Sample records for warning system score

  1. Design and internal validation of an obstetric early warning score: secondary analysis of the Intensive Care National Audit and Research Centre Case Mix Programme database.

    PubMed

    Carle, C; Alexander, P; Columb, M; Johal, J

    2013-04-01

    We designed and internally validated an aggregate weighted early warning scoring system specific to the obstetric population that has the potential for use in the ward environment. Direct obstetric admissions from the Intensive Care National Audit and Research Centre's Case Mix Programme Database were randomly allocated to model development (n = 2240) or validation (n = 2200) sets. Physiological variables collected during the first 24 h of critical care admission were analysed. Logistic regression analysis for mortality in the model development set was initially used to create a statistically based early warning score. The statistical score was then modified to create a clinically acceptable early warning score. Important features of this clinical obstetric early warning score are that the variables are weighted according to their statistical importance, a surrogate for the FI O2 /Pa O2 relationship is included, conscious level is assessed using a simplified alert/not alert variable, and the score, trigger thresholds and response are consistent with the new non-obstetric National Early Warning Score system. The statistical and clinical early warning scores were internally validated using the validation set. The area under the receiver operating characteristic curve was 0.995 (95% CI 0.992-0.998) for the statistical score and 0.957 (95% CI 0.923-0.991) for the clinical score. Pre-existing empirically designed early warning scores were also validated in the same way for comparison. The area under the receiver operating characteristic curve was 0.955 (95% CI 0.922-0.988) for Swanton et al.'s Modified Early Obstetric Warning System, 0.937 (95% CI 0.884-0.991) for the obstetric early warning score suggested in the 2003-2005 Report on Confidential Enquiries into Maternal Deaths in the UK, and 0.973 (95% CI 0.957-0.989) for the non-obstetric National Early Warning Score. This highlights that the new clinical obstetric early warning score has an excellent ability to discriminate survivors from non-survivors in this critical care data set. Further work is needed to validate our new clinical early warning score externally in the obstetric ward environment. Anaesthesia © 2013 The Association of Anaesthetists of Great Britain and Ireland.

  2. [Evaluation and analysis of monitoring and early warning functions of the occupational disease reporting system in China].

    PubMed

    Zhu, Xiaojun; Li, Tao; Liu, Mengxuan

    2015-06-01

    To evaluate the monitoring and early warning functions of the occupational disease reporting system right now in China, and to analyze their influencing factors. An improved audit tool (ODIT) was used to score the monitoring and early warning functions with a total score of 10. The nine indices were completeness of information on the reporting form, coverage of the reporting system, accessibility of criteria or guidelines for diagnosis, education and training for physicians, completeness of the reporting system, statistical methods, investigation of special cases, release of monitoring information, and release of early warning information. According to the evaluation, the occupational disease reporting system in China had a score of 5.5 in monitoring existing occupational diseases with a low score for release of monitoring information; the reporting system had a score of 6.5 in early warning of newly occurring occupational diseases with low scores for education and training for physicians as well as completeness of the reporting system. The occupational disease reporting system in China still does not have full function in monitoring and early warning. It is the education and participation of physicians from general hospitals in the diagnosis and treatment of occupational diseases and suspected occupational diseases that need to be enhanced. In addition, the problem of monitoring the incidence of occupational diseases needs to be solved as soon as possible.

  3. Vantage point - Early warning flaws.

    PubMed

    Swinden, Donna

    2014-08-28

    USING AN EARLY warning score (EWS) system should improve the detection of acutely deteriorating patients. Under such a system, a score is allocated to each of six physiological measurements including respiratory rate and oxygen saturations, which are aggregated to produce an overall score. An aggregated score of seven or higher prompts nursing staff to refer a patient for emergency assessment.

  4. The impact of Early Warning Score and Rapid Response Systems on nurses' competence: An integrative literature review and synthesis.

    PubMed

    Jensen, Jørghild Karlotte; Skår, Randi; Tveit, Bodil

    2018-04-01

    To describe, interpret and synthesise the current research findings on the impact of the Early Warning Score and Rapid Response Systems on nurses' competence in identifying and managing deteriorating patients in general hospital wards. As patient safety initiatives designed to ensure the early identification and management of deteriorating patients, the Early Warning Score and Rapid Response Systems have broad appeal. However, it is still unclear how these systems impact nurses' competence when these systems are used in general hospital wards. CINAHL, PubMed, Cochrane, EMBASE and Ovid MEDLINE databases were systematically searched for relevant articles. Articles were appraised, a thematic analysis was conducted, and similar and divergent perspectives on emergent themes and subthemes were extracted by a team of researchers. Thirty-six studies met the inclusion criteria. The analysis of findings showed how the Early Warning Score and Rapid Response Systems impacted three competence areas: (i) Nurses' competence in assessing and caring for patients related to the subthemes: (a) sensing clinical deterioration and (b) the development of skills and knowledge. (ii). Nurses' competence in referring patients, related to the subthemes: (a) deciding whether to summon help and (b) the language and communication lines in the referral process. (ii) Nurses' coping and mastery experiences. The impact of the Early Warning Score and Rapid Response Systems on nurses' competence in identifying and managing deteriorating patients is beneficial but also somewhat contradictory. A greater understanding of nurses' development of competence when using the Early Warning Score and Rapid Response Systems will facilitate the design of implementation strategies and the use of these systems to improve practice. © 2017 John Wiley & Sons Ltd.

  5. Enhanced early warning system impact on nursing practice: A phenomenological study.

    PubMed

    Burns, Kathleen A; Reber, Tracey; Theodore, Karen; Welch, Brenda; Roy, Debra; Siedlecki, Sandra L

    2018-05-01

    To determine how an enhanced early warning system has an impact on nursing practice. Early warning systems score physiologic measures and alert nurses to subtle changes in patient condition. Critics of early warning systems have expressed concern that nurses would rely on a score rather than assessment skills and critical thinking to determine the need for intervention. Enhancing early warning systems with innovative technology is still in its infancy, so the impact of an enhanced early warning system on nursing behaviours or practice has not yet been studied. Phenomenological design. Scripted, semistructured interviews were conducted in September 2015 with 25 medical/surgical nurses who used the enhanced early warning system. Data were analysed using thematic analysis techniques (coding and bracketing). Emerging themes were examined for relationships and a model describing the enhanced early warning system experience was developed. Nurses identified awareness leading to investigation and ease of prioritization as the enhanced early warning system's most important impact on their nursing practice. There was also an impact on organizational culture, with nurses reporting improved communication, increased collaboration, increased accountability and proactive responses to early changes in patient condition. Rather than hinder critical thinking, as many early warning systems' critics claim, nurses in this study found that the enhanced early warning system increased their awareness of changes in a patient's condition, resulting in earlier response and reassessment times. It also had an impact on the organization by improving communication and collaboration and supporting a culture of proactive rather than reactive response to early signs of deterioration. © 2017 John Wiley & Sons Ltd.

  6. The use of early warning scores to recognise and respond to patient deterioration in district nursing.

    PubMed

    Tucker, Guy; Lusher, Adele

    2018-02-02

    This discussion article focuses on the literature surrounding early warning scoring systems and their use in primary care, specifically within district nursing. Patient deterioration is a global concern, associated with high mortality rates and avoidable deaths. Early recognition and response by nursing and other health care staff has been attributed to early warning scoring systems (EWSS) and tools. However, the use of equivalent tools in the community appears to be lacking. This review concludes that there is no consensus over the use of EWSS in district nursing and culture of practice is varied, rather than standardised.

  7. Evaluation of the effects of implementing an electronic early warning score system: protocol for a stepped wedge study.

    PubMed

    Bonnici, Timothy; Gerry, Stephen; Wong, David; Knight, Julia; Watkinson, Peter

    2016-02-09

    An Early Warning Score is a clinical risk score based upon vital signs intended to aid recognition of patients in need of urgent medical attention. The use of an escalation of care policy based upon an Early Warning Score is mandated as the standard of practice in British hospitals. Electronic systems for recording vital sign observations and Early Warning Score calculation offer theoretical benefits over paper-based systems. However, the evidence for their clinical benefit is limited. Previous studies have shown inconsistent results. The majority have employed a "before and after" study design, which may be strongly confounded by simultaneously occurring events. This study aims to examine how the implementation of an electronic early warning score system, System for Notification and Documentation (SEND), affects the recognition of clinical deterioration occurring in hospitalised adult patients. This study is a non-randomised stepped wedge evaluation carried out across the four hospitals of the Oxford University Hospitals NHS Trust, comparing charting on paper and charting using SEND. We assume that more frequent monitoring of acutely ill patients is associated with better recognition of patient deterioration. The primary outcome measure is the time between a patient's first observations set with an Early Warning Score above the alerting threshold and their subsequent set of observations. Secondary outcome measures are in-hospital mortality, cardiac arrest and Intensive Care admission rates, hospital length of stay and system usability measured using the System Usability Scale. We will also measure Intensive Care length of stay, Intensive Care mortality, Acute Physiology and Chronic Health Evaluation (APACHE) II acute physiology score on admission, to examine whether the introduction of SEND has any effect on Intensive Care-related outcomes. The development of this protocol has been informed by guidance from the Agency for Healthcare Research and Quality (AHRQ) Health Information Technology Evaluation Toolkit and Delone and McLeans's Model of Information System Success. Our chosen trial design, a stepped wedge study, is well suited to the study of a phased roll out. The choice of primary endpoint is challenging. We have selected the time from the first triggering observation set to the subsequent observation set. This has the benefit of being easy to measure on both paper and electronic charting and having a straightforward interpretation. We have collected qualitative measures of system quality via a user questionnaire and organisational descriptors to help readers understand the context in which SEND has been implemented.

  8. Accuracy and Efficiency of Recording Pediatric Early Warning Scores Using an Electronic Physiological Surveillance System Compared With Traditional Paper-Based Documentation.

    PubMed

    Sefton, Gerri; Lane, Steven; Killen, Roger; Black, Stuart; Lyon, Max; Ampah, Pearl; Sproule, Cathryn; Loren-Gosling, Dominic; Richards, Caitlin; Spinty, Jean; Holloway, Colette; Davies, Coral; Wilson, April; Chean, Chung Shen; Carter, Bernie; Carrol, E D

    2017-05-01

    Pediatric Early Warning Scores are advocated to assist health professionals to identify early signs of serious illness or deterioration in hospitalized children. Scores are derived from the weighting applied to recorded vital signs and clinical observations reflecting deviation from a predetermined "norm." Higher aggregate scores trigger an escalation in care aimed at preventing critical deterioration. Process errors made while recording these data, including plotting or calculation errors, have the potential to impede the reliability of the score. To test this hypothesis, we conducted a controlled study of documentation using five clinical vignettes. We measured the accuracy of vital sign recording, score calculation, and time taken to complete documentation using a handheld electronic physiological surveillance system, VitalPAC Pediatric, compared with traditional paper-based charts. We explored the user acceptability of both methods using a Web-based survey. Twenty-three staff participated in the controlled study. The electronic physiological surveillance system improved the accuracy of vital sign recording, 98.5% versus 85.6%, P < .02, Pediatric Early Warning Score calculation, 94.6% versus 55.7%, P < .02, and saved time, 68 versus 98 seconds, compared with paper-based documentation, P < .002. Twenty-nine staff completed the Web-based survey. They perceived that the electronic physiological surveillance system offered safety benefits by reducing human error while providing instant visibility of recorded data to the entire clinical team.

  9. [Results of applying a paediatric early warning score system as a healthcare quality improvement plan].

    PubMed

    Rivero-Martín, M J; Prieto-Martínez, S; García-Solano, M; Montilla-Pérez, M; Tena-Martín, E; Ballesteros-García, M M

    2016-06-01

    The aims of this study were to introduce a paediatric early warning score (PEWS) into our daily clinical practice, as well as to evaluate its ability to detect clinical deterioration in children admitted, and to train nursing staff to communicate the information and response effectively. An analysis was performed on the implementation of PEWS in the electronic health records of children (0-15 years) in our paediatric ward from February 2014 to September 2014. The maximum score was 6. Nursing staff reviewed scores >2, and if >3 medical and nursing staff reviewed it. Monitoring indicators: % of admissions with scoring; % of complete data capture; % of scores >3; % of scores >3 reviewed by medical staff, % of changes in treatment due to the warning system, and number of patients who needed Paediatric Intensive Care Unit (PICU) admission, or died without an increased warning score. The data were collected from all patients (931) admitted. The scale was measured 7,917 times, with 78.8% of them with complete data capture. Very few (1.9%) showed scores >3, and 14% of them with changes in clinical management (intensifying treatment or new diagnostic tests). One patient (scored 2) required PICU admission. There were no deaths. Parents or nursing staff concern was registered in 80% of cases. PEWS are useful to provide a standardised assessment of clinical status in the inpatient setting, using a unique scale and implementing data capture. Because of the lack of severe complications requiring PICU admission and deaths, we will have to use other data to evaluate these scales. Copyright © 2016 SECA. Published by Elsevier Espana. All rights reserved.

  10. Accuracy and Efficiency of Recording Pediatric Early Warning Scores Using an Electronic Physiological Surveillance System Compared With Traditional Paper-Based Documentation

    PubMed Central

    Sefton, Gerri; Lane, Steven; Killen, Roger; Black, Stuart; Lyon, Max; Ampah, Pearl; Sproule, Cathryn; Loren-Gosling, Dominic; Richards, Caitlin; Spinty, Jean; Holloway, Colette; Davies, Coral; Wilson, April; Chean, Chung Shen; Carter, Bernie; Carrol, E.D.

    2017-01-01

    Pediatric Early Warning Scores are advocated to assist health professionals to identify early signs of serious illness or deterioration in hospitalized children. Scores are derived from the weighting applied to recorded vital signs and clinical observations reflecting deviation from a predetermined “norm.” Higher aggregate scores trigger an escalation in care aimed at preventing critical deterioration. Process errors made while recording these data, including plotting or calculation errors, have the potential to impede the reliability of the score. To test this hypothesis, we conducted a controlled study of documentation using five clinical vignettes. We measured the accuracy of vital sign recording, score calculation, and time taken to complete documentation using a handheld electronic physiological surveillance system, VitalPAC Pediatric, compared with traditional paper-based charts. We explored the user acceptability of both methods using a Web-based survey. Twenty-three staff participated in the controlled study. The electronic physiological surveillance system improved the accuracy of vital sign recording, 98.5% versus 85.6%, P < .02, Pediatric Early Warning Score calculation, 94.6% versus 55.7%, P < .02, and saved time, 68 versus 98 seconds, compared with paper-based documentation, P < .002. Twenty-nine staff completed the Web-based survey. They perceived that the electronic physiological surveillance system offered safety benefits by reducing human error while providing instant visibility of recorded data to the entire clinical team. PMID:27832032

  11. Can binary early warning scores perform as well as standard early warning scores for discriminating a patient's risk of cardiac arrest, death or unanticipated intensive care unit admission?

    PubMed

    Jarvis, Stuart; Kovacs, Caroline; Briggs, Jim; Meredith, Paul; Schmidt, Paul E; Featherstone, Peter I; Prytherch, David R; Smith, Gary B

    2015-08-01

    Although the weightings to be summed in an early warning score (EWS) calculation are small, calculation and other errors occur frequently, potentially impacting on hospital efficiency and patient care. Use of a simpler EWS has the potential to reduce errors. We truncated 36 published 'standard' EWSs so that, for each component, only two scores were possible: 0 when the standard EWS scored 0 and 1 when the standard EWS scored greater than 0. Using 1564,153 vital signs observation sets from 68,576 patient care episodes, we compared the discrimination (measured using the area under the receiver operator characteristic curve--AUROC) of each standard EWS and its truncated 'binary' equivalent. The binary EWSs had lower AUROCs than the standard EWSs in most cases, although for some the difference was not significant. One system, the binary form of the National Early Warning System (NEWS), had significantly better discrimination than all standard EWSs, except for NEWS. Overall, Binary NEWS at a trigger value of 3 would detect as many adverse outcomes as are detected by NEWS using a trigger of 5, but would require a 15% higher triggering rate. The performance of Binary NEWS is only exceeded by that of standard NEWS. It may be that Binary NEWS, as a simplified system, can be used with fewer errors. However, its introduction could lead to significant increases in workload for ward and rapid response team staff. The balance between fewer errors and a potentially greater workload needs further investigation. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. Modifications of the National Early Warning Score for patients with chronic respiratory disease.

    PubMed

    Pedersen, N E; Rasmussen, L S; Petersen, J A; Gerds, T A; Østergaard, D; Lippert, A

    2018-02-01

    The National Early Warning Score (NEWS) uses physiological variables to detect deterioration in hospitalized patients. However, patients with chronic respiratory disease may have abnormal variables not requiring interventions. We studied how the Capital Region of Denmark NEWS Override System (CROS), the Chronic Respiratory Early Warning Score (CREWS) and the Salford NEWS (S-NEWS) affected NEWS total scores and NEWS performance. In an observational study, we included patients with chronic respiratory disease. The frequency of use of CROS and the NEWS total score changes caused by CROS, CREWS and S-NEWS were described. NEWS, CROS, CREWS and S-NEWS were compared using 48-h mortality and intensive care unit (ICU) admission within 48 h as outcomes. We studied 11,266 patients during 25,978 admissions; the use of CROS lowered NEWS total scores in 40% of included patients. CROS, CREWS and S-NEWS had lower sensitivities than NEWS for 48-h mortality and ICU admission. Specificities and PPV were higher. CROS, CREWS and S-NEWS downgraded, respectively, 51.5%, 44.9% and 32.8% of the NEWS total scores from the 'mandatory doctor presence' and 'immediate doctor presence and specialist consultation' total score intervals to lower intervals. Capital Region of Denmark NEWS Override System was frequently used in patients with chronic respiratory disease. CROS, CREWS and S-NEWS reduced sensitivity for 48-h mortality and ICU admission. Using the methodology prevalent in the NEWS literature, we cannot conclude on the safety of these systems. Future prospective studies should investigate the balance between detection rate and alarm fatigue of different systems, or use controlled designs and patient-centred outcomes. © 2017 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  13. The effect of adult Early Warning Systems education on nurses' knowledge, confidence and clinical performance: A systematic review.

    PubMed

    Saab, Mohamad M; McCarthy, Bridie; Andrews, Tom; Savage, Eileen; Drummond, Frances J; Walshe, Nuala; Forde, Mary; Breen, Dorothy; Henn, Patrick; Drennan, Jonathan; Hegarty, Josephine

    2017-11-01

    This review aims to determine the effect of adult Early Warning Systems education on nurses' knowledge, confidence and clinical performance. Early Warning Systems support timely identification of clinical deterioration and prevention of avoidable deaths. Several educational programmes have been designed to help nurses recognize and manage deteriorating patients. Little is known as to the effectiveness of these programmes. Systematic review. Academic Search Complete, CINAHL, MEDLINE, PsycINFO, PsycARTICLES, Psychology and Behavioral Science Collection, SocINDEX and the UK & Ireland Reference Centre, EMBASE, the Turning Research Into Practice database, the Cochrane Central Register of Controlled Trials (CENTRAL) and Grey Literature sources were searched between October and November 2015. This is a quantitative systematic review using Cochrane methods. Studies published between January 2011 - November 2015 in English were sought. The risk of bias, level of evidence and the quality of evidence per outcome were assessed. Eleven articles with 10 studies were included. Nine studies addressed clinical performance, four addressed knowledge and two addressed confidence. Knowledge, vital signs recording and Early Warning Score calculation were improved in the short term. Two interventions had no effect on nurses' response to clinical deterioration and use of communication tools. This review highlights the importance of measuring outcomes using standardized tools and valid and reliable instruments. Using longitudinal designs, researchers are encouraged to investigate the effect of Early Warning Systems educational programmes. These can include interactive e-learning, on-site interdisciplinary Early Warning Scoring systems training sessions and simulated scenarios. © 2017 John Wiley & Sons Ltd.

  14. Medical devices; ovarian adnexal mass assessment score test system; labeling; black box restrictions. Final rule.

    PubMed

    2011-12-30

    The Food and Drug Administration (FDA) is amending the regulation classifying ovarian adnexal mass assessment score test systems to restrict these devices so that a prescribed warning statement that addresses a risk identified in the special controls guidance document must be in a black box and must appear in all labeling, advertising, and promotional material. The black box warning mitigates the risk to health associated with off-label use as a screening test, stand-alone diagnostic test, or as a test to determine whether or not to proceed with surgery.

  15. A proposed Primary Health Early Warning Score (PHEWS) with emphasis on early detection of sepsis in the elderly.

    PubMed

    Anderson, Ian

    2016-03-01

    There are several secondary care early warning scores which alert for severe illness including sepsis. None are specifically adjusted for primary care. A Primary Health Early Warning Score (PHEWS) is proposed which incorporates practical parameters from both secondary and primary care.

  16. Exploring Vital Sign Data Quality in Electronic Health Records with Focus on Emergency Care Warning Scores.

    PubMed

    Skyttberg, Niclas; Chen, Rong; Blomqvist, Hans; Koch, Sabine

    2017-08-30

    Computerized clinical decision support and automation of warnings have been advocated to assist clinicians in detecting patients at risk of physiological instability. To provide reliable support such systems are dependent on high-quality vital sign data. Data quality depends on how, when and why the data is captured and/or documented. This study aims to describe the effects on data quality of vital signs by three different types of documentation practices in five Swedish emergency hospitals, and to assess data fitness for calculating warning and triage scores. The study also provides reference data on triage vital signs in Swedish emergency care. We extracted a dataset including vital signs, demographic and administrative data from emergency care visits (n=335027) at five Swedish emergency hospitals during 2013 using either completely paper-based, completely electronic or mixed documentation practices. Descriptive statistics were used to assess fitness for use in emergency care decision support systems aiming to calculate warning and triage scores, and data quality was described in three categories: currency, completeness and correctness. To estimate correctness, two further categories - plausibility and concordance - were used. The study showed an acceptable correctness of the registered vital signs irrespectively of the type of documentation practice. Completeness was high in sites where registrations were routinely entered into the Electronic Health Record (EHR). The currency was only acceptable in sites with a completely electronic documentation practice. Although vital signs that were recorded in completely electronic documentation practices showed plausible results regarding correctness, completeness and currency, the study concludes that vital signs documented in Swedish emergency care EHRs cannot generally be considered fit for use for calculation of triage and warning scores. Low completeness and currency were found if the documentation was not completely electronic.

  17. Landslide early warning system prototype with GIS analysis indicates by soil movement and rainfall

    NASA Astrophysics Data System (ADS)

    Artha, Y.; Julian, E. S.

    2018-01-01

    The aim of this paper is developing and testing of landslide early warning system. The early warning system uses accelerometersas ground movement and tilt-sensing device and a water flow sensor. A microcentroller is used to process the input signal and activate the alarm. An LCD is used to display the acceleration in x,y and z axis. When the soil moved or shifted and rainfall reached 100 mm/day, the alarm rang and signal were sentto the monitoring center via a telemetry system.Data logging information and GIS spatial data can be monitored remotely as tables and graphics as well as in the form of geographical map with the help of web-GIS interface. The system were tested at Kampung Gerendong, Desa Putat Nutug, Kecamatan Ciseeng, Kabupaten Bogor. This area has 3.15 cumulative score, which mean vulnerable to landslide. The results show that the early warning system worked as planned.

  18. Validation of a Pediatric Early Warning Score in Hospitalized Pediatric Oncology and Hematopoietic Stem Cell Transplant Patients.

    PubMed

    Agulnik, Asya; Forbes, Peter W; Stenquist, Nicole; Rodriguez-Galindo, Carlos; Kleinman, Monica

    2016-04-01

    To evaluate the correlation of a Pediatric Early Warning Score with unplanned transfer to the PICU in hospitalized oncology and hematopoietic stem cell transplant patients. We performed a retrospective matched case-control study, comparing the highest documented Pediatric Early Warning Score within 24 hours prior to unplanned PICU transfers in hospitalized pediatric oncology and hematopoietic stem cell transplant patients between September 2011 and December 2013. Controls were patients who remained on the inpatient unit and were matched 2:1 using age, condition (oncology vs hematopoietic stem cell transplant), and length of hospital stay. Pediatric Early Warning Scores were documented by nursing staff at least every 4 hours as part of routine care. Need for transfer was determined by a PICU physician called to evaluate the patient. A large tertiary/quaternary free-standing academic children's hospital. One hundred ten hospitalized pediatric oncology patients (42 oncology, 68 hematopoietic stem cell transplant) requiring unplanned PICU transfer and 220 matched controls. None. Using the highest score in the 24 hours prior to transfer for cases and a matched time period for controls, the Pediatric Early Warning Score was highly correlated with the need for PICU transfer overall (area under the receiver operating characteristic = 0.96), and in the oncology and hematopoietic stem cell transplant groups individually (area under the receiver operating characteristic = 0.95 and 0.96, respectively). The difference in Pediatric Early Warning Score results between the cases and controls was noted as early as 24 hours prior to PICU admission. Seventeen patients died (15.4%). Patients with higher Pediatric Early Warning Scores prior to transfer had increased PICU mortality (p = 0.028) and length of stay (p = 0.004). We demonstrate that our institution's Pediatric Early Warning Score is highly correlated with the need for unplanned PICU transfer in hospitalized oncology and hematopoietic stem cell transplant patients. Furthermore, we found an association between higher scores and PICU mortality. This is the first validation of a Pediatric Early Warning Score specific to the pediatric oncology and hematopoietic stem cell transplant populations, and supports the use of Pediatric Early Warning Scores as a method of early identification of clinical deterioration in this high-risk population.

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

    PubMed

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

    2018-06-01

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

  20. Accuracy of a pediatric early warning score in the recognition of clinical deterioration.

    PubMed

    Miranda, Juliana de Oliveira Freitas; Camargo, Climene Laura de; Nascimento, Carlito Lopes; Portela, Daniel Sales; Monaghan, Alan

    2017-07-10

    to evaluate the accuracy of the version of the Brighton Pediatric Early Warning Score translated and adapted for the Brazilian context, in the recognition of clinical deterioration. a diagnostic test study to measure the accuracy of the Brighton Pediatric Early Warning Score for the Brazilian context, in relation to a reference standard. The sample consisted of 271 children, aged 0 to 10 years, blindly evaluated by a nurse and a physician, specialists in pediatrics, with interval of 5 to 10 minutes between the evaluations, for the application of the Brighton Pediatric Early Warning Score for the Brazilian context and of the reference standard. The data were processed and analyzed using the Statistical Package for the Social Sciences and VassarStats.net programs. The performance of the Brighton Pediatric Early Warning Score for the Brazilian context was evaluated through the indicators of sensitivity, specificity, predictive values, area under the ROC curve, likelihood ratios and post-test probability. the Brighton Pediatric Early Warning Score for the Brazilian context showed sensitivity of 73.9%, specificity of 95.5%, positive predictive value of 73.3%, negative predictive value of 94.7%, area under Receiver Operating Characteristic Curve of 91.9% and the positive post-test probability was 80%. the Brighton Pediatric Early Warning Score for the Brazilian context, presented good performance, considered valid for the recognition of clinical deterioration warning signs of the children studied. avaliar a acurácia da versão traduzida e adaptada do Brighton Paediatric Early Warning Score para o contexto brasileiro, no reconhecimento da deterioração clínica. estudo de teste diagnóstico para medir a acurácia do Brighton Paediatric Early Warning Score, para o contexto brasileiro, em relação a um padrão de referência. A amostra foi composta por 271 crianças de 0 a 10 anos, avaliadas de forma cega por uma enfermeira e um médico, especialistas em pediatria, com intervalo de 5 a 10 minutos entre as avaliações, para aplicação do Brighton Paediatric Early Warning Score, para o contexto brasileiro e do padrão de referência. Os dados foram processados e analisados nos programas Statistical Package for the Social Sciences e VassarStats.net. O desempenho do Brighton Paediatric Early Warning Score para o contexto brasileiro foi avaliado por meio dos indicadores de sensibilidade, especificidade, valores preditivos, área sob a curva ROC, razões de probabilidades e probabilidade pós-teste. o Brighton Paediatric Early Warning Score para o contexto brasileiro apresentou sensibilidade de 73,9%, especificidade de 95,5%, valor preditivo positivo de 73,3%, valor preditivo negativo de 94,7%, área sob a Receiver Operating Characteristic Curve de 91,9% e a probabilidade pós-teste positivo foi de 80%. o Brighton Paediatric Early Warning Score, para o contexto brasileiro, apresentou bom desempenho, considerado válido para o reconhecimento de sinais de alerta de deterioração clínica das crianças estudadas. evaluar la precisión de la versión traducida y adaptada del Brighton Paediatric Early Warning Score para el contexto brasileño, en el reconocimiento de la deterioración clínica. estudio de test diagnóstico para medir la precisión del Brighton Paediatric Early Warning Score para el contexto brasileño, en relación a un estándar de referencia. La muestra estuvo compuesta por 271 niños de 0 a 10 años, evaluadas de forma ciega por especialistas en pediatría, una enfermera y un médico, con intervalo de 5 a 10 minutos entre las evaluaciones, para aplicación del Brighton Paediatric Early Warning Score para el contexto brasileño. Los datos fueron procesados y analizados en los programas Statistical Package for the Social Sciences y VassarStats.net. El desempeño del Brighton Paediatric Early Warning Score para el contexto brasileño fue evaluado por medio de los indicadores de sensibilidad, especificidad, valores predictivos, área debajo de la curva ROC, razones de probabilidades y probabilidad postest. el Brighton Paediatric Early Warning Score para el contexto brasileño presentó sensibilidad de 73,9%, especificidad de 95,5%, valor predictivo positivo de 73,3%, valor predictivo negativo de 94,7%, área bajo la Receiver Operating Characteristic Curve de 91,9% y la probabilidad postest positivo fue de 80%. el Brighton Paediatric Early Warning Score para el contexto brasileño, presentó buen desempeño, considerado válido para el reconocimiento de señales de alerta de deterioración clínica de los niños estudiados.

  1. Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System.

    PubMed

    Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette

    2017-09-01

    To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning Score levels not reaching this point. Dutch-early-nurse-worry-indicator-score comprises nine indicators underlying nurses' 'worry' about a patient's condition. All indicators independently show significant association with unplanned intensive care/high dependency unit admission or unexpected mortality. Prediction of this outcome improved by adding the dutch-early-nurse-worry-indicator-score indicators to an Early Warning Score based on vital signs. An observational cohort study was conducted on three surgical wards in a tertiary university-affiliated teaching hospital. Included were surgical, native-speaking, adult patients. Nurses scored presence of 'worry' and/or dutch-early-nurse-worry-indicator-score indicators every shift or when worried. Vital signs were measured according to the prevailing protocol. Unplanned intensive care/high dependency unit admission or unexpected mortality was the composite endpoint. Percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators were calculated at various Early Warning Score levels in control and event groups. Entering all dutch-early-nurse-worry-indicator-score indicators in a multiple logistic regression analysis, we calculated a weighted score and calculated sensitivity, specificity, positive predicted value and negative predicted value for each possible total score. In 3522 patients, 102 (2·9%) had an unplanned intensive care/high dependency unit admissions (n = 97) or unexpected mortality (n = 5). Patients with such events and only slightly changed vital signs had significantly higher percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators expressed than patients in the control group. Increasing number of dutch-early-nurse-worry-indicator-score indicators showed higher positive predictive values. Dutch-early-nurse-worry-indicator-score indicators alert in an early stage of deterioration, before reaching the trigger threshold to call a rapid response team and can improve interdisciplinary communication on surgical wards during regular rounds, and when calling for assistance. Dutch-early-nurse-worry-indicator-score structures communication and recording of signs known to be associated with a decline in a patient's condition and can empower nurses to call assistance on the 'worry' criterion in an early stage of deterioration. © 2016 John Wiley & Sons Ltd.

  2. Early warning score independently predicts adverse outcome and mortality in patients with acute pancreatitis.

    PubMed

    Jones, Michael J; Neal, Christopher P; Ngu, Wee Sing; Dennison, Ashley R; Garcea, Giuseppe

    2017-08-01

    The aim of this study was to compare the prognostic value of established scoring systems with early warning scores in a large cohort of patients with acute pancreatitis. In patients presenting with acute pancreatitis, age, sex, American Society of Anaesthesiologists (ASA) grade, Modified Glasgow Score, Ranson criteria, APACHE II scores and early warning score (EWS) were recorded for the first 72 h following admission. These variables were compared between survivors and non-survivors, between patients with mild/moderate and severe pancreatitis (based on the 2012 Atlanta Classification) and between patients with a favourable or adverse outcome. A total of 629 patients were identified. EWS was the best predictor of adverse outcome amongst all of the assessed variables (area under curve (AUC) values 0.81, 0.84 and 0.83 for days 1, 2 and 3, respectively) and was the most accurate predictor of mortality on both days 2 and 3 (AUC values of 0.88 and 0.89, respectively). Multivariable analysis revealed that an EWS ≥2 was independently associated with severity of pancreatitis, adverse outcome and mortality. This study confirms the usefulness of EWS in predicting the outcome of acute pancreatitis. It should become the mainstay of risk stratification in patients with acute pancreatitis.

  3. Pediatric Rapid Response Team: Vital Sign Based System vs. Pediatric Early Warning Score System

    DTIC Science & Technology

    2017-09-16

    quality improvement initiative using the evidence-based PEWS criteria to improve recognition of deteriorating pediatric patients, allocation of PRRT resources, and pediatric staff satisfaction regarding the PRRT process.

  4. Using Quality Improvement to Introduce and Standardize the National Early Warning Score (NEWS) for Adult Inpatients at a Children's Hospital.

    PubMed

    Conway-Habes, Erin E; Herbst, Brian F; Herbst, Lori A; Kinnear, Benjamin; Timmons, Kristen; Horewitz, Deborah; Falgout, Rachel; O'Toole, Jennifer K; Vossmeyer, Michael

    2017-03-01

    The population of adults with childhood-onset chronic illness is growing across children's hospitals and constitutes a high risk population. National Early Warning Score (NEWS) is among the most recently validated adult early warning scores (EWSs) for early recognition of and response to clinical deterioration. Our aim was to implement and standardize NEWS scoring in 80% of patients age 21 and older admitted to a children's hospital. Our intervention was tested on a single unit of our children's hospital. The primary process measure was the percentage of NEWS documented within 1 hour of routine nursing assessments, and was tracked using a run chart. Improvement activities focused on effective training, key stakeholder buy-in, increased awareness, real-time mitigation of failures, accountability for adherence, and action-oriented response. We also tracked the distribution of NEWS values and medical emergency team calls. The percentage of NEWS documented with routine nursing assessments for patients age 21 and over increased from 0% to 90% within 15 weeks and remained at 77% or greater for 17 weeks. Our distribution of NEWS values was similar to previously reported NEWS distribution. A nurse-driven adult early warning system for inpatients age 21 and older at a children's hospital can be achieved through a standardized EWS assessment process, incorporation into the electronic health record, and charge nurse and key stakeholder oversight. Furthermore, implementation of an adult EWS being used at a pediatric institution and our distribution of NEWS values were comparable to distribution published from adult hospitals. Copyright © 2017 by the American Academy of Pediatrics.

  5. Intravenous thrombolysis with recombinant tissue plasminogen activator in vascular warning syndromes.

    PubMed

    González Hernández, A; Fabre Pi, O; Cabrera Naranjo, F; López Veloso, A C

    2014-01-01

    Vascular warning syndromes constitute a neurological emergency due to their associated high risk of established stroke. At present, there is no strong evidence indicating the best treatment for these patients. The aim of this paper is to describe the function of intravenous rt-PA thrombolysis in the treatment of vascular warning syndromes. We reviewed our hospital records and the literature to find patients with neurologically fluctuating profiles and who underwent intravenous rt-PA thrombolysis. We retrieved 3 cases from our hospital records and 19 from the literature (15 males and 7 females). Mean age was 68.7±9 years (range: 52-84 years). The mean number of episodes before treatment was 4 (range: 2-15 episodes). The maximum NIHSS scores ranged from 6 to 22 in different patients. We obtained 24-hour post-treatment NIHSS scores in 8 cases; of these cases, 6 (75%) had a score of 0, and the other 2 (25%) had a score of 12. The Modified Rankin Score calculated at 3 months of treatment was 0 or 1 in 18 patients (81.8%); these 18 comprised 8 of the 10 patients with lacunar warning syndromes (80%), 6 of the 7 with basilar warning syndromes (85.7%), and 4 of the 5 with fluctuating non-lacunar, non-basilar warning syndromes (80%). Intravenous rt-PA treatment may constitute an effective and safe therapeutic alternative for patients with neurovascular fluctuations. However, well-designed studies are needed to determine the role of intravenous rt-PA thrombolysis in cases of vascular warning syndrome. Copyright © 2013 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  6. Autonomic nervous system activity as risk predictor in the medical emergency department: a prospective cohort study.

    PubMed

    Eick, Christian; Rizas, Konstantinos D; Meyer-Zürn, Christine S; Groga-Bada, Patrick; Hamm, Wolfgang; Kreth, Florian; Overkamp, Dietrich; Weyrich, Peter; Gawaz, Meinrad; Bauer, Axel

    2015-05-01

    To evaluate heart rate deceleration capacity, an electrocardiogram-based marker of autonomic nervous system activity, as risk predictor in a medical emergency department and to test its incremental predictive value to the modified early warning score. Prospective cohort study. Medical emergency department of a large university hospital. Five thousand seven hundred thirty consecutive patients of either sex in sinus rhythm, who were admitted to the medical emergency department of the University of Tübingen, Germany, between November 2010 and March 2012. None. Deceleration capacity of heart rate was calculated within the first minutes after emergency department admission. The modified early warning score was assessed from respiratory rate, heart rate, systolic blood pressure, body temperature, and level of consciousness as previously described. Primary endpoint was intrahospital mortality; secondary endpoints included transfer to the ICU as well as 30-day and 180-day mortality. One hundred forty-two patients (2.5%) reached the primary endpoint. Deceleration capacity was highly significantly lower in nonsurvivors than survivors (2.9 ± 2.1 ms vs 5.6 ± 2.9 ms; p < 0.001) and yielded an area under the receiver-operator characteristic curve of 0.780 (95% CI, 0.745-0.813). The modified early warning score model yielded an area under the receiver-operator characteristic curve of 0.706 (0.667-0.750). Implementing deceleration capacity into the modified early warning score model led to a highly significant increase of the area under the receiver-operator characteristic curve to 0.804 (0.770-0.835; p < 0.001 for difference). Deceleration capacity was also a highly significant predictor of 30-day and 180-day mortality as well as transfer to the ICU. Deceleration capacity is a strong and independent predictor of short-term mortality among patients admitted to a medical emergency department.

  7. Short National Early Warning Score - Developing a Modified Early Warning Score.

    PubMed

    Luís, Leandro; Nunes, Carla

    2017-12-11

    Early Warning Score (EWS) systems have been developed for detecting hospital patients clinical deterioration. Many studies show that a National Early Warning Score (NEWS) performs well in discriminating survival from death in acute medical and surgical hospital wards. NEWS is validated for Portugal and is available for use. A simpler EWS system may help to reduce the risk of error, as well as increase clinician compliance with the tool. The aim of the study was to evaluate whether a simplified NEWS model will improve use and data collection. We evaluated the ability of single and aggregated parameters from the NEWS model to detect patients' clinical deterioration in the 24h prior to an outcome. There were 2 possible outcomes: Survival vs Unanticipated intensive care unit admission or death. We used binary logistic regression models and Receiver Operating Characteristic Curves (ROC) to evaluate the parameters' performance in discriminating among the outcomes for a sample of patients from 6 Portuguese hospital wards. NEWS presented an excellent discriminating capability (Area under the Curve of ROC (AUCROC)=0.944). Temperature and systolic blood pressure (SBP) parameters did not contribute significantly to the model. We developed two different models, one without temperature, and the other by removing temperature and SBP (M2). Both models had an excellent discriminating capability (AUCROC: 0.965; 0.903, respectively) and a good predictive power in the optimum threshold of the ROC curve. The 3 models revealed similar discriminant capabilities. Although the use of SBP is not clearly evident in the identification of clinical deterioration, it is recognized as an important vital sign. We recommend the use of the first new model, as its simplicity may help to improve adherence and use by health care workers. Copyright © 2017 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  8. Estimation for aerial detection effectiveness with cooperation efficiency factors of early-warning aircraft in early-warning detection SoS under BSC framework

    NASA Astrophysics Data System (ADS)

    Zhu, Feng; Hu, Xiaofeng; He, Xiaoyuan; Guo, Rui; Li, Kaiming; Yang, Lu

    2017-11-01

    In the military field, the performance evaluation of early-warning aircraft deployment or construction is always an important problem needing to be explored. As an effective approach of enterprise management and performance evaluation, Balanced Score Card (BSC) attracts more and more attentions and is studied more and more widely all over the world. It can also bring feasible ideas and technical approaches for studying the issue of the performance evaluation of the deployment or construction of early-warning aircraft which is the important component in early-warning detection system of systems (SoS). Therefore, the deep explored researches are carried out based on the previously research works. On the basis of the characteristics of space exploration and aerial detection effectiveness of early-warning detection SoS and the cardinal principle of BSC are analyzed simply, and the performance evaluation framework of the deployment or construction of early-warning aircraft is given, under this framework, aimed at the evaluation issue of aerial detection effectiveness of early-warning detection SoS with the cooperation efficiency factors of the early-warning aircraft and other land based radars, the evaluation indexes are further designed and the relative evaluation model is further established, especially the evaluation radar chart being also drawn to obtain the evaluation results from a direct sight angle. Finally, some practical computer simulations are launched to prove the validity and feasibility of the research thinking and technologic approaches which are proposed in the paper.

  9. Tracking Success in Large Introductory Classes using Technology

    NASA Astrophysics Data System (ADS)

    Robertson, Thomas H.

    2011-01-01

    A common problem frequently encountered in large introductory classes is the anonymity experienced by students. An effort is underway at Ball State University to explore the impact of technology on reducing this anonymity and improving student performance and success. In preparation for this study, performance and success measures for students in a previous class have been examined to provide background for construction of a model for formal testing and a control group for comparison of future results. Student performance measures obtained early in the course and final course grades were examined to identify potential early warning indicators that might be used to plan interventions much earlier than the traditional midterm course reports used to alert freshmen at academic risk. Class participation scores were based on data obtained with a personal response system (i>clicker). The scores were scaled to reflect about 80% comprehension and 20% attendance. Homework scores were obtained using the LON-CAPA Course Management System and instructional materials created by the author. Substantial linear correlations exist between 1) Exam 1 Scores after Four Weeks and 2) Raw Class Participation Scores for the First Six Weeks and the Final Course Score. A more modest linear correlation was found between 3) Homework Scores for First Six Weeks and Final Course Score. Of these three measures, only Class Participation Scores identified all students who ultimately received course grades lower than C. Several students scored in the danger zone according to Homework and Class Participation Scores but earned course grades of C or better. It appears that an early warning plan based on Class Participation Scores would permit effective identification of at-risk students early in the course.

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

    PubMed

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

    2017-12-21

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

  11. Development and initial validation of the Bedside Paediatric Early Warning System score

    PubMed Central

    2009-01-01

    Introduction Adverse outcomes following clinical deterioration in children admitted to hospital wards is frequently preventable. Identification of children for referral to critical care experts remains problematic. Our objective was to develop and validate a simple bedside score to quantify severity of illness in hospitalized children. Methods A case-control design was used to evaluate 11 candidate items and identify a pragmatic score for routine bedside use. Case-patients were urgently admitted to the intensive care unit (ICU). Control-patients had no 'code blue', ICU admission or care restrictions. Validation was performed using two prospectively collected datasets. Results Data from 60 case and 120 control-patients was obtained. Four out of eleven candidate-items were removed. The seven-item Bedside Paediatric Early Warning System (PEWS) score ranges from 0–26. The mean maximum scores were 10.1 in case-patients and 3.4 in control-patients. The area under the receiver operating characteristics curve was 0.91, compared with 0.84 for the retrospective nurse-rating of patient risk for near or actual cardiopulmonary arrest. At a score of 8 the sensitivity and specificity were 82% and 93%, respectively. The score increased over 24 hours preceding urgent paediatric intensive care unit (PICU) admission (P < 0.0001). In 436 urgent consultations, the Bedside PEWS score was higher in patients admitted to the ICU than patients who were not admitted (P < 0.0001). Conclusions We developed and performed the initial validation of the Bedside PEWS score. This 7-item score can quantify severity of illness in hospitalized children and identify critically ill children with at least one hours notice. Prospective validation in other populations is required before clinical application. PMID:19678924

  12. 21 CFR 866.6050 - Ovarian adnexal mass assessment score test system.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... ovarian/adnexal mass assessment test system is a device that measures one or more proteins in serum or... § 866.1(e). (c) Black box warning. Under section 520(e) of the Federal Food, Drug, and Cosmetic Act... box and must appear in all advertising, labeling, and promotional material for these devices. That...

  13. 21 CFR 866.6050 - Ovarian adnexal mass assessment score test system.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... ovarian/adnexal mass assessment test system is a device that measures one or more proteins in serum or... § 866.1(e). (c) Black box warning. Under section 520(e) of the Federal Food, Drug, and Cosmetic Act... box and must appear in all advertising, labeling, and promotional material for these devices. That...

  14. Vital signs and other observations used to detect deterioration in pregnant women: an analysis of vital sign charts in consultant-led UK maternity units.

    PubMed

    Smith, G B; Isaacs, R; Andrews, L; Wee, M Y K; van Teijlingen, E; Bick, D E; Hundley, V

    2017-05-01

    Obstetric early warning systems are recommended for monitoring hospitalised pregnant and postnatal women. We decided to compare: (i) vital sign values used to define physiological normality; (ii) symptoms and signs used to escalate care; (iii) type of chart used; and (iv) presence of explicit instructions for escalating care. One-hundred-and-twenty obstetric early warning charts and escalation protocols were obtained from consultant-led maternity units in the UK and Channel Islands. These data were extracted: values used to determine normality for each maternal vital sign; chart colour-coding; instructions following early warning system triggering; other criteria used as triggers. There was considerable variation in the charts, warning systems and escalation protocols. Of 120 charts, 89.2% used colour; 69.2% used colour-coded escalation systems. Forty-one (34.2%) systems required the calculation of weighted scores. Seventy-five discrete combinations of 'normal' vital sign ranges were found, the most common being: heart rate=50-99beats/min; respiratory rate=11-20breaths/min; blood pressure, systolic=100-149mmHg, diastolic ≤89mmHg; SpO 2 =95-100%; temperature=36.0-37.9°C; and Alert-Voice-Pain-Unresponsive assessment=Alert. Most charts (90.8%) provided instructions about who to contact following triggering, but only 41.7% gave instructions about subsequent observation frequency. The wide range of 'normal' vital sign values in different systems suggests a lack of equity in the processes for detecting deterioration and escalating care in hospitalised pregnant and postnatal women. Agreement regarding 'normal' vital sign ranges is urgently required and would assist the development of a standardised obstetric early warning system and chart. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Does the Computer-Assisted Remedial Mathematics Program at Kearny High School Lead to Improved Scores on the N.J. Early Warning Test?

    ERIC Educational Resources Information Center

    Schalago-Schirm, Cynthia

    Eighth-grade students in New Jersey take the Early Warning Test (EWT), which involves reading, writing, and mathematics. Students with EWT scores below the state level of competency take a remedial mathematics course that provides students with computer-assisted instruction (2 days per week) as well as regular classroom instruction (3 days per…

  16. Packaging: a grounded theory of how to report physiological deterioration effectively.

    PubMed

    Andrews, Tom; Waterman, Heather

    2005-12-01

    The aim of this paper is to present a study of how ward-based staff use vital signs and the Early Warning Score to package physiological deterioration effectively to ensure successful referral to doctors. The literature tends to emphasize the identification of premonitory signs in predicting physiological deterioration. However, these signs lack sensitivity and specificity, and there is evidence that nurses rely on subjective and subtle indicators. The Early Warning Score was developed for the early detection of deterioration and has been widely implemented, with various modifications. The data reported here form part of a larger study investigating the practical problems faced by general ward staff in detecting physiological deterioration. During 2002, interviews and observations were carried out using a grounded theory approach, and a total of 44 participants were interviewed (30 nurses, 7 doctors and 7 health care support workers). Participants reported that quantifiable evidence is the most effective means of referring patients to doctors, and the Early Warning Score achieves this by improving communication between professionals. Rather than reporting changes in individual vital signs, the Early Warning Score effectively packages them together, resulting in a much more convincing referral. It gives nurses a precise, concise and unambiguous means of communicating deterioration, and confidence in using medical language. Thus, nurses are empowered and doctors can focus quickly on identified problems. The Early Warning Score leads to successful referral of patients by providing an agreed framework for assessment, increasing confidence in the use of medical language and empowering nurses. It is essential that nurses and nursing students are supported in its use and in developing confidence in using medical language by continued emphasis on physiology and pathophysiology in the nursing curriculum.

  17. Clicker Score Trajectories and Concept Inventory Scores as Predictors for Early Warning Systems for Large STEM Classes

    NASA Astrophysics Data System (ADS)

    Lee, Un Jung; Sbeglia, Gena C.; Ha, Minsu; Finch, Stephen J.; Nehm, Ross H.

    2015-12-01

    Increasing the retention of STEM (science, technology, engineering, and mathematics) majors has recently emerged as a national priority in undergraduate education. Since poor performance in large introductory science and math courses is one significant factor in STEM dropout, early detection of struggling students is needed. Technology-supported "early warning systems" (EWSs) are being developed to meet these needs. Our study explores the utility of two commonly collected data sources—pre-course concept inventory scores and longitudinal clicker scores—for use in EWS, specifically, in determining the time points at which robust predictions of student success can first be established. The pre-course diagnostic assessments, administered to 287 students, included two concept inventories and one attitude assessment. Clicker question scores were also obtained for each of the 37 class sessions. Additionally, student characteristics (sex, ethnicity, and English facility) were gathered in a survey. Our analyses revealed that all variables were predictive of final grades. The correlation of the first 3 weeks of clicker scores with final grades was 0.53, suggesting that this set of variables could be used in an EWS starting at the third week. We also used group-based trajectory models to assess whether trajectory patterns were homogeneous in the class. The trajectory analysis identified three distinct clicker performance patterns that were also significant predictors of final grade. Trajectory analyses of clicker scores, student characteristics, and pre-course diagnostic assessment appear to be valuable data sources for EWS, although further studies in a diversity of instructional contexts are warranted.

  18. Validation and evaluation of epistemic uncertainty in rainfall thresholds for regional scale landslide forecasting

    NASA Astrophysics Data System (ADS)

    Gariano, Stefano Luigi; Brunetti, Maria Teresa; Iovine, Giulio; Melillo, Massimo; Peruccacci, Silvia; Terranova, Oreste Giuseppe; Vennari, Carmela; Guzzetti, Fausto

    2015-04-01

    Prediction of rainfall-induced landslides can rely on empirical rainfall thresholds. These are obtained from the analysis of past rainfall events that have (or have not) resulted in slope failures. Accurate prediction requires reliable thresholds, which need to be validated before their use in operational landslide warning systems. Despite the clear relevance of validation, only a few studies have addressed the problem, and have proposed and tested robust validation procedures. We propose a validation procedure that allows for the definition of optimal thresholds for early warning purposes. The validation is based on contingency table, skill scores, and receiver operating characteristic (ROC) analysis. To establish the optimal threshold, which maximizes the correct landslide predictions and minimizes the incorrect predictions, we propose an index that results from the linear combination of three weighted skill scores. Selection of the optimal threshold depends on the scope and the operational characteristics of the early warning system. The choice is made by selecting appropriately the weights, and by searching for the optimal (maximum) value of the index. We discuss weakness in the validation procedure caused by the inherent lack of information (epistemic uncertainty) on landslide occurrence typical of large study areas. When working at the regional scale, landslides may have occurred and may have not been reported. This results in biases and variations in the contingencies and the skill scores. We introduce two parameters to represent the unknown proportion of rainfall events (above and below the threshold) for which landslides occurred and went unreported. We show that even a very small underestimation in the number of landslides can result in a significant decrease in the performance of a threshold measured by the skill scores. We show that the variations in the skill scores are different for different uncertainty of events above or below the threshold. This has consequences in the ROC analysis. We applied the proposed procedure to a catalogue of rainfall conditions that have resulted in landslides, and to a set of rainfall events that - presumably - have not resulted in landslides, in Sicily, in the period 2002-2012. First, we determined regional event duration-cumulated event (ED) rainfall thresholds for shallow landslide occurrence using 200 rainfall conditions that have resulted in 223 shallow landslides in Sicily in the period 2002-2011. Next, we validated the thresholds using 29 rainfall conditions that have triggered 42 shallow landslides in Sicily in 2012, and 1250 rainfall events that presumably have not resulted in landslides in the same year. We performed a back analysis simulating the use of the thresholds in a hypothetical landslide warning system operating in 2012.

  19. Bimodal Inverted Bell Grade Distribution: Implications for Instruction and Student Retention

    ERIC Educational Resources Information Center

    Gensheimer, Leah K.; Diebold, Charles T.

    2014-01-01

    College student attrition rates remain constant despite institution level efforts. This retrospective archival study examined how individual instructors at the course level might impact academic success and retention by acting on a real time at risk warning system. Five semesters of scores on the first exam in an undergraduate psychology course…

  20. 21 CFR 866.6050 - Ovarian adnexal mass assessment score test system.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... surgery is planned, is malignant. The test is for adjunctive use, in the context of a negative primary clinical and radiological evaluation, to augment the identification of patients whose gynecologic surgery... § 866.1(e). (c) Black box warning. Under section 520(e) of the Federal Food, Drug, and Cosmetic Act...

  1. Comparing Alcohol Marketing and Alcohol Warning Message Policies Across Canada.

    PubMed

    Wettlaufer, Ashley; Cukier, Samantha N; Giesbrecht, Norman

    2017-08-24

    In order to reduce harms from alcohol, evidence-based policies are to be introduced and sustained. To facilitate the dissemination of policies that reduce alcohol-related harms by documenting, comparing, and sharing information on effective alcohol polices related to restrictions on alcohol marketing and alcohol warning messaging in 10 Canadian provinces. Team members developed measurable indicators to assess policies on (a) restrictions on alcohol marketing, and (b) alcohol warning messaging. Indicators were peer-reviewed by three alcohol policy experts, refined, and data were collected, submitted for validation by provincial experts, and scored independently by two team members. The national average score was 52% for restrictions on marketing policies and 18% for alcohol warning message policies. Most provinces had marketing regulations that went beyond the federal guidelines with penalties for violating marketing regulations. The provincial liquor boards' web pages focused on product promotion, and there were few restrictions on sponsorship activities. No province has implemented alcohol warning labels, and Ontario was the sole province to have legislated warning signs at all points-of-sale. Most provinces provided a variety of warning signs to be displayed voluntarily at points-of-sale; however, the quality of messages varied. Conclusions/Importance: There is extensive alcohol marketing with comparatively few messages focused on the potential harms associated with alcohol. It is recommended that governments collaborate with multiple stakeholders to maximize the preventive impact of restrictions on alcohol marketing and advertising, and a broader implementation of alcohol warning messages.

  2. The CURB65 pneumonia severity score outperforms generic sepsis and early warning scores in predicting mortality in community‐acquired pneumonia

    PubMed Central

    Barlow, Gavin; Nathwani, Dilip; Davey, Peter

    2007-01-01

    Background The performance of CURB65 in predicting mortality in community‐acquired pneumonia (CAP) has been tested in two large observational studies. However, it has not been tested against generic sepsis and early warning scores, which are increasingly being advocated for identification of high‐risk patients in acute medical wards. Method A retrospective analysis was performed of data prospectively collected for a CAP quality improvement study. The ability to stratify mortality and performance characteristics (sensitivity, specificity, positive predictive value, negative predictive value and area under the receiver operating curve) were calculated for stratifications of CURB65, CRB65, the systemic inflammatory response syndrome (SIRS) criteria and the standardised early warning score (SEWS). Results 419 patients were included in the main analysis with a median age of 74 years (men = 47%). CURB65 and CRB65 stratified mortality in a more clinically useful way and had more favourable operating characteristics than SIRS or SEWS; for example, mortality in low‐risk patients was 2% when defined by CURB65, but 9% when defined by SEWS and 11–17% when defined by variations of the SIRS criteria. The sensitivity, specificity, positive predictive value and negative predictive value of CURB65 was 71%, 69%, 35% and 91%, respectively, compared with 62%, 73%, 35% and 89% for the best performing version of SIRS and 52%, 67%, 27% and 86% for SEWS. CURB65 had the greatest area under the receiver operating curve (0.78 v 0.73 for CRB65, 0.68 for SIRS and 0.64 for SEWS). Conclusions CURB65 should not be supplanted by SIRS or SEWS for initial prognostic assessment in CAP. Further research to identify better generic prognostic tools is required. PMID:16928720

  3. Centile-based early warning scores derived from statistical distributions of vital signs.

    PubMed

    Tarassenko, Lionel; Clifton, David A; Pinsky, Michael R; Hravnak, Marilyn T; Woods, John R; Watkinson, Peter J

    2011-08-01

    To develop an early warning score (EWS) system based on the statistical properties of the vital signs in at-risk hospitalised patients. A large dataset comprising 64,622 h of vital-sign data, acquired from 863 acutely ill in-hospital patients using bedside monitors, was used to investigate the statistical properties of the four main vital signs. Normalised histograms and cumulative distribution functions were plotted for each of the four variables. A centile-based alerting system was modelled using the aggregated database. The means and standard deviations of our population's vital signs are very similar to those published in previous studies. When compared with EWS systems based on a future outcome, the cut-off values in our system are most different for respiratory rate and systolic blood pressure. With four-hourly observations in a 12-h shift, about 1 in 8 at-risk patients would trigger our alerting system during the shift. A centile-based EWS system will identify patients with abnormal vital signs regardless of their eventual outcome and might therefore be more likely to generate an alert when presented with patients with redeemable morbidity or avoidable mortality. We are about to start a stepped-wedge clinical trial gradually introducing an electronic version of our EWS system on the trauma wards in a teaching hospital. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  4. Flash flood warnings for ungauged basins based on high-resolution precipitation forecasts

    NASA Astrophysics Data System (ADS)

    Demargne, Julie; Javelle, Pierre; Organde, Didier; de Saint Aubin, Céline; Janet, Bruno

    2016-04-01

    Early detection of flash floods, which are typically triggered by severe rainfall events, is still challenging due to large meteorological and hydrologic uncertainties at the spatial and temporal scales of interest. Also the rapid rising of waters necessarily limits the lead time of warnings to alert communities and activate effective emergency procedures. To better anticipate such events and mitigate their impacts, the French national service in charge of flood forecasting (SCHAPI) is implementing a national flash flood warning system for small-to-medium (up to 1000 km²) ungauged basins based on a discharge-threshold flood warning method called AIGA (Javelle et al. 2014). The current deterministic AIGA system has been run in real-time in the South of France since 2005 and has been tested in the RHYTMME project (rhytmme.irstea.fr/). It ingests the operational radar-gauge QPE grids from Météo-France to run a simplified hourly distributed hydrologic model at a 1-km² resolution every 15 minutes. This produces real-time peak discharge estimates along the river network, which are subsequently compared to regionalized flood frequency estimates to provide warnings according to the AIGA-estimated return period of the ongoing event. The calibration and regionalization of the hydrologic model has been recently enhanced for implementing the national flash flood warning system for the entire French territory by 2016. To further extend the effective warning lead time, the flash flood warning system is being enhanced to ingest Météo-France's AROME-NWC high-resolution precipitation nowcasts. The AROME-NWC system combines the most recent available observations with forecasts from the nowcasting version of the AROME convection-permitting model (Auger et al. 2015). AROME-NWC pre-operational deterministic precipitation forecasts, produced every hour at a 2.5-km resolution for a 6-hr forecast horizon, were provided for 3 significant rain events in September and November 2014 and ingested as time-lagged ensembles. The time-lagged approach is a practical choice of accounting for the atmospheric forecast uncertainty when no extensive forecast archive is available for statistical modelling. The evaluation on 185 basins in the South of France showed significant improvements in terms of flash flood event detection and effective warning lead-time, compared to warnings from the current AIGA setup (without any future precipitation). Various verification metrics (e.g., Relative Mean Error, Brier Skill Score) show the skill of ensemble precipitation and flow forecasts compared to single-valued persistency benchmarks. Planned enhancements include integrating additional probabilistic NWP products (e.g., AROME precipitation ensembles on longer forecast horizon), accounting for and reducing hydrologic uncertainties from the model parameters and initial conditions via data assimilation, and developing a comprehensive observational and post-event damage database to determine decision-relevant warning thresholds for flood magnitude and probability. Javelle, P., Demargne, J., Defrance, D., Arnaud, P., 2014. Evaluating flash flood warnings at ungauged locations using post-event surveys: a case study with the AIGA warning system. Hydrological Sciences Journal, doi: 10.1080/02626667.2014.923970 Auger, L., Dupont, O., Hagelin, S., Brousseau, P., Brovelli, P., 2015. AROME-NWC: a new nowcasting tool based on an operational mesoscale forecasting system. Quarterly Journal of the Royal Meteorological Society, 141: 1603-1611, doi: 10.1002/qj.2463

  5. Multicentre validation of the bedside paediatric early warning system score: a severity of illness score to detect evolving critical illness in hospitalised children

    PubMed Central

    2011-01-01

    Introduction The timely provision of critical care to hospitalised patients at risk for cardiopulmonary arrest is contingent upon identification and referral by frontline providers. Current approaches require improvement. In a single-centre study, we developed the Bedside Paediatric Early Warning System (Bedside PEWS) score to identify patients at risk. The objective of this study was to validate the Bedside PEWS score in a large patient population at multiple hospitals. Methods We performed an international, multicentre, case-control study of children admitted to hospital inpatient units with no limitations on care. Case patients had experienced a clinical deterioration event involving either an immediate call to a resuscitation team or urgent admission to a paediatric intensive care unit. Control patients had no events. The scores ranged from 0 to 26 and were assessed in the 24 hours prior to the clinical deterioration event. Score performance was assessed using the area under the receiver operating characteristic (AUCROC) curve by comparison with the retrospective rating of nurses and the temporal progression of scores in case patients. Results A total of 2,074 patients were evaluated at 4 participating hospitals. The median (interquartile range) maximum Bedside PEWS scores for the 12 hours ending 1 hour before the clinical deterioration event were 8 (5 to 12) in case patients and 2 (1 to 4) in control patients (P < 0.0001). The AUCROC curve (95% confidence interval) was 0.87 (0.85 to 0.89). In case patients, mean scores were 5.3 at 20 to 24 hours and 8.4 at 0 to 4 hours before the event (P < 0.0001). The AUCROC curve (95% CI) of the retrospective nurse ratings was 0.83 (0.81 to 0.86). This was significantly lower than that of the Bedside PEWS score (P < 0.0001). Conclusions The Bedside PEWS score identified children at risk for cardiopulmonary arrest. Scores were elevated and continued to increase in the 24 hours before the clinical deterioration event. Prospective clinical evaluation is needed to determine whether this score will improve the quality of care and patient outcomes. PMID:21812993

  6. Warning about the harms of tobacco use in 22 countries: findings from a cross-sectional household survey.

    PubMed

    Chiosi, John J; Andes, Linda; Asma, Samira; Palipudi, Krishna; McAfee, Tim

    2016-07-01

    Knowledge about the harms of tobacco use deters initiation and is associated with cessation. Most studies on this knowledge in the general population have been in high-income countries, but the tobacco use burden is increasing in low-income and middle-income countries. We sought to estimate levels of knowledge about tobacco-related diseases in 22 countries and determine the factors associated with differences in knowledge. We used data from the Global Adult Tobacco Survey (GATS), a nationally representative survey of persons aged ≥15 years. GATSs were conducted from 2008 to 2013 in 22 low-income and middle-income countries. Information was gathered on tobacco-related knowledge and noticing of antismoking mass media messages and health warning labels on cigarette packages. We constructed a four-point knowledge scale and performed multivariate regression analyses. Median country values for the proportion of adults who believed smoking causes a specific illness were 95.9% for lung cancer, 82.5% for heart attack and 74.0% for stroke. Knowledge scores ranged from 2.1 to 3.8. In multivariate regressions, adults scored significantly higher on the knowledge scale if they noticed antismoking media messages (22 countries) or health warning labels (17 countries). Significantly higher knowledge scores occurred in all 9 countries with pictorial health warning labels compared with only 8 out of 13 countries with text-only warning labels. Antismoking media messages appear effective for warning the public about the harms from tobacco use in all 22 countries, while warning labels are effective in the majority of these countries. Our findings suggest opportunities to motivate smoking cessation globally. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  7. End points for validating early warning scores in the context of rapid response systems: a Delphi consensus study.

    PubMed

    Pedersen, N E; Oestergaard, D; Lippert, A

    2016-05-01

    When investigating early warning scores and similar physiology-based risk stratification tools, death, cardiac arrest and intensive care unit admission are traditionally used as end points. A large proportion of the patients identified by these end points cannot be saved, even with optimal treatment. This could pose a limitation to studies using these end points. We studied current expert opinion on end points for validating tools for the identification of patients in hospital wards at risk of imminent critical illness. The Delphi consensus methodology was used. We identified 22 experts based on objective criteria; 17 participated in the study. Each expert panel member's suggestions for end points were collected and distributed to the entire expert panel in anonymised form. The experts reviewed, rated and commented the suggested end points through the rounds in the Delphi process, and the experts' combined rating of the usefulness of each suggestion was established. A gross list of 86 suggestions for end points, relating to 13 themes, was produced. No items were uniformly recognised as ideal. The themes cardiac arrest, death, and level of care contained the items receiving highest ratings. End points relating to death, cardiac arrest and intensive care unit admission currently comprise the most obvious compromises for investigating early warning scores and similar risk stratification tools. Additional end points from the gross list of suggested end points could become feasible with the increased availability of large data sets with a multitude of recorded parameters. © 2015 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  8. Predictors of Colorectal Cancer Knowledge among Adults in the United Arab Emirates

    PubMed

    Al-Sharbatti, Shatha; Muttappallymyalil, Jayakumary; Sreedharan, Jayadevan; Almosawy, Yasien

    2017-09-27

    Objective: To assess knowledge regarding colorectal cancer (CRC) and to identify its predictors in the UAE. Materials and Methods: A cross sectional study was conducted among subjects ≥ 50 years-old, using a validated self-administered questionnaire. Awareness of CRC risk factors, warning signs/symptoms (S/S), and screening methods was evaluated with a level of knowledge score for various areas. Low (poor) knowledge was defined as a score below the corresponding average value. The Chi-square test and logistic regression were used in the statistical analysis. Results: The percentage of respondents who had poor knowledge score concerning risk factors, warning S/S and screening were 81.7%, 84.7% and 94.1% respectively. Male and lower education level subjects had significantly higher probability of low knowledge related to risk factors and warning S/S. Also respondents without a family history of CRC or personal history of polyps had a significantly higher probability of low knowledge concerning warning S/S compared to those who had a positive history. Significantly higher probability of low knowledge concerning screening methods was noted among non-Arabs and subjects with a lower education level. Conclusion: Most of the respondents had poor knowledge. Gender, education level, family and personal history and ethnicity were found to be significant predictors of CRC knowledge. Creative Commons Attribution License

  9. Predictors of Colorectal Cancer Knowledge among Adults in the United Arab Emirates

    PubMed Central

    Al-Sharbatti, Shatha; Muttappallymyalil, Jayakumary; Sreedharan, Jayadevan; Almosawy, Yasien

    2017-01-01

    Objective: To assess knowledge regarding colorectal cancer (CRC) and to identify its predictors in the UAE. Materials and Methods: A cross sectional study was conducted among subjects ≥ 50 years-old, using a validated self-administered questionnaire. Awareness of CRC risk factors, warning signs/symptoms (S/S), and screening methods was evaluated with a level of knowledge score for various areas. Low (poor) knowledge was defined as a score below the corresponding average value. The Chi-square test and logistic regression were used in the statistical analysis. Results: The percentage of respondents who had poor knowledge score concerning risk factors, warning S/S and screening were 81.7%, 84.7% and 94.1% respectively. Male and lower education level subjects had significantly higher probability of low knowledge related to risk factors and warning S/S. Also respondents without a family history of CRC or personal history of polyps had a significantly higher probability of low knowledge concerning warning S/S compared to those who had a positive history. Significantly higher probability of low knowledge concerning screening methods was noted among non-Arabs and subjects with a lower education level. Conclusion: Most of the respondents had poor knowledge. Gender, education level, family and personal history and ethnicity were found to be significant predictors of CRC knowledge. PMID:28950678

  10. Validation of a pediatric early warning system for hospitalized pediatric oncology patients in a resource-limited setting.

    PubMed

    Agulnik, Asya; Méndez Aceituno, Alejandra; Mora Robles, Lupe Nataly; Forbes, Peter W; Soberanis Vasquez, Dora Judith; Mack, Ricardo; Antillon-Klussmann, Federico; Kleinman, Monica; Rodriguez-Galindo, Carlos

    2017-12-15

    Pediatric oncology patients are at high risk of clinical deterioration, particularly in hospitals with resource limitations. The performance of pediatric early warning systems (PEWS) to identify deterioration has not been assessed in these settings. This study evaluates the validity of PEWS to predict the need for unplanned transfer to the pediatric intensive care unit (PICU) among pediatric oncology patients in a resource-limited hospital. A retrospective case-control study comparing the highest documented and corrected PEWS score before unplanned PICU transfer in pediatric oncology patients (129 cases) with matched controls (those not requiring PICU care) was performed. Documented and corrected PEWS scores were found to be highly correlated with the need for PICU transfer (area under the receiver operating characteristic, 0.940 and 0.930, respectively). PEWS scores increased 24 hours prior to unplanned transfer (P = .0006). In cases, organ dysfunction at the time of PICU admission correlated with maximum PEWS score (correlation coefficient, 0.26; P = .003), patients with PEWS results ≥4 had a higher Pediatric Index of Mortality 2 (PIM2) (P = .028), and PEWS results were higher in patients with septic shock (P = .01). The PICU mortality rate was 17.1%; nonsurvivors had higher mean PEWS scores before PICU transfer (P = .0009). A single-point increase in the PEWS score increased the odds of mechanical ventilation or vasopressors within the first 24 hours and during PICU admission (odds ratio 1.3-1.4). PEWS accurately predicted the need for unplanned PICU transfer in pediatric oncology patients in this resource-limited setting, with abnormal results beginning 24 hours before PICU admission and higher scores predicting the severity of illness at the time of PICU admission, need for PICU interventions, and mortality. These results demonstrate that PEWS aid in the identification of clinical deterioration in this high-risk population, regardless of a hospital's resource-level. Cancer 2017;123:4903-13. © 2017 American Cancer Society. © 2017 American Cancer Society.

  11. Detection of Deteriorating Patients on Surgical Wards Outside the ICU by an Automated MEWS-Based Early Warning System With Paging Functionality.

    PubMed

    Heller, Axel R; Mees, Sören T; Lauterwald, Benjamin; Reeps, Christian; Koch, Thea; Weitz, Jürgen

    2018-05-16

    The establishment of early warning systems in hospitals was strongly recommended in recent guidelines to detect deteriorating patients early and direct them to adequate care. Upon reaching predefined trigger criteria, Medical Emergency Teams (MET) should be notified and directed to these patients. The present study analyses the effect of introducing an automated multiparameter early warning score (MEWS)-based early warning system with paging functionality on 2 wards hosting patients recovering from highly complex surgical interventions. The deployment of the system was accompanied by retrospective data acquisition during 12 months (intervention) using 4 routine databases: Hospital patient data management, anesthesia database, local data of the German Resuscitation Registry, and measurement logs of the deployed system (intervention period only). A retrospective 12-month data review using the same aforementioned databases before the deployment of the system served as control. Control and intervention phases were separated by a 6-month washout period for the installation of the system and for training. Data from 3827 patients could be acquired from 2 surgical wards during the two 12-month periods, 1896 patients in the control and 1931 in the intervention cohorts. Patient characteristics differed between the 2 observation phases. American Society of Anesthesiologists risk classification and duration of surgery as well as German DRG case-weight were significantly higher in the intervention period. However, the rate of cardiac arrests significantly dropped from 5.3 to 2.1 per 1000 admissions in the intervention period (P < 0.001). This observation was paralleled by a reduction of unplanned ICU admissions from 3.6% to 3.0% (P < 0.001), and an increase of notifications of critical conditions to the ward surgeon. The primary triggers for MET activation were abnormal ECG alerts, specifically asystole (n = 5), and pulseless electric activity (n = 8). In concert with a well-trained and organized MET, the early deterioration detection of patients on surgical wards outside the ICU may be improved by introducing an automated MEWS-based early warning system with paging functionality.

  12. The impact of a physician's warning on recovery after alcoholism treatment.

    PubMed

    Walsh, D C; Hingson, R W; Merrigan, D M; Levenson, S M; Coffman, G A; Heeren, T; Cupples, L A

    1992-02-05

    To study whether alcoholic workers had seen physicians during the year they were identified by their company, whether they recalled physicians' warnings about drinking, and whether such warnings affected outcomes 2 years later. Workers were interviewed at intake and 2 years later: subgroups who did and did not see physicians and who did and did not recall warnings were compared. A company-union employee assistance program. Two hundred problem drinkers, newly identified on the job, predominantly male, blue-collar workers. Drinking, drunkenness, average daily alcohol consumption, and impairment score. Among the 200 participants, 74% saw physicians in the index year; only 22% recalled warnings. Recall of a warning was associated with liver disease, continued drinking while ill, supervisors' job warnings, older age, and marijuana use. Two years later, those warned were more likely to be abstaining, and sober, and were less impaired. Recalling a physician's warning at intake into alcoholism treatment was associated with better prognosis 2 years later. However, among this group of employees whose drinking was serious enough to be identified on the job, fewer than a quarter recalled physicians' warnings, even though more than three quarters had seen physicians in the year preceding intake.

  13. 49 CFR 234.225 - Activation of warning system.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Activation of warning system. 234.225 Section 234....225 Activation of warning system. A highway-rail grade crossing warning system shall be maintained to activate in accordance with the design of the warning system, but in no event shall it provide less than 20...

  14. 49 CFR 234.225 - Activation of warning system.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Activation of warning system. 234.225 Section 234....225 Activation of warning system. A highway-rail grade crossing warning system shall be maintained to activate in accordance with the design of the warning system, but in no event shall it provide less than 20...

  15. 49 CFR 234.225 - Activation of warning system.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Activation of warning system. 234.225 Section 234....225 Activation of warning system. A highway-rail grade crossing warning system shall be maintained to activate in accordance with the design of the warning system, but in no event shall it provide less than 20...

  16. A global flash flood forecasting system

    NASA Astrophysics Data System (ADS)

    Baugh, Calum; Pappenberger, Florian; Wetterhall, Fredrik; Hewson, Tim; Zsoter, Ervin

    2016-04-01

    The sudden and devastating nature of flash flood events means it is imperative to provide early warnings such as those derived from Numerical Weather Prediction (NWP) forecasts. Currently such systems exist on basin, national and continental scales in Europe, North America and Australia but rely on high resolution NWP forecasts or rainfall-radar nowcasting, neither of which have global coverage. To produce global flash flood forecasts this work investigates the possibility of using forecasts from a global NWP system. In particular we: (i) discuss how global NWP can be used for flash flood forecasting and discuss strengths and weaknesses; (ii) demonstrate how a robust evaluation can be performed given the rarity of the event; (iii) highlight the challenges and opportunities in communicating flash flood uncertainty to decision makers; and (iv) explore future developments which would significantly improve global flash flood forecasting. The proposed forecast system uses ensemble surface runoff forecasts from the ECMWF H-TESSEL land surface scheme. A flash flood index is generated using the ERIC (Enhanced Runoff Index based on Climatology) methodology [Raynaud et al., 2014]. This global methodology is applied to a series of flash floods across southern Europe. Results from the system are compared against warnings produced using the higher resolution COSMO-LEPS limited area model. The global system is evaluated by comparing forecasted warning locations against a flash flood database of media reports created in partnership with floodlist.com. To deal with the lack of objectivity in media reports we carefully assess the suitability of different skill scores and apply spatial uncertainty thresholds to the observations. To communicate the uncertainties of the flash flood system output we experiment with a dynamic region-growing algorithm. This automatically clusters regions of similar return period exceedence probabilities, thus presenting the at-risk areas at a spatial resolution appropriate to the NWP system. We then demonstrate how these warning areas could eventually complement existing global systems such as the Global Flood Awareness System (GloFAS), to give warnings of flash floods. This work demonstrates the possibility of creating a global flash flood forecasting system based on forecasts from existing global NWP systems. Future developments, in post-processing for example, will need to address an under-prediction bias, for extreme point rainfall, that is innate to current-generation global models.

  17. Application of the National Early Warning Score (NEWS) as a stratification tool on admission in an Italian acute medical ward: A perspective study.

    PubMed

    Spagnolli, Walter; Rigoni, Marta; Torri, Emanuele; Cozzio, Susanna; Vettorato, Elisa; Nollo, Giandomenico

    2017-03-01

    We aimed to assess the performance of the National Early Warning Score (NEWS) as tool for patient risk stratification at admission in an acute Internal Medicine ward and to ensure patient placement in ward areas with the required and most appropriate intensity of care. As secondary objective, we considered NEWS performance in two subgroups of patients: sudden cardiac events (acute coronary syndromes and arrhythmic events), and chronic respiratory insufficiency. We conducted a perspective cohort single centre study on 2,677 unselected patients consecutively admitted from July 2013 to March 2015 in the Internal Medicine ward of the hospital of Trento, Italy. The NEWS was mandatory collected on ward admission. We defined three risk categories for clinical deterioration: low score (NEWS 0-4), medium score (NEWS 5-6), and high score (NEWS≥7). Following adverse outcomes were considered: total and early (<72 hours) in-hospital mortality, urgent transfers to a higher intensity of care. A logistic regression model quantified the association between outcomes and NEWS. For patients with NEWS >4 vs patients with NEWS <4, the risk of early death increased from 12 to 36 times, total mortality from 3.5 to 9, and urgent transfers from 3.5 to 7. In patients with sudden cardiac events, lower scores were significantly associated with higher risk of transfer to a higher intensity of care. In patients affected by chronic hypoxaemia, adverse outcomes occurred less in medium and high score categories of NEWS. National Early Warning Score assessed on ward admission may enable risk stratification of clinical deterioration and can be a good predictor of in-hospital serious adverse outcomes, although sudden cardiac events and chronic hypoxaemia could constitute some limits. © 2017 John Wiley & Sons Ltd.

  18. Message on a bottle: are alcohol warning labels about cancer appropriate?

    PubMed

    Miller, Emma R; Ramsey, Imogen J; Baratiny, Genevieve Y; Olver, Ian N

    2016-02-11

    Although most Australians are unaware of the risk, there is strong evidence for a direct link between alcohol consumption and many types of cancer. Warning labels on alcohol products have been proposed as a cost-effective strategy to inform the community of this health risk. We aimed to identify how Australians might respond to such an approach. We conducted a national online survey canvassing responses to four separate cancer warning messages on labels. The graphically presented messages were informed by qualitative data from a series of focus groups among self-identified 'light-to-moderate' drinkers. For each label, participants were asked their level of agreement with impact statements about raising awareness, prompting conversation, influencing drinking behaviour and educating others about cancer risk. We analysed responses according to demographic and other factors, including self-reported drinking behaviour (using the 3-item Alcohol Use Disorder Test - AUDIT-C - scores). Approximately 1600 participants completed the survey, which was open to all Australian adults over a period of 1 month in 2014. Overall, the labels were well received, with the majority (>70 %) agreeing all labels could raise awareness and prompt conversations about the cancer risk associated with alcohol. Around 50 % or less agreed that the labels could influence drinking behaviour, but larger proportions agreed that the labels would prompt them to discuss the issue with family and friends. Although sex, AUDIT-C score and age were significantly associated with agreement on bivariate analysis, multivariate analyses demonstrated that being inclined to act upon warning label recommendations in general was the most important predictor of agreement with all of the impact statements. Having a low AUDIT-C score also predicted agreement that the labels might prompt behaviour change in friends. The findings suggest that providing detailed warnings about cancer risk on alcohol products is a viable means of increasing public awareness of the health risks associated with alcohol consumption. Further research is needed to explore the ability of such warnings to influence behavioural intentions and actual drinking behaviour.

  19. Can Percentiles Replace Raw Scores in the Statistical Analysis of Test Data?

    ERIC Educational Resources Information Center

    Zimmerman, Donald W.; Zumbo, Bruno D.

    2005-01-01

    Educational and psychological testing textbooks typically warn of the inappropriateness of performing arithmetic operations and statistical analysis on percentiles instead of raw scores. This seems inconsistent with the well-established finding that transforming scores to ranks and using nonparametric methods often improves the validity and power…

  20. Effectiveness of FDA's new over-the-counter acetaminophen warning label in improving consumer risk perception of liver damage.

    PubMed

    Goyal, R K; Rajan, S S; Essien, E J; Sansgiry, S S

    2012-12-01

    The Food and Drug Administration (FDA) issued new organ-specific warning label requirements for over-the-counter (OTC) analgesic products in order to make consumers aware of the risk of liver damage when using acetaminophen. However, awareness of a health risk alone cannot ensure consumers' engagement in safe and preventive behaviour. In this study, we attempted to: (i) measure consumer risk perception of liver damage due to the OTC acetaminophen products and (ii) analyse the effectiveness of the new organ-specific warning label in improving consumer risk perception of liver damage and intention to perform protective behaviours while using OTC acetaminophen products. This within-subject experimental study used a convenience sample of English-speaking adults visiting OTC segments of selected pharmacy stores in Houston. Participants were randomly exposed to the old and new warning labels and their respective risk perception (measured on a visual analogue scale, 0%, no risk, to 100%, extreme risk) and behavioural intention (measured on a 7-point Likert scale) were recorded using a validated, self-administered questionnaire. Descriptive statistics and non-parametric Wilcoxon signed-rank tests were performed using sas statistical software (v 9.2) at a priori significance level of 0.05. Majority of participants (74.4%) were not aware of the new warnings; however, majority (67.8%) had prior knowledge of the risk. The mean risk perception score for the new warning label was found to be significantly higher (72.2% vs. 65.9%, P < 0.0001) than the old warning label. Similarly, the average intention score for the new warning label was significantly higher (5.06 vs. 4.86, P < 0.0001) than the old warning label. The new warning label mandated by FDA is effective in improving consumer risk perception of potential liver damage and may encourage protective behaviour. However, future studies are essential to assess the impact of the new label on actual changes in consumer behaviour and subsequent reduction in acetaminophen-related morbidity and mortality. © 2012 Blackwell Publishing Ltd.

  1. An Analysis of the 1992 New Jersey Grade 8 Early Warning Test.

    ERIC Educational Resources Information Center

    Tambini, Robert F.

    The quality and the effectiveness of the 1992 New Jersey Grade 8 Early Warning Test (NJEWT) are assessed. Standardized tests possess clear advantages for educators, especially in the case of administration and scoring, but there are clear disadvantages as well, including the possibility of bias. Four criteria are applied to the NJEWT: adequacy,…

  2. Airlock caution and warning system

    NASA Technical Reports Server (NTRS)

    Mayfield, W. J.; Cork, L. Z.; Malchow, R. G.; Hornback, G. L.

    1972-01-01

    Caution and warning system, used to monitor performance and warn of hazards or out-of-limit conditions on space vehicles, may have application to aircraft and railway transit systems. System consists of caution and warning subsystem and emergency subsystem.

  3. False alarms and missed events: the impact and origins of perceived inaccuracy in tornado warning systems.

    PubMed

    Ripberger, Joseph T; Silva, Carol L; Jenkins-Smith, Hank C; Carlson, Deven E; James, Mark; Herron, Kerry G

    2015-01-01

    Theory and conventional wisdom suggest that errors undermine the credibility of tornado warning systems and thus decrease the probability that individuals will comply (i.e., engage in protective action) when future warnings are issued. Unfortunately, empirical research on the influence of warning system accuracy on public responses to tornado warnings is incomplete and inconclusive. This study adds to existing research by analyzing two sets of relationships. First, we assess the relationship between perceptions of accuracy, credibility, and warning response. Using data collected via a large regional survey, we find that trust in the National Weather Service (NWS; the agency responsible for issuing tornado warnings) increases the likelihood that an individual will opt for protective action when responding to a hypothetical warning. More importantly, we find that subjective perceptions of warning system accuracy are, as theory suggests, systematically related to trust in the NWS and (by extension) stated responses to future warnings. The second half of the study matches survey data against NWS warning and event archives to investigate a critical follow-up question--Why do some people perceive that their warning system is accurate, whereas others perceive that their system is error prone? We find that subjective perceptions are--in part-a function of objective experience, knowledge, and demographic characteristics. When considered in tandem, these findings support the proposition that errors influence perceptions about the accuracy of warning systems, which in turn impact the credibility that people assign to information provided by systems and, ultimately, public decisions about how to respond when warnings are issued. © 2014 Society for Risk Analysis.

  4. Camera formation and more, but what comes next? an analysis of volcanic threat of Nisyros island, Greece

    NASA Astrophysics Data System (ADS)

    Winson, A.; Kinvig, H.; Gottsmann, J.; Partington, E.; Geyer, A.

    2008-10-01

    We present an analysis of volcanic threat of Nisyros island (Greece) based on a catalogue of questions compiled for the USGS National Volcano Early Warning System (NVEWS). We find that the score puts Nisyros in the league of volcanoes posing a very high threat. US volcanoes with a comparable threat level include Mt. St. Helens, Augustine and the Long Valley caldera.

  5. Effective Vehicle-Based Kangaroo Detection for Collision Warning Systems Using Region-Based Convolutional Networks.

    PubMed

    Saleh, Khaled; Hossny, Mohammed; Nahavandi, Saeid

    2018-06-12

    Traffic collisions between kangaroos and motorists are on the rise on Australian roads. According to a recent report, it was estimated that there were more than 20,000 kangaroo vehicle collisions that occurred only during the year 2015 in Australia. In this work, we are proposing a vehicle-based framework for kangaroo detection in urban and highway traffic environment that could be used for collision warning systems. Our proposed framework is based on region-based convolutional neural networks (RCNN). Given the scarcity of labeled data of kangaroos in traffic environments, we utilized our state-of-the-art data generation pipeline to generate 17,000 synthetic depth images of traffic scenes with kangaroo instances annotated in them. We trained our proposed RCNN-based framework on a subset of the generated synthetic depth images dataset. The proposed framework achieved a higher average precision (AP) score of 92% over all the testing synthetic depth image datasets. We compared our proposed framework against other baseline approaches and we outperformed it with more than 37% in AP score over all the testing datasets. Additionally, we evaluated the generalization performance of the proposed framework on real live data and we achieved a resilient detection accuracy without any further fine-tuning of our proposed RCNN-based framework.

  6. Crash Warning Interface Metrics: Final Report

    DOT National Transportation Integrated Search

    2011-08-01

    The Crash Warning Interface Metrics (CWIM) project addressed issues of the driver-vehicle interface (DVI) for Advanced Crash Warning Systems (ACWS). The focus was on identifying the effects of certain warning system features (e.g., warning modality) ...

  7. Effectiveness of safety belt warning and interlock systems

    DOT National Transportation Integrated Search

    1973-04-01

    Rental cars in Fayetteville, N.C., were equipped with four seat belt and warning systems: (Phase I) detachable shoulder and lap belt, no warning system; (Phase II) detachable shoulder and lap belt, warning system (January 1, 1972 standard); (Phase II...

  8. Electrical Distribution System (EDS) and Caution and Warning System (CWS)

    NASA Technical Reports Server (NTRS)

    Mcclung, T.

    1975-01-01

    An astronaut caution and warning system is described which monitors various life support system parameters and detects out-of-range parameter conditions. The warning system generates a warning tone and displays the malfunction condition to the astronaut along with the proper corrective procedures required.

  9. 49 CFR 234.257 - Warning system operation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Warning system operation. 234.257 Section 234.257... EMERGENCY NOTIFICATION SYSTEMS Maintenance, Inspection, and Testing Inspections and Tests § 234.257 Warning system operation. (a) Each highway-rail crossing warning system shall be tested to determine that it...

  10. 47 CFR 87.483 - Audio visual warning systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 5 2014-10-01 2014-10-01 false Audio visual warning systems. 87.483 Section 87... AVIATION SERVICES Stations in the Radiodetermination Service § 87.483 Audio visual warning systems. An audio visual warning system (AVWS) is a radar-based obstacle avoidance system. AVWS activates...

  11. 49 CFR 234.257 - Warning system operation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Warning system operation. 234.257 Section 234.257... EMERGENCY NOTIFICATION SYSTEMS Maintenance, Inspection, and Testing Inspections and Tests § 234.257 Warning system operation. (a) Each highway-rail crossing warning system shall be tested to determine that it...

  12. 49 CFR 234.257 - Warning system operation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Warning system operation. 234.257 Section 234.257... EMERGENCY NOTIFICATION SYSTEMS Maintenance, Inspection, and Testing Inspections and Tests § 234.257 Warning system operation. (a) Each highway-rail crossing warning system shall be tested to determine that it...

  13. Studying the response of drivers against different collision warning systems: a review

    NASA Astrophysics Data System (ADS)

    Muzammel, M.; Yusoff, M. Zuki; Malik, A. Saeed; Mohamad Saad, M. Naufal; Meriaudeau, F.

    2017-03-01

    The number of vehicle accidents is rapidly increasing and causing significant economic losses in many countries. According to the World Health Organization, road accidents will become the fifth major cause of death by the year 2030. To minimize these accidents different types of collision warning systems have been proposed for motor vehicle drivers. These systems can early detect and warn the drivers about the potential danger, up to a certain accuracy. Many researchers study the effectiveness of these systems by using different methods, including Electroencephalography (EEG). From the literature review, it has been observed that, these systems increase the drivers' response and can help to minimize the accidents that may occur due to drivers unconsciousness. For these collision warning systems, tactile early warnings are found more effective as compared to the auditory and visual early warnings. This review also highlights the areas, where further research can be performed to fully analyze the collision warning system. For example, some contradictions are found among researchers, about these systems' performance for drivers within different age groups. Similarly, most of the EEG studies focus on the front collision warning systems and only give beep sound to alert the drivers. Therefore, EEG study can be performed for the rear end collision warning systems, against proper auditory warning messages which indicate the types of hazards. This EEG study will help to design more friendly collision warning system and may save many lives.

  14. Earthquake Early Warning and Public Policy: Opportunities and Challenges

    NASA Astrophysics Data System (ADS)

    Goltz, J. D.; Bourque, L.; Tierney, K.; Riopelle, D.; Shoaf, K.; Seligson, H.; Flores, P.

    2003-12-01

    Development of an earthquake early warning capability and pilot project were objectives of TriNet, a 5-year (1997-2001) FEMA-funded project to develop a state-of-the-art digital seismic network in southern California. In parallel with research to assemble a protocol for rapid analysis of earthquake data and transmission of a signal by TriNet scientists and engineers, the public policy, communication and educational issues inherent in implementation of an earthquake early warning system were addressed by TriNet's outreach component. These studies included: 1) a survey that identified potential users of an earthquake early warning system and how an earthquake early warning might be used in responding to an event, 2) a review of warning systems and communication issues associated with other natural hazards and how lessons learned might be applied to an alerting system for earthquakes, 3) an analysis of organization, management and public policy issues that must be addressed if a broad-based warning system is to be developed and 4) a plan to provide earthquake early warnings to a small number of organizations in southern California as an experimental prototype. These studies provided needed insights into the social and cultural environment in which this new technology will be introduced, an environment with opportunities to enhance our response capabilities but also an environment with significant barriers to overcome to achieve a system that can be sustained and supported. In this presentation we will address the main public policy issues that were subjects of analysis in these studies. They include a discussion of the possible division of functions among organizations likely to be the principle partners in the management of an earthquake early warning system. Drawing on lessons learned from warning systems for other hazards, we will review the potential impacts of false alarms and missed events on warning system credibility, the acceptability of fully automated warning systems and equity issues associated with possible differential access to warnings. Finally, we will review the status of legal authorities and liabilities faced by organizations that assume various warning system roles and possible approaches to setting up a pilot project to introduce early warning. Our presentation will suggest that introducing an early warning system requires multi-disciplinary and multi-agency cooperation and thoughtful discussion among organizations likely to be providers and participants in an early warning system. Recalling our experience with earthquake prediction, we will look at early warning as a promising but unproven technology and recommend moving forward with caution and patience.

  15. National early warning score (NEWS) - evaluation in surgery.

    PubMed

    Neary, Peter M; Regan, Mark; Joyce, Myles J; McAnena, Oliver J; Callanan, Ian

    2015-01-01

    The purpose of this paper is to evaluate staff opinion on the impact of the National Early Warning Score (NEWS) system on surgical wards. In 2012, the NEWS system was introduced to Irish hospitals on a phased basis as part of a national clinical programme in acute care. A modified established questionnaire was given to surgical nursing staff, surgical registrars, surgical senior house officers and surgical interns for completion six months following the introduction of the NEWS system into an Irish university hospital. Amongst the registrars, 89 per cent were unsure if the NEWS system would improve patient care. Less than half of staff felt consultants and surgical registrars supported the NEWS system. Staff felt the NEWS did not correlate well clinically with patients within the first 24 hours (Day zero) post-operatively. Furthermore, 78-85 per cent of nurses and registrars felt a rapid response team should be part of the escalation protocol. Senior medical staff were not convinced that the NEWS system may improve patient care. Appropriate audit proving a beneficial impact of the NEWS system on patient outcome may be essential in gaining support from senior doctors. Deficiencies with the system were also observed including the absence of a rapid response team as part of the escalation protocol and a lack of concordance of the NEWS in patients Day zero post-operatively. These issues should be addressed moving forward. Appropriate audit of the impact of the NEWS system on patient outcome may be pertinent to obtain the support from senior doctors. Deficiencies with the system were also observed including the absence of a rapid response team as part of the escalation protocol and a lack of concordance of the NEWS in patients Day zero post-operatively. These issues should be addressed moving forward.

  16. Assessment of a severe-weather warning system and disaster preparedness, Calhoun County, Alabama, 1994.

    PubMed Central

    Liu, S; Quenemoen, L E; Malilay, J; Noji, E; Sinks, T; Mendlein, J

    1996-01-01

    Tornado preparedness warning system effectiveness, and shelter-seeking behavior were examined in two Alabama areas after tornado warnings. In the area without sirens, only 28.9% of 194 respondents heard a tornado warning of these, 73.2% first received the warning from radios or television. In the area with sirens, 88.1% of 193 respondents heard a warning, and 61.8% first received the warning from a siren. Knowledge of warnings, access to shelter, and education were key predictors for seeking shelter. Our findings indicate that installing sirens, providing access to shelter, and teaching appropriate responses to warnings are important elements of an effective disaster prevention system. PMID:8561251

  17. [Tourism ecological security early warning of Zhangjiajie, China based on the improved TOPSIS method and the grey GM (1,1)model].

    PubMed

    Xu, Mei; Liu, Chun la; Li, Dan; Zhong, Xiao Lin

    2017-11-01

    Tourism ecological security early warning is of great significance both to the coordination of ecological environment protection and tourism industry rapid development in tourism destination, and the sustainable and healthy development of regional social and economy. Firstly, based on the DPSIR model, the tourism ecological security early warning index system of Zhangjiajie was constructed from 5 aspects, which were driving force, pressure, state, impact and response. Then, by using the improved TOPSIS method, the tourism ecological security situation of Zhangjiajie from 2001 to 2014 was analyzed. Lastly, by using the grey GM (1,1) model, the tourism ecological security evolution trend of 2015-2020 was predicted. The results indicated that, on the whole, the close degree of Zhangjiajie's tourism ecological security showed a slightly upward trend during 2001-2014, the warning degree was the moderate warning. In terms of each subsystem, warning degree of the driving force system and the pressure system of Zhangjiajie's tourism ecological secu-rity were on the rise, which evolved from light warning to heavy warning; warning degree of the state system and the impact system had not changed so much, and had been in the moderate warning; warning degree of the response system was on the decline, which changed from huge warning to no warning during 2001-2014. According to the current development trend, the close degree of Zhangjiajie's tourism ecological security would rise further in 2015-2020, and the warning degree would turn from moderate warning into light warning, but the task of coordinating the relationship between tourism development and ecological construction and environmental protection would be still arduous.

  18. 49 CFR 234.211 - Security of warning system apparatus.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Security of warning system apparatus. 234.211 Section 234.211 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD....211 Security of warning system apparatus. Highway-rail grade crossing warning system apparatus shall...

  19. 49 CFR 234.211 - Security of warning system apparatus.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Security of warning system apparatus. 234.211 Section 234.211 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD....211 Security of warning system apparatus. Highway-rail grade crossing warning system apparatus shall...

  20. 49 CFR 234.211 - Security of warning system apparatus.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Security of warning system apparatus. 234.211 Section 234.211 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD....211 Security of warning system apparatus. Highway-rail grade crossing warning system apparatus shall...

  1. 49 CFR 234.211 - Security of warning system apparatus.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Security of warning system apparatus. 234.211... Maintenance, Inspection, and Testing Maintenance Standards § 234.211 Security of warning system apparatus. Highway-rail grade crossing warning system apparatus shall be secured against unauthorized entry. ...

  2. 49 CFR 234.211 - Security of warning system apparatus.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Security of warning system apparatus. 234.211... Maintenance, Inspection, and Testing Maintenance Standards § 234.211 Security of warning system apparatus. Highway-rail grade crossing warning system apparatus shall be secured against unauthorized entry. ...

  3. 14 CFR 135.153 - Ground proximity warning system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Ground proximity warning system. 135.153... Equipment § 135.153 Ground proximity warning system. (a) No person may operate a turbine-powered airplane... equipped with an approved ground proximity warning system. (b) [Reserved] (c) For a system required by this...

  4. 14 CFR 135.153 - Ground proximity warning system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Ground proximity warning system. 135.153... Equipment § 135.153 Ground proximity warning system. (a) No person may operate a turbine-powered airplane... equipped with an approved ground proximity warning system. (b) [Reserved] (c) For a system required by this...

  5. 14 CFR 91.223 - Terrain awareness and warning system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Terrain awareness and warning system. 91..., and Certificate Requirements § 91.223 Terrain awareness and warning system. (a) Airplanes manufactured... seat, unless that airplane is equipped with an approved terrain awareness and warning system that as a...

  6. 14 CFR 135.154 - Terrain awareness and warning system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Terrain awareness and warning system. 135... Aircraft and Equipment § 135.154 Terrain awareness and warning system. (a) Airplanes manufactured after... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  7. 49 CFR 234.257 - Warning system operation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Warning system operation. 234.257 Section 234.257..., Inspection, and Testing Inspections and Tests § 234.257 Warning system operation. (a) Each highway-rail crossing warning system shall be tested to determine that it functions as intended when it is placed in...

  8. 14 CFR 121.354 - Terrain awareness and warning system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Terrain awareness and warning system. 121... § 121.354 Terrain awareness and warning system. (a) Airplanes manufactured after March 29, 2002. No... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  9. 14 CFR 135.154 - Terrain awareness and warning system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Terrain awareness and warning system. 135... Aircraft and Equipment § 135.154 Terrain awareness and warning system. (a) Airplanes manufactured after... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  10. 49 CFR 234.257 - Warning system operation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Warning system operation. 234.257 Section 234.257..., Inspection, and Testing Inspections and Tests § 234.257 Warning system operation. (a) Each highway-rail crossing warning system shall be tested to determine that it functions as intended when it is placed in...

  11. 14 CFR 135.154 - Terrain awareness and warning system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Terrain awareness and warning system. 135... Aircraft and Equipment § 135.154 Terrain awareness and warning system. (a) Airplanes manufactured after... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  12. 14 CFR 91.223 - Terrain awareness and warning system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 2 2013-01-01 2013-01-01 false Terrain awareness and warning system. 91..., and Certificate Requirements § 91.223 Terrain awareness and warning system. (a) Airplanes manufactured... seat, unless that airplane is equipped with an approved terrain awareness and warning system that as a...

  13. 14 CFR 135.154 - Terrain awareness and warning system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Terrain awareness and warning system. 135... Aircraft and Equipment § 135.154 Terrain awareness and warning system. (a) Airplanes manufactured after... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  14. 14 CFR 91.223 - Terrain awareness and warning system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 2 2014-01-01 2014-01-01 false Terrain awareness and warning system. 91..., and Certificate Requirements § 91.223 Terrain awareness and warning system. (a) Airplanes manufactured... seat, unless that airplane is equipped with an approved terrain awareness and warning system that as a...

  15. 14 CFR 91.223 - Terrain awareness and warning system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Terrain awareness and warning system. 91..., and Certificate Requirements § 91.223 Terrain awareness and warning system. (a) Airplanes manufactured... seat, unless that airplane is equipped with an approved terrain awareness and warning system that as a...

  16. 49 CFR 234.225 - Activation of warning system.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Activation of warning system. 234.225 Section 234... Maintenance, Inspection, and Testing Maintenance Standards § 234.225 Activation of warning system. A highway-rail grade crossing warning system shall be maintained to activate in accordance with the design of the...

  17. 14 CFR 121.354 - Terrain awareness and warning system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Terrain awareness and warning system. 121... § 121.354 Terrain awareness and warning system. (a) Airplanes manufactured after March 29, 2002. No... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  18. 14 CFR 121.354 - Terrain awareness and warning system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Terrain awareness and warning system. 121... § 121.354 Terrain awareness and warning system. (a) Airplanes manufactured after March 29, 2002. No... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  19. 14 CFR 91.223 - Terrain awareness and warning system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Terrain awareness and warning system. 91..., and Certificate Requirements § 91.223 Terrain awareness and warning system. (a) Airplanes manufactured... seat, unless that airplane is equipped with an approved terrain awareness and warning system that as a...

  20. 49 CFR 234.225 - Activation of warning system.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Activation of warning system. 234.225 Section 234... Maintenance, Inspection, and Testing Maintenance Standards § 234.225 Activation of warning system. A highway-rail grade crossing warning system shall be maintained to activate in accordance with the design of the...

  1. 14 CFR 121.354 - Terrain awareness and warning system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Terrain awareness and warning system. 121... § 121.354 Terrain awareness and warning system. (a) Airplanes manufactured after March 29, 2002. No... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  2. 14 CFR 135.154 - Terrain awareness and warning system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Terrain awareness and warning system. 135... Aircraft and Equipment § 135.154 Terrain awareness and warning system. (a) Airplanes manufactured after... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  3. 14 CFR 121.354 - Terrain awareness and warning system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Terrain awareness and warning system. 121... § 121.354 Terrain awareness and warning system. (a) Airplanes manufactured after March 29, 2002. No... awareness and warning system that meets the requirements for Class A equipment in Technical Standard Order...

  4. Can Scores on an Interim High School Reading Assessment Accurately Predict Low Performance on College Readiness Exams? REL 2016-124

    ERIC Educational Resources Information Center

    Koon, Sharon; Petscher, Yaacov

    2016-01-01

    During the 2013/14 school year two Florida school districts sought to develop an early warning system to identify students at risk of low performance on college readiness measures in grade 11 or 12 (such as the SAT or ACT) in order to support them with remedial coursework prior to high school graduation. The study presented in this report provides…

  5. Exploring the Role of Social Memory of Floods for Designing Flood Early Warning Operations

    NASA Astrophysics Data System (ADS)

    Girons Lopez, Marc; Di Baldassarre, Giuliano; Grabs, Thomas; Halldin, Sven; Seibert, Jan

    2016-04-01

    Early warning systems are an important tool for natural disaster mitigation practices, especially for flooding events. Warnings rely on near-future forecasts to provide time to take preventive actions before a flood occurs, thus reducing potential losses. However, on top of the technical capacities, successful warnings require an efficient coordination and communication among a range of different actors and stakeholders. The complexity of integrating the technical and social spheres of warning systems has, however, resulted in system designs neglecting a number of important aspects such as social awareness of floods thus leading to suboptimal results. A better understanding of the interactions and feedbacks among the different elements of early warning systems is therefore needed to improve their efficiency and therefore social resilience. When designing an early warning system two important decisions need to be made regarding (i) the hazard magnitude at and from which a warning should be issued and (ii) the degree of confidence required for issuing a warning. The first decision is usually taken based on the social vulnerability and climatic variability while the second one is related to the performance (i.e. accuracy) of the forecasting tools. Consequently, by estimating the vulnerability and the accuracy of the forecasts, these two variables can be optimized to minimize the costs and losses. Important parameters with a strong influence on the efficiency of warning systems such as social awareness are however not considered in their design. In this study we present a theoretical exploration of the impact of social awareness on the design of early warning systems. For this purpose we use a definition of social memory of flood events as a proxy for flood risk awareness and test its effect on the optimization of the warning system design variables. Understanding the impact of social awareness on warning system design is important to make more robust warnings that can better adapt to different social settings and more efficiently reduce vulnerability.

  6. Observation chart design features affect the detection of patient deterioration: a systematic experimental evaluation.

    PubMed

    Christofidis, Melany J; Hill, Andrew; Horswill, Mark S; Watson, Marcus O

    2016-01-01

    To systematically evaluate the impact of several design features on chart-users' detection of patient deterioration on observation charts with early-warning scoring-systems. Research has shown that observation chart design affects the speed and accuracy with which abnormal observations are detected. However, little is known about the contribution of individual design features to these effects. A 2 × 2 × 2 × 2 mixed factorial design, with data-recording format (drawn dots vs. written numbers), scoring-system integration (integrated colour-based system vs. non-integrated tabular system) and scoring-row placement (grouped vs. separate) varied within-participants and scores (present vs. absent) varied between-participants by random assignment. 205 novice chart-users, tested between March 2011-March 2014, completed 64 trials where they saw real patient data presented on an observation chart. Each participant saw eight cases (four containing abnormal observations) on each of eight designs (which represented a factorial combination of the within-participants variables). On each trial, they assessed whether any of the observations were physiologically abnormal, or whether all observations were normal. Response times and error rates were recorded for each design. Participants responded faster (scores present and absent) and made fewer errors (scores absent) using drawn-dot (vs. written-number) observations and an integrated colour-based (vs. non-integrated tabular) scoring-system. Participants responded faster using grouped (vs. separate) scoring-rows when scores were absent, but separate scoring-rows when scores were present. Our findings suggest that several individual design features can affect novice chart-users' ability to detect patient deterioration. More broadly, the study further demonstrates the need to evaluate chart designs empirically. © 2015 John Wiley & Sons Ltd.

  7. Windshear warning aerospatiale approach

    NASA Technical Reports Server (NTRS)

    Bonafe, J. L.

    1988-01-01

    Vugraphs and transcribed remarks of a presentation on Aerospatiale's approach to windshear warning systems are given. Information is given on low altitude wind shear probability, wind shear warning models and warning system false alarms.

  8. 14 CFR 23.703 - Takeoff warning system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... takeoff. The warning must continue until— (1) The configuration is changed to allow safe takeoff, or (2... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Takeoff warning system. 23.703 Section 23... Control Systems § 23.703 Takeoff warning system. For all airplanes with a maximum weight more than 6,000...

  9. Understanding the High School Proficiency Test and the Early Warning Test in Relation to HCCC Enrollment Trends.

    ERIC Educational Resources Information Center

    Taffy, Fred

    The Grade 11 High School Proficiency Test (HSPT) and the New Jersey Early Warning Test (EWT) are two key standardized tests that indicate academic ability of county high school graduates which colleges will need to address. While HSPT scores for county high school districts reflect a range of competency in reading, math, and writing, the majority…

  10. Improving recognition of patients at risk in a Portuguese general hospital: results from a preliminary study on the early warning score.

    PubMed

    Correia, Nuno; Rodrigues, Rui Paulo; Sá, Márcia Carvalho; Dias, Paula; Lopes, Luís; Paiva, Artur

    2014-01-01

    Early warning score (EWS) is a system that assists in the timely recognition of hospitalized patients outside critical care areas with potential or established critical illness at risk of deteriorating and who may be receiving suboptimal care. No such systems have been implemented in Portuguese National Health Service's wards. We performed a preliminary study to assess the potential outcome of applying the EWS in our hospital setting. An observational retrospective study was conducted based on 100 patients assessed by the outreach team due to an acute event. The EWS was calculated a posteriori on three preceding periods from the acute deterioration (-12, -24, and -72 h). In 35 patients, there was insufficient recording of vital signs. The final sample of 65 patients includes 62.0% men, and the mean age (±SD) was 67 ± 16 years old. Respiratory problems were the main cause of deterioration (44.6%). The EWS score increased from -72 to -12 h. More than half of cases (63.0%) were admitted into high care units, and their mean (±SD) score was higher in comparison to those remaining in general wards (Intermediate Care Units 3.75 ± 1.9, Intensive Care Units 4.2 ± 1.5, wards 3.5 ± 1.4). Score at -24 and -12 h seemed to predict length of stay (LoS; p < 0.05) and mortality, respectively. The EWS would have incremented early medical attention by 40.0% if a threshold of ≥3 was used. EWS systems are not widely used in Portuguese health service. Our data suggests that the EWS would allow early recognition for a higher number of patients in comparison to current ward care. Clinical worsening, lengths of stay, admission into high care units, and mortality may be predicted by the EWS. Prospective studies with multivariable analysis are needed to clarify the global outcome of the EWS implementation in national wards.

  11. Analysis and design of the ultraviolet warning optical system based on interference imaging

    NASA Astrophysics Data System (ADS)

    Wang, Wen-cong; Hu, Hui-jun; Jin, Dong-dong; Chu, Xin-bo; Shi, Yu-feng; Song, Juan; Liu, Jin-sheng; Xiao, Ting; Shao, Si-pei

    2017-10-01

    Ultraviolet warning technology is one of the important methods for missile warning. It provides a very effective way to detect the target for missile approaching alarm. With the development of modern technology, especially the development of information technology at high speed, the ultraviolet early warning system plays an increasingly important role. Compared to infrared warning, the ultraviolet warning has high efficiency and low false alarm rate. In the modern warfare, how to detect the threats earlier, prevent and reduce the attack of precision-guided missile has become a new challenge of missile warning technology. Because the ultraviolet warning technology has high environmental adaptability, the low false alarm rate, small volume and other advantages, in the military field applications it has been developed rapidly. For the ultraviolet warning system, the optimal working waveband is 250 nm 280 nm (Solar Blind UV) due to the strong absorption of ozone layer. According to current application demands for solar blind ultraviolet detection and warning, this paper proposes ultraviolet warning optical system based on interference imaging, which covers solar blind ultraviolet (250nm-280nm) and dual field. This structure includes a primary optical system, an ultraviolet reflector array, an ultraviolet imaging system and an ultraviolet interference imaging system. It makes use of an ultraviolet beam-splitter to achieve the separation of two optical systems. According to the detector and the corresponding application needs of two visual field of the optical system, the calculation and optical system design were completed. After the design, the MTF of the two optical system is more than 0.8@39lp/mm.A single pixel energy concentration is greater than 80%.

  12. On the importance of risk knowledge for an end-to-end tsunami early warning system

    NASA Astrophysics Data System (ADS)

    Post, Joachim; Strunz, Günter; Riedlinger, Torsten; Mück, Matthias; Wegscheider, Stephanie; Zosseder, Kai; Steinmetz, Tilmann; Gebert, Niklas; Anwar, Herryal

    2010-05-01

    Warning systems commonly use information provided by networks of sensors able to monitor and detect impending disasters, aggregate and condense these information to provide reliable information to a decision maker whether to warn or not, disseminates the warning message and provide this information to people at risk. Ultimate aim is to enable those in danger to make decisions (e.g. initiate protective actions for buildings) and to take action to safe their lives. This involves very complex issues when considering all four elements of early warning systems (UNISDR-PPEW), namely (1) risk knowledge, (2) monitoring and warning service, (3) dissemination and communication, (4) response capability with the ultimate aim to gain as much time as possible to empower individuals and communities to act in an appropriate manner to reduce injury, loss of life, damage to property and the environment and loss of livelihoods. Commonly most warning systems feature strengths and main attention on the technical/structural dimension (monitoring & warning service, dissemination tools) with weaknesses and less attention on social/cultural dimension (e.g. human response capabilities, defined warning chain to and knowing what to do by the people). Also, the use of risk knowledge in early warning most often is treated in a theoretical manner (knowing that it is somehow important), yet less in an operational, practical sense. Risk assessments and risk maps help to motivate people, prioritise early warning system needs and guide preparations for response and disaster prevention activities. Beyond this risk knowledge can be seen as a tie between national level early warning and community level reaction schemes. This presentation focuses on results, key findings and lessons-learnt related to tsunami risk assessment in the context of early warning within the GITEWS (German-Indonesian Tsunami Early Warning) project. Here a novel methodology reflecting risk information needs in the early warning context has been worked out. The generated results contribute significantly in the fields of (1) warning decision and warning levels, (2) warning dissemination and warning message content, (3) early warning chain planning, (4) increasing response capabilities and protective systems, (5) emergency relief and (6) enhancing communities' awareness and preparedness towards tsunami threats. Additionally examples will be given on the potentials of an operational use of risk information in early warning systems as first experiences exist for the tsunami early warning center in Jakarta, Indonesia. Beside this the importance of linking national level early warning information with tsunami risk information available at the local level (e.g. linking warning message information on expected intensity with respective tsunami hazard zone maps at community level for effective evacuation) will be demonstrated through experiences gained in three pilot areas in Indonesia. The presentation seeks to provide new insights on benefits using risk information in early warning and will provide further evidence that practical use of risk information is an important and indispensable component of end-to-end early warning.

  13. Modified obstetric early warning scoring systems (MOEWS): validating the diagnostic performance for severe sepsis in women with chorioamnionitis.

    PubMed

    Edwards, Sian E; Grobman, William A; Lappen, Justin R; Winter, Cathy; Fox, Robert; Lenguerrand, Erik; Draycott, Timothy

    2015-04-01

    We sought to compare the predictive power of published modified obstetric early warning scoring systems (MOEWS) for the development of severe sepsis in women with chorioamnionitis. This was a retrospective cohort study using prospectively collected clinical observations at a single tertiary unit (Chicago, IL). Hospital databases and patient records were searched to identify and verify cases with clinically diagnosed chorioamnionitis during the study period (June 2006 through November 2007). Vital sign data (heart rate, respiratory rate, blood pressure, temperature, mental state) for these cases were extracted from an electronic database and the single worst composite recording was identified for analysis. Global literature databases were searched (2014) to identify examples of MOEWS. Scores for each identified MOEWS were derived from each set of vital sign recordings during the presentation with chorioamnionitis. The performance of these MOEWS (the primary outcome) was then analyzed and compared using their sensitivity, specificity, positive and negative predictive values, and receiver-operating characteristic curve for severe sepsis. Six MOEWS were identified. There was wide variation in design and pathophysiological thresholds used for clinical alerts. In all, 913 women with chorioamnionitis were identified from the clinical database. In all, 364 cases with complete data for all physiological indicators were included in analysis. Five women developed severe sepsis, including 1 woman who died. The sensitivities of the MOEWS in predicting the severe deterioration ranged from 40-100% and the specificities varied even more ranging from 4-97%. The positive predictive values were low for all MOEWS ranging from <2-15%. The MOEWS with simpler designs tended to be more sensitive, whereas the more complex MOEWS were more specific, but failed to identify some of the women who developed severe sepsis. Currently used MOEWS vary widely in terms of alert thresholds, format, and accuracy. Most MOEWS have not been validated. The MOEWS generally performed poorly in predicting severe sepsis in obstetric patients; in general severe sepsis was overdetected. Simple MOEWS with high sensitivity followed with more specific secondary testing is likely to be the best way forward. Further research is required to develop early warning systems for use in this setting. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. A neuro-fuzzy warning system for combating cybersickness in the elderly caused by the virtual environment on a TFT-LCD.

    PubMed

    Liu, Cheng-Li

    2009-05-01

    Only a few studies in the literature have focused on the effects of age on virtual environment (VE) sickness susceptibility and even less research was carried out focusing on the elderly. In general, the elderly usually browse VEs on a thin film transistor liquid crystal display (TFT-LCD) at home or somewhere, not a head-mounted display (HMD). While the TFT-LCD is used to present VEs, this set-up does not physically enclose the user. Therefore, this study investigated the factors that contribute to cybersickness among the elderly when immersed into a VE on TFT-LCD, including exposure durations, navigation rotating speeds and angle of inclination. Participants were elderly, with an average age of 69.5 years. The results of the first experiment showed that the rate of simulator sickness questionnaire (SSQ) scores increases significantly with navigational rotating speed and duration of exposure. However, the experimental data also showed that the rate of SSQ scores does not increase with the increase in angle of inclination. In applying these findings, the neuro-fuzzy technology was used to develop a neuro-fuzzy cybersickness-warning system integrating fuzzy logic reasoning and neural network learning. The contributing factors were navigational rotating speed and duration of exposure. The results of the second experiment showed that the proposed system can efficiently determine the level of cybersickness based on the associated subjective sickness estimates and combat cybersickness due to long exposure to a VE.

  15. Emergency Warning Systems. Part 2. Warning Systems - Evaluation Guidelines.

    DTIC Science & Technology

    1983-07-01

    ELEMENT. PROJECT. TASK AREA A WORK UNIT NUMBERS PRC Voorhees Work Unit 2234G 1500 Planning Research Drive McLean, Virginia 22102 ___ 11. CONTROLLING ...different from Controlling Office) IS. SECURITY CLASS. (of this report) Unclassified 15a. DECLASSIFICATION/DOWNGRADING SCHEDULE 16. DISTRIBUTION...systems that control these warning systems are discussed. Test results of several warning systems are included along with a discussion of sound

  16. Assessing the performance of regional landslide early warning models: the EDuMaP method

    NASA Astrophysics Data System (ADS)

    Calvello, M.; Piciullo, L.

    2016-01-01

    A schematic of the components of regional early warning systems for rainfall-induced landslides is herein proposed, based on a clear distinction between warning models and warning systems. According to this framework an early warning system comprises a warning model as well as a monitoring and warning strategy, a communication strategy and an emergency plan. The paper proposes the evaluation of regional landslide warning models by means of an original approach, called the "event, duration matrix, performance" (EDuMaP) method, comprising three successive steps: identification and analysis of the events, i.e., landslide events and warning events derived from available landslides and warnings databases; definition and computation of a duration matrix, whose elements report the time associated with the occurrence of landslide events in relation to the occurrence of warning events, in their respective classes; evaluation of the early warning model performance by means of performance criteria and indicators applied to the duration matrix. During the first step the analyst identifies and classifies the landslide and warning events, according to their spatial and temporal characteristics, by means of a number of model parameters. In the second step, the analyst computes a time-based duration matrix with a number of rows and columns equal to the number of classes defined for the warning and landslide events, respectively. In the third step, the analyst computes a series of model performance indicators derived from a set of performance criteria, which need to be defined by considering, once again, the features of the warning model. The applicability, potentialities and limitations of the EDuMaP method are tested and discussed using real landslides and warning data from the municipal early warning system operating in Rio de Janeiro (Brazil).

  17. Systems and Sensors for Debris-flow Monitoring and Warning

    PubMed Central

    Arattano, Massimo; Marchi, Lorenzo

    2008-01-01

    Debris flows are a type of mass movement that occurs in mountain torrents. They consist of a high concentration of solid material in water that flows as a wave with a steep front. Debris flows can be considered a phenomenon intermediate between landslides and water floods. They are amongst the most hazardous natural processes in mountainous regions and may occur under different climatic conditions. Their destructiveness is due to different factors: their capability of transporting and depositing huge amounts of solid materials, which may also reach large sizes (boulders of several cubic meters are commonly transported by debris flows), their steep fronts, which may reach several meters of height and also their high velocities. The implementation of both structural and non-structural control measures is often required when debris flows endanger routes, urban areas and other infrastructures. Sensor networks for debris-flow monitoring and warning play an important role amongst non-structural measures intended to reduce debris-flow risk. In particular, debris flow warning systems can be subdivided into two main classes: advance warning and event warning systems. These two classes employ different types of sensors. Advance warning systems are based on monitoring causative hydrometeorological processes (typically rainfall) and aim to issue a warning before a possible debris flow is triggered. Event warning systems are based on detecting debris flows when these processes are in progress. They have a much smaller lead time than advance warning ones but are also less prone to false alarms. Advance warning for debris flows employs sensors and techniques typical of meteorology and hydrology, including measuring rainfall by means of rain gauges and weather radar and monitoring water discharge in headwater streams. Event warning systems use different types of sensors, encompassing ultrasonic or radar gauges, ground vibration sensors, videocameras, avalanche pendulums, photocells, trip wires etc. Event warning systems for debris flows have a strong linkage with debris-flow monitoring that is carried out for research purposes: the same sensors are often used for both monitoring and warning, although warning systems have higher requirements of robustness than monitoring systems. The paper presents a description of the sensors employed for debris-flow monitoring and event warning systems, with attention given to advantages and drawbacks of different types of sensors. PMID:27879828

  18. A Comparison of Pictorial and Speech Warning Messages in the Modern Cockpit.

    DTIC Science & Technology

    1984-12-01

    Significance Tests for Video Game Score in Experiment One .................................... 81 5. Significance Tests for Response Time in...91 7. Significance Tests for Video Game Score in Experiment Two ..................................... 96 8. Significance Tests for Response Time in...107 10. Significance Tests for Video Game Score in Experiment Three ................................. 112 Appendix Table 1C. Chi-Square Tests for

  19. 30 CFR 75.1103-3 - Automatic fire sensor and warning device systems; minimum requirements; general.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-3 Automatic fire sensor and warning device systems; minimum requirements; general. Automatic fire sensor and warning device systems installed in belt haulageways of...

  20. 30 CFR 75.1103-3 - Automatic fire sensor and warning device systems; minimum requirements; general.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-3 Automatic fire sensor and warning device systems; minimum requirements; general. Automatic fire sensor and warning device systems installed in belt haulageways of...

  1. 30 CFR 75.1103-3 - Automatic fire sensor and warning device systems; minimum requirements; general.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-3 Automatic fire sensor and warning device systems; minimum requirements; general. Automatic fire sensor and warning device systems installed in belt haulageways of...

  2. 30 CFR 75.1103-3 - Automatic fire sensor and warning device systems; minimum requirements; general.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-3 Automatic fire sensor and warning device systems; minimum requirements; general. Automatic fire sensor and warning device systems installed in belt haulageways of...

  3. The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements.

    PubMed

    Shang, Ce; Chaloupka, Frank J

    2017-01-10

    Some manufacturers of electronic nicotine delivery systems (ENDS) voluntarily carried health warnings in their advertisements. This study examined these voluntary warnings in magazine ads and plotted their trends between 2012 and early 2015. ENDS magazine ads were obtained through Kantar media and warnings were collected from the Chicago Public Library or the Trinkets and Trash surveillance system. The prevalence of voluntary warnings, warnings with the specific capitalized word "WARNING", and MarkTen warnings were examined after being weighted using factors related to exposure between January 2012 and March 2015. Five brands (MarkTen, NJOY, MISTIC, and some Blu) carried warnings during the study period. The prevalence of warnings post 2012 that contained a description of nicotine did not significantly increase until the launch of MarkTen, which also happened several months before April 2014 when the U.S. food and drug administration (FDA) published its proposed deeming rule. In addition, none of these warnings met the criteria required by the FDA in the final rules. Voluntary warnings, particularly MarkTen warnings, significantly increased in ENDS magazine ads between 2014 and 2015. It is important to monitor how ENDS manufacturers will comply with the FDA regulation related to warnings and how this regulation will ultimately impact ENDS risk perceptions and use.

  4. Cancer awareness changes after an educational intervention among undergraduate students.

    PubMed

    Hwang, Lih-Lian

    2013-06-01

    The objectives of this study are to assess undergraduate awareness of cancer risk factors, prevention strategies, and warning signs and to evaluate whether an educational intervention increases cancer awareness. This study adopts a nonequivalent control group pretest-posttest design. Of the 386 students who completed the pretest, only 35-39 % identified low fruit and vegetable intake, being overweight, and physical inactivity as cancer risk factors, and <30 % recognized persistent changes in bowel or bladder habits and persistent cough or hoarseness as cancer warning signs. After the educational intervention, the analysis of variance of changes from baseline (the pretest score) for all four experimental groups were all significantly higher than those of the two control groups (p ≤.001), except for the change of the retention test score from the pretest score for experimental group 3. This study highlights the need to improve undergraduates' cancer awareness and the effectiveness of educational intervention.

  5. Early Warning System Implementation Guide: For Use with the National High School Center's Early Warning System Tool v2.0

    ERIC Educational Resources Information Center

    Therriault, Susan Bowles; Heppen, Jessica; O'Cummings, Mindee; Fryer, Lindsay; Johnson, Amy

    2010-01-01

    This Early Warning System (EWS) Implementation Guide is a supporting document for schools and districts that are implementing the National High School Center's Early Warning System (EWS) Tool v2.0. Developed by the National High School Center at the American Institutes for Research (AIR), the guide and tool support the establishment and…

  6. Implementing Obstetric Early Warning Systems.

    PubMed

    Friedman, Alexander M; Campbell, Mary L; Kline, Carolyn R; Wiesner, Suzanne; D'Alton, Mary E; Shields, Laurence E

    2018-04-01

    Severe maternal morbidity and mortality are often preventable and obstetric early warning systems that alert care providers of potential impending critical illness may improve maternal safety. While literature on outcomes and test characteristics of maternal early warning systems is evolving, there is limited guidance on implementation. Given current interest in early warning systems and their potential role in care, the 2017 Society for Maternal-Fetal Medicine (SMFM) Annual Meeting dedicated a session to exploring early warning implementation across a wide range of hospital settings. This manuscript reports on key points from this session. While implementation experiences varied based on factors specific to individual sites, common themes relevant to all hospitals presenting were identified. Successful implementation of early warnings systems requires administrative and leadership support, dedication of resources, improved coordination between nurses, providers, and ancillary staff, optimization of information technology, effective education, evaluation of and change in hospital culture and practices, and support in provider decision-making. Evolving data on outcomes on early warning systems suggest that maternal risk may be reduced. To effectively reduce maternal, risk early warning systems that capture deterioration from a broad range of conditions may be required in addition to bundles tailored to specific conditions such as hemorrhage, thromboembolism, and hypertension.

  7. Technology-Based Early Warning Systems for Bipolar Disorder: A Conceptual Framework

    PubMed Central

    Torous, John; Thompson, Wesley

    2016-01-01

    Recognition and timely action around “warning signs” of illness exacerbation is central to the self-management of bipolar disorder. Due to its heterogeneity and fluctuating course, passive and active mobile technologies have been increasingly evaluated as adjunctive or standalone tools to predict and prevent risk of worsening of course in bipolar disorder. As predictive analytics approaches to big data from mobile health (mHealth) applications and ancillary sensors advance, it is likely that early warning systems will increasingly become available to patients. Such systems could reduce the amount of time spent experiencing symptoms and diminish the immense disability experienced by people with bipolar disorder. However, in addition to the challenges in validating such systems, we argue that early warning systems may not be without harms. Probabilistic warnings may be delivered to individuals who may not be able to interpret the warning, have limited information about what behaviors to change, or are unprepared to or cannot feasibly act due to time or logistic constraints. We propose five essential elements for early warning systems and provide a conceptual framework for designing, incorporating stakeholder input, and validating early warning systems for bipolar disorder with a focus on pragmatic considerations. PMID:27604265

  8. Implementing the national AIGA flash flood warning system in France

    NASA Astrophysics Data System (ADS)

    Organde, Didier; Javelle, Pierre; Demargne, Julie; Arnaud, Patrick; Caseri, Angelica; Fine, Jean-Alain; de Saint Aubin, Céline

    2015-04-01

    The French national hydro-meteorological and flood forecasting centre (SCHAPI) aims to implement a national flash flood warning system to improve flood alerts for small-to-medium (up to 1000 km2) ungauged basins. This system is based on the AIGA method, co-developed by IRSTEA these last 10 years. The method, initially set up for the Mediterranean area, is based on a simple event-based hourly hydrologic distributed model run every 15 minutes (Javelle et al. 2014). The hydrologic model ingests operational radar-gauge rainfall grids from Météo-France at a 1-km² resolution to produce discharges for successive outlets along the river network. Discharges are then compared to regionalized flood quantiles of given return periods and warnings (expressed as the range of the return period estimated in real-time) are provided on a river network map. The main interest of the method is to provide forecasters and emergency services with a synthetic view in real time of the ongoing flood situation, information that is especially critical in ungauged flood prone areas. In its enhanced national version, the hourly event-based distributed model is coupled to a continuous daily rainfall-runoff model which provides baseflow and a soil moisture index (for each 1-km² pixel) at the beginning of the hourly simulation. The rainfall-runoff models were calibrated on a selection of 700 French hydrometric stations with Météo-France radar-gauge reanalysis dataset for the 2002-2006 period. To estimate model parameters for ungauged basins, the 2 hydrologic models were regionalised by testing both regressions (using different catchment attributes, such as catchment area, soil type, and climate characteristic) and spatial proximity techniques (transposing parameters from neighbouring donor catchments), as well as different homogeneous hydrological areas. The most valuable regionalisation method was determined for each model through jack-knife cross-validation. The system performance was then evaluated with contingency criteria (e.g., Critical Success Index, Probability Of Detection, Success Ratio) using operational rainfall radar-gauge products from Météo-France for the 2009-2012 period. The regionalised parameters of the distributed model were finally adjusted for each homogeneous hydrological area to optimize the Heidke skill score (HSS) calculated with three levels of warnings (2-, 10- and 50-year flood quantiles). This work is currently being implemented by the SCHAPI to set up an automated national flash flood warning system by 2016. Planned improvements include developing a unique continuous model to be run at a sub-hourly timestep, discharge assimilation, as well as integrating precipitation forecasts while accounting for the main sources of forecast uncertainty. Javelle, P., Demargne, J., Defrance, D., and Arnaud, P. 2014. Evaluating flash flood warnings at ungauged locations using post-event surveys: a case study with the AIGA warning system. Hydrological Sciences Journal, DOI: 10.1080/02626667.2014.923970

  9. Observed activation status of lane departure warning and forward collision warning of Honda vehicles at dealership service centers.

    PubMed

    Reagan, Ian J; McCartt, Anne T

    2016-11-16

    There are little objective data on whether drivers with lane departure warning and forward collision warning systems actually use them, but self-report data indicate that lane departure warning may be used less and viewed less favorably than forward collision warning. The current study assessed whether the systems were turned on when drivers brought their vehicles to dealership service stations and whether the observational protocol is a feasible method for collecting similar data on various manufacturers' systems. Observations of 2013-2015 Honda Accords, 2014-2015 Odysseys, and 2015 CR-Vs occurred at 2 U.S. Honda dealerships for approximately 4 weeks during Summer 2015. Of the 265 vehicles observed to have the 2 systems, 87 (32.8%) had lane departure warning turned on. Accords were associated with a 66% increase in the likelihood that lane departure warning was turned on compared with Odysseys, but the rate was still only about 40% in Accords. In contrast, forward collision warning was turned on in all but one of the observed vehicles. Observations found that the activation rate was much higher for forward collision warning than lane departure warning. The observation method worked well and appears feasible for extending to other manufacturers.

  10. 30 CFR 75.1103-8 - Automatic fire sensor and warning device systems; examination and test requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-8 Automatic fire sensor and warning device systems; examination and test requirements. (a) Automatic fire sensor and warning device systems shall be examined at...

  11. 30 CFR 75.1103-8 - Automatic fire sensor and warning device systems; examination and test requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-8 Automatic fire sensor and warning device systems; examination and test requirements. (a) Automatic fire sensor and warning device systems shall be examined at...

  12. 30 CFR 75.1103-8 - Automatic fire sensor and warning device systems; examination and test requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-8 Automatic fire sensor and warning device systems; examination and test requirements. (a) Automatic fire sensor and warning device systems shall be examined at...

  13. 30 CFR 75.1103-8 - Automatic fire sensor and warning device systems; examination and test requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-8 Automatic fire sensor and warning device systems; examination and test requirements. (a) Automatic fire sensor and warning device systems shall be examined at...

  14. 30 CFR 75.1103-8 - Automatic fire sensor and warning device systems; examination and test requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-8 Automatic fire sensor and warning device systems; examination and test requirements. (a) Automatic fire sensor and warning device systems shall be examined at...

  15. 76 FR 35327 - Airworthiness Directives; The Boeing Company Model 737-600, -700, -700C, -800, -900, and -900ER...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... stabilizer takeoff warning switches, and corrective actions if necessary. This AD was prompted by reports that the warning horn did not sound during the takeoff warning system test of the S132 ``nose up stab takeoff warning switch.'' We are issuing this AD to detect and correct a takeoff warning system switch...

  16. 75 FR 55691 - Airworthiness Directives; The Boeing Company Model 737-600, -700, -700C, -800, -900, and -900ER...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-14

    ... takeoff warning switches, and corrective actions if necessary. This proposed AD results from reports that the warning horn did not sound during the takeoff warning system test of the S132 ``nose up stab takeoff warning switch.'' We are proposing this AD to detect and correct a takeoff warning system switch...

  17. Advanced driver assistance systems: Using multimodal redundant warnings to enhance road safety.

    PubMed

    Biondi, Francesco; Strayer, David L; Rossi, Riccardo; Gastaldi, Massimiliano; Mulatti, Claudio

    2017-01-01

    This study investigated whether multimodal redundant warnings presented by advanced assistance systems reduce brake response times. Warnings presented by assistance systems are designed to assist drivers by informing them that evasive driving maneuvers are needed in order to avoid a potential accident. If these warnings are poorly designed, they may distract drivers, slow their responses, and reduce road safety. In two experiments, participants drove a simulated vehicle equipped with a forward collision avoidance system. Auditory, vibrotactile, and multimodal warnings were presented when the time to collision was shorter than five seconds. The effects of these warnings were investigated with participants performing a concurrent cell phone conversation (Exp. 1) or driving in high-density traffic (Exp. 2). Braking times and subjective workload were measured. Multimodal redundant warnings elicited faster braking reaction times. These warnings were found to be effective even when talking on a cell phone (Exp. 1) or driving in dense traffic (Exp. 2). Multimodal warnings produced higher ratings of urgency, but ratings of frustration did not increase compared to other warnings. Findings obtained in these two experiments are important given that faster braking responses may reduce the potential for a collision. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. A systematic approach to advanced cockpit warning systems for air transport operations: Line pilot preferences

    NASA Technical Reports Server (NTRS)

    Williams, D. H.; Simpson, C. A.

    1976-01-01

    Line pilots (fifty captains, first officers, and flight engineers) from 8 different airlines were administered a structured questionnaire relating to future warning system design and solutions to current warning system problems. This was followed by a semantic differential to obtain a factor analysis of 18 different cockpit warning signals on scales such as informative/distracting, annoying/soothing. Half the pilots received a demonstration of the experimental text and voice synthesizer warning systems before answering the questionnaire and the semantic differential. A control group answered the questionnaire and the semantic differential first, thus providing a check for the stability of pilot preferences with and without actual exposure to experimental systems. Generally, the preference data obtained revealed much consistency and strong agreement among line pilots concerning advance cockpit warning system design.

  19. The Trend of Voluntary Warnings in Electronic Nicotine Delivery System Magazine Advertisements

    PubMed Central

    Shang, Ce; Chaloupka, Frank J.

    2017-01-01

    Some manufacturers of electronic nicotine delivery systems (ENDS) voluntarily carried health warnings in their advertisements. This study examined these voluntary warnings in magazine ads and plotted their trends between 2012 and early 2015. ENDS magazine ads were obtained through Kantar media and warnings were collected from the Chicago Public Library or the Trinkets and Trash surveillance system. The prevalence of voluntary warnings, warnings with the specific capitalized word “WARNING”, and MarkTen warnings were examined after being weighted using factors related to exposure between January 2012 and March 2015. Five brands (MarkTen, NJOY, MISTIC, and some Blu) carried warnings during the study period. The prevalence of warnings post 2012 that contained a description of nicotine did not significantly increase until the launch of MarkTen, which also happened several months before April 2014 when the U.S. food and drug administration (FDA) published its proposed deeming rule. In addition, none of these warnings met the criteria required by the FDA in the final rules. Voluntary warnings, particularly MarkTen warnings, significantly increased in ENDS magazine ads between 2014 and 2015. It is important to monitor how ENDS manufacturers will comply with the FDA regulation related to warnings and how this regulation will ultimately impact ENDS risk perceptions and use. PMID:28075420

  20. People-centred landslide early warning systems in the context of risk management

    NASA Astrophysics Data System (ADS)

    Haß, S.; Asch, K.; Fernandez-Steeger, T.; Arnhardt, C.

    2009-04-01

    In the current hazard research people-centred warning becomes more and more important, because different types of organizations and groups have to be involved in the warning process. This fact has to be taken into account when developing early warning systems. The effectiveness of early warning depends not only on technical capabilities but also on the preparedness of decision makers and their immediate response on how to act in case of emergency. Hence early warning systems have to be regarded in the context of an integrated and holistic risk management. Disaster Risk Reduction (DRR) measures include people-centred, timely and understandable warning. Further responsible authorities have to be identified in advance and standards for risk communication have to be established. Up to now, hazard and risk assessment for geohazards focuses on the development of inventory, susceptibility, hazard and risk maps. But often, especially in Europe, there are no institutional structures for managing geohazards and in addition there is a lack of an authority that is legally obliged to alarm on landslides at national or regional level. One of the main characteristics within the warning process for natural hazards e.g. in Germany is the split of responsibility between scientific authorities (wissenschaftliche Fachbehörde) and enforcement authorities (Vollzugsbehörde). The scientific authority provides the experts who define the methods and measures for monitoring and evaluate the hazard level. The main focus is the acquisition and evaluation of data and subsequently the distribution of information. The enforcement authority issues official warnings about dangerous natural phenomena. Hence the information chain in the context of early warning ranges over two different institutions, the forecast service and the warning service. But there doesn't exist a framework for warning processes in terms of landslides as yet. The concept for managing natural disasters is often reduced to hazard assessment and emergency response. Great importance is attached to the scientific understanding of hazards and protective structures, while analysis of socio-economic impacts and risk assessment are not considered enough. The reduction of vulnerability has to be taken into greater account. Also the information needs of different stakeholders have to be identified at an early stage and should be integrated in the development of early warning systems. The content of the warning message must be simple, understandable and should cover instructions on how to react. Further the timeliness of the messages has to be guarented. In this context the aim of the landslide monitoring and early warning system SLEWS (Sensor Based Landslide Early Warning System) is to integrate the above mentioned aspects of a holistic disaster and risk management. The technology of spatial data infrastructures and web services provides the use of multiple communication channels within an early warning system. Thus people-centred early warning messages and information about slope stability can be sent in nearly real-time. It has to be underlined that the technological information process is just one element of an effective warning system. Moreover the warning system has also to be considered as a social system and has to make allowance to socio-economic and gender aspects : «[...] Develop early warning systems that are people centered, in particular systems whose warnings are timely and understandable to those at risk, which take into account the demographic, gender, cultural and livelihood characteristics of the target audiences, including guidance on how to act upon warnings, and that support effective operations by disaster managers and other decision makers » (Hyogo Framework, 2005) References : UNITED NATIONS INTERNATIONAL STRATEGY FOR DISASTER REDUCTION SECRETARIAT (UNISDR) (2006): Developing early warning systems: a checklist, Third international conference on early warning (EWC III): from concept to action: 27-29 March 2006, Bonn, Germany. Geneva, Switzerland: International Strategy for Disaster Reduction. WORLD CONFERENCE ON DISASTER REDUCTION (2005) : Report of the World Conference on Disaster Reduction: Kobe, Hyogo, Japan, 18-22 January 2005. Geneva, Switzerland, Secretariat, World Conference on Disaster Reduction. INTER-AGENCY SECRETARIAT OF THE ISDR & GLOBAL PLATFORM FOR DISASTER RISK REDUCTION (2007): Disaster risk reduction: 2007 global review. Geneva, UN, ISDR.

  1. Assessing the performance of regional landslide early warning models: the EDuMaP method

    NASA Astrophysics Data System (ADS)

    Calvello, M.; Piciullo, L.

    2015-10-01

    The paper proposes the evaluation of the technical performance of a regional landslide early warning system by means of an original approach, called EDuMaP method, comprising three successive steps: identification and analysis of the Events (E), i.e. landslide events and warning events derived from available landslides and warnings databases; definition and computation of a Duration Matrix (DuMa), whose elements report the time associated with the occurrence of landslide events in relation to the occurrence of warning events, in their respective classes; evaluation of the early warning model Performance (P) by means of performance criteria and indicators applied to the duration matrix. During the first step, the analyst takes into account the features of the warning model by means of ten input parameters, which are used to identify and classify landslide and warning events according to their spatial and temporal characteristics. In the second step, the analyst computes a time-based duration matrix having a number of rows and columns equal to the number of classes defined for the warning and landslide events, respectively. In the third step, the analyst computes a series of model performance indicators derived from a set of performance criteria, which need to be defined by considering, once again, the features of the warning model. The proposed method is based on a framework clearly distinguishing between local and regional landslide early warning systems as well as among correlation laws, warning models and warning systems. The applicability, potentialities and limitations of the EDuMaP method are tested and discussed using real landslides and warnings data from the municipal early warning system operating in Rio de Janeiro (Brazil).

  2. Speech variability effects on recognition accuracy associated with concurrent task performance by pilots

    NASA Technical Reports Server (NTRS)

    Simpson, C. A.

    1985-01-01

    In the present study of the responses of pairs of pilots to aircraft warning classification tasks using an isolated word, speaker-dependent speech recognition system, the induced stress was manipulated by means of different scoring procedures for the classification task and by the inclusion of a competitive manual control task. Both speech patterns and recognition accuracy were analyzed, and recognition errors were recorded by type for an isolated word speaker-dependent system and by an offline technique for a connected word speaker-dependent system. While errors increased with task loading for the isolated word system, there was no such effect for task loading in the case of the connected word system.

  3. Design of vehicle intelligent anti-collision warning system

    NASA Astrophysics Data System (ADS)

    Xu, Yangyang; Wang, Ying

    2018-05-01

    This paper mainly designs a low cost, high-accuracy, micro-miniaturization, and digital display and acousto-optic alarm features of the vehicle intelligent anti-collision warning system that based on MCU AT89C51. The vehicle intelligent anti-collision warning system includes forward anti-collision warning system, auto parking systems and reversing anti-collision radar system. It mainly develops on the basis of ultrasonic distance measurement, its performance is reliable, thus the driving safety is greatly improved and the parking security and efficiency enhance enormously.

  4. Anatomy of Historical Tsunamis: Lessons Learned for Tsunami Warning

    NASA Astrophysics Data System (ADS)

    Igarashi, Y.; Kong, L.; Yamamoto, M.; McCreery, C. S.

    2011-11-01

    Tsunamis are high-impact disasters that can cause death and destruction locally within a few minutes of their occurrence and across oceans hours, even up to a day, afterward. Efforts to establish tsunami warning systems to protect life and property began in the Pacific after the 1946 Aleutian Islands tsunami caused casualties in Hawaii. Seismic and sea level data were used by a central control center to evaluate tsunamigenic potential and then issue alerts and warnings. The ensuing events of 1952, 1957, and 1960 tested the new system, which continued to expand and evolve from a United States system to an international system in 1965. The Tsunami Warning System in the Pacific (ITSU) steadily improved through the decades as more stations became available in real and near-real time through better communications technology and greater bandwidth. New analysis techniques, coupled with more data of higher quality, resulted in better detection, greater solution accuracy, and more reliable warnings, but limitations still exist in constraining the source and in accurately predicting propagation of the wave from source to shore. Tsunami event data collected over the last two decades through international tsunami science surveys have led to more realistic models for source generation and inundation, and within the warning centers, real-time tsunami wave forecasting will become a reality in the near future. The tsunami warning system is an international cooperative effort amongst countries supported by global and national monitoring networks and dedicated tsunami warning centers; the research community has contributed to the system by advancing and improving its analysis tools. Lessons learned from the earliest tsunamis provided the backbone for the present system, but despite 45 years of experience, the 2004 Indian Ocean tsunami reminded us that tsunamis strike and kill everywhere, not just in the Pacific. Today, a global intergovernmental tsunami warning system is coordinated under the United Nations. This paper reviews historical tsunamis, their warning activities, and their sea level records to highlight lessons learned with the focus on how these insights have helped to drive further development of tsunami warning systems and their tsunami warning centers. While the international systems do well for teletsunamis, faster detection, more accurate evaluations, and widespread timely alerts are still the goals, and challenges still remain to achieving early warning against the more frequent and destructive local tsunamis.

  5. 49 CFR 234.205 - Operating characteristics of warning system apparatus.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Operating characteristics of warning system... Maintenance Standards § 234.205 Operating characteristics of warning system apparatus. Operating... system shall be maintained in accordance with the limits within which the system is designed to operate. ...

  6. 49 CFR 234.205 - Operating characteristics of warning system apparatus.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Operating characteristics of warning system... Maintenance Standards § 234.205 Operating characteristics of warning system apparatus. Operating... system shall be maintained in accordance with the limits within which the system is designed to operate. ...

  7. 49 CFR 234.205 - Operating characteristics of warning system apparatus.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Operating characteristics of warning system... Maintenance Standards § 234.205 Operating characteristics of warning system apparatus. Operating... system shall be maintained in accordance with the limits within which the system is designed to operate. ...

  8. 49 CFR 234.259 - Warning time.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 12 months and when the warning system is modified because of a change in train speeds. Electronic... 49 Transportation 4 2014-10-01 2014-10-01 false Warning time. 234.259 Section 234.259... EMERGENCY NOTIFICATION SYSTEMS Maintenance, Inspection, and Testing Inspections and Tests § 234.259 Warning...

  9. 49 CFR 234.259 - Warning time.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 12 months and when the warning system is modified because of a change in train speeds. Electronic... 49 Transportation 4 2012-10-01 2012-10-01 false Warning time. 234.259 Section 234.259... EMERGENCY NOTIFICATION SYSTEMS Maintenance, Inspection, and Testing Inspections and Tests § 234.259 Warning...

  10. 49 CFR 234.259 - Warning time.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 12 months and when the warning system is modified because of a change in train speeds. Electronic... 49 Transportation 4 2013-10-01 2013-10-01 false Warning time. 234.259 Section 234.259... EMERGENCY NOTIFICATION SYSTEMS Maintenance, Inspection, and Testing Inspections and Tests § 234.259 Warning...

  11. Landslide risk mitigation by means of early warning systems

    NASA Astrophysics Data System (ADS)

    Calvello, Michele

    2017-04-01

    Among the many options available to mitigate landslide risk, early warning systems may be used where, in specific circumstances, the risk to life increases above tolerable levels. A coherent framework to classify and analyse landslide early warning systems (LEWS) is herein presented. Once the objectives of an early warning strategy are defined depending on the scale of analysis and the type of landslides to address, the process of designing and managing a LEWS should synergically employ technical and social skills. A classification scheme for the main components of LEWSs is proposed for weather-induced landslides. The scheme is based on a clear distinction among: i) the landslide model, i.e. a functional relationship between weather characteristics and landslide events considering the geotechnical, geomorphological and hydro-geological characterization of the area as well as an adequate monitoring strategy; ii) the warning model, i.e. the landslide model plus procedures to define the warning events and to issue the warnings; iii) the warning system, i.e. the warning model plus warning dissemination procedures, communication and education tools, strategies for community involvement and emergency plans. Each component of a LEWS is related to a number of actors involved with their deployment, operational activities and management. For instance, communication and education, community involvement and emergency plans are all significantly influenced by people's risk perception and by operational aspects system managers need to address in cooperation with scientists.

  12. The social impacts of the heat-health watch/warning system in Phoenix, Arizona: assessing the perceived risk and response of the public.

    PubMed

    Kalkstein, Adam J; Sheridan, Scott C

    2007-10-01

    Heat is the leading weather-related killer in the United States. Although previous research suggests that social influences affect human responses to natural disaster warnings, no studies have examined the social impacts of heat or heat warnings on a population. Here, 201 surveys were distributed in Metropolitan Phoenix to determine the social impacts of the heat warning system, or more specifically, to gauge risk perception and warning response. Consistent with previous research, increased risk perception of heat results in increased response to a warning. Different social factors such as sex, race, age, and income all play an important role in determining whether or not people will respond to a warning. In particular, there is a strong sense of perceived risk to the heat among Hispanics which translates to increased response when heat warnings are issued. Based on these findings, suggestions are presented to help improve the Phoenix Heat Warning System.

  13. Ballistic Missile Early Warning System Clear Air Force Station, ...

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

    Ballistic Missile Early Warning System - Clear Air Force Station, Ballistic Missile Early Warning System Site II, One mile west of mile marker 293.5 on Parks Highway, 5 miles southwest of Anderson, Anderson, Denali Borough, AK

  14. Managing Risks? Early Warning Systems for Climate Change

    NASA Astrophysics Data System (ADS)

    Sitati, A. M.; Zommers, Z. A.; Habilov, M.

    2014-12-01

    Early warning systems are a tool with which to minimize risks posed by climate related hazards. Although great strides have been made in developing early warning systems most deal with one hazard, only provide short-term warnings and do not reach the most vulnerable. This presentation will review research results of the United Nations Environment Programme's CLIM-WARN project. The project seeks to identify how governments can better communicate risks by designing multi-hazard early warning systems that deliver actionable warnings across timescales. Household surveys and focus group discussions were conducted in 36 communities in Kenya, Ghana and Burkina Faso in order to identify relevant climate related hazards, current response strategies and early warning needs. Preliminary results show significant variability in both risks and needs within and between countries. For instance, floods are more frequent in rural western parts of Kenya. Droughts are frequent in the north while populations in urban areas face a range of hazards - floods, droughts, disease outbreaks - that sometimes occur simultaneously. The majority of the rural population, especially women, the disabled and the elderly, do not have access to modern media such as radio, television, or internet. While 55% of rural populace never watches television, 64% of urban respondents watch television on a daily basis. Communities have different concepts of how to design warning systems. It will be a challenge for national governments to create systems that accommodate such diversity yet provide standard quality of service to all. There is a need for flexible and forward-looking early warning systems that deliver broader information about risks. Information disseminated through the system could not only include details of hazards, but also long-term adaptation options, general education, and health information, thus increasingly both capabilities and response options.

  15. An intelligent IoT emergency vehicle warning system using RFID and Wi-Fi technologies for emergency medical services.

    PubMed

    Lai, Yeong-Lin; Chou, Yung-Hua; Chang, Li-Chih

    2018-01-01

    Collisions between emergency vehicles for emergency medical services (EMS) and public road users have been a serious problem, impacting on the safety of road users, emergency medical technicians (EMTs), and the patients on board. The aim of this study is to develop a novel intelligent emergency vehicle warning system for EMS applications. The intelligent emergency vehicle warning system is developed by Internet of Things (IoT), radio-frequency identification (RFID), and Wi-Fi technologies. The system consists of three major parts: a system trigger tag, an RFID system in an emergency vehicle, and an RFID system at an intersection. The RFID system either in an emergency vehicle or at an intersection contains a controller, an ultrahigh-frequency (UHF) RFID reader module, a Wi-Fi module, and a 2.4-GHz antenna. In addition, a UHF ID antenna is especially designed for the RFID system in an emergency vehicle. The IoT system provides real-time visual warning at an intersection and siren warning from an emergency vehicle in order to effectively inform road users about an emergency vehicle approaching. The developed intelligent IoT emergency vehicle warning system demonstrates the capabilities of real-time visual and siren warnings for EMS safety.

  16. Early identification systems for emerging foodborne hazards.

    PubMed

    Marvin, H J P; Kleter, G A; Prandini, A; Dekkers, S; Bolton, D J

    2009-05-01

    This paper provides a non-exhausting overview of early warning systems for emerging foodborne hazards that are operating in the various places in the world. Special attention is given to endpoint-focussed early warning systems (i.e. ECDC, ISIS and GPHIN) and hazard-focussed early warning systems (i.e. FVO, RASFF and OIE) and their merit to successfully identify a food safety problem in an early stage is discussed. Besides these early warning systems which are based on monitoring of either disease symptoms or hazards, also early warning systems and/or activities that intend to predict the occurrence of a food safety hazard in its very beginning of development or before that are described. Examples are trend analysis, horizon scanning, early warning systems for mycotoxins in maize and/or wheat and information exchange networks (e.g. OIE and GIEWS). Furthermore, recent initiatives that aim to develop predictive early warning systems based on the holistic principle are discussed. The assumption of the researchers applying this principle is that developments outside the food production chain that are either directly or indirectly related to the development of a particular food safety hazard may also provide valuable information to predict the development of this hazard.

  17. Alaskan Air Defense and Early Warning Systems Clear Air ...

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

    Alaskan Air Defense and Early Warning Systems - Clear Air Force Station, Ballistic Missile Early Warning System Site II, One mile west of mile marker 293.5 on Parks Highway, 5 miles southwest of Anderson, Anderson, Denali Borough, AK

  18. Effectiveness of a Forward Collision Warning System in simple and in dual task from an electrophysiological perspective.

    PubMed

    Bueno, Mercedes; Fort, Alexandra; Francois, Mathilde; Ndiaye, Daniel; Deleurence, Philippe; Fabrigoule, Colette

    2013-04-29

    Forward Collision Warning Systems (FCWS) are expected to assist drivers; however, it is not completely clear whether these systems are of benefit to distracted drivers as much as they are to undistracted drivers. This study aims at investigating further the analysis of the effectiveness of a surrogate FCWS according to the attentional state of participants. In this experiment electrophysiological and behavioural data were recording while participants were required to drive in a simple car simulator and to react to the braking of the lead vehicle which could be announced by a warning system. The effectiveness of this warning system was evaluated when drivers were distracted or not by a secondary cognitive task. In a previous study, the warning signal was not completely effective likely due to the presence of another predictor of the forthcoming braking which competes with the warning. By eliminating this secondary predictor in the present study, the results confirmed the negative effect of the secondary task and revealed the expected effectiveness of the warning system at behavioural and electrophysiological levels. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  19. 30 CFR 75.1103-4 - Automatic fire sensor and warning device systems; installation; minimum requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-4 Automatic fire sensor and warning device systems; installation; minimum requirements. (a) Effective December 31, 2009, automatic fire sensor and warning device...

  20. 30 CFR 75.1103-4 - Automatic fire sensor and warning device systems; installation; minimum requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Automatic fire sensor and warning device...-UNDERGROUND COAL MINES Fire Protection § 75.1103-4 Automatic fire sensor and warning device systems; installation; minimum requirements. (a) Effective December 31, 2009, automatic fire sensor and warning device...

  1. 14 CFR 121.360 - Ground proximity warning-glide slope deviation alerting system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... person may operate a turbine-powered airplane unless it is equipped with a ground proximity warning... system incorporates a Mode 4 flap warning inhibition control; and (2) An outline of all input sources... turbine-powered airplane unless it is equipped with a ground proximity warning/glide slope deviation...

  2. 14 CFR 121.360 - Ground proximity warning-glide slope deviation alerting system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... person may operate a turbine-powered airplane unless it is equipped with a ground proximity warning... system incorporates a Mode 4 flap warning inhibition control; and (2) An outline of all input sources... turbine-powered airplane unless it is equipped with a ground proximity warning/glide slope deviation...

  3. A SDMS Model: Early Warning Coordination Centres

    NASA Astrophysics Data System (ADS)

    Santos-Reyes, Jaime

    2010-05-01

    Following the tsunami disaster in 2004, the General Secretary of the United Nations (UN) Kofi Annan called for a global early warning system for all hazards and for all communities. He also requested the ISDR (International Strategy fort Disaster Reduction) and its UN partners to conduct a global survey of capacities, gaps and opportunities in relation to early warning systems. The produced report, "Global survey of Early Warning Systems", concluded that there are many gaps and shortcomings and that much progress has been made on early warning systems and great capabilities are available around the world. However, it may be argued that an early warning system (EWS) may not be enough to prevent fatalities due to a natural hazard; i.e., it should be seen as part of a ‘wider' or total system. Furthermore, an EWS may work very well when assessed individually but it is not clear whether it will contribute to accomplish the purpose of the ‘total disaster management system'; i.e., to prevent fatalities. For instance, a regional EWS may only work if it is well co-ordinated with the local warning and emergency response systems that ensure that the warning is received, communicated and acted upon by the potentially affected communities. It may be argued that without these local measures being in place, a regional EWS will have little impact in saving lives. Researchers argued that unless people are warned in remote areas, the technology is useless; for instance McGuire [5] argues that: "I have no doubt that the technical element of the warning system will work very well,"…"But there has to be an effective and efficient communications cascade from the warning centre to the fisherman on the beach and his family and the bar owners." Similarly, McFadden [6] states that: "There's no point in spending all the money on a fancy monitoring and a fancy analysis system unless we can make sure the infrastructure for the broadcast system is there,"… "That's going to require a lot of work. If it's a tsunami, you've got to get it down to the last Joe on the beach. This is the stuff that is really very hard." Given the above, the paper argues that there is a need for a systemic approach to early warning centres. Systemic means looking upon things as a system; systemic means seeing pattern and inter-relationship within a complex whole; i.e., to see events as products of the working of a system. System may be defined as a whole which is made of parts and relationships. Given this, ‘failure' may be seen as the product of a system and, within that, see death/injury/property loss etc. as results of the working of systems. This paper proposes a preliminary model of ‘early warning coordination centres' (EWCC); it should be highlighted that an EWCC is a subsystem of the Systemic Disaster Management System (SDMS) model.

  4. Volvo and Infiniti drivers' experiences with select crash avoidance technologies.

    PubMed

    Braitman, Keli A; McCartt, Anne T; Zuby, David S; Singer, Jeremiah

    2010-06-01

    Vehicle-based crash avoidance systems can potentially reduce crashes, but success depends on driver acceptance and understanding. This study gauged driver use, experience, and acceptance among early adopters of select technologies. Telephone interviews were conducted in early 2009 with 380 owners of Volvo vehicles equipped with forward collision warning with autobrake, lane departure warning, side-view assist, and/or active bi-xenon headlights and 485 owners of Infiniti vehicles with lane departure warning/prevention. Most owners kept systems turned on most of the time, especially forward collision warning with autobrake and side-view assist. The exception was lane departure prevention; many owners were unaware they had it, and the system must be activated each time the vehicle is started. Most owners reported being safer with the technologies and would want them again on their next vehicles. Perceived false or unnecessary warnings were fairly common, particularly with side-view assist. Some systems were annoying, especially lane departure warning. Many owners reported safer driving behaviors such as greater use of turn signals (lane departure warning), increased following distance (forward collision warning), and checking side mirrors more frequently (side-view assist), but some reported driving faster at night (active headlights). Despite some unnecessary or annoying warnings, most Volvo and Infiniti owners use crash avoidance systems most of the time. Among early adopters, the first requirement of effective warning systems (that owners use the technology) seems largely met. Systems requiring activation by drivers for each trip are used less often. Owner experience with the latest technologies from other automobile manufacturers should be studied, as well as for vehicles on which technologies are standard (versus optional) equipment. The effectiveness of technologies in preventing and mitigating crashes and injuries, and user acceptance of interfaces, should be examined as more vehicles with advanced technologies penetrate the fleet.

  5. The effectiveness of physiologically based early warning or track and trigger systems after triage in adult patients presenting to emergency departments: a systematic review.

    PubMed

    Wuytack, Francesca; Meskell, Pauline; Conway, Aislinn; McDaid, Fiona; Santesso, Nancy; Hickey, Fergal G; Gillespie, Paddy; Raymakers, Adam J N; Smith, Valerie; Devane, Declan

    2017-12-06

    Changes to physiological parameters precede deterioration of ill patients. Early warning and track and trigger systems (TTS) use routine physiological measurements with pre-specified thresholds to identify deteriorating patients and trigger appropriate and timely escalation of care. Patients presenting to the emergency department (ED) are undiagnosed, undifferentiated and of varying acuity, yet the effectiveness and cost-effectiveness of using early warning systems and TTS in this setting is unclear. We aimed to systematically review the evidence on the use, development/validation, clinical effectiveness and cost-effectiveness of physiologically based early warning systems and TTS for the detection of deterioration in adult patients presenting to EDs. We searched for any study design in scientific databases and grey literature resources up to March 2016. Two reviewers independently screened results and conducted quality assessment. One reviewer extracted data with independent verification of 50% by a second reviewer. Only information available in English was included. Due to the heterogeneity of reporting across studies, results were synthesised narratively and in evidence tables. We identified 6397 citations of which 47 studies and 1 clinical trial registration were included. Although early warning systems are increasingly used in EDs, compliance varies. One non-randomised controlled trial found that using an early warning system in the ED may lead to a change in patient management but may not reduce adverse events; however, this is uncertain, considering the very low quality of evidence. Twenty-eight different early warning systems were developed/validated in 36 studies. There is relatively good evidence on the predictive ability of certain early warning systems on mortality and ICU/hospital admission. No health economic data were identified. Early warning systems seem to predict adverse outcomes in adult patients of varying acuity presenting to the ED but there is a lack of high quality comparative studies to examine the effect of using early warning systems on patient outcomes. Such studies should include health economics assessments.

  6. A Sustainable Early Warning System for Climate Change Impacts on Water Quality Management

    NASA Astrophysics Data System (ADS)

    Lee, T.; Tung, C.; Chung, N.

    2007-12-01

    In this era of rapid social and technological change leading to interesting life complexity and environmental displacement, both positive and negative effects among ecosystems call for a balance in which there are impacts by climate changes. Early warning systems for climate change impacts are necessary in order to allow society as a whole to properly and usefully assimilate the masses of new information and knowledge. Therefore, our research addresses to build up a sustainable early warning mechanism. The main goal is to mitigate the cumulative impacts on the environment of climate change and enhance adaptive capacities. An effective early warning system has been proven for protection. However, there is a problem that estimate future climate changes would be faced with high uncertainty. In general, take estimations for climate change impacts would use the data from General Circulation Models and take the analysis as the Intergovernmental Panel on Climate Change declared. We follow the course of the method for analyzing climate change impacts and attempt to accomplish the sustainable early warning system for water quality management. Climate changes impact not only on individual situation but on short-term variation and long-term gradually changes. This kind characteristic should adopt the suitable warning system for long-term formulation and short- term operation. To continue the on-going research of the long-term early warning system for climate change impacts on water quality management, the short-term early warning system is established by using local observation data for reappraising the warning issue. The combination of long-term and short-term system can provide more circumstantial details. In Taiwan, a number of studies have revealed that climate change impacts on water quality, especially in arid period, the concentration of biological oxygen demand may turn into worse. Rapid population growth would also inflict injury on its assimilative capacity to degenerate. To concern about those items, the sustainable early warning system is established and the initiative fall into the following categories: considering the implications for policies, applying adaptive strategies and informing the new climate changes. By setting up the framework of early warning system expectantly can defend stream area from impacts damaging and in sure the sustainable development.

  7. Cervical Spine Status of Pilots and Air-Controllers of Airborne Early Warning and Control Aircraft.

    PubMed

    Shin, Young Ho; Yun, Chul; Han, Andrew Hogyu

    2017-05-01

    Many countries have developed their own airborne early warning and control (AEW&C) systems for use in surveying their territorial sky in real time. However, a review of the literature suggests that no studies have been conducted to analyze the cervical spine of pilots and air-controllers of AEW&C aircraft. The study subjects were 80 pilots and air-controllers of AEW&C aircraft with a period of service of > 1 yr and had data on physical examinations, simple radiographs and functional scores of the axial skeleton, and questionnaires about lifestyle and working conditions. Information about physical characteristics and experience of neck pain were collected. Functional scores including the neck disability index and short-form 36-item health survey were obtained. Radiological measurements were performed for the C2-7 Cobb angle and degree of forward head posture. Of the 80 subjects, 33 (41.3%) had experienced neck pain and 63 (78.8%) had impaired cervical lordosis. The results of functional and radiological evaluations were not significantly different between pilots and air-controllers. In multivariate analysis, only the age was significantly related to the occurrence of impaired cervical lordosis. However, there were no significant factors related to the occurrence of neck pain. The results of this study suggest that the working environment of pilots and air-controllers of AEW&C aircraft has a negative effect on their cervical spine. Age seemed to be the most significant factor affecting the occurrence of impaired cervical lordosis in these subjects.Shin YH, Yun C, Han AH. Cervical spine status of pilots and air-controllers of airborne early warning and control aircraft. Aerosp Med Hum Perform. 2017; 88(5):476-480.

  8. 49 CFR 234.205 - Operating characteristics of warning system apparatus.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... apparatus. 234.205 Section 234.205 Transportation Other Regulations Relating to Transportation (Continued... characteristics of warning system apparatus. Operating characteristics of electromagnetic, electronic, or electrical apparatus of each highway-rail crossing warning system shall be maintained in accordance with the...

  9. 49 CFR 234.205 - Operating characteristics of warning system apparatus.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... apparatus. 234.205 Section 234.205 Transportation Other Regulations Relating to Transportation (Continued... characteristics of warning system apparatus. Operating characteristics of electromagnetic, electronic, or electrical apparatus of each highway-rail crossing warning system shall be maintained in accordance with the...

  10. A ward-based time study of paper and electronic documentation for recording vital sign observations.

    PubMed

    Wong, David; Bonnici, Timothy; Knight, Julia; Gerry, Stephen; Turton, James; Watkinson, Peter

    2017-07-01

    To investigate time differences in recording observations and an early warning score using traditional paper charts and a novel e-Obs system in clinical practice. Researchers observed the process of recording observations and early warning scores across 3 wards in 2 university teaching hospitals immediately before and after introduction of the e-Obs system. The process of recording observations included both measurement and documentation of vital signs. Interruptions were timed and subtracted from the measured process duration. Multilevel modeling was used to compensate for potential confounding factors. In all, 577 nurse events were observed (281 paper, 296 e-Obs). The geometric mean time to take a complete set of vital signs was 215 s (95% confidence interval [CI], 177 s-262 s) on paper, and 150 s (95% CI, 130 s-172 s) electronically. The treatment effect ratio was 0.70 (95% CI, 0.57-0.85, P  < .001). The treatment effect ratio in ward 1 was 0.37 (95% CI, 0.26-0.53), in ward 2 was 0.98 (95% CI, 0.70-1.38), and in ward 3 was 0.93 (95% CI, 0.66-1.33). Introduction of an e-Obs system was associated with a statistically significant reduction in overall time to measure and document vital signs electronically compared to paper documentation. The reductions in time varied among wards and were of clinical significance on only 1 of 3 wards studied. Our results suggest that introduction of an e-Obs system could lower nursing workload as well as increase documentation quality. © The Author 2017. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  11. Is More Better? - Night Vision Enhancement System's Pedestrian Warning Modes and Older Drivers.

    PubMed

    Brown, Timothy; He, Yefei; Roe, Cheryl; Schnell, Thomas

    2010-01-01

    Pedestrian fatalities as a result of vehicle collisions are much more likely to happen at night than during day time. Poor visibility due to darkness is believed to be one of the causes for the higher vehicle collision rate at night. Existing studies have shown that night vision enhancement systems (NVES) may improve recognition distance, but may increase drivers' workload. The use of automatic warnings (AW) may help minimize workload, improve performance, and increase safety. In this study, we used a driving simulator to examine performance differences of a NVES with six different configurations of warning cues, including: visual, auditory, tactile, auditory and visual, tactile and visual, and no warning. Older drivers between the ages of 65 and 74 participated in the study. An analysis based on the distance to pedestrian threat at the onset of braking response revealed that tactile and auditory warnings performed the best, while visual warnings performed the worst. When tactile or auditory warnings were presented in combination with visual warning, their effectiveness decreased. This result demonstrated that, contrary to general sense regarding warning systems, multi-modal warnings involving visual cues degraded the effectiveness of NVES for older drivers.

  12. Evaluation of the US Food and Drug Administration sentinel analysis tools in confirming previously observed drug-outcome associations: The case of clindamycin and Clostridium difficile infection.

    PubMed

    Carnahan, Ryan M; Kuntz, Jennifer L; Wang, Shirley V; Fuller, Candace; Gagne, Joshua J; Leonard, Charles E; Hennessy, Sean; Meyer, Tamra; Archdeacon, Patrick; Chen, Chih-Ying; Panozzo, Catherine A; Toh, Sengwee; Katcoff, Hannah; Woodworth, Tiffany; Iyer, Aarthi; Axtman, Sophia; Chrischilles, Elizabeth A

    2018-03-13

    The Food and Drug Administration's Sentinel System developed parameterized, reusable analytic programs for evaluation of medical product safety. Research on outpatient antibiotic exposures, and Clostridium difficile infection (CDI) with non-user reference groups led us to expect a higher rate of CDI among outpatient clindamycin users vs penicillin users. We evaluated the ability of the Cohort Identification and Descriptive Analysis and Propensity Score Matching tools to identify a higher rate of CDI among clindamycin users. We matched new users of outpatient dispensings of oral clindamycin or penicillin from 13 Data Partners 1:1 on propensity score and followed them for up to 60 days for development of CDI. We used Cox proportional hazards regression stratified by Data Partner and matched pair to compare CDI incidence. Propensity score models at 3 Data Partners had convergence warnings and a limited range of predicted values. We excluded these Data Partners despite adequate covariate balance after matching. From the 10 Data Partners where these models converged without warnings, we identified 807 919 new clindamycin users and 8 815 441 new penicillin users eligible for the analysis. The stratified analysis of 807 769 matched pairs included 840 events among clindamycin users and 290 among penicillin users (hazard ratio 2.90, 95% confidence interval 2.53, 3.31). This evaluation produced an expected result and identified several potential enhancements to the Propensity Score Matching tool. This study has important limitations. CDI risk may have been related to factors other than the inherent properties of the drugs, such as duration of use or subsequent exposures. Copyright © 2018 John Wiley & Sons, Ltd.

  13. Time-to-impact estimation in passive missile warning systems

    NASA Astrophysics Data System (ADS)

    Şahıngıl, Mehmet Cihan

    2017-05-01

    A missile warning system can detect the incoming missile threat(s) and automatically cue the other Electronic Attack (EA) systems in the suit, such as Directed Infrared Counter Measure (DIRCM) system and/or Counter Measure Dispensing System (CMDS). Most missile warning systems are currently based on passive sensor technology operating in either Solar Blind Ultraviolet (SBUV) or Midwave Infrared (MWIR) bands on which there is an intensive emission from the exhaust plume of the threatening missile. Although passive missile warning systems have some clear advantages over pulse-Doppler radar (PDR) based active missile warning systems, they show poorer performance in terms of time-to-impact (TTI) estimation which is critical for optimizing the countermeasures and also "passive kill assessment". In this paper, we consider this problem, namely, TTI estimation from passive measurements and present a TTI estimation scheme which can be used in passive missile warning systems. Our problem formulation is based on Extended Kalman Filter (EKF). The algorithm uses the area parameter of the threat plume which is derived from the used image frame.

  14. Air quality early-warning system for cities in China

    NASA Astrophysics Data System (ADS)

    Xu, Yunzhen; Yang, Wendong; Wang, Jianzhou

    2017-01-01

    Air pollution has become a serious issue in many developing countries, especially in China, and could generate adverse effects on human beings. Air quality early-warning systems play an increasingly significant role in regulatory plans that reduce and control emissions of air pollutants and inform the public in advance when harmful air pollution is foreseen. However, building a robust early-warning system that will improve the ability of early-warning is not only a challenge but also a critical issue for the entire society. Relevant research is still poor in China and cannot always satisfy the growing requirements of regulatory planning, despite the issue's significance. Therefore, in this paper, a hybrid air quality early-warning system was successfully developed, composed of forecasting and evaluation. First, a hybrid forecasting model was proposed as an important part of this system based on the theory of "decomposition and ensemble" and combined with the advanced data processing technique, support vector machine, the latest bio-inspired optimization algorithm and the leave-one-out strategy for deciding weights. Afterwards, to intensify the research, fuzzy evaluation was performed, which also plays an indispensable role in the early-warning system. The forecasting model and fuzzy evaluation approaches are complementary. Case studies using daily air pollution concentrations of six air pollutants from three cities in China (i.e., Taiyuan, Harbin and Chongqing) are used as examples to evaluate the efficiency and effectiveness of the developed air quality early-warning system. Experimental results demonstrate that both the accuracy and the effectiveness of the developed system are greatly superior for air quality early warning. Furthermore, the application of forecasting and evaluation enables the informative and effective quantification of future air quality, offering a significant advantage, and can be employed to develop rapid air quality early-warning systems.

  15. 75 FR 48620 - Airworthiness Directives; The Boeing Company Model 737-100, -200, -200C, -300, -400, and -500...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... operations. This proposed AD results from a design change in the cabin altitude warning system that would... warning system that would address the identified unsafe condition(s), and that once this design change was... altitude warning and takeoff configuration warning lights. The activation includes changing the wiring in...

  16. Lights and siren: a review of emergency vehicle warning systems.

    PubMed

    De Lorenzo, R A; Eilers, M A

    1991-12-01

    Emergency medical services providers routinely respond to emergencies using lights and siren. This practice is not without risk of collision. Audible and visual warning devices and vehicle markings are integral to efficient negotiation of traffic and reduction of collision risk. An understanding of warning system characteristics is necessary to implement appropriate guidelines for prehospital transportation systems. The pertinent literature on emergency vehicle warning systems is reviewed, with emphasis on potential health hazards associated with these techniques. Important findings inferred from the literature are 1) red flashing lights alone may not be as effective as other color combinations, 2) there are no data to support a seizure risk with strobe lights, 3) lime-yellow is probably superior to traditional emergency vehicle colors, 4) the siren is an extremely limited warning device, and 5) exposure to siren noise can cause hearing loss. Emergency physicians must ensure that emergency medical services transportation systems consider the pertinent literature on emergency vehicle warning systems.

  17. Alcohol Warning Label Awareness and Attention: A Multi-method Study.

    PubMed

    Pham, Cuong; Rundle-Thiele, Sharyn; Parkinson, Joy; Li, Shanshi

    2018-01-01

    Evaluation of alcohol warning labels requires careful consideration ensuring that research captures more than awareness given that labels may not be prominent enough to attract attention. This study investigates attention of current in market alcohol warning labels and examines whether attention can be enhanced through theoretically informed design. Attention scores obtained through self-report methods are compared to objective measures (eye-tracking). A multi-method experimental design was used delivering four conditions, namely control, colour, size and colour and size. The first study (n = 559) involved a self-report survey to measure attention. The second study (n = 87) utilized eye-tracking to measure fixation count and duration and time to first fixation. Analysis of Variance (ANOVA) was utilized. Eye-tracking identified that 60% of participants looked at the current in market alcohol warning label while 81% looked at the optimized design (larger and red). In line with observed attention self-reported attention increased for the optimized design. The current study casts doubt on dominant practices (largely self-report), which have been used to evaluate alcohol warning labels. Awareness cannot be used to assess warning label effectiveness in isolation in cases where attention does not occur 100% of the time. Mixed methods permit objective data collection methodologies to be triangulated with surveys to assess warning label effectiveness. Attention should be incorporated as a measure in warning label effectiveness evaluations. Colour and size changes to the existing Australian warning labels aided by theoretically informed design increased attention. © The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved.

  18. Multiple Attribute Evaluation of Auditory Warning Signals for In-Vehicle Crash Avoidance Warning Systems

    DOT National Transportation Integrated Search

    1995-11-01

    This research was directed at optimizing the auditory warnings that may be used in future crash avoidance warning applications. There is a need to standardize such warnings, so that they retain immediacy of meaning across various vehicles, situations...

  19. Southmoreland Middle School: A Model of True Collaboration

    ERIC Educational Resources Information Center

    Principal Leadership, 2013

    2013-01-01

    In 2003, Southmoreland was a seventh- and eighth-grade junior high school in the warning category under NCLB for failing to make adequate yearly progress. Scores on state tests were grim--only 39% of the students were proficient or advanced in math and 55% in reading. Two years later, the combined improvement in reading and math scores resulted in…

  20. Facilitating Adoption of News Tool to Develop Clinical Decision Making

    ERIC Educational Resources Information Center

    Brown, Robin T.

    2017-01-01

    This scholarly project was a non-experimental, pre/post-test design to (a) facilitate the voluntary adoption of the National Early Warning Score (NEWS), and (b) develop clinical decision making (CDM) in one cohort of junior level nursing students participating in a simulation lab. NEWS is an evidence-based predictive scoring tool developed by the…

  1. Study on warning radius of diffuse reflection laser warning based on fish-eye lens

    NASA Astrophysics Data System (ADS)

    Chen, Bolin; Zhang, Weian

    2013-09-01

    The diffuse reflection type of omni-directional laser warning based on fish-eye lens is becoming more and more important. As one of the key parameters of warning system, the warning radius should be put into investigation emphatically. The paper firstly theoretically analyzes the energy detected by single pixel of FPA detector in the system under complicated environment. Then the least energy detectable by each single pixel of the system is computed in terms of detector sensitivity, system noise, and minimum SNR. Subsequently, by comparison between the energy detected by single pixel and the least detectable energy, the warning radius is deduced from Torrance-Sparrow five-parameter semiempirical statistic model. Finally, a field experiment was developed to validate the computational results. It has been found that the warning radius has a close relationship with BRDF parameters of the irradiated target, propagation distance, angle of incidence, and detector sensitivity, etc. Furthermore, an important fact is shown that the experimental values of warning radius are always less than that of theoretical ones, due to such factors as the optical aberration of fish-eye lens, the transmissivity of narrowband filter, and the packing ratio of detector.

  2. Connected motorcycle crash warning interfaces.

    DOT National Transportation Integrated Search

    2016-01-15

    Crash warning systems have been deployed in the high-end vehicle market segment for some time and are trickling down to additional motor vehicle industry segments each year. The motorcycle segment, however, has no deployed crash warning system to dat...

  3. Light vehicle forward-looking, rear-end collision warning system performance guidelines

    DOT National Transportation Integrated Search

    1998-05-01

    This document presents performance guidelines for forward-looking, rear-end collision warning systems (abbreviated FCW) for improving vehicular safety by preventing or mitigating vehicular rear-end collisions through driver notification or warning. T...

  4. Multiple Attribute Evaluation Of Auditory Warning Signals For In-Vehicle Crash Avoidance Warning Systems, Technical Report

    DOT National Transportation Integrated Search

    1995-11-01

    THIS RESEARCH WAS DIRECTED AT OPTIMIZING THE AUDITORY WARNINGS THAT MAY BE USED IN FUTURE CRASH AVOIDANCE WARNING APPLICATIONS. THERE IS A NEED TO STANDARDIZE SUCH WARNINGS, SO THAT THEY RETAIN IMMEDIACY OF MEANING ACROSS VARIOUS VEHICLES, SITUATIONS...

  5. 49 CFR 234.259 - Warning time.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... modified because of a change in train speeds. Electronic devices that accurately determine actual warning... 49 Transportation 4 2011-10-01 2011-10-01 false Warning time. 234.259 Section 234.259..., Inspection, and Testing Inspections and Tests § 234.259 Warning time. Each crossing warning system shall be...

  6. 49 CFR 234.259 - Warning time.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... modified because of a change in train speeds. Electronic devices that accurately determine actual warning... 49 Transportation 4 2010-10-01 2010-10-01 false Warning time. 234.259 Section 234.259..., Inspection, and Testing Inspections and Tests § 234.259 Warning time. Each crossing warning system shall be...

  7. An online training-monitoring system to prevent nonfunctional overreaching.

    PubMed

    Piacentini, Maria Francesca; Meeusen, Romain

    2015-05-01

    This longitudinal case study evaluated the effectiveness of an online training-monitoring system to prevent nonfunctional overreaching (NFOR). A female master track and field athlete was followed by means of a daily online training diary (www.spartanova.com) and a weekly profile of mood state (POMS). The online diary consists of objective training data and subjective feelings reported on a 10-cm visual analog scale. Furthermore, parameters that quantify and summarize training and adaptation to training were calculated. The novelty consists in the inclusion of a specific measuring parameter tested to detect NFOR (OR score). During track-season preparation, the athlete was facing some major personal changes, and extra training stress factors increased. Despite the fact that training load (TL) did not increase, the OR score showed a 222% and then a 997% increase compared with baseline. POMS showed a 167% increase in fatigue, a 38% decrease in vigor, a 32% increase in depression scores, and a total mood increase of 22%, with a 1-wk shift compared with the OR score. A 41% decrease in TL restored the OR score and POMS to baseline values within 10 d. The results demonstrate that immediate feedback obtained by "warning signals" to both athletes and coaches, based on individual baseline data, seems an optimal predictor of FOR/NFOR.

  8. 78 FR 36817 - Proposed Agency Information Collection Activities; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-19

    ...) accidents resulting from warning system failures can be reduced. Motorists lose faith in warning systems... greater risk of an accident is present when a warning system fails to activate as a train approaches a... device malfunctions. With this information, FRA is able to correlate accident data and equipment...

  9. Real-Time Target Motion Animation for Missile Warning System Testing

    DTIC Science & Technology

    2006-04-01

    T. Perkins, R. Sundberg, J. Cordell, Z. Tun , and M. Owen, Real-time Target Motion Animation for Missile Warning System Testing, Proc. SPIE Vol 6208...Z39-18 Real-time target motion animation for missile warning system testing Timothy Perkins*a, Robert Sundberga, John Cordellb, Zaw Tunb, Mark

  10. 14 CFR 91.1415 - CAMP: Mechanical reliability reports.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... failure, malfunction, or defect in an aircraft concerning— (1) Fires during flight and whether the related fire-warning system functioned properly; (2) Fires during flight not protected by related fire-warning system; (3) False fire-warning during flight; (4) An exhaust system that causes damage during flight to...

  11. 14 CFR 91.1415 - CAMP: Mechanical reliability reports.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... failure, malfunction, or defect in an aircraft concerning— (1) Fires during flight and whether the related fire-warning system functioned properly; (2) Fires during flight not protected by related fire-warning system; (3) False fire-warning during flight; (4) An exhaust system that causes damage during flight to...

  12. How do I know if I’ve improved my continental scale flood early warning system?

    NASA Astrophysics Data System (ADS)

    Cloke, Hannah L.; Pappenberger, Florian; Smith, Paul J.; Wetterhall, Fredrik

    2017-04-01

    Flood early warning systems mitigate damages and loss of life and are an economically efficient way of enhancing disaster resilience. The use of continental scale flood early warning systems is rapidly growing. The European Flood Awareness System (EFAS) is a pan-European flood early warning system forced by a multi-model ensemble of numerical weather predictions. Responses to scientific and technical changes can be complex in these computationally expensive continental scale systems, and improvements need to be tested by evaluating runs of the whole system. It is demonstrated here that forecast skill is not correlated with the value of warnings. In order to tell if the system has been improved an evaluation strategy is required that considers both forecast skill and warning value. The combination of a multi-forcing ensemble of EFAS flood forecasts is evaluated with a new skill-value strategy. The full multi-forcing ensemble is recommended for operational forecasting, but, there are spatial variations in the optimal forecast combination. Results indicate that optimizing forecasts based on value rather than skill alters the optimal forcing combination and the forecast performance. Also indicated is that model diversity and ensemble size are both important in achieving best overall performance. The use of several evaluation measures that consider both skill and value is strongly recommended when considering improvements to early warning systems.

  13. Lane change warning threshold based on driver perception characteristics.

    PubMed

    Wang, Chang; Sun, Qinyu; Fu, Rui; Li, Zhen; Zhang, Qiong

    2018-08-01

    Lane Change Warning system (LCW) is exploited to alleviate driver workload and improve the safety performance of lane changes. Depending on the secure threshold, the lane change warning system could transmit caution to drivers. Although the system possesses substantial benefits, it may perturb the conventional operating of the driver and affect driver judgment if the warning threshold does not conform to the driver perception of safety. Therefore, it is essential to establish an appropriate warning threshold to enhance the accuracy rate and acceptability of the lane change warning system. This research aims to identify the threshold that conforms to the driver perception of the ability to safely change lanes with a rear vehicle fast approaching. We propose a theoretical warning model of lane change based on a safe minimum distance and deceleration of the rear vehicle. For the purpose of acquiring the different safety levels of lane changes, 30 licensed drivers are recruited and we obtain the extreme moments represented by driver perception characteristics from a Front Extremity Test and a Rear Extremity Test implemented on the freeway. The required deceleration of the rear vehicle corresponding to the extreme time is calculated according to the proposed model. In light of discrepancies in the deceleration in these extremity experiments, we determine two levels of a hierarchical warning system. The purpose of the primary warning is to remind drivers of the existence of potentially dangerous vehicles and the second warning is used to warn the driver to stop changing lanes immediately. We use the signal detection theory to analyze the data. Ultimately, we confirm that the first deceleration threshold is 1.5 m/s 2 and the second deceleration threshold is 2.7 m/s 2 . The findings provide the basis for the algorithm design of LCW and enhance the acceptability of the intelligent system. Copyright © 2018 Elsevier Ltd. All rights reserved.

  14. Early warning system for Douglas-fir tussock moth outbreaks in the Western United States.

    Treesearch

    Gary E. Daterman; John M. Wenz; Katharine A. Sheehan

    2004-01-01

    The Early Warning System is a pheromone-based trapping system used to detect outbreaks of Douglas-fir tussock moth (DFTM, Orgyia pseudotsugata) in the western United States. Millions of acres are susceptible to DFTM defoliation, but Early Warning System monitoring focuses attention only on the relatively limited areas where outbreaks may be...

  15. 77 FR 19055 - Morgan Olson, LLC, Receipt of Petition for Decision of Inconsequential Noncompliance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ... noncompliance is that the affected vehicles do not contain a primary door latch system or door closure warning... for either a primary door latch system or door closure warning system applied only to its vehicles... latched position. Nor are these vehicles equipped with a door closure warning system. Rule text: Paragraph...

  16. On the use of Bayesian decision theory for issuing natural hazard warnings

    NASA Astrophysics Data System (ADS)

    Economou, T.; Stephenson, D. B.; Rougier, J. C.; Neal, R. A.; Mylne, K. R.

    2016-10-01

    Warnings for natural hazards improve societal resilience and are a good example of decision-making under uncertainty. A warning system is only useful if well defined and thus understood by stakeholders. However, most operational warning systems are heuristic: not formally or transparently defined. Bayesian decision theory provides a framework for issuing warnings under uncertainty but has not been fully exploited. Here, a decision theoretic framework is proposed for hazard warnings. The framework allows any number of warning levels and future states of nature, and a mathematical model for constructing the necessary loss functions for both generic and specific end-users is described. The approach is illustrated using one-day ahead warnings of daily severe precipitation over the UK, and compared to the current decision tool used by the UK Met Office. A probability model is proposed to predict precipitation, given ensemble forecast information, and loss functions are constructed for two generic stakeholders: an end-user and a forecaster. Results show that the Met Office tool issues fewer high-level warnings compared with our system for the generic end-user, suggesting the former may not be suitable for risk averse end-users. In addition, raw ensemble forecasts are shown to be unreliable and result in higher losses from warnings.

  17. On the use of Bayesian decision theory for issuing natural hazard warnings.

    PubMed

    Economou, T; Stephenson, D B; Rougier, J C; Neal, R A; Mylne, K R

    2016-10-01

    Warnings for natural hazards improve societal resilience and are a good example of decision-making under uncertainty. A warning system is only useful if well defined and thus understood by stakeholders. However, most operational warning systems are heuristic: not formally or transparently defined. Bayesian decision theory provides a framework for issuing warnings under uncertainty but has not been fully exploited. Here, a decision theoretic framework is proposed for hazard warnings. The framework allows any number of warning levels and future states of nature, and a mathematical model for constructing the necessary loss functions for both generic and specific end-users is described. The approach is illustrated using one-day ahead warnings of daily severe precipitation over the UK, and compared to the current decision tool used by the UK Met Office. A probability model is proposed to predict precipitation, given ensemble forecast information, and loss functions are constructed for two generic stakeholders: an end-user and a forecaster. Results show that the Met Office tool issues fewer high-level warnings compared with our system for the generic end-user, suggesting the former may not be suitable for risk averse end-users. In addition, raw ensemble forecasts are shown to be unreliable and result in higher losses from warnings.

  18. On the use of Bayesian decision theory for issuing natural hazard warnings

    PubMed Central

    Stephenson, D. B.; Rougier, J. C.; Neal, R. A.; Mylne, K. R.

    2016-01-01

    Warnings for natural hazards improve societal resilience and are a good example of decision-making under uncertainty. A warning system is only useful if well defined and thus understood by stakeholders. However, most operational warning systems are heuristic: not formally or transparently defined. Bayesian decision theory provides a framework for issuing warnings under uncertainty but has not been fully exploited. Here, a decision theoretic framework is proposed for hazard warnings. The framework allows any number of warning levels and future states of nature, and a mathematical model for constructing the necessary loss functions for both generic and specific end-users is described. The approach is illustrated using one-day ahead warnings of daily severe precipitation over the UK, and compared to the current decision tool used by the UK Met Office. A probability model is proposed to predict precipitation, given ensemble forecast information, and loss functions are constructed for two generic stakeholders: an end-user and a forecaster. Results show that the Met Office tool issues fewer high-level warnings compared with our system for the generic end-user, suggesting the former may not be suitable for risk averse end-users. In addition, raw ensemble forecasts are shown to be unreliable and result in higher losses from warnings. PMID:27843399

  19. A Method to Increase Drivers' Trust in Collision Warning Systems Based on Reliability Information of Sensor

    NASA Astrophysics Data System (ADS)

    Tsutsumi, Shigeyoshi; Wada, Takahiro; Akita, Tokihiko; Doi, Shun'ichi

    Driver's workload tends to be increased during driving under complicated traffic environments like a lane change. In such cases, rear collision warning is effective for reduction of cognitive workload. On the other hand, it is pointed out that false alarm or missing alarm caused by sensor errors leads to decrease of driver' s trust in the warning system and it can result in low efficiency of the system. Suppose that reliability information of the sensor is provided in real-time. In this paper, we propose a new warning method to increase driver' s trust in the system even with low sensor reliability utilizing the sensor reliability information. The effectiveness of the warning methods is shown by driving simulator experiments.

  20. ShakeAlert—An earthquake early warning system for the United States west coast

    USGS Publications Warehouse

    Burkett, Erin R.; Given, Douglas D.; Jones, Lucile M.

    2014-08-29

    Earthquake early warning systems use earthquake science and the technology of monitoring systems to alert devices and people when shaking waves generated by an earthquake are expected to arrive at their location. The seconds to minutes of advance warning can allow people and systems to take actions to protect life and property from destructive shaking. The U.S. Geological Survey (USGS), in collaboration with several partners, has been working to develop an early warning system for the United States. ShakeAlert, a system currently under development, is designed to cover the West Coast States of California, Oregon, and Washington.

  1. Evolution of tsunami warning systems and products.

    PubMed

    Bernard, Eddie; Titov, Vasily

    2015-10-28

    Each year, about 60 000 people and $4 billion (US$) in assets are exposed to the global tsunami hazard. Accurate and reliable tsunami warning systems have been shown to provide a significant defence for this flooding hazard. However, the evolution of warning systems has been influenced by two processes: deadly tsunamis and available technology. In this paper, we explore the evolution of science and technology used in tsunami warning systems, the evolution of their products using warning technologies, and offer suggestions for a new generation of warning products, aimed at the flooding nature of the hazard, to reduce future tsunami impacts on society. We conclude that coastal communities would be well served by receiving three standardized, accurate, real-time tsunami warning products, namely (i) tsunami energy estimate, (ii) flooding maps and (iii) tsunami-induced harbour current maps to minimize the impact of tsunamis. Such information would arm communities with vital flooding guidance for evacuations and port operations. The advantage of global standardized flooding products delivered in a common format is efficiency and accuracy, which leads to effectiveness in promoting tsunami resilience at the community level. © 2015 The Authors.

  2. Evolution of tsunami warning systems and products

    PubMed Central

    Bernard, Eddie; Titov, Vasily

    2015-01-01

    Each year, about 60 000 people and $4 billion (US$) in assets are exposed to the global tsunami hazard. Accurate and reliable tsunami warning systems have been shown to provide a significant defence for this flooding hazard. However, the evolution of warning systems has been influenced by two processes: deadly tsunamis and available technology. In this paper, we explore the evolution of science and technology used in tsunami warning systems, the evolution of their products using warning technologies, and offer suggestions for a new generation of warning products, aimed at the flooding nature of the hazard, to reduce future tsunami impacts on society. We conclude that coastal communities would be well served by receiving three standardized, accurate, real-time tsunami warning products, namely (i) tsunami energy estimate, (ii) flooding maps and (iii) tsunami-induced harbour current maps to minimize the impact of tsunamis. Such information would arm communities with vital flooding guidance for evacuations and port operations. The advantage of global standardized flooding products delivered in a common format is efficiency and accuracy, which leads to effectiveness in promoting tsunami resilience at the community level. PMID:26392620

  3. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial.

    PubMed

    Parshuram, Christopher S; Dryden-Palmer, Karen; Farrell, Catherine; Gottesman, Ronald; Gray, Martin; Hutchison, James S; Helfaer, Mark; Hunt, Elizabeth A; Joffe, Ari R; Lacroix, Jacques; Moga, Michael Alice; Nadkarni, Vinay; Ninis, Nelly; Parkin, Patricia C; Wensley, David; Willan, Andrew R; Tomlinson, George A

    2018-03-13

    There is limited evidence that the use of severity of illness scores in pediatric patients can facilitate timely admission to the intensive care unit or improve patient outcomes. To determine the effect of the Bedside Paediatric Early Warning System (BedsidePEWS) on all-cause hospital mortality and late admission to the intensive care unit (ICU), cardiac arrest, and ICU resource use. A multicenter cluster randomized trial of 21 hospitals located in 7 countries (Belgium, Canada, England, Ireland, Italy, New Zealand, and the Netherlands) that provided inpatient pediatric care for infants (gestational age ≥37 weeks) to teenagers (aged ≤18 years). Participating hospitals had continuous physician staffing and subspecialized pediatric services. Patient enrollment began on February 28, 2011, and ended on June 21, 2015. Follow-up ended on July 19, 2015. The BedsidePEWS intervention (10 hospitals) was compared with usual care (no severity of illness score; 11 hospitals). The primary outcome was all-cause hospital mortality. The secondary outcome was a significant clinical deterioration event, which was defined as a composite outcome reflecting late ICU admission. Regression analyses accounted for hospital-level clustering and baseline rates. Among 144 539 patient discharges at 21 randomized hospitals, there were 559 443 patient-days and 144 539 patients (100%) completed the trial. All-cause hospital mortality was 1.93 per 1000 patient discharges at hospitals with BedsidePEWS and 1.56 per 1000 patient discharges at hospitals with usual care (adjusted between-group rate difference, 0.01 [95% CI, -0.80 to 0.81 per 1000 patient discharges]; adjusted odds ratio, 1.01 [95% CI, 0.61 to 1.69]; P = .96). Significant clinical deterioration events occurred during 0.50 per 1000 patient-days at hospitals with BedsidePEWS vs 0.84 per 1000 patient-days at hospitals with usual care (adjusted between-group rate difference, -0.34 [95% CI, -0.73 to 0.05 per 1000 patient-days]; adjusted rate ratio, 0.77 [95% CI, 0.61 to 0.97]; P = .03). Implementation of the Bedside Paediatric Early Warning System compared with usual care did not significantly decrease all-cause mortality among hospitalized pediatric patients. These findings do not support the use of this system to reduce mortality. clinicaltrials.gov Identifier: NCT01260831.

  4. Methods for the evaluation of alternative disaster warning systems. Executive summary

    NASA Technical Reports Server (NTRS)

    Agnew, C. E.; Anderson, R. J., Jr.; Lanen, W. N.

    1977-01-01

    Methods for estimating the economic costs and benefits of the transmission-reception and reception-action segments of a disaster warning system (DWS) are described. Methods were identified for the evaluation of the transmission and reception portions of alternative disaster warning systems. Example analyses using the methods identified were performed.

  5. 30 CFR 75.1101-10 - Water sprinkler systems; fire warning devices at belt drives.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Water sprinkler systems; fire warning devices..., DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Fire Protection § 75.1101-10 Water sprinkler systems; fire warning devices at belt drives. Each water sprinkler...

  6. 30 CFR 75.1101-10 - Water sprinkler systems; fire warning devices at belt drives.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Water sprinkler systems; fire warning devices..., DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Fire Protection § 75.1101-10 Water sprinkler systems; fire warning devices at belt drives. Each water sprinkler...

  7. 30 CFR 75.1101-10 - Water sprinkler systems; fire warning devices at belt drives.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Water sprinkler systems; fire warning devices..., DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Fire Protection § 75.1101-10 Water sprinkler systems; fire warning devices at belt drives. Each water sprinkler...

  8. 30 CFR 75.1101-10 - Water sprinkler systems; fire warning devices at belt drives.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Water sprinkler systems; fire warning devices..., DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Fire Protection § 75.1101-10 Water sprinkler systems; fire warning devices at belt drives. Each water sprinkler...

  9. 30 CFR 75.1101-10 - Water sprinkler systems; fire warning devices at belt drives.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Water sprinkler systems; fire warning devices..., DEPARTMENT OF LABOR COAL MINE SAFETY AND HEALTH MANDATORY SAFETY STANDARDS-UNDERGROUND COAL MINES Fire Protection § 75.1101-10 Water sprinkler systems; fire warning devices at belt drives. Each water sprinkler...

  10. 77 FR 5058 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Automatic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-01

    ... for OMB Review; Comment Request; Automatic Fire Sensor and Warning Devices Systems; Examination and..., ``Automatic Fire Sensor and Warning Devices Systems,'' to the Office of Management and Budget (OMB) for review... and warning device systems are maintained and calibrated in order to function properly at all times...

  11. Acquisition, extinction and temporal discrimination in human conditioned avoidance.

    PubMed

    Molet, Mikaël; Leconte, Claire; Rosas, Juan M

    2006-09-01

    Two experiments were conducted with the aim of designing a videogame for the study of human conditioned avoidance. Participants had to destroy enemy spaceships with the goal of increasing the score in a counter. Coloured signals might announce the launching of a bomb that could hit participant's spaceship producing a 30 points decrease in participant's score. Three groups of participants were trained in discriminating between a warning signal (W) and a safety signal (S) in Experiment 1. Instrumental group could avoid the loss of points by hiding the spaceship before the offset of W. Participants in the Yoked group received the same treatment received by their instrumental partners, regardless of their behaviour. In the Pavlovian group, W was always followed by the loss of points, regardless of participant's behaviour. Discrimination between W and S was better in the Instrumental groups than in the Yoked and Pavlovian control groups. Experiment 2 found extinction of avoidance when the warning signal was not followed by the bomb. Temporal discrimination was found within the participants that received the instrumental contingency in both experiments, with higher avoidance response towards the end of the warning signal. Temporal discrimination disappeared after extinction in Experiment 2.

  12. 30 CFR 75.1103-5 - Automatic fire warning devices; actions and response.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Automatic fire warning devices; actions and... Protection § 75.1103-5 Automatic fire warning devices; actions and response. (a) When the carbon monoxide... fire sensor and warning device systems shall provide an effective warning signal at the following...

  13. 30 CFR 75.1103-5 - Automatic fire warning devices; actions and response.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Automatic fire warning devices; actions and... Protection § 75.1103-5 Automatic fire warning devices; actions and response. (a) When the carbon monoxide... fire sensor and warning device systems shall provide an effective warning signal at the following...

  14. Automated Safety Warning Controller (ASWC) Phase I - Proof of Concept

    DOT National Transportation Integrated Search

    2010-07-07

    Automated warning systems are not a new concept within the transportation community. There are several projects on the state highway that use the concept of a roadway sensor initiating some type of motorist warning. To date, all of these systems are ...

  15. Truck monitoring and warning systems for freeway-to-freeway connections

    DOT National Transportation Integrated Search

    1999-10-01

    This research focuses on the development and evaluation of a truck monitoring and warning (TM&W) system for detecting high, long, fast trucks at freeway-to-freeway connections and activating displays to warn the truck drivers of potential hazards as ...

  16. Environment Agency England flood warning systems

    NASA Astrophysics Data System (ADS)

    Strong, Chris; Walters, Mark; Haynes, Elizabeth; Dobson, Peter

    2015-04-01

    Context In England around 5 million homes are at risk of flooding. We invest significantly in flood prevention and management schemes but we can never prevent all flooding. Early alerting systems are fundamental to helping us reduce the impacts of flooding. The Environment Agency has had the responsibility for flood warning since 1996. In 2006 we invested in a new dissemination system that would send direct messages to pre-identified recipients via a range of channels. Since then we have continuously improved the system and service we offer. In 2010 we introduced an 'opt-out' service where we pre-registered landline numbers in flood risk areas, significantly increasing the customer base. The service has performed exceptionally well under intense flood conditions. Over a period of 3 days in December 2013, when England was experiencing an east coast storm surge, the system sent nearly 350,000 telephone messages, 85,000 emails and 70,000 text messages, with a peak call rate of around 37,000 per hour and 100% availability. The Floodline Warnings Direct (FWD) System FWD provides warnings in advance of flooding so that people at risk and responders can take action to minimise the impact of the flood. Warnings are sent via telephone, fax, text message, pager or e-mail to over 1.1 million properties located within flood risk areas in England. Triggers for issuing alerts and warnings include attained and forecast river levels and rainfall in some rapidly responding locations. There are three levels of warning: Flood Alert, Flood Warning and Severe Flood Warning, and a stand down message. The warnings can be updated to include relevant information to help inform those at risk. Working with our current provider Fujitsu, the system is under a programme of continuous improvement including expanding the 'opt-out' service to mobile phone numbers registered to at risk addresses, allowing mobile registration to the system for people 'on the move' and providing access to registration via third parties. The 'Future Flood Warning System' Our research shows that people want more choice on how they access and receive warnings. Many want a service tailored to their own risk, rather than that of their community. They also want more information about the forecast and the situation to that they can make decisions personal to their circumstances. Our future flood warning system will build upon the success of our existing service and will aim to: • provide our customers with a more flexible and personalised self-service approach which caters for the diverse range of user needs • alert people wherever they are, not just in properties • be flexible enough to respond to user feedback to make improvements and utilise new technology as it becomes available • provide real-time visualisation of system performance, to assist our flood response • capture greater levels of information from the recipients of our warnings • be efficient for operators of the system and utilise automation where relevant • take a risk based approach to resilience to provide the highest level of reliability when needed at a reduced cost

  17. Some human factors issues in the development and evaluation of cockpit alerting and warning systems

    NASA Technical Reports Server (NTRS)

    Randle, R. J., Jr.; Larsen, W. E.; Williams, D. H.

    1980-01-01

    A set of general guidelines for evaluating a newly developed cockpit alerting and warning system in terms of human factors issues are provided. Although the discussion centers around a general methodology, it is made specifically to the issues involved in alerting systems. An overall statement of the current operational problem is presented. Human factors problems with reference to existing alerting and warning systems are described. The methodology for proceeding through system development to system test is discussed. The differences between traditional human factors laboratory evaluations and those required for evaluation of complex man-machine systems under development are emphasized. Performance evaluation in the alerting and warning subsystem using a hypothetical sample system is explained.

  18. Operation of a real-time warning system for debris flows in the San Francisco bay area, California

    USGS Publications Warehouse

    Wilson, Raymond C.; Mark, Robert K.; Barbato, Gary; ,

    1993-01-01

    The United States Geological Survey (USGS) and the National Weather Service (NWS) have developed an operational warning system for debris flows during severe rainstorms in the San Francisco Bay region. The NWS makes quantitative forecasts of precipitation from storm systems approaching the Bay area and coordinates a regional network of radio-telemetered rain gages. The USGS has formulated thresholds for the intensity and duration of rainfall required to initiate debris flows. The first successful public warnings were issued during a severe storm sequence in February 1986. Continued operation of the warning system since 1986 has provided valuable working experience in rainfall forecasting and monitoring, refined rainfall thresholds, and streamlined procedures for issuing public warnings. Advisory statements issued since 1986 are summarized.

  19. An Envelope Based Feedback Control System for Earthquake Early Warning: Reality Check Algorithm

    NASA Astrophysics Data System (ADS)

    Heaton, T. H.; Karakus, G.; Beck, J. L.

    2016-12-01

    Earthquake early warning systems are, in general, designed to be open loop control systems in such a way that the output, i.e., the warning messages, only depend on the input, i.e., recorded ground motions, up to the moment when the message is issued in real-time. We propose an algorithm, which is called Reality Check Algorithm (RCA), which would assess the accuracy of issued warning messages, and then feed the outcome of the assessment back into the system. Then, the system would modify its messages if necessary. That is, we are proposing to convert earthquake early warning systems into feedback control systems by integrating them with RCA. RCA works by continuously monitoring and comparing the observed ground motions' envelopes to the predicted envelopes of Virtual Seismologist (Cua 2005). Accuracy of magnitude and location (both spatial and temporal) estimations of the system are assessed separately by probabilistic classification models, which are trained by a Sparse Bayesian Learning technique called Automatic Relevance Determination prior.

  20. Meteotsunamis, destructive tsunami-like waves: from observations and simulations towards a warning system (MESSI)

    NASA Astrophysics Data System (ADS)

    Sepic, Jadranka; Vilibic, Ivica

    2016-04-01

    Atmospherically-generated tsunami-like waves, also known as meteotsunamis, pose a severe threat for exposed coastlines. Although not as destructive as ordinary tsunamis, several meters high meteotsunami waves can bring destruction, cause loss of human lives and raise panic. For that reason, MESSI, an integrative meteotsunami research & warning project, has been developed and will be presented herein. The project has a threefold base: (1) research of atmosphere-ocean interaction with focus on (i) source processes in the atmosphere, (ii) energy transfer to the ocean and (iii) along-propagation growth of meteotsunami waves; (2) estimation of meteotsunami occurrence rates in past, present and future climate, and mapping of meteotsunami hazard; (3) construction of a meteotsunami warning system prototype, with the latter being the main objective of the project. Due to a great frequency of meteotsunamis and its complex bathymetry which varies from the shallow shelf in the north towards deep pits in the south, with a number of funnel-shaped bays and harbours substantially amplifying incoming tsunami-like waves, the Adriatic, northernmost of the Mediterranean seas, has been chosen as an ideal area for realization of the MESSI project and implementation of the warning system. This warning system will however be designed to allow for a wider applicability and easy-to-accomplish transfer to other endangered locations. The architecture of the warning system will integrate several components: (1) real-time measurements of key oceanographic and atmospheric parameters, (2) coupled atmospheric-ocean models run in real time (warning) mode, and (3) semi-automatic procedures and protocols for warning of civil protection, local authorities and public. The effectiveness of the warning system will be tested over the historic events.

  1. Eye movement and brake reactions to real world brake-capacity forward collision warnings--a naturalistic driving study.

    PubMed

    Wege, Claudia; Will, Sebastian; Victor, Trent

    2013-09-01

    The purpose of this field operational test study is to assess visual attention allocation and brake reactions in response to a brake-capacity forward collision warning (B-FCW), which is designed similarly to all forward collision warnings on the market for trucks. Truck drivers' reactions immediately after the warning (threat-period) as well as a few seconds after the warning (post-threat-recovery-period) are analyzed, both with and without taking into consideration the predictability of an event and driver distraction. A B-FCW system interface should immediately direct visual attention toward the threat and allow the driver to make a quick decision about whether or not to brake. To investigate eye movement reactions, we analyzed glances 30s before and 15s after 60 naturally occurring collision warning events. The B-FCW events were extracted from the Volvo euroFOT database, which contains data from 30 Volvo trucks driving for approximately 40000 h for four million kilometers. Statistical analyses show that a B-FCW leads to immediate attention allocation toward the roadway and drivers hit the brake. In addition to this intended effect during the threat-period, a rather unexpected effect within the post-threat-recovery-period was discovered in unpredictable events and events with distracted drivers. A few seconds after a warning is issued, eye movements are directed away from the road toward the warning source in the instrument cluster. This potentially indicates that the driver is seeking to understand the circumstances of the warning. Potential reasons for this are discussed: properties relating to the termination of the warning information, the position of the visual and/or audio warning, the conspicuity of the warning, the duration of the warning, and the modality of the warning. The present results are particularly valuable because all on-market collision warning systems in trucks (and almost all in cars) involve visual warnings positioned in the instrument cluster like the one in this study. Acknowledging the fact that human machine interface (HMI)-design is challenging, the conclusions lead the way toward HMI design recommendations for collision warning systems. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. 77 FR 5616 - Proposed Technical Standard Order (TSO)-C151c, Terrain Awareness and Warning System (TAWS)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-03

    ... (TSO)-C151c, Terrain Awareness and Warning System (TAWS) ACTION: Notice of availability and request for... second draft of Technical Standard Order (TSO)- C151c, Terrain Awareness and Warning System. Comments received from the initial June 2011 release, resulted in changes to the proposed document significant...

  3. 30 CFR 75.1103-3 - Automatic fire sensor and warning device systems; minimum requirements; general.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Automatic fire sensor and warning device systems; minimum requirements; general. 75.1103-3 Section 75.1103-3 Mineral Resources MINE SAFETY AND...-UNDERGROUND COAL MINES Fire Protection § 75.1103-3 Automatic fire sensor and warning device systems; minimum...

  4. Evaluation of a Road-Departure Crash Warning System.

    DOT National Transportation Integrated Search

    2007-12-31

    This report presents the results of an independent evaluation of the Road-Departure Crash Warning System (RDCW), which is designed to warn drivers when they are drifting out of their lane or about to enter a curve at an unsafe speed. The RDCW lateral...

  5. Truck monitoring and warning systems for freeway-to-freeway connections : summary

    DOT National Transportation Integrated Search

    1999-10-01

    This project focuses on the development and evaluation of a truck monitoring and warning (TM&W) system for detecting high, long, fast trucks at freeway-to-freeway connections and activating displays to warn the truck drivers of potential hazards as t...

  6. Development and validation of a weather-based warning system to advise fungicide applications to control dollar spot on turfgrass.

    PubMed

    Smith, D L; Kerns, J P; Walker, N R; Payne, A F; Horvath, B; Inguagiato, J C; Kaminski, J E; Tomaso-Peterson, M; Koch, P L

    2018-01-01

    Dollar spot is one of the most common diseases of golf course turfgrass and numerous fungicide applications are often required to provide adequate control. Weather-based disease warning systems have been developed to more accurately time fungicide applications; however, they tend to be ineffective and are not currently in widespread use. The primary objective of this research was to develop a new weather-based disease warning system to more accurately advise fungicide applications to control dollar spot activity across a broad geographic and climactic range. The new dollar spot warning system was developed from data collected at field sites in Madison, WI and Stillwater, OK in 2008 and warning system validation sites were established in Madison, WI, Stillwater, OK, Knoxville, TN, State College, PA, Starkville, MS, and Storrs, CT between 2011 and 2016. A meta-analysis of all site-years was conducted and the most effective warning system for dollar spot development consisted of a five-day moving average of relative humidity and average daily temperature. Using this model the highest effective probability that provided dollar spot control similar to that of a calendar-based program across the numerous sites and years was 20%. Additional analysis found that the 20% spray threshold provided comparable control to the calendar-based program while reducing fungicide usage by up to 30%, though further refinement may be needed as practitioners implement this warning system in a range of environments not tested here. The weather-based dollar spot warning system presented here will likely become an important tool for implementing precision disease management strategies for future turfgrass managers, especially as financial and regulatory pressures increase the need to reduce pesticide usage on golf course turfgrass.

  7. Development and validation of a weather-based warning system to advise fungicide applications to control dollar spot on turfgrass

    PubMed Central

    Smith, D. L.; Kerns, J. P.; Walker, N. R.; Payne, A. F.; Horvath, B.; Inguagiato, J. C.; Kaminski, J. E.; Tomaso-Peterson, M.

    2018-01-01

    Dollar spot is one of the most common diseases of golf course turfgrass and numerous fungicide applications are often required to provide adequate control. Weather-based disease warning systems have been developed to more accurately time fungicide applications; however, they tend to be ineffective and are not currently in widespread use. The primary objective of this research was to develop a new weather-based disease warning system to more accurately advise fungicide applications to control dollar spot activity across a broad geographic and climactic range. The new dollar spot warning system was developed from data collected at field sites in Madison, WI and Stillwater, OK in 2008 and warning system validation sites were established in Madison, WI, Stillwater, OK, Knoxville, TN, State College, PA, Starkville, MS, and Storrs, CT between 2011 and 2016. A meta-analysis of all site-years was conducted and the most effective warning system for dollar spot development consisted of a five-day moving average of relative humidity and average daily temperature. Using this model the highest effective probability that provided dollar spot control similar to that of a calendar-based program across the numerous sites and years was 20%. Additional analysis found that the 20% spray threshold provided comparable control to the calendar-based program while reducing fungicide usage by up to 30%, though further refinement may be needed as practitioners implement this warning system in a range of environments not tested here. The weather-based dollar spot warning system presented here will likely become an important tool for implementing precision disease management strategies for future turfgrass managers, especially as financial and regulatory pressures increase the need to reduce pesticide usage on golf course turfgrass. PMID:29522560

  8. Effect of audio in-vehicle red light-running warning message on driving behavior based on a driving simulator experiment.

    PubMed

    Yan, Xuedong; Liu, Yang; Xu, Yongcun

    2015-01-01

    Drivers' incorrect decisions of crossing signalized intersections at the onset of the yellow change may lead to red light running (RLR), and RLR crashes result in substantial numbers of severe injuries and property damage. In recent years, some Intelligent Transport System (ITS) concepts have focused on reducing RLR by alerting drivers that they are about to violate the signal. The objective of this study is to conduct an experimental investigation on the effectiveness of the red light violation warning system using a voice message. In this study, the prototype concept of the RLR audio warning system was modeled and tested in a high-fidelity driving simulator. According to the concept, when a vehicle is approaching an intersection at the onset of yellow and the time to the intersection is longer than the yellow interval, the in-vehicle warning system can activate the following audio message "The red light is impending. Please decelerate!" The intent of the warning design is to encourage drivers who cannot clear an intersection during the yellow change interval to stop at the intersection. The experimental results showed that the warning message could decrease red light running violations by 84.3 percent. Based on the logistic regression analyses, drivers without a warning were about 86 times more likely to make go decisions at the onset of yellow and about 15 times more likely to run red lights than those with a warning. Additionally, it was found that the audio warning message could significantly reduce RLR severity because the RLR drivers' red-entry times without a warning were longer than those with a warning. This driving simulator study showed a promising effect of the audio in-vehicle warning message on reducing RLR violations and crashes. It is worthwhile to further develop the proposed technology in field applications.

  9. Criteria for evaluating the condition of a tropical cyclone warning system.

    PubMed

    Parker, D

    1999-09-01

    This paper evaluates the condition (i.e. health) of a tropical cyclone warning system (TCWS) during a 'quiet period' between infrequent intense cyclones. Capacity to make pre-disaster evaluations is important--disaster warning systems need to be in sound condition before, not after, disaster. The research--part of the UK's International Decade of Natural Disaster Reduction Flagship Programme--focuses upon an evaluatory method first used on flood warning systems. The Criteria-development Matrix comprises social, organisational and institutional criteria by which a TCWS may be assessed using a five-stage development scale. This method is used to evaluate Mauritius's TCWS using in-depth interview data. Ways to enhance the method and apply it to other disaster warning systems are discussed. The TCWS in Mauritius is a relatively sound one from which others can learn. Weaknesses requiring attention for Mauritius's TCWS to progress to an advanced level of development are identified.

  10. An electrophysiological study of the impact of a Forward Collision Warning System in a simulator driving task.

    PubMed

    Bueno, Mercedes; Fabrigoule, Colette; Deleurence, Philippe; Ndiaye, Daniel; Fort, Alexandra

    2012-08-27

    Driver distraction has been identified as the most important contributing factor in rear-end collisions. In this context, Forward Collision Warning Systems (FCWS) have been developed specifically to warn drivers of potential rear-end collisions. The main objective of this work is to evaluate the impact of a surrogate FCWS and of its reliability according to the driver's attentional state by recording both behavioral and electrophysiological data. Participants drove following a lead motorcycle in a simplified simulator with or without a warning system which gave forewarning of the preceding vehicle braking. Participants had to perform this driving task either alone (simple task) or simultaneously with a secondary cognitive task (dual task). Behavioral and electrophysiological data contributed to revealing a positive effect of the warning system. Participants were faster in detecting the brake light when the system was perfect or imperfect, and the time and attentional resources allocation required for processing the target at higher cognitive level were reduced when the system was completely reliable. When both tasks were performed simultaneously, warning effectiveness was considerably affected at both performance and neural levels; however, the analysis of the brain activity revealed fewer differences between distracted and undistracted drivers when using the warning system. These results show that electrophysiological data could be a valuable tool to complement behavioral data and to have a better understanding of how these systems impact the driver. Copyright © 2012 Elsevier B.V. All rights reserved.

  11. The limits of earthquake early warning: Timeliness of ground motion estimates

    USGS Publications Warehouse

    Minson, Sarah E.; Meier, Men-Andrin; Baltay, Annemarie S.; Hanks, Thomas C.; Cochran, Elizabeth S.

    2018-01-01

    The basic physics of earthquakes is such that strong ground motion cannot be expected from an earthquake unless the earthquake itself is very close or has grown to be very large. We use simple seismological relationships to calculate the minimum time that must elapse before such ground motion can be expected at a distance from the earthquake, assuming that the earthquake magnitude is not predictable. Earthquake early warning (EEW) systems are in operation or development for many regions around the world, with the goal of providing enough warning of incoming ground shaking to allow people and automated systems to take protective actions to mitigate losses. However, the question of how much warning time is physically possible for specified levels of ground motion has not been addressed. We consider a zero-latency EEW system to determine possible warning times a user could receive in an ideal case. In this case, the only limitation on warning time is the time required for the earthquake to evolve and the time for strong ground motion to arrive at a user’s location. We find that users who wish to be alerted at lower ground motion thresholds will receive more robust warnings with longer average warning times than users who receive warnings for higher ground motion thresholds. EEW systems have the greatest potential benefit for users willing to take action at relatively low ground motion thresholds, whereas users who set relatively high thresholds for taking action are less likely to receive timely and actionable information.

  12. The limits of earthquake early warning: Timeliness of ground motion estimates

    PubMed Central

    Hanks, Thomas C.

    2018-01-01

    The basic physics of earthquakes is such that strong ground motion cannot be expected from an earthquake unless the earthquake itself is very close or has grown to be very large. We use simple seismological relationships to calculate the minimum time that must elapse before such ground motion can be expected at a distance from the earthquake, assuming that the earthquake magnitude is not predictable. Earthquake early warning (EEW) systems are in operation or development for many regions around the world, with the goal of providing enough warning of incoming ground shaking to allow people and automated systems to take protective actions to mitigate losses. However, the question of how much warning time is physically possible for specified levels of ground motion has not been addressed. We consider a zero-latency EEW system to determine possible warning times a user could receive in an ideal case. In this case, the only limitation on warning time is the time required for the earthquake to evolve and the time for strong ground motion to arrive at a user’s location. We find that users who wish to be alerted at lower ground motion thresholds will receive more robust warnings with longer average warning times than users who receive warnings for higher ground motion thresholds. EEW systems have the greatest potential benefit for users willing to take action at relatively low ground motion thresholds, whereas users who set relatively high thresholds for taking action are less likely to receive timely and actionable information. PMID:29750190

  13. Radio disturbance warning issuance system

    NASA Technical Reports Server (NTRS)

    Maeda, R.; Inuki, H.

    1979-01-01

    A radio disturbance warning issuance system was introduced in the Hiraiso Branch of the Radio Research Laboratories in 1972 to reconstruct the current radio disturbance warning service as a social information service. A description of the new ideas which were experimentally systematized by means of an electronic computer is presented.

  14. Non-invasive, home-based electroencephalography hypoglycaemia warning system for personal monitoring using skin surface electrodes: a single-case feasibility study.

    PubMed

    Clewett, Christopher J; Langley, Phillip; Bateson, Anthony D; Asghar, Aziz; Wilkinson, Antony J

    2016-03-01

    Hypoglycaemia unawareness is a common condition associated with increased risk of severe hypoglycaemia. The purpose of the authors' study was to develop a simple to use, home-based and non-invasive hypoglycaemia warning system based on electroencephalography (EEG), and to demonstrate its use in a single-case feasibility study. A participant with type 1 diabetes forms a single-person case study where blood sugar levels and EEG were recorded. EEG was recorded using skin surface electrodes placed behind the ear located within the T3 region by the participant in the home. EEG was analysed retrospectively to develop an algorithm which would trigger a warning if EEG changes associated with hypoglycaemia onset were detected. All hypoglycaemia events were detected by the EEG hypoglycaemia warning algorithm. Warnings were triggered with blood glucose concentration levels at or below 4.2 mmol/l in this participant and no warnings were issued when in euglycaemia. The feasibility of a non-invasive EEG-based hypoglycaemia warning system for personal monitoring in the home has been demonstrated in a single case study. The results suggest that further studies are warranted to evaluate the system prospectively in a larger group of participants.

  15. Some Horsesense about Raising SAT Scores.

    ERIC Educational Resources Information Center

    Hillje, Barbara Brown

    1980-01-01

    Shares some warnings and positive suggestions about preparing students for the Scholastic Aptitude Tests (SATs). Urges teachers to concentrate on improving students' reading and writing skills rather than have students memorize long lists of big words. (RL)

  16. Urban Flood Prevention and Early Warning System in Jinan City

    NASA Astrophysics Data System (ADS)

    Feng, Shiyuan; Li, Qingguo

    2018-06-01

    The system construction of urban flood control and disaster reduction in China is facing pressure and challenge from new urban water disaster. Under the circumstances that it is difficult to build high standards of flood protection engineering measures in urban areas, it is particularly important to carry out urban flood early warning. In Jinan City, a representative inland area, based on the index system of early warning of flood in Jinan urban area, the method of fuzzy comprehensive evaluation was adopted to evaluate the level of early warning. Based on the cumulative rainfall of 3 hours, the CAflood simulation results based on cellular automaton model of urban flooding were used as evaluation indexes to realize the accuracy and integration of urban flood control early warning.

  17. How does a collision warning system shape driver's brake response time? The influence of expectancy and automation complacency on real-life emergency braking.

    PubMed

    Ruscio, Daniele; Ciceri, Maria Rita; Biassoni, Federica

    2015-04-01

    Brake Reaction Time (BRT) is an important parameter for road safety. Previous research has shown that drivers' expectations can impact RT when facing hazardous situations, but driving with advanced driver assistance systems, can change the way BRT are considered. The interaction with a collision warning system can help faster more efficient responses, but at the same time can require a monitoring task and evaluation process that may lead to automation complacency. The aims of the present study are to test in a real-life setting whether automation compliancy can be generated by a collision warning system and what component of expectancy can impact the different tasks involved in an assisted BRT process. More specifically four component of expectancy were investigated: presence/absence of anticipatory information, previous direct experience, reliability of the device, and predictability of the hazard determined by repeated use of the warning system. Results supply indication on perception time and mental elaboration of the collision warning system alerts. In particular reliable warning quickened the decision making process, misleading warnings generated automation complacency slowing visual search for hazard detection, lack of directed experienced slowed the overall response while unexpected failure of the device lead to inattentional blindness and potential pseudo-accidents with surprise obstacle intrusion. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Feasibility study of using satellites for a disaster warning system

    NASA Technical Reports Server (NTRS)

    1973-01-01

    The development of requirements for the Disaster Warning System (DWS) was investigated in relation to the National Weather Service. Conceptual communication traffic flow patterns for the future of the NWS are studied to determine the impact of the DWS on the MWS. The planned warning systems, and satellite communications are discussed along with data collection, and communication services.

  19. 75 FR 33666 - Parts and Accessories Necessary for Safe Operation; Applications for an Exemption From Con-Way...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-14

    ...), and Iteris, Inc. (Iteris) regarding the placement of lane departure warning system sensors at the top... mounting of the lane departure warning system sensors near the top of the windshield, and within the swept... departure warning system would be used to alert a driver when he or she unintentionally drifts out of their...

  20. Is More Better? — Night Vision Enhancement System’s Pedestrian Warning Modes and Older Drivers

    PubMed Central

    Brown, Timothy; He, Yefei; Roe, Cheryl; Schnell, Thomas

    2010-01-01

    Pedestrian fatalities as a result of vehicle collisions are much more likely to happen at night than during day time. Poor visibility due to darkness is believed to be one of the causes for the higher vehicle collision rate at night. Existing studies have shown that night vision enhancement systems (NVES) may improve recognition distance, but may increase drivers’ workload. The use of automatic warnings (AW) may help minimize workload, improve performance, and increase safety. In this study, we used a driving simulator to examine performance differences of a NVES with six different configurations of warning cues, including: visual, auditory, tactile, auditory and visual, tactile and visual, and no warning. Older drivers between the ages of 65 and 74 participated in the study. An analysis based on the distance to pedestrian threat at the onset of braking response revealed that tactile and auditory warnings performed the best, while visual warnings performed the worst. When tactile or auditory warnings were presented in combination with visual warning, their effectiveness decreased. This result demonstrated that, contrary to general sense regarding warning systems, multi-modal warnings involving visual cues degraded the effectiveness of NVES for older drivers. PMID:21050616

  1. AN/ALQ-135 tail warning system follow-on operational test and evaluation

    NASA Astrophysics Data System (ADS)

    Jenkins, V. M.

    1981-11-01

    This is a study of the reliability and maintainability of the tail warning system (TWS) AN/ALQ-153. This TWS is a solid state pulsed Doppler radar designed to provide warning and initiate countermeasures against threats attacking from the tail of B-52G/H aircraft.

  2. 76 FR 32367 - Agency Information Collection Activities, Proposed Collection; Comment Request; Integrated Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ...; Integrated Public Alert and Warning Systems (IPAWS) Inventory AGENCY: Federal Emergency Management Agency... proposed revision of the information collection concerning public alert and warning systems at the Federal... evaluation and assessment of existing public alert and warning resources and their integration with the...

  3. 76 FR 54245 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, Integrated...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-31

    ... Request, Integrated Public Alert and Warning Systems (IPAWS) Inventory AGENCY: Federal Emergency... system to alert and warn the American people in situations of war, terrorist attack, natural disaster, or... inventory of public alert and warning resources, capabilities, and the degree of integration at the Federal...

  4. Test track and driving simulator evaluations of warnings to prevent right-angle crashes at signalized intersections

    DOT National Transportation Integrated Search

    2008-10-01

    Two experiments (simulator and test track) were conducted to validate the concept of a system designed to warn potential victims of a likely red-light violator. The warning system uses sensors to detect vehicles that are unlikely to stop at red traff...

  5. 40 CFR 205.173-3 - Warning statement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Warning statement. 205.173-3 Section... PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycle Exhaust Systems § 205.173-3 Warning... of that category the manufacturer distributes into commerce: Warning: This product should be checked...

  6. 40 CFR 205.173-3 - Warning statement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Warning statement. 205.173-3 Section... PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycle Exhaust Systems § 205.173-3 Warning... of that category the manufacturer distributes into commerce: Warning: This product should be checked...

  7. 40 CFR 205.173-3 - Warning statement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 26 2012-07-01 2011-07-01 true Warning statement. 205.173-3 Section... PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycle Exhaust Systems § 205.173-3 Warning... of that category the manufacturer distributes into commerce: Warning: This product should be checked...

  8. 40 CFR 205.173-3 - Warning statement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 26 2013-07-01 2013-07-01 false Warning statement. 205.173-3 Section... PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycle Exhaust Systems § 205.173-3 Warning... of that category the manufacturer distributes into commerce: Warning: This product should be checked...

  9. 40 CFR 205.173-3 - Warning statement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 25 2014-07-01 2014-07-01 false Warning statement. 205.173-3 Section... PROGRAMS TRANSPORTATION EQUIPMENT NOISE EMISSION CONTROLS Motorcycle Exhaust Systems § 205.173-3 Warning... of that category the manufacturer distributes into commerce: Warning: This product should be checked...

  10. Towards a certification process for tsunami early warning systems

    NASA Astrophysics Data System (ADS)

    Löwe, Peter; Wächter, Jochen; Hammitzsch, Martin

    2013-04-01

    The natural disaster of the Boxing Day Tsunami of 2004 was followed by an information catastrophe. Crucial early warning information could not be delivered to the communities under imminent threat, resulting in over 240,000 casualties in 14 countries. This tragedy sparked the development of a new generation of integrated modular Tsunami Early Warning Systems (TEWS). While significant advances were accomplished in the past years, recent events, like the Chile 2010 and the Tohoku 2011 tsunami demonstrate that the key technical challenge for Tsunami Early Warning research on the supranational scale still lies in the timely issuing of status information and reliable early warning messages in a proven workflow. A second challenge stems from the main objective of the Intergovernmental Oceanographic Commission of UNESCO (IOC) Tsunami Programme, the integration of national TEWS towards ocean-wide networks: Each of the increasing number of integrated Tsunami Early Warning Centres has to cope with the continuing evolution of sensors, hardware and software while having to maintain reliable inter-center information exchange services. To avoid future information catastrophes, the performance of all components, ranging from individual sensors, to Warning Centers within their particular end-to-end Warning System Environments, and up to federated Systems of Tsunami Warning Systems has to be regularly validated against defined criteria. Since 2004, GFZ German Research Centre for Geosciences (GFZ) has built up expertise in the field of TEWS. Within GFZ, the Centre for GeoInformation Technology (CeGIT) has focused its work on the geoinformatics aspects of TEWS in two projects already, being the German Indonesian Tsunami Early Warning System (GITEWS) and the Distant Early Warning System (DEWS). This activity is continued in the TRIDEC project (Collaborative, Complex, and Critical Decision Processes in Evolving Crises) funded under the European Union's seventh Framework Programme (FP7). TRIDEC focuses on real-time intelligent information management in Earth management and its long-term application: The technical development is based on mature system architecture models and industry standards. The use of standards already applies to the operation of individual TRIDEC reference installations and their interlinking into an integrated service infrastructure for supranational warning services. This is a first step towards best practices and service lifecycles for Early Warning Centre IT service management, including Service Level Agreements (SLA) and Service Certification. While on a global scale the integration of TEWS progresses towards Systems of Systems (SoS), there is still an absence of accredited and reliable certifications for national TEWS or regional Tsunami Early Warning Systems of Systems (TEWSoS). Concepts for TEWS operations have already been published under the guidance of the IOC, and can now be complemented by the recent research advances concerning SoS architecture. Combined with feedback from the real world, such as the NEAMwave 2012 Tsunami exercise in the Mediterranean, this can serve as a starting point to formulate initial requirements for TEWS and TEWSoS certification: Certification activities will cover the establishment of new TEWS and TEWSoS, and also both maintenance and enhancement of existing TEWS/TEWSoS. While the IOC is expected to take a central role in the development of the certification strategy, it remains to be defined which bodies will actually conduct the certification process. Certification requirements and results are likely to become a valuable information source for various target groups, ranging from national policy decision makers, government agency planners, national and local government preparedness officials, TWC staff members, Disaster Responders, the media and the insurance industry.

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

    PubMed

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

    2016-04-01

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

  12. Developing effective warning systems: Ongoing research at Ruapehu volcano, New Zealand

    NASA Astrophysics Data System (ADS)

    Leonard, Graham S.; Johnston, David M.; Paton, Douglas; Christianson, Amy; Becker, Julia; Keys, Harry

    2008-05-01

    PurposeThis paper examines the unique challenges to volcanic risk management associated with having a ski area on an active volcano. Using a series of simulated eruption/lahar events at Ruapehu volcano, New Zealand, as a context, a model of risk management that integrates warning system design and technology, risk perceptions and the human response is explored. Principal resultsDespite increases in the observed audibility and comprehension of the warning message, recall of public education content, and people's awareness of volcanic risk, a persistent minority of the public continued to demonstrate only moderate awareness of the correct actions to take during a warning and failed to respond effectively. A relationship between level of staff competence and correct public response allowed the level of public response to be used to identify residual risk and additional staff training needs. The quality of staff awareness, action and decision-making has emerged as a critical factor, from detailed staff and public interviews and from exercise observations. Staff actions are especially important for mobilising correct public response at Ruapehu ski areas due to the transient nature of the visitor population. Introduction of education material and staff training strategies that included the development of emergency decision-making competencies improved knowledge of correct actions, and increased the proportion of people moving out of harm's way during blind tests. Major conclusionsWarning effectiveness is a function of more than good hazard knowledge and the generation and notification of an early warning message. For warning systems to be effective, these factors must be complemented by accurate knowledge of risk and risk management actions. By combining the Ruapehu findings with those of other warning system studies in New Zealand, and internationally, a practical five-step model for effective early warning systems is discussed. These steps must be based upon sound and regularly updated underpinning science and be tied to formal effectiveness evaluation, which is fed back into system improvements. The model presented emphasises human considerations, the development of which arguably require even more effort than the hardware components of early warning systems.

  13. Big data managing in a landslide early warning system: experience from a ground-based interferometric radar application

    NASA Astrophysics Data System (ADS)

    Intrieri, Emanuele; Bardi, Federica; Fanti, Riccardo; Gigli, Giovanni; Fidolini, Francesco; Casagli, Nicola; Costanzo, Sandra; Raffo, Antonio; Di Massa, Giuseppe; Capparelli, Giovanna; Versace, Pasquale

    2017-10-01

    A big challenge in terms or landslide risk mitigation is represented by increasing the resiliency of society exposed to the risk. Among the possible strategies with which to reach this goal, there is the implementation of early warning systems. This paper describes a procedure to improve early warning activities in areas affected by high landslide risk, such as those classified as critical infrastructures for their central role in society. This research is part of the project LEWIS (Landslides Early Warning Integrated System): An Integrated System for Landslide Monitoring, Early Warning and Risk Mitigation along Lifelines. LEWIS is composed of a susceptibility assessment methodology providing information for single points and areal monitoring systems, a data transmission network and a data collecting and processing center (DCPC), where readings from all monitoring systems and mathematical models converge and which sets the basis for warning and intervention activities. The aim of this paper is to show how logistic issues linked to advanced monitoring techniques, such as big data transfer and storing, can be dealt with compatibly with an early warning system. Therefore, we focus on the interaction between an areal monitoring tool (a ground-based interferometric radar) and the DCPC. By converting complex data into ASCII strings and through appropriate data cropping and average, and by implementing an algorithm for line-of-sight correction, we managed to reduce the data daily output without compromising the capability for performing.

  14. Early warning signals of regime shifts in coupled human–environment systems

    PubMed Central

    Bauch, Chris T.; Sigdel, Ram; Pharaon, Joe; Anand, Madhur

    2016-01-01

    In complex systems, a critical transition is a shift in a system’s dynamical regime from its current state to a strongly contrasting state as external conditions move beyond a tipping point. These transitions are often preceded by characteristic early warning signals such as increased system variability. However, early warning signals in complex, coupled human–environment systems (HESs) remain little studied. Here, we compare critical transitions and their early warning signals in a coupled HES model to an equivalent environment model uncoupled from the human system. We parameterize the HES model, using social and ecological data from old-growth forests in Oregon. We find that the coupled HES exhibits a richer variety of dynamics and regime shifts than the uncoupled environment system. Moreover, the early warning signals in the coupled HES can be ambiguous, heralding either an era of ecosystem conservationism or collapse of both forest ecosystems and conservationism. The presence of human feedback in the coupled HES can also mitigate the early warning signal, making it more difficult to detect the oncoming regime shift. We furthermore show how the coupled HES can be “doomed to criticality”: Strategic human interactions cause the system to remain perpetually in the vicinity of a collapse threshold, as humans become complacent when the resource seems protected but respond rapidly when it is under immediate threat. We conclude that the opportunities, benefits, and challenges of modeling regime shifts and early warning signals in coupled HESs merit further research. PMID:27815533

  15. What Faces Reveal: A Novel Method to Identify Patients at Risk of Deterioration Using Facial Expressions.

    PubMed

    Madrigal-Garcia, Maria Isabel; Rodrigues, Marcos; Shenfield, Alex; Singer, Mervyn; Moreno-Cuesta, Jeronimo

    2018-07-01

    To identify facial expressions occurring in patients at risk of deterioration in hospital wards. Prospective observational feasibility study. General ward patients in a London Community Hospital, United Kingdom. Thirty-four patients at risk of clinical deterioration. A 5-minute video (25 frames/s; 7,500 images) was recorded, encrypted, and subsequently analyzed for action units by a trained facial action coding system psychologist blinded to outcome. Action units of the upper face, head position, eyes position, lips and jaw position, and lower face were analyzed in conjunction with clinical measures collected within the National Early Warning Score. The most frequently detected action units were action unit 43 (73%) for upper face, action unit 51 (11.7%) for head position, action unit 62 (5.8%) for eyes position, action unit 25 (44.1%) for lips and jaw, and action unit 15 (67.6%) for lower face. The presence of certain combined face displays was increased in patients requiring admission to intensive care, namely, action units 43 + 15 + 25 (face display 1, p < 0.013), action units 43 + 15 + 51/52 (face display 2, p < 0.003), and action units 43 + 15 + 51 + 25 (face display 3, p < 0.002). Having face display 1, face display 2, and face display 3 increased the risk of being admitted to intensive care eight-fold, 18-fold, and as a sure event, respectively. A logistic regression model with face display 1, face display 2, face display 3, and National Early Warning Score as independent covariates described admission to intensive care with an average concordance statistic (C-index) of 0.71 (p = 0.009). Patterned facial expressions can be identified in deteriorating general ward patients. This tool may potentially augment risk prediction of current scoring systems.

  16. Towards Operational Meteotsunami Early Warning System: the Adriatic Project MESSI

    NASA Astrophysics Data System (ADS)

    Vilibic, I.; Sepic, J.; Denamiel, C. L.; Mihanovic, H.; Muslim, S.; Tudor, M.; Ivankovic, D.; Jelavic, D.; Kovacevic, V.; Masce, T.; Dadic, V.; Gacic, M.; Horvath, K.; Monserrat, S.; Rabinovich, A.; Telisman-Prtenjak, M.

    2017-12-01

    A number of destructive meteotsunamis - atmospherically-driven long ocean waves in a tsunami frequency band - occurred during the last decade through the world oceans. Owing to significant damage caused by these meteotsunamis, several scientific groups (occasionally in collaboration with public offices) have started developing meteotsunami warning systems. Creation of one such system has been initialized in the late 2015 within the MESSI (Meteotsunamis, destructive long ocean waves in the tsunami frequency band: from observations and simulations towards a warning system) project. Main goal of this project is to build a prototype of a meteotsunami warning system for the eastern Adriatic coast. The system will be based on real-time measurements, operational atmosphere and ocean modeling and real time decision-making process. Envisioned MESSI meteotsunami warning system consists of three modules: (1) synoptic warning module, which will use established correlation between forecasted synoptic fields and high-frequency sea level oscillations to provide qualitative meteotsunami forecasts for up to a week in advance, (2) probabilistic premodeling prediction module, which will use operational WRF-ROMS-ADCIRC modeling system and compare the forecast with an atlas of presimulations to get the probabilistic meteotsunami forecast for up to three days in advance, and (3) real-time module, which is based on real time tracking of properties of air pressure disturbance (amplitude, speed, direction, period, ...) and their real-time comparison with the atlas of meteotsunami simulations. System will be tested on recent meteotsunami events which were recorded in the MESSI area shortly after the operational meteotsunami network installation. Albeit complex, such a multilevel warning system has a potential to be adapted to most meteotsunami hot spots, simply by tuning the system parameters to the available atmospheric and ocean data.

  17. Aggregate National Early Warning Score (NEWS) values are more important than high scores for a single vital signs parameter for discriminating the risk of adverse outcomes.

    PubMed

    Jarvis, Stuart; Kovacs, Caroline; Briggs, Jim; Meredith, Paul; Schmidt, Paul E; Featherstone, Peter I; Prytherch, David R; Smith, Gary B

    2015-02-01

    The Royal College of Physicians (RCPL) National Early Warning Score (NEWS) escalates care to a doctor at NEWS values of ≥5 and when the score for any single vital sign is 3. We calculated the 24-h risk of serious clinical outcomes for vital signs observation sets with NEWS values of 3, 4 and 5, separately determining risks when the score did/did not include a single score of 3. We compared workloads generated by the RCPL's escalation protocol and for aggregate NEWS value alone. Aggregate NEWS values of 3 or 4 (n=142,282) formed 15.1% of all vital signs sets measured; those containing a single vital sign scoring 3 (n=36,207) constituted 3.8% of all sets. Aggregate NEWS values of either 3 or 4 with a component score of 3 have significantly lower risks (OR: 0.26 and 0.53) than an aggregate value of 5 (OR: 1.0). Escalating care to a doctor when any single component of NEWS scores 3 compared to when aggregate NEWS values ≥5, would have increased doctors' workload by 40% with only a small increase in detected adverse outcomes from 2.99 to 3.08 per day (a 3% improvement in detection). The recommended NEWS escalation protocol produces additional work for the bedside nurse and responding doctor, disproportionate to a modest benefit in increased detection of adverse outcomes. It may have significant ramifications for efficient staff resource allocation, distort patient safety focus and risk alarm fatigue. Our findings suggest that the RCPL escalation guidance warrants review. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  18. Joint NOAA/NWS/USGS prototype debris flow warning system for recently burned areas in Southern California

    USGS Publications Warehouse

    Restrepo, P.; Jorgensen, D.P.; Cannon, S.H.; Costa, J.; Laber, J.; Major, J.; Martner, B.; Purpura, J.; Werner, K.

    2008-01-01

    Debris flows, also known as mudslides, are composed gravity-driven mixtures of sediment and water that travel through steep channels, over open hillslopes, and the like. Addressing this issue, US Geological Survey (USGS) and NOAA have established a debris-flow warning system that has the ability to monitor and forecast precipitation and issue timely weather hazard warning. In 2005, this joint NOAA-USGS prototype debris-flow warning system was issued in Southern California and as a result, it has provided valuable information to emergency managers in affected communities.

  19. Design of a reliable and operational landslide early warning system at regional scale

    NASA Astrophysics Data System (ADS)

    Calvello, Michele; Piciullo, Luca; Gariano, Stefano Luigi; Melillo, Massimo; Brunetti, Maria Teresa; Peruccacci, Silvia; Guzzetti, Fausto

    2017-04-01

    Landslide early warning systems at regional scale are used to warn authorities, civil protection personnel and the population about the occurrence of rainfall-induced landslides over wide areas, typically through the prediction and measurement of meteorological variables. A warning model for these systems must include a regional correlation law and a decision algorithm. A regional correlation law can be defined as a functional relationship between rainfall and landslides; it is typically based on thresholds of rainfall indicators (e.g., cumulated rainfall, rainfall duration) related to different exceedance probabilities of landslide occurrence. A decision algorithm can be defined as a set of assumptions and procedures linking rainfall thresholds to warning levels. The design and the employment of an operational and reliable early warning system for rainfall-induced landslides at regional scale depend on the identification of a reliable correlation law as well as on the definition of a suitable decision algorithm. Herein, a five-step process chain addressing both issues and based on rainfall thresholds is proposed; the procedure is tested in a landslide-prone area of the Campania region in southern Italy. To this purpose, a database of 96 shallow landslides triggered by rainfall in the period 2003-2010 and rainfall data gathered from 58 rain gauges are used. First, a set of rainfall thresholds are defined applying a frequentist method to reconstructed rainfall conditions triggering landslides in the test area. In the second step, several thresholds at different exceedance probabilities are evaluated, and different percentile combinations are selected for the activation of three warning levels. Subsequently, within steps three and four, the issuing of warning levels is based on the comparison, over time and for each combination, between the measured rainfall and the pre-defined warning level thresholds. Finally, the optimal percentile combination to be employed in the regional early warning system is selected evaluating the model performance in terms of success and error indicators by means of the "event, duration matrix, performance" (EDuMaP) method.

  20. Small-scale (flash) flood early warning in the light of operational requirements: opportunities and limits with regard to user demands, driving data, and hydrologic modeling techniques

    NASA Astrophysics Data System (ADS)

    Philipp, Andy; Kerl, Florian; Büttner, Uwe; Metzkes, Christine; Singer, Thomas; Wagner, Michael; Schütze, Niels

    2016-05-01

    In recent years, the Free State of Saxony (Eastern Germany) was repeatedly hit by both extensive riverine flooding, as well as flash flood events, emerging foremost from convective heavy rainfall. Especially after a couple of small-scale, yet disastrous events in 2010, preconditions, drivers, and methods for deriving flash flood related early warning products are investigated. This is to clarify the feasibility and the limits of envisaged early warning procedures for small catchments, hit by flashy heavy rain events. Early warning about potentially flash flood prone situations (i.e., with a suitable lead time with regard to required reaction-time needs of the stakeholders involved in flood risk management) needs to take into account not only hydrological, but also meteorological, as well as communication issues. Therefore, we propose a threefold methodology to identify potential benefits and limitations in a real-world warning/reaction context. First, the user demands (with respect to desired/required warning products, preparation times, etc.) are investigated. Second, focusing on small catchments of some hundred square kilometers, two quantitative precipitation forecasts are verified. Third, considering the user needs, as well as the input parameter uncertainty (i.e., foremost emerging from an uncertain QPF), a feasible, yet robust hydrological modeling approach is proposed on the basis of pilot studies, employing deterministic, data-driven, and simple scoring methods.

  1. The reconnaissance and early-warning optical system design for dual field of space-based "solar blind ultraviolet"

    NASA Astrophysics Data System (ADS)

    Wang, Wen-cong; Jin, Dong-dong; Shao, Fei; Hu, Hui-jun; Shi, Yu-feng; Song, Juan; Zhang, Yu-tu; Yong, Liu

    2016-07-01

    With the development of modern technology, especially the development of information technology at high speed, the ultraviolet early warning system plays an increasingly important role. In the modern warfare, how to detect the threats earlier, prevent and reduce the attack of precision-guided missile has become a new challenge. Because the ultraviolet warning technology has high environmental adaptability, the low false alarm rate, small volume and other advantages, in the military field applications it has been developed rapidly. According to current application demands for solar blind ultraviolet detection and warning, this paper proposes a reconnaissance and early-warning optical system, which covers solar blind ultraviolet (250nm-280nm) and dual field. This structure takes advantage of a narrow field of view and long focal length optical system to achieve the target object detection, uses wide-field and short focal length optical system to achieve early warning of the target object. It makes use of an ultraviolet beam-splitter to achieve the separation of two optical systems. According to the detector and the corresponding application needs of two visual field of the optical system, the calculation and optical system design were completed. After the design, the MTF of the two optical system is more than 0.8@39lp/mm. A single pixel energy concentration is greater than 80%.

  2. The Warning System in Disaster Situations: A Selective Analysis.

    DTIC Science & Technology

    DISASTERS, *WARNING SYSTEMS), CIVIL DEFENSE, SOCIAL PSYCHOLOGY, REACTION(PSYCHOLOGY), FACTOR ANALYSIS, CLASSIFICATION, STATISTICAL DATA, TIME ... MANAGEMENT PLANNING AND CONTROL, DAMAGE, CONTROL SYSTEMS, THREAT EVALUATION, DECISION MAKING, DATA PROCESSING, COMMUNICATION SYSTEMS, NUCLEAR EXPLOSIONS

  3. 49 CFR 393.51 - Warning signals, air pressure and vacuum gauges.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... the vehicle's service brake system. The warning signal must meet the applicable requirements of... September 1, 1975, must meet the brake system indicator lamp requirements of FMVSS No. 571.105 (S5.3..., must have a warning signal which operates before or upon application of the brakes in the event of a...

  4. 75 FR 26269 - Draft Programmatic Environmental Assessment for the Integrated Public Alert and Warning Program's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ...] Draft Programmatic Environmental Assessment for the Integrated Public Alert and Warning Program's... from construction- related actions taken under the Integrated Public Alert and Warning Program (IPAWS... Order 13407, Public Alert and Warning System, by providing robust and survivable power generation, fuel...

  5. Identifying Deteriorating Patients Through Multidisciplinary Team Training.

    PubMed

    Merriel, Abi; van der Nelson, Helen; Merriel, Sam; Bennett, Joanne; Donald, Fiona; Draycott, Timothy; Siassakos, Dimitrios

    2016-11-01

    Multidisciplinary training has improved maternity outcomes when the training has been well attended, regular, in house, used high-fidelity simulators, and integrated teamwork training. If these principles were used in other settings, better clinical care may result. This before-after study sought to establish whether a short multidisciplinary training intervention can improve recognition of the deteriorating patient using an aggregated physiological parameter scoring system (Early Warning Score [EWS]). Nursing, medical, and allied nursing staff participated in an hour-long training session, using real-life scenarios with simple tools and structured debriefing. After training, staff were more likely to calculate EWS scores correctly (68.02% vs 55.12%; risk ratio [RR] = 1.24, 95% confidence interval [CI] = 1.07-1.44), and observations were more likely to be performed at the correct frequency (78.57% vs 68.09%; RR = 1.20, 95% CI = 1.09-1.32). Multidisciplinary training, according to core principles, can lead to more accurate identification of deteriorating patients, with implications for subsequent care and outcome. © The Author(s) 2015.

  6. Impact of social preparedness on flood early warning systems

    NASA Astrophysics Data System (ADS)

    Girons Lopez, M.; Di Baldassarre, G.; Seibert, J.

    2017-01-01

    Flood early warning systems play a major role in the disaster risk reduction paradigm as cost-effective methods to mitigate flood disaster damage. The connections and feedbacks between the hydrological and social spheres of early warning systems are increasingly being considered as key aspects for successful flood mitigation. The behavior of the public and first responders during flood situations, determined by their preparedness, is heavily influenced by many behavioral traits such as perceived benefits, risk awareness, or even denial. In this study, we use the recency of flood experiences as a proxy for social preparedness to assess its impact on the efficiency of flood early warning systems through a simple stylized model and implemented this model using a simple mathematical description. The main findings, which are based on synthetic data, point to the importance of social preparedness for flood loss mitigation, especially in circumstances where the technical forecasting and warning capabilities are limited. Furthermore, we found that efforts to promote and preserve social preparedness may help to reduce disaster-induced losses by almost one half. The findings provide important insights into the role of social preparedness that may help guide decision-making in the field of flood early warning systems.

  7. 14 CFR 23.703 - Takeoff warning system.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Design and Construction Control Systems § 23.703 Takeoff warning system. For commuter category airplanes, unless it can be shown...

  8. 14 CFR 23.703 - Takeoff warning system.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Design and Construction Control Systems § 23.703 Takeoff warning system. For commuter category airplanes, unless it can be shown...

  9. An integrated earthquake early warning system and its performance at schools in Taiwan

    NASA Astrophysics Data System (ADS)

    Wu, Bing-Ru; Hsiao, Nai-Chi; Lin, Pei-Yang; Hsu, Ting-Yu; Chen, Chiou-Yun; Huang, Shieh-Kung; Chiang, Hung-Wei

    2017-01-01

    An earthquake early warning (EEW) system with integration of regional and onsite approaches was installed at nine demonstration stations in several districts of Taiwan for taking advantages of both approaches. The system performance was evaluated by a 3-year experiment at schools, which experienced five major earthquakes during this period. The blind zone of warning was effectively reduced by the integrated EEW system. The predicted intensities from EEW demonstration stations showed acceptable accuracy compared to field observations. The operation experience from an earthquake event proved that students could calmly carry out correct action before the seismic wave arrived using some warning time provided by the EEW system. Through successful operation in practice, the integrated EEW system was verified as an effective tool for disaster prevention at schools.

  10. Forests and Phenology: Designing the Early Warning System to Understand Forest Change

    NASA Astrophysics Data System (ADS)

    Pierce, T.; Phillips, M. B.; Hargrove, W. W.; Dobson, G.; Hicks, J.; Hutchins, M.; Lichtenstein, K.

    2010-12-01

    Vegetative phenology is the study of plant development and changes with the seasons, such as the greening-up and browning-down of forests, and how these events are influenced by variations in climate. A National Phenology Data Set, based on Moderate Resolution Imaging Spectroradiometer satellite images covering 2002 through 2009, is now available from work by NASA, the US Forest Service, and Oak Ridge National Laboratory. This new data set provides an easily interpretable product useful for detecting changes to the landscape due to long-term factors such as climate change, as well as finding areas affected by short-term forest threats such as insects or disease. The Early Warning System (EWS) is a toolset being developed by the US Forest Service and the University of North Carolina-Asheville to support distribution and use of the National Phenology Data Set. The Early Warning System will help research scientists, US Forest Service personnel, forest and natural resources managers, decision makers, and the public in the use of phenology data to better understand unexpected change within our nation’s forests. These changes could have multiple natural sources such as insects, disease, or storm damage, or may be due to human-induced events, like thinning, harvest, forest conversion to agriculture, or residential and commercial use. The primary goal of the Early Warning System is to provide a seamless integration between monitoring, detection, early warning and prediction of these forest disturbances as observed through phenological data. The system consists of PC and web-based components that are structured to support four user stages of increasing knowledge and data sophistication. Building Literacy: This stage of the Early Warning System educates potential users about the system, why the system should be used, and the fundamentals about the data the system uses. The channels for this education include a website, interactive tutorials, pamphlets, and other technology transfer methodologies. Achieving Context and Meaning: To provide deeper meaning and knowledge about the Early Warning System to users, this stage of the Early Warning System provides more information about specific examples of disturbances seen in the phenological data, as well the spatial and temporal context to these disturbances. The main components of this stage are specific case studies of forest disturbances. Accessing Data: This component of the Early Warning System includes products for research scientists, the aerial detection survey sketch mapper community, and others who will access and analyze the Early Warning System and phenological data. Products and data will be available through online GIS mashups and WMS and KML downloads. Utilizing Services: The final stage of the Early Warning System supports the analysis of phenological data and serves the results to those end users, including forest managers, the forest industry, and the public, who need to locate past, present, and potential forest disturbances. The main components of this stage include data-driven web tools, automated analysis processes, and end user training programs.

  11. 13 Things That Saved Apollo 13

    NASA Technical Reports Server (NTRS)

    Woodfill, Jared

    2012-01-01

    Perhaps, the most exciting rescue, terrestrial or extra-terrestrial, is the successful return of the Apollo 13 crew to Earth in April of 1970. The mission s warning system engineer, Jerry Woodfill, who remains a NASA employee after 47 years of government service has examined facets of the rescue for the past 42 years. He will present "13 Things That Saved Apollo 13" from the perspective of his real time experience as well as two score years of study. Many are recent discoveries never before published in mission reports, popular books or documentary and Hollywood movies depicting the rescue.

  12. A national survey of obstetric early warning systems in the United Kingdom: five years on.

    PubMed

    Isaacs, R A; Wee, M Y K; Bick, D E; Beake, S; Sheppard, Z A; Thomas, S; Hundley, V; Smith, G B; van Teijlingen, E; Thomas, P W

    2014-07-01

    The Confidential Enquiries into Maternal Deaths in the UK have recommended obstetric early warning systems for early identification of clinical deterioration to reduce maternal morbidity and mortality. This survey explored early warning systems currently used by maternity units in the UK. An electronic questionnaire was sent to all 205 lead obstetric anaesthetists under the auspices of the Obstetric Anaesthetists' Association, generating 130 (63%) responses. All respondents reported use of an obstetric early warning system, compared with 19% in a similar survey in 2007. Respondents agreed that the six most important physiological parameters to record were respiratory rate, heart rate, temperature, systolic and diastolic blood pressure and oxygen saturation. One hundred and eighteen (91%) lead anaesthetists agreed that early warning systems helped to prevent obstetric morbidity. Staffing pressures were perceived as the greatest barrier to their use, and improved audit, education and training for healthcare professionals were identified as priority areas. © 2014 The Association of Anaesthetists of Great Britain and Ireland.

  13. An Early Warning Scoring System to Identify Septic Patients in the Prehospital Setting: The PRESEP Score.

    PubMed

    Bayer, Ole; Schwarzkopf, Daniel; Stumme, Christoph; Stacke, Angelika; Hartog, Christiane S; Hohenstein, Christian; Kabisch, Björn; Reichel, Jens; Reinhart, Konrad; Winning, Johannes

    2015-07-01

    The objective was to develop and evaluate an early sepsis detection score for the prehospital setting. A retrospective analysis of consecutive patients who were admitted by emergency medical services (EMS) to the emergency department of the Jena University Hospital was performed. Because potential predictors for sepsis should be based on consensus criteria, the following parameters were extracted from the EMS protocol for further analysis: temperature, heart rate (HR), respiratory rate (RR), oxygen saturation (SaO2 ), Glasgow Coma Scale score, blood glucose, and systolic blood pressure (sBP). Potential predictors were stratified based on inspection of Loess graphs. Backward model selection was performed to select risk factors for the final model. The Prehospital Early Sepsis Detection (PRESEP) score was calculated as the sum of simplified regression weights. Its predictive validity was compared to the Modified Early Warning Score (MEWS), the Robson screening tool, and the BAS 90-30-90. A total of 375 patients were included in the derivation sample; 93 (24.8%) of these had sepsis, including 60 patients with severe sepsis and 12 patients with septic shock. Backward model selection identified temperature, HR, RR, SaO2 , and sBP for inclusion in the PRESEP score. Simplified weights were as follows: temperature > 38°C = 4, temperature < 36°C = 1, HR > 90 beats/min = 2, RR > 22 breaths/min = 1, SaO2 < 92% = 2, and sBP < 90 mm Hg = 2. The cutoff value for a possible existing septic disease based on maximum Youden's index was ≥4 (sensitivity 0.85, specificity 0.86, positive predictive value [PPV] 0.66, and negative predictive value [NPV] 0.95). The area under the receiver operating characteristic curve (AUC) of the PRESEP score was 0.93 (95% confidence interval [CI] = 0.89 to 0.96) and was larger than the AUC of the MEWS (0.93 vs. 0.77, p < 0.001). The PRESEP score surpassed MEWS and BAS 90-60-90 for sensitivity (0.74 and 0.62, respectively), specificity (0.75 and 0.83), PPV (0.45 and 0.51), and NPV (0.91 and 0.89). The Robson screening tool had a higher sensitivity and NPV (0.95 and 0.97), but its specificity and PPV were lower (0.43 and 0.32). The PRESEP score could be a valuable tool for identifying septic patients in the prehospital setting in the case of suspected infection. It should be prospectively validated. © 2015 by the Society for Academic Emergency Medicine.

  14. Early warning system for aftershocks

    USGS Publications Warehouse

    Bakun, W.H.; Fischer, F.G.; Jensen, E.G.; VanSchaack, J.

    1994-01-01

    A prototype early warning system to provide San Francisco and Oakland, California a few tens-of-seconds warning of incoming strong ground shaking from already-occurred M ≧ 3.7 aftershocks of the magnitude 7.1 17 October 1989 Loma Prieta earthquake was operational on 28 October 1989. The prototype system consisted of four components: ground motion sensors in the epicentral area, a central receiver, a radio repeater, and radio receivers. One of the radio receivers was deployed at the California Department of Transportation (CALTRANS) headquarters at the damaged Cypress Street section of the I-880 freeway in Oakland, California on 28 October 1989 and provided about 20 sec of warning before shaking from the M 4.5 Loma Prieta aftershock that occurred on 2 November 1989 at 0550 UTC. In its first 6 months of operation, the system generated triggers for all 12 M > 3.7 aftershocks for which trigger documentation is preserved, did not trigger on any M ≦ 3.6 aftershocks, and produced one false trigger as a result of a now-corrected single point of failure design flaw. Because the prototype system demonstrated that potentially useful warnings of strong shaking from aftershocks are feasible, the USGS has completed a portable early warning system for aftershocks that can be deployed anywhere.

  15. Hydrologic ensembles based on convection-permitting precipitation nowcasts for flash flood warnings

    NASA Astrophysics Data System (ADS)

    Demargne, Julie; Javelle, Pierre; Organde, Didier; de Saint Aubin, Céline; Ramos, Maria-Helena

    2017-04-01

    In order to better anticipate flash flood events and provide timely warnings to communities at risk, the French national service in charge of flood forecasting (SCHAPI) is implementing a national flash flood warning system for small-to-medium ungauged basins. Based on a discharge-threshold flood warning method called AIGA (Javelle et al. 2014), the current version of the system runs a simplified hourly distributed hydrologic model with operational radar-gauge QPE grids from Météo-France at a 1-km2 resolution every 15 minutes. This produces real-time peak discharge estimates along the river network, which are subsequently compared to regionalized flood frequency estimates to provide warnings according to the AIGA-estimated return period of the ongoing event. To further extend the effective warning lead time while accounting for hydrometeorological uncertainties, the flash flood warning system is being enhanced to include Météo-France's AROME-NWC high-resolution precipitation nowcasts as time-lagged ensembles and multiple sets of hydrological regionalized parameters. The operational deterministic precipitation forecasts, from the nowcasting version of the AROME convection-permitting model (Auger et al. 2015), were provided at a 2.5-km resolution for a 6-hr forecast horizon for 9 significant rain events from September 2014 to June 2016. The time-lagged approach is a practical choice of accounting for the atmospheric forecast uncertainty when no extensive forecast archive is available for statistical modelling. The evaluation on 781 French basins showed significant improvements in terms of flash flood event detection and effective warning lead-time, compared to warnings from the current AIGA setup (without any future precipitation). We also discuss how to effectively communicate verification information to help determine decision-relevant warning thresholds for flood magnitude and probability. Javelle, P., Demargne, J., Defrance, D., Arnaud, P., 2014. Evaluating flash flood warnings at ungauged locations using post-event surveys: a case study with the AIGA warning system. Hydrological Sciences Journal, doi: 10.1080/02626667.2014.923970 Auger, L., Dupont, O., Hagelin, S., Brousseau, P., Brovelli, P., 2015. AROME-NWC: a new nowcasting tool based on an operational mesoscale forecasting system. Quarterly Journal of the Royal Meteorological Society, 141: 1603-1611, doi:10.1002/qj.2463

  16. 14 CFR 23.703 - Takeoff warning system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Design and Construction Control Systems § 23.703 Takeoff warning system. Link to an amendment published at 76 FR 75757, December 2...

  17. 14 CFR 23.703 - Takeoff warning system.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Design and Construction Control Systems § 23.703 Takeoff warning system. For all airplanes with a maximum weight more than 6,000...

  18. Electronic rumble strip

    NASA Astrophysics Data System (ADS)

    Stauffer, Donald R.; Lenz, James

    1997-02-01

    Single vehicle run-off-road accidents are responsible for significant numbers of injuries and fatalities, and significant property damage. This fact spurs interest in warning systems to alert drivers that vehicles are drifting towards the edge of the road, and that a run-off road accident is imminent. An early attempt at such a warning system is the use of machined grooves on the shoulder to create a rumble strip. Such a system only provides warning, however, as the vehicle actually leaves the traffic lane. More desirable is a system that warns in anticipation of such departure. Honeywell has under development a magnetic lateral guidance system that couples a sensitive magnetoresistive transducer with a magnetic traffic marking tape being developed by 3M. While this development was initially undertaken for use in automated highways, or for special tasks such as guiding snowplow owners, the system can provide an effective, all-weather warning system to provide alert of impending departure from the roadway. This electronic rumble strip is actually a simpler system than the baseline guidance system, and can monitor both distance from the traffic lane edge and the speed of approach to the edge with a low cost sensor.

  19. Lessons from Hawaii: A Blessing in Disguise.

    PubMed

    Deitchman, Scott; Dallas, Cham E; Burkle, Frederick

    2018-03-20

    On January 13, 2018, Hawaii experienced an erroneous alert that falsely warned of an imminent ballistic missile strike. Rather than focus on the inconvenience caused by the false alert, we used reporting of the event to identify the missing elements that would characterize a system that could save lives by alerting and informing the public in a nuclear detonation. These include warnings that contain essential information rather than directing recipients to secondary sources; a system that issues alerts directly from federal agencies that will have the earliest warning; a robust multimodal alerting system that can deliver messages before and after the detonation; and swift activation of federal agencies immediately upon warning.

  20. 32 CFR 806b.27 - When to include a Privacy Act warning statement in publications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... include the Warning Statement when publications direct collection of the Social Security Number, or any part of the Social Security Number, from the individual. The warning statement will cite legal authority and when part of a record system, the Privacy Act system of records number and title. You can use...

  1. 32 CFR 806b.28 - Warning banners.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Warning banners. 806b.28 Section 806b.28... PROGRAM Privacy Act Notifications § 806b.28 Warning banners. Information systems that contain information... subject to the Privacy Act will have warning banners displayed on the first screen (at a minimum) to...

  2. 32 CFR 806b.28 - Warning banners.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Warning banners. 806b.28 Section 806b.28... PROGRAM Privacy Act Notifications § 806b.28 Warning banners. Information systems that contain information... subject to the Privacy Act will have warning banners displayed on the first screen (at a minimum) to...

  3. 32 CFR 806b.28 - Warning banners.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Warning banners. 806b.28 Section 806b.28... PROGRAM Privacy Act Notifications § 806b.28 Warning banners. Information systems that contain information... subject to the Privacy Act will have warning banners displayed on the first screen (at a minimum) to...

  4. 32 CFR 806b.28 - Warning banners.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Warning banners. 806b.28 Section 806b.28... PROGRAM Privacy Act Notifications § 806b.28 Warning banners. Information systems that contain information... subject to the Privacy Act will have warning banners displayed on the first screen (at a minimum) to...

  5. 32 CFR 806b.28 - Warning banners.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Warning banners. 806b.28 Section 806b.28... PROGRAM Privacy Act Notifications § 806b.28 Warning banners. Information systems that contain information... subject to the Privacy Act will have warning banners displayed on the first screen (at a minimum) to...

  6. Safety Early Warning Research for Highway Construction Based on Case-Based Reasoning and Variable Fuzzy Sets

    PubMed Central

    Liu, Yan; Xu, Zhen-Jun

    2013-01-01

    As a high-risk subindustry involved in construction projects, highway construction safety has experienced major developments in the past 20 years, mainly due to the lack of safe early warnings in Chinese construction projects. By combining the current state of early warning technology with the requirements of the State Administration of Work Safety and using case-based reasoning (CBR), this paper expounds on the concept and flow of highway construction safety early warnings based on CBR. The present study provides solutions to three key issues, index selection, accident cause association analysis, and warning degree forecasting implementation, through the use of association rule mining, support vector machine classifiers, and variable fuzzy qualitative and quantitative change criterion modes, which fully cover the needs of safe early warning systems. Using a detailed description of the principles and advantages of each method and by proving the methods' effectiveness and ability to act together in safe early warning applications, effective means and intelligent technology for a safe highway construction early warning system are established. PMID:24191134

  7. Safety early warning research for highway construction based on case-based reasoning and variable fuzzy sets.

    PubMed

    Liu, Yan; Yi, Ting-Hua; Xu, Zhen-Jun

    2013-01-01

    As a high-risk subindustry involved in construction projects, highway construction safety has experienced major developments in the past 20 years, mainly due to the lack of safe early warnings in Chinese construction projects. By combining the current state of early warning technology with the requirements of the State Administration of Work Safety and using case-based reasoning (CBR), this paper expounds on the concept and flow of highway construction safety early warnings based on CBR. The present study provides solutions to three key issues, index selection, accident cause association analysis, and warning degree forecasting implementation, through the use of association rule mining, support vector machine classifiers, and variable fuzzy qualitative and quantitative change criterion modes, which fully cover the needs of safe early warning systems. Using a detailed description of the principles and advantages of each method and by proving the methods' effectiveness and ability to act together in safe early warning applications, effective means and intelligent technology for a safe highway construction early warning system are established.

  8. A hazard-independent approach for the standardised multi-channel dissemination of warning messages

    NASA Astrophysics Data System (ADS)

    Esbri Palomares, M. A.; Hammitzsch, M.; Lendholt, M.

    2012-04-01

    The tsunami disaster affecting the Indian Ocean region on Christmas 2004 demonstrated very clearly the shortcomings in tsunami detection, public warning processes as well as intergovernmental warning message exchange in the Indian Ocean region. In that regard, early warning systems require that the dissemination of early warning messages has to be executed in way that ensures that the message delivery is timely; the message content is understandable, usable and accurate. To that end, diverse and multiple dissemination channels must be used to increase the chance of the messages reaching all affected persons in a hazard scenario. In addition to this, usage of internationally accepted standards for the warning dissemination such as the Common Alerting Protocol (CAP) and Emergency Data Exchange Language (EDXL) Distribution Element specified by the Organization for the Advancement of Structured Information Standards (OASIS) increase the interoperability among different warning systems enabling thus the concept of system-of-systems proposed by GEOSS. The project Distant Early Warning System (DEWS), co-funded by the European Commission under the 6th Framework Programme, aims at strengthening the early warning capacities by building an innovative generation of interoperable tsunami early warning systems based on the above mentioned concepts following a Service-oriented Architecture (SOA) approach. The project focuses on the downstream part of the hazard information processing where customized, user-tailored warning messages and alerts flow from the warning centre to the responsible authorities and/or the public with their different needs and responsibilities. The information logistics services within DEWS generate tailored EDXL-DE/CAP warning messages for each user that must receive the message according to their preferences, e.g., settings for language, interested areas, dissemination channels, etc.. However, the significant difference in the implementation and capabilities of different dissemination channels such as SMS, email and television, have bearing on the information processing required for delivery and consumption of a DEWS EDXL-DE/CAP message over each dissemination channel. These messages may include additional information in the form of maps, graphs, documents, sensor observations, etc. Therefore, the generated messages are pre-processed by channel adaptors in the information dissemination services converting it into a format that is suitable for end-to-end delivery over the dissemination channels without any semantic distortion. The approach followed by DEWS for disseminating warnings not only relies on traditional communication ways used by the already established early warnings such as the delivery of faxes and phone calls but takes into consideration the use of other broadly used communication channels such as SMS, email, narrowcast and broadcast television, instant messaging, Voice over IP, and radio. It also takes advantage of social media channels like RSS feeds, Facebook, Twitter, etc., enabling a multiplier effect, like in the case of radio and television, and thus allowing to create mash-ups by aggregating other sources of information to the original message. Finally, status information is also important in order to assess and understand whether the process of disseminating the warning to the message consumers has been successfully completed or the process failed at some point of the dissemination chain. To that end, CAP-based messages generated within the information dissemination services provide the semantics for those fields that are of interest within the context of reporting the warning dissemination status in DEWS.

  9. The Global Emergency Observation and Warning System

    NASA Technical Reports Server (NTRS)

    Bukley, Angelia P.; Mulqueen, John A.

    1994-01-01

    Based on an extensive characterization of natural hazards, and an evaluation of their impacts on humanity, a set of functional technical requirements for a global warning and relief system was developed. Since no technological breakthroughs are required to implement a global system capable of performing the functions required to provide sufficient information for prevention, preparedness, warning, and relief from natural disaster effects, a system is proposed which would combine the elements of remote sensing, data processing, information distribution, and communications support on a global scale for disaster mitigation.

  10. Examining the value of global seasonal reference evapotranspiration forecasts to support FEWS NET’s food insecurity outlooks

    USGS Publications Warehouse

    Shukla, Shraddhanand; McEvoy, Daniel; Hobbins, Michael; Husak, Gregory; Huntington, Justin; Funk, Chris; Macharia, Denis; Verdin, James P.

    2017-01-01

    The Famine Early Warning Systems Network (FEWS NET) team provides food insecurity outlooks for several developing countries in Africa, Central Asia, and Central America. This study describes development of a new global reference evapotranspiration (ETo) seasonal reforecast and skill evaluation with a particular emphasis on the potential use of this dataset by the FEWS NET to support food insecurity early warning. The ETo reforecasts span the 1982-2009 period and are calculated following ASCE’s formulation of Penman-Monteith method driven by seasonal climate forecasts of monthly mean temperature, humidity, wind speed, and solar radiation from NCEP’s CFSv2 and NASA’s GEOS-5 models. The skill evaluation using deterministic and probabilistic scores, focuses on the December-February (DJF), March-May (MAM), June-August (JJA) and September-November (SON) seasons. The results indicate that ETo forecasts are a promising tool for early warning of drought and food insecurity. Globally, the regions where forecasts are most skillful (correlation >0.35 at lead-2) include Western U.S., northern parts of South America, parts of Sahel region and Southern Africa. The FEWS NET regions where forecasts are most skillful (correlation >0.35 at lead-3) include Northern Sub-Saharan Africa (DJF, dry season), Central America (DJF, dry season), parts of East Africa (JJA, wet Season), Southern Africa (JJA, dry season), and Central Asia (MAM, wet season). A case study over parts of East Africa for the JJA season shows that ETo forecasts in combination with the precipitation forecasts could have provided early warning of recent severe drought events (e.g., 2002, 2004, 2009) that contributed to substantial food insecurity in the region.

  11. Examining the value of global seasonal reference evapotranspiration forecasts tosupport FEWS NET's food insecurity outlooks

    NASA Astrophysics Data System (ADS)

    Shukla, S.; McEvoy, D.; Hobbins, M.; Husak, G. J.; Huntington, J. L.; Funk, C.; Verdin, J.; Macharia, D.

    2017-12-01

    The Famine Early Warning Systems Network (FEWS NET) team provides food insecurity outlooks for several developing countries in Africa, Central Asia, and Central America. Thus far in terms of agroclimatic conditions that influence food insecurity, FEWS NET's primary focus has been on the seasonal precipitation forecasts while not adequately accounting for the atmospheric evaporative demand, which is also directly related to agricultural production and hence food insecurity, and is most often estimated by reference evapotranspiration (ETo). This presentation reports on the development of a new global ETo seasonal reforecast and skill evaluation with a particular emphasis on the potential use of this dataset by the FEWS NET to support food insecurity early warning. The ETo reforecasts span the 1982-2009 period and are calculated following ASCE's formulation of Penman-Monteith method driven by seasonal climate forecasts of monthly mean temperature, humidity, wind speed, and solar radiation from NCEP's CFSv2 and NASA's GEOS-5 models. The skill evaluation using deterministic and probabilistic scores focuses on the December-February (DJF), March-May (MAM), June-August (JJA) and September-November (SON) seasons. The results indicate that ETo forecasts are a promising tool for early warning of drought and food insecurity. The FEWS NET regions with promising level of skill (correlation >0.35 at lead times of 3 months) include Northern Sub-Saharan Africa (DJF, dry season), Central America (DJF, dry season), parts of East Africa (JJA, wet Season), Southern Africa (JJA, dry season), and Central Asia (MAM, wet season). A case study over parts of East Africa for the JJA season shows that, in combination with the precipitation forecasts, ETo forecasts could have provided early warning of recent severe drought events (e.g., 2002, 2004, 2009) that contributed to substantial food insecurity in the region.

  12. Comparison of proposed countermeasures for dilemma zone at signalized intersections based on cellular automata simulations.

    PubMed

    Wu, Yina; Abdel-Aty, Mohamed; Ding, Yaoxian; Jia, Bin; Shi, Qi; Yan, Xuedong

    2018-07-01

    The Type II dilemma zone describes the road segment to a signalized intersection where drivers have difficulties to decide either stop or go at the onset of yellow signal. Such phenomenon can result in an increased crash risk at signalized intersections. Different types of warning systems have been proposed to help drivers make decisions. Although the warning systems help to improve drivers' behavior, they also have several disadvantages such as increasing rear-end crashes or red-light running (RLR) violations. In this study, a new warning system called pavement marking with auxiliary countermeasure (PMAIC) is proposed to reduce the dilemma zone and enhance the traffic safety at signalized intersections. The proposed warning system integrates the pavement marking and flashing yellow system which can provide drivers with better suggestions about stop/go decisions based on their arriving time and speed. In order to evaluate the performance of the proposed warning system, this paper presents a cellular automata (CA) simulation study. The CA simulations are conducted for four different scenarios in total, including the typical intersection without warning system, the intersection with flashing green countermeasure, the intersection with pavement marking, and the intersection with the PMAIC warning system. Before the specific CA simulation analysis, a logistic regression model is calibrated based on field video data to predict drivers' general stop/go decisions. Also, the rules of vehicle movements in the CA models under the influence by different warning systems are proposed. The proxy indicators of rear-end crash and potential RLR violations were estimated and used to evaluate safety levels for the different scenarios. The simulation results showed that the PMAIC countermeasure consistently offered best performance to reduce rear-end crash and RLR violation. Meanwhile, the results indicate that the flashing-green countermeasure could not effectively reduce either rear-end crash risk or RLR violations. Also, it is found that the pavement-marking countermeasure has positive effects on reducing the rear-end risk while it may increase the probability of RLR violation. Lastly, the implementation of the proposed warning system is discussed with the consideration of connected-vehicle technology. It is expected that the dilemma zone issues can be efficiently addressed if the proposed countermeasure can be employed within connected vehicle technology. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Development of structural health monitoring and early warning system for reinforced concrete system

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

    Iranata, Data, E-mail: iranata-data@yahoo.com, E-mail: data@ce.its.ac.id; Wahyuni, Endah; Murtiadi, Suryawan

    Many buildings have been damaged due to earthquakes that occurred recently in Indonesia. The main cause of the damage is the large deformation of the building structural component cannot accommodate properly. Therefore, it is necessary to develop the Structural Health Monitoring System (SHMS) to measure precisely the deformation of the building structural component in the real time conditions. This paper presents the development of SHMS for reinforced concrete structural system. This monitoring system is based on deformation component such as strain of reinforcement bar, concrete strain, and displacement of reinforced concrete component. Since the deformation component has exceeded the limitmore » value, the warning message can be sent to the building occupies. This warning message has also can be performed as early warning system of the reinforced concrete structural system. The warning message can also be sent via Short Message Service (SMS) through the Global System for Mobile Communications (GSM) network. Hence, the SHMS should be integrated with internet modem to connect with GSM network. Additionally, the SHMS program is verified with experimental study of simply supported reinforced concrete beam. Verification results show that the SHMS has good agreement with experimental results.« less

  14. Objective and Subjective Cancer Knowledge Among Faith-Based Chinese Adults.

    PubMed

    Hou, Su-I; Liu, Ling Jie

    2017-10-01

    This study examined cancer knowledge between church-going younger versus older Chinese adults. Hou's 8-item validated cancer screening knowledge test (CSKT) and a new 14-item cancer warning signs test (CWST) were used to assess objective knowledge. Subjective knowledge was measured by one overall 5-point Likert scale item. A total of 372 Taiwanese and Chinese Americans from nine churches participated. Although there were no significant differences by age on either the CSKT scores (younger = 5.89 vs. older = 5.71; p = .297) or the CWST (younger = 6.27 vs. older = 5.86; p = .245), subjective knowledge was higher among older Chinese adults (younger = 2.44 vs. older = 3.05, p < .001). Older Chinese adults were also more likely to identify cancer warning signs correctly, while younger adults were more likely to identify false warning signs correctly. Results have implication on tailoring cancer knowledge type (subjective vs. objective) and content domain (screening vs. warning signs). Findings can help health educators better understand cancer education needs among Chinese adults.

  15. Implementation of a novel postoperative monitoring system using automated Modified Early Warning Scores (MEWS) incorporating end-tidal capnography.

    PubMed

    Blankush, Joseph M; Freeman, Robbie; McIlvaine, Joy; Tran, Trung; Nassani, Stephen; Leitman, I Michael

    2017-10-01

    Modified Early Warning Scores (MEWS) provide real-time vital sign (VS) trending and reduce ICU admissions in post-operative patients. These early warning calculations classically incorporate oxygen saturation, heart rate, respiratory rate, systolic blood pressure, and temperature but have not previously included end-tidal CO2 (EtCO 2 ), more recently identified as an independent predictor of critical illness. These systems may be subject to failure when physiologic data is incorrectly measured, leading to false alarms and increased workload. This study investigates whether the implementation of automated devices that utilize ongoing vital signs monitoring and MEWS calculations, inclusive of a score for end-tidal CO 2 (EtCO 2 ), can be feasibly implemented on the general care hospital floor and effectively identify derangements in a post-operative patient's condition while limiting the amount of false alarms that would serve to increase provider workload. From July to November 2014, post-operative patients meeting the inclusion criteria (BMI > 30 kg/m 2 , history of obstructive sleep apnea, or the use of patient-controlled analgesia (PCA) or epidural narcotics) were monitored using automated devices that record minute-by-minute VS included in classic MEWS calculations as well as EtCO 2 . Automated messages via pagers were sent to providers for instances when the device measured elevated MEWS, abnormal EtCO 2 , and oxygen desaturations below 85 %. Data, including alarm and message details from the first 133 patients, were recorded and analyzed. Overall, 3.3 alarms and pages sounded per hour of monitoring. Device-only alarms sounded 2.7 times per hour-21 % were technical alarms. The remaining device-only alarms for concerning VS sounded 2.0/h, 70 % for falsely recorded VS. Pages for abnormal EtCO 2 sounded 0.4/h (82 % false recordings) while pages for low blood oxygen saturation sounded 0.1/h (55 % false alarms). 143 times (0.1 pages/h) the devices calculated a MEWS warranting a page (rise in MEWS by 2 or 5 or greater)-62 % were false scores inclusive of falsely recorded VS. An abnormal EtCO 2 value resulted in or added to an elevated MEWS score in 29 % of notifications, but 50 % of these included a falsely abnormal EtCO 2 value. To date, no adverse events have occurred. There were no statistically significant demographic, post-operative condition, or pre-existing comorbidity differences between patients who had a majority of true alarms from those who had mostly false-positive alarms. Although not statistically significant, the group of patients in whom automated MEWS suggested greater utility included those with a history of hypertension (p = 0.072) and renal disease (p = 0.084). EtCO 2 monitoring was more likely to be useful in patients with a history of type 2 diabetes, coronary artery disease, and obstructive sleep apnea (p < 0.05). These patients were also more likely to have been on a PCA post-operatively (p < 0.05). Overall, non-invasive physiologic monitoring incorporating an automated MEWS system, modified to include end-tidal CO2 can be feasibly implemented in a hospital ward. Further study is needed to evaluate its clinical utility, including an end-tidal CO 2 score, is feasibly implemented and can be useful in monitoring select post-operative patients for derangements in physiologic metrics. Like any other monitoring system, false alarms may occur at high rates. While further study is needed to determine the additive utility of EtCO 2 in MEWS calculations, this study suggests utility of EtCO 2 in select post-operative patients.

  16. Improving tsunami warning systems with remote sensing and geographical information system input.

    PubMed

    Wang, Jin-Feng; Li, Lian-Fa

    2008-12-01

    An optimal and integrative tsunami warning system is introduced that takes full advantage of remote sensing and geographical information systems (GIS) in monitoring, forecasting, detection, loss evaluation, and relief management for tsunamis. Using the primary impact zone in Banda Aceh, Indonesia as the pilot area, we conducted three simulations that showed that while the December 26, 2004 Indian Ocean tsunami claimed about 300,000 lives because there was no tsunami warning system at all, it is possible that only about 15,000 lives could have been lost if the area had used a tsunami warning system like that currently in use in the Pacific Ocean. The simulations further calculated that the death toll could have been about 3,000 deaths if there had been a disaster system further optimized with full use of remote sensing and GIS, although the number of badly damaged or destroyed houses (29,545) could have likely remained unchanged.

  17. Flood and landslide warning based on rainfall thresholds and soil moisture indexes: the HEWS (Hydrohazards Early Warning System) for Sicily

    NASA Astrophysics Data System (ADS)

    Brigandì, Giuseppina; Tito Aronica, Giuseppe; Bonaccorso, Brunella; Gueli, Roberto; Basile, Giuseppe

    2017-09-01

    The main focus of the paper is to present a flood and landslide early warning system, named HEWS (Hydrohazards Early Warning System), specifically developed for the Civil Protection Department of Sicily, based on the combined use of rainfall thresholds, soil moisture modelling and quantitative precipitation forecast (QPF). The warning system is referred to 9 different Alert Zones in which Sicily has been divided into and based on a threshold system of three different increasing critical levels: ordinary, moderate and high. In this system, for early flood warning, a Soil Moisture Accounting (SMA) model provides daily soil moisture conditions, which allow to select a specific set of three rainfall thresholds, one for each critical level considered, to be used for issue the alert bulletin. Wetness indexes, representative of the soil moisture conditions of a catchment, are calculated using a simple, spatially-lumped rainfall-streamflow model, based on the SCS-CN method, and on the unit hydrograph approach, that require daily observed and/or predicted rainfall, and temperature data as input. For the calibration of this model daily continuous time series of rainfall, streamflow and air temperature data are used. An event based lumped rainfall-runoff model has been, instead, used for the derivation of the rainfall thresholds for each catchment in Sicily characterised by an area larger than 50 km2. In particular, a Kinematic Instantaneous Unit Hydrograph based lumped rainfall-runoff model with the SCS-CN routine for net rainfall was developed for this purpose. For rainfall-induced shallow landslide warning, empirical rainfall thresholds provided by Gariano et al. (2015) have been included in the system. They were derived on an empirical basis starting from a catalogue of 265 shallow landslides in Sicily in the period 2002-2012. Finally, Delft-FEWS operational forecasting platform has been applied to link input data, SMA model and rainfall threshold models to produce warning on a daily basis for the entire region.

  18. Brake reactions of distracted drivers to pedestrian Forward Collision Warning systems.

    PubMed

    Lubbe, Nils

    2017-06-01

    Forward Collision Warning (FCW) can be effective in directing driver attention towards a conflict and thereby aid in preventing or mitigating collisions. FCW systems aiming at pedestrian protection have been introduced onto the market, yet an assessment of their safety benefits depends on the accurate modeling of driver reactions when the system is activated. This study contributes by quantifying brake reaction time and brake behavior (deceleration levels and jerk) to compare the effectiveness of an audio-visual warning only, an added haptic brake pulse warning, and an added Head-Up Display in reducing the frequency of collisions with pedestrians. Further, this study provides a detailed data set suited for the design of assessment methods for car-to-pedestrian FCW systems. Brake response characteristics were measured for heavily distracted drivers who were subjected to a single FCW event in a high-fidelity driving simulator. The drivers maintained a self-regulated speed of 30km/h in an urban area, with gaze direction diverted from the forward roadway by a secondary task. Collision rates and brake reaction times differed significantly across FCW settings. Brake pulse warnings resulted in the lowest number of collisions and the shortest brake reaction times (mean 0.8s, SD 0.29s). Brake jerk and deceleration were independent of warning type. Ninety percent of drivers exceeded a maximum deceleration of 3.6m/s 2 and a jerk of 5.3m/s 3 . Brake pulse warning was the most effective FCW interface for preventing collisions. In addition, this study presents the data required for driver modeling for car-to-pedestrian FCW similar to Euro NCAP's 2015 car-to-car FCW assessment. Practical applications: Vehicle manufacturers should consider the introduction of brake pulse warnings to their FCW systems. Euro NCAP could introduce an assessment that quantifies the safety benefits of pedestrian FCW systems and thereby aid the proliferation of effective systems. Copyright © 2017 National Safety Council and Elsevier Ltd. All rights reserved.

  19. Progress and challenges with Warn-on-Forecast

    NASA Astrophysics Data System (ADS)

    Stensrud, David J.; Wicker, Louis J.; Xue, Ming; Dawson, Daniel T.; Yussouf, Nusrat; Wheatley, Dustan M.; Thompson, Therese E.; Snook, Nathan A.; Smith, Travis M.; Schenkman, Alexander D.; Potvin, Corey K.; Mansell, Edward R.; Lei, Ting; Kuhlman, Kristin M.; Jung, Youngsun; Jones, Thomas A.; Gao, Jidong; Coniglio, Michael C.; Brooks, Harold E.; Brewster, Keith A.

    2013-04-01

    The current status and challenges associated with two aspects of Warn-on-Forecast-a National Oceanic and Atmospheric Administration research project exploring the use of a convective-scale ensemble analysis and forecast system to support hazardous weather warning operations-are outlined. These two project aspects are the production of a rapidly-updating assimilation system to incorporate data from multiple radars into a single analysis, and the ability of short-range ensemble forecasts of hazardous convective weather events to provide guidance that could be used to extend warning lead times for tornadoes, hailstorms, damaging windstorms and flash floods. Results indicate that a three-dimensional variational assimilation system, that blends observations from multiple radars into a single analysis, shows utility when evaluated by forecasters in the Hazardous Weather Testbed and may help increase confidence in a warning decision. The ability of short-range convective-scale ensemble forecasts to provide guidance that could be used in warning operations is explored for five events: two tornadic supercell thunderstorms, a macroburst, a damaging windstorm and a flash flood. Results show that the ensemble forecasts of the three individual severe thunderstorm events are very good, while the forecasts from the damaging windstorm and flash flood events, associated with mesoscale convective systems, are mixed. Important interactions between mesoscale and convective-scale features occur for the mesoscale convective system events that strongly influence the quality of the convective-scale forecasts. The development of a successful Warn-on-Forecast system will take many years and require the collaborative efforts of researchers and operational forecasters to succeed.

  20. The Financial Benefit of Early Flood Warnings in Europe

    NASA Astrophysics Data System (ADS)

    Pappenberger, Florian; Cloke, Hannah L.; Wetterhall, Fredrik; Parker, Dennis J.; Richardson, David; Thielen, Jutta

    2015-04-01

    Effective disaster risk management relies on science based solutions to close the gap between prevention and preparedness measures. The outcome of consultations on the UNIDSR post-2015 framework for disaster risk reduction highlight the need for cross-border early warning systems to strengthen the preparedness phases of disaster risk management in order to save people's lives and property and reduce the overall impact of severe events. In particular, continental and global scale flood forecasting systems provide vital information to various decision makers with which early warnings of floods can be made. Here the potential monetary benefits of early flood warnings using the example of the European Flood Awareness System (EFAS) are calculated based on pan-European Flood damage data and calculations of potential flood damage reductions. The benefits are of the order of 400 Euro for every 1 Euro invested. Because of the uncertainties which accompany the calculation, a large sensitivity analysis is performed in order to develop an envelope of possible financial benefits. Current EFAS system skill is compared against perfect forecasts to demonstrate the importance of further improving the skill of the forecasts. Improving the response to warnings is also essential in reaping the benefits of flood early warnings.

  1. Personal Cabin Pressure Monitor and Warning System

    NASA Technical Reports Server (NTRS)

    Zysko, Jan A. (Inventor)

    2002-01-01

    A cabin pressure altitude monitor and warning system provides a warning when a detected cabin pressure altitude has reached a predetermined level. The system is preferably embodied in a portable, pager-sized device that can be carried or worn by an individual. A microprocessor calculates the pressure altitude from signals generated by a calibrated pressure transducer and a temperature sensor that compensates for temperature variations in the signals generated by the pressure transducer. The microprocessor is programmed to generate a warning or alarm if a cabin pressure altitude exceeding a predetermined threshold is detected. Preferably, the microprocessor generates two different types of warning or alarm outputs, a first early warning or alert when a first pressure altitude is exceeded. and a second more serious alarm condition when either a second. higher pressure altitude is exceeded, or when the first pressure altitude has been exceeded for a predetermined period of time. Multiple types of alarm condition indicators are preferably provided, including visual, audible and tactile. The system is also preferably designed to detect gas concentrations and other ambient conditions, and thus incorporates other sensors, such as oxygen, relative humidity, carbon dioxide, carbon monoxide and ammonia sensors, to provide a more complete characterization and monitoring of the local environment.

  2. Personal Cabin Pressure Monitor and Warning System

    NASA Astrophysics Data System (ADS)

    Zysko, Jan A.

    2002-09-01

    A cabin pressure altitude monitor and warning system provides a warning when a detected cabin pressure altitude has reached a predetermined level. The system is preferably embodied in a portable, pager-sized device that can be carried or worn by an individual. A microprocessor calculates the pressure altitude from signals generated by a calibrated pressure transducer and a temperature sensor that compensates for temperature variations in the signals generated by the pressure transducer. The microprocessor is programmed to generate a warning or alarm if a cabin pressure altitude exceeding a predetermined threshold is detected. Preferably, the microprocessor generates two different types of warning or alarm outputs, a first early warning or alert when a first pressure altitude is exceeded. and a second more serious alarm condition when either a second. higher pressure altitude is exceeded, or when the first pressure altitude has been exceeded for a predetermined period of time. Multiple types of alarm condition indicators are preferably provided, including visual, audible and tactile. The system is also preferably designed to detect gas concentrations and other ambient conditions, and thus incorporates other sensors, such as oxygen, relative humidity, carbon dioxide, carbon monoxide and ammonia sensors, to provide a more complete characterization and monitoring of the local environment.

  3. Designing Fatigue Warning Systems: The perspective of professional drivers.

    PubMed

    Meng, Fanxing; Li, Shuling; Cao, Lingzhi; Peng, Qijia; Li, Musen; Wang, Chunhui; Zhang, Wei

    2016-03-01

    Professional drivers have been characterized as experiencing heavy fatigue resulting from long driving time in their daily work. This study aimed to explore the potential demand of Fatigue Warning Systems (FWSs) among professional drivers as a means of reducing the danger of fatigue driving and to examine their opinions regarding the design of FWSs. Six focus groups with 35 participants and a questionnaire survey with 600 respondents were conducted among Chinese truck and taxi drivers to collect qualitative and quantitative data concerning the current situation of fatigue driving and opinions regarding the design of FWSs. The results revealed that both truck and taxi drivers had a positive attitude toward FWSs, and they hoped this system could not only monitor and warn them regarding their fatigue but also somewhat relieve their fatigue before they could stop and rest. As for warning signals, participants preferred auditory warnings, as opposed to visual, vibrotactile or electric stimuli. Interestingly, it was proposed that verbal warnings involving the information regarding consequences of fatigue driving or the wishes of drivers' family members would be more effective. Additionally, different warning patterns, including graded, single and continuous warnings, were discussed in the focus group. Finally, the participants proposed many other suggestions, as well as their concerns regarding FWSs, which will provide valuable information for companies who wish to develop FWSs for professional drivers. Copyright © 2015. Published by Elsevier Ltd.

  4. Potential for Expanding the Near Real Time ForWarn Regional Forest Monitoring System to Include Alaska

    NASA Technical Reports Server (NTRS)

    Spruce, Joseph P.; Gasser, Gerald; Hargrove, William; Smoot, James; Kuper, Philip D.

    2014-01-01

    The on-line near real time (NRT) ForWarn system is currently deployed to monitor regional forest disturbances within the conterminous United States (CONUS), using daily MODIS Aqua and Terra NDVI data to derive monitoring products. The Healthy Forest Restoration Act of 2003 mandated such a system. Work on ForWarn began in 2006 with development and validation of retrospective MODIS NDVI-based forest monitoring products. Subsequently, NRT forest disturbance monitoring products were demonstrated, leading to the actual system deployment in 2010. ForWarn provides new CONUS forest disturbance monitoring products every 8 days, using USGS eMODIS data for current NDVI. ForWarn currently does not cover Alaska, which includes extensive forest lands at risk to multiple biotic and abiotic threats. This poster discusses a case study using Alaska eMODIS Terra data to derive ForWarn like forest change products during the 2010 growing season. The eMODIS system provides current MODIS Terra NDVI products for Alaska. Resulting forest change products were assessed with ground, aerial, and Landsat reference data. When cloud and snow free, these preliminary products appeared to capture regional forest disturbances from insect defoliation and fires; however, more work is needed to mitigate cloud and snow contamination, including integration of eMODIS Aqua data.

  5. Floods in 2002 and 2013: comparing flood warnings and emergency measures from the perspective of affected parties

    NASA Astrophysics Data System (ADS)

    Kreibich, Heidi; Pech, Ina; Schröter, Kai; Müller, Meike; Thieken, Annegret

    2016-04-01

    Early warning is essential for protecting people and mitigating damage in case of flood events. However, early warning is only helpful if the flood-endangered parties are reached by the warning and if they know how to react effectively. Finding suitable methods for communicating helpful warnings to the "last mile" remains a challenge, but not much information is available. Surveys were undertaken after the August 2002 and the June 2013 floods in Germany, asking affected private households and companies about warnings they received and emergency measures they undertook. Results show, that in 2002 early warning did not work well: in too many areas warnings came too late or were too imprecise and many people (27%) and companies (45%) did not receive a flood warning. Afterwards, the warning systems were significantly improved, so that in 2013 only a small share of the affected people (7%) and companies (7 %) was not reached by any warning. Additionally, private households and companies were hardly aware of the flood risk in the Elbe catchment before 2002, mainly due to a lack of flood experience. For instance, in 2002 only 14% of private households clearly knew how to protect themselves and their assets when the warning reached them, in 2013 this fraction was 46 %. Although the share of companies which had an emergency plan in place had increased from 10 % in 2002 to 26 % in 2013, and the share of those conducting regular emergency exercises had increased from 4 % to 13 %, there is still plenty of room for improvement. Therefore, integrated early warning systems from monitoring through to the reaction of the affected parties as well as effective risk and emergency communication need continuous further improvement to protect people and mitigate residual risks in case of floods.

  6. Performance of advance warning systems in a coordinated system : final report.

    DOT National Transportation Integrated Search

    2016-09-01

    The Advance Warning System (AWS), developed by the Nebraska Department of Roads (NDOR) has proven to be effective at improving traffic safety at isolated signalized intersections. However, the effectiveness of the system has not been analyzed at sign...

  7. The role of integrating natural and social science concepts for risk governance and the design of people-centred early warning systems. Case study from the German-Indonesian Tsunami Early Warning System Project (GITEWS)

    NASA Astrophysics Data System (ADS)

    Gebert, Niklas; Post, Joachim

    2010-05-01

    The development of early warning systems are one of the key domains of adaptation to global environmental change and contribute very much to the development of societal reaction and adaptive capacities to deal with extreme events. Especially, Indonesia is highly exposed to tsunami. In average every three years small and medium size tsunamis occur in the region causing damage and death. In the aftermath of the Indian Ocean Tsunami 2004, the German and Indonesian government agreed on a joint cooperation to develop a People Centered End-to-End Early Warning System (GITEWS). The analysis of risk and vulnerability, as an important step in risk (and early warning) governance, is a precondition for the design of effective early warning structures by delivering the knowledge base for developing institutionalized quick response mechanisms of organizations involved in the issuing of a tsunami warning, and of populations exposed to react to warnings and to manage evacuation before the first tsunami wave hits. Thus, a special challenge for developing countries is the governance of complex cross-sectoral and cross-scale institutional, social and spatial processes and requirements for the conceptualization, implementation and optimization of a people centered tsunami early warning system. In support of this, the risk and vulnerability assessment of the case study aims at identifying those factors that constitute the causal structure of the (dis)functionality between the technological warning and the social response system causing loss of life during an emergency situation: Which social groups are likely to be less able to receive and respond to an early warning alert? And, are people able to evacuate in due time? Here, only an interdisciplinary research approach is capable to analyze the socio-spatial and environmental conditions of vulnerability and risk and to produce valuable results for decision makers and civil society to manage tsunami risk in the early warning context. This requires the integration of natural / spatial and social science concepts, methods and data: E.g. a scenario based approach for tsunami inundation modeling was developed to provide decision makers with options to decide up to what level they aim to protect their people and territory, on the contrary household surveys were conducted for the spatial analysis of the evacuation preparedness of the population as a function of place specific hazard, risk, warning and evacuation perception; remote sensing was applied for the spatial analysis (land-use) of the socio-physical conditions of a city and region for evacuation; and existing social / population statistics were combined with land-use data for the precise spatial mapping of the population exposed to tsunami risks. Only by utilizing such a comprehensive assessment approach valuable information for risk governance can be generated. The results are mapped using GIS and designed according to the specific needs of different end-users, such as public authorities involved in the design of warning dissemination strategies, land-use planners (shelter planning, road network configuration) and NGOs mandated to provide education for the general public on tsunami risk and evacuation behavior. The case study of the city of Padang (one of the pilot areas of GITEWS), Indonesia clearly show, that only by intersecting social (vulnerability) and natural hazards research a comprehensive picture on tsunami risk can be provided with which risk governance in the early warning context can be conducted in a comprehensive, systemic and sustainable manner.

  8. Improved hospital mortality with a low MET dose: the importance of a modified early warning score and communication tool.

    PubMed

    Mullany, D V; Ziegenfuss, M; Goleby, M A; Ward, H E

    2016-11-01

    Rapid response systems have been mandated for the recognition and management of the deteriorating patient. Increasing medical emergency team (MET) dose may be associated with improved outcomes. Large numbers of MET calls may divert resources from the program providing the service unless additional personnel are provided. To describe the implementation and outcomes of a multifaceted rapid response system (RRS) in a teaching hospital, we conducted an observational study. The RRS consisted of the introduction of a MET together with 1) redesign of the ward observation chart with the vital sign variables colour-coded to identify variation from normal; 2) mandated minimum frequency of vital sign measurement; 3) three formal levels of escalation based on the degree of physiological instability as measured by a modified early warning score (MEWS); 4) COMPASS© education and e-learning package with a two-hour face-to-face small group tutorial; 5) practise in escalation and communication using the ISBAR (Identify, Situation, Background, Assessment, Response/Recommendation) communication tool. The primary outcome measures were all-cause hospital mortality rate and hospital standardised mortality ratio (HSMR) compared to peer hospitals calculated by the Health Round Table. There were 161,153 separations and 1,994 hospital deaths from July 2008 to December 2012. The MET call rate was 11.3 per 1000 separations in 2012. There was a decline in all-cause hospital mortality from 13.8 to 11 deaths/1000 separations. The HSMR decreased from 95.7 in 2008 to 66 in the second half of 2012 (below the three standard deviation control limit). A low MET dose may be associated with improved hospital mortality when combined with a MEWS and an intervention to improve communication.

  9. Calibration and validation of rainfall thresholds for shallow landslide forecasting in Sicily, southern Italy

    NASA Astrophysics Data System (ADS)

    Gariano, S. L.; Brunetti, M. T.; Iovine, G.; Melillo, M.; Peruccacci, S.; Terranova, O.; Vennari, C.; Guzzetti, F.

    2015-01-01

    Empirical rainfall thresholds are tools to forecast the possible occurrence of rainfall-induced shallow landslides. Accurate prediction of landslide occurrence requires reliable thresholds, which need to be properly validated before their use in operational warning systems. We exploited a catalogue of 200 rainfall conditions that have resulted in at least 223 shallow landslides in Sicily, southern Italy, in the 11-year period 2002-2011, to determine regional event duration-cumulated event rainfall (ED) thresholds for shallow landslide occurrence. We computed ED thresholds for different exceedance probability levels and determined the uncertainty associated to the thresholds using a consolidated bootstrap nonparametric technique. We further determined subregional thresholds, and we studied the role of lithology and seasonal periods in the initiation of shallow landslides in Sicily. Next, we validated the regional rainfall thresholds using 29 rainfall conditions that have resulted in 42 shallow landslides in Sicily in 2012. We based the validation on contingency tables, skill scores, and a receiver operating characteristic (ROC) analysis for thresholds at different exceedance probability levels, from 1% to 50%. Validation of rainfall thresholds is hampered by lack of information on landslide occurrence. Therefore, we considered the effects of variations in the contingencies and the skill scores caused by lack of information. Based on the results obtained, we propose a general methodology for the objective identification of a threshold that provides an optimal balance between maximization of correct predictions and minimization of incorrect predictions, including missed and false alarms. We expect that the methodology will increase the reliability of rainfall thresholds, fostering the operational use of validated rainfall thresholds in operational early warning system for regional shallow landslide forecasting.

  10. REWSET: A prototype seismic and tsunami early warning system in Rhodes island, Greece

    NASA Astrophysics Data System (ADS)

    Papadopoulos, Gerasimos; Argyris, Ilias; Aggelou, Savvas; Karastathis, Vasilis

    2014-05-01

    Tsunami warning in near-field conditions is a critical issue in the Mediterranean Sea since the most important tsunami sources are situated within tsunami wave travel times starting from about five minutes. The project NEARTOWARN (2012-2013) supported by the EU-DG ECHO contributed substantially to the development of new tools for the near-field tsunami early warning in the Mediterranean. One of the main achievements is the development of a local warning system in the test-site of Rhodes island (Rhodes Early Warning System for Earthquakes and Tsunamis - REWSET). The system is composed by three main subsystems: (1) a network of eight seismic early warning devices installed in four different localities of the island, one in the civil protection, another in the Fire Brigade and another two in municipality buildings; (2) two radar-type (ultrasonic) tide-gauges installed in the eastern coastal zine of the island which was selected since research on the historical earthquake and tsunami activity has indicated that the most important, near-field tsunami sources are situated offshore to the east of Rhodes; (3) a crisis Geographic Management System (GMS), which is a web-based and GIS-based application incorporating a variety of thematic maps and other information types. The seismic early warning devices activate by strong (magnitude around 6 or more) earthquakes occurring at distances up to about 100 km from Rhodes, thus providing immediate mobilization of the civil protection. The tide-gauges transmit sea level data, while during the crisis the GMS supports decisions to be made by civil protection. In the near future it is planned the REWSET system to be integrated with national and international systems. REWSET is a prototype which certainly could be developed in other coastal areas of the Mediterranean and beyond.

  11. Research and Application of an Air Quality Early Warning System Based on a Modified Least Squares Support Vector Machine and a Cloud Model.

    PubMed

    Wang, Jianzhou; Niu, Tong; Wang, Rui

    2017-03-02

    The worsening atmospheric pollution increases the necessity of air quality early warning systems (EWSs). Despite the fact that a massive amount of investigation about EWS in theory and practicality has been conducted by numerous researchers, studies concerning the quantification of uncertain information and comprehensive evaluation are still lacking, which impedes further development in the area. In this paper, firstly a comprehensive warning system is proposed, which consists of two vital indispensable modules, namely effective forecasting and scientific evaluation, respectively. For the forecasting module, a novel hybrid model combining the theory of data preprocessing and numerical optimization is first developed to implement effective forecasting for air pollutant concentration. Especially, in order to further enhance the accuracy and robustness of the warning system, interval forecasting is implemented to quantify the uncertainties generated by forecasts, which can provide significant risk signals by using point forecasting for decision-makers. For the evaluation module, a cloud model, based on probability and fuzzy set theory, is developed to perform comprehensive evaluations of air quality, which can realize the transformation between qualitative concept and quantitative data. To verify the effectiveness and efficiency of the warning system, extensive simulations based on air pollutants data from Dalian in China were effectively implemented, which illustrate that the warning system is not only remarkably high-performance, but also widely applicable.

  12. Research and Application of an Air Quality Early Warning System Based on a Modified Least Squares Support Vector Machine and a Cloud Model

    PubMed Central

    Wang, Jianzhou; Niu, Tong; Wang, Rui

    2017-01-01

    The worsening atmospheric pollution increases the necessity of air quality early warning systems (EWSs). Despite the fact that a massive amount of investigation about EWS in theory and practicality has been conducted by numerous researchers, studies concerning the quantification of uncertain information and comprehensive evaluation are still lacking, which impedes further development in the area. In this paper, firstly a comprehensive warning system is proposed, which consists of two vital indispensable modules, namely effective forecasting and scientific evaluation, respectively. For the forecasting module, a novel hybrid model combining the theory of data preprocessing and numerical optimization is first developed to implement effective forecasting for air pollutant concentration. Especially, in order to further enhance the accuracy and robustness of the warning system, interval forecasting is implemented to quantify the uncertainties generated by forecasts, which can provide significant risk signals by using point forecasting for decision-makers. For the evaluation module, a cloud model, based on probability and fuzzy set theory, is developed to perform comprehensive evaluations of air quality, which can realize the transformation between qualitative concept and quantitative data. To verify the effectiveness and efficiency of the warning system, extensive simulations based on air pollutants data from Dalian in China were effectively implemented, which illustrate that the warning system is not only remarkably high-performance, but also widely applicable. PMID:28257122

  13. Main components and characteristics of landslide early warning systems operational worldwide

    NASA Astrophysics Data System (ADS)

    Piciullo, Luca; Cepeda, José

    2017-04-01

    During the last decades the number of victims and economic losses due to natural hazards are dramatically increased worldwide. The reason can be mainly ascribed to climate changes and urbanization in areas exposed at high level of risk. Among the many mitigation measures available for reducing the risk to life related to natural hazards, early warning systems certainly constitute a significant cost-effective option available to the authorities in charge of risk management and governance. The aim is to help and protect populations exposed to natural hazards, reducing fatalities when major events occur. Landslide is one of the natural hazards addressed by early warning systems. Landslide early warning systems (LEWSs) are mainly composed by the following four components: set-up, correlation laws, decisional algorithm and warning management. Within this framework, the set-up includes all the preliminary actions and choices necessary for designing a LEWS, such as: the area covered by the system, the types of landslides and the monitoring instruments. The monitoring phase provides a series of important information on different variables, considered as triggering factors for landslides, in order to define correlation laws and thresholds. Then, a decisional algorithm is necessary for defining the: number of warning levels to be employed in the system, decision making procedures, and everything else system managers may need for issuing warnings in different warning zones. Finally the warning management is composed by: monitoring and warning strategy; communication strategy; emergency plan and, everything connected to the social sphere. Among LEWSs operational worldwide, two categories can be defined as a function of the scale of analysis: "local" and "territorial" systems. The scale of analysis influences several actions and aspects connected to the design and employment of the system, such as: the actors involved, the monitoring systems, type of landslide phenomena addressed and variables to be considered for correlations. The characteristics of LEWSs at local scale are strongly affected by numerous constraints and factors, from time to time different, related to the characteristics of the problem they address. Monitoring measures, variables and correlation laws considered for the design and employment of local LEWSs, strongly depends on the type of landslide to be addressed. On the other hand, territorial LEWSs mainly deals with rainfall-induced landslides characterized by fast slope movement. These systems have become a risk management approach, employed worldwide over areas of relevant extension. Before 2005 only few experiences of LEWSs at a regional scale were carried out, such as in: Hong Kong, China; Zhejiang Province, China; San Francisco Bay, California, USA; Appalachians, USA; Oregon, USA; Rio de Janeiro, Brazil. Since the beginning of the XXI century, increased knowledge on rainfall-landslide correlations and upgraded technologies in weather forecast have promoted the development and improvement of territorial LEWSs around the world.

  14. Economics of Early Warning Scores for identifying clinical deterioration-a systematic review.

    PubMed

    Murphy, A; Cronin, J; Whelan, R; Drummond, F J; Savage, E; Hegarty, J

    2018-02-01

    In 2013, a National Early Warning System (EWS) was implemented in Ireland. Whilst evidence exists to support the clinical effectiveness of EWS in the acute health care setting, there is a paucity of information on their cost and cost effectiveness. The objective of this systematic literature review was to critically evaluate the economic literature on the use of EWS in adult patients in acute health care settings for the timely detection of physiological deterioration. A systematic literature review was conducted to accumulate the economic evidence on the use of EWS in adult patients in acute health care settings. The search yielded one health technology assessment, two budget impact analyses and two cost descriptions. Three of the studies were Irish, and considered the national EWS system. A Dutch study reported financial consequences of a single parameter EWS, as part of a rapid response system, in a surgical ward. The fifth study examined an advanced triage system in a medical emergency admission unit in Wales. The economic evidence on the use of EWS amongst adult patients in acute health care settings for the timely detection of physiological deterioration is limited. Further research is required to investigate the cost effectiveness of EWS, and the appropriateness of using standard methods to do so. The recent implementation of a national EWS in Ireland offers a unique opportunity to bridge this gap in the literature to examine the costs and cost effectiveness of a nationally implemented EWS system.

  15. Real-time earthquake data feasible

    NASA Astrophysics Data System (ADS)

    Bush, Susan

    Scientists agree that early warning devices and monitoring of both Hurricane Hugo and the Mt. Pinatubo volcanic eruption saved thousands of lives. What would it take to develop this sort of early warning and monitoring system for earthquake activity?Not all that much, claims a panel assigned to study the feasibility, costs, and technology needed to establish a real-time earthquake monitoring (RTEM) system. The panel, drafted by the National Academy of Science's Committee on Seismology, has presented its findings in Real-Time Earthquake Monitoring. The recently released report states that “present technology is entirely capable of recording and processing data so as to provide real-time information, enabling people to mitigate somewhat the earthquake disaster.” RTEM systems would consist of two parts—an early warning system that would give a few seconds warning before severe shaking, and immediate postquake information within minutes of the quake that would give actual measurements of the magnitude. At this time, however, this type of warning system has not been addressed at the national level for the United States and is not included in the National Earthquake Hazard Reduction Program, according to the report.

  16. Who to handover: a case-control study of a novel scoring system to prioritise handover of internal medicine inpatients.

    PubMed

    Bittman, Jesse; Tam, Penny; Little, Chris; Khan, Nadia

    2017-06-01

    Handover of patients between care providers is a critical event in patient care. There is, however, little evidence to guide the handover process, including determining which patients to handover. Compare the ability of gestalt-based handover with two structured scores, the modified early warning score (MEWS) and our novel iHAND clinical decision support system, to predict which patients will be assessed by a physician overnight. This case-control study included 90 inpatients, comprising 32 patients assessed overnight (cases) and 58 patients not assessed overnight (controls) at a teaching hospital in British Columbia, Canada (May 2012). Gestalt, MEWS and iHAND scores were analysed against patients seen overnight using logistic regression and receiver-operating characteristic (ROC) curves. Neither current gestalt-based handover practice (odds ratio (OR) 1.50, 95% CI 0.89 to 3.83) nor MEWS (OR 0.96, 95% CI 0.75 to 1.24, area under the ROC curve (AUC) 0.61, 95% CI 0.49 to 0.73) were significantly associated with need to be seen overnight. The iHAND score was associated with need to be seen (OR 1.93, 95% CI 1.24 to 3.02, AUC 0.70, 95% CI 0.60 to 0.81). The iHAND score had moderate ability to predict which patients required assessment overnight, while MEWS score and current gestalt approach correlated poorly, suggesting the iHAND score may help prioritisation of patients likely to be seen overnight for handover. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  17. Effect of warning placement on the information processing of college students reading an OTC drug facts panel.

    PubMed

    Bhansali, Archita H; Sangani, Darshan S; Mhatre, Shivani K; Sansgiry, Sujit S

    2018-01-01

    To compare three over-the-counter (OTC) Drug Facts panel versions for information processing optimization among college students. University of Houston students (N = 210) participated in a cross-sectional survey from January to May 2010. A current FDA label was compared to two experimental labels developed using the theory of CHREST to test information processing by re-positioning the warning information within the Drug Facts panel. Congruency was defined as placing like information together. Information processing was evaluated using the OTC medication Label Evaluation Process Model (LEPM): label comprehension, ease-of-use, attitude toward the product, product evaluation, and purchase intention. Experimental label with chunked congruent information (uses-directions-other information-warnings) was rated significantly higher than the current FDA label and had the best average scores among the LEPM information processing variables. If replications uphold these findings, the FDA label design might be revised to improve information processing.

  18. In-Vehicle Safety Advisory And Warning System (Ivsaws), Volume I: Executive Summary

    DOT National Transportation Integrated Search

    1996-03-01

    THE INVEHICLE SAFETY ADVISORY AND WARNING SYSTEM (IVSAWS) IS A FEDERAL HIGHWAY ADMINISTRATION EFFORT TO DEVELOP A NATIONWIDE VEHICULAR INFORMATION SYSTEM THAT PROVIDES DRIVERS WITH ADVANCE, SUPPLEMENTAL NOTIFICATION OF DANGEROUS ROAD CONDITIONS USING...

  19. Highway fog warning system

    DOT National Transportation Integrated Search

    1999-04-01

    The need for a highway fog warning system has long been internationally recognized. With such a system, motorists can avoid tragic pile-up accidents caused by dense or patchy fog. The development of a cost-effective highway visibility sensor that mea...

  20. Staging systems of hepatocellular carcinoma: A review of literature

    PubMed Central

    Maida, Marcello; Orlando, Emanuele; Cammà, Calogero; Cabibbo, Giuseppe

    2014-01-01

    Hepatocellular carcinoma (HCC) is a major health problem with a high incidence and mortality all over the world. Natural history of HCC is severe and extremely variable, and prognostic factors influencing outcomes are incompletely defined. Over time, many staging and scoring systems have been proposed for the classification and prognosis of patients with HCC. Currently, the non-ideal predictive performance of existing prognostic systems is secondary to their inherent limitations, as well as to a non-universal reproducibility and transportability of the results in different populations. New serological and histological markers are still under evaluation with promising results, but they require further evaluation and external validation. The aim of this review is to highlight the main tools for assessing the prognosis of HCC and the main concerns, pitfalls and warnings regarding its staging systems currently in use. PMID:24764652

  1. Development and Application of a Message Metric for NOAA NWS Tsunami Warnings and Recommended Guidelines for the NWS TsunamiReady Program

    NASA Astrophysics Data System (ADS)

    Gregg, C. E.; Johnston, D. M.; Ricthie, L.; Meinhold, S.; Johnson, V.; Scott, C.; Farnham, C.; Houghton, B. F.; Horan, J.; Gill, D.

    2012-12-01

    Improving the quality and effectiveness of tsunami warning messages and the TsunamiReady community preparedness program of the US National Oceanic and Atmospheric Administration, National Weather Service's (NWS), Tsunami Program are two key objectives of a three year project (Award NA10NWS4670015) to help integrate social science into the NWS' Tsunami Program and improve the preparedness of member states and territories of the National Tsunami Hazard Mitigation Program (NTHMP). Research was conducted in collaboration with state and local emergency managers. Based on findings from focus group meetings with a purposive sample of local, state and Federal stakeholders and emergency managers in six states (AK, WA, OR, CA, HI and NC) and two US Territories (US Virgin Islands and American Samoa), and upon review of research literature on behavioral response to warnings, we developed a warning message metric to help guide revisions to tsunami warning messages issued by the NWS' West Coast/Alaska Tsunami Warning Center, Alaska and Pacific Tsunami Warning Center, Hawaii. The metric incorporates factors that predict response to warning information, which are divided into categories of Message Content, Style, Order and Formatting and Receiver Characteristics. A message is evaluated by cross-referencing the message with the meaning of metric factors and assigning a maximum score of one point per factor. Findings are then used to guide revisions of the message until the characteristics of each factor are met. From focus groups that gathered information on the usefulness and achievability of tsunami preparedness actions, we developed recommendations for revisions to the proposed draft guidelines of the TsunamiReady Improvement Program. Proposed key revisions include the incorporation of community vulnerability to distant (far-field) versus local (near-field) tsunamis as a primary determinant of mandatory actions, rather than community population. Our team continues to work with NWS personnel, including a NWS Tsunami Warning Improvement Team, and the focus group participants to finalize and pilot test prototype warning products and the draft TsunamiReady guidelines.

  2. Security warning system monitors up to fifteen remote areas simultaneously

    NASA Technical Reports Server (NTRS)

    Fusco, R. C.

    1966-01-01

    Security warning system consisting of 15 television cameras is capable of monitoring several remote or unoccupied areas simultaneously. The system uses a commutator and decommutator, allowing time-multiplexed video transmission. This security system could be used in industrial and retail establishments.

  3. Massachusetts Early Warning Indicator System (EWIS). "Technical Descriptions of Risk Model Development": Middle and High School Age Groupings (Grades 7-12)

    ERIC Educational Resources Information Center

    Massachusetts Department of Elementary and Secondary Education, 2013

    2013-01-01

    The Massachusetts Department of Elementary and Secondary Education (Department) created the grades 1-12 Early Warning Indicator System (EWIS) in response to district interest in the Early Warning Indicator Index (EWII) that the Department previously created for rising grade 9 students. Districts shared that the EWII data were helpful, but also…

  4. Massachusetts Early Warning Indicator System (EWIS). "Technical Descriptions of Risk Model Development": Early and Late Elementary Age Groupings (Grades 1-6)

    ERIC Educational Resources Information Center

    Massachusetts Department of Elementary and Secondary Education, 2013

    2013-01-01

    The Massachusetts Department of Elementary and Secondary Education (Department) created the grades 1-12 Early Warning Indicator System (EWIS) in response to district interest in the Early Warning Indicator Index (EWII) that the Department previously created for rising grade 9 students. Districts shared that the EWII data were helpful, but also…

  5. Detectable Warnings : Testing and Performance Evaluation at Transit Systems

    DOT National Transportation Integrated Search

    1994-11-01

    A detectable warning is a standardized surface feature, comprised of closely spaced surface projections (truncated domes), built in or applied to walking surfaces to warn visibly impaired individuals of hazards. U.S. DOT regulations, under the Americ...

  6. Effects of stressor characteristics on early warning signs of critical transitions and "critical coupling" in complex dynamical systems.

    PubMed

    Blume, Steffen O P; Sansavini, Giovanni

    2017-12-01

    Complex dynamical systems face abrupt transitions into unstable and catastrophic regimes. These critical transitions are triggered by gradual modifications in stressors, which push the dynamical system towards unstable regimes. Bifurcation analysis can characterize such critical thresholds, beyond which systems become unstable. Moreover, the stochasticity of the external stressors causes small-scale fluctuations in the system response. In some systems, the decomposition of these signal fluctuations into precursor signals can reveal early warning signs prior to the critical transition. Here, we present a dynamical analysis of a power system subjected to an increasing load level and small-scale stochastic load perturbations. We show that the auto- and cross-correlations of bus voltage magnitudes increase, leading up to a Hopf bifurcation point, and further grow until the system collapses. This evidences a gradual transition into a state of "critical coupling," which is complementary to the established concept of "critical slowing down." Furthermore, we analyze the effects of the type of load perturbation and load characteristics on early warning signs and find that gradient changes in the autocorrelation provide early warning signs of the imminent critical transition under white-noise but not for auto-correlated load perturbations. Furthermore, the cross-correlation between all voltage magnitude pairs generally increases prior to and beyond the Hopf bifurcation point, indicating "critical coupling," but cannot provide early warning indications. Finally, we show that the established early warning indicators are oblivious to limit-induced bifurcations and, in the case of the power system model considered here, only react to an approaching Hopf bifurcation.

  7. Web-based Tsunami Early Warning System with instant Tsunami Propagation Calculations in the GPU Cloud

    NASA Astrophysics Data System (ADS)

    Hammitzsch, M.; Spazier, J.; Reißland, S.

    2014-12-01

    Usually, tsunami early warning and mitigation systems (TWS or TEWS) are based on several software components deployed in a client-server based infrastructure. The vast majority of systems importantly include desktop-based clients with a graphical user interface (GUI) for the operators in early warning centers. However, in times of cloud computing and ubiquitous computing the use of concepts and paradigms, introduced by continuously evolving approaches in information and communications technology (ICT), have to be considered even for early warning systems (EWS). Based on the experiences and the knowledge gained in three research projects - 'German Indonesian Tsunami Early Warning System' (GITEWS), 'Distant Early Warning System' (DEWS), and 'Collaborative, Complex, and Critical Decision-Support in Evolving Crises' (TRIDEC) - new technologies are exploited to implement a cloud-based and web-based prototype to open up new prospects for EWS. This prototype, named 'TRIDEC Cloud', merges several complementary external and in-house cloud-based services into one platform for automated background computation with graphics processing units (GPU), for web-mapping of hazard specific geospatial data, and for serving relevant functionality to handle, share, and communicate threat specific information in a collaborative and distributed environment. The prototype in its current version addresses tsunami early warning and mitigation. The integration of GPU accelerated tsunami simulation computations have been an integral part of this prototype to foster early warning with on-demand tsunami predictions based on actual source parameters. However, the platform is meant for researchers around the world to make use of the cloud-based GPU computation to analyze other types of geohazards and natural hazards and react upon the computed situation picture with a web-based GUI in a web browser at remote sites. The current website is an early alpha version for demonstration purposes to give the concept a whirl and to shape science's future. Further functionality, improvements and possible profound changes have to implemented successively based on the users' evolving needs.

  8. Pre-hospital National Early Warning Score (NEWS) is associated with in-hospital mortality and critical care unit admission: A cohort study.

    PubMed

    Abbott, Tom E F; Cron, Nicholas; Vaid, Nidhi; Ip, Dorothy; Torrance, Hew D T; Emmanuel, Julian

    2018-03-01

    National Early Warning Score (NEWS) is increasingly used in UK hospitals. However, there is only limited evidence to support the use of pre-hospital early warning scores. We hypothesised that pre-hospital NEWS was associated with death or critical care escalation within the first 48 h of hospital stay. Planned secondary analysis of a prospective cohort study at a single UK teaching hospital. Consecutive medical ward admissions over a 20-day period were included in the study. Data were collected from ambulance report forms, medical notes and electronic patient records. Pre-hospital NEWS was calculated retrospectively. The primary outcome was a composite of death or critical care unit escalation within 48 h of hospital admission. The secondary outcome was length of hospital stay. 189 patients were included in the analysis. The median pre-hospital NEWS was 3 (IQR 1-5). 13 patients (6.9%) died or were escalated to the critical care unit within 48 h of hospital admission. Pre-hospital NEWS was associated with death or critical care unit escalation (OR, 1.25; 95% CI, 1.04-1.51; p = 0.02), but NEWS on admission to hospital was more strongly associated with this outcome (OR, 1.52; 95% CI, 1.18-1.97, p < 0.01). Neither was associated with hospital length of stay. Pre-hospital NEWS was associated with death or critical care unit escalation within 48 h of hospital admission. NEWS could be used by ambulance crews to assist in the early triage of patients requiring hospital treatment or rapid transport. Further cohort studies or trials in large samples are required before implementation.

  9. A single-centre cohort study of National Early Warning Score (NEWS) and near patient testing in acute medical admissions.

    PubMed

    Abbott, Tom E F; Torrance, Hew D T; Cron, Nicholas; Vaid, Nidhi; Emmanuel, Julian

    2016-11-01

    The utility of an early warning score may be improved when used with near patient testing. However, this has not yet been investigated for National Early Warning Score (NEWS). We hypothesised that the combination of NEWS and blood gas variables (lactate, glucose or base-excess) was more strongly associated with clinical outcome compared to NEWS alone. This was a prospective cohort study of adult medical admissions to a single-centre over 20days. Blood gas results and physiological observations were recorded at admission. NEWS was calculated retrospectively and combined with the biomarkers in multivariable logistic regression models. The primary outcome was a composite of mortality or critical care escalation within 2days of hospital admission. The secondary outcome was hospital length of stay. After accounting for missing data, 15 patients out of 322 (4.7%) died or were escalated to the critical care unit. The median length of stay was 4 (IQR 7) days. When combined with lactate or base excess, NEWS was associated with the primary outcome (OR 1.18, p=0.01 and OR 1.13, p=0.03). However, NEWS alone was more strongly associated with the primary outcome measure (OR 1.46, p<0.01). The combination of NEWS with glucose was not associated with the primary outcome. Neither NEWS nor any combination of NEWS and a biomarker were associated with hospital length of stay. Admission NEWS is more strongly associated with death or critical care unit admission within 2days of hospital admission, compared to combinations of NEWS and blood-gas derived biomarkers. Copyright © 2016 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  10. Drunk driving warning system (DDWS). Volume 1, System concept and description

    DOT National Transportation Integrated Search

    1983-11-01

    The Drunk Driving Warning System (DDWS) is a vehicle-mounted device for testing driver impairment and activating alarms. The driver must pass a steering competency test in order to drive the car in a normal manner. The emergency flasher system operat...

  11. Advanced LED warning system for rural intersections : phase 2 (ALERT-2) : final report.

    DOT National Transportation Integrated Search

    2014-02-01

    This report presents findings of the second phase of the Advanced LED Warning System for Rural : Intersections (ALERT) project. Since it is the next generation of the same system, the second phase : system is referred to as the ALERT-2 system while t...

  12. Physiological scoring: an aid to emergency medical services transport decisions?

    PubMed

    Challen, Kirsty; Walter, Darren

    2010-01-01

    Attendance at UK emergency departments is rising steadily despite the proliferation of alternative unscheduled care providers. Evidence is mixed on the willingness of emergency medical services (EMS) providers to decline to transport patients and the safety of incorporating such an option into EMS provision. Physiologically based Early Warning Scores are in use in many hospitals and emergency departments, but not yet have been proven to be of benefit in the prehospital arena. The use of a physiological-social scoring system could safely identify patients calling EMS who might be diverted from the emergency department to an alternative, unscheduled, care provider. This was a retrospective, cohort study of patients with a presenting complaint of "shortness of breath" or "difficulty breathing" transported to the emergency department by EMS. Retrospective calculation of a physiological social score (PMEWS) based on first recorded data from EMS records was performed. Outcome measures of hospital admission and need for physiologically stabilizing treatment in the emergency department also were performed. A total of 215 records were analyzed. One hundred thirty-nine (65%) patients were admitted from the emergency department or received physiologically stabilizing treatment in the emergency department. Area Under the Receiver Operating Characteristic Curve (AUROC) for hospital admission was 0.697 and for admission or physiologically stabilizing treatment was 0.710. No patient scoring<2 was admitted or received stabilizing treatment. Despite significant over-triage, this system could have diverted 79 patients safely from the emergency department to alternative, unscheduled, care providers.

  13. Effects of active warning reliability on motorist compliance at highway-railroad grade crossings.

    DOT National Transportation Integrated Search

    2007-11-01

    The Federal Railroad Administration is interested in understanding the effect of warning reliability on motorist compliance to warnings at active grade crossings. The John A. Volpe National Transportation Systems Center conducted two studies to exami...

  14. 76 FR 17613 - Aviation Service Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ...) regarding audio visual warning systems (AVWS). OCAS, Inc. installs such technology under the trademark OCAS... frequencies to activate obstruction lighting and transmit audible warnings to aircraft on a potential... transmit audible warnings to pilots. We seek comment on operational, licensing, eligibility and equipment...

  15. Constructing early warning information release system in towns enterprise clean production

    NASA Astrophysics Data System (ADS)

    Yuwen, Huixin; He, Xueqiu; Qian, Xinming; Yuan, Mengqi

    2017-08-01

    China’s industry boom has not only brought unprecedented prosperity, but also caused the gradual depletion of various resources and the worsening of the natural environment. Experts admit that China is facing serious environmental problem, but they believe that they can seek a new path to overcome it through joint efforts. Early warning information release and clean production are the important concepts in addressing the imminent crisis. Early warning information release system can monitor and forecast the risk that affects the clean production. The author drawn the experiences and lessons from developed countries, combined with China’s reality, put forward countermeasures and suggestions about constructing early warning information release system in process of Chinese town-scaled enterprises clean production.

  16. Early warning signal for interior crises in excitable systems.

    PubMed

    Karnatak, Rajat; Kantz, Holger; Bialonski, Stephan

    2017-10-01

    The ability to reliably predict critical transitions in dynamical systems is a long-standing goal of diverse scientific communities. Previous work focused on early warning signals related to local bifurcations (critical slowing down) and nonbifurcation-type transitions. We extend this toolbox and report on a characteristic scaling behavior (critical attractor growth) which is indicative of an impending global bifurcation, an interior crisis in excitable systems. We demonstrate our early warning signal in a conceptual climate model as well as in a model of coupled neurons known to exhibit extreme events. We observed critical attractor growth prior to interior crises of chaotic as well as strange-nonchaotic attractors. These observations promise to extend the classes of transitions that can be predicted via early warning signals.

  17. Early Warning System for reducing disaster risk: the technological platform DEWETRA for the Republic of Serbia

    NASA Astrophysics Data System (ADS)

    Massabo, Marco; Molini, Luca; Kostic, Bojan; Campanella, Paolo; Stevanovic, Slavimir

    2015-04-01

    Disaster risk reduction has long been recognized for its role in mitigating the negative environmental, social and economic impacts of natural hazards. Flood Early Warning System is a disaster risk reduction measure based on the capacities of institutions to observe and predict extreme hydro-meteorological events and to disseminate timely and meaningful warning information; it is furthermore based on the capacities of individuals, communities and organizations to prepare and to act appropriately and in sufficient time to reduce the possibility of harm or loss. An operational definition of an Early Warning System has been suggested by ISDR - UN Office for DRR [15 January 2009]: "EWS is the set of capacities needed to generate and disseminate timely and meaningful warning information to enable individuals, communities and organizations threatened by a hazard to prepare and to act appropriately and in sufficient time to reduce the possibility of harm or loss.". ISDR continues by commenting that a people-centered early warning system necessarily comprises four key elements: 1-knowledge of the risks; 2-monitoring, analysis and forecasting of the hazards; 3-communication or dissemination of alerts and warnings; and 4- local capabilities to respond to the warnings received." The technological platform DEWETRA supports the strengthening of the first three key elements of EWS suggested by ISDR definition, hence to improve the capacities to build real-time risk scenarios and to inform and warn the population in advance The technological platform DEWETRA has been implemented for the Republic of Serbia. DEWETRA is a real time-integrate system that supports decision makers for risk forecasting and monitoring and for distributing warnings to end-user and to the general public. The system is based on the rapid availability of different data that helps to establish up-to-date and reliable risk scenarios. The integration of all relevant data for risk management significantly increases the value of available information and the level of knowledge of forecasters and disaster managers. Different data, forecast and monitoring products, which are generated by different national and international institution and organizations, can be visualized and processed in real-time within the platform. DEWETRA is a web application ensuring the capillary distribution of information among institutions. The system is used as an infrastructure for exchanging and sharing data, procedures, models and expertise among the Sector of Emergency Management (SEM), the Republic Hydro-Meteorological Service of Serbia (RHMSS) and the Serbian Public Water Companies (PWCs): Serbia Waters, Vojvodina Waters and Belgrade Waters.

  18. Comparison of Expected Crash and Injury Reduction from Production Forward Collision and Lane Departure Warning Systems.

    PubMed

    Kusano, Kristofer D; Gabler, Hampton C

    2015-01-01

    The U.S. New Car Assessment Program (NCAP) now tests for forward collision warning (FCW) and lane departure warning (LDW). The design of these warnings differs greatly between vehicles and can result in different real-world field performance in preventing or mitigating the effects of collisions. The objective of this study was to compare the expected number of crashes and injured drivers that could be prevented if all vehicles in the fleet were equipped with the FCW and LDW systems tested under the U.S. NCAP. To predict the potential crashes and serious injury that could be prevented, our approach was to computationally model the U.S. crash population. The models simulated all rear-end and single-vehicle road departure collisions that occurred in a nationally representative crash database (NASS-CDS). A sample of 478 single-vehicle crashes from NASS-CDS 2012 was the basis for 24,822 simulations for LDW. A sample of 1,042 rear-end collisions from NASS-CDS years 1997-2013 was the basis for 7,616 simulations for FCW. For each crash, 2 simulations were performed: (1) without the system present and (2) with the system present. Models of each production safety system were based on 54 model year 2010-2014 vehicles that were evaluated under the NCAP confirmation procedure for LDW and/or FCW. NCAP performed 40 LDW and 45 FCW tests of these vehicles. The design of the FCW systems had a dramatic impact on their potential to prevent crashes and injuries. Between 0 and 67% of crashes and 2 and 69% of moderately to fatally injured drivers in rear-end impacts could have been prevented if all vehicles were equipped with the FCW systems. Earlier warning times resulted in increased benefits. The largest effect on benefits, however, was the lower operating speed threshold of the systems. Systems that only operated at speeds above 20 mph were less than half as effective as those that operated above 5 mph with similar warning times. The production LDW systems could have prevented between 11 and 23% of drift-out-of-lane crashes and 13 and 22% of seriously to fatally injured drivers. A majority of the tested LDW systems delivered warnings near the point when the vehicle first touched the lane line, leading to similar benefits. Minimum operating speed also greatly affected LDW effectiveness. The results of this study show that the expected field performance of FCW and LDW systems are highly dependent on the design and system limitations. Systems that delivered warnings earlier and operated at lower speeds may prevent far more crashes and injuries than systems that warn late and operate only at high speeds. These results suggest that future FCW and LDW evaluation should prioritize early warnings and full-speed range operation. A limitation of this study is that additional crash avoidance features that may also mitigate collisions-for example, brake assist, automated braking, or lane-keeping assistance-were not evaluated during the NCAP tests or in our benefits models. The potential additional mitigating effects of these systems were not quantified in this study.

  19. Performance analysis of landslide early warning systems at regional scale: the EDuMaP method

    NASA Astrophysics Data System (ADS)

    Piciullo, Luca; Calvello, Michele

    2016-04-01

    Landslide early warning systems (LEWSs) reduce landslide risk by disseminating timely and meaningful warnings when the level of risk is judged intolerably high. Two categories of LEWSs, can be defined on the basis of their scale of analysis: "local" systems and "regional" systems. LEWSs at regional scale (ReLEWSs) are used to assess the probability of occurrence of landslides over appropriately-defined homogeneous warning zones of relevant extension, typically through the prediction and monitoring of meteorological variables, in order to give generalized warnings to the public. Despite many studies on ReLEWSs, no standard requirements exist for assessing their performance. Empirical evaluations are often carried out by simply analysing the time frames during which significant high-consequence landslides occurred in the test area. Alternatively, the performance evaluation is based on 2x2 contingency tables computed for the joint frequency distribution of landslides and alerts, both considered as dichotomous variables. In all these cases, model performance is assessed neglecting some important aspects which are peculiar to ReLEWSs, among which: the possible occurrence of multiple landslides in the warning zone; the duration of the warnings in relation to the time of occurrence of the landslides; the level of the warning issued in relation to the landslide spatial density in the warning zone; the relative importance system managers attribute to different types of errors. An original approach, called EDuMaP method, is proposed to assess the performance of landslide early warning models operating at regional scale. The method is composed by three main phases: Events analysis, Duration Matrix, Performance analysis. The events analysis phase focuses on the definition of landslide (LEs) and warning events (WEs), which are derived from available landslides and warnings databases according to their spatial and temporal characteristics by means of ten input parameters. The evaluation of time associated with the occurrence of landslide events (LE) in relation to the occurrence of warning events (WE) in their respective classes is a fundamental step to determine the duration matrix elements. On the other hand the classification of LEs and WEs establishes the structure of the duration matrix. Indeed, the number of rows and columns of the matrix is equal to the number of classes defined for the warning and landslide events, respectively. Thus the matrix is not expressed as a 2x2 contingency and LEs and WEs are not expressed as dichotomous variables. The final phase of the method is the evaluation of the duration matrix based on a set of performance criteria assigning a performance meaning to the element of the matrix. To this aim different criteria can be defined, for instance employing an alert classification scheme derived from 2x2 contingency tables or assigning a colour code to the elements of the matrix in relation to their grade of correctness. Finally, performance indicators can be derived from the performance criteria to quantify successes and errors of the early warning models. EDuMaP has been already applied to different real case studies, highlighting the adaptability of the method to analyse the performance of structurally different ReLEWSs.

  20. Big Data and Predictive Analytics: Applications in the Care of Children.

    PubMed

    Suresh, Srinivasan

    2016-04-01

    Emerging changes in the United States' healthcare delivery model have led to renewed interest in data-driven methods for managing quality of care. Analytics (Data plus Information) plays a key role in predictive risk assessment, clinical decision support, and various patient throughput measures. This article reviews the application of a pediatric risk score, which is integrated into our hospital's electronic medical record, and provides an early warning sign for clinical deterioration. Dashboards that are a part of disease management systems, are a vital tool in peer benchmarking, and can help in reducing unnecessary variations in care. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Evaluation of Intersection Collision Warning Systems in Minnesota

    DOT National Transportation Integrated Search

    2017-10-01

    The Minnesota Department of Transportation (MnDOT) is investing significant resources in intersection collision warning systems (ICWS) based on early indications of effectiveness. However, the effectiveness is not well documented, and negative change...

  2. Disaster warning satellite study

    NASA Technical Reports Server (NTRS)

    1971-01-01

    The Disaster Warning Satellite System is described. It will provide NOAA with an independent, mass communication system for the purpose of warning the public of impending disaster and issuing bulletins for corrective action to protect lives and property. The system consists of three major segments. The first segment is the network of state or regional offices that communicate with the central ground station; the second segment is the satellite that relays information from ground stations to home receivers; the third segment is composed of the home receivers that receive information from the satellite and provide an audio output to the public. The ground stations required in this system are linked together by two, separate, voice bandwidth communication channels on the Disaster Warning Satellites so that a communications link would be available in the event of disruption of land line service.

  3. How drug-like are 'ugly' drugs: do drug-likeness metrics predict ADME behaviour in humans?

    PubMed

    Ritchie, Timothy J; Macdonald, Simon J F

    2014-04-01

    Using a published drug-likeness score based on the calculated physicochemical properties of marketed oral drugs (quantitative estimate of drug-likeness, QED) and published human data, high-scoring and low-scoring drugs were compared to determine how well the score correlated with their actual pharmaceutical and pharmacokinetic (PK) profiles in humans. Drugs with high QED scores exhibit higher absorption and bioavailability, are administered at lower doses and have fewer drug-drug interaction warnings, P-glycoprotein interactions and absorption issues due to a food effect. By contrast, the high-scoring drugs exhibit similar behaviour to low-scoring drugs with respect to free fraction in plasma, extent of gut-wall metabolism, first-pass hepatic extraction, elimination half-life, clearance, volume of distribution and frequency of dosing. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. Safety impact of an integrated crash warning system based on field test data.

    DOT National Transportation Integrated Search

    2011-06-13

    This paper provides the results of an analysis : conducted to assess the safety impact of an integrated : vehicle-based crash warning system based on : naturalistic driving data collected from a field : operational test. The system incorporates four ...

  5. Tsunami Early Warning for the Indian Ocean Region - Status and Outlook

    NASA Astrophysics Data System (ADS)

    Lauterjung, Joern; Rudloff, Alexander; Muench, Ute; Gitews Project Team

    2010-05-01

    The German-Indonesian Tsunami Early Warning System (GITEWS) for the Indian Ocean region has gone into operation in Indonesia in November 2008. The system includes a seismological network, together with GPS stations and a network of GPS buoys additionally equipped with ocean bottom pressure sensors and a tide gauge network. The different sensor systems have, for the most part, been installed and now deliver respective data either online or interactively upon request to the Warning Centre in Jakarta. Before 2011, however, the different components requires further optimization and fine tuning, local personnel needs to be trained and eventual problems in the daily operation have to be dealt with. Furthermore a company will be founded in the near future, which will guarantee a sustainable maintenance and operation of the system. This concludes the transfer from a temporarily project into a permanent service. This system established in Indonesia differs from other Tsunami Warning Systems through its application of modern scientific methods and technologies. New procedures for the fast and reliable determination of strong earthquakes, deformation monitoring by GPS, the modeling of tsunamis and the assessment of the situation have been implemented in the Warning System architecture. In particular, the direct incorporation of different sensors provides broad information already at the early stages of Early Warning thus resulting in a stable system and minimizing breakdowns and false alarms. The warning system is designed in an open and modular structure based on the most recent developments and standards of information technology. Therefore, the system can easily integrate additional sensor components to be used for other multi-hazard purposes e.g. meteorological and hydrological events. Up to now the German project group is cooperating in the Indian Ocean region with Sri Lanka, the Maldives, Iran, Yemen, Tanzania and Kenya to set up the equipment primarily for seismological monitoring and data analysis. The automatic seismic data processing software SeisComP3, is not only operational in the warning centre in Jakarta and successfully used for rapid earthquake information, but also in different Indian Ocean rim countries like the once mentioned before as well as in India, Thailand and Pakistan. Close cooperation has been established with Australia, South Africa and India for the real-time exchange mainly of seismological and sea level data.

  6. Surveillance and early warning systems of infectious disease in China: From 2012 to 2014.

    PubMed

    Zhang, Honglong; Wang, Liping; Lai, Shengjie; Li, Zhongjie; Sun, Qiao; Zhang, Peng

    2017-07-01

    Appropriate surveillance and early warning of infectious diseases have very useful roles in disease control and prevention. In 2004, China established the National Notifiable Infectious Disease Surveillance System and the Public Health Emergency Event Surveillance System to report disease surveillance and events on the basis of data sources from the National Notifiable Infectious Disease Surveillance System, China Infectious Disease Automated-alert and Response System in this country. This study provided a descriptive summary and a data analysis, from 2012 to 2014, of these 3 key surveillance and early warning systems of infectious disease in China with the intent to provide suggestions for system improvement and perfection. Copyright © 2017 John Wiley & Sons, Ltd.

  7. Solar Energetic Particle Warnings from a Coronagraph

    NASA Technical Reports Server (NTRS)

    St Cyr, O. C.; Posner, A.; Burkepile, J. T.

    2017-01-01

    We report here the concept of using near-real time observations from a coronagraph to provide early warning of a fast coronal mass ejection (CME) and the possible onset of a solar energetic particle (SEP) event. The 1 January 2016, fast CME, and its associated SEP event are cited as an example. The CME was detected by the ground-based K-Cor coronagraph at Mauna Loa Solar Observatory and by the SOHO Large Angle and Spectrometric Coronagraph. The near-real-time availability of the high-cadence K-Cor observations in the low corona leads to an obvious question: Why has no one attempted to use a coronagraph as an early warning device for SEP events? The answer is that the low image cadence and the long latency of existing spaceborne coronagraphs make them valid for archival studies but typically unsuitable for near-real-time forecasting. The January 2016 event provided favorable CME viewing geometry and demonstrated that the primary component of a prototype ground-based system for SEP warnings is available several hours on most days. We discuss how a conceptual CME-based warning system relates to other techniques, including an estimate of the relative SEP warning times, and how such a system might be realized.

  8. Earthquake Early Warning Management based on Client-Server using Primary Wave data from Vibrating Sensor

    NASA Astrophysics Data System (ADS)

    Laumal, F. E.; Nope, K. B. N.; Peli, Y. S.

    2018-01-01

    Early warning is a warning mechanism before an actual incident occurs, can be implemented on natural events such as tsunamis or earthquakes. Earthquakes are classified in tectonic and volcanic types depend on the source and nature. The tremor in the form of energy propagates in all directions as Primary and Secondary waves. Primary wave as initial earthquake vibrations propagates longitudinally, while the secondary wave propagates like as a sinusoidal wave after Primary, destructive and as a real earthquake. To process the primary vibration data captured by the earthquake sensor, a network management required client computer to receives primary data from sensors, authenticate and forward to a server computer to set up an early warning system. With the water propagation concept, a method of early warning system has been determined in which some sensors are located on the same line, sending initial vibrations as primary data on the same scale and the server recommended to the alarm sound as an early warning.

  9. A Cardiac Early Warning System with Multi Channel SCG and ECG Monitoring for Mobile Health

    PubMed Central

    Sahoo, Prasan Kumar; Thakkar, Hiren Kumar; Lee, Ming-Yih

    2017-01-01

    Use of information and communication technology such as smart phone, smart watch, smart glass and portable health monitoring devices for healthcare services has made Mobile Health (mHealth) an emerging research area. Coronary Heart Disease (CHD) is considered as a leading cause of death world wide and an increasing number of people die prematurely due to CHD. Under such circumstances, there is a growing demand for a reliable cardiac monitoring system to catch the intermittent abnormalities and detect critical cardiac behaviors which lead to sudden death. Use of mobile devices to collect Electrocardiography (ECG), Seismocardiography (SCG) data and efficient analysis of those data can monitor a patient’s cardiac activities for early warning. This paper presents a novel cardiac data acquisition method and combined analysis of Electrocardiography (ECG) and multi channel Seismocardiography (SCG) data. An early warning system is implemented to monitor the cardiac activities of a person and accuracy assessment of the early warning system is conducted for the ECG data only. The assessment shows 88% accuracy and effectiveness of our proposed analysis, which implies the viability and applicability of the proposed early warning system. PMID:28353681

  10. A Cardiac Early Warning System with Multi Channel SCG and ECG Monitoring for Mobile Health.

    PubMed

    Sahoo, Prasan Kumar; Thakkar, Hiren Kumar; Lee, Ming-Yih

    2017-03-29

    Use of information and communication technology such as smart phone, smart watch, smart glass and portable health monitoring devices for healthcare services has made Mobile Health (mHealth) an emerging research area. Coronary Heart Disease (CHD) is considered as a leading cause of death world wide and an increasing number of people die prematurely due to CHD. Under such circumstances, there is a growing demand for a reliable cardiac monitoring system to catch the intermittent abnormalities and detect critical cardiac behaviors which lead to sudden death. Use of mobile devices to collect Electrocardiography (ECG), Seismocardiography (SCG) data and efficient analysis of those data can monitor a patient's cardiac activities for early warning. This paper presents a novel cardiac data acquisition method and combined analysis of Electrocardiography (ECG) and multi channel Seismocardiography (SCG) data. An early warning system is implemented to monitor the cardiac activities of a person and accuracy assessment of the early warning system is conducted for the ECG data only. The assessment shows 88% accuracy and effectiveness of our proposed analysis, which implies the viability and applicability of the proposed early warning system.

  11. DISTANT EARLY WARNING SYSTEM for Tsunamis - A wide-area and multi-hazard approach

    NASA Astrophysics Data System (ADS)

    Hammitzsch, Martin; Lendholt, Matthias; Wächter, Joachim

    2010-05-01

    The DEWS (Distant Early Warning System) [1] project, funded under the 6th Framework Programme of the European Union, has the objective to create a new generation of interoperable early warning systems based on an open sensor platform. This platform integrates OGC [2] SWE [3] compliant sensor systems for the rapid detection of hazardous events, like earthquakes, sea level anomalies, ocean floor occurrences, and ground displacements in the case of tsunami early warning. Based on the upstream information flow DEWS focuses on the improvement of downstream capacities of warning centres especially by improving information logistics for effective and targeted warning message aggregation for a multilingual environment. Multiple telecommunication channels will be used for the dissemination of warning messages. Wherever possible, existing standards have been integrated. The Command and Control User Interface (CCUI), a rich client application based on Eclipse RCP (Rich Client Platform) [4] and the open source GIS uDig [5], integrates various OGC services. Using WMS (Web Map Service) [6] and WFS (Web Feature Service) [7] spatial data are utilized to depict the situation picture and to integrate a simulation system via WPS (Web Processing Service) [8] to identify affected areas. Warning messages are compiled and transmitted in the OASIS [9] CAP (Common Alerting Protocol) [10] standard together with addressing information defined via EDXL-DE (Emergency Data Exchange Language - Distribution Element) [11]. Internal interfaces are realized with SOAP [12] web services. Based on results of GITEWS [13] - in particular the GITEWS Tsunami Service Bus [14] - the DEWS approach provides an implementation for tsunami early warning systems but other geological paradigms are going to follow, e.g. volcanic eruptions or landslides. Therefore in future also multi-hazard functionality is conceivable. The specific software architecture of DEWS makes it possible to dock varying sensors to the system and to extend the CCUI with hazard specific functionality. The presentation covers the DEWS project, the system architecture and the CCUI in conjunction with details of information logistics. The DEWS Wide Area Centre connecting national centres to allow the international communication and warning exchange is presented also. REFERENCES: [1] DEWS, www.dews-online.org [2] OGC, www.opengeospatial.org [3] SWE, www.opengeospatial.org/projects/groups/sensorweb [4] Eclipse RCP, www.eclipse.org/home/categories/rcp.php [5] uDig, udig.refractions.net [6] WMS, www.opengeospatial.org/standards/wms [7] WFS, www.opengeospatial.org/standards/wfs [8] WPS, www.opengeospatial.org/standards/wps [9] OASIS, www.oasis-open.org [10] CAP, www.oasis-open.org/specs/#capv1.1 [11] EDXL-DE, www.oasis-open.org/specs/#edxlde-v1.0 [12] SOAP, www.w3.org/TR/soap [13] GITEWS (German Indonesian Tsunami Early Warning System) is a project of the German Federal Government to aid the recon¬struction of the tsunami-prone Indian Ocean region, www.gitews.org [14] The Tsunami Service Bus is the GITEWS sensor system integration platform offering standardised services for the detection and monitoring of tsunamis

  12. Design of flood early warning system with wifi network based on smartphone

    NASA Astrophysics Data System (ADS)

    Supani, Ahyar; Andriani, Yuli; Taqwa, Ahmad

    2017-11-01

    Today, the development using internet of things enables activities surrounding us to be monitored, controlled, predicted and calculated remotely through connections to the internet network such as monitoring activities of long-distance flood warning with information technology. Applying an information technology in the field of flood early warning has been developed in the world, either connected to internet network or not. The internet network that has been done in this paper is the design of WiFi network to access data of rainfall, water level and flood status at any time with a smartphone coming from flood early warning system. The results obtained when test of data accessing with smartphone are in form of rainfall and water level graphs against time and flood status indicators consisting of 3 flood states: Standby 2, Standby 1 and Flood. It is concluded that data are from flood early warning system has been able to accessed and displayed on smartphone via WiFi network in any time and real time.

  13. The new Euskalmet coastal-maritime warning system

    NASA Astrophysics Data System (ADS)

    Gaztelumendi, Santiago; Egaña, Joseba; Liria, Pedro; Gonzalez, Manuel; Aranda, José Antonio; Anitua, Pedro

    2016-06-01

    This work presents the main characteristics of the Basque Meteorology Agency (Euskalmet) maritime-coastal risk warning system, with special emphasis on the latest updates, including a clear differentiation on specific warning messages addressing sea conditions for navigation purposes in the first 2 nautical miles, and expected coastal impacts. Some details of the warning bulletin for maritime and coastal risk situations are also presented, together with other communication products and strategies used in coastal and maritime severe episodes at the Basque coast. Today, three different aspects are included in the coastal-maritime risk warning system in Basque Country, related to the main potential severe events that affecting coastal activities. - "Galerna" risk relates to a sudden wind reversal that can severely affect coastal navigation and recreational activities. - "Navigation" risk relates to severe sea state conditions for 0-2 miles, affecting different navigation activities. - "Coastal impact" risk relates to adverse wave characteristics and tidal surges that induce flooding events and different impacts in littoral areas.

  14. Spacecraft design sensitivity for a disaster warning satellite system

    NASA Technical Reports Server (NTRS)

    Maloy, J. E.; Provencher, C. E.; Leroy, B. E.; Braley, R. C.; Shumaker, H. A.

    1977-01-01

    A disaster warning satellite (DWS) is described for warning the general public of impending natural catastrophes. The concept is responsive to NOAA requirements and maximizes the use of ATS-6 technology. Upon completion of concept development, the study was extended to establishing the sensitivity of the DWSS spacecraft power, weight, and cost to variations in both warning and conventional communications functions. The results of this sensitivity analysis are presented.

  15. Cable Overheating Risk Warning Method Based on Impedance Parameter Estimation in Distribution Network

    NASA Astrophysics Data System (ADS)

    Yu, Zhang; Xiaohui, Song; Jianfang, Li; Fei, Gao

    2017-05-01

    Cable overheating will lead to the cable insulation level reducing, speed up the cable insulation aging, even easy to cause short circuit faults. Cable overheating risk identification and warning is nessesary for distribution network operators. Cable overheating risk warning method based on impedance parameter estimation is proposed in the paper to improve the safty and reliability operation of distribution network. Firstly, cable impedance estimation model is established by using least square method based on the data from distribiton SCADA system to improve the impedance parameter estimation accuracy. Secondly, calculate the threshold value of cable impedance based on the historical data and the forecast value of cable impedance based on the forecasting data in future from distribiton SCADA system. Thirdly, establish risks warning rules library of cable overheating, calculate the cable impedance forecast value and analysis the change rate of impedance, and then warn the overheating risk of cable line based on the overheating risk warning rules library according to the variation relationship between impedance and line temperature rise. Overheating risk warning method is simulated in the paper. The simulation results shows that the method can identify the imedance and forecast the temperature rise of cable line in distribution network accurately. The result of overheating risk warning can provide decision basis for operation maintenance and repair.

  16. Caltrans fog detection and warning system.

    DOT National Transportation Integrated Search

    2009-01-01

    The California Department of Transportation (Caltrans) has implemented a fog detection and warning system on Highway 99 near Fresno. The entire central valley region is susceptible to Tule fog, which can reduce visibility tremendously, sometimes to n...

  17. Evaluation of NDOR's actuated advance warning systems.

    DOT National Transportation Integrated Search

    2011-12-01

    "Driver behavior within the dilemma zone can be a major safety concern at high-speed signalized intersections. The : Nebraska Department of Roads (NDOR) has developed and implemented an actuated advance warning (AAW) dilemma : zone protection system....

  18. Transit bus stop pedestrian warning application : requirements document.

    DOT National Transportation Integrated Search

    2016-08-01

    This document describes the System Requirements for the Transit Bus Stop Pedestrian Warning (TSPW) application. The requirements describe the system of interest for the implementation team including the required functions and performance along with t...

  19. Early warning, warning or alarm systems for natural hazards? A generic classification.

    NASA Astrophysics Data System (ADS)

    Sättele, Martina; Bründl, Michael; Straub, Daniel

    2013-04-01

    Early warning, warning and alarm systems have gained popularity in recent years as cost-efficient measures for dangerous natural hazard processes such as floods, storms, rock and snow avalanches, debris flows, rock and ice falls, landslides, flash floods, glacier lake outburst floods, forest fires and even earthquakes. These systems can generate information before an event causes loss of property and life. In this way, they mainly mitigate the overall risk by reducing the presence probability of endangered objects. These systems are typically prototypes tailored to specific project needs. Despite their importance there is no recognised system classification. This contribution classifies warning and alarm systems into three classes: i) threshold systems, ii) expert systems and iii) model-based expert systems. The result is a generic classification, which takes the characteristics of the natural hazard process itself and the related monitoring possibilities into account. The choice of the monitoring parameters directly determines the system's lead time. The classification of 52 active systems moreover revealed typical system characteristics for each system class. i) Threshold systems monitor dynamic process parameters of ongoing events (e.g. water level of a debris flow) and incorporate minor lead times. They have a local geographical coverage and a predefined threshold determines if an alarm is automatically activated to warn endangered objects, authorities and system operators. ii) Expert systems monitor direct changes in the variable disposition (e.g crack opening before a rock avalanche) or trigger events (e.g. heavy rain) at a local scale before the main event starts and thus offer extended lead times. The final alarm decision incorporates human, model and organisational related factors. iii) Model-based expert systems monitor indirect changes in the variable disposition (e.g. snow temperature, height or solar radiation that influence the occurrence probability of snow avalanches) or trigger events (e.g. heavy snow fall) to predict spontaneous hazard events in advance. They encompass regional or national measuring networks and satisfy additional demands such as the standardisation of the measuring stations. The developed classification and the characteristics, which were revealed for each class, yield a valuable input to quantifying the reliability of warning and alarm systems. Importantly, this will facilitate to compare them with well-established standard mitigation measures such as dams, nets and galleries within an integrated risk management approach.

  20. Effectiveness and acceptance of the intelligent speeding prediction system (ISPS).

    PubMed

    Zhao, Guozhen; Wu, Changxu

    2013-03-01

    The intelligent speeding prediction system (ISPS) is an in-vehicle speed assistance system developed to provide quantitative predictions of speeding. Although the ISPS's prediction of speeding has been validated, whether the ISPS can regulate a driver's speed behavior or whether a driver accepts the ISPS needs further investigation. Additionally, compared to the existing intelligent speed adaptation (ISA) system, whether the ISPS performs better in terms of reducing excessive speeds and improving driving safety needs more direct evidence. An experiment was conducted to assess and compare the effectiveness and acceptance of the ISPS and the ISA. We conducted a driving simulator study with 40 participants. System type served as a between-subjects variable with four levels: no speed assistance system, pre-warning system developed based on the ISPS, post-warning system ISA, and combined pre-warning and ISA system. Speeding criterion served as a within-subjects variable with two levels: lower (posted speed limit plus 1 mph) and higher (posted speed limit plus 5 mph) speed threshold. Several aspects of the participants' driving speed, speeding measures, lead vehicle response, and subjective measures were collected. Both pre-warning and combined systems led to greater minimum time-to-collision. The combined system resulted in slower driving speed, fewer speeding exceedances, shorter speeding duration, and smaller speeding magnitude. The results indicate that both pre-warning and combined systems have the potential to improve driving safety and performance. Copyright © 2012 Elsevier Ltd. All rights reserved.

  1. Evaluation of the Norridgewock intersection collision avoidance warning system on Route 201A, Norridgewock, Maine.

    DOT National Transportation Integrated Search

    2006-11-01

    Review of the Norridgewock Intersection Collision Avoidance Warning System : demonstrates that the system appears to effectively reduce the number of potential : crashes at the intersection of River Road, Sophie May Lane and Route 201A. : Results sho...

  2. NOAA-USGS Debris-Flow Warning System - Final Report

    USGS Publications Warehouse

    ,

    2005-01-01

    Landslides and debris flows cause loss of life and millions of dollars in property damage annually in the United States (National Research Council, 2004). In an effort to reduce loss of life by debris flows, the National Oceanic and Atmospheric Administration's (NOAA) National Weather Service (NWS) and the U.S. Geological Survey (USGS) operated an experimental debris-flow prediction and warning system in the San Francisco Bay area from 1986 to 1995 that relied on forecasts and measurements of precipitation linked to empirical precipitation thresholds to predict the onset of rainfall-triggered debris flows. Since 1995, there have been substantial improvements in quantifying precipitation estimates and forecasts, development of better models for delineating landslide hazards, and advancements in geographic information technology that allow stronger spatial and temporal linkage between precipitation forecasts and hazard models. Unfortunately, there have also been several debris flows that have caused loss of life and property across the United States. Establishment of debris-flow warning systems in areas where linkages between rainfall amounts and debris-flow occurrence have been identified can help mitigate the hazards posed by these types of landslides. Development of a national warning system can help support the NOAA-USGS goal of issuing timely Warnings of potential debris flows to the affected populace and civil authorities on a broader scale. This document presents the findings and recommendations of a joint NOAA-USGS Task Force that assessed the current state-of-the-art in precipitation forecasting and debris-flow hazard-assessment techniques. This report includes an assessment of the science and resources needed to establish a demonstration debris-flow warning project in recently burned areas of southern California and the necessary scientific advancements and resources associated with expanding such a warning system to unburned areas and, possibly, to a national scope.

  3. A Pilot Tsunami Inundation Forecast System for Australia

    NASA Astrophysics Data System (ADS)

    Allen, Stewart C. R.; Greenslade, Diana J. M.

    2016-12-01

    The Joint Australian Tsunami Warning Centre (JATWC) provides a tsunami warning service for Australia. Warnings are currently issued according to a technique that does not include explicit modelling at the coastline, including any potential coastal inundation. This paper investigates the feasibility of developing and implementing tsunami inundation modelling as part of the JATWC warning system. An inundation model was developed for a site in Southeast Australia, on the basis of the availability of bathymetric and topographic data and observations of past tsunamis. The model was forced using data from T2, the operational deep-water tsunami scenario database currently used for generating warnings. The model was evaluated not only for its accuracy but also for its computational speed, particularly with respect to operational applications. Limitations of the proposed forecast processes in the Australian context and areas requiring future improvement are discussed.

  4. Technical implementation plan for the ShakeAlert production system: an Earthquake Early Warning system for the West Coast of the United States

    USGS Publications Warehouse

    Given, Douglas D.; Cochran, Elizabeth S.; Heaton, Thomas; Hauksson, Egill; Allen, Richard; Hellweg, Peggy; Vidale, John; Bodin, Paul

    2014-01-01

    Earthquake Early Warning (EEW) systems can provide as much as tens of seconds of warning to people and automated systems before strong shaking arrives. The United States Geological Survey (USGS) and its partners are developing such an EEW system, called ShakeAlert, for the West Coast of the United States. This document describes the technical implementation of that system, which leverages existing stations and infrastructure of the Advanced National Seismic System (ANSS) regional networks to achieve this new capability. While significant progress has been made in developing the ShakeAlert early warning system, improved robustness of each component of the system and additional testing and certification are needed for the system to be reliable enough to issue public alerts. Major components of the system include dense networks of ground motion sensors, telecommunications from those sensors to central processing systems, algorithms for event detection and alert creation, and distribution systems to alert users. Capital investment costs for a West Coast EEW system are projected to be $38.3M, with additional annual maintenance and operations totaling $16.1M—in addition to current ANSS expenditures for earthquake monitoring. An EEW system is complementary to, but does not replace, other strategies to mitigate earthquake losses. The system has limitations: false and missed alerts are possible, and the area very near to an earthquake epicenter may receive little or no warning. However, such an EEW system would save lives, reduce injuries and damage, and improve community resilience by reducing longer-term economic losses for both public and private entities.

  5. Emergency warning for people with disabilities.

    PubMed

    Putkovich, Kenneth

    2013-01-01

    The intent of this article is to assess the current state of Emergency Warning capabilities in the United States and make recommendations on what needs to be done to cost effectively establish a National Emergency Warning System to best serve the people of the United States, including those with disabilities. As part of this assessment, terminology will be defined, existing systems will be examined, critical needs and functions will be explained, and recommendations made for a system to deliver emergency messages to those people immediately at risk from natural and human-caused disasters in a timely and effective manner, regardless of location or situational circumstance. The assessment will include the needs and available technologies for delivering emergency warnings to people with disabilities, which are generally little understood, poorly addressed, and often ignored.

  6. An early warning and control system for urban, drinking water quality protection: China's experience.

    PubMed

    Hou, Dibo; Song, Xiaoxuan; Zhang, Guangxin; Zhang, Hongjian; Loaiciga, Hugo

    2013-07-01

    An event-driven, urban, drinking water quality early warning and control system (DEWS) is proposed to cope with China's urgent need for protecting its urban drinking water. The DEWS has a web service structure and provides users with water quality monitoring functions, water quality early warning functions, and water quality accident decision-making functions. The DEWS functionality is guided by the principles of control theory and risk assessment as applied to the feedback control of urban water supply systems. The DEWS has been deployed in several large Chinese cities and found to perform well insofar as water quality early warning and emergency decision-making is concerned. This paper describes a DEWS for urban water quality protection that has been developed in China.

  7. Climate change implications and use of early warning systems for global dust storms

    USGS Publications Warehouse

    Harriman, Lindsey M.

    2014-01-01

    With increased changes in land cover and global climate, early detection and warning of dust storms in conjunction with effective and widespread information broadcasts will be essential to the prevention and mitigation of future risks and impacts. Human activities, seasonal variations and long-term climatic patterns influence dust storms. More research is needed to analyse these factors of dust mobilisation to create more certainty for the fate of vulnerable populations and ecosystems in the future. Early warning and communication systems, when in place and effectively implemented, can offer some relief to these vulnerable areas. As an issue that affects many regions of the world, there is a profound need to understand the potential changes and ultimately create better early warning systems for dust storms.

  8. Performance Analysis of a Citywide Real-time Landslide Early Warning System in Korea

    NASA Astrophysics Data System (ADS)

    Park, Joon-Young; Lee, Seung-Rae; Kang, Sinhang; Lee, Deuk-hwan; Nedumpallile Vasu, Nikhil

    2017-04-01

    Rainfall-induced landslide has been one of the major disasters in Korea since the beginning of 21st century when the global climate change started to give rise to the growth of the magnitude and frequency of extreme precipitation events. In order to mitigate the increasing damage to properties and loss of lives and to provide an effective tool for public officials to manage the landslide disasters, a real-time landslide early warning system with an advanced concept has been developed by taking into account for Busan, the second largest metropolitan city in Korea, as an operational test-bed. The system provides with warning information based on a five-level alert scheme (Normal, Attention, Watch, Alert, and Emergency) using the forecasted/observed rainfall data or the data obtained from ground monitoring (volumetric water content and matric suction). The alert levels are determined by applying seven different thresholds in a step-wise manner following a decision tree. In the pursuit of improved reliability of an early warning level assigned to a specific area, the system makes assessments repetitively using the thresholds of different theoretical backgrounds including statistical(empirical), physically-based, and mathematical analyses as well as direct measurement-based approaches. By mapping the distribution of the five early warning levels determined independently for each of tens of millions grids covering the entire mountainous area of Busan, the regional-scale system can also provide with the early warning information for a specific local area. The fact that the highest warning level is determined by using a concept of a numerically-modelled potential debris-flow risk is another distinctive feature of the system. This study tested the system performance by applying it for four previous rainy seasons in order to validate the operational applicability. During the rainy seasons of 2009, 2011, and 2014, the number of landslides recorded throughout Busan's territory reached 156, 64, and 37, respectively. In 2016, only three landslides were recorded even though the city experienced a couple of heavy rainfall events during the rainy season. The system performance test results show good agreement with the observation results for the past rainfall events. It seems that the system can also provide with reliable warning information for the future rainfall events.

  9. Reliability Analysis of a Glacier Lake Warning System Using a Bayesian Net

    NASA Astrophysics Data System (ADS)

    Sturny, Rouven A.; Bründl, Michael

    2013-04-01

    Beside structural mitigation measures like avalanche defense structures, dams and galleries, warning and alarm systems have become important measures for dealing with Alpine natural hazards. Integrating them into risk mitigation strategies and comparing their effectiveness with structural measures requires quantification of the reliability of these systems. However, little is known about how reliability of warning systems can be quantified and which methods are suitable for comparing their contribution to risk reduction with that of structural mitigation measures. We present a reliability analysis of a warning system located in Grindelwald, Switzerland. The warning system was built for warning and protecting residents and tourists from glacier outburst floods as consequence of a rapid drain of the glacier lake. We have set up a Bayesian Net (BN, BPN) that allowed for a qualitative and quantitative reliability analysis. The Conditional Probability Tables (CPT) of the BN were determined according to manufacturer's reliability data for each component of the system as well as by assigning weights for specific BN nodes accounting for information flows and decision-making processes of the local safety service. The presented results focus on the two alerting units 'visual acoustic signal' (VAS) and 'alerting of the intervention entities' (AIE). For the summer of 2009, the reliability was determined to be 94 % for the VAS and 83 % for the AEI. The probability of occurrence of a major event was calculated as 0.55 % per day resulting in an overall reliability of 99.967 % for the VAS and 99.906 % for the AEI. We concluded that a failure of the VAS alerting unit would be the consequence of a simultaneous failure of the four probes located in the lake and the gorge. Similarly, we deduced that the AEI would fail either if there were a simultaneous connectivity loss of the mobile and fixed network in Grindelwald, an Internet access loss or a failure of the regional operations centre. However, the probability of a common failure of these components was assumed to be low. Overall it can be stated that due to numerous redundancies, the investigated warning system is highly reliable and its influence on risk reduction is very high. Comparable studies in the future are needed to classify these results and to gain more experience how the reliability of warning systems could be determined in practice.

  10. Adapting ISA system warnings to enhance user acceptance.

    PubMed

    Jiménez, Felipe; Liang, Yingzhen; Aparicio, Francisco

    2012-09-01

    Inappropriate speed is a major cause of traffic accidents. Different measures have been considered to control traffic speed, and intelligent speed adaptation (ISA) systems are one of the alternatives. These systems know the speed limits and try to improve compliance with them. This paper deals with an informative ISA system that provides the driver with an advance warning before reaching a road section with singular characteristics that require a lower safe speed than the current speed. In spite of the extensive tests performed using ISA systems, few works show how warnings can be adapted to the driver. This paper describes a method to adapt warning parameters (safe speed on curves, zone of influence of a singular stretch, deceleration process and reaction time) to normal driving behavior. The method is based on a set of tests with and without the ISA system. This adjustment, as well as the analysis of driver acceptance before and after the adaptation and changes in driver behavior (changes in speed and path) resulting from the tested ISA regarding a driver's normal driving style, is shown in this paper. The main conclusion is that acceptance by drivers increased significantly after redefining the warning parameters, but the effect of speed homogenization was not reduced. Copyright © 2010 Elsevier Ltd. All rights reserved.

  11. Research and application of a novel hybrid air quality early-warning system: A case study in China.

    PubMed

    Li, Chen; Zhu, Zhijie

    2018-06-01

    As one of the most serious meteorological disasters in modern society, air pollution has received extensive attention from both citizens and decision-makers. With the complexity of pollution components and the uncertainty of prediction, it is both critical and challenging to construct an effective and practical early-warning system. In this paper, a novel hybrid air quality early-warning system for pollution contaminant monitoring and analysis was proposed. To improve the efficiency of the system, an advanced attribute selection method based on fuzzy evaluation and rough set theory was developed to select the main pollution contaminants for cities. Moreover, a hybrid model composed of the theory of "decomposition and ensemble", an extreme learning machine and an advanced heuristic algorithm was developed for pollution contaminant prediction; it provides deterministic and interval forecasting for tackling the uncertainty of future air quality. Daily pollution contaminants of six major cities in China were selected as a dataset to evaluate the practicality and effectiveness of the developed air quality early-warning system. The superior experimental performance determined by the values of several error indexes illustrated that the proposed early-warning system was of great effectiveness and efficiency. Copyright © 2018 Elsevier B.V. All rights reserved.

  12. Design Principles for resilient cyber-physical Early Warning Systems - Challenges, Experiences, Design Patterns, and Best Practices

    NASA Astrophysics Data System (ADS)

    Gensch, S.; Wächter, J.; Schnor, B.

    2014-12-01

    Early warning systems (EWS) are safety-critical IT-infrastructures that serve the purpose of potentially saving lives or assets by observing real-world phenomena and issuing timely warning products to authorities and communities. An EWS consists of sensors, communication networks, data centers, simulation platforms, and dissemination channels. The components of this cyber-physical system may all be affected by both natural hazards and malfunctions of components alike. Resilience engineering so far has mostly been applied to safety-critical systems and processes in transportation (aviation, automobile), construction and medicine. Early warning systems need equivalent techniques to compensate for failures, and furthermore means to adapt to changing threats, emerging technology and research findings. We present threats and pitfalls from our experiences with the German and Indonesian tsunami early warning system, as well as architectural, technological and organizational concepts employed that can enhance an EWS' resilience. The current EWS is comprised of a multi-type sensor data upstream part, different processing and analysis engines, a decision support system, and various warning dissemination channels. Each subsystem requires a set of approaches towards ensuring stable functionality across system layer boundaries, including also institutional borders. Not only must services be available, but also produce correct results. Most sensors are distributed components with restricted resources, communication channels and power supply. An example for successful resilience engineering is the power capacity based functional management for buoy and tide gauge stations. We discuss various fault-models like cause and effect models on linear pathways, interaction of multiple events, complex and non-linear interaction of assumedly reliable subsystems and fault tolerance means implemented to tackle these threats.

  13. Enhanced proximity warning system (EPWS) for locomotives

    DOT National Transportation Integrated Search

    1997-10-01

    The primary focus of the Enhanced Proximity Warning System (EPWS) is to provide a cost effective means to improve safety of railroad operations, with the ability to implement on an incremental, building block approach. The main safety objective...

  14. DETECTION OR WARNING SYSTEM

    DOEpatents

    Tillman, J E

    1953-10-20

    This patent application describes a sensitive detection or protective system capable of giving an alarm or warning upon the entrance or intrusion of any body into a defined area or zone protected by a radiation field of suitable direction or extent.

  15. Preparing for floods: flood forecasting and early warning

    NASA Astrophysics Data System (ADS)

    Cloke, Hannah

    2016-04-01

    Flood forecasting and early warning has continued to stride ahead in strengthening the preparedness phases of disaster risk management, saving lives and property and reducing the overall impact of severe flood events. For example, continental and global scale flood forecasting systems such as the European Flood Awareness System and the Global Flood Awareness System provide early information about upcoming floods in real time to various decisionmakers. Studies have found that there are monetary benefits to implementing these early flood warning systems, and with the science also in place to provide evidence of benefit and hydrometeorological institutional outlooks warming to the use of probabilistic forecasts, the uptake over the last decade has been rapid and sustained. However, there are many further challenges that lie ahead to improve the science supporting flood early warning and to ensure that appropriate decisions are made to maximise flood preparedness.

  16. Security warning method and system for worker safety during live-line working

    NASA Astrophysics Data System (ADS)

    Jiang, Chilong; Zou, Dehua; Long, Chenhai; Yang, Miao; Zhang, Zhanlong; Mei, Daojun

    2017-09-01

    Live-line working is an essential part in the operations in an electric power system. Live-line workers are required to wear shielding clothing. Shielding clothing, however, acts as a closed environment for the human body. Working in a closed environment for a long time can change the physiological responses of the body and even endanger personal safety. According to the typical conditions of live-line working, this study synthesizes environmental factors related to shielding clothing and the physiological factors of the body to establish the heart rate variability index RMSSD and the comprehensive security warning index SWI. On the basis of both indices, this paper proposes a security warning method and system for the safety live-line workers. The system can monitor the real-time status of workers during live-line working to provide security warning and facilitate the effective safety supervision by the live operation center during actual live-line working.

  17. Building Better Drought Resilience Through Improved Monitoring and Early Warning: Learning From Stakeholders in Europe, the USA, and Australia

    NASA Astrophysics Data System (ADS)

    Stahl, K.; Hannaford, J.; Bachmair, S.; Tijdeman, E.; Collins, K.; Svoboda, M.; Knutson, C. L.; Wall, N.; Smith, K. H.; Bernadt, T.; Crossman, N. D.; Overton, I. C.; Barker, L. J.; Acreman, M. C.

    2016-12-01

    With climate projections suggesting that droughts will intensify in many regions in future, improved drought risk management may reduce potential threats to freshwater security across the globe. One aspect that has been called for in this respect is an improvement of the linkage of drought monitoring and early warning, which currently focuses largely on indicators from meteorology and hydrology, to drought impacts on environment and society. However, a survey of existing monitoring and early warning systems globally, that we report on in this contribution, demonstrates that although impacts are being monitored, there is limited work, and certainly little consensus, on how to best achieve this linkage. The Belmont Forum project DrIVER (Drought impacts: Vulnerability thresholds in monitoring and early-warning research) carried out a number of stakeholder workshops in North America, Europe and Australia to elaborate on options for such improvements. A first round of workshops explored current drought management practices among a very diverse range of stakeholders, and their expectations from monitoring and early warning systems (particularly regarding impact characterization). The workshops revealed some disconnects between the indices used in the public early warning systems and those used by local decision-makers, e.g. to trigger drought measures. Follow-up workshops then explored how the links between information at these different scales can be bridged and applied. Impact information plays a key role in this task. This contribution draws on the lessons learned from the transdisciplinary interactions in DrIVER, to enhance the usability of drought monitoring and early-warning systems and other risk management strategies.

  18. Using an automated speed, steering, and gap control system and a collision warning system when driving in clear visibility and in fog

    DOT National Transportation Integrated Search

    1998-04-01

    The effect on driving performance of using a speed, steering, and gap control system (SSGCS) and a collision warning system (CWS) was assessed in an experiment conducted in the Iowa Driving Simulator. Driving performance data were obtained from 52 dr...

  19. 77 FR 60296 - Airworthiness Directives; The Boeing Company Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... warning during a lack of cabin pressurization event. This AD requires incorporating design changes to... pressure switch, replacing the aural warning module (AWM) with a new or reworked AWM, and changing certain... require incorporating design changes to improve the reliability of the cabin altitude warning system by...

  20. Landslide susceptibility and early warning model for shallow landslide in Taiwan

    NASA Astrophysics Data System (ADS)

    Huang, Chun-Ming; Wei, Lun-Wei; Chi, Chun-Chi; Chang, Kan-Tsun; Lee, Chyi-Tyi

    2017-04-01

    This study aims to development a regional susceptibility model and warning threshold as well as the establishment of early warning system in order to prevent and reduce the losses caused by rainfall-induced shallow landslides in Taiwan. For the purpose of practical application, Taiwan is divided into nearly 185,000 slope units. The susceptibility and warning threshold of each slope unit were analyzed as basic information for disaster prevention. The geological characteristics, mechanism and the occurrence time of landslides were recorded for more than 900 cases through field investigation and interview of residents in order to discuss the relationship between landslides and rainfall. Logistic regression analysis was performed to evaluate the landslide susceptibility and an I3-R24 rainfall threshold model was proposed for the early warning of landslides. The validations of recent landslide cases show that the model was suitable for the warning of regional shallow landslide and most of the cases can be warned 3 to 6 hours in advanced. We also propose a slope unit area weighted method to establish local rainfall threshold on landslide for vulnerable villages in order to improve the practical application. Validations of the local rainfall threshold also show a good agreement to the occurrence time reported by newspapers. Finally, a web based "Rainfall-induced Landslide Early Warning System" is built and connected to real-time radar rainfall data so that landslide real-time warning can be achieved. Keywords: landslide, susceptibility analysis, rainfall threshold

  1. Aircraft Instrument, Fire Protection, Warning, Communication, Navigation and Cabin Atmosphere Control System (Course Outline), Aviation Mechanics 3 (Air Frame): 9067.04.

    ERIC Educational Resources Information Center

    Dade County Public Schools, Miami, FL.

    This document presents an outline for a 135-hour course designed to familiarize the student with manipulative skills and theoretical knowledge concerning aircraft instrument systems like major flight and engine instruments; fire protection and fire fighting systems; warning systems and navigation systems; aircraft cabin control systems, such as…

  2. Warnings as a directive front-of-pack nutrition labelling scheme: comparison with the Guideline Daily Amount and traffic-light systems.

    PubMed

    Arrúa, Alejandra; Machín, Leandro; Curutchet, María Rosa; Martínez, Joseline; Antúnez, Lucía; Alcaire, Florencia; Giménez, Ana; Ares, Gastón

    2017-09-01

    Warnings have recently been proposed as a new type of directive front-of-pack (FOP) nutrition labelling scheme to flag products with high content of key nutrients. In the present work, this system was compared with the two most common FOP nutrition labelling schemes (Guideline Daily Amounts (GDA) and traffic-light system) in terms of goal-directed attention, influence on perceived healthfulness and ability to differentiate between products. Design/Setting/Subjects Goal-directed attention to FOP labels was evaluated using a visual search task in which participants were presented with labels on a computer screen and were asked to indicate whether labels with high sodium content were present or absent. A survey with 387 participants was also carried out, in which the influence of FOP labels on perceived healthfulness and ability to identify the healthful alternative were evaluated. Warnings improved consumers' ability to correctly identify a product with high content of a key nutrient within a set of labels compared with GDA and received the highest goal-directed attention. In addition, products with high energy, saturated fat, sugar and/or sodium content that featured warnings on the label were perceived as less healthful than those featuring the GDA or traffic-light system. Warnings and the traffic-light system performed equally well in the identification of the most healthful product. Results from the present work suggest that warnings have potential as directive FOP nutrition labels to improve consumer ability to identify unhealthful products and highlight advantages compared with the traffic-light system.

  3. Development of a national Flash flood warning system in France using the AIGA method: first results and main issues

    NASA Astrophysics Data System (ADS)

    Javelle, Pierre; Organde, Didier; Demargne, Julie; de Saint-Aubin, Céline; Garandeau, Léa; Janet, Bruno; Saint-Martin, Clotilde; Fouchier, Catherine

    2016-04-01

    Developing a national flash flood (FF) warning system is an ambitious and difficult task. On one hand it rises huge expectations from exposed populations and authorities since induced damages are considerable (ie 20 casualties in the recent October 2015 flood at the French Riviera). But on the other hand, many practical and scientific issues have to be addressed and limitations should be clearly stated. The FF warning system to be implemented by 2016 in France by the SCHAPI (French national service in charge of flood forecasting) will be based on a discharge-threshold flood warning method called AIGA (Javelle et al. 2014). The AIGA method has been experimented in real time in the south of France in the RHYTMME project (http://rhytmme.irstea.fr). It consists in comparing discharges generated by a simple conceptual hourly hydrologic model run at a 1-km² resolution to reference flood quantiles of different return periods, at any point along the river network. The hydrologic model ingests operational rainfall radar-gauge products from Météo-France. Model calibration was based on ~700 hydrometric stations over the 2002-2015 period and then hourly discharges were computed at ~76 000 catchment outlets, with areas ranging from 10 to 3 500 km², over the last 19 years. This product makes it possible to calculate reference flood quantiles at each outlet. The on-going evaluation of the FF warnings is currently made at two levels: in a 'classical' way, using discharges available at the hydrometric stations, but also in a more 'exploratory' way, by comparing past flood reports and warnings issued by the system over the 76 000 catchment outlets. The interest of the last method is that it better fit the system objectives since it is designed to monitor small ungauged catchments. Javelle, P., Demargne, J., Defrance, D, .Pansu, J, .Arnaud, P. (2014). Evaluating flash-flood warnings at ungauged locations using post-event surveys: a case study with the AIGA warning system. Hydrological Sciences Journal-Journal Des Sciences Hydrologiques, 59(7), 1390-1402. doi: 10.1080/02626667.2014.923970

  4. Assessment of readability, understandability, and completeness of pediatric hospital medicine discharge instructions.

    PubMed

    Unaka, Ndidi I; Statile, Angela; Haney, Julianne; Beck, Andrew F; Brady, Patrick W; Jerardi, Karen E

    2017-02-01

    The average American adult reads at an 8th-grade level. Discharge instructions written above this level might increase the risk of adverse outcomes for children as they transition from hospital to home. We conducted a cross-sectional study at a large urban academic children's hospital to describe readability levels, understandability scores, and completeness of written instructions given to families at hospital discharge. Two hundred charts for patients discharged from the hospital medicine service were randomly selected for review. Written discharge instructions were extracted and scored for readability (Fry Readability Scale [FRS]), understandability (Patient Education Materials Assessment Tool [PEMAT]), and completeness (5 criteria determined by consensus). Descriptive statistics enumerated the distribution of readability, understandability, and completeness of written discharge instructions. Of the patients included in the study, 51% were publicly insured. Median age was 3.1 years, and median length of stay was 2.0 days. The median readability score corresponded to a 10th-grade reading level (interquartile range, 8-12; range, 1-13). Median PEMAT score was 73% (interquartile range, 64%-82%; range, 45%-100%); 36% of instructions scored below 70%, correlating with suboptimal understandability. The diagnosis was described in only 33% of the instructions. Although explicit warning signs were listed in most instructions, 38% of the instructions did not include information on the person to contact if warning signs developed. Overall, the readability, understandability, and completeness of discharge instructions were subpar. Efforts to improve the content of discharge instructions may promote safe and effective transitions home. Journal of Hospital Medicine 2017;12:98-101. © 2017 Society of Hospital Medicine.

  5. A randomized control trial comparing the visual and verbal communication methods for reducing fear and anxiety during tooth extraction.

    PubMed

    Gazal, Giath; Tola, Ahmed W; Fareed, Wamiq M; Alnazzawi, Ahmad A; Zafar, Muhammad S

    2016-04-01

    To evaluate the value of using the visual information for reducing the level of dental fear and anxiety in patients undergoing teeth extraction under LA. A total of 64 patients were indiscriminately allotted to solitary of the study groups following reading the information sheet and signing the formal consent. If patient was in the control group, only verbal information and routine warnings were provided. If patient was in the study group, tooth extraction video was showed. The level of dental fear and anxiety was detailed by the patients on customary 100 mm visual analog scales (VAS), with "no dental fear and anxiety" (0 mm) and "severe dental distress and unease" (100 mm). Evaluation of dental apprehension and fretfulness was made pre-operatively, following visual/verbal information and post-extraction. There was a substantial variance among the mean dental fear and anxiety scores for both groups post-extraction (p-value < 0.05). Patients in tooth extraction video group were more comfortable after dental extraction than verbal information and routine warning group. For tooth extraction video group there were major decreases in dental distress and anxiety scores between the pre-operative and either post video information scores or postoperative scores (p-values < 0.05). Younger patients recorded higher dental fear and anxiety scores than older ones (P < 0.05). Dental fear and anxiety associated with dental extractions under local anesthesia can be reduced by showing a tooth extraction video to the patients preoperatively.

  6. Smart Roadside System for Driver Assistance and Safety Warnings: Framework and Applications

    PubMed Central

    Jang, Jeong Ah; Kim, Hyun Suk; Cho, Han Byeog

    2011-01-01

    The use of newly emerging sensor technologies in traditional roadway systems can provide real-time traffic services to drivers through Telematics and Intelligent Transport Systems (ITSs). This paper introduces a smart roadside system that utilizes various sensors for driver assistance and traffic safety warnings. This paper shows two road application models for a smart roadside system and sensors: a red-light violation warning system for signalized intersections, and a speed advisory system for highways. Evaluation results for the two services are then shown using a micro-simulation method. In the given real-time applications for drivers, the framework and certain algorithms produce a very efficient solution with respect to the roadway type features and sensor type use. PMID:22164025

  7. Improved integrated sniper location system

    NASA Astrophysics Data System (ADS)

    Figler, Burton D.; Spera, Timothy J.

    1999-01-01

    In July of 1995, Lockheed Martin IR Imaging Systems, of Lexington, Massachusetts began the development of an integrated sniper location system for the Defense Advanced Research Projects Agency and for the Department of the Navy's Naval Command Control & Ocean Surveillance Center, RDTE Division in San Diego, California. The I-SLS integrates acoustic and uncooled infrared sensing technologies to provide an affordable and highly effective sniper detection and location capability. This system, its performance and results from field tests at Camp Pendleton, California, in October 1996 were described in a paper presented at the November 1996 SPIE Photonics East Symposium1 on Enabling Technologies for Law Enforcement and Security. The I-SLS combines an acoustic warning system with an uncooled infrared warning system. The acoustic warning system has been developed by SenTech, Inc., of Lexington, Massachusetts. This acoustic warning system provides sniper detection and coarse location information based upon the muzzle blast of the sniper's weapon and/or upon the shock wave produced by the sniper's bullet, if the bullet is supersonic. The uncooled infrared warning system provides sniper detection and fine location information based upon the weapon's muzzle flash. In addition, the uncooled infrared warning system can provide thermal imagery that can be used to accurately locate and identify the sniper. Combining these two technologies improves detection probability, reduces false alarm rate and increases utility. In the two years since the last report of the integrated sniper location system, improvements have been made and a second field demonstration was planned. In this paper, we describe the integrated sniper location system modifications in preparation for the new field demonstration. In addition, fundamental improvements in the uncooled infrared sensor technology continue to be made. These improvements include higher sensitivity (lower minimum resolvable temperature), higher spatial resolution, and smaller size. This paper will describe the implementation and status of these improvements.

  8. Investigation of the use and feasibility of speed warning systems.

    DOT National Transportation Integrated Search

    2014-05-01

    This report summarizes a feasibility evaluation of a speed monitoring system that provided speed warning feedback to drivers enrolled in a voluntary program, with particular emphasis on at-risk drivers, especially chronic speeders. This project inclu...

  9. Evaluation of Prototype Automatic Truck Rollover Warning Systems

    DOT National Transportation Integrated Search

    1998-01-01

    Three operating prototype Automatic Truck Rollover Warning Systems (ATRWS) installed on the Capital Beltway in Maryland and Virginia were evaluated for 3 years. The general objectives of this evaluation were to assess how the ATRWS performed and to d...

  10. Effectiveness of various safety belt warning systems

    DOT National Transportation Integrated Search

    1976-07-01

    This observation study among rental car customers was conducted at the Sky Harbor Airport, Phoenix, Arizona, during the period August 4 - December 12, 1975. Overall objectives were (1) to determine if the warning system now required on 1975 and 1976 ...

  11. Evaluation of transit bus turn warning systems for pedestrians and cyclists.

    DOT National Transportation Integrated Search

    2015-05-01

    As part of a cooperative agreement with the Federal Transit Administration (FTA), the Tri-County Metropolitan Transportation District of Oregon (TriMet) conducted a demonstration test of three commercially-available pedestrian turn warning systems fo...

  12. In-vehicle crash avoidance warning systems : human factors considerations

    DOT National Transportation Integrated Search

    1997-02-01

    This document represents the final report of the work performed under contract DTNH22-91 C-07004, In-Vehicle Crash Avoidance Warning Systems: Human Factors Considerations. This project was performed to develop guidelines for the interface desig...

  13. Safety evaluation of intersection conflict warning system.

    DOT National Transportation Integrated Search

    2016-06-01

    FHWA organized a pooled fund study of 40 States to evaluate low-cost safety strategies as part of its strategic highway safety effort. One of the strategies selected for evaluation was intersection conflict warning systems (ICWSs). This strategy is i...

  14. ForWarn Forest Disturbance Change Detection System Provides a Weekly Snapshot of US Forest Conditions to Aid Forest Managers

    NASA Astrophysics Data System (ADS)

    Hargrove, W. W.; Spruce, J.; Kumar, J.; Hoffman, F. M.

    2012-12-01

    The Eastern Forest Environmental Threat Assessment Center and Western Wildland Environmental Assessment Center of the USDA Forest Service have collaborated with NASA Stennis Space Center to develop ForWarn, a forest monitoring tool that uses MODIS satellite imagery to produce weekly snapshots of vegetation conditions across the lower 48 United States. Forest and natural resource managers can use ForWarn to rapidly detect, identify, and respond to unexpected changes in the nation's forests caused by insects, diseases, wildfires, severe weather, or other natural or human-caused events. ForWarn detects most types of forest disturbances, including insects, disease, wildfires, frost and ice damage, tornadoes, hurricanes, blowdowns, harvest, urbanization, and landslides. It also detects drought, flood, and temperature effects, and shows early and delayed seasonal vegetation development. Operating continuously since January 2010, results show ForWarn to be a robust and highly capable tool for detecting changes in forest conditions. To help forest and natural resource managers rapidly detect, identify, and respond to unexpected changes in the nation's forests, ForWarn produces sets of national maps showing potential forest disturbances at 231m resolution every 8 days, and posts the results to the web for examination. ForWarn compares current greenness with the "normal," historically seen greenness that would be expected for healthy vegetation for a specific location and time of the year, and then identifies areas appearing less green than expected to provide a strategic national overview of potential forest disturbances that can be used to direct ground and aircraft efforts. In addition to forests, ForWarn also tracks potential disturbances in rangeland vegetation and agriculural crops. ForWarn is the first national-scale system of its kind based on remote sensing developed specifically for forest disturbances. The ForWarn system had an official unveiling and rollout in March 2012, initiated by a joint NASA and USDA press release, and followed by a series of training webinars. Almost 60 early-adopter state and federal forest managers attended at least one of the ForWarn rollout webinars. The ForWarn home page has had 2,632 unique visitors since rollout in March 2012, with 39% returning visits. ForWarn was used to map tornado scars from the historic April 27, 2011 tornado outbreak, and detected timber damage within more than a dozen tornado tracks across northern Mississippi, Alabama, and Georgia. ForWarn is the result of an ongoing, substantive cooperation among four different government agencies: USDA, NASA, USGS, and DOE. Disturbance maps are available on the web through the ForWarn Change Assessment Viewer at http://forwarn.forestthreats.org/fcav.

  15. PROPOSED WATER QUALITY SURVEILLANCE NETWORK USING PHYSICAL, CHEMICAL AND BIOLOGICAL EARLY WARNING SYSTEMS (CBEWS)

    EPA Science Inventory

    The Homeland Protection Act of 2002 specifically calls for the investigation and use of Early Warning Systems (EWS) for water security reasons. The EWS is a screening tool for detecting changes in source water and distribution system water quality. A suite of time-relevant biol...

  16. PROPOSED WATER QUALITY SURVEILLANCE NETWORK USING PHYSICAL, CHEMICAL AND BIOLOGICAL EARLY WARNING SYSTEMS (BEWS)

    EPA Science Inventory

    The Homeland Protection Act of 2002 specifically calls for the investigation and use of Early Warning Systems (EWS) for water security reasons. The EWS is a screening tool for detecting changes in source water and distribution system water quality. A suite of time-relevant biol...

  17. Looking for Trouble

    ERIC Educational Resources Information Center

    Rice, Mike

    2006-01-01

    Circuit breakers are the linchpin of an institution's power-distribution system, so it's not surprising that several warning signs of an aging system relate to these devices. When warning signs occur, it's a message to facilities managers and administrators that breakers may need to be upgraded to help the power distribution system meet existing…

  18. 14 CFR 121.308 - Lavatory fire protection.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... detector system or equivalent that provides a warning light in the cockpit or provides a warning light or... comply with the smoke detector system requirements described in paragraph (a) of this section and the... detector system requirements described in paragraph (a) of this section, except that the smoke detector...

  19. 14 CFR 121.308 - Lavatory fire protection.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... detector system or equivalent that provides a warning light in the cockpit or provides a warning light or... comply with the smoke detector system requirements described in paragraph (a) of this section and the... detector system requirements described in paragraph (a) of this section, except that the smoke detector...

  20. 14 CFR 121.308 - Lavatory fire protection.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... detector system or equivalent that provides a warning light in the cockpit or provides a warning light or... comply with the smoke detector system requirements described in paragraph (a) of this section and the... detector system requirements described in paragraph (a) of this section, except that the smoke detector...

  1. 14 CFR 121.308 - Lavatory fire protection.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... detector system or equivalent that provides a warning light in the cockpit or provides a warning light or... comply with the smoke detector system requirements described in paragraph (a) of this section and the... detector system requirements described in paragraph (a) of this section, except that the smoke detector...

  2. 14 CFR 121.308 - Lavatory fire protection.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... detector system or equivalent that provides a warning light in the cockpit or provides a warning light or... comply with the smoke detector system requirements described in paragraph (a) of this section and the... detector system requirements described in paragraph (a) of this section, except that the smoke detector...

  3. 78 FR 68831 - Agency Information Collection Activities; Submission to the Office of Management and Budget for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-15

    ... Early Warning and Intervention Monitoring System AGENCY: Institute of Education Sciences/National Center... Intervention Monitoring System. OMB Control Number: 1850-NEW. Type of Review: New collection. Respondents... planning a two-part evaluation of the Early Warning and Intervention Monitoring System (EWIMS), consisting...

  4. A Walk through TRIDEC's intermediate Tsunami Early Warning System

    NASA Astrophysics Data System (ADS)

    Hammitzsch, M.; Reißland, S.; Lendholt, M.

    2012-04-01

    The management of natural crises is an important application field of the technology developed in the project Collaborative, Complex, and Critical Decision-Support in Evolving Crises (TRIDEC), co-funded by the European Commission in its Seventh Framework Programme. TRIDEC is based on the development of the German Indonesian Tsunami Early Warning System (GITEWS) and the Distant Early Warning System (DEWS) providing a service platform for both sensor integration and warning dissemination. In TRIDEC new developments in Information and Communication Technology (ICT) are used to extend the existing platform realising a component-based technology framework for building distributed tsunami warning systems for deployment, e.g. in the North-eastern Atlantic, the Mediterranean and Connected Seas (NEAM) region. The TRIDEC system will be implemented in three phases, each with a demonstrator. Successively, the demonstrators are addressing challenges, such as the design and implementation of a robust and scalable service infrastructure supporting the integration and utilisation of existing resources with accelerated generation of large volumes of data. These include sensor systems, geo-information repositories, simulation tools and data fusion tools. In addition to conventional sensors also unconventional sensors and sensor networks play an important role in TRIDEC. The system version presented is based on service-oriented architecture (SOA) concepts and on relevant standards of the Open Geospatial Consortium (OGC), the World Wide Web Consortium (W3C) and the Organization for the Advancement of Structured Information Standards (OASIS). In this way the system continuously gathers, processes and displays events and data coming from open sensor platforms to enable operators to quickly decide whether an early warning is necessary and to send personalized warning messages to the authorities and the population at large through a wide range of communication channels. The system integrates OGC Sensor Web Enablement (SWE) compliant sensor systems for the rapid detection of hazardous events, like earthquakes, sea level anomalies, ocean floor occurrences, and ground displacements. Using OGC Web Map Service (WMS) and Web Feature Service (WFS) spatial data are utilized to depict the situation picture. The integration of a simulation system to identify affected areas is considered using the OGC Web Processing Service (WPS). Warning messages are compiled and transmitted in the OASIS Common Alerting Protocol (CAP) together with addressing information defined via the OASIS Emergency Data Exchange Language - Distribution Element (EDXL-DE). The first system demonstrator has been designed and implemented to support plausible scenarios demonstrating the treatment of simulated tsunami threats with an essential subset of a National Tsunami Warning Centre (NTWC). The feasibility and the potentials of the implemented approach are demonstrated covering standard operations as well as tsunami detection and alerting functions. The demonstrator presented addresses information management and decision-support processes in a hypothetical natural crisis situation caused by a tsunami in the Eastern Mediterranean. Developments of the system are based to the largest extent on free and open source software (FOSS) components and industry standards. Emphasis has been and will be made on leveraging open source technologies that support mature system architecture models wherever appropriate. All open source software produced is foreseen to be published on a publicly available software repository thus allowing others to reuse results achieved and enabling further development and collaboration with a wide community including scientists, developers, users and stakeholders. This live demonstration is linked with the talk "TRIDEC Natural Crisis Management Demonstrator for Tsunamis" (EGU2012-7275) given in the session "Architecture of Future Tsunami Warning Systems" (NH5.7/ESSI1.7).

  5. Research and application of a hybrid model based on dynamic fuzzy synthetic evaluation for establishing air quality forecasting and early warning system: A case study in China.

    PubMed

    Xu, Yunzhen; Du, Pei; Wang, Jianzhou

    2017-04-01

    As the atmospheric environment pollution has been becoming more and more serious in China, it is highly desirable to develop a scientific and effective early warning system that plays a great significant role in analyzing and monitoring air quality. However, establishing a robust early warning system for warning the public in advance and ameliorating air quality is not only an extremely challenging task but also a public concerned problem for human health. Most previous studies are focused on improving the prediction accuracy, which usually ignore the significance of uncertainty information and comprehensive evaluation concerning air pollutants. Therefore, in this paper a novel robust early warning system was successfully developed, which consists of three modules: evaluation module, forecasting module and characteristics estimating module. In this system, a new dynamic fuzzy synthetic evaluation is proposed and applied to determine air quality levels and primary pollutants, which can be regarded as the research objectives; Moreover, to further mine and analyze the characteristics of air pollutants, four different distribution functions and interval forecasting method are also employed that can not only provide predictive range, confidence level and the other uncertain information of the pollutants future values, but also assist decision-makers in reducing and controlling the emissions of atmospheric pollutants. Case studies utilizing hourly PM 2.5 , PM 10 and SO 2 data collected from Tianjin and Shanghai in China are applied as illustrative examples to estimate the effectiveness and efficiency of the proposed system. Experimental results obviously indicated that the developed novel early warning system is much suitable for analyzing and monitoring air pollution, which can also add a novel viable option for decision-makers. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. In-vehicle low-cost signing system

    NASA Astrophysics Data System (ADS)

    Greneker, Eugene F.

    1997-02-01

    There are approximately 20 million police radar detectors used on the highways of the United States daily. A highway hazard safety warning system has been developed by the Georgia Tech Research Institute, working under the sponsorship of the radar detector industry, to communicate highway safety alerts to the driver of any vehicle equipped with a police radar detector. In addition, the system causes the new generation of detectors that are already available to display a safety warning message on an alpha-numeric display. The Safety Warning SystemTM consists of a transmitter and a radar detector receiver or stand-alone safety warning receiver/display system. The transmitter can be mounted on police cars, emergency vehicles, utility vehicles, highly repair vehicles, and on stationary structures at fixed locations along the highway. The reception range of the transmitted signal is between 0.5 and 1.0 miles, depending on terrain. The system to be described may be one of the first applications of in-vehicle signing in the Intelligent Transportation System to be implemented, because the required infrastructure of receivers already exists.

  7. What is prescription labeling communicating to doctors about hepatotoxic drugs? A study of FDA approved product labeling.

    PubMed

    Willy, Mary E; Li, Zili

    2004-04-01

    The objective of this study was to evaluate the informativeness and consistency of product labeling of hepatotoxic drugs marketed in the United States. We searched the Physicians' Desk Reference-2000 for prescription drugs with hepatic failure and/or hepatic necrosis listed in the labeling. We used a six-item checklist to evaluate the 'informativeness' and consistency of the labeling content. An informativeness score equaled the proportion of checklist items present in each drug's labeling. Ninety-five prescription drugs were included in the study. Eleven (12%) of the drugs had information related to hepatic failure in a Black Boxed Warning, 52 (54%) in the Warnings section and 32 (34%) in the Adverse Reactions section of the label. The mean informativeness score was 35%; the score was significantly higher, 61%, when the risk was perceived to be high. The informativeness of labeling was not affected by the time of the labeling, but differed across the Center for Drug Evaluation and Research (CDER) Review Division responsible for the labeling. The information provided in labeling is variable and affected by many factors, including the perceived level of risk and review division strategy. Product labeling may benefit from current FDA initiatives to improve the consistency of risk-related labeling.

  8. The Association between Potential Exposure to Magazine Ads with Voluntary Health Warnings and the Perceived Harmfulness of Electronic Nicotine Delivery Systems (ENDS)

    PubMed Central

    Weaver, Scott R.; Zahra, Nahleen; Huang, Jidong; Cheng, Kai-Wen; Chaloupka, Frank J.

    2018-01-01

    (1) Background: Several brands of electronic nicotine delivery systems (ENDS) carry voluntary health warning messages. This study examined how potential exposure to ENDS magazine ads with these voluntary health warnings were associated with the perceived harmfulness of ENDS. (2) Methods: Risk perception measures and self-reported exposure to ENDS ads were obtained from the 2014 Georgia State University (GSU) Tobacco Products and Risk Perceptions Survey of a nationally representative sample of U.S. adults. We examined the association between potential exposure to magazine ads with warnings and the perceived harms of ENDS relative to cigarettes, using binary logistic regressions and controlling for general ENDS ad exposure and socio-demographic characteristics. (3) Results: Potential exposure to ENDS magazine ads with warnings was associated with a lower probability of considering ENDS to be more or equally harmful compared to cigarettes, particularly among non-smokers (OR = 0.16; 95% CI: 0.04–0.77). In addition, ad exposure, ENDS use history, race/ethnicity, gender, education, and income were also associated with harm perceptions. (4) Conclusions: This study did not find evidence that magazine ads with warnings increased misperceptions that ENDS are equally or more harmful than cigarettes. With more ENDS advertisements carrying warnings, more research is needed to determine how the warnings in advertisements convey relative harm information to consumers and the public. PMID:29570638

  9. The Association between Potential Exposure to Magazine Ads with Voluntary Health Warnings and the Perceived Harmfulness of Electronic Nicotine Delivery Systems (ENDS).

    PubMed

    Shang, Ce; Weaver, Scott R; Zahra, Nahleen; Huang, Jidong; Cheng, Kai-Wen; Chaloupka, Frank J

    2018-03-23

    (1) Background: Several brands of electronic nicotine delivery systems (ENDS) carry voluntary health warning messages. This study examined how potential exposure to ENDS magazine ads with these voluntary health warnings were associated with the perceived harmfulness of ENDS. (2) Methods: Risk perception measures and self-reported exposure to ENDS ads were obtained from the 2014 Georgia State University (GSU) Tobacco Products and Risk Perceptions Survey of a nationally representative sample of U.S. adults. We examined the association between potential exposure to magazine ads with warnings and the perceived harms of ENDS relative to cigarettes, using binary logistic regressions and controlling for general ENDS ad exposure and socio-demographic characteristics. (3) Results: Potential exposure to ENDS magazine ads with warnings was associated with a lower probability of considering ENDS to be more or equally harmful compared to cigarettes, particularly among non-smokers (OR = 0.16; 95% CI: 0.04-0.77). In addition, ad exposure, ENDS use history, race/ethnicity, gender, education, and income were also associated with harm perceptions. (4) Conclusions: This study did not find evidence that magazine ads with warnings increased misperceptions that ENDS are equally or more harmful than cigarettes. With more ENDS advertisements carrying warnings, more research is needed to determine how the warnings in advertisements convey relative harm information to consumers and the public.

  10. LDAR, A Three-Dimensional Lightning Warning System: Its Development and Use by the Government, and Transition to Public Availability

    NASA Technical Reports Server (NTRS)

    Starr, Stan; Sharp, David; Merceret, Francis; Madura, John; Murphy, Martin

    1998-01-01

    NASA, at the John F. Kennedy Space Center (KSC), developed and operates a unique high precision lightning location system to provide lightning related weather warnings. These warnings are used to stop lightning-sensitive operations such as space vehicle launches and ground operations where equipment and personnel are at risk. The data is provided to the Range Weather Operations [45th Weather Squadron, U. S. Air Force (USAF)] where it is used with other meteorological data to issue weather advisories and warnings for Cape Canaveral Air Station (CCAS) and KSC operations. This system, called Lightning Detection and Ranging (LDAR), provides users with a graphical display in three dimensions of 66 MHz radio frequency events generated by lightning processes. The locations of these events provide a sound basis for the prediction of lightning hazards. NASA and Global Atmospherics, Inc. are developing a new system that will replace the unique LDAR components with commercially available and maintainable components having improved capabilities. These components will be phased in to ensure full continuity and access to this important warning technology. These LDAR systems are expected to eventually be available for installation and use by the public at specialized facilities, such as airports, and for general weather warnings via the National Weather Service (NWS) or television broadcast. The NWS in Melbourne has had access to real-time LDAR data since 1993 on an experimental basis. This use of LDAR has shown promise for the improvement of aviation forecasts and severe weather warnings. More so, it has opened the door to investigate the feasibility of issuing lightning-related public advisories. The success of its early use suggests that this technology may improve safety and potentially save lives, therefore constituting a significant benefit to the public. This paper describes the LDR system, the plans and progress of these upgrades, and the potential benefits of its use.

  11. Experience from three years of local capacity development for tsunami early warning in Indonesia: challenges, lessons and the way ahead

    NASA Astrophysics Data System (ADS)

    Spahn, H.; Hoppe, M.; Vidiarina, H. D.; Usdianto, B.

    2010-07-01

    Five years after the 2004 tsunami, a lot has been achieved to make communities in Indonesia better prepared for tsunamis. This achievement is primarily linked to the development of the Indonesian Tsunami Early Warning System (InaTEWS). However, many challenges remain. This paper describes the experience with local capacity development for tsunami early warning (TEW) in Indonesia, based on the activities of a pilot project. TEW in Indonesia is still new to disaster management institutions and the public, as is the paradigm of Disaster Risk Reduction (DRR). The technology components of InaTEWS will soon be fully operational. The major challenge for the system is the establishment of clear institutional arrangements and capacities at national and local levels that support the development of public and institutional response capability at the local level. Due to a lack of information and national guidance, most local actors have a limited understanding of InaTEWS and DRR, and often show little political will and priority to engage in TEW. The often-limited capacity of local governments is contrasted by strong engagement of civil society organisations that opt for early warning based on natural warning signs rather than technology-based early warning. Bringing together the various actors, developing capacities in a multi-stakeholder cooperation for an effective warning system are key challenges for the end-to-end approach of InaTEWS. The development of local response capability needs to receive the same commitment as the development of the system's technology components. Public understanding of and trust in the system comes with knowledge and awareness on the part of the end users of the system and convincing performance on the part of the public service provider. Both sides need to be strengthened. This requires the integration of TEW into DRR, clear institutional arrangements, national guidance and intensive support for capacity development at local levels as well as dialogue between the various actors.

  12. Development of a Global Agricultural Hotspot Detection and Early Warning System

    NASA Astrophysics Data System (ADS)

    Lemoine, G.; Rembold, F.; Urbano, F.; Csak, G.

    2015-12-01

    The number of web based platforms for crop monitoring has grown rapidly over the last years and anomaly maps and time profiles of remote sensing derived indicators can be accessed online thanks to a number of web based portals. However, while these systems make available a large amount of crop monitoring data to the agriculture and food security analysts, there is no global platform which provides agricultural production hotspot warning in a highly automatic and timely manner. Therefore a web based system providing timely warning evidence as maps and short narratives is currently under development by the Joint Research Centre. The system (called "HotSpot Detection System of Agriculture Production Anomalies", HSDS) will focus on water limited agricultural systems worldwide. The automatic analysis of relevant meteorological and vegetation indicators at selected administrative units (Gaul 1 level) will trigger warning messages for the areas where anomalous conditions are observed. The level of warning (ranging from "watch" to "alert") will depend on the nature and number of indicators for which an anomaly is detected. Information regarding the extent of the agricultural areas concerned by the anomaly and the progress of the agricultural season will complement the warning label. In addition, we are testing supplementary detailed information from other sources for the areas triggering a warning. These regard the automatic web-based and food security-tailored analysis of media (using the JRC Media Monitor semantic search engine) and the automatic detection of active crop area using Sentinel 1, upcoming Sentinel-2 and Landsat 8 imagery processed in Google Earth Engine. The basic processing will be fully automated and updated every 10 days exploiting low resolution rainfall estimates and satellite vegetation indices. Maps, trend graphs and statistics accompanied by short narratives edited by a team of crop monitoring experts, will be made available on the website on a monthly basis.

  13. HRAS: a webserver for early warning of human health risk brought by aflatoxin.

    PubMed

    Hu, Ruifeng; Zeng, Xu; Gao, Weiwei; Wang, Qian; Liu, Zhihua

    2013-02-01

    Most people are aware that outdoor air pollution can damage their health, but many do not know that indoor air pollution can also exhibit significant negative health effects. Fungi parasitizing in air conditioning and ventilation systems can be one of indoor air pollution sources. Aflatoxin produced by Aspergillus flavus (A. flavus) became a central focus of indoor air pollution, especially in farmer markets. Therefore we developed an early warning system, Health Risk Assessment System, to estimate the growth rate of A. flavus, predict the amount of aflatoxin and provide early warning information. Firstly, the growth of A. flavus and the production of aflatoxin under different conditions were widely obtained through a comprehensive literature review. Secondly, three mathematical models were established to predict the A. flavus colony growth rate, lag phase duration and aflatoxin content, as functions of temperature and water activity based on present studies. Finally, all the results were evaluated by the user-supplied data using PHP programming language. We utilized the web page to show the results and display warning information. The JpGraph library was used to create a dynamic line chart, refreshing the warning information dynamically in real-time. The HARS provides accurate information for early warning purposes to let us take timely steps to protect ourselves.

  14. Communication-Link Approach to Actuation of Grade-Crossing Motorist-Warning Systems

    DOT National Transportation Integrated Search

    1975-07-01

    Previous studies indicate that one promising avenue to grade-crossing motorist-warning systems, offering lower cost and independent of railroad-track circuits, is use of a radio-communication link for signal activation. By this means, the presence of...

  15. Evaluation of an active wildlife-sensing and driver warning system at Trapper's Point.

    DOT National Transportation Integrated Search

    2009-04-01

    Collisions with wildlife are a serious concern on American highways. In Wyoming, the concern has prompted the Wyoming Department of Transportation : to construct an experimental wildlife detection and driver warning system at Trappers Point, north...

  16. Transit bus stop pedestrian warning application : architecture and design : final report.

    DOT National Transportation Integrated Search

    2017-02-28

    This document describes the Draft System Architecture and Design for the Transit Bus Stop Pedestrian Warning (TSPW) application including the design for the pedestrian detection system and DSRC radio to be deployed at transit stops and includes detai...

  17. 47 CFR 11.56 - Obligation to process CAP-formatted EAS messages.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...), and Common Alerting Protocol, v. 1.2 USA Integrated Public Alert and Warning System Profile Version 1...) “Common Alerting Protocol, v. 1.2 USA Integrated Public Alert and Warning System Profile Version 1.0” (Oct...

  18. 47 CFR 11.56 - Obligation to process CAP-formatted EAS messages.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...), and Common Alerting Protocol, v. 1.2 USA Integrated Public Alert and Warning System Profile Version 1...) “Common Alerting Protocol, v. 1.2 USA Integrated Public Alert and Warning System Profile Version 1.0” (Oct...

  19. 47 CFR 11.56 - Obligation to process CAP-formatted EAS messages.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...), and Common Alerting Protocol, v. 1.2 USA Integrated Public Alert and Warning System Profile Version 1...) “Common Alerting Protocol, v. 1.2 USA Integrated Public Alert and Warning System Profile Version 1.0” (Oct...

  20. Coral Reef Early Warning System (CREWS) RPC Experiment

    NASA Technical Reports Server (NTRS)

    Estep, Leland; Spruce, Joseph P.; Hall, Callie

    2007-01-01

    This viewgraph document reviews the background, objectives, methodology, validation, and present status of the Coral Reef Early Warning System (CREWS) Rapid Prototyping Capability (RPC) experiment. The potential NASA contribution to CREWS Decision Support Tool (DST) centers on remotely sensed imagery products.

  1. Human factors research problems in electronic voice warning system design

    NASA Technical Reports Server (NTRS)

    Simpson, C. A.; Williams, D. H.

    1975-01-01

    The speech messages issued by voice warning systems must be carefully designed in accordance with general principles of human decision making processes, human speech comprehension, and the conditions in which the warnings can occur. The operator's effectiveness must not be degraded by messages that are either inappropriate or difficult to comprehend. Important experimental variables include message content, linguistic redundancy, signal/noise ratio, interference with concurrent tasks, and listener expectations generated by the pragmatic or real world context in which the messages are presented.

  2. Real-Time Risk Prediction on the Wards: A Feasibility Study.

    PubMed

    Kang, Michael A; Churpek, Matthew M; Zadravecz, Frank J; Adhikari, Richa; Twu, Nicole M; Edelson, Dana P

    2016-08-01

    Failure to detect clinical deterioration in the hospital is common and associated with poor patient outcomes and increased healthcare costs. Our objective was to evaluate the feasibility and accuracy of real-time risk stratification using the electronic Cardiac Arrest Risk Triage score, an electronic health record-based early warning score. We conducted a prospective black-box validation study. Data were transmitted via HL7 feed in real time to an integration engine and database server wherein the scores were calculated and stored without visualization for clinical providers. The high-risk threshold was set a priori. Timing and sensitivity of electronic Cardiac Arrest Risk Triage score activation were compared with standard-of-care Rapid Response Team activation for patients who experienced a ward cardiac arrest or ICU transfer. Three general care wards at an academic medical center. A total of 3,889 adult inpatients. The system generated 5,925 segments during 5,751 admissions. The area under the receiver operating characteristic curve for electronic Cardiac Arrest Risk Triage score was 0.88 for cardiac arrest and 0.80 for ICU transfer, consistent with previously published derivation results. During the study period, eight of 10 patients with a cardiac arrest had high-risk electronic Cardiac Arrest Risk Triage scores, whereas the Rapid Response Team was activated on two of these patients (p < 0.05). Furthermore, electronic Cardiac Arrest Risk Triage score identified 52% (n = 201) of the ICU transfers compared with 34% (n = 129) by the current system (p < 0.001). Patients met the high-risk electronic Cardiac Arrest Risk Triage score threshold a median of 30 hours prior to cardiac arrest or ICU transfer versus 1.7 hours for standard Rapid Response Team activation. Electronic Cardiac Arrest Risk Triage score identified significantly more cardiac arrests and ICU transfers than standard Rapid Response Team activation and did so many hours in advance.

  3. Mobile machine hazardous working zone warning system

    DOEpatents

    Schiffbauer, William H.; Ganoe, Carl W.

    1999-01-01

    A warning system is provided for a mobile working machine to alert an individual of a potentially dangerous condition in the event the individual strays into a hazardous working zone of the machine. The warning system includes a transmitter mounted on the machine and operable to generate a uniform magnetic field projecting beyond an outer periphery of the machine in defining a hazardous working zone around the machine during operation thereof. A receiver, carried by the individual and activated by the magnetic field, provides an alarm signal to alert the individual when he enters the hazardous working zone of the machine.

  4. Mobile machine hazardous working zone warning system

    DOEpatents

    Schiffbauer, W.H.; Ganoe, C.W.

    1999-08-17

    A warning system is provided for a mobile working machine to alert an individual of a potentially dangerous condition in the event the individual strays into a hazardous working zone of the machine. The warning system includes a transmitter mounted on the machine and operable to generate a uniform magnetic field projecting beyond an outer periphery of the machine in defining a hazardous working zone around the machine during operation. A receiver, carried by the individual and activated by the magnetic field, provides an alarm signal to alert the individual when he enters the hazardous working zone of the machine. 3 figs.

  5. Early warning systems for the management of chronic heart failure: a systematic literature review of cost-effectiveness models.

    PubMed

    Albuquerque De Almeida, Fernando; Al, Maiwenn; Koymans, Ron; Caliskan, Kadir; Kerstens, Ankie; Severens, Johan L

    2018-04-01

    Describing the general and methodological characteristics of decision-analytical models used in the economic evaluation of early warning systems for the management of chronic heart failure patients and performing a quality assessment of their methodological characteristics is expected to provide concise and useful insight to inform the future development of decision-analytical models in the field of heart failure management. Areas covered: The literature on decision-analytical models for the economic evaluation of early warning systems for the management of chronic heart failure patients was systematically reviewed. Nine electronic databases were searched through the combination of synonyms for heart failure and sensitive filters for cost-effectiveness and early warning systems. Expert commentary: The retrieved models show some variability with regards to their general study characteristics. Overall, they display satisfactory methodological quality, even though some points could be improved, namely on the consideration and discussion of any competing theories regarding model structure and disease progression, identification of key parameters and the use of expert opinion, and uncertainty analyses. A comprehensive definition of early warning systems and further research under this label should be pursued. To improve the transparency of economic evaluation publications, authors should make available detailed technical information regarding the published models.

  6. Organizing Schools to Address Early Warning Indicators (EWIs): Common Practices and Challenges

    ERIC Educational Resources Information Center

    Davis, Marcia; Herzog, Liza; Legters, Nettie

    2013-01-01

    An early warning system is an intentional process whereby school personnel collectively analyze student data to monitor students at risk of falling off track for graduation and to provide the interventions and resources to intervene. We studied the process of monitoring the early warning indicators and implementing interventions to ascertain…

  7. 30 CFR 75.1103-5 - Automatic fire warning devices; actions and response.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... level reaches 10 parts per million above the established ambient level at any sensor location, automatic fire sensor and warning device systems shall provide an effective warning signal at the following... endangered and (ii) A map or schematic that shows the locations of sensors, and the intended air flow...

  8. Lessons from a national audit of acute pancreatitis: A summary of the NCEPOD report 'Treat the Cause'.

    PubMed

    O'Reilly, D A; McPherson, S J; Sinclair, M T; Smith, N

    The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) is an independent organisation whose remit is to review the quality of medical and surgical care provided in the United Kingdom. We undertook a review into the care provided to patients treated for acute pancreatitis during a 6 month study period between 1st January and 30th June 2014. This included assessment of care at an organisational level, clinical level within hospitals and external peer review. From a random sample, 712 patients underwent hospital clinician review and 418 patients had external peer review. Overall, we found that there was room for improvement in care in over 50% of patients with acute pancreatitis. Case reviewers felt that efforts to prevent recurrent episodes due to gallstones and alcohol were inadequate as 21% of patients in the study had one or more previous episodes of acute pancreatitis. Aspects of general care where improvements could be made include better antibiotic stewardship; as 1/5 of patients were considered to have been given antibiotics unnecessarily. Overall management of the patients' nutrition was considered adequate by the case reviewers in only 85% of cases. The use of an early warning score was omitted in 31% of emergency department admissions. Recommendations include standardised early warning scoring systems to be used throughout the hospital and commenced in the emergency department. The development of better networking arrangements and regional pancreatitis units, with shared management guidelines, is also essential to improve the coordination of care. Copyright © 2017 IAP and EPC. Published by Elsevier B.V. All rights reserved.

  9. Exploring the performance of the National Early Warning Score (NEWS) in a European emergency department.

    PubMed

    Alam, N; Vegting, I L; Houben, E; van Berkel, B; Vaughan, L; Kramer, M H H; Nanayakkara, P W B

    2015-05-01

    Several triage systems have been developed for use in the emergency department (ED), however they are not designed to detect deterioration in patients. Deteriorating patients may be at risk of going undetected during their ED stay and are therefore vulnerable to develop serious adverse events (SAEs). The national early warning score (NEWS) has a good ability to discriminate ward patients at risk of SAEs. The utility of NEWS had not yet been studied in an ED. To explore the performance of the NEWS in an ED with regard to predicting adverse outcomes. A prospective observational study. Patients Eligible patients were those presenting to the ED during the 6 week study period with an Emergency Severity Index (ESI) of 2 and 3 not triaged to the resuscitation room. NEWS was documented at three time points: on arrival (T0), hour after arrival (T1) and at transfer to the general ward/ICU (T2). The outcomes of interest were: hospital admission, ICU admission, length of stay and 30 day mortality. A total of 300 patients were assessed for eligibility. Complete data was able to be collected for 274 patients on arrival at the ED. NEWS was significantly correlated with patient outcomes, including 30 day mortality, hospital admission, and length of stay at all-time points. The NEWS measured at different time points was a good predictor of patient outcomes and can be of additional value in the ED to longitudinally monitor patients throughout their stay in the ED and in the hospital. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  10. Challenges for operational forecasting and early warning of rainfall induced landslides

    NASA Astrophysics Data System (ADS)

    Guzzetti, Fausto

    2017-04-01

    In many areas of the world, landslides occur every year, claiming lives and producing severe economic and environmental damage. Many of the landslides with human or economic consequences are the result of intense or prolonged rainfall. For this reason, in many areas the timely forecast of rainfall-induced landslides is of both scientific interest and social relevance. In the recent years, there has been a mounting interest and an increasing demand for operational landslide forecasting, and for associated landslide early warning systems. Despite the relevance of the problem, and the increasing interest and demand, only a few systems have been designed, and are currently operated. Inspection of the - limited - literature on operational landslide forecasting, and on the associated early warning systems, reveals that common criteria and standards for the design, the implementation, the operation, and the evaluation of the performances of the systems, are lacking. This limits the possibility to compare and to evaluate the systems critically, to identify their inherent strengths and weaknesses, and to improve the performance of the systems. Lack of common criteria and of established standards can also limit the credibility of the systems, and consequently their usefulness and potential practical impact. Landslides are very diversified phenomena, and the information and the modelling tools used to attempt landslide forecasting vary largely, depending on the type and size of the landslides, the extent of the geographical area considered, the timeframe of the forecasts, and the scope of the predictions. Consequently, systems for landslide forecasting and early warning can be designed and implemented at several different geographical scales, from the local (site or slope specific) to the regional, or even national scale. The talk focuses on regional to national scale landslide forecasting systems, and specifically on operational systems based on empirical rainfall threshold models. Building on the experience gained in designing, implementing, and operating national and regional landslide forecasting systems in Italy, and on a preliminary review of the existing literature on regional landslide early warning systems, the talk discusses concepts, limitations and challenges inherent to the design of reliable forecasting and early warning systems for rainfall-triggered landslides, the evaluation of the performances of the systems, and on problems related to the use of the forecasts and the issuing of landslide warnings. Several of the typical elements of an operational landslide forecasting system are considered, including: (i) the rainfall and landslide information used to establish the threshold models, (ii) the methods and tools used to define the empirical rainfall thresholds, and their associated uncertainty, (iii) the quality (e.g., the temporal and spatial resolution) of the rainfall information used for operational forecasting, including rain gauge and radar measurements, satellite estimates, and quantitative weather forecasts, (iv) the ancillary information used to prepare the forecasts, including e.g., the terrain subdivisions and the landslide susceptibility zonations, (v) the criteria used to transform the forecasts into landslide warnings and the methods used to communicate the warnings, and (vi) the criteria and strategies adopted to evaluate the performances of the systems, and to define minimum or optimal performance levels.

  11. The Effectiveness of Reverse Telephon Emergency Warning Systems in the October 2007 San Diego Wildfires

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

    Sorensen, John H; Sorensen, Barbara Vogt

    2009-01-01

    Late in October, 2007, fast-moving wildfires fueled by extreme Santa Ana winds threatened residents and their properties in San Diego County, California. The impacted area also included the City of San Diego within the County s boundaries. It turns out the San Diego firestorms would be the biggest in the County's history, surpassing the devastating 2003 firestorms in intensity, duration, and impacted populations. Both San Diego County and the City of San Diego have installed telephone reverse call-down emergency warning systems. A telephone survey of 1200 households located in areas identified by emergency officials as the evacuation zones for themore » 2007 fires was conducted in late March and early April 2008 using a random telephone dialing process to determine if people responded to the reverse telephone warning systems calls. Findings indicate that those who received a reverse emergency warning call were much more likely to evacuate than those who did not receive a call. The telephone calls were also the most likely source of first warning.« less

  12. Famines in Africa: is early warning early enough?

    PubMed Central

    Kim, Jeeyon Janet; Guha-Sapir, Debarati

    2012-01-01

    Following the second Sahelian famine in 1984–1985, major investments were made to establish Early Warning Systems. These systems help to ensure that timely warnings and vulnerability information are available to decision makers to anticipate and avert food crises. In the recent crisis in the Horn of Africa, alarming levels of acute malnutrition were documented from March 2010, and by August 2010, an impending food crisis was forecast. Despite these measures, the situation remained unrecognised, and further deteriorated causing malnutrition levels to grow in severity and scope. By the time the United Nations officially declared famine on 20 July 2011, and the humanitarian community sluggishly went into response mode, levels of malnutrition and mortality exceeded catastrophic levels. At this time, an estimated 11 million people were in desperate and immediate need for food. With warnings of food crises in the Sahel, South Sudan, and forecast of the drought returning to the Horn, there is an immediate need to institutionalize change in the health response during humanitarian emergencies. Early warning systems are only effective if they trigger an early response. PMID:22745628

  13. Famines in Africa: is early warning early enough?

    PubMed

    Kim, Jeeyon Janet; Guha-Sapir, Debarati

    2012-01-01

    Following the second Sahelian famine in 1984-1985, major investments were made to establish Early Warning Systems. These systems help to ensure that timely warnings and vulnerability information are available to decision makers to anticipate and avert food crises. In the recent crisis in the Horn of Africa, alarming levels of acute malnutrition were documented from March 2010, and by August 2010, an impending food crisis was forecast. Despite these measures, the situation remained unrecognised, and further deteriorated causing malnutrition levels to grow in severity and scope. By the time the United Nations officially declared famine on 20 July 2011, and the humanitarian community sluggishly went into response mode, levels of malnutrition and mortality exceeded catastrophic levels. At this time, an estimated 11 million people were in desperate and immediate need for food. With warnings of food crises in the Sahel, South Sudan, and forecast of the drought returning to the Horn, there is an immediate need to institutionalize change in the health response during humanitarian emergencies. Early warning systems are only effective if they trigger an early response.

  14. Using SMAP data to improve drought early warning over the US Great Plains

    NASA Astrophysics Data System (ADS)

    Fu, R.; Fernando, N.; Tang, W.

    2015-12-01

    A drought prone region such as the Great Plains of the United States (US GP) requires credible and actionable drought early warning. Such information cannot simply be extracted from available climate forecasts because of their large uncertainties at regional scales, and unclear connections to the needs of the decision makers. In particular, current dynamic seasonal predictions and climate projections, such as those produced by the NOAA North American Multi-Model Ensemble experiment (NMME) are much more reliable for winter and spring than for the summer season for the US GP. To mitigate the weaknesses of dynamic prediction/projections, we have identified three key processes behind the spring-to-summer dry memory through observational studies, as the scientific basis for a statistical drought early warning system. This system uses percentile soil moisture anomalies in spring as a key input to provide a probabilistic summer drought early warning. The latter outperforms the dynamic prediction over the US Southern Plains and has been used by the Texas state water agency to support state drought preparedness. A main source of uncertainty for this drought early warning system is the soil moisture input obtained from the NOAA Climate Forecasting System (CFS). We are testing use of the beta version of NASA Soil Moisture Active Passive (SMAP) soil moisture data, along with the Soil Moisture and Ocean Salinity (SMOS), and the long-term Essential Climate Variable Soil Moisture (ECV-SM) soil moisture data, to reduce this uncertainty. Preliminary results based on ECV-SM suggests satellite based soil moisture data could improve early warning of rainfall anomalies over the western US GP with less dense vegetation. The skill degrades over the eastern US GP where denser vegetation is found. We evaluate our SMAP-based drought early warning for 2015 summer against observations.

  15. Seismic Monitoring of Permafrost During Controlled Thaw: An Active-Source Experiment Using a Surface Orbital Vibrator and Fiber-Optic DAS Arrays

    NASA Astrophysics Data System (ADS)

    Dou, S.; Wood, T.; Lindsey, N.; Ajo Franklin, J. B.; Freifeld, B. M.; Gelvin, A.; Morales, A.; Saari, S.; Ekblaw, I.; Wagner, A. M.; Daley, T. M.; Robertson, M.; Martin, E. R.; Ulrich, C.; Bjella, K.

    2016-12-01

    Thawing of permafrost can cause ground deformations that threaten the integrity of civil infrastructure. It is essential to develop early warning systems that can identify critically warmed permafrost and issue warnings for hazard prevention and control. Seismic methods can play a pivotal role in such systems for at least two reasons: First, seismic velocities are indicative of mechanical strength of the subsurface and thus are directly relevant to engineering properties; Second, seismic velocities in permafrost systems are sensitive to pre-thaw warming, which makes it possible to issue early warnings before the occurrence of hazardous subsidence events. However, several questions remain: What are the seismic signatures that can be effectively used for early warning of permafrost thaw? Can seismic methods provide enough warning times for hazard prevention and control? In this study, we investigate the feasibility of using permanently installed seismic networks for early warnings of permafrost thaw. We conducted continuous active-source seismic monitoring of permafrost that was under controlled heating at CRREL's Fairbanks permafrost experiment station. We used a permanently installed surface orbital vibrator (SOV) as source and surface-trenched DAS arrays as receivers. The SOV is characterized by its excellent repeatability, automated operation, high energy level, and the rich frequency content (10-100 Hz) of the generated wavefields. The fiber-optic DAS arrays allow continuous recording of seismic data with dense spatial sampling (1-meter channel spacing), low cost, and low maintenance. This combination of SOV-DAS provides unique seismic datasets for observing time-lapse changes of warming permafrost at the field scale, hence providing an observational basis for design and development of early warning systems for permafrost thaw.

  16. Tornado hazard communication disparities among Spanish-speaking individuals in an English-speaking community.

    PubMed

    Ahlborn, Leslie; Franc, Jeffrey Michael

    2012-02-01

    The state of Oklahoma, known for destructive tornados, has a native Spanish-speaking (NSS) population of approximately 180,241, of which 50% report being able to speak English "very well" (US Census Bureau). With almost 50% of these native Spanish-speaking persons being limited English proficient (LEP), their reception of tornado hazard communications may be restricted. This study conducted in northeast Oklahoma (USA) evaluates the association between native language and receiving tornado hazard communications. This study was a cross-sectional survey conducted among a convenience sample of NSS and native English-speaking (NES) adults at Xavier Clinic and St. Francis Trauma Emergency Center in Tulsa, OK, USA from September 2009 through December 2009. Of the 82 surveys administered, 80 were returned, with 40 NES and 40 NSS participants. A scoring system (Severe Weather Information Reception (SWIR)) was developed to quantify reception of hazard information among the study participants (1-3 points=poor reception, 4-5=adequate reception, 6-8=excellent reception). Pearson's chi-squared test was used to calculate differences between groups with Yates' continuity correction applied where appropriate, and SWIR scores were analyzed using ANOVA. P-values<.05 were considered significant. NSS fluency in English was 25.6%. No significant association was found between native language and those who watch television, listen to radio, have a National Oceanic and Atmospheric Administration (NOAA) All Hazards radio or telephone, or are in audible range of a tornado siren. NSS were less likely to have Internet access (P<.004), and less likely to know of local telephone warning programs (P<.03). The mean NSS SWIR score was 3.2 (95% CI, 2.8-3.7) while LEP NSS averaged 2.8 (95% CI, 2.4-3.2). The mean NES SWIR score was 4.5 (95% CI, 4.1-5.0). Results demonstrate a disparity in tornado warning reception between NSS and NES. Poor English proficiency was noted to be 75% among NSS, which is approximately 25% more than estimated by the US Census Bureau. This study demonstrates a need for emergency managers to recognize when appropriate and overcome communication disparities among limited English proficient populations.

  17. A risk scoring model based on vital signs and laboratory data predicting transfer to the intensive care unit of patients admitted to gastroenterology wards.

    PubMed

    Kim, Won-Young; Lee, Jinmi; Lee, Ju-Ry; Jung, Youn Kyung; Kim, Hwa Jung; Huh, Jin Won; Lim, Chae-Man; Koh, Younsuck; Hong, Sang-Bum

    2017-08-01

    To compare the ability of a score based on vital signs and laboratory data with that of the modified early warning score (MEWS) to predict ICU transfer of patients with gastrointestinal disorders. Consecutive events triggering medical emergency team activation in adult patients admitted to the gastroenterology wards of the Asan Medical Center were reviewed. Binary logistic regression was used to identify factors predicting transfer to the ICU. Gastrointestinal early warning score (EWS-GI) was calculated as the sum of simplified regression weights (SRW). Of the 1219 included patients, 468 (38%) were transferred to the ICU. Multivariate analysis identified heart rate≥105bpm (SRW 1), respiratory rate≥26bpm (SRW 2), ACDU (Alert, Confused, Drowsy, Unresponsive) score≥1 (SRW 2), SpO 2 /FiO 2 ratio<240 (SRW 2), creatinine ≥2.0mg/dL (SRW 2), total bilirubin ≥9.0mg/dL (SRW 2), prothrombin time/international normalized ratio (INR) ≥1.5 (SRW 2), and lactate ≥3.0mmol/L (SRW 2) for inclusion in EWS-GI. The area under the receiver operating characteristic curve of the EWS-GI was larger than that of MEWS (0.76 vs. 0.64; P<0.001). EWS-GI may predict ICU transfer among patients admitted to gastroenterology wards. The EWS-GI should be prospectively validated. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. A Steady-State Visual Evoked Potential Brain-Computer Interface System Evaluation as an In-Vehicle Warning Device

    NASA Astrophysics Data System (ADS)

    Riyahi, Pouria

    This thesis is part of current research at Center for Intelligence Systems Research (CISR) at The George Washington University for developing new in-vehicle warning systems via Brain-Computer Interfaces (BCIs). The purpose of conducting this research is to contribute to the current gap between BCI and in-vehicle safety studies. It is based on the premise that accurate and timely monitoring of human (driver) brain's signal to external stimuli could significantly aide in detection of driver's intentions and development of effective warning systems. The thesis starts with introducing the concept of BCI and its development history while it provides a literature review on the nature of brain signals. The current advancement and increasing demand for commercial and non-medical BCI products are described. In addition, the recent research attempts in transportation safety to study drivers' behavior or responses through brain signals are reviewed. The safety studies, which are focused on employing a reliable and practical BCI system as an in-vehicle assistive device, are also introduced. A major focus of this thesis research has been on the evaluation and development of the signal processing algorithms which can effectively filter and process brain signals when the human subject is subjected to Visual LED (Light Emitting Diodes) stimuli at different frequencies. The stimulated brain generates a voltage potential, referred to as Steady-State Visual Evoked Potential (SSVEP). Therefore, a newly modified analysis algorithm for detecting the brain visual signals is proposed. These algorithms are designed to reach a satisfactory accuracy rate without preliminary trainings, hence focusing on eliminating the need for lengthy training of human subjects. Another important concern is the ability of the algorithms to find correlation of brain signals with external visual stimuli in real-time. The developed analysis models are based on algorithms which are capable of generating results for real-time processing of BCI devices. All of these methods are evaluated through two sets of recorded brain signals which were recorded by g.TEC CO. as an external source and recorded brain signals during our car driving simulator experiments. The final discussion is about how the presence of an SSVEP based warning system could affect drivers' performances which is defined by their reaction distance and Time to Collision (TTC). Three different scenarios with and without warning LEDs were planned to measure the subjects' normal driving behavior and their performance while they use a warning system during their driving task. Finally, warning scenarios are divided into short and long warning periods without and with informing the subjects, respectively. The long warning period scenario attempts to determine the level of drivers' distraction or vigilance during driving. The good outcome of warning scenarios can bridge between vehicle safety studies and online BCI system design research. The preliminary results show some promise of the developed methods for in-vehicle safety systems. However, for any decisive conclusion that considers using a BCI system as a helpful in-vehicle assistive device requires far deeper scrutinizing.

  19. Earthquake Early Warning: New Strategies for Seismic Hardware

    NASA Astrophysics Data System (ADS)

    Allardice, S.; Hill, P.

    2017-12-01

    Implementing Earthquake Early Warning System (EEWS) triggering algorithms into seismic networks has been a hot topic of discussion for some years now. With digitizer technology now available, such as the Güralp Minimus, with on average 40-60ms delay time (latency) from earthquake origin to issuing an alert the next step is to provide network operators with a simple interface for on board parameter calculations from a seismic station. A voting mechanism is implemented on board which mitigates the risk of false positives being communicated. Each Minimus can be configured to with a `score' from various sources i.e. Z channel on seismometer, N/S E/W channels on accelerometer and MEMS inside Minimus. If the score exceeds the set threshold then an alert is sent to the `Master Minimus'. The Master Minimus within the network will also be configured as to when the alert should be issued i.e. at least 3 stations must have triggered. Industry standard algorithms focus around the calculation of Peak Ground Acceleration (PGA), Peak Ground Velocity (PGV), Peak Ground Displacement (PGD) and C. Calculating these single station parameters on-board in order to stream only the results could help network operators with possible issues, such as restricted bandwidth. Developments on the Minimus allow these parameters to be calculated and distributed through Common Alert Protocol (CAP). CAP is the XML based data format used for exchanging and describing public warnings and emergencies. Whenever the trigger conditions are met the Minimus can send a signed UDP packet to the configured CAP receiver which can then send the alert via SMS, e-mail or CAP forwarding. Increasing network redundancy is also a consideration when developing these features, therefore the forwarding CAP message can be sent to multiple destinations. This allows for a hierarchical approach by which the single station (or network) parameters can be streamed to another Minimus, or data centre, or both, so that there is no one single point of failure. Developments on the Guralp Minimus to calculate these on board parameters which are capable of streaming single station parameters, accompanied with the ultra-low latency is the next generation of EEWS and Güralps contribution to the community.

  20. Establishment of turbidity forecasting model and early-warning system for source water turbidity management using back-propagation artificial neural network algorithm and probability analysis.

    PubMed

    Yang, Tsung-Ming; Fan, Shu-Kai; Fan, Chihhao; Hsu, Nien-Sheng

    2014-08-01

    The purpose of this study is to establish a turbidity forecasting model as well as an early-warning system for turbidity management using rainfall records as the input variables. The Taipei Water Source Domain was employed as the study area, and ANOVA analysis showed that the accumulative rainfall records of 1-day Ping-lin, 2-day Ping-lin, 2-day Fei-tsui, 2-day Shi-san-gu, 2-day Tai-pin and 2-day Tong-hou were the six most significant parameters for downstream turbidity development. The artificial neural network model was developed and proven capable of predicting the turbidity concentration in the investigated catchment downstream area. The observed and model-calculated turbidity data were applied to developing the turbidity early-warning system. Using a previously determined turbidity as the threshold, the rainfall criterion, above which the downstream turbidity would possibly exceed this respective threshold turbidity, for the investigated rain gauge stations was determined. An exemplary illustration demonstrated the effectiveness of the proposed turbidity early-warning system as a precautionary alarm of possible significant increase of downstream turbidity. This study is the first report of the establishment of the turbidity early-warning system. Hopefully, this system can be applied to source water turbidity forecasting during storm events and provide a useful reference for subsequent adjustment of drinking water treatment operation.

  1. Paint for detection of corrosion and warning of chemical and radiological attack

    DOEpatents

    Farmer, Joseph C [Tracy, CA

    2010-08-24

    A system for warning of corrosion, chemical, or radiological substances. The system comprises painting a surface with a paint or coating that includes an indicator material and monitoring the surface for indications of the corrosion, chemical, or radiological substances.

  2. Assessment of a drowsy driver warning system for heavy-vehicle drivers : final report

    DOT National Transportation Integrated Search

    2009-04-01

    Drowsiness has a globally negative impact on performance, slowing reaction time, decreasing situational awareness, and impairing judgment. A field operational test of an early prototype Drowsy Driver Warning System was conducted as a result of 12 yea...

  3. Field evaluation of the myrtle creek advanced curve warning system : final report.

    DOT National Transportation Integrated Search

    2006-06-01

    As part of a larger study focusing on determining optimum countermeasures for speed related crashes, this report presents the results of a quantitative and qualitative before and after evaluation of a dynamic curve warning system deployed at one site...

  4. Lane marking/striping to improve image processing lane departure warning systems.

    DOT National Transportation Integrated Search

    2007-05-01

    Vision-based Lane Departure Warning Systems (LDWS) depend on pavement marking tracking to : determine that vehicles perform unintended drifts out of the travel lanes. Thus, it is expected that : the performances of these LDWS be influenced by the vis...

  5. 77 FR 64439 - Airworthiness Directives; Bell Helicopter Textron Canada (Bell) Model Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ... Control System] Air Data Computer.'' TCAA issued AD CF-2005-30 to require the procedures in Bell Alert... overspeed warning system, replacing the overspeed warning computer, V ne converter, and pilot and copilot... Aircraft System/Component Code: 3417 Air Data Computer. Issued in Fort Worth, Texas, on October 12, 2012...

  6. 14 CFR 25.857 - Cargo compartment classification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... detector or fire detector system to give warning at the pilot or flight engineer station. (c) Class C. A... compartment but in which— (1) There is a separate approved smoke detector or fire detector system to give... a separate approved smoke or fire detector system to give warning at the pilot or flight engineer...

  7. 14 CFR 25.857 - Cargo compartment classification.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... detector or fire detector system to give warning at the pilot or flight engineer station. (c) Class C. A... compartment but in which— (1) There is a separate approved smoke detector or fire detector system to give... a separate approved smoke or fire detector system to give warning at the pilot or flight engineer...

  8. 14 CFR 25.857 - Cargo compartment classification.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... detector or fire detector system to give warning at the pilot or flight engineer station. (c) Class C. A... compartment but in which— (1) There is a separate approved smoke detector or fire detector system to give... a separate approved smoke or fire detector system to give warning at the pilot or flight engineer...

  9. 14 CFR 25.857 - Cargo compartment classification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... detector or fire detector system to give warning at the pilot or flight engineer station. (c) Class C. A... compartment but in which— (1) There is a separate approved smoke detector or fire detector system to give... a separate approved smoke or fire detector system to give warning at the pilot or flight engineer...

  10. 14 CFR 25.857 - Cargo compartment classification.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... detector or fire detector system to give warning at the pilot or flight engineer station. (c) Class C. A... compartment but in which— (1) There is a separate approved smoke detector or fire detector system to give... a separate approved smoke or fire detector system to give warning at the pilot or flight engineer...

  11. Airborne Wind Shear Detection and Warning Systems: Third Combined Manufacturers' and Technologists' Conference, part 1

    NASA Technical Reports Server (NTRS)

    Vicroy, Dan D. (Compiler); Bowles, Roland L. (Compiler); Schlickenmaier, Herbert (Compiler)

    1991-01-01

    Papers presented at the conference on airborne wind shear detection and warning systems are compiled. The following subject areas are covered: terms of reference; case study; flight management; sensor fusion and flight evaluation; Terminal Doppler Weather Radar data link/display; heavy rain aerodynamics; and second generation reactive systems.

  12. Ordered LOGIT Model approach for the determination of financial distress.

    PubMed

    Kinay, B

    2010-01-01

    Nowadays, as a result of the global competition encountered, numerous companies come up against financial distresses. To predict and take proactive approaches for those problems is quite important. Thus, the prediction of crisis and financial distress is essential in terms of revealing the financial condition of companies. In this study, financial ratios relating to 156 industrial firms that are quoted in the Istanbul Stock Exchange are used and probabilities of financial distress are predicted by means of an ordered logit regression model. By means of Altman's Z Score, the dependent variable is composed by scaling the level of risk. Thus, a model that can compose an early warning system and predict financial distress is proposed.

  13. Technical Note: An operational landslide early warning system at regional scale based on space-time-variable rainfall thresholds

    NASA Astrophysics Data System (ADS)

    Segoni, S.; Battistini, A.; Rossi, G.; Rosi, A.; Lagomarsino, D.; Catani, F.; Moretti, S.; Casagli, N.

    2015-04-01

    We set up an early warning system for rainfall-induced landslides in Tuscany (23 000 km2). The system is based on a set of state-of-the-art intensity-duration rainfall thresholds (Segoni et al., 2014b) and makes use of LAMI (Limited Area Model Italy) rainfall forecasts and real-time rainfall data provided by an automated network of more than 300 rain gauges. The system was implemented in a WebGIS to ease the operational use in civil protection procedures: it is simple and intuitive to consult, and it provides different outputs. When switching among different views, the system is able to focus both on monitoring of real-time data and on forecasting at different lead times up to 48 h. Moreover, the system can switch between a basic data view where a synoptic scenario of the hazard can be shown all over the region and a more in-depth view were the rainfall path of rain gauges can be displayed and constantly compared with rainfall thresholds. To better account for the variability of the geomorphological and meteorological settings encountered in Tuscany, the region is subdivided into 25 alert zones, each provided with a specific threshold. The warning system reflects this subdivision: using a network of more than 300 rain gauges, it allows for the monitoring of each alert zone separately so that warnings can be issued independently. An important feature of the warning system is that the visualization of the thresholds in the WebGIS interface may vary in time depending on when the starting time of the rainfall event is set. The starting time of the rainfall event is considered as a variable by the early warning system: whenever new rainfall data are available, a recursive algorithm identifies the starting time for which the rainfall path is closest to or overcomes the threshold. This is considered the most hazardous condition, and it is displayed by the WebGIS interface. The early warning system is used to forecast and monitor the landslide hazard in the whole region, providing specific alert levels for 25 distinct alert zones. In addition, the system can be used to gather, analyze, display, explore, interpret and store rainfall data, thus representing a potential support to both decision makers and scientists.

  14. Developing an automatic classification system of vegetation anomalies for early warning with the ASAP (Anomaly hot Spots of Agricultural Production) system

    NASA Astrophysics Data System (ADS)

    Meroni, M.; Rembold, F.; Urbano, F.; Lemoine, G.

    2016-12-01

    Anomaly maps and time profiles of remote sensing derived indicators relevant to monitor crop and vegetation stress can be accessed online thanks to a rapidly growing number of web based portals. However, timely and systematic global analysis and coherent interpretation of such information, as it is needed for example for SDG 2 related monitoring, remains challenging. With the ASAP system (Anomaly hot Spots of Agricultural Production) we propose a two-step analysis to provide monthly warning of production deficits in water-limited agriculture worldwide. The first step is fully automated and aims at classifying each administrative unit (1st sub-national level) into a number of possible warning levels, ranging from "none" to "watch" and up to "extended alarm". The second step involves the verification of the automatic warnings and integration into a short national level analysis by agricultural analysts. In this paper we describe the methodological development of the automatic vegetation anomaly classification system. Warnings are triggered only during the crop growing season, defined by a remote sensing based phenology. The classification takes into consideration the fraction of the agricultural and rangelands area for each administrative unit that is affected by a severe anomaly of two rainfall-based indicators (the Standardized Precipitation Index (SPI), computed at 1 and 3-month scale) and one biophysical indicator (the cumulative NDVI from the start of the growing season). The severity of the warning thus depends on the timing, the nature and the number of indicators for which an anomaly is detected. The prototype system is using global NDVI images of the METOP sensor, while a second version is being developed based on 1km Modis NDVI with temporal smoothing and near real time filtering. Also a specific water balance model is under development to include agriculture water stress information in addition to the SPI. The monthly warning classification and crop condition assessment will be made available on a website and will strengthen the JRC support to information products based on consensus assessment such as the GEOGLAM Crop Monitor for Early Warning.

  15. Reduction Continuous Rank Probability Score for Hydrological Ensemble Prediction System

    NASA Astrophysics Data System (ADS)

    Trinh, Nguyen Bao; Thielen Del-Pozo, Jutta; Pappenberger, Florian; Cloke, Hannah L.; Bogner, Konrad

    2010-05-01

    Ensemble Prediction System (EPS), calculated operationally by the weather services for various lead-times, are increasingly used as input to hydrological models to extend warning times from short- to medium and even long-range. Although the general skill of EPS has been demonstrated to increase continuously over the past decades, it remains comparatively low for precipitation, one of the driving forces of hydrological processes. Due to the non-linear integrating nature of river runoff and the complexities of catchment runoff processes, one cannot assume that the skill of the hydrological forecasts is necessarily similar to the skill of the meteorological predictions. Furthermore, due to the integrating nature of discharge, which accumulates effects from upstream catchment and slow-responding groundwater processes, commonly applied skill scores in meteorology may not be fully adapted to describe the skill of probabilistic discharge predictions. For example, while for hydrological applications it may be interesting to compare the forecast skill between upstream and downstream stations, meteorological applications focus more on climatologically relevant regions. In this paper, a range of widely used probabilistic skill scores for assessing reliability, spread-skill, sharpness and bias are calculated for a 12 months case study in the Danube river basin. The Continuous Rank Probability Score (CRPS) is demonstrated to have deficiencies when comparing skill of discharge forecast for different hydrological stations. Therefore, we propose a modified CRPS that allows this comparison and is therefore particularly useful for hydrological applications.

  16. Monitoring Regional Forest Disturbances across the US with Near Real Time MODIS NDVI Products included in the ForWarn Forest Threat Early Warning System

    NASA Technical Reports Server (NTRS)

    Spruce, Joseph; Hargrove, William W.; Gasser, Gerald; Norman, Steve

    2013-01-01

    U.S. forests occupy approx.1/3 of total land area (approx. 304 million ha). Since 2000, a growing number of regionally evident forest disturbances have occurred due to abiotic and biotic agents. Regional forest disturbances can threaten human life and property, bio-diversity and water supplies. Timely regional forest disturbance monitoring products are needed to aid forest health management work. Near Real Time (NRT) twice daily MODIS NDVI data provide a means to monitor U.S. regional forest disturbances every 8 days. Since 2010, these NRT forest change products have been produced and posted on the US Forest Service ForWarn Early Warning System for Forest Threats.

  17. Severe wind gust thresholds for Meteoalarm derived from uniform return periods in ECA&D

    NASA Astrophysics Data System (ADS)

    Stepek, A.; Wijnant, I. L.; van der Schrier, G.; van den Besselaar, E. J. M.; Klein Tank, A. M. G.

    2012-06-01

    In this study we present an alternative wind gust warning guideline for Meteoalarm, the severe weather warning website for Europe. There are unrealistically large differences in levels and issuing frequencies of all warning levels currently in use between neighbouring Meteoalarm countries. This study provides a guide for the Meteoalarm community to review their wind gust warning thresholds. A more uniform warning system is achieved by using one pan-European return period per warning level. The associated return values will be different throughout Europe because they depend on local climate conditions, but they will not change abruptly at country borders as is currently the case for the thresholds. As return values are a measure of the possible danger of an event and its impact on society, they form an ideal basis for a warning system. Validated wind gust measurements from the European Climate Assessment and Dataset (ECA&D, http://www.ecad.eu) were used to calculate return values of the annual maximum wind gust. The current thresholds are compared with return values for 3 different return periods: 10 times a year return periods for yellow warnings, 2 yr periods for orange and 5 yr periods for red warnings. So far 10 countries provide wind gust data to ECA&D. Due to the ECA&D completeness requirements and the fact that some countries provided too few stations to be representative for that country, medians of the return values of annual maximum wind gust could be calculated for 6 of the 10 countries. Alternative guideline thresholds are presented for Norway, Ireland, The Netherlands, Germany, the Czech Republic and Spain and the need to distinguish between coastal, inland and mountainous regions is demonstrated. The new thresholds based on uniform return periods differ significantly from the current ones, particularly for coastal and mountainous areas. We are aware of other, sometimes binding factors (e.g. laws) that prevent participating counties from implementing this climatology based warning system.

  18. Assessment of early warning system performance and improvements since it is in operational phase in Romania

    NASA Astrophysics Data System (ADS)

    Ionescu, Constantin; Marmureanu, Alexandru; Marmureanu, Gheorghe; Ortansa Cioflan, Carmen

    2017-04-01

    Earthquake represents a major natural disaster for Romanian territory. The main goal following the occurrence of a strong earthquake is to minimize the total number of fatalities. A rapid early warning system (REWS) was developed in Romania in order to provide 25-35 seconds warning time to Bucharest facilities for the earthquakes with M>5.0. The system consists of four components: a network of strong motion sensors installed in the epicentral area, a redundant communication network, an automatic analyzing system located in the Romanian Data Centre and an alert distribution system. The detection algorithm is based on the magnitude computation using strong motion data and rapid evaluation and scaling relation between the maximum P-wave acceleration measured in the epicentral area and the higher ground motion amplitude recorded in Bucharest. In order to reduce the damages caused by earthquakes, the exploitation of the up to date technology is very important. The information is the key point in the disaster management, and the internet is one of the most used instrument, implying also low costs. The Rapid Early Warning System was expanded to cover all countries affected by major earthquakes originating in the Vrancea seismic area and reduce their impact on existing installations of national interest in neighbouring Romania and elsewhere. REWS provides an efficient instrument for prevention and reaction based on the integrated system for seismic detection in South-Eastern Europe. REWS has been operational since 2013 and sends alert the authorities, hazardous facilities in Romania and Bulgaria (NPP, emergency response agencies etc.) and to public via twitter and some smartphone applications developed in the house. Also, NIEP is part of the UNESCO initiative case on developing a platform on earthquake early warning systems (IP-MEP) that aims to promote and strengthen the development of earthquake early warning systems in earthquake-prone regions of the world by sharing scientific knowledge, capacity building and international cooperation.

  19. Global early warning systems for natural hazards: systematic and people-centred.

    PubMed

    Basher, Reid

    2006-08-15

    To be effective, early warning systems for natural hazards need to have not only a sound scientific and technical basis, but also a strong focus on the people exposed to risk, and with a systems approach that incorporates all of the relevant factors in that risk, whether arising from the natural hazards or social vulnerabilities, and from short-term or long-term processes. Disasters are increasing in number and severity and international institutional frameworks to reduce disasters are being strengthened under United Nations oversight. Since the Indian Ocean tsunami of 26 December 2004, there has been a surge of interest in developing early warning systems to cater to the needs of all countries and all hazards.

  20. Real-time landslide warning during heavy rainfall

    USGS Publications Warehouse

    Keefer, D.K.; Wilson, R.C.; Mark, R.K.; Brabb, E.E.; Brown, W. M.; Ellen, S.D.; Harp, E.L.; Wieczorek, G.F.; Alger, C.S.; Zatkin, R.S.

    1987-01-01

    A real-time system for issuing warnings of landslides during major storms is being developed for the San Francisco Bay region, California. The system is based on empirical and theoretical relations between rainfall and landslide initiation, geologic determination of areas susceptible to landslides, real-time monitoring of a regional network of telemetering rain gages, and National Weather Service precipitation forecasts. This system was used to issue warnings during the storms of 12 to 21 February 1986, which produced 800 millimeters of rainfall in the region. Although analysis after the storms suggests that modifications and additional developments are needed, the system successfully predicted the times of major landslide events. It could be used as a prototype for systems in other landslide-prone regions.

  1. Toward a national early warning system for forest disturbances using remotely sensed canopy phenology

    Treesearch

    William W. Hargrove; Joseph P. Spruce; Gerald E. Gasser; Forrest M. Hoffman

    2009-01-01

    Imagine a national system with the ability to quickly identify forested areas under attack from insects or disease. Such an early warning system might minimize surprises such as the explosion of caterpillars referred to in the quotation above. Moderate resolution (ca. 500m) remote sensing repeated at frequent (ca. weekly) intervals could power such a monitoring system...

  2. Intelligent Tires Based on Measurement of Tire Deformation

    NASA Astrophysics Data System (ADS)

    Matsuzaki, Ryosuke; Todoroki, Akira

    From a traffic safety point-of-view, there is an urgent need for intelligent tires as a warning system for road conditions, for optimized braking control on poor road surfaces and as a tire fault detection system. Intelligent tires, equipped with sensors for monitoring applied strain, are effective in improving reliability and control systems such as anti-lock braking systems (ABSs). In previous studies, we developed a direct tire deformation or strain measurement system with sufficiently low stiffness and high elongation for practical use, and a wireless communication system between tires and vehicle that operates without a battery. The present study investigates the application of strain data for an optimized braking control and road condition warning system. The relationships between strain sensor outputs and tire mechanical parameters, including braking torque, effective radius and contact patch length, are calculated using finite element analysis. Finally, we suggested the possibility of optimized braking control and road condition warning systems. Optimized braking control can be achieved by keeping the slip ratio constant. The road condition warning would be actuated if the recorded friction coefficient at a certain slip ratio is lower than a ‘safe’ reference value.

  3. Intelligent tires for improved tire safety using wireless strain measurement

    NASA Astrophysics Data System (ADS)

    Matsuzaki, Ryosuke; Todoroki, Akira

    2008-03-01

    From a traffic safety point-of-view, there is an urgent need for intelligent tires as a warning system for road conditions, for optimized braking control on poor road surfaces and as a tire fault detection system. Intelligent tires, equipped with sensors for monitoring applied strain, are effective in improving reliability and control systems such as anti-lock braking systems (ABSs). In previous studies, we developed a direct tire deformation or strain measurement system with sufficiently low stiffness and high elongation for practical use, and a wireless communication system between tires and vehicle that operates without a battery. The present study investigates the application of strain data for an optimized braking control and road condition warning system. The relationships between strain sensor outputs and tire mechanical parameters, including braking torque, effective radius and contact patch length, are calculated using finite element analysis. Finally, we suggested the possibility of optimized braking control and road condition warning systems. Optimized braking control can be achieved by keeping the slip ratio constant. The road condition warning would be actuated if the recorded friction coefficient at a certain slip ratio is lower than a 'safe' reference value.

  4. Volcano warning systems: Chapter 67

    USGS Publications Warehouse

    Gregg, Chris E.; Houghton, Bruce F.; Ewert, John W.

    2015-01-01

    Messages conveying volcano alert level such as Watches and Warnings are designed to provide people with risk information before, during, and after eruptions. Information is communicated to people from volcano observatories and emergency management agencies and from informal sources and social and environmental cues. Any individual or agency can be both a message sender and a recipient and multiple messages received from multiple sources is the norm in a volcanic crisis. Significant challenges to developing effective warning systems for volcanic hazards stem from the great diversity in unrest, eruption, and post-eruption processes and the rapidly advancing digital technologies that people use to seek real-time risk information. Challenges also involve the need to invest resources before unrest to help people develop shared mental models of important risk factors. Two populations of people are the target of volcano notifications–ground- and aviation-based populations, and volcano warning systems must address both distinctly different populations.

  5. Drunk driving warning system (DDWS). Volume 2, Field test evaluation

    DOT National Transportation Integrated Search

    1983-12-01

    The Drunk Driving Warning System (DDWS) is a vehicle-mounted device for testing driver impairment and activating alarms. The driver must pass a steering competency test (the Critical Tracking Task or CTT) in order to drive the car in a normal manner....

  6. ON-LINE TOXICITY MONITORS AND WATERSHED EARLY WARNING SYSTEMS

    EPA Science Inventory

    A Water Quality Early Warning System using On-line Toxicity Monitors (OTMs) has been deployed in the East Fork of the Little Miami River, Clermont County, OH. Living organisms have long been used to determine the toxicity of environmental samples. With advancements in electronic ...

  7. Longitudinal driver model and collision warning and avoidance algorithms based on human driving databases

    NASA Astrophysics Data System (ADS)

    Lee, Kangwon

    Intelligent vehicle systems, such as Adaptive Cruise Control (ACC) or Collision Warning/Collision Avoidance (CW/CA), are currently under development, and several companies have already offered ACC on selected models. Control or decision-making algorithms of these systems are commonly evaluated under extensive computer simulations and well-defined scenarios on test tracks. However, they have rarely been validated with large quantities of naturalistic human driving data. This dissertation utilized two University of Michigan Transportation Research Institute databases (Intelligent Cruise Control Field Operational Test and System for Assessment of Vehicle Motion Environment) in the development and evaluation of longitudinal driver models and CW/CA algorithms. First, to examine how drivers normally follow other vehicles, the vehicle motion data from the databases were processed using a Kalman smoother. The processed data was then used to fit and evaluate existing longitudinal driver models (e.g., the linear follow-the-leader model, the Newell's special model, the nonlinear follow-the-leader model, the linear optimal control model, the Gipps model and the optimal velocity model). A modified version of the Gipps model was proposed and found to be accurate in both microscopic (vehicle) and macroscopic (traffic) senses. Second, to examine emergency braking behavior and to evaluate CW/CA algorithms, the concepts of signal detection theory and a performance index suitable for unbalanced situations (few threatening data points vs. many safe data points) are introduced. Selected existing CW/CA algorithms were found to have a performance index (geometric mean of true-positive rate and precision) not exceeding 20%. To optimize the parameters of the CW/CA algorithms, a new numerical optimization scheme was developed to replace the original data points with their representative statistics. A new CW/CA algorithm was proposed, which was found to score higher than 55% in the performance index. This dissertation provides a model of how drivers follow lead-vehicles that is much more accurate than other models in the literature. Furthermore, the data-based approach was used to confirm that a CW/CA algorithm utilizing lead-vehicle braking was substantially more effective than existing algorithms, leading to collision warning systems that are much more likely to contribute to driver safety.

  8. Distraction or cognitive overload? Using modulations of the autonomic nervous system to discriminate the possible negative effects of advanced assistance system.

    PubMed

    Ruscio, D; Bos, A J; Ciceri, M R

    2017-06-01

    The interaction with Advanced Driver Assistance Systems has several positive implications for road safety, but also some potential downsides such as mental workload and automation complacency. Malleable attentional resources allocation theory describes two possible processes that can generate workload in interaction with advanced assisting devices. The purpose of the present study is to determine if specific analysis of the different modalities of autonomic control of nervous system can be used to discriminate different potential workload processes generated during assisted-driving tasks and automation complacency situations. Thirty-five drivers were tested in a virtual scenario while using head-up advanced warning assistance system. Repeated MANOVA were used to examine changes in autonomic activity across a combination of different user interactions generated by the advanced assistance system: (1) expected take-over request without anticipatory warning; (2) expected take-over request with two-second anticipatory warning; (3) unexpected take-over request with misleading warning; (4) unexpected take-over request without warning. Results shows that analysis of autonomic modulations can discriminate two different resources allocation processes, related to different behavioral performances. The user's interaction that required divided attention under expected situations produced performance enhancement and reciprocally-coupled parasympathetic inhibition with sympathetic activity. At the same time, supervising interactions that generated automation complacency were described specifically by uncoupled sympathetic activation. Safety implications for automated assistance systems developments are considered. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Impact of front-of-pack nutrition information and label design on children's choice of two snack foods: Comparison of warnings and the traffic-light system.

    PubMed

    Arrúa, Alejandra; Curutchet, María Rosa; Rey, Natalia; Barreto, Patricia; Golovchenko, Nadya; Sellanes, Andrea; Velazco, Guillermo; Winokur, Medy; Giménez, Ana; Ares, Gastón

    2017-09-01

    Research on the relative influence of package features on children's perception of food products is still necessary to aid policy design and development. The aim of the present work was to evaluate the relative influence of two front-of-pack (FOP) nutrition labelling schemes, the traffic light system and Chilean warning system, and label design on children's choice of two popular snack foods in Uruguay, wafer cookies and orange juice. A total of 442 children in grades 4 to 6 from 12 primary schools in Montevideo (Uruguay) participated in the study. They were asked to complete a choice-conjoint task with wafer cookies and orange juice labels, varying in label design and the inclusion of FOP nutrition information. Half of the children completed the task with labels featuring the traffic-light system (n = 217) and the other half with labels featuring the Chilean warning system (n = 225). Children's choices of wafer cookies and juice labels was significantly influenced by both label design and FOP nutritional labels. The relative impact of FOP nutritional labelling on children's choices was higher for the warning system compared to the traffic-light system. Results from the present work stress the need to regulate the design of packages and the inclusion of nutrient claims, and provide preliminary evidence of the potential of warnings to discourage children's choice of unhealthful products. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Measuring Armenia's progress on the Tobacco Control Scale: an evaluation of tobacco control in an economy in transition, 2005-2009.

    PubMed

    Movsisyan, Narine K; Connolly, Gregory N

    2014-02-27

    This study aimed to measure the 5-year progress in the implementation of WHO Framework Convention on Tobacco Control (FCTC) in Armenia by applying the Tobacco Control Scale, a rapid assessment tool developed to assess the strength of tobacco control policies in Europe. Armenia, an economy in transition, has extreme smoking rates among men (62.5%) despite acceding to FCTC in 2004. However, little research has been carried out to evaluate Armenia's progress in tobacco control. The Tobacco Control Scale total score was estimated for Armenia using the original methodology; however, a different source of data was used in estimating the subscores on tobacco price and tobacco control spending. Armenia's total score on Tobacco Control Scale has considerably improved from 2005 to 2009, mostly due to larger health warnings and advertising ban, and increased public spending on tobacco control. The scores for smoke-free public places, advertising ban, health warnings and treatment categories were below the European average in 2005 and 2007, while the price score was higher. Neither total tobacco control score nor any of its components showed a significant predictive value in a simple regression analysis using the total score and subscores as predictors for log-transformed per capita tobacco consumption. Higher than the European average price score for Armenia cannot be explained by the concept of affordability alone and may reflect a measurement error due to peculiarities of transition economies. The applicability of the Tobacco Control Scale could be limited to countries with mature economies, but not to transition countries such as Armenia with different social, political and economic environment. The scale modification, such as an adjustment for the policy enforcement and the effectiveness of public tobacco control spending along with alternative measures of affordability would be warranted to enhance its applicability in low-income and middle-income countries.

  11. Measuring Armenia's progress on the Tobacco Control Scale: an evaluation of tobacco control in an economy in transition, 2005–2009

    PubMed Central

    Movsisyan, Narine K; Connolly, Gregory N

    2014-01-01

    Objectives This study aimed to measure the 5-year progress in the implementation of WHO Framework Convention on Tobacco Control (FCTC) in Armenia by applying the Tobacco Control Scale, a rapid assessment tool developed to assess the strength of tobacco control policies in Europe. Setting Armenia, an economy in transition, has extreme smoking rates among men (62.5%) despite acceding to FCTC in 2004. However, little research has been carried out to evaluate Armenia's progress in tobacco control. Methods The Tobacco Control Scale total score was estimated for Armenia using the original methodology; however, a different source of data was used in estimating the subscores on tobacco price and tobacco control spending. Results Armenia's total score on Tobacco Control Scale has considerably improved from 2005 to 2009, mostly due to larger health warnings and advertising ban, and increased public spending on tobacco control. The scores for smoke-free public places, advertising ban, health warnings and treatment categories were below the European average in 2005 and 2007, while the price score was higher. Neither total tobacco control score nor any of its components showed a significant predictive value in a simple regression analysis using the total score and subscores as predictors for log-transformed per capita tobacco consumption. Conclusions Higher than the European average price score for Armenia cannot be explained by the concept of affordability alone and may reflect a measurement error due to peculiarities of transition economies. The applicability of the Tobacco Control Scale could be limited to countries with mature economies, but not to transition countries such as Armenia with different social, political and economic environment. The scale modification, such as an adjustment for the policy enforcement and the effectiveness of public tobacco control spending along with alternative measures of affordability would be warranted to enhance its applicability in low-income and middle-income countries. PMID:24578541

  12. Defining sepsis on the wards: results of a multi-centre point-prevalence study comparing two sepsis definitions.

    PubMed

    Szakmany, T; Pugh, R; Kopczynska, M; Lundin, R M; Sharif, B; Morgan, P; Ellis, G; Abreu, J; Kulikouskaya, S; Bashir, K; Galloway, L; Al-Hassan, H; Grother, T; McNulty, P; Seal, S T; Cains, A; Vreugdenhil, M; Abdimalik, M; Dennehey, N; Evans, G; Whitaker, J; Beasant, E; Hall, C; Lazarou, M; Vanderpump, C V; Harding, K; Duffy, L; Guerrier Sadler, A; Keeling, R; Banks, C; Ng, S W Y; Heng, S Y; Thomas, D; Puw, E W; Otahal, I; Battle, C; Minik, O; Lyons, R A; Hall, J E

    2018-02-01

    Our aim was to prospectively determine the predictive capabilities of SEPSIS-1 and SEPSIS-3 definitions in the emergency departments and general wards. Patients with National Early Warning Score (NEWS) of 3 or above and suspected or proven infection were enrolled over a 24-h period in 13 Welsh hospitals. The primary outcome measure was mortality within 30 days. Out of the 5422 patients screened, 431 fulfilled inclusion criteria and 380 (88%) were recruited. Using the SEPSIS-1 definition, 212 patients had sepsis. When using the SEPSIS-3 definitions with Sequential Organ Failure Assessment (SOFA) score ≥ 2, there were 272 septic patients, whereas with quickSOFA score ≥ 2, 50 patients were identified. For the prediction of primary outcome, SEPSIS-1 criteria had a sensitivity (95%CI) of 65% (54-75%) and specificity of 47% (41-53%); SEPSIS-3 criteria had a sensitivity of 86% (76-92%) and specificity of 32% (27-38%). SEPSIS-3 and SEPSIS-1 definitions were associated with a hazard ratio (95%CI) 2.7 (1.5-5.6) and 1.6 (1.3-2.5), respectively. Scoring system discrimination evaluated by receiver operating characteristic curves was highest for Sequential Organ Failure Assessment score (0.69 (95%CI 0.63-0.76)), followed by NEWS (0.58 (0.51-0.66)) (p < 0.001). Systemic inflammatory response syndrome criteria (0.55 (0.49-0.61)) and quickSOFA score (0.56 (0.49-0.64)) could not predict outcome. The SEPSIS-3 definition identified patients with the highest risk. Sequential Organ Failure Assessment score and NEWS were better predictors of poor outcome. The Sequential Organ Failure Assessment score appeared to be the best tool for identifying patients with high risk of death and sepsis-induced organ dysfunction. © 2017 The Association of Anaesthetists of Great Britain and Ireland.

  13. Disaster warning system: Satellite feasibility and comparison with terrestrial systems. Volume 1: Executive summary

    NASA Technical Reports Server (NTRS)

    Spoor, J. H.; Hodge, W. H.; Fluk, M. J.; Bamford, T. F.

    1974-01-01

    The Disaster Warning System (DWS) is a conceptual system which will provide the National Weather Service (NWS) with communication services in the 1980s to help minimize losses caused by natural disasters. The object of this study is a comparative analysis between a terrestrial DWS and a satellite DWS. Baseline systems satisfying the NOAA requirements were synthesized in sufficient detail so that a comparison could be made in terms of performance and cost. The cost of both baseline systems is dominated by the disaster warning and spotter reporting functions. An effort was undertaken to reduce system cost through lower-capacity alternative systems generated by modifying the baseline systems. By reducing the number of required channels and modifying the spotter reporting techniques, alternative satellite systems were synthesized. A terrestrial alternative with the coverage reduced to an estimated 95 percent of the population was considered.

  14. Development and Use of Early Warning Systems. SLDS Spotlight

    ERIC Educational Resources Information Center

    Curtin, Jenny; Hurwitch, Bill; Olson, Tom

    2012-01-01

    An early warning system is a data-based tool that helps predict which students are on the right path towards eventual graduation or other grade-appropriate goals. Through such systems, stakeholders at the school and district levels can view data from a wide range of perspectives and gain a deeper understanding of student data. This "Statewide…

  15. A Practitioner's Guide to Implementing Early Warning Systems. REL 2015-056

    ERIC Educational Resources Information Center

    Frazelle, Sarah; Nagel, Aisling

    2015-01-01

    To stem the tide of students dropping out, many schools and districts are turning to early warning systems (EWS) that signal whether a student is at risk of not graduating from high school. While some research exists about establishing these systems, there is little information about the actual implementation strategies that are being used across…

  16. Defense Planning and Programming Categories: A Special Tool for Special Needs. Volume 3. Appendix E. Proposed Expanded DPPC Structure

    DTIC Science & Technology

    1990-04-01

    SURVEILLANCE & WARNING SYTEMS A2C COMMAND & CONTROL ACTIVITIES A2D SPACE ACTIVITIES (STRATEGIC CONTROL & SURV) A2E STRAT CONTROL & SURV: COMMUNICATIONS A2F...STRATEGIC AIR DEFENSE 0501802A NIKE-AJAX (ARNS) (H) AID STRATEGIC AIR DEFENSE AIC SPACE DEFENSE OI02115N F-6 Squadrons (H) AIC SPACE DEFENSE 0102215N ABM ...WARNING SYTEMS 0102310F NCHC - TW/AA Systems A2B SURVEILLANCE & WARNIIIG SYTEMS 0102311F NCMC - Space Defense Systems A21 SURVEILLANCE & WARNING SYTEMS

  17. 76 FR 3064 - Travelers Information Stations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-19

    ... phone numbers when local 911 systems fail, terror threat alert levels, public health warnings ``and all... Alerts, alternate phone numbers when local 911 systems fail, terror threat alert levels, public health..., alternate phone numbers to 911, terror threat alert levels, and public health warnings--do not appear to be...

  18. Method for warning of radiological and chemical substances using detection paints on a vehicle surface

    DOEpatents

    Farmer, Joseph C [Tracy, CA

    2012-03-13

    A system for warning of corrosion, chemical, or radiological substances. The system comprises painting a surface with a paint or coating that includes an indicator material and monitoring the surface for indications of the corrosion, chemical, or radiological substances.

  19. Surface with two paint strips for detection and warning of chemical warfare and radiological agents

    DOEpatents

    Farmer, Joseph C.

    2013-04-02

    A system for warning of corrosion, chemical, or radiological substances. The system comprises painting a surface with a paint or coating that includes an indicator material and monitoring the surface for indications of the corrosion, chemical, or radiological substances.

  20. Crash avoidance potential of four passenger vehicle technologies.

    PubMed

    Jermakian, Jessica S

    2011-05-01

    The objective was to update estimates of maximum potential crash reductions in the United States associated with each of four crash avoidance technologies: side view assist, forward collision warning/mitigation, lane departure warning/prevention, and adaptive headlights. Compared with previous estimates (Farmer, 2008), estimates in this study attempted to account for known limitations of current systems. Crash records were extracted from the 2004-08 files of the National Automotive Sampling System General Estimates System (NASS GES) and the Fatality Analysis Reporting System (FARS). Crash descriptors such as vehicle damage location, road characteristics, time of day, and precrash maneuvers were reviewed to determine whether the information or action provided by each technology potentially could have prevented or mitigated the crash. Of the four crash avoidance technologies, forward collision warning/mitigation had the greatest potential for preventing crashes of any severity; the technology is potentially applicable to 1.2 million crashes in the United States each year, including 66,000 serious and moderate injury crashes and 879 fatal crashes. Lane departure warning/prevention systems appeared relevant to 179,000 crashes per year. Side view assist and adaptive headlights could prevent 395,000 and 142,000 crashes per year, respectively. Lane departure warning/prevention was relevant to the most fatal crashes, up to 7500 fatal crashes per year. A combination of all four current technologies potentially could prevent or mitigate (without double counting) up to 1,866,000 crashes each year, including 149,000 serious and moderate injury crashes and 10,238 fatal crashes. If forward collision warning were extended to detect objects, pedestrians, and bicyclists, it would be relevant to an additional 3868 unique fatal crashes. There is great potential effectiveness for vehicle-based crash avoidance systems. However, it is yet to be determined how drivers will interact with the systems. The actual effectiveness of these systems will not be known until sufficient real-world experience has been gained. Copyright © 2010 Elsevier Ltd. All rights reserved.

  1. Community-based early warning systems for flood risk mitigation in Nepal

    NASA Astrophysics Data System (ADS)

    Smith, Paul J.; Brown, Sarah; Dugar, Sumit

    2017-03-01

    This paper focuses on the use of community-based early warning systems for flood resilience in Nepal. The first part of the work outlines the evolution and current status of these community-based systems, highlighting the limited lead times currently available for early warning. The second part of the paper focuses on the development of a robust operational flood forecasting methodology for use by the Nepal Department of Hydrology and Meteorology (DHM) to enhance early warning lead times. The methodology uses data-based physically interpretable time series models and data assimilation to generate probabilistic forecasts, which are presented in a simple visual tool. The approach is designed to work in situations of limited data availability with an emphasis on sustainability and appropriate technology. The successful application of the forecast methodology to the flood-prone Karnali River basin in western Nepal is outlined, increasing lead times from 2-3 to 7-8 h. The challenges faced in communicating probabilistic forecasts to the last mile of the existing community-based early warning systems across Nepal is discussed. The paper concludes with an assessment of the applicability of this approach in basins and countries beyond Karnali and Nepal and an overview of key lessons learnt from this initiative.

  2. Evaluation of Flood Forecast and Warning in Elbe river basin - Impact of Forecaster's Strategy

    NASA Astrophysics Data System (ADS)

    Danhelka, Jan; Vlasak, Tomas

    2010-05-01

    Czech Hydrometeorological Institute (CHMI) is responsible for flood forecasting and warning in the Czech Republic. To meet that issue CHMI operates hydrological forecasting systems and publish flow forecast in selected profiles. Flood forecast and warning is an output of system that links observation (flow and atmosphere), data processing, weather forecast (especially NWP's QPF), hydrological modeling and modeled outputs evaluation and interpretation by forecaster. Forecast users are interested in final output without separating uncertainties of separate steps of described process. Therefore an evaluation of final operational forecasts was done for profiles within Elbe river basin produced by AquaLog forecasting system during period 2002 to 2008. Effects of uncertainties of observation, data processing and especially meteorological forecasts were not accounted separately. Forecast of flood levels exceedance (peak over the threshold) during forecasting period was the main criterion as flow increase forecast is of the highest importance. Other evaluation criteria included peak flow and volume difference. In addition Nash-Sutcliffe was computed separately for each time step (1 to 48 h) of forecasting period to identify its change with the lead time. Textual flood warnings are issued for administrative regions to initiate flood protection actions in danger of flood. Flood warning hit rate was evaluated at regions level and national level. Evaluation found significant differences of model forecast skill between forecasting profiles, particularly less skill was evaluated at small headwater basins due to domination of QPF uncertainty in these basins. The average hit rate was 0.34 (miss rate = 0.33, false alarm rate = 0.32). However its explored spatial difference is likely to be influenced also by different fit of parameters sets (due to different basin characteristics) and importantly by different impact of human factor. Results suggest that the practice of interactive model operation, experience and forecasting strategy differs between responsible forecasting offices. Warning is based on model outputs interpretation by hydrologists-forecaster. Warning hit rate reached 0.60 for threshold set to lowest flood stage of which 0.11 was underestimation of flood degree (miss 0.22, false alarm 0.28). Critical success index of model forecast was 0.34, while the same criteria for warning reached 0.55. We assume that the increase accounts not only to change of scale from single forecasting point to region for warning, but partly also to forecaster's added value. There is no official warning strategy preferred in the Czech Republic (f.e. tolerance towards higher false alarm rate). Therefore forecaster decision and personal strategy is of great importance. Results show quite successful warning for 1st flood level exceedance, over-warning for 2nd flood level, but under-warning for 3rd (highest) flood level. That suggests general forecaster's preference of medium level warning (2nd flood level is legally determined to be the start of the flood and flood protection activities). In conclusion human forecaster's experience and analysis skill increases flood warning performance notably. However society preference should be specifically addressed in the warning strategy definition to support forecaster's decision making.

  3. An automatic tsunami warning system: TREMORS application in Europe

    NASA Astrophysics Data System (ADS)

    Reymond, D.; Robert, S.; Thomas, Y.; Schindelé, F.

    1996-03-01

    An integrated system named TREMORS (Tsunami Risk Evaluation through seismic Moment of a Real-time System) has been installed in EVORA station, in Portugal which has been affected by historical tsunamis. The system is based on a three component long period seismic station linked to a compatible IBM_PC with a specific software. The goals of this system are the followings: detect earthquake, locate them, compute their seismic moment, give a seismic warning. The warnings are based on the seismic moment estimation and all the processing are made automatically. The finality of this study is to check the quality of estimation of the main parameters of interest in a goal of tsunami warning: the location which depends of azimuth and distance, and at last the seismic moment, M 0, which controls the earthquake size. The sine qua non condition for obtaining an automatic location is that the 3 main seismic phases P, S, R must be visible. This study gives satisfying results (automatic analysis): ± 5° errors in azimuth and epicentral distance, and a standard deviation of less than a factor 2 for the seismic moment M 0.

  4. The Lake Victoria Intense Storm Early Warning System (VIEWS)

    NASA Astrophysics Data System (ADS)

    Thiery, Wim; Gudmundsson, Lukas; Bedka, Kristopher; Semazzi, Fredrick; Lhermitte, Stef; Willems, Patrick; van Lipzig, Nicole; Seneviratne, Sonia I.

    2017-04-01

    Weather extremes have harmful impacts on communities around Lake Victoria in East Africa. Every year, intense nighttime thunderstorms cause numerous boating accidents on the lake, resulting in thousands of deaths among fishermen. Operational storm warning systems are therefore crucial. Here we complement ongoing early warning efforts based on NWP, by presenting a new satellite data-driven storm prediction system, the prototype Lake Victoria Intense storm Early Warning System (VIEWS). VIEWS derives predictability from the correlation between afternoon land storm activity and nighttime storm intensity on Lake Victoria, and relies on logistic regression techniques to forecast extreme thunderstorms from satellite observations. Evaluation of the statistical model reveals that predictive power is high and independent of the input dataset. We then optimise the configuration and show that also false alarms contain valuable information. Our results suggest that regression-based models that are motivated through process understanding have the potential to reduce the vulnerability of local fishing communities around Lake Victoria. The experimental prediction system is publicly available under the MIT licence at http://github.com/wthiery/VIEWS.

  5. Early warning signals for critical transitions in a thermoacoustic system

    PubMed Central

    Gopalakrishnan, E. A.; Sharma, Yogita; John, Tony; Dutta, Partha Sharathi; Sujith, R. I.

    2016-01-01

    Dynamical systems can undergo critical transitions where the system suddenly shifts from one stable state to another at a critical threshold called the tipping point. The decrease in recovery rate to equilibrium (critical slowing down) as the system approaches the tipping point can be used to identify the proximity to a critical transition. Several measures have been adopted to provide early indications of critical transitions that happen in a variety of complex systems. In this study, we use early warning indicators to predict subcritical Hopf bifurcation occurring in a thermoacoustic system by analyzing the observables from experiments and from a theoretical model. We find that the early warning measures perform as robust indicators in the presence and absence of external noise. Thus, we illustrate the applicability of these indicators in an engineering system depicting critical transitions. PMID:27767065

  6. Prediction and warning system of SEP events and solar flares for risk estimation in space launch operations

    NASA Astrophysics Data System (ADS)

    García-Rigo, Alberto; Núñez, Marlon; Qahwaji, Rami; Ashamari, Omar; Jiggens, Piers; Pérez, Gustau; Hernández-Pajares, Manuel; Hilgers, Alain

    2016-07-01

    A web-based prototype system for predicting solar energetic particle (SEP) events and solar flares for use by space launch operators is presented. The system has been developed as a result of the European Space Agency (ESA) project SEPsFLAREs (Solar Events Prediction system For space LAunch Risk Estimation). The system consists of several modules covering the prediction of solar flares and early SEP Warnings (labeled Warning tool), the prediction of SEP event occurrence and onset, and the prediction of SEP event peak and duration. In addition, the system acquires data for solar flare nowcasting from Global Navigation Satellite Systems (GNSS)-based techniques (GNSS Solar Flare Detector, GSFLAD and the Sunlit Ionosphere Sudden Total Electron Content Enhancement Detector, SISTED) as additional independent products that may also prove useful for space launch operators.

  7. The nurse response to abnormal vital sign recording in the emergency department.

    PubMed

    Johnson, Kimberly D; Mueller, Lindsey; Winkelman, Chris

    2017-01-01

    To examine what occurs after a recorded observation of at least one abnormal vital sign in the emergency department. The aims were to determine how often abnormal vital signs were recorded, what interventions were documented, and what factors were associated with documented follow-up for abnormal vital signs. Monitoring quality of care, and preventing or intervening before harm occurs to patients are central to nurses' roles. Abnormal vital signs have been associated with poor patient outcomes and require follow-up after the observation of abnormal readings to prevent patient harm related to a deteriorating status. This documentation is important to quality and safety of care. Observational, retrospective chart review. Modified Early Warning Score was calculated for all recorded vital signs for 195 charts. Comparisons were made between groups: (1) no abnormal vital signs, (2) abnormal vital sign present, but normal Modified Early Warning Score and (3) critically abnormal Modified Early Warning Score. About 62·1% of charts had an abnormal vital sign documented. Critically abnormal values were present in 14·9%. No documentation was present in 44·6% of abnormal cases. When interventions were documented, it was usually to notify the physician. The timing within the emergency department visit when the abnormalities were observed and the degree of abnormality had significant relationships to the presence of documentation. It is doubtful that nurses do not recognise abnormalities because more severely abnormal vital signs were more likely to have documented follow-up. Perhaps the interruptive nature of the emergency department or the prioritised actions of the nurse impacted documentation within this study. Further research is required to determine why follow-up is not being documented. To ensure safety and quality of patient care, accurate documentation of responses to abnormal vital signs is required. © 2016 John Wiley & Sons Ltd.

  8. Experiences integrating autonomous components and legacy systems into tsunami early warning systems

    NASA Astrophysics Data System (ADS)

    Reißland, S.; Herrnkind, S.; Guenther, M.; Babeyko, A.; Comoglu, M.; Hammitzsch, M.

    2012-04-01

    Fostered by and embedded in the general development of Information and Communication Technology (ICT) the evolution of Tsunami Early Warning Systems (TEWS) shows a significant development from seismic-centred to multi-sensor system architectures using additional sensors, e.g. sea level stations for the detection of tsunami waves and GPS stations for the detection of ground displacements. Furthermore, the design and implementation of a robust and scalable service infrastructure supporting the integration and utilisation of existing resources serving near real-time data not only includes sensors but also other components and systems offering services such as the delivery of feasible simulations used for forecasting in an imminent tsunami threat. In the context of the development of the German Indonesian Tsunami Early Warning System (GITEWS) and the project Distant Early Warning System (DEWS) a service platform for both sensor integration and warning dissemination has been newly developed and demonstrated. In particular, standards of the Open Geospatial Consortium (OGC) and the Organization for the Advancement of Structured Information Standards (OASIS) have been successfully incorporated. In the project Collaborative, Complex, and Critical Decision-Support in Evolving Crises (TRIDEC) new developments are used to extend the existing platform to realise a component-based technology framework for building distributed TEWS. This talk will describe experiences made in GITEWS, DEWS and TRIDEC while integrating legacy stand-alone systems and newly developed special-purpose software components into TEWS using different software adapters and communication strategies to make the systems work together in a corporate infrastructure. The talk will also cover task management and data conversion between the different systems. Practical approaches and software solutions for the integration of sensors, e.g. providing seismic and sea level data, and utilisation of special-purpose components, such as simulation systems, in TEWS will be presented.

  9. [Analysis and experimental verification of sensitivity and SNR of laser warning receiver].

    PubMed

    Zhang, Ji-Long; Wang, Ming; Tian, Er-Ming; Li, Xiao; Wang, Zhi-Bin; Zhang, Yue

    2009-01-01

    In order to countermeasure increasingly serious threat from hostile laser in modern war, it is urgent to do research on laser warning technology and system, and the sensitivity and signal to noise ratio (SNR) are two important performance parameters in laser warning system. In the present paper, based on the signal statistical detection theory, a method for calculation of the sensitivity and SNR in coherent detection laser warning receiver (LWR) has been proposed. Firstly, the probabilities of the laser signal and receiver noise were analyzed. Secondly, based on the threshold detection theory and Neyman-Pearson criteria, the signal current equation was established by introducing detection probability factor and false alarm rate factor, then, the mathematical expressions of sensitivity and SNR were deduced. Finally, by using method, the sensitivity and SNR of the sinusoidal grating laser warning receiver developed by our group were analyzed, and the theoretic calculation and experimental results indicate that the SNR analysis method is feasible, and can be used in performance analysis of LWR.

  10. Inside the black box: current policies and concerns with the United States Food and Drug Administration's highest drug safety warning system.

    PubMed

    Halloran, Kylene; Barash, Paul G

    2010-06-01

    To evaluate the United States Food and Drug Administration use of the black-box warning system to promote drug safety and to examine the droperidol black-box warning as a case study. Scientific studies report that there is no basis to issue a black-box warning for perioperative administration of droperidol for postoperative nausea and vomiting on the basis of the potential of adverse cardiac events (prolongation of the QT interval and/or development of torsades de pointes). Rather than relying on well conducted clinical investigations, the Food and Drug Administration subjectively issued a black-box warning to droperidol, which effectively removed droperidol from clinical practice for the indication of postoperative nausea and vomiting. Newer data suggest that the incidence of prolongation of the QT interval and the occurrence of torsades de pointes is similar to more expensive alternative medications used to treat postoperative nausea and vomiting.

  11. Early Warning Signals of Ecological Transitions: Methods for Spatial Patterns

    PubMed Central

    Brock, William A.; Carpenter, Stephen R.; Ellison, Aaron M.; Livina, Valerie N.; Seekell, David A.; Scheffer, Marten; van Nes, Egbert H.; Dakos, Vasilis

    2014-01-01

    A number of ecosystems can exhibit abrupt shifts between alternative stable states. Because of their important ecological and economic consequences, recent research has focused on devising early warning signals for anticipating such abrupt ecological transitions. In particular, theoretical studies show that changes in spatial characteristics of the system could provide early warnings of approaching transitions. However, the empirical validation of these indicators lag behind their theoretical developments. Here, we summarize a range of currently available spatial early warning signals, suggest potential null models to interpret their trends, and apply them to three simulated spatial data sets of systems undergoing an abrupt transition. In addition to providing a step-by-step methodology for applying these signals to spatial data sets, we propose a statistical toolbox that may be used to help detect approaching transitions in a wide range of spatial data. We hope that our methodology together with the computer codes will stimulate the application and testing of spatial early warning signals on real spatial data. PMID:24658137

  12. 46 CFR 35.40-8 - Carbon dioxide warning signs-T/ALL.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 1 2014-10-01 2014-10-01 false Carbon dioxide warning signs-T/ALL. 35.40-8 Section 35... Marking Requirements-TB/ALL § 35.40-8 Carbon dioxide warning signs—T/ALL. Each entrance to a space storing carbon dioxide cylinders, a space protected by carbon dioxide systems, or any space into which carbon...

  13. 46 CFR 35.40-8 - Carbon dioxide warning signs-T/ALL.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 1 2013-10-01 2013-10-01 false Carbon dioxide warning signs-T/ALL. 35.40-8 Section 35... Marking Requirements-TB/ALL § 35.40-8 Carbon dioxide warning signs—T/ALL. Each entrance to a space storing carbon dioxide cylinders, a space protected by carbon dioxide systems, or any space into which carbon...

  14. 76 FR 58301 - Proposed Extension of Existing Information Collection; Automatic Fire Sensor and Warning Device...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    .... Sec. 75.1103-8(b) and (c). MSHA expects to subsume these provisions into OMB 1219-0054, Fire....1103-5(a)(2)(ii) Automatic fire sensor and warning device systems and the package is at OMB for its 3.... 75.1103-5(a) Automatic fire warning devices; actions, response in October 2010; OMB 1219-0127...

  15. School disengagement as a predictor of dropout, delinquency, and problem substance use during adolescence and early adulthood.

    PubMed

    Henry, Kimberly L; Knight, Kelly E; Thornberry, Terence P

    2012-02-01

    Over the past 5 years, a great deal of attention has been paid to the development of early warning systems for dropout prevention. These warning systems use a set of indicators based on official school records to identify youth at risk for dropout and then appropriately target intervention. The current study builds on this work by assessing the extent to which a school disengagement warning index predicts not only dropout but also other problem behaviors during middle adolescence, late adolescence, and early adulthood. Data from the Rochester Youth Development Study (N = 911, 73% male, 68% African American, and 17% Latino) were used to examine the effects of a school disengagement warning index based on official 8th and 9th grade school records on subsequent dropout, as well as serious delinquency, official offending, and problem substance use during middle adolescence, late adolescence, and early adulthood. Results indicate that the school disengagement warning index is robustly related to dropout as well as serious problem behaviors across the three developmental stages, even after controlling for important potential confounders. High school dropout mediates the effect of the warning index on serious problem behaviors in early adulthood.

  16. School Disengagement as a Predictor of Dropout, Delinquency, and Problem Substance Use during Adolescence and Early Adulthood

    PubMed Central

    Henry, Kimberly L.; Knight, Kelly E.; Thornberry, Terence P.

    2015-01-01

    Over the past five years, a great deal of attention has been paid to the development of early warning systems for dropout prevention. These warning systems use a set of indicators based on official school records to identify youth at risk for dropout and then appropriately target intervention. The current study builds on this work by assessing the extent to which a school disengagement warning index predicts not only dropout but also other problem behaviors during middle adolescence, late adolescence, and early adulthood. Data from the Rochester Youth Development Study (n=911, 73% male, 68% African American, and 17% Latino) were used to examine the effects of a school disengagement warning index based on official 8th and 9th grade school records on subsequent dropout, as well as serious delinquency, official offending, and problem substance use during middle adolescence, late adolescence, and early adulthood. Results indicate that the school disengagement warning index is robustly related to dropout as well as serious problem behaviors across the three developmental stages, even after controlling for important potential confounders. High school dropout mediates the effect of the warning index on serious problem behaviors in early adulthood. PMID:21523389

  17. Ulcerative colitis flair induced by mesalamine suppositories hypersensitivity

    PubMed Central

    Ding, Hao; Liu, Xiao-Chang; Mei, Qiao; Xu, Jian-Ming; Hu, Xiang-Yang; Hu, Jing

    2014-01-01

    Mesalamine suppositories have been used widely for the treatment of distal ulcerative colitis and considered to be safer than systemic administration for its limited systemic absorption. However, previous studies have shown that mesalamine suppository occasionally causes severe hypersensitivity reactions including fever, rashes, colitis exacerbation and acute eosinophilic pneumonia. Here we present a 25-year-old woman with ulcerative colitis with bloody diarrhea accompanied by abdominal pain and fever which were aggravated after introduction of mesalamine suppositories. In light of symptom exacerbation of ulcerative colitis, increased inflammatory injury of colon mucosa shown by colonoscopy and elevated peripheral eosinophil count after mesalamine suppositories administration, and the Naranjo algorithm score of 10, the possibility of hypersensitivity reaction to mesalamine suppositories should be considered, warning us to be aware of this potential reaction after administration of mesalamine formulations even if it is the suppositories. PMID:24707159

  18. Ulcerative colitis flair induced by mesalamine suppositories hypersensitivity.

    PubMed

    Ding, Hao; Liu, Xiao-Chang; Mei, Qiao; Xu, Jian-Ming; Hu, Xiang-Yang; Hu, Jing

    2014-04-07

    Mesalamine suppositories have been used widely for the treatment of distal ulcerative colitis and considered to be safer than systemic administration for its limited systemic absorption. However, previous studies have shown that mesalamine suppository occasionally causes severe hypersensitivity reactions including fever, rashes, colitis exacerbation and acute eosinophilic pneumonia. Here we present a 25-year-old woman with ulcerative colitis with bloody diarrhea accompanied by abdominal pain and fever which were aggravated after introduction of mesalamine suppositories. In light of symptom exacerbation of ulcerative colitis, increased inflammatory injury of colon mucosa shown by colonoscopy and elevated peripheral eosinophil count after mesalamine suppositories administration, and the Naranjo algorithm score of 10, the possibility of hypersensitivity reaction to mesalamine suppositories should be considered, warning us to be aware of this potential reaction after administration of mesalamine formulations even if it is the suppositories.

  19. Implementation of a Global Navigation Satellite System (GNSS) Augmentation to Tsunami Early Warning Systems

    NASA Astrophysics Data System (ADS)

    LaBrecque, John

    2016-04-01

    The Global Geodetic Observing System has issued a Call for Participation to research scientists, geodetic research groups and national agencies in support of the implementation of the IUGG recommendation for a Global Navigation Satellite System (GNSS) Augmentation to Tsunami Early Warning Systems. The call seeks to establish a working group to be a catalyst and motivating force for the definition of requirements, identification of resources, and for the encouragement of international cooperation in the establishment, advancement, and utilization of GNSS for Tsunami Early Warning. During the past fifteen years the populations of the Indo-Pacific region experienced a series of mega-thrust earthquakes followed by devastating tsunamis that claimed nearly 300,000 lives. The future resiliency of the region will depend upon improvements to infrastructure and emergency response that will require very significant investments from the Indo-Pacific economies. The estimation of earthquake moment magnitude, source mechanism and the distribution of crustal deformation are critical to rapid tsunami warning. Geodetic research groups have demonstrated the use of GNSS data to estimate earthquake moment magnitude, source mechanism and the distribution of crustal deformation sufficient for the accurate and timely prediction of tsunamis generated by mega-thrust earthquakes. GNSS data have also been used to measure the formation and propagation of tsunamis via ionospheric disturbances acoustically coupled to the propagating surface waves; thereby providing a new technique to track tsunami propagation across ocean basins, opening the way for improving tsunami propagation models, and providing accurate warning to communities in the far field. These two new advancements can deliver timely and accurate tsunami warnings to coastal communities in the near and far field of mega-thrust earthquakes. This presentation will present the justification for and the details of the GGOS Call for Participation.

  20. Implementation and Challenges of the Tsunami Warning System in the Western Mediterranean

    NASA Astrophysics Data System (ADS)

    Schindelé, F.; Gailler, A.; Hébert, H.; Loevenbruck, A.; Gutierrez, E.; Monnier, A.; Roudil, P.; Reymond, D.; Rivera, L.

    2015-03-01

    The French Tsunami Warning Center (CENALT) has been in operation since 2012. It is contributing to the North-eastern and Mediterranean (NEAM) tsunami warning and mitigation system coordinated by the United Nations Educational, Scientific, and Cultural Organization, and benefits from data exchange with several foreign institutes. This center is supported by the French Government and provides French civil-protection authorities and member states of the NEAM region with relevant messages for assessing potential tsunami risk when an earthquake has occurred in the Western Mediterranean sea or the Northeastern Atlantic Ocean. To achieve its objectives, CENALT has developed a series of innovative techniques based on recent research results in seismology for early tsunami warning, monitoring of sea level variations and detection capability, and effective numerical computation of ongoing tsunamis.

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