werneri. Besides, the examination of specimens in zoological collections allowed us to extend the geographic range for this species. We also make remarks on morphological/chromatic variation and provide 16S rDNA sequences for the species. Adults were found along a slow-flowing streamlet with sandy/muddy bottom within a small fragment of secondary forest. Males called between sunset and first hours of the night. Advertisement call consisted of series of pulsed notes. Call duration lasted around 3 s, emitted at the highest rate of 17 calls per minute and six notes per second. Note duration lasted around 18 ms. Notes had poorly defined pulses (irregular and/or weak amplitude modulations along the note). The dominant frequency was about 3380 Hz. Territorial call had a long, well-defined pulsed portion followed by a higher-amplitude "squeak". The dominant frequency was around 3400 Hz. Tadpoles were essentially similar to those of other Crossodactylus species, except by not having nostril ornamentation. Our record of C. werneri in Serra das Cabras might be regarded a rediscovery of this species since C. werneri had not been recorded for more than 30 years until our first record of C. werneri in the field from 2011 and subsequent years. Our record is approximately 100 km west, and Mococa 200 km northwest, from Santo Antônio do Pinhal, the westernmost previous record for C. werneri up to date. Gene sequences (16S rRNA) give insights into the genetic divergence between C. werneri and some congeners.

14 CFR 6 - Objective Classification of Balance Sheet Elements

Code of Federal Regulations, 2012 CFR

2012-01-01

...] Current Liabilities 2000Current Maturities of Long-term Debt. Record here the face value or principal... not properly classifiable as current. 2005Notes Payable—Banks. Record here the face value of all notes... should be included in account 2000. 2015Notes Payable—Other. Record here the face value of all notes...

14 CFR Section 6 - Objective Classification of Balance Sheet Elements

Code of Federal Regulations, 2014 CFR

2014-01-01

...] Current Liabilities 2000Current Maturities of Long-term Debt. Record here the face value or principal... not properly classifiable as current. 2005Notes Payable—Banks. Record here the face value of all notes... should be included in account 2000. 2015Notes Payable—Other. Record here the face value of all notes...

14 CFR Section 6 - Objective Classification of Balance Sheet Elements

Code of Federal Regulations, 2013 CFR

2013-01-01

...] Current Liabilities 2000Current Maturities of Long-term Debt. Record here the face value or principal... not properly classifiable as current. 2005Notes Payable—Banks. Record here the face value of all notes... should be included in account 2000. 2015Notes Payable—Other. Record here the face value of all notes...

Environmental Scanning at the University of Minnesota--A Discussion of Form and Substance.

ERIC Educational Resources Information Center

Pflaum, Ann M.

This report records in outline form major points concerning the emerging field of environmental scanning, noting particularly activities at the University of Minnesota. It includes definitions of environmental scanning; a description of its major components; and an outline of procedural steps to implement it. Further, it outlines the planning…

The Ideal "Native Speaker" Teacher: Negotiating Authenticity and Legitimacy in the Language Classroom

ERIC Educational Resources Information Center

Creese, Angela; Blackledge, Adrian; Takhi, Jaspreet Kaur

2014-01-01

This article presents a linguistic ethnographic study of a Panjabi complementary school in Birmingham, UK. Researchers observed classes for one academic year, writing field notes, conducting interviews, and making digital audio recordings of linguistic interactions. Sets of beliefs about the production and deployment of certain linguistic signs…

Bidirectional RNN for Medical Event Detection in Electronic Health Records.

PubMed

Jagannatha, Abhyuday N; Yu, Hong

2016-06-01

Sequence labeling for extraction of medical events and their attributes from unstructured text in Electronic Health Record (EHR) notes is a key step towards semantic understanding of EHRs. It has important applications in health informatics including pharmacovigilance and drug surveillance. The state of the art supervised machine learning models in this domain are based on Conditional Random Fields (CRFs) with features calculated from fixed context windows. In this application, we explored recurrent neural network frameworks and show that they significantly out-performed the CRF models.

Computer templates in chronic disease management: ethnographic case study in general practice.

PubMed

Swinglehurst, Deborah; Greenhalgh, Trisha; Roberts, Celia

2012-01-01

To investigate how electronic templates shape, enable and constrain consultations about chronic diseases. Ethnographic case study, combining field notes, video-recording, screen capture with a microanalysis of talk, body language and data entry-an approach called linguistic ethnography. Two general practices in England. Ethnographic observation of administrative areas and 36 nurse-led consultations was done. Twenty-four consultations were directly observed and 12 consultations were video-recorded alongside computer screen capture. Consultations were transcribed using conversation analysis conventions, with notes on body language and the electronic record. The analysis involved repeated rounds of viewing video, annotating field notes, transcription and microanalysis to identify themes. The data was interpreted using discourse analysis, with attention to the sociotechnical theory. Consultations centred explicitly or implicitly on evidence-based protocols inscribed in templates. Templates did not simply identify tasks for completion, but contributed to defining what chronic diseases were, how care was being delivered and what it meant to be a patient or professional in this context. Patients' stories morphed into data bytes; the particular became generalised; the complex was made discrete, simple and manageable; and uncertainty became categorised and contained. Many consultations resembled bureaucratic encounters, primarily oriented to completing data fields. We identified a tension, sharpened by the template, between different framings of the patient-as 'individual' or as 'one of a population'. Some clinicians overcame this tension, responding creatively to prompts within a dialogue constructed around the patient's narrative. Despite their widespread implementation, little previous research has examined how templates are actually used in practice. Templates do not simply document the tasks of chronic disease management but profoundly change the nature of this work. Designed to assure standards of 'quality' care they contribute to bureaucratisation of care and may marginalise aspects of quality care which lie beyond their focus. Creative work is required to avoid privileging 'institution-centred' care over patient-centred care.

Computer templates in chronic disease management: ethnographic case study in general practice

PubMed Central

Swinglehurst, Deborah; Greenhalgh, Trisha; Roberts, Celia

2012-01-01

Objective To investigate how electronic templates shape, enable and constrain consultations about chronic diseases. Design Ethnographic case study, combining field notes, video-recording, screen capture with a microanalysis of talk, body language and data entry—an approach called linguistic ethnography. Setting Two general practices in England. Participants and methods Ethnographic observation of administrative areas and 36 nurse-led consultations was done. Twenty-four consultations were directly observed and 12 consultations were video-recorded alongside computer screen capture. Consultations were transcribed using conversation analysis conventions, with notes on body language and the electronic record. The analysis involved repeated rounds of viewing video, annotating field notes, transcription and microanalysis to identify themes. The data was interpreted using discourse analysis, with attention to the sociotechnical theory. Results Consultations centred explicitly or implicitly on evidence-based protocols inscribed in templates. Templates did not simply identify tasks for completion, but contributed to defining what chronic diseases were, how care was being delivered and what it meant to be a patient or professional in this context. Patients’ stories morphed into data bytes; the particular became generalised; the complex was made discrete, simple and manageable; and uncertainty became categorised and contained. Many consultations resembled bureaucratic encounters, primarily oriented to completing data fields. We identified a tension, sharpened by the template, between different framings of the patient—as ‘individual’ or as ‘one of a population’. Some clinicians overcame this tension, responding creatively to prompts within a dialogue constructed around the patient's narrative. Conclusions Despite their widespread implementation, little previous research has examined how templates are actually used in practice. Templates do not simply document the tasks of chronic disease management but profoundly change the nature of this work. Designed to assure standards of ‘quality’ care they contribute to bureaucratisation of care and may marginalise aspects of quality care which lie beyond their focus. Creative work is required to avoid privileging ‘institution-centred’ care over patient-centred care. PMID:23192245

The Myocardial Ischaemia National Audit Project (MINAP)

PubMed Central

Smeeth, Liam; Walker, Lynne; Weston, Clive

2010-01-01

Aims of MINAP To audit the quality of care of patients with acute coronary syndrome and provide a resource for academic research. Quality of care interventions Feedback to hospitals, ambulance services and cardiac networks regarding benchmarking of performance against national standards and targets. Setting All 230 acute hospitals in England and Wales. Years: 2000-present. Population Consecutive patients, unconsented. Current number of records: 735 000. Startpoints Any acute coronary syndrome, including non-ST-elevation myocardial infarction, ST-elevation myocardial infarction and unstable angina. Baseline data 123 fields covering demographic factors, co-morbid conditions and treatment in hospital. No blood resource. Data capture Manual entry by clerks, nurses or doctors onto Lotus Notes; non-financial incentives at hospital level. Data quality Hospitals perform an annual data validation study, where data are re-entered from the case notes in 20 randomly selected records that are held on the server. In 2008 data were >90% complete for 20 key fields, with >80% completeness for all but four of the remaining fields. Endpoints and linkages to other data All-cause mortality is obtained through linkage with Office for National Statistics. No other linkages exist at present. Access to data Available for research and audit by application to the MINAP Academic Group. http://www.rcplondon.ac.uk/CLINICAL-STANDARDS/ORGANISATION/PARTNERSHIP/Pages/MINAP-.aspx. PMID:20659944

Negotiating policy in practice: child and family health nurses' approach to the process of postnatal psychosocial assessment.

PubMed

Rollans, Mellanie; Schmied, Virginia; Kemp, Lynn; Meade, Tanya

2013-04-08

There is growing recognition internationally of the need to identify women with risk factors for poor perinatal mental health in pregnancy and following birth. In the state of New South Wales, Australia the Supporting Families Early policy provides a framework of assessment and support for women and families and includes routine psychosocial assessment and depression screening. This study investigated the approach taken by Child and Family Health Nurses (CFHNs) following birth to assessment and screening as recommended by state policy. This was a qualitative ethnographic study that included 83 CFHN and 20 women. Observations occurred with thirteen nurses; with 20 women, in the home or the clinic environment. An additional 70 nurses participated in discussion groups. An observational tool (4D&4R) and field notes were used to record observations and analysed descriptively using frequencies. Field notes, interview data and discussion group transcripts were analysed thematically. This was a qualitative ethnographic study that included 83 CFHN and 20 women. Observations occurred with thirteen nurses; with 20 women, in the home or the clinic environment. An additional 70 nurses participated in discussion groups. An observational tool (4D&4R) and field notes were used to record observations and analysed descriptively using frequencies. Field notes, interview data and discussion group transcripts were analysed thematically. CFHNs demonstrated a range of approaches to assessment and screening. Psychosocial assessment was conducted in 50% (10 out of the 20) of the interactions observed; however, all the women were screened using the Edinburgh Depression Scale. Four major themes that represent the approach taken to the assessment process were identified: 'Engagement: getting that first bit right', 'Doing some paperwork', 'Creating comfort' and 'Psychosocial assessment: doing it another way'. Nurses utilised other skills such as observing the women interacting with their baby, taking note of non verbal communication and using intuition to develop a clinical decision. Overall, nurses' took a sensitive and caring approach to assessment and screening, however, there were differences in interpretations of the policy recommendations across the two sites. Nurses adopt a flexible, relationship-based approach to the assessment process; however, they experience tension when required to incorporate structured psychosocial assessment processes. To undertake assessment and screening effectively, CFHNs require ongoing support, training and supervision to maintain this sensitive and emotionally challenging work.

Primary Generators of Visually Evoked Field Potentials Recorded in the Macaque Auditory Cortex

PubMed Central

Smiley, John F.; Schroeder, Charles E.

2017-01-01

Prior studies have reported “local” field potential (LFP) responses to faces in the macaque auditory cortex and have suggested that such face-LFPs may be substrates of audiovisual integration. However, although field potentials (FPs) may reflect the synaptic currents of neurons near the recording electrode, due to the use of a distant reference electrode, they often reflect those of synaptic activity occurring in distant sites as well. Thus, FP recordings within a given brain region (e.g., auditory cortex) may be “contaminated” by activity generated elsewhere in the brain. To determine whether face responses are indeed generated within macaque auditory cortex, we recorded FPs and concomitant multiunit activity with linear array multielectrodes across auditory cortex in three macaques (one female), and applied current source density (CSD) analysis to the laminar FP profile. CSD analysis revealed no appreciable local generator contribution to the visual FP in auditory cortex, although we did note an increase in the amplitude of visual FP with cortical depth, suggesting that their generators are located below auditory cortex. In the underlying inferotemporal cortex, we found polarity inversions of the main visual FP components accompanied by robust CSD responses and large-amplitude multiunit activity. These results indicate that face-evoked FP responses in auditory cortex are not generated locally but are volume-conducted from other face-responsive regions. In broader terms, our results underscore the caution that, unless far-field contamination is removed, LFPs in general may reflect such “far-field” activity, in addition to, or in absence of, local synaptic responses. SIGNIFICANCE STATEMENT Field potentials (FPs) can index neuronal population activity that is not evident in action potentials. However, due to volume conduction, FPs may reflect activity in distant neurons superimposed upon that of neurons close to the recording electrode. This is problematic as the default assumption is that FPs originate from local activity, and thus are termed “local” (LFP). We examine this general problem in the context of previously reported face-evoked FPs in macaque auditory cortex. Our findings suggest that face-FPs are indeed generated in the underlying inferotemporal cortex and volume-conducted to the auditory cortex. The note of caution raised by these findings is of particular importance for studies that seek to assign FP/LFP recordings to specific cortical layers. PMID:28924008

Australian oral health case notes: assessment of forensic relevance and adherence to recording guidelines.

PubMed

Stow, L; James, H; Richards, L

2016-06-01

Dental case notes record clinical diagnoses and treatments, as well as providing continuity of patient care. They are also used for dento-legal litigation and forensic purposes. Maintaining accurate and comprehensive dental patient records is a dental worker's ethical and legal obligation. Australian registered specialist forensic odontologists were surveyed to determine the relevance of recorded case note items for dental identification. A dental case notes sample was assessed for adherence with odontologist nominated forensic value and compiled professional record keeping guidelines of forensic relevance. Frequency of item recording, confidence interval, examiner agreement and statistical significance were determined. Broad agreement existed between forensic odontologists as to which recorded dental items have most forensic relevance. Inclusion frequency of these items in sampled case notes varied widely (e.g. single area radiographic view present in 75%, CI = 65.65-82.50; completed odontogram in 56%, CI = 46.23-65.33). Recording of information specified by professional record keeping guidelines also varied, although overall inclusion was higher than for forensically desired items (e.g. patient's full name in 99%, CI = 94.01 - >99.99; named treating practitioner in 23%, CI = 15.78-32.31). Many sampled dental case notes lacked details identified as being valuable by forensic specialists and as specified by professional record keeping guidelines. © 2016 Australian Dental Association.

Women, Family, and Child Care in India: A World in Transition.

ERIC Educational Resources Information Center

Seymour, Susan C.

This book describes a 30-year longitudinal study of the impact of urbanization and modernization on changing family organization, child rearing practices, and gender roles in India and their contribution to women's life satisfaction. The book is organized around a series of personal encounters recorded in field notes, focusing on the mothers,…

Social and Psychological Factors in Innovation and Educational Planning. The Funadmentals of Educational Planning: Lecture-Discussion Series No. 50.

ERIC Educational Resources Information Center

Razik, T. A.

In a controlled experiment, the IIEP attempted to develop efficient teaching materials in the field of educational planning. Informal instructional materials were compiled from the tape recordings, transcriptions, and summary notes of seminars, lectures, and discussions conducted by the IIEP in its training and research programs. This…

Growing the Good Stuff: One Literacy Coach's Approach to Support Teachers with High-Stakes Testing

ERIC Educational Resources Information Center

Zoch, Melody

2015-01-01

This ethnographic study reports on one elementary literacy coach's response to high-stakes testing and her approach to support third- through fifth-grade teachers in a Title I school in Texas. Sources of data included field notes and observations of classes and meetings, audio/video recordings, and transcribed interviews. The findings illustrate…

Using Graphic Organizers as a Tool for the Development of Scientific Language

ERIC Educational Resources Information Center

Mercuri, Sandra P.

2010-01-01

This observational study examines the effectiveness of graphic organizers two elementary teachers in California, United States use to teach the content and the academic language of science. The study was done during the 2006-2007 school year. The data was collected through field-notes and the audio recording of instructional activities, and they…

How Public High School Students Assume Cooperative Roles to Develop Their EFL Speaking Skills

ERIC Educational Resources Information Center

Parra Espinel, Julie Natalie; Fonseca Canaría, Diana Carolina

2010-01-01

This study describes an investigation we carried out in order to identify how the specific roles that 7th grade public school students assumed when they worked cooperatively were related to their development of speaking skills in English. Data were gathered through interviews, field notes, students' reflections and audio recordings. The findings…

15. Photocopy of photograph (from Society for the Preservation of ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

15. Photocopy of photograph (from Society for the Preservation of New England Antiquities, negative number 2908A) Wilfred A. French, photographer ca. 1885-1895 NORTH SIDE AND WEST FRONT (NOTE ADDITION OF DORMER ON GAMBREL ROOF OF ELL) (Illustration #11 of Data Report included in Field Records) - Narbonne House, 71 Essex Street, Salem, Essex County, MA

Design Fixation and Cooperative Learning in Elementary Engineering Design Project: A Case Study

ERIC Educational Resources Information Center

Luo, Yi

2015-01-01

This paper presents a case study examining 3rd, 4th and 5th graders' design fixation and cooperative learning in an engineering design project. A mixed methods instrument, the Cooperative Learning Observation Protocol (CLOP), was adapted to record frequency and class observation on cooperative learning engagement through detailed field notes.…

Translanguaging Practices at a Bilingual University: A Case Study of a Science Classroom

ERIC Educational Resources Information Center

Mazak, Catherine M.; Herbas-Donoso, Claudia

2015-01-01

The objective of this ethnographic case study is to describe in detail one professor's translanguaging practices in an undergraduate science course at an officially bilingual university. The data-set is comprised of ethnographic field notes of 11 observed classes, audio recordings of those classes, an interview with the professor, and artifacts…

Thinking Strategically to Record Notes in Content Classes

ERIC Educational Resources Information Center

Boyle, Joseph R.

2011-01-01

Although teachers today use a variety of teaching methods in content-area classrooms, lecture learning and note-taking still comprise a considerable portion of time in these classes. Unfortunately, most students are poor note-takers, typically recording only about one quarter of lecture notes. Strategic note-taking was developed to assist students…

Taking note of the perceived value and impact of medical student chart documentation on education and patient care.

PubMed

Friedman, Erica; Sainte, Michelle; Fallar, Robert

2010-09-01

To determine the extent of restrictions to medical student documentation in patients' records and the opinions of medical education leaders about such restrictions' impact on medical student education and patient care. Education deans (n = 126) of medical schools in the United States and Canada were surveyed to determine policies regarding placement of medical student notes in the patient record, the value of medical students' documentation in the medical record, and the use of electronic medical records (EMRs) for patient notes. The instrument was a 23-item anonymous Web survey. Seventy-nine deans responded. Over 90% believed student notes belong in medical records, but only 42% had a policy regarding this. Ninety-three percent indicated that without student notes, student education would be negatively affected. Fewer (56%) indicated that patient care would be negatively affected. Most thought limiting students' notes would negatively affect several other issues: feeling a part of the team (96%), preparation for internship (95%), and students' sense of involvement (94%). Half (52%) reported that fourth-year students could place notes in paper charts at "all" affiliated hospitals, and 6% reported that fourth-year students could do so at "no" hospitals. Although students' ability to enter notes in patients' records is believed to be important for student education, only about half of all hospitals allow all students' notes in the EMR. Policies regarding placement of student notes should be implemented to ensure students' competency in note writing and their value as members of the patient care team.

Note: An approach to 1000 T using the electro-magnetic flux compression.

PubMed

Nakamura, D; Sawabe, H; Takeyama, S

2018-01-01

The maximum magnetic field obtained by the electro-magnetic flux compression technique was investigated with respect to the initial seed magnetic field. It was found that the reduction in the seed magnetic field from 3.8 T to 3.0 T led to a substantial increase in the final peak magnetic field. The optical Faraday rotation method with a minimal size probe evades disturbances from electromagnetic noise and shockwave effects to detect such final peak fields in a reduced space of an inner wall of the imploding liner. The Faraday rotation signal recorded the maximum magnetic field increased significantly to the highest magnetic field of 985 T approaching 1000 T, ever achieved by the electro-magnetic flux compression technique as an indoor experiment.

New geographic records for the Nearctic psyllid Bactericera maculipennis (Crawford) with biological notes and descriptions of the egg and fifth-instar nymph (Hemiptera: Psylloidea: Triozidae)

USDA-ARS?s Scientific Manuscript database

The Nearctic psyllid Bactericera maculipennis (Crawford) is one of only four known species of Psylloidea worldwide whose primary hosts are species of Convolvulaceae. Taxonomic syntheses of the Nearctic Psylloidea list B. maculipennis only from California and Utah. Our surveys of field bindweed, Co...

"Big Loud Voice. You Have Important Things to Say": The Nature of Student Initiations during One Teacher's Interactive Read-Alouds

ERIC Educational Resources Information Center

Maloch, Beth; Beutel, Denise Duncan

2010-01-01

This qualitative study explored the nature of student initiations during interactive read alouds of fiction and non-fiction texts in a second grade, urban classroom. Data sources--including expanded field notes, video/audiotape records and transcripts, and teacher interviews--were analyzed inductively, utilizing the constant comparative method and…

Family psychology: Past and future reflections on the field.

PubMed

Parke, Ross D

2017-04-01

Prominent issues in the field of family psychology during my term as editor (1998-2003) of this journal were briefly noted, including a focus on marital issues, divorce, remarriage and family conflict. Parenting, attachment and parent-child relationships were also significant topics in this period. Special sections of the journal focused on cultural variations, families and the law, families and religion, and family routines and rituals. Several neglected issues that need more attention in the future were noted. These include the need to recognize the embeddedness of families in socioecological contexts, the importance of monitoring the impact of secular changes on families, and the value and limitations of viewing family psychology as a separate field. Other topics for a future agenda include the challenge of defining "family" in the midst of changing family forms, the effects of technological change on families, and the challenges of integrating biological research into the family psychology agenda. A multilevel bio-social approach to family research was recommended. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Characterization of St. Lawrence blue whale vocalizations and their correlation with field observations

NASA Astrophysics Data System (ADS)

Berchok, Catherine L.

During four field seasons from 1998--2001, 115 hours of acoustic recordings were made in the presence of the well-studied St. Lawrence population of blue whales. The primary field site for this study was the estuary region of the St. Lawrence River (Quebec, Canada) with most recordings made between mid-August and late October. Effort was concentrated in the daylight hours, although occasionally extending past nightfall. An inexpensive and portable recording system was built that was easy to deploy and provided quality recordings in a variety of sea conditions. It consisted of a calibrated omni-directional hydrophone with a flat (+/-3dB) response from 5Hz to 800Hz; and a surface isolation buoy to minimize the vertical movement of the sensor. During the recording sessions detailed field notes were taken on all blue whales within sight, with individual identities confirmed through photo-identification work between sessions. Notes were also taken on all other species sighted during the recording sessions. Characterization of the more than one-thousand blue whale calls detected during this study revealed that the St. Lawrence repertoire is much more extensive than previously reported. Three infrasonic (<20Hz) and four audible range (30--200Hz) call types were detected in this study, with much time/frequency variation seen within each type. The infrasonic calls were long (5--30s) in duration and arranged into regularly patterned series. These calls were similar in call characteristics and spacing to those detected in the North Atlantic, but had much shorter and more variable patterned series. The audible call types were much shorter (1--4s), and occurred singly or in irregularly spaced clusters, although a special patterning was seen that contained both regular and irregular spaced components. Comparison of the daily, seasonal, and spatial distributions of calling behavior with those of several biological parameters revealed interesting differences between the three call types examined. The trends seen suggest a migratory, reproductive, or foraging context for the infrasonic calls. A closer-range social context is suggested for the audible downsweeps, which have been detected in foraging situations as well as in courtship displays. The audible mixed-pattern call type appears to have a primarily reproductive context.

Research education: findings of a study of teaching-learning research using multiple analytical perspectives.

PubMed

Vandermause, Roxanne; Barbosa-Leiker, Celestina; Fritz, Roschelle

2014-12-01

This multimethod, qualitative study provides results for educators of nursing doctoral students to consider. Combining the expertise of an empirical analytical researcher (who uses statistical methods) and an interpretive phenomenological researcher (who uses hermeneutic methods), a course was designed that would place doctoral students in the midst of multiparadigmatic discussions while learning fundamental research methods. Field notes and iterative analytical discussions led to patterns and themes that highlight the value of this innovative pedagogical application. Using content analysis and interpretive phenomenological approaches, together with one of the students, data were analyzed from field notes recorded in real time over the period the course was offered. This article describes the course and the study analysis, and offers the pedagogical experience as transformative. A link to a sample syllabus is included in the article. The results encourage nurse educators of doctoral nursing students to focus educational practice on multiple methodological perspectives. Copyright 2014, SLACK Incorporated.

A Study of the Effects of Readers' Theater on Second and Third Grade Special Education Students' Fluency Growth

ERIC Educational Resources Information Center

Corcoran, Carol A.; Davis, A. Dia

2005-01-01

The purpose of this study was to assess the effectiveness of a readers' theater fluency program. The participants were 12 students with learning disabilities in a combined second/third grade exceptional education classroom. Through the use of pre and post reading attitude surveys, field notes recorded by the observer, and pre and post oral fluency…

Note: The full function test explosive generator.

PubMed

Reisman, D B; Javedani, J B; Griffith, L V; Ellsworth, G F; Kuklo, R M; Goerz, D A; White, A D; Tallerico, L J; Gidding, D A; Murphy, M J; Chase, J B

2010-03-01

We have conducted three tests of a new pulsed power device called the full function test. These tests represented the culmination of an effort to establish a high energy pulsed power capability based on high explosive pulsed power (HEPP) technology. This involved an extensive computational modeling, engineering, fabrication, and fielding effort. The experiments were highly successful and a new U.S. record for magnetic energy was obtained.

Inserting Child-Initiated Play into an American Urban School District after a Decade of Scripted Curricula: Complexities and Progress

ERIC Educational Resources Information Center

Nicholson, ?Julie; Bauer, Anne; Woolley, Ristyn

2016-01-01

The authors discuss an urban public school district's efforts to reinsert play after its mandated disappearance for fourteen years under a scripted curriculum imposed to meet the goals of the No Child Left Behind law. The authors analyze field notes, teacher and administrator interviews, coaching records, and surveys to chart the impact on…

Note-taking skills of middle school students with and without learning disabilities.

PubMed

Boyle, Joseph R

2010-01-01

For middle school students with learning disabilities (LD), one major component of learning in content area classes, such as science, involves listening to lectures and recording notes. Lecture learning and note-taking are critical skills for students to succeed in these classes. Despite the importance of note-taking skills, no research has been reported on the problems that school-age students with LD encounter when recording notes during science lectures. Using a sample size of 90 middle school students, the performance of students with LD was compared to students with no learning disabilities (NLD). Results found that students with LD performed significantly worse than students with NLD in terms of the type and amount of notes recorded and test performance.

Records of the brambling in North America

USGS Publications Warehouse

Banks, Richard C.

1970-01-01

A Brambling, Fringella montifringella, was seen regularly in Portland, Oregon, from 22 November 1967 to 3 April 1968 and photographed by many people. First discovered at a feeder in the northeast section of the city by Jeff Gilligan and Ron Klein, from January on it was a daily visitor to the feeder of the Albert H. Praels in the same part of Portland. The bird, judged by plumage to be a male, fed regularly with House Finches (Carpodacus mexicanus) on sunflower seeds. The occurrence of this individual in Portland was recorded in Audubon Field Notes (22: 471, 1968) without detail.

To what extent do clinical notes by general practitioners reflect actual medical performance? A study using simulated patients.

PubMed Central

Rethans, J J; Martin, E; Metsemakers, J

1994-01-01

BACKGROUND. Review of clinical notes is used extensively as an indirect method of assessing doctors' performance. However, to be acceptable it must be valid. AIM. This study set out to examine the extent to which clinical notes in medical records of general practice consultations reflected doctors' actual performance during consultations. METHOD. Thirty nine general practitioners in the Netherlands were consulted by four simulated patients who were indistinguishable from real patients and who reported on the consultations. The complaints presented by the simulated patients were tension headache, acute diarrhoea and pain in the shoulder, and one presented for a check up for non-insulin dependent diabetes. Later, the doctors forwarded their medical records of these patients to the researchers. Content of consultations was measured against accepted standards for general practice and then compared with content of clinical notes. An index, or content score, was calculated as the measure of agreement between actions which had actually been recorded and actions which could have been recorded in the clinical notes. A high content score reflected a consultation which had been recorded well in the medical record. The correlation between number of actions across the four complaints recorded in the clinical notes and number of actions taken during the consultations was also calculated. RESULTS. The mean content score (interquartile range) for the four types of complaint was 0.32 (0.27-0.37), indicating that of all actions undertaken, only 32% had been recorded. However, mean content scores for the categories 'medication and therapy' and 'laboratory examination' were much higher than for the categories 'history' and 'guidance and advice' (0.68 and 0.64, respectively versus 0.29 and 0.22, respectively). The correlation between number of actions across the four complaints recorded in the clinical notes and number of actions taken during the consultations was 0.54 (P < 0.05). CONCLUSION. The use of clinical notes to audit doctors' performance in Dutch general practice is invalid. However, the use of clinical notes to rank doctors according to those who perform many or a few actions in a consultation may be justified. PMID:8185988

Writing and reading in the electronic health record: an entirely new world.

PubMed

Han, Heeyoung; Lopp, Lauri

2013-02-05

Electronic health records (EHRs) are structured, distributed documentation systems that differ from paper charts. These systems require skills not traditionally used to navigate a paper chart and to produce a written clinic note. Despite these differences, little attention has been given to physicians' electronic health record (EHR)-writing and -reading competence. This study aims to investigate physicians' self-assessed competence to document and to read EHR notes; writing and reading preferences in an EHR; and demographic characteristics associated with their perceived EHR ability and preference. Fourteen 5-point Likert scale items, based on EHR system characteristics and a literature review, were developed to measure EHR-writing and -reading competence and preference. Physicians in the midwest region of the United States were invited via e-mail to complete the survey online from February to April 2011. Factor analysis and reliability testing were conducted to provide validity and reliability of the instrument. Correlation and regression analysis were conducted to pursue answers to the research questions. Ninety-one physicians (12.5%), from general and specialty fields, working in inpatient and outpatient settings, participated in the survey. Despite over 3 years of EHR experience, respondents perceived themselves to be incompetent in EHR writing and reading (Mean = 2.74, SD = 0.76). They preferred to read succinct, narrative notes in EHR systems. However, physicians with higher perceived EHR-writing and -reading competence had less preference toward reading succinct (r= - 0.33, p<0.001) and narrative (r= - 0.36, p<0.001) EHR notes than physicians with lower perceived EHR competence. Physicians' perceived EHR-writing and -reading competence was strongly related to their EHR navigation skills (r=0.55, p<0.0001). Writing and reading EHR documentation is different for physicians. Maximizing navigation skills can optimize non-linear EHR writing and reading. Pedagogical questions remain related to how physicians and medical students are able to retrieve correct information effectively and to understand thought patterns in collectively lengthier and sometimes fragmented EHR chart notes.

Influencing attitudes toward science through field experiences in biology

NASA Astrophysics Data System (ADS)

Carpenter, Deborah Mcintyre

The purpose of this study was to determine how student attitudes toward science are influenced by field experiences in undergraduate biology courses. The study was conducted using two institutions of higher education including a 2-year lower-level and a 2-year upper-level institution. Data were collected through interviews with student participants, focus group discussions, students' journal entries, and field notes recorded by the researcher during the field activities. Photographs and video recordings were also used as documentation sources. Data were collected over a period of 34 weeks. Themes that emerged from the qualitative data included students' beliefs that field experiences (a) positively influence student motivation to learn, (b) increase student ability to learn the concepts being taught, and (c) provide opportunities for building relationships and for personal growth. The findings of the study reinforce the importance of offering field-study programs at the undergraduate level to allow undergraduate students the opportunity to experience science activities in a field setting. The research study was framed by the behavioral and developmental theories of attitude and experience including the Theory of Planned Behavior (Ajzen, 1991) and the Theory of Experiential Learning (Kolb, 1984).

Meeting Common Core English Language Arts and English Language Development Standards with Character Education Lesson Plans in Alternative Education Grades 9 through 12

ERIC Educational Resources Information Center

Hoedel, Joseph M.; Lee, Robert E.

2016-01-01

This is a case study in which the Character Development and Leadership Program replaced an alternative high school's traditional English language offerings. A triangulated case study used student records, field notes, and interviews of stakeholders to compare the academic year prior to this substitution and the 2 academic years following it. All 3…

Field estimates of gravity terrain corrections and Y2K-compatible method to convert from gravity readings with multiple base stations to tide- and long-term drift-corrected observations

USGS Publications Warehouse

Plouff, Donald

2000-01-01

Gravity observations are directly made or are obtained from other sources by the U.S. Geological Survey in order to prepare maps of the anomalous gravity field and consequently to interpret the subsurface distribution of rock densities and associated lithologic or geologic units. Observations are made in the field with gravity meters at new locations and at reoccupations of previously established gravity "stations." This report illustrates an interactively-prompted series of steps needed to convert gravity "readings" to values that are tied to established gravity datums and includes computer programs to implement those steps. Inasmuch as individual gravity readings have small variations, gravity-meter (instrument) drift may not be smoothly variable, and acommodations may be needed for ties to previously established stations, the reduction process is iterative. Decision-making by the program user is prompted by lists of best values and graphical displays. Notes about irregularities of topography, which affect the value of observed gravity but are not shown in sufficient detail on topographic maps, must be recorded in the field. This report illustrates ways to record field notes (distances, heights, and slope angles) and includes computer programs to convert field notes to gravity terrain corrections. This report includes approaches that may serve as models for other applications, for example: portrayal of system flow; style of quality control to document and validate computer applications; lack of dependence on proprietary software except source code compilation; method of file-searching with a dwindling list; interactive prompting; computer code to write directly in the PostScript (Adobe Systems Incorporated) printer language; and high-lighting the four-digit year on the first line of time-dependent data sets for assured Y2K compatibility. Computer source codes provided are written in the Fortran scientific language. In order for the programs to operate, they first must be converted (compiled) into an executable form on the user's computer. Although program testing was done in a UNIX (tradename of American Telephone and Telegraph Company) computer environment, it is anticipated that only a system-dependent date-and-time function may need to be changed for adaptation to other computer platforms that accept standard Fortran code.d del iliscipit volorer sequi ting etue feum zzriliquatum zzriustrud esenibh ex esto esequat.

A Guide to Field Notes for Qualitative Research: Context and Conversation.

PubMed

Phillippi, Julia; Lauderdale, Jana

2018-02-01

Field notes are widely recommended in qualitative research as a means of documenting needed contextual information. With growing use of data sharing, secondary analysis, and metasynthesis, field notes ensure rich context persists beyond the original research team. However, while widely regarded as essential, there is not a guide to field note collection within the literature to guide researchers. Using the qualitative literature and previous research experience, we provide a concise guide to collection, incorporation, and dissemination of field notes. We provide a description of field note content for contextualization of an entire study as well as individual interviews and focus groups. In addition, we provide two "sketch note" guides, one for study context and one for individual interviews or focus groups for use in the field. Our guides are congruent with many qualitative and mixed methodologies and ensure contextual information is collected, stored, and disseminated as an essential component of ethical, rigorous qualitative research.

25 CFR 169.7 - Field notes.

Code of Federal Regulations, 2010 CFR

2010-04-01

... AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER RIGHTS-OF-WAY OVER INDIAN LANDS § 169.7 Field notes. Field notes of the survey shall appear along the line indicating the right-of-way on the maps, unless the maps would be too crowded thereby to be easily legible, in which event the field notes may be...

A.B.A. Checklist: Birds of Continental United States and Canada

USGS Publications Warehouse

Keith, G.S.; Balch, L.G.; Gibson, D.D.; McCaskie, R.G.; Robbins, C.S.; Small, A.; Sykes, P.W.; Tucker, J.A.

1982-01-01

The 'Summary' in this edition of the A BA Checklist has been greatly expanded to include all properly documented records for each accidental species. These records are published, except for a very few recent ones which are in press or in preparation. Emphasis is on records supported by specimens or photographs, but sight records are also included. To make these accounts more useful to researchers, a reference has been given for each record. All records, except those identified as '(photo)' or '(specimen)', or by some other type of objective evidence, are sight records. Because of the interest shown in this section of the Checklist, coverage has not been confined to accidental species (defined as those which have occurred fewer than ten times in the ABA Checklist area during the twentieth century). Accounts are also given for selected rare visitors and native species. Two of the primary references are abbreviated in the accounts: Audubon Field Notes-AFN, and American Birds-AB.

Notes on a broad-band variant of the NCER seismic data multiplex system for use with field tape recorders

USGS Publications Warehouse

Eaton, Jerry P.

1976-01-01

Tests of the standard NCER multiplex system recorded and played back on both the Bell and Howell 3700B (about 0.1% tape speed variation) and on the Sony TC-126 cassette recorder (about 1% tape speed variation) showed that subtractive compensation employing a reference frequency multiplexed on the data track was remarkably effective in reducing tape-speed-variation-induced noise 1 and, hence, in increasing the dynamic range of the record/playback system. Further tests suggested that the 0 to 30 Hz bandwidth of the standard system (8 data channels) might be increased substantially, at the 'price' of reducing the number of data channels to 3 or 4, without serious loss of dynamic range if subtractive compensation could be implemented effectively with the broader-band system.

The neural processing of musical instrument size information in the brain investigated by magnetoencephalography

NASA Astrophysics Data System (ADS)

Rupp, Andre; van Dinther, Ralph; Patterson, Roy D.

2005-04-01

The specific cortical representation of size was investigated by recording auditory evoked fields (AEFs) elicited by changes of instrument size and pitch. In Experiment 1, a French horn and one scaled to double the size played a three note melody around F3 or its octave, F4. Many copies of these four melodies were played in random order and the AEF was measured continuously. A similar procedure was applied to saxophone sounds in a separate run. In Experiment 2, the size and type of instrument (French horn and saxophone) were varied without changing the octave. AEFs were recorded in five subjects using magnetoencephalography and evaluated by spatio-temporal source analysis with one equivalent dipole in each hemisphere. The morphology of the source waveforms revealed that each note within the melody elicits a well-defined P1-N1-P2 AEF-complex with adaptation for the 2nd and 3rd note. At the transition of size, pitch, or both, a larger AEF-complex was evoked. However, size changes elicited a stronger N1 than pitch changes. Furthermore, this size-related N1 enhancement was larger for French horn than saxophone. The results indicate that the N1 plays an important role in the specific representation of instrument size.

Recording Field Potentials From Zebrafish Larvae During Escape Responses

PubMed Central

Monesson-Olson, Bryan D.; Troconis, Eileen L.; Trapani, Josef G.

2014-01-01

Among vertebrates, startle responses are a ubiquitous method for alerting, and avoiding or escaping from alarming or dangerous stimuli. In zebrafish larvae, fast escape behavior is easily evoked through either acoustic or tactile stimuli. For example, a light touch to the head will excite trigeminal neurons that in turn excite a large reticulospinal neuron in the hindbrain called the Mauthner cell (M-cell). The M-cell action potential then travels down the contralateral trunk of the larva exciting motoneurons, which subsequently excite the entire axial musculature, producing a large amplitude body bend away from the source of the stimulus. This body conformation is known as the “C-bend” due to the shape of the larva during the behavior. As a result of the semi-synchronized activation of the M-cell, the population of motor neurons, and the axial trunk muscles, a large field potential is generated and can be recorded from free-swimming or fixed-position larvae. Undergraduate laboratories that record field potentials during escape responses in larval zebrafish are relatively simple to setup and allow students to observe and study the escape reflex circuit. Furthermore, by testing hypotheses, analyzing data and writing journal-style laboratory reports, students have multiple opportunities to learn about many neuroscience topics including vertebrate reflexes; sensory transduction; synaptic-, neuro-, and muscle-physiology; the M-cell mediated escape response; and the zebrafish as a model organism. Here, we detail the equipment, software, and recording setup necessary to observe field potentials in an undergraduate teaching lab. Additionally, we discuss potential advanced laboratory exercises and pedagogical outcomes. Finally, we note possible low-cost alternatives for recording field potentials. PMID:25565920

32 CFR 701.110 - Conditions of disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... of Federal and state bodies having authority to issue such process. Note: Disclosure accounting is... considered a single agency. Note: No disclosure accounting required. (b) FOIA. Records must be disclosed if... disclosure accounting required. (c) Routine use. Each DON PA system of records notice identifies what records...

Standardized UXO Technology Demonstration Site Woods Scoring Record Number 636 (Blackhawk Geoservices)

DTIC Science & Technology

2005-07-01

25 SECTION 5. ON-SITE LABOR COSTS SECTION 6. COMPARISON OF RESULTS TO OPEN FIELD DEMONSTRATION 6.1 SUMMARY OF RESULTS FROM OPEN...included for the purposes of calculating labor costs (section 5) except for downtime due to Demonstration Site issues. Demonstration Site issues, while noted...in the Daily Log, are considered non-chargeable downtime for the purposes of calculating labor costs and are not discussed. Breaks and lunches are

Moments of Meeting: Difficulties and Developments in Shared Attention, Interaction, and Communication with Children with Autism during Two Years of Music Therapy in a Public Preschool Class

ERIC Educational Resources Information Center

Barnes, Geoffrey Prescott

2010-01-01

Drawing upon video recordings over two years, teacher interviews, school reports, and field notes, this practitioner research study described and analyzed 16 video excerpts from a music therapy group in a public preschool class serving 14 children with autism, for durations ranging from two to sixteen months. The research centered on three of the…

The ANKLe Score: An Audit of Otolaryngology Emergency Clinic Record Keeping

PubMed Central

Dexter, Sara C; Hayashi, Daichi; Tysome, James R

2008-01-01

INTRODUCTION Accurate and legible medical records are essential to good quality patient care. Guidelines from The Royal College of Surgeons of England (RCSE) state the content required to form a complete medical record, but do not address legibility. An audit of otolaryngology emergency clinic record keeping was performed using a new scoring system. PATIENTS AND METHODS The Adjusted Note Keeping and Legibility (ANKLe) score was developed as an objective and quantitative method to assess both the content and legibility of case notes, incorporating the RCSE guidelines. Twenty consecutive otolaryngology emergency clinic case notes from each of 7 senior house officers were audited against standards for legibility and content using the ANKLe score. A proforma was introduced to improve documentation and handwriting advice was given. A further set of 140 notes (20 notes for each of the 7 doctors) was audited in the same way to provide feedback. RESULTS The introduction of a proforma and advice on handwriting significantly increased the quality of case note entries in terms of content, legibility and overall ANKLe score. CONCLUSIONS Accurate note keeping can be improved by the use of a proforma. The legibility of handwriting can be improved using simple advice. The ANKLe score is an objective assessment tool of the overall quality of medical note documentation which can be adapted for use in other specialties. PMID:18430339

39 CFR 230.14 - Who owns the written or recorded notes, memoranda, reports, and transcriptions made pursuant to...

Code of Federal Regulations, 2011 CFR

2011-07-01

..., reports, and transcriptions made pursuant to an official investigation, audit, or review conducted by an... the written or recorded notes, memoranda, reports, and transcriptions made pursuant to an official..., reports, and transcriptions, whether written or recorded and made pursuant to an official investigation...

Six new subterranean freshwater gastropod species from northern Albania and some new records from Albania and Kosovo (Mollusca, Gastropoda, Moitessieriidae and Hydrobiidae)

PubMed Central

Grego, Jozef; Glöer, Peter; Erőss, Zoltán Péter; Fehér, Zoltán

2018-01-01

During a field trip to the western part of the Balkan Peninsula in 2016, investigations of several caves and karstic springs revealed six new gastropod species living in subterranean waters and resulted in some note-worthy faunistic records. Five of the new species are assigned to the genus Paladilhiopsis Pavlović, 1913, namely P. prekalensis sp. n., P. lozeki sp. n., P. szekeresi sp. n., P. wohlberedti sp. n., P. falniowskii sp. n. and one to the genus Plagigeyeria Tomlin, 1930, namely P. steffeki sp. n. New Albania and Kosovo distribution records are given for Iglica illyrica Schütt, 1975, Plagigeyeria zetaprotogona Schütt, 1960, Vinodolia matjasici (Bole, 1961), and the first georeferenced record is given for Saxurinator schlickumi Schütt, 1960. The most important environmental factors influencing habitat selection of these subterranean freshwater gastropods are briefly discussed. PMID:29755592

Advanced Spacesuit Informatics Software Design for Power, Avionics and Software Version 2.0

NASA Technical Reports Server (NTRS)

Wright, Theodore W.

2016-01-01

A description of the software design for the 2016 edition of the Informatics computer assembly of the NASAs Advanced Extravehicular Mobility Unit (AEMU), also called the Advanced Spacesuit. The Informatics system is an optional part of the spacesuit assembly. It adds a graphical interface for displaying suit status, timelines, procedures, and warning information. It also provides an interface to the suit mounted camera for recording still images, video, and audio field notes.

Simple interventions can greatly improve clinical documentation: a quality improvement project of record keeping on the surgical wards at a district general hospital.

PubMed

Glen, Peter; Earl, Naomi; Gooding, Felix; Lucas, Emily; Sangha, Nicole; Ramcharitar, Steve

2015-01-01

Clinical documentation is an integral part of the healthcare professional's job. Good record keeping is essential for patient care, accurate recording of consultations and for effective communication within the multidisciplinary team. Within the surgical department at the Great Western Hospital, Swindon, the case notes were deemed to be bulky and cumbersome, inhibiting effective record keeping, potentially putting patients' at risk. The aim of this quality improvement project was therefore to improve the standard of documentation, the labelling of notes and the overall filing. A baseline audit was firstly undertaken assessing the notes within the busiest surgical ward. A number of variables were assessed, but notably, only 12% (4/33) of the case notes were found to be without loose pages. Furthermore, less than half of the pages with entries written within the last 72 hours contained adequate patient identifiers on them. When assessing these entries further, the designation of the writer was only recorded in one third (11/33) of the cases, whilst the printed name of the writer was only recorded in 65% (21/33) of the entries. This project ran over a 10 month period, using a plan, do study, act methodology. Initial focus was on simple education. Afterwards, single admission folders were introduced, to contain only information required for that admission, in an attempt to streamline the notes and ease the filing. This saw a global improvement across all data subsets, with a sustained improvement of over 80% compliance seen. An educational poster was also created and displayed in clinical areas, to remind users to label their notes with patient identifying stickers. This saw a 4-fold increase (16%-68%) in the labelling of notes. In conclusion, simple, cost effective measures in streamlining medical notes, improves the quality of documentation, facilitates the filing and ultimately improves patient care.

Calibration of water distribution network of the Ramnagar zone in Nagpur City using online pressure and flow data

NASA Astrophysics Data System (ADS)

Jadhao, Ramrao D.; Gupta, Rajesh

2018-03-01

Calibration of hydraulic model of a water distribution network is required to match the model results of flows and pressures with those obtained in the field. This is a challenging task considering the involvement of a large number of parameters. Having more precise data helps in reducing time and results in better calibration as shown herein with a case study of one hydraulic zone served from the Ramnagar Ground Service Reservoir in Nagpur City. Flow and pressure values for the entire day were obtained through data loggers. Network details regarding pipe lengths, diameters, installation year and material were obtained with the largest possible accuracy. Locations of consumers on the network were noted and average nodal consumptions were obtained from the billing records. The non-revenue water losses were uniformly allocated to all junctions. Valve positions and their operating status were noted from the field and used. The pipe roughness coefficients were adjusted to match the model values with field values of pressures at observation nodes by minimizing the sum of square of difference between them. This paper aims at describing the entire process from collection of the required data to the calibration of the network.

Strategies and Perceptions of Students' Field Note-Taking Skills: Insights from a Geothermal Field Lesson

ERIC Educational Resources Information Center

Dohaney, Jacqueline; Brogt, Erik; Kennedy, Ben

2015-01-01

Field note-taking skills are fundamental in the geosciences but are rarely explicitly taught. In a mixed-method study of an introductory geothermal field lesson, we characterize the content and perceptions of students' note-taking skills to derive the strategies that students use in the field. We collected several data sets: observations of the…

15/16 ips Operation of the Precision Instrument Company Model P15100 tape recorder to record the standard (30 Hz) NCER seismic data multiplex system

USGS Publications Warehouse

Eaton, Jerry P.

1976-01-01

In recent months the need has arisen to record special seismic networks consisting of a dozen or more standard NCER seismic systems telemetered to a central collection point on a reliable, portable, low-power tape recorder. Because of its simplicity and the ease with which it can be adapted for the purpose, the PI 5100 field recorder should be considered for such use. In the tests described here, a PI 5100 was speeded up to run at 15/16 inches per second (ips) and signals from the standard multiplex system test modulator bank were recorded on one tape track by means of a simple, improvised AM record amplifier. The results of these tests are extremely encouraging: the dynamic range of the system when played back on the Bell and Howell Model 3700 B reproduce machine, with subtractive compensation, is nearly as high as for the system employing the B&H 3700 B for recording. These notes indicate the principle employed to speed up the recorder, outline the circuit required to drive the tape heads in the AM record mode, and describe the tests carried out to evaluate the system's performance.

Note: Design of a full photon-timing recorder down to 1-ns resolution for fluorescence fluctuation measurements

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

Nishimura, Goro, E-mail: gnishi@imd.es.hokudai.ac.jp

2015-10-15

A photon timing recorder was realized in a field programmable gate array to capture all timing data of photons on multiple channels with down to a 1-ns resolution and to transfer all data to a host computer in real-time through universal serial bus with more than 10 M events/s transfer rate. The main concept is that photon time series can be regarded as a serial communication data stream. This recorder was successfully applied for simultaneous measurements of fluorescence fluctuation and lifetime of near-infrared dyes in solution. This design is not only limited to the fluorescence fluctuation measurement but also applicablemore » to any kind of photon counting experiments in a nanosecond time range because of the simple and easily modifiable design.« less

Revising Lecture Notes: How Revision, Pauses, and Partners Affect Note Taking and Achievement

ERIC Educational Resources Information Center

Luo, Linlin; Kiewra, Kenneth A.; Samuelson, Lydia

2016-01-01

Note taking has been categorized as a two-stage process: the recording of notes and the review of notes. We contend that note taking might best involve a three-stage process where the missing stage is revision. This study investigated the benefits of revising lecture notes and addressed two questions: First, is revision more effective than…

The effect of point-of-care personal digital assistant use on resident documentation discrepancies.

PubMed

Carroll, Aaron E; Tarczy-Hornoch, Peter; O'Reilly, Eamon; Christakis, Dimitri A

2004-03-01

We recently found documentation discrepancies in 60% of resident daily-progress notes with respect to patient weight, medications, or vascular lines. To what extent information systems can decrease such discrepancies is unknown. To determine whether a point-of-care personal digital assistant (PDA)-based patient record and charting system could reduce the number of resident progress-note documentation discrepancies in a neonatal intensive care unit (NICU). We conducted a before-and-after trial in an academic NICU. Our intervention was a PDA-based patient record and charting system used by all NICU resident physicians over the study period. We analyzed all resident daily-progress notes from 40 randomly selected days over 4 months in both the baseline and intervention periods. Using predefined reference standards, we determined the accuracy of recorded information for patient weights, medications, and vascular lines. Logistic and Poisson regression were used in analyses to control for potential confounding factors. A total of 339 progress notes in the baseline period and 432 progress notes in the intervention period were reviewed. When controlling for covariates in the regression, there were significantly fewer documentation discrepancies of patient weights in notes written by using the PDA system (14.4%-4.4% of notes; odds ratio [OR]: 0.29; 95% confidence interval [CI]: 0.15-0.56). When using the PDA system, there were no significant changes in the numbers of notes with documentation discrepancies of medications (27.7%-17.1% of notes; OR: 0.63; 95% CI: 0.35-1.13) or vascular lines (33.6%-36.1% of notes; OR: 1.11; 95% CI: 0.66-1.87). The use of our PDA-based point-of-care patient record and charting system showed a modest benefit in reducing the number of documentation discrepancies in resident daily-progress notes. Further study of PDAs in information systems is warranted before they are widely adopted.

Evaluation of a user guidance reminder to improve the quality of electronic prescription messages.

PubMed

Dhavle, A A; Corley, S T; Rupp, M T; Ruiz, J; Smith, J; Gill, R; Sow, M

2014-01-01

Prescribers' inappropriate use of the free-text Notes field in new electronic prescriptions can create confusion and workflow disruptions at receiving pharmacies that often necessitates contact with prescribers for clarification. The inclusion of inappropriate patient direction (Sig) information in the Notes field is particularly problematic. We evaluated the effect of a targeted watermark, an embedded overlay, reminder statement in the Notes field of an EHR-based e-prescribing application on the incidence of inappropriate patient directions (Sig) in the Notes field. E-prescriptions issued by the same exact cohort of 97 prescribers were collected over three time periods: baseline, three months after implementation of the reminder, and 15 months post implementation. Three certified and experienced pharmacy technicians independently reviewed all e-prescriptions for inappropriate Sig-related information in the Notes field. A physician reviewer served as the final adjudicator for e-prescriptions where the three reviewers could not reach a consensus. ANOVA and post hoc Tukey HSD tests were performed on group comparisons where statistical significance was evaluated at p<0.05. The incidence of inappropriate Sig-related information in the Notes field decreased from a baseline of 2.8% to 1.8% three months post-implementation and remained stable after 15 months. In addition, prescribers' use of the Notes decreased by 22% after 3 months and had stabilized at 18.7% below baseline after 15 months. Insertion of a targeted watermark reminder statement in the Notes field of an e-prescribing application significantly reduced the incidence of inappropriate Sig-related information in Notes and decreased prescribers' use of this field.

Integrating Time-Synchronized Video with Other Geospatial and Temporal Data for Remote Science Operations

NASA Technical Reports Server (NTRS)

Cohen, Tamar E.; Lees, David S.; Deans, Matthew C.; Lim, Darlene S. S.; Lee, Yeon Jin Grace

2018-01-01

Exploration Ground Data Systems (xGDS) supports rapid scientific decision making by synchronizing video in context with map, instrument data visualization, geo-located notes and any other collected data. xGDS is an open source web-based software suite developed at NASA Ames Research Center to support remote science operations in analog missions and prototype solutions for remote planetary exploration. (See Appendix B) Typical video systems are designed to play or stream video only, independent of other data collected in the context of the video. Providing customizable displays for monitoring live video and data as well as replaying recorded video and data helps end users build up a rich situational awareness. xGDS was designed to support remote field exploration with unreliable networks. Commercial digital recording systems operate under the assumption that there is a stable and reliable network between the source of the video and the recording system. In many field deployments and space exploration scenarios, this is not the case - there are both anticipated and unexpected network losses. xGDS' Video Module handles these interruptions, storing the available video, organizing and characterizing the dropouts, and presenting the video for streaming or replay to the end user including visualization of the dropouts. Scientific instruments often require custom or expensive software to analyze and visualize collected data. This limits the speed at which the data can be visualized and limits access to the data to those users with the software. xGDS' Instrument Module integrates with instruments that collect and broadcast data in a single snapshot or that continually collect and broadcast a stream of data. While seeing a visualization of collected instrument data is informative, showing the context for the collected data, other data collected nearby along with events indicating current status helps remote science teams build a better understanding of the environment. Further, sharing geo-located, tagged notes recorded by the scientists and others on the team spurs deeper analysis of the data.

Machine Learning Methods to Extract Documentation of Breast Cancer Symptoms From Electronic Health Records.

PubMed

Forsyth, Alexander W; Barzilay, Regina; Hughes, Kevin S; Lui, Dickson; Lorenz, Karl A; Enzinger, Andrea; Tulsky, James A; Lindvall, Charlotta

2018-06-01

Clinicians document cancer patients' symptoms in free-text format within electronic health record visit notes. Although symptoms are critically important to quality of life and often herald clinical status changes, computational methods to assess the trajectory of symptoms over time are woefully underdeveloped. To create machine learning algorithms capable of extracting patient-reported symptoms from free-text electronic health record notes. The data set included 103,564 sentences obtained from the electronic clinical notes of 2695 breast cancer patients receiving paclitaxel-containing chemotherapy at two academic cancer centers between May 1996 and May 2015. We manually annotated 10,000 sentences and trained a conditional random field model to predict words indicating an active symptom (positive label), absence of a symptom (negative label), or no symptom at all (neutral label). Sentences labeled by human coder were divided into training, validation, and test data sets. Final model performance was determined on 20% test data unused in model development or tuning. The final model achieved precision of 0.82, 0.86, and 0.99 and recall of 0.56, 0.69, and 1.00 for positive, negative, and neutral symptom labels, respectively. The most common positive symptoms were pain, fatigue, and nausea. Machine-based labeling of 103,564 sentences took two minutes. We demonstrate the potential of machine learning to gather, track, and analyze symptoms experienced by cancer patients during chemotherapy. Although our initial model requires further optimization to improve the performance, further model building may yield machine learning methods suitable to be deployed in routine clinical care, quality improvement, and research applications. Copyright © 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Patterns of task and network actions performed by navigators to facilitate cancer care.

PubMed

Clark, Jack A; Parker, Victoria A; Battaglia, Tracy A; Freund, Karen M

2014-01-01

Patient navigation is a widely implemented intervention to facilitate access to care and reduce disparities in cancer care, but the activities of navigators are not well characterized. The aim of this study is to describe what patient navigators actually do and explore patterns of activity that clarify the roles they perform in facilitating cancer care. We conducted field observations of nine patient navigation programs operating in diverse health settings of the national patient navigation research program, including 34 patient navigators, each observed an average of four times. Trained observers used a structured observation protocol to code as they recorded navigator actions and write qualitative field notes capturing all activities in 15-minute intervals during observations ranging from 2 to 7 hours; yielding a total of 133 observations. Rates of coded activity were analyzed using numerical cluster analysis of identified patterns, informed by qualitative analysis of field notes. Six distinct patterns of navigator activity were identified, which differed most relative to how much time navigators spent directly interacting with patients and how much time they spent dealing with medical records and documentation tasks. Navigator actions reveal a complex set of roles in which navigators both provide the direct help to patients denoted by their title and also carry out a variety of actions that function to keep the health system operating smoothly. Working to navigate patients through complex health services entails working to repair the persistent challenges of health services that can render them inhospitable to patients. The organizations that deploy navigators might learn from navigators' efforts and explore alternative approaches, structures, or systems of care in addressing both the barriers patients face and the complex solutions navigators create in helping patients.

From field notes to data portal - An operational QA/QC framework for tower networks

NASA Astrophysics Data System (ADS)

Sturtevant, C.; Hackley, S.; Meehan, T.; Roberti, J. A.; Holling, G.; Bonarrigo, S.

2016-12-01

Quality assurance and control (QA/QC) is one of the most important yet challenging aspects of producing research-quality data. This is especially so for environmental sensor networks collecting numerous high-frequency measurement streams at distributed sites. Here, the quality issues are multi-faceted, including sensor malfunctions, unmet theoretical assumptions, and measurement interference from the natural environment. To complicate matters, there are often multiple personnel managing different sites or different steps in the data flow. For large, centrally managed sensor networks such as NEON, the separation of field and processing duties is in the extreme. 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 relying on visual inspection of the data. In addition, notes of observed measurement interference or visible problems are often recorded on paper without an explicit pathway to data flagging during processing. As such, an increase in network size requires a near-proportional increase in personnel devoted to QA/QC, quickly stressing the human resources available. There is a need for a scalable, operational QA/QC framework that combines the efficiency and standardization of automated tests with the power and flexibility of visual checks, and includes an efficient communication pathway from field personnel to data processors to end users. Here we propose such a framework and an accompanying set of tools in development, including a mobile application template for recording tower maintenance and an R/shiny application for efficiently monitoring and synthesizing data quality issues. This framework seeks to incorporate lessons learned from the Ameriflux community and provide tools to aid continued network advancements.

1. On note taking.

PubMed

Plaut, Alfred B J

2005-02-01

In this paper the author explores the theoretical and technical issues relating to taking notes of analytic sessions, using an introspective approach. The paper discusses the lack of a consistent approach to note taking amongst analysts and sets out to demonstrate that systematic note taking can be helpful to the analyst. The author describes his discovery that an initial phase where as much data was recorded as possible did not prove to be reliably helpful in clinical work and initially actively interfered with recall in subsequent sessions. The impact of the nature of the analytic session itself and the focus of the analyst's interest on recall is discussed. The author then describes how he modified his note taking technique to classify information from sessions into four categories which enabled the analyst to select which information to record in notes. The characteristics of memory and its constructive nature are discussed in relation to the problems that arise in making accurate notes of analytic sessions.

Using voice to create hospital progress notes: Description of a mobile application and supporting system integrated with a commercial electronic health record.

PubMed

Payne, Thomas H; Alonso, W David; Markiel, J Andrew; Lybarger, Kevin; White, Andrew A

2018-01-01

We describe the development and design of a smartphone app-based system to create inpatient progress notes using voice, commercial automatic speech recognition software, with text processing to recognize spoken voice commands and format the note, and integration with a commercial EHR. This new system fits hospital rounding workflow and was used to support a randomized clinical trial testing whether use of voice to create notes improves timeliness of note availability, note quality, and physician satisfaction with the note creation process. The system was used to create 709 notes which were placed in the corresponding patient's EHR record. The median time from pressing the Send button to appearance of the formatted note in the Inbox was 8.8 min. It was generally very reliable, accepted by physician users, and secure. This approach provides an alternative to use of keyboard and templates to create progress notes and may appeal to physicians who prefer voice to typing. Copyright © 2017 Elsevier Inc. All rights reserved.

Bootstrapping a de-identification system for narrative patient records: cost-performance tradeoffs.

PubMed

Hanauer, David; Aberdeen, John; Bayer, Samuel; Wellner, Benjamin; Clark, Cheryl; Zheng, Kai; Hirschman, Lynette

2013-09-01

We describe an experiment to build a de-identification system for clinical records using the open source MITRE Identification Scrubber Toolkit (MIST). We quantify the human annotation effort needed to produce a system that de-identifies at high accuracy. Using two types of clinical records (history and physical notes, and social work notes), we iteratively built statistical de-identification models by annotating 10 notes, training a model, applying the model to another 10 notes, correcting the model's output, and training from the resulting larger set of annotated notes. This was repeated for 20 rounds of 10 notes each, and then an additional 6 rounds of 20 notes each, and a final round of 40 notes. At each stage, we measured precision, recall, and F-score, and compared these to the amount of annotation time needed to complete the round. After the initial 10-note round (33min of annotation time) we achieved an F-score of 0.89. After just over 8h of annotation time (round 21) we achieved an F-score of 0.95. Number of annotation actions needed, as well as time needed, decreased in later rounds as model performance improved. Accuracy on history and physical notes exceeded that of social work notes, suggesting that the wider variety and contexts for protected health information (PHI) in social work notes is more difficult to model. It is possible, with modest effort, to build a functioning de-identification system de novo using the MIST framework. The resulting system achieved performance comparable to other high-performing de-identification systems. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

First record of soybean stem fly Melanagromyza sojae (Diptera: Agromyzidae) in Paraguay confirmed by molecular evidence.

PubMed

Guedes, J V C; Arnemann, J A; Curioletti, L E; Burtet, L M; Ramírez-Paredes, M L; Noschang, D; Irala de Oliveira, F; Tay, W T

2017-08-17

We provided the first scientific record of Melanagromyza sojae (Zehntner, 1900), through molecular characterization of partial mtDNA COI gene, that confirms the occurrence of this pest in Paraguay. Previously reported in Brazil, an outbreak of larvae of M. sojae known as the soybean stem fly (SSF) that belongs to the family Agromyzidae, was also noted in soybean fields from the Canindeyú, Alto Paraná and Itapúa Departments in Paraguay. This pest is highly polyphagous, attacking various host plant species from the family Fabaceae, such as soybean and other beans. The implications of SSF detection in Paraguay are discussed in relation to the current soybean cultivation practices from this agriculturally important South American region, including Brazil.

26 CFR 1.1221-1 - Meaning of terms.

Code of Federal Regulations, 2010 CFR

2010-04-01

... archive, including a corporate charter, office correspondence, a financial record, a drawing, a photograph..., such as a corporate archive, office correspondence, or a financial record, sold or disposed of as part..., reports the fair market value of the note as income, and later sells the note for less than the amount...

32 CFR 326.4 - Policy.

Code of Federal Regulations, 2013 CFR

2013-07-01

... be used solely as statistical research and that the record is to be transferred in a form in which..., etc. (4) Personal working notes of employees that are merely an extension of the author's memory, if... records. (ii) Such notes must be restricted to the author's personal use as memory aids, and only the...

32 CFR 326.4 - Policy.

Code of Federal Regulations, 2012 CFR

2012-07-01

... be used solely as statistical research and that the record is to be transferred in a form in which..., etc. (4) Personal working notes of employees that are merely an extension of the author's memory, if... records. (ii) Such notes must be restricted to the author's personal use as memory aids, and only the...

43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

43 CFR 3861.1-3 - Plats and field notes of mineral surveys.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Plats and field notes of mineral surveys...) BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) MINERAL PATENT APPLICATIONS Surveys and Plats § 3861.1-3 Plats and field notes of mineral surveys. When the patent is issued...

32 CFR 806b.5 - Personal notes.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 6 2010-07-01 2010-07-01 false Personal notes. 806b.5 Section 806b.5 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION PRIVACY ACT PROGRAM... notes on individuals used as memory aids. Personal notes may become Privacy Act records if they are...

Insights regarding the Usefulness of Partial Notes in Mathematics Courses

ERIC Educational Resources Information Center

Cardetti, Fabiana; Khamsemanan, Nirattaya; Orgnero, M. Carolina

2010-01-01

Note-taking is a widespread practice used by college students to record information from lectures. Unfortunately, even successful students' notes are incomplete and, therefore, may lack the potential to positively impact their academic performance. Research suggests that instructors can help students improve their note-taking skills by using…

The final hours: a linguistic analysis of the final words of a suicide.

PubMed

Lester, David

2010-06-01

A journal, two suicide notes, and two tape recordings from a young man who took his own life were analyzed by applying a computer program to analyze texts. The analysis indicates a calming trend from the journal entries to the suicide notes to the tape recordings, with an additional increase in positive emotions expressed from the first recorded message to the second recording made just an hour or two before his death. The usefulness of this approach for understanding the psychodynamics of suicidal behavior is discussed.

Do GPs record the occupation of their patients?

PubMed

Richards-Taylor, A; Keay, J; Thorley, K

2013-03-01

General practitioners (GPs) have a central role in providing advice about fitness for work, yet there are concerns about their understanding of the relationship between work and health. To assess whether GPs in one Cornish practice record the occupation of patients of working age and to quantify how important GPs in Cornwall consider recording of occupation in working-age patients. An audit of the notes of 300 working-age patients in one practice, a search of the computer records at a different practice and a questionnaire survey of 202 GPs in practices in Cornwall. Occupation was recorded in 50 (17%) of the 300 patient notes audited. The questionnaire response rate was 31%. Few (8%) respondents reported training in occupational medicine. Most (65%) of GPs recorded their patients' occupation some of the time. A third (32%) of GPs did not consider it important to record patients' occupations. GPs in two Cornish practices recorded the occupation of working-age patients infrequently, but over two-thirds of GPs in Cornwall believe it is important to do so. If these results reflect the practice of UK GPs, the new 'e-fit note' may be of limited value in monitoring and analysing sickness absence.

Installation Restoration Program. Phase I: Records Search. Sunnyvale Air Force Station, California

DTIC Science & Technology

1985-07-01

00 a-l Wa-- jzI0 UJ~ *20- * -J J uSl a J~rL 0 9U * de 0~>a j~ ~ W ’./ IL system was also determined to warrant review and modification under the base...in the HARM scoring system to numerically assess the pollutant transport mechanisms and potential receptors present at the site. App. G describes the...Note: RUTA wll field locatiom am dvou in Fig. 3.4-1. SS (EPA, 1964b). tNI. (EPA, 1984). Notle: pci/i - Picocuries per liter. Sources: UIGAEII, 1978

The "Measuring Outcomes of Clinical Connectivity" (MOCC) trial: investigating data entry errors in the Electronic Primary Care Research Network (ePCRN).

PubMed

Fontaine, Patricia; Mendenhall, Tai J; Peterson, Kevin; Speedie, Stuart M

2007-01-01

The electronic Primary Care Research Network (ePCRN) enrolled PBRN researchers in a feasibility trial to test the functionality of the network's electronic architecture and investigate error rates associated with two data entry strategies used in clinical trials. PBRN physicians and research assistants who registered with the ePCRN were eligible to participate. After online consent and randomization, participants viewed simulated patient records, presented as either abstracted data (short form) or progress notes (long form). Participants transcribed 50 data elements onto electronic case report forms (CRFs) without integrated field restrictions. Data errors were analyzed. Ten geographically dispersed PBRNs enrolled 100 members and completed the study in less than 7 weeks. The estimated overall error rate if field restrictions had been applied was 2.3%. Participants entering data from the short form had a higher rate of correctly entered data fields (94.5% vs 90.8%, P = .004) and significantly more error-free records (P = .003). Feasibility outcomes integral to completion of an Internet-based, multisite study were successfully achieved. Further development of programmable electronic safeguards is indicated. The error analysis conducted in this study will aid design of specific field restrictions for electronic CRFs, an important component of clinical trial management systems.

Survey of Sensitive Information Written in Patient Notes by Psychiatry Trainees

ERIC Educational Resources Information Center

Kung, Simon; Lapid, Maria I.; Swintak, Cosima C.; Agarwal, Zubin; Ryan, Susan M.; Lineberry, Timothy W.

2013-01-01

Objective: Allowing psychiatric patients access to their electronic medical record (EMR) may cause difficulty related to the sensitivity of the note content. The authors investigated whether notes written by psychiatry trainees were ready for release to patients. Methods: Authors conducted a review of 128 PGY-3 to PGY-5 outpatient notes not…

A comparison of susceptibility to Myxobolus cerebralis among strains of rainbow trout and steelhead in field and laboratory trials

USGS Publications Warehouse

Densmore, Christine L.; Blazer, V.S.; Cartwright, Deborah D.; Schill, W.B.; Schachte, J.H.; Petrie, C.J.; Batur, M.V.; Waldrop, T.B.; Mack, A.; Pooler, P.S.

2001-01-01

Three strains of rainbow trout and steelhead Oncorhynchus mykiss were evaluated for the presence of whirling disease in field and laboratory trials. In the field exposures, fingerling Salmon River steelhead and Cayuga Lake and Randolph strains of rainbow trout were placed in wire cages in an earthen, stream-fed pond in New York State that was known to harbor Myxobolus cerebralis. Control fish were held at another hatchery that was free of whirling disease. In the controlled trials at the National Fish Health Research Laboratory, fingerling steelhead and Cayuga Lake and Mount Lassen rainbow trout were exposed to triactinomyxons at low (200 triactinomyxons/fish) or high (2,000 triactinomyxons/fish) levels for 2 h. Controls of each group were sham-exposed. Following an incubation period of 154 d for laboratory trials and 180 d for field trials, cranial tissue samples were taken for spore enumeration (field and laboratory trials) and histological analyses (laboratory only). Clinical signs of disease, including whirling behavior, blacktail, and skeletal deformities, were recorded for each fish in the laboratory trial at the terminal sampling. No clinical evidence of disease was noted among fish in the field trials. Clinical signs were noted among all strains in the laboratory trials at both exposure levels, and these signs were consistently greatest for the Mount Lassen strain. Whirling and skeletal deformities were more evident in the steelhead than in the Cayuga Lake rainbow trout; blacktail was more common in the Cayuga Lake fish. In both field and laboratory trials, spore counts were significantly higher for Cayuga Lake rainbow trout than in steelhead. In laboratory trials, moderate to marked cranial tissue lesions predominated in all three strains.

Big biomedical data and cardiovascular disease research: opportunities and challenges.

PubMed

Denaxas, Spiros C; Morley, Katherine I

2015-07-01

Electronic health records (EHRs), data generated and collected during normal clinical care, are increasingly being linked and used for translational cardiovascular disease research. Electronic health record data can be structured (e.g. coded diagnoses) or unstructured (e.g. clinical notes) and increasingly encapsulate medical imaging, genomic and patient-generated information. Large-scale EHR linkages enable researchers to conduct high-resolution observational and interventional clinical research at an unprecedented scale. A significant amount of preparatory work and research, however, is required to identify, obtain, and transform raw EHR data into research-ready variables that can be statistically analysed. This study critically reviews the opportunities and challenges that EHR data present in the field of cardiovascular disease clinical research and provides a series of recommendations for advancing and facilitating EHR research.

Preliminary geologic mapping of Cretaceous and Tertiary formations in the eastern part of the Little Snake River coal field, Carbon County, Wyoming

USGS Publications Warehouse

Haacke, Jon E.; Barclay, C. S. Venable; Hettinger, Robert D.

2016-09-30

In the 1970s and 1980s, C.S. Venable Barclay conducted geologic mapping of areas primarily underlain by Cretaceous coals in the eastern part of the Little Snake River coal field (LSR) in Carbon County, southwest Wyoming. With some exceptions, most of the mapping data were never published. Subsequently, after his retirement from the U.S. Geological Survey (USGS), his field maps and field notebooks were archived in the USGS Field Records. Due to a pending USGS coal assessment of the Little Snake River coal field area and planned geological mapping to be conducted by the Wyoming State Geological Survey, Barclay’s mapping data needed to be published to support these efforts. Subsequently, geologic maps were scanned and georeferenced into a geographic information system, and project and field notes were scanned into Portable Document Format (PDF) files. Data for seventeen 7½-minute quadrangles are presented in this report. This publication is solely intended to compile the mapping data as it was last worked on by Barclay and provides no interpretation or modification of his work.

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.

The Process of Note Taking: Implications for Students with Mild Disabilities

ERIC Educational Resources Information Center

Boyle, Joseph R.

2007-01-01

Students with mild disabilities have a difficult time recording notes from lectures. Accurate note taking is important because it helps students understand the content from lectures and notes serve as a document for later review. In this article, the author describes what teachers can do before, during, and after the lecture to help students…

Note-Taking Skills of Middle School Students with and without Learning Disabilities

ERIC Educational Resources Information Center

Boyle, Joseph R.

2010-01-01

For middle school students with learning disabilities (LD), one major component of learning in content area classes, such as science, involves listening to lectures and recording notes. Lecture learning and note-taking are critical skills for students to succeed in these classes. Despite the importance of note-taking skills, no research has been…

Magnetic record associated with tree ring density: Possible climate proxy

PubMed Central

Kletetschka, Gunther; Pruner, Petr; Venhodova, Daniela; Kadlec, Jaroslav

2007-01-01

A magnetic signature of tree rings was tested as a potential paleo-climatic indicator. We examined wood from sequoia tree, located in Mountain Home State Forest, California, whose tree ring record spans over the period 600 – 1700 A.D. We measured low and high-field magnetic susceptibility, the natural remanent magnetization (NRM), saturation isothermal remanent magnetization (SIRM), and stability against thermal and alternating field (AF) demagnetization. Magnetic investigation of the 200 mm long sequoia material suggests that magnetic efficiency of natural remanence may be a sensitive paleoclimate indicator because it is substantially higher (in average >1%) during the Medieval Warm Epoch (700–1300 A.D.) than during the Little Ice Age (1300–1850 A.D.) where it is <1%. Diamagnetic behavior has been noted to be prevalent in regions with higher tree ring density. The mineralogical nature of the remanence carrier was not directly detected but maghemite is suggested due to low coercivity and absence of Verwey transition. Tree ring density, along with the wood's magnetic remanence efficiency, records the Little Ice Age (LIA) well documented in Europe. Such a record suggests that the European LIA was a global phenomenon. Magnetic analysis of the thermal stability reveals the blocking temperatures near 200 degree C. This phenomenon suggests that the remanent component in this tree may be thermal in origin and was controlled by local thermal condition. PMID:17381844

Appreciative Inquiry for quality improvement in primary care practices.

PubMed

Ruhe, Mary C; Bobiak, Sarah N; Litaker, David; Carter, Caroline A; Wu, Laura; Schroeder, Casey; Zyzanski, Stephen J; Weyer, Sharon M; Werner, James J; Fry, Ronald E; Stange, Kurt C

2011-01-01

To test the effect of an Appreciative Inquiry (AI) quality improvement strategy on clinical quality management and practice development outcomes. Appreciative inquiry enables the discovery of shared motivations, envisioning a transformed future, and learning around the implementation of a change process. Thirty diverse primary care practices were randomly assigned to receive an AI-based intervention focused on a practice-chosen topic and on improving preventive service delivery (PSD) rates. Medical-record review assessed change in PSD rates. Ethnographic field notes and observational checklist analysis used editing and immersion/crystallization methods to identify factors affecting intervention implementation and practice development outcomes. The PSD rates did not change. Field note analysis suggested that the intervention elicited core motivations, facilitated development of a shared vision, defined change objectives, and fostered respectful interactions. Practices most likely to implement the intervention or develop new practice capacities exhibited 1 or more of the following: support from key leader(s), a sense of urgency for change, a mission focused on serving patients, health care system and practice flexibility, and a history of constructive practice change. An AI approach and enabling practice conditions can lead to intervention implementation and practice development by connecting individual and practice strengths and motivations to the change objective.

A transformative perspective on learning and professional development of Afghan physiotherapists.

PubMed

Wickford, Jenny; Edwards, Ian; Rosberg, Susanne

2012-05-01

The aim of this article is to explore factors that impacted learning of Afghan physiotherapists in a development project to improve the physiotherapy services in a disability programme implemented by a Swedish nongovernmental organisation in Afghanistan. Participant observation, recorded as field notes, was used to document the process, to gain a better understanding of professional development of physiotherapists in Afghanistan. Field notes were analysed and factors affecting learning were interpreted from a perspective inspired by transformative learning. Various factors were identified: a pattern approach to treatment, linear thinking, and socially oriented decision making affected how new things learned were put into practice; concrete representations and an instrumental view of knowledge characterised learning approaches; language barriers, different interpretations of meaning, and cultural codes challenged communication; and a prescriptive, encouraging approach of the expatriate physiotherapy development worker affected teaching and learning. Working with professional development across cultural borders is challenging, and the identified factors impacting learning can help expatriate physiotherapists in adapting training to the Afghan context. Exploring meaning perspectives and communicative learning could enhance understanding of these factors for both expatriate and Afghan physiotherapists and should be a focus in future development activities.

MedEx: a medication information extraction system for clinical narratives

PubMed Central

Stenner, Shane P; Doan, Son; Johnson, Kevin B; Waitman, Lemuel R; Denny, Joshua C

2010-01-01

Medication information is one of the most important types of clinical data in electronic medical records. It is critical for healthcare safety and quality, as well as for clinical research that uses electronic medical record data. However, medication data are often recorded in clinical notes as free-text. As such, they are not accessible to other computerized applications that rely on coded data. We describe a new natural language processing system (MedEx), which extracts medication information from clinical notes. MedEx was initially developed using discharge summaries. An evaluation using a data set of 50 discharge summaries showed it performed well on identifying not only drug names (F-measure 93.2%), but also signature information, such as strength, route, and frequency, with F-measures of 94.5%, 93.9%, and 96.0% respectively. We then applied MedEx unchanged to outpatient clinic visit notes. It performed similarly with F-measures over 90% on a set of 25 clinic visit notes. PMID:20064797

Advanced Development and Dissemination of EMERSE for Cancer Phenotyping from Medical Records | Informatics Technology for Cancer Research (ITCR)

Cancer.gov

The increasing use of electronic health records (EHRs) by cancer centers nationwide has led to the tremendous growth of repositories containing unstructured, free text notes. These notes include clinical concepts that cannot be found anywhere else in the EHR, and these concepts are needed to characterize a patient’s specific ‘phenotype’.

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship.

PubMed

Bell, Sigall K; Mejilla, Roanne; Anselmo, Melissa; Darer, Jonathan D; Elmore, Joann G; Leveille, Suzanne; Ngo, Long; Ralston, James D; Delbanco, Tom; Walker, Jan

2017-04-01

Patient advocates and safety experts encourage adoption of transparent health records, but sceptics worry that shared notes may offend patients, erode trust or promote defensive medicine. As electronic health records disseminate, such disparate views fuel policy debates about risks and benefits of sharing visit notes with patients through portals. Presurveys and postsurveys from 99 volunteer doctors at three US sites who participated in OpenNotes and postsurveys from 4592 patients who read at least one note and submitted a survey. Patients read notes to be better informed and because they were curious; about a third read them to check accuracy. In total, 7% (331) of patients reported contacting their doctor's office about their note. Of these, 29% perceived an error, and 85% were satisfied with its resolution. Nearly all patients reported feeling better (37%) or the same (62%) about their doctor. Patients who were older (>63), male, non-white, had fair/poor self-reported health or had less formal education were more likely to report feeling better about their doctor. Among doctors, 26% anticipated documentation errors, and 44% thought patients would disagree with notes. After a year, 53% believed patient satisfaction increased, and 51% thought patients trusted them more. None reported ordering more tests or referrals. Despite concerns about errors, offending language or defensive practice, transparent notes overall did not harm the patient-doctor relationship. Rather, doctors and patients perceived relational benefits. Traditionally more vulnerable populations-non-white, those with poorer self-reported health and those with fewer years of formal education-may be particularly likely to feel better about their doctor after reading their notes. Further informing debate about OpenNotes, the findings suggest transparent records may improve patient satisfaction, trust and safety. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

The Use of Prehospital Ketamine for Control of Agitation in a Metropolitan Firefighter-based EMS System.

PubMed

Keseg, David; Cortez, Eric; Rund, Douglas; Caterino, Jeffrey

2015-01-01

Abstract Introduction. Prehospital personnel frequently encounter agitated, combative, and intoxicated patients in the field. In recent years, ketamine has been described as an effective sedative agent to treat such patients; however, a paucity of research exists describing the use of prehospital ketamine. The objective of this study was to provide a descriptive analysis of the Columbus Division of Fire's experience with utilizing ketamine in the prehospital setting. We hypothesized that ketamine administration improves patient condition, is effective at sedating patients, and does not result in endotracheal intubation in the prehospital setting or in the emergency department (ED). Methods. We conducted a retrospective cohort chart review of Columbus Division of Fire patient care reports and hospital records from destination hospitals in the central Ohio region between October 2010 and October 2012. All patients receiving ketamine administered by Columbus Division of Fire personnel for sedation were included. Patients 17 years and younger were excluded. The primary outcome was the percentage of patients noted to have an "improved" condition recorded in the data field of the patient care report. The secondary outcomes were the effectiveness of sedation and the performance of endotracheal intubation. Results. A total of 36 patients met inclusion criteria over the study period. Data were available on 35 patients for analysis. The mean IV dose of ketamine was 138 mg (SD = 59.5, 100-200). The mean IM dose of ketamine was 324 mg (SD = 120, 100-500). Prehospital records noted an improvement in patient condition after ketamine administration in 32 cases (91%, 95% CI 77-98%). Six patients required sedation post-ketamine administration either by EMS (2) or in the ED (4) (17%, 95% CI 6.5-34%). Endotracheal intubation was performed in eight (23%, 95% CI 10-40%) patients post-ketamine administration. Conclusion. We found that in a cohort of patients administered ketamine, paramedics reported a subjective improvement in patient condition. Endotracheal intubation was performed in 8 patients.

Speed and Accuracy of Absolute Pitch Judgments: Some Latter-Day Results.

ERIC Educational Resources Information Center

Carroll, John B.

Nine subjects, 5 of whom claimed absolute pitch (AP) ability were instructed to rapidly strike notes on the piano to match randomized tape-recorded piano notes. Stimulus set sizes were 64, 16, or 4 consecutive semitones, or 7 diatonic notes of a designated octave. A control task involved motor movements to notes announced in advance. Accuracy,…

Data from clinical notes: a perspective on the tension between structure and flexible documentation

PubMed Central

Denny, Joshua C; Xu, Hua; Lorenzi, Nancy; Stead, William W; Johnson, Kevin B

2011-01-01

Clinical documentation is central to patient care. The success of electronic health record system adoption may depend on how well such systems support clinical documentation. A major goal of integrating clinical documentation into electronic heath record systems is to generate reusable data. As a result, there has been an emphasis on deploying computer-based documentation systems that prioritize direct structured documentation. Research has demonstrated that healthcare providers value different factors when writing clinical notes, such as narrative expressivity, amenability to the existing workflow, and usability. The authors explore the tension between expressivity and structured clinical documentation, review methods for obtaining reusable data from clinical notes, and recommend that healthcare providers be able to choose how to document patient care based on workflow and note content needs. When reusable data are needed from notes, providers can use structured documentation or rely on post-hoc text processing to produce structured data, as appropriate. PMID:21233086

Notes From the Field: Direct Observation Versus Rating by Videos for the Assessment of Central Venous Catheterization Skills.

PubMed

Ma, Irene W Y; Zalunardo, Nadia; Brindle, Mary E; Hatala, Rose; McLaughlin, Kevin

2015-09-01

Blinded assessments of technical skills using video-recordings may offer more objective assessments than direct observations. This study seeks to compare these two modalities. Two trained assessors independently assessed 18 central venous catheterization performances by direct observation and video-recorded assessments using two tools. Although sound quality was deemed adequate in all videos, portions of the video for wire handling and drape handling were frequently out of view (n = 13, 72% for wire-handling; n = 17, 94% for drape-handling). There were no differences in summary global rating scores, checklist scores, or pass/fail decisions for either modality (p > 0.05). Inter-rater reliability was acceptable for both modalities. Of the 26 discrepancies identified between direct observation and video-recorded assessments, three discrepancies (12%) were due to inattention during video review, while one (4%) discrepancy was due to inattention during direct observation. In conclusion, although scores did not differ between the two assessment modalities, techniques of video-recording may significantly impact individual items of assessments. © The Author(s) 2014.

Note-taking in the employment interview: effects on recall and judgments.

PubMed

Middendorf, Catherine Houdek; Macan, Therese Hoff

2002-04-01

Although note-taking in the employment interview is highly recommended, little research has examined its effects. This study investigated the effects of note-taking styles, review of the notes, and content of the notes on participants' cued recall of information and decisions made from videotaped employment interviews. Note-taking increased recall accuracy but not judgment accuracy. Being able to review notes resulted in increased judgment accuracy for those taking conventional-style notes. The content of the notes also had important implications for conventional note-takers, suggesting some benefits of recording notes using the key-points style. The findings suggest that the act of note-taking may be more important for memory and legal reasons than for improving the decisions made by interviewers.

39 CFR 230.14 - Who owns the written or recorded notes, memoranda, reports, and transcriptions made pursuant to...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Who owns the written or recorded notes, memoranda, reports, and transcriptions made pursuant to an official investigation, audit, or review conducted by an employee of the Office of Inspector General? 230.14 Section 230.14 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION...

A brief look at the Odonata from the Páramo ecosystems in Colombia, with the descriptions of Oxyallagma colombianum sp. nov. and Rhionaeschna caligo sp. nov. (Odonata: Coenagrionidae, Aeshnidae, Libellulidae).

PubMed

Bota-Sierra, Cornelio Andrés

2014-08-22

Here I present the results of field work and collections of Odonata made in several páramos of Colombia between 2007 and 2014. Two undescribed species, in the genera Oxyallagma Kennedy, 1920, and Rhionaeschna Förster, 1909, respectively, were found, as well as two species not previously recorded from Colombia: Rhionaeschna peralta (Ris, 1918) and Oxyallagma dissidens (Selys, 1876). Descriptions and diagnoses of the new species, photographs, maps, illustrations, natural history notes, and comments on morphological plasticity are presented.

Highly Structured Duets in the Song of the South American Hornero

NASA Astrophysics Data System (ADS)

Laje, Rodrigo; Mindlin, Gabriel B.

2003-12-01

The South American Hornero (Furnarius rufus) is a suboscine bird widely known for its mud-made, oven-looking nest. Beyond their architectural skills, the male and female Horneros sing in highly structured duets. The analysis of field recordings reported in this work reveals that as the male increases the note production rate the female responds by switching to different locking states: the ones predicted by the theory of nonlinear forced oscillators. This gives the duet a most appealing rhythm, and unveils the nonlinear nature of the underlying brain activity needed to generate the song.

Ionospheric and Birkeland current distributions inferred from the MAGSAT magnetometer data

NASA Technical Reports Server (NTRS)

Zanetti, L. J.; Potemra, T. A.; Baumjohann, W.

1983-01-01

Ionospheric and field-aligned sheet current density distributions are presently inferred by means of MAGSAT vector magnetometer data, together with an accurate magnetic field model. By comparing Hall current densities inferred from the MAGSAT data and those inferred from simultaneously recorded ground based data acquired by the Scandinavian magnetometer array, it is determined that the former have previously been underestimated due to high damping of magnetic variations with high spatial wave numbers between the ionosphere and the MAGSAT orbit. Among important results of this study is noted the fact that the Birkeland and electrojet current systems are colocated. The analyses have shown a tendency for triangular rather than constant electrojet current distributions as a function of latitude, consistent with the statistical, uniform regions 1 and 2 Birkeland current patterns.

Automated Extraction and Classification of Cancer Stage Mentions fromUnstructured Text Fields in a Central Cancer Registry

PubMed Central

AAlAbdulsalam, Abdulrahman K.; Garvin, Jennifer H.; Redd, Andrew; Carter, Marjorie E.; Sweeny, Carol; Meystre, Stephane M.

2018-01-01

Cancer stage is one of the most important prognostic parameters in most cancer subtypes. The American Joint Com-mittee on Cancer (AJCC) specifies criteria for staging each cancer type based on tumor characteristics (T), lymph node involvement (N), and tumor metastasis (M) known as TNM staging system. Information related to cancer stage is typically recorded in clinical narrative text notes and other informal means of communication in the Electronic Health Record (EHR). As a result, human chart-abstractors (known as certified tumor registrars) have to search through volu-minous amounts of text to extract accurate stage information and resolve discordance between different data sources. This study proposes novel applications of natural language processing and machine learning to automatically extract and classify TNM stage mentions from records at the Utah Cancer Registry. Our results indicate that TNM stages can be extracted and classified automatically with high accuracy (extraction sensitivity: 95.5%–98.4% and classification sensitivity: 83.5%–87%). PMID:29888032

Automated Extraction and Classification of Cancer Stage Mentions fromUnstructured Text Fields in a Central Cancer Registry.

PubMed

AAlAbdulsalam, Abdulrahman K; Garvin, Jennifer H; Redd, Andrew; Carter, Marjorie E; Sweeny, Carol; Meystre, Stephane M

2018-01-01

Cancer stage is one of the most important prognostic parameters in most cancer subtypes. The American Joint Com-mittee on Cancer (AJCC) specifies criteria for staging each cancer type based on tumor characteristics (T), lymph node involvement (N), and tumor metastasis (M) known as TNM staging system. Information related to cancer stage is typically recorded in clinical narrative text notes and other informal means of communication in the Electronic Health Record (EHR). As a result, human chart-abstractors (known as certified tumor registrars) have to search through volu-minous amounts of text to extract accurate stage information and resolve discordance between different data sources. This study proposes novel applications of natural language processing and machine learning to automatically extract and classify TNM stage mentions from records at the Utah Cancer Registry. Our results indicate that TNM stages can be extracted and classified automatically with high accuracy (extraction sensitivity: 95.5%-98.4% and classification sensitivity: 83.5%-87%).

Measuring the frequency of functional gastrointestinal disorders in rural Crete: a need for improving primary care physicians' diagnostic skills.

PubMed

Lionis, Christos; Olsen-Faresjo, Ashild; Anastasiou, Foteini; Wallander, Mari-Ann; Johansson, Saga; Faresjo, Tomas

2005-01-01

Studies of the frequency and aetiology of functional gastrointestinal disorders in the general population have received increasing interest over the past few years; the field seems to be neglected in Southern Europe. The aim of this study was to report on the frequency of functional dyspepsia (FD), irritable bowel syndrome (IBS) and gastroenteritis within the primary care setting, to provide some information on the extent to which the recorded diagnoses in the physicians' notes fulfil existing diagnostic criteria. A retrospective study was used, where all new cases of these diseases at five primary health care centres in three rural and two semi-rural areas of Crete were identified by scrutinizing medical records from 280,000 consecutive visits during a 4 year period. The occurrence rate per 1000 person-years were calculated for the three conditions. We also checked the extent to which the Talley's criteria for FD and Rome II diagnostic criteria for IBS were followed. Gastroenteritis was revealed to be a quite frequent health problem among the rural population on Crete, while the occurrence rates for other problems, such as dyspepsia and IBS, were found to be lower than expected. IBS was over-represented among women compared with men, OR 2.04 (CI 1.39-3.00). In many cases a diagnosis of FD, IBS or gastroenteritis was evident to the research team on the basis of findings recorded in the notes, but the diagnosis was not recorded by the clinician at the time of consultation. This study yielded two key messages: the first that gastroenteritis is still a frequent health problem, and the second that primary care physicians in rural Crete seem to fail in adequately diagnosing FD and IBS and need further training.

The essential SOAP note in an EHR age.

PubMed

Pearce, Patricia F; Ferguson, Laurie Anne; George, Gwen S; Langford, Cynthia A

2016-02-18

This article reviews the traditional Subjective, Objective, Assessment, and Plan (SOAP) note documentation format. The information in the SOAP note is useful to both providers and students for history taking and physical exam, and highlights the importance of including critical documentation details with or without an electronic health record.

Case Report Form Reporter: A Key Component for the Integration of Electronic Medical Records and the Electronic Data Capture System.

PubMed

Matsumura, Yasushi; Hattori, Atsushi; Manabe, Shiro; Takahashi, Daiyo; Yamamoto, Yuichiro; Murata, Taizo; Nakagawa, Akito; Mihara, Naoki; Takeda, Toshihiro

2017-01-01

To improve the efficiency of clinical research, we developed a system to integrate electronic medical records (EMRs) and the electronic data capture system (EDC). EDC is divided into case report form (CRF) reporter and CDMS with CRF receiver with data communication using the operational data model (ODM). The CRF reporter is incorporated into the EMR to share data witth the EMR. In the data transcription type, doctors enter data using a progress note template, which are transmitted to the reporter template. It then generates the ODM. In the direct record type, reporter templates open from the progress note and generate narrative text to make record in the progress note. The configuration files for a study are delivered from the contents server to minimize the setup. This system has been used for 15 clinical studies including 3 clinical trials. This system can save labor and financial costs in clinical research.

An Introduction to Natural Language Processing: How You Can Get More From Those Electronic Notes You Are Generating.

PubMed

Kimia, Amir A; Savova, Guergana; Landschaft, Assaf; Harper, Marvin B

2015-07-01

Electronically stored clinical documents may contain both structured data and unstructured data. The use of structured clinical data varies by facility, but clinicians are familiar with coded data such as International Classification of Diseases, Ninth Revision, Systematized Nomenclature of Medicine-Clinical Terms codes, and commonly other data including patient chief complaints or laboratory results. Most electronic health records have much more clinical information stored as unstructured data, for example, clinical narrative such as history of present illness, procedure notes, and clinical decision making are stored as unstructured data. Despite the importance of this information, electronic capture or retrieval of unstructured clinical data has been challenging. The field of natural language processing (NLP) is undergoing rapid development, and existing tools can be successfully used for quality improvement, research, healthcare coding, and even billing compliance. In this brief review, we provide examples of successful uses of NLP using emergency medicine physician visit notes for various projects and the challenges of retrieving specific data and finally present practical methods that can run on a standard personal computer as well as high-end state-of-the-art funded processes run by leading NLP informatics researchers.

Online access to doctors' notes: patient concerns about privacy.

PubMed

Vodicka, Elisabeth; Mejilla, Roanne; Leveille, Suzanne G; Ralston, James D; Darer, Jonathan D; Delbanco, Tom; Walker, Jan; Elmore, Joann G

2013-09-26

Offering patients online access to medical records, including doctors' visit notes, holds considerable potential to improve care. However, patients may worry about loss of privacy when accessing personal health information through Internet-based patient portals. The OpenNotes study provided patients at three US health care institutions with online access to their primary care doctors' notes and then collected survey data about their experiences, including their concerns about privacy before and after participation in the intervention. To identify patients' attitudes toward privacy when given electronic access to their medical records, including visit notes. The design used a nested cohort study of patients surveyed at baseline and after a 1-year period during which they were invited to read their visit notes through secure patient portals. Participants consisted of 3874 primary care patients from Beth Israel Deaconess Medical Center (Boston, MA), Geisinger Health System (Danville, PA), and Harborview Medical Center (Seattle, WA) who completed surveys before and after the OpenNotes intervention. The measures were patient-reported levels of concern regarding privacy associated with online access to visit notes. 32.91% of patients (1275/3874 respondents) reported concerns about privacy at baseline versus 36.63% (1419/3874 respondents) post-intervention. Baseline concerns were associated with non-white race/ethnicity and lower confidence in communicating with doctors, but were not associated with choosing to read notes or desire for continued online access post-intervention (nearly all patients with notes available chose to read them and wanted continued access). While the level of concern among most participants did not change during the intervention, 15.54% (602/3874 respondents, excluding participants who responded "don't know") reported more concern post-intervention, and 12.73% (493/3874 respondents, excluding participants who responded "don't know") reported less concern. When considering online access to visit notes, approximately one-third of patients had concerns about privacy at baseline and post-intervention. These perceptions did not deter participants from accessing their notes, suggesting that the benefits of online access to medical records may outweigh patients' perceived risks to privacy.

Online Access to Doctors' Notes: Patient Concerns About Privacy

PubMed Central

Mejilla, Roanne; Leveille, Suzanne G; Ralston, James D; Darer, Jonathan D; Delbanco, Tom; Walker, Jan; Elmore, Joann G

2013-01-01

Background Offering patients online access to medical records, including doctors’ visit notes, holds considerable potential to improve care. However, patients may worry about loss of privacy when accessing personal health information through Internet-based patient portals. The OpenNotes study provided patients at three US health care institutions with online access to their primary care doctors’ notes and then collected survey data about their experiences, including their concerns about privacy before and after participation in the intervention. Objective To identify patients’ attitudes toward privacy when given electronic access to their medical records, including visit notes. Methods The design used a nested cohort study of patients surveyed at baseline and after a 1-year period during which they were invited to read their visit notes through secure patient portals. Participants consisted of 3874 primary care patients from Beth Israel Deaconess Medical Center (Boston, MA), Geisinger Health System (Danville, PA), and Harborview Medical Center (Seattle, WA) who completed surveys before and after the OpenNotes intervention. The measures were patient-reported levels of concern regarding privacy associated with online access to visit notes. Results 32.91% of patients (1275/3874 respondents) reported concerns about privacy at baseline versus 36.63% (1419/3874 respondents) post-intervention. Baseline concerns were associated with non-white race/ethnicity and lower confidence in communicating with doctors, but were not associated with choosing to read notes or desire for continued online access post-intervention (nearly all patients with notes available chose to read them and wanted continued access). While the level of concern among most participants did not change during the intervention, 15.54% (602/3874 respondents, excluding participants who responded “don’t know”) reported more concern post-intervention, and 12.73% (493/3874 respondents, excluding participants who responded “don’t know”) reported less concern. Conclusions When considering online access to visit notes, approximately one-third of patients had concerns about privacy at baseline and post-intervention. These perceptions did not deter participants from accessing their notes, suggesting that the benefits of online access to medical records may outweigh patients’ perceived risks to privacy. PMID:24072335

Field Note--From MSW to J-O-B: Using Field Seminar to Prepare Students for Employment

ERIC Educational Resources Information Center

Deck, Stacy M.; Miller, Justin Jay; Conley, Cynthia L.

2017-01-01

Social work field education is expected to help students transition from the classroom to the practice setting. Yet, few social work programs adequately provide career development support to increase students' employability. This Field Note presents practical, relevant and immediate strategies for implementing the MSW to J-O-B curriculum…

Heuristic evaluation of eNote: an electronic notes system.

PubMed

Bright, Tiffani J; Bakken, Suzanne; Johnson, Stephen B

2006-01-01

eNote is an electronic health record (EHR) system based on semi-structured narrative documents. A heuristic evaluation was conducted with a sample of five usability experts. eNote performed highly in: 1)consistency with standards and 2)recognition rather than recall. eNote needs improvement in: 1)help and documentation, 2)aesthetic and minimalist design, 3)error prevention, 4)helping users recognize, diagnosis, and recover from errors, and 5)flexibility and efficiency of use. The heuristic evaluation was an efficient method of evaluating our interface.

Using Guided Notes to Increase the Understanding of Anatomy and Physiology in 11th Grade Science Students

NASA Astrophysics Data System (ADS)

Mariano, Jay

A survey of over 500 science teachers reported that two thirds of their science classes were lecture based lessons where students were required to listen and take notes (Boyle, 2010). In addition to taking notes from lectures, note taking is a necessary skill to possess to record scientific observations and procedures and record information during class. Guided notes is a pedagogical method in which the instructor prepares and provides students with a modified form of lecture information to guide students (Neef, McCord, & Ferreri, 2006). This study examined the extent to which the use of guided notes in a unit of study of the muscular system of anatomy and physiology positively affected the mastery on content-based assessments for 11 th grade students. The data collection methods included quiz and test scores, a 4-point Likert scale survey, and an open-ended questionnaire. Results of the data revealed that guided notes was one factor that led to mastery in learning content. Additionally, students in this study preferred this method as it helped them to distinguish relevant information allowing more time to listen and focus on the teacher.

A pilot study on the evaluation of medical student documentation: assessment of SOAP notes.

PubMed

Seo, Ji-Hyun; Kong, Hyun-Hee; Im, Sun-Ju; Roh, HyeRin; Kim, Do-Kyong; Bae, Hwa-Ok; Oh, Young-Rim

2016-06-01

The purpose of this study was evaluation of the current status of medical students' documentation of patient medical records. We checked the completeness, appropriateness, and accuracy of 95 Subjective-Objective-Assessment-Plan (SOAP) notes documented by third-year medical students who participated in clinical skill tests on December 1, 2014. Students were required to complete the SOAP note within 15 minutes of an standard patient (SP)-encounter with a SP complaining rhinorrhea and warring about meningitis. Of the 95 SOAP notes reviewed, 36.8% were not signed. Only 27.4% documented the patient's symptoms under the Objective component, although all students completed the Subjective notes appropriately. A possible diagnosis was assessed by 94.7% students. Plans were described in 94.7% of the SOAP notes. Over half the students planned workups (56.7%) for diagnosis and treatment (52.6%). Accurate documentation of the symptoms, physical findings, diagnoses, and plans were provided in 78.9%, 9.5%, 62.1%, and 38.0% notes, respectively. Our results showed that third-year medical students' SOAP notes were not complete, appropriate, or accurate. The most significant problems with completeness were the omission of students' signatures, and inappropriate documentation of the physical examinations conducted. An education and assessment program for complete and accurate medical recording has to be developed.

75 FR 71092 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-22

... (DIBRS); 18 U.S.C. 922 note, The Brady Handgun Violence Prevention Act; 28 U.S.C. 534 note, Uniform...: Delete entry and replace with ``Electronic storage media and file folders.'' Retrievability: Delete entry..., The Brady Handgun Violence Prevention Act; 28 U.S.C. 534 note, Uniform Federal Crime Reporting Act; 42...

36 CFR 1254.12 - Will NARA log or inspect my computer, other equipment, and notes?

Code of Federal Regulations, 2012 CFR

2012-07-01

... computer, other equipment, and notes? 1254.12 Section 1254.12 Parks, Forests, and Public Property NATIONAL... MATERIALS General Information § 1254.12 Will NARA log or inspect my computer, other equipment, and notes? (a) If you bring personal computers, scanners, tape recorders, cameras, and other equipment into our...

36 CFR 1254.12 - Will NARA log or inspect my computer, other equipment, and notes?

Code of Federal Regulations, 2014 CFR

2014-07-01

... computer, other equipment, and notes? 1254.12 Section 1254.12 Parks, Forests, and Public Property NATIONAL... MATERIALS General Information § 1254.12 Will NARA log or inspect my computer, other equipment, and notes? (a) If you bring personal computers, scanners, tape recorders, cameras, and other equipment into our...

36 CFR 1254.12 - Will NARA log or inspect my computer, other equipment, and notes?

Code of Federal Regulations, 2011 CFR

2011-07-01

... computer, other equipment, and notes? 1254.12 Section 1254.12 Parks, Forests, and Public Property NATIONAL... MATERIALS General Information § 1254.12 Will NARA log or inspect my computer, other equipment, and notes? (a) If you bring personal computers, scanners, tape recorders, cameras, and other equipment into our...

36 CFR 1254.12 - Will NARA log or inspect my computer, other equipment, and notes?

Code of Federal Regulations, 2010 CFR

2010-07-01

... computer, other equipment, and notes? 1254.12 Section 1254.12 Parks, Forests, and Public Property NATIONAL... MATERIALS General Information § 1254.12 Will NARA log or inspect my computer, other equipment, and notes? (a) If you bring personal computers, scanners, tape recorders, cameras, and other equipment into our...

"This Is How We Work Here": Informal Logic and Social Order in Primary Health Care Services in Mexico City.

PubMed

Saavedra, Nayelhi Itandehui; Berenzon, Shoshana; Galván, Jorge

2017-07-01

People who work in health care facilities participate in a shared set of tacit agreements, attitudes, habits, and behaviors that contribute to the functioning of those institutions, but that can also cause conflict. This phenomenon has been addressed tangentially in the study of bureaucratic practices in governmental agencies, but it has not been carefully explored in the specific context of public health care centers. To this end, we analyzed a series of encounters among staff and patients, as well as the situations surrounding the services offered, in public primary care health centers in Mexico City, based on Erving Goffman's concepts of social order, encounter, and situation, and on the concepts of formal and informal logic. In a descriptive study over the course of 2 years, we carried out systematic observations in 19 health centers and conducted interviews with medical, technical, and administrative staff, and psychologists, social workers, and patients. We recorded these observations in field notes and performed reflexive analysis with readings on three different levels. Interviews were recorded, transcribed, and analyzed through identification of thematic categories and subcategories. Information related to encounters and situations from field notes and interviews was selected to triangulate the materials. We found the social order prevailing among staff to be based on a combination of status markers, such as educational level, seniority, and employee versus contractor status, which define the distribution of workloads, material resources, and space. Although this system generates conflicts, it also contributes to the smooth functioning of the health centers. The daily encounters and situations in all of these health centers allow for a set of informal practices that provide a temporary resolution of the contradictions posed by the institution for its workers.

Understanding Pain and Pain Management in Elderly Nursing Home Patients Applying an Interprofessional Learning Activity in Health Care Students: A Norwegian Pilot Study.

PubMed

Damsgård, Elin; Solgård, Hege; Johannessen, Karin; Wennevold, Katrine; Kvarstein, Gunnvald; Pettersen, Gunn; Garcia, Beate

2018-05-17

Pain is common among elderly patients in nursing homes. However, pain assessment and treatment are inadequate. Interprofessional treatment is recommended, and consequently interprofessional education in pain management is necessary. This pilot project aimed to describe how two interprofessional groups of students approached pain management in two nursing home patients. We formed two teams comprising one student from the nursing, physical therapy, pharmacy, and medical educations. Each team spent one day examining a patient with chronic pain at a nursing home and they developed pain management plans. We collected data through video recordings during teamwork before and after examining the patients and field notes during the patient examination. We analysed the video-recordings applying the seven-step model including 1) viewing the video data, 2) describing the video data, 3) identifying critical events, 4) transcribing, 5) coding, 6) constructing storyline and 7) composing a narrative. Field notes supplied the transcripts. Both teams succeeded in making a pain management plan for their patient. The common examination of the patient was crucial for the students' approaches to pain management and changed their pre-assumptions about the patients' pain. By sharing knowledge and reflecting together, the students reached a common consensus on suggestions for management of the patients' problems. Interprofessional collaboration fostered enthusiasm and a more holistic pain management approach. However,students' lack of knowledge limited their understanding of pain. Knowledge of pain management in nursing home patients and the practice of interprofessional cooperation should be included in pain curricula for health care professionals. Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

28 CFR 4.13 - Record for decision. Receipt of documents comprising record; timing and extension.

Code of Federal Regulations, 2010 CFR

2010-07-01

... comprising record; timing and extension. 4.13 Section 4.13 Judicial Administration DEPARTMENT OF JUSTICE... DISCLOSURE ACT OF 1959, AND THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 § 4.13 Record for decision... and reasons therefor will be noted in the record. ...

Experience affects immediate early gene expression in response to conspecific call notes in black-capped chickadees (Poecile atricapillus).

PubMed

Hahn, Allison H; Guillette, Lauren M; Lee, Daniel; McMillan, Neil; Hoang, John; Sturdy, Christopher B

2015-01-01

Black-capped chickadees (Poecile atricapillus) produce numerous vocalizations, including the acoustically complex chick-a-dee call that is composed of A, B, C, and D notes. D notes are longer in duration and lower in frequency than the other note types and contain information regarding flock and species identification. Adult wild-caught black-capped chickadees have been shown to have similar amounts of immediate early gene (IEG) expression following playback of vocalizations with harmonic-like acoustic structure, similar to D notes. Here we examined how different environmental experiences affect IEG response to conspecific D notes. We hand-reared black-capped chickadees under three conditions: (1) with adult conspecifics, (2) with adult heterospecific mountain chickadees, and (3) without adults. We presented all hand-reared birds and a control group of field-reared black-capped chickadees, with conspecific D notes and quantified IEG expression in the caudomedial mesopallium (CMM) and caudomedial nidopallium (NCM). We found that field-reared birds that heard normal D notes had a similar neural response as a group of field-reared birds that heard playback of reversed D notes. Field-reared birds that heard normal D notes also had a similar neural response as birds reared with adult conspecifics. Birds reared without adults had a significantly reduced IEG response, whereas the IEG expression in birds reared with heterospecifics was at intermediate levels between birds reared with conspecifics and birds reared without adults. Although acoustic characteristics have been shown to drive IEG expression, our results demonstrate that experience with adults or normal adult vocalizations is also an important factor. Copyright © 2015 Elsevier B.V. All rights reserved.

A Natural Language Processing System That Links Medical Terms in Electronic Health Record Notes to Lay Definitions: System Development Using Physician Reviews

PubMed Central

Druhl, Emily; Polepalli Ramesh, Balaji; Houston, Thomas K; Brandt, Cynthia A; Zulman, Donna M; Vimalananda, Varsha G; Malkani, Samir; Yu, Hong

2018-01-01

Background Many health care systems now allow patients to access their electronic health record (EHR) notes online through patient portals. Medical jargon in EHR notes can confuse patients, which may interfere with potential benefits of patient access to EHR notes. Objective The aim of this study was to develop and evaluate the usability and content quality of NoteAid, a Web-based natural language processing system that links medical terms in EHR notes to lay definitions, that is, definitions easily understood by lay people. Methods NoteAid incorporates two core components: CoDeMed, a lexical resource of lay definitions for medical terms, and MedLink, a computational unit that links medical terms to lay definitions. We developed innovative computational methods, including an adapted distant supervision algorithm to prioritize medical terms important for EHR comprehension to facilitate the effort of building CoDeMed. Ten physician domain experts evaluated the user interface and content quality of NoteAid. The evaluation protocol included a cognitive walkthrough session and a postsession questionnaire. Physician feedback sessions were audio-recorded. We used standard content analysis methods to analyze qualitative data from these sessions. Results Physician feedback was mixed. Positive feedback on NoteAid included (1) Easy to use, (2) Good visual display, (3) Satisfactory system speed, and (4) Adequate lay definitions. Opportunities for improvement arising from evaluation sessions and feedback included (1) improving the display of definitions for partially matched terms, (2) including more medical terms in CoDeMed, (3) improving the handling of terms whose definitions vary depending on different contexts, and (4) standardizing the scope of definitions for medicines. On the basis of these results, we have improved NoteAid’s user interface and a number of definitions, and added 4502 more definitions in CoDeMed. Conclusions Physician evaluation yielded useful feedback for content validation and refinement of this innovative tool that has the potential to improve patient EHR comprehension and experience using patient portals. Future ongoing work will develop algorithms to handle ambiguous medical terms and test and evaluate NoteAid with patients. PMID:29358159

Field Botany and Creative Writing: Where the Science of Writing Meets the Writing of Science

ERIC Educational Resources Information Center

Killingbeck, Keith

2006-01-01

Merging science and writing to enhance both subjects was the objective of a venture known as "Plant Notes." At first, teacher-written notes served as the inspiration for this writing assignment. Later, eclectic student-written novellas, poems, song lyrics, mnemonic devices, and field trip recollections made their way into "Plant Notes" and stole…

Documentation of medication changes in inpatient clinical notes: an audit to support quality improvement.

PubMed

Peusschers, Elsie; Twine, Jaryth; Wheeler, Amanda; Moudgil, Vikas; Patterson, Sue

2015-04-01

To describe completeness and accuracy of recording medication changes in progress notes during psychiatric inpatient admissions. A retrospective audit of records of 54 randomly selected psychiatric admissions at a metropolitan tertiary hospital. Medication changes recorded on National Inpatient Medication Chart (NIMC) were compared to documentation in the clinical progress records and assessed for completeness against seven quality criteria. With between one and 32 medication changes per admission, a total of 519 changes were recorded in NIMCs. Just over half were documented in progress notes. Psychotropic and regular medications were more frequently charted than 'other' and 'if required' medications. Documentation was seldom comprehensive. Medication name was most frequently documented; desired therapeutic effect or potential adverse effects were rarely documented. Evidence of patient involvement in, and an explicit rationale for, a change were infrequently recorded. Revealing substantial gaps in communication about medication changes during psychiatric admission, this audit sheds light on a previously undescribed source of medication error, warranting attention. Further research is needed to examine barriers to best practice, to support design and implementation of quality improvement activities but in the interim, attention should be addressed to development and articulation of content and procedures for documentation. © The Royal Australian and New Zealand College of Psychiatrists 2015.

Front-Row Seat at the IPY: The Field Notes Electronic Newsletter

NASA Astrophysics Data System (ADS)

Rithner, P. K.; Zager, S. D.; Garcia-Lavigne, D. N.

2007-12-01

As employees of Polar Field Services/VPR, the arctic logistics provider to the US National Science Foundation, we bear witness to the exploration, documentation, and celebration of the International Polar Year (IPY). Our front- row vantage point (logisticians working with field scientists) offers us a rare opportunity to report on developments at the frontiers of polar research and to describe how scientists work in the Arctic. Our reporting mechanism is field notes, a weekly (summer) to monthly (winter) electronic digest of information about the IPY research we support. Each issue showcases a short "cover" piece highlighting science projects or profiling arctic program participants. In addition, field notes offers news updates, short interviews, and blog-style dispatches contributed by researchers and support personnel. Wherever possible, we include URLs so readers may find more information via the Web: we link to an online database of projects we maintain for the NSF, to university Web sites, project blogs, and so on. We aim to inform the interested layperson about the myriad of activity in the IPY. We like to show that arctic science is interesting, relevant--and a great adventure. We've found field notes to be an excellent outreach venue. By no means a slick media outlet, field notes is published "on the side" by a small but dedicated group of employees who are endlessly fascinated by, and who enjoy an engaging perspective on, contemporary arctic research. Newsletter

Record keeping in Norwegian general practice.

PubMed

Lönberg, N C; Bentsen, B G

1984-11-01

Routines of medical record keeping were studied in a random sample of 50 out of 228 general practitioners in two counties, Möre & Romsdal and Sör-Tröndelag. One doctor refused to participate and one had retired. The 48 physicians were interviewed and a questionnaire was completed with details about their record keeping. The standard of the records was assessed according to legibility, quality of notes, past history and tidiness using a score system. All general practitioners had records for every patient, but the quality of the records varied considerably. More than 50 per cent used handwriting in progress notes, which varied from diagnostic labels to extended reports. Few records contained accessible background information about the patient concerned, and many records contained large amounts of old and irrelevant papers. The record-scores varied from 3 to maximum 10 with an average of 6.7. Higher Standards of recording in general practice are called for, since the quality of records does not only affect the individual patient, but, in the end, the quality of medical care in general.

Evaluation of audit of medical inpatient records in a district general hospital.

PubMed Central

Gabbay, J; Layton, A J

1992-01-01

OBJECTIVE--To evaluate an audit of medical inpatient records. DESIGN--Retrospective comparison of the quality of recording in inpatients' notes over three years (1988, 1989, 1990). SETTING--Central Middlesex Hospital. MATERIALS--Random sample of 188 notes per year drawn systematically from notes from four selected one month periods and audited by two audit nurses and most hospital physicians. MAIN MEASURES--General quality of routine clerking, assessment, clinical management, and discharge, according to a standardised, criterion based questionnaire developed in the hospital. RESULTS--1988 was the year preceding the start of audit in the hospital, 1989 the year of active audit with implicit and loosely defined criteria, and 1990 the year after introduction and circulation of explicit criteria for note keeping. There was a significant trend over the three years in 21/56 items of the questionnaire, including recording of alcohol intake (x2 = 8.4, df = 1, p = 0.01), ethnic origin (x2 = 57, df = 1, p = 0.001), allergies and drug reactions (x2 = 10, df = 1, p = 0.01) at admission and of chest x ray findings (x2 = 8, df = 1, p = 0.01), final diagnosis (x2 = 5.6, df = 1, p = 0.025), and signed entries (x2 = 11.3, df = 1, p = 0.001). Documentation of discharge and notification of discharge to general practitioners was not significantly improved. CONCLUSIONS--Extended audit of note keeping failed to sustain an initial improvement in practice; this may be due to coincidental decline in feedback to doctors about their performance. PMID:10136829

Electronic health record systems in ophthalmology: impact on clinical documentation.

PubMed

Sanders, David S; Lattin, Daniel J; Read-Brown, Sarah; Tu, Daniel C; Wilson, David J; Hwang, Thomas S; Morrison, John C; Yackel, Thomas R; Chiang, Michael F

2013-09-01

To evaluate quantitative and qualitative differences in documentation of the ophthalmic examination between paper and electronic health record (EHR) systems. Comparative case series. One hundred fifty consecutive pairs of matched paper and EHR notes, documented by 3 attending ophthalmologist providers. An academic ophthalmology department implemented an EHR system in 2006. Database queries were performed to identify cases in which the same problems were documented by the same provider on different dates, using paper versus EHR methods. This was done for 50 consecutive pairs of examinations in 3 different diseases: age-related macular degeneration (AMD), glaucoma, and pigmented choroidal lesions (PCLs). Quantitative measures were used to compare completeness of documenting the complete ophthalmologic examination, as well as disease-specific critical findings using paper versus an EHR system. Qualitative differences in paper versus EHR documentation were illustrated by selecting representative paired examples. (1) Documentation score, defined as the number of examination elements recorded for the slit-lamp examination, fundus examination, and complete ophthalmologic examination and for critical clinical findings for each disease. (2) Paired comparison of qualitative differences in paper versus EHR documentation. For all 3 diseases (AMD, glaucoma, PCL), the number of complete examination findings recorded was significantly lower with paper than the EHR system (P ≤ 0.004). Among the 3 individual examination sections (general, slit lamp, fundus) for the 3 diseases, 5 of the 9 possible combinations had significantly lower mean documentation scores with paper than EHR notes. For 2 of the 3 diseases, the number of critical clinical findings recorded was significantly lower using paper versus EHR notes (P ≤ 0.022). All (150/150) paper notes relied on graphical representations using annotated hand-drawn sketches, whereas no (0/150) EHR notes contained drawings. Instead, the EHR systems documented clinical findings using textual descriptions and interpretations. There were quantitative and qualitative differences in the nature of paper versus EHR documentation of ophthalmic findings in this study. The EHR notes included more complete documentation of examination elements using structured textual descriptions and interpretations, whereas paper notes used graphical representations of findings. The author(s) have no proprietary or commercial interest in any materials discussed in this article. Copyright © 2013 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

32 CFR 806b.5 - Personal notes.

Code of Federal Regulations, 2011 CFR

2011-07-01

... retrieved by name or other personal identifier and at least one of the following three conditions apply: Keeping or destroying the records is not at the sole discretion of the author; the notes are required by...

Recorder Resources, Part 2

ERIC Educational Resources Information Center

Marshall, Herbert D.; VanHaaren, Peg

2006-01-01

This article provides teaching tips and materials related to recorder lesson. Teaching Recorder in the Music Classroom, by Fred Kersten, compiles more current recorder information than any other resource. In planning instruction, the major determining factor seems to be Rote or Note. This allows instructors to take familiar repertoire that…

The Botanic Mission to Mozambique (1942-1948): contributions to knowledge of the medicinal flora of Mozambique.

PubMed

Conde, Patrícia; Figueira, Rui; Saraiva, Susana; Catarino, Luís; Romeiras, Maria; Duarte, Maria Cristina

2014-01-01

This article reviews the historical and scientific findings of the Botanic Mission to Mozambique (1942-1948) under the Tropical Botanic Garden of the Instituto de Investigação Científica Tropical, in Lisbon, highlighting the collectors' field notes with the aim of identifying the traditional medicinal uses of Mozambican flora. Having collated information on 71 taxa (70 species and one genus), the medicinal usage of 34 species presumably not yet reported in Mozambique was identified, including five whose therapeutic use still had not yet been described in the African continent. Overall, 58 uses presumably not yet reported in Mozambique were recorded.

19 CFR 201.21 - Availability of specific records.

Code of Federal Regulations, 2010 CFR

2010-04-01

..., graphs, notes, charts, tabulations, data analysis, statistical or information accumulations, records of meetings and conversations, film impressions, magnetic tapes, and sound or mechanical reproductions; the...

Note-taking and Handouts in The Digital Age.

PubMed

Stacy, Elizabeth Moore; Cain, Jeff

2015-09-25

Most educators consider note-taking a critical component of formal classroom learning. Advancements in technology such as tablet computers, mobile applications, and recorded lectures are altering classroom dynamics and affecting the way students compose and review class notes. These tools may improve a student's ability to take notes, but they also may hinder learning. In an era of dynamic technology developments, it is important for educators to routinely examine and evaluate influences on formal and informal learning environments. This paper discusses key background literature on student note-taking, identifies recent trends and potential implications of mobile technologies on classroom note-taking and student learning, and discusses future directions for note-taking in the context of digitally enabled lifelong learning.

10 CFR 71.91 - Records.

Code of Federal Regulations, 2012 CFR

2012-01-01

... shall maintain, for a period of 3 years after the life of the packaging to which they apply, records... quality of packaging. The records to be maintained include results of the determinations required by § 71... any deficiencies noted. These records must be retained for 3 years after the life of the packaging to...

36 CFR 222.24 - Records.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 36 Parks, Forests, and Public Property 2 2013-07-01 2013-07-01 false Records. 222.24 Section 222... Mediation of Term Grazing Permit Disputes § 222.24 Records. Notes taken or factual material shared during mediation sessions shall not be included in the appeal record prepared in accordance with the procedures at...

New taxa and new records in Cerambycidae (Coleoptera) from the state of Bahia (Brazil) and notes on Meridiotroctes (Acanthoderini).

PubMed

Martins, Ubirajara R; Galileo, Maria Helena M; Santos-Silva, Antonio

2015-06-17

Twelve new species and two new genera are described from Bahia (Brazil): Ectenessa aurantiaca (Ectenessini); Stizocera lingafelteri (Elaphidiini); Raglicia monnei (Graciliini), new genus and species; Tobipuranga aspera (Heteropsini); Cicatrion unicolor, and Pygmodeon obscurum (Neoibidionini); Neophygopoda agdae (Rhinotragini); Arapari bellus (Trachyderini), new genus and species; Meridiotroctes obliquus (Acanthoderini); Melzerella inopinata (Aerenicini); Ceiupaba poranga, and Desmiphora (Desmiphora) nascimentoi (Desmiphorini). Notes on Meridiotroctes Martins & Galileo, 2007 and Cosmisoma brullei (Mulsant, 1862) are provided. Forty-eight species are recorded for the first time for Bahia (Brazil) including four species which are recorded for the first time for Brazil.

Use of an electronic problem list by primary care providers and specialists.

PubMed

Wright, Adam; Feblowitz, Joshua; Maloney, Francine L; Henkin, Stanislav; Bates, David W

2012-08-01

Accurate patient problem lists are valuable tools for improving the quality of care, enabling clinical decision support, and facilitating research and quality measurement. However, problem lists are frequently inaccurate and out-of-date and use varies widely across providers. Our goal was to assess provider use of an electronic problem list and identify differences in usage between medical specialties. Chart review of a random sample of 100,000 patients who had received care in the past two years at a Boston-based academic medical center. Counts were collected of all notes and problems added for each patient from 1/1/2002 to 4/30/2010. For each entry, the recording provider and the clinic in which the entry was recorded was collected. We used the Healthcare Provider Taxonomy Code Set to categorize each clinic by specialty. We analyzed the problem list use across specialties, controlling for note volume as a proxy for visits. A total of 2,264,051 notes and 158,105 problems were recorded in the electronic medical record for this population during the study period. Primary care providers added 82.3% of all problems, despite writing only 40.4% of all notes. Of all patients, 49.1% had an assigned primary care provider (PCP) affiliated with the hospital; patients with a PCP had an average of 4.7 documented problems compared to 1.5 problems for patients without a PCP. Primary care providers were responsible for the majority of problem documentation; surgical and medical specialists and subspecialists recorded a disproportionately small number of problems on the problem list.

1994 OTC spotlights fall on technology, world operations

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

Not Available

1994-05-09

Expanding offshore technical capabilities and growing international cooperation were the key-notes last week at the 26th Offshore Technology Conference (OTC) in Houston. Sponsored by the Society of Petroleum Engineers, sessions heard many of the 244 technical papers presented this year focus on field-ready technology considered crucial to more efficient, safer, environmentally sound offshore oil and gas operations. Economic development of satellite and marginal fields was the topic at special technical sessions on the conference's first two mornings. Three dimensional seismic technology was thoroughly discussed in a day-long series of papers presented during the gathering's third day. OTC 1994 topical luncheonsmore » included descriptions by Shell Offshore Inc. of its record setting auger field development project in the Gulf of Mexico, offshore turnkey drilling by a panel of drilling contractors, and the international exploration and production alliance formed in 1990 by BP Exploration and Den norske stats oljeselskap AS. Highlights of the melting are discussed.« less

36 CFR § 1254.12 - Will NARA log or inspect my computer, other equipment, and notes?

Code of Federal Regulations, 2013 CFR

2013-07-01

... computer, other equipment, and notes? § 1254.12 Section § 1254.12 Parks, Forests, and Public Property... HISTORICAL MATERIALS General Information § 1254.12 Will NARA log or inspect my computer, other equipment, and notes? (a) If you bring personal computers, scanners, tape recorders, cameras, and other equipment into...

Approaches to ascertaining comorbidity information: validation of routine hospital episode data with clinician-based case note review.

PubMed

Soo, Martin; Robertson, Lynn M; Ali, Tariq; Clark, Laura E; Fluck, Nicholas; Johnston, Marjorie; Marks, Angharad; Prescott, Gordon J; Smith, William Cairns S; Black, Corri

2014-04-21

In clinical practice, research, and increasingly health surveillance, planning and costing, there is a need for high quality information to determine comorbidity information about patients. Electronic, routinely collected healthcare data is capturing increasing amounts of clinical information as part of routine care. The aim of this study was to assess the validity of routine hospital administrative data to determine comorbidity, as compared with clinician-based case note review, in a large cohort of patients with chronic kidney disease. A validation study using record linkage. Routine hospital administrative data were compared with clinician-based case note review comorbidity data in a cohort of 3219 patients with chronic kidney disease. To assess agreement, we calculated prevalence, kappa statistic, sensitivity, specificity, positive predictive value and negative predictive value. Subgroup analyses were also performed. Median age at index date was 76.3 years, 44% were male, 67% had stage 3 chronic kidney disease and 31% had at least three comorbidities. For most comorbidities, we found a higher prevalence recorded from case notes compared with administrative data. The best agreement was found for cerebrovascular disease (κ = 0.80) ischaemic heart disease (κ = 0.63) and diabetes (κ = 0.65). Hypertension, peripheral vascular disease and dementia showed only fair agreement (κ = 0.28, 0.39, 0.38 respectively) and smoking status was found to be poorly recorded in administrative data. The patterns of prevalence across subgroups were as expected and for most comorbidities, agreement between case note and administrative data was similar. Agreement was less, however, in older ages and for those with three or more comorbidities for some conditions. This study demonstrates that hospital administrative comorbidity data compared moderately well with case note review data for cerebrovascular disease, ischaemic heart disease and diabetes, however there was significant under-recording of some other comorbid conditions, and particularly common risk factors.

Use of Electronic Health Record Simulation to Understand the Accuracy of Intern Progress Notes

PubMed Central

March, Christopher A.; Scholl, Gretchen; Dversdal, Renee K.; Richards, Matthew; Wilson, Leah M.; Mohan, Vishnu; Gold, Jeffrey A.

2016-01-01

Background With the widespread adoption of electronic health records (EHRs), there is a growing awareness of problems in EHR training for new users and subsequent problems with the quality of information present in EHR-generated progress notes. By standardizing the case, simulation allows for the discovery of EHR patterns of use as well as a modality to aid in EHR training. Objective To develop a high-fidelity EHR training exercise for internal medicine interns to understand patterns of EHR utilization in the generation of daily progress notes. Methods Three months after beginning their internship, 32 interns participated in an EHR simulation designed to assess patterns in note writing and generation. Each intern was given a simulated chart and instructed to create a daily progress note. Notes were graded for use of copy-paste, macros, and accuracy of presented data. Results A total of 31 out of 32 interns (97%) completed the exercise. There was wide variance in use of macros to populate data, with multiple macro types used for the same data category. Three-quarters of notes contained either copy-paste elements or the elimination of active medical problems from the prior days' notes. This was associated with a significant number of quality issues, including failure to recognize a lack of deep vein thrombosis prophylaxis, medications stopped on admission, and issues in prior discharge summary. Conclusions Interns displayed wide variation in the process of creating progress notes. Additional studies are being conducted to determine the impact EHR-based simulation has on standardization of note content. PMID:27168894

Use of Electronic Health Record Simulation to Understand the Accuracy of Intern Progress Notes.

PubMed

March, Christopher A; Scholl, Gretchen; Dversdal, Renee K; Richards, Matthew; Wilson, Leah M; Mohan, Vishnu; Gold, Jeffrey A

2016-05-01

Background With the widespread adoption of electronic health records (EHRs), there is a growing awareness of problems in EHR training for new users and subsequent problems with the quality of information present in EHR-generated progress notes. By standardizing the case, simulation allows for the discovery of EHR patterns of use as well as a modality to aid in EHR training. Objective To develop a high-fidelity EHR training exercise for internal medicine interns to understand patterns of EHR utilization in the generation of daily progress notes. Methods Three months after beginning their internship, 32 interns participated in an EHR simulation designed to assess patterns in note writing and generation. Each intern was given a simulated chart and instructed to create a daily progress note. Notes were graded for use of copy-paste, macros, and accuracy of presented data. Results A total of 31 out of 32 interns (97%) completed the exercise. There was wide variance in use of macros to populate data, with multiple macro types used for the same data category. Three-quarters of notes contained either copy-paste elements or the elimination of active medical problems from the prior days' notes. This was associated with a significant number of quality issues, including failure to recognize a lack of deep vein thrombosis prophylaxis, medications stopped on admission, and issues in prior discharge summary. Conclusions Interns displayed wide variation in the process of creating progress notes. Additional studies are being conducted to determine the impact EHR-based simulation has on standardization of note content.

From documents to datasets: A MediaWiki-based method of annotating and extracting species observations in century-old field notebooks

PubMed Central

Thomer, Andrea; Vaidya, Gaurav; Guralnick, Robert; Bloom, David; Russell, Laura

2012-01-01

Abstract Part diary, part scientific record, biological field notebooks often contain details necessary to understanding the location and environmental conditions existent during collecting events. Despite their clear value for (and recent use in) global change studies, the text-mining outputs from field notebooks have been idiosyncratic to specific research projects, and impossible to discover or re-use. Best practices and workflows for digitization, transcription, extraction, and integration with other sources are nascent or non-existent. In this paper, we demonstrate a workflow to generate structured outputs while also maintaining links to the original texts. The first step in this workflow was to place already digitized and transcribed field notebooks from the University of Colorado Museum of Natural History founder, Junius Henderson, on Wikisource, an open text transcription platform. Next, we created Wikisource templates to document places, dates, and taxa to facilitate annotation and wiki-linking. We then requested help from the public, through social media tools, to take advantage of volunteer efforts and energy. After three notebooks were fully annotated, content was converted into XML and annotations were extracted and cross-walked into Darwin Core compliant record sets. Finally, these recordsets were vetted, to provide valid taxon names, via a process we call “taxonomic referencing.” The result is identification and mobilization of 1,068 observations from three of Henderson’s thirteen notebooks and a publishable Darwin Core record set for use in other analyses. Although challenges remain, this work demonstrates a feasible approach to unlock observations from field notebooks that enhances their discovery and interoperability without losing the narrative context from which those observations are drawn. “Compose your notes as if you were writing a letter to someone a century in the future.” Perrine and Patton (2011) PMID:22859891

Analysis and Implementation of an Electronic Laboratory Notebook in a Biomedical Research Institute

PubMed Central

Dujardin, Gwendal; Cabrera-Andrade, Alejandro; Paz-y-Miño, César; Indacochea, Alberto; Inglés-Ferrándiz, Marta; Nadimpalli, Hima Priyanka; Collu, Nicola; Dublanche, Yann; De Mingo, Ismael; Camargo, David

2016-01-01

Electronic laboratory notebooks (ELNs) will probably replace paper laboratory notebooks (PLNs) in academic research due to their advantages in data recording, sharing and security. Despite several reports describing technical characteristics of ELNs and their advantages over PLNs, no study has directly tested ELN performance among researchers. In addition, the usage of tablet-based devices or wearable technology as ELN complements has never been explored in the field. To implement an ELN in our biomedical research institute, here we first present a technical comparison of six ELNs using 42 parameters. Based on this, we chose two ELNs, which were tested by 28 scientists for a 3-month period and by 80 students via hands-on practical exercises. Second, we provide two survey-based studies aimed to compare these two ELNs (PerkinElmer Elements and Microsoft OneNote) and to analyze the use of tablet-based devices. We finally explore the advantages of using wearable technology as ELNs tools. Among the ELNs tested, we found that OneNote presents almost all parameters evaluated (39/42) and both surveyed groups preferred OneNote as an ELN solution. In addition, 80% of the surveyed scientists reported that tablet-based devices improved the use of ELNs in different respects. We also describe the advantages of using OneNote application for Apple Watch as an ELN wearable complement. This work defines essential features of ELNs that could be used to improve ELN implementation and software development. PMID:27479083

Analysis and Implementation of an Electronic Laboratory Notebook in a Biomedical Research Institute.

PubMed

Guerrero, Santiago; Dujardin, Gwendal; Cabrera-Andrade, Alejandro; Paz-Y-Miño, César; Indacochea, Alberto; Inglés-Ferrándiz, Marta; Nadimpalli, Hima Priyanka; Collu, Nicola; Dublanche, Yann; De Mingo, Ismael; Camargo, David

2016-01-01

Electronic laboratory notebooks (ELNs) will probably replace paper laboratory notebooks (PLNs) in academic research due to their advantages in data recording, sharing and security. Despite several reports describing technical characteristics of ELNs and their advantages over PLNs, no study has directly tested ELN performance among researchers. In addition, the usage of tablet-based devices or wearable technology as ELN complements has never been explored in the field. To implement an ELN in our biomedical research institute, here we first present a technical comparison of six ELNs using 42 parameters. Based on this, we chose two ELNs, which were tested by 28 scientists for a 3-month period and by 80 students via hands-on practical exercises. Second, we provide two survey-based studies aimed to compare these two ELNs (PerkinElmer Elements and Microsoft OneNote) and to analyze the use of tablet-based devices. We finally explore the advantages of using wearable technology as ELNs tools. Among the ELNs tested, we found that OneNote presents almost all parameters evaluated (39/42) and both surveyed groups preferred OneNote as an ELN solution. In addition, 80% of the surveyed scientists reported that tablet-based devices improved the use of ELNs in different respects. We also describe the advantages of using OneNote application for Apple Watch as an ELN wearable complement. This work defines essential features of ELNs that could be used to improve ELN implementation and software development.

A Natural Language Processing System That Links Medical Terms in Electronic Health Record Notes to Lay Definitions: System Development Using Physician Reviews.

PubMed

Chen, Jinying; Druhl, Emily; Polepalli Ramesh, Balaji; Houston, Thomas K; Brandt, Cynthia A; Zulman, Donna M; Vimalananda, Varsha G; Malkani, Samir; Yu, Hong

2018-01-22

Many health care systems now allow patients to access their electronic health record (EHR) notes online through patient portals. Medical jargon in EHR notes can confuse patients, which may interfere with potential benefits of patient access to EHR notes. The aim of this study was to develop and evaluate the usability and content quality of NoteAid, a Web-based natural language processing system that links medical terms in EHR notes to lay definitions, that is, definitions easily understood by lay people. NoteAid incorporates two core components: CoDeMed, a lexical resource of lay definitions for medical terms, and MedLink, a computational unit that links medical terms to lay definitions. We developed innovative computational methods, including an adapted distant supervision algorithm to prioritize medical terms important for EHR comprehension to facilitate the effort of building CoDeMed. Ten physician domain experts evaluated the user interface and content quality of NoteAid. The evaluation protocol included a cognitive walkthrough session and a postsession questionnaire. Physician feedback sessions were audio-recorded. We used standard content analysis methods to analyze qualitative data from these sessions. Physician feedback was mixed. Positive feedback on NoteAid included (1) Easy to use, (2) Good visual display, (3) Satisfactory system speed, and (4) Adequate lay definitions. Opportunities for improvement arising from evaluation sessions and feedback included (1) improving the display of definitions for partially matched terms, (2) including more medical terms in CoDeMed, (3) improving the handling of terms whose definitions vary depending on different contexts, and (4) standardizing the scope of definitions for medicines. On the basis of these results, we have improved NoteAid's user interface and a number of definitions, and added 4502 more definitions in CoDeMed. Physician evaluation yielded useful feedback for content validation and refinement of this innovative tool that has the potential to improve patient EHR comprehension and experience using patient portals. Future ongoing work will develop algorithms to handle ambiguous medical terms and test and evaluate NoteAid with patients. ©Jinying Chen, Emily Druhl, Balaji Polepalli Ramesh, Thomas K Houston, Cynthia A Brandt, Donna M Zulman, Varsha G Vimalananda, Samir Malkani, Hong Yu. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 22.01.2018.

Construction of suicidal ideation in medical records.

PubMed

Galasiński, Dariusz; Ziółkowska, Justyna

2017-09-01

In this article, the authors are interested in exploring discursive transformation of patients' stories of suicidal ideation into medical discourses. In other words, they focus on how the narrated experience of suicidal thoughts made during the psychiatric assessment interview is recorded in the patients' medical record. The authors' data come from recordings of psychiatric interviews, as well as the doctors' notes in the medical records made after the interviews, collected in psychiatric hospitals in Poland. Assuming a constructionist view of discourse, they demonstrate that lived experience of suicide ideation resulting in stories of a complex and homogeneous group of "thoughts" is reduced to brief statements of fact of presence/existence. Exploration of the relationship between the interviews and the notes suggest a stark imposition of the medical gaze upon them. The authors end with arguments that discursive practices relegating lived experience from the focus of clinical practice deprives it of information which is meaningful and clinically significant.

Reducing error and improving efficiency during vascular interventional radiology: implementation of a preprocedural team rehearsal.

PubMed

Morbi, Abigail H M; Hamady, Mohamad S; Riga, Celia V; Kashef, Elika; Pearch, Ben J; Vincent, Charles; Moorthy, Krishna; Vats, Amit; Cheshire, Nicholas J W; Bicknell, Colin D

2012-08-01

To determine the type and frequency of errors during vascular interventional radiology (VIR) and design and implement an intervention to reduce error and improve efficiency in this setting. Ethical guidance was sought from the Research Services Department at Imperial College London. Informed consent was not obtained. Field notes were recorded during 55 VIR procedures by a single observer. Two blinded assessors identified failures from field notes and categorized them into one or more errors by using a 22-part classification system. The potential to cause harm, disruption to procedural flow, and preventability of each failure was determined. A preprocedural team rehearsal (PPTR) was then designed and implemented to target frequent preventable potential failures. Thirty-three procedures were observed subsequently to determine the efficacy of the PPTR. Nonparametric statistical analysis was used to determine the effect of intervention on potential failure rates, potential to cause harm and procedural flow disruption scores (Mann-Whitney U test), and number of preventable failures (Fisher exact test). Before intervention, 1197 potential failures were recorded, of which 54.6% were preventable. A total of 2040 errors were deemed to have occurred to produce these failures. Planning error (19.7%), staff absence (16.2%), equipment unavailability (12.2%), communication error (11.2%), and lack of safety consciousness (6.1%) were the most frequent errors, accounting for 65.4% of the total. After intervention, 352 potential failures were recorded. Classification resulted in 477 errors. Preventable failures decreased from 54.6% to 27.3% (P < .001) with implementation of PPTR. Potential failure rates per hour decreased from 18.8 to 9.2 (P < .001), with no increase in potential to cause harm or procedural flow disruption per failure. Failures during VIR procedures are largely because of ineffective planning, communication error, and equipment difficulties, rather than a result of technical or patient-related issues. Many of these potential failures are preventable. A PPTR is an effective means of targeting frequent preventable failures, reducing procedural delays and improving patient safety.

American Folk Music and Folklore Recordings 1985: A Selected List.

ERIC Educational Resources Information Center

Library of Congress, Washington, DC. American Folklife Center.

Thirty outstanding records and tapes of traditional music and folklore which were released in 1985 are described in this illustrated booklet. All of these recordings are annotated with liner notes or accompanying booklets relating the recordings to the performers, their communities, genres, styles, or other pertinent information. The items are…

Horowitz checks flight notes at the commander's station

NASA Image and Video Library

2001-08-10

STS105-E-5002 (10 August 2001) --- Astronaut Scott J. Horowitz, STS-105 commander, checks flight notes at the commander's station on the flight deck of the Earth-orbiting Space Shuttle Discovery. The image was recorded with a digital still camera.

Horowitz checks flight notes at the commander's station

NASA Image and Video Library

2001-08-10

STS105-E-5001 (10 August 2001) --- Astronaut Scott J. Horowitz, STS-105 commander, checks flight notes at the commander's station on the flight deck of the Earth-orbiting Space Shuttle Discovery. The image was recorded with a digital still camera.

How do nurses record pedagogical activities? Nurses' documentation in patient records in a cardiac rehabilitation unit for patients who have undergone coronary artery bypass surgery.

PubMed

Bergh, Anne-Louise; Bergh, Claes-Håkan; Friberg, Febe

2007-10-01

To describe the use of pedagogically related keywords and the content of notes connected to these keywords, as they appear in nursing records in a coronary artery bypass graft (CABG) surgery rehabilitation unit. Nursing documentation is an important component of clinical practice and is regulated by law in Sweden. Studies have been carried out in order to evaluate the educational and rehabilitative needs of patients following CABG surgery but, as yet, no study has contained an in-depth evaluation of how nurses document pedagogical activities in the records of these patients. The records of 265 patients admitted to a rehabilitation unit following CABG surgery were analysed. The records were structured in accordance with the VIPS model. Using this model, pedagogically related keywords: communication, cognition/development and information/education were selected. The analysis of the data consisted of three parts: the frequency with which pedagogically related keywords are used, the content and the structure of the notes. Apart from the term 'communication', pedagogically related keywords were seldom used. Communication appeared in all records describing limitations, although no explicit reference was made to pedagogical activities. The notes related to cognition/development were grouped into the following themes: nurses' actions, assessment of knowledge and provision of information, advice and instructions as well as patients' wishes and experiences. The themes related to information were the provision of information and advice in addition to relevant nursing actions. The structure of the documentation was simple. The documentation of pedagogical activities in nursing records was infrequent and inadequate. The patients' need for knowledge and the nurses' teaching must be documented in the patient records so as to clearly reflect the frequency and quality of pedagogical activities.

A randomized comparison of laparoscopic, flexible endoscopic, and wired and wireless magnetic cameras on ex vivo and in vivo NOTES surgical performance.

PubMed

Chang, Victoria C; Tang, Shou-Jiang; Swain, C Paul; Bergs, Richard; Paramo, Juan; Hogg, Deborah C; Fernandez, Raul; Cadeddu, Jeffrey A; Scott, Daniel J

2013-08-01

The influence of endoscopic video camera (VC) image quality on surgical performance has not been studied. Flexible endoscopes are used as substitutes for laparoscopes in natural orifice translumenal endoscopic surgery (NOTES), but their optics are originally designed for intralumenal use. Manipulable wired or wireless independent VCs might offer advantages for NOTES but are still under development. To measure the optical characteristics of 4 VC systems and to compare their impact on the performance of surgical suturing tasks. VC systems included a laparoscope (Storz 10 mm), a flexible endoscope (Olympus GIF 160), and 2 prototype deployable cameras (magnetic anchoring and guidance system [MAGS] Camera and PillCam). In a randomized fashion, the 4 systems were evaluated regarding standardized optical characteristics and surgical manipulations of previously validated ex vivo (fundamentals of laparoscopic surgery model) and in vivo (live porcine Nissen model) tasks; objective metrics (time and errors/precision) and combined surgeon (n = 2) performance were recorded. Subtle differences were detected for color tests, and field of view was variable (65°-115°). Suitable resolution was detected up to 10 cm for the laparoscope and MAGS camera but only at closer distances for the endoscope and PillCam. Compared with the laparoscope, surgical suturing performances were modestly lower for the MAGS camera and significantly lower for the endoscope (ex vivo) and PillCam (ex vivo and in vivo). This study documented distinct differences in VC systems that may be used for NOTES in terms of both optical characteristics and surgical performance. Additional work is warranted to optimize cameras for NOTES. Deployable systems may be especially well suited for this purpose.

Note-taking and Handouts in The Digital Age

PubMed Central

Stacy, Elizabeth Moore

2015-01-01

Most educators consider note-taking a critical component of formal classroom learning. Advancements in technology such as tablet computers, mobile applications, and recorded lectures are altering classroom dynamics and affecting the way students compose and review class notes. These tools may improve a student’s ability to take notes, but they also may hinder learning. In an era of dynamic technology developments, it is important for educators to routinely examine and evaluate influences on formal and informal learning environments. This paper discusses key background literature on student note-taking, identifies recent trends and potential implications of mobile technologies on classroom note-taking and student learning, and discusses future directions for note-taking in the context of digitally enabled lifelong learning. PMID:27168620

Maintaining Research Documents with Database Management Software.

ERIC Educational Resources Information Center

Harrington, Stuart A.

1999-01-01

Discusses taking notes for research projects and organizing them into card files; reviews the literature on personal filing systems; introduces the basic process of database management; and offers a plan for managing research notes. Describes field groups and field definitions, data entry, and creating reports. (LRW)

Technical Note: MR-visualization of interventional devices using transient field alterations and balanced steady-state free precession imaging.

PubMed

Eibofner, Frank; Martirosian, Petros; Würslin, Christian; Graf, Hansjörg; Syha, Roland; Clasen, Stephan

2015-11-01

In interventional magnetic resonance imaging, instruments can be equipped with conducting wires for visualization by current application. The potential of sequence triggered application of transient direct currents in balanced steady-state free precession (bSSFP) imaging is demonstrated. A conductor and a modified catheter were examined in water phantoms and in an ex vivo porcine liver. The current was switched by a trigger pulse in the bSSFP sequence in an interval between radiofrequency pulse and signal acquisition. Magnitude and phase images were recorded. Regions with transient field alterations were evaluated by a postprocessing algorithm. A phase mask was computed and overlaid with the magnitude image. Transient field alterations caused continuous phase shifts, which were separated by the postprocessing algorithm from phase jumps due to persistent field alterations. The overlaid images revealed the position of the conductor. The modified catheter generated visible phase offset in all orientations toward the static magnetic field and could be unambiguously localized in the ex vivo porcine liver. The application of a sequence triggered, direct current in combination with phase imaging allows conspicuous localization of interventional devices with a bSSFP sequence.

Using Mobile Devices to Connect Teachers and Museum Educators

NASA Astrophysics Data System (ADS)

Delen, Ibrahim; Krajcik, Joseph

2017-06-01

The use of mobile devices is increasing rapidly as a potential tool for science teaching. In this study, five educators (three middle school teachers and two museum educators) used a mobile application that supported the development of a driving question. Previous studies have noted that teachers make little effort to connect learning experiences between classrooms and museums, and few studies have focused on creating connections between teachers and museum educators. In this study, teachers and museum educators created an investigation together by designing a driving question in conjunction with the research group before field trips. During field trips, students collected their own data using iPods or iPads to take pictures or record videos of the exhibits. When students returned to the school, they used the museum data with their peers as they tried to answer the driving question. After completing the field trips, five educators were interviewed to investigate their experiences with designing driving questions and using mobile devices. Besides supporting students in data collection during the field trip, using mobile devices helped teachers to get the museum back to the classroom. Designing the driving question supported museum educators and teachers to plan the field trip collaboratively.

Anti-inflammatory effect of hamamelis lotion in a UVB erythema test.

PubMed

Hughes-Formella, B J; Bohnsack, K; Rippke, F; Benner, G; Rudolph, M; Tausch, I; Gassmueller, J

1998-01-01

Although Hamamelis virginiana has long been used in the traditional treatment of skin diseases, there are few controlled clinical studies defining the extent of its anti-inflammatory action. The anti-inflammatory efficacy of pH5 Eucerin aftersun lotion with 10% hamamelis distillate, the vehicle and a prior aftersun formulation were tested in 30 healthy volunteers using a modified UVB erythema test as model of inflammation. Four UVB doses ranging from 1 to 2 MED were evaluated in each subject. Test fields on the back were treated occlusively for 48 h following irradiation. Chromametry and visual scoring were used to determine the degree of erythema in the treated fields and an untreated, irradiated control field 7, 24 and 48 h after irradiation. Erythema suppression ranged from approximately 20% of 7 h to 27% at 48 h in the hamamelis fields. A suppression of 11-15% was recorded in the fields treated with the other lotions. Significant differences were noted between hamamelis and these lotions. These data provide evidence for an anti-inflammatory action of the aftersun lotion with 10% hamamelis and support the usefulness of the UVB erythema test with multiple UV doses for the testing of nonsteroidal anti-inflammatory agents.

Duly noted: Lessons from a two-site intervention to assess and improve the quality of clinical documentation in the electronic health record.

PubMed

Fanucchi, Laura; Yan, Donglin; Conigliaro, Rosemarie L

2016-07-06

Communication errors are identified as a root cause contributing to a majority of sentinel events. The clinical note is a cornerstone of physician communication, yet there are few published interventions on teaching note writing in the electronic health record (EHR). This is a prospective, two-site, quality improvement project to assess and improve the quality of clinical documentation in the EHR using a validated assessment tool. Internal Medicine (IM) residents at the University of Kentucky College of Medicine (UK) and Montefiore Medical Center/Albert Einstein College of Medicine (MMC) received one of two interventions during an inpatient ward month: either a lecture, or a lecture and individual feedback on progress notes. A third group of residents in each program served as control. Notes were evaluated with the Physician Documentation Quality Instrument 9 (PDQI-9). Due to a significant difference in baseline PDQI-9 scores at MMC, the sites were not combined. Of 75 residents at the UK site, 22 were eligible, 20 (91%) enrolled, 76 notes in total were scored. Of 156 residents at MMC, 22 were eligible, 18 (82%) enrolled, 40 notes in total were scored. Note quality did not improve as measured by the PDQI-9. This educational quality improvement project did not improve the quality of clinical documentation as measured by the PDQI-9. This project underscores the difficulty in improving note quality. Further efforts should explore more effective educational tools to improve the quality of clinical documentation in the EHR.

Evaluation of Documentation Patterns of Trainees and Supervising Physicians Using Data Mining.

PubMed

Madhavan, Ramesh; Tang, Chi; Bhattacharya, Pratik; Delly, Fadi; Basha, Maysaa M

2014-09-01

The electronic health record (EHR) includes a rich data set that may offer opportunities for data mining and natural language processing to answer questions about quality of care, key aspects of resident education, or attributes of the residents' learning environment. We used data obtained from the EHR to report on inpatient documentation practices of residents and attending physicians at a large academic medical center. We conducted a retrospective observational study of deidentified patient notes entered over 7 consecutive months by a multispecialty university physician group at an urban hospital. A novel automated data mining technology was used to extract patient note-related variables. A sample of 26 802 consecutive patient notes was analyzed using the data mining and modeling tool Healthcare Smartgrid. Residents entered most of the notes (33%, 8178 of 24 787) between noon and 4 pm and 31% (7718 of 24 787) of notes between 8 am and noon. Attending physicians placed notes about teaching attestations within 24 hours in only 73% (17 843 of 24 443) of the records. Surgical residents were more likely to place notes before noon (P < .001). Nonsurgical faculty were more likely to provide attestation of resident notes within 24 hours (P < .001). Data related to patient note entry was successfully used to objectively measure current work flow of resident physicians and their supervising faculty, and the findings have implications for physician oversight of residents' clinical work. We were able to demonstrate the utility of a data mining model as an assessment tool in graduate medical education.

The notes from nature tool for unlocking biodiversity records from museum records through citizen science

PubMed Central

Hill, Andrew; Guralnick, Robert; Smith, Arfon; Sallans, Andrew; Rosemary Gillespie; Denslow, Michael; Gross, Joyce; Murrell, Zack; Tim Conyers; Oboyski, Peter; Ball, Joan; Thomer, Andrea; Prys-Jones, Robert; de Torre, Javier; Kociolek, Patrick; Fortson, Lucy

2012-01-01

Abstract Legacy data from natural history collections contain invaluable and irreplaceable information about biodiversity in the recent past, providing a baseline for detecting change and forecasting the future of biodiversity on a human-dominated planet. However, these data are often not available in formats that facilitate use and synthesis. New approaches are needed to enhance the rates of digitization and data quality improvement. Notes from Nature provides one such novel approach by asking citizen scientists to help with transcription tasks. The initial web-based prototype of Notes from Nature is soon widely available and was developed collaboratively by biodiversity scientists, natural history collections staff, and experts in citizen science project development, programming and visualization. This project brings together digital images representing different types of biodiversity records including ledgers , herbarium sheets and pinned insects from multiple projects and natural history collections. Experts in developing web-based citizen science applications then designed and built a platform for transcribing textual data and metadata from these images. The end product is a fully open source web transcription tool built using the latest web technologies. The platform keeps volunteers engaged by initially explaining the scientific importance of the work via a short orientation, and then providing transcription “missions” of well defined scope, along with dynamic feedback, interactivity and rewards. Transcribed records, along with record-level and process metadata, are provided back to the institutions.  While the tool is being developed with new users in mind, it can serve a broad range of needs from novice to trained museum specialist. Notes from Nature has the potential to speed the rate of biodiversity data being made available to a broad community of users. PMID:22859890

The notes from nature tool for unlocking biodiversity records from museum records through citizen science.

PubMed

Hill, Andrew; Guralnick, Robert; Smith, Arfon; Sallans, Andrew; Rosemary Gillespie; Denslow, Michael; Gross, Joyce; Murrell, Zack; Tim Conyers; Oboyski, Peter; Ball, Joan; Thomer, Andrea; Prys-Jones, Robert; de Torre, Javier; Kociolek, Patrick; Fortson, Lucy

2012-01-01

Legacy data from natural history collections contain invaluable and irreplaceable information about biodiversity in the recent past, providing a baseline for detecting change and forecasting the future of biodiversity on a human-dominated planet. However, these data are often not available in formats that facilitate use and synthesis. New approaches are needed to enhance the rates of digitization and data quality improvement. Notes from Nature provides one such novel approach by asking citizen scientists to help with transcription tasks. The initial web-based prototype of Notes from Nature is soon widely available and was developed collaboratively by biodiversity scientists, natural history collections staff, and experts in citizen science project development, programming and visualization. This project brings together digital images representing different types of biodiversity records including ledgers , herbarium sheets and pinned insects from multiple projects and natural history collections. Experts in developing web-based citizen science applications then designed and built a platform for transcribing textual data and metadata from these images. The end product is a fully open source web transcription tool built using the latest web technologies. The platform keeps volunteers engaged by initially explaining the scientific importance of the work via a short orientation, and then providing transcription "missions" of well defined scope, along with dynamic feedback, interactivity and rewards. Transcribed records, along with record-level and process metadata, are provided back to the institutions.  While the tool is being developed with new users in mind, it can serve a broad range of needs from novice to trained museum specialist. Notes from Nature has the potential to speed the rate of biodiversity data being made available to a broad community of users.

The quality of operative note taking: an audit using the Royal College of Surgeons Guidelines as the gold standard.

PubMed

Shayah, A; Agada, F O; Gunasekaran, S; Jassar, P; England, R J A

2007-04-01

To assess the quality of operative note keeping and compare the results with the Royal College of Surgeons (RCS) of England guidelines 'Good Surgical Practice' as the gold standard. ENT Department at Hull Royal Infirmary, University Hospital. A hundred consecutive operative notes were selected between November 2005 and January 2006. The documentation of the operative notes in each case was compared with the RCS of England guidelines. All surgeons were made aware of the results of the first cycle and the guidelines were made available in all ENT theatres in the form of a printed aide-memoir. A second audit cycle was then carried out prospectively between April and June 2006. The results demonstrated a change in practice in key areas. The 1st cycle results showed the documentation of patient identification (94%), name of surgeon (98%) and clearly written postoperative instructions (94%). However, surgeons performed suboptimally at recording the name of assistant (82%), operative diagnosis (46%), the incision type (87%) and the type of wound closure (83%). After introducing the aide-memoir, the second cycle demonstrated a change in practice with 100% documentation in most of the assessed parameters except that the time of surgery and the type of surgery (emergency or elective) were not adequately recorded. We recommend that all surgical departments should have the RCS guidelines as an aide-memoir in theatres to enhance the quality and standardise operative note recording.

Agreement between routine electronic hospital discharge and Scottish Stroke Care Audit (SSCA) data in identifying stroke in the Scottish population.

PubMed

Turner, Melanie; Barber, Mark; Dodds, Hazel; Dennis, Martin; Langhorne, Peter; Macleod, Mary-Joan

2015-12-30

In Scotland all non-obstetric, non-psychiatric acute inpatient and day case stays are recorded by an administrative hospital discharge database, the Scottish Morbidity Record (SMR01). The Scottish Stroke Care Audit (SSCA) collects data from all hospitals managing acute stroke in Scotland to support and improve quality of stroke care. The aim was to assess whether there were discrepancies between these data sources for admissions from 2010 to 2011. Records were matched when admission dates from the two data sources were within two days of each other and if an International Classification of Diseases (ICD) code of I61, I63, I64, or G45 was in the primary or secondary diagnosis field on SMR01. We also carried out a linkage analysis followed by a case-note review within one hospital in Scotland. There were a total of 22 416 entries on SSCA and 22 200 entries on SMR01. The concordance between SSCA and SMR01 was 16 823. SSCA contained 5593 strokes that were not present in SMR01, whereas SMR01 contained 185 strokes that were not present in SSCA. In the case-note review the concordance was 531, with SSCA containing 157 strokes that were not present in SMR01 and SMR01 containing 32 strokes that were not present in SSCA. When identifying strokes, hospital administrative discharge databases should be used with caution. Our results demonstrate that SSCA most accurately represents the number of strokes occurring in Scotland. This resource is useful for determining the provision of adequate patient care, stroke services and resources, and as a tool for research.

HELPing older people with very severe chronic obstructive pulmonary disease (HELP-COPD): mixed-method feasibility pilot randomised controlled trial of a novel intervention.

PubMed

Buckingham, Susan; Kendall, Marilyn; Ferguson, Susie; MacNee, William; Sheikh, Aziz; White, Patrick; Worth, Allison; Boyd, Kirsty; Murray, Scott A; Pinnock, Hilary

2015-04-16

Extending palliative care to those with advanced non-malignant disease is advocated, but the implications in specific conditions are poorly understood. We piloted a novel nurse-led intervention, HELPing older people with very severe chronic obstructive pulmonary disease (HELP-COPD), undertaken 4 weeks after discharge from hospital, which sought to identify and address the holistic care needs of people with severe COPD. This 6-month mixed-method feasibility pilot trial randomised (ratio 3:1) patients to HELP-COPD or usual care. We assessed the feasibility of using validated questionnaires as outcome measures and analysed the needs/actions recorded in the HELP-COPD records. Semi-structured interviews with a purposive sample of patients, carers and professionals explored the perceptions of HELP-COPD. Verbatim transcriptions and field notes were analysed using Normalisation Process Theory as a framework. We randomised 32 patients (24 to HELP-COPD); 19 completed the study (death=3, ill-health=4, declined=6). The HELP-COPD record noted a mean of 1.6 actions/assessment, mostly provision of information or self-help actions: only five referrals were made. Most patients were positive about HELP-COPD, discussing their concerns and coping strategies in all domains, but the questionnaires were burdensome for some patients. Adaptation to their slowly progressive disability and a strong preference to rely on family support was reflected in limited acceptance of formal services. Professionals perceived HELP-COPD as addressing an important aspect of care, although timing overlapped with discharge planning. The HELP-COPD intervention was well received by patients and the concept resonated with professionals, although delivery post discharge overlapped with existing services. Integration of brief holistic care assessments in the routine primary care management of COPD may be more appropriate.

Notes from the Field: Fungal Bloodstream Infections Associated with a Compounded Intravenous Medication at an Outpatient Oncology Clinic - New York City, 2016.

PubMed

Vasquez, Amber M; Lake, Jason; Ngai, Stephanie; Halbrook, Megan; Vallabhaneni, Snigdha; Keckler, M Shannon; Moulton-Meissner, Heather; Lockhart, Shawn R; Lee, Christopher T; Perkins, Kiran; Perz, Joseph F; Antwi, Mike; Moore, Miranda S; Greenko, Jane; Adams, Eleanor; Haas, Janet; Elkind, Sandra; Berman, Marjorie; Zavasky, Dani; Chiller, Tom; Ackelsberg, Joel

2016-11-18

On May 24, 2016, the New York City Department of Health and Mental Hygiene notified CDC of two cases of Exophiala dermatitidis bloodstream infections among patients with malignancies who had received care from a single physician at an outpatient oncology facility (clinic A). Review of January 1-May 31, 2016 microbiology records identified E. dermatitidis bloodstream infections in two additional patients who also had received care at clinic A. All four patients had implanted vascular access ports and had received intravenous (IV) medications, including a compounded IV flush solution containing saline, heparin, vancomycin, and ceftazidime, compounded and administered at clinic A.

76 FR 18145 - Privacy Act of 1974; New System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-01

... to include final determinations; billing information to include payment delinquencies; case notes... delinquencies; and case notes. Information collected includes the individual's name, address, telephone number... outside USDA, and so have some impact on privacy of individuals, they are either necessary for carrying...

42 CFR 485.638 - Conditions of participation: Clinical records.

Code of Federal Regulations, 2010 CFR

2010-10-01

... clinical laboratory services, and consultative findings; (iii) All orders of doctors of medicine or osteopathy or other practitioners, reports of treatments and medications, nursing notes and documentation of... graphics, progress notes describing the patient's response to treatment; and (iv) Dated signatures of the...

The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric Intensive Care Unit.

PubMed

Panesar, Rahul S; Albert, Ben; Messina, Catherine; Parker, Margaret

2016-01-01

The Situation, Background, Assessment, Recommendation (SBAR) handoff tool is designed to improve communication. The effects of integrating an electronic medical record (EMR) with a SBAR template are unclear. The research team hypothesizes that an electronic SBAR template improves documentation and communication between nurses and physicians. In all, 84 patient events were recorded from 542 admissions to the pediatric intensive care unit. Three time periods were studied: (a) paper documentation only, (b) electronic documentation, and (c) electronic documentation with an SBAR template. Documentation quality was assessed using a 4-point scoring system. The frequency of event notes increased progressively during the 3 study periods. Mean quality scores improved significantly from paper documentation to EMR free-text notes and to electronic SBAR-template notes, as did nurse and attending physician notification. The implementation of an electronic SBAR note is associated with more complete documentation and increased frequency of documentation of communication among nurses and physicians. © The Author(s) 2014.

A retrospective review of performance and utility of routine clinical pelvimetry.

PubMed

Blackadar, Charles S; Viera, Anthony J

2004-01-01

Some authorities have questioned the utility of performing clinical pelvimetry as part of routine prenatal care. This study determined the frequency with which clinical pelvimetry is still performed at two military hospitals and whether the results of pelvimetry influence the management of labor and delivery. We conducted a retrospective review of prenatal records at two military hospitals. One was an overseas hospital, and one was a family medicine teaching hospital in the United States. The records of 660 pregnant women were reviewed to identify documentation that pelvimetry was performed during prenatal care and whether there was evidence that the physician managing labor and delivery altered management based on pelvimetry results. Seventy percent (461) of the 660 records reviewed had all pelvimetry measurements documented as normal, or the provider had written "good for TOL (trial of labor)," "proven to XX pounds," or similar annotation that pelvimetry was normal. Nine percent (58 records) had no documentation of pelvimetry (pelvimetry section left blank). The remaining 21% (141 charts) had at least one pelvimetry measurement listed as abnormal on the initial prenatal exam. No admission note, progress note, or operative note recorded during labor and delivery made reference to clinical pelvimetry results. No abnormal pelvimetry result was referenced in follow-up visits or appeared to make any difference in mode of delivery or treatment in labor. Two women (one at each institution) had initial visit notes indicating the need to consider radiographic pelvimetry based on the results of clinical exam, but this test was not done in either case, and both women delivered vaginally. Our study indicates that clinical pelvimetry does not change management of pregnant patients. Current practice is to allow all women a trial of labor regardless of pelvimetry results. This makes the routine performance and recording of clinical pelvimetry a waste of time, a potential liability, and an unnecessary discomfort for patients.

New bioacoustic and distributional data on Bokermannohyla sapiranga Brandão et al., 2012 (Anura: Hylidae): revisiting its diagnosis in comparison with B. pseudopseudis (Miranda-Ribeiro, 1937).

PubMed

De Carvalho, Thiago Ribeiro; Giaretta, Ariovaldo Antonio; Teixeira, Bernardo Franco Da Veiga; Martins, Lucas Borges

2013-12-11

In this paper, we provide new bioacoustic and distributional data on Bokermannohyla sapiranga, as well as additional comparative bioacoustic data on topotypes of B. pseudopseudis, and re-evaluate the differential diagnosis of the former species with respect to the latter. Head shapes (dorsal and lateral views) presented such variation that should not be used to differentially diagnose them as originally proposed. On the other hand, the presence of a dermal ridge along outer tarsi, and color patterns of the eyes and dorsal surface of hand/toe disks still represent diagnostic characters between both species. We also found differences in temporal (call duration; notes per call), spectral (dominant frequency; harmonics), and structural (pulsed/non-pulsed note structure) traits of their calls. Distribution of B. sapiranga is extended eastward (Paracatu), which corresponds to the first record for the State of Minas Gerais, whereas B. pseudopseudis distribution seems to be restricted to rocky montane field environments of northern Goiás State.

Simulated sudden increase in geomagnetic activity and its effect on heart rate variability: Experimental verification of correlation studies.

PubMed

Caswell, Joseph M; Singh, Manraj; Persinger, Michael A

2016-08-01

Previous research investigating the potential influence of geomagnetic factors on human cardiovascular state has tended to converge upon similar inferences although the results remain relatively controversial. Furthermore, previous findings have remained essentially correlational without accompanying experimental verification. An exception to this was noted for human brain activity in a previous study employing experimental simulation of sudden geomagnetic impulses in order to assess correlational results that had demonstrated a relationship between geomagnetic perturbations and neuroelectrical parameters. The present study employed the same equipment in a similar procedure in order to validate previous findings of a geomagnetic-cardiovascular dynamic with electrocardiography and heart rate variability measures. Results indicated that potential magnetic field effects on frequency components of heart rate variability tended to overlap with previous correlational studies where low frequency power and the ratio between low and high frequency components of heart rate variability appeared affected. In the present study, a significant increase in these particular parameters was noted during geomagnetic simulation compared to baseline recordings. Copyright © 2016 The Committee on Space Research (COSPAR). Published by Elsevier Ltd. All rights reserved.

Note onset deviations as musical piece signatures.

PubMed

Serrà, Joan; Özaslan, Tan Hakan; Arcos, Josep Lluis

2013-01-01

A competent interpretation of a musical composition presents several non-explicit departures from the written score. Timing variations are perhaps the most important ones: they are fundamental for expressive performance and a key ingredient for conferring a human-like quality to machine-based music renditions. However, the nature of such variations is still an open research question, with diverse theories that indicate a multi-dimensional phenomenon. In the present study, we consider event-shift timing variations and show that sequences of note onset deviations are robust and reliable predictors of the musical piece being played, irrespective of the performer. In fact, our results suggest that only a few consecutive onset deviations are already enough to identify a musical composition with statistically significant accuracy. We consider a mid-size collection of commercial recordings of classical guitar pieces and follow a quantitative approach based on the combination of standard statistical tools and machine learning techniques with the semi-automatic estimation of onset deviations. Besides the reported results, we believe that the considered materials and the methodology followed widen the testing ground for studying musical timing and could open new perspectives in related research fields.

29 CFR 2203.7 - Transcripts, recordings and minutes of closed meetings.

Code of Federal Regulations, 2010 CFR

2010-07-01

... transcription of the recording disclosing the identity of each speaker, with the deletions noted in the preceding sentence, will be furnished to any person at the actual cost of duplication or transcription...

29 CFR 2203.7 - Transcripts, recordings and minutes of closed meetings.

Code of Federal Regulations, 2011 CFR

2011-07-01

... transcription of the recording disclosing the identity of each speaker, with the deletions noted in the preceding sentence, will be furnished to any person at the actual cost of duplication or transcription...

22 CFR 92.77 - Recording documents.

Code of Federal Regulations, 2010 CFR

2010-04-01

... first page where the document is recorded, the consular officer should note the following data: (1) By..., Foreign Service of the United States of America (§ 22.1 of this chapter). For purposes of assessment of...

Seasonal and geographical patterns of fin whale song in the western North Atlantic Ocean.

PubMed

Morano, Janelle L; Salisbury, Daniel P; Rice, Aaron N; Conklin, Karah L; Falk, Keri L; Clark, Christopher W

2012-08-01

Male fin whales, Balaenoptera physalus, produce a song consisting of 20 Hz notes at regularly spaced time intervals. Previous studies identified regional differences in fin whale internote intervals (INI), but seasonal changes within populations have not been closely examined. To understand the patterns of fin whale song in the western North Atlantic, the seasonal abundance and acoustic features of fin whale song are measured from two years of archival passive acoustic recordings at two representative locations: Massachusetts Bay and New York Bight. Fin whale 20 Hz notes are detected on 99% of recorded days. In both regions, INI varies significantly throughout the year as two distinct periods: a "short-INI" season in September-January (9.6 s) and a "long-INI" season in March-May (15.1 s). February and June-August are transitional-INI months, with higher variability. Note abundance decreases with increasing INI, where note abundance is significantly lower in April-August than in September-January. Short-INI and high note abundance correspond to the fin whale reproductive season. The temporal variability of INI may be a mechanism by which fin whale individuals encode and communicate a variety of behaviorally relevant information.

Field-based Information Technology in Geology Education: GeoPads

NASA Astrophysics Data System (ADS)

Knoop, P. A.; van der Pluijm, B.

2004-12-01

During the past two summers, we have successfully incorporated a field-based information technology component into our senior-level, field geology course (GS-440) at the University of Michigan's Camp Davis Geology Field Station, near Jackson, WY. Using GeoPads -- rugged TabletPCs equipped with electronic notebook software, GIS, GPS, and wireless networking -- we have significantly enhanced our field mapping exercises and field trips. While fully retaining the traditional approaches and advantages of field instruction, GeoPads offer important benefits in the development of students' spatial reasoning skills. GeoPads enable students to record observations and directly create geologic maps in the field, using a combination of an electronic field notebook (Microsoft OneNote) tightly integrated with pen-enabled GIS software (ArcGIS-ArcMap). Specifically, this arrangement permits students to analyze and manipulate their data in multiple contexts and representations -- while still in the field -- using both traditional 2-D map views, as well as richer 3-D contexts. Such enhancements provide students with powerful exploratory tools that aid the development of spatial reasoning skills, allowing more intuitive interactions with 2-D representations of our 3-D world. Additionally, field-based GIS mapping enables better error-detection, through immediate interaction with current observations in the context of both supporting data (e.g., topographic maps, aerial photos, magnetic surveys) and students' ongoing observations. The overall field-based IT approach also provides students with experience using tools that are increasingly relevant to their future academic or professional careers.

What Patients Value About Reading Visit Notes: A Qualitative Inquiry of Patient Experiences With Their Health Information

PubMed Central

Fossa, Alan; Folcarelli, Patricia H; Walker, Jan; Bell, Sigall K

2017-01-01

Background Patients are increasingly asking for their health data. Yet, little is known about what motivates patients to engage with the electronic health record (EHR). Furthermore, quality-focused mechanisms for patients to comment about their records are lacking. Objective We aimed to learn more about patient experiences with reading and providing feedback on their visit notes. Methods We developed a patient feedback tool linked to OpenNotes as part of a pilot quality improvement initiative focused on patient engagement. Patients who had appointments with members of 2 primary care teams piloting the program between August 2014-2015 were eligible to participate. We asked patients what they liked about reading notes and about using a feedback tool and analyzed all patient reports submitted during the pilot period. Two researchers coded the qualitative responses (κ=.74). Results Patients and care partners submitted 260 reports. Among these, 98.5% (256/260) of reports indicated that the reporting tool was valuable, and 68.8% (179/260) highlighted what patients liked about reading notes and the OpenNotes patient reporting tool process. We identified 4 themes describing what patients value about note content: confirm and remember next steps, quicker access and results, positive emotions, and sharing information with care partners; and 4 themes about both patients’ use of notes and the feedback tool: accuracy and correcting mistakes, partnership and engagement, bidirectional communication and enhanced education, and importance of feedback. Conclusions Patients and care partners who read notes and submitted feedback reported greater engagement and the desire to help clinicians improve note accuracy. Aspects of what patients like about using both notes as well as a feedback tool highlight personal, relational, and safety benefits. Future efforts to engage patients through the EHR may be guided by what patients value, offering opportunities to strengthen care partnerships between patients and clinicians. PMID:28710055

Standard Information Models for Representing Adverse Sensitivity Information in Clinical Documents.

PubMed

Topaz, M; Seger, D L; Goss, F; Lai, K; Slight, S P; Lau, J J; Nandigam, H; Zhou, L

2016-01-01

Adverse sensitivity (e.g., allergy and intolerance) information is a critical component of any electronic health record system. While several standards exist for structured entry of adverse sensitivity information, many clinicians record this data as free text. This study aimed to 1) identify and compare the existing common adverse sensitivity information models, and 2) to evaluate the coverage of the adverse sensitivity information models for representing allergy information on a subset of inpatient and outpatient adverse sensitivity clinical notes. We compared four common adverse sensitivity information models: Health Level 7 Allergy and Intolerance Domain Analysis Model, HL7-DAM; the Fast Healthcare Interoperability Resources, FHIR; the Consolidated Continuity of Care Document, C-CDA; and OpenEHR, and evaluated their coverage on a corpus of inpatient and outpatient notes (n = 120). We found that allergy specialists' notes had the highest frequency of adverse sensitivity attributes per note, whereas emergency department notes had the fewest attributes. Overall, the models had many similarities in the central attributes which covered between 75% and 95% of adverse sensitivity information contained within the notes. However, representations of some attributes (especially the value-sets) were not well aligned between the models, which is likely to present an obstacle for achieving data interoperability. Also, adverse sensitivity exceptions were not well represented among the information models. Although we found that common adverse sensitivity models cover a significant portion of relevant information in the clinical notes, our results highlight areas needed to be reconciled between the standards for data interoperability.

78 FR 66906 - Agency Information Collection Activities; Submission to the Office of Management and Budget for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-07

... Stafford/Ford Loan and Federal Direct Subsidized/Unsubsidized Stafford/Ford Loan Master Promissory Note... notice will be considered public records. Title of Collection: Federal Direct Stafford/Ford Loan and Federal Direct Subsidized/Unsubsidized Stafford/Ford Loan Master Promissory Note. OMB Control Number: 1845...

Collected Notes on the Workshop for Pattern Discovery in Large Databases

NASA Technical Reports Server (NTRS)

Buntine, Wray (Editor); Delalto, Martha (Editor)

1991-01-01

These collected notes are a record of material presented at the Workshop. The core data analysis is addressed that have traditionally required statistical or pattern recognition techniques. Some of the core tasks include classification, discrimination, clustering, supervised and unsupervised learning, discovery and diagnosis, i.e., general pattern discovery.

[The value of using administrative data in public health research: the Continuous Working Life Sample].

PubMed

López, María Andrée; Benavides, Fernando G; Alonso, Jordi; Espallargues, Mireia; Durán, Xavier; Martínez, José Miguel

2014-01-01

The use of administrative data is common practice in public health research. The present field note describes the Continuous Working Life Sample (CWLS) and its use in health research. The CWLS is built on records generated by all contacts with the social security system (work contracts, disability, etc.), plus tax data (monetary gains, income, etc.) and census data (level of education, country of birth, etc.), but does not allow individuals to be identified. The CWLS was started in 2004 with 4% (1.1 million persons) of the total population who were either contributors to or beneficiaries of the social security system. The information on the individuals in the CWLS is updated annually and lost individuals are replaced. This continuous design allows the construction of a cohort with information on working life and financial status and evaluation of their relationship with work disability. Future connection with clinical records would enable analysis of other health-related outcomes. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

The field-space metric in spiral inflation and related models

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

Erlich, Joshua; Olsen, Jackson; Wang, Zhen

2016-09-22

Multi-field inflation models include a variety of scenarios for how inflation proceeds and ends. Models with the same potential but different kinetic terms are common in the literature. We compare spiral inflation and Dante’s inferno-type models, which differ only in their field-space metric. We justify a single-field effective description in these models and relate the single-field description to a mass-matrix formalism. We note the effects of the nontrivial field-space metric on inflationary observables, and consequently on the viability of these models. We also note a duality between spiral inflation and Dante’s inferno models with different potentials.

Exploring the impact of music concerts in promoting well-being in dementia care.

PubMed

Shibazaki, Kagari; Marshall, Nigel A

2017-05-01

This study explores the specific effects of live music concerts on the clients with dementia, their families and nursing staff/caregivers. Researchers attended 22 concerts in care facilities in England and Japan. Interviews were carried out with clients with dementia, nursing staff and family members. Observations were also carried out before, during and after the concerts. All observations were recorded in field notes. The effect of the concerts in both countries was seen to be beneficial to all clients and nursing staff, whether or not they attended the concert. Interviews with clients with mild to mid-stage dementia noted increased levels of cooperation, interaction and conversation. Those with more advanced forms of dementia exhibited decreased levels of agitation and anti-social behaviour. Staff members reported increased levels of care, cooperation and opportunities for assessment. Family members noted an increase in the levels of well-being in their partner/parent as well as in themselves. The study also suggested that the knowledge of musical components, an awareness of the rules of music and specific musical preferences appear to remain well beyond the time when other cognitive skills and abilities have disappeared. This initial study provided some further indication in terms of the uses of music as a non-pharmacological intervention for those living with all stages of dementia. These included opportunities for assessment of physical abilities as well as facilitating an increasing level of care.

A simple and inexpensive pulsing device for data-recording cameras

Treesearch

David L. Sonderman

1973-01-01

In some areas of forestry and wood utilization research, use of automatic data recording equipment has become commonplace. This research note describes the basic electronic components needed to modify an existing intervalometer into a simplified pulsing device for controlling an automatic data recording camera. The pulsing device is easily assembled and inexpensive,...

A guide for recording esthetic and biologic changes with photographs

Treesearch

Arthur W. Magill; R.H. Twiss

1965-01-01

Photography has long been a useful tool for recording and analyzing environmental conditions. Permanent camera points can be established to help detect ,and analyze changes in the esthetics and ecology of wildland resources. This note describes the usefulness of permanent camera points and outlines procedures for establishing points and recording data.

Technology, Sound and Popular Music.

ERIC Educational Resources Information Center

Jones, Steve

The ability to record sound is power over sound. Musicians, producers, recording engineers, and the popular music audience often refer to the sound of a recording as something distinct from the music it contains. Popular music is primarily mediated via electronics, via sound, and not by means of written notes. The ability to preserve or modify…

Helping Low-Income Mothers with Criminal Records Achieve Self-Sufficiency.

ERIC Educational Resources Information Center

Brown, Rebecca

2000-01-01

This issue of WIN (Welfare Information Network) Issue Notes focuses on helping low-income mothers with criminal records achieve self-sufficiency. Section 1 offers background. Section 2 answers these policy questions: why states might want to focus on serving low-income mothers with criminal records; how states can encourage employers to hire…

How Do "Wii" Know: Anecdotal Records Go Digital

ERIC Educational Resources Information Center

Bates, C. C.

2013-01-01

Anecdotal records have long been used as a means of formative assessment. This article explores how traditional anecdotal records can be enhanced with digital technology. Using a portable device and one of many available note-taking applications, teachers have the opportunity to create a richer picture of the student. Highlighted in this Teaching…

Personal health record systems and their security protection.

PubMed

Win, Khin Than; Susilo, Willy; Mu, Yi

2006-08-01

The objective of this study is to analyze the security protection of personal health record systems. To achieve this we have investigated different personal health record systems, their security functions, and security issues. We have noted that current security mechanisms are not adequate and we have proposed some security mechanisms to tackle these problems.

World Record Magnetic Field 100T

ScienceCinema

McDonald, Ross; Mielke, Chuck; Rickel, Dwight

2018-01-16

Scientists at the Los Alamos National Laboratory campus of the National High Magnetic Field Laboratory have successfully produced the world's first 100 Tesla non-destructive magnetic field. The achievement was decades in the making, involving a diverse team of scientists and engineers. The 100 Tesla mark was reached at approximately 3:30 p.m. on March 22, 2012. A note about the sound you'll hear when the magnet is energized: The sound that the 100 T multi-shot magnet makes is due to the electrical current modulation from the 3 phase power converters (known as 12 pulse converters) and the harmonics associated with the chopping of the sinusoidal input power. The magnet vibrates at the electrical current frequencies multiplied by 12 (i.e. ~ 55 Hz x 12 = 660 Hz) hence making an audible sound. The generator is not run at full speed (1650 RPM instead of 1800 RPM) so the frequency is slightly lower than US Line frequency (i.e. 55 Hz instead of 60 Hz). A spectrograph of the sound from the magnet pulse shows the multiple harmonics as reddish horizontal bands as a function of time.

A Collaborative Problem-solving Process Through Environmental Field Studies

NASA Astrophysics Data System (ADS)

Kim, Mijung; Teck Tan, Hoe

2013-02-01

This study explored and documented students' responses to opportunities for collective knowledge building and collaboration in a problem-solving process within complex environmental challenges and pressing issues with various dimensions of knowledge and skills. Middle-school students (n = 16; age 14) and high-school students (n = 16; age 17) from two Singapore public institutions participated in an environmental science field study to experience knowledge integration and a decision-making process. Students worked on six research topics to understand the characteristics of an organic farm and plan for building an ecological village. Students collected and analysed data from the field and shared their findings. Their field work and discussions were video-recorded, and their reflective notes and final reports were collected for data coding and interpretation. The results revealed that throughout the study, students experienced the needs and development of integrated knowledge, encountered the challenges of knowledge sharing and communication during their collaboration, and learned how to cope with the difficulties. Based on research findings, this study further discusses students' learning through a collaborative problem-solving process, including the interdependence of knowledge and the development of mutual relationships such as respect and care for others' knowledge and learning.

Ethnography for Teachers' Professional Development: Japanese Approach of Investigation on Classroom Activities

ERIC Educational Resources Information Center

Matoba, Masami; Sarkar Arani Mohammed Reza

2006-01-01

In this paper, we examine how journal and ethnography field notes in Jugyou Kenkyu (lesson study) help teachers to understand the diverse range of talents and abilities of their students. Especially, we focus on how ethnography field note and reflective papers (karate) help teachers to change their assumptions about student learning. The data…

Trends in dermatology practices and the implications for the workforce.

PubMed

Ehrlich, Alison; Kostecki, James; Olkaba, Helen

2017-10-01

The American Academy of Dermatology (AAD) practice profile surveys have been conducted for more than a decade to gauge trends in our workforce supply and demand. To update the trends and current workforce issues for the field of dermatology. The AAD Practice Profile Survey is sent by both e-mail and postal mail to a random sample of practicing dermatologists who are AAD members. Shifts are noted in the primary practice setting; fewer dermatologists are in solo practice and more are in group practices than in previous years. Teledermatology use trended upward from 7% to 11% between 2012 and 2014. The implementation of electronic health records increased from 51% in 2011 to 70% in 2014. There is potential for response bias and inaccurate self-reporting. Survey responses collected may not be representative of all geographic areas. The demand for dermatology services remains strong. Shifts in the practice setting may be related to increases in overhead costs that are partially associated with the implementation of technology-based medical records. Integration of electronic health records and utilization of telemedicine are increasing. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Implementation and adoption of nationwide electronic health records in secondary care in England: final qualitative results from prospective national evaluation in “early adopter” hospitals

PubMed Central

Cornford, Tony; Barber, Nicholas; Avery, Anthony; Takian, Amirhossein; Lichtner, Valentina; Petrakaki, Dimitra; Crowe, Sarah; Marsden, Kate; Robertson, Ann; Morrison, Zoe; Klecun, Ela; Prescott, Robin; Quinn, Casey; Jani, Yogini; Ficociello, Maryam; Voutsina, Katerina; Paton, James; Fernando, Bernard; Jacklin, Ann; Cresswell, Kathrin

2011-01-01

Objectives To evaluate the implementation and adoption of the NHS detailed care records service in “early adopter” hospitals in England. Design Theoretically informed, longitudinal qualitative evaluation based on case studies. Setting 12 “early adopter” NHS acute hospitals and specialist care settings studied over two and a half years. Data sources Data were collected through in depth interviews, observations, and relevant documents relating directly to case study sites and to wider national developments that were perceived to impact on the implementation strategy. Data were thematically analysed, initially within and then across cases. The dataset consisted of 431 semistructured interviews with key stakeholders, including hospital staff, developers, and governmental stakeholders; 590 hours of observations of strategic meetings and use of the software in context; 334 sets of notes from observations, researchers’ field notes, and notes from national conferences; 809 NHS documents; and 58 regional and national documents. Results Implementation has proceeded more slowly, with a narrower scope and substantially less clinical functionality than was originally planned. The national strategy had considerable local consequences (summarised under five key themes), and wider national developments impacted heavily on implementation and adoption. More specifically, delays related to unrealistic expectations about the capabilities of systems; the time needed to build, configure, and customise the software; the work needed to ensure that systems were supporting provision of care; and the needs of end users for training and support. Other factors hampering progress included the changing milieu of NHS policy and priorities; repeatedly renegotiated national contracts; different stages of development of diverse NHS care records service systems; and a complex communication process between different stakeholders, along with contractual arrangements that largely excluded NHS providers. There was early evidence that deploying systems resulted in important learning within and between organisations and the development of relevant competencies within NHS hospitals. Conclusions Implementation of the NHS Care Records Service in “early adopter” sites proved time consuming and challenging, with as yet limited discernible benefits for clinicians and no clear advantages for patients. Although our results might not be directly transferable to later adopting sites because the functionalities we evaluated were new and untried in the English context, they shed light on the processes involved in implementing major new systems. The move to increased local decision making that we advocated based on our interim analysis has been pursued and welcomed by the NHS, but it is important that policymakers do not lose sight of the overall goal of an integrated interoperable solution. PMID:22006942

78 FR 6081 - Agency Information Collection Activities; Comment Request; National Student Loan Data System (NSLDS)

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-29

... postal mail, commercial delivery, or hand delivery. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted. Written requests for information or... note that written comments received in response to this notice will be considered public records. Title...

78 FR 35613 - Agency Information Collection Activities; Comment Request; IES Fellows Survey

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-13

... or via postal mail, commercial delivery, or hand delivery. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted. Written requests for... note that written comments received in response to this notice will be considered public records. Title...

77 FR 70422 - Agency Information Collection Activities; Submission to the Office of Management and Budget for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-26

..., commercial delivery, or hand delivery. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted. Written requests for information or comments... note that written comments received in response to this notice will be considered public records. Title...

Notes on the biology of Scymnus (Pullus) coniferarum: an adelgid predator

Treesearch

Michael E. Montgomery; Richard C. McDonald

2011-01-01

The conifer lady beetle, Scymnus (Pullus) coniferarum Crotch 1874, was previously collected from five states in the western U.S. and from British Columbia. Whitehead, in his 1967 thesis, noted that all collection records of S. coniferarum were from pine and that he collected large numbers from lodgepole pine and Monterey pine...

Taking It Down: Notetaking Practices of L1 and L2 Students.

ERIC Educational Resources Information Center

Clerehan, Rosemary

1995-01-01

This study examined notes taken by 29 undergraduate native and non-native speakers of English during a lecture on commercial law. It found that native speakers took more detailed notes and more accurately recorded the hierarchical structure and principal elements of the lecture than non-native speakers. (48 references) (MDM)

Electronic Documentation Support Tools and Text Duplication in the Electronic Medical Record

ERIC Educational Resources Information Center

Wrenn, Jesse

2010-01-01

In order to ease the burden of electronic note entry on physicians, electronic documentation support tools have been developed to assist in note authoring. There is little evidence of the effects of these tools on attributes of clinical documentation, including document quality. Furthermore, the resultant abundance of duplicated text and…

Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record.

PubMed

Yadav, Siddhartha; Kazanji, Noora; K C, Narayan; Paudel, Sudarshan; Falatko, John; Shoichet, Sandor; Maddens, Michael; Barnes, Michael A

2017-01-01

There have been several concerns about the quality of documentation in electronic health records (EHRs) when compared to paper charts. This study compares the accuracy of physical examination findings documentation between the two in initial progress notes. Initial progress notes from patients with 5 specific diagnoses with invariable physical findings admitted to Beaumont Hospital, Royal Oak, between August 2011 and July 2013 were randomly selected for this study. A total of 500 progress notes were retrospectively reviewed. The paper chart arm consisted of progress notes completed prior to the transition to an EHR on July 1, 2012. The remaining charts were placed in the EHR arm. The primary endpoints were accuracy, inaccuracy, and omission of information. Secondary endpoints were time of initiation of progress note, word count, number of systems documented, and accuracy based on level of training. The rate of inaccurate documentation was significantly higher in the EHRs compared to the paper charts (24.4% vs 4.4%). However, expected physical examination findings were more likely to be omitted in the paper notes compared to EHRs (41.2% vs 17.6%). Resident physicians had a smaller number of inaccuracies (5.3% vs 17.3%) and omissions (16.8% vs 33.9%) compared to attending physicians. During the initial phase of implementation of an EHR, inaccuracies were more common in progress notes in the EHR compared to the paper charts. Residents had a lower rate of inaccuracies and omissions compared to attending physicians. Further research is needed to identify training methods and incentives that can reduce inaccuracies in EHRs during initial implementation. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Medical records and issues in negligence

PubMed Central

Thomas, Joseph

2009-01-01

It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important reasons. The first one is that it will help them in the scientific evaluation of their patient profile, helping in analyzing the treatment results, and to plan treatment protocols. It also helps in planning governmental strategies for future medical care. But of equal importance in the present setting is in the issue of alleged medical negligence. The legal system relies mainly on documentary evidence in a situation where medical negligence is alleged by the patient or the relatives. In an accusation of negligence, this is very often the most important evidence deciding on the sentencing or acquittal of the doctor. With the increasing use of medical insurance for treatment, the insurance companies also require proper record keeping to prove the patient's demand for medical expenses. Improper record keeping can result in declining medical claims. It is disheartening to note that inspite of knowing the importance of proper record keeping it is still in a nascent stage in India. It is wise to remember that “Poor records mean poor defense, no records mean no defense”. Medical records include a variety of documentation of patient's history, clinical findings, diagnostic test results, preoperative care, operation notes, post operative care, and daily notes of a patient's progress and medications. A properly obtained consent will go a long way in proving that the procedures were conducted with the concurrence of the patient. A properly written operative note can protect a surgeon in case of alleged negligence due to operative complications. It is important that the prescription for drugs should be legible with the name of the patient, date, and the signature of the doctor. An undated prescription can land a doctor in trouble if the patient misuses it. There are also many records that are indirectly related to patient management such as accounts records, service records of the staff, and administrative records, which are also useful as evidences for litigation purposes. Medical recording needs the concerted effort of a number of people involved in patient care. The doctor is the prime person who has to oversee this process and is primarily responsible for history, physical examination, treatment plans, operative records, consent forms, medications used, referral papers, discharge records, and medical certificates. There should be proper recording of nursing care, laboratory data, reports of diagnostic evaluations, pharmacy records, and billing processes. This means that the paramedical and nursing staff also should be trained in proper maintenance of patient records. The medical scene in India extends from smaller clinics to large hospitals. Medical record keeping is a specialized area in bigger teaching and corporate hospitals with separate medical records officers handling these issues. However, it is yet to develop into a proper process in the large number of smaller clinics and hospitals that cater to a large section of the people in India. PMID:19881136

Aspect sensitive E- and F-region SPEAR-enhanced incoherent backscatter observed by the EISCAT Svalbard radar

NASA Astrophysics Data System (ADS)

Dhillon, R. S.; Robinson, T. R.; Yeoman, T. K.

2009-01-01

Previous studies of the aspect sensitivity of heater-enhanced incoherent radar backscatter in the high-latitude ionosphere have demonstrated the directional dependence of incoherent scatter signatures corresponding to artificially excited electrostatic waves, together with consistent field-aligned signatures that may be related to the presence of artificial field-aligned irregularities. These earlier high-latitude results have provided motivation for repeating the investigation in the different geophysical conditions that obtain in the polar cap ionosphere. The Space Plasma Exploration by Active Radar (SPEAR) facility is located within the polar cap and has provided observations of RF-enhanced ion and plasma line spectra recorded by the EISCAT Svalbard UHF incoherent scatter radar system (ESR), which is collocated with SPEAR. In this paper, we present observations of aspect sensitive E- and F-region SPEAR-induced ion and plasma line enhancements that indicate excitation of both the purely growing mode and the parametric decay instability, together with sporadic E-layer results that may indicate the presence of cavitons. We note consistent enhancements from field-aligned, vertical and also from 5° south of field-aligned. We attribute the prevalence of vertical scatter to the importance of the Spitze region, and of that from field-aligned to possible wave/irregularity coupling.

42 CFR 482.61 - Condition of participation: Special medical record requirements for psychiatric hospitals.

Code of Federal Regulations, 2013 CFR

2013-10-01

... made on every patient at the time of admission, and must include the diagnoses of intercurrent diseases... record of mental status; (4) Note the onset of illness and the circumstances leading to admission; (5...

42 CFR 482.61 - Condition of participation: Special medical record requirements for psychiatric hospitals.

Code of Federal Regulations, 2014 CFR

2014-10-01

... made on every patient at the time of admission, and must include the diagnoses of intercurrent diseases... record of mental status; (4) Note the onset of illness and the circumstances leading to admission; (5...

42 CFR 482.61 - Condition of participation: Special medical record requirements for psychiatric hospitals.

Code of Federal Regulations, 2011 CFR

2011-10-01

... made on every patient at the time of admission, and must include the diagnoses of intercurrent diseases... record of mental status; (4) Note the onset of illness and the circumstances leading to admission; (5...

42 CFR 482.61 - Condition of participation: Special medical record requirements for psychiatric hospitals.

Code of Federal Regulations, 2012 CFR

2012-10-01

... made on every patient at the time of admission, and must include the diagnoses of intercurrent diseases... record of mental status; (4) Note the onset of illness and the circumstances leading to admission; (5...

36 CFR 1238.16 - What are the microfilming requirements for temporary records, duplicates, and user copies?

Code of Federal Regulations, 2014 CFR

2014-07-01

... noted in § 1238.3, and manufacturer's instructions for processing production, and maintenance of microform to ensure that the images are accessible and usable for the entire retention period of the records. ...

36 CFR 1238.16 - What are the microfilming requirements for temporary records, duplicates, and user copies?

Code of Federal Regulations, 2012 CFR

2012-07-01

... noted in § 1238.3, and manufacturer's instructions for processing production, and maintenance of microform to ensure that the images are accessible and usable for the entire retention period of the records. ...

36 CFR 1238.16 - What are the microfilming requirements for temporary records, duplicates, and user copies?

Code of Federal Regulations, 2011 CFR

2011-07-01

... noted in § 1238.3, and manufacturer's instructions for processing production, and maintenance of microform to ensure that the images are accessible and usable for the entire retention period of the records. ...

36 CFR 1238.16 - What are the microfilming requirements for temporary records, duplicates, and user copies?

Code of Federal Regulations, 2010 CFR

2010-07-01

... noted in § 1238.3, and manufacturer's instructions for processing production, and maintenance of microform to ensure that the images are accessible and usable for the entire retention period of the records. ...

Urban Alabama Physicians and the Electronic Medical Record: A Qualitative Study

ERIC Educational Resources Information Center

Tiggle, Michele

2012-01-01

The electronic medical record (EMR) is an information technology tool supporting the examination, treatment, and care of a patient. The EMR allows physicians to view a patient's record showing current medications, a history of visits from health care providers with notes from those visits, a problem list, a functional status assessment, a schedule…

78 FR 5783 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-28

... Appendix I to OMB Circular No. A-130, ``Federal Agency Responsibilities for Maintaining Records About... Services (OGIS), to the extent necessary to fulfill its responsibilities in 5 U.S.C. 552(h), to review... Drive, Suite 06D08-03, Alexandria, VA 22350-1400. Note: For DoDEA records, a non-custodial parent or...

Relationships between Electronic Information Media and Records Management Practices: Results of a Survey of United Nations Organizations. A Rand Note.

ERIC Educational Resources Information Center

Bikson, T. K.; Schieber, L.

A Technical Panel on Electronic Records Management (TP/REM), which was established by the Advisory Committee for the Co-ordination of Information Systems (ACCIS), conducted a survey of existing electronic records management practices and standards related to new information and communication technologies and their interrelationships within the…

Monthly Record of Current Educational Publications. Bulletin, 1914, No. 41. Whole Number 615

ERIC Educational Resources Information Center

United States Bureau of Education, Department of the Interior, 1914

1914-01-01

This bulletin contains a monthly record of current educational publications received by the Library Division of the Bureau of Education. Books, pamphlets, etc., intended for inclusion in this record should be sent to the library of the Bureau of Education, Washington, D.C. This bulletin contains the following: (1) Introductory notes; (2)…

Monthly Record of Current Educational Publications. Bulletin, 1915, No. 2. Whole Number 626

ERIC Educational Resources Information Center

United States Bureau of Education, Department of the Interior, 1915

1915-01-01

This bulletin contains monthly record of current educational publications received by the Library Division of the Bureau of Education. Books, pamphlets, etc., intended for inclusion in this record should be sent to the library of the Bureau of Education, Washington, D.C. This bulletin contains the following: (1) Introductory notes; (2)…

Notes from the Field: Subacute Sclerosing Panencephalitis Death - Oregon, 2015.

PubMed

Liko, Juventila; Guzman-Cottrill, Judith A; Cieslak, Paul R

2016-01-15

In 2015, the Oregon Health Authority was notified of the death of a boy with subacute sclerosing panencephalitis (SSPE), a rare and fatal complication of measles. The patient, aged 14 years, had reportedly been vaccinated against measles in the Philippines at age 8 months. However, the patient contracted measles at age 1 year while still in the Philippines. He had been well until 2012, when his neurodegenerative symptoms began. After the diagnosis of SSPE was made, the patient remained in home hospice care until his death. Investigators from the Oregon Health Authority and the Oregon Health and Science University reviewed the patient's medical records and interviewed the parents. Vaccination against measles can prevent not only acute measles and its complications, but also SSPE.

Characteristics of the most intense lightning storm ever recorded at the CN Tower

NASA Astrophysics Data System (ADS)

Hussein, A. M.; Kazazi, S.; Anwar, M.; Yusouf, M.; Liatos, P.

2017-02-01

Lightning strikes to the CN Tower have been optically observed since 1978. In 1990, five independent systems started to operate to simultaneously record parameters of lightning strikes to the tower, including the time derivative of the current, the associated electric and magnetic fields, and the channel optical characteristics. On August 24, 2011, during an unusually severe lightning storm, video records showed that the CN Tower was struck with 52 lightning flashes within 84 min and 6.9 s. Thus, this storm produced, on average, a flash to the tower every 99 s. However, the CN Tower lightning current derivative measurement system only recorded 32 flashes, which were perfectly time-matched with 32 of the 52 video-recorded flashes. It is found that the current derivative measurement system recorded every video-recorded flash that contained at least one return stroke. Based on the analysis of video records, it is noted that each of the storm's 52 flashes contains an initial-stage current, proving that all flashes were upward initiated. This unique CN Tower storm - the most intense ever recorded at the tower - is here thoroughly analyzed, based on video and current records. The inter-flash time within the storm is found to vary between 10.6 s and 274 s, with an overall average of 98 s. It is also found that the inter-flash time between successive non-return-stroke flashes is on average 64% longer than that for successive flashes containing return strokes. Statistical analysis of video and current data clearly reveals that the time duration of flashes containing initial-stage currents and return strokes is on average 27% longer than that of flashes that only have initial-stage currents. Furthermore, it is important to note that the time duration of the initial-stage current in flashes containing no return strokes is on average 76% longer than that in flashes containing return strokes. Therefore, it is possible to conclude that if the time duration of the initial-stage current in a flash is long enough, resulting in large charge transfer, then there is less probability of having return strokes following it. The 32 current-recorded flashes contain a total of 156 return strokes, with an average multiplicity of 4.875. It is worth mentioning that during one decade, 1992-2001, the CN Tower current derivative measurement system only recorded 478 return strokes, demonstrating that the number of return strokes recorded at the tower within about 84 min is close to one third of those recorded at the tower during one decade. This finding clearly shows the great value and rarity of the presented extensive lightning current derivative data. Only one of the 32 current-recorded flashes is proved to be positive with a single return stroke. Based on current records, out of a total of 124 inter-stroke time intervals, 94% are found to be within 200 ms, with an overall inter-stroke time average of 68.1 ms. The maximum inter-stroke time recorded during this storm is 726.3 ms, the longest ever recorded at the CN Tower.

Safety huddles to proactively identify and address electronic health record safety

PubMed Central

Menon, Shailaja; Singh, Hardeep; Giardina, Traber D; Rayburn, William L; Davis, Brenda P; Russo, Elise M

2017-01-01

Objective: Methods to identify and study safety risks of electronic health records (EHRs) are underdeveloped and largely depend on limited end-user reports. “Safety huddles” have been found useful in creating a sense of collective situational awareness that increases an organization’s capacity to respond to safety concerns. We explored the use of safety huddles for identifying and learning about EHR-related safety concerns. Design: Data were obtained from daily safety huddle briefing notes recorded at a single midsized tertiary-care hospital in the United States over 1 year. Huddles were attended by key administrative, clinical, and information technology staff. We conducted a content analysis of huddle notes to identify what EHR-related safety concerns were discussed. We expanded a previously developed EHR-related error taxonomy to categorize types of EHR-related safety concerns recorded in the notes. Results: On review of daily huddle notes spanning 249 days, we identified 245 EHR-related safety concerns. For our analysis, we defined EHR technology to include a specific EHR functionality, an entire clinical software application, or the hardware system. Most concerns (41.6%) involved “EHR technology working incorrectly,” followed by 25.7% involving “EHR technology not working at all.” Concerns related to “EHR technology missing or absent” accounted for 16.7%, whereas 15.9% were linked to “user errors.” Conclusions: Safety huddles promoted discussion of several technology-related issues at the organization level and can serve as a promising technique to identify and address EHR-related safety concerns. Based on our findings, we recommend that health care organizations consider huddles as a strategy to promote understanding and improvement of EHR safety. PMID:28031286

From the inside-out: Retrospectives on a metadata improvement process to advance the discoverability of NASÁs earth science data

NASA Astrophysics Data System (ADS)

Hernández, B. E.; Bugbee, K.; le Roux, J.; Beaty, T.; Hansen, M.; Staton, P.; Sisco, A. W.

2017-12-01

Earth observation (EO) data collected as part of NASA's Earth Observing System Data and Information System (EOSDIS) is now searchable via the Common Metadata Repository (CMR). The Analysis and Review of CMR (ARC) Team at Marshall Space Flight Center has been tasked with reviewing all NASA metadata records in the CMR ( 7,000 records). Each collection level record and constituent granule level metadata are reviewed for both completeness as well as compliance with the CMR's set of metadata standards, as specified in the Unified Metadata Model (UMM). NASA's Distributed Active Archive Centers (DAACs) have been harmonizing priority metadata records within the context of the inter-agency federal Big Earth Data Initiative (BEDI), which seeks to improve the discoverability, accessibility, and usability of EO data. Thus, the first phase of this project constitutes reviewing BEDI metadata records, while the second phase will constitute reviewing the remaining non-BEDI records in CMR. This presentation will discuss the ARC team's findings in terms of the overall quality of BEDI records across all DAACs as well as compliance with UMM standards. For instance, only a fifth of the collection-level metadata fields needed correction, compared to a quarter of the granule-level fields. It should be noted that the degree to which DAACs' metadata did not comply with the UMM standards may reflect multiple factors, such as recent changes in the UMM standards, and the utilization of different metadata formats (e.g. DIF 10, ECHO 10, ISO 19115-1) across the DAACs. Insights, constructive criticism, and lessons learned from this metadata review process will be contributed from both ORNL and SEDAC. Further inquiry along such lines may lead to insights which may improve the metadata curation process moving forward. In terms of the broader implications for metadata compliance with the UMM standards, this research has shown that a large proportion of the prioritized collections have already been made compliant, although the process of improving metadata quality is ongoing and iterative. Further research is also warranted into whether or not the gains in metadata quality are also driving gains in data use.

Keys to a successful project: Associated data and planning: Data standards. Chapter 5 in Measuring and monitoring biological diversity: Standard methods for amphibians

USGS Publications Warehouse

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

1994-01-01

The many individual salamanders, frogs, caecilians, and their larvae encountered during the course of an inventory or monitoring project will have to be identified to species. Depending on the goals and sampling method(s) used, some individuals will be identified from a distance by their calls, others will be handled. At the same time, some will be marked for recapture, and others will be sampled as vouchers. For each, certain minimum data should be recorded. In this section, data pertaining to locality and sampling methodology are considered, information on microhabitats and specimen vouchers is covered in sections that follow. I feel strongly that the data outlined here should be the minimum for any project. Investigators with specific goals may require additional types of data as well.Standardized, printed sheets containing the required data categories provide a convenient, inexpensive, and effective way to ensure that all the desired information is recorded in a consistent format, Data sheets should be well organized, printed on good-quality paper (75%-100% cotton content) and include extra space (e.g., other side of sheet) for notes that do not fit preestablished categoriesData should be recorded in the field with permanent (waterproof) ink as simply and directly as possible. I strongly recommend against the use of data codes in the field; it is too easy to forget codes or to enter the wrong code. Original data sheets can be photocopied for security, but they should not be copied by hand. If data are to be coded for computer analysis, the original or photocopied sheets should be used for data entry to minimize transcription errors. Some workers prefer recording information on small tape recorders; this also works well if a list of the standard data categories is checked during taping to ensure that all required information is recorded. Information recorded on tapes should be transcribed to data sheets or into a computer within 24 hours of the sample.

NP2010: An Assessment and Outlook for Nuclear Physics

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

Lancaster, James

This grant provided partial support for the National Research Council’s (NRC) decadal survey of nuclear physics. This is part of NRC’s larger effort to assess and discuss the outlook for different fields in physics and astronomy, Physics 2010, which takes place approximately every ten years. A report has been prepared as a result of the study that is intended to inform those who are interested about the current status of research in this area and to help guide future developments of the field. A pdf version of the report is available for download, for free, at http://www.nap.edu/catalog.php?record_id=13438. Among the principalmore » conclusions reached in the report are that the nuclear physics program in the United States has been especially well managed, principally through a recurring long-range planning process conducted by the community, and that current opportunities developed pursuant to that planning process should be exploited. In the section entitled “Building the Foundation for the Future,” the report notes that attention needs to be paid to certain elements that are essential to the continued vitality of the field. These include ensuring that education and research at universities remain a focus for funding and that a plan be developed to ensure that forefront-computing resources, including exascale capabilities when developed, be made available to nuclear science researchers. The report also notes that nimbleness is essential for the United States to remain competitive in a rapidly expanding international nuclear physics arena and that streamlined and flexible procedures should be developed for initiating and managing smaller-scale nuclear science projects.« less

A prototype system to support evidence-based practice.

PubMed

Demner-Fushman, Dina; Seckman, Charlotte; Fisher, Cheryl; Hauser, Susan E; Clayton, Jennifer; Thoma, George R

2008-11-06

Translating evidence into clinical practice is a complex process that depends on the availability of evidence, the environment into which the research evidence is translated, and the system that facilitates the translation. This paper presents InfoBot, a system designed for automatic delivery of patient-specific information from evidence-based resources. A prototype system has been implemented to support development of individualized patient care plans. The prototype explores possibilities to automatically extract patients problems from the interdisciplinary team notes and query evidence-based resources using the extracted terms. Using 4,335 de-identified interdisciplinary team notes for 525 patients, the system automatically extracted biomedical terminology from 4,219 notes and linked resources to 260 patient records. Sixty of those records (15 each for Pediatrics, Oncology & Hematology, Medical & Surgical, and Behavioral Health units) have been selected for an ongoing evaluation of the quality of automatically proactively delivered evidence and its usefulness in development of care plans.

A Prototype System to Support Evidence-based Practice

PubMed Central

Demner-Fushman, Dina; Seckman, Charlotte; Fisher, Cheryl; Hauser, Susan E.; Clayton, Jennifer; Thoma, George R.

2008-01-01

Translating evidence into clinical practice is a complex process that depends on the availability of evidence, the environment into which the research evidence is translated, and the system that facilitates the translation. This paper presents InfoBot, a system designed for automatic delivery of patient-specific information from evidence-based resources. A prototype system has been implemented to support development of individualized patient care plans. The prototype explores possibilities to automatically extract patients’ problems from the interdisciplinary team notes and query evidence-based resources using the extracted terms. Using 4,335 de-identified interdisciplinary team notes for 525 patients, the system automatically extracted biomedical terminology from 4,219 notes and linked resources to 260 patient records. Sixty of those records (15 each for Pediatrics, Oncology & Hematology, Medical & Surgical, and Behavioral Health units) have been selected for an ongoing evaluation of the quality of automatically proactively delivered evidence and its usefulness in development of care plans. PMID:18998835

Stratigraphic architecture of a fluvial-lacustrine basin-fill succession at Desolation Canyon, Uinta Basin, Utah: Reference to Walthers’ Law and implications for the petroleum industry

USGS Publications Warehouse

Ford, Grace L.; David R. Pyles,; Dechesne, Marieke

2016-01-01

Two large-scale (member-scale) upward patterns are noted: Waltherian, and non-Waltherian. The upward successions in Waltherian progressions record progradation or retrogradation of a linked fluvial-lacustrine system across the area; whereas the upward successions in non-Waltherian progressions record large-scale changes in the depositional system that are not related to progradation or retrogradation of the ancient lacustrine shoreline. Four Waltherian progressions are noted: 1) the Flagstaff Limestone to lower Wasatch Formation member records the upward transition from lacustrine to fluvial—or shallowing-upward succession; 2) the upper Wasatch to Uteland Butte records the upward transition from fluvial to lacustrine—or a deepening upward succession; 3) the Uteland Butte to Renegade Tongue records the upward transition from lacustrine to fluvial—a shallowing-upward succession; and 4) the Renegade Tongue to Mahogany oil shale interval records the upward transition from fluvial to lacustrine—a deepening upward succession. The two non-Waltherian progressions in the study area are: 1) the lower to middle Wasatch, which records the abrupt shift from low to high net-sand content fluvial system, and 2) the middle to upper Wasatch, which records the abrupt shift from high to intermediate net-sand content fluvial system.

The STAR score: a method for auditing clinical records

PubMed Central

Tuffaha, H

2012-01-01

INTRODUCTION Adequate medical note keeping is critical in delivering high quality healthcare. However, there are few robust tools available for the auditing of notes. The aim of this paper was to describe the design, validation and implementation of a novel scoring tool to objectively assess surgical notes. METHODS An initial ‘path finding’ study was performed to evaluate the quality of note keeping using the CRABEL scoring tool. The findings prompted the development of the Surgical Tool for Auditing Records (STAR) as an alternative. STAR was validated using inter-rater reliability analysis. An audit cycle of surgical notes using STAR was performed. The results were analysed and a structured form for the completion of surgical notes was introduced to see if the quality improved in the next audit cycle using STAR. An education exercise was conducted and all participants said the exercise would change their practice, with 25% implementing major changes. RESULTS Statistical analysis of STAR showed that it is reliable (Cronbach’s a = 0.959). On completing the audit cycle, there was an overall increase in the STAR score from 83.344% to 97.675% (p<0.001) with significant improvements in the documentation of the initial clerking from 59.0% to 96.5% (p<0.001) and subsequent entries from 78.4% to 96.1% (p<0.001). CONCLUSIONS The authors believe in the value of STAR as an effective, reliable and reproducible tool. Coupled with the application of structured forms to note keeping, it can significantly improve the quality of surgical documentation and can be implemented universally. PMID:22613300

An audit of inpatient case records and suggestions for improvements.

PubMed

Arshad, A R; Ganesananthan, S; Ajik, S

2000-09-01

A study was carried out in Kuala Lumpur Hospital to review the adequacy of documentation of bio-data and clinical data including clinical examination, progress review, discharge process and doctor's identification in ten of our clinical departments. Twenty criteria were assessed in a retrospective manner to scrutinize the contents of medical notes and subsequently two prospective evaluations were conducted to see improvement in case notes documentation. Deficiencies were revealed in all the criteria selected. However there was a statistically significant improvement in the eleven clinical data criteria in the subsequent two evaluations. Illegibility of case note entries and an excessive usage of abbreviations were noted during this audit. All clinical departments and hospitals should carry out detailed studies into the contents of their medical notes.

Detecting the presence of an indwelling urinary catheter and urinary symptoms in hospitalized patients using natural language processing.

PubMed

Gundlapalli, Adi V; Divita, Guy; Redd, Andrew; Carter, Marjorie E; Ko, Danette; Rubin, Michael; Samore, Matthew; Strymish, Judith; Krein, Sarah; Gupta, Kalpana; Sales, Anne; Trautner, Barbara W

2017-07-01

To develop a natural language processing pipeline to extract positively asserted concepts related to the presence of an indwelling urinary catheter in hospitalized patients from the free text of the electronic medical note. The goal is to assist infection preventionists and other healthcare professionals in determining whether a patient has an indwelling urinary catheter when a catheter-associated urinary tract infection is suspected. Currently, data on indwelling urinary catheters is not consistently captured in the electronic medical record in structured format and thus cannot be reliably extracted for clinical and research purposes. We developed a lexicon of terms related to indwelling urinary catheters and urinary symptoms based on domain knowledge, prior experience in the field, and review of medical notes. A reference standard of 1595 randomly selected documents from inpatient admissions was annotated by human reviewers to identify all positively and negatively asserted concepts related to indwelling urinary catheters. We trained a natural language processing pipeline based on the V3NLP framework using 1050 documents and tested on 545 documents to determine agreement with the human reference standard. Metrics reported are positive predictive value and recall. The lexicon contained 590 terms related to the presence of an indwelling urinary catheter in various categories including insertion, care, change, and removal of urinary catheters and 67 terms for urinary symptoms. Nursing notes were the most frequent inpatient note titles in the reference standard document corpus; these also yielded the highest number of positively asserted concepts with respect to urinary catheters. Comparing the performance of the natural language processing pipeline against the human reference standard, the overall recall was 75% and positive predictive value was 99% on the training set; on the testing set, the recall was 72% and positive predictive value was 98%. The performance on extracting urinary symptoms (including fever) was high with recall and precision greater than 90%. We have shown that it is possible to identify the presence of an indwelling urinary catheter and urinary symptoms from the free text of electronic medical notes from inpatients using natural language processing. These are two key steps in developing automated protocols to assist humans in large-scale review of patient charts for catheter-associated urinary tract infection. The challenges associated with extracting indwelling urinary catheter-related concepts also inform the design of electronic medical record templates to reliably and consistently capture data on indwelling urinary catheters. Published by Elsevier Inc.

DEVELOPMENT AND PERFORMANCE OF TEXT-MINING ALGORITHMS TO EXTRACT SOCIOECONOMIC STATUS FROM DE-IDENTIFIED ELECTRONIC HEALTH RECORDS.

PubMed

Hollister, Brittany M; Restrepo, Nicole A; Farber-Eger, Eric; Crawford, Dana C; Aldrich, Melinda C; Non, Amy

2017-01-01

Socioeconomic status (SES) is a fundamental contributor to health, and a key factor underlying racial disparities in disease. However, SES data are rarely included in genetic studies due in part to the difficultly of collecting these data when studies were not originally designed for that purpose. The emergence of large clinic-based biobanks linked to electronic health records (EHRs) provides research access to large patient populations with longitudinal phenotype data captured in structured fields as billing codes, procedure codes, and prescriptions. SES data however, are often not explicitly recorded in structured fields, but rather recorded in the free text of clinical notes and communications. The content and completeness of these data vary widely by practitioner. To enable gene-environment studies that consider SES as an exposure, we sought to extract SES variables from racial/ethnic minority adult patients (n=9,977) in BioVU, the Vanderbilt University Medical Center biorepository linked to de-identified EHRs. We developed several measures of SES using information available within the de-identified EHR, including broad categories of occupation, education, insurance status, and homelessness. Two hundred patients were randomly selected for manual review to develop a set of seven algorithms for extracting SES information from de-identified EHRs. The algorithms consist of 15 categories of information, with 830 unique search terms. SES data extracted from manual review of 50 randomly selected records were compared to data produced by the algorithm, resulting in positive predictive values of 80.0% (education), 85.4% (occupation), 87.5% (unemployment), 63.6% (retirement), 23.1% (uninsured), 81.8% (Medicaid), and 33.3% (homelessness), suggesting some categories of SES data are easier to extract in this EHR than others. The SES data extraction approach developed here will enable future EHR-based genetic studies to integrate SES information into statistical analyses. Ultimately, incorporation of measures of SES into genetic studies will help elucidate the impact of the social environment on disease risk and outcomes.

The Poincaré-Hopf Theorem for line fields revisited

NASA Astrophysics Data System (ADS)

Crowley, Diarmuid; Grant, Mark

2017-07-01

A Poincaré-Hopf Theorem for line fields with point singularities on orientable surfaces can be found in Hopf's 1956 Lecture Notes on Differential Geometry. In 1955 Markus presented such a theorem in all dimensions, but Markus' statement only holds in even dimensions 2 k ≥ 4. In 1984 Jänich presented a Poincaré-Hopf theorem for line fields with more complicated singularities and focussed on the complexities arising in the generalized setting. In this expository note we review the Poincaré-Hopf Theorem for line fields with point singularities, presenting a careful proof which is valid in all dimensions.

Voice-Dictated versus Typed-in Clinician Notes: Linguistic Properties and the Potential Implications on Natural Language Processing

PubMed Central

Zheng, Kai; Mei, Qiaozhu; Yang, Lei; Manion, Frank J.; Balis, Ulysses J.; Hanauer, David A.

2011-01-01

In this study, we comparatively examined the linguistic properties of narrative clinician notes created through voice dictation versus those directly entered by clinicians via a computer keyboard. Intuitively, the nature of voice-dictated notes would resemble that of natural language, while typed-in notes may demonstrate distinctive language features for reasons such as intensive usage of acronyms. The study analyses were based on an empirical dataset retrieved from our institutional electronic health records system. The dataset contains 30,000 voice-dictated notes and 30,000 notes that were entered manually; both were encounter notes generated in ambulatory care settings. The results suggest that between the narrative clinician notes created via these two different methods, there exists a considerable amount of lexical and distributional differences. Such differences could have a significant impact on the performance of natural language processing tools, necessitating these two different types of documents being differentially treated. PMID:22195229

Qualitative analysis of round-table discussions on the business case and procurement challenges for hospital electronic prescribing systems.

PubMed

Cresswell, Kathrin M; Slee, Ann; Coleman, Jamie; Williams, Robin; Bates, David W; Sheikh, Aziz

2013-01-01

There is a pressing need to understand the challenges surrounding procurement of and business case development for hospital electronic prescribing systems, and to identify possible strategies to enhance the efficiency of these processes in order to assist strategic decision making. We organized eight multi-disciplinary round-table discussions in the United Kingdom. Participants included policy makers, representatives from hospitals, system developers, academics, and patients. Each discussion was digitally audio-recorded, transcribed verbatim and, together with accompanying field notes, analyzed thematically with NVivo9. We drew on data from 17 participants (approximately eight per roundtable), six hours of discussion, and 15 pages of field notes. Key challenges included silo planning with systems not being considered as part of an integrated organizational information technology strategy, lack of opportunity for interactions between customers and potential suppliers, lack of support for hospitals in choosing appropriate systems, difficulty of balancing structured planning with flexibility, and the on-going challenge of distinguishing "wants" and aspirations from organizational "needs". Development of business cases for major investments in information technology does not take place in an organizational vacuum. Building on previously identified potentially transferable dimensions to the development and execution of business cases surrounding measurements of costs/benefits and risk management, we have identified additional components relevant to ePrescribing systems. These include: considerations surrounding strategic context, case for change and objectives, future service requirements and options appraisal, capital and revenue implications, timescale and deliverability, and risk analysis and management.

36 CFR § 1238.16 - What are the microfilming requirements for temporary records, duplicates, and user copies?

Code of Federal Regulations, 2013 CFR

2013-07-01

... noted in § 1238.3, and manufacturer's instructions for processing production, and maintenance of microform to ensure that the images are accessible and usable for the entire retention period of the records. ...

Musica de la Frontera: Research Note on the UCLA Frontera Digital Archive

ERIC Educational Resources Information Center

Romero, Robert Chao

2005-01-01

The Frontera Digital Archive is an impressive and invaluable research tool for multidisciplinary scholars of Chicana/o studies and Latin American studies. The archive preserves rare Mexican vernacular musical recordings and provides convenient access to these recordings via Internet.

Clinical Note Creation, Binning, and Artificial Intelligence

PubMed Central

Deliberato, Rodrigo Octávio; Stone, David J

2017-01-01

The creation of medical notes in software applications poses an intrinsic problem in workflow as the technology inherently intervenes in the processes of collecting and assembling information, as well as the production of a data-driven note that meets both individual and healthcare system requirements. In addition, the note writing applications in currently available electronic health records (EHRs) do not function to support decision making to any substantial degree. We suggest that artificial intelligence (AI) could be utilized to facilitate the workflows of the data collection and assembly processes, as well as to support the development of personalized, yet data-driven assessments and plans. PMID:28778845

Fragments of peer review: A quantitative analysis of the literature (1969-2015)

PubMed Central

Grimaldo, Francisco; Marušić, Ana

2018-01-01

This paper examines research on peer review between 1969 and 2015 by looking at records indexed from the Scopus database. Although it is often argued that peer review has been poorly investigated, we found that the number of publications in this field doubled from 2005. A half of this work was indexed as research articles, a third as editorial notes and literature reviews and the rest were book chapters or letters. We identified the most prolific and influential scholars, the most cited publications and the most important journals in the field. Co-authorship network analysis showed that research on peer review is fragmented, with the largest group of co-authors including only 2.1% of the whole community. Co-citation network analysis indicated a fragmented structure also in terms of knowledge. This shows that despite its central role in research, peer review has been examined only through small-scale research projects. Our findings would suggest that there is need to encourage collaboration and knowledge sharing across different research communities. PMID:29466467

GeoTools: An android phone application in geology

NASA Astrophysics Data System (ADS)

Weng, Yi-Hua; Sun, Fu-Shing; Grigsby, Jeffry D.

2012-07-01

GeoTools is an Android application that can carry out several tasks essential in geological field studies. By employing the accelerometer in the Android phone, the application turns the handset into a pocket transit compass by which users can measure directions, strike and dip of a bedding plane, or trend and plunge of a fold. The application integrates functionalities of photo taking, videotaping, audio recording, and note writing with GPS coordinates to track the location at which each datum was taken. A time-stamped file name is shared by the various types of data taken at the same location. Data collected at different locations are named in a chronological sequence. At the end of each set of operations, GeoTools also automatically generates an XML file to summarize the characteristics of data being collected corresponding to a specific location. In this way, GeoTools allows geologists to use a multimedia approach to document their field observations with a clear data organization scheme in one handy gadget.

How Do Residents Spend Their Shift Time? A Time and Motion Study With a Particular Focus on the Use of Computers

PubMed Central

Mamykina, Lena; Vawdrey, David K.; Hripcsak, George

2016-01-01

Purpose To understand how much time residents spend using computers as compared with other activities, and what residents use computers for. Method This time and motion study was conducted in June and July 2010 at NewYork-Presbyterian/Columbia University Medical Center with seven residents (first-, second-, and third-year) on the general medicine service. An experienced observer shadowed residents during a single day shift, captured all their activities using an iPad application, and took field notes. The activities were captured using a validated taxonomy of clinical activities, expanded to describe computer-based activities with a greater level of detail. Results Residents spent 364.5 minutes (50.6%) of their shift time using computers, compared with 67.8 minutes (9.4%) interacting with patients. In addition, they spent 292.3 minutes (40.6%) talking with others in person, 186.0 minutes (25.8%) handling paper notes, 79.7 minutes (11.1%) in rounds, 80.0 minutes (11.1%) walking or waiting, and 54.0 minutes (7.5%) talking on the phone. Residents spent 685 minutes (59.6%) multitasking. Computer-based documentation activities amounted to 189.9 minutes (52.1%) of all computer-based activities time, with 128.7 minutes (35.3%) spent writing notes and 27.3 minutes (7.5%) reading notes composed by others. Conclusions The study showed residents spent considerably more time interacting with computers (over 50% of their shift time), than in direct contact with patients (less than 10% of their shift time). Some of this may be due to an increasing reliance on computing systems for access to patient data, further exacerbated by inefficiencies in the design of the electronic health record. PMID:27028026

How Do Residents Spend Their Shift Time? A Time and Motion Study With a Particular Focus on the Use of Computers.

PubMed

Mamykina, Lena; Vawdrey, David K; Hripcsak, George

2016-06-01

To understand how much time residents spend using computers compared with other activities, and what residents use computers for. This time and motion study was conducted in June and July 2010 at NewYork-Presbyterian/Columbia University Medical Center with seven residents (first-, second-, and third-year) on the general medicine service. An experienced observer shadowed residents during a single day shift, captured all their activities using an iPad application, and took field notes. The activities were captured using a validated taxonomy of clinical activities, expanded to describe computer-based activities with a greater level of detail. Residents spent 364.5 minutes (50.6%) of their shift time using computers, compared with 67.8 minutes (9.4%) interacting with patients. In addition, they spent 292.3 minutes (40.6%) talking with others in person, 186.0 minutes (25.8%) handling paper notes, 79.7 minutes (11.1%) in rounds, 80.0 minutes (11.1%) walking or waiting, and 54.0 minutes (7.5%) talking on the phone. Residents spent 685 minutes (59.6%) multitasking. Computer-based documentation activities amounted to 189.9 minutes (52.1%) of all computer-based activities time, with 128.7 minutes (35.3%) spent writing notes and 27.3 minutes (7.5%) reading notes composed by others. The study showed that residents spent considerably more time interacting with computers (over 50% of their shift time) than in direct contact with patients (less than 10% of their shift time). Some of this may be due to an increasing reliance on computing systems for access to patient data, further exacerbated by inefficiencies in the design of the electronic health record.

78 FR 36754 - Agency Information Collection Activities; Submission to the Office of Management and Budget for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-19

... postal mail, commercial delivery, or hand delivery. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted. Written requests for information or... note that written comments received in response to this notice will be considered public records. Title...

78 FR 70296 - Agency Information Collection Activities; Submission to the Office of Management and Budget for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-25

... or via postal mail, commercial delivery, or hand delivery. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted. Written requests for... note that written comments received in response to this notice will be considered public records. Title...

Tettigettalna josei (Boulard, 1982) (Hemiptera: Cicadoidea): first record in Spain, with notes on the distribution, genetic variation and behaviour of the species

PubMed Central

2014-01-01

Abstract The small cicada Tettigettalna josei (Boulard, 1982) was until recently only known from southern Portugal and was considered endemic to this country. Fieldwork in 2013 led to the first record of the species in Spain, expanding its known eastern range to Andalusia. The northern limits remain poorly defined but it appears that the distribution of Tettigettalna josei is restricted to the south Atlantic coastline in the Iberian Peninsula, with the highest densities found in Algarve. Some notes on behaviour and genetic variation of Tettigettalna josei are also given. PMID:24891819

43 CFR 3162.4-1 - Well records and reports.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Well records and reports. 3162.4-1 Section... for Operating Rights Owners and Operators § 3162.4-1 Well records and reports. (a) The operator shall.... As noted on Form 3160-4, two copies of all electric and other logs run on the well must be submitted...

43 CFR 3162.4-1 - Well records and reports.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Well records and reports. 3162.4-1 Section... for Operating Rights Owners and Operators § 3162.4-1 Well records and reports. (a) The operator shall.... As noted on Form 3160-4, two copies of all electric and other logs run on the well must be submitted...

43 CFR 3162.4-1 - Well records and reports.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Well records and reports. 3162.4-1 Section... for Operating Rights Owners and Operators § 3162.4-1 Well records and reports. (a) The operator shall.... As noted on Form 3160-4, two copies of all electric and other logs run on the well must be submitted...

Electronic health records improve clinical note quality.

PubMed

Burke, Harry B; Sessums, Laura L; Hoang, Albert; Becher, Dorothy A; Fontelo, Paul; Liu, Fang; Stephens, Mark; Pangaro, Louis N; O'Malley, Patrick G; Baxi, Nancy S; Bunt, Christopher W; Capaldi, Vincent F; Chen, Julie M; Cooper, Barbara A; Djuric, David A; Hodge, Joshua A; Kane, Shawn; Magee, Charles; Makary, Zizette R; Mallory, Renee M; Miller, Thomas; Saperstein, Adam; Servey, Jessica; Gimbel, Ronald W

2015-01-01

The clinical note documents the clinician's information collection, problem assessment, clinical management, and its used for administrative purposes. Electronic health records (EHRs) are being implemented in clinical practices throughout the USA yet it is not known whether they improve the quality of clinical notes. The goal in this study was to determine if EHRs improve the quality of outpatient clinical notes. A five and a half year longitudinal retrospective multicenter quantitative study comparing the quality of handwritten and electronic outpatient clinical visit notes for 100 patients with type 2 diabetes at three time points: 6 months prior to the introduction of the EHR (before-EHR), 6 months after the introduction of the EHR (after-EHR), and 5 years after the introduction of the EHR (5-year-EHR). QNOTE, a validated quantitative instrument, was used to assess the quality of outpatient clinical notes. Its scores can range from a low of 0 to a high of 100. Sixteen primary care physicians with active practices used QNOTE to determine the quality of the 300 patient notes. The before-EHR, after-EHR, and 5-year-EHR grand mean scores (SD) were 52.0 (18.4), 61.2 (16.3), and 80.4 (8.9), respectively, and the change in scores for before-EHR to after-EHR and before-EHR to 5-year-EHR were 18% (p<0.0001) and 55% (p<0.0001), respectively. All the element and grand mean quality scores significantly improved over the 5-year time interval. The EHR significantly improved the overall quality of the outpatient clinical note and the quality of all its elements, including the core and non-core elements. To our knowledge, this is the first study to demonstrate that the EHR significantly improves the quality of clinical notes. © The Author 2014. Published by Oxford University Press on behalf of the American Medical Informatics Association.

Cleaning up the paper trail - our clinical notes in open view.

PubMed

Lambe, Gerard; Linnane, Niall; Callanan, Ian; Butler, Marcus W

2018-04-16

Purpose Ireland's physicians have a legal and an ethical duty to protect confidential patient information. Most healthcare records in Ireland remain paper based, so the purpose of this paper is to: assess the protection afforded to paper records; log highest risk records; note the variations that occurred during the working week; and observe the varying protection that occurred when staff, students and public members were present. Design/methodology/approach A customised audit tool was created using Sphinx software. Data were collected for three months. All wards included in the study were visited once during four discrete time periods across the working week. The medical records trolley's location was noted and total unattended medical records, total unattended nursing records, total unattended patient lists and when nursing personnel, medical students, public and a ward secretary were visibly present were recorded. Findings During 84 occasions when the authors visited wards, unattended medical records were identified on 33 per cent of occasions, 49 per cent were found during weekend visiting hours and just 4 per cent were found during morning rounds. The unattended medical records belonged to patients admitted to a medical specialty in 73 per cent of cases and a surgical specialty in 27 per cent. Medical records were found unattended in the nurses' station with much greater frequency when the ward secretary was off duty. Unattended nursing records were identified on 67 per cent of occasions the authors visited the ward and were most commonly found unattended in groups of six or more. Practical implications This study is a timely reminder that confidential patient information is at risk from inappropriate disclosure in the hospital. There are few context-specific standards for data protection to guide healthcare professionals, particularly paper records. Nursing records are left unattended with twice the frequency of medical records and are found unattended in greater numbers than medical records. Protection is strongest when ward secretaries are on duty. Over-reliance on vigilant ward secretaries could represent a threat to confidential patient information. Originality/value While other studies identified data protection as an issue, this study assesses how data security varies inside and outside conventional working hours. It provides a rationale and an impetus for specific changes across the whole working week. By identifying the on-duty ward secretary's favourable effect on medical record security, it highlights the need for alternative arrangements when the ward secretary is off duty. Data were collected prospectively in real time, giving a more accurate healthcare record security snapshot in each data collection point.

5 CFR 2606.304 - Response to a request for review of an initial refusal to amend; disagreement statements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... “conciseness” of the statement, taking into account the scope of the disagreement and the complexity of the... disagreement, the appropriate system manager will clearly note any disputed portion(s) of the record(s) and...

5 CFR 2606.304 - Response to a request for review of an initial refusal to amend; disagreement statements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... “conciseness” of the statement, taking into account the scope of the disagreement and the complexity of the... disagreement, the appropriate system manager will clearly note any disputed portion(s) of the record(s) and...

Notes on the genus Epsilon de Saussure, 1855 (Hymenoptera: Vespidae: Eumeninae) with description of a new species.

PubMed

Selis, Marco

2017-11-28

The genus Epsilon de Saussure, 1855, is newly recorded from the Moluccas. New distributional records on Epsilon grandipunctatum Gusenleitner, 1996 are provided. Epsilon rufipes Selis, sp. nov. (Moluccas, Aru islands) is described and figured.

Medical Record Documentation Among Interns: A Prospective Quality Improvement Study.

PubMed

Owen, Jm; Conway, R; Silke, B; O'Riordan, D

2015-06-01

Comprehensive record keeping is a key aspect of medical practice. The National Hospitals Office (NHO) and Irish Medical Council (IMC) have published guidelines in this area. A prospective audit of 100 patients assessed by interns was performed to quantify adherence with these guidelines followed by an educational session and email reminders. Adherence was reassessed in an incidental manner. Compliance was recorded in a number of areas including the reason for review and documentation of a plan both 98 (98%). However less than half of interns recorded the patient's name, background history or their impression of the case. Only 31(31%) noted the patient's MRN and only 1(1%) the information they gave to the patient. Significant improvements following the intervention were found, however significant deficits remained in a number of areas including the noting of an impression of the case 62(62%) and information given to patients 18(18%). Suboptimal documentation can be improved through education and clinical auditing.

Use of Narrative Nursing Records for Nursing Research

PubMed Central

Park, Hyeoun-Ae; Cho, InSook; Ahn, Hee-Jung

2012-01-01

To explore the usefulness of narrative nursing records documented using a standardized terminology-based electronic nursing records system, we conducted three different studies on (1) the gaps between the required nursing care time and the actual nursing care time, (2) the practice variations in pressure ulcer care, and (3) the surveillance of adverse drug events. The narrative nursing notes, documented at the point of care using standardized nursing statements, were extracted from the clinical data repository at a teaching hospital in Korea and analyzed. Our findings were: the pediatric and geriatric units showed relatively high staffing needs; overall incidence rate of pressure ulcer among the intensive-care patients was 15.0% and the nursing interventions provided for pressure-ulcer care varied depending on nursing units; and at least one adverse drug event was noted in 53.0% of the cancer patients who were treated with cisplatin. A standardized nursing terminology-based electronic nursing record system allowed us to explore answers to different various research questions. PMID:24199111

Rule-based deduplication of article records from bibliographic databases.

PubMed

Jiang, Yu; Lin, Can; Meng, Weiyi; Yu, Clement; Cohen, Aaron M; Smalheiser, Neil R

2014-01-01

We recently designed and deployed a metasearch engine, Metta, that sends queries and retrieves search results from five leading biomedical databases: PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Central Register of Controlled Trials. Because many articles are indexed in more than one of these databases, it is desirable to deduplicate the retrieved article records. This is not a trivial problem because data fields contain a lot of missing and erroneous entries, and because certain types of information are recorded differently (and inconsistently) in the different databases. The present report describes our rule-based method for deduplicating article records across databases and includes an open-source script module that can be deployed freely. Metta was designed to satisfy the particular needs of people who are writing systematic reviews in evidence-based medicine. These users want the highest possible recall in retrieval, so it is important to err on the side of not deduplicating any records that refer to distinct articles, and it is important to perform deduplication online in real time. Our deduplication module is designed with these constraints in mind. Articles that share the same publication year are compared sequentially on parameters including PubMed ID number, digital object identifier, journal name, article title and author list, using text approximation techniques. In a review of Metta searches carried out by public users, we found that the deduplication module was more effective at identifying duplicates than EndNote without making any erroneous assignments.

Rule-based deduplication of article records from bibliographic databases

PubMed Central

Jiang, Yu; Lin, Can; Meng, Weiyi; Yu, Clement; Cohen, Aaron M.; Smalheiser, Neil R.

2014-01-01

We recently designed and deployed a metasearch engine, Metta, that sends queries and retrieves search results from five leading biomedical databases: PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Central Register of Controlled Trials. Because many articles are indexed in more than one of these databases, it is desirable to deduplicate the retrieved article records. This is not a trivial problem because data fields contain a lot of missing and erroneous entries, and because certain types of information are recorded differently (and inconsistently) in the different databases. The present report describes our rule-based method for deduplicating article records across databases and includes an open-source script module that can be deployed freely. Metta was designed to satisfy the particular needs of people who are writing systematic reviews in evidence-based medicine. These users want the highest possible recall in retrieval, so it is important to err on the side of not deduplicating any records that refer to distinct articles, and it is important to perform deduplication online in real time. Our deduplication module is designed with these constraints in mind. Articles that share the same publication year are compared sequentially on parameters including PubMed ID number, digital object identifier, journal name, article title and author list, using text approximation techniques. In a review of Metta searches carried out by public users, we found that the deduplication module was more effective at identifying duplicates than EndNote without making any erroneous assignments. PMID:24434031

Basin-Scale Freshwater Storage Trends from GRACE

NASA Astrophysics Data System (ADS)

Famiglietti, J.; Kiel, B.; Frappart, F.; Syed, T. H.; Rodell, M.

2006-12-01

Four years have passed since the GRACE satellite tandem began recording variations in Earth's gravitational field. On monthly to annual timescales, variations in the gravity signal for a given location correspond primarily to changes in water storage. GRACE thus reveals, in a comprehensive, vertically-integrated manner, which areas and basins have experienced net increases or decreases in water storage. GRACE data (April 2002 to November 2005) released by the Center for Space Research at the University of Texas at Austin (RL01) is used for this study. Model-based data from GLDAS (Global Land Data Assimilation System) is integrated into this study for comparison with the CSR GRACE data. Basin-scale GLDAS storage trends are similar to those from GRACE, except in the Arctic, likely due to the GLDAS snow module. Outside of the Arctic, correlation of GRACE and GLDAS data confirms significant basin-scale storage trends across the GRACE data collection period. Sharp storage decreases are noted in the Congo, Zambezi, Mekong, Parana, and Yukon basins, among others. Significant increases are noted in the Niger, Lena, and Volga basins, and others. Current and future work involves assessment of these trends and their causes in the context of hydroclimatological variability.

GLOBE and Place-based learning

NASA Astrophysics Data System (ADS)

Andersen, T. J.; Murphy, T.; Malmberg, J. S.; Wegner, K.

2016-12-01

You visit a special natural setting and are amazed at the splendor. You revisit it years later at the same time of year and note how it has changed. The environment looks different-algae is growing where it didn't before. Trees are dying. Weeds are flourishing. You ask yourself "why is this happening?" The spark starting your climate place-based awareness just ignited. The GLOBE program encourages and enables young citizen scientists to observe and record measurements related to the environment and to use those measurements for research. Over 130 learning activities supplement the 51 measurement protocols that can be done in and out of the field, with and without technical devices that open up the mind to questions about one's environment. From taking pictures of the sky to creating instruments, to noting when plants bloom and examining the characteristics of the soil and land, GLOBE encourages investigating climate change in numerous ways. GLOBE activities encouraging climate awareness and "what if" scenarios fuel student research and help validate scientific research. Studying one's local GLOBE observations and seeing where and when change occurs, brings out intrigue that expands to investigating multiple places where even more questions can arise-fueling the scientific process and encouraging place-based learning.

Note Onset Deviations as Musical Piece Signatures

PubMed Central

Serrà, Joan; Özaslan, Tan Hakan; Arcos, Josep Lluis

2013-01-01

A competent interpretation of a musical composition presents several non-explicit departures from the written score. Timing variations are perhaps the most important ones: they are fundamental for expressive performance and a key ingredient for conferring a human-like quality to machine-based music renditions. However, the nature of such variations is still an open research question, with diverse theories that indicate a multi-dimensional phenomenon. In the present study, we consider event-shift timing variations and show that sequences of note onset deviations are robust and reliable predictors of the musical piece being played, irrespective of the performer. In fact, our results suggest that only a few consecutive onset deviations are already enough to identify a musical composition with statistically significant accuracy. We consider a mid-size collection of commercial recordings of classical guitar pieces and follow a quantitative approach based on the combination of standard statistical tools and machine learning techniques with the semi-automatic estimation of onset deviations. Besides the reported results, we believe that the considered materials and the methodology followed widen the testing ground for studying musical timing and could open new perspectives in related research fields. PMID:23935971

Analysing playing using the note-time playing path.

PubMed

de Graaff, Deborah L E; Schubert, Emery

2011-03-01

This article introduces a new method of data analysis that represents the playing of written music as a graph. The method, inspired by Miklaszewski, charts low-level note timings from a sound recording of a single-line instrument using high-precision audio-to-MIDI conversion software. Note onset times of pitch sequences are then plotted against the score-predicted timings to produce a Note-Time Playing Path (NTPP). The score-predicted onset time of each sequentially performed note (horizontal axis) unfolds in performed time down the page (vertical axis). NTPPs provide a visualisation that shows (1) tempo variations, (2) repetitive practice behaviours, (3) segmenting of material, (4) precise note time positions, and (5) time spent on playing or not playing. The NTPP can provide significant new insights into behaviour and cognition of music performance and may also be used to complement established traditional approaches such as think-alouds, interviews, and video coding.

An Unpublished Draft by Gabriele Veneziano (1973): ``Non-local Field Theory Suggested by Dual Models''

NASA Astrophysics Data System (ADS)

Veneziano, G.

This article reports an old and incomplete note (written in 1973, mostly at the Weizmann Institute, Rehovot, Israel) about a non-local field theory suggested by dual resonance models, and largely inspired by Yukawa’s late work on bilocal fields. It has definite relations to the study of strings in a background (discussed by Ademollo et al.), and to Polyakov’s action for a string moving in a tachyonic background. It also suggests, for the first time, a modification of the uncertainty principle coming from the extended nature of strings. The original note is reported in this article using the slanted typographical style, for an immediate “visive” separation between the old, original text and the modern comments added by the author in the notes and in the final appendix.

A note on a nonlinear equation arising in discussions of the steady fall of a resistive, viscous, isothermal fluid across a magnetic field

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

Tautz, R. C., E-mail: robert.c.tautz@gmail.com; Lerche, I., E-mail: lercheian@yahoo.com

2015-11-15

This note considers the evolution of steady isothermal flow across a uniform magnetic field from an analytic standpoint. This problem is of concern in developments of magnetic fields in the solar corona and for prominence dynamics. Limiting behaviors are obtained to the nonlinear equation describing the flow depending on the value of a single parameter. For the situation where the viscous drag is a small correction to the inviscid flow limiting structures are also outlined. The purpose of the note is to show how one can evaluate some of the analytic properties of the highly nonlinear equation that are ofmore » use in considering the numerical evolution as done in Low and Egan [Phys. Plasmas 21, 062105 (2014)].« less

New taxa, notes and new synonymy in Neoibidionini (Cerambycidae, Coleoptera).

PubMed

Martins, Ubirajara R; Galileo, Maria Helena M

2014-04-11

New taxa, notes, and new synonymy in Neoibidionini (Cerambycidae, Coleoptera) are given. New taxa are described from Ecuador: Compsibidion inflatum sp. nov., Bezarkia gen. nov. and B. suturalis sp. nov., Corimbion antennatum sp. nov. and Neocompsa muira sp. nov.; from México: Neocompsa chiapensis sp. nov., and from French Guyana: Kunaibidion giesberti sp. nov. Pygmodeon maculatum Martins & Galileo, 2012 is considered a new synonym of Heterachthes xyleus Martins, 1974 which is transferred to the genus Pygmodeon as a new combination. Notes on variability and new records of Asynapteron equatorianum (Martins, 1960) are presented.

Poisson point process modeling for polyphonic music transcription.

PubMed

Peeling, Paul; Li, Chung-fai; Godsill, Simon

2007-04-01

Peaks detected in the frequency domain spectrum of a musical chord are modeled as realizations of a nonhomogeneous Poisson point process. When several notes are superimposed to make a chord, the processes for individual notes combine to give another Poisson process, whose likelihood is easily computable. This avoids a data association step linking individual harmonics explicitly with detected peaks in the spectrum. The likelihood function is ideal for Bayesian inference about the unknown note frequencies in a chord. Here, maximum likelihood estimation of fundamental frequencies shows very promising performance on real polyphonic piano music recordings.

Aulacidae (Hymenoptera) of Korea, with notes on their biology

USDA-ARS?s Scientific Manuscript database

Five species of Aulacidae are recorded from Korea: Aulacus salicius Sun and Sheng, 2007, Pristaulacus insularis Konishi, 1990, P. intermedius Uchida, 1932, P. kostylevi Alekseev,1986, and P. jirisani Smith and Tripotin, new species. All except P. intermedius represent new country records. A key t...

VIEW ALONG SEVENTEENTH STREET. NOTE THE MATURE SILK OAK TREES ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

VIEW ALONG SEVENTEENTH STREET. NOTE THE MATURE SILK OAK TREES LINING THE STREET, WHICH DO NOT PROVIDE A CANOPY VIEW FACING NORTHWEST. - Hickam Field, Hickam Historic Housing, Honolulu, Honolulu County, HI

Paleomagnetic record of mare basalt 10017: A lunar core dynamo at 3.6 Ga?

NASA Astrophysics Data System (ADS)

Suavet, C.; Weiss, B. P.; Fuller, M.; Gattacceca, J.; Grove, T. L.; Shuster, D. L.

2011-12-01

Following the Apollo missions, twenty years of paleomagnetic studies of returned samples have failed to demonstrate unambiguously the existence of an ancient lunar core dynamo. As a result of new technologies, more robust analytical methods, and a better understanding of rock magnetism, it is now possible to revisit lunar paleomagnetism. A set of criteria that must be met in order to demonstrate that a sample has recorded a core dynamo field has been defined: the samples must not show petrologic evidence of shock, the magnetization must be a stable thermoremanent magnetization (TRM), mutually oriented subsamples should agree in direction and intensity, and the thermal history should be well constrained, with a cooling timescale longer than the lifetime of impact generated fields (>1h). A critical review of the literature has allowed us to identify Apollo samples that are most likely to provide good records of ancient lunar magnetic fields. The first samples to be studied within this framework were troctolite 76535 (Garrick-Bethell et al., 2009) and mare basalt 10020 (Shea et al., 2010), which have recorded a core dynamo field at 4.2 and 3.7 Ga, respectively. Mare basalt 10017 is a fine grained, vesicular, high-K ilmenite basalt with a crystallization age of 3.6 Ga. It was studied by different groups (Fuller and Meshkov, 1979; Hoffman et al., 1979; Runcorn et al., 1970; Stephenson et al., 1977), all of whom noted the stability of its magnetization. We have measured 7 subsamples of chip 10017,378. Their magnetizations agree in direction, with a low coercivity overprint removed by 10 mT AF demagnetization, and a stable high coercivity component consistent with a TRM. Paleointensity estimations give a conservative minimum of 12 μT for the paleofield. This sample is ~100 Myr younger than the end of the late heavy bombardment, which rules out basin-forming impacts as a possible candidate to explain its magnetization. It extends the lifetime of the putative ancient lunar core dynamo well after thermal convection of the liquid core could have sustained an Earth-like lunar dynamo, thereby supporting non-standard dynamo scenarios such as a mechanical-stirring driven dynamo that could have been triggered by lunar librations from Earth tides or by impacts.

The song of the Brazilian population of Humpback Whale Megaptera novaeangliae, in the year 2000: individual song variations and possible implications.

PubMed

Arraut, Eduardo M; Vielliard, Jacques M E

2004-06-01

The song of the Brazilian population of the Humpback Whale Megaptera novaeangliae was studied in its breeding and calving ground, the Abrolhos Bank, Bahia, Brazil, from July to November 2000. Aural and spectral analyses of digital recordings were completed for approximately 20 song cycles, totaling 5 hours of song from 10 different recording events. We identified 24 note types, organized in five themes. All songs presented the same themes and the order in which they were sung did not vary. We registered the appearance of a note type and the disappearance of a phrase ending, which indicate that the song changed as the season progressed. Moreover, we detected individual variation in the way singers performed certain complex note types. As songs are transmitted culturally, it is likely that singers have different abilities to compose and/or learn new notes. If, as it has been previously suggested, 'new' songs are preferred to 'old' ones, these more able singers will be sending out information about their learning abilities that could be used by other whales to decide whether or not to interact with them.

Mapping Phonetic Features for Voice-Driven Sound Synthesis

NASA Astrophysics Data System (ADS)

Janer, Jordi; Maestre, Esteban

In applications where the human voice controls the synthesis of musical instruments sounds, phonetics convey musical information that might be related to the sound of the imitated musical instrument. Our initial hypothesis is that phonetics are user- and instrument-dependent, but they remain constant for a single subject and instrument. We propose a user-adapted system, where mappings from voice features to synthesis parameters depend on how subjects sing musical articulations, i.e. note to note transitions. The system consists of two components. First, a voice signal segmentation module that automatically determines note-to-note transitions. Second, a classifier that determines the type of musical articulation for each transition based on a set of phonetic features. For validating our hypothesis, we run an experiment where subjects imitated real instrument recordings with their voice. Performance recordings consisted of short phrases of saxophone and violin performed in three grades of musical articulation labeled as: staccato, normal, legato. The results of a supervised training classifier (user-dependent) are compared to a classifier based on heuristic rules (user-independent). Finally, from the previous results we show how to control the articulation in a sample-concatenation synthesizer by selecting the most appropriate samples.

Is testing a more effective learning strategy than note-taking?

PubMed

Rummer, Ralf; Schweppe, Judith; Gerst, Kathleen; Wagner, Simon

2017-09-01

The testing effect is both robust and generalizable. However, most of the underlying studies compare testing to a rather ineffective control condition: massed repeated reading. This article therefore compares testing with note-taking, which has been shown to be more effective than repeated reading. Experiment 1 is based on a 3 × 3 between-participants design with the factors learning condition (repeated reading vs. repeated testing vs. repeated note-taking) and final test delay (5 min vs. 1 week vs. 2 weeks). It shows that in the immediate condition, learning performance is best after note-taking. After 1 week, both the note-taking and the testing groups outperform the rereading group, and after 2 weeks, testing is superior to both note-taking and rereading. Since repeated notetaking may not be the most effective (and common) operationalization of note-taking, Experiment 2 contrasts repeated testing with 2 other note-taking conditions: note-taking plus note-reading and note-taking plus testing (with only a 2-week final test delay). Both conditions that include a testing phase result in better long-term learning than note-taking plus note-reading. In summary, our findings indicate that-in the long run-testing is a powerful learning tool both in isolation and in combination with note-taking. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Note taking, review, memory, and comprehension.

PubMed

Bohay, Mark; Blakely, Daniel P; Tamplin, Andrea K; Radvansky, Gabriel A

2011-01-01

In previous work assessing memory at various levels of representation, namely the surface form, textbase, and situation model levels, participants read texts but were otherwise not actively engaged with the texts. The current study tested the influence of active engagement with the material via note taking, along with the opportunity to review such notes, and the modality of presentation (text vs. spoken). The influence of these manipulations was assessed both immediately and 1 week later. In Experiment 1 participants read a text, whereas in Experiment 2 participants watched a video recording of the material being read as a lecture. For each experiment the opportunity to take notes was manipulated within participants, and the opportunity to review these notes before the test was manipulated between participants. Note taking improved performance at the situation model level in both experiments, although there was also some suggestion of benefit for the surface form. Thus, active engagement with material, such as note taking, appears to have the greatest benefit at the deeper levels of understanding.

Is there still an unknown Freud? A note on the publications of Freud's texts and on unpublished documents.

PubMed

Falzeder, Ernst

2007-01-01

This article presents an overview of the existing editions of what Freud wrote (works, letters, manuscripts and drafts, diaries and calendar notes, dedications and margin notes in books, case notes, and patient calendars) and what he is recorded as having said (minutes of meetings, interviews, memoirs of and interviews with patients, family members, and followers, and other quotes). There follows a short overview of biographies of Freud and other documentation on his life. It is concluded that a wealth of material is now available to Freud scholars, although more often than not this information is used in a biased and partisan way.

Probing the Natural World, Level III, Record Book, Teacher's Guide: What's Up? Intermediate Science Curriculum Study.

ERIC Educational Resources Information Center

Bonar, John R., Ed.; Hathway, James A., Ed.

This is the teacher's edition of the Record Book for the unit "What's Up" of the Intermediate Science Curriculum Study (ISCS) for level III students (grade 9). The correct answers to the questions from the student text are recorded. An introductory note to the teacher explains how to use the book. Answers are included for the activities…

Biophysical basis for the geometry of conical stromatolites.

PubMed

Petroff, Alexander P; Sim, Min Sub; Maslov, Andrey; Krupenin, Mikhail; Rothman, Daniel H; Bosak, Tanja

2010-06-01

Stromatolites may be Earth's oldest macroscopic fossils; however, it remains controversial what, if any, biological processes are recorded in their morphology. Although the biological interpretation of many stromatolite morphologies is confounded by the influence of sedimentation, conical stromatolites form in the absence of sedimentation and are, therefore, considered to be the most robust records of biophysical processes. A qualitative similarity between conical stromatolites and some modern microbial mats suggests a photosynthetic origin for ancient stromatolites. To better understand and interpret ancient fossils, we seek a quantitative relationship between the geometry of conical stromatolites and the biophysical processes that control their growth. We note that all modern conical stromatolites and many that formed in the last 2.8 billion years display a characteristic centimeter-scale spacing between neighboring structures. To understand this prominent-but hitherto uninterpreted-organization, we consider the role of diffusion in mediating competition between stromatolites. Having confirmed this model through laboratory experiments and field observation, we find that organization of a field of stromatolites is set by a diffusive time scale over which individual structures compete for nutrients, thus linking form to physiology. The centimeter-scale spacing between modern and ancient stromatolites corresponds to a rhythmically fluctuating metabolism with a period of approximately 20 hr. The correspondence between the observed spacing and the day length provides quantitative support for the photosynthetic origin of conical stromatolites throughout geologic time.

PS1-10: How Can the Same Practice Be Classified as Having 2 and 900 MDs? NAMCS Data Collection in a Changing Ambulatory Care Environment

PubMed Central

Halley, Meghan; Gillespie, Katherine; Rendle, Katharine; Luft, Harold

2014-01-01

Background/Aims Since 1973, the National Ambulatory Medical Care Survey (NAMCS), administered by the National Center for Health Statistics (NCHS) has been widely used in studies of ambulatory care. With the growth in large multispecialty practices – including many members of the HMORN – there is a need to understand how NAMCS data are collected and whether current processes yield accurate and reliable data. NAMCS collects data from physicians about their practices and abstracts a sample of patient visit records. This study reports on the physician component. Methods In collaboration with NCHS, nine physicians were randomly sampled from a multispecialty clinic using standard NAMCS recruitment procedures; eight physicians were eligible and agreed to participate. Using their standard protocols, three Field Representatives (FRs) conducted NAMCS physician interviews while a trained ethnographer (MH, KR) observed and audio-recorded each interview. Transcripts and field notes were analyzed using a grounded theory approach to identify key themes. Results Data have been collected and analyzed. They are currently undergoing standard confidentiality review by NCHS. However, this process has been delayed due to the government shutdown. We fully anticipate that results will be released in time for presentation at the HMORN conference. Conclusions Though we are precluded from disseminating results at this time, we will provide a full report of our results in our HMORN conference presentation.

Further reflections on the humanistic psychology-positive psychology divide.

PubMed

Waterman, Alan S

2014-01-01

Replies to comments by Morley (see record 2014-01475-010), Serlin (see record 2014-01475-011), Friedman (see record 2014-01475-012), Churchill and Mruk (see record 2014-01475-013), and Schneider (see record 2014-01475-014) on the current author's original article "The humanistic psychology-positive psychology divide: Contrasts in philosophical foundations" (see record 2013-12501-001). The article contrasting humanistic psychology and positive psychology with respect to their ontological, epistemological, and practical philosophical foundations has generated commentaries from leading proponents of varying perspectives within humanistic psychology. There is a great deal of material within those commentaries with which the current author is in full accord. It is worth noting at the outset that no one appears to be challenging the observations (a) that published exchanges between proponents of humanistic and positive psychology have been marked by tension and ambivalence, albeit with occasional efforts at reconciliation and rapprochement; (b) that proponents of the two perspectives differ with respect to the philosophers they most frequently cite in their writings; or (c) that such citations reflect the philosophical assumptions serving as foundations for the theoretical, research, and counseling/therapeutic endeavors of psychologists in both groups. The principal points of concurrence in the critiques published here are that the current underestimates the extent to which mutually supportive, collaborative work can be accomplished across the philosophical divide and that the recommendations the current author has made has advanced serious potential negative consequences for the field. The current author will address these points here in the reply, although space does not permit him to address other substantive points raised by individual commentators. PsycINFO Database Record (c) 2014 APA, all rights reserved.

Finding Important Terms for Patients in Their Electronic Health Records: A Learning-to-Rank Approach Using Expert Annotations

PubMed Central

Zheng, Jiaping; Yu, Hong

2016-01-01

Background Many health organizations allow patients to access their own electronic health record (EHR) notes through online patient portals as a way to enhance patient-centered care. However, EHR notes are typically long and contain abundant medical jargon that can be difficult for patients to understand. In addition, many medical terms in patients’ notes are not directly related to their health care needs. One way to help patients better comprehend their own notes is to reduce information overload and help them focus on medical terms that matter most to them. Interventions can then be developed by giving them targeted education to improve their EHR comprehension and the quality of care. Objective We aimed to develop a supervised natural language processing (NLP) system called Finding impOrtant medical Concepts most Useful to patientS (FOCUS) that automatically identifies and ranks medical terms in EHR notes based on their importance to the patients. Methods First, we built an expert-annotated corpus. For each EHR note, 2 physicians independently identified medical terms important to the patient. Using the physicians’ agreement as the gold standard, we developed and evaluated FOCUS. FOCUS first identifies candidate terms from each EHR note using MetaMap and then ranks the terms using a support vector machine-based learn-to-rank algorithm. We explored rich learning features, including distributed word representation, Unified Medical Language System semantic type, topic features, and features derived from consumer health vocabulary. We compared FOCUS with 2 strong baseline NLP systems. Results Physicians annotated 90 EHR notes and identified a mean of 9 (SD 5) important terms per note. The Cohen’s kappa annotation agreement was .51. The 10-fold cross-validation results show that FOCUS achieved an area under the receiver operating characteristic curve (AUC-ROC) of 0.940 for ranking candidate terms from EHR notes to identify important terms. When including term identification, the performance of FOCUS for identifying important terms from EHR notes was 0.866 AUC-ROC. Both performance scores significantly exceeded the corresponding baseline system scores (P<.001). Rich learning features contributed to FOCUS’s performance substantially. Conclusions FOCUS can automatically rank terms from EHR notes based on their importance to patients. It may help develop future interventions that improve quality of care. PMID:27903489

Finding Important Terms for Patients in Their Electronic Health Records: A Learning-to-Rank Approach Using Expert Annotations.

PubMed

Chen, Jinying; Zheng, Jiaping; Yu, Hong

2016-11-30

Many health organizations allow patients to access their own electronic health record (EHR) notes through online patient portals as a way to enhance patient-centered care. However, EHR notes are typically long and contain abundant medical jargon that can be difficult for patients to understand. In addition, many medical terms in patients' notes are not directly related to their health care needs. One way to help patients better comprehend their own notes is to reduce information overload and help them focus on medical terms that matter most to them. Interventions can then be developed by giving them targeted education to improve their EHR comprehension and the quality of care. We aimed to develop a supervised natural language processing (NLP) system called Finding impOrtant medical Concepts most Useful to patientS (FOCUS) that automatically identifies and ranks medical terms in EHR notes based on their importance to the patients. First, we built an expert-annotated corpus. For each EHR note, 2 physicians independently identified medical terms important to the patient. Using the physicians' agreement as the gold standard, we developed and evaluated FOCUS. FOCUS first identifies candidate terms from each EHR note using MetaMap and then ranks the terms using a support vector machine-based learn-to-rank algorithm. We explored rich learning features, including distributed word representation, Unified Medical Language System semantic type, topic features, and features derived from consumer health vocabulary. We compared FOCUS with 2 strong baseline NLP systems. Physicians annotated 90 EHR notes and identified a mean of 9 (SD 5) important terms per note. The Cohen's kappa annotation agreement was .51. The 10-fold cross-validation results show that FOCUS achieved an area under the receiver operating characteristic curve (AUC-ROC) of 0.940 for ranking candidate terms from EHR notes to identify important terms. When including term identification, the performance of FOCUS for identifying important terms from EHR notes was 0.866 AUC-ROC. Both performance scores significantly exceeded the corresponding baseline system scores (P<.001). Rich learning features contributed to FOCUS's performance substantially. FOCUS can automatically rank terms from EHR notes based on their importance to patients. It may help develop future interventions that improve quality of care. ©Jinying Chen, Jiaping Zheng, Hong Yu. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 30.11.2016.

Challenges, coping strategies, and recommendations related to the HIV services field in the HAART era: a systematic literature review of qualitative studies from the United States and Canada.

PubMed

Kerr, Zachary Y; Miller, Katye R; Galos, Dylan; Love, Randi; Poole, Charles

2013-02-01

Qualitative research methods have been utilized to study the nature of work in the HIV services field. Yet current literature lacks a Highly Active Anti-Retroviral Treatment (HAART) era compendium of qualitative research studying challenges and coping strategies in the field. This study systematically reviewed challenges and coping strategies that qualitative researchers observed in the HIV services field during the HAART era, and their recommendations to organizations. Four online databases were searched for peer-reviewed research that utilized qualitative methods, were published from January 1998 to February 2012, utilized samples of individuals in the HIV services field; occurred in the U.S. or Canada, and contained information related to challenges and/or coping strategies. Abstracts were identified (n=846) and independently read and coded for inclusion by at least two of the four first authors. Identified articles (n=26) were independently read by at least two of the four first authors who recorded the study methodology, participant demographics, challenges and coping strategies, and recommendations. A number of challenges affecting those in the HIV services field were noted, particularly interpersonal and organizational issues. Coping strategies were problem- and emotion-focused. Summarized research recommendations called for increased support, capacity-building, and structural changes. Future research on challenges and coping strategies must provide up-to-date information to the HIV services field while creating, implementing, and evaluating interventions to manage current challenges and reduce the risk of burnout.

First record of Anastrepha zacharyi Norrbom (Diptera, Tephritidae) in Brazil, and notes on its host plant and parasitoid

USDA-ARS?s Scientific Manuscript database

Cryptodacus bernardoi Rodriguez & Rodriguez, new species, is described from Colombia. It was reared from fruits of Phoradendron sp. near piperoides (Kunth) Trel. New distribution records are reported for Cryptodacus ornatus Norrbom from Colombia and Peru, for Cryptodacus trinotatus Norrbom & Korytko...

42 CFR 102.21 - Smallpox (Vaccinia) Vaccine Injury Table.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) vaccine in recipients (R); or (2) exposure to vaccinia in contacts (C). Please note that these time... contact requires sufficient evidence in the medical records of the occurrence of a significant local skin... recipient or contact requires sufficient evidence in the medical records of the occurrence of SJS. The SJS...

Early Childhood Numeracy in a Multiage Setting

ERIC Educational Resources Information Center

Wood, Karen; Frid, Sandra

2005-01-01

This research is a case study examining numeracy teaching and learning practices in an early childhood multiage setting with Pre-Primary to Year 2 children. Data were collected via running records, researcher reflection notes, and video and audio recordings. Video and audio transcripts were analysed using a mathematical discourse and social…

7 CFR 58.148 - Plant records.

Code of Federal Regulations, 2010 CFR

2010-01-01

... showing number and percent of total in each class. (2) Retests, if initial test places milk in probationary status. (3) Rejections of raw milk over No. 3 in quality. (b) Pasteurization recorder charts.... (Approved by the Office of Management and Budget under OMB control number 0583-0047) 1 1 Editorial Note: See...

The Eggen Card Project

NASA Astrophysics Data System (ADS)

Silvis, G.

2014-06-01

(Abstract only) Olin Eggen, noted astronomer (1919-1998), left to us all his raw observation records recorded on 3x5 cards. This project is to make all this data available as an online resource. History and progress of the project will be presented. Project details available at: https://sites.google.com/site/eggencards/home.

Future Proof for Physics: Preserving the Record of SLAC

ERIC Educational Resources Information Center

Deken, Jean Marie

2005-01-01

This article provides a brief introduction to the Stanford Linear Accelerator Center (SLAC), discusses the origins of the SLAC Archives and History Office, its present-day operations, and the present and future challenges it faces in attempting to preserve an accurate historical record of SLAC's activities. (Contains 21 notes.)

7 CFR 58.148 - Plant records.

Code of Federal Regulations, 2011 CFR

2011-01-01

... showing number and percent of total in each class. (2) Retests, if initial test places milk in probationary status. (3) Rejections of raw milk over No. 3 in quality. (b) Pasteurization recorder charts.... (Approved by the Office of Management and Budget under OMB control number 0583-0047) 1 1 Editorial Note: See...

29 CFR 1904.0 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-07-01

... REPORTING OCCUPATIONAL INJURIES AND ILLNESSES Purpose § 1904.0 Purpose. The purpose of this rule (Part 1904) is to require employers to record and report work-related fatalities, injuries and illnesses. Note to § 1904.0: Recording or reporting a work-related injury, illness, or fatality does not mean that the...

29 CFR 1904.0 - Purpose.

Code of Federal Regulations, 2012 CFR

2012-07-01

... REPORTING OCCUPATIONAL INJURIES AND ILLNESSES Purpose § 1904.0 Purpose. The purpose of this rule (Part 1904) is to require employers to record and report work-related fatalities, injuries and illnesses. Note to § 1904.0: Recording or reporting a work-related injury, illness, or fatality does not mean that the...

15 CFR 784.3 - Scope and conduct of complementary access.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Utilize radiation detection and measurement devices; (iii) Utilize non-destructive measurements and sampling; (iv) Examine relevant records (i.e., records appropriate for the purpose of complementary access...); (v) Perform location-specific environmental sampling; and Note to § 784.3(b)(1)(v): BIS will not seek...

Monthly Record of Current Educational Publications. Bulletin, 1915, No. 9. Whole Number 633

ERIC Educational Resources Information Center

United States Bureau of Education, Department of the Interior, 1915

1915-01-01

This bulletin contains monthly record of current educational publications received by the Library Division of the Bureau of Education. This bulletin contains the following: (1) Introductory notes; (2) Publications of associations; (3) Educational history; (4) Current educational conditions; (5) Pedagogics and didactics; (6) Educational psychology,…

Quotable physics

NASA Astrophysics Data System (ADS)

Chomet, Seweryn

2008-03-01

Anton Capri is an alumnus of Princeton University, where he specialized in quantum field theory, and, since 1998, has been a distinguished professor emeritus at the University of Alberta in Canada. Since his nominal retirement he has devoted much of his time to writing and has now published, among other things, two linked books that present a variety of anecdotes involving famous physicists, as well as useful biographical sketches of them. The origin of these books is clearly defined by their author. "I have not any pretensions to having produced a 'scholarly' work," he writes. "Some of the stories recorded here are gossip, or physics folklore. I have tried to verify as many of the stories as I could, but I have not hesitated to include all stories that I heard and noted down."

Water-level data for the industrial area northwest of Delaware City, Delaware, 1993-94

USGS Publications Warehouse

Donnelly, C.A.; Hinaman, K.C.

1996-01-01

Water-level data for 171 wells and one surface-water site on Red Lion Creek in the industrial area northwest of Delaware City, Delaware, are presented for 1993 and 1994. Eight sets of synoptic ground- water-level measurements collected between April 1993 and September 1994, and locations and field notes for the 171 wells are presented. A hydrograph from December 19, 1993 through November 8, 1994 is presented for one surface-water site on Red Lion Creek in the industrial area. Hydrographs from October 15, 1993 through November 8, 1994 are presented for eight wells screened in the water- table aquifer. The U.S. Army Corps of Engineers collected the synoptic ground-water-level measurements. The U.S. Geological Survey collected the continuously recorded water-level data.

The role of Tamang mothers-in-law in promoting breast feeding in Makwanpur District, Nepal.

PubMed

Masvie, Hilde

2006-03-01

to systematically analyse the Nepalise grandmother's own perspective of breast feeding. a qualitative approach was used. Three focus-group discussions and eight semi-structured interviews formed the primary database. All interviews and discussions were tape recorded, and translated transcripts and field notes were analysed. Makwanpur District, rural Nepal. 31 Tamang mothers-in-law living in a household with their son's family, and taking part in child care. the data suggest that the mothers-in-law see themselves as key providers of, and decision-makers in, perinatal care practices. Traditional patterns of promotive and preventive care were identified. contrary to the widespread reports that early breast feeding is delayed in this setting, these grandmothers held colostrum in high regard, used no prelacteals and supported early initiation of breast feeding.

Identification and Progression of Heart Disease Risk Factors in Diabetic Patients from Longitudinal Electronic Health Records.

PubMed

Jonnagaddala, Jitendra; Liaw, Siaw-Teng; Ray, Pradeep; Kumar, Manish; Dai, Hong-Jie; Hsu, Chien-Yeh

2015-01-01

Heart disease is the leading cause of death worldwide. Therefore, assessing the risk of its occurrence is a crucial step in predicting serious cardiac events. Identifying heart disease risk factors and tracking their progression is a preliminary step in heart disease risk assessment. A large number of studies have reported the use of risk factor data collected prospectively. Electronic health record systems are a great resource of the required risk factor data. Unfortunately, most of the valuable information on risk factor data is buried in the form of unstructured clinical notes in electronic health records. In this study, we present an information extraction system to extract related information on heart disease risk factors from unstructured clinical notes using a hybrid approach. The hybrid approach employs both machine learning and rule-based clinical text mining techniques. The developed system achieved an overall microaveraged F-score of 0.8302.

Notes on Linguistics, 1998.

ERIC Educational Resources Information Center

Notes on Linguistics, 1998

1998-01-01

The four issues of the journal of language research and linguistic theory include these articles: "Notes on Determiners in Chamicuro" (Steve Parker); Lingualinks Field Manual Development" (Larry Hayashi); "Comments from an International Linguistics Consultant: Thumbnail Sketch" (Austin Hale); "Carlalinks…

Micro-Editions of Unpublished Works

ERIC Educational Resources Information Center

Debregeas-Laurenie, Genevieve

1977-01-01

This article describes the micropublication program of Institut d'Ethnologie (Paris). The collection deals with ethnology, pre-history, and archeology. Material produced on microfiche includes notes from researchers' archives, rough field notes, and unique manuscripts. (Author/JAB)

Baseball and softball sliding injuries: incidence and correlates during one high school league varsity season.

PubMed

Stovak, Mark; Parikh, Amit; Harvey, Anne T

2012-11-01

To estimate injury rates associated with sliding in high school baseball and softball. Prospective cohort study. Community high school athletic events. Ten high school varsity baseball and softball teams over 1 season. All sliding attempts were recorded during each game and recorded as headfirst, feetfirst, or diveback. Base type, playing surface, and field conditions were also noted. Injury exposure rates by game exposures and sliding/diveback exposures. Data were collected from 153 baseball games and 166 softball games. A greater proportion of slides were associated with injury in softball than in baseball (42.0 and 4.9 per 1000 slides; P < 0.05). Headfirst slides led to more injuries than feetfirst slides in baseball (16.8 vs 0 per 1000 slides; P < 0.05) but not in softball (55 vs 35 per 1000 slides; P = 0.74). More powerful studies are required to determine whether efforts to prevent baseball sliding injuries at the high school level should focus on better education in sliding technique or changes in equipment. Softball players are vulnerable to injury when wearing inadequate protective sliding apparel.

Heuristic evaluation and thinking aloud test of a digitized questionnaire for diabetes outpatient clinics.

PubMed

Schaarup, Clara; Hejlesen, Ole K

2014-01-01

Diabetes is a chronic disease characterized by hyperglycaemia. The number of patients with diabetes is expected to exceed 592 million in 2035. The growing number of diabetics is a great burden for the Danish healthcare system. The Danish government desires a modern and efficient healthcare system with a high patient security and a coherent continuity of care. To achieve these outcomes medical record-keeping, paper questionnaires and notes must be digitized. The current system enforces that the diabetics fill out questionnaires in paper form after which the healthcare personnel enter the same information in the electronic health record. In this study, an online questionnaire was designed and the usability was evaluated using the following parameters: learnability, efficiency, memorability, errors, and satisfaction. The parameters were evaluated by using the discount usability engineering method. 5 double specialists and 6 patients diagnosed with diabetes provided the data of the study. The results indicated that simple and obvious figures were preferred in the online questionnaire, as well as error preventing in the form of validation fields. This study inspire to further development in the digitizing process.

Additional records for Stenosagola newtoni Park & Carlton, 2013 (Staphylinidae: Pselaphinae: Faronitae), with notes on aedeagal morphology

PubMed Central

2014-01-01

Abstract The purpose of this short note is to identify morphospecies sp. 0471 of the Hope River Forest Fragmentation Project. It is Stenosagola newtoni Park & Carlton, 2013. The material listed herein raises the number of published specimen records for Stenosagola newtoni from 2 to 51. All additional 49 specimens are fully winged males, collected in flight intercept traps (FITs), from the South Island of New Zealand. Examination of the new material has resulted in the detection of an error in the original description of Stenosagola newtoni, whereby the mirror image of the aedeagus was inadvertently illustrated. It is not a case of genitalic antisymmetry. PMID:25425940

World Record Magnetic Field 100T

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

McDonald, Ross; Mielke, Chuck; Rickel, Dwight

2012-03-22

Scientists at the Los Alamos National Laboratory campus of the National High Magnetic Field Laboratory have successfully produced the world's first 100 Tesla non-destructive magnetic field. The achievement was decades in the making, involving a diverse team of scientists and engineers. The 100 Tesla mark was reached at approximately 3:30 p.m. on March 22, 2012. A note about the sound you'll hear when the magnet is energized: The sound that the 100 T multi-shot magnet makes is due to the electrical current modulation from the 3 phase power converters (known as 12 pulse converters) and the harmonics associated with themore » chopping of the sinusoidal input power. The magnet vibrates at the electrical current frequencies multiplied by 12 (i.e. ~ 55 Hz x 12 = 660 Hz) hence making an audible sound. The generator is not run at full speed (1650 RPM instead of 1800 RPM) so the frequency is slightly lower than US Line frequency (i.e. 55 Hz instead of 60 Hz). A spectrograph of the sound from the magnet pulse shows the multiple harmonics as reddish horizontal bands as a function of time.« less

Patient information: confidentiality and the electronic record.

PubMed

Griffith, Richard

The rise of the electronic record now allows nurses to access a large archive of patient information that was more difficult to obtain when records consisted of manually held paper files. There have been several instances where curiosity and, occasionally, more malicious motivations have led nurses to access these records and read the notes of a celebrity or a person they know. In this article, Richard Griffith considers whether nurses' accessing and reading of the record of someone who is not in their care is in breach of their duty of confidentiality.

Additions to the knowledge of Nevada carabid beetles (Coleoptera: Carabidae) and a preliminary list of carabids from the Great Basin National Park

PubMed Central

Will, Kipling; Madan, Riva; Hsu, Han Hsuan

2017-01-01

Abstract Background Additions to the list of Carabidae known for Nevada, USA and carabid beetles found in the Great Basin National Park, NV are reported with notes on ecology and identification resources. New information For 79 species of carabids, we present 57 new state records, two state records previously reported in online resources, one confirmation of a previous questionable record for the state, and report 22 records for the Great Basin National Park that includes three new state records. PMID:28765724

Achievements in optical data storage and retrieval

NASA Technical Reports Server (NTRS)

Nelson, R. H.; Shuman, C. A.

1977-01-01

The present paper deals with the current achievements in two technology efforts, one of which is a wideband holographic recorder which uses multichannel recording of data in the form of holograms on roll film for storage and retrieval of large unit records at hundreds of megabit per second. The second effort involves a system (termed DIGIMEN) which uses binary spot recording on photographic film in the form of microfiche to provide a mass storage capability with automatic computer-controlled random access to stored records. Some potential design improvements are noted.

Creating cometary models using ancient Chinese data

NASA Astrophysics Data System (ADS)

Yeomans, D. K.

For more than two millennia, Chinese court astronomers maintained a rather comprehensive record of cometary sightings. Owing to the significance of comets as portents for the reigning emperor, early sky watchers from China (as well as their counterparts from Korea and Japan) carefully noted each cometary apparition for the purpose of astrological predictions. The dates and corresponding celestial locations and motions were usually recorded and in some cases, the colors, coma sizes, and tail lengths were also noted. These ancient observations represent the only source of information available for modeling the long-term behavior of periodic comets. For comets Halley and Swift-Tuttle, Chinese records have been identified as far back as 240 B.C. and 69 B.C. respectively and these data have been used to define their long-term motions. As a result, heliocentric and geocentric distances for each Chinese sighting of these two comets can be computed and estimates can be made for each comet's intrinsic brightness at various observed returns. Although the earliest identified apparition of comet Tempel-Tuttle is A.D. 1366, the associated Leonid meteor showers were noted back to at least A.D. 902. The Leonid meteor stream is young in the sense that outstanding meteor displays occur only near the time of the parent comet's perihelion passages. The ancient Chinese records of the Leonid meteor showers and storms have been used to map the particle distribution around the parent comet and this information was used to guide predictions for the 1998-1999 Leonid meteor showers.

Predicting the risk of suicide by analyzing the text of clinical notes.

PubMed

Poulin, Chris; Shiner, Brian; Thompson, Paul; Vepstas, Linas; Young-Xu, Yinong; Goertzel, Benjamin; Watts, Bradley; Flashman, Laura; McAllister, Thomas

2014-01-01

We developed linguistics-driven prediction models to estimate the risk of suicide. These models were generated from unstructured clinical notes taken from a national sample of U.S. Veterans Administration (VA) medical records. We created three matched cohorts: veterans who committed suicide, veterans who used mental health services and did not commit suicide, and veterans who did not use mental health services and did not commit suicide during the observation period (n = 70 in each group). From the clinical notes, we generated datasets of single keywords and multi-word phrases, and constructed prediction models using a machine-learning algorithm based on a genetic programming framework. The resulting inference accuracy was consistently 65% or more. Our data therefore suggests that computerized text analytics can be applied to unstructured medical records to estimate the risk of suicide. The resulting system could allow clinicians to potentially screen seemingly healthy patients at the primary care level, and to continuously evaluate the suicide risk among psychiatric patients.

Predicting the Risk of Suicide by Analyzing the Text of Clinical Notes

PubMed Central

Thompson, Paul; Vepstas, Linas; Young-Xu, Yinong; Goertzel, Benjamin; Watts, Bradley; Flashman, Laura; McAllister, Thomas

2014-01-01

We developed linguistics-driven prediction models to estimate the risk of suicide. These models were generated from unstructured clinical notes taken from a national sample of U.S. Veterans Administration (VA) medical records. We created three matched cohorts: veterans who committed suicide, veterans who used mental health services and did not commit suicide, and veterans who did not use mental health services and did not commit suicide during the observation period (n = 70 in each group). From the clinical notes, we generated datasets of single keywords and multi-word phrases, and constructed prediction models using a machine-learning algorithm based on a genetic programming framework. The resulting inference accuracy was consistently 65% or more. Our data therefore suggests that computerized text analytics can be applied to unstructured medical records to estimate the risk of suicide. The resulting system could allow clinicians to potentially screen seemingly healthy patients at the primary care level, and to continuously evaluate the suicide risk among psychiatric patients. PMID:24489669

Natural Language Processing-Enabled and Conventional Data Capture Methods for Input to Electronic Health Records: A Comparative Usability Study.

PubMed

Kaufman, David R; Sheehan, Barbara; Stetson, Peter; Bhatt, Ashish R; Field, Adele I; Patel, Chirag; Maisel, James Mark

2016-10-28

The process of documentation in electronic health records (EHRs) is known to be time consuming, inefficient, and cumbersome. The use of dictation coupled with manual transcription has become an increasingly common practice. In recent years, natural language processing (NLP)-enabled data capture has become a viable alternative for data entry. It enables the clinician to maintain control of the process and potentially reduce the documentation burden. The question remains how this NLP-enabled workflow will impact EHR usability and whether it can meet the structured data and other EHR requirements while enhancing the user's experience. The objective of this study is evaluate the comparative effectiveness of an NLP-enabled data capture method using dictation and data extraction from transcribed documents (NLP Entry) in terms of documentation time, documentation quality, and usability versus standard EHR keyboard-and-mouse data entry. This formative study investigated the results of using 4 combinations of NLP Entry and Standard Entry methods ("protocols") of EHR data capture. We compared a novel dictation-based protocol using MediSapien NLP (NLP-NLP) for structured data capture against a standard structured data capture protocol (Standard-Standard) as well as 2 novel hybrid protocols (NLP-Standard and Standard-NLP). The 31 participants included neurologists, cardiologists, and nephrologists. Participants generated 4 consultation or admission notes using 4 documentation protocols. We recorded the time on task, documentation quality (using the Physician Documentation Quality Instrument, PDQI-9), and usability of the documentation processes. A total of 118 notes were documented across the 3 subject areas. The NLP-NLP protocol required a median of 5.2 minutes per cardiology note, 7.3 minutes per nephrology note, and 8.5 minutes per neurology note compared with 16.9, 20.7, and 21.2 minutes, respectively, using the Standard-Standard protocol and 13.8, 21.3, and 18.7 minutes using the Standard-NLP protocol (1 of 2 hybrid methods). Using 8 out of 9 characteristics measured by the PDQI-9 instrument, the NLP-NLP protocol received a median quality score sum of 24.5; the Standard-Standard protocol received a median sum of 29; and the Standard-NLP protocol received a median sum of 29.5. The mean total score of the usability measure was 36.7 when the participants used the NLP-NLP protocol compared with 30.3 when they used the Standard-Standard protocol. In this study, the feasibility of an approach to EHR data capture involving the application of NLP to transcribed dictation was demonstrated. This novel dictation-based approach has the potential to reduce the time required for documentation and improve usability while maintaining documentation quality. Future research will evaluate the NLP-based EHR data capture approach in a clinical setting. It is reasonable to assert that EHRs will increasingly use NLP-enabled data entry tools such as MediSapien NLP because they hold promise for enhancing the documentation process and end-user experience. ©David R. Kaufman, Barbara Sheehan, Peter Stetson, Ashish R. Bhatt, Adele I. Field, Chirag Patel, James Mark Maisel. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 28.10.2016.

Utilizing uncoded consultation notes from electronic medical records for predictive modeling of colorectal cancer.

PubMed

Hoogendoorn, Mark; Szolovits, Peter; Moons, Leon M G; Numans, Mattijs E

2016-05-01

Machine learning techniques can be used to extract predictive models for diseases from electronic medical records (EMRs). However, the nature of EMRs makes it difficult to apply off-the-shelf machine learning techniques while still exploiting the rich content of the EMRs. In this paper, we explore the usage of a range of natural language processing (NLP) techniques to extract valuable predictors from uncoded consultation notes and study whether they can help to improve predictive performance. We study a number of existing techniques for the extraction of predictors from the consultation notes, namely a bag of words based approach and topic modeling. In addition, we develop a dedicated technique to match the uncoded consultation notes with a medical ontology. We apply these techniques as an extension to an existing pipeline to extract predictors from EMRs. We evaluate them in the context of predictive modeling for colorectal cancer (CRC), a disease known to be difficult to diagnose before performing an endoscopy. Our results show that we are able to extract useful information from the consultation notes. The predictive performance of the ontology-based extraction method moves significantly beyond the benchmark of age and gender alone (area under the receiver operating characteristic curve (AUC) of 0.870 versus 0.831). We also observe more accurate predictive models by adding features derived from processing the consultation notes compared to solely using coded data (AUC of 0.896 versus 0.882) although the difference is not significant. The extracted features from the notes are shown be equally predictive (i.e. there is no significant difference in performance) compared to the coded data of the consultations. It is possible to extract useful predictors from uncoded consultation notes that improve predictive performance. Techniques linking text to concepts in medical ontologies to derive these predictors are shown to perform best for predicting CRC in our EMR dataset. Copyright © 2016 Elsevier B.V. All rights reserved.

Automated identification of wound information in clinical notes of patients with heart diseases: Developing and validating a natural language processing application.

PubMed

Topaz, Maxim; Lai, Kenneth; Dowding, Dawn; Lei, Victor J; Zisberg, Anna; Bowles, Kathryn H; Zhou, Li

2016-12-01

Electronic health records are being increasingly used by nurses with up to 80% of the health data recorded as free text. However, only a few studies have developed nursing-relevant tools that help busy clinicians to identify information they need at the point of care. This study developed and validated one of the first automated natural language processing applications to extract wound information (wound type, pressure ulcer stage, wound size, anatomic location, and wound treatment) from free text clinical notes. First, two human annotators manually reviewed a purposeful training sample (n=360) and random test sample (n=1100) of clinical notes (including 50% discharge summaries and 50% outpatient notes), identified wound cases, and created a gold standard dataset. We then trained and tested our natural language processing system (known as MTERMS) to process the wound information. Finally, we assessed our automated approach by comparing system-generated findings against the gold standard. We also compared the prevalence of wound cases identified from free-text data with coded diagnoses in the structured data. The testing dataset included 101 notes (9.2%) with wound information. The overall system performance was good (F-measure is a compiled measure of system's accuracy=92.7%), with best results for wound treatment (F-measure=95.7%) and poorest results for wound size (F-measure=81.9%). Only 46.5% of wound notes had a structured code for a wound diagnosis. The natural language processing system achieved good performance on a subset of randomly selected discharge summaries and outpatient notes. In more than half of the wound notes, there were no coded wound diagnoses, which highlight the significance of using natural language processing to enrich clinical decision making. Our future steps will include expansion of the application's information coverage to other relevant wound factors and validation of the model with external data. Copyright © 2016 Elsevier Ltd. All rights reserved.

Analysis of Geomagnetic Field Variations during Total Solar Eclipses Using INTERMAGNET Data

NASA Astrophysics Data System (ADS)

KIM, J. H.; Chang, H. Y.

2017-12-01

We investigate variations of the geomagnetic field observed by INTERMAGNET geomagnetic observatories over which the totality path passed during a solar eclipse. We compare results acquired by 6 geomagnetic observatories during the 4 total solar eclipses (11 August 1999, 1 August 2008, 11 July 2010, and 20 March 2015) in terms of geomagnetic and solar ecliptic parameters. These total solar eclipses are the only total solar eclipse during which the umbra of the moon swept an INTERMAGNET geomagnetic observatory and simultaneously variations of the geomagnetic field are recorded. We have confirmed previous studies that increase BY and decreases of BX, BZ and F are conspicuous. Interestingly, we have noted that variations of geomagnetic field components observed during the total solar eclipse at Isla de Pascua Mataveri (Easter Island) in Chile (IPM) in the southern hemisphere show distinct decrease of BY and increases of BX and BZ on the contrary. We have found, however, that variations of BX, BY, BZ and F observed at Hornsund in Norway (HRN) seem to be dominated by other geomagnetic occurrence. In addition, we have attempted to obtain any signatures of influence on the temporal behavior of the variation in the geomagnetic field signal during the solar eclipse by employing the wavelet analysis technique. Finally, we conclude by pointing out that despite apparent success a more sophisticate and reliable algorithm is required before implementing to make quantitative comparisons.

Cultural Resources Mitigation Along Ditch 19, Site 23DU227, Dunklin County, Missouri

DTIC Science & Technology

1984-06-01

Graminae Grass family Ilex Holly Labiatae Mint family Leguminosae Pea family Liliaceae Lily family Polygonum Smartweed Rosaceae Rose family cf. Vitis Grape...previously, corn (Zea) and soybean crops have been rotated in the fields of this area. Leguminosae pollen, probably soybean pollen, was noted in the...control sample, although Zea pollen was not. Pollen samples from modern agricultural fields indicate that Leguminosae pollen is only rarely noted, if

Interventions to increase physician efficiency and comfort with an electronic health record system.

PubMed

Jalota, L; Aryal, M R; Mahmood, M; Wasser, T; Donato, A

2015-01-01

To determine comfort when using the Electronic Health Record (EHR) and increase in documentation efficiency after an educational intervention for physicians to improve their transition to a new EHR. This study was a single-center randomized, parallel, non-blinded controlled trial of real-time, focused educational interventions by physician peers in addition to usual training in the intervention arm compared with usual training in the control arm. Participants were 44 internal medicine physicians and residents stratified to groups using a survey of comfort with electronic media during rollout of a system-wide EHR and order entry system. Outcomes were median time to complete a progress note, notes completed after shift, and comfort with EHR at 20 and 40 shifts. In the intervention group, 73 education sessions averaging 14.4 (SD: 7.7) minutes were completed with intervention group participants, who received an average of 3.47 (SD: 2.1) interventions. Intervention group participants decreased their time to complete a progress note more quickly than controls over 30 shifts (p < 0.001) and recorded significantly fewer progress notes after scheduled duty hours (77 versus 292, p < 0.001). Comfort with EHRs increased significantly in both groups from baseline but did not differ significantly by group. Intervention group participants felt that the intervention was more helpful than their standard training (3.47 versus 1.95 on 4-point scale). Physicians teaching physicians during clinical work improved physician efficiency but not comfort with EHRs. More study is needed to determine best methods to assist those most challenged with new EHR rollouts.

Electrophysiological characteristics of the Marshall bundle in humans

PubMed Central

Han, Seongwook; Joung, Boyoung; Scanavacca, Mauricio; Sosa, Eduardo; Chen, Peng-Sheng; Hwang, Chun

2010-01-01

BACKGROUND Marshall bundles (MBs) are the muscle bundles within the ligament of Marshall. OBJECTIVE This trial sought to the electrophysiological characteristics of the MB and the anatomical connections between MB and left atrium (LA) in patients with persistent atrial fibrillation (AF). METHODS We enrolled 72 patients (male:female 59:13, age 59.9 ± 9.4 years) who underwent MB mapping and ablation for AF. MB mapping was done via an endocardial or epicardial approach during sinus rhythm and AF. RESULTS Recordings were successful in 64 of 72 patients (89%). A single connection was noted in 11 of 64 patients between the MB and the coronary sinus (CS) muscle sleeves. The MB recordings showed distinct MB potentials with a proximal-to-distal activation pattern during sinus rhythm. During AF, organized passive activations and dissociated slow MB ectopic activities were commonly observed in this type of connection. Double connections to both CS and LA around left pulmonary veins were noted in 23 of 64 patients (36%). After the ablation of the distal connection, MB recording showed typical double potentials as in single connection. Multiple connections were noted in 30 of 64 patients (47%). During sinus rhythm, the earliest activation was in the middle of the MB. The activation patterns were irregular and variable in each patient. During AF, rapid and fractionated complex activations were noted in all patients of this group. CONCLUSION We documented 3 different types of MB–LA connections. Rapid and fractionated activations were most commonly observed in the MB that had multiple LA connections. PMID:20188860

Additions to the reptile fauna of Paraguay with notes on a small herpetological collection from Amambay

USGS Publications Warehouse

McDiarmid, Roy W.; Foster, Mercedes S.

1987-01-01

Specimens in a small collections of reptiles and amphibians from Parque Nacional Cerro Cora, Departamento Amambay, Paraguay are reported. Included are the first records of Bachia bresslaui, Phrynops gibbus, and Ololygon fuscomarginata for that country. Brief notes on morphology, distribution, and natural history of species collected are included. The systematic status of Phrynops tuberculatus vanderhaegei is evaluated.

Open Oncology Notes: A Qualitative Study of Oncology Patients' Experiences Reading Their Cancer Care Notes.

PubMed

Kayastha, Neha; Pollak, Kathryn I; LeBlanc, Thomas W

2018-04-01

Electronic medical records increasingly allow patients access to clinician notes. Although most believe that open notes benefits patients, some suggest negative consequences. Little is known about the experiences of patients with cancer reading their medical notes; thus we aimed to describe this qualitatively. We interviewed 20 adults with metastatic or incurable cancer receiving cancer treatment. The semistructured qualitative interviews included four segments: assessing their overall experience reading notes, discussing how notes affected their cancer care experiences, reading a real note with the interviewer, and making suggestions for improvement. We used a constant comparison approach to analyze these qualitative data. We found four themes. Patients reported that notes resulted in the following: (1) increased comprehension; (2) ameliorated uncertainty, relieved anxiety, and facilitated control; (3) increased trust; and (4) for a subset of patients, increased anxiety. Patients described increased comprehension because notes refreshed their memory and clarified their understanding of visits. This helped mitigate the unfamiliarity of cancer, addressing uncertainty and relieving anxiety. Notes facilitated control, empowering patients to ask clinicians more questions. The transparency of notes also increased trust in clinicians. For a subset of patients, however, notes were emotionally difficult to read and raised concerns. Patients identified medical jargon and repetition in notes as areas for improvement. Most patients thought that reading notes improved their care experiences. A small subset of patients experienced increased distress. As reading notes becomes a routine part of the patient experience, physicians might want to elicit and address concerns that arise from notes, thereby further engaging patients in their care.

Hidden care: Revelations of a case-note audit of physical health care in a community mental health service.

PubMed

Lawn, Sharon; Zabeen, Sara; Rowlands, Nikki; Picot, Sharon

2018-05-24

People with severe mental illness (SMI) are widely reported to be at an increased risk of morbidity and premature death due to physical health conditions. Mental health nurses are ideally placed to address physical and mental health comorbidity as part of their day-to-day practice. This study involved an audit of hardcopy and electronic clinical case-notes of a random sample of 100 people with SMI case managed by community mental health service in metropolitan South Australia, to determine how well physical health conditions and risk factors, screening, and follow-up are recorded within their service records. Every contact between 1 July 2015 and 30 June 2016 was read. One-way ANOVA, Scheffe's test, and Fisher's exact test determined any significant associations across audit variables, which included gender, age, income, living arrangement, diagnosis, lifestyle factors, recording of physical health measures, and carer status. A focus on physical health care was evident from everyday case-note records; however, because this information was 'buried' within the plethora of entries and not brought to the fore with other key information about the person's psychiatric needs, it remained difficult to gain a full picture of potential gaps in physical health care for this population. Under-reporting, gaps and inconsistencies in the systematic recording of physical health information for this population are likely to undermine the quality of care they receive from mental health services, the ability of mental health service providers to respond in a timely way to their physical healthcare needs, and their communication with other healthcare providers. © 2018 Australian College of Mental Health Nurses Inc.

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

PubMed

Symons, Nicholas R A; Almoudaris, Alex M; Nagpal, Kamal; Vincent, Charles A; Moorthy, Krishna

2013-01-01

To investigate the nature of process failures in postoperative care, to assess their frequency and preventability, and to explore their relationship to adverse events. Adverse events are common and are frequently caused by failures in the process of care. These processes are often evaluated independently using clinical audit. There is little understanding of process failures in terms of their overall frequency, relative risk, and cumulative effect on the surgical patient. Patients were observed daily from the first postoperative day until discharge by an independent surgeon. Field notes on the circumstances surrounding any nonroutine or atypical event were recorded. Field notes were assessed by 2 surgeons to identify failures in the process of care. Preventability, the degree of harm caused to the patient, and the underlying etiology of process failures were evaluated by 2 independent surgeons. Fifty patients undergoing major elective general surgery were observed for a total of 659 days of postoperative care. A total of 256 process failures were identified, of which 85% were preventable and 51% directly led to patient harm. Process failures occurred in all aspects of care, the most frequent being medication prescribing and administration, management of lines, tubes, and drains, and pain control interventions. Process failures accounted for 57% of all preventable adverse events. Communication failures and delays were the main etiologies, leading to 54% of process failures. Process failures are common in postoperative care, are highly preventable, and frequently cause harm to patients. Interventions to prevent process failures will improve the reliability of surgical postoperative care and have the potential to reduce hospital stay.

Qualitative Analysis of Round-Table Discussions on the Business Case and Procurement Challenges for Hospital Electronic Prescribing Systems

PubMed Central

Cresswell, Kathrin M.; Slee, Ann; Coleman, Jamie; Williams, Robin; Bates, David W.; Sheikh, Aziz

2013-01-01

Objectives There is a pressing need to understand the challenges surrounding procurement of and business case development for hospital electronic prescribing systems, and to identify possible strategies to enhance the efficiency of these processes in order to assist strategic decision making. Materials and Methods We organized eight multi-disciplinary round-table discussions in the United Kingdom. Participants included policy makers, representatives from hospitals, system developers, academics, and patients. Each discussion was digitally audio-recorded, transcribed verbatim and, together with accompanying field notes, analyzed thematically with NVivo9. Results We drew on data from 17 participants (approximately eight per roundtable), six hours of discussion, and 15 pages of field notes. Key challenges included silo planning with systems not being considered as part of an integrated organizational information technology strategy, lack of opportunity for interactions between customers and potential suppliers, lack of support for hospitals in choosing appropriate systems, difficulty of balancing structured planning with flexibility, and the on-going challenge of distinguishing “wants” and aspirations from organizational “needs”. Discussion and conclusions Development of business cases for major investments in information technology does not take place in an organizational vacuum. Building on previously identified potentially transferable dimensions to the development and execution of business cases surrounding measurements of costs/benefits and risk management, we have identified additional components relevant to ePrescribing systems. These include: considerations surrounding strategic context, case for change and objectives, future service requirements and options appraisal, capital and revenue implications, timescale and deliverability, and risk analysis and management. PMID:24260213

Extracting important information from Chinese Operation Notes with natural language processing methods.

PubMed

Wang, Hui; Zhang, Weide; Zeng, Qiang; Li, Zuofeng; Feng, Kaiyan; Liu, Lei

2014-04-01

Extracting information from unstructured clinical narratives is valuable for many clinical applications. Although natural Language Processing (NLP) methods have been profoundly studied in electronic medical records (EMR), few studies have explored NLP in extracting information from Chinese clinical narratives. In this study, we report the development and evaluation of extracting tumor-related information from operation notes of hepatic carcinomas which were written in Chinese. Using 86 operation notes manually annotated by physicians as the training set, we explored both rule-based and supervised machine-learning approaches. Evaluating on unseen 29 operation notes, our best approach yielded 69.6% in precision, 58.3% in recall and 63.5% F-score. Copyright © 2014 Elsevier Inc. All rights reserved.

A novel use of the discrete templated notes within an electronic health record software to monitor resident supervision.

PubMed

Ban, Vin Shen; Madden, Christopher J; Browning, Travis; O'Connell, Ellen; Marple, Bradley F; Moran, Brett

2017-04-01

Monitoring the supervision of residents can be a challenging task. We describe our experience with the implementation of a templated note system for documenting procedures with the aim of enabling automated, discrete, and standardized capture of documentation of supervision of residents performing floor-based procedures, with minimal extra effort from the residents. Procedural note templates were designed using the standard existing template within a commercial electronic health record software. Templates for common procedures were created such that residents could document every procedure performed outside of the formal procedural areas. Automated reports were generated and letters were sent to noncompliers. A total of 27 045 inpatient non-formal procedural area procedures were recorded from August 2012 to June 2014. Compliance with NoteWriter template usage averaged 86% in the first year and increased to 94.6% in the second year ( P  = .0055). Initially, only 12.5% of residents documented supervision of any form. By the end of the first year, this was above 80%, with the gains maintained into the second year and beyond. Direct supervision was documented to have occurred where required in 62.8% in the first year and increased to 99.8% in the second year ( P  = .0001) after the addition of hard stops. Notification of attendings prior to procedures was documented 100% of the time by September 2013. Letters sent to errant residents decreased from 3.6 to 0.83 per 100 residents per week. The templated procedure note system with hard stops and integrated reporting can successfully be used to improve monitoring of resident supervision. This has potential impact on resident education and patient safety. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

Quantitative analysis of neuronal response properties in primary and higher-order auditory cortical fields of awake house mice (Mus musculus)

PubMed Central

Joachimsthaler, Bettina; Uhlmann, Michaela; Miller, Frank; Ehret, Günter; Kurt, Simone

2014-01-01

Because of its great genetic potential, the mouse (Mus musculus) has become a popular model species for studies on hearing and sound processing along the auditory pathways. Here, we present the first comparative study on the representation of neuronal response parameters to tones in primary and higher-order auditory cortical fields of awake mice. We quantified 12 neuronal properties of tone processing in order to estimate similarities and differences of function between the fields, and to discuss how far auditory cortex (AC) function in the mouse is comparable to that in awake monkeys and cats. Extracellular recordings were made from 1400 small clusters of neurons from cortical layers III/IV in the primary fields AI (primary auditory field) and AAF (anterior auditory field), and the higher-order fields AII (second auditory field) and DP (dorsoposterior field). Field specificity was shown with regard to spontaneous activity, correlation between spontaneous and evoked activity, tone response latency, sharpness of frequency tuning, temporal response patterns (occurrence of phasic responses, phasic-tonic responses, tonic responses, and off-responses), and degree of variation between the characteristic frequency (CF) and the best frequency (BF) (CF–BF relationship). Field similarities were noted as significant correlations between CFs and BFs, V-shaped frequency tuning curves, similar minimum response thresholds and non-monotonic rate-level functions in approximately two-thirds of the neurons. Comparative and quantitative analyses showed that the measured response characteristics were, to various degrees, susceptible to influences of anesthetics. Therefore, studies of neuronal responses in the awake AC are important in order to establish adequate relationships between neuronal data and auditory perception and acoustic response behavior. PMID:24506843

Levels of Social Play: Observing and Recording Preschoolers.

ERIC Educational Resources Information Center

Barbakoff, Sondra; Yo, Yang Pei

Noting that observing preschool children at play allows teachers to understand how individual children develop their social skills, this article describes different levels of social play and shows how teachers may use a running record and check list to assess such play. Children are described as engaging in onlooker play, solitary play, parallel…

The Oral History Collection of Columbia University.

ERIC Educational Resources Information Center

Mason, Elizabeth B., Ed.; Starr, Louis M., Ed.

This book is a catalog of the contents of the oral history collection at Columbia University. Entries are listed alphabetically by the person or group making the oral history recordings. Each entry includes the subject's full name and vocation, brief notes on the content of the oral recording, and an indication of the accessibility of the…

24 CFR 3280.402 - Test procedure for roof trusses.

Code of Federal Regulations, 2011 CFR

2011-04-01

...) Nondestructive test procedure—(1) Dead load plus live load. (i) Noting figure A-1, measure and record initial... the truss equal to the full dead load of roof and ceiling. Measure and record deflections. (iii) Maintaining the dead load, add live load in approximate 1/4 design live load increments. Measure the...

Notes on the genus Episcaphium Lewis (Coleoptera, Staphylinidae, Scaphidiinae) with description of a new species from China.

PubMed

Tang, Liang; Tu, Yue-Ye; Li, Li-Zhen

2016-01-01

A new Episcaphium species collected from Yunnan Province of China is described as Episcaphium zhuxiaoyui sp. n., and its diagnostic characters are illustrated. A new province record of Episcaphium haematoides is reported. A key to the Episcaphium species recorded from China is provided.

Notes on the genus Episcaphium Lewis (Coleoptera, Staphylinidae, Scaphidiinae) with description of a new species from China

PubMed Central

Tang, Liang; Tu, Yue-Ye; Li, Li-Zhen

2016-01-01

Abstract A new Episcaphium species collected from Yunnan Province of China is described as Episcaphium zhuxiaoyui sp. n., and its diagnostic characters are illustrated. A new province record of Episcaphium haematoides is reported. A key to the Episcaphium species recorded from China is provided. PMID:27408567

24 CFR 3280.402 - Test procedure for roof trusses.

Code of Federal Regulations, 2010 CFR

2010-04-01

...) Nondestructive test procedure—(1) Dead load plus live load. (i) Noting figure A-1, measure and record initial... the truss equal to the full dead load of roof and ceiling. Measure and record deflections. (iii) Maintaining the dead load, add live load in approximate 1/4 design live load increments. Measure the...

Abdication or Empowerment? User Involvement in Library, Archives and Records Services

ERIC Educational Resources Information Center

Robinson, Leith

2007-01-01

User involvement in information services is a contentious issue. This article explores the participation of patrons in libraries, archives and records centres. It reviews the causes of this change, and discusses the consequences for the information profession. The article notes the constants in information environments, and concludes by suggesting…

Reading Records of Literary Authors: A Comparison of Some Published Notebooks.

ERIC Educational Resources Information Center

Murray, Robin Mark

The significance of authors' reading notes may lie not only in their mechanical function as information storage devices providing raw materials for writing, but also in their ability to concentrate and to mobilize the latent emotional and creative resources of their keepers. This document examines records of reading found in the published…

31 CFR 357.20 - Securities account in Legacy Treasury Direct ®.

Code of Federal Regulations, 2011 CFR

2011-07-01

... number. (c) If a bill is transferred from one Legacy Treasury Direct account to another, the price shown...-ENTRY TREASURY BONDS, NOTES AND BILLS HELD IN TREASURY/RESERVE AUTOMATED DEBT ENTRY SYSTEM (TRADES) AND... securities portfolio associated with an account master record. (c) Account master record. In order for a...

31 CFR 357.20 - Securities account in Legacy Treasury Direct ®.

Code of Federal Regulations, 2014 CFR

2014-07-01

... number. (c) If a bill is transferred from one Legacy Treasury Direct account to another, the price shown... BOOK-ENTRY TREASURY BONDS, NOTES AND BILLS HELD IN TREASURY/RESERVE AUTOMATED DEBT ENTRY SYSTEM (TRADES... the securities portfolio associated with an account master record. (c) Account master record. In order...

31 CFR 357.20 - Securities account in Legacy Treasury Direct ®.

Code of Federal Regulations, 2013 CFR

2013-07-01

... number. (c) If a bill is transferred from one Legacy Treasury Direct account to another, the price shown...-ENTRY TREASURY BONDS, NOTES AND BILLS HELD IN TREASURY/RESERVE AUTOMATED DEBT ENTRY SYSTEM (TRADES) AND... securities portfolio associated with an account master record. (c) Account master record. In order for a...

31 CFR 357.20 - Securities account in Legacy Treasury Direct ®.

Code of Federal Regulations, 2012 CFR

2012-07-01

... number. (c) If a bill is transferred from one Legacy Treasury Direct account to another, the price shown...-ENTRY TREASURY BONDS, NOTES AND BILLS HELD IN TREASURY/RESERVE AUTOMATED DEBT ENTRY SYSTEM (TRADES) AND... securities portfolio associated with an account master record. (c) Account master record. In order for a...

75 FR 6097 - Digital Performance Right in Sound Recordings and Ephemeral Recordings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-08

... January 22, 2010. The Judges received one comment from Intercollegiate Broadcasting System, Inc. (``IBS''). IBS requests that the Judges publish a note to proposed Sec. 380.3(b)(2) stating that the Judges on remand will determine the minimum fee for Noncommercial Webcasters. Comments of IBS at 2-3. The Judges...

Using language models to identify relevant new information in inpatient clinical notes.

PubMed

Zhang, Rui; Pakhomov, Serguei V; Lee, Janet T; Melton, Genevieve B

2014-01-01

Redundant information in clinical notes within electronic health record (EHR) systems is ubiquitous and may negatively impact the use of these notes by clinicians, and, potentially, the efficiency of patient care delivery. Automated methods to identify redundant versus relevant new information may provide a valuable tool for clinicians to better synthesize patient information and navigate to clinically important details. In this study, we investigated the use of language models for identification of new information in inpatient notes, and evaluated our methods using expert-derived reference standards. The best method achieved precision of 0.743, recall of 0.832 and F1-measure of 0.784. The average proportion of redundant information was similar between inpatient and outpatient progress notes (76.6% (SD=17.3%) and 76.7% (SD=14.0%), respectively). Advanced practice providers tended to have higher rates of redundancy in their notes compared to physicians. Future investigation includes the addition of semantic components and visualization of new information.

Using Language Models to Identify Relevant New Information in Inpatient Clinical Notes

PubMed Central

Zhang, Rui; Pakhomov, Serguei V.; Lee, Janet T.; Melton, Genevieve B.

2014-01-01

Redundant information in clinical notes within electronic health record (EHR) systems is ubiquitous and may negatively impact the use of these notes by clinicians, and, potentially, the efficiency of patient care delivery. Automated methods to identify redundant versus relevant new information may provide a valuable tool for clinicians to better synthesize patient information and navigate to clinically important details. In this study, we investigated the use of language models for identification of new information in inpatient notes, and evaluated our methods using expert-derived reference standards. The best method achieved precision of 0.743, recall of 0.832 and F1-measure of 0.784. The average proportion of redundant information was similar between inpatient and outpatient progress notes (76.6% (SD=17.3%) and 76.7% (SD=14.0%), respectively). Advanced practice providers tended to have higher rates of redundancy in their notes compared to physicians. Future investigation includes the addition of semantic components and visualization of new information. PMID:25954438

512-Channel and 13-Region Simultaneous Recordings Coupled with Optogenetic Manipulation in Freely Behaving Mice

PubMed Central

Xie, Kun; Fox, Grace E.; Liu, Jun; Tsien, Joe Z.

2016-01-01

The development of technologies capable of recording both single-unit activity and local field potentials (LFPs) over a wide range of brain circuits in freely behaving animals is the key to constructing brain activity maps. Although mice are the most popular mammalian genetic model, in vivo neural recording has been traditionally limited to smaller channel count and fewer brain structures because of the mouse’s small size and thin skull. Here, we describe a 512-channel tetrode system that allows us to record simultaneously over a dozen cortical and subcortical structures in behaving mice. This new technique offers two major advantages – namely, the ultra-low cost and the do-it-yourself flexibility for targeting any combination of many brain areas. We show the successful recordings of both single units and LFPs from 13 distinct neural circuits of the mouse brain, including subregions of the anterior cingulate cortices, retrosplenial cortices, somatosensory cortices, secondary auditory cortex, hippocampal CA1, dentate gyrus, subiculum, lateral entorhinal cortex, perirhinal cortex, and prelimbic cortex. This 512-channel system can also be combined with Cre-lox neurogenetics and optogenetics to further examine interactions between genes, cell types, and circuit dynamics across a wide range of brain structures. Finally, we demonstrate that complex stimuli – such as an earthquake and fear-inducing foot-shock – trigger firing changes in all of the 13 brain regions recorded, supporting the notion that neural code is highly distributed. In addition, we show that localized optogenetic manipulation in any given brain region could disrupt network oscillations and caused changes in single-unit firing patterns in a brain-wide manner, thereby raising the cautionary note of the interpretation of optogenetically manipulated behaviors. PMID:27378865

A hospital-wide transition from paper to digital problem-oriented clinical notes. A descriptive history and cross-sectional survey of use, usability, and satisfaction.

PubMed

Cillessen, Felix H J M; de Vries Robbé, Pieter F; Biermans, Marion C J

2017-05-17

To evaluate the use, usability, and physician satisfaction of a locally developed problem-oriented clinical notes application that replaced paper-based records in a large Dutch university medical center. Using a clinical notes database and an application event log file and a cross-sectional survey of usability, authors retrospectively analyzed system usage for medical specialties, users, and patients over 4 years. A standardized questionnaire measured usability. Authors analyzed the effects of sex, age, professional experience, training hours, and medical specialty on user satisfaction via univariate analysis of variance. Authors also examined the correlation between user satisfaction in relation to users' intensity of use of the application. In total 1,793 physicians used the application to record progress notes for 219,755 patients. The overall satisfaction score was 3.2 on a scale from 1 (highly dissatisfied) to 5 (highly satisfied). A statistically significant difference occurred in satisfaction by medical specialty, but no statistically significant differences in satisfaction took place by sex, age, professional experience, or training hours. Intensity of system use did not correlate with physician satisfaction. By two years after the start of the implementation, all medical specialties utilized the clinical notes application. User satisfaction was neutral (3.2 on a 1-5 scale). Authors believe that the significant factors facilitating this transition mirrored success factors reported by other groups: a generic, consistent, and transparent design of the application; intensive collaboration; continuous monitoring; and an incremental rollout.

Crack Propagation and Branching in Burning Solid Propellants and Ignition of Nitramine-Based Composite Propellants

DTIC Science & Technology

1986-01-01

TAPE ), %V.. ,RECORDER], WAVEFORM ,DIGITIZER AND RECORDER RPLOTER CPUTER OSCILLOSCOPE Fig. 19 S&*tic Diagram of Dat Acqisition Sytem...signals from pressure transducers are amplified by charge atplifiers and then recoiJed on - high-speed magnetic tape recorder and a 2 MHz transient...R. A. Schapery, Dec. 1985 A 92 11. Erdogan , F., "Fracture Mechanics Notes," Department of Mechanical Engineering and Mechanics, Lehigh University

National Coalition for Homeless Veterans

MedlinePlus

... Conference Notes Corporate Connection HELP FOR VETERANS Locate Organization Immediate Help Step-by-Step Replacing Records Federal Benefits Women Veterans Incarcerated Veterans TA CENTER Guides & Resources Women ...

INTERIOR VIEW OF BATHROOM 1. NOTE THE ORIGINAL MOSAIC PATTERN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR VIEW OF BATHROOM 1. NOTE THE ORIGINAL MOSAIC PATTERN FLOOR TILE, ASBESTOS CEMENT WALL BOARD, AND OPEN TRANSOM OVER THE SHOWER DOORWAY. VIEW FACING WEST. - Hickam Field, Officers' Housing Type D, 111 Beard Avenue, Honolulu, Honolulu County, HI

NORTHEAST SIDE, PARTIAL FRONT FACADE. NOTE: A MORE COMPLETE ELEVATION ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

NORTHEAST SIDE, PARTIAL FRONT FACADE. NOTE: A MORE COMPLETE ELEVATION WAS NOT POSSIBLE DUE TO VEGETATION, SEE OBLIQUE SHOTS 2 AND 5. VIEW FACING SOUTHWEST. - Hickam Field, Officers' Housing Type G, 205 Seventh Street, Honolulu, Honolulu County, HI

INTERIOR VIEW OF BATHROOM 2. NOTE THE ORIGINAL MOSAIC PATTERN ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR VIEW OF BATHROOM 2. NOTE THE ORIGINAL MOSAIC PATTERN FLOOR TILE, EXPOSED-CORNER TUB, FLUSH VALVE TOILET, TILE WAINSCOT, AND CERAMIC ACCESSORIES. VIEW FACING NORTHEAST. - Hickam Field, Officers' Housing Type B, 704 Julian Avenue, Honolulu, Honolulu County, HI

A parametric model and estimation techniques for the inharmonicity and tuning of the piano.

PubMed

Rigaud, François; David, Bertrand; Daudet, Laurent

2013-05-01

Inharmonicity of piano tones is an essential property of their timbre that strongly influences the tuning, leading to the so-called octave stretching. It is proposed in this paper to jointly model the inharmonicity and tuning of pianos on the whole compass. While using a small number of parameters, these models are able to reflect both the specificities of instrument design and tuner's practice. An estimation algorithm is derived that can run either on a set of isolated note recordings, but also on chord recordings, assuming that the played notes are known. It is applied to extract parameters highlighting some tuner's choices on different piano types and to propose tuning curves for out-of-tune pianos or piano synthesizers.

Usability Evaluation of Electronic Health Record System around Clinical Notes Usage-An Ethnographic Study.

PubMed

Rizvi, Rubina F; Marquard, Jenna L; Hultman, Gretchen M; Adam, Terrence J; Harder, Kathleen A; Melton, Genevieve B

2017-10-01

Background A substantial gap exists between current Electronic Health Record (EHR) usability and potential optimal usability. One of the fundamental reasons for this discrepancy is poor incorporation of a User-Centered Design (UCD) approach during the Graphical User Interface (GUI) development process. Objective To evaluate usability strengths and weaknesses of two widely implemented EHR GUIs for critical clinical notes usage tasks. Methods Twelve Internal Medicine resident physicians interacting with one of the two EHR systems (System-1 at Location-A and System-2 at Location-B) were observed by two usability evaluators employing an ethnographic approach. User comments and observer findings were analyzed for two critical tasks: (1) clinical notes entry and (2) related information-seeking tasks. Data were analyzed from two standpoints: (1) usability references categorized by usability evaluators as positive, negative, or equivocal and (2) usability impact of each feature measured through a 7-point severity rating scale. Findings were also validated by user responses to a post observation questionnaire. Results For clinical notes entry, System-1 surpassed System-2 with more positive (26% vs. 12%) than negative (12% vs. 34%) usability references. Greatest impact features on EHR usability (severity score pertaining to each feature) for clinical notes entry were: autopopulation (6), screen options (5.5), communication (5), copy pasting (4.5), error prevention (4.5), edit ability (4), and dictation and transcription (3.5). Both systems performed equally well on information-seeking tasks and features with greatest impacts on EHR usability were navigation for notes (7) and others (e.g., looking for ancillary data; 5.5). Ethnographic observations were supported by follow-up questionnaire responses. Conclusion This study provides usability-specific insights to inform future, improved, EHR interface that is better aligned with UCD approach.

The effect of electronic health record software design on resident documentation and compliance with evidence-based medicine.

PubMed

Rodriguez Torres, Yasaira; Huang, Jordan; Mihlstin, Melanie; Juzych, Mark S; Kromrei, Heidi; Hwang, Frank S

2017-01-01

This study aimed to determine the role of electronic health record software in resident education by evaluating documentation of 30 elements extracted from the American Academy of Ophthalmology Dry Eye Syndrome Preferred Practice Pattern. The Kresge Eye Institute transitioned to using electronic health record software in June 2013. We evaluated the charts of 331 patients examined in the resident ophthalmology clinic between September 1, 2011, and March 31, 2014, for an initial evaluation for dry eye syndrome. We compared documentation rates for the 30 evidence-based elements between electronic health record chart note templates among the ophthalmology residents. Overall, significant changes in documentation occurred when transitioning to a new version of the electronic health record software with average compliance ranging from 67.4% to 73.6% (p < 0.0005). Electronic Health Record A had high compliance (>90%) in 13 elements while Electronic Health Record B had high compliance (>90%) in 11 elements. The presence of dialog boxes was responsible for significant changes in documentation of adnexa, puncta, proptosis, skin examination, contact lens wear, and smoking exposure. Significant differences in documentation were correlated with electronic health record template design rather than individual resident or residents' year in training. Our results show that electronic health record template design influences documentation across all resident years. Decreased documentation likely results from "mouse click fatigue" as residents had to access multiple dialog boxes to complete documentation. These findings highlight the importance of EHR template design to improve resident documentation and integration of evidence-based medicine into their clinical notes.

Evaluation of Safety and Patient Subjective Efficacy of Using Radiofrequency and Pulsed Magnetic Fields for the Treatment of Striae (Stretch Marks)

PubMed Central

Dover, Jeffrey S.; Rothaus, Kenneth

2014-01-01

Stretch marks are common skin disorders that are dermal scars with associated epidermal atrophy. They are of significant concern or psychological concern to many. This manuscript describes the use of multipolar radiofrequency with pulsed magnetic fields that was successfully used to diminish these lesions in 16 subjects undergoing a series of treatments. The improvements noted were statistically significant and no serious adverse events were noted. PMID:25276274

Is it recorded in the notes? Documentation of end-of-life care and preferred place to die discussions in the final weeks of life

PubMed Central

2011-01-01

Background Over the past ten years there has been an increasing focus on the need for improving the experience of end of life care. A number of policy initiatives have been introduced to develop approaches to discussing and documenting individual preferences for end of life care, in particular preferred place to die. Methods The aim was to investigate practice in relation to discussing and documenting end of life care and preferred place to die in the last 4 weeks of life with patients and their families. The study utilised an audit of 65 case notes, alongside four group interviews with a mix of health care professionals involved in palliative care provision. Results While there was evidence that discussions relating to end of life care and preferred place to die had taken place in around half of the audited case notes, there appeared to be a lack of a systematic approach to the recording of discussions with patients or carers about these kind of issues. Health care staff subsequently highlighted that initiating discussions about end of life care and preferences in relation to place of death was challenging and that the recording and tracking of such preferences was problematic. Conclusions Further work is required to establish how information may be adequately recorded, revised and transferred across services to ensure that patients' preferences in relation to end of life care and place of death are, as far as possible, achieved. PMID:22053810

Notes on Linguistics, Number 41-43, 1988.

ERIC Educational Resources Information Center

Notes on Linguistics, 1988

1988-01-01

This document consists of the three 1988 issues of the normally quarterly journal "Notes on Linguistics." These issues include the following significant articles: "The Role of the Field Linguist" (Bernard Comrie); "Relational Grammar: An Update Report" (Stephen A. Marlett); "Tone and Stress Analysis by…

INTERIOR VIEW OF BATHROOM 1, SECOND FLOOR. NOTE THE ORIGINAL ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

INTERIOR VIEW OF BATHROOM 1, SECOND FLOOR. NOTE THE ORIGINAL MOSAIC PATTERN FLOOR TILE, TILE WAINSCOT, CERAMIC ACCESSORIES, AND SINGLE-PANEL DOOR TO LINEN CLOSET. VIEW FACING NORTHEAST. - Hickam Field, Officers' Housing Type K, 304 Sixth Street, Honolulu, Honolulu County, HI

EPICS Input Output Controller (IOC) Record Reference Manual

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

Anderson, J.B.; Kraimer, M.R.

1994-12-01

This manual describes all supported EPICS record types. The first chapter gives introduction and describes the field summary table. The second chapter describes the fields in database common, i.e. the fields that are present in every record type. The third chapter describes the input and output field that are common to many record types and have the same usage wherever they are used. Following the third chapter is a separate chapter for each record type containing a description of all the fields for that record type except those in database common.

Relationship between the Handball-Specific Complex-Test and Intermittent Field Test performance in professional players.

PubMed

Hermassi, Souhail; Hoffmeyer, Birgit; Irlenbusch, Lars; Fieseler, Georg; Noack, Frank; Delank, Karl-Stefan; Gabbett, Tim J; Souhaiel Chelly, Mohamed; Schwesig, René

2018-01-01

We investigated the relationship between the Handball Complex-Test (HBCT) and two selected field performance tests (the repeated sprint ability [RSA], and the Yo-Yo Intermittent Recovery Test) in elite handball players. Nineteen handball players (age: 25.7±5.1 years) were drawn from the First Professional German League. The HBCT consists of four activity series (AS): agility parcours, defensive action, sprint (10 m, 20 m) and throw-on-goal parcours; these activities were completed twice, with five active pauses of 30-35 s, and a follow-up of recovery over the subsequent 10 minutes. The RSA comprised 6 x (15+15 m) sprints starting every 20 s; scoring noted best time (RSAbest), total time (RSATT) and decrement (RSAdec). In the Yo-Yo Intermittent Recover, we recorded the total distance covered (TD). Heart rates (HR) were recorded throughout and recovery was assessed for measurements immediately post-test (R0) and 10 minutes after completing the test (R10). A strong correlation was found between HBCT and fastest 10 m and 20 m RSA sprint times (r=0.811, r=0.815, respectively). Also, the HBCT total 10 m and 20 m sprint times showed a strong positive association with RSATT (r=0.70; r=0.63, respectively), and the RSA heart rate post-test was strongly correlated with the HBCT heart rate after round two (r=0.865). Data from the match-specific HBCT Test shows a strong positive association with other more generic intermittent field test measurements. These observations support the validity of using the generic tests to monitor current fitness and responses to training in team handball players.

Science and students with mental retardation: An analysis of curriculum features and learner characteristics

NASA Astrophysics Data System (ADS)

Scruggs, Thomas E.; Mastropieri, Margo A.

Although much research has been conducted on the learning characteristics of individuals with mental retardation, science learning of such individuals has received far less attention. In this investigation, students with mental retardation were observed over a 2-year period, in order to determine how the characteristics of mental retardation manifested themselves in the context of inquiry-oriented, hands-on science curriculum. Analysis of all relevant data sources, including observations and field notes, videotape and audiotape recordings, student products, and interviews, suggested that several characteristics commonly attributed to students with mild mental retardation were observed to interact with the science curriculum. These characteristics included attention, semantic memory, logical reasoning, and outerdirectedness. However, teachers were skilled at adapting instruction to meet the special needs of these learners. Implications for teaching science to students with mental retardation are provided.

Using Information from the Electronic Health Record to Improve Measurement of Unemployment in Service Members and Veterans with mTBI and Post-Deployment Stress

PubMed Central

Dillahunt-Aspillaga, Christina; Finch, Dezon; Massengale, Jill; Kretzmer, Tracy; Luther, Stephen L.; McCart, James A.

2014-01-01

Objective The purpose of this pilot study is 1) to develop an annotation schema and a training set of annotated notes to support the future development of a natural language processing (NLP) system to automatically extract employment information, and 2) to determine if information about employment status, goals and work-related challenges reported by service members and Veterans with mild traumatic brain injury (mTBI) and post-deployment stress can be identified in the Electronic Health Record (EHR). Design Retrospective cohort study using data from selected progress notes stored in the EHR. Setting Post-deployment Rehabilitation and Evaluation Program (PREP), an in-patient rehabilitation program for Veterans with TBI at the James A. Haley Veterans' Hospital in Tampa, Florida. Participants Service members and Veterans with TBI who participated in the PREP program (N = 60). Main Outcome Measures Documentation of employment status, goals, and work-related challenges reported by service members and recorded in the EHR. Results Two hundred notes were examined and unique vocational information was found indicating a variety of self-reported employment challenges. Current employment status and future vocational goals along with information about cognitive, physical, and behavioral symptoms that may affect return-to-work were extracted from the EHR. The annotation schema developed for this study provides an excellent tool upon which NLP studies can be developed. Conclusions Information related to employment status and vocational history is stored in text notes in the EHR system. Information stored in text does not lend itself to easy extraction or summarization for research and rehabilitation planning purposes. Development of NLP systems to automatically extract text-based employment information provides data that may improve the understanding and measurement of employment in this important cohort. PMID:25541956

Causes and Remedies for Errors in International Forest Products Trade Data: Examples from the Hardwood Trade Statistics

Treesearch

William G. Luppold; William G. Luppold

1995-01-01

The quality of data concerning international hardwood products trade declined in the 1980s because of several problems associated with the collection and processing of individual export transaction records. This note examines the source, impact, and remedies for data problems caused by data screening procedures, nonreporting, recording errors, and alternative...

Automated Methods to Extract Patient New Information from Clinical Notes in Electronic Health Record Systems

ERIC Educational Resources Information Center

Zhang, Rui

2013-01-01

The widespread adoption of Electronic Health Record (EHR) has resulted in rapid text proliferation within clinical care. Clinicians' use of copying and pasting functions in EHR systems further compounds this by creating a large amount of redundant clinical information in clinical documents. A mixture of redundant information (especially outdated…

Oil and gas field code master list 1997

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

NONE

The Oil and Gas Field Code Master List 1997 is the sixteenth annual listing of all identified oil and gas fields in the US. It is updated with field information collected through October 1997. The purpose of this publication is to provide unique, standardized codes for identification of domestic fields. Use of these field codes fosters consistency of field identification by government and industry. As a result of their widespread adoption they have in effect become a national standard. The use of field names and codes listed in this publication is required on survey forms and other reports regarding field-specificmore » data collected by EIA. There are 58,366 field records in this year`s FCML, 437 more than last year. The FCML includes: field records for each State and county in which a field resides; field records for each offshore area block in the Gulf of Mexico in which a field resides; field records for each alias field name (definition of alias is listed); fields crossing State boundaries that may be assigned different names by the respective State naming authorities. This report also contains an Invalid Field Record List of 4 records that have been removed from the FCML since last year`s report. These records were found to be either technically incorrect or to represent field names which were never recognized by State naming authorities.« less

Clinical Note Creation, Binning, and Artificial Intelligence.

PubMed

Deliberato, Rodrigo Octávio; Celi, Leo Anthony; Stone, David J

2017-08-03

The creation of medical notes in software applications poses an intrinsic problem in workflow as the technology inherently intervenes in the processes of collecting and assembling information, as well as the production of a data-driven note that meets both individual and healthcare system requirements. In addition, the note writing applications in currently available electronic health records (EHRs) do not function to support decision making to any substantial degree. We suggest that artificial intelligence (AI) could be utilized to facilitate the workflows of the data collection and assembly processes, as well as to support the development of personalized, yet data-driven assessments and plans. ©Rodrigo Octávio Deliberato, Leo Anthony Celi, David J Stone. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 03.08.2017.

Scaling-up NLP Pipelines to Process Large Corpora of Clinical Notes.

PubMed

Divita, G; Carter, M; Redd, A; Zeng, Q; Gupta, K; Trautner, B; Samore, M; Gundlapalli, A

2015-01-01

This article is part of the Focus Theme of Methods of Information in Medicine on "Big Data and Analytics in Healthcare". This paper describes the scale-up efforts at the VA Salt Lake City Health Care System to address processing large corpora of clinical notes through a natural language processing (NLP) pipeline. The use case described is a current project focused on detecting the presence of an indwelling urinary catheter in hospitalized patients and subsequent catheter-associated urinary tract infections. An NLP algorithm using v3NLP was developed to detect the presence of an indwelling urinary catheter in hospitalized patients. The algorithm was tested on a small corpus of notes on patients for whom the presence or absence of a catheter was already known (reference standard). In planning for a scale-up, we estimated that the original algorithm would have taken 2.4 days to run on a larger corpus of notes for this project (550,000 notes), and 27 days for a corpus of 6 million records representative of a national sample of notes. We approached scaling-up NLP pipelines through three techniques: pipeline replication via multi-threading, intra-annotator threading for tasks that can be further decomposed, and remote annotator services which enable annotator scale-out. The scale-up resulted in reducing the average time to process a record from 206 milliseconds to 17 milliseconds or a 12- fold increase in performance when applied to a corpus of 550,000 notes. Purposely simplistic in nature, these scale-up efforts are the straight forward evolution from small scale NLP processing to larger scale extraction without incurring associated complexities that are inherited by the use of the underlying UIMA framework. These efforts represent generalizable and widely applicable techniques that will aid other computationally complex NLP pipelines that are of need to be scaled out for processing and analyzing big data.

NOTE: The feasibility of an infrared system for real-time visualization and mapping of ultrasound fields

NASA Astrophysics Data System (ADS)

Shaw, Adam; Nunn, John

2010-06-01

In treatment planning for ultrasound therapy, it is desirable to know the 3D structure of the ultrasound field. However, mapping an ultrasound field in 3D is very slow, with even a single planar raster scan taking typically several hours. Additionally, hydrophones that are used for field mapping are expensive and can be damaged in some therapy fields. So there is value in rapid methods which enable visualization and mapping of the ultrasound field in about 1 min. In this note we explore the feasibility of mapping the intensity distribution by measuring the temperature distribution produced in a thin sheet of absorbing material. A 0.2 mm thick acetate sheet forms a window in the wall of a water tank containing the transducer. The window is oriented at 45° to the beam axis, and the distance from the transducer to the window can be varied. The temperature distribution is measured with an infrared camera; thermal images of the inclined plane could be viewed in real time or images could be captured for later analysis and 3D field reconstruction. We conclude that infrared thermography can be used to gain qualitative information about ultrasound fields. Thermal images are easily visualized with good spatial and thermal resolutions (0.044 mm and 0.05 °C in our system). The focus and field structure such as side lobes can be identified in real time from the direct video output. 3D maps and image planes at arbitrary orientations to the beam axis can be obtained and reconstructed within a few minutes. In this note we are primarily interested in the technique for characterization of high intensity focused ultrasound (HIFU) fields, but other applications such as physiotherapy fields are also possible.

Hawaiian Volcano Observatory 1978 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1960 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1959 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1971 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1961 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1974 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1984 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1981 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1980 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1958 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1962 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1970 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1973 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1979 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1977 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1983 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1966 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1965 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1964 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1957 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1972 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1975 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1982 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1976 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1969 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1967 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1968 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1963 Quarterly Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Hawaiian Volcano Observatory 1985 Annual Administrative Report

USGS Publications Warehouse

Nakata, Jennifer S.

2007-01-01

INTRODUCTORY NOTE The Hawaiian Volcano Observatory Summaries have been published in the current format since 1956. The Quarterly Summaries (1956 through 1973) and the Annual Summaries (1974 through 1985) were originally published as Administrative Reports. These reports have been compiled and published as U.S. Geological Survey Open-File Reports. The quarterly reports have been combined and published as one annual summary. All the summaries from 1956 to the present are now available as .pdf files at http://www.usgs.gov/pubprod. The earthquake summary data are presented as a listing of origin time, depth, magnitude, and other location parameters. Network instrumentation, field station sites, and location algorithms are described. Tilt and other deformation data are included until Summary 77, January to December 1977. From 1978, the seismic and deformation data are published separately, due to differing schedules of data reduction. There are eight quarters - from the fourth quarter of 1959 to the third quarter of 1961 - that were never published. Two of these (4th quarter 1959, 1st quarter 1960) have now been published, using handwritten notes of Jerry Eaton (HVO seismologist at the time) and his colleagues. The seismic records for the remaining six summaries went back to California in 1961 with Jerry Eaton. Other responsibilities intervened, and the seismic summaries were never prepared.

Extensive Floods in United Kingdom

NASA Technical Reports Server (NTRS)

2002-01-01

Rain continues to fall in the United Kingdom, bringing more water to an already water-logged landscape. Some rivers there are experiencing their worst flooding in more than 50 years. Of particular note, Britain's River Ouse reached its highest levels on record since 1625. Thousands of people have been evacuated from their homes since October 30, when a large low-pressure system brought torrential rains and hurricane-force winds, placing regions around more than 40 rivers across the country on flood alert. Since then, the rains have persisted, keeping water levels high and causing additional rivers to overrun their banks. In all, at least 12 people have been killed and more than 5,000 properties flooded. Some officials estimate damages could reach 500 million pounds (roughly $715 million). These Landsat 7 scenes show a comparison of the region surrounding Exeter, England, before and after the floods. The top image was acquired September 28 and the bottom image was acquired October 30, 2000. Note the extensive flooding along the River Exe in the bottom image (blue pixels). The light bluish-white pixels in the top image are clouds, and the black splotches on the landscape are the clouds' shadows. The reddish-brown shapes are agricultural fields. Image by Robert Simmon and Brian Montgomery, NASA GSFC. Data provided by Ron Beck, USGS EROS Data Center.

Initial laboratory experience with a novel ultrasound probe for standard and single-port robotic kidney surgery: increasing console surgeon autonomy and minimizing instrument clashing.

PubMed

Yakoubi, Rachid; Autorino, Riccardo; Laydner, Humberto; Guillotreau, Julien; White, Michael A; Hillyer, Shahab; Spana, Gregory; Khanna, Rakesh; Isaac, Wahib; Haber, Georges-Pascal; Stein, Robert J; Kaouk, Jihad H

2012-06-01

The aim of this study was to evaluate a novel ultrasound probe specifically developed for robotic surgery by determining its efficiency in identifying renal tumors. The study was carried out using the Da Vinci™ surgical system in one female pig. Renal tumor targets were created by percutaneous injection of a tumor mimic mixture. Single-port and standard robotic partial nephrectomy were performed. Intraoperative ultrasound was performed using both standard laparoscopic probe and the new ProART™ Robotic probe. Probe maneuverability and ease of handling for tumor localization were recorded. The standard laparoscopic probe was guided by the assistant. Significant clashing with robotic arms was noted during the single-port procedure. The novel robotic probe was easily introduced through the assistant trocar, and held by the console surgeon using the robotic Prograsp™ with no registered clashing in the external operative field. The average time for grasping the new robotic probe was less than 10 s. Once inserted and grasped, no limitation was found in terms of instrument clashing during the single-port procedure. This novel ultrasound probe developed for robotic surgery was noted to be user-friendly when performing porcine standard and especially single-port robotic partial nephrectomy. Copyright © 2011 John Wiley & Sons, Ltd.

The lexeme hypotheses: Their use to generate highly grammatical and completely computerized medical records.

PubMed

Macfarlane, Donald

2016-07-01

Medical records often contain free text created by harried clinicians. Free text often contains errors which make it an unsuitable target for computerized data extraction. The cost of healthcare can be reduced by creating medical records that are fully computerized at their inception. We examine hypotheses that enable us to construct such records. We regard the text of the medical record as being an ordered collection of meaningful fragments. The intellectual content (or "lexeme") of each text fragment in the record is considered separately from the language that used to express it. We further consider that each lexeme exists as a combination of a lexeme query (defining the issue being addressed) and a lexeme response to that query. The medical record can then be perceived as a stream of these responses. The responses can be expressed in any style or language, including computer code. Examining medical records in this light gives rise to a number of observations and hypotheses. The physical location and nature of the medical episode (which we term "context") determines the general layout of the record. The order that lexeme-queries are addressed in within the record is highly consistent ("coherence"). Issues are only addressed if they are logically called-for by the context or by a previously-selected lexeme response ("predicance"), and only to a needed depth of detail ("level"). We hypothesize that all of the lexeme queries required to write any clinical notes can be stored in a large database ("lexicon") in coherence order, wherein each lexeme query is associated with its own collection of lexeme responses. We hypothesize that the issue a note-writer will need to address next is identifiable purely by using the rules of coherence, level and predicance. We have tested these hypotheses with a computer program which repeatedly offers the user a menu of lexeme responses with associated text. On selection, the program issues the text fragment, and its corresponding computer code, to output files. The program then uses coherence, predicance and level to navigate to the next appropriate lexeme query for presentation to the user. The net result is that the user creates a grammatically correct and completely computerized note at the time of its inception. The value of this approach and its practical implementation to create medical records are discussed. In our work so far, the hypotheses appear not to be false, but further testing is needed using a larger lexicon to establish their robustness in actual clinical practice. Copyright © 2016 Elsevier Ltd. All rights reserved.

ROCSAT and HF Doppler sounder observations of the DP2-type electric field during the global Pc5 magnetic pulsation event

NASA Astrophysics Data System (ADS)

Hashimoto, K. K.; Kikuchi, T.; Nagatsuma, T.; Tomizawa, I.

2016-12-01

During the stormtime Pc5 magnetic pulsations on 31 October 2003, we detected large amplitude oscillations in the ionospheric electric field with the HF Doppler sounders at midlatitude for 10 hours from 11 to 21 LT. Similar oscillations were recorded on the magnetometer data at high-to-equatorial latitudes with significant amplitude enhancement at the dayside equator. We deduced the equatorial electrojet (EEJ) by subtracting the low latitude Pc5 from the equatorial Pc5 and found that the midlatitude electric field (EF) is well correlated with the EEJ with correlation coefficients (0.80-0.95) and that the EEJ to EF ratio reached maximum at 11 LT and dramatically decreased until 18 LT in a function of cos0.6(solar zenith angle). With these observations, we suggest that the midlatitude electric field (EF) is associated with the DP2 type ionospheric currents transmitted from high latitude to the equator. It is to be noted that the EF is well correlated with the EEJ during the night after 18 LT, indicating that the Pc5 electric field is so strong as to drive equatorial electrojet in the nighttime ionosphere. Using the electric field measured by ROCSAT-1/IPEI, we confirmed that the Pc5 electric field in the mid- and low-latitude ionosphere is comparable to or even stronger than those observed by the HF Doppler sounders. High correlations between the ground- and satellite-based observations over 15 minutes indicate that the Pc5 electric field distribute uniform over 6500 km along the ROCSAT orbit which is consistent with the large-scale DP2 electric field.

Form and function of long-range vocalizations in a Neotropical fossorial rodent: the Anillaco Tuco-Tuco (Ctenomys sp.)

PubMed Central

Valentinuzzi, Veronica S.; Zufiaurre, Emmanuel

2016-01-01

The underground environment poses particular communication challenges for subterranean rodents. Some loud and low-pitched acoustic signals that can travel long distances are appropriate for long-range underground communication and have been suggested to be territorial signals. Long-range vocalizations (LRVs) are important in long-distance communication in Ctenomys tuco-tucos. We characterized the LRV of the Anillaco Tuco-Tuco (Ctenomys sp.) using recordings from free-living individuals and described the behavioral context in which this vocalization was produced during laboratory staged encounters between individuals of both sexes. Long-range calls of Anillaco tuco-tucos are low-frequency, broad-band, loud, and long sounds composed by the repetition of two syllable types: series (formed by notes and soft-notes) and individual notes. All vocalizations were initiated with series, but not all had individual notes. Males were heavier than females and gave significantly lower-pitched vocalizations, but acoustic features were independent of body mass in males. The pronounced variation among individuals in the arrangement and number of syllables and the existence of three types of series (dyads, triads, and tetrads), created a diverse collection of syntactic patterns in vocalizations that would provide the opportunity to encode multiple types of information. The existence of complex syntactic patterns and the description of soft-notes represent new aspects of the vocal communication of Ctenomys. Long-distance vocalizations by Anillaco Tuco-Tucos appear to be territorial signals used mostly in male-male interactions. First, emission of LRVs resulted in de-escalation or space-keeping in male-male and male-female encounters in laboratory experiments. Second, these vocalizations were produced most frequently (in the field and in the lab) by males in our study population. Third, males produced LRVs with greater frequency during male-male encounters compared to male-female encounters. Finally, males appear to have larger home ranges that were more spatially segregated than those of females, suggesting that males may have greater need for long-distance signals that advertise their presence. Due to their apparent rarity, the function and acoustic features of LRV in female tuco-tucos remain inadequately known. PMID:27761344

Guidelines for the field evaluation of desert tortoise health and disease

USGS Publications Warehouse

Berry, Kristin H.; Christopher, Mary M.

2001-01-01

Field evaluation of free-ranging wildlife requires the systematic documentation of a variety of environmental conditions and individual parameters of health and disease, particularly in the case of rare or endangered species. In addition, defined criteria are needed for the humane salvage of ill or dying animals. The purpose of this paper is to describe, in detail, the preparation, procedures, and protocols we developed and tested for the field evaluation of wild desert tortoises (Gopherus agassizii). These guidelines describe: preparations for the field, including developing familiarity with tortoise behavior and ecology, and preparation of standardized data sheets; journal notes to document background data on weather conditions, temperature, rainfall, locality, and historic and recent human activities; procedures to prevent the spread of disease and parasites; data sheets for live tortoises to record tortoise identification, location, sex, body measurements and activity; health profile forms for documenting and grading physical abnormalities of tortoise posture and movements, general condition (e.g., lethargy, cachexia), external parasites, and clinical abnormalities associated with shell and upper respiratory diseases; permanent photographic records for the retrospective analysis of progression and regression of upper respiratory and eye diseases, analysis of shell lesions and evaluation of growth and age; and indications and methods for salvaging ill or dying tortoises for necropsy evaluation. These guidelines, tested on 5,000 to 20,000 tortoises over a 10 to 27 yr period, were designed to maximize acquisition of data for demographic, ecological, health and disease research projects; to reduce handling and stress of individual animals; to avoid spread of infectious disease; to promote high quality and consistent data sets; and to reduce the duration and number of field trips. The field methods are adapted for desert tortoise life cycle, behavior, anatomy, physiology, and pertinent disease; however the model is applicable to other species of reptiles. Comprehensive databases of clinical signs of disease and health are crucial to research endeavors and essential to decisions on captive release, epidemiology of disease, translocation of wild tortoises, breeding programs, and euthanasia.

Dilemmas of Teaching Inquiry in Elementary Science Methods

ERIC Educational Resources Information Center

Newman, William J., Jr.; Abell, Sandra K.; Hubbard, Paula D.; McDonald, James; Otaala, Justine; Martini, Mariana

2004-01-01

Because various definitions of inquiry exist in the science education literature and in classroom practice, elementary science methods students and instructors face dilemmas during the study of inquiry. Using field notes, instructor anecdotal notes, student products, and course artifacts, science methods course instructors created fictional…

Four New Course Competencies for Majors.

ERIC Educational Resources Information Center

Van Leuven, Jim

1999-01-01

Notes changes in the past decade in the field of public relations. Proposes four new required core competencies for all undergraduate public-relations majors in programs housed in journalism/mass-communication units. Articulates these regarding appropriate outcomes, pedagogies, and assessment methods. Notes special considerations for small,…

Unsupervised ensemble ranking of terms in electronic health record notes based on their importance to patients.

PubMed

Chen, Jinying; Yu, Hong

2017-04-01

Allowing patients to access their own electronic health record (EHR) notes through online patient portals has the potential to improve patient-centered care. However, EHR notes contain abundant medical jargon that can be difficult for patients to comprehend. One way to help patients is to reduce information overload and help them focus on medical terms that matter most to them. Targeted education can then be developed to improve patient EHR comprehension and the quality of care. The aim of this work was to develop FIT (Finding Important Terms for patients), an unsupervised natural language processing (NLP) system that ranks medical terms in EHR notes based on their importance to patients. We built FIT on a new unsupervised ensemble ranking model derived from the biased random walk algorithm to combine heterogeneous information resources for ranking candidate terms from each EHR note. Specifically, FIT integrates four single views (rankers) for term importance: patient use of medical concepts, document-level term salience, word co-occurrence based term relatedness, and topic coherence. It also incorporates partial information of term importance as conveyed by terms' unfamiliarity levels and semantic types. We evaluated FIT on 90 expert-annotated EHR notes and used the four single-view rankers as baselines. In addition, we implemented three benchmark unsupervised ensemble ranking methods as strong baselines. FIT achieved 0.885 AUC-ROC for ranking candidate terms from EHR notes to identify important terms. When including term identification, the performance of FIT for identifying important terms from EHR notes was 0.813 AUC-ROC. Both performance scores significantly exceeded the corresponding scores from the four single rankers (P<0.001). FIT also outperformed the three ensemble rankers for most metrics. Its performance is relatively insensitive to its parameter. FIT can automatically identify EHR terms important to patients. It may help develop future interventions to improve quality of care. By using unsupervised learning as well as a robust and flexible framework for information fusion, FIT can be readily applied to other domains and applications. Copyright © 2017 Elsevier Inc. All rights reserved.

Technical notes: A detailed study for the provision of measurement uncertainty and traceability for goniospectrometers

NASA Astrophysics Data System (ADS)

Peltoniemi, Jouni I.; Hakala, Teemu; Suomalainen, Juha; Honkavaara, Eija; Markelin, Lauri; Gritsevich, Maria; Eskelinen, Juho; Jaanson, Priit; Ikonen, Erkki

2014-10-01

The measurement uncertainty and traceability of the Finnish Geodetic Institutess field gonio-spectro-polarimeter FIGIFIGO have been assessed. First, the reference standard (Spectralon sample) was measured at the National Standard Laboratory of MIKES-Aalto. This standard was transferred to FGIs field reference standard (larger Spectralon sample), and from that to the unmanned aerial vehicle (UAV), reference standards (1 m2 plates). The reflectance measurement uncertainty of FIGIFIGO has been estimated to be 0.01 in ideal laboratory conditions, but about 0.02-0.05 in typical field conditions, larger at larger solar or observation zenith angles. Target specific uncertainties can increase total uncertainty even to 0.1-0.2. The angular reading uncertainty is between 1° and 3°, depending on user selection, and the polarisation uncertainty is around 0.01. For UAV, the transferred reflectance uncertainty is about 0.05-0.1, depending on, how ideal the measurement conditions are. The design concept of FIGIFIGO has been proved to have a number of advantages, such as a well-adopted user-friendly interface, a high level of automation and excellent suitability for the field measurements. It is a perfect instrument for collection of reference data on a given target in natural (and well-recorded) conditions. In addition to the strong points of FIGIFIGO, the current study reveals several issues that need further attention, such as the field of view, illumination quality, polarisation calibration, Spectralon reflectance and polarisation properties in the 1000-2400 nm range.

75 FR 27821 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-18

... posters; lookouts (temporary and permanent notices including identification information on an individual..., bulletins, posters, log sheets, notices, investigative notes, computer printouts, and similar data. The data...

Building an Outdoor Classroom for Field Geology: The Geoscience Garden

ERIC Educational Resources Information Center

Waldron, John W. F.; Locock, Andrew J.; Pujadas-Botey, Anna

2016-01-01

Many geoscience educators have noted the difficulty that students experience in transferring their classroom knowledge to the field environment. The Geoscience Garden, on the University of Alberta North Campus, provides a simulated field environment in which Earth Science students can develop field observation skills, interpret features of Earth's…

10 CFR 2.1003 - Availability of material.

Code of Federal Regulations, 2011 CFR

2011-01-01

... months in advance of submitting its license application for a geologic repository, the NRC shall make... of privilege in § 2.1006, graphic-oriented documentary material that includes raw data, computer runs, computer programs and codes, field notes, laboratory notes, maps, diagrams and photographs, which have been...

10 CFR 2.1003 - Availability of material.

Code of Federal Regulations, 2012 CFR

2012-01-01

... months in advance of submitting its license application for a geologic repository, the NRC shall make... of privilege in § 2.1006, graphic-oriented documentary material that includes raw data, computer runs, computer programs and codes, field notes, laboratory notes, maps, diagrams and photographs, which have been...

DARHT Axis II Cathode 16 (S/N 22) History as Recorded in the Historian and Shot Data Databases

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

Smith, H. Vernon; Barraza, Juan; Harrison, James F.

2014-01-10

Long DARHT II injector cathode operating lifetimes are desirable for flash radiography of hydrodynamic tests at the dual-axis radiographic hydrotest facility (DARHT). The specification for cathode operating lifetime given to Spectra-Mat in the purchase orders for the 311X-M cathodes is ≥ 1000 hours at full operating temperature (~1120 oC). Of the five most-recent cathodes operated on DARHT II, only two have met this specification. It is desirable to have cathodes lifetimes considerably longer than the specified 1000 hours. In this report we present the thermal and vacuum history of cathode 16 (serial no. [S/N] 22), a 311X-M cathode, as recordedmore » in the historian database and the shot data database. The hope is that by examining this history we can identify the parameter (or parameters) that are limiting the DARHT II 311X-M cathode lifetimes. This is the fifth in a series of 5 DARHT Tech Notes in which recent cathode thermal and vacuum histories are examined. The other tech notes in this series are DARHT Tech Notes Nos. 501 (cathode 12, S/N 15), 502 (cathode 13, S/N 19), 503 (cathode 14, S/N 20), and 504 (cathode 15, S/N 21). In DARHT Tech Note No. 506 we will compare the recorded thermal and vacuum histories of cathodes 12-16 and attempt to understand the cathode lifetime limitations based on the stored cathode data presented in DARHT Tech Notes 501-505 and other relevant information.« less

Development and Appraisal of Multiple Accounting Record System (Mars).

PubMed

Yu, H C; Chen, M C

2016-01-01

The aim of the system is to achieve simplification of workflow, reduction of recording time, and increase the income for the study hospital. The project team decided to develop a multiple accounting record system that generates the account records based on the nursing records automatically, reduces the time and effort for nurses to review the procedure and provide another note of material consumption. Three configuration files were identified to demonstrate the relationship of treatments and reimbursement items. The workflow was simplified. The nurses averagely reduced 10 minutes of daily recording time, and the reimbursement points have been increased by 7.49%. The project streamlined the workflow and provides the institute a better way in finical management.

Family Child Care Calendar-Keeper[TM] 2001: A Record Keeping System Including Nutrition Information for Child Care Providers. Twenty-Fourth Edition.

ERIC Educational Resources Information Center

Beuch, Beth, Ed.; Beuch, Ethel, Ed.; Schloff, Pam, Ed.

Noting that accurate recordkeeping for tax purposes is extremely important for family child care providers, this calendar provides a format for recording typical family child care expenses and other information. Included are the following: (1) monthly expense charts with categories matching Schedule C; (2) attendance and payment log; (3) payment…

Korean species of the genus Perlomyia Banks, 1906 (Plecoptera: Leuctridae).

PubMed

Murányi, Dávid; Jeon, Mi Jeong; Hwang, Jeong Mi; Seo, Hong Yul

2014-11-04

Eight species of the genus Perlomyia (Plecoptera: Leuctridae) are reported from Korea, six are new records for the Korean Peninsula. Two species, known only as unassociated females are described under informal unnamed designations. Previous Korean records are discussed, taxonomic characters of the Korean specimens and Korean distribution are presented for these species. Zoogeographic notes on the Asian Perlomyia are also given.

The Use of the Media at School to Prepare Youngsters for Life.

ERIC Educational Resources Information Center

Gambiez, Claude

This paper discusses the value and role of mass media education, defined as teaching about or by means of: (1) the press in all its forms, including daily papers, magazines, reviews, and strip cartoons for the young; (2) radio and television; (3) tape recordings; and (4) photographs (prints and slides), films, and records. It is noted that mass…

More than Data: Using Interactive Science Notebooks to Engage Students in Science and Engineering

ERIC Educational Resources Information Center

Mason, Kevin; Bohl, Heather

2017-01-01

A traditional science notebook is an official record of a scientist's research. Even in today's digital world, it is still common practice for scientists to record their experimental procedures, data, analysis, results, notes, and other thoughts on the right pages of a bound notebook in permanent ink with nothing written on the left side or back…

Closeup view of leeds and northrup strip chart recorders used ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

Close-up view of leeds and northrup strip chart recorders used to indicate power usage on certain portions of the system. Note model board builders plaque which reads Kellogg Switchboard and Supply Company- Chicago, USA at left center of photograph. - Thirtieth Street Station, Load Dispatch Center, Thirtieth & Market Streets, Railroad Station, Amtrak (formerly Pennsylvania Railroad Station), Philadelphia, Philadelphia County, PA

49 CFR Appendix C to Part 240 - Procedures for Obtaining and Evaluating Motor Vehicle Driving Record Data

Code of Federal Regulations, 2014 CFR

2014-10-01

... Vehicle Driving Record Data C Appendix C to Part 240 Transportation Other Regulations Relating to... CERTIFICATION OF LOCOMOTIVE ENGINEERS Pt. 240, App. C Appendix C to Part 240—Procedures for Obtaining and... provisions of the National Driver Register Act (23 U.S.C. 401 note). Under that statute, state motor vehicle...

49 CFR Appendix C to Part 240 - Procedures for Obtaining and Evaluating Motor Vehicle Driving Record Data

Code of Federal Regulations, 2013 CFR

2013-10-01

... Vehicle Driving Record Data C Appendix C to Part 240 Transportation Other Regulations Relating to... CERTIFICATION OF LOCOMOTIVE ENGINEERS Pt. 240, App. C Appendix C to Part 240—Procedures for Obtaining and... provisions of the National Driver Register Act (23 U.S.C. 401 note). Under that statute, state motor vehicle...

49 CFR Appendix C to Part 240 - Procedures for Obtaining and Evaluating Motor Vehicle Driving Record Data

Code of Federal Regulations, 2010 CFR

2010-10-01

... Vehicle Driving Record Data C Appendix C to Part 240 Transportation Other Regulations Relating to... CERTIFICATION OF LOCOMOTIVE ENGINEERS Pt. 240, App. C Appendix C to Part 240—Procedures for Obtaining and... provisions of the National Driver Register Act (23 U.S.C. 401 note). Under that statute, state motor vehicle...

42 CFR 60.42 - Records, reports, inspection, and audit requirements for HEAL lenders and holders.

Code of Federal Regulations, 2013 CFR

2013-10-01

... must maintain for each borrower a payment history showing the date and amount of each payment received... lender or holder must also maintain for each loan a collection history showing the date and subject of... original copy of an unpaid promissory note, but may store all other records in microform or computer format...

42 CFR 60.42 - Records, reports, inspection, and audit requirements for HEAL lenders and holders.

Code of Federal Regulations, 2011 CFR

2011-10-01

... must maintain for each borrower a payment history showing the date and amount of each payment received... lender or holder must also maintain for each loan a collection history showing the date and subject of... original copy of an unpaid promissory note, but may store all other records in microform or computer format...

42 CFR 60.42 - Records, reports, inspection, and audit requirements for HEAL lenders and holders.

Code of Federal Regulations, 2012 CFR

2012-10-01

... must maintain for each borrower a payment history showing the date and amount of each payment received... lender or holder must also maintain for each loan a collection history showing the date and subject of... original copy of an unpaid promissory note, but may store all other records in microform or computer format...

The fitness to practise hearing. 1. Where's your evidence? Keeping good records.

PubMed

Solon, Mark

2011-04-01

To some midwives, record keeping may be a chore. However, getting your records right will provide you with the best possible defence if you have the misfortune to be called to a 'Fitness to Practise Hearing'. In this article I shall consider what makes good records and next month, examine the hearing itself. It is important to note that if called to a hearing, it may be several years after the event in question and you must be able to verify what actually happened and why. Considering that a midwife delivers hundreds of babies each year, it would be very difficult to prove your fitness to practise from memory alone; in cross-examination you will need some concrete evidence of what actually happened. You should keep your notes for at least six years as breach of contract cases can be brought for up to six years after the breach is discovered (whereas negligence cases need to be brought by three years after the negligent act). In the case of a minor, a case can be brought three years after a child reaches adulthood and may therefore be up to 21 years after the event.

Dating an 800,000 year Antarctic ice core record using the isotopic composition of trapped air

NASA Astrophysics Data System (ADS)

Dreyfus, Gabrielle Boissier

Here we measure the isotopic composition of air trapped in the European Project for Ice Coring in Antarctica Dome C (EDC) ice core, and use this geochemical information to improve the ice core agescale and our understanding of air enclosure processes. A first result is the detection of a flow anomaly in the bottom 500m of the EDC ice core using the delta18O of atmospheric oxygen (noted delta18Oatm). By tuning the measured delta18Oatm to the orbital precession signal, we correct the EDC agescale over 400-800 ka for flow-induced distortions in the duration of events. Uncertainty in delta 18Oatm phasing with respect to precession limits the accuracy of the tuned agescale to +/-6 ka. We use this improved agescale to date two 10Be peaks detected in the EDC ice core and associated with the Matuyama-Brunhes geomagnetic boundary. While the ice age of the "precursor" event agrees within uncertainty with the age of radioisotopically dated lavas, the volcanic age for the younger reversal is approximately 10 ka older than the mid-point of the 10 Be peak in the ice. Since 80% of the lavas recording the Matuyama-Brunhes reversal are located in the Central Pacific, the observed age difference may indicate that the magnetic field orientation at this location changed prior to the dipole intensity minimum recorded by the ice core 10Be, as suggested by recent geodynamo modeling. A particular challenge for ice core dating is accurately accounting for the age difference between the trapped air and surrounding ice. This gas age - ice age difference (noted Deltaage) depends on the age of the ice at the bottom of the firn. delta15N of N2 is constant in the atmosphere over the timescales considered here, so any deviation from atmospheric composition reflects fractionation processes in the firn. We show that delta15N is positively correlated with the ice deuterium content, a proxy for temperature, over the entire EDC record, and propose an accumulation-permeability-convection mechanism. While temporal resolution and noise in the available data limit our ability to constrain glacial Deltaage, these data suggest that delta15N may be used as a gas-phase climate proxy at EDC.

Definition, structure, content, use and impacts of electronic health records: a review of the research literature.

PubMed

Häyrinen, Kristiina; Saranto, Kaija; Nykänen, Pirkko

2008-05-01

This paper reviews the research literature on electronic health record (EHR) systems. The aim is to find out (1) how electronic health records are defined, (2) how the structure of these records is described, (3) in what contexts EHRs are used, (4) who has access to EHRs, (5) which data components of the EHRs are used and studied, (6) what is the purpose of research in this field, (7) what methods of data collection have been used in the studies reviewed and (8) what are the results of these studies. A systematic review was carried out of the research dealing with the content of EHRs. A literature search was conducted on four electronic databases: Pubmed/Medline, Cinalh, Eval and Cochrane. The concept of EHR comprised a wide range of information systems, from files compiled in single departments to longitudinal collections of patient data. Only very few papers offered descriptions of the structure of EHRs or the terminologies used. EHRs were used in primary, secondary and tertiary care. Data were recorded in EHRs by different groups of health care professionals. Secretarial staff also recorded data from dictation or nurses' or physicians' manual notes. Some information was also recorded by patients themselves; this information is validated by physicians. It is important that the needs and requirements of different users are taken into account in the future development of information systems. Several data components were documented in EHRs: daily charting, medication administration, physical assessment, admission nursing note, nursing care plan, referral, present complaint (e.g. symptoms), past medical history, life style, physical examination, diagnoses, tests, procedures, treatment, medication, discharge, history, diaries, problems, findings and immunization. In the future it will be necessary to incorporate different kinds of standardized instruments, electronic interviews and nursing documentation systems in EHR systems. The aspects of information quality most often explored in the studies reviewed were the completeness and accuracy of different data components. It has been shown in several studies that the use of an information system was conducive to more complete and accurate documentation by health care professionals. The quality of information is particularly important in patient care, but EHRs also provide important information for secondary purposes, such as health policy planning. Studies focusing on the content of EHRs are needed, especially studies of nursing documentation or patient self-documentation. One future research area is to compare the documentation of different health care professionals with the core information about EHRs which has been determined in national health projects. The challenge for ongoing national health record projects around the world is to take into account all the different types of EHRs and the needs and requirements of different health care professionals and consumers in the development of EHRs. A further challenge is the use of international terminologies in order to achieve semantic interoperability.

Financial Audit: Congressional Award Foundation’s Fiscal Year 2000 and 1999 Financial Statements

DTIC Science & Technology

2001-05-01

organizations. Assets and services contributed to the Foundation are recorded in the accounting records at fair value as of the date of the...records as contributions revenue amounts received in the form of cash, promises or pledges to give, and the fair value of certain contributed services and...or, as described in note 2A, at fair value at the date of contribution. Fixed assets such as office furniture valued in excess of $500 are

39 CFR 230.11 - What special definitions apply to these rules?

Code of Federal Regulations, 2010 CFR

2010-07-01

..., calendar and diary entries, graphs, notes, charts, tabulations, data analyses, statistical or information accumulations, records of meetings and conversations, film impressions, magnetic tapes, computer discs, and...

Geologic Field Notes, Geochemical Analyses, and Field Photographs of Outcrops and Rock Samples from the Big Delta B-1 Quadrangle, East-Central Alaska

USGS Publications Warehouse

Day, Warren C.; O'Neill, J. Michael

2008-01-01

The U.S. Geological Survey, in cooperation with the Alaska Department of Natural Resources Division of Mining, Land, and Water, has released a geologic map of the Big Delta B-1 quadrangle of east-central Alaska (Day and others, 2007). This companion report presents the major element oxide and trace element geochemical analyses, including those for gold, silver, and base metals, for representative rock units and for grab samples from quartz veins and mineralized zones within the quadrangle. Also included are field station locations, field notes, structural data, and field photographs based primarily on observations by W.C. Day with additions by J.M. O'Neill and B.M. Gamble, all of the U.S. Geological Survey. The data are provided in both Microsoft Excel spread sheet format and as a Microsoft Access database.

Identifying Suicide Ideation and Suicidal Attempts in a Psychiatric Clinical Research Database using Natural Language Processing.

PubMed

Fernandes, Andrea C; Dutta, Rina; Velupillai, Sumithra; Sanyal, Jyoti; Stewart, Robert; Chandran, David

2018-05-09

Research into suicide prevention has been hampered by methodological limitations such as low sample size and recall bias. Recently, Natural Language Processing (NLP) strategies have been used with Electronic Health Records to increase information extraction from free text notes as well as structured fields concerning suicidality and this allows access to much larger cohorts than previously possible. This paper presents two novel NLP approaches - a rule-based approach to classify the presence of suicide ideation and a hybrid machine learning and rule-based approach to identify suicide attempts in a psychiatric clinical database. Good performance of the two classifiers in the evaluation study suggest they can be used to accurately detect mentions of suicide ideation and attempt within free-text documents in this psychiatric database. The novelty of the two approaches lies in the malleability of each classifier if a need to refine performance, or meet alternate classification requirements arises. The algorithms can also be adapted to fit infrastructures of other clinical datasets given sufficient clinical recording practice knowledge, without dependency on medical codes or additional data extraction of known risk factors to predict suicidal behaviour.

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

Simon, Amy A.; Wong, Michael H.; De Pater, Imke

Jupiter's Great Red Spot (GRS) is one of its most distinct and enduring features. Since the advent of modern telescopes, keen observers have noted its appearance and documented a change in shape from very oblong to oval, confirmed in measurements from spacecraft data. It currently spans the smallest latitude and longitude size ever recorded. Here we show that this change has been accompanied by an increase in cloud/haze reflectance as sensed in methane gas absorption bands, increased absorption at wavelengths shorter than 500 nm, and increased spectral slope between 500 and 630 nm. These changes occurred between 2012 and 2014, without amore » significant change in internal tangential wind speeds; the decreased size results in a 3.2 day horizontal cloud circulation period, shorter than previously observed. As the GRS has narrowed in latitude, it interacts less with the jets flanking its north and south edges, perhaps allowing for less cloud mixing and longer UV irradiation of cloud and aerosol particles. Given its long life and observational record, we expect that future modeling of the GRS's changes, in concert with laboratory flow experiments, will drive our understanding of vortex evolution and stability in a confined flow field crucial for comparison with other planetary atmospheres.« less

Dramatic Change in Jupiter's Great Red Spot from Spacecraft Observations

NASA Technical Reports Server (NTRS)

Simon, Amy A.; Wong, Michael H.; Rogers, John H.; Orton, Glenn S.; de Pater, Imke; Asay-Davis, Xylar; Carlson, Robert W.; Marcus, Philip S.

2015-01-01

Jupiter's Great Red Spot (GRS) is one of its most distinct and enduring features. Since the advent of modern telescopes, keen observers have noted its appearance and documented a change in shape from very oblong to oval, confirmed in measurements from spacecraft data. It currently spans the smallest latitude and longitude size ever recorded. Here we show that this change has been accompanied by an increase in cloud/haze reflectance as sensed in methane gas absorption bands, increased absorption at wavelengths shorter than 500 nanometers, and increased spectral slope between 500 and 630 nanometers. These changes occurred between 2012 and 2014, without a significant change in internal tangential wind speeds; the decreased size results in a 3.2 day horizontal cloud circulation period, shorter than previously observed. As the GRS has narrowed in latitude, it interacts less with the jets flanking its north and south edges, perhaps allowing for less cloud mixing and longer UV irradiation of cloud and aerosol particles. Given its long life and observational record, we expect that future modeling of the GRS's changes, in concert with laboratory flow experiments, will drive our understanding of vortex evolution and stability in a confined flow field crucial for comparison with other planetary atmospheres.

The Previously Undetected Presence of Culex restuans (Diptera: Culicidae) in Central America, with Notes on Identification

DTIC Science & Technology

1988-01-01

geografica actualizada. Rev. Inv. Salud Publica (Mexico) 33: 11 I - 125. Heinemann, S.J. and J.N. Belkin. 1977. Collection records of the project...Mosquitoes of Middle America” 8. Central America: Belize (BH), Guatemala (GUA), El Salvador ( SAL ), Honduras (HON), Nicaragua (NI, NIC). Mosq. Syst...Culicidae). Ill. Nat. Hist. Surv. Biol. Notes 52, 50 pp. Vargas, L. 1956. Especies y distribucidn de mosquitos mexicanos no anofelinos. Rev. Instit. de

Two new species of the genus Anthaxia (Anthaxia Eschscholtz 1829) from China, and notes on the related species (Coleoptera: Buprestidae: Anthaxiini).

PubMed

Bílý, Svatopluk

2015-06-04

Anthaxia (Anthaxia) kmoniceki sp. nov. and Anthaxia (Anthaxia) ungulata sp. nov. (China, Sichuan) both belonging to the A. (A.) nitidula Linnaeus, 1758 species-group are described, illustrated and compared with the most similar species. A short description of the male and new records of Anthaxia (A.) nitiduliformis Bílý, 1995 are given together with the notes on the bionomy of the species-group.

Notes for Brazil sampling frame evaluation trip

NASA Technical Reports Server (NTRS)

Horvath, R. (Principal Investigator); Hicks, D. R. (Compiler)

1981-01-01

Field notes describing a trip conducted in Brazil are presented. This trip was conducted for the purpose of evaluating a sample frame developed using LANDSAT full frame images by the USDA Economic and Statistics Service for the eventual purpose of cropland production estimation with LANDSAT by the Foreign Commodity Production Forecasting Project of the AgRISTARS program. Six areas were analyzed on the basis of land use, crop land in corn and soybean, field size and soil type. The analysis indicated generally successful use of LANDSAT images for purposes of remote large area land use stratification.

Construction Productivity Advancement Research (CPAR) Program: Improved Materials and Processes for Sealing and Resealing Joints in Portland Cement Concrete Pavements - Field Evaluation

DTIC Science & Technology

1993-10-01

sealant was determined by noting the type and number of defects each sealant incurred. Figure 4 provides a sample evaluation sheet used dur- ing the field...was conducted by visually inspect- ing the mater~al for defects . If any defects were noted, the type of defect was described and the quant~ty of that... defect was measured. The quantity of the defect was dividted by the total quantity of sealant and the result reported as percent defect . Adhesion and

Continuing Support of Cloud Free Line of Sight Determination Including Whole Sky Imaging of Clouds

DTIC Science & Technology

2007-11-30

which is documented in Shields et al. 2007a, Technical Note 271, and Contract N00014-01-D- 0043 DO #11, which is reviewed in Section 2 and documented in...Shields et al. 2007b, Technical Note 272. Under DO #13, we finished preparation of two of the WSI units and their software, and fielded them...and b, and 2005b and c). One of the first two units was fielded at the Air Force’s Starfire Optical Range in October 1992. Technical Memo AV06

Evaluation of Electronic Health Record Implementation in Ophthalmology at an Academic Medical Center (An American Ophthalmological Society Thesis)

PubMed Central

Chiang, Michael F.; Read-Brown, Sarah; Tu, Daniel C.; Choi, Dongseok; Sanders, David S.; Hwang, Thomas S.; Bailey, Steven; Karr, Daniel J.; Cottle, Elizabeth; Morrison, John C.; Wilson, David J.; Yackel, Thomas R.

2013-01-01

Purpose: To evaluate three measures related to electronic health record (EHR) implementation: clinical volume, time requirements, and nature of clinical documentation. Comparison is made to baseline paper documentation. Methods: An academic ophthalmology department implemented an EHR in 2006. A study population was defined of faculty providers who worked the 5 months before and after implementation. Clinical volumes, as well as time length for each patient encounter, were collected from the EHR reporting system. To directly compare time requirements, two faculty providers who utilized both paper and EHR systems completed time-motion logs to record the number of patients, clinic time, and nonclinic time to complete documentation. Faculty providers and databases were queried to identify patient records containing both paper and EHR notes, from which three cases were identified to illustrate representative documentation differences. Results: Twenty-three faculty providers completed 120,490 clinical encounters during a 3-year study period. Compared to baseline clinical volume from 3 months pre-implementation, the post-implementation volume was 88% in quarter 1, 93% in year 1, 97% in year 2, and 97% in year 3. Among all encounters, 75% were completed within 1.7 days after beginning documentation. The mean total time per patient was 6.8 minutes longer with EHR than paper (P<.01). EHR documentation involved greater reliance on textual interpretation of clinical findings, whereas paper notes used more graphical representations, and EHR notes were longer and included automatically generated text. Conclusion: This EHR implementation was associated with increased documentation time, little or no increase in clinical volume, and changes in the nature of ophthalmic documentation. PMID:24167326

First Canadian record of the water mite Thermacarus nevadensis Marshall, 1928 (Arachnida: Acariformes: Hydrachnidiae: Thermacaridae) from hot springs in British Columbia

PubMed Central

Heron, Jennifer

2016-01-01

Abstract Background Thermacarus nevadensis Marshall, 1928 is an uncommonly collected mite associated with hot spring environments in the western United States. Information on its distribution and ecology are incomplete. New information In this paper, we report Thermacarus nevadensis from northern British Columbia. These records represent the first of Thermacaridae from Canada, the most northern records of this species in North America, and the most northern records for the family globally. We also provide short notes and images of the habitats in which specimens have been collected in Canada. PMID:27660534

Accurate blood pressure recording: is it difficult?

PubMed

Bhalla, A; Singh, R; D'cruz, S; Lehl, S S; Sachdev, A

2005-11-01

Blood pressure (BP) measurement is a routine procedure but errors are frequently committed during BP recording. AIMS AND SETTINGS: The aim of the study was to look at the prevalent practices in the institute regarding BP recording. The study was conducted in the Medicine Department at Government Medical College, Chandigarh, a teaching institute for MBBS students. A prospective, observational study was performed amongst the 80 doctors in a tertiary care hospital. All of them were observed by a single observer during the act of BP recording. The observer was well versed with the guidelines issued by British Hypertension Society (BHS) and the deviations from the standard set of guidelines issued by BHS were noted. The errors were defined as deviations from these guidelines. The results were recorded as percentage of doctors committing these errors. In our study, 90% used mercury type sphygmomanometer. Zero error of the apparatus, hand dominance was not noted by any one. Every one used the standard BP cuff for recording BP. 70% of them did not let the patient rest before recording BP. 80% did not remove the clothing from the arm. None of them recorded BP in both arms. In out patient setting, 80% recorded blood pressure in sitting position and 14% in supine position. In all the patients where BP was recorded in sitting position BP apparatus was below the level of heart and 20% did not have their arm supported. 60% did not use palpatory method for noticing systolic BP and 70% did not raise pressure 30-40 mm Hg above the systolic level before checking the BP by auscultation. 80% lowered the BP at a rate of more than 2 mm/s and 60% rounded off the BP to nearest 5-10 mm Hg. 70% recorded BP only once and 90% of the rest re inflated the cuff without completely deflating and allowing rest before a second reading was obtained. The practice of recording BP in our hospital varies from the standard guidelines issued by the BHS.

Near-field optical recording based on solid immersion lens system

NASA Astrophysics Data System (ADS)

Hong, Tao; Wang, Jia; Wu, Yan; Li, Dacheng

2002-09-01

Near-field optical recording based on solid immersion lens (SIL) system has attracted great attention in the field of high-density data storage in recent years. The diffraction limited spot size in optical recording and lithography can be decreased by utilizing the SIL. The SIL near-field optical storage has advantages of high density, mass storage capacity and compatibility with many technologies well developed. We have set up a SIL near-field static recording system. The recording medium is placed on a 3-D scanning stage with the scanning range of 70×70×70μm and positioning accuracy of sub-nanometer, which will ensure the rigorous separation control in SIL system and the precision motion of the recording medium. The SIL is mounted on an inverted microscope. The focusing between long working distance objective and SIL can be monitored and observed by the CCD camera and eyes. Readout signal can be collected by a detector. Some experiments have been performed based on the SIL near-field recording system. The attempt of the near-field recording on photochromic medium has been made and the resolution improvement of the SIL has been presented. The influence factors in SIL near-field recording system are also discussed in the paper.

[Low incidence of hip fractures among the elderly in Guadeloupe: a spared Caribbean island population].

PubMed

Naudi, S; Mehdi, N; Gatti, S; Stroppa, S; Fleurat, E

2007-02-01

The purpose of this study was to determine the incidence of hip fractures among the elderly population in Guadeloupe, a French Caribbean archipelago with 440,000 inhabitants who present two rarely associated characteristics: 90% of the population is of African descent and life expectancy is similar to that of European populations. Using the recent census report, we established that in 2002, 61,000 persons aged 60 years or more (27,000 men and 34,000 women) lived in Guadeloupe. All new cases of hip fracture among the population aged 60 years or more were recorded in 2002, 2003, and 2004 in the seven islands that compose Guadeloupe. For each case, we noted patient age and gender, type of hip fracture, and treatment administered. We excluded open and pathologic fractures. Overall and age-specific incidence of hip fractures were determined and compared with rates reported for other countries. Three hundred and two new cases of hip fracture were recorded from 2002 to 2005 in 211 women (70%) and 91 men (30%). The age of patients was 82 years on average (range 60-102). There were 134 neck fractures and 168 intertrochanteric fractures which were treated by osteosynthesis for 193 and arthroplasty for 108. Only one orthopedic treatment was noted. The incidence of hip fracture for people aged over 60 years was 16.9/10,000; for the population aged 65 years or more, it was 22.2/10,000. Osteoporotic fracture is a pandemic problem. Incidence is increasing worldwide. Our findings demonstrate that Guadeloupeans are spared from this pathology. This population offers an interesting field for research into the causal mechanisms of osteoporotic fractures and potential means of prevention or screening. The incidence of hip fractures among the elderly population in Guadeloupe is the lowest recorded in the world. We suggest that an environmental and genetic study in this spared population could provide interesting insight into the cause of hip fractures and appropriate means of prevention and screening among the elderly. The geographic and environmental characteristics of Guadeloupe make this area a unique zone of research and should enable new insight into the genetic and environmental factors involved in hip fractures.

Primary care physicians’ experiences with electronic medical records

PubMed Central

Ludwick, Dave; Manca, Donna; Doucette, John

2010-01-01

OBJECTIVE To understand how remuneration and care setting affect the implementation of electronic medical records (EMRs). DESIGN Semistructured interviews were used to illicit descriptions from community-based family physicians (paid on a fee-for-service basis) and from urban, hospital, and academic family physicians (remunerated via alternative payment models or sessional pay for activities pertaining to EMR implementation). SETTING Small suburban community and large urban-, hospital-, and academic-based family medicine clinics in Alberta. All participants were supported by a jurisdictional EMR certification funding mechanism. PARTICIPANTS Physicians who practised in 1 or a combination of the above settings and had experience implementing and using EMRs. METHODS Purposive and maximum variation sampling was used to obtain descriptive data from key informants through individually conducted semistructured interviews. The interview guide, which was developed from key findings of our previous literature review, was used in a previous study of community-based family physicians on this same topic. Field notes were analyzed to generate themes through a comparative immersion approach. MAIN FINDINGS Physicians in urban, hospital, and academic settings leverage professional working relationships to investigate EMRs, a resource not available to community physicians. Physicians in urban, hospital, and academic settings work in larger interdisciplinary teams with a greater need for interdisciplinary care coordination, EMR training, and technical support. These practices were able to support the cost of project management or technical support resources. These physicians followed a planned system rollout approach compared with community physicians who installed their systems quickly and required users to transition to the new system immediately. Electronic medical records did not increase, or decrease, patient throughput. Physicians developed ways of including patients in the note-taking process. CONCLUSION We studied physicians’ procurement approaches under various payment models. Our findings do not suggest that one remuneration approach supports EMR adoption any more than another. Rather, this study suggests that stronger physician professional networks used in information gathering, more complete training, and in-house technical support might be more influential than remuneration in facilitating the EMR adoption experience. PMID:20090083

Feeding behaviour of free-ranging walruses with notes on apparent dextrality of flipper use

PubMed Central

Levermann, Nette; Galatius, Anders; Ehlme, Göran; Rysgaard, Søren; Born, Erik W

2003-01-01

Background Direct observations of underwater behaviour of free-living marine mammals are rare. This is particularly true for large and potentially dangerous species such as the walrus (Odobenus rosmarus). Walruses are highly specialised predators on benthic invertebrates – especially bivalves. The unique feeding niche of walruses has led to speculations as to their underwater foraging behaviour. Based on observations of walruses in captivity and signs of predation left on the sea floor by free-living walruses, various types of feeding behaviour have been suggested in the literature. In this study, however, the underwater feeding behaviour of wild adult male Atlantic walruses (O. r. rosmarus) is documented for the first time in their natural habitat by scuba-divers. The video recordings indicated a predisposition for use of the right front flipper during feeding. This tendency towards dextrality was explored further by examining a museum collection of extremities of walrus skeletons. Results During July and August 2001, twelve video-recordings of foraging adult male walruses were made in Young Sound (74°18 N; 20°15 V), Northeast Greenland. The recordings did not allow for differentiation among animals, however based on notes by the photographer at least five different individuals were involved. The walruses showed four different foraging behaviours; removing sediment by beating the right flipper, removing sediment by beating the left flipper, removing sediment by use of a water-jet from the mouth and rooting through sediment with the muzzle. There was a significant preference for using right flipper over left flipper during foraging. Measurements of the dimensions of forelimbs from 23 walrus skeletons revealed that the length of the right scapula, humerus, and ulna was significantly greater than that of the left, supporting our field observations of walruses showing a tendency of dextrality in flipper use. Conclusion We suggest that the four feeding behaviours observed are typical of walruses in general, although walruses in other parts of their range may have evolved other types of feeding behaviour. While based on small sample sizes both the underwater observations and skeletal measurements suggest lateralized limb use, which is the first time this has been reported in a pinniped. PMID:14572316

The "Dirty Weather" diaries of Reverend Richard Davis: insights about early Colonial-era meteorology and climate variability for Northern New Zealand, 1839-1851

NASA Astrophysics Data System (ADS)

Lorrey, A. M.; Chappell, P. R.

2015-08-01

Reverend Richard Davis (1790-1863) was a Colonial-era missionary stationed in the Far North of New Zealand who was a key figure in the early efforts of the Church Mission Society. He kept meticulous meteorological records for the early settlements of Waimate North and Kaikohe, and his observations are preserved in a two-volume set in the rare manuscripts archive at the Auckland City Library. The Davis diary volumes are significant because they constitute some of the earliest land-based meteorological measurements that were continually chronicled for New Zealand. The diary measurements cover nine years within the 1839-1851 timespan that are broken into two parts: 1839-1844 and 1848-1851. Davis' meteorological recordings include daily 9 AM and noon temperatures and mid-day pressure measurements. Qualitative comments in the diary note prevailing wind flow, wind strength, cloud cover, climate variability impacts, bio-indicators suggestive of drought, and notes on extreme weather events. "Dirty weather" comments scattered throughout the diary describe disturbed conditions with strong winds and driving rainfall. The Davis diary entries coincide with the end of the Little Ice Age (LIA) and they indicate southerly and westerly circulation influences and cooler winter temperatures were more frequent than today. A comparison of climate field reconstructions derived from the Davis diary data and tree ring-based winter temperature reconstructions are supported by tropical coral palaeotemperature evidence. Davis' pressure measurements were corroborated using ship log data from vessels associated with iconic Antarctic exploration voyages that were anchored in the Bay of Islands, and suggest the pressure series he recorded are robust and can be used as `station data'. The Reverend Davis meteorological data are expected to make a significant contribution to the Atmospheric Circulation Reconstructions across the Earth (ACRE) project, which feeds the major data requirements for the longest historical reanalysis - the 20th Century Reanalysis Project (20CR). Thus these new data will help extend surface pressure-based re-analysis reconstructions of past weather covering New Zealand within the data-sparse Southern Hemisphere.

The "dirty weather" diaries of Reverend Richard Davis: insights about early colonial-era meteorology and climate variability for northern New Zealand, 1839-1851

NASA Astrophysics Data System (ADS)

Lorrey, Andrew M.; Chappell, Petra R.

2016-03-01

Reverend Richard Davis (1790-1863) was a colonial-era missionary stationed in the Far North of New Zealand who was a key figure in the early efforts of the Church Mission Society. He kept meticulous meteorological records for the early settlements of Waimate North and Kaikohe, and his observations are preserved in a two-volume set in the Sir George Grey Special Collections in the Auckland Central Library. The Davis diary volumes are significant because they constitute some of the earliest land-based meteorological measurements that were continually chronicled for New Zealand. The diary measurements cover nine years within the 1839-1851 time span that are broken into two parts: 1839-1844 and 1848-1851. Davis' meteorological recordings include daily 9 a.m. and noon temperatures and midday pressure measurements. Qualitative comments in the diary note prevailing wind flow, wind strength, cloud cover, climate variability impacts, bio-indicators suggestive of drought, and notes on extreme weather events. "Dirty weather" comments scattered throughout the diary describe disturbed conditions with strong winds and driving rainfall. The Davis diary entries coincide with the end of the Little Ice Age (LIA) and they indicate southerly and westerly circulation influences and cooler winter temperatures were more frequent than today. A comparison of climate field reconstructions derived from the Davis diary data and tree-ring-based winter temperature reconstructions are supported by tropical coral palaeotemperature evidence. Davis' pressure measurements were corroborated using ship log data from vessels associated with iconic Antarctic exploration voyages that were anchored in the Bay of Islands, and suggest the pressure series he recorded are robust and can be used as "station data". The Reverend Davis meteorological data are expected to make a significant contribution to the Atmospheric Circulation Reconstructions across the Earth (ACRE) project, which feeds the major data requirements for the longest historical reanalysis - the 20th Century Reanalysis Project (20CR). Thus these new data will help extend surface pressure-based reanalysis reconstructions of past weather covering New Zealand within the data-sparse Southern Hemisphere.

Geonucleus, the freeware application for managing geological mapping data in GIS

NASA Astrophysics Data System (ADS)

Albert, Gáspár

2016-04-01

Geological mapping is the most traditional way of collecting information from the deposits and rocks. The traditional technique of the documentation was refined by generations of geologists. These traditions were implemented into Geonucleus to create a tool for precise data-recording after fieldwork, but giving the freedom of pondering the details of the observation as well. In 2012 a general xml-based data structure was worked out for storing field observations for the Geological Institute of Hungary (Albert et al. 2012). This structure was implemented into the desktop version of Geonucleus, which creates a database of the recorded data on the client computer. The application saves the complete database in one file, which can be loaded into a GIS. The observations can be saved in simple text format as well, but primarily the kml (Keyhole Markup Languege) is supported. This way, the observations are visualized in comprehensible forms (e.g. on a 3D surface model with satellite photos in Google Earth). If the kml is directly visualized in Google Earth, an info-bubble will appear via clicking on a pinpoint. It displays all the metadata (e.g. index, coordinates, date, logger name, etc.), the descriptions and the photos of the observed site. If a more general GIS application is the aim (e.g. Global Mapper or QGIS), the file can be saved in a different format, but still in a kml-structure. The simple text format is recommended if the observations are to be imported in a user-defined relational database system (RDB). Report text-type is also available if a detailed description of one or more observed site is needed. Importing waypoint gpx-files can quicken the logging. The code was written in VisualBasic.Net. The app is freely accessible from the geonucleus.elte.hu site and it can be installed on any system, which has the .Net framework 4.0 or higher. The software is bilingual (English and Hungarian), and the app is designed for general geological mapping purposes (e.g. quick logging of field trips). The layout of the GUI has three components: 1) metadata area, 2) general description area with unlimited storing capacity, 3) switchable panels for observations, measurements, photos and notes. The latter includes panels for stratigraphy, structures, fossils, samples, photo uploads and general notes. Details like the sequence and contact type of layers, the parameters of structures and slickensides, name and condition of fossils and purpose of sampling are also available to log (but not compulsorily). It is also a tool for teaching geological mapping, since the available parameters - listed in the app - draws attention to the details, which are to be observed on the field. Reference: Albert G, Csillag G, Fodor L, Zentai L. 2012: Visualisation of Geological Observations on Web 2.0 Based Maps, in: Zentai, L. and Reyes-Nunez, J (eds.): Maps for the Future - Children, Education and Internet, Series: Lecture Notes in Geoinformation and Cartography, Tentative volume 5 - Springer, pp. 165-178.

Anchistropus spp. (Crustacea: Cladocera: Chydoridae): a new distribution record for Lake Erie

USGS Publications Warehouse

Evans, Marlene S.; Hiltunen, Jarl K.; Schloesser, Donald W.

1990-01-01

This note extends the known Great Lakes distribution of Anchistropus sp. from Lake Michigan, Huron, Superior, and St. Clair to Rondeau Harbor in Lake Erie. Anchistropus sp. was collected in benthic samples where it occurred as epibionts on hydra. Previous studies, which are briefly reviewed, have noted the parasitic nature of Anchistropus. Although only one species of Anchistropus (A. minor) is known from North America, our specimens cannot be positively identified as that species: the structure of the postabdomen and first leg differs from the original taxonomic description of A. minor. Others have noted differences between the original description of A. minor and the morphology of specimens collected over the succeeding years.

78 FR 19334 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-29

... continuous attention in resolving record inaccuracies; (4) disclose to the issuers for whom they perform... will vary according to the size and scope of the transfer agent's business activity. We note, however...

Comparison of case note review methods for evaluating quality and safety in health care.

PubMed

Hutchinson, A; Coster, J E; Cooper, K L; McIntosh, A; Walters, S J; Bath, P A; Pearson, M; Young, T A; Rantell, K; Campbell, M J; Ratcliffe, J

2010-02-01

To determine which of two methods of case note review--holistic (implicit) and criterion-based (explicit)--provides the most useful and reliable information for quality and safety of care, and the level of agreement within and between groups of health-care professionals when they use the two methods to review the same record. To explore the process-outcome relationship between holistic and criterion-based quality-of-care measures and hospital-level outcome indicators. Case notes of patients at randomly selected hospitals in England. In the first part of the study, retrospective multiple reviews of 684 case notes were undertaken at nine acute hospitals using both holistic and criterion-based review methods. Quality-of-care measures included evidence-based review criteria and a quality-of-care rating scale. Textual commentary on the quality of care was provided as a component of holistic review. Review teams comprised combinations of: doctors (n = 16), specialist nurses (n = 10) and clinically trained audit staff (n = 3) and non-clinical audit staff (n = 9). In the second part of the study, process (quality and safety) of care data were collected from the case notes of 1565 people with either chronic obstructive pulmonary disease (COPD) or heart failure in 20 hospitals. Doctors collected criterion-based data from case notes and used implicit review methods to derive textual comments on the quality of care provided and score the care overall. Data were analysed for intrarater consistency, inter-rater reliability between pairs of staff using intraclass correlation coefficients (ICCs) and completeness of criterion data capture, and comparisons were made within and between staff groups and between review methods. To explore the process-outcome relationship, a range of publicly available health-care indicator data were used as proxy outcomes in a multilevel analysis. Overall, 1473 holistic and 1389 criterion-based reviews were undertaken in the first part of the study. When same staff-type reviewer pairs/groups reviewed the same record, holistic scale score inter-rater reliability was moderate within each of the three staff groups [intraclass correlation coefficient (ICC) 0.46-0.52], and inter-rater reliability for criterion-based scores was moderate to good (ICC 0.61-0.88). When different staff-type pairs/groups reviewed the same record, agreement between the reviewer pairs/groups was weak to moderate for overall care (ICC 0.24-0.43). Comparison of holistic review score and criterion-based score of case notes reviewed by doctors and by non-clinical audit staff showed a reasonable level of agreement (p-values for difference 0.406 and 0.223, respectively), although results from all three staff types showed no overall level of agreement (p-value for difference 0.057). Detailed qualitative analysis of the textual data indicated that the three staff types tended to provide different forms of commentary on quality of care, although there was some overlap between some groups. In the process-outcome study there generally were high criterion-based scores for all hospitals, whereas there was more interhospital variation between the holistic review overall scale scores. Textual commentary on the quality of care verified the holistic scale scores. Differences among hospitals with regard to the relationship between mortality and quality of care were not statistically significant. Using the holistic approach, the three groups of staff appeared to interpret the recorded care differently when they each reviewed the same record. When the same clinical record was reviewed by doctors and non-clinical audit staff, there was no significant difference between the assessments of quality of care generated by the two groups. All three staff groups performed reasonably well when using criterion-based review, although the quality and type of information provided by doctors was of greater value. Therefore, when measuring quality of care from case notes, consideration needs to be given to the method of review, the type of staff undertaking the review, and the methods of analysis available to the review team. Review can be enhanced using a combination of both criterion-based and structured holistic methods with textual commentary, and variation in quality of care can best be identified from a combination of holistic scale scores and textual data review.

Distribution and Dispersal of Phlebotomus papatasi (Diptera: Psychodidae) in a Zoonotic Cutaneous Leishmaniasis Focus, the Northern Negev, Israel

PubMed Central

Orshan, Laor; Elbaz, Shirly; Ben-Ari, Yossi; Akad, Fouad; Afik, Ohad; Ben-Avi, Ira; Dias, Debora; Ish-Shalom, Dan; Studentsky, Liora; Zonstein, Irina

2016-01-01

Background Zoonotic cutaneous leishmaniasis has long been endemic in Israel. In recent years reported incidence of cutaneous leishmaniasis increased and endemic transmission is being observed in a growing number of communities in regions previously considered free of the disease. Here we report the results of an intensive sand fly study carried out in a new endemic focus of Leishmania major. The main objective was to establish a method and to generate a data set to determine the exposure risk, sand fly populations' dynamics and evaluate the efficacy of an attempt to create "cordon sanitaire" devoid of active jird burrows around the residential area. Methodology/Principal Findings Sand flies were trapped in three fixed reference sites and an additional 52 varying sites. To mark sand flies in the field, sugar solutions containing different food dyes were sprayed on vegetation in five sites. The catch was counted, identified, Leishmania DNA was detected in pooled female samples and the presence of marked specimens was noted. Phlebotomus papatasi, the vector of L. major in the region was the sole Phlebotomus species in the catch. Leishmania major DNA was detected in ~10% of the pooled samples and the highest risk of transmission was in September. Only a few specimens were collected in the residential area while sand fly numbers often exceeded 1,000 per catch in the agricultural fields. The maximal travel distance recorded was 1.91km for females and 1.51km for males. The calculated mean distance traveled (MDT) was 0.75km. Conclusions The overall results indicate the presence of dense and mobile sand fly populations in the study area. There seem to be numerous scattered sand fly microsites suitable for development and resting in the agricultural fields. Sand flies apparently moved in all directions, and reached the residential area from the surrounding agricultural fields. The travel distance noted in the current work, supported previous findings that P. papatasi like P. ariasi, can have a relatively long flight range and does not always stay near breeding sites. Following the results, the width of the "cordon sanitaire" in which actions against the reservoir rodents were planned, was extended into the depth of the agricultural fields. PMID:27427959

Whooping cranes breeding at White Lake, Louisiana, 1939: observations by John J. Lynch, U.S. Bureau of Biological Survey

USGS Publications Warehouse

Drewien, R.C.; Tautin, J.; Courville, M.L.; Gomez, G.M.

2001-01-01

On 15 May 1939, John J. Lynch of the U.S. Bureau of Biological Survey located 13 whooping cranes (Grus americana), including 2 prefledged young, during an aerial survey near White Lake in southwestern Louisiana. His observation was the last historic record of whooping cranes breeding in the wild in the United States, and it confirmed the presence of a nonmigratory breeding population along the Gulf Coast. While reviewing old U.S. Fish and Wildlife Service files at the National Archives in 1999, we located Lynch's original 1939 field note, 2 letters, 5 photographs, and a draft manuscript describing the discovery; 4 other related letters also were found. Because of their biological and historical interest, we have reproduced the documents in this paper. A thorough assessment of the White Lake marshes as a potential site for returning nonmigratory whooping cranes to southwestern Louisiana should be conducted.

Grace Under Pressure

NASA Technical Reports Server (NTRS)

2002-01-01

Developed in response to a NASA requirement to remotely measure tension in critical bolts on the International Space Station, the SureBolt(TM) Correlation Bolt Gage is the first ultrasonic system to capture an entire "echo" pulse for determining the change in time of flight of an ultrasonic signal traversing a fastener for tension measurement. The standard SureBolt system hardware has the capability of recording over 1 million bolt tension readings-with their complete waveforms-in Microsoft Excel-compatible format. The user- friendly Tension-Not-Torque(Copyright) software interface offers tension change graphing in real time, and a place to store field notes, special parameters, tension calibration constants, and temperature changes for each measurement. The technology has been used on fasteners as small as fine-threaded, 1-inch bolts, and as large as 18-inch-diameter by 30-foot-long tie rods. SureBolt is finding increased application within NASA and the aerospace industry, as well as in the automotive and nuclear industries.

Elements of Scenario-Based Learning on Suicidal Patient Care Using Real-Time Video.

PubMed

Lu, Chuehfen; Lee, Hueying; Hsu, Shuhui; Shu, Inmei

2016-01-01

This study aims understanding of students' learning experiences when receiving scenario-based learning combined with real-time video. Videos that recorded student nurses intervention with a suicidal standardized patient (SP) were replayed immediately as teaching materials. Videos clips and field notes from ten classes were analysed. Investigators and method triangulation were used to boost the robustness of the study. Three key elements, emotional involvement, concretizing of the teaching material and substitute learning were identified. Emotions were evoked among the SP, the student performer and the students who were observing, thus facilitating a learning effect. Concretizing of the teaching material refers to students were able to focus on the discussions using visual and verbal information. Substitute learning occurred when the students watching the videos, both the strengths and weaknesses represented were similar to those that would be likely to occur. These key elements explicate their learning experience and suggested a strategic teaching method.

Observation of hard X-rays from the Crab pulsar and A0535+26

NASA Technical Reports Server (NTRS)

Wu, M.; Dai, C.; Lu, Z.; Ma, Y.; Li, G.; Fan, Z.; Zhang, C.; Xu, C.; Zhang, X.; Gu, Y.

1985-01-01

The Crab pulsar PSR0531+21 was observed in a balloon flight from the Xianghe Balloon Station (China). Data were obtained in the range 20 to 200 keV with a poswish hard X-ray telescope which comprised a 150 sq cm primary crystal of 5 mm thick CsI(T1) which actively shielded the lower 2 pi steradians by a 5 cm thick NaI(T1) crystal. The scintillation pulses originating in CsI and NaI crystals are distinguished by pulse shape discrimination. The telescope has a field of view of approximately 4 deg H psi H pi determined by graded shield and collimator. The effective geometric area of the detector is 116 sq cm. It is noted that when folding a data flow on a long period interference from the data acquisition, transmission and recording system considerably affect the result.

Notes from the field: Acute pesticide-related illness resulting from occupational exposure to acrolein - Washington and California, 1993-2009.

PubMed

2013-04-26

Acrolein is an aquatic herbicide used in the western United States to prevent impaired water flow in irrigation canals. Despite its toxicity, few cases of acrolein-related illness have been reported in the literature. On August 15, 2012, an irrigation district notified the Washington State Department of Labor & Industries (L&I) of acrolein-related illness in one of its pesticide applicators. L&I inspected the site and interviewed the exposed worker, coworkers, and employer. The Washington State Department of Health assisted by obtaining medical records, interviewing the patient and hospital staff, and reviewing information obtained from L&I. To look for additional cases, CDC reviewed data from the SENSOR-Pesticides program* and the California Department of Pesticide Regulation for 1993-2009, the most recent years of data availability, and identified seven additional cases of acute acrolein-related illness.

Probing the Natural World, Level III, Record Book, Student Guide: What's Up? Intermediate Science Curriculum Study.

ERIC Educational Resources Information Center

Bonar, John R., Ed.; Hathway, James A., Ed.

This is the student's edition of the Record Book for the unit "What's Up" of the Intermediate Science Curriculum Study (ISCS) for level III students (grade 9). Space is provided for answers to the questions from the student text as well as for the optional excursions and the self evaluation. An introductory note to the student explains…

Consolidated and Further Continuing Appropriations Act, 2013

THOMAS, 113th Congress

Rep. Rogers, Harold [R-KY-5

2013-03-04

03/26/2013 Became Public Law No: 113-6. (TXT | PDF) (All Actions) Notes: A House explanatory statement was printed in the March 6, 2013, Congressional Record, beginning on page H1029. A Senate explanatory statement was printed in the March 11, 2013, Congressional Record, beginning on page S1287. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

The scorpions of Yunnan (China): updated identification key, new record and redescriptions of Euscorpiops kubani and E. shidian (Arachnida, Scorpiones)

PubMed Central

Di, Zhiyong; He, Yawen; Wu, Yingliang; Cao, Zhijian; Liu, Hui; Jiang, Dahe; Li, Wenxin

2011-01-01

Abstract We present an identification key to the scorpion species of Yunnan (China) with notes on the distribution and ecology. Euscorpiops kubani is recorded for the first time for China. The redescriptions of Euscorpiops shidian and Euscorpiops kubani are provided. The number of known scorpion species from Yunnan is raised to nine. PMID:21594054

Annual Report to the Strategic Defense Initiative Organization on the Free-Electron Laser Driven by the NIST CW Microtron

DTIC Science & Technology

1986-05-05

design of the injector for the method selected was completed. A study on the problem of mirror damage has been completed, and commercial suppliers of... mirrors that can withstand the high intracavity power of the FEL have been identified. The design of the room in which the FEL is located has been...Appendices ............ ............................. .25 A. Design Note 10 - Mirror Damage B. Design Note 11 - Wiggler Field Errors C. Design Note 12

Mysore study: A study of suicide notes.

PubMed

Namratha, P; Kishor, M; Sathyanarayana Rao, T S; Raman, Rajesh

2015-01-01

Suicide is one of the leading causes of preventable deaths. Recent data suggest South India as one of the regions with highest suicide rates in the world. In 2013, 134,799 people committed suicide in India according to the statistics released by the National Crime Records Bureau. Suicide note is one of the most important sources to understand suicide, which may be beneficial in suicide prevention. Studies on suicidal notes from this part of the world are sparse. The aim was to study the themes in suicide notes that might be useful in prevention strategies. A descriptive study of all suicide notes of those individuals who committed suicide between 2010 and 2013 available with Police Department, Mysore district was obtained and analyzed. A total of 22 suicide note were available. A majority of suicide note was in age group of 16-40 years (86%) and most were men (59%). All suicide notes were handwritten, the majority (70%) in regional language Kannada. Length of notes varied from just few words to few pages. Contents of suicide notes included apology/shame/guilt (80%), love for those left behind (55%) and instruction regarding practical affairs (23%). Most have blamed none for the act (50%). 23% mentioned that they are committing suicide to prove their innocence. 32% mentioned a last wish. The majority of suicidal note contained "guilt" which is a strong indicator of possible depression in deceased. Creating awareness about suicide among public and ensuring access to professionals trained in suicide prevention is need of the hour in this part of the world.

Mysore study: A study of suicide notes

PubMed Central

Namratha, P.; Kishor, M.; Sathyanarayana Rao, T. S.; Raman, Rajesh

2015-01-01

Background: Suicide is one of the leading causes of preventable deaths. Recent data suggest South India as one of the regions with highest suicide rates in the world. In 2013, 134,799 people committed suicide in India according to the statistics released by the National Crime Records Bureau. Suicide note is one of the most important sources to understand suicide, which may be beneficial in suicide prevention. Studies on suicidal notes from this part of the world are sparse. Objective: The aim was to study the themes in suicide notes that might be useful in prevention strategies. Materials and Methods: A descriptive study of all suicide notes of those individuals who committed suicide between 2010 and 2013 available with Police Department, Mysore district was obtained and analyzed. Results: A total of 22 suicide note were available. A majority of suicide note was in age group of 16–40 years (86%) and most were men (59%). All suicide notes were handwritten, the majority (70%) in regional language Kannada. Length of notes varied from just few words to few pages. Contents of suicide notes included apology/shame/guilt (80%), love for those left behind (55%) and instruction regarding practical affairs (23%). Most have blamed none for the act (50%). 23% mentioned that they are committing suicide to prove their innocence. 32% mentioned a last wish. Conclusion: The majority of suicidal note contained “guilt” which is a strong indicator of possible depression in deceased. Creating awareness about suicide among public and ensuring access to professionals trained in suicide prevention is need of the hour in this part of the world. PMID:26816426

Some Notes on Gasoline-Engine Development

NASA Technical Reports Server (NTRS)

Ricardo, H R

1927-01-01

Experiments were carried out using a special engine with small glass windows and a stroboscope to record various aspects of engine performance. Valve position, supercharging, and torque recoil were all investigated with this experimental apparatus.

Physics Notes

ERIC Educational Resources Information Center

School Science Review, 1977

1977-01-01

Includes methods for demonstrating Schlieren effect, measuring refractive index, measuring acceleration, presenting concepts of optics, automatically recording weather, constructing apparaturs for sound experiments, using thermistor thermometers, using the 741 operational amplifier in analog computing, measuring inductance, electronically ringing…

12 CFR Appendix F to Part 360 - Customer File Structure

Code of Federal Regulations, 2013 CFR

2013-01-01

... extract. The files will be encrypted using an FDIC-supplied algorithm. The FDIC will transmit the encryption algorithm over FDICconnect. Note: Each record must contain the customer's name and permanent legal...

12 CFR Appendix F to Part 360 - Customer File Structure

Code of Federal Regulations, 2012 CFR

2012-01-01

... extract. The files will be encrypted using an FDIC-supplied algorithm. The FDIC will transmit the encryption algorithm over FDICconnect. Note: Each record must contain the customer's name and permanent legal...

12 CFR Appendix F to Part 360 - Customer File Structure

Code of Federal Regulations, 2011 CFR

2011-01-01

... extract. The files will be encrypted using an FDIC-supplied algorithm. The FDIC will transmit the encryption algorithm over FDICconnect. Note: Each record must contain the customer's name and permanent legal...

12 CFR Appendix F to Part 360 - Customer File Structure

Code of Federal Regulations, 2014 CFR

2014-01-01

... extract. The files will be encrypted using an FDIC-supplied algorithm. The FDIC will transmit the encryption algorithm over FDICconnect. Note: Each record must contain the customer's name and permanent legal...

12 CFR Appendix F to Part 360 - Customer File Structure

Code of Federal Regulations, 2010 CFR

2010-01-01

... extract. The files will be encrypted using an FDIC-supplied algorithm. The FDIC will transmit the encryption algorithm over FDICconnect. Note: Each record must contain the customer's name and permanent legal...

78 FR 35046 - Agency Information Collection Activities: Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-11

... tell personalized stories about each project and the communities that are positively affected by... technology. Please note that the comments submitted in response to this notice are a matter of public record...

Can I read my own hospital notes?

PubMed

Cornock, Marc

2016-10-12

Notes made about you while you are in any health setting are not yours. If it is an NHS hospital, they belong to the health secretary; if it is a private hospital, they belong to the consultant or the hospital itself. If something belongs to someone else, you do not have a right to it. The Data Protection Act 1998 allows you to access your health records, but this usually means you receive a copy rather than obtaining and holding the originals.

North American Commission on Stratigraphic Nomenclature Note 66: records of Stratigraphic Commission, 2003-2013

USGS Publications Warehouse

Easton, Robert M.; Catuneanu, Octavian; Donovan, Art D.; Fluegeman, Richard H.; Hamblin, A.P.; Harper, Howard; Lasca, Norman P.; Morrow, Jared R.; Orndorff, Randall C.; Sadler, Peter; Scott, Robert W.; Tew, Berry H.

2014-01-01

Note 66 summarizes activities of the North American Commission on Stratigraphic Nomenclature (NACSN) from November 2003 to October 2013 and is condensed from the minutes of the NACSN’s 58th to 68th annual meetings1. The purposes of the Commission are to develop statements of stratigraphic principles,recommend procedures applicable to the classification and nomenclature of stratigraphic and related units, review problems in classifying and naming stratigraphic and related units, and formulate expressions of judgment on these matters.

NGEE Arctic TIR and Digital Photos, Drained Thaw Lake Basin, Barrow, Alaska, July 2015

DOE Data Explorer

Shawn Serbin; Wil Lieberman-Cribbin; Kim Ely; Alistair Rogers

2016-11-01

FLIR thermal infrared (TIR), digital camera photos, and plot notes across the Barrow, Alaska DTLB site. Data were collected together with measurements of canopy spectral reflectance (see associated metadata record (NGEE Arctic HR1024i Canopy Spectral Reflectance, Drained Thaw Lake Basin, Barrow, Alaska, July 2015 ). Data contained within this archive include exported FLIR images (analyzed with FLIR-Tools), digital photos, TIR report, and sample notes. Further TIR image analysis can be conducted in FLIR-Tools.

Solar Cells and Solar Panels

DTIC Science & Technology

1977-04-01

IV BERMAN *PAUL A, ; HANDY , RELAND Js ;RELIK9GEZA P. CONTRACT: DA36 0395C90777 PROJ: DA-3A99-09-O02 UNCLASSIFIED RFPORT SUPPLEMENTARY NOTE: REPORT ON...U) DESCRIPTIVE NOTE: QUARTERLY PROGRESS REPT. NO. 3s 1 DEC 62 15 MAR 63, APR 63 IV BERMANPAUL A.; HANDY . ROLAND Jg;ROLIK,GEZA P.; CONTRACT: DA36...CIRCUIT WERE SUBSEQUENTLY DETERMINED FROM TELEMETRY RECORDS * THESE DATA ARE PRESENTED AS THE SOLID LINE PORTIONS OF FIGURE 1 FOR TWO DAYS AND FOR 29 DAYS

Oil and Gas Field Code Master List 1990

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

Not Available

This is the ninth annual edition of the Energy Information Administration's (EIA) Oil and Gas Field Code Master List. It reflects data collected through October 1990 and provides standardized field name spellings and codes for all identified oil and/or gas fields in the United States. There are 54,963 field records in this year's Oil and Gas Field Code Master List (FCML). This amounts to 467 more than in last year's report. As it is maintained by EIA, the Master List includes: Field records for each state and county in which a field resides; field records for each offshore area blockmore » in the Gulf of Mexico in which a field resides;field records for each alias field name; fields crossing state boundaries that may be assigned different names by the respective state naming authorities.« less