Reservoir vital signs monitoring, 1990: Physical and chemical characteristics of water and sediments

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

Meinert, D.L.

1991-05-01

As part of Tennessee Valley Authority's (TVA's) Reservoir Vital Signs Monitoring program, physical/chemical measurements of water and sediment were made in 1990 on twelve TVA reservoirs (the nine main steam Tennessee river reservoirs - Kentucky through Fort Loudoun and three major tributary reservoirs - Cherokee, Douglas, and Norris). The objective of this monitoring program is to assess the health or integrity of these aquatic ecosystems. The physical/chemical water quality data collected in 1990 showed the water quality of these reservoirs to be very good. However, hypolimnetic anoxia during the summer months in Watts bars, Douglas, and Cherokee reservoir continues tomore » be a concern. High concentrations of nutrients were measured in the transition zones of Cherokee and Douglas reservoirs, resulting in highly productive and eutrophic conditions in the transition zones of these reservoirs. Fecal coliform organisms were frequently detected in the forebay area of Guntersville reservoir, and higher than expected ammonia nitrogen concentrations were found at the transition zone of Wheeler reservoir. Elevated concentrations of mercury were found in Pickwick and Watts bar reservoir sediment, and high lead concentrations were found in a sediment sample collected from Guntersville reservoir. A TVA Reservoir Water Quality Index (RWQI) was developed and used to summarize water quality conditions on a scale from 0 (worst) to 100 (best).« less

Evaluation of a regional monitoring program's statistical power to detect temporal trends in forest health indicators

USGS Publications Warehouse

Perles, Stephanie J.; Wagner, Tyler; Irwin, Brian J.; Manning, Douglas R.; Callahan, Kristina K.; Marshall, Matthew R.

2014-01-01

Forests are socioeconomically and ecologically important ecosystems that are exposed to a variety of natural and anthropogenic stressors. As such, monitoring forest condition and detecting temporal changes therein remain critical to sound public and private forestland management. The National Parks Service’s Vital Signs monitoring program collects information on many forest health indicators, including species richness, cover by exotics, browse pressure, and forest regeneration. We applied a mixed-model approach to partition variability in data for 30 forest health indicators collected from several national parks in the eastern United States. We then used the estimated variance components in a simulation model to evaluate trend detection capabilities for each indicator. We investigated the extent to which the following factors affected ability to detect trends: (a) sample design: using simple panel versus connected panel design, (b) effect size: increasing trend magnitude, (c) sample size: varying the number of plots sampled each year, and (d) stratified sampling: post-stratifying plots into vegetation domains. Statistical power varied among indicators; however, indicators that measured the proportion of a total yielded higher power when compared to indicators that measured absolute or average values. In addition, the total variability for an indicator appeared to influence power to detect temporal trends more than how total variance was partitioned among spatial and temporal sources. Based on these analyses and the monitoring objectives of theVital Signs program, the current sampling design is likely overly intensive for detecting a 5 % trend·year−1 for all indicators and is appropriate for detecting a 1 % trend·year−1 in most indicators.

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

PubMed

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

2014-01-01

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

Power of sign surveys to monitor population trend

USGS Publications Warehouse

Kendall, Katherine C.; Metzgar, Lee H.; Patterson, David A.; Steele, Brian M.

1992-01-01

The urgent need for an effective monitoring scheme for grizzly bear (Ursus arctos) populations led us to investigate the effort required to detect changes in populations of low—density dispersed animals, using sign (mainly scats and tracks) they leave on trails. We surveyed trails in Glacier National Park for bear tracks and scats during five consecutive years. Using these data, we modeled the occurrence of bear sign on trails, then estimated the power of various sampling schemes. Specifically, we explored the power of bear sign surveys to detect a 20% decline in sign occurrence. Realistic sampling schemes appear feasible if the density of sign is high enough, and we provide guidelines for designs with adequate replication to monitor long—term trends of dispersed populations using sign occurrences on trails.

Reservoir vital signs monitoring, 1990: Physical and chemical characteristics of water and sediments

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

Meinert, D.L.

1991-05-01

As part of Tennessee Valley Authority`s (TVA`s) Reservoir Vital Signs Monitoring program, physical/chemical measurements of water and sediment were made in 1990 on twelve TVA reservoirs (the nine main steam Tennessee river reservoirs - Kentucky through Fort Loudoun and three major tributary reservoirs - Cherokee, Douglas, and Norris). The objective of this monitoring program is to assess the health or integrity of these aquatic ecosystems. The physical/chemical water quality data collected in 1990 showed the water quality of these reservoirs to be very good. However, hypolimnetic anoxia during the summer months in Watts bars, Douglas, and Cherokee reservoir continues tomore » be a concern. High concentrations of nutrients were measured in the transition zones of Cherokee and Douglas reservoirs, resulting in highly productive and eutrophic conditions in the transition zones of these reservoirs. Fecal coliform organisms were frequently detected in the forebay area of Guntersville reservoir, and higher than expected ammonia nitrogen concentrations were found at the transition zone of Wheeler reservoir. Elevated concentrations of mercury were found in Pickwick and Watts bar reservoir sediment, and high lead concentrations were found in a sediment sample collected from Guntersville reservoir. A TVA Reservoir Water Quality Index (RWQI) was developed and used to summarize water quality conditions on a scale from 0 (worst) to 100 (best).« less

A formalized approach to making effective natural resource management decisions for Alaska National Parks

USGS Publications Warehouse

MacCluskie, Margaret C.; Romito, Angela; Peterson, James T.; Lawler, James P.

2015-01-01

A fundamental goal of the National Park Service (NPS) is the long-term protection and management of resources in the National Park System. Reaching this goal requires multiple approaches, including the conservation of essential habitats and the identification and elimination of potential threats to biota and habitats. To accomplish these goals, the NPS has implemented the Alaska Region Vital Signs Inventory and Monitoring (I&M) Program to monitor key biological, chemical, and physical components of ecosystems at more than 270 national parks. The Alaska Region has four networks—Arctic, Central, Southeast, and Southwest. By monitoring vital signs over large spatial and temporal scales, park managers are provided with information on the status and trajectory of park resources as well as a greater understanding and insight into the ecosystem dynamics. While detecting and quantifying change is important to conservation efforts, to be useful for formulating remedial actions, monitoring data must explicitly relate to management objectives and be collected in such a manner as to resolve key uncertainties about the dynamics of the system (Nichols and Williams 2006). Formal decision making frameworks (versus more traditional processes described below) allow for the explicit integration of monitoring data into decision making processes to improve the understanding of system dynamics, thereby improving future decisions (Williams 2011).

Non-Contact Sensor for Long-Term Continuous Vital Signs Monitoring: A Review on Intelligent Phased-Array Doppler Sensor Design

PubMed Central

Hall, Travis; Nguyen, Tam Q.; Mayeda, Jill C.; Lie, Paul E.; Lopez, Jerry; Banister, Ron E.

2017-01-01

It has been the dream of many scientists and engineers to realize a non-contact remote sensing system that can perform continuous, accurate and long-term monitoring of human vital signs as we have seen in many Sci-Fi movies. Having an intelligible sensor system that can measure and record key vital signs (such as heart rates and respiration rates) remotely and continuously without touching the patients, for example, can be an invaluable tool for physicians who need to make rapid life-and-death decisions. Such a sensor system can also effectively help physicians and patients making better informed decisions when patients’ long-term vital signs data is available. Therefore, there has been a lot of research activities on developing a non-contact sensor system that can monitor a patient’s vital signs and quickly transmit the information to healthcare professionals. Doppler-based radio-frequency (RF) non-contact vital signs (NCVS) monitoring system are particularly attractive for long term vital signs monitoring because there are no wires, electrodes, wearable devices, nor any contact-based sensors involved so the subjects may not be even aware of the ubiquitous monitoring. In this paper, we will provide a brief review on some latest development on NCVS sensors and compare them against a few novel and intelligent phased-array Doppler-based RF NCVS biosensors we have built in our labs. Some of our NCVS sensor tests were performed within a clutter-free anechoic chamber to mitigate the environmental clutters, while most tests were conducted within the typical Herman-Miller type office cubicle setting to mimic a more practical monitoring environment. Additionally, we will show the measurement data to demonstrate the feasibility of long-term NCVS monitoring. The measured data strongly suggests that our latest phased array NCVS system should be able to perform long-term vital signs monitoring intelligently and robustly, especially for situations where the subject is sleeping without hectic movements nearby. PMID:29140281

Non-Contact Sensor for Long-Term Continuous Vital Signs Monitoring: A Review on Intelligent Phased-Array Doppler Sensor Design.

PubMed

Hall, Travis; Lie, Donald Y C; Nguyen, Tam Q; Mayeda, Jill C; Lie, Paul E; Lopez, Jerry; Banister, Ron E

2017-11-15

It has been the dream of many scientists and engineers to realize a non-contact remote sensing system that can perform continuous, accurate and long-term monitoring of human vital signs as we have seen in many Sci-Fi movies. Having an intelligible sensor system that can measure and record key vital signs (such as heart rates and respiration rates) remotely and continuously without touching the patients, for example, can be an invaluable tool for physicians who need to make rapid life-and-death decisions. Such a sensor system can also effectively help physicians and patients making better informed decisions when patients' long-term vital signs data is available. Therefore, there has been a lot of research activities on developing a non-contact sensor system that can monitor a patient's vital signs and quickly transmit the information to healthcare professionals. Doppler-based radio-frequency (RF) non-contact vital signs (NCVS) monitoring system are particularly attractive for long term vital signs monitoring because there are no wires, electrodes, wearable devices, nor any contact-based sensors involved so the subjects may not be even aware of the ubiquitous monitoring. In this paper, we will provide a brief review on some latest development on NCVS sensors and compare them against a few novel and intelligent phased-array Doppler-based RF NCVS biosensors we have built in our labs. Some of our NCVS sensor tests were performed within a clutter-free anechoic chamber to mitigate the environmental clutters, while most tests were conducted within the typical Herman-Miller type office cubicle setting to mimic a more practical monitoring environment. Additionally, we will show the measurement data to demonstrate the feasibility of long-term NCVS monitoring. The measured data strongly suggests that our latest phased array NCVS system should be able to perform long-term vital signs monitoring intelligently and robustly, especially for situations where the subject is sleeping without hectic movements nearby.

The influence of visual feedback and register changes on sign language production: A kinematic study with deaf signers

PubMed Central

EMMOREY, KAREN; GERTSBERG, NELLY; KORPICS, FRANCO; WRIGHT, CHARLES E.

2009-01-01

Speakers monitor their speech output by listening to their own voice. However, signers do not look directly at their hands and cannot see their own face. We investigated the importance of a visual perceptual loop for sign language monitoring by examining whether changes in visual input alter sign production. Deaf signers produced American Sign Language (ASL) signs within a carrier phrase under five conditions: blindfolded, wearing tunnel-vision goggles, normal (citation) signing, shouting, and informal signing. Three-dimensional movement trajectories were obtained using an Optotrak Certus system. Informally produced signs were shorter with less vertical movement. Shouted signs were displaced forward and to the right and were produced within a larger volume of signing space, with greater velocity, greater distance traveled, and a longer duration. Tunnel vision caused signers to produce less movement within the vertical dimension of signing space, but blind and citation signing did not differ significantly on any measure, except duration. Thus, signers do not “sign louder” when they cannot see themselves, but they do alter their sign production when vision is restricted. We hypothesize that visual feedback serves primarily to fine-tune the size of signing space rather than as input to a comprehension-based monitor. PMID:20046943

The influence of visual feedback and register changes on sign language production: A kinematic study with deaf signers.

PubMed

Emmorey, Karen; Gertsberg, Nelly; Korpics, Franco; Wright, Charles E

2009-01-01

Speakers monitor their speech output by listening to their own voice. However, signers do not look directly at their hands and cannot see their own face. We investigated the importance of a visual perceptual loop for sign language monitoring by examining whether changes in visual input alter sign production. Deaf signers produced American Sign Language (ASL) signs within a carrier phrase under five conditions: blindfolded, wearing tunnel-vision goggles, normal (citation) signing, shouting, and informal signing. Three-dimensional movement trajectories were obtained using an Optotrak Certus system. Informally produced signs were shorter with less vertical movement. Shouted signs were displaced forward and to the right and were produced within a larger volume of signing space, with greater velocity, greater distance traveled, and a longer duration. Tunnel vision caused signers to produce less movement within the vertical dimension of signing space, but blind and citation signing did not differ significantly on any measure, except duration. Thus, signers do not "sign louder" when they cannot see themselves, but they do alter their sign production when vision is restricted. We hypothesize that visual feedback serves primarily to fine-tune the size of signing space rather than as input to a comprehension-based monitor.

Novel Use of Google Glass for Procedural Wireless Vital Sign Monitoring.

PubMed

Liebert, Cara A; Zayed, Mohamed A; Aalami, Oliver; Tran, Jennifer; Lau, James N

2016-08-01

Purpose This study investigates the feasibility and potential utility of head-mounted displays for real-time wireless vital sign monitoring during surgical procedures. Methods In this randomized controlled pilot study, surgery residents (n = 14) performed simulated bedside procedures with traditional vital sign monitors and were randomized to addition of vital sign streaming to Google Glass. Time to recognition of preprogrammed vital sign deterioration and frequency of traditional monitor use was recorded. User feedback was collected by electronic survey. Results The experimental group spent 90% less time looking away from the procedural field to view traditional monitors during bronchoscopy (P = .003), and recognized critical desaturation 8.8 seconds earlier; the experimental group spent 71% (P = .01) less time looking away from the procedural field during thoracostomy, and recognized hypotension 10.5 seconds earlier. Trends toward earlier recognition of deterioration did not reach statistical significance. The majority of participants agreed that Google Glass increases situational awareness (64%), is helpful in monitoring vitals (86%), is easy to use (93%), and has potential to improve patient safety (85%). Conclusion In this early feasibility study, use of streaming to Google Glass significantly decreased time looking away from procedural fields and resulted in a nonsignificant trend toward earlier recognition of vital sign deterioration. Vital sign streaming with Google Glass or similar platforms is feasible and may enhance procedural situational awareness. © The Author(s) 2016.

Estuarine water quality in parks of the Northeast Coastal and Barrier Network: Development and early implementation of vital signs estuarine nutrient-enrichment monitoring, 2003-06

USGS Publications Warehouse

Kopp, Blaine S.; Nielsen, Martha; Glisic, Dejan; Neckles, Hilary A.

2009-01-01

This report documents results of pilot tests of a protocol for monitoring estuarine nutrient enrichment for the Vital Signs Monitoring Program of the National Park Service Northeast Coastal and Barrier Network. Data collected from four parks during protocol development in 2003-06 are presented: Gateway National Recreation Area, Colonial National Historic Park, Fire Island National Seashore, and Assateague Island National Seashore. The monitoring approach incorporates several spatial and temporal designs to address questions at a hierarchy of scales. Indicators of estuarine response to nutrient enrichment were sampled using a probability design within park estuaries during a late-summer index period. Monitoring variables consisted of dissolved-oxygen concentration, chlorophyll a concentration, water temperature, salinity, attenuation of downwelling photosynthetically available radiation (PAR), and turbidity. The statistical sampling design allowed the condition of unsampled locations to be inferred from the distribution of data from a set of randomly positioned "probability" stations. A subset of sampling stations was sampled repeatedly during the index period, and stations were not rerandomized in subsequent years. These "trend stations" allowed us to examine temporal variability within the index period, and to improve the sensitivity of the monitoring protocol to detecting change through time. Additionally, one index site in each park was equipped for continuous monitoring throughout the index period. Thus, the protocol includes elements of probabilistic and targeted spatial sampling, and the temporal intensity ranges from snapshot assessments to continuous monitoring.

Wireless Vital Sign Monitoring in Pregnant Women: A Functionality and Acceptability Study.

PubMed

Boatin, Adeline Adwoa; Wylie, Blair Johnson; Goldfarb, Ilona; Azevedo, Robin; Pittel, Elena; Ng, Courtney; Haberer, Jessica Elizabeth

2016-07-01

To test the functionality and acceptability of a wireless vital sign monitor in an inpatient obstetric unit. Pregnant women at a U.S. tertiary-care hospital wore a wireless vital sign sensor that captures heart rate, respiratory rate, and temperature. Measurements were compared with vital signs obtained by standard devices. We defined continuous capture of vital signs for 30 min with wireless data transfer to a central monitor as functional success. Acceptability was assessed per the pregnant women and nurses observing the device. Bland-Altman plots were constructed to assess agreement between the wireless sensor and standard measurements. Thirty of 32 enrolled pregnant women had successful monitoring; 2 cases were stopped early for non-study-related reasons. Comparing wireless sensor and standard measurements, the mean difference (limits of agreement) values at the 25th and 75th percentiles were 1.6 (±13.2) and 4.2 (±18.6) heartbeats/min, 4.2 (±6.1) and 0.7 (±5.4) respirations/min, and 0.02°C (±1.5) and 0.5°C (±1.8), respectively. Most pregnant women found the device comfortable, likeable, and useful (78%, 81%, and 97%, respectively); 80% of nurses found the monitor easy to use, and 84% would recommend it to a patient. We successfully obtained maternal vital signs using a simple wireless monitor with high acceptability. Well-validated monitors of this nature could significantly alleviate the human resource burden of monitoring during labor and confer greatly desired mobility to laboring pregnant women, although incorporation of blood pressure monitoring will be critical.

Biomedical Equipment Maintenance Career Ladder, AFSC 918X0

DTIC Science & Technology

1989-01-01

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

Vital signs monitoring and nurse-patient interaction: A qualitative observational study of hospital practice.

PubMed

Cardona-Morrell, M; Prgomet, M; Lake, R; Nicholson, M; Harrison, R; Long, J; Westbrook, J; Braithwaite, J; Hillman, K

2016-04-01

High profile safety failures have demonstrated that recognising early warning signs of clinical and physiological deterioration can prevent or reduce harm resulting from serious adverse events. Early warning scoring systems are now routinely used in many places to detect and escalate deteriorating patients. Timely and accurate vital signs monitoring are critical for ensuring patient safety through providing data for early warning scoring systems, but little is known about current monitoring practices. To establish a profile of nurses' vital signs monitoring practices, related dialogue, and adherence to health service protocol in New South Wales, Australia. Direct observations of nurses' working practices were conducted in two wards. The observations focused on times of the day when vital signs were generally measured. Patient interactions were recorded if occurring any time during the observation periods. Participants (n=42) included nursing staff on one chronic disease medical and one acute surgical ward in a large urban teaching hospital in New South Wales. We observed 441 patient interactions. Measurement of vital signs occurred in 52% of interactions. The minimum five vital signs measures required by New South Wales Health policy were taken in only 6-21% of instances of vital signs monitoring. Vital signs were documented immediately on 93% of vitals-taking occasions and documented according to the policy in the patient's chart on 89% of these occasions. Nurse-patient interactions were initiated for the purpose of taking vital signs in 49% of interactions, with nurse-patient discourse observed during 88% of all interactions. Nurse-patient dialogue led to additional care being provided to patients in 12% of interactions. The selection of appropriate vital signs measured and responses to these appears to rely on nurses' clinical judgement or time availability rather than on policy-mandated frequency. The prevalence of incomplete sets of vital signs may limit identification of deteriorating patients. The findings from this study present an important baseline profile against which to evaluate the impact of introducing continuous monitoring approaches on current hospital practice. Copyright © 2015 Elsevier Ltd. All rights reserved.

The detection of 4 vital signs of in-patients Using fuzzy database

NASA Astrophysics Data System (ADS)

Haris Rangkuti, A.; Erlisa Rasjid, Zulfany

2014-03-01

Actually in order to improve in the performance of the Hospital's administrator, by serve patients effectively and efficiently, the role of information technology become the dominant support. Especially when it comes to patient's conditions, such that it will be reported to a physician as soon as possible, including monitoring the patient's conditions regularly. For this reason it is necessary to have a Hospital Monitoring Information System, that is able to provide information about the patient's condition which is based on the four vital signs, temperature, blood pressure, pulse, and respiration. To monitor the 4 vital signs, the concept of fuzzy logic is used, where the vital signs number approaches 1 then the patient is close to recovery, and on the contrary, when the vital signs number approaches 0 then the patient still has problems. This system also helps nurses to provide answers to the relatives of patients, who wants to know the development of the patient's condition, including the recovery percentage based on the average of Fuzzy max from the 4 vital signs. Using Fuzzy-based monitoring system, the monitoring of the patient's condition becomes simpler and easier.

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

PubMed

Lee, Hyung-Chul; Jung, Chul-Woo

2018-01-24

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

Overnight non-contact continuous vital signs monitoring using an intelligent automatic beam-steering Doppler sensor at 2.4 GHz.

PubMed

Batchu, S; Narasimhachar, H; Mayeda, J C; Hall, T; Lopez, J; Nguyen, T; Banister, R E; Lie, D Y C

2017-07-01

Doppler-based non-contact vital signs (NCVS) sensors can monitor heart rates, respiration rates, and motions of patients without physically touching them. We have developed a novel single-board Doppler-based phased-array antenna NCVS biosensor system that can perform robust overnight continuous NCVS monitoring with intelligent automatic subject tracking and optimal beam steering algorithms. Our NCVS sensor achieved overnight continuous vital signs monitoring with an impressive heart-rate monitoring accuracy of over 94% (i.e., within ±5 Beats-Per-Minute vs. a reference sensor), analyzed from over 400,000 data points collected during each overnight monitoring period of ~ 6 hours at a distance of 1.75 meters. The data suggests our intelligent phased-array NCVS sensor can be very attractive for continuous monitoring of low-acuity patients.

A flexible system for vital signs monitoring in hospital general care wards based on the integration of UNIX-based workstations, standard networks and portable vital signs monitors.

PubMed

Welch, J P; Sims, N; Ford-Carlton, P; Moon, J B; West, K; Honore, G; Colquitt, N

1991-01-01

The article describes a study conducted on general surgical and thoracic surgical floors of a 1000-bed hospital to assess the impact of a new network for portable patient care devices. This network was developed to address the needs of hospital patients who need constant, multi-parameter, vital signs surveillance, but do not require intensive nursing care. Bedside wall jacks were linked to UNIX-based workstations using standard digital network hardware, creating a flexible system (for general care floors of the hospital) that allowed the number of monitored locations to increase and decrease as patient census and acuity levels varied. It also allowed the general care floors to provide immediate, centralized vital signs monitoring for patients who unexpectedly became unstable, and permitted portable monitors to travel with patients as they were transferred between hospital departments. A disk-based log within the workstation automatically collected performance data, including patient demographics, monitor alarms, and network status for analysis. The log has allowed the developers to evaluate the use and performance of the system.

Space Shuttle Orbiter logistics - Managing in a dynamic environment

NASA Technical Reports Server (NTRS)

Renfroe, Michael B.; Bradshaw, Kimberly

1990-01-01

The importance and methods of monitoring logistics vital signs, logistics data sources and acquisition, and converting data into useful management information are presented. With the launch and landing site for the Shuttle Orbiter project at the Kennedy Space Center now totally responsible for its own supportability posture, it is imperative that logistics resource requirements and management be continually monitored and reassessed. Detailed graphs and data concerning various aspects of logistics activities including objectives, inventory operating levels, customer environment, and data sources are provided. Finally, some lessons learned from the Shuttle Orbiter project and logistics options which should be considered by other space programs are discussed.

The Influence of Visual Feedback and Register Changes on Sign Language Production: A Kinematic Study with Deaf Signers

ERIC Educational Resources Information Center

Emmorey, Karen; Gertsberg, Nelly; Korpics, Franco; Wright, Charles E.

2009-01-01

Speakers monitor their speech output by listening to their own voice. However, signers do not look directly at their hands and cannot see their own face. We investigated the importance of a visual perceptual loop for sign language monitoring by examining whether changes in visual input alter sign production. Deaf signers produced American Sign…

Pakistan--U.S. Anti-Terrorism Cooperation

DTIC Science & Technology

2003-03-28

PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME( S ) AND ADDRESS(ES...SPONSORING/MONITORING AGENCY NAME( S ) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM( S ) 11. SPONSOR/MONITOR’S REPORT NUMBER( S ) 12. DISTRIBUTION/AVAILABILITY...signed into law, S . 1465 (P.L. 107-57) in October 2001. With this law, Congress exempted Pakistan from all sanctions related to democracy and debt

[Research and Implementation of Vital Signs Monitoring System Based on Cloud Platform].

PubMed

Yu, Man; Tan, Anzu; Huang, Jianqi

2018-05-30

Through analyzing the existing problems in the current mode, the vital signs monitoring information system based on cloud platform is designed and developed. The system's aim is to assist nurse carry out vital signs nursing work effectively and accurately. The system collects, uploads and analyzes patient's vital signs data by PDA which connecting medical inspection equipments. Clinical application proved that the system can effectively improve the quality and efficiency of medical care and may reduce medical expenses. It is alse an important practice result to build a medical cloud platform.

Problems for a Sign Language Planning Agency

ERIC Educational Resources Information Center

Covington, Virginia

1977-01-01

American Sign Language is chiefly untaught and nonstandardized. The Communicative Skills Program of the National Association of the Deaf aims to provide sign language classes for hearing personnel and to increase interpreting services. Programs, funding and aims of the Program are outlined. A government sign language planning agency is proposed.…

9975 SHIPPING PACKAGE LIFE EXTENSION SURVEILLANCE PROGRAM RESULTS SUMMARY

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

Dunn, K.; Daugherty, W.; Hackney, B.

2011-05-27

Results from the 9975 shipping package Storage and Surveillance Program at the Savannah River Site (SRS) are summarized for justification to extend the life of the 9975 packages currently stored in the K-Area Complex (KAC). This justification is established with the stipulation that surveillance activities will continue throughout the extended time to ensure the continued integrity of the 9975 materials of construction and to further understand the currently identified degradation mechanisms. The 10 year storage life justification was developed prior to storage. A subsequent report was later used to validate the qualification of the 9975 shipping packages for 10 yearsmore » in storage. However the qualification for the storage period was provided by the monitoring requirements of the 9975 Storage and Surveillance Program. This report summarizes efforts to determine a new safe storage limit for the 9975 shipping package based on the surveillance data collected since 2005 when the 9975 Storage and Surveillance Program began. The Program has demonstrated that the 9975 package has a robust design that can perform under a variety of conditions. The primary emphasis of the on-going 9975 Storage and Surveillance Program is an aging study of the 9975 Viton{reg_sign} containment vessel O-rings and the Celotex{reg_sign} fiberboard thermal insulation at bounding conditions of radiation, elevated temperatures and/or elevated humidity.« less

A flexible system for vital signs monitoring in hospital general care wards based on the integration of UNIX-based workstations, standard networks and portable vital signs monitors.

PubMed Central

Welch, J. P.; Sims, N.; Ford-Carlton, P.; Moon, J. B.; West, K.; Honore, G.; Colquitt, N.

1991-01-01

The article describes a study conducted on general surgical and thoracic surgical floors of a 1000-bed hospital to assess the impact of a new network for portable patient care devices. This network was developed to address the needs of hospital patients who need constant, multi-parameter, vital signs surveillance, but do not require intensive nursing care. Bedside wall jacks were linked to UNIX-based workstations using standard digital network hardware, creating a flexible system (for general care floors of the hospital) that allowed the number of monitored locations to increase and decrease as patient census and acuity levels varied. It also allowed the general care floors to provide immediate, centralized vital signs monitoring for patients who unexpectedly became unstable, and permitted portable monitors to travel with patients as they were transferred between hospital departments. A disk-based log within the workstation automatically collected performance data, including patient demographics, monitor alarms, and network status for analysis. The log has allowed the developers to evaluate the use and performance of the system. PMID:1807720

Sign Perception and Recognition in Non-Native Signers of ASL

PubMed Central

Morford, Jill P.; Carlson, Martina L.

2011-01-01

Past research has established that delayed first language exposure is associated with comprehension difficulties in non-native signers of American Sign Language (ASL) relative to native signers. The goal of the current study was to investigate potential explanations of this disparity: do non-native signers have difficulty with all aspects of comprehension, or are their comprehension difficulties restricted to some aspects of processing? We compared the performance of deaf non-native, hearing L2, and deaf native signers on a handshape and location monitoring and a sign recognition task. The results indicate that deaf non-native signers are as rapid and accurate on the monitoring task as native signers, with differences in the pattern of relative performance across handshape and location parameters. By contrast, non-native signers differ significantly from native signers during sign recognition. Hearing L2 signers, who performed almost as well as the two groups of deaf signers on the monitoring task, resembled the deaf native signers more than the deaf non-native signers on the sign recognition task. The combined results indicate that delayed exposure to a signed language leads to an overreliance on handshape during sign recognition. PMID:21686080

Estuarine water quality in parks of the Northeast Coastal and Barrier Network: vital signs estuarine nutrient-enrichment monitoring, 2006-11

USGS Publications Warehouse

Caldwell, James M.; Nixon, Matthew E.; Neckles, Hilary A.; Pooler, Penelope S.

2015-01-01

This report summarizes results of water-quality monitoring within estuaries of the National Park Service Northeast Coastal and Barrier Network (NCBN) from 2006 through 2011. Data collection formed part of the NCBN Vital Signs Monitoring Program implemented to detect threats of estuarine nutrient enrichment. Data included here were collected from six parks at predetermined intervals: Cape Cod National Seashore, Massachusetts (2007, 2008, 2009, 2010, 2011); Fire Island National Seashore, New York (2009, 2011); Gateway National Recreation Area, New York and New Jersey (2010); Assateague Island National Seashore, Maryland and Virginia (2006, 2008, 2010); George Washington Birthplace National Monument, Virginia (2009, 2011); and Colonial National Historic Park, Virginia (2008, 2010). Monitoring variables consisted of dissolved-oxygen concentration, chlorophyll a concentration, attenuation of downwelling photosynthetically available radiation (PAR), turbidity, water temperature, and salinity. All monitoring was conducted during four-week summer index periods. The monitoring design incorporated data collection at multiple, complementary spatial and temporal scales. Within each park, a spatial survey was conducted once during the index period following a probability design using a grid of tessellated hexagons as the basis for sample site selection. The spatial survey was supplemented with weekly measurements at a subset of sites and continuous monitoring at a single reference site. Within parks, data were reported as area-weighted water-quality conditions during each index period, the location and extent of estuarine area within condition categories, and spatial and temporal trends. In addition, we used a repeated measures analysis of variance to determine the extent to which variability in three water quality metrics (chlorophyll a in surface water, dissolved oxygen in bottom water, and water clarity expressed by PAR attenuation) was explained by year to year changes in each park's respective estuary. 

Vital Sign Monitoring and Mobile Phone Usage Detection Using IR-UWB Radar for Intended Use in Car Crash Prevention.

PubMed

Leem, Seong Kyu; Khan, Faheem; Cho, Sung Ho

2017-05-30

In order to avoid car crashes, active safety systems are becoming more and more important. Many crashes are caused due to driver drowsiness or mobile phone usage. Detecting the drowsiness of the driver is very important for the safety of a car. Monitoring of vital signs such as respiration rate and heart rate is important to determine the occurrence of driver drowsiness. In this paper, robust vital signs monitoring through impulse radio ultra-wideband (IR-UWB) radar is discussed. We propose a new algorithm that can estimate the vital signs even if there is motion caused by the driving activities. We analyzed the whole fast time vital detection region and found the signals at those fast time locations that have useful information related to the vital signals. We segmented those signals into sub-signals and then constructed the desired vital signal using the correlation method. In this way, the vital signs of the driver can be monitored noninvasively, which can be used by researchers to detect the drowsiness of the driver which is related to the vital signs i.e., respiration and heart rate. In addition, texting on a mobile phone during driving may cause visual, manual or cognitive distraction of the driver. In order to reduce accidents caused by a distracted driver, we proposed an algorithm that can detect perfectly a driver's mobile phone usage even if there are various motions of the driver in the car or changes in background objects. These novel techniques, which monitor vital signs associated with drowsiness and detect phone usage before a driver makes a mistake, may be very helpful in developing techniques for preventing a car crash.

Vital Sign Monitoring and Mobile Phone Usage Detection Using IR-UWB Radar for Intended Use in Car Crash Prevention

PubMed Central

Leem, Seong Kyu; Khan, Faheem; Cho, Sung Ho

2017-01-01

In order to avoid car crashes, active safety systems are becoming more and more important. Many crashes are caused due to driver drowsiness or mobile phone usage. Detecting the drowsiness of the driver is very important for the safety of a car. Monitoring of vital signs such as respiration rate and heart rate is important to determine the occurrence of driver drowsiness. In this paper, robust vital signs monitoring through impulse radio ultra-wideband (IR-UWB) radar is discussed. We propose a new algorithm that can estimate the vital signs even if there is motion caused by the driving activities. We analyzed the whole fast time vital detection region and found the signals at those fast time locations that have useful information related to the vital signals. We segmented those signals into sub-signals and then constructed the desired vital signal using the correlation method. In this way, the vital signs of the driver can be monitored noninvasively, which can be used by researchers to detect the drowsiness of the driver which is related to the vital signs i.e., respiration and heart rate. In addition, texting on a mobile phone during driving may cause visual, manual or cognitive distraction of the driver. In order to reduce accidents caused by a distracted driver, we proposed an algorithm that can detect perfectly a driver's mobile phone usage even if there are various motions of the driver in the car or changes in background objects. These novel techniques, which monitor vital signs associated with drowsiness and detect phone usage before a driver makes a mistake, may be very helpful in developing techniques for preventing a car crash. PMID:28556818

Are vital signs indicative for bacteremia in newborns?

PubMed

Yapıcıoğlu, Hacer; Özlü, Ferda; Sertdemir, Yaşar

2015-01-01

Neonatal systemic infection is a leading cause of morbidity and mortality both in industrialized and developing countries. The aim of this prospective study was to evaluate if vital signs had a predictive power in neonatal sepsis as an early marker. This study was designed as a matched case-control study. Vital signs were monitorized prior to infection in newborns that had healthcare-associated blood stream infection (BSI). Maximum and minimum values of the vital signs (blood pressure, heart rate, respiratory rate and temperature) of the babies at rest were recorded from the nurse observation charts five days prior to clinical sepsis and compared with vital signs of healthy, age-matched babies. Maximum mean heart rates, respiratory rates and systolic blood pressure levels of the patients in BSI group were significantly higher than the control group in the past three days prior to clinical deterioration. Monitoring vital signs closely might be helpful in a newborn infant to define a BSI. In future, a respiratory and blood pressure predictive monitoring system such as heart rate variability index may be developed for newborn patients with sepsis.

Factors affecting detectability of river otters during sign surveys

USGS Publications Warehouse

Jeffress, Mackenzie R.; Paukert, Craig P.; Sandercock, Brett K.; Gipson, Philip S.

2011-01-01

Sign surveys are commonly used to study and monitor wildlife species but may be flawed when surveys are conducted only once and cover short distances, which can lead to a lack of accountability for false absences. Multiple observers surveyed for river otter (Lontra canadensis) scat and tracks along stream and reservoir shorelines at 110 randomly selected sites in eastern Kansas from January to April 2008 and 2009 to determine if detection probability differed among substrates, sign types, observers, survey lengths, and near access points. We estimated detection probabilities (p) of river otters using occupancy models in Program PRESENCE. Mean detection probability for a 400-m survey was highest in mud substrates (p = 0.60) and lowest in snow (p = 0.18) and leaf litter substrates (p = 0.27). Scat had a higher detection probability (p = 0.53) than tracks (p = 0.18), and experienced observers had higher detection probabilities (p < 0.71) than novice observers (p < 0.55). Detection probabilities increased almost 3-fold as survey length increased from 200 m to 1,000 m, and otter sign was not concentrated near access points. After accounting for imperfect detection, our estimates of otter site occupancy based on a 400-m survey increased >3-fold, providing further evidence of the potential negative bias that can occur in estimates from sign surveys when imperfect detection is not addressed. Our study identifies areas for improvement in sign survey methodologies and results are applicable for sign surveys commonly used for many species across a range of habitats.

Physiological response of wild dugongs (Dugong dugon) to out-of-water sampling for health assessment

USGS Publications Warehouse

Lanyon, Janet M.; Sneath, Helen L.; Long, Trevor; Bonde, Robert K.

2010-01-01

The dugong (Dugong dugon) is a vulnerable marine mammal with large populations living in urban Queensland waters. A mark-recapture program for wild dugongs has been ongoing in southern Queensland since 2001. This program has involved capture and in-water sampling of more than 700 dugongs where animals have been held at the water surface for 5 min to be gene-tagged, measured, and biopsied. In 2008, this program expanded to examine more comprehensively body condition, reproductive status, and the health of wild dugongs in Moreton Bay. Using Sea World's research vessel, captured dugongs were lifted onto a boat and sampled out-of-water to obtain accurate body weights and morphometrics, collect blood and urine samples for baseline health parameters and hormone profiles, and ultrasound females for pregnancy status. In all, 30 dugongs, including two pregnant females, were sampled over 10 d and restrained on deck for up to 55 min each while biological data were collected. Each of the dugongs had their basic temperature-heart rate-respiration (THR) monitored throughout their period of handling, following protocols developed for the West Indian manatee (Trichechus manatus). This paper reports on the physiological response of captured dugongs during this out-of-water operation as indicated by their vital signs and the suitability of the manatee monitoring protocols to this related sirenian species. A recommendation is made that the range of vital signs of these wild dugongs be used as benchmark criteria of normal parameters for other studies that intend to sample dugongs out-of-water.

Technology platforms for remote monitoring of vital signs in the new era of telemedicine.

PubMed

Zhao, Fang; Li, Meng; Tsien, Joe Z

2015-07-01

Driven by healthcare cost and home healthcare need, the development of remote monitoring technologies is poised to improve and revolutionize healthcare delivery and accessibility. This paper reviews the recent progress in the field of remote monitoring technologies that may have the potential to become the basic platforms for telemedicine. In particular, key techniques and devices for monitoring cardiorespiratory activity, blood pressure and blood glucose concentration are summarized and discussed. In addition, the US FDA approved remote vital signs monitoring devices currently available on the market are presented.

A user guide for the sign sizing program

Treesearch

Donna Sheehy; Kurt Krueger

1999-01-01

This user guide explains how to use the Forest Service Sign Sizing program. The program calculates the length and height of a rectangular sign panel for road and trail guide signs. Variable text messages and directional arrows can be mocked up using U.S. Federal Highway Administration standards. Users can make text or other changes and quickly determine the effect on...

Management system of occupational diseases in Korea: statistics, report and monitoring system.

PubMed

Rhee, Kyung Yong; Choe, Seong Weon

2010-12-01

The management system of occupational diseases in Korea can be assessed from the perspective of a surveillance system. Workers' compensation insurance reports are used to produce official statistics on occupational diseases in Korea. National working conditions surveys are used to monitor the magnitude of work-related symptoms and signs in the labor force. A health examination program was introduced to detect occupational diseases through both selective and mass screening programs. The Working Environment Measurement Institution assesses workers' exposure to hazards in the workplace. Government regulates that the employer should do health examinations and working conditions measurement through contracted private agencies and following the Occupational Safety and Health Act. It is hoped that these institutions may be able to effectively detect and monitor occupational diseases and hazards in the workplace. In view of this, the occupational management system in Korea is well designed, except for the national survey system. In the future, national surveys for detection of hazards and ill-health outcomes in workers should be developed. The existing surveillance system for occupational disease can be improved by providing more refined information through statistical analysis of surveillance data.

Comparison of Body Weight Trend Algorithms for Prediction of Heart Failure Related Events in Home Care Setting.

PubMed

Eggerth, Alphons; Modre-Osprian, Robert; Hayn, Dieter; Kastner, Peter; Pölzl, Gerhard; Schreier, Günter

2017-01-01

Automatic event detection is used in telemedicine based heart failure disease management programs supporting physicians and nurses in monitoring of patients' health data. Analysis of the performance of automatic event detection algorithms for prediction of HF related hospitalisations or diuretic dose increases. Rule-Of-Thumb and Moving Average Convergence Divergence (MACD) algorithm were applied to body weight data from 106 heart failure patients of the HerzMobil-Tirol disease management program. The evaluation criteria were based on Youden index and ROC curves. Analysis of data from 1460 monitoring weeks with 54 events showed a maximum Youden index of 0.19 for MACD and RoT with a specificity > 0.90. Comparison of the two algorithms for real-world monitoring data showed similar results regarding total and limited AUC. An improvement of the sensitivity might be possible by including additional health data (e.g. vital signs and self-reported well-being) because body weight variations obviously are not the only cause of HF related hospitalisations or diuretic dose increases.

Availability and performance of image/video-based vital signs monitoring methods: a systematic review protocol.

PubMed

Harford, Mirae; Catherall, Jacqueline; Gerry, Stephen; Young, Duncan; Watkinson, Peter

2017-10-25

For many vital signs, monitoring methods require contact with the patient and/or are invasive in nature. There is increasing interest in developing still and video image-guided monitoring methods that are non-contact and non-invasive. We will undertake a systematic review of still and video image-based monitoring methods. We will perform searches in multiple databases which include MEDLINE, Embase, CINAHL, Cochrane library, IEEE Xplore and ACM Digital Library. We will use OpenGrey and Google searches to access unpublished or commercial data. We will not use language or publication date restrictions. The primary goal is to summarise current image-based vital signs monitoring methods, limited to heart rate, respiratory rate, oxygen saturations and blood pressure. Of particular interest will be the effectiveness of image-based methods compared to reference devices. Other outcomes of interest include the quality of the method comparison studies with respect to published reporting guidelines, any limitations of non-contact non-invasive technology and application in different populations. To the best of our knowledge, this is the first systematic review of image-based non-contact methods of vital signs monitoring. Synthesis of currently available technology will facilitate future research in this highly topical area. PROSPERO CRD42016029167.

A Non-Invasive Multichannel Hybrid Fiber-Optic Sensor System for Vital Sign Monitoring

PubMed Central

Fajkus, Marcel; Nedoma, Jan; Martinek, Radek; Vasinek, Vladimir; Nazeran, Homer; Siska, Petr

2017-01-01

In this article, we briefly describe the design, construction, and functional verification of a hybrid multichannel fiber-optic sensor system for basic vital sign monitoring. This sensor uses a novel non-invasive measurement probe based on the fiber Bragg grating (FBG). The probe is composed of two FBGs encapsulated inside a polydimethylsiloxane polymer (PDMS). The PDMS is non-reactive to human skin and resistant to electromagnetic waves, UV absorption, and radiation. We emphasize the construction of the probe to be specifically used for basic vital sign monitoring such as body temperature, respiratory rate and heart rate. The proposed sensor system can continuously process incoming signals from up to 128 individuals. We first present the overall design of this novel multichannel sensor and then elaborate on how it has the potential to simplify vital sign monitoring and consequently improve the comfort level of patients in long-term health care facilities, hospitals and clinics. The reference ECG signal was acquired with the use of standard gel electrodes fixed to the monitored person’s chest using a real-time monitoring system for ECG signals with virtual instrumentation. The outcomes of these experiments have unambiguously proved the functionality of the sensor system and will be used to inform our future research in this fast developing and emerging field. PMID:28075341

Vital signs monitoring and patient tracking over a wireless network.

PubMed

Gao, Tia; Greenspan, Dan; Welsh, Matt; Juang, Radford; Alm, Alex

2005-01-01

Patients at a disaster scene can greatly benefit from technologies that continuously monitor their vital status and track their locations until they are admitted to the hospital. We have designed and developed a real-time patient monitoring system that integrates vital signs sensors, location sensors, ad-hoc networking, electronic patient records, and web portal technology to allow remote monitoring of patient status. This system shall facilitate communication between providers at the disaster scene, medical professionals at local hospitals, and specialists available for consultation from distant facilities.

Why Do Middle School Students Sign Up for Washington's College Bound Scholarship Program? A Mixed Methods Evaluation. CEDR Working Paper. WP #2016-3

ERIC Educational Resources Information Center

Goldhaber, Dan; Long, Mark C.; Person, Ann; Rooklyn, Jordan

2016-01-01

Why individuals choose not to sign up for social programs, particularly when the costs of sign-up are low and the benefits generous, is a crucial question for policy scholars. In this paper, we show that a substantial share of qualified middle school students fail to sign up for Washington State's College Bound Scholarship program, and this…

[Proposal of informed consent by representation for treatment with clozapine].

PubMed

Mercurio, Ezequiel; Rodante, Demián

2017-09-01

Clozapine-induced agranulocytosis, a potentially serious adverse effect, is a limiting factor for its therapeutic use, leading to the suspension of the drug. Its annual incidence in Argentina is 0.05%. In 2000, under provision number 935, the ANMAT approved the Monitoring Program for Ambulatory and Inpatient Patients Treated with Clozapine. In this provision arises the obligation to sign the informed consent where the patient is informed of the risks and benefts of the treatment. In psychiatric care practice patients may not possess, because of their altered psychic state, the level of competence necessary to sign informed consent for their treatment with clozapine. The objective of the present work is to analyze the doctrine of Informed Consent by Representation for the users of clozapine, as well as to propose a decision algorithm for its application in clinical practice.

Nuclear Explosion Monitoring History and Research and Development

NASA Astrophysics Data System (ADS)

Hawkins, W. L.; Zucca, J. J.

2008-12-01

Within a year after the nuclear detonations over Hiroshima and Nagasaki the Baruch Plan was presented to the newly formed United Nations Atomic Energy Commission (June 14, 1946) to establish nuclear disarmament and international control over all nuclear activities. These controls would allow only the peaceful use of atomic energy. The plan was rejected through a Security Council veto primarily because of the resistance to unlimited inspections. Since that time there have been many multilateral, and bilateral agreements, and unilateral declarations to limit or eliminate nuclear detonations. Almost all of theses agreements (i.e. treaties) call for some type of monitoring. We will review a timeline showing the history of nuclear testing and the more important treaties. We will also describe testing operations, containment, phenomenology, and observations. The Comprehensive Nuclear Test Ban Treaty (CTBT) which has been signed by 179 countries (ratified by 144) established the International Monitoring System global verification regime which employs seismic, infrasound, hydroacoustic and radionuclide monitoring techniques. The CTBT also includes on-site inspection to clarify whether a nuclear explosion has been carried out in violation of the Treaty. The US Department of Energy (DOE) through its National Nuclear Security Agency's Ground-Based Nuclear Explosion Monitoring R&D Program supports research by US National Laboratories, and universities and industry internationally to detect, locate, and identify nuclear detonations. This research program builds on the broad base of monitoring expertise developed over several decades. Annually the DOE and the US Department of Defense jointly solicit monitoring research proposals. Areas of research include: seismic regional characterization and wave propagation, seismic event detection and location, seismic identification and source characterization, hydroacoustic monitoring, radionuclide monitoring, infrasound monitoring, and data processing and analysis. Reports from the selected research projects are published in the proceedings of the annual Monitoring Research Review conference.

The impact of continuous versus intermittent vital signs monitoring in hospitals: A systematic review and narrative synthesis.

PubMed

Downey, C L; Chapman, S; Randell, R; Brown, J M; Jayne, D G

2018-08-01

Continuous vital signs monitoring on general hospital wards may allow earlier detection of patient deterioration and improve patient outcomes. This systematic review will assess if continuous monitoring is practical outside of the critical care setting, and whether it confers any clinical benefit to patients. MEDLINE ® , MEDLINE ® In-Process, EMBASE, CINAHL and The Cochrane Library were searched for articles that evaluated the clinical or non-clinical outcomes of continuous vital signs monitoring in adults outside of the critical care setting. The protocol was registered with PROSPERO (CRD42017058098). Twenty-four studies met the inclusion criteria and reported outcomes on a total of 40,274 patients and 59 ward staff in nine countries. The majority of studies showed benefits in terms of critical care use and length of hospital stay. Larger studies were more likely to demonstrate clinical benefit, particularly critical care use and length of hospital stay. Three studies showed cost-effectiveness. Barriers to implementation included nursing and patient satisfaction and the burden of false alerts. Continuous vital signs monitoring outside the critical care setting is feasible and may provide a benefit in terms of improved patient outcomes and cost efficiency. Large, well-controlled studies in high-risk populations are required to evaluate the clinical benefit of continuous monitoring systems. Copyright © 2018 Elsevier Ltd. All rights reserved.

Monitoring needs and goal-directed fluid therapy within an enhanced recovery program.

PubMed

Minto, Gary; Scott, Michael J; Miller, Timothy E

2015-03-01

Patients having major abdominal surgery need perioperative fluid supplementation; however, enhanced recovery principles mitigate against many of the factors that traditionally led to relative hypovolemia in the perioperative period. An estimate of fluid requirements for abdominal surgery can be made but individualization of fluid prescription requires consideration of clinical signs and hemodynamic variables. The literature supports goal-directed fluid therapy. Application of this evidence to justify stroke volume optimization in the setting of major surgery within an enhanced recovery program is controversial. This article places the evidence in context, reviews controversies, and suggests implications for current practice and future research. Copyright © 2015 Elsevier Inc. All rights reserved.

Design and implementation of a wearable healthcare monitoring system.

PubMed

Sagahyroon, Assim; Raddy, Hazem; Ghazy, Ali; Suleman, Umair

2009-01-01

A wearable healthcare monitoring unit that integrates various technologies was developed to provide patients with the option of leading a healthy and independent life without risks or confinement to medical facilities. The unit consists of various sensors integrated to a microcontroller and attached to the patient's body, reading vital signs and transmitting these readings via a Bluetooth link to the patient's mobile phone. Short-Messaging-Service (SMS) is incorporated in the design to alert a physician in emergency cases. Additionally, an application program running on the mobile phone uses the internet to update (at regular intervals) the patient records in a hospital database with the most recent readings. To reduce development costs, the components used were both off-the-shelf and affordable.

Submittal of Final Post-Closure Inspection Letter Report for Corrective Action Unit 112: Area 23 Hazardous Waste Trenches, Nevada Test Site, Nevada, Revision 0, December 2007; DOE/NV--1103

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

NSTec Environmental Restoration

This letter serves as the post-closure monitoring letter report for the above Corrective Action Unit (CAU) for the period October 2006-September 2007. Quarterly inspections were conducted on December 20,2006; March 29,2007; June 13,2007; and September 27, 2007, to observe the condition of the gate, use restriction warning signs, monuments, fencing, trenches, soil covers, and monitoring well covers. The first inspection was conducted on December 20,2006. Signs, fencing, riprap, monuments, and monitoring well covers were in excellent condition. No cracking, erosion, or subsidence was observed on the covers. No issues or concerns were identified, and no corrective actions were recommended. Themore » second inspection was conducted on March 29,2007. Signs, fencing, riprap, monuments, and monitoring well covers were in excellent condition. No cracking, erosion, or subsidence was observed on the covers. Vegetation that was observed to be growing in several locations on the cover was the only identified concern, for which removal was recommended. Vegetation was removed on May 24,2007. The third inspection was conducted on June 13,2007. Signs, fencing, riprap, monuments, and monitoring well covers were in excellent condition. No cracking, erosion, or subsidence was observed on the covers. No issues or concerns were identified, and no corrective actions were recommended. The fourth inspection was conducted on September 27,2007. Signs, fencing, riprap, monuments, and monitoring well covers were in excellent condition. No cracking, erosion, or subsidence was observed on the covers. No issues or concerns were identified, and no corrective actions were recommended. The post-closure inspection checklists for CAU 112 are attached. Photographs and field notes taken during site inspections are maintained in the project files.« less

Vital signs monitoring system

NASA Technical Reports Server (NTRS)

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

1981-01-01

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

Approaching Sign Language Test Construction: Adaptation of the German Sign Language Receptive Skills Test

ERIC Educational Resources Information Center

Haug, Tobias

2011-01-01

There is a current need for reliable and valid test instruments in different countries in order to monitor deaf children's sign language acquisition. However, very few tests are commercially available that offer strong evidence for their psychometric properties. A German Sign Language (DGS) test focusing on linguistic structures that are acquired…

A fundamental conflict of care: Nurses' accounts of balancing patients' sleep with taking vital sign observations at night.

PubMed

Hope, Joanna; Recio-Saucedo, Alejandra; Fogg, Carole; Griffiths, Peter; Smith, Gary B; Westwood, Greta; Schmidt, Paul E

2017-12-21

To explore why adherence to vital sign observations scheduled by an early warning score protocol reduces at night. Regular vital sign observations can reduce avoidable deterioration in hospital. early warning score protocols set the frequency of these observations by the severity of a patient's condition. Vital sign observations are taken less frequently at night, even with an early warning score in place, but no literature has explored why. A qualitative interpretative design informed this study. Seventeen semi-structured interviews with nursing staff working on wards with varying levels of adherence to scheduled vital sign observations. A thematic analysis approach was used. At night, nursing teams found it difficult to balance the competing care goals of supporting sleep with taking vital sign observations. The night-time frequency of these observations was determined by clinical judgement, ward-level expectations of observation timing and the risk of disturbing other patients. Patients with COPD or dementia could be under-monitored, while patients nearing the end of life could be over-monitored. In this study, we found an early warning score algorithm focused on deterioration prevention did not account for long-term management or palliative care trajectories. Nurses were therefore less inclined to wake such patients to take vital sign observations at night. However, the perception of widespread exceptions and lack of evidence regarding optimum frequency risks delegitimising the early warning score approach. This may pose a risk to patient safety, particularly patients with dementia or chronic conditions. Nurses should document exceptions and discuss these with the wider team. Hospitals should monitor why vital sign observations are missed at night, identify which groups are under-monitored and provide guidance on prioritising competing expectations. early warning score protocols should take account of different care trajectories. © 2017 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd.

Vital Sign Monitoring Through the Back Using an UWB Impulse Radar With Body Coupled Antennas.

PubMed

Schires, Elliott; Georgiou, Pantelis; Lande, Tor Sverre

2018-04-01

Radar devices can be used in nonintrusive situations to monitor vital sign, through clothes or behind walls. By detecting and extracting body motion linked to physiological activity, accurate simultaneous estimations of both heart rate (HR) and respiration rate (RR) is possible. However, most research to date has focused on front monitoring of superficial motion of the chest. In this paper, body penetration of electromagnetic (EM) wave is investigated to perform back monitoring of human subjects. Using body-coupled antennas and an ultra-wideband (UWB) pulsed radar, in-body monitoring of lungs and heart motion was achieved. An optimised location of measurement in the back of a subject is presented, to enhance signal-to-noise ratio and limit attenuation of reflected radar signals. Phase-based detection techniques are then investigated for back measurements of vital sign, in conjunction with frequency estimation methods that reduce the impact of parasite signals. Finally, an algorithm combining these techniques is presented to allow robust and real-time estimation of both HR and RR. Static and dynamic tests were conducted, and demonstrated the possibility of using this sensor in future health monitoring systems, especially in the form of a smart car seat for driver monitoring.

Patient attitudes towards remote continuous vital signs monitoring on general surgery wards: An interview study.

PubMed

Downey, C L; Brown, J M; Jayne, D G; Randell, R

2018-06-01

Vital signs monitoring is used to identify deteriorating patients in hospital. The most common tool for vital signs monitoring is an early warning score, although emerging technologies allow for remote, continuous patient monitoring. A number of reviews have examined the impact of continuous monitoring on patient outcomes, but little is known about the patient experience. This study aims to discover what patients think of monitoring in hospital, with a particular emphasis on intermittent early warning scores versus remote continuous monitoring, in order to inform future implementations of continuous monitoring technology. Semi-structured interviews were undertaken with 12 surgical inpatients as part of a study testing a remote continuous monitoring device. All patients were monitored with both an early warning score and the new device. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Patients can see the value in remote, continuous monitoring, particularly overnight. However, patients appreciate the face-to-face aspect of early warning score monitoring as it allows for reassurance, social interaction, and gives them further opportunity to ask questions about their medical care. Early warning score systems are widely used to facilitate detection of the deteriorating patient. Continuous monitoring technologies may provide added reassurance. However, patients value personal contact with their healthcare professionals and remote monitoring should not replace this. We suggest that remote monitoring is best introduced in a phased manner, and initially as an adjunct to usual care, with careful consideration of the patient experience throughout. Copyright © 2018 Elsevier B.V. All rights reserved.

An observational study of monitoring of vital signs in children admitted to Kenyan hospitals: an insight into the quality of nursing care?

PubMed

Ogero, Morris; Ayieko, Philip; Makone, Boniface; Julius, Thomas; Malla, Lucas; Oliwa, Jacquie; Irimu, Grace; English, Mike

2018-06-01

Measurement and correct interpretation of vital signs is part of routine clinical care. Repeated measurement enhances early recognition of deterioration, may help prevent morbidity and mortality and is a standard of care in most countries. To examine documentation of vital signs by clinicians for admissions to paediatric wards in Kenyan hospitals, to describe monitoring frequency by nurses and explore factors influencing frequency. Vital signs information (temperature, respiratory and pulse rate) for the first 48 hours of admission was collected from case records of children admitted with non-surgical conditions to 13 Kenyan county hospitals between September 2013 and April 2016. A mixed effect negative binomial regression model was used to explore whether the severity of illness (indicated by danger signs or severe diagnostic episodes) is associated with increased vital signs observation frequency. We examined 54 800 admission episodes with an overall mortality 6.1%. Nurse to bed ratios were very low (1:10 to 1:41 across hospitals). Admitting clinicians documented all or no vital signs in 57.0% and 8.4% cases respectively. For respiratory and pulse rates there was pronounced even end-digit preference (an indicator of incorrect information) and high frequency recording of specific values ( P  < 0.001) suggesting approximation. Monitoring frequency was explored in 41 738 children. Those with inpatient stays ≥48 hours were expected to have a vital signs count of 18, hospitals varied but most did not achieve this benchmark (median 9, range 2-30). There were clinically small but significant associations between vital signs count and presence of multiple severe illnesses or presence of severe pallor (adjusted relative risk ratio = 1.04, P  < 0.01, 95% confidence interval CI = 1.02-1.06 and 1.05, P  = 0.02, 95% CI = 1.01-1.09, respectively). Data suggest accurate admission measures are sometimes missing especially for pulse and respiratory rates, possibly linked to manual measurement. Monitoring frequency is often low in the high risk population studied probably indicating how quality of nursing care is undermined by considerable human resource shortages.

An observational study of monitoring of vital signs in children admitted to Kenyan hospitals: an insight into the quality of nursing care?

PubMed Central

Ogero, Morris; Ayieko, Philip; Makone, Boniface; Julius, Thomas; Malla, Lucas; Oliwa, Jacquie; Irimu, Grace; English, Mike

2018-01-01

Background Measurement and correct interpretation of vital signs is part of routine clinical care. Repeated measurement enhances early recognition of deterioration, may help prevent morbidity and mortality and is a standard of care in most countries. Objective To examine documentation of vital signs by clinicians for admissions to paediatric wards in Kenyan hospitals, to describe monitoring frequency by nurses and explore factors influencing frequency. Methods Vital signs information (temperature, respiratory and pulse rate) for the first 48 hours of admission was collected from case records of children admitted with non-surgical conditions to 13 Kenyan county hospitals between September 2013 and April 2016. A mixed effect negative binomial regression model was used to explore whether the severity of illness (indicated by danger signs or severe diagnostic episodes) is associated with increased vital signs observation frequency. Results We examined 54 800 admission episodes with an overall mortality 6.1%. Nurse to bed ratios were very low (1:10 to 1:41 across hospitals). Admitting clinicians documented all or no vital signs in 57.0% and 8.4% cases respectively. For respiratory and pulse rates there was pronounced even end-digit preference (an indicator of incorrect information) and high frequency recording of specific values (P < 0.001) suggesting approximation. Monitoring frequency was explored in 41 738 children. Those with inpatient stays ≥48 hours were expected to have a vital signs count of 18, hospitals varied but most did not achieve this benchmark (median 9, range 2-30). There were clinically small but significant associations between vital signs count and presence of multiple severe illnesses or presence of severe pallor (adjusted relative risk ratio = 1.04, P < 0.01, 95% confidence interval CI = 1.02-1.06 and 1.05, P = 0.02, 95% CI = 1.01-1.09, respectively). Conclusions Data suggest accurate admission measures are sometimes missing especially for pulse and respiratory rates, possibly linked to manual measurement. Monitoring frequency is often low in the high risk population studied probably indicating how quality of nursing care is undermined by considerable human resource shortages. PMID:29497504

Self-monitoring and psychoeducation in bipolar patients with a smart-phone application (SIMPLe) project: design, development and studies protocols.

PubMed

Hidalgo-Mazzei, Diego; Mateu, Ainoa; Reinares, María; Undurraga, Juan; Bonnín, Caterina del Mar; Sánchez-Moreno, José; Vieta, Eduard; Colom, Francesc

2015-03-20

New technologies have recently been used for monitoring signs and symptoms of mental health illnesses and particularly have been tested to improve the outcomes in bipolar disorders. Web-based psychoeducational programs for bipolar disorders have also been implemented, yet to our knowledge, none of them have integrated both approaches in one single intervention. The aim of this project is to develop and validate a smartphone application to monitor symptoms and signs and empower the self-management of bipolar disorder, offering customized embedded psychoeducation contents, in order to identify early symptoms and prevent relapses and hospitalizations. The project will be carried out in three complementary phases, which will include a feasibility study (first phase), a qualitative study (second phase) and a randomized controlled trial (third phase) comparing the smartphone application (SIMPLe) on top of treatment as usual with treatment as usual alone. During the first phase, feasibility and satisfaction will be assessed with the application usage log data and with an electronic survey. Focus groups will be conducted and technical improvements will be incorporated at the second phase. Finally, at the third phase, survival analysis with multivariate data analysis will be performed and relationships between socio-demographic, clinical variables and assessments scores with relapses in each group will be explored. This project could result in a highly available, user-friendly and not costly monitoring and psychoeducational intervention that could improve the outcome of people suffering from bipolar disorders in a practical and secure way. Clinical Trials.gov: NCT02258711 (October 2014).

Management System of Occupational Diseases in Korea: Statistics, Report and Monitoring System

PubMed Central

Choe, Seong Weon

2010-01-01

The management system of occupational diseases in Korea can be assessed from the perspective of a surveillance system. Workers' compensation insurance reports are used to produce official statistics on occupational diseases in Korea. National working conditions surveys are used to monitor the magnitude of work-related symptoms and signs in the labor force. A health examination program was introduced to detect occupational diseases through both selective and mass screening programs. The Working Environment Measurement Institution assesses workers' exposure to hazards in the workplace. Government regulates that the employer should do health examinations and working conditions measurement through contracted private agencies and following the Occupational Safety and Health Act. It is hoped that these institutions may be able to effectively detect and monitor occupational diseases and hazards in the workplace. In view of this, the occupational management system in Korea is well designed, except for the national survey system. In the future, national surveys for detection of hazards and ill-health outcomes in workers should be developed. The existing surveillance system for occupational disease can be improved by providing more refined information through statistical analysis of surveillance data. PMID:21258584

25 CFR 170.701 - May a direct service tribe and BIA Region sign a Memorandum of Understanding?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 25 Indians 1 2012-04-01 2011-04-01 true May a direct service tribe and BIA Region sign a... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Program Oversight and Accountability § 170.701 May a direct service tribe and BIA Region sign a Memorandum of Understanding? Yes. An IRR Program tribal...

25 CFR 170.701 - May a direct service tribe and BIA Region sign a Memorandum of Understanding?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 25 Indians 1 2014-04-01 2014-04-01 false May a direct service tribe and BIA Region sign a... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Program Oversight and Accountability § 170.701 May a direct service tribe and BIA Region sign a Memorandum of Understanding? Yes. An IRR Program tribal...

25 CFR 170.701 - May a direct service tribe and BIA Region sign a Memorandum of Understanding?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false May a direct service tribe and BIA Region sign a... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Program Oversight and Accountability § 170.701 May a direct service tribe and BIA Region sign a Memorandum of Understanding? Yes. An IRR Program tribal...

25 CFR 170.701 - May a direct service tribe and BIA Region sign a Memorandum of Understanding?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 25 Indians 1 2013-04-01 2013-04-01 false May a direct service tribe and BIA Region sign a... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Program Oversight and Accountability § 170.701 May a direct service tribe and BIA Region sign a Memorandum of Understanding? Yes. An IRR Program tribal...

25 CFR 170.701 - May a direct service tribe and BIA Region sign a Memorandum of Understanding?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 25 Indians 1 2011-04-01 2011-04-01 false May a direct service tribe and BIA Region sign a... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Program Oversight and Accountability § 170.701 May a direct service tribe and BIA Region sign a Memorandum of Understanding? Yes. An IRR Program tribal...

"Signs, Signs, Everywhere There's Signs...and the Sign Says": You Got to Have a PRAXIS II Membership Card to Get Inside

ERIC Educational Resources Information Center

Brown, Jonathan R.; Brown, Lisbeth J.; Brown, Courtney L.

2008-01-01

Teacher preparation programs have continued to see the ever-increasing control of teacher candidates by policymakers. To control means to regulate. The problem, according to these authors, is that there are currently at least three regulating measurement and assessment obstacles faced by teacher candidates in teacher preparation programs. The…

What Factors Predict Middle School Students Sign Up for Washington's College Bound Scholarship Program? A Mixed Methods Evaluation. Working Paper 175

ERIC Educational Resources Information Center

Goldhaber, Dan; Long, Mark C.; Person, Ann E.; Rooklyn, Jordan

2017-01-01

We investigate factors influencing student sign-ups for Washington State's College Bound Scholarship (CBS) program. We find a substantial share of eligible middle school students fail to sign the CBS, forgoing college financial aid. Student characteristics associated with signing the scholarship parallel characteristics of low-income students who…

Monitoring patron use of CD-ROM databases using SignIn-Stat.

PubMed Central

Silver, H; Dennis, S

1990-01-01

SignIn-Stat, a PC-based, menu-driven program, collects information from users of the library's public access computer systems. It was used to collect patron use data for the library's four CD-ROM workstations for the period September 1987 to April 1988 and to survey users for the period December 1987 to March 1988. During the sample period, 5,909 CD-ROM uses were recorded. MEDLINE was the most heavily used database, followed by PsycLIT and Micromedex CCIS. Students accounted for 61% of the use, while faculty, residents, and staff were responsible for 31%. Graduate students had the highest rate of use per student. Nineteen percent of use was by patrons who had never used CD-ROMs before, while 37% was by patrons who had used CD-ROMs ten or more times. Residents were the least experienced user group, while graduate students and faculty were the most experienced. PMID:2203498

Assessing the risk of foliar injury from ozone on vegetation in parks in the U.S. National Park Service's Vital Signs Network.

PubMed

Kohut, Robert

2007-10-01

The risk of ozone injury to plants was assessed in support of the National Park Service's Vital Signs Monitoring Network program. The assessment examined bioindicator species, evaluated levels of ozone exposure, and investigated soil moisture conditions during periods of exposure for a 5-year period in each park. The assessment assigned each park a risk rating of high, moderate, or low. For the 244 parks for which assessments were conducted, the risk of foliar injury was high in 65 parks, moderate in 46 parks, and low in 131 parks. Among the well-known parks with a high risk of ozone injury are Gettysburg, Valley Forge, Delaware Water Gap, Cape Cod, Fire Island, Antietam, Harpers Ferry, Manassas, Wolf Trap Farm Park, Mammoth Cave, Shiloh, Sleeping Bear Dunes, Great Smoky Mountains, Joshua Tree, Sequoia and Kings Canyon, and Yosemite.

Examination of Sign Language Education According to the Opinions of Members from a Basic Sign Language Certification Program

ERIC Educational Resources Information Center

Akmese, Pelin Pistav

2016-01-01

Being hearing impaired limits one's ability to communicate in that it affects all areas of development, particularly speech. One of the methods the hearing impaired use to communicate is sign language. This study, a descriptive study, intends to examine the opinions of individuals who had enrolled in a sign language certification program by using…

Methodological and Theoretical Issues in the Adaptation of Sign Language Tests: An Example from the Adaptation of a Test to German Sign Language

ERIC Educational Resources Information Center

Haug, Tobias

2012-01-01

Despite the current need for reliable and valid test instruments in different countries in order to monitor the sign language acquisition of deaf children, very few tests are commercially available that offer strong evidence for their psychometric properties. This mirrors the current state of affairs for many sign languages, where very little…

Monitoring Different Phonological Parameters of Sign Language Engages the Same Cortical Language Network but Distinctive Perceptual Ones.

PubMed

Cardin, Velia; Orfanidou, Eleni; Kästner, Lena; Rönnberg, Jerker; Woll, Bencie; Capek, Cheryl M; Rudner, Mary

2016-01-01

The study of signed languages allows the dissociation of sensorimotor and cognitive neural components of the language signal. Here we investigated the neurocognitive processes underlying the monitoring of two phonological parameters of sign languages: handshape and location. Our goal was to determine if brain regions processing sensorimotor characteristics of different phonological parameters of sign languages were also involved in phonological processing, with their activity being modulated by the linguistic content of manual actions. We conducted an fMRI experiment using manual actions varying in phonological structure and semantics: (1) signs of a familiar sign language (British Sign Language), (2) signs of an unfamiliar sign language (Swedish Sign Language), and (3) invented nonsigns that violate the phonological rules of British Sign Language and Swedish Sign Language or consist of nonoccurring combinations of phonological parameters. Three groups of participants were tested: deaf native signers, deaf nonsigners, and hearing nonsigners. Results show that the linguistic processing of different phonological parameters of sign language is independent of the sensorimotor characteristics of the language signal. Handshape and location were processed by different perceptual and task-related brain networks but recruited the same language areas. The semantic content of the stimuli did not influence this process, but phonological structure did, with nonsigns being associated with longer RTs and stronger activations in an action observation network in all participants and in the supramarginal gyrus exclusively in deaf signers. These results suggest higher processing demands for stimuli that contravene the phonological rules of a signed language, independently of previous knowledge of signed languages. We suggest that the phonological characteristics of a language may arise as a consequence of more efficient neural processing for its perception and production.

Knowledge of stroke risk factors and early warning signs of stroke among students enrolled in allied health programs: a pilot study.

PubMed

Milner, Abby; Lewis, William J; Ellis, Charles

2008-01-01

The inclusion of stroke education modules early in medical school curricula has resulted in improved stroke knowledge in graduate physicians. The success of these programs suggests that allied health professions programs should also consider strategies to improve stroke knowledge in students preparing for allied health careers that also require knowledge of stroke risk factors and early warning signs. Currently, little is known about stroke knowledge in students enrolled in allied health professions programs. 208 first- and second-year students enrolled in allied health programs completed a survey of stroke risk factors and early warning signs of stroke. Risk factor knowledge - 99% identified smoking as a risk factor; 67% identified diabetes; 93% identified high cholesterol; 89% identified age; and 92% identified physical inactivity. Less than 50% of the students identified all 5 risk factors. There were no differences between first- and second-year students in risk factor knowledge. Early warning signs and first response knowledge - 89% recognized sudden confusion or trouble speaking; 94% recognized sudden facial, arm, or leg weakness; 65% recognized sudden vision loss; 82% recognized sudden trouble walking; and 73% recognized sudden headache as early warning signs of stroke. Eighty-one percent recognized calling 9-1-1 as the appropriate first action. However, only 25% recognized all five early warning signs and only 20% recognized all five early warning signs and would call 9-1-1 as the first action. There were differences between first- and second-year students in recognizing 3 of 5 early warning signs and appropriate first action to call 9-1-1. Most students recognized individual stroke risk factors and early warning signs but few recognized multiple risk factors and early warning signs of stroke.

The effectiveness of Google GLASS as a vital signs monitor in surgery: A simulation study.

PubMed

Iqbal, Mohammed Husnain; Aydin, Abdullatif; Lowdon, Alexandra; Ahmed, Hamza Ibn; Muir, Gordon H; Khan, M Shamim; Dasgupta, Prokar; Ahmed, Kamran

2016-12-01

To assess the effectiveness of the Google GLASS as a vital signs monitor in a surgical setting and identify potential uses. This prospective, observational and comparative study recruited novice (n = 24), intermediate (n = 8) and expert urologists (n = 5). All candidates performed a procedure on the GreenLight Simulator within a simulated setting using a standard vital signs monitor and then the Google GLASS. The time taken to respond to abnormal vital signs during both sessions was recorded. A quantitative survey was used to assess the usability and acceptability of the Google GLASS surgery. The majority (84%) of participants responded quicker to abnormal signs with the Google GLASS compared to a standard monitor (p = 0.0267). The average simulation score during a standard-monitor and GLASS-session scored to be statistically insignificant (p = 0.253). All parameters of simulation were also similar in both sessions including average sweep speed (p = 0.594), average blood loss (p = 0.761) and average grams vaporised (p = 0.102). Surgical performance between both sessions was similar and not hampered by the use of Google GLASS. Furthermore, 81% of candidates stated the GLASS was comfortable to wear during the procedure. This study has demonstrated that head-mounted displays such as the Google GLASS are potentially useful in surgery to aid patient care without hampering the surgeons view. It is hoped that the innovation and evolution of these devices triggers the potential future application of such devices within the medical field. Copyright © 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses.

PubMed

Mok, Wenqi; Wang, Wenru; Cooper, Simon; Ang, Emily Neo Kim; Liaw, Sok Ying

2015-06-01

To develop and determine the psychometrics properties of an instrument (V-scale) and to explore nurses' attitudes towards vital signs monitoring in the detection of clinical deterioration in general wards. Scale development with psychometric testing and a descriptive quantitative survey. Tertiary acute care hospital. A total of 614 general ward nurses. Principal component analysis revealed a 16-item instrument in a five-factor solution (key indicators, knowledge, communication, workload and technology) that explained 56.27% of the variance. The internal consistency was sufficient with Cronbach's alpha of 0.71 and strong item subscale correlations (0.56-0.89). The test-retest reliability was adequate with an Intraclass Correlation Coefficient (ICC) of 0.85. Many nurses (56.9%) erroneously perceived blood pressure changes as the first indicator of deterioration, and 46% agreed that an altered respiratory rate was the least important indicator. Most nurses (59.8%) also reported relying on oxygen saturation to evaluate respiratory dysfunction, and 27.4% indicated that they make quick estimates of the respiratory rate. Current practices for vital signs monitoring were considered to be time consuming (21.0%) and overwhelming (35.3%). Nurses' attitudes were most significantly influenced by whether they had a degree qualification followed by whether they worked in a general ward with a specialty and had >5 years of experience. This exploratory study provides evidence for the psychometric properties of the V-scale. It reveals a need for continuous professional development to improve ward nurses' attitudes towards vital signs monitoring. Vital signs monitoring needs to be prioritized in workload planning. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

Solar influences on global change

NASA Technical Reports Server (NTRS)

1994-01-01

Monitoring of the Sun and the Earth has yielded new knowledge essential to this debate. There is now no doubt that the total radiative energy from the Sun that heats the Earth's surface changes over decadal time scales as a consequence of solar activity. Observations indicate as well that changes in ultraviolet radiation and energetic particles from the Sun, also connected with the solar activity, modulate the layer of ozone that protects the biosphere from the solar ultraviolet radiation. This report reassesses solar influences on global change in the light of this new knowledge of solar and atmospheric variability. Moreover, the report considers climate change to be encompassed within the broader concept of global change; thus the biosphere is recognized to be part of a larger, coupled Earth system. Implementing a program to continuously monitor solar irradiance over the next several decades will provide the opportunity to estimate solar influences on global change, assuming continued maintenance of observations of climate and other potential forcing mechanisms. In the lower atmosphere, an increase in solar radiation is expected to cause global warming. In the stratosphere, however, the two effects produce temperature changes of opposite sign. A monitoring program that would augment long term observations of tropospheric parameters with similar observations of stratospheric parameters could separate these diverse climate perturbations and perhaps isolate a greenhouse footprint of climate change. Monitoring global change in the troposphere is a key element of all facets of the United States Global Change Research Program (USGCRP), not just of the study of solar influences on global change. The need for monitoring the stratosphere is also important for global change research in its own right because of the stratospheric ozone layer.

The effects of ambient music on simulated anaesthesia monitoring.

PubMed

Sanderson, P M; Tosh, N; Philp, S; Rudie, J; Watson, M O; Russell, W J

2005-11-01

We examined the effect of no music, classical music or rock music on simulated patient monitoring. Twenty-four non-anaesthetist participants with high or low levels of musical training were trained to monitor visual and auditory displays of patients' vital signs. In nine anaesthesia test scenarios, participants were asked every 50-70 s whether one of five vital signs was abnormal and the trend of its direction. Abnormality judgements were unaffected by music or musical training. Trend judgements were more accurate when music was playing (p = 0.0004). Musical participants reported trends more accurately (p = 0.004), and non-musical participants tended to benefit more from music than did the musical participants (p = 0.063). Music may provide a pitch and rhythm standard from which participants can judge changes in vital signs from auditory displays. Nonetheless, both groups reported that it was easier to monitor the patient with no music (p = 0.0001), and easier to rely upon the auditory displays with no music (p = 0.014).

Remote infrared audible signage (RIAS) pilot program report.

DOT National Transportation Integrated Search

2011-07-01

The Remote Infrared Audible Sign Model Accessibility Program (RIAS MAP) is a program funded by the Federal Transit Administration (FTA) to evaluate the effectiveness of remote infrared audible sign systems in enabling persons with visual and cognitiv...

Expressive Vocabulary Acquisition in Children with Intellectual Disability: Speech or Manual Signs?

ERIC Educational Resources Information Center

Vandereet, Joke; Maes, Bea; Lembrechts, Dirk; Zink, Inge

2011-01-01

Background: The aim of this study was to examine the degree to which children with intellectual disability (ID) depend on manual signs during their expressive vocabulary acquisition, in relation to child and social-environmental characteristics. Method: Expressive vocabulary acquisition in speech and manual signs was monitored over a 2-year period…

Conservation and monitoring of a persecuted African lion population by Maasai warriors.

PubMed

Dolrenry, Stephanie; Hazzah, Leela; Frank, Laurence G

2016-06-01

Although Africa has many threatened species and biological hot spots, there are few citizen science schemes, particularly in rural communities, and there has been limited evaluation of existing programs. We engaged traditional Maasai warriors (pastoralist men aged 15 to 35) in community-based conservation and demographic monitoring of a persecuted African lion (Panthera leo) population. Through direct engagement, we investigated whether a citizen science approach employing local warriors, who had no formal education, could produce reliable data on the demographics, predation, and movements of a species with which their communities have been in conflict for generations. Warriors were given benefits such as literacy training and skill enhancement and engaged in the monitoring of the lions. The trained warriors reported on lion sign across an area nearly 4000 km(2) . Scientists worked together with the warriors to verify their reports and gather observations on the lion population. Using the verified reports and collected observations, we examined our scientific knowledge relative to the lion population preceding and during the citizen science program. Our observations showed that data quality and quantity improved with the involvement and training of the participants. Furthermore, because they engaged in conservation and gained personal benefits, the participants came to appreciate a species that was traditionally their foe. We believe engaging other local communities in biodiversity conservation and monitoring may be an effective conservation approach in rural Africa. © 2016 Society for Conservation Biology.

Video Feedback in Key Word Signing Training for Preservice Direct Support Staff.

PubMed

Rombouts, Ellen; Meuris, Kristien; Maes, Bea; De Meyer, Anne-Marie; Zink, Inge

2016-04-01

Research has demonstrated that formal training is essential for professionals to learn key word signing. Yet, the particular didactic strategies have not been studied. Therefore, this study compared the effectiveness of verbal and video feedback in a key word signing training for future direct support staff. Forty-nine future direct support staff were randomly assigned to 1 of 3 key word signing training programs: modeling and verbal feedback (classical method [CM]), additional video feedback (+ViF), and additional video feedback and photo reminder (+ViF/R). Signing accuracy and training acceptability were measured 1 week after and 7 months after training. Participants from the +ViF/R program achieved significantly higher signing accuracy compared with the CM group. Acceptability ratings did not differ between any of the groups. Results suggest that at an equal time investment, the programs containing more training components were more effective. Research on the effect of rehearsal on signing maintenance is warranted.

Design and Development of Patient Monitoring System

NASA Astrophysics Data System (ADS)

Hazwanie Azizulkarim, Azra; Jamil, Muhammad Mahadi Abdul; Ambar, Radzi

2017-08-01

Patient monitoring system allows continuous monitoring of patient vital signs, support decision making among medical personnel and help enhance patient care. This system can consist of devices that measure, display and record human’s vital signs, including body temperature, heart rate, blood pressure and other health-related criteria. This paper proposes a system to monitor the patient’s conditions by monitoring the body temperature and pulse rate. The system consists of a pulse rate monitoring software and a wearable device that can measure a subject’s temperature and pulse rate only by using a fingertip. The device is able to record the measurement data and interface to PC via Arduino microcontroller. The recorded data can be viewed as a historical file or can be archived for further analysis. This work also describes the preliminary experimental results of the selected sensors to show the usefulness of the sensors for the proposed patient monitoring system.

The Casualty Network System Capstone Project

DTIC Science & Technology

2012-12-01

capable of recording and transmitting a variety of vital signs such as: pulse rate, respiratory rate, SpO2 , and skin temperature. The IBD transmits...monitor biometric data of each individual on the team. When the MM is combined with CBRN sensor detection, the device will alert in the network to...obvious. By constantly monitoring vital signs of the team involved early clues of exposure (such as decreased SpO2 , increased respiratory rate and

Duck Valley Resident Fish Stocking Program, 2000 Final Annual Report.

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

Dodson, Guy; Pero, Vincent

The Shoshone-Paiute Tribes fish-stocking program was begun in 1988 and is intended to provide a subsistence fishery for the tribal members. The program stocks catchable and fingerling size trout in Mt. View and Sheep Creek Reservoirs. Rainbow trout are purchased from only certified disease-free facilities to be stocked in our reservoirs. This project will help restore a fishery for tribal members that historically depended on wild salmon and steelhead in the Owyhee and Bruneau Rivers and their tributaries for their culture as well as for subsistence. This project is partial substitution for loss of anadromous fish production due to constructionmore » and operation of hydroelectric dams on the Columbia and Snake Rivers. Until anadromous fish can be returned to the Owyhee and Bruneau Rivers this project will continue indefinitely. As part of this project the Shoshone-Paiute Tribes will also receive income in the form of fees from non-tribal members who come to fish these reservoirs. Regular monitoring and evaluation of the fishery will include sampling for length/weight/condition and for signs of disease. A detailed Monitoring and evaluation plan has been put in place for this project. However due to budget limitations on this project only the fishery surveys and limited water quality work can be completed. A creel survey was initiated in 1998 and we are following the monitoring and evaluation schedule for this program (as budget allows) as well as managing the budget and personnel. This program has been very successful in the past decade and has provided enjoyment and sustenance for both tribal and non-tribal members. All biological data and stocking rates will be including in the Annual reports to Bonneville Power Administration (BPA).« less

NASA Lewis Research Center photovoltaic application experiments

NASA Technical Reports Server (NTRS)

Ratajczak, A.; Bifano, W.; Martz, J.; Odonnell, P.

1978-01-01

The NASA Lewis Research Center has installed 16 geographically dispersed terrestrial photovoltaic systems as part of the DOE National Photovoltaic Program. Four additional experiments are in progress. Currently, operating systems are powering refrigerators, a highway warning sign, forest lookout towers, remote weather stations, a water chiller and insect survey traps. Experiments in progress include the world's first village power system, an air pollution monitor and seismic sensors. Under a separate activity, funded by the U.S. Agency for International Development, a PV-powered water pump and grain grinder is being prepared for an African village. System descriptions and status are included in this report.

STS-31 MS Sullivan and Pilot Bolden monitor SE 82-16 Ion Arc on OV-103 middeck

NASA Technical Reports Server (NTRS)

1990-01-01

STS-31 Mission Specialist (MS) Kathryn D. Sullivan monitors and advises ground controllers of the activity inside the Student Experiment (SE) 82-16, Ion arc - studies of the effects of microgravity and a magnetic field on an electric arc, mounted in front of the middeck lockers aboard Discovery, Orbiter Vehicle (OV) 103. Pilot Charles F. Bolden uses a video camera and an ARRIFLEX motion picture camera to record the activity inside the special chamber. A sign in front of the experiment reads 'SSIP 82-16 Greg's Experiment Happy Graduation from STS-31.' SSIP stands for Shuttle Student Involvement Program. Gregory S. Peterson who developed the experiment (Greg's Experiment) is a student at Utah State University and monitored the experiment's operation from JSC's Mission Control Center (MCC) during the flight. Decals displayed in the background on the orbiter galley represent the Hubble Space Telescope (HST), the United States (U.S.) Naval Reserve, Navy Oceanographers, U.S. Navy, and Univer

Husbandry of wild-caught song sparrows (Melospiza melodia).

PubMed

Smith, Lori; Hallager, Sara; Kendrick, Erin; Hope, Katharine; Danner, Raymond M

2018-05-08

Conservation and research efforts occasionally rely upon bringing wild animals into human care to establish breeding programs and to understand their biology. Wild-caught birds may have husbandry requirements that differ from captive-reared animals due, in part, to their social development in the wild and potential exposure to novel pathogens. We developed husbandry techniques to minimize stress and monitor health in a population of wild-caught song sparrows (Melospiza melodia). We describe enclosure conditions, diet and enrichment, and best practices for stress reduction. In addition, we describe several health monitoring strategies, including assessing feces quality, body condition scores, and specific signs of infection. These techniques led to successful housing of song sparrows during formal behavioral and developmental studies. This information will be useful for guiding the husbandry of wild-caught passerine birds in the future. © 2018 Wiley Periodicals, Inc.

Exposure to a Mnemonic Interferes with Recall of Suicide Warning Signs in a Community-Based Suicide Prevention Program

ERIC Educational Resources Information Center

Bryan, Craig J.; Steiner-Pappalardo, Nicole; Rudd, M. David

2009-01-01

The incremental impact of adding a mnemonic to remember suicide warning signs to the Air Force Suicide Prevention Program (AFSPP) community awareness briefing was investigated with a sample of young, junior-enlisted airmen. Participants in the standard briefing significantly increased their ability to list suicide warning signs and improved…

Understanding the positive benefit:risk profile of alemtuzumab in relapsing multiple sclerosis: perspectives from the Alemtuzumab Clinical Development Program.

PubMed

Havrdova, Eva; Cohen, Jeffrey A; Horakova, Dana; Kovarova, Ivana; Meluzinova, Eva

2017-01-01

The introduction of high-efficacy therapies for relapsing-remitting multiple sclerosis has driven re-evaluation of treatment goals and benefit:risk considerations in treatment choice. In the alemtuzumab Phase II and III clinical trials, patients treated with alemtuzumab 12 mg versus subcutaneous interferon beta-1a demonstrated significantly reduced annualized relapse rates and improved magnetic resonance imaging outcomes, and were significantly more likely to achieve no evidence of disease activity and reduction in brain volume loss. In two of the studies, alemtuzumab-treated patients had a significantly reduced risk of 6-month confirmed disease worsening, compared with subcutaneous interferon beta-1a. Benefits were maintained throughout 5 years, with a majority of patients receiving no alemtuzumab retreatment or other disease-modifying therapy. Trial results support alemtuzumab's manageable, consistent safety profile in relapsing-remitting multiple sclerosis. Infusion-associated reactions, the most frequent adverse events (AEs), can be minimized by corticosteroid pretreatment, monitoring, and symptomatic management. Other AEs include infections and autoimmune events. Oral anti-herpes prophylaxis should be initiated on the first day of each alemtuzumab treatment course and continued according to local guidelines. Overall cancer risk was lower in the alemtuzumab clinical trials than in a reference population; however, continuing surveillance will determine if alemtuzumab may be associated with certain malignancies such as thyroid papillary carcinoma and melanoma, which are currently identified as potential risks. The post-approval risk management strategy includes a safety monitoring program. Autoimmune AEs (thyroid events, immune thrombocytopenia, nephropathies) can be detected in a timely manner with the monitoring program, which includes physician and patient education about the signs and symptoms, monthly renal and hematologic monitoring, and quarterly thyroid function monitoring for 48 months after the last alemtuzumab course. Education, vigilance by physicians and patients, and monthly laboratory monitoring are recommended to maintain alemtuzumab's positive benefit:risk profile.

Continuous non-contact vital sign monitoring in neonatal intensive care unit

PubMed Central

Guazzi, Alessandro; Jorge, João; Davis, Sara; Watkinson, Peter; Green, Gabrielle; Shenvi, Asha; McCormick, Kenny; Tarassenko, Lionel

2014-01-01

Current technologies to allow continuous monitoring of vital signs in pre-term infants in the hospital require adhesive electrodes or sensors to be in direct contact with the patient. These can cause stress, pain, and also damage the fragile skin of the infants. It has been established previously that the colour and volume changes in superficial blood vessels during the cardiac cycle can be measured using a digital video camera and ambient light, making it possible to obtain estimates of heart rate or breathing rate. Most of the papers in the literature on non-contact vital sign monitoring report results on adult healthy human volunteers in controlled environments for short periods of time. The authors' current clinical study involves the continuous monitoring of pre-term infants, for at least four consecutive days each, in the high-dependency care area of the Neonatal Intensive Care Unit (NICU) at the John Radcliffe Hospital in Oxford. The authors have further developed their video-based, non-contact monitoring methods to obtain continuous estimates of heart rate, respiratory rate and oxygen saturation for infants nursed in incubators. In this Letter, it is shown that continuous estimates of these three parameters can be computed with an accuracy which is clinically useful. During stable sections with minimal infant motion, the mean absolute error between the camera-derived estimates of heart rate and the reference value derived from the ECG is similar to the mean absolute error between the ECG-derived value and the heart rate value from a pulse oximeter. Continuous non-contact vital sign monitoring in the NICU using ambient light is feasible, and the authors have shown that clinically important events such as a bradycardia accompanied by a major desaturation can be identified with their algorithms for processing the video signal. PMID:26609384

Machine learning and new vital signs monitoring in civilian en route care: A systematic review of the literature and future implications for the military.

PubMed

Liu, Nehemiah T; Salinas, Jose

2016-11-01

Although air transport medical services are today an integral part of trauma systems in most developed countries, to date, there are no reviews on recent innovations in civilian en route care. The purpose of this systematic review was to identify potential machine learning and new vital signs monitoring technologies in civilian en route care that could help close civilian and military capability gaps in monitoring and the early detection and treatment of various trauma injuries. MEDLINE, the Cochrane Database of Systematic Reviews, and citation review of relevant primary and review articles were searched for studies involving civilian en route care, air medical transport, and technologies from January 2005 to November 2015. Data were abstracted on study design, population, year, sponsors, innovation category, details of technologies, and outcomes. Thirteen observational studies involving civilian medical transport met inclusion criteria. Studies either focused on machine learning and software algorithms (n = 5), new vital signs monitoring (n = 6), or both (n = 2). Innovations involved continuous digital acquisition of physiologic data and parameter extraction. Importantly, all studies (n = 13) demonstrated improved outcomes where applicable and potential use during civilian and military en route care. However, almost all studies required further validation in prospective and/or randomized controlled trials. Potential machine learning technologies and monitoring of novel vital signs such as heart rate variability and complexity in civilian en route care could help enhance en route care for our nation's war fighters. In a complex global environment, they could potentially fill capability gaps such as monitoring and the early detection and treatment of various trauma injuries. However, the impact of these innovations and technologies will require further validation before widespread acceptance and prehospital use. Systematic review, level V.

Continuous non-contact vital sign monitoring in neonatal intensive care unit.

PubMed

Villarroel, Mauricio; Guazzi, Alessandro; Jorge, João; Davis, Sara; Watkinson, Peter; Green, Gabrielle; Shenvi, Asha; McCormick, Kenny; Tarassenko, Lionel

2014-09-01

Current technologies to allow continuous monitoring of vital signs in pre-term infants in the hospital require adhesive electrodes or sensors to be in direct contact with the patient. These can cause stress, pain, and also damage the fragile skin of the infants. It has been established previously that the colour and volume changes in superficial blood vessels during the cardiac cycle can be measured using a digital video camera and ambient light, making it possible to obtain estimates of heart rate or breathing rate. Most of the papers in the literature on non-contact vital sign monitoring report results on adult healthy human volunteers in controlled environments for short periods of time. The authors' current clinical study involves the continuous monitoring of pre-term infants, for at least four consecutive days each, in the high-dependency care area of the Neonatal Intensive Care Unit (NICU) at the John Radcliffe Hospital in Oxford. The authors have further developed their video-based, non-contact monitoring methods to obtain continuous estimates of heart rate, respiratory rate and oxygen saturation for infants nursed in incubators. In this Letter, it is shown that continuous estimates of these three parameters can be computed with an accuracy which is clinically useful. During stable sections with minimal infant motion, the mean absolute error between the camera-derived estimates of heart rate and the reference value derived from the ECG is similar to the mean absolute error between the ECG-derived value and the heart rate value from a pulse oximeter. Continuous non-contact vital sign monitoring in the NICU using ambient light is feasible, and the authors have shown that clinically important events such as a bradycardia accompanied by a major desaturation can be identified with their algorithms for processing the video signal.

Diagrammatic guide signs for use on controlled access highways. Volume 1, Recommendations for diagrammatic guide signs

DOT National Transportation Integrated Search

1972-12-01

The purpose of the diagrammatic signing research project was to develop warrants and standards for the use of diagrammatic guide signs on controlled access highways. Volume 1 summarizes the entire diagrammatic signing research program objectives spon...

A clinical decision-making mechanism for context-aware and patient-specific remote monitoring systems using the correlations of multiple vital signs.

PubMed

Forkan, Abdur Rahim Mohammad; Khalil, Ibrahim

2017-02-01

In home-based context-aware monitoring patient's real-time data of multiple vital signs (e.g. heart rate, blood pressure) are continuously generated from wearable sensors. The changes in such vital parameters are highly correlated. They are also patient-centric and can be either recurrent or can fluctuate. The objective of this study is to develop an intelligent method for personalized monitoring and clinical decision support through early estimation of patient-specific vital sign values, and prediction of anomalies using the interrelation among multiple vital signs. In this paper, multi-label classification algorithms are applied in classifier design to forecast these values and related abnormalities. We proposed a completely new approach of patient-specific vital sign prediction system using their correlations. The developed technique can guide healthcare professionals to make accurate clinical decisions. Moreover, our model can support many patients with various clinical conditions concurrently by utilizing the power of cloud computing technology. The developed method also reduces the rate of false predictions in remote monitoring centres. In the experimental settings, the statistical features and correlations of six vital signs are formulated as multi-label classification problem. Eight multi-label classification algorithms along with three fundamental machine learning algorithms are used and tested on a public dataset of 85 patients. Different multi-label classification evaluation measures such as Hamming score, F1-micro average, and accuracy are used for interpreting the prediction performance of patient-specific situation classifications. We achieved 90-95% Hamming score values across 24 classifier combinations for 85 different patients used in our experiment. The results are compared with single-label classifiers and without considering the correlations among the vitals. The comparisons show that multi-label method is the best technique for this problem domain. The evaluation results reveal that multi-label classification techniques using the correlations among multiple vitals are effective ways for early estimation of future values of those vitals. In context-aware remote monitoring this process can greatly help the doctors in quick diagnostic decision making. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Detecting Vital Signs with Wearable Wireless Sensors

PubMed Central

Yilmaz, Tuba; Foster, Robert; Hao, Yang

2010-01-01

The emergence of wireless technologies and advancements in on-body sensor design can enable change in the conventional health-care system, replacing it with wearable health-care systems, centred on the individual. Wearable monitoring systems can provide continuous physiological data, as well as better information regarding the general health of individuals. Thus, such vital-sign monitoring systems will reduce health-care costs by disease prevention and enhance the quality of life with disease management. In this paper, recent progress in non-invasive monitoring technologies for chronic disease management is reviewed. In particular, devices and techniques for monitoring blood pressure, blood glucose levels, cardiac activity and respiratory activity are discussed; in addition, on-body propagation issues for multiple sensors are presented. PMID:22163501

Comparison of smartphone application-based vital sign monitors without external hardware versus those used in clinical practice: a prospective trial.

PubMed

Alexander, John C; Minhajuddin, Abu; Joshi, Girish P

2017-08-01

Use of healthcare-related smartphone applications is common. However, there is concern that inaccurate information from these applications may lead patients to make erroneous healthcare decisions. The objective of this study is to study smartphone applications purporting to measure vital sign data using only onboard technology compared with monitors used routinely in clinical practice. This is a prospective trial comparing correlation between a clinically utilized vital sign monitor (Propaq CS, WelchAllyn, Skaneateles Falls, NY, USA) and four smartphone application-based monitors Instant Blood Pressure, Instant Blood Pressure Pro, Pulse Oximeter, and Pulse Oximeter Pro. We performed measurements of heart rate (HR), systolic blood pressures (SBP), diastolic blood pressure (DBP), and oxygen saturation (SpO 2 ) using standard monitor and four smartphone applications. Analysis of variance was used to compare measurements from the applications to the routine monitor. The study was completed on 100 healthy volunteers. Comparison of routine monitor with the smartphone applications shows significant differences in terms of HR, SpO 2 and DBP. The SBP values from the applications were not significantly different from those from the routine monitor, but had wide limits of agreement signifying a large degree of variation in the compared values. The degree of correlation between monitors routinely used in clinical practice and the smartphone-based applications studied is insufficient to recommend clinical utilization. This lack of correlation suggests that the applications evaluated do not provide clinically meaningful data. The inaccurate data provided by these applications can potentially contribute to patient harm.

9975 SHIPPING PACKAGE LIFE EXTENSION SURVEILLANCE PROGRAM RESULTS SUMMARY

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

Daugherty, W.; Dunn, K.; Hackney, B.

2011-01-06

Results from the 9975 Surveillance Program at the Savannah River Site (SRS) are summarized for justification to extend the life of the 9975 packages currently stored in the K-Area Materials Storage (KAMS) facility from 10 years to 15 years. This justification is established with the stipulation that surveillance activities will continue throughout this extended time to ensure the continued integrity of the 9975 materials of construction and to further understand the currently identified degradation mechanisms. The current 10 year storage life was developed prior to storage. A subsequent report was later used to extend the qualification of the 9975 shippingmore » packages for 2 years for shipping plus 10 years for storage. However the qualification for the storage period was provided by the monitoring requirements of the Storage and Surveillance Program. This report summarizes efforts to determine a new safe storage limit for the 9975 shipping package based on the surveillance data collected since 2005 when the surveillance program began. KAMS is a zero-release facility that depends upon containment by the 9975 to meet design basis storage requirements. Therefore, to confirm the continued integrity of the 9975 packages while stored in KAMS, a 9975 Storage and Surveillance Program was implemented alongside the DOE required Integrated Surveillance Program (ISP) for 3013 plutonium-bearing containers. The 9975 Storage and Surveillance Program performs field surveillance as well as accelerated aging tests to ensure any degradation due to aging, to the extent that could affect packaging performance, is detected in advance of such degradation occurring in the field. The Program has demonstrated that the 9975 package has a robust design that can perform under a variety of conditions. As such the primary emphasis of the on-going 9975 Surveillance Program is an aging study of the 9975 Viton(reg.sign) GLT containment vessel O-rings and the Celotex(reg.sign) fiberboard thermal insulation at bounding conditions of radiation and elevated temperatures. Other materials of construction, however, are also discussed.« less

The vital signs of chronic disease management.

PubMed

Harries, Anthony D; Zachariah, Rony; Kapur, Anil; Jahn, Andreas; Enarson, Donald A

2009-06-01

The vital signs of pulse rate, blood pressure, temperature and respiratory rate are the 'nub' of individual patient management. At the programmatic level, vital signs could also be used to monitor the burden and treatment outcome of chronic disease. Case detection and treatment outcome constitute the vital signs of tuberculosis control within the WHO's 'DOTS' framework, and similar vital signs could be adapted and used for management of chronic diseases. The numbers of new patients started on therapy in each month or quarter (new incident cases) are sensitive indicators for programme performance and access to services. Using similar reporting cycles, treatment outcomes for all patients can be assessed, the vital signs being: alive and retained on therapy at the respective facility; died; stopped therapy; lost to follow-up; and transferred out to another facility. Retention on treatment constitutes the prevalent number of cases, the burden of disease, and this provides important strategic information for rational drug forecasting and logistic planning. If case numbers and outcomes of chronic diseases were measured reliably and consistently as part of an integrated programmatic approach, this would strengthen the ability of resource-poor countries to monitor and assess their response to these growing epidemics.

20 CFR 411.730 - What happens if an alternate participant signed an employment plan with a beneficiary before...

Code of Federal Regulations, 2010 CFR

2010-04-01

... signed an employment plan with a beneficiary before Ticket to Work program implementation in the State... Section 411.730 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM The Ticket to Work Program and Alternate Participants Under the Programs For Payments For...

The Influence of Advertising on Attendance at Park Programs

ERIC Educational Resources Information Center

Reyburn, Jerry H.; Knudson, Douglas M.

1975-01-01

Investigated were the effects on attendance of four types of pre-program advertising: no advertising, personal invitation, signs, and innovation. All three advertising treatments increased program attendance over no advertising. Each advertising technique has advantages and disadvantages. Signs are impersonal, but effective. Personal invitation is…

Development of a baby friendly non-contact method for measuring vital signs: First results of clinical measurements in an open incubator at a neonatal intensive care unit

NASA Astrophysics Data System (ADS)

Klaessens, John H.; van den Born, Marlies; van der Veen, Albert; Sikkens-van de Kraats, Janine; van den Dungen, Frank A.; Verdaasdonk, Rudolf M.

2014-02-01

For infants and neonates in an incubator vital signs, such as heart rate, breathing, skin temperature and blood oxygen saturation are measured by sensors and electrodes sticking to the skin. This can damage the vulnerable skin of neonates and cause infections. In addition, the wires interfere with the care and hinder the parents in holding and touching the baby. These problems initiated the search for baby friendly 'non-contact' measurement of vital signs. Using a sensitive color video camera and specially developed software, the heart rate was derived from subtle repetitive color changes. Potentially also respiration and oxygen saturation could be obtained. A thermal camera was used to monitor the temperature distribution of the whole body and detect small temperature variations around the nose revealing the respiration rate. After testing in the laboratory, seven babies were monitored (with parental consent) in the neonatal intensive care unit (NICU) simultaneously with the regular monitoring equipment. From the color video recordings accurate heart rates could be derived and the thermal images provided accurate respiration rates. To correct for the movements of the baby, tracking software could be applied. At present, the image processing was performed off-line. Using narrow band light sources also non-contact blood oxygen saturation could be measured. Non-contact monitoring of vital signs has proven to be feasible and can be developed into a real time system. Besides the application on the NICU non-contact vital function monitoring has large potential for other patient groups.

Using Supervised Machine Learning to Classify Real Alerts and Artifact in Online Multisignal Vital Sign Monitoring Data.

PubMed

Chen, Lujie; Dubrawski, Artur; Wang, Donghan; Fiterau, Madalina; Guillame-Bert, Mathieu; Bose, Eliezer; Kaynar, Ata M; Wallace, David J; Guttendorf, Jane; Clermont, Gilles; Pinsky, Michael R; Hravnak, Marilyn

2016-07-01

The use of machine-learning algorithms to classify alerts as real or artifacts in online noninvasive vital sign data streams to reduce alarm fatigue and missed true instability. Observational cohort study. Twenty-four-bed trauma step-down unit. Two thousand one hundred fifty-three patients. Noninvasive vital sign monitoring data (heart rate, respiratory rate, peripheral oximetry) recorded on all admissions at 1/20 Hz, and noninvasive blood pressure less frequently, and partitioned data into training/validation (294 admissions; 22,980 monitoring hours) and test sets (2,057 admissions; 156,177 monitoring hours). Alerts were vital sign deviations beyond stability thresholds. A four-member expert committee annotated a subset of alerts (576 in training/validation set, 397 in test set) as real or artifact selected by active learning, upon which we trained machine-learning algorithms. The best model was evaluated on test set alerts to enact online alert classification over time. The Random Forest model discriminated between real and artifact as the alerts evolved online in the test set with area under the curve performance of 0.79 (95% CI, 0.67-0.93) for peripheral oximetry at the instant the vital sign first crossed threshold and increased to 0.87 (95% CI, 0.71-0.95) at 3 minutes into the alerting period. Blood pressure area under the curve started at 0.77 (95% CI, 0.64-0.95) and increased to 0.87 (95% CI, 0.71-0.98), whereas respiratory rate area under the curve started at 0.85 (95% CI, 0.77-0.95) and increased to 0.97 (95% CI, 0.94-1.00). Heart rate alerts were too few for model development. Machine-learning models can discern clinically relevant peripheral oximetry, blood pressure, and respiratory rate alerts from artifacts in an online monitoring dataset (area under the curve > 0.87).

50 CFR 86.90 - What are my responsibilities for information signs?

Code of Federal Regulations, 2013 CFR

2013-10-01

..., DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.90...

50 CFR 86.90 - What are my responsibilities for information signs?

Code of Federal Regulations, 2014 CFR

2014-10-01

..., DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.90...

Age, cognitive style, and traffic signs.

PubMed

Lambert, L D; Fleury, M

1994-04-01

This study assessed the efficiency with which young and older adults of varying field dependence extract information from traffic signs. It also identified some visual attributes of signs which affect recognition time. Two experiments were conducted. In Exp. 1, digitized signs, embedded in rural and urban backgrounds, were presented on a computer monitor. Subjects indicated on which side a target sign had appeared. Analysis showed that recognition times were dependent on age and field-dependence scores. Also, visual backgrounds and spatial frequency of pictographs affected RTs. In Exp. 2, recognition RT to 2 signs with redesigned pictographs was measured as well as time taken to detect signs. The signs showing reduced spatial frequency were the fastest to recognize, although no effect was noticed during detection. The subjects who showed the worst performance when facing the original signs benefitted the most from the modifications.

[Anesthesia simulators and training devices].

PubMed

Hartmannsgruber, M; Good, M; Carovano, R; Lampotang, S; Gravenstein, J S

1993-07-01

Simulators and training devices are used extensively by educators in 'high-tech' occupations, especially those requiring an understanding of complex systems and co-ordinated psychomotor skills. Because of advances in computer technology, anaesthetised patients can now be realistically simulated. This paper describes several training devices and a simulator currently being employed in the training of anaesthesia personnel at the University of Florida. This Gainesville Anesthesia Simulator (GAS) comprises a patient mannequin, anaesthesia gas machine, and a full set of normally operating monitoring instruments. The patient can spontaneously breathe, has audible heart and breath sounds, and palpable pulses. The mannequin contains a sophisticated lung model that consumes and eliminates gas according to physiological principles. Interconnected computers controlling the physical signs of the mannequin enable the presentation of a multitude of clinical signs. In addition, the anaesthesia machine, which is functionally intact, has hidden fault activators to challenge the user to correct equipment malfunctions. Concealed sensors monitor the users' actions and responses. A robust data acquisition and control system and a user-friendly scripting language for programming simulation scenarios are key features of GAS and make this system applicable for the training of both the beginning resident and the experienced practitioner. GAS enhances clinical education in anaesthesia by providing a non-threatening environment that fosters learning by doing. Exercises with the simulator are supported by sessions on a number of training devices. These present theoretical and practical interactive courses on the anaesthesia machine and on monitors. An extensive system, for example, introduces the student to the physics and clinical application of transoesophageal echocardiography.(ABSTRACT TRUNCATED AT 250 WORDS)

50 CFR 86.90 - What are my responsibilities for information signs?

Code of Federal Regulations, 2012 CFR

2012-10-01

..., DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.90 What are my...

50 CFR 86.90 - What are my responsibilities for information signs?

Code of Federal Regulations, 2011 CFR

2011-10-01

..., DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.90 What are my...

50 CFR 86.90 - What are my responsibilities for information signs?

Code of Federal Regulations, 2010 CFR

2010-10-01

..., DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.90 What are my...

Vital signs monitoring on general wards: clinical staff perceptions of current practices and the planned introduction of continuous monitoring technology.

PubMed

Prgomet, Mirela; Cardona-Morrell, Magnolia; Nicholson, Margaret; Lake, Rebecca; Long, Janet; Westbrook, Johanna; Braithwaite, Jeffrey; Hillman, Ken

2016-09-01

Early detection of patient deterioration and prevention of adverse events are key challenges to patient safety. This study investigated clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards. Multi-method study comprising structured surveys, in-depth interviews and device trial with log book feedback. Two general wards in a large urban teaching hospital in Sydney, Australia. Respiratory and neurosurgery nursing staff and two doctors. Nurses were confident about their abilities to identify patients at risk of deterioration, using a combination of vital signs and visual assessment. There were concerns about the accuracy of current vital signs monitoring equipment and frequency of intermittent observation. Both the nurses and the doctors were enthusiastic about the prospect of continuous monitoring and perceived it would allow earlier identification of patient deterioration; provide reassurance to patients; and support interdisciplinary communication. There were also reservations about continuous monitoring, including potential decrease in bedside nurse-patient interactions; increase in inappropriate escalations of patient care; and discomfort to patients. While continuous monitoring devices were seen as a potentially positive tool to support the identification of patient deterioration, drawbacks, such as the potential for reduced patient contact, revealed key areas that will require close surveillance following the implementation of devices. Training and improved interdisciplinary communication were identified as key requisites for successful implementation. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Adding navigation, artificial audition and vital sign monitoring capabilities to a telepresence mobile robot for remote home care applications.

PubMed

Laniel, Sebastien; Letourneau, Dominic; Labbe, Mathieu; Grondin, Francois; Polgar, Janice; Michaud, Francois

2017-07-01

A telepresence mobile robot is a remote-controlled, wheeled device with wireless internet connectivity for bidirectional audio, video and data transmission. In health care, a telepresence robot could be used to have a clinician or a caregiver assist seniors in their homes without having to travel to these locations. Many mobile telepresence robotic platforms have recently been introduced on the market, bringing mobility to telecommunication and vital sign monitoring at reasonable costs. What is missing for making them effective remote telepresence systems for home care assistance are capabilities specifically needed to assist the remote operator in controlling the robot and perceiving the environment through the robot's sensors or, in other words, minimizing cognitive load and maximizing situation awareness. This paper describes our approach adding navigation, artificial audition and vital sign monitoring capabilities to a commercially available telepresence mobile robot. This requires the use of a robot control architecture to integrate the autonomous and teleoperation capabilities of the platform.

Medical Monitoring During Firefighter Incident Scene Rehabilitation.

PubMed

Barr, David A; Haigh, Craig A; Haller, Jeannie M; Smith, Denise L

2016-01-01

The objective of this study was to retrospectively investigate aspects of medical monitoring, including medical complaints, vital signs at entry, and vital sign recovery, in firefighters during rehabilitation following operational firefighting duties. Incident scene rehabilitation logs obtained over a 5-year span that included 53 incidents, approximately 40 fire departments, and more than 530 firefighters were reviewed. Only 13 of 694 cases involved a firefighter reporting a medical complaint. In most cases, vital signs were similar between firefighters who registered a complaint and those who did not. On average, heart rate was 104 ± 23 beats·min(-1), systolic blood pressure was 132 ± 17 mmHg, diastolic blood pressure was 81 ± 12 mmHg, and respiratory rate was 19 ± 3 breaths·min(-1) upon entry into rehabilitation. At least two measurements of heart rate, systolic blood pressure, diastolic blood pressure, and respiratory rate were obtained for 365, 383, 376, and 160 cases, respectively. Heart rate, systolic and diastolic blood pressures, and respiratory rate decreased significantly (p < 0.001) during rehabilitation. Initial vital signs and changes in vital signs during recovery were highly variable. Data from this study indicated that most firefighters recovered from the physiological stress of firefighting without any medical complaint or symptoms. Furthermore, vital signs were within fire service suggested guidelines for release within 10 or 20 minutes of rehabilitation. The data suggested that vital signs of firefighters with medical symptoms were not significantly different from vital signs of firefighters who had an unremarkable recovery.

Utilizing a Homecare Platform for Remote Monitoring of Patients with Idiopathic Pulmonary Fibrosis.

PubMed

Panagopoulos, Christos; Malli, Foteini; Menychtas, Andreas; Smyrli, Efstathia-Petrina; Georgountzou, Aikaterini; Daniil, Zoe; Gourgoulianis, Konstantinos I; Tsanakas, Panayiotis; Maglogiannis, Ilias

2017-01-01

Homecare and home telemonitoring are a focal point of emerging healthcare schemes, with proven benefits for both patients, caregivers and providers, including reduction of healthcare costs and improved patients' quality of life, especially in the case of chronic disease management. Studies have evaluated solutions for remote monitoring of chronic patients based on technologies that allow daily symptom and vital signs monitoring, tailored to the needs of specific diseases. In this work, we present an affordable home telemonitoring system for patients with idiopathic pulmonary fibrosis (IPF), based on an application for mobile devices and Bluetooth-enabled sensors for pulse oximetry and blood pressure measurements. Besides monitoring of vital signs, the system incorporates communication via videoconferencing and emergency response, with support from a helpdesk service. A pilot study was conducted, in order to verify the proposed solution's feasibility. The results support the utilization of the system for effective monitoring of patients with IPF.

10 CFR 431.203 - Materials incorporated by reference.

Code of Federal Regulations, 2012 CFR

2012-01-01

.... Environmental Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0 issued January 1... Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0, may be obtained from the...

10 CFR 431.203 - Materials incorporated by reference.

Code of Federal Regulations, 2014 CFR

2014-01-01

.... Environmental Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0 issued January 1... Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0, may be obtained from the...

10 CFR 431.203 - Materials incorporated by reference.

Code of Federal Regulations, 2011 CFR

2011-01-01

.... Environmental Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0 issued January 1... Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0, may be obtained from the...

10 CFR 431.203 - Materials incorporated by reference.

Code of Federal Regulations, 2013 CFR

2013-01-01

.... Environmental Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0 issued January 1... Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0, may be obtained from the...

10 CFR 431.203 - Materials incorporated by reference.

Code of Federal Regulations, 2010 CFR

2010-01-01

.... Environmental Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0 issued January 1... Protection Agency “ENERGY STAR Program Requirements for Exit Signs,” Version 2.0, may be obtained from the...

Leveraging Partnerships: Families, Schools, and Providers Working Together to Improve Asthma Management.

PubMed

Gleason, Melanie; Cicutto, Lisa; Haas-Howard, Christy; Raleigh, Bridget M; Szefler, Stanley J

2016-10-01

Asthma is one of the most common illnesses of school-aged children and can lead to both health and educational disparities. Children from low socioeconomic backgrounds and racial/ethnic minorities suffer the greatest impact. They often lack the asthma self-management skills to successfully monitor, navigate, and negotiate appropriate asthma care. School settings are a strategic point of contact for this additional support. School nurses can monitor for signs of asthma worsening, manage symptoms, provide care coordination, and reinforce self-management skills. Likewise, school-based asthma programs have the potential to reduce health and educational disparities, but it is the strong linkage to the asthma care provider that is critical to successful school-based asthma management. Healthcare providers are encouraged to establish partnerships with families through patient-centered care and schools through clear communication and care coordination to ensure asthma is well controlled so the child is in school and ready to learn.

Pan-Arctic river discharge: Prioritizing monitoring of future climate change hot spots

NASA Astrophysics Data System (ADS)

Bring, Arvid; Shiklomanov, Alexander; Lammers, Richard B.

2017-01-01

The Arctic freshwater cycle is changing rapidly, which will require adequate monitoring of river flows to detect, observe, and understand changes and provide adaptation information. There has, however, been little detail about where the greatest flow changes are projected, and where monitoring therefore may need to be strengthened. In this study, we used a set of recent climate model runs and an advanced macro-scale hydrological model to analyze how flows across the continental pan-Arctic are projected to change and where the climate models agree on significant changes. We also developed a method to identify where monitoring stations should be placed to observe these significant changes, and compared this set of suggested locations with the existing network of monitoring stations. Overall, our results reinforce earlier indications of large increases in flow over much of the Arctic, but we also identify some areas where projections agree on significant changes but disagree on the sign of change. For monitoring, central and eastern Siberia, Alaska, and central Canada are hot spots for the highest changes. To take advantage of existing networks, a number of stations across central Canada and western and central Siberia could form a prioritized set. Further development of model representation of high-latitude hydrology would improve confidence in the areas we identify here. Nevertheless, ongoing observation programs may consider these suggested locations in efforts to improve monitoring of the rapidly changing Arctic freshwater cycle.

Pan-Arctic River Discharge: Where Can We Improve Monitoring of Future Change?

NASA Astrophysics Data System (ADS)

Bring, A.; Shiklomanov, A. I.; Lammers, R. B.

2016-12-01

The Arctic freshwater cycle is changing rapidly, which will require adequate monitoring of river flow to detect, observe and understand changes and provide adaptation information. There has however been little detail about where the greatest flow changes are projected, and where monitoring therefore may need to be strengthened. In this study, we used a set of recent climate model runs and an advanced macro-scale hydrological model to analyze how flows across the continental pan-Arctic are projected to change, and where the climate models agree on significant changes. We also developed a method to identify where monitoring stations should be placed to observe these significant changes, and compared this set of suggested locations with the existing network of monitoring stations. Overall, our results reinforce earlier indications of large increases in flow over much of the Arctic, but we also identify some areas where projections agree on significant changes but disagree on the sign of change. For monitoring, central and eastern Siberia, Alaska and central Canada are hot spots for the highest changes. To take advantage of existing networks, a number of stations across central Canada and western and central Siberia could form a prioritized set. Further development of model representation of high-latitude hydrology would improve confidence in the areas we identify here. Nevertheless, ongoing observation programs may consider these suggested locations in efforts to improve monitoring of the rapidly changing Arctic freshwater cycle.

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

Chace, D.A.; Roberts, R.M.; Palmer, J.B.

WIPP Salado Hydrology Program Data Report {number_sign}3 presents hydrologic data collected during permeability testing, coupled permeability and hydrofracture testing, and gas-threshold-pressure testing of the Salado Formation performed from November 1991 through October 1995. Fluid-pressure monitoring data representing August 1989 through May 1995 are also included. The report presents data from the drilling and testing of three boreholes associated with the permeability testing program, nine boreholes associated with the coupled permeability and hydrofracture testing program, and three boreholes associated with the gas-threshold-pressure testing program. The purpose of the permeability testing program was to provide data with which to interpret the disturbedmore » and undisturbed permeability and pore pressure characteristics of the different Salado Formation lithologies. The purpose of the coupled permeability and hydrofracture testing program was to provide data with which to characterize the occurrence, propagation, and direction of pressure induced fractures in the Salado Formation lithologies, especially MB139. The purpose of the gas-threshold-pressure testing program was to provide data with which to characterize the conditions under which pressurized gas displaces fluid in the brine-saturated Salado Formation lithologies. All of the holes were drilled from the WIPP underground facility 655 m below ground surface in the Salado Formation.« less

Clinch River remedial investigation task 9 -- benthic macroinvertebrates

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

Scott, E.M. Jr.

1994-08-01

This report summarizes the results of Task 9 of the TVA/Department of Energy (DOE) Interagency Agreement supporting DOE`s Clinch River Remedial Investigation. Species lists and densities (numbers/m{sup 2}) of benthic macroinvertebrates sampled at 16 sites in the Clinch River and Poplar Creek embayments of upper Watts Bar Reservoir near Oak Ridge, Tennessee, in March, 1994, are presented and briefly discussed. Data are also analyzed to assess and compare quality of benthic communities at each site, according to methods developed for TVA`s Reservoir Vital Signs Monitoring Program. Results of this study will be incorporated with other program tasks in a comprehensivemore » report prepared by Oak Ridge National Laboratory in 1995, which will, in part, assess the effect of sediment contaminants on benthic macroinvertebrate communities in Watts Bar Reservoir.« less

49 CFR 40.27 - May an employer require an employee to sign a consent or release in connection with the DOT drug...

Code of Federal Regulations, 2010 CFR

2010-10-01

... TESTING PROGRAMS Employer Responsibilities § 40.27 May an employer require an employee to sign a consent or release in connection with the DOT drug and alcohol testing program? No, as an employer, you must... 49 Transportation 1 2010-10-01 2010-10-01 false May an employer require an employee to sign a...

Multi-parameter vital sign database to assist in alarm optimization for general care units.

PubMed

Welch, James; Kanter, Benjamin; Skora, Brooke; McCombie, Scott; Henry, Isaac; McCombie, Devin; Kennedy, Rosemary; Soller, Babs

2016-12-01

Continual vital sign assessment on the general care, medical-surgical floor is expected to provide early indication of patient deterioration and increase the effectiveness of rapid response teams. However, there is concern that continual, multi-parameter vital sign monitoring will produce alarm fatigue. The objective of this study was the development of a methodology to help care teams optimize alarm settings. An on-body wireless monitoring system was used to continually assess heart rate, respiratory rate, SpO 2 and noninvasive blood pressure in the general ward of ten hospitals between April 1, 2014 and January 19, 2015. These data, 94,575 h for 3430 patients are contained in a large database, accessible with cloud computing tools. Simulation scenarios assessed the total alarm rate as a function of threshold and annunciation delay (s). The total alarm rate of ten alarms/patient/day predicted from the cloud-hosted database was the same as the total alarm rate for a 10 day evaluation (1550 h for 36 patients) in an independent hospital. Plots of vital sign distributions in the cloud-hosted database were similar to other large databases published by different authors. The cloud-hosted database can be used to run simulations for various alarm thresholds and annunciation delays to predict the total alarm burden experienced by nursing staff. This methodology might, in the future, be used to help reduce alarm fatigue without sacrificing the ability to continually monitor all vital signs.

Implantable telemetry capsule for monitoring arterial oxygen saturation and heartbeat.

PubMed

Kuwana, K; Dohi, T; Hashimoto, Y; Matsumoto, K; Shimoyama, I

2008-01-01

In this study, we have developed an implantable telemetry capsule for monitoring heartbeat. The capsule has three main functions, monitoring vital signs, transmitting the vital signs, and receiving energy for driving the capsule without wires. We used two wavelengths of LEDs and a photodiode sensitive to the two wavelengths for heartbeat sensor. The arterial oxygen saturation is calculated from the amplitude of the heartbeat signal. We fabricated an FM transmitter whose carrier frequency was 80 MHz. Though the GHz range frequency is generally used in transmission, the attenuation in the human body is large. The size of a common linear antenna is about a quarter of its operating wavelength. We employed a coil-based antenna which can reduce size below the quarter of the wavelength. We fabricated a miniaturized transmitter with the coil-based antenna at lower frequency. Our capsule was driven intermittently. We used a rechargeable battery. When the battery ran down, the battery was charged by wireless using the induced electromotive force. This means that the capsule is capable of monitoring vital signs over the long term. We measured the heartbeat from the middle finger of hand in a water tank as a model of a human body.

23 CFR 750.104 - Signs that may not be permitted in protected areas.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Advertising Adjacent to the Interstate System Under the 1958 Bonus Program § 750.104 Signs that may not be... protected areas: (a) Signs advertising activities that are illegal under State or Federal laws or regulations in effect at the location of such signs or at the location of such activities. (b) Obsolete signs...

Statewide real-time in-flight trauma patient vital signs collection system.

PubMed

Hu, Peter F; Mackenzie, Colin; Dutton, Richard; Sen, Ayan; Xiao, Yan; Handley, Christopher; Ho, Danny; Scalea, Thomas

2008-11-06

Continuous recorded in-flight vital signs monitoring and life-saving interventions linked to outcomes may provide better understanding of pre-hospital triage, care management and patient responses during the 'golden hour' of trauma care. Evaluation of 157 patients' vital signs data collected from our statewide network has identified episodes of physiological decompensation which holds promise for creation of new triage algorithms and enhanced trauma center preparedness.

[Leisure-time sport activities and cardiac outpatient therapy in coronary patients].

PubMed

Heitkamp, Hans-Christian; Schimpf, Thomas M; Hipp, Arno; Niess, Andreas

2005-03-01

Exercise intensity in coronary patients is controlled by heart rate measurements. Very few investigations have compared the maximum heart rate in cardiac outpatient groups, in leisure-time sport activities, and especially in swimming. Within different exercise conditions 21 coronary patients, nine in well-compensated cardiac condition joining a training group and twelve joining the exercise group with lower intensity, without signs of heart failure, engaged in an incremental bicycle ergometry. A six-lead ECG was derived at the same time with a 24-h ECG. The performance tolerance was measured by the pulse limit derived in 20 patients; one patient failed to show signs of subjective or objective ischemia. During a 24-h ECG monitoring, the patients took part in a 1-h standardized cardiac outpatient program, a standardized swimming program 4 x 25 m, and a typical self-selected leisure-time activity. The patients showed a peak work capacity of 2.2 W/kg and a symptom-free work capacity of 1.3 W/kg. The derived upper heart rate limit was passed during swimming by 19, during leisure-time activity by 16, and during cardiac outpatient program by two patients. The maximum of the mean overriding the limit occurred in leisure-time activity. Signs of ischemia occurred during ergometry in 15, during swimming training in ten patients, during leisure-time activity in eight, and during cardiac outpatient therapy in one. Arrhythmia < Lown IVa was documented on the ergometer in 15, during leisure-time sport activity in 15, during cardiac outpatient therapy in 17, and during swimming in eight patients. Arrhythmia Lown IVa occurred in one patient each during ergometry, leisure sports, and during the night. Coronary patients are in danger to exercise beyond the pulse limit during swimming and other leisure-time sports and not during cardiac outpatient therapy. The upper heart rate limit should be observed during swimming and other endurance leisure-time activities, and is of little importance during cardiac outpatient therapy.

Depth-resolved monitoring of diffusion of hyperosmotic agents in normal and malignant human esophagus tissues using optical coherence tomography in-vitro

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

Zhao Qingliang; Guo Zhouyi; Wei Huajiang

2011-10-31

Depth-resolved monitoring with differentiation and quantification of glucose diffusion in healthy and abnormal esophagus tissues has been studied in vitro. Experiments have been performed using human normal esophagus and esophageal squamous cell carcinoma (ESCC) tissues by the optical coherence tomography (OCT). The images have been continuously acquired for 120 min in the experiments, and the depth-resolved and average permeability coefficients of the 40 % glucose solution have been calculated by the OCT amplitude (OCTA) method. We demonstrate the capability of the OCT technique for depth-resolved monitoring, differentiation, and quantifying of glucose diffusion in normal esophagus and ESCC tissues. It ismore » found that the permeability coefficients of the 40 % glucose solution are not uniform throughout the normal esophagus and ESCC tissues and increase from (3.30 {+-} 0.09) Multiplication-Sign 10{sup -6} and (1.57 {+-} 0.05) Multiplication-Sign 10{sup -5} cm s{sup -1} at the mucous membrane of normal esophagus and ESCC tissues to (1.82 {+-} 0.04) Multiplication-Sign 10{sup -5} and (3.53 {+-} 0.09) Multiplication-Sign 10{sup -5} cm s{sup -1} at the submucous layer approximately 742 {mu}m away from the epithelial surface of normal esophagus and ESCC tissues, respectively. (optical coherence tomography)« less

Investigation of the Dayton IR 75 sign truss failure of 9/11/06.

DOT National Transportation Integrated Search

2007-03-01

Based upon a combination of in-situ field monitoring of traffic-induced bridge : vibrations at the location of the failed sign support truss, finite element simulation of the : expected dynamic response of the original truss in such an environment, t...

Innovative remote monitoring of plant health for environmental applications: A joint effort between EPCOT{reg_sign} and the DOE

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

Robitaille, H.; Capelle, G.; Di Benedetto, J.

1996-12-31

In September of 1994, the US Department of Energy (DOE), Environmental Management, Office of Science and Technology for (OST) and Epcot{reg_sign} in the WALT DISNEY WORLD{reg_sign} Resort (Epcot) signed an agreement to cooperate on the research, development, and public communication and display of environmental technologies. Although Epcot and OST have distinctive missions, certain areas of their respective research and development efforts are common, including the integration of remote sensors with robotics platforms, airborne surveys for environmental characterization and monitoring, and ground based measurements of vegetation stress. The first area of cooperative R&D pursued under the agreement is the evaluation ofmore » laser-induced fluorescence imaging (LIFI), a technology developed by OST and proven effective for uranium detection. This paper describes the efforts being conducted under the Epcot-OST agreement and presents initial results. An appendix describing LIFI technology is also included.« less

The use of animals as a surveillance tool for monitoring environmental health hazards, human health hazards and bioterrorism.

PubMed

Neo, Jacqueline Pei Shan; Tan, Boon Huan

2017-05-01

This review discusses the utilization of wild or domestic animals as surveillance tools for monitoring naturally occurring environmental and human health hazards. Besides providing early warning to natural hazards, animals can also provide early warning to societal hazards like bioterrorism. Animals are ideal surveillance tools to humans because they share the same environment as humans and spend more time outdoors than humans, increasing their exposure risk. Furthermore, the biologically compressed lifespans of some animals may allow them to develop clinical signs more rapidly after exposure to specific pathogens. Animals are an excellent channel for monitoring novel and known pathogens with outbreak potential given that more than 60 % of emerging infectious diseases in humans originate as zoonoses. This review attempts to highlight animal illnesses, deaths, biomarkers or sentinel events, to remind human and veterinary public health programs that animal health can be used to discover, monitor or predict environmental health hazards, human health hazards, or bioterrorism. Lastly, we hope that this review will encourage the implementation of animals as a surveillance tool by clinicians, veterinarians, ecosystem health professionals, researchers and governments. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Study on road sign recognition in LabVIEW

NASA Astrophysics Data System (ADS)

Panoiu, M.; Rat, C. L.; Panoiu, C.

2016-02-01

Road and traffic sign identification is a field of study that can be used to aid the development of in-car advisory systems. It uses computer vision and artificial intelligence to extract the road signs from outdoor images acquired by a camera in uncontrolled lighting conditions where they may be occluded by other objects, or may suffer from problems such as color fading, disorientation, variations in shape and size, etc. An automatic means of identifying traffic signs, in these conditions, can make a significant contribution to develop an Intelligent Transport Systems (ITS) that continuously monitors the driver, the vehicle, and the road. Road and traffic signs are characterized by a number of features which make them recognizable from the environment. Road signs are located in standard positions and have standard shapes, standard colors, and known pictograms. These characteristics make them suitable for image identification. Traffic sign identification covers two problems: traffic sign detection and traffic sign recognition. Traffic sign detection is meant for the accurate localization of traffic signs in the image space, while traffic sign recognition handles the labeling of such detections into specific traffic sign types or subcategories [1].

Research and recommendations for a statewide sign retroreflectivity maintenance program.

DOT National Transportation Integrated Search

2012-04-01

This study evaluated TxDOT's current sign retroreflectivity maintenance practices, assessed their : effectiveness, and recommended statewide sign retroreflectivity maintenance practices that could be easily : and effectively implemented to ensure tha...

Better Physician's 'Black Bags'

NASA Technical Reports Server (NTRS)

1976-01-01

The "black bag" is outgrowth of astronaut monitoring technology from NASA's Johnson Space Center. Technically known as the portable medical status system, a highly advanced physician's "black bag" weighs less than 30 pounds, yet contains equipment for monitoring and recording vital signs, electrocardiograms, and electroencephalograms. Liquid crystal displays are used to present 15 digits of data simultaneously for long periods of time without excessive use of battery power. Single printed circuit card contains all circuitry required to measure and display vital signs such as heart and respiration rate, temperature, and blood pressure.

50 CFR 660.17 - Catch monitors and catch monitor providers.

Code of Federal Regulations, 2011 CFR

2011-10-01

... work competently with standard database software and computer hardware. (v) Have a current and valid... candidate's academic transcripts and resume; (4) A statement signed by the candidate under penalty of...

50 CFR 660.17 - Catch monitors and catch monitor service providers.

Code of Federal Regulations, 2013 CFR

2013-10-01

... work competently with standard database software and computer hardware. (v) Have a current and valid... candidate's academic transcripts and resume; (4) A statement signed by the candidate under penalty of...

50 CFR 660.17 - Catch monitors and catch monitor service providers.

Code of Federal Regulations, 2012 CFR

2012-10-01

... work competently with standard database software and computer hardware. (v) Have a current and valid... candidate's academic transcripts and resume; (4) A statement signed by the candidate under penalty of...

50 CFR 660.17 - Catch monitors and catch monitor service providers.

Code of Federal Regulations, 2014 CFR

2014-10-01

... work competently with standard database software and computer hardware. (v) Have a current and valid... candidate's academic transcripts and resume; (4) A statement signed by the candidate under penalty of...

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

Findlay, Rick

The Gnome-Coach, New Mexico, Site was the location of a 3-kiloton-yield underground nuclear test in 1961 and a groundwater tracer test in 1963. The U.S. Geological Survey conducted the groundwater tracer test using four dissolved radionuclides--tritium, iodine-131, strontium-90, and cesium-137--as tracers. Site reclamation and remediation began after the underground testing, and was conducted in several phases at the site. The New Mexico Environment Department (NMED) issued a Conditional Certificate of Completion in September 2014, which documents that surface remediation activities have been successfully completed in accordance with the Voluntary Remediation Program. Subsurface activities have included annual sampling and monitoring ofmore » wells at and near the site since 1972. These annual monitoring activities were enhanced in 2008 to include monitoring hydraulic head and collecting samples from the onsite wells USGS-4, USGS-8, and LRL-7 using the low-flow sampling method. In 2010, the annual monitoring was focused to the monitoring wells within the site boundary. A site inspection and annual sampling were conducted on January 27-28, 2015. A second site visit was conducted on April 21, 2015, to install warning/notification signs to fulfill a requirement of the Conditional Certificate of Completion that was issued by the NMED for the surface.« less

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

PubMed

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

2017-03-01

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

A total patient monitoring system for point-of-care applications

NASA Astrophysics Data System (ADS)

Whitchurch, Ashwin K.; Abraham, Jose K.; Varadan, Vijay K.

2007-04-01

Traditionally, home care for chronically ill patients and the elderly requires periodic visits to the patient's home by doctors or healthcare personnel. During these visits, the visiting person usually records the patient's vital signs and takes decisions as to any change in treatment and address any issues that the patient may have. Patient monitoring systems have since changed this scenario by significantly reducing the number of home visits while not compromising on continuous monitoring. This paper describes the design and development of a patient monitoring systems capable of concurrent remote monitoring of 8 patient-worn sensors: Electroencephalogram (EEG), Electrocardiogram (ECG), temperature, airflow pressure, movement and chest expansion. These sensors provide vital signs useful for monitoring the health of chronically ill patients and alerts can be raised if certain specified signal levels fall above or below a preset threshold value. The data from all eight sensors are digitally transmitted to a PC or to a standalone network appliance which relays the data through an available internet connection to the remote monitoring client. Thus it provides a real-time rendering of the patient's health at a remote location.

Language lateralization of hearing native signers: A functional transcranial Doppler sonography (fTCD) study of speech and sign production

PubMed Central

Gutierrez-Sigut, Eva; Daws, Richard; Payne, Heather; Blott, Jonathan; Marshall, Chloë; MacSweeney, Mairéad

2016-01-01

Neuroimaging studies suggest greater involvement of the left parietal lobe in sign language compared to speech production. This stronger activation might be linked to the specific demands of sign encoding and proprioceptive monitoring. In Experiment 1 we investigate hemispheric lateralization during sign and speech generation in hearing native users of English and British Sign Language (BSL). Participants exhibited stronger lateralization during BSL than English production. In Experiment 2 we investigated whether this increased lateralization index could be due exclusively to the higher motoric demands of sign production. Sign naïve participants performed a phonological fluency task in English and a non-sign repetition task. Participants were left lateralized in the phonological fluency task but there was no consistent pattern of lateralization for the non-sign repetition in these hearing non-signers. The current data demonstrate stronger left hemisphere lateralization for producing signs than speech, which was not primarily driven by motoric articulatory demands. PMID:26605960

Features and application of wearable biosensors in medical care

PubMed Central

Ajami, Sima; Teimouri, Fotooheh

2015-01-01

One of the new technologies in the field of health is wearable biosensor, which provides vital signs monitoring of patients, athletes, premature infants, children, psychiatric patients, people who need long-term care, elderly, and people in impassable regions far from health and medical services. The aim of this study was to explain features and applications of wearable biosensors in medical services. This was a narrative review study that done in 2015. Search conducted with the help of libraries, books, conference proceedings, through databases of Science Direct, PubMed, Proquest, Springer, and SID (Scientific Information Database). In our searches, we employed the following keywords and their combinations; vital sign monitoring, medical smart shirt, smart clothing, wearable biosensors, physiological monitoring system, remote detection systems, remote control health, and bio-monitoring system. The preliminary search resulted in 54 articles, which published between 2002 and 2015. After a careful analysis of the content of each paper, 41 sources selected based on their relevancy. Although the use of wearable in healthcare is still in an infant stage, it could have a magic effect on healthcare. Smart wearable in the technology industry for 2015 is one that is looking to be a big and profitable market. Wearable biosensors capable of continuous vital signs monitoring and feedback to the user will be significantly effective in timely prevention, diagnosis, treatment, and control of diseases. PMID:26958058

Weight loss efficacy of a novel mobile Diabetes Prevention Program delivery platform with human coaching

PubMed Central

Michaelides, Andreas; Raby, Christine; Wood, Meghan; Farr, Kit

2016-01-01

Objective To evaluate the weight loss efficacy of a novel mobile platform delivering the Diabetes Prevention Program. Research Design and Methods 43 overweight or obese adult participants with a diagnosis of prediabetes signed-up to receive a 24-week virtual Diabetes Prevention Program with human coaching, through a mobile platform. Weight loss and engagement were the main outcomes, evaluated by repeated measures analysis of variance, backward regression, and mediation regression. Results Weight loss at 16 and 24 weeks was significant, with 56% of starters and 64% of completers losing over 5% body weight. Mean weight loss at 24 weeks was 6.58% in starters and 7.5% in completers. Participants were highly engaged, with 84% of the sample completing 9 lessons or more. In-app actions related to self-monitoring significantly predicted weight loss. Conclusions Our findings support the effectiveness of a uniquely mobile prediabetes intervention, producing weight loss comparable to studies with high engagement, with potential for scalable population health management. PMID:27651911

Optical Monitoring of Young Stellar Objects

NASA Astrophysics Data System (ADS)

Kar, Aman; Jang-Condell, Hannah; Kasper, David; Findlay, Joseph; Kobulnicky, Henry A.

2018-06-01

Observing Young Stellar Objects (YSOs) for variability in different wavelengths enables us to understand the evolution and structure of the protoplanetary disks around stars. The stars observed in this project are known YSOs that show variability in the Infrared. Targets were selected from the Spitzer Space Telescope Young Stellar Object Variability (YSOVAR) Program, which monitored star-forming regions in the mid-infrared. The goal of our project is to investigate any correlation between the variability in the infrared versus the optical. Infrared variability of YSOs is associated with the heating of the protoplanetary disk while accretion signatures are observed in the H-alpha region. We used the University of Wyoming’s Red Buttes Observatory to monitor these stars for signs of accretion using an H-alpha narrowband filter and the Johnson-Cousins filter set, over the Summer of 2017. We perform relative photometry and inspect for an image-to-image variation by observing these targets for a period of four months every two to three nights. The study helps us better understand the link between accretion and H-alpha activity and establish a disk-star connection.

Does Size and Location of the Vital Signs Monitor Matter? A Study of Two Trauma Centers

PubMed Central

Sarcevic, Aleksandra; Marsic, Ivan; Burd, Randall S.

2010-01-01

We report the results of an observational study in which we compared how the size and location of the vital signs monitor impact teamwork at two trauma centers. Our observations focused on three factors: information exchange, situational awareness, and ergonomic issues. We found that the smaller display was difficult to view and required more team communication and workarounds, such as periodic verbal reports. The larger and closer display, although accessible to more team members, did not uniformly improve team’s situational awareness because vital signals were not verbalized and the monitor was often ignored. We suggest introducing multiple larger and closer displays, while keeping the practice of periodic verbal reporting. PMID:21347070

Investigation of the Dayton IR 75 sign truss failure of 9/11/06 : executive summary.

DOT National Transportation Integrated Search

2007-03-01

Based upon a combination of in-situ field monitoring of traffic-induced bridge vibrations at the location of the failed sign support truss, finite element simulation of the expected dynamic response of the original truss in such an environment, the l...

Dysrhythmias in Laypersons During Centrifuge-Simulated Suborbital Spaceflight.

PubMed

Suresh, Rahul; Blue, Rebecca S; Mathers, Charles H; Castleberry, Tarah L; Vanderploeg, James M

2017-11-01

There are limited data on cardiac dysrhythmias in laypersons during hypergravity exposure. We report layperson electrocardiograph (ECG) findings and tolerance of dysrhythmias during centrifuge-simulated suborbital spaceflight. Volunteers participated in varied-length centrifuge training programs of 2-7 centrifuge runs over 0.5-2 d, culminating in two simulated suborbital spaceflights of combined +Gz and +Gx (peak +4.0 Gz, +6.0 Gx, duration 5 s). Monitors recorded pre- and post-run mean arterial blood pressure (MAP), 6-s average heart rate (HR) collected at prespecified points during exposures, documented dysrhythmias observed on continuous 3-lead ECG, self-reported symptoms, and objective signs of intolerance on real-time video monitoring. Participating in the study were 148 subjects (43 women). Documented dysrhythmias included sinus pause (N = 5), couplet premature ventricular contractions (N = 4), bigeminy (N = 3), accelerated idioventricular rhythm (N = 1), and relative bradycardia (RB, defined as a transient HR drop of >20 bpm; N = 63). None were associated with subjective symptoms or objective signs of acceleration intolerance. Episodes of RB occurred only during +Gx exposures. Subjects had a higher post-run vs. pre-run MAP after all exposures, but demonstrated no difference in pre- and post-run HR. RB was more common in men, younger individuals, and subjects experiencing more centrifuge runs. Dysrhythmias in laypersons undergoing simulated suborbital spaceflight were well tolerated, though RB was frequently noted during short-duration +Gx exposure. No subjects demonstrated associated symptoms or objective hemodynamic sequelae from these events. Even so, heightened caution remains warranted when monitoring dysrhythmias in laypersons with significant cardiopulmonary disease or taking medications that modulate cardiac conduction.Suresh R, Blue RS, Mathers CH, Castleberry TL, Vanderploeg JM. Dysrhythmias in laypersons during centrifuge-stimulated suborbital spaceflight. Aerosp Med Hum Perform. 2017; 88(11):1008-1015.

Sign-And-Magnitude Up/Down Counter

NASA Technical Reports Server (NTRS)

Cole, Steven W.

1991-01-01

Magnitude-and-sign counter includes conventional up/down counter for magnitude part and special additional circuitry for sign part. Negative numbers indicated more directly. Counter implemented by programming erasable programmable logic device (EPLD) or programmable logic array (PLA). Used in place of conventional up/down counter to provide sign and magnitude values directly to other circuits.

Long-term monitoring of high-elevation white pine communities in Pacific West Region National Parks

Treesearch

Shawn T. McKinney; Tom Rodhouse; Les Chow; Penelope Latham; Daniel Sarr; Lisa Garrett; Linda Mutch

2011-01-01

National Park Service Inventory and Monitoring (I&M) networks conduct long-term monitoring to provide park managers information on the status and trends in key biological and environmental attributes (Vital Signs). Here we present an overview of a collaborative approach to long-term monitoring of high-elevation white pine forest dynamics among three Pacific West...

Novel Authentication of Monitoring Data Through the use of Secret and Public Cryptographic Keys

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

Benz, Jacob M.; Tolk, Keith; Tanner, Jennifer E.

The Office of Nuclear Verification (ONV) is supporting the development of a piece of equipment to provide data authentication and protection for a suite of monitoring sensors as part of a larger effort to create an arms control technology toolkit. This device, currently called the Red Box, leverages the strengths of both secret and public cryptographic keys to authenticate, digitally sign, and pass along monitoring data to allow for host review, and redaction if necessary, without the loss of confidence in the authenticity of the data by the monitoring party. The design of the Red Box will allow for themore » addition and removal of monitoring equipment and can also verify that the data was collected by authentic monitoring equipment prior to signing the data and sending it to the host and for review. The host will then forward the data to the monitor for review and inspection. This paper will highlight the progress to date of the Red Box development, and will explain the novel method of leveraging both symmetric and asymmetric (secret and public key) cryptography to authenticate data within a warhead monitoring regime.« less

A data protection scheme for a remote vital signs monitoring healthcare service.

PubMed

Gritzalis, D; Lambrinoudakis, C

2000-01-01

Personal and medical data processed by Healthcare Information Systems must be protected against unauthorized access, modification and withholding. Security measures should be selected to provide the required level of protection in a cost-efficient manner. This is only feasible if specific characteristics of the information system are examined on a basis of a risk analysis methodology. This paper presents the results of a risk analysis, based on the CRAMM methodology, for a healthcare organization offering a patient home-monitoring service through the transmission of vital signs, focusing on the identified security needs and the proposed countermeasures. The architectural and functional models of this service were utilized for identifying and valuating the system assets, the associated threats and vulnerabilities, as well as for assessing the impact on the patients and on the service provider, should the security of any of these assets is affected. A set of adequate organizational, administrative and technical countermeasures is described for the remote vital signs monitoring service, thus providing the healthcare organization with a data protection framework that can be utilized for the development of its own security plan.

Optical signal monitoring in phase modulated optical fiber transmission systems

NASA Astrophysics Data System (ADS)

Zhao, Jian

Optical performance monitoring (OPM) is one of the essential functions for future high speed optical networks. Among the parameters to be monitored, chromatic dispersion (CD) is especially important since it has a significant impact on overall system performance. In this thesis effective CD monitoring approaches for phase-shift keying (PSK) based optical transmission systems are investigated. A number of monitoring schemes based on radio frequency (RF) spectrum analysis and delay-tap sampling are proposed and their performance evaluated. A method for dispersion monitoring of differential phase-shift keying (DPSK) signals based on RF power detection is studied. The RF power spectrum is found to increase with the increase of CD and decrease with polarization mode dispersion (PMD). The spectral power density dependence on CD is studied theoretically and then verified through simulations and experiments. The monitoring sensitivity for nonreturn-to-zero differential phase-shift keying (NRZ-DPSK) and return-to-zero differential phase-shift keying (RZ-DPSK) based systems can reach 80ps/nm/dB and 34ps/nm/dB respectively. The scheme enables the monitoring of differential group delay (DGD) and CD simultaneously. The monitoring sensitivity of CD and DGD can reach 56.7ps/nm/dB and 3.1ps/dB using a bandpass filter. The effects of optical signal-to-noise ratio (OSNR), DGD, fiber nonlinearity and chirp on the monitoring results are investigated. Two RF pilot tones are employed for CD monitoring of DPSK signals. Specially selected pilot tone frequencies enable good monitoring sensitivity with minimum influence on the received signals. The dynamic range exceeding 35dB and monitoring sensitivity up to 9.5ps/nm/dB are achieved. Asynchronous sampling technique is employed for CD monitoring. A signed CD monitoring method for 10Gb/s NRZ-DPSK and RZ-DPSK systems using asynchronous delay-tap sampling technique is studied. The demodulated signals suffer asymmetric waveform distortion if there is a phase error (Deltaphi) in the delay interferometer (DI) and in the presence of residual CD. Using delay-tap sampling the scatter plots can reflect this signal distortion through their asymmetric characteristics. A distance ratio (DR) is defined to represent the change of the scatter plots which is directly related to the accumulated CD. The monitoring range can be up to +/-400ps/nm and to +/-720ps/nm for 10Gb/s NRZ-DPSK and RZ-DPSK signals with 450 phase error in DI. The monitoring sensitivity reaches +/-8ps/nm and CD polarity discrimination is realized. It is found that the signal degradation is related to the increment of the absolute value of CD or phase mismatch. The effect of different polarities of phase error on CD monitoring is also analyzed. The shoulders location depends on the sign of the product DLDeltaphi. If DLDeltaphi > 0, the shoulder will appear on trailing edge else the shoulder will appear on leading edge when DLDeltaphi < 0. The analysis shows that the phase error is identical to the frequency offset of optical source so a signed frequency offset monitoring is also demonstrated. The monitoring results show that the monitoring range can reach +/-2.2GHz and the monitoring sensitivity is around 27MHz. The effect of nonlinearity, OSNR and bandwidth of the lowpass filter on the proposed monitoring method has also been studied. The signed CD monitoring for 100Gb/s carrier suppressed return-to-zero differential quadrature phase-shift keying (CSRZ-DQPSK) system based on the delay-tap sampling technology is demonstrated. The monitoring range and monitoring resolution can goes up to +/-32ps/nm and +/-8ps/nm, respectively. A signed CD and optical carrier wavelength monitoring scheme using cross-correlation method for on-off keying (00K) wavelength division multiplexing (WDM) system is proposed and demonstrated. CD monitoring sensitivity is high and can be less than 10% of the bit period. Wavelength monitoring is implemented using the proposed approach. The monitoring results show that the sensitivity can reach up to 1.37ps/GHz.

The Use of Visual Feedback During Signing: Evidence From Signers With Impaired Vision

PubMed Central

Korpics, Franco; Petronio, Karen

2009-01-01

The role of visual feedback during the production of American Sign Language was investigated by comparing the size of signing space during conversations and narrative monologues for normally sighted signers, signers with tunnel vision due to Usher syndrome, and functionally blind signers. The interlocutor for all groups was a normally sighted deaf person. Signers with tunnel vision produced a greater proportion of signs near the face than blind and normally sighted signers, who did not differ from each other. Both groups of visually impaired signers produced signs within a smaller signing space for conversations than for monologues, but we hypothesize that they did so for different reasons. Signers with tunnel vision may align their signing space with that of their interlocutor. In contrast, blind signers may enhance proprioceptive feedback by producing signs within an enlarged signing space for monologues, which do not require switching between tactile and visual signing. Overall, we hypothesize that signers use visual feedback to phonetically calibrate the dimensions of signing space, rather than to monitor language output. PMID:18495656

The use of visual feedback during signing: evidence from signers with impaired vision.

PubMed

Emmorey, Karen; Korpics, Franco; Petronio, Karen

2009-01-01

The role of visual feedback during the production of American Sign Language was investigated by comparing the size of signing space during conversations and narrative monologues for normally sighted signers, signers with tunnel vision due to Usher syndrome, and functionally blind signers. The interlocutor for all groups was a normally sighted deaf person. Signers with tunnel vision produced a greater proportion of signs near the face than blind and normally sighted signers, who did not differ from each other. Both groups of visually impaired signers produced signs within a smaller signing space for conversations than for monologues, but we hypothesize that they did so for different reasons. Signers with tunnel vision may align their signing space with that of their interlocutor. In contrast, blind signers may enhance proprioceptive feedback by producing signs within an enlarged signing space for monologues, which do not require switching between tactile and visual signing. Overall, we hypothesize that signers use visual feedback to phonetically calibrate the dimensions of signing space, rather than to monitor language output.

Exposure to a mnemonic interferes with recall of suicide warning signs in a community-based suicide prevention program.

PubMed

Bryan, Craig J; Steiner-Pappalardo, Nicole; Rudd, M David

2009-04-01

The incremental impact of adding a mnemonic to remember suicide warning signs to the Air Force Suicide Prevention Program (AFSPP) community awareness briefing was investigated with a sample of young, junior-enlisted airmen. Participants in the standard briefing significantly increased their ability to list suicide warning signs and improved consistency with an expert consensus list, whereas participants in the standard briefing plus mnemonic demonstrated no learning. Both groups demonstrated positive changes in beliefs about suicide. Results suggest that inclusion of the mnemonic in the AFSPP briefing interfered with participants' ability to learn suicide warning signs, and that increased confidence in the perceived ability to recognize suicide risk is not related to actual ability to accurately recall warning signs.

Connecting the dots: a collaborative USGS-NPS effort to expand the utility of monitoring data

USGS Publications Warehouse

Grace, James B.; Schoolmaster, Donald R.; Schweiger, E. William; Mitchell, Brian R.; Miller, Kathryn; Guntenspergen, Glenn R.

2014-01-01

The Natural Resource Challenge (National Park Service 1999) was a call to action. It constituted a mandate for monitoring based on the twin premises that (1) natural resources in national parks require active management and stewardship if we are to protect them from gradual degradation, and (2) we cannot protect what we do not understand. The intent of the challenge was embodied in its original description: We must expand existing inventory programs and develop efficient ways to monitor the vital signs of natural systems. We must enlist others in the scientific community to help, and also facilitate their inquiry. Managers must have and apply this information to preserve our natural resources. In this article, we report on ongoing collaborative work between the National Park Service (NPS) and the US Geological Survey (USGS) that seeks to add to our scientific understanding of the ecological processes operating behind vital signs monitoring data. The ultimate goal of this work is to provide insights that can facilitate an understanding of the systems and identify potential opportunities for active stewardship by NPS managers (Bennetts et al. 2007; Mitchell et al. 2014). The bulk of the work thus far has involved Acadia and Rocky Mountain national parks, but there are plans for extending the work to additional parks. Our story stats with work designed to consider ways of assessing the status and condition of natural resources and the potential for historical or ongoing influences of human activities. In the 1990s, the concept of "biotic integrity" began to take hold as an aspiration for developing quantitative indices describing how closely the conditions at a site resemble those found at pristine, unimpacted sites. Quantitative methods for developing indices of biotic integrity (IBIs) and elaborations of that idea (e.g., ecological integrity) have received considerable attention and application of these methods to natural resources has become widespread (Karr 1991; Barbour et al. 1999; Stoddard et al. 2008). Despite widespread use, many questions remain about how metrics are combined to form effective indices and about how to interpret both. Scientists and natural resource specialists within NPS and USGS have joined forces to critique the current analysis methods, with the collaboration involving the Rocky Mountain and Northeast Temperate NPS Inventory and Monitoring (I & M) networks, along with others, and USGS scientists from the National Wetlands Research Center and Patuxent Wildlife Research Center. Funding that initiated the project was from a joint-partnership fund managed by the USGS Ecosystems Program for National Park Monitoring research and the work was focused at Acadia National Park and Rocky Mountain National Park. Here we present synopses of two major issues addressed by the group.

Next generation hyper resolution wide swath and multi-channel optical payload for CBERS series

NASA Astrophysics Data System (ADS)

Wang, Weigang

2017-11-01

The China-Brazilian Earth Resources Satellite (CBERS) program, (also called ZY-1) the result of a space technology agreement between China and Brazil, was officially signed in 1988 after the first joint work report produced by National Institute for Space Research (INPE) and the Chinese Academy of Space Technology (CAST). During the 26 years of its existence, the program of cooperation between China and Brazil in space has achieved the successful launch of three satellites. It has become a unique example of cooperation in cutting edge technology between emerging nations. CBERS satellite is the first generation data-transferring remote sensing satellite developed by China. CBERS satellite data are widely applied to crop yield estimation, exploration of land and resources, urban planning, environmental protection and monitoring, disaster reduction, and other fields. CBERS series is just like Landsat series of USA and SPOT series of France.

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

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

Matthews, Patrick; Alvarado, Juan

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

Application of empirical mode decomposition in removing fidgeting interference in doppler radar life signs monitoring devices.

PubMed

Mostafanezhad, Isar; Boric-Lubecke, Olga; Lubecke, Victor; Mandic, Danilo P

2009-01-01

Empirical Mode Decomposition has been shown effective in the analysis of non-stationary and non-linear signals. As an application in wireless life signs monitoring in this paper we use this method in conditioning the signals obtained from the Doppler device. Random physical movements, fidgeting, of the human subject during a measurement can fall on the same frequency of the heart or respiration rate and interfere with the measurement. It will be shown how Empirical Mode Decomposition can break the radar signal down into its components and help separate and remove the fidgeting interference.

Blissymbols and Manual Signs: A Multimodal Approach to Intervention in a Case of Multiple Disability.

ERIC Educational Resources Information Center

Hooper, Janice; And Others

1987-01-01

A multimodal intervention program designed for a nine-year-old with severe communication problems (secondary to cerebral palsy, receptive dysphasia, and auditory agnosia) combined manual signs and graphic symbols to help her communicate. The intensive, highly structured program had significant positive results. (Author/CB)

23 CFR 750.107 - Class 3 and 4 signs outside informational sites.

Code of Federal Regulations, 2011 CFR

2011-04-01

... areas. (6) Not more than one such sign advertising activities being conducted as a single enterprise or... 23 Highways 1 2011-04-01 2011-04-01 false Class 3 and 4 signs outside informational sites. 750.107... to the Interstate System Under the 1958 Bonus Program § 750.107 Class 3 and 4 signs outside...

23 CFR 750.107 - Class 3 and 4 signs outside informational sites.

Code of Federal Regulations, 2010 CFR

2010-04-01

... areas. (6) Not more than one such sign advertising activities being conducted as a single enterprise or... 23 Highways 1 2010-04-01 2010-04-01 false Class 3 and 4 signs outside informational sites. 750.107... to the Interstate System Under the 1958 Bonus Program § 750.107 Class 3 and 4 signs outside...

Using dual-phase message signs to display airline information : technical summary.

DOT National Transportation Integrated Search

2010-01-01

Changeable Message Signs are electronic traffic signs that can be programmed to display : important messages that vary according to current roadway conditions, including the : presence of traffic congestion and accidents. CMSs can also be used to dis...

Language lateralization of hearing native signers: A functional transcranial Doppler sonography (fTCD) study of speech and sign production.

PubMed

Gutierrez-Sigut, Eva; Daws, Richard; Payne, Heather; Blott, Jonathan; Marshall, Chloë; MacSweeney, Mairéad

2015-12-01

Neuroimaging studies suggest greater involvement of the left parietal lobe in sign language compared to speech production. This stronger activation might be linked to the specific demands of sign encoding and proprioceptive monitoring. In Experiment 1 we investigate hemispheric lateralization during sign and speech generation in hearing native users of English and British Sign Language (BSL). Participants exhibited stronger lateralization during BSL than English production. In Experiment 2 we investigated whether this increased lateralization index could be due exclusively to the higher motoric demands of sign production. Sign naïve participants performed a phonological fluency task in English and a non-sign repetition task. Participants were left lateralized in the phonological fluency task but there was no consistent pattern of lateralization for the non-sign repetition in these hearing non-signers. The current data demonstrate stronger left hemisphere lateralization for producing signs than speech, which was not primarily driven by motoric articulatory demands. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

Development of a borehole stress meter for studying earthquake predictions and rock mechanics, and stress seismograms of the 2011 Tohoku earthquake ( M 9.0)

NASA Astrophysics Data System (ADS)

Ishii, Hiroshi; Asai, Yasuhiro

2015-02-01

Although precursory signs of an earthquake can occur before the event, it is difficult to observe such signs with precision, especially on earth's surface where artificial noise and other factors complicate signal detection. One possible solution to this problem is to install monitoring instruments into the deep bedrock where earthquakes are likely to begin. When evaluating earthquake occurrence, it is necessary to elucidate the processes of stress accumulation in a medium and then release as a fault (crack) is generated, and to do so, the stress must be observed continuously. However, continuous observations of stress have not been implemented yet for earthquake monitoring programs. Strain is a secondary physical quantity whose variation varies depending on the elastic coefficient of the medium, and it can yield potentially valuable information as well. This article describes the development of a borehole stress meter that is capable of recording both continuous stress and strain at a depth of about 1 km. Specifically, this paper introduces the design principles of the stress meter as well as its actual structure. It also describes a newly developed calibration procedure and the results obtained to date for stress and strain studies of deep boreholes at three locations in Japan. To show examples of the observations, records of stress seismic waveforms generated by the 2011 Tohoku earthquake ( M 9.0) are presented. The results demonstrate that the stress meter data have sufficient precision and reliability.

Seizure ending signs in patients with dyscognitive focal seizures.

PubMed

Gavvala, Jay R; Gerard, Elizabeth E; Macken, Mícheál; Schuele, Stephan U

2015-09-01

Signs indicating the end of a focal seizure with loss of awareness and/or responsiveness but without progression to focal or generalized motor symptoms are poorly defined and can be difficult to determine. Not recognizing the transition from ictal to postictal behaviour can affect seizure reporting accuracy by family members and may lead to delayed or a lack of examination during EEG monitoring, erroneous seizure localization and inadequate medical intervention for prolonged seizure duration. Our epilepsy monitoring unit database was searched for focal seizures without secondary generalization for the period from 2007 to 2011. The first focal seizure in a patient with loss of awareness and/or responsiveness and/or behavioural arrest, with or without automatisms, was included. Seizures without objective symptoms or inadequate video-EEG quality were excluded. A total of 67 patients were included, with an average age of 41.7 years. Thirty-six of the patients had seizures from the left hemisphere and 29 from the right. All patients showed an abrupt change in motor activity and resumed contact with the environment as a sign of clinical seizure ending. Specific ending signs (nose wiping, coughing, sighing, throat clearing, or laughter) were seen in 23 of 47 of temporal lobe seizures and 7 of 20 extra-temporal seizures. Seizure ending signs are often subtle and the most common finding is a sudden change in motor activity and resumption of contact with the environment. More distinct signs, such as nose wiping, coughing or throat clearing, are not specific to temporal lobe onset. A higher proportion of seizures during sleep went unexamined, compared to those during wakefulness. This demonstrates that seizure semiology can be very subtle and arousals from sleep during monitoring should alert staff. Patient accounts of seizure frequency appear to be unreliable and witness reports need to be taken into account. [Published with video sequences].

Relationship between nighttime vital sign assessments and acute care transfers in the rehabilitation inpatient.

PubMed

Pellicane, Anthony J

2014-01-01

To investigate the role of nighttime vital sign assessment in predicting acute care transfers (ACT) from inpatient rehabilitation. Retrospective chart review. Fifty patients unexpectedly discharged to acute care underwent chart review to determine details of each ACT. Seven of 50 ACT possessed new vital sign abnormalities at the 11 pm vital sign assessment the night before ACT. None of these seven underwent ACT during the night shift the abnormalities were detected. Two of 50 ACT were transferred between 11 pm and 6:59 am; both demonstrating normal vital sign at the 11 pm assessment. During study period, an estimated 5,607 11 pm vital sign assessments were performed. Nighttime vital sign assessments do not seem to be a good screening tool for clinical instability in the rehabilitation hospital. Eliminating sleep disturbance is important to the rehabilitation inpatient as inadequate sleep hinders physical performance. Tailoring vital sign monitoring to fit patents' clinical presentation may benefit this population. © 2014 Association of Rehabilitation Nurses.

Sharing Vital Signs between mobile phone applications.

PubMed

Karlen, Walter; Dumont, Guy A; Scheffer, Cornie

2014-01-01

We propose a communication library, ShareVitalSigns, for the standardized exchange of vital sign information between health applications running on mobile platforms. The library allows an application to request one or multiple vital signs from independent measurement applications on the Android OS. Compatible measurement applications are automatically detected and can be launched from within the requesting application, simplifying the work flow for the user and reducing typing errors. Data is shared between applications using intents, a passive data structure available on Android OS. The library is accompanied by a test application which serves as a demonstrator. The secure exchange of vital sign information using a standardized library like ShareVitalSigns will facilitate the integration of measurement applications into diagnostic and other high level health monitoring applications and reduce errors due to manual entry of information.

Using information technology to improve the management of chronic disease.

PubMed

Celler, Branko G; Lovell, Nigel H; Basilakis, Jim

2003-09-01

Information and communications technology (ICT) is increasingly being used in management of chronic illness to facilitate shared services (virtual health networks and electronic health records), knowledge management (care rules and protocols, scheduling, information directories), as well as consumer-based health education and evidence-based clinical protocols. Common applications of ICT include home monitoring of vital signs for patients with chronic disease, as well as replacing home visits by nurses in person with telemedicine videophone consultations. A patient-managed Home Telecare System with integrated clinical signs monitoring, automated scheduling and medication reminders, as well as access to health education and daily logs, is presented as an example of ICT use for chronic disease self-management. A clinical case study demonstrates how early identification of adverse trends in clinical signs recorded in the home can either avoid hospital readmission or reduce the length of hospital stay.

Medical Device Integrated Vital Signs Monitoring Application with Real-Time Clinical Decision Support.

PubMed

Moqeem, Aasia; Baig, Mirza; Gholamhosseini, Hamid; Mirza, Farhaan; Lindén, Maria

2018-01-01

This research involves the design and development of a novel Android smartphone application for real-time vital signs monitoring and decision support. The proposed application integrates market available, wireless and Bluetooth connected medical devices for collecting vital signs. The medical device data collected by the app includes heart rate, oxygen saturation and electrocardiograph (ECG). The collated data is streamed/displayed on the smartphone in real-time. This application was designed by adopting six screens approach (6S) mobile development framework and focused on user-centered approach and considered clinicians-as-a-user. The clinical engagement, consultations, feedback and usability of the application in the everyday practices were considered critical from the initial phase of the design and development. Furthermore, the proposed application is capable to deliver rich clinical decision support in real-time using the integrated medical device data.

Design and implementation of a mobile-care system over wireless sensor network for home healthcare applications.

PubMed

Lee, Ren-Guey; Lai, Chien-Chih; Chiang, Shao-Shan; Liu, Hsin-Sheng; Chen, Chun-Chang; Hsieh, Guan-Yu

2006-01-01

According to home healthcare requirement of chronic patients, this paper proposes a mobile-care system integrated with a variety of vital-sign monitoring, where all the front-end vital-sign measuring devices are portable and have the ability of short-range wireless communication. In order to make the system more suitable for home applications, the technology of wireless sensor network is introduced to transmit the captured vital signs to the residential gateway by means of multi-hop relay. Then the residential gateway uploads data to the care server via Internet to carry out patient's condition monitoring and the management of pathological data. Furthermore, the system is added in the alarm mechanism, which the portable care device is able to immediately perceive the critical condition of the patient and to send a warning message to medical and nursing personnels in order to achieve the goal of prompt rescue.

Signs or Symptoms of Acute HIV Infection in a Cohort Undergoing Community-Based Screening.

PubMed

Hoenigl, Martin; Green, Nella; Camacho, Martha; Gianella, Sara; Mehta, Sanjay R; Smith, Davey M; Little, Susan J

2016-03-01

We analyzed signs and symptoms in 90 patients diagnosed with acute HIV infection in a community-based program that offered universal HIV-1 nucleic acid amplification testing. Forty-seven (52%) patients reported ongoing signs or symptoms at the time of testing. Another 25 (28%) reported signs or symptoms that had occurred during the 14 days before testing.

Evaluation of an Instructional Program Designed to Teach Minimally Literate Juvenile Delinquents to Read Road Signs.

ERIC Educational Resources Information Center

Murph, Debra; McCormick, Sandra

1985-01-01

A 12-step procedure was used in teaching five minimally literate, male juvenile offenders to read and interpret prototypes of road signs displaying words, and a 5-step procedure for interpreting a sign without words. All students' correct responses in reading and interpreting signs increased and were maintained during subsequent post-checks.…

Hybrid respiration-signal conditioner

NASA Technical Reports Server (NTRS)

Rinard, G. A.; Steffen, D. A.; Sturm, R. E.

1979-01-01

Hybrid impedance-pneumograph and respiration-rate signal conditioner element of hand-held vital signs monitor measures changes in impedance of chest during breathing cycle and generates analog respiration signal as output along with synchronous square wave that can be monitored by breath-rate processor.

The Changing Context for Sign Bilingual Education Programs: Issues in Language and the Development of Literacy

ERIC Educational Resources Information Center

Mayer, Connie; Leigh, Greg

2010-01-01

The widespread implementation of newborn hearing screening and advances in amplification technologies (including cochlear implants) have fundamentally changed the educational landscape for deaf learners. These changes are discussed in terms of their impact on sign bilingual education programs with a focus on the relationships between language and…

75 FR 55067 - Energy Conservation Program: Test Procedures for Walk-In Coolers and Walk-In Freezers

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-09

..., 1000 Independence Avenue, SW., Washington, DC 20585-0121. Please submit one signed original paper copy... Program, 950 L'Enfant Plaza, 6th Floor, Washington, DC 20024. Please submit one signed original paper copy...: [email protected] . SUPPLEMENTARY INFORMATION: I. Authority and Background II. Summary of the...

American Sign Language-English Interpreting Program Faculty: Characteristics, Tenure Perceptions, and Productivity

ERIC Educational Resources Information Center

Hale, Kimberly J.

2012-01-01

American Sign Language (ASL)-English interpreting education, which began as a community apprenticeship and vetting process, has within the last several decades moved into higher education. Most recently, the number of baccalaureate-granting ASL-English interpreting programs have continued to increase while the number of associate's degree…

76 FR 78621 - Notice of Submission for OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-19

... (TEACH Grant Program) Agreement to Serve. OMB Control Number: 1845-0083. Agency Form Number(s): N/A... College and Higher Education (TEACH) Grant Program under Part A of the Higher Education Act of 1965, as... Education (TEACH) Grant, a student must sign an Agreement to Serve. A new Agreement to Serve must be signed...

Assessment of the feasibility of an ultra-low power, wireless digital patch for the continuous ambulatory monitoring of vital signs.

PubMed

Hernandez-Silveira, Miguel; Ahmed, Kamran; Ang, Su-Shin; Zandari, Fahriya; Mehta, Tinaz; Weir, Rebecca; Burdett, Alison; Toumazou, Chris; Brett, Stephen J

2015-05-19

Vital signs are usually recorded at 4-8 h intervals in hospital patients, and deterioration between measurements can have serious consequences. The primary study objective was to assess agreement between a new ultra-low power, wireless and wearable surveillance system for continuous ambulatory monitoring of vital signs and a widely used clinical vital signs monitor. The secondary objective was to examine the system's ability to automatically identify and reject invalid physiological data. Single hospital centre. Heart and respiratory rate were recorded over 2 h in 20 patients undergoing elective surgery and a second group of 41 patients with comorbid conditions, in the general ward. Primary outcome measures were limits of agreement and bias. The secondary outcome measure was proportion of data rejected. The digital patch provided reliable heart rate values in the majority of patients (about 80%) with normal sinus rhythm, and in the presence of abnormal ECG recordings (excluding aperiodic arrhythmias such as atrial fibrillation). The mean difference between systems was less than ±1 bpm in all patient groups studied. Although respiratory data were more frequently rejected as invalid because of the high sensitivity of impedance pneumography to motion artefacts, valid rates were reported for 50% of recordings with a mean difference of less than ±1 brpm compared with the bedside monitor. Correlation between systems was statistically significant (p<0.0001) for heart and respiratory rate, apart from respiratory rate in patients with atrial fibrillation (p=0.02). Overall agreement between digital patch and clinical monitor was satisfactory, as was the efficacy of the system for automatic rejection of invalid data. Wireless monitoring technologies, such as the one tested, may offer clinical value when implemented as part of wider hospital systems that integrate and support existing clinical protocols and workflows. 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.

Traffic control device evaluation program: simulator evaluation of sponsored changeable message signs and in-situ evaluation of rumble strip alternatives.

DOT National Transportation Integrated Search

2016-07-01

This report describes two research activities. One research study tested the effects of adding commercial : logos acknowledging sponsorship to Changeable Message Signs. A driving simulator study was conducted : using test signs with travel times and ...

Partners in Flight: past, present, and future: nongovernment organization perspective

Treesearch

Stanley E. Senner

1993-01-01

More than 20 nongovernmental organizations have signed a memorandum of understanding committing them to participate in Partners in Flight. Several more organizations will be signing the memorandum in the near future. Others may never sign the agreement but are contributing substantialy to the program.

Cosmic Rays and Clouds, 1. Formation of Lead Mesoatoms In Neutron Monitor By Soft Negative Muons and Expected Atmospheric Electric Field Effect In The Cosmic Ray Neutron Component

NASA Astrophysics Data System (ADS)

Dorman, L. I.; Dorman, I. V.

We extend our model (Dorman and Dorman, 1995) of cosmic ray atmospheric electric field effect on the case of neutron monitor. We take into account that about 0.07 of neu- tron monitor counting rate caused by negative soft muons captured by lead nucleons and formed mesoatoms with generation of several MeV energy neutrons from lead. In this case the neutron monitor or neutron supermonitor works as analyzer which de- tects muons of only one, negative sign. It is very important because the atmospheric electric field effect have opposite signs for positive and negative muons that main part of this effect in the muon telescope or in ionization chamber is compensated and we can observe only small part of total effect of one sign muons. On the basis of our gen- eral theory of cosmic ray meteorological effects with taking into account of negative soft muon acceleration and deceleration in the Earth atmosphere (in dependence of di- rection and intensity of electric field) we discuss the possibility of existing this effect in cosmic ray neutron component and made some rough estimations. REFERENCES: Dorman L.I. and Dorman I.V., 1995. "Cosmic-ray atmospheric electric field effects". Canadian J. of Physics, Vol. 73, pp. 440-443.

A Review of Wearable Technologies for Elderly Care that Can Accurately Track Indoor Position, Recognize Physical Activities and Monitor Vital Signs in Real Time

PubMed Central

Wang, Zhihua; Yang, Zhaochu; Dong, Tao

2017-01-01

Rapid growth of the aged population has caused an immense increase in the demand for healthcare services. Generally, the elderly are more prone to health problems compared to other age groups. With effective monitoring and alarm systems, the adverse effects of unpredictable events such as sudden illnesses, falls, and so on can be ameliorated to some extent. Recently, advances in wearable and sensor technologies have improved the prospects of these service systems for assisting elderly people. In this article, we review state-of-the-art wearable technologies that can be used for elderly care. These technologies are categorized into three types: indoor positioning, activity recognition and real time vital sign monitoring. Positioning is the process of accurate localization and is particularly important for elderly people so that they can be found in a timely manner. Activity recognition not only helps ensure that sudden events (e.g., falls) will raise alarms but also functions as a feasible way to guide people’s activities so that they avoid dangerous behaviors. Since most elderly people suffer from age-related problems, some vital signs that can be monitored comfortably and continuously via existing techniques are also summarized. Finally, we discussed a series of considerations and future trends with regard to the construction of “smart clothing” system. PMID:28208620

A Review of Wearable Technologies for Elderly Care that Can Accurately Track Indoor Position, Recognize Physical Activities and Monitor Vital Signs in Real Time.

PubMed

Wang, Zhihua; Yang, Zhaochu; Dong, Tao

2017-02-10

Rapid growth of the aged population has caused an immense increase in the demand for healthcare services. Generally, the elderly are more prone to health problems compared to other age groups. With effective monitoring and alarm systems, the adverse effects of unpredictable events such as sudden illnesses, falls, and so on can be ameliorated to some extent. Recently, advances in wearable and sensor technologies have improved the prospects of these service systems for assisting elderly people. In this article, we review state-of-the-art wearable technologies that can be used for elderly care. These technologies are categorized into three types: indoor positioning, activity recognition and real time vital sign monitoring. Positioning is the process of accurate localization and is particularly important for elderly people so that they can be found in a timely manner. Activity recognition not only helps ensure that sudden events (e.g., falls) will raise alarms but also functions as a feasible way to guide people's activities so that they avoid dangerous behaviors. Since most elderly people suffer from age-related problems, some vital signs that can be monitored comfortably and continuously via existing techniques are also summarized. Finally, we discussed a series of considerations and future trends with regard to the construction of "smart clothing" system.

Representativeness comparisons of nurse and computer charting of heart rate across nursing-intensity protocols.

PubMed

Luna, Jorge M; Yip, Natalie; Pivovarov, Rimma; Vawdrey, David K

2016-08-01

Clinical teams in acute inpatient settings can greatly benefit from automated charting technologies that continuously monitor patient vital status. NewYork-Presbyterian has designed and developed a real-time patient monitoring system that integrates vital signs sensors, networking, and electronic health records, to allow for automatic charting of patient status. We evaluate the representativeness (a combination of agreement, safety and timing) of a core vital sign across nursing intensity care protocols for preliminary feasibility assessment. Our findings suggest an automated way of summarizing heart rate provides representation of true heart rate status and can facilitate alternatives approaches to burdensome manual nurse charting of physiological parameters.

Evaluating the validity and reliability of the V-scale instrument (Turkish version) used to determine nurses' attitudes towards vital sign monitoring.

PubMed

Ertuğ, Nurcan

2018-06-01

The aim of this study was to determine the validity and reliability of the Turkish version of the V-scale, which measures nurses' attitudes towards vital signs monitoring in the detection of clinical deterioration. This validity and reliability study was conducted at a tertiary hospital in Ankara, Turkey, in 2016. A total of 169 ward nurses participated in the study. Exploratory factor analysis, Cronbach's alpha coefficient, and the intraclass correlation coefficient were used to determine the validity and reliability of the scale. A 5-factor, 16-item scale explained 60.823% of the total variance according to the validity analysis. Our version matched the original scale in terms of the number of items and factor structure. Cronbach's alpha coefficient of the Turkish version of the V-scale was 0.764. The test-retest reliability results were 0.855 for the overall intraclass correlation coefficient, and the t-test result was P > 0.05. The V-scale is a reliable and valid instrument to measure Turkish nurses' attitudes towards vital signs monitoring in the detection of clinical deterioration. © 2018 John Wiley & Sons Australia, Ltd.

Determining the cost of implementing and operating a remote patient monitoring programme for the elderly with chronic conditions: A systematic review of economic evaluations.

PubMed

Peretz, Daniel; Arnaert, Antonia; Ponzoni, Norma N

2018-01-01

Introduction Remote patient monitoring (RPM) in conjunction with home nursing visits is becoming increasingly popular for the follow-up of patients with chronic conditions and evidence exists that it improves patients' health outcomes. Current cost data is reported inconsistently and often gathered from studies of poor methodological quality, making it difficult for decision-makers who consider implementing this service in their organizations. This study reviewed the cost of RPM programmes targeting elderly patients with chronic conditions. Methods After evaluation against the inclusion and exclusion criteria and appraisal against two criteria which are important for economic evaluations, data from selected studies were extracted and grouped into meaningful cost categories, then adjusted to reflect November 2015 US dollars. Results In the 13 selected studies, the newly-created cost category 'Combined intervention cost' (reflecting equipment purchasing, servicing and monitoring cost) for the various RPM programmes ranged from US$275-US$7963 per patient per year. The three main findings are: (a) RPM programme costs have decreased since 2004 due to cheaper technology; (b) monitoring a single vital sign is likely to be less costly than monitoring multiple vital signs; and (c) programmes targeting hypertension or congestive heart failure are less costly than those targeting respiratory diseases or multiple conditions. Conclusions This review recommends that future studies present their cost data with more granularity, that grouping of costs should be minimized and that any assumptions, such as amortization, should be made explicit. In addition, studies should compare programmes with similar characteristics in terms of type of conditions, number of vital signs monitored, etc. for more generalizable results.

78 FR 13906 - Agreements in Force as of December 31, 2012 Between the American Institute in Taiwan and the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-01

... Nanotechnology. Signed December 15, 2005. Entered into force December 15, 2005. 4. Information and communication... cooperative program in the sale and exchange of technical, scientific, and engineering information. Signed... 17, 1987, for a cooperative program in the sale and exchange of technical, scientific and engineering...

Therapeutic Riding for a Student with Multiple Disabilities and Visual Impairment: A Case Study.

ERIC Educational Resources Information Center

Lehrman, Jennifer; Ross, David B.

2001-01-01

A 9-year-old with multiple disabilities and visual impairments was the focus of a 10-week developmental therapeutic riding program incorporating hippotherapy. The program has led to increased mobility, an increase in visual attention span and fixation time, signs of greater verbal communication, and the acquisition of new functional signs.…

The Healthy Workplace Project: results of a hygiene-based approach to employee wellness.

PubMed

Thompson, Sanna J; Rew, Lynn

2015-01-01

An employee wellness program was evaluated to assess changes in germ transmission, absenteeism, and cost of infection-related illness among office-based employees. One-group pretest-posttest design, with intervention delivered for 90 days and measurement conducted over 1 year. Employees of a large office space in Georgia. One thousand six hundred forty-five employees. The Healthy Workplace Project is a 90-day wellness program aimed to increase health and productivity of employees through educational and engagement activities focusing on improving awareness, recognizing infection-related illnesses, and reducing the spread of germs in the workplace. Three types of data were collected: (1) bacterial audits through use of adenosine triphosphate monitoring of various work spaces; (2) self-report absenteeism data using the World Health Organization's Health and Work Performance Questionnaire; and (3) participant employees' medical claims/costs of infection-related minor illnesses. Frequencies and bacterial audit data; Wilcoxon signed ranks tests to determine changes in rates on absenteeism and health care costs. Bacterial audits demonstrated a reduction in contamination levels of 33% across all measured spaces. Absenteeism rates were reduced by 13%. Medical service utilization costs were not significantly reduced for individual employees over the project year. Educational strategies and individual monitoring of germ transmission appears effective in improving employees' health and decreasing absenteeism.

Duck Valley Reservoirs Fish Stocking and Operation and Maintenance, 2005-2006 Annual Progress Report.

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

Sellman, Jake; Dykstra, Tim

The Duck Valley Reservoirs Fish Stocking and Operations and Maintenance (DV Fisheries) project is an ongoing resident fish program designed to enhance both subsistence fishing, educational opportunities for Tribal members of the Shoshone-Paiute Tribes, and recreational fishing facilities for non-Tribal members. In addition to stocking rainbow trout (Oncorhynchus mykiss) in Mountain View, Lake Billy Shaw, and Sheep Creek Reservoirs, the program also intends to afford and maintain healthy aquatic conditions for fish growth and survival, to provide superior facilities with wilderness qualities to attract non-Tribal angler use, and to offer clear, consistent communication with the Tribal community about this projectmore » as well as outreach and education within the region and the local community. Tasks for this performance period are divided into operations and maintenance plus monitoring and evaluation. Operation and maintenance of the three reservoirs include fences, roads, dams and all reservoir structures, feeder canals, water troughs and stock ponds, educational signs, vehicles and equipment, and outhouses. Monitoring and evaluation activities included creel, gillnet, wildlife, and bird surveys, water quality and reservoir structures monitoring, native vegetation planting, photo point documentation, control of encroaching exotic vegetation, and community outreach and education. The three reservoirs are monitored in terms of water quality and fishery success. Sheep Creek Reservoir was the least productive as a result of high turbidity levels and constraining water quality parameters. Lake Billy Shaw trout were in poorer condition than in previous years potentially as a result of water quality or other factors. Mountain View Reservoir trout exhibit the best health of the three reservoirs and was the only reservoir to receive constant flows of water.« less

40 CFR 264.195 - Inspections.

Code of Federal Regulations, 2013 CFR

2013-07-01

... externally accessible portion of the tank system, including the secondary containment system (e.g., dikes) to detect erosion or signs of releases of hazardous waste (e.g., wet spots, dead vegetation). (d) Owners or... gathered from monitoring and leak detection equipment (e.g., pressure or temperature gauges, monitoring...

40 CFR 264.195 - Inspections.

Code of Federal Regulations, 2010 CFR

2010-07-01

... externally accessible portion of the tank system, including the secondary containment system (e.g., dikes) to detect erosion or signs of releases of hazardous waste (e.g., wet spots, dead vegetation). (d) Owners or... gathered from monitoring and leak detection equipment (e.g., pressure or temperature gauges, monitoring...

40 CFR 264.195 - Inspections.

Code of Federal Regulations, 2014 CFR

2014-07-01

... externally accessible portion of the tank system, including the secondary containment system (e.g., dikes) to detect erosion or signs of releases of hazardous waste (e.g., wet spots, dead vegetation). (d) Owners or... gathered from monitoring and leak detection equipment (e.g., pressure or temperature gauges, monitoring...

40 CFR 264.195 - Inspections.

Code of Federal Regulations, 2011 CFR

2011-07-01

... externally accessible portion of the tank system, including the secondary containment system (e.g., dikes) to detect erosion or signs of releases of hazardous waste (e.g., wet spots, dead vegetation). (d) Owners or... gathered from monitoring and leak detection equipment (e.g., pressure or temperature gauges, monitoring...

40 CFR 264.195 - Inspections.

Code of Federal Regulations, 2012 CFR

2012-07-01

... externally accessible portion of the tank system, including the secondary containment system (e.g., dikes) to detect erosion or signs of releases of hazardous waste (e.g., wet spots, dead vegetation). (d) Owners or... gathered from monitoring and leak detection equipment (e.g., pressure or temperature gauges, monitoring...

Techniques for monitoring pileated woodpeckers.

Treesearch

Evelyn L Bull; Richard S. Holthausen; Marie G. Henjum

1990-01-01

Methods of locating pileated woodpeckers (Dryocopus pileatus) are described, including imitating pileated woodpecker vocalizations, identifying nest and roost trees, and finding foraging signs. Populations of pileated woodpeckers can be monitored by using (1) density of breeding pairs, (2) reproduction, and (3) presence or absence of birds. The...

Hybridization of biomedical circuitry

NASA Technical Reports Server (NTRS)

Rinard, G. A.

1978-01-01

The design and fabrication of low power hybrid circuits to perform vital signs monitoring are reported. The circuits consist of: (1) clock; (2) ECG amplifier and cardiotachometer signal conditioner; (3) impedance pneumobraph and respiration rate processor; (4) hear/breath rate processor; (5) temperature monitor; and (6) LCD display.

Transfusion monitoring: care practice analysis in a public teaching hospital

PubMed Central

dos Reis, Valesca Nunes; Paixão, Isabella Bertolin; Perrone, Ana Carolina Amaral de São José; Monteiro, Maria Inês; dos Santos, Kelli Borges

2016-01-01

ABSTRACT Objective To analyze the process of recording transfusion monitoring at a public teaching hospital. Methods A descriptive and retrospective study with a quantitative approach, analyzing the instruments to record transfusion monitoring at a public hospital in a city in the State of Minas Gerais (MG). Data were collected on the correct completion of the instrument, time elapsed from transfusions, records of vital signs, type of blood component more frequently transfused, and hospital unit where transfusion was performed. Results A total of 1,012 records were analyzed, and 53.4% of them had errors in filling in the instruments, 6% of transfusions started after the recommended time, and 9.3% of patients had no vital signs registered. Conclusion Failures were identified in the process of recording transfusion monitoring, and they could result in more adverse events related to the administration of blood components. Planning and implementing strategies to enhance recording and to improve care delivered are challenging. PMID:27074233

Monitoring of Vital Signs with Flexible and Wearable Medical Devices.

PubMed

Khan, Yasser; Ostfeld, Aminy E; Lochner, Claire M; Pierre, Adrien; Arias, Ana C

2016-06-01

Advances in wireless technologies, low-power electronics, the internet of things, and in the domain of connected health are driving innovations in wearable medical devices at a tremendous pace. Wearable sensor systems composed of flexible and stretchable materials have the potential to better interface to the human skin, whereas silicon-based electronics are extremely efficient in sensor data processing and transmission. Therefore, flexible and stretchable sensors combined with low-power silicon-based electronics are a viable and efficient approach for medical monitoring. Flexible medical devices designed for monitoring human vital signs, such as body temperature, heart rate, respiration rate, blood pressure, pulse oxygenation, and blood glucose have applications in both fitness monitoring and medical diagnostics. As a review of the latest development in flexible and wearable human vitals sensors, the essential components required for vitals sensors are outlined and discussed here, including the reported sensor systems, sensing mechanisms, sensor fabrication, power, and data processing requirements. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Early detection of emerging zoonotic diseases with animal morbidity and mortality monitoring.

PubMed

Bisson, Isabelle-Anne; Ssebide, Benard J; Marra, Peter P

2015-03-01

Diseases transmitted between animals and people have made up more than 50% of emerging infectious diseases in humans over the last 60 years and have continued to arise in recent months. Yet, public health and animal disease surveillance programs continue to operate independently. Here, we assessed whether recent emerging zoonotic pathogens (n = 143) are known to cause morbidity or mortality in their animal host and if so, whether they were first detected with an animal morbidity/mortality event. We show that although sick or dead animals are often associated with these pathogens (52%), only 9% were first detected from an animal morbidity or mortality event prior to or concurrent with signs of illness in humans. We propose that an animal morbidity and mortality reporting program will improve detection and should be an essential component of early warning systems for zoonotic diseases. With the use of widespread low-cost technology, such a program could engage both the public and professionals and be easily tested and further incorporated as part of surveillance efforts by public health officials.

WOVOdat as a worldwide resource to improve eruption forecasts

NASA Astrophysics Data System (ADS)

Widiwijayanti, Christina; Costa, Fidel; Zar Win Nang, Thin; Tan, Karine; Newhall, Chris; Ratdomopurbo, Antonius

2015-04-01

During periods of volcanic unrest, volcanologists need to interpret signs of unrest to be able to forecast whether an eruption is likely to occur. Some volcanic eruptions display signs of impending eruption such as seismic activity, surface deformation, or gas emissions; but not all will give signs and not all signs are necessarily followed by an eruption. Volcanoes behave differently. Precursory signs of an eruption are sometimes very short, less than an hour, but can be also weeks, months, or even years. Some volcanoes are regularly active and closely monitored, while other aren't. Often, the record of precursors to historical eruptions of a volcano isn't enough to allow a forecast of its future activity. Therefore, volcanologists must refer to monitoring data of unrest and eruptions at similar volcanoes. WOVOdat is the World Organization of Volcano Observatories' Database of volcanic unrest - an international effort to develop common standards for compiling and storing data on volcanic unrests in a centralized database and freely web-accessible for reference during volcanic crises, comparative studies, and basic research on pre-eruption processes. WOVOdat will be to volcanology as an epidemiological database is to medicine. We have up to now incorporated about 15% of worldwide unrest data into WOVOdat, covering more than 100 eruption episodes, which includes: volcanic background data, eruptive histories, monitoring data (seismic, deformation, gas, hydrology, thermal, fields, and meteorology), monitoring metadata, and supporting data such as reports, images, maps and videos. Nearly all data in WOVOdat are time-stamped and geo-referenced. Along with creating a database on volcanic unrest, WOVOdat also developing web-tools to help users to query, visualize, and compare data, which further can be used for probabilistic eruption forecasting. Reference to WOVOdat will be especially helpful at volcanoes that have not erupted in historical or 'instrumental' time and thus for which no previous data exist. The more data in WOVOdat, the more useful it will be. We actively solicit relevant data contributions from volcano observatories, other institutions, and individual researchers. Detailed information and documentation about the database and how to use it can be found at www.wovodat.org.

Parkinsonism signs and symptoms in agricultural pesticide handlers in Washington State

PubMed Central

Nielsen, Susan Searles; Hu, Shu-Ching; Checkoway, Harvey; Negrete, Maria; Palmández, Pablo; Bordianu, Theresa; Racette, Brad A.; Simpson, Christopher D.

2017-01-01

Objectives Examine associations between pesticide exposure and signs or symptoms of parkinsonism. Methods Prior to the 2014 pesticide spray season we examined 38 active pesticide handlers age 35-65 (median 43.5) who participated in the State of Washington's cholinesterase monitoring program in the Yakima Valley, where cholinesterase-inhibiting insecticides are applied in fruit orchards. A movement disorders specialist assessed the workers using the Unified Parkinson's Disease Rating Scale (UPDRS) motor subscore 3 (UPDRS3). Participants also self-reported work and medical histories, including the UPDRS activities of daily living subscore 2 (UPDRS2). We explored the relation between these scores and lifetime occupational pesticide exposure while accounting for age. Results All participants were Hispanic men born in Mexico who had worked in agriculture for 4-43 years (median 21 years, including 11 years applying pesticides, mostly in the U.S.). Ten participants (26%) reported difficulty with one or more UPDRS2 activities of daily living (maximum=2) and nine (24%) had a UPDRS3>0 (maximum=10). The most common symptom and sign, respectively, were excess saliva (n=6) and action tremor (n=5). UPDRS2 and UPDRS3 scores were unrelated to the number of years applying pesticides, but UPDRS3, especially action tremor, was positively associated with living on or by a farm. Conclusions Symptoms and signs of parkinsonism were absent to mild in this small sample of active workers who apply cholinesterase-inhibiting insecticides in Washington State, U.S. Future studies should be larger, and examine older, retired workers with greater cumulative exposure to agricultural pesticides at work and home, including other types of agricultural pesticides. PMID:28418778

Parkinsonism Signs and Symptoms in Agricultural Pesticide Handlers in Washington State.

PubMed

Searles Nielsen, Susan; Hu, Shu-Ching; Checkoway, Harvey; Negrete, Maria; Palmández, Pablo; Bordianu, Theresa; Racette, Brad A; Simpson, Christopher D

2017-01-01

Examine associations between pesticide exposure and signs or symptoms of parkinsonism. Prior to the 2014 pesticide spray season, the authors examined 38 active pesticide handlers aged 35 to 65 (median: 43.5) who participated in the State of Washington's cholinesterase monitoring program in the Yakima Valley, where cholinesterase-inhibiting insecticides are applied in fruit orchards. A movement disorder specialist assessed the workers using the Unified Parkinson's Disease Rating Scale (UPDRS) motor subscore 3 (UPDRS3). Participants also self-reported work and medical histories, including the UPDRS activities of daily living subscore 2 (UPDRS2). The authors explored the relation between these scores and lifetime occupational pesticide exposure while accounting for age. All participants were Hispanic men born in Mexico who had worked in agriculture for 4 to 43 years (median: 21 years, including 11 years applying pesticides, mostly in the United States). Ten participants (26%) reported difficulty with one or more UPDRS2 activities of daily living (maximum = 2), and nine (24%) had a UPDRS3 >0 (maximum = 10). The most common symptom and sign, respectively, were excess saliva (n = 6) and action tremor (n = 5). UPDRS2 and UPDRS3 scores were unrelated to the number of years applying pesticides, but UPDRS3, especially action tremor, was positively associated with living on or by a farm. Symptoms and signs of parkinsonism were absent to mild in this small sample of active workers who apply cholinesterase-inhibiting insecticides in Washington State, USA. Future studies should be larger and examine older, retired workers with greater cumulative exposure to agricultural pesticides at work and home, including other types of agricultural pesticides.

Consideraciones para la estimacion de abundancia de poblaciones de mamiferos. [Considerations for the estimation of abundance of mammal populations.

USGS Publications Warehouse

Walker, R.S.; Novare, A.J.; Nichols, J.D.

2000-01-01

Estimation of abundance of mammal populations is essential for monitoring programs and for many ecological investigations. The first step for any study of variation in mammal abundance over space or time is to define the objectives of the study and how and why abundance data are to be used. The data used to estimate abundance are count statistics in the form of counts of animals or their signs. There are two major sources of uncertainty that must be considered in the design of the study: spatial variation and the relationship between abundance and the count statistic. Spatial variation in the distribution of animals or signs may be taken into account with appropriate spatial sampling. Count statistics may be viewed as random variables, with the expected value of the count statistic equal to the true abundance of the population multiplied by a coefficient p. With direct counts, p represents the probability of detection or capture of individuals, and with indirect counts it represents the rate of production of the signs as well as their probability of detection. Comparisons of abundance using count statistics from different times or places assume that the p are the same for all times or places being compared (p= pi). In spite of considerable evidence that this assumption rarely holds true, it is commonly made in studies of mammal abundance, as when the minimum number alive or indices based on sign counts are used to compare abundance in different habitats or times. Alternatives to relying on this assumption are to calibrate the index used by testing the assumption of p= pi, or to incorporate the estimation of p into the study design.

Calendar year 1996 annual groundwater monitoring report for the Chestnut Ridge Hydrogeologic Regime at the U.S. Department of Energy Y-12 Plant, Oak Ridge, Tennessee

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

NONE

1997-02-01

This annual monitoring report contains groundwater and surface water monitoring data obtained in the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime) during calendar year (CY) 1996. The Chestnut Ridge Regime encompasses a section of Chestnut Ridge west of Scarboro Road and east of an unnamed drainage feature southwest of the US Department of Energy (DOE) Oak Ridge Y-12 Plant (unless otherwise noted, directions are in reference to the Y-12 Plant administrative grid). The Chestnut Ridge Regime contains several sites used for management of hazardous and nonhazardous wastes associated with plant operations. Groundwater and surface water quality monitoring associated with thesemore » waste management sites is performed under the auspices of the Y-12 Plant Groundwater Protection Program (GWPP). Included in this annual monitoring report are the groundwater monitoring data obtained in compliance with the Resource Conservation and Recovery Act (RCRA) Post-Closure Permit for the Chestnut Ridge Regime (post-closure permit) issued by the Tennessee Department of Environment and Conservation (TDEC) in June 1996. Besides the signed certification statement and the RCRA facility information summarized below, condition II.C.6 of the post-closure permit requires annual reporting of groundwater monitoring activities, inclusive of the analytical data and results of applicable data evaluations, performed at three RCRA hazardous waste treatment, storage, or disposal (TSD) units: the Chestnut Ridge Sediment Disposal Basin (Sediment Disposal Basin), the Chestnut Ridge Security Pits (Security Pits), and Kerr Hollow Quarry.« less

Using OPC and HL7 Standards to Incorporate an Industrial Big Data Historian in a Health IT Environment.

PubMed

Cruz, Márcio Freire; Cavalcante, Carlos Arthur Mattos Teixeira; Sá Barretto, Sérgio Torres

2018-05-30

Health Level Seven (HL7) is one of the standards most used to centralize data from different vital sign monitoring systems. This solution significantly limits the data available for historical analysis, because it typically uses databases that are not effective in storing large volumes of data. In industry, a specific Big Data Historian, known as a Process Information Management System (PIMS), solves this problem. This work proposes the same solution to overcome the restriction on storing vital sign data. The PIMS needs a compatible communication standard to allow storing, and the one most commonly used is the OLE for Process Control (OPC). This paper presents a HL7-OPC Server that permits communication between vital sign monitoring systems with PIMS, thus allowing the storage of long historical series of vital signs. In addition, it carries out a review about local and cloud-based Big Medical Data researches, followed by an analysis of the PIMS in a Health IT Environment. Then it shows the architecture of HL7 and OPC Standards. Finally, it shows the HL7-OPC Server and a sequence of tests that proved its full operation and performance.

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

Chen, Bingye; Sintov, Nicole

To achieve energy savings, emerging energy management technologies and programs require customer adoption. Although a variety of models can be used to explain the adoption of energy management technologies and programs, they overlook the seemingly unconventional element of level of affiliation with nature. In fact, connectedness to nature has been identified as an important driver of many pro-environmental behaviors, but its role in pro-environmental technology adoption is also not well understood. Can affiliation with nature help to bridge the apparent gap—and complex chain of events—between sustainable technology adoption and protecting natural resources? Based on survey data from 856 southern Californiamore » residents, this study investigated the influence of connectedness to nature and other factors on intentions to adopt five energy management technologies and programs: using three platforms to monitor home energy use (website, mobile phone application, in-home display); signing up for a time-of-use pricing plan; and participating in demand response events. Regression results showed that nature connectedness was the strongest predictor of all outcomes such that higher nature connectedness predicted greater likelihood of technology and program adoption. In conclusion, these findings suggest that connectedness to nature may facilitate “bridging the logic gap” between sustainable innovation adoption and environmental protection.« less

Automatically-computed prehospital severity scores are equivalent to scores based on medic documentation.

PubMed

Reisner, Andrew T; Chen, Liangyou; McKenna, Thomas M; Reifman, Jaques

2008-10-01

Prehospital severity scores can be used in routine prehospital care, mass casualty care, and military triage. If computers could reliably calculate clinical scores, new clinical and research methodologies would be possible. One obstacle is that vital signs measured automatically can be unreliable. We hypothesized that Signal Quality Indices (SQI's), computer algorithms that differentiate between reliable and unreliable monitored physiologic data, could improve the predictive power of computer-calculated scores. In a retrospective analysis of trauma casualties transported by air ambulance, we computed the Triage Revised Trauma Score (RTS) from archived travel monitor data. We compared the areas-under-the-curve (AUC's) of receiver operating characteristic curves for prediction of mortality and red blood cell transfusion for 187 subjects with comparable quantities of good-quality and poor-quality data. Vital signs deemed reliable by SQI's led to significantly more discriminatory severity scores than vital signs deemed unreliable. We also compared automatically-computed RTS (using the SQI's) versus RTS computed from vital signs documented by medics. For the subjects in whom the SQI algorithms identified 15 consecutive seconds of reliable vital signs data (n = 350), the automatically-computed scores' AUC's were the same as the medic-based scores' AUC's. Using the Prehospital Index in place of RTS led to very similar results, corroborating our findings. SQI algorithms improve automatically-computed severity scores, and automatically-computed scores using SQI's are equivalent to medic-based scores.

75 FR 38463 - New England Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-02

... Committee will continue development of catch monitoring alternatives for inclusion in Amendment 5 to the... to developing catch monitoring alternatives for inclusion in Amendment 5 to the Atlantic Herring FMP... meeting is physically accessible to people with disabilities. Requests for sign language interpretation or...

History of the College of the Holy Cross American Sign Language Program and Its Collaborative Partnerships with the Worcester Deaf Community

ERIC Educational Resources Information Center

Fisher, Jami N.

2014-01-01

Most postsecondary American Sign Language programs have an inherent connection to their local Deaf communities and rely on the community's events to provide authentic linguistic and cultural experiences for their students. While this type of activity benefits students, there is often little effort toward meaningful engagement or attention to…

47 CFR 74.791 - Digital call signs.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., AUXILIARY, SPECIAL BROADCAST AND OTHER PROGRAM DISTRIBUTIONAL SERVICES Low Power TV, TV Translator, and TV... −D. (b) Digital television translator stations. Call signs for digital television translator stations...

Sign"geist": Promoting Bilingualism through the Linguistic Landscape of School Signage

ERIC Educational Resources Information Center

Dressler, Roswita

2015-01-01

This study is an examination of signage and sign-making practices in one elementary (Kindergarten to sixth grade) public school which offers a German Bilingual Program (GBP) for the development of German-English bilingualism. Schools are public spaces in which the visible language choice on signs reveals the circulating discourses around language…

Infants Learn Baby Signs from Video

ERIC Educational Resources Information Center

Dayanim, Shoshana; Namy, Laura L.

2015-01-01

There is little evidence that infants learn from infant-oriented educational videos and television programming. This 4-week longitudinal experiment investigated 15-month-olds' (N = 92) ability to learn American Sign Language signs (e.g., patting head for hat) from at-home viewing of instructional video, either with or without parent support,…

Computer-Based Signing Accommodations: Comparing a Recorded Human with an Avatar

ERIC Educational Resources Information Center

Russell, Michael; Kavanaugh, Maureen; Masters, Jessica; Higgins, Jennifer; Hoffmann, Thomas

2009-01-01

Many students who are deaf or hard-of-hearing are eligible for a signing accommodation for state and other standardized tests. The signing accommodation, however, presents several challenges for testing programs that attempt to administer tests under standardized conditions. One potential solution for many of these challenges is the use of…

Ultra-Rapid UV Spectroscopy of an Interacting Supernova Discovered by K2

NASA Astrophysics Data System (ADS)

Foley, Ryan

2017-08-01

The supernova (SN) community is preparing for an extraordinary experiment. For 5 months, the Kepler telescope (K2) will perform a SN survey. Monitoring 20,000 galaxies with a 30-minute cadence, K2 will detect 50 SNe within hours - perhaps even minutes - of explosion. Such data have proven to be a unique window to the details of the SN explosion, progenitor, and circumstellar (CS) environment. We are devoting significant ground-based telescopic resources to search for and follow these SNe.We propose to take advantage of these emergent SNe and exquisite K2 light curves to study 1 SN in detail with HST. For the first few days after a SN explosion, one can potentially see signs of the SN interacting with its CS environment (e.g., a wind, accretion disk, companion star) that are not present later in its evolution. For instance, the large UV flux from a SN shock breakout will ionize CS gas. As the gas recombines over the following days, it produces excess broad-band flux and reveals the CSM (and thus progenitor) composition through emission lines. While early optical data can be illuminating, its utility is limited. However, UV spectra can greatly enhance our understanding of SN progenitor systems, including progenitor composition, CS environment, and the existence of a binary companion. Our program will observe a single K2 SN that shows signs of early interaction.Because of the ephemeral nature of the interaction signatures, this program requires an ultra-rapid ToO. The combination of K2 photometry, ground-based data, and HST UV spectra will be a completely unique and defining data set. As Kepler will soon be retired, this is our only opportunity for such a program.

Monitoring of clinical signs in goats with transmissible spongiform encephalopathies

PubMed Central

2010-01-01

Background As there is limited information about the clinical signs of BSE and scrapie in goats, studies were conducted to describe the clinical progression of scrapie and BSE in goats and to evaluate a short clinical protocol for its use in detecting scrapie-affected goats in two herds with previously confirmed scrapie cases. Clinical assessments were carried out in five goats intracerebrally infected with the BSE agent as well as five reported scrapie suspects and 346 goats subject to cull from the two herds, 24 of which were retained for further monitoring. The brain and selected lymphoid tissue were examined by postmortem tests for disease confirmation. Results The sensitivity and specificity of the short clinical protocol in detecting a scrapie case in the scrapie-affected herds was 3.9% and 99.6%, respectively, based on the presence of tremor, positive scratch test, extensive hair loss, ataxia and absent menace response. All BSE- and scrapie-affected goats displayed abnormalities in sensation (over-reactivity to external stimuli, startle responses, pruritus, absent menace response) and movement (ataxia, tremor, postural deficits) at an advanced clinical stage but the first detectable sign associated with scrapie or BSE could vary between animals. Signs of pruritus were not always present despite similar prion protein genotypes. Clinical signs of scrapie were also displayed by two scrapie cases that presented with detectable disease-associated prion protein only in lymphoid tissues. Conclusions BSE and scrapie may present as pruritic and non-pruritic forms in goats. Signs assessed for the clinical diagnosis of scrapie or BSE in goats should include postural and gait abnormalities, pruritus and visual impairment. However, many scrapie cases will be missed if detection is solely based on the display of clinical signs. PrPd accumulation in the brain appeared to be related to the severity of clinical disease but not to the display of individual neurological signs. PMID:20202205

Improving stroke knowledge through a 'volunteer-led' community education program in Australia.

PubMed

Kilkenny, Monique F; Purvis, Tara; Werner, Megan; Reyneke, Megan; Czerenkowski, Jude; Cadilhac, Dominique A

2016-05-01

Public awareness of stroke risks and warning signs remains poor. The National Stroke Foundation (NSF) in Australia has been undertaking a StrokeSafe Ambassador Education program to raise awareness of stroke. The format includes presentations by volunteers trained to be 'ambassadors' to spread standard information about stroke to the public. Our aim was to determine the change in knowledge of participants who attended presentations. Participants completed questionnaires before immediately after presentations, and at 3months following the presentation. Information was collected on knowledge of risk factors and signs of stroke. McNemar's test was used to compare paired-responses over time. A p value of <0.05 was considered significant. Between March and April 2014, 591 participants attended 185 presentations and 591 (100%) completed them before and immediately after presentation questionnaires: 68% were female and 75% were aged 65years or more. 258 consented for further follow-up with 192 completing follow-up. Comparing immediately after with before presentation showed significantly improved knowledge for all 10 stroke risk factors and all signs of stroke. Significantly improved knowledge for 7/10 risk factors and 1/3 signs of stroke was found when comparing follow-up and immediately after presentation results. Knowledge of 5/10 risk factors and 2/3 signs of stroke improved when comparing follow-up and before presentation. This study describes a novel approach to support the use of trained volunteers to provide a community-based, standardised education program for stroke. This program shows that community presentations can improve immediate and short-term knowledge of signs and risk factors for stroke. Copyright © 2016. Published by Elsevier Inc.

Millimeter-wave radar for vital signs sensing

NASA Astrophysics Data System (ADS)

Petkie, Douglas T.; Benton, Carla; Bryan, Erik

2009-05-01

In this paper, we will describe the development of a 228 GHz heterodyne radar system as a vital signs sensing monitor that can remotely measure respiration and heart rates from distances of 1 to 50 meters. We will discuss the design of the radar system along with several studies of its performance. The system includes the 228 GHz transmitter and heterodyne receiver that are optically coupled to the same 6 inch optical mirror that is used to illuminate the subject under study. Intermediate Frequency (IF) signal processing allows the system to track the phase of the reflected signal through I and Q detection and phase unwrapping. The system monitors the displacement in real time, allowing various studies of its performance to be made. We will review its successes by comparing the measured rates with a wireless health monitor and also describe the challenges of the system.

Marine Corps Operational Medicine: Determining Medical Supply Needs of the Forward Resuscitative Surgery System and the Shock Trauma Platoon

DTIC Science & Technology

2005-10-17

34 Diameter W/O Handle 1s 4 EA 0.03 0 $16.73 0.12 0 $66.92 6515012714894 Sensor Spo2 Monitoring Finger Wrap Propaq 206 26s 1.38 PG 0.94 0.06 $394.18...Polypropylene Cover 1.00 EA 6515015009035 Monitor Patient Vital Signs Model 206 EKG SPO2 NIBP Temp 8x5x4in Batt/Cord 1.00 EA 6530006600034...Patient Vital Signs Model 206 Ekg Spo2 Nibp Temp 8x5x4in Batt/Cord 6.00 EA 12.00 1.12 $8,150.00 54.00 1.80 $48,900.00 6515014586178 Otoscope And

ARC-2007-ACD07-0140-001

NASA Image and Video Library

2007-07-31

David L. Iverson of NASA Ames Research center, Moffett Field, California, led development of computer software to monitor the conditions of the gyroscopes that keep the International Space Station (ISS) properly oriented in space as the ISS orbits Earth. The gyroscopes are flywheels that control the station's attitude without the use of propellant fuel. NASA computer scientists designed the new software, the Inductive Monitoring System, to detect warning signs that precede a gyroscope's failure. According to NASA officials, engineers will add the new software tool to a group of existing tools to identify and track problems related to the gyroscopes. If the software detects warning signs, it will quickly warn the space station's mission control center.

The Nurse Watch: Design and Evaluation of a Smart Watch Application with Vital Sign Monitoring and Checklist Reminders

PubMed Central

Bang, Magnus; Solnevik, Katarina; Eriksson, Henrik

2015-01-01

Computerized wearable devices such as smart watches will become valuable nursing tools. This paper describes a smart-watch system developed in close collaboration with a team of nurses working in a Swedish ICU. The smart-watch system provides real-time vital-sign monitoring, threshold alarms, and to-do reminders. Additionally, a Kanban board, visualized on a multitouch screen provides an overview of completed and upcoming tasks. We describe an approach to implement automated checklist systems with smart watches and discuss aspects of importance when implementing such memory and attention support. The paper is finalized with an in-development formative evaluation of the system. PMID:26958162

The Nurse Watch: Design and Evaluation of a Smart Watch Application with Vital Sign Monitoring and Checklist Reminders.

PubMed

Bang, Magnus; Solnevik, Katarina; Eriksson, Henrik

Computerized wearable devices such as smart watches will become valuable nursing tools. This paper describes a smart-watch system developed in close collaboration with a team of nurses working in a Swedish ICU. The smart-watch system provides real-time vital-sign monitoring, threshold alarms, and to-do reminders. Additionally, a Kanban board, visualized on a multitouch screen provides an overview of completed and upcoming tasks. We describe an approach to implement automated checklist systems with smart watches and discuss aspects of importance when implementing such memory and attention support. The paper is finalized with an in-development formative evaluation of the system.

Monitoring carnivore populations at the landscape scale: occupancy modelling of tigers from sign surveys

USGS Publications Warehouse

Karanth, Kota Ullas; Gopalaswamy, Arjun M.; Kumar, Narayanarao Samba; Vaidyanathan, Srinivas; Nichols, James D.; MacKenzie, Darryl I.

2011-01-01

1. Assessing spatial distributions of threatened large carnivores at landscape scales poses formidable challenges because of their rarity and elusiveness. As a consequence of logistical constraints, investigators typically rely on sign surveys. Most survey methods, however, do not explicitly address the central problem of imperfect detections of animal signs in the field, leading to underestimates of true habitat occupancy and distribution. 2. We assessed habitat occupancy for a tiger Panthera tigris metapopulation across a c. 38 000-km2 landscape in India, employing a spatially replicated survey to explicitly address imperfect detections. Ecological predictions about tiger presence were confronted with sign detection data generated from occupancy sampling of 205 sites, each of 188 km2. 3. A recent occupancy model that considers Markovian dependency among sign detections on spatial replicates performed better than the standard occupancy model (ΔAIC = 184·9). A formulation of this model that fitted the data best showed that density of ungulate prey and levels of human disturbance were key determinants of local tiger presence. Model averaging resulted in a replicate-level detection probability [inline image] = 0·17 (0·17) for signs and a tiger habitat occupancy estimate of [inline image] = 0·665 (0·0857) or 14 076 (1814) km2 of potential habitat of 21 167 km2. In contrast, a traditional presence-versus-absence approach underestimated occupancy by 47%. Maps of probabilities of local site occupancy clearly identified tiger source populations at higher densities and matched observed tiger density variations, suggesting their potential utility for population assessments at landscape scales. 4. Synthesis and applications. Landscape-scale sign surveys can efficiently assess large carnivore spatial distributions and elucidate the factors governing their local presence, provided ecological and observation processes are both explicitly modelled. Occupancy sampling using spatial replicates can be used to reliably and efficiently identify tiger population sources and help monitor metapopulations. Our results reinforce earlier findings that prey depletion and human disturbance are key drivers of local tiger extinctions and tigers can persist even in human-dominated landscapes through effective protection of source populations. Our approach facilitates efficient targeting of tiger conservation interventions and, more generally, provides a basis for the reliable integration of large carnivore monitoring data between local and landscape scales.

Characterizing Geohydrologic Linkages using Process Domains for Monitoring Aquatic Ecosystems

NASA Astrophysics Data System (ADS)

Weekes, A.; Torgersen, C.; Montgomery, D. R.; Woodward, A.; Bolton, S.

2009-12-01

Aquatic habitats in glaciated headwater basins can differ widely within a mountain region and are often more complex than those found in lowland river systems. Current legislative mandates for ecosystem monitoring often require the ability to relate geomorphic and hydrologic stream attributes to ecological response. The capacity to define meaningful references states against which to evaluate current status and trends is particularly challenging in mountain aquatic ecosystems. To aid in the implementation of the National Park Service (NPS) Vital Signs Monitoring Program in the mountainous North Coast and Cascades Network (NCCN) parks, this project sought a systematic way to characterize both the spatial distribution of geomorphic controls within the stream hierarchy and to integrate hydrologic response. These controls comprise the physical context that supports biotic “vital signs” in park ecosystems and have consequences that directly affect the life history strategies and persistence of biota living in mountain streams and other aquatic habitats. However, there are currently no monitoring protocols that provide a precedent for incorporating the geomorphic spatial characteristics or diverse types of hydrologic response at the spatial and temporal scales unique to these headwater systems. To address this issue, we investigated relationships between valley-scale glacial macroforms and hydrologic indices (e.g. streamflow gauging, stable isotope analysis and water temperature measurements) in small (1 - 20 km2) headwater basins on the east side of Mount Rainier National Park. The linkage between geomorphic and hydrologic response was found to be best expressed in process domains defined as colluvial, alluvial and bedrock systems. Study results show a correlation between the percentage of colluvial process domains within a headwater catchment and the characteristic hydrologic regime of the basin. These relationships offer a framework that can account for the innate system complexity useful to ecological monitoring programs that aim to compare the physical habitats that control biotic response.

Record review to explore the adequacy of post-operative vital signs monitoring using a local modified early warning score (mews) chart to evaluate outcomes.

PubMed

Kyriacos, Una; Jelsma, Jennifer; Jordan, Sue

2014-01-01

1) To explore the adequacy of: vital signs' recordings (respiratory and heart rate, oxygen saturation, systolic blood pressure (BP), temperature, level of consciousness and urine output) in the first 8 post-operative hours; responses to clinical deterioration. 2) To identify factors associated with death on the ward between transfer from the theatre recovery suite and the seventh day after operation. Retrospective review of records of 11 patients who died plus four controls for each case. We reviewed clinical records of 55 patients who met inclusion criteria (general anaesthetic, age >13, complete records) from six surgical wards in a teaching hospital between 1 May and 31 July 2009. In the absence of guidelines for routine post-operative vital signs' monitoring, nurses' standard practice graphical plots of recordings were recoded into MEWS formats (0 = normal, 1-3 upper or lower limit) and their responses to clinical deterioration were interpreted using MEWS reporting algorithms. No patients' records contained recordings for all seven parameters displayed on the MEWS. There was no evidence of response to: 22/36 (61.1%) abnormal vital signs for patients who died that would have triggered an escalated MEWS reporting algorithm; 81/87 (93.1%) for controls. Death was associated with age, ≥61 years (OR 14.2, 3.0-68.0); ≥2 pre-existing co-morbidities (OR 75.3, 3.7-1527.4); high/low systolic BP on admission (OR 7.2, 1.5-34.2); tachycardia (≥111-129 bpm) (OR 6.6, 1.4-30.0) and low systolic BP (≤81-100 mmHg), as defined by the MEWS (OR 8.0, 1.9-33.1). Guidelines for post-operative vital signs' monitoring and reporting need to be established. The MEWS provides a useful scoring system for interpreting clinical deterioration and guiding intervention. Exploration of the ability of the Cape Town MEWS chart plus reporting algorithm to expedite recognition of signs of clinical and physiological deterioration and securing more skilled assistance is essential.

Feedback interventions and driving speed: A parametric and comparative analysis

PubMed Central

Houten, Ron Van; Nau, Paul A.

1983-01-01

Five experiments were conducted to assess the effects of several variables on the efficacy of feedback in reducing driving speed. Experiment 1 systematically varied the criterion used to define speeding, and results showed that the use of a lenient criterion (20 km/hr over the speed limit), which allowed for the posting of high percentages of drivers not speeding, was more effective in reducing speeding than the use of a stringent criterion (10 km/hr over the speed limit). In Experiment 2 an analysis revealed that posting feedback reduced speeding on a limited access highway and the effects persisted to some degree up to 6 km. Experiments 3 and 4 compared the effectiveness of an unmanned parked police vehicle (Experiment 3) and a police air patrol speeding program (Experiment 4) with the feedback sign and determined whether the presence of either of these enforcement variables could potentiate the efficacy of the sign. The results of both experiments demonstrated that although the two enforcement programs initially produced larger effects than the feedback sign, the magnitude of their effect attenuated over time. Experiment 5 compared the effectiveness of a traditional enforcement program with a warning program which included handing out a flier providing feedback on the number and types of accidents occuring on the road during the past year. This experiment demonstrated that the warning program produced a marked reduction in speeding and the traditional enforcement program did not. Furthermore, the warning program and a feedback sign together produced an even greater reduction in speeding than either alone. PMID:16795666

Oak Ridge Associated Universities Technology Transfer Program: Annual report, FY 1987

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

Not Available

1987-11-01

Several of ORAU's FY87 technology transfer accomplishments have resulted in improvements in the University Isotope Separator at Oak Ridge (UNISOR), a DOE scientific user facility. UNISOR is a cooperative venture of nine universities, ORAU, Oak Ridge National Laboratory, and the state of Tennessee. Three application assessment records were filed for UNISOR, and a patent waiver was granted for a low-level particle beam monitor and current meter. Some activities in the Medical and Health Sciences Division's biochemistry and nuclear medicine programs have resulted in products with commercialization potential. DOE has granted ORAU a patent waiver for a myocardial imaging agent, andmore » a waiver petition for an antihypertensive neutral lipid has been filed and is pending. In addition, ORAU has signed an agreement with a small business to develop and demonstrate the production capability of a small cyclotron. ORAU will work with industry to explore options for further development and commercialization of all three products.« less

A Comparative Study of Pre-Service Teachers' Understandings of the Equal Sign

ERIC Educational Resources Information Center

Buddenhagen Hartzler, Julie Ellen

2013-01-01

This multipart study looked at pre-service teachers' (PSTs') understandings of the equal sign using an experimental measure, the EQ score. The data were analyzed for PSTs as a group and cross-sectionally at three key points during their elementary teacher education program. Relationships between equal sign understandings and other variables (e.g.,…

A Framework for Long-term Ecological Monitoring in Olympic National Park: Prototype for the Coniferous Forest Biome

USGS Publications Warehouse

Jenkins, Kurt; Woodward, Andrea; Schreiner, Ed

2003-01-01

This report is the result of a five-year collaboration between scientists of the U.S. Geological Survey Forest and Rangeland Ecosystem Science Center, Olympic Field Station, and the natural resources staff of Olympic National Park to develop a comprehensive strategy for monitoring natural resources of Olympic National Park. Olympic National Park is the National Park Serviceʼs prototype monitoring park, representing parks in the coniferous forest biome. Under the umbrella of the National Park Serviceʼs prototype parks program, U.S. Geological Survey and Olympic National Park staffs are obligated to:develop strategies and designs for monitoring the long-term health and integrity of national park ecosystems with a significant coniferous forest component.design exportable monitoring protocols that can be used by other parks within the coniferous forest biome (i.e., parks having similar environments), andcreate a demonstration area and ʻcenter of excellenceʼ for assisting other parks in developing ecological monitoring programs.Olympic National Park is part of the North Coast and Cascades Network, a network of seven Pacific Northwestern park units created recently by the National Park Serviceʼs Inventory and Monitoring Program to extend the monitoring of ʻvital signsʼ of park health to all National Park Service units. It is our intent and hope that the monitoring strategies and conceptual models described here will meet the overall purpose of the prototype parks monitoring program in proving useful not only to Olympic National Park, but also to parks within the North Coast and Cascades Network and elsewhere. Part I contains the conceptual design and sampling framework for the prototype long-term monitoring program in Olympic National Park. In this section, we explore key elements of monitoring design that help to ensure the spatial, ecological, and temporal integration of monitoring program elements and discuss approaches used to design an ecosystem-based monitoring program. Basic monitoring components include ecosystem drivers, (e.g., climate, atmospheric inputs, human pressures), indicators of ecosystem integrity (e.g., biogeochemical indicators), known threats (e.g., impacts of introduced mountain goats), and focal or ʻkeyʼ species (e.g., rare or listed species, Roosevelt elk). Monitoring system drivers and key indicators of ecosystem integrity provide the long-term baseline needed to judge what constitutes ʻunnaturalʼ variation in park resources and provide the earliest possible warning of unacceptable change. Monitoring effects of known threats and the status of focal species will provide information useful to park managers for dealing with current park issues. In Part I we describe the process of identifying potential indicators of ecological condition and present conceptual models of park ecosystems. In addition we report results from several workshops held in conjunction with Olympic National Park aimed at identifying potential indicators of change in the parkʼs ecosystem. First, we describe the responses of Olympic National Park staff to the generic question, “What is the most important resource to monitor in Olympic National Park and why?” followed by the responses from resource and land managers from areas adjoining the park. We also catalogue the responses of various expert groups that we asked to help identify the most appropriate system drivers and indicators of change in the Olympic National Park ecosystems. Results of the workshops provided the justification for selecting basic indicators of ecosystem integrity, effects of current threats to park resources, and focal resources of parks to detect both the currently evident and unforeseeable changes in park resources. We conclude Part I by exploring several generic statistical issues relevant to monitoring natural resources in Olympic National Park. Specifically we discuss trade-offs associated with sampling extensively versus sampling intensively in smaller geographic regions and describe a conceptual framework to guide development of a generic sampling frame for monitoring. We recommend partitioning Olympic National Park into three zones of decreasing accessibility to maximize monitoring efficiency. We present examples of how the generic sampling frame could be used to help ensure spatial integration of individual monitoring projects. Part II of the report is a record of the potential monitoring questions and indicators identified to date in our workshops. The presentation is organized according to the major system drivers, components, and processes identified in the intermediate-level working model of the Olympic National Park ecosystem. For each component of the park system, we develop the need and justification for monitoring, articulate park management issues, and describe key resources and ecosystem functions. We also present a pictorial conceptual model of each ecological subsystem, identify monitoring questions, and list potential indicators for each monitoring question. We conclude each section by identifying linkages of indicators to other ecological subsystems in our general ecosystem model, spatial and temporal contexts for monitoring (where and how often to monitor), and research and development needs. Part II represents the most current detailed listing of potential indicators—the material for subsequent discussions of monitoring priorities and selection of indicators for protocol development.Collectively, the sections of this report contain a comprehensive list of the important monitoring questions and potential indicators as well as recommendations for designing an integrated monitoring program. In Part I, Chapter 6 we provide recommendations on how to proceed with the important next steps in the design process: establishing priorities among the many possible monitoring questions and indicators, and beginning to research and design effective long-term monitoring protocols.

xdamp Version 6 : an IDL-based data and image manipulation program.

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

Ballard, William Parker

2012-04-01

The original DAMP (DAta Manipulation Program) was written by Mark Hedemann of Sandia National Laboratories and used the CA-DISSPLA{trademark} (available from Computer Associates International, Inc., Garden City, NY) graphics package as its engine. It was used to plot, modify, and otherwise manipulate the one-dimensional data waveforms (data vs. time) from a wide variety of accelerators. With the waning of CA-DISSPLA and the increasing popularity of Unix(reg sign)-based workstations, a replacement was needed. This package uses the IDL(reg sign) software, available from Research Systems Incorporated, a Xerox company, in Boulder, Colorado, as the engine, and creates a set of widgets tomore » manipulate the data in a manner similar to the original DAMP and earlier versions of xdamp. IDL is currently supported on a wide variety of Unix platforms such as IBM(reg sign) workstations, Hewlett Packard workstations, SUN(reg sign) workstations, Microsoft(reg sign) Windows{trademark} computers, Macintosh(reg sign) computers and Digital Equipment Corporation VMS(reg sign) and Alpha(reg sign) systems. Thus, xdamp is portable across many platforms. We have verified operation, albeit with some minor IDL bugs, on personal computers using Windows 7 and Windows Vista; Unix platforms; and Macintosh computers. Version 6 is an update that uses the IDL Virtual Machine to resolve the need for licensing IDL.« less

Women's experiences of continuous fetal monitoring - a mixed-methods systematic review.

PubMed

Crawford, Alexandra; Hayes, Dexter; Johnstone, Edward D; Heazell, Alexander E P

2017-12-01

Antepartum stillbirth is often preceded by detectable signs of fetal compromise, including changes in fetal heart rate and movement. It is hypothesized that continuous fetal monitoring could detect these signs more accurately and objectively than current forms of fetal monitoring and allow for timely intervention. This systematic review aimed to explore available evidence on women's experiences of continuous fetal monitoring to investigate its acceptability before clinical implementation and to inform clinical studies. Systematic searching of four electronic databases (Embase, PsycINFO, MEDLINE and CINAHL), using key terms defined by initial scoping searches, identified a total of 35 studies. Following title and abstract screening by two independent researchers, five studies met the inclusion criteria. Studies were not excluded based on language, methodology or quality assessment. An integrative methodology was used to synthesize qualitative and quantitative data together. Forms of continuous fetal monitoring used included Monica AN24 monitors (n = 4) and phonocardiography (n = 1). Four main themes were identified: practical limitations of the device, negative emotions, positive perceptions, and device implementation. Continuous fetal monitoring was reported to have high levels of participant satisfaction and was preferred by women to intermittent cardiotocography. This review suggests that continuous fetal monitoring is accepted by women. However, it has also highlighted both the paucity and heterogeneity of current studies and suggests that further research should be conducted into women's experiences of continuous fetal monitoring before such devices can be used clinically. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

Transparent Proxy for Secure E-Mail

NASA Astrophysics Data System (ADS)

Michalák, Juraj; Hudec, Ladislav

2010-05-01

The paper deals with the security of e-mail messages and e-mail server implementation by means of a transparent SMTP proxy. The security features include encryption and signing of transported messages. The goal is to design and implement a software proxy for secure e-mail including its monitoring, administration, encryption and signing keys administration. In particular, we focus on automatic public key on-the-fly encryption and signing of e-mail messages according to S/MIME standard by means of an embedded computer system whose function can be briefly described as a brouter with transparent SMTP proxy.

Acoustic Emission Monitoring of the DC-XA Composite Liquid Hydrogen Tank During Structural Testing

NASA Technical Reports Server (NTRS)

Wilkerson, C.

1996-01-01

The results of acoustic emission (AE) monitoring of the DC-XA composite liquid hydrogen tank are presented in this report. The tank was subjected to pressurization, tensile, and compressive loads at ambient temperatures and also while full of liquid nitrogen. The tank was also pressurized with liquid hydrogen. AE was used to monitor the tank for signs of structural defects developing during the test.

Cardiorespiratory dynamics measured from continuous ECG monitoring improves detection of deterioration in acute care patients: A retrospective cohort study

PubMed Central

Clark, Matthew T.; Calland, James Forrest; Enfield, Kyle B.; Voss, John D.; Lake, Douglas E.; Moorman, J. Randall

2017-01-01

Background Charted vital signs and laboratory results represent intermittent samples of a patient’s dynamic physiologic state and have been used to calculate early warning scores to identify patients at risk of clinical deterioration. We hypothesized that the addition of cardiorespiratory dynamics measured from continuous electrocardiography (ECG) monitoring to intermittently sampled data improves the predictive validity of models trained to detect clinical deterioration prior to intensive care unit (ICU) transfer or unanticipated death. Methods and findings We analyzed 63 patient-years of ECG data from 8,105 acute care patient admissions at a tertiary care academic medical center. We developed models to predict deterioration resulting in ICU transfer or unanticipated death within the next 24 hours using either vital signs, laboratory results, or cardiorespiratory dynamics from continuous ECG monitoring and also evaluated models using all available data sources. We calculated the predictive validity (C-statistic), the net reclassification improvement, and the probability of achieving the difference in likelihood ratio χ2 for the additional degrees of freedom. The primary outcome occurred 755 times in 586 admissions (7%). We analyzed 395 clinical deteriorations with continuous ECG data in the 24 hours prior to an event. Using only continuous ECG measures resulted in a C-statistic of 0.65, similar to models using only laboratory results and vital signs (0.63 and 0.69 respectively). Addition of continuous ECG measures to models using conventional measurements improved the C-statistic by 0.01 and 0.07; a model integrating all data sources had a C-statistic of 0.73 with categorical net reclassification improvement of 0.09 for a change of 1 decile in risk. The difference in likelihood ratio χ2 between integrated models with and without cardiorespiratory dynamics was 2158 (p value: <0.001). Conclusions Cardiorespiratory dynamics from continuous ECG monitoring detect clinical deterioration in acute care patients and improve performance of conventional models that use only laboratory results and vital signs. PMID:28771487

Cardiorespiratory dynamics measured from continuous ECG monitoring improves detection of deterioration in acute care patients: A retrospective cohort study.

PubMed

Moss, Travis J; Clark, Matthew T; Calland, James Forrest; Enfield, Kyle B; Voss, John D; Lake, Douglas E; Moorman, J Randall

2017-01-01

Charted vital signs and laboratory results represent intermittent samples of a patient's dynamic physiologic state and have been used to calculate early warning scores to identify patients at risk of clinical deterioration. We hypothesized that the addition of cardiorespiratory dynamics measured from continuous electrocardiography (ECG) monitoring to intermittently sampled data improves the predictive validity of models trained to detect clinical deterioration prior to intensive care unit (ICU) transfer or unanticipated death. We analyzed 63 patient-years of ECG data from 8,105 acute care patient admissions at a tertiary care academic medical center. We developed models to predict deterioration resulting in ICU transfer or unanticipated death within the next 24 hours using either vital signs, laboratory results, or cardiorespiratory dynamics from continuous ECG monitoring and also evaluated models using all available data sources. We calculated the predictive validity (C-statistic), the net reclassification improvement, and the probability of achieving the difference in likelihood ratio χ2 for the additional degrees of freedom. The primary outcome occurred 755 times in 586 admissions (7%). We analyzed 395 clinical deteriorations with continuous ECG data in the 24 hours prior to an event. Using only continuous ECG measures resulted in a C-statistic of 0.65, similar to models using only laboratory results and vital signs (0.63 and 0.69 respectively). Addition of continuous ECG measures to models using conventional measurements improved the C-statistic by 0.01 and 0.07; a model integrating all data sources had a C-statistic of 0.73 with categorical net reclassification improvement of 0.09 for a change of 1 decile in risk. The difference in likelihood ratio χ2 between integrated models with and without cardiorespiratory dynamics was 2158 (p value: <0.001). Cardiorespiratory dynamics from continuous ECG monitoring detect clinical deterioration in acute care patients and improve performance of conventional models that use only laboratory results and vital signs.

Atmospheric Radiation Measurement program facilities newsletter, April 2002.

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

Holdridge, D. J.

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

Approaching sign language test construction: adaptation of the German sign language receptive skills test.

PubMed

Haug, Tobias

2011-01-01

There is a current need for reliable and valid test instruments in different countries in order to monitor deaf children's sign language acquisition. However, very few tests are commercially available that offer strong evidence for their psychometric properties. A German Sign Language (DGS) test focusing on linguistic structures that are acquired in preschool- and school-aged children (4-8 years old) is urgently needed. Using the British Sign Language Receptive Skills Test, that has been standardized and has sound psychometric properties, as a template for adaptation thus provides a starting point for tests of a sign language that is less documented, such as DGS. This article makes a novel contribution to the field by examining linguistic, cultural, and methodological issues in the process of adapting a test from the source language to the target language. The adapted DGS test has sound psychometric properties and provides the basis for revision prior to standardization. © The Author 2011. Published by Oxford University Press. All rights reserved.

[Modifications of vital signs during hygiene care in intensive care patients: an explorative study].

PubMed

Lucchini, Alberto; Giacovelli, Matteo; Elli, Stefano; Gariboldi, Roberto; Pelucchi, Giulia; Bondi, Herman; Brambilla, Daniela

2009-01-01

Hygiene care in critical patients may alter vital signs. Aim of this paper is to measure vital signs and their modifications in critical patients during hygiene care and measure differences with pre and post hygiene values. Vital signs of 6 patients two hours before, during and 90 minutes after hygienic care were measured. During and 2 hours after the end of hygiene a modification of vital signs was observed compared to basic values (mean values during/90 min after, compared to baseline): heart rate +11.20%/ +1.48; systolic blood pressure +22.68%/+1.56; arterial capillary saturimetry -4.31/+0.27, Respiratory frequency +8.10/+2.66, tidal volume +4,04/-7,51, CO2 min/vol +5,34/- 22.33, bladder temperature -0.85/-0.60. Hygiene care in critical care patients may significantly alter vital signs. Therefore a strict haemodinamic and respiratory monitoring is warranted as well as protocols for the management of sedation and of vasoactive support.

The neural circuits recruited for the production of signs and fingerspelled words

PubMed Central

Emmorey, Karen; Mehta, Sonya; McCullough, Stephen; Grabowski, Thomas J.

2016-01-01

Signing differs from typical non-linguistic hand actions because movements are not visually guided, finger movements are complex (particularly for fingerspelling), and signs are not produced as holistic gestures. We used positron emission tomography to investigate the neural circuits involved in the production of American Sign Language (ASL). Different types of signs (one-handed (articulated in neutral space), two-handed (neutral space), and one-handed body-anchored signs) were elicited by asking deaf native signers to produce sign translations of English words. Participants also fingerspelled (one-handed) printed English words. For the baseline task, participants indicated whether a word contained a descending letter. Fingerspelling engaged ipsilateral motor cortex and cerebellar cortex in contrast to both one-handed signs and the descender baseline task, which may reflect greater timing demands and complexity of handshape sequences required for fingerspelling. Greater activation in the visual word form area was also observed for fingerspelled words compared to one-handed signs. Body-anchored signs engaged bilateral superior parietal cortex to a greater extent than the descender baseline task and neutral space signs, reflecting the motor control and proprioceptive monitoring required to direct the hand toward a specific location on the body. Less activation in parts of the motor circuit was observed for two-handed signs compared to one-handed signs, possibly because, for half of the signs, handshape and movement goals were spread across the two limbs. Finally, the conjunction analysis comparing each sign type with the descender baseline task revealed common activation in the supramarginal gyrus bilaterally, which we interpret as reflecting phonological retrieval and encoding processes. PMID:27459390

Mercury Information Clearinghouse

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

Chad A. Wocken; Michael J. Holmes; Dennis L. Laudal

2006-03-31

The Canadian Electricity Association (CEA) identified a need and contracted the Energy & Environmental Research Center (EERC) to create and maintain an information clearinghouse on global research and development activities related to mercury emissions from coal-fired electric utilities. With the support of CEA, the Center for Air Toxic Metals{reg_sign} (CATM{reg_sign}) Affiliates, and the U.S. Department of Energy (DOE), the EERC developed comprehensive quarterly information updates that provide a detailed assessment of developments in the various areas of mercury monitoring, control, policy, and research. A total of eight topical reports were completed and are summarized and updated in this final CEAmore » quarterly report. The original quarterly reports can be viewed at the CEA Web site (www.ceamercuryprogram.ca). In addition to a comprehensive update of previous mercury-related topics, a review of results from the CEA Mercury Program is provided. Members of Canada's coal-fired electricity generation sector (ATCO Power, EPCOR, Manitoba Hydro, New Brunswick Power, Nova Scotia Power Inc., Ontario Power Generation, SaskPower, and TransAlta) and CEA, have compiled an extensive database of information from stack-, coal-, and ash-sampling activities. Data from this effort are also available at the CEA Web site and have provided critical information for establishing and reviewing a mercury standard for Canada that is protective of environment and public health and is cost-effective. Specific goals outlined for the CEA mercury program included the following: (1) Improve emission inventories and develop management options through an intensive 2-year coal-, ash-, and stack-sampling program; (2) Promote effective stack testing through the development of guidance material and the support of on-site training on the Ontario Hydro method for employees, government representatives, and contractors on an as-needed basis; (3) Strengthen laboratory analytical capabilities through analysis and quality assurance programs; and (4) Create and maintain an information clearinghouse to ensure that all parties can keep informed on global mercury research and development activities.« less

Apollo Program Leadership

NASA Technical Reports Server (NTRS)

1950-01-01

This historical photograph is of the Apollo Space Program Leaders. An inscription appears at the top of the image that states, 'Our deep appreciation for your outstanding contribution to the success of Apollo 11', signed 'S', indicating that it was originally signed by Apollo Program Director General Sam Phillips, pictured second from left. From left to right are; NASA Associate Administrator George Mueller; Phillips; Kurt Debus, Director of the Kennedy Space Center; Robert Gilruth, Director of the Manned Spacecraft Center, later renamed the Johnson Space Center; and Wernher von Braun, Director of the Marshall Space Flight Center.

Saturn Apollo Program

NASA Image and Video Library

1950-01-01

This historical photograph is of the Apollo Space Program Leaders. An inscription appears at the top of the image that states, “Our deep appreciation for your outstanding contribution to the success of Apollo 11”, signed “S”, indicating that it was originally signed by Apollo Program Director General Sam Phillips, pictured second from left. From left to right are; NASA Associate Administrator George Mueller; Phillips; Kurt Debus, Director of the Kennedy Space Center; Robert Gilruth, Director of the Manned Spacecraft Center, later renamed the Johnson Space Center; and Wernher von Braun, Director of the Marshall Space Flight Center.

The history of sign language and deaf education in Turkey.

PubMed

Kemaloğlu, Yusuf Kemal; Kemaloğlu, Pınar Yaprak

2012-01-01

Sign language is the natural language of the prelingually deaf people particularly without hearing-speech rehabilitation. Otorhinolaryngologists, regarding health as complete physical, mental and psychosocial well-being, aim hearing by diagnosing deafness as deviance from normality. However, it's obvious that the perception conflicted with the behavior which does not meet the mental and social well-being of the individual also contradicts with the definition mentioned above. This article aims to investigate the effects of hearing-speech target ignoring the sign language in Turkish population and its consistency with the history through statistical data, scientific publications and historical documents and to support critical perspective on this issue. The study results showed that maximum 50% of the deaf benefited from hearing-speech program for last 60 years before hearing screening programs; however, systems including sign language in education were not generated. In the light of these data, it is clear that the approach ignoring sign language particularly before the development of screening programs is not reasonable. In addition, considering sign language being part of the Anatolian history from Hittites to Ottomans, it is a question to be answered that why evaluation, habilitation and education systems excluding sign language are still the only choice for deaf individuals in Turkey. Despite legislative amendments in the last 6-7 years, the primary cause of failure to come into force is probably because of inadequate conception of the issue content and importance, as well as limited effort to offer solutions by academicians and authorized politicians. Within this context, this paper aims to make a positive effect on this issue offering a review for the medical staff, particularly otorhinolaryngologists and audiologists.

A Self-Calibrating Radar Sensor System for Measuring Vital Signs.

PubMed

Huang, Ming-Chun; Liu, Jason J; Xu, Wenyao; Gu, Changzhan; Li, Changzhi; Sarrafzadeh, Majid

2016-04-01

Vital signs (i.e., heartbeat and respiration) are crucial physiological signals that are useful in numerous medical applications. The process of measuring these signals should be simple, reliable, and comfortable for patients. In this paper, a noncontact self-calibrating vital signs monitoring system based on the Doppler radar is presented. The system hardware and software were designed with a four-tiered layer structure. To enable accurate vital signs measurement, baseband signals in the radar sensor were modeled and a framework for signal demodulation was proposed. Specifically, a signal model identification method was formulated into a quadratically constrained l1 minimization problem and solved using the upper bound and linear matrix inequality (LMI) relaxations. The performance of the proposed system was comprehensively evaluated using three experimental sets, and the results indicated that this system can be used to effectively measure human vital signs.

Imported tropical neuroinfections: practice skills and knowledge among nurses and nursing students.

PubMed

Rajoo, Maheswaari; Sulicova, Andrea; Mroskova, Slavka; Supinova, Maria; Plackova, Anna; Bystra, Martina; Baranova, Lenka; Grezdova, Iveta; Santova, Tatiana; Janakova, Maria; Simova, Zuzana; Cinova, Jana; Cibrikova, Silvia; Decsiova, Zuzana; Lengyelova, Anna; Hlinovska, Jana; Rovna, Silvia; Igazova, Maria; Nadova, Monika; Rakova, Jana; Lehotska, Maria; Moraucikova, Eva; Mizenkova, Ludmila; Novotna, Zuzana; Paukova, Luba; Semjonova, Alexandra; Schlosserova, Alena; Vicanova, Michaela; Balkova, Hilda; Banasova, Vlasta; Horanska, Valeria; Hudakova, Pavlina; Hudakova, Anna; Majernikova, Ludmila; Poliakova, Nikoleta; Suchanova, Renata; Tirpakova, Libusa; Perinova, Nadezda; Vatehova, Drahormira; Komanicky, Dusan; Koudelkova, Vlasta; Capska, Jana; Maskalikova, Tatiana; Hulkova, Vlasta; Treslova, Marie

2013-09-01

Tropical neuroinfections are still cause of substantial mortality in travelers. Therefore, good knowledge of early symptoms is very important for nurses acting as first contact persons. Nurse's practical skills and knowledge of signs and early recognition of tropical neuroinfections, providing first aid and quick action has been studied among graduates of two Tropical Nursing PhD programs (in EU-Countries vs. tropical country) using a standardized questionnaire. Statistical package EPI info was used to determine potential differences between both groups of graduates. Acceptable knowledge on early symptoms and signs of cerebral malaria and meningococcal meningitis in returning travelers was found among 121 graduates of two PhD programs who were included in the study. Of these, 99 questionnaires were filled in Slovakia, Czech Republic and Germany and another 22 were filled in Malaysia, as a part of the Tropical Nursing PhD Study Programs. Nursing students and recent graduates in two PhD programs demonstrated acceptable, although not large-scaled, knowledge of early signs and symptoms of tropical neuroinfections.

Implementing an Effective and Efficient System to Manage the National School Lunch Program in a Private PreK-12 School: An Action Research Study

ERIC Educational Resources Information Center

Rafidi, Jessica A.

2012-01-01

To ensure the health of children in the United States, and to encourage the domestic consumption of nutritious agricultural commodities, President Harry S. Truman signed the National School Lunch Act. The Act, a federally assisted meal program established as a national security measure, was signed on June 4, 1946. Today, the National School Lunch…

Structured physical exercise improves neuropsychiatric symptoms in acute dementia care: a hospital-based RCT.

PubMed

Fleiner, Tim; Dauth, Hannah; Gersie, Marleen; Zijlstra, Wiebren; Haussermann, Peter

2017-08-29

The primary objective of this trial is to investigate the effects of a short-term exercise program on neuropsychiatric signs and symptoms in acute hospital dementia care. Within a hospital-based randomized controlled trial, the intervention group conducted a 2-week exercise program with four 20-min exercise sessions on 3 days per week. The control group conducted a social stimulation program. Effects on neuropsychiatric signs and symptoms were measured via the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change, the Neuropsychiatric Inventory, and the Cohen-Mansfield Agitation Inventory. The antipsychotic and sedative dosage was quantified by olanzapine and diazepam equivalents. Eighty-five patients were randomized via minimization to an intervention group (IG) and a control group (CG). Seventy patients (82%) (mean age 80 years, 33 females, mean Mini Mental State Examination score 18.3 points) completed the trial. As compared to the CG (n = 35), the IG (n = 35) showed significantly reduced neuropsychiatric signs and symptoms. Especially, agitated behavior and lability improved. There were no between-group differences concerning antipsychotic and benzodiazepine medication. This exercise program is easily applicable in hospital dementia care and significantly reduces neuropsychiatric signs and symptoms in patients suffering from predominantly moderate stages of dementia. German Clinical Trial Register DRKS00006740 . Registered 28 October 2014.

An evaluation of the following too closely monitor system on a four-lane undivided highway : interim report.

DOT National Transportation Integrated Search

1976-01-01

The FOLLOWING TOO CLOSELY (FTC) MONITOR system is an experimental device designed to measure vehicle gaps at a point along the highway and to advise the motorist, by means of a flashing message on a sign, that he is following the car in front of him ...

A Wireless Emergency Telemedicine System for Patients Monitoring and Diagnosis

PubMed Central

Abo-Zahhad, M.; Ahmed, Sabah M.; Elnahas, O.

2014-01-01

Recently, remote healthcare systems have received increasing attention in the last decade, explaining why intelligent systems with physiology signal monitoring for e-health care are an emerging area of development. Therefore, this study adopts a system which includes continuous collection and evaluation of multiple vital signs, long-term healthcare, and a cellular connection to a medical center in emergency case and it transfers all acquired raw data by the internet in normal case. The proposed system can continuously acquire four different physiological signs, for example, ECG, SpO2, temperature, and blood pressure and further relayed them to an intelligent data analysis scheme to diagnose abnormal pulses for exploring potential chronic diseases. The proposed system also has a friendly web-based interface for medical staff to observe immediate pulse signals for remote treatment. Once abnormal event happened or the request to real-time display vital signs is confirmed, all physiological signs will be immediately transmitted to remote medical server through both cellular networks and internet. Also data can be transmitted to a family member's mobile phone or doctor's phone through GPRS. A prototype of such system has been successfully developed and implemented, which will offer high standard of healthcare with a major reduction in cost for our society. PMID:24883059

Effectiveness of home exercise on pain, function, and strength of manual wheelchair users with spinal cord injury: a high-dose shoulder program with telerehabilitation.

PubMed

Van Straaten, Meegan G; Cloud, Beth A; Morrow, Melissa M; Ludewig, Paula M; Zhao, Kristin D

2014-10-01

To test the effectiveness of a high-dose home exercise/telerehabilitation program for manual wheelchair users who have a spinal cord injury (SCI) by determining whether the intervention would reduce pain and increase function, as we hypothesized. A pre-post trial with outcomes measured at 3 time points: baseline, postintervention (12wk), and follow-up (>24 wk). Subjects performed an exercise program at their homes using telerehabilitation for therapist monitoring of technique and exercise advancement. Baseline and postintervention data were collected at a motion analysis laboratory in a tertiary medical center. A convenience sample of manual wheelchair users (N=16, 3 women; average age, 41y; average time in a wheelchair, 16y) with shoulder pain (average pain duration, 9y) and mechanical impingement signs on physical examination. A 12-week home exercise program of rotator cuff and scapular stabilization exercises was given to each participant. The program included a high dose of 3 sets of 30 repetitions, 3 times weekly, and regular physical therapist supervision via videoconferencing. Primary outcomes of pain and function were measured with the Wheelchair User's Shoulder Pain Index (WUSPI), Disabilities of Arm, Shoulder, and Hand (DASH) Index, and Shoulder Rating Questionnaire (SRQ). Secondary outcomes of strength were measured with isometric strength tests of scapulothoracic and glenohumeral muscles, and a static fatigue test of the lower trapezius. Pain was reduced and function improved after the intervention. There was a significant main effect for pain and function between the 3 time points based on the Friedman signed-ranked test, WUSPI (χ(2)2=5.10, P=.014), DASH Index (χ(2)2=5.41, P=.012), and SRQ (χ(2)2=23.71, P≤.001). Wilcoxon signed-rank tests demonstrated that isometric strength measurements of the serratus anterior and scapular retractors increased after the exercise intervention ([t=2.42, P=.04] and [t=4.67, P=.003], respectively). Muscle impulse produced by the lower trapezius during a fatigue task also improved (t=2.2, P=.02). No differences were measured in isometric strength for the lower trapezius, glenohumeral rotators, and abductors between the baseline and 12-week time points. A high-dose scapular stabilizer and rotator cuff strengthening program using telerehabilitation for supervision holds promise for shoulder pain treatment in manual wheelchair users with SCI. Additional work is needed to determine the effectiveness compared with other interventions, as well as the potential for earlier intervention to prevent development of shoulder pain. Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Neurotoxic response of infant monkeys to methylmercury.

PubMed

Willes, R F; Truelove, J F; Nera, E A

1978-02-01

Four infant monkeys were dosed orally with 500 microgram Hg/kg body wt./day /as methylmercury (MeHg) chloride dissolved sodium carbonate) beginning at 1 day of age. Neurological and behavioral signs of MeHg toxicity and blood Hg levels were monitored weekly. At first sign of MeHg intoxication, dosing with MeHg was terminated and the infants were monitored to assess reversal of the signs of MeHg toxicity. The first signs of MeHg toxicity, exhibited as a loss in dexterity and locomotor ability, were observed after 28--29 days of treatment; the blood Hg levels were 8.0--9.4 microgram Hg/g blood. Dosing was terminated at 28--29 days of treatment but the signs of MeHg toxicity continued to develop. The infants became ataxic, blind, comatose and were necropsied at 35--43 days after initiating treatment with MgHg. The mercury concentrations in tissues analyzed after necropsy were highest in liver (55.8 +/- 3.2 microgram Hg/g) followed by occipital cortex (35.6 +/- 4.8 microgram Hg/g) renal cortex (32.8 +/- 1.6 microgram Hg/g). The frontal and temporal cortices had 27.0 +/- 3.4 and 29.6 +/- 4.9 microgram Hg/g respectively while the cerebellar Hg concentration averaged 13.0 +/- 1.5 microgram Hg/g. The mean blood/brain ratio was 0.21 +/- 0.4. Histopathologic lesions were marked in the cerebrum with less severe lesions in the cerebellar nuclei. The Purkinje and granular cells of the cerebellar vermis appeared histologically normal. Lesions were not observed in the peripheral nervous system. The signs of MeHg intoxication, the tissue distribution of MeHg and histopathologic lesions observed in the infant monkeys were similar to those reported for adult monkeys.

Validating Signs and Symptoms From An Actual Mass Casualty Incident to Characterize An Irritant Gas Syndrome Agent (IGSA) Exposure: A First Step in The Development of a Novel IGSA Triage Algorithm.

PubMed

Culley, Joan M; Richter, Jane; Donevant, Sara; Tavakoli, Abbas; Craig, Jean; DiNardi, Salvatore

2017-07-01

• Chemical exposures daily pose a significant threat to life. Rapid assessment by first responders/emergency nurses is required to reduce death and disability. Currently, no informatics tools for Irritant Gas Syndrome Agents (IGSA) exposures exist to process victims efficiently, continuously monitor for latent signs/symptoms, or make triage recommendations. • This study uses actual patient data from a chemical incident to characterize and validate signs/symptoms of an IGSA Syndrome. Validating signs/symptoms is the first step in developing new emergency department informatics tools with the potential to revolutionize the process by which emergency nurses manage triage victims of chemical incidents. Chemical exposures can pose a significant threat to life. Rapid assessment by first responders/emergency nurses is required to reduce death and disability. Currently, no informatics tools for irritant gas syndrome agents (IGSA) exposures exist to process victims efficiently, continuously monitor for latent signs/symptoms, or make triage recommendations. This study describes the first step in developing ED informatics tools for chemical incidents: validation of signs/symptoms that characterize an IGSA syndrome. Data abstracted from 146 patients treated for chlorine exposure in one emergency department during a 2005 train derailment and 152 patients not exposed to chlorine (a comparison group) were mapped to 93 possible signs/symptoms within 2 tools (WISER and CHEMM-IST) designed to assist emergency responders/emergency nurses with managing hazardous material exposures. Inferential statistics (χ 2 /Fisher's exact test) and diagnostics tests were used to examine mapped signs/symptoms of persons who were and were not exposed to chlorine. Three clusters of signs/symptoms are statistically associated with an IGSA syndrome (P < .01): respiratory (shortness of breath, wheezing, coughing, and choking); chest discomfort (tightness, pain, and burning), and eye, nose and/or throat (pain, irritation, and burning). The syndrome requires the presence of signs/symptoms from at least 2 of these clusters. The latency period must also be considered for exposed/potentially exposed persons. This study uses actual patient data from a chemical incident to characterize and validate signs/symptoms of an IGSA syndrome. Validating signs/symptoms is the first step in developing new ED informatics tools with the potential to revolutionize the process by which emergency nurses manage triage victims of chemical incidents. Copyright © 2017 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

Carbolic acid poisoning

MedlinePlus

Phenol poisoning; Phenylic acid poisoning; Hydroxybenzene poisoning; Phenic acid poisoning; Benzenol poisoning ... measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Tests that ...

Water quality in the Yukon River Basin, Alaska, water years 2006-2008

USGS Publications Warehouse

Schuster, Paul F.; Maracle, Karonhiakta'tie Bryan; Herman-Mercer, Nicole

2010-01-01

The Yukon River Inter-Tribal Watershed Council and the U.S. Geological Survey developed a water-quality monitoring program to address a shared interest in the water quality of the Yukon River and its relation to climate. This report contains water-quality data from samples collected in the Yukon River Basin during water years 2006 through 2008. A broad range of chemical analyses from 44 stations throughout the YRB are presented. On August 8, 2009 the USGS signed a Memorandum of Understanding with the Yukon River Inter-Tribal Watershed Council representing the culmination of 5 years of dedicated efforts to forge a working collaboration and partnership with expectations of continuing into the foreseeable future. The Memorandum of Understanding may be viewed at http://www.usgs.gov/mou/docs/yritwc_mou.pdf.

Estimation of physiological sub-millimeter displacement with CW Doppler radar.

PubMed

Jia Xu; Xiaomeng Gao; Padasdao, Bryson E; Boric-Lubecke, Olga

2015-01-01

Doppler radar physiological sensing has been studied for non-contact detection of vital signs including respiratory and heartbeat rates. This paper presents the first micrometer resolution Wi-Fi band Doppler radar for sub-millimeter physiological displacement measurement. A continuous-wave Doppler radar working at 2.4GHz is used for the measurement. It is intended for estimating small displacements on the body surface resulting from physiological activity. A mechanical mover was used as target, and programmed to conduct sinusoidal motions to simulate pulse motions. Measured displacements were compared with a reference system, which indicates a superior performance in accuracy for having absolute errors less than 10μm, and relative errors below 4%. It indicates the feasibility of highly accurate non-contact monitoring of physiological movements using Doppler radar.

Base connections for signal/sign structures : [summary].

DOT National Transportation Integrated Search

2012-01-01

During six weeks in 2004, four major hurricanes struck Florida, and extreme wind-loading caused several large cantilever sign structures on the Interstate to fail. The Florida Department of Transportation (FDOT) began a research program to address th...

Scalable Telemonitoring Model in Cloud for Health Care Analysis

NASA Astrophysics Data System (ADS)

Sawant, Yogesh; Jayakumar, Naveenkumar, Dr.; Pawar, Sanket Sunil

2017-08-01

Telemonitoring model is health observations model that going to surveillance patients remotely. Telemonitoring model is suitable for patients to avoid high operating expense to get Emergency treatment. Telemonitoring gives the path for monitoring the medical device that generates a complete profile of patient’s health through assembling essential signs as well as additional health information. Telemonitoring model is relying on four differential modules which is capable to generate realistic synthetic electrocardiogram (ECG) signals. Telemonitoring model shows four categories of chronic disease: pulmonary state, diabetes, hypertension, as well as cardiovascular diseases. On the other hand, the results of this application model recommend facilitating despite of their nationality, socioeconomic grade, or age, patients observe amid tele-monitoring programs as well as the utilization of technologies. Patient’s multiple health status is shown in the result such as beat-to-beat variation in morphology and timing of the human ECG, including QT dispersion and R-peak amplitude modulation. This model will be utilized to evaluate biomedical signal processing methods that are utilized to calculate clinical information from the ECG.

Contaminant exposure and potential effects on terrestrial vertebrates residing in the National Capital Region network and Mid-Atlantic network

USGS Publications Warehouse

Rattner, B.A.; Ackerson, B.K.

2006-01-01

Based upon these and other findings, ecotoxicological monitoring and research investigations of terrestrial vertebrates are warranted at several National Parks. These include Shenandoah National Park, Richmond National Battlefield, Chesapeake & Ohio Canal National Historic Park, Valley Forge National Historic Park, Hopewell Furnace National Historic Site, Monocacy National Battlefield, and Harpers Ferry National Historic Park. The types of investigations vary according to the species present at these parks and potential contaminant threats, but should focus on contemporary use pesticides and herbicides, polychlorinated biphenyls, mercury, lead, and perhaps, emerging contaminants including antibiotics, flame retardants, pharmaceuticals, and surfactants. Other management recommendations include additional training for natural resource staff members in the area of ecotoxicology, inclusion of terrestrial vertebrate contaminant monitoring and the Contaminant Assessment Process (U.S. Geological Survey Biomonitoring of Environmental Status and Trends Project) into the National Park Service Vital Signs Program, development of protocols for hand ling and toxicological analysis of dead or seemingly affected wildlife, consideration of some alternative methods and compounds for pest management and weed control, and use of non-toxic fishing tackle by visitors. 

New Direction for Enhancing Quality in Diabetes Care: Utilizing Telecommunications and Paraprofessional Outreach Workers Backed by an Expert Medical Team

PubMed Central

Ann Mayes, Penelope; Silvers, Abraham

2010-01-01

Abstract This article assesses the value of using telecommunications with Promatoras (paraprofessional outreach workers) and an expert medical team of registered nurses (RNs) and endocrinologists in an at-risk type 2 diabetic Hispanic population recruited for a telemedicine feasibility project from a free clinic. Nineteen patients agreed to enter the program and 16 completed the program in 3.5 years of study. A Promatoras is the primary educator and the point of communication to patient or medical personnel overseeing each patient's home glucose monitoring, medical records, and medications, regularly communicating by telephone and e-mail with patients and diabetes specialists. Between clinic visits, all routine care, including body weight, blood glucose, and blood pressure monitoring, was shared over the Internet, and each patient was interviewed by audio and camera. The endocrinologist was in his office, while the primary care physician, patient, and Promotora volunteers were at the free clinic. Four variables were considered in this longitudinal study: weight, systolic blood pressure, diastolic blood pressure, and HbA1c. Estimates of means, correlations, t-tests, and slopes of the repeated measures were obtained, and comparisons were made between first and last values. The most important sign of improvement in the patients' situation was the significant decrease in HbA1c to 7.2% from 9.6% (p = 0.001). PMID:20406123

New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team.

PubMed

Mayes, Penelope Ann; Silvers, Abraham; Prendergast, J Joseph

2010-04-01

Abstract This article assesses the value of using telecommunications with Promatoras (paraprofessional outreach workers) and an expert medical team of registered nurses (RNs) and endocrinologists in an at-risk type 2 diabetic Hispanic population recruited for a telemedicine feasibility project from a free clinic. Nineteen patients agreed to enter the program and 16 completed the program in 3.5 years of study. A Promatoras is the primary educator and the point of communication to patient or medical personnel overseeing each patient's home glucose monitoring, medical records, and medications, regularly communicating by telephone and e-mail with patients and diabetes specialists. Between clinic visits, all routine care, including body weight, blood glucose, and blood pressure monitoring, was shared over the Internet, and each patient was interviewed by audio and camera. The endocrinologist was in his office, while the primary care physician, patient, and Promotora volunteers were at the free clinic. Four variables were considered in this longitudinal study: weight, systolic blood pressure, diastolic blood pressure, and HbA1c. Estimates of means, correlations, t-tests, and slopes of the repeated measures were obtained, and comparisons were made between first and last values. The most important sign of improvement in the patients' situation was the significant decrease in HbA1c to 7.2% from 9.6% (p = 0.001).

Examining the contribution of motor movement and language dominance to increased left lateralization during sign generation in native signers.

PubMed

Gutierrez-Sigut, Eva; Payne, Heather; MacSweeney, Mairéad

2016-08-01

The neural systems supporting speech and sign processing are very similar, although not identical. In a previous fTCD study of hearing native signers (Gutierrez-Sigut, Daws, et al., 2015) we found stronger left lateralization for sign than speech. Given that this increased lateralization could not be explained by hand movement alone, the contribution of motor movement versus 'linguistic' processes to the strength of hemispheric lateralization during sign production remains unclear. Here we directly contrast lateralization strength of covert versus overt signing during phonological and semantic fluency tasks. To address the possibility that hearing native signers' elevated lateralization indices (LIs) were due to performing a task in their less dominant language, here we test deaf native signers, whose dominant language is British Sign Language (BSL). Signers were more strongly left lateralized for overt than covert sign generation. However, the strength of lateralization was not correlated with the amount of time producing movements of the right hand. Comparisons with previous data from hearing native English speakers suggest stronger laterality indices for sign than speech in both covert and overt tasks. This increased left lateralization may be driven by specific properties of sign production such as the increased use of self-monitoring mechanisms or the nature of phonological encoding of signs. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Conceptual model for heart failure disease management.

PubMed

Andrikopoulou, Efstathia; Abbate, Kariann; Whellan, David J

2014-03-01

The objective of this review is to propose a conceptual model for heart failure (HF) disease management (HFDM) and to define the components of an efficient HFDM plan in reference to this model. Articles that evaluated 1 or more of the following aspects of HFDM were reviewed: (1) outpatient clinic follow-up; (2) self-care interventions to enhance patient skills; and (3) remote evaluation of worsening HF either using structured telephone support (STS) or by monitoring device data (telemonitoring). The success of programs in reducing readmissions and mortality were mixed. Outpatient follow-up programs generally resulted in improved outcomes, including decreased readmissions. Based on 1 meta-analysis, specialty clinics improved outcomes and nonspecialty clinics did not. Results from self-care programs were inconsistent and might have been affected by patient cognitive status and educational level, and intervention intensity. Telemonitoring, despite initially promising meta-analyses demonstrating a decrease in the number and duration of HF-related readmissions and all-cause mortality rates at follow-up, has not been shown in randomized trials to consistently reduce readmissions or mortality. However, evidence from device monitoring trials in particular might have been influenced by technology and design issues that might be rectified in future trials. Results from the literature suggest that the ideal HFDM plan would include outpatient follow-up at an HF specialty clinic and continuous education to improve patient self-care. The end result of this plan would lead to better understanding on the part of the patient and improved patient ability to recognize and respond to signs of decompensation. Copyright © 2014 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Duck Valley Reservoirs Fish Stocking and O&M, Annual Progress Report 2007-2008.

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

Sellman, Jake; Perugini, Carol

The Duck Valley Reservoirs Fish Stocking and Operations and Maintenance Project (DV Fisheries) is an ongoing resident fish program that serves to partially mitigate the loss of anadromous fish that resulted from downstream construction of the federal hydropower system. The project's goals are to enhance subsistence fishing and educational opportunities for Tribal members of the Shoshone-Paiute Tribes and provide fishing opportunities for non-Tribal members. In addition to stocking rainbow trout (Oncorhynchus mykiss) in Mountain View (MVR), Lake Billy Shaw (LBS), and Sheep Creek Reservoirs (SCR), the program is also designed to: maintain healthy aquatic conditions for fish growth and survival,more » provide superior facilities with wilderness qualities to attract non-Tribal angler use, and offer clear, consistent communication with the Tribal community about this project as well as outreach and education within the region and the local community. Tasks for this performance period fall into three categories: operations and maintenance, monitoring and evaluation, and public outreach. Operation and maintenance of the three reservoirs include maintaining fences, roads, dams and all reservoir structures, feeder canals, water troughs, stock ponds, educational signs, vehicles, equipment, and restroom facilities. Monitoring and evaluation activities include creel, gillnet, wildlife, and bird surveys, water quality and reservoir structures monitoring, native vegetation planting, photo point documentation, and control of encroaching exotic vegetation. Public outreach activities include providing environmental education to school children, providing fishing reports to local newspapers and vendors, updating the website, hosting community environmental events, and fielding numerous phone calls from anglers. The reservoir monitoring program focuses on water quality and fishery success. Sheep Creek Reservoir and Lake Billy Shaw had less than productive trout growth due to water quality issues including dissolved oxygen and/or turbidity. Regardless, angler fishing experience was the highest at Lake Billy Shaw. Trout in Mountain View Reservoir were in the best condition of the three reservoirs and anglers reported very good fishing there. Water quality (specifically dissolved oxygen and temperature) remain the main limiting factors in the fisheries, particularly in late August to early September.« less

Computer-Based Video Instruction To Teach Persons with Moderate Intellectual Disabilities To Read Grocery Aisle Signs and Locate Items.

ERIC Educational Resources Information Center

Mechling, Linda C.; Gast, David L.; Langone, John

2002-01-01

A study evaluated use of computer-based video instruction to teach generalized reading of grocery store aisle signs and the location of the corresponding grocery items to four students (ages 9-17) mental retardation. The computer-based video program was successful in teaching generalized reading of signs and the location of items. (Contains…

Bridging the gap between sustainable technology adoption and protecting natural resources: Predicting intentions to adopt energy management technologies in California

DOE PAGES

Chen, Bingye; Sintov, Nicole

2016-10-24

To achieve energy savings, emerging energy management technologies and programs require customer adoption. Although a variety of models can be used to explain the adoption of energy management technologies and programs, they overlook the seemingly unconventional element of level of affiliation with nature. In fact, connectedness to nature has been identified as an important driver of many pro-environmental behaviors, but its role in pro-environmental technology adoption is also not well understood. Can affiliation with nature help to bridge the apparent gap—and complex chain of events—between sustainable technology adoption and protecting natural resources? Based on survey data from 856 southern Californiamore » residents, this study investigated the influence of connectedness to nature and other factors on intentions to adopt five energy management technologies and programs: using three platforms to monitor home energy use (website, mobile phone application, in-home display); signing up for a time-of-use pricing plan; and participating in demand response events. Regression results showed that nature connectedness was the strongest predictor of all outcomes such that higher nature connectedness predicted greater likelihood of technology and program adoption. In conclusion, these findings suggest that connectedness to nature may facilitate “bridging the logic gap” between sustainable innovation adoption and environmental protection.« less

Public Library YA Program Roundup: Murder, We Wrote...and Played [and] Asleep in the Library: Girl Scouts Earn "From Dreams to Reality" Patch [and] Sign Language Funshop [and] Science Fair Help Day [and] A Skyomish Fairy Tale [and] The POW! Project: Picturing Our World! Teens Create Art and Self-Esteem at the Boston Public Library.

ERIC Educational Resources Information Center

Goldsmith, Francisca; Seblonka, Cathy Sullivan; Wagner, Joyce; Smith, Tammy; Sipos, Caryn; Bodart, Joni Richards

1998-01-01

Includes six articles that describe public library programs for teens. Highlights include interactive murder mysteries; a girl scout sleepover program on career awareness; sign language workshop; a Science Fair help day that included guest speakers; a unit on fairy tales and legends; and a project to enhance creativity and self-esteem. (LRW)

Evaluation of Miniature Wireless Vital Signs Monitor in a Trauma Intensive Care Unit.

PubMed

Meizoso, Jonathan P; Allen, Casey J; Ray, Juliet J; Van Haren, Robert M; Teisch, Laura F; Baez, Xiomara Ruiz; Livingstone, Alan S; Namias, Nicholas; Schulman, Carl I; Proctor, Kenneth G

2016-05-01

A previous study demonstrated basic proof of principle of the value of a miniature wireless vital signs monitor (MWVSM, MiniMedic, Athena GTX, Des Moines, Iowa) for battlefield triage However, there were unanswered questions related to sensor reliability and uncontrolled conditions in the prehospital environment. This study determined whether MWVSM sensors track vital signs and allow for appropriate triage compared to a gold standard bedside monitor in trauma patients. This was a prospective study in 59 trauma intensive care unit patients. Systolic blood pressure, temperature, heart rate (HR), skin temperature, and pulse oximetry (SpO2) were displayed on a bedside monitor for 60 minutes. Shock index (SI) was calculated. A separate MWVSM monitor was attached to the forehead and finger of each patient. Data from each included pulse wave transit time (PWTT), temperature, HR, SpO2, and a summary status termed "Murphy Factor" (MF), which ranges from 0 to 5. Patients are classified as "routine" if MF = 0 to 1 or SI = 0 to 0.7, "priority" if MF = 2 to 3 or SI = 0.7 to 0.9, and "critical" if MF = 4 to 5 or SI ≥ 0.9. Forehead and finger MWVSM HRs both differed from the monitor (both p < 0.001), but the few beats per minute differences were clinically insignificant. Differences in MWVSM SpO2 (1-7%) and temperature (6-13°F) from the monitor were site specific (all p < 0.001). Forehead PWTT (271 ± 50 ms) was less (p < 0.001) than finger PWTT (315 ± 42 ms); both were dissociated from systolic blood pressure (r(2) < 0.05). The SI distributed patients about equally as "routine," "priority," and "critical," whereas MF overtriaged to "routine" and undertriaged to "critical" for both sensors (all p < 0.001). Our findings suggest that MF does not accurately predict the most critical patients, likely because erroneous PWTT values confound MF calculations. MF and the MWVSM are promising, but require fine-tuning before deployment. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.

Enasidenib

MedlinePlus

... serious or life-threatening group of symptoms called differentiation syndrome. Your doctor will monitor you carefully to ... At the first sign that you are developing differentiation syndrome, your doctor will prescribe medications to treat ...

DOE/KEURP site operator program. Year 3, Second Quarter Report, October 1--December 31, 1993

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

Not Available

Kansas State University, with funding support from federal, state, public, and private companies, is participating in the Department of Energy`s Electric Vehicle Site Operator Program. Through participation in this program, Kansas State is displaying, testing, and evaluating electric or hybrid vehicle technology. This participation will provide organizations the opportunity to examine the latest EHV prototypes under actual operating conditions. KSU has purchased several electric cars and proposes to purchase additional electric vehicles. KSU has purchased one G-Van built by Conceptor Industries, Toronto, Canada and has procured two (2) Soleq 1993 Ford EVcort station wagons. During calendar year 1994, the Kansas`more » electric vehicle program expects to purchase a minimum of four and a maximum of eleven additional electric vehicles. The G-Van was signed in order for the public to be aware that it was an electric vehicle. Financial participants` names have been stenciled on the back door of the van. The Soleq EvCorts have not been signed. In order to demonstrate the technology as feasible, the EvCorts were deliberately not signed. The goal is to generate a public perception that this vehicle is no different from any similar internal combustion engine vehicle. Magnetic signs have been made for special functions to ensure sponsor support is recognized and acknowledged.« less

Video-based respiration monitoring with automatic region of interest detection.

PubMed

Janssen, Rik; Wang, Wenjin; Moço, Andreia; de Haan, Gerard

2016-01-01

Vital signs monitoring is ubiquitous in clinical environments and emerging in home-based healthcare applications. Still, since current monitoring methods require uncomfortable sensors, respiration rate remains the least measured vital sign. In this paper, we propose a video-based respiration monitoring method that automatically detects a respiratory region of interest (RoI) and signal using a camera. Based on the observation that respiration induced chest/abdomen motion is an independent motion system in a video, our basic idea is to exploit the intrinsic properties of respiration to find the respiratory RoI and extract the respiratory signal via motion factorization. We created a benchmark dataset containing 148 video sequences obtained on adults under challenging conditions and also neonates in the neonatal intensive care unit (NICU). The measurements obtained by the proposed video respiration monitoring (VRM) method are not significantly different from the reference methods (guided breathing or contact-based ECG; p-value  =  0.6), and explain more than 99% of the variance of the reference values with low limits of agreement (-2.67 to 2.81 bpm). VRM seems to provide a valid solution to ECG in confined motion scenarios, though precision may be reduced for neonates. More studies are needed to validate VRM under challenging recording conditions, including upper-body motion types.

Vital signs in older patients: age-related changes.

PubMed

Chester, Jennifer Gonik; Rudolph, James L

2011-06-01

Vital signs are objective measures of physiological function that are used to monitor acute and chronic disease and thus serve as a basic communication tool about patient status. The purpose of this analysis was to review age-related changes of traditional vital signs (blood pressure, pulse, respiratory rate, and temperature) with a focus on age-related molecular changes, organ system changes, systemic changes, and altered compensation to stressors. The review found that numerous physiological and pathological changes may occur with age and alter vital signs. These changes tend to reduce the ability of organ systems to adapt to physiological stressors, particularly in frail older patients. Because of the diversity of age-related physiological changes and comorbidities in an individual, single-point measurements of vital signs have less sensitivity in detecting disease processes. However, serial vital sign assessments may have increased sensitivity, especially when viewed in the context of individualized reference ranges. Vital sign change with age may be subtle because of reduced physiological ranges. However, change from an individual reference range may indicate important warning signs and thus may require additional evaluation to understand potential underlying pathological processes. As a result, individualized reference ranges may provide improved sensitivity in frail, older patients. Copyright © 2011 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.

An adaptive Kalman filter technique for context-aware heart rate monitoring.

PubMed

Xu, Min; Goldfain, Albert; Dellostritto, Jim; Iyengar, Satish

2012-01-01

Traditional physiological monitoring systems convert a person's vital sign waveforms, such as heart rate, respiration rate and blood pressure, into meaningful information by comparing the instant reading with a preset threshold or a baseline without considering the contextual information of the person. It would be beneficial to incorporate the contextual data such as activity status of the person to the physiological data in order to obtain a more accurate representation of a person's physiological status. In this paper, we proposed an algorithm based on adaptive Kalman filter that describes the heart rate response with respect to different activity levels. It is towards our final goal of intelligent detection of any abnormality in the person's vital signs. Experimental results are provided to demonstrate the feasibility of the algorithm.

[Implementation of the new drinking water regulation section sign 18: monitoring of drinking water systems in houses--water for public use].

PubMed

Hentschel, W; Voigt, K; Heudorf, U

2006-08-01

The monitoring of drinking water based on the drinking water regulation is one of the central tasks of public health authorities in Germany. With the coming into force of the new drinking water regulation in the year 2003 also water supply plants "from which water is made available for the public, in particular in schools, kindergartens, hospitals, restaurants and other communal facilities" must be supervised for the first time (TrinkwV section sign 18). Thus, for Frankfurt/Main the number of the facilities/objects which are to be supervised rose from approx. 300 to approx. 4,700. Since appropriate expansion of personnel was not possible, innovative solutions were in demand for implementation of these tasks. These are introduced here.

Monitoring of the ADP/ATP Ratio by Induced Circularly Polarised Europium Luminescence.

PubMed

Shuvaev, Sergey; Fox, Mark A; Parker, David

2018-06-18

A series of three europium complexes bearing picolyl amine moieties was found to possess differing binding affinities towards Zn 2+ and three nucleotides: AMP, ADP, and ATP. A large increase in the total emission intensity was observed upon binding Zn 2+ , followed by signal amplification upon the addition of nucleotides. The resulting adducts possessed strong induced circularly polarised emission, with ADP and ATP signals of opposite sign. Model DFT geometries of the adducts suggest the Δ diastereoisomer is preferred for ATP and the Λ isomer for ADP/AMP. This change in sign allows the ADP/ATP (or AMP/ATP) ratio to be assessed by monitoring changes in the emission dissymmetry factor, g em . © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

Software Junctus: Joining Sign Language and Alphabetical Writing

NASA Astrophysics Data System (ADS)

Valentini, Carla Beatris; Bisol, Cláudia A.; Dalla Santa, Cristiane

The authors’ aim is to describe the workshops developed to test the use of an authorship program that allows the simultaneous use of sign language and alphabetical writing. The workshops were prepared and conducted by a Computer Science undergraduate, with the support of the Program of Students’ Integration and Mediation (Programa de Integração e Mediação do Acadêmico - PIMA) at the University of Caxias do Sul. Two sign language interpreters, two deaf students and one hearing student, who also teach at a special school for the deaf, participated in the workshops. The main characteristics of the software and the development of the workshops are presented with examples of educational projects created during their development. Possible improvements are also outlined.

KENNEDY SPACE CENTER, FLA. - Alan Thirkettle (center), International Space Station Program manager for Node 2, European Space Agency (ESA); and NASA’s Michael C. Kostelnik (right), deputy associate administrator for International Space Station and Shuttle Programs, sign documents officially transferring ownership of Node 2 between the ESA and NASA. At left, also part of the signing, is Andrea Lorenzoni (left), International Space Station Program manager for Node 2, Italian Space Agency. NASA's Node 2, built by ESA in Italy, arrived at KSC on June 1. It will be the next pressurized module installed on the Station. The pressurized module of the Japanese Experiment Module (JEM), named "Kibo" (Hope), arrived at KSC on June 4. It is Japan's primary contribution to the Station. Emceed by Lisa Malone, deputy director of External Relations and Business Development at KSC, the ceremony also included these speakers: Center Director Roy Bridges Jr.; NASA’s William Gerstenmaier, International Space Station Program manager; and Kuniaki Shiraki, JEM Project manager, National Aerospace and Development Agency of Japan.

NASA Image and Video Library

2003-06-18

KENNEDY SPACE CENTER, FLA. - Alan Thirkettle (center), International Space Station Program manager for Node 2, European Space Agency (ESA); and NASA’s Michael C. Kostelnik (right), deputy associate administrator for International Space Station and Shuttle Programs, sign documents officially transferring ownership of Node 2 between the ESA and NASA. At left, also part of the signing, is Andrea Lorenzoni (left), International Space Station Program manager for Node 2, Italian Space Agency. NASA's Node 2, built by ESA in Italy, arrived at KSC on June 1. It will be the next pressurized module installed on the Station. The pressurized module of the Japanese Experiment Module (JEM), named "Kibo" (Hope), arrived at KSC on June 4. It is Japan's primary contribution to the Station. Emceed by Lisa Malone, deputy director of External Relations and Business Development at KSC, the ceremony also included these speakers: Center Director Roy Bridges Jr.; NASA’s William Gerstenmaier, International Space Station Program manager; and Kuniaki Shiraki, JEM Project manager, National Aerospace and Development Agency of Japan.

Coda Wave Interferometry Method Applied in Structural Monitoring to Assess Damage Evolution in Masonry and Concrete Structures

NASA Astrophysics Data System (ADS)

Masera, D.; Bocca, P.; Grazzini, A.

2011-07-01

In this experimental program the main goal is to monitor the damage evolution in masonry and concrete structures by Acoustic Emission (AE) signal analysis applying a well-know seismic method. For this reason the concept of the coda wave interferometry is applied to AE signal recorded during the tests. Acoustic Emission (AE) are very effective non-destructive techniques applied to identify micro and macro-defects and their temporal evolution in several materials. This technique permits to estimate the velocity of ultrasound waves propagation and the amount of energy released during fracture propagation to obtain information on the criticality of the ongoing process. By means of AE monitoring, an experimental analysis on a set of reinforced masonry walls under variable amplitude loading and strengthening reinforced concrete (RC) beams under monotonic static load has been carried out. In the reinforced masonry wall, cyclic fatigue stress has been applied to accelerate the static creep and to forecast the corresponding creep behaviour of masonry under static long-time loading. During the tests, the evaluation of fracture growth is monitored by coda wave interferometry which represents a novel approach in structural monitoring based on AE relative change velocity of coda signal. In general, the sensitivity of coda waves has been used to estimate velocity changes in fault zones, in volcanoes, in a mining environment, and in ultrasound experiments. This method uses multiple scattered waves, which travelled through the material along numerous paths, to infer tiny temporal changes in the wave velocity. The applied method has the potential to be used as a "damage-gauge" for monitoring velocity changes as a sign of damage evolution into masonry and concrete structures.

Network Analytical Tool for Monitoring Global Food Safety Highlights China

PubMed Central

Nepusz, Tamás; Petróczi, Andrea; Naughton, Declan P.

2009-01-01

Background The Beijing Declaration on food safety and security was signed by over fifty countries with the aim of developing comprehensive programs for monitoring food safety and security on behalf of their citizens. Currently, comprehensive systems for food safety and security are absent in many countries, and the systems that are in place have been developed on different principles allowing poor opportunities for integration. Methodology/Principal Findings We have developed a user-friendly analytical tool based on network approaches for instant customized analysis of food alert patterns in the European dataset from the Rapid Alert System for Food and Feed. Data taken from alert logs between January 2003 – August 2008 were processed using network analysis to i) capture complexity, ii) analyze trends, and iii) predict possible effects of interventions by identifying patterns of reporting activities between countries. The detector and transgressor relationships are readily identifiable between countries which are ranked using i) Google's PageRank algorithm and ii) the HITS algorithm of Kleinberg. The program identifies Iran, China and Turkey as the transgressors with the largest number of alerts. However, when characterized by impact, counting the transgressor index and the number of countries involved, China predominates as a transgressor country. Conclusions/Significance This study reports the first development of a network analysis approach to inform countries on their transgressor and detector profiles as a user-friendly aid for the adoption of the Beijing Declaration. The ability to instantly access the country-specific components of the several thousand annual reports will enable each country to identify the major transgressors and detectors within its trading network. Moreover, the tool can be used to monitor trading countries for improved detector/transgressor ratios. PMID:19688088

Computer keyboard interaction as an indicator of early Parkinson’s disease

PubMed Central

Giancardo, L.; Sánchez-Ferro, A.; Arroyo-Gallego, T.; Butterworth, I.; Mendoza, C. S.; Montero, P.; Matarazzo, M.; Obeso, J. A.; Gray, M. L.; Estépar, R. San José

2016-01-01

Parkinson’s disease (PD) is a slowly progressing neurodegenerative disease with early manifestation of motor signs. Objective measurements of motor signs are of vital importance for diagnosing, monitoring and developing disease modifying therapies, particularly for the early stages of the disease when putative neuroprotective treatments could stop neurodegeneration. Current medical practice has limited tools to routinely monitor PD motor signs with enough frequency and without undue burden for patients and the healthcare system. In this paper, we present data indicating that the routine interaction with computer keyboards can be used to detect motor signs in the early stages of PD. We explore a solution that measures the key hold times (the time required to press and release a key) during the normal use of a computer without any change in hardware and converts it to a PD motor index. This is achieved by the automatic discovery of patterns in the time series of key hold times using an ensemble regression algorithm. This new approach discriminated early PD groups from controls with an AUC = 0.81 (n = 42/43; mean age = 59.0/60.1; women = 43%/60%;PD/controls). The performance was comparable or better than two other quantitative motor performance tests used clinically: alternating finger tapping (AUC = 0.75) and single key tapping (AUC = 0.61). PMID:27703257

Computer keyboard interaction as an indicator of early Parkinson’s disease

NASA Astrophysics Data System (ADS)

Giancardo, L.; Sánchez-Ferro, A.; Arroyo-Gallego, T.; Butterworth, I.; Mendoza, C. S.; Montero, P.; Matarazzo, M.; Obeso, J. A.; Gray, M. L.; Estépar, R. San José

2016-10-01

Parkinson’s disease (PD) is a slowly progressing neurodegenerative disease with early manifestation of motor signs. Objective measurements of motor signs are of vital importance for diagnosing, monitoring and developing disease modifying therapies, particularly for the early stages of the disease when putative neuroprotective treatments could stop neurodegeneration. Current medical practice has limited tools to routinely monitor PD motor signs with enough frequency and without undue burden for patients and the healthcare system. In this paper, we present data indicating that the routine interaction with computer keyboards can be used to detect motor signs in the early stages of PD. We explore a solution that measures the key hold times (the time required to press and release a key) during the normal use of a computer without any change in hardware and converts it to a PD motor index. This is achieved by the automatic discovery of patterns in the time series of key hold times using an ensemble regression algorithm. This new approach discriminated early PD groups from controls with an AUC = 0.81 (n = 42/43 mean age = 59.0/60.1 women = 43%/60%PD/controls). The performance was comparable or better than two other quantitative motor performance tests used clinically: alternating finger tapping (AUC = 0.75) and single key tapping (AUC = 0.61).

Computer keyboard interaction as an indicator of early Parkinson's disease.

PubMed

Giancardo, L; Sánchez-Ferro, A; Arroyo-Gallego, T; Butterworth, I; Mendoza, C S; Montero, P; Matarazzo, M; Obeso, J A; Gray, M L; Estépar, R San José

2016-10-05

Parkinson's disease (PD) is a slowly progressing neurodegenerative disease with early manifestation of motor signs. Objective measurements of motor signs are of vital importance for diagnosing, monitoring and developing disease modifying therapies, particularly for the early stages of the disease when putative neuroprotective treatments could stop neurodegeneration. Current medical practice has limited tools to routinely monitor PD motor signs with enough frequency and without undue burden for patients and the healthcare system. In this paper, we present data indicating that the routine interaction with computer keyboards can be used to detect motor signs in the early stages of PD. We explore a solution that measures the key hold times (the time required to press and release a key) during the normal use of a computer without any change in hardware and converts it to a PD motor index. This is achieved by the automatic discovery of patterns in the time series of key hold times using an ensemble regression algorithm. This new approach discriminated early PD groups from controls with an AUC = 0.81 (n = 42/43; mean age = 59.0/60.1; women = 43%/60%;PD/controls). The performance was comparable or better than two other quantitative motor performance tests used clinically: alternating finger tapping (AUC = 0.75) and single key tapping (AUC = 0.61).

Hydrochloric acid poisoning

MedlinePlus

... measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. The person ... into the stomach to suction (aspirate) any remaining acid if the victim is seen shortly after ingesting ...

Traffic & rural intersection monitoring with a solar-based infrared wireless system : phase 2 final report, long term effect and justification for further analysis, May 2008 [summary].

DOT National Transportation Integrated Search

2008-05-01

This study concerns the development and evaluation of a dynamic speed monitoring (DSM) system for use at rural intersections. The purpose of the DSM system is to give traffic speed feedback to drivers via an advisory sign, with the goals of improving...

Predators of Greater Sage-Grouse nests identified by video monitoring

USGS Publications Warehouse

Coates, P.S.; Connelly, J.W.; Delehanty, D.J.

2008-01-01

Nest predation is the primary cause of nest failure for Greater Sage-Grouse (Centrocercus urophasianus), but the identity of their nest predators is often uncertain. Confirming the identity of these predators may be useful in enhancing management strategies designed to increase nest success. From 2002 to 2005, we monitored 87 Greater Sage-Grouse nests (camera, N = 55; no camera, N = 32) in northeastern Nevada and south-central Idaho and identified predators at 17 nests, with Common Ravens (Corvus corax) preying on eggs at 10 nests and American badgers (Taxidea taxis) at seven. Rodents were frequently observed at grouse nests, but did not prey on grouse eggs. Because sign left by ravens and badgers was often indistinguishable following nest predation, identifying nest predators based on egg removal, the presence of egg shells, or other sign was not possible. Most predation occurred when females were on nests. Active nest defense by grouse was rare and always unsuccessful. Continuous video monitoring of Sage-Grouse nests permitted unambiguous identification of nest predators. Additional monitoring studies could help improve our understanding of the causes of Sage-Grouse nest failure in the face of land-use changes in the Intermountain West. ?? 2008 Association of Field Ornithologists.

Post-Closure Report for Closed Resource Conservation and Recovery Act Corrective Action Units, Nevada National Security Site, Nevada, for Fiscal Year 2014

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

Silvas, Alissa J.

2015-01-01

This report serves as the combined annual report for post-closure activities for several Corrective Action Units (CAUs). The locations of the sites are shown in Figure 1. This report covers fiscal year 2014 (October 2013–September 2014). The post-closure requirements for these sites are described in Resource Conservation and Recovery Act Permit Number NEV HW0101 and summarized in each CAU-specific section in Section 1.0 of this report. The results of the inspections, a summary of maintenance activities, and an evaluation of monitoring data are presented in this report. Site inspections are conducted semiannually at CAUs 90 and 91 and quarterly atmore » CAUs 92, 110, 111, and 112. Additional inspections are conducted at CAU 92 if precipitation occurs in excess of 0.50 inches (in.) in a 24-hour period and at CAU 111 if precipitation occurs in excess of 1.0 in. in a 24-hour period. Inspections include an evaluation of the condition of the units, including covers, fences, signs, gates, and locks. In addition to visual inspections, soil moisture monitoring, vegetation evaluations, and subsidence surveys are conducted at CAU 110. At CAU 111, soil moisture monitoring, vegetation evaluations, subsidence surveys, direct radiation monitoring, air monitoring, radon flux monitoring, and groundwater monitoring are conducted. The results of the vegetation surveys and an analysis of the soil moisture monitoring data at CAU 110 are presented in this report. Results of additional monitoring at CAU 111 are documented annually in the Nevada National Security Site Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites and in the Nevada National Security Site Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site, which will be prepared in approximately June 2015. All required inspections, maintenance, and monitoring were conducted in accordance with the post-closure requirements of the permit. It is recommended to continue inspections and monitoring as scheduled.« less

Duck Valley Reservoirs Fish Stocking and Operation and Maintenance, 2006-2007 Annual Progress Report.

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

Sellman, Jake; Dykstra, Tim

The Duck Valley Reservoirs Fish Stocking and Operations and Maintenance (DV Fisheries) project is an ongoing resident fish program that serves to partially mitigate the loss of anadromous fish that resulted from downstream construction of the hydropower system. The project's goals are to enhance subsistence fishing and educational opportunities for Tribal members of the Shoshone-Paiute Tribes and provide resident fishing opportunities for non-Tribal members. In addition to stocking rainbow trout (Oncorhynchus mykiss) in Mountain View, Lake Billy Shaw, and Sheep Creek Reservoirs, the program is also designed to maintain healthy aquatic conditions for fish growth and survival, to provide superiormore » facilities with wilderness qualities to attract non-Tribal angler use, and to offer clear, consistent communication with the Tribal community about this project as well as outreach and education within the region and the local community. Tasks for this performance period are divided into operations and maintenance plus monitoring and evaluation. Operation and maintenance of the three reservoirs include fences, roads, dams and all reservoir structures, feeder canals, water troughs and stock ponds, educational signs, vehicles and equipment, and outhouses. Monitoring and evaluation activities included creel, gillnet, wildlife, and bird surveys, water quality and reservoir structures monitoring, native vegetation planting, photo point documentation, control of encroaching exotic vegetation, and community outreach and education. The three reservoirs are monitored in terms of water quality and fishery success. Sheep Creek Reservoir was very unproductive this year as a fishery. Fish morphometric and water quality data indicate that the turbidity is severely impacting trout survival. Lake Billy Shaw was very productive as a fishery and received good ratings from anglers. Mountain View was also productive and anglers reported a high number of quality sized fish. Water quality (specifically dissolved oxygen and temperature) is the main limiting factor in our fisheries.« less

Secure Authentication for Remote Patient Monitoring with Wireless Medical Sensor Networks †

PubMed Central

Hayajneh, Thaier; Mohd, Bassam J; Imran, Muhammad; Almashaqbeh, Ghada; Vasilakos, Athanasios V.

2016-01-01

There is broad consensus that remote health monitoring will benefit all stakeholders in the healthcare system and that it has the potential to save billions of dollars. Among the major concerns that are preventing the patients from widely adopting this technology are data privacy and security. Wireless Medical Sensor Networks (MSNs) are the building blocks for remote health monitoring systems. This paper helps to identify the most challenging security issues in the existing authentication protocols for remote patient monitoring and presents a lightweight public-key-based authentication protocol for MSNs. In MSNs, the nodes are classified into sensors that report measurements about the human body and actuators that receive commands from the medical staff and perform actions. Authenticating these commands is a critical security issue, as any alteration may lead to serious consequences. The proposed protocol is based on the Rabin authentication algorithm, which is modified in this paper to improve its signature signing process, making it suitable for delay-sensitive MSN applications. To prove the efficiency of the Rabin algorithm, we implemented the algorithm with different hardware settings using Tmote Sky motes and also programmed the algorithm on an FPGA to evaluate its design and performance. Furthermore, the proposed protocol is implemented and tested using the MIRACL (Multiprecision Integer and Rational Arithmetic C/C++) library. The results show that secure, direct, instant and authenticated commands can be delivered from the medical staff to the MSN nodes. PMID:27023540

Secure Authentication for Remote Patient Monitoring with Wireless Medical Sensor Networks.

PubMed

Hayajneh, Thaier; Mohd, Bassam J; Imran, Muhammad; Almashaqbeh, Ghada; Vasilakos, Athanasios V

2016-03-24

There is broad consensus that remote health monitoring will benefit all stakeholders in the healthcare system and that it has the potential to save billions of dollars. Among the major concerns that are preventing the patients from widely adopting this technology are data privacy and security. Wireless Medical Sensor Networks (MSNs) are the building blocks for remote health monitoring systems. This paper helps to identify the most challenging security issues in the existing authentication protocols for remote patient monitoring and presents a lightweight public-key-based authentication protocol for MSNs. In MSNs, the nodes are classified into sensors that report measurements about the human body and actuators that receive commands from the medical staff and perform actions. Authenticating these commands is a critical security issue, as any alteration may lead to serious consequences. The proposed protocol is based on the Rabin authentication algorithm, which is modified in this paper to improve its signature signing process, making it suitable for delay-sensitive MSN applications. To prove the efficiency of the Rabin algorithm, we implemented the algorithm with different hardware settings using Tmote Sky motes and also programmed the algorithm on an FPGA to evaluate its design and performance. Furthermore, the proposed protocol is implemented and tested using the MIRACL (Multiprecision Integer and Rational Arithmetic C/C++) library. The results show that secure, direct, instant and authenticated commands can be delivered from the medical staff to the MSN nodes.

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2014 CFR

2014-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2012 CFR

2012-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2013 CFR

2013-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

25 CFR 170.152 - What transit facilities and activities are eligible for IRR Program funding?

Code of Federal Regulations, 2011 CFR

2011-04-01

... INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and... facilities that incorporate other community services; (h) Passenger shelters, bus stop signs, and similar...

Center Director Bridges and Lt. Gov. Brogan sign Memorandum of Understanding

NASA Technical Reports Server (NTRS)

2000-01-01

At the KSC Visitor Complex, Center Director Roy D. Bridges (left) and Florida's Lieutenant Governor Frank T. Brogan sign a Memorandum of Understanding (MOU). The MOU documents the intent of NASA KSC and the State of Florida to form partnerships with academic institutions in Florida for development of aerospace- related advanced training and academic/educational programs. The three-year project anticipates that the partnership and educational programs fostered will improve the lifelong learning environment for the aerospace and engineering workforce.

ITS traffic data consolidation system

DOT National Transportation Integrated Search

2005-03-01

The Arizona Department of Transportation (ADOT) maintains a variety of independent applications to monitor roadway : conditions and activities across the state including traffic counts, weather data, signal timing, Variable Message Sign (VMS) : advis...

CDC Vital Signs: Child Injury

MedlinePlus

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

Methyl Bromide Fumigant Management Plan Phase 2 Templates

EPA Pesticide Factsheets

Templates provide a checklist and framework for elements including certified pesticide applicator details, application block, buffer zones, sign posting, tarp plan, soil conditions, air monitoring, and good agricultural practices (GAPs).

Development of a prehospital vital signs chart sharing system.

PubMed

Nakada, Taka-aki; Masunaga, Naohisa; Nakao, Shota; Narita, Maiko; Fuse, Takashi; Watanabe, Hiroaki; Mizushima, Yasuaki; Matsuoka, Tetsuya

2016-01-01

Physiological parameters are crucial for the caring of trauma patients. There is a significant loss of prehospital vital signs data of patients during handover between prehospital and in-hospital teams. Effective strategies for reducing the loss remain a challenging research area. We tested whether the newly developed electronic automated prehospital vital signs chart sharing system would increase the amount of prehospital vital signs data shared with a remote trauma center prior to hospital arrival. Fifty trauma patients, transferred to a level I trauma center in Japan, were studied. The primary outcome variable was the number of prehospital vital signs shared with the trauma center prior to hospital arrival. The prehospital vital signs chart sharing system significantly increased the number of prehospital vital signs, including blood pressure, heart rate, and oxygen saturation, shared with the in-hospital team at a remote trauma center prior to patient arrival at the hospital (P < .0001). There were significant differences in prehospital vital signs during ambulance transfer between patients who had severe bleeding and non-severe bleeding within 24 hours after injury onset. Vital signs data collected during ambulance transfer via patient monitors could be automatically converted to easily visible patient charts and effectively shared with the remote trauma center prior to hospital arrival. The prehospital vital signs chart sharing system increased the number of precise vital signs shared prior to patient arrival at the hospital, which can potentially contribute to better trauma care without increasing labor and reduce information loss during clinical handover. Copyright © 2015 Elsevier Inc. All rights reserved.

Research Review: Harnessing the power of individual participant data in a meta-analysis of the benefits and harms of the Incredible Years parenting program.

PubMed

Leijten, Patty; Gardner, Frances; Landau, Sabine; Harris, Victoria; Mann, Joanna; Hutchings, Judy; Beecham, Jennifer; Bonin, Eva-Maria; Scott, Stephen

2018-02-01

Parenting programs aim to reduce children's conduct problems through improvement of family dynamics. To date, research on the precise benefits and possible harms of parenting programs on family well-being has been unsystematic and likely to be subject to selective outcome reporting and publication bias. Better understanding of program benefits and harms requires full disclosure by researchers of all included measures, and large enough numbers of participants to be able to detect small effects and estimate them precisely. We obtained individual participant data for 14 of 15 randomized controlled trials on the Incredible Years parenting program in Europe (total N = 1,799). We used multilevel modeling to estimate program effects on 13 parent-reported outcomes, including parenting practices, children's mental health, and parental mental health. Parental use of praise, corporal punishment, threats, and shouting improved, while parental use of tangible rewards, monitoring, or laxness did not. Children's conduct problems and attention deficit hyperactivity disorder (ADHD) symptoms improved, while emotional problems did not. Parental mental health (depressive symptoms, self-efficacy, and stress) did not improve. There was no evidence of harmful effects. The Incredible Years parenting program improves the aspects of family well-being that it is primarily designed to improve: parenting and children's conduct problems. It also improves parent-reported ADHD symptoms in children. Wider benefits are limited: the program does not improve children's emotional problems or parental mental health. There are no signs of harm on any of the target outcomes. © 2017 Association for Child and Adolescent Mental Health.

48 CFR 919.7009 - Process for participation in the program.

Code of Federal Regulations, 2010 CFR

2010-10-01

... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS The Department of Energy Mentor-Protege Program 919.7009 Process for participation in the program. A prospective Mentor must submit the following to the DOE Mentor... contracting activity; and (d) An original and two copies of the Mentor-Protege Agreement signed by the chief...

49 CFR 239.101 - Emergency preparedness plan.

Code of Federal Regulations, 2012 CFR

2012-10-01

... gauge roller bandage that is at least two inches wide; (F) Wound cleaning agent, such as sealed...) Station signs or video monitors; (F) Public service announcements; or (G) Seat drops. (b) [Reserved] ...

49 CFR 239.101 - Emergency preparedness plan.

Code of Federal Regulations, 2013 CFR

2013-10-01

... gauge roller bandage that is at least two inches wide; (F) Wound cleaning agent, such as sealed...) Station signs or video monitors; (F) Public service announcements; or (G) Seat drops. (b) [Reserved] ...

49 CFR 239.101 - Emergency preparedness plan.

Code of Federal Regulations, 2014 CFR

2014-10-01

... gauge roller bandage that is at least two inches wide; (F) Wound cleaning agent, such as sealed...) Station signs or video monitors; (F) Public service announcements; or (G) Seat drops. (8) Procedures...

49 CFR 239.101 - Emergency preparedness plan.

Code of Federal Regulations, 2011 CFR

2011-10-01

... gauge roller bandage that is at least two inches wide; (F) Wound cleaning agent, such as sealed...) Station signs or video monitors; (F) Public service announcements; or (G) Seat drops. (b) [Reserved] ...

30 CFR 75.1506 - Refuge alternatives.

Code of Federal Regulations, 2010 CFR

2010-07-01

... alternative. (2) Directional signs made of a reflective material shall be posted leading to each refuge... shall be monitored. Changes or adjustments shall be made to reduce the concentration of methane to less...

Highway Performance Monitoring System reassessment

DOT National Transportation Integrated Search

2012-05-01

This document describes the concept of operations for three connected vehicle V2I safety applications related to intersection safety and speed management. Specifically, these applications include: Red-Light Violation Warning (RLVW) Stop Sign ...

Student decision making in large group discussion

NASA Astrophysics Data System (ADS)

Kustusch, Mary Bridget; Ptak, Corey; Sayre, Eleanor C.; Franklin, Scott V.

2015-04-01

It is increasingly common in physics classes for students to work together to solve problems and perform laboratory experiments. When students work together, they need to negotiate the roles and decision making within the group. We examine how a large group of students negotiates authority as part of their two week summer College Readiness Program at Rochester Institute of Technology. The program is designed to develop metacognitive skills in first generation and Deaf and hard-of-hearing (DHH) STEM undergraduates through cooperative group work, laboratory experimentation, and explicit reflection exercises. On the first full day of the program, the students collaboratively developed a sign for the word ``metacognition'' for which there is not a sign in American Sign Language. This presentation will focus on three aspects of the ensuing discussion: (1) how the instructor communicated expectations about decision making; (2) how the instructor promoted student-driven decision making rather than instructor-driven policy; and (3) one student's shifts in decision making behavior. We conclude by discussing implications of this research for activity-based physics instruction.

Artifactual ECG changes induced by electrocautery in a patient with coronary artery disease.

PubMed

Naik, B Naveen; Luthra, Ankur; Dwivedi, Ashish; Jafra, Anudeep

Continuous monitoring of 5-lead electrocardiogram is a basic standard of care (included under standard ASA monitor) in the operating room and electrocautery interference is a common phenomenon. Clinical signs, along with monitored waveforms from other simultaneously monitored parameters may provide us clues to differentiate artifacts from true changes on the electrocardiogram. An improved understanding of the artifacts generated by electrocautery and their identifying characteristics is important to avoid misinterpretation, misdiagnosis, and hence mismanagement. This case report highlights the artifacts in electrocardiogram induced by electrocautery. Copyright © 2017 Elsevier Inc. All rights reserved.

Transfusion risks and transfusion-related pro-inflammatory responses.

PubMed

Despotis, George John; Zhang, Lini; Lublin, Douglas M

2007-02-01

Despite improvements in blood screening and administration techniques, serious adverse events related to transfusion continue to occur, albeit at a much lower incidence. In addition to the development and implementation of new screening and blood purification/modification techniques and implementation of an optimal blood management program, the incidence and consequences of transfusion reactions can be reduced by a basic understanding of transfusion-related complications. Although acute hemolytic transfusion reactions, transfusion-associated anaphylaxis and sepsis, and transfusion-associated acute lung injury occur infrequently, diligence in administration of blood and monitoring for development of respective signs/symptoms can minimize the severity of these potentially life-threatening complications. In addition, emerging blood-banking techniques such as psoralen-UV inactivation of pathogens and use of patient identification systems may attenuate the incidence of adverse events related to transfusion. With respect to optimizing blood management by means of an effective blood management program involving pharmacologic and nonpharmacologic strategies, the ability to reduce use of blood products and to decrease operative time or re-exploration rates has important implications for disease prevention, blood inventory and costs, and overall health care costs.

Lead poisoning in captive Andean condors (Vultur gryphus)

USGS Publications Warehouse

Pattee, O.H.; Carpenter, J.W.; Fritts, S.H.; Rattner, B.A.; Wiemeyer, Stanley N.; Royle, J. Andrew; Smith, M.R.

2006-01-01

Elevated lead in the tissues of raptors, especially those that scavenge, is a common occurrence, and lead poisoning appears to be a significant problem in the ongoing recovery effort for California condors (Gymnogyps californianus). Elevated blood lead levels have been found in released birds, and a number of birds have died of lead poisoning. In earlier work, we dosed turkey vultures (Cathartes aura) with lead shot but found them to be a poor model for lead poisoning. In this study, we dosed four Andean condors (Vultur gryphus) with lead shot and found them to be quite sensitive, as two of the birds died and the other two exhibit signs of lead poisoning within 50 days. All lead-responsive parameters were affected, and regurgitation of dosed shot occurred only once. The response of the Andean condors appeared to mimic California condors, suggesting that once exposed to lead, the possibility of survival is poor. This is consistent with observations in the wild, where otherwise healthy birds exposed to metallic lead quickly succumb. At the very least, the release program has to maintain constant surveillance and an active lead monitoring program.

Psychosocial Correlates of Clinicians' Prescription Drug Monitoring Program Utilization.

PubMed

Pugliese, John A; Wintemute, Garen J; Henry, Stephen G

2018-05-01

The purpose of this study is to extend prior research on barriers to use of a prescription drug monitoring program by examining psychosocial correlates of intended use among physicians and pharmacists. Overall, 1,904 California physicians and pharmacists responded to a statewide survey (24.1% response rate) from August 2016 to January 2017. Participants completed an online survey examining attitudes toward prescription drug misuse and abuse, prescribing practices, prescription drug monitoring program design and ease of use, professional obligations, and normative beliefs regarding prescription drug monitoring program use. Data were analyzed in 2017. Perceived prescription drug monitoring program usefulness and normative beliefs fully mediated the relationship between concern about prescription drug abuse and intentions to use the prescription drug monitoring program. Clinicians' sense of professional and moral obligation to use the prescription drug monitoring program was unrelated to intention to use the prescription drug monitoring program despite a positive relationship with concern about misuse and abuse. Compared with physicians, pharmacists reported greater concern about prescription drug misuse, greater professional and moral obligation to use prescription drug monitoring program, and greater rating of prescription drug monitoring program usefulness. Interventions that target normative beliefs surrounding prescription drug monitoring program use and how to use prescription drug monitoring programs effectively are likely to be more effective than those that target professional obligations or moralize to the medical community. Published by Elsevier Inc.

Frequency-Tracking CW Doppler Radar Solving Small-Angle Approximation and Null Point Issues in Non-Contact Vital Signs Monitoring.

PubMed

Mercuri, Marco; Liu, Yao-Hong; Lorato, Ilde; Torfs, Tom; Bourdoux, Andre; Van Hoof, Chris

2017-06-01

A Doppler radar operating as a Phase-Locked-Loop (PLL) in frequency demodulator configuration is presented and discussed. The proposed radar presents a unique architecture, using a single channel mixer, and allows to detect contactless vital signs parameters while solving the null point issue and without requiring the small angle approximation condition. Spectral analysis, simulations, and experimental results are presented and detailed to demonstrate the feasibility and the operational principle of the proposed radar architecture.

47 CFR 76.1300 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... definition of a multichannel video programming distributor set forth in paragraph (e) of this section, means... programming that: (1) Agrees to be financially liable for any fees due pursuant to a satellite cable programming, or satellite broadcast programming, contract which it signs as a contracting party as a...

Legionella (Legionnaires' Disease and Pontiac Fever): Signs and Symptoms

MedlinePlus

... Outbreaks Preventing Healthcare-associated Disease Environmental Resources Communications Resources Request CDC Assistance For Laboratories Prevention with Water Management Programs Overview of Water Management Programs Water ...

A community based approach to improve health care seeking for newborn danger signs in rural Wardha, India.

PubMed

Dongre, Amol R; Deshmukh, Pradeep R; Garg, Bishan S

2009-01-01

To find out the effect of community mobilization and health education effort on health care seeking behavior of families with sick newborns, and to explore the rationale behind the changed health care seeking behaviors of mothers in a rural Indian community. In the present community based participatory intervention, a triangulated research design of quantitative (survey) and qualitative (Focus group discussions, FGDs) method was undertaken for needs assessment in year 2004. In community mobilization, women's self help groups; Kishori Panchayat (KP, forum of adolescent girls), Kisan Vikas Manch (Farmers' club) and Village Coordination Committees (VCC) were formed in the study area. The trained social worker facilitated VCCs to develop village health plans to act upon their priority maternal and child health issues. The pregnant women and group members were given health education. The Lot Quality Assurance Sampling (LQAS) technique was used to monitor awareness regarding newborn danger signs among pregnant women. In year 2007, a triangulation of quantitative survey and a qualitative study (free list and pile sort exercise) was undertaken to find out changes in health care seeking behaviors of mothers. There was significant improvement in mothers' knowledge regarding newborn danger signs. About half of the mothers got information from CLICS doot (female community health worker). The monitoring over three years period showed encouraging trend in level of awareness among pregnant women. After three years, the proportion of mothers giving no treatment/home remedy for newborn danger signs declined significantly. However, there was significant improvement in mothers' health care seeking from private health care providers for sick newborns. The present approach improved mothers' knowledge regarding newborn danger signs and improved their health care seeking behavior for newborn danger signs at community level. Due to lack of faith in government health services, women preferred to seek care from private providers.

ACE blood test

MedlinePlus

... 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 ...

42 CFR 482.24 - Condition of participation: Medical record services.

Code of Federal Regulations, 2012 CFR

2012-10-01

... consultative evaluations of the patient and appropriate findings by clinical and other staff involved in the..., radiology, and laboratory reports, and vital signs and other information necessary to monitor the patient's...

42 CFR 482.24 - Condition of participation: Medical record services.

Code of Federal Regulations, 2013 CFR

2013-10-01

... consultative evaluations of the patient and appropriate findings by clinical and other staff involved in the..., radiology, and laboratory reports, and vital signs and other information necessary to monitor the patient's...

Domestic Violence against Men: Know the Signs

MedlinePlus

... complete call and texting history. Use your home computer cautiously. Your abuser might use spyware to monitor ... and the websites you visit. Consider using a computer at work, at the library or at a ...

Vital sign monitoring for elderly at home: development of a compound sensor for pulse rate and motion.

PubMed

Sum, K W; Zheng, Y P; Mak, A F T

2005-01-01

This paper describes the development of a miniaturized wearable vital sign monitor which is aimed for use by elderly at home. The development of a compound sensor for pulse rate, motion, and skin temperature is reported. A pair of infrared sensor working in reflection mode was used to detect the pulse rate from various sites over the body including the wrist and finger. Meanwhile, a motion sensor was used to detect the motion of the body. In addition, the temperature on the skin surface was sensed by a semiconductor temperature sensor. A prototype has been built into a box with a dimension of 2 x 2.5 x 4 cm3. The device includes the sensors, microprocessor, circuits, battery, and a wireless transceiver for communicating data with a data terminal.

Inpatient-Derived Vital Sign Parameters Implementation: An Initiative to Decrease Alarm Burden.

PubMed

Kipps, Alaina K; Poole, Sarah F; Slaney, Cheryl; Feehan, Shannon; Longhurst, Christopher A; Sharek, Paul J; Goel, Veena V

2017-08-01

To implement data-driven vital sign parameters to reduce bedside monitor alarm burden. Single-center, quality-improvement initiative with historical controls assessing the impact of age-based, inpatient-derived heart rate (HR) and respiratory rate (RR) parameters on a 20-bed acute care ward that serves primarily pediatric cardiology patients. The primary outcome was the number of alarms per monitored bed day (MBD) with the aim to decrease the alarms per MBD. Balancing measures included the frequency of missed rapid response team activations, acute respiratory code events, and cardiorespiratory arrest events in the unit with the new vital sign parameters. The median number of all cardiorespiratory monitor alarms per MBD decreased by 21% from 52 (baseline period) to 41 (postintervention period) ( P < .001). This included a 17% decrease in the median HR alarms (9-7.5 per MBD) and a 53% drop in RR alarms (16.8-8.0 per MBD). There were 57 rapid response team activations, 8 acute respiratory code events, and no cardiorespiratory arrest events after the implementation of the new parameters. An evaluation of HRs and RRs recorded at the time of the event revealed that all patients with HRs and/or RRs out of range per former default parameters would also be out of range with the new parameters. Implementation of data-driven HR and iteratively derived RR parameters safely decreased the total alarm frequency by 21% in a pediatric acute care unit. Copyright © 2017 by the American Academy of Pediatrics.

Wild cats of the Sky Islands: a summary of monitoring efforts using noninvasive techniques

Treesearch

Lisa Haynes; Zoe Hackl; Melanie Culver

2005-01-01

A variety of efforts are taking place to detect, inventory, and monitor the wild felids (pumas, bobcats, jaguars, and ocelots) of the Madrean Archipelago. Researchers are using a suite of noninvasive methods, including infrared-triggered photography, DNA analysis of scat and hair (collected from “hair snares”), and old-fashioned tracking and sign searches. These...

Structural Optimization of a Distributed Actuation System in a Flexible In-Plane Morphing Wing

DTIC Science & Technology

2007-06-01

Captain, USAF Approved: /signed/ 11 Jun 2007 Dr. Robert Canfield (Chairman) date /signed/ 11 Jun 2007 Dr. Brian Sanders (Member) date /signed/ 11 Jun...can be seen here at the Camp Roberts Flight Test Range [11]. separation, which ultimately increased the overall lift. During wind tunnel tests, the...Matlabr . The outermost loop was written by Mark Spillman and Dr. Robert Canfield and was based on Schittkowski’s Sequential Quadratic Programming (SQP

Analysis of the IMS Location Accuracy in Northern Eurasia and North America Using Regional and Global Pn Travel-time Tables

NASA Astrophysics Data System (ADS)

United States Calibration Working Group, Russian Federation/

- Joint Research Program of Seismic Calibration of the International Monitoring System (IMS) in Northern Eurasia and North America has been signed by the Nuclear Treaty Programs Office (NTPO), Department of Defense USA, and the Special Monitoring Service (SMS) of the Ministry of Defense, Russian Federation (RF). Under the Program historical data from nuclear and large chemical explosions of known location and shot time, together with appropriate geological and geophysical data, has been used to derive regional Pn/P travel-time tables for seismic event location within the lower 48 States of the USA and the European part of the RF. These travel-time tables are up to 5seconds faster in shields than the IASPEI91 tables, and up to 5seconds slower in the Western USA. Relocation experiments using the regional Pn travel-time curves and surrogate networks for the IMS network generally improved locations for regional seismic events. The distance between true and estimated location (mislocation) was decreased from an average of 18.8km for the IASPEI91 tables to 10.1km for the regional Pn travel-time tables. However, the regional travel-time table approach has limitations caused by travel-time variations inside major tectonic provinces and paths crossing several tectonic provinces with substantially different crustal and upper mantle velocity structure.The RF members of the Calibration Working Group (WG): Colonel Vyacheslav Gordon (chairman); Dr. Prof. Marat Mamsurov, and Dr. Nikolai Vasiliev. The US members of the WG: Dr. Anton Dainty (chairman), Dr. Douglas Baumgardt, Mr. John Murphy, Dr. Robert North, and Dr. Vladislav Ryaboy.

Development of Standard Station Interface for Comprehensive Nuclear Test Ban Treaty Organistation Monitoring Networks

NASA Astrophysics Data System (ADS)

Dricker, I. G.; Friberg, P.; Hellman, S.

2001-12-01

Under the contract with the CTBTO, Instrumental Software Technologies Inc., (ISTI) has designed and developed a Standard Station Interface (SSI) - a set of executable programs and application programming interface libraries for acquisition, authentication, archiving and telemetry of seismic and infrasound data for stations of the CTBTO nuclear monitoring network. SSI (written in C) is fully supported under both the Solaris and Linux operating systems and will be shipped with fully documented source code. SSI consists of several interconnected modules. The Digitizer Interface Module maintains a near-real-time data flow between multiple digitizers and the SSI. The Disk Buffer Module is responsible for local data archival. The Station Key Management Module is a low-level tool for data authentication and verification of incoming signatures. The Data Transmission Module supports packetized near-real-time data transmission from the primary CTBTO stations to the designated Data Center. The AutoDRM module allows transport of seismic and infrasound signed data via electronic mail (auxiliary station mode). The Command Interface Module is used to pass the remote commands to the digitizers and other modules of SSI. A station operator has access to the state-of-health information and waveforms via an the Operator Interface Module. Modular design of SSI will allow painless extension of the software system within and outside the boundaries of CTBTO station requirements. Currently an alpha version of SSI undergoes extensive tests in the lab and onsite.

[Retrospective study of the implementation of the qualitative PCR technique in biological samples for monitoring toxoplasmosis in pediatric patients receiving hematopoietic stem cell transplantation].

PubMed

Nigro, Mónica G; Figueroa, Carlos; Ledesma, Bibiana A

2014-01-01

Toxoplasmosis is an opportunistic infection caused by the parasite Toxoplasma gondii. The infection is severe and difficult to diagnose in patients receiving allogeneic hematopoietic stem cell transplantation (HSCT). Twelve patients receiving HSCT were monitored post-transplant, by qualitative PCR at the Children's Hospital S.A.M.I.C. "Prof. Dr. Juan P. Garrahan". The monitoring of these patients was defined by a history of positive serology for toxoplasmosis in the donor or recipient and because their hematologic condition did not allow the use of trimethoprim-sulfamethoxazole for prophylaxis. During the patients' monitoring, two of them with positive PCR results showed signs of illness by T. gondii and were treated with pyrimethamine-clindamycin. In two other patients, toxoplasmosis was the cause of death and an autopsy finding, showing negative PCR results. Four patients without clinical manifestations received treatment for toxoplasmosis because of positive PCR detection. In four patients there were no signs of toxoplasmosis disease and negative PCR results during follow-up. The qualitative PCR technique proved useful for the detection of toxoplasmosis reactivation in HSCT recipients, but has limitations in monitoring and making clinical decisions due to the persistence of positive PCR over time and manifestations of toxicity caused by the treatment. Copyright © 2014 Asociación Argentina de Microbiología. Publicado por Elsevier España. All rights reserved.

50 CFR 86.91 - What are my program crediting responsibilities?

Code of Federal Regulations, 2012 CFR

2012-10-01

... THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.91 What are my program crediting responsibilities? You should give public credit to the Federal Aid in Sport Fish...

50 CFR 86.91 - What are my program crediting responsibilities?

Code of Federal Regulations, 2011 CFR

2011-10-01

... THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.91 What are my program crediting responsibilities? You should give public credit to the Federal Aid in Sport Fish...

50 CFR 86.91 - What are my program crediting responsibilities?

Code of Federal Regulations, 2010 CFR

2010-10-01

... THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.91 What are my program crediting responsibilities? You should give public credit to the Federal Aid in Sport Fish...

GSD Update: Checking the range for signs of climate change in the past, present and future

Treesearch

Lisa-Natalie Anjozian

2011-01-01

The July 2011 inaugural issue of GSDUpdate: Checking the Range for Signs of Climate Change In the Past, Present and Future, a research review of the Program, focuses on the efforts toward understanding the role of climate in shaping the environment.

Final test report for NTCIP 1203 V2.25--dynamic message signs (DMS) as deployed by the Virginia department of transportation (VDOT).

DOT National Transportation Integrated Search

2008-04-25

This report presents the results of the ITS Standards Testing Program for the field testing, assessment, and evaluation of the NTCIP standards that apply in the domain of Dynamic Message Signs (DMS). Specifically, the National Transportation Communic...

75 FR 31223 - Energy Conservation Program for Consumer Products: Test Procedure for Residential Central Air...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-02

...., Washington, DC 20585-0121. Please submit one signed paper original. Hand Delivery/Courier: Ms. Brenda Edwards...., Washington, DC 20024. Telephone: (202) 586-2945. Please submit one signed paper original. Instructions: [email protected] . SUPPLEMENTARY INFORMATION: I. Authority and Background A. Authority B. Background II...

75 FR 56795 - Energy Conservation Program: Certification, Compliance, and Enforcement for Consumer Products and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-16

... one signed paper original. Hand Delivery/Courier: Ms. Brenda Edwards, U.S. Department of Energy...-2945. Please submit one signed paper original. Instructions: All submissions received must include the... . SUPPLEMENTARY INFORMATION: I. Authority and Background II. Summary of the Proposal A. Reorganization of DOE's...

75 FR 57555 - Energy Conservation Program for Consumer Products: Test Procedure for Residential Clothes Washers

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... one signed original paper copy. 4. Hand Delivery/Courier: Ms. Brenda Edwards, U.S. Department of.... Telephone: (202) 586-2945. Please submit one signed original paper copy. For detailed instructions on...-mail: [email protected] . SUPPLEMENTARY INFORMATION: Table of Contents I. Background and Legal...

7 CFR 1424.5 - Agreement process.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 10 2011-01-01 2011-01-01 false Agreement process. 1424.5 Section 1424.5 Agriculture... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOENERGY PROGRAM § 1424.5 Agreement process. (a) To participate, an eligible producer must submit a signed agreement during the FY sign-up period. Agreements may...

7 CFR 1424.5 - Agreement process.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Agreement process. 1424.5 Section 1424.5 Agriculture... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS BIOENERGY PROGRAM § 1424.5 Agreement process. (a) To participate, an eligible producer must submit a signed agreement during the FY sign-up period. Agreements may...

32 CFR 241.5 - Written agreements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 2 2011-07-01 2011-07-01 false Written agreements. 241.5 Section 241.5 National... PILOT PROGRAM FOR TEMPORARY EXCHANGE OF INFORMATION TECHNOLOGY PERSONNEL § 241.5 Written agreements. (a... to be assigned to ITEP must sign a three-party agreement. Prior to the agreement being signed the...

10 CFR 431.202 - Definitions concerning illuminated exit signs.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 431.202 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY EFFICIENCY PROGRAM FOR CERTAIN... watts (W). For exit sign models with rechargeable batteries, input power demand shall be measured with batteries at full charge. [70 FR 60417, Oct. 18, 2005, as amended at 71 FR 71372, Dec. 8, 2006] Test...

10 CFR 431.202 - Definitions concerning illuminated exit signs.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Section 431.202 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION ENERGY EFFICIENCY PROGRAM FOR CERTAIN... watts (W). For exit sign models with rechargeable batteries, input power demand shall be measured with batteries at full charge. [70 FR 60417, Oct. 18, 2005, as amended at 71 FR 71372, Dec. 8, 2006] Test...

National Apprenticeship and Training Standards for Sign, Display, and Allied Workers Industry. Revised.

ERIC Educational Resources Information Center

Employment and Training Administration (DOL), Washington, DC. Bureau of Apprenticeship and Training.

These national standards are designed to provide a uniform pattern for establishing and operating effective apprenticeship programs for sign, display, and allied workers. Included in the volume are the following: provisions of the standards (definitions, qualifications for apprenticeship, selection of apprentices, terms of apprenticeship, related…

Intracranial pressure monitoring in severe blunt head trauma: does the type of monitoring device matter?

PubMed

Aiolfi, Alberto; Khor, Desmond; Cho, Jayun; Benjamin, Elizabeth; Inaba, Kenji; Demetriades, Demetrios

2018-03-01

OBJECTIVE Intracranial pressure (ICP) monitoring has become the standard of care in the management of severe head trauma. Intraventricular devices (IVDs) and intraparenchymal devices (IPDs) are the 2 most commonly used techniques for ICP monitoring. Despite the widespread use of these devices, very few studies have investigated the effect of device type on outcomes. The purpose of the present study was to compare outcomes between 2 types of ICP monitoring devices in patients with isolated severe blunt head trauma. METHODS This retrospective observational study was based on the American College of Surgeons Trauma Quality Improvement Program database, which was searched for all patients with isolated severe blunt head injury who had an ICP monitor placed in the 2-year period from 2013 to 2014. Extracted variables included demographics, comorbidities, mechanisms of injury, head injury specifics (epidural, subdural, subarachnoid, intracranial hemorrhage, and diffuse axonal injury), Abbreviated Injury Scale (AIS) score for each body area, Injury Severity Score (ISS), vital signs in the emergency department, and craniectomy. Outcomes included 30-day mortality, complications, number of ventilation days, intensive care unit and hospital lengths of stay, and functional independence. RESULTS During the study period, 105,721 patients had isolated severe traumatic brain injury (head AIS score ≥ 3). Overall, an ICP monitoring device was placed in 2562 patients (2.4%): 1358 (53%) had an IVD and 1204 (47%) had an IPD. The severity of the head AIS score did not affect the type of ICP monitoring selected. There was no difference in the median ISS; ISS > 15; head AIS Score 3, 4, or 5; or the need for craniectomy between the 2 device groups. Unadjusted 30-day mortality was significantly higher in the group with IVDs (29% vs 25.5%, p = 0.046); however, stepwise logistic regression analysis showed that the type of ICP monitoring was not an independent risk factor for death, complications, or functional outcome at discharge. CONCLUSIONS This study demonstrated that compliance with the Brain Trauma Foundation guidelines for ICP monitoring is poor. In isolated severe blunt head injuries, the type of ICP monitoring device does not have any effect on survival, systemic complications, or functional outcome.

78 FR 33326 - Intermediary Relending Program; Roundtable Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-04

... enhancements to the Intermediary Relending Program (IRP) and fiscal year 2013 funding levels and application... sign language interpreter or other special accommodations should contact Mark Brodziski as identified...

Accuracy and effectiveness of self-gating signals in free-breathing three-dimensional cardiac cine magnetic resonance imaging

NASA Astrophysics Data System (ADS)

Li, Shuo; Wang, Lei; Zhu, Yan-Chun; Yang, Jie; Xie, Yao-Qin; Fu, Nan; Wang, Yi; Gao, Song

2016-12-01

Conventional multiple breath-hold two-dimensional (2D) balanced steady-state free precession (SSFP) presents many difficulties in cardiac cine magnetic resonance imaging (MRI). Recently, a self-gated free-breathing three-dimensional (3D) SSFP technique has been proposed as an alternative in many studies. However, the accuracy and effectiveness of self-gating signals have been barely studied before. Since self-gating signals are crucially important in image reconstruction, a systematic study of self-gating signals and comparison with external monitored signals are needed. Previously developed self-gated free-breathing 3D SSFP techniques are used on twenty-eight healthy volunteers. Both electrocardiographic (ECG) and respiratory bellow signals are also acquired during the scan as external signals. Self-gating signal and external signal are compared by trigger and gating window. Gating window is proposed to evaluate the accuracy and effectiveness of respiratory self-gating signal. Relative deviation of the trigger and root-mean-square-deviation of the cycle duration are calculated. A two-tailed paired t-test is used to identify the difference between self-gating and external signals. A Wilcoxon signed rank test is used to identify the difference between peak and valley self-gating triggers. The results demonstrate an excellent correlation (P = 0, R > 0.99) between self-gating and external triggers. Wilcoxon signed rank test shows that there is no significant difference between peak and valley self-gating triggers for both cardiac (H = 0, P > 0.10) and respiratory (H = 0, P > 0.44) motions. The difference between self-gating and externally monitored signals is not significant (two-tailed paired-sample t-test: H = 0, P > 0.90). The self-gating signals could demonstrate cardiac and respiratory motion accurately and effectively as ECG and respiratory bellow. The difference between the two methods is not significant and can be explained. Furthermore, few ECG trigger errors appear in some subjects while these errors are not found in self-gating signals. Project supported by the National Natural Science Foundation of China (Grant Nos. 81501463, 61471349, 81671853, 81571669, and 61671026), the National High Technology Research and Development Program of China (Grant No. 2015AA043203), the Natural Science Foundation of Beijing, China (Grant No. 7162112), Guangdong Innovative Research Team Program of China (Grant No. 2011S013), the Natural Science Foundation of Guangdong Province, China (Grant Nos. 2014A030310360 and 2014A0202015028), the Beijing Center for Mathematics and Information Interdisciplinary Sciences, Shenzhen Fundamental Research Program, China (Grant Nos. JCYJ201500731154850923 and JCYJ20140417113430665), Shenzhen High-level Oversea Talent Program, China (Grant No. KQJSCX20160301144248), and the Nanshan Technology Research Fund, China (Grant No. KC2014JSQN0001A).

Monitoring Engine Vibrations And Spectrum Of Exhaust

NASA Technical Reports Server (NTRS)

Martinez, Carol L.; Randall, Michael R.; Reinert, John W.

1991-01-01

Real-time computation of intensities of peaks in visible-light emission spectrum of exhaust combined with real-time spectrum analysis of vibrations into developmental monitoring technique providing up-to-the-second information on conditions of critical bearings in engine. Conceived to monitor conditions of bearings in turbopump suppling oxygen to Space Shuttle main engine, based on observations that both vibrations in bearings and intensities of visible light emitted at specific wavelengths by exhaust plume of engine indicate wear and incipient failure of bearings. Applicable to monitoring "health" of other machinery via spectra of vibrations and electromagnetic emissions from exhausts. Concept related to one described in "Monitoring Bearing Vibrations For Signs Of Damage", (MFS-29734).

Center Director Bridges and Lt. Gov. Brogan shake hands after signing a Memorandum of Understanding

NASA Technical Reports Server (NTRS)

2000-01-01

At the KSC Visitor Complex, Center Director Roy D. Bridges (left) and Florida's Lieutenant Governor Frank T. Brogan shake hands after signing a Memorandum of Understanding (MOU). The MOU documents the intent of NASA KSC and the State of Florida to form partnerships with academic institutions in Florida for development of aerospace-related advanced training and academic/educational programs. The three-year project anticipates that the partnership and educational programs fostered will improve the lifelong learning environment for the aerospace and engineering workforce.

[Psychophysiological studies in the pre-school children].

PubMed

Ullner, R; von Braun, G S; Ziegelmayer, G

1976-10-14

The behavior of 24 children, aged 3-6 years, was recorded on video-tape. Simultaneously the ECG was recorded telemetrically. These observations were made during two pre-school educational programs lasting 90 minutes each: "Didactic games" and "Elementary music and movement program". For each child a scale was developed to show the correlation of mean heart-rate and well defined motor-activity. It was evident that the mean heart-rate was higher during the music program than during the didactic program, corresponding to the higher motor-activity. But it was found that in the didactic program the variation of the heart-rate within short intervals was higher due to the more frequent occurrence of respiratory arrhythmias. It was also seen that during the music program the children showed no signs of exertion as they did towards the end of the didactic program. Respiratory arrhythmias were not seen in children who according to the Schellong-test were classified as stable in their cardiovascular system. The arrhythmias occurred mainly when the children showed signs of fatigue.

Mexican Space Agency and NASA Agreement

NASA Image and Video Library

2013-03-18

Leland Melvin (right), NASA Associate Administrator for Education, along with the head of the Mexican Space Agency, Dr. Francisco Javier Mendieta Jimenez shake hands after signing a Reimbursable Space Act Agreement (RSAA) for a NASA International Internship Program as NASA Administrator Charles Bolden looks on, Monday, March 18, 2013 at NASA Headquarters in Washington. The International Internship Program is a pilot program developed at NASA which will provide and avenue for non-US students to come to NASA for an internship. US students will be paired with a foreign student to work on a NASA research project under the guidance of a mentor. This is the first NASA-Mexico agreement signed. Photo Credit: (NASA/Carla Cioffi)

Mexican Space Agency and NASA Agreement

NASA Image and Video Library

2013-03-18

Leland Melvin (right), NASA Associate Administrator for Education, along with the head of the Mexican Space Agency, Dr. Francisco Javier Mendieta Jimenez pose for a photo after signing a Reimbursable Space Act Agreement (RSAA) for a NASA International Internship Program as NASA Administrator Charles Bolden looks on, Monday, March 18, 2013 at NASA Headquarters in Washington. The International Internship Program is a pilot program developed at NASA which will provide and avenue for non-US students to come to NASA for an internship. US students will be paired with a foreign student to work on a NASA research project under the guidance of a mentor. This is the first NASA-Mexico agreement signed. Photo Credit: (NASA/Carla Cioffi)

Development of VIPER: a simulator for assessing vision performance of warfighters

NASA Astrophysics Data System (ADS)

Familoni, Jide; Thompson, Roger; Moyer, Steve; Mueller, Gregory; Williams, Tim; Nguyen, Hung-Quang; Espinola, Richard L.; Sia, Rose K.; Ryan, Denise S.; Rivers, Bruce A.

2016-05-01

Background: When evaluating vision, it is important to assess not just the ability to read letters on a vision chart, but also how well one sees in real life scenarios. As part of the Warfighter Refractive Eye Surgery Program (WRESP), visual outcomes are assessed before and after refractive surgery. A Warfighter's ability to read signs and detect and identify objects is crucial, not only when deployed in a military setting, but also in their civilian lives. Objective: VIPER, a VIsion PERformance simulator was envisioned as actual video-based simulated driving to test warfighters' functional vision under realistic conditions. Designed to use interactive video image controlled environments at daytime, dusk, night, and with thermal imaging vision, it simulates the experience of viewing and identifying road signs and other objects while driving. We hypothesize that VIPER will facilitate efficient and quantifiable assessment of changes in vision and measurement of functional military performance. Study Design: Video images were recorded on an isolated 1.1 mile stretch of road with separate target sets of six simulated road signs and six objects of military interest, separately. The video footage were integrated with customdesigned C++ based software that presented the simulated drive to an observer on a computer monitor at 10, 20 or 30 miles/hour. VIPER permits the observer to indicate when a target is seen and when it is identified. Distances at which the observer recognizes and identifies targets are automatically logged. Errors in recognition and identification are also recorded. This first report describes VIPER's development and a preliminary study to establish a baseline for its performance. In the study, nine soldiers viewed simulations at 10 miles/hour and 30 miles/hour, run in randomized order for each participant seated at 36 inches from the monitor. Relevance: Ultimately, patients are interested in how their vision will affect their ability to perform daily activities. In the military context, in addition to reading road signs, this includes vision with night sensors and identification of objects of military interest. Once completed and validated, VIPER will be used to evaluate functional performance before and after refractive surgery. Results: This initial study was to prove the principle, and its results at the time of this publication were very preliminary. Nine Soldiers viewed visible-day and IR-day VIPER simulations with civilian and military targets, separately, at 10 and 30 miles/hour. Analyses were performed separately for visible and IR, and also aggregated. Only the civilian targets are discussed in this report. At 10 miles/hour, the population detected civilian road signs at an aggregated average of 90.11 +/- 64.20 m, and identified them at 26.93 +/- 22.27m. At 30 miles/hour, the corresponding distances were 103.03 +/- 58.81 and 26.26 +/- 8.55, respectively. Conclusion: This preliminary report proves the principle and suggests that VIPER could be a useful clinical tool in longitudinal assessment of functional vision in warfighters.

28 CFR 552.41 - Program procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CUSTODY Suicide... Coordinator for the institution's suicide prevention program. (b) Training. The Program Coordinator is... for signs that the inmate is at risk for suicide. Ordinarily, this screening is to take place within...

28 CFR 552.41 - Program procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CUSTODY Suicide... Coordinator for the institution's suicide prevention program. (b) Training. The Program Coordinator is... for signs that the inmate is at risk for suicide. Ordinarily, this screening is to take place within...

28 CFR 552.41 - Program procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CUSTODY Suicide... Coordinator for the institution's suicide prevention program. (b) Training. The Program Coordinator is... for signs that the inmate is at risk for suicide. Ordinarily, this screening is to take place within...

28 CFR 552.41 - Program procedures.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CUSTODY Suicide... Coordinator for the institution's suicide prevention program. (b) Training. The Program Coordinator is... for signs that the inmate is at risk for suicide. Ordinarily, this screening is to take place within...

28 CFR 552.41 - Program procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT CUSTODY Suicide... Coordinator for the institution's suicide prevention program. (b) Training. The Program Coordinator is... for signs that the inmate is at risk for suicide. Ordinarily, this screening is to take place within...

Signs of Childhood Sexual Abuse

MedlinePlus

... Your Kids Cyber SafeCyber safety is important for kids. Parents should monitor their child’s internet and mobile device use.Sexually Transmitted Infections (STIs)Read Article >>Sex and SexualitySexually Transmitted Infections (STIs)Learn about sexually ...

Preventing Heat-Related Illness or Death of Outdoor Workers

MedlinePlus

... attention to workers who show signs of heat-related illness „ „ Evaluating work practices continually to reduce ex- ertion and environmental heat stress „ „ Monitoring weather reports daily and reschedul- ing jobs ...

Phase 2 Site-Specific Fumigant Management Plans and Post-Application Summaries

EPA Pesticide Factsheets

New soil fumigant pesticide requirements protect handlers and other workers from exposure risks. FMP elements include application block information, tarp plan, buffer zone and sign posting requirements, air monitoring, and hazard communication.

Piloting a Structured Practice Audit to Assess ACGME Milestones in Written Handoff Communication in Internal Medicine

PubMed Central

Martin, Shannon K.; Farnan, Jeanne M.; McConville, John F.; Arora, Vineet M.

2015-01-01

Background Written communication skills are integral to patient care handoffs. Residency programs require feasible assessment tools that provide timely formative and summative feedback, ideally linked to the Accreditation Council for Graduate Medical Education Milestones. Objective We describe the use of 1 such tool—UPDATED—to assess written handoff communication skills in internal medicine interns. Methods During 2012–2013, the authors piloted a structured practice audit at 1 academic institution to audit written sign-outs completed by 45 interns, using the UPDATED tool, which scores 7 aspects of sign-out communication linked to milestones. Intern sign-outs were audited by trained faculty members throughout the year. Results were incorporated into intern performance reviews and Clinical Competency Committees. Results A total of 136 sign-outs were audited (averaging 3.1 audits per intern). In the first trimester, 14 interns (31%) had satisfactory audit results. Five interns (11%) had critical deficiencies and received immediate feedback, and the remaining 26 (58%) were assigned future audits due to missing audits or unsatisfactory scores. In the second trimester, 21 interns (68%) had satisfactory results, 1 had critical deficiencies, and 9 (29%) required future audits. Nine of the 10 remaining interns in the final trimester had satisfactory audits. Faculty time was estimated at 10 to 15 minutes per sign-out audited. Conclusions The UPDATED audit is a milestone-based tool that can be used to assess written sign-out communication skills in internal medicine residency programs. Future work is planned to adapt the tool for use by senior supervisory residents to appraise sign-outs in real time. PMID:26221442

Piloting a Structured Practice Audit to Assess ACGME Milestones in Written Handoff Communication in Internal Medicine.

PubMed

Martin, Shannon K; Farnan, Jeanne M; McConville, John F; Arora, Vineet M

2015-06-01

Written communication skills are integral to patient care handoffs. Residency programs require feasible assessment tools that provide timely formative and summative feedback, ideally linked to the Accreditation Council for Graduate Medical Education Milestones. We describe the use of 1 such tool-UPDATED-to assess written handoff communication skills in internal medicine interns. During 2012-2013, the authors piloted a structured practice audit at 1 academic institution to audit written sign-outs completed by 45 interns, using the UPDATED tool, which scores 7 aspects of sign-out communication linked to milestones. Intern sign-outs were audited by trained faculty members throughout the year. Results were incorporated into intern performance reviews and Clinical Competency Committees. A total of 136 sign-outs were audited (averaging 3.1 audits per intern). In the first trimester, 14 interns (31%) had satisfactory audit results. Five interns (11%) had critical deficiencies and received immediate feedback, and the remaining 26 (58%) were assigned future audits due to missing audits or unsatisfactory scores. In the second trimester, 21 interns (68%) had satisfactory results, 1 had critical deficiencies, and 9 (29%) required future audits. Nine of the 10 remaining interns in the final trimester had satisfactory audits. Faculty time was estimated at 10 to 15 minutes per sign-out audited. The UPDATED audit is a milestone-based tool that can be used to assess written sign-out communication skills in internal medicine residency programs. Future work is planned to adapt the tool for use by senior supervisory residents to appraise sign-outs in real time.

Physical deterioration in an acute mental health unit: A quantitative retrospective analysis of medical emergencies.

PubMed

Porter, Joanne E; Cant, Robyn; Missen, Karen; Raymond, Anita; Churchill, Anne

2018-04-27

Nursing management of physical deterioration of patients within acute mental health settings is observed, recorded, and actively managed with the use of standardized Adult Deterioration Detection System (ADDS) charts. Patient deterioration may require the urgent assistance of a hospital rapid response or Medical Emergency Team. A five-and-a-half-year (2011-2016) audit of hospital-wide Medical Emergency Team attendances was conducted in an acute mental health unit of a single large 250 bed regional hospital in Victoria, Australia. Data were extracted from the hospitals' quality and patient safety program, RISKMan, and entered into a statistical data program for analysis. A total of 140 patient records were analysed, and the 'Worried' category (34%, n = 47) was the principle reason for a Medical Emergency Team call in a mental health ward, followed by hypotension (23%, n = 31) and a low Glasgow Coma Score (16%, n = 22). Upon further investigation of the 'Worried' category, the most common conditions recorded were an altered conscious state (22%, n = 9), low oxygen saturation (20%, n = 8), or chest pain (17%, n = 7). Activation of Medical Emergency Team calls predominantly occurred in the daylight morning hours (6am-12md). When data were compared to the general hospital patients, the context of the physiological deterioration of the mental health patients was strikingly similar. Further research is recommended to ascertain the extent and frequency with which staff working in mental health units are performing vital signs monitoring as an essential component of detection of early signs of physiological deterioration. © 2018 Australian College of Mental Health Nurses Inc.

Identification and extraction of the seaward edge of terrestrial vegetation using digital aerial photography

USGS Publications Warehouse

Harris, Melanie; Brock, John C.; Nayegandhi, A.; Duffy, M.; Wright, C.W.

2006-01-01

This report is created as part of the Aerial Data Collection and Creation of Products for Park Vital Signs Monitoring within the Northeast Region Coastal and Barrier Network project, which is a joint project between the National Park Service Inventory and Monitoring Program (NPS-IM), the National Aeronautics and Space Administration (NASA) Observational Sciences Branch, and the U.S. Geological Survey (USGS) Center for Coastal and Watershed Studies (CCWS). This report is one of a series that discusses methods for extracting topographic features from aerial survey data. It details step-by-step methods used to extract a spatially referenced digital line from aerial photography that represents the seaward edge of terrestrial vegetation along the coast of Assateague Island National Seashore (ASIS). One component of the NPS-IM/USGS/NASA project includes the collection of NASA aerial surveys over various NPS barrier islands and coastal parks throughout the National Park Service's Northeast Region. These aerial surveys consist of collecting optical remote sensing data from a variety of sensors, including the NASA Airborne Topographic Mapper (ATM), the NASA Experimental Advanced Airborne Research Lidar (EAARL), and down-looking digital mapping cameras.

Historical photographs revisited: A case study for dating and characterizing recent loss of coral cover on the inshore Great Barrier Reef.

PubMed

Clark, Tara R; Leonard, Nicole D; Zhao, Jian-Xin; Brodie, Jon; McCook, Laurence J; Wachenfeld, David R; Duc Nguyen, Ai; Markham, Hannah L; Pandolfi, John M

2016-01-27

Long-term data with high-precision chronology are essential to elucidate past ecological changes on coral reefs beyond the period of modern-day monitoring programs. In 2012 we revisited two inshore reefs within the central Great Barrier Reef, where a series of historical photographs document a loss of hard coral cover between c.1890-1994 AD. Here we use an integrated approach that includes high-precision U-Th dating specifically tailored for determining the age of extremely young corals to provide a robust, objective characterisation of ecological transition. The timing of mortality for most of the dead in situ corals sampled from the historical photograph locations was found to coincide with major flood events in 1990-1991 at Bramston Reef and 1970 and 2008 at Stone Island. Evidence of some recovery was found at Bramston Reef with living coral genera similar to what was described in c.1890 present in 2012. In contrast, very little sign of coral re-establishment was found at Stone Island suggesting delayed recovery. These results provide a valuable reference point for managers to continue monitoring the recovery (or lack thereof) of coral communities at these reefs.

50 CFR 86.91 - What are my program crediting responsibilities?

Code of Federal Regulations, 2014 CFR

2014-10-01

... THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.91 What are my program crediting responsibilities? You should give public credit to the Federal Aid in Sport Fish...

50 CFR 86.91 - What are my program crediting responsibilities?

Code of Federal Regulations, 2013 CFR

2013-10-01

... THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.91 What are my program crediting responsibilities? You should give public credit to the Federal Aid in Sport Fish...

Relationship of external fish condition to pathogen prevalence and out-migration survival in juvenile steelhead

USGS Publications Warehouse

Hostetter, N.J.; Evans, A.F.; Roby, D.D.; Collis, K.; Hawbecker, M.; Sandford, B.P.; Thompson, D.E.; Loge, F.J.

2011-01-01

Understanding how the external condition of juvenile salmonids is associated with internal measures of health and subsequent out-migration survival can be valuable for population monitoring programs. This study investigated the use of a rapid, nonlethal, external examination to assess the condition of run-of-the-river juvenile steelhead Oncorhynchus mykiss migrating from the Snake River to the Pacific Ocean. We compared the external condition (e.g., body injuries, descaling, external signs of disease, fin damage, and ectoparasite infestations) with (1) the internal condition of a steelhead as measured by the presence of selected pathogens detected by histopathology and polymerase chain reaction analysis and (2) out-migration survival through the Snake and Columbia rivers as determined by passive integrated transponder (PIT) tag technology. The results from steelhead captured and euthanized (n = 222) at Lower Monumental Dam on the lower Snake River in 2008 indicated that external condition was significantly correlated with selected measures of internal condition. The odds of testing positive for a pathogen were 39.2, 24.3, and 5.6 times greater for steelhead with severe or moderate external signs of disease or more than 20% descaling, respectively. Capture-recapture models of 22,451 PIT-tagged steelhead released at Lower Monumental Dam in 2007-2009 indicated that external condition was significantly correlated with juvenile survival. The odds of outmigration survival for steelhead with moderate or severe external signs of disease, more than 20% descaling, or severe fin damage were 5.7, 4.9, 1.6, and 1.3 times lower, respectively, than those for steelhead without these external conditions. This study effectively demonstrated that specific measures of external condition were associated with both the internal condition and out-migration survival of juvenile steelhead. ?? American Fisheries Society 2011.

Development of GUI Type On-Line Condition Monitoring Program for a Turboprop Engine Using Labview

NASA Astrophysics Data System (ADS)

Kong, Changduk; Kim, Keonwoo

2011-12-01

Recently, an aero gas turbine health monitoring system has been developed for precaution and maintenance action against faults or performance degradations of the advanced propulsion system which occurs in severe environments such as high altitude, foreign object damage particles, hot and heavy rain and snowy atmospheric conditions. However to establish this health monitoring system, the online condition monitoring program is firstly required, and the program must monitor the engine performance trend through comparison between measured engine performance data and base performance results calculated by base engine performance model. This work aims to develop a GUI type on-line condition monitoring program for the PT6A-67 turboprop engine of a high altitude and long endurance operation UAV using LabVIEW. The base engine performance of the on-line condition monitoring program is simulated using component maps inversely generated from the limited performance deck data provided by engine manufacturer. The base engine performance simulation program is evaluated because analysis results by this program agree well with the performance deck data. The proposed on-line condition program can monitor the real engine performance as well as the trend through precise comparison between clean engine performance results calculated by the base performance simulation program and measured engine performance signals. In the development phase of this monitoring system, a signal generation module is proposed to evaluate the proposed online monitoring system. For user friendly purpose, all monitoring program are coded by LabVIEW, and monitoring examples are demonstrated using the proposed GUI type on-condition monitoring program.

Target Acquisition: Human Observer Performance Studies and TARGAC Model Validation

DTIC Science & Technology

1994-06-01

complete Scenario I run were displayed on a monitor. A transparent sheet was attached to the face of the monitor, the approach route was sketched on...track, passed a mark on the monitor face , the target was at a stop-sign location. The IRIG-B time of that instance was noted, and, since the distance of...route right 100- 80- 60 - 40 C.) 20 [- ion, A20 recognitio 0 0 . identification,C.) . 1I . I - - -• , 4) 1000 2000 3000 4000 SP Target G Q Target I0

No-migration variance petition. Appendices K--O, Response to notice of deficiencies: Volume 6, Revision 1

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

Fischer, N.T.

1990-03-01

This document reports data collected as part of the Ecological Monitoring Program (EMP) at the Waste Isolation Pilot Plant near Carlsbad, New Mexico, for Calendar Year 1987. Also included are data from the last quarter (October through December) of 1986. This report divides data collection activities into two parts. Part A covers general environmental monitoring which includes meteorology, aerial photography, air quality monitoring, water quality monitoring, and wildlife population surveillance. Part B focuses on the special studies being performed to evaluate the impacts of salt dispersal from the site on the surrounding ecosystem. The fourth year of salt impact monitoringmore » was completed in 1987. These studies involve the monitoring of soil chemistry, soil microbiota, and vegetation in permanent study plots. None of the findings indicate that the WIPP project is adversely impacting environmental quality at the site. As in 1986, breeding bird censuses completed this year indicate changes in the local bird fauna associated with the WIPP site. The decline in small mammal populations noted in the 1986 census is still evident in the 1987 data; however, populations are showing signs of recovery. There is no indication that this decline is related to WIPP activities. Rather, the evidence indicates that natural population fluctuations may be common in this ecosystem. The salt impact studies continue to reveal some short-range transport of salt dust from the saltpiles. This material accumulates at or near the soil surface during the dry seasons in areas near the saltpiles, but is flushed deeper into the soil during the rainy season. Microbial activity does not appear to be affected by this salt importation. Vegetation coverage and density data from 1987 also do not show any detrimental effect associated with aerial dispersal of salt.« less

GLACIER MONITORING SYSTEM IN COLOMBIA - complementing glaciological measurements with laser-scanning and ground-penetrating radar surveys

NASA Astrophysics Data System (ADS)

Ceballos, Jorge; Micheletti, Natan; Rabatel, Antoine; Mölg, Nico; Zemp, Michael

2015-04-01

Colombia (South America) has six small glaciers (total glacierized area of 45 Km2); their geographical location, close to zero latitude, makes them very sensitive to climate changes. An extensive monitoring program is being performed since 2006 on two glaciers, with international cooperation supports. This presentation summarizes the results of glacier changes in Colombia and includes the latest results obtained within the CATCOS Project - Phase 1 (Capacity Building and Twinning for Climate Observing Systems) signed between Colombia and Switzerland, and within the Joint Mixte Laboratory GREAT-ICE (IRD - France), with the application of LiDAR technology and GPR-based ice thickness measurements at Conejeras Glacier. Conejeras Glacier (Lat. N. 4° 48' 56"; Long. W. 75° 22' 22"; Alt. Max. 4915m.; Alt. Min. 4730m. Area 0.2 Km2) is located on the north-western side of Santa Isabel Volcano. This glacier belongs to global glacier monitoring network of the World Glacier Monitoring Service (WGMS-ID: 2721). The surface mass balance is calculated monthly using the direct glaciological method. Between April 2006 and May 2014, Conejeras Glacier showed a cumulative loss of -21 m w.e. The CATCOS Project allowed to improve the glacier monitoring system in Colombia with two main actions: (1) a terrestrial laser scanner survey (RIEGL VZ-6000 terrestrial laser scanner, property of Universities of Lausanne and Fribourg); and (2) ice thickness measurements (Blue System Integration Ltd. Ice Penetrating Radar of property of IRD). The terrestrial laser-scanning survey allowed to realize an accurate digital terrain model of the glacier surface with 13 million points and a decimetric resolution. Ice thickness measurements showed an average glacier thickness of 22 meters and a maximum of 52 meters.

Hazardous sign detection for safety applications in traffic monitoring

NASA Astrophysics Data System (ADS)

Benesova, Wanda; Kottman, Michal; Sidla, Oliver

2012-01-01

The transportation of hazardous goods in public streets systems can pose severe safety threats in case of accidents. One of the solutions for these problems is an automatic detection and registration of vehicles which are marked with dangerous goods signs. We present a prototype system which can detect a trained set of signs in high resolution images under real-world conditions. This paper compares two different methods for the detection: bag of visual words (BoW) procedure and our approach presented as pairs of visual words with Hough voting. The results of an extended series of experiments are provided in this paper. The experiments show that the size of visual vocabulary is crucial and can significantly affect the recognition success rate. Different code-book sizes have been evaluated for this detection task. The best result of the first method BoW was 67% successfully recognized hazardous signs, whereas the second method proposed in this paper - pairs of visual words and Hough voting - reached 94% of correctly detected signs. The experiments are designed to verify the usability of the two proposed approaches in a real-world scenario.

Proselytization in Albania by Middle Eastern Islamic Organizations

DTIC Science & Technology

2009-03-01

9. SPONSORING /MONITORING AGENCY NAME(S) AND ADDRESS(ES) N/ A 10. SPONSORING/MONITORING AGENCY REPORT NUMBER 11. SUPPLEMENTARY NOTES The...welcomed and positive, some have created problematic situations. Although, the revival of Islam was seen as a sign of freedom, it soon became an unexpected...access a small part of the population. However, Albania’s long history of religious tolerance, shallow roots in formal religion, and Western cultural

Can SEE-2 children understand ASL-using adults?

PubMed

Luetke-Stahlman, B

1990-01-01

Signing Exact English or SEE-2, is one of several invented sign systems currently being used with hearing-impaired children in the United States. The system parallels the morphology of written English and differs from American Sign Language both in terms of the configuration of many of the lexical signs and in grammatical word order. The current study investigated whether students accustomed to an invented sign system could comprehend ASL signed by deaf adults. One group of subjects was exposed to SEE-2 in their day school classrooms. The other group attended residential programs and was exposed to Signed English, PSE and ASL. Both groups observed three videotaped short stories and answered questions following each. Both groups answered approximately 25 percent of the written comprehension questions correctly; their mean scores did not differ significantly. Results of the study suggest that students exposed to SEE-2 and lacking experiences with deaf adults were able to comprehend ASL as well as their peers who attended residential schools.

White-tailed deer harvest from the chronic wasting disease eradication zone in south-central Wisconsin

USGS Publications Warehouse

Blanchong, Julie A.; Joly, D.O.; Samuel, M.D.; Langenberg, J.A.; Rolley, R.E.; Sausen, J.F.

2006-01-01

Chronic wasting disease (CWD) was discovered in free-ranging white-tailed deer (Odocoileus virginianus) in south-central Wisconsin in 2002. The current control method for CWD in the state is the harvest of deer from affected areas to reduce population density and lower CWD transmission. We used spatial regression methods to identify factors associated with deer harvest across south-central Wisconsin. Harvest of deer by hunters was positively related to deer density (slope=0.003, 95% CI=0.0001-0.006), the number of landowners that requested harvest permits (slope=0.071, 95% CI=0.037-0.105), and proximity to the area of highest CWD infection (slope=-0.041, 95% CI=-0.056- -0.027). Concomitantly, harvest was not impacted in areas where landowners signed a petition protesting intensive deer reduction (slope=-0.00006, 95% CI=-0.0005-0.0003). Our results suggest that the success of programs designed to reduce deer populations for disease control or to reduce overabundance in Wisconsin are dependent on landowner and hunter participation. We recommend that programs or actions implemented to eradicate or mitigate the spread of CWD should monitor and assess deer population reduction and evaluate factors affecting program success to improve methods to meet management goals.

KENNEDY SPACE CENTER, FLA. - Andrea Lorenzoni, International Space Station Program manager for Node 2, Italian Space Agency; Alan Thirkettle, International Space Station Program manager for Node 2, European Space Agency (ESA); and NASA’s Michael C. Kostelnik, deputy associate administrator for International Space Station and Shuttle Programs, sign documents officially transferring ownership of Node 2 between the ESA and NASA. The signing was part of a ceremony highlighting the arrival of two major components of the International Space Station. NASA's Node 2, built by the European Space Agency (ESA) in Italy, arrived at KSC on June 1. It will be the next pressurized module installed on the Station. The pressurized module (above right) of the Japanese Experiment Module (JEM), named "Kibo" (Hope), arrived at KSC on June 4. It is Japan's primary contribution to the Station. Emceed by Lisa Malone (far left), deputy director of External Relations and Business Development at KSC, the ceremony also included these speakers: Center Director Roy Bridges Jr.; NASA’s William Gerstenmaier, International Space Station Program manager; and Kuniaki Shiraki, JEM Project manager, National Aerospace and Development Agency of Japan.

NASA Image and Video Library

2003-06-18

KENNEDY SPACE CENTER, FLA. - Andrea Lorenzoni, International Space Station Program manager for Node 2, Italian Space Agency; Alan Thirkettle, International Space Station Program manager for Node 2, European Space Agency (ESA); and NASA’s Michael C. Kostelnik, deputy associate administrator for International Space Station and Shuttle Programs, sign documents officially transferring ownership of Node 2 between the ESA and NASA. The signing was part of a ceremony highlighting the arrival of two major components of the International Space Station. NASA's Node 2, built by the European Space Agency (ESA) in Italy, arrived at KSC on June 1. It will be the next pressurized module installed on the Station. The pressurized module (above right) of the Japanese Experiment Module (JEM), named "Kibo" (Hope), arrived at KSC on June 4. It is Japan's primary contribution to the Station. Emceed by Lisa Malone (far left), deputy director of External Relations and Business Development at KSC, the ceremony also included these speakers: Center Director Roy Bridges Jr.; NASA’s William Gerstenmaier, International Space Station Program manager; and Kuniaki Shiraki, JEM Project manager, National Aerospace and Development Agency of Japan.

Comparison of Legislation Concerned with Basic Skills.

ERIC Educational Resources Information Center

Office of Education (DHEW), Washington, DC.

This handbook provides a comparative listing of 22 federally legislated basic skills programs. Included are the names and phone numbers of working representatives associated with each program, application deadlines, target groups, funding instruments, possible grantees, sign-off requirements, program content, technical assistance, evaluation…

34 CFR 263.8 - What are the payback requirements?

Code of Federal Regulations, 2011 CFR

2011-07-01

... EDUCATION, DEPARTMENT OF EDUCATION INDIAN EDUCATION DISCRETIONARY GRANT PROGRAMS Professional Development... Professional Development program are required to— (1) Sign an agreement, at the time of selection for training... for which training was actually received under the Professional Development program. (c) The cash...

Development of a fully automated network system for long-term health-care monitoring at home.

PubMed

Motoi, K; Kubota, S; Ikarashi, A; Nogawa, M; Tanaka, S; Nemoto, T; Yamakoshi, K

2007-01-01

Daily monitoring of health condition at home is very important not only as an effective scheme for early diagnosis and treatment of cardiovascular and other diseases, but also for prevention and control of such diseases. From this point of view, we have developed a prototype room for fully automated monitoring of various vital signs. From the results of preliminary experiments using this room, it was confirmed that (1) ECG and respiration during bathing, (2) excretion weight and blood pressure, and (3) respiration and cardiac beat during sleep could be monitored with reasonable accuracy by the sensor system installed in bathtub, toilet and bed, respectively.

Magneto-impedance sensor for quasi-noncontact monitoring of breathing, pulse rate and activity status

NASA Astrophysics Data System (ADS)

Corodeanu, S.; Chiriac, H.; Radulescu, L.; Lupu, N.

2014-05-01

Results on the development and testing of a novel magnetic sensor based on the detection of the magneto-impedance variation due to changes in the permeability of an amorphous wire are reported. The proposed application is the quasi-noncontact monitoring of the breathing frequency and heart rate for diagnosing sleep disorders. Patient discomfort is significantly decreased by transversally placing the sensitive element onto the surface of a flexible mattress in order to detect its deformation associated with cardiorespiratory activity and body movements. The developed sensor has a great application potential in monitoring the vital signs during sleep, with special advantages for children sleep monitoring.

SciLinks

Science.gov Websites

SciLinks Forgot your login? Sign up for FREE access Log In I'm a ... Teacher Student User Name questions and satisfy their curiosity Learn More Sign up for Free Access Sites in the SciLinks program . SciLinks-Targeted, Grade-Specific Web Content for your Books Free web content to extend and expand student

7 CFR 1484.30 - How does FAS formalize its working relationship with approved Cooperators?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false How does FAS formalize its working relationship with... FAS formalize its working relationship with approved Cooperators? FAS will notify each applicant in... sign the program agreement and submit the signed agreement to the Director, Marketing Operations Staff...

Languages Are More than Words: Spanish and American Sign Language in Early Childhood Settings

ERIC Educational Resources Information Center

Sherman, Judy; Torres-Crespo, Marisel N.

2015-01-01

Capitalizing on preschoolers' inherent enthusiasm and capacity for learning, the authors developed and implemented a dual-language program to enable young children to experience diversity and multiculturalism by learning two new languages: Spanish and American Sign Language. Details of the curriculum, findings, and strategies are shared.

75 FR 57556 - Energy Conservation Program for Consumer Products: Test Procedure for Residential Clothes Washers

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... signed original paper copy. 4. Hand Delivery/Courier: Ms. Brenda Edwards, U.S. Department of Energy...) 586-2945. Please submit one signed original paper copy. For detailed instructions on submitting....Edwards @ee.doe.gov. SUPPLEMENTARY INFORMATION: Table of Contents I. Background and Legal Authority II...

75 FR 75289 - Energy Conservation Program for Consumer Products: Test Procedures for Residential Dishwashers...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-02

.... Please submit one signed paper original. 4. Hand Delivery/Courier: Ms. Brenda Edwards, U.S. Department of.... Telephone: (202) 586-2945. Please submit one signed paper original. For detailed instructions on submitting... INFORMATION: Table of Contents I. Background and Authority II. Summary of the Proposal III. Discussion A...

75 FR 42612 - Energy Conservation Program for Consumer Products: Test Procedure for Microwave Ovens

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-22

...., Washington, DC 20585-0121. Please submit one signed original paper copy. 4. Hand Delivery/Courier: Ms. Brenda... Plaza, SW., Washington, DC 20024. Telephone: (202) 586-2945. Please submit one signed original paper... . SUPPLEMENTARY INFORMATION: Table of Contents I. Background and Legal Authority II. Summary of the Proposal III...

50 CFR 84.42 - What if a grant agreement is not signed?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false What if a grant agreement is not signed? 84.42 Section 84.42 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM NATIONAL COASTAL WETLANDS...

Child First: A Belief, an Attitude, and a Path to Change

ERIC Educational Resources Information Center

Mulholland, Jane

2013-01-01

Child First is a national campaign to ensure that deaf children have their right to language recognized and fulfilled regardless of which educational method is specified in the Individualized Education Program (IEP). Whether the child's family embraces American Sign Language (ASL), speech reading, a system of signs that encodes English, or a…

Characterization of Rain Attenuation and Depolarization at W/V Bands

DTIC Science & Technology

2015-07-30

AIR FORCE BASE , NM 87117-5776 DTIC COPY NOTICE AND SIGNATURE PAGE Using Government drawings, specifications, or other data included in this...WITH ASSIGNED DISTRIBUTION STATEMENT. //SIGNED// //SIGNED// STEVEN A. LANE PAUL HAUSGEN, Ph.D. Program Manager Technical Advisor, Space Based Advanced... Stations ........................................................................................ 11  Figure 3. Transmitter Block Diagram

Sign: large-scale gene network estimation environment for high performance computing.

PubMed

Tamada, Yoshinori; Shimamura, Teppei; Yamaguchi, Rui; Imoto, Seiya; Nagasaki, Masao; Miyano, Satoru

2011-01-01

Our research group is currently developing software for estimating large-scale gene networks from gene expression data. The software, called SiGN, is specifically designed for the Japanese flagship supercomputer "K computer" which is planned to achieve 10 petaflops in 2012, and other high performance computing environments including Human Genome Center (HGC) supercomputer system. SiGN is a collection of gene network estimation software with three different sub-programs: SiGN-BN, SiGN-SSM and SiGN-L1. In these three programs, five different models are available: static and dynamic nonparametric Bayesian networks, state space models, graphical Gaussian models, and vector autoregressive models. All these models require a huge amount of computational resources for estimating large-scale gene networks and therefore are designed to be able to exploit the speed of 10 petaflops. The software will be available freely for "K computer" and HGC supercomputer system users. The estimated networks can be viewed and analyzed by Cell Illustrator Online and SBiP (Systems Biology integrative Pipeline). The software project web site is available at http://sign.hgc.jp/ .

Ebola (Ebola Virus Disease): Signs and Symptoms

MedlinePlus

... Guidance for Cleaning, Disinfection, and Waste Disposal in Commercial Passenger Aircraft Notes on the Interim U.S. Guidance for Monitoring and Movement of Persons with Potential Ebola Virus Exposure Communication Resources Videos Audio Infographics & Illustrations Factsheets Posters Virus ...

Signs of a Whirlwind in Gale Crater

NASA Image and Video Library

2012-11-15

Twenty-one times during the first 12 weeks that NASA Mars rover Curiosity worked on Mars, the rover Rover Environmental Monitoring Station REMS detected brief dips in air pressure that could be caused by a passing whirlwind.

Fiber sensor for non-contact estimation of vital bio-signs

NASA Astrophysics Data System (ADS)

Sirkis, Talia; Beiderman, Yevgeny; Agdarov, Sergey; Beiderman, Yafim; Zalevsky, Zeev

2017-05-01

Continuous noninvasive measurement of vital bio-signs, such as cardiopulmonary parameters, is an important tool in evaluation of the patient's physiological condition and health monitoring. On the demand of new enabling technologies, some works have been done in arterial pulse monitoring using optical fiber sensors. In this paper, we introduce a novel device based on single mode in-fibers Mach-Zehnder interferometer (MZI) to detect heartbeat, respiration and pulse wave velocity (PWV). The introduced interferometer is based on a new implanted scheme. It replaces the conventional MZI realized by inserting of discontinuities in the fiber to break the total internal reflection and scatter/collect light. The proposed fiber sensor was successfully incorporated into shirt to produce smart clothing. The measurements obtained from the smart clothing could be obtained in comfortable manner and there is no need to have an initial calibration or a direct contact between the sensor and the skin of the tested individual.

25 CFR 170.144 - What are eligible highway safety projects?

Code of Federal Regulations, 2011 CFR

2011-04-01

... RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Highway Safety Functions...) Pedestrian paths/sidewalks and bus shelters; (d) Installation and replacement of signs when designated as, or...

25 CFR 170.144 - What are eligible highway safety projects?

Code of Federal Regulations, 2013 CFR

2013-04-01

... RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Highway Safety Functions...) Pedestrian paths/sidewalks and bus shelters; (d) Installation and replacement of signs when designated as, or...

25 CFR 170.144 - What are eligible highway safety projects?

Code of Federal Regulations, 2014 CFR

2014-04-01

... RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Highway Safety Functions...) Pedestrian paths/sidewalks and bus shelters; (d) Installation and replacement of signs when designated as, or...

Low-frequency seismic events in a wider volcanological context

NASA Astrophysics Data System (ADS)

Neuberg, J. W.; Collombet, M.

2006-12-01

Low-frequency seismic events have been in the centre of attention for several years, particularly on volcanoes with highly viscous magmas. The ultimate aim is to detect changes in volcanic activity by identifying changes in the seismic behaviour in order to forecast an eruption, or in case of an ongoing eruption, forecast the short and longterm behaviour of the volcanic system. A major boost in recent years arose through several attempts of multi-parameter volcanic monitoring and modelling programs, which allowed multi-disciplinary groups of volcanologists to interpret seismic signals together with, e.g. ground deformation, stress field analysis and petrological information. This talk will give several examples of such multi-disciplinary projects, focussing on the joint modelling of seismic source processes for low-frequency events together with advanced magma flow models, and the signs of magma movement in the deformation and stress field at the surface.

Findings of the first comprehensive radiological monitoring program of the Republic of the Marshall Islands.

PubMed

Simon, S L; Graham, J C

1997-07-01

The Marshall Islands was the primary site of the United States atomic weapons testing program in the Pacific. From 1946 through 1958, 66 atomic weapons were detonated in the island country. For several decades, monitoring was conducted by the U.S. Department of Energy (or its predecessor agencies) on the test site atolls and neighboring atolls. However, 70% of the land area of the over 1,200 islands in the Marshall Islands was never systematically monitored prior to 1990. For the 5-y period from 1990 through 1994, the Government of the Republic of the Marshall Islands undertook an independent program to assess the radiological conditions throughout its 29 atolls. The scientific work was performed under the auspices of the Section 177 Agreement of the Compact of Free Association, U.S. public law 99-239, signed in 1986 by President Ronald Reagan. Although the total land area of the nations is a scant 180 km2, the islands are distributed over 6 x 10(5) km2 of ocean. Consequently, logistics and instrumentation were main considerations, in addition to cultural and language issues. The core of the monitoring program was in-situ gamma spectrometry measurements made on more than 400 islands. Native foods including coconuts and other tropical fruits were sampled as well as more than 200 soil profiles and more than 800 surface soil samples. The fruits, soil profiles and surface soil samples have been analyzed for all gamma emitters with an emphasis on determining concentrations of 137Cs; the surface soil samples were also analyzed for 239+240Pu. All measurements were conducted in a radiological laboratory built in the capital city of the Marshall Islands specifically for the purposes of this study. The program was extensively assisted in the field and in the laboratory by Marshallese workers. The interpretation of environmental radiation data in the Marshall Islands required thoughtful analysis because the atolls lie along a latitude and precipitation gradient that effected the deposition of local and global fallout. The objective of this paper is to report findings for all atolls of the Marshall Islands on the 137Cs areal inventory (Bq m(-2)) and the external effective dose-rate (mSv y(-1)), the projected internal effective dose-rate (mSv y(-1)) from an assumed diet model, and surface soil concentrations of 239,240Pu (Bq kg(-1)) for selected northern atolls. Interpretation is also provided on the degree of contamination above global fallout levels. This report provides the first comprehensive summary of the radiological conditions throughout the Marshall Islands.

Near Field Communication-based telemonitoring with integrated ECG recordings.

PubMed

Morak, J; Kumpusch, H; Hayn, D; Leitner, M; Scherr, D; Fruhwald, F M; Schreier, G

2011-01-01

Telemonitoring of vital signs is an established option in treatment of patients with chronic heart failure (CHF). In order to allow for early detection of atrial fibrillation (AF) which is highly prevalent in the CHF population telemonitoring programs should include electrocardiogram (ECG) signals. It was therefore the aim to extend our current home monitoring system based on mobile phones and Near Field Communication technology (NFC) to enable patients acquiring their ECG signals autonomously in an easy-to-use way. We prototypically developed a sensing device for the concurrent acquisition of blood pressure and ECG signals. The design of the device equipped with NFC technology and Bluetooth allowed for intuitive interaction with a mobile phone based patient terminal. This ECG monitoring system was evaluated in the course of a clinical pilot trial to assess the system's technical feasibility, usability and patient's adherence to twice daily usage. 21 patients (4f, 54 ± 14 years) suffering from CHF were included in the study and were asked to transmit two ECG recordings per day via the telemonitoring system autonomously over a monitoring period of seven days. One patient dropped out from the study. 211 data sets were transmitted over a cumulative monitoring period of 140 days (overall adherence rate 82.2%). 55% and 8% of the transmitted ECG signals were sufficient for ventricular and atrial rhythm assessment, respectively. Although ECG signal quality has to be improved for better AF detection the developed communication design of joining Bluetooth and NFC technology in our telemonitoring system allows for ambulatory ECG acquisition with high adherence rates and system usability in heart failure patients.

Development and Validation of a Machine Learning Algorithm and Hybrid System to Predict the Need for Life-Saving Interventions in Trauma Patients

DTIC Science & Technology

2014-01-01

were stored at a rate of 1 Hz. In addition, ECg waveform data from a single lead and pleth waveform data from a thumb-mounted pulse oximeter to the...blood oxygenation (SpO2). Combinations of these vital signs were also used to derive other measurements including shock index (SI = Hr/SBP) and pulse ...combining all vital signs, trends, and pulse characteristics recorded by the monitor, and apply- ing a multivariate sensor fusion algorithm that generates

Hyperthyroidism in four guinea pigs: clinical manifestations, diagnosis, and treatment.

PubMed

Künzel, F; Hierlmeier, B; Christian, M; Reifinger, M

2013-12-01

Hyperthyroidism was diagnosed in four guinea pigs by demonstration of an increased serum total thyroxine concentration. The main clinical signs were comparable with those observed in feline hyperthyroidism and included weight loss despite maintenance of appetite and a palpable mass in the ventral cervical region. Three animals were treated successfully with methimazole for between 13 and 28 months. Clinical signs and regular measurement of circulating total thyroxine concentrations appear to be convenient parameters for monitoring response to medical therapy. © 2013 British Small Animal Veterinary Association.

Characterization of Ionosphere Waveguide Propagation by Monitoring HAARP HF Transmissions in Antarctica

DTIC Science & Technology

2015-04-17

hhh hhhh hh (7а)  .)cos(cos)sincoscos( cos)coscossin( cos 1sin 0 2)(22 0 2)( 00 )( 00 )()( 00 )( 00)(22 0 2 0 )( 2,1         s x i...z i xz si z i xxs xz s hhhh hhh hh   7b) Here the top sign stands for )(1 s , while the lower sign stands for )(2 s . It is also taken into

Capitation: strategies for success with managed care contracts.

PubMed

Kuklierus, A

1997-01-01

With enrollments in HMOs increasing at double digit rates, independent practice associations, integrated medical groups, hospitals and specialty networks are experiencing a substantial increase in the share of their business paid for through capitation. Experience has shown that once one contract is signed, many are sure to follow. Providers must make sure each contract signed is financially sound for the organization. Then they must be able to manage and monitor contracts long after the ink is dry. This column provides a brief overview ad list of pointers for organizations moving into the managed care arena.

Volunteer water monitoring: A guide for state managers

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

Not Available

1990-08-01

Contents: executive summary; volunteers in water monitoring; planning a volunteer monitoring program; implementing a volunteer monitoring program; providing credible information; costs and funding; and descriptions of five successful programs.

Evaluation of overhead support inspection program.

DOT National Transportation Integrated Search

2015-01-01

This study evaluated the adequacy and frequency of the current structural support inspection program for overhead : sign supports (including bridge mounted), mast arm signal supports and high mast light supports. While ODOT provides : statewide guida...

25 CFR 170.144 - What are eligible highway safety projects?

Code of Federal Regulations, 2012 CFR

2012-04-01

... ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Highway Safety Functions § 170.144... paths/sidewalks and bus shelters; (d) Installation and replacement of signs when designated as, or made...

HEW Proposals Open Door for Ms. Jock

ERIC Educational Resources Information Center

Klopfer, Susan

1974-01-01

Discusses the increased demand for women's sports programs as reflected in student publications following the signing of Title 9 of the Education Amendments Act which prohibits sex bias in federally financed education programs. (RB)

Reality Television: Altering Participants' Expectations of Adventure Programs

ERIC Educational Resources Information Center

Lindner, Kevin

2008-01-01

In this article, the author shares his views on how reality television shows have altered participants' expectations of adventure programs and explores how such changes affect what leaders do with groups who sign on for an adventure education program. For some individuals, the chance to participate in an adventure program focused on group building…

Japan signs Ocean Agreement

NASA Astrophysics Data System (ADS)

The Ocean Research Institute of the University of Tokyo and the National Science Foundation (NSF) have signed a Memorandum of Understanding for cooperation in the Ocean Drilling Program (ODP). The agreement calls for Japanese participation in ODP and an annual contribution of $2.5 million in U.S. currency for the project's 9 remaining years, according to NSF.ODP is an international project whose mission is to learn more about the formation and development of the earth through the collection and examination of core samples from beneath the ocean. The program uses the drillship JOIDES Resolution, which is equipped with laboratories and computer facilities. The Joint Oceanographic Institutions for Deep Earth Sampling (JOIDES), an international group of scientists, provides overall science planning and program advice regarding ODP's science goals and objectives.

In Vitro and In Vivo Studies for a Bio-Impedance Vital-Sign Monitor

DTIC Science & Technology

2006-10-01

O V SD SAP 0.83 0.11 0.12 0.03 PWV TM2204 1.87 0.73 0.13 0.03 PWV SP776 1.17 0.31 0.14 0.01 EEG F 1.10 0.10 0.52 0.02 EEG P 1.64 0.56...monitoring heart rate, PWV of the soldiers. 30 Impedance Cuff Pressure (max 200 mm Hg) Accelerometer signal (Actigraph) Ultrasound

On designing a new cumulative sum Wilcoxon signed rank chart for monitoring process location

PubMed Central

Nazir, Hafiz Zafar; Tahir, Muhammad; Riaz, Muhammad

2018-01-01

In this paper, ranked set sampling is used for developing a non-parametric location chart which is developed on the basis of Wilcoxon signed rank statistic. The average run length and some other characteristics of run length are used as the measures to assess the performance of the proposed scheme. Some selective distributions including Laplace (or double exponential), logistic, normal, contaminated normal and student’s t-distributions are considered to examine the performance of the proposed Wilcoxon signed rank control chart. It has been observed that the proposed scheme shows superior shift detection ability than some of the competing counterpart schemes covered in this study. Moreover, the proposed control chart is also implemented and illustrated with a real data set. PMID:29664919

40 CFR 264.99 - Compliance monitoring program.

Code of Federal Regulations, 2011 CFR

2011-07-01

... be based on a compliance monitoring program developed to meet the requirements of this section. (i... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Compliance monitoring program. 264.99... Releases From Solid Waste Management Units § 264.99 Compliance monitoring program. An owner or operator...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2012 CFR

2012-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

7 CFR 3431.18 - Service agreement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 15 2011-01-01 2011-01-01 false Service agreement. 3431.18 Section 3431.18... Repayment Program § 3431.18 Service agreement. (a) The service agreement shall be signed by the program... the program participant. (b) The service agreement shall specify the period of obligated service. (c...

7 CFR 3431.18 - Service agreement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 15 2014-01-01 2014-01-01 false Service agreement. 3431.18 Section 3431.18... Repayment Program § 3431.18 Service agreement. (a) The service agreement shall be signed by the program... the program participant. (b) The service agreement shall specify the period of obligated service. (c...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2010 CFR

2010-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2011 CFR

2011-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

Safe Zones: Creating LGBT Safe Space Ally Programs

ERIC Educational Resources Information Center

Poynter, Kerry John; Tubbs, Nancy Jean

2008-01-01

This article discusses model LGBT Safe Space Ally programs. These programs, often called "Safe Zones," include self selected students, faculty, and employees who publicly show support by displaying stickers, signs, and other identifiable items. Issues covered in the article include history, development, training, membership, assessment, and…

Social construction of American sign language--English interpreters.

PubMed

McDermid, Campbell

2009-01-01

Instructors in 5 American Sign Language--English Interpreter Programs and 4 Deaf Studies Programs in Canada were interviewed and asked to discuss their experiences as educators. Within a qualitative research paradigm, their comments were grouped into a number of categories tied to the social construction of American Sign Language--English interpreters, such as learners' age and education and the characteristics of good citizens within the Deaf community. According to the participants, younger students were adept at language acquisition, whereas older learners more readily understood the purpose of lessons. Children of deaf adults were seen as more culturally aware. The participants' beliefs echoed the theories of P. Freire (1970/1970) that educators consider the reality of each student and their praxis and were responsible for facilitating student self-awareness. Important characteristics in the social construction of students included independence, an appropriate attitude, an understanding of Deaf culture, ethical behavior, community involvement, and a willingness to pursue lifelong learning.

President Signs NASA Transition Authorization Act on This Week @NASA – March 24, 2017

NASA Image and Video Library

2017-03-24

On March 21, President Trump signed the National Aeronautics and Space Administration Transition Authorization Act of 2017. The bipartisan legislation reaffirms Congress’ commitment to the agency and directs it to pursue a balanced portfolio for space exploration and space science, including continued development of the Space Launch System, Orion, Commercial Crew Program; space and planetary science missions, such as the James Webb Space Telescope, Wide-Field Infrared Survey Telescope, and Europa mission; and ongoing operations of the International Space Station and Commercial Resupply Services Program. In a statement, acting NASA Administrator Robert Lightfoot, who attended the signing, along with two astronauts and members of Congress, thanked the president and Congress for supporting the agency and its mission. Also, Spacewalk Outside the Space Station, SpaceX’s Dragon Returns Safely to Earth, Jeff Williams Visits Washington Area, Advanced Woven Thermal Protection, and Lunar and Planetary Science Conference.

Increasing Literacy Skills for Students with Intellectual and Developmental Disabilities: Effects of Integrating Comprehensive Reading Instruction with Sign Language

ERIC Educational Resources Information Center

Beecher, Larissa; Childre, Amy

2012-01-01

This study evaluated the impact of a comprehensive reading program enhanced with sign language on the literacy and language skills of three elementary school students with intellectual and developmental disabilities. Students received individual and small group comprehensive reading instruction for approximately 55 minutes per session. Reading…

Preservice Teacher and Interpreter American Sign Language Abilities: Self-Evaluations and Evaluations of Deaf Students' Narrative Renditions

ERIC Educational Resources Information Center

Beal-Alvarez, Jennifer S.; Scheetz, Nanci A.

2015-01-01

In deaf education, the sign language skills of teacher and interpreter candidates are infrequently assessed; when they are, formal measures are commonly used upon preparation program completion, as opposed to informal measures related to instructional tasks. Using an informal picture storybook task, the authors investigated the receptive and…

75 FR 186 - Energy Conservation Program: Test Procedures for Walk-In Coolers and Walk-In Freezers

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-04

... freezers: (i) The R value shall be the 1/K factor multiplied by the thickness of the panel. (ii) The K... signed original paper copy. 4. Hand Delivery/Courier: Ms. Brenda Edwards, U.S. Department of Energy... signed original paper copy. For detailed instructions on submitting comments and additional information...

Medical Terminology: Latin Words/Abbreviations; Special Signs and Symbols. Health Occupations Education Module.

ERIC Educational Resources Information Center

Temple Univ., Philadelphia, PA. Div. of Vocational Education.

This module on medical terminology (using Latin words/abbreviations; special signs and symbols) is one of 17 modules designed for individualized instruction in health occupations education programs at both the secondary and postsecondary levels. This module consists of an introduction to the module topic, a list of resources needed, and three…

50 CFR 86.93 - Where should I use the SFR logo?

Code of Federal Regulations, 2013 CFR

2013-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.93 Where should I use the SFR...

50 CFR 86.92 - Who can use the SFR logo?

Code of Federal Regulations, 2012 CFR

2012-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.92 Who can use the SFR logo? The States...

50 CFR 86.93 - Where should I use the SFR logo?

Code of Federal Regulations, 2014 CFR

2014-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.93 Where should I use the SFR...

50 CFR 86.92 - Who can use the SFR logo?

Code of Federal Regulations, 2014 CFR

2014-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.92 Who can use the SFR logo...

50 CFR 86.92 - Who can use the SFR logo?

Code of Federal Regulations, 2013 CFR

2013-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.92 Who can use the SFR logo...

50 CFR 84.42 - What if a grant agreement is not signed?

Code of Federal Regulations, 2010 CFR

2010-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM NATIONAL COASTAL WETLANDS CONSERVATION GRANT PROGRAM Conditions on Acceptance/Use of Federal Money § 84.42 What if a grant agreement is...

50 CFR 86.92 - Who can use the SFR logo?

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.92 Who can use the SFR logo? The States...

50 CFR 86.92 - Who can use the SFR logo?

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.92 Who can use the SFR logo? The States...

Parkinsonian signs are a risk factor for falls.

PubMed

Dahodwala, Nabila; Nwadiogbu, Chinwe; Fitts, Whitney; Partridge, Helen; Karlawish, Jason

2017-06-01

Parkinsonian signs are common, non-specific findings in older adults and associated with increased rates of dementia and mortality. It is important to understand which motor outcomes are associated with parkinsonian signs. To determine the role of parkinsonian signs on fall rates among older adults. We conducted a longitudinal study of primary care patients from the University of Pennsylvania Health System. Adults over 55 years were assessed at baseline through surveys and a neurological examination. We recorded falls over the following 2 years. Parkinsonian signs were defined as the presence of 2 of 4 cardinal signs. Incident falls were compared between subjects with and without parkinsonian signs, and modified Poisson regression used to adjust for potential confounders in the relationship between parkinsonian signs and falls. 982 subjects with a mean age of 68 (s.d. 8.8) years participated. 29% of participants fell and 12% exhibited parkinsonian signs at baseline. The unadjusted RR for falls among individuals with parkinsonian signs was 1.36 (95% CI 1.05-1.76, p=0.02). After adjusting for age, cognitive function, urinary incontinence, depression, diabetes, stroke and arthritis, individuals with parkinsonian signs were still 38% more likely to fall than those without parkinsonian signs (RR 1.38, 95% CI 1.04-1.82; p=0.03). Falls among those with parkinsonian signs were more likely to lead to injury (53% vs 37%; p=0.04). Parkinsonian signs are a significant, independent risk factor for falls. Early detection of this clinical state is important in order to implement fall prevention programs among primary care patients. Copyright © 2017 Elsevier B.V. All rights reserved.

Telemetry as a new concept in long term monitoring of SIDS-risk infant.

PubMed

Aly, A F; Afchine, D; Esser, P; Joos, M; Niewerth, H J; Wiater, A; Meier, M; Padeken, D; Pericas, A; Schwartmann, D; Weber, T; Wendrix, V; Wirtz, M

2000-01-26

Sudden Infant Death Syndrome (SIDS) is the most frequent cause of infant death within the period of 2 to 12 months in western countries. It has been found that a suit similar to that worn by the astronauts during the execution of experiments on the Spacelab Mission D-2 is a very simple and useful means to carry the sensors required to monitor vital signs of babies at risk. A small baby-suit has been developed with the same technology used for the Spacelab Mission. The baby s suit is equipped with similar sensors to record thoracic and abdominal respiratory movements as its big -space travel brother-. This is a typical example of a successful technology transfer from medical aerospace activities into fields of daily clinical routine. In addition to the above described sensors, ECG-electrodes were integrated, as well as sensors to record vascular oxygen saturation and the corresponding pulse curve, and the baby s movements. All these vital signs are registered by a medical monitor, and permanently stored and automatically analysed online. In case of a life-threatening situation the system alerts simultaneously the personal at hospital and the parents at home. The requisite software algorithms have been developed by DLR in Cooperation with the pediatricians of the Pediatric Hospital in Köln-Porz, Cologne. When the system registers an alteration of the parameters above described -as a signal of a change in the baby s health condition- all vital signs are transfered in real-time to the supervising hospital via radio data transmission devices, mobile phone or a fixed network phone. The parents are also alerted by the device, and they can carry out the necessary reanimation procedures in case of an emergency. Parents will be trained in such actions when newborns must to be monitored. But nevertheless, they are guided and tele-assisted by an expert via telephone during the action. A clinical field trial, that will start in December 1999 at the Pediatric Hospital in Köln-Porz, Cologne, will evaluate the benefits of teleprotection by home monitoring of SIDS risk-babies.

Understanding Program Monitoring: The Relationships among Outcomes, Indicators, Measures, and Targets. REL 2014-011

ERIC Educational Resources Information Center

Malone, Nolan; Mark, Lauren; Narayan, Krishna

2014-01-01

This guide offers educators, program managers, administrators, and researchers a resource for building capacity for monitoring program outcomes. It provides concise definitions of program monitoring components and a framework for assessing program progress. Examples demonstrate the relationships among program components: outcomes, indicators,…

Localised photoplethysmography imaging for heart rate estimation of pre-term infants in the clinic

NASA Astrophysics Data System (ADS)

Chaichulee, Sitthichok; Villarroel, Mauricio; Jorge, João.; Arteta, Carlos; Green, Gabrielle; McCormick, Kenny; Zisserman, Andrew; Tarassenko, Lionel

2018-02-01

Non-contact vital-sign estimation allows the monitoring of physiological parameters (such as heart rate, respiratory rate, and peripheral oxygen saturation) without contact electrodes or sensors. Our recent work has demonstrated that a convolutional neural network (CNN) can be used to detect the presence of a patient and segment the patient's skin area for vital-sign estimation, thus enabling the automatic continuous monitoring of vital signs in a hospital environment. In a study approved by the local Research Ethical Committee, we made video recordings of pre-term infants nursed in a Neonatal Intensive Care Unit (NICU) at the John Radcliffe Hospital in Oxford, UK. We extended the CNN model to detect the head, torso and diaper of the infants. We extracted multiple photoplethysmographic imaging (PPGi) signals from each body part, analysed their signal quality, and compared them with the PPGi signal derived from the entire skin area. Our results demonstrated the benefits of estimating heart rate combined from multiple regions of interest using data fusion. In the test dataset, we achieved a mean absolute error of 2.4 beats per minute for 80% (31.1 hours) from a total recording time of 38.5 hours for which both reference heart rate and video data were valid.

Medical applications of near-eye display devices: an exploratory study.

PubMed

Vorraber, Wolfgang; Voessner, Siegfried; Stark, Gerhard; Neubacher, Dietmar; DeMello, Steven; Bair, Aaron

2014-12-01

Near-eye display devices (such as Google Glass) may improve the efficiency and effectiveness of clinical care by giving clinicians information (such as the patient's vital signs) continuously within their field of vision during various procedures. We describe the use of Glass during a radiological intervention in three patients. Other possible applications (including tele-mentoring and the supervision of trainees) are discussed and a classification proposed. An app was developed to facilitate the use of Glass, so vital physical signs (pulse and blood pressure) could be projected on the near-eye display, via an intranet to protect sensitive data. The device was then used during radiological interventions (percutaneous transluminal angioplasty) in three patients, and assessed by the interventionalists who were interviewed before and after each procedure. The interventionalists reported that Google Glass improved concentration on the task in hand by reducing head and neck movements (which would be needed to view several remote monitors). However, heat generation by the device and low battery capacity are shortcomings for which solutions must be developed, and data protection is mandatory. Google Glass may have a number of clinical applications and can quicken interventions where vital signs or other visual data need to be monitored by the operator. Copyright © 2014 Surgical Associates Ltd. All rights reserved.

A New Paradigm of Technology-Enabled ‘Vital Signs’ for Early Detection of Health Change for Older Adults.

PubMed

Rantz, Marilyn J; Skubic, Marjorie; Popescu, Mihail; Galambos, Colleen; Koopman, Richelle J; Alexander, Gregory L; Phillips, Lorraine J; Musterman, Katy; Back, Jessica; Miller, Steven J

2015-01-01

Environmentally embedded (nonwearable) sensor technology is in continuous use in elder housing to monitor a new set of ‘vital signs' that continuously measure the functional status of older adults, detect potential changes in health or functional status, and alert healthcare providers for early recognition and treatment of those changes. Older adult participants' respiration, pulse, and restlessness are monitored as they sleep. Gait speed, stride length, and stride time are calculated daily, and automatically assess for increasing fall risk. Activity levels are summarized and graphically displayed for easy interpretation. Falls are detected when they occur and alerts are sent immediately to healthcare providers, so time to rescue may be reduced. Automated health alerts are sent to healthcare staff, based on continuously running algorithms applied to the sensor data, days and weeks before typical signs or symptoms are detected by the person, family members, or healthcare providers. Discovering these new functional status ‘vital signs', developing automated methods for interpreting them, and alerting others when changes occur have the potential to transform chronic illness management and facilitate aging in place through the end of life. Key findings of research in progress at the University of Missouri are discussed in this viewpoint article, as well as obstacles to widespread adoption.

A Radar-Based Smart Sensor for Unobtrusive Elderly Monitoring in Ambient Assisted Living Applications.

PubMed

Diraco, Giovanni; Leone, Alessandro; Siciliano, Pietro

2017-11-24

Continuous in-home monitoring of older adults living alone aims to improve their quality of life and independence, by detecting early signs of illness and functional decline or emergency conditions. To meet requirements for technology acceptance by seniors (unobtrusiveness, non-intrusiveness, and privacy-preservation), this study presents and discusses a new smart sensor system for the detection of abnormalities during daily activities, based on ultra-wideband radar providing rich, not privacy-sensitive, information useful for sensing both cardiorespiratory and body movements, regardless of ambient lighting conditions and physical obstructions (through-wall sensing). The radar sensing is a very promising technology, enabling the measurement of vital signs and body movements at a distance, and thus meeting both requirements of unobtrusiveness and accuracy. In particular, impulse-radio ultra-wideband radar has attracted considerable attention in recent years thanks to many properties that make it useful for assisted living purposes. The proposed sensing system, evaluated in meaningful assisted living scenarios by involving 30 participants, exhibited the ability to detect vital signs, to discriminate among dangerous situations and activities of daily living, and to accommodate individual physical characteristics and habits. The reported results show that vital signs can be detected also while carrying out daily activities or after a fall event (post-fall phase), with accuracy varying according to the level of movements, reaching up to 95% and 91% in detecting respiration and heart rates, respectively. Similarly, good results were achieved in fall detection by using the micro-motion signature and unsupervised learning, with sensitivity and specificity greater than 97% and 90%, respectively.

A Radar-Based Smart Sensor for Unobtrusive Elderly Monitoring in Ambient Assisted Living Applications

PubMed Central

Leone, Alessandro; Siciliano, Pietro

2017-01-01

Continuous in-home monitoring of older adults living alone aims to improve their quality of life and independence, by detecting early signs of illness and functional decline or emergency conditions. To meet requirements for technology acceptance by seniors (unobtrusiveness, non-intrusiveness, and privacy-preservation), this study presents and discusses a new smart sensor system for the detection of abnormalities during daily activities, based on ultra-wideband radar providing rich, not privacy-sensitive, information useful for sensing both cardiorespiratory and body movements, regardless of ambient lighting conditions and physical obstructions (through-wall sensing). The radar sensing is a very promising technology, enabling the measurement of vital signs and body movements at a distance, and thus meeting both requirements of unobtrusiveness and accuracy. In particular, impulse-radio ultra-wideband radar has attracted considerable attention in recent years thanks to many properties that make it useful for assisted living purposes. The proposed sensing system, evaluated in meaningful assisted living scenarios by involving 30 participants, exhibited the ability to detect vital signs, to discriminate among dangerous situations and activities of daily living, and to accommodate individual physical characteristics and habits. The reported results show that vital signs can be detected also while carrying out daily activities or after a fall event (post-fall phase), with accuracy varying according to the level of movements, reaching up to 95% and 91% in detecting respiration and heart rates, respectively. Similarly, good results were achieved in fall detection by using the micro-motion signature and unsupervised learning, with sensitivity and specificity greater than 97% and 90%, respectively. PMID:29186786

Establishing a national biological laboratory safety and security monitoring program.

PubMed

Blaine, James W

2012-12-01

The growing concern over the potential use of biological agents as weapons and the continuing work of the Biological Weapons Convention has promoted an interest in establishing national biological laboratory biosafety and biosecurity monitoring programs. The challenges and issues that should be considered by governments, or organizations, embarking on the creation of a biological laboratory biosafety and biosecurity monitoring program are discussed in this article. The discussion focuses on the following questions: Is there critical infrastructure support available? What should be the program focus? Who should be monitored? Who should do the monitoring? How extensive should the monitoring be? What standards and requirements should be used? What are the consequences if a laboratory does not meet the requirements or is not willing to comply? Would the program achieve the results intended? What are the program costs? The success of a monitoring program can depend on how the government, or organization, responds to these questions.

An Anonymous Survey of Psychosomatic Medicine Fellowship Directors regarding Breaches of Contracts and a Proposal for Prevention

ERIC Educational Resources Information Center

Levenson, James L.; Bialer, Philip

2010-01-01

Objective: The authors studied how often applicants accept positions at more than one program, or programs offer positions to applicants who have already signed contracts with other programs. Methods: An anonymous survey was distributed to all psychosomatic medicine fellowship program directors. Results: It is fairly common for applicants to sign…

A novel ultra-wideband 80 GHz FMCW radar system for contactless monitoring of vital signs.

PubMed

Wang, Siying; Pohl, Antje; Jaeschke, Timo; Czaplik, Michael; Köny, Marcus; Leonhardt, Steffen; Pohl, Nils

2015-01-01

In this paper an ultra-wideband 80 GHz FMCW-radar system for contactless monitoring of respiration and heart rate is investigated and compared to a standard monitoring system with ECG and CO(2) measurements as reference. The novel FMCW-radar enables the detection of the physiological displacement of the skin surface with submillimeter accuracy. This high accuracy is achieved with a large bandwidth of 10 GHz and the combination of intermediate frequency and phase evaluation. This concept is validated with a radar system simulation and experimental measurements are performed with different radar sensor positions and orientations.

7 CFR 1484.31 - Who acts on behalf of each Cooperator?

Code of Federal Regulations, 2011 CFR

2011-01-01

... CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS PROGRAMS TO HELP DEVELOP FOREIGN MARKETS FOR AGRICULTURAL COMMODITIES Program Operations § 1484.31 Who acts on behalf of each Cooperator? The Cooperator shall designate at least two individuals in its organization to sign program agreements...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2013 CFR

2013-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

50 CFR 86.94 - What crediting language should I use?

Code of Federal Regulations, 2014 CFR

2014-10-01

... INTERIOR (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE AND SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.94 What crediting...: (a) Example 1: The Federal Aid in Sport Fish Restoration Program funded this facility thanks to your...

Earth-Like Exoplanets: The Science of NASA's Navigator Program

NASA Technical Reports Server (NTRS)

Lawson, Peter R. (Editor); Traub, Wesley A. (Editor)

2006-01-01

This book outlines the exoplanet science content of NASA's Navigator Program, and it identifies the exoplanet research priorities. The goal of Navigator Program missions is to detect and characterize Earth-like planets in the habitable zone of nearby stars and to search for signs of life on those planets.

Direct and Collateral Effects of the First Step to Success Program

ERIC Educational Resources Information Center

Sprague, Jeffrey; Perkins, Kindle

2009-01-01

First Step to Success is a multicomponent behavioral program for at-risk children who show signs of antisocial behavior at the point of school entry. The program incorporates behavioral intervention techniques, including praise and feedback, positive reinforcement, social skills training, teacher and parent collaboration, and time-out/response…

Sleep associated monitoring on awakening mediates the relationship between cutaneous body image dissatisfaction and insomnia symptoms

PubMed Central

Akram, Umair

2017-01-01

INTRODUCTION This study examined the relationship between dissatisfaction with cutaneous body image and insomnia symptoms, incorporating the mediating role of monitoring for signs of poor-sleep on awakening and throughout the day. METHODS Two hundred twenty-one participants completed The Insomnia Severity Index, Cutaneous Body Image Scale, and subscales of the Sleep Associated Monitoring Index. RESULTS The results demonstrated that insomnia symptoms were significantly associated with a greater dissatisfaction with cutaneous body image. Moreover, this relationship was partially mediated by sleep associated monitoring on awakening, but not throughout the day. CONCLUSIONS These findings provide further understanding of the potential mechanisms underlying negative self-perceptions of physical appearance in insomnia. PMID:28966747

Advancing Continuous Predictive Analytics Monitoring: Moving from Implementation to Clinical Action in a Learning Health System.

PubMed

Keim-Malpass, Jessica; Kitzmiller, Rebecca R; Skeeles-Worley, Angela; Lindberg, Curt; Clark, Matthew T; Tai, Robert; Calland, James Forrest; Sullivan, Kevin; Randall Moorman, J; Anderson, Ruth A

2018-06-01

In the intensive care unit, clinicians monitor a diverse array of data inputs to detect early signs of impending clinical demise or improvement. Continuous predictive analytics monitoring synthesizes data from a variety of inputs into a risk estimate that clinicians can observe in a streaming environment. For this to be useful, clinicians must engage with the data in a way that makes sense for their clinical workflow in the context of a learning health system (LHS). This article describes the processes needed to evoke clinical action after initiation of continuous predictive analytics monitoring in an LHS. Copyright © 2018 Elsevier Inc. All rights reserved.

Therapeutic efficacy of equine botulism antitoxin in Rhesus macaques.

PubMed

Kodihalli, Shantha; Emanuel, Andrew; Takla, Teresa; Hua, Yi; Hobbs, Charles; LeClaire, Ross; O'Donnell, Denise C

2017-01-01

There are currently no licensed vaccines available for prevention of botulism in humans. The vaccination is not desirable due to expanding therapeutic indications of botulinum toxins. The only available specific treatment for botulism is antitoxin to remove circulating toxin, thus, preventing further neuronal damage. BAT® (Botulism Antitoxin Heptavalent (A, B, C, D, E, F, G)-(Equine)) has been developed and its therapeutic efficacy evaluated against botulinum neurotoxin serotype A (BoNT/A) in Rhesus macaques. In a post-exposure prophylaxis (PEP) study, animals were exposed to 4x LD50/kg of BoNT/A and administered intravenously with either BAT (1x or 0.1x scaled human dose), or placebo at 4 hours post-exposure. The animals were monitored for 14 days. For the therapeutic intervention studies, animals were exposed to a 1.7x LD50/kg of BoNT/A and treated intravenously with either placebo or BAT at a 1x scaled human dose at the onset of clinical signs. Animals were monitored on an hourly basis for 14 or 21 days. In the PEP study, all animals tolerated equine based antitoxin without any adverse clinical signs. A 100% survival was observed in groups treated with the BAT compared to 0% survival in those treated with the placebo (p<0.001, Fisher's exact test). BAT antitoxin prevented the development of signs of neurotoxicity of botulinum toxin. In a therapeutic study, treatment with the BAT at scaled 1x human dose after the onset of clinical signs significantly enhanced survival compared to the placebo (46.6% vs. 0%, p<0.0001, Fisher's exact test). Additionally, treatment with the BAT delayed the progression of signs (muscular weakness, respiratory distress, oral/nasal discharge) of toxin intoxication and reduced the severity of the disease. A single dose of BAT, when administered to symptomatic monkeys, resulted in a statistically significant survival benefit compared to the placebo. Additionally, BAT completely protected monkeys from the clinical signs of intoxication and subsequent death when administered as PEP treatment. These data in part supported the licensure of BAT under the Animal Rule in the United States by the Food and Drug Administration.

Emerging technologies for pediatric and adult trauma care.

PubMed

Moulton, Steven L; Haley-Andrews, Stephanie; Mulligan, Jane

2010-06-01

Current Emergency Medical Service protocols rely on provider-directed care for evaluation, management and triage of injured patients from the field to a trauma center. New methods to quickly diagnose, support and coordinate the movement of trauma patients from the field to the most appropriate trauma center are in development. These methods will enhance trauma care and promote trauma system development. Recent advances in machine learning, statistical methods, device integration and wireless communication are giving rise to new methods for vital sign data analysis and a new generation of transport monitors. These monitors will collect and synchronize exponentially growing amounts of vital sign data with electronic patient care information. The application of advanced statistical methods to these complex clinical data sets has the potential to reveal many important physiological relationships and treatment effects. Several emerging technologies are converging to yield a new generation of smart sensors and tightly integrated transport monitors. These technologies will assist prehospital providers in quickly identifying and triaging the most severely injured children and adults to the most appropriate trauma centers. They will enable the development of real-time clinical support systems of increasing complexity, able to provide timelier, more cost-effective, autonomous care.

Veno-occlusive disease nurse management: development of a dynamic monitoring tool by the GITMO nursing group.

PubMed

Botti, Stefano; Orlando, Laura; Gargiulo, Gianpaolo; Cecco, Valentina De; Banfi, Marina; Duranti, Lorenzo; Samarani, Emanuela; Netti, Maria Giovanna; Deiana, Marco; Galuppini, Vera; Pignatelli, Adriana Concetta; Ceresoli, Rosanna; Vedovetto, Alessio; Rostagno, Elena; Bambaci, Marilena; Dellaversana, Cristina; Luminari, Stefano; Bonifazi, Francesca

2016-01-01

Veno-occlusive disease (VOD) is a complication arising from the toxicity of conditioning regimens that have a significant impact on the survival of patients who undergo stem cell transplantation. There are several known risk factors for developing VOD and their assessment before the start of conditioning regimens could improve the quality of care. Equally important are early identification of signs and symptoms ascribable to VOD, rapid diagnosis, and timely adjustment of support therapy and treatment. Nurses have a fundamental role at the stages of assessment and monitoring for signs and symptoms; therefore, they should have documented skills and training. The literature defines nurses' areas of competence in managing VOD, but in the actual clinical practice, this is not so clear. Moreover, there is an intrinsic difficulty in managing VOD due to its rapid and often dramatic evolution, together with a lack of care tools to guide nurses. Through a complex evidence-based process, the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO), cellule staminali emopoietiche e terapia cellulare nursing board has developed an operational flowchart and a dynamic monitoring tool applicable to haematopoietic stem cell transplantation patients, whether they develop this complication or not.

Veno-occlusive disease nurse management: development of a dynamic monitoring tool by the GITMO nursing group

PubMed Central

Botti, Stefano; Orlando, Laura; Gargiulo, Gianpaolo; Cecco, Valentina De; Banfi, Marina; Duranti, Lorenzo; Samarani, Emanuela; Netti, Maria Giovanna; Deiana, Marco; Galuppini, Vera; Pignatelli, Adriana Concetta; Ceresoli, Rosanna; Vedovetto, Alessio; Rostagno, Elena; Bambaci, Marilena; Dellaversana, Cristina; Luminari, Stefano; Bonifazi, Francesca

2016-01-01

Veno-occlusive disease (VOD) is a complication arising from the toxicity of conditioning regimens that have a significant impact on the survival of patients who undergo stem cell transplantation. There are several known risk factors for developing VOD and their assessment before the start of conditioning regimens could improve the quality of care. Equally important are early identification of signs and symptoms ascribable to VOD, rapid diagnosis, and timely adjustment of support therapy and treatment. Nurses have a fundamental role at the stages of assessment and monitoring for signs and symptoms; therefore, they should have documented skills and training. The literature defines nurses’ areas of competence in managing VOD, but in the actual clinical practice, this is not so clear. Moreover, there is an intrinsic difficulty in managing VOD due to its rapid and often dramatic evolution, together with a lack of care tools to guide nurses. Through a complex evidence-based process, the Gruppo Italiano per il Trapianto di Midollo Osseo (GITMO), cellule staminali emopoietiche e terapia cellulare nursing board has developed an operational flowchart and a dynamic monitoring tool applicable to haematopoietic stem cell transplantation patients, whether they develop this complication or not. PMID:27594906

Developing a Sight Conservation Program

ERIC Educational Resources Information Center

Braxton, Olivia A.; Farris, R. Linsy

1975-01-01

Among the services added to Harlem (New York) Hospital's opthalmology department was a sight conservation program designed to alert the community to the need for eye care and to screen for early signs of eye disorders causing sight impairment. (SB)

50 CFR 86.93 - Where should I use the SFR logo?

Code of Federal Regulations, 2012 CFR

2012-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.93 Where should I use the SFR logo? You...

50 CFR 86.93 - Where should I use the SFR logo?

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.93 Where should I use the SFR logo? You...

50 CFR 86.93 - Where should I use the SFR logo?

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) FINANCIAL ASSISTANCE-WILDLIFE SPORT FISH RESTORATION PROGRAM BOATING INFRASTRUCTURE GRANT (BIG) PROGRAM State Use of Signs and Sport Fish Restoration Symbols § 86.93 Where should I use the SFR logo? You...

Traffic Control Device Evaluation Program : FY 2017

DOT National Transportation Integrated Search

2018-03-01

This report presents findings on the activities conducted in the Traffic Control Device Evaluation Program during the 2017 fiscal year. The research on sponsored changeable message signs (continued from the previous year) was terminated by the Federa...

Awareness levels about breast cancer risk factors, early warning signs, and screening and therapeutic approaches among Iranian adult women: a large population based study using latent class analysis.

PubMed

Tazhibi, Mahdi; Feizi, Awat

2014-01-01

Breast cancer (BC) continues to be a major cause of morbidity and mortality among women throughout the world and in Iran. Lack of awareness and early detection program in developing country is a main reason for escalating the mortality. The present research was conducted to assess the Iranian women's level of knowledge about breast cancer risk factors, early warning signs, and therapeutic and screening approaches, and their correlated determinants. In a cross-sectional study, 2250 women before participating at a community based screening and public educational program in an institute of cancer research in Isfahan, Iran, in 2012 were investigated using a self-administered questionnaire about risk factors, early warning signs, and therapeutic and screening approaches of BC. Latent class regression as a comprehensive statistical method was used for evaluating the level of knowledge and its correlated determinants. Only 33.2%, 31.9%, 26.7%, and 35.8% of study participants had high awareness levels about screening approaches, risk factors, early warning signs and therapeutic modalities of breast cancer, respectively, and majority had poor to moderate knowledge levels. Most effective predictors of high level of awareness were higher educational qualifications, attending in screening and public educational programs, personal problem, and family history of BC, respectively. Results of current study indicated that the levels of awareness among study population about key elements of BC are low. These findings reenforce the continuing need for more BC education through conducting public and professional programs that are intended to raise awareness among younger, single women and those with low educational attainments and without family history.

ProteoSign: an end-user online differential proteomics statistical analysis platform.

PubMed

Efstathiou, Georgios; Antonakis, Andreas N; Pavlopoulos, Georgios A; Theodosiou, Theodosios; Divanach, Peter; Trudgian, David C; Thomas, Benjamin; Papanikolaou, Nikolas; Aivaliotis, Michalis; Acuto, Oreste; Iliopoulos, Ioannis

2017-07-03

Profiling of proteome dynamics is crucial for understanding cellular behavior in response to intrinsic and extrinsic stimuli and maintenance of homeostasis. Over the last 20 years, mass spectrometry (MS) has emerged as the most powerful tool for large-scale identification and characterization of proteins. Bottom-up proteomics, the most common MS-based proteomics approach, has always been challenging in terms of data management, processing, analysis and visualization, with modern instruments capable of producing several gigabytes of data out of a single experiment. Here, we present ProteoSign, a freely available web application, dedicated in allowing users to perform proteomics differential expression/abundance analysis in a user-friendly and self-explanatory way. Although several non-commercial standalone tools have been developed for post-quantification statistical analysis of proteomics data, most of them are not end-user appealing as they often require very stringent installation of programming environments, third-party software packages and sometimes further scripting or computer programming. To avoid this bottleneck, we have developed a user-friendly software platform accessible via a web interface in order to enable proteomics laboratories and core facilities to statistically analyse quantitative proteomics data sets in a resource-efficient manner. ProteoSign is available at http://bioinformatics.med.uoc.gr/ProteoSign and the source code at https://github.com/yorgodillo/ProteoSign. © The Author(s) 2017. Published by Oxford University Press on behalf of Nucleic Acids Research.

New site characterization and monitoring technology

NASA Astrophysics Data System (ADS)

Nielsen, Bruce J.; Gillispie, Gregory D.; Bohne, David A.; Lindstrom, David R.

1995-10-01

The cost of characterizing and monitoring U.S. government hazardous waste sites could exceed $500 billion utilizing traditional methods and technology. New sensor technologies are being developed to meet the nation's environmental remediation and compliance programs. In 1993, the U.S. Air Force Armstrong Laboratory and Loral Defense System, Eagan (formerly a division of Unisys Corporation) signed a Cooperative Research and Development Agreement (CRDA) to commercialize fiber optic laser-induced fluorescence technology that had been developed with U.S. Air Force funding a North Dakota State University (NDSU). A consortium consisting of the CRDA partners (USAF and Loral), Dakota Technologies Inc., and NDSU submitted a proposal to the advanced Research Projects Agency, Technology Reinvestment Project and won an award to fund the commercialization. The result, the Rapid Optical Screening Tool or ROST is a state-of-the-art laser spectroscopy system for analysis of aromatic hydrocarbon-contaminated soil and groundwater. With ROST, environmental investigators are able to find, classify, and map the distribution of many hazardous chemicals in the field instead of waiting for reports to come back from the analytical laboratory. The research and development program leading to prototype laser spectrometers is summarized along with results from laboratory and field demonstrations illustrating system performance and benefits for site characterization. The technology has recently been demonstrated in Europe in Germany, the Netherlands, France an several sites in the United Kingdom having light, medium, and heavy aromatic hydrocarbon contamination from fuel spills and refinery or chemical plant operations. The use of the ROST system to find hydrocarbon contamination is now being offered as a service by Loral Corporation.

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2013 CFR

2013-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2014 CFR

2014-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2012 CFR

2012-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2010 CFR

2010-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

40 CFR 122.48 - Requirements for recording and reporting of monitoring results (applicable to State programs, see...

Code of Federal Regulations, 2011 CFR

2011-07-01

... representative of the monitored activity including, when appropriate, continuous monitoring; (c) Applicable... reporting of monitoring results (applicable to State programs, see § 123.25). 122.48 Section 122.48... recording and reporting of monitoring results (applicable to State programs, see § 123.25). All permits...

Short-term effect of back school based on cognitive behavioral therapy involving multidisciplinary collaboration.

PubMed

Motoya, Ryo; Otani, Koji; Nikaido, Takuya; Ono, Yoko; Matsumoto, Takatomo; Yamagishi, Ryohei; Yabuki, Shoji; Konno, Shin-Ichi; Niwa, Shin-Ichi; Yabe, Hirooki

2017-08-09

ObjectivesThe purpose of this study was to develop a comprehensive back school program that included elements of CBT (Cognitive Behavioral Therapy), implement this through multidisciplinary collaboration, and ascertain its effectiveness as a pilot study. DesignThis school was implemented in the form of five 90-minute group sessions held every other week.MethodsParticipants comprised 7 chronic low back pain patients with poor improvement in the usual treatment. Practitioners were orthopaedic surgeon, physical therapist, and a clinical psychologist. This school contents were patient education, self-monitoring, back exercise, relaxation, stress management, cognitive restructuring, activity pacing, and exposure. ResultsFrom the Wilcoxon signed-rank test, each score of four scales or items (sense of control, PCS (pain catastrophizing), PASS-20 (escape/avoidance), FFD (finger-floor distance)) after this program significantly improved. Results of calculating the effect size, sense of control (d=0.55) is 'moderate', the PCS (d=1.12) and the PASS-20 (d=1.64) were 'large'.ConclusionsThis back school may be useful for physical function and psychological variables which much related to pain management and daily disabilities in patients with poor respond to standard orthopaedic treatment.

Prevalence of acute blood transfusion reactions in Mazandaran Heart Center, Sari, Iran, 2010-2012.

PubMed

Azizi, Soheil; Tabary, Shervin Ziabakhsh; Soleimani, Arya

2014-01-01

Although blood transfusion is life saving for patients, it is responsible for a series of complications and exposes the patients to a variety of risks. Therefore knowing different adverse effects of blood transfusion represents a great issue in managing recipient patients. The aim of the present work was to study the prevalence of blood transfusion complications among patients in the Mazandaran Heart Center, Sari, Iran, during a period of 2 years. A retrospective review of all reported and evaluated acute transfusion reactions during a 2 years period in Mazandaran Heart Center was performed. Associated clinical signs and symptoms were evaluated. In 9193 transfused blood products, there was 34 (0.4%) acute transfusion reactions. The commonest were discomfort and restlessness (0.16%), dyspnea (0.16%), rigors (0.13%), fever (0.08%), chest pain (0.06%), rash or urticaria (0.04%), nausea and vomiting (0.03%), palpitation (0.03%), hypertension (0.03%) flashing (0.02%), hypotension (0.02%). Acute transfusion reaction is seen in %0.4 of transfused patients therefore, we recommend a well-structured program for monitoring adverse reactions associated with blood transfusion and blood product administration (Hemovigilance program).

A comparison of the temporally integrated monitoring of ecosystems and Adirondack Long Term-Monitoring programs in the Adirondack Mountain region of New Yrok

EPA Science Inventory

This paper compares lake chemistry in the Adirondack region of New York measured by the Temporally Integrated Monitoring of Ecosystems (TIME) and Adirondack Long-Term Monitoring (ALTM) programs by examining the data from six lakes common to both programs. Both programs were initi...

Current practices in laboratory monitoring of HIV infection

PubMed Central

Vajpayee, Madhu; Mohan, Teena

2011-01-01

After a diagnosis of HIV infection is made, the patient needs to be monitored using both clinical assessment and laboratory markers. HIV/AIDS monitoring is essential in guiding when to recommend initiation of therapy. Clinical monitoring will include staging of the HIV/AIDS disease using either the presence or absence of HIV-related signs and symptoms using the WHO staging system. Various laboratory methods can be used to monitor the disease progression and to guide whether the patient will need antiretroviral therapy or not. Laboratory monitoring for patients who are not on drugs is done to provide information about the stage of illness; to enable the clinician to make decisions on treatment and to give information on prognosis of the patient. Patients on drugs are monitored to assess their response to treatment with antiretroviral drugs and to detect any possible toxicity and improvement associated with the antiretroviral drugs. PMID:22310815

The nurse response to abnormal vital sign recording in the emergency department.

PubMed

Johnson, Kimberly D; Mueller, Lindsey; Winkelman, Chris

2017-01-01

To examine what occurs after a recorded observation of at least one abnormal vital sign in the emergency department. The aims were to determine how often abnormal vital signs were recorded, what interventions were documented, and what factors were associated with documented follow-up for abnormal vital signs. Monitoring quality of care, and preventing or intervening before harm occurs to patients are central to nurses' roles. Abnormal vital signs have been associated with poor patient outcomes and require follow-up after the observation of abnormal readings to prevent patient harm related to a deteriorating status. This documentation is important to quality and safety of care. Observational, retrospective chart review. Modified Early Warning Score was calculated for all recorded vital signs for 195 charts. Comparisons were made between groups: (1) no abnormal vital signs, (2) abnormal vital sign present, but normal Modified Early Warning Score and (3) critically abnormal Modified Early Warning Score. About 62·1% of charts had an abnormal vital sign documented. Critically abnormal values were present in 14·9%. No documentation was present in 44·6% of abnormal cases. When interventions were documented, it was usually to notify the physician. The timing within the emergency department visit when the abnormalities were observed and the degree of abnormality had significant relationships to the presence of documentation. It is doubtful that nurses do not recognise abnormalities because more severely abnormal vital signs were more likely to have documented follow-up. Perhaps the interruptive nature of the emergency department or the prioritised actions of the nurse impacted documentation within this study. Further research is required to determine why follow-up is not being documented. To ensure safety and quality of patient care, accurate documentation of responses to abnormal vital signs is required. © 2016 John Wiley & Sons Ltd.

Electronic System for Preventing Airport Runway Incursions

NASA Technical Reports Server (NTRS)

Dabney, Richard; Elrod, Susan

2009-01-01

A proposed system of portable illuminated signs, electronic monitoring equipment, and radio-communication equipment for preventing (or taking corrective action in response to) improper entry of aircraft, pedestrians, or ground vehicles onto active airport runways is described. The main overall functions of the proposed system would be to automatically monitor aircraft ground traffic on or approaching runways and to generate visible and/or audible warnings to affected pilots, ground-vehicle drivers, and control-tower personnel when runway incursions take place.

Cooperative runtime monitoring

NASA Astrophysics Data System (ADS)

Hallé, Sylvain

2013-11-01

Requirements on message-based interactions can be formalised as an interface contract that specifies constraints on the sequence of possible messages that can be exchanged by multiple parties. At runtime, each peer can monitor incoming messages and check that the contract is correctly being followed by their respective senders. We introduce cooperative runtime monitoring, where a recipient 'delegates' its monitoring task to the sender, which is required to provide evidence that the message it sends complies with the contract. In turn, this evidence can be quickly checked by the recipient, which is then guaranteed of the sender's compliance to the contract without doing the monitoring computation by itself. A particular application of this concept is shown on web services, where service providers can monitor and enforce contract compliance of third-party clients at a small cost on the server side, while avoiding to certify or digitally sign them.

Syndromic surveillance for West Nile virus using raptors in rehabilitation.

PubMed

Ana, Alba; Perez Andrés, M; Julia, Ponder; Pedro, Puig; Arno, Wünschmann; Kimberly, Vander Waal; Julio, Alvarez; Michelle, Willette

2017-11-29

Wildlife rehabilitation centers routinely gather health-related data from diverse species. Their capability to signal the occurrence of emerging pathogens and improve traditional surveillance remains largely unexplored. This paper assessed the utility for syndromic surveillance of raptors admitted to The Raptor Center (TRC) to signal circulation of West Nile Virus (WNV) in Minnesota between 1990 and 2014. An exhaustive descriptive analysis using grouping time series structures and models of interrupted times series was conducted for indicator subsets. A total of 13,080 raptors were monitored. The most representative species were red-tailed hawks, great horned owls, Cooper's hawks, American kestrels and bald eagles. Results indicated that temporal patterns of accessions at the TRC changed distinctively after the incursion of WNV in 2002. The frequency of hawks showing WNV-like signs increased almost 3 times during July and August, suggesting that monitoring of hawks admitted to TRC with WNV-like signs could serve as an indicator of WNV circulation. These findings were also supported by the results of laboratory diagnosis. This study demonstrates that monitoring of data routinely collected by wildlife rehabilitation centers has the potential to signal the spread of pathogens that may affect wild, domestic animals and humans, thus supporting the early detection of disease incursions in a region and monitoring of disease trends. Ultimately, data collected in rehabilitation centers may provide insights to efficiently allocate financial and human resources on disease prevention and surveillance.

Deaf-And-Mute Sign Language Generation System

NASA Astrophysics Data System (ADS)

Kawai, Hideo; Tamura, Shinichi

1984-08-01

We have developed a system which can recognize speech and generate the corresponding animation-like sign language sequence. The system is implemented in a popular personal computer. This has three video-RAM's and a voice recognition board which can recognize only registered voice of a specific speaker. Presently, fourty sign language patterns and fifty finger spellings are stored in two floppy disks. Each sign pattern is composed of one to four sub-patterns. That is, if the pattern is composed of one sub-pattern, it is displayed as a still pattern. If not, it is displayed as a motion pattern. This system will help communications between deaf-and-mute persons and healthy persons. In order to display in high speed, almost programs are written in a machine language.

Detection of the Early Warning Signs of Cancer by Community Pharmacists: An Evaluation of Training on Professional Behavior

ERIC Educational Resources Information Center

Benfield, William R.; And Others

1977-01-01

In a study of 702 pharmacists in 211 communities, an effort was made to determine the effect of a unit of education on the community pharmacist's ability and/or tendency to detect the early warning signs of cancer when manifested by patrons. The success of such a program is shown. (LBH)

Atomic- and Device-Scale Physics of Ion-Transport Memristors

DTIC Science & Technology

2017-02-02

ASSIGNED DISTRIBUTION STATEMENT. //SIGNED// //SIGNED// ARTHUR EDWARDS DAVID CARDIMONA Program Manager Technical Advisor, Space Based Advanced...in the interest of scientific and technical information exchange, and its publication does not constitute the Government’s approval or disapproval...is available to the general public, including foreign nationals. Copies may be obtained from the Defense Technical Information Center (DTIC) (http://www.dtic.mil).

Classifiers in ASL: A Manual for Instructors. American Sign Language Community College Network.

ERIC Educational Resources Information Center

Peralta Community Coll. System, Berkeley, CA. Vista Coll.

Following a discussion of the role of classifiers (i.e., verbs of motion and location) in American Sign Language, this manual presents a six-unit program designed to teach students to produce sentences with classifiers. First, an overview is provided of the hierarchy of verbs of motion and location produced when the resources of the body are…

Atmospheric deposition and critical loads for nitrogen and metals in Arctic Alaska: Review and current status

USGS Publications Warehouse

Linder, Greg L.; Brumbaugh, William G.; Neitlich, Peter; Little, Edward

2013-01-01

To protect important resources under their bureau’s purview, the United States National Park Service’s (NPS) Arctic Network (ARCN) has developed a series of “vital signs” that are to be periodically monitored. One of these vital signs focuses on wet and dry deposition of atmospheric chemicals and further, the establishment of critical load (CL) values (thresholds for ecological effects based on cumulative depositional loadings) for nitrogen (N), sulfur, and metals. As part of the ARCN terrestrial monitoring programs, samples of the feather moss Hylocomium splendens are being col- lected and analyzed as a cost-effective means to monitor atmospheric pollutant deposition in this region. Ultimately, moss data combined with refined CL values might be used to help guide future regulation of atmospheric contaminant sources potentially impacting Arctic Alaska. But first, additional long-term studies are needed to determine patterns of contaminant deposition as measured by moss biomonitors and to quantify ecosystem responses at particular loadings/ ranges of contaminants within Arctic Alaska. Herein we briefly summarize 1) current regulatory guidance related to CL values 2) derivation of CL models for N and metals, 3) use of mosses as biomonitors of atmospheric deposition and loadings, 4) preliminary analysis of vulnerabilities and risks associated with CL estimates for N, 5) preliminary analysis of existing data for characterization of CL values for N for interior Alaska and 6) implications for managers and future research needs.

Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2011

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

NSTec Environmental Restoration

This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2011 and includes inspection and repair activities completed at the following CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 407: Roller Coaster RadSafe Area (TTR); (3) CAU 424: Area 3 Landfill Complexes (TTR); (4) CAU 453: Area 9 UXO Landfill (TTR); and (5) CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspectionmore » plan for each CAU is included in Appendix B. The inspection checklists are included in Appendix C, field notes are included in Appendix D, and photographs taken during inspections are included in Appendix E. The annual post-closure inspections were conducted May 3 and 4, 2011. Maintenance was performed at CAU 424, CAU 453, and CAU 487. At CAU 424, two surface grade monuments at Landfill Cell A3-3 could not be located during the inspection. The two monuments were located and marked with lava rock on July 13, 2011. At CAU 453, there was evidence of animal burrowing. Animal burrows were backfilled on July 13, 2011. At CAU 487, one use restriction warning sign was missing, and wording was faded on the remaining signs. A large animal burrow was also present. The signs were replaced, and the animal burrow was backfilled on July 12, 2011. As a best management practice, the use restriction warning signs at CAU 407 were replaced with standard Federal Facility Agreement and Consent Order signs on July 13, 2011. Vegetation monitoring was performed at the CAU 400 Five Points Landfill and CAU 407 in June 2011, and the vegetation monitoring report is included in Appendix F.« less

Influence of infection with Renibacterium salmoninarum on susceptibility of juvenile spring chinook salmon to gas bubble trauma

USGS Publications Warehouse

Weiland, L.K.; Mesa, M.G.; Maule, A.G.

1999-01-01

During experiments in our laboratory to assess the progression and severity of gas bubble trauma (GBT) in juvenile spring chinook salmon Oncorhynchus tshawytscha, we had the opportunity to assess the influence of Renibacterium salmoninarum (Rs), the causative agent of bacterial kidney disease, on the susceptibility of salmon to GBT. We exposed fish with an established infection of Rs to 120% total dissolved gas (TDG) for 96 h and monitored severity of GBT signs in the fins and gills, Rs infection level in kidneys by using an enzyme-linked immunosorbent assay (ELISA), and mortality. Mortality occurred rapidly after exposure to 120% TDG, with a LT20 (time necessary to kill 20% of the population) of about 37 h, which is at a minimum about 16% earlier than other bioassays we have conducted using fish that had no apparent signs of disease. Fish that died early (from 31 to 36 h and from 49 to 52 h) had significantly higher infection levels (mean ?? SE ELISA absorbance = 1.532 ?? 0.108) than fish that survived for 96h (mean ?? SE ELISA absorbance = 0.828 ?? 0.137). Fish that died early also had a significantly greater number of gill filaments occluded with bubbles than those that survived 96 h. Conversely, fish that survived for 96 h had a significantly higher median fin severity ranking than those that died early. Our results indicate that fish with moderate to high levels of Rs infection are more vulnerable to the effects of dissolved gas supersaturation (DGS) and die sooner than fish with lower levels of Rs infection. However, there is a substantial amount of individual variation in susceptibility to the apparent cumulative effects of DGS and Rs infection. Collectively, our findings have important implications to programs designed to monitor the prevalence and severity of GBT in juvenile salmonids in areas like the Columbia River basin and perhaps elsewhere.

Cost considerations for long-term ecological monitoring

USGS Publications Warehouse

Caughlan, L.; Oakley, K.L.

2001-01-01

For an ecological monitoring program to be successful over the long-term, the perceived benefits of the information must justify the cost. Financial limitations will always restrict the scope of a monitoring program, hence the program's focus must be carefully prioritized. Clearly identifying the costs and benefits of a program will assist in this prioritization process, but this is easier said than done. Frequently, the true costs of monitoring are not recognized and are, therefore, underestimated. Benefits are rarely evaluated, because they are difficult to quantify. The intent of this review is to assist the designers and managers of long-term ecological monitoring programs by providing a general framework for building and operating a cost-effective program. Previous considerations of monitoring costs have focused on sampling design optimization. We present cost considerations of monitoring in a broader context. We explore monitoring costs, including both budgetary costs--what dollars are spent on--and economic costs, which include opportunity costs. Often, the largest portion of a monitoring program budget is spent on data collection, and other, critical aspects of the program, such as scientific oversight, training, data management, quality assurance, and reporting, are neglected. Recognizing and budgeting for all program costs is therefore a key factor in a program's longevity. The close relationship between statistical issues and cost is discussed, highlighting the importance of sampling design, replication and power, and comparing the costs of alternative designs through pilot studies and simulation modeling. A monitoring program development process that includes explicit checkpoints for considering costs is presented. The first checkpoint occur during the setting of objectives and during sampling design optimization. The last checkpoint occurs once the basic shape of the program is known, and the costs and benefits, or alternatively the cost-effectiveness, of each program element can be evaluated. Moving into the implementation phase without careful evaluation of costs and benefits is risky because if costs are later found to exceed benefits, the program will fail. The costs of development, which can be quite high, will have been largely wasted. Realistic expectations of costs and benefits will help ensure that monitoring programs survive the early, turbulent stages of development and the challenges posed by fluctuating budgets during implementation.