Sample records for total recording time

  1. 78 FR 6128 - Agency Information Collection Activities: Accreditation of Commercial Testing Laboratories and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... Record Keepers: 100. Estimated Time per Record Keeper: 60 minutes. Estimated Total Burden Hours: 100... or record keepers from the collection of information (total capital/ startup costs and operations and.... Estimated Number of Responses per Respondent: 1. Estimated Number of Total Responses: 100. Estimated Time...

  2. 78 FR 21145 - Agency Information Collection Activities: Accreditation of Commercial Testing Laboratories and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-09

    ... Number of Total Responses: 100. Estimated Time per Response: 75 minutes. Estimated Total Burden Hours: 125. Record Keeping: Estimated Number of Record Keepers: 100. Estimated Time per Record Keeper: 60...

  3. Admission medical records made at night time have the same quality as day and evening time records.

    PubMed

    Amirian, Ilda; Mortensen, Jacob F; Rosenberg, Jacob; Gögenur, Ismail

    2014-07-01

    A thorough and accurate admission medical record is an important tool in ensuring patient safety during the hospital stay. Surgeons' performance might be affected during night shifts due to sleep deprivation. The aim of the study was to assess the quality of admission medical records during day, evening and night time. A total of 1,000 admission medical records were collected from 2009 to 2013 based equally on four diagnoses: mechanical bowel obstruction, appendicitis, gallstone disease and gastrointestinal bleeding. The records were reviewed for errors by a pre-defined checklist based on Danish standards for admission medical records. The time of dictation for the medical record was registered. A total of 1,183 errors were found in 778 admission medical records made during day- and evening time, and 322 errors in 222 admission medical records from night time shifts. No significant overall difference in error was found in the admission medical records when day and evening values were compared to night values. Subgroup analyses made for all four diagnoses showed no difference in day and evening values compared with night time values. Night time deterioration was not seen in the quality of the medical records.

  4. Physiotherapists systematically overestimate the amount of time stroke survivors spend engaged in active therapy rehabilitation: an observational study.

    PubMed

    Kaur, Gurpreet; English, Coralie; Hillier, Susan

    2013-03-01

    How accurately do physiotherapists estimate how long stroke survivors spend in physiotherapy sessions and the amount of time stroke survivors are engaged in physical activity during physiotherapy sessions? Does the mode of therapy (individual sessions or group circuit classes) affect the accuracy of therapists' estimates? Observational study embedded within a randomised trial. People who participated in the CIRCIT trial after having a stroke. 47 therapy sessions scheduled and supervised by physiotherapists (n = 8) and physiotherapy assistants (n = 4) for trial participants were video-recorded. Therapists' estimations of therapy time were compared to the video-recorded times. The agreement between therapist-estimated and video-recorded data for total therapy time and active time was excellent, with intraclass correlation coefficients (ICC) of 0.90 (95% CI 0.83 to 0.95) and 0.83 (95% CI 0.73 to 0.93) respectively. Agreement between therapist-estimated and video-recorded data for inactive time was good (ICC score 0.62, 95% CI 0.40 to 0.77). The mean (SD) difference between therapist-estimated and video-recorded total therapy time, active time, and inactive time for all sessions was 7.7 (10.5), 14.1 (10.3) and -6.9 (9.5) minutes respectively. Bland-Altman analyses revealed a systematic bias of overestimation of total therapy time and total active time, and underestimation of inactive time by therapists. Compared to individual therapy sessions, therapists estimated total circuit class therapy duration more accurately, but estimated active time within circuit classes less accurately. Therapists are inaccurate in their estimation of the amount of time stroke survivors are active during therapy sessions. When accurate therapy data are required, use of objective measures is recommended. Copyright © 2013 Australian Physiotherapy Association. Published by .. All rights reserved.

  5. Daily Temperature and Precipitation Data for 223 Former-USSR Stations (NDP-040)

    DOE Data Explorer

    Razuvaev, V. N. [Russian Research Institute of Hydrometeorological Information-World Data Centre; Apasova, E. B. [Russian Research Institute of Hydrometeorological Information-World Data Centre; Martuganov, R. A. [Russian Research Institute of Hydrometeorological Information-World Data Centre

    1990-01-01

    The stations in this dataset are considered by RIHMI to comprise one of the best networks suitable for temperature and precipitation monitoring over the the former-USSR. Factors involved in choosing these 223 stations included length or record, amount of missing data, and achieving reasonably good geographic coverage. There are indeed many more stations with daily data over this part of the world, and hundreds more station records are available through NOAA's Global Historical Climatology Network - Daily (GHCND) database. The 223 stations comprising this database are included in GHCND, but different data processing, updating, and quality assurance methods/checks mean that the agreement between records will vary depending on the station. The relative quality and accuracy of the common station records in the two databases also cannot be easily assessed. As of this writing, most of the common stations contained in the GHCND have more recent records, but not necessarily records starting as early as the records available here. This database contains four variables: daily mean, minimum, and maximum temperature, and daily total precipitation (liquid equivalent). Temperature were taken three times a day from 1881-1935, four times a day from 1936-65, and eight times a day since 1966. Daily mean temperature is defined as the average of all observations for each calendar day. Daily maximum/minimum temperatures are derived from maximum/minimum thermometer measurements. See the measurement description file for further details. Daily precipitation totals are also available (to the nearest tenth of a millimeter) for each station. Throughout the record, daily precipitation is defined as the total amount of precipitation recorded during a 24-h period, snowfall being converted to a liquid total by melting the snow in the gauge. From 1936 on, rain gauges were checked several times each day; the cumulative total of all observations during a calendar day was presumably used as the daily total. Again, see the measurement description file for further details.

  6. Timing of Re-Transfusion Drain Removal Following Total Knee Replacement

    PubMed Central

    Leeman, MF; Costa, ML; Costello, E; Edwards, D

    2006-01-01

    INTRODUCTION The use of postoperative drains following total knee replacement (TKR) has recently been modified by the use of re-transfusion drains. The aim of our study was to investigate the optimal time for removal of re-transfusion drains following TKR. PATIENTS AND METHODS The medical records of 66 patients who had a TKR performed between October 2003 and October 2004 were reviewed; blood drained before 6 h and the total volume of blood drained was recorded. RESULTS A total of 56 patients had complete records of postoperative drainage. The mean volume of blood collected in the drain in the first 6 h was 442 ml. The mean total volume of blood in the drain was 595 ml. Therefore, of the blood drained, 78% was available for transfusion. CONCLUSION Re-transfusion drains should be removed after 6 h, when no further re-transfusion is permissible. PMID:16551400

  7. A comparison of long-term parallel measurements of sunshine duration obtained with a Campbell-Stokes sunshine recorder and two automated sunshine sensors

    NASA Astrophysics Data System (ADS)

    Baumgartner, D. J.; Pötzi, W.; Freislich, H.; Strutzmann, H.; Veronig, A. M.; Foelsche, U.; Rieder, H. E.

    2017-06-01

    In recent decades, automated sensors for sunshine duration (SD) measurements have been introduced in meteorological networks, thereby replacing traditional instruments, most prominently the Campbell-Stokes (CS) sunshine recorder. Parallel records of automated and traditional SD recording systems are rare. Nevertheless, such records are important to understand the differences/similarities in SD totals obtained with different instruments and how changes in monitoring device type affect the homogeneity of SD records. This study investigates the differences/similarities in parallel SD records obtained with a CS and two automated SD sensors between 2007 and 2016 at the Kanzelhöhe Observatory, Austria. Comparing individual records of daily SD totals, we find differences of both positive and negative sign, with smallest differences between the automated sensors. The larger differences between CS-derived SD totals and those from automated sensors can be attributed (largely) to the higher sensitivity threshold of the CS instrument. Correspondingly, the closest agreement among all sensors is found during summer, the time of year when sensitivity thresholds are least critical. Furthermore, we investigate the performance of various models to create the so-called sensor-type-equivalent (STE) SD records. Our analysis shows that regression models including all available data on daily (or monthly) time scale perform better than simple three- (or four-) point regression models. Despite general good performance, none of the considered regression models (of linear or quadratic form) emerges as the "optimal" model. Although STEs prove useful for relating SD records of individual sensors on daily/monthly time scales, this does not ensure that STE (or joint) records can be used for trend analysis.

  8. The new climate data record of total and spectral solar irradiance: Current progress and future steps

    NASA Astrophysics Data System (ADS)

    Coddington, Odele; Lean, Judith; Rottman, Gary; Pilewskie, Peter; Snow, Martin; Lindholm, Doug

    2016-04-01

    We present a climate data record of Total Solar Irradiance (TSI) and Solar Spectral Irradiance (SSI), with associated time and wavelength dependent uncertainties, from 1610 to the present. The data record was developed jointly by the Laboratory for Atmospheric and Space Physics (LASP) at the University of Colorado Boulder and the Naval Research Laboratory (NRL) as part of the National Oceanographic and Atmospheric Administration's (NOAA) National Centers for Environmental Information (NCEI) Climate Data Record (CDR) Program, where the data record, source code, and supporting documentation are archived. TSI and SSI are constructed from models that determine the changes from quiet Sun conditions arising from bright faculae and dark sunspots on the solar disk using linear regression of proxies of solar magnetic activity with observations from the SOlar Radiation and Climate Experiment (SORCE) Total Irradiance Monitor (TIM), Spectral Irradiance Monitor (SIM), and SOlar Stellar Irradiance Comparison Experiment (SOLSTICE). We show that TSI can be separately modeled to within TIM's measurement accuracy from solar rotational to solar cycle time scales and we assume that SSI measurements are reliable on solar rotational time scales. We discuss the model formulation, uncertainty estimates, and operational implementation and present comparisons of the modeled TSI and SSI with the measurement record and with other solar irradiance models. We also discuss ongoing work to assess the sensitivity of the modeled irradiances to model assumptions, namely, the scaling of solar variability from rotational-to-cycle time scales and the representation of the sunspot darkening index.

  9. 34 CFR 675.19 - Fiscal procedures and records.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... EDUCATION, DEPARTMENT OF EDUCATION FEDERAL WORK-STUDY PROGRAMS Federal Work-Study Program § 675.19 Fiscal... paid on an hourly basis, a time record showing the hours each student worked in clock time sequence, or the total hours worked per day; (ii) Include a payroll voucher containing sufficient information to...

  10. 34 CFR 675.19 - Fiscal procedures and records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... EDUCATION, DEPARTMENT OF EDUCATION FEDERAL WORK-STUDY PROGRAMS Federal Work-Study Program § 675.19 Fiscal... paid on an hourly basis, a time record showing the hours each student worked in clock time sequence, or the total hours worked per day; (ii) Include a payroll voucher containing sufficient information to...

  11. Real-time colour pictorial radiation monitoring during coronary angiography: effect on patient peak skin and total dose during coronary angiography.

    PubMed

    Wilson, Sharon M; Prasan, Ananth M; Virdi, Amy; Lassere, Marissa; Ison, Glenn; Ramsay, David R; Weaver, James C

    2016-10-10

    The aim of this study was to evaluate whether a real-time (RT) colour pictorial radiation dose monitoring system reduces patient skin and total radiation dose during coronary angiography and intervention. Patient demographics, procedural variables and radiation parameters were recorded before and after institution of the RT skin dose recording system. Peak skin dose as well as traditionally available measures of procedural radiation dose were compared. A total of 1,077 consecutive patients underwent coronary angiography, of whom 460 also had PCI. Institution of the RT skin dose recording system resulted in a 22% reduction in peak skin dose after accounting for confounding variables. Radiation dose reduction was most pronounced in those having PCI but was also seen over a range of subgroups including those with prior coronary artery bypass surgery, high BMI, and with radial arterial access. This was associated with a significant reduction in the number of patients placed at risk of skin damage. Similar reductions in parameters reflective of total radiation dose were also demonstrated after institution of RT radiation monitoring. Institution of an RT skin dose recording reduced patient peak skin and total radiation dose during coronary angiography and intervention. Consideration should be given to widespread adoption of this technology.

  12. Spectrum Savings from High Performance Recording and Playback Onboard the Test Article

    DTIC Science & Technology

    2013-02-20

    execute within a Windows 7 environment, and data is recorded on SSDs. The underlying database is implemented using MySQL . Figure 1 illustrates the... MySQL database. This is effectively the time at which the recorded data are available for retransmission. CPU and Memory utilization were collected...17.7% MySQL avg. 3.9% EQDR Total avg. 21.6% Table 1 CPU Utilization with260 Mbits/sec Load The difference between the total System CPU (27.8

  13. Introduction of an operating room information management system improved overall operating room efficiency.

    PubMed

    De Deyne, Cathy; Heylen, René

    2004-01-01

    Operating Room (OR) information systems should manage the OR time, assigned to every surgeon, thereby minimizing the sum of costs of unused OR time and minimizing the costs of elective cases performed outside normal allocated OR time (excess OR-time). The aim of this paper is to illustrate how the introduction of an OR information system influenced daily OR activity performance. Since January 2001, we introduced an OR information system with a visual, airport-like, screen as central part, displaying all scheduled OR activity linked in real-time activity with all OR theatres. For the aim of this paper, we compared all data of OR activity for elective abdominal surgery (EAS) for the first half of 2000 compared to the first half of 2001, after the introduction of our information system. In 2000, 764 elective cases were performed, compared to 815 cases in 2001. For both periods, the total OR time allocated to EAS for this 6 months period was 805 h. For 2000, the total duration of OR activity for EAS was 1044 h 50 min (implicating 239 h 50 min over-time), compared to 1127 h 35 min (implicating 322 h 35 min overtime) for 2001. For 2000, we recorded 147 h 20 min excess time (=exceeding the time limits of OR activity and inducing extra costs) and 46h45min unused OR time. For 2001, we recorded 123 h 04 min excess time and 35 h 21 min unused time. In conclusion, in 2001 we recorded an increase in total OR activity for elective abdominal surgery by 7% in number of procedures and by 8% in total duration. However, in 2001 we recorded a decrease in excess time by 16% (123 h 04 min vs 147 h 20 min), which was for a large part due to a 23% decrease in unused OR time in 2001 compared to 2000 (35 h 21min vs 46 h 45 min). Therefore, the introduction of an OR information system, with a real-time visual display of ongoing OR activity, resulted in a increased performance of OR activity, with more OR procedures performed despite less excess time and less extra costs.

  14. Quantitative evaluation of pregnant women delivery status' records in Akure, Nigeria.

    PubMed

    Adejumo, Adebowale O; Suleiman, Esivue A; Okagbue, Hilary I; Oguntunde, Pelumi E; Odetunmibi, Oluwole A

    2018-02-01

    In this data article, monthly records (datasets) of total delivery, normal delivery, delivery through Caesarean section and number of still births from pregnant women in Akure, the capital city of Ondo state Nigeria, for a period of ten years, between January 2007 and December 2016 were considered. Correlational and time series analyses were conducted on the monthly records of total delivery, normal delivery (delivery through woman virginal), delivery through Caesarean section, and number of still births, in order to observe the patterns each of these indicators follows and to recommend appropriate model for forecasting their future values. The data were obtained in raw form from State Specialist Hospital (SSH), Akure, Ondo state, Nigeria. A clear description and variation in each of these indicators (total delivery, normal delivery, caesarean section, and still births) were considered separately using descriptive statistics and box plots. Different models were also proposed for each of these indicators using time series models.

  15. Medication regularity of pulmonary fibrosis treatment by contemporary traditional Chinese medicine experts based on data mining.

    PubMed

    Zhang, Suxian; Wu, Hao; Liu, Jie; Gu, Huihui; Li, Xiujuan; Zhang, Tiansong

    2018-03-01

    Treatment of pulmonary fibrosis by traditional Chinese medicine (TCM) has accumulated important experience. Our interest is in exploring the medication regularity of contemporary Chinese medical specialists treating pulmonary fibrosis. Through literature search, medical records from TCM experts who treat pulmonary fibrosis, which were published in Chinese and English medical journals, were selected for this study. As the object of study, a database was established after analysing the records. After data cleaning, the rules of medicine in the treatment of pulmonary fibrosis in medical records of TCM were explored by using data mining technologies such as frequency analysis, association rule analysis, and link analysis. A total of 124 medical records from 60 doctors were selected in this study; 263 types of medicinals were used a total of 5,455 times; the herbs that were used more than 30 times can be grouped into 53 species and were used a total of 3,681 times. Using main medicinals cluster analysis, medicinals were divided into qi-tonifying, yin-tonifying, blood-activating, phlegm-resolving, cough-suppressing, panting-calming, and ten other major medicinal categories. According to the set conditions, a total of 62 drug compatibility rules have been obtained, involving mainly qi-tonifying, yin-tonifying, blood-activating, phlegm-resolving, qi-descending, and panting-calming medicinals, as well as other medicinals used in combination. The results of data mining are consistent with clinical practice and it is feasible to explore the medical rules applicable to the treatment of pulmonary fibrosis in medical records of TCM by data mining.

  16. A 270-year Ice Core Record of Atmospheric Mercury Deposition to Western North America

    NASA Astrophysics Data System (ADS)

    Schuster, P. F.; Krabbenhoft, D. P.; Naftz, D. L.; Cecil, L. D.; Olson, M. L.; DeWild, J. F.; Susong, D. D.; Green, J. R.

    2001-05-01

    The Upper Fremont Glacier (UFG), a mid-latitude glacier in the Wind River Range, Wyoming, U.S.A., contains a record of atmospheric mercury deposition. Although some polar ice-core studies have provided a limited record of past mercury deposition, polar cores are, at best, proxy indicators of historic mercury deposition in the mid-latitudes. Two ice cores removed from the UFG in 1991 and 1998 (totaling 160 meters in length) provided a chronology and paleoenvironmental framework. This aids in the interpretation of the mercury deposition record. For the first time reported from a mid-latitude ice core, using low-level procedures, 97 ice core samples were analyzed to reconstruct a 270-year atmospheric mercury deposition record based in the western United States. Trends in mercury concentration from the UFG record major releases to the atmosphere of both natural and anthropogenic mercury from regional and global sources. We find that mercury concentrations are significantly, but for relatively short time intervals, elevated during periods corresponding to volcanic eruptions with global impact. This indicates that these natural events "punctuate" the record. Anthropogenic activities such as industrialization (global scale), gold mining and war-time manufacturing (regional scale), indicate that chronic levels of elevated mercury emissions have a greater influence on the historical atmospheric deposition record from the UFG. In terms of total mercury deposition recorded by the UFG during approximately the past 270 years: anthropogenic inputs contributed 52 percent; volcanic events contributed 6 percent; and pre-industrialization or background accounted for 42 percent of the total input. More significantly, during the last 100 years, anthropogenic sources contributed 70 percent of the total mercury input. A declining trend in mercury concentrations is obvious during the past 20 years. Declining mercury concentrations in the upper section of the ice core are corroborated by recent declining trends observed in sediment cores. This is also verified by similar concentrations in UFG snow samples collected in 1999. This decline may be in response to the United States Clean Air Act of 1970.

  17. 77 FR 3488 - Agency Information Collection Activities: Regulations Relating to Recordation and Enforcement of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-24

    ... forms of information technology; and (e) the annual costs burden to respondents or record keepers from...,000. Estimated Time per Respondent: 2 hours. Estimated Total Annual Burden Hours: 4,000. Dated...

  18. 77 FR 64533 - Agency Information Collection Activities: Regulations Relating to Recordation and Enforcement of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ... forms of information technology; and (e) the annual costs burden to respondents or record keepers from...,000. Estimated Time per Respondent: 2 hours. Estimated Total Annual Burden Hours: 4,000. Dated...

  19. 75 FR 24731 - Agency Information Collection Activities: Regulations Relating to Recordation and Enforcement of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ... respondents or record keepers from the collection of information (a total of capital/startup costs and...). Affected Public: Businesses and Individuals. Estimated Number of Respondents: 2,000. Estimated Time per...

  20. 75 FR 57284 - Agency Information Collection Activities: Cost Submission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-20

    ... respondents or record keepers from the collection of information (a total capital/startup costs and operations... Respondent: 1. Estimated time per Response: 50 hours. Estimated Total Annual Burden Hours: 50,000. [[Page...

  1. 78 FR 64523 - Agency Information Collection Activities: Vessel Entrance or Clearance Statement

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-29

    ... respondents or record keepers from the collection of information (a total capital/startup costs and operations... vessel data at time of formal entrance and clearance in U.S. ports. The form allows the master to attest... Responses per Respondent: 22. Estimated Total Annual Responses: 264,000. Estimated Time per Response: 30...

  2. 75 FR 57480 - Agency Information Collection Activities: Commercial Invoice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-21

    ... respondents or record keepers from the collection of information (a total capital/startup costs and operations... Responses per Respondent: 1,208. Estimated Number of Total Annual Responses: 46,500,000. Estimated time per...

  3. [Deep brain recording and length of surgery in stereotactic and functional neurosurgery for movement disorders].

    PubMed

    Teijeiro, Juan; Macías, Raúl J; Maragoto, Carlos; García, Iván; Alvarez, Mario; Quintanal, Nelson E

    2014-01-01

    Our objectives were to study the length of multi-unit recordings (MURs) of brain activity in 20 years of movement disorder neurosurgeries and to determine the number of times in which it was necessary for the teams using single-unit recording (SUR) to explore all the electrode tracks in the simultaneously recorded sites (SRS). This was a retrospective descriptive statistical analysis of MUR length on 4,296 tracks in 952 surgeries. The exclusion criteria were: tracks with fewer than 5 recorded signals, tracks that had a signal length different from the habitual 2s, or there being unusual situations not related to the MUR, as well as the first 20 surgeries of each surgical target. This yielded a total of 3,448 tracks in 805 surgeries. We also determined the number of the total 952 surgeries in which all the tracks in the SURs of the SRS were explored. The mean and its confidence interval (P=.05) of time per MUR track were 5.49±0.16min in subthalamic nucleus surgery, 8.82±0.24min in the medial or internal globus pallidus) and 18.51±1.31min in the ventral intermediate nucleus of the thalamus. For the total sum of tracks per surgery, in 75% of cases the total time was less than 39min in subthalamic nucleus, almost 42min in the medial or internal globus pallidus and less than 1h and 17min in ventral intermediate nucleus of the thalamus. All the tracks in the SUR SRS were explored in only 4.2% of the surgeries. The impact of MUR on surgical time is acceptable for this guide in objective localization for surgical targets, without having to use several simultaneous electrodes (not all indispensable in most of the cases). Consequently, there is less risk for the patient. Copyright © 2013 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

  4. 36 CFR 1251.20 - Are there any fees associated with producing records or providing testimony?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... searching, reviewing, and duplicating records, costs of attorney time spent in reviewing the demand or... records certification fees, must be submitted to the official who makes the final determination on demands... fees. Fees are not assessed if the total charge is $10.00 or less, or as otherwise stated in NARA...

  5. 36 CFR 1251.20 - Are there any fees associated with producing records or providing testimony?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... searching, reviewing, and duplicating records, costs of attorney time spent in reviewing the demand or... records certification fees, must be submitted to the official who makes the final determination on demands... fees. Fees are not assessed if the total charge is $10.00 or less, or as otherwise stated in NARA...

  6. Chronic multisite brain recordings from a totally implantable bidirectional neural interface: experience in 5 patients with Parkinson's disease.

    PubMed

    Swann, Nicole C; de Hemptinne, Coralie; Miocinovic, Svjetlana; Qasim, Salman; Ostrem, Jill L; Galifianakis, Nicholas B; Luciano, Marta San; Wang, Sarah S; Ziman, Nathan; Taylor, Robin; Starr, Philip A

    2018-02-01

    OBJECTIVE Dysfunction of distributed neural networks underlies many brain disorders. The development of neuromodulation therapies depends on a better understanding of these networks. Invasive human brain recordings have a favorable temporal and spatial resolution for the analysis of network phenomena but have generally been limited to acute intraoperative recording or short-term recording through temporarily externalized leads. Here, the authors describe their initial experience with an investigational, first-generation, totally implantable, bidirectional neural interface that allows both continuous therapeutic stimulation and recording of field potentials at multiple sites in a neural network. METHODS Under a physician-sponsored US Food and Drug Administration investigational device exemption, 5 patients with Parkinson's disease were implanted with the Activa PC+S system (Medtronic Inc.). The device was attached to a quadripolar lead placed in the subdural space over motor cortex, for electrocorticography potential recordings, and to a quadripolar lead in the subthalamic nucleus (STN), for both therapeutic stimulation and recording of local field potentials. Recordings from the brain of each patient were performed at multiple time points over a 1-year period. RESULTS There were no serious surgical complications or interruptions in deep brain stimulation therapy. Signals in both the cortex and the STN were relatively stable over time, despite a gradual increase in electrode impedance. Canonical movement-related changes in specific frequency bands in the motor cortex were identified in most but not all recordings. CONCLUSIONS The acquisition of chronic multisite field potentials in humans is feasible. The device performance characteristics described here may inform the design of the next generation of totally implantable neural interfaces. This research tool provides a platform for translating discoveries in brain network dynamics to improved neurostimulation paradigms. Clinical trial registration no.: NCT01934296 (clinicaltrials.gov).

  7. Unusual ionospheric variations before the strong Auckland Islands, New Zealand earthquake of 30th September, 2007

    NASA Astrophysics Data System (ADS)

    Ibanga, J. I.; Akpan, A. E.; George, N. J.; Ekanem, A. M.; George, A. M.

    2018-06-01

    Using the IAP experiment on board, the DEMETER and TEC from GPS data, unusual ionospheric variations have been observed some days before the 7.4 magnitude New Zealand earthquake. Both sets of data recorded perturbations 10 days before the earthquake at about the same time. The total ion density per centimeter cube (cm-3), recorded a variation of 6.94 while the differential total electron content (DTEC) in total electron content unit 1016 electron per metre square gave a value of 2.93TECU. The observed anomalies were screened for false alarm using the geomagnetic indices of Kernnifzer digit (Kp) and disturbance storm time (Dst.) It was however seen that the state of the ionosphere was geomagnetically quiet during this period; hence the observed variations were seismogenic.

  8. Relative humidity and activity patterns of Ixodes scapularis (Acari: Ixodidae)

    USGS Publications Warehouse

    Berger, K.A.; Ginsberg, Howard S.; Gonzalez, L.; Mather, T.N.

    2014-01-01

    Laboratory studies have shown clear relationships between relative humidity (RH) and the activity and survival of Ixodes scapularis Say (blacklegged tick). However, field studies have produced conflicting results. We examined this relationship using weekly tick count totals and hourly RH observations at three field sites, stratified by latitude, within the state of Rhode Island. Records of nymphal tick abundance were compared with several RH-related variables (e.g., RH at time of sampling and mean weekly daytime RH). In total, 825 nymphs were sampled in 2009, a year of greater precipitation, with a weighted average leaf litter RH recorded at time of sampling of 85.22%. Alternatively, 649 nymphs were collected in 2010, a year of relatively low precipitation, and a weighted average RH recorded at time of sampling was 75.51%. Negative binomial regression analysis of tick count totals identified cumulative hours <82% RH threshold as a significant factor observed in both years (2009: P = 0.0037; 2010: P < 0.0001). Mean weekly daytime RH did not significantly predict tick activity in either year. However, mean weekly daytime RH recorded with 1-wk lag before sample date was a significant variable (P = 0.0016) in 2010. These results suggest a lag effect between moisture availability and patterns of tick activity and abundance. Differences in the relative importance of each RH variable between years may have been due to abnormally wet summer conditions in 2009.

  9. The Effect of Triage on Patient Flow in an Outpatient Clinic.

    DTIC Science & Technology

    1979-12-01

    returns the records to the reception desk, and then checks his in- basket to call his next patient. If lab tests or X-rays are indicated and the patient is...Waiting times 7 Start and end of Provider service time provider service Total service time 8 Lab tests Percentage of lab tests ordered by screener 9 Lab... tests Percentage of lab tests ordered by provider Second provider start Provider service time and end of service Total service time 10 Referral to

  10. Study of Sedative-Hypnotic Effects of Aloe vera L. Aqueous Extract through Behavioral Evaluations and EEG Recording in Rats

    PubMed Central

    Abdollahnejad, Fatemeh; Mosaddegh, Mahmoud; Nasoohi, Sanaz; Mirnajafi-Zadeh, Javad; Kamalinejad, Mohammad; Faizi, Mehrdad

    2016-01-01

    In this study, we investigated the sedative and hypnotic effects of the aqueous extract of Aloe vera on rats. In order to evaluate the overall hypnotic effects of the Aloe vera extract, open field and loss of righting reflex tests were primarily used. The sedative and hypnotic effects of the extract were then confirmed by detection of remarkable raise in the total sleeping time through analysis of electroencephalographic (EEG) recordings of animals. Analysis of the EEG recordings showed that there is concomitant change in Rapid Eye Movement (REM) and None Rapid Eye Movement (NREM) sleep in parallel with the prolonged total sleeping time. Results of the current research show that the extract has sedative-hypnotic effects on both functional and electrical activities of the brain. PMID:27610170

  11. Evaluation of pseudoephedrine pharmacy sales before and after mandatory recording requirements in Western Australia: a case study.

    PubMed

    Hattingh, Hendrika Laetitia; Varsani, Janki; Kachouei, Leila Ataei; Parsons, Richard

    2016-08-30

    A community pharmacy real-time electronic recording program, ProjectSTOP, enables Australian community pharmacists to verify pseudoephedrine requests. In Western Australia the program was available for voluntary use from April 2007 and became mandatory November 2010. This case study explores the effectiveness of the program by reviewing the total requests for pseudoephedrine products, and the proportion of requests which were classified as 'denied sales' before and after mandatory implementation. Seasonal and annual trends in these measures are also evaluated. ProjectSTOP data recordings for Western Australia pharmacies between 1 December 2007 and 28 February 2014 were analysed. Data included a de-identified pharmacy number and date of each pseudoephedrine product request. The total number of requests and sale classification (allowed, denied, safety, or not recorded) were calculated for each month/pharmacy. The potential influence of mandatory reporting using ProjectSTOP was investigated using a Regression Discontinuity Design. Correlations between sales from the same pharmacy were taken into account by classifying the pharmacy number as a random effect. The main effects of year (continuous variable), and season (categorical variable) were also included in the model. There was a small but steady decline in the total requests for pseudoephedrine per month per 100,000 population (per pharmacy) from the time of mandatory reporting. The number of denied sales showed a steady increase up until mandatory reporting, after which it showed a significant decline over time. Total sales were heavily influenced by season, as expected (highest in winter, least in summer). The seasonal pattern was less pronounced for denied sales, which were highest in winter and similar across other seasons. The pattern over time for safety sales was similar to that for denied sales, with a clear change occurring around the time of mandatory reporting. Results indicate a decrease in pseudoephedrine product requests in Western Australia community pharmacies. Findings suggest ProjectSTOP has been successful in addressing suspicious sales and potential diversion however ongoing data review is recommended.

  12. Status of the Dobson total ozone data set

    NASA Technical Reports Server (NTRS)

    Planet, Walter G.; Hudson, Robert D.

    1994-01-01

    During deliberations of the International Ozone Trends Panel (IOTP) it became obvious that satellite determinations of global ozone amounts by themselves could not provide the necessary confidence in the measured trends. During the time of the deliberations of the IOTP, Bojkov re-examined the records of serveral North American Dobson stations and Degorska re-examined the records of the Belsk station. They were able to improve the quality of the data sets, thus improving the precision of their total ozone data sets. These improvements showed the greater potential of the world-wide Dobson total ozone data set in two primary areas. Firstly, the improvements showed that the existing data set when evaluated will become more valuable for comparisons with satellite determinations of total ozone. Secondly, the Dobson data set covers a greater period of time than the satellite data sets thus offering the possibility of extending improved information on ozone trends further back in time. An International Dobson Workshop was convened in September, 1991, under the auspices of the NOAA Climate and Global Change Program. It was part of the Information Management element of the C&GC Program. Further, it was considered as a 'data archaeology' project under the above. Clearly if the existing Dobson data set can be improved by re-evaluating all data records, we will be able to uncover the 'true' or 'best' data and fulfill the role of archaeologists.

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

    PubMed

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

    2018-04-16

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

  14. Are anesthesia start and end times randomly distributed? The influence of electronic records.

    PubMed

    Deal, Litisha G; Nyland, Michael E; Gravenstein, Nikolaus; Tighe, Patrick

    2014-06-01

    To perform a frequency analysis of start minute digits (SMD) and end minute digits (EMD) taken from the electronic, computer-assisted, and manual anesthesia billing-record systems. Retrospective cross-sectional review. University medical center. This cross-sectional review was conducted on billing records from a single healthcare institution over a 15-month period. A total of 30,738 cases were analyzed. For each record, the start time and end time were recorded. Distributions of SMD and EMD were tested against the null hypothesis of a frequency distribution equivalently spread between zero and nine. SMD and EMD aggregate distributions each differed from equivalency (P < 0.0001). When stratified by type of anesthetic record, no differences were found between the recorded and expected equivalent distribution patterns for electronic anesthesia records for start minute (P < 0.98) or end minute (P < 0.55). Manual and computer-assisted records maintained nonequivalent distribution patterns for SMD and EMD (P < 0.0001 for each comparison). Comparison of cumulative distributions between SMD and EMD distributions suggested a significant difference between the two patterns (P < 0.0001). An electronic anesthesia record system, with automated time capture of events verified by the user, produces a more unified distribution of billing times than do more traditional methods of entering billing times. Copyright © 2014 Elsevier Inc. All rights reserved.

  15. Obstacles delaying the prompt deployment of piston-type mechanical cardiopulmonary resuscitation devices during emergency department resuscitation: a video-recording and time-motion study.

    PubMed

    Huang, Edward Pei-Chuan; Wang, Hui-Chih; Ko, Patrick Chow-In; Chang, Anna Marie; Fu, Chia-Ming; Chen, Jiun-Wei; Liao, Yen-Chen; Liu, Hung-Chieh; Fang, Yao-De; Yang, Chih-Wei; Chiang, Wen-Chu; Ma, Matthew Huei-Ming; Chen, Shyr-Chyr

    2013-09-01

    The quality of cardiopulmonary resuscitation (CPR) is important to survival after cardiac arrest. Mechanical devices (MD) provide constant CPR, but their effectiveness may be affected by deployment timeliness. To identify the timeliness of the overall and of each essential step in the deployment of a piston-type MD during emergency department (ED) resuscitation, and to identify factors associated with delayed MD deployment by video recordings. Between December 2005 and December 2008, video clips from resuscitations with CPR sessions using a MD in the ED were reviewed using time-motion analyses. The overall deployment timeliness and the time spent on each essential step of deployment were measured. There were 37 CPR recordings that used a MD. Deployment of MD took an average 122.6 ± 57.8s. The 3 most time-consuming steps were: (1) setting the device (57.8 ± 38.3s), (2) positioning the patient (33.4 ± 38.0 s), and (3) positioning the device (14.7 ± 9.5s). Total no flow time was 89.1 ± 41.2s (72.7% of total time) and associated with the 3 most time-consuming steps. There was no difference in the total timeliness, no-flow time, and no-flow ratio between different rescuer numbers, time of day of the resuscitation, or body size of patients. Rescuers spent a significant amount of time on MD deployment, leading to long no-flow times. Lack of familiarity with the device and positioning strategy were associated with poor performance. Additional training in device deployment strategies are required to improve the benefits of mechanical CPR. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  16. 75 FR 59733 - Agency Information Collection Activities: Arrival and Departure Record (Forms I-94 and I-94W) and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... of information (a total capital/startup costs and operations and maintenance costs). The comments... Number of Respondents: 100,000. Estimated Number of Total Annual Responses: 100,000. Estimated Time per...

  17. Measuring the rate of change of voice fundamental frequency in fluent speech during mental depression.

    PubMed

    Nilsonne, A; Sundberg, J; Ternström, S; Askenfelt, A

    1988-02-01

    A method of measuring the rate of change of fundamental frequency has been developed in an effort to find acoustic voice parameters that could be useful in psychiatric research. A minicomputer program was used to extract seven parameters from the fundamental frequency contour of tape-recorded speech samples: (1) the average rate of change of the fundamental frequency and (2) its standard deviation, (3) the absolute rate of fundamental frequency change, (4) the total reading time, (5) the percent pause time of the total reading time, (6) the mean, and (7) the standard deviation of the fundamental frequency distribution. The method is demonstrated on (a) a material consisting of synthetic speech and (b) voice recordings of depressed patients who were examined during depression and after improvement.

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

    NASA Astrophysics Data System (ADS)

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

    2017-02-01

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

  19. A wideband-PCM recorder for the Space Shuttle orbiter

    NASA Technical Reports Server (NTRS)

    Petit, R. D.

    1976-01-01

    The Shuttle wideband-PCM recorder accomplishes recording on up to 14 data tracks with analog or digital data inputs. FM multiplexed analog frequencies of up to 2 MHz and digital rates of 1 Mb/s are accommodated at a tape speed of 120 in/s. Recording time in analog mode varies between 4 min for 2 MHz data to 80 min for 100 kHz data. The total digital data storage is 3.44 x 10 to the 9th bits with recording times from 1 hour for 1 Mb/s to 19 hours for 50 Kb/s data in the serial track switching mode. A versatile command decoder and control interface are used for eight primary modes of operation.

  20. Teaching Electronic Health Record Communication Skills.

    PubMed

    Palumbo, Mary Val; Sandoval, Marie; Hart, Vicki; Drill, Clarissa

    2016-06-01

    This pilot study investigated nurse practitioner students' communication skills when utilizing the electronic health record during history taking. The nurse practitioner students (n = 16) were videotaped utilizing the electronic health record while taking health histories with standardized patients. The students were videotaped during two separate sessions during one semester. Two observers recorded the time spent (1) typing and talking, (2) typing only, and (3) looking at the computer without talking. Total history taking time, computer placement, and communication skills were also recorded. During the formative session, mean history taking time was 11.4 minutes, with 3.5 minutes engaged with the computer (30.6% of visit). During the evaluative session, mean history taking time was 12.4 minutes, with 2.95 minutes engaged with the computer (24% of visit). The percentage of time individuals spent changed over the two visits: typing and talking, -3.1% (P = .3); typing only, +12.8% (P = .038); and looking at the computer, -9.6% (P = .039). This study demonstrated that time spent engaged with the computer during a patient encounter does decrease with student practice and education. Therefore, students benefit from instruction on electronic health record-specific communication skills, and use of a simple mnemonic to reinforce this is suggested.

  1. Comparison of a novel non-contact biomotion sensor with wrist actigraphy in estimating sleep quality in patients with obstructive sleep apnoea.

    PubMed

    Pallin, Michael; O'Hare, Emer; Zaffaroni, Alberto; Boyle, Patricia; Fagan, Ciara; Kent, Brian; Heneghan, Conor; de Chazal, Philip; McNicholas, Walter T

    2014-08-01

    Ambulatory monitoring is of major clinical interest in the diagnosis of obstructive sleep apnoea syndrome. We compared a novel non-contact biomotion sensor, which provides an estimate of both sleep time and sleep-disordered breathing, with wrist actigraphy in the assessment of total sleep time in adult humans suspected of obstructive sleep apnoea syndrome. Both systems were simultaneously evaluated against polysomnography in 103 patients undergoing assessment for obstructive sleep apnoea syndrome in a hospital-based sleep laboratory (84 male, aged 55 ± 14 years and apnoea-hypopnoea index 21 ± 23). The biomotion sensor demonstrated similar accuracy to wrist actigraphy for sleep/wake determination (77.3%: biomotion; 76.5%: actigraphy), and the biomotion sensor demonstrated higher specificity (52%: biomotion; 34%: actigraphy) and lower sensitivity (86%: biomotion; 94%: actigraphy). Notably, total sleep time estimation by the biomotion sensor was superior to actigraphy (average overestimate of 10 versus 57 min), especially at a higher apnoea-hypopnoea index. In post hoc analyses, we assessed the improved apnoea-hypopnoea index accuracy gained by combining respiratory measurements from polysomnography for total recording time (equivalent to respiratory polygraphy) with total sleep time derived from actigraphy or the biomotion sensor. Here, the number of misclassifications of obstructive sleep apnoea severity compared with full polysomnography was reduced from 10/103 (for total respiratory recording time alone) to 7/103 and 4/103 (for actigraphy and biomotion sensor total sleep time estimate, respectively). We conclude that the biomotion sensor provides a viable alternative to actigraphy for sleep estimation in the assessment of obstructive sleep apnoea syndrome. As a non-contact device, it is suited to longitudinal assessment of sleep, which could also be combined with polygraphy in ambulatory studies. © 2014 European Sleep Research Society.

  2. Workflow in interventional radiology: uterine fibroid embolization (UFE)

    NASA Astrophysics Data System (ADS)

    Lindisch, David; Neumuth, Thomas; Burgert, Oliver; Spies, James; Cleary, Kevin

    2008-03-01

    Workflow analysis can be used to record the steps taken during clinical interventions with the goal of identifying bottlenecks and streamlining the procedure efficiency. In this study, we recorded the workflow for uterine fibroid embolization (UFE) procedures in the interventional radiology suite at Georgetown University Hospital in Washington, DC, USA. We employed a custom client/server software architecture developed by the Innovation Center for Computer Assisted Surgery (ICCAS) at the University of Leipzig, Germany. This software runs in a JAVA environment and enables an observer to record the actions taken by the physician and surgical team during these interventions. The data recorded is stored as an XML document, which can then be further processed. We recorded data from 30 patients and found a mean intervention time of 01:49:46 (+/- 16:04) minutes. The critical intervention step, the embolization, had a mean time of 00:15:42 (+/- 05:49) minutes, which was only 15% of the total intervention time.

  3. Quantitative analysis of treatment process time and throughput capacity for spot scanning proton therapy.

    PubMed

    Suzuki, Kazumichi; Palmer, Matthew B; Sahoo, Narayan; Zhang, Xiaodong; Poenisch, Falk; Mackin, Dennis S; Liu, Amy Y; Wu, Richard; Zhu, X Ronald; Frank, Steven J; Gillin, Michael T; Lee, Andrew K

    2016-07-01

    To determine the patient throughput and the overall efficiency of the spot scanning system by analyzing treatment time, equipment availability, and maximum daily capacity for the current spot scanning port at Proton Therapy Center Houston and to assess the daily throughput capacity for a hypothetical spot scanning proton therapy center. At their proton therapy center, the authors have been recording in an electronic medical record system all treatment data, including disease site, number of fields, number of fractions, delivered dose, energy, range, number of spots, and number of layers for every treatment field. The authors analyzed delivery system downtimes that had been recorded for every equipment failure and associated incidents. These data were used to evaluate the patient census, patient distribution as a function of the number of fields and total target volume, and equipment clinical availability. The duration of each treatment session from patient walk-in to patient walk-out of the spot scanning treatment room was measured for 64 patients with head and neck, central nervous system, thoracic, and genitourinary cancers. The authors retrieved data for total target volume and the numbers of layers and spots for all fields from treatment plans for a total of 271 patients (including the above 64 patients). A sensitivity analysis of daily throughput capacity was performed by varying seven parameters in a throughput capacity model. The mean monthly equipment clinical availability for the spot scanning port in April 2012-March 2015 was 98.5%. Approximately 1500 patients had received spot scanning proton therapy as of March 2015. The major disease sites treated in September 2012-August 2014 were the genitourinary system (34%), head and neck (30%), central nervous system (21%), and thorax (14%), with other sites accounting for the remaining 1%. Spot scanning beam delivery time increased with total target volume and accounted for approximately 30%-40% of total treatment time for the total target volumes exceeding 200 cm(3), which was the case for more than 80% of the patients in this study. When total treatment time was modeled as a function of the number of fields and total target volume, the model overestimated total treatment time by 12% on average, with a standard deviation of 32%. A sensitivity analysis of throughput capacity for a hypothetical four-room spot scanning proton therapy center identified several priority items for improvements in throughput capacity, including operation time, beam delivery time, and patient immobilization and setup time. The spot scanning port at our proton therapy center has operated at a high performance level and has been used to treat a large number of complex cases. Further improvements in efficiency may be feasible in the areas of facility operation, beam delivery, patient immobilization and setup, and optimization of treatment scheduling.

  4. Validity and reproducibility of self-reported total physical activity--differences by relative weight.

    PubMed

    Norman, A; Bellocco, R; Bergström, A; Wolk, A

    2001-05-01

    Physical activity is hypothesized to reduce the risk of obesity and several other chronic diseases and enhance longevity. However, most of the questionnaires used measure only part of total physical activity, occupational and/or leisure-time activity, which might lead to misclassification of total physical activity level and to dilution of risk estimates. We evaluated the validity and reproducibility of a short self-administered physical activity questionnaire, intended to measure long-term total daily 24 h physical activity. The questionnaire included questions on level of physical activity at work, hours per day of walking/bicycling, home/household work, leisure-time activity/inactivity and sleeping and was sent twice during one year (winter/spring and late summer). Two 7-day activity records, performed 6 months apart, were used as the reference method. One-hundred and eleven men, aged 44-78, completed the questionnaire and one or two activity records. The physical activity levels were measured as metabolic equivalents (MET)xh/day. Spearman correlation coefficient between total daily activity score estimated from the first questionnaire and the records (validity) was 0.56 (deattenuated) and between the first and the second questionnaire (reproducibility) 0.65. Significantly higher validity correlations were observed in men with self-reported body mass index below 26 kg/m(2) than in heavier men (r=0.73 vs r=0.39). This study indicates that the average total daily physical activity scores can be estimated satisfactorily in men using this simple self-administered questionnaire.

  5. The Efficacy Comparison of Tranexamic Acid for Reducing Blood Loss in Total Knee Arthroplasty at Different Dosage Time.

    PubMed

    Sun, Qi; Yu, Xiao; Nie, XiaoYang; Gong, JinPeng; Cai, Ming

    2017-01-01

    This study aimed to compare the efficacy of intravenous administration of tranexamic acid for reducing blood loss in total knee arthroplasty at different dosage time. From February 2013 to December 2015, a total of 180 patients (47 in male and 133 in female) who were planned to undergo total knee arthroplasty in our trauma center were recorded. Based on dosage time of tranexamic acid administration, participants were divided into groups A, B, C, and D randomly. In groups A, B, and C, tranexamic acid (30 mg/kg) was infused intravenously 15 minutes before or after tourniquet inflation or on tourniquet deflation respectively, tranexamic acid was not applied in group D. Total blood loss (intraoperative and postoperative blood loss), blood transfusion rate and volume, hemoglobin level, and incidence of deep vein thrombosis were recorded and analyzed. Compared with groups B, C, and D, there were significant reduction of blood loss, hemoglobin, and blood transfusion rate in group A (P < .05). Besides, there was no significant difference between groups B and C with superior efficacy than group D. Intravenous administration of tranexamic acid before tourniquet inflation was superior in terms of hemoglobin reduction, reducing blood loss and blood transfusion rate. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. New Staphylinidae (Coleoptera) records with new collection data from New Brunswick, Canada: Scaphidiinae, Piestinae, Osorinae, and Oxytelinae

    PubMed Central

    Webster, Reginald P.; Sweeney, Jon D.; DeMerchant, Ian

    2012-01-01

    Abstract Nine species of Scaphidiinae are newly reported for New Brunswick, Canada, bringing the total number of species known from the province to 12. Scaphium castanipes Kirby, Baeocera inexspectata Löbl and Stephen, Baeocera securiforma (Cornell), Scaphisoma repandum Casey, and Toxidium gammaroides LeConte are reported for the first time from the Maritime provinces. Siagonum punctatum LeConte and Siagonum stacesmithi Hatch, and the subfamily Piestinae are reported for the first time from New Brunswick. The subfamily Osoriinae is reported for the first time from New Brunswick and the Maritime provinces based on the collection of three species: Clavilispinus prolixus (LeConte), Thoracophorus costalis (Erichson), and a Lispinodes species. The Lispinodes species is also newly recorded for Canada. Six species of Oxytelinae are newly recorded from New Brunswick, bringing the total number of species of this subfamily known to the province to 20. Apocellus sphaericollis (Say) and Platystethus americanus Erichson are new to the Maritime provinces. Additional locality and bionomic data are presented for Mitosynum vockerothi Campbell, and the male genitalia are illustrated for the first time. Collection and bionomic data are presented for all included species. PMID:22577322

  7. 40 CFR 60.7 - Notification and record keeping.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... control systems, productive capacity of the facility before and after the change, and the expected... submitted for each pollutant monitored at each affected facility. (1) If the total duration of excess emissions for the reporting period is less than 1 percent of the total operating time for the reporting...

  8. 40 CFR 60.7 - Notification and record keeping.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... control systems, productive capacity of the facility before and after the change, and the expected... submitted for each pollutant monitored at each affected facility. (1) If the total duration of excess emissions for the reporting period is less than 1 percent of the total operating time for the reporting...

  9. 40 CFR 60.7 - Notification and record keeping.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... control systems, productive capacity of the facility before and after the change, and the expected... submitted for each pollutant monitored at each affected facility. (1) If the total duration of excess emissions for the reporting period is less than 1 percent of the total operating time for the reporting...

  10. 40 CFR 60.7 - Notification and record keeping.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... control systems, productive capacity of the facility before and after the change, and the expected... submitted for each pollutant monitored at each affected facility. (1) If the total duration of excess emissions for the reporting period is less than 1 percent of the total operating time for the reporting...

  11. 40 CFR 60.7 - Notification and record keeping.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... control systems, productive capacity of the facility before and after the change, and the expected... submitted for each pollutant monitored at each affected facility. (1) If the total duration of excess emissions for the reporting period is less than 1 percent of the total operating time for the reporting...

  12. Immigration to the U.S.: The Unfinished Story.

    ERIC Educational Resources Information Center

    Bouvier, Leon F.; Gardner, Robert W.

    1986-01-01

    Several times early in the twentieth century total annual immigration exceeded one million people. Current immigration figures may match those record totals. Since 1979, legal immigrants have averaged 566,000 a year; newly arrived refugees and asylees approved have averaged 135,000; and the "settled" illegal immigrant population may be…

  13. Efficacy of computer-based endoscope cleaning and disinfection using a hospital management information system.

    PubMed

    Wang, Caixia; Chen, Yuanyuan; Yang, Feng; Ren, Jie; Yu, Xin; Wang, Jiani; Sun, Siyu

    2016-08-01

    The present study aimed to assess the efficacy of computer-based endoscope cleaning and disinfection using a hospital management information system (HMIS). A total of 2,674 gastroscopes were eligible for inclusion in this study. For the processes of disinfection management, the gastroscopes were randomly divided into 2 groups: gastroscope disinfection HMIS (GD-HMIS) group and manual group. In the GD-HMIS group, an integrated circuit card (IC card) chip was installed to monitor and record endoscope cleaning and disinfection automatically and in real time, whereas the endoscope cleaning and disinfection in the manual group was recorded manually. The overall disinfection progresses for both groups were recorded, and the total operational time was calculated. For the GD-HMIS group, endoscope disinfection HMIS software was successfully developed. The time to complete a single session of cleaning and disinfecting on a gastroscope was 15.6 minutes (range, 14.3-17.2 minutes) for the GD-HMIS group and 21.3 minutes (range, 20.2-23.9 minutes) for the manual group. Failure to record information, such as the identification number of the endoscope, occasionally occurred in the manual group, which affected the accuracy and reliability of manual recording. Computer-based gastroscope cleaning and disinfection using a hospital management information system could monitor the process of gastroscope cleaning and disinfection in real time and improve the accuracy and reliability, thereby ensuring the quality of gastroscope cleaning and disinfection. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  14. Digital methods of recording color television images on film tape

    NASA Astrophysics Data System (ADS)

    Krivitskaya, R. Y.; Semenov, V. M.

    1985-04-01

    Three methods are now available for recording color television images on film tape, directly or after appropriate finish of signal processing. Conventional recording of images from the screens of three kinescopes with synthetic crystal face plates is still most effective for high fidelity. This method was improved by digital preprocessing of brightness color-difference signal. Frame-by-frame storage of these signals in the memory in digital form is followed by gamma and aperture correction and electronic correction of crossover distortions in the color layers of the film with fixing in accordance with specific emulsion procedures. The newer method of recording color television images with line arrays of light-emitting diodes involves dichromic superposing mirrors and a movable scanning mirror. This method allows the use of standard movie cameras, simplifies interlacing-to-linewise conversion and the mechanical equipment, and lengthens exposure time while it shortens recording time. The latest image transform method requires an audio-video recorder, a memory disk, a digital computer, and a decoder. The 9-step procedure includes preprocessing the total color television signal with reduction of noise level and time errors, followed by frame frequency conversion and setting the number of lines. The total signal is then resolved into its brightness and color-difference components and phase errors and image blurring are also reduced. After extraction of R,G,B signals and colorimetric matching of TV camera and film tape, the simultaneous R,B, B signals are converted from interlacing to sequential triades of color-quotient frames with linewise scanning at triple frequency. Color-quotient signals are recorded with an electron beam on a smoothly moving black-and-white film tape under vacuum. While digital techniques improve the signal quality and simplify the control of processes, not requiring stabilization of circuits, image processing is still analog.

  15. Imaging the local crustal structure of the European Eastern Alps through teleseismic reflections from the Earth's inner core recorded during an active source experiment

    NASA Astrophysics Data System (ADS)

    Behm, M.

    2016-12-01

    The ALP2002 experiment was a large 3D active seismic experiment to reveal the crustal structure of the Eastern Alps and their neighboring tectonic provinces in Central Europe. The deployment comprised 993 autonomous Reftek Texan recorders equipped with vertical component geophones. The average station spacing was 4.5 km, and the recording instruments were distributed along 14 interlocking profiles with a total line length of 4313 km. During 5 days, 40 explosions in boreholes were fired and recorded within pre-programmed time windows. The limited memory capacity of the recorders allowed for just a few additional backup time windows. Despite the short total recording time of only 17.5 hours within 5 days, one of these backup time windows comprises the registration of the reflection from the earth's inner core (PKiKP phase) originating from an earthquake 130 km offshore Papa New Guinea. This magnitude 5.7 teleseimic event occurred in a depth of 33 km and its epicentral distance to the deployment area is 121.5°. Although the 1C geophones with a natural frequency of 4.5 Hz are not designed to capture the complete characteristics of low-frequency earthquake waveforms, the high-frequency part of the PKiKP wavelet is clearly recorded on all 993 stations. Thus the dataset represents a unique opportunity to study regional and local crustal structures from the analysis of teleseismic events, in particular since the results from the active source data provide calibration and validation. Arrival time analysis is facilitated by the sub-vertical emergence angle of the PKiKP phase. Time corrections for the near surface (< 10 km depth) and the upper mantle structure (50 - 400 km depth) are obtained from previously established seismic 3D models and allow focusing the interpretation on the lower crust and crust-mantle transition. Further, a recently developed blind deconvolution approach is applied to the data for imaging the crustal structure from surface reflections of the PKiKP phase.

  16. Method and Apparatus for Monitoring of Daily Activity in Terms of Ground Reaction Forces

    NASA Technical Reports Server (NTRS)

    Whalen, Robert T. (Inventor); Breit, Gregory A. (Inventor)

    2001-01-01

    A device to record and analyze habitual daily activity in terms of the history of gait-related musculoskeletal loading is disclosed. The device consists of a pressure-sensing insole placed into the shoe or embedded in a shoe sole, which detects contact of the foot with the ground. The sensor is coupled to a portable battery-powered digital data logger clipped to the shoe or worn around the ankle or waist. During the course of normal daily activity, the system maintains a record of time-of-occurrence of all non-spurious foot-down and lift-off events. Off line, these data are filtered and converted to a history of foot-ground contact times, from which measures of cumulative musculoskeletal loading, average walking- and running-specific gait speed, total time spent walking and running, total number of walking steps and running steps, and total gait-related energy expenditure are estimated from empirical regressions of various gait parameters to the contact time reciprocal. Data are available as cumulative values or as daily averages by menu selection. The data provided by this device are useful for assessment of musculoskeletal and cardiovascular health and risk factors associated with habitual patterns of daily activity.

  17. Preliminary peak stage and streamflow data at selected U.S. Geological Survey streamgages for flooding in the central and southeastern United States during December 2015 and January 2016

    USGS Publications Warehouse

    Holmes, Robert R.; Watson, Kara M.; Harris, Thomas E.

    2016-06-16

    Flooding occurred in the central and southeastern United States during December 2015 and January 2016. The flooding was the result of more than 20 inches of rain falling in a 19 day period from December 12 to December 31, 2015. U.S. Geological Survey streamgages recorded 23 peaks of record during the subsequent flooding, with a total of 172 streamgages recording peaks that ranked in the top 5 all time for the period of record.

  18. The influence of tourniquet use and operative time on the incidence of deep vein thrombosis in total knee arthroplasty.

    PubMed

    Hernandez, Arnaldo José; Almeida, Adriano Marques de; Fávaro, Edmar; Sguizzato, Guilherme Turola

    2012-09-01

    To evaluate the association between tourniquet and total operative time during total knee arthroplasty and the occurrence of deep vein thrombosis. Seventy-eight consecutive patients from our institution underwent cemented total knee arthroplasty for degenerative knee disorders. The pneumatic tourniquet time and total operative time were recorded in minutes. Four categories were established for total tourniquet time: <60, 61 to 90, 91 to 120, and >120 minutes. Three categories were defined for operative time: <120, 121 to 150, and >150 minutes. Between 7 and 12 days after surgery, the patients underwent ascending venography to evaluate the presence of distal or proximal deep vein thrombosis. We evaluated the association between the tourniquet time and total operative time and the occurrence of deep vein thrombosis after total knee arthroplasty. In total, 33 cases (42.3%) were positive for deep vein thrombosis; 13 (16.7%) cases involved the proximal type. We found no statistically significant difference in tourniquet time or operative time between patients with or without deep vein thrombosis. We did observe a higher frequency of proximal deep vein thrombosis in patients who underwent surgery lasting longer than 120 minutes. The mean total operative time was also higher in patients with proximal deep vein thrombosis. The tourniquet time did not significantly differ in these patients. We concluded that surgery lasting longer than 120 minutes increases the risk of proximal deep vein thrombosis.

  19. 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.

  20. Damselflies (Zygoptera: Odonata) of Pakistan: Part 1

    PubMed Central

    Zia, Ahmed; Naeem, Muhammad; Rafi, Muhammad Ather; Naz, Falak; Afsheen, Sumera; Ilyas, Muhammad

    2011-01-01

    The present study is an effort to document bio-geographical distribution for Zygoptera of Pakistan. Damselflies were collected throughout the country and territory of Azad Jammu and Kashmir during 2004–2009. A total of 2692 specimens were collected yielding 9 families, 21 genera, and 48 species and subspecies. Three of these species, Libellago lineata lineata (Burmeister), Elattoneura atkinsoni (Selys), and Elattoneura souteri (Fraser), are recorded for the first time from Pakistan. Distribution, habitats, previous records, and Zoogeographic affiliation for all collected taxa are discussed. Help was also taken from published literature on Zygoptera of Pakistan, and specimens housed at National Insect Museum were also studied. In total, 53 species are accounted for providing an updated record for all modern taxa of damselfly fauna of Pakistan. PMID:22221175

  1. Research on the Solar Eclipse Records in the Wuxingzhi of Both {Han} Dynasties

    NASA Astrophysics Data System (ADS)

    Li, Y.

    2015-09-01

    In this paper, we investigate the paper Lianghan Rishi Kao (inspect the solar-eclipse records in Both {Han} dynasties) written by {Zhu Wenxin} when compared the solar-eclipse records with those in the book Zhongguo Gudai Tianxiang Jilu Zong ji (collection of Chinese ancient astronomical records), and find 38 (61) records with the same dates in Western (Eastern) {Han} dynasty, equal to 70% (85%) of total. Our results have 42 (61) with the same dates in Western (Eastern) {Han} dynasty as just 78% (85%) of the total. There are totally 126 solar-eclipse records in the Wuxingzhi of both {Han} Dynasties. We confirm that there are 21 no occurred, 7 invisible in the capital then, 9 occurred before sunrise, 1 after sunset, and the left 88 are seen, occupying 70% as usually occurred in the capital area. With the help of our transformation platform as from Chinese ancient 60-day-cycle style dates to Gregorian calendar dates, we check the date records of solar eclipses in the Wuxingzhi of both {Han} dynasties, and then review the accuracy of the calendar. The standard errors of month and day are respectively 0.31 month (0.17 month) and 0.97 day (0.74 day) in the Western (Eastern) {Han} dynasty. At the same time, the standard errors of solar location of the records are determined, they are 11.08° (6.63°) in Western (Eastern) {Han} dynasty, and after excluding the possible misrecords the accuracy changes to 9.30° (3.59°). If the Juxing (key star of this constellation) was the same in both {Han} dynasties, the average value of observation error of solar location in Eastern {Han} dynasty is 2.8°, far better than 8.2° in Western {Han} dynasty. Otherwise, they most likely appear in some constellations with larger deviation. We try to determine the Δ T (ET-UT) value of solar-eclipse records with the magnitude descriptions, and at the same time, it is concluded that the magnitude of Ji (total eclipse) is 0.969-1.0, Jijin (the sun is covered almost all) is 0.829-0.985, and Bujinrugou (the sun is not covered all and left like a hook) is 0.861-0.926, respectively.

  2. Quantitative analysis of treatment process time and throughput capacity for spot scanning proton therapy

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

    Suzuki, Kazumichi, E-mail: kazumichisuzuki@gmail.c

    Purpose: To determine the patient throughput and the overall efficiency of the spot scanning system by analyzing treatment time, equipment availability, and maximum daily capacity for the current spot scanning port at Proton Therapy Center Houston and to assess the daily throughput capacity for a hypothetical spot scanning proton therapy center. Methods: At their proton therapy center, the authors have been recording in an electronic medical record system all treatment data, including disease site, number of fields, number of fractions, delivered dose, energy, range, number of spots, and number of layers for every treatment field. The authors analyzed delivery systemmore » downtimes that had been recorded for every equipment failure and associated incidents. These data were used to evaluate the patient census, patient distribution as a function of the number of fields and total target volume, and equipment clinical availability. The duration of each treatment session from patient walk-in to patient walk-out of the spot scanning treatment room was measured for 64 patients with head and neck, central nervous system, thoracic, and genitourinary cancers. The authors retrieved data for total target volume and the numbers of layers and spots for all fields from treatment plans for a total of 271 patients (including the above 64 patients). A sensitivity analysis of daily throughput capacity was performed by varying seven parameters in a throughput capacity model. Results: The mean monthly equipment clinical availability for the spot scanning port in April 2012–March 2015 was 98.5%. Approximately 1500 patients had received spot scanning proton therapy as of March 2015. The major disease sites treated in September 2012–August 2014 were the genitourinary system (34%), head and neck (30%), central nervous system (21%), and thorax (14%), with other sites accounting for the remaining 1%. Spot scanning beam delivery time increased with total target volume and accounted for approximately 30%–40% of total treatment time for the total target volumes exceeding 200 cm{sup 3}, which was the case for more than 80% of the patients in this study. When total treatment time was modeled as a function of the number of fields and total target volume, the model overestimated total treatment time by 12% on average, with a standard deviation of 32%. A sensitivity analysis of throughput capacity for a hypothetical four-room spot scanning proton therapy center identified several priority items for improvements in throughput capacity, including operation time, beam delivery time, and patient immobilization and setup time. Conclusions: The spot scanning port at our proton therapy center has operated at a high performance level and has been used to treat a large number of complex cases. Further improvements in efficiency may be feasible in the areas of facility operation, beam delivery, patient immobilization and setup, and optimization of treatment scheduling.« less

  3. [Abnormalities in gastric mechanic sensitivity, gastric emptying and electrogastrography in non organic dyspepsia (NOD)].

    PubMed

    López Gastón, A; López DeLuise, G A; Sarmiento, A; Andrusch, A

    1997-01-01

    The aim was to study the alterations in mechanosensitivity, gastric emptying, and electrogastrography (E.G.G.) in a population of patients suffering from N.O.D. eighteen controls (9 males, 9 females, mean age 49.33 years old < SEM 3.62, range 24-74) and 32 patients with N.O.D. (22 males, 21 females, mean age 55.72 years old, SEM 2.87, range 17-86) were studied. Gastric mechano-sensitivity with a latex balloon of low compliance inflated "in phasic" was investigated, and intra balloon pressure was recorded. Gastric emptying with a mixed meal marked with 99 Tc in the solid phase, containing 250 Cal, was studied. E.G.G. was studied using two skin surface electrodes Ag-2C1Ag placed on epigastric area following a probalistic antral axe. Only dominant frequency in each block was considered, and % of total abnormalities on total recording time lesser than 2 c.p.m or more than 4 c.p.m. was considered. Recordings were taken during fast time during 30 minutes, and 30 minutes after a meal containing 250 Cal. Analysis with F.F.T, and spectral running. In 67.92% a delay in gastric emptying was observed. 56.3% did not complete 700 ml. of balloon inflation because of pain, Vs 16.8% in controls (p < 0.001) The slopes of intra-balloon pressure were not different in both groups. (Variance, F-NS). Mean E.C.A was 2.99 c.p.m in control, Vs 3.46 in fasting and 3.64 in postprandial period in N.O.D. (p = NS) Differences in fasting and postprandial % of arrhythmias total time recording were significant in N.O.D. ("t". 0.02 > p 0.01). Twenty percent of controls showed isolated tachygastria, but dominant frequencies never were higher than 6 c.p.m and never last more than 8% of the total recording time. Sixty eight point seventy five percent of N.O.D. showed arrhythmias. 48% of tachygastrias were in the range 30-60% of total recording time. No differences in gastric emptying between patient presenting pain with = < 700 ml. and < 700 ml. of balloon inflation were seen. Patients with sensorial threshold = < 700 ml. showed less frequent tachygastria (0.01 < p < 0.01). Patients with delayed gastric emptying showed more frequent tachygastria (94.7%, 0.05 < p < 0.02) a) E.G.G. abnormalities would more frequent in "motor" subpopulation; b) No association between abnormalities in gastric emptying, abnormal thresholds in mechanosensitivity and/or E.G.G. and any clinical subtype of Dyspepsia can be showed; h) although gastric arrhythmia was more frequent in motor than in sensorial abnormalities, it may represents a more generalized disturbance in central modulation in afferents and efferents inputs and outputs.

  4. Constructing Proxy Variables to Measure Adult Learners' Time Management Strategies in LMS

    ERIC Educational Resources Information Center

    Jo, Il-Hyun; Kim, Dongho; Yoon, Meehyun

    2015-01-01

    This study describes the process of constructing proxy variables from recorded log data within a Learning Management System (LMS), which represents adult learners' time management strategies in an online course. Based on previous research, three variables of total login time, login frequency, and regularity of login interval were selected as…

  5. Evaluation of pre-hospital transport time of stroke patients to thrombolytic treatment.

    PubMed

    Simonsen, Sofie Amalie; Andresen, Morten; Michelsen, Lene; Viereck, Søren; Lippert, Freddy K; Iversen, Helle Klingenberg

    2014-11-13

    Effective treatment of stroke is time dependent. Pre-hospital management is an important link in reducing the time from occurrence of stroke symptoms to effective treatment. The aim of this study was to evaluate time used by emergency medical services (EMS) for stroke patients during a five-year period in order to identify potential delays and evaluate the reorganization of EMS in Copenhagen in 2009. We performed a retrospective analysis of ambulance records from stroke patients suitable for thrombolysis from 1 January 2006 to 7 July 2011. We noted response time from dispatch of the ambulance to arrival at the scene, on-scene time and transport time to the hospital-in total, alarm-to-door time. In addition, we noted baseline characteristics. We reviewed 481 records (58% male, median age 66 years). The median (IQR) alarm-to-door time in minutes was 41 (33-52), of which 18 (12-24) minutes were spent on scene. Response time was reduced from the period before to the period after reorganization (7 vs. 5 minutes, p <0.001). In a linear multiple regression model, higher patient age and longer distance to the hospital correlated with significantly longer transportation time (p <0.001). This study shows an unchanged alarm-to-door time of 41 minutes over a five-year period. Response time, but not total alarm-to-door time, was reduced during the five years. On-scene time constituted nearly half of the total alarm-to-door time and is thus a point of focus for improvement.

  6. Atmospheric mercury deposition during the last 270 years--A glacial ice core record of natural and anthropogenic sources

    USGS Publications Warehouse

    Schuster, Paul F.; Krabbenhoft, David P.; Naftz, David L.; Cecil, L. DeWayne; Olson, Mark L.; DeWild, John F.; Susong, David D.; Green, Jaromy R.; Abbott, Michael L.

    2002-01-01

    Mercury (Hg) contamination of aquatic ecosystems and subsequent methylmercury bioaccumulation are significant environmental problems of global extent. At regional to global scales, the primary mechanism of Hg contamination is atmospheric Hg transport. Thus, a better understanding of the long-term history of atmospheric Hg cycling and quantification of the sources is critical for assessing the regional and global impact of anthropogenic Hg emissions. Ice cores collected from the Upper Fremont Glacier (UFG), Wyoming, contain a high-resolution record of total atmospheric Hg deposition (ca. 1720−1993). Total Hg in 97 ice-core samples was determined with trace-metal clean handling methods and low-level analytical procedures to reconstruct the first and most comprehensive atmospheric Hg deposition record of its kind yet available from North America. The record indicates major atmospheric releases of both natural and anthropogenic Hg from regional and global sources. Integrated over the past 270-year ice-core history, anthropogenic inputs contributed 52%, volcanic events 6%, and background sources 42%. More significantly, during the last 100 years, anthropogenic sources contributed 70% of the total Hg input. Unlike the 2−7-fold increase observed from preindustrial times (before 1840) to the mid-1980s in sediment-core records, the UFG record indicates a 20-fold increase for the same period. The sediment-core records, however, are in agreement with the last 10 years of this ice-core record, indicating declines in atmospheric Hg deposition.

  7. Assessing sleep quality using self-report and actigraphy in PTSD.

    PubMed

    Slightam, Cindie; Petrowski, Katja; Jamison, Andrea L; Keller, Marius; Bertram, Franziska; Kim, Sunyoung; Roth, Walton T

    2018-06-01

    Sleep disturbance is commonly reported by participants with post-traumatic stress disorder, but objective evidence of poor sleep is often absent. Here we compared self-report and actigraphic evaluations of sleep between veterans with post-traumatic stress disorder and controls. Participants reported their sleep retrospectively for the month before the recording night and on the recording night. On the recording night, they wore an Actiwatch-64 and were instructed to press the marker button upon getting into bed, each time they awoke, and at their final awakening. The post-traumatic stress disorder group reported much worse sleep than controls on the Pittsburgh Sleep Quality Index for the previous month and somewhat poorer sleep on the recording night. However, on the recording night, neither diary nor actigraphic measures of number of awakenings, total time in bed, nor time lying awake after sleep onset differed between participants with and without post-traumatic stress disorder. Diary-reported number of awakenings was fewer than actigraphically captured awakenings. These results suggest a memory bias towards remembering worse sleep on the nights before the recording night. © 2017 European Sleep Research Society.

  8. Relationship between team assists and win-loss record in The National Basketball Association.

    PubMed

    Melnick, M J

    2001-04-01

    Using research methodology for analysis of secondary data, statistical data for five National Basketball Association (NBA) seasons (1993-1994 to 1997-1998) were examined to test for a relationship between team assists (a behavioral measure of teamwork) and win-loss record. Rank-difference correlation indicated a significant relationship between the two variables, the coefficients ranging from .42 to .71. Team assist totals produced higher correlations with win-loss record than assist totals for the five players receiving the most playing time ("the starters"). A comparison of "assisted team points" and "unassisted team points" in relationship to win-loss record favored the former and strongly suggested that how a basketball team scores points is more important than the number of points it scores. These findings provide circumstantial support for the popular dictum in competitive team sports that "Teamwork Means Success-Work Together, Win Together."

  9. Characterization of time dynamical evolution of electroencephalographic epileptic records

    NASA Astrophysics Data System (ADS)

    Rosso, Osvaldo A.; Mairal, María. Liliana

    2002-09-01

    Since traditional electrical brain signal analysis is mostly qualitative, the development of new quantitative methods is crucial for restricting the subjectivity in the study of brain signals. These methods are particularly fruitful when they are strongly correlated with intuitive physical concepts that allow a better understanding of the brain dynamics. The processing of information by the brain is reflected in dynamical changes of the electrical activity in time, frequency, and space. Therefore, the concomitant studies require methods capable of describing the qualitative variation of the signal in both time and frequency. The entropy defined from the wavelet functions is a measure of the order/disorder degree present in a time series. In consequence, this entropy evaluates over EEG time series gives information about the underlying dynamical process in the brain, more specifically of the synchrony of the group cells involved in the different neural responses. The total wavelet entropy results independent of the signal energy and becomes a good tool for detecting dynamical changes in the system behavior. In addition the total wavelet entropy has advantages over the Lyapunov exponents, because it is parameter free and independent of the stationarity of the time series. In this work we compared the results of the time evolution of the chaoticity (Lyapunov exponent as a function of time) with the corresponding time evolution of the total wavelet entropy in two different EEG records, one provide by depth electrodes and other by scalp ones.

  10. [The evaluation of maternal-child care at 5 family medicine units].

    PubMed

    Vega-Vega, G

    1993-01-01

    In 1991 five of the 38 Family Practice Units of a Social Security Institute in Mexico City were evaluated regarding the care provided to pregnant women and to children under the age of one. The clinical records were reviewed looking for the following indicators: a) weeks of pregnancy at first prenatal visit, b) total number of prenatal visits, c) total number of times the arterial tension was recorded during the prenatal visits, d) total number of urine exams during the prenatal visits, e) total number of visits by the first year of age, f) weight, and g) number and type of vaccines. The five units had a variable compliance with the standards. The measurement of the indicators permits the identification of deviations and to focus future efforts to improve the care provided at the Units.

  11. Effect of intermittent aeration strategies on treatment performance and microbial community of an IFAS reactor treating municipal waste water.

    PubMed

    Singh, Nitin Kumar; Bhatia, Akansha; Kazmi, Absar Ahmad

    2017-11-01

    This study investigated the effect of various intermittent aeration (IA) cycles on organics and nutrient removal, and microbial communities in an integrated fixed-film activated sludge (IFAS) reactor treating municipal waste water. Average effluent biological oxygen demand (BOD), chemical oxygen demand (COD), total suspended solids, total nitrogen (TN) and total phosphorus (TP) values were noted as 20, 50, 30, 12 and 1.5 mgL -1 , respectively, in continuous aeration mode. A total of four operational conditions (run 1, continuous aeration; run 2, 150/30 min aeration on/off time; run 3, 120/60 min aeration on/off time and run 4, 90/60 min aeration on/off time) were investigated in IFAS reactor assessment. Among the all examined IA cycles, IA phase 2 gave the maximum COD and BOD removals with values recorded as 97% and 93.8%, respectively. With respect to nutrient removal (TN and TP), IA phase 1 was found to be optimum. Pathogen removal efficiency of present system was recorded as 90-95% during the three phases. With regard to settling characteristics, pilot showed poor settling during IA schedules, which was also evidenced by high sludge volume index values. Overall, IA could be used as a feasible way to improve the overall performance of IFAS system.

  12. Operating manual for the R100 digital vibration-time totalizer

    USGS Publications Warehouse

    Cordes, Edwin H.; Shi, Minghua

    1988-01-01

    A vibration sensor that monitors the running time of pumps to determine water withdrawal by various public-supply, agricultural, and industrial groups has been developed in response to a need demonstrated by data gathering activities of the U.S. Geological Survey 's National Water Use Information Program. This sensor, the R100 digital vibration-time totalizer, attaches to monitored equipment such as a pump, motor, or pipe facility and senses vibration to determine running time. Battery-powered and packaged for field environment, the R100 can be left unattended for up to 1 year. Time is recorded to the nearest 0.01 hour, or 36 seconds. This operating manual for the R100 digital vibration-time totalizer describes the R100 's principal of operation and gives installation guidelines and instructions for battery replacements. (USGS)

  13. [Electronic medical records: Evolution of physician-patient relationship in the Primary Care clinic].

    PubMed

    Pérez-Santonja, T; Gómez-Paredes, L; Álvarez-Montero, S; Cabello-Ballesteros, L; Mombiela-Muruzabal, M T

    2017-04-01

    The introduction of electronic medical records and computer media in clinics, has influenced the physician-patient relationship. These modifications have many advantages, but there is concern that the computer has become too important, going from a working tool to the centre of our attention during the clinical interview, decreasing doctor interaction with the patient. The objective of the study was to estimate the percentage of time that family physicians spend on computer media compared to interpersonal communication with the patient, and whether this time is modified depending on different variables such as, doctor's age or reason for the consultation. An observational and descriptive study was conducted for 10 weeks, with 2 healthcare centres involved. The researchers attended all doctor- patient interviews, recording the patient time in and out of the consultation. Each time the doctor fixed his gaze on computer media the time was clocked. A total of 436 consultations were collected. The doctors looked at the computer support a median 38.33% of the total duration of an interview. Doctors of 45 years and older spent more time fixing their eyes on computer media (P<.05). Family physicians used almost 40% of the consultation time looking at computer media, and depends on age of physician, number of queries, and number of medical appointments. Copyright © 2016 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  14. The fossil record and taphonomy of butterflies and moths (Insecta, Lepidoptera): implications for evolutionary diversity and divergence-time estimates.

    PubMed

    Sohn, Jae-Cheon; Labandeira, Conrad C; Davis, Donald R

    2015-02-04

    It is conventionally accepted that the lepidopteran fossil record is significantly incomplete when compared to the fossil records of other, very diverse, extant insect orders. Such an assumption, however, has been based on cumulative diversity data rather than using alternative statistical approaches from actual specimen counts. We reviewed documented specimens of the lepidopteran fossil record, currently consisting of 4,593 known specimens that are comprised of 4,262 body fossils and 331 trace fossils. The temporal distribution of the lepidopteran fossil record shows significant bias towards the late Paleocene to middle Eocene time interval. Lepidopteran fossils also record major shifts in preservational style and number of represented localities at the Mesozoic stage and Cenozoic epoch level of temporal resolution. Only 985 of the total known fossil specimens (21.4%) were assigned to 23 of the 40 extant lepidopteran superfamilies. Absolute numbers and proportions of preservation types for identified fossils varied significantly across superfamilies. The secular increase of lepidopteran family-level diversity through geologic time significantly deviates from the general pattern of other hyperdiverse, ordinal-level lineages. Our statistical analyses of the lepidopteran fossil record show extreme biases in preservation type, age, and taxonomic composition. We highlight the scarcity of identified lepidopteran fossils and provide a correspondence between the latest lepidopteran divergence-time estimates and relevant fossil occurrences at the superfamily level. These findings provide caution in interpreting the lepidopteran fossil record through the modeling of evolutionary diversification and in determination of divergence time estimates.

  15. A content analysis of advertisements related to oral health in children's Tamil television channels--a preliminary report.

    PubMed

    Sukumaran, Aparna; Diwakar, Madankumar P; Shastry, Shivakumar M

    2012-05-01

    This study was conducted to examine the nature, content, and duration of advertisements broadcasted during children's Tamil television channels and to determine the extent to which television advertising changes during school holiday and non-holiday periods and between prime time and non-prime time broadcast. Television broadcasts on two main children's Tamil television channels were video-recorded over 16 days between 17.00-19.00 hours (non-prime time) and 19.00-21.00 hours (prime time). For each commercial, the type of product advertised, as well as the duration (in seconds), was recorded. Advertisements were categorized as 'food' and 'non-food'. The former category was further subdivided into 'sugar-rich foods' and 'other foods'. The sugar-rich foods were further categorized as liquid, solid and sticky, and slowly dissolving sugars. Commercials related to the promotion of oral health products and non-food products were also recorded. Among the total of 128 h of television programmes recorded, advertising accounted for 10.15% (13.01 hours). The advertisement of sugar-rich food products, non-food and oral hygiene products occupied 50.36%, 38.41% and 1.90%, respectively, of the total advertising time. Solid and sticky products made up 100% of advertisements in this category on Chithiram television channel, compared with 62.5% of advertisements on Chutti television channel. It was concluded that the advertising of sugar-rich foods, particularly solid and sticky food products, was broadcasted more in Chithiram television channel, during school holidays and during prime time. © 2011 The Authors. International Journal of Paediatric Dentistry © 2011 BSPD, IAPD and Blackwell Publishing Ltd.

  16. Total Quality Management and Media Services: The Deming Method.

    ERIC Educational Resources Information Center

    Richie, Mark L.

    1992-01-01

    W. Edwards Deming built a 40-year record of quality management in Japan known as Total Quality Management (TQM). His 14 points require a change in the belief system of managers and media directors, but their implementation in government agencies and schools will produce increased time for better services, better communications, and new programs.…

  17. A comparison of septal stapler to suture closure in septoplasty: a prospective, randomized trial evaluating the effect on operative time.

    PubMed

    Sowerby, Leigh J; Wright, Erin D

    2013-11-01

    Septoplasty requires coaptation of the mucosal flaps at the conclusion of the procedure; classically this is done with nasal packing. Quilting sutures provide a welcome alternative to packing, but can be time-consuming to place. A septal stapler has recently been developed that provides a rapid alternative to quilting sutures but the timesaving has not been quantified. This study was a prospective, randomized trial comparing a septal stapler to quilting suture for coaptation of mucosal flaps in septoplasty. After meeting inclusion criteria, patients underwent septoplasty and inferior turbinoplasty. The total operative time, surgical segment times, including time for closure was recorded. Preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE) scores were recorded. A sample size of 16 was determined to detect a difference of 5 minutes in closure time. A total of 16 patients were enrolled in the study. The mean time for closure with septal stapler was 35 ± 22 seconds vs 7 minutes ± 1 minute 10 seconds for suture closure (p < 0.0001). The mean total operative time using the septal stapler was 28 minutes ± 6 minutes whereas 43 minutes ± 13 minutes was required for suture (p = 0.014). No difference in postoperative complications or mucosal healing was seen; preoperative and postoperative improvement in NOSE scores was comparable. Coaptation of the mucosal flaps in septoplasty with a septal stapler affords a timesaving in the operating room with no difference in operative outcome. © 2013 ARS-AAOA, LLC.

  18. Time required for navigated macular laser photocoagulation treatment with the Navilas.

    PubMed

    Ober, Michael D; Kernt, Marcus; Cortes, Marco A; Kozak, Igor

    2013-04-01

    Navilas laser is a novel technology combining photocoagulation with imaging, including fluorescein angiographic (FA) images which are annotated and aligned to a live fundus view. We determine the time necessary for planning and treatment of macular edema utilizing the Navilas. The screen recordings during treatments were retrospectively analyzed for treatment type, number of laser shots, the duration of planning (measured from the time the planning image was selected to time of marking the last planned treatment spot), and total time of laser application. A total of 93 treatments (30 grid, 30 focal and 33 combined treatments) by four physicians from three sites were included. An average of 125 spots were applied to each eye. The total time spent for each focal treatment - including the planning was 7 min 47 s (±3 min and 32 s). Navilas is a novel device providing a time efficient platform for evaluating FA images and performing threshold macular laser photocoagulation.

  19. 14 CFR 121.380 - Maintenance recording requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... section, the total time in service of each engine and propeller. (iii) The current status of life-limited parts of each airframe, engine, propeller, and appliance. (iv) The time since last overhaul of all items... required. (vii) A list of current major alterations to each airframe, engine, propeller, and appliance. (b...

  20. 14 CFR 121.380 - Maintenance recording requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... section, the total time in service of each engine and propeller. (iii) The current status of life-limited parts of each airframe, engine, propeller, and appliance. (iv) The time since last overhaul of all items... required. (vii) A list of current major alterations to each airframe, engine, propeller, and appliance. (b...

  1. 14 CFR 121.380 - Maintenance recording requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... section, the total time in service of each engine and propeller. (iii) The current status of life-limited parts of each airframe, engine, propeller, and appliance. (iv) The time since last overhaul of all items... required. (vii) A list of current major alterations to each airframe, engine, propeller, and appliance. (b...

  2. 14 CFR 121.380 - Maintenance recording requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... section, the total time in service of each engine and propeller. (iii) The current status of life-limited parts of each airframe, engine, propeller, and appliance. (iv) The time since last overhaul of all items... required. (vii) A list of current major alterations to each airframe, engine, propeller, and appliance. (b...

  3. 14 CFR 121.380 - Maintenance recording requirements.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... section, the total time in service of each engine and propeller. (iii) The current status of life-limited parts of each airframe, engine, propeller, and appliance. (iv) The time since last overhaul of all items... required. (vii) A list of current major alterations to each airframe, engine, propeller, and appliance. (b...

  4. 77 FR 21577 - Agency Information Collection Activities: Lien Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ... technology; and (e) the annual cost burden to respondents or record keepers from the collection of... with a change to the burden hours as a result of changing the estimated response time for completing... Number of Annual Responses per Respondent: 1. Estimated Time per Response: 15 minutes. Estimated Total...

  5. 77 FR 1947 - Agency Information Collection Activities: Jade Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-12

    ... technology; and (e) the annual costs burden to respondents or record keepers from the collection of... CBP Form 7501, Entry Summary, which serves as the importer's certification. In addition, at the time... Number of Annual Responses per Respondent: 20. Estimated Total Annual Responses: 443,940. Estimated Time...

  6. [Occupational health studies on airport transport workers. I. Results of ergonomic time and motion studies (author's transl)].

    PubMed

    Rutenfranz, J; Löwenthal, I; Kylian, H; Klimmer, F; Flöring, R; Gärtner, K H; Brockmann, W

    1980-01-01

    Loading and unloading of aircrafts involves lifting, moving, and carrying of heavy cargo in unfavourable body positions and in narrow spaces. This transport work was subjected to an investigation in a big airport. Forty-three male transport workers and foremen were studied during 46 total shifts. The type of activity was recorded by using the standardized procedure, the so-called "Arbeitswissenschaftliches Erhebungsverfahren zur Tätigkeitsanalyse" (AET). For time and motion analysis, body positions were recorded by continuous observation during the total shift. For typical activities the energy expenditure was determined. The strain caused by transport work was estimated by recording the heart rate with a portable cardiocorder during the total shift. The results show that both dynamic and static work are involved in the loading and unloading of aircrafts. The heart rate varied characteristically according to the body position and to type of activity. The body position was mainly determined by the height of the bellies (from 0.61-1.97 m) of different aircrafts. An additional influence due to weight carrying could be observed only in body positions with low energy expenditure. Recommendations for changing the height of the bellies or to the appropriate selection of workers were made.

  7. Diffraction efficiency growth of nano-scale holographic recording produced in a corona discharge

    NASA Astrophysics Data System (ADS)

    Bodurov, I.; Yovcheva, T.; Vlaeva, I.; Viraneva, A.; Todorov, R.; Spassov, G.; Sainov, S.

    2012-12-01

    The nano-scale holographic gratings ware recorded in 29 nm and 56 nm thick As2S3 films. The chalcogenide layers were deposited on a transparent chromium electrode with thickness 10 nm, produced on a glass substrate. Both chromium and chalcogenide films were deposited in one vacuum cycle by e-beam and thermal evaporation, respectively. The diode 532 nm diode laser was used as a light source in the present holographic experiments. The total internal reflection arrangement (Stetson-Nassenstein) was used in holographic recordings. The reference beam was totally reflected from the air-As2S3 boundary surface by an input glass prism. The object beam was normally incident on the recording medium. The corona charging was performed by a needle fixed at the distance of 1 cm from the holographic recording medium by applying a - 5 kV voltage. The diffraction efficiency increased from 9 to 30 times when the corona discharge was applied during the holographic recording, in comparison to the uncharged recording. The possible reason of the observed effect is discussed on the basis of the Franz-Keldysh effect and Moss rule.

  8. Instrument Drift Uncertainties and the Long-Term TOMS/SBUV Total Ozone Record

    NASA Technical Reports Server (NTRS)

    Solarski, Richard S.; Frith, Stacey

    2005-01-01

    Long-term climate records from satellites are often constructed from the measurements of a sequence of instruments launched at different times. Each of these instruments is calibrated prior to launch. After launch they are subjected to potential offsets and slow drifts in calibration. We illustrate these issues in the construction of a merged total ozone record from two TOMS and three SBUV instruments. This record extends from late 1978 through the present. The question is "How good are these records?". We have examined the uncertainty in determining the relative calibration of two instruments during an overlap period in their measurements. When comparing a TOMS instrument, such as that on Nimbus 7, with an SBUV instrument, also on Nimbus 7, we find systematic differences and random differences. We have combined these findings with estimates of individual instrument drift into a monte- carlo uncertainty propagation model. We estimate an instrument drift uncertainty of a little larger than 1 percent per decade over the 25-year history of the TOMS/SBUV measurements. We make an independent estimate of the drift uncertainty in the ground-based network of total ozone measurements and find it to be of similar, but slightly smaller magnitude. The implications of these uncertainties for trend and recovery determination will be discussed.

  9. Stapler Esophageal Closure During Total Laryngectomy.

    PubMed

    Ismi, Onur; Unal, Murat; Vayisoglu, Yusuf; Yesilova, Mesut; Helvaci, Ilter; Gorur, Kemal; Ozcan, Cengiz

    2017-01-01

    Mechanical esophageal closure with stapler during total laryngectomy has been used by various authors to decrease the surgical time and pharyngocutaneous fistula (PCF) rates. In a few of the studies, surgical site infection (SSI) rates are mentioned and none of the studies emphasize the effect of decreased surgical time on postoperative cardiovascular and cerebrovascular complications. In this study, the authors compared the PCF rates, SSI rates, operation times between 30 mechanical stapler and 40 manual esophageal closure during total laryngectomy for laryngeal cancer patients. National Nasocomial Infections Surveillance system (NNISS) scores were recorded and compared between groups. Total laryngectomy and total operation times were lower in the stapler group patients (P < 0.001 for total laryngectomy time, P = 0.024 for total operation time). There were lower rates of pharyngocutaneous fistula (P = 0.032), surgical site infection (P = 0.019), and NNISS scores (P = 0.009) in the stapler group. There was no statistically significant difference between groups regarding postoperative systemic complications (P = 0.451). In conclusion, stapler esophageal closure decreases operation time, PCF, SSI rates, and NNISS scores but not the systemic complication rates. Comorbid illnesses and prolonged surgical time are risk factors for postoperative systemic complications in total laryngectomy patients, but patients with additional illnesses must not encourage the surgeon to use stapler for decreasing postoperative systemic complications.

  10. 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

  11. [Electrogastrography and gastric emptying in non organic dyspepsia].

    PubMed

    López Gastón, A R; López De Luise, G A; Sarmiento, A

    1996-01-01

    Electrogastrography allows to determinate the dominant frequency of gastric E.C.A. (electrical control activity). The aim was to investigate the gastric E.C.A. in a population of patients suffering from non-organic dispepsia (N.O.D.). Eighteen controls (9 males, 9 females, mean age 46.4 years old, SEM 3.72, range 24-72) and 52 dyspeptic patients (18 males, 34 females, mean age 54.19 years old, SEM 2.38, range 17-86) were studied. Two skin surface electrodes Ag-2ClAg were placed on epigastric area following a probabilistic antral axe. Reference electrode was placed on the right quadrant skin. In 5 patients, recordings with needle and cutaneous electrode were compared. Analogic waves were filtered, digitalized and processed. Signals were analyzed using F.F.T. (Fast Fourier Transformated) Only the predominant frequency in each block was considered, and percentage of total abnormalities on total recording time lesser than 2 c.p.m. or more than 4 c.p.m. was accepted. Recording were taken in fast time during 30 minutes, and 30 minutes after a meal containing 230 Cal. Running spectral analysis with F.F.T. In 43 non-selected patients the gastric emptying time of a mixed meal marked with 99 Tc in the solid phase was studied. 60.45% showed delayed gastric emptying. Mean of fast E.C.A. was 2.99 c.p.m. in controls, Vs 3.34 c.p.m. in dispeptic patients (p > 0.001). In the post-prandial period, mean of E.C.A. was 3.53 c.p.m. in N.O.D., and these differences were not significatives ("t", NS). 22% of controls showed isolated periods of tachygastria, but never more than 8% of the total recording time. It was seen seven six and forty five percent of arrhythmias were observed (71.15% tachygastria, 4.76% bradygastria, and 19.23% mixed) during post prandial recording in N.O.D. 48% of tachygastrias were between the range 30-60% of the time recording. Ninety six and one percent of patients with abnormal gastric emptying had gastric arrhythmias (0.05 > p > 0.02) Vs 50% in patients with normal gastric emptying. Needle recording increased about 200-300% the signal power. It would be the better choice in cases of hairy abdominal skin. a) More than 76% of patients with N.O.D. had abnormal recording of E.C.A. beyond these observed in controls; b) tachygastria was the more frequent abnormality observed; c) the more severe clinical cases were associated with bradygastria; d) No association between symptoms and abnormal gastric emptying was found; e) E.G.G. abnormalities were seen in 96% of patients with abnormal gastric emptying, Vs 50% in normal gastric emptying; f) Needle electrodes let a better recording of E.G.G. signal; g) No association was found between abnormalities in gastric emptying and/or E.G.G., and clinical subtypes of Dyspepsia.

  12. [Comparison of validity and safety between holmium: YAG laser and traditional surgery in partial nephrectomy].

    PubMed

    Bi, Sheng; Xia, Ming

    2015-08-11

    To compare the validity and safety between holmium: YAG laser and traditional surgery in partial nephrectomy. A total of 28 patients were divided into two groups (holmium: YAG laser group without renal artery clamping and traditional surgery group with renal artery clamping). The intraoperative blood loss, total operative time, renal artery clamping time, postoperative hospital stay, separated renal function, postoperative complications and depth of tissue injury were recorded. The intraoperative blood loss, total operative time, renal artery clamping time, postoperative hospital stay, separated renal function, postoperative complications and depth of tissue injury were 80 ml, 77 min, 0 min, 7.4 days, 35 ml/min, 0, 0.9 cm, respectively, in holmium: YAG laser group. And in traditional surgery group were 69 ml, 111 min, 25.5 min, 7.3 days, 34 ml/min, 0, 2.0 cm, respectively. The differences of total operative time, renal artery clamping time and depth of tissue injury between two groups were statistically significant. The others were not statistically significant. Holmium: YAG laser is effective and safe in partial nephrectomy. It can decrease the total operative time, minimize the warm ischemia time and enlarge the extent of surgical excision.

  13. Inter-session reliability and sex-related differences in hamstrings total reaction time, pre-motor time and motor time during eccentric isokinetic contractions in recreational athlete.

    PubMed

    Ayala, Francisco; De Ste Croix, Mark; Sainz de Baranda, Pilar; Santonja, Fernando

    2014-04-01

    The purposes were twofold: (a) to ascertain the inter-session reliability of hamstrings total reaction time, pre-motor time and motor time; and (b) to examine sex-related differences in the hamstrings reaction times profile. Twenty-four men and 24 women completed the study. Biceps femoris and semitendinosus total reaction time, pre-motor time and motor time measured during eccentric isokinetic contractions were recorded on three different occasions. Inter-session reliability was examined through typical percentage error (CVTE), percentage change in the mean (CM) and intraclass correlations (ICC). For both biceps femoris and semitendinosus, total reaction time, pre-motor time and motor time measures demonstrated moderate inter-session reliability (CVTE<10%; CM<3%; ICC>0.7). The results also indicated that, although not statistically significant, women reported consistently longer hamstrings total reaction time (23.5ms), pre-motor time (12.7ms) and motor time (7.5ms) values than men. Therefore, an observed change larger than 5%, 9% and 8% for total reaction time, pre-motor time and motor time respectively from baseline scores after performing a training program would indicate that a real change was likely. Furthermore, while not statistically significant, sex differences were noted in the hamstrings reaction time profile which may play a role in the greater incidence of ACL injuries in women. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Comparison between uroflowmetry and sonouroflowmetry in recording of urinary flow in healthy men.

    PubMed

    Krhut, Jan; Gärtner, Marcel; Sýkora, Radek; Hurtík, Petr; Burda, Michal; Luňáček, Libor; Zvarová, Katarína; Zvara, Peter

    2015-08-01

    To evaluate the accuracy of sonouroflowmetry in recording urinary flow parameters and voided volume. A total of 25 healthy male volunteers (age 18-63 years) were included in the study. All participants were asked to carry out uroflowmetry synchronous with recording of the sound generated by the urine stream hitting the water level in the urine collection receptacle, using a dedicated cell phone. From 188 recordings, 34 were excluded, because of voided volume <150 mL or technical problems during recording. Sonouroflowmetry recording was visualized in a form of a trace, representing sound intensity over time. Subsequently, the matching datasets of uroflowmetry and sonouroflowmetry were compared with respect to flow time, voided volume, maximum flow rate and average flow rate. Pearson's correlation coefficient was used to compare parameters recorded by uroflowmetry with those calculated based on sonouroflowmetry recordings. The flow pattern recorded by sonouroflowmetry showed a good correlation with the uroflowmetry trace. A strong correlation (Pearson's correlation coefficient 0.87) was documented between uroflowmetry-recorded flow time and duration of the sound signal recorded with sonouroflowmetry. A moderate correlation was observed in voided volume (Pearson's correlation coefficient 0.68) and average flow rate (Pearson's correlation coefficient 0.57). A weak correlation (Pearson's correlation coefficient 0.38) between maximum flow rate recorded using uroflowmetry and sonouroflowmetry-recorded peak sound intensity was documented. The present study shows that the basic concept utilizing sound analysis for estimation of urinary flow parameters and voided volume is valid. However, further development of this technology and standardization of recording algorithm are required. © 2015 The Japanese Urological Association.

  15. ELECTRICAL LOAD ANTICIPATOR AND RECORDER

    DOEpatents

    Russell, J.B.; Thomas, R.J.

    1961-07-25

    A system is descrbied in which an indication of the prevailing energy consumption in an electrical power metering system and a projected Power demand for one demand interval is provided at selected increments of time withm the demand interval. Each watthour meter in the system is provided with an impulse generator that generates two impulses for each revolution of the meter disc. The total pulses received frorn all the meters are continuously totaled and are fed to a plurality of parallel connected gated counters. Each counter has its gate opened at different sub-time intervals during the demand interval. A multiplier is connected to each of the gated counters except the last one and each multiplier is provided with a different multiplier constant so as to provide an estimate of the power to be drawn over the entire demand interval at the end of each of the different sub-time intervals. Means are provided for recording the ontputs from the different circuits in synchronism with the actuation oi each gate circuit.

  16. 76 FR 66741 - Agency Information Collection Activities: Prior Disclosure

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-27

    ... forms of information technology; and (e) the annual cost burden to respondents or record keepers from... Responses: 3,500. Estimated Time per Response: 1 hour. Estimated Total Annual Burden Hours: 3,500. Dated...

  17. THE ANALYSIS OF BIOLUMINESCENCES OF SHORT DURATION, RECORDED WITH PHOTOELECTRIC CELL AND STRING GALVANOMETER

    PubMed Central

    Harvey, E. Newton; Snell, Peter A.

    1931-01-01

    1. The rapid decay of luminescence in extracts of the ostracod crustacean Cypridina hilgendorfii, has been studied by means of a photoelectric-amplifier-string galvanometer recording system. 2. For rapid flashes of luminescence, the decay is logarithmic if ratio of luciferin to luciferase is small; logarithmic plus an initial flash, if ratio of luciferin to luciferase is greater than five. The logarithmic plot of luminescence intensity against time is concave to time axis if ratio of luciferin to luciferase is very large. 3. The velocity constant of rapid flashes of luminescence is approximately proportional to enzyme concentration, is independent of luciferin concentration, and varies approximately inversely as the square root of the total luciferin (luciferin + oxyluciferin) concentration. For large total luciferin concentrations, the velocity constant is almost independent of the total luciferin. 4. The variation of velocity constant with total luciferin concentration (luciferin + oxyluciferin) and its independence of luciferin concentration is explained by assuming that light intensity is a measure of the luciferin molecules which become activated to oxidize (accompanied with luminescence) by adsorption on luciferase. The adsorption equilibrium is the same for luciferin and oxyluciferin and determines the velocity constant. PMID:19872603

  18. Impact of an electronic medication administration record on medication administration efficiency and errors.

    PubMed

    McComas, Jeffery; Riingen, Michelle; Chae Kim, Son

    2014-12-01

    The study aims were to evaluate the impact of electronic medication administration record implementation on medication administration efficiency and occurrence of medication errors as well as to identify the predictors of medication administration efficiency in an acute care setting. A prospective, observational study utilizing time-and-motion technique was conducted before and after electronic medication administration record implementation in November 2011. A total of 156 cases of medication administration activities (78 pre- and 78 post-electronic medication administration record) involving 38 nurses were observed at the point of care. A separate retrospective review of the hospital Midas+ medication error database was also performed to collect the rates and origin of medication errors for 6 months before and after electronic medication administration record implementation. The mean medication administration time actually increased from 11.3 to 14.4 minutes post-electronic medication administration record (P = .039). In a multivariate analysis, electronic medication administration record was not a predictor of medication administration time, but the distractions/interruptions during medication administration process were significant predictors. The mean hospital-wide medication errors significantly decreased from 11.0 to 5.3 events per month post-electronic medication administration record (P = .034). Although no improvement in medication administration efficiency was observed, electronic medication administration record improved the quality of care with a significant decrease in medication errors.

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

    Price, R; Meyer, J; Horwitz, E

    Purpose: Medical advances have resulted in cancer patients living longer as evidenced by the number of patients seen for possible re-irradiation. Original normal tissue dose volume constraints remain in the re-irradiation setting to minimize normal tissue toxicity. This work correlates estimates of equivalent dose and repair with sequelae. Methods: CNS and GI tract re-irradiation patient follow-up records (including imaging studies) were reviewed with side effects correlated with the calculated EQD2 and repair estimates. Results: Follow-up records for 16 re-irradiation patients with potential overlap to the spinal cord were analyzed. The mean time interval between 1st and last courses was 76.6more » months. Three patients underwent a 3rd course of radiotherapy with a mean time interval between 2nd and final courses of 19.7 months. The mean values for assumed repair were 18.8% and 8.3%, respectively. The calculated total EQD2 doses were 48.09Gy and 50.98Gy with and without repair. At a mean follow-up time of 5.0 months, 6 patients were deceased and no records indicate radiation related neurological deficits. The records for 11 patients with potential overlap to the bowel were also analyzed. The mean time interval between 1st and last courses was 105.9 months. The mean value for assumed repair was 15.9%. The calculated total EQD2 doses were 64.96Gy and 70.80Gy with and without repair. At a mean follow-up time of 4.9 months, 6 patients were deceased, one having a potential enteric fistulization of the bladder. Clinical review of the case determined that the fistula was caused by tumor progression and not a side effect of radiotherapy treatments. Conclusion: Application of the EQD2 method in the re-irradiation setting using conservative estimates of repair is presented. Adhering to accepted dose volume limits following this application is demonstrated to be safe through empirical records as limited by this small patient cohort and short follow-up.« less

  20. Cumulative Total U.S. Freshwater Losses as Seen by NASA GRACE, 2002-15

    NASA Image and Video Library

    2015-12-08

    Cumulative total freshwater losses in the United States from 2002 to 2015 (in inches) observed by NASA's Gravity Recovery and Climate Experiment (GRACE) mission. Total water refers to all of the snow, surface water, soil water and groundwater combined. Much of the northern half of the country experienced increasing total water storage during this time period, while total water storage in the southern half decline. Areas where groundwater depletion strongly impacted total water losses include California's Central Valley, and the southern High Plains aquifer beneath the Texas and Oklahoma panhandles. Total water storage in the Upper Missouri River basin increased signficantly and contributed to considerable flooding during the 2002-15 time period. Image updated from Famiglietti and Rodell, 2013. Citation of Record: Famiglietti, J. S., and M. Rodell, Water in the Balance, Science, 340, 1300-1301. http://photojournal.jpl.nasa.gov/catalog/PIA20204

  1. The Impact of the Revised Sunspot Record on Solar Irradiance Reconstructions

    NASA Astrophysics Data System (ADS)

    Kopp, G.; Krivova, N.; Lean, J.; Wu, C. J.

    2015-12-01

    We describe the expected effects of the new sunspot number time series on proxy model based reconstructions of the total solar irradiance (TSI), which is largely explained by the opposing effects of dark sunspots and bright faculae. Regressions of indices for facular brightening and sunspot darkening with time series of direct TSI observations during the recent 37-year spacecraft TSI measurement era determine the relative contributions from each. Historical TSI reconstructions are enabled by extending these proxy models back in time prior to the start of the measurement record using a variety of solar activity indices including the sunspot number time series alone prior to 1882. Such reconstructions are critical for Earth climate research, which requires knowledge of the incident energy from the Sun to assess climate sensitivity to the natural influence of solar variability. Two prominent TSI reconstructions that utilize the sunspot record starting in 1610 are the NRLTSI and the SATIRE models. We review the indices that each currently uses and estimate the effects the revised sunspot record has on these reconstructions.

  2. A novel automated rat catalepsy bar test system based on a RISC microcontroller.

    PubMed

    Alvarez-Cervera, Fernando J; Villanueva-Toledo, Jairo; Moo-Puc, Rosa E; Heredia-López, Francisco J; Alvarez-Cervera, Margarita; Pineda, Juan C; Góngora-Alfaro, José L

    2005-07-15

    Catalepsy tests performed in rodents treated with drugs that interfere with dopaminergic transmission have been widely used for the screening of drugs with therapeutic potential in the treatment of Parkinson's disease. The basic method for measuring catalepsy intensity is the "standard" bar test. We present here an easy to use microcontroller-based automatic system for recording bar test experiments. The design is simple, compact, and has a low cost. Recording intervals and total experimental time can be programmed within a wide range of values. The resulting catalepsy times are stored, and up to five simultaneous experiments can be recorded. A standard personal computer interface is included. The automated system also permits the elimination of human error associated with factors such as fatigue, distraction, and data transcription, occurring during manual recording. Furthermore, a uniform criterion for timing the cataleptic condition can be achieved. Correlation values between the results obtained with the automated system and those reported by two independent observers ranged between 0.88 and 0.99 (P<0.0001; three treatments, nine animals, 144 catalepsy time measurements).

  3. Modified and improved sleep monitoring display console

    NASA Technical Reports Server (NTRS)

    Frost, J. D., Jr.

    1972-01-01

    An outline is given of a sleep monitoring display console capable of simultaneously displaying: (1) the visible current sleep stage of each subject, (2) a cumulative, numerical display (in hours and minutes) of the total amount of time the subject spends in each stage, and (3) a stepwise, graphic recording of subject's sleep stage versus time.

  4. 78 FR 61378 - Agency Information Collection Activities: Small Vessel Reporting System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ... respondents or record keepers from the collection of information (a total capital/ startup costs and... officer each time they enter the United States. In some cases, a participant may also be asked to report... information, listing of all persons on board, estimated dates and times of departure and return, and...

  5. New country records of reptiles from Laos

    PubMed Central

    2013-01-01

    Abstract Four species of reptiles, of which one is represented by one of its subspecies, are recorded for the first time from Laos: Cyrtodactylus phongnhakebangensis, Lycodon futsingensis, and Lycodon ruhstrati, as Lycodon ruhstrati abditus, from limestone forests in Khammouane Province and Cyrtodactylus pseudoquadrivirgatus from hill evergreen forest in Salavan Province. These discoveries of lizards and snakes bring the total species number of reptiles to 189 in Laos. PMID:24723754

  6. Gypsy moth (Lepidoptera: Lymantriidae) flight behavior and phenology based on field-deployed automated pheromone-baited traps

    Treesearch

    Patrick C. Tobin; Kenneth T. Klein; Donna S. Leonard

    2009-01-01

    Populations of the gypsy moth, Lymantria dispar (L.), are extensively monitored in the United States through the use of pheromone-baited traps.We report on use of automated pheromone-baited traps that use a recording sensor and data logger to record the unique date-time stamp of males as they enter the trap.We deployed a total of 352 automated traps...

  7. Cost identification of abdominal aortic aneurysm imaging by using time and motion analyses.

    PubMed

    Rubin, G D; Armerding, M D; Dake, M D; Napel, S

    2000-04-01

    To compare the costs of performing helical computed tomographic (CT) angiography with three-dimensional rendering versus intraarterial digital subtraction angiography (DSA) for preoperative imaging of abdominal aortic aneurysms (AAAs). A single observer determined the variable direct costs of performing nine intraarterial DSA and 10 CT angiographic examinations in age- and general health-matched patients with AAA by using time and motion analyses. All personnel directly involved in the cases were tracked, and the involvement times were recorded to the nearest minute. All material items used during the procedures were recorded. The cost of labor was determined from personnel reimbursement data, and the cost of materials, from vendor pricing. The variable direct costs of laboratory tests and using the ambulatory treatment unit for postprocedural monitoring, as well as all fixed direct costs, were assessed from hospital accounting records. The total costs were determined for each procedure and compared by using the Student t test and calculating the CIs. The mean total direct cost of intraarterial DSA (+/- SD) was $1,052 +/- 71, and that of CT angiography was $300 +/- 30, which are significantly different (P < 4.1 x 10(-11)). With 95% confidence, intraarterial DSA cost 3.2-3.7 times more than CT angiography for the assessment of AAA. Assuming equal diagnostic utility and procedure-related morbidity, institutions may have substantial cost savings whenever CT angiography can replace intraarterial DSA for imaging AAAs.

  8. Using digital photography to examine grazing in montane meadows

    USGS Publications Warehouse

    McIlroy, Susan K.; Allen-Diaz, Barbara H.; Berg, Alexander C.

    2011-01-01

    Cattle (Bos taurus) numbers on national forests are allocated based on allotment grazing capacity, but spatial patterns of timing and density at smaller scales are difficult to assess. However, it is often in meadows or riparian areas that grazing may affect hydrology, biodiversity, and other important ecosystem characteristics. To explore real-time animal presence in montane meadows we distributed 18 digital cameras across nine sites in the Sierra National Forest, California. Our objectives were to document seasonal and diurnal presence of both cattle and mule deer (Odocoileus hemionus), identify the effects of three fencing treatments on animal distribution, and test digital photography as a tool for documenting cattle presence. We recorded 409 399 images during daylight hours for two grazing seasons, and we identified 5 084 and 24 482 cattle "marks" (instances of animal occurrence) in 2006 and 2007, respectively. Deer presence was much lower, with 331 marks in 2006 and 598 in 2007. Morning cattle presence was highest before 0800 hours both years (13.7% and 15.4% of total marks for 2006 and 2007, respectively). Marks decreased until 1100 hours and then increased around 1400 hours and remained relatively stable until 1900 hours. Marks then rose precipitously, with >20% of total marks recorded after 1900 hours both years. Deer presence was less than 10% per hour until 1800 hours, when >20% of total marks were recorded after this time both years. Among treatments, cattle marks were highest outside fences at partially fenced meadows, and deer were highest within completely fenced meadows. Our experience suggests that cameras are not viable tools for meadow monitoring due to variation captured within meadows and the time and effort involved in image processing and review.

  9. Short-term and practice effects of metronome pacing in Parkinson's disease patients with gait freezing while in the 'on' state: randomized single blind evaluation.

    PubMed

    Cubo, Esther; Leurgans, Sue; Goetz, Christopher G

    2004-12-01

    In a randomized single blind parallel study, we tested the efficacy of an auditory metronome on walking speed and freezing in Parkinson's disease (PD) patients with freezing gait impairment during their 'on' function. No pharmacological treatment is effective in managing 'on' freezing in PD. Like visual cues that can help overcome freezing, rhythmic auditory pacing may provide cues that help normalize walking pace and overcome freezing. Non-demented PD patients with freezing during their 'on' state walked under two conditions, in randomized order: unassisted walking and walking with the use of an audiocassette with a metronome recording. The walking trials were randomized and gait variables were rated from videotapes by a blinded evaluator. Outcome measures were total walking time (total trial time-total freezing time), which was considered the time over a course of specified length, freezing time, average freeze duration and number of freezes. All outcomes were averaged across trials for each person and then compared across conditions using Signed Rank tests. Twelve non-demented PD patients with a mean age of 65.8 +/- 11.2 years, and mean PD duration of 12.4 +/- 7.3 years were included. The use of the metronome slowed ambulation and increased the total walking time (P < 0.0005) only during the first visit, without affecting any freezing variable. In the nine patients who took the metronome recording home and used it daily for 1 week while walking, freezing remained unimproved. Though advocated in prior publications as a walking aid for PD patients, auditory metronome pacing slows walking and is not a beneficial intervention for freezing during their 'on' periods.

  10. 77 FR 69649 - Agency Information Collection Activities: Application-Permit-Special License Unlading-Lading...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ... technology; and (e) the annual cost burden to respondents or record keepers from the collection of... Responses: 399,000. Estimated Time per Response: 8 minutes. Estimated Total Annual Burden Hours: 51,870...

  11. 76 FR 60853 - Agency Information Collection Activities: Documents Required Aboard Private Aircraft

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-30

    ... respondents or record keepers from the collection of information (a total of capital/startup costs and.... Estimated Number of Respondents: 120,000. Estimated Number of Annual Responses: 120,000. Estimated Time per...

  12. A real time dynamic data acquisition and processing system for velocity, density, and total temperature fluctuation measurements

    NASA Technical Reports Server (NTRS)

    Clukey, Steven J.

    1991-01-01

    The real time Dynamic Data Acquisition and Processing System (DDAPS) is described which provides the capability for the simultaneous measurement of velocity, density, and total temperature fluctuations. The system of hardware and software is described in context of the wind tunnel environment. The DDAPS replaces both a recording mechanism and a separate data processing system. DDAPS receives input from hot wire anemometers. Amplifiers and filters condition the signals with computer controlled modules. The analog signals are simultaneously digitized and digitally recorded on disk. Automatic acquisition collects necessary calibration and environment data. Hot wire sensitivities are generated and applied to the hot wire data to compute fluctuations. The presentation of the raw and processed data is accomplished on demand. The interface to DDAPS is described along with the internal mechanisms of DDAPS. A summary of operations relevant to the use of the DDAPS is also provided.

  13. [Electronic versus paper-based patient records: a cost-benefit analysis].

    PubMed

    Neubauer, A S; Priglinger, S; Ehrt, O

    2001-11-01

    The aim of this study is to compare the costs and benefits of electronic, paperless patient records with the conventional paper-based charts. Costs and benefits of planned electronic patient records are calculated for a University eye hospital with 140 beds. Benefit is determined by direct costs saved by electronic records. In the example shown, the additional benefits of electronic patient records, as far as they can be quantified total 192,000 DM per year. The costs of the necessary investments are 234,000 DM per year when using a linear depreciation over 4 years. In total, there are additional annual costs for electronic patient records of 42,000 DM. Different scenarios were analyzed. By increasing the time of depreciation to 6 years, the cost deficit reduces to only approximately 9,000 DM. Increased wages reduce the deficit further while the deficit increases with a loss of functions of the electronic patient record. However, several benefits of electronic records regarding research, teaching, quality control and better data access cannot be easily quantified and would greatly increase the benefit to cost ratio. Only part of the advantages of electronic patient records can easily be quantified in terms of directly saved costs. The small cost deficit calculated in this example is overcompensated by several benefits, which can only be enumerated qualitatively due to problems in quantification.

  14. A complete representation of uncertainties in layer-counted paleoclimatic archives

    NASA Astrophysics Data System (ADS)

    Boers, Niklas; Goswami, Bedartha; Ghil, Michael

    2017-09-01

    Accurate time series representation of paleoclimatic proxy records is challenging because such records involve dating errors in addition to proxy measurement errors. Rigorous attention is rarely given to age uncertainties in paleoclimatic research, although the latter can severely bias the results of proxy record analysis. Here, we introduce a Bayesian approach to represent layer-counted proxy records - such as ice cores, sediments, corals, or tree rings - as sequences of probability distributions on absolute, error-free time axes. The method accounts for both proxy measurement errors and uncertainties arising from layer-counting-based dating of the records. An application to oxygen isotope ratios from the North Greenland Ice Core Project (NGRIP) record reveals that the counting errors, although seemingly small, lead to substantial uncertainties in the final representation of the oxygen isotope ratios. In particular, for the older parts of the NGRIP record, our results show that the total uncertainty originating from dating errors has been seriously underestimated. Our method is next applied to deriving the overall uncertainties of the Suigetsu radiocarbon comparison curve, which was recently obtained from varved sediment cores at Lake Suigetsu, Japan. This curve provides the only terrestrial radiocarbon comparison for the time interval 12.5-52.8 kyr BP. The uncertainties derived here can be readily employed to obtain complete error estimates for arbitrary radiometrically dated proxy records of this recent part of the last glacial interval.

  15. Corporations Give Record $1.6 Billion to Colleges and Universities in 1984-85; Total Giving Reaches $6.3 Billion.

    ERIC Educational Resources Information Center

    CFAE Newsletter, 1986

    1986-01-01

    Findings from the publication, "Voluntary Support of Education 1984-85," are summarized. The survey report includes contributions to 1,114 colleges and universities. Highlights of findings show that: total estimated voluntary support was $6.32 billion in 1984-1985; for the first time, corporations contributed more than any other donor group ($1.57…

  16. Storage and residence time of suspended sediment in gravel bars of Difficult Run, VA

    NASA Astrophysics Data System (ADS)

    George, J.; Benthem, A.; Pizzuto, J. E.; Skalak, K.

    2016-12-01

    Reducing the export of suspended sediment is an important consideration for restoring water quality to the Chesapeake Bay, but sediment budgets for in-channel landforms are poorly constrained. We quantified fine (< 2 mm) sediment storage and residence times for gravel bars at two reaches along Difficult Run, a 5th order tributary to the Potomac River. Eight gravel bars were mapped in a 150m headwater reach at Miller Heights (bankfull width 11m; total bar volume 114 m3) and 6 gravel bars were mapped in a 160m reach downstream near Leesburg Pike (bankfull width 19m; total bar volume 210 m3). Grain size analyses of surface and subsurface samples from 2 bars at each reach indicate an average suspended sediment content of 55%, suggesting a total volume of suspended sediment stored in the mapped bars to be 178 m3, or 283000 kg, comprising 5% of the average annual suspended sediment load of the two study reaches. Estimates of the annual bedload flux at Miller Heights based on stream gaging records and the Wilcock-Crowe bedload transport equation imply that the bars are entirely reworked at least annually. Scour chains installed in 2 bars at each site (a total of 50 chains) recorded scour and fill events during the winter and spring of 2016. These data indicate that 38% of the total volume of the bars is exchanged per year, for a residence time of 2.6 ± 1.2 years, a value we interpret as the residence time of suspended sediment stored in the bars. These results are supported by mapping of topographic changes derived from structure-from-motion analyses of digital aerial imagery. Storage in alluvial bars therefore represents a significant component of the suspended sediment budget of mid-Atlantic streams.

  17. SU-E-T-629: Prediction of the ViewRay Radiotherapy Treatment Time for Clinical Logistics

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

    Liu, S; Wooten, H; Wu, Y

    Purpose: An algorithm is developed in our clinic, given a new treatment plan, to predict treatment delivery time for radiation therapy (RT) treatments of patients on ViewRay magnetic resonance-image guided radiation therapy (MR-IGRT) delivery system. This algorithm is necessary for managing patient treatment appointments, and is useful as an indicator to assess the treatment plan complexity. Methods: A patient’s total treatment delivery time, not including time required for localization, may be described as the sum of four components: (1) the treatment initialization time; (2) the total beam-on time; (3) the gantry rotation time; and (4) the multileaf collimator (MLC) motionmore » time. Each of the four components is predicted separately. The total beam-on time can be calculated using both the planned beam-on time and the decay-corrected delivery dose rate. To predict the remaining components, we quantitatively analyze the patient treatment delivery record files. The initialization time is demonstrated to be random since it depends on the final gantry angle and MLC leaf positions of the previous treatment. Based on modeling the relationships between the gantry rotation angles and the corresponding rotation time, and between the furthest MLC leaf moving distance and the corresponding MLC motion time, the total delivery time is predicted using linear regression. Results: The proposed algorithm has demonstrated the feasibility of predicting the ViewRay treatment delivery time for any treatment plan of any patient. The average prediction error is 0.89 minutes or 5.34%, and the maximal prediction error is 2.09 minutes or 13.87%. Conclusion: We have developed a treatment delivery time prediction algorithm based on the analysis of previous patients’ treatment delivery records. The accuracy of our prediction is sufficient for guiding and arranging patient treatment appointments on a daily basis. The predicted delivery time could also be used as an indicator to assess the treatment plan complexity. This work was supported by a research grant from Viewray Inc.« less

  18. A comparison of extreme rainfall characteristics in the Brazilian Amazon derived from two gridded data sets and a national rain gauge network

    NASA Astrophysics Data System (ADS)

    Clarke, Robin T.; Bulhoes Mendes, Carlos Andre; Costa Buarque, Diogo

    2010-07-01

    Two issues of particular importance for the Amazon watershed are: whether annual maxima obtained from reanalysis and raingauge records agree well enough for the former to be useful in extending records of the latter; and whether reported trends in Amazon annual rainfall are reflected in the behavior of annual extremes in precipitation estimated from reanalyses and raingauge records. To explore these issues, three sets of daily precipitation data (1979-2001) from the Brazilian Amazon were analyzed (NCEP/NCAR and ERA-40 reanalyses, and records from the raingauge network of the Brazilian water resources agency - ANA), using the following variables: (1) mean annual maximum precipitation totals, accumulated over one, two, three and five days; (2) linear trends in these variables; (3) mean length of longest within-year "dry" spell; (4) linear trends in these variables. Comparisons between variables obtained from all three data sources showed that reanalyses underestimated time-trends and mean annual maximum precipitation (over durations of one to five days), and the correlations between reanalysis and spatially-interpolated raingauge estimates were small for these two variables. Both reanalyses over-estimated mean lengths of dry period relative to the mean length recorded by the raingauge network. Correlations between the trends calculated from all three data sources were small. Time-trends averaged over the reanalysis grid-squares, and spatially-interpolated time trends from raingauge data, were all clustered around zero. In conclusion, although the NCEP/NCAR and ERA-40 gridded data-sets may be valuable for studies of inter-annual variability in precipitation totals, they were found to be inappropriate for analysis of precipitation extremes.

  19. 75 FR 78726 - Agency Information Collection Activities: North American Free Trade Agreement Duty Deferral

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... information technology; and (e) the annual costs burden to respondents or record keepers from the collection.... Estimated Time per Response: 12 minutes. Estimated Total Annual Burden Hours: 280. Dated: December 13, 2010...

  20. 77 FR 6136 - Agency Information Collection Activities: Application for Extension of Bond for Temporary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... technology; and (e) the annual cost burden to respondents or record keepers from the collection of... States (19 U.S.C. 1202). When this time period is not sufficient, it may be extended by submitting an... Respondent: 14. Estimated Number of Total Annual Responses: 16,800. Estimated Time per Response: 13 minutes...

  1. Developing a Method to Test the Validity of 24 Hour Time Use Diaries Using Wearable Cameras: A Feasibility Pilot

    PubMed Central

    Kelly, Paul; Thomas, Emma; Doherty, Aiden; Harms, Teresa; Burke, Órlaith; Gershuny, Jonathan; Foster, Charlie

    2015-01-01

    Self-report time use diaries collect a continuous sequenced record of daily activities but the validity of the data they produce is uncertain. This study tests the feasibility of using wearable cameras to generate, through image prompted interview, reconstructed 'near-objective' data to assess their validity. 16 volunteers completed the Harmonised European Time Use Survey (HETUS) diary and used an Autographer wearable camera (recording images at approximately 15 second intervals) for the waking hours of the same 24-hour period. Participants then completed an interview in which visual images were used as prompts to reconstruct a record of activities for comparison with the diary record. 14 participants complied with the full collection protocol. We compared time use and number of discrete activities from the diary and camera records (using 10 classifications of activity). In terms of aggregate totals of daily time use we found no significant difference between the diary and camera data. In terms of number of discrete activities, participants reported a mean of 19.2 activities per day in the diaries, while image prompted interviews revealed 41.1 activities per day. The visualisations of the individual activity sequences reveal some potentially important differences between the two record types, which will be explored at the next project stage. This study demonstrates the feasibility of using wearable cameras to reconstruct time use through image prompted interview in order to test the concurrent validity of 24-hour activity time-use budgets. In future we need a suitably powered study to assess the validity and reliability of 24-hour time use diaries. PMID:26633807

  2. Checklist of the marine and estuarine fishes of Madang District, Papua New Guinea, western Pacific Ocean, with 820 new records.

    PubMed

    Fricke, Ronald; Allen, Gerald R; Andréfouët, Serge; Chen, Wei-Jen; Hamel, Mélanie A; Laboute, Pierre; Mana, Ralph; Hui, Tan Heok; Uyeno, Daisuke

    2014-06-08

    A checklist of the marine and estuarine fishes of Madang District is presented, combining both previous and new records. After the recent PAPUA NIUGINI 2012 expedition, a total of 1337 species in 129 families have been recorded from the region. One species and one family is not native (Cichlidae: Oreochromis mossambicus), but has been introduced. The native fish fauna of Madang therefore consists of 1336 species in 128 families. The largest families are the Gobiidae, Labridae, Pomacentridae, Apogonidae, Serranidae, Blenniidae, Chaetodontidae, Syngnathidae and Muraenidae, Scorpaenidae and Lutjanidae, Myctophidae, Acanthuridae, Scaridae, Holocentridae, Carangidae, Pomacanthidae and Tetraodontidae, and Caesionidae. A total of 820 fish species (61.4 % of the total marine and estuarine fish fauna) are recorded from Madang for the first time. The fish fauna of Madang includes a total of 187 species of transitional waters and 1326 species in marine habitats. A total of 156 species of the marine or estuarine species also occurs in freshwater. Zoogeographically, 1271 species have a wide distribution range, most frequently a broad Indo-West Pacific distribution. Among the remaining species, only 8 are endemic to Madang District. Anthropogenic threats to the fish fauna and habitats of Madang District include extensive fishing in Madang Lagoon, sometimes with destructive fishing practices; the discharge of untreated sewage of human settlements, mining and industrial developments into the lagoon and nearby oceanic habitats; and destruction of mangrove habitats by extensive construction work on the shores. These anthropogenic threats may call for conservation and monitoring measures in the near future.

  3. Comparison of the onset of uterine contractions determined from tocodynamometry and maternal perception.

    PubMed

    Ying Wang; Pei Gao; Qian Qiu; Yang An; Dongmei Hao; Fangwei Yang; Xiya Zhou; Lin Yang; Yimin Yang; Xuwen Li; Song Zhang; Dingchang Zheng

    2017-07-01

    The aim of this study was to investigate the time difference (TD) between the onset of uterine contraction (UC) determined from tocodynamometry (TOCO) and identified by maternal perception. The online available Icelandic database was used to calculate TD, which was defined as the difference between when it was felt by a pregnant woman and the starting point on the UC signal recorded by a TOCO. A total of 295 TDs from 78 recordings (from a total of 33 participants; among them, 13 participants included at least 3 recordings from different gestational weeks) were analyzed with the overall mean±SD of TD calculated. For each individual participant with at least 3 recordings, regression analysis was then performed to investigate the relationship between the mean TD from each recording with gestational week, with their overall slope calculated. The results showed that 85.4% of TDs was within [-40, 40] s, with an overall mean TD of 3.04 s (p>0.05), indicating that there was no significant difference between the UC onset determined from TOCO and maternal perception. It was also noticed that 61.5% recordings (48 out of 78 recordings) had all positive or negative TD for all the UCs analyzed within a recording. Furthermore, the regression analysis showed that the regression line slope was negative for 10 out of the 13 participants with at least 3 recordings from different gestational weeks, resulting in that the overall slope (-2.85±5.58) was significantly negative (p<;0.05), and indicating that UC onset TD decreased with gestational weeks. In summary, this study quantitatively investigated the TD between the onset of UCs determined from TOCO and maternal perception, providing scientific evidence for future studies to understand the underlying mechanism of the time sequence of UC activity determined from different techniques.

  4. Determining the Edges of the Path of Totality on August 21, 2017

    NASA Astrophysics Data System (ADS)

    Dunham, David W.; Maley, Paul D.; Kok, Jan; Bruenjes, Fred

    2018-01-01

    The International Occultation Timing Association (IOTA) attempted a citizen-science project to determine the locations of the edges of the path of totality, similar to what was done visually in New York City during the 1925 eclipse. With ubiquitous smart phones, we asked observers to record the eclipse, preferably with clip-on 8x telephoto lenses. The limits are not sharp since the solar intensity drops off gradually at the path edges. We hoped to determine how accurately the path edges could be determined, and the width of their “fuzziness”. But it was not possible to find any astronomers who weren’t also going to the center, who might otherwise help organize some path edge observations. In 1925, people were less concerned about the possibility of suffering eye damage from quick glimpses at the eclipse. In 2017, several were concerned about damage to their cell phones, although our tests showed this was not a problem for the two minutes desired. The only successes were at Minden, Nebraska where high school students set up 15 stations across the southern limit and recorded the eclipse with iPads, and near Wheatland, Wyoming, where Jan Kok set up 21 pre-pointed smart phones with 8x lenses that he was able to program, to record the eclipse during the critical two minutes. We found that the dynamic range of the smart phone recordings could not distinguish between the corona, and the Baily’s beads around the contacts, so useful times of the duration of “totality” could not be determined. A few IOTA observers recorded Baily’s beads telescopically at a few locations near the eclipse limits. An especially good color recording of Baily’s beads was made by Fred Bruenjes from only 1.3 km inside the southern limit. We hope that similar recordings with accurate time stamping can be obtained at a few locations near both limits of future eclipses. Even better might be recordings of the flash spectrum near both limits, to measure the transition from absorption lines in the photosphere to emission lines of the chomosphere.

  5. Correlation of otologic complaints in soldiers with speech disorders after traumatic brain injury.

    PubMed

    Dion, Gregory R; Miller, Courtney L; O'Connor, Peter D; Howard, N Scott

    2014-01-01

    To determine the prevalence of otologic complaints in subjects with dysphonia and traumatic brain injury (TBI) in a sample population of the US Army. Cross-sectional study. A total of 292 subjects were identified with a new diagnosis of voice disorder during a 3.5-year period at three large military medical centers. Of them, 70 subjects were also identified with TBI and had no history of dysphonia before this time period. In those with voice disorders and TBI, documentation of hearing complaints, hearing loss, tinnitus, or vertigo was recorded. Time to visit an otolaryngologist and audiologist were also recorded. A total of 70 soldiers were identified with a diagnosis of a voice disorder and TBI. Of these soldiers, 83% had at least one otologic complaint and 50% had more than one. Approximately 60%, 39%, and 44% of the subjects reported tinnitus, hearing loss, or vertigo, respectively. A total of 62% of the subjects with otologic complaints, TBI, and dysphonia were seen by an otolaryngologist. Time until an otolaryngologist evaluated these soldiers varied widely, with an average of 17 months and standard deviation of 12.5 months. Otologic manifestations are common in soldiers with dysphonia and TBI. Careful consideration of communication impairment from otologic dysfunction in those with speech disorders after TBI is warranted. Published by Mosby, Inc.

  6. The Use and Management of Secondary Teachers' Time after the Education Reform Act 1988.

    ERIC Educational Resources Information Center

    Campbell, R. J.; Neill, S. R. St. J.

    A sample of 348 secondary teachers in England and Wales kept a week's record of their work and completed a questionnaire on time usage. The survey indicated that the total mean time spent on work and work-related activities was 54.4 hours per week. Of this, teachers spent 16.9 hours on teaching, 12.9 hours on preparation, 18.1 hours in…

  7. Effect of sampling rate and record length on the determination of stability and control derivatives

    NASA Technical Reports Server (NTRS)

    Brenner, M. J.; Iliff, K. W.; Whitman, R. K.

    1978-01-01

    Flight data from five aircraft were used to assess the effects of sampling rate and record length reductions on estimates of stability and control derivatives produced by a maximum likelihood estimation method. Derivatives could be extracted from flight data with the maximum likelihood estimation method even if there were considerable reductions in sampling rate and/or record length. Small amplitude pulse maneuvers showed greater degradation of the derivative maneuvers than large amplitude pulse maneuvers when these reductions were made. Reducing the sampling rate was found to be more desirable than reducing the record length as a method of lessening the total computation time required without greatly degrading the quantity of the estimates.

  8. An annotated checklist of the scale insects of Iran (Hemiptera, Sternorrhyncha, Coccoidea) with new records and distribution data

    PubMed Central

    Moghaddam, Masumeh

    2013-01-01

    Abstract A list of scale insects (Hemiptera: Sternorrhyncha: Coccoidea) of Iran is present based mainly on the literature records since 1902. In total, 13 families and 275 species have been recorded and these are listed along with their locality data and host plants. The families are as follows: Asterolecaniidae, Cerococcidae, Coccidae, Diaspididae, Eriococcidae, Kermesidae, Margarodidae, Monophlebidae, Ortheziidae, Phoenicococcidae, Pseudococcidae, Putoidae and Rhizoecidae. The following ten species are recorded for the first time from Iran: Diaspidiotus lenticularis (Lindinger), Diaspidiotus wuenni (Lindinger), Fiorinia proboscidaria Green, Koroneaspis lonicerae Borchsenius, Eriococcus cingulatus Kiritchenko, Eriococcus pamiricus (Bazarov), Eriococcus reynei Schmutterer, Eriococcus sanguinairensis Goux and Eriococcus saxidesertus (Borchsenius) and Porphyrophora victoriae Jashenko. PMID:24163586

  9. The Creation of a CPU Timer for High Fidelity Programs

    NASA Technical Reports Server (NTRS)

    Dick, Aidan A.

    2011-01-01

    Using C and C++ programming languages, a tool was developed that measures the efficiency of a program by recording the amount of CPU time that various functions consume. By inserting the tool between lines of code in the program, one can receive a detailed report of the absolute and relative time consumption associated with each section. After adapting the generic tool for a high-fidelity launch vehicle simulation program called MAVERIC, the components of a frequently used function called "derivatives ( )" were measured. Out of the 34 sub-functions in "derivatives ( )", it was found that the top 8 sub-functions made up 83.1% of the total time spent. In order to decrease the overall run time of MAVERIC, a launch vehicle simulation program, a change was implemented in the sub-function "Event_Controller ( )". Reformatting "Event_Controller ( )" led to a 36.9% decrease in the total CPU time spent by that sub-function, and a 3.2% decrease in the total CPU time spent by the overarching function "derivatives ( )".

  10. Operational Production of the Total Ozone Essential Climate Variable as Part of the Copernicus Climate Change Service (C3S)

    NASA Astrophysics Data System (ADS)

    Lerot, C.; Danckaert, T.; van Gent, J.; Coldewey-Egbers, M.; Loyola, D. G.; Errera, Q.; Spurr, R. J. D.; Garane, K.; Koukouli, M.; Balis, D.; Verhoelst, T.; Granville, J.; Lambert, J. C.; Van Roozendael, M.

    2017-12-01

    Total ozone is one of the Essential Climate Variables (ECV) operationally produced within the European Copernicus Climate Change Service (C3S), which aims at providing the geophysical information needed to monitor and study our climate system. The C3S total ozone processing chain relies on algorithmic developments realized for the last six years as part of the ESA's Ozone Climate Change Initiative (Ozone_cci) project. The C3S Climate Data Store currently contains a total ozone record based on observations from the nadir UV-Vis hyperspectral spectrometers GOME/ERS-2, SCIAMACHY/Envisat, GOME-2/Metop-A, GOME-2/Metop-B and OMI/Aura, spanning more than 23 years.Individual level-2 datasets were generated with the retrieval algorithm GODFIT (GOME-type Direct FITting). The retrievals are based on a non-linear least squares adjustment of reflectances simulated with radiative transfer tools from the LIDORT suite, to the measured spectra in the Huggins bands (325-335 nm). The inter-sensor consistency and the time stability of those data sets is significantly enhanced with the application of a soft-calibration procedure to the level-1 reflectances, in which GOME and OMI are used together as a long-term reference. Level-2 data sets are then combined to produce the level-3 GOME-type Total Ozone (GTO-ECV) record consisting of homogenized 1°x1° monthly mean grids. The merging procedure corrects for subsisting inter-satellite biases and temporal drifts. Some developments for minimizing sampling errors have also been recently investigated and will be discussed. Total ozone level-2 and level-3 data sets are regularly verified and validated by independent measurements both from space (independent algorithms and/or instruments) and ground (Brewer/Dobson/SAOZ) and their excellent quality and stability, as well as their consistency with other long-term total ozone data sets will be illustrated here. In future, in addition to be continuously extended in time, the C3S total ozone record will also incorporate new sensors such as OMPS aboard Suomi NPP or TROPOMI/S5p.

  11. Role of sleep continuity and total sleep time in executive function across the adult lifespan.

    PubMed

    Wilckens, Kristine A; Woo, Sarah G; Kirk, Afton R; Erickson, Kirk I; Wheeler, Mark E

    2014-09-01

    The importance of sleep for cognition in young adults is well established, but the role of habitual sleep behavior in cognition across the adult life span remains unknown. We examined the relationship between sleep continuity and total sleep time as assessed with a sleep-detection device, and cognitive performance using a battery of tasks in young (n = 59, mean age = 23.05) and older (n = 53, mean age = 62.68) adults. Across age groups, higher sleep continuity was associated with better cognitive performance. In the younger group, higher sleep continuity was associated with better working memory and inhibitory control. In the older group, higher sleep continuity was associated with better inhibitory control, memory recall, and verbal fluency. Very short and very long total sleep time was associated with poorer working memory and verbal fluency, specifically in the younger group. Total sleep time was not associated with cognitive performance in any domains for the older group. These findings reveal that sleep continuity is important for executive function in both young and older adults, but total sleep time may be more important for cognition in young adults. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  12. Complete major amputation of the upper extremity: Early results and initial treatment algorithm.

    PubMed

    Märdian, Sven; Krapohl, Björn D; Roffeis, Jana; Disch, Alexander C; Schaser, Klaus-Dieter; Schwabe, Philipp

    2015-03-01

    Traumatic major amputations of the upper extremity are devastating injuries. These injuries have a profound impact on patient's quality of life and pose a burden on social economy. The aims of the current study were to report about the initial management of isolated traumatic major upper limb amputation from the time of admission to definitive soft tissue closure and to establish a distinct initial management algorithm. We recorded data concerning the initial management of the patient and the amputated body part in the emergency department (ED) (time from admission to the operation, Injury Severity Score [ISS], cold ischemia time from injury to ED, and total cold ischemia time). The duration, amount of surgical procedures, the time to definitive soft tissue coverage, and the choice of flap were part of the documentation. All intraoperative and postoperative complications were recorded. All patients were successfully replanted (time from injury to ED, 59 ± 4 minutes; ISS16; time from admission to operating room 57 ± 10 minutes; total cold ischemia time 203 ± 20 minutes; total number of procedures 7.3 ± 2.5); definitive soft tissue coverage could be achieved 23 ± 14 days after injury. Two thromboembolic complications occurred, which could be treated by embolectomy during revision surgery, and we saw one early infection, which could be successfully managed by serial debridements in our series. The management of complete major amputations of the upper extremity should be reserved for large trauma centers with enough resources concerning technical, structural, and personnel infrastructure to meet the demands of surgical reconstruction as well as the postoperative care. Following a distinct treatment algorithm is mandatory to increase the rate of successful major replantations, thus laying the foundation for promising secondary functional reconstructive efforts. Therapeutic study, level V.

  13. A statistical analysis of flank eruptions on Etna volcano

    NASA Astrophysics Data System (ADS)

    Mulargia, Francesco; Tinti, Stefano; Boschi, Enzo

    1985-02-01

    A singularly complete record exists for the eruptive activity of Etna volcano. The time series of occurrence of flank eruptions in the period 1600-1980, in which the record is presumably complete, is found to follow a stationary Poisson process. A revision of the available data shows that eruption durations are rather well correlated with the estimates of the volume of lava flows. This implies that the magnitude of an eruption can be defined directly by its duration. Extreme value statistics are then applied to the time series, using duration as a dependent variable. The probability of occurrence of a very long (300 days) eruption is greater than 50% only in time intervals of the order of 50 years. The correlation found between duration and total output also allows estimation of the probability of occurrence of a major event which exceeds a given duration and total flow of lava. The composite probabilities do not differ considerably from the pure ones. Paralleling a well established application to seismic events, extreme value theory can be profitably used in volcanic risk estimates, provided that appropriate account is also taken of all other variables.

  14. Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period.

    PubMed

    Ganesh, Sri; Brar, Sheetal

    2016-01-01

    To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation. A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes. Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups. The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model).

  15. Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period

    PubMed Central

    Ganesh, Sri; Brar, Sheetal

    2016-01-01

    Purpose To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation. Methods A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes. Results Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups. Conclusion The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model). PMID:26869754

  16. Risk factors for manipulation after total knee arthroplasty: a pooled electronic health record database study.

    PubMed

    Pfefferle, Kiel J; Shemory, Scott T; Dilisio, Matthew F; Fening, Stephen D; Gradisar, Ian M

    2014-10-01

    A commercially available software platform, Explorys (Explorys, Inc., Cleveland, OH), was used to mine a pooled electronic healthcare database consisting of the medical records of more than 27 million patients. A total of 229,420 patients had undergone a total knee arthroplasty; 3470 (1.51%) patients were identified to have undergone manipulation under anesthesia. Individual risk factors of being female, African American race, age less than 60, BMI >30 and nicotine dependence were determined to have relative risk of 1.25, 2.20, 3.46, 1.33 and 1.32 respectively. Depressive disorder, diabetes mellitus, opioid abuse/dependence and rheumatoid arthritis were not significant risk factors. African Americans under the age of 60 at time of TKA had the greatest incidence of MUA (5.17%) and relative risk of 3.73 (CI: 3.36, 4.13). Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Time-loss injuries versus non-time-loss injuries in the first team rugby league football: a pooled data analysis.

    PubMed

    Gissane, Conor; Hodgson, Lisa; Jennings, De

    2012-09-01

    To describe the injury rates in first team rugby league in terms of those injuries that require missed playing time and those that do not. A pooled data analysis from 2 independent databases. Rugby league match and training environment over several seasons from 1990 to 2003. Injuries were reported as rates per 1000 hours of participation and as percentages with their associated 95% confidence intervals (CIs). A total of 1707 match injuries were recorded. Of these injuries, 257 required players to miss the subsequent match. The remaining 1450 injuries did not require players to miss the next game. They represented 85% (95% CI, 83-87) of all injuries received and recorded. The ratio of non-time-loss (NTL) to time-loss (TL) injuries was 5.64 (95% CI, 4.96-6.42). There were 450 training injuries, of which 81 were TL injuries and 369 NTL injuries. The NTL training injury rate was 4.56 (95% CI, 3.58-5.79) times higher than TL injury rate. Non-time-loss injuries represent the largest proportion of injuries in rugby league. If NTL injuries are not recorded, the workload of practitioners is likely to be severely underestimated.

  18. 76 FR 28239 - Agency Information Collection Activities: Arrival and Departure Record (Forms I-94 and I-94W) and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-16

    .../startup costs and operations and maintenance costs). The comments that are submitted will be summarized... Number of Respondents: 100,000. Estimated Number of Total Annual Responses: 100,000. Estimated Time per...

  19. An intercept study to measure the extent to which New Zealand university students pre-game.

    PubMed

    Riordan, Benjamin C; Conner, Tamlin S; Flett, Jayde A M; Droste, Nic; Cody, Louise; Brookie, Kate L; Riordan, Jessica K; Scarf, Damian

    2018-02-01

    We aimed to quantify the degree to which students pre-gamed in New Zealand, using self-report and breathalysers. A total of 569 New Zealand undergraduate students were interviewed (men = 45.2%; first year = 81.4%) entering three university-run concerts. We asked participants to report how many drinks they had consumed, their self-reported intoxication and the duration of their pre-gaming session. We then recorded participants' Breath Alcohol Concentration (BrAC; µg/L) and the time they arrived at the event. The number of participants who reported consuming alcohol before the event was 504 (88.6%) and the number of standard drinks consumed was high (M=6.9; median=6.0). A total of 237 (41.7%) participants could not have their BrAC recorded due to having consumed alcohol ≤10 minutes before the interview. The remaining 332 participants (57.3%) recorded a mean BrAC of 288.8µg/L (median=280.0 µg/L). Gender, off-campus accommodation, length of pre-gaming drinking session, and time of arrival at the event were all associated with increased pre-gaming. Conclusion and implications for public health: Pre-gaming was the norm for students. Universities must take pre-gaming into account; policy implications include earlier start times of events and limiting students' access to alcohol prior to events. © 2017 The Authors.

  20. Effects of Handling and Environment on Preterm Newborns Sleeping in Incubators.

    PubMed

    Orsi, Kelly Cristina Sbampato Calado; Avena, Marta José; Lurdes de Cacia Pradella-Hallinan, Marcia; da Luz Gonçalves Pedreira, Mavilde; Tsunemi, Miriam Harumi; Machado Avelar, Ariane Ferreira; Pinheiro, Eliana Moreira

    To describe the total sleep time, stages of sleep, and wakefulness of preterm newborns and correlate them to levels of sound pressure, light, temperature, relative air humidity, and handling inside incubators. Observational, correlational study. A neonatal intermediate care unit. Twelve preterm newborns, who were 32.2 ± 4.2 weeks gestational age and weighed 1,606 ± 317 g. Sleep records were assessed by polysomnograph. Environmental variables were measured with a noise dosimeter, light meter, and thermohygrometer. To record time and frequency of handling, a video camera was used. All recordings were made for an uninterrupted 24-hour period. Mean total sleep time in 24 hours was 899 ± 71.8 minutes (daytime = 446 ± 45.3 and nighttime = 448 ± 60.2). Mean wakefulness was 552 ± 94.0 minutes. The predominant stage was quiet sleep. A significant correlation was identified only between the levels of light and wakefulness (r = 0.65 and p = .041). The environmental conditions and care provided to hospitalized preterm newborns did not influence sleep except for high light levels, which increased wakefulness. Nurses in clinical practice should implement strategies to promote and protect sleep by decreasing newborns' exposure to excessive light. Copyright © 2017 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  1. High-Resolution Rainfall From Radar Reflectivity and Terrestrial Rain Gages for use in Estimating Debris-Flow Susceptibility in the Day Fire, California

    NASA Astrophysics Data System (ADS)

    Hanshaw, M. N.; Schmidt, K. M.; Jorgensen, D. P.; Stock, J. D.

    2007-12-01

    Constraining the distribution of rainfall is essential to evaluating the post-fire mass-wasting response of steep soil-mantled landscapes. As part of a pilot early-warning project for flash floods and debris flows, NOAA deployed a portable truck-mounted Shared Mobile Atmospheric Research and Teaching Radar (SMART-R) to the 2006 Day fire in the Transverse Ranges of Southern California. In conjunction with a dense array of ground- based instruments, including 8 tipping-bucket rain gages located within an area of 170 km2, this C-band mobile Doppler radar provided 200-m grid cell estimates of precipitation data at fine temporal and spatial scales in burned steeplands at risk from hazardous flash floods and debris flows. To assess the utility of using this data in process models for flood and debris flow initiation, we converted grids of radar reflectivity to hourly time-steps of precipitation using an empirical relationship for convective storms, sampling the radar data at the locations of each rain gage as determined by GPS. The SMART-R was located 14 km from the farthest rain gage, but <10 km away from our intensive research area, where 5 gages are located within <1-2 km of each other. Analyses of the nine storms imaged by radar throughout the 2006/2007 winter produced similar cumulative rainfall totals between the gages and their SMART-R grid location over the entire season which correlate well on the high side, with gages recording the most precipitation agreeing to within 11% of the SMART-R. In contrast, on the low rainfall side, totals between the two recording systems are more variable, with a 62% variance between the minimums. In addition, at the scale of individual storms, a correlation between ground-based rainfall measurements and radar-based rainfall estimates is less evident, with storm totals between the gages and the SMART-R varying between 7 and 88%, a possible result of these being relatively small, fast-moving storms in an unusually dry winter. The SMART-R also recorded higher seasonal cumulative rainfall than the terrestrial gages, perhaps indicating that not all precipitation reached the ground. For one storm in particular, time-lapse photographs of the ground document snow. This could explain, in part, the discrepancy between storm-specific totals when the rain gages recorded significantly lower totals than the SMART-R. For example, during the storm where snow was observed, the SMART-R recorded a maximum of 66% higher rainfall than the maximum recorded by the gages. Unexpectedly, the highest elevation gage, located in a pre-fire coniferous vegetation community, consistently recorded the lowest precipitation, whereas gages in the lower elevation pre- fire chaparral community recorded the highest totals. The spatial locations of the maximum rainfall inferred by the SMART-R and the terrestrial gages are also offset by 1.6 km, with terrestrial values shifted easterly. The observation that the SMART-R images high rainfall intensities recorded by rain gages suggests that this technology has the ability to quantitatively estimate the spatial distribution over larger areas at a high resolution. Discrepancies on the storm scale, however, need to be investigated further, but we are optimistic that such high resolution data from the SMART-R and the terrestrial gages may lead to the effective application of a prototype debris-flow warning system where such processes put lives at risk.

  2. Earth rotation derived from occultation records

    NASA Astrophysics Data System (ADS)

    Sôma, Mitsuru; Tanikawa, Kiyotaka

    2016-04-01

    We determined the values of the Earth's rotation parameter, ΔT = T T - UT, around AD 500 after confirming that the value of the tidal acceleration, dot{n}, of the lunar motion remained unchanged during the period between ancient times and the present. For determining of ΔT, we used contemporaneous occultations of planets by the Moon. In general, occultation records are not useful. However, there are some records that give us a stringent condition for the range of ΔT. Records of the lunar occultations in AD 503 and AD 513 are such examples. In order to assure the usefulness of this occultation data, we used contemporaneous annular and total solar eclipses, which have not been used in the preceding work. This is the first work in which the lunar occultation data have been used as primary data to determine the value of ΔT together with auxiliary contemporaneous annular and total solar eclipses. Our ΔT value is less than a smoothed value (Stephenson 1997) by at least 450 s. The result is consistent with our earlier results obtained from solar eclipses.

  3. Nuclear event time histories and computed site transfer functions for locations in the Los Angeles region

    USGS Publications Warehouse

    Rogers, A.M.; Covington, P.A.; Park, R.B.; Borcherdt, R.D.; Perkins, D.M.

    1980-01-01

    This report presents a collection of Nevada Test Site (NTS) nuclear explosion recordings obtained at sites in the greater Los Angeles, Calif., region. The report includes ground velocity time histories, as well as, derived site transfer functions. These data have been collected as part of a study to evaluate the validity of using low-level ground motions to predict the frequency-dependent response of a site during an earthquake. For this study 19 nuclear events were recorded at 98 separate locations. Some of these sites have recorded more than one of the nuclear explosions, and, consequently, there are a total of 159, three-component station records. The location of all the recording sites are shown in figures 1–5, the station coordinates and abbreviations are given in table 1. The station addresses are listed in table 2, and the nuclear explosions that were recorded are listed in table 3. The recording sites were chosen on the basis of three criteria: (1) that the underlying geological conditions were representative of conditions over significant areas of the region, (2) that the site was the location of a strong-motion recording of the 1971 San Fernando earthquake, or (3) that more complete geographical coverage was required in that location.

  4. Catenotaenia dendritica (Cestoda: Catenotaeniidae) and Three Ectoparasite Species in the Red Squirrel, Sciurus vulgaris, from Cheongju, Korea

    PubMed Central

    Choe, Seongjun; Lee, Dongmin; Park, Hansol; Jeon, Hyeong-Kyu; Lee, Youngsun; Na, Ki-Jeong; Lee, In-Yong; Eom, Keeseon S.

    2016-01-01

    Parasites are recorded from the red squirrel, Sciurus vulgaris, from Cheongju, the Republic of Korea. A total of 5 road-killed squirrels were thoroughly examined for internal and external parasites from November 2011 to May 2014. Total 4 parasite species, including 1 tapeworm and 3 ectoparasite species were recovered. They were morphologically identified as Catenotaenia dendritica (Cestoda: Catenotaeniidae), Hirstionyssus sciurinus, Leptotrombidium pallidum, and Ceratophyllus (Monopsyllus) indages. Among them, C. dendritica and H. sciurinus are recorded for the first time in the Korean parasite fauna. In addition, the possibility that the red squirrel could act as a reservoir host for a zoonotic disease like tsutsugamushi disease with L. pallidum as its vector has been raised. PMID:27658604

  5. Catenotaenia dendritica (Cestoda: Catenotaeniidae) and Three Ectoparasite Species in the Red Squirrel, Sciurus vulgaris, from Cheongju, Korea.

    PubMed

    Choe, Seongjun; Lee, Dongmin; Park, Hansol; Jeon, Hyeong-Kyu; Lee, Youngsun; Na, Ki-Jeong; Lee, In-Yong; Eom, Keeseon S

    2016-08-01

    Parasites are recorded from the red squirrel, Sciurus vulgaris, from Cheongju, the Republic of Korea. A total of 5 road-killed squirrels were thoroughly examined for internal and external parasites from November 2011 to May 2014. Total 4 parasite species, including 1 tapeworm and 3 ectoparasite species were recovered. They were morphologically identified as Catenotaenia dendritica (Cestoda: Catenotaeniidae), Hirstionyssus sciurinus, Leptotrombidium pallidum, and Ceratophyllus (Monopsyllus) indages. Among them, C. dendritica and H. sciurinus are recorded for the first time in the Korean parasite fauna. In addition, the possibility that the red squirrel could act as a reservoir host for a zoonotic disease like tsutsugamushi disease with L. pallidum as its vector has been raised.

  6. Nursing activities score.

    PubMed

    Miranda, Dinis Reis; Nap, Raoul; de Rijk, Angelique; Schaufeli, Wilmar; Iapichino, Gaetano

    2003-02-01

    The instruments used for measuring nursing workload in the intensive care unit (e.g., Therapeutic Intervention Scoring System-28) are based on therapeutic interventions related to severity of illness. Many nursing activities are not necessarily related to severity of illness, and cost-effectiveness studies require the accurate evaluation of nursing activities. The aim of the study was to determine the nursing activities that best describe workload in the intensive care unit and to attribute weights to these activities so that the score describes average time consumption instead of severity of illness. To define by consensus a list of nursing activities, to determine the average time consumption of these activities by use of a 1-wk observational cross-sectional study, and to compare these results with those of the Therapeutic Intervention Scoring System-28. A total of 99 intensive care units in 15 countries. Consecutive admissions to the intensive care units. Daily recording of nursing activities at a patient level and random multimoment recording of these activities. A total of five new items and 14 subitems describing nursing activities in the intensive care unit (e.g., monitoring, care of relatives, administrative tasks) were added to the list of therapeutic interventions in Therapeutic Intervention Scoring System-28. Data from 2,041 patients (6,451 nursing days and 127,951 multimoment recordings) were analyzed. The new activities accounted for 60% of the average nursing time; the new scoring system (Nursing Activities Score) explained 81% of the nursing time (vs. 43% in Therapeutic Intervention Scoring System-28). The weights in the Therapeutic Intervention Scoring System-28 are not derived from the use of nursing time. Our study suggests that the Nursing Activities Score measures the consumption of nursing time in the intensive care unit. These results should be validated in independent databases.

  7. Plans to Observe the 2017 Total Solar Eclipse from near the Path Edges

    NASA Astrophysics Data System (ADS)

    Waring Dunham, David; Nugent, Richard; Guhl, Konrad; Bode, Hans-Joachim

    2015-08-01

    The August 21st, 2017 solar eclipse provides a good opportunity, to time the totality contacts, other Baily’s bead phenomena, and observe other dynamic edge phenomena, from locations near the edges of the path of totality. A good network of roads and generally favorable weather prospects means that more observers will likely be able to deploy more equipment than during most previous eclipses. The value of contact and Baily’s bead timings of total solar eclipses, for determining solar diameter and intensity variations, was described in an earlier presentation in Focus Meeting 13. This presentation will concentrate on how observations of different types that have been used during past eclipses can be made by different observers, to obtain better information about the accuracy of the different types of observations for determining the mean solar diameter, and the systematic differences between them. A problem has been that the few observers who have attempted recording Baily’s beads from path edge locations have wanted to use the latest technology, to try to record the observations better, rather than try to make the observations in the same ways that were used for many past eclipses. Several observers trying different techniques at the same location, and doing that at several locations at different places along the path, is needed. Past techniques that we would like to compare include direct visual observation (but keeping eye safety in mind); visual observation of telescopically projected images; direct filtered video telescopic observations; and recording the flash spectrum. There are several towns that straddle the path edges. The International Occultation Timing Association would like to mobilize people in those towns to observe the eclipse from many places, to say whether or not the eclipse happened, and if it did, time it. A suitable cell phone app could be designed to report observations, including the observer’s location, as was attempted for an occultation of Regulus by the asteroid Erigone in the northeastern USA in 2014, but which unfortunately was clouded out everywhere.

  8. Total reduction of distorted echelle spectrograms - An automatic procedure. [for computer controlled microdensitometer

    NASA Technical Reports Server (NTRS)

    Peterson, R. C.; Title, A. M.

    1975-01-01

    A total reduction procedure, notable for its use of a computer-controlled microdensitometer for semi-automatically tracing curved spectra, is applied to distorted high-dispersion echelle spectra recorded by an image tube. Microdensitometer specifications are presented and the FORTRAN, TRACEN and SPOTS programs are outlined. The intensity spectrum of the photographic or electrographic plate is plotted on a graphic display. The time requirements are discussed in detail.

  9. Solar Activity and the Sea-surface Temperature Record-evidence of a Long-period Variation in Solar Total Irradiance

    NASA Technical Reports Server (NTRS)

    Reid, George C.

    1990-01-01

    There have been many suggestions over the years of a connection between solar activity and the Earth's climate on time scales long compared to the 11-year sunspot cycle. They have remained little more than suggestions largely because of the major uncertainties in the climate record itself, and the difficulty in trying to compile a global average from an assembly of measurements that are uneven in both quality and distribution. Different climate time response to solar activity, some suggesting a positive correlation, some a negative correlation, and some no correlation at all. The only excuse for making yet another such suggestion is that much effort has been devoted in recent years to compiling climate records for the past century or more that are internally consistent and believable, and that a decadal-scale record of solar total irradiance is emerging from spacecraft measurements, and can be used to set limits on the variation that is likely to have occurred on these time scales. The work described here was originally inspired by the observation that the time series of globally averaged sea-surface temperatures over the past 120 years or so, as compiled by the British Meteorological Office group (Folland and Kates, 1984), bore a resonable similarity to the long-term average sunspot number, which is an indicator of the secular variability of solar activity. The two time series are shown where the sunspot number is shown as the 135-month running mean, and the SST variation is shown as the departure from an arbitrary average value. The simplest explanation of the similarity, if one accepts it as other than coincidental, is that the sun's luminosity may have been varying more or less in step with the level of solar activity, or in other words that there is a close coupling between the sun's magnetic condition and its radiative output on time scales longer than the 11-year cycle. Such an idea is not new, and in fact the time series shown can be regarded as a modern extension of the proposal put forward by Eddy (1977) to explain the covariance between various global climate indicators and solar activity as revealed by the C-14 record over the past millenium.

  10. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode.

    PubMed

    Hwang, Yeonsoo; Yoon, Dukyong; Ahn, Eun Kyoung; Hwang, Hee; Park, Rae Woong

    2016-12-01

    To determine the risk factors and rate of medication administration error (MAE) alerts by analyzing large-scale medication administration data and related error logs automatically recorded in a closed-loop medication administration system using radio-frequency identification and barcodes. The subject hospital adopted a closed-loop medication administration system. All medication administrations in the general wards were automatically recorded in real-time using radio-frequency identification, barcodes, and hand-held point-of-care devices. MAE alert logs recorded during a full 1 year of 2012. We evaluated risk factors for MAE alerts including administration time, order type, medication route, the number of medication doses administered, and factors associated with nurse practices by logistic regression analysis. A total of 2 874 539 medication dose records from 30 232 patients (882.6 patient-years) were included in 2012. We identified 35 082 MAE alerts (1.22% of total medication doses). The MAE alerts were significantly related to administration at non-standard time [odds ratio (OR) 1.559, 95% confidence interval (CI) 1.515-1.604], emergency order (OR 1.527, 95%CI 1.464-1.594), and the number of medication doses administered (OR 0.993, 95%CI 0.992-0.993). Medication route, nurse's employment duration, and working schedule were also significantly related. The MAE alert rate was 1.22% over the 1-year observation period in the hospital examined in this study. The MAE alerts were significantly related to administration time, order type, medication route, the number of medication doses administered, nurse's employment duration, and working schedule. The real-time closed-loop medication administration system contributed to improving patient safety by preventing potential MAEs. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  11. Climatic controls on the snowmelt hydrology of the northern Rocky Mountains

    USGS Publications Warehouse

    Pederson, G.T.; Gray, S.T.; Ault, T.; Marsh, W.; Fagre, D.B.; Bunn, A.G.; Woodhouse, C.A.; Graumlich, L.J.

    2011-01-01

    The northern Rocky Mountains (NRMs) are a critical headwaters region with the majority of water resources originating from mountain snowpack. Observations showing declines in western U.S. snowpack have implications for water resources and biophysical processes in high-mountain environments. This study investigates oceanic and atmospheric controls underlying changes in timing, variability, and trends documented across the entire hydroclimatic-monitoring system within critical NRM watersheds. Analyses were conducted using records from 25 snow telemetry (SNOTEL) stations, 148 1 April snow course records, stream gauge records from 14 relatively unimpaired rivers, and 37 valley meteorological stations. Over the past four decades, midelevation SNOTEL records show a tendency toward decreased snowpack with peak snow water equivalent (SWE) arriving and melting out earlier. Temperature records show significant seasonal and annual decreases in the number of frost days (days ???0??C) and changes in spring minimum temperatures that correspond with atmospheric circulation changes and surface-albedo feedbacks in March and April. Warmer spring temperatures coupled with increases in mean and variance of spring precipitation correspond strongly to earlier snowmeltout, an increased number of snow-free days, and observed changes in streamflow timing and discharge. The majority of the variability in peak and total annual snowpack and streamflow, however, is explained by season-dependent interannual-to-interdecadal changes in atmospheric circulation associated with Pacific Ocean sea surface temperatures. Over recent decades, increased spring precipitation appears to be buffering NRM total annual streamflow from what would otherwise be greater snow-related declines in hydrologic yield. Results have important implications for ecosystems, water resources, and long-lead-forecasting capabilities. ?? 2011 American Meteorological Society.

  12. A preliminary account of the fly fauna in Jabal Shada al-A’la Nature Reserve, Saudi Arabia, with new records and biogeographical remarks (Diptera, Insecta)

    PubMed Central

    El-Hawagry, Magdi S.; Abdel-Dayem, Mahmoud S.; Elgharbawy, Ali A.; Dhafer, Hathal M. Al

    2016-01-01

    Abstract The first list of insects of Al-Baha Province, Kingdom of Saudi Arabia (KSA) was published in 2013 and contained a total of 582 species; an addendum to this list was published in 2015 adding 142 species and bringing the total number recorded from the province to 724 insect species representing 17 orders. The previous two studies excluded Jabal Shada al-A’la Nature Reserve (SANR), so the present study in SANR, as belonging to Al-Baha Province, are complementary to the previous two. The present study presents a preliminary list of Diptera (Insecta) in SANR, with remarks on their zoogeography, and is the first of a series of planned ecological and systematic studies on different insect orders as one of the outputs of a project proposed to study the entire insect fauna of SANR. A total number of 119 Diptera species belonging to 87 genera, 31 tribes, 42 subfamilies, and representing 30 families has been recorded from SANR in the present study. Some species have been identified only to the genus level and listed herein only because this is the first time to record their genera in KSA. Fourteen of the species are recorded for the first time for KSA, namely: Forcipomyia sahariensis Kieffer, 1923 [Ceratopogonidae]; Chaetosciara sp. [Sciaridae]; Neolophonotus sp.1; Neolophonotus sp.2; Promachus sinaiticus Efflatoun, 1934; Saropogon longicornis (Macquart, 1838); Saropogon sp. [Asilidae]; Spogostylum tripunctatum (Pallas in Wiedemann, 1818) [Bombyliidae]; Phycus sp. [Therevidae]; Hemeromyia sp.; Meoneura palaestinensis Hennig, 1937 [Carnidae]; Desmometopa inaurata Lamb, 1914 [Milichiidae]; Stomoxys niger Macquart, 1851 [Muscidae]; and Sarcophaga palestinensis (Lehrer, 1998) [Sarcophagidae]. Zoogeographic affinities of recorded fly species suggest a closer affiliation to the Afrotropical region (46%) than to the Palearctic region (23.5%) or the Oriental region (2.5%). This supports the previous studies’ conclusions and emphasizes the fact that parts of the Arabian Peninsula, including Al-Baha Province, ought to be a part of the Afrotropical Region rather than of the Palaearctic Region or the Eremic Zone. PMID:27917067

  13. Recording the adult zebrafish cerebral field potential during pentylenetetrazole seizures

    PubMed Central

    Pineda, Ricardo; Beattie, Christine E.; Hall, Charles W.

    2017-01-01

    Although the zebrafish is increasingly used as a model organism to study epilepsy, no standard electrophysiological technique for recording electrographic seizures in adult fish exists. The purpose of this paper is to introduce a readily implementable technique for recording pentylenetetrazole seizures in the adult zebrafish. We find that we can consistently record a high quality field potential over the zebrafish cerebrum using an amplification of 5000 V/V and bandpass filtering at corner frequencies of 1.6 and 16 Hz. The cerebral field potential recordings show consistent features in the baseline, pre-seizure, seizure and post-seizure time periods that can be easily recognized by visual inspection as is the case with human and rodent electroencephalogram. Furthermore, numerical analysis of the field potential at the time of seizure onset reveals an increase in the total power, bandwidth and peak frequency in the power spectrum, as is also the case with human and rodent electroencephalogram. The techniques presented herein stand to advance the utility of the adult zebrafish in the study of epilepsy by affording an equivalent to the electroencephalogram used in mammalian models and human patients. PMID:21689682

  14. Combined Studies

    DTIC Science & Technology

    1976-08-31

    SSH, (1-1) where H viands for conjugate transpose, and S is the total signal vector recorded at an array of sensors, defined by: S...time delay, and a = a scale constant (for convenience, yet without loss of gen- erality, les us assume (|a(<l) ), The complex cepstrum x(n

  15. Aragonite pteropod flux to the Somali Basin, NW Arabian Sea

    NASA Astrophysics Data System (ADS)

    Singh, A. D.; Conan, S. M.-H.

    2008-05-01

    Aragonite export fluxes of pteropods (>250, 150-250 and 125-150 μm) in the Somali Basin were estimated using a 9-month time-series sediment trap (MST9-E) from June 1992 to February 1993. The trap with 23 time-series sediment collectors placed at 1032 m water depth collected settling particles over a total of 249 days. Pteropods showed large seasonal variations in both the numerical and mass fluxes (>125 μm) with their maxima at the end of the SW Monsoon during September and early October. It was also observed that records of pteropod fluxes varied in different size fractions. The average numerical flux and mass flux of pteropods (>125 μm) from the 9-month record of the sediment trap was estimated to be about 1830 shells m -2 d -1 and 18 mg m -2 d -1, respectively. We estimate that about 22.5% of the total CaCO 3 in the Somali Basin was contributed by aragonitic pteropods (>125 μm).

  16. Observation of an ionospheric disturbance caused by a gamma-ray burst

    NASA Technical Reports Server (NTRS)

    Fishman, G. J.; Inan, U. S.

    1988-01-01

    A first observation of an ionospheric disturbance from a gamma-ray burst is reported. The burst, GB30801, occurred at 22:14:18 UT on August 1, 1983, and was one of the strongest ever observed. The total fluence was 0.002 erg/sq cm, most of which occurred in the first 4 s of the burst. Simultaneously, a change was observed in the amplitude of a VLF radio signal from a transmitter in Rugby, England indicative of an ionospheric disturbance. Weaker disturbances were also recorded at the same receiving site on signals from VLF stations in Annapolis, Maryland and Lualualei, Hawaii. The times of the burst and the disturbances are coincident within the 10-s resolution of the VLF recording system. No similar disturbances were observed within 60 hr around the time of the burst. In the future, a network of VLF burst monitors may provide measurements of the total ionizing energy fluence from a burst, as well as some limited directional information.

  17. Genetic evaluation of the total hip score of four populous breeds of dog, as recorded by the New Zealand Veterinary Association Hip Dysplasia Scheme (1991-2011).

    PubMed

    Soo, M; Sneddon, N W; Lopez-Villalobos, N; Worth, A J

    2015-03-01

    To use estimated breeding value (EBV) analysis to investigate the genetic trend of the total hip score (to assess canine hip dysplasia) in four populous breeds of dogs using the records from the New Zealand Veterinary Association (NZVA) Canine Hip Dysplasia Scheme database (1991 to 2011). Estimates of heritability and EBV for the NZVA total hip score of individual dogs from the German Shepherd, Labrador Retriever, Golden Retriever and Rottweiler breeds were obtained using restricted maximum likelihood procedures with a within-breed linear animal model. The model included the fixed effects of gender, birth year, birth season, age at scoring and the random effect of animal. The pedigree file included animals recorded between 1990 and 2011. A total of 2,983 NZVA hip score records, from a pedigree of 3,172 animals, were available for genetic evaluation. Genetic trends of the NZVA total hip score were calculated as the regression coefficient of the EBV (weighted by reliabilities) on year of birth. The estimates of heritability for hip score were 0.32 (SE 0.08) in German Shepherd, 0.37 (SE 0.08) in Labrador Retriever, 0.29 (SE 0.08) in Golden Retriever and 0.52 (SE 0.18) in Rottweiler breeds. Genetic trend analysis revealed that only the German Shepherd breed exhibited a genetic trend towards better hip conformation over time, with a decline of 0.13 (SE 0.04) NZVA total hip score units per year (p<0.001). The genetic trends of total hip score for the remaining three breeds were not significantly different from zero (p>0.1). Despite moderate heritability of the NZVA total hip score, there has not been substantial improvement of this trait for the four breeds analysed in the study period. Greater improvement in reducing the prevalence of canine hip dysplasia may be possible if screening were to be compulsory as a requirement for registration of pedigree breeding stock, greater selection pressure were to be applied and selection of breeding stock made on the basis on an individual's EBV rather than the NZVA total hip score alone.

  18. Techniques for measuring arrival times of pulsar signals 1: DSN observations from 1968 to 1980

    NASA Technical Reports Server (NTRS)

    Downs, G. S.; Reichley, P. E.

    1980-01-01

    Techniques used in the ground based observations of pulsars are described, many of them applicable in a navigation scheme. The arrival times of the pulses intercepting Earth are measured at time intervals from a few days to a few months. Low noise, wide band receivers, amplify signals intercepted by 26 m, 34, and 64 m antennas. Digital recordings of total received signal power versus time are cross correlated with the appropriate pulse template.

  19. Impact of OSHA final rule--recording hearing loss: an analysis of an industrial audiometric dataset.

    PubMed

    Rabinowitz, Peter M; Slade, Martin; Dixon-Ernst, Christine; Sircar, Kanta; Cullen, Mark

    2003-12-01

    The 2003 Occupational Safety and Health Administration (OSHA) Occupational Injury and Illness Recording and Reporting Final Rule changed the definition of recordable work-related hearing loss. We performed a study of the Alcoa Inc. audiometric database to evaluate the impact of this new rule. The 2003 rule increased the rate of potentially recordable hearing loss events from 0.2% to 1.6% per year. A total of 68.6% of potentially recordable cases had American Academy of Audiology/American Medical Association (AAO/AMA) hearing impairment at the time of recordability. On average, recordable loss occurred after onset of impairment, whereas the non-age-corrected 10-dB standard threshold shift (STS) usually preceded impairment. The OSHA Final Rule will significantly increase recordable cases of occupational hearing loss. The new case definition is usually accompanied by AAO/AMA hearing impairment. Other, more sensitive metrics should therefore be used for early detection and prevention of hearing loss.

  20. 1 Tbit/inch2 Recording in Angular-Multiplexing Holographic Memory with Constant Signal-to-Scatter Ratio Schedule

    NASA Astrophysics Data System (ADS)

    Hosaka, Makoto; Ishii, Toshiki; Tanaka, Asato; Koga, Shogo; Hoshizawa, Taku

    2013-09-01

    We developed an iterative method for optimizing the exposure schedule to obtain a constant signal-to-scatter ratio (SSR) to accommodate various recording conditions and achieve high-density recording. 192 binary images were recorded in the same location of a medium in approximately 300×300 µm2 using an experimental system embedded with a blue laser diode with a 405 nm wavelength and an objective lens with a 0.85 numerical aperture. The recording density of this multiplexing corresponds to 1 Tbit/in.2. The recording exposure time was optimized through the iteration of a three-step sequence consisting of total reproduced intensity measurement, target signal calculation, and recording energy density calculation. The SSR of pages recorded with this method was almost constant throughout the entire range of the reference beam angle. The signal-to-noise ratio of the sampled pages was over 2.9 dB, which is higher than the reproducible limit of 1.5 dB in our experimental system.

  1. Impact of OSHA Final Rule—Recording Hearing Loss: An Analysis of an Industrial Audiometric Dataset

    PubMed Central

    Rabinowitz, Peter M.; Slade, Martin; Dixon-Ernst, Christine; Sircar, Kanta; Cullen, Mark

    2013-01-01

    The 2003 Occupational Safety and Health Administration (OSHA) Occupational Injury and Illness Recording and Reporting Final Rule changed the definition of recordable work-related hearing loss. We performed a study of the Alcoa Inc. audiometric database to evaluate the impact of this new rule. The 2003 rule increased the rate of potentially recordable hearing loss events from 0.2% to 1.6% per year. A total of 68.6% of potentially recordable cases had American Academy of Audiology/American Medical Association (AAO/AMA) hearing impairment at the time of recordability. On average, recordable loss occurred after onset of impairment, whereas the non-age-corrected 10-dB standard threshold shift (STS) usually preceded impairment. The OSHA Final Rule will significantly increase recordable cases of occupational hearing loss. The new case definition is usually accompanied by AAO/AMA hearing impairment. Other, more sensitive metrics should therefore be used for early detection and prevention of hearing loss. PMID:14665813

  2. Real-time database drawn from an electronic health record for a thoracic surgery unit: high-quality clinical data saving time and human resources.

    PubMed

    Salati, Michele; Pompili, Cecilia; Refai, Majed; Xiumè, Francesco; Sabbatini, Armando; Brunelli, Alessandro

    2014-06-01

    The aim of the present study was to verify whether the implementation of an electronic health record (EHR) in our thoracic surgery unit allows creation of a high-quality clinical database saving time and costs. Before August 2011, multiple individuals compiled the on-paper documents/records and a single data manager inputted selected data into the database (traditional database, tDB). Since the adoption of an EHR in August 2011, multiple individuals have been responsible for compiling the EHR, which automatically generates a real-time database (EHR-based database, eDB), without the need for a data manager. During the initial period of implementation of the EHR, periodic meetings were held with all physicians involved in the use of the EHR in order to monitor and standardize the data registration process. Data quality of the first 100 anatomical lung resections recorded in the eDB was assessed by measuring the total number of missing values (MVs: existing non-reported value) and inaccurate values (wrong data) occurring in 95 core variables. The average MV of the eDB was compared with the one occurring in the same variables of the last 100 records registered in the tDB. A learning curve was constructed by plotting the number of MVs in the electronic database and tDB with the patients arranged by the date of registration. The tDB and eDB had similar MVs (0.74 vs 1, P = 0.13). The learning curve showed an initial phase including about 35 records, where MV in the eDB was higher than that in the tDB (1.9 vs 0.74, P = 0.03), and a subsequent phase, where the MV was similar in the two databases (0.7 vs 0.74, P = 0.6). The inaccuracy rate of these two phases in the eDB was stable (0.5 vs 0.3, P = 0.3). Using EHR saved an average of 9 min per patient, totalling 15 h saved for obtaining a dataset of 100 patients with respect to the tDB. The implementation of EHR allowed streamlining the process of clinical data recording. It saved time and human resource costs, without compromising the quality of data. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  3. Floods of January-February 1957 in southeastern Kentucky and adjacent areas

    USGS Publications Warehouse

    ,

    1964-01-01

    Heavy rains over an extensive area on January 27-February 2, caused extreme flooding in southeastern Kentucky and adjacent areas in West Virginia, Virginia, and Tennessee. Total rainfall for the storm period ranged from 6-9 inches over most of the report area and was 12? inches at the eastern end of the Virginia-Kentucky State line. The principal basins affected by the storm were those of the Big Sandy, Kentucky, Cumberland, and Tennessee Rivers. Maximum discharge of record occurred in many streams. On Levisa Fork near Grundy, Va., the peak discharge of 33,200 cfs was 50 percent greater than the previous maximum in 17 years of record and was 3.3 times the mean annual flood. The peak discharges on-tributaries of the Kentucky River and on ,the Holston and Clinch Rivers were also the greatest of record and .those on the upper Cumberland River were nearly as great as .those during the historic floods of 1918 and 1946. Total flood damage was estimated at $61 million of which $39 million was in the Big Sandy River basin (mostly in Kentucky) and $15 million was in the Kentucky River basin--$52 million of the total damage was in Kentucky.

  4. 14C plateaus and global stratigraphic correlation during Termination IA

    NASA Astrophysics Data System (ADS)

    Sarnthein, M.; Grootes, P. M.; Kennett, J. P.; Nadeau, M.

    2006-12-01

    In search of a global 14C reference record for Termination IA, we analyzed three published 14C records with centennial-scale resolution, that provide independent evidence for calibrating the 14C time scale: (1) A sediment record from Cariaco Basin (ODP Site 1002) correlated to the U/Th-dated Hulu Cave record (Hughen et al., 2006), (2) a U/Th dated speleothem record from the Bahamas (Beck et al., 2001, 2006), and (3) a set of U/Th-dated coral ages (IntCal04 plus Fairbanks et al., 2005) that unfortunately lack data from 18-15 cal. ka. All these records exhibit significant changes in the slope of 14C vs. calendar ages, allowing us to define a suite of major and minor "14C plateaus" in each record, that in total occupy >70% of the 14C record between 19 and 14 cal. ka. Despite their different origin the three records are largely consistent. When dating resolution is sufficient, most plateaus show a characteristic internal structure incorporating 14C inversions, in particular near the onset of a plateau. Plateau boundary ages for the Cariaco record have a total range of uncertainty of 150-450 yr due to uncertainties with age calibration (Hughen et al., 2006), in addition to the range of dating resolution. During Termination IA, a period of dramatic climate change, these boundary ages should serve as datums for the global correlation of marine sediment records. Moreover, they are employed to deduce apparent paleoventil-ation ages and thus circulation patterns of surface and bottom water masses, as demonstrated for example from the northern Pacific and the Icelandic Sea.

  5. Real-time pulse oximetry artifact annotation on computerized anaesthetic records.

    PubMed

    Gostt, Richard Karl; Rathbone, Graeme Dennis; Tucker, Adam Paul

    2002-01-01

    Adoption of computerised anaesthesia record keeping systems has been limited by the concern that they record artifactual data and accurate data indiscriminately. Data resulting from artifacts does not reflect the patient's true condition and presents a problem in later analysis of the record, with associated medico-legal implications. This study developed an algorithm to automatically annotate pulse oximetry artifacts and sought to evaluate the algorithm's accuracy in routine surgical procedures. MacAnaesthetist is a semi-automatic anaesthetic record keeping system developed for the Apple Macintosh computer, which incorporated an algorithm designed to automatically detect pulse oximetry artifacts. The algorithm labeled artifactual oxygen saturation values < 90%. This was done in real-time by analyzing physiological data captured from a Datex AS/3 Anaesthesia Monitor. An observational study was conducted to evaluate the accuracy of the algorithm during routine surgical procedures (n = 20). An anaesthetic record was made by an anaesthetist using the Datex AS/3 record keeper, while a second anaesthetic record was produced in parallel using MacAnaesthetist. A copy of the Datex AS/3 record was kept for later review by a group of anaesthetists (n = 20), who judged oxygen saturation values < 90% to be either genuine or artifact. MacAnaesthetist correctly labeled 12 out of 13 oxygen saturations < 90% (92.3% accuracy). A post-operative review of the Datex AS/3 anaesthetic records (n = 8) by twenty anaesthetists resulted in 127 correct responses out of total of 200 (63.5% accuracy). The remaining Datex AS/3 records (n = 12) were not reviewed, as they did not contain any oxygen saturations <90%. The real-time artifact detection algorithm developed in this study was more accurate than anaesthetists who post-operatively reviewed records produced by an existing computerised anaesthesia record keeping system. Algorithms have the potential to more accurately identify and annotate artifacts on computerised anaesthetic records, assisting clinicians to more correctly interpret abnormal data.

  6. Continuing the Total and Spectral Solar Irradiance Climate Data Record

    NASA Astrophysics Data System (ADS)

    Coddington, O.; Pilewskie, P.; Kopp, G.; Richard, E. C.; Sparn, T.; Woods, T. N.

    2017-12-01

    Radiative energy from the Sun establishes the basic climate of the Earth's surface and atmosphere and defines the terrestrial environment that supports all life on the planet. External solar variability on a wide range of scales ubiquitously affects the Earth system, and combines with internal forcings, including anthropogenic changes in greenhouse gases and aerosols, and natural modes such as ENSO, and volcanic forcing, to define past, present, and future climates. Understanding these effects requires continuous measurements of total and spectrally resolved solar irradiance that meet the stringent requirements of climate-quality accuracy and stability over time. The current uninterrupted 39-year total solar irradiance (TSI) climate data record is the result of several overlapping instruments flown on different missions. Measurement continuity, required to link successive instruments to the existing data record to discern long-term trends makes this important climate data record susceptible to loss in the event of a gap in measurements. While improvements in future instrument accuracy will reduce the risk of a gap, the 2017 launch of TSIS-1 ensures continuity of the solar irradiance record into the next decade. There are scientific and programmatic motivations for addressing the challenges of maintaining the solar irradiance data record beyond TSIS-1. The science rests on well-founded requirements of establishing a trusted climate observing network that can monitor trends in fundamental climate variables. Programmatically, the long-term monitoring of solar irradiance must be balanced within the broader goals of NASA Earth Science. New concepts for a low-risk, cost efficient observing strategy is a priority. New highly capable small spacecraft, low-cost launch vehicles and a multi-decadal plan to provide overlapping TSI and SSI data records are components of a low risk/high reliability plan with lower annual cost than past implementations. This paper provides the justification for prioritizing solar irradiance observations and plans for extending the record into the next two decades that adheres to the rigors of quantifiable methods for meeting objectives.

  7. Comparison of total costs of administering calcium polycarbophil and psyllium mucilloid in an institutional setting.

    PubMed

    Mamtani, R; Cimino, J A; Cooperman, J M; Kugel, R

    1990-01-01

    The total cost of administering calcium polycarbophil per unit dose (two tablets) was compared with that of administering psyllium mucilloid (one packet dissolved in 8 oz of water) in 20 elderly nursing-home residents. Times for printing labels, checking and initialing labels, gathering materials needed, and preparing and administering the medications were recorded during at least 50 observations in each treatment group. Total cost included nurses' and pharmacists' time, materials, and medications. Calcium polycarbophil doses were prepared and administered more quickly (mean, 49.5 sec) than psyllium mucilloid (105.3 sec). The mean cost of preparing and administering a unit dose was 28.2 for calcium polycarbophil tablets and 59.9 for psyllium mucilloid. The results suggest that the use of calcium polycarbophil tablets would save time and money in institutions in which laxatives are frequently administered.

  8. Cost-efficient observation of working postures from video recordings--more videos, more observers or more views per observer?

    PubMed

    Mathiassen, Svend Erik; Liv, Per; Wahlström, Jens

    2012-01-01

    In ergonomics, assessing the working postures of an individual by observation is a very common practice. The present study investigated whether monetary resources devoted to an observational study should preferably be invested in collecting many video recordings of the work, or in having several observers estimate postures from available videos multiple times. On the basis of a data set of observed working postures among hairdressers, necessary information in terms of posture variability, observer variability, and costs for recording and observing videos was entered into equations providing the total cost of data collection and the precision (informative value) of the resulting estimates of two variables: percentages time with the arm elevated <15 degrees and >90 degrees. In all 160 data collection strategies, differing with respect to the number of video recordings and the number of repeated observations of each recording, were simulated and compared for cost and precision. For both posture variables, the most cost-efficient strategy for a given budget was to engage 4 observers to look at available video recordings, rather than to have one observer look at more recordings. Since the latter strategy is the more common in ergonomics practice, we recommend reconsidering standard practice in observational posture assessment.

  9. Sleep-monitoring, experiment M133. [electronic recording system for automatic analysis of human sleep patterns

    NASA Technical Reports Server (NTRS)

    Frost, J. D., Jr.; Salamy, J. G.

    1973-01-01

    The Skylab sleep-monitoring experiment simulated the timelines and environment expected during a 56-day Skylab mission. Two crewmembers utilized the data acquisition and analysis hardware, and their sleep characteristics were studied in an online fashion during a number of all night recording sessions. Comparison of the results of online automatic analysis with those of postmission visual data analysis was favorable, confirming the feasibility of obtaining reliable objective information concerning sleep characteristics during the Skylab missions. One crewmember exhibited definite changes in certain sleep characteristics (e.g., increased sleep latency, increased time Awake during first third of night, and decreased total sleep time) during the mission.

  10. Digital Copy of the Pulkovo Plate Collection

    NASA Astrophysics Data System (ADS)

    Kanaev, I.; Kanaeva, N.; Poliakow, E.; Pugatch, T.

    Report is devoted to a problem of saving of the Pulkovo plate collection. In total more than 50 thousand astronegatives are stored in the observatory. First of them are dated back to 1893. A risk of emulsion corrupting raises with current of time. Since 1996 the operation on digitization and record of the images of plates on electronic media (HDD, CD) are carried out in the observatory. The database ECSIP - Electronic Collection of the Star Images of the Pulkovo is created. There are recorded in it both complete, and extracted (separate areas) images of astronegatives. The plates as a whole are scanned on the photoscanner with rather rough optical resolution 600-2400 dpi. The matrixes with the separate images are digitized on the precision measuring machine "Fantasy" with high (6000-25400 dpi) resolution. The DB ECSIP allows to accept and to store different types of data of a matrix structure, including, CCD-frames. Structure of the ECSIP's software includes systems of visualization, processing and manipulation by the images, and also programs for position and photometric measurements. To the present time more than 40% completed and 10% extracted images from its total amount are digitized and recorded in DB ECSIP. The project is fulfilled at financial support by the Ministry of Science of Russian Federation, grant 01-54 "The coordinate -measuring astrographic machine "Fantasy".

  11. Application of a simple recording system to the analysis of free-play behavior in autistic children1

    PubMed Central

    Boer, Arend P.

    1968-01-01

    An observational system, which has been developed to facilitate recording of the total behavioral repertoire of autistic children, involves time-sampling recording of behavior with the help of a common Stenograph machine. Categories which exhausted all behavior were defined. Each category corresponded with a designated key on the Stenograph machine. The observer depressed one key at each 1-sec interval. The observer was paced by audible beats from a metronome. A naive observer can be used with this method. The observer is not mechanically limited and a minimum of observer training is required to obtain reliable measures. The data sampled during a five-week observation period indicated the stability of a taxonomic instrument of behavior based upon direct, time-sampling observations and the stability of spontaneous autistic behavior. Results showed that the behavior of the subjects was largely nonrandom and unsocialized in character. PMID:16795193

  12. Application of a simple recording system to the analysis of free-play behavior in autistic children.

    PubMed

    Boer, A P

    1968-01-01

    An observational system, which has been developed to facilitate recording of the total behavioral repertoire of autistic children, involves time-sampling recording of behavior with the help of a common Stenograph machine. Categories which exhausted all behavior were defined. Each category corresponded with a designated key on the Stenograph machine. The observer depressed one key at each 1-sec interval. The observer was paced by audible beats from a metronome. A naive observer can be used with this method. The observer is not mechanically limited and a minimum of observer training is required to obtain reliable measures. The data sampled during a five-week observation period indicated the stability of a taxonomic instrument of behavior based upon direct, time-sampling observations and the stability of spontaneous autistic behavior. Results showed that the behavior of the subjects was largely nonrandom and unsocialized in character.

  13. Evolution of the solar irradiance during the Holocene

    NASA Astrophysics Data System (ADS)

    Vieira, L. E. A.; Solanki, S. K.; Krivova, N. A.; Usoskin, I.

    2011-07-01

    Context. Long-term records of solar radiative output are vital for understanding solar variability and past climate change. Measurements of solar irradiance are available for only the last three decades, which calls for reconstructions of this quantity over longer time scales using suitable models. Aims: We present a physically consistent reconstruction of the total solar irradiance for the Holocene. Methods: We extend the SATIRE (Spectral And Total Irradiance REconstruction) models to estimate the evolution of the total (and partly spectral) solar irradiance over the Holocene. The basic assumption is that the variations of the solar irradiance are due to the evolution of the dark and bright magnetic features on the solar surface. The evolution of the decadally averaged magnetic flux is computed from decadal values of cosmogenic isotope concentrations recorded in natural archives employing a series of physics-based models connecting the processes from the modulation of the cosmic ray flux in the heliosphere to their record in natural archives. We then compute the total solar irradiance (TSI) as a linear combination of the jth and jth + 1 decadal values of the open magnetic flux. In order to evaluate the uncertainties due to the evolution of the Earth's magnetic dipole moment, we employ four reconstructions of the open flux which are based on conceptually different paleomagnetic models. Results: Reconstructions of the TSI over the Holocene, each valid for a different paleomagnetic time series, are presented. Our analysis suggests that major sources of uncertainty in the TSI in this model are the heritage of the uncertainty of the TSI since 1610 reconstructed from sunspot data and the uncertainty of the evolution of the Earth's magnetic dipole moment. The analysis of the distribution functions of the reconstructed irradiance for the last 3000 years, which is the period that the reconstructions overlap, indicates that the estimates based on the virtual axial dipole moment are significantly lower at earlier times than the reconstructions based on the virtual dipole moment. We also present a combined reconstruction, which represents our best estimate of total solar irradiance for any given time during the Holocene. Conclusions: We present the first physics-based reconstruction of the total solar irradiance over the Holocene, which will be of interest for studies of climate change over the last 11 500 years. The reconstruction indicates that the decadally averaged total solar irradiance ranges over approximately 1.5 W/m2 from grand maxima to grand minima. Appendix A is available in electronic form at http://www.aanda.orgThe TSI data is only available at the CDS via anonymous ftp to cdsarc.u-strasbg.fr (130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/531/A6

  14. 76 FR 58495 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... required under the standards enable EPA to identify coating formulations manufactured, imported or... records. In addition, regulated entities are required to submit triennial reports of formulation data and... period. Burden means the total time, effort, or financial resources expended by persons to generate...

  15. 40 CFR 60.581 - Definitions and symbols.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... image consisting of minute cells or indentations, specifically engraved or etched into the cylinder's...=the concentration of VOC in each gas stream (j) for the time period exiting the emission control... plant records, in kilograms. Mdj=the total mass of each dilution solvent (j) added at the print line in...

  16. 40 CFR 60.581 - Definitions and symbols.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... image consisting of minute cells or indentations, specifically engraved or etched into the cylinder's... = the concentration of VOC in each gas stream (j) for the time period exiting the emission control... determined from plant records, in kilograms. Mdj = the total mass of each dilution solvent (j) added at the...

  17. 40 CFR 60.581 - Definitions and symbols.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... image consisting of minute cells or indentations, specifically engraved or etched into the cylinder's...=the concentration of VOC in each gas stream (j) for the time period exiting the emission control... plant records, in kilograms. Mdj=the total mass of each dilution solvent (j) added at the print line in...

  18. 40 CFR 60.581 - Definitions and symbols.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... image consisting of minute cells or indentations, specifically engraved or etched into the cylinder's...=the concentration of VOC in each gas stream (j) for the time period exiting the emission control... plant records, in kilograms. Mdj=the total mass of each dilution solvent (j) added at the print line in...

  19. 40 CFR 60.581 - Definitions and symbols.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... image consisting of minute cells or indentations, specifically engraved or etched into the cylinder's...=the concentration of VOC in each gas stream (j) for the time period exiting the emission control... plant records, in kilograms. Mdj=the total mass of each dilution solvent (j) added at the print line in...

  20. Application Trends Survey. 2014 Survey Report

    ERIC Educational Resources Information Center

    Worthington, Rebecca; Bruggeman, Paula

    2014-01-01

    Now in its 15th year, the Graduate Management Admission Council's assessment of application volume trends for graduate management programs offers timely insights into demographic shifts and other factors defining the candidate pools for the 2014 application cycle. Responses collected in the 2014 survey represent a record-breaking total of 748 MBA,…

  1. High serum total cholesterol is a long-term cause of osteoporotic fracture.

    PubMed

    Trimpou, P; Odén, A; Simonsson, T; Wilhelmsen, L; Landin-Wilhelmsen, K

    2011-05-01

    Risk factors for osteoporotic fractures were evaluated in 1,396 men and women for a period of 20 years. Serum total cholesterol was found to be an independent osteoporotic fracture risk factor whose predictive power improves with time. The purpose of this study was to evaluate long-term risk factors for osteoporotic fracture. A population random sample of men and women aged 25-64 years (the Gothenburg WHO MONICA project, N = 1,396, 53% women) was studied prospectively. The 1985 baseline examination recorded physical activity at work and during leisure time, psychological stress, smoking habits, coffee consumption, BMI, waist/hip ratio, blood pressure, total, HDL and LDL cholesterol, triglycerides, and fibrinogen. Osteoporotic fractures over a period of 20 years were retrieved from the Gothenburg hospital registers. Poisson regression was used to analyze the predictive power for osteoporotic fracture of each risk factor. A total number of 258 osteoporotic fractures occurred in 143 participants (10.2%). As expected, we found that previous fracture, smoking, coffee consumption, and lower BMI each increase the risk for osteoporotic fracture independently of age and sex. More unexpectedly, we found that the gradient of risk of serum total cholesterol to predict osteoporotic fracture significantly increases over time (p = 0.0377). Serum total cholesterol is an independent osteoporotic fracture risk factor whose predictive power improves with time. High serum total cholesterol is a long-term cause of osteoporotic fracture.

  2. A content analysis of children's television advertising: focus on food and oral health.

    PubMed

    Morgan, Maria; Fairchild, Ruth; Phillips, Andrea; Stewart, Kate; Hunter, Lindsay

    2009-06-01

    To analyse the nature and content of advertising during children's popular television viewing times with the specific aims of (i) identifying the proportion of advertising time devoted to confectionery and potentially cariogenic products (those which readily give rise to dental caries, more commonly known as tooth decay); and (ii) determining whether there is a variation in the advertisement of confectionery and other high-sugar products within children's school holiday time v. outside holiday time.MethodIn five separate one-week periods, the output of the four most popular British children's commercial television channels was video-recorded during the most popular viewing times for children. In total, 503 h of television were recorded and analysed. Analysis of the recordings revealed that 16.4 % of advertising time was devoted to food products; 6.3 % of all advertising time was devoted to potentially cariogenic products. Sugared cereals were the most commonly advertised high-sugar product, followed by sweetened dairy products and confectionery (chi2 = 6524.8, df = 4, P < 0.001). The advertisement of confectionery and high-sugar foods appeared to be influenced by school holidays. Health-care professionals should be aware of the shift away from the advertisement of confectionery towards the promotion of foods that might be considered healthier but contain large amounts of hidden sugar.

  3. Television advertising of foodstuffs potentially detrimental to oral health--a content analysis and comparison of children's and primetime broadcasts.

    PubMed

    Chestnutt, I G; Ashraf, F J

    2002-06-01

    The study aimed to examine the nature, content and duration of advertisements broadcast during children's television; determine the proportion of advertisements promoting food; identify the potential of the food advertised to be detrimental to oral health; and to compare the nature and content of advertisements aimed at children with those transmitted during evening 'primetime' television. Children's and primetime television, broadcast on a main independent terrestrial channel in South Wales were video recorded, 237 and 42 hours being analysed in total. Analysis of the recording resulted in a total of 3,236 commercials, of which 2,345 were broadcast during children's television and 891 in primetime. During children's TV, 62.5% of advertising time was devoted to foodstuffs, significantly greater (P< 0.001) than the 18.4% of time spent advertising foods during primetime. Of the time spent advertising foods, during children's television 73.4% was devoted to products deemed potentially detrimental to oral health (primarily high in sugar), compared to 18.6% similarly categorised during evening television. Commercials for products which have the potential to adversely affect oral health constitute a large proportion of advertising time during children's television. Current codes of the Independent Television Commission governing advertising directed at children should be reviewed.

  4. Aggregate R-R-V Analysis

    EPA Pesticide Factsheets

    The excel file contains time series data of flow rates, concentrations of alachlor , atrazine, ammonia, total phosphorus, and total suspended solids observed in two watersheds in Indiana from 2002 to 2007. The aggregate time series data corresponding or representative to all these parameters was obtained using a specialized, data-driven technique. The aggregate data is hypothesized in the published paper to represent the overall health of both watersheds with respect to various potential water quality impairments. The time series data for each of the individual water quality parameters were used to compute corresponding risk measures (Rel, Res, and Vul) that are reported in Table 4 and 5. The aggregation of the risk measures, which is computed from the aggregate time series and water quality standards in Table 1, is also reported in Table 4 and 5 of the published paper. Values under column heading uncertainty reports uncertainties associated with reconstruction of missing records of the water quality parameters. Long-term records of the water quality parameters were reconstructed in order to estimate the (R-R-V) and corresponding aggregate risk measures. This dataset is associated with the following publication:Hoque, Y., S. Tripathi, M. Hantush , and R. Govindaraju. Aggregate Measures of Watershed Health from Reconstructed Water Quality Data with Uncertainty. Ed Gregorich JOURNAL OF ENVIRONMENTAL QUALITY. American Society of Agronomy, MADISON, WI,

  5. Comparison of Profile Total Ozone from SBUV (v8.6) with GOME-Type and Ground-Based Total Ozone for a 16-Year Period (1996 to 2011)

    NASA Technical Reports Server (NTRS)

    Chiou, E. W.; Bhartia, P. K.; McPeters, R. D.; Loyola, D. G.; Coldewey-Egbers, M.; Fioletov, V. E.; Van Roozendael, M.; Spurr, R.; Lerot, C.; Frith, S. M.

    2014-01-01

    This paper describes the comparison of the variability of total column ozone inferred from the three independent multi-year data records, namely, (i) Solar Backscatter Ultraviolet Instrument (SBUV) v8.6 profile total ozone, (ii) GTO (GOME-type total ozone), and (iii) ground-based total ozone data records covering the 16-year overlap period (March 1996 through June 2011). Analyses are conducted based on area-weighted zonal means for 0-30degS, 0-30degN, 50-30degS, and 30-60degN. It has been found that, on average, the differences in monthly zonal mean total ozone vary between -0.3 and 0.8% and are well within 1 %. For GTO minus SBUV, the standard deviations and ranges (maximum minus minimum) of the differences regarding monthly zonal mean total ozone vary between 0.6-0.7% and 2.8-3.8% respectively, depending on the latitude band. The corresponding standard deviations and ranges regarding the differences in monthly zonal mean anomalies show values between 0.4-0.6% and 2.2-3.5 %. The standard deviations and ranges of the differences ground-based minus SBUV regarding both monthly zonal means and anomalies are larger by a factor of 1.4-2.9 in comparison to GTO minus SBUV. The ground-based zonal means demonstrate larger scattering of monthly data compared to satellite-based records. The differences in the scattering are significantly reduced if seasonal zonal averages are analyzed. The trends of the differences GTO minus SBUV and ground-based minus SBUV are found to vary between -0.04 and 0.1%/yr (-0.1 and 0.3DU/yr). These negligibly small trends have provided strong evidence that there are no significant time-dependent differences among these multiyear total ozone data records. Analyses of the annual deviations from pre-1980 level indicate that, for the 15-year period of 1996 to 2010, all three data records show a gradual increase at 30-60degN from -5% in 1996 to -2% in 2010. In contrast, at 50-30degS and 30degS- 30degN there has been a leveling off in the 15 years after 1996. The deviations inferred from GTO and SBUV show agreement within 1 %, but a slight increase has been found in the differences during the period 1996-2010.

  6. Heat penetration attributes of milkfish (Chanos chanos) thermal processed in flexible pouches: a comparative study between steam application and water immersion.

    PubMed

    Adepoju, Mary A; Omitoyin, Bamidele O; Mohan, Chitradurga O; Zynudheen, Aliyam A

    2017-05-01

    The difference in the heating penetration characteristics of product processed in retort by steam-air application and water immersion was studied. Fresh milkfish ( Chanos chanos ) packed in dry pack and in oil medium, both in flexible pouches, was thermal processed to minimum F 0 value of 7.77 at 121.1°C. Heat penetration values were recorded for each minute of processing with the aid Ellab (TM 9608, Denmark) temperature recorder. Retort come up time to achieve 121.1°C was observed to be less in steam-air which invariably led to a lower Ball's process time (B) and the total process time (T) observed in steam-air as compared to water immersion. Obtained data were plotted on a semi-logarithmic paper with temperature deficit on x -axis against time on the y -axis.

  7. New Staphylinidae (Coleoptera) records with new collection data from New Brunswick and an addition to the fauna of Quebec: Staphylininae

    PubMed Central

    Webster, Reginald P.; Smetana, Aleš; Sweeney, Jon D.; DeMerchant, Ian

    2012-01-01

    Abstract Forty-four species of Staphylininae are newly reported from New Brunswick, bringing the total number of species known from the province to 126. Quedius criddlei (Casey) is reported for the first time from Quebec. Bisnius cephalotes (Gravenhorst) is removed from the faunal list of New Brunswick due to a lack of supporting voucher specimens. Additional locality data are presented for seven species either recently recorded from the province or with few previous records and little habitat data. We provide the first documented records of Atrecus americanus (Casey), Quedius erythrogaster Mannerheim, Quedius labradorensis labradorensis Smetana, Quedius plagiatus (Mannerheim), and Neobisnius terminalis (LeConte) from New Brunswick. Collection and habitat data are presented and discussed for all species. PMID:22577325

  8. Assessment of the suitability of using a forehead EEG electrode set and chin EMG electrodes for sleep staging in polysomnography.

    PubMed

    Myllymaa, Sami; Muraja-Murro, Anu; Westeren-Punnonen, Susanna; Hukkanen, Taina; Lappalainen, Reijo; Mervaala, Esa; Töyräs, Juha; Sipilä, Kirsi; Myllymaa, Katja

    2016-12-01

    Recently, a number of portable devices designed for full polysomnography at home have appeared. However, current scalp electrodes used for electroencephalograms are not practical for patient self-application. The aim of this study was to evaluate the suitability of recently introduced forehead electroencephalogram electrode set and supplementary chin electromyogram electrodes for sleep staging. From 31 subjects (10 male, 21 female; age 31.3 ± 11.8 years), sleep was recorded simultaneously with a forehead electroencephalogram electrode set and with a standard polysomnography setup consisting of six recommended electroencephalogram channels, two electrooculogram channels and chin electromyogram. Thereafter, two experienced specialists scored each recording twice, based on either standard polysomnography or forehead recordings. Sleep variables recorded with the forehead electroencephalogram electrode set and separate chin electromyogram electrodes were highly consistent with those obtained with the standard polysomnography. There were no statistically significant differences in total sleep time, sleep efficiency or sleep latencies. However, compared with the standard polysomnography, there was a significant increase in the amount of stage N1 and N2, and a significant reduction in stage N3 and rapid eye movement sleep. Overall, epoch-by-epoch agreement between the methods was 79.5%. Inter-scorer agreement for the forehead electroencephalogram was only slightly lower than that for standard polysomnography (76.1% versus 83.2%). Forehead electroencephalogram electrode set as supplemented with chin electromyogram electrodes may serve as a reliable and simple solution for recording total sleep time, and may be adequate for measuring sleep architecture. Because this electrode concept is well suited for patient's self-application, it may offer a significant advancement in home polysomnography. © 2016 European Sleep Research Society.

  9. Early graft function and carboxyhemoglobin level in liver transplanted patients.

    PubMed

    Ali, Yasser; Negmi, H; Elmasry, N; Sadek, M; Riaz, A; Al Ouffi, H; Khalaf, H

    2007-10-01

    Heme-Oxygenase-1 catalyzes hemoglobin into bilirubin, iron, and carbon monoxide, a well known vasodilator. Heme-Oxygenase-1 expression and carbon monoxide production as measured by blood carboxyhemoglobin levels, increase in end stage liver disease patients. We hypothesized that there may be a correlation between carboxyhemoglobin level and early graft function in patients undergoing liver transplant surgeries. In a descriptive retrospective study, 39 patients who underwent liver transplantation between the year 2005 and 2006 at KFSH&RC, are included in the study. All patients received general anesthesia with isoflurane in 50% oxygen and air. Levels of oxyhemoglobin, carboxyhemoglobin and methemoglobin concentration in percentage were recorded at preoperative time, anhepatic phase, end of surgery, ICU admission and 24 hr after surgery. The level of lactic acid, prothrombin time (PT), partial thrombin time (PTT), serum total bilirubin and ammonia were also recorded at ICU admission and 24 hr after surgery. The numbers of blood units transfused were recorded. 39 patients were included in the study with 13/39 for living donor liver transplant (LDLT) compared to 26/39 patients scheduled for deceased donor liver transplant (DDLT). The mean age was 35.9 +/- 16.9 years while the mean body weight was 60.3 +/- 20.9 Kg. Female to male ratio was 21/18. The median packed red blood cell (PRBC) units was 4 (Rang 0-40). There was a significant increase in carboxyhemoglobin level during the anhepatic phase, end of surgery and on ICU admission compared with preoperative value (p<0.005). However, there was insignificant changes in methemoglobin level and significant decrease in oxyhemoglobin levels throughout the study period compared to the preoperative value (p<0.005). The changes in carboxyhemoglobin level on ICU admission and 24 hrs postoperatively were positively correlated with the changes in serum total bilirubin and prothrombin time (R = 0.35, 0.382, 0.325 and 0.31) respectively p<0.05) but not with the changes in serum lactic acid. The same strong correlation was found when analysing LDLT and DDLT patients separately between carboxyhemoglobin concentration and PT and total bilirubin while still the correlation with lactic acid was weak. There was no correlation between average perioperative carboxyhemoglobin concentration during different timing of measurements and average units of transfused blood (R = -0.02) p>0.05. The changes in carboxyhemoglobin level significantly correlate with the Changes in graft functions particularly prothrombin time and serum total bilirubin and may be used as an early, rapid and simple test for early evaluation of graft function.

  10. The first record of the slender sunfish Ranzania laevis from the Red Sea.

    PubMed

    Abu El-Regal, M A; El-Moselhy, K

    2013-11-01

    A female specimen of the slender sunfish Ranzania laevis of 600 mm total length was recorded for the first time from the Red Sea after being stranded on a shallow sandy bay at Hurghada beach (27° 06' 16″ N; 33° 50' 01″ E) on 13 May 2012. Ranzania laevis is believed to have migrated from the Indian Ocean as the nearest area where it was found is coastal waters of Oman. © 2013 The Fisheries Society of the British Isles.

  11. Caddisflies (Insecta: Trichoptera) from Maranhão State, Northeast Region, Brazil: A new species, checklist, and new geographical records.

    PubMed

    Desidério, Gleison Robson; Barcelos-Silva, Patrik; DE Souza, Wagner Rafael M; Pes, Ana Maria; Azevêdo, Carlos Augusto S DE

    2017-01-17

    In order to improve knowledge of Trichoptera diversity in Northeast Region, Brazil, we present here the first checklist of caddisflies from Maranhão State with a description of a new species and geographical records for the Northeast Region and for all of Brazil. Collections were made in 16 sites distributed in three municipalities of Maranhão State. A total of 54 caddisflies species, 26 genera and 10 families were recorded, including one new species of Leptoceridae, Triplectides maranhensis sp. nov., which is described and illustrated. All species listed here are recorded for the first time for the state, 23 of which are new records for the Northeast Region, as well as five new species for Brazil. These results increase the number of species reported from the Northeast Region from 167 to 221.

  12. Flight Capacities and Diurnal Flight Patterns of the Ambrosia Beetles, Xyleborus glabratus and Monarthrum mali (Coleoptera: Curculionidae).

    PubMed

    Seo, Meeja; Martini, Xavier; Rivera, Monique J; Stelinski, Lukasz L

    2017-06-01

    We compared the flight activity of Xyleborus glabratus Eichhoff, vector and symbiont of the causal agent of laurel wilt disease (Raffaelea lauricola), with a native species Monarthrum mali (Fitch) using flight mills. Flight mills were operated either for 24 h or for three 3-h time intervals. During the 3-h interval experiment, the shortest time to flight initiation for X. glabratus occurred at 1600-1900 hours. The average flight time and total flying distance during 1600-2100 hours were also higher than those quantified during the other two recording times investigated. However, total flight duration and proportion of fliers was highest at 1000-1300 hours. We compared several flight parameters. About 64.0% of tested X. glabratus flew <20 m. During 24-h recording periods, M. mali flew longer distances than X. glabratus. Over 50.0% of M. mali flew over 100 m on the flight mill. Xyleborus glabratus flight activity was greatest between 1200 and 1800 hours, while M. mali flew most frequently between 1500 and 2100 hours. Monarthrum mali flew more than five times more frequently than X. glabratus, and their longest single flight distance (37.5 ± 12.5 m) and total flight distance (213.7 ± 85.5 m) were greater than those of X. glabratus. These data will be useful for development of species-specific control and monitoring protocols for these ambrosia beetles based on greater understanding of their flight capacities and associated invasion distance. © The Authors 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  13. Comparison of manual versus semiautomatic milk recording systems in dairy goats.

    PubMed

    Ait-Saidi, A; Caja, G; Carné, S; Salama, A A K; Ghirardi, J J

    2008-04-01

    A total of 24 Murciano-Granadina dairy goats in early-midlactation were used to compare the labor time and data collection efficiency of using manual (M) vs. semiautomated (SA) systems for milk recording. Goats were milked once daily in a 2 x 12 parallel platform, with 6 milking units on each side. The M system used visual identification (ID) by large plastic ear tags, on-paper data recording, and data manually uploaded to a computer. The SA system used electronic ID, automatic ID, manual data recording on reader keyboard, and automatic data uploading to computer by Bluetooth connection. Data were collected for groups of 2 x 12 goats for 15 test days of each system during a period of 70 d. Time data were converted to a decimal scale. No difference in milk recording time between M and SA (1.32 +/- 0.03 and 1.34 +/- 0.03 min/goat, respectively) was observed. Time needed for transferring data to the computer was greater for M when compared with SA (0.20 +/- 0.01 and 0.05 +/- 0.01 min/goat). Overall milk recording time was greater in M than in SA (1.52 +/- 0.04 vs. 1.39 +/- 0.04 min/goat), the latter decreasing with operator training. Time for transferring milk recording data to the computer was 4.81 +/- 0.34 and 1.09 +/- 0.10 min for M and SA groups of 24 goats, respectively, but only increased by 0.19 min in SA for each additional 24 goats. No difference in errors of data acquisition was detected between M and SA systems during milk recording (0.6%), but an additional 1.1% error was found in the M system during data uploading. Predicted differences between M and SA increased with the number of goats processed on the test-day. Reduction in labor time cost ranged from euro0.5 to 12.9 (US$0.7 to 17.4) per milk recording, according to number of goats from 24 to 480 goats and accounted for 40% of the electronic ID costs. In conclusion, electronic ID was more efficient for labor costs and resulted in fewer data errors, the benefit being greater with trained operators and larger goat herds.

  14. Atmospheric Ozone Response to the Disrupted 2015-2016 Quasi-Biennial Oscillation

    NASA Technical Reports Server (NTRS)

    Kramarova, N. A.; Tweedy, O. V.; Strahan, S. E.; Newman, P. A.; Coy, L.; Randel, W. J.; Park, M.; Waugh, D. W.; Frith, S.

    2017-01-01

    The quasi-biennial oscillation (QBO) - a quasi-periodic alternation between easterly and westerly zonal winds in the tropical stratosphere - is a main driver of inter-annual ozone variability in the stratosphere. During the late-2015 through 2016 time period, the QBO experienced a major disruption unlike any observed since wind measurements began in 1953. We examined the ozone response to this QBO disruption using profile ozone measurements from the Aura Microwave Limb Sounder (MLS) and Ozone Mapping and Profiler Suite Limb Profiler and total column measurements from the Solar Backscatter Ultraviolet (SBUV) Merged Ozone Data Set (MOD). Positive anomalies in stratospheric equatorial O3 developed between 50 and 30 hPa in May-September of 2016, and negative ozone anomalies were observed in the subtropics of both hemispheres. As a consequence of this QBO disruption, extratropical total ozone values during the spring-summer 2016 were at or near seasonal record lows over the more than 40 years of the total ozone record, resulting in an increase of surface UV index during northern hemisphere summer. We found very consistent responses in all considered ozone observations in terms of time, amplitude and spatial patterns. We will show the ozone changes associated with this disrupted QBO throughout the winter and spring 2017.

  15. Contrasting pollen histories of MIS 5e and the Holocene from Lake Titicaca (Bolivia/Peru)

    NASA Astrophysics Data System (ADS)

    Hanselman, Jennifer A.; Gosling, William D.; Paduano, Gina M.; Bush, Mark B.

    2005-10-01

    Two long sediment records (cores LTO1-2B and LT01-3B) from Lake Titicaca, Bolivia/Peru, are compared with a previously analysed Holocene record from this lake (core NE98-1PC). The Holocene records of LT01-2B and NE98-1PC are similar. There are striking differences, however, between the MIS 5e sections of the long cores and the Holocene records. In these records, temperature is probably the dominant parameter that determines the total fossil pollen concentration and is used to time the onset and termination of deglaciation. In contrast, the relative and absolute abundance of specific taxa (e.g. Polylepis/Acaena, Chenopodiaceae) are indicators of relative moisture availability. Although the Holocene contains a period of aridity between ca. 8000 cal. yr BP and 4300 cal. yr BP, it is a minor event compared with the more extreme aridity of MIS 5e. Core LT01-3B showed similar trends during MIS 5e when compared to LT01-2B, as did NE98-1PC when comparing Holocene records. MIS 5e and the Holocene are markedly different interglacials, depicted by shifts in pollen concentration and taxa representation over time.

  16. An audit of some processing effects in aggregated occurrence records.

    PubMed

    Mesibov, Robert

    2018-01-01

    A total of ca 800,000 occurrence records from the Australian Museum (AM), Museums Victoria (MV) and the New Zealand Arthropod Collection (NZAC) were audited for changes in selected Darwin Core fields after processing by the Atlas of Living Australia (ALA; for AM and MV records) and the Global Biodiversity Information Facility (GBIF; for AM, MV and NZAC records). Formal taxon names in the genus- and species-groups were changed in 13-21% of AM and MV records, depending on dataset and aggregator. There was little agreement between the two aggregators on processed names, with names changed in two to three times as many records by one aggregator alone compared to records with names changed by both aggregators. The type status of specimen records did not change with name changes, resulting in confusion as to the name with which a type was associated. Data losses of up to 100% were found after processing in some fields, apparently due to programming errors. The taxonomic usefulness of occurrence records could be improved if aggregators included both original and the processed taxonomic data items for each record. It is recommended that end-users check original and processed records for data loss and name replacements after processing by aggregators.

  17. 78 FR 45569 - Agency Information Collection Activities: Submission to OMB for Reinstatement, With Change, of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ... chartered FCUs: Respondents/record-keepers: 2 per year. Estimated annual burden: 20 hours. Total annual... application. Total annual hours: 365,334. ICR: Membership denial. Respondents/record-keepers: 1055 [[frac14.../record-keepers: All FCUs (4,220). Estimated annual burden: 1 hour. Total annual hours: 4,220. Article V...

  18. Time patterns of sperm whale codas recorded in the Mediterranean Sea 1985-1996.

    PubMed

    Pavan, G; Hayward, T J; Borsani, J F; Priano, M; Manghi, M; Fossati, C; Gordon, J

    2000-06-01

    A distinctive vocalization of the sperm whale, Physeter macrocephalus (=P. catodon), is the coda: a short click sequence with a distinctive stereotyped time pattern [Watkins and Schevill, J. Acoust. Soc. Am. 62, 1485-1490 (1977)]. Coda repertoires have been found to vary both geographically and with group affiliation [Weilgart and Whitehead, Behav. Ecol. Sociobiol. 40, 277-285 (1997)]. In this work, the click timings and repetition patterns of sperm whale codas recorded in the Mediterranean Sea are characterized statistically, and the context in which the codas occurred are also taken into consideration. A total of 138 codas were recorded in the central Mediterranean in the years 1985-1996 by several research groups using a number of different detection instruments, including stationary and towed hydrophones, sonobuoys and passive sonars. Nearly all (134) of the recorded codas share the same "3+1" (/// /) click pattern. Coda durations ranged from 456 to 1280 ms, with an average duration of 908 ms and a standard deviation of 176 ms. Most of the codas (a total of 117) belonged to 20 coda series. Each series was produced by an individual, in most cases by a mature male in a small group, and consisted of between 2 and 16 codas, emitted in one or more "bursts" of 1 to 13 codas spaced fairly regularly in time. The mean number of codas in a burst was 3.46, and the standard deviation was 2.65. The time interval ratios within a coda are parameterized by the coda duration and by the first two interclick intervals normalized by coda duration. These three parameters remained highly stable within each coda series, with coefficients of variation within the series averaging less than 5%. The interval ratios varied somewhat across the data sets, but were highly stable over 8 of the 11 data sets, which span 11 years and widely dispersed geographic locations. Somewhat different interval ratios were observed in the other three data sets; in one of these data sets, the variant codas were produced by a young whale. Two sets of presumed sperm whale codas recorded in 1996 had 5- and 6-click patterns; the observation of these new patterns suggests that sperm whale codas in the Mediterranean may have more variations than previously believed.

  19. Syndromic surveillance for health information system failures: a feasibility study.

    PubMed

    Ong, Mei-Sing; Magrabi, Farah; Coiera, Enrico

    2013-05-01

    To explore the applicability of a syndromic surveillance method to the early detection of health information technology (HIT) system failures. A syndromic surveillance system was developed to monitor a laboratory information system at a tertiary hospital. Four indices were monitored: (1) total laboratory records being created; (2) total records with missing results; (3) average serum potassium results; and (4) total duplicated tests on a patient. The goal was to detect HIT system failures causing: data loss at the record level; data loss at the field level; erroneous data; and unintended duplication of data. Time-series models of the indices were constructed, and statistical process control charts were used to detect unexpected behaviors. The ability of the models to detect HIT system failures was evaluated using simulated failures, each lasting for 24 h, with error rates ranging from 1% to 35%. In detecting data loss at the record level, the model achieved a sensitivity of 0.26 when the simulated error rate was 1%, while maintaining a specificity of 0.98. Detection performance improved with increasing error rates, achieving a perfect sensitivity when the error rate was 35%. In the detection of missing results, erroneous serum potassium results and unintended repetition of tests, perfect sensitivity was attained when the error rate was as small as 5%. Decreasing the error rate to 1% resulted in a drop in sensitivity to 0.65-0.85. Syndromic surveillance methods can potentially be applied to monitor HIT systems, to facilitate the early detection of failures.

  20. Impact on DARCOM of Nonstandard MTOE.

    DTIC Science & Technology

    1981-03-01

    DIFFERENCES BETWEEN TOE AND MTOE TYPE NR RECORDS TOTAL QTY OF TOTAL QTY OF TOTAL DIFF ORGN IDENTIFIED ITEMS AUTH ITEMS AUTH BETWEEN TOE BY TOE BY MTOE AND MTOE...BETWEEN TOE AND MTOE TYPE NR RECORDS TOTAL QTY OF TOTAL QTY OF TOTAL DIFF ORGN IDENTIFIED ITEMS AUTH ITEMS AUTH BETWEEN TOE BY TOE BY MTOE AND MTOE 01

  1. Seasonal variations in daily rhythms of activity in athletic horses.

    PubMed

    Bertolucci, C; Giannetto, C; Fazio, F; Piccione, G

    2008-07-01

    Circadian rhythms reflect extensive programming of biological activity that meets and exploits the challenges and opportunities offered by the periodic nature of the environment. In the present investigation, we recorded the total activity of athletic horses kept at four different times of the year (vernal equinox, summer solstice, autumn equinox and winter solstice), to evaluate the presence of seasonal variations of daily activity rhythms. Athletic Thoroughbred horses were kept in individual boxes with paddock. Digitally integrated measure of total activity of each mare was continuously recorded by actigraphy-based data loggers. Horse total activities were not evenly distributed over the day, but they were mainly diurnal during the year. Daily activity rhythms showed clear seasonal variations, with the highest daily amount of activity during the vernal equinox and the lowest during the winter solstice. Interestingly, the amount of activity during either photophase or scotophase changed significantly throughout the year. Circadian analysis of horse activities showed that the acrophase, the estimated time at which the peak of the rhythm occurs, did not change during the year, it always occurred in the middle of the photoperiod. Analysing the time structure of long-term and continuously measured activity and feeding could be a useful method to critically evaluate athletic horse management systems in which spontaneous locomotor activity and feeding are severely limited. Circadian rhythms are present in several elements of sensory motor and psychomotor functions and these would be taken into consideration to plan the training schedules and competitions in athletic horses.

  2. Evaluation of eating and rumination behaviour in cows using a noseband pressure sensor

    PubMed Central

    2013-01-01

    Background An automated technique for recording eating and rumination behaviour was evaluated in ten lactating Brown Swiss cows by comparing data obtained from a pressure sensor with data obtained via direct observation over a 24-hour period. The recording device involved a pressure sensor integrated in the noseband of a halter. The analysed variables included number and duration of individual rumination, eating and resting phases, total daily length of these phases and number of cuds chewed per day. Results Eating and rumination phases were readily differentiated based on characteristic pressure profiles. Chewing movements during rumination were regular and generated regular waveforms with uniform amplitudes, whereas eating generated irregular waveforms with variable amplitudes. There was complete or almost complete agreement and no significant differences between data obtained via direct observation and pressure sensor technique. Both methods yielded an average of 16 daily eating phases with a mean duration of 28.3 minutes. Total time spent eating was 445.0 minutes for direct observation and 445.4 minutes for the pressure sensor technique. Both techniques recorded an average of 13.3 rumination phases with a mean duration of 30.3 (direct observation) and of 30.2 (pressure sensor) minutes. Total time spent ruminating per day, number of cuds per day and chewing cycles per cud were 389.3 and 388.3 minutes, 410.1 and 410.0 and 60.0 and 60.3 for direct observation and pressure sensor technique, respectively. There was a significant difference between the two methods with respect to mean number of chewing cycles per day (24′669, direct observation vs. 24′751, pressure sensor, P < 0.05, paired t-test). There were strong correlations between the two recording methods with correlation coefficients ranging from 0.98 to 1.00. Conclusions The results confirmed that measurements of eating and rumination variables obtained via the pressure sensor technique are in excellent agreement with data obtained via direct observation. PMID:23941142

  3. Risk management considerations and the pregnancy handheld record. An audit of the return rate of the pregnancy handheld record.

    PubMed

    Toohill, Jocelyn; Soong, Barbara; Meldrum, Melissa

    2006-12-01

    Risk management is integral to the provision of contemporary health care. As maternity practices change and with a commitment on women being at the centre of care, one strategy has been for women to retain their records during the antenatal period. This paper explores the return rate of the pregnancy handheld record in a major tertiary facility and discusses the risk management implications when the record is not available upon presentation to the treating practitioner. Four audits were conducted over a 2 year period to determine the return rate of the pregnancy handheld record at time of admission for labour and birth. A total of 1096 records were returned out of a possible 1256 during the study. A 6.6% increase in the return rate was achieved over the 4 audit periods (82-88.5%) with an overall return rate of 85%. Our audit highlights the need for consumers, clinicians and heath care facilities to consider the advantages and disadvantages of the pregnancy handheld record, as well as the medico-legal responsibilities that ultimately fall back on the health facility.

  4. 28 CFR 16.97 - Exemption of Bureau of Prisons Systems-limited access.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... agencies, Federal and State probation and judicial offices, the disclosure of which may permit a record... progresses or with the passage of time, and could be relevant to future law enforcement decisions. (9) From... applicable exemption may be waived, either partially or totally, by the Office of Internal Affairs (OIA...

  5. 28 CFR 16.97 - Exemption of Bureau of Prisons Systems-limited access.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... agencies, Federal and State probation and judicial offices, the disclosure of which may permit a record... progresses or with the passage of time, and could be relevant to future law enforcement decisions. (9) From... applicable exemption may be waived, either partially or totally, by the Office of Internal Affairs (OIA...

  6. 29 CFR 70.43 - Payment of fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Secretary of Labor PRODUCTION OR DISCLOSURE OF INFORMATION OR MATERIALS Costs for Production of Records § 70.43 Payment of fees. (a) De minimis costs. Where the cost of collecting and processing a fee to be... and review time and copying costs. Where a disclosure officer determines or estimates that a total fee...

  7. 78 FR 55114 - Access to Employee Exposure and Medical Records; Extension of the Office of Management and Budget...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-09

    ... documentation. Estimated Total Burden Hours: 730,515. Estimated Cost (Operation and Maintenance): $0. IV. Public... that information is in the desired format, reporting burden (time and costs) is minimal, collection... and costs associated with exposure monitoring and measurement, medical surveillance, and the other...

  8. Time compression of soil erosion by the effect of largest daily event. A regional analysis of USLE database.

    NASA Astrophysics Data System (ADS)

    Gonzalez-Hidalgo, J. C.; Batalla, R.; Cerda, A.; de Luis, M.

    2009-04-01

    When Thornes and Brunsden wrote in 1977 "How often one hears the researcher (and no less the undergraduate) complain that after weeks of observation "nothing happened" only to learn that, the day after his departure, a flood caused unprecedent erosion and channel changes!" (Thornes and Brunsden, 1977, p. 57), they focussed on two different problems in geomorphological research: the effects of extreme events and the temporal compression of geomorphological processes. The time compression is one of the main characteristic of erosion processes. It means that an important amount of the total soil eroded is produced in very short temporal intervals, i.e. few events mostly related to extreme events. From magnitude-frequency analysis we know that few events, not necessarily extreme by magnitude, produce high amount of geomorphological work. Last but not least, extreme isolated events are a classical issue in geomorphology by their specific effects, and they are receiving permanent attention, increased at present because of scenarios of global change. Notwithstanding, the time compression of geomorphological processes could be focused not only on the analysis of extreme events and the traditional magnitude-frequency approach, but on new complementary approach based on the effects of largest events. The classical approach define extreme event as a rare event (identified by its magnitude and quantified by some deviation from central value), while we define largest events by the rank, whatever their magnitude. In a previous research on time compression of soil erosion, using USLE soil erosion database (Gonzalez-Hidalgo et al., EGU 2007), we described a relationship between the total amount of daily erosive events recorded by plot and the percentage contribution to total soil erosion of n-largest aggregated daily events. Now we offer a further refined analysis comparing different agricultural regions in USA. To do that we have analyzed data from 594 erosion plots from USLE database with different record periods, and located in different climatic regions. Results indicate that there are no significant differences in the mean contribution of aggregated 5-largest daily erosion events between different agricultural divisions (i.e. different regional climate), and the differences detected can be attributed to specific site and plots conditions. Expected contribution of 5-largest daily event for 100 total daily events recorded is estimated around 40% of total soil erosion. We discuss the possible causes of such results and the applicability of them to the design of field research on soil erosion plots.

  9. Siphonaptera associated with wild mammals from the Central Atlantic Forest Biodiversity Corridor in southeastern Brazil.

    PubMed

    Pinto, Israel de S; Botelho, José R; Costa, Leonora P; Leite, Yuri L R; Linardi, Pedro M

    2009-09-01

    We collected 379 samples of eight flea species from 235 specimens of wild mammals captured in three areas of the Central Atlantic Forest Corridor in the state of Espírito Santo, southeastern Brazil, between August 2006 and February 2008. Among the 22 mammal species, we found eight species of marsupials (order Didelphimorphia), 13 species of rodents (order Rodentia), and one species of wild cat (order Carnivora). The total prevalence of infestation was 28.1%, with similar percentages in rodents (26.4%) and marsupials (29.5%). The infestation in the southern area was 3 times higher than that observed in the northern area. The infestation by single flea species was > 6 times higher than the total number of double and triple infestations. The mean abundance of fleas was 1.61. The flea female/male ratio was 1.38, ranging from 0.95 in Adoratopsylla (Tritopsylla) intermedia intermedia (Wagner) to 1.81 in Hechtiella nitidus (Johnson) in the most flea species infested. We report three new records of flea species in the state of Espírito Santo, and eight new host records.

  10. Time Management in the Operating Room: An Analysis of the Dedicated Minimally Invasive Surgery Suite

    PubMed Central

    Hsiao, Kenneth C.; Machaidze, Zurab

    2004-01-01

    Background: Dedicated minimally invasive surgery suites are available that contain specialized equipment to facilitate endoscopic surgery. Laparoscopy performed in a general operating room is hampered by the multitude of additional equipment that must be transported into the room. The objective of this study was to compare the preparation times between procedures performed in traditional operating rooms versus dedicated minimally invasive surgery suites to see whether operating room efficiency is improved in the specialized room. Methods: The records of 50 patients who underwent laparoscopic procedures between September 2000 and April 2002 were retrospectively reviewed. Twenty-three patients underwent surgery in a general operating room and 18 patients in an minimally invasive surgery suite. Nine patients were excluded because of cystoscopic procedures undergone prior to laparoscopy. Various time points were recorded from which various time intervals were derived, such as preanesthesia time, anesthesia induction time, and total preparation time. A 2-tailed, unpaired Student t test was used for statistical analysis. Results: The mean preanesthesia time was significantly faster in the minimally invasive surgery suite (12.2 minutes) compared with that in the traditional operating room (17.8 minutes) (P=0.013). Mean anesthesia induction time in the minimally invasive surgery suite (47.5 minutes) was similar to time in the traditional operating room (45.7 minutes) (P=0.734). The average total preparation time for the minimally invasive surgery suite (59.6 minutes) was not significantly faster than that in the general operating room (63.5 minutes) (P=0.481). Conclusion: The amount of time that elapses between the patient entering the room and anesthesia induction is statically shorter in a dedicated minimally invasive surgery suite. Laparoscopic surgery is performed more efficiently in a dedicated minimally invasive surgery suite versus a traditional operating room. PMID:15554269

  11. The tephrostratigraphy of Mt. Berlin volcano, Antarctica: Integrating blue ice tephra and ice core tephra records

    NASA Astrophysics Data System (ADS)

    Iverson, N. A.; Dunbar, N. W.; McIntosh, W. C.; Kurbatov, A.

    2016-12-01

    Reconstructing volcanic activity in Antarctica is difficult because of the limited outcrop exposure. However, ice is an excellent medium for sampling tephra, allowing for a more complete eruptive record than can be found in other depositional environments. Furthermore, because of low ambient temperature, glass shards trapped in ice remain unaltered and unhydrated. Mt. Berlin is an ice covered volcano in Marie Byrd Land, Antarctica, and, because of heavy glaciation, eruptive records on the volcano itself are sparse. Here, we present the integration of two different records of Mt. Berlin volcanism: the blue ice record found at Mt. Moulton (Dunbar et al., 2008) and the ice core record from the WAIS Divide ice core. Tephra from Mt. Berlin are also found in other ice and marine core records, and these have been correlated and integrated into the combined volcanic record. The Mt. Moulton blue ice area is located 30 km from Mt. Berlin and hosts a fabulous tephra record spanning the last 500 ka. A total of 36 tephra from Mt. Berlin were sampled in stratigraphic order and nine were directly dated by 40Ar/39Ar dating method. Twenty five tephra from WAIS Divide have been analyzed and are geochemically similar to Mt. Berlin with ice core ages dating back to 70 ka. The two tephra records were integrated using their respective timescales. In locations where the Mt. Moulton record does not have precise chronology, the δ18O records from Mt. Moulton (Popp, 2008) and WAIS (WAIS, 2015) were used to integrate the stratigraphy. In total 61 tephra from both ice sections provide an excellent record of the magmatic evolution of Mt. Berlin over the past 500 ka. EMP analyses on glass shards show a gradual change in Fe and S over time. Most of the other major elements remain relatively unchanged. The trend in Fe and S could be produced by progressive tapping of a single, stratified magma chamber, but the long duration of volcanism makes this unlikely. We instead favor small batches of progressively more primitive melts being generated over time. Thirty nine of the tephra have been erupted within the past 100 ka with the majority (25) of them being erupted between 40 ka and 20 ka. The resolution in eruptive frequency is unparalleled and provides many stratigraphic markers that can be correlated throughout West Antarctica, which are useful in climate research.

  12. Estimating Tunnel Strain in the Weak and Schistose Rock Mass Influenced by Stress Anisotropy: An Evaluation Based on Three Tunnel Cases from Nepal

    NASA Astrophysics Data System (ADS)

    Panthi, Krishna Kanta; Shrestha, Pawan Kumar

    2018-06-01

    Total plastic deformation in tunnels passing through weak and schistose rock mass consists of both time-independent and time-dependent deformations. The extent of this total deformation is heavily influenced by the rock mass deformability properties and in situ stress condition prevailing in the area. If in situ stress is not isotropic, the deformation magnitude is not only different along the longitudinal alignment but also along the periphery of the tunnel wall. This manuscript first evaluates the long-term plastic deformation records of three tunnel projects from the Nepal Himalaya and identifies interlink between the time-independent and time-dependent deformations using the convergence law proposed by Sulem et al. (Int J Rock Mech Min Sci Geomech 24(3):145-154, 1987a, Int J Rock Mech Min Sci Geomech 24(3):155-164, 1987b). Secondly, the manuscript attempts to establish a correlation between plastic deformations (tunnel strain) and rock mass deformable properties, support pressure and in situ stress conditions. Finally, patterns of time-independent and time-dependent plastic deformations are also evaluated and discussed. The long-term plastic deformation records of 24 tunnel sections representing four different rock types of three different headrace tunnel cases from Nepal Himalaya are extensively used in this endeavor. The authors believe that the proposed findings will be a step further in analysis of plastic deformations in tunnels passing through weak and schistose rock mass and along the anisotropic stress conditions.

  13. Effect of Nitrogen Fertilization and Harvest Time on Steviol Glycosides, Flavonoid Composition, and Antioxidant Properties in Stevia rebaudiana Bertoni.

    PubMed

    Tavarini, Silvia; Sgherri, Cristina; Ranieri, Anna Maria; Angelini, Luciana G

    2015-08-12

    This work investigated the effect of nitrogen fertilization and harvest time on the flavonoid composition and antioxidant properties of Stevia rebaudiana leaves. At the same time, changes in stevioside (Stev) and rebaudioside A (RebA) contents were recorded. A pot trial under open air conditions was set up, testing five N rates and three harvest times. The results showed that, by using an adequate N rate and choosing an appropriate harvest time, it was possible to significantly increase and optimize the bioactive compound levels. In particular, higher RebA, RebA/Stev ratio, total phenols and flavonoids, luteolin-7-O-glucoside, and apigenin-7-O-glucoside levels and antioxidant capacity were recorded by supplying 150 kg N ha(-1). Reduced or increased N availability in comparison with N150 had no consistent effect on Stevia phytochemicals content. Significant correlations were also found between stevioside and some of the flavonoids, indicating a possible role of flavonoids in the stevioside metabolic pathway, which deserves more investigations.

  14. Method and apparatus for determining time, direction, and composition of impacting space particles

    NASA Technical Reports Server (NTRS)

    Kinard, William H. (Inventor); Wortman, Jim J. (Inventor); Kassel, Philip C., Jr. (Inventor); Singer, Fred S. (Inventor); Humes, Donald H. (Inventor); Stanley, John E. (Inventor)

    1990-01-01

    A space particle collector for recording the time specific particles are captured, and its direction at the time of capture, utilizes an array of targets, each comprised of an MOS capacitor on a chip charged from an external source and discharged upon impact by a particle through a tab on the chip that serves as a fuse. Any impacting particle creates a crater, but only the first will cause a discharge of the capacitor. A substantial part of the metal film around the first crater is burned off by the discharge current. The time of the impulse which burns the tab, and the identification of the target, is recorded together with data from flight instruments. The metal film is partitioned into pie sections to provide a plurality of targets on each of an array of silicon wafers, thus increasing the total number of identified particles that can be collected. It is thus certain which particles were captured at what specific times.

  15. A gravimetric method for the measurement of total spontaneous activity in rats.

    PubMed

    Biesiadecki, B J; Brand, P H; Koch, L G; Britton, S L

    1999-10-01

    Currently available methods for the measurement of spontaneous activity of laboratory animals require expensive, specialized equipment and may not be suitable for use in low light conditions with nocturnal species. We developed a gravimetric method that uses common laboratory equipment to quantify the total spontaneous activity of rats and is suitable for use in the dark. The rat in its home cage is placed on a top-loading electronic balance interfaced to a computer. Movements are recorded by the balance as changes in weight and transmitted to the computer at 10 Hz. Data are analyzed on-line to derive the absolute value of the difference in weight between consecutive samples, and the one-second average of the absolute values is calculated. The averages are written to file for off-line analysis and summed over the desired observation period to provide a measure of total spontaneous activity. The results of in vitro experiments demonstrated that: 1) recorded weight changes were not influenced by position of the weight on the bottom of the cage, 2) values recorded from a series of weight changes were not significantly different from the calculated values, 3) the constantly decreasing force exerted by a swinging pendulum placed on the balance was accurately recorded, 4) the measurement of activity was not influenced by the evaporation of a fluid such as urine, and 5) the method can detect differences in the activity of sleeping and waking rats over a 10-min period, as well as during 4-hr intervals recorded during active (night-time) and inactive (daytime) periods. These results demonstrate that this method provides an inexpensive, accurate, and noninvasive method to quantitate the spontaneous activity of small animals.

  16. Validating self-reported mobile phone use in adults using a newly developed smartphone application.

    PubMed

    Goedhart, Geertje; Kromhout, Hans; Wiart, Joe; Vermeulen, Roel

    2015-11-01

    Interpretation of epidemiological studies on health effects from mobile phone use is hindered by uncertainties in the exposure assessment. We used a newly developed smartphone application (app) to validate self-reported mobile phone use and behaviour among adults. 107 participants (mean age 41.4 years) in the Netherlands either downloaded the software app on their smartphone or were provided with a study smartphone for 4 weeks. The app recorded the number and duration of calls, text messages, data transfer, laterality and hands-free use. Self-reported mobile phone use was collected before using the app and after 6 months through an interviewer-administered questionnaire. The geometric mean ratios (GMR, 95% CI) and Spearman correlations (r) of self-reported (after 6 months) versus recorded number and duration of calls were: GMR=0.65 (0.53 to 0.80), r=0.53; and GMR=1.11 (0.86 to 1.42), r=0.57 respectively. Participants held the phone on average for 86% of the total call time near the head. Self-reported right side users held the phone for 70.7% of the total call time on the right side of the head, and left side users for 66.2% on the left side of the head. The percentage of total call time that the use of hands-free devices (headset, speaker mode, Bluetooth) was recorded increased with increasing frequency of reported hands-free device usage. The observed recall errors and precision of reported laterality and hands-free use can be used to quantify and improve radiofrequency exposure models based on self-reported mobile phone use. 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.

  17. New Staphylinidae (Coleoptera) records with new collection data from New Brunswick, and an addition to the fauna of Quebec, Canada: Aleocharinae

    PubMed Central

    Webster, Reginald P.; Klimaszewski, Jan; Sweeney, Jon D.; DeMerchant, Ian

    2012-01-01

    Abstract Thirty-eight species of Aleocharinae are newly reported from New Brunswick, bringing the total number of species known from the province to 216. Thirty-one of these species are newly recorded for the Maritime provinces, and four of them, Phloeopora oregona Casey, Gyrophaena michigana Seevers, Gyrophaena wisconsinica Seevers, and Tomoglossa decora (Casey), are newly recorded for Canada. Tomoglossa constitutes a new generic record for Canada. Collection and habitat data for all these species are presented and discussed. Color habitus, median lobe of the aedeagus, and male tergite and sternite 8 images are presented for the first time for Phloeopora oregona, and references to illustrations are provided for all other species included in this paper. A color habitus image is presented for Tomoglossa decora. PMID:22577319

  18. Impact of Prominent Themes in Clinician-Patient Conversations on Caregiver's Perceived Quality of Communication with Paediatric Dental Visits.

    PubMed

    Wong, Hai Ming; Bridges, Susan Margaret; McGrath, Colman Patrick; Yiu, Cynthia Kar Yung; Zayts, Olga A; Au, Terry Kit Fong

    2017-01-01

    Patients' perceived satisfaction is a key performance index of the quality health care service. Good communication has been found to increase patient's perceived satisfaction. The purpose of this study was to examine the impact of the prominent themes arising from clinician-patient conversations on the caregiver's perceived quality of communication during paediatric dental visits. 162 video recordings of clinical dental consultations for 62 cases attending the Paediatric Dentistry Clinic of The Prince Philip Dental Hospital in Hong Kong were captured and transcribed. The patients' demographic information and the caregiver's perceived quality of communication with the clinicians were recorded using the 16-item Dental Patient Feedback on Consultation skills questionnaires. Visual text analytics (Leximancer™) indicated five prominent themes 'disease / treatment', 'treatment procedure related instructions', 'preparation for examination', 'positive reinforcement / reassurance', and 'family / social history' from the clinician-patient conversation of the recorded videos, with 60.2% of the total variance in concept words in this study explained through principal components analysis. Significant variation in perceived quality of communication was noted in five variables regarding the prominent theme 'Positive reinforcement / reassurance': 'number of related words' (p = 0.002), 'number of related utterances' (p = 0.001), 'percentage of the related words in total number of words' (p = 0.005), 'percentage of the related utterances in total number of utterances' (p = 0.035) and 'percentage of time spent in total time duration' (p = 0.023). Clinicians were perceived to be more patient-centered and empathetic if a larger proportion of their conversation showed positive reinforcement and reassurance via using related key words. Care-giver's involvement, such as clinicians' mention of the parent, was also seen as critical to perceptions of quality clinical experience. The study reveals the potential of the application of visual text analytics software in clinical consultations with implications for professional development regarding clinicians' communication skills for improving patients' clinical experiences and treatment satisfaction.

  19. Flower damage: a case study

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

    James, H.A.

    1965-01-01

    A review of the recorded losses of Cattleya orchid blooms found in the records of 5 Bay Area growers shows a distinct increasing seasonal loss pattern from ethylene. The losses due to ''dried sepal'' were compared with the total daily and monthly production. Daily orchid bloom losses in excess of 90 percent were found, with a least two growers losing over 60 percent of total month's cut. Highest bloom losses were experienced in San Leandro and South San Francisco with lesser losses in Larkspur, Mt. Eden and San Bruno. Qualitative checks of growers in other sites revealed orchid losses tomore » be wide spread. From the record of these latter growers, only Pacific and Mill Valley had no damage at the time of the visits. The ''dried sepal'' damage is attributed to ethylene since it can be produced by exposure to this gas; ethylene has been found to be present on numerous occasions preceding appearance of symptoms, and no other causative agent has been found in sufficient concentrations in ambient air sampling to cause such an effect.« less

  20. Using software-modified smartphones to validate self-reported mobile phone use in young people: A pilot study.

    PubMed

    Goedhart, Geertje; Vrijheid, Martine; Wiart, Joe; Hours, Martine; Kromhout, Hans; Cardis, Elisabeth; Eastman Langer, Chelsea; de Llobet Viladoms, Patricia; Massardier-Pilonchery, Amelie; Vermeulen, Roel

    2015-10-01

    A newly developed smartphone application was piloted to characterize and validate mobile phone use in young people. Twenty-six volunteers (mean age 17.3 years) from France, Spain, and the Netherlands used a software-modified smartphone for 4 weeks; the application installed on the phone recorded number and duration of calls, data use, laterality, hands-free device usage, and communication system used for both voice calls and data transfer. Upon returning the phone, participants estimated their mobile phone use during those 4 weeks via an interviewer-administered questionnaire. Results indicated that participants on average underestimated the number of calls they made, while they overestimated total call duration. Participants held the phone for about 90% of total call time near the head, mainly on the side of the head they reported as dominant. Some limitations were encountered when comparing reported and recorded data use and speaker use. When applied in a larger sample, information recorded by the smartphone application will be very useful to improve radiofrequency (RF) exposure modeling from mobile phones to be used in epidemiological research. © 2015 Wiley Periodicals, Inc.

  1. Pre-recorded instructional audio vs. dispatchers' conversational assistance in telephone cardiopulmonary resuscitation: A randomized controlled simulation study.

    PubMed

    Birkun, Alexei; Glotov, Maksim; Ndjamen, Herman Franklin; Alaiye, Esther; Adeleke, Temidara; Samarin, Sergey

    2018-01-01

    To assess the effectiveness of the telephone chest-compression-only cardiopulmonary resuscitation (CPR) guided by a pre-recorded instructional audio when compared with dispatcher-assisted resuscitation. It was a prospective, blind, randomised controlled study involving 109 medical students without previous CPR training. In a standardized mannequin scenario, after the step of dispatcher-assisted cardiac arrest recognition, the participants performed compression-only resuscitation guided over the telephone by either: (1) the pre-recorded instructional audio ( n =57); or (2) verbal dispatcher assistance ( n =52). The simulation video records were reviewed to assess the CPR performance using a 13-item checklist. The interval from call reception to the first compression, total number and rate of compressions, total number and duration of pauses after the first compression were also recorded. There were no significant differences between the recording-assisted and dispatcher-assisted groups based on the overall performance score (5.6±2.2 vs. 5.1±1.9, P >0.05) or individual criteria of the CPR performance checklist. The recording-assisted group demonstrated significantly shorter time interval from call receipt to the first compression (86.0±14.3 vs. 91.2±14.2 s, P <0.05), higher compression rate (94.9±26.4 vs. 89.1±32.8 min -1 ) and number of compressions provided (170.2±48.0 vs. 156.2±60.7). When provided by untrained persons in the simulated settings, the compression-only resuscitation guided by the pre-recorded instructional audio is no less efficient than dispatcher-assisted CPR. Future studies are warranted to further assess feasibility of using instructional audio aid as a potential alternative to dispatcher assistance.

  2. Pre-recorded instructional audio vs. dispatchers’ conversational assistance in telephone cardiopulmonary resuscitation: A randomized controlled simulation study

    PubMed Central

    Birkun, Alexei; Glotov, Maksim; Ndjamen, Herman Franklin; Alaiye, Esther; Adeleke, Temidara; Samarin, Sergey

    2018-01-01

    BACKGROUND: To assess the effectiveness of the telephone chest-compression-only cardiopulmonary resuscitation (CPR) guided by a pre-recorded instructional audio when compared with dispatcher-assisted resuscitation. METHODS: It was a prospective, blind, randomised controlled study involving 109 medical students without previous CPR training. In a standardized mannequin scenario, after the step of dispatcher-assisted cardiac arrest recognition, the participants performed compression-only resuscitation guided over the telephone by either: (1) the pre-recorded instructional audio (n=57); or (2) verbal dispatcher assistance (n=52). The simulation video records were reviewed to assess the CPR performance using a 13-item checklist. The interval from call reception to the first compression, total number and rate of compressions, total number and duration of pauses after the first compression were also recorded. RESULTS: There were no significant differences between the recording-assisted and dispatcher-assisted groups based on the overall performance score (5.6±2.2 vs. 5.1±1.9, P>0.05) or individual criteria of the CPR performance checklist. The recording-assisted group demonstrated significantly shorter time interval from call receipt to the first compression (86.0±14.3 vs. 91.2±14.2 s, P<0.05), higher compression rate (94.9±26.4 vs. 89.1±32.8 min-1) and number of compressions provided (170.2±48.0 vs. 156.2±60.7). CONCLUSION: When provided by untrained persons in the simulated settings, the compression-only resuscitation guided by the pre-recorded instructional audio is no less efficient than dispatcher-assisted CPR. Future studies are warranted to further assess feasibility of using instructional audio aid as a potential alternative to dispatcher assistance.

  3. Do mobile phones pose a potential risk to autonomic modulation of the heart?

    PubMed

    Barutcu, Irfan; Esen, Ali Metin; Kaya, Dayimi; Turkmen, Muhsin; Karakaya, Osman; Saglam, Mustafa; Melek, Mehmet; Çelik, Ataç; Kilit, Celal; Onrat, Ersel; Kirma, Cevat

    2011-11-01

    It has long been speculated that mobile phones may interact with the cardiac devices and thereby cardiovascular system may be a potential target for the electromagnetic fields emitted by the mobile phones. Therefore, the present study was designed to test possible effects of radiofrequency waves emitted by digital mobile phones on cardiac autonomic modulation by short-time heart rate variability (HRV) analysis. A total of 20 healthy young subjects were included to the study. All participants were rested in supine position at least for 15 minutes on a comfortable bed, and then time and frequency domain HRV parameters were recorded at baseline in supine position for 5 minutes. After completion of baseline records, by using a mobile GSM (Global System for Mobile Communication) phone, HRV parameters were recorded at turned off mode, at turned on mode, and at calling mode over 5 minutes periods for each stage. Neither time nor frequency domain HRV parameters altered significantly during off mode compare to their baseline values. Also, neither time nor frequency domain HRV parameters altered significantly during turned on and calling mode compared to their baseline values. Short-time exposure to electromagnetic fields emitted by mobile phone does not affect cardiac autonomic modulation in healthy subjects.

  4. Evaluation of Electronic Health Record Implementation in Ophthalmology at an Academic Medical Center (An American Ophthalmological Society Thesis)

    PubMed Central

    Chiang, Michael F.; Read-Brown, Sarah; Tu, Daniel C.; Choi, Dongseok; Sanders, David S.; Hwang, Thomas S.; Bailey, Steven; Karr, Daniel J.; Cottle, Elizabeth; Morrison, John C.; Wilson, David J.; Yackel, Thomas R.

    2013-01-01

    Purpose: To evaluate three measures related to electronic health record (EHR) implementation: clinical volume, time requirements, and nature of clinical documentation. Comparison is made to baseline paper documentation. Methods: An academic ophthalmology department implemented an EHR in 2006. A study population was defined of faculty providers who worked the 5 months before and after implementation. Clinical volumes, as well as time length for each patient encounter, were collected from the EHR reporting system. To directly compare time requirements, two faculty providers who utilized both paper and EHR systems completed time-motion logs to record the number of patients, clinic time, and nonclinic time to complete documentation. Faculty providers and databases were queried to identify patient records containing both paper and EHR notes, from which three cases were identified to illustrate representative documentation differences. Results: Twenty-three faculty providers completed 120,490 clinical encounters during a 3-year study period. Compared to baseline clinical volume from 3 months pre-implementation, the post-implementation volume was 88% in quarter 1, 93% in year 1, 97% in year 2, and 97% in year 3. Among all encounters, 75% were completed within 1.7 days after beginning documentation. The mean total time per patient was 6.8 minutes longer with EHR than paper (P<.01). EHR documentation involved greater reliance on textual interpretation of clinical findings, whereas paper notes used more graphical representations, and EHR notes were longer and included automatically generated text. Conclusion: This EHR implementation was associated with increased documentation time, little or no increase in clinical volume, and changes in the nature of ophthalmic documentation. PMID:24167326

  5. Match-play activity profile in professional soccer players during official games and the relationship between external and internal load.

    PubMed

    Suarez-Arrones, L; Torreño, N; Requena, B; Sáez De Villarreal, E; Casamichana, D; Barbero-Alvarez, J C; Munguía-Izquierdo, D

    2015-12-01

    The aim was to quantify for the first time the physical and physiological profile of professional soccer players in official games using GPS and heart rate (HR) response. Thirty professional soccer players were investigated during a half in competitive club level matches (N.=348) using GPS devices. The relative total distance was 118.9±10.7 m∙min(-1) and player's Work-To-Rest Ratio was 2.1:1. Defenders covered the lowest total distance, while Second-Strikers (2(nd)S) and Wide-Midfielders (W-MD) traveled the greatest total distance. Defenders presented the lowest Work-To-Rest Ratio values. Playing position also impacted on all sprinting performance results, except in average sprint distance and time of sprint. The number of sprints and repeated-sprint sequences recorded by the W-MD and Strikers (S) were significantly greater than any other group. The average HR recorded was 87.1%HRmax and the relationship between the external and internal load value (Effindex) was 1.4 with significant differences in both between playing positions. W-MD recorded a significantly smaller average HR than any other group and Centre-Backs showed a significantly smaller Effindex value than any other group. Conversely, W-MD showed a significantly greater Effindex value than any other group, except the 2(nd)S. This study has verified a number of statistically significant differences between the different playing positions. Coaches should be focused on the specific physical and physiological requirements of the playing positions to optimize the training prescription in soccer. The relationships between external and internal load measures among position-specific indicates that players with less overall running performance during match-play were the worst in Effindex.

  6. On the compatibility of Brewer total column ozone measurements in two adjacent valleys (Arosa and Davos) in the Swiss Alps

    NASA Astrophysics Data System (ADS)

    Stübi, René; Schill, Herbert; Klausen, Jörg; Vuilleumier, Laurent; Gröbner, Julian; Egli, Luca; Ruffieux, Dominique

    2017-11-01

    The Arosa site is well known in the ozone community for its continuous total ozone column observations that have been recorded since 1926. Originally based on Dobson sun spectrophotometers, the site has been gradually complemented by three automatic Brewer instruments, in operation since 1998. To secure the long-term ozone monitoring in this Alpine region and to benefit from synergies with the World Radiation Center, the feasibility of moving this activity to the nearby site at Davos (aerial distance of 13 km) has been explored. Concerns about a possible rupture of the 90-year-long record has motivated a careful comparison of the two sites, since great attention to the data continuity and quality has always been central to the operations of the observatory at Arosa. To this end, one element of the Arosa Brewer triad has been set up at the Davos site since November 2011 to realize a campaign of parallel measurements and to study the deviations between the three Brewer instruments. The analysis of the coincident measurement shows that the differences between Arosa and Davos remain within the range of the long-term stability of the Brewer instruments. A nonsignificant seasonal cycle is observed, which could possibly be induced by a stray-light bias and the altitude difference between the two sites. These differences are shown to be lower than the short-term variability of the time series and the overall uncertainty from individual Brewer instruments and therefore are not statistically significant. It is therefore concluded that the world's longest time series of the total ozone column obtained at Arosa site could be safely extended and continued with measurements taken from instruments located at the nearby Davos site without introducing a bias to this unique record.

  7. Evaluation of incubation time for dermatophytes cultures.

    PubMed

    Rezusta, Antonio; de la Fuente, Sonia; Gilaberte, Yolanda; Vidal-García, Matxalen; Alcalá, Leticia; López-Calleja, Ana; Ruiz, Maria Angeles; Revillo, Maria José

    2016-07-01

    In general, it is recommended to incubate dermatophytes cultures for a minimum of 4 weeks. Several aspects of routine fungal cultures should be evaluated in order to implement appropriate and necessary changes. The aim of this study was to determine the optimum incubation time for routine dermatophytes cultures, analysing the time to find first fungal growth by visual observation. We recorded the time when the initial growth was detected for all dermatophyte isolates during a 4-year period. A total of 5459 dermatophyte cultures were submitted to our laboratory. From the total cultures, only 16 (1.42%) isolates were recovered over/after 17 days of incubation and only three dermatophyte species were recovered over 17 days. Fourteen isolates belong to Trichophyton rubrum, one isolate to Trichophyton mentagrophytes complex and one isolate to Epidermophyton floccosum. We concluded that an incubation period of 17 days is enough to establish a microbiological diagnosis of dermatophytosis. © 2016 Blackwell Verlag GmbH.

  8. Standing beat-to-beat blood pressure variability is reduced among fallers in the Malaysian Elders Longitudinal Study.

    PubMed

    Goh, Choon-Hian; Ng, Siew-Cheok; Kamaruzzaman, Shahrul Bahyah; Chin, Ai-Vyrn; Tan, Maw Pin

    2017-10-01

    The aim of this study was to determine the relationship between falls and beat-to-beat blood pressure (BP) variability.Continuous noninvasive BP measurement is as accurate as invasive techniques. We evaluated beat-to-beat supine and standing BP variability (BPV) using time and frequency domain analysis from noninvasive continuous BP recordings.A total of 1218 older adults were selected. Continuous BP recordings obtained were analyzed to determine standard deviation (SD) and root mean square of real variability (RMSRV) for time domain BPV and fast-Fourier transform low frequency (LF), high frequency (HF), total power spectral density (PSD), and LF:HF ratio for frequency domain BPV.Comparisons were performed between 256 (21%) individuals with at least 1 fall in the past 12 months and nonfallers. Fallers were significantly older (P = .007), more likely to be female (P = .006), and required a longer time to complete the Timed-Up and Go test (TUG) and frailty walk test (P ≤ .001). Standing systolic BPV (SBPV) was significantly lower in fallers compared to nonfallers (SBPV-SD, P = .016; SBPV-RMSRV, P = .033; SBPV-LF, P = .003; SBPV-total PSD, P = .012). Nonfallers had significantly higher supine to standing ratio (SSR) for SBPV-SD, SBPV-RMSRV, and SBPV-total PSD (P = .017, P = .013, and P = .009). In multivariate analyses, standing BPV remained significantly lower in fallers compared to nonfallers after adjustment for age, sex, diabetes, frailty walk, and supine systolic BP. The reduction in frequency-domain SSR among fallers was attenuated by supine systolic BP, TUG, and frailty walk.In conclusion, reduced beat-to-beat BPV while standing is independently associated with increased risk of falls. Changes between supine and standing BPV are confounded by supine BP and walking speed.

  9. Correlating Mediterranean shallow water deposits with global Oligocene-Miocene stratigraphy and oceanic events.

    PubMed

    Reuter, Markus; Piller, Werner E; Brandano, Marco; Harzhauser, Mathias

    2013-12-01

    Shallow-marine sediment records have the strong potential to display sensitive environmental changes in sedimentary geometries and skeletal content. However, the time resolution of most neritic carbonate records is not high enough to be compared with climatic events as recorded in the deep-sea sediment archives. In order to resolve the paleoceanographic and paleoclimatic changes during the Oligocene-Miocene transition in the Mediterranean shallow water carbonate systems with the best possible time resolution, we re-evaluated the Decontra section on the Maiella Platform (central Apennines, Italy), which acts as a reference for the correlation of Oligocene-Miocene shallow water deposits in the Mediterranean region. The 120-m-thick late Oligocene-late Miocene carbonate succession is composed of larger foraminiferal, bryozoan and corallinacean limestones interlayered with distinct planktonic foraminiferal carbonates representing a mostly outer neritic setting. Integrated multi-proxy and facies analyses indicate that CaCO 3 and total organic carbon contents as well as gamma-ray display only local to regional processes on the carbonate platform and are not suited for stratigraphic correlation on a wider scale. In contrast, new biostratigraphic data correlate the Decontra stable carbon isotope record to the global deep-sea carbon isotope record. This links relative sea level fluctuations, which are reflected by facies and magnetic susceptibility changes, to third-order eustatic cycles. The new integrated bio-, chemo-, and sequence stratigraphic framework enables a more precise timing of environmental changes within the studied time interval and identifies Decontra as an important locality for correlating not only shallow and deep water sediments of the Mediterranean region but also on a global scale.

  10. Preliminary Experience Using Eye-Tracking Technology to Differentiate Novice and Expert Image Interpretation for Ultrasound-Guided Regional Anesthesia.

    PubMed

    Borg, Lindsay K; Harrison, T Kyle; Kou, Alex; Mariano, Edward R; Udani, Ankeet D; Kim, T Edward; Shum, Cynthia; Howard, Steven K

    2018-02-01

    Objective measures are needed to guide the novice's pathway to expertise. Within and outside medicine, eye tracking has been used for both training and assessment. We designed this study to test the hypothesis that eye tracking may differentiate novices from experts in static image interpretation for ultrasound (US)-guided regional anesthesia. We recruited novice anesthesiology residents and regional anesthesiology experts. Participants wore eye-tracking glasses, were shown 5 sonograms of US-guided regional anesthesia, and were asked a series of anatomy-based questions related to each image while their eye movements were recorded. The answer to each question was a location on the sonogram, defined as the area of interest (AOI). The primary outcome was the total gaze time in the AOI (seconds). Secondary outcomes were the total gaze time outside the AOI (seconds), total time to answer (seconds), and time to first fixation on the AOI (seconds). Five novices and 5 experts completed the study. Although the gaze time (mean ± SD) in the AOI was not different between groups (7 ± 4 seconds for novices and 7 ± 3 seconds for experts; P = .150), the gaze time outside the AOI was greater for novices (75 ± 18 versus 44 ± 4 seconds for experts; P = .005). The total time to answer and total time to first fixation in the AOI were both shorter for experts. Experts in US-guided regional anesthesia take less time to identify sonoanatomy and spend less unfocused time away from a target compared to novices. Eye tracking is a potentially useful tool to differentiate novices from experts in the domain of US image interpretation. © 2017 by the American Institute of Ultrasound in Medicine.

  11. Trends in nitrate and dissolved-solids concentrations in ground water, Carson Valley, Douglas County, Nevada, 1985-2001

    USGS Publications Warehouse

    Rosen, Michael R.

    2003-01-01

    Analysis of trends in nitrate and total dissolved-solids concentrations over time in Carson Valley, Nevada, indicates that 56 percent of 27 monitoring wells that have long-term records of nitrate concentrations show increasing trends, 11 percent show decreasing trends, and 33 percent have not changed. Total dissolved-solids concentrations have increased in 52 percent of these wells and are stable in 48 percent. None of these wells show decreasing trends in total dissolved-solids concentrations. The wells showing increasing trends in nitrate and total dissolved-solids concentrations were always in areas that use septic waste-disposal systems. Therefore, the primary cause of these increases is likely the increase in septic-tank usage over the past 40 years.

  12. Parameters of triggered-lightning flashes in Florida and Alabama

    NASA Astrophysics Data System (ADS)

    Fisher, R. J.; Schnetzer, G. H.; Thottappillil, R.; Rakov, V. A.; Uman, M. A.; Goldberg, J. D.

    1993-12-01

    Channel base currents from triggered lightning were measured at the NASA Kennedy Space Center, Florida, during summer 1990 and at Fort McClellan, Alabama, during summer 1991. Additionally, 16-mm cinematic records with 3- or 5-ms resolution were obtained for all flashes, and streak camera records were obtained for three of the Florida flashes. The 17 flashes analyzed here contained 69 strokes, all lowering negative charge from cloud to ground. Statistics on interstroke interval, no-current interstroke interval, total stroke duration, total stroke charge, total stroke action integral (∫ i2dt), return stroke current wave front characteristics, time to half peak value, and return stroke peak current are presented. Return stroke current pulses, characterized by rise times of the order of a few microseconds or less and peak values in the range of 4 to 38 kA, were found not to occur until after any preceding current at the bottom of the lightning channel fell below the noise level of less than 2 A. Current pulses associated with M components, characterized by slower rise times (typically tens to hundreds of microseconds) and peak values generally smaller than those of the return stroke pulses, occurred during established channel current flow of some tens to some hundreds of amperes. A relatively strong positive correlation was found between return stroke current average rate of rise and current peak. There was essentially no correlation between return stroke current peak and 10-90% rise time or between return stroke peak and the width of the current waveform at half of its peak value. Parameters of the lightning flashes triggered in Florida and Alabama are similar to each other but are different from those of triggered lightning recorded in New Mexico during the 1981 Thunderstorm Research International Program. Continuing currents that follow return stroke current peaks and last for more than 10 ms exhibit a variety of wave shapes that we have subdivided into four categories. All such continuing currents appear to start with a current pulse presumably associated with an M component. A brief summary of lightning parameters important for lightning protection, in a form convenient for practical use, is presented in an appendix.

  13. Comparing Subjective With Objective Sleep Parameters Via Multisensory Actigraphy in German Physical Education Students.

    PubMed

    Kölling, Sarah; Endler, Stefan; Ferrauti, Alexander; Meyer, Tim; Kellmann, Michael

    2016-01-01

    This study compared subjective with objective sleep parameters among 72 physical education students. Furthermore, the study determined whether 24-hr recording differs from nighttime recording only. Participants wore the SenseWear Armband™ for three consecutive nights and kept a sleep log. Agreement rates ranged from moderate to low for sleep onset latency (ICC = 0.39 to 0.70) and wake after sleep onset (ICC = 0.22 to 0.59), while time in bed (ICC = 0.93 to 0.95) and total sleep time (ICC = 0.90 to 0.92) revealed strong agreement during this period. Comparing deviations between 24-hr wearing time (n = 24) and night-only application (n = 20) revealed no statistical difference (p > 0.05). As athletic populations have yet to be investigated for these purposes, this study provides useful indicators and practical implications for future studies.

  14. Comparing the Immediate Effects of a Total Motion Release Warm-up and a Dynamic Warm-up Protocol on the Dominant Shoulder in Baseball Athletes.

    PubMed

    Gamma, Stephen C; Baker, Russell; May, James; Seegmiller, Jeff G; Nasypany, Alan; Iorio, Steven M

    2018-04-10

    Gamma, SC, Baker, R, May, J, Seegmiller, JG, Nasypany, A, and Iorio, SM. Comparing the immediate effects of a total motion release warm-up and a dynamic warm-up protocol on the dominant shoulder in baseball athletes. J Strength Cond Res XX(X): 000-000, 2017-A decrease in total range of motion (ROM) of the dominant shoulder may predispose baseball athletes to increased shoulder injury risk; the most effective technique for improving ROM is unknown. The purpose of this study was to compare the immediate effects of Total Motion Release (TMR) to a generic dynamic warm-up program in baseball athletes. Baseball athletes (n = 20) were randomly assigned to an intervention group: TMR group (TMRG; n = 10) or traditional warm-up group (TWG; n = 10). Shoulder ROM measurements were recorded for internal rotation (IR) and external rotation (ER), the intervention was applied, and postmeasurements were recorded. Each group then received the other intervention and postmeasurements were again recorded. The time main effect (p ≤ 0.001) and the time × group interaction effect were significant (p ≤ 0.001) for IR and ER. Post hoc analysis revealed that TMR produced significant increases in mean IR (p ≤ 0.005, d = 1.52) and ER (p ≤ 0.018, d = 1.22) of the dominant shoulder initially. When groups crossed-over, the TMRG experienced a decrease in mean IR and ER after the dynamic warm-up, whereas the TWG experienced a significant increase in mean IR (p ≤ 0.001, d = 3.08) and ER (p ≤ 0.001, d = 2.56) after TMR intervention. Total Motion Release increased IR and ER of the dominant shoulder more than a dynamic warm-up. Dynamic warm-up after TMR also resulted in decreased IR and ER; however, TMR after dynamic warm-up significantly improved IR and ER. Based on these results, TMR is more effective than a generic dynamic warm-up for improving dominant shoulder ROM in baseball players.

  15. Magnitude of the impact of hot flashes on sleep in perimenopausal women

    PubMed Central

    de Zambotti, Massimiliano; Colrain, Ian M.; Javitz, Harold S.; Baker, Fiona C.

    2014-01-01

    Objective To quantify the impact of objectively-recorded hot flashes on objective sleep in perimenopausal women. Design Cross-sectional study. Participants underwent 1–5 laboratory-based polysomnographic recordings for a total of 63 nights, including sternal skin conductance measures, from which 222 hot flashes were identified according to established criteria. Data were analyzed with hierarchical mixed-effect models and Spearman correlations. Setting Sleep laboratory. Patients 34 perimenopausal women (Age±SD:50.4±2.7y). Intervention None. Main Outcome Measures Perceived and polysomnographic sleep measures (sleep quality, amount of wake after sleep onset and number of awakenings). Subjective (frequency and bother) and objective (frequency and amount of hot flash-associated wake time) hot flash measures. Results Women had an average of 3.5 (95%CI:2.8–4.2, range=1– 9) objective hot flashes per night. 69.4% of hot flashes were associated with an awakening. Hot flash-associated wake time per night was, on average, 16.6 min (95%CI:10.8–22.4), which accounted for 27.2% (SD 27.1) of total wakefulness per night. Hot flash-associated wake, but not frequency, was negatively associated with sleep efficiency and positively associated with wake after sleep onset. Also, self-reported wakefulness correlated with hot flash-associated wake, suggesting that women’s estimates of wakefulness are influenced by the amount of time spent awake in association with hot flashes during the night. More perceived and bothersome hot flashes correlated with more perceived wakefulness and awakenings and more objective hot flash-associated wake time and hot flash frequency. Conclusions The presence of physiological hot flashes accounts for a significant proportion of total objective wakefulness during the night in perimenopausal women. PMID:25256933

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

    PubMed

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

    2018-01-01

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

  17. An ultra-high resolution last deglacial marine sediment records of the Northwest Atlantic Ocean

    NASA Astrophysics Data System (ADS)

    Rashid, H.; Piper, D.; Marche, B.; Vermooten, M.; Lazar, K.; Brockway, B.

    2016-12-01

    Lack of high sedimentation rate records of past changes pertaining to the late Pleistocene Laurentide ice-sheet (LIS) dynamics has prevented efforts to differentiate the various forcings in modulating abrupt climate changes. Here, we present an ultra-high resolution sediment record spanning approximately 1,500 km of the Eastern Canadian continental margin. The new record comprises four sediment cores which were collected from the northwest Labrador Sea (i.e., Saglek Bank) to southwestern Flemish Pass to the southeast Grand Banks in outer shelf and slope settings. Fifty new 14C-accelerator mass spectrometric dates were obtained to construct the stratigraphy. The total sediment thickness of the new record is 41 m covering the past 26 ka with 1.58/ka mean sediment rate, the highest sediment rate ever reported from the Northwest Atlantic Ocean for this time interval. Further, the temporal resolution of the record varies from a couple of decades to centuries depending on the time interval. X-ray fluorescence (XRF) data in conjunction with physical properties of sediments and petrology allowed us to distinguish sediment delivered by major ice-streams of the LIS namely the Hudson Strait, Hopedale Saddle, and Cumberland Sound ice streams. Heinrich layers 1 and 2 are well identified by their Labrador Sea specific characteristics. The so-called Younger Dryas equivalent Heinrich layer H0 was identified in these cores but the timing of onset of H0 has an offset by nearly 1,000 years with that of the 12.9 ka, suggesting that the YD event was not initiated by the Hudson Strait compared to other Heinrich events.

  18. Towards the development of a consensual chronostratigraphy for Arctic Ocean sedimentary records

    NASA Astrophysics Data System (ADS)

    Hillaire-Marcel, Claude; de Vernal, Anne; Polyak, Leonid; Stein, Rüdiger; Maccali, Jenny; Jacobel, Allison; Cuny, Kristan

    2017-04-01

    Deciphering Arctic paleoceanograpy and paleoclimate, and linking it to global marine and atmospheric records is much needed for comprehending the Earth's climate history. However, this task is hampered by multiple problems with dating Arctic Ocean sedimentary records related notably to low and highly variable sedimentation rates, scarce and discontinuous biogenic proxies due to low productivity and/or poor preservation, and difficulties correlating regional records to global stacks (e.g., paleomagnetic). Despite recent advances in developing an Arctic Ocean sedimentary stratigraphy, and attempts at setting radiometric benchmark ages of respectively 300 and 150 ka, based on the final decay of 230Th and 231Pa excesses (Thxs, Paxs) (Not et al., 2008), consensual age models are still missing, preventing reliable integration of Arctic records in a global paleoclimatic scheme. Here, we intend to illustrate these issues by comparing consistent Thxs-Paxs chronostratigraphic records from the Mendeleev-Alpha and Lomonosov ridges with the currently used age model based on climatostratigraphic interpretation of sedimentary records (e.g., Polyak et al., 2009; Stein et al., 2010). Data used were collected from the 2005 HOTRAX core MC-11 (northern Mendeleev Ridge) and the 2014 Polarstern core PS87-30 (Lomonosov Ridge). Total collapse depths of Thxs and Paxs are observed by a factor of 3 deeper in core PS87-30 vs core MC-11, indicating average sedimentation rates 3 times higher at the Lomonosov Ridge site. Litho-biostratigraphic markers, such as foraminiferal peaks and manganese-enriched layers, show a similar pattern, with their occurrence 3 times deeper in core PS87-30 than in core MC-11. These very consistent downcore features highlight a gaping difference between the benchmark ages assigned to the total decay of Paxs and Thxs and the current age model based on climatostratigraphic approach involving significantly higher sedimentation rates. This discrepancy begs for its in-depth investigation that would potentially result in a development of the consensual chronostratigraphy for Quaternary Arctic Ocean sediments, critical for integrating the Arctic into global paleoclimatic history.

  19. 7 CFR 1207.533 - Availability of records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE POTATO RESEARCH AND PROMOTION... records on the total quantities of potatoes imported and on the total quantities of potato products imported, and a record of each importation of potatoes, potato products, and seed potatoes including...

  20. 7 CFR 1207.533 - Availability of records.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE POTATO RESEARCH AND PROMOTION... records on the total quantities of potatoes imported and on the total quantities of potato products imported, and a record of each importation of potatoes, potato products, and seed potatoes including...

  1. High luminance monochrome vs. color displays: impact on performance and search

    NASA Astrophysics Data System (ADS)

    Krupinski, Elizabeth A.; Roehrig, Hans; Matsui, Takashi

    2011-03-01

    To determine if diagnostic accuracy and visual search efficiency with a high luminance medical-grade color display are equivalent to a high luminance medical-grade monochrome display. Six radiologists viewed DR chest images, half with a solitary pulmonary nodule and half without. Observers reported whether or not a nodule was present and their confidence in that decision. Total viewing time per image was recorded. On a subset of 15 cases eye-position was recorded. Confidence data were analyzed using MRMC ROC techniques. There was no statistically significant difference (F = 0.0136, p = 0.9078) between color (mean Az = 0.8981, se = 0.0065) and monochrome (mean Az = 0.8945, se = 0.0148) diagnostic performance. Total viewing time per image did not differ significantly (F = 0.392, p = 0.5315) as a function of color (mean = 27.36 sec, sd = 12.95) vs monochrome (mean = 28.04, sd = 14.36) display. There were no significant differences in decision dwell times (true and false, positive and negative) overall for color vs monochrome displays (F = 0.133, p = 0.7154). The true positive (TP) and false positive (FP) decisions were associated with the longest dwell times, the false negatives (FN) with slightly shorter dwell times, and the true negative decisions (TN) with the shortest (F = 50.552, p < 0.0001) and these trends were consistent for both color and monochrome displays. Current color medical-grade displays are suitable for primary diagnostic interpretation in clinical radiology.

  2. Closure of colostomy.

    PubMed Central

    Beck, P H; Conklin, H B

    1975-01-01

    We analyzed the records of 77 cases of loop colostomy closure in Vietnam War Casualties. All records were complete from the date of injury to discharge following colostomy closure. Simple of the loop colostomy was performed in 44 patients and resection of the stoma and reanastomosis of bowel segments was performed in 33 patients. Average operating time for simple closure of the loop was 70 minutes compared to 115 minutes for resection and anastomosis. Nasogastric suction was used less frequently and for a shorter time with simple loop closure. The total postoperative complication rate was 9% with simple loop closure as compared to 24% for resection and anastomosis. Simple closure of the loop described in this report is technically easier and as safe as resection of the stoma and reanastomosis. Images Fig. 1. PMID:1094967

  3. Case report classics in otolaryngology - head and neck surgery: citation analysis.

    PubMed

    Edelmayer, L W; Fenton, J E; Yellin, S A; Shearer, D J; Coelho, D H

    2018-06-12

    To analyse publication and citations trends of case reports within otolaryngology - head and neck surgery literature, with specific attention to the most-cited reports.Study designDatabase query. Web of Science was searched for article type 'case reports' published in the leading otolaryngology - head and neck surgery journals since 1945. Variables including publication dates, citation dates and numbers, author, author number, and others were recorded and analysed for trends. The reports with the most citations (classics) were further studied. Of nearly 67 000 published articles in leading otolaryngology - head and neck surgery journals, the overall number of case reports as a percentage of the total has substantially decreased over time. A total of 110 case report classics were identified for which citations have increased. Although the case report may not be worthy of its tarnished record, declining trends in publication suggest a limited future for this valuable research and educational resource.

  4. Is the use of underwater polarized light by fish restricted to crepuscular time periods?

    PubMed

    Novales Flamarique, I; Hawryshyn, C W

    1997-04-01

    We measured the spectral distributions of the underwater total and polarized light fields in the upper photic zone of meso-eutrophic waters (i.e., blue-green waters containing medium to high chlorophyll a concentrations). Per cent polarization levels during the day were always lower than 40%, but at crepuscular times these values could increase to 67%. A corresponding change occurred in the spectral distribution, with proportionately more shorter wavelength photons contributing to the total spectrum during crepuscular periods. Electrophysiological recordings from the optic nerve of rainbow trout subjected to light stimuli of varying polarization percentages show that the animal's threshold for detecting polarized light is between 63 and 72%. These physiological findings suggest that the use of water-induced polarized light cues by rainbow trout and similar percomorph fish should be restricted to crepuscular time periods.

  5. Genetic and phenotypic analysis of daily Israeli Holstein milk, fat, and protein production as determined by a real-time milk analyzer.

    PubMed

    Weller, J I; Ezra, E

    2016-12-01

    The objective was to test the hypothesis that more frequent but less accurately analyzed milk components may give a more representative measure of a cow's total lactation production. Daily records for milk production and fat and protein concentration collected by the AfiLab recording system (Afimilk, Kibbutz Afikim, Israel) from January 2014 to January 2016 from 47 large kibbutz (communal) herds distributed throughout Israel with a total of 37,486 Israeli Holstein cows were compared with the same statistics derived from monthly test day records derived by Bentley and Foss milk analyzers at the central laboratory of the Israel Cattle Breeders Association. The lactation means for all traits were quite similar for the 2 methods in both parities, except for fat production, which was lower for the daily records. This finding corresponded to fat lactation curves, which showed that daily results were lower with low days in milk (DIM) but almost equal to the monthly results after 125 DIM. Relative to monthly records, daily records overestimated protein percentage before 150 DIM and underestimated protein percentage in the second half of the lactation. The standard deviation for first- and second-parity daily records scored by the monthly and daily system were least similar for fat percentage, but even for this trait the difference was no more than 0.1 percentage points. The standard deviations for complete lactation production were slightly lower for the daily results for all traits but protein production. First-parity heritabilities were higher for lactations computed from daily records for all traits except for protein percentage, but differences were not significant. For daily records, coefficients of determination to predict future milk, fat, and protein lactation production from truncated lactations were greatest and root mean squared errors were least if the mean production from the last 2 weeks before the truncation date was used to estimate future production. Daily first-parity partial lactations for milk, fat, and protein production with <150 DIM predicted future lactation more accurately than corresponding monthly partial lactations. With only 30 DIM, genetic correlations between predicted and actual lactations ranged from 0.73 to 0.79 for milk, fat, and protein production. Real-time daily recording of fat and protein concentration by the daily recording system may be preferable to monthly analysis for herd-management decisions and genetic evaluation. Further study is required to compare the results of individual cows in multiple lactations. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

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

    PubMed Central

    2012-01-01

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

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

    PubMed

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

    2012-07-09

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

  8. Monitoring of cerebral oxygen saturation during resuscitation in out-of-hospital cardiac arrest: a feasibility study in a physician staffed emergency medical system.

    PubMed

    Schewe, Jens-Christian; Thudium, Marcus O; Kappler, Jochen; Steinhagen, Folkert; Eichhorn, Lars; Erdfelder, Felix; Heister, Ulrich; Ellerkmann, Richard

    2014-10-05

    Despite recent advances in resuscitation algorithms, neurological injury after cardiac arrest due to cerebral ischemia and reperfusion is one of the reasons for poor neurological outcome. There is currently no adequate means of measuring cerebral perfusion during cardiac arrest. It was the aim of this study to investigate the feasibility of measuring near infrared spectroscopy (NIRS) as a potential surrogate parameter for cerebral perfusion in patients with out-of-hospital resuscitations in a physician-staffed emergency medical service. An emergency physician responding to out-of-hospital emergencies was equipped with a NONIN cerebral oximetry device. Cerebral oximetry values (rSO2) were continuously recorded during resuscitation and transport. Feasibility was defined as >80% of total achieved recording time in relation to intended recording time. 10 patients were prospectively enrolled. In 89.8% of total recording time, rSO2 values could be recorded (213 minutes and 20 seconds), thus meeting feasibility criteria. 3 patients experienced return of spontaneous circulation (ROSC). rSO2 during manual cardiopulmonary resuscitation (CPR) was lower in patients who did not experience ROSC compared to the 3 patients with ROSC (31.6%, ± 7.4 versus 37.2% ± 17.0). ROSC was associated with an increase in rSO2. Decrease of rSO2 indicated occurrence of re-arrest in 2 patients. In 2 patients a mechanical chest compression device was used. rSO2 values during mechanical compression were increased by 12.7% and 19.1% compared to manual compression. NIRS monitoring is feasible during resuscitation of patients with out-of-hospital cardiac arrest and can be a useful tool during resuscitation, leading to an earlier detection of ROSC and re-arrest. Higher initial rSO2 values during CPR seem to be associated with the occurrence of ROSC. The use of mechanical chest compression devices might result in higher rSO2. These findings need to be confirmed by larger studies.

  9. All-digital 1.2-Gbit/s real-time HDTV VTR

    NASA Astrophysics Data System (ADS)

    Thorpe, Laurence J.; Yoshinaka, T.

    1992-08-01

    In 1984 the first real-time HDTV video tape recorder was introduced. The HDV-1000 was an analog VTR using one inch metal oxide tape and standard SMPTE open reels. It utilized basic Type-C recording principles although also incorporating a considerably higher FM carrier frequency, twice the deviation, and slightly more preemphasis, - all to achieve a 10 MHz baseband video recording bandwidth capability. Four such component analog recording channels were utilized in parallel to achieve a total recording capability of 40 MHz - made up of 20 MHz for the green video signal (or Luminance Y) and 10 MHz each for the red and blue signals (or R-Y and B-Y components in the case of Y, R-Y, B-Y recording). Almost 150 of these machines supported the early pioneering years of HDTV development - worldwide - over the period 1984 to the late 1980's. The HDTV video signal format to which this VTR was designed was based upon the preliminary 1 125/60/16:9/2: 1 system - having specified system bandwiths of 20 MHz for Luminance Y, and 7.0MHz R-Y, and 5.5 MHz B-Y. The HDV-1000 proved to be a remarkably robust, reliable HD VTR workhorse and it early and firmly established the viability of reliable RD real-time image capture. Nevertheless, it's technical shortcomings were soon exposed by a creative and demanding international program production community. The limitations of two channels of analog audio recording, and about four generations of liD video recording in post-production were inconsistent with the needs of high-end program production. The 45 db signal to noise limitation also imposed a boundary to the quality of the HDTV tape to 35 mm film transfers being made by both Electron Beam and Laser Recording techniques. The HDV-1000 had, however, pushed the state of the art in analog FM recording to the boundary. Head and tape technologies were not expected to advance sufficiently to warrant a new generation in analog recording design. Attention thus turned to digital recording techniques.

  10. Use of speech-to-text technology for documentation by healthcare providers.

    PubMed

    Ajami, Sima

    2016-01-01

    Medical records are a critical component of a patient's treatment. However, documentation of patient-related information is considered a secondary activity in the provision of healthcare services, often leading to incomplete medical records and patient data of low quality. Advances in information technology (IT) in the health system and registration of information in electronic health records (EHR) using speechto- text conversion software have facilitated service delivery. This narrative review is a literature search with the help of libraries, books, conference proceedings, databases of Science Direct, PubMed, Proquest, Springer, SID (Scientific Information Database), and search engines such as Yahoo, and Google. I used the following keywords and their combinations: speech recognition, automatic report documentation, voice to text software, healthcare, information, and voice recognition. Due to lack of knowledge of other languages, I searched all texts in English or Persian with no time limits. Of a total of 70, only 42 articles were selected. Speech-to-text conversion technology offers opportunities to improve the documentation process of medical records, reduce cost and time of recording information, enhance the quality of documentation, improve the quality of services provided to patients, and support healthcare providers in legal matters. Healthcare providers should recognize the impact of this technology on service delivery.

  11. A new method for reconstruction of solar irradiance

    NASA Astrophysics Data System (ADS)

    Privalsky, Victor

    2018-07-01

    The purpose of this research is to show how time series should be reconstructed using an example with the data on total solar irradiation (TSI) of the Earth and on sunspot numbers (SSN) since 1749. The traditional approach through regression equation(s) is designed for time-invariant vectors of random variables and is not applicable to time series, which present random functions of time. The autoregressive reconstruction (ARR) method suggested here requires fitting a multivariate stochastic difference equation to the target/proxy time series. The reconstruction is done through the scalar equation for the target time series with the white noise term excluded. The time series approach is shown to provide a better reconstruction of TSI than the correlation/regression method. A reconstruction criterion is introduced which allows one to define in advance the achievable level of success in the reconstruction. The conclusion is that time series, including the total solar irradiance, cannot be reconstructed properly if the data are not treated as sample records of random processes and analyzed in both time and frequency domains.

  12. An intercomparison of multidecadal observational and reanalysis data sets for global total ozone trends and variability analysis

    NASA Astrophysics Data System (ADS)

    Bai, Kaixu; Chang, Ni-Bin; Shi, Runhe; Yu, Huijia; Gao, Wei

    2017-07-01

    A four-step adaptive ozone trend estimation scheme is proposed by integrating multivariate linear regression (MLR) and ensemble empirical mode decomposition (EEMD) to analyze the long-term variability of total column ozone from a set of four observational and reanalysis total ozone data sets, including the rarely explored ERA-Interim total ozone reanalysis, from 1979 to 2009. Consistency among the four data sets was first assessed, indicating a mean relative difference of 1% and root-mean-square error around 2% on average, with respect to collocated ground-based total ozone observations. Nevertheless, large drifts with significant spatiotemporal inhomogeneity were diagnosed in ERA-Interim after 1995. To emphasize long-term trends, natural ozone variations associated with the solar cycle, quasi-biennial oscillation, volcanic aerosols, and El Niño-Southern Oscillation were modeled with MLR and then removed from each total ozone record, respectively, before performing EEMD analyses. The resulting rates of change estimated from the proposed scheme captured the long-term ozone variability well, with an inflection time of 2000 clearly detected. The positive rates of change after 2000 suggest that the ozone layer seems to be on a healing path, but the results are still inadequate to conclude an actual recovery of the ozone layer, and more observational evidence is needed. Further investigations suggest that biases embedded in total ozone records may significantly impact ozone trend estimations by resulting in large uncertainty or even negative rates of change after 2000.

  13. Feasibility of Estimating Constituent Concentrations and Loads Based on Data Recorded by Acoustic Instrumentation

    USGS Publications Warehouse

    Lietz, A.C.

    2002-01-01

    The acoustic Doppler current profiler (ADCP) and acoustic Doppler velocity meter (ADVM) were used to estimate constituent concentrations and loads at a sampling site along the Hendry-Collier County boundary in southwestern Florida. The sampling site is strategically placed within a highly managed canal system that exhibits low and rapidly changing water conditions. With the ADCP and ADVM, flow can be gaged more accurately rather than by conventional field-data collection methods. An ADVM velocity rating relates measured velocity determined by the ADCP (dependent variable) with the ADVM velocity (independent variable) by means of regression analysis techniques. The coefficient of determination (R2) for this rating is 0.99 at the sampling site. Concentrations and loads of total phosphorus, total Kjeldahl nitrogen, and total nitrogen (dependent variables) were related to instantaneous discharge, acoustic backscatter, stage, or water temperature (independent variables) recorded at the time of sampling. Only positive discharges were used for this analysis. Discharges less than 100 cubic feet per second generally are considered inaccurate (probably as a result of acoustic ray bending and vertical temperature gradients in the water column). Of the concentration models, only total phosphorus was statistically significant at the 95-percent confidence level (p-value less than 0.05). Total phosphorus had an adjusted R2 of 0.93, indicating most of the variation in the concentration can be explained by the discharge. All of the load models for total phosphorus, total Kjeldahl nitrogen, and total nitrogen were statistically significant. Most of the variation in load can be explained by the discharge as reflected in the adjusted R2 for total phosphorus (0.98), total Kjeldahl nitrogen (0.99), and total nitrogen (0.99).

  14. An Evaluation of Surgical Functional Reconstruction of the Foot Using Kinetic and Kinematic Systems: A Case Report.

    PubMed

    Jordán-Palomar, Elena Irene; Javierre, Etelvina; Rey-Vasalo, José; Alfaro-Santafé, Víctor; Gómez-Benito, María José

    Most pedobarographic studies of microsurgical foot reconstruction have been retrospective. In the present study, we report the results from a prospective pedobarographic study of a patient after microsurgical reconstruction of her foot with a latissimus dorsi flap and a cutaneous paddle, with a 42-month follow-up period. We describe the foot reconstruction plan and the pedobarographic measurements and analyzed its functional outcome. The goal of the present study was to demonstrate that pedobarography could have a role in the treatment of foot reconstruction from a quantitative perspective. The pedobarographic measurements were recorded after the initial coverage surgery and 2 subsequent foot remodeling procedures. A total of 4 pedobarographic measurements and 2 gait analyses were recorded and compared for both the noninvolved foot and the injured foot. Furthermore, the progress of the reconstructed foot was critically evaluated using this method. Both static and dynamic patterns were compared at subsequent follow-up visits after the foot reconstruction. The values and progression of the foot shape, peak foot pressure (kPa), average foot pressure (kPa), total contact surface (cm 2 ), loading time (%), and step time (ms) were recorded. Initially, the pressure distribution of the reconstructed foot showed higher peak values at nonanatomic locations, revealing a greater ulceration risk. Over time, we found an improvement in the shape and values of these factors in the involved foot. To homogenize the pressure distribution and correct the imbalance between the 2 feet, patient-specific insoles were designed and fabricated. In our patient, pedobarography provided an objective, repeatable, and recordable method for the evaluation of the reconstructed foot. Pedobarography can therefore provide valuable insights into the prevention of pressure ulcers and optimization of rehabilitation. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  15. Paleoclimate Reconstrcution on the Lower Bengal Fan for the last 200 ka - Implications for Monsoonal Development

    NASA Astrophysics Data System (ADS)

    Weber, M. E.; Lantzsch, H.; Reilly, B. T.; Dekens, P.; Das, S. K.; Martos, Y. M.; Williams, T.

    2017-12-01

    IODP Expedition 354 drilled seven sites along an east west oriented core transect of 320 km length at 8°N in the lower Bengal Fan (France-Lanord et al., 2015). The sites were recovered to reconstruct the Himalayan uplift, the monsoonal development, and the turbiditic depositional mechanisms. Here, we concentrate on the hemipelagic sequences that represent a several meter thick top layer of Late Quaternary age. We studied a number of physical, optical, geochemical, stable isotopic, and grain-size properties of the top layer in order to estimate sedimentary properties, and to assess the climate and monsoonal development of the region during the last glacial cycle. The Toba Ash 1 (74 ka) is a distinct time marker in most physical property data sets. We first derived age models from records of wet-bulk density as well as color reflectance b*. Both show dominant precession cyclicity, which is in good agreement with ^18O records derived from Chinese caves. We then derived age models from the strong correlation of color reflectance L* to the ^18O record of Antarctic ice core EDML. Independent age models originate from ^18O measurements of planktonic foraminifer Globigerinoides sacculifer and from records of relative paleointensity. We will compare the various age models obtained from tuning experiments and discuss their chronologic and paleoclimatic implications for the last 200 ka (MIS1-7). Preliminary results further indicate that grain sizes vary in-phase with monsoonal strength, showing coarser grains for insolation minima. Elemental geochemical ratios indicate higher relative terrigenous input on obliquity time scales, primarily during stadials, whereas total organic carbon and total nitrogen vary stronger on glacial-to-interglacial time scales with lower contents usually for interglacials. We will discuss these preliminary results in the context of the regional monsoon development.

  16. The Version 8.6 SBUV Ozone Data Record: An Overview

    NASA Technical Reports Server (NTRS)

    McPeters, Richard D.; Bhartia, P. K.; Haffner, D.; Labow, Gordon J.; Flynn, Larry

    2013-01-01

    Under a NASA program to produce long-term data records from instruments on multiple satellites, data from a series of nine Solar Backscatter Ultraviolet (SBUV and SBUV2) instruments have been re-processed to create a coherent ozone time series. Data from the BUV instrument on Nimbus 4, SBUV on Nimbus 7, and SBUV2 instruments on NOAA 9, 11, 14, 16, 17, 18, and 19 covering the period 1970-1972 and 1979-2011 were used to create a long-term data set. The goal is an ozone Earth Science Data Record - a consistent, calibrated ozone time series that can be used for trend analyses and other studies. In order to create this ozone data set, the radiances were adjusted and used to re-process the entire data records for each of the nine instruments. Inter-instrument comparisons during periods of overlap as well as comparisons with data from other satellite and ground-based instruments were used to evaluate the consistency of the record and make calibration adjustments as needed. Additional improvements in this version 8.6 processing included the use of the Brion, Daumont, and Malicet ozone cross sections, and a cloud-height climatology derived from Aura OMI measurements. Validation of the re-processed ozone shows that total column ozone is consistent with the Brewer Dobson network to within about 1 for the new time series. Comparisons with MLS, SAGE, sondes, and lidar show that ozone at individual levels in the stratosphere is generally consistent to within 5 percent.

  17. Syndromic surveillance for health information system failures: a feasibility study

    PubMed Central

    Ong, Mei-Sing; Magrabi, Farah; Coiera, Enrico

    2013-01-01

    Objective To explore the applicability of a syndromic surveillance method to the early detection of health information technology (HIT) system failures. Methods A syndromic surveillance system was developed to monitor a laboratory information system at a tertiary hospital. Four indices were monitored: (1) total laboratory records being created; (2) total records with missing results; (3) average serum potassium results; and (4) total duplicated tests on a patient. The goal was to detect HIT system failures causing: data loss at the record level; data loss at the field level; erroneous data; and unintended duplication of data. Time-series models of the indices were constructed, and statistical process control charts were used to detect unexpected behaviors. The ability of the models to detect HIT system failures was evaluated using simulated failures, each lasting for 24 h, with error rates ranging from 1% to 35%. Results In detecting data loss at the record level, the model achieved a sensitivity of 0.26 when the simulated error rate was 1%, while maintaining a specificity of 0.98. Detection performance improved with increasing error rates, achieving a perfect sensitivity when the error rate was 35%. In the detection of missing results, erroneous serum potassium results and unintended repetition of tests, perfect sensitivity was attained when the error rate was as small as 5%. Decreasing the error rate to 1% resulted in a drop in sensitivity to 0.65–0.85. Conclusions Syndromic surveillance methods can potentially be applied to monitor HIT systems, to facilitate the early detection of failures. PMID:23184193

  18. Comparative evaluation of five Pleurotus species for their growth behaviour and yield performance using wheat straw as a substrate.

    PubMed

    Holkar, Somnath Kadappa; Chandra, Ram

    2016-01-01

    Pleurotus spp. is one of the most important edible mushrooms cultivated in India. The present study was an attempt to compare five Pleurotus species in context of actual time required for each growth stage viz., spawn run period, number of days required for initiation of pin heads of sporophores, average weight of fruiting bodies in all the flushes and total yield. The spawn run period in all the five species were recorded between 18 days-21 days, similarly for initiation of pinheads 5 days -7 days were required after spawn run period. A total of 24 days to 27 days, 34 days to 37 days and 47 days to 53 days were required for harvesting the I, II and III flushes respectively. An average number of 41 to 70 sporophores per bag containing 1 kg of dry substrates were obtained from all the Pleurotus species. Maximum 14 g weight of single sporophore was recorded from P. florida, similarly, an average maximum diameter of 5.3 cm of sporophores of P. florida was observed whereas the diameter of sporophores in rest of the species ranged from 3.0 cm to 3.2 cm. The number of sporophores were obtained from P. sajor-caju (n-70) and all the species showed significant difference with respect to the number of sporophores in a bunch at probability level of P = 0.05. Maximum weight of single bunch was recorded (58 g) in P. florida and total yield of 740 gkg(-1) of dry matter was recorded in P. florida.

  19. Manipulation for stiffness following total knee arthroplasty: when and how often to do it?

    PubMed

    Desai, Aravind S; Karmegam, Anand; Dramis, Asterios; Board, Tim N; Raut, Videsh

    2014-10-01

    Stiffness following total knee arthroplasty is a disabling complication. One of the management options of stiffness includes manipulation under anaesthesia, but no real consensus exist on appropriate timing of intervention, and the timing and results of the manipulation under anaesthesia (MUA) are under debate in the literature. Our aim was to determine the efficacy of single and multiple manipulations under anaesthesia following total knee arthroplasty and to determine the most appropriate timing for manipulation. We retrospectively reviewed 86 patients who underwent manipulation for stiffness following primary total knee replacement with at least 1-year follow-up. Range of motion before surgery, at the time of the MUA, immediately after MUA and at 6 weeks and 1 year post-MUA were recorded. At the end of 1 year post-manipulation, manipulations performed at less than 20 weeks, following primary total knee arthroplasty, showed 31° of flexion gain as compared to only 1.5° of flexion gain when manipulation was undertaken after 20 weeks. Of the 86 patients, 21 had multiple manipulations with no significant difference in flexion gain after the second manipulation. Patients on warfarin (26%) had an increased incidence of stiffness and poor flexion gain. This study showed that better results were achieved when manipulation was performed at less than 20 weeks (particularly between 12 and 14 weeks) from primary surgery with no added benefit from re-manipulations.

  20. Late diagnosis and surgical treatment of patients diagnosed with unilateral congenital cataract at Fundación Visión, in Asuncion, Paraguay.

    PubMed

    Zegarra, Manuel; Burga, Gisella Harumi; Lansingh, Van; Samudio, Margarita; Duarte, Edgar; Ferreira, Rocio; Dorantes, Yesenia; Ginés, Juan Carlos; Zepeda, Luz

    2014-10-01

    Purpose: Providing data on the late diagnosis and surgical treatment of patients who underwent surgery for total unilateral congenital cataract. Methods: Systematic retrospective review of the medical record of all patients between 0 and 16 years old with total unilateral congenital cataract who underwent surgery at Fundación Vision between January 2010 and July 2012. Results: Medical records of 37 patients (51 % females) were studied, age was 7.4 (± 4.9) years (average ± SD) and 62% lived on Departamento Central (the most populated region from Paraguay). A total of 97.3% patients underwent late surgical treatment and 86.5% received a late diagnosis. The average time elapsed between the diagnosis and the surgical treatment was one month, and 62.2% of the patients underwent surgery within six months from the diagnosis. Conclusion: This study evidences that most of the patients in our series had a late treatment as a result of a late diagnosis. Based on these results we recommend establishing strategies to improve the early detection and surgical treatment of the newborns.

  1. A high-speed, reconfigurable, channel- and time-tagged photon arrival recording system for intensity-interferometry and quantum optics experiments

    NASA Astrophysics Data System (ADS)

    Girish, B. S.; Pandey, Deepak; Ramachandran, Hema

    2017-08-01

    We present a compact, inexpensive multichannel module, APODAS (Avalanche Photodiode Output Data Acquisition System), capable of detecting 0.8 billion photons per second and providing real-time recording on a computer hard-disk, of channel- and time-tagged information of the arrival of upto 0.4 billion photons per second. Built around a Virtex-5 Field Programmable Gate Array (FPGA) unit, APODAS offers a temporal resolution of 5 nanoseconds with zero deadtime in data acquisition, utilising an efficient scheme for time and channel tagging and employing Gigabit ethernet for the transfer of data. Analysis tools have been developed on a Linux platform for multi-fold coincidence studies and time-delayed intensity interferometry. As illustrative examples, the second-order intensity correlation function ( g 2) of light from two commonly used sources in quantum optics —a coherent laser source and a dilute atomic vapour emitting spontaneously, constituting a thermal source— are presented. With easy reconfigurability and with no restriction on the total record length, APODAS can be readily used for studies over various time scales. This is demonstrated by using APODAS to reveal Rabi oscillations on nanosecond time scales in the emission of ultracold atoms, on the one hand, and, on the other hand, to measure the second-order correlation function on the millisecond time scales from tailored light sources. The efficient and versatile performance of APODAS promises its utility in diverse fields, like quantum optics, quantum communication, nuclear physics, astrophysics and biology.

  2. Observations of Orionids and eta-Aquariids in 2006 from Bulgaria

    NASA Astrophysics Data System (ADS)

    Bozhurova, Eva; Zhivkova, Desislava

    2010-12-01

    We present observations of the eta-Aquariid and Orionid meteor showers collected during observing expeditions. The 2006 May 4-6 expedition with two observers yielded 63 meteors in 4.14 h of total effective observing time. A radiant was derived from 34 eta-Aquariids. The October campaign surprised all observers with the unusually high Orionid activity about twice as high as the average. In our analysis we include observing data of Boris Stoilov (STOBO), Natasha Ivanova (IVANA) and Ivan Gradinarov (GRAIV). Based on 107 recorded meteors from which 47 were Orionids seen in 9.8 total effective time for the night of 21/22 October, we obtained a mean ZHR equal to 41.5 assuming a population index r = 2.0.

  3. Closed-loop optical neural stimulation based on a 32-channel low-noise recording system with online spike sorting

    NASA Astrophysics Data System (ADS)

    Nguyen, T. K. T.; Navratilova, Z.; Cabral, H.; Wang, L.; Gielen, G.; Battaglia, F. P.; Bartic, C.

    2014-08-01

    Objective. Closed-loop operation of neuro-electronic systems is desirable for both scientific and clinical (neuroprosthesis) applications. Integrating optical stimulation with recording capability further enhances the selectivity of neural stimulation. We have developed a system enabling the local delivery of optical stimuli and the simultaneous electrical measuring of the neural activities in a closed-loop approach. Approach. The signal analysis is performed online through the implementation of a template matching algorithm. The system performance is demonstrated with the recorded data and in awake rats. Main results. Specifically, the neural activities are simultaneously recorded, detected, classified online (through spike sorting) from 32 channels, and used to trigger a light emitting diode light source using generated TTL signals. Significance. A total processing time of 8 ms is achieved, suitable for optogenetic studies of brain mechanisms online.

  4. The effects of methamphetamine and buprenorphine, and their interaction on anxiety-like behavior and locomotion in male rats.

    PubMed

    Etaee, Farshid; Asadbegi, Masoumeh; Taslimi, Zahra; Shahidi, Siamak; Sarihi, Abdolrahman; Soleimani Asl, Sara; Komaki, Alireza

    2017-08-10

    Methamphetamine (Meth) abuse and dependence are major global problems. Most of previous studies showed that Meth is anxiogenic. While buprenorphine (Bup) is used to treat anxiety-related behaviors, the effects of Meth in combination with Bup on anxiety-like behavior are unclear. In this study, we examined the effects of these drugs on anxiety-like behavior with the elevated plus maze (EPM) and open field (OF) tests, which are widely used to assess anxiety-like behavior in small rodents. Forty male Wistar rats were divided into four groups: sham, Meth, Bup, and Bup+Meth. The groups were administered their assigned treatments for 7days. The time spent in the open arms, and number of total entries into the arms (total activity) in the EPM were recorded. In addition, locomotor activity and number of entrances into the center area in the OF were recorded. The 7-day administration of Meth or Bup increased open arm exploration in the EPM. In contrast, the combined administration of Bup and Meth had the opposite effects. In addition, Meth and Bup had no effects on total and locomotor activity. Furthermore, the rats in the Meth and Bup groups spent more time in the center of the OF, while the group given both Bup and Meth spent less time in the center of the OF. The administration of Meth and Bup alone was anxiolytic in rats, whereas the coadministration of Bup and Meth was anxiogenic. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Peripheral Nerve Block as a Supplement to Light or Deep General Anesthesia in Elderly Patients Receiving Total Hip Arthroplasty: A Prospective Randomized Study.

    PubMed

    Mei, Bin; Zha, Hanning; Lu, Xiaolong; Cheng, Xinqi; Chen, Shishou; Liu, Xuesheng; Li, Yuanhai; Gu, Erwei

    2017-12-01

    Peripheral nerve block combined with general anesthesia is a preferable anesthesia method for elderly patients receiving hip arthroplasty. The depth of sedation may influence patient recovery. Therefore, we investigated the influence of peripheral nerve blockade and different intraoperative sedation levels on the short-term recovery of elderly patients receiving total hip arthroplasty. Patients aged 65 years and older undergoing total hip arthroplasty were randomized into 3 groups: a general anesthesia without lumbosacral plexus block group, and 2 general anesthesia plus lumbosacral plexus block groups, each with a different level of sedation (light or deep). The extubation time and intraoperative consumption of propofol, sufentanil, and vasoactive agent were recorded. Postoperative delirium and early postoperative cognitive dysfunction were assessed using the Confusion Assessment Method and Mini-Mental State Examination, respectively. Postoperative analgesia was assessed by the consumption of patient-controlled analgesics and visual analog scale scores. Discharge time and complications over a 30-day period were also recorded. Lumbosacral plexus block reduced opioid intake. With lumbosacral plexus block, intraoperative deep sedation was associated with greater intake of propofol and vasoactive agent. In contrast, patients with lumbosacral plexus block and intraoperative light sedation had lower incidences of postoperative delirium and postoperative cognitive decline, and earlier discharge readiness times. The 3 groups showed no difference in complications within 30 days of surgery. Lumbosacral plexus block reduced the need for opioids and offered satisfactory postoperative analgesia. It led to better postoperative outcomes in combination with intraoperative light sedation (high bispectral index).

  6. Apparatus Characterizes Transient Voltages in Real Time

    NASA Technical Reports Server (NTRS)

    Medelius, Pedro

    2005-01-01

    The figure shows a prototype of a relatively inexpensive electronic monitoring apparatus that measures and records selected parameters of lightning-induced transient voltages on communication and power cables. The selected parameters, listed below, are those most relevant to the ability of lightning-induced transients to damage electronic equipment. This apparatus bridges a gap between some traditional transient-voltage recorders that record complete waveforms and other traditional transient-voltage recorders that record only peak values: By recording the most relevant parameters and only those parameters this apparatus yields more useful information than does a traditional peak-value (only) recorder while imposing much smaller data-storage and data-transmission burdens than does a traditional complete-waveform recorder. Also, relative to a complete-waveform recorder, this apparatus is more reliable and can be built at lower cost because it contains fewer electronic components. The transients generated by sources other than lightning tend to have frequency components well below 1 MHz. Most commercial transient recorders can detect and record such transients, but cannot respond rapidly enough for recording lightning-induced transient voltage peaks, which can rise from 10 to 90 percent of maximum amplitude in a fraction of a microsecond. Moreover, commercial transient recorders cannot rearm themselves rapidly enough to respond to the multiple transients that occur within milliseconds of each other on some lightning strikes. One transient recorder, designed for Kennedy Space Center earlier [ Fast Transient-Voltage Recorder (KSC- 11991), NASA Tech Briefs, Vol. 23, No. 10, page 6a (October 1999)], is capable of sampling transient voltages at peak values up to 50 V in four channels at a rate of 20 MHz. That recorder contains a trigger circuit that continuously compares the amplitudes of the signals on four channels to a preset triggering threshold. When a trigger signal is received, a volatile memory is filled with data for a total time of 200 ms. After the data are transferred to nonvolatile memory, the recorder rearms itself within 400 ms to enable recording of subsequent transients. Unfortunately, the recorded data must be retrieved through a serial communication link. Depending on the amount of data recorded, the memory can be filled before retrieval is completed. Although large amounts of data are recorded and retrieved, only a small part of the information (the selected parameters) is usually required. The present transient-voltage recorder provides the required information, without incurring the overhead associated with the recording, storage, and retrieval of complete transient-waveform data. In operation, this apparatus processes transient voltage waveforms in real time to extract and record the selected parameters. An analog-to-digital converter that operates at a speed of as much as 100 mega-samples per second is used to sample a transient waveform. A real-time comparator and peak detector are implemented by use of fast field-programmable gate arrays.

  7. Return to normal streamflows and water levels: summary of hydrologic conditions in Georgia, 2013

    USGS Publications Warehouse

    Knaak, Andrew E.; Caslow, Kerry; Peck, Michael F.

    2015-01-01

    Drought conditions, persistent in the area since 2010, continued into the 2013 WY. In February 2013, Georgia was free of extreme (D3) drought conditions, as defined by the U.S. Drought Monitor, for the first time since August 2010 due to extended periods of heavy rainfall (U.S. Drought Monitor, 2013). According to the Office of the State Climatologist, the city of Savannah recorded 9.75 inches of rain in February 2013, the highest monthly total in February out of 143 years of record. Macon and Columbus also received record rainfalls in February 2013. Above-normal precipitation continued in June 2013, and the cities of Augusta and Savannah recorded the wettest June on record. In July, precipitation for the entire State of Georgia was 3.53 inches above normal (Dunkley, 2013). Above-normal rainfall from February to September 2013 increased streamflow and raised groundwater levels, and lakes and reservoirs were raised to full-pool elevations.

  8. Taxonomy of the genus Osorius Guérin-Méneville (Coleoptera: Staphylinidae, Osoriinae) from China.

    PubMed

    Zou, Si-Si; Zhou, Hong-Zhang

    2015-12-01

    This paper studies the taxonomy of the genus Osorius Guérin-Méneville, 1829 (Coleoptera: Staphylinidae, Osoriinae) and reports 10 new species and three new records from China: Osorius depressicapitatus sp. nov. (Yunnan and Xizang), O. guizhouensis sp. nov. (Guizhou), O. huangi sp. nov. (Hunan), O. limatidepressus sp. nov. (Sichuan), O. micromidas sp. nov. (Yunnan), O. minutoserratus sp. nov. (Yunnan), O. rectomarginatus sp. nov. (Yunnan, Guangxi, Hainan, Fujian, Guangdong and Xizang), O. striolatus sp. nov. (Hunan and Guangdong), O. trichinosis sp. nov. (Guizhou and Zhejiang), O. tuberocapitatus sp. nov. (Hubei), O. aspericeps Fauvel, 1905, new record of China (Yunnan, Sichuan, Xizang and Zhejiang), O. frontalis Fauvel, 1905, new record of China (Sichuan), and O. punctulatus Motschulsky, 1857, new record of China (Yunnan and Fujian). The number of the Chinese Osorius species is thus increased to 21 in total. The paper provides line drawings for 21 species and redescriptions for the species recorded for the first time in China. A key to Chinese species is also included.

  9. The 1987 Airborne Antarctic Ozone Experiment: the Nimbus-7 TOMS Data Atlas

    NASA Technical Reports Server (NTRS)

    Krueger, Arlin J.; Ardanuy, Philip E.; Sechrist, Frank S.; Penn, Lanning M.; Larko, David E.; Doiron, Scott D.; Galimore, Reginald N.

    1988-01-01

    Total ozone data taken by the Nimbus-7 Total Ozone Mapping Spectrometer (TOMS) played a central role in the successful outcome of the 1987 Airborne Antarctic Ozone Experiment. The near-real-time TOMS total ozone observations were suppled within hours of real time to the operations center in Punta Arenas, Chile, over a telecommunications network designed specifically for this purpose. The TOMS data preparation and method of transfer over the telecommunications links are reviewed. This atlas includes a complete set of the near-real-time TOMS orbital overpass data over regions around the Palmer Peninsula of Antarctica for the period of August 8 through September 29, 1987. Also provided are daily polar orthographic projections of TOMS total ozone measurements over the Southern Hemisphere from August through November 1987. In addition, a chronology of the salient points of the experiment, along with some latitudinal cross sections and time series at locations of interest of the TOMS total ozone observations are presented. The TOMS total ozone measurements are evaluated along the flight tracks of each of the ER-2 and DC-8 missions during the experiment. The ozone hole is shown here to develop in a monotonic progression throughout late August and September. The minimum total ozone amount was found on 5 October, when its all-time lowest value of 109 DU is recorded. The hole remains well defined, but fills gradually from mid-October through mid-November. The hole's dissolution is observed here to begin in mid-November, when it elongates and begins to rotate. By the end of November, the south pole is no longer located within the ozone hole.

  10. Detection of cough signals in continuous audio recordings using hidden Markov models.

    PubMed

    Matos, Sergio; Birring, Surinder S; Pavord, Ian D; Evans, David H

    2006-06-01

    Cough is a common symptom of many respiratory diseases. The evaluation of its intensity and frequency of occurrence could provide valuable clinical information in the assessment of patients with chronic cough. In this paper we propose the use of hidden Markov models (HMMs) to automatically detect cough sounds from continuous ambulatory recordings. The recording system consists of a digital sound recorder and a microphone attached to the patient's chest. The recognition algorithm follows a keyword-spotting approach, with cough sounds representing the keywords. It was trained on 821 min selected from 10 ambulatory recordings, including 2473 manually labeled cough events, and tested on a database of nine recordings from separate patients with a total recording time of 3060 min and comprising 2155 cough events. The average detection rate was 82% at a false alarm rate of seven events/h, when considering only events above an energy threshold relative to each recording's average energy. These results suggest that HMMs can be applied to the detection of cough sounds from ambulatory patients. A postprocessing stage to perform a more detailed analysis on the detected events is under development, and could allow the rejection of some of the incorrectly detected events.

  11. Sky brightness and color measurements during the 21 August 2017 total solar eclipse.

    PubMed

    Bruns, Donald G; Bruns, Ronald D

    2018-06-01

    The sky brightness was measured during the partial phases and during totality of the 21 August 2017 total solar eclipse. A tracking CCD camera with color filters and a wide-angle lens allowed measurements across a wide field of view, recording images every 10 s. The partially and totally eclipsed Sun was kept behind an occulting disk attached to the camera, allowing direct brightness measurements from 1.5° to 38° from the Sun. During the partial phases, the sky brightness as a function of time closely followed the integrated intensity of the unobscured fraction of the solar disk. A redder sky was measured close to the Sun just before totality, caused by the redder color of the exposed solar limb. During totality, a bluer sky was measured, dimmer than the normal sky by a factor of 10,000. Suggestions for enhanced measurements at future eclipses are offered.

  12. Decreased Time from 9-1-1 Call to PCI among Patients Experiencing STEMI Results in a Decreased One Year Mortality.

    PubMed

    Studnek, Jonathan R; Infinger, Allison; Wilson, Hadley; Niess, Gary; Jackson, Patrick; Swanson, Doug

    2018-03-29

    The impact on mortality due to prompt recognition of ST-segment Elevation Myocardial Infarction (STEMI) patients by EMS has not been well described. The objective of this study was to describe the association between the time interval, 9-1-1 call to percutaneous intervention (PCI), and mortality at one year. This retrospective analysis included patients that were transported by EMS as a "code STEMI" and underwent PCI.  Total time from 9-1-1 call to PCI was calculated for each patient and was the independent variable of interest. Each patient's mortality status at one year was the outcome variable, collected by querying medical records and the national death index. Confounding variables were abstracted from hospital records. Logistic regression was conducted to determine the likelihood of survival given differences in time to PCI. A total of 550 patients were included in the analyses of which 68% were male with an average age 59.8 (SD 12.8). Mean reperfusion time was 81.8 min (SD 20.0) and was significantly lower in patients alive at one year (80.8 min, SD 19.7) vs. deceased at one year (93.9 min, SD 19.6), respectively. Odds of survival at one year decreased by 3% (OR 0.97; 95% CI 0.96-0.99) for every one minute increase in time to PCI. This relationship practically represents a 30% increase in mortality for every 10 minute delay from 9-1-1 call to PCI. The model produced suggests that a linear relationship exists between time to PCI and mortality in the prehospital environment with the probability of survival decreasing significantly as time to PCI increases.

  13. Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures. The Antibiotic Prophylaxis Study Group.

    PubMed

    Silver, A; Eichorn, A; Kral, J; Pickett, G; Barie, P; Pryor, V; Dearie, M B

    1996-06-01

    Twenty-five percent of all nosocomial infections are wound infections. Professional guidelines support the timely use of preoperative prophylaxis for prevention of postoperative wound infections. Barriers exist in implementing this practice. IPRO, the New York State peer review organization, as part of the Health Care Financing Administration's Health Care Quality Improvement Program, sought to determine the proportion of patients receiving timely antibiotic prophylaxis for aortic grafts, hip replacements and colon resections in 44 hospitals in New York State. IPRO conducted a retrospective medical record review of 44 hospitals through out New York State stratified for teaching, nonteaching status. A sample was drawn of 2651 patients, 2256 from Medicare and 395 from Medicaid, undergoing either abdominal aortic aneurysm repair, partial or total hip replacement or large bowel resection. The study determined the proportion of patients who had documentation of receiving antibiotics and those who received antibiotics timely, that is less than or equal to 2 hours preoperatively. Eighty-six percent of patients had documentation of receiving an antibiotic. Forty-six percent of aneurysm repairs and 60% of hip replacements had evidence of receiving timely antibiotic prophylaxis, that is within 2 hours prior to surgery. For colon resections, 73% of cases had either oral prophylaxis or timely parenteral therapy. An increased proportion of patients had received parenteral antibiotics prematurely as the surgical start time occurred later in the day. A total of 44 different antibiotics were recorded for prophylaxis. Antibiotic prophylaxis was performed in 81% to 94% of cases, however, anywhere from 27% to 54% of all cases did not receive antibiotics in a timely fashion. By delegating implementation of ordered antibiotic prophylaxis to the anesthesia team, timing may be improved and the incidence of postoperative wound infections may decrease.

  14. Efficacy of extracting indices from large-scale acoustic recordings to monitor biodiversity.

    PubMed

    Buxton, Rachel; McKenna, Megan F; Clapp, Mary; Meyer, Erik; Stabenau, Erik; Angeloni, Lisa M; Crooks, Kevin; Wittemyer, George

    2018-04-20

    Passive acoustic monitoring has the potential to be a powerful approach for assessing biodiversity across large spatial and temporal scales. However, extracting meaningful information from recordings can be prohibitively time consuming. Acoustic indices offer a relatively rapid method for processing acoustic data and are increasingly used to characterize biological communities. We examine the ability of acoustic indices to predict the diversity and abundance of biological sounds within recordings. First we reviewed the acoustic index literature and found that over 60 indices have been applied to a range of objectives with varying success. We then implemented a subset of the most successful indices on acoustic data collected at 43 sites in temperate terrestrial and tropical marine habitats across the continental U.S., developing a predictive model of the diversity of animal sounds observed in recordings. For terrestrial recordings, random forest models using a suite of acoustic indices as covariates predicted Shannon diversity, richness, and total number of biological sounds with high accuracy (R 2 > = 0.94, mean squared error MSE < = 170.2). Among the indices assessed, roughness, acoustic activity, and acoustic richness contributed most to the predictive ability of models. Performance of index models was negatively impacted by insect, weather, and anthropogenic sounds. For marine recordings, random forest models predicted Shannon diversity, richness, and total number of biological sounds with low accuracy (R 2 < = 0.40, MSE > = 195), indicating that alternative methods are necessary in marine habitats. Our results suggest that using a combination of relevant indices in a flexible model can accurately predict the diversity of biological sounds in temperate terrestrial acoustic recordings. Thus, acoustic approaches could be an important contribution to biodiversity monitoring in some habitats in the face of accelerating human-caused ecological change. This article is protected by copyright. All rights reserved.

  15. Accuracy of a state immunization registry in the pediatric emergency department.

    PubMed

    Stecher, Dawn S; Adelman, Raymond; Brinkman, Traci; Bulloch, Blake

    2008-02-01

    The purpose of this study was to ascertain whether either parental recall or a state immunization registry was as accurate as the medical record in determining immunization status in the emergency department (ED). A convenience sample of children younger than 5 years who presented to the ED between July 2004 and May 2005 were enrolled prospectively. After obtaining informed consent, parents were asked about their child's immunization status. All children then had their immunization data accessed in the Arizona State Immunization Information System. The information obtained from the state registry, as well as the information from the parental interview, was then compared with the information on the medical record obtained from the primary care physician (PCP). Data were analyzed using simple descriptive statistics. A total of 332 children were enrolled in the study. A total of 302 (91%) children enrolled were found in the state database, and 222 (74%) of these had a medical record available for comparison. The database agreed with the PCP record in 130 (59%) cases; parental report agreed with the PCP record in 149 (62%) cases. Although most children can be found in the state immunization registry, it seems to be similar in accuracy to parental recall of immunization status when each is compared with the medical record. This may have been due to either underreporting of immunizations from the community or a delay in updating the state database. At this time, neither parental recall nor the database would accurately determine a child's immunization status during an ED visit.

  16. Entropy is more resistant to artifacts than bispectral index in brain-dead organ donors.

    PubMed

    Wennervirta, Johanna; Salmi, Tapani; Hynynen, Markku; Yli-Hankala, Arvi; Koivusalo, Anna-Maria; Van Gils, Mark; Pöyhiä, Reino; Vakkuri, Anne

    2007-01-01

    To evaluate the usefulness of entropy and the bispectral index (BIS) in brain-dead subjects. A prospective, open, nonselective, observational study in the university hospital. 16 brain-dead organ donors. Time-domain electroencephalography (EEG), spectral entropy of the EEG, and BIS were recorded during solid organ harvest. State entropy differed significantly from 0 (isoelectric EEG) 28%, response entropy 29%, and BIS 68% of the total recorded time. The median values during the operation were state entropy 0.0, response entropy 0.0, and BIS 3.0. In four of 16 organ donors studied the EEG was not isoelectric, and nonreactive rhythmic activity was noted in time-domain EEG. After excluding the results from subjects with persistent residual EEG activity state entropy, response entropy, and BIS values differed from zero 17%, 18%, and 62% of the recorded time, respectively. Median values were 0.0, 0.0, and 2.0 for state entropy, response entropy, and BIS, respectively. The highest index values in entropy and BIS monitoring were recorded without neuromuscular blockade. The main sources of artifacts were electrocauterization, 50-Hz artifact, handling of the donor, ballistocardiography, electromyography, and electrocardiography. Both entropy and BIS showed nonzero values due to artifacts after brain death diagnosis. BIS was more liable to artifacts than entropy. Neither of these indices are diagnostic tools, and care should be taken when interpreting EEG and EEG-derived indices in the evaluation of brain death.

  17. Usage experience with the document archiving and communication system for the storage and retrieval of medical records.

    PubMed

    Takeda, Toshihiro; Ueda, Kanayo; Manabe, Shiro; Teramoto, Kei; Mihara, Naoki; Matsumura, Yasushi

    2013-01-01

    Standard Japanese electronic medical record (EMR) systems are associated with major shortcomings. For example, they do not assure lifelong readability of records because each document requires its own viewing software program, a system that is difficult to maintain over long periods of time. It can also be difficult for users to comprehend a patient's clinical history because different classes of documents can only be accessed from their own window. To address these problems, we developed a document-based electronic medical record that aggregates all documents for a patient in a PDF or DocuWorks format. We call this system the Document Archiving and Communication System (DACS). There are two types of viewers in the DACS: the Matrix View, which provides a time line of a patient's history, and the Tree View, which stores the documents in hierarchical document classes. We placed 2,734 document classes into 11 categories. A total of 22,3972 documents were entered per month. The frequency of use of the DACS viewer was 268,644 instances per month. The DACS viewer was used to assess a patient's clinical history.

  18. Strategic Methodologies in Public Health Cost Analyses.

    PubMed

    Whittington, Melanie; Atherly, Adam; VanRaemdonck, Lisa; Lampe, Sarah

    The National Research Agenda for Public Health Services and Systems Research states the need for research to determine the cost of delivering public health services in order to assist the public health system in communicating financial needs to decision makers, partners, and health reform leaders. The objective of this analysis is to compare 2 cost estimation methodologies, public health manager estimates of employee time spent and activity logs completed by public health workers, to understand to what degree manager surveys could be used in lieu of more time-consuming and burdensome activity logs. Employees recorded their time spent on communicable disease surveillance for a 2-week period using an activity log. Managers then estimated time spent by each employee on a manager survey. Robust and ordinary least squares regression was used to measure the agreement between the time estimated by the manager and the time recorded by the employee. The 2 outcomes for this study included time recorded by the employee on the activity log and time estimated by the manager on the manager survey. This study was conducted in local health departments in Colorado. Forty-one Colorado local health departments (82%) agreed to participate. Seven of the 8 models showed that managers underestimate their employees' time, especially for activities on which an employee spent little time. Manager surveys can best estimate time for time-intensive activities, such as total time spent on a core service or broad public health activity, and yet are less precise when estimating discrete activities. When Public Health Services and Systems Research researchers and health departments are conducting studies to determine the cost of public health services, there are many situations in which managers can closely approximate the time required and produce a relatively precise approximation of cost without as much time investment by practitioners.

  19. Implicit Learning of a Finger Motor Sequence by Patients with Cerebral Palsy After Neurofeedback.

    PubMed

    Alves-Pinto, Ana; Turova, Varvara; Blumenstein, Tobias; Hantuschke, Conny; Lampe, Renée

    2017-03-01

    Facilitation of implicit learning of a hand motor sequence after a single session of neurofeedback training of alpha power recorded from the motor cortex has been shown in healthy individuals (Ros et al., Biological Psychology 95:54-58, 2014). This facilitation effect could be potentially applied to improve the outcome of rehabilitation in patients with impaired hand motor function. In the current study a group of ten patients diagnosed with cerebral palsy trained reduction of alpha power derived from brain activity recorded from right and left motor areas. Training was distributed in three periods of 8 min each. In between, participants performed a serial reaction time task with their non-dominant hand, to a total of five runs. A similar procedure was repeated a week or more later but this time training was based on simulated brain activity. Reaction times pooled across participants decreased on each successive run faster after neurofeedback training than after the simulation training. Also recorded were two 3-min baseline conditions, once with the eyes open, another with the eyes closed, at the beginning and end of the experimental session. No significant changes in alpha power with neurofeedback or with simulation training were obtained and no correlation with the reductions in reaction time could be established. Contributions for this are discussed.

  20. The Quasar Network Observations in e-VLBI Mode

    NASA Astrophysics Data System (ADS)

    Bezrukov, I.; Finkelstein, A.; Ipatov, A.; Kaidanovsky, A.; Mikhailov, A.; Salnikov, A.; Yakovlev, V.

    2011-07-01

    This paper describes activity of the Institute of Applied Astronomy in developing real-time VLBI-system using high speed digital communication links. Real-time VLBI-technology has been developing at IAA since 2007 when the very first experiment was successfully done with Haystack observatory. All observatories of VLBI-Network Quasar were connected by "last mile" communication channels and via the Internet at 100 Mbps rate. Additional UNIX servers were installed for data buffering. Now e-VLBI sessions are carried out routinely within domestic VLBI-programs for UT1-determination. Observational data of 1-hour sessions are transmitted simultaneously from Svetloe, Zelenchukskaya and Badary observatories to the IAA Data Processing Center in Saint-Petersburg through fiber lines at 50-70 Mbps via Tsunami-UDP protocol. In September 2010 few scans were successfully transmitted from Quasar-Network observatories to Correlator Center at Shanghai observatory and vice-versa from Shanghai observatory to Correlator of RAS. Within these experiments observation data recorded by Mark 5B recorder are transmitted to the buffer server during time interval when an antenna pointed from one source to another. This procedure allows us to reduce total time of obtaining final result by 30%. Now an advanced algorithm for automation of the data transmitting process from the recorder to correlator is developing.

  1. Direct costs of emergency medical care: a diagnosis-based case-mix classification system.

    PubMed

    Baraff, L J; Cameron, J M; Sekhon, R

    1991-01-01

    To develop a diagnosis-based case mix classification system for emergency department patient visits based on direct costs of care designed for an outpatient setting. Prospective provider time study with collection of financial data from each hospital's accounts receivable system and medical information, including discharge diagnosis, from hospital medical records. Three community hospital EDs in Los Angeles County during selected times in 1984. Only direct costs of care were included: health care provider time, ED management and clerical personnel excluding registration, nonlabor ED expense including supplies, and ancillary hospital services. Indirect costs for hospitals and physicians, including depreciation and amortization, debt service, utilities, malpractice insurance, administration, billing, registration, and medical records were not included. Costs were derived by valuing provider time based on a formula using annual income or salary and fringe benefits, productivity and direct care factors, and using hospital direct cost to charge ratios. Physician costs were based on a national study of emergency physician income and excluded practice costs. Patients were classified into one of 216 emergency department groups (EDGs) on the basis of the discharge diagnosis, patient disposition, age, and the presence of a limited number of physician procedures. Total mean direct costs ranged from $23 for follow-up visit to $936 for trauma, admitted, with critical care procedure. The mean total direct costs for the 16,771 nonadmitted patients was $69. Of this, 34% was for ED costs, 45% was for ancillary service costs, and 21% was for physician costs. The mean total direct costs for the 1,955 admitted patients was $259. Of this, 23% was for ED costs, 63% was for ancillary service costs, and 14% was for physician costs. Laboratory and radiographic services accounted for approximately 85% of all ancillary service costs and 38% of total direct costs for nonadmitted patients versus 80% of ancillary service costs and 51% of total direct costs for admitted patients. We have developed a diagnosis-based case mix classification system for ED patient visits based on direct costs of care designed for an outpatient setting which, unlike diagnosis-related groups, includes the measurement of time-based cost for physician and nonphysician services. This classification system helps to define direct costs of hospital and physician emergency services by type of patient.

  2. Actigraphy--a useful tool for motor activity monitoring in stroke patients.

    PubMed

    Reiterer, Veronika; Sauter, Cornelia; Klösch, Gerhard; Lalouschek, Wolfgang; Zeitlhofer, Josef

    2008-01-01

    The aim of the present study was the evaluation of actigraphy as a tool to objectify the recovery process after motor paresis due to stroke. The motor activity of both arms of patients suffering from stroke was actigraphically recorded at four different time points during the course of rehabilitation: 24-36 h, 5-7 days, 3 months, and 6 months after stroke. Motor activity monitored by wrist-worn actigraphs located at the impaired side revealed an increase in activity between the first two time points and the subsequent ones. Additionally, actigraphic recordings showed lower total motor activity at the impaired side as compared to the nonimpaired side. A significant positive correlation was found between the actigraphically recorded motor activity and the results of the Scandinavian Stroke scale, the Barthel Index, the Rankin Scale Score and with the Motoricity Index during the 1st week, which corresponds to the time when neurological deficits were most pronounced. Our results suggest that actigraphy is a useful tool in the objective evaluation of motor activity after stroke. Moreover, actigraphy covers additional aspects that are not reflected by the usual stroke scales in a clinical situation. Copyright 2008 S. Karger AG, Basel.

  3. Evaluation of heart rate variability indices using a real-time handheld remote ECG monitor.

    PubMed

    Singh, Swaroop S; Carlson, Barbara W; Hsiao, Henry S

    2007-12-01

    Studies on retrospective electrocardiogram (ECG) recordings of patients during cardiac arrest have shown significant changes in heart rate variability (HRV) indices prior to the onset of cardiac arrhythmia. The early detection of these changes in HRV indices increases the chances for a successful medical intervention by increasing the response time window. A portable, handheld remote ECG monitor designed in this research detects the QRS complex and calculates short-term HRV indices in real-time. The QRS detection of the ECG recordings of subjects from the MIT-Arrhythmia database yielded a mean sensitivity of 99.34% and a specificity of 99.31%. ECG recordings from normal subjects and subjects with congestive heart failure were used to identify the differences in HRV indices. An increase in heart rate, high-frequency spectral power (HFP), total spectral power, the ratio of HFP to low-frequency spectral power (LFP), and a decrease in root mean square sum of RR differences were observed. No difference was found on comparison of the standard deviation of normal to normal interval between adjacent R-waves, LFP, and very-low-frequency spectral power. Based on these, additional analytical calculations could be made to provide early warnings of impending cardiac conditions.

  4. A Holocene record of ocean productivity and upwelling from the northern California continental slope

    USGS Publications Warehouse

    Addison, Jason A.; Barron, John A.; Finney, Bruce P.; Kusler, Jennifer E.; Bukry, David; Heusser, Linda E.; Alexander, Clark R.

    2018-01-01

    The Holocene upwelling history of the northern California continental slope is examined using the high-resolution record of TN062-O550 (40.9°N, 124.6°W, 550 m water depth). This 7-m-long marine sediment core spans the last ∼7500 years, and we use it to test the hypothesis that marine productivity in the California Current System (CCS) driven by coastal upwelling has co-varied with Holocene millennial-scale warm intervals. A combination of biogenic sediment concentrations (opal, total organic C, and total N), stable isotopes (organic matter δ13C and bulk sedimentary δ15N), and key microfossil indicators of upwelling were used to test this hypothesis. The record of biogenic accumulation in TN062-O550 shows considerable Holocene variability despite being located within 50 km of the mouth of the Eel River, which is one of the largest sources of terrigenous sediment to the Northeast Pacific Ocean margin. A key time interval beginning at ∼2900 calibrated years before present (cal yr BP) indicates the onset of modern upwelling in the CCS, and this period also corresponds to the most intense period of upwelling in the last 7500 years. When these results are placed into a regional CCS context during the Holocene, it was found that the timing of upwelling intensification at TN062-O550 corresponds closely to that seen at nearby ODP Site 1019, as well as in the Santa Barbara Basin of southern California. Other CCS records with less refined age control show similar results, which suggest late Holocene upwelling intensification may be synchronous throughout the CCS. Based on the strong correspondence between the alkenone sea surface temperature record at ODP Site 1019 and the onset of late Holocene upwelling in northern California, we suggest that CCS warming may be conducive to upwelling intensification, though future changes are unclear as the mechanisms forcing SST variability may differ.

  5. Pampas deer (Ozotoceros bezoarticus) courtship and mating behavior

    PubMed Central

    2012-01-01

    Background Pampas deer, Ozotoceros bezoarticus (Linnaeus 1758), is a South American grazing deer categorized as "near threatened". However, knowledge about pampas deer behavior including courtship and mating is scarce and incomplete. The aim of this study was to characterize the courtship and mating behavior of the pampas deer (Ozotoceros bezoarticus), an endangered species from South America. Methods We performed focal observations of 5 males allocated at the Estación de Cría de Fauna Autóctona Cerro Pan de Azúcar, Uruguay, 4 times a day from 5 to 20 minutes each time on a daily basis from February to May. During that period we recorded all courtship and mating behaviors, as well as quantified the frequency of the specific behaviors shown. As mating were rarely observed, we recorded that behavior when it was observed in the context of other studies performed in the same population during the following 2 years. Results During the observation period we recorded 928 courtships and 5 mating periods. In addition, we recorded 10 more matings performed during other studies, totaling 15. The duration of each mating calculated from the 15 recordings was 3.9 ± 0.4 s, and the total period of female receptivity (from first to last mating acceptance) was 8.2 ± 1.1 min. Main observed courtship behaviors in males were “chase” and “ostentation”, while the most observed close to mating were “chinning”, “raised head” and “anogenital sniffing”. The most observed behaviors in females during the mating period were “vulva exhibition” and “move away”. Conclusion This is the first detailed report in pampas deer mating behavior. Estrus lasted only 8 min accepting only 3 short copulations per estrus. However, female behavior during courtship can be characterized as highly proceptive. PMID:23062236

  6. Solar UV-B irradiance and total ozone in Italy: Fluctuations and trends

    NASA Astrophysics Data System (ADS)

    Casale, G. R.; Meloni, D.; Miano, S.; Palmieri, S.; Siani, A. M.; Cappellani, F.

    2000-02-01

    Solar UV irradiance spectra (290-325 nm) together with daily total ozone column observations have been collected since 1992 by means of Brewer spectrophotometers at two Italian stations (Rome and Ispra). The available Brewer irradiance data, recorded around noon and at fixed solar zenith angles, together with the output of a radiative transfer model (the STAR model) are presented and analyzed. The Brewer irradiance measurements and total ozone fluctuations and anomalies are investigated, pointing out the correlation between the high-frequency O3 components and irradiance at 305 nm. In addition, the total ozone long time series of Arosa (170 km apart from Ispra) and Vigna di Valle (very close to Rome) are analyzed to illustrate evidence of temporal variations and a possible trend.

  7. Flood damage claims reveal insights about surface runoff in Switzerland

    NASA Astrophysics Data System (ADS)

    Bernet, D. B.; Prasuhn, V.; Weingartner, R.

    2015-12-01

    A few case studies in Switzerland exemplify that not only overtopping water bodies frequently cause damages to buildings. Reportedly, a large share of the total loss due to flooding in Switzerland goes back to surface runoff that is formed and is propagating outside of regular watercourses. Nevertheless, little is known about when, where and why such surface runoff occurs. The described process encompasses surface runoff formation, followed by unchannelised overland flow until a water body is reached. It is understood as a type of flash flood, has short response times and occurs diffusely in the landscape. Thus, the process is difficult to observe and study directly. A promising source indicating surface runoff indirectly are houseowners' damage claims recorded by Swiss Public Insurance Companies for Buildings (PICB). In most of Switzerland, PICB hold a monopoly position and insure (almost) every building. Consequently, PICB generally register all damages to buildings caused by an insured natural hazard (including surface runoff) within the respective zones. We have gathered gapless flood related claim records of most of all Swiss PICB covering more than the last two decades on average. Based on a subset, we have developed a methodology to differentiate claims related to surface runoff from other causes. This allows us to assess the number of claims as well as total loss related to surface runoff and compare these to the numbers of overtopping watercourses. Furthermore, with the good data coverage, we are able to analyze surface runoff related claims in space and time, from which we can infer spatial and temporal characteristics of surface runoff. Although the delivered data of PICB are heterogeneous and, consequently, time-consuming to harmonize, our first results show that exploiting these damage claim records is feasible and worthwhile to learn more about surface runoff in Switzerland.

  8. A Prospective Emergency Department Quality Improvement Project to Improve the Treatment of Vaso-Occlusive Crisis in Sickle Cell Disease: Lessons Learned.

    PubMed

    Tanabe, Paula; Freiermuth, Caroline E; Cline, David M; Silva, Susan

    2017-03-01

    Guidelines recommend rapid, aggressive management of vaso-occlusive crisis (VOC) for patients with sickle cell disease (SCD). A large prospective research and quality improvement (QI) project was conducted to measure changes in clinical outcomes in two EDs-academic medical centers with emergency medicine residency programs and Level 1 trauma centers-during a 2.5-year time period (October 2011-March 2014). A QI team used a Plan-Do-Study-Act approach to modify and implement changes to opioid analgesic protocols for the emergency department (ED) treatment of VOC. Data were collected quarterly; the team reviewed the results and made modifications to improve outcomes. A structured health record review was conducted to assess clinical outcomes (10 records/quarter/site). Patient interviews were conducted to measure satisfaction with pain management. Outcomes were compared before (T1) and after (T2) implementation of an electronic health record (EHR). One hundred ninety-six ED health records (118 unique patients, mean age = 32 [standard deviation, 11], 51% male) were analyzed. Before implementation, trends in decreasing time to initial analgesic administration were noted. There was a statistically significant increase in arrival to administration of first analgesic time between T1 and T2 at Site 1 but not at Site 2. Neither site showed significant changes in time between the administration of the first and second opioid doses, total opioid dose administered, or patient satisfaction. While QI efforts initially shortened door-to-analgesic times, these gains were not sustained. The lessons learned can help other EDs improve the timely delivery of analgesics to patients with SCD. Copyright © 2016 The Joint Commission. Published by Elsevier Inc. All rights reserved.

  9. Injuries in Professional Male Soccer Players in the Netherlands: A Prospective Cohort Study

    PubMed Central

    Stubbe, Janine H.; van Beijsterveldt, Anne-Marie M. C.; van der Knaap, Sissi; Stege, Jasper; Verhagen, Evert A.; van Mechelen, Willem; Backx, Frank J. G.

    2015-01-01

    Context: Injuries are a major adverse event in a soccer player's career. Reducing injury incidence requires a thorough knowledge of the epidemiology of soccer injuries. Objective: To investigate the incidence and characteristics of injuries in the Dutch premier soccer league. Design: Cohort study. Setting: The Dutch premier soccer league. Patients or Other Participants: During the 2009–2010 soccer season, a total of 217 professional soccer players from 8 teams were prospectively followed. Main Outcome Measure(s): The medical staff recorded time-loss injuries, including information on injuries (ie, type, body part, duration) and exposure data for training sessions and matches. Results: A total of 286 injuries were recorded, affecting 62.7% of the players. The overall injury incidence was 6.2 injuries per 1000 player-hours, 2.8 in training sessions and 32.8 in matches. Most of the recorded injuries were acute (68.5%). Eight percent of the injuries were classified as recurrent. Injuries were most likely to be located in the lower extremities (82.9%). Injury time loss ranged from 1 to 752 days, with a median of 8 days. Knee injuries had the greatest consequences in terms of days of absence from soccer play (on average, 45 days). The most common diagnosis was muscle/tendon injury of the lower extremities (32.9%). Conclusions: Injury risk in the Dutch premier soccer league is high, especially during matches. Preventive measures should focus on the most common diagnoses, namely, muscle/tendon injuries of the lower extremities. PMID:25531144

  10. Correlating Mediterranean shallow water deposits with global Oligocene–Miocene stratigraphy and oceanic events☆

    PubMed Central

    Reuter, Markus; Piller, Werner E.; Brandano, Marco; Harzhauser, Mathias

    2013-01-01

    Shallow-marine sediment records have the strong potential to display sensitive environmental changes in sedimentary geometries and skeletal content. However, the time resolution of most neritic carbonate records is not high enough to be compared with climatic events as recorded in the deep-sea sediment archives. In order to resolve the paleoceanographic and paleoclimatic changes during the Oligocene–Miocene transition in the Mediterranean shallow water carbonate systems with the best possible time resolution, we re-evaluated the Decontra section on the Maiella Platform (central Apennines, Italy), which acts as a reference for the correlation of Oligocene–Miocene shallow water deposits in the Mediterranean region. The 120-m-thick late Oligocene–late Miocene carbonate succession is composed of larger foraminiferal, bryozoan and corallinacean limestones interlayered with distinct planktonic foraminiferal carbonates representing a mostly outer neritic setting. Integrated multi-proxy and facies analyses indicate that CaCO3 and total organic carbon contents as well as gamma-ray display only local to regional processes on the carbonate platform and are not suited for stratigraphic correlation on a wider scale. In contrast, new biostratigraphic data correlate the Decontra stable carbon isotope record to the global deep-sea carbon isotope record. This links relative sea level fluctuations, which are reflected by facies and magnetic susceptibility changes, to third-order eustatic cycles. The new integrated bio-, chemo-, and sequence stratigraphic framework enables a more precise timing of environmental changes within the studied time interval and identifies Decontra as an important locality for correlating not only shallow and deep water sediments of the Mediterranean region but also on a global scale. PMID:25844021

  11. The impact of unwaged domestic work on the duration and timing of sleep of female nurses working full-time on rotating 3-shift rosters.

    PubMed

    Clissold, G; Smith, P; Acutt, B

    2001-12-01

    The study examined the impact of family type on the timing and duration of sleep of 16 experienced female shiftworkers working a rotating 3-shift roster. The nurses lived in one of three domestic lifestyle arrangements: single with no child care responsibilities (N = 4), partnered with no child care responsibilities (N = 5) and partnered with child care responsibilities (N = 7). Self report sleep diaries were used to collect data over a period of 28 days, following which each nurse took part in a conversational interview. Comparisons of the roster mean sleep durations between groups show that nurses who do not have the added unwaged workload of child care, record significantly more sleep than nurses with such responsibilities. Analysis of the data by shift type shows a significant difference for afternoon shift: nurses with child care responsibilities record a significantly earlier rise time and a significantly shorter total sleep duration. The interview data further highlights how sleep patterns are related to the time constraints of both domestic and waged work.

  12. Factors affecting medication-order processing time.

    PubMed

    Beaman, M A; Kotzan, J A

    1982-11-01

    The factors affecting medication-order processing time at one hospital were studied. The order processing time was determined by directly observing the time to process randomly selected new drug orders on all three work shifts during two one-week periods. An order could list more than one drug for an individual patient. The observer recorded the nature, location, and cost of the drugs ordered, as well as the time to process the order. The time and type of interruptions also were noted. The time to process a drug order was classified as six dependent variables: (1) total time, (2) work time, (3) check time, (4) waiting time I--time from arrival on the dumbwaiter until work was initiated, (5) waiting time II--time between completion of the work and initiation of checking, and (6) waiting time III--time after the check was completed until the order left on the dumbwaiter. The significant predictors of each of the six dependent variables were determined using stepwise multiple regression. The total time to process a prescription order was 58.33 +/- 48.72 minutes; the urgency status of the order was the only significant determinant of total time. Urgency status also significantly predicted the three waiting-time variables. Interruptions and the number of drugs on the order were significant determinants of work time and check time. Each telephone interruption increased the work time by 1.72 minutes. While the results of this study cannot be generalized to other institutions, pharmacy managers can use the method of determining factors that affect medication-order processing time to identify problem areas in their institutions.

  13. Heart-Rate Variability During Deep Sleep in World-Class Alpine Skiers: A Time-Efficient Alternative to Morning Supine Measurements.

    PubMed

    Herzig, David; Testorelli, Moreno; Olstad, Daniela Schäfer; Erlacher, Daniel; Achermann, Peter; Eser, Prisca; Wilhelm, Matthias

    2017-05-01

    It is increasingly popular to use heart-rate variability (HRV) to tailor training for athletes. A time-efficient method is HRV assessment during deep sleep. To validate the selection of deep-sleep segments identified by RR intervals with simultaneous electroencephalography (EEG) recordings and to compare HRV parameters of these segments with those of standard morning supine measurements. In 11 world-class alpine skiers, RR intervals were monitored during 10 nights, and simultaneous EEGs were recorded during 2-4 nights. Deep sleep was determined from the HRV signal and verified by delta power from the EEG recordings. Four further segments were chosen for HRV determination, namely, a 4-h segment from midnight to 4 AM and three 5-min segments: 1 just before awakening, 1 after waking in supine position, and 1 in standing after orthostatic challenge. Training load was recorded every day. A total of 80 night and 68 morning measurements of 9 athletes were analyzed. Good correspondence between the phases selected by RR intervals vs those selected by EEG was found. Concerning root-mean-squared difference of successive RR intervals (RMSSD), a marker for parasympathetic activity, the best relationship with the morning supine measurement was found in deep sleep. HRV is a simple tool for approximating deep-sleep phases, and HRV measurement during deep sleep could provide a time-efficient alternative to HRV in supine position.

  14. Effects of recording time and residue on dose-response by LiMgPO4: Tb, B ceramic disc synthesized via improved sintering process

    NASA Astrophysics Data System (ADS)

    Kong, Xirui; Fu, Zhilong; Que, Huiying; Fan, Yanwei; Chen, Zhaoyang; He, Chengfa

    2018-05-01

    The LiMgPO4: Tb, B ceramic disc is successfully synthesized via improved sintering method which enables the disc sample to have two flat and smooth surfaces. It is worth mentioning that the OSL signal intensity of LiMgPO4: Tb, B disc attenuates much faster than that of commercial Al2O3: C. It costs only 1 s to reduce the intensity to 10%, but the Al2O3:C needs more than 40 s to finish it. Some essential OSL properties related to the dose detection method of this sample also have been systematically investigated. Although the dose-response cure would have better linearity with longer recording time, extended recording time (≥6 s) will not make any contribution to the linearity of the curve. If the bleaching time is more than 35 s, the residue created by previous detection (high dose of 10 Gy) would do almost no influence (with a positive deviation lower than 5.59%) on next lower-dose detection (0.1 Gy). The material would reach its service life when the total-ionizing dose runs up to 30 k Gy. Therefore, the LiMgPO4: Tb, B ceramic material is a potential candidate for real-time dose monitoring with optical fiber telemetering technology.

  15. SIRRACT: An international randomized clinical trial of activity feedback during inpatient stroke rehabilitation enabled by wireless sensing

    PubMed Central

    Dorsch, Andrew K.; Thomas, Seth; Xu, Xiaoyu; Kaiser, William; Dobkin, Bruce H.

    2014-01-01

    Background Walking-related disability is the most frequent reason for inpatient stroke rehabilitation. Task-related practice is a critical component for improving patient outcomes. Objective To test the feasibility of providing quantitative feedback about daily walking performance and motivating greater skills practice via remote sensing. Methods In this phase III randomized, single blind clinical trial, patients participated in conventional therapies while wearing wireless sensors (tri-axial accelerometers) at both ankles. Activity-recognition algorithms calculated the speed, distance, and duration of walking bouts. Three times a week, therapists provided either feedback about performance on a 10-meter walk (speed-only) or walking speed feedback plus a review of walking activity recorded by the sensors (augmented). Primary outcomes at discharge included total daily walking time, derived from the sensors, and a timed 15-meter walk. Results Sixteen rehabilitation centers in 11 countries enrolled 135 participants over 15 months. Sensors recorded more than 1800 days of therapy, 37,000 individual walking bouts, and 2.5 million steps. No significant differences were found between the two feedback groups in daily walking time (15.1±13.1min vs. 16.6±14.3min, p=0.54) or 15-meter walking speed (0.93±0.47m/s vs. 0.91±0.53m/s, p=0.96). Remarkably, 30% of participants decreased their total daily walking time over their rehabilitation stay. Conclusions In this first trial of remote monitoring of inpatient stroke rehabilitation, augmented feedback beyond speed alone did not increase the time spent practicing or improve walking outcomes. Remarkably modest time was spent walking. Wireless sensing, however, allowed clinicians to audit skills practice and provided ground truth regarding changes in clinically important, mobility-related activities. PMID:25261154

  16. New Records of Mosquitoes (Diptera: Culicidae) from Bolívar State in South Eastern Venezuela, with 27 New Species for the State and 5 of Them New in the Country

    PubMed Central

    Berti, Jesús; Guzmán, Hernán; Estrada, Yarys; Ramírez, Rodrigo

    2015-01-01

    This is the first part of a series of studies related to mosquito ecological and biogeographic aspects. A total of 69 mosquito species (Diptera: Culicidae) was collected in 16 localities sampled in the Gran Sabana Municipality, Canaima National Park, and Venezuela. Twenty-seven mosquito species are recorded for the first time from Bolívar State, Venezuela. Five of them species are reported for the first time in Venezuela: Anopheles malefactor Dyar and Knab (1907); Chagasia bonneae Root (1927); Chagasia ablusa Harbach (2009); Culex anduzei Lane (1944), and Uranotaenia leucoptera Theobald (1907). Their medical importance is commented, and ecological and epidemiological aspects are discussed. A checklist of the mosquito species reported in the Gran Sabana County is given. PMID:25853113

  17. Acoustic analysis of speech variables during depression and after improvement.

    PubMed

    Nilsonne, A

    1987-09-01

    Speech recordings were made of 16 depressed patients during depression and after clinical improvement. The recordings were analyzed using a computer program which extracts acoustic parameters from the fundamental frequency contour of the voice. The percent pause time, the standard deviation of the voice fundamental frequency distribution, the standard deviation of the rate of change of the voice fundamental frequency and the average speed of voice change were found to correlate to the clinical state of the patient. The mean fundamental frequency, the total reading time and the average rate of change of the voice fundamental frequency did not differ between the depressed and the improved group. The acoustic measures were more strongly correlated to the clinical state of the patient as measured by global depression scores than to single depressive symptoms such as retardation or agitation.

  18. Relationships of self-reported physical activity domains with accelerometry recordings in French adults.

    PubMed

    Jacobi, David; Charles, Marie-Aline; Tafflet, Muriel; Lommez, Agnès; Borys, Jean-Michel; Oppert, Jean-Michel

    2009-01-01

    The objective was to examine the relationships of self-reported physical activity (PA) by domain (leisure, occupational, other) with PA and sedentary time as measured objectively by accelerometry. Subjects were adults with low habitual PA levels from a community in northern France. Among subjects in the lowest tertile of a PA score from a screening questionnaire, 160 (37% males, age: 41.0 +/- 10.8 years, BMI: 25.1 +/- 4.1 kg/m(2), mean +/- SD) completed a detailed instrument (Modifiable Activity Questionnaire), and wore an accelerometer (Actigraph) for seven consecutive days. Relationships between questionnaire domains (occupational, leisure, and "non-occupational non-leisure") and accelerometry measures (total activity and sedentary time) were assessed using Spearman correlation coefficients. In this population, the highest contributor to total reported PA (h/week) was occupational PA. Time spent in non-occupational non-leisure PA ranked second in women and third in men. The most frequent non-occupational non-leisure PA were shopping and household chores. In women, non-occupational non-leisure PA contributed more than occupational or leisure-time PA to total PA energy expenditure (median: 18.0, 9.1, and 4.9 MET-h/week, respectively). Total PA by accelerometry (count/day) was correlated to leisure-time PA in women (r = 0.22, P < 0.05) and to occupational (r = 0.43, P < 0.01) and total reported PA (r = 0.39, P < 0.01) in men (all in MET-h/week). There was an inverse relationship between accelerometry sedentary time (h/day) and non-occupational non-leisure PA (MET-h/week, r = -0.30, P < 0.001). These findings indicate the importance of assessing non-occupational non-leisure PA for a better understanding of how individuals partition their time between active or sedentary occupations.

  19. Evaluation of a novel canine activity monitor for at-home physical activity analysis.

    PubMed

    Yashari, Jonathan M; Duncan, Colleen G; Duerr, Felix M

    2015-07-04

    Accelerometers are motion-sensing devices that have been used to assess physical activity in dogs. However, the lack of a user-friendly, inexpensive accelerometer has hindered the widespread use of this objective outcome measure in veterinary research. Recently, a smartphone-based, affordable activity monitor (Whistle) has become available for measurement of at-home physical activity in dogs. The aim of this research was to evaluate this novel accelerometer. Eleven large breed, privately owned dogs wore a collar fitted with both the Whistle device and a previously validated accelerometer-based activity monitor (Actical) for a 24-h time period. Owners were asked to have their dogs resume normal daily activities. Total activity time obtained from the Whistle device in minutes was compared to the total activity count from the Actical device. Activity intensity from the Whistle device was calculated manually from screenshots of the activity bars displayed in the smartphone-application and compared to the activity count recorded by the Actical in the same 3-min time period. A total of 3740 time points were compared. There was a strong correlation between activity intensity of both devices for individual time points (Pearson's correlation coefficient 0.81, p < 0.0001). An even stronger correlation was observed between the total activity data between the two devices (Pearson's correlation coefficient 0.925, p < 0.0001). Activity data provided by the Whistle activity monitor may be used as an objective outcome measurement in dogs. The total activity time provided by the Whistle application offers an inexpensive method for obtaining at-home, canine, real-time physical activity data. Limitations of the Whistle device include the limited battery life, the need for manual derivation of activity intensity data and data transfer, and the requirement of Wi-Fi and Bluetooth availability for data transmission.

  20. Partial nephrectomy for small children: Robot-assisted versus open surgery.

    PubMed

    Ballouhey, Quentin; Binet, Aurélien; Clermidi, Pauline; Braik, Karim; Villemagne, Thierry; Cros, Jérôme; Lardy, Hubert; Fourcade, Laurent

    2017-12-01

    To compare the outcomes of robot-assisted heminephrectomy for duplex kidney in children with those of open heminephrectomy. The present retrospective multicentric analysis reviewed the records of robot-assisted versus open heminephrectomy carried out for duplex kidney in children from 2007 to 2014. Demographic data, weight, surgical time, hospital stay, complications and outcome were recorded. Follow up was based on a clinical review, renal sonography and dimercaptosuccinic acid renal scintigraphy. A total of 15 patients underwent robot-assisted heminephrectomy, and 13 patients underwent retroperitoneal heminephrectomy by open approach. All patients weighed <15 kg. The mean age at the time of surgery was 20.2 months (range 7-39 months) in the robotic group, and 18.4 months (range 6-41 months) in the open group. The mean hospital stay was statistically longer for the open surgery group (6.3 days, range 5-8 days vs 3.4 days, range 1-7 days; P < 0.001). Regarding postoperative pain control, total morphine equivalent intake was statistically greater for the open group (0.52 mg/kg/day vs 1.08 mg/kg/day; P < 0.001). No patient lost the remaining healthy moiety. There was no significant difference in terms of operating time, complication rate or renal outcomes. Robot-assisted heminephrectomy in small children seems to offer comparable renal outcomes with those of its standard open surgery counterpart. Specific technical adjustments are necessary, which typically increase the set-up time. © 2017 The Japanese Urological Association.

  1. Acoustic emission studies of posterior stabilized and cruciate retaining knee arthroplasties.

    PubMed

    Schwarzkopf, Ran; Kummer, Frederick J; Jaffe, William L

    2011-09-01

    Different acoustic frequencies have been used to diagnose progression of osteoarthritis, gross pathology, and wear in knee prostheses. It is possible that detailed analysis of higher frequencies could detect and quantify the smaller geometric changes (asperities) that develop in articular prosthetic wear. In this study we evaluated the feasibility of using ultrasonic emission to determine total knee arthroplasty (TKA) type and time from implantation using a simple, handheld measurement system. We examined the ultrasound emission generated by similar designs of posterior stabilized (PS) and cruciate retaining (CR) total knee prostheses and native knees of 58 patients and 10 controls. The subjects were asked to sit, rise, sit again, and take five steps while recording the acoustic data from both knees. Acoustic emission analysis examined frequency distributions and power spectrums of the recorded signals, and their relations to prosthesis type and time from implantation. We screened 44 CR and 48 PS TKAs, as well as 24 native knees. Analysis of this data suggested a possibility of differentiating between type of implants, and a relation to time since implantation. Our data suggest that we might be able to assess the status and time from implantation of a TKA by acoustic emission signals. Further in vitro analysis of the relationship of wear to ultrasonic emission data are needed for accurate quantification of arthroplasty wear. A simple, in-office screening tool for TKA patients could indicate which patients require closer follow-up and monitoring due to risk of potential problems.

  2. Association between Macronutrients Intake, Visceral Obesity and Blood Pressure in a Sample of Obese Egyptian Women.

    PubMed

    Hassan, Nayera E; El Shebini, Salwa M; Ahmed, Nihad H; Selim Mostafa, Mohamed

    2015-03-15

    Study the association between the total caloric intake, protein, lipid, and some classes of fatty acids of the diet, and their effects on blood pressure in a sample of Egyptian obese women with and without visceral obesity. Five hundred forty-nine obese women were included in the study with mean age of 38.1 ± 11.56 years and mean Body mass index [BMI] of 36.17 ± 7.23. They enrolled in a program for losing weight. Visceral fat was determined using ultrasound. Blood pressure was measured 3 times and the mean was recorded. Twenty four hours dietary recall was reported. Thirty point four percentages of samples has visceral obesity ≥ 7cm; they were the older, showed higher values of BMI, visceral obesity and blood pressure. Significant difference was found between groups regarding mean value of BMI, visceral obesity, both systolic blood pressure SBP and diastolic blood pressure DBP and most of the daily macronutrients intake. In groups (2&3) positive significant correlation was recorded between (SBP) & (DBP) and total daily intake of total calories, carbohydrate, total fat, saturated fatty acids and cholesterol, and negative significant correlation with total daily intake of total protein, animal and vegetable protein, linolenic and linoleic fatty acids, while oleic fatty acid showed negative correlation with SBP&DBP in all groups. This study emphasizes the hypothesis that the macronutrients composition of diet influences blood pressure in different ways, in obese patients with visceral obesity.

  3. Association between Macronutrients Intake, Visceral Obesity and Blood Pressure in a Sample of Obese Egyptian Women

    PubMed Central

    Hassan, Nayera E.; El Shebini, Salwa M.; Ahmed, Nihad H.; Selim Mostafa, Mohamed

    2015-01-01

    AIM: Study the association between the total caloric intake, protein, lipid, and some classes of fatty acids of the diet, and their effects on blood pressure in a sample of Egyptian obese women with and without visceral obesity. METHODS: Five hundred forty-nine obese women were included in the study with mean age of 38.1 ± 11.56 years and mean Body mass index [BMI] of 36.17 ± 7.23. They enrolled in a program for losing weight. Visceral fat was determined using ultrasound. Blood pressure was measured 3 times and the mean was recorded. Twenty four hours dietary recall was reported. RESULTS: Thirty point four percentages of samples has visceral obesity ≥ 7cm; they were the older, showed higher values of BMI, visceral obesity and blood pressure. Significant difference was found between groups regarding mean value of BMI, visceral obesity, both systolic blood pressure SBP and diastolic blood pressure DBP and most of the daily macronutrients intake. In groups (2&3) positive significant correlation was recorded between (SBP) & (DBP) and total daily intake of total calories, carbohydrate, total fat, saturated fatty acids and cholesterol, and negative significant correlation with total daily intake of total protein, animal and vegetable protein, linolenic and linoleic fatty acids, while oleic fatty acid showed negative correlation with SBP&DBP in all groups. CONCLUSION: This study emphasizes the hypothesis that the macronutrients composition of diet influences blood pressure in different ways, in obese patients with visceral obesity. PMID:27275219

  4. Waiting time distributions in financial markets

    NASA Astrophysics Data System (ADS)

    Sabatelli, L.; Keating, S.; Dudley, J.; Richmond, P.

    2002-05-01

    We study waiting time distributions for data representing two completely different financial markets that have dramatically different characteristics. The first are data for the Irish market during the 19th century over the period 1850 to 1854. A total of 10 stocks out of a database of 60 are examined. The second database is for Japanese yen currency fluctuations during the latter part of the 20th century (1989-1992). The Irish stock activity was recorded on a daily basis and activity was characterised by waiting times that varied from one day to a few months. The Japanese yen data was recorded every minute over 24 hour periods and the waiting times varied from a minute to a an hour or so. For both data sets, the waiting time distributions exhibit power law tails. The results for Irish daily data can be easily interpreted using the model of a continuous time random walk first proposed by Montroll and applied recently to some financial data by Mainardi, Scalas and colleagues. Yen data show a quite different behaviour. For large waiting times, the Irish data exhibit a cut off; the Yen data exhibit two humps that could arise as result of major trading centres in the World.

  5. Direct Telephonic Communication in a Heart Failure Transitional Care Program: An observational study.

    PubMed

    Ota, Ken S; Beutler, David S; Sheikh, Hassam; Weiss, Jessica L; Parkinson, Dallin; Nguyen, Peter; Gerkin, Richard D; Loli, Akil I

    2013-10-01

    This study investigated the trend of phone calls in the Banner Good Samaritan Medical Center (BGSMC) Heart Failure Transitional Care Program (HFTCP). The primary goal of the HFTCP is to reduce 30-Day readmissions for heart failure patients by using a multi-pronged approach. This study included 104 patients in the HFTCP discharged over a 51-week period who had around-the-clock telephone access to the Transitionalist. Cellular phone records were reviewed. This study evaluated the length and timing of calls. A total of 4398 telephone calls were recorded of which 39% were inbound and 61% were outbound. This averaged to 86 calls per week. During the "Weekday Daytime" period, Eighty-five percent of the totals calls were made. There were 229 calls during the "Weekday Nights" period with 1.5 inbound calls per week. The "Total Weekend" calls were 10.2% of the total calls which equated to a weekly average of 8.8. Our experience is that direct, physician-patient telephone contact is feasible with a panel of around 100 HF patients for one provider. If the proper financial reimbursements are provided, physicians may be apt to participate in similar transitional care programs. Likewise, third party payers will benefit from the reduction in unnecessary emergency room visits and hospitalizations.

  6. Impact of ultraviolet radiation treatments on the physicochemical properties, antioxidants, enzyme activity and microbial load in freshly prepared hand pressed strawberry juice.

    PubMed

    Bhat, Rajeev; Stamminger, Rainer

    2015-07-01

    Freshly prepared, hand-pressed strawberry fruit juice was exposed to ultraviolet radiation (254 nm) at room temperature (25 ℃ ± 1 ℃) for 15, 30 and 60 min with 0 min serving as control. Results revealed decrease in pH, total soluble solids and titratable acidity, while colour parameters (L*, a* and b* values) and clarity of juice (% transmittance) increased significantly. All the results corresponded to exposure time to ultraviolet radiation. Bioactive compounds (total phenolics, ascorbic acid and anthocyanins) decreased along with a recorded reduction in polyphenol oxidase enzyme and 1,1-diphenyl-2-picryl hydrazyl radical scavenging activities, which were again dependent on exposure time. Results on the microbial studies showed significant reduction by 2-log cycles in aerobic plate count as well as in total yeast and mould counts. Though negative results were observed for certain parameters, this is the first time it was endeavoured to demonstrate the impact of ultraviolet radiation radiation on freshly prepared, hand-pressed strawberries juice. © The Author(s) 2014.

  7. Quantitative detection of Streptococcus mutans in the dental plaque of Japanese preschool children by real-time PCR.

    PubMed

    Hata, S; Hata, H; Miyasawa-Hori, H; Kudo, A; Mayanagi, H

    2006-02-01

    To detect quantitatively the total bacteria and Streptococcus mutans in dental plaque by real-time PCR with prbac, Sm and GTF-B primers, and to compare their presence with the prevalence of dental caries in Japanese preschool children. Human dental plaque samples were collected from the labial surfaces of the upper primary central incisors of 107 children. The dental status was recorded as dft by WHO caries diagnostic criteria. Positive dt and dft scores by the Sm or GTF-B primer were significantly higher than negative scores (P < 0.01). The proportions of Strep. mutans to the total bacteria from sound, and sound and/or filled upper primary incisors were significantly lower than those from decayed or filled, and decayed incisors, respectively (P < 0.01). The ratios of Strep. mutans to total bacteria in plaque detected by real-time PCR with Sm and GTF-B primers were closely associated with the prevalence of dental caries in Japanese preschool children. These assays may be useful for the assessment of an individual's risk of dental caries.

  8. Upper extremities and spinal musculoskeletal disorders and risk factors in students using computers

    PubMed Central

    Calik, Bilge Basakci; Yagci, Nesrin; Gursoy, Suleyman; Zencir, Mehmet

    2014-01-01

    Objective: To examine the effects of computer usage on the musculoskeletal system discomforts (MSD) of Turkish university students, the possible risk factors and study implications (SI). Methods: The study comprised a total of 871 students. Demographic information was recorded and the Student Specific Cornell Musculoskeletal Discomfort Questionnaire (SsCMDQ) was used to evaluate musculoskeletal system discomforts. Results: The neck, lower back and upper back areas were determined to be the most affected areas and percentages for SI were 21.6%, 19.3% and 16.3% respectively. Significant differences were found to be daily computer usage time for the lower back, total usage time for the neck, being female and below the age of 21 years (p<0.05) had an increased risk. Conclusions: The neck, lower back and upper back areas were found to be the most affected areas due to computer usage in university students. Risk factors for MSD were seen to be daily and total computer usage time, female gender and age below 21 years and these were deemed to cause study interference PMID:25674139

  9. Intracorporeal esophagojejunostomy after totally laparoscopic total gastrectomy: A single-center 7-year experience

    PubMed Central

    Chen, Ke; Pan, Yu; Cai, Jia-Qin; Xu, Xiao-Wu; Wu, Di; Yan, Jia-Fei; Chen, Rong-Gao; He, Yang; Mou, Yi-Ping

    2016-01-01

    AIM: To assess the efficacy and safety of intracorporeal esophagojejunostomy in patients undergoing laparoscopic total gastrectomy (LTG) for gastric cancer. METHODS: A retrospective review of 81 consecutive patients who underwent LTG with the same surgical team between November 2007 and July 2014 was performed. Four types of intracorporeal esophagojejunostomy using staplers or hand-sewn suturing were performed after LTG. Data on clinicopatholgoical characteristics, occurrence of complications, postoperative recovery, anastomotic time, and operation time among the surgical groups were obtained through medical records. RESULTS: The average operation time was 288.7 min, the average anastomotic time was 54.3 min, and the average estimated blood loss was 82.7 mL. There were no cases of conversion to open surgery. The first flatus was observed around 3.7 d, while the liquid diet was started, on average, from 4.9 d. The average postoperative hospital stay was 10.1 d. Postoperative complications occurred in 14 patients, nearly 17.3%. However, there were no cases of postoperative death. CONCLUSION: LTG performed with intracorporeal esophagojejunostomy using laparoscopic staplers or hand-sewn suturing is feasible and safe. The surgical results were acceptable from the perspective of minimal invasiveness. PMID:27022225

  10. Intracorporeal esophagojejunostomy after totally laparoscopic total gastrectomy: A single-center 7-year experience.

    PubMed

    Chen, Ke; Pan, Yu; Cai, Jia-Qin; Xu, Xiao-Wu; Wu, Di; Yan, Jia-Fei; Chen, Rong-Gao; He, Yang; Mou, Yi-Ping

    2016-03-28

    To assess the efficacy and safety of intracorporeal esophagojejunostomy in patients undergoing laparoscopic total gastrectomy (LTG) for gastric cancer. A retrospective review of 81 consecutive patients who underwent LTG with the same surgical team between November 2007 and July 2014 was performed. Four types of intracorporeal esophagojejunostomy using staplers or hand-sewn suturing were performed after LTG. Data on clinicopatholgoical characteristics, occurrence of complications, postoperative recovery, anastomotic time, and operation time among the surgical groups were obtained through medical records. The average operation time was 288.7 min, the average anastomotic time was 54.3 min, and the average estimated blood loss was 82.7 mL. There were no cases of conversion to open surgery. The first flatus was observed around 3.7 d, while the liquid diet was started, on average, from 4.9 d. The average postoperative hospital stay was 10.1 d. Postoperative complications occurred in 14 patients, nearly 17.3%. However, there were no cases of postoperative death. LTG performed with intracorporeal esophagojejunostomy using laparoscopic staplers or hand-sewn suturing is feasible and safe. The surgical results were acceptable from the perspective of minimal invasiveness.

  11. Helicopter pilot scan techniques during low-altitude high-speed flight.

    PubMed

    Kirby, Christopher E; Kennedy, Quinn; Yang, Ji Hyun

    2014-07-01

    This study examined pilots' visual scan patterns during a simulated high-speed, low-level flight and how their scan rates related to flight performance. As helicopters become faster and more agile, pilots are expected to navigate at low altitudes while traveling at high speeds. A pilot's ability to interpret information from a combination of visual sources determines not only mission success, but also aircraft and crew survival. In a fixed-base helicopter simulator modeled after the U.S. Navy's MH-60S, 17 active-duty Navy helicopter pilots with varying total flight times flew and navigated through a simulated southern Californian desert course. Pilots' scan rate and fixation locations were monitored using an eye-tracking system while they flew through the course. Flight parameters, including altitude, were recorded using the simulator's recording system. Experienced pilots with more than 1000 total flight hours better maintained a constant altitude (mean altitude deviation = 48.52 ft, SD = 31.78) than less experienced pilots (mean altitude deviation = 73.03 ft, SD = 10.61) and differed in some aspects of their visual scans. They spent more time looking at the instrument display and less time looking out the window (OTW) than less experienced pilots. Looking OTW was associated with less consistency in maintaining altitude. Results may aid training effectiveness specific to helicopter aviation, particularly in high-speed low-level flight conditions.

  12. Indoor and Outdoor Context-Specific Contributions to Early Adolescent Moderate to Vigorous Physical Activity as Measured by Combined Diary, Accelerometer, and GPS.

    PubMed

    Pearce, Matthew; Saunders, David H; Allison, Peter; Turner, Anthony P

    2018-01-01

    The distribution of adolescent moderate to vigorous physical activity (MVPA) across multiple contexts is unclear. This study examined indoor and outdoor leisure time in terms of being structured or unstructured and explored relationships with total daily MVPA. Between September 2012 and January 2014, 70 participants (aged 11-13 y) from 4 schools in Edinburgh wore an accelerometer and global positioning system receiver over 7 days, reporting structured physical activity using a diary. Time spent and MVPA were summarized according to indoor/outdoor location and whether activity was structured/unstructured. Independent associations between context-specific time spent and total daily MVPA were examined using a multivariate linear regression model. Very little time or MVPA was recorded in structured contexts. Unstructured outdoor leisure time was associated with an increase in total daily MVPA almost twice that of unstructured indoor leisure time [b value (95% confidence interval), 8.45 (1.71 to 14.48) vs 4.38 (0.20 to 8.22) minute increase per hour spent]. The association was stronger for time spent in structured outdoor leisure time [35.81 (20.60 to 52.27)]. Research and interventions should focus on strategies to facilitate time outdoors during unstructured leisure time and maximize MVPA once youth are outdoors. Increasing the proportion of youth engaging in structured activity may be beneficial given that, although time spent was limited, association with MVPA was strongest.

  13. Can I go out for a smoke? A nursing challenge in the epilepsy monitoring unit.

    PubMed

    Hamilton, M; McLachlan, R S; Burneo, J G

    2009-05-01

    Cigarette smoking is common in patients with intractable epilepsy. As a preliminary assessment of epilepsy and smoking, we evaluated the impact of breaks for smoking on the investigation of epilepsy patients admitted to our epilepsy monitoring unit. Absences from the epilepsy unit at the London Health Sciences Center were monitored for 6 months by nursing personnel. During these absences, events that occurred were registered as well. This is possible using portable EEG recorders (XLTEK) that patients carry with them all the time. A disadvantage is that video recording is not available if the patient has a seizure outside the unit. Information was entered consecutively in a datasheet. Diagnosis, duration of hospital stay, frequency of breaks, and time outside the unit were recorded. Descriptive and statistical analysis was performed. Two thousand two hundred and ninety trips were recorded. Mean duration of stay was 10 days for smokers and 8.5 for non-smokers. Non-smokers had a total of 439 seizures of which 6 (1.4%) were not recorded, while the smokers had 213, of which 11 (5.2%) were not recorded. Five events did not have electroencephalographic correlation, raising a suspicion of non-epileptic events (pseudoseizures). Despite the low number of events missed, precious information may be lost during smoking trips by patients admitted to the epilepsy unit. Ways to avoid such trips should be implemented in epilepsy monitoring units allowing smoking breaks for patients.

  14. Development, Production and Validation of the NOAA Solar Irradiance Climate Data Record

    NASA Astrophysics Data System (ADS)

    Coddington, O.; Lean, J.; Pilewskie, P.; Snow, M. A.; Lindholm, D. M.

    2015-12-01

    A new climate data record of Total Solar Irradiance (TSI) and Solar Spectral Irradiance (SSI), including source code and supporting documentation is now publicly available as part of the National Oceanographic and Atmospheric Administration's (NOAA) National Centers for Environmental Information (NCEI) Climate Data Record (CDR) Program. Daily and monthly averaged values of TSI and SSI, with associated time and wavelength dependent uncertainties, are estimated from 1882 to the present with yearly averaged values since 1610, updated quarterly for the foreseeable future. The new Solar Irradiance Climate Data Record, jointly developed by the University of Colorado at Boulder's Laboratory for Atmospheric and Space Physics (LASP) and the Naval Research Laboratory (NRL), is constructed from solar irradiance models that determine the changes from quiet Sun conditions when bright faculae and dark sunspots are present on the solar disk. The magnitudes of the irradiance changes that these features produce are determined from linear regression of the proxy Mg II index and sunspot area indices against the approximately decade-long solar irradiance measurements made by instruments on the SOlar Radiation and Climate Experiment (SORCE) spacecraft. We describe the model formulation, uncertainty estimates, operational implementation and validation approach. Future efforts to improve the uncertainty estimates of the Solar Irradiance CDR arising from model assumptions, and augmentation of the solar irradiance reconstructions with direct measurements from the Total and Spectral Solar Irradiance Sensor (TSIS: launch date, July 2017) are also discussed.

  15. Comparison of MPEG digital video with super VHS tape for diagnostic echocardiographic readings

    NASA Technical Reports Server (NTRS)

    Soble, J. S.; Yurow, G.; Brar, R.; Stamos, T.; Neumann, A.; Garcia, M.; Stoddard, M. F.; Cherian, P. K.; Bhamb, B.; Thomas, J. D.

    1998-01-01

    BACKGROUND: Digital recording of echocardiographic studies is on the clinical horizon. However, full digital capture of complete echocardiographic studies in traditional video format is impractical, given current storage capacity and network bandwidth. To overcome these constraints, we evaluated the diagnostic image quality of digital video by using MPEG (Motion Picture Experts Group) compression. METHODS AND RESULTS: Fifty-eight complete, consecutive studies were recorded simultaneously with the use of MPEG-1 and sVHS videotape. Each matched MPEG and sVHS study pair was reviewed by two from a total of six readers, and findings were recorded with the use of a detailed, computerized reporting tool. Intrareader and interreader discrepancies were characterized as major or minor and analyzed in total and for specific subgroups of findings (left and right ventricular parameters, valvular insufficiency, and left ventricular regional wall motion). Intrareader discrepancies were reviewed by a consensus panel for agreement with either MPEG or sVHS findings. There was an exact concordance between MPEG and sVHS readings in 83% of findings. The majority of discrepancies were minor, with major discrepancies in only 2.7% of findings. There was no difference in the rate of consensus panel agreement with MPEG or sVHS for instances of intrareader discrepancy, either in total or for any subgroup of findings. Interreader discrepancy rates were nearly identical for both MPEG and sVHS. CONCLUSIONS: MPEG-1 digital video is equivalent to sVHS videotape for diagnostic echocardiography. MPEG increases the range of practical options for digital echocardiography and offers, for the first time, the advantages of digital recording in a familiar video format.

  16. Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial.

    PubMed

    Holloran-Schwartz, M Brigid; Gavard, Jeffrey A; Martin, Jared C; Blaskiewicz, Robert J; Yeung, Patrick P

    2016-01-01

    To compare the intraoperative direct costs of a single-use energy device with reusable energy devices during laparoscopic hysterectomy. A randomized controlled trial (Canadian Task Force Classification I). An academic hospital. Forty-six women who underwent laparoscopic hysterectomy from March 2013 to September 2013. Each patient served as her own control. One side of the uterine attachments was desiccated and transected with the single-use device (Ligasure 5-mm Blunt Tip LF1537 with the Force Triad generator). The other side was desiccated and transected with reusable bipolar forceps (RoBi 5 mm), and transected with monopolar scissors using the same Covidien Force Triad generator. The instrument approach used was randomized to the attending physician who was always on the patient's left side. Resident physicians always operated on the patient's right side and used the converse instruments of the attending physician. Start time was recorded at the utero-ovarian pedicle and end time was recorded after transection of the uterine artery on the same side. Costs included the single-use device; amortized costs of the generator, reusable instruments, and cords; cleaning and packaging of reusable instruments; and disposal of the single-use device. Operating room time was $94.14/min. We estimated that our single use-device cost $630.14 and had a total time savings of 6.7 min per case, or 3.35 min per side, which could justify the expense of the device. The single-use energy device had significant median time savings (-4.7 min per side, p < .001) and total intraoperative direct cost savings ($254.16 per case). A single-use energy device that both desiccates and cuts significantly reduced operating room time to justify its own cost, and it also reduced total intraoperative direct costs during laparoscopic hysterectomy in our institution. Operating room cost per minute varies between institutions and must be considered before generalizing our results. Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.

  17. Influence of operator experience on canal preparation time when using the rotary Ni-Ti ProFile system in simulated curved canals.

    PubMed

    Mesgouez, C; Rilliard, F; Matossian, L; Nassiri, K; Mandel, E

    2003-03-01

    The aim of this study was to determine the influence of operator experience on the time needed for canal preparation when using a rotary nickel-titanium (Ni-Ti) system. A total of 100 simulated curved canals in resin blocks were used. Four operators prepared a total of 25 canals each. The operators included practitioners with prior experience of the preparation technique, and practitioners with no experience. The working length for each instrument was precisely predetermined. All canals were instrumented with rotary Ni-Ti ProFile Variable Taper Series 29 engine-driven instruments using a high-torque handpiece (Maillefer, Ballaigues, Switzerland). The time taken to prepare each canal was recorded. Significant differences between the operators were analysed using the Student's t-test and the Kruskall-Wallis and Dunn nonparametric tests. Comparison of canal preparation times demonstrated a statistically significant difference between the four operators (P < 0.001). In the inexperienced group, a significant linear regression between canal number and preparation time occurred. Time required for canal preparation was inversely related to operator experience.

  18. IDE spatio-temporal impact fluxes and high time-resolution studies of multi-impact events and long-lived debris clouds

    NASA Technical Reports Server (NTRS)

    Mulholland, J. Derral; Singer, S. Fred; Oliver, John P.; Weinberg, Jerry L.; Cooke, William J.; Kassel, Philip C.; Wortman, Jim J.; Montague, Nancy L.; Kinard, William H.

    1991-01-01

    During the first 12 months of the Long Duration Exposure Facility (LDEF) mission, the Interplanetary Dust Experiment (IDE) recorded over 15,000 total impacts on six orthogonal faces with a time resolution on the order of 15 to 20 seconds. When combined with the orbital data and the stabilized configuration of the spacecraft, this permits a detailed analysis of the micro-particulate environment. The functional status of each of the 459 detectors was monitored every 2.4 hours, and post-flight analyses of these data has now permitted an evaluation of the effective active detection area as a function of time, panel by panel and separately for the two sensitivity levels. Thus, total impacts were transformed into areal fluxes, and are presented here for the first time. Also discussed are possible effects of these fluxes on previously announced results: apparent debris events, meteor stream detections, and beta meteoroids in observationally significant numbers.

  19. 1957 Pulpwood production in the south

    Treesearch

    J.F. McCormack

    1958-01-01

    Pulpwood production in southern states during 1957 fell slightly below the 1956 level, thus reversing a strong, long-term upward trend. Total production amounted to 19,782,600 cords, a decrease of 562,300 cords, or 2.8 percent, from the 1956 record high. At the same time, the combined pulping capacity of southern mills climbed from 38,000 tons per day in 1956 to 41,000...

  20. The Causes of Logging Truck Delays on Two West Virginia Logging Operations

    Treesearch

    John E. Baumgras

    1978-01-01

    Logging truck downtime increases timber harvesting costs. To determine the extent and causes of truck delays, four logging trucks on two separate operations were monitored for a 7-month period by recording speedometers and with tallies of delay causes. The results show the number of truck delays per shift, their duration, and the total delay time per shift for eight...

  1. Estimating past and current attendance at winter sports areas...a pilot study

    Treesearch

    Richard L. Bury; James W. Hall

    1963-01-01

    Routine business records of towlift tickets or restaurant receipts provided estimates of total attendance over a 2-month period within 8 percent of true attendance, and attendance on an average day within 18 to 24 percent of true attendance. The chances were that estimates would fall within these limits 2 out of 3 times. Guides for field use can be worked out after...

  2. The interaction of ozone and nitrogen dioxide in the stratosphere of East Antarctica

    NASA Astrophysics Data System (ADS)

    Bruchkouski, Ilya; Krasouski, Aliaksandr; Dziomin, Victar; Svetashev, Alexander

    2016-04-01

    At the Russian Antarctic station "Progress" (S69°23´, E76°23´) simultaneous measurements of trace gases using the MARS-B (Multi-Axis Recorder of Spectra) instrument and PION-UV spectro-radiometer for the time period from 05.01.2014 to 28.02.2014 have been performed. Both instruments were located outdoors. The aim of the measurements was to retrieve the vertical distribution of ozone and nitrogen dioxide in the atmosphere and to study their variability during the period of measurements. The MARS-B instrument, developed at the National Ozone Monitoring Research and Education Centre of the Belarusian State University (NOMREC BSU), successfully passed the procedure of international inter-comparison campaign MAD-CAT 2013 in Mainz, Germany. The instrument is able to record the spectra of scattered sunlight at different elevation angles within a maximum aperture of 1.3°. 12 elevation angles have been used in this study, including the zenith direction. Approximately 7000 spectra per day were registered in the range of 403-486 nm, which were then processed by DOAS technique aiming to retrieve differential slant columns of ozone, nitrogen dioxide and oxygen dimer. Furthermore, total nitrogen dioxide column values have been retrieved employing the Libradtran radiative transfer model. The PION-UV spectro-radiometer, also developed at NOMREC BSU, is able to record the spectra of scattered sunlight from the hemisphere in the range of 280-430 nm. The registered spectra have been used to retrieve the total ozone column values employing the Stamnes method. In this study observational data from both instruments is presented and analyzed. Furthermore, by combining analysis of this data with model simulations it is shown that decreases in nitrogen dioxide content in the upper atmosphere can be associated with increases in total ozone column values and rising of the ozone layer upper boundary. Finally, the time delay between changes in nitrogen dioxide and ozone values is calculated from the observed time series, demonstrating that changes in nitrogen dioxide content cause subsequent changes in the ozone layer. Attempt to explain this phenomenon as influence upper atmosphere on ozone layer is under discussed.

  3. Testing the Millennial-Scale Holocene Solar-Climate Connection in the Indo-Pacific Warm Pool

    NASA Astrophysics Data System (ADS)

    Khider, D.; Emile-Geay, J.; McKay, N.; Jackson, C. S.; Routson, C.

    2016-12-01

    The existence of 1000 and 2500-year periodicities found in reconstructions of total solar irradiance (TSI) and a number of Holocene climate records has led to the hypothesis of a causal relationship. However, attributing Holocene millennial-scale variability to solar forcing requires a mechanism by which small changes in total irradiance can influence a global climate response. One possible amplifier within the climate system is the ocean. If this is the case, then we need to know more about where and how this may be occurring. On the other hand, the similarity in spectral peaks could be merely coincidental, and this should be made apparent by a lack of coherence in how that power and phasing are distributed in time and space. The plausibility of the solar forcing hypothesis is assessed through a Bayesian model of the age uncertainties affecting marine sedimentary records that is propagated through spectral analysis of the climate and forcing signals at key frequencies. Preliminary work on Mg/Ca and alkenone records from the Indo-Pacific Warm Pool suggests that despite large uncertainties in the location of the spectral peaks within each individual record arising from age model uncertainty, sea surface variability on timescales of 1025±36 years and 2427±133 years (±standard error of the mean of the median periodicity in each record) are present in at least 95% and 70% of the ensemble spectra, respectively. However, we find a long phase delay between the peak in forcing and the maximum response in at least one of the records, challenging the solar forcing hypothesis and requiring further investigation between low- and high-latitude signals. Remarkably, all records suggest a periodicity near 1470±85 years, reminiscent of the cycles characteristic of Marine Isotope Stage 3; these cycles are absent from existing records of TSI, further questioning the millennial solar-climate connection.

  4. Migraine headache is present in the aura phase

    PubMed Central

    Hansen, Jakob M.; Lipton, Richard B.; Dodick, David W.; Silberstein, Stephen D.; Saper, Joel R.; Aurora, Sheena K.; Goadsby, Peter J.

    2012-01-01

    ABSTRACT Objectives: Migraine aura is commonly considered to be a distinct phase of a migraine attack that precedes headache. The objective of the study was to examine a large number of prospectively recorded attacks of migraine with aura and determine the timing of headache and other migraine symptoms relative to aura. Methods: As part of a clinical trial we collected prospective data on the time course of headache and other symptoms relative to the aura. Patients (n = 267) were enrolled from 16 centers, and asked to keep a headache diary for 1 month (phase I). They were asked to record headache symptoms as soon as possible after aura began and always within 1 hour of aura onset. A total of 456 attacks were reported during phase I by 201 patients. These patients were then randomized and included in phase II, during which a total of 405 attacks were reported in 164 patients. In total, we present data from 861 attacks of migraine with aura from 201 patients. Results: During the aura phase, the majority of attacks (73%) were associated with headache. Other migraine symptoms were also frequently reported during the aura: nausea (51%), photophobia (88%), and photophobia (73%). During the first 15 minutes within the onset of aura, 54% of patients reported headache fulfilling the criteria for migraine. Conclusion: Our results indicate that headaches as well as associated migraine symptoms are present early, during the aura phase of the migraine attack in the majority of patients. PMID:23115208

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

    DOE Data Explorer

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

    1997-02-01

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

  6. Differences between Dyslexic and Non-Dyslexic Children in the Performance of Phonological Visual-Auditory Recognition Tasks: An Eye-Tracking Study

    PubMed Central

    Tiadi, Aimé; Seassau, Magali; Gerard, Christophe-Loïc; Bucci, Maria Pia

    2016-01-01

    The object of this study was to explore further phonological visual-auditory recognition tasks in a group of fifty-six healthy children (mean age: 9.9 ± 0.3) and to compare these data to those recorded in twenty-six age-matched dyslexic children (mean age: 9.8 ± 0.2). Eye movements from both eyes were recorded using an infrared video-oculography system (MobileEBT® e(y)e BRAIN). The recognition task was performed under four conditions in which the target object was displayed either with phonologically unrelated objects (baseline condition), or with cohort or rhyme objects (cohort and rhyme conditions, respectively), or both together (rhyme + cohort condition). The percentage of the total time spent on the targets and the latency of the first saccade on the target were measured. Results in healthy children showed that the percentage of the total time spent in the baseline condition was significantly longer than in the other conditions, and that the latency of the first saccade in the cohort condition was significantly longer than in the other conditions; interestingly, the latency decreased significantly with the increasing age of the children. The developmental trend of phonological awareness was also observed in healthy children only. In contrast, we observed that for dyslexic children the total time spent on the target was similar in all four conditions tested, and also that they had similar latency values in both cohort and rhyme conditions. These findings suggest a different sensitivity to the phonological competitors between dyslexic and non-dyslexic children. Also, the eye-tracking technique provides online information about phonological awareness capabilities in children. PMID:27438352

  7. The effect of eating out on quality of diet in premenopausal women.

    PubMed

    Clemens, L H; Slawson, D L; Klesges, R C

    1999-04-01

    To compare the intake of women who report varying levels of frequency of consuming food at commercial facilities outside the home. A 1-week descriptive study of dietary intake in women. Subjects completed daily diet records that included information regarding the source of the food eaten at each meal or snack. The sample was divided on the basis of the number of meals each subject reported obtaining from a commercial establishment outside the home. Of the 129 subjects, 56% (n = 72) reported eating out 5 times or less during the week of recording (Low Eating Out group) and the remainder (n = 57) reported eating out between 6 and 13 times (High Eating Out group) One hundred twenty-nine premenopausal women were recruited via community advertising for an investigation of health habits. This study was conducted in a midsouthern US city. Results were analyzed using independent sample t tests and chi 2 tests. Mean intake was compared for the groups. The High Eating Out group was found to be consuming significantly more total energy (2,057 kcal vs 1,769 kcal; P = .002), fat (79.5 g vs 60.6 g; P < .001), and sodium (3,299 mg vs 2,903 mg; P = .043) and marginally more carbohydrate (261.5 g vs 234.6 g; P = .055) and protein (71.5 g vs 65.4 g; P = .066). Total fiber or calcium intake did not differ between the groups. Our study demonstrates that women who report eating out a greater number of times per week report more total energy intake as well as higher fat and sodium intakes. However, the High Eating Out group did not consume significantly more fiber or calcium in the extra energy consumed.

  8. Prehospital delay in individuals with acute coronary disease: concordance of medical records and follow-up phone interviews.

    PubMed

    Goldberg, Robert J; Osganian, Stavroula; Zapka, Jane; Mitchell, Paul; Bittner, Vera; Daya, Mo; Luepker, Russell

    2002-01-01

    Patient-associated delay in seeking medical care in persons with acute coronary disease is receiving increasing importance given the time-dependent benefits associated with myocardial reperfusion therapies. We examined the extent of concordance between self-reported information about prehospital delay provided by patients to hospital staff at the time of hospitalization for coronary disease compared with information obtained from a telephone interview approximately 2 months following hospital discharge. The sample included 316 patients with acute myocardial infarction or unstable angina at 43 hospitals who had delay time information available from both data sources. The extent of agreement between the medical record and telephone accounts of delay was 47% in the total study sample, 53% in patients with acute myocardial infarction, and 40% in patients with unstable angina. These results suggest that a telephone interview carried out several months following hospitalization for acute coronary disease may not provide sufficiently reliable information about prehospital delay. Copyright 2002 S. Karger AG, Basel

  9. Fitting a single-phase model to the post-exercise changes in heart rate and oxygen uptake.

    PubMed

    Stupnicki, R; Gabryś, T; Szmatlan-Gabryś, U; Tomaszewski, P

    2010-01-01

    The kinetics of post-exercise heart rate (HR) and oxygen consumption (EPOC) was studied in 10 elite cyclists subjected to four laboratory cycle ergometer maximal exercises lasting 30, 90, 180 or 360 s. Heart rate and oxygen uptake (VO2) were recorded over a period of 6 min after the exercise. By applying the logit transformation to the recorded variables and relating them to the decimal logarithm of the recovery time, uniform single-phase courses of changes were shown for both variables in all subjects and exercises. This enabled computing half-recovery times (t(1/2)) for both variables. Half-time for VO2 negatively correlated with square root of exercise duration (within-subject r = -0.629, p < 0.001), the total post-exercise oxygen uptake till t(1/2) was thus constant irrespectively of exercise intensity. The method is simple and enables reliable comparisons of various modes of exercise with respect to the rate of recovery.

  10. Impact of Prominent Themes in Clinician-Patient Conversations on Caregiver’s Perceived Quality of Communication with Paediatric Dental Visits

    PubMed Central

    Bridges, Susan Margaret; McGrath, Colman Patrick; Yiu, Cynthia Kar Yung; Zayts, Olga A.; Au, Terry Kit Fong

    2017-01-01

    Patients’ perceived satisfaction is a key performance index of the quality health care service. Good communication has been found to increase patient’s perceived satisfaction. The purpose of this study was to examine the impact of the prominent themes arising from clinician-patient conversations on the caregiver’s perceived quality of communication during paediatric dental visits. 162 video recordings of clinical dental consultations for 62 cases attending the Paediatric Dentistry Clinic of The Prince Philip Dental Hospital in Hong Kong were captured and transcribed. The patients’ demographic information and the caregiver’s perceived quality of communication with the clinicians were recorded using the 16-item Dental Patient Feedback on Consultation skills questionnaires. Visual text analytics (Leximancer™) indicated five prominent themes ‘disease / treatment’, ‘treatment procedure related instructions’, ‘preparation for examination’, ‘positive reinforcement / reassurance’, and ‘family / social history’ from the clinician-patient conversation of the recorded videos, with 60.2% of the total variance in concept words in this study explained through principal components analysis. Significant variation in perceived quality of communication was noted in five variables regarding the prominent theme ‘Positive reinforcement / reassurance’: ‘number of related words’ (p = 0.002), ‘number of related utterances’ (p = 0.001), ‘percentage of the related words in total number of words’ (p = 0.005), ‘percentage of the related utterances in total number of utterances’ (p = 0.035) and ‘percentage of time spent in total time duration’ (p = 0.023). Clinicians were perceived to be more patient-centered and empathetic if a larger proportion of their conversation showed positive reinforcement and reassurance via using related key words. Care-giver’s involvement, such as clinicians’ mention of the parent, was also seen as critical to perceptions of quality clinical experience. The study reveals the potential of the application of visual text analytics software in clinical consultations with implications for professional development regarding clinicians’ communication skills for improving patients’ clinical experiences and treatment satisfaction. PMID:28046044

  11. Methods to model and predict the ViewRay treatment deliveries to aid patient scheduling and treatment planning.

    PubMed

    Liu, Shi; Wu, Yu; Wooten, H Omar; Green, Olga; Archer, Brent; Li, Harold; Yang, Deshan

    2016-03-08

    A software tool is developed, given a new treatment plan, to predict treatment delivery time for radiation therapy (RT) treatments of patients on ViewRay magnetic resonance image-guided radiation therapy (MR-IGRT) delivery system. This tool is necessary for managing patient treatment scheduling in our clinic. The predicted treatment delivery time and the assessment of plan complexities could also be useful to aid treatment planning. A patient's total treatment delivery time, not including time required for localization, is modeled as the sum of four components: 1) the treatment initialization time; 2) the total beam-on time; 3) the gantry rotation time; and 4) the multileaf collimator (MLC) motion time. Each of the four components is predicted separately. The total beam-on time can be calculated using both the planned beam-on time and the decay-corrected dose rate. To predict the remain-ing components, we retrospectively analyzed the patient treatment delivery record files. The initialization time is demonstrated to be random since it depends on the final gantry angle of the previous treatment. Based on modeling the relationships between the gantry rotation angles and the corresponding rotation time, linear regression is applied to predict the gantry rotation time. The MLC motion time is calculated using the leaves delay modeling method and the leaf motion speed. A quantitative analysis was performed to understand the correlation between the total treatment time and the plan complexity. The proposed algorithm is able to predict the ViewRay treatment delivery time with the average prediction error 0.22min or 1.82%, and the maximal prediction error 0.89 min or 7.88%. The analysis has shown the correlation between the plan modulation (PM) factor and the total treatment delivery time, as well as the treatment delivery duty cycle. A possibility has been identified to significantly reduce MLC motion time by optimizing the positions of closed MLC pairs. The accuracy of the proposed prediction algorithm is sufficient to support patient treatment appointment scheduling. This developed software tool is currently applied in use on a daily basis in our clinic, and could also be used as an important indicator for treatment plan complexity.

  12. Sex-related differences in the wheel-running activity of mice decline with increasing age.

    PubMed

    Bartling, Babett; Al-Robaiy, Samiya; Lehnich, Holger; Binder, Leonore; Hiebl, Bernhard; Simm, Andreas

    2017-01-01

    Laboratory mice of both sexes having free access to running wheels are commonly used to study mechanisms underlying the beneficial effects of physical exercise on health and aging in human. However, comparative wheel-running activity profiles of male and female mice for a long period of time in which increasing age plays an additional role are unknown. Therefore, we permanently recorded the wheel-running activity (i.e., total distance, median velocity, time of breaks) of female and male mice until 9months of age. Our records indicated higher wheel-running distances for females than males which were highest in 2-month-old mice. This was mainly reached by higher running velocities of the females and not by longer running times. However, the sex-related differences declined in parallel to the age-associated reduction in wheel-running activities. Female mice also showed more variances between the weekly running distances than males, which were recorded most often for females being 4-6months old but not older. Additional records of 24-month-old mice of both sexes indicated highly reduced wheel-running activities at old age. Surprisingly, this reduction at old age resulted mainly from lower running velocities and not from shorter running times. Old mice also differed in their course of night activity which peaked later compared to younger mice. In summary, we demonstrated the influence of sex on the age-dependent activity profile of mice which is somewhat contrasting to humans, and this has to be considered when transferring exercise-mediated mechanism from mouse to human. Copyright © 2016. Published by Elsevier Inc.

  13. Feed intake, ruminal fermentation, and animal behavior of beef heifers fed forage free diets containing nonforage fiber sources.

    PubMed

    Iraira, S P; Ruíz de la Torre, J L; Rodríguez-Prado, M; Calsamiglia, S; Manteca, X; Ferret, A

    2013-08-01

    Eight Simmental heifers (initial BW 313.4 ± 13.2 kg) were randomly assigned to 1 of 4 experimental treatments in a 4 × 4 double Latin square design. The experiment was performed in four 28-d periods. Treatments tested were a control diet in which barley straw (BS) was used as a fiber source and 3 diets where the main difference was the nonforage fiber source used: soybean hulls (SH), beet pulp (BP) in pellets, and whole cottonseed (WCS). All ingredients, except the fiber sources, were ground through a 3-mm screen. Fiber ingredients were incorporated at 10, 17, 17, and 16% (on DM basis) in BS, SH, BP, and WCS, respectively. All diets were offered ad libitum as total mixed ration and designed to be isoenergetic (2.95 Mcal ME/kg DM), isonitrogenous (15% CP, DM basis), and with a NDF content of 20% (on DM basis) although there was a discrepancy between the theoretical and the actual chemical composition of the diets. Particle size separation was performed using the 3-screen Penn State Particle Separator. Animals were allotted in 8 individual roofed concrete pens equipped with a feedbunk and water trough. Intake was recorded over 7 d in the last week of each experimental period. Behavior was recorded for 24-h on d 2 and d 6 of each experimental week using a digital video recording device. A digital color camera was set up in front of each pen. Data recorded, except behavioral activities, were statistically analyzed using the MIXED procedure of SAS. To test treatment effect for each behavioral activity, analysis was performed using the GLIMMIX procedure of SAS. Diets ranked from greater to lesser proportion of particles of less than 1.18 mm as follows: SH, BS, WCS, and BP. Dry matter intake of heifers fed WCS was greater than the remaining treatments (P = 0.049). The greatest average ruminal pH was registered in heifers fed BS (6.4) and BP (6.3) whereas the smallest was recorded in SH diet (5.9), with WCS (6.2) occupying an intermediate position (P = 0.006). Total chewing time was greater (P = 0.001) in BS and WCS than in SH and BP. In conclusion, the nonforage fiber sources tested in this experiment can be used in forage-free diets fed to beef heifers as total mixed ration (TMR) without negative consequences in DMI in SH and BP diets and with an increased DMI in WCS diet. The WCS diet promoted rumination and total chewing time to the same degree as BS, which demonstrates that it is equally effective as this forage fiber source.

  14. Translating evidence-based protocol of wound drain management for total joint arthroplasty into practice: A quasi-experimental study.

    PubMed

    Tsang, Lap Fung; Cheng, Hang Cheong; Ho, Hon Shuen; Hsu, Yung Chak; Chow, Chiu Man; Law, Heung Wah; Fong, Lup Chau; Leung, Lok Ming; Kong, Ivy Ching Yan; Chan, Chi Wai; Sham, Alice So Yuen

    2016-05-01

    Although various drains have long been used in total joint replacement, evidence suggests inconsistent practice exists in the use of drainage systems including intermittently applying suction or free of drainage suction, and variations in the optimal timing for wound drain removal. A comprehensive systematic review of available evidence up to 2013 was conducted in a previous study and a protocol was adapted for clinical application according to the summary of the retrieved information (Tsang, 2015). To determine if the protocol could reduce blood loss and blood transfusion after operation and to develop a record form so as to enhance communication of drainage record amongst surgeons and nurses. A quasi-experimental time-series design was undertaken. In the conventional group, surgeons ordered free drainage if the drain output was more than 300 ml. The time of removal of the drain was based on their professional judgement. In the protocol group the method of drainage was dependant of the drainage output as was the timing of the removal of the drain. A standardized record form was developed to guide operating room and orthopaedic ward nurses to manage the drainage system. The drain was removed significantly earlier in the protocol group. Blood loss rate at the first hour of post-operation was extremely low in the protocol group due to clamping effect. Blood loss in volume during the first three hours in the protocol group was significantly lower than that in the conventional group. Only in 11.1% and 4% of cases was it necessary to clamp at the three and four hour post-operative hours. No clamping was required at the two and eight hour postoperative period. There was no significant difference in blood loss during the removal of the drain and during blood transfusion, which was required for patients upon removal of the drain in the two groups. This is the first clinical study to develop an evidence-based protocol to manage wound drain effectively in Hong Kong. Total blood loss and blood transfusions were not significantly different between the conventional and protocol groups. A standard documentation document is beneficial to enhance communication between doctors and nurses as well as to monitor and observe drainage effectively. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. A validation of ground ambulance pre-hospital times modeled using geographic information systems.

    PubMed

    Patel, Alka B; Waters, Nigel M; Blanchard, Ian E; Doig, Christopher J; Ghali, William A

    2012-10-03

    Evaluating geographic access to health services often requires determining the patient travel time to a specified service. For urgent care, many research studies have modeled patient pre-hospital time by ground emergency medical services (EMS) using geographic information systems (GIS). The purpose of this study was to determine if the modeling assumptions proposed through prior United States (US) studies are valid in a non-US context, and to use the resulting information to provide revised recommendations for modeling travel time using GIS in the absence of actual EMS trip data. The study sample contained all emergency adult patient trips within the Calgary area for 2006. Each record included four components of pre-hospital time (activation, response, on-scene and transport interval). The actual activation and on-scene intervals were compared with those used in published models. The transport interval was calculated within GIS using the Network Analyst extension of Esri ArcGIS 10.0 and the response interval was derived using previously established methods. These GIS derived transport and response intervals were compared with the actual times using descriptive methods. We used the information acquired through the analysis of the EMS trip data to create an updated model that could be used to estimate travel time in the absence of actual EMS trip records. There were 29,765 complete EMS records for scene locations inside the city and 529 outside. The actual median on-scene intervals were longer than the average previously reported by 7-8 minutes. Actual EMS pre-hospital times across our study area were significantly higher than the estimated times modeled using GIS and the original travel time assumptions. Our updated model, although still underestimating the total pre-hospital time, more accurately represents the true pre-hospital time in our study area. The widespread use of generalized EMS pre-hospital time assumptions based on US data may not be appropriate in a non-US context. The preference for researchers should be to use actual EMS trip records from the proposed research study area. In the absence of EMS trip data researchers should determine which modeling assumptions more accurately reflect the EMS protocols across their study area.

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

    PubMed

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

    2010-11-01

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

  17. Study of Culex tritaeniorhynchus and species composition of mosquitoes in a rice field in Greece.

    PubMed

    Lytra, Ioanna; Emmanouel, Nikolaos

    2014-06-01

    Mosquito species composition and seasonal abundance were studied in a rice field in western Greece over a three-year period (2009-2011). A total of 11,716 larvae and pupae of mosquitoes were recorded, representing seven species, namely Aedes caspius (Pallas), Anopheles hyrcanus (Pallas), Anopheles sacharovi Favre, Culex theileri Theobald, Culex tritaeniorhynchus Giles, Culex pipiens Linnaeus, Uranotaenia unguiculata Edwards and belonging to four genera. Cx. tritaeniorhynchus constituted the most abundant species. It is the second recorded occurrence of this species in Greece, but the first time that a high population of this mosquito species is recorded in the country. In all three years, the total population density of mosquitoes was found to be higher in early August. The number of immatures of all species was found higher in 2009 and 2010 than in 2011, as well was that of the Cx. tritaeniorhynchus adults derived from the rearing of the collected immatures. This regularity is probably due to the lack of water in the rice field in early August 2011. Cx. tritaeniorhynchus was found to be the most abundant species after the rearing of immatures representing 85.1%, 93.5% and 96.1% of the total number of the mosquito adults in 2009, 2010 and 2011, respectively. The rice culturing practices may have affected the seasonal occurrence of mosquito immatures in all of the study years. Copyright © 2014 Elsevier B.V. All rights reserved.

  18. Plasma concentrations of acyl-ghrelin are associated with average daily gain and feeding behavior in grow-finish pigs.

    PubMed

    Lents, C A; Brown-Brandl, T M; Rohrer, G A; Oliver, W T; Freking, B A

    2016-04-01

    The objectives of this study were to determine the effect of sex, sire line, and litter size on concentrations of acyl-ghrelin and total ghrelin in plasma of grow-finish pigs and to understand the relationship of plasma concentrations of ghrelin with feeding behavior, average daily gain (ADG), and back fat in grow-finish swine. Yorkshire-Landrace crossbred dams were inseminated with semen from Yorkshire, Landrace, or Duroc sires. Within 24 h of birth, pigs were cross-fostered into litter sizes of normal (N; >12 pigs/litter) or small (S; ≤ 9 pigs/litter). At 8 wk of age, pigs (n = 240) were blocked by sire breed, sex, and litter size and assigned to pens (n = 6) containing commercial feeders modified with a system to monitor feeding behavior. Total time eating, number of daily meals, and duration of meals were recorded for each individual pig. Body weight was recorded every 4 wk. Back fat and loin eye area were recorded at the conclusion of the 12-wk feeding study. A blood sample was collected at week 7 of the study to quantify concentrations of acyl- and total ghrelin in plasma. Pigs from small litters weighed more (P < 0.05) and tended (P = 0.07) to be fatter than pigs from normal litters. Postnatal litter size did not affect ADG, feeding behavior, or concentrations of ghrelin in plasma during the grow-finish phase. Barrows spent more time eating (P < 0.001) than gilts, but the number of meals and concentrations of ghrelin did not differ with sex of the pig. Pigs from Duroc and Yorkshire sires had lesser (P < 0.0001) concentrations of acyl-ghrelin than pigs from Landrace sires, but plasma concentrations of total ghrelin were not affected by sire breed. Concentrations of acyl-ghrelin were positively correlated with the number of meals and negatively correlated with meal length and ADG (P < 0.05). A larger number of short-duration meals may indicate that pigs with greater concentrations of acyl-ghrelin consumed less total feed, which likely explains why they were leaner and grew more slowly. Acyl-ghrelin is involved in regulating feeding behavior in pigs, and measuring acyl-ghrelin is important when trying to understand the role of this hormone in swine physiology. Published by Elsevier Inc.

  19. P-CPA pretreatment reverses the changes in sleep and behavior following acute immobilization stress rats.

    PubMed

    Sinha, Rakesh Kumar

    2006-02-01

    The effects of p-CPA (para-chlorophenylalanine) pretreatment was studied on the sleep-wake parameters and patterns of behavioral activities in an animal model of acute immobilization stress. For the experiments, young male Charles Foster rats were divided into three groups, subjected to (i) acute immobilization stress for four hours on specially designed wooden boards, (ii) a similar model of acute immobilization stress after pretreatment of p-CPA (injected through i.p. route), and (iii) control rats (p-CPA untreated and unstressed). Three channels of electrographic signals, i.e., EEG (electroencephalogram), EOG (electrooculogram), and EMG (electromyogram) were recorded continuously for four hours for all three groups of rats to analyze the changes in sleep-wake stages. The assessment of behavior was performed just after the stress on separate groups of rats in Open-Field (OF) and Elevated Plus-Maze (EPM) apparatuses. The significant changes in total sleep time (P < 0.05), total time for rapid eye movement sleep (P < 0.01), and total time in wakefulness (P < 0.01) following acute immobilization stress were found reversed in the p-CPA (a serotonin inhibitor) pretreated group of rats. Simultaneously, the results of the present work also revealed that the changes in grooming behavior (P < 0.05) in OF and the total time spent on the center of EPM (P < 0.05) were observed altered in p-CPA pretreated group of rats.

  20. Japanese professional nurses spend unnecessarily long time doing nursing assistants' tasks.

    PubMed

    Kudo, Yasushi; Yoshimura, Emiko; Shahzad, Machiko Taruzuka; Shibuya, Akitaka; Aizawa, Yoshiharu

    2012-09-01

    In environments in which professional nurses do simple tasks, e.g., laundry, cleaning, and waste disposal, they cannot concentrate on technical jobs by utilizing their expertise to its fullest benefit. Particularly, in Japan, the nursing shortage is a serious problem. If professional nurses take their time to do any of these simple tasks, the tasks should be preferentially allocated to nursing assistants. Because there has been no descriptive study to investigate the amount of time Japanese professional nurses spent doing such simple tasks during their working time, their actual conditions remain unclear. Professional nurses recorded their total working time and the time they spent doing such simple tasks during the week of the survey period. The time an individual respondent spent doing one or more simple tasks during that week was summed up, as was their working time. Subsequently, the percentage of the summed time he or she spent doing any of those tasks in his or her summed working time was calculated. A total of 1,086 respondents in 19 hospitals that had 87 to 376 beds were analyzed (response rate: 53.3%). The average time (SD) that respondents spent doing those simple tasks and their total working time were 2.24 (3.35) hours and 37.48 (10.88) hours, respectively. The average percentage (SD) of the time they spent doing the simple tasks in their working time was 6.00% (8.39). Hospital administrators must decrease this percentage. Proper working environments in which professional nurses can concentrate more on their technical jobs must be created.

  1. Global trends

    NASA Technical Reports Server (NTRS)

    Megie, G.; Chanin, M.-L.; Ehhalt, D.; Fraser, P.; Frederick, J. F.; Gille, J. C.; Mccormick, M. P.; Schoebert, M.; Bishop, L.; Bojkov, R. D.

    1990-01-01

    Measuring trends in ozone, and most other geophysical variables, requires that a small systematic change with time be determined from signals that have large periodic and aperiodic variations. Their time scales range from the day-to-day changes due to atmospheric motions through seasonal and annual variations to 11 year cycles resulting from changes in the sun UV output. Because of the magnitude of all of these variations is not well known and highly variable, it is necessary to measure over more than one period of the variations to remove their effects. This means that at least 2 or more times the 11 year sunspot cycle. Thus, the first requirement is for a long term data record. The second related requirement is that the record be consistent. A third requirement is for reasonable global sampling, to ensure that the effects are representative of the entire Earth. The various observational methods relevant to trend detection are reviewed to characterize their quality and time and space coverage. Available data are then examined for long term trends or recent changes in ozone total content and vertical distribution, as well as related parameters such as stratospheric temperature, source gases and aerosols.

  2. The use of theatre time for paediatric dentistry under general anaesthesia.

    PubMed

    Foley, Jennifer; Soldani, Francesca

    2007-01-01

    The aim of this paper was to determine the use of theatre time for all procedures performed under general anaesthetic on a paediatric dental list. A prospective study of paediatric dental general anaesthetic procedures was undertaken at Ninewells Hospital and Medical School, NHS Tayside, Dundee, UK. Data were collected prospectively for 71 operating lists over a 3-year period from April 2003 to March 2006. Both operator status and the procedure being undertaken were recorded. In addition, pre-anaesthetic, anaesthetic, operating and disconnection times were recorded. Of the 71 lists examined, 61 either finished early or on time, with a median unused time of 32.50 min (interquartile range = 19.50, 50.00 min), whilst 10 lists finished late with a median overrun time of 30.50 min (interquartile range = 9.25, 45.50 min). Comparing lists which finished late with those which were completed within time, the median pre-anaesthetic time was significantly longer (Mann-Whitney U-test, W = 20.05, P = 0.048). Overall, the theatre was in use for 78.22% of time combining pre-anaesthetic, anaesthetic, operating and disconnection times; hence, there was poor time utilization of theatre for 21.78% of the total theatre time. Overall, 85.9% of theatre sessions for dental procedures under general anaesthetic in children finished early or on time. Where lists finished late, the duration of the pre-anaesthetic time appeared to be the significant factor.

  3. Sedimentary record of water column trophic conditions and sediment carbon fluxes in a tropical water reservoir (Valle de Bravo, Mexico).

    PubMed

    Carnero-Bravo, Vladislav; Merino-Ibarra, Martín; Ruiz-Fernández, Ana Carolina; Sanchez-Cabeza, Joan Albert; Ghaleb, Bassam

    2015-03-01

    Valle de Bravo (VB) is the main water reservoir of the Cutzamala hydraulic system, which provides 40% of the drinking water consumed in the Mexico City Metropolitan Area and exhibits symptoms of eutrophication. Nutrient (C, N and P) concentrations were determined in two sediment cores to reconstruct the water column trophic evolution of the reservoir and C fluxes since its creation in 1947. Radiometric methods ((210)Pb and (137)Cs) were used to obtain sediment chronologies, using the presence of pre-reservoir soil layers in one of the cores as an independent chronological marker. Mass accumulation rates ranged from 0.12 to 0.56 g cm(-2) year(-1) and total organic carbon (TOC) fluxes from 122 to 380 g m(-2) year(-1). Total N ranged 4.9-48 g m(-2) year(-1), and total P 0.6-4.2 g m(-2) year(-1). The sedimentary record shows that all three (C, N and P) fluxes increased significantly after 1991, in good agreement with the assessed trophic evolution of VB and with historic and recent real-time measurements. In the recent years (1992-2006), the TOC flux to the bottom of VB (average 250 g m(-2) year(-1), peaks 323 g m(-2) year(-1)) is similar to that found in highly eutrophic reservoirs and impoundments. Over 1/3 of the total C burial since dam construction, circa 70,000 t, has occurred in this recent period. These results highlight the usefulness of the reconstruction of carbon and nutrient fluxes from the sedimentary record to assess carbon burial and its temporal evolution in freshwater ecosystems.

  4. A Measure of Total Research Impact Independent of Time and Discipline

    PubMed Central

    Pepe, Alberto; Kurtz, Michael J.

    2012-01-01

    Authorship and citation practices evolve with time and differ by academic discipline. As such, indicators of research productivity based on citation records are naturally subject to historical and disciplinary effects. We observe these effects on a corpus of astronomer career data constructed from a database of refereed publications. We employ a simple mechanism to measure research output using author and reference counts available in bibliographic databases to develop a citation-based indicator of research productivity. The total research impact (tori) quantifies, for an individual, the total amount of scholarly work that others have devoted to his/her work, measured in the volume of research papers. A derived measure, the research impact quotient (riq), is an age-independent measure of an individual's research ability. We demonstrate that these measures are substantially less vulnerable to temporal debasement and cross-disciplinary bias than the most popular current measures. The proposed measures of research impact, tori and riq, have been implemented in the Smithsonian/NASA Astrophysics Data System. PMID:23144782

  5. Solar Irradiance Variability is Caused by the Magnetic Activity on the Solar Surface.

    PubMed

    Yeo, Kok Leng; Solanki, Sami K; Norris, Charlotte M; Beeck, Benjamin; Unruh, Yvonne C; Krivova, Natalie A

    2017-09-01

    The variation in the radiative output of the Sun, described in terms of solar irradiance, is important to climatology. A common assumption is that solar irradiance variability is driven by its surface magnetism. Verifying this assumption has, however, been hampered by the fact that models of solar irradiance variability based on solar surface magnetism have to be calibrated to observed variability. Making use of realistic three-dimensional magnetohydrodynamic simulations of the solar atmosphere and state-of-the-art solar magnetograms from the Solar Dynamics Observatory, we present a model of total solar irradiance (TSI) that does not require any such calibration. In doing so, the modeled irradiance variability is entirely independent of the observational record. (The absolute level is calibrated to the TSI record from the Total Irradiance Monitor.) The model replicates 95% of the observed variability between April 2010 and July 2016, leaving little scope for alternative drivers of solar irradiance variability at least over the time scales examined (days to years).

  6. Autonomous acoustic recorders reveal complex patterns in avian detection probability

    USGS Publications Warehouse

    Thompson, Sarah J.; Handel, Colleen M.; McNew, Lance B.

    2017-01-01

    Avian point‐count surveys are typically designed to occur during periods when birds are consistently active and singing, but seasonal and diurnal patterns of detection probability are often not well understood and may vary regionally or between years. We deployed autonomous acoustic recorders to assess how avian availability for detection (i.e., the probability that a bird signals its presence during a recording) varied during the breeding season with time of day, date, and weather‐related variables at multiple subarctic tundra sites in Alaska, USA, 2013–2014. A single observer processed 2,692 10‐minute recordings across 11 site‐years. We used time‐removal methods to assess availability and used generalized additive models to examine patterns of detectability (joint probability of presence, availability, and detection) for 16 common species. Despite lack of distinct dawn or dusk, most species displayed circadian vocalization patterns, with detection rates generally peaking between 0800 hours and 1200 hours but remaining high as late as 2000 hours for some species. Between 2200 hours and 0500 hours, most species’ detection rates dropped to near 0, signaling a distinctive rest period. Detectability dropped sharply for most species in early July. For all species considered, time‐removal analysis indicated nearly 100% likelihood of detection during a 10‐minute recording conducted in June, between 0500 hours and 2000 hours. This indicates that non‐detections during appropriate survey times and dates were attributable to the species’ absence or that silent birds were unlikely to initiate singing during a 10‐minute interval, whereas vocally active birds were singing very frequently. Systematic recordings revealed a gradient of species’ presence at each site, from ubiquitous to incidental. Although the total number of species detected at a site ranged from 16 to 27, we detected only 4 to 15 species on ≥5% of the site's recordings. Recordings provided an unusually detailed and consistent dataset that allowed us to identify, among other things, appropriate survey dates and times for species breeding at northern latitudes. Our results also indicated that more recordings of shorter duration (1–4 min) may be most efficient for detecting passerines.

  7. Records of Bat Flies (Diptera: Nycteribiidae and Streblidae) in the Semi-Arid Caatinga in the State of Paraíba, Northeastern Brazil.

    PubMed

    Barbier, E; Prado-Neto, J G; Bernard, E

    2016-12-01

    One of the largest gaps in the knowledge of ectoparasitic flies of the families Nycteribiidae and Streblidae in Brazil is the northeastern region, where most states do not have any record. Here, we present the first records of those two bat fly families for the state of Paraíba. We recorded a total of 10 species of five genera parasitizing eight bat species of four families. Trichobius diphyllae Wenzel (Streblidae) was the most abundant species, found parasitizing Diphylla ecaudata (Phyllostomidae), and T. dugesioides dugesioides Wenzel, the second, found on Trachops cirrhosus (Phyllostomidae). Three species were recorded for the first time in northeastern Brazil and seven species are new for the semi-arid Caatinga. We collected T. galei Wenzel and T. pallidus (Curran) on Natalus macrourus (Natalidae) and Furipterus horrens (Furipteridae), respectively, two endangered bat species, and the species-specific relationship with their hosts points out to some degree of vulnerability. In addition, we present information on host-parasite relationship, and data that extend the known geographic distribution of some species.

  8. 40 CFR Table 5 to Subpart Ppp of... - Process Vents From Batch Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  9. 40 CFR Table 5 to Subpart Ppp of... - Process Vents From Batch Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  10. 40 CFR Table 5 to Subpart Ppp of... - Process Vents From Batch Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  11. Variations of pituitary function over time after brain injuries: the lesson from a prospective study.

    PubMed

    Giordano, Giulio; Aimaretti, Gianluca; Ghigo, Ezio

    2005-01-01

    Traumatic Brain Injury (TBI) and Subarachnoid Haemorrhage (SAH) are conditions at high risk to develop hypopituitarism as pointed out by many papers in scientific literature. But most of the papers were referred to retrospective evaluations, not considering the possible evolution of the pituitary function over time. Aim of our studies was to clarify whether pituitary deficiencies and normal pituitary function recorded at short term follow-up (3 months), would improve or worsen, respectively, at long term (12 months after the brain injury). In a multicenter study protocol, in patients who suffered TBI (n = 70; 50 Males, 20 Females; age 39.31 +/- 2.4 years; BMI 23.8 +/- 0.4 kg/m(2)) or SAH (n = 32; 12M, 20F; age: 51.9 +/- 2.2 year; BMI: 24.7 +/- 0.6 kg/m(2)) we tested 3 and 12 months after the pathological events the pituitary function. In TBI patients, the 3 month evaluation had shown some degree of hypopituitarism in 32.8% and the 12 months retesting demonstrated some degree of hypopituitarism in 22.7%. Total hypopituitarism was always confirmed at 12 months while Multiple and Isolated deficits recorded at 3 months was confirmed in nearly 25% only of the patients. On the other hand, in 5.5% of TBI with normal pituitary function at 3 months Isolated deficits were recorded at 12 months testing. Moreover, in 13.3% of TBI with Isolated deficit at 3 months Multiple hypopituitarism was demonstrated at 12 months retesting. In SAH patients, the 3 months evaluation had shown some degree of hypopituitarism in 46.8% and the 12 month retesting demonstrated some degree of hypopituitarism in 37.5%. No multiple hypopituitarism recorded at 3 months was confirmed at 12 months, but 2 patients with isolated deficits at 3 months showed multiple hypopituitarism at 12 month retesting. At 12 as well as at 3 months, both in TBI and SAH patients, the most common deficit was severe GHD (>20%) followed by secondary hypogonadism and then hypoadrenalism and hypothyroidism. In all, in patients who experienced TBI or SAH the risk to develop hypopituitarism is very high; early diagnosis of total hypopituitarism is always confirmed at the long term follow-up; however pituitary function in brain injured patients may improve over time, because, isolated and even multiple pituitary insufficiencies recorded at short term can be transient; on the other hand normal pituitary function recorder at short term may, become impaired 12 months after the injury. Thus, brain injured patients must undergo neuroendocrine follow-up over time in order to monitoring pituitary function and eventually providing appropriate placement.

  12. Developmental patterns and parental correlates of youth leisure-time physical activity.

    PubMed

    Lam, Chun Bun; McHale, Susan M

    2015-02-01

    This study examined the developmental patterns and parental correlates of youth leisure-time physical activity from middle childhood through adolescence. On 5 occasions across 7 years, fathers, mothers, and children who were first- and second born from 201 European American, working- and middle-class families participated in home and multiple nightly phone interviews. Multilevel modeling revealed that, controlling for family socioeconomic status, neighborhood characteristics, and youth overweight status and physical health, leisure-time physical activity increased during middle childhood and declined across adolescence, and the decline was more pronounced for girls than for boys. Moreover, controlling for time-varying, parental work hours and youth interest in sports and outdoor activities, on occasions when fathers and mothers spent proportionally more time on these activities with youth than usual, youth also spent more total time on these activities than usual. The within-person association between mother-youth joint involvement and youth's total involvement in leisure-time physical activity reached statistical significance at the transition to adolescence, and became stronger over time. Findings highlight the importance of maintaining adolescents', especially girls', physical activity levels and targeting both fathers' and mothers' involvement to promote youth's physical activity. PsycINFO Database Record (c) 2015 APA, all rights reserved.

  13. The orchid-bee faunas (Hymenoptera: Apidae) of "Reserva Ecológica Michelin", "RPPN Serra Bonita" and one Atlantic Forest remnant in the state of Bahia, Brazil, with new geographic records.

    PubMed

    Nemésio, A

    2014-02-01

    The orchid bee faunas of two private natural preserves, 'Reserva Particular do Patrimônio Natural da Serra Bonita' (RSB) and 'Reserva Ecológica Michelin' (REM), and a forest fragment inside the campus of the 'Universidade Estadual de Santa Cruz', were surveyed for the first time. All three areas constitute Atlantic Forest remnants in the southern portion of the state of Bahia, Brazil. A total of 1,782 males belonging to 32 species were actively collected with insect nets during 90 hours of field work from November, 2009, to January, 2012. Euglossa cyanochlora Moure, 1996-one of the rarest orchid bee species-was found at RSB and REM, the latter representing the northernmost record for this species. Euglossa cognata, Moure, 1970 was found at RSB, the northernmost record for this species in the Atlantic Forest and the only recent record for this species at the northern border of Jequitinhonha river.

  14. The Association of Electronic Health Record Adoption with Staffing Mix in Community Health Centers.

    PubMed

    Frogner, Bianca K; Wu, Xiaoli; Park, Jeongyoung; Pittman, Patricia

    2017-02-01

    To assess how medical staffing mix changed over time in association with the adoption of electronic health records (EHRs) in community health centers (CHCs). Community health centers within the 50 states and Washington, DC. Estimated how the change in the share of total medical staff full-time equivalents (FTE) by provider category between 2007 and 2013 was associated with EHR adoption using fractional multinomial logit. 2007-2013 Uniform Data System, an administrative data set of Section 330 federal grant recipients; and Readiness for Meaningful Use and HIT and Patient Centered Medical Home Recognition Survey responses collected from Section 330 recipients between December 2010 and February 2011. Having an EHR system did significantly shift the share of workers over time between physicians and each of the other categories of health care workers. While an EHR system significantly shifted the share of physician and other medical staff, this effect did not significantly vary over time. CHCs with EHRs by the end of the study period had a relatively greater proportion of other medical staff compared to the proportion of physicians. Electronic health records appeared to influence staffing allocation in CHCs such that other medical staff may be used to support adoption of EHRs as well as be leveraged as an important care provider. © Health Research and Educational Trust.

  15. Colony attendance patterns by mated Forster's Terns Sterna forsteri using an automated data-logging receiver system

    USGS Publications Warehouse

    Bluso-Demers, Jill D.; Ackerman, Joshua T.; Takekawa, John Y.

    2010-01-01

    In order to examine 24-hour colony attendance patterns by mated Forster's Terns Sterna forsteri in South San Francisco Bay, California, during incubation and chick-rearing stages, we radio-marked 10 individuals consisting of five pairs and recorded colony attendance using an automated data-logging receiver system. We calculated and analyzed five variables: the total attendance time by pairs and individuals, the duration of individual attendance bouts, and the duration both members of a pair either overlapped in colony attendance or were both absent from the colony. The percentage of time spent on the colony by at least one individual of a pair was highest during incubation and declined during chick rearing. Overall, male terns spent a greater proportion of time diurnally attending the colony than females. Females spent a greater proportion of time on colony at night, and without these nocturnal records, we would have reported overall female colony attendance rates as being much lower. Despite sex-specific differences in attendance rates, the length of attendance bouts did not differ between the sexes. Simultaneous colony attendance by both members of a pair was high at night, but during the day, pairs infrequently overlapped in their colony attendance and both members were frequently absent. Our datalogging system functioned well, and our data illustrates the importance of collecting 24-hour records when considering attendance rates.

  16. Women's experience of using the Mooncup.

    PubMed

    Stewart, K; Greer, R; Powell, M

    2010-04-01

    The Mooncup is a menstrual cup that is an alternative to conventional sanitary protection. We aimed to determine whether the Mooncup is tolerated by asking 53 healthy female volunteers to record the frequency of changing sanitary protection and leakage over three menstrual cycles with regular sanitary protection and three cycles with the Mooncup. We measured the frequency of leakage and changing the Mooncup along with acceptability of the Mooncup. A total of 126 baseline cycles and 71 cycles with the Mooncup were recorded. The Mooncup leaked 0.5 times less frequently and required to be changed 2.8 times less frequently, on average, during one menstrual period than regular sanitary protection. Of the participants, 55% will carry on using the Mooncup for sanitary protection. Thus, we have concluded that, the Mooncup is acceptable for most women but could not be used for the objective measurement of menstrual blood loss because of the leakage that did occur.

  17. Lutzomyia sand flies (Diptera: Psychodidae) from middle and lower Putumayo Department, Colombia, with new records to the country.

    PubMed

    Barreto, M; Burbano, M E; Barreto, P

    2000-01-01

    A total of 4,840 phlebotomine sand flies from 54 localities in Putumayo department (=state), in the Colombian Amazon region, were collected in Shannon traps, CDC light traps, resting places and from human baits. At least 42 Lutzomyia species were registered for the first time to the department. Psychodopygus and Nyssomyia were the subgenera with the greatest number of taxa, the most common species being L. (N.) yuilli and L. (N.) pajoti. They were sympatric in a wide zone of Putumayo, indicating that they should be treated as full species (new status). Among the anthropophilic sand flies, L. gomezi and L. yuilli were found in intradomiciliar, peridomestic, urban or forest habitats. L. richardwardi, L. claustrei, L. nocticola and L. micropyga are reported for the first time in the Colombian Amazon basin. L. pajoti, L. sipani and L. yucumensis are new records for Colombia.

  18. Baily's Beads Atlas in 2005 - 2008 Eclipses

    NASA Astrophysics Data System (ADS)

    Sigismondi, C.; Dunham, D. W.; Guhl, K.; Andersson, S.; Bode, H.; Canales, O.; Colona, P.; Farago, O.; Fernández-Ocaña, M.; Gabel, A.; Haupt, M.; Herold, C.; Nugent, R.; Oliva, P.; Patel, M.; Perello, C.; Rothe, W.; Rovira, J.; Schaefer, T.; Schnabel, C.; Schwartz, D.; Selva, A.; Strickling, W.; Tegtmeier, A.; Tegtmeier, C.; Thome, B.; Warren, W. H.

    2009-09-01

    In the annular or total eclipses of 3 October 2005, 29 March 2006, 22 September 2006, and 1 August 2008, observational campaigns were organized to record the phenomenon of Baily’s beads. These campaigns were internationally coordinated through the International Occultation Timing Association (IOTA) at both its American and European sections. From the stations in the northern and southern zones of grazing eclipse, the eclipses have been recorded on video. Afterward, as many beads as possible have been identified by analyzing the video data of each observing station. The atlas presented in this paper includes 598 data points, obtained by 23 observers operating at 28 different observing stations. The atlas lists the geographic positions of the observing stations and the observed time instants of disappearance or reappearance of beads, identified by an angle measured relative to the Moon’s axis of rotation. The atlas will serve as a basis for determining the solar diameter.

  19. The effects of running cadence manipulation on plantar loading in healthy runners.

    PubMed

    Wellenkotter, J; Kernozek, T W; Meardon, S; Suchomel, T

    2014-08-01

    Our purpose was to evaluate effects of cadence manipulation on plantar loading during running. Participants (n=38) ran on a treadmill at their preferred speed in 3 conditions: preferred, 5% increased, and 5% decreased while measured using in-shoe sensors. Data (contact time [CT], peak force [PF], force time integral [FTI], pressure time integral [PTI] and peak pressure [PP]) were recorded for 30 right footfalls. Multivariate analysis was performed to detect differences in loading between cadences in the total foot and 4 plantar regions. Differences in plantar loading occurred between cadence conditions. Total foot CT and PF were lower with a faster cadence, but no total foot PP differences were observed. Faster cadence reduced CT, pressure and force variables in both the heel and metatarsal regions. Increasing cadence did not elevate metatarsal loads; rather, total foot and all regions were reduced when healthy runners increased their cadence. If a 5% increase in cadence from preferred were maintained over each mile run the impulse at the heel would be reduced by an estimated 565 body weights*s (BW*s) and the metatarsals 140-170 BW*s per mile run despite the increased steps taken. Increasing cadence may benefit overuse injuries associated with elevated plantar loading. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Variations in automatically recorded rumination time as explained by variations in intake of dietary fractions and milk production, and between-cow variation.

    PubMed

    Byskov, M V; Nadeau, E; Johansson, B E O; Nørgaard, P

    2015-06-01

    Individual recording of rumination time (RT) is now possible in commercial dairy herds, through development of a microphone-based sensor, which is able to record RT by the sound of rumination activity. The objectives of this study were to examine the relationship between daily RT and intakes of different dietary fractions, the relationship between RT in minutes per kilogram of dry matter intake (DMI) and milk production, and to examine the variation in RT within and between mid-lactating dairy cows. Data from 3 production trials were used in which a total of 27 different diets were fed. The data contained 761, 290, and 203 daily recordings of RT, milk yield, milk components, DMI, and intake of dietary fractions recorded on 29, 26, and 24 Holstein and Swedish Red cows from trials 1, 2, and 3, respectively. The dietary fractions included forage neutral detergent fiber (NDF), concentrate NDF, crude protein, sugar, starch, and the remaining fraction represented by organic matter--(forage NDF+concentrate NDF+crude protein+sugar+starch). The relationship between the dietary fractions and RT was analyzed in 2 steps. In step 1, the dietary fractions, which were significantly related to RT, were selected and simultaneously checked for multicollinearity between the dietary components; in step 2, a multivariate model, including the effect of repeated measurements, the main effect of the selected dietary fractions from step 1, random effects of cow(trial) and trial, and information on breed, days in milk, and parity was used to analyze the relationship between RT and the selected dietary fractions. Relationships between RT in minutes per kilogram of DMI and milk yield and milk components were analyzed, using the same multivariate model as in step 2. Approximately 32% of the variation in daily RT could be explained by variations in intakes of the dietary fractions, whereas 48% of the total variation in RT was accounted for by individual variations between cows. Intakes of forage NDF and starch were positively related to daily RT, whereas intakes of sugar and the remaining fraction were negatively related to daily RT. Rumination time in minutes per kilogram of DMI was negatively related to milk yield and protein percentage, but positively related to milk fat percentage. Copyright © 2015 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  1. High frequency solar influence revealed in sclerosponge-derived Caribbean SST record

    NASA Astrophysics Data System (ADS)

    Estrella, J.; Winter, A.; Sherman, C.; Mangini, A.

    2012-12-01

    We present a high-resolution (annual) record of the Caribbean mixed layer temperature at different depths derived from oxygen isotopic ratios obtained from the sclerosponge Ceratoporella nicholsoni. Sclerosponges precipitate their calcium carbonate skeleton in equilibrium with their surrounding environment and are capable of living at depths down to 200 m. The sponges for this project were collected off the coasts of Puerto Rico and the US Virgin Islands in northeastern Caribbean Sea. The records obtained extend from the early 1500's to the present and suggest that the Northeastern Caribbean was 1 - 2 °C cooler during the Little Ice Age than present conditions and that sea surface temperature (SST) has been rising at an average linear rate of 0.009 °C yr-1 since the mid 1800's, three times faster than the World Ocean. Wavelet time series analysis of our records suggests that Caribbean SST variability is regulated by the sunspot cycle, especially when the total solar irradiance is high, at what time the SSTs and the sunspot cycle are highly coupled. Our findings suggest a SST response to solar influence of 0.40 °C (W/m2)-1, almost twice that of the World Ocean. Deceleration of the Caribbean Current is proposed as a possible reason for this disparity. Further work is currently being done on other sponges and other calcium carbonate proxies to examine the extension of this forcing in other climate phenomena.

  2. Management of surgical instruments with radio frequency identification tags.

    PubMed

    Kusuda, Kaori; Yamashita, Kazuhiko; Ohnishi, Akiko; Tanaka, Kiyohito; Komino, Masaru; Honda, Hiroshi; Tanaka, Shinichi; Okubo, Takashi; Tripette, Julien; Ohta, Yuji

    2016-01-01

    To prevent malpractices, medical staff has adopted inventory time-outs and/or checklists. Accurate inventory and maintenance of surgical instruments decreases the risk of operating room miscounting and malfunction. In our previous study, an individual management of surgical instruments was accomplished using Radio Frequency Identification (RFID) tags. The purpose of this paper is to evaluate a new management method of RFID-tagged instruments. The management system of RFID-tagged surgical instruments was used for 27 months in clinical areas. In total, 13 study participants assembled surgical trays in the central sterile supply department. While using the management system, trays were assembled 94 times. During this period, no assembly errors occurred. An instrument malfunction had occurred after the 19th, 56th, and 73 th uses, no malfunction caused by the RFID tags, and usage history had been recorded. Additionally, the time it took to assemble surgical trays was recorded, and the long-term usability of the management system was evaluated. The system could record the number of uses and the defective history of each surgical instrument. In addition, the history of the frequency of instruments being transferred from one tray to another was recorded. The results suggest that our system can be used to manage instruments safely. Additionally, the management system was acquired of the learning effect and the usability on daily maintenance. This finding suggests that the management system examined here ensures surgical instrument and tray assembly quality.

  3. Benefits of Sleep Extension on Sustained Attention and Sleep Pressure Before and During Total Sleep Deprivation and Recovery.

    PubMed

    Arnal, Pierrick J; Sauvet, Fabien; Leger, Damien; van Beers, Pascal; Bayon, Virginie; Bougard, Clément; Rabat, Arnaud; Millet, Guillaume Y; Chennaoui, Mounir

    2015-12-01

    To investigate the effects of 6 nights of sleep extension on sustained attention and sleep pressure before and during total sleep deprivation and after a subsequent recovery sleep. Subjects participated in two experimental conditions (randomized cross-over design): extended sleep (EXT, 9.8 ± 0.1 h (mean ± SE) time in bed) and habitual sleep (HAB, 8.2 ± 0.1 h time in bed). In each condition, subjects performed two consecutive phases: (1) 6 nights of either EXT or HAB (2) three days in-laboratory: baseline, total sleep deprivation and after 10 h of recovery sleep. Residential sleep extension and sleep performance laboratory (continuous polysomnographic recording). 14 healthy men (age range: 26-37 years). EXT vs. HAB sleep durations prior to total sleep deprivation. Total sleep time and duration of all sleep stages during the 6 nights were significantly higher in EXT than HAB. EXT improved psychomotor vigilance task performance (PVT, both fewer lapses and faster speed) and reduced sleep pressure as evidenced by longer multiple sleep latencies (MSLT) at baseline compared to HAB. EXT limited PVT lapses and the number of involuntary microsleeps during total sleep deprivation. Differences in PVT lapses and speed and MSLT at baseline were maintained after one night of recovery sleep. Six nights of extended sleep improve sustained attention and reduce sleep pressure. Sleep extension also protects against psychomotor vigilance task lapses and microsleep degradation during total sleep deprivation. These beneficial effects persist after one night of recovery sleep. © 2015 Associated Professional Sleep Societies, LLC.

  4. Effects of lunar phase on sleep in men and women in Surrey.

    PubMed

    Della Monica, Ciro; Atzori, Giuseppe; Dijk, Derk-Jan

    2015-12-01

    Recently, evidence has emerged that the phases of the moon may modulate subjective sleep quality and polysomnographically assessed sleep structure in humans. We aimed to explore further the putative effects of circa-lunar periodicity (~29.5 days) on subjective and objective parameters of human sleep in a retrospective analysis. The baseline sleep recordings of 205 (91 males and 114 females; mean age = 47.47 years, standard deviation =19.01; range: 20-84 years) healthy and carefully screened participants who participated in two clinical trials in the Surrey Clinical Research Centre were included in the analyses. Sleep was recorded in windowless sleep laboratories. For each study night, we calculated the distance, in days, to the date of the closest full moon phase and based on this distance, classified sleep records in three lunar classes. Univariate analysis of variance with factors lunar class, age and sex was applied to each of 21 sleep parameters. No significant main effect for the factor lunar class was observed for any of the objective sleep parameters and subjective sleep quality but some significant interactions were observed. The interaction between lunar class and sex was significant for total sleep time, Stage 4 sleep and rapid eye movement (REM) sleep. Separate analyses for men and women indicated that in women total sleep time, Stage 4 sleep and REM sleep were reduced when sleep occurred close to full moon, whereas in men REM duration increased around full moon. These data provide limited evidence for an effect of lunar phase on human sleep. © 2015 European Sleep Research Society.

  5. "Symptom-based insulin adjustment for glucose normalization" (SIGN) algorithm: a pilot study.

    PubMed

    Lee, Joyce Yu-Chia; Tsou, Keith; Lim, Jiahui; Koh, Feaizen; Ong, Sooim; Wong, Sabrina

    2012-12-01

    Lack of self-monitoring of blood glucose (SMBG) records in actual practice settings continues to create therapeutic challenges for clinicians, especially in adjusting insulin therapy. In order to overcome this clinical obstacle, a "Symptom-based Insulin adjustment for Glucose Normalization" (SIGN) algorithm was developed to guide clinicians in caring for patients with uncontrolled type 2 diabetes who have few to no SMBG records. This study examined the clinical outcome and safety of the SIGN algorithm. Glycated hemoglobin (HbA1c), insulin usage, and insulin-related adverse effects of a total of 114 patients with uncontrolled type 2 diabetes who refused to use SMBG or performed SMBG once a day for less than three times per week were studied 3 months prior to the implementation of the algorithm and prospectively at every 3-month interval for a total of 6 months after the algorithm implementation. Patients with type 1 diabetes, nonadherence to diabetes medications, or who were not on insulin therapy at any time during the study period were excluded from this study. Mean HbA1c improved by 0.29% at 3 months (P = 0.015) and 0.41% at 6 months (P = 0.006) after algorithm implementation. A slight increase in HbA1c was observed when the algorithm was not implemented. There were no major hypoglycemic episodes. The number of minor hypoglycemic episodes was minimal with the majority of the cases due to irregular meal habits. The SIGN algorithm appeared to offer a viable and safe approach when managing uncontrolled patients with type 2 diabetes who have few to no SMBG records.

  6. Noninvasive measurement of cerebrospinal fluid flow using an ultrasonic transit time flow sensor: a preliminary study.

    PubMed

    Pennell, Thomas; Yi, Juneyoung L; Kaufman, Bruce A; Krishnamurthy, Satish

    2016-03-01

    OBJECT Mechanical failure-which is the primary cause of CSF shunt malfunction-is not readily diagnosed, and the specific reasons for mechanical failure are not easily discerned. Prior attempts to measure CSF flow noninvasively have lacked the ability to either quantitatively or qualitatively obtain data. To address these needs, this preliminary study evaluates an ultrasonic transit time flow sensor in pediatric and adult patients with external ventricular drains (EVDs). One goal was to confirm the stated accuracy of the sensor in a clinical setting. A second goal was to observe the sensor's capability to record real-time continuous CSF flow. The final goal was to observe recordings during instances of flow blockage or lack of flow in order to determine the sensor's ability to identify these changes. METHODS A total of 5 pediatric and 11 adult patients who had received EVDs for the treatment of hydrocephalus were studied in a hospital setting. The primary EVD was connected to a secondary study EVD that contained a fluid-filled pressure transducer and an in-line transit time flow sensor. Comparisons were made between the weight of the drainage bag and the flow measured via the sensor in order to confirm its accuracy. Data from the pressure transducer and the flow sensor were recorded continuously at 100 Hz for a period of 24 hours by a data acquisition system, while the hourly CSF flow into the drip chamber was recorded manually. Changes in the patient's neurological status and their time points were noted. RESULTS The flow sensor demonstrated a proven accuracy of ± 15% or ± 2 ml/hr. The flow sensor allowed real-time continuous flow waveform data recordings. Dynamic analysis of CSF flow waveforms allowed the calculation of the pressure-volume index. Lastly, the sensor was able to diagnose a blocked catheter and distinguish between the blockage and lack of flow. CONCLUSIONS The Transonic flow sensor accurately measures CSF output within ± 15% or ± 2 ml/hr, diagnoses the blockage or lack of flow, and records real-time continuous flow data in patients with EVDs. Calculations of a wide variety of diagnostic parameters can be made from the waveform recordings, including resistance and compliance of the ventricular catheters and the compliance of the brain. The sensor's clinical applications may be of particular importance to the noninvasive diagnosis of shunt malfunctions with the development of an implantable device.

  7. Quiet eye training improves surgical knot tying more than traditional technical training: a randomized controlled study.

    PubMed

    Causer, Joe; Harvey, Adrian; Snelgrove, Ryan; Arsenault, Gina; Vickers, Joan N

    2014-08-01

    We examined the effectiveness of technical training (TT) and quiet eye training (QE) on the performance of one-handed square knot tying in surgical residents. Twenty surgical residents were randomly assigned to the 2 groups and completed pretest, training, retention, and transfer tests. Participants wore a mobile eye tracker that simultaneously recorded their gaze and hand movements. Dependent variables were knot tying performance (%), QE duration (%), number of fixations, total movement time (s), and hand movement phase time (s). The QE training group had significantly higher performance scores, a longer QE duration, fewer fixations, faster total knot tying times, and faster movement phase times compared with the TT group. The QE group maintained performance in the transfer test, whereas the TT group significantly decreased performance from retention to transfer. QE training significantly improved learning, retention, and transfer of surgical knot tying compared with a traditional technical approach. Both performance effectiveness (performance outcome) and movement efficiency (hand movement times) were improved using QE modeling, instruction, and feedback. Copyright © 2014 Elsevier Inc. All rights reserved.

  8. The Relationship Between Time of Day of Physical Activity and Obesity in Older Women.

    PubMed

    Chomistek, Andrea K; Shiroma, Eric J; Lee, I-Min

    2016-04-01

    Physical activity is important for maintaining healthy weight. The time of day when exercise is performed-a highly discretionary aspect of behavior-may impact weight control, but evidence is limited. Thus, we examined the association between the timing of physical activity and obesity risk in women. A cross-sectional analysis was conducted among 7157 Women's Health Study participants who participated in an ancillary study begun in 2011 that is measuring physical activity using accelerometers. The exposure was percentage of total accelerometer counts accumulated before 12:00 noon and the outcome was obesity. Mean (±SD) BMI among participants was 26.1 (±4.9) kg/m2 and 1322 women were obese. The mean activity counts per day was 203,870 (±95,811) of which a mean 47.1% (±11.5%) were recorded in the morning. In multivariable-adjusted models, women who recorded < 39% (lowest quartile) of accelerometer counts before 12:00 noon had a 26% higher odds of being obese, compared with those recording ≥ 54% (highest quartile) of counts before noon (Ptrend = 0.02). These study findings-that women who are less active during morning hours may be at higher risk of obesity-if confirmed can provide a novel strategy to help combat the important health problem of obesity.

  9. Mechanical exposure among general practice dentists in Sweden and possible implications of rationalisation.

    PubMed

    Jonker, D; Rolander, B; Balogh, I; Sandsjö, L; Ekberg, K; Winkel, J

    2011-10-01

    The present study investigates the dental work in terms of time distribution and mechanical exposure in value-adding work (VAW) and non-VAW. Further rationalisation of dental work would typically involve an increase in the proportion of VAW. Information on mechanical exposure within the classes of VAW and non-VAW may be used to predict possible implications of rationalisation. Sixteen dentists were investigated. Using a data logger, postures and movements were continuously recorded for each subject during the 4 h of work, which included the 45 min of video recording. Time distribution and mechanical exposure for the six different work activities identified were evaluated from the video recordings, using a loss analysis technique. VAW, which comprised 54% of the total working time, generally implied significantly more constrained mechanical exposures as compared with non-VAW. The results suggest that future rationalisation of dental work, involving a reduction of non-VAW, may increase the risk of developing musculoskeletal disorders. Statement of Relevance: The present study illustrates the potential effects of rationalisation on biomechanical exposures for dentists. The results highlight the significance of integrating ergonomic issues into the rationalisation process in dentistry in addition to ordinary workstation and tool design improvements performed by ergonomists.

  10. Multi-decade Measurements of the Long-Term Trends of Atmospheric Species by High-Spectral-Resolution Infrared Solar Absorption Spectroscopy

    NASA Technical Reports Server (NTRS)

    Rinsland, Curtis P.; Chiou, Linda; Goldman, Aaron; Hannigan, James W.

    2010-01-01

    Solar absorption spectra were recorded for the first time in 5 years with the McMath Fourier transform spectrometer at the US National solar Observatory on Kitt Peak in southern Arizona, USA (31.91 N latitude, 111.61 W longitude, 2.09 km altitude). The solar absorption spectra cover 750-1300 and 1850-5000 cm(sup -1) and were recorded on 20 days during March-June 2009. The measurements mark the continuation of a long-term record of atmospheric chemical composition measurements that have been used to quantify seasonal cycles and long-term trends of both tropospheric and stratospheric species from observations that began i 1977. Fits to the measured spectra have been performed, and they indicate the spectra obtained since return to operational status are nearly free of channeling and the instrument line shape function is well reproduced taking into account the measurement parameters. We report updated time series measurements of total columns for six atmospheric species and their analysis for seasonal cycles and long-term trends. An sn example, the time series fit shows a decrease in the annual increase rate i Montreal-Protocol-regulated chlorofluorocarbon CCL2F2 from 1.51 plus or minus 0.38% yr(sup -1) at the beginning of the time span to -1.54 plus or minus 1.28 yr(sup -1) at the end of the time span, 1 sigma, and hence provides evidence for the impact of those regulations on the trend.

  11. The effect of time until surgical intervention on survival in dogs with secondary septic peritonitis

    PubMed Central

    Bush, Maxwell; Carno, Margaret A.; St. Germaine, Lindsay; Hoffmann, Daniel E.

    2016-01-01

    This retrospective study examined the effect of time to intervention on outcome in cases of dogs with secondary septic peritonitis, and also searched for other potential prognostic factors. The medical records of 55 dogs were reviewed. No association was found between outcome and the time from hospital admission to surgical source control. However, several other factors were found to influence survival, including: age, needing vasopressors, lactate, pre-operative packed cell volume, serum alkaline phosphatase, serum total bilirubin, and post-operative serum albumin. These values were then used to create accurate pre- and post-operative survival prediction models. PMID:27928174

  12. Sleep Perception and Misperception in Chronic Cocaine Users During Abstinence.

    PubMed

    Hodges, Sarah E; Pittman, Brian; Morgan, Peter T

    2017-03-01

    During abstinence, chronic cocaine users experience an objective worsening of sleep that is perceived as qualitatively improving. This phenomenon has been termed "occult insomnia." The objective of this study was to determine whether chronic cocaine users experience positive sleep state misperception during abstinence. Forty-three cocaine-dependent persons were admitted to an inpatient research facility for 12 days and 11 nights to participate in a treatment study of modafinil. Polysomnographic sleep recordings were performed on study nights 3, 4, 10, and 11, when participants were on average 1 and 2 weeks abstinent from cocaine. Participants also completed sleep diary questionnaires every evening before bed and every morning upon awakening. Polysomnographic and sleep diary measurements of total sleep time, sleep latency, time awake after sleep onset, and time in bed after final awakening were compared. Chronic cocaine users accurately reported total sleep time after 1 week of abstinence but overreported total sleep time by an average of 40 min after 2 weeks of abstinence. Underestimating sleep latency and time spent awake after sleep onset were responsible for this difference. Positive sleep state misperception is revealed in chronic cocaine users after 2 weeks of abstinence and is consistent with the previously identified "occult insomnia" in this population. © Sleep Research Society 2016. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.

  13. Dynamic measurements of thermophysical properties of metals and alloys at high temperatures by subsecond pulse heating techniques

    NASA Technical Reports Server (NTRS)

    Cezairliyan, Ared

    1993-01-01

    Rapid (subsecond) heating techniques developed at the National Institute of Standards and Technology for the measurements of selected thermophysical and related properties of metals and alloys at high temperatures (above 1000 C) are described. The techniques are based on rapid resistive self-heating of the specimen from room temperature to the desired high temperature in short times and measuring the relevant experimental quantities, such as electrical current through the specimen, voltage across the specimen, specimen temperature, length, etc., with appropriate time resolution. The first technique, referred to as the millisecond-resolution technique, is for measurements on solid metals and alloys in the temperature range 1000 C to the melting temperature of the specimen. It utilizes a heavy battery bank for the energy source, and the total heating time of the specimen is typically in the range of 100-1000 ms. Data are recorded digitally every 0.5 ms with a full-scale resolution of about one part in 8000. The properties that can be measured with this system are as follows: specific heat, enthalpy, thermal expansion, electrical resistivity, normal spectral emissivity, hemispherical total emissivity, temperature and energy of solid-solid phase transformations, and melting temperature (solidus). The second technique, referred to as the microsecond-resolution technique, is for measurements on liquid metals and alloys in the temperature range 1200 to 6000 C. It utilizes a capacitor bank for the energy source, and the total heating time of the specimen is typically in the range 50-500 micro-s. Data are recorded digitally every 0.5 micro-s with a full-scale resolution of about one part in 4000. The properties that can be measured with this system are: melting temperature (solidus and liquidus), heat of fusion, specific heat, enthalpy, and electrical resistivity. The third technique is for measurements of the surface tension of liquid metals and alloys at their melting temperature. It utilizes a modified millisecond-resolution heating system designed for use in a microgravity environment.

  14. Factors controlling elevated lead concentrations in water samples from aquifer systems in Florida

    USGS Publications Warehouse

    Katz, B.G.; Bullen, M.P.; Bullen, T.D.; Hansard, Paul

    1999-01-01

    Concentrations of total lead (Pb) and dissolved Pb exceeded the U.S. Environmental Protection Agency action level of 15 micrograms per liter (mg/L) in approximately 19 percent and 1.3 percent, respectively, of ground-water samples collected during 1991-96 from a statewide network of monitoring wells designed to delineate background water quality of Florida's major aquifer systems. Differences in total Pb concentrations among aquifer systems reflect the combined influence of anthropogenic sources and chemical conditions in each system. A highly significant (p<0.001) difference in median total Pb concentrations was found for water samples from wells with water-level recording devices that contain Pb-counterweights (14 mg/L) compared to non-recorder wells (2 mg/L). Differences between total Pb concentrations for recorder and non-recorder wells are even more pronounced when compared for each aquifer system. The largest differences for recorder status are found for the surficial aquifer system, where median total Pb concentrations are 44 and 2.4 mg/L for recorder wells and non-recorder wells, respectively. Leaching of Pb from metal casing materials is another potential source of Pb in ground water samples. Median total Pb concentrations in water samples from the surficial, intermediate, and Floridan aquifer systems are higher from recorder wells cased with black iron than for recorder wells with steel and PVC casing material. Stable isotopes of Pb were used in this study to distinguish between anthropogenic and natural sources of Pb in ground water, as Pb retains the isotopic signature of the source from which it is derived. Based on similarities between slopes and intercepts of trend lines for various sample types (plots of 206Pb/204Pb versus 208Pb/204Pb and 207Pb/204Pb versus 208Pb/204Pb) the predominant source of total Pb in water samples from the surficial aquifer system is corrosion of Pb counterweights. It is likely that only ground-water samples, not the aquifer, were contaminated with elevated Pb concentations. Pb-isotopic ratios of water from the Floridan aquifer system plot between trend lines connecting the isotopic composition of Pb counterweights and the composition of acid leachates of material from the Floridan aquifer system, indicating that Pb in these waters most likely is a mixture of Pb derived from aquifer material and corrosion of Pb counterweights.

  15. A checklist of the cicadas (Hemiptera: Cicadidae) of Hainan Island, China, with description of a new species.

    PubMed

    Yang, Mingsheng; Wei, Cong

    2013-10-29

    A total of 54 cacada species, belonging to 28 genera, nine tribes and three subfamilies of the family Cicadidae, are identified to comprise the cicada fauna of Hainan Island, based on the examination of material collected between 2007 and 2011. One species, Semia hainanensis sp. n., is described as new to science. Nine species are recorded as new to Hainan Island, of which two species, Pomponia subtilita Lee, 2009 and Becquartina bleuzeni Boulard, 2005, are reported for the first time from China. In addition, six species formerly recorded from Hainan are removed from the list of Hainan cicadas. Taxonomic remarks and information on geographic distributions are also provided.

  16. Review of the family Veliidae in Romania (Hemiptera: Heteroptera: Gerromorpha).

    PubMed

    Berchi, Gavril Marius; Kment, Petr

    2015-05-25

    A critical review of the family Veliidae (Hemiptera: Heteroptera: Gerromorpha) in Romania is provided. In total, two genera and eight species (Microvelia Westwood, 1834-3 species, Velia Latreille, 1804-5 species) are known from the country. Microvelia buenoi Drake, 1920 and Velia serbica Tamanini, 1951 are recorded for the first time from Romania. The occurrence of V. affinis filippii Tamanini, 1947 and V. mancinii mancinii Tamanini, 1947 is confirmed by additional records. Based on proven or suspected misidentifications, V. currens (Fabricius, 1794) and V. rivulorum (Fabricius, 1775) are excluded from the Romanian fauna. A checklist of the Veliidae of Romania and updated distribution maps are provided. Biogeographical aspects of the fauna are summarized.

  17. Comparison of current map data with data from STS-99 SRTM

    NASA Image and Video Library

    2000-02-04

    JSC2000E01552 (January 2000) --- This chart compares currently available global map data with the data which will be provided by SRTM during STS-99. The area depicted is the California coast. The SRTM mission will have approximately 1,000 scheduled data takes (every time Endeavour is over land). Data acquisition will be conducted in excess of 80 hours. The recording rate for data will be 180 Mbits/sec for C-band, 90 Mbits/sec for X-band. Total raw radar data will be approximately 9.8 terabytes (15,000 CDs). The mission will utilize some 300 high-density tapes (each tape records 30 min. of C-band, or 60 min. of X-band data).

  18. Glossary Defense Acquisition Acronyms and Terms

    DTIC Science & Technology

    1991-09-01

    of work to complete a job or part of a project . Actual Cost A cost sustained in fact, on the basis of costs incurred, as... of a project which shows the activities to be completed and the time to complete them is represented by horizontal lines drawn in proportion to the ...recorded for the total estimated obligations for a program or project in the initial year of funding. (For distinction, see Full

  19. Efficacy and tolerability of intravenous morphine patient-controlled analgesia (PCA) in women undergoing cesarean delivery.

    PubMed

    Andziak, Marta; Beta, Jarosław; Barwijuk, Michal; Issat, Tadeusz; Jakimiuk, Artur J

    2015-06-01

    The aim of the study was to evaluate analgesic efficacy and tolerability of patient-controlled analgesia (PCA) with intravenous morphine. Our observational study included 50 women who underwent a Misgav-Ladach or modified Misgav-Ladach cesarean section. Automated PCA infusion device (Medima S-PCA Syringe Pump, Medima, Krakow, Poland) was used for postoperative pain control. Time of morphine administration or initiation of intravenous patient-controlled analgesia (IV PCA) with morphine was recorded, as well as post-operative pain at rest assessed by a visual analogue scale (VAS). All patients were followed up for 24 hours after discharge from the operating room, taking into account patient records, worst pain score at rest, number of IV PCA attempts, and drug consumption. Median of total morphine doses used during the postoperative period was 42.9mg (IQR 35.6-48.5), with median infusion time of 687.0 min. (IQR 531.0-757.5). Pain severity and total drug consumption improved after the first 3 hours following cesarean delivery (p < 0.01). Mean number of PCA attempts per patient was 33 (IQR: 24-37), with median of 11 placebo attempts (IQR: 3-27). Patient-controlled analgesia with morphine is an efficient and acceptable analgesic method in women undergoing cesarean section.

  20. Non-thermal plasma modified growth and differentiation process of Capsicum annuum PP805 Godiva in in vitro conditions

    NASA Astrophysics Data System (ADS)

    Safari, Nasrin; Iranbakhsh, Alireza; Ardebili, Zahra Oraghi

    2017-05-01

    With the aim of evaluating the possible impacts of cold plasma on the structure and growth pattern of Capsicum annuum, the current study was carried out. The seeds were exposed to an argon-derived plasma (0.84 W cm-2 surface power densities) for 0, 1 or 2 minutes. Plasma-treated seeds were grown in the Murashige and Skoog (MS) medium or MS medium supplemented with BA and IAA. The presence of purple stems was recorded in plasma-treated plants grown in the medium supplemented with hormones. The recorded morphological differences were dependent on the exposure time of plasma treatments and/or the presence of hormones in the culture media. Plasma treatment of 1 minute had an improving effect on the shoot and root lengths as well as total leaf area, whereas plasma treatment of 2 minutes had an adverse effect. In contrast to the 1 minute treatment, plasma treatment of 2 minutes significantly impaired growth and hence reduced the total biomass. Alterations in stem diameter and differences in tissue patterns (especially in the vascular system) occurred, and were mainly dependent on the plasma exposure time and/or the presence of hormones. This is a first report on the effects of cold plasma on plant growth in in vitro conditions.

  1. Prophylactic Bracing Has No Effect on Lower Extremity Alignment or Functional Performance.

    PubMed

    Hueber, Garrett A; Hall, Emily A; Sage, Brad W; Docherty, Carrie L

    2017-07-01

    Prophylactic ankle bracing is commonly used during physical activity. Understanding how bracing affects body mechanics is critically important when discussing both injury prevention and sport performance. The purpose is to determine if ankle bracing affects lower extremity mechanics during the Landing Error Scoring System test (LESS) and Sage Sway Index (SSI). Thirty physically active participants volunteered for this study. Participants completed the LESS and SSI in both a braced and unsupported conditions. Total errors were recorded for the LESS. Total errors and time (seconds) were recorded for the SSI. The Wilcoxon signed-rank test was utilized to evaluate any differences between the brace conditions for each dependent variable. A priori alpha level was set at p<0.05. The Wilcoxon signed-rank test yielded no significant difference between the braced and unsupported conditions for the LESS (Z=-0.35, p=0.72), SSI time (Z=-0.36, p=0.72), or SSI Errors (Z=-0.37, p=0.71). Ankle braces had no effect on subjective clinical assessments of lower extremity alignment or postural stability. Utilization of a prophylactic support at the ankle did not substantially alter the proximal components of the lower kinetic chain. © Georg Thieme Verlag KG Stuttgart · New York.

  2. Topical tissue plasminogen activator appears ineffective for the clearance of intraocular fibrin.

    PubMed

    Zwaan, J; Latimer, W B

    1998-06-01

    To determine the efficacy of topical tissue plasminogen activator (tPA) for the resolution of postoperative or inflammatory intraocular fibrinous exudates. Each treatment consisted of drops of 1 mg/ml tPA given 9 times 5 minutes apart. Records were reviewed and the results at 24 and 48 hours were recorded. Sixty-two patients had a total of 94 treatments. Fibrin exudates following intraocular surgery in 34 patients were treated 44 times. In 6 patients there was a positive result. Fibrin associated with intraocular infection was treated in 9 patients. None showed clear improvement. Nineteen patients had a total of 34 treatments for poorly controlled intraocular pressure (IOP) after glaucoma surgery. Five patients showed adequate control of the IOP, 12 did not change, and 2 had a questionable improvement. Eleven patients had adequate IOP control after additional treatment. Seven required suture lysis, 2 ab interno bleb revision, and 2 YAG capsulotomy or iridotomy to reduce the IOP to an acceptable level. Within the limits of this retrospective study and taking into account that fibrin may resolve spontaneously, it appears that topical tPA drops are not effective for the liquefaction of intraocular fibrin after surgery or in association with intraocular inflammation. They did not improve IOP control after glaucoma surgery.

  3. A total-evidence approach to dating with fossils, applied to the early radiation of the hymenoptera.

    PubMed

    Ronquist, Fredrik; Klopfstein, Seraina; Vilhelmsen, Lars; Schulmeister, Susanne; Murray, Debra L; Rasnitsyn, Alexandr P

    2012-12-01

    Phylogenies are usually dated by calibrating interior nodes against the fossil record. This relies on indirect methods that, in the worst case, misrepresent the fossil information. Here, we contrast such node dating with an approach that includes fossils along with the extant taxa in a Bayesian total-evidence analysis. As a test case, we focus on the early radiation of the Hymenoptera, mostly documented by poorly preserved impression fossils that are difficult to place phylogenetically. Specifically, we compare node dating using nine calibration points derived from the fossil record with total-evidence dating based on 343 morphological characters scored for 45 fossil (4--20 complete) and 68 extant taxa. In both cases we use molecular data from seven markers (∼5 kb) for the extant taxa. Because it is difficult to model speciation, extinction, sampling, and fossil preservation realistically, we develop a simple uniform prior for clock trees with fossils, and we use relaxed clock models to accommodate rate variation across the tree. Despite considerable uncertainty in the placement of most fossils, we find that they contribute significantly to the estimation of divergence times in the total-evidence analysis. In particular, the posterior distributions on divergence times are less sensitive to prior assumptions and tend to be more precise than in node dating. The total-evidence analysis also shows that four of the seven Hymenoptera calibration points used in node dating are likely to be based on erroneous or doubtful assumptions about the fossil placement. With respect to the early radiation of Hymenoptera, our results suggest that the crown group dates back to the Carboniferous, ∼309 Ma (95% interval: 291--347 Ma), and diversified into major extant lineages much earlier than previously thought, well before the Triassic. [Bayesian inference; fossil dating; morphological evolution; relaxed clock; statistical phylogenetics.].

  4. A Total-Evidence Approach to Dating with Fossils, Applied to the Early Radiation of the Hymenoptera

    PubMed Central

    Ronquist, Fredrik; Klopfstein, Seraina; Vilhelmsen, Lars; Schulmeister, Susanne; Murray, Debra L.; Rasnitsyn, Alexandr P.

    2012-01-01

    Abstract Phylogenies are usually dated by calibrating interior nodes against the fossil record. This relies on indirect methods that, in the worst case, misrepresent the fossil information. Here, we contrast such node dating with an approach that includes fossils along with the extant taxa in a Bayesian total-evidence analysis. As a test case, we focus on the early radiation of the Hymenoptera, mostly documented by poorly preserved impression fossils that are difficult to place phylogenetically. Specifically, we compare node dating using nine calibration points derived from the fossil record with total-evidence dating based on 343 morphological characters scored for 45 fossil (4--20 complete) and 68 extant taxa. In both cases we use molecular data from seven markers (∼5 kb) for the extant taxa. Because it is difficult to model speciation, extinction, sampling, and fossil preservation realistically, we develop a simple uniform prior for clock trees with fossils, and we use relaxed clock models to accommodate rate variation across the tree. Despite considerable uncertainty in the placement of most fossils, we find that they contribute significantly to the estimation of divergence times in the total-evidence analysis. In particular, the posterior distributions on divergence times are less sensitive to prior assumptions and tend to be more precise than in node dating. The total-evidence analysis also shows that four of the seven Hymenoptera calibration points used in node dating are likely to be based on erroneous or doubtful assumptions about the fossil placement. With respect to the early radiation of Hymenoptera, our results suggest that the crown group dates back to the Carboniferous, ∼309 Ma (95% interval: 291--347 Ma), and diversified into major extant lineages much earlier than previously thought, well before the Triassic. [Bayesian inference; fossil dating; morphological evolution; relaxed clock; statistical phylogenetics.] PMID:22723471

  5. 40 CFR Table 5 to Subpart Ppp of... - Process Vents From Batch Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... collected—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  6. 40 CFR Table 6 to Subpart Ppp of... - Process Vents From Continuous Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... operating—PR. d e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  7. 40 CFR Table 6 to Subpart Ppp of... - Process Vents From Continuous Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... temperature established in the NCS or operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  8. 40 CFR Table 7 to Subpart G of... - Transfer Operations-Monitoring, Recordkeeping, and Reporting Requirements for Complying With 98...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... collected f—PR. Carbon adsorber h Total regeneration stream mass or volumetric or volumetric flow during carbon bed regeneration cycle(s) [63.127(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  9. 40 CFR Table 4 to Subpart G of... - Process Vents-Monitoring, Recordkeeping, and Reporting Requirements For Maintaining a TRE Index...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... NCS or operating permit—PR. Carbon adsorber d Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) [63.114(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  10. 40 CFR Table 7 to Subpart G of... - Transfer Operations-Monitoring, Recordkeeping, and Reporting Requirements for Complying With 98...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... collected f—PR. Carbon adsorber h Total regeneration stream mass or volumetric or volumetric flow during carbon bed regeneration cycle(s) [63.127(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  11. 40 CFR Table 6 to Subpart Ppp of... - Process Vents From Continuous Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... temperature established in the NCS or operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  12. 40 CFR Table 4 to Subpart G of... - Process Vents-Monitoring, Recordkeeping, and Reporting Requirements For Maintaining a TRE Index...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... NCS or operating permit—PR. Carbon adsorber d Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) [63.114(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  13. 40 CFR Table 4 to Subpart G of... - Process Vents-Monitoring, Recordkeeping, and Reporting Requirements For Maintaining a TRE Index...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NCS or operating permit—PR. Carbon adsorber d Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) [63.114(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  14. 40 CFR Table 7 to Subpart G of... - Transfer Operations-Monitoring, Recordkeeping, and Reporting Requirements for Complying With 98...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... collected f—PR. Carbon adsorber h Total regeneration stream mass or volumetric or volumetric flow during carbon bed regeneration cycle(s) [63.127(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  15. 40 CFR Table 5 to Subpart Ppp of... - Process Vents From Batch Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... collected—PR. d e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  16. 40 CFR Table 7 to Subpart G of... - Transfer Operations-Monitoring, Recordkeeping, and Reporting Requirements for Complying With 98...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... collected f—PR. Carbon adsorber h Total regeneration stream mass or volumetric or volumetric flow during carbon bed regeneration cycle(s) [63.127(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  17. 40 CFR Table 4 to Subpart G of... - Process Vents-Monitoring, Recordkeeping, and Reporting Requirements For Maintaining a TRE Index...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... NCS or operating permit—PR. Carbon adsorber d Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) [63.114(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  18. 40 CFR Table 4 to Subpart G of... - Process Vents-Monitoring, Recordkeeping, and Reporting Requirements For Maintaining a TRE Index...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... NCS or operating permit—PR. Carbon adsorber d Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) [63.114(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  19. 40 CFR Table 6 to Subpart Ppp of... - Process Vents From Continuous Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... temperature established in the NCS or operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  20. 40 CFR Table 6 to Subpart Ppp of... - Process Vents From Continuous Unit Operations-Monitoring, Recordkeeping, and Reporting Requirements

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... operating—PR. d,e Carbon Adsorber f Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s), and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream mass or volumetric flow during each...

  1. 40 CFR Table 7 to Subpart G of... - Transfer Operations-Monitoring, Recordkeeping, and Reporting Requirements for Complying With 98...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... collected f—PR. Carbon adsorber h Total regeneration stream mass or volumetric or volumetric flow during carbon bed regeneration cycle(s) [63.127(b)(3)], and 1. Record of total regeneration stream mass or volumetric flow for each carbon bed regeneration cycle.2. Record and report the total regeneration stream...

  2. Unsupervised laparoscopic appendicectomy by surgical trainees is safe and time-effective.

    PubMed

    Wong, Kenneth; Duncan, Tristram; Pearson, Andrew

    2007-07-01

    Open appendicectomy is the traditional standard treatment for appendicitis. Laparoscopic appendicectomy is perceived as a procedure with greater potential for complications and longer operative times. This paper examines the hypothesis that unsupervised laparoscopic appendicectomy by surgical trainees is a safe and time-effective valid alternative. Medical records, operating theatre records and histopathology reports of all patients undergoing laparoscopic and open appendicectomy over a 15-month period in two hospitals within an area health service were retrospectively reviewed. Data were analysed to compare patient features, pathology findings, operative times, complications, readmissions and mortality between laparoscopic and open groups and between unsupervised surgical trainee operators versus consultant surgeon operators. A total of 143 laparoscopic and 222 open appendicectomies were reviewed. Unsupervised trainees performed 64% of the laparoscopic appendicectomies and 55% of the open appendicectomies. There were no significant differences in complication rates, readmissions, mortality and length of stay between laparoscopic and open appendicectomy groups or between trainee and consultant surgeon operators. Conversion rates (laparoscopic to open approach) were similar for trainees and consultants. Unsupervised senior surgical trainees did not take significantly longer to perform laparoscopic appendicectomy when compared to unsupervised trainee-performed open appendicectomy. Unsupervised laparoscopic appendicectomy by surgical trainees is safe and time-effective.

  3. Operation Sun Beam, Shot Small Boy. Project Officer's report - Project 7. 10. Spectral analysis with high-time resolution of the thermal-radiation pulse

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

    Mahoney, J.J.; Harris, L.H.; Hennecke, H.J.

    1985-09-01

    The primary objective of this project was to investigate the spectral irradiance and luminosity versus time for the first thermal pulse at Shot Small Boy. This was accomplished by use of spectral filters with narrow band passes, phototubes, and magnetic tape recorders with high time resolution at two locations. The measured elapsed time to the first thermal maximum was from 50 to 110 microseconds, depending on wavelength. A graph of radiant thermal power versus time was obtained for the thermal pulse. The delineation of the first thermal pulse, especially the rise portion, is considered to be more definite than hasmore » been obtained previously. The resolution time of the instrumentation was approximately 50 microseconds. Secondary objectives were to measure the total luminosity versus time and also to measure the atmospheric attenuation. These objectives were accomplished by making measurements at two distances, 2.5 and 3.5 miles, from ground zero. In the case of the total luminosity measurements, a system of filters with a spectral transmittance approximating the sensitivity response of the average human eye was used. The results are tabulated in the report.« less

  4. Multidimensional indexing structure for use with linear optimization queries

    NASA Technical Reports Server (NTRS)

    Bergman, Lawrence David (Inventor); Castelli, Vittorio (Inventor); Chang, Yuan-Chi (Inventor); Li, Chung-Sheng (Inventor); Smith, John Richard (Inventor)

    2002-01-01

    Linear optimization queries, which usually arise in various decision support and resource planning applications, are queries that retrieve top N data records (where N is an integer greater than zero) which satisfy a specific optimization criterion. The optimization criterion is to either maximize or minimize a linear equation. The coefficients of the linear equation are given at query time. Methods and apparatus are disclosed for constructing, maintaining and utilizing a multidimensional indexing structure of database records to improve the execution speed of linear optimization queries. Database records with numerical attributes are organized into a number of layers and each layer represents a geometric structure called convex hull. Such linear optimization queries are processed by searching from the outer-most layer of this multi-layer indexing structure inwards. At least one record per layer will satisfy the query criterion and the number of layers needed to be searched depends on the spatial distribution of records, the query-issued linear coefficients, and N, the number of records to be returned. When N is small compared to the total size of the database, answering the query typically requires searching only a small fraction of all relevant records, resulting in a tremendous speedup as compared to linearly scanning the entire dataset.

  5. Electronic Health Record Effects on Work-Life Balance and Burnout Within the I3 Population Collaborative.

    PubMed

    Robertson, Sandy L; Robinson, Mark D; Reid, Alfred

    2017-08-01

    Physician burnout is a problem that often is attributed to the use of the electronic health record (EHR). To estimate the prevalence of burnout and work-life balance satisfaction in primary care residents and teaching physicians, and to examine the relationship between these outcomes, EHR use, and other practice and individual factors. Residents and faculty in 19 primary care programs were anonymously surveyed about burnout, work-life balance satisfaction, and EHR use. Additional items included practice size, specialty, EHR characteristics, and demographics. A logistic regression model identified independent factors associated with burnout and work-life balance satisfaction. In total, 585 of 866 surveys (68%) were completed, and 216 (37%) respondents indicated 1 or more symptoms of burnout, with 162 (75%) attributing burnout to the EHR. A total of 310 of 585 (53%) reported dissatisfaction with work-life balance, and 497 (85%) indicated that use of the EHR affected their work-life balance. Respondents who spent more than 6 hours weekly after hours in EHR work were 2.9 times (95% confidence interval [CI] 1.9-4.4) more likely to report burnout and 3.9 times (95% CI 1.9-8.2) more likely to attribute burnout to the EHR. They were 0.33 times (95% CI 0.22-0.49) as likely to report work-life balance satisfaction, and 3.7 times (95% CI 2.1-6.7) more likely to attribute their work-life balance satisfaction to the EHR. More after-hours time spent on the EHR was associated with burnout and less work-life satisfaction in primary care residents and faculty.

  6. Catheter radiofrequency ablation for arrhythmias under the guidance of the Carto 3 three-dimensional mapping system in an operating room without digital subtraction angiography.

    PubMed

    Huang, Xingfu; Chen, Yanjia; Huang, Zheng; He, Liwei; Liu, Shenrong; Deng, Xiaojiang; Wang, Yongsheng; Li, Rucheng; Xu, Dingli; Peng, Jian

    2018-06-01

    Several studies have reported the efficacy of a zero-fluoroscopy approach for catheter radiofrequency ablation of arrhythmias in a digital subtraction angiography (DSA) room. However, no reports are available on the ablation of arrhythmias in the absence of DSA in the operating room. To investigate the efficacy and safety of catheter radiofrequency ablation for arrhythmias under the guidance of a Carto 3 three-dimensional (3D) mapping system in an operating room without DSA. Patients were enrolled according to the type of arrhythmia. The Carto 3 mapping system was used to reconstruct heart models and guide the electrophysiologic examination, mapping, and ablation. The total procedure, reconstruction, electrophysiologic examination, and mapping times were recorded. Furthermore, immediate success rates and complications were also recorded. A total of 20 patients were enrolled, including 12 males. The average age was 51.3 ± 17.2 (19-76) years. Nine cases of atrioventricular nodal re-entrant tachycardia, 7 cases of frequent ventricular premature contractions, 3 cases of Wolff-Parkinson-White syndrome, and 1 case of typical atrial flutter were included. All arrhythmias were successfully ablated. The procedure time was 127.0 ± 21.0 (99-177) minutes, the reconstruction time was 6.5 ± 2.9 (3-14) minutes, the electrophysiologic study time was 10.4 ± 3.4 (6-20) minutes, and the mapping time was 11.7 ± 8.3 (3-36) minutes. No complications occurred. Radiofrequency ablation of arrhythmias without DSA is effective and feasible under the guidance of the Carto 3 mapping system. However, the electrophysiology physician must have sufficient experience, and related emergency measures must be present to ensure safety.

  7. Evaluation of a Piezoelectric System as an Alternative to Electroencephalogram/ Electromyogram Recordings in Mouse Sleep Studies

    PubMed Central

    Mang, Géraldine M.; Nicod, Jérôme; Emmenegger, Yann; Donohue, Kevin D.; O'Hara, Bruce F.; Franken, Paul

    2014-01-01

    Study Objectives: Traditionally, sleep studies in mammals are performed using electroencephalogram/electromyogram (EEG/EMG) recordings to determine sleep-wake state. In laboratory animals, this requires surgery and recovery time and causes discomfort to the animal. In this study, we evaluated the performance of an alternative, noninvasive approach utilizing piezoelectric films to determine sleep and wakefulness in mice by simultaneous EEG/EMG recordings. The piezoelectric films detect the animal's movements with high sensitivity and the regularity of the piezo output signal, related to the regular breathing movements characteristic of sleep, serves to automatically determine sleep. Although the system is commercially available (Signal Solutions LLC, Lexington, KY), this is the first statistical validation of various aspects of sleep. Design: EEG/EMG and piezo signals were recorded simultaneously during 48 h. Setting: Mouse sleep laboratory. Participants: Nine male and nine female CFW outbred mice. Interventions: EEG/EMG surgery. Measurements and Results: The results showed a high correspondence between EEG/EMG-determined and piezo-determined total sleep time and the distribution of sleep over a 48-h baseline recording with 18 mice. Moreover, the piezo system was capable of assessing sleep quality (i.e., sleep consolidation) and interesting observations at transitions to and from rapid eye movement sleep were made that could be exploited in the future to also distinguish the two sleep states. Conclusions: The piezo system proved to be a reliable alternative to electroencephalogram/electromyogram recording in the mouse and will be useful for first-pass, large-scale sleep screens for genetic or pharmacological studies. Citation: Mang GM, Nicod J, Emmenegger Y, Donohue KD, O'Hara BF, Franken P. Evaluation of a piezoelectric system as an alternative to electroencephalogram/electromyogram recordings in mouse sleep studies. SLEEP 2014;37(8):1383-1392. PMID:25083019

  8. Evaluation of a piezoelectric system as an alternative to electroencephalogram/ electromyogram recordings in mouse sleep studies.

    PubMed

    Mang, Géraldine M; Nicod, Jérôme; Emmenegger, Yann; Donohue, Kevin D; O'Hara, Bruce F; Franken, Paul

    2014-08-01

    Traditionally, sleep studies in mammals are performed using electroencephalogram/electromyogram (EEG/EMG) recordings to determine sleep-wake state. In laboratory animals, this requires surgery and recovery time and causes discomfort to the animal. In this study, we evaluated the performance of an alternative, noninvasive approach utilizing piezoelectric films to determine sleep and wakefulness in mice by simultaneous EEG/EMG recordings. The piezoelectric films detect the animal's movements with high sensitivity and the regularity of the piezo output signal, related to the regular breathing movements characteristic of sleep, serves to automatically determine sleep. Although the system is commercially available (Signal Solutions LLC, Lexington, KY), this is the first statistical validation of various aspects of sleep. EEG/EMG and piezo signals were recorded simultaneously during 48 h. Mouse sleep laboratory. Nine male and nine female CFW outbred mice. EEG/EMG surgery. The results showed a high correspondence between EEG/EMG-determined and piezo-determined total sleep time and the distribution of sleep over a 48-h baseline recording with 18 mice. Moreover, the piezo system was capable of assessing sleep quality (i.e., sleep consolidation) and interesting observations at transitions to and from rapid eye movement sleep were made that could be exploited in the future to also distinguish the two sleep states. The piezo system proved to be a reliable alternative to electroencephalogram/electromyogram recording in the mouse and will be useful for first-pass, large-scale sleep screens for genetic or pharmacological studies. Mang GM, Nicod J, Emmenegger Y, Donohue KD, O'Hara BF, Franken P. Evaluation of a piezoelectric system as an alternative to electroencephalogram/electromyogram recordings in mouse sleep studies.

  9. Impact of sleep duration on seizure frequency in adults with epilepsy: a sleep diary study.

    PubMed

    Cobabe, Maurine M; Sessler, Daniel I; Nowacki, Amy S; O'Rourke, Colin; Andrews, Noah; Foldvary-Schaefer, Nancy

    2015-02-01

    Prolonged sleep deprivation activates epileptiform EEG abnormalities and seizures in people with epilepsy. Few studies have addressed the effect of chronic partial sleep deprivation on seizure occurrence in populations with epilepsy. We tested the primary hypothesis that partial sleep deprivation over 24- and 72-hour periods increases seizure occurrence in adults with epilepsy. Forty-four subjects completed a series of self-reported instruments, as well as 1-month sleep and seizure diaries, to characterize their sleep and quality of life. Diaries were used to determine the relationship between seizure occurrence and total sleep time 24 and 72h before seizure occurrence using random effects models and a logistic regression model fit by generalized estimating equations. A total of 237 seizures were recorded during 1295 diary days, representing 5.5±7.0 (mean±SD) seizures per month. Random effects models for 24- and 72-hour total sleep times showed no clinically or statistically significant differences in the total sleep time between preseizure periods and seizure-free periods. The average 24-hour total sleep time during preseizure 24-hour periods was 8min shorter than that during seizure-free periods (p=0.51). The average 72-hour total sleep time during preseizure periods was 20min longer than that during seizure-free periods (p=0.86). The presence of triggers was a significant predictor of seizure occurrence, with stress/anxiety noted most often as a trigger. Mean total sleep time was 9h, and subjects took an average of 12±10 naps per month, having a mean duration of 1.9±1.2h. Daytime sleepiness, fatigue, and insomnia symptoms were commonly reported. Small degrees of sleep loss were not associated with seizure occurrence in our sample of adults with epilepsy. Our results also include valuable observations of the altered sleep times and frequent napping habits of adults with refractory epilepsy and the potential contribution of these habits to quality of life and seizure control. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. Reliability of reservoir firm yield determined from the historical drought of record

    USGS Publications Warehouse

    Archfield, S.A.; Vogel, R.M.

    2005-01-01

    The firm yield of a reservoir is typically defined as the maximum yield that could have been delivered without failure during the historical drought of record. In the future, reservoirs will experience droughts that are either more or less severe than the historical drought of record. The question addressed here is what the reliability of such systems will be when operated at the firm yield. To address this question, we examine the reliability of 25 hypothetical reservoirs sited across five locations in the central and western United States. These locations provided a continuous 756-month streamflow record spanning the same time interval. The firm yield of each reservoir was estimated from the historical drought of record at each location. To determine the steady-state monthly reliability of each firm-yield estimate, 12,000-month synthetic records were generated using the moving-blocks bootstrap method. Bootstrapping was repeated 100 times for each reservoir to obtain an average steady-state monthly reliability R, the number of months the reservoir did not fail divided by the total months. Values of R were greater than 0.99 for 60 percent of the study reservoirs; the other 40 percent ranged from 0.95 to 0.98. Estimates of R were highly correlated with both the level of development (ratio of firm yield to average streamflow) and average lag-1 monthly autocorrelation. Together these two predictors explained 92 percent of the variability in R, with the level of development alone explaining 85 percent of the variability. Copyright ASCE 2005.

  11. Development of a Climate Record of Tropospheric and Stratospheric Column Ozone from Satellite Remote Sensing: Evidence of an Early Recovery of Global Stratospheric Ozone

    NASA Technical Reports Server (NTRS)

    Ziemke, Jerald R.; Chandra, Sushil

    2012-01-01

    Ozone data beginning October 2004 from the Aura Ozone Monitoring Instrument (OMI) and Aura Microwave Limb Sounder (MLS) are used to evaluate the accuracy of the Cloud Slicing technique in effort to develop long data records of tropospheric and stratospheric ozone and for studying their long-term changes. Using this technique, we have produced a 32-yr (1979-2010) long record of tropospheric and stratospheric column ozone from the combined Total Ozone Mapping Spectrometer (TOMS) and OMI. Analyses of these time series suggest that the quasi-biennial oscillation (QBO) is the dominant source of inter-annual variability of stratospheric ozone and is clearest in the Southern Hemisphere during the Aura time record with related inter-annual changes of 30- 40 Dobson Units. Tropospheric ozone for the long record also indicates a QBO signal in the tropics with peak-to-peak changes varying from 2 to 7 DU. The most important result from our study is that global stratospheric ozone indicates signature of a recovery occurring with ozone abundance now approaching the levels of year 1980 and earlier. The negative trends in stratospheric ozone in both hemispheres during the first 15 yr of the record are now positive over the last 15 yr and with nearly equal magnitudes. This turnaround in stratospheric ozone loss is occurring about 20 yr earlier than predicted by many chemistry climate models. This suggests that the Montreal Protocol which was first signed in 1987 as an international agreement to reduce ozone destroying substances is working well and perhaps better than anticipated.

  12. Manual editing of automatically recorded data in an anesthesia information management system.

    PubMed

    Wax, David B; Beilin, Yaakov; Hossain, Sabera; Lin, Hung-Mo; Reich, David L

    2008-11-01

    Anesthesia information management systems allow automatic recording of physiologic and anesthetic data. The authors investigated the prevalence of such data modification in an academic medical center. The authors queried their anesthesia information management system database of anesthetics performed in 2006 and tabulated the counts of data points for automatically recorded physiologic and anesthetic parameters as well as the subset of those data that were manually invalidated by clinicians (both with and without alternate values manually appended). Patient, practitioner, data source, and timing characteristics of recorded values were also extracted to determine their associations with editing of various parameters in the anesthesia information management system record. A total of 29,491 cases were analyzed, 19% of which had one or more data points manually invalidated. Among 58 attending anesthesiologists, each invalidated data in a median of 7% of their cases when working as a sole practitioner. A minority of invalidated values were manually appended with alternate values. Pulse rate, blood pressure, and pulse oximetry were the most commonly invalidated parameters. Data invalidation usually resulted in a decrease in parameter variance. Factors independently associated with invalidation included extreme physiologic values, American Society of Anesthesiologists physical status classification, emergency status, timing (phase of the procedure/anesthetic), presence of an intraarterial catheter, resident or certified registered nurse anesthetist involvement, and procedure duration. Editing of physiologic data automatically recorded in an anesthesia information management system is a common practice and results in decreased variability of intraoperative data. Further investigation may clarify the reasons for and consequences of this behavior.

  13. Quality Improvement to Immunization Coverage in Primary Care Measured in Medical Record and Population-Based Registry Data.

    PubMed

    Harder, Valerie S; Barry, Sara E; Ahrens, Bridget; Davis, Wendy S; Shaw, Judith S

    Despite the proven benefits of immunizations, coverage remains low in many states, including Vermont. This study measured the impact of a quality improvement (QI) project on immunization coverage in childhood, school-age, and adolescent groups. In 2013, a total of 20 primary care practices completed a 7-month QI project aimed to increase immunization coverage among early childhood (29-33 months), school-age (6 years), and adolescent (13 years) age groups. For this study, we examined random cross-sectional medical record reviews from 12 of the 20 practices within each age group in 2012, 2013, and 2014 to measure improvement in immunization coverage over time using chi-squared tests. We repeated these analyses on population-level data from Vermont's immunization registry for the 12 practices in each age group each year. We used difference-in-differences regressions in the immunization registry data to compare improvements over time between the 12 practices and those not participating in QI. Immunization coverage increased over 3 years for all ages and all immunization series (P ≤ .009) except one, as measured by medical record review. Registry results aligned partially with medical record review with increases in early childhood and adolescent series over time (P ≤ .012). Notably, the adolescent immunization series completion, including human papillomavirus, increased more than in the comparison practices (P = .037). Medical record review indicated that QI efforts led to increases in immunization coverage in pediatric primary care. Results were partially validated in the immunization registry particularly among early childhood and adolescent groups, with a population-level impact of the intervention among adolescents. Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  14. Direct Telephonic Communication in a Heart Failure Transitional Care Program: An observational study

    PubMed Central

    Ota, Ken S.; Beutler, David S.; Sheikh, Hassam; Weiss, Jessica L.; Parkinson, Dallin; Nguyen, Peter; Gerkin, Richard D.; Loli, Akil I.

    2013-01-01

    Background This study investigated the trend of phone calls in the Banner Good Samaritan Medical Center (BGSMC) Heart Failure Transitional Care Program (HFTCP). The primary goal of the HFTCP is to reduce 30-Day readmissions for heart failure patients by using a multi-pronged approach. Methods This study included 104 patients in the HFTCP discharged over a 51-week period who had around-the-clock telephone access to the Transitionalist. Cellular phone records were reviewed. This study evaluated the length and timing of calls. Results A total of 4398 telephone calls were recorded of which 39% were inbound and 61% were outbound. This averaged to 86 calls per week. During the “Weekday Daytime” period, Eighty-five percent of the totals calls were made. There were 229 calls during the “Weekday Nights” period with 1.5 inbound calls per week. The “Total Weekend” calls were 10.2% of the total calls which equated to a weekly average of 8.8. Conclusions Our experience is that direct, physician-patient telephone contact is feasible with a panel of around 100 HF patients for one provider. If the proper financial reimbursements are provided, physicians may be apt to participate in similar transitional care programs. Likewise, third party payers will benefit from the reduction in unnecessary emergency room visits and hospitalizations. PMID:28352437

  15. Places where children are active: A longitudinal examination of children's physical activity.

    PubMed

    Perry, Cynthia K; Ackert, Elizabeth; Sallis, James F; Glanz, Karen; Saelens, Brian E

    2016-12-01

    Using two-year longitudinal data, we examined locations where children spent time and were active, whether location patterns were stable, and relationships between spending time in their home neighborhood and moderate to vigorous physical activity (MVPA). At two time points (2007-2009 and 2009-2011), children living in the metropolitans areas of either San Diego, CA or Seattle, WA wore an accelerometer, and parents recorded their child's locations for seven days. Across two years, global average proportion of time spent in each location was stable, but total time and proportion of time in each location spent in MVPA decreased significantly across all locations. Children spent the largest proportion of time in MVPA in their home neighborhood at both time points, although they spent little time in their home neighborhood. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Use of Radio Frequency Identification to Establish Emergency Medical Service Offload Times.

    PubMed

    Steer, Sheila; Bhalla, Mary C; Zalewski, Jon; Frey, Jennifer; Nguyen, Victor; Mencl, Francis

    2016-01-01

    Emergency medical services (EMS) crews often wait for emergency department (ED) beds to become available to offload their patients. Presently there is no national benchmark for EMS turnaround or offload times, or method for objectively and reliably measuring this. This study introduces a novel method for monitoring offload times and identifying variance. We performed a descriptive, observational study in a large urban community teaching hospital. We affixed radio frequency identification (RFID) tags (Confidex Survivor™, Confidex, Inc., Glen Ellyn, IL) to 65 cots from 19 different EMS agencies and placed a reader (CaptureTech Weatherproof RFID Interpreter, Barcoding Inc., Baltimore, Maryland) in the ED ambulance entrance, allowing for passive recording of traffic. We recorded data for 16 weeks starting December 2009. Offload times were calculated for each visit and analyzed using STATA to show variations in individual and cumulative offload times based on the time of day and day of the week. Results are presented as median times, confidence intervals (CIs), and interquartile ranges (IQRs). We collected data on 2,512 visits. Five hundred and ninety-two were excluded because of incomplete data, leaving 1,920 (76%) complete visits. Average offload time was 13.2 minutes. Median time was 10.7 minutes (IQR 8.1 minutes to 15.4 minutes). A total of 43% of the patients (833/1,920, 95% CI 0.41-0.46) were offloaded in less than 10 minutes, while 27% (513/1,920, 95% CI 0.25-0.29) took greater than 15 minutes. Median times were longest on Mondays (11.5 minutes) and shortest on Wednesdays (10.3 minutes). Longest daily median offload time occurred between 1600 and 1700 (13.5 minutes), whereas the shortest median time was between 0800 and 0900 (9.3 minutes). Cumulative time spent waiting beyond 15 minutes totaled 72.5 hours over the study period. RFID monitoring is a simple and effective means of monitoring EMS traffic and wait times. At our institution, most squads are able to offload their patients within 15 minutes, with many in less than 10 minutes. Variations in wait times are seen and are a topic for future study.

  17. Learning curve analysis of mitral valve repair using telemanipulative technology.

    PubMed

    Charland, Patrick J; Robbins, Tom; Rodriguez, Evilio; Nifong, Wiley L; Chitwood, Randolph W

    2011-08-01

    To determine if the time required to perform mitral valve repairs using telemanipulation technology decreases with experience and how that decrease is influenced by patient and procedure variables. A single-center retrospective review was conducted using perioperative and outcomes data collected contemporaneously on 458 mitral valve repair surgeries using telemanipulative technology. A regression model was constructed to assess learning with this technology and predict total robot time using multiple predictive variables. Statistical analysis was used to determine if models were significantly useful, to rule out correlation between predictor variables, and to identify terms that did not contribute to the prediction of total robot time. We found a statistically significant learning curve (P < .01). The institutional learning percentage∗ derived from total robot times† for the first 458 recorded cases of mitral valve repair using telemanipulative technology is 95% (R(2) = .40). More than one third of the variability in total robot time can be explained through our model using the following variables: type of repair (chordal procedures, ablations, and leaflet resections), band size, use of clips alone in band implantation, and the presence of a fellow at bedside (P < .01). Learning in mitral valve repair surgery using telemanipulative technology occurs at the East Carolina Heart Institute according to a logarithmic curve, with a learning percentage of 95%. From our regression output, we can make an approximate prediction of total robot time using an additive model. These metrics can be used by programs for benchmarking to manage the implementation of this new technology, as well as for capacity planning, scheduling, and capital budget analysis. Copyright © 2011 The American Association for Thoracic Surgery. All rights reserved.

  18. Stocking density, milking duration, and lying times of lactating cows on Canadian freestall dairy farms.

    PubMed

    Charlton, G L; Haley, D B; Rushen, J; de Passillé, A M

    2014-05-01

    Lying time is an important measure of cow comfort, and the lying behavior of dairy cattle can now be recorded automatically with the use of accelerometers. To assess the effect that stall stocking density and the time that cows spend away from the home pen being milked has on the lying behavior of Holstein cattle, a total of 111 commercial freestall dairy farms were visited in Canada. Accelerometers were used to automatically record the lying behavior of 40 focal cows per farm. Total duration of lying, lying bout frequency, and the mean duration of lying bouts were calculated. Pen population was the total number of cows in the pen. To calculate stall stocking density (%) the number of cows in the pen and the number of useable stalls were counted and multiplied by 100, and the length × width of the pen was divided by the number of cows in the pen to calculate area/cow (m(2)). Time away from the pen per day was recorded from when the first cow in each pen was taken out of the home pen for milking until the last cow returned to the home pen after milking, and this time was multiplied by daily milking frequency. The median value for lying duration at the farm level was 10.6h/d, with 10.5 lying bouts/d, and a median lying bout duration of 1.2h. Stall stocking density ranged from 52.2 to 160.0%, with very few farms (7%) stocking at greater than 120%. Although stall stocking density was not significantly correlated with lying behavior, the results showed that no farm with stocking density greater that 100% achieved an average herd lying duration of 12h/d or higher, whereas 21.6% of farms with a stocking density of 100% or less did achieve the target lying time of ≥ 12 h/d, as recommended by the Canadian Code of Practice (χ(2)=4.86, degrees of freedom = 1). Area/cow (m(2)) was not correlated with any aspect of lying behavior, but regardless of space per cow, pen population was correlated with daily frequency and duration of lying bouts. As the number of cows in the pen increased, lying daily bout frequency increased (correlation coefficient = 0.24) and lying bout duration decreased (correlation coefficient = -0.30). Lying behavior was affected by the time the cows were away from the pen being milked. When cows were away from the pen for longer than 3.7h/d, no farm achieved the recommended herd median lying time of 12h/d or longer. These results suggest that providing 1 stall for each cow in the pen and minimizing time away from the pen are important factors if cattle are to achieve the recommended daily lying duration of 12h/d. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  19. A New Revision of the Solar Irradiance Climate Data Record Incorporates Recent Research into Proxies of Sunspot Darkening and the Sunspot Number Record

    NASA Astrophysics Data System (ADS)

    Coddington, O.; Lean, J.; Pilewskie, P.; Baranyi, T.; Snow, M. A.; Kopp, G.; Richard, E. C.; Lindholm, C.

    2017-12-01

    An operational climate data record (CDR) of total and spectral solar irradiance became available in November 2015 as part of the National Oceanographic and Atmospheric Administration's National Centers for Environmental Information Climate Data Record Program. The data record, which is updated quarterly, is available from 1610 to the present as yearly-average values and from 1882 to the present as monthly- and daily-averages, with associated time and wavelength-dependent uncertainties. It was developed jointly by the University of Colorado at Boulder's Laboratory for Atmospheric and Space Physics and the Naval Research Laboratory, and, together with the source code and supporting documentation, is available at https://www.ncdc.noaa.gov/cdr/. In the Solar Irradiance CDR, total solar irradiance (TSI) and solar spectral irradiance (SSI) are estimated from models that determine the changes from quiet Sun conditions arising from bright faculae and dark sunspots on the solar disk. The models are constructed using linear regression of proxies of solar sunspot and facular features with the approximately decade-long irradiance observations from the SOlar Radiation and Climate Experiment. A new revision of this data record was recently released in an ongoing effort to reduce solar irradiance uncertainties in two ways. First, the sunspot darkening proxy was revised using a new cross calibration of the current sunspot region observations made by the Solar Observing Optical Network with the historical records of the Royal Greenwich Observatory. This implementation affects modeled irradiances from 1882 - 1978. Second, the impact of a revised record of sunspot number by the Sunspot Index and Long-term Solar Observations center on modeled irradiances was assessed. This implementation provides two different reconstructions of historical, yearly-averaged irradiances from 1610-1881. Additionally, we show new, preliminary results that demonstrate improvements in modeled TSI by using Debrecen Photoheliographic sunspot area and location data produced by the Debrecen Heliophysical Observatory as the proxy of sunspot darkening. Our results describe comparisons of the modeled TSI and SSI with observational records and with other solar irradiance models.

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

    PubMed

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

    2009-01-01

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

  1. Summary and analysis of water-quality data for the Arrowwood National Wildlife Refuge, east-central North Dakota, 1987-2004

    USGS Publications Warehouse

    Ryberg, Karen R.; Hiemenz, Gregory

    2009-01-01

    The Bureau of Reclamation collected water-quality samples at 16 sites on the James River and the Arrowwood National Wildlife Refuge, N. Dak., as part of its refuge-monitoring program from 1987-93 and as part of an environmental impact statement commitment from 1999-2004. Climatic and hydrologic conditions varied greatly during both sampling periods. The first period was dominated by drought conditions, which abruptly changed to cooler and wetter conditions in 1992-93. During the second period, conditions were near normal to very wet and included higher inflow from the James River into the refuge. The two periods also differed in the sites sampled, seasons sampled, and properties and constituent concentrations measured. Summary statistics were reported separately for the two sampling periods for all physical properties and constituents. Nonparametric statistical tests were used to further analyze some of the water-quality data. During the first sampling period, 1987-93, specific conductance, turbidity, hardness, alkalinity, total dissolved solids, total suspended solids, nonvolatile suspended solids, calcium, magnesium, sodium, potassium, sulfate, chloride, phosphate, total phosphorus, total organic carbon, chlorophyll a, and arsenic were determined to have significantly different medians among the sites tested. During the second sampling period, 1999-2004, the medians of pH, sodium, chloride, barium, and boron varied significantly among sites. Sites sampled and period of record varied between the two sampling periods and the period of record varied among the sites. Also, some constituents analyzed during the first period (1987-93) were not analyzed during the second period (1999-2004), and winter sampling was done during the second sampling period only. This variability reduces the number of direct comparisons that can be made between the two periods. Three sites had complete periods of record for both sampling periods and were compared. Differences in variability and median concentration were identified between the two time periods. Sites representing inflow to the refuge and outflow were compared statistically for the period when data were available for both sites, 1999-2004. Of the nutrients tested - ammonia plus organic nitrogen, phosphate, and total phosphorus - no significant statistical differences were found between the inflow samples and the outflow samples. Statistically significant differences were found for pH, sulfate, chloride, barium, and manganese. Nutrients are of particular interest in the refuge because of the aquatic plant and animal life and the use of the wetland resources by waterfowl. However, the nutrient data were highly censored and there were differences in the seasonal timing of sample collection between the two sampling periods. Therefore, the nutrient data were examined graphically with stripplots that highlighted differences in the seasonal timing of sample collection and concentration differences likely related to the differences in climatic and hydrologic conditions between the two periods.

  2. Excessive exposure of sick neonates to sound during transport

    PubMed Central

    Buckland, L; Austin, N; Jackson, A; Inder, T

    2003-01-01

    Objective: To determine the levels of sound to which infants are exposed during routine transport by ambulance, aircraft, and helicopter. Design: Sound levels during 38 consecutive journeys from a regional level III neonatal intensive care unit were recorded using a calibrated data logging sound meter (Quest 2900). The meter was set to record "A" weighted slow response integrated sound levels, which emulates the response of the human ear, and "C" weighted response sound levels as a measure of total sound level exposure for all frequencies. The information was downloaded to a computer using MS HyperTerminal. The resulting data were stored, and a graphical profile was generated for each journey using SigmaPlot software. Setting: Eight journeys involved ambulance transport on country roads, 24 involved fixed wing aircraft, and four were by helicopter. Main outcome measures: Relations between decibel levels and events or changes in transport mode were established by correlating the time logged on the sound meter with the standard transport documentation sheet. Results: The highest sound levels were recorded during air transport. However, mean sound levels for all modes of transport exceeded the recommended levels for neonatal intensive care. The maximum sound levels recorded were extremely high at greater than 80 dB in the "A" weighted hearing range and greater than 120 dB in the total frequency range. Conclusions: This study raises major concerns about the excessive exposure of the sick newborn to sound during transportation. PMID:14602701

  3. Seasonal and intradiurnal variation of airborne pollen concentrations in Bodrum, SW Turkey.

    PubMed

    Tosunoglu, Aycan; Bicakci, Adem

    2015-04-01

    An aeropalynological study was performed in Bodrum, the famous tourism center in southwestern Turkey with a Hirst-type volumetric 7-day pollen and spore trap for 2 years (2007-2008). In Bodrum, 25,099 pollen grains as a mean value belonging to 41 taxa were recorded annually during the study period, and pollen grains from woody plant taxa had the largest atmospheric contribution of 86.99% and 24 taxa. However, 17 herbaceous plant taxa constituted 12.82% of the annual total pollen count, and 0.19% were unidentified. An average annual pollen index of 22.66% was recorded in March, despite differences from year to year. The highest pollen variability of 34 taxa was recorded in April and May. Predominant pollen types belonged to Cupressaceae/Taxaceae (42.73%), Quercus (15.95%), Pinus (9.78%), Olea europaea (9.04%), Poaceae (5.50%), Betula (1.82%), Pistacia (1.74%), Morus (1.72%), Urticaceae (1.46%), and Plantago (1.28%) and generated 91.03 of the annual total. In total, 32.59% of the mean annual total pollen index was recorded in the morning, and less pollen was recorded in the evening (18.71%). Maximum pollen concentration was recorded between 11:00 and 12:00 a.m.

  4. Estimation of historic flows and sediment loads to San Francisco Bay,1849–2011

    USGS Publications Warehouse

    Moftakhari, H.R.; Jay, D.A.; Talke, S.A.; Schoellhamer, David H.

    2015-01-01

    River flow and sediment transport in estuaries influence morphological development over decadal and century time scales, but hydrological and sedimentological records are typically too short to adequately characterize long-term trends. In this study, we recover archival records and apply a rating curve approach to develop the first instrumental estimates of daily delta inflow and sediment loads to San Francisco Bay (1849–1929). The total sediment load is constrained using sedimentation/erosion estimated from bathymetric survey data to produce continuous daily sediment transport estimates from 1849 to 1955, the time period prior to sediment load measurements. We estimate that ∼55% (45–75%) of the ∼1500 ± 400 million tons (Mt) of sediment delivered to the estuary between 1849 and 2011 was the result of anthropogenic alteration in the watershed that increased sediment supply. Also, the seasonal timing of sediment flux events has shifted because significant spring-melt floods have decreased, causing estimated springtime transport (April 1st to June 30th) to decrease from ∼25% to ∼15% of the annual total. By contrast, wintertime sediment loads (December 1st to March 31st) have increased from ∼70% to ∼80%. A ∼35% reduction of annual flow since the 19th century along with decreased sediment supply has resulted in a ∼50% reduction in annual sediment delivery. The methods developed in this study can be applied to other systems for which unanalyzed historic data exist.

  5. Climate-change signals in national atmospheric deposition program precipitation data

    USGS Publications Warehouse

    Wetherbee, Gregory A.; Mast, M. Alisa

    2016-01-01

    National Atmospheric Deposition Program (NADP)/National Trends Network precipitation type, snow-season duration, and annual timing of selected chemical wet-deposition maxima vary with latitude and longitude within a 35-year (1979–2013) data record for the contiguous United States and Alaska. From the NADP data collected within the region bounded by 35.6645°–48.782° north latitude and 124°–68° west longitude, similarities in latitudinal and longitudinal patterns of changing snow-season duration, fraction of annual precipitation recorded as snow, and the timing of chemical wet-deposition maxima, suggest that the chemical climate of the atmosphere is linked to physical changes in climate. Total annual precipitation depth has increased 4–6 % while snow season duration has decreased from approximately 7 to 21 days across most of the USA, except in higher elevation regions where it has increased by as much as 21 days. Snow-season precipitation is increasingly comprised of snow, but annually total precipitation is increasingly comprised of liquid precipitation. Meanwhile, maximum ammonium deposition occurs as much as 27 days earlier, and the maximum nitrate: sulfate concentration ratio in wet-deposition occurs approximately 10–21 days earlier in the year. The maximum crustal (calcium + magnesium + potassium) cation deposition occurs 2–35 days earlier in the year. The data suggest that these shifts in the timing of atmospheric wet deposition are linked to a warming climate, but the ecological consequences are uncertain.

  6. Exercise, physical activity, and exertion over the business cycle.

    PubMed

    Colman, Gregory; Dave, Dhaval

    2013-09-01

    Shifts in time and income constraints over economic expansions and contractions would be expected to affect individuals' behaviors. We explore the impact of the business cycle on individuals' exercise, time use, and total physical exertion, utilizing information on 112,000 individual records from the 2003-2010 American Time Use Surveys. In doing so, we test a key causal link that has been hypothesized in the relation between unemployment and health, but not heretofore assessed. Using more precise measures of exercise (and other activities) than previous studies, we find that as work-time decreases during a recession, recreational exercise, TV-watching, sleeping, childcare, and housework increase. This, however, does not compensate for the decrease in work-related exertion due to job-loss, and total physical exertion declines. These effects are strongest among low-educated men, which is validating given that employment in the Great Recession has declined most within manufacturing, mining, and construction. We also find evidence of intra-household spillover effects, wherein individuals respond to shifts in spousal employment conditional on their own labor supply. The decrease in total physical activity during recessions is especially problematic for vulnerable populations concentrated in boom-and-bust industries, and may have longer-term effects on obesity and related health outcomes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Systematic recover of long high-resolution rainfall time series recorded by pluviographs during the 20th century.

    NASA Astrophysics Data System (ADS)

    Delitala, Alessandro M. S.; Deidda, Roberto; Mascaro, Giuseppe; Piga, Enrico; Querzoli, Giorgio

    2010-05-01

    During most of the 20th century, precipitation has been continuously measured by means of the so-called "pluviographs", i.e. rain gauges including a mechanical apparatus for continuously recording the depth of water from precipitation on specific strip charts, usually on a weekly basis. The signal recorded on such strips was visually examined by trained personnel on a regular basis, in order to extract the daily precipitation totals and the maximum precipitation intensities over short periods (from a few minutes to hours). The rest of the high-resolution information contained in the signal was usually not extracted, except for specific cases. A systematic recovering of the entire information at high temporal resolution contained in these precipitation signals would provide a fundamental database to improve the characterization of historical rainfall climatology during the previous century. The Department of Land Engineering of the University of Cagliari has recently developed and tested an automatic software, based on image analysis techniques, which is able to acquire the scanned images of the pluviograph strip charts, to automatically digitise the signal and to produce a digital database of continuous precipitation records at the highest possible temporal resolution, i.e. 5 to 10 minutes. Along with that, a significant amount of daily precipitation totals from the late 19th and the 20th century, either elaborated from pluviograph strip charts or simply derived from bucket rain gauges, still exists in paper form, but it has never been digitalized. Within a project partly-funded by the Operational Programme of the European Union "Italia-Francia Marittimo", the Regional Environmental Protection Agency of Sardinia and the University of Cagliari will recover both the high-resolution rainfall signals and the older time series of daily totals recorded by a large number of pluviographs belonging to the historical monitoring networks of the island of Sardinia. Such data will then be used to construct the high-resolution climatology of precipitation over Sardinia, both assuming stationary climate and slowly varying climate. Specific attention will be devoted to a set of critical hydrological basins, often affected by intense precipitation and flash floods. All information will then be made available to researchers, regional officers, technicians (e.g. hydraulic engineers) and the greater public interested into such information. The present poster describes the general scope of the E.U. project and the specific activities in the field of climatology of Sardinia rainfall that will be conducted as well as the expected results. A section will be dedicated to show how the pluviograph strips are automatically digitized.

  8. Total and segmental colon transit time in constipated children assessed by scintigraphy with 111In-DTPA given orally.

    PubMed

    Vattimo, A; Burroni, L; Bertelli, P; Messina, M; Meucci, D; Tota, G

    1993-12-01

    Serial colon scintigraphy using 111In-DTPA (2 MBq) given orally was performed in 39 children referred for constipation, and the total and segmental colon transit times were measured. The bowel movements during the study were recorded and the intervals between defecations (ID) were calculated. This method proved able to identify children with normal colon morphology (no. = 32) and those with dolichocolon (no. = 7). Normal children were not included for ethical reasons and we used the normal range determined by others using x-ray methods (29 +/- 4 hours). Total and segmental colon transit times were found to be prolonged in all children with dolichocolon (TC: 113.55 +/- 41.20 hours; RC: 39.85 +/- 26.39 hours; LC: 43.05 +/- 18.30 hours; RS: 30.66 +/- 26.89 hours). In the group of children with a normal colon shape, 13 presented total and segmental colon transit times within the referred normal value (TC: 27.79 +/- 4.10 hours; RC: 9.11 +/- 2.53 hours; LC: 9.80 +/- 3.50 hours; RS: 8.88 +/- 4.09 hours) and normal bowel function (ID: 23.37 +/- 5.93 hours). In the remaining children, 5 presented prolonged retention in the rectum (RS: 53.36 +/- 29.66 hours), and 14 a prolonged transit time in all segments. A good correlation was found between the transit time and bowel function. From the point of view of radiation dosimetry, the most heavily irradiated organs were the lower large intestine and the ovaries, and the level of radiation burden depended on the colon transit time. We can conclude that the described method results safe, accurate and fully diagnostic.

  9. Hand function with touch screen technology in children with normal hand formation, congenital differences, and neuromuscular disease.

    PubMed

    Shin, David H; Bohn, Deborah K; Agel, Julie; Lindstrom, Katy A; Cronquist, Sara M; Van Heest, Ann E

    2015-05-01

    To measure and compare hand function for children with normal hand development, congenital hand differences (CHD), and neuromuscular disease (NMD) using a function test with touch screen technology designed as an iPhone application. We measured touch screen hand function in 201 children including 113 with normal hand formation, 43 with CHD, and 45 with NMD. The touch screen test was developed on the iOS platform using an Apple iPhone 4. We measured 4 tasks: touching dots on a 3 × 4 grid, dragging shapes, use of the touch screen camera, and typing a line of text. The test takes 60 to 120 seconds and includes a pretest to familiarize the subject with the format. Each task is timed independently and the overall time is recorded. Children with normal hand development took less time to complete all 4 subtests with increasing age. When comparing children with normal hand development with those with CHD or NMD, in children aged less than 5 years we saw minimal differences; those aged 5 to 6 years with CHD took significantly longer total time; those aged 7 to 8 years with NMD took significantly longer total time; those aged 9 to 11 years with CHD took significantly longer total time; and those aged 12 years and older with NMD took significantly longer total time. Touch screen technology has becoming increasingly relevant to hand function in modern society. This study provides standardized age norms and shows that our test discriminates between normal hand development and that in children with CHD or NMD. Diagnostic III. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  10. Time and Costs of Insulin Treatment in the Care of Newly Registered Type 2 Diabetes Patients in Diabetes Clinics Across Japan (JDDM 22).

    PubMed

    Oishi, Mariko; Yokoyama, Hiroki; Abe, Nobuyuki; Iwasaki, Kouichi; Okuguchi, Fuminobu; Kawai, Koichi; Sugimto, Hidekatsu; Takamura, Hiroshi; Takeda, Hiroshi; Doi, Kunihiro; Hirao, Kouichi; Ikeda, Shunya

    2011-01-01

    To study the time and costs of insulin treatment of newly registered outpatients with Type 2 diabetes mellitus (T2DM). In total, 355 patients with T2DM were registered on their first visit to one of 11 diabetes clinics across Japan. Of these, 313 were not being treated with insulin (the non-insulin group), whereas 42 were (the insulin group). In the insulin group, 26 were already on insulin at the first visit, whereas 16 were started on insulin after their first visit. The time and costs involved in the care were recorded over the following 5 months. In the first 3 months, considerable time was expended in both groups, with the time spent by physicians a little (but significantly) longer for the insulin group. The total time expended by all care providers was approximately 1.3-fold greater for the insulin compared with the non-insulin group. The total cost and total cost/min for the insulin group was almost twice that for the non-insulin group. Over the 5-month period, mean HbA1c in the non-insulin group improved from 8.0% to 6.5%, with 72% achieving a glycemic target of HbA1c ≤ 6.5%. In contrast, in the insulin group, mean HbA1c improved from 9.4% to 7.6%, with only 39% achieving the target. There were no reports of major hypoglycemic events in either group and body mass index remained stable. The insulin therapy for T2DM can be achieved safely and effectively at outpatient clinics, even though it requires considerably more time and resources than non-insulin therapy.

  11. Economic and clinical comparison of 2-octyl cyanoacrylate/polymer mesh tape with skin staples in total knee replacement.

    PubMed

    Sutton, Nadia; Schmitz, Niels-Derrek; Johnston, Stephen S

    2018-04-01

    To compare economic and clinical outcomes between skin staples and 2-octyl cyanoacrylate plus polymer mesh tape, Dermabond Prineo skin closure system, (SCS) among patients undergoing total knee replacement (TKR). Retrospective, observational study using the Premier Healthcare Database, which comprises hospital administrative and billing data for over 700 hospitals in the US. Patients selected for study had an elective hospital admission, with discharge occurring between January 2012 and September 2015, carrying primary ICD-9-CM procedure and diagnosis codes for TKR and osteoarthritis. Patients were classified into two mutually-exclusive groups based on billing records during the index admission: those with billing record(s) for the skin closure system (SCS group); and those with billing record(s) for skin staples (staple group). Primary outcomes were index admission's length of stay (LOS), total hospital costs, and discharge status (skilled nursing facility (SNF)/other versus home/home health-care); exploratory outcomes included operating room time (ORT) during index admission and 30, 60, and 90-day readmissions. The SCS and staple groups were propensity score matched (1:1/nearest neighbour/caliper=0.10) on patient, hospital, and provider characteristics. Multivariable regressions accounting for hospital-level clustering after matching were used to compare outcomes between study groups. Each group comprised 971 patients (1942 total patients; mean age: 65.3 years; female: 63.5%). The groups were generally well-balanced on matching covariates: mean standardised difference calculated across 49 covariates=0.049. Compared with the staple group, the SCS group had statistically significant shorter LOS (2.8 days versus 3.2 days, p=0.002), lower rate of discharge to SNF/other versus home/home health-care (26.4% versus 38.5%, p=0.011), and lower rate of 30, 60, and 90-day readmissions (30-day, 1.8% versus 4.4%, p=0.006; 60-day, 3.0% versus 5.4%, p<0.001; 90-day, 5.4% versus 7.4%, p=0.016). Differences between the groups for other outcomes were not statistically significant. Among patients undergoing TKR, use of the SCS was associated with shorter LOS, less resource intensive discharge status, and lower rates of all-cause readmission as compared with skin staples.

  12. 40 CFR Table 7 to Subpart Jjj of... - Group 1 Batch Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping, and...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... collected—PR. d,e Carbon Adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure (gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record the total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle.2. Record and report the total...

  13. 40 CFR Table 6 to Subpart U of... - Group 1 Batch Front-End Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... collected—PR. d,e Carbon adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record of total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle. 2. Record and report the total...

  14. 40 CFR Table 6 to Subpart U of... - Group 1 Batch Front-End Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... collected—PR. d,e Carbon adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record of total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle. 2. Record and report the total...

  15. 40 CFR Table 7 to Subpart Jjj of... - Group 1 Batch Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping, and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... collected—PR. d,e Carbon Adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure (gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record the total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle.2. Record and report the total...

  16. 40 CFR Table 6 to Subpart U of... - Group 1 Batch Front-End Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... collected—PR. d,e Carbon adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record of total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle. 2. Record and report the total...

  17. 40 CFR Table 6 to Subpart U of... - Group 1 Batch Front-End Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... collected—PR. d,e Carbon adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record of total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle. 2. Record and report the total...

  18. 40 CFR Table 7 to Subpart Jjj of... - Group 1 Batch Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping, and...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... collected—PR. d,e Carbon Adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure (gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record the total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle.2. Record and report the total...

  19. 40 CFR Table 7 to Subpart Jjj of... - Group 1 Batch Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping, and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... collected—PR. d,e Carbon Adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure (gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record the total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle.2. Record and report the total...

  20. 40 CFR Table 6 to Subpart U of... - Group 1 Batch Front-End Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... collected—PR. d e Carbon adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record of total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle. 2. Record and report the total...

  1. 40 CFR Table 7 to Subpart Jjj of... - Group 1 Batch Process Vents and Aggregate Batch Vent Streams-Monitoring, Recordkeeping, and...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... collected—PR. d e Carbon Adsorber f a. Total regeneration steam flow or nitrogen flow, or pressure (gauge or absolute) during carbon bed regeneration cycle(s), and 1. Record the total regeneration steam flow or nitrogen flow, or pressure for each carbon bed regeneration cycle.2. Record and report the total...

  2. Holocene turbidite and onshore paleoseismic record of great earthquakes on the Cascadia Subduction Zone: relevance for the Sumatra 2004 Great Earthquake

    NASA Astrophysics Data System (ADS)

    Gutierrez-Pastor, J.; Nelson, C. H.; Goldfinger, C.; Johnson, J.

    2005-05-01

    Marine turbidite stratigraphy, onshore paleoseismic records of tsunami sand beds and co-seismic subsidence (Atwater and Hemphill-Haley, 1997; Kelsey et al., 2002; Witter et al., 2003) and tsunami sands of Japan (Satake et al., 1996) all show evidence for great earthquakes (M ~ 9) on the Cascadia Subduction Zone. When a great earthquake shakes 1000 kilometers of the Cascadia margin, sediment failures occur in all tributary canyons and resulting turbidity currents travel down the canyon systems and deposit synchronous turbidites in abyssal seafloor channels. These turbidite records provide a deepwater paleoseismic record of great earthquakes. An onshore paleoseismic record develops from rapid coseismic subsidence resulting in buried marshes and drowned forests, and subsequent tsunami sand layer deposition. The Cascadia Basin provides the longest paleoseismic record of great earthquakes that is presently available for a subduction zone. A total of 17 synchronous turbidites have deposited along ~700 km of the Cascadia margin during the Holocene time of ~10,000 cal yr. Because the youngest paleoseismic event in all turbidite and onshore records is 300 AD, the average recurrence interval of Great Earthquakes is ~ 600 yr. At least 6 smaller events have also ruptured shorter margin segments. Linkage of the rupture length of these events comes from relative dating tools such as the "confluence test" of Adams (1990), radiocarbon ages of onshore and offshore events and physical property correlation of individual event "signatures". We use both 14C ages and analysis of hemipelagic sediment thickness between turbidites (H), where H/sedimentation rate = time between turbidite events to develop two recurrence histories. Utilizing the most reliable 14C and hemipelagic data sets from turbidites for the past ~ 5000 yr, the minimum recurrence time is ~ 300 yr and maximum time is ~ 1300 yr. There also is a recurrence pattern through the entire Holocene that consists of a long time interval followed by 2 to 5 short intervals that is apparent as well in the land records. This pattern has repeated five times in the Holocene. Both onshore paleoseismic records and turbidite synchroneity for hundreds of kilometers, suggest that the Holocene turbidite record of the Cascadia Subduction Zone is caused dominantly by triggering of great earthquakes similar in rupture length to the Sumatra 2004 earthquake. The recent Sumatra subduction zone great earthquake of 2004 and the 1700 AD Cascadia tsunami sand of 3m height preserved in Japan (Satake et al., 1996) show that ocean-basin wide tsunami deposits result from these great earthquakes, which rupture the seafloor for hundreds of kilometers. Cascadia and Sumatra share many geological and physiographic similarities that favor the deposition of turbidites from great earthquakes, and tend to filter non earthquake turbidites from the record. Thus the paleoseismic methods developed in Cascadia could be applied to the Sumatran Subduction Zone and we expect that the turbidite record would yield a similar record ~10,000 yr in length. In Sumatra, the dearth of such records led to the lack of widespread recognition of the hazard, particularly from the northern Sumatra and Andaman-Nicobar region where geodetic data suggested weak plate locking. Evidence of a tsunami similar to the 2004 event from satellite imagery suggests the previous event was in the recent past.

  3. The Component Timed-Up-and-Go test: the utility and psychometric properties of using a mobile application to determine prosthetic mobility in people with lower limb amputations.

    PubMed

    Clemens, Sheila M; Gailey, Robert S; Bennett, Christopher L; Pasquina, Paul F; Kirk-Sanchez, Neva J; Gaunaurd, Ignacio A

    2018-03-01

    Using a custom mobile application to evaluate the reliability and validity of the Component Timed-Up-and-Go test to assess prosthetic mobility in people with lower limb amputation. Cross-sectional design. National conference for people with limb loss. A total of 118 people with non-vascular cause of lower limb amputation participated. Subjects had a mean age of 48 (±13.7) years and were an average of 10 years post amputation. Of them, 54% ( n = 64) of subjects were male. None. The Component Timed-Up-and-Go was administered using a mobile iPad application, generating a total time to complete the test and five component times capturing each subtask (sit to stand transitions, linear gait, turning) of the standard timed-up-and-go test. The outcome underwent test-retest reliability using intraclass correlation coefficients (ICCs) and convergent validity analyses through correlation with self-report measures of balance and mobility. The Component Timed-Up-and-Go exhibited excellent test-retest reliability with ICCs ranging from .98 to .86 for total and component times. Evidence of discriminative validity resulted from significant differences in mean total times between people with transtibial (10.1 (SD: ±2.3)) and transfemoral (12.76 (SD: ±5.1) amputation, as well as significant differences in all five component times ( P < .05). Convergent validity of the Component Timed-Up-and-Go was demonstrated through moderate correlations with the PLUS-M ( r s  = -.56). The Component Timed-Up-and-Go is a reliable and valid clinical tool for detailed assessment of prosthetic mobility in people with non-vascular lower limb amputation. The iPad application provided a means to easily record data, contributing to clinical utility.

  4. A Holocene record of ocean productivity and upwelling from the northern California continental slope

    NASA Astrophysics Data System (ADS)

    Addison, J. A.; Barron, J. A.; Finney, B.; Kusler, J. E.; Bukry, D.; Heusser, L. E.; Alexander, C. R., Jr.

    2016-12-01

    The Holocene upwelling history of the northern California continental slope is examined using a 7-m-long marine sediment core (TN062-O550; 40.9°N, 124.6°W, 550 m water depth) collected offshore from Eureka, CA, that spans the last 7,400 calibrated years before present (cal yrs BP). A combination of biogenic sediment concentrations (opal, total organic C, and total N), stable isotopes (organic matter δ13C and bulk sedimentary δ15N), and key microfossil indicators of upwelling were used to test the hypothesis that marine productivity in the California Current System (CCS) driven by coastal upwelling has co-varied with global Holocene millennial-scale warm intervals. Results show biogenic sediment accumulation in TN062-O550 varied considerably during the Holocene, despite being located within 50 km of the mouth of the Eel River, one of the largest sources of terrigenous sediment to the Northeast Pacific Ocean margin. A key time interval beginning at 2900 cal yr BP indicates the onset of modern upwelling in the CCS, and that this period also corresponds to the most intense period of upwelling in the last 7,400 years. When these results are placed into a regional CCS context during the Holocene, it was found that the timing of upwelling intensification as recorded in TN062-O550 corresponds closely to that seen at nearby ODP Site 1019 as well as in the Santa Barbara Basin of southern California. Other CCS records with less high-quality age control show similar results, which suggest late Holocene upwelling intensification may be synchronous throughout the CCS. Based on the strong correspondence between the alkenone-derived sea surface temperature record at ODP Site 1019 and the onset of late Holocene upwelling in northern California, we tentatively suggest that regional CCS warming may be conducive to upwelling intensification in the future.

  5. Demonstration of uneven distribution of intracranial pulsatility in hydrocephalus patients.

    PubMed

    Eide, Per K

    2008-11-01

    Data from intracranial pressure (ICP) recordings in patients with hydrocephalus were reviewed to determine whether intracranial pulsatility within the cerebrospinal fluid (CSF) of cerebral ventricles (ICP(LV)) may differ from that within the brain parenchyma (ICP(PAR)), and whether pulsatility may differ between noncommunicating ventricles. The authors retrieved data from recordings previously obtained in 7 patients with hydrocephalus (noncommunicating in 4 and communicating in 3) and shunt failure who received both an external ventricular drainage (EVD) and an ICP sensor as part of surveillance during intensive care. Simultaneous ICP(LV) and ICP(PAR) signals were available in 6 cases, and simultaneous signals from the lateral and fourth ventricles (ICP(LV) and ICP4V, respectively) were recorded in 1 case. The recordings with both signals were parsed into 6-second time windows. Pulsatility was characterized by the wave amplitude and rise time coefficient, and differences in pulsatility between the ICP(LV) and ICP(PAR) signals (6 cases) or ICP(LV) and ICP4V signals (1 case) were determined. There was uneven distribution of intracranial pulsatility in all 7 patients, shown as significantly elevated pulsatility (that is, higher wave amplitudes and rise time coefficients) within the ventricles (ICP(LV)) than within brain parenchyma (ICP(PAR)) in 6 patients, and significantly higher pulsatility in the fourth (ICP4V) than in the lateral (ICP(LV)) ventricles in 1 patient. Differences > or = 1 mm Hg in ICP wave amplitude were found in 0.5-100% (median 9.4%) of observations in the 7 patients (total number of 6-second time windows, 68,242). The present observations demonstrate uneven distribution of intracranial pulsatility in patients with hydrocephalus, higher pulse pressure amplitudes within the ventricular CSF (ICP(LV)) than within the brain parenchyma (ICP(PAR)). This may be one mechanism behind ventricular enlargement in hydrocephalus.

  6. Foraminifera Record the Good Years More than the Bad

    NASA Astrophysics Data System (ADS)

    Hull, P. M.

    2014-12-01

    Past ocean conditions are primarily discerned from geochemical and community-based analyses of fossilized taxa, each of which have unique environmental niches and dynamics. A key requirement of such paleoceanographic studies is that some unbiased or well-constrained record of the living ecosystem and climate is deposited on the sea floor and preserved through the post-depositional processes that act to distort them. It is widely known that foraminiferal species exhibit varying seasonal preferences and that seasonality is a key variable to account for in paleoceanographic reconstructions. However, on longer time scales (> year), it is generally assumed that species record the 'average' environmental conditions or typical variance (e.g., El Nino intensity) that existed in a given, time-averaged sediment sample. Here I examine planktonic foraminiferal population dynamics on yearly and longer time scales, in order to quantify their effect on paleoceanographic reconstructions. Using a previously published record of >250 years of population dynamics in the Santa Barbara Basin sediments, I find that the majority of individuals in a given species lived during a small subset of the total years (~15- 37% of years depending on the species). Populations of shallow, mixed layer species primarily represent the warmest, youngest years, while thermocline species primarily represent the cooler, older years. Importantly, the seasonality of species does not always predict their interannual dynamics. The general importance of long time-scale population dynamics on paleoceanographic reconstructions will also be considered in a theoretical model parameterized with temporally explicit species co-variances and temperature variability. Such modeling is needed to constrain the relative impact that a very good year can have on our interpretation of the 'average' of hundreds to thousands of years.

  7. Ramifications of a potential gap in passive microwave data for the long-term sea ice climate record

    NASA Astrophysics Data System (ADS)

    Meier, W.; Stewart, J. S.

    2017-12-01

    The time series of sea ice concentration and extent from passive microwave sensors is one of the longest satellite-derived climate records and the significant decline in Arctic sea ice extent is one of the most iconic indicators of climate change. However, this continuous and consistent record is under threat due to the looming gap in passive microwave sensor coverage. The record started in late 1978 with the launch of the Scanning Multichannel Microwave Radiometer (SMMR) and has continued with a series of Special Sensor Microwave Imager (SSMI) and Special Sensor Microwave Imager and Sounder (SSMIS) instruments on U.S. Defense Meteorological Satellite Program (DMSP) satellites. The data from the different sensors are intercalibrated at the algorithm level by adjusting algorithm coefficients so that the output sea ice data is as consistent as possible between the older and the newer sensor. A key aspect in constructing the time series is to have at least two sensors operating simultaneously so that data from the older and newer sensor can be obtained from the same locations. However, with recent losses of the DMSP F19 and F20, the remaining SSMIS sensors are all well beyond their planned mission lifetime. This means that risk of failure is not small and is increasing with each day of operation. The newest passive microwave sensor, the JAXA Advanced Microwave Scanning Radiometer-2 (AMSR2), is a potential contributor to the time series (though it too is now beyond it's planned 5-year mission lifetime). However, AMSR2's larger antenna and higher spatial resolution presents a challenge in integrating its data with the rest of the sea ice record because the ice edge is quite sensitive to the sensor resolution, which substantially affects the total sea ice extent and area estimates. This will need to be adjusted for if AMSR2 is used to continue the time series. Here we will discuss efforts at NSIDC to integrate AMSR2 estimates into the sea ice climate record if needed. We will also discuss potential contingency plans, such as using operational sea ice charts, to fill any gaps. This would allow the record to continue, but the consistency of the time series will be degraded because the ice charts use human analysis and differing sources, amounts and quality of input data, which makes them sub-optimal for long-term climate records.

  8. Predictors of short-term and long-term incontinence after robot-assisted radical prostatectomy.

    PubMed

    Shao, I-Hung; Chang, Ying-Hsu; Hou, Chun-Ming; Lin, Zheng-Feng; Wu, Chun-Te

    2018-01-01

    Purpose To determine retrospectively the prognostic factors for urinary incontinence following robot-assisted radical prostatectomy (RARP). Methods Altogether, 180 patients with localized prostate cancer underwent RARP (same surgeon). Preoperative physical status, disease characteristics, laboratory findings, and surgical technique were recorded and the patients checked 1, 6, 12, and 24 months after RARP regarding their contribution to predicting post-prostatectomy urinary incontinence (PPI). Results Overall, 114 (63.3%) patients had PPI 1 month after RARP and 19 patients (16.0%) at 24 months. Univariate analysis showed that age was a significant factor for predicting PPI at 1 month. PPI predictors at 24 months were age, body mass index, preoperative serum albumin level, previous transurethral resection of the prostate, total operative time, and bladder neck sparing. Multivariate analysis indicated that age and total operative time were significant predictors. Conclusion Older age and longer operative time were highly relevant to short- and long-term PPI occurrence after RARP.

  9. Paramedics on the job: dynamic trunk motion assessment at the workplace.

    PubMed

    Prairie, Jérôme; Corbeil, Philippe

    2014-07-01

    Many paramedics' work accidents are related to physical aspects of the job, and the most affected body part is the low back. This study documents the trunk motion exposure of paramedics on the job. Nine paramedics were observed over 12 shifts (120 h). Trunk postures were recorded with the computer-assisted CUELA measurement system worn on the back like a knapsack. Average duration of an emergency call was 23.5 min. Sagittal trunk flexion of >40° and twisting rotation of >24° were observed in 21% and 17% of time-sampled postures. Medical care on the scene (44% of total time) involved prolonged flexed and twisted postures (∼ 10s). The highest extreme sagittal trunk flexion (63°) and twisting rotation (40°) were observed during lifting activities, which lasted 2% of the total time. Paramedics adopted trunk motions that may significantly increase the risk of low back disorders during medical care and patient-handling activities. Copyright © 2013. Published by Elsevier Ltd.

  10. Preoperative ropivacaine with or without tramadol for femoral nerve block in total knee arthroplasty.

    PubMed

    Tang, Q; Li, X; Yu, L; Hao, Y; Lu, G

    2016-08-01

    To compare the analgesic effect of preoperative ropivacaine with or without tramadol for femoral nerve block in total knee arthroplasty (TKA). 14 men and 46 women aged 59 to 80 years who were American Society of Anesthesiologists (ASA) grade I or II and were scheduled for TKA were randomised to receive preoperative femoral nerve block with 20 ml of 0.375% ropivacaine plus tramadol 0 mg (n=15), 50 mg (n=15), or 100 mg (n=15), or no preoperative femoral nerve block (control) [n=15]. Femoral nerve block was performed by a single anaesthesiologist before the standardised combined spinal epidural anaesthesia. Postoperatively, patientcontrolled analgesia was given. The visual analogue score (VAS) for pain at rest and on movement was recorded at 8, 12, 24, 48, and 72 hours. Passive knee range of motion (ROM) was measured at 24, 48, and 72 hours. The 4 groups were comparable in terms of age, gender, weight, ASA grade, and operating time. Compared with patients who received no femoral nerve block or ropivacaine alone, those who received femoral nerve block with 20 ml of 0.375% ropivacaine plus tramadol 50 mg or 100 mg recorded a lower VAS for pain at rest and on movement at 8 to 72 hours, longer sensory and motor block time, and lower demand, delivery, and total amount of patientcontrolled analgesia. The passive knee ROM at 24 to 72 hours was greater in patients with femoral nerve block than in those without. Preoperative femoral nerve block with 20 ml of 0.375% ropivacaine and 100 mg tramadol resulted in the best analgesic effect.

  11. The changes on physical characteristics of lightning discharge plasma during individual return stroke process

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

    Xu, He; Yuan, Ping; Cen, Jian-Yong

    2014-03-15

    A cloud-to-ground lightning with six return strokes has been recorded with a slit-less spectrograph in Qinghai province. According to the spectra of return strokes without continuous current, the electron density, the channel temperature, and the gas pressure have been calculated. Then, the correlativity of these parameters has been analyzed. The results indicate that the total intensity of spectra is positive correlated to the intensity of spectral line, they both decrease with time rapidly; furthermore, the channel temperature and the gas pressure decrease with time slowly in the similar trends.

  12. Diabetic Foot Ulcers: The Importance of Patient Comorbidity Recognition and Total Contact Casting in Successful Wound Care.

    PubMed

    Jagadish, Mayuri; McNally, Michael M; Heidel, R Eric; Teffeteller, Susan; Arnold, Joshua D; Freeman, Michael; Stevens, Scott L; Grandas, Oscar H; Goldman, Mitchell H

    2016-08-01

    Diabetic foot ulcers (DFUs) are a major burden on the health-care system. The purpose of this study is to investigate factors affecting the healing rate of DFU in a university wound care center. Records of DFU patients treated between July 2013 and February 2015 were reviewed. Demographics, comorbidities, wound characteristics, and treatment modalities including offloading, hyperbaric oxygen treatment, total contact casting, and bioengineered skin were investigated. All patients underwent weekly debridement regardless of treatment modality. A total of 114 patients ages 18 to 98 comprised the study population. Total contact casting was the only treatment associated with increased healing (P = 0.02). Smoking (P = 0.004) and deep vein thrombosis history (P = 0.001) significantly decreased the likelihood of wound healing. Patients with past vascular event trended toward longer healing times (P = 0.07). Total contact casting in combination with weekly wound debridement showed benefit in DFU wound healing, whereas patients with a history of deep vein thrombosis and smoking were less likely to heal.

  13. Southern pulpwood production, 1967

    Treesearch

    Noel D. Cost

    1967-01-01

    Pulpwood production in the south leveled off slightly in 1968 but still established another record high of 33,651,100 cords—63 percent of the Nation’s total. Significant gains were noted in the use of residues, whereas roundwood production showed a light decrease for the first time in 10 years. At the year’s end, there were 92 mills in the operation of the South with a...

  14. Clinic to Cockpit: Analysis of Aviator Grounding Periods Due to Psychiatric Disorders

    DTIC Science & Technology

    2018-06-01

    The process to return U.S. Air Force aviators to flying status due to psychiatric conditions involves multiple parties and can be lengthy. We...examined grounding periods in a sample of aircrew to determine the causes of grounded time and to explore possible improvement in the waiver system. The...authors examined aeromedical records of 41 aviators treated with antidepressant medication to determine three metrics: total days grounded, days utilized

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

    PubMed Central

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

    2010-01-01

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

  16. Babbling in children with neurodevelopmental disability and validity of a simplified way of measuring canonical babbling ratio.

    PubMed

    Nyman, Anna; Lohmander, Anette

    2018-01-01

    Babbling is an important precursor to speech, but has not yet been thoroughly investigated in children with neurodevelopmental disabilities. Canonical babbling ratio (CBR) is a commonly used but time-consuming measure for quantifying babbling. The aim of this study was twofold: to validate a simplified version of the CBR (CBR UTTER ), and to use this measure to determine if early precursors to speech and language development could be detected in children with different neurodevelopmental disabilities. Two different data sets were used. In Part I, CBR UTTER was compared to two other CBR measures using previously obtained phonetic transcriptions of 3571 utterances from 38 audio recordings of 12-18 month old children with and without cleft palate. In CBR UTTER , number of canonical utterances was divided by total number of utterances. In CBR syl , number of canonical syllables was divided by total number of syllables. In CBR utt , number of canonical syllables was divided by total number of utterances. High agreement was seen between CBR UTTER and CBR syl , suggesting CBR UTTER as an alternative. In Part II, babbling in children with neurodevelopmental disability was examined. Eighteen children aged 12-22 months with Down syndrome, cerebral palsy or developmental delay were audio-video recorded during interaction with a parent. Recordings were analysed by observation of babbling, consonant production, calculation of CBR UTTER , and compared to data from controls. The study group showed significantly lower occurrence of all variables, except for of plosives. The long-term relevance of the findings for the speech and language development of the children needs to be investigated.

  17. Use of flow-normalization to evaluate nutrient concentration and flux changes in Lake Champlain tributaries, 1990-2009

    USGS Publications Warehouse

    Medalie, Laura; Hirsch, Robert M.; Archfield, Stacey A.

    2012-01-01

    The U.S. Geological Survey evaluated 20 years of total phosphorus (P) and total nitrogen (N) concentration data for 18 Lake Champlain tributaries using a new statistical method based on weighted regressions to estimate daily concentration and flux histories based on discharge, season, and trend as explanatory variables. The use of all the streamflow discharge values for a given date in the record, in a process called "flow-normalization," removed the year-to-year variation due to streamflow and generated a smooth time series from which trends were calculated. This approach to data analysis can be of great value to evaluations of the success of restoration efforts because it filters out the large random fluctuations in the flux that are due to the temporal variability in streamflow. Results for the full 20 years of record showed a mixture of upward and downward trends for concentrations and yields of P and N. When the record was broken into two 10-year periods, for many tributaries, the more recent period showed a reversal in N from upward to downward trends and a similar reversal or reduction in magnitude of upward trends for P. Some measures of P and N concentrations and yields appear to be related to intensity of agricultural activities, point-source loads of P, or population density. Total flow-normalized P flux aggregated from the monitored tributaries showed a decrease of 30 metric tons per year from 1991 to 2009, which is about 15% of the targeted reduction established by the operational management plan for the Lake Champlain Basin.

  18. Surf zone characterization from Unmanned Aerial Vehicle imagery

    NASA Astrophysics Data System (ADS)

    Holman, Rob A.; Holland, K. Todd; Lalejini, Dave M.; Spansel, Steven D.

    2011-11-01

    We investigate the issues and methods for estimating nearshore bathymetry based on wave celerity measurements obtained using time series imagery from small unmanned aircraft systems (SUAS). In contrast to time series imagery from fixed cameras or from larger aircraft, SUAS data are usually short, gappy in time, and unsteady in aim in high frequency ways that are not reflected by the filtered navigation metadata. These issues were first investigated using fixed camera proxy data that have been intentionally degraded to mimic these problems. It has been found that records as short as 50 s or less can yield good bathymetry results. Gaps in records associated with inadvertent look-away during unsteady flight would normally prevent use of the required standard Fast Fourier Transform methods. However, we found that a full Fourier Transform could be implemented on the remaining valid record segments and was effective if at least 50% of total record length remained intact. Errors in image geo-navigation were stabilized based on fixed ground fiducials within a required land portion of the image. The elements of a future method that could remove this requirement were then outlined. Two test SUAS data runs were analyzed and compared to survey ground truth data. A 54-s data run at Eglin Air Force Base on the Gulf of Mexico yielded a good bathymetry product that compared well with survey data (standard deviation of 0.51 m in depths ranging from 0 to 4 m). A shorter (30.5 s) record from Silver Strand Beach (near Coronado) on the US west coast provided a good approximation of the surveyed bathymetry but was excessively deep offshore and had larger errors (1.19 m for true depths ranging from 0 to 6 m), consistent with the short record length. Seventy-three percent of the bathymetry estimates lay within 1 m of the truth for most of the nearshore.

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

    PubMed

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

    2018-04-01

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

  20. Laser Induced Breakdown Spectroscopy of Glass and Crystal Samples

    NASA Astrophysics Data System (ADS)

    Sharma, Prakash; Sandoval, Alejandra; Carter, Michael; Kumar, Akshaya

    2015-03-01

    Different types of quartz crystals and rare earth ions doped glasses have been identified using the laser induced breakdown spectroscopy (LIBS) technique. LIBS is a real time technique, can be used to identify samples in solid, liquid and gas phases. The advantage of LIBS technique is that no sample preparation is required and laser causes extremely minimal damage to the sample surface. The LIBS spectrum of silicate glasses, prepared by sol-gel method and doped with different concentration of rare earth ions, has been recorded. The limit of detection of rare earth ions in glass samples has been calculated. Total 10 spectrums of each sample were recorded and then averaged to get a final spectrum. The ocean optics LIBS2500 plus spectrometer along with a Q- switched Nd: YAG laser (Quantel, Big Sky) were used to record the LIBS spectrum. This spectrometer can analyze the sample in the spectral range of 200 nm to 980 nm. The spectrum was processed by OOILIBS-plus (v1.0) software. This study has application in the industry where different crystals can be easily identified before they go for shaping and polishing. Also, concentration of rare earth ions in glass can be monitored in real time for quality control.

  1. Emission of OH* and CO2* during the high-temperature oxidation of acetone in reflected shock waves

    NASA Astrophysics Data System (ADS)

    Tereza, A. M.; Smirnov, V. N.; Vlasov, P. A.; Shumova, V. V.; Garmash, A. A.

    2018-01-01

    Experimental and kinetic modeling study of the ignition of a stoichiometric mixture of acetone with oxygen diluted by argon was carried out behind reflected shock waves within the temperature range of 1350-1810 K for the total mixture concentration [M 50] ~ 10-5 mol/cm3. Emission signals were recorded simultaneously for three different wavelengths: OH* (λ = 308 nm) and {{{CO}}}2* (λ1 = 365 nm; λ2 = 451 nm). It was revealed that the time it takes to reach the maximum of emission of OH* and {{{CO}}}2* is practically the same over the whole temperature range. At the same time, the emission profiles of {{{CO}}}2* after the maximum was attained, recorded at λ2 = 451 nm, differ noticeably from the profiles recorded at λ1 = 365 nm. For numerical modeling of the emission profiles of OH* and {{{CO}}}2* , the corresponding sets of excitation and quenching reactions available in the literature were used. In the course of our numerical simulations we succeeded in good agreement of our own experimental and simulation results on acetone ignition and the results available in the literature for conditions under consideration.

  2. Sound production patterns from humpback whales in a high latitude foraging area

    NASA Astrophysics Data System (ADS)

    Stimpert, Alison K.; Wiley, David N.; Barton, Kira L.; Johnson, Mark P.; Lammers, Marc O.; Au, Whitlow W. L.

    2005-09-01

    Numerous studies have been conducted on humpback whale song, but substantially fewer have focused on the acoustic properties of non-song sound production (i.e., feeding and social sounds). Non-invasive digital acoustic recording tags (DTAGS) were attached to humpback whales on the western North Atlantics Great South Channel feeding grounds during July 2004. Acoustic records totaling 48.4 data hours from four of these attachments were aurally analyzed for temporal trends in whale signal production. A custom automatic detection function was also used to identify occurrences of specific signals and evaluate their temporal consistency. Patterns in sound usage varied by stage of foraging dive and by time of day. Amount of time with signals present was greater at the bottom of dives than during surface periods, indicating that sounds are probably related to foraging at depth. For the two tags that recorded at night, signals were present during a greater proportion of daylight hours than night hours. These results will be compared with previously published trends describing diel patterns in male humpback whale song chorusing on the breeding grounds. Data from the continuation of this research during the summer of 2005 will also be included.

  3. Simulating extreme low-discharge events for the Rhine using a stochastic model

    NASA Astrophysics Data System (ADS)

    Macian-Sorribes, Hector; Mens, Marjolein; Schasfoort, Femke; Diermanse, Ferdinand; Pulido-Velazquez, Manuel

    2017-04-01

    The specific features of hydrological droughts make them more difficult to be analysed than other water-related phenomena: longer time scales (months to several years) so less historical events are available, and the drought severity and associate damage depends on a combination of variables with no clear prevalence (e.g., total water deficit, maximum deficit and duration). As part of drought risk analysis, which aims to provide insight into the variability of hydrological conditions and associated socio-economic impacts, long synthetic time series should therefore be developed. In this contribution, we increase the length of the available inflow time series using stochastic autoregressive modelling. This enhancement could improve the characterization of the extreme range and can define extreme droughts with similar periods of return but different patterns that can lead to distinctly different damages. The methodology consists of: 1) fitting an autoregressive model (AR, ARMA…) to the available records; 2) generating extended time series (thousands of years); 3) performing a frequency analysis with different characteristic variables (total, deficit, maximum deficit and so on); and 4) selecting extreme drought events associated with different characteristic variables and return periods. The methodology was applied to the Rhine river discharge at location Lobith, where the Rhine enters The Netherlands. A monthly ARMA(1,1) autoregressive model with seasonally varying parameters was fitted and successfully validated to the historical records available since year 1901. The maximum monthly deficit with respect to a threshold value of 1800 m3/s and the average discharge for a given time span in m3/s were chosen as indicators to identify drought periods. A synthetic series of 10,000 years of discharges was generated using the validated ARMA model. Two time spans were considered in the analysis: the whole calendar year and the half-year period between April and September (the summer half year, where water demands are highest). Frequency analysis was performed for both indicators and time spans for the generated time series and the historical records. The comparison between observed and generated series showed that the ARMA model provides a good reproduction of the maximum deficits and total discharges, especially for the summer half-year period. The resulting synthetic series are therefore considered credible. These synthetic series, with its wealth of information, can then be used as inputs for the damage assessment models, together with information on precipitation deficits, in order to estimate the risk that lower inflows can have on the urban, the agricultural, the shipping sector and so on. This will help in associating economic losses and periods of return, as well as for estimating how droughts with similar periods of return but different patterns can lead to different damages. ACKNOWLEDGEMENT This study has been supported by the European Union's Horizon 2020 research and innovation programme under the IMPREX project (grant agreement no: 641.811), and by the Climate-KIC Pioneers into Practice Program supported by the European Union's EIT.

  4. Oral versus intravenous premedication for small bowel biopsy in children: effect on procedure and fluoroscopy times.

    PubMed

    Stenhammar, L; Wärngård, O; Lewander, P; Nordvall, M

    1993-01-01

    Oral alimemazine and cisapride, or diazepam and cisapride, or iv midazolam and metoclopramide were given as premedication for small bowel biopsy to three groups of children from a total population of 185 individuals. The biopsy procedures were performed under intermittent fluoroscopy and times for both were recorded. The median biopsy procedure time was significantly shorter in children given iv midazolam and metoclopramide (6 min) compared to those given oral premedication (10 min) (p < 0.001). The median fluoroscopy time was very short in all groups, ranging between 3 and 6 s. It is concluded that iv premedication is superior to oral premedication for small bowel biopsy in children because more effective sedation is obtained.

  5. Measurement and valuation of health providers' time for the management of childhood pneumonia in rural Malawi: an empirical study.

    PubMed

    Bozzani, Fiammetta Maria; Arnold, Matthias; Colbourn, Timothy; Lufesi, Norman; Nambiar, Bejoy; Masache, Gibson; Skordis-Worrall, Jolene

    2016-07-28

    Human resources are a major cost driver in childhood pneumonia case management. Introduction of 13-valent pneumococcal conjugate vaccine (PCV-13) in Malawi can lead to savings on staff time and salaries due to reductions in pneumonia cases requiring admission. Reliable estimates of human resource costs are vital for use in economic evaluations of PCV-13 introduction. Twenty-eight severe and twenty-four very severe pneumonia inpatients under the age of five were tracked from admission to discharge by paediatric ward staff using self-administered timesheets at Mchinji District Hospital between June and August 2012. All activities performed and the time spent on each activity were recorded. A monetary value was assigned to the time by allocating a corresponding percentage of the health workers' salary. All costs are reported in 2012 US$. A total of 1,017 entries, grouped according to 22 different activity labels, were recorded during the observation period. On average, 99 min (standard deviation, SD = 46) were spent on each admission: 93 (SD = 38) for severe and 106 (SD = 55) for very severe cases. Approximately 40 % of activities involved monitoring and stabilization, including administering non-drug therapies such as oxygen. A further 35 % of the time was spent on injecting antibiotics. Nurses provided 60 % of the total time spent on pneumonia admissions, clinicians 25 % and support staff 15 %. Human resource costs were approximately US$ 2 per bed-day and, on average, US$ 29.5 per severe pneumonia admission and US$ 37.7 per very severe admission. Self-reporting was successfully used in this context to generate reliable estimates of human resource time and costs of childhood pneumonia treatment. Assuming vaccine efficacy of 41 % and 90 % coverage, PCV-13 introduction in Malawi can save over US$ 2 million per year in staff costs alone.

  6. Methods to model and predict the ViewRay treatment deliveries to aid patient scheduling and treatment planning

    PubMed Central

    Liu, Shi; Wu, Yu; Wooten, H. Omar; Green, Olga; Archer, Brent; Li, Harold

    2016-01-01

    A software tool is developed, given a new treatment plan, to predict treatment delivery time for radiation therapy (RT) treatments of patients on ViewRay magnetic resonance image‐guided radiation therapy (MR‐IGRT) delivery system. This tool is necessary for managing patient treatment scheduling in our clinic. The predicted treatment delivery time and the assessment of plan complexities could also be useful to aid treatment planning. A patient's total treatment delivery time, not including time required for localization, is modeled as the sum of four components: 1) the treatment initialization time; 2) the total beam‐on time; 3) the gantry rotation time; and 4) the multileaf collimator (MLC) motion time. Each of the four components is predicted separately. The total beam‐on time can be calculated using both the planned beam‐on time and the decay‐corrected dose rate. To predict the remain‐ing components, we retrospectively analyzed the patient treatment delivery record files. The initialization time is demonstrated to be random since it depends on the final gantry angle of the previous treatment. Based on modeling the relationships between the gantry rotation angles and the corresponding rotation time, linear regression is applied to predict the gantry rotation time. The MLC motion time is calculated using the leaves delay modeling method and the leaf motion speed. A quantitative analysis was performed to understand the correlation between the total treatment time and the plan complexity. The proposed algorithm is able to predict the ViewRay treatment delivery time with the average prediction error 0.22 min or 1.82%, and the maximal prediction error 0.89 min or 7.88%. The analysis has shown the correlation between the plan modulation (PM) factor and the total treatment delivery time, as well as the treatment delivery duty cycle. A possibility has been identified to significantly reduce MLC motion time by optimizing the positions of closed MLC pairs. The accuracy of the proposed prediction algorithm is sufficient to support patient treatment appointment scheduling. This developed software tool is currently applied in use on a daily basis in our clinic, and could also be used as an important indicator for treatment plan complexity. PACS number(s): 87.55.N PMID:27074472

  7. A late and failure of airbag deployment case study for drivers of passenger cars in rear-end collisions

    NASA Astrophysics Data System (ADS)

    Toganel, George-Radu; Ovidiu Soica, Adrian

    2017-10-01

    The presented study was directed at two types of airbag miss-deployments: late deployment and non-deployment. Late deployment can be a product of override or underride road traffic accidents. Non-deployment can be a product of technical failure or trigger algorithm’s inability to correctly assume the state of the accident to happen. In order to analyse the phenomena through physical tests, a specialized test device was used for a series of 8 non-deployment tests and a series of 4 airbag firing tests, totalling 12 tests. Acceleration based data was recorded and analysed for the movement of the device part simulating the driver head. High speed video recording was used to analyse the mechanics of airbag deployment and correlate with the acceleration based data. It has been determined, in the limitations of the laboratory testing environment, a significant variation of the time frame for the airbag deployments, despite using similar testing conditions and identical tested products. Also, the initial time frame for airbag deployment delay was overshadowed by other factors such as time to impact.

  8. Volcanic Ash Preservation in Prokosko Jezero, Boznia Herzegowina - Extending our Knowledge of Eruptions in the Adriatic Sea Area.

    NASA Astrophysics Data System (ADS)

    van den Bogaard, C.; Dörfler, W.

    2017-12-01

    Archaeological and palaeoecological studies of settlement phases and changes in society are often based on natural archives: changes in the sediment composition and pollen content reflect climatic developments, plant successions show human interactions with the landscape. Volcanic ash layers preserved in the archives form valuable time markers in archaeological studies, the data base is being enlarged rapidly. Here we report new results from a core from the Prokosko Jezero, Boznia Herzegowina, close to the Neolithic tell settlement at Okoliste. The core extends the European eruption record back into Late Glacial times. A total of at least 18 eruptive events are recorded in the core. No visible ash layers occur, 13 of the events are preserved as crypto-tephra layers, 5 as discrete layers. The ash particles have been provenance-fingerprinted by electron microprobe analysis and results are compared with published chemical measurements obtained from proximal and other distal sites within and around the Adriatic Sea. One of the aims of the present study was the timely correlation to other distal sites, comparing the overregional environmental development.

  9. Behavioral responses of Magellanic Penguins (Spheniscus magellanicus) (Foster) to saltwater versus freshwater.

    PubMed

    Reisfeld, Laura; Moraes, Kaue; Spaulussi, Lygia; Cardoso, Ricardo Cesar; Ippolito, Laura; Gutierrez, Rafael; Silvatti, Bruna; Pizzutto, Cristiane Schilbach

    2013-01-01

    The most common penguin species found along the coast of Brazil is the Magellanic Penguin (Spheniscus magellanicus). These penguins spend most of their time foraging for food in the oceans. This information is vital to the maintenance of this species in captivity. The goal of this study was to evaluate the behavioral response of a group of Magellanic Penguins (S. magellanicus) in two different conditions of water--fresh and salt. The work was divided into two phases. First, animals were kept in enclosures with access to freshwater. Then they were housed with access to saltwater. Behaviors were recorded by scan sampling per interval of time, totaling 7,200 records for each animal. The results show that the use of saltwater for this group of animals kept in captivity was more effective for increasing the time the animals spent in the water, increasing foraging behavior, stimulating swimming, and providing display of typical behaviors of the species, showing that access to a saltwater environment is an important tool in trying to provide well-being for this species in captivity. © 2013 Wiley Periodicals, Inc.

  10. A data-driven wavelet-based approach for generating jumping loads

    NASA Astrophysics Data System (ADS)

    Chen, Jun; Li, Guo; Racic, Vitomir

    2018-06-01

    This paper suggests an approach to generate human jumping loads using wavelet transform and a database of individual jumping force records. A total of 970 individual jumping force records of various frequencies were first collected by three experiments from 147 test subjects. For each record, every jumping pulse was extracted and decomposed into seven levels by wavelet transform. All the decomposition coefficients were stored in an information database. Probability distributions of jumping cycle period, contact ratio and energy of the jumping pulse were statistically analyzed. Inspired by the theory of DNA recombination, an approach was developed by interchanging the wavelet coefficients between different jumping pulses. To generate a jumping force time history with N pulses, wavelet coefficients were first selected randomly from the database at each level. They were then used to reconstruct N pulses by the inverse wavelet transform. Jumping cycle periods and contract ratios were then generated randomly based on their probabilistic functions. These parameters were assigned to each of the N pulses which were in turn scaled by the amplitude factors βi to account for energy relationship between successive pulses. The final jumping force time history was obtained by linking all the N cycles end to end. This simulation approach can preserve the non-stationary features of the jumping load force in time-frequency domain. Application indicates that this approach can be used to generate jumping force time history due to single people jumping and also can be extended further to stochastic jumping loads due to groups and crowds.

  11. Trends in radiopharmaceutical dispensing in a regional nuclear pharmacy

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

    Basmadjian, G.P.; Johnston, J.; Barker, K.

    1982-11-01

    Dispensing trends for radiopharmaceuticals at a regional nuclear pharmacy over a 51-month period were studied. dispensing records of a regional nuclear pharmacy were analyzed with a forecasting procedure that uses univariate time data to produce time trends and autoregressive models. The overall number of prescriptions increased from 3500 to 5500 per quarter. Radiopharmaceuticals used in nuclear cardiology studies increased from less than 0.1% to 17.5% of total prescriptions dispensed, while radiopharmaceuticals used for brain imaging showed a steady decline from 29% to 11% of total prescriptions dispensed. The demand for other radiopharmaceuticals increased in areas such as renal studies, bonemore » studies, lung studies, liver-function studies, and /sup 67/Ga tumor-uptake studies, and declined slightly for static liver studies. Changes in dispensing trends for radiopharmaceuticals will continue as the practice of nuclear medicine concentrates more on functional studies and as newer imaging techniques become used for other purposes.« less

  12. Fire Season 2015 in Alaska Set to Break Records

    NASA Image and Video Library

    2017-12-08

    Fires have raged throughout Alaska in 2015. The Moderate Resolution Imaging Spectroradiometer (MODIS) on NASA’s Aqua satellite acquired this image on July 14, 2015. Actively burning areas, detected by the thermal bands on MODIS, are outlined in red. According to the most recent update (July 16, 2015) from the Alaska Interagency Coordination Center, about 304 fires were actively burning when MODIS imaged the area. To date, fires have charred a total of 4,854,924 acres in Alaska. The worst fire season in Alaska's history was in 2004. At this point in time, 2015 is a month ahead of the totals in 2004 putting it on track surpass the fire totals in 2004. The amount of acreage burned in Alaska during June 2015 shattered the previous acreage record set in June 2004 by more than 700,000 acres delivering a sobering piece of news for Alaskan residents. Credit: NASA/GSFC/Jeff Schmaltz/MODIS Land Rapid Response Team NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

  13. The benefit of modeled ozone data for the reconstruction of a 99-year UV radiation time series

    NASA Astrophysics Data System (ADS)

    Junk, J.; Feister, U.; Helbig, A.; GöRgen, K.; Rozanov, E.; KrzyśCin, J. W.; Hoffmann, L.

    2012-08-01

    Solar erythemal UV radiation (UVER) is highly relevant for numerous biological processes that affect plants, animals, and human health. Nevertheless, long-term UVER records are scarce. As significant declines in the column ozone concentration were observed in the past and a recovery of the stratospheric ozone layer is anticipated by the middle of the 21st century, there is a strong interest in the temporal variation of UVERtime series. Therefore, we combined ground-based measurements of different meteorological variables with modeled ozone data sets to reconstruct time series of daily totals of UVER at the Meteorological Observatory, Potsdam, Germany. Artificial neural networks were trained with measured UVER, sunshine duration, the day of year, measured and modeled total column ozone, as well as the minimum solar zenith angle. This allows for the reconstruction of daily totals of UVERfor the period from 1901 to 1999. Additionally, analyses of the long-term variations from 1901 until 1999 of the reconstructed, new UVER data set are presented. The time series of monthly and annual totals of UVERprovide a long-term meteorological basis for epidemiological investigations in human health and occupational medicine for the region of Potsdam and Berlin. A strong benefit of our ANN-approach is the fact that it can be easily adapted to different geographical locations, as successfully tested in the framework of the COSTAction 726.

  14. Reconstruction of daily erythemal UV radiation values for the last century - The benefit of modelled ozone

    NASA Astrophysics Data System (ADS)

    Junk, J.; Feister, U.; Rozanov, E.; Krzyścin, J. W.

    2013-05-01

    Solar erythemal UV radiation (UVER) is highly relevant for numerous biological processes that affect plants, animals, and human health. Nevertheless, long-term UVER records are scarce. As significant declines in the column ozone concentration were observed in the past and a recovery of the stratospheric ozone layer is anticipated by the middle of the 21st century, there is a strong interest in the temporal variation of UVER time series. Therefore, we combined groundbased measurements of different meteorological variables with modeled ozone data sets to reconstruct time series of daily totals of UVER at the Meteorological Observatory Potsdam, Germany. Artificial neural networks were trained with measured UVER, sunshine duration, the day of year, measured and modeled total column ozone, as well as the minimum solar zenith angle. This allows for the reconstruction of daily totals of UVER for the period from 1901 to 1999. Additionally, analyses of the long-term variations from 1901 until 1999 of the reconstructed, new UVER data set are presented. The time series of monthly and annual totals of UVER provide a long-term meteorological basis for epidemiological investigations in human health and occupational medicine for the region of Potsdam and Berlin. A strong benefit of our ANN-approach is the fact that it can be easily adapted to different geographical locations, as successfully tested in the framework of the COSTAction 726.

  15. Toward understanding early Earth evolution: Prescription for approach from terrestrial noble gas and light element records in lunar soils

    PubMed Central

    Ozima, Minoru; Yin, Qing-Zhu; Podosek, Frank A.; Miura, Yayoi N.

    2008-01-01

    Because of the almost total lack of geological record on the Earth's surface before 4 billion years ago, the history of the Earth during this period is still enigmatic. Here we describe a practical approach to tackle the formidable problems caused by this lack. We propose that examinations of lunar soils for light elements such as He, N, O, Ne, and Ar would shed a new light on this dark age in the Earth's history and resolve three of the most fundamental questions in earth science: the onset time of the geomagnetic field, the appearance of an oxygen atmosphere, and the secular variation of an Earth–Moon dynamical system. PMID:19001263

  16. New records of the black fly fauna (Diptera: Simuliidae) in two rivers of the western Amazonia, Brazil.

    PubMed

    Nascimento, Erika S; Marchon-Silva, Verônica; Maia-Herzog, Marilza

    2009-01-01

    Our goal was to verify the presence and the composition of black floy species in the Antimari and Acre rivers, located in the end of Western Amazonia, where this entomological inquiry was accomplished. Along the Antimari and Acre rivers, 19 localities were studied and 133 larvae and 197 pupae were collected, totalizing 330 black floy immatures. The following species are recorded for the first time in this area: Simulium (Psaroniocompsa) amazonicum Goeldi, Simulium (Psaroniocompsa) oyapockense Floch & Abonnenc, Simulium (Psaroniocompsa) quadrifidum Lutz, Simulium (Psilopelmia) lutzianum Pinto, Simulium (Psilopelmia) perfloavum Roubaud and Simulium (Notolepria) exiguum Roubaud. Our data suggest that S. amazonicum, S. oyapockense and S. quadrifidum have a wide geographical distribution as well as population density.

  17. Two new species and new records of chiggers (Acari: Leeuwenhoekiidae,
    Trombiculidae) from birds in Vietnam.

    PubMed

    Kaluz, Stanislav K; Hung, Nguyen Manh; Capek, Miroslav; Literak, Ivan

    2016-01-11

    A total of 12 chigger species (Acariformes: Trombiculidae) occurred on 7 bird species in Vietnam. Two new species, namely Neoschoengastia vietnamensis sp. nov. and Hypogastia stekolnikovi sp. nov. are described, figured and compared with similar species placed in relevant genera using differential diagnoses of related species. Figures and diagnosis of Leptotrombidium taiyuanense Tian and Wen, 1984 are added. Odontacarus audy (Radford, 1946), Leptotrombidium allosetum Wang, Liao and Lin, 1981, L. taiyuanense, Leptotrombidium hanseni Traub and Lakshana, 1966, Leptotrombidium kunshui Wen and Xiang, 1984, Leptotrombidium paradux Vercammen-Grandjean and Langston, 1976, Leptotrombidium turdicola Vercammen-Grandjean and Langston, 1976, Neotrombicula elegans Schluger, 1966 and Neoschoengastia longitar-salis Schluger and Belskaya, 1966 were recorded in Vietnam for the first time.

  18. The Breakthrough Listen Search for Intelligent Life: A Wideband Data Recorder System for the Robert C. Byrd Green Bank Telescope

    NASA Astrophysics Data System (ADS)

    MacMahon, David H. E.; Price, Danny C.; Lebofsky, Matthew; Siemion, Andrew P. V.; Croft, Steve; DeBoer, David; Enriquez, J. Emilio; Gajjar, Vishal; Hellbourg, Gregory; Isaacson, Howard; Werthimer, Dan; Abdurashidova, Zuhra; Bloss, Marty; Brandt, Joe; Creager, Ramon; Ford, John; Lynch, Ryan S.; Maddalena, Ronald J.; McCullough, Randy; Ray, Jason; Whitehead, Mark; Woody, Dave

    2018-04-01

    The Breakthrough Listen Initiative is undertaking a comprehensive search for radio and optical signatures from extraterrestrial civilizations. An integral component of the project is the design and implementation of wide-bandwidth data recorder and signal processing systems. The capabilities of these systems, particularly at radio frequencies, directly determine survey speed; further, given a fixed observing time and spectral coverage, they determine sensitivity as well. Here, we detail the Breakthrough Listen wide-bandwidth data recording system deployed at the 100 m aperture Robert C. Byrd Green Bank Telescope. The system digitizes up to 6 GHz of bandwidth at 8 bits for both polarizations, storing the resultant 24 GB s‑1 of data to disk. This system is among the highest data rate baseband recording systems in use in radio astronomy. A future system expansion will double recording capacity, to achieve a total Nyquist bandwidth of 12 GHz in two polarizations. In this paper, we present details of the system architecture, along with salient configuration and disk-write optimizations used to achieve high-throughput data capture on commodity compute servers and consumer-class hard disk drives.

  19. The impact of interoperability of electronic health records on ambulatory physician practices: a discrete-event simulation study.

    PubMed

    Zhou, Yuan; Ancker, Jessica S; Upadhye, Mandar; McGeorge, Nicolette M; Guarrera, Theresa K; Hegde, Sudeep; Crane, Peter W; Fairbanks, Rollin J; Bisantz, Ann M; Kaushal, Rainu; Lin, Li

    2013-01-01

    The effect of health information technology (HIT) on efficiency and workload among clinical and nonclinical staff has been debated, with conflicting evidence about whether electronic health records (EHRs) increase or decrease effort. None of this paper to date, however, examines the effect of interoperability quantitatively using discrete event simulation techniques. To estimate the impact of EHR systems with various levels of interoperability on day-to-day tasks and operations of ambulatory physician offices. Interviews and observations were used to collect workflow data from 12 adult primary and specialty practices. A discrete event simulation model was constructed to represent patient flows and clinical and administrative tasks of physicians and staff members. High levels of EHR interoperability were associated with reduced time spent by providers on four tasks: preparing lab reports, requesting lab orders, prescribing medications, and writing referrals. The implementation of an EHR was associated with less time spent by administrators but more time spent by physicians, compared with time spent at paper-based practices. In addition, the presence of EHRs and of interoperability did not significantly affect the time usage of registered nurses or the total visit time and waiting time of patients. This paper suggests that the impact of using HIT on clinical and nonclinical staff work efficiency varies, however, overall it appears to improve time efficiency more for administrators than for physicians and nurses.

  20. Changes in the Ginsenoside Content During Fermentation Using an Appliance for the Preparation of Red Ginseng.

    PubMed

    Lee, So Jin; Ha, Na; Kim, Yunjeong; Kim, Min-Gul

    2016-01-01

    The total amount of ginsenoside in fermented red ginseng (FRG) is increased by microbial fermentation. The aim of this study was to evaluate whether fermentation time and temperature affect the ginsenoside content during fermentation using an appliance for the preparation of red ginseng. The FRG and fermented red ginseng extracts (FRG-e) were prepared using an appliance for the preparation of red ginseng. The temperature was recorded and time points for sampling were scheduled at pre-fermentation (0[Formula: see text]h) and 18, 36, 48, 60 and 72[Formula: see text]h after the addition of the microbial strains. Samples of FRG and FRG-e were collected to identify changes in the ginsenoside contents at each time point during the fermentation process. The ginsenoside content was analyzed using high performance liquid chromatography (HPLC). The levels of ginsenoside Rh1, Rg3, and compound Y, which are known to have effective pharmacological properties, increased more than three-fold in the final products of FRG relative to samples prior to fermentation. Although the ginsenoside constituents of FRG-e decreased or increased and then decreased during fermentation, the total amount of ginsenoside in FRG-e was even higher than those in FRG; the total amounts of ginsenoside in FRG-e and FRG were 8282.8 and 738.0[Formula: see text]mg, respectively. This study examined the changes in composition of ginsenosides and suggests a method to manufacture high-content total ginsenosides according to the fermentation temperature and process time. Reducing the extraction time is expected to improve the decrease of ginsenosides in FRG-e as a function of the fermentation time.

  1. Suspended-sediment and nutrient loads for Waiakea and Alenaio Streams, Hilo, Hawaii, 2003-2006

    USGS Publications Warehouse

    Presley, Todd K.; Jamison, Marcael T.J.; Nishimoto, Dale C.

    2008-01-01

    Suspended sediment and nutrient samples were collected during wet-weather conditions at three sites on two ephemeral streams in the vicinity of Hilo, Hawaii during March 2004 to March 2006. Two sites were sampled on Waiakea Stream at 80- and 860-foot altitudes during March 2004 to August 2005. One site was sampled on Alenaio Stream at 10-foot altitude during November 2005 to March 2006. The sites were selected to represent different land uses and land covers in the area. Most of the drainage area above the upper Waiakea Stream site is conservation land. The drainage areas above the lower site on Waiakea Stream, and the site on Alenaio Stream, are a combination of conservation land, agriculture, rural, and urban land uses. In addition to the sampling, continuous-record streamflow sites were established at the three sampling sites, as well as an additional site on Alenaio Stream at altitude of 75 feet and 0.47 miles upstream from the sampling site. Stage was measured continuously at 15-minute intervals at these sites. Discharge, for any particular instant, or for selected periods of time, were computed based on a stage-discharge relation determined from individual discharge measurements. Continuous records of discharge were computed at the two sites on Waiakea Stream and the upper site on Aleniao Stream. Due to non-ideal hydraulic conditions within the channel of Alenaio Stream, a continuous record of discharge was not computed at the lower site on Alenaio Stream where samples were taken. Samples were analyzed for suspended sediment, and the nutrients total nitrogen, dissolved nitrite plus nitrate, and total phosphorus. Concentration data were converted to instantaneous load values: loads are the product of discharge and concentration, and are presented as tons per day for suspended sediment or pounds per day for nutrients. Daily-mean loads were computed by estimating concentrations relative to discharge using graphical constituent loading analysis techniques. Daily-mean loads were computed at the two Waiakea Stream sampling sites for the analyzed constituents, during the period October 1, 2003 to September 30, 2005. No record of daily-mean load was computed for the Alenaio Stream sampling site due to the problems with computing a discharge record. The maximum daily-mean loads for the upper site on Waiakea Stream for suspended sediment was 79 tons per day, and the maximum daily-mean loads for total nitrogen, dissolved nitrite plus nitrate, and total phosphorus were 1,350, 13, and 300 pounds per day, respectively. The maximum daily-mean loads for the lower site on Waiakea Stream for suspended sediment was 468 tons per day, and the maximum daily-mean loads for total nitrogen, nitrite plus nitrate, and total phosphorus were 913, 8.5, and 176 pounds per day, respectively. From the estimated continuous daily-mean load record, all of the maximum daily-mean loads occurred during October 2003 and September 2004, except for suspended sediment load for the lower site, which occurred on September 15, 2005. Maximum values were not all caused by a single storm event. Overall, the record of daily-mean loads showed lower loads during storm events for suspended sediments and nutrients at the downstream site of Waiakea Stream during 2004 than at the upstream site. During 2005, however, the suspended sediment loads were higher at the downstream site than the upstream site. Construction of a flood control channel between the two sites in 2005 may have contributed to the change in relative suspended-sediment loads.

  2. 2009 Spring floods in North Dakota, western Minnesota, and northeastern South Dakota

    USGS Publications Warehouse

    Macek-Rowland, Kathleen M.; Gross, Tara A.

    2011-01-01

    In 2009, record-breaking snowfalls and additional spring moisture caused severe flooding in parts of the Missouri River and Red River of the North (Red River) Basins in North Dakota, Minnesota, and South Dakota. There were 48 peak of record stages and 36 discharges recorded at U.S. Geological Survey streamgages located in both basins between March 20 and May 15, 2009. High water continued to affect many communities up and down the rivers' main stems and tributaries for nearly 2 months. Record snowfall for single-day totals, as well as monthly totals, occurred throughout the Missouri River and Red River of the North Basins. Additional moisture in the spring as well as the timing of warmer temperatures caused record flooding in many places in both basins with many locations reporting two flood crests. Ice jams on the Missouri River, located north and south of Bismarck, N. Dak., caused flooding. Southwest Bismarck was evacuated as rising waters first began inundating homes in low-lying areas along the river and then continued flowing into the city's lower south side. On March 24, 2009, the peak stage of the Missouri River at Bismarck, N. Dak. streamgage was 16.11 feet, which was the highest recorded stage since the completion of Garrison Dam in 1954. South of Bismarck, the Missouri River near Schmidt, N. Dak. streamgage recorded a peak stage of 24.24 feet on March 25, 2009, which surpassed the peak of record of 23.56 feet that occurred on December 9, 1976. While peak stage reached record levels at these streamgages, the discharge through the river at these locations did not reach record levels. The record high stages resulted from ice jams occurring on the Missouri River north and south of the cities of Bismarck and Mandan. At the Red River of the North at Fargo, N. Dak. streamgage, the Red River reached a record stage of 40.84 feet surpassing the previous peak of record stage of 39.72 feet set in 1997. The associated peak streamflow of 29,500 cubic feet per second exceeded the previous peak of record set in 1997 by 1,500 cubic feet per second. For the cities of Fargo, and Moorhead, Minn., and the surrounding area, the stage of the Red River remained above flood stage for nearly 2 months. In addition to high stage and flow on the main-stem Missouri and Red Rivers, peak of record stage and discharge were recorded at many U.S. Geological Survey streamgages in the Missouri River and Red River Basins. Several reservoirs and lakes in the region also experienced record stage elevations from the high flows during the 2009 spring snowmelt floods.

  3. Interpretation of a seismic refraction profile across the Roosevelt Hot Springs, Utah and vicinity

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

    Gertson, R.C.; Smith, R.B.

    1979-03-01

    In April 1977, a seismic refraction profile was recorded across the Milford Valley, the Roosevelt Hot Springs KGRA, and the northern Mineral Mountains in southwestern Utah. Seven shot points were used to provide multiple subsurface seismic refraction coverage along the 30 km east-west profile line. Since an inspection of power spectrums revealed large components of 60 Hz noise on some traces, computer routines were used to low-pass filter all seismograms. Amplitude information was utilized by normalizing all traces that recorded the same blast. Subsurface structural modeling was conducted by means of first arrival P-wave delay-time analysis and ray tracing. Herglotz-Wiechertmore » travel-time inversion was used for the velocity-depth distribution in the Mineral Mountains. The interpretation of the P-wave travel-times suggests that the Milford Valley fill consists of two units with a total thickness of at least 1.8 km. In the vicinity of the Roosevelt KGRA, a thin low velocity alluvial layer covers a basement igneous complex with a velocity of 5.2 km/s. Granite velocities between 3.3 km/s and 4.0 km/s were calculated from the travel-times in the Mineral Mountains.« less

  4. Single-Station Sigma for the Iranian Strong Motion Stations

    NASA Astrophysics Data System (ADS)

    Zafarani, H.; Soghrat, M. R.

    2017-11-01

    In development of ground motion prediction equations (GMPEs), the residuals are assumed to have a log-normal distribution with a zero mean and a standard deviation, designated as sigma. Sigma has significant effect on evaluation of seismic hazard for designing important infrastructures such as nuclear power plants and dams. Both aleatory and epistemic uncertainties are involved in the sigma parameter. However, ground-motion observations over long time periods are not available at specific sites and the GMPEs have been derived using observed data from multiple sites for a small number of well-recorded earthquakes. Therefore, sigma is dominantly related to the statistics of the spatial variability of ground motion instead of temporal variability at a single point (ergodic assumption). The main purpose of this study is to reduce the variability of the residuals so as to handle it as epistemic uncertainty. In this regard, it is tried to partially apply the non-ergodic assumption by removing repeatable site effects from total variability of six GMPEs driven from the local, Europe-Middle East and worldwide data. For this purpose, we used 1837 acceleration time histories from 374 shallow earthquakes with moment magnitudes ranging from M w 4.0 to 7.3 recorded at 370 stations with at least two recordings per station. According to estimated single-station sigma for the Iranian strong motion stations, the ratio of event-corrected single-station standard deviation ( Φ ss) to within-event standard deviation ( Φ) is about 0.75. In other words, removing the ergodic assumption on site response resulted in 25% reduction of the within-event standard deviation that reduced the total standard deviation by about 15%.

  5. Increasing subtropical North Pacific Ocean nitrogen fixation since the Little Ice Age.

    PubMed

    Sherwood, Owen A; Guilderson, Thomas P; Batista, Fabian C; Schiff, John T; McCarthy, Matthew D

    2014-01-02

    The North Pacific subtropical gyre (NPSG) plays a major part in the export of carbon and other nutrients to the deep ocean. Primary production in the NPSG has increased in recent decades despite a reduction in nutrient supply to surface waters. It is thought that this apparent paradox can be explained by a shift in plankton community structure from mostly eukaryotes to mostly nitrogen-fixing prokaryotes. It remains uncertain, however, whether the plankton community domain shift can be linked to cyclical climate variability or a long-term global warming trend. Here we analyse records of bulk and amino-acid-specific (15)N/(14)N isotopic ratios (δ(15)N) preserved in the skeletons of long-lived deep-sea proteinaceous corals collected from the Hawaiian archipelago; these isotopic records serve as a proxy for the source of nitrogen-supported export production through time. We find that the recent increase in nitrogen fixation is the continuation of a much larger, centennial-scale trend. After a millennium of relatively minor fluctuation, δ(15)N decreases between 1850 and the present. The total shift in δ(15)N of -2 per mil over this period is comparable to the total change in global mean sedimentary δ(15)N across the Pleistocene-Holocene transition, but it is happening an order of magnitude faster. We use a steady-state model and find that the isotopic mass balance between nitrate and nitrogen fixation implies a 17 to 27 per cent increase in nitrogen fixation over this time period. A comparison with independent records suggests that the increase in nitrogen fixation might be linked to Northern Hemisphere climate change since the end of the Little Ice Age.

  6. A validation of ground ambulance pre-hospital times modeled using geographic information systems

    PubMed Central

    2012-01-01

    Background Evaluating geographic access to health services often requires determining the patient travel time to a specified service. For urgent care, many research studies have modeled patient pre-hospital time by ground emergency medical services (EMS) using geographic information systems (GIS). The purpose of this study was to determine if the modeling assumptions proposed through prior United States (US) studies are valid in a non-US context, and to use the resulting information to provide revised recommendations for modeling travel time using GIS in the absence of actual EMS trip data. Methods The study sample contained all emergency adult patient trips within the Calgary area for 2006. Each record included four components of pre-hospital time (activation, response, on-scene and transport interval). The actual activation and on-scene intervals were compared with those used in published models. The transport interval was calculated within GIS using the Network Analyst extension of Esri ArcGIS 10.0 and the response interval was derived using previously established methods. These GIS derived transport and response intervals were compared with the actual times using descriptive methods. We used the information acquired through the analysis of the EMS trip data to create an updated model that could be used to estimate travel time in the absence of actual EMS trip records. Results There were 29,765 complete EMS records for scene locations inside the city and 529 outside. The actual median on-scene intervals were longer than the average previously reported by 7–8 minutes. Actual EMS pre-hospital times across our study area were significantly higher than the estimated times modeled using GIS and the original travel time assumptions. Our updated model, although still underestimating the total pre-hospital time, more accurately represents the true pre-hospital time in our study area. Conclusions The widespread use of generalized EMS pre-hospital time assumptions based on US data may not be appropriate in a non-US context. The preference for researchers should be to use actual EMS trip records from the proposed research study area. In the absence of EMS trip data researchers should determine which modeling assumptions more accurately reflect the EMS protocols across their study area. PMID:23033894

  7. Observations of movement dynamics of flying insects using high resolution lidar.

    PubMed

    Kirkeby, Carsten; Wellenreuther, Maren; Brydegaard, Mikkel

    2016-07-04

    Insects are fundamental to ecosystem functioning and biodiversity, yet the study of insect movement, dispersal and activity patterns remains a challenge. Here we present results from a novel high resolution laser-radar (lidar) system for quantifying flying insect abundance recorded during one summer night in Sweden. We compare lidar recordings with data from a light trap deployed alongside the lidar. A total of 22808 insect were recorded, and the relative temporal quantities measured matched the quantities recorded with the light trap within a radius of 5 m. Lidar records showed that small insects (wing size <2.5 mm(2) in cross-section) moved across the field and clustered near the light trap around 22:00 local time, while larger insects (wing size >2.5 mm(2) in cross-section) were most abundant near the lidar beam before 22:00 and then moved towards the light trap between 22:00 and 23:30. We could distinguish three insect clusters based on morphology and found that two contained insects predominantly recorded above the field in the evening, whereas the third was formed by insects near the forest at around 21:30. Together our results demonstrate the capability of lidar for distinguishing different types of insect during flight and quantifying their movements.

  8. Observations of movement dynamics of flying insects using high resolution lidar

    PubMed Central

    Kirkeby, Carsten; Wellenreuther, Maren; Brydegaard, Mikkel

    2016-01-01

    Insects are fundamental to ecosystem functioning and biodiversity, yet the study of insect movement, dispersal and activity patterns remains a challenge. Here we present results from a novel high resolution laser-radar (lidar) system for quantifying flying insect abundance recorded during one summer night in Sweden. We compare lidar recordings with data from a light trap deployed alongside the lidar. A total of 22808 insect were recorded, and the relative temporal quantities measured matched the quantities recorded with the light trap within a radius of 5 m. Lidar records showed that small insects (wing size <2.5 mm2 in cross-section) moved across the field and clustered near the light trap around 22:00 local time, while larger insects (wing size >2.5 mm2 in cross-section) were most abundant near the lidar beam before 22:00 and then moved towards the light trap between 22:00 and 23:30. We could distinguish three insect clusters based on morphology and found that two contained insects predominantly recorded above the field in the evening, whereas the third was formed by insects near the forest at around 21:30. Together our results demonstrate the capability of lidar for distinguishing different types of insect during flight and quantifying their movements. PMID:27375089

  9. 49 CFR 395.15 - Automatic on-board recording devices.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... information concerning on-board system sensor failures and identification of edited data. Such support systems... driving today; (iv) Total hours on duty for the 7 consecutive day period, including today; (v) Total hours...-driver operation; (7) The on-board recording device/system identifies sensor failures and edited data...

  10. 40 CFR Table 4 to Subpart Ggg of... - Monitoring Requirements for Control Devices a

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... (regenerative) Stream flow monitoring device, and 1. Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) 1. For each regeneration cycle, record the total regeneration stream... regeneration 2. For each regeneration cycle, record the maximum carbon bed-temperature. 3. Temperature of...

  11. 40 CFR Table 4 to Subpart Ggg of... - Monitoring Requirements for Control Devices a

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... (regenerative) Stream flow monitoring device, and 1. Total regeneration stream mass or volumetric flow during carbon bed regeneration cycle(s) 1. For each regeneration cycle, record the total regeneration stream... regeneration 2. For each regeneration cycle, record the maximum carbon bed-temperature. 3. Temperature of...

  12. 49 CFR 225.25 - Recordkeeping.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Total number of cars that derailed; (20) Total amount of damage in dollars to equipment based on... damage in dollars to track, signal, way and structures based on computations as described in the “FRA... Equipment Accident/Incident Record (Form FRA F 6180.97) or an alternative railroad-designed record as...

  13. Whitewater-Baldy Fire

    Atmospheric Science Data Center

    2015-03-05

    ... June 12, 2012, it had burned a total of 278,708 acres (1,128 square kilometers), making it the largest wildfire on record in New Mexico. ... June 12, 2012, it had burned a total of 278,708 acres (1,128 square kilometers), making it the largest wildfire on record in New Mexico. The ...

  14. The Impacts of Local Health Department Consolidation on Public Health Expenditures: Evidence From Ohio

    PubMed Central

    Morris, Michael E.; Stefanak, Matthew; Filla, Joshua; Prodhan, Rohit; Smith, Sharla A.

    2015-01-01

    We examined the effects of local health department (LHD) consolidations on the total and administrative expenditures of LHDs in Ohio from 2001 to 2011. We obtained data from annual records maintained by the state of Ohio and through interviews conducted with senior local health officials and identified 20 consolidations of LHDs occurring in Ohio in this time period. We found that consolidating LHDs experienced a reduction in total expenditures of approximately 16% (P = .017), although we found no statistically significant change in administrative expenses. County health officials who were interviewed concurred that their consolidations yielded financial benefits, and they also asserted that their consolidations yielded public health service improvements. PMID:25689193

  15. The impacts of local health department consolidation on public health expenditures: evidence from Ohio.

    PubMed

    Hoornbeek, John; Morris, Michael E; Stefanak, Matthew; Filla, Joshua; Prodhan, Rohit; Smith, Sharla A

    2015-04-01

    We examined the effects of local health department (LHD) consolidations on the total and administrative expenditures of LHDs in Ohio from 2001 to 2011. We obtained data from annual records maintained by the state of Ohio and through interviews conducted with senior local health officials and identified 20 consolidations of LHDs occurring in Ohio in this time period. We found that consolidating LHDs experienced a reduction in total expenditures of approximately 16% (P = .017), although we found no statistically significant change in administrative expenses. County health officials who were interviewed concurred that their consolidations yielded financial benefits, and they also asserted that their consolidations yielded public health service improvements.

  16. Sedentary behaviors of adults in relation to neighborhood walkability and income.

    PubMed

    Kozo, Justine; Sallis, James F; Conway, Terry L; Kerr, Jacqueline; Cain, Kelli; Saelens, Brian E; Frank, Lawrence D; Owen, Neville

    2012-11-01

    Sedentary (sitting) time is a newly identified risk factor for obesity and chronic diseases, which is behaviorally and physiologically distinct from lack of physical activity. To inform public health approaches to influencing sedentary behaviors, an understanding of correlates is required. Participants were 2,199 adults aged 20-66 years living in King County/Seattle, WA, and Baltimore, MD, regions, recruited from neighborhoods high or low on a "walkability index" (derived from objective built environment indicators) and having high or low median incomes. Cross-sectional associations of walkability and income with total sedentary time (measured by accelerometers and by self-report) and with self-reported time in seven specific sitting-related behaviors were examined. Neighborhood walkability and income were unrelated to measures of total sitting time. Lower neighborhood walkability was significantly associated with more driving time (difference of 18.2 min/day, p < .001) and more self-reported TV viewing (difference of 14.5 min/day, p < .001). Residents of higher income neighborhoods reported more computer/Internet and reading time, and they had more objectively measured sedentary time. Neighborhood walkability was not related to total sedentary time but was related to two specific sedentary behaviors associated with risk for obesity-driving time and TV viewing time. Future research could examine how these prevalent and often prolonged sedentary behaviors mediate relationships between neighborhood walkability and overweight/obesity. Initiatives to reduce chronic disease risk among residents of both higher-and lower-income low-walkable neighborhoods should include a focus on reducing TV viewing time and other sedentary behaviors and enacting policies that can lead to the development or redevelopment of more-walkable neighborhoods. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

  17. Scabies is strongly associated with acute rheumatic fever in a cohort study of Auckland children.

    PubMed

    Thornley, Simon; Marshall, Roger; Jarrett, Paul; Sundborn, Gerhard; Reynolds, Edwin; Schofield, Grant

    2018-02-14

    This study sought to determine whether scabies infection is associated with acute rheumatic fever (ARF) or chronic rheumatic heart disease (CRHD). A cohort study was undertaken using health records of children aged 3-12 years attending an oral health service for the first time. Subjects were then linked to hospital diagnoses of scabies and ARF or CRHD. A total of 213 957 children free of rheumatic heart disease at baseline were available for analysis. During a mean follow-up time of 5.1 years, 440 children were diagnosed with ARF or CRHD in hospital records. Children diagnosed with scabies during follow-up were 23 times more likely to develop ARF or CRHD, compared with children who had no scabies diagnosis. After adjustment for confounders in a Cox model, the association reduced but remained strong (adjusted hazard ratio: 8.98; 95% confidence interval: 6.33-20.2). In an analysis restricted to children hospitalised at least once during follow-up, the adjusted hazard ratio for the same comparison was 3.43 (95% confidence interval: 1.85-6.37). A recent diagnosis of scabies from hospital records is strongly associated with a subsequent diagnosis of ARF. Further investigation of the role that scabies infestation may play in the aetiology of ARF is warranted. © 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  18. Fertility and Pregnancy Outcome After Abdominal Irradiation That Included or Excluded the Pelvis in Childhood Tumor Survivors

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

    Sudour, Helene, E-mail: h.sudour@hotmail.f; Chastagner, Pascal; Claude, Line

    Purpose: To evaluate fertility after abdominal and/or pelvic irradiation in long-term female survivors. Methods and Materials: Puberty and pregnancy outcome were analyzed in female survivors of childhood cancer (aged <18 years) treated with abdominal and/or pelvic radiotherapy (RT) at one of two French centers (Nancy and Lyon) between 1975 and 2004. Data were obtained from medical records and questionnaires sent to the women. Results: A total of 84 patients who had received abdominal and/or pelvic RT during childhood and were alive and aged more than 18 years at the time of the study made up the study population. Of themore » 57 female survivors treated with abdominal RT that excluded the pelvis, 52 (91%) progressed normally through puberty and 23 (40%) had at least one recorded pregnancy. Of the 27 patients treated with pelvic RT, only 10 (37%) progressed normally through puberty and 5 (19%) had at least one recorded pregnancy. Twenty-two women (seventeen of whom were treated with pelvic RT) had certain subfertility. A total of 50 births occurred in 28 women, with one baby dying at birth; one miscarriage also occurred. There was a high prevalence of prematurity and low birth weight but not of congenital malformations. Conclusions: Fertility can be preserved in patients who undergo abdominal RT that excludes the pelvis, taking into account the other treatments (e.g., chemotherapy with alkylating agents) are taken into account. When RT includes the pelvis, fertility is frequently impaired and women can have difficulty conceiving. Nevertheless, pregnancies can occur in some of these women. The most important factor that endangers a successful pregnancy after RT is the total dose received by the ovaries and uterus. This radiation dose has to be systematically recorded to improve our ability to follow up patients.« less

  19. Did Aboriginal Australians record a simultaneous eclipse and aurora in their oral traditions?

    NASA Astrophysics Data System (ADS)

    Fuller, Robert S.; Hamacher, Duane W.

    2017-12-01

    We investigate an Australian Aboriginal cultural story that seems to describe an extraordinary series of astronomical events occurring at the same time. We hypothesise that this was a witnessed natural event and explore natural phenomena that could account for the description. We select a thunderstorm, total solar eclipse, and strong Aurora Australis as the most likely candidates, then conclude a plausible date of 764 CE. We evaluate the different factors that would determine whether all these events could have been visible, include meteorological data, alternative total solar eclipse dates, solar activity cycles, aurorae appearances, and sky brightness during total solar eclipses. We conduct this study as a test-case for rigorously and systematically examining descriptions of rare natural phenomena in oral traditions, highlighting the difficulties and challenges with interpreting this type of hypothesis.

  20. [New records of phlebotomine sand flies (Diptera: Psychodidae) near the Amoya River in Chaparral, Tolima].

    PubMed

    Contreras, María Angélica; Vivero, Rafael José; Bejarano, Eduar Elías; Carrillo, Lina María; Vélez, Iván Darío

    2012-06-01

    In Colombia, the diversity of phlebotomine sand flies is high, with 162 recorded species, and which include vectors of Leishmania spp. To identify the sand fly species of medically importance in the area of influence from Amoyá River Hydroelectric Project, Colombia. Sand flies were collected with CDC light traps, Shannon traps and sticky traps, from 15 villages in Chaparral County,Tolima. A total of 1,077 adult sand fly specimens were collected. Thirteen species were found in the genus Lutzomyiaand one species in the genus Warileya.Among the Lutzomyia species, three species--Lutzomyia longiflocosa, Lutzomyia columbiana and Lutzomyia nuneztovari--are important for their epidemiological history.Lutzomyia suapiensis was a new record for Colombia, and Warileya rotundipennis was recorded for the first time in Tolima. This study contributed to an increased knowledge of Colombian sand flies in terms of (1) expanding the geographical distribution of members of the subfamily Phlebotominae, (2) gaining estimates of species-richness and species associations in central Colombia, and (3) providing a better understanding of epidemiology of leishmaniasis in the Chaparral area.

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