Omaha District Final Cultural Resource Site Monitoring Plan
2014-06-01
water or other potentially dangerous risks such as snakes , insects, and poisonous plants may also be encountered. The work also requires regular...such as snakes , insects, and poisonous plants may also be encountered. The work also requires regular physical exertion such as bending and walking
47 CFR 76.614 - Cable television system regular monitoring.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 47 Telecommunication 4 2013-10-01 2013-10-01 false Cable television system regular monitoring. 76... system regular monitoring. Cable television operators transmitting carriers in the frequency bands 108-137 and 225-400 MHz shall provide for a program of regular monitoring for signal leakage by...
47 CFR 76.614 - Cable television system regular monitoring.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 47 Telecommunication 4 2012-10-01 2012-10-01 false Cable television system regular monitoring. 76... system regular monitoring. Cable television operators transmitting carriers in the frequency bands 108-137 and 225-400 MHz shall provide for a program of regular monitoring for signal leakage by...
47 CFR 76.614 - Cable television system regular monitoring.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 47 Telecommunication 4 2014-10-01 2014-10-01 false Cable television system regular monitoring. 76... system regular monitoring. Cable television operators transmitting carriers in the frequency bands 108-137 and 225-400 MHz shall provide for a program of regular monitoring for signal leakage by...
... management of symptoms — and supportive, requiring a multidisciplinary approach. Medication may be needed for breathing irregularities and motor difficulties, and anticonvulsant drugs may be used to control seizures. There should be regular monitoring for scoliosis ...
ERIC Educational Resources Information Center
Read, Nicholas
2017-01-01
This article reviews the accuracy and relevance of the national monitoring mechanisms currently used to establish national learning and teaching material (LTM) availability indicators. In many countries, only very basic LTM monitoring requirements are provided. These are not updated regularly and are usually not designed specificially to support…
Arctic Undersea Inspection of Pipelines and Structures.
1983-06-01
approaches . Inspection Requirements ’.5 Underwater inspection requirements for Arctic structures and pipelines *can be met by present techniques with two...look for surface evidence of leakage. An .ce cover negates this approach . The second exception is the requirement to regularly monitor the cathodic...training, payload, transiting capability, depth capability and an unknown degree of judgement degradation brought about by the psychological aspects of
40 CFR 63.1452 - What are my monitoring requirements?
Code of Federal Regulations, 2010 CFR
2010-07-01
... integrity, all electrical connections for continuity, and all mechanical connections for leakage. (6) Record... subject to the operating limit in § 63.1444(f) or § 63.1446(c) for the bag leak detection system alarm... detection system according to the requirements in paragraph (b)(1) of this section and conduct regular...
Pham, Minh D; Romero, Lorena; Parnell, Bruce; Anderson, David A; Crowe, Suzanne M; Luchters, Stanley
2017-01-19
Regular monitoring of HIV patients who are receiving antiretroviral therapy (ART) is required to ensure patient benefits and the long-term effectiveness and sustainability of ART programs. Prompted by WHO recommendations for expansion and decentralization of HIV treatment and care in low and middle income countries, we conducted a systematic review to assess the feasibility of treatment monitoring in these settings. A comprehensive search strategy was developed using a combination of MeSH and free text terms relevant to HIV treatment and care, health service delivery, health service accessibility, decentralization and other relevant terms. Five electronic databases and two conference websites were searched to identify relevant studies conducted in LMICs, published in English between Jan 2006 and Dec 2015. Outcomes of interest included the proportion of patients who received treatment monitoring and health system factors related to monitoring of patients on ART under decentralized HIV service delivery models. From 5363 records retrieved, twenty studies were included in the review; all but one was conducted in sub-Saharan African countries. The majority of studies (15/20) had relatively short follow-up duration (≤24 months), and only two studies were specifically designed to assess treatment monitoring practices. The most frequently studied follow-up period was 12 months and a wide range of treatment monitoring coverage was observed. The reported proportions of patients on ART who received CD4 monitoring ranged from very low (6%; N = 2145) to very high (95%; N = 488). The median uptake of viral load monitoring was 86% with studies in program settings reporting coverage as low as 14%. Overall, the longer the follow-up period, the lower the proportion of patients who received regular monitoring tests; and programs in rural areas reported low coverage of laboratory monitoring. Moreover, uptake in the context of research had significantly better where monitoring was done by dedicated research staff. In the absence of point of care (POC) testing, the limited capacity for blood sample transportation between clinic and laboratory and poor quality of nursing staff were identified as a major barrier for treatment monitoring practice. There is a paucity of data on the uptake of treatment monitoring, particularly with longer-term follow-up. Wide variation in access to both virological and immunological regular monitoring was observed, with some clinics in well-resourced settings supported by external donors achieving high coverage. The feasibility of treatment monitoring, particularly in decentralized settings of HIV treatment and care may thus be of concern and requires further study. Significant investment in POC diagnostic technologies and, improving the quality of and training for nursing staff is required to ensure effective scale up of ART programs towards the targets of 90-90-90 by the year 2020.
Selection of regularization parameter for l1-regularized damage detection
NASA Astrophysics Data System (ADS)
Hou, Rongrong; Xia, Yong; Bao, Yuequan; Zhou, Xiaoqing
2018-06-01
The l1 regularization technique has been developed for structural health monitoring and damage detection through employing the sparsity condition of structural damage. The regularization parameter, which controls the trade-off between data fidelity and solution size of the regularization problem, exerts a crucial effect on the solution. However, the l1 regularization problem has no closed-form solution, and the regularization parameter is usually selected by experience. This study proposes two strategies of selecting the regularization parameter for the l1-regularized damage detection problem. The first method utilizes the residual and solution norms of the optimization problem and ensures that they are both small. The other method is based on the discrepancy principle, which requires that the variance of the discrepancy between the calculated and measured responses is close to the variance of the measurement noise. The two methods are applied to a cantilever beam and a three-story frame. A range of the regularization parameter, rather than one single value, can be determined. When the regularization parameter in this range is selected, the damage can be accurately identified even for multiple damage scenarios. This range also indicates the sensitivity degree of the damage identification problem to the regularization parameter.
Conceptual design of a monitoring system for the Charters of Freedom
NASA Technical Reports Server (NTRS)
Cutts, J. A.
1984-01-01
A conceptual design of a monitoring system for the Charters of Freedom was developed for the National Archives and Records Service. The monitoring system would be installed at the National Archives and used to document the condition of the Charters as part of a regular inspection program. The results of an experimental measurements program that led to the definition of analysis system requirements are presented, a conceptual design of the monitoring system is described and the alternative approaches to implementing this design were discussed. The monitoring system is required to optically detect and measure deterioration in documents that are permanently encapsulated in glass cases. An electronic imaging system with the capability for precise photometric measurements of the contrast of the script on the documents can perform this task. Two general types of imaging systems are considered (line and area array), and their suitability for performing these required measurements are compared. A digital processing capability for analyzing the electronic imaging data is also required, and several optional levels of complexity for this digital analysis system are evaluated.
Exploring Classroom Walkthroughs: A Case Study of School Leaders' Learning and Professional Growth
ERIC Educational Resources Information Center
Rodrigue, Lorrie
2013-01-01
Connecticut's System for Educator Evaluation and Development (SEED) has required the practice of classroom observations to ensure school leaders regularly monitor instruction in their schools and districts. However, literature suggests the use of non-evaluative, less formal classroom observations may also provide school leaders' with opportunities…
47 CFR 76.614 - Cable television system regular monitoring.
Code of Federal Regulations, 2010 CFR
2010-10-01
...-137 and 225-400 MHz shall provide for a program of regular monitoring for signal leakage by... in these bands of 20 uV/m or greater at a distance of 3 meters. During regular monitoring, any leakage source which produces a field strength of 20 uV/m or greater at a distance of 3 meters in the...
The European Marine Strategy: Noise Monitoring in European Marine Waters from 2014.
Dekeling, René; Tasker, Mark; Ainslie, Michael; Andersson, Mathias; André, Michel; Borsani, Fabrizio; Brensing, Karsten; Castellote, Manuel; Dalen, John; Folegot, Thomas; van der Graaf, Sandra; Leaper, Russell; Liebschner, Alexander; Pajala, Jukka; Robinson, Stephen; Sigray, Peter; Sutton, Gerry; Thomsen, Frank; Werner, Stefanie; Wittekind, Dietrich; Young, John V
2016-01-01
The European Marine Strategy Framework Directive requires European member states to develop strategies for their marine waters leading to programs of measures that achieve or maintain good environmental status (GES) in all European seas by 2020. An essential step toward reaching GES is the establishment of monitoring programs, enabling the state of marine waters to be assessed on a regular basis. A register for impulsive noise-generating activities would enable assessment of their cumulative impacts on wide temporal and spatial scales; monitoring of ambient noise would provide essential insight into current levels and any trend in European waters.
Chang, Ni-Bin; Ning, Shu-Kuang; Chen, Jen-Chang
2006-08-01
Due to increasing environmental consciousness in most countries, every utility that owns a commercial nuclear power plant has been required to have both an on-site and off-site emergency response plan since the 1980s. A radiation monitoring network, viewed as part of the emergency response plan, can provide information regarding the radiation dosage emitted from a nuclear power plant in a regular operational period and/or abnormal measurements in an emergency event. Such monitoring information might help field operators and decision-makers to provide accurate responses or make decisions to protect the public health and safety. This study aims to conduct an integrated simulation and optimization analysis looking for the relocation strategy of a long-term regular off-site monitoring network at a nuclear power plant. The planning goal is to downsize the current monitoring network but maintain its monitoring capacity as much as possible. The monitoring sensors considered in this study include the thermoluminescence dosimetry (TLD) and air sampling system (AP) simultaneously. It is designed for detecting the radionuclide accumulative concentration, the frequency of violation, and the possible population affected by a long-term impact in the surrounding area regularly while it can also be used in an accidental release event. With the aid of the calibrated Industrial Source Complex-Plume Rise Model Enhancements (ISC-PRIME) simulation model to track down the possible radionuclide diffusion, dispersion, transport, and transformation process in the atmospheric environment, a multiobjective evaluation process can be applied to achieve the screening of monitoring stations for the nuclear power plant located at Hengchun Peninsula, South Taiwan. To account for multiple objectives, this study calculated preference weights to linearly combine objective functions leading to decision-making with exposure assessment in an optimization context. Final suggestions should be useful for narrowing the set of scenarios that decision-makers need to consider in this relocation process.
ERIC Educational Resources Information Center
Taunton, Jack E.; McCargar, Linda
1995-01-01
Diabetes control involves the appropriate balance of exercise, diet, and medication. Regular exercise has many benefits for people with diabetes. Physicians can educate patients about ways to regulate and monitor blood glucose before, during, and after workouts. Patients need to understand the effects of exercise and diet on insulin requirements.…
Indicators of School Crime and Safety: 2010. NCES 2011-002/NCJ 230812
ERIC Educational Resources Information Center
Robers, Simone; Zhang, Jijun; Truman, Jennifer
2010-01-01
Ensuring safer schools requires establishing good indicators of the current state of school crime and safety across the nation and regularly updating and monitoring these indicators. This is the aim of this report. This report is the thirteenth in a series of annual publications produced jointly by the National Center for Education Statistics…
Human Research Program (HRP) Exploration Medical Capability (ExMC) Standing Review Panel (SRP)
NASA Technical Reports Server (NTRS)
Cintron, Nitza; Dutson, Eric; Friedl, Karl; Hyman, William; Jemison, Mae; Klonoff, David
2009-01-01
The SRP believes strongly that regularly performed in-flight crew assessments are needed in order to identify a change in health status before a medical condition becomes clinically apparent. It is this early recognition in change that constitutes the foundation of the "occupational health model" expounded in the HRP Requirements Document as a key component of the HRP risk mitigation strategy that will enable its objective of "prevention and mitigation of human health and performance risks". A regular crew status examination of physiological and clinical performance is needed. This can be accomplished through instrumented monitoring of routine embedded tasks. The SRP recommends addition of a new gap to address this action under Category 3.0 Mitigate the Risk. This new gap is closely associated with Task 4.19 which addresses the lack of adequate biomedical monitoring capabilities for performing periodic clinical status evaluations and contingency medical monitoring. A corollary to these gaps is the critical emphasis on preventive medicine, not only during pre- and post-flight phases of a mission as is the current practice, but continued into the in-flight phases of exploration class missions.
Optimizing Antibiotic Use in Nursing Homes Through Antibiotic Stewardship.
Sloane, Philip D; Huslage, Kirk; Kistler, Christine E; Zimmerman, Sheryl
2016-01-01
Antibiotic stewardship is becoming a requirement for nursing homes. Programs should be interdisciplinary and multifaceted; should have support from nursing home administrators; and should aim to promote antibiotics only when needed, not just in case. Recommended components include use of evidence-based guidelines; ongoing monitoring of antibiotic prescriptions, cultures, and study results; monitoring of health outcomes; use of nursing home-specific antibiograms; regular reporting and feedback to medical providers and nurses; and education of residents and families. ©2016 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.
System Proposal for Mass Transit Service Quality Control Based on GPS Data
Padrón, Gabino; Cristóbal, Teresa; Alayón, Francisco; Quesada-Arencibia, Alexis; García, Carmelo R.
2017-01-01
Quality is an essential aspect of public transport. In the case of regular public passenger transport by road, punctuality and regularity are criteria used to assess quality of service. Calculating metrics related to these criteria continuously over time and comprehensively across the entire transport network requires the handling of large amounts of data. This article describes a system for continuously and comprehensively monitoring punctuality and regularity. The system uses location data acquired continuously in the vehicles and automatically transferred for analysis. These data are processed intelligently by elements that are commonly used by transport operators: GPS-based tracking system, onboard computer and wireless networks for mobile data communications. The system was tested on a transport company, for which we measured the punctuality of one of the routes that it operates; the results are presented in this article. PMID:28621745
System Proposal for Mass Transit Service Quality Control Based on GPS Data.
Padrón, Gabino; Cristóbal, Teresa; Alayón, Francisco; Quesada-Arencibia, Alexis; García, Carmelo R
2017-06-16
Quality is an essential aspect of public transport. In the case of regular public passenger transport by road, punctuality and regularity are criteria used to assess quality of service. Calculating metrics related to these criteria continuously over time and comprehensively across the entire transport network requires the handling of large amounts of data. This article describes a system for continuously and comprehensively monitoring punctuality and regularity. The system uses location data acquired continuously in the vehicles and automatically transferred for analysis. These data are processed intelligently by elements that are commonly used by transport operators: GPS-based tracking system, onboard computer and wireless networks for mobile data communications. The system was tested on a transport company, for which we measured the punctuality of one of the routes that it operates; the results are presented in this article.
Guiding curve based on the normal breathing as monitored by thermocouple for regular breathing.
Lim, Sangwook; Park, Sung Ho; Ahn, Seung Do; Suh, Yelin; Shin, Seong Soo; Lee, Sang-wook; Kim, Jong Hoon; Choi, Eun Kyoung; Yi, Byong Yong; Kwon, Soo Il; Kim, Sookil; Jeung, Tae Sig
2007-11-01
Adapting radiation fields to a moving target requires information continuously on the location of internal target by detecting it directly or indirectly. The aim of this study is to make the breathing regular effectively with minimizing stress to the patient. A system for regulating patient's breath consists of a respiratory monitoring mask (ReMM), a thermocouple module, a screen, inner earphones, and a personal computer. A ReMM with thermocouple was developed previously to measure the patient's respiration. A software was written in LabView 7.0 (National Instruments, TX), which acquires respiration signal and displays its pattern. Two curves are displayed on the screen: One is a curve indicating the patient's current breathing pattern; the other is a guiding curve, which is iterated with one period of the patient's normal breathing curve. The guiding curves were acquired for each volunteer before they breathed with guidance. Ten volunteers participated in this study to evaluate this system. A cycle of the representative guiding curve was acquired by monitoring each volunteer's free breathing with ReMM and was then generated iteratively. The regularity was compared between a free breath curve and a guided breath curve by measuring standard deviations of amplitudes and periods of two groups of breathing. When the breathing was guided, the standard deviation of amplitudes and periods on average were reduced from 0.0029 to 0.00139 (arbitrary units) and from 0.359 s to 0.202 s, respectively. And the correlation coefficients between breathing curves and guiding curves were greater than 0.99 for all volunteers. The regularity was improved statistically when the guiding curve was used.
Telemetric implantable pressure sensor for short- and long-term monitoring of intracranial pressure.
Frischholz, M; Sarmento, L; Wenzel, M; Aquilina, K; Edwards, R; Coakham, H B
2007-01-01
Patients with hydrocephalus, idiopathic intracranial hypertension and head injury frequently require monitoring of intracranial pressure (ICP) and may need repeated episodes of monitoring months or years apart. The gold standard for measurement of ICP remains the external ventricular catheter. This is a fluid-filled catheter transducer system that allows regular recalibration and correction of zero drift by its position relative to a fixed anatomical reference. It also allows drainage of cerebrospinal fluid (CSF), providing a means of lowering the ICP. Several catheter tip transducer systems are currently in clinical use, including using strain gauges or fiber-optical pressure sensing techniques. In these devices, zero drift and calibration cannot be checked in vivo. All the ICP monitoring devices in current clinical use require a physical connection between the brain and the external environment. This is a source of infection and limits the duration of monitoring. A number of telemetric monitoring devices, in which data is in some way transmitted transcutaneously, have been developed over the last twenty years, but significant technical problems have precluded their use in routine clinical practice. All current ICP monitors are temporary percutaneous implanted devices. Placement of these devices carries significant morbidity, particularly infection. Patients undergoing repeated monitoring require multiple surgical procedures. Apart from decreasing the risk of infection in patients with severe head injury, the clinical value of an accurate telemetric ICP monitoring system which maintains its reliability over a long period of implantation is high.
Elevator ride comfort monitoring and evaluation using smartphones
NASA Astrophysics Data System (ADS)
Zhang, Yang; Sun, Xiaowei; Zhao, Xuefeng; Su, Wensheng
2018-05-01
With rapid urbanization, the demand for elevators is increasing, and their level of safety and ride comfort under vibrating conditions has also aroused interest. It is therefore essential to monitor the ride comfort level of elevators. The traditional method for such monitoring depends significantly on regular professional inspections, and requires expensive equipment and professional skill. With this regard, a new method for elevator ride comfort monitoring using a smartphone is demonstrated herein in detail. A variety of high-precision sensors are installed in a smartphone with strong data processing and telecommunication capabilities. A series of validation tests were designed and completed, and the international organization for standardization ISO2631-1997 was applied to evaluate the level of elevator ride comfort. Experimental results indicate that the proposed method is stable and reliable, its precision meets the engineering requirements, and the elevator ride comfort level can be accurately monitored under various situations. The method is very economical and convenient, and provides the possibility for the public to participate in elevator ride comfort monitoring. In addition, the method can both provide a wide range of data support and eliminate data errors to a certain extent.
47 CFR 76.614 - Cable television system regular monitoring.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 47 Telecommunication 4 2011-10-01 2011-10-01 false Cable television system regular monitoring. 76.614 Section 76.614 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES MULTICHANNEL VIDEO AND CABLE TELEVISION SERVICE Technical Standards § 76.614 Cable television...
Pegvisomant: a growth hormone receptor antagonist used in the treatment of acromegaly.
Tritos, Nicholas A; Biller, Beverly M K
2017-02-01
To review published data on pegvisomant and its therapeutic role in acromegaly. Electronic searches of the published literature were conducted using the keywords: acromegaly, growth hormone (GH) receptor (antagonist), pegvisomant, therapy. Relevant articles (n = 141) were retrieved and considered for inclusion in this manuscript. Pegvisomant is a genetically engineered, recombinant growth hormone receptor antagonist, which is effective in normalizing serum insulin-like growth factor 1 (IGF-1) levels in the majority of patients with acromegaly and ameliorating symptoms and signs associated with GH excess. Pegvisomant does not have direct antiproliferative effects on the underlying somatotroph pituitary adenoma, which is the etiology of GH excess in the vast majority of patients with acromegaly. Therefore, patients receiving pegvisomant monotherapy require regular pituitary imaging in order to monitor for possible increase in tumor size. Adverse events in patients on pegvisomant therapy include skin rashes, lipohypertrophy at injection sites, and idiosyncratic liver toxicity (generally asymptomatic transaminitis that is reversible upon drug discontinuation), thus necessitating regular patient monitoring. Pegvisomant is an effective therapeutic agent in patients with acromegaly who are not in remission after undergoing pituitary surgery. It mitigates excess GH action, as demonstrated by IGF-1 normalization, but has no direct effects on pituitary tumors causing acromegaly. Regular surveillance for possible tumor growth and adverse effects (hepatotoxicity, skin manifestations) is warranted.
An approach for using AVHRR data to monitor U.S. great plains grasslands
Reed, B.C.; Loveland, Thomas R.; Tieszen, L.L.
1996-01-01
Environmental monitoring requires regular observations regarding the status of the landscape- The concept behind most monitoring efforts using satellite data involve deriving normalized difference vegetation index (NDVI) values or accumulating the NDVI over a specified time period. These efforts attempt to estimate the continuous growth of green biomass by using continuous additions of NDVI as a surrogate measure. To build upon this concept, this study proposes three refinements; 1) use an objective definition of the current growing season to adjust the time window during which the NDVI is accumulated, 2) accumulate only the NDVI values which are affected by green vegetation, and 3) base monitoring units upon land cover type. These refinements improve the sensitivity of detecting interannual vegetation variability, reduce the need for extensive and detailed knowledge of ground conditions and crop calendars, provide a framework in which several types of monitoring can take place over diverse land cover types, and provide an objective time frame during which monitoring takes place.
NASA Astrophysics Data System (ADS)
Oware, E. K.; Moysey, S. M.
2016-12-01
Regularization stabilizes the geophysical imaging problem resulting from sparse and noisy measurements that render solutions unstable and non-unique. Conventional regularization constraints are, however, independent of the physics of the underlying process and often produce smoothed-out tomograms with mass underestimation. Cascaded time-lapse (CTL) is a widely used reconstruction technique for monitoring wherein a tomogram obtained from the background dataset is employed as starting model for the inversion of subsequent time-lapse datasets. In contrast, a proper orthogonal decomposition (POD)-constrained inversion framework enforces physics-based regularization based upon prior understanding of the expected evolution of state variables. The physics-based constraints are represented in the form of POD basis vectors. The basis vectors are constructed from numerically generated training images (TIs) that mimic the desired process. The target can be reconstructed from a small number of selected basis vectors, hence, there is a reduction in the number of inversion parameters compared to the full dimensional space. The inversion involves finding the optimal combination of the selected basis vectors conditioned on the geophysical measurements. We apply the algorithm to 2-D lab-scale saline transport experiments with electrical resistivity (ER) monitoring. We consider two transport scenarios with one and two mass injection points evolving into unimodal and bimodal plume morphologies, respectively. The unimodal plume is consistent with the assumptions underlying the generation of the TIs, whereas bimodality in plume morphology was not conceptualized. We compare difference tomograms retrieved from POD with those obtained from CTL. Qualitative comparisons of the difference tomograms with images of their corresponding dye plumes suggest that POD recovered more compact plumes in contrast to those of CTL. While mass recovery generally deteriorated with increasing number of time-steps, POD outperformed CTL in terms of mass recovery accuracy rates. POD is computationally superior requiring only 2.5 mins to complete each inversion compared to 3 hours for CTL to do the same.
Heisen, Marieke; Treur, Maarten J; Heemstra, Harald E; Giesen, Eric B W; Postma, Maarten J
2017-08-01
Until recently, standard treatment of venous thromboembolism (VTE) concerned a combination of short-term low-molecular-weight heparin (LMWH) and long-term vitamin-K antagonist (VKA). Risk of bleeding and the requirement for regular anticoagulation monitoring are, however, limiting their use. Rivaroxaban is a novel oral anticoagulant associated with a significantly lower risk of major bleeds (hazard ratio = 0.54, 95% confidence interval = 0.37-0.79) compared to LMWH/VKA therapy, and does not require regular anticoagulation monitoring. To evaluate the health economic consequences of treating acute VTE patients with rivaroxaban compared to treatment with LMWH/VKA, viewed from the Dutch societal perspective. A life-time Markov model was populated with the findings of the EINSTEIN phase III clinical trial to analyze cost-effectiveness of rivaroxaban therapy in treatment and prevention of VTE from a Dutch societal perspective. Primary model outcomes were total and incremental quality-adjusted life years (QALYs), as well as life expectancy and costs. Over a patient's lifetime, rivaroxaban was shown to be dominant, with health gains of 0.047 QALYs and cost savings of €304 compared to LMWH/VKA therapy. Dominance was robustly present in all sensitivity analyses. Major drivers of the differences between the two treatment arms were related to anticoagulation monitoring (medical costs, travel costs, and loss of productivity) and the occurrence of major bleeds. Rivaroxaban treatment of patients with venous thromboembolism results in health gains and cost savings compared to LMWH/VKA therapy. This conclusion holds for the Dutch setting, both for the societal perspective, as well as the healthcare perspective.
Damage identification using inverse methods.
Friswell, Michael I
2007-02-15
This paper gives an overview of the use of inverse methods in damage detection and location, using measured vibration data. Inverse problems require the use of a model and the identification of uncertain parameters of this model. Damage is often local in nature and although the effect of the loss of stiffness may require only a small number of parameters, the lack of knowledge of the location means that a large number of candidate parameters must be included. This paper discusses a number of problems that exist with this approach to health monitoring, including modelling error, environmental effects, damage localization and regularization.
Ledger, Sean J; Owen, Elizabeth; Prasad, S Ammani; Goldman, Allan; Willams, Jane; Aurora, Paul
2013-12-01
At our hospital the current model of care for children with moderate-severe CF is focused on intensive inpatient intervention, regular outpatient clinic review and specialist outreach care as required. An alternative model providing more regular physiotherapy and dietetic outreach support, in addition to these specialist services, may be more effective. 16 children (4 male; 12 female; mean age 10.9±2.93; range 4-15 years) who required >40days of IV antibiotics in the 12-months pre-intervention were enrolled. Physiotherapy included weekly-supervised exercise sessions, alongside regular review of home physiotherapy regimens. Dietetic management included 1-2 monthly monitoring of growth, appetite, intake and absorption, and nutrition education sessions. There was a 23% reduction in inpatient IV antibiotic requirement and 20% reduction in home IV antibiotic requirement during the intervention year. Cost-benefit analyses showed savings of £113,570. VO(2Peak) increased by 4.9 ml·kg·min(-1) (95%CI 1.01 to 8.71; p=0.02), and 10 m-MSWT distance and increment achieved increased by 229 m (95%CI 109 to 350; p<0.001) and 2 levels (95%CI 1 to 3; p<0.002) respectively. No significant differences in physiological and patient reported outcomes were demonstrated, although there was a possible trend towards improvement in outcomes when compared to the pre-intervention year. This pilot programme demonstrated a reduction in IV and admission requirements with a cost benefit in a small group of children with moderate-severe CF. A fully powered clinical trial is now warranted. Copyright © 2013 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
Interaction between parenting and neighborhood quality on the risk of adolescent regular smoking.
Wen, Xiaozhong; Shenassa, Edmond D
2012-03-01
To conduct the first study to examine potential interaction between parenting style and neighborhood quality on the risk of adolescent regular smoking. We analyzed data from a nationally representative sample of U.S. adolescents (n = 1,213 pairs of adolescents and their parents) who participated in the Panel Study of Income Dynamics during 2002-2003. Regular smoking behavior and parental monitoring level were reported by adolescents. Parenting style (i.e., authoritative, authoritarian, permissive, and uninvolved) was defined by cross-classifying self-reported parental warmth and control. Based on parents' perceived neighborhood quality regarding raising children, neighborhoods were identified as either higher quality or lower quality. Adolescents in lower-quality neighborhoods were more likely to be regular smokers (13.7% vs. 8.5%; adjusted odds ratio [AOR] = 1.93, 95% CI = 1.02-3.65) than those in higher-quality neighborhoods. In lower-quality neighborhoods, adolescents of authoritarian parents (16.9%; AOR = 10.97, 95% CI = 3.36-35.84) were more likely and those of uninvolved parents (20.3%; AOR = 3.47, 95% CI = 0.91-13.17) were marginally more likely to be regular smokers than those of authoritative parents (4.3%). However, among adolescents in higher-quality neighborhoods, parenting style was independent of the risk of regular smoking. There was marginally significant interaction between authoritarian parenting style and neighborhood quality. Parental monitoring was associated with reduced risk of adolescent smoking, regardless of neighborhood quality. There was no interaction between parental monitoring and neighborhood quality. Authoritative parenting is associated with reduced risk of adolescent regular smoking in lower-quality neighborhoods but not in higher-quality neighborhoods. Authoritative parenting style and parental monitoring may buffer adverse influences of low-quality neighborhood.
Lee, Yi-Hsuan; von Davier, Alina A
2013-07-01
Maintaining a stable score scale over time is critical for all standardized educational assessments. Traditional quality control tools and approaches for assessing scale drift either require special equating designs, or may be too time-consuming to be considered on a regular basis with an operational test that has a short time window between an administration and its score reporting. Thus, the traditional methods are not sufficient to catch unusual testing outcomes in a timely manner. This paper presents a new approach for score monitoring and assessment of scale drift. It involves quality control charts, model-based approaches, and time series techniques to accommodate the following needs of monitoring scale scores: continuous monitoring, adjustment of customary variations, identification of abrupt shifts, and assessment of autocorrelation. Performance of the methodologies is evaluated using manipulated data based on real responses from 71 administrations of a large-scale high-stakes language assessment.
Messing, Barbara Pisano; Ward, Elizabeth C; Lazarus, Cathy; Ryniak, Keri; Kim, Melissa; Silinonte, Jessica; Gold, Dorothy; Thompson, Carol B; Pitman, Karen T; Blanco, Ray; Sobel, Ryan; Harrer, Karen; Ulmer, Karen; Neuner, Geoffrey; Patel, Kruti; Tang, Mei; Lee, Gregory
2018-06-19
Head and neck cancer (HNC) guidelines recommend regular multidisciplinary team (MDT) monitoring and early intervention to optimize dysphagia outcomes; however, many factors affect the ability to achieve these goals. The aims of this study were to explore the barriers/facilitators to establishing and sustaining a MDT HNC care pathway and to examine the dysphagia-related speech-language pathology (SLP) and dietetic components of the pathway. Using the Consolidated Framework for Implementation Research (CFIR), a mixed methods study design was used to evaluate an established MDT HNC pathway. Ten MDT members provided perceptions of facilitators/barriers to implementing and sustaining the pathway. Patients attending the SLP and dietetic components of the pathway who commenced treatment between 2013 and 2014 (n = 63) were audited for attendance, outcome data collected per visit, and swallowing outcomes to 24-month post-treatment. Dysphagia outcomes were compared to a published cohort who had received intensive prophylactic dysphagia management. Multiple CFIR constructs were identified as critical to implementing and sustaining the pathway. Complexity was a barrier. Patient attendance was excellent during treatment, with low rates of non-compliance (< 15%) to 24 months. Collection of clinician/patient outcome tools was good during treatment, but lower post-treatment. Dysphagia outcomes were good and comparable to prior published data. The pathway provided patients with access to regular supportive care and provided staff opportunities to provide early and ongoing dysphagia monitoring and management. However, implementing and sustaining a HNC pathway is complex, requiring significant staff resources, financial investment, and perseverance. Regular audits are necessary to monitor the quality of the pathway.
An on-line monitoring system for navigation equipment
NASA Astrophysics Data System (ADS)
Wang, Bo; Yang, Ping; Liu, Jing; Yang, Zhengbo; Liang, Fei
2017-10-01
Civil air navigation equipment is the most important infrastructure of Civil Aviation, which is closely related to flight safety. In addition to regular flight inspection, navigation equipment's patrol measuring, maintenance measuring, running measuring under special weather conditions are the important means of ensuring aviation flight safety. According to the safety maintenance requirements of Civil Aviation Air Traffic Control navigation equipment, this paper developed one on-line monitoring system with independent intellectual property rights for navigation equipment, the system breakthroughs the key technologies of measuring navigation equipment on-line including Instrument Landing System (ILS) and VHF Omni-directional Range (VOR), which also meets the requirements of navigation equipment ground measurement set by the ICAO DOC 8071, it provides technical means of the ground on-line measurement for navigation equipment, improves the safety of navigation equipment operation, and reduces the impact of measuring navigation equipment on airport operation.
Organisational capacity and chronic disease care: an Australian general practice perspective.
Proudfoot, Judith; Infante, Fernando; Holton, Christine; Powell-Davies, Gawaine; Bubner, Tanya; Beilby, Justin; Harris, Mark
2007-04-01
Although we are rapidly improving our understanding of how to manage patients with chronic illness in Australian general practice, many patients are still receiving suboptimal care. General practices have limited organisational capacity to provide the structured care that is required for managing chronic conditions: regular monitoring, decision support, patient recall, supporting patient self management, team work, and information management. This requires a shift away from episodic, acute models. Overseas research has shown that areas such as team work, clinical information systems, decision support, linkages and leadership are also important in managing chronic illness, but we do not know which of these are most important in Australia.
Technology Use and Frequency and Self-Rated Skills: A Survey of Community-Dwelling Older Adults.
Scanlon, Lorraine; O'Shea, Emma; O'Caoimh, Rónán; Timmons, Suzanne
2015-07-01
Many older adults are using technology regularly, but the vast majority still rate their technology skills as poor or average,reflecting their low usage of less-familiar items such as tablet computers. Despite moves toward increasing the use of ICT in the care, rehabilitation, and monitoring of older adults, baseline use of such devices is low. Further study is required to investigate how people's attitudes toward and experience with ICT influence its utility in clinical practice
Verge, Charles F; Mowat, David
2010-06-01
Overgrowth presenting at birth requires blood glucose monitoring while a cause is sought. Among older children presenting with tall stature, common causes such as familial tall stature and simple obesity must be distinguished from rarer endocrine and genetic causes. Several genetic overgrowth syndromes carry increased risk of malignancy and regular screening is recommended. The use of high-dose oestrogen or testosterone in an attempt to limit final stature has limited efficacy and carries a significant risk of side effects. Endocrine and genetic assessment ought to be considered for cases of unexplained overgrowth.
Grayscale standard display function on LCD color monitors
NASA Astrophysics Data System (ADS)
De Monte, Denis; Casale, Carlo; Albani, Luigi; Bonfiglio, Silvio
2007-03-01
Currently, as a rule, digital medical systems use monochromatic Liquid Crystal Display (LCD) monitors to ensure an accurate reproduction of the Grayscale Standard Display Function (GSDF) as specified in the Digital Imaging and Communications in Medicine (DICOM) Standard. As a drawback, special panels need to be utilized in digital medical systems, while it would be preferable to use regular color panels, which are manufactured on a wide scale and are thus available at by far lower prices. The method proposed introduces a temporal color dithering technique to accurately reproduce the GSDF on color monitors without losing monitor resolution. By exploiting the characteristics of the Human Visual System (HVS) the technique ensures that a satisfactory grayscale reproduction is achieved minimizing perceivable flickering and undesired color artifacts. The algorithm has been implemented in the monitor using a low-cost Field Programmable Gate Array (FPGA). Quantitative evaluations of luminance response on a 3 Mega-pixel color monitor have shown that the compliance with the GSDF can be achieved with the accuracy level required by medical applications. At the same time the measured color deviation is below the threshold perceivable by the human eye.
Monitoring variable X-ray sources in nearby galaxies
NASA Astrophysics Data System (ADS)
Kong, A. K. H.
2010-12-01
In the last decade, it has been possible to monitor variable X-ray sources in nearby galaxies. In particular, since the launch of Chandra, M31 has been regularly observed. It is perhaps the only nearby galaxy which is observed by an X-ray telescope regularly throughout operation. With 10 years of observations, the center of M31 has been observed with Chandra for nearly 1 Msec and the X-ray skies of M31 consist of many transients and variables. Furthermore, the X-ray Telescope of Swift has been monitoring several ultraluminous X-ray sources in nearby galaxies regularly. Not only can we detect long-term X-ray variability, we can also find spectral variation as well as possible orbital period. In this talk, I will review some of the important Chandra and Swift monitoring observations of nearby galaxies in the past 10 years. I will also present a "high-definition" movie of M31 and discuss the possibility of detecting luminous transients in M31 with MAXI.
Yerramilli, Pooja; Fernández, Óscar; Thomson, Sarah
2018-05-01
A comprehensive and context-specific approach to monitoring financial protection can provide valuable evidence on progress towards universal health coverage. This article systematically reviews the literature on financial protection in Europe to identify trends across countries and over time. It also maps the availability of data for regular monitoring in 53 countries. Two people independently searched for studies using a standard strategy. Results were extracted from 54 publications and studies analysed in terms of geographical focus, data sources, methods and depth of analysis. Financial protection varies across countries in Europe; substantial changes over time have mainly taken place in the east of the region. Although the data required for regular monitoring are widely available, the literature presents major gaps in geographical scope - most studies focus on middle-income countries; it is not up to date - the latest year of data analysed is 2011; and cross-national comparison is only possible for a handful of countries due to variation in data sources and methods. The literature is also limited in depth. Very few studies go beyond analysing how many people incur catastrophic or impoverishing out-of-pocket payments. Only a small minority analyse who is most likely to experience financial hardship and what drives lack of financial protection. The literature provides little actionable evidence on financial protection in Europe. Copyright © 2018 World Health Organization. Published by Elsevier B.V. All rights reserved.
Vasudev, Kamini; Thakkar, Pratish B; Mitcheson, Nicola
2012-01-01
Patients with severe mental illness (SMI) treated with antipsychotic medication are at increased risk of metabolic side-effects like weight gain, diabetes mellitus and dyslipidaemia. This study aims to examine the feasibility of maintaining a physical health monitoring sheet in patients' records and its impact on physical health of patients with SMI, over a period of one year. A physical health monitoring sheet was introduced in all the patients' records on a 15-bedded male medium secure forensic psychiatric rehabilitation unit, as a prompt to regularly monitor physical health parameters. An audit cycle was completed over a one year period. The data between baseline and re-audit were compared. At baseline, 80 per cent of the patients were identified as smokers, 80 per cent had increased body mass index (BMI) and 87 per cent had raised cardiovascular risk over the next ten years. Appropriate interventions were offered to address the risks. At re-audit, the physical health monitoring sheets were up to date in 100 per cent of patients' records. The serum lipids and cardiovascular risk over the next ten years reduced over time. No significant change was noted on the parameters including BMI, central obesity, high blood pressure and smoking status. This was a pilot study and was limited by the small sample size, male gender only and the specific nature of the ward. There is a need for improved access to physical health care in long-stay psychiatric settings. A more robust lifestyle modification programme is required to positively influence the physical health parameters in this cohort of patients. Introduction of a physical health monitoring sheet in patients' records led to regular screening of cardiovascular risks and subsequent increased prescribing of hypolipidaemic agents in individuals with severe mental illness.
Determining Light Decay Curves in a Plastic Scintillator using Cosmic Ray Muons
NASA Astrophysics Data System (ADS)
Wakwella, Praveen; Mandanas, Sarah; Wilson, John; Visca, Hannah; Padalino, Stephen; Sangster, T. Craig; Regan, Sean P.
2017-10-01
Plastic scintillators are used in ICF research to measure neutron energies via their time of flight (nToF). The energy resolution and sensitivity of an nToF system is directly correlated with the scintillation decay time of the plastic. To decrease the decay time, some scintillators are quenched with oxygen. Consequently, they become less efficient at producing light. As time passes, oxygen defuses out of the scintillator this in turn increases light production and the decay time. Mono-energetic calibration neutrons produced at accelerator facilities can be used to monitor the decreased oxygen content, however this is a time consuming process and requires that the scintillators be removed from the ICF facilities on a regular basis. Here, a possible method for cross calibrating accelerator neutrons with cosmic ray muons is presented. This method characterizes the scintillator with accelerator-generated neutrons and then cross calibrates them with cosmic ray muons. Once the scintillators are redeployed at the ICF facility the oxygen level can be regularly monitored using muons in situ. Funded in part by the United States Department of Energy through a Grant from the Laboratory for Laser Energetics.
Long-term monitoring of river basins: strengths and weaknesses, opportunities and threats
NASA Astrophysics Data System (ADS)
Howden, N. J. K.; Burt, T. P.
2016-12-01
In a world where equilibrium is more and more uncommon, monitoring is an essential way to discover whether undesirable change is taking place. Monitoring requires a deliberate plan of action: the regular collection and processing of information. Long-term data reveal important patterns, allowing trends, cycles, and rare events to be identified. This is particularly important for complex systems where signals may be subtle and slow to emerge. Moreover, very long data sets are essential to test hypotheses undreamt of at the time the monitoring was started. This overview includes long time series from UK river basins showing how hydrology and water quality have changed over time - and continue to change. An important conclusion is the long time frame of system recovery, well beyond the normal lifetime of individual governments or research grants. At a time of increasing hydroclimatic variability, long time series remain crucially important; in particular, continuity of observations is vital at key benchmark sites.
Levels and trends of contaminants in humans of the Arctic.
Gibson, Jennifer; Adlard, Bryan; Olafsdottir, Kristin; Sandanger, Torkjel Manning; Odland, Jon Øyvind
2016-01-01
The Arctic Monitoring and Assessment Programme (AMAP) is one of the six working groups established under the Arctic Council. AMAP is tasked with monitoring the levels of contaminants present in the Arctic environment and people as well as assessing their effects on a continuous basis, and reporting these results regularly. Most of the presented data have been collected over the last 20 years and are from all eight Arctic countries. Levels of contaminants appear to be declining in some of the monitored Arctic populations, but it is not consistent across the Arctic. Most Arctic populations continue to experience elevated levels of these contaminants compared to other populations monitored globally. There are certain contaminants, such as perfluorinated compounds and polybrominated diphenyl ethers, which are still increasing in Arctic populations. These contaminants require more investigation to find out the predominant and important sources of exposure, and whether they are being transported to the Arctic through long-range transport in the environment.
Levels and trends of contaminants in humans of the Arctic
Gibson, Jennifer; Adlard, Bryan; Olafsdottir, Kristin; Sandanger, Torkjel Manning; Odland, Jon Øyvind
2016-01-01
The Arctic Monitoring and Assessment Programme (AMAP) is one of the six working groups established under the Arctic Council. AMAP is tasked with monitoring the levels of contaminants present in the Arctic environment and people as well as assessing their effects on a continuous basis, and reporting these results regularly. Most of the presented data have been collected over the last 20 years and are from all eight Arctic countries. Levels of contaminants appear to be declining in some of the monitored Arctic populations, but it is not consistent across the Arctic. Most Arctic populations continue to experience elevated levels of these contaminants compared to other populations monitored globally. There are certain contaminants, such as perfluorinated compounds and polybrominated diphenyl ethers, which are still increasing in Arctic populations. These contaminants require more investigation to find out the predominant and important sources of exposure, and whether they are being transported to the Arctic through long-range transport in the environment. PMID:27974136
Mattress cleanliness: the role of monitoring and maintenance.
Aziz, Ann-Marie
A clean and tidy environment provides the right setting for good patient care. It is fundamental in preventing and/or controlling the spread of healthcare-associated infections (HCAI). Cleanliness is an essential component for the comfort and dignity of patients, particularly those for whom a hospital is home for any length of time. Patients spend a lot of their time in bed so it is important for them to be provided with well maintained and clean mattresses. Beds, and especially the mattresses, should be cleaned and inspected regularly so patients know they are being cared for in a clean and safe environment. To prolong the life of the mattress and reduce infection risks, inspections for damage and contamination must take place on a regular basis. Assessment criteria for the audit of a mattress can include a visual inspection, a cover permeability test and a foam support surface test. These assessments will ensure the mattress is compliant with current standards and identify whether or not they require condemning. Mattress care can be improved by adopting unified good practices that can be standardized and audited regularly.
Assessing the responses of coastal cetaceans to the construction of offshore wind turbines.
Thompson, Paul M; Lusseau, David; Barton, Tim; Simmons, Dave; Rusin, Jan; Bailey, Helen
2010-08-01
The expansion of offshore renewables has raised concerns over potential disturbance to coastal cetaceans. In this study, we used passive acoustic monitoring to assess whether cetaceans responded to pile-driving noise during the installation of two 5MW offshore wind turbines off NE Scotland in 2006. Monitoring was carried out at both the turbine site and a control site in 2005, 2006 and 2007. Harbour porpoises occurred regularly around the turbine site in all years, but there was some evidence that porpoises did respond to disturbance from installation activities. We use these findings to highlight how uncertainty over cetacean distribution and the scale of disturbance effects constrains opportunities for B-A-C-I studies. We explore alternative approaches to assessing the impact of offshore wind farm upon cetaceans, and make recommendations for the research and monitoring that will be required to underpin future developments. Copyright 2010 Elsevier Ltd. All rights reserved.
Deshpande, Abhishek; Donskey, Curtis J
2017-09-01
Cleaning and disinfection in healthcare facilities is essential to ensure patient safety. This review examines practical strategies used to assess and improve the effectiveness of daily and post-discharge manual cleaning in healthcare facilities. Effective implementation of cleaning interventions requires objective monitoring of staff performance with regular feedback on performance. Use of fluorescent markers to assess thoroughness of cleaning and measurement of residual ATP can provide rapid and objective feedback to personnel and have been associated with improved cleaning. Direct observation of cleaning and interviews with front-line staff are useful to identify variations and deficiencies in practice that may not be detected by other methods. Although not recommended for routine monitoring, cultures can be helpful for outbreak investigations. Monitoring and feedback can be effective in improving cleaning and disinfection in healthcare facilities. Ongoing commitment within institutions is needed to sustain successful cleaning and disinfection programs.
Larras, Floriane; Rimet, Frédéric; Gregorio, Vincent; Bérard, Annette; Leboulanger, Christophe; Montuelle, Bernard; Bouchez, Agnès
2016-03-01
Chemical monitoring revealed a regular decrease in herbicide concentration in Lake Geneva since last decades that may be linked to an ecotoxic restoration of nontarget phytoplanktonic communities. The Pollution-induced community tolerance (PICT) approach was tested as a tool to monitor the ecotoxic restoration of Lake Geneva for herbicides from 1999 to 2011. We conducted monthly assessments in 1999 and in 2011 for the tolerance of the phytoplankton communities to two herbicides (atrazine and copper), using PICT bioassays. The taxonomical composition of the communities was determined on the same collecting dates. The herbicide concentration decrease during the 12 years significantly influenced the composition of communities. The PICT monitoring indicated that a significant tolerance decrease in the community to both herbicides accompanied the herbicide concentration decrease. PICT measurements for atrazine and copper also changed at the intra-annual level. These variations were mainly due to community composition shifts linked to seasonal phosphorus and temperature changes. PICT monitoring on a seasonal basis is required to monitor the mean tolerance of communities. PICT appeared to be a powerful tool that reflected the toxic effects on environmental communities and to monitor ecotoxic ecosystem restoration.
An embedded wireless system for remote monitoring of bridges
NASA Astrophysics Data System (ADS)
Harms, T.; Bastianini, F.; Sedigh Sarvestani, S.
2008-03-01
This paper describes an autonomous embedded system for remote monitoring of bridges. Salient features of the system include ultra-low power consumption, wireless communication of data and alerts, and incorporation of embedded sensors that monitor various indicators of the structural health of a bridge, while capturing the state of its surrounding environment. Examples include water level, temperature, vibration, and acoustic emissions. Ease of installation, physical robustness, remote maintenance and calibration, and autonomous data communication make the device a self-contained solution for remote monitoring of structural health. The system addresses shortcomings present in centralized structural health monitoring systems, particularly their reliance on a laptop or handheld computer. The system has been field-tested to verify the accuracy of the collected data and dependability of communication. The sheer volume of data collected, and the regularity of its collection can enable accurate and precise assessment of the health of a bridge, guiding maintenance efforts and providing early warning of potentially dangerous events. In this paper, we present a detailed breakdown of the system's power requirements and the results of the initial field test.
Refinery evaluation of optical imaging to locate fugitive emissions.
Robinson, Donald R; Luke-Boone, Ronke; Aggarwal, Vineet; Harris, Buzz; Anderson, Eric; Ranum, David; Kulp, Thomas J; Armstrong, Karla; Sommers, Ricky; McRae, Thomas G; Ritter, Karin; Siegell, Jeffrey H; Van Pelt, Doug; Smylie, Mike
2007-07-01
Fugitive emissions account for approximately 50% of total hydrocarbon emissions from process plants. Federal and state regulations aiming at controlling these emissions require refineries and petrochemical plants in the United States to implement a Leak Detection and Repair Program (LDAR). The current regulatory work practice, U.S. Environment Protection Agency Method 21, requires designated components to be monitored individually at regular intervals. The annual costs of these LDAR programs in a typical refinery can exceed US$1,000,000. Previous studies have shown that a majority of controllable fugitive emissions come from a very small fraction of components. The Smart LDAR program aims to find cost-effective methods to monitor and reduce emissions from these large leakers. Optical gas imaging has been identified as one such technology that can help achieve this objective. This paper discusses a refinery evaluation of an instrument based on backscatter absorption gas imaging technology. This portable camera allows an operator to scan components more quickly and image gas leaks in real time. During the evaluation, the instrument was able to identify leaking components that were the source of 97% of the total mass emissions from leaks detected. More than 27,000 components were monitored. This was achieved in far less time than it would have taken using Method 21. In addition, the instrument was able to find leaks from components that are not required to be monitored by the current LDAR regulations. The technology principles and the parameters that affect instrument performance are also discussed in the paper.
Miles In Trail (MIT) Restrictions: A Perspective
NASA Technical Reports Server (NTRS)
Kopardekar, Parimal; Green, Steven; Roherty, Tom; Aston, John
2003-01-01
Miles-in-trail restrictions are issued to meet the airport and/or airspace capacity. The purpose of this paper is to review the currently practiced miles-in-trail operations for traffic flow management at a typical en route Air Traffic Control Center. The paper describes roles and considerations of both traffic management coordinators and the controllers in planning, coordination, execution, and monitoring of miles-in-trail restrictions. The paper addresses the type of decisions that traffic management coordinators must make and the different information required to plan and monitor miles-in-trail restrictions. The implications of miles-in-trail restrictions on controller workload are also addressed. Using the Cleveland center as an example, the paper also identified some challenging traffic situations that required miles-in-trail restrictions on a regular basis. The paper is expected to benefit the research and development community as it provides the current challenges in traffic flow management and strengths and weakness of miles-in-trail operations.
Chronic Medication and or Monitoring for Long Duration Space Flight: What Should The Policy Be?
NASA Technical Reports Server (NTRS)
Hamilton, Douglas R.
2004-01-01
While a private individual with a chronic medical condition could perhaps justifiably claim the right to become a "space tourist" through informed consent, NASA and other International crew members are national assets, trained at government expense to fulfill a mission considered essential to national goals. The medical requirements/policy for selection and certification of crewmembers for long duration missions to the International Space Station (ISS) should address: (1) Crewmembers with chronic conditions that require regular dosing of life-sustaining medication for the purposes of secondary or tertiary prevention (i.e. tumor suppression therapy or anticoagulation). (2) Crew members with conditions that will be worsened by spaceflight exposure, placing them at additional personal health risk though not necessarily increasing mission risk (i.e. previous radiation exposure or preflight osteopenia/osteoporosis) The following policies are recommended. A crewmember should not be assigned to an International Space Station mission who: (3) Requires medications to sustain life or who has a disease, which requires medical procedures or diagnostics to monitor and treat same. (4) Has medical condition, which would prevent participation as a candidate in many scientific and medical operational research studies, as their underlying condition would confound the collected data. (5) Requires specialized medical devices for monitoring or treatment of a medical condition, including conditions that require special provisions to conduct routine required countermeasure activities. (6) Who has a disease or requires treatment for same, and for which the effects of space travel may be deleterious to the short or long term health of the individual, An evidence-based approach will be used to provide rationale for policy recommendations under these scenarios. Operational impacts of allowing these medical conditions to fly on the ISS will also be presented.
Intensity of Territorial Marking Predicts Wolf Reproduction: Implications for Wolf Monitoring
García, Emilio J.
2014-01-01
Background The implementation of intensive and complex approaches to monitor large carnivores is resource demanding, restricted to endangered species, small populations, or small distribution ranges. Wolf monitoring over large spatial scales is difficult, but the management of such contentious species requires regular estimations of abundance to guide decision-makers. The integration of wolf marking behaviour with simple sign counts may offer a cost-effective alternative to monitor the status of wolf populations over large spatial scales. Methodology/Principal Findings We used a multi-sampling approach, based on the collection of visual and scent wolf marks (faeces and ground scratching) and the assessment of wolf reproduction using howling and observation points, to test whether the intensity of marking behaviour around the pup-rearing period (summer-autumn) could reflect wolf reproduction. Between 1994 and 2007 we collected 1,964 wolf marks in a total of 1,877 km surveyed and we searched for the pups' presence (1,497 howling and 307 observations points) in 42 sampling sites with a regular presence of wolves (120 sampling sites/year). The number of wolf marks was ca. 3 times higher in sites with a confirmed presence of pups (20.3 vs. 7.2 marks). We found a significant relationship between the number of wolf marks (mean and maximum relative abundance index) and the probability of wolf reproduction. Conclusions/Significance This research establishes a real-time relationship between the intensity of wolf marking behaviour and wolf reproduction. We suggest a conservative cutting point of 0.60 for the probability of wolf reproduction to monitor wolves on a regional scale combined with the use of the mean relative abundance index of wolf marks in a given area. We show how the integration of wolf behaviour with simple sampling procedures permit rapid, real-time, and cost-effective assessments of the breeding status of wolf packs with substantial implications to monitor wolves at large spatial scales. PMID:24663068
Development of motion resistant instrumentation for ambulatory near-infrared spectroscopy
Zhang, Quan; Yan, Xiangguo; Strangman, Gary E.
2011-01-01
Ambulatory near-infrared spectroscopy (aNIRS) enables recording of systemic or tissue-specific hemodynamics and oxygenation during a person's normal activities. It has particular potential for the diagnosis and management of health problems with unpredictable and transient hemodynamic symptoms, or medical conditions requiring continuous, long-duration monitoring. aNIRS is also needed in conditions where regular monitoring or imaging cannot be applied, including remote environments such as during spaceflight or at high altitude. One key to the successful application of aNIRS is reducing the impact of motion artifacts in aNIRS recordings. In this paper, we describe the development of a novel prototype aNIRS monitor, called NINscan, and our efforts to reduce motion artifacts in aNIRS monitoring. Powered by 2 AA size batteries and weighting 350 g, NINscan records NIRS, ECG, respiration, and acceleration for up to 14 h at a 250 Hz sampling rate. The system's performance and resistance to motion is demonstrated by long term quantitative phantom tests, Valsalva maneuver tests, and multiparameter monitoring during parabolic flight and high altitude hiking. To the best of our knowledge, this is the first report of multiparameter aNIRS monitoring and its application in parabolic flight. PMID:21895335
Non-Invasive Monitoring of Cardiac Output in Critical Care Medicine.
Nguyen, Lee S; Squara, Pierre
2017-01-01
Critically ill patients require close hemodynamic monitoring to titrate treatment on a regular basis. It allows administering fluid with parsimony and adjusting inotropes and vasoactive drugs when necessary. Although invasive monitoring is considered as the reference method, non-invasive monitoring presents the obvious advantage of being associated with fewer complications, at the expanse of accuracy, precision, and step-response change. A great many methods and devices are now used over the world, and this article focuses on several of them, providing with a brief review of related underlying physical principles and validation articles analysis. Reviewed methods include electrical bioimpedance and bioreactance, respiratory-derived cardiac output (CO) monitoring technique, pulse wave transit time, ultrasound CO monitoring, multimodal algorithmic estimation, and inductance thoracocardiography. Quality criteria with which devices were reviewed included: accuracy (closeness of agreement between a measurement value and a true value of the measured), precision (closeness of agreement between replicate measurements on the same or similar objects under specified conditions), and step response change (delay between physiological change and its indication). Our conclusion is that the offer of non-invasive monitoring has improved in the past few years, even though further developments are needed to provide clinicians with sufficiently accurate devices for routine use, as alternative to invasive monitoring devices.
Liu, Liyue; Pan, Luyuan; Li, Kuoyu; Zhang, Yun; Zhu, Zuoyan; Sun, Yonghua
2016-07-01
In China, the use of zebrafish as an experimental animal in the past 15 years has widely expanded. The China Zebrafish Resource Center (CZRC), which was established in 2012, is becoming one of the major resource centers in the global zebrafish community. Large-scale use and regular exchange of zebrafish resources have put forward higher requirements on zebrafish health issues in China. This article reports the current aquatic infrastructure design, animal husbandry, and health-monitoring programs in the CZRC. Meanwhile, through a survey of 20 Chinese zebrafish laboratories, we also describe the current health status of major zebrafish facilities in China. We conclude that it is of great importance to establish a widely accepted health standard and health-monitoring strategy in the Chinese zebrafish research community.
NASA Astrophysics Data System (ADS)
Rufino, Marta M.; Baptista, Paulo; Pereira, Fábio; Gaspar, Miguel B.
2018-01-01
In the current work we propose a new method to sample surface sediment during bivalve fishing surveys. Fishing institutes all around the word carry out regular surveys with the aim of monitoring the stocks of commercial species. These surveys comprise often more than one hundred of sampling stations and cover large geographical areas. Although superficial sediment grain sizes are among the main drivers of benthic communities and provide crucial information for studies on coastal dynamics, overall there is a strong lack of this type of data, possibly, because traditional surface sediment sampling methods use grabs, that require considerable time and effort to be carried out on regular basis or on large areas. In face of these aspects, we developed an easy and un-expensive method to sample superficial sediments, during bivalve fisheries monitoring surveys, without increasing survey time or human resources. The method was successfully evaluated and validated during a typical bivalve survey carried out on the Northwest coast of Portugal, confirming that it had any interference with the survey objectives. Furthermore, the method was validated by collecting samples using a traditional Van Veen grabs (traditional method), which showed a similar grain size composition to the ones collected by the new method, on the same localities. We recommend that the procedure is implemented on regular bivalve fishing surveys, together with an image analysis system to analyse the collected samples. The new method will provide substantial quantity of data on surface sediment in coastal areas, using a non-expensive and efficient manner, with a high potential application in different fields of research.
NASA Astrophysics Data System (ADS)
Jomaa, Seifeddine; Jiang, Sanyuan; Yang, Xiaoqiang; Rode, Michael
2016-04-01
It is known that a good evaluation and prediction of surface water pollution is mainly limited by the monitoring strategy and the capability of the hydrological water quality model to reproduce the internal processes. To this end, a compromise sampling frequency, which can reflect the dynamical behaviour of leached nutrient fluxes responding to changes in land use, agriculture practices and point sources, and appropriate process-based water quality model are required. The objective of this study was to test the identification of hydrological water quality model parameters (nitrogen and phosphorus) under two different monitoring strategies: (1) regular grab-sampling approach and (2) regular grab-sampling with additional monitoring during the hydrological events using automatic samplers. First, the semi-distributed hydrological water quality HYPE (Hydrological Predictions for the Environment) model was successfully calibrated (1994-1998) for discharge (NSE = 0.86), nitrate-N (lowest NSE for nitrate-N load = 0.69), particulate phosphorus and soluble phosphorus in the Selke catchment (463 km2, central Germany) for the period 1994-1998 using regular grab-sampling approach (biweekly to monthly for nitrogen and phosphorus concentrations). Second, the model was successfully validated during the period 1999-2010 for discharge, nitrate-N, particulate-phosphorus and soluble-phosphorus (lowest NSE for soluble phosphorus load = 0.54). Results, showed that when additional sampling during the events with random grab-sampling approach was used (period 2011-2013), the hydrological model could reproduce only the nitrate-N and soluble phosphorus concentrations reasonably well. However, when additional sampling during the hydrological events was considered, the HYPE model could not represent the measured particulate phosphorus. This reflects the importance of suspended sediment during the hydrological events increasing the concentrations of particulate phosphorus. The HYPE model could reproduce the total phosphorus during the period 2011-2013 only when the sediment transport-related model parameters was re-identified again considering the automatic sampling during the high-flow conditions.
42 CFR 21.28 - Age requirements, Regular Corps, senior assistant grade and below.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 42 Public Health 1 2010-10-01 2010-10-01 false Age requirements, Regular Corps, senior assistant... SERVICES PERSONNEL COMMISSIONED OFFICERS Appointment § 21.28 Age requirements, Regular Corps, senior... permanent assistant grade, or (c) after age 37 to the permanent senior assistant grade: Provided, That the...
Process tool monitoring and matching using interferometry technique
NASA Astrophysics Data System (ADS)
Anberg, Doug; Owen, David M.; Mileham, Jeffrey; Lee, Byoung-Ho; Bouche, Eric
2016-03-01
The semiconductor industry makes dramatic device technology changes over short time periods. As the semiconductor industry advances towards to the 10 nm device node, more precise management and control of processing tools has become a significant manufacturing challenge. Some processes require multiple tool sets and some tools have multiple chambers for mass production. Tool and chamber matching has become a critical consideration for meeting today's manufacturing requirements. Additionally, process tools and chamber conditions have to be monitored to ensure uniform process performance across the tool and chamber fleet. There are many parameters for managing and monitoring tools and chambers. Particle defect monitoring is a well-known and established example where defect inspection tools can directly detect particles on the wafer surface. However, leading edge processes are driving the need to also monitor invisible defects, i.e. stress, contamination, etc., because some device failures cannot be directly correlated with traditional visualized defect maps or other known sources. Some failure maps show the same signatures as stress or contamination maps, which implies correlation to device performance or yield. In this paper we present process tool monitoring and matching using an interferometry technique. There are many types of interferometry techniques used for various process monitoring applications. We use a Coherent Gradient Sensing (CGS) interferometer which is self-referencing and enables high throughput measurements. Using this technique, we can quickly measure the topography of an entire wafer surface and obtain stress and displacement data from the topography measurement. For improved tool and chamber matching and reduced device failure, wafer stress measurements can be implemented as a regular tool or chamber monitoring test for either unpatterned or patterned wafers as a good criteria for improved process stability.
Madore, Amy; Rosenberg, Julie; Muyindike, Winnie R; Bangsberg, David R; Bwana, Mwebesa B; Martin, Jeffrey N; Kanyesigye, Michael; Weintraub, Rebecca
2015-12-01
Implementation lessons: • Technology alone does not necessarily lead to improvement in health service delivery, in contrast to the common assumption that advanced technology goes hand in hand with progress. • Implementation of electronic medical record (EMR) systems is a complex, resource-intensive process that, in addition to software, hardware, and human resource investments, requires careful planning, change management skills, adaptability, and continuous engagement of stakeholders. • Research requirements and goals must be balanced with service delivery needs when determining how much information is essential to collect and who should be interfacing with the EMR system. • EMR systems require ongoing monitoring and regular updates to ensure they are responsive to evolving clinical use cases and research questions. • High-quality data and analyses are essential for EMRs to deliver value to providers, researchers, and patients. Copyright © 2015 Elsevier Inc. All rights reserved.
Regular use of a home blood pressure monitor by hypertensive adults--HealthStyles, 2005 and 2008.
Ayala, Carma; Tong, Xin; Keenan, Nora L
2012-03-01
The authors analyzed HealthStyles surveys 2005 and 2008 combined to assess the prevalence of regular home blood pressure monitor (HBPM) use among hypertensive adults. All data were self-reported. The authors calculated odds ratios (ORs) of regular HBPM use and relative percent change (RPC) in the use of HBPM between the 2 survey years. There were 3739 (32.6%) hypertensives in the 2 survey years combined. Based on the self-reported data, the proportion of hypertensives who regularly used an HBPM was 43.2%. Male sex, age, race/ethnicity, household income, and education were all associated with differences in the prevalence of regular HBPM use. Patients 65 years and older (OR, 2.38; 95% confidence interval [CI], 1.49-3.81) were significantly more likely to be regular HBPM users than those 18 to 34 years. Non-Hispanic blacks were significantly less likely (OR, 0.69; 95% CI, 0.55-0.86) to be regular HBPM users than non-Hispanic whites. From 2005 to 2008, the RPC in regular HBPM use was 14.2% (from 40.1% to 45.8%); the largest RPCs were for the 3 youngest age groups, men, non-Hispanic blacks, and those with a household income of $40,000 to 59,900. Because HBPM has been demonstrated to aid in hypertension control, health care professionals should promote its use especially among hypertensives who are younger, non-Hispanic blacks, Hispanics, or with a lower income. © 2012 Wiley Periodicals, Inc.
20 CFR 416.1060 - How we will monitor.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How we will monitor. 416.1060 Section 416.1060 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Determinations of Disability Performance Monitoring and Support § 416.1060 How we will monitor. We will regularly analyze State agenc...
20 CFR 404.1660 - How we will monitor.
Code of Federal Regulations, 2011 CFR
2011-04-01
... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How we will monitor. 404.1660 Section 404.1660 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Determinations of Disability Performance Monitoring and Support § 404.1660 How we will monitor. We will regularly analyze State agency...
Valadez, J J; Brown, L D; Vargas, W V; Morley, D
1996-04-01
Local supervisors used lot quality assurance sampling (LQAS) during routine household visits to assess the technical quality of Costa Rican community-based health workers (CHW): measuring and recording weights of children, interpreting their growth trend and providing nutrition education to mothers. Supervisors sampled 10 households in each of 12 Health Areas (4-8 hours per area). No more than two performance errors were allowed for each CHW. This LQAS decision rule resulted in judgments with a sensitivity and specificity of about 95 percent. Three categories of results are reported: (1) CHW adequately weighed children, calculated ages, identified children requiring nutritional services, and used the growth chart. (2) They needed to improve referral, education, and documentation skills. (3) The lack of system support to regularly provide growth cards, supplementary feeding to identified malnourished children, and other essential materials may have discouraged some CHW resulting in them not applying their skills. Supervisors regularly using LQAS should, by the sixth round of supervision, identify at least 90 percent of inadequately performing CHW. This paper demonstrates the strength of LQAS, namely, to be used easily by low level local health workers to identify poorly functioning components of growth monitoring and promotion.
Müller, Gabriele; Stelzer, Kerstin; Smollich, Susan; Gade, Martin; Adolph, Winny; Melchionna, Sabrina; Kemme, Linnea; Geißler, Jasmin; Millat, Gerald; Reimers, Hans-Christian; Kohlus, Jörn; Eskildsen, Kai
2016-10-01
The Wadden Sea along the North Sea coasts of Denmark, Germany, and the Netherlands is the largest unbroken system of intertidal sand and mud flats in the world. Its habitats are highly productive and harbour high standing stocks and densities of benthic species, well adapted to the demanding environmental conditions. Therefore, the Wadden Sea is one of the most important areas for migratory birds in the world and thus protected by national and international legislation, which amongst others requires extensive monitoring. Due to the inaccessibility of major areas of the Wadden Sea, a classification approach based on optical and radar remote sensing has been developed to support environmental monitoring programmes. In this study, the general classification framework as well as two specific monitoring cases, mussel beds and seagrass meadows, are presented. The classification of mussel beds profits highly from inclusion of radar data due to their rough surface and achieves agreements of up to 79 % with areal data from the regular monitoring programme. Classification of seagrass meadows reaches even higher agreements with monitoring data (up to 100 %) and furthermore captures seagrass densities as low as 10 %. The main classification results are information on area and location of individual habitats. These are needed to fulfil environmental legislation requirements. One of the major advantages of this approach is the large areal coverage with individual satellite images, allowing simultaneous assessment of both accessible and inaccessible areas and thus providing a more complete overall picture.
NASA Technical Reports Server (NTRS)
Lei, Ning; Xiong, Xiaoxiong
2016-01-01
To assure data quality, the Earth-observing Visible Infrared Imaging Radiometer Suite (VIIRS) regularly performs on-orbit radiometric calibrations of its 22 spectral bands. The primary calibration radiance source for the reflective solar bands (RSBs) is a sunlit solar diffuser (SD). During the calibration process, sunlight goes through a perforated plate (the SD screen) and then strikes the SD. The SD scattered sunlight is used for the calibration, with the spectral radiance proportional to the product of the SD screen transmittance and the SD bidirectional reflectance distribution function (BRDF). The BRDF is decomposed to the product of its value at launch and a numerical factor quantifying its change since launch. Therefore, the RSB calibration requires accurate knowledge of the product of the SD screen transmittance and the BRDF (RSB; launch time). Previously, we calculated the product with yaw maneuver data and found that the product had improved accuracy over the prelaunch one. With both yaw maneuver and regular on orbit data, we were able to improve the accuracy of the SDSM screen transmittance and the product for the solar diffuser stability monitor SD view. In this study, we use both yaw maneuver and a small portion of regular on-orbit data to determine the product for the RSB SD view.
Structural Health Monitoring for a Z-Type Special Vehicle
Yuan, Chaolin; Ren, Liang; Li, Hongnan
2017-01-01
Nowadays there exist various kinds of special vehicles designed for some purposes, which are different from regular vehicles in overall dimension and design. In that case, accidents such as overturning will lead to large economical loss and casualties. There are still no technical specifications to follow to ensure the safe operation and driving of these special vehicles. Owing to the poor efficiency of regular maintenance, it is more feasible and effective to apply real-time monitoring during the operation and driving process. In this paper, the fiber Bragg grating (FBG) sensors are used to monitor the safety of a z-type special vehicle. Based on the structural features and force distribution, a reasonable structural health monitoring (SHM) scheme is presented. Comparing the monitoring results with the finite element simulation results guarantees the accuracy and reliability of the monitoring results. Large amounts of data are collected during the operation and driving progress to evaluate the structural safety condition and provide reference for SHM systems developed for other special vehicles. PMID:28587161
Blood glucose monitoring in type 2 diabetes – Nepalese patients’ opinions and experiences
Sapkota, Sujata; Brien, Jo-anne E; Aslani, Parisa
2017-01-01
ABSTRACT Background: Blood glucose monitoring forms a vital component of diabetes care. Monitoring conducted at home using glucometers, and in laboratories by professionals, are two common methods of blood glucose monitoring in clinical practice. Objective: To investigate Nepalese patients’ perceptions and practices of blood glucose monitoring in diabetes. Methods: In-depth interviews were conducted with 48 Nepalese participants with type 2 diabetes in Sydney and Kathmandu. The interviews were audio-recorded, transcribed verbatim and thematically analysed. Results: In Australia, most participants perceived home monitoring as useful; and both home and laboratory monitoring were conducted at fairly regular intervals. In Nepal, only a small number conducted home monitoring and the laboratory method formed the primary method of day-to-day monitoring. The laboratory method was preferred due to easy access to laboratories, lack of faith in glucometers and perceptions that home monitoring is costlier. However, overall monitoring was irregular in Nepal. In addition to the healthcare system which enabled cheaper self-monitoring in Australia, Nepalese in Australia also tended to have a better understanding about the purpose of home monitoring. Conclusions: This study has highlighted the disparity in perceptions and practices related to blood glucose monitoring. Understanding the importance of blood glucose monitoring and access to affordable resources are critical facilitators for conducting regular monitoring. Both patient and health-system factors play a key role in ensuring continued diabetes monitoring and management. PMID:28585892
CDC Vital Signs: Daily Pill Can Prevent HIV
... prescribe PrEP, more HIV infections could be prevented. Health care providers can: Test patients for HIV as a regular part of ... Helping to monitor PrEP use and its effects. Health care providers can Test patients for HIV as a regular part of ...
SAR Interferometry as a Tool for Monitoring Coastal Changes in the Nile River Delta of Egypt
NASA Technical Reports Server (NTRS)
Aly, Mohamed H.; Klein, Andrew G.; Giardino, John R.
2005-01-01
The Nile River Delta is experiencing rapid rates of coastal change. The rate of both coastal retreat and accretion in the Eastern Nile Delta requires regular, accurate detection and measurement. Current techniques used to monitor coastal changes in the delta are point measurements and, thus, they provide a spatially limited view of the ongoing coastal changes. SAR interferometry can provide measurements of subtle coastal change at a significantly improved spatial resolution and over large areas (100 sq km). Using data provided by the ERS-1&2 satellites, monitoring can be accomplished as frequently as every 35 days when needed. Radar interferometry is employed in this study to detect segments of erosion and accretion during the 1993-2000 period. The average rates of erosion and accretion in the Eastern Nile Delta are measured to be -11.64 m/yr and +5.12 m/yr, respectively. The results of this interferometric study can be used effectively for coastal zone management and integrated sustainable development for the Nile River Delta.
Anticoagulant management in the cardiovascular setting.
Verheugt, Freek W A
2012-02-01
Vitamin K antagonists have been used as oral anticoagulants (OACs) for over five decades, yet their use in real-world practice is problematic primarily because of their narrow therapeutic window, exacerbated by extensive food and drug interactions, necessitating regular coagulation monitoring and dose adjustment. Around half of patients receiving warfarin are within the therapeutic range, exposing them to the dangers of under-anticoagulation (i.e. thrombosis formation) or over-anticoagulation (i.e. bleeding). A new generation of OACs with improved pharmacology promises to revolutionize antithrombotic management. Rivaroxaban, apixaban (both oral direct Factor Xa inhibitors) and dabigatran (a direct thrombin inhibitor) all exhibit predictable anticoagulant responses and few drug-drug interactions and do not require routine coagulation monitoring. © 2011 The Author Fundamental and Clinical Pharmacology © 2011 Société Française de Pharmacologie et de Thérapeutique.
The Role of Personality in a Regular Cognitive Monitoring Program.
Sadeq, Nasreen A; Valdes, Elise G; Harrison Bush, Aryn L; Andel, Ross
2018-02-20
This study examines the role of personality in cognitive performance, adherence, and satisfaction with regular cognitive self-monitoring. One hundred fifty-seven cognitively healthy older adults, age 55+, completed the 44-item Big-Five Inventory and were subsequently engaged in online monthly cognitive monitoring using the Cogstate Brief Battery for up to 35 months (M=14 mo, SD=7 mo). The test measures speed and accuracy in reaction time, visual learning, and working memory tasks. Neuroticism, although not related to cognitive performance overall (P>0.05), was related to a greater increase in accuracy (estimate=0.07, P=0.04) and speed (estimate=-0.09, P=0.03) on One Card Learning. Greater conscientiousness was related to faster overall speed on Detection (estimate=-1.62, P=0.02) and a significant rate of improvement in speed on One Card Learning (estimate=-0.10, P<0.03). No differences in satisfaction or adherence to monthly monitoring as a function of neuroticism or conscientiousness were observed. Participants volunteering for regular cognitive monitoring may be quite uniform in terms of personality traits, with personality traits playing a relatively minor role in adherence and satisfaction. The more neurotic may exhibit better accuracy and improve in speed with time, whereas the more conscientious may perform faster overall and improve in speed on some tasks, but the effects appear small.
Although monitoring for surface contamination in work with radioactive materials and dermal monitoring of pesticide exposure to agricultural workers have been standard practice for 50 years, regular surface sampling and dermal monitoring methods have only been applied to indust...
Norris, Darren; Fortin, Marie-Josée; Magnusson, William E.
2014-01-01
Background Ecological monitoring and sampling optima are context and location specific. Novel applications (e.g. biodiversity monitoring for environmental service payments) call for renewed efforts to establish reliable and robust monitoring in biodiversity rich areas. As there is little information on the distribution of biodiversity across the Amazon basin, we used altitude as a proxy for biological variables to test whether meso-scale variation can be adequately represented by different sample sizes in a standardized, regular-coverage sampling arrangement. Methodology/Principal Findings We used Shuttle-Radar-Topography-Mission digital elevation values to evaluate if the regular sampling arrangement in standard RAPELD (rapid assessments (“RAP”) over the long-term (LTER [“PELD” in Portuguese])) grids captured patters in meso-scale spatial variation. The adequacy of different sample sizes (n = 4 to 120) were examined within 32,325 km2/3,232,500 ha (1293×25 km2 sample areas) distributed across the legal Brazilian Amazon. Kolmogorov-Smirnov-tests, correlation and root-mean-square-error were used to measure sample representativeness, similarity and accuracy respectively. Trends and thresholds of these responses in relation to sample size and standard-deviation were modeled using Generalized-Additive-Models and conditional-inference-trees respectively. We found that a regular arrangement of 30 samples captured the distribution of altitude values within these areas. Sample size was more important than sample standard deviation for representativeness and similarity. In contrast, accuracy was more strongly influenced by sample standard deviation. Additionally, analysis of spatially interpolated data showed that spatial patterns in altitude were also recovered within areas using a regular arrangement of 30 samples. Conclusions/Significance Our findings show that the logistically feasible sample used in the RAPELD system successfully recovers meso-scale altitudinal patterns. This suggests that the sample size and regular arrangement may also be generally appropriate for quantifying spatial patterns in biodiversity at similar scales across at least 90% (≈5 million km2) of the Brazilian Amazon. PMID:25170894
A simplifying feature of the heterotic one loop four graviton amplitude
NASA Astrophysics Data System (ADS)
Basu, Anirban
2018-01-01
We show that the weight four modular graph functions that contribute to the integrand of the t8t8D4R4 term at one loop in heterotic string theory do not require regularization, and hence the integrand is simple. This is unlike the graphs that contribute to the integrands of the other gravitational terms at this order in the low momentum expansion, and these integrands require regularization. This property persists for an infinite number of terms in the effective action, and their integrands do not require regularization. We find non-trivial relations between weight four graphs of distinct topologies that do not require regularization by performing trivial manipulations using auxiliary diagrams.
Byers, S R; Beemer, O M; Lear, A S; Callan, R J
2014-01-01
Persistent hyperglycemia is common in alpacas and typically requires insulin administration for resolution; however, little is known about alpacas' response to different insulin formulations. To evaluate the effects of 3 insulin formulations on blood glucose concentrations and the use of a continuous glucose monitoring (CGM) system in alpacas. Six healthy alpacas. The CGM was installed in the left paralumbar fossa at the start of this crossover study and recorded data every 5 minutes. Regular insulin, NPH insulin, insulin glargine, and dextrose were administered to each alpaca over a 2-week period. Blood samples were collected for glucose testing at 0, 1, 2, 4, 6, 8, and 12 hours, and then every 6 hours after each administration of insulin or dextrose. Data were compared by using method comparison techniques, error grid plots, and ANOVA. Blood glucose concentrations decreased most rapidly after regular insulin administration when administered IV or SC as compared to the other formulations. The NPH insulin produced the longest suppression of blood glucose. The mean CGM interstitial compartment glucose concentrations were typically lower than the intravascular compartment glucose concentrations. The alpacas had no adverse reactions to the different insulin formulations. The NPH insulin might be more appropriate for long-term use in hyperglycemic alpacas because of its extended duration of action. A CGM is useful in monitoring glucose trends and reducing blood collection events, but it should not be the sole method for determining treatment protocols. Copyright © 2014 by the American College of Veterinary Internal Medicine.
Toth, Peter P
2016-01-01
Patients who have had a venous thromboembolic event are generally advised to receive anticoagulant treatment for 3 months or longer to prevent a recurrent episode. Current guidelines recommend initial heparin and an oral vitamin K antagonist (VKA) for long-term anticoagulation. However, because of the well-described disadvantages of VKAs, including extensive food and drug interactions and the need for regular anticoagulation monitoring, novel oral anticoagulants (NOACs) have become an attractive option in recent years. These agents are given at fixed doses and do not require routine coagulation-time monitoring. The NOACs are discussed in this review with regard to the needs of patients on long-term anticoagulation. Current guidelines from Europe and North America that refer to the treatment of deep vein thrombosis and/or pulmonary embolism are included, as well as published randomized Phase III clinical trials of NOACs. PubMed searches were used for sourcing case studies of long-term anticoagulant treatment, and results were filtered for human application and screened for relevance. NOAC-based therapy showed a similar efficacy and safety profile to heparins/VKAs but without the need for regular anticoagulation monitoring or dietary adjustments, and can be taken as a fixed-dose regimen once or twice daily. This represents a significant step forward in facilitating the management of long-term anticoagulation therapy. Furthermore, in the EINSTEIN studies, improved patient satisfaction was documented with the NOAC rivaroxaban, which may result in better adherence to therapy and an overall reduction in the incidence of recurrent venous thromboembolism.
ERIC Educational Resources Information Center
Chan, Lorna K. S.; Cole, Peter G.
1986-01-01
A study involving 36 (10-12 years) learning disabled (LD) students with reading problems and 36 regular class students matched with LD subjects for reading age demonstrated the benefit of training LD students to use metacognitive activities in reading comprehension. (Author/CL)
Quantification of Gear Tooth Damage by Optimal Tracking of Vibration Signatures
NASA Technical Reports Server (NTRS)
Choy, F. K.; Veillette, R. J.; Polyshchuk, V.; Braun, M. J.; Hendricks, R. C.
1996-01-01
This paper presents a technique for quantifying the wear or damage of gear teeth in a transmission system. The procedure developed in this study can be applied as a part of either an onboard machine health-monitoring system or a health diagnostic system used during regular maintenance. As the developed methodology is based on analysis of gearbox vibration under normal operating conditions, no shutdown or special modification of operating parameters is required during the diagnostic process. The process of quantifying the wear or damage of gear teeth requires a set of measured vibration data and a model of the gear mesh dynamics. An optimization problem is formulated to determine the profile of a time-varying mesh stiffness parameter for which the model output approximates the measured data. The resulting stiffness profile is then related to the level of gear tooth wear or damage. The procedure was applied to a data set generated artificially and to another obtained experimentally from a spiral bevel gear test rig. The results demonstrate the utility of the procedure as part of an overall health-monitoring system.
Expansion of Microbial Monitoring Capabilities on the International Space Station (ISS)
NASA Technical Reports Server (NTRS)
Khodadad, Christina L.; Oubre, Cherie; Castro, Victoria; Flint, Stephanie; Melendez, Orlando; Ott, C. Mark; Roman, Monsi
2017-01-01
Microbial monitoring is one of the tools that the National Aeronautics and Space Administration (NASA) uses on the International Space Station (ISS) to help maintain crew health and safety. In combination with regular housekeeping and disinfection when needed, microbial monitoring provides important information to the crew about the quality of the environment. Rotation of astronauts, equipment, and cargo on the ISS can affect the microbial load in the air, surfaces, and water. The current ISS microbial monitoring methods are focused on culture-based enumeration during flight and require a significant amount of crew time as well as long incubation periods of up to 5 days there by proliferating potential pathogens. In addition, the samples require return to Earth for complete identification of the microorganisms cultivated. Although the current approach assess the quality of the ISS environment, molecular technology offers faster turn-around of information particularly beneficial in an off-nominal situation. In 2011, subject matter experts from industry and academia recommended implementation of molecular-based technologies such as quantitative real-time polymerase chain reaction (qPCR) for evaluation to replace current, culture-based technologies. The RAZOR EX (BioFire Defense, Inc, Salt Lake City, UT) a ruggedized, compact, COTS (commercial off the shelf) qPCR instrument was tested, evaluated and selected in the 2 X 2015 JSC rapid flight hardware demonstration initiative as part of the Water Monitoring Suite. RAZOR EX was launched to ISS on SpaceX-9 in July 2016 to evaluate the precision and accuracy of the hardware by testing various concentrations of DNA in microgravity compared to ground controls. Flight testing was completed between September 2016 and March 2017. Data presented will detail the hardware performance of flight testing results compared to ground controls. Future goals include additional operational ground-based testing and assay development to determine if this technology can meet spaceflight microbial monitoring requirements.
Lake Ontario Tributaries: 2009-2010 Field Data Report
In 2002, EPA began a program to regularly monitor U.S. tributaries to Lake Ontario for the critical pollutants. This report provides program results from 2009-2010, and identifies changes in the monitoring program from prior years.
A sensible technique to detect mollicutes impurities in human cells cultured in GMP condition.
Ugolotti, Elisabetta; Vanni, Irene
2014-01-01
In therapeutic trials the use of manipulated cell cultures for clinical applications is often required. Mollicutes microorganism contamination of tissue cultures is a major problem because it can determine various and severe alterations in cellular function. Thus methods able to detect and trace cell cultures with Mollicutes contamination are needed in the monitoring of cells grown under good manufacturing practice conditions, and cell lines in continuous culture must be tested at regular intervals. We here describe a multiplex quantitative polymerase chain reaction assay able to detect contaminant Mollicutes species in a single-tube reaction through analysis of 16S-23S rRNA intergenic spacer regions and Tuf and P1 cytoadhesin genes. The method shows a sensitivity, specificity, and robustness comparable with the culture and the indicator cell culture as required by the European Pharmacopoeia guidelines and was validated following International Conference on Harmonization guidelines and Food and Drug Administration requirements.
Manual leak detection and repair (LDAR) programs are currently implemented on a regular basis at refinery sites to limit fugitive emissions of volatile organic compounds (VOC). However, LDAR surveys can be time-consuming and are not always cost-effective. Fence line monitoring of...
Monitoring progress towards universal health coverage at country and global levels.
Boerma, Ties; Eozenou, Patrick; Evans, David; Evans, Tim; Kieny, Marie-Paule; Wagstaff, Adam
2014-09-01
Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population. This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC. The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries.
Monitoring Progress towards Universal Health Coverage at Country and Global Levels
Boerma, Ties; Eozenou, Patrick; Evans, David; Evans, Tim; Kieny, Marie-Paule; Wagstaff, Adam
2014-01-01
Universal health coverage (UHC) has been defined as the desired outcome of health system performance whereby all people who need health services (promotion, prevention, treatment, rehabilitation, and palliation) receive them, without undue financial hardship. UHC has two interrelated components: the full spectrum of good-quality, essential health services according to need, and protection from financial hardship, including possible impoverishment, due to out-of-pocket payments for health services. Both components should benefit the entire population. This paper summarizes the findings from 13 country case studies and five technical reviews, which were conducted as part of the development of a global framework for monitoring progress towards UHC. The case studies show the relevance and feasibility of focusing UHC monitoring on two discrete components of health system performance: levels of coverage with health services and financial protection, with a focus on equity. These components link directly to the definition of UHC and measure the direct results of strategies and policies for UHC. The studies also show how UHC monitoring can be fully embedded in often existing, regular overall monitoring of health sector progress and performance. Several methodological and practical issues related to the monitoring of coverage of essential health services, financial protection, and equity, are highlighted. Addressing the gaps in the availability and quality of data required for monitoring progress towards UHC is critical in most countries. PMID:25243899
State-of-the-art lab chip sensors for environmental water monitoring
NASA Astrophysics Data System (ADS)
Jang, Am; Zou, Zhiwei; Kug Lee, Kang; Ahn, Chong H.; Bishop, Paul L.
2011-03-01
As a result of increased water demand and water pollution, both surface water and groundwater quantity and quality are of major concern worldwide. In particular, the presence of nutrients and heavy metals in water is a serious threat to human health. The initial step for the effective management of surface waters and groundwater requires regular, continuous monitoring of water quality in terms of contaminant distribution and source identification. Because of this, there is a need for screening and monitoring measurements of these compounds at contaminated areas. However, traditional monitoring techniques are typically still based on laboratory analyses of representative field-collected samples; this necessitates considerable effort and expense, and the sample may change before analysis. Furthermore, currently available equipment is so large that it cannot usually be made portable. Alternatively, lab chip and electrochemical sensing-based portable monitoring systems appear well suited to complement standard analytical methods for a number of environmental monitoring applications. In addition, this type of portable system could save tremendous amounts of time, reagent, and sample if it is installed at contaminated sites such as Superfund sites (the USA's worst toxic waste sites) and Resource Conservation and Recovery Act (RCRA) facilities or in rivers and lakes. Accordingly, state-of-the-art monitoring equipment is necessary for accurate assessments of water quality. This article reviews details on our development of these lab-on-a-chip (LOC) sensors.
Heimbach, Fred; Russ, Anja; Schimmer, Maren; Born, Katrin
2016-11-01
Monitoring studies at the landscape level are complex, expensive and difficult to conduct. Many aspects have to be considered to avoid confounding effects which is probably the reason why they are not regularly performed in the context of risk assessments of plant protection products to pollinating insects. However, if conducted appropriately their contribution is most valuable. In this paper we identify the requirements of a large-scale monitoring study for the assessment of side-effects of clothianidin seed-treated winter oilseed rape on three species of pollinating insects (Apis mellifera, Bombus terrestris and Osmia bicornis) and present how these requirements were implemented. Two circular study sites were delineated next to each other in northeast Germany and comprised almost 65 km 2 each. At the reference site, study fields were drilled with clothianidin-free OSR seeds while at the test site the oilseed rape seeds contained a coating with 10 g clothianidin and 2 g beta-cyfluthrin per kg seeds (Elado®). The comparison of environmental conditions at the study sites indicated that they are as similar as possible in terms of climate, soil, land use, history and current practice of agriculture as well as in availability of oilseed rape and non-crop bee forage. Accordingly, local environmental conditions were considered not to have had any confounding effect on the results of the monitoring of the bee species. Furthermore, the study area was found to be representative for other oilseed rape cultivation regions in Europe.
Federal Register 2010, 2011, 2012, 2013, 2014
2010-03-25
... regular security audits and have been certified for operation. The CPSC observes all industry and Federal government best practices for network security. CPSC staff regularly analyzes its systems for vulnerabilities and malware, and monitor the network for real-time intrusion attempts. B. Estimated Burden The CPSC...
Trans-fatty acids in cooking oils in Bogota, Colombia: changes in the food supply from 2008 to 2013.
Moynihan, Meghan; Villamor, Eduardo; Marin, Constanza; Mora-Plazas, Mercedes; Campos, Hannia; Baylin, Ana
2015-12-01
Long-chain n-3 fatty acid intake in Colombia is low because fish consumption is limited. Vegetable oils with high n-3 fatty acid content are recommended, but their concentrations of trans fats were high in previous studies. Thus, regular monitoring of the fatty acid composition of vegetable oils is required. Our objective was to quantify the fatty acid composition in commercially available oils in Bogota, Colombia and determine if composition changed from 2008 to 2013. Cross-sectional study. We obtained samples of all commercially available oils reported in a survey of low- and middle-income families with a child participating in the Bogota School Children Cohort. Bogota, Colombia. Not applicable. Sunflower oil had the highest trans-fatty acid content (2.18%). Canola oil had the lowest proportion of trans-fatty acids (0.40%) and the highest n-3 fatty acid content (9.37%). In terms of percentage reduction from 2008 to 2013 in 18:1 and 18:2 trans-fatty acids, canola oil had 89% and 65% reduction, mixed oils had 44% and 48% reduction, and sunflower oil had 25% and 51 % reduction, respectively. Soyabean oil became widely available in 2013. The content of trans-fatty acids decreased in all oils from 2008 to 2013, suggesting a voluntary reduction by industry. We believe that regular monitoring of the fatty acid composition of oils is warranted.
Condition monitoring of an electro-magnetic brake using an artificial neural network
NASA Astrophysics Data System (ADS)
Gofran, T.; Neugebauer, P.; Schramm, D.
2017-10-01
This paper presents a data-driven approach to Condition Monitoring of Electromagnetic brakes without use of additional sensors. For safe and efficient operation of electric motor a regular evaluation and replacement of the friction surface of the brake is required. One such evaluation method consists of direct or indirect sensing of the air-gap between pressure plate and magnet. A larger gap is generally indicative of worn surface(s). Traditionally this has been accomplished by the use of additional sensors - making existing systems complex, cost- sensitive and difficult to maintain. In this work a feed-forward Artificial Neural Network (ANN) is learned with the electrical data of the brake by supervised learning method to estimate the air-gap. The ANN model is optimized on the training set and validated using the test set. The experimental results of estimated air-gap with accuracy of over 95% demonstrate the validity of the proposed approach.
Process auditing in long term care facilities.
Hewitt, S M; LeSage, J; Roberts, K L; Ellor, J R
1985-01-01
The ECC tool development and audit experiences indicated that there is promise in developing a process audit tool to monitor quality of care in nursing homes; moreover, the tool selected required only one hour per resident. Focusing on the care process and resident needs provided useful information for care providers at the unit level as well as for administrative personnel. Besides incorporating a more interdisciplinary focus, the revised tool needs to define support services most appropriate for nursing homes, includes items related to discharge planning and increases measurement of significant others' involvement in the care process. Future emphasis at the ECC will focus on developing intervention plans to maintain strengths and correct deficiencies identified in the audits. Various strategies to bring about desired changes in the quality of care will be evaluated through regular, periodic monitoring. Having a valid and reliable measure of quality of care as a tool will be an important step forward for LTC facilities.
Nguyen, Hai V; Grootendorst, Paul
2015-07-01
Youth consumption of cigarillos (ie, little cigars) has increased markedly in recent years. In July 2010, the Canadian government banned the sale of flavoured cigarillos and required unflavoured cigarillos to be sold in packs of at least 20 units. This paper assesses changes in young persons' use of cigarillos and regular cigars, which are potential substitutes, following the policy. To investigate of the change in cigar smoking following the policy, we constructed a segmented regression model that allowed the policy to change the height and the slope of the trend in the outcome variables. The model was estimated using data from the 2007-2011 Canadian Tobacco Use Monitoring Surveys. We obtained visual and regression-based evidence that use of cigarillos among youth declined following the policy. We also found a small, gradual increase in their use of regular cigars, possibly due to their compensatory switching from cigarillos to regular cigars. Overall, there was a net reduction in cigar use among youth after the intervention. The policy achieved its goal of reducing youth's consumption of cigarillos, but may have an unintended consequence of increasing their use of regular cigars. Policymakers should address the possibility that youth switch to regular cigars in response to restricted access to cigarillos. Possible ways of discouraging this substituting behaviour include extending the ban to cover all flavoured cigars and mandating a minimum pack size for all cigars, or raising taxes on flavoured cigars. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
42 CFR 21.28 - Age requirements, Regular Corps, senior assistant grade and below.
Code of Federal Regulations, 2014 CFR
2014-10-01
... assistant grade and below. No candidate for appointment to the Regular Corps, except in the nurse category, shall be appointed (a) after age 31 to the permanent junior assistant grade, (b) after age 34 to the... 42 Public Health 1 2014-10-01 2014-10-01 false Age requirements, Regular Corps, senior assistant...
42 CFR 21.28 - Age requirements, Regular Corps, senior assistant grade and below.
Code of Federal Regulations, 2013 CFR
2013-10-01
... assistant grade and below. No candidate for appointment to the Regular Corps, except in the nurse category, shall be appointed (a) after age 31 to the permanent junior assistant grade, (b) after age 34 to the... 42 Public Health 1 2013-10-01 2013-10-01 false Age requirements, Regular Corps, senior assistant...
42 CFR 21.28 - Age requirements, Regular Corps, senior assistant grade and below.
Code of Federal Regulations, 2012 CFR
2012-10-01
... assistant grade and below. No candidate for appointment to the Regular Corps, except in the nurse category, shall be appointed (a) after age 31 to the permanent junior assistant grade, (b) after age 34 to the... 42 Public Health 1 2012-10-01 2012-10-01 false Age requirements, Regular Corps, senior assistant...
Underreporting of high-risk water and sanitation practices undermines progress on global targets.
Vedachalam, Sridhar; MacDonald, Luke H; Shiferaw, Solomon; Seme, Assefa; Schwab, Kellogg J
2017-01-01
Water and sanitation indicators under the Millennium Development Goals failed to capture high-risk practices undertaken on a regular basis. In conjunction with local partners, fourteen rounds of household surveys using mobile phones with a customized open-source application were conducted across nine study geographies in Asia and Africa. In addition to the main water and sanitation facilities, interviewees (n = 245,054) identified all water and sanitation options regularly used for at least one season of the year. Unimproved water consumption and open defecation were targeted as high-risk practices. We defined underreporting as the difference between the regular and main use of high-risk practices. Our estimates of high-risk practices as the main option matched the widely accepted Demographic and Health Surveys (DHS) estimates within the 95% confidence interval. However, estimates of these practices as a regular option was far higher than the DHS estimates. Across the nine geographies, median underreporting of unimproved water use was 5.5%, with a range of 0.5% to 13.9%. Median underreporting of open defecation was much higher at 9.9%, with a range of 2.7% to 11.5%. This resulted in an underreported population of 25 million regularly consuming unimproved water and 50 million regularly practicing open defecation. Further examination of data from Ethiopia suggested that location and socio-economic factors were significant drivers of underreporting. Current global monitoring relies on a framework that considers the availability and use of a single option to meet drinking water and sanitation needs. Our analysis demonstrates the use of multiple options and widespread underreporting of high-risk practices. Policies based on current monitoring data, therefore, fail to consider the range of challenges and solutions to meeting water and sanitation needs, and result in an inflated sense of progress. Mobile surveys offer a cost-effective and innovative platform to rapidly and repeatedly monitor critical development metrics.
Underreporting of high-risk water and sanitation practices undermines progress on global targets
Vedachalam, Sridhar; MacDonald, Luke H.; Shiferaw, Solomon; Seme, Assefa; Schwab, Kellogg J.
2017-01-01
Water and sanitation indicators under the Millennium Development Goals failed to capture high-risk practices undertaken on a regular basis. In conjunction with local partners, fourteen rounds of household surveys using mobile phones with a customized open-source application were conducted across nine study geographies in Asia and Africa. In addition to the main water and sanitation facilities, interviewees (n = 245,054) identified all water and sanitation options regularly used for at least one season of the year. Unimproved water consumption and open defecation were targeted as high-risk practices. We defined underreporting as the difference between the regular and main use of high-risk practices. Our estimates of high-risk practices as the main option matched the widely accepted Demographic and Health Surveys (DHS) estimates within the 95% confidence interval. However, estimates of these practices as a regular option was far higher than the DHS estimates. Across the nine geographies, median underreporting of unimproved water use was 5.5%, with a range of 0.5% to 13.9%. Median underreporting of open defecation was much higher at 9.9%, with a range of 2.7% to 11.5%. This resulted in an underreported population of 25 million regularly consuming unimproved water and 50 million regularly practicing open defecation. Further examination of data from Ethiopia suggested that location and socio-economic factors were significant drivers of underreporting. Current global monitoring relies on a framework that considers the availability and use of a single option to meet drinking water and sanitation needs. Our analysis demonstrates the use of multiple options and widespread underreporting of high-risk practices. Policies based on current monitoring data, therefore, fail to consider the range of challenges and solutions to meeting water and sanitation needs, and result in an inflated sense of progress. Mobile surveys offer a cost-effective and innovative platform to rapidly and repeatedly monitor critical development metrics. PMID:28489904
Non-Cartesian MRI Reconstruction With Automatic Regularization Via Monte-Carlo SURE
Weller, Daniel S.; Nielsen, Jon-Fredrik; Fessler, Jeffrey A.
2013-01-01
Magnetic resonance image (MRI) reconstruction from undersampled k-space data requires regularization to reduce noise and aliasing artifacts. Proper application of regularization however requires appropriate selection of associated regularization parameters. In this work, we develop a data-driven regularization parameter adjustment scheme that minimizes an estimate (based on the principle of Stein’s unbiased risk estimate—SURE) of a suitable weighted squared-error measure in k-space. To compute this SURE-type estimate, we propose a Monte-Carlo scheme that extends our previous approach to inverse problems (e.g., MRI reconstruction) involving complex-valued images. Our approach depends only on the output of a given reconstruction algorithm and does not require knowledge of its internal workings, so it is capable of tackling a wide variety of reconstruction algorithms and nonquadratic regularizers including total variation and those based on the ℓ1-norm. Experiments with simulated and real MR data indicate that the proposed approach is capable of providing near mean squared-error (MSE) optimal regularization parameters for single-coil undersampled non-Cartesian MRI reconstruction. PMID:23591478
A Curricular-Sampling Approach to Progress Monitoring: Mathematics Concepts and Applications
ERIC Educational Resources Information Center
Fuchs, Lynn S.; Fuchs, Douglas; Zumeta, Rebecca O.
2008-01-01
Progress monitoring is an important component of effective instructional practice. Curriculum-based measurement (CBM) is a form of progress monitoring that has been the focus of rigorous research. Two approaches for formulating CBM systems exist. The first is to assess performance regularly on a task that serves as a global indicator of competence…
Balouch, Sara; Rusted, Jennifer M
2017-03-01
People with dementia of the Alzheimer-type (DAT) have difficulties with performing everyday tasks, and error awareness is poor. Here we investigate whether recall of actions and error monitoring in everyday task performance improved when they instructed another person on how to make tea. In this situation, both visual and motor cues are present, and attention is sustained by the requirement to keep instructing. The data were drawn from a longitudinal study recording performance in four participants with DAT, filmed regularly for five years in their own homes, completing three tea-making conditions: performed-recall (they made tea themselves); instructed-recall (they instructed the experimenter on how to make tea); and verbal-recall (they described how to make tea). Accomplishment scores (percentage of task they correctly recalled), errors and error-monitoring were coded. Task accomplishment was comparable in the performed-recall and instructed-recall conditions, but both were significantly better than task accomplishment in the verbal-recall condition. Third person instruction did not improve error-monitoring. This study has implications for everyday task rehabilitation for people with DAT.
Physical health care monitoring for people with serious mental illness.
Tosh, Graeme; Clifton, Andrew; Mala, Shereen; Bachner, Mick
2010-03-17
Current guidance suggests that we should monitor the physical health of people with serious mental illness and there has been a significant financial investment over recent years to provide this. To assess the effectiveness of physical health monitoring as a means of reducing morbidity, mortality and reduction in quality of life in people with serious mental illness. We searched the Cochrane Schizophrenia Group Trials Register (October 2009) which is based on regular searches of CINAHL, EMBASE, MEDLINE and PsycINFO. All randomised or quasi-randomised clinical trials focusing on physical health monitoring versus standard care or comparing i) self monitoring vs monitoring by health care professional; ii) simple vs complex monitoring; iii) specific vs non-specific checks iv) once only vs regular checks or v) comparison of different guidance. The authors (GT, AC, SM) independently screened search results and identified three studies as possibly fulfilling the review's criteria. On examination, however, all three were subsequently excluded. We did not identify any randomised trials which assessed the effectiveness of physical health monitoring in people with serious mental illness. There is no evidence from randomised trials to support current guidance and practice. Guidance and practice are based on expert consensus, clinical experience and good intentions rather than high quality evidence.
Space-based sensor management and geostationary satellites tracking
NASA Astrophysics Data System (ADS)
El-Fallah, A.; Zatezalo, A.; Mahler, R.; Mehra, R. K.; Donatelli, D.
2007-04-01
Sensor management for space situational awareness presents a daunting theoretical and practical challenge as it requires the use of multiple types of sensors on a variety of platforms to ensure that the space environment is continuously monitored. We demonstrate a new approach utilizing the Posterior Expected Number of Targets (PENT) as the sensor management objective function, an observation model for a space-based EO/IR sensor platform, and a Probability Hypothesis Density Particle Filter (PHD-PF) tracker. Simulation and results using actual Geostationary Satellites are presented. We also demonstrate enhanced performance by applying the ProgressiveWeighting Correction (PWC) method for regularization in the implementation of the PHD-PF tracker.
Medication for Behavior Modification in Birds.
van Zeeland, Yvonne
2018-01-01
The use of behavior modifying drugs may be considered in birds with behavior problems, especially those refractory to behavior modification therapy and environmental management. To accomplish behavior change, a variety of drugs can be used, including psychoactive drugs, hormones, antihistamines, analgesics, and anticonvulsants. Because their prescription to birds is off-label, these drugs are considered appropriate only when a sound rationale can be provided for their use. This requires a (correct) behavioral diagnosis to be established. In addition, regular monitoring and follow-up are warranted to determine the efficacy of the treatment and evaluate the occurrence of potential adverse side effects. Copyright © 2017 Elsevier Inc. All rights reserved.
Cowger, Jennifer; Romano, Matthew A; Stulak, John; Pagani, Francis D; Aaronson, Keith D
2011-03-01
This review summarizes management strategies to reduce morbidity and mortality in heart failure patients supported chronically with implantable left ventricular assist devices (LVADs). As the population of patients supported with long-term LVADs has grown, patient selection, operative technique, and patient management strategies have been refined, leading to improved outcomes. This review summarizes recent findings on LVAD candidate selection, and discusses outpatient strategies to optimize device performance and heart failure management. It also reviews important device complications that warrant close outpatient monitoring. Managing patients on chronic LVAD support requires regular patient follow-up, multidisciplinary care teams, and frequent laboratory and echocardiographic surveillance to ensure optimal outcomes.
Earth-based remote sensing of planetary surfaces and atmospheres at radio wavelengths
NASA Technical Reports Server (NTRS)
Dickel, J. R.
1982-01-01
Two reasons for remote sensing from the Earth are given: (1) space exploration, particularly below the surfaces or underneath cloud layers, is limited to only a very few planets; and (2) a program of regular monitoring, currently impractical with a limited number of space probes, is required. Reflected solar and nonthermal radiation are discussed. Relativistic electrons, trapped in large magnetospheres on Saturn and Jupiter, are discussed. These electrons produce synchrotron radiation and also interact with the ionosphere to produce bursts of low frequency emission. Because most objects are black-bodies, continuum radiometry is emphasized. Spectroscopic techniques and the measurement of nonthermal emission are also discussed.
Monitoring Chronic Absence: Regular Attendance Is Essential to Succeeding in School
ERIC Educational Resources Information Center
Data Quality Campaign, 2014
2014-01-01
Regular attendance is essential to succeeding in school, and chronic absence--missing excessive amounts of school for any reason--can cause students to be off track academically. Developed in partnership with Attendance Works, this fact sheet analyzes data from the "Data for Action 2013" survey to discuss how states use data to monitor…
ERIC Educational Resources Information Center
Anger, Sophie Gay; Hachard, Virginie
2011-01-01
The Master Grande Ecole curriculum at EM Normandie School is organized around junior consulting projects and real problem solving activities aiming at bridging the gap between classroom knowledge and professional competencies. Since the 90's, students are involved in regular consulting activities for local and national companies following the…
Monitoring of subsurface extended cavities prone to instabilities
NASA Astrophysics Data System (ADS)
Bigarre, Pascal; Nadim, Charles-Édouard; Lahaie, Frantz
2010-05-01
Natural or abandoned anthropogenic cavities are to be found in various contexts all around the world. In France, shallow cavities count rises up to several hundreds of thousands. It concerns complex cavities as old abandoned multilevel quarries, extended mines or naturally interlaced karsts. Risk assessment related to these cavities, such as sinkholes or pillar failure, conducts usually to short term strategy based on regular visual inspections until a more definitive risk reduction strategy is adopted. However, if no definitive remediation appears as feasible, for technical or socio-economic reasons, monitoring by regular visual inspection of specialists rises several crucial issues in the long term: safety conditions for the inspection team, limited reactivity of the monitoring due to the period between two inspections and finally difficulties to detect reliably and exhaustively early signs of evolution when local disorders are spread over a large underground area. Several well-proofed techniques are available to detect subsurface cavities, but it is less common when considering field instrumentation applied to permanent monitoring in such context. Indeed, classical geotechnical measurement based on strain and displacement sensors give very local information and cannot be deployed at a large scale with a correct coverage within a reasonable cost/benefit ratio. Moreover this type of instrumentation requires significant efforts and equipment for installation underground, must be placed right inside the most hazardous zones whenever it is feasible and is often not retrievable. Yet a continuous remote monitoring can save a regular control on site and may provide unique information about the kinetic of potential sinkholes and local ground failures. To proceed with this matter, INERIS develops and tests new tools and methods to facilitate the setting up of operational devices for remote monitoring and alert applied to subsurface extended cavities. Such systems aim to detect and characterize unstable evolution, especially sinkholes, and to circumvent all issues mentioned previously. Thus, among the different approaches currently studied, the most promising is aerial acoustic listening. Along with microseismic, this method enables volumetric monitoring over a large extended area characterized by deep quietness. Specific high sensitivity microphone probes have been developed and surveys have been conducted in two abandoned iron mines. Dimensioning physical parameters, depending on the geometry of the site and the density of sensors, were measured: listening area, acoustic sensitivity and velocity, attenuation of pressure waves, etc. Off-line processing of source localization was also studied and very good results were obtained. Along with acoustic listening, alternative new sensors are tested, as rock debris falls detecting nets installed in selected areas and easy-to-anchor microseismic probes for detection of fracturing processes inside the surrounding mass. The paper the authors intend to present will describe the research and field work conducted in this domain thanks to the French ministry of ecology and sustainable development. Principal results, limitations and recommendations concerning tested techniques and associated strategies will be discussed. Feedback from an operational system run in a closed salt mine will also be illustrated and discussed.
The Need for Regular Monitoring and Prediction of Ephemeral Water Bodies in SERVIR Regions
NASA Technical Reports Server (NTRS)
Anderson, Eric
2017-01-01
With remote sensing and modeling techniques available today it is possible to regularly identify and monitor the presence of surface water globally, for a wide range of applications. Many of the available datasets and tools, however, do not adequately resolve small or ephemeral water bodies in a timely enough fashion to make local and subnational decisions about water resources management in developing regions. This presentation introduces a specific need focused on a basin in Senegal to develop a capability to identify and disseminate timely information on small and ephemeral water bodies, and we seek feedback on methods proposed to address this need.
Obesity Prevention and Weight Maintenance After Loss.
German, Alexander James
2016-09-01
Obesity is one of the most prevalent medical diseases in pets. Outcomes are often disappointing; many animals either fail to reach target weight or regain weight. This article discusses managing obesity, focusing on prevention. It gives guidance on establishing monitoring programs that use regular body weight and condition assessments to identify animals at risk of inappropriate weight gain, enabling early intervention. Weight management in obese animals is a lifelong process. Regular weight and body condition monitoring are key to identifying animals that rebound early, while continuing to feed a therapeutic weight loss diet can help prevent it from happening. Copyright © 2016 Elsevier Inc. All rights reserved.
Optimization of Sensor Monitoring Strategies for Emissions
NASA Astrophysics Data System (ADS)
Klise, K. A.; Laird, C. D.; Downey, N.; Baker Hebert, L.; Blewitt, D.; Smith, G. R.
2016-12-01
Continuous or regularly scheduled monitoring has the potential to quickly identify changes in air quality. However, even with low-cost sensors, only a limited number of sensors can be placed to monitor airborne pollutants. The physical placement of these sensors and the sensor technology used can have a large impact on the performance of a monitoring strategy. Furthermore, sensors can be placed for different objectives, including maximum coverage, minimum time to detection or exposure, or to quantify emissions. Different objectives may require different monitoring strategies, which need to be evaluated by stakeholders before sensors are placed in the field. In this presentation, we outline methods to enhance ambient detection programs through optimal design of the monitoring strategy. These methods integrate atmospheric transport models with sensor characteristics, including fixed and mobile sensors, sensor cost and failure rate. The methods use site specific pre-computed scenarios which capture differences in meteorology, terrain, concentration averaging times, gas concentration, and emission characteristics. The pre-computed scenarios become input to a mixed-integer, stochastic programming problem that solves for sensor locations and types that maximize the effectiveness of the detection program. Sandia National Laboratories is a multi-program laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's National Nuclear Security Administration under contract DE-AC04-94AL85000.
25 CFR 36.11 - Standard II-Administrative requirements.
Code of Federal Regulations, 2011 CFR
2011-04-01
... exceed 150 students (ADM) except in activity type classes such as music and physical education. (4..., meet the following requirements: (1) The overall school ratio of regular program students to regular...
Soil Moisture Monitoring using Surface Electrical Resistivity measurements
NASA Astrophysics Data System (ADS)
Calamita, Giuseppe; Perrone, Angela; Brocca, Luca; Straface, Salvatore
2017-04-01
The relevant role played by the soil moisture (SM) for global and local natural processes results in an explicit interest for its spatial and temporal estimation in the vadose zone coming from different scientific areas - i.e. eco-hydrology, hydrogeology, atmospheric research, soil and plant sciences, etc... A deeper understanding of natural processes requires the collection of data on a higher number of points at increasingly higher spatial scales in order to validate hydrological numerical simulations. In order to take the best advantage of the Electrical Resistivity (ER) data with their non-invasive and cost-effective properties, sequential Gaussian geostatistical simulations (sGs) can be applied to monitor the SM distribution into the soil by means of a few SM measurements and a densely regular ER grid of monitoring. With this aim, co-located SM measurements using mobile TDR probes (MiniTrase), and ER measurements, obtained by using a four-electrode device coupled with a geo-resistivimeter (Syscal Junior), were collected during two surveys carried out on a 200 × 60 m2 area. Two time surveys were carried out during which Data were collected at a depth of around 20 cm for more than 800 points adopting a regular grid sampling scheme with steps (5 m) varying according to logistic and soil compaction constrains. The results of this study are robust due to the high number of measurements available for either variables which strengthen the confidence in the covariance function estimated. Moreover, the findings obtained using sGs show that it is possible to estimate soil moisture variations in the pedological zone by means of time-lapse electrical resistivity and a few SM measurements.
Tunable Laser Development for In-flight Fiber Optic Based Structural Health Monitoring Systems
NASA Technical Reports Server (NTRS)
Richards, Lance; Parker, Allen; Chan, Patrick
2014-01-01
The objective of this task is to investigate, develop, and demonstrate a low-cost swept lasing light source for NASA DFRC's fiber optics sensing system (FOSS) to perform structural health monitoring on current and future aerospace vehicles. This is the regular update of the Tunable Laser Development for In-flight Fiber Optic Based Structural Health Monitoring Systems website.
Nefale, Avhashoni D.; Kamika, Ilunga; Obi, Chikwelu L.
2017-01-01
Water services providers should supply water that is fit for human consumption, taking into account multi-barrier approaches and technical aspects such as design aspects, operation monitoring, final water quality compliance monitoring, plant monitoring practices, maintenance, and risk management practices. Against this background, this study focused on applying the diagnostic tool for technical compliance as well as assessing the compliance of water treatment plants with management norms. Six plants in the Vhembe District Municipality were selected; the Vondo, Malamulele, Mutshedzi, and Mutale plants (conventional), and the Dzingahe and Tshedza package plants. During the first assessment, four (Malamulele, Mutshedzi, Mutale and Dzingahe) plants scored between 44% and 49% and achieved Class 3 certification, revealing serious challenges requiring immediate intervention. Two water plants (Vondo and Tshedza, scoring 53% and 63%, respectively) were in the Class 2 category, revealing serious challenges requiring attention and improvement. During the second assessment, all plants scored between 63% and 87% (Class 2 category). The greatest improvement (30%) was noted for the Dzingahe and Tshedza plants, followed by the Malamulele plant, while the Mutale, Vondo, and Mutshedzi plants improved their scores by 20%, 17% and 14%, respectively. After corrective actions and re-measurement, no plant complied. It is recommended that Water Services Providers (WSPs) regularly apply the diagnostic tools and water safety plans as developed in order to comply with applicable standards. PMID:28753964
Nefale, Avhashoni D; Kamika, Ilunga; Obi, Chikwelu L; Momba, Maggy Nb
2017-07-19
Water services providers should supply water that is fit for human consumption, taking into account multi-barrier approaches and technical aspects such as design aspects, operation monitoring, final water quality compliance monitoring, plant monitoring practices, maintenance, and risk management practices. Against this background, this study focused on applying the diagnostic tool for technical compliance as well as assessing the compliance of water treatment plants with management norms. Six plants in the Vhembe District Municipality were selected; the Vondo, Malamulele, Mutshedzi, and Mutale plants (conventional), and the Dzingahe and Tshedza package plants. During the first assessment, four (Malamulele, Mutshedzi, Mutale and Dzingahe) plants scored between 44% and 49% and achieved Class 3 certification, revealing serious challenges requiring immediate intervention. Two water plants (Vondo and Tshedza, scoring 53% and 63%, respectively) were in the Class 2 category, revealing serious challenges requiring attention and improvement. During the second assessment, all plants scored between 63% and 87% (Class 2 category). The greatest improvement (30%) was noted for the Dzingahe and Tshedza plants, followed by the Malamulele plant, while the Mutale, Vondo, and Mutshedzi plants improved their scores by 20%, 17% and 14%, respectively. After corrective actions and re-measurement, no plant complied. It is recommended that Water Services Providers (WSPs) regularly apply the diagnostic tools and water safety plans as developed in order to comply with applicable standards.
Bonner, Oliver; Beardsall, Kathryn; Crilly, Nathan; Lasenby, Joan
2017-02-01
The neonatal intensive care unit (NICU) can be one of the most stressful hospital environments. Alongside providing intensive clinical care, it is important that parents have the opportunity for regular physical contact with their babies because the neonatal period is critical for parent-child bonding. At present, monitoring technology in the NICU requires multiple wired sensors to track each baby's vital signs. This study describes the experiences that parents and nurses have with the current monitoring methods, and reports on their responses to the concept of a wireless monitoring system. Semistructured interviews were conducted with six parents, each of whom had babies on the unit, and seven nurses who cared for those babies. The interviews initially focused on the participants' experiences of the current wired system and then on their responses to the concept of a wireless system. The transcripts were analysed using a general inductive approach to identify relevant themes. Participants reported on physical and psychological barriers to parental care, the ways in which the current system obstructed the efficient delivery of clinical care and the perceived benefits and risks of a wireless system. The parents and nurses identified that the wires impeded baby-parent bonding; physically and psychologically. While a wireless system was viewed as potentially enabling greater interaction, staff and parents highlighted potential concerns, including the size, weight and battery life of any new device. The many wires required to safely monitor babies within the NICU creates a negative environment for parents at a critical developmental period, in terms of physical and psychological interactions. Nurses also experience challenges with the existing system, which could negatively impact the clinical care delivery. Developing a wireless system could overcome these barriers, but there remain challenges in designing a device suitable for this unique environment.
Challenges and progress in making DNA-based AIS early detection monitoring operational
The ability of DNA barcoding to find additional species in hard-to-sample locations or hard-to-identify samples is well established. Nevertheless, adoption of DNA barcoding into regular monitoring programs has been slow, in part due to issues of standardization and interpretation...
USDA-ARS?s Scientific Manuscript database
The regular monitoring of the evapotranspiration rates and their links with vegetation conditions and soil moisture may support management and hydrological planning leading to reduce the economic and environmental vulnerability of complex water-controlled Mediterranean ecosystems. In this work, the ...
SAR data for river ice monitoring. How to meet requirements?
NASA Astrophysics Data System (ADS)
Łoś, Helena; Osińska-Skotak, Katarzyna; Pluto-Kossakowska, Joanna
2017-04-01
Although river ice is a natural element of rivers regime it can lead to severe problems such as winter floods or damages of bridges and bank revetments. Services that monitor river ice condition are still often based on field observation. For several year, however, Earth observation data have become of a great interest, especially SAR images, which allows to observe ice and river condition independently of clouds and sunlight. One of requirements of an effective monitoring system is frequent and regular data acquisition. To help to meet this requirement we assessed an impact of selected SAR data parameters into automatic ice types identification. Presented work consists of two parts. The first one focuses on comparison of C-band and X-band data in terms of the main ice type detection. The second part contains an analysis of polarisation reduction from quad-pol to dual-pol data. As the main element of data processing we chose the supervised classification with maximum likelihood algorithm adapted to Wishart distribution. The classification was preceded by statistical analysis of radar signal obtained for selected ice types including separability measures. Two river were selected as areas of interest - the Peace River in Canada and the Vistula in Poland. The results shows that using data registered in both bands similar accuracy of classification into main ice types can be obtain. Differences appear with details e.g. thin initial ice. Classification results obtained from quad-pol and dual-pol data were similar while four classes were selected. With six classes, however, differences between polarisation types have been noticed.
Liu, Wei; Li, Xiao; Xu, Lei; Liu, Li; Jin, Yihe; Sato, Itaru; Tsuda, Shuji
2010-06-01
Higher blood levels of perfluorooctane sulfonate (PFOS) in males than the females have been observed in many human biomonitoring studies, which is not well explained yet. The effects of gestation and regular bleeding on blood PFOS level in mice were investigated to evaluate the potential factors that could result in the sex difference. The mice were exposed to PFOS via drinking water at a concentration of 50 mug/l. After 6 weeks of pre-exposure and the gestation period, the blood PFOS concentrations in the gestagenic mice were significantly lower than the control non-gestagenic mice with a ratio of 0.45. Significant lower blood PFOS concentrations in the male mice treated by regular artificial bleeding were observed compared with those from the control male. However, such difference was not observed for the females. The sex difference in the effect of regular artificial bleeding on the blood PFOS level may be caused by the different accumulation and elimination rate in the female and male mice. In addition, the effect of intermittent exposure to PFOS on blood level was evaluated. Each single exposure caused a significant increase in blood PFOS level in both females and males, suggesting the acute exposure to PFOS occurred before the blood sampling, e.g. exposure to PFOS-contaminated foods or drinks, would affect the biomonitoring data to some extent depending on the background blood level. Thus serial blood monitoring is required to obtain accurate body burden.
Cutanda, Diana; Correa, Ángel; Sanabria, Daniel
2015-06-01
The present study investigated whether participants can develop temporal preparation driven by auditory isochronous rhythms when concurrently performing an auditory working memory (WM) task. In Experiment 1, participants had to respond to an auditory target presented after a regular or an irregular sequence of auditory stimuli while concurrently performing a Sternberg-type WM task. Results showed that participants responded faster after regular compared with irregular rhythms and that this effect was not affected by WM load; however, the lack of a significant main effect of WM load made it difficult to draw any conclusion regarding the influence of the dual-task manipulation in Experiment 1. In order to enhance dual-task interference, Experiment 2 combined the auditory rhythm procedure with an auditory N-Back task, which required WM updating (monitoring and coding of the information) and was presumably more demanding than the mere rehearsal of the WM task used in Experiment 1. Results now clearly showed dual-task interference effects (slower reaction times [RTs] in the high- vs. the low-load condition). However, such interference did not affect temporal preparation induced by rhythms, with faster RTs after regular than after irregular sequences in the high-load and low-load conditions. These results revealed that secondary tasks demanding memory updating, relative to tasks just demanding rehearsal, produced larger interference effects on overall RTs in the auditory rhythm task. Nevertheless, rhythm regularity exerted a strong temporal preparation effect that survived the interference of the WM task even when both tasks competed for processing resources within the auditory modality. (c) 2015 APA, all rights reserved).
ConfocalCheck - A Software Tool for the Automated Monitoring of Confocal Microscope Performance
Hng, Keng Imm; Dormann, Dirk
2013-01-01
Laser scanning confocal microscopy has become an invaluable tool in biomedical research but regular quality testing is vital to maintain the system’s performance for diagnostic and research purposes. Although many methods have been devised over the years to characterise specific aspects of a confocal microscope like measuring the optical point spread function or the field illumination, only very few analysis tools are available. Our aim was to develop a comprehensive quality assurance framework ranging from image acquisition to automated analysis and documentation. We created standardised test data to assess the performance of the lasers, the objective lenses and other key components required for optimum confocal operation. The ConfocalCheck software presented here analyses the data fully automatically. It creates numerous visual outputs indicating potential issues requiring further investigation. By storing results in a web browser compatible file format the software greatly simplifies record keeping allowing the operator to quickly compare old and new data and to spot developing trends. We demonstrate that the systematic monitoring of confocal performance is essential in a core facility environment and how the quantitative measurements obtained can be used for the detailed characterisation of system components as well as for comparisons across multiple instruments. PMID:24224017
An adaptive regularization parameter choice strategy for multispectral bioluminescence tomography
DOE Office of Scientific and Technical Information (OSTI.GOV)
Feng Jinchao; Qin Chenghu; Jia Kebin
2011-11-15
Purpose: Bioluminescence tomography (BLT) provides an effective tool for monitoring physiological and pathological activities in vivo. However, the measured data in bioluminescence imaging are corrupted by noise. Therefore, regularization methods are commonly used to find a regularized solution. Nevertheless, for the quality of the reconstructed bioluminescent source obtained by regularization methods, the choice of the regularization parameters is crucial. To date, the selection of regularization parameters remains challenging. With regards to the above problems, the authors proposed a BLT reconstruction algorithm with an adaptive parameter choice rule. Methods: The proposed reconstruction algorithm uses a diffusion equation for modeling the bioluminescentmore » photon transport. The diffusion equation is solved with a finite element method. Computed tomography (CT) images provide anatomical information regarding the geometry of the small animal and its internal organs. To reduce the ill-posedness of BLT, spectral information and the optimal permissible source region are employed. Then, the relationship between the unknown source distribution and multiview and multispectral boundary measurements is established based on the finite element method and the optimal permissible source region. Since the measured data are noisy, the BLT reconstruction is formulated as l{sub 2} data fidelity and a general regularization term. When choosing the regularization parameters for BLT, an efficient model function approach is proposed, which does not require knowledge of the noise level. This approach only requests the computation of the residual and regularized solution norm. With this knowledge, we construct the model function to approximate the objective function, and the regularization parameter is updated iteratively. Results: First, the micro-CT based mouse phantom was used for simulation verification. Simulation experiments were used to illustrate why multispectral data were used rather than monochromatic data. Furthermore, the study conducted using an adaptive regularization parameter demonstrated our ability to accurately localize the bioluminescent source. With the adaptively estimated regularization parameter, the reconstructed center position of the source was (20.37, 31.05, 12.95) mm, and the distance to the real source was 0.63 mm. The results of the dual-source experiments further showed that our algorithm could localize the bioluminescent sources accurately. The authors then presented experimental evidence that the proposed algorithm exhibited its calculated efficiency over the heuristic method. The effectiveness of the new algorithm was also confirmed by comparing it with the L-curve method. Furthermore, various initial speculations regarding the regularization parameter were used to illustrate the convergence of our algorithm. Finally, in vivo mouse experiment further illustrates the effectiveness of the proposed algorithm. Conclusions: Utilizing numerical, physical phantom and in vivo examples, we demonstrated that the bioluminescent sources could be reconstructed accurately with automatic regularization parameters. The proposed algorithm exhibited superior performance than both the heuristic regularization parameter choice method and L-curve method based on the computational speed and localization error.« less
Monitoring intracranial pressure based on F-P
NASA Astrophysics Data System (ADS)
Cai, Ting; Tong, Xinglin; Chen, Guangxi
2013-09-01
Intracranial pressure is an important monitoring indicator of neurosurgery. In this paper we adopt all-fiber FP fiber optic sensor, using a minimally invasive operation to realize real-time dynamic monitoring intracranial pressure of the hemorrhage rats, and observe their intracranial pressure regularity of dynamic changes. Preliminary results verify the effectiveness of applications and feasibility, providing some basis for human brain minimally invasive intracranial pressure measurement.
EAGLE can do Efficient LTL Monitoring
NASA Technical Reports Server (NTRS)
Barringer, Howard; Goldberg, Allen; Havelund, Klaus; Sen, Koushik
2003-01-01
We briefly present a rule-based framework, called EAGLE, that has been shown to be capable of defining and implementing finite trace monitoring logics, including future and past time temporal logic, extended regular expressions, real-time logics, interval logics, forms of quantified temporal logics, and so on. In this paper we show how EAGLE can do linear temporal logic (LTL) monitoring in an efficient way. We give an upper bound on the space and time complexity of this monitoring.
Physical health care monitoring for people with serious mental illness.
Tosh, Graeme; Clifton, Andrew V; Xia, Jun; White, Margueritte M
2014-01-17
Current guidance suggests that we should monitor the physical health of people with serious mental illness, and there has been a significant financial investment over recent years to provide this. To assess the effectiveness of physical health monitoring, compared with standard care for people with serious mental illness. We searched the Cochrane Schizophrenia Group Trials Register (October 2009, update in October 2012), which is based on regular searches of CINAHL, EMBASE, MEDLINE and PsycINFO. All randomised clinical trials focusing on physical health monitoring versus standard care, or comparing i) self monitoring versus monitoring by a healthcare professional; ii) simple versus complex monitoring; iii) specific versus non-specific checks; iv) once only versus regular checks; or v) different guidance materials. Initially, review authors (GT, AC, SM) independently screened the search results and identified three studies as possibly fulfilling the review's criteria. On examination, however, all three were subsequently excluded. Forty-two additional citations were identified in October 2012 and screened by two review authors (JX and MW), 11 of which underwent full screening. No relevant randomised trials which assess the effectiveness of physical health monitoring in people with serious mental illness have been completed. We identified one ongoing study. There is still no evidence from randomised trials to support or refute current guidance and practice. Guidance and practice are based on expert consensus, clinical experience and good intentions rather than high quality evidence.
Information Parents Must Know about Online Privacy.
ERIC Educational Resources Information Center
Markell, Ginny
2000-01-01
Presents four tips to help parents monitor whether website operators are complying with the 1988 Children's Online Privacy Protection Act: look for privacy policies on children's websites; determine if they ask for parental consent to collect personal information; regularly monitor information being sent to children; and determine if web operators…
Challenges and progress in making DNA-based monitoring operational AIS early detection as testbed
The ability of DNA barcoding to find additional species in hard-to-sample locations or hard-to-identify samples is well established. Nevertheless, adoption of DNA barcoding into regular monitoring programs has been slow, in part due to issues of standardization and interpretation...
24 CFR 598.620 - Evaluation, monitoring, and enforcement.
Code of Federal Regulations, 2014 CFR
2014-04-01
... enforcement. 598.620 Section 598.620 Housing and Urban Development Regulations Relating to Housing and Urban... DESIGNATIONS Empowerment Zone Grants § 598.620 Evaluation, monitoring, and enforcement. (a) Progress... compliance with this subpart as part of its regular evaluation process under 24 CFR 598.420, through on-site...
24 CFR 598.620 - Evaluation, monitoring, and enforcement.
Code of Federal Regulations, 2013 CFR
2013-04-01
... enforcement. 598.620 Section 598.620 Housing and Urban Development Regulations Relating to Housing and Urban... DESIGNATIONS Empowerment Zone Grants § 598.620 Evaluation, monitoring, and enforcement. (a) Progress... compliance with this subpart as part of its regular evaluation process under 24 CFR 598.420, through on-site...
24 CFR 598.620 - Evaluation, monitoring, and enforcement.
Code of Federal Regulations, 2012 CFR
2012-04-01
... enforcement. 598.620 Section 598.620 Housing and Urban Development Regulations Relating to Housing and Urban... DESIGNATIONS Empowerment Zone Grants § 598.620 Evaluation, monitoring, and enforcement. (a) Progress... compliance with this subpart as part of its regular evaluation process under 24 CFR 598.420, through on-site...
The Laurentian Great Lakes have had, for decades, regular water quality monitoring programs to track conditions in their offshore waters, as dictated by a binational Great Lakes Water Quality Agreement between the US and Canada. Unfortunately, resources have limited monitoring t...
2015-02-10
ISS042E236075 (02/10/2015) --- Astronauts in space must exercise regularly to keep muscles from deteriorating. The busy schedule aboard the International Space Station has these regular periods worked in as NASA astronaut Terry Virts shows in this Tweet he sent out on Feb. 10, 2015 with the comment: "Periodic Fitness Evaluation- riding the bike with a heart rate monitor, EKG, and blood pressure machine hooked up".
[Root resorption associated to orthodontic treatment: a clinical case].
Houb-Dine, Afaf; Rerhrhaye, Mariam; Ismaili, Zouheir; Rerhrhaye, Wiam
2011-12-01
Root resorption associated to orthodontic treatment is of multiple etiologies and a non intentional iatrogenic side effect which exists in almost all the orthodontic treatment. This clinical case of an apparently healthy patient illustrates the occurrence during the orthodontic treatment of a root resorption interesting the left central incisor, victims of previous traumatism and presenting a moderate periodontal attachment loss. The orthodontic treatment was carried out with light and continuous forces and a per-orthodontic periodontal maintenance in respect of periodontal requirements. As soon as the root resorption on the left central incisive was diagnosed, the active orthodontic treatment was interrupted in order to stabilize the lesion and a regular clinical and radiological monitoring was established.
Point of Care Technologies for HIV
Hewlett, Indira K.
2014-01-01
Effective prevention of HIV/AIDS requires early diagnosis, initiation of therapy, and regular plasma viral load monitoring of the infected individual. In addition, incidence estimation using accurate and sensitive assays is needed to facilitate HIV prevention efforts in the public health setting. Therefore, more affordable and accessible point-of-care (POC) technologies capable of providing early diagnosis, HIV viral load measurements, and CD4 counts in settings where HIV is most prevalent are needed to enable appropriate intervention strategies and ultimately stop transmission of the virus within these populations to achieve the future goal of an AIDS-free generation. This review discusses the available and emerging POC technologies for future application to these unmet public health needs. PMID:24579041
Occupational health surveillance strategies for an ethnically diverse Asian employee population.
Sakamoto, M; Vaughan, J; Tobias, B
2001-05-01
1. Implementation of a medical/health surveillance program can prevent the damaging effects of lead toxicity. Lead toxicity may be a result of acute or chronic exposure and can affect the hematopoietic, nervous, renal, and reproductive systems. 2. Minority groups tend to be overrepresented in lead industries. Further, an increase in high lead levels can be compounded by cultural influences. Education must be geared toward the specific employee populations. 3. Successful programs require assistance from all team members--occupational health nurse, safety engineer, industrial hygienist, and environmental engineer. Occupational health nurses play an important role in implementation of medical/health surveillance programs by scheduling regular blood testing, monitoring results, and educating employees.
Condition Number Regularized Covariance Estimation*
Won, Joong-Ho; Lim, Johan; Kim, Seung-Jean; Rajaratnam, Bala
2012-01-01
Estimation of high-dimensional covariance matrices is known to be a difficult problem, has many applications, and is of current interest to the larger statistics community. In many applications including so-called the “large p small n” setting, the estimate of the covariance matrix is required to be not only invertible, but also well-conditioned. Although many regularization schemes attempt to do this, none of them address the ill-conditioning problem directly. In this paper, we propose a maximum likelihood approach, with the direct goal of obtaining a well-conditioned estimator. No sparsity assumption on either the covariance matrix or its inverse are are imposed, thus making our procedure more widely applicable. We demonstrate that the proposed regularization scheme is computationally efficient, yields a type of Steinian shrinkage estimator, and has a natural Bayesian interpretation. We investigate the theoretical properties of the regularized covariance estimator comprehensively, including its regularization path, and proceed to develop an approach that adaptively determines the level of regularization that is required. Finally, we demonstrate the performance of the regularized estimator in decision-theoretic comparisons and in the financial portfolio optimization setting. The proposed approach has desirable properties, and can serve as a competitive procedure, especially when the sample size is small and when a well-conditioned estimator is required. PMID:23730197
Condition Number Regularized Covariance Estimation.
Won, Joong-Ho; Lim, Johan; Kim, Seung-Jean; Rajaratnam, Bala
2013-06-01
Estimation of high-dimensional covariance matrices is known to be a difficult problem, has many applications, and is of current interest to the larger statistics community. In many applications including so-called the "large p small n " setting, the estimate of the covariance matrix is required to be not only invertible, but also well-conditioned. Although many regularization schemes attempt to do this, none of them address the ill-conditioning problem directly. In this paper, we propose a maximum likelihood approach, with the direct goal of obtaining a well-conditioned estimator. No sparsity assumption on either the covariance matrix or its inverse are are imposed, thus making our procedure more widely applicable. We demonstrate that the proposed regularization scheme is computationally efficient, yields a type of Steinian shrinkage estimator, and has a natural Bayesian interpretation. We investigate the theoretical properties of the regularized covariance estimator comprehensively, including its regularization path, and proceed to develop an approach that adaptively determines the level of regularization that is required. Finally, we demonstrate the performance of the regularized estimator in decision-theoretic comparisons and in the financial portfolio optimization setting. The proposed approach has desirable properties, and can serve as a competitive procedure, especially when the sample size is small and when a well-conditioned estimator is required.
Bhavanani, Ananda Balayogi; Madanmohan; Sanjay, Zeena
2012-07-01
Recent studies have reported differential physiological and psychological effects produced by exclusive right and left nostril breathing and clinical research is required to prove immediate and sustained efficacy of these techniques in various psychosomatic conditions such as hypertension (HT). The present study was designed to determine immediate effects of 27 rounds of exclusive left nostril breathing, a yogic pranayama technique known as chandra nadi pranayama (CNP) on cardiovascular parameters in patients of essential HT. Twenty two patients of essential HT under regular standard medical management were individually taught to perform CNP by a qualified yoga instructor with a regularity of 6 breaths/min throughout a performance of 27 rounds of CNP. Pre and post intervention heart rate (HR) and blood pressure (BP) measurements were recorded using non-invasive semi-automatic BP monitor and Students t test for paired data used to determine significant differences. Twenty seven rounds of CNP produced an immediate decrease in all the measured cardiovascular parameters with the decrease in HR, systolic pressure (SP), pulse pressure, rate-pressure product and double product being statistically significant. Further, gender-based sub-analysis of our data revealed that our male participants evidenced significant reductions in HR and SP with an insignificant decrease in diastolic pressure, while in female participants only HR decreased significantly with an insignificant decrease in SP. It is concluded that CNP is effective in reducing HR and SP in hypertensive patients on regular standard medical management. To the best of our knowledge, there are no previously published reports on immediate effects of left UFNB in patients of HT and ours is the first to report on this beneficial clinical effect. This may be due to a normalization of autonomic cardiovascular rhythms with increased vagal modulation and/or decreased sympathetic activity along with improvement in baroreflex sensitivity. Further studies are required to enable a deeper understanding of the mechanisms involved as well as determine how long such a BP lowering effect persists. We recommend that this simple and cost effective technique be added to the regular management protocol of HT and utilized when immediate reduction of BP is required in day-to-day as well as clinical situations.
5 CFR 551.421 - Regular working hours.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Regular working hours. 551.421 Section... Activities § 551.421 Regular working hours. (a) Under the Act there is no requirement that a Federal employee... distinction based on whether the activity is performed by an employee during regular working hours or outside...
Brachmann, Johannes; Böhm, Michael; Rybak, Karin; Klein, Gunnar; Butter, Christian; Klemm, Hanno; Schomburg, Rolf; Siebermair, Johannes; Israel, Carsten; Sinha, Anil-Martin; Drexler, Helmut
2011-07-01
The Optimization of Heart Failure Management using OptiVol Fluid Status Monitoring and CareLink (OptiLink HF) study is designed to investigate whether OptiVol fluid status monitoring with an automatically generated wireless CareAlert notification via the CareLink Network can reduce all-cause death and cardiovascular hospitalizations in an HF population, compared with standard clinical assessment. Methods Patients with newly implanted or replacement cardioverter-defibrillator devices with or without cardiac resynchronization therapy, who have chronic HF in New York Heart Association class II or III and a left ventricular ejection fraction ≤35% will be eligible to participate. Following device implantation, patients are randomized to either OptiVol fluid status monitoring through CareAlert notification or regular care (OptiLink 'on' vs. 'off'). The primary endpoint is a composite of all-cause death or cardiovascular hospitalization. It is estimated that 1000 patients will be required to demonstrate superiority of the intervention group to reduce the primary outcome by 30% with 80% power. The OptiLink HF study is designed to investigate whether early detection of congestion reduces mortality and cardiovascular hospitalization in patients with chronic HF. The study is expected to close recruitment in September 2012 and to report first results in May 2014.
ERIC Educational Resources Information Center
Samuelson, Teresa C.
2010-01-01
The purpose of this study was to examine progress monitoring, reading self-concept, and the literacy skills of first and second grade struggling readers. Progress monitoring is an instructional process used by teachers to assess students' academic performance on a regular basis, typically weekly or monthly. When based on the skill level of the…
[Technological innovations in radiation oncology require specific quality controls].
Lenaerts, E; Mathot, M
2014-01-01
During the last decade, the field of radiotherapy has benefited from major technological innovations and continuously improving treatment efficacy, comfort and safety of patients. This mainly concerns the imaging techniques that allow 4D CT scan recording the respiratory phases, on-board imaging on linear accelerators that ensure perfect positioning of the patient for treatment and irradiation techniques that reduce very significantly the duration of treatment sessions without compromising quality of the treatment plan, including IMRT (Intensity Modulated Radiation Therapy) and VMAT (Volumetric Modulated Arc therapy). In this context of rapid technological change, it is the responsibility of medical physicists to regularly and precisely monitor the perfect functioning of new techniques to ensure patient safety. This requires the use of specific quality control equipment best suited to these new techniques. We will briefly describe the measurement system Delta4 used to control individualized treatment plan for each patient treated with VMAT technology.
Life Support and Habitation and Planetary Protection Workshop
NASA Technical Reports Server (NTRS)
Hogan, John A. (Editor); Race, Margaret S. (Editor); Fisher, John W. (Editor); Joshi, Jitendra A. (Editor); Rummel, John D. (Editor)
2006-01-01
A workshop entitled "Life Support and Habitation and Planetary Protection Workshop" was held in Houston, Texas on April 27-29, 2005 to facilitate the development of planetary protection guidelines for future human Mars exploration missions and to identify the potential effects of these guidelines on the design and selection of related human life support, extravehicular activity and monitoring and control systems. This report provides a summary of the workshop organization, starting assumptions, working group results and recommendations. Specific result topics include the identification of research and technology development gaps, potential forward and back contaminants and pathways, mitigation alternatives, and planetary protection requirements definition needs. Participants concluded that planetary protection and science-based requirements potentially affect system design, technology trade options, development costs and mission architecture. Therefore early and regular coordination between the planetary protection, scientific, planning, engineering, operations and medical communities is needed to develop workable and effective designs for human exploration of Mars.
Evaluation of uncertainty for regularized deconvolution: A case study in hydrophone measurements.
Eichstädt, S; Wilkens, V
2017-06-01
An estimation of the measurand in dynamic metrology usually requires a deconvolution based on a dynamic calibration of the measuring system. Since deconvolution is, mathematically speaking, an ill-posed inverse problem, some kind of regularization is required to render the problem stable and obtain usable results. Many approaches to regularized deconvolution exist in the literature, but the corresponding evaluation of measurement uncertainties is, in general, an unsolved issue. In particular, the uncertainty contribution of the regularization itself is a topic of great importance, because it has a significant impact on the estimation result. Here, a versatile approach is proposed to express prior knowledge about the measurand based on a flexible, low-dimensional modeling of an upper bound on the magnitude spectrum of the measurand. This upper bound allows the derivation of an uncertainty associated with the regularization method in line with the guidelines in metrology. As a case study for the proposed method, hydrophone measurements in medical ultrasound with an acoustic working frequency of up to 7.5 MHz are considered, but the approach is applicable for all kinds of estimation methods in dynamic metrology, where regularization is required and which can be expressed as a multiplication in the frequency domain.
RadNet Map Interface for Near-Real-Time Radiation Monitoring Data
RadNet is a national network of monitoring stations that regularly collect air, precipitation, drinking water, and milk samples for analysis of radioactivity. The RadNet network, which has stations in each state, has been used to track environmental releases of radioactivity from nuclear weapons tests and nuclear accidents.
ERIC Educational Resources Information Center
Chan, Lorna K. S.; And Others
1987-01-01
Elementary level learning disabled (N=32) and regular class children matched on reading age were given either general or specific instruction on how to use a cross-referencing technique to evaluate internal consistency of text. Subjects who received the explicit instruction demonstrated high performance in both comprehension monitoring and reading…
40 CFR 60.695 - Monitoring of operations.
Code of Federal Regulations, 2010 CFR
2010-07-01
... device outlet gas stream or inlet and outlet gas stream shall be used. (i) For a carbon adsorption system... adsorption system that does not regenerate the carbon bed directly onsite in the control device (e.g., a... carbon adsorption system shall be monitored on a regular schedule, and the existing carbon shall be...
40 CFR 60.695 - Monitoring of operations.
Code of Federal Regulations, 2011 CFR
2011-07-01
... device outlet gas stream or inlet and outlet gas stream shall be used. (i) For a carbon adsorption system... adsorption system that does not regenerate the carbon bed directly onsite in the control device (e.g., a... carbon adsorption system shall be monitored on a regular schedule, and the existing carbon shall be...
Using Self-Recording, Evaluation, and Graphing to Increase Completion of Homework Assignments.
ERIC Educational Resources Information Center
Trammel, Diana Lynn; And Others
1994-01-01
Self-monitoring procedures were effective in increasing the number of daily homework assignments completed by eight secondary level students with learning disabilities. A daily listing of all assignments given by regular classroom teachers was used. Goal setting and self-graphing of data appeared to increase self-monitoring effectiveness. (DB)
Developing Urban Environment Indicators for Neighborhood Sustainability Assessment in Tripoli-Libya
NASA Astrophysics Data System (ADS)
Elgadi, Ahmed. A.; Hakim Ismail, Lokman; Abass, Fatma; Ali, Abdelmuniem
2016-11-01
Sustainability assessment frameworks are becoming increasingly important to assist in the transition towards a sustainable urban environment. The urban environment is an effective system and requires regular monitoring and evaluation through a set of relevant indicators. The indicator provides information about the state of the environment through the production value of quantity. The indicator creates sustainability assessment requests to be considered on all spatial scales to specify efficient information of urban environment sustainability in Tripoli-Libya. Detailed data is necessary to assess environmental modification in the urban environment on a local scale and ease the transfer of this information to national and global stages. This paper proposes a set of key indicators to monitor urban environmental sustainability developments of Libyan residential neighborhoods. The proposed environmental indicator framework measures the sustainability performance of an urban environment through 13 sub-categories consisting of 21 indicators. This paper also explains the theoretical foundations for the selection of all indicators with reference to previous studies.
Hung, San-Shan; Chang, Chih-Yuan; Hsu, Cheng-Jui; Chen, Shih-Wei
2012-01-01
A major cause of high energy consumption for air conditioning in indoor spaces is the thermal storage characteristics of a building's envelope concrete material; therefore, the physiological signals (temperature and humidity) within concrete structures are an important reference for building energy management. The current approach to measuring temperature and humidity within concrete structures (i.e., thermocouples and fiber optics) is limited by problems of wiring requirements, discontinuous monitoring, and high costs. This study uses radio frequency integrated circuits (RFIC) combined with temperature and humidity sensors (T/H sensors) for the design of a smart temperature and humidity information material (STHIM) that automatically, regularly, and continuously converts temperature and humidity signals within concrete and transmits them by radio frequency (RF) to the Building Physiology Information System (BPIS). This provides a new approach to measurement that incorporates direct measurement, wireless communication, and real-time continuous monitoring to assist building designers and users in making energy management decisions and judgments.
Seamless personal health information system in cloud computing.
Chung, Wan-Young; Fong, Ee May
2014-01-01
Noncontact ECG measurement has gained popularity these days due to its noninvasive and conveniences to be applied on daily life. This approach does not require any direct contact between patient's skin and sensor for physiological signal measurement. The noncontact ECG measurement is integrated with mobile healthcare system for health status monitoring. Mobile phone acts as the personal health information system displaying health status and body mass index (BMI) tracking. Besides that, it plays an important role being the medical guidance providing medical knowledge database including symptom checker and health fitness guidance. At the same time, the system also features some unique medical functions that cater to the living demand of the patients or users, including regular medication reminders, alert alarm, medical guidance, appointment scheduling. Lastly, we demonstrate mobile healthcare system with web application for extended uses, thus health data are clouded into web server system and web database storage. This allows remote health status monitoring easily and so forth it promotes a cost effective personal healthcare system.
Christian, Kira A.; Ijaz, Kashef; Dowell, Scott F.; Chow, Catherine C.; Chitale, Rohit A.; Bresee, Joseph S.; Mintz, Eric; Pallansch, Mark A.; Wassilak, Steven; McCray, Eugene; Arthur, Ray R.
2013-01-01
Disease outbreaks of international public health importance continue to occur regularly; detecting and tracking significant new public health threats in countries that cannot or might not report such events to the global health community is a challenge. The Centers for Disease Control and Prevention’s (CDC) Global Disease Detection (GDD) Operations Center, established in early 2007, monitors infectious and non-infectious public health events to identify new or unexplained global public health threats and better position CDC to respond, if public health assistance is requested or required. At any one time, the GDD Operations Center actively monitors approximately 30–40 such public health threats; here we provide our perspective on five of the top global infectious disease threats that we were watching in 2012: (1) avian influenza A (H5N1), (2) cholera, (3) wild poliovirus, (4) enterovirus-71, and (5) extensively drug-resistant tuberculosis. PMID:23827387
Results of the SOLCON FREESTAR Total Solar Irradiance measurements
NASA Astrophysics Data System (ADS)
Dewitte, S.; Joukoff, A.; Crommelynck, D.
2003-04-01
The measurement of the Total Solar Irradiance from space is ongoing since 1978. A long term series requires the combination of the time limited measurements of individual measurements. The accuracy of the long term series is limited by the absolute accuracy of the instruments, and by their ageing in space, due to exposure to UV radiation. As a reference for the combination of the different instruments, we use the measurements of the SOLar CONstant (SOLCON) instrument, which is flown regularly on the space shuttle. In this paper we will present the results of the most recent SOLCON flight, which is the Fast Reaction Experiments Enabling Science, Technology, Applications and Research (FREESTAR) flight foreseen from 16 Jan. 2003 to 1 Feb. 2003. The anticipated results are: 1) comparison of SOLCON with the new instruments Active Cavity Radiometer Irradiance Monitor (ACRIM) III, and 2) the Total Irradiance Monitor (TIM) on the Solar Radiation and Climate Experiment (SORCE) satellite, 3) verification of the ageing of the Variability of IRradiance and Gravity Oscillations (VIRGO) radiometers.
Four years of Landsat-7 on-orbit geometric calibration and performance
Lee, D.S.; Storey, James C.; Choate, M.J.; Hayes, R.W.
2004-01-01
Unlike its predecessors, Landsat-7 has undergone regular geometric and radiometric performance monitoring and calibration since launch in April 1999. This ongoing activity, which includes issuing quarterly updates to calibration parameters, has generated a wealth of geometric performance data over the four-year on-orbit period of operations. A suite of geometric characterization (measurement and evaluation procedures) and calibration (procedures to derive improved estimates of instrument parameters) methods are employed by the Landsat-7 Image Assessment System to maintain the geometric calibration and to track specific aspects of geometric performance. These include geodetic accuracy, band-to-band registration accuracy, and image-to-image registration accuracy. These characterization and calibration activities maintain image product geometric accuracy at a high level - by monitoring performance to determine when calibration is necessary, generating new calibration parameters, and verifying that new parameters achieve desired improvements in accuracy. Landsat-7 continues to meet and exceed all geometric accuracy requirements, although aging components have begun to affect performance.
Hung, San-Shan; Chang, Chih-Yuan; Hsu, Cheng-Jui; Chen, Shih-Wei
2012-01-01
A major cause of high energy consumption for air conditioning in indoor spaces is the thermal storage characteristics of a building's envelope concrete material; therefore, the physiological signals (temperature and humidity) within concrete structures are an important reference for building energy management. The current approach to measuring temperature and humidity within concrete structures (i.e., thermocouples and fiber optics) is limited by problems of wiring requirements, discontinuous monitoring, and high costs. This study uses radio frequency integrated circuits (RFIC) combined with temperature and humidity sensors (T/H sensors) for the design of a smart temperature and humidity information material (STHIM) that automatically, regularly, and continuously converts temperature and humidity signals within concrete and transmits them by radio frequency (RF) to the Building Physiology Information System (BPIS). This provides a new approach to measurement that incorporates direct measurement, wireless communication, and real-time continuous monitoring to assist building designers and users in making energy management decisions and judgments. PMID:23012529
Regularity and predictability of human mobility in personal space.
Austin, Daniel; Cross, Robin M; Hayes, Tamara; Kaye, Jeffrey
2014-01-01
Fundamental laws governing human mobility have many important applications such as forecasting and controlling epidemics or optimizing transportation systems. These mobility patterns, studied in the context of out of home activity during travel or social interactions with observations recorded from cell phone use or diffusion of money, suggest that in extra-personal space humans follow a high degree of temporal and spatial regularity - most often in the form of time-independent universal scaling laws. Here we show that mobility patterns of older individuals in their home also show a high degree of predictability and regularity, although in a different way than has been reported for out-of-home mobility. Studying a data set of almost 15 million observations from 19 adults spanning up to 5 years of unobtrusive longitudinal home activity monitoring, we find that in-home mobility is not well represented by a universal scaling law, but that significant structure (predictability and regularity) is uncovered when explicitly accounting for contextual data in a model of in-home mobility. These results suggest that human mobility in personal space is highly stereotyped, and that monitoring discontinuities in routine room-level mobility patterns may provide an opportunity to predict individual human health and functional status or detect adverse events and trends.
Occupational noise exposure and regulatory adherence in music venues in the United Kingdom.
Barlow, Christopher; Castilla-Sanchez, Francisco
2012-01-01
Noise in most working environments is an unwanted by-product of the process. In most countries, noise exposure for workers has been controlled by legislation for many years. In the music industry the "noise" is actually the "desired" product, and for a long time the UK entertainment industry was exempt from these regulations. From April 2008, however, it became regulated under the Noise at Work Regulations 2005, meaning that employers from orchestras to nightclubs are legally required to adhere to the same requirements (based on ISO 9612:2009) for controlling noise exposure for their staff that have been applied to other industries for many years. A key question is to what degree, 2 years after implementation, these employers are complying with their legal responsibilities to protect the staff from noise? This study assessed four public music venues where live and/or recorded music is regularly played. Thirty staff members in different roles in the venues were monitored using noise dosimetry to determine noise exposure. Questionnaires were used to determine work patterns, attitudes to noise and hearing loss, and levels of training about noise risk. Results showed that the majority of staff (70%) in all venues exceeded the daily noise exposure limit value in their working shift. Use of hearing protection was rare (<30%) and not enforced by most venues. The understanding of the hazard posed by noise was low, and implementation of the noise regulations was haphazard, with staff regularly exceeding regulatory limits. The implication is that the industry is failing to meet regulatory requirements.
Johnson, Douglas H.; Gitzen, Robert A.; Millspaugh, Joshua J.; Cooper, Andrew B.; Licht, Daniel S.
2012-01-01
Monitoring is a critically important activity for assessing the status of a system, such as the health of an individual, the balance in one's checking account, profits and losses of a business, the economic activity of a nation, or the size of an animal population. Monitoring is especially vital for evaluating changes in the system associated with specific known impacts occurring to the system. It is also valuable for detecting unanticipated changes in the system and identifying plausible causes of such changes, all in time to take corrective action. Before proceeding, we should define "monitoring." One definition of "monitor" (Microsoft Corporation 2009) is "to check something at regular intervals in order to find out how it is progressing or developing." The key point here is "at regular intervals," suggesting a continuing process. Some definitions do not indicate the repetitive nature of monitoring and are basically synonymous with "observing." Most monitoring, in the strict sense of the word, is intended to persist for long periods of time, perhaps indefinitely or permanently. Similarly, Thompson et al. (1998: 3) referred to the "repeated assessment of status" of something, but noted that the term "monitor" is sometimes used for analogous activities such as collecting baseline information or evaluating projects for either implementation or effectiveness. For their purposes, they restricted the term to involve repeated measurements collected at a specified frequency of time units. Let us adopt that definition, recognizing that repeated measurements imply collecting comparable information on each occasion.
Development of a real-time bridge structural monitoring and warning system: a case study in Thailand
NASA Astrophysics Data System (ADS)
Khemapech, I.; Sansrimahachai, W.; Toachoodee, M.
2017-04-01
Regarded as one of the physical aspects under societal and civil development and evolution, engineering structure is required to support growth of the nation. It also impacts life quality and safety of the civilian. Despite of its own weight (dead load) and live load, structural members are also significantly affected by disaster and environment. Proper inspection and detection are thus crucial both during regular and unsafe events. An Enhanced Structural Health Monitoring System Using Stream Processing and Artificial Neural Network Techniques (SPANNeT) has been developed and is described in this paper. SPANNeT applies wireless sensor network, real-time data stream processing and artificial neural network based upon the measured bending strains. Major contributions include an effective, accurate and energy-aware data communication and damage detection of the engineering structure. Strain thresholds have been defined according to computer simulation results and the AASHTO (American Association of State Highway and Transportation Officials) LRFD (Load and Resistance Factor Design) Bridge Design specifications for launching several warning levels. SPANNeT has been tested and evaluated by means of computer-based simulation and on-site levels. According to the measurements, the observed maximum values are 25 to 30 microstrains during normal operation. The given protocol provided at least 90% of data communication reliability. SPANNeT is capable of real-time data report, monitoring and warning efficiently conforming to the predefined thresholds which can be adjusted regarding user's requirements and structural engineering characteristics.
Monitoring of phenolic compounds and surfactants in water of Ganga Canal, Haridwar (India)
NASA Astrophysics Data System (ADS)
Seth, Richa; Singh, Prashant; Mohan, Manindra; Singh, Rakesh; Aswal, Ravinder Singh
2013-12-01
The Ganga Canal emerging out from Ganga River has great ritual importance among pilgrims and tourists at Haridwar, Uttarakhand, India. The Canal is being polluted due to mass bathing, washing, disposal of sewage, industrial waste and these human activities are deteriorating its water quality. To determine the impact of these activities, Ganga Canal water quality at five sites between Haridwar and Roorkee namely Pantdweep, Har Ki Pauri, Singhdwar, Piran Kaliyar and Old Bridge, Roorkee has been analyzed for organic pollutants phenolic compounds and surfactants, which have rarely been assessed and reported so far. The results of analysis show that phenolic compounds are not present in water samples of selected five sites during bi-monthly monitoring from January 2012 to November 2012. The Har Ki Pauri, Singhdwar, Piran Kaliyar and Old Bridge, Roorkee sites have been detected with surfactant concentrations (1.18, 1.63, 3.2 and 2.5 mg/l) more than permissible limit (1.00 mg/l). Also at most of the sites, surfactants' concentration crossed the desirable limit of BIS during the period of analysis. This distribution of surfactants in water has potential risk for skin diseases and cancer and requires regular monitoring with appropriate measures.
NASA Astrophysics Data System (ADS)
Zhou, Yitian; Zhou, Ping; Xin, Yinqiang; Wang, Jie; Zhu, Zhiqiang; Hu, Ji; Wei, Shicheng; Ma, Hongwei
2014-11-01
Telomerase plays an important role in governing the life span of cells for its capacity to extend telomeres. As high activity of telomerase has been found in stem cells and cancer cells specifically, various methods have been developed for the evaluation of telomerase activity. To overcome the time-consuming procedures and complicated manipulations of existing methods, we developed a novel method named Telomeric Repeat Elongation Assay based on Quartz crystal microbalance (TREAQ) to monitor telomerase activity during the self-renewal and differentiation of human induced pluripotent stem cells (hiPSCs). TREAQ results indicated hiPSCs possess invariable telomerase activity for 11 passages on Matrigel and a steady decline of telomerase activity when differentiated for different periods, which is confirmed with existing golden standard method. The pluripotency of hiPSCs during differentiation could be estimated through monitoring telomerase activity and compared with the expression levels of markers of pluripotency gene via quantitative real time PCR. Regular assessment for factors associated with pluripotency or stemness was expensive and requires excessive sample consuming, thus TREAQ could be a promising alternative technology for routine monitoring of telomerase activity and estimate the pluripotency of stem cells.
Beam feasibility study of a collimator with in-jaw beam position monitors
NASA Astrophysics Data System (ADS)
Wollmann, Daniel; Nosych, Andriy A.; Valentino, Gianluca; Aberle, Oliver; Aßmann, Ralph W.; Bertarelli, Alessandro; Boccard, Christian; Bruce, Roderik; Burkart, Florian; Calvo, Eva; Cauchi, Marija; Dallocchio, Alessandro; Deboy, Daniel; Gasior, Marek; Jones, Rhodri; Kain, Verena; Lari, Luisella; Redaelli, Stefano; Rossi, Adriana
2014-12-01
At present, the beam-based alignment of the LHC collimators is performed by touching the beam halo with both jaws of each collimator. This method requires dedicated fills at low intensities that are done infrequently and makes this procedure time consuming. This limits the operational flexibility, in particular in the case of changes of optics and orbit configuration in the experimental regions. The performance of the LHC collimation system relies on the machine reproducibility and regular loss maps to validate the settings of the collimator jaws. To overcome these limitations and to allow a continuous monitoring of the beam position at the collimators, a design with jaw-integrated Beam Position Monitors (BPMs) was proposed and successfully tested with a prototype (mock-up) collimator in the CERN SPS. Extensive beam experiments allowed to determine the achievable accuracy of the jaw alignment for single and multi-turn operation. In this paper, the results of these experiments are discussed. The non-linear response of the BPMs is compared to the predictions from electromagnetic simulations. Finally, the measured alignment accuracy is compared to the one achieved with the present collimators in the LHC.
Factors Associated With Exercise Behavior in People With Parkinson Disease
Cavanaugh, James T.; Earhart, Gammon M.; Ford, Matthew P.; Foreman, K. Bo; Fredman, Lisa; Boudreau, Jennifer K.; Dibble, Leland E.
2011-01-01
Background The benefits of exercise for reducing disability in people with Parkinson disease (PD) are becoming more evident. Optimal benefit, however, requires regular and sustained participation. Factors associated with engaging in regular exercise have received little scientific scrutiny in people with PD. Objective The purpose of this study was to explore factors associated with exercise behavior in patients with PD using the International Classification of Functioning, Disability and Health (ICF) as a guiding framework. Design This was a cross-sectional study. Methods The participants in this study were 260 patients with PD from 4 institutions. Participants were designated as “exercisers” or “nonexercisers” based on responses to the Stages of Readiness to Exercise Questionnaire. Exercise status was validated using the Physical Activity Scale for the Elderly and an activity monitor. Factors potentially associated with exercise behavior included measures of body structure and function, activity, participation, environmental factors, and personal factors. Their relative contributions were analyzed using logistic regression and quantified with odds ratios. Results One hundred sixty-four participants (63%) were designated as exercisers. Participants with high self-efficacy were more than twice as likely to engage in regular exercise than those with low self-efficacy (adjusted odds ratio=2.34, 95% confidence interval=1.30–4.23). College educated and older participants also were more likely to exercise. Disabling influences of impairments, activity limitations, and participation restrictions were not associated with exercise behavior. Limitations The cross-sectional nature of the study limited the ability to make causal inferences. Conclusions Self-efficacy, rather than disability, appears to be strongly associated with whether ambulatory, community-dwelling people with PD exercise regularly. The results of this study suggest that physical therapists should include strategies to increase exercise self-efficacy when designing patient intervention programs for patients with PD. PMID:22003171
Application of Turchin's method of statistical regularization
NASA Astrophysics Data System (ADS)
Zelenyi, Mikhail; Poliakova, Mariia; Nozik, Alexander; Khudyakov, Alexey
2018-04-01
During analysis of experimental data, one usually needs to restore a signal after it has been convoluted with some kind of apparatus function. According to Hadamard's definition this problem is ill-posed and requires regularization to provide sensible results. In this article we describe an implementation of the Turchin's method of statistical regularization based on the Bayesian approach to the regularization strategy.
Krill, Michael K; Borchers, James R; Hoffman, Joshua T; Krill, Matthew L; Hewett, Timothy E
2017-09-01
Achilles tendon (AT) ruptures are a potentially career-altering and ending injury. Achilles tendon ruptures have a below average return-to-play rate compared to other common orthopaedic procedures for National Football League (NFL) players. The objective of this study was to monitor the incidence and injury rates (IR) of AT ruptures that occurred during the regular season in order to evaluate the influence of player position, time of injury, and playing surface on rupture rates. A thorough online review was completed to identify published injury reports and public information regarding AT ruptures sustained during regular season and post-season games in the National Football League (NFL) during the 2009-10 to 2016-17 seasons. Team schedules, player position details and stadium information was used to determine period of the season of injury and playing surface. IRs were calculated per 100 team games (TG). Injury rate ratios (IRR) were utilized to compare IRs. During eight monitored seasons, there were 44 AT ruptures in NFL games. A majority of AT ruptures were sustained in the first eight games of the regular season (n = 32, 72.7%). There was a significant rate difference for the first and second four-game segments of the regular season compared to the last two four-game segments of the regular season. Defensive players suffered a majority of AT ruptures (n = 32, 72.7%). The IR on grass was 1.00 per 100 TG compared to 1.08 per 100 TG on artificial turf (IRR: 0.93, p = .80). A significant increase in AT ruptures occurred in the first and second four game segments of the regular season compared to the last two-four game segments of the regular season. Defensive players suffered a majority of AT ruptures compared to offensive or specialist players. There was no difference between AT rupture rates and playing surface in games.
Supervisors' Perspective on Electronic Logbook System for Postgraduate Medical Residents of CPSP.
Gondal, Khalid Masood; Iqbal, Uzma; Ahmed, Arslan; Khan, Junaid Sarfraz
2017-09-01
To find out the perspective of the supervisors about the role of electronic logbook (E-Logbook) of College of Physicians and Surgeons, Pakistan (CPSP) in monitoring the training of postgraduate medical residents of CPSP. Descriptive cross-sectional study. College of Physicians and Surgeons Pakistan (CPSP), Karachi, from May to October 2015. An electronic computer-based questionnaire designed in Hypertext Preprocessor (PHP) language was distributed to the registered CPSPsupervisors through the e-log system. The questionnaire comprised of seven close ended questions. The data were entered and analyzed by SPSS version 20. Descriptive statistics were determined. Atotal of 1,825 supervisors responded to the questionnaire. Fifteen hundred and ninety-eight (87.6%) supervisors gave regular feedback for their trainees, 88.2% considered it a better monitoring tool than conventional logbook, 92.5% responded that e-logbook helped in the regular assessment of the trainees, 87.8% believe that quality of training will improve after introduction of e-logbook, 89.2% found e-logbook useful in implementation of outcome-based learning and 88.4% considered e-logbook user-friendly. The main reasons for not providing regular feedback included the supervisors not familiar to e-logbook interface, internet access problems, and busy schedules of supervisors. There was a wide acceptability of the e-log system among the supervisors with positive perception about its usefulness. The common reasons that hinder the provision of regular feedback include not being familiar to e-log interface, internet access problem, busy schedule and some consider using e-logbook a cumbersome task. These reasons can be alleviated to provide a better training monitoring system for the residents.
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-21
... tiered sand-filled geotextile containers as its core that is regularly maintained with 3 feet of beach...--such as mitigation, sea turtle monitoring, physical monitoring, maintenance of sand coverage, and removal of the dune core container system--are assured by: (a) Funds that will be placed annually in an...
Measured airtightness of 24 detached houses over periods of up to three years
DOE Office of Scientific and Technical Information (OSTI.GOV)
Proskiw, G.
1995-09-01
Regular airtightness tests were performed on 24 new houses, over periods of up to three years, to evaluate their air barrier systems and to search for evidence, air barrier degradation. Ten of the houses were constructed with polyethylene air barriers while the remaining 14 used an early version of the Airtight Drywall Approach (ADA). The 24 project houses were architecturally similar and of approximately equal size and general layout; stucco was the predominate exterior wall finish. All were exposed to similar terrain shielding. The study found that the airtightness of the polyethylene air barrier houses remained stable over their respectivemore » monitoring periods. Although two of the ten houses demonstrated possible, albeit slight, evidence of airtightness degradation, the magnitude of these changes was small and judged not to be of practical significance. With respect to the critical issue of air barrier degradation, no evidence could be found to indicate polyethylene is unsuited for use as an air barrier material in residential construction. For example, all but one of the polyethylene houses met the airtightness requirements of the Canadian R-2000 Standard for energy efficient housing at the end of their monitoring periods. The study found that the airtightness of the 14 ADA houses also remained stable over their monitoring periods. Although six of the 14 houses displayed possible, but slight, evidence of airtightness degradation, the magnitude of the changes was small and not of practical significance. It was concluded that no evidence could be found to indicate that the ADA system is unsuited for use in residential construction. All 14 ADA houses met the airtightness requirements of the R-2000 Program at the end of their respective monitoring periods.« less
Schloderer, Glen; Bingham, Matthew; Awange, Joseph L; Fleming, Kevin M
2011-09-01
In environmental monitoring, environmental impact assessments and environmental audits, topographical maps play an essential role in providing a means by which the locations of sampling sites may be selected, in assisting with the interpretation of physical features, and in indicating the impact or potential impact on an area due to changes in the system being monitored (e.g., spatially changing features such as wetlands). Global Navigation Satellite Systems (GNSS) are hereby presented as a rapid method for monitoring spatial changes to support environmental monitoring decisions and policies. To validate the GNSS-based method, a comparison is made of results from a small-scale topographic survey using radio-based real-time kinematic GNSS (GNSS-RTK) and total station survey methods at Jack Finnery Lake, Perth, Australia. The accuracies achieved by the total station in this study were 2 cm horizontally and 6 cm vertically, while the GNSS-RTK also achieved an accuracy of 2 cm horizontally, but only 28 cm vertically. While the GNSS-RTK measurements were less accurate in the height component compared to those from the total station method, it is still capable of achieving accuracies sufficient for a topographic map at a scale of 1:1,750 that could support environmental monitoring tasks such as identifying spatial changes in small water bodies or wetlands. The time taken to perform the survey using GNSS-RTK, however, was much shorter compared to the total station method, thereby making it quite suitable for monitoring spatial changes within an environmental context, e.g., dynamic mining activities that require rapid surveys and the updating of the monitored data at regular intervals.
Patients' blood pressure knowledge, perceptions and monitoring practices in community pharmacies.
Lam, Jennifer Y; Guirguis, Lisa M
2010-07-01
Hypertension is a modifiable risk factor for cardiovascular disease. Despite this, patients often cannot or inaccurately estimate their risk factors. IN ORDER TO IMPROVE PHARMACIST INTERVENTIONS, WE SOUGHT TO: 1) find out patients' knowledge about blood pressure (BP) and their self-monitoring behaviors and 2) identify the relationships between these two elements. Specifically, if evaluation of BP control were related to knowledge of one's BP level and self-monitoring habits, and if knowledge of one's target and BP level varied with monitoring habits. Final year pharmacy students were trained and interviewed patients in community pharmacies as a required exercise in their pharmacy clerkship. Each student recruited a convenience sample of 5-10 patients who were on hypertension medication, and surveyed them regarding their BP targets, recent BP levels as well as monthly and home BP monitoring practices. One third of the 449 patients interviewed were able to report a blood pressure target with 26% reporting a JNC 7 recognized target. Three quarters of patients who reported a blood pressure target were able to report a blood pressure level, with 12% being at their self-reported target. Roughly two thirds of patients perceived their BP to be "about right", and slightly less than a third thought it to be "high". Sixty percent of patients monitor their BP monthly, but less than 50% of patients practice home BP monitoring. This study along with others before it point to the knowledge and self-management gaps in patients with chronic conditions. Furthermore, pharmacy students were able to use a brief intervention to screen patients during routine care. Pharmacists can help improve patient understanding and promote increased self-management through regular BP monitoring.
Periodontal health: CPITN as a promotional strategy.
Croxson, L J; Purdell-Lewis, D
1994-10-01
Community and individual involvement are essential needs in preventive programmes for periodontal health. Campaigns should be directed towards a better individual understanding of the importance of healthy gum tissues if a functional healthy dentition is to be retained over a lifetime. Effective awareness campaigns require not only participation and education of the general public, but also all levels of health care professionals. Awareness programmes need to be carefully planned and their messages clear, non-conflicting and regularly reinforced. The complete programme should be based on, and include, specific aims, goals, strategies, monitoring and evaluation. Oral health and hygiene promotion campaigns need careful coordination between the relevant agencies or institutions involved in their implementation, such as government agencies, professional associations, industry, aid groups and education organisations.
Aerosolized red-tide toxins (brevetoxins) and asthma.
Fleming, Lora E; Kirkpatrick, Barbara; Backer, Lorraine C; Bean, Judy A; Wanner, Adam; Reich, Andrew; Zaias, Julia; Cheng, Yung Sung; Pierce, Richard; Naar, Jerome; Abraham, William M; Baden, Daniel G
2007-01-01
With the increasing incidence of asthma, there is increasing concern over environmental exposures that may trigger asthma exacerbations. Blooms of the marine microalgae, Karenia brevis, cause red tides (or harmful algal blooms) annually throughout the Gulf of Mexico. K brevis produces highly potent natural polyether toxins, called brevetoxins, which are sodium channel blockers, and possibly histamine activators. In experimental animals, brevetoxins cause significant bronchoconstriction. In humans, a significant increase in self-reported respiratory symptoms has been described after recreational and occupational exposures to Florida red-tide aerosols, particularly among individuals with asthma. Before and after 1 h spent on beaches with and without an active K brevis red-tide exposure, 97 persons >or= 12 years of age with physician-diagnosed asthma were evaluated by questionnaire and spirometry. Concomitant environmental monitoring, water and air sampling, and personal monitoring for brevetoxins were performed. Participants were significantly more likely to report respiratory symptoms after K brevis red-tide aerosol exposure than before exposure. Participants demonstrated small, but statistically significant, decreases in FEV(1), midexpiratory phase of forced expiratory flow, and peak expiratory flow after exposure, particularly among those participants regularly using asthma medications. No significant differences were detected when there was no Florida red tide (ie, during nonexposure periods). This study demonstrated objectively measurable adverse changes in lung function from exposure to aerosolized Florida red-tide toxins in asthmatic subjects, particularly among those requiring regular therapy with asthma medications. Future studies will assess these susceptible subpopulations in more depth, as well as the possible long-term effects of these toxins.
Aerosolized Red-Tide Toxins (Brevetoxins) and Asthma
Fleming, Lora E.; Kirkpatrick, Barbara; Backer, Lorraine C.; Bean, Judy A.; Wanner, Adam; Reich, Andrew; Zaias, Julia; Cheng, Yung Sung; Pierce, Richard; Naar, Jerome; Abraham, William M.; Baden, Daniel G.
2009-01-01
Background With the increasing incidence of asthma, there is increasing concern over environmental exposures that may trigger asthma exacerbations. Blooms of the marine microalgae, Karenia brevis, cause red tides (or harmful algal blooms) annually throughout the Gulf of Mexico. K brevis produces highly potent natural polyether toxins, called brevetoxins, which are sodium channel blockers, and possibly histamine activators. In experimental animals, brevetoxins cause significant bronchoconstriction. In humans, a significant increase in self-reported respiratory symptoms has been described after recreational and occupational exposures to Florida red-tide aerosols, particularly among individuals with asthma. Methods Before and after 1 h spent on beaches with and without an active K brevis red-tide exposure, 97 persons ≥ 12 years of age with physician-diagnosed asthma were evaluated by questionnaire and spirometry. Concomitant environmental monitoring, water and air sampling, and personal monitoring for brevetoxins were performed. Results Participants were significantly more likely to report respiratory symptoms after K brevis red-tide aerosol exposure than before exposure. Participants demonstrated small, but statistically significant, decreases in FEV1, midexpiratory phase of forced expiratory flow, and peak expiratory flow after exposure, particularly among those participants regularly using asthma medications. No significant differences were detected when there was no Florida red tide (ie, during nonexposure periods). Conclusions This study demonstrated objectively measurable adverse changes in lung function from exposure to aerosolized Florida red-tide toxins in asthmatic subjects, particularly among those requiring regular therapy with asthma medications. Future studies will assess these susceptible subpopulations in more depth, as well as the possible long-term effects of these toxins. PMID:17218574
NASA Astrophysics Data System (ADS)
Hashimoto, Sayuri; Munakata, Tsunestugu; Hashimoto, Nobuyuki; Okunaka, Jyunzo; Koga, Tatsuzo
2006-01-01
Our research showed that a high degree of life-stress has a negative mental health effect that may interrupt regular exercise. We used an internet based, remotely conducted, face to face, preventive counseling program using video monitors to reduce the source of life-stresses that interrupts regular exercise and evaluated the preventative effects of the program in elderly people. NTSC Video signals were converted to the IP protocol and facial images were transmitted to a PC display using the exclusive optical network lines of JGN2. Participants were 22 elderly people in Hokkaido, Japan, who regularly played table tennis. A survey was conducted before the intervention in August 2003. IT remote counseling was conducted on two occasions for one hour on each occasion. A post intervention survey was conducted in February 2004 and a follow-up survey was conducted in March 2005. Network quality was satisfactory with little data loss and high display quality. Results indicated that self-esteem increased significantly, trait anxiety decreased significantly, cognition of emotional support by people other than family members had a tendency to increase, and source of stress had a tendency to decrease after the intervention. Follow-up results indicated that cognition of emotional support by family increased significantly, and interpersonal dependency decreased significantly compared to before the intervention. These results suggest that face to face IT remote counseling using video monitors is useful to keep elderly people from feeling anxious and to make them confident to continue exercising regularly. Moreover, it has a stress management effect.
Dalaudier, F; Kan, V; Gurvich, A S
2001-02-20
We describe refractive and chromatic effects, both regular and random, that occur during star occultations by the Earth's atmosphere. The scintillation that results from random density fluctuations, as well as the consequences of regular chromatic refraction, is qualitatively described. The resultant chromatic scintillation will produce random features on the Global Ozone Monitoring by Occultation of Stars (GOMOS) spectrometer, with an amplitude comparable with that of some of the real absorbing features that result from atmospheric constituents. A correction method that is based on the use of fast photometer signals is described, and its efficiency is discussed. We give a qualitative (although accurate) description of the phenomena, including numerical values when needed. Geometrical optics and the phase-screen approximation are used to keep the description simple.
20 CFR 220.30 - Special period required for eligibility of widow(er)s.
Code of Federal Regulations, 2013 CFR
2013-04-01
... RAILROAD RETIREMENT ACT DETERMINING DISABILITY Disability Under the Railroad Retirement Act for Any Regular Employment § 220.30 Special period required for eligibility of widow(er)s. In order to be found disabled for any regular employment, a widow(er) must have a permanent physical or mental impairment which...
47 CFR 87.189 - Requirements for public correspondence equipment and operations.
Code of Federal Regulations, 2010 CFR
2010-10-01
... (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES AVIATION SERVICES Aircraft Stations § 87.189 Requirements for... continuous watch must be maintained on the frequencies used for safety and regularity of flight while public... interfere with message pertaining to safety of life and property or regularity of flight, or when ordered by...
Brachmann, Johannes; Böhm, Michael; Rybak, Karin; Klein, Gunnar; Butter, Christian; Klemm, Hanno; Schomburg, Rolf; Siebermair, Johannes; Israel, Carsten; Sinha, Anil-Martin; Drexler, Helmut
2011-01-01
Aims The Optimization of Heart Failure Management using OptiVol Fluid Status Monitoring and CareLink (OptiLink HF) study is designed to investigate whether OptiVol fluid status monitoring with an automatically generated wireless CareAlert notification via the CareLink Network can reduce all-cause death and cardiovascular hospitalizations in an HF population, compared with standard clinical assessment. Methods Patients with newly implanted or replacement cardioverter-defibrillator devices with or without cardiac resynchronization therapy, who have chronic HF in New York Heart Association class II or III and a left ventricular ejection fraction ≤35% will be eligible to participate. Following device implantation, patients are randomized to either OptiVol fluid status monitoring through CareAlert notification or regular care (OptiLink ‘on' vs. ‘off'). The primary endpoint is a composite of all-cause death or cardiovascular hospitalization. It is estimated that 1000 patients will be required to demonstrate superiority of the intervention group to reduce the primary outcome by 30% with 80% power. Conclusion The OptiLink HF study is designed to investigate whether early detection of congestion reduces mortality and cardiovascular hospitalization in patients with chronic HF. The study is expected to close recruitment in September 2012 and to report first results in May 2014. ClinicalTrials.gov Identifier: NCT00769457 PMID:21555324
Monitoring of Post-match Fatigue in Professional Soccer: Welcome to the Real World.
Carling, Christopher; Lacome, Mathieu; McCall, Alan; Dupont, Gregory; Le Gall, Franck; Simpson, Ben; Buchheit, Martin
2018-05-08
Participation in soccer match-play leads to acute and transient subjective, biochemical, metabolic and physical disturbances in players over subsequent hours and days. Inadequate time for rest and regeneration between matches can expose players to the risk of training and competing whilst not entirely recovered. In professional soccer, contemporary competitive schedules can require teams to compete in excess of 60 matches over the course of the season with periods of fixture congestion occurring, prompting much attention from researchers and practitioners to the monitoring of fatigue and readiness to play. A comprehensive body of research has investigated post-match acute and residual fatigue responses. Yet the relevance of the research for professional soccer contexts is debatable, notably in relation to the study populations and designs employed. Monitoring can indeed be invasive, expensive, time inefficient, and difficult to perform routinely and simultaneously in a large squad of regularly competing players. Uncertainty also exists regarding the meaningfulness and interpretation of changes in fatigue response values and their functional relevance, and practical applicability in the field. The real-world need and cost-benefit of monitoring must be carefully weighed up. In relation to professional soccer contexts, this opinion paper intends to (1) debate the need for post-match fatigue monitoring; (2) critique the real-world relevance of the current research literature; (3) discuss the practical burden relating to measurement tools and protocols, and the collection, interpretation and application of data in the field; and (4) propose future research perspectives.
Generalized Bregman distances and convergence rates for non-convex regularization methods
NASA Astrophysics Data System (ADS)
Grasmair, Markus
2010-11-01
We generalize the notion of Bregman distance using concepts from abstract convexity in order to derive convergence rates for Tikhonov regularization with non-convex regularization terms. In particular, we study the non-convex regularization of linear operator equations on Hilbert spaces, showing that the conditions required for the application of the convergence rates results are strongly related to the standard range conditions from the convex case. Moreover, we consider the setting of sparse regularization, where we show that a rate of order δ1/p holds, if the regularization term has a slightly faster growth at zero than |t|p.
NASA Astrophysics Data System (ADS)
Levelt, P. F.; Veefkind, J. P.
2010-05-01
Dedicated atmospheric chemistry observations from space have been made for over 30 years now, starting with the SBUV and TOMS measurements of the ozone layer. Since then huge progress has been made, improving the accuracy of the measurements, extending the amount of constituents, and by sensing not only the stratosphere, but the last five to ten years also the troposphere. The potential to operational monitor the atmosphere, following the meteorological community, came within reach. At the same time, the importance for society of regular operational environmental measurements, related to the ozone layer, air quality and climate change, became apparent, amongst others resulting in the EU initiative Global Monitoring for Environment and Security (GMES) In order to prepare the operational missions in the context of the GMES, ESA took the initiative to further study the user requirements for the Sentinel 4 and 5 (precursor) missions. The Sentinel 4 and 5 (precursor) missions are dedicated operational missions to monitor the atmospheric composition in the 2013-2020 timeframe and onward. The user requirements for the sentinel missions focus on monitoring the atmosphere from an environmental point of view (ozone layer, air quality and climate). ESA's CAMELOT (Composition of the Atmospheric Mission concEpts and SentineL Observation Techniques) study is the follow-on study to ESA's CAPACITY study finished in 2005. The general objective of the CAMELOT study is to further contribute to the definition of the air quality and climate protocol monitoring parts of the GMES Sentinel 4 and 5 missions. CAMELOT consists of a large European consortium formed by 9 European institutes (KNMI (lead), RAL, U.Leicester, SRON, FMI, BIRA-IASB, CNR-IFAC,NOVELTIS and RIU-U.Koeln). In the presentation an overview will give a short overview of the CAMELOT study, including some specific results for combined retrievals, cloud statistics for different orbit geometries and retrievals for several orbit scenarios. The presentation will elaborate on the potential of the sentinel 4 and 5 missions for atmospheric monitoring and science.
Tack, Cornelius; Pohlmeier, Harald; Behnke, Thomas; Schmid, Volkmar; Grenningloh, Marco; Forst, Thomas; Pfützner, Andreas
2012-04-01
This multicenter study was conducted to evaluate the performance of five recently introduced blood glucose (BG) monitoring (BGM) devices under daily routine conditions in comparison with the YSI (Yellow Springs, OH) 2300 Stat Plus glucose analyzer. Five hundred one diabetes patients with experience in self-monitoring of BG were randomized to use three of five different BGM devices (FreeStyle Lite® [Abbott Diabetes Care Inc., Alameda, CA], FreeStyle Freedom Lite [Abbott Diabetes Care], OneTouch® UltraEasy® [LifeScan Inc., Milpitas, CA], Accu-Chek® Aviva [Roche Diagnostics, Mannheim, Germany], and Contour® [Bayer Vital GmbH, Leverkusen, Germany]) in a daily routine setting. All devices and strips were purchased from local regular distribution sources (pharmacies, four strip lots per device). The patients performed the finger prick and the glucose measurement on their own. In parallel, a healthcare professional performed the glucose assessment with the reference method (YSI 2300 Stat Plus). The primary objective was the comparison of the mean absolute relative differences (MARD). Secondary objectives were compliance with the International Organization for Standardization (ISO) accuracy criteria under these routine conditions and Clarke and Parkes Error Grid analyses. MARD ranged from 4.9% (FreeStyle Lite) to 9.7% (OneTouch UltraEasy). The ISO 15197:2003 requirements were fulfilled by the FreeStyle Lite (98.8%), FreeStyle Freedom Lite (97.5%), and Accu-Chek Aviva (97.0%), but not by the Contour (92.4%) and OneTouch UltraEasy (91.1%). The number of values in Zone A of the Clarke Error Grid analysis was highest for the FreeStyle Lite (98.8%) and lowest for the OneTouch Ultra Easy (90.4%). FreeStyle Lite, FreeStyle Freedom Lite, and Accu-Chek Aviva performed very well in this study with devices and strips purchased through regular distribution channels, with the FreeStyle Lite achieving the lowest MARD in this investigation.
Tack, Cornelius; Pohlmeier, Harald; Behnke, Thomas; Schmid, Volkmar; Grenningloh, Marco; Forst, Thomas
2012-01-01
Abstract Background This multicenter study was conducted to evaluate the performance of five recently introduced blood glucose (BG) monitoring (BGM) devices under daily routine conditions in comparison with the YSI (Yellow Springs, OH) 2300 Stat Plus glucose analyzer. Methods Five hundred one diabetes patients with experience in self-monitoring of BG were randomized to use three of five different BGM devices (FreeStyle Lite® [Abbott Diabetes Care Inc., Alameda, CA], FreeStyle Freedom Lite [Abbott Diabetes Care], OneTouch® UltraEasy® [LifeScan Inc., Milpitas, CA], Accu-Chek® Aviva [Roche Diagnostics, Mannheim, Germany], and Contour® [Bayer Vital GmbH, Leverkusen, Germany]) in a daily routine setting. All devices and strips were purchased from local regular distribution sources (pharmacies, four strip lots per device). The patients performed the finger prick and the glucose measurement on their own. In parallel, a healthcare professional performed the glucose assessment with the reference method (YSI 2300 Stat Plus). The primary objective was the comparison of the mean absolute relative differences (MARD). Secondary objectives were compliance with the International Organization for Standardization (ISO) accuracy criteria under these routine conditions and Clarke and Parkes Error Grid analyses. Results MARD ranged from 4.9% (FreeStyle Lite) to 9.7% (OneTouch UltraEasy). The ISO 15197:2003 requirements were fulfilled by the FreeStyle Lite (98.8%), FreeStyle Freedom Lite (97.5%), and Accu-Chek Aviva (97.0%), but not by the Contour (92.4%) and OneTouch UltraEasy (91.1%). The number of values in Zone A of the Clarke Error Grid analysis was highest for the FreeStyle Lite (98.8%) and lowest for the OneTouch Ultra Easy (90.4%). Conclusions FreeStyle Lite, FreeStyle Freedom Lite, and Accu-Chek Aviva performed very well in this study with devices and strips purchased through regular distribution channels, with the FreeStyle Lite achieving the lowest MARD in this investigation. PMID:22176154
Management of diabetes mellitus in children and adolescents: engaging in physical activity.
Nadella, Silpa; Indyk, Justin A; Kamboj, Manmohan K
2017-07-01
Regular physical activity is an important component in the management of both type 1 and type 2 diabetes mellitus (T1DM and T2DM), as it has the potential to improve glycemic control, delay cardiovascular complications, and increase overall well-being. Unfortunately, many children and adolescents with diabetes do not partake in regular exercise and physical activity for multiple reasons. This review identifies the barriers to participation from the aspect of the patient, caregiver, and the healthcare provider. The management of physical activity of children and adolescents with diabetes mellitus is unique and requires an understanding of exercise physiology and how it differs in these children and adolescents from those without the condition. These individuals are at risk for important and potentially life threatening complications including, but not limited to, severe or delayed nocturnal hypoglycemia. It is essential to identify these risks as well as, monitor and manage adjustments to carbohydrate intake and insulin dosing through basal-bolus regimen or insulin pump adjustments appropriately before, during, and after the exercise activity. This review discusses these issues and also outlines differences in management between patients with T1DM and T2DM.
Transperineal ultrasonography in perianal Crohn disease: A valuable imaging modality.
Wright, Emily K; Novak, Kerri L; Lu, Cathy; Panaccione, Remo; Ghosh, Subrata; Wilson, Stephanie R
2015-01-01
Aims of treatment for Crohn disease have moved beyond the resolution of clinical symptoms to objective end points including endoscopic and radiological normality. Regular re-evaluation of disease status to safely, readily and reliably detect the presence of inflammation and complications is paramount. Improvements in sonographic technology over recent years have facilitated a growing enthusiasm among radiologists and gastroenterologists in the use of ultrasound for the assessment of inflammatory bowel disease. Transabdominal intestinal ultrasound is accurate, affordable and safe for the assessment of luminal inflammation and complications in Crohn disease, and can be performed with or without the use of intravenous contrast enhancement. Perianal fistulizing disease is a common, complex and often treatment-refractory complication of Crohn disease, which requires regular radiological monitoring. Endoanal ultrasound is invasive, uncomfortable and yields limited assessment of the perineal region. Although magnetic resonance imaging of the pelvis is established, timely access may be a problem. Transperineal ultrasound has been described in small studies, and is an accurate, painless and cost-effective method for documenting perianal fluid collections, fistulas and sinus tracts. In the present article, the authors review the literature regarding perineal ultrasound for the assessment of perianal Crohn disease and use case examples to illustrate its clinical utility.
Freckmann, Guido; Baumstark, Annette; Schmid, Christina; Pleus, Stefan; Link, Manuela; Haug, Cornelia
2014-02-01
Systems for self-monitoring of blood glucose (SMBG) have to provide accurate and reproducible blood glucose (BG) values in order to ensure adequate therapeutic decisions by people with diabetes. Twelve SMBG systems were compared in a standardized manner under controlled laboratory conditions: nine systems were available on the German market and were purchased from a local pharmacy, and three systems were obtained from the manufacturer (two systems were available on the U.S. market, and one system was not yet introduced to the German market). System accuracy was evaluated following DIN EN ISO (International Organization for Standardization) 15197:2003. In addition, measurement reproducibility was assessed following a modified TNO (Netherlands Organization for Applied Scientific Research) procedure. Comparison measurements were performed with either the glucose oxidase method (YSI 2300 STAT Plus™ glucose analyzer; YSI Life Sciences, Yellow Springs, OH) or the hexokinase method (cobas(®) c111; Roche Diagnostics GmbH, Mannheim, Germany) according to the manufacturer's measurement procedure. The 12 evaluated systems showed between 71.5% and 100% of the measurement results within the required system accuracy limits. Ten systems fulfilled with the evaluated test strip lot minimum accuracy requirements specified by DIN EN ISO 15197:2003. In addition, accuracy limits of the recently published revision ISO 15197:2013 were applied and showed between 54.5% and 100% of the systems' measurement results within the required accuracy limits. Regarding measurement reproducibility, each of the 12 tested systems met the applied performance criteria. In summary, 83% of the systems fulfilled with the evaluated test strip lot minimum system accuracy requirements of DIN EN ISO 15197:2003. Each of the tested systems showed acceptable measurement reproducibility. In order to ensure sufficient measurement quality of each distributed test strip lot, regular evaluations are required.
Monitoring The Stability Of Levees With Time-Series ENVISAT ASAR Images
NASA Astrophysics Data System (ADS)
Pei, Yuanyuan; Liao, Mingsheng; Wang, Teng; Zhang, Lu
2012-01-01
Levees are constructed to protect coastal cities from typhoon, flood, and sea tide. Since the stability of levees is important, it is necessary to monitor their deformation regularly. Repeat-track space-borne SAR images are useful for environment monitoring, especially for ground deformation monitoring. Shanghai resides on the Yangtze River Delta on China’s eastern coast. Each year, the city is hit by typhoons from the Pacific Ocean and threatened by the flood of the Yangtze River. We used Persistent Scatterer Interferometry to monitor the deformation of the levees. Our experiments show that the levees around Pudong airport and Lingang town suffer from serious deformation.
An Environment for Guideline-based Decision Support Systems for Outpatients Monitoring.
Zini, Elisa M; Lanzola, Giordano; Bossi, Paolo; Quaglini, Silvana
2017-08-11
We propose an architecture for monitoring outpatients that relies on mobile technologies for acquiring data. The goal is to better control the onset of possible side effects between the scheduled visits at the clinic. We analyze the architectural components required to ensure a high level of abstraction from data. Clinical practice guidelines were formalized with Alium, an authoring tool based on the PROforma language, using SNOMED-CT as a terminology standard. The Alium engine is accessible through a set of APIs that may be leveraged for implementing an application based on standard web technologies to be used by doctors at the clinic. Data sent by patients using mobile devices need to be complemented with those already available in the Electronic Health Record to generate personalized recommendations. Thus a middleware pursuing data abstraction is required. To comply with current standards, we adopted the HL7 Virtual Medical Record for Clinical Decision Support Logical Model, Release 2. The developed architecture for monitoring outpatients includes: (1) a guideline-based Decision Support System accessible through a web application that helps the doctors with prevention, diagnosis and treatment of therapy side effects; (2) an application for mobile devices, which allows patients to regularly send data to the clinic. In order to tailor the monitoring procedures to the specific patient, the Decision Support System also helps physicians with the configuration of the mobile application, suggesting the data to be collected and the associated collection frequency that may change over time, according to the individual patient's conditions. A proof of concept has been developed with a system for monitoring the side effects of chemo-radiotherapy in head and neck cancer patients. Our environment introduces two main innovation elements with respect to similar works available in the literature. First, in order to meet the specific patients' needs, in our work the Decision Support System also helps the physicians in properly configuring the mobile application. Then the Decision Support System is also continuously fed by patient-reported outcomes.
NASA Astrophysics Data System (ADS)
Levelt, P.; Veefkind, P.
2009-04-01
Dedicated atmospheric chemistry observations from space have been made for over 30 years now, starting with the SBUV and TOMS measurements of the ozone layer. Since then huge progress has been made, improving the accuracy of the measurements, extending the amount of constituents, and by sensing not only the stratosphere, but the last five to ten years also the troposphere. The potential to operational monitor the atmosphere, following the meteorological community, came within reach. At the same time, the importance for society of regular operational environmental measurements, related to the ozone layer, air quality and climate change, became apparent, amongst others resulting in the EU initiative Global Monitoring for Environment and Security (GMES) In order to prepare the operational missions in the context of the GMES, ESA took the initiative to further study the user requirements for the Sentinel 4 and 5 (precursor) missions. The Sentinel 4 and 5 (precursor) missions are dedicated operational missions to monitor the atmospheric composition in the 2013-2020 timeframe and onward. The user requirements for the sentinel missions focus on monitoring the atmosphere from an environmental point of view (ozone layer, air quality and climate). ESA's CAMELOT (Composition of the Atmospheric Mission concEpts and SentineL Observation Techniques) study is the follow-on study to ESA's CAPACITY study finished in 2005. The general objective of the CAMELOT study is to further contribute to the definition of the air quality and climate protocol monitoring parts of the GMES Sentinel 4 and 5 missions. Key issues in the CAMELOT study are: • trade-offs between different observation strategies (spectral ranges, polarisation, direction etc) for aerosols and several trace gases • a quantitative assessment of the requirements for spatio-temporal sampling taking into account the contamination of nadir-viewing observations by cloud • optimising several orbit scenario's (leo, inclined leo, geo or any combination) and a contribution from the user's perspective to the trade-off between different orbits. In order to address these issues a large European consortium, lead by KNMI, has been formed by 9 European institutes (KNMI, RAL, U.Leicester, SRON, FMI, BIRA-IASB, CNR-IFAC,NOVELTIS and RIU-U.Koeln). In the presentation an overview will be given of the CAMELOT study, including specific results for combined retrievals, cloud statistics for different orbit geometries and retrievals for several orbit scenarios.
Minimal residual method provides optimal regularization parameter for diffuse optical tomography
NASA Astrophysics Data System (ADS)
Jagannath, Ravi Prasad K.; Yalavarthy, Phaneendra K.
2012-10-01
The inverse problem in the diffuse optical tomography is known to be nonlinear, ill-posed, and sometimes under-determined, requiring regularization to obtain meaningful results, with Tikhonov-type regularization being the most popular one. The choice of this regularization parameter dictates the reconstructed optical image quality and is typically chosen empirically or based on prior experience. An automated method for optimal selection of regularization parameter that is based on regularized minimal residual method (MRM) is proposed and is compared with the traditional generalized cross-validation method. The results obtained using numerical and gelatin phantom data indicate that the MRM-based method is capable of providing the optimal regularization parameter.
Minimal residual method provides optimal regularization parameter for diffuse optical tomography.
Jagannath, Ravi Prasad K; Yalavarthy, Phaneendra K
2012-10-01
The inverse problem in the diffuse optical tomography is known to be nonlinear, ill-posed, and sometimes under-determined, requiring regularization to obtain meaningful results, with Tikhonov-type regularization being the most popular one. The choice of this regularization parameter dictates the reconstructed optical image quality and is typically chosen empirically or based on prior experience. An automated method for optimal selection of regularization parameter that is based on regularized minimal residual method (MRM) is proposed and is compared with the traditional generalized cross-validation method. The results obtained using numerical and gelatin phantom data indicate that the MRM-based method is capable of providing the optimal regularization parameter.
Operation of International Monitoring System Network
NASA Astrophysics Data System (ADS)
Nikolova, Svetlana; Araujo, Fernando; Aktas, Kadircan; Malakhova, Marina; Otsuka, Riyo; Han, Dongmei; Assef, Thierry; Nava, Elisabetta; Mickevicius, Sigitas; Agrebi, Abdelouaheb
2015-04-01
The IMS is a globally distributed network of monitoring facilities using sensors from four technologies: seismic, hydroacoustic, infrasound and radionuclide. It is designed to detect the seismic and acoustic waves produced by nuclear test explosions and the subsequently released radioactive isotopes. Monitoring stations transmit their data to the IDC in Vienna, Austria, over a global private network known as the GCI. Since 2013, the data availability (DA) requirements for IMS stations account for quality of the data, meaning that in calculation of data availability data should be exclude if: - there is no input from sensor (SHI technology); - the signal consists of constant values (SHI technology); Even more strict are requirements for the DA of the radionuclide (particulate and noble gas) stations - received data have to be analyzed, reviewed and categorized by IDC analysts. In order to satisfy the strict data and network availability requirements of the IMS Network, the operation of the facilities and the GCI are managed by IDC Operations. Operations has following main functions: - to ensure proper operation and functioning of the stations; - to ensure proper operation and functioning of the GCI; - to ensure efficient management of the stations in IDC; - to provide network oversight and incident management. At the core of the IMS Network operations are a series of tools for: monitoring the stations' state of health and data quality, troubleshooting incidents, communicating with internal and external stakeholders, and reporting. The new requirements for data availability increased the importance of the raw data quality monitoring. This task is addressed by development of additional tools for easy and fast identifying problems in data acquisition, regular activities to check compliance of the station parameters with acquired data by scheduled calibration of the seismic network, review of the samples by certified radionuclide laboratories. The DA for the networks of different technologies in 2014 is: Primary seismic (PS) network - 95.70%, Infrasound network (IS) - 97.68%, Hydroacoustic network (HA) - 88.78%, Auxiliary Seismic - 86.07%; Radionuclide Particulate - 83.01% and Radionuclide Noble Gas -75.06%. IDC's strategy for further improving operations and management of the stations and meeting DA requirements is: - further development of tools and procedures to effectively identify and support troubleshooting of problems by the Station Operators; - effective support to the station operators to develop tailored Operation and Maintenance plans for their stations; - focus on early identification of the raw data quality problems at the station in order to support timely resolution; - extensive training programme for station operators (joined effort of IDC and IMS).
76 FR 70465 - Connecticut; Emergency and Related Determinations
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-14
..., under the Public Assistance program. This assistance excludes regular time costs for subgrantees' regular employees. Consistent with the requirement that Federal assistance is supplemental, any Federal...
UAV photogrammetry for topographic monitoring of coastal areas
NASA Astrophysics Data System (ADS)
Gonçalves, J. A.; Henriques, R.
2015-06-01
Coastal areas suffer degradation due to the action of the sea and other natural and human-induced causes. Topographical changes in beaches and sand dunes need to be assessed, both after severe events and on a regular basis, to build models that can predict the evolution of these natural environments. This is an important application for airborne LIDAR, and conventional photogrammetry is also being used for regular monitoring programs of sensitive coastal areas. This paper analyses the use of unmanned aerial vehicles (UAV) to map and monitor sand dunes and beaches. A very light plane (SwingletCam) equipped with a very cheap, non-metric camera was used to acquire images with ground resolutions better than 5 cm. The Agisoft Photoscan software was used to orientate the images, extract point clouds, build a digital surface model and produce orthoimage mosaics. The processing, which includes automatic aerial triangulation with camera calibration and subsequent model generation, was mostly automated. To achieve the best positional accuracy for the whole process, signalised ground control points were surveyed with a differential GPS receiver. Two very sensitive test areas on the Portuguese northwest coast were analysed. Detailed DSMs were obtained with 10 cm grid spacing and vertical accuracy (RMS) ranging from 3.5 to 5.0 cm, which is very similar to the image ground resolution (3.2-4.5 cm). Where possible to assess, the planimetric accuracy of the orthoimage mosaics was found to be subpixel. Within the regular coastal monitoring programme being carried out in the region, UAVs can replace many of the conventional flights, with considerable gains in the cost of the data acquisition and without any loss in the quality of topographic and aerial imagery data.
Volatile metabolic monitoring of glycemic status in diabetes using electronic olfaction.
Dalton, Pamela; Gelperin, Alan; Preti, George
2004-08-01
The increased incidence of Type I and Type II diabetes among adults and adolescents is a growing public health concern worldwide. The primary objective of diabetes mellitus management involves keeping glycemia levels within the euglycemic range to prevent a variety of serious health complications. Unfortunately, daily self-monitoring is both a requirement and a problem for many patients with diabetes, particularly children and adolescents. Studies have shown that as many as 43% of adolescents and 30% of children (<14 years old) regularly forget to use glycemic tests and are significantly poorer at recognizing and reporting symptoms and signs of hypoglycemia/hyperglycemia. For this reason, methods for noninvasive, continuous monitoring that can signal glycemic status to a parent, teacher, or other caregiver would improve the care and management of symptoms of diabetes among these individuals. The goal of this review is to describe and evaluate electronic olfaction technology ("electronic nose") for monitoring the presence and levels of volatile chemicals from human body and breath that can be used to evaluate status of diabetes. The review is organized in four sections. The first section reviews the chemistry of the volatile signals that are produced by the body that are indicative of metabolic status. The second section provides an overview of novel sensor technology, e.g., "electronic olfaction," that mimics the biological olfactory system and can be used to monitor and identify complex plumes of volatiles that are signatures of metabolic states. The third section reviews studies that have employed electronic "nose" technology for diagnosis and monitoring of diabetes via urine and breath, and the final section discusses needed future directions for the development of olfactory-based metabolic monitoring, particularly among noncompliant populations.
42 CFR 21.28 - Age requirements, Regular Corps, senior assistant grade and below.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 42 Public Health 1 2011-10-01 2011-10-01 false Age requirements, Regular Corps, senior assistant grade and below. 21.28 Section 21.28 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN... active service in the Commissioned Corps of the Public Health Service shall be increased by the period of...
High Blood Pressure in Pregnancy
... of the baby. Controlling your blood pressure during pregnancy and getting regular prenatal care are important for ... your baby. Treatments for high blood pressure in pregnancy may include close monitoring of the baby, lifestyle ...
Sustainable Seas Intertidal Monitoring Project at Duxbury Reef
NASA Astrophysics Data System (ADS)
Soave, K. S.; Dean, A.; Gusman, V.; McCracken, K.; Solli, S.; Storm, E.; Placeholder, P.
2007-12-01
The Sustainable Seas Student Monitoring Project at the Branson School in Ross, CA has monitored Duxbury Reef in Bolinas, CA since 1999, in cooperation with the Farallones Marine Sanctuary Association and the Gulf of Farallones National Marine Sanctuary. Goals of the project include: 1) To monitor the rocky intertidal habitat and develop a baseline database of invertebrates and algal density and abundance; 2) To contribute to the conservation of the rocky intertidal habitat through education of students and visitors about intertidal species and requirements for maintaining a healthy, diverse intertidal ecosystem; 3) To increase stewardship in the Gulf of the Farallones National Marine Sanctuary; and 4) To contribute abundance and population data on key algae and invertebrate species to the national database, LiMPETS (Long Term Monitoring Program & Experiential Training for Students). Student volunteers complete an intensive training course on the natural history of intertidal invertebrates and algae, identification of key species, rocky intertidal ecology, interpretation and monitoring techniques, and history of the sanctuary. Students conduct two baseline-monitoring surveys three times per year (fall, winter, and late spring) to identify and count key invertebrate and algae species. Seasonal abundance of the algae species Mastocarpus and Fucus revealed lower populations in the spring monitoring events. Turban snails, Tegula funebralis, also showed dramatic population variation with respect to tidal zone. One of our project goals is to monitor this area long enough to obtain trends and to begin to connect these patterns to contributing factors (specific weather events, anthropogenic impacts, etc). Replicate counts of all species are regularly performed. Replicate counts for invertebrate and algae species within the same quadrat along the permanent transects revealed a very small amount of variability, giving us confidence that our monitoring program is providing reliable data. The Branson School 39 Fernhill Rd. Ross, CA 94957 (415) 454-3612 x 323 Farallones Marine Sanctuary Association, PO Box 29386 San Francisco, CA 94129, 415-561-6625 x 303
ERIC Educational Resources Information Center
O'Donnell, Philip; Richards, Maryse; Pearce, Steven; Romero, Edna
2012-01-01
Juvenile delinquency is an ongoing social problem particularly among low-income urban youth who are regularly exposed to numerous risk factors. Although much research has been conducted in this area, the most at-risk youth have been largely neglected. This study examines the role of peer deviance in mediating the influence of adult monitoring on…
Rule-Based Runtime Verification
NASA Technical Reports Server (NTRS)
Barringer, Howard; Goldberg, Allen; Havelund, Klaus; Sen, Koushik
2003-01-01
We present a rule-based framework for defining and implementing finite trace monitoring logics, including future and past time temporal logic, extended regular expressions, real-time logics, interval logics, forms of quantified temporal logics, and so on. Our logic, EAGLE, is implemented as a Java library and involves novel techniques for rule definition, manipulation and execution. Monitoring is done on a state-by-state basis, without storing the execution trace.
... to help diagnose and monitor a disorder called sarcoidosis . People with sarcoidosis may have their ACE level tested regularly to ... normal ACE level may be a sign of sarcoidosis. ACE levels may rise or fall as sarcoidosis ...
NASA Astrophysics Data System (ADS)
Hodgkins, Alex Liam; Diez, Victor; Hegner, Benedikt
2012-12-01
The Software Process & Infrastructure (SPI) project provides a build infrastructure for regular integration testing and release of the LCG Applications Area software stack. In the past, regular builds have been provided using a system which has been constantly growing to include more features like server-client communication, long-term build history and a summary web interface using present-day web technologies. However, the ad-hoc style of software development resulted in a setup that is hard to monitor, inflexible and difficult to expand. The new version of the infrastructure is based on the Django Python framework, which allows for a structured and modular design, facilitating later additions. Transparency in the workflows and ease of monitoring has been one of the priorities in the design. Formerly missing functionality like on-demand builds or release triggering will support the transition to a more agile development process.
Moss, Taryn G; Carney, Colleen E; Haynes, Patricia; Harris, Andrea L
2015-02-01
Social rhythms, also known as daily routines (e.g. exercise, of school or work, recreation, social activities), have been identified as potential time cues to help to regulate the biological clock. Past research has shown links between regularity and healthy sleep. This study examined the regularity and frequency of daytime activities in a clinical insomnia population and a good sleeper comparison group. Participants (N = 69) prospectively monitored their sleep and daily activities for a 2-week period. Although participants with insomnia and good sleepers had similar levels of activity, relative to good sleepers, those with insomnia were less regular in their activities. Findings from this study add to the growing number of studies that highlight the relative importance of the regularity of daytime activities on sleep. Accordingly, future research should test treatment components that focus on regulating daytime activities, which would likely improve treatment outcomes.
A multiplicative regularization for force reconstruction
NASA Astrophysics Data System (ADS)
Aucejo, M.; De Smet, O.
2017-02-01
Additive regularizations, such as Tikhonov-like approaches, are certainly the most popular methods for reconstructing forces acting on a structure. These approaches require, however, the knowledge of a regularization parameter, that can be numerically computed using specific procedures. Unfortunately, these procedures are generally computationally intensive. For this particular reason, it could be of primary interest to propose a method able to proceed without defining any regularization parameter beforehand. In this paper, a multiplicative regularization is introduced for this purpose. By construction, the regularized solution has to be calculated in an iterative manner. In doing so, the amount of regularization is automatically adjusted throughout the resolution process. Validations using synthetic and experimental data highlight the ability of the proposed approach in providing consistent reconstructions.
NASA Astrophysics Data System (ADS)
Arenz, M.; Baek, W.-J.; Beck, M.; Beglarian, A.; Behrens, J.; Bergmann, T.; Berlev, A.; Besserer, U.; Blaum, K.; Bode, T.; Bornschein, B.; Bornschein, L.; Brunst, T.; Buzinsky, N.; Chilingaryan, S.; Choi, W. Q.; Deffert, M.; Doe, P. J.; Dragoun, O.; Drexlin, G.; Dyba, S.; Edzards, F.; Eitel, K.; Ellinger, E.; Engel, R.; Enomoto, S.; Erhard, M.; Eversheim, D.; Fedkevych, M.; Fischer, S.; Formaggio, J. A.; Fränkle, F. M.; Franklin, G. B.; Friedel, F.; Fulst, A.; Gil, W.; Glück, F.; Ureña, A. Gonzalez; Grohmann, S.; Grössle, R.; Gumbsheimer, R.; Hackenjos, M.; Hannen, V.; Harms, F.; Haußmann, N.; Heizmann, F.; Helbing, K.; Herz, W.; Hickford, S.; Hilk, D.; Hillesheimer, D.; Howe, M. A.; Huber, A.; Jansen, A.; Kellerer, J.; Kernert, N.; Kippenbrock, L.; Kleesiek, M.; Klein, M.; Kopmann, A.; Korzeczek, M.; Kovalík, A.; Krasch, B.; Kraus, M.; Kuckert, L.; Lasserre, T.; Lebeda, O.; Letnev, J.; Lokhov, A.; Machatschek, M.; Marsteller, A.; Martin, E. L.; Mertens, S.; Mirz, S.; Monreal, B.; Neumann, H.; Niemes, S.; Off, A.; Osipowicz, A.; Otten, E.; Parno, D. S.; Pollithy, A.; Poon, A. W. P.; Priester, F.; Ranitzsch, P. C.-O.; Rest, O.; Robertson, R. G. H.; Roccati, F.; Rodenbeck, C.; Röllig, M.; Röttele, C.; Ryšavý, M.; Sack, R.; Saenz, A.; Schimpf, L.; Schlösser, K.; Schlösser, M.; Schönung, K.; Schrank, M.; Seitz-Moskaliuk, H.; Sentkerestiová, J.; Sibille, V.; Slezák, M.; Steidl, M.; Steinbrink, N.; Sturm, M.; Suchopar, M.; Suesser, M.; Telle, H. H.; Thorne, L. A.; Thümmler, T.; Titov, N.; Tkachev, I.; Trost, N.; Valerius, K.; Vénos, D.; Vianden, R.; Hernández, A. P. Vizcaya; Weber, M.; Weinheimer, C.; Weiss, C.; Welte, S.; Wendel, J.; Wilkerson, J. F.; Wolf, J.; Wüstling, S.; Zadoroghny, S.
2018-05-01
The neutrino mass experiment KATRIN requires a stability of 3 ppm for the retarding potential at - 18.6 kV of the main spectrometer. To monitor the stability, two custom-made ultra-precise high-voltage dividers were developed and built in cooperation with the German national metrology institute Physikalisch-Technische Bundesanstalt (PTB). Until now, regular absolute calibration of the voltage dividers required bringing the equipment to the specialised metrology laboratory. Here we present a new method based on measuring the energy difference of two ^{83{m}}Kr conversion electron lines with the KATRIN setup, which was demonstrated during KATRIN's commissioning measurements in July 2017. The measured scale factor M=1972.449(10) of the high-voltage divider K35 is in agreement with the last PTB calibration 4 years ago. This result demonstrates the utility of the calibration method, as well as the long-term stability of the voltage divider.
Research of generalized wavelet transformations of Haar correctness in remote sensing of the Earth
NASA Astrophysics Data System (ADS)
Kazaryan, Maretta; Shakhramanyan, Mihail; Nedkov, Roumen; Richter, Andrey; Borisova, Denitsa; Stankova, Nataliya; Ivanova, Iva; Zaharinova, Mariana
2017-10-01
In this paper, Haar's generalized wavelet functions are applied to the problem of ecological monitoring by the method of remote sensing of the Earth. We study generalized Haar wavelet series and suggest the use of Tikhonov's regularization method for investigating them for correctness. In the solution of this problem, an important role is played by classes of functions that were introduced and described in detail by I.M. Sobol for studying multidimensional quadrature formulas and it contains functions with rapidly convergent series of wavelet Haar. A theorem on the stability and uniform convergence of the regularized summation function of the generalized wavelet-Haar series of a function from this class with approximate coefficients is proved. The article also examines the problem of using orthogonal transformations in Earth remote sensing technologies for environmental monitoring. Remote sensing of the Earth allows to receive from spacecrafts information of medium, high spatial resolution and to conduct hyperspectral measurements. Spacecrafts have tens or hundreds of spectral channels. To process the images, the device of discrete orthogonal transforms, and namely, wavelet transforms, was used. The aim of the work is to apply the regularization method in one of the problems associated with remote sensing of the Earth and subsequently to process the satellite images through discrete orthogonal transformations, in particular, generalized Haar wavelet transforms. General methods of research. In this paper, Tikhonov's regularization method, the elements of mathematical analysis, the theory of discrete orthogonal transformations, and methods for decoding of satellite images are used. Scientific novelty. The task of processing of archival satellite snapshots (images), in particular, signal filtering, was investigated from the point of view of an incorrectly posed problem. The regularization parameters for discrete orthogonal transformations were determined.
Obici, Laura; Kuks, Jan B; Buades, Juan; Adams, David; Suhr, Ole B; Coelho, Teresa; Kyriakides, Theodore
2016-02-01
These recommendations highlight recent experience in genetic counselling for the severe autosomal-dominant, late-onset transthyretin familial amyloid polyneuropathy (TTR-FAP) disease, and present a structured approach towards identification and monitoring of asymptomatic carriers of the mutated gene. The effectiveness of current treatment options is still limited in patients with TTR-FAP beyond stage I. Diagnosis in the early stages of TTR-FAP is essential to prevent or delay the progression of disease. Existing legal and cultural issues differ among countries within Europe. Experts of the European Network for TTR-FAP (ATTReuNET) concluded that genetic counselling for diagnosed individuals and at-risk family members is mostly beneficial and should be carried out with care by trained professionals. Systematic and regular monitoring of an asymptomatic carrier is necessary to detect early signs of TTR-FAP and maximize the effectiveness of treatment. This includes five areas of assessment: history/clinical examination, sensorimotor function, autonomic dysfunction, cardiac function, and renal function. At least two related symptoms and positive biopsy findings are required to confirm diagnosis of TTR-FAP. Early detection of TTR-FAP is essential to improve the prognosis of TTR-FAP. ATTReuNET recommends genetic counselling and routine monitoring for asymptomatic carriers of TTR-FAP.
[Analysis of the current status of neuroanesthesia in Spain using a national survey].
Fábregas, N; Salvador, L; Valero, R; Carrero, E; Gomar, C; Nalda, M A
1998-05-01
Advances in complementary diagnostic explorations, surgical support technology and the complexity of neurophysiological monitoring require anesthesiologists to acquire specific knowledge for dealing with neurosurgery. We aimed to study the implantation of new anesthetic-surgical techniques in the field of neurosurgery, and the state of neuroanesthesia as a subspecialty in Spain. A 20-item postal questionnaire sent to anesthesiology department heads of Spanish hospitals with neurosurgery teams. We received responses from 62% of the hospitals surveyed. Of these, 69% performed stereotaxic surgery, 30% functional cerebral surgery (for Parkinson's disease and epilepsy) and 21% offered neuroendoscopy. In 38% of the hospitals cerebral metabolism was monitored (hemoglobin oxygen saturation in the jugular or regional cerebral oxygen saturation) and/or cerebral electrophysiology (electroencephalogram, evoked potentials) and in 23.8% flows and pressures were measured (transcranial precordial and/or tracheoesophageal Doppler). Anesthesiologists specializing in neurosurgery are present in 62% of the hospitals. Interventionist neuroradiology is performed in 57%. It was noteworthy that 14.3% do not regularly have an anesthesiologist present during such high risk procedures. Although most centers continue performing "classical" neurosurgery with standard monitoring, a substantial proportion of hospitals (38%) show evidence of advancing in anesthetic techniques for neurosurgery in Spain. Anesthesia for neurosurgery as a subspecialty is available in 62% of the responding hospitals.
Tuning Into Brown Dwarfs: Long-Term Radio Monitoring of Two Very Low Mass Dwarfs
NASA Astrophysics Data System (ADS)
Van Linge, Russell; Burgasser, Adam J.; Melis, Carl; Williams, Peter K. G.
2017-01-01
The very lowest-mass (VLM) stars and brown dwarfs, with effective temperatures T < 3000 K, exhibit mixed magnetic activity trends, with H-alpha and X-ray emission that declines rapidly beyond type M7/M8, but persistent radio emission in roughly 10-20% of sources. The dozen or so VLM radio emitters known show a broad range of emission characteristics and time-dependent behavior, including steady persistent emission, periodic oscillations, periodic polarized bursts, and aperiodic flares. Understanding the evolution of these variability patterns, and in particular whether they undergo solar-like cycles, requires long-term monitoring. We report the results of a long-term JVLA monitoring program of two magnetically-active VLM dwarf binaries, the young M7 2MASS 1314+1320AB and older L5 2MASS 1315-2649AB. On the bi-weekly cadence, 2MASS 1314 continues to show variability by revealing regular flaring while 2MASS 1315 continues to be a quiescent emitter. On the daily time scale, both sources show a mean flux density that can vary significantly just over a few days. These results suggest long-term radio behavior in radio-emitting VLM dwarfs is just as diverse and complex as short-term behavior.
Physiology and Endocrinology of the Ovarian Cycle in Macaques
Weinbauer, Gerhard F.; Niehoff, Marc; Niehaus, Michael; Srivastav, Shiela; Fuchs, Antje; Van Esch, Eric; Cline, J. Mark
2009-01-01
Macaques provide excellent models for preclinical testing and safety assessment of female reproductive toxicants. Currently, cynomolgus monkeys are the predominant species for (reproductive) toxicity testing. Marmosets and rhesus monkeys are being used occasionally. The authors provide a brief review on physiology and endocrinology of the cynomolgus monkey ovarian cycle, practical guidance on assessment and monitoring of ovarian cyclicity, and new data on effects of social housing on ovarian cyclicity in toxicological studies. In macaques, cycle monitoring is achieved using daily vaginal smears for menstruation combined with cycle-timed frequent sampling for steroid and peptide hormone analysis. Owing to requirements of frequent and timed blood sampling, it is not recommended to incorporate these special evaluations into a general toxicity study design. Marmosets lack external signs of ovarian cyclicity, and cycle monitoring is done by regular determinations of progesterone. Cynomolgus and marmoset monkeys do not exhibit seasonal variations in ovarian activity, whereas such annual rhythm is pronounced in rhesus monkeys. Studies on pair- and group-housed cynomolgus monkeys revealed transient alterations in the duration and endocrinology of the ovarian cycle followed by return to normal cyclicity after approximately six months. This effect is avoided if the animals had contact with each other prior to mingling. These experiments also demonstrated that synchronization of ovarian cycles did not occur. PMID:20852722
Valle, Adolfo Martinez
2016-01-01
Monitoring and evaluation (M&E) have gradually become important and regular components of the policy-making process in Mexico since, and even before, the World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) called for interventions and policies aimed at tackling the social determinants of health (SDH). This paper presents two case studies to show how public policies addressing the SDH have been monitored and evaluated in Mexico using reliable, valid, and complete information, which is not regularly available. Prospera, for example, evaluated programs seeking to improve the living conditions of families in extreme poverty in terms of direct effects on health, nutrition, education and income. Monitoring of Prospera's implementation has also helped policy-makers identify windows of opportunity to improve the design and operation of the program. Seguro Popular has monitored the reduction of health inequalities and inequities evaluated the positive effects of providing financial protection to its target population. Useful and sound evidence of the impact of programs such as Progresa and Seguro Popular plus legal mandates, and a regulatory evaluation agency, the National Council for Social Development Policy Evaluation, have been fundamental to institutionalizing M&E in Mexico. The Mexican experience may provide useful lessons for other countries facing the challenge of institutionalizing the M&E of public policy processes to assess the effects of SDH as recommended by the WHO CSDH. PMID:26928215
Valle, Adolfo Martinez
2016-01-01
Monitoring and evaluation (M&E) have gradually become important and regular components of the policy-making process in Mexico since, and even before, the World Health Organization (WHO) Commission on Social Determinants of Health (CSDH) called for interventions and policies aimed at tackling the social determinants of health (SDH). This paper presents two case studies to show how public policies addressing the SDH have been monitored and evaluated in Mexico using reliable, valid, and complete information, which is not regularly available. Prospera, for example, evaluated programs seeking to improve the living conditions of families in extreme poverty in terms of direct effects on health, nutrition, education and income. Monitoring of Prospera's implementation has also helped policy-makers identify windows of opportunity to improve the design and operation of the program. Seguro Popular has monitored the reduction of health inequalities and inequities evaluated the positive effects of providing financial protection to its target population. Useful and sound evidence of the impact of programs such as Progresa and Seguro Popular plus legal mandates, and a regulatory evaluation agency, the National Council for Social Development Policy Evaluation, have been fundamental to institutionalizing M&E in Mexico. The Mexican experience may provide useful lessons for other countries facing the challenge of institutionalizing the M&E of public policy processes to assess the effects of SDH as recommended by the WHO CSDH.
De Korvin, G; Randriaminahisoa, T; Cugy, E; Cheze, L; de Sèze, M
2014-12-01
The progression of adolescent idiopathic scoliosis is typically monitored via regular radiographic follow-up. The Cobb angle (as measured on whole-spine radiographs) is considered as the gold standard in scoliosis monitoring. To determine the sensitivity and specificity of back surface topography parameters, with a view to detecting changes in the Cobb angle. One hundred patients (mean age: 13.3) with Cobb angles greater than 10 degrees were included. Topographic parameters were measured in a standard position and in a position with hunched shoulders. Gibbosities and spinal curvatures were evaluated. An increase of more than 2 degrees in any one gibbosity or in the sum of the gibbosities (in either of the two examination positions) enabled the detection of a five-degree increase in the Cobb angle with a sensitivity of 86% and a specificity of 50%. If the present results are confirmed by other studies, analysis with back surface topography parameters may reduce the number of X-ray examinations required to detect increases in the Cobb angle. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
Assessing the Impact of Observations on Numerical Weather Forecasts Using the Adjoint Method
NASA Technical Reports Server (NTRS)
Gelaro, Ronald
2012-01-01
The adjoint of a data assimilation system provides a flexible and efficient tool for estimating observation impacts on short-range weather forecasts. The impacts of any or all observations can be estimated simultaneously based on a single execution of the adjoint system. The results can be easily aggregated according to data type, location, channel, etc., making this technique especially attractive for examining the impacts of new hyper-spectral satellite instruments and for conducting regular, even near-real time, monitoring of the entire observing system. This talk provides a general overview of the adjoint method, including the theoretical basis and practical implementation of the technique. Results are presented from the adjoint-based observation impact monitoring tool in NASA's GEOS-5 global atmospheric data assimilation and forecast system. When performed in conjunction with standard observing system experiments (OSEs), the adjoint results reveal both redundancies and dependencies between observing system impacts as observations are added or removed from the assimilation system. Understanding these dependencies may be important for optimizing the use of the current observational network and defining requirements for future observing systems
Spinal curvature measurement by tracked ultrasound snapshots.
Ungi, Tamas; King, Franklin; Kempston, Michael; Keri, Zsuzsanna; Lasso, Andras; Mousavi, Parvin; Rudan, John; Borschneck, Daniel P; Fichtinger, Gabor
2014-02-01
Monitoring spinal curvature in adolescent kyphoscoliosis requires regular radiographic examinations; however, the applied ionizing radiation increases the risk of cancer. Ultrasound imaging is favored over radiography because it does not emit ionizing radiation. Therefore, we tested an ultrasound system for spinal curvature measurement, with the help of spatial tracking of the ultrasound transducer. Tracked ultrasound was used to localize vertebral transverse processes as landmarks along the spine to measure curvature angles. The method was tested in two scoliotic spine models by localizing the same landmarks using both ultrasound and radiographic imaging and comparing the angles obtained. A close correlation was found between tracked ultrasound and radiographic curvature measurements. Differences between results of the two methods were 1.27 ± 0.84° (average ± SD) in an adult model and 0.96 ± 0.87° in a pediatric model. Our results suggest that tracked ultrasound may become a more tolerable and more accessible alternative to radiographic spine monitoring in adolescent kyphoscoliosis. Copyright © 2014 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Abe, Takafumi; Kamada, Masamitsu; Kitayuguchi, Jun; Okada, Shinpei; Mutoh, Yoshiteru; Uchio, Yuji
2017-03-14
Musculoskeletal pain (MSP) is a commonly reported symptom in youth sports players. Some sports-related risk factors have been reported, but previous studies on extrinsic risk factors did not focus on management of team members (e.g., regular or non-regular players, number of players) for reducing sports-related MSP. This study aimed to examine the association of playing status (regular or non-regular players) and team status (fewer or more teammates) with MSP in youth team sports. A total of 632 team sports players (age: 12-18 years) in public schools in Unnan, Japan completed a self-administered questionnaire to determine MSP (overall, upper limbs, lower back, and lower limbs) and playing status (regular or non-regular players). Team status was calculated as follows: teammate quantity index (TQI) = [number of teammates in their grade]/[required number of players for the sport]. Associations between the prevalence of pain and joint categories of playing and team status were examined by multivariable-adjusted Poisson regression. A total of 272 (44.3%) participants had MSP at least several times a week in at least one part of the body. When divided by playing or team status, 140 (47.0%) regular and 130 (41.7%) non-regular players had MSP, whereas 142 (47.0%) players with fewer teammates (lower TQI) and 127 (41.8%) players with more teammates (higher TQI) had MSP. When analyzed jointly, regular players with fewer teammates had a higher prevalence of lower back pain compared with non-regular players with more teammates (21.3% vs 8.3%; prevalence ratio = 2.08 [95% confidence interval 1.07-4.02]). The prevalence of MSP was highest in regular players with fewer teammates for all other pain outcomes, but this was not significant. Regular players with fewer teammates have a higher risk of lower back pain. Future longitudinal investigations are required.
Kiffmeyer, Thekla K; Tuerk, Jochen; Hahn, Moritz; Stuetzer, Hartmut; Hadtstein, Claudia; Heinemann, André; Eickmann, Udo
2013-05-01
A large-scale study was carried out in order to determine the contamination level of antineoplastic drugs in pharmacies and to investigate the suitability and effects of wipe sample monitoring at regular intervals. A specific study design was developed. The 130 participating pharmacies were divided into a study and a control group, carrying out five and two wipe sampling cycles, respectively. The work practice was analyzed using questionnaires to identify factors that influence the contamination level. From 1269 wipe samples, 774 (61%) were contaminated with at least one of the analyzed cytotoxic drugs: cyclophosphamide, docetaxel, etoposide, 5-fluorouracil, gemcitabine, ifosfamide, methotrexate, and paclitaxel. A significant decrease of the contamination with cyclophosphamide and 5-fluorouracil was observed in the study group. The Monitoring-Effect Study of Wipe Sampling in Pharmacies method has proven to be a reliable and affordable tool for contamination control. Based on the 90th percentile of the contamination values, a substance-independent performance-based guidance value of 0.1ng cm(-2) has been derived.
Yonga, G O; Ogola, E N; Orinda, D A
1993-11-01
In a prospective single-blind comparative trial, sixty newly diagnosed mild to moderate hypertensives were randomly assigned to either propranolol or hydroflumethiazide monotherapy. Baseline fasting serum glucose lipid profiles, serum uric acid and potassium levels, were determined at the beginning of the trial. Repeat levels were determined at completion of twelve weeks of treatment. Propranolol treatment significantly reduced HDL-cholesterol (p < 0.02) and increased both VLDL and total serum triglycerides (p < 0.01). Hydroflumethiazide significantly increased total and LDL-chole-sterol, fasting serum glucose and uric acid levels (p < 0.01); potassium levels were significantly lowered (p < 0.01). Treatment with either propranolol or hydroflumethiazide is associated with significant metabolic side-effects which require regular monitoring and intervention as appropriate.
Monoclonal Gammopathy of Undetermined Significance (MGUS)
Monoclonal gammopathy of undetermined significance (MGUS) Overview Monoclonal gammopathy of undetermined significance (MGUS) is a condition in which an ... to have regular checkups to closely monitor monoclonal gammopathy so that if it does progress, you get ...
Monitoring Concept for CO2 Storage at the Pilot Site Ketzin, Germany
NASA Astrophysics Data System (ADS)
Wipki, Mario; Liebscher, Axel; Lüth, Stefan; Ivanova, Alexandra; Möller, Fabian; Schmidt-Hattenberger, Cornelia; Rippe, Dennis; Zimmer, Martin; Szizybalski, Alexandra
2016-04-01
Between 2008 and 2013, the German Research Centre for Geosciences - GFZ has injected more than 67 kt of CO2 at the Pilot Site in Ketzin, 25 km west of Berlin. The CO2 was stored in porous sandstones of the Upper Triassic Stuttgart Formation at a depth of 630 to 650 m. In more than a decade, GFZ has developed and tested an extraordinary multi-monitoring concept for onshore CO2 storages which mainly comprises the following methods: Time-lapse 3D seismic surveying is the most commonly used method for imaging and monitoring a CO2-plume in the deep underground before, during and after the injection phase. Such campaigns require high logistical and financial efforts and can be realised only to a limited extent. At Ketzin, for instance, 3D-seismic repeat surveys were acquired using several thousand surface acquisition points and lasting over two or three months. Alternative approaches include permanently buried seismic receivers. Geoelectric measurements in Ketzin are mainly applied by using a permanent downhole electrode installation (Vertical Electrical Resistivity Array = VERA) which has been implemented in three wells behind the well casings. Measurements between 590 m to 735 m are constantly carried out covering the vertical thickness of the entire CO2 storage horizon. Valuable results were achieved by a combination of inhole, crosshole and surface downhole measurements which has been carried out with appropriate acquisition geometries. For focused areas around monitoring wells, geoelectric methods may support and supplement information from seismic surveys. Borehole monitoring of pressure and temperature are generally indispensable for every underground gas storage type. In Ketzin, a remote monitoring system for all wells has been installed that constantly provides the operators with values for date, time, downhole and wellhead pressure, depth, and temperature. Moreover, all wellheads are checked weekly during onsite inspections. Samples for chemical analysis are taken in regular intervals from an observation well. With a total depth of 418 m, the well reaches the natural brine filled sandstones of the Triassic Exter Formation which represents the layer straight upon the caprock of the CO2 reservoir. Fluid samples are being analysed for stable carbon isotopes δ13C, dissolved organic carbon (DIC) and pH. Any significant intrusion of CO2 into this aquifer would cause distinct anomalies and trigger alarm conditions. Another regularly applied monitoring method in Ketzin is the measurement of soil CO2 flux. Natural CO2 flux is generated by the respiration of roots and soil organisms and the decomposition of organic matter. Both processes very much depend on the seasons respectively on the soil temperature. Outliers of the natural background range could indicate a leakage in the reservoir.
Analysis of the iteratively regularized Gauss-Newton method under a heuristic rule
NASA Astrophysics Data System (ADS)
Jin, Qinian; Wang, Wei
2018-03-01
The iteratively regularized Gauss-Newton method is one of the most prominent regularization methods for solving nonlinear ill-posed inverse problems when the data is corrupted by noise. In order to produce a useful approximate solution, this iterative method should be terminated properly. The existing a priori and a posteriori stopping rules require accurate information on the noise level, which may not be available or reliable in practical applications. In this paper we propose a heuristic selection rule for this regularization method, which requires no information on the noise level. By imposing certain conditions on the noise, we derive a posteriori error estimates on the approximate solutions under various source conditions. Furthermore, we establish a convergence result without using any source condition. Numerical results are presented to illustrate the performance of our heuristic selection rule.
Janzic, Andrej; Kos, Mitja
2015-04-01
Vitamin K antagonists, such as warfarin, are standard treatments for stroke prophylaxis in patients with atrial fibrillation. Patient outcomes depend on quality of warfarin management, which includes regular monitoring and dose adjustments. Recently, novel oral anticoagulants (NOACs) that do not require regular monitoring offer an alternative to warfarin. The aim of this study was to evaluate whether cost effectiveness of NOACs for stroke prevention in atrial fibrillation depends on the quality of warfarin control. We developed a Markov decision model to simulate warfarin treatment outcomes in relation to the quality of anticoagulation control, expressed as percentage of time in the therapeutic range (TTR). Standard treatment with adjusted-dose warfarin and improved anticoagulation control by genotype-guided dosing were compared with dabigatran, rivaroxaban, apixaban and edoxaban. The analysis was performed from the Slovenian healthcare payer perspective using 2014 costs. In the base case, the incremental cost-effectiveness ratio for apixaban, dabigatran and edoxaban was below the threshold of €25,000 per quality-adjusted life-years compared with adjusted-dose warfarin with a TTR of 60%. The probability that warfarin was a cost-effective option was around 1%. This percentage rises as the quality of anticoagulation control improves. At a TTR of 70%, warfarin was the preferred treatment in half the iterations. The cost effectiveness of NOACs for stroke prevention in patients with nonvalvular atrial fibrillation who are at increased risk for stroke is highly sensitive to warfarin anticoagulation control. NOACs are more likely to be cost-effective options in settings with poor warfarin management than in settings with better anticoagulation control, where they may not represent good value for money.
Fijan, S; Sostar-Turk, S; Cencic, A
2005-09-01
As textiles sent to hospital laundries contain many types of pathogenic organisms, it is important that laundering not only has an appropriate cleaning effect but also has a satisfactory disinfecting effect. Critical to this process is the maintenance of an appropriate hygiene level in the clean area of laundries in order to prevent recontamination of textiles from manual handling when ironing, folding, packing etc. The aims of this study were to evaluate the hygienic state of a hospital laundry, to introduce continuous sanitary measures, and to introduce a continuous hygiene monitoring system with an infection control programme. Two systems for evaluating hospital laundry hygiene were combined: HACCP principles (hazard analysis and critical control points) and RAL-GZ 992 standards (quality assurance standard for textile care of hospital laundry). Evaluation of the hygienic state of the hospital laundry was carried out by evaluating the number and types of micro-organisms present at the critical control points throughout the whole laundering process, using RODAC agar plates for surface sampling and the pour plate method for investigating water samples. The initial examination showed that the sanitary condition of the laundry did not reach the required hygiene level. Therefore, fundamental sanitation measures were instituted and the examination was repeated. Results were then satisfactory. The most important critical control point was the chemothermal laundering efficiency of the laundering process. To prevent micro-organisms spreading into the entire clean working area, it is important that, in addition to regular sanitary measures such as cleaning/disinfecting all working areas, technical equipment and storage shelves etc., regular education sessions for laundry employees on proper hand hygiene is undertaken and effective separation of the clean and dirty working areas is achieved.
Biomechanical and ergonomic assessment of urban transit operators.
Albert, Wayne J; Everson, Donald; Rae, Michelle; Callaghan, Jack P; Croll, Jim; Kuruganti, Usha
2014-01-01
The prevalence of neck and low back musculoskeletal injuries in transit operators has been shown to be high; with work absences exceeding double the National average. There is a lack of biomechanical data generated from field researches to inform on musculoskeletal risk associated with transportation and driving occupations. Instead there has been a reliance on simulated driving and questionnaire-based research. This study was designed to examine the musculoskeletal and biomechanical stresses experienced by urban bus drivers. The main objective was to obtain a baseline understanding of sitting posture, muscle activiation and subjective ratings of stress during regular driving tasks. Fifteen urban city bus drivers were recruited for this study. Bus drivers drove the same 65-minute bus route once, at the same time of day, in the same preselected bus. Wireless surface electromyography monitored muscular activity of the drivers' neck, upper trapezius, and erector spinae and video analysis and seat pressure mapping was used to monitor changes in driving posture. A health and lifestyle questionnaire was administered to record specific neck and back pain experienced by drivers as well as to provide lifestyle habits. Drivers were found to exhibit non-neutral postures for less than 30% of the time while conducting routine tasks of turning and stopping for passenger loading and unloading. The neck posture was the greatest concern in terms of non-neutral posture and this was supported by the higher muscle activation to the neck musculature. There was significant posture adjustment made during the one-hour driving period with the adjustments increasing with driving time. Activities associated with bus driving appear to require the use of non-neutral postures an increase in muscle activation. Significant postural adjustments were needed over the one-hour observation period suggesting that the musculoskeletal demands may increase over a regular 12-hour shift.
NASA Technical Reports Server (NTRS)
Lei, Ning; Xiong, Xiaoxiong
2017-01-01
To ensure data quality, the Earth-observing Visible Infrared Imaging Radiometer Suite (VIIRS) on the Suomi National Polar-orbiting Partnership satellite regularly performs on-orbit radiometric calibration of its 22 spectral bands. The primary radiance source for the calibration of the VIIRS reflective solar bands (RSBs) is a sunlit onboard solar diffuser (SD).During the calibration process, sunlight goes through a perforated plate (the SD screen) and then strikes the SD. The sunlight, scattered off the SD of near-Lambertian property, is used for the calibration. Consequently, the spectral radiance of the scattered sunlight is proportional to the product of the SD screen transmittance and the SD bidirectional reflectance distribution function (BRDF) value at the observation direction. The BRDF value is decomposed to the product of its initial value at launch and a numerical degradation factor that quantifies the decrease from the initial value. The degradation factor is determined by an onboard SD stability monitor (SDSM). During the BRDF degradation factor determination process, the SDSM receives the SD scattered sunlight and the sunlight that goes through another perforated plate at almost the same time. The ratio of the signal strengths from the two observations is used to determine the BRDF degradation factor. Consequently, the RSB radiometric calibration requires the accurate knowledge of the product of the SD screen transmittance and the initial BRDF value as sensed by the RSB and the SDSM detectors. We use both yaw maneuver and a small portion of regular on-orbit data to determine the products.
Children's views on microneedle use as an alternative to blood sampling for patient monitoring.
Mooney, Karen; McElnay, James C; Donnelly, Ryan F
2014-10-01
To explore children's views on microneedle use for this population, particularly as an alternative approach to blood sampling, in monitoring applications, and so, examine the acceptability of this approach to children. Focus groups were conducted with children (aged 10-14 years) in a range of schools across Northern Ireland. Convenience sampling was employed, i.e. children involved in a university-directed community-outreach project (Pharmacists in Schools) were recruited. A total of 86 children participated in 13 focus groups across seven schools in Northern Ireland. A widespread disapproval for blood sampling was evident, with pain, blood and traditional needle visualisation particularly unpopular aspects. In general, microneedles had greater visual acceptability and caused less fear. A patch-based design enabled minimal patient awareness of the monitoring procedure, with personalised designs, e.g. cartoon themes, favoured. Children's concerns included possible allergy and potential inaccuracies with this novel approach; however, many had confidence in the judgement of healthcare professionals if deeming this technique appropriate. They considered paediatric patient education critical for acceptance of this new approach and called for an alternative name, without any reference to 'needles'. The findings presented here support the development of blood-free, minimally invasive techniques and provide an initial indication of microneedle acceptability in children, particularly for monitoring purposes. A proactive response to these unique insights should enable microneedle array design to better meet the needs of this end-user group. Further work in this area is recommended to ascertain the perspectives of a purposive sample of children with chronic conditions who require regular monitoring. © 2013 Royal Pharmaceutical Society.
Sensor validation and fusion for gas turbine vibration monitoring
NASA Astrophysics Data System (ADS)
Yan, Weizhong; Goebel, Kai F.
2003-08-01
Vibration monitoring is an important practice throughout regular operation of gas turbine power systems and, even more so, during characterization tests. Vibration monitoring relies on accurate and reliable sensor readings. To obtain accurate readings, sensors are placed such that the signal is maximized. In the case of characterization tests, strain gauges are placed at the location of vibration modes on blades inside the gas turbine. Due to the prevailing harsh environment, these sensors have a limited life and decaying accuracy, both of which impair vibration assessment. At the same time bandwidth limitations may restrict data transmission, which in turn limits the number of sensors that can be used for assessment. Knowing the sensor status (normal or faulty), and more importantly, knowing the true vibration level of the system all the time is essential for successful gas turbine vibration monitoring. This paper investigates a dynamic sensor validation and system health reasoning scheme that addresses the issues outlined above by considering only the information required to reliably assess system health status. In particular, if abnormal system health is suspected or if the primary sensor is determined to be faulted, information from available "sibling" sensors is dynamically integrated. A confidence expresses the complex interactions of sensor health and system health, their reliabilities, conflicting information, and what the health assessment is. Effectiveness of the scheme in achieving accurate and reliable vibration evaluation is then demonstrated using a combination of simulated data and a small sample of a real-world application data where the vibration of compressor blades during a real time characterization test of a new gas turbine power system is monitored.
Daly, Jonathan; Gunn, Ian; Kirby, Nick; Jones, Robert; Galloway, David
2007-09-01
Serial ultrasound examination of four mature female sevengill sharks (Notorynchus cepedianus) was carried out over 18 months. Monitoring the reproductive cycle and development of follicles and fetuses in sharks in a noninvasive manner using this technique has not been reported previously. Sharks were caught out of the "Oceanarium" tank by divers using a specially made catch-out bag, and brought to a holding area for examination. A behavior scoring system was used to monitor the impact of regular handling on the well-being of the animals. Ultrasound showed the growth and regression of follicles in sevengill ovaries, and allowed an approximation of the reproductive stage of these sharks. Monitoring behavior at five time points during the procedure showed that regular handling of sharks for clinical studies could be done with minimal impact on animal welfare. The ability to follow reproductive events in elasmobranches using ultrasonography is an important step in the application of assisted reproductive technology in these species. Assisted reproductive technology, such as monitoring female reproductive cycles and artificial insemination, could potentially be used to maintain genetic diversity and compliment aquaria-based breeding programs for endangered species such as the gray nurse shark (Carcharias taurus). Zoo Biol 26:383-395, 2007. (c) 2007 Wiley-Liss, Inc.
Design of overload vehicle monitoring and response system based on DSP
NASA Astrophysics Data System (ADS)
Yu, Yan; Liu, Yiheng; Zhao, Xuefeng
2014-03-01
The overload vehicles are making much more damage to the road surface than the regular ones. Many roads and bridges are equipped with structural health monitoring system (SHM) to provide early-warning to these damage and evaluate the safety of road and bridge. However, because of the complex nature of SHM system, it's expensive to manufacture, difficult to install and not well-suited for the regular bridges and roads. Based on this application background, this paper designs a compact structural health monitoring system based on DSP, which is highly integrated, low-power, easy to install and inexpensive to manufacture. The designed system is made up of sensor arrays, the charge amplifier module, the DSP processing unit, the alarm system for overload, and the estimate for damage of the road and bridge structure. The signals coming from sensor arrays go through the charge amplifier. DSP processing unit will receive the amplified signals, estimate whether it is an overload signal or not, and convert analog variables into digital ones so that they are compatible with the back-end digital circuit for further processing. The system will also restrict certain vehicles that are overweight, by taking image of the car brand, sending the alarm, and transferring the collected pressure data to remote data center for further monitoring analysis by rain-flow counting method.
Kinner, Stuart A; Degenhardt, Louisa
2006-09-01
Regular and systematic monitoring of drug markets provides the basis for evidence-based policy. In Australia, trends in ecstasy and related drug (ERD) markets have been monitored in selected jurisdictions since 2000 and nationally since 2003, by the Party Drugs Initiative (PDI). The PDI maximises the validity of conclusions by triangulating information from (a) interviews with regular ecstasy users (REU), (b) interviews with key experts and (c) indicator data. There is currently no other system in Australia for monitoring these markets systematically; however, the value of the PDI has been constrained by the quality of available data. Difficulties in recruiting and interviewing appropriate consumers (REU) and key experts have been experienced, but largely overcome. Limitations of available indicator data from both health and law enforcement continue to present challenges and there remains considerable scope for enhancing existing routine data collection systems, to facilitate monitoring of ERD markets. With an expanding market for ecstasy and related drugs in Australia, and in the context of indicator data that continue to be limited in scope and detail, there is a strong argument for the continued collection of annual, comparable data from a sentinel group of REU, such as those recruited for the PDI.
Ground Control Point - Wireless System Network for UAV-based environmental monitoring applications
NASA Astrophysics Data System (ADS)
Mejia-Aguilar, Abraham
2016-04-01
In recent years, Unmanned Aerial Vehicles (UAV) have seen widespread civil applications including usage for survey and monitoring services in areas such as agriculture, construction and civil engineering, private surveillance and reconnaissance services and cultural heritage management. Most aerial monitoring services require the integration of information acquired during the flight (such as imagery) with ground-based information (such as GPS information or others) for improved ground truth validation. For example, to obtain an accurate 3D and Digital Elevation Model based on aerial imagery, it is necessary to include ground-based information of coordinate points, which are normally acquired with surveying methods based on Global Position Systems (GPS). However, GPS surveys are very time consuming and especially for longer time series of monitoring data repeated GPS surveys are necessary. In order to improve speed of data collection and integration, this work presents an autonomous system based on Waspmote technologies build on single nodes interlinked in a Wireless Sensor Network (WSN) star-topology for ground based information collection and later integration with surveying data obtained by UAV. Nodes are designed to be visible from the air, to resist extreme weather conditions with low-power consumption. Besides, nodes are equipped with GPS as well as Inertial Measurement Unit (IMU), accelerometer, temperature and soil moisture sensors and thus provide significant advantages in a broad range of applications for environmental monitoring. For our purpose, the WSN transmits the environmental data with 3G/GPRS to a database on a regular time basis. This project provides a detailed case study and implementation of a Ground Control Point System Network for UAV-based vegetation monitoring of dry mountain grassland in the Matsch valley, Italy.
Prairie Monitoring Protocol Development: North Coast and Cascades Network
McCoy, Allen; Dalby, Craig
2009-01-01
The purpose of the project was to conduct research that will guide development of a standard approach to monitoring several components of prairies within the North Coast and Cascades Network (NCCN) parks. Prairies are an important element of the natural environment at many parks, including San Juan Island National Historical Park (NHP) and Ebey's Landing National Historical Reserve (NHR). Forests have been encroaching on these prairies for many years, and so monitoring of the prairies is an important resource issue. This project specifically focused on San Juan Island NHP. Prairies at Ebey's Landing NHR will be monitored in the future, but that park was not mapped as part of this prototype project. In the interest of efficiency, the Network decided to investigate two main issues before launching a full protocol development effort: (1) the imagery requirements for monitoring prairie components, and (2) the effectiveness of software to assist in extracting features from the imagery. Several components of prairie monitoring were initially identified as being easily tracked using aerial imagery. These components included prairie/forest edge, broad prairie composition (for example, shrubs, scattered trees), and internal exclusions (for example, shrubs, bare ground). In addition, we believed that it might be possible to distinguish different grasses in the prairies if the imagery were of high enough resolution. Although the areas in question at San Juan Island NHP are small enough that mapping on the ground with GPS (Global Positioning System) would be feasible, other applications could benefit from aerial image acquisition on a regular, recurring basis and thereby make the investment in aerial imagery worthwhile. The additional expense of orthorectifying the imagery also was determined to be cost-effective.
Weinstein, A; Brickner, O; Lerman, H; Greemland, M; Bloch, M; Lester, H; Chisin, R; Sarne, Y; Mechoulam, R; Bar-Hamburger, R; Freedman, N; Even-Sapir, E
2008-06-01
Heavy use of marijuana is claimed to damage critical skills related to short-term memory, visual scanning and attention. Motor skills and driving safety may be compromised by the acute effects of marijuana. The aim of this study was to investigate the acute effects of 13 mg and 17 mg Delta 9-tetrahydrocannabinol (THC) on skills important for coordinated movement and driving and on subjective and autonomic measures in regular users of marijuana. Fourteen regular users of marijuana were enrolled. Each subject was tested on two separate days. On each test day, subjects smoked two low-nicotine cigarettes, one with and the other without THC. Seventeen mg THC was included in the cigarette on one test day and 13 mg on the other day. The sequence of cigarette types was unknown to the subject. During smoking, heart rate and blood pressure were monitored, and the subjects performed a virtual reality maze task requiring attention and motor coordination, followed by 3 other cognitive tasks (Wisconsin Card Sorting Test (WCST), a "gambling" task and estimation of time and distance from an approaching car). After smoking a cigarette with 17 mg THC, regular marijuana users hit the walls more often on the virtual maze task than after smoking cigarettes without THC; this effect was not seen in patients after they smoked cigarettes with 13 mg THC. Performance in the WCST was affected with 17 mg THC and to a lesser extent with the use of 13 mg THC. Decision making in the gambling task was affected after smoking cigarettes with 17 mg THC, but not with 13 m THC. Smoking cigarettes with 13 and 17 mg THC increased subjective ratings of pleasure and satisfaction, drug "effect" and drug "high". These findings imply that smoking of 17 mg THC results in impairment of cognitive-motor skills that could be important for coordinated movement and driving, whereas the lower dose of 13 mg THC appears to cause less impairment of such skills in regular users of marijuana.
Yu-Fei, Wang; Wei-Ping, Jia; Ming-Hsun, Wu; Miao-O, Chien; Ming-Chang, Hsieh; Chi-Pin, Wang; Ming-Shih, Lee
2017-09-01
System accuracy of current blood glucose monitors (BGMs) in the market has already been evaluated extensively, yet mostly focused on European and North American manufacturers. Data on BGMs manufactured in the Asia-Pacific region remain to be established. In this study, we sought to assess the accuracy performance of 19 BGMs manufactured in the Asia-pacific region. A total of 19 BGMs were obtained from local pharmacies in China. The study was conducted at three hospitals located in the Asia-Pacific region. Measurement results of each system were compared with results of the reference instrument (YSI 2300 PLUS Glucose Analyzer), and accuracy evaluation was performed in accordance to the ISO 15197:2003 and updated 2015 guidelines. Radar plots, which is a new method, are described herein to visualize the analytical performance of the 19 BGMs evaluated. Consensus error grid is a tool for evaluating the clinical significance of the results. The 19 BGMs resulted in a satisfaction rate between 83.5% and 100.0% within ISO 15197:2003 error limits, and between 71.3% and 100.0% within EN ISO 15197:2015 (ISO 15197:2013) error limits. Of the 19 BGMs evaluated, 12 met the minimal accuracy requirement of the ISO 15197:2003 standard, whereas only 4 met the tighter EN ISO 15197:2015 (ISO 15197:2013) requirements. Accuracy evaluation of BGMs should be performed regularly to maximize patient safety.
29 CFR 778.208 - Inclusion and exclusion of bonuses in computing the “regular rate.”
Code of Federal Regulations, 2012 CFR
2012-07-01
... 29 Labor 3 2012-07-01 2012-07-01 false Inclusion and exclusion of bonuses in computing the... Inclusion and exclusion of bonuses in computing the “regular rate.” Section 7(e) of the Act requires the inclusion in the regular rate of all remuneration for employment except eight specified types of payments...
29 CFR 778.208 - Inclusion and exclusion of bonuses in computing the “regular rate.”
Code of Federal Regulations, 2014 CFR
2014-07-01
... 29 Labor 3 2014-07-01 2014-07-01 false Inclusion and exclusion of bonuses in computing the... Inclusion and exclusion of bonuses in computing the “regular rate.” Section 7(e) of the Act requires the inclusion in the regular rate of all remuneration for employment except eight specified types of payments...
29 CFR 778.208 - Inclusion and exclusion of bonuses in computing the “regular rate.”
Code of Federal Regulations, 2013 CFR
2013-07-01
... 29 Labor 3 2013-07-01 2013-07-01 false Inclusion and exclusion of bonuses in computing the... Inclusion and exclusion of bonuses in computing the “regular rate.” Section 7(e) of the Act requires the inclusion in the regular rate of all remuneration for employment except eight specified types of payments...
29 CFR 778.208 - Inclusion and exclusion of bonuses in computing the “regular rate.”
Code of Federal Regulations, 2010 CFR
2010-07-01
... 29 Labor 3 2010-07-01 2010-07-01 false Inclusion and exclusion of bonuses in computing the... Inclusion and exclusion of bonuses in computing the “regular rate.” Section 7(e) of the Act requires the inclusion in the regular rate of all remuneration for employment except seven specified types of payments...
29 CFR 778.208 - Inclusion and exclusion of bonuses in computing the “regular rate.”
Code of Federal Regulations, 2011 CFR
2011-07-01
... 29 Labor 3 2011-07-01 2011-07-01 false Inclusion and exclusion of bonuses in computing the... Inclusion and exclusion of bonuses in computing the “regular rate.” Section 7(e) of the Act requires the inclusion in the regular rate of all remuneration for employment except eight specified types of payments...
Nonsmooth, nonconvex regularizers applied to linear electromagnetic inverse problems
NASA Astrophysics Data System (ADS)
Hidalgo-Silva, H.; Gomez-Trevino, E.
2017-12-01
Tikhonov's regularization method is the standard technique applied to obtain models of the subsurface conductivity distribution from electric or electromagnetic measurements by solving UT (m) = | F (m) - d |2 + λ P(m). The second term correspond to the stabilizing functional, with P (m) = | ∇ m |2 the usual approach, and λ the regularization parameter. Due to the roughness penalizer inclusion, the model developed by Tikhonov's algorithm tends to smear discontinuities, a feature that may be undesirable. An important requirement for the regularizer is to allow the recovery of edges, and smooth the homogeneous parts. As is well known, Total Variation (TV) is now the standard approach to meet this requirement. Recently, Wang et.al. proved convergence for alternating direction method of multipliers in nonconvex, nonsmooth optimization. In this work we present a study of several algorithms for model recovering of Geosounding data based on Infimal Convolution, and also on hybrid, TV and second order TV and nonsmooth, nonconvex regularizers, observing their performance on synthetic and real data. The algorithms are based on Bregman iteration and Split Bregman method, and the geosounding method is the low-induction numbers magnetic dipoles. Non-smooth regularizers are considered using the Legendre-Fenchel transform.
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-14
..., especially in relation to shipments, is frequently used to monitor the business cycle. We do not plan any....gov/mcd/clearance . Type of Review: Regular submission. Affected Public: Businesses, large and small...
Myocardial infarction in intensive care units: A systematic review of diagnosis and treatment
Mount, Thomas; Atkinson, Dougal
2016-01-01
Introduction Patients in the intensive care unit are vulnerable to myocardial injury from a variety of causes, both ischaemic and non-ischaemic. It is challenging for ICU clinicians to apply the conventional guidance concerning diagnosis and treatment. We conducted this review to examine the evidence concerning diagnosis and treatment of myocardial infarction in the ICU. Methods A systematic review was performed to identify relevant studies. Results 19 studies concerning use of ECG, cardiac enzymes, echocardiography and angiography were identified. 4 studies considered treatment of myocardial infarction. Conclusions Regular 12 lead ECG or 12 lead ECG monitoring is more sensitive than 2 lead monitoring, regular measurement of cardiac enzymes is more sensitive than when provoked by symptoms. Coronary angiography rarely identifies treatable lesions, without regional wall motion abnormality on echocardiography. Evidence relating to treatment was limited. A potential strategy to diagnose myocardial infarctions in the ICU is proposed. PMID:28979516
The obstetric management of sickle cell disease.
Howard, Jo; Oteng-Ntim, Eugene
2012-02-01
Sickle cell disease (SCD) is the most common inherited disease worldwide and is associated with anaemia and intermittent severe pain. Pregnant women who are affected have increased maternal and fetal mortality and morbidity. In view of this obstetricians should have an awareness of this condition and its complications, and pregnancies in women with SCD should be managed by a multidisciplinary team with experience of high risk pregnancies. Ideally women should be seen preconceptually for optimisation of their SCD and partner screening. Antenatal care should include regular outpatient visits with regular monitoring for pre-eclampsia and of fetal growth. Blood transfusion should be used for the treatment of acute anaemia, acute chest syndrome or acute stroke but there is not sufficient evidence currently to recommend its use prophylactically. There is an increased prevalence of sickle crisis during pregnancy and patients should be monitored carefully throughout this time. Copyright © 2011 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Scherwath, Martin; Riedel, Michael; Roemer, Miriam; Thomsen, Laurenz; Chatzievangelou, Damianos; Juniper, Kim; Heesemann, Martin; Mihaly, Steven
2017-04-01
Ocean Networks Canada (ONC) operates permanent ocean observatories around Canada, with two science nodes on gas hydrate sites on its NEPTUNE observatory off Vancouver Island. We present examples of gas hydrates related scientific discoveries that require high power and high data capacity provided by the underwater cabled network. The first example utilizes the seafloor crawler Wally that is operated by Jacobs University in Bremen. Regular live crawler missions allowed a thorough analysis of the benthic activity around the hydrate mounds, where the cabled access makes it possible to drive at a speed dependent on the seafloor turbidity to obtain clear images. Combining these visual data with a variety of co-located environmental monitoring data showed which species reacted to which parameters, for instance that sablefish appear to follow low currents, Juvenile crabs react to oxygen levels or hagfish to chlorophyll. The second example is from gas vent monitoring using a 270 kHz sonar. At least one year of constant monitoring was necessary not only to prove that seafloor gas venting is primarily controlled by the tidal pressure but also to establish months-long phases of different venting intensity. This highlights that ship-based monitoring is less adequate for quantitative analyses of methane release into the ocean, though crucial for extrapolating the observatory results. Note that all these data are freely and openly accessible to the research community through Oceans 2.0, ONC's data portal; see http://www.oceannetworks.ca/DATA-TOOLS.
Monitoring of fetal radiation exposure during pregnancy.
Chandra, Venita; Dorsey, Chelsea; Reed, Amy B; Shaw, Palma; Banghart, Dawn; Zhou, Wei
2013-09-01
One unique concern of vascular surgeons and trainees is radiation exposure associated with increased endovascular practice. The safety of childbearing is a particular worry for current and future women in vascular surgery. Little is known regarding actual fetal radiation exposure. This multi-institutional study aimed to evaluate the radiation dosages recorded on fetal dosimeter badges and compare them to external badges worn by the same cohort of women. All women who declared pregnancy with potential radiation exposure were required to wear two radiation monitors at each institution, one outside and the other inside the lead apron. Maternal (external) and fetal monitor dosimeter readings were analyzed. Maternal radiation exposures prior to, during, and postpregnancy were also assessed to determine any associated behavior modification. Eighty-one women declared pregnancy from 2008 to 2011 and 32 had regular radiation exposure during pregnancy. Maternal whole-body exposures ranged from 21-731 mrem. The average fetal dosimeter recordings for the cohort rounded to zero. Only two women had positive fetal dosimeter recordings; one had a single recording of 3 mrem and the other had a single recording of 7 mrem. There was no significant difference between maternal exposures prior to, during, and postpregnancy. Lack of knowledge of fetal radiation exposure has concerned many vascular surgeons, prompting them to wear double lead aprons during pregnancy, and perhaps prevented numerous other women from entering the field. Our study showed negligible radiation exposure on fetal monitoring suggesting that with the appropriate safety precautions, these concerns may be unwarranted. Published by Mosby, Inc.
Long term SAR interferometry monitoring for assessing changing levels of slope instability hazards
NASA Astrophysics Data System (ADS)
Wasowski, J.; Ferretti, A.
The population growth with increasing impact of man on the environment and urbanisation of areas susceptible to slope failures coupled with the ongoing change in climate patterns will require a shift in the approaches to landslide hazard reduction Indeed there is evidence that landslide activity and related socio-economic loss are increasing in both rich and less developed countries throughout the world Because of this and because the urbanisation of hillside and mountain slopes prone to failure will likely continue in the future the protection of new and pre-existing developed areas via traditional engineering stabilisation works and in situ monitoring is not considered economically feasible Furthermore in most cases the ground control systems are installed post-factum and for short term monitoring and hence their role in preventing disasters is limited Considering the global dimension of the slope instability problem a sustainable road to landslide hazard reduction seems to be via exploitation of EO systems with focus on early detection long term monitoring and early warning Thanks to the wide-area coverage regular schedule and improving resolution of space-borne sensors the EO can foster the auspicious shift from a culture of repair to a culture of awarness and prevention Under this scenario the space-borne synthetic aperture radar differential interferometry DInSAR is attractive because of its capability to provide both wide-area and spatially dense information on surface displacements Since the presence of movements represents a direct evidence of
Food security: who is being excluded? A case of older people with dementia in long-term care homes.
Vahabi, M; Schindel Martin, L
2014-07-01
To explore the extent of food security among older people, particularly those with cognitive impairments residing in Canadian long-term care homes (LTCHs) through a focused review of literature. Databases including Medline, Nursing and Health Sciences (SAGE), Psych Info, Social Sciences Abstract, the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and HealthSTAR were searched for peer-reviewed articles related to food experiences of older individuals in industrialized countries including Canada. Only articles that were published in English between 1997-2012 were included. Sixty two studies met the inclusion criteria. Of those 17 focused on older adults in LTCHs. The review found that food security has rarely been examined among older persons living in LTCHs, and has never been examined within the context of cognitive impairment. While a few studies have focused on residents' satisfaction with foods that are provided to them in LTCHs, none have explored the extent of food security in this population. Furthermore, food satisfaction surveys in the LTCH are limited to the assessment of foods that are served to residents, and do not capture residents' food accessibility beyond the food dispensing routines of the organization. Thus, food quality, food preferences, and the traditional meanings and rituals associated with food consumption are not purposefully evaluated. In addition, LTCHs are not required to monitor residents' food satisfaction using a consistent, regular, and standardized approach and there is no regulation in the LTCH Act that requires LTCHs to assess their residents' food security. The findings highlight the need for: 1) expansion of food security research to non-community-based settings including LTCHs; 2) re-conceptualization of food security and modification of measurement tools to assess the extent and determinants of food security among older adults in LTCHs; 3) mandatory monitoring of food security via standardized and regular surveys tailored to meet the unique preferences and needs of the older population, particularly those with dementia; and 4) education of healthcare professionals regarding food security and its assessment in LTCHs.
Seven deadly sins in confronting endemic iodine deficiency, and how to avoid them.
Dunn, J T
1996-04-01
Iodine deficiency is a problem for almost all countries of the world. Goiter is its most obvious consequence, but others do more damage, particularly effects on the developing brain. In 1990, most countries and international agencies pledged the virtual elimination of iodine deficiency by the year 2000. The technology for the assessment and implementation is sufficient to attain this goal, but translating its potential into success requires careful planning. This article reviews seven major errors that frequently occur in iodine supplementation programs and offers suggestions for their avoidance. They are 1) unreliable assessment of iodine deficiency: the best indicators are urinary iodine concentration, thyroid size (preferably by ultrasound), blood spot thyroglobulin levels, and neonatal TSH determinations; the best group for surveys is schoolchildren; 2) poor iodine supplementation plan: iodized salt is the preferred supplement; its effective application frequently requires extensive changes in salt production and marketing, and poor handling of these changes will endanger the iodization program; other measures include iodized oil, iodized water, and iodine drops; all are occasionally useful, but the long range solution should generally be iodized salt; 3) exclusion of relevant stake-holders: the program should include not only health authorities but other arms of the government as well (education, commerce, agriculture, and standards), the salt industry, health professionals, and the iodine-deficient community itself; 4) inadequate education: an understanding of the effects of iodine deficiency and the means for its correction is essential at all levels, from government to affected population; 5) insufficient monitoring: the best instruments are urinary iodine levels, iodized salt use, and thyroid size, measured in representative groups at regular intervals with public reporting of results; 6) inattention to cost: the expense of iodization must be recognized and apportioned fairly; and 7) nonsustainability: for permanent success, an iodization program must be fair to all relevant parties and accompanied by a regular system of appropriate monitoring. Only with careful avoidance of these seven "deadly sins" can the goal of sustainable elimination of iodine deficiency be achieved.
Keebler, Daniel; Revill, Paul; Braithwaite, Scott; Phillips, Andrew; Blaser, Nello; Borquez, Annick; Cambiano, Valentina; Ciaranello, Andrea; Estill, Janne; Gray, Richard; Hill, Andrew; Keiser, Olivia; Kessler, Jason; Menzies, Nicolas A; Nucifora, Kimberly A; Vizcaya, Luisa Salazar; Walker, Simon; Welte, Alex; Easterbrook, Philippa; Doherty, Meg; Hirnschall, Gottfried; Hallett, Timothy B
2015-01-01
Background The WHO’s 2013 revisions to its Consolidated Guidelines on ARVs will recommend routine viral load monitoring (VLM), rather than clinical or immunological monitoring, as the preferred monitoring approach on the basis of clinical evidence. However, HIV programmes in resource-limited settings require guidance on the most cost-effective use of resources given other competing priorities, including expansion of ART coverage. Here we assess the cost-effectiveness of alternative patient monitoring strategies. Methods A range of monitoring strategies was evaluated, including clinical, CD4 and viral load monitoring alone and together at different frequencies and with different criteria for switching to second-line therapies. Three independently-constructed and validated models were analysed simultaneously. Costs were estimated based on resource use projected in the models and associated unit costs; impact was quantified as disability-adjusted life years (DALYs) averted. Alternatives were compared using incremental cost-effectiveness analysis. Results All models show that clinical monitoring delivers significant benefit compared to a hypothetical baseline scenario with no monitoring or switching. Regular CD4 cell count monitoring confers a benefit over clinical monitoring alone, at an incremental cost that makes it affordable in more settings than VLM, which is currently more expensive. VLM without CD4 every six to 12 months provides the greatest reductions in morbidity and mortality, but incurs a high cost per DALY averted, resulting in lost opportunities to generate health gains if implemented instead of increasing ART coverage or expanding ART eligibility. Interpretation The priority for HIV programmes should be to expand ART coverage, firstly at CD4 <350 cells and then at CD4 <500, using lower-cost clinical or CD4 monitoring. At current costs, VLM should be considered only after high ART coverage has been achieved. Point-of-care technologies and other factors reducing costs may make VLM more affordable in future. Funding The HIV Modelling Consortium is funded by the Bill and Melinda Gates Foundation. Funding for this work was also provided by the World Health Organization. PMID:25104633
SU-E-T-619: Planning 131I Thyroid Treatments for Patients Requiring Hemodialysis
DOE Office of Scientific and Technical Information (OSTI.GOV)
Stroud, D
Purpose: Treatment of 131I thyroid cancer patients who also require regular hemodialysis (HD) treatments requires consideration of the administered activity and the HD schedule. In this work the red bone marrow is considered the dose limiting organ and the treatment plan optimized the HD schedule with the amount of radioactivity administered. Methods: The ‘Safe’ dose was considered to be 2 Gy (200 rad) to the red bone marrow.1 131Iodine doses of 50 mCi to 100 mCi were modeled and found to require a range of HD schedules. In order to achieve the safe dose to the red marrow, more aggressivemore » HD schedules are required. 100 mCi required an aggressive HD treatment of every 24 hours for at least one week to achieve the ‘safe’ dose and an exposure appropriate for release from the hospital. A more normal schedule of HD beginning at 18 hours then every 48 hours allowed for up to 60 mCi administered dose allowed for a safe dose and expected release after less than one week.2In addition room was equipped with video cameras cameras for monitoring the patient and their vital signs from an adjacent room during HD. In this way the dialysis nurses were able to monitor the patient closely from an adjoining room. Results: Two HD patients were administered adjusted doses of about 50 mCi. The medical and nursing staff were exposed to no more than 4 mR for the entire treatment. The residual Iodine in the patient appeared to be normal after 4 to 6 days when the patient was released. Conclusion: With careful treatment planning 131Iodine treatments can be performed safely for patients needing HD and treatments appear to be as effective as those for patients with normal renal function.« less
Solowij, Nadia; Broyd, Samantha J; Beale, Camilla; Prick, Julie-Anne; Greenwood, Lisa-Marie; van Hell, Hendrika; Suo, Chao; Galettis, Peter; Pai, Nagesh; Fu, Shanlin; Croft, Rodney J; Martin, Jennifer H; Yücel, Murat
2018-01-01
Introduction: Chronic cannabis use has been associated with impaired cognition and elevated psychological symptoms, particularly psychotic-like experiences. While Δ 9 -tetrahydrocannabinol (THC) is thought to be primarily responsible for these deleterious effects, cannabidiol (CBD) is purported to have antipsychotic properties and to ameliorate cognitive, symptomatic, and brain harms in cannabis users. However, this has never been tested in a prolonged administration trial in otherwise healthy cannabis users. Here, we report the first study of prolonged CBD administration to a community sample of regular cannabis users in a pragmatic trial investigating potential restorative effects of CBD on psychological symptoms and cognition. Materials and Methods: Twenty frequent cannabis users (16 male, median age 25 years) underwent a 10-week open-label trial of 200 mg of daily oral CBD treatment, while continuing to use cannabis as usual. The majority of participants were daily cannabis users who had used cannabis for several years (median 5.5 years of regular use). Participants underwent psychological and cognitive assessments at baseline (BL) and post-treatment (PT) and were monitored weekly throughout the trial. Results: CBD was well tolerated with no reported side effects; however, participants retrospectively reported reduced euphoria when smoking cannabis. No impairments to cognition were found, nor were there deleterious effects on psychological function. Importantly, participants reported significantly fewer depressive and psychotic-like symptoms at PT relative to BL, and exhibited improvements in attentional switching, verbal learning, and memory. Increased plasma CBD concentrations were associated with improvements in attentional control and beneficial changes in psychological symptoms. Greater benefits were observed in dependent than in nondependent cannabis users. Conclusions: Prolonged CBD treatment appears to have promising therapeutic effects for improving psychological symptoms and cognition in regular cannabis users. Our findings require replication given the lack of a placebo control in this pragmatic trial, but suggest that CBD may be a useful adjunct treatment for cannabis dependence.
Solowij, Nadia; Broyd, Samantha J.; Beale, Camilla; Prick, Julie-Anne; Greenwood, Lisa-marie; van Hell, Hendrika; Suo, Chao; Galettis, Peter; Pai, Nagesh; Fu, Shanlin; Croft, Rodney J.; Martin, Jennifer H.; Yücel, Murat
2018-01-01
Abstract Introduction: Chronic cannabis use has been associated with impaired cognition and elevated psychological symptoms, particularly psychotic-like experiences. While Δ9-tetrahydrocannabinol (THC) is thought to be primarily responsible for these deleterious effects, cannabidiol (CBD) is purported to have antipsychotic properties and to ameliorate cognitive, symptomatic, and brain harms in cannabis users. However, this has never been tested in a prolonged administration trial in otherwise healthy cannabis users. Here, we report the first study of prolonged CBD administration to a community sample of regular cannabis users in a pragmatic trial investigating potential restorative effects of CBD on psychological symptoms and cognition. Materials and Methods: Twenty frequent cannabis users (16 male, median age 25 years) underwent a 10-week open-label trial of 200 mg of daily oral CBD treatment, while continuing to use cannabis as usual. The majority of participants were daily cannabis users who had used cannabis for several years (median 5.5 years of regular use). Participants underwent psychological and cognitive assessments at baseline (BL) and post-treatment (PT) and were monitored weekly throughout the trial. Results: CBD was well tolerated with no reported side effects; however, participants retrospectively reported reduced euphoria when smoking cannabis. No impairments to cognition were found, nor were there deleterious effects on psychological function. Importantly, participants reported significantly fewer depressive and psychotic-like symptoms at PT relative to BL, and exhibited improvements in attentional switching, verbal learning, and memory. Increased plasma CBD concentrations were associated with improvements in attentional control and beneficial changes in psychological symptoms. Greater benefits were observed in dependent than in nondependent cannabis users. Conclusions: Prolonged CBD treatment appears to have promising therapeutic effects for improving psychological symptoms and cognition in regular cannabis users. Our findings require replication given the lack of a placebo control in this pragmatic trial, but suggest that CBD may be a useful adjunct treatment for cannabis dependence. PMID:29607408
A sensor network system for the health monitoring of the Parkview bridge deck.
DOT National Transportation Integrated Search
2010-01-31
Bridges are a critical component of the transportation infrastructure. There are approximately 600,000 bridges in : the United State according to the Federal Highway Administration. Four billion vehicles traverse these bridges daily. : Regular inspec...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-15
..., local franchising authorities and the Commission on reasonable notice and during regular business hours. The records will be reviewed by local franchising authorities and the Commission to monitor compliance...
A comparative study of the aerobic fitness of 421 healthy adult males in Singapore.
Ong, T C
1993-02-01
The maximum oxygen consumption (VO2 max) of 421 healthy adult males from three ethnic groups (Chinese, Malay and Indian), aged 25-54 years, was assessed from direct analyses of their expired respiratory gases during all-out runs on a treadmill as a measure of aerobic fitness. The subjects were divided into three age groups: group 1, 25-34 years; group 2, 35-44 years; group 3, 45-54 years. Each group was further subdivided into non-exercisers (NE), non-regular exercisers (NRE) and regular exercisers (RE). Consistently within each age group, regular exercisers produced significantly higher VO2 max values compared to non-regular exercisers and non-exercisers. They also met the VO2 max requirements for heavy physical work and compared favourably with the standards of the National Physical Fitness Award of Singapore and Cooper's aerobic fitness classification standards based on North American males. Non-regular exercisers and non-exercisers only met the VO2 max requirements for moderate physical work and compared poorly in both of the aerobic fitness standards.
Modular Subsea Monitoring Network (MSM) - Realizing Integrated Environmental Monitoring Solutions
NASA Astrophysics Data System (ADS)
Mosch, Thomas; Fietzek, Peer
2016-04-01
In a variety of scientific and industrial application areas, ranging i.e. from the supervision of hydrate fields over the detection and localization of fugitive emissions from subsea oil and gas production to fish farming, fixed point observatories are useful and applied means. They monitor the water column and/or are placed at the sea floor over long periods of time. They are essential oceanographic platforms for providing valuable long-term time series data and multi-parameter measurements. Various mooring and observatory endeavors world-wide contribute valuable data needed for understanding our planet's ocean systems and biogeochemical processes. Continuously powered cabled observatories enable real-time data transmission from spots of interest close to the shore or to ocean infrastructures. Independent of the design of the observatories they all rely on sensors which demands for regular maintenance. This work is in most cases associated with cost-intensive maintenance on a regular time basis for the entire sensor carrying fixed platform. It is mandatory to encounter this asset for long-term monitoring by enhancing hardware efficiency. On the basis of two examples of use from the area of hydrate monitoring (off Norway and Japan) we will present the concept of the Modular Subsea Monitoring Network (MSM). The modular, scalable and networking capabilities of the MSM allow for an easy adaptation to different monitoring tasks. Providing intelligent power management, combining chemical and acoustical sensors, adaptation of the payload according to the monitoring tasks, autonomous powering, modular design for easy transportation, storage and mobilization, Vessel of Opportunity-borne launching and recovery capability with a video-guided launcher system and a rope recovery system are key facts addressed during the development of the MSM. Step by step the MSM concept applied to the observatory hardware will also be extended towards the gathered data to maximize the efficiency of subsea monitoring in a variety of applications.
Body weight gain induced by a newer antipsychotic agent reversed as negative symptoms improved.
Koga, M; Nakayama, K
2005-07-01
We describe a patient in whom improvement in negative symptoms contributed to early weight loss and subsequent long-term improvement in weight management. Case report. A 26-year-old woman with schizophrenia gained 7 kg over the course of 1 year after starting treatment with olanzapine. However, as negative symptoms gradually improved with treatment, she became motivated to diet and exercise regularly. She quickly lost 9 kg and subsequently maintained optimal weight (55 kg; body mass index, 24.1 kg/m(2) ). Important strategies for minimizing weight gain in patients taking antipsychotic agents include improving negative symptoms of avolition and apathy, regular monitoring of body weight and potential medical consequences of overweight and obesity, and educating the patient about the importance of diet and regular exercise.
76 FR 61374 - Massachusetts; Emergency and Related Determinations
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-04
...), including direct Federal assistance, under the Public Assistance program. This assistance excludes regular time costs for subgrantees' regular employees. Consistent with the requirement that Federal assistance... protective measures (Category B), including direct Federal assistance, under the Public Assistance program...
76 FR 60849 - Vermont; Emergency and Related Determinations
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-30
... to direct Federal assistance, under the Public Assistance program. This assistance excludes regular time costs for subgrantees' regular employees. Consistent with the requirement that Federal assistance... the Public Assistance program. (The following Catalog of Federal Domestic Assistance Numbers (CFDA...
Deploying Server-side File System Monitoring at NERSC
DOE Office of Scientific and Technical Information (OSTI.GOV)
Uselton, Andrew
2009-05-01
The Franklin Cray XT4 at the NERSC center was equipped with the server-side I/O monitoring infrastructure Cerebro/LMT, which is described here in detail. Insights gained from the data produced include a better understanding of instantaneous data rates during file system testing, file system behavior during regular production time, and long-term average behaviors. Information and insights gleaned from this monitoring support efforts to proactively manage the I/O infrastructure on Franklin. A simple model for I/O transactions is introduced and compared with the 250 million observations sent to the LMT database from August 2008 to February 2009.
Registered nurse-administered sedation for gastrointestinal endoscopic procedure
Amornyotin, Somchai
2015-01-01
The rising use of nonanesthesiologist-administered sedation for gastrointestinal endoscopy has clinical significances. Most endoscopic patients require some forms of sedation and/or anesthesia. The goals of this sedation are to guard the patient’s safety, minimize physical discomfort, to control behavior and to diminish psychological responses. Generally, moderate sedation for these procedures has been offered by the non-anesthesiologist by using benzodiazepines and/or opioids. Anesthesiologists and non-anesthesiologist personnel will need to work together for these challenges and for safety of the patients. The sedation training courses including clinical skills and knowledge are necessary for the registered nurses to facilitate the patient safety and the successful procedure. However, appropriate patient selection and preparation, adequate monitoring and regular training will ensure that the use of nurse-administered sedation is a feasible and safe technique for gastrointestinal endoscopic procedures. PMID:26191341
The fascinating and complex dynamics of geyser eruptions
Hurwitz, Shaul; Manga, Michael
2017-01-01
Geysers episodically erupt liquid and vapor. Despite two centuries of scientific study, basic questions persist—why do geysers exist? What determines eruption intervals, durations, and heights? What initiates eruptions? Through monitoring eruption intervals, analyzing geophysical data, taking measurements within geyser conduits, performing numerical simulations, and constructing laboratory models, some of these questions have been addressed. Geysers are uncommon because they require a combination of abundant water recharge, magmatism, and rhyolite flows to supply heat and silica, and large fractures and cavities overlain by low-permeability materials to trap rising multiphase and multicomponent fluids. Eruptions are driven by the conversion of thermal to kinetic energy during decompression. Larger and deeper cavities permit larger eruptions and promote regularity by isolating water from weather variations. The ejection velocity may be limited by the speed of sound of the liquid + vapor mixture.
A Healthy Lifestyle Intervention Application.
Tufte, Trond; Babic, Ankica
2017-01-01
In this project, a mHealth tool for smart-phones has been developed using Design Science methodology, where the goal has been to promote an active lifestyle. This was undertaken by implementing social and physical activity stimulating features within the application MoveFit. Users can opt to utilize just a feature or two or engage in social activities of different intensity. Regular and expert users have evaluated the application in order to meet usability requirements. In addition a field expert and a focus group have contributed towards the application's potential to increase physical activity. There was enough data collected by the app to document its good effect; it was possible to demonstrate that the app was capable of promoting physical activity. User testing has also shown the appreciation of the various features such as social networking, activity monitoring, and route/activity creation.
Diet and exercise regimens to improve breast carcinoma prognosis.
Stoll, B A
1996-12-15
Clinical studies agree that obesity worsens the prognosis of breast carcinoma in both pre- and postmenopausal women. There is considerable evidence that free estrogen levels are raised in obese women, especially in those with abdominal (visceral) obesity and hyperinsulinemic insulin resistance. It has been postulated that estrogen may synergize with the concomitants of hyperinsulinemia in stimulating breast carcinoma growth. Reduction of estrogen and insulin levels may slow this growth. A current clinical trial in the U.S. is examining the effect of dietary fat reduction on recurrence and survival rates after primary treatment of early stage breast carcinoma in postmenopausal women. Recent research suggests that a high fiber/fat ratio in the diet and regular physical exercise may help to reduce estrogen and insulin levels. Regular exercise may also help to maintain long term weight loss. A second-generation trial is proposed of a high fiber, low fat diet associated with regular physical exercise in women with early breast carcinoma. Changes in circulating levels of estrogen and insulin will be monitored in relation to timing of tumor recurrence and second primary breast carcinoma rates. Weight and fat distribution will be monitored in relation to measurements of dietary compliance. Breast carcinoma patients wishing to change their lifestyle are likely to benefit from a higher dietary fiber/fat ratio combined with regular physical exercise. If the trial shows an improved prognosis from intervention correlated with changes in biomarkers, a similar trial model could be used to identify specific fiber supplements, micronutrients, and exercise regimens that may improve survival rates in patients with breast carcinoma.
The future prospects of pharmacogenetics in oral anticoagulation therapy
Kamali, Farhad; Pirmohamed, Munir
2006-01-01
Coumarins are the mainstay of oral anticoagulation for the treatment and prophylaxis of thromboembolic disorders. They have a narrow therapeutic index and regular monitoring is therefore required to avoid serious adverse effects. There is wide interindividual variability in dosage requirements, which makes anticoagulation response unpredictable. Current dosing titrations are haphazard and inconvenient and poor initial control leads to morbidity, and occasional mortality, because of bleeding and further thromboembolism. Recent discoveries have helped to characterize the factors that contribute to the interindividual variability in responses to coumarins. Patient and environmental factors that affect anticoagulation response to coumarins include age, body size, dietary vitamin K status, concurrent disease and drug interactions. More recently, single nucleotide polymorphisms in the 2C9 isoform of cytochrome P450 (CYP2C9) and vitamin K epoxide reductase (VKOR) have been shown to make significant contributions to the variability in coumarin dosage requirements. Polymorphisms in other genes that mediate the actions of coumarins may also contribute to this variability. Racial and cultural differences influence dosage requirements, which can be explained, at least in part, by genetic and dietary factors. Incorporation of genetic and environmental factors could help in the prediction of more individualized loading and maintenance doses for safer anticoagulation therapy. PMID:16722840
MONITORING ENVIRONMENTAL RADIATION IN THE UNITED STATES(RADNET)
Operate a national network of sampling stations that regularly submit environmental samples of air, precipitation and drinking water; analyze all samples for radiation at the laboratory; and report data to the public and the radiation protection community. During national radiat...
Further NICER observations of the accreting millisecond pulsar Swift J1756.9-2508
NASA Astrophysics Data System (ADS)
Bult, P. M.; Gendreau, K. C.; Ray, P. S.; Altamirano, D.; Arzoumanian, Z.; Strohmayer, T. E.; Homan, J.; Chakrabarty, D.
2018-04-01
The accreting millisecond X-ray pulsar Swift J1756.9-2508 has been in outburst since 2018 April 1 (ATel #11497, #11502, #11505, #11523, #11566) and has been subject to regular monitoring with NICER (ATel #11502).
Heidbuchel, Hein; Berti, Dana; Campos, Manuel; Desteghe, Lien; Freixo, Ana Parente; Nunes, António Robalo; Roldán, Vanessa; Toschi, Vincenzo; Lassila, Riitta
2015-01-01
Non-vitamin K antagonist oral anticoagulants (NOACs) are increasingly used for the prevention and treatment of venous thromboembolism and for stroke prevention in patients with atrial fibrillation. NOACs do not require routine coagulation monitoring, creating a challenge to established systems for patient follow-up based on regular blood tests. Healthcare professionals (HCPs) are required to cope with a mixture of patients receiving either a vitamin K antagonist or a NOAC for the same indications, and both professionals and patients require education about the newer drugs. A European working group convened to consider the challenges facing HCPs and healthcare systems in different countries and the educational gaps that hinder optimal patient management. Group members emphasised the need for regular follow-up and noted national, regional and local variations in set-up and resources for follow-up. Practical incorporation of NOACs into healthcare systems must adapt to these differences, and practical follow-up that works in some systems may not be able to be implemented in others. The initial prescriber of a NOAC should preferably be a true anticoagulation specialist, who can provide initial patient education and coordinate the follow-up. The long-term follow-up care of patients can be managed through specialist coagulation nurses, in a dedicated anticoagulation clinic or by general practitioners trained in NOAC use. The initial prescriber should be involved in educating those who perform the follow-up. Specialist nurses require access to tools, potentially including specific software, to guide systematic patient assessment and workflow. Problem cases should be referred for specialist advice, whereas in cases for which minimal specialist attention is required, the general practitioner could take responsibility for patient follow-up. Hospital departments and anticoagulation clinics should proactively engage with all downstream HCPs (including pharmacists) to ensure their participation in patient management and reinforcement of patient education at every opportunity. Ideally, (transmural) protocols for emergency situations should be developed. Last but not least, patients should be well-informed about their condition, the treatment, possible risk scenarios, including the consequences of non-adherence to prescribed therapy, and the organisation of follow-up care.
76 FR 32369 - Tennessee; Emergency and Related Determinations
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76 FR 32368 - Mississippi; Emergency and Related Determinations
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Setkina, Svetlana; Dotsenko, Marina; Bondar, Sviatlana; Charnysh, Iryna; Kuchko, Alla; Kaznacheeva, Alena; Kozorez, Elena; Dodaleva, Alena; Rossa, Natalia
2015-04-01
Antiretroviral drugs have well-documented evidence-based favorable benefit-risk ratios. Although various studies have investigated and characterized the safety profile of antiretroviral medicines, there are a limited number of studies evaluating the safety of first-line antiretroviral therapy (ART) in patients with a specific co-morbidity. A cohort event monitoring (CEM) study of the safety and effectiveness of antiretroviral medicines in a target population that has a significant level of co-morbidities (chronic infectious diseases, peripheral blood cytopenias) was implemented. The aim was to evaluate the safety profile of the highly active ART (HAART) in the target population and subpopulations with risk factors, to optimize the monitoring and decision-making procedure for subgroups of patients with specific types of co-morbidity, and to implement a more vigilant approach to therapy management in risk groups of patients. Prospective observational CEM was implemented among HAART-naïve HIV-positive patients at four clinical sites from December 2012. Eligible patients were those starting first-line HAART. Close medical supervision of all enrolled patients, with regular clinical and laboratory monitoring, was provided by healthcare professionals within 1 year after commencement of therapy. Standardized forms were used for data collection on initial and subsequent visits. All objective or subjective deviations in condition (events) were assessed for a causal relationship with ART, and for severity, seriousness, reversibility, preventability, and pre-existing risk factors in the case of adverse drug reactions (ADRs). A total of 518 HAART-naïve HIV-positive patients were enrolled in the CEM study. Of these patients, 65% (337) experienced one or several ADRs related to one or more components of HAART. Most of the ADRs reported were non-serious, expected, common (very common), transient (correctable), or reversible. The most common were hematotoxic, hepatotoxic, and neurotoxic adverse reactions. In several cases, some types of toxicities, associated with zidovudine, efavirenz, and nevirapine, had a high level of severity, necessitating hospitalization and drug regimen or single-agent substitution. Severe cases of hematological, hepatobiliary, and psychiatric toxicities were associated with pre-existing risk factors. CEM is an effective tool for safety and effectiveness monitoring and could be successfully implemented for intensive study of important safety issues and for overcoming knowledge gaps regarding safety. In order to achieve a favorable benefit-risk ratio for HAART in the specific sections of the population with pre-existing risk factors for development of ART toxicities, more vigilant consideration and careful assessment before therapy is commenced and further regular monitoring of key laboratory parameters is required.
Ye, Bixiong; E, Xueli; Zhang, Lan
2015-01-01
To optimize non-regular drinking water quality indices (except Giardia and Cryptosporidium) of urban drinking water. Several methods including drinking water quality exceed the standard, the risk of exceeding standard, the frequency of detecting concentrations below the detection limit, water quality comprehensive index evaluation method, and attribute reduction algorithm of rough set theory were applied, redundancy factor of water quality indicators were eliminated, control factors that play a leading role in drinking water safety were found. Optimization results showed in 62 unconventional water quality monitoring indicators of urban drinking water, 42 water quality indicators could be optimized reduction by comprehensively evaluation combined with attribute reduction of rough set. Optimization of the water quality monitoring indicators and reduction of monitoring indicators and monitoring frequency could ensure the safety of drinking water quality while lowering monitoring costs and reducing monitoring pressure of the sanitation supervision departments.
Image subsampling and point scoring approaches for large-scale marine benthic monitoring programs
NASA Astrophysics Data System (ADS)
Perkins, Nicholas R.; Foster, Scott D.; Hill, Nicole A.; Barrett, Neville S.
2016-07-01
Benthic imagery is an effective tool for quantitative description of ecologically and economically important benthic habitats and biota. The recent development of autonomous underwater vehicles (AUVs) allows surveying of spatial scales that were previously unfeasible. However, an AUV collects a large number of images, the scoring of which is time and labour intensive. There is a need to optimise the way that subsamples of imagery are chosen and scored to gain meaningful inferences for ecological monitoring studies. We examine the trade-off between the number of images selected within transects and the number of random points scored within images on the percent cover of target biota, the typical output of such monitoring programs. We also investigate the efficacy of various image selection approaches, such as systematic or random, on the bias and precision of cover estimates. We use simulated biotas that have varying size, abundance and distributional patterns. We find that a relatively small sampling effort is required to minimise bias. An increased precision for groups that are likely to be the focus of monitoring programs is best gained through increasing the number of images sampled rather than the number of points scored within images. For rare species, sampling using point count approaches is unlikely to provide sufficient precision, and alternative sampling approaches may need to be employed. The approach by which images are selected (simple random sampling, regularly spaced etc.) had no discernible effect on mean and variance estimates, regardless of the distributional pattern of biota. Field validation of our findings is provided through Monte Carlo resampling analysis of a previously scored benthic survey from temperate waters. We show that point count sampling approaches are capable of providing relatively precise cover estimates for candidate groups that are not overly rare. The amount of sampling required, in terms of both the number of images and number of points, varies with the abundance, size and distributional pattern of target biota. Therefore, we advocate either the incorporation of prior knowledge or the use of baseline surveys to establish key properties of intended target biota in the initial stages of monitoring programs.
State Compliance Monitoring Expectations | ECHO | US EPA
EPA sets national goals for how frequently facilities should be evaluated by the authorized enforcement agency for three programs included in ECHO (Clean Air Act, Clean Water Act, and Resource Conservation and Recovery Act). EPA develops Compliance Monitoring Strategies (CMSs) to ensure that the regulated facilities across the country are evaluated for compliance on a regular basis. Information on CMSs, evaluations (such as on-site inspections), and inspection frequency goals that are defined by each program is included.
NASA Astrophysics Data System (ADS)
Remmlinger, Jürgen; Buchholz, Michael; Meiler, Markus; Bernreuter, Peter; Dietmayer, Klaus
For reliable and safe operation of lithium-ion batteries in electric or hybrid vehicles, diagnosis of the cell degradation is necessary. This can be achieved by monitoring the increase of the internal resistance of the battery cells over the whole lifetime of the battery. In this paper, a method to identify the internal resistance in a hybrid vehicle is presented. Therefore, a special purpose model deduced from an equivalent circuit is developed. This model contains parameters depending on the degradation of the battery cell. To achieve the required robustness and stable results under these conditions, the method uses specific signal intervals occurring during normal operation of the battery in a hybrid vehicle. This identification signal has a defined timespan and occurs regularly. The identification is done on vehicle measurement data of terminal cell voltage and current collected with a usual vehicle sampling rate. Using the adapted internal resistance value in the model, a degradation index is calculated by compensating other influences, e.g. battery temperature. This task is the main challenge, as the impact of the temperature on the resistance, for example, is one order of magnitude higher than the influence of the degradation for the investigated lithium-ion cell. The developed estimation and monitoring method is validated with measurement data from single cells and shows good results and very low computational effort.
Matrix-enhanced degradation of p,p'-DDT during gas chromatographic analysis: A consideration
Foreman, W.T.; Gates, Paul M.
1997-01-01
Analysis of p,p‘-DDT in environmental samples requires monitoring the GC-derived breakdown of this insecticide, which produces p,p‘-DDD and/or p,p‘-DDE, both also primary environmental degradation products. A performance evaluation standard (PES) containing p,p‘-DDT but notp,p‘-DDD or p,p‘-DDE can be injected at regular intervals throughout an analytical sequence to monitor GC degradation. Some U.S. EPA methods limit GC breakdown of DDT in the PES to ≤20%. GC/MS analysis of large-volume natural water samples fortified with deuterium- and 13C-labeled p,p‘-DDT exhibited up to 65% DDT breakdown by the GC inlet. These matrix-enhanced GC degradation amounts substantially exceeded the <20% breakdown levels indicated by bracketing injections of the PES containing unlabeled and labeled DDT. Substantial matrix-enhanced GC degradation was not observed during analysis of a limited number of fractionated bed-sediment extracts containing labeled DDT. Use of isotopically labeled DDT seems to provide an effective tool for monitoring sample-specific DDT breakdown during GC/MS analysis. However, analyte co-elutions render impractical their use in GC/ECD analysis. The oc currence of matrix-enhanced GC degradation might have important implications on data quality and the resultant interpretations of the environmental degradation of DDT and other thermolabile contaminants.
Tips and traps in the 14C bio-AMS preparation laboratory
NASA Astrophysics Data System (ADS)
Buchholz, Bruce A.; Freeman, Stewart P. H. T.; Haack, Kurt W.; Vogel, John S.
2000-10-01
Maintaining a contamination free sample preparation lab for biological 14C AMS requires the same or more diligence as a radiocarbon dating prep lab. Isotope ratios of materials routinely range over 4-8 orders of magnitude in a single experiment, dosing solutions contain thousands of DPM and gels used to separate proteins possess 14C ratios of 1 amol 14C/mg C. Radiocarbon contamination is a legacy of earlier tracer work in most biological laboratories, even if they were never hot labs. Removable surface contamination can be found and monitored using swipes. Contamination can be found on any surface routinely touched: door knobs, light switches, drawer handles, water faucets. In general, all surfaces routinely touched need to be covered with paper, foil or plastic that can be changed frequently. Shared air supplies can also present problems by distributing hot aerosols throughout a building. Aerosols can be monitored for 14C content using graphitized coal or fullerene soot mixed with metal powder as an absorber. The monitors can be set out in work spaces for 1-2 weeks and measured by AMS with regular samples. Frequent air changes help minimize aerosol contamination in many cases. Cross-contamination of samples can be minimized by using disposable plastic or glassware in the prep lab, isolating samples from the air when possible and using positive displacement pipettors.
NASA Astrophysics Data System (ADS)
Řezník, T.; Kepka, M.; Charvát, K.; Charvát, K., Jr.; Horáková, S.; Lukas, V.
2016-04-01
From a global perspective, agriculture is the single largest user of freshwater resources, each country using an average of 70% of all its surface water supplies. An essential proportion of agricultural water is recycled back to surface water and/or groundwater. Agriculture and water pollution is therefore the subject of (inter)national legislation, such as the Clean Water Act in the United States of America, the European Water Framework Directive, and the Law of the People's Republic of China on the Prevention and Control of Water Pollution. Regular monitoring by means of sensor networks is needed in order to provide evidence of water pollution in agriculture. This paper describes the benefits of, and open issues stemming from, regular sensor monitoring provided by an Open Farm Management Information System. Emphasis is placed on descriptions of the processes and functionalities available to users, the underlying open data model, and definitions of open and lightweight application programming interfaces for the efficient management of collected (spatial) data. The presented Open Farm Management Information System has already been successfully registered under Phase 8 of the Global Earth Observation System of Systems (GEOSS) Architecture Implementation Pilot in order to support the wide variety of demands that are primarily aimed at agriculture pollution monitoring. The final part of the paper deals with the integration of the Open Farm Management Information System into the Digital Earth framework.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lin, Jiang
2007-03-01
China has developed a comprehensive program of energy efficiency standards and labels for household appliances. In 1989, China first launched its minimum energy performance standards (MEPS), which are now applied to an extensive list of products. In 1998, China launched a voluntary energy endorsement label, which has grown to cover both energy-saving and water-saving products. And, in 2005, China launched a mandatory energy information label that initially covered two products. CLASP has assisted China in developing 11 minimum energy performance standards (MEPS) for 9 products and endorsement labels for 11 products including: refrigerators; air conditioners; televisions; printers; computers; monitors; faxmore » machines; copiers; DVD/VCD players; external power supplies; and set-top boxes. CLASP has also assisted China in the development of the mandatory energy information label. Increasingly, attention is being placed on maximum energy savings from China's standards and labeling (S&L) efforts in order to meet the recently announced goal of reducing China's energy intensity by 20 percent by 2010 with an interim objective of 4 percent in 2006. China's mandatory standards system is heavily focused on the technical requirements for efficiency performance, but historically, it has lacked administrative and personnel capacity to undertake monitoring and enforcement of these legally binding standards. Similarly, resources for monitoring and enforcement have been quite limited. As a consequence, compliance to both the mandatory standards and the mandatory energy information label is uneven with the potential and likely result of lost energy savings. Thus, a major area for improvement, which could significantly increase overall energy savings, is the creation and implementation of a regularized monitoring system for tracking the compliance to, and enforcement of, mandatory standards and the energy information label in China. CLASP has been working with the China National Institute of Standardization (CNIS), the China Administration for Quality, Supervision, Inspection and Quarantine (AQSIQ) and relevant stakeholders in the industry to develop a stronger system of monitoring and enforcement. In November 2005, CNIS and LBNL (a CLASP implementing partner) with funding from the Energy Foundation jointly organized an international workshop to present the international best practices in S&L monitoring and enforcement. Currently, CNIS is developing a guideline for monitoring and enforcement for appliance standards. With support from METI, CLASP has been able to expand the on-going collaboration with CNIS to include enforcement needs for the mandatory energy information label and to accelerate the progress of the project to develop a more robust monitoring and enforcement for S&L programs in China. This expanded effort has included: (1) Holding an enforcement and monitoring roadmap planning workshop with key S&L stakeholders; (2) Interviews with S&L stakeholders on the need and scope of national compliance tests; (3) Research on past enforcement activities; (4) An analysis of compliance data from the mandatory energy information labeling program; (5) Interviews with stakeholders on the need and scope of testing infrastructure; and (6) Development of a roadmap for future activities. This report summarizes the findings of these activities and identifies the progress that China is making, and can make, toward developing a stronger system of monitoring and enforcement (M&E). In sum, it outlines a vision of moving forward with more vigorous M&E in China.« less
Simons, Lucy; Valentine, Althea Z; Falconer, Caroline J; Groom, Madeleine; Daley, David; Craven, Michael P; Young, Zoe; Hall, Charlotte; Hollis, Chris
2016-03-23
Guidelines in the United Kingdom recommend that medication titration for attention deficit hyperactivity disorder (ADHD) should be completed within 4-6 weeks and include regular reviews. However, most clinicians think that weekly clinic contact is infeasible, and audits have shown that this timeline is rarely achieved. Thus, a more effective monitoring and review system is needed; remote monitoring technology (RMT) may be one way to improve current practice. However, little is known about whether patients with ADHD, their families, and clinicians would be interested in using RMT. To explore patients', parents', and health care professionals' views and attitudes toward using digital technology for remote monitoring during titration for ADHD. This was a qualitative study, and data were collected through 11 focus groups with adults and young people with ADHD, parents of children with ADHD, and health care professionals (N=59). All participant groups were positive about using RMT in the treatment of ADHD, but they were also aware of barriers to its use, especially around access to technology and integrating RMT into clinical care. They identified that RMT had the most potential for use in the ongoing management and support of ADHD, rather than during the distinct titration period. Participants identified features of RMT that could improve the quality of consultations and support greater self-management. RMT has the potential to augment support and care for ADHD, but it needs to go beyond the titration period and offer more to patients and families than monitoring through outcome measures. Developing and evaluating an mHealth app that incorporates the key features identified by end users is required.
Rifkin, Dena E; Abdelmalek, Joseph A; Miracle, Cynthia M; Low, Chai; Barsotti, Ryan; Rios, Phil; Stepnowsky, Carl; Agha, Zia
2013-02-01
Older adults with chronic kidney disease have a high rate of uncontrolled hypertension. Home monitoring of blood pressure (BP) is an integral part of management, but requires that patients bring records to clinic visits. Telemonitoring interventions, however, have not targeted older, less technologically-skilled populations. Veterans with stage 3 or greater chronic kidney disease and uncontrolled hypertension were randomized to a novel telemonitoring device pairing a Bluetooth-enabled BP cuff with an Internet-enabled hub, which wirelessly transmitted readings (n=28), or usual care (n=15). Home recordings were reviewed weekly and telemonitoring participants were contacted if BP was above goal. The prespecified primary endpoints were improved data exchange and device acceptability. Secondary endpoint was BP change. Forty-three participants (average age 68 years, 75% white) completed the 6-month study. Average start-of-study BP was 147/78 mmHg. Those in the intervention arm had a median of 29 (IQR 22, 53) transmitted BP readings per month, with 78% continuing to use the device regularly, whereas only 20% of those in the usual care group brought readings to in-person visits. The median number of telephone contacts triggered by the wireless monitoring was 2 (IQR 1, 4) per patient. Both groups had a significant improvement in systolic BP (P<0.05, for both changes); systolic BP fell a median of 13 mmHg in monitored participants compared with 8.5 mmHg in usual care participants (P for comparison 0.31). This low-cost wireless monitoring strategy led to greater sharing of data between patients and clinic and produced a trend toward improvements in BP control over usual care at 6 months.
76 FR 61373 - Connecticut; Emergency and Related Determinations
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2011-10-04
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76 FR 60850 - Delaware; Emergency and Related Determinations
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2011-09-30
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76 FR 60852 - District of Columbia; Emergency and Related Determinations
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2011-09-30
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76 FR 32982 - Alabama; Emergency and Related Determinations
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2011-06-07
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76 FR 21773 - North Dakota; Emergency and Related Determinations
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2011-04-18
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76 FR 61726 - North Carolina; Emergency and Related Determinations
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2011-10-05
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ERIC Educational Resources Information Center
Neugebauer, Roger
2002-01-01
Discusses several strategies recommended by small business experts to help for-profit and non-profit child care centers survive a financial crisis. Strategies include: identifying the source of the problem, monitoring cash flow, reducing or deferring expenditures, expediting regular income and exploring new sources of income, patiently working…
Australian radio observations of SN1987A - A progress report
NASA Technical Reports Server (NTRS)
Reynolds, John E.; Jauncey, David L.; Preston, Robert A.; Mutel, Robert L.; Livermore, R. W.
1987-01-01
Regular monitoring of SN 1987A in the radio spectrum is being conducted at a number of Australian observatories. Although no emission is detectable at present, a VLBI network has been established to map a possible major outburst at high resolution.
21 CFR 26.69 - Monitoring of conformity assessment bodies.
Code of Federal Regulations, 2010 CFR
2010-04-01
... MUTUAL RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE PRODUCT EVALUATION REPORTS: UNITED STATES AND THE EUROPEAN... cause to maintain, ongoing surveillance over their CAB's by means of regular audit or assessment; (b...
Exercise Adherence. ERIC Digest.
ERIC Educational Resources Information Center
Sullivan, Pat
This digest discusses exercise adherence, noting its vital role in maximizing the benefits associated with physical activity. Information is presented on the following: (1) factors that influence adherence to self-monitored programs of regular exercise (childhood eating habits, and psychological, physical, social, and situational factors); (2)…
A glitch in the Crab pulsar (PSR B0531+21)
NASA Astrophysics Data System (ADS)
Shaw, Benjamin; Lyne, Andrew; Bassa, Cees; Breton, Rene; Jordan, Christine; Keith, Michael; Mickaliger, Mitchell B.; Stappers, Benjamin; Weltevrede, Patrick
2018-05-01
We have detected a glitch in the Crab pulsar, B0531+21, on 2018-04-29. The Crab pulsar is regularly monitored with the 42-ft and Lovell telescopes at the Jodrell Bank Observatory as part of the pulsar timing programme.
Water, electrolytes, vitamins and trace elements – Guidelines on Parenteral Nutrition, Chapter 7
Biesalski, H. K.; Bischoff, S. C.; Boehles, H. J.; Muehlhoefer, A.
2009-01-01
A close cooperation between medical teams is necessary when calculating the fluid intake of parenterally fed patients. Fluids supplied parenterally, orally and enterally, other infusions, and additional fluid losses (e.g. diarrhea) must be considered. Targeted diagnostic monitoring (volume status) is required in patients with disturbed water or electrolyte balance. Fluid requirements of adults with normal hydration status is approximately 30–40 ml/kg body weight/d, but fluid needs usually increase during fever. Serum electrolyte concentrations should be determined prior to PN, and patients with normal fluid and electrolyte balance should receive intakes follwing standard recommendations with PN. Additional requirements should usually be administered via separate infusion pumps. Concentrated potassium (1 mval/ml) or 20% NaCl solutions should be infused via a central venous catheter. Electrolyte intake should be adjusted according to the results of regular laboratory analyses. Individual determination of electrolyte intake is required when electrolyte balance is initially altered (e.g. due to chronic diarrhea, recurring vomiting, renal insufficiency etc.). Vitamins and trace elements should be generally substituted in PN, unless there are contraindications. The supplementation of vitamins and trace elements is obligatory after a PN of >1 week. A standard dosage of vitamins and trace elements based on current dietary reference intakes for oral feeding is generally recommended unless certain clinical situations require other intakes. PMID:20049067
NASA Astrophysics Data System (ADS)
Liu, Lixian; Mandelis, Andreas; Melnikov, Alexander; Michaelian, Kirk; Huan, Huiting; Haisch, Christoph
2016-07-01
Air pollutants have adverse effects on the Earth's climate system. There is an urgent need for cost-effective devices capable of recognizing and detecting various ambient pollutants. An FTIR photoacoustic spectroscopy (FTIR-PAS) method based on a commercial FTIR spectrometer developed for air contamination monitoring will be presented. A resonant T-cell was determined to be the most appropriate resonator in view of the low-frequency requirement and space limitations in the sample compartment. Step-scan FTIR-PAS theory for regular cylinder resonator has been described as a reference for prediction of T-cell vibration principles. Both simulated amplitude and phase responses of the T-cell show good agreement with measurement data Carbon dioxide IR absorption spectra were used to demonstrate the capacity of the FTIR-PAS method to detect ambient pollutants. The theoretical detection limit for carbon dioxide was found to be 4 ppmv. A linear response to carbon dioxide concentration was found in the range from 2500 ppmv to 5000 ppmv. The results indicate that it is possible to use step-scan FTIR-PAS with a T-cell as a quantitative method for analysis of ambient contaminants.
Gallant, Alisa L.; Kaya, Shannon G.; White, Lori; Brisco, Brian; Roth, Mark F.; Sadinski, Walter J.; Rover, Jennifer
2014-01-01
Wetlands provide ecosystem goods and services vitally important to humans. Land managers and policymakers working to conserve wetlands require regularly updated information on the statuses of wetlands across the landscape. However, wetlands are challenging to map remotely with high accuracy and consistency. We investigated the use of multitemporal polarimetric synthetic aperture radar (SAR) data acquired with Canada’s Radarsat-2 system to track within-season changes in wetland vegetation and surface water. We speculated, a priori, how temporal and morphological traits of different types of wetland vegetation should respond over a growing season with respect to four energy-scattering mechanisms. We used ground-based monitoring data and other ancillary information to assess the limits and consistency of the SAR data for tracking seasonal changes in wetlands. We found the traits of different types of vertical emergent wetland vegetation were detected well with the SAR data and corresponded with our anticipated backscatter responses. We also found using data from Landsat’s optical/infrared sensors in conjunction with SAR data helped remove confusion of wetland features with upland grasslands. These results suggest SAR data can provide useful monitoring information on the statuses of wetlands over time.
Training and outcome monitoring in robotic urologic surgery.
Liberman, Daniel; Trinh, Quoc-Dien; Jeldres, Claudio; Valiquette, Luc; Zorn, Kevin C
2011-11-08
The use of robot-assisted laparoscopic technology is rapidly expanding, with applicability in numerous disciplines of surgery. Training to perform robot-assisted laparoscopic urological procedures requires a motivated learner, a motivated teacher or proctor, a curriculum with stepwise learning objectives, and regular access to a training robot. In light of the many constraints that limit surgical training, animal models should be utilized to quantifiably improve the surgical skills of residents and surgical fellows, before these skills are put into practice on patients. A system based on appropriate supervision, graduated responsibility, real-time feedback, and objective measure of progress has proven to be safe and effective. Surgical team education directed towards cohesion is perhaps the most important aspect of training. At present, there are very few published guidelines for the safe introduction of robotic urologic surgery at an institution. Increasing evidence demonstrates the effects of learning curve and surgical volume on oncological and functional outcomes in robotic surgery (RS). This necessitates the introduction of mechanisms and guidelines by which trainee surgeons can attain a sufficient level of skill, without compromising the safety of patients. Guidelines for outcome monitoring following RS should be developed, to ensure patient safety and sufficient baseline surgeon skill.
Otten, Mark P; Miller, Travis J
2015-12-01
Explicitly monitoring one's own actions has been noted as detrimental to the performance of fine motor skills under duress. Offensive skills rather than defensive skills are typically studied in this context. Defensive techniques typically require skills such as footwork and continuous movement, as opposed to more precise, hand-eye coordinated action. Explicit monitoring theory may be less relevant for defensive skills than offensive skills when playing under pressure. Archival data (66 years) for teams and for individual players was compiled from the National Basketball Association (NBA) and the National Football League (NFL). For basketball (n=778) and football (n=515) teams, regular season offensive and defensive statistics similarly predicted success in the postseason, which was assumed to create more pressure. For individual basketball players (n=5,132), nine indices of offensive (FG, free throw and three-point shooting, offensive win shares, points, and assists) and defensive (defensive win shares, steals, and blocks) production were compared; among these, three-point shooting percentage was least correlated from season to postseason, suggesting it is especially variable under pressure. A balanced basketball or football team that focuses on both offense and defense may be most successful.
Le, Cai; Rong, Su; Dingyun, You; Wenlong, Cui
2016-11-01
This study examines how socioeconomic factors are associated with prevalence and self-management of diabetes among ethnic minority groups in the rural Yunnan province, which has the most ethnic minority groups per province in southwest China. A cross-sectional survey was carried out in 2014 in a rural southwest population consisting of 5532 consenting individuals aged ⩾35years. Information about participants' demographic characteristics, as well as diabetes diagnosis, treatment, and self-management behaviors, were obtained using a standard questionnaire. Fasting blood sugar levels were recorded for each individual. A socioeconomic position (SEP) index was constructed using principal component analysis. The age-standardized prevalence of diabetes in the study population was 4.8%. In persons with diabetes, 23.1% regularly self-monitored blood glucose, 43.2% adhered to taking prescribed anti-diabetic drugs or insulin injections, and 63.1% took at least one measure to control blood glucose. Individual educational level was found to be negatively associated with the prevalence of diabetes, whereas individuals with greater household assets and higher SEP were more likely to be suffered from diabetes. Persons with diabetes with greater household assets, higher level of education, and higher SEP had a greater probability of regularly self-monitoring blood glucose, compliance to prescribed medicines, and taking measures to control diabetes. Access to medical services was positively associated with regularly self-monitoring blood glucose and compliance to prescribed medicines. Socioeconomic disparities in diabetes prevalence and self-management do exist. Future interventions to further control diabetes and improve diabetes management must be tailored to address socioeconomic factors. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Passive serialization in a multitasking environment
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hennessey, J.P.; Osisek, D.L.; Seigh, J.W. II
1989-02-28
In a multiprocessing system having a control program in which data objects are shared among processes, this patent describes a method for serializing references to a data object by the processes so as to prevent invalid references to the data object by any process when an operation requiring exclusive access is performed by another process, comprising the steps of: permitting the processes to reference data objects on a shared access basis without obtaining a shared lock; monitoring a point of execution of the control program which is common to all processes in the system, which occurs regularly in the process'more » execution and across which no references to any data object can be maintained by any process, except references using locks; establishing a system reference point which occurs after each process in the system has passed the point of execution at least once since the last such system reference point; requesting an operation requiring exclusive access on a selected data object; preventing subsequent references by other processes to the selected data object; waiting until two of the system references points have occurred; and then performing the requested operation.« less
Measuring residual renal function for hemodialysis adequacy: Is there an easier option?
Davenport, Andrew
2017-10-01
Most patients starting hemodialysis (HD) have residual renal function. As such, there has been increased interest in starting patients with less frequent and shorter dialysis session times. However, for this incremental approach to be successful, patients require regular monitoring of residual renal function, so that as residual renal function declines, the amount of HD is appropriately increased. Currently most dialysis centers rely on interdialytic urine collections. However, many patients find these inconvenient and there may be marked intrapatient variability due to compliance issues. Thus, alternative markers of residual renal function are required for routine clinical practice. Currently three middle sized molecules; cystatin C, β2 microglobulin, and βtrace protein have been investigated as potential endogenous markers of glomerular filtration. Although none is ideal, combinations of these markers have been proposed to provide a more accurate estimation of glomerular clearance, and in particular cut offs for minimal residual renal function. However, in patients with low levels of residual renal function it remains unclear as to whether the benefits of residual renal function equally apply to glomerular filtration or tubular function. © 2017 International Society for Hemodialysis.
Importance of regular testing of private drinking water systems in North Carolina.
Barros, Nirmalla; Rudo, Kenneth; Shehee, Mina
2014-01-01
North Carolina state laws require that water from newly constructed private wells be tested for chemical and microbiologic contamination, but existing wells are not routinely tested. This commentary highlights the importance of regular testing of all private sources of drinking water.
Generic effective source for scalar self-force calculations
NASA Astrophysics Data System (ADS)
Wardell, Barry; Vega, Ian; Thornburg, Jonathan; Diener, Peter
2012-05-01
A leading approach to the modeling of extreme mass ratio inspirals involves the treatment of the smaller mass as a point particle and the computation of a regularized self-force acting on that particle. In turn, this computation requires knowledge of the regularized retarded field generated by the particle. A direct calculation of this regularized field may be achieved by replacing the point particle with an effective source and solving directly a wave equation for the regularized field. This has the advantage that all quantities are finite and require no further regularization. In this work, we present a method for computing an effective source which is finite and continuous everywhere, and which is valid for a scalar point particle in arbitrary geodesic motion in an arbitrary background spacetime. We explain in detail various technical and practical considerations that underlie its use in several numerical self-force calculations. We consider as examples the cases of a particle in a circular orbit about Schwarzschild and Kerr black holes, and also the case of a particle following a generic timelike geodesic about a highly spinning Kerr black hole. We provide numerical C code for computing an effective source for various orbital configurations about Schwarzschild and Kerr black holes.
ACCELERATING MR PARAMETER MAPPING USING SPARSITY-PROMOTING REGULARIZATION IN PARAMETRIC DIMENSION
Velikina, Julia V.; Alexander, Andrew L.; Samsonov, Alexey
2013-01-01
MR parameter mapping requires sampling along additional (parametric) dimension, which often limits its clinical appeal due to a several-fold increase in scan times compared to conventional anatomic imaging. Data undersampling combined with parallel imaging is an attractive way to reduce scan time in such applications. However, inherent SNR penalties of parallel MRI due to noise amplification often limit its utility even at moderate acceleration factors, requiring regularization by prior knowledge. In this work, we propose a novel regularization strategy, which utilizes smoothness of signal evolution in the parametric dimension within compressed sensing framework (p-CS) to provide accurate and precise estimation of parametric maps from undersampled data. The performance of the method was demonstrated with variable flip angle T1 mapping and compared favorably to two representative reconstruction approaches, image space-based total variation regularization and an analytical model-based reconstruction. The proposed p-CS regularization was found to provide efficient suppression of noise amplification and preservation of parameter mapping accuracy without explicit utilization of analytical signal models. The developed method may facilitate acceleration of quantitative MRI techniques that are not suitable to model-based reconstruction because of complex signal models or when signal deviations from the expected analytical model exist. PMID:23213053
Hesford, Andrew J.; Waag, Robert C.
2010-01-01
The fast multipole method (FMM) is applied to the solution of large-scale, three-dimensional acoustic scattering problems involving inhomogeneous objects defined on a regular grid. The grid arrangement is especially well suited to applications in which the scattering geometry is not known a priori and is reconstructed on a regular grid using iterative inverse scattering algorithms or other imaging techniques. The regular structure of unknown scattering elements facilitates a dramatic reduction in the amount of storage and computation required for the FMM, both of which scale linearly with the number of scattering elements. In particular, the use of fast Fourier transforms to compute Green's function convolutions required for neighboring interactions lowers the often-significant cost of finest-level FMM computations and helps mitigate the dependence of FMM cost on finest-level box size. Numerical results demonstrate the efficiency of the composite method as the number of scattering elements in each finest-level box is increased. PMID:20835366
NASA Astrophysics Data System (ADS)
Hesford, Andrew J.; Waag, Robert C.
2010-10-01
The fast multipole method (FMM) is applied to the solution of large-scale, three-dimensional acoustic scattering problems involving inhomogeneous objects defined on a regular grid. The grid arrangement is especially well suited to applications in which the scattering geometry is not known a priori and is reconstructed on a regular grid using iterative inverse scattering algorithms or other imaging techniques. The regular structure of unknown scattering elements facilitates a dramatic reduction in the amount of storage and computation required for the FMM, both of which scale linearly with the number of scattering elements. In particular, the use of fast Fourier transforms to compute Green's function convolutions required for neighboring interactions lowers the often-significant cost of finest-level FMM computations and helps mitigate the dependence of FMM cost on finest-level box size. Numerical results demonstrate the efficiency of the composite method as the number of scattering elements in each finest-level box is increased.
Hesford, Andrew J; Waag, Robert C
2010-10-20
The fast multipole method (FMM) is applied to the solution of large-scale, three-dimensional acoustic scattering problems involving inhomogeneous objects defined on a regular grid. The grid arrangement is especially well suited to applications in which the scattering geometry is not known a priori and is reconstructed on a regular grid using iterative inverse scattering algorithms or other imaging techniques. The regular structure of unknown scattering elements facilitates a dramatic reduction in the amount of storage and computation required for the FMM, both of which scale linearly with the number of scattering elements. In particular, the use of fast Fourier transforms to compute Green's function convolutions required for neighboring interactions lowers the often-significant cost of finest-level FMM computations and helps mitigate the dependence of FMM cost on finest-level box size. Numerical results demonstrate the efficiency of the composite method as the number of scattering elements in each finest-level box is increased.
CREM monitoring: a wireless RF application
NASA Astrophysics Data System (ADS)
Valencia, J. D.; Burghard, B. J.; Skorpik, J. R.; Silvers, K. L.; Schwartz, M. J.
2005-05-01
Recent security lapses within the Department of Energy laboratories prompted the establishment and implementation of additional procedures and training for operations involving classified removable electronic media (CREM) storage. In addition, the definition of CREM has been expanded and the number of CREM has increased significantly. Procedures now require that all CREM be inventoried and accounted for on a weekly basis. Weekly inventories consist of a physical comparison of each item against the reportable inventory listing. Securing and accounting for CREM is a continuous challenge for existing security systems. To address this challenge, an innovative framework, encompassing a suite of technologies, has been developed by Pacific Northwest National Laboratory (PNNL) to monitor, track, and locate CREM in safes, vaults, and storage areas. This Automated Removable Media Observation and Reporting (ARMOR)framework, described in this paper, is an extension of an existing PNNL program, SecureSafe. The key attributes of systems built around the ARMOR framework include improved accountability, reduced risk of human error, improved accuracy and timeliness of inventory data, and reduced costs. ARMOR solutions require each CREM to be tagged with a unique electronically readable ID code. Inventory data is collected from tagged CREM at regular intervals and upon detection of an access event. Automated inventory collection and report generation eliminates the need for hand-written inventory sheets and allows electronic transfer of the collected inventory data to a modern electronic reporting system. An electronic log of CREM access events is maintained, providing enhanced accountability for daily/weekly checks, routine audits, and follow-up investigations.
Lipschitz regularity results for nonlinear strictly elliptic equations and applications
NASA Astrophysics Data System (ADS)
Ley, Olivier; Nguyen, Vinh Duc
2017-10-01
Most of Lipschitz regularity results for nonlinear strictly elliptic equations are obtained for a suitable growth power of the nonlinearity with respect to the gradient variable (subquadratic for instance). For equations with superquadratic growth power in gradient, one usually uses weak Bernstein-type arguments which require regularity and/or convex-type assumptions on the gradient nonlinearity. In this article, we obtain new Lipschitz regularity results for a large class of nonlinear strictly elliptic equations with possibly arbitrary growth power of the Hamiltonian with respect to the gradient variable using some ideas coming from Ishii-Lions' method. We use these bounds to solve an ergodic problem and to study the regularity and the large time behavior of the solution of the evolution equation.
Riordan, Henry J; Antonini, Paola; Murphy, Michael F
2011-09-01
Metabolic syndrome is a leading cause of morbidity and mortality in patients with schizophrenia, with a prevalence rate double that of nonpsychiatric populations. Given the amount of evidence suggesting a link between atypical antipsychotic medications and metabolic syndrome, several agencies have recommended regular clinical monitoring of weight, symptoms of hyperglycemia, and glucose in chronically medicated patients with schizophrenia. To summarize the current literature on atypical antipsychotic-induced metabolic syndrome in patients with schizophrenia, outline some of the molecular mechanisms behind this syndrome, identify demographic and disease-related risk factors, and describe cost-effective methods for surveillance. The differential prevalence of metabolic syndrome associated with various atypical antipsychotic medications has been evidenced across numerous studies, with higher effects seen for certain antipsychotic medications on weight gain, waist circumference, fasting triglyceride level, and glucose levels. Given the association of these symptoms, all atypical antipsychotic medications currently include a warning about the risk of hyperglycemia and diabetes, as well as suggestions for regular monitoring. Despite this, very little data are available to support adherence to these monitoring recommendations. Lack of awareness and resources, diffusion of responsibility, policy implementation, and organizational structure have all been implicated. The treatment of schizophrenia involves a balance in terms of risks and benefits. Failing to treat because of risk for complications from metabolic syndrome may place the patient at a higher risk for more serious health outcomes. Supporting programs aimed at increasing monitoring of simple laboratory and clinical measures associated with metabolic syndrome may decrease important risk factors, improve patients' quality of life, and reduce healthcare costs.
Bahri, Priya; Fogd, Julianna; Morales, Daniel; Kurz, Xavier
2017-05-02
The benefit-risk balance of vaccines is regularly debated by the public, but the utility of media monitoring for regulatory bodies is unclear. A media monitoring study was conducted at the European Medicines Agency (EMA) concerning human papillomavirus (HPV) vaccines during a European Union (EU) referral procedure assessing the potential causality of complex regional pain syndrome (CRPS) and postural orthostatic tachycardia syndrome (POTS) reported to the authorities as suspected adverse reactions. To evaluate the utility of media monitoring in real life, prospective real-time monitoring of worldwide online news was conducted from September to December 2015 with inductive content analysis, generating 'derived questions'. The evaluation was performed through the validation of the predictive capacity of these questions against journalists' queries, review of the EMA's public statement and feedback from EU regulators. A total of 4230 news items were identified, containing personal stories, scientific and policy/process-related topics. Explicit and implicit concerns were identified, including those raised due to lack of knowledge or anticipated once more information would be published. Fifty derived questions were generated and categorised into 12 themes. The evaluation demonstrated that providing the media monitoring findings to assessors and communicators resulted in (1) confirming that public concerns regarding CRPS and POTS would be covered by the assessment; (2) meeting specific information needs proactively in the public statement; (3) predicting all queries from journalists; and (4) altering the tone of the public statement with respectful acknowledgement of the health status of patients with CRSP or POTS. The study demonstrated the potential utility of media monitoring for regulatory bodies to support communication proactivity and preparedness, intended to support trusted safe and effective vaccine use. Derived questions seem to be a familiar and effective format for presenting media monitoring results in the scientific-regulatory environment. It is suggested that media monitoring could form part of regular surveillance for medicines of high public interest. Future work is recommended to develop efficient monitoring strategies for that purpose.
Hegener, Michael A; Li, Hua; Han, Daewoo; Steckl, Andrew J; Pauletti, Giovanni M
2017-09-01
Vitamin K antagonists such as warfarin are the most widely used class of oral anticoagulants. Due to a narrow therapeutic window, patients on warfarin require regular monitoring. Self-testing using point-of-care (POC) diagnostic devices is available, but cost makes this monitoring method beyond reach for many. The main objective of this research was to assess the clinical utility of a low-cost, paper-based lateral flow POC diagnostic device developed for anticoagulation monitoring without the need for a separate electronic reader. Custom-fabricated lateral flow assay (LFA) test strips comprised of a glass fiber sample pad, a nitrocellulose analytical membrane, a cellulose wicking pad, and a plastic backing card were assembled in a plastic cassette. Healthy volunteers and patients on warfarin therapy were recruited for this prospective study. For each participant, a whole blood sample was collected via fingerstick to determine: (1) international normalized ratio (INR) using the CoaguChek® XS coagulometer, (2) hematocrit by centrifugation, and (3) red blood cell (RBC) travel distance on the experimental LFA device after 240 s using digital image analysis. RBC travel distance measured on the LFA device using blood samples obtained from warfarin patients positively correlated with increasing INR value and the LFA device had the capability to statistically distinguish between healthy volunteer INR values and those for patients groups with INR ≥ 2.6. From these data, it is predicted that this low-cost, paper-based LFA device can have clinical utility for identifying anticoagulated patients taking vitamin K antagonists who are outside of the desired therapeutic efficacy window.
NASA Astrophysics Data System (ADS)
Gopal Madhav Annamdas, Venu; Kiong Soh, Chee
2017-04-01
The last decade has seen the use of various wired-wireless and contact-contactless sensors in several structural health monitoring (SHM) techniques. Most SHM sensors that are predominantly used for strain measurements may be ineffective for damage detection and vice versa, indicating the uniapplicability of these sensors. However, piezoelectric (PE)-based macro fiber composite (MFC) and lead zirconium titanate (PZT) sensors have been on the rise in SHM, vibration and damping control, etc, due to their superior actuation and sensing abilities. These PE sensors have created much interest for their multi-applicability in various technologies such as electromechanical impedance (EMI)-based SHM. This research employs piezo diaphragms, a cheaper alternative to several expensive types of PZT/MFC sensors for the EMI technique. These piezo diaphragms were validated last year for their applicability in damage detection using the frequency domain. Here we further validate their applicability in strain monitoring using the real time domain. Hence, these piezo diaphragms can now be classified as PE sensors and used with PZT and MFC sensors in the EMI technique for monitoring damage and loading. However, no single technique or single type of sensor will be sufficient for large SHM, thus requiring the necessary deployment of more than one technique with different types of sensors such as a piezoresistive strain gauge based wireless sensor network for strain measurements to complement the EMI technique. Furthermore, we present a novel procedure of converting a regular PE sensor in the ‘frequency domain’ to ‘real time domain’ for strain applications.
Alternative Fuels Data Center: Managing Workplace Charging
able to address challenges swiftly and efficiently. Additional areas to consider when developing attendants, security personnel, or employee self-monitoring. When considering enforcement and security stations after regular business hours when the identified enforcement personnel may not be available
NASA Astrophysics Data System (ADS)
Lipenbergs, E.; Bobrovs, Vj.; Ivanovs, G.
2016-10-01
To ensure that end-users and consumers have access to comprehensive, comparable and user-friendly information regarding the Internet access service quality, it is necessary to implement and regularly renew a set of legislative regulatory acts and to provide monitoring of the quality of Internet access services regarding the current European Regulatory Framework. The actual situation regarding the quality of service monitoring solutions in different European countries depends on national regulatory initiatives and public awareness. The service monitoring solutions are implemented using different measurement methodologies and tools. The paper investigates the practical implementations for developing a harmonising approach to quality monitoring in order to obtain objective information on the quality of Internet access services on mobile networks.
Krishnan, Sandeep Kumar; Dohrmann, Mary L; Brietzke, Stephen A; Fleming, David A; Flaker, Greg C
2011-01-01
In elderly patients with established atrial fibrillation (AF) who are receiving thyroid replacement, regular testing for thyroid function is often not performed, placing the patient at risk for iatrogenic hyperthyroidism. Of 215 patients followed in an anticoagulation clinic, 41 were receiving thyroid replacement and 15 of these were found to have hyperthyroidism. Eight had documented AF coincident with abnormal thyroid function. In addition, only 22 patients on thyroid replacement had an annual TSH. In conclusion, iatrogenic hyperthyroidism may frequently be missed in AF patients because of inadequate monitoring of serum TSH. Thyroid replacement is common in elderly patients with AF followed in an anticoagulation clinic. Laboratory evidence of hyperthyroidism occurred in 37%, usually in patients with higher doses of thyroid replacement, and often associated with AF. The frequency of iatrogenic hyperthyroidism may be underestimated in patients with AF since many patients who receive thyroid replacement therapy are not monitored regularly with serum TSH.
Forecasting long-range atmospheric transport episodes of polychlorinated biphenyls using FLEXPART
NASA Astrophysics Data System (ADS)
Halse, Anne Karine; Eckhardt, Sabine; Schlabach, Martin; Stohl, Andreas; Breivik, Knut
2013-06-01
The analysis of concentrations of persistent organic pollutants (POPs) in ambient air is costly and can only be done for a limited number of samples. It is thus beneficial to maximize the information content of the samples analyzed via a targeted observation strategy. Using polychlorinated biphenyls (PCBs) as an example, a forecasting system to predict and evaluate long-range atmospheric transport (LRAT) episodes of POPs at a remote site in southern Norway has been developed. The system uses the Lagrangian particle transport model FLEXPART, and can be used for triggering extra ("targeted") sampling when LRAT episodes are predicted to occur. The system was evaluated by comparing targeted samples collected over 12-25 h during individual LRAT episodes with monitoring samples regularly collected over one day per week throughout a year. Measured concentrations in all targeted samples were above the 75th percentile of the concentrations obtained from the regular monitoring program and included the highest measured values of all samples. This clearly demonstrates the success of the targeted sampling strategy.
Controlled wavelet domain sparsity for x-ray tomography
NASA Astrophysics Data System (ADS)
Purisha, Zenith; Rimpeläinen, Juho; Bubba, Tatiana; Siltanen, Samuli
2018-01-01
Tomographic reconstruction is an ill-posed inverse problem that calls for regularization. One possibility is to require sparsity of the unknown in an orthonormal wavelet basis. This, in turn, can be achieved by variational regularization, where the penalty term is the sum of the absolute values of the wavelet coefficients. The primal-dual fixed point algorithm showed that the minimizer of the variational regularization functional can be computed iteratively using a soft-thresholding operation. Choosing the soft-thresholding parameter \
Gemmati, Donato; Burini, Francesco; Talarico, Anna; Fabbri, Matteo; Bertocco, Cesare; Vigliano, Marco; Moratelli, Stefano; Cuneo, Antonio; Serino, Maria Luisa; Avato, Francesco Maria; Tisato, Veronica; Gaudio, Rosa Maria
2016-01-01
Warfarin oral anticoagulant therapy (OAT) requires regular and frequent drug adjustment monitored by INR. Interindividual variability, drug and diet interferences, and genetics (VKORC1 and CYP2C9) make the maintenance/reaching of stable INR a not so easy task. HPLC assessment of warfarin/enantiomers was suggested as a valid monitoring-tool along with INR, but definite results are still lacking. We evaluated possible correlations between INR, warfarin/3'-hydroxywarfarin, and drug weekly dosage aimed at searching novel alternatives to OAT monitoring. VKORC1/CYP2C9 pharmacogenetics investigation was performed to account for the known influence on warfarin homeostasis. 133 OAT patients were recruited and assessed for warfarin/3'-hydroxywarfarin serum levels (HPLC), INR, and VKORC1 and CYP2C9 genotypes. A subgroup of 52 patients were monitored in detail (5 consecutive controls; c0-c4) till the target INR was reached. Correlation analyses were performed in both groups. In the whole OAT group both warfarin and 3'-hydroxywarfarin correlate with INR at comparable degree (r2 = 0.0388 and 0.0362 respectively). Conversely, warfarin weekly dosage better correlates with warfarin than with 3'-hydroxywarfarin (r2 = 0.0975 and r2 = 0.0381 respectively), but considering together warfarin plus 3'-hydroxywarfarin the correlation strongly increased (r2 = 0.1114; p<0.0001). Interestingly, 3'-hydroxywarfarin reached a strong correlation at c4 respect to warfarin (r2 = 0.2157 and r2 = 0.0549; p = 0.0005 and p = 0.0944 respectively) seeming less affected by drug adjustments in the subgroup of 52 patients who started OAT. The multivariate analyses aimed at estimating the true contribution of 3'-hydroxywarfarin on INR value ascribed it the unique significant value (p = 0.0021) in spite of warfarin who lost association. The pharmacogenetics studies confirmed that patients carrying the VKORC1 variant-allele required lower warfarin maintenance dosage and that the combination of VKORC1 and CYP2C9 yielded a warfarin responsive index (WRI) inversely related to the number variant alleles. Our results overall suggest that 3'-hydroxywarfarin monitoring could be of great advantage in INR monitoring respect to classical warfarin assessment showing significant contribution also in multivariate analysis. Therefore, additional active metabolites should be recognized and investigated as novel useful indicators.
Design and implementation air quality monitoring robot
NASA Astrophysics Data System (ADS)
Chen, Yuanhua; Li, Jie; Qi, Chunxue
2017-01-01
Robot applied in environmental protection can break through the limitations in working environment, scope and mode of the existing environmental monitoring and pollution abatement equipments, which undertake the innovation and improvement in the basin, atmosphere, emergency and pollution treatment facilities. Actually, the relevant technology is backward with limited research and investment. Though the device companies have achieved some results in the study on the water quality monitoring, pipeline monitoring and sewage disposal, this technological progress on the whole is still much slow, and the mature product has not been formed. As a result, the market urges a demand of a new type of device which is more suitable for environmental protection on the basis of robot successfully applied in other fields. This paper designs and realizes a tracked mobile robot of air quality monitoring, which can be used to monitor air quality for the pollution accident in industrial parks and regular management.
Unraveling fabrication and calibration of wearable gas monitor for use under free-living conditions.
Yue Deng; Cheng Chen; Tsow, Francis; Xiaojun Xian; Forzani, Erica
2016-08-01
Volatile organic compounds (VOC) are organic chemicals that have high vapor pressure at regular conditions. Some VOC could be dangerous to human health, therefore it is important to determine real-time indoor and outdoor personal exposures to VOC. To achieve this goal, our group has developed a wearable gas monitor with a complete sensor fabrication and calibration protocol for free-living conditions. Correction factors for calibrating the sensors, including sensitivity, aging effect, and temperature effect are implemented into a Quick Response Code (QR code), so that the pre-calibrated quartz tuning fork (QTF) sensor can be used with the wearable monitor under free-living conditions.
29 CFR 548.100 - Introductory statement.
Code of Federal Regulations, 2010 CFR
2010-07-01
... simplify bookkeeping and computation of overtime pay. 1 The regular rate is the average hourly earnings of... AUTHORIZATION OF ESTABLISHED BASIC RATES FOR COMPUTING OVERTIME PAY Interpretations Introduction § 548.100... requirements of computing overtime pay at the regular rate, 1 and to allow, under specific conditions, the use...
DOT National Transportation Integrated Search
1996-05-01
Procedures have been developed for determining the period between regular inspections that is required to ensure, with a : specified level of confidence, that no more than a certain percentage of the units of a population that is in service is : fail...
Beeden, R J; Turner, M A; Dryden, J; Merida, F; Goudkamp, K; Malone, C; Marshall, P A; Birtles, A; Maynard, J A
2014-12-01
Managing to support coral reef resilience as the climate changes requires strategic and responsive actions that reduce anthropogenic stress. Managers can only target and tailor these actions if they regularly receive information on system condition and impact severity. In large coral reef areas like the Great Barrier Reef Marine Park (GBRMP), acquiring condition and impact data with good spatial and temporal coverage requires using a large network of observers. Here, we describe the result of ~10 years of evolving and refining participatory monitoring programs used in the GBR that have rangers, tourism operators and members of the public as observers. Participants complete Reef Health and Impact Surveys (RHIS) using a protocol that meets coral reef managers' needs for up-to-date information on the following: benthic community composition, reef condition and impacts including coral diseases, damage, predation and the presence of rubbish. Training programs ensure that the information gathered is sufficiently precise to inform management decisions. Participants regularly report because the demands of the survey methodology have been matched to their time availability. Undertaking the RHIS protocol we describe involves three ~20 min surveys at each site. Participants enter data into an online data management system that can create reports for managers and participants within minutes of data being submitted. Since 2009, 211 participants have completed a total of more than 10,415 surveys at more than 625 different reefs. The two-way exchange of information between managers and participants increases the capacity to manage reefs adaptively, meets education and outreach objectives and can increase stewardship. The general approach used and the survey methodology are both sufficiently adaptable to be used in all reef regions.
van der Valk, Paul
2016-01-01
It might seem self-evident that in the transition from a supervised trainee to an independent professional who is no longer supervised, formal assessment of whether the trainee knows his/her trade well enough to function independently is necessary. This would then constitute an end of training examination. Such examinations are practiced in several countries but a rather heterogeneous situation exists in the EU countries. In the Netherlands, the training program is not concluded by a summative examination and reasons behind this situation are discussed. Quality assurance of postgraduate medical training in the Netherlands has been developed along two tracks: (1) not a single testing moment but continuous evaluation of the performance of the trainee in 'real time' situations and (2) monitoring of the quality of the offered training program through regular site-visits. Regular (monthly and/or yearly) evaluations should be part of every self-respecting training program. In the Netherlands, these evaluations are formative only: their intention is to provide the trainee a tool by which he or she can see whether they are on track with their training schedule. In the system in the Netherlands, regular site-visits to training programs constitute a crucial element of quality assurance of postgraduate training. During the site-visit, the position and perceptions of the trainee are key elements. The perception by the trainee of the training program, the institution (or department) offering the training program, and the professionals involved in the training program is explicitly solicited and systematically assessed. With this two-tiered approach high-quality postgraduate training is assured without the need for an end of training examination.
EAGLE Monitors by Collecting Facts and Generating Obligations
NASA Technical Reports Server (NTRS)
Barrnger, Howard; Goldberg, Allen; Havelund, Klaus; Sen, Koushik
2003-01-01
We present a rule-based framework, called EAGLE, that has been shown to be capable of defining and implementing a range of finite trace monitoring logics, including future and past time temporal logic, extended regular expressions, real-time and metric temporal logics, interval logics, forms of quantified temporal logics, and so on. A monitor for an EAGLE formula checks if a finite trace of states satisfies the given formula. We present, in details, an algorithm for the synthesis of monitors for EAGLE. The algorithm is implemented as a Java application and involves novel techniques for rule definition, manipulation and execution. Monitoring is achieved on a state-by-state basis avoiding any need to store the input trace of states. Our initial experiments have been successful as EAGLE detected a previously unknown bug while testing a planetary rover controller.
Ramani, Sathish; Liu, Zhihao; Rosen, Jeffrey; Nielsen, Jon-Fredrik; Fessler, Jeffrey A.
2012-01-01
Regularized iterative reconstruction algorithms for imaging inverse problems require selection of appropriate regularization parameter values. We focus on the challenging problem of tuning regularization parameters for nonlinear algorithms for the case of additive (possibly complex) Gaussian noise. Generalized cross-validation (GCV) and (weighted) mean-squared error (MSE) approaches (based on Stein's Unbiased Risk Estimate— SURE) need the Jacobian matrix of the nonlinear reconstruction operator (representative of the iterative algorithm) with respect to the data. We derive the desired Jacobian matrix for two types of nonlinear iterative algorithms: a fast variant of the standard iterative reweighted least-squares method and the contemporary split-Bregman algorithm, both of which can accommodate a wide variety of analysis- and synthesis-type regularizers. The proposed approach iteratively computes two weighted SURE-type measures: Predicted-SURE and Projected-SURE (that require knowledge of noise variance σ2), and GCV (that does not need σ2) for these algorithms. We apply the methods to image restoration and to magnetic resonance image (MRI) reconstruction using total variation (TV) and an analysis-type ℓ1-regularization. We demonstrate through simulations and experiments with real data that minimizing Predicted-SURE and Projected-SURE consistently lead to near-MSE-optimal reconstructions. We also observed that minimizing GCV yields reconstruction results that are near-MSE-optimal for image restoration and slightly sub-optimal for MRI. Theoretical derivations in this work related to Jacobian matrix evaluations can be extended, in principle, to other types of regularizers and reconstruction algorithms. PMID:22531764
Late Pseudocoarctation Syndrome After Stent-Graft Implantation For Traumatic Aortic Rupture
DOE Office of Scientific and Technical Information (OSTI.GOV)
Letocart, Vincent, E-mail: vincent.letocart@chu-nantes.fr; Fau, Georges, E-mail: georges.fau@chu-nantes.fr; Tirouvanziam, Ashok, E-mail: ashok.tirouvanziam@chu-nantes.fr
The present observation illustrates an unusual complication occurring after stent-grafting (S-graft) for aortic isthmus rupture. A 22-year-old patient, treated by S-graft in the emergency department for traumatic aortic rupture, was readmitted 10 months later with pseudocoarctation syndrome. A membrane was found inside the stent-graft that had induced a pseudo-dissection, which caused the pseudocoarctation syndrome. Surgical treatment consisted of removing the stent-graft and membrane and replacing it with a vascular implant. The patient's clinical course was fair. The suggested mechanism was circumferential neoendothelialization of the stent-graft. Dehiscence caused the superior part of the membrane to drop into the lumen of themore » stent-graft creating a 'false channel' that compressed the 'true lumen' and induced 'pseudocoarctation' syndrome. The cause of the extensive neointimalization remains unexplained. Thoracic aortic stent-grafts require regular follow-up monitoring by angioscan or angio-magnetic resonance imaging.« less
Tenofovir Nephrotoxicity: 2011 Update
Fernandez-Fernandez, Beatriz; Montoya-Ferrer, Ana; Sanz, Ana B.; Sanchez-Niño, Maria D.; Izquierdo, Maria C.; Poveda, Jonay; Sainz-Prestel, Valeria; Ortiz-Martin, Natalia; Parra-Rodriguez, Alejandro; Selgas, Rafael; Ruiz-Ortega, Marta; Egido, Jesus; Ortiz, Alberto
2011-01-01
Tenofovir is an acyclic nucleotide analogue reverse-transcriptase inhibitor structurally similar to the nephrotoxic drugs adefovir and cidofovir. Tenofovir is widely used to treat HIV infection and approved for treatment of hepatitis B virus. Despite initial cell culture and clinical trials results supporting the renal safety of tenofovir, its clinical use is associated with a low, albeit significant, risk of kidney injury. Proximal tubular cell secretion of tenofovir explains the accumulation of the drug in these mitochondria-rich cells. Tenofovir nephrotoxicity is characterized by proximal tubular cell dysfunction that may be associated with acute kidney injury or chronic kidney disease. Withdrawal of the drug leads to improvement of analytical parameters that may be partial. Understanding the risk factors for nephrotoxicity and regular monitoring of proximal tubular dysfunction and serum creatinine in high-risk patients is required to minimize nephrotoxicity. Newer, structurally similar molecular derivatives that do not accumulate in proximal tubules are under study. PMID:21716719
Iyngkaran, Pupalan; Beneby, Glen S
2015-12-26
Congestive heart failure (CHF) is a chronic condition, requiring polypharmacy, allied health supports and regular monitoring. All these factors are needed to ensure compliance and to deliver the positive outcomes demonstrated from randomized controlled trials. Unfortunately many centers around the world are unable to match trial level support. The outcomes for many communities are thus unclear. Research design factors in post-marketing surveillance to address this issue. Phase 4 studies is the name given to trials designed to obtain such community level data and thus address issues of external validity. CHF phase 4 studies are relatively underutilized. We feel the onus for this research lies with the health profession. In this commentary we provide arguments as to why phase 4 studies should be viewed as a social and corporate responsibility of health professional that care for clients with CHF.
Sea-louse parasites on juvenile wild salmon in the Broughton Archipelago, British Columbia, Canada.
Peacock, Stephanie J; Bateman, Andrew W; Krkošek, Martin; Connors, Brendan; Rogers, Scott; Portner, Lauren; Polk, Zephyr; Webb, Coady; Morton, Alexandra
2016-07-01
The global expansion of aquaculture has changed the structure of fish populations in coastal environments, with implications for disease dynamics. In Pacific Canada, farmed salmon act as reservoir hosts for parasites and pathogens, including sea lice (Lepeophtheirus salmonis and Caligus clemensi) that can transmit to migrating wild salmon. Assessing the impact of salmon farms on wild salmon requires regular monitoring of sea-louse infections on both farmed and wild fish. Since 2001, we have collected juvenile pink (Oncorhynchus gorbuscha) and chum (O. keta) salmon annually at three sites in the Broughton Archipelago in British Columbia, Canada, during the annual juvenile salmon migration from fresh water to the open ocean. From sampled fish, we recorded counts of parasitic copepodid-, chalimus-, and motile-stage sea lice. We report louse abundances as well as supplementary observations of fish size, development, and health. © 2016 by the Ecological Society of America.
Occupational Hazard Exposures and Depressive Symptoms of Pregnant Workers.
Yeh, Sherri S; Lee, Chien-Nan; Wu, Ying-Hsuan; Tu, Nai-Chi; Guo, Yue-Leon; Chen, Pau-Chung; Chen, Chi-Hsien
2018-03-01
The aim of this study was to explore the prevalence of exposure to occupational hazards and depressive mood with associated underlying risk factors among pregnant workers. Women at 12 weeks of gestation (n = 172) were recruited during regular prenatal screening. Data were obtained via questionnaires that explored job details and Edinburgh Postnatal Depression Scale. The most commonly encountered hazard was prolonged standing. The majority of women reported that the workplace provided no information on the safety or rights of pregnant women, but those exposed to at least four hazards had more access to such services (P < 0.05). Thirteen percent may have suffered from depressive symptomatology. Higher-level work-related burnout, lower job control, and reduced workplace support were significantly associated with possible antenatal depressive symptoms. Pregnant workers are exposed to substantial levels of occupational hazards and may experience depressive symptoms; thus, their work conditions require monitoring and improvement.
Tanaka, Yoshiya
Rheumatoid arthritis is a systemic autoimmune disease characterized by inflammation and joint damage that causes significant morbidity and mortality. Rapid and appropriate intervention using disease-modifying anti-rheumatic drugs(DMARDs)is prerequisite to halt joint destruction and long-term functional disabilities. Recent progress in the treatment strategy has brought about paradigm shift for the management of the disease, namely, the combined use of methotrexate, a synthetic DMARD, and a biologic DMARD targeting TNF, IL-6 and T cells has revolutionized treatment of rheumatoid arthritis. Clinical remission is now realistic targets for the treatment, achieved by a large proportion of rheumatoid arthritis patients, which leads to structural remission without damage in bone and cartilage as well as functional remission. Furthermore, orally available small but strong molecules targeting Janus kinase(JAK)are emerging. When DMARDs are prescribed, appropriate selection of DMARDs, adequate screening, regular monitoring and systemic management are required.
Improving vaccination cold chain in the general practice setting.
Page, Sue L; Earnest, Arul; Birden, Hudson; Deaker, Rachelle; Clark, Chris
2008-10-01
This study compared temperature control in different types of vaccine storing refrigerators in general practice and tested knowledge of general practice staff in vaccine storage requirements. Temperature data loggers were set to serially record the temperature within vaccine refrigerators in 28 general practices, recording at 12 minute intervals over a period of 10 days on each occasion. A survey of vaccine storage knowledge and records of divisions of general practice immunisation contacts were also obtained. There was a significant relationship between type of refrigerator and optimal temperature, with the odds ratio for bar style refrigerator being 0.005 (95% CI: 0.001-0.044) compared to the purpose built vaccine refrigerators. Score on a survey of vaccine storage was also positively associated with optimal storage temperature. General practices that invest in purpose built vaccine refrigerators will achieve standards of vaccine cold chain maintenance significantly more reliably than can be achieved through regular cold chain monitoring and practice supports.
Evaluation of the Long-Term Stability and Temperature Coefficient of Dew-Point Hygrometers
NASA Astrophysics Data System (ADS)
Benyon, R.; Vicente, T.; Hernández, P.; De Rivas, L.; Conde, F.
2012-09-01
The continuous quest for improved specifications of optical dew-point hygrometers has raised customer expectations on the performance of these devices. In the absence of a long calibration history, users with a limited prior experience in the measurement of humidity, place reliance on manufacturer specifications to estimate long-term stability. While this might be reasonable in the case of measurement of electrical quantities, in humidity it can lead to optimistic estimations of uncertainty. This article reports a study of the long-term stability of some hygrometers and the analysis of their performance as monitored through regular calibration. The results of the investigations provide some typical, realistic uncertainties associated with the long-term stability of instruments used in calibration and testing laboratories. Together, these uncertainties can help in establishing initial contributions in uncertainty budgets, as well as in setting the minimum calibration requirements, based on the evaluation of dominant influence quantities.
Water Quality Monitoring for Lake Constance with a Physically Based Algorithm for MERIS Data.
Odermatt, Daniel; Heege, Thomas; Nieke, Jens; Kneubühler, Mathias; Itten, Klaus
2008-08-05
A physically based algorithm is used for automatic processing of MERIS level 1B full resolution data. The algorithm is originally used with input variables for optimization with different sensors (i.e. channel recalibration and weighting), aquatic regions (i.e. specific inherent optical properties) or atmospheric conditions (i.e. aerosol models). For operational use, however, a lake-specific parameterization is required, representing an approximation of the spatio-temporal variation in atmospheric and hydrooptic conditions, and accounting for sensor properties. The algorithm performs atmospheric correction with a LUT for at-sensor radiance, and a downhill simplex inversion of chl-a, sm and y from subsurface irradiance reflectance. These outputs are enhanced by a selective filter, which makes use of the retrieval residuals. Regular chl-a sampling measurements by the Lake's protection authority coinciding with MERIS acquisitions were used for parameterization, training and validation.
An ICT-Based Platform to Monitor Protocols in the Healthcare Environment.
Rorís, Víctor M Alonso; Gago, Juan M Santos; Sabucedo, Luis Álvarez; Merino, Mateo Ramos; Valero, Javier Sanz
2016-10-01
Procedures from the healthcare domain involve highly critical actions as they may pose a risk for patients' life. Therefore, a large effort is devoted to the standardization in clinical praxis and to the control of quality for these protocols in order to minimize hazards. In this line, this work is compelled to provide an ICT-based support to carry out these controls in a simple and effective manner. Using a methodology based on HACCP and taking advantage of Semantic tools, a holistic platform of services for traceability and control of processes has been designed and implemented. The applied paradigm is based on the use of Control Points as singular points to generate traces using observations and measures relevant for the processes considered. Based on those, it is possible to offer services for advanced querying and knowledge inference. The local deployment just requires regular mobile phones or tablets making this solution cost-effective and easily replicable.
Iyngkaran, Pupalan; Beneby, Glen S
2015-01-01
Congestive heart failure (CHF) is a chronic condition, requiring polypharmacy, allied health supports and regular monitoring. All these factors are needed to ensure compliance and to deliver the positive outcomes demonstrated from randomized controlled trials. Unfortunately many centers around the world are unable to match trial level support. The outcomes for many communities are thus unclear. Research design factors in post-marketing surveillance to address this issue. Phase 4 studies is the name given to trials designed to obtain such community level data and thus address issues of external validity. CHF phase 4 studies are relatively underutilized. We feel the onus for this research lies with the health profession. In this commentary we provide arguments as to why phase 4 studies should be viewed as a social and corporate responsibility of health professional that care for clients with CHF. PMID:26713277
Woodward, Tony M
2009-02-01
Dental radiology is the core diagnostic modality of veterinary dentistry. Dental radiographs assist in detecting hidden painful pathology, estimating the severity of dental conditions, assessing treatment options, providing intraoperative guidance, and also serve to monitor success of prior treatments. Unfortunately, most professional veterinary training programs provide little or no training in veterinary dentistry in general or dental radiology in particular. Although a technical learning curve does exist, the techniques required for producing diagnostic films are not difficult to master. Regular use of dental x-rays will increase the amount of pathology detected, leading to healthier patients and happier clients who notice a difference in how their pet feels. This article covers equipment and materials needed to produce diagnostic intraoral dental films. A simplified guide for positioning will be presented, including a positioning "cheat sheet" to be placed next to the dental x-ray machine in the operatory. Additionally, digital dental radiograph systems will be described and trends for their future discussed.
Discharge regularity in the turtle posterior crista: comparisons between experiment and theory.
Goldberg, Jay M; Holt, Joseph C
2013-12-01
Intra-axonal recordings were made from bouton fibers near their termination in the turtle posterior crista. Spike discharge, miniature excitatory postsynaptic potentials (mEPSPs), and afterhyperpolarizations (AHPs) were monitored during resting activity in both regularly and irregularly discharging units. Quantal size (qsize) and quantal rate (qrate) were estimated by shot-noise theory. Theoretically, the ratio, σV/(dμV/dt), between synaptic noise (σV) and the slope of the mean voltage trajectory (dμV/dt) near threshold crossing should determine discharge regularity. AHPs are deeper and more prolonged in regular units; as a result, dμV/dt is larger, the more regular the discharge. The qsize is larger and qrate smaller in irregular units; these oppositely directed trends lead to little variation in σV with discharge regularity. Of the two variables, dμV/dt is much more influential than the nearly constant σV in determining regularity. Sinusoidal canal-duct indentations at 0.3 Hz led to modulations in spike discharge and synaptic voltage. Gain, the ratio between the amplitudes of the two modulations, and phase leads re indentation of both modulations are larger in irregular units. Gain variations parallel the sensitivity of the postsynaptic spike encoder, the set of conductances that converts synaptic input into spike discharge. Phase variations reflect both synaptic inputs to the encoder and postsynaptic processes. Experimental data were interpreted using a stochastic integrate-and-fire model. Advantages of an irregular discharge include an enhanced encoder gain and the prevention of nonlinear phase locking. Regular and irregular units are more efficient, respectively, in the encoding of low- and high-frequency head rotations, respectively.
Discharge regularity in the turtle posterior crista: comparisons between experiment and theory
Holt, Joseph C.
2013-01-01
Intra-axonal recordings were made from bouton fibers near their termination in the turtle posterior crista. Spike discharge, miniature excitatory postsynaptic potentials (mEPSPs), and afterhyperpolarizations (AHPs) were monitored during resting activity in both regularly and irregularly discharging units. Quantal size (qsize) and quantal rate (qrate) were estimated by shot-noise theory. Theoretically, the ratio, σV/(dμV/dt), between synaptic noise (σV) and the slope of the mean voltage trajectory (dμV/dt) near threshold crossing should determine discharge regularity. AHPs are deeper and more prolonged in regular units; as a result, dμV/dt is larger, the more regular the discharge. The qsize is larger and qrate smaller in irregular units; these oppositely directed trends lead to little variation in σV with discharge regularity. Of the two variables, dμV/dt is much more influential than the nearly constant σV in determining regularity. Sinusoidal canal-duct indentations at 0.3 Hz led to modulations in spike discharge and synaptic voltage. Gain, the ratio between the amplitudes of the two modulations, and phase leads re indentation of both modulations are larger in irregular units. Gain variations parallel the sensitivity of the postsynaptic spike encoder, the set of conductances that converts synaptic input into spike discharge. Phase variations reflect both synaptic inputs to the encoder and postsynaptic processes. Experimental data were interpreted using a stochastic integrate-and-fire model. Advantages of an irregular discharge include an enhanced encoder gain and the prevention of nonlinear phase locking. Regular and irregular units are more efficient, respectively, in the encoding of low- and high-frequency head rotations, respectively. PMID:24004525
Psychological Benefits of Regular Physical Activity: Evidence from Emerging Adults
ERIC Educational Resources Information Center
Cekin, Resul
2015-01-01
Emerging adulthood is a transitional stage between late adolescence and young adulthood in life-span development that requires significant changes in people's lives. Therefore, identifying protective factors for this population is crucial. This study investigated the effects of regular physical activity on self-esteem, optimism, and happiness in…
ERIC Educational Resources Information Center
Lanier, Nancy J.; Chesnut, Barbara Harris
1990-01-01
Returning mildly mentally handicapped students to regular classrooms is not the least restrictive or most appropriate program. These students require a slower paced curriculum, more social behavior remediation, and a smaller pupil/teacher ratio than regular classrooms offer. Mainstreaming may lead to a higher dropout rate and subsequent need for…
44 CFR 59.23 - Priorities for the sale of flood insurance under the regular program.
Code of Federal Regulations, 2013 CFR
2013-10-01
... flood insurance under the regular program. 59.23 Section 59.23 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program GENERAL PROVISIONS Eligibility Requirements § 59.23 Priorities for the...
44 CFR 59.23 - Priorities for the sale of flood insurance under the regular program.
Code of Federal Regulations, 2012 CFR
2012-10-01
... flood insurance under the regular program. 59.23 Section 59.23 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program GENERAL PROVISIONS Eligibility Requirements § 59.23 Priorities for the...
44 CFR 59.23 - Priorities for the sale of flood insurance under the regular program.
Code of Federal Regulations, 2014 CFR
2014-10-01
... flood insurance under the regular program. 59.23 Section 59.23 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program GENERAL PROVISIONS Eligibility Requirements § 59.23 Priorities for the...
27 CFR 31.171 - Method of filing.
Code of Federal Regulations, 2010 CFR
2010-04-01
... disposition required by §§ 31.155 and 31.156 in accordance with the wholesaler's regular accounting and... disposition must be filed not later than one business day following the date the transaction occurred. (c... be filed in accordance with the wholesaler's regular accounting and recordkeeping practices. (26 U.S...
Drugs and the Elderly: Implications for Exercise Indulgence.
ERIC Educational Resources Information Center
Piscopo, John
Many age-related biologic and physiologic changes can have important influences on drug pharmacology in elderly persons. Successful management depends upon good communications among health care providers, fitness instructors, and the medication user. Each exerciser should be monitored and reviewed at regular intervals. Medications may be a…
42 CFR 494.90 - Condition: Patient plan of care.
Code of Federal Regulations, 2011 CFR
2011-10-01
... must provide the necessary monitoring and social work interventions. These include counseling services and referrals for other social services, to assist the patient in achieving and sustaining an... the social worker, at regular intervals, or more frequently on an as-needed basis. (7) Modality—(i...
42 CFR 494.90 - Condition: Patient plan of care.
Code of Federal Regulations, 2014 CFR
2014-10-01
... must provide the necessary monitoring and social work interventions. These include counseling services and referrals for other social services, to assist the patient in achieving and sustaining an... the social worker, at regular intervals, or more frequently on an as-needed basis. (7) Modality—(i...
42 CFR 494.90 - Condition: Patient plan of care.
Code of Federal Regulations, 2012 CFR
2012-10-01
... must provide the necessary monitoring and social work interventions. These include counseling services and referrals for other social services, to assist the patient in achieving and sustaining an... the social worker, at regular intervals, or more frequently on an as-needed basis. (7) Modality—(i...
42 CFR 494.90 - Condition: Patient plan of care.
Code of Federal Regulations, 2013 CFR
2013-10-01
... must provide the necessary monitoring and social work interventions. These include counseling services and referrals for other social services, to assist the patient in achieving and sustaining an... the social worker, at regular intervals, or more frequently on an as-needed basis. (7) Modality—(i...
NASA Astrophysics Data System (ADS)
Norsk, P.; Simonsen, L. C.; Alwood, J.
2018-02-01
Investigations of mammalian cell cultures as well as organs-on-chips will be done from the Deep Space Gateway by telemetry. Cells will be monitored regularly for metabolic activity, growth, and viability, and results compared to ground control data.
7 CFR 2500.047 - Project meetings.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 15 2013-01-01 2013-01-01 false Project meetings. 2500.047 Section 2500.047... Post-Award and Closeout § 2500.047 Project meetings. In addition to reviewing and monitoring the status of progress and final technical reports and financial reports, OAO Project Officers may use regular...
7 CFR 2500.047 - Project meetings.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 15 2012-01-01 2012-01-01 false Project meetings. 2500.047 Section 2500.047... Post-Award and Closeout § 2500.047 Project meetings. In addition to reviewing and monitoring the status of progress and final technical reports and financial reports, OAO Project Officers may use regular...
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 1 2011-01-01 2011-01-01 false Compliance. 16.5 Section 16.5 Agriculture Office of the Secretary of Agriculture EQUAL OPPORTUNITY FOR RELIGIOUS ORGANIZATIONS § 16.5 Compliance. USDA agencies will monitor compliance with this part in the course of regular oversight of USDA programs. ...
Code of Federal Regulations, 2010 CFR
2010-01-01
... 7 Agriculture 1 2010-01-01 2010-01-01 false Compliance. 16.5 Section 16.5 Agriculture Office of the Secretary of Agriculture EQUAL OPPORTUNITY FOR RELIGIOUS ORGANIZATIONS § 16.5 Compliance. USDA agencies will monitor compliance with this part in the course of regular oversight of USDA programs. ...
Monitoring intervention coverage in the context of universal health coverage.
Boerma, Ties; AbouZahr, Carla; Evans, David; Evans, Tim
2014-09-01
Monitoring universal health coverage (UHC) focuses on information on health intervention coverage and financial protection. This paper addresses monitoring intervention coverage, related to the full spectrum of UHC, including health promotion and disease prevention, treatment, rehabilitation, and palliation. A comprehensive core set of indicators most relevant to the country situation should be monitored on a regular basis as part of health progress and systems performance assessment for all countries. UHC monitoring should be embedded in a broad results framework for the country health system, but focus on indicators related to the coverage of interventions that most directly reflect the results of UHC investments and strategies in each country. A set of tracer coverage indicators can be selected, divided into two groups-promotion/prevention, and treatment/care-as illustrated in this paper. Disaggregation of the indicators by the main equity stratifiers is critical to monitor progress in all population groups. Targets need to be set in accordance with baselines, historical rate of progress, and measurement considerations. Critical measurement gaps also exist, especially for treatment indicators, covering issues such as mental health, injuries, chronic conditions, surgical interventions, rehabilitation, and palliation. Consequently, further research and proxy indicators need to be used in the interim. Ideally, indicators should include a quality of intervention dimension. For some interventions, use of a single indicator is feasible, such as management of hypertension; but in many areas additional indicators are needed to capture quality of service provision. The monitoring of UHC has significant implications for health information systems. Major data gaps will need to be filled. At a minimum, countries will need to administer regular household health surveys with biological and clinical data collection. Countries will also need to improve the production of reliable, comprehensive, and timely health facility data. Please see later in the article for the Editors' Summary.
Monitoring Intervention Coverage in the Context of Universal Health Coverage
Boerma, Ties; AbouZahr, Carla; Evans, David; Evans, Tim
2014-01-01
Monitoring universal health coverage (UHC) focuses on information on health intervention coverage and financial protection. This paper addresses monitoring intervention coverage, related to the full spectrum of UHC, including health promotion and disease prevention, treatment, rehabilitation, and palliation. A comprehensive core set of indicators most relevant to the country situation should be monitored on a regular basis as part of health progress and systems performance assessment for all countries. UHC monitoring should be embedded in a broad results framework for the country health system, but focus on indicators related to the coverage of interventions that most directly reflect the results of UHC investments and strategies in each country. A set of tracer coverage indicators can be selected, divided into two groups—promotion/prevention, and treatment/care—as illustrated in this paper. Disaggregation of the indicators by the main equity stratifiers is critical to monitor progress in all population groups. Targets need to be set in accordance with baselines, historical rate of progress, and measurement considerations. Critical measurement gaps also exist, especially for treatment indicators, covering issues such as mental health, injuries, chronic conditions, surgical interventions, rehabilitation, and palliation. Consequently, further research and proxy indicators need to be used in the interim. Ideally, indicators should include a quality of intervention dimension. For some interventions, use of a single indicator is feasible, such as management of hypertension; but in many areas additional indicators are needed to capture quality of service provision. The monitoring of UHC has significant implications for health information systems. Major data gaps will need to be filled. At a minimum, countries will need to administer regular household health surveys with biological and clinical data collection. Countries will also need to improve the production of reliable, comprehensive, and timely health facility data. Please see later in the article for the Editors' Summary PMID:25243586
History matching by spline approximation and regularization in single-phase areal reservoirs
NASA Technical Reports Server (NTRS)
Lee, T. Y.; Kravaris, C.; Seinfeld, J.
1986-01-01
An automatic history matching algorithm is developed based on bi-cubic spline approximations of permeability and porosity distributions and on the theory of regularization to estimate permeability or porosity in a single-phase, two-dimensional real reservoir from well pressure data. The regularization feature of the algorithm is used to convert the ill-posed history matching problem into a well-posed problem. The algorithm employs the conjugate gradient method as its core minimization method. A number of numerical experiments are carried out to evaluate the performance of the algorithm. Comparisons with conventional (non-regularized) automatic history matching algorithms indicate the superiority of the new algorithm with respect to the parameter estimates obtained. A quasioptimal regularization parameter is determined without requiring a priori information on the statistical properties of the observations.
Haffeld, Just
2013-11-01
Increasing complexity is following in the wake of rampant globalization. Thus, the discussion about Sustainable Development Goals (SDGs) requires new thinking that departs from a critique of current policy tools in exploration of a complexity-friendly approach. This article argues that potential SDGs should: treat stakeholders, like states, business and civil society actors, as agents on different aggregate levels of networks; incorporate good governance processes that facilitate early involvement of relevant resources, as well as equitable participation, consultative processes, and regular policy and programme implementation reviews; anchor adoption and enforcement of such rules to democratic processes in accountable organizations; and include comprehensive systems evaluations, including procedural indicators. A global framework convention for health could be a suitable instrument for handling some of the challenges related to the governance of a complex environment. It could structure and legitimize government involvement, engage stakeholders, arrange deliberation and decision-making processes with due participation and regular policy review, and define minimum standards for health services. A monitoring scheme could ensure that agents in networks comply according to whole-systems targets, locally defined outcome indicators, and process indicators, thus resolving the paradox of government control vs. local policy space. A convention could thus exploit the energy created in the encounter between civil society, international organizations and national authorities. Copyright © 2013 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.
Hart, Michael Gavin; Czosnyka, Marek; Czosnyka, Zofia Helena; Fernandes, Helen Marie
2013-01-01
Slit ventricle syndrome remains a complex entity presenting a considerable challenge to treat successfully. This study aims to demonstrate the application of dual intracranial pressure (ICP) and infusion studies together with the novel shunt occlusion test in both a diagnostic and therapeutic role. An 8-year-old child had aqueduct stenosis treated with a ventriculoperitoneal shunt (medium-pressure valve). The presentation was of headaches with papilloedema. Imaging with both computed tomography and magnetic resonance imaging revealed slit ventricles. Initially a shunt exploration revealed distal obstruction that was treated together with insertion of a paediatric strata II regular valve; however, the child continued to deteriorate. Overnight ICP monitoring revealed dramatically raised ICP with poor compensatory reserve. Intra-operative infusion study revealed a shunt that was patent distally but with proximal obstruction. A subtemporal decompression ipsilateral to the shunt was performed together with adjustment of the paediatric strata II regular valve to 2.5 in order to prevent overdrainage. This led to normalisation of ICP, resolution of papilloedema and symptomatic improvement. We demonstrate how combined ICP monitoring and shunt infusion studies can be used to help guide management. Unilateral subtemporal decompressions and preventing shunt overdrainage can result in normalisation of ICP and cerebrospinal fluid dynamics.
NASA Astrophysics Data System (ADS)
Scozzari, Andrea; Raco, Brunella; Battaglini, Raffaele
2016-04-01
This work presents the results of more than ten years of observations, performed on a regular basis, on a municipal solid waste disposal located in Italy. Observational data are generated by the combination of non-invasive techniques, involving the direct measurement of biogas release to the atmosphere and thermal infrared imaging. In fact, part of the generated biogas tends to escape from the landfill surface even when collecting systems are installed and properly working. Thus, methodologies for estimating the behaviour of a landfill system by means of direct and/or indirect measurement systems have been developed in the last decades. It is nowadays known that these infrastructures produce more than 20% of the total anthropogenic methane released to the atmosphere, justifying the need for a systematic and efficient monitoring of such infrastructures. During the last 12 years, observational data regarding a solid waste disposal site located in Tuscany (Italy) have been collected on a regular basis. The collected datasets consist in direct measurements of gas flux with the accumulation chamber method, combined with the detection of thermal anomalies by infrared radiometry. This work discusses the evolution of the estimated performance of the landfill system, its trends, the benefits and the critical aspects of such relatively long-term monitoring activity.
NASA Astrophysics Data System (ADS)
Medeiros, João Paulo; Pinto, Vanessa; Sá, Erica; Silva, Gilda; Azeda, Carla; Pereira, Tadeu; Quintella, Bernardo; Raposo de Almeida, Pedro; Lino Costa, José; José Costa, Maria; Chainho, Paula
2014-05-01
The Marine Strategy Framework Directive (MSFD) was published in 2008 and requires Member States to take the necessary measures to achieve or maintain good environmental status in aquatic ecosystems by the year of 2020. The MSFD indicates 11 qualitative descriptors for environmental status assessment, including seafloor integrity, using the condition of the benthic community as an assessment indicator. Member States will have to define monitoring programs for each of the MSFD descriptors based on those indicators in order to understand which areas are in a Good Environmental Status and what measures need to be implemented to improve the status of areas that fail to achieve that major objective. Coastal and offshore marine waters are not frequently monitored in Portugal and assessment tools have only been developed very recently with the implementation of the Water Framework Directive (WFD). The lack of historical data and knowledge on the constraints of benthic indicators in coastal areas requires the development of specific studies addressing this issue. The major objective of the current study was to develop and test and experimental design to assess impacts of offshore projects. The experimental design consisted on the seasonal and interannual assessment of benthic invertebrate communities in the area of future implementation of the structures (impact) and two potential control areas 2 km from the impact area. Seasonal benthic samples were collected at nine random locations within the impact and control areas in two consecutive years. Metrics included in the Portuguese benthic assessment tool (P-BAT) were calculated since this multimetric tool was proposed for the assessment of the ecological status in Portuguese coastal areas under the WFD. Results indicated a high taxonomic richness in this coastal area and no significant differences were found between impact and control areas, indicating the feasibility of establishing adequate control areas in marine ecosystems. Nevertheless, significant differences were found between different seasons and different years, showing that the coastal benthic communities important temporal variations. Although those variations did not affect the status assessment based on metrics that considered the ratio between sensitive and tolerant taxa, diversity indices showed different classifications between seasons and years. These results indicate the need for a temporal stratification of the monitoring programs. That might be achieved by setting different thresholds for specific seasons or selecting specific monitoring seasons. It might also require a regular assessment of the environmental conditions that support the identification of outlier years, which monitoring results should be carefully considered.
NASA Astrophysics Data System (ADS)
Picozzi, M.; Milkereit, C.; Zulfikar, C.; Ditommaso, R.; Erdik, M.; Safak, E.; Fleming, K.; Ozel, O.; Zschau, J.; Apaydin, N.
2008-12-01
The monitoring of strategic civil infrastructures to ensure their structural integrity is a task of major importance, especially in earthquake-prone areas. Classical approaches to such monitoring are based on visual inspections and the use of wired systems. While the former has the drawback that the structure is only superficially examined and discontinuously in time, wired systems are relatively expensive and time consuming to install. Today, however, wireless systems represent an advanced, easily installed and operated tool to be used for monitoring purposes, resulting in a wide and interesting range of possible applications. Within the framework of the earthquake early warning projects SAFER (Seismic eArly warning For EuRope) and EDIM (Earthquake Disaster Information systems for the Marmara Sea region, Turkey), new low-cost wireless sensors with the capability to automatically rearrange their communications scheme are being developed. The reduced sensitivity of these sensors, arising from the use of low-cost components, is compensated by the possibility of deploying high-density self-organizing networks performing real-time data acquisition and analysis. Thanks to the developed system's versatility, it has been possible to perform an experimental ambient vibration test with a network of 24 sensors on the Fatih Sultan Mehmet Bridge, Istanbul (Turkey), a gravity-anchored suspension bridge spanning the Bosphorus Strait with distance between its towers of 1090 m. Preliminary analysis of the data has demonstrated that the main modal properties of the bridge can be retrieved, and may therefore be regularly re-evaluated as part of a long-term monitoring program. Using a multi-hop communications technique, data could be exchanged among groups of sensors over distances of a few hundred meters. Thus, the test showed that, although more work is required to optimize the communication parameters, the performance of the network offers encouragement for us to follow this research direction in developing wireless systems for the monitoring of civil infrastructures.
NASA Astrophysics Data System (ADS)
Perez, D.; Phinn, S. R.; Roelfsema, C. M.; Shaw, E. C.; Johnston, L.; Iguel, J.; Camacho, R.
2017-12-01
Primary production and calcification are important to measure and monitor over time, because of their fundamental roles in the carbon cycling and accretion of habitat structure for reef ecosystems. However, monitoring biogeochemical processes in coastal environments has been difficult due to complications in resolving differences in water optical properties from biological productivity and other sources (sediment, dissolved organics, etc.). This complicates application of algorithms developed for satellite image data from open ocean conditions, and requires alternative approaches. This project applied a cross-disciplinary approach, using established methods for monitoring productivity in terrestrial environments to coral reef systems. Availability of regularly acquired high spatial (< 5m pixels), multispectral satellite imagery has improved mapping and monitoring capabilities for shallow, marine environments such as seagrass and coral reefs. There is potential to further develop optical models for remote sensing applications to estimate and monitor reef system processes, such as primary productivity and calcification. This project collected field measurements of spectral absorptance and primary productivity and calcification rates for two reef systems: Heron Reef, southern Great Barrier Reef and Saipan Lagoon, Commonwealth of the Northern Mariana Islands. Field data were used to parameterize a light-use efficiency (LUE) model, estimating productivity from absorbed photosynthetically active radiation. The LUE model has been successfully applied in terrestrial environments for the past 40 years, and could potentially be used in shallow, marine environments. The model was used in combination with a map of benthic community composition produced from objective based image analysis of WorldView 2 imagery. Light-use efficiency was measured for functional groups: coral, algae, seagrass, and sediment. However, LUE was overestimated for sediment, which led to overestimation of productivity for the mapped area. This was due to differences in spatial and temporal resolution of field data used in the model. The limitations and application of the LUE model to coral reef environments will be presented.
Exercise and Diabetes Mellitus: Optimizing Performance in Patients Who Have Type 1 Diabetes.
ERIC Educational Resources Information Center
Birrer, Richard B.; Sedaghat, Vahid-David
2003-01-01
Asserts that people with type 1 diabetes should include regular sports or recreational activities in their overall health care programs, noting that physicians must provide preparticipation clearance, education about blood glucose self-monitoring, exercise prescription, aggressive dietary and insulin management plans, identification of risk…
Vaccination of High-Risk Breast Cancer Patients with Carbohydrate Mimicking Peptides
2009-05-01
medications such as Benadryl, epinephrine, high dose steroids, etc. also on site The Medical Monitor will review all side effects on a regular basis......for biological and/or pathological significance. Results: One animal in the high - dose Necropsy #3 group was excluded from analysis because it
78 FR 7739 - Agency Information Collection Activities: Proposed Collection; Comment Request-State...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-04
... DEPARTMENT OF AGRICULTURE Food and Nutrition Service Agency Information Collection Activities..., Program Analysis and Monitoring Branch, Food and Nutrition Service, U.S. Department of Agriculture, 3101... the Food and Nutrition Service during regular business hours (8:30 a.m. to 5 p.m., Monday through...
The Taliban Insurgency and an Analysis of ’Shabnamah’ (Night Letters)
2007-09-01
regular terminology used by al-Qaeda. It proclaims a clash of civilisations . The declaration accuses the ‘crusaders and their domestic servants’ of...In Violence: Foreign Support Seen Behind Attacks That Mimic Those in Iraq’, Christian Science Monitor, 28 Nov. 2005, p.1. 56. Eric Schmitt
ERIC Educational Resources Information Center
Weber, Larry
1998-01-01
Describes a natural science course designed to teach students that nature is nearby rather than somewhere else. Students learn about local flora and fauna, track the weather, and closely monitor the progression of the seasons. The course uses no textbook, regularly uses the outdoors as a classroom, and follows the seasons' phenology as the…
40 CFR 467.03 - Monitoring and reporting requirements.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 31 2012-07-01 2012-07-01 false Monitoring and reporting requirements... Monitoring and reporting requirements. The following special monitoring and reporting requirements apply to... forming process. (b) As an alternative monitoring procedure for pretreatment, the POTW user may measure...
40 CFR 467.03 - Monitoring and reporting requirements.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 31 2013-07-01 2013-07-01 false Monitoring and reporting requirements... Monitoring and reporting requirements. The following special monitoring and reporting requirements apply to... forming process. (b) As an alternative monitoring procedure for pretreatment, the POTW user may measure...
40 CFR 74.60 - Monitoring requirements.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 16 2010-07-01 2010-07-01 false Monitoring requirements. 74.60 Section...) SULFUR DIOXIDE OPT-INS Monitoring Emissions: Combustion Sources § 74.60 Monitoring requirements. (a) Monitoring requirements for combustion sources. The owner or operator of each combustion source shall meet...
Murphy, Donald G.; Côté, Louise; Fauvel, Micheline; René, Pierre; Vincelette, Jean
2000-01-01
The performance and characteristics of Roche COBAS AMPLICOR HIV-1 MONITOR version 1.5 (CA MONITOR 1.5) UltraSensitive (usCA MONITOR 1.5) and Standard (stCA MONITOR 1.5) procedures, Organon Teknika NucliSens HIV-1 RNA QT with Extractor (NucliSens), and Bayer Quantiplex HIV RNA version 3.0 (bDNA 3.0) were compared in a multicenter trial. Samples used in this study included 460 plasma specimens from human immunodeficiency virus (HIV) type 1 (HIV-1)-infected persons, 100 plasma specimens from HIV antibody (anti-HIV)-negative persons, and culture supernatants of HIV-1 subtype A to E isolates diluted in anti-HIV-negative plasma. Overall, bDNA 3.0 showed the least variation in RNA measures upon repeat testing. For the Roche assays, usCA MONITOR 1.5 displayed less variation in RNA measures than stCA MONITOR 1.5. NucliSens, at an input volume of 2 ml, showed the best sensitivity. Deming regression analysis indicated that the results of all three assays were significantly correlated (P < 0.0001). However, the mean difference in values between CA MONITOR 1.5 and bDNA 3.0 (0.274 log10 RNA copies/ml; 95% confidence interval, 0.192 to 0.356) was significantly different from 0, indicating that CA MONITOR 1.5 values were regularly higher than bDNA 3.0 values. Upon testing of 100 anti-HIV-negative plasma specimens, usCA MONITOR 1.5 and NucliSens displayed 100% specificity, while bDNA 3.0 showed 98% specificity. NucliSens quantified 2 of 10 non-subtype B viral isolates at 1 log10 lower than both CA MONITOR 1.5 and bDNA 3.0. For NucliSens, testing of specimens with greater than 1,000 RNA copies/ml at input volumes of 0.1, 0.2, and 2.0 ml did not affect the quality of results. Additional factors differing between assays included specimen throughput and volume requirements, limit of detection, ease of execution, instrument work space, and costs of disposal. These characteristics, along with assay performance, should be considered when one is selecting a viral load assay. PMID:11060065
Design requirements for radiology workstations.
Moise, Adrian; Atkins, M Stella
2004-06-01
This article stresses the importance of capturing feedback from representative users in the early stages of product development. We present our solution to producing quality requirement specifications for radiology workstations, specifications that remain valid over time because we successfully anticipated the industry trends and the user's needs. We present the results from a user study performed in December 1999 in a radiology clinic equipped with state-of-the-art Picture Archiving and Communications Systems (PACS) and imaging scanners. The study involved eight radiologists who answered questions and provided comments on three complementary research topics. First, we asked our subjects to enumerate the advantages and the disadvantages for both softcopy and hardcopy reading. We identified the two major factors for productivity improvement through the use of PACS workstations: workflow re-engineering and process automation. Second, we collected radiologist feedback on the use of hanging protocols (HPs). The results indicated the high importance of automatic image organization through HPs, with the potential effect of reducing the interpretation time by 10-20%. Our subjects estimated that 10-15 HPs would cover about 85%-95% of the regular radiological examinations. Third, we investigated the impact of the display devices on the radiologist's workflow. Our results indicated that the number and the properties of the monitors is a modality-specific requirement. The main results from this study on key functional requirements for softcopy interpretation only recently were incorporated in most of the current, successful PACS workstations.
Oderkirk, Jillian; Ronchi, Elettra; Klazinga, Niek
2013-09-01
Health data constitute a significant resource in most OECD countries that could be used to improve health system performance. Well-intended policies to allay concerns about breaches of confidentiality and to reduce potential misuse of personal health information may be limiting data use. A survey of 20 OECD countries explored the extent to which countries have developed and use personal health data and the reasons why data use may be problematic in some. Countries are divided, with one-half engaged regularly in national data linkage studies to monitor health care quality. Country variation is linked to risk management in granting an exemption to patient consent requirements; in sharing identifiable data among government authorities; and in project approvals and granting access to data. The resources required to comply with data protection requirements is a secondary problem. The sharing of person-level data across borders for international comparisons is rarely reported and there were few examples of studies of health system performance. Laws and policies enabling data sharing and data linkage are needed to strengthen national information infrastructure. To develop international studies comparing health care quality and health system performance, actions are needed to address heterogeneity in data protection practices. Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.
NASA Technical Reports Server (NTRS)
Gelaro, Ron; Liu, Emily; Sienkiewicz, Meta
2011-01-01
The adjoint of a data assimilation system provides a flexible and efficient tool for estimating observation impacts on short-range weather forecasts. The impacts of any or all observations can be estimated simultaneously based on a single execution of the adjoint system. The results can be easily aggregated according to data type, location, channel, etc., making this technique especially attractive for examining the impacts of new hyper-spectral satellite instruments and for conducting regular, even near-real time, monitoring of the entire observing system. In this talk, we present results from the adjoint-based observation impact monitoring tool in NASA's GEOS-5 global atmospheric data assimilation and forecast system. The tool has been running in various off-line configurations for some time, and is scheduled to run as a regular part of the real-time forecast suite beginning in autumn 20 I O. We focus on the impacts of the newest components of the satellite observing system, including AIRS, IASI and GPS. For AIRS and IASI, it is shown that the vast majority of the channels assimilated have systematic positive impacts (of varying magnitudes), although some channels degrade the forecast. Of the latter, most are moisture-sensitive or near-surface channels. The impact of GPS observations in the southern hemisphere is found to be a considerable overall benefit to the system. In addition, the spatial variability of observation impacts reveals coherent patterns of positive and negative impacts that may point to deficiencies in the use of certain observations over, for example, specific surface types. When performed in conjunction with selected observing system experiments (OSEs), the adjoint results reveal both redundancies and dependencies between observing system impacts as observations are added or removed from the assimilation system. Understanding these dependencies appears to pose a major challenge for optimizing the use of the current observational network and defining requirements for future observing systems.
NASA Astrophysics Data System (ADS)
Xiong, X.; Stone, T. C.
2017-12-01
To meet objectives for assembling continuous Earth environmental data records from multiple satellite instruments, a key consideration is to assure consistent and stable sensor calibration across platforms and spanning mission lifetimes. Maintaining and verifying calibration stability in orbit is particularly challenging for reflected solar band (RSB) radiometer instruments, as options for stable references are limited. The Moon is used regularly as a calibration target, which has capabilities for long-term sensor performance monitoring and for use as a common reference for RSB sensor inter-calibration. Suomi NPP VIIRS has viewed the Moon nearly every month since launch, utilizing spacecraft roll maneuvers to acquire lunar observations within a small range of phase angles. The VIIRS Characterization Support Team (VCST) at NASA GSFC has processed the Moon images acquired by SNPP VIIRS into irradiance measurements for calibration purposes; however, the variations in the Moon's brightness still require normalizing the VIIRS lunar measurements using radiometric reference values generated by the USGS lunar calibration system, i.e. the ROLO model. Comparison of the lunar irradiance time series to the calibration f-factors derived from the VIIRS on-board solar diffuser system shows similar overall trends in sensor response, but also reveals residual geometric anomalies in the lunar model results. The excellent lunar radiometry achieved by SNPP VIIRS is actively being used to advance lunar model development at USGS. Both MODIS instruments also have viewed the Moon regularly since launch, providing a practical application of sensor inter-calibration using the Moon as a common reference. This paper discusses ongoing efforts aimed toward demonstrating and utilizing the full potential of lunar observations to support long-term calibration stability and consistency for SNPP VIIRS and MODIS, thus contributing to level-1B data quality assurance for continuity and monitoring global environmental changes.
Acute and medium term effects of a 10-week running intervention on mood state in apprentices
Walter, Katrin; von Haaren, Birte; Löffler, Simone; Härtel, Sascha; Jansen, Carl-Philipp; Werner, Christian; Stumpp, Jürgen; Bös, Klaus; Hey, Stefan
2013-01-01
Exercise and physical activity have proven benefits for physical and psychological well-being. However, it is not clear if healthy young adults can enhance mood in everyday life through regular exercise. Earlier studies mainly showed positive effects of acute exercise and exercise programs on psychological well-being in children, older people and in clinical populations. Few studies controlled participants' physical activity in daily life, performed besides the exercise program, which can impact results. In addition the transition from mood enhancement induced by acute exercise to medium or long-term effects due to regular exercise is not yet determined. The purpose of this pilot study was to examine the acute effects of an aerobic running training on mood and trends in medium term changes of mood in everyday life of young adults. We conducted a 10-week aerobic endurance training with frequent mood assessments and continuous activity monitoring. 23 apprentices, separated into experimental and control group, were monitored over 12 weeks. To control the effectiveness of the aerobic exercise program, participants completed a progressive treadmill test pre and post the intervention period. The three basic mood dimensions energetic arousal, valence and calmness were assessed via electronic diaries. Participants had to rate their mood state frequently on 3 days a week at five times of measurement within 12 weeks. Participants' physical activity was assessed with accelerometers. All mood dimensions increased immediately after acute endurance exercise but results were not significant. The highest acute mood change could be observed in valence (p = 0.07; η2 = 0.27). However, no medium term effects in mood states could be observed after a few weeks of endurance training. Future studies should focus on the interaction between acute and medium term effects of exercise training on mood. The decreasing compliance over the course of the study requires the development of strategies to maintain compliance over longer periods. PMID:23847579
Rethinking the Regular Education Initiative: Focus on the Classroom Teacher.
ERIC Educational Resources Information Center
Gersten, Russell, Woodward, John
1990-01-01
The first section of this essay reviews forces that led to the Regular Education Initiative (REI). Findings from research on effective instruction, innovation and staff development are synthesized. A conceptual framework is offered to explain factors necessary to create meaningful, sustained changes in classroom practices as required by the REI.…
Teachers' Perceptions about Addressing Literacy for Students with Vision Impairment
ERIC Educational Resources Information Center
Washington, Samantha C.
2017-01-01
Regular education teachers are sometimes at a disadvantage when required to instruct learners with a visual impairment or other special needs in the classroom. A problem exists with reduced support and training for regular education teachers responsible for meeting literacy needs of students with visual impairment. The purpose of this qualitative…
Technical aspects of quality assurance in radiation oncology
Saw, CB; Ferenci, MS; Wanger, H
2008-01-01
The technical aspects of quality assurance (QA) in radiation oncology as practice in the United States will be reviewed and updated in the spirit of offering the experience to the radiation oncology communities in the Asia-Pacific region. The word “technical” is used to express the organisational components or processes and not the materials within the QA program. A comprehensive QA program in radiation oncology will have an official statement declaring the quality plan for effective patient care services it provides in a document. The QA program will include all aspects of patient care: physical, clinical, and medical aspects of the services. The document will describe the organisational structure, responsibilities, checks and procedures, and resources allocated to ensure the successful implementation of the quality of patient management. Regulatory guidelines and guidelines from accreditation agencies should be incorporated in the QA program to ensure compliance. The organisational structure will have a multidisciplinary QA committee that has the authority to evaluate continuously the effectiveness of the QA program to provide prompt corrective recommendations and to request feedback as needed to monitor the response. The continuous monitoring aspects require meetings to be held at regular intervals with the minutes of the meetings officially recorded and documented. To ensure that a QA program is effective, the program itself should be audited for quality at regular intervals at least annually. It has been recognised that the current QA program has not kept abreast with the rapid implementation of new and advanced radiation therapy technologies with the most recent in image-based radiation therapy technology. The societal bodies (ASTRO and AAPM) and federal agency (NCI) acknowledge this inadequacy and have held workshops to address this issue. The challenges for the societal bodies and federal agency are numerous that include (a) the prescriptive methodology used may not be appropriate for currently implemented new technologies, (b) resources are becoming scarce, (c) advanced radiation therapy technologies have been introduced too rapidly, (d) advances in radiation therapy technologies have become too sophisticated and specialised with each therapy modality having its own separate set of equipment, for example its own dose planning software, computer system and dose delivery systems requiring individualised QA procedures. At the present time, industrial engineers are being recruited to assist in devising a methodology that is broad-based and more process-oriented risk-based formulation of QA in radiation oncology. PMID:21611011
Fernández-Ruiz, Mario; Giménez, Estela; Vinuesa, Víctor; Ruiz-Merlo, Tamara; Parra, Patricia; Amat, Paula; Montejo, Miguel; Paez-Vega, Aurora; Cantisán, Sara; Torre-Cisneros, Julián; Fortún, Jesús; Andrés, Amado; San Juan, Rafael; López-Medrano, Francisco; Navarro, David; María Aguado, José
2018-05-24
Previous studies on monitoring of post-transplant cytomegalovirus (CMV)-specific cell-mediated immunity (CMI) are limited by single-center designs and disparate risk categories. We aimed to assess the clinical value of a regular monitoring strategy in a large multicenter cohort of intermediate-risk kidney transplant (KT) recipients. We recruited 124 CMV-seropositive KT recipients with no T-cell-depleting induction preemptively managed at four Spanish institutions. CMV-specific interferon-γ-producing CD4 + and CD8 + T-cells were enumerated through the first post-transplant year by intracellular cytokine staining after stimulation with pp65 and IE-1 peptides (mean of 6 measurements per patient). The primary outcome was the occurrence of any CMV event (asymptomatic infection and/or disease). Optimal cut-off values for CMV-specific T-cells were calculated at baseline and day 15. Twelve-month cumulative incidence of CMV infection and/or disease was 47.6%. Patients with pre-transplant CMV-specific CD8 + T-cell count <1.0 cells/μL had higher risk of CMV events (adjusted hazard ratio [aHR]: 2.84; P-value = 0.054). When the CMI assessment was performed at the immediate post-transplant period (day 15), the presence of <2.0 CD8 + T-cells/μL (aHR: 2.18; P-value = 0.034) or <1.0 CD4 + T-cells/μL (aHR: 2.43; P-value = 0.016) also predicted the subsequent development of CMV event. In addition, lower counts of CMV-specific CD4 + (but not CD8 + ) T-cells at days 60 and 180 were associated with a higher incidence of late-onset events. Monitoring for CMV-specific CMI in intermediate-risk KT recipients must be regular to reflect dynamic changes in overall immunosuppression and individual susceptibility. The early assessment at post-transplant day 15 remains particularly informative. Copyright © 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Hughes, Timothy; Deininger, Michael; Hochhaus, Andreas; Branford, Susan; Radich, Jerald; Kaeda, Jaspal; Baccarani, Michele; Cortes, Jorge; Cross, Nicholas C. P.; Druker, Brian J.; Gabert, Jean; Grimwade, David; Hehlmann, Rüdiger; Kamel-Reid, Suzanne; Lipton, Jeffrey H.; Longtine, Janina; Martinelli, Giovanni; Saglio, Giuseppe; Soverini, Simona; Stock, Wendy; Goldman, John M.
2006-01-01
The introduction in 1998 of imatinib mesylate (IM) revolutionized management of patients with chronic myeloid leukemia (CML) and the second generation of tyrosine kinase inhibitors may prove superior to IM. Real-time quantitative polymerase chain reaction (RQ-PCR) provides an accurate measure of the total leukemiacell mass and the degree to which BCR-ABL transcripts are reduced by therapy correlates with progression-free survival. Because a rising level of BCR-ABL is an early indication of loss of response and thus the need to reassess therapeutic strategy, regular molecular monitoring of individual patients is clearly desirable. Here we summarize the results of a consensus meeting that took place at the National Institutes of Health (NIH) in Bethesda in October 2005. We make suggestions for (1) harmonizing the differing methodologies for measuring BCR-ABL transcripts in patients with CML undergoing treatment and using a conversion factor whereby individual laboratories can express BCR-ABL transcript levels on an internationally agreed scale; (2) using serial RQ-PCR results rather than bone marrow cytogenetics or fluorescence in situ hybridization (FISH) for the BCR-ABL gene to monitor individual patients responding to treatment; and (3) detecting and reporting Philadelphia (Ph) chromosome-positive subpopulations bearing BCR-ABL kinase domain mutations. We recognize that our recommendations are provisional and will require revision as new evidence emerges. (Blood. 2006;108:28-37) PMID:16522812
Looking inside the Ocean: Toward an Autonomous Imaging System for Monitoring Gelatinous Zooplankton
Corgnati, Lorenzo; Marini, Simone; Mazzei, Luca; Ottaviani, Ennio; Aliani, Stefano; Conversi, Alessandra; Griffa, Annalisa
2016-01-01
Marine plankton abundance and dynamics in the open and interior ocean is still an unknown field. The knowledge of gelatinous zooplankton distribution is especially challenging, because this type of plankton has a very fragile structure and cannot be directly sampled using traditional net based techniques. To overcome this shortcoming, Computer Vision techniques can be successfully used for the automatic monitoring of this group.This paper presents the GUARD1 imaging system, a low-cost stand-alone instrument for underwater image acquisition and recognition of gelatinous zooplankton, and discusses the performance of three different methodologies, Tikhonov Regularization, Support Vector Machines and Genetic Programming, that have been compared in order to select the one to be run onboard the system for the automatic recognition of gelatinous zooplankton. The performance comparison results highlight the high accuracy of the three methods in gelatinous zooplankton identification, showing their good capability in robustly selecting relevant features. In particular, Genetic Programming technique achieves the same performances of the other two methods by using a smaller set of features, thus being the most efficient in avoiding computationally consuming preprocessing stages, that is a crucial requirement for running on an autonomous imaging system designed for long lasting deployments, like the GUARD1. The Genetic Programming algorithm has been installed onboard the system, that has been operationally tested in a two-months survey in the Ligurian Sea, providing satisfactory results in terms of monitoring and recognition performances. PMID:27983638
Monitoring small reservoirs' storage with satellite remote sensing in inaccessible areas
NASA Astrophysics Data System (ADS)
Avisse, Nicolas; Tilmant, Amaury; François Müller, Marc; Zhang, Hua
2017-12-01
In river basins with water storage facilities, the availability of regularly updated information on reservoir level and capacity is of paramount importance for the effective management of those systems. However, for the vast majority of reservoirs around the world, storage levels are either not measured or not readily available due to financial, political, or legal considerations. This paper proposes a novel approach using Landsat imagery and digital elevation models (DEMs) to retrieve information on storage variations in any inaccessible region. Unlike existing approaches, the method does not require any in situ measurement and is appropriate for monitoring small, and often undocumented, irrigation reservoirs. It consists of three recovery steps: (i) a 2-D dynamic classification of Landsat spectral band information to quantify the surface area of water, (ii) a statistical correction of DEM data to characterize the topography of each reservoir, and (iii) a 3-D reconstruction algorithm to correct for clouds and Landsat 7 Scan Line Corrector failure. The method is applied to quantify reservoir storage in the Yarmouk basin in southern Syria, where ground monitoring is impeded by the ongoing civil war. It is validated against available in situ measurements in neighbouring Jordanian reservoirs. Coefficients of determination range from 0.69 to 0.84, and the normalized root-mean-square error from 10 to 16 % for storage estimations on six Jordanian reservoirs with maximal water surface areas ranging from 0.59 to 3.79 km2.
Portable coastal observatories
Frye, Daniel; Butman, Bradford; Johnson, Mark; von der Heydt, Keith; Lerner, Steven
2000-01-01
Ocean observational science is in the midst of a paradigm shift from an expeditionary science centered on short research cruises and deployments of internally recording instruments to a sustained observational science where the ocean is monitored on a regular basis, much the way the atmosphere is monitored. While satellite remote sensing is one key way of meeting the challenge of real-time monitoring of large ocean regions, new technologies are required for in situ observations to measure conditions below the ocean surface and to measure ocean characteristics not observable from space. One method of making sustained observations in the coastal ocean is to install a fiber optic cable from shore to the area of interest. This approach has the advantage of providing power to offshore instruments and essentially unlimited bandwidth for data. The LEO-15 observatory offshore of New Jersey (yon Alt et al., 1997) and the planned Katama observatory offshore of Martha's Vineyard (Edson et al., 2000) use this approach. These sites, along with other cabled sites, will play an important role in coastal ocean science in the next decade. Cabled observatories, however, have two drawbacks that limit the number of sites that are likely to be installed. First, the cable and the cable installation are expensive and the shore station needed at the cable terminus is often in an environmentally sensitive area where competing interests must be resolved. Second, cabled sites are inherently limited geographically to sites within reach of the cable, so it is difficult to cover large areas of the coastal ocean.
Real-time surveillance system for marine environment based on HLIF LiDAR
NASA Astrophysics Data System (ADS)
Babichenko, Sergey; Sobolev, Innokenti; Aleksejev, Valeri; Sõro, Oliver
2017-10-01
The operational monitoring of the risk areas of marine environment requires cost-effective solutions. One of the options is the use of sensor networks based on fixed installations and moving platforms (coastal boats, supply-, cargo-, and passenger vessels). Such network allows to gather environmental data in time and space with direct links to operational activities in the controlled area for further environmental risk assessment. Among many remote sensing techniques the LiDAR (Light Detection And Ranging) based on Light Induced Fluorescence (LIF) is the tool of direct assessment of water quality variations caused by chemical pollution, colored dissolved organic matter, and phytoplankton composition. The Hyperspectral LIF (HLIF) LiDAR acquires comprehensive LIF spectra and analyses them by spectral pattern recognition technique to detect and classify the substances in water remotely. Combined use of HLIF LiDARs with Real-Time Data Management System (RTDMS) provides the economically effective solution for the regular monitoring in the controlled area. OCEAN VISUALS in cooperation with LDI INNOVATION has developed Oil in Water Locator (OWL™) with RTDMS (OWL MAP™) based on HLIF LiDAR technique. This is a novel technical solution for monitoring of marine environment providing continuous unattended operations. OWL™ has been extensively tested on board of various vessels in the North Sea, Norwegian Sea, Barents Sea, Baltic Sea and Caribbean Sea. This paper describes the technology features, the results of its operational use in 2014-2017, and outlook for the technology development.
Interactive water monitoring system accessible by cordless telephone
NASA Astrophysics Data System (ADS)
Volpicelli, Richard; Andeweg, Pierre; Hagar, William G.
1985-12-01
A battery-operated, microcomputer-controlled monitoring device linked with a cordless telephone has been developed for remote measurements. This environmental sensor is self-contained and collects and processes data according to the information sent to its on-board computer system. An RCA model 1805 microprocessor forms the basic controller with a program encoded in memory for data acquisition and analysis. Signals from analog sensing devices used to monitor the environment are converted into digital signals and stored in random access memory of the microcomputer. This remote sensing system is linked to the laboratory by means of a cordless telephone whose base unit is connected to regular telephone lines. This offshore sensing system is simply accessed by a phone call originating from a computer terminal in the laboratory. Data acquisition is initiated upon request: Information continues to be processed and stored until the computer is reprogrammed by another phone call request. Information obtained may be recalled by a phone call after the desired environmental measurements are finished or while they are in progress. Data sampling parameters may be reset at any time, including in the middle of a measurement cycle. The range of the system is limited only by existing telephone grid systems and by the transmission characteristics of the cordless phone used as a communications link. This use of a cordless telephone, coupled with the on-board computer system, may be applied to other field studies requiring data transfer between an on-site analytical system and the laboratory.
Further investigation on "A multiplicative regularization for force reconstruction"
NASA Astrophysics Data System (ADS)
Aucejo, M.; De Smet, O.
2018-05-01
We have recently proposed a multiplicative regularization to reconstruct mechanical forces acting on a structure from vibration measurements. This method does not require any selection procedure for choosing the regularization parameter, since the amount of regularization is automatically adjusted throughout an iterative resolution process. The proposed iterative algorithm has been developed with performance and efficiency in mind, but it is actually a simplified version of a full iterative procedure not described in the original paper. The present paper aims at introducing the full resolution algorithm and comparing it with its simplified version in terms of computational efficiency and solution accuracy. In particular, it is shown that both algorithms lead to very similar identified solutions.
Dantec, Cécile F; Vitasse, Yann; Bonhomme, Marc; Louvet, Jean-Marc; Kremer, Antoine; Delzon, Sylvain
2014-11-01
With global warming, an advance in spring leaf phenology has been reported worldwide. However, it is difficult to forecast phenology for a given species, due to a lack of knowledge about chilling requirements. We quantified chilling and heat requirements for leaf unfolding in two European tree species and investigated their relative contributions to phenological variations between and within populations. We used an extensive database containing information about the leaf phenology of 14 oak and 10 beech populations monitored over elevation gradients since 2005. In parallel, we studied the various bud dormancy phases, in controlled conditions, by regularly sampling low- and high-elevation populations during fall and winter. Oak was 2.3 times more sensitive to temperature for leaf unfolding over the elevation gradient and had a lower chilling requirement for dormancy release than beech. We found that chilling is currently insufficient for the full release of dormancy, for both species, at the lowest elevations in the area studied. Genetic variation in leaf unfolding timing between and within oak populations was probably due to differences in heat requirement rather than differences in chilling requirement. Our results demonstrate the importance of chilling for leaf unfolding in forest trees and indicate that the advance in leaf unfolding phenology with increasing temperature will probably be less pronounced than forecasted. This highlights the urgent need to determine experimentally the interactions between chilling and heat requirements in forest tree species, to improve our understanding and modeling of changes in phenological timing under global warming.
FT-NIR: A Tool for Process Monitoring and More.
Martoccia, Domenico; Lutz, Holger; Cohen, Yvan; Jerphagnon, Thomas; Jenelten, Urban
2018-03-30
With ever-increasing pressure to optimize product quality, to reduce cost and to safely increase production output from existing assets, all combined with regular changes in terms of feedstock and operational targets, process monitoring with traditional instruments reaches its limits. One promising answer to these challenges is in-line, real time process analysis with spectroscopic instruments, and above all Fourier-Transform Near Infrared spectroscopy (FT-NIR). Its potential to afford decreased batch cycle times, higher yields, reduced rework and minimized batch variance is presented and application examples in the field of fine chemicals are given. We demonstrate that FT-NIR can be an efficient tool for improved process monitoring and optimization, effective process design and advanced process control.
VizieR Online Data Catalog: Frequency of snowline-region planets (Shvartzvald+, 2016)
NASA Astrophysics Data System (ADS)
Shvartzvald, Y.; Maoz, D.; Udalski, A.; Sumi, T.; Friedmann, M.; Kaspi, S.; Poleski, R.; Szymanski, M. K.; Skowron, J.; Kozlowski, S.; Wyrzykowski, L.; Mroz, P.; Pietrukowicz, P.; Pietrzynski, G.; Soszynski, I.; Ulaczyk, K.; Abe, F.; Barry, R. K.; Bennett, D. P.; Bhattacharya, A.; Bond, I. A.; Freeman, M.; Inayama, K.; Itow, Y.; Koshimoto, N.; Ling, C. H.; Masuda, K.; Fukui, A.; Matsubara, Y.; Muraki, Y.; Ohnishi, K.; Rattenbury, N. J.; Saito, T.; Sullivan, D. J.; Suzuki, D.; Tristram, P. J.; Wakiyama, Y.; Yonehara, A.
2017-06-01
Our genII survey network is a collaboration between three groups: OGLE, MOA, and Wise. The OGLE and MOA groups regularly monitor a large region of the Galactic bulge, and routinely identify and monitor microlensing events. The Wise group monitors a field of 8 deg2, within the observational footprints of both OGLE and MOA, having the highest event rates based on previous years' observations (see Shvartzvald & Maoz, 2012MNRAS.419.3631S). The sample of microlensing events analysed here consists of 224 events from the 2011-2014 bulge seasons, observed by all three groups, and with each group having data near the peak of the event. (1 data file).
Monitoring activity patterns and trends of older adults.
Virone, G; Sixsmith, A
2008-01-01
This paper presents a pattern mining model developed for the continuous monitoring of high level activities and home-based behaviors for functional and cognitive status assessment with ambient assisted living systems such as in the EU-funded SOPRANO project. Motivating older people to engage in regular physical exercise is a key task of SOPRANO to improve health status and executive functions. A case study has been elaborated through software simulations to show how physical everyday life activity such as walking or sitting could be assessed and controlled for a better health lifestyle using the model.
NASA Astrophysics Data System (ADS)
Crawford, S. M.; Crause, Lisa; Depagne, Éric; Ilkiewicz, Krystian; Schroeder, Anja; Kuhn, Rudolph; Hettlage, Christian; Romero Colmenaro, Encarni; Kniazev, Alexei; Väisänen, Petri
2016-08-01
The High Resolution Spectrograph (HRS) on the Southern African Large Telescope (SALT) is a dual beam, fiber-fed echelle spectrograph providing high resolution capabilities to the SALT observing community. We describe the available data reduction tools and the procedures put in place for regular monitoring of the data quality from the spectrograph. Data reductions are carried out through the pyhrs package. The data characteristics and instrument stability are reported as part of the SALT Dashboard to help monitor the performance of the instrument.
Thermal depth profiling of vascular lesions: automated regularization of reconstruction algorithms
NASA Astrophysics Data System (ADS)
Verkruysse, Wim; Choi, Bernard; Zhang, Jenny R.; Kim, Jeehyun; Nelson, J. Stuart
2008-03-01
Pulsed photo-thermal radiometry (PPTR) is a non-invasive, non-contact diagnostic technique used to locate cutaneous chromophores such as melanin (epidermis) and hemoglobin (vascular structures). Clinical utility of PPTR is limited because it typically requires trained user intervention to regularize the inversion solution. Herein, the feasibility of automated regularization was studied. A second objective of this study was to depart from modeling port wine stain PWS, a vascular skin lesion frequently studied with PPTR, as strictly layered structures since this may influence conclusions regarding PPTR reconstruction quality. Average blood vessel depths, diameters and densities derived from histology of 30 PWS patients were used to generate 15 randomized lesion geometries for which we simulated PPTR signals. Reconstruction accuracy for subjective regularization was compared with that for automated regularization methods. The objective regularization approach performed better. However, the average difference was much smaller than the variation between the 15 simulated profiles. Reconstruction quality depended more on the actual profile to be reconstructed than on the reconstruction algorithm or regularization method. Similar, or better, accuracy reconstructions can be achieved with an automated regularization procedure which enhances prospects for user friendly implementation of PPTR to optimize laser therapy on an individual patient basis.
Code of Federal Regulations, 2011 CFR
2011-07-01
... monitoring requirements for a continuous emissions monitoring system? 63.7747 Section 63.7747 Protection of... apply for alternative monitoring requirements for a continuous emissions monitoring system? (a) You may... prevention technique, a description of the continuous monitoring system or method including appropriate...
Code of Federal Regulations, 2010 CFR
2010-07-01
... monitoring requirements for a continuous emissions monitoring system? 63.7747 Section 63.7747 Protection of... apply for alternative monitoring requirements for a continuous emissions monitoring system? (a) You may... prevention technique, a description of the continuous monitoring system or method including appropriate...
40 CFR 141.132 - Monitoring requirements.
Code of Federal Regulations, 2013 CFR
2013-07-01
... (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Disinfectant Residuals, Disinfection Byproducts, and Disinfection Byproduct Precursors § 141.132 Monitoring requirements. (a) General requirements. (1) Systems must... this subpart to qualify for reduced monitoring. (b) Monitoring requirements for disinfection byproducts...
40 CFR 141.132 - Monitoring requirements.
Code of Federal Regulations, 2012 CFR
2012-07-01
... (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Disinfectant Residuals, Disinfection Byproducts, and Disinfection Byproduct Precursors § 141.132 Monitoring requirements. (a) General requirements. (1) Systems must... this subpart to qualify for reduced monitoring. (b) Monitoring requirements for disinfection byproducts...
40 CFR 141.132 - Monitoring requirements.
Code of Federal Regulations, 2014 CFR
2014-07-01
... (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS Disinfectant Residuals, Disinfection Byproducts, and Disinfection Byproduct Precursors § 141.132 Monitoring requirements. (a) General requirements. (1) Systems must... this subpart to qualify for reduced monitoring. (b) Monitoring requirements for disinfection byproducts...
40 CFR 75.74 - Annual and ozone season monitoring and reporting requirements.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 17 2013-07-01 2013-07-01 false Annual and ozone season monitoring and... Annual and ozone season monitoring and reporting requirements. (a) Annual monitoring requirement. (1) The... during the entire calendar year. (b) Ozone season monitoring requirements. The owner or operator of an...
40 CFR 75.74 - Annual and ozone season monitoring and reporting requirements.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 17 2012-07-01 2012-07-01 false Annual and ozone season monitoring and... Annual and ozone season monitoring and reporting requirements. (a) Annual monitoring requirement. (1) The... during the entire calendar year. (b) Ozone season monitoring requirements. The owner or operator of an...
40 CFR 75.74 - Annual and ozone season monitoring and reporting requirements.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 16 2011-07-01 2011-07-01 false Annual and ozone season monitoring and... Annual and ozone season monitoring and reporting requirements. (a) Annual monitoring requirement. (1) The... during the entire calendar year. (b) Ozone season monitoring requirements. The owner or operator of an...
40 CFR 75.74 - Annual and ozone season monitoring and reporting requirements.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 17 2014-07-01 2014-07-01 false Annual and ozone season monitoring and... Annual and ozone season monitoring and reporting requirements. (a) Annual monitoring requirement. (1) The... during the entire calendar year. (b) Ozone season monitoring requirements. The owner or operator of an...
Shen, Fu-hai; Ma, Qing-kun; Xiao, Shu-yu; Cui, Feng-tao; Meng, Qing-di; Yang, Xiu-qing; Qi, Hui-sheng; Fan, Xue-yun; Yao, San-qiao
2011-01-01
The purposes of this thesis were to study the behavior about workers exposed to dust and provide scientific basis for health promotion. We designed a questionnaire and carry it on the 746 dust workers in the 3 representative corporations of Machinery, Ceramic, and Metallurgy Industry. All data were input into computer. And a database was established with Excel. SPSS11.5 statistical analysis software was used to analyze the influence on protecting behavioral between the application of qualifications, different jobs, training or protection, and other aspects etc. The rates were 94.4% and 75.3% about the regular physical examination and requirements for protective equipment. The rate of choosing an effective way of protection was generally low (15.4%). There was significant difference for among different educational background workers (P < 0.01). The rates of choosing an effective way of protection (20.3%), the regular physical examination (98.3%) and requirements for protective equipment (86.4%) in the dust workers who participated in the training of dust protection were superior than those who did not participated in the training. There was the significant difference (P < 0.05, P < 0.01). There was the significant difference for the rate of effective way of protection, regular physical examination, and requirements for protective equipment among the different corporations (P < 0.05). Dust workers' using rate about the choosing an effective way of protection was generally low in Machinery, Ceramic, and Metallurgy Industry. Those who were not educated had a lower using rate about the protection behavior, regular physical examination, and requirements for protective equipment than those educated.
Digital health system for personalised COPD long-term management.
Velardo, Carmelo; Shah, Syed Ahmar; Gibson, Oliver; Clifford, Gari; Heneghan, Carl; Rutter, Heather; Farmer, Andrew; Tarassenko, Lionel
2017-02-20
Recent telehealth studies have demonstrated minor impact on patients affected by long-term conditions. The use of technology does not guarantee the compliance required for sustained collection of high-quality symptom and physiological data. Remote monitoring alone is not sufficient for successful disease management. A patient-centred design approach is needed in order to allow the personalisation of interventions and encourage the completion of daily self-management tasks. A digital health system was designed to support patients suffering from chronic obstructive pulmonary disease in self-managing their condition. The system includes a mobile application running on a consumer tablet personal computer and a secure backend server accessible to the health professionals in charge of patient management. The patient daily routine included the completion of an adaptive, electronic symptom diary on the tablet, and the measurement of oxygen saturation via a wireless pulse oximeter. The design of the system was based on a patient-centred design approach, informed by patient workshops. One hundred and ten patients in the intervention arm of a randomised controlled trial were subsequently given the tablet computer and pulse oximeter for a 12-month period. Patients were encouraged, but not mandated, to use the digital health system daily. The average used was 6.0 times a week by all those who participated in the full trial. Three months after enrolment, patients were able to complete their symptom diary and oxygen saturation measurement in less than 1 m 40s (96% of symptom diaries). Custom algorithms, based on the self-monitoring data collected during the first 50 days of use, were developed to personalise alert thresholds. Strategies and tools aimed at refining a digital health intervention require iterative use to enable convergence on an optimal, usable design. 'Continuous improvement' allowed feedback from users to have an immediate impact on the design of the system (e.g., collection of quality data), resulting in high compliance with self-monitoring over a prolonged period of time (12-month). Health professionals were prompted by prioritisation algorithms to review patient data, which led to their regular use of the remote monitoring website throughout the trial. Trial registration: ISRCTN40367841 . Registered 17/10/2012.
2018-01-01
Water-borne bacteria, found in cold water storage tanks, are causative agents for various human infections and diseases including Legionnaires’ disease. Consequently, regular microbiological monitoring of tank water is undertaken as part of the regulatory framework used to control pathogenic bacteria. A key assumption is that a small volume of water taken from under the ball valve (where there is easy access to the stored water) will be representative of the entire tank. To test the reliability of this measure, domestic water samples taken from different locations of selected tanks in London properties between November 2015 and July 2016 were analysed for TVCs, Pseudomonas and Legionella at an accredited laboratory, according to regulatory requirements. Out of ~6000 tanks surveyed, only 15 were selected based on the ability to take a water sample from the normal sampling hatch (located above the ball valve) and from the far end of the tank (usually requiring disassembly of the tank lid with risk of structural damage), and permission being granted by the site manager to undertake the additional investigation and sampling. Despite seasonal differences in water temperature, we found 100% compliance at the ball valve end. In contrast, 40% of the tanks exceeded the regulatory threshold for temperature at the far end of the tank in the summer months. Consequently, 20% of the tanks surveyed failed to trigger appropriate regulatory action based on microbiological analyses of the water sample taken under the ball valve compared to the far end sample using present-day standards. These data show that typical water samples collected for routine monitoring may often underestimate the microbiological status of the water entering the building, thereby increasing the risk of exposure to water bourne pathogens with potential public health implications. We propose that water storage tanks should be redesigned to allow access to the far end of tanks for routine monitoring purposes, and that water samples used to ascertain the regulatory compliance of stored water in tanks should be taken at the point at which water is abstracted for use in the building. PMID:29649274
Stevanović, Jelena; Pompen, Marjolein; Le, Hoa H.; Rozenbaum, Mark H.; Tieleman, Robert G.; Postma, Maarten J.
2014-01-01
Background Stroke prevention is the main goal of treating patients with atrial fibrillation (AF). Vitamin-K antagonists (VKAs) present an effective treatment in stroke prevention, however, the risk of bleeding and the requirement for regular coagulation monitoring are limiting their use. Apixaban is a novel oral anticoagulant associated with significantly lower hazard rates for stroke, major bleedings and treatment discontinuations, compared to VKAs. Objective To estimate the cost-effectiveness of apixaban compared to VKAs in non-valvular AF patients in the Netherlands. Methods Previously published lifetime Markov model using efficacy data from the ARISTOTLE and the AVERROES trial was modified to reflect the use of oral anticoagulants in the Netherlands. Dutch specific costs, baseline population stroke risk and coagulation monitoring levels were incorporated. Univariate, probabilistic sensitivity and scenario analyses on the impact of different coagulation monitoring levels were performed on the incremental cost-effectiveness ratio (ICER). Results Treatment with apixaban compared to VKAs resulted in an ICER of €10,576 per quality adjusted life year (QALY). Those findings correspond with lower number of strokes and bleedings associated with the use of apixaban compared to VKAs. Univariate sensitivity analyses revealed model sensitivity to the absolute stroke risk with apixaban and treatment discontinuations risks with apixaban and VKAs. The probability that apixaban is cost-effective at a willingness-to-pay threshold of €20,000/QALY was 68%. Results of the scenario analyses on the impact of different coagulation monitoring levels were quite robust. Conclusions In patients with non-valvular AF, apixaban is likely to be a cost-effective alternative to VKAs in the Netherlands. PMID:25093723
Towards a Cyber Defense Framework for SCADA Systems Based on Power Consumption Monitoring
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hernandez Jimenez, Jarilyn M; Chen, Qian; Nichols, Jeff A.
Supervisory control and data acquisition (SCADA) is an industrial automation system that remotely monitor, and control critical infrastructures. SCADA systems are major targets for espionage and sabotage attackers. According to the 2015 Dell security annual threat report, the number of cyber-attacks against SCADA systems has doubled in the past year. Cyber-attacks (i.e., buffer overflow, rootkits and code injection) could cause serious financial losses and physical infrastructure damages. Moreover, some specific cyber-attacks against SCADA systems could become a threat to human life. Current commercial off-the-shelf security solutions are insufficient in protecting SCADA systems against sophisticated cyber-attacks. In 2014 a report bymore » Mandiant stated that only 69% of organizations learned about their breaches from third entities, meaning that these companies lack of their own detection system. Furthermore, these breaches are not detected in real-time or fast enough to prevent further damages. The average time between compromise and detection (for those intrusions that were detected) was 205 days. To address this challenge, we propose an Intrusion Detection System (IDS) that detects SCADA-specific cyber-attacks by analyzing the power consumption of a SCADA device. Specifically, to validate the proposed approach, we chose to monitor in real-time the power usage of a a Programmable Logic Controller (PLC). To this end, we configured the hardware of the tetsbed by installing the required sensors to monitor and collect its power consumption. After that two SCADA-specific cyber-attacks were simulated and TracerDAQ Pro was used to collect the power consumption of the PLC under normal and anomalous scenarios. Results showed that is possible to distinguish between the regular power usage of the PLC and when the PLC was under specific cyber-attacks.« less
González, Cintia; Herrero, Pau; Cubero, José M; Iniesta, José M; Hernando, M Elena; García-Sáez, Gema; Serrano, Alvaro J; Martinez-Sarriegui, Iñaki; Perez-Gandia, Carmen; Gómez, Enrique J; Rubinat, Esther; Alcantara, Valeria; Brugués, Eulalia; Chico, Ana; Mato, Eugenia; Bell, Olga; Corcoy, Rosa; de Leiva, Alberto
2013-07-01
Healthy diet and regular physical activity are powerful tools in reducing diabetes and cardiometabolic risk. Various international scientific and health organizations have advocated the use of new technologies to solve these problems. The PREDIRCAM project explores the contribution that a technological system could offer for the continuous monitoring of lifestyle habits and individualized treatment of obesity as well as cardiometabolic risk prevention. PREDIRCAM is a technological platform for patients and professionals designed to improve the effectiveness of lifestyle behavior modifications through the intensive use of the latest information and communication technologies. The platform consists of a web-based application providing communication interface with monitoring devices of physiological variables, application for monitoring dietary intake, ad hoc electronic medical records, different communication channels, and an intelligent notification system. A 2-week feasibility study was conducted in 15 volunteers to assess the viability of the platform. The website received 244 visits (average time/session: 17 min 45 s). A total of 435 dietary intakes were recorded (average time for each intake registration, 4 min 42 s ± 2 min 30 s), 59 exercises were recorded in 20 heart rate monitor downloads, 43 topics were discussed through a forum, and 11 of the 15 volunteers expressed a favorable opinion toward the platform. Food intake recording was reported as the most laborious task. Ten of the volunteers considered long-term use of the platform to be feasible. The PREDIRCAM platform is technically ready for clinical evaluation. Training is required to use the platform and, in particular, for registration of dietary food intake. © 2013 Diabetes Technology Society.
New discoveries on the biology and detection of human chorionic gonadotropin
Cole, Laurence A
2009-01-01
Human chorionic gonadotropin (hCG) is a glycoprotein hormone comprising 2 subunits, alpha and beta joined non covalently. While similar in structure to luteinizing hormone (LH), hCG exists in multiple hormonal and non-endocrine agents, rather than as a single molecule like LH and the other glycoprotein hormones. These are regular hCG, hyperglycosylated hCG and the free beta-subunit of hyperglycosylated hCG. For 88 years regular hCG has been known as a promoter of corpus luteal progesterone production, even though this function only explains 3 weeks of a full gestations production of regular hCG. Research in recent years has explained the full gestational production by demonstration of critical functions in trophoblast differentiation and in fetal nutrition through myometrial spiral artery angiogenesis. While regular hCG is made by fused villous syncytiotrophoblast cells, extravillous invasive cytotrophoblast cells make the variant hyperglycosylated hCG. This variant is an autocrine factor, acting on extravillous invasive cytotrophoblast cells to initiate and control invasion as occurs at implantation of pregnancy and the establishment of hemochorial placentation, and malignancy as occurs in invasive hydatidiform mole and choriocarcinoma. Hyperglycosylated hCG inhibits apoptosis in extravillous invasive cytotrophoblast cells promoting cell invasion, growth and malignancy. Other non-trophoblastic malignancies retro-differentiate and produce a hyperglycosylated free beta-subunit of hCG (hCG free beta). This has been shown to be an autocrine factor antagonizing apoptosis furthering cancer cell growth and malignancy. New applications have been demonstrated for total hCG measurements and detection of the 3 hCG variants in pregnancy detection, monitoring pregnancy outcome, determining risk for Down syndrome fetus, predicting preeclampsia, detecting pituitary hCG, detecting and managing gestational trophoblastic diseases, diagnosing quiescent gestational trophoblastic disease, diagnosing placental site trophoblastic tumor, managing testicular germ cell malignancies, and monitoring other human malignancies. There are very few molecules with such wide and varying functions as regular hCG and its variants, and very few tests with such a wide spectrum of clinical applications as total hCG. PMID:19171054
NASA Goddard Space Flight Center
NASA Technical Reports Server (NTRS)
Carter, David; Wetzel, Scott
2000-01-01
The NASA SLR Operational Center is responsible for: 1) NASA SLR network control, sustaining engineering, and logistics; 2) ILRS mission operations; and 3) ILRS and NASA SLR data operations. NASA SLR network control and sustaining engineering tasks include technical support, daily system performance monitoring, system scheduling, operator training, station status reporting, system relocation, logistics and support of the ILRS Networks and Engineering Working Group. These activities ensure the NASA SLR systems are meeting ILRS and NASA mission support requirements. ILRS mission operations tasks include mission planning, mission analysis, mission coordination, development of mission support plans, and support of the ILRS Missions Working Group. These activities ensure than new mission and campaign requirements are coordinated with the ILRS. Global Normal Points (NP) data, NASA SLR FullRate (FR) data, and satellite predictions are managed as part of data operations. Part of this operation includes supporting the ILRS Data Formats and Procedures Working Group. Global NP data operations consist of receipt, format and data integrity verification, archiving and merging. This activity culminates in the daily electronic transmission of NP files to the CDDIS. Currently of all these functions are automated. However, to ensure the timely and accurate flow of data, regular monitoring and maintenance of the operational software systems, computer systems and computer networking are performed. Tracking statistics between the stations and the data centers are compared periodically to eliminate lost data. Future activities in this area include sub-daily (i.e., hourly) NP data management, more stringent data integrity tests, and automatic station notification of format and data integrity issues.
Recent advances in management of alkaptonuria (invited review; best practice article).
Ranganath, Lakshminarayan R; Jarvis, Jonathan C; Gallagher, James A
2013-05-01
Alkaptonuria (AKU) is an autosomal recessive condition arising as a result of a genetic deficiency of the enzyme homogentisate 1,2 dioxygenase and characterised by accumulation of homogentisic acid (HGA). Oxidative conversion of HGA leads to production of a melanin-like polymer in a process termed ochronosis. The binding of ochronotic pigment to the connective tissues of the body leads to multisystem disorder dominated by premature severe spondylo-arthropathy. Other systemic features include stones (renal, prostatic, salivary, gall bladder), renal damage/failure, osteopenia/fractures, ruptures of tendons/muscle/ligaments, respiratory compromise, hearing loss and aortic valve disease. Detection of these features requires systematic investigation. Treatment in AKU patients is palliative and unsatisfactory. Ascorbic acid, low protein diet and physiotherapy have been tried but do not alter the underlying metabolic defect. Regular surveillance to detect and treat complications early is important. Palliative pain management is a crucial issue in AKU. Timely spinal surgery and arthroplasty are the major treatment approaches at present. A potential disease modifying drug, nitisinone, inhibits 4-hydroxy-phenyl-pyruvate-dioxygenase and decreases formation of HGA and could prevent or slow the progression of disease in AKU. If nitisinone therapy is able to complement the biochemical 'cure' with improved outcomes, it will completely alter the way we approach the management of this disease. Greater efforts to improve recognition and registration of the disease will be worthwhile. Improved laboratory diagnostics to monitor the tyrosine metabolic pathway that includes plasma metabolites including tyrosine to monitor efficacy, toxicity and safety postnitisinone will also be required.
Guideline for dialysate quality of Spanish Society of Nephrology (second edition, 2015).
Pérez-García, Rafael; García Maset, Rafael; Gonzalez Parra, Emilio; Solozábal Campos, Carlos; Ramírez Chamond, Rafael; Martín-Rabadán, Pablo; Sobrino Pérez, Pedro Enrique; Gallego Pereira, Ovidio; Dominguez, Jon; de la Cueva Matute, Enrique; Ferllen, Ricardo
2016-01-01
A Best Practice Guideline about Dialysis fluid purity was developed under the leadership of the Spanish Society of Nephrology in 2004. The second edition revised Guideline considered new evidences and International Standard. The Guideline has established recommendations for standards for preparing dialysate: water, concentrates and hemodialysis proportioning systems. This Guideline is based on the ISO13959, European Pharmacopoeia, the Real Farmacopea Española, the AAMI Standards and Recommended Practices, European Best Practice Guidelines for Haemodialysis, literature reviews, according to their level of evidence, and the opinion of the expert Spanish group. Two levels of quality of water were defined: purified water and high purified water (ultra pure) and for dialysate: ultra pure dialysate. Regular use of ultra pure dialysate is recommended for all type of hemodialysis to prevent and delay the occurrence of complications: inflammation, malnutrition, anaemia and amiloidosis. Water, concentrates and dialysate quality requirements are defined as maximum allowable contaminant levels: chemicals (4.1.2), conductivity, microbial and endotoxins (4.1.1): Monitoring frequency, maintenance and corrective actions were specified. Methods of sampling and analysis were described in appendix (anexos). For microbiological monitoring, R2A medium is recommended, incubated during 7-14 days at a temperature of 17-23°C. The dialysate quality assurance process involves all dialysis staff members and requires strict protocols. The physician in charge of hemodialysis has the ultimate responsibility for dialysate quality. All suggestions and questions about this Guideline are wellcome to www.senefro.org. Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.
Invited review: technical solutions for analysis of milk constituents and abnormal milk.
Brandt, M; Haeussermann, A; Hartung, E
2010-02-01
Information about constituents of milk and visual alterations can be used for management support in improving mastitis detection, monitoring fertility and reproduction, and adapting individual diets. Numerous sensors that gather this information are either currently available or in development. Nevertheless, there is still a need to adapt these sensors to special requirements of on-farm utilization such as robustness, calibration and maintenance, costs, operating cycle duration, and high sensitivity and specificity. This paper provides an overview of available sensors, ongoing research, and areas of application for analysis of milk constituents. Currently, the recognition of abnormal milk and the control of udder health is achieved mainly by recording electrical conductivity and changes in milk color. Further indicators of inflammation were recently investigated either to satisfy the high specificity necessary for automatic separation of milk or to create reliable alarm lists. Likewise, milk composition, especially fat:protein ratio, milk urea nitrogen content, and concentration of ketone bodies, provides suitable information about energy and protein supply, roughage fraction in the diet, and metabolic imbalances in dairy cows. In this regard, future prospects are to use frequent on-farm measurements of milk constituents for short-term automatic nutritional management. Finally, measuring progesterone concentration in milk helps farmers detect ovulation, pregnancy, and infertility. Monitoring systems for on-farm or on-line analysis of milk composition are mostly based on infrared spectroscopy, optical methods, biosensors, or sensor arrays. Their calibration and maintenance requirements have to be checked thoroughly before they can be regularly implemented on dairy farms. Copyright 2010 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.
An efficient and flexible Abel-inversion method for noisy data
NASA Astrophysics Data System (ADS)
Antokhin, Igor I.
2016-12-01
We propose an efficient and flexible method for solving the Abel integral equation of the first kind, frequently appearing in many fields of astrophysics, physics, chemistry, and applied sciences. This equation represents an ill-posed problem, thus solving it requires some kind of regularization. Our method is based on solving the equation on a so-called compact set of functions and/or using Tikhonov's regularization. A priori constraints on the unknown function, defining a compact set, are very loose and can be set using simple physical considerations. Tikhonov's regularization in itself does not require any explicit a priori constraints on the unknown function and can be used independently of such constraints or in combination with them. Various target degrees of smoothness of the unknown function may be set, as required by the problem at hand. The advantage of the method, apart from its flexibility, is that it gives uniform convergence of the approximate solution to the exact solution, as the errors of input data tend to zero. The method is illustrated on several simulated models with known solutions. An example of astrophysical application of the method is also given.
77 FR 2343 - Petition for Waiver of Compliance
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-17
... petitioned the Federal Railroad Administration (FRA) for a 2-year extension of the waivers of the hours of service requirements at 49 U.S.C. 21103(A)(4)(a), which were granted on March 5, 2010 (for 6-day per week regular schedules), and November 22, 2011 (for 5-day per week regular schedules with an occasional sixth...
1992-01-01
few went beyond the survey instrument to provide additional information. The surveys indicated a consensus among departments in the areas of policy ...uniforms, equipment, and weapons. All departments required their reserves to adhere to the policies and procedures that governed their regular...officers. Some agencies maintained separate policies on the operation and organization of their reserve force separate from that of the regular department
29 CFR 778.115 - Employees working at two or more rates.
Code of Federal Regulations, 2011 CFR
2011-07-01
... Overtime Pay Requirements Principles for Computing Overtime Pay Based on the âregular Rateâ § 778.115... different types of work for which different nonovertime rates of pay (of not less than the applicable minimum wage) have been established, his regular rate for that week is the weighted average of such rates...
A Regularization Approach to Blind Deblurring and Denoising of QR Barcodes.
van Gennip, Yves; Athavale, Prashant; Gilles, Jérôme; Choksi, Rustum
2015-09-01
QR bar codes are prototypical images for which part of the image is a priori known (required patterns). Open source bar code readers, such as ZBar, are readily available. We exploit both these facts to provide and assess purely regularization-based methods for blind deblurring of QR bar codes in the presence of noise.
Badalzadeh, Reza; Shaghaghi, Mehrnoush; Mohammadi, Mustafa; Dehghan, Gholamreza; Mohammadi, Zeynab
2014-12-01
Regular training is suggested to offer a host of benefits especially on cardiovascular system. In addition, medicinal plants can attenuate oxidative stress-mediated damages induced by stressor insults. In this study, we investigated the concomitant effect of cinnamon extract and long-term aerobic training on cardiac function, biochemical alterations and lipid profile following exhaustive exercise. Male Wistar rats (250-300 g) were divided into five groups depending on receiving regular training, cinnamon bark extraction, none or both of them, and then encountered with an exhausted exercise in last session. An 8-week endurance training program was designed with a progressive increase in training speed and time. Myocardial hemodynamics was monitored using a balloon-tipped catheter inserted into left ventricles. Blood samples were collected for analyzing biochemical markers, lipid profiles and lipid-peroxidation marker, malondealdehyde (MDA). Trained animals showed an enhanced cardiac force and contractility similar to cinnamon-treated rats. Co-application of regular training and cinnamon had additive effect in cardiac hemodynamic (P<0.05). Both regular training and supplementation with cinnamon significantly decreased serum levels of total cholesterol, low-density lipoprotein (LDL), and increased high-density lipoprotein (HDL) level and HDL/LDL ratio as compared to control group (P<0.01). Furthermore, pre-treatment with cinnamon extract and/or regular training significantly reduced MDA level elevation induced by exhausted exercise (P<0.01). Long-term treatment of rats with cinnamon and regular training improved cardiac hemodynamic through an additive effect. The positive effects of cinnamon and regular training on cardiac function were associated with a reduced serum MDA level and an improved blood lipid profile.
Ras, Rouyanne T; Trautwein, Elke A
2017-12-01
A variety of foods with added phytosterols (plant sterols and stanols, PS) known to lower elevated blood cholesterol is available on the European market. This paper reports findings from a 2015 post-launch monitoring survey on consumer purchase behaviour of foods with added PS in UK, Germany, France, Netherlands, Belgium and Greece. Data from 80,825 households were included. Households were divided into categories depending on number of purchases, household size, age of primary shopper and presence of children <5 years. Penetration rates of households purchasing foods with added PS ranged between 3 and 34%. Of households purchasing PS, 34-61% purchased infrequently (≤2 times/year), 29-36% occasionally (
An exploration of multilevel modeling for estimating access to drinking-water and sanitation.
Wolf, Jennyfer; Bonjour, Sophie; Prüss-Ustün, Annette
2013-03-01
Monitoring progress towards the targets for access to safe drinking-water and sanitation under the Millennium Development Goals (MDG) requires reliable estimates and indicators. We analyzed trends and reviewed current indicators used for those targets. We developed continuous time series for 1990 to 2015 for access to improved drinking-water sources and improved sanitation facilities by country using multilevel modeling (MLM). We show that MLM is a reliable and transparent tool with many advantages over alternative approaches to estimate access to facilities. Using current indicators, the MDG target for water would be met, but the target for sanitation missed considerably. The number of people without access to such services is still increasing in certain regions. Striking differences persist between urban and rural areas. Consideration of water quality and different classification of shared sanitation facilities would, however, alter estimates considerably. To achieve improved monitoring we propose: (1) considering the use of MLM as an alternative for estimating access to safe drinking-water and sanitation; (2) completing regular assessments of water quality and supporting the development of national regulatory frameworks as part of capacity development; (3) evaluating health impacts of shared sanitation; (4) using a more equitable presentation of countries' performances in providing improved services.
Developing hydrological monitoring networks with Arduino
NASA Astrophysics Data System (ADS)
Buytaert, Wouter; Vega, Andres; Villacis, Marcos; Moulds, Simon
2015-04-01
The open source hardware platform Arduino is very cost-effective and versatile for the development of sensor networks. Here we report on experiments on the use of Arduino-related technologies to develop and implement hydrological monitoring networks. Arduino Uno boards were coupled to a variety of commercially available hydrological sensors and programmed for automatic data collection. Tested sensors include water level, temperature, humidity, radiation, and precipitation. Our experiments show that most of the tested analogue sensors are quite straightforward to couple to Arduino based data loggers, especially if the electronic characteristics of the sensor are available. However, some sensors have internal digital interfaces, which are more challenging to connect. Lastly, tipping bucket rain gauges prove the most challenging because of the very specific methodology, i.e. registration of bucket tips instead of measurements at regular intervals. The typically low data generation rate of hydrological instruments is very compatible with available technologies for wireless data transmission. Mesh networks such as Xbee prove very convenient and robust for dispersed networks, while wifi is also an option for shorter distances and particular topographies. Lastly, the GSM shield of the Arduino can be used to transfer data to centralized databases. In regions where no mobile internet (i.e. 3G) connection is available, data transmission via text messages may be an option, depending on the bandwidth requirements.
Self-Powered Wearable Electronics Based on Moisture Enabled Electricity Generation.
Shen, Daozhi; Xiao, Ming; Zou, Guisheng; Liu, Lei; Duley, Walter W; Zhou, Y Norman
2018-05-01
Most state-of-the-art electronic wearable sensors are powered by batteries that require regular charging and eventual replacement, which would cause environmental issues and complex management problems. Here, a device concept is reported that can break this paradigm in ambient moisture monitoring-a new class of simple sensors themselves can generate moisture-dependent voltage that can be used to determine the ambient humidity level directly. It is demonstrated that a moisture-driven electrical generator, based on the diffusive flow of water in titanium dioxide (TiO 2 ) nanowire networks, can yield an output power density of up to 4 µW cm -2 when exposed to a highly moist environment. This performance is two orders of magnitude better than that reported for carbon-black generators. The output voltage is strongly dependent on humidity of ambient environment. As a big breakthrough, this new type of device is successfully used as self-powered wearable human-breathing monitors and touch pads, which is not achievable by any existing moisture-induced-electricity technology. The availability of high-output self-powered electrical generators will facilitate the design and application of a wide range of new innovative flexible electronic devices. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
Malaria rapid diagnostic tests in elimination settings—can they find the last parasite?
McMorrow, M. L.; Aidoo, M.; Kachur, S. P.
2016-01-01
Rapid diagnostic tests (RDTs) for malaria have improved the availability of parasite-based diagnosis throughout the malaria-endemic world. Accurate malaria diagnosis is essential for malaria case management, surveillance, and elimination. RDTs are inexpensive, simple to perform, and provide results in 15–20 min. Despite high sensitivity and specificity for Plasmodium falciparum infections, RDTs have several limitations that may reduce their utility in low-transmission settings: they do not reliably detect low-density parasitaemia (≤200 parasites/μL), many are less sensitive for Plasmodium vivax infections, and their ability to detect Plasmodium ovale and Plasmodium malariae is unknown. Therefore, in elimination settings, alternative tools with higher sensitivity for low-density infections (e.g. nucleic acid-based tests) are required to complement field diagnostics, and new highly sensitive and specific field-appropriate tests must be developed to ensure accurate diagnosis of symptomatic and asymptomatic carriers. As malaria transmission declines, the proportion of low-density infections among symptomatic and asymptomatic persons is likely to increase, which may limit the utility of RDTs. Monitoring malaria in elimination settings will probably depend on the use of more than one diagnostic tool in clinical-care and surveillance activities, and the combination of tools utilized will need to be informed by regular monitoring of test performance through effective quality assurance. PMID:21910780
NASA Astrophysics Data System (ADS)
Scozzari, Andrea; Masetti, Giulio; Raco, Brunella; Battaglini, Raffaele
2017-04-01
Landfills for Municipal Solid Wastes (MSW) produce about 20% of the total anthropogenic methane released to the atmosphere. As a consequence, these infrastructures require a systematic and efficient monitoring. Various techniques have been proposed until now for the estimation of biogas production and its release, by using more or less direct measurements, mostly characterised by a low or completely absent invasivity. During the last 13 years, observational data about a MSW disposal site located in Tuscany (Italy) have been collected on a regular basis, consisting in direct measurements of gas flux with the accumulation chamber method, combined with infrared radiometry performed in situ with portable radiometers. The availability of free Landsat imagery and the more recent availability of ASTER data (freely available since April 2016) open new monitoring possibilities, in addition to the in situ measurements described above. In particular, we present the preliminary results of a study about the usability of low resolution thermal infrared scenes to build timeseries describing the overall status of a waste disposal site. This work discusses the possibility to complement in situ measurements with satellite observations, taking benefit from the high revisit time with respect to the timings of in situ campaigns.
NASA Astrophysics Data System (ADS)
Rahman, Abdul Ghaffar Abdul; Noroozi, Siamak; Dupac, Mihai; Mahathir Syed Mohd Al-Attas, Syed; Vinney, John E.
2013-03-01
Complex rotating machinery requires regular condition monitoring inspections to assess their running conditions and their structural integrity to prevent catastrophic failures. Machine failures can be divided into two categories. First is the wear and tear during operation, they range from bearing defects, gear damage, misalignment, imbalance or mechanical looseness, for which simple condition-based maintenance techniques can easily detect the root cause and trigger remedial action process. The second factor in machine failure is caused by the inherent design faults that usually happened due to many reasons such as improper installation, poor servicing, bad workmanship and structural dynamics design deficiency. In fact, individual machines components are generally dynamically well designed and rigorously tested. However, when these machines are assembled on sight and linked together, their dynamic characteristics will change causing unexpected behaviour of the system. Since nondestructive evaluation provides an excellent alternative to the classical monitoring and proved attractive due to the possibility of performing reliable assessments of all types of machinery, the novel dynamic design verification procedure - based on the combination of in-service operation deflection shape measurement, experimental modal analysis and iterative inverse finite element analysis - proposed here allows quick identification of structural weakness, and helps to provide and verify the solutions.
Save Our Streams and Waterways.
ERIC Educational Resources Information Center
Indiana State Dept. of Education, Indianapolis. Center for School Improvement and Performance.
Protection of existing water supplies is critical to ensuring good health for people and animals alike. This program is aligned with the Izaak Walton League of American's Save Our Streams program which is based on the concept that students can greatly improve the quality of a nearby stream, pond, or river by regular visits and monitoring. The…
ACSM Fitness Book: A Proven Step-By-Step Program from the Experts. Third Edition.
ERIC Educational Resources Information Center
American Coll. of Sports Medicine, Indianapolis, IN.
This offers advice on the health benefits of regular physical activity. It includes a scientifically proven fitness test to determine one's starting point and monitor ongoing progress, offering step-by-step instructions, sample programs, and insights on nutrition, weight control, motivation, and overcoming setbacks. Seven chapters examine: (1)…
The Role of Regular Home Practice in the Relaxation Treatment of Tension Headache.
ERIC Educational Resources Information Center
Blanchard, Edward B.; And Others
1991-01-01
Gave 27 tension headache sufferers progressive muscle relaxation (PMR) training, with 14 of those subjects also receiving home practice and application instructions. Compared to third group of sufferers (n=6) who merely monitored headache activity, both treated groups showed significant reduction in headache activity. Treatment groups did not…
Take the Test: Sample Questions from OECD's PISA Assessments
ERIC Educational Resources Information Center
Salz, Susanne, Comp.; Figueroa, Diana Toledo, Comp.
2009-01-01
Parents, students, teachers, school leaders, governments and the general public need good information on how well their education systems prepare students for life. A growing commitment by governments to monitor the outcomes of education systems in terms of student achievement on a regular basis and within an internationally agreed framework led…
Student Attendance: Research and Strategies. Research Brief
ERIC Educational Resources Information Center
Johnston, Howard
2005-01-01
What are the characteristics of successful student attendance programs for the high school? It is commonly believed and well supported by research that students who attend school regularly are more successful than those who do not. The challenge for high schools is to design and implement attendance policies and programs that monitor, encourage,…
Successful Attendance Policies and Programs. Research Brief
ERIC Educational Resources Information Center
Education Partnerships, Inc., 2012
2012-01-01
What steps can be taken to assure that High School students have the best attendance possible? It is commonly believed and well supported by research that students who attend school regularly are more successful than those who do not. The challenge for high schools is to design and implement attendance policies and programs that monitor,…
23 CFR Appendix A to Subpart C of... - State Highway Agency Equal Employment Opportunity Programs
Code of Federal Regulations, 2011 CFR
2011-04-01
... results of its minority business enterprise efforts. IX. Liaison. Describe the liaison established by the... systems to monitor and measure progress regularly. If results are not satisfactory to meet goals... relation to the present and projected manpower needs of the agency and the employees' career goals. (4) The...
ERIC Educational Resources Information Center
Maynard, Jennifer Leigh
2012-01-01
Emphasis on regular mathematics skill assessment, intervention, and progress monitoring under the RTI model has created a need for the development of assessment instruments that are psychometrically sound, reliable, universal, and brief. Important factors to consider when developing or selecting assessments for the school environment include what…
USDA-ARS?s Scientific Manuscript database
The joint goals of the Training Interventions and Genetics of Exercise Response (TIGER) study are to introduce sedentary college-age individuals to regular exercise and identify genetic factors that influence physiologic response to aerobic exercise training. The purpose of the study was to examine ...
23 CFR Appendix A to Subpart C of... - State Highway Agency Equal Employment Opportunity Programs
Code of Federal Regulations, 2014 CFR
2014-04-01
... results of its minority business enterprise efforts. IX. Liaison. Describe the liaison established by the... systems to monitor and measure progress regularly. If results are not satisfactory to meet goals... relation to the present and projected manpower needs of the agency and the employees' career goals. (4) The...
23 CFR Appendix A to Subpart C of... - State Highway Agency Equal Employment Opportunity Programs
Code of Federal Regulations, 2012 CFR
2012-04-01
... results of its minority business enterprise efforts. IX. Liaison. Describe the liaison established by the... systems to monitor and measure progress regularly. If results are not satisfactory to meet goals... relation to the present and projected manpower needs of the agency and the employees' career goals. (4) The...
23 CFR Appendix A to Subpart C of... - State Highway Agency Equal Employment Opportunity Programs
Code of Federal Regulations, 2013 CFR
2013-04-01
... results of its minority business enterprise efforts. IX. Liaison. Describe the liaison established by the... systems to monitor and measure progress regularly. If results are not satisfactory to meet goals... relation to the present and projected manpower needs of the agency and the employees' career goals. (4) The...
23 CFR Appendix A to Subpart C of... - State Highway Agency Equal Employment Opportunity Programs
Code of Federal Regulations, 2010 CFR
2010-04-01
... results of its minority business enterprise efforts. IX. Liaison. Describe the liaison established by the... systems to monitor and measure progress regularly. If results are not satisfactory to meet goals... relation to the present and projected manpower needs of the agency and the employees' career goals. (4) The...
Population dynamics of Lanyu Scops Owls (Otus elegans botelensis)
L. L. Severinghaus
1997-01-01
Monthly visits to Lanyu Island have been made to study Lanyu Scops Owls (Otus elegans botelensis) since 1986. This population has been surveyed by regular census and playback counts, by color banding, by monitoring the survival, reproduction and movements of individual owls, and by mapping and documenting the change in nest trees.
Nova Lup 2016 during the X-ray decay phase
NASA Astrophysics Data System (ADS)
Orio, Marina; Beardmore, Andrew; Page, Kim; Osborne, Julian
2017-09-01
Nova Lup 2016 (ASASSN-16kt; see ATel #9538, #9539, #8550, #9554, #9587, #9594 and #9644) has been regularly monitored with Swift since the observations published in ATel #10632 that revealed a luminous supersoft X-ray source with a peak XRT count rate of 61.1(+-)0.1 cts/s on 2017/2/22.
RadNet Air Quality (Fixed Station) Data
RadNet is a national network of monitoring stations that regularly collect air for analysis of radioactivity. The RadNet network, which has stations in each State, has been used to track environmental releases of radioactivity from nuclear weapons tests and nuclear accidents. RadNet also documents the status and trends of environmental radioactivity
Air quality in passenger cars of the ground railway transit system in Beijing, China.
Li, Tian-Tian; Bai, Yu-Hua; Liu, Zhao-Rong; Liu, Jin-Feng; Zhang, Guang-Shan; Li, Jin-Long
2006-08-15
This study examined the concentrations of carbon monoxide, carbon dioxide, TVOC, TSP, PM(10), PM(2.5), PM(1), benzene, toluene and xylene in passenger cars of the Beijing Ground Railway Transit System (Line No. 13). This system connects the northern suburb and downtown, and is equipped with air-conditioned passenger cars. In-train air quality monitoring was performed in both summer (July and August) and winter (December). To obtain representative data, the sampling design considered both rush and regular hours, urban and suburban areas, as well as the number of passengers. Meanwhile, questionnaires were distributed to the passengers. The monitoring results indicated that, overall, the air quality in the passenger cars was acceptable with a few exceptions, which is consistent with the passengers' perception. Concentrations of some air pollutants showed significant seasonal variations and had the significant difference between rush hour and regular hour. Furthermore, the in-train air quality was greatly influenced by the number of passengers. This paper describes the experimental design, and presents the preliminary results.
Demonstrating the viability and value of community-based monitoring schemes in catchment science
NASA Astrophysics Data System (ADS)
Starkey, Eleanor; Parkin, Geoff; Quinn, Paul; Large, Andy
2016-04-01
Hydrological catchments are complex systems which need to be monitored over time in order to characterise their behaviour on a local level, model, implement mitigation measures and meet policy targets. Despite hydrometric monitoring techniques being well developed, data is often inadequate within rural areas. Local knowledge and experiences are also vital sources of information in this sector but they are not routinely harvested. Long-term evidence is required to provide stakeholders with confidence and innovation is required to fully engage with and inform the public. Citizen science and volunteered geographical information (VGI) projects are encouraging volunteers to participate in crowdsourcing activities and generate new knowledge, but they have not been fully investigated within catchment science. A citizen science approach has therefore been implemented within the 42km2 Haltwhistle Burn catchment (northern England) using effective engagement techniques. This catchment responds rapidly, experiences flash flood events, and like many, it does not benefit from any traditional monitoring equipment. Participation levels confirm that members of the public do want to monitor their local water environment, with flooding being a key driver. Regular 'River Watch' volunteers and passers-by are sharing their knowledge and monitoring rainfall, river levels, water quality parameters, sediment issues, flood events and performance of flood risk management features. This has enabled a variety of low-cost data collection and submission tools to be tested over a two year period. Training has encouraged good quality data to be collected and volunteers are ready to capture meaningful information during unexpected flood events. Although volunteers are capable of collecting quantitative information, photographs and videos are submitted more readily. Twitter has also been used to share real-time observations successfully. A traditional monitoring network has been running in parallel for the purpose of assessing the quality of citizen science observations. It has been found that citizen science observations are essential for capturing localised convective storms. Citizen scientists want their observations to be used to gain meaningful information and tackle local issues. Data has therefore been utilised to build, calibrate and validate hydrological models and support a range of catchment management applications. This has further demonstrated the value of citizen science, along with the social benefits it has to offer. Other communities are also beginning to source funding and implement their own monitoring schemes, indicating that they are both capable and self-motivated. Citizen science makes use of evolving and more readily available technology, providing catchment stakeholders with vital information. Although these types of observations present various challenges, it is argued that a citizen science approach is not intending to replace traditional techniques, rather they can be used to complement them, fill the gaps and/or provide an indication of catchment behaviour across space and through time.
Social Impact Management Plans: Innovation in corporate and public policy
DOE Office of Scientific and Technical Information (OSTI.GOV)
Franks, Daniel M., E-mail: d.franks@uq.edu.au; Vanclay, Frank, E-mail: frank.vanclay@rug.nl
Social Impact Assessment (SIA) has traditionally been practiced as a predictive study for the regulatory approval of major projects, however, in recent years the drivers and domain of focus for SIA have shifted. This paper details the emergence of Social Impact Management Plans (SIMPs) and undertakes an analysis of innovations in corporate and public policy that have put in place ongoing processes – assessment, management and monitoring – to better identify the nature and scope of the social impacts that might occur during implementation and to proactively respond to change across the lifecycle of developments. Four leading practice examples aremore » analyzed. The International Finance Corporation (IFC) Performance Standards require the preparation of Environmental and Social Management Plans for all projects financed by the IFC identified as having significant environmental and social risks. Anglo American, a major resources company, has introduced a Socio-Economic Assessment Toolbox, which requires mine sites to undertake regular assessments and link these assessments with their internal management systems, monitoring activities and a Social Management Plan. In South Africa, Social and Labour Plans are submitted with an application for a mining or production right. In Queensland, Australia, Social Impact Management Plans were developed as part of an Environmental Impact Statement, which included assessment of social impacts. Collectively these initiatives, and others, are a practical realization of theoretical conceptions of SIA that include management and monitoring as core components of SIA. The paper concludes with an analysis of the implications for the practice of impact assessment including a summary of key criteria for the design and implementation of effective SIMPs. -- Highlights: • Social impact management plans are effective strategies to manage social issues. • They are developed in partnership with regulatory agencies, investors and community. • SIMPs link assessment to ongoing management and address social and community issues. • SIMPs clarify responsibilities in the management of impacts, opportunities and risks. • SIMPs demonstrate a shift to include management as a core component of SIA practice.« less
Optimal Tikhonov regularization for DEER spectroscopy
NASA Astrophysics Data System (ADS)
Edwards, Thomas H.; Stoll, Stefan
2018-03-01
Tikhonov regularization is the most commonly used method for extracting distance distributions from experimental double electron-electron resonance (DEER) spectroscopy data. This method requires the selection of a regularization parameter, α , and a regularization operator, L. We analyze the performance of a large set of α selection methods and several regularization operators, using a test set of over half a million synthetic noisy DEER traces. These are generated from distance distributions obtained from in silico double labeling of a protein crystal structure of T4 lysozyme with the spin label MTSSL. We compare the methods and operators based on their ability to recover the model distance distributions from the noisy time traces. The results indicate that several α selection methods perform quite well, among them the Akaike information criterion and the generalized cross validation method with either the first- or second-derivative operator. They perform significantly better than currently utilized L-curve methods.
Impedance computed tomography using an adaptive smoothing coefficient algorithm.
Suzuki, A; Uchiyama, A
2001-01-01
In impedance computed tomography, a fixed coefficient regularization algorithm has been frequently used to improve the ill-conditioning problem of the Newton-Raphson algorithm. However, a lot of experimental data and a long period of computation time are needed to determine a good smoothing coefficient because a good smoothing coefficient has to be manually chosen from a number of coefficients and is a constant for each iteration calculation. Thus, sometimes the fixed coefficient regularization algorithm distorts the information or fails to obtain any effect. In this paper, a new adaptive smoothing coefficient algorithm is proposed. This algorithm automatically calculates the smoothing coefficient from the eigenvalue of the ill-conditioned matrix. Therefore, the effective images can be obtained within a short computation time. Also the smoothing coefficient is automatically adjusted by the information related to the real resistivity distribution and the data collection method. In our impedance system, we have reconstructed the resistivity distributions of two phantoms using this algorithm. As a result, this algorithm only needs one-fifth the computation time compared to the fixed coefficient regularization algorithm. When compared to the fixed coefficient regularization algorithm, it shows that the image is obtained more rapidly and applicable in real-time monitoring of the blood vessel.
NASA Astrophysics Data System (ADS)
Zhang, Wenkun; Zhang, Hanming; Wang, Linyuan; Cai, Ailong; Li, Lei; Yan, Bin
2018-02-01
Limited angle computed tomography (CT) reconstruction is widely performed in medical diagnosis and industrial testing because of the size of objects, engine/armor inspection requirements, and limited scan flexibility. Limited angle reconstruction necessitates usage of optimization-based methods that utilize additional sparse priors. However, most of conventional methods solely exploit sparsity priors of spatial domains. When CT projection suffers from serious data deficiency or various noises, obtaining reconstruction images that meet the requirement of quality becomes difficult and challenging. To solve this problem, this paper developed an adaptive reconstruction method for limited angle CT problem. The proposed method simultaneously uses spatial and Radon domain regularization model based on total variation (TV) and data-driven tight frame. Data-driven tight frame being derived from wavelet transformation aims at exploiting sparsity priors of sinogram in Radon domain. Unlike existing works that utilize pre-constructed sparse transformation, the framelets of the data-driven regularization model can be adaptively learned from the latest projection data in the process of iterative reconstruction to provide optimal sparse approximations for given sinogram. At the same time, an effective alternating direction method is designed to solve the simultaneous spatial and Radon domain regularization model. The experiments for both simulation and real data demonstrate that the proposed algorithm shows better performance in artifacts depression and details preservation than the algorithms solely using regularization model of spatial domain. Quantitative evaluations for the results also indicate that the proposed algorithm applying learning strategy performs better than the dual domains algorithms without learning regularization model
Monitoring of patients treated with lithium for bipolar disorder: an international survey.
Nederlof, M; Heerdink, E R; Egberts, A C G; Wilting, I; Stoker, L J; Hoekstra, R; Kupka, R W
2018-04-14
Adequate monitoring of patients using lithium is needed for optimal dosing and for early identification of patients with (potential) ADEs. The objective was to internationally assess how health care professionals monitor patients treated with lithium for bipolar disorder. Using networks of various professional organizations, an anonymous online survey was conducted among health care professionals prescribing lithium. Target lithium serum levels and frequency of monitoring was assessed together with monitoring of physical and laboratory parameters. Reasons to and not to monitor and use of guidelines and institutional protocols, and local monitoring systems were investigated. The survey was completed by 117 health care professionals incorporating responses from twenty-four countries. All prescribers reported to monitor lithium serum levels on a regular basis, with varying target ranges. Almost all (> 97%) monitored thyroid and renal function before start and during maintenance treatment. Reported monitoring of other laboratory and physical parameters was variable. The majority of respondents (74%) used guidelines or institutional protocols for monitoring. In general, the prescriber was responsible for monitoring, had to request every monitoring parameter separately and only a minority of patients was automatically invited. Lithium serum levels, renal and thyroid function were monitored by (almost) all physicians. However, there was considerable variation in other monitoring parameters. Our results help to understand why prescribers of lithium monitor patients and what their main reasons are not to monitor patients using lithium.
NASA Astrophysics Data System (ADS)
Pan, Chu-Dong; Yu, Ling; Liu, Huan-Lin
2017-08-01
Traffic-induced moving force identification (MFI) is a typical inverse problem in the field of bridge structural health monitoring. Lots of regularization-based methods have been proposed for MFI. However, the MFI accuracy obtained from the existing methods is low when the moving forces enter into and exit a bridge deck due to low sensitivity of structural responses to the forces at these zones. To overcome this shortcoming, a novel moving average Tikhonov regularization method is proposed for MFI by combining with the moving average concepts. Firstly, the bridge-vehicle interaction moving force is assumed as a discrete finite signal with stable average value (DFS-SAV). Secondly, the reasonable signal feature of DFS-SAV is quantified and introduced for improving the penalty function (∣∣x∣∣2 2) defined in the classical Tikhonov regularization. Then, a feasible two-step strategy is proposed for selecting regularization parameter and balance coefficient defined in the improved penalty function. Finally, both numerical simulations on a simply-supported beam and laboratory experiments on a hollow tube beam are performed for assessing the accuracy and the feasibility of the proposed method. The illustrated results show that the moving forces can be accurately identified with a strong robustness. Some related issues, such as selection of moving window length, effect of different penalty functions, and effect of different car speeds, are discussed as well.
40 CFR 51.190 - Ambient air quality monitoring requirements.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 40 Protection of Environment 2 2013-07-01 2013-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...
40 CFR 51.190 - Ambient air quality monitoring requirements.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 2 2014-07-01 2014-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...
40 CFR 51.190 - Ambient air quality monitoring requirements.
Code of Federal Regulations, 2011 CFR
2011-07-01
... 40 Protection of Environment 2 2011-07-01 2011-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...
40 CFR 51.190 - Ambient air quality monitoring requirements.
Code of Federal Regulations, 2012 CFR
2012-07-01
... 40 Protection of Environment 2 2012-07-01 2012-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...
40 CFR 51.190 - Ambient air quality monitoring requirements.
Code of Federal Regulations, 2010 CFR
2010-07-01
... 40 Protection of Environment 2 2010-07-01 2010-07-01 false Ambient air quality monitoring... PROGRAMS REQUIREMENTS FOR PREPARATION, ADOPTION, AND SUBMITTAL OF IMPLEMENTATION PLANS Ambient Air Quality Surveillance § 51.190 Ambient air quality monitoring requirements. The requirements for monitoring ambient air...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-28
... Quality Assurance Requirements for Continuous Opacity Monitoring Systems at Stationary Sources AGENCY... direct final rule titled ``Quality Assurance Requirements for Continuous Opacity Monitoring Systems at...--Quality Assurance Requirements for Continuous Opacity Monitoring Systems at Stationary Sources Docket, EPA...
Virological diagnosis of Ebolavirus infection.
Smith, D W; Rawlinson, W D; Kok, J; Dwyer, D E; Catton, M
2015-08-01
Ebolaviruses, and the other viral causes of haemorrhagic fevers (VHF) have always posed special problems for diagnostic laboratories. These arise from the rarity of human infections, minimal documented experience with test delivery and interpretation, the paucity of established commercial or in-house assays, the lack of clinical material for test development and validation, the high level containment required for handling live virus, the ongoing evolution of the viruses, and the high personal and public health requirements for accurate diagnosis. This article addresses the current situation and the ongoing challenges associated with delivering timely, high quality and safe testing within Australia for people exposed as part of the current major outbreak of Ebolavirus disease (EVD) in Western Africa. The members of the Public Health Laboratory Network have developed deliverable and reliable nucleic acid detection tests, and also have the laboratory capacity to handle the live viruses if necessary. However delivering and maintaining these services necessitates high levels of experience in developing and applying tests for exotic and emerging infections, strong national and international links and collaborations, ongoing monitoring and reassessment of test design and performance, innovative approaches to generation of positive control material, and a regular quality assurance program.
How I treat transfusional iron overload.
Hoffbrand, A Victor; Taher, Ali; Cappellini, Maria Domenica
2012-11-01
Patients with β-thalassemia major (TM) and other refractory anemias requiring regular blood transfusions accumulate iron that damages the liver, endocrine system, and most importantly the heart. The prognosis in TM has improved remarkably over the past 10 years. This improvement has resulted from the development of magnetic resonance imaging (MRI) techniques, especially T2*, to accurately measure cardiac and liver iron, and from the availability of 3 iron-chelating drugs. In this article we describe the use of MRI to determine which adult and pediatric patients need to begin iron chelation therapy and to monitor their progress. We summarize the properties of each of the 3 drugs, deferoxamine (DFO), deferiprone (DFP), and deferasirox (DFX), including their efficacy, patient acceptability, and side effects. We describe when to initiate or intensify therapy, switch to another drug, or use combined therapy. We also discuss the management of refractory anemias other than TM that may require multiple blood transfusions, including sickle cell anemia and myelodysplasia. The development of a potential fourth chelator FBS 0701 and the combined use of oral chelators may further improve the quality of life and survival in patients with TM and other transfusion-dependent patients.
Care of Adults With Intellectual and Developmental Disabilities: Traumatic Brain Injury.
Jones, Kyle Bradford; Wilson, Benjamin; Weedon, Dean; Bilder, Deborah
2015-12-01
Traumatic brain injuries (TBIs) manifest in various forms and severities, and patients with TBIs can have multiple physical and psychological comorbidities. The physician should be prepared to assess effects of the injury and associated comorbidities, and provide needed social support. Common comorbidities include cognitive changes; epilepsy; chronic pain; headache; sleep disorders; neuroendocrine disorders; dizziness and balance issues; substance abuse; depression and anxiety; dementia; and behavioral disturbances, such as aggression. Early severity and cognitive assessment after TBI is key. For patients with mild TBIs, short-term management focuses on cognitive rest, symptom management, and gradual return to regular activities. Short-term management of patients with moderate to severe TBI often requires intensive care unit admission, early psychological consultation, and use of mannitol and probiotics. Long-term care includes monitoring and managing of the physical, behavioral, emotional, and psychological comorbidities that commonly occur in patients with TBIs. Assisting patients in accessing community and government resources can be crucial for improving their independence and quality of life. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.
Pipelines subject to slow landslide movements: Structural modeling vs field measurement
DOE Office of Scientific and Technical Information (OSTI.GOV)
Bruschi, R.; Glavina, S.; Spinazze, M.
1996-12-01
In recent years finite element techniques have been increasingly used to investigate the behavior of buried pipelines subject to soil movements. The use of these tools provides a rational basis for the definition of minimum wall thickness requirements in landslide crossings. Furthermore the design of mitigation measures or monitoring systems which control the development of undesirable strains in the pipe wall over time, requires a detailed structural modeling. The scope of this paper is to discuss the use of dedicated structural modeling with relevant calibration to field measurements. The strain measurements used were regularly gathered from pipe sections, in twomore » different sites over a period of time long enough to record changes of axial strain due to soil movement. Detailed structural modeling of pipeline layout in both sites and for operating conditions, is applied. Numerical simulations show the influence of the distribution of soil movement acting on the pipeline with regards to the state of strain which can be developed in certain locations. The role of soil nature and direction of relative movements in the definition of loads transferred to the pipeline, is also discussed.« less
Understanding the decision-making environment for people in minimally conscious state.
Yelden, Kudret; Sargent, Sarah; Samanta, Jo
2017-04-11
Patients in minimally conscious state (MCS) show minimal, fluctuating but definitive signs of awareness of themselves and their environments. They may exhibit behaviours ranging from the ability to track objects or people with their eyes, to the making of simple choices which requires the ability to recognise objects and follow simple commands. While patients with MCS have higher chances of further recovery than people in vegetative states, this is not guaranteed and their prognosis is fundamentally uncertain. Therefore, patients with MCS need regular input from healthcare professionals to monitor their progress (or non-progress) and to address their needs for rehabilitation, for the provision of an appropriate environment and equipment. These requirements form a backdrop to the potentially huge variety of ethical-legal dilemmas that may be faced by their families, caregivers and ultimately, the courts. This paper analyses the decision-making environment for people with MCS using data obtained through four focus groups which included the input of 29 senior decision makers in the area. The results of the focus group study are presented and further explored with attention on recurrent and strong themes such as lack of expertise, resource issues, and the influence of families and friends of people with MCS.
NASA Astrophysics Data System (ADS)
Jonathan, E.; Enfield, J.; Leahy, M. J.
2011-03-01
The microcirculation plays a critical role is maintaining organ health and function by serving as a vascular are where trophic metabolism exchanges between blood and tissue takes place. To facilitate regular assessment in vivo, noninvasive microcirculation imagers are required in clinics. Among this group of clinical devices, are those that render microcirculation morphology such as nailfold capillaroscopy, a common device for early diagnosis and monitoring of microangiopathies. However, depth ambiguity disqualify this and other similar techniques in medical tomography where due to the 3-D nature of biological organs, imagers that support depth-resolved 2-D imaging and 3-D image reconstruction are required. Here, we introduce correlation map OCT (cmOCT), a promising technique for microcirculation morphology imaging that combines standard optical coherence tomography and an agile imaging analysis software based on correlation statistic. Promising results are presented of the microcirculation morphology images of the brain region of a small animal model as well as measurements of vessel geometry at bifurcations, such as vessel diameters, branch angles. These data will be useful for obtaining cardiovascular related characteristics such as volumetric flow, velocity profile and vessel-wall shear stress for circulatory and respiratory system.
Grid-cell-based crop water accounting for the famine early warning system
Verdin, J.; Klaver, R.
2002-01-01
Rainfall monitoring is a regular activity of food security analysts for sub-Saharan Africa due to the potentially disastrous impact of drought. Crop water accounting schemes are used to track rainfall timing and amounts relative to phenological requirements, to infer water limitation impacts on yield. Unfortunately, many rain gauge reports are available only after significant delays, and the gauge locations leave large gaps in coverage. As an alternative, a grid-cell-based formulation for the water requirement satisfaction index (WRSI) was tested for maize in Southern Africa. Grids of input variables were obtained from remote sensing estimates of rainfall, meteorological models, and digital soil maps. The spatial WRSI was computed for the 1996–97 and 1997–98 growing seasons. Maize yields were estimated by regression and compared with a limited number of reports from the field for the 1996–97 season in Zimbabwe. Agreement at a useful level (r = 0·80) was observed. This is comparable to results from traditional analysis with station data. The findings demonstrate the complementary role that remote sensing, modelling, and geospatial analysis can play in an era when field data collection in sub-Saharan Africa is suffering an unfortunate decline.
Virological diagnosis of Ebolavirus infection
Smith, D. W.; Rawlinson, W. D.; Kok, J.; Dwyer, D. E.; Catton, M.
2015-01-01
Summary Ebolaviruses, and the other viral causes of haemorrhagic fevers (VHF) have always posed special problems for diagnostic laboratories. These arise from the rarity of human infections, minimal documented experience with test delivery and interpretation, the paucity of established commercial or in-house assays, the lack of clinical material for test development and validation, the high level containment required for handling live virus, the ongoing evolution of the viruses, and the high personal and public health requirements for accurate diagnosis. This article addresses the current situation and the ongoing challenges associated with delivering timely, high quality and safe testing within Australia for people exposed as part of the current major outbreak of Ebolavirus disease (EVD) in Western Africa. The members of the Public Health Laboratory Network have developed deliverable and reliable nucleic acid detection tests, and also have the laboratory capacity to handle the live viruses if necessary. However delivering and maintaining these services necessitates high levels of experience in developing and applying tests for exotic and emerging infections, strong national and international links and collaborations, ongoing monitoring and reassessment of test design and performance, innovative approaches to generation of positive control material, and a regular quality assurance program. PMID:26126050
Ketelhut, R G; Franz, I W; Scholze, J
1997-10-01
Regular conditioning has been well documented to exert a beneficial effect on cardiovascular risk factors and to improve overall cardiovascular health and to reduce the incidence of coronary disease. There are conflicting results concerning the effect of physical exercise on blood pressure (BP) in hypertensive patients and its importance in the treatment of hypertension. Therefore 10 male patients with mild arterial hypertension were studied in order to define the BP response to long-term aerobic training (60 min twice a week) under resting conditions, during standardised ergometric workload, during isometric exercise, during cold pressor testing and during 24-h BP monitoring. After 18 months of regular training there were significant reductions in arterial pressures at rest, during and after standardised ergometry and during isometric and cold pressor testing when compared with pre-training. The heart rate also decreased significantly during exercise testing thus implying a decrease in myocardial oxygen consumption. After long-term training, a reduction in systolic and diastolic BP could also be shown during 24-h ambulatory BP monitoring. These results demonstrate that long-term aerobic training leads to a decrease in systolic and diastolic BP at rest, during exercise and during 24-h BP monitoring and imply a beneficial effect in the management of hypertension that is nearly comparable to that of drug therapy.
Higgins, H. M.; Huxley, J. N.; Wapenaar, W.; Green, M. J.
2013-01-01
Characteristics of 94 veterinary surgeons associated with delivering preventive herd-level strategies to control mastitis, lameness and Johne's disease were investigated using two multinomial models. The response variables were ‘Gold Standard Monitoring’ (including on-going data analysis, risk assessments and laboratory testing), and a lower level of involvement called ‘Regular Control Advice’. Although the sample was biased towards those who spend the majority of their time with dairy cows, 69 per cent currently had no involvement in Gold Standard Monitoring for lameness, 60 per cent no involvement with Johne's, and 52 per cent no involvement with mastitis. The final model predicted that an assistant without a postgraduate cattle qualification, who had spent no time on dairy cattle continuous professional development (CPD) in the last year, had an 88 per cent chance of having no involvement with Gold Standard Monitoring for any disease, versus <5 per cent chance for a CPD ‘enriched’ partner with a postgraduate cattle qualification; there was <1 per cent chance this assistant would be involved with Gold Standard Monitoring of all three diseases on one or more farms, versus a 58 per cent chance for this partner. CPD and employment status were also associated with markedly different probabilities for delivering Regular Control Advice. Increased postgraduate education may further veterinary involvement of this nature. PMID:23887976
1 CFR 10.1 - Publication required.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 1 General Provisions 1 2011-01-01 2011-01-01 false Publication required. 10.1 Section 10.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Regular Publication § 10.1 Publication required. The Director publishes a special edition...
7 CFR 765.101 - Borrower graduation requirements.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 7 Agriculture 7 2013-01-01 2013-01-01 false Borrower graduation requirements. 765.101 Section 765..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS DIRECT LOAN SERVICING-REGULAR Borrower Graduation § 765.101 Borrower graduation requirements. (a) In accordance with the promissory note and security instruments, the...
7 CFR 765.101 - Borrower graduation requirements.
Code of Federal Regulations, 2011 CFR
2011-01-01
... 7 Agriculture 7 2011-01-01 2011-01-01 false Borrower graduation requirements. 765.101 Section 765..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS DIRECT LOAN SERVICING-REGULAR Borrower Graduation § 765.101 Borrower graduation requirements. (a) In accordance with the promissory note and security instruments, the...
7 CFR 765.101 - Borrower graduation requirements.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 7 Agriculture 7 2014-01-01 2014-01-01 false Borrower graduation requirements. 765.101 Section 765..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS DIRECT LOAN SERVICING-REGULAR Borrower Graduation § 765.101 Borrower graduation requirements. (a) In accordance with the promissory note and security instruments, the...
7 CFR 765.101 - Borrower graduation requirements.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 7 Agriculture 7 2012-01-01 2012-01-01 false Borrower graduation requirements. 765.101 Section 765..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS DIRECT LOAN SERVICING-REGULAR Borrower Graduation § 765.101 Borrower graduation requirements. (a) In accordance with the promissory note and security instruments, the...
1 CFR 10.1 - Publication required.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 1 General Provisions 1 2010-01-01 2010-01-01 false Publication required. 10.1 Section 10.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Regular Publication § 10.1 Publication required. The Director publishes a special edition...
1 CFR 10.1 - Publication required.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 1 General Provisions 1 2013-01-01 2012-01-01 true Publication required. 10.1 Section 10.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Regular Publication § 10.1 Publication required. The Director publishes a special edition...
1 CFR 10.1 - Publication required.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 1 General Provisions 1 2012-01-01 2012-01-01 false Publication required. 10.1 Section 10.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Regular Publication § 10.1 Publication required. The Director publishes a special edition...
1 CFR 10.1 - Publication required.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 1 General Provisions 1 2014-01-01 2012-01-01 true Publication required. 10.1 Section 10.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER SPECIAL EDITIONS OF THE FEDERAL REGISTER PRESIDENTIAL PAPERS Regular Publication § 10.1 Publication required. The Director publishes a special edition...
A trade-off solution between model resolution and covariance in surface-wave inversion
Xia, J.; Xu, Y.; Miller, R.D.; Zeng, C.
2010-01-01
Regularization is necessary for inversion of ill-posed geophysical problems. Appraisal of inverse models is essential for meaningful interpretation of these models. Because uncertainties are associated with regularization parameters, extra conditions are usually required to determine proper parameters for assessing inverse models. Commonly used techniques for assessment of a geophysical inverse model derived (generally iteratively) from a linear system are based on calculating the model resolution and the model covariance matrices. Because the model resolution and the model covariance matrices of the regularized solutions are controlled by the regularization parameter, direct assessment of inverse models using only the covariance matrix may provide incorrect results. To assess an inverted model, we use the concept of a trade-off between model resolution and covariance to find a proper regularization parameter with singular values calculated in the last iteration. We plot the singular values from large to small to form a singular value plot. A proper regularization parameter is normally the first singular value that approaches zero in the plot. With this regularization parameter, we obtain a trade-off solution between model resolution and model covariance in the vicinity of a regularized solution. The unit covariance matrix can then be used to calculate error bars of the inverse model at a resolution level determined by the regularization parameter. We demonstrate this approach with both synthetic and real surface-wave data. ?? 2010 Birkh??user / Springer Basel AG.
47 CFR 73.53 - Requirements for authorization of antenna monitors.
Code of Federal Regulations, 2014 CFR
2014-10-01
... 47 Telecommunication 4 2014-10-01 2014-10-01 false Requirements for authorization of antenna... antenna monitors. (a) Antenna monitors shall be verified for compliance with the technical requirements in...) An antenna monitor shall meet the following specifications: (1) The monitor shall be designed to...
47 CFR 73.53 - Requirements for authorization of antenna monitors.
Code of Federal Regulations, 2011 CFR
2011-10-01
... 47 Telecommunication 4 2011-10-01 2011-10-01 false Requirements for authorization of antenna... antenna monitors. (a) Antenna monitors shall be verified for compliance with the technical requirements in...) An antenna monitor shall meet the following specifications: (1) The monitor shall be designed to...
47 CFR 73.53 - Requirements for authorization of antenna monitors.
Code of Federal Regulations, 2012 CFR
2012-10-01
... 47 Telecommunication 4 2012-10-01 2012-10-01 false Requirements for authorization of antenna... antenna monitors. (a) Antenna monitors shall be verified for compliance with the technical requirements in...) An antenna monitor shall meet the following specifications: (1) The monitor shall be designed to...
47 CFR 73.53 - Requirements for authorization of antenna monitors.
Code of Federal Regulations, 2010 CFR
2010-10-01
... 47 Telecommunication 4 2010-10-01 2010-10-01 false Requirements for authorization of antenna... antenna monitors. (a) Antenna monitors shall be verified for compliance with the technical requirements in...) An antenna monitor shall meet the following specifications: (1) The monitor shall be designed to...
47 CFR 73.53 - Requirements for authorization of antenna monitors.
Code of Federal Regulations, 2013 CFR
2013-10-01
... 47 Telecommunication 4 2013-10-01 2013-10-01 false Requirements for authorization of antenna... antenna monitors. (a) Antenna monitors shall be verified for compliance with the technical requirements in...) An antenna monitor shall meet the following specifications: (1) The monitor shall be designed to...
40 CFR 63.1258 - Monitoring Requirements.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 40 Protection of Environment 12 2014-07-01 2014-07-01 false Monitoring Requirements. 63.1258...) National Emission Standards for Pharmaceuticals Production § 63.1258 Monitoring Requirements. (a) The owner...) Monitoring for control devices—(1) Parameters to monitor. Except as specified in paragraph (b)(1)(i) of this...
Activity Learning as a Foundation for Security Monitoring in Smart Homes.
Dahmen, Jessamyn; Thomas, Brian L; Cook, Diane J; Wang, Xiaobo
2017-03-31
Smart environment technology has matured to the point where it is regularly used in everyday homes as well as research labs. With this maturation of the technology, we can consider using smart homes as a practical mechanism for improving home security. In this paper, we introduce an activity-aware approach to security monitoring and threat detection in smart homes. We describe our approach using the CASAS smart home framework and activity learning algorithms. By monitoring for activity-based anomalies we can detect possible threats and take appropriate action. We evaluate our proposed method using data collected in CASAS smart homes and demonstrate the partnership between activity-aware smart homes and biometric devices in the context of the CASAS on-campus smart apartment testbed.
Continuous Blood Pressure Monitoring in Daily Life
NASA Astrophysics Data System (ADS)
Lopez, Guillaume; Shuzo, Masaki; Ushida, Hiroyuki; Hidaka, Keita; Yanagimoto, Shintaro; Imai, Yasushi; Kosaka, Akio; Delaunay, Jean-Jacques; Yamada, Ichiro
Continuous monitoring of blood pressure in daily life could improve early detection of cardiovascular disorders, as well as promoting healthcare. Conventional ambulatory blood pressure monitoring (ABPM) equipment can measure blood pressure at regular intervals for 24 hours, but is limited by long measuring time, low sampling rate, and constrained measuring posture. In this paper, we demonstrate a new method for continuous real-time measurement of blood pressure during daily activities. Our method is based on blood pressure estimation from pulse wave velocity (PWV) calculation, which formula we improved to take into account changes in the inner diameter of blood vessels. Blood pressure estimation results using our new method showed a greater precision of measured data during exercise, and a better accuracy than the conventional PWV method.
Monitoring of blazars on the SPbSU 16" telescope
NASA Astrophysics Data System (ADS)
Troitskiy, I. S.; Morozova, D. A.; Blinov, D. A.; Larionov, V. M.; Ershtadt, S. G.
2012-05-01
The fast variability in the total and polarized fluxes is prominent feature of blazars. The analysis demands dense series of observations. Meade 16" LX200 telescope is one of the basic instruments for these purposes in St.Petersburg State University. The photometry in B, V, R, I bands and polarimetry of the majority of program sources are spent. Thanks to organizational, methodical and technical solutions it was possible to achieve high efficiency of usage of the telescope for blazar monitoring. Unique observаtions series have been received. Results were included into articles published in such magazines, as the Astronomy Letters, Astronomy Reports, A&A, ApJ, Nature. International programs of active galactic nuclei monitoring are regularly spent.