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Sample records for based record analysis

  1. Smart-card-based automatic meal record system intervention tool for analysis using data mining approach.

    Science.gov (United States)

    Zenitani, Satoko; Nishiuchi, Hiromu; Kiuchi, Takahiro

    2010-04-01

    The Smart-card-based Automatic Meal Record system for company cafeterias (AutoMealRecord system) was recently developed and used to monitor employee eating habits. The system could be a unique nutrition assessment tool for automatically monitoring the meal purchases of all employees, although it only focuses on company cafeterias and has never been validated. Before starting an interventional study, we tested the reliability of the data collected by the system using the data mining approach. The AutoMealRecord data were examined to determine if it could predict current obesity. All data used in this study (n = 899) were collected by a major electric company based in Tokyo, which has been operating the AutoMealRecord system for several years. We analyzed dietary patterns by principal component analysis using data from the system and extracted 5 major dietary patterns: healthy, traditional Japanese, Chinese, Japanese noodles, and pasta. The ability to predict current body mass index (BMI) with dietary preference was assessed with multiple linear regression analyses, and in the current study, BMI was positively correlated with male gender, preference for "Japanese noodles," mean energy intake, protein content, and frequency of body measurement at a body measurement booth in the cafeteria. There was a negative correlation with age, dietary fiber, and lunchtime cafeteria use (R(2) = 0.22). This regression model predicted "would-be obese" participants (BMI >or= 23) with 68.8% accuracy by leave-one-out cross validation. This shows that there was sufficient predictability of BMI based on data from the AutoMealRecord System. We conclude that the AutoMealRecord system is valuable for further consideration as a health care intervention tool. Copyright 2010 Elsevier Inc. All rights reserved.

  2. Importance-Performance Analysis of Personal Health Records in Taiwan: A Web-Based Survey

    Science.gov (United States)

    Rau, Hsiao-Hsien; Chen, Kang-Hua

    2017-01-01

    Background Empowering personal health records (PHRs) provides basic human right, awareness, and intention for health promotion. As health care delivery changes toward patient-centered services, PHRs become an indispensable platform for consumers and providers. Recently, the government introduced “My health bank,” a Web-based electronic medical records (EMRs) repository for consumers. However, it is not yet a PHR. To date, we do not have a platform that can let patients manage their own PHR. Objective This study creates a vision of a value-added platform for personal health data analysis and manages their health record based on the contents of the "My health bank." This study aimed to examine consumer expectation regarding PHR, using the importance-performance analysis. The purpose of this study was to explore consumer perception regarding this type of a platform: it would try to identify the key success factors and important aspects by using the importance-performance analysis, and give some suggestions for future development based on it. Methods This is a cross-sectional study conducted in Taiwan. Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 (“disagree strongly”) to 5 (“Agree strongly”). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. Results This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65

  3. Importance-Performance Analysis of Personal Health Records in Taiwan: A Web-Based Survey.

    Science.gov (United States)

    Rau, Hsiao-Hsien; Wu, Yi-Syuan; Chu, Chi-Ming; Wang, Fu-Chung; Hsu, Min-Huei; Chang, Chi-Wen; Chen, Kang-Hua; Lee, Yen-Liang; Kao, Senyeong; Chiu, Yu-Lung; Wen, Hsyien-Chia; Fuad, Anis; Hsu, Chien-Yeh; Chiu, Hung-Wen

    2017-04-27

    Empowering personal health records (PHRs) provides basic human right, awareness, and intention for health promotion. As health care delivery changes toward patient-centered services, PHRs become an indispensable platform for consumers and providers. Recently, the government introduced "My health bank," a Web-based electronic medical records (EMRs) repository for consumers. However, it is not yet a PHR. To date, we do not have a platform that can let patients manage their own PHR. This study creates a vision of a value-added platform for personal health data analysis and manages their health record based on the contents of the "My health bank." This study aimed to examine consumer expectation regarding PHR, using the importance-performance analysis. The purpose of this study was to explore consumer perception regarding this type of a platform: it would try to identify the key success factors and important aspects by using the importance-performance analysis, and give some suggestions for future development based on it. This is a cross-sectional study conducted in Taiwan. Web-based invitation to participate in this study was distributed through Facebook. Respondents were asked to watch an introductory movie regarding PHR before filling in the questionnaire. The questionnaire was focused on 2 aspects, including (1) system functions, and (2) system design and security and privacy. The questionnaire would employ 12 and 7 questions respectively. The questionnaire was designed following 5-points Likert scale ranging from 1 ("disagree strongly") to 5 ("Agree strongly"). Afterwards, the questionnaire data was sorted using IBM SPSS Statistics 21 for descriptive statistics and the importance-performance analysis. This research received 350 valid questionnaires. Most respondents were female (219 of 350 participants, 62.6%), 21-30 years old (238 of 350 participants, 68.0%), with a university degree (228 of 350 participants, 65.1%). They were still students (195 out of 350

  4. Heart rhythm analysis using ECG recorded with a novel sternum based patch technology

    DEFF Research Database (Denmark)

    Saadi, Dorthe Bodholt; Fauerskov, Inge; Osmanagic, Armin

    2013-01-01

    , reliable long-term ECG recordings. The device is designed for high compliance and low patient burden. This novel patch technology is CE approved for ambulatory ECG recording of two ECG channels on the sternum. This paper describes a clinical pilot study regarding the usefulness of these ECG signals...... for heart rhythm analysis. A clinical technician with experience in ECG interpretation selected 200 noise-free 7 seconds ECG segments from 25 different patients. These 200 ECG segments were evaluated by two medical doctors according to their usefulness for heart rhythm analysis. The first doctor considered...... 98.5% of the segments useful for rhythm analysis, whereas the second doctor considered 99.5% of the segments useful for rhythm analysis. The conclusion of this pilot study indicates that two channel ECG recorded on the sternum is useful for rhythm analysis and could be used as input to diagnosis...

  5. Borneo: a quantitative analysis of botanical richness, endemicity and floristic regions based on herbarium records

    OpenAIRE

    Raes, Niels

    2009-01-01

    Based on the digitized herbarium records housed at the National Herbarium of the Netherlands I developed high spatial resolution patterns of Borneo's botanical richness, endemicity, and the floristic regions. The patterns are derived from species distribution models which predict a species occurrence based on the identified relationships between species recorded presences and the ecological circumstances at those localities. A new statistical method was developed to test the species distribut...

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

    Science.gov (United States)

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

    2001-11-01

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

  7. How do repeat suicide attempters differ from first timers? An exploratory record based analysis

    Directory of Open Access Journals (Sweden)

    Vikas Menon

    2016-01-01

    Full Text Available Background: Evidence indicates that repeat suicide attempters, as a group, may differ from 1st time attempters. The identification of repeat attempters is a powerful but underutilized clinical variable. Aims: In this research, we aimed to compare individuals with lifetime histories of multiple attempts with 1st time attempters to identify factors predictive of repeat attempts. Setting and Design: This was a retrospective record based study carried out at a teaching cum Tertiary Care Hospital in South India. Methods: Relevant data was extracted from the clinical records of 1st time attempters (n = 362 and repeat attempters (n = 61 presenting to a single Tertiary Care Center over a 4½ year period. They were compared on various sociodemographic and clinical parameters. The clinical measures included Presumptive Stressful Life Events Scale, Beck Hopelessness Scale, Coping Strategies Inventory – Short Form, and the Global Assessment of Functioning Scale. Statistical Analysis Used: First time attempters and repeaters were compared using appropriate inferential statistics. Logistic regression was used to identify independent predictors of repeat attempts. Results: The two groups did not significantly differ on sociodemographic characteristics. Repeat attempters were more likely to have given prior hints about their act (χ2 = 4.500, P = 0.034. In the final regression model, beck hopelessness score emerged as a significant predictor of repeat suicide attempts (odds ratio = 1.064, P = 0.020. Conclusion: Among suicide attempters presenting to the hospital, the presence of hopelessness is a predictor of repeat suicide attempts, independent of clinical depression. This highlights the importance of considering hopelessness in the assessment of suicidality with a view to minimize the risk of future attempts.

  8. Decision Support System for Medical Care Quality Assessment Based on Health Records Analysis in Russia.

    Science.gov (United States)

    Taranik, Maksim; Kopanitsa, Georgy

    2017-01-01

    The paper presents developed decision system, oriented for healthcare providers. The system allows healthcare providers to detect and decrease nonconformities in health records and forecast the sum of insurance payments taking into account nonconformities. The components are ISO13606, fuzzy logic and case-based reasoning concept. The result of system implementation allowed to 10% increase insurance payments for healthcare provider.

  9. Borneo : a quantitative analysis of botanical richness, endemicity and floristic regions based on herbarium records

    NARCIS (Netherlands)

    Raes, Niels

    2009-01-01

    Based on the digitized herbarium records housed at the National Herbarium of the Netherlands I developed high spatial resolution patterns of Borneo's botanical richness, endemicity, and the floristic regions. The patterns are derived from species distribution models which predict a species

  10. Towards successful coordination of electronic health record based-referrals: a qualitative analysis.

    Science.gov (United States)

    Hysong, Sylvia J; Esquivel, Adol; Sittig, Dean F; Paul, Lindsey A; Espadas, Donna; Singh, Simran; Singh, Hardeep

    2011-07-27

    Successful subspecialty referrals require considerable coordination and interactive communication among the primary care provider (PCP), the subspecialist, and the patient, which may be challenging in the outpatient setting. Even when referrals are facilitated by electronic health records (EHRs) (i.e., e-referrals), lapses in patient follow-up might occur. Although compelling reasons exist why referral coordination should be improved, little is known about which elements of the complex referral coordination process should be targeted for improvement. Using Okhuysen & Bechky's coordination framework, this paper aims to understand the barriers, facilitators, and suggestions for improving communication and coordination of EHR-based referrals in an integrated healthcare system. We conducted a qualitative study to understand coordination breakdowns related to e-referrals in an integrated healthcare system and examined work-system factors that affect the timely receipt of subspecialty care. We conducted interviews with seven subject matter experts and six focus groups with a total of 30 PCPs and subspecialists at two tertiary care Department of Veterans Affairs (VA) medical centers. Using techniques from grounded theory and content analysis, we identified organizational themes that affected the referral process. Four themes emerged: lack of an institutional referral policy, lack of standardization in certain referral procedures, ambiguity in roles and responsibilities, and inadequate resources to adapt and respond to referral requests effectively. Marked differences in PCPs' and subspecialists' communication styles and individual mental models of the referral processes likely precluded the development of a shared mental model to facilitate coordination and successful referral completion. Notably, very few barriers related to the EHR were reported. Despite facilitating information transfer between PCPs and subspecialists, e-referrals remain prone to coordination

  11. Towards successful coordination of electronic health record based-referrals: a qualitative analysis

    Directory of Open Access Journals (Sweden)

    Paul Lindsey A

    2011-07-01

    Full Text Available Abstract Background Successful subspecialty referrals require considerable coordination and interactive communication among the primary care provider (PCP, the subspecialist, and the patient, which may be challenging in the outpatient setting. Even when referrals are facilitated by electronic health records (EHRs (i.e., e-referrals, lapses in patient follow-up might occur. Although compelling reasons exist why referral coordination should be improved, little is known about which elements of the complex referral coordination process should be targeted for improvement. Using Okhuysen & Bechky's coordination framework, this paper aims to understand the barriers, facilitators, and suggestions for improving communication and coordination of EHR-based referrals in an integrated healthcare system. Methods We conducted a qualitative study to understand coordination breakdowns related to e-referrals in an integrated healthcare system and examined work-system factors that affect the timely receipt of subspecialty care. We conducted interviews with seven subject matter experts and six focus groups with a total of 30 PCPs and subspecialists at two tertiary care Department of Veterans Affairs (VA medical centers. Using techniques from grounded theory and content analysis, we identified organizational themes that affected the referral process. Results Four themes emerged: lack of an institutional referral policy, lack of standardization in certain referral procedures, ambiguity in roles and responsibilities, and inadequate resources to adapt and respond to referral requests effectively. Marked differences in PCPs' and subspecialists' communication styles and individual mental models of the referral processes likely precluded the development of a shared mental model to facilitate coordination and successful referral completion. Notably, very few barriers related to the EHR were reported. Conclusions Despite facilitating information transfer between PCPs and

  12. Deconvolution-based resolution enhancement of chemical ice core records obtained by continuous flow analysis

    DEFF Research Database (Denmark)

    Rasmussen, Sune Olander; Andersen, Katrine K.; Johnsen, Sigfus Johann

    2005-01-01

    Continuous flow analysis (CFA) has become a popular measuring technique for obtaining high-resolution chemical ice core records due to an attractive combination of measuring speed and resolution. However, when analyzing the deeper sections of ice cores or cores from low-accumulation areas...... of the data for high-resolution studies such as annual layer counting. The presented method uses deconvolution techniques and is robust to the presence of noise in the measurements. If integrated into the data processing, it requires no additional data collection. The method is applied to selected ice core...

  13. Analysis of the security and privacy requirements of cloud-based electronic health records systems.

    Science.gov (United States)

    Rodrigues, Joel J P C; de la Torre, Isabel; Fernández, Gonzalo; López-Coronado, Miguel

    2013-08-21

    The Cloud Computing paradigm offers eHealth systems the opportunity to enhance the features and functionality that they offer. However, moving patients' medical information to the Cloud implies several risks in terms of the security and privacy of sensitive health records. In this paper, the risks of hosting Electronic Health Records (EHRs) on the servers of third-party Cloud service providers are reviewed. To protect the confidentiality of patient information and facilitate the process, some suggestions for health care providers are made. Moreover, security issues that Cloud service providers should address in their platforms are considered. To show that, before moving patient health records to the Cloud, security and privacy concerns must be considered by both health care providers and Cloud service providers. Security requirements of a generic Cloud service provider are analyzed. To study the latest in Cloud-based computing solutions, bibliographic material was obtained mainly from Medline sources. Furthermore, direct contact was made with several Cloud service providers. Some of the security issues that should be considered by both Cloud service providers and their health care customers are role-based access, network security mechanisms, data encryption, digital signatures, and access monitoring. Furthermore, to guarantee the safety of the information and comply with privacy policies, the Cloud service provider must be compliant with various certifications and third-party requirements, such as SAS70 Type II, PCI DSS Level 1, ISO 27001, and the US Federal Information Security Management Act (FISMA). Storing sensitive information such as EHRs in the Cloud means that precautions must be taken to ensure the safety and confidentiality of the data. A relationship built on trust with the Cloud service provider is essential to ensure a transparent process. Cloud service providers must make certain that all security mechanisms are in place to avoid unauthorized access

  14. A Quantitative Analysis of an EEG Epileptic Record Based on MultiresolutionWavelet Coefficients

    Directory of Open Access Journals (Sweden)

    Mariel Rosenblatt

    2014-11-01

    Full Text Available The characterization of the dynamics associated with electroencephalogram (EEG signal combining an orthogonal discrete wavelet transform analysis with quantifiers originated from information theory is reviewed. In addition, an extension of this methodology based on multiresolution quantities, called wavelet leaders, is presented. In particular, the temporal evolution of Shannon entropy and the statistical complexity evaluated with different sets of multiresolution wavelet coefficients are considered. Both methodologies are applied to the quantitative EEG time series analysis of a tonic-clonic epileptic seizure, and comparative results are presented. In particular, even when both methods describe the dynamical changes of the EEG time series, the one based on wavelet leaders presents a better time resolution.

  15. Monitoring sleep depth: analysis of bispectral index (BIS) based on polysomnographic recordings and sleep deprivation.

    Science.gov (United States)

    Giménez, Sandra; Romero, Sergio; Alonso, Joan Francesc; Mañanas, Miguel Ángel; Pujol, Anna; Baxarias, Pilar; Antonijoan, Rosa Maria

    2017-02-01

    The assessment and management of sleep are increasingly recommended in the clinical practice. Polysomnography (PSG) is considered the gold standard test to monitor sleep objectively, but some practical and technical constraints exist due to environmental and patient considerations. Bispectral index (BIS) monitoring is commonly used in clinical practice for guiding anesthetic administration and provides an index based on relationships between EEG components. Due to similarities in EEG synchronization between anesthesia and sleep, several studies have assessed BIS as a sleep monitor with contradictory results. The aim of this study was to evaluate objectively both the feasibility and reliability of BIS for sleep monitoring through a robust methodology, which included full PSG recordings at a baseline situation and after 40 h of sleep deprivation. Results confirmed that the BIS index was highly correlated with the hypnogram (0.89 ± 0.02), showing a progressive decrease as sleep deepened, and an increase during REM sleep (awake: 91.77 ± 8.42; stage N1: 83.95 ± 11.05; stage N2: 71.71 ± 11.99; stage N3: 42.41 ± 9.14; REM: 80.11 ± 8.73). Mean and median BIS values were lower in the post-deprivation night than in the baseline night, showing statistical differences for the slow wave sleep (baseline: 42.41 ± 9.14 vs. post-deprivation: 39.49 ± 10.27; p = 0.02). BIS scores were able to discriminate properly between deep (N3) and light (N1, N2) sleep. BIS values during REM overlapped those of other sleep stages, although EMG activity provided by the BIS monitor could help to identify REM sleep if needed. In conclusion, BIS monitors could provide a useful measure of sleep depth in especially particular situations such as intensive care units, and they could be used as an alternative for sleep monitoring in order to reduce PSG-derived costs and to increase capacity in ambulatory care.

  16. Magnetoencephalography recording and analysis

    Directory of Open Access Journals (Sweden)

    Jayabal Velmurugan

    2014-01-01

    Full Text Available Magnetoencephalography (MEG non-invasively measures the magnetic field generated due to the excitatory postsynaptic electrical activity of the apical dendritic pyramidal cells. Such a tiny magnetic field is measured with the help of the biomagnetometer sensors coupled with the Super Conducting Quantum Interference Device (SQUID inside the magnetically shielded room (MSR. The subjects are usually screened for the presence of ferromagnetic materials, and then the head position indicator coils, electroencephalography (EEG electrodes (if measured simultaneously, and fiducials are digitized using a 3D digitizer, which aids in movement correction and also in transferring the MEG data from the head coordinates to the device and voxel coordinates, thereby enabling more accurate co-registration and localization. MEG data pre-processing involves filtering the data for environmental and subject interferences, artefact identification, and rejection. Magnetic resonance Imaging (MRI is processed for correction and identifying fiducials. After choosing and computing for the appropriate head models (spherical or realistic; boundary/finite element model, the interictal/ictal epileptiform discharges are selected and modeled by an appropriate source modeling technique (clinically and commonly used - single equivalent current dipole - ECD model. The equivalent current dipole (ECD source localization of the modeled interictal epileptiform discharge (IED is considered physiologically valid or acceptable based on waveform morphology, isofield pattern, and dipole parameters (localization, dipole moment, confidence volume, goodness of fit. Thus, MEG source localization can aid clinicians in sublobar localization, lateralization, and grid placement, by evoking the irritative/seizure onset zone. It also accurately localizes the eloquent cortex-like visual, language areas. MEG also aids in diagnosing and delineating multiple novel findings in other neuropsychiatric

  17. Metrics for Electronic-Nursing-Record-Based Narratives: Cross-sectional Analysis

    Science.gov (United States)

    Kim, Kidong; Jeong, Suyeon; Lee, Kyogu; Park, Hyeoun-Ae; Min, Yul Ha; Lee, Joo Yun; Kim, Yekyung; Yoo, Sooyoung; Doh, Gippeum

    2016-01-01

    Summary Objectives We aimed to determine the characteristics of quantitative metrics for nursing narratives documented in electronic nursing records and their association with hospital admission traits and diagnoses in a large data set not limited to specific patient events or hypotheses. Methods We collected 135,406,873 electronic, structured coded nursing narratives from 231,494 hospital admissions of patients discharged between 2008 and 2012 at a tertiary teaching institution that routinely uses an electronic health records system. The standardized number of nursing narratives (i.e., the total number of nursing narratives divided by the length of the hospital stay) was suggested to integrate the frequency and quantity of nursing documentation. Results The standardized number of nursing narratives was higher for patients aged 70 years (median = 30.2 narratives/day, interquartile range [IQR] = 24.0–39.4 narratives/day), long (8 days) hospital stays (median = 34.6 narratives/day, IQR = 27.2–43.5 narratives/day), and hospital deaths (median = 59.1 narratives/day, IQR = 47.0–74.8 narratives/day). The standardized number of narratives was higher in “pregnancy, childbirth, and puerperium” (median = 46.5, IQR = 39.0–54.7) and “diseases of the circulatory system” admissions (median = 35.7, IQR = 29.0–43.4). Conclusions Diverse hospital admissions can be consistently described with nursing-document-derived metrics for similar hospital admissions and diagnoses. Some areas of hospital admissions may have consistently increasing volumes of nursing documentation across years. Usability of electronic nursing document metrics for evaluating healthcare requires multiple aspects of hospital admissions to be considered. PMID:27901174

  18. Validation of PC-based Sound Card with Biopac for Digitalization of ECG Recording in Short-term HRV Analysis.

    Science.gov (United States)

    Maheshkumar, K; Dilara, K; Maruthy, K N; Sundareswaren, L

    2016-07-01

    Heart rate variability (HRV) analysis is a simple and noninvasive technique capable of assessing autonomic nervous system modulation on heart rate (HR) in healthy as well as disease conditions. The aim of the present study was to compare (validate) the HRV using a temporal series of electrocardiograms (ECG) obtained by simple analog amplifier with PC-based sound card (audacity) and Biopac MP36 module. Based on the inclusion criteria, 120 healthy participants, including 72 males and 48 females, participated in the present study. Following standard protocol, 5-min ECG was recorded after 10 min of supine rest by Portable simple analog amplifier PC-based sound card as well as by Biopac module with surface electrodes in Leads II position simultaneously. All the ECG data was visually screened and was found to be free of ectopic beats and noise. RR intervals from both ECG recordings were analyzed separately in Kubios software. Short-term HRV indexes in both time and frequency domain were used. The unpaired Student's t-test and Pearson correlation coefficient test were used for the analysis using the R statistical software. No statistically significant differences were observed when comparing the values analyzed by means of the two devices for HRV. Correlation analysis revealed perfect positive correlation (r = 0.99, P < 0.001) between the values in time and frequency domain obtained by the devices. On the basis of the results of the present study, we suggest that the calculation of HRV values in the time and frequency domains by RR series obtained from the PC-based sound card is probably as reliable as those obtained by the gold standard Biopac MP36.

  19. Copula Regression Analysis of Simultaneously Recorded Frontal Eye Field and Inferotemporal Spiking Activity during Object-Based Working Memory

    Science.gov (United States)

    Hu, Meng; Clark, Kelsey L.; Gong, Xiajing; Noudoost, Behrad; Li, Mingyao; Moore, Tirin

    2015-01-01

    Inferotemporal (IT) neurons are known to exhibit persistent, stimulus-selective activity during the delay period of object-based working memory tasks. Frontal eye field (FEF) neurons show robust, spatially selective delay period activity during memory-guided saccade tasks. We present a copula regression paradigm to examine neural interaction of these two types of signals between areas IT and FEF of the monkey during a working memory task. This paradigm is based on copula models that can account for both marginal distribution over spiking activity of individual neurons within each area and joint distribution over ensemble activity of neurons between areas. Considering the popular GLMs as marginal models, we developed a general and flexible likelihood framework that uses the copula to integrate separate GLMs into a joint regression analysis. Such joint analysis essentially leads to a multivariate analog of the marginal GLM theory and hence efficient model estimation. In addition, we show that Granger causality between spike trains can be readily assessed via the likelihood ratio statistic. The performance of this method is validated by extensive simulations, and compared favorably to the widely used GLMs. When applied to spiking activity of simultaneously recorded FEF and IT neurons during working memory task, we observed significant Granger causality influence from FEF to IT, but not in the opposite direction, suggesting the role of the FEF in the selection and retention of visual information during working memory. The copula model has the potential to provide unique neurophysiological insights about network properties of the brain. PMID:26063909

  20. Understanding the Connection Between Traumatic Brain Injury and Alzheimer’s Disease: A Population-Based Medical Record Review Analysis

    Science.gov (United States)

    2017-10-01

    Medical Record Review Analysis PRINCIPAL INVESTIGATOR: Allen W. Brown, MD CONTRACTING ORGANIZATION: Mayo Clinic Rochester, MN 55905 REPORT DATE...response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and... reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information

  1. Design and reliability analysis of high-speed and continuous data recording system based on disk array

    Science.gov (United States)

    Jiang, Changlong; Ma, Cheng; He, Ning; Zhang, Xugang; Wang, Chongyang; Jia, Huibo

    2002-12-01

    In many real-time fields the sustained high-speed data recording system is required. This paper proposes a high-speed and sustained data recording system based on the complex-RAID 3+0. The system consists of Array Controller Module (ACM), String Controller Module (SCM) and Main Controller Module (MCM). ACM implemented by an FPGA chip is used to split the high-speed incoming data stream into several lower-speed streams and generate one parity code stream synchronously. It also can inversely recover the original data stream while reading. SCMs record lower-speed streams from the ACM into the SCSI disk drivers. In the SCM, the dual-page buffer technology is adopted to implement speed-matching function and satisfy the need of sustainable recording. MCM monitors the whole system, controls ACM and SCMs to realize the data stripping, reconstruction, and recovery functions. The method of how to determine the system scale is presented. At the end, two new ways Floating Parity Group (FPG) and full 2D-Parity Group (full 2D-PG) are proposed to improve the system reliability and compared with the Traditional Parity Group (TPG). This recording system can be used conveniently in many areas of data recording, storing, playback and remote backup with its high-reliability.

  2. Microcomputer-based system for 24-hour recording of oesophageal motility and pH profile with automated analysis

    NARCIS (Netherlands)

    Breedijk, M.; Smout, A. J.; van der Zouw, C.; Verwey, H.; Akkermans, L. M.

    1989-01-01

    A system developed for long-term simultaneous recording of oesophageal motility and pH in the ambulant patient is described. The system consists of a microprocessor based data-acquisition and preprocessing device, a personal computer for postprocessing, report generation and data storage, a

  3. The Use of Continuous Wavelet Transform Based on the Fast Fourier Transform in the Analysis of Multi-channel Electrogastrography Recordings.

    Science.gov (United States)

    Komorowski, Dariusz; Pietraszek, Stanislaw

    2016-01-01

    This paper presents the analysis of multi-channel electrogastrographic (EGG) signals using the continuous wavelet transform based on the fast Fourier transform (CWTFT). The EGG analysis was based on the determination of the several signal parameters such as dominant frequency (DF), dominant power (DP) and index of normogastria (NI). The use of continuous wavelet transform (CWT) allows for better visible localization of the frequency components in the analyzed signals, than commonly used short-time Fourier transform (STFT). Such an analysis is possible by means of a variable width window, which corresponds to the scale time of observation (analysis). Wavelet analysis allows using long time windows when we need more precise low-frequency information, and shorter when we need high frequency information. Since the classic CWT transform requires considerable computing power and time, especially while applying it to the analysis of long signals, the authors used the CWT analysis based on the fast Fourier transform (FFT). The CWT was obtained using properties of the circular convolution to improve the speed of calculation. This method allows to obtain results for relatively long records of EGG in a fairly short time, much faster than using the classical methods based on running spectrum analysis (RSA). In this study authors indicate the possibility of a parametric analysis of EGG signals using continuous wavelet transform which is the completely new solution. The results obtained with the described method are shown in the example of an analysis of four-channel EGG recordings, performed for a non-caloric meal.

  4. Electronic Health Record Implementation: A SWOT Analysis

    Directory of Open Access Journals (Sweden)

    Leila Shahmoradi

    2017-12-01

    Full Text Available Electronic Health Record (EHR is one of the most important achievements of information technology in healthcare domain, and if deployed effectively, it can yield predominant results. The aim of this study was a SWOT (strengths, weaknesses, opportunities, and threats analysis in electronic health record implementation. This is a descriptive, analytical study conducted with the participation of a 90-member work force from Hospitals affiliated to Tehran University of Medical Sciences (TUMS. The data were collected by using a self-structured questionnaire and analyzed by SPSS software. Based on the results, the highest priority in strength analysis was related to timely and quick access to information. However, lack of hardware and infrastructures was the most important weakness. Having the potential to share information between different sectors and access to a variety of health statistics was the significant opportunity of EHR. Finally, the most substantial threats were the lack of strategic planning in the field of electronic health records together with physicians’ and other clinical staff’s resistance in the use of electronic health records. To facilitate successful adoption of electronic health record, some organizational, technical and resource elements contribute; moreover, the consideration of these factors is essential for HER implementation.

  5. Electronic Health Record Implementation: A SWOT Analysis.

    Science.gov (United States)

    Shahmoradi, Leila; Darrudi, Alireza; Arji, Goli; Farzaneh Nejad, Ahmadreza

    2017-10-01

    Electronic Health Record (EHR) is one of the most important achievements of information technology in healthcare domain, and if deployed effectively, it can yield predominant results. The aim of this study was a SWOT (strengths, weaknesses, opportunities, and threats) analysis in electronic health record implementation. This is a descriptive, analytical study conducted with the participation of a 90-member work force from Hospitals affiliated to Tehran University of Medical Sciences (TUMS). The data were collected by using a self-structured questionnaire and analyzed by SPSS software. Based on the results, the highest priority in strength analysis was related to timely and quick access to information. However, lack of hardware and infrastructures was the most important weakness. Having the potential to share information between different sectors and access to a variety of health statistics was the significant opportunity of EHR. Finally, the most substantial threats were the lack of strategic planning in the field of electronic health records together with physicians' and other clinical staff's resistance in the use of electronic health records. To facilitate successful adoption of electronic health record, some organizational, technical and resource elements contribute; moreover, the consideration of these factors is essential for HER implementation.

  6. Probe-based recording technology

    International Nuclear Information System (INIS)

    Naberhuis, Steve

    2002-01-01

    The invention of the scanning tunneling microscope (STM) prompted researchers to contemplate whether such technology could be used as the basis for the storage and retrieval of information. With magnetic data storage technology facing limits in storage density due to the thermal instability of magnetic bits, the super-paramagnetic limit, the heir-apparent for information storage at higher densities appeared to be variants of the STM or similar probe-based storage techniques such as atomic force microscopy (AFM). Among these other techniques that could provide replacement technology for magnetic storage, near-field optical scanning optical microscopy (NSOM or SNOM) has also been investigated. Another alternative probe-based storage technology called atomic resolution storage (ARS) is also currently under development. An overview of these various technologies is herein presented, with an analysis of the advantages and disadvantages inherent in each particularly with respect to reduced device dimensions. The role of micro electro mechanical systems (MEMS) is emphasized

  7. Variability Analysis of the Horizontal Geomagnetic Component: A Case Study Based on Records from Vassouras Observatory (Brazil)

    Science.gov (United States)

    Klausner, Virginia; Papa, Andres; Mendes, Odim; Oliveira Domingues, Margarete

    It is well known that any of the components of the magnetic field measured on the Earth's surface presents characteristic frequencies with 24, 12, 8 and 6-hour period. Those typical kinds of oscillations of the geomagnetic field are known as solar quiet variation and are primary due to the global thermotidal wind systems which conduct currents flowing in the "dynamo region" of the ionosphere, the E-region. In this study, the horizontal component amplitude observed by ground-based observatories belonged to the INTERMAGNET network have been used to analyze the global pattern variance of the Sq variation. In particular we focused our attention on Vassouras Observatory (VSS), Rio de Janeiro, Brazil, which has been active since 1915. In the next years, a brazilian network of magnetometers will be implemented and VSS can be used as reference. This work aims mainly to highlight and interpret these quiet daily variations over the Brazilian sector compared to the features from other magnetic stations reasonably distributed over the whole Earth's surface. The methodological approach is based on wavelet cross-correlation technique. This technique is useful to isolate the period of the spectral components of geomagnetic field in each station and to correlate them as function of scale (period) between VSS and the other stations. The wavelet cross-correlation coefficient strongly depends on the scale. We study the geomagnetically quiet days at equinox and solstice months during low and high solar activity. As preliminary remarks, the results show that the records in the magnetic stations have primary a latitudinal dependence affected by the time of year and level of solar activity. On the other hand, records of magnetic stations located at the same dip latitude but at different longitude presented some peculiarities. These results indicated that the winds driven the dynamo are very sensitive of the location of the geomagnetic station, i. e., its effects depend upon the direction

  8. The environmental correlates of overall and neighborhood based recreational walking (a cross-sectional analysis of the RECORD Study).

    Science.gov (United States)

    Chaix, Basile; Simon, Chantal; Charreire, Hélène; Thomas, Frédérique; Kestens, Yan; Karusisi, Noëlla; Vallée, Julie; Oppert, Jean-Michel; Weber, Christiane; Pannier, Bruno

    2014-02-21

    Preliminary evidence suggests that recreational walking has different environmental determinants than utilitarian walking. However, previous studies are limited in their assessment of environmental exposures and recreational walking and in the applied modeling strategies. Accounting for individual sociodemographic profiles and weather over the walking assessment period, the study examined whether numerous street network-based neighborhood characteristics related to the sociodemographic, physical, service, social-interactional, and symbolic environments were associated with overall recreational walking and recreational walking in one's residential neighborhood and could explain their spatial distribution. Based on the RECORD Cohort Study (Paris region, France, n=7105, 2007-2008 data), multilevel-spatial regression analyses were conducted to investigate environmental factors associated with recreational walking (evaluated by questionnaire at baseline). A risk score approach was applied to quantify the overall disparities in recreational walking that were predicted by the environmental determinants. Sixty-nine percent of the participants reported recreational walking over the past 7 days. Their mean reported recreational walking time was 3h 31mn. After individual-level adjustment, a higher neighborhood education, a higher density of destinations, green and open spaces of quality, and the absence of exposure to air traffic were associated with higher odds of recreational walking and/or a higher recreational walking time in one's residential neighborhood. As the overall disparities that were predicted by these environmental factors, the odds of reporting recreational walking and the odds of a higher recreational walking time in one's neighborhood were, respectively, 1.59 [95% confidence interval (CI): 1.56, 1.62] times and 1.81 (95% CI: 1.73, 1.87) times higher in the most vs. the least supportive environments (based on the quartiles). Providing green/open spaces of

  9. The cost of caring for end-stage kidney disease patients: an analysis based on hospital financial transaction records.

    Science.gov (United States)

    Bruns, F J; Seddon, P; Saul, M; Zeidel, M L

    1998-05-01

    The costs of care for end-stage renal disease patients continue to rise because of increased numbers of patients. Efforts to contain these costs have focused on the development of capitated payment schemes, in which all costs for the care of these patients are covered in a single payment. To determine the effect of a capitated reimbursement scheme on care of dialysis patients (both hemodialysis [HD] and peritoneal dialysis [PD]), complete financial records (all reimbursements for inpatient and outpatient care, as well as physician collections) of dialysis patients at a single medical center over 1 year were analyzed. For the period from July 1994 to July 1995, annualized cost per dialysis patient-year averaged $63,340, or 9.8% higher than the corrected estimate from the U.S. Renal Data Service (USRDS; $57,660). The "most expensive" 25% of patients engendered 44 to 48% of the total costs, and inpatient costs accounted for 37 to 40% of total costs. Nearly half of the inpatient costs resulted from only two categories (room charges and inpatient dialysis), whereas other categories each made up a small fraction of the inpatient costs. PD patients were far less expensive to care for than HD patients, due to reduced hospital days and lower cost of outpatient dialysis. Care for a university-based dialysis population was only slightly more expensive than estimates predicted from the USRDS. These results validate the USRDS spending data and suggest that they can be used effectively for setting capitated rates. Efforts to control costs without sacrificing quality of care must center on reducing inpatient costs, particularly room charges and the cost of inpatient dialysis.

  10. Joint time-frequency analysis of EEG signals based on a phase-space interpretation of the recording process

    Science.gov (United States)

    Testorf, M. E.; Jobst, B. C.; Kleen, J. K.; Titiz, A.; Guillory, S.; Scott, R.; Bujarski, K. A.; Roberts, D. W.; Holmes, G. L.; Lenck-Santini, P.-P.

    2012-10-01

    Time-frequency transforms are used to identify events in clinical EEG data. Data are recorded as part of a study for correlating the performance of human subjects during a memory task with pathological events in the EEG, called spikes. The spectrogram and the scalogram are reviewed as tools for evaluating spike activity. A statistical evaluation of the continuous wavelet transform across trials is used to quantify phase-locking events. For simultaneously improving the time and frequency resolution, and for representing the EEG of several channels or trials in a single time-frequency plane, a multichannel matching pursuit algorithm is used. Fundamental properties of the algorithm are discussed as well as preliminary results, which were obtained with clinical EEG data.

  11. Historical reconstruction of atmospheric lead pollution in central Yunnan province, southwest China: an analysis based on lacustrine sedimentary records.

    Science.gov (United States)

    Liu, Enfeng; Zhang, Enlou; Li, Kai; Nath, Bibhash; Li, Yanling; Shen, Ji

    2013-12-01

    Atmospheric lead (Pb) pollution during the last century in central Yunnan province, one of the largest non-ferrous metal production centers in China, was reconstructed using sediment cores collected from Fuxian and Qingshui Lakes. Lead concentrations and isotopic ratios ((207)Pb/(206)Pb and (208)Pb/(206)Pb) were measured in sediment cores from both lakes. The operationally defined chemical fractions of Pb in sediment core from Fuxian Lake were determined by the optimized BCR procedure. The chronology of the cores was reconstructed using (210)Pb and (137)Cs dating methods. Similar three-phase variations in isotopic ratios and enrichment factors of Pb were observed in the sediment cores from both lakes. Before the 1950s, the sediment data showed low (207)Pb/(206)Pb and (208)Pb/(206)Pb ratios and enrichment factors (EFs=~1), indicating that the sedimentary Pb was predominantly of lithogenic origin. However, these indices were increased gradually between the 1950s and the mid-1980s, implying an atmospheric Pb deposition. The EFs and isotopic ratios of Pb reached their peak during recent years, indicating aggravating atmospheric Pb pollution. The average anthropogenic Pb fluxes since the mid-1980s were estimated to be 0.032 and 0.053 g m(-2) year(-1) recorded in Fuxian and Qingshui cores, respectively. The anthropogenic Pb was primarily concentrated in the reducible fraction. Combining the results of Pb isotopic compositions and chemical speciations in the sediment cores and in potential sources, we deduced that recent aggravating atmospheric Pb pollution in central Yunnan province should primarily be attributed to regional emissions from non-ferrous metal production industries.

  12. [Analysis on regularity of prescriptions in "a guide to clinical practice with medical record" for diarrhoea based on traditional Chinese medicine inheritance support system].

    Science.gov (United States)

    He, Lan-Juan; Zhu, Xiang-Dong

    2016-06-01

    To analyze the regularities of prescriptions in "a guide to clinical practice with medical record" (Ye Tianshi) for diarrhoea based on traditional Chinese medicine inheritance support system(V2.5), and provide a reference for further research and development of new traditional Chinese medicines in treating diarrhoea. Traditional Chinese medicine inheritance support system was used to build a prescription database of Chinese medicines for diarrhoea. The software integration data mining method was used to analyze the prescriptions according to "four natures", "five flavors" and "meridians" in the database and achieve frequency statistics, syndrome distribution, prescription regularity and new prescription analysis. An analysis on 94 prescriptions for diarrhoea was used to determine the frequencies of medicines in prescriptions, commonly used medicine pairs and combinations, and achieve 13 new prescriptions. This study indicated that the prescriptions for diarrhoea in "a guide to clinical practice with medical record" are mostly of eliminating dampness and tonifying deficienccy, with neutral drug property, sweet, bitter or hot in flavor, and reflecting the treatment principle of "activating spleen-energy and resolving dampness". Copyright© by the Chinese Pharmaceutical Association.

  13. Quality of nursing documentation: Paper-based health records versus electronic-based health records.

    Science.gov (United States)

    Akhu-Zaheya, Laila; Al-Maaitah, Rowaida; Bany Hani, Salam

    2018-02-01

    To assess and compare the quality of paper-based and electronic-based health records. The comparison examined three criteria: content, documentation process and structure. Nursing documentation is a significant indicator of the quality of patient care delivery. It can be either paper-based or organised within the system known as the electronic health records. Nursing documentation must be completed at the highest standards, to ensure the safety and quality of healthcare services. However, the evidence is not clear on which one of the two forms of documentation (paper-based versus electronic health records is more qualified. A retrospective, descriptive, comparative design was used to address the study's purposes. A convenient number of patients' records, from two public hospitals, were audited using the Cat-ch-Ing audit instrument. The sample size consisted of 434 records for both paper-based health records and electronic health records from medical and surgical wards. Electronic health records were better than paper-based health records in terms of process and structure. In terms of quantity and quality content, paper-based records were better than electronic health records. The study affirmed the poor quality of nursing documentation and lack of nurses' knowledge and skills in the nursing process and its application in both paper-based and electronic-based systems. Both forms of documentation revealed drawbacks in terms of content, process and structure. This study provided important information, which can guide policymakers and administrators in identifying effective strategies aimed at enhancing the quality of nursing documentation. Policies and actions to ensure quality nursing documentation at the national level should focus on improving nursing knowledge, competencies, practice in nursing process, enhancing the work environment and nursing workload, as well as strengthening the capacity building of nursing practice to improve the quality of nursing care and

  14. 76 FR 76215 - Privacy Act; System of Records: State-78, Risk Analysis and Management Records

    Science.gov (United States)

    2011-12-06

    ... a system of records, Risk Analysis and Management Records, State-78, pursuant to the provisions of... INFORMATION: The Department of State proposes that the new system will be ``Risk Analysis and Management.... These standard routine uses apply to State-78, Risk Analysis and Management Records. POLICIES AND...

  15. Analysis of records of external occupational dose records in Brazil

    International Nuclear Information System (INIS)

    Mauricio, Claudia L.P.; Silva, Herica L.R. da; Silva, Claudio Ribeiro da

    2014-01-01

    Brazil, a continental country, with actually more than 150,000 workers under individual monitoring for ionizing radiation, has implemented in 1987 a centralized system for storage of external occupational dose. This database has been improved over the years and is now a web-based information system called Brazilian External Occupational Dose Management Database System - GDOSE. This paper presents an overview of the Brazilian external occupational dose over the years. The estimated annual average effective dose shows a decrease from 2.4 mSv in 1987 to about 0.6 mSv, having been a marked reduction from 1987 to 1990. Analyzing by type of controlled practice, one sees that the medical and dental radiology is the area with the largest number of users of individual monitors (70%); followed by education practices (8%) and the industrial radiography (7%). Additionally to photon whole body monitoring; neutron monitors are used in maintenance (36%), reactor (30%) and education (27%); and extremity monitors, in education (27%), nuclear medicine (22%) and radiology (19%). In terms of collective dose, the highest values are also found in conventional radiology, but the highest average dose values are those of interventional radiology. Nuclear medicine, R and D and radiotherapy also have average annual effective dose higher than 1 mSv. However, there is some very high dose values registered in GDOSE that give false information. This should be better analyzed in the future. Annual doses above 500 are certainly not realistic. (author)

  16. Design spectrums based on earthquakes recorded at tarbela

    International Nuclear Information System (INIS)

    Rizwan, M.; Ilyas, M.; Masood, A.

    2008-01-01

    First Seismological Network in Pakistan was setup in early 1969 at Tarbela, which is the location of largest water reservoir of the country. The network consisted of Analog Accelerograms and Seismographs. Since the installation many seismic events of different magnitudes occurred and were recorded by the installed instruments. The analog form of recorded time histories has been digitized and data of twelve earthquakes, irrespective of the type of soil, has been used to derive elastic design spectrums for Tarbela, Pakistan. The PGA scaling factors, based on the risk analysis studies carried out for the region, for each component are also given. The design spectrums suggested will be very useful for carrying out new construction in the region and its surroundings. The digitized data of time histories will be useful for seismic response analysis of structures and seismic risk analysis of the region. (author)

  17. Structure and performance of a real-time algorithm to detect tsunami or tsunami-like alert conditions based on sea-level records analysis

    Directory of Open Access Journals (Sweden)

    L. Bressan

    2011-05-01

    Full Text Available The goal of this paper is to present an original real-time algorithm devised for detection of tsunami or tsunami-like waves we call TEDA (Tsunami Early Detection Algorithm, and to introduce a methodology to evaluate its performance. TEDA works on the sea level records of a single station and implements two distinct modules running concurrently: one to assess the presence of tsunami waves ("tsunami detection" and the other to identify high-amplitude long waves ("secure detection". Both detection methods are based on continuously updated time functions depending on a number of parameters that can be varied according to the application. In order to select the most adequate parameter setting for a given station, a methodology to evaluate TEDA performance has been devised, that is based on a number of indicators and that is simple to use. In this paper an example of TEDA application is given by using data from a tide gauge located at the Adak Island in Alaska, USA, that resulted in being quite suitable since it recorded several tsunamis in the last years using the sampling rate of 1 min.

  18. A microcontroller-based portable electrocardiograph recorder.

    Science.gov (United States)

    Segura-Juárez, José J; Cuesta-Frau, David; Samblas-Pena, Luis; Aboy, Mateo

    2004-09-01

    We describe a low cost portable Holter design that can be implemented with off-the-shelf components. The recorder is battery powered and includes a graphical display and keyboard. The recorder is capable of acquiring up to 48 hours of continuous electrocardiogram data at a sample rate of up to 250 Hz.

  19. Trajectory Based Traffic Analysis

    DEFF Research Database (Denmark)

    Krogh, Benjamin Bjerre; Andersen, Ove; Lewis-Kelham, Edwin

    2013-01-01

    We present the INTRA system for interactive path-based traffic analysis. The analyses are developed in collaboration with traffic researchers and provide novel insights into conditions such as congestion, travel-time, choice of route, and traffic-flow. INTRA supports interactive point-and-click a......We present the INTRA system for interactive path-based traffic analysis. The analyses are developed in collaboration with traffic researchers and provide novel insights into conditions such as congestion, travel-time, choice of route, and traffic-flow. INTRA supports interactive point......-and-click analysis, due to a novel and efficient indexing structure. With the web-site daisy.aau.dk/its/spqdemo/we will demonstrate several analyses, using a very large real-world data set consisting of 1.9 billion GPS records (1.5 million trajectories) recorded from more than 13000 vehicles, and touching most...

  20. Fast optical recording media based on semiconductor nanostructures for image recording and processing

    International Nuclear Information System (INIS)

    Kasherininov, P. G.; Tomasov, A. A.

    2008-01-01

    Fast optical recording media based on semiconductor nanostructures (CdTe, GaAs) for image recording and processing with a speed to 10 6 cycle/s (which exceeds the speed of known recording media based on metal-insulator-semiconductor-(liquid crystal) (MIS-LC) structures by two to three orders of magnitude), a photosensitivity of 10 -2 V/cm 2 , and a spatial resolution of 5-10 (line pairs)/mm are developed. Operating principles of nanostructures as fast optical recording media and methods for reading images recorded in such media are described. Fast optical processors for recording images in incoherent light based on CdTe crystal nanostructures are implemented. The possibility of their application to fabricate image correlators is shown.

  1. Submarine paleoseismology based on turbidite records.

    Science.gov (United States)

    Goldfinger, Chris

    2011-01-01

    Many of the largest earthquakes are generated at subduction zones or other plate boundary fault systems near enough to the coast that marine environments may record evidence of them. During and shortly after large earthquakes in the coastal and marine environments, a spectrum of evidence may be left behind, mirroring onshore paleoseismic evidence. Shaking or displacement of the seafloor can trigger processes such as turbidity currents, submarine landslides, tsunami (which may be recorded both onshore and offshore), and soft-sediment deformation. Marine sites may also share evidence of fault scarps, colluvial wedges, offset features, and liquefaction or fluid expulsion with their onshore counterparts. This article reviews the use of submarine turbidite deposits for paleoseismology, focuses on the dating and correlation techniques used to establish stratigraphic continuity of marine deposits, and outlines criteria for distinguishing earthquake deposits and the strategies used to acquire suitable samples and data for marine paleoseismology.

  2. Transition analysis of magnetic recording heads using FDTD

    International Nuclear Information System (INIS)

    Tanabe, Shinji

    2001-01-01

    Transition waveforms of a magnetic recording head have been analyzed using finite difference time domain (FDTD). The distributed inductance and capacitance of the head effect the rising time of the magnetic fields in the recording process. FDTD electromagnetic analysis is easy to combine with SPICE circuit analysis. Using this combined program, a transition analysis of the recording process including a write amplifier has become possible

  3. Transition analysis of magnetic recording heads using FDTD

    Energy Technology Data Exchange (ETDEWEB)

    Tanabe, Shinji E-mail: tanabe@ele.crl.melco.co.jp

    2001-10-01

    Transition waveforms of a magnetic recording head have been analyzed using finite difference time domain (FDTD). The distributed inductance and capacitance of the head effect the rising time of the magnetic fields in the recording process. FDTD electromagnetic analysis is easy to combine with SPICE circuit analysis. Using this combined program, a transition analysis of the recording process including a write amplifier has become possible.

  4. Recording and automated analysis of naturalistic bioptic driving.

    Science.gov (United States)

    Luo, Gang; Peli, Eli

    2011-05-01

    People with moderate central vision loss are legally permitted to drive with a bioptic telescope in 39 US states and the Netherlands, but the safety of bioptic driving remains highly controversial. There is no scientific evidence about bioptic use and its impact on safety. We propose searching for evidence by recording naturalistic driving activities in patients' cars. In a pilot study we used an analogue video system to record two bioptic drivers' daily driving activities for 10 and 5 days, respectively. In this technical report, we also describe our novel digital system that collects vehicle manoeuvre information and enables recording over more extended periods, and discuss our approach to analyzing the vast amount of data. Our observations of telescope use by the pilot subjects were quite different from their reports in a previous survey. One subject used the telescope only seven times in nearly 6 h of driving. For the other subject, the average interval between telescope use was about 2 min, and Mobile (cell) phone use in one trip extended the interval to almost 5 min. We demonstrate that computerized analysis of lengthy recordings based on video, GPS, acceleration, and black box data can be used to select informative segments for efficient off-line review of naturalistic driving behaviours. The inconsistency between self reports and objective data as well as infrequent telescope use underscores the importance of recording bioptic driving behaviours in naturalistic conditions over extended periods. We argue that the new recording system is important for understanding bioptic use behaviours and bioptic driving safety. © 2011 The College of Optometrists.

  5. Incidence and costs of hip fractures vs strokes and acute myocardial infarction in Italy: comparative analysis based on national hospitalization records

    Directory of Open Access Journals (Sweden)

    Piscitelli P

    2012-12-01

    Full Text Available Prisco Piscitelli,1,2 Giovanni Iolascon,3 Alberto Argentiero,2 Giovanna Chitano,2 Cosimo Neglia,2 Gemma Marcucci,1 Manuela Pulimeno,2 Marco Benvenuto,2 Santa Mundi,2 Valentina Marzo,2 Daniela Donato,4 Angelo Baggiani,4 Alberto Migliore,5 Mauro Granata,6 Francesca Gimigliano,3 Raffaele Di Blasio,7 Alessandra Gimigliano,3 Lorenzo Renzulli,7 Maria Luisa Brandi,1 Alessandro Distante,2,4 Raffaele Gimigliano3,71University of Florence, Florence Italy; 2ISBEM Research Centre, Brindisi, Italy; 3Second University of Naples, Naples, Italy; 4University of Pisa, Pisa, Italy; 5Fatebenefratelli St Peter’s Hospital, Rome, Italy; 6St Filippo Neri Hospital, Rome, Italy; 7Casa di Cura Santa Maria del Pozzo, Somma Vesuviana, ItalyObjectives: As osteoporotic fractures are becoming a major health care problem in countries characterized by an increasing number of older adults, in this study we aimed to compare the incidence and costs of hip fragility fractures in Italian elderly people versus those of major cardiovascular diseases (strokes and acute myocardial infarctions [AMI] occurring in the whole adult population.Methods: We analyzed hospitalization records maintained at the national level by the Italian Ministry of Health for the diagnosis of hip fractures (ICD-9-CM codes 820–821, AMI (code 410, hemorrhagic (codes 430, 431, 432 and ischemic strokes (codes 433–434, and TIA (code 435 between 2001–2005. Cost analyses were based on diagnosis-related groups.Results: The incidence of hip fractures in elderly people has increased (+12.9% between 2001 and 2005, as well as that of AMI (+20.2% and strokes (hemorrhagic: +9.6%; ischemic: +14.7 occurring in the whole adult population; conversely, hospitalization due to TIA decreased by a rate of 13.6% between 2001 and 2005. In 2005, the hospital costs across the national health care system that were associated with hip fragility fractures in the elderly were comparable to those of strokes (both hemorrhagic and

  6. NEED ANALYSIS FOR IDENTIFYING ESP MATERIALS FOR MEDICAL RECORD STUDENTS IN APIKES CITRA MEDIKA SURAKARTA

    Directory of Open Access Journals (Sweden)

    Beta Setiawati

    2016-06-01

    and quantitative methods. The outcomesof this study showed the real necessities of students in learning English to prepare their future at the field of medical record and health information. Findings of the need analysis demonstrate that all four of the language skills were necessary for their academic studies and their target career. There are certain topics related to English for medical record such as medical record staff’ duties, ethical and legal issues in medical record, Hospital statistics, Medical record filling system, Health information system, and so on. Accordingly, this study proposes new ESP materials based on the stakeholders’ needs.It is suggested that textbook or handout of English for Medical Record will be made based on the Need Analysis by ESP designers and ESP lecturers involve actively recognizing the progressive needs of medical record students.

  7. Development of Software for dose Records Data Base Access

    International Nuclear Information System (INIS)

    Amaro, M.

    1990-01-01

    The CIEMAT personal dose records are computerized in a Dosimetric Data Base whose primary purpose was the individual dose follow-up control and the data handling for epidemiological studies. Within the Data Base management scheme, software development to allow searching of individual dose records by external authorised users was undertaken. The report describes the software developed to allow authorised persons to visualize on screen a summary of the individual dose records from workers included in the Data Base. The report includes the User Guide for the authorised list of users and listings of codes and subroutines developed. (Author) 2 refs

  8. Multimodal EEG Recordings, Psychometrics and Behavioural Analysis.

    Science.gov (United States)

    Boeijinga, Peter H

    2015-01-01

    High spatial and temporal resolution measurements of neuronal activity are preferably combined. In an overview on how this approach can take shape, multimodal electroencephalography (EEG) is treated in 2 main parts: by experiments without a task and in the experimentally cued working brain. It concentrates first on the alpha rhythm properties and next on data-driven search for patterns such as the default mode network. The high-resolution volumic distributions of neuronal metabolic indices result in distributed cortical regions and possibly relate to numerous nuclei, observable in a non-invasive manner in the central nervous system of humans. The second part deals with paradigms in which nowadays assessment of target-related networks can align level-dependent blood oxygenation, electrical responses and behaviour, taking the temporal resolution advantages of event-related potentials. Evidence-based electrical propagation in serial tasks during performance is now to a large extent attributed to interconnected pathways, particularly chronometry-dependent ones, throughout a chain including a dorsal stream, next ventral cortical areas taking the flow of information towards inferior temporal domains. The influence of aging is documented, and results of the first multimodal studies in neuropharmacology are consistent. Finally a scope on implementation of advanced clinical applications and personalized marker strategies in neuropsychiatry is indicated. © 2016 S. Karger AG, Basel.

  9. Effect of electrode contact area on the information content of the recorded electrogastrograms: An analysis based on Rényi entropy and Teager-Kaiser Energy

    Science.gov (United States)

    Alagumariappan, Paramasivam; Krishnamurthy, Kamalanand; Kandiah, Sundravadivelu; Ponnuswamy, Mannar Jawahar

    2017-06-01

    Electrogastrograms (EGG) are electrical signals originating from the digestive system, which are closely correlated with its mechanical activity. Electrogastrography is an efficient non-invasive method for examining the physiological and pathological states of the human digestive system. There are several factors such as fat conductivity, abdominal thickness, change in electrode surface area etc, which affects the quality of the recorded EGG signals. In this work, the effect of variations in the contact area of surface electrodes on the information content of the measured electrogastrograms is analyzed using Rényi entropy and Teager-Kaiser Energy (TKE). Two different circular cutaneous electrodes with approximate contact areas of 201.14 mm2 and 283.64 mm2, have been adopted and EGG signals were acquired using the standard three electrode protocol. Further, the information content of the measured EGG signals were analyzed using the computed values of entropy and energy. Results demonstrate that the information content of the measured EGG signals increases by 6.72% for an increase in the contact area of the surface electrode by 29.09%. Further, it was observed that the average energy increases with increase in the contact surface area. This work appears to be of high clinical significance since the accurate measurement of EGG signals without loss in its information content, is highly useful for the design of diagnostic assistance tools for automated diagnosis and mass screening of digestive disorders.

  10. Reconstruction of historical changes in northern fur seal prey availability and diversity in the western North Pacific through individual-based analysis of dietary records

    Science.gov (United States)

    Kiyota, Masashi; Yonezaki, Shiroh

    2017-06-01

    We analyzed long-term dietary records of northern fur seals (Callorhinus ursinus) to reconstruct historical changes in prey availability and diversity in the western North Pacific off northeastern Japan. The nominal relationships between the occurrence frequencies of fishes or squids in fur seal stomachs and the sampling locations reflected the spatial heterogeneity of fish and squid distributions along the shelf-slope-offshore continuum off northeastern Japan, whereas changes in the temporal occurrence frequencies reflected mainly the migration and foraging patterns of the fur seals. The occurrence probabilities of fishes and squids in fur seal stomachs were standardized by using generalized linear models to compensate for sampling biases in space and time. The reconstructed historical trends revealed decadal shifts in relatively high prey abundance-from mackerels in the 1970s to Japanese sardine in the 1980s and myctophids/sparkling enope squids in the 1990s-that were related to decadal shifts in the oceanographic regime. The sequential increase in mackerel and Japanese sardine abundances coincided with the annual catch trends of commercial fisheries. The index of overall prey availability calculated from the standardized occurrence probabilities of fishes and squids in fur seal stomachs was fairly stable over the decades.

  11. Quantitative transmission electron microscopy analysis of multi-variant grains in present L10-FePt based heat assisted magnetic recording media

    International Nuclear Information System (INIS)

    Ho, Hoan; Zhu, Jingxi; Kulovits, Andreas; Laughlin, David E.; Zhu, Jian-Gang

    2014-01-01

    We present a study on atomic ordering within individual grains in granular L1 0 -FePt thin films using transmission electron microscopy techniques. The film, used as a medium for heat assisted magnetic recording, consists of a single layer of FePt grains separated by non-magnetic grain boundaries and is grown on an MgO underlayer. Using convergent-beam techniques, diffraction patterns of individual grains are obtained for a large number of crystallites. The study found that although the majority of grains are ordered in the perpendicular direction, more than 15% of them are multi-variant, or of in-plane c-axis orientation, or disordered fcc. It was also found that these multi-variant and in-plane grains have always grown across MgO grain boundaries separating two or more MgO grains of the underlayer. The in-plane ordered portion within a multi-variant L1 0 -FePt grain always lacks atomic coherence with the MgO directly underneath it, whereas, the perpendicularly ordered portion is always coherent with the underlying MgO grain. Since the existence of multi-variant and in-plane ordered grains are severely detrimental to high density data storage capability, the understanding of their formation mechanism obtained here should make a significant impact on the future development of hard disk drive technology

  12. Drive-based recording analyses at >800 Gfc/in2 using shingled recording

    International Nuclear Information System (INIS)

    William Cross, R.; Montemorra, Michael

    2012-01-01

    Since the introduction of perpendicular recording, conventional perpendicular scaling has enabled the hard disk drive industry to deliver products ranging from ∼130 to well over 500 Gb/in 2 in a little over 4 years. The incredible areal density growth spurt enabled by perpendicular recording is now endangered by an inability to effectively balance writeability with erasure effects at the system level. Shingled magnetic recording (SMR) offers an effective means to continue perpendicular areal density growth using conventional heads and tuned media designs. The use of specially designed edge-write head structures (also known as 'corner writers') should further increase the AD gain potential for shingled recording. In this paper, we will demonstrate the drive-based recording performance characteristics of a shingled recording system at areal densities in excess of 800 Gb/in 2 using a conventional head. Using a production drive base, developmental heads/media and a number of sophisticated analytical routines, we have studied the recording performance of a shingled magnetic recording subsystem. Our observations confirm excellent writeability in excess of 400 ktpi and a perpendicular system with acceptable noise balance, especially at extreme ID and OD skews where the benefits of SMR are quite pronounced. We believe that this demonstration illustrates that SMR is not only capable of productization, but is likely the path of least resistance toward production drive areal density closer to 1 Tb/in 2 and beyond. - Research highlights: → Drive-based recording demonstrations at 805 Gf/in 2 has been demonstrated using both 95 and 65 mm drive platforms at roughly 430 ktpi and 1.87 Mfci. → Limiting factors for shingled recording include side reading, which is dominated by the reader crosstrack skirt profile, MT10 being a representative metric. → Media jitter and associated DC media SNR further limit areal density, dominated by crosstrack transition curvature, downtrack

  13. A flexible time recording and time correlation analysis system

    International Nuclear Information System (INIS)

    Shenhav, N.J.; Leiferman, G.; Segal, Y.; Notea, A.

    1983-01-01

    A system was developed to digitize and record the time intervals between detection event pulses, feed to its input channels from a detection device. The accumulated data is transferred continuously in real time to a disc through a PDP 11/34 minicomputer. Even though the system was designed for a specific scope, i.e., the comparative study of passive neutron nondestructive assay methods, it can be characterized by its features as a general purpose time series recorder. The time correlation analysis is performed by software after completion of the data accumulation. The digitizing clock period is selectable and any value, larger than a minimum of 100 ns, may be selected. Bursts of up to 128 events with a frequency up to 10 MHz may be recorded. With the present recorder-minicomputer combination, the maximal average recording frequency is 40 kHz. (orig.)

  14. Social science and linguistic text analysis of nurses’ records

    DEFF Research Database (Denmark)

    Buus, N.; Hamilton, B. E.

    2016-01-01

    that included analyses of the social and linguistic features of records and recording. Two reviewers extracted data using established criteria for the evaluation of qualitative research papers. A common characteristic of nursing records was the economical use of language with local meanings that conveyed little......' disturbing behaviour. The text analysis methods were rarely transparent in the articles, which could suggest research quality problems. For most articles, the significance of the findings was substantiated more by theoretical readings of the institutional settings than by the analysis of textual data. More...... probing empirical research of nurses' records and a wider range of theoretical perspectives has the potential to expose the situated meanings of nursing work in healthcare organisations. © 2015 John Wiley & Sons Ltd....

  15. HJD-I record and analysis meter for nuclear information

    International Nuclear Information System (INIS)

    Di Shaoliang; Huang Yong; Xiao Yanbin

    1992-01-01

    A low-cost, small-volume, multi-function and new model intelligent nuclear electronic meter HJD-I Record and Analysis Meter are stated for Nuclear Information. It's hardware and software were detailed and the 137 Cs spectrum with this meter was presented

  16. Quantum-dot based nanothermometry in optical plasmonic recording media

    International Nuclear Information System (INIS)

    Maestro, Laura Martinez; Zhang, Qiming; Li, Xiangping; Gu, Min; Jaque, Daniel

    2014-01-01

    We report on the direct experimental determination of the temperature increment caused by laser irradiation in a optical recording media constituted by a polymeric film in which gold nanorods have been incorporated. The incorporation of CdSe quantum dots in the recording media allowed for single beam thermal reading of the on-focus temperature from a simple analysis of the two-photon excited fluorescence of quantum dots. Experimental results have been compared with numerical simulations revealing an excellent agreement and opening a promising avenue for further understanding and optimization of optical writing processes and media

  17. Climatic Changes on Tibetan Plateau Based on Ice Core Records

    Science.gov (United States)

    Yao, T.

    2008-12-01

    Climatic changes have been reconstructed for the Tibetan Plateau based on ice core records. The Guliya ice core on the Tibetan Plateau presents climatic changes in the past 100,000 years, thus is comparative with that from Vostok ice core in Antarctica and GISP2 record in Arctic. These three records share an important common feature, i.e., our climate is not stable. It is also evident that the major patterns of climatic changes are similar on the earth. Why does climatic change over the earth follow a same pattern? It might be attributed to solar radiation. We found that the cold periods correspond to low insolation periods, and warm periods to high insolation periods. We found abrupt climatic change in the ice core climatic records, which presented dramatic temperature variation of as much as 10 °C in 50 or 60 years. Our major challenge in the study of both climate and environment is that greenhouse gases such as CO2, CH4 are possibly amplifying global warming, though at what degree remains unclear. One of the ways to understand the role of greenhouse gases is to reconstruct the past greenhouse gases recorded in ice. In 1997, we drilled an ice core from 7100 m a.s.l. in the Himalayas to reconstruct methane record. Based on the record, we found seasonal cycles in methane variation. In particular, the methane concentration is high in summer, suggestiing active methane emission from wet land in summer. Based on the seasonal cycle, we can reconstruct the methane fluctuation history in the past 500 years. The most prominent feature of the methane record in the Himalayan ice core is the abrupt increase since 1850 A.D.. This is closely related to the industrial revolution worldwide. We can also observe sudden decrease in methane concentration during the World War I and World War II. It implies that the industrial revolution has dominated the atmospheric greenhouse gas emission for about 100 years. Besides, the average methane concentration in the Himalayan ice core is

  18. Seeking a fingerprint: analysis of point processes in actigraphy recording

    Science.gov (United States)

    Gudowska-Nowak, Ewa; Ochab, Jeremi K.; Oleś, Katarzyna; Beldzik, Ewa; Chialvo, Dante R.; Domagalik, Aleksandra; Fąfrowicz, Magdalena; Marek, Tadeusz; Nowak, Maciej A.; Ogińska, Halszka; Szwed, Jerzy; Tyburczyk, Jacek

    2016-05-01

    Motor activity of humans displays complex temporal fluctuations which can be characterised by scale-invariant statistics, thus demonstrating that structure and fluctuations of such kinetics remain similar over a broad range of time scales. Previous studies on humans regularly deprived of sleep or suffering from sleep disorders predicted a change in the invariant scale parameters with respect to those for healthy subjects. In this study we investigate the signal patterns from actigraphy recordings by means of characteristic measures of fractional point processes. We analyse spontaneous locomotor activity of healthy individuals recorded during a week of regular sleep and a week of chronic partial sleep deprivation. Behavioural symptoms of lack of sleep can be evaluated by analysing statistics of duration times during active and resting states, and alteration of behavioural organisation can be assessed by analysis of power laws detected in the event count distribution, distribution of waiting times between consecutive movements and detrended fluctuation analysis of recorded time series. We claim that among different measures characterising complexity of the actigraphy recordings and their variations implied by chronic sleep distress, the exponents characterising slopes of survival functions in resting states are the most effective biomarkers distinguishing between healthy and sleep-deprived groups.

  19. Analysis of deep brain stimulation electrode characteristics for neural recording

    Science.gov (United States)

    Kent, Alexander R.; Grill, Warren M.

    2014-08-01

    Objective. Closed-loop deep brain stimulation (DBS) systems have the potential to optimize treatment of movement disorders by enabling automatic adjustment of stimulation parameters based on a feedback signal. Evoked compound action potentials (ECAPs) and local field potentials (LFPs) recorded from the DBS electrode may serve as suitable closed-loop control signals. The objective of this study was to understand better the factors that influence ECAP and LFP recording, including the physical presence of the electrode, the geometrical dimensions of the electrode, and changes in the composition of the peri-electrode space across recording conditions. Approach. Coupled volume conductor-neuron models were used to calculate single-unit activity as well as ECAP responses and LFP activity from a population of model thalamic neurons. Main results. Comparing ECAPs and LFPs measured with and without the presence of the highly conductive recording contacts, we found that the presence of these contacts had a negligible effect on the magnitude of single-unit recordings, ECAPs (7% RMS difference between waveforms), and LFPs (5% change in signal magnitude). Spatial averaging across the contact surface decreased the ECAP magnitude in a phase-dependent manner (74% RMS difference), resulting from a differential effect of the contact on the contribution from nearby or distant elements, and decreased the LFP magnitude (25% change). Reductions in the electrode diameter or recording contact length increased signal energy and increased spatial sensitivity of single neuron recordings. Moreover, smaller diameter electrodes (500 µm) were more selective for recording from local cells over passing axons, with the opposite true for larger diameters (1500 µm). Changes in electrode dimensions had phase-dependent effects on ECAP characteristics, and generally had small effects on the LFP magnitude. ECAP signal energy and LFP magnitude decreased with tighter contact spacing (100 µm), compared to

  20. 'Citizen science' recording of fossils by adapting existing computer-based biodiversity recording tools

    Science.gov (United States)

    McGowan, Alistair

    2014-05-01

    Biodiversity recording activities have been greatly enhanced by the emergence of online schemes and smartphone applications for recording and sharing data about a wide variety of flora and fauna. As a palaeobiologist, one of the areas of research I have been heavily involved in is the question of whether the amount of rock available to sample acts as a bias on our estimates of biodiversity through time. Although great progress has been made on this question over the past ten years by a number of researchers, I still think palaeontology has not followed the lead offered by the 'citizen science' revolution in studies of extant biodiversity. By constructing clearly structured surveys with online data collection support, it should be possible to collect field data on the occurrence of fossils at the scale of individual exposures, which are needed to test competing hypotheses about these effects at relatively small spatial scales. Such data collection would be hard to justify for universities and museums with limited personnel but a co-ordinated citizen science programme would be capable of delivering such a programme. Data collection could be based on the MacKinnon's Lists method, used in rapid conservation assessment work. It relies on observers collecting lists of a fixed length (e.g. 10 species long) but what is important is that it focuses on getting observers to ignore sightings of the same species until that list is complete. This overcomes the problem of 'common taxa being commonly recorded' and encourages observers to seek out and identify the rarer taxa. This gives a targeted but finite task. Rather than removing fossils, participants would be encouraged to take photographs to share via a recording website. The success of iSpot, which allows users to upload photos of plants and animals for other users to help with identifications, offers a model for overcoming the problems of identifying fossils, which can often look nothing like the examples illustrated in

  1. Tipping point analysis of a large ocean ambient sound record

    Science.gov (United States)

    Livina, Valerie N.; Harris, Peter; Brower, Albert; Wang, Lian; Sotirakopoulos, Kostas; Robinson, Stephen

    2017-04-01

    We study a long (2003-2015) high-resolution (250Hz) sound pressure record provided by the Comprehensive Nuclear-Test-Ban Treaty Organisation (CTBTO) from the hydro-acoustic station Cape Leeuwin (Australia). We transform the hydrophone waveforms into five bands of 10-min-average sound pressure levels (including the third-octave band) and apply tipping point analysis techniques [1-3]. We report the results of the analysis of fluctuations and trends in the data and discuss the BigData challenges in processing this record, including handling data segments of large size and possible HPC solutions. References: [1] Livina et al, GRL 2007, [2] Livina et al, Climate of the Past 2010, [3] Livina et al, Chaos 2015.

  2. 76 FR 76103 - Privacy Act; Notice of Proposed Rulemaking: State-78, Risk Analysis and Management Records

    Science.gov (United States)

    2011-12-06

    ... Rulemaking: State-78, Risk Analysis and Management Records SUMMARY: Notice is hereby given that the... portions of the Risk Analysis and Management (RAM) Records, State-78, system of records contain criminal...) * * * (2) * * * Risk Analysis and Management Records, STATE-78. * * * * * (b) * * * (1) * * * Risk Analysis...

  3. A New Spectral Shape-Based Record Selection Approach Using Np and Genetic Algorithms

    Directory of Open Access Journals (Sweden)

    Edén Bojórquez

    2013-01-01

    Full Text Available With the aim to improve code-based real records selection criteria, an approach inspired in a parameter proxy of spectral shape, named Np, is analyzed. The procedure is based on several objectives aimed to minimize the record-to-record variability of the ground motions selected for seismic structural assessment. In order to select the best ground motion set of records to be used as an input for nonlinear dynamic analysis, an optimization approach is applied using genetic algorithms focuse on finding the set of records more compatible with a target spectrum and target Np values. The results of the new Np-based approach suggest that the real accelerograms obtained with this procedure, reduce the scatter of the response spectra as compared with the traditional approach; furthermore, the mean spectrum of the set of records is very similar to the target seismic design spectrum in the range of interest periods, and at the same time, similar Np values are obtained for the selected records and the target spectrum.

  4. Analysis of Handling Processes of Record Versions in NoSQL Databases

    Directory of Open Access Journals (Sweden)

    Yu. A. Grigorev

    2015-01-01

    Full Text Available This article investigates the handling processes versions of a record in NoSQL databases. The goal of this work is to develop a model, which enables users both to handle record versions and work with a record simultaneously. This model allows us to estimate both a time distribution for users to handle record versions and a distribution of the count of record versions. With eventual consistency (W=R=1 there is a possibility for several users to update any record simultaneously. In this case, several versions of records with the same key will be stored in database. When reading, the user obtains all versions, handles them, and saves a new version, while older versions are deleted. According to the model, the user’s time for handling the record versions consists of two parts: random handling time of each version and random deliberation time for handling a result. Record saving time and records deleting time are much less than handling time, so, they are ignored in the model. The paper offers two model variants. According to the first variant, client's handling time of one record version is calculated as the sum of random handling times of one version based on the count of record versions. This variant ignores explicitly the fact that handling time of record versions may depend on the update count, performed by the other users between the sequential updates of the record by the current client. So there is the second variant, which takes this feature into consideration. The developed models were implemented in the GPSS environment. The model experiments with different counts of clients and different ratio between one record handling time and results deliberation time were conducted. The analysis showed that despite the resemblance of model variants, a difference in change nature between average values of record versions count and handling time is significant. In the second variant dependences of the average count of record versions in database and

  5. Barriers to retrieving patient information from electronic health record data: failure analysis from the TREC Medical Records Track.

    Science.gov (United States)

    Edinger, Tracy; Cohen, Aaron M; Bedrick, Steven; Ambert, Kyle; Hersh, William

    2012-01-01

    Secondary use of electronic health record (EHR) data relies on the ability to retrieve accurate and complete information about desired patient populations. The Text Retrieval Conference (TREC) 2011 Medical Records Track was a challenge evaluation allowing comparison of systems and algorithms to retrieve patients eligible for clinical studies from a corpus of de-identified medical records, grouped by patient visit. Participants retrieved cohorts of patients relevant to 35 different clinical topics, and visits were judged for relevance to each topic. This study identified the most common barriers to identifying specific clinic populations in the test collection. Using the runs from track participants and judged visits, we analyzed the five non-relevant visits most often retrieved and the five relevant visits most often overlooked. Categories were developed iteratively to group the reasons for incorrect retrieval for each of the 35 topics. Reasons fell into nine categories for non-relevant visits and five categories for relevant visits. Non-relevant visits were most often retrieved because they contained a non-relevant reference to the topic terms. Relevant visits were most often infrequently retrieved because they used a synonym for a topic term. This failure analysis provides insight into areas for future improvement in EHR-based retrieval with techniques such as more widespread and complete use of standardized terminology in retrieval and data entry systems.

  6. [Problem list in computer-based patient records].

    Science.gov (United States)

    Ludwig, C A

    1997-01-14

    Computer-based clinical information systems are capable of effectively processing even large amounts of patient-related data. However, physicians depend on rapid access to summarized, clearly laid out data on the computer screen to inform themselves about a patient's current clinical situation. In introducing a clinical workplace system, we therefore transformed the problem list-which for decades has been successfully used in clinical information management-into an electronic equivalent and integrated it into the medical record. The table contains a concise overview of diagnoses and problems as well as related findings. Graphical information can also be integrated into the table, and an additional space is provided for a summary of planned examinations or interventions. The digital form of the problem list makes it possible to use the entire list or selected text elements for generating medical documents. Diagnostic terms for medical reports are transferred automatically to corresponding documents. Computer technology has an immense potential for the further development of problem list concepts. With multimedia applications sound and images will be included in the problem list. For hyperlink purpose the problem list could become a central information board and table of contents of the medical record, thus serving as the starting point for database searches and supporting the user in navigating through the medical record.

  7. Microcontroller-based wireless recorder for biomedical signals.

    Science.gov (United States)

    Chien, C-N; Hsu, H-W; Jang, J-K; Rau, C-L; Jaw, F-S

    2005-01-01

    A portable multichannel system is described for the recording of biomedical signals wirelessly. Instead of using the conversional time-division analog-modulation method, the technique of digital multiplexing was applied to increase the number of signal channels to 4. Detailed design considerations and functional allocation of the system is discussed. The frontend unit was modularly designed to condition the input signal in an optimal manner. Then, the microcontroller handled the tasks of data conversion, wireless transmission, as well as providing the ability of simple preprocessing such as waveform averaging or rectification. The low-power nature of this microcontroller affords the benefit of battery operation and hence, patient isolation of the system. Finally, a single-chip receiver, which compatible with the RF transmitter of the microcontroller, was used to implement a compact interface with the host computer. An application of this portable recorder for low-back pain studies is shown. This device can simultaneously record one ECG and two surface EMG wirelessly, thus, is helpful in relieving patients' anxiety devising clinical measurement. Such an approach, microcontroller-based wireless measurement, could be an important trend for biomedical instrumentation and we help that this paper could be useful for other colleagues.

  8. DIGITAL ONCOLOGY PATIENT RECORD - HETEROGENEOUS FILE BASED APPROACH

    Directory of Open Access Journals (Sweden)

    Nikolay Sapundzhiev

    2010-12-01

    Full Text Available Introduction: Oncology patients need extensive follow-up and meticulous documentation. The aim of this study was to introduce a simple, platform independent file based system for documentation of diagnostic and therapeutic procedures in oncology patients and test its function.Material and methods: A file-name based system of the type M1M2M3.F2 was introduced, where M1 is a unique identifier for the patient, M2 is the date of the clinical intervention/event, M3 is an identifier for the author of the medical record and F2 is the specific software generated file-name extension.Results: This system is in use at 5 institutions, where a total of 11 persons on 14 different workstations inputted 16591 entries (files for 2370. The merge process was tested on 2 operating systems - when copied together all files sort up as expected by patient, and for each patient in a chronological order, providing a digital cumulative patient record, which contains heterogeneous file formats.Conclusion: The file based approach for storing heterogeneous digital patient related information is an reliable system, which can handle open-source, proprietary, general and custom file formats and seems to be easily scalable. Further development of software for automatic checks of the integrity and searching and indexing of the files is expected to produce a more user-friendly environment

  9. Network Analysis of Time-Lapse Microscopy Recordings

    Directory of Open Access Journals (Sweden)

    Erik eSmedler

    2014-09-01

    Full Text Available Multicellular organisms rely on intercellular communication to regulate important cellular processes critical to life. To further our understanding of those processes there is a need to scrutinize dynamical signaling events and their functions in both cells and organisms. Here, we report a method and provide MATLAB code that analyzes time-lapse microscopy recordings to identify and characterize network structures within large cell populations, such as interconnected neurons. The approach is demonstrated using intracellular calcium (Ca2+ recordings in neural progenitors and cardiac myocytes, but could be applied to a wide variety of biosensors employed in diverse cell types and organisms. In this method, network structures are analyzed by applying cross-correlation signal processing and graph theory to single-cell recordings. The goal of the analysis is to determine if the single cell activity constitutes a network of interconnected cells and to decipher the properties of this network. The method can be applied in many fields of biology in which biosensors are used to monitor signaling events in living cells. Analyzing intercellular communication in cell ensembles can reveal essential network structures that provide important biological insights.

  10. Dose Record Analysis of External Exposure of Workers in Madagascar

    International Nuclear Information System (INIS)

    Andriambololona, R.; Ratovonjanahary, J. F.; Randriantsizafy, R. D.

    2004-01-01

    percent of the Hp(10) are less than 2.5 mSv. In the previous survey, it was 85 percent. Only 1 percent of the dose exceeded 5 mSv. In the previous survey it was around 2 percent and reached 13 percent in 1994 . These results show that appropriate dose record keeping and analysis can help in assessing the implementation of safety and radiation protection in a country. Furthermore, this shows that training and education can have an important role in upgrading radiation protection and safety. (Author)

  11. Deconvolution of the tree ring based delta13C record

    International Nuclear Information System (INIS)

    Peng, T.; Broecker, W.S.; Freyer, H.D.; Trumbore, S.

    1983-01-01

    We assumed that the tree-ring based 13 C/ 12 C record constructed by Freyer and Belacy (1983) to be representative of the fossil fuel and forest-soil induced 13 C/ 12 C change for atmospheric CO 2 . Through the use of a modification of the Oeschger et al. ocean model, we have computed the contribution of the combustion of coal, oil, and natural gas to this observed 13 C/ 12 C change. A large residual remains when the tree-ring-based record is corrected for the contribution of fossil fuel CO 2 . A deconvolution was performed on this residual to determine the time history and magnitude of the forest-soil reservoir changes over the past 150 years. Several important conclusions were reached. (1) The magnitude of the integrated CO 2 input from these sources was about 1.6 times that from fossil fuels. (2) The forest-soil contribution reached a broad maximum centered at about 1900. (3) Over the 2 decade period covered by the Mauna Loa atmospheric CO 2 content record, the input from forests and soils was about 30% that from fossil fuels. (4) The 13 C/ 12 C trend over the last 20 years was dominated by the input of fossil fuel CO 2 . (5) The forest-soil release did not contribute significantly to the secular increase in atmospheric CO 2 observed over the last 20 years. (6) The pre-1850 atmospheric p2 values must have been in the range 245 to 270 x 10 -6 atmospheres

  12. The Sensetivity of Flood Frequency Analysis on Record Length in Continuous United States

    Science.gov (United States)

    Hu, L.; Nikolopoulos, E. I.; Anagnostou, E. N.

    2017-12-01

    In flood frequency analysis (FFA), sufficiently long data series are important to get more reliable results. Compared to return periods of interest, at-site FFA usually needs large data sets. Generally, the precision of at site estimators and time-sampling errors are associated with the length of a gauged record. In this work, we quantify the difference with various record lengths. we use generalized extreme value (GEV) and Log Pearson type III (LP3), two traditional methods on annual maximum stream flows to undertake FFA, and propose quantitative ways, relative difference in median and interquartile range (IQR) to compare the flood frequency performances on different record length from selected 350 USGS gauges, which have more than 70 years record length in Continuous United States. Also, we group those gauges into different regions separately based on hydrological unit map and discuss the geometry impacts. The results indicate that long record length can avoid imposing an upper limit on the degree of sophistication. Working with relatively longer record length may lead accurate results than working with shorter record length. Furthermore, the influence of hydrologic unites for the watershed boundary dataset on those gauges also be presented. The California region is the most sensitive to record length, while gauges in the east perform steady.

  13. Localizing wushu players on a platform based on a video recording

    Science.gov (United States)

    Peczek, Piotr M.; Zabołotny, Wojciech M.

    2017-08-01

    This article describes the development of a method to localize an athlete during sports performance on a platform, based on a static video recording. Considered sport for this method is wushu - martial art. However, any other discipline can be applied. There are specified requirements, and 2 algorithms of image processing are described. The next part presents an experiment that was held based on recordings from the Pan American Wushu Championship. Based on those recordings the steps of the algorithm are shown. Results are evaluated manually. The last part of the article concludes if the algorithm is applicable and what improvements have to be implemented to use it during sports competitions as well as for offline analysis.

  14. Anonymization of Electronic Medical Records to Support Clinical Analysis

    CERN Document Server

    Gkoulalas-Divanis, Aris

    2013-01-01

    Anonymization of Electronic Medical Records to Support Clinical Analysis closely examines the privacy threats that may arise from medical data sharing, and surveys the state-of-the-art methods developed to safeguard data against these threats. To motivate the need for computational methods, the book first explores the main challenges facing the privacy-protection of medical data using the existing policies, practices and regulations. Then, it takes an in-depth look at the popular computational privacy-preserving methods that have been developed for demographic, clinical and genomic data sharing, and closely analyzes the privacy principles behind these methods, as well as the optimization and algorithmic strategies that they employ. Finally, through a series of in-depth case studies that highlight data from the US Census as well as the Vanderbilt University Medical Center, the book outlines a new, innovative class of privacy-preserving methods designed to ensure the integrity of transferred medical data for su...

  15. Seismic fragility analyses of nuclear power plant structures based on the recorded earthquake data in Korea

    International Nuclear Information System (INIS)

    Joe, Yang Hee; Cho, Sung Gook

    2003-01-01

    This paper briefly introduces an improved method for evaluating seismic fragilities of components of nuclear power plants in Korea. Engineering characteristics of small magnitude earthquake spectra recorded in the Korean peninsula during the last several years are also discussed in this paper. For the purpose of evaluating the effects of the recorded earthquake on the seismic fragilities of Korean nuclear power plant structures, several cases of comparative studies have been performed. The study results show that seismic fragility analysis based on the Newmark's spectra in Korea might over-estimate the seismic capacities of Korean facilities. (author)

  16. A computerised out-patient medical records programme based on the Summary Time-Oriented Record (STOR) System.

    Science.gov (United States)

    Cheong, P Y; Goh, L G; Ong, R; Wong, P K

    1992-12-01

    Advances in microcomputer hardware and software technology have made computerised outpatient medical records practical. We have developed a programme based on the Summary Time-Oriented Record (STOR) system which complements existing paper-based record keeping. The elements of the Problem Oriented Medical Record (POMR) System are displayed in two windows within one screen, namely, the SOAP (Subjective information, Objective information, Assessments and Plans) elements in the Reason For Encounter (RFE) window and the problem list with outcomes in the Problem List (PL) window. Context sensitive child windows display details of plans of management in the RFE window and clinical notes in the PL window. The benefits of such innovations to clinical decision making and practice based research and its medico-legal implications are discussed.

  17. Developing an integrated electronic nursing record based on standards.

    Science.gov (United States)

    van Grunsven, Arno; Bindels, Rianne; Coenen, Chel; de Bel, Ernst

    2006-01-01

    The Radboud University Nijmegen Medical Centre in the Netherlands develops a multidisciplinar (Electronic Health Record) based on the latest HL7 v3 (Health Level 7 version 3) D-MIM : Care provision. As part of this process we are trying to establish which nursing diagnoses and activities are minimally required. These NMDS (Nursing Minimal Data Set) are mapped or translated to ICF (for diagnoses) and CEN1828 Structures for (for activities). The mappings will be the foundation for the development of user interfaces for the registration of nursing activities. A homegrown custom-made web based configuration tool is used to exploit the possibilities of HL7 v3. This enables a sparkling launch of user interfaces that can contain the diversity of health care work processes. The first screens will be developed to support history taking for the nursing chart of the Neurology ward. The screens will contain both Dutch NMDS items and ward specific information. This will be configured dynamically per (group of) ward(s).

  18. Opto-mechatronics issues in solid immersion lens based near-field recording

    Science.gov (United States)

    Park, No-Cheol; Yoon, Yong-Joong; Lee, Yong-Hyun; Kim, Joong-Gon; Kim, Wan-Chin; Choi, Hyun; Lim, Seungho; Yang, Tae-Man; Choi, Moon-Ho; Yang, Hyunseok; Rhim, Yoon-Chul; Park, Young-Pil

    2007-06-01

    We analyzed the effects of an external shock on a collision problem in a solid immersion lens (SIL) based near-field recording (NFR) through a shock response analysis and proposed a possible solution to this problem with adopting a protector and safety mode. With this proposed method the collision between SIL and media can be avoided. We showed possible solution for contamination problem in SIL based NFR through a numerical air flow analysis. We also introduced possible solid immersion lens designs to increase the fabrication and assembly tolerances of an optical head with replicated lens. Potentially, these research results could advance NFR technology for commercial product.

  19. Mathematical analysis of running performance and world running records.

    Science.gov (United States)

    Péronnet, F; Thibault, G

    1989-07-01

    The objective of this study was to develop an empirical model relating human running performance to some characteristics of metabolic energy-yielding processes using A, the capacity of anaerobic metabolism (J/kg); MAP, the maximal aerobic power (W/kg); and E, the reduction in peak aerobic power with the natural logarithm of race duration T, when T greater than TMAP = 420 s. Accordingly, the model developed describes the average power output PT (W/kg) sustained over any T as PT = [S/T(1 - e-T/k2)] + 1/T integral of T O [BMR + B(1 - e-t/k1)]dt where S = A and B = MAP - BMR (basal metabolic rate) when T less than TMAP; and S = A + [Af ln(T/TMAP)] and B = (MAP - BMR) + [E ln(T/TMAP)] when T greater than TMAP; k1 = 30 s and k2 = 20 s are time constants describing the kinetics of aerobic and anaerobic metabolism, respectively, at the beginning of exercise; f is a constant describing the reduction in the amount of energy provided from anaerobic metabolism with increasing T; and t is the time from the onset of the race. This model accurately estimates actual power outputs sustained over a wide range of events, e.g., average absolute error between actual and estimated T for men's 1987 world records from 60 m to the marathon = 0.73%. In addition, satisfactory estimations of the metabolic characteristics of world-class male runners were made as follows: A = 1,658 J/kg; MAP = 83.5 ml O2.kg-1.min-1; 83.5% MAP sustained over the marathon distance. Application of the model to analysis of the evolution of A, MAP, and E, and of the progression of men's and women's world records over the years, is presented.

  20. Electronic Health Record for Intensive Care based on Usual Windows Based Software.

    Science.gov (United States)

    Reper, Arnaud; Reper, Pascal

    2015-08-01

    In Intensive Care Units, the amount of data to be processed for patients care, the turn over of the patients, the necessity for reliability and for review processes indicate the use of Patient Data Management Systems (PDMS) and electronic health records (EHR). To respond to the needs of an Intensive Care Unit and not to be locked with proprietary software, we developed an EHR based on usual software and components. The software was designed as a client-server architecture running on the Windows operating system and powered by the access data base system. The client software was developed using Visual Basic interface library. The application offers to the users the following functions: medical notes captures, observations and treatments, nursing charts with administration of medications, scoring systems for classification, and possibilities to encode medical activities for billing processes. Since his deployment in September 2004, the EHR was used to care more than five thousands patients with the expected software reliability and facilitated data management and review processes. Communications with other medical software were not developed from the start, and are realized by the use of basic functionalities communication engine. Further upgrade of the system will include multi-platform support, use of typed language with static analysis, and configurable interface. The developed system based on usual software components was able to respond to the medical needs of the local ICU environment. The use of Windows for development allowed us to customize the software to the preexisting organization and contributed to the acceptability of the whole system.

  1. Model Adequacy Analysis of Matching Record Versions in Nosql Databases

    Directory of Open Access Journals (Sweden)

    E. V. Tsviashchenko

    2015-01-01

    Full Text Available The article investigates a model of matching record versions. The goal of this work is to analyse the model adequacy. This model allows estimating a user’s processing time distribution of the record versions and a distribution of the record versions count. The second option of the model was used, according to which, for a client the time to process record versions depends explicitly on the number of updates, performed by the other users between the sequential updates performed by a current client. In order to prove the model adequacy the real experiment was conducted in the cloud cluster. The cluster contains 10 virtual nodes, provided by DigitalOcean Company. The Ubuntu Server 14.04 was used as an operating system (OS. The NoSQL system Riak was chosen for experiments. In the Riak 2.0 version and later provide “dotted vector versions” (DVV option, which is an extension of the classic vector clock. Their use guarantees, that the versions count, simultaneously stored in DB, will not exceed the count of clients, operating in parallel with a record. This is very important while conducting experiments. For developing the application the java library, provided by Riak, was used. The processes run directly on the nodes. In experiment two records were used. They are: Z – the record, versions of which are handled by clients; RZ – service record, which contains record update counters. The application algorithm can be briefly described as follows: every client reads versions of the record Z, processes its updates using the RZ record counters, and saves treated record in database while old versions are deleted form DB. Then, a client rereads the RZ record and increments counters of updates for the other clients. After that, a client rereads the Z record, saves necessary statistics, and deliberates the results of processing. In the case of emerging conflict because of simultaneous updates of the RZ record, the client obtains all versions of that

  2. Seismic fragility analyses of nuclear power plant structures based on the recorded earthquake data in Korea

    International Nuclear Information System (INIS)

    Cho, Sung Gook; Joe, Yang Hee

    2005-01-01

    By nature, the seismic fragility analysis results will be considerably affected by the statistical data of design information and site-dependent ground motions. The engineering characteristics of small magnitude earthquake spectra recorded in the Korean peninsula during the last several years are analyzed in this paper. An improved method of seismic fragility analysis is evaluated by comparative analyses to verify its efficiency for practical application to nuclear power plant structures. The effects of the recorded earthquake on the seismic fragilities of Korean nuclear power plant structures are also evaluated from the comparative studies. Observing the obtained results, the proposed method is more efficient for the multi-modes structures. The case study results show that seismic fragility analysis based on the Newmark's spectra in Korea might over-estimate the seismic capacities of Korean facilities

  3. Seismic fragility analyses of nuclear power plant structures based on the recorded earthquake data in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Sung Gook [Department of Civil and Environmental System Engineering, University of Incheon, 177 Dohwa-dong, Nam-gu, Incheon 402-749 (Korea, Republic of)]. E-mail: sgcho@incheon.ac.kr; Joe, Yang Hee [Department of Civil and Environmental System Engineering, University of Incheon, 177 Dohwa-dong, Nam-gu, Incheon 402-749 (Korea, Republic of)

    2005-08-01

    By nature, the seismic fragility analysis results will be considerably affected by the statistical data of design information and site-dependent ground motions. The engineering characteristics of small magnitude earthquake spectra recorded in the Korean peninsula during the last several years are analyzed in this paper. An improved method of seismic fragility analysis is evaluated by comparative analyses to verify its efficiency for practical application to nuclear power plant structures. The effects of the recorded earthquake on the seismic fragilities of Korean nuclear power plant structures are also evaluated from the comparative studies. Observing the obtained results, the proposed method is more efficient for the multi-modes structures. The case study results show that seismic fragility analysis based on the Newmark's spectra in Korea might over-estimate the seismic capacities of Korean facilities.

  4. Simultaneous surface and depth neural activity recording with graphene transistor-based dual-modality probes.

    Science.gov (United States)

    Du, Mingde; Xu, Xianchen; Yang, Long; Guo, Yichuan; Guan, Shouliang; Shi, Jidong; Wang, Jinfen; Fang, Ying

    2018-05-15

    Subdural surface and penetrating depth probes are widely applied to record neural activities from the cortical surface and intracortical locations of the brain, respectively. Simultaneous surface and depth neural activity recording is essential to understand the linkage between the two modalities. Here, we develop flexible dual-modality neural probes based on graphene transistors. The neural probes exhibit stable electrical performance even under 90° bending because of the excellent mechanical properties of graphene, and thus allow multi-site recording from the subdural surface of rat cortex. In addition, finite element analysis was carried out to investigate the mechanical interactions between probe and cortex tissue during intracortical implantation. Based on the simulation results, a sharp tip angle of π/6 was chosen to facilitate tissue penetration of the neural probes. Accordingly, the graphene transistor-based dual-modality neural probes have been successfully applied for simultaneous surface and depth recording of epileptiform activity of rat brain in vivo. Our results show that graphene transistor-based dual-modality neural probes can serve as a facile and versatile tool to study tempo-spatial patterns of neural activities. Copyright © 2018 Elsevier B.V. All rights reserved.

  5. Near Field Communication-based telemonitoring with integrated ECG recordings.

    Science.gov (United States)

    Morak, J; Kumpusch, H; Hayn, D; Leitner, M; Scherr, D; Fruhwald, F M; Schreier, G

    2011-01-01

    Telemonitoring of vital signs is an established option in treatment of patients with chronic heart failure (CHF). In order to allow for early detection of atrial fibrillation (AF) which is highly prevalent in the CHF population telemonitoring programs should include electrocardiogram (ECG) signals. It was therefore the aim to extend our current home monitoring system based on mobile phones and Near Field Communication technology (NFC) to enable patients acquiring their ECG signals autonomously in an easy-to-use way. We prototypically developed a sensing device for the concurrent acquisition of blood pressure and ECG signals. The design of the device equipped with NFC technology and Bluetooth allowed for intuitive interaction with a mobile phone based patient terminal. This ECG monitoring system was evaluated in the course of a clinical pilot trial to assess the system's technical feasibility, usability and patient's adherence to twice daily usage. 21 patients (4f, 54 ± 14 years) suffering from CHF were included in the study and were asked to transmit two ECG recordings per day via the telemonitoring system autonomously over a monitoring period of seven days. One patient dropped out from the study. 211 data sets were transmitted over a cumulative monitoring period of 140 days (overall adherence rate 82.2%). 55% and 8% of the transmitted ECG signals were sufficient for ventricular and atrial rhythm assessment, respectively. Although ECG signal quality has to be improved for better AF detection the developed communication design of joining Bluetooth and NFC technology in our telemonitoring system allows for ambulatory ECG acquisition with high adherence rates and system usability in heart failure patients.

  6. A definition for influenza pandemics based on historical records.

    Science.gov (United States)

    Potter, Chris W; Jennings, Roy

    2011-10-01

    To analyse the records of past influenza outbreaks to determine a definition for pandemics. Analysis of publications of large outbreaks of influenza which have occurred since 1889/90, and to match the results against the current definitions of an influenza pandemic. According to the general understanding of a pandemic, nine outbreaks of influenza since 1889/90 satisfy the definition; however, for two of these, occurring in 1900 and 1933, the data are limited. The special condition for an influenza pandemic requires, in one definition, that the virus strain responsible could not have arisen from the previous circulating strain by mutation; and in the second, that the new strain be a different subtype to the previously circulating strain. Both these restrictions deny pandemic status to two, and possibly three, influenza outbreaks which were pandemics according to the more general understanding of the term. These observations suggest that a re-evaluation of the criteria which define influenza pandemics should be carried out. The contradiction outlined above brings the previous definitions of an influenza pandemic into question; however, this can be resolved by defining an influenza pandemic by the following criteria. Thus, an influenza pandemic arises at a single, specific place and spreads rapidly to involve numerous countries. The haemagglutinin (HA) of the emergent virus does not cross-react serologically with the previously dominant virus strain(s), and there is a significant lack of immunity in the population against the emergent virus. These three criteria are interlinked and can be determined early to alert authorities who could respond appropriately. Other criteria associated with pandemics are necessarily retrospective, although important and valid. The implications of this definition are discussed. Copyright © 2011 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

  7. Fetal source extraction from magnetocardiographic recordings by dependent component analysis

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, Draulio B de [Department of Physics and Mathematics, FFCLRP, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Barros, Allan Kardec [Department of Electrical Engineering, Federal University of Maranhao, Sao Luis, Maranhao (Brazil); Estombelo-Montesco, Carlos [Department of Physics and Mathematics, FFCLRP, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Zhao, Hui [Department of Medical Physics, University of Wisconsin, Madison, WI (United States); Filho, A C Roque da Silva [Department of Physics and Mathematics, FFCLRP, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Baffa, Oswaldo [Department of Physics and Mathematics, FFCLRP, University of Sao Paulo, Ribeirao Preto, SP (Brazil); Wakai, Ronald [Department of Medical Physics, University of Wisconsin, Madison, WI (United States); Ohnishi, Noboru [Department of Information Engineering, Nagoya University (Japan)

    2005-10-07

    Fetal magnetocardiography (fMCG) has been extensively reported in the literature as a non-invasive, prenatal technique that can be used to monitor various functions of the fetal heart. However, fMCG signals often have low signal-to-noise ratio (SNR) and are contaminated by strong interference from the mother's magnetocardiogram signal. A promising, efficient tool for extracting signals, even under low SNR conditions, is blind source separation (BSS), or independent component analysis (ICA). Herein we propose an algorithm based on a variation of ICA, where the signal of interest is extracted using a time delay obtained from an autocorrelation analysis. We model the system using autoregression, and identify the signal component of interest from the poles of the autocorrelation function. We show that the method is effective in removing the maternal signal, and is computationally efficient. We also compare our results to more established ICA methods, such as FastICA.

  8. Analysis of infant cortical synchrony is constrained by the number of recording electrodes and the recording montage.

    Science.gov (United States)

    Tokariev, Anton; Vanhatalo, Sampsa; Palva, J Matias

    2016-01-01

    To assess how the recording montage in the neonatal EEG influences the detection of cortical source signals and their phase interactions. Scalp EEG was simulated by forward modeling 20-200 simultaneously active sources covering the cortical surface of a realistic neonatal head model. We assessed systematically how the number of scalp electrodes (11-85), analysis montage, or the size of cortical sources affect the detection of cortical phase synchrony. Statistical metrics were developed for quantifying the resolution and reliability of the montages. The findings converge to show that an increase in the number of recording electrodes leads to a systematic improvement in the detection of true cortical phase synchrony. While there is always a ceiling effect with respect to discernible cortical details, we show that the average and Laplacian montages exhibit superior specificity and sensitivity as compared to other conventional montages. Reliability in assessing true neonatal cortical synchrony is directly related to the choice of EEG recording and analysis configurations. Because of the high conductivity of the neonatal skull, the conventional neonatal EEG recordings are spatially far too sparse for pertinent studies, and this loss of information cannot be recovered by re-montaging during analysis. Future neonatal EEG studies will need prospective planning of recording configuration to allow analysis of spatial details required by each study question. Our findings also advice about the level of details in brain synchrony that can be studied with existing datasets or by using conventional EEG recordings. Copyright © 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  9. Julius – a template based supplementary electronic health record system

    Directory of Open Access Journals (Sweden)

    Klein Gunnar O

    2007-05-01

    Full Text Available Abstract Background EHR systems are widely used in hospitals and primary care centres but it is usually difficult to share information and to collect patient data for clinical research. This is partly due to the different proprietary information models and inconsistent data quality. Our objective was to provide a more flexible solution enabling the clinicians to define which data to be recorded and shared for both routine documentation and clinical studies. The data should be possible to reuse through a common set of variable definitions providing a consistent nomenclature and validation of data. Another objective was that the templates used for the data entry and presentation should be possible to use in combination with the existing EHR systems. Methods We have designed and developed a template based system (called Julius that was integrated with existing EHR systems. The system is driven by the medical domain knowledge defined by clinicians in the form of templates and variable definitions stored in a common data repository. The system architecture consists of three layers. The presentation layer is purely web-based, which facilitates integration with existing EHR products. The domain layer consists of the template design system, a variable/clinical concept definition system, the transformation and validation logic all implemented in Java. The data source layer utilizes an object relational mapping tool and a relational database. Results The Julius system has been implemented, tested and deployed to three health care units in Stockholm, Sweden. The initial responses from the pilot users were positive. The template system facilitates patient data collection in many ways. The experience of using the template system suggests that enabling the clinicians to be in control of the system, is a good way to add supplementary functionality to the present EHR systems. Conclusion The approach of the template system in combination with various local EHR

  10. Validity of electronic diet recording nutrient estimates compared to dietitian analysis of diet records: A randomized controlled trial

    Science.gov (United States)

    Background: Dietary intake assessment with diet records (DR) is a standard research and practice tool in nutrition. Manual entry and analysis of DR is time-consuming and expensive. New electronic tools for diet entry by clients and research participants may reduce the cost and effort of nutrient int...

  11. Classifying Normal and Abnormal Status Based on Video Recordings of Epileptic Patients

    Directory of Open Access Journals (Sweden)

    Jing Li

    2014-01-01

    Full Text Available Based on video recordings of the movement of the patients with epilepsy, this paper proposed a human action recognition scheme to detect distinct motion patterns and to distinguish the normal status from the abnormal status of epileptic patients. The scheme first extracts local features and holistic features, which are complementary to each other. Afterwards, a support vector machine is applied to classification. Based on the experimental results, this scheme obtains a satisfactory classification result and provides a fundamental analysis towards the human-robot interaction with socially assistive robots in caring the patients with epilepsy (or other patients with brain disorders in order to protect them from injury.

  12. Electronic medical records for otolaryngology office-based practice.

    Science.gov (United States)

    Chernobilsky, Boris; Boruk, Marina

    2008-02-01

    Pressure is mounting on physicians to adopt electronic medical records. The field of health information technology is evolving rapidly with innovations and policies often outpacing science. We sought to review research and discussions about electronic medical records from the past year to keep abreast of these changes. Original scientific research, especially from otolaryngologists, is lacking in this field. Adoption rates are slowly increasing, but more of the burden is shouldered by physicians despite policy efforts and the clear benefits to third-party payers. Scientific research from the past year suggests lack of improvements and even decreasing quality of healthcare with electronic medical record adoption in the ambulatory care setting. The increasing prevalence and standardization of electronic medical record systems results in a new set of problems including rising costs, audits, difficulties in transition and public concerns about security of information. As major players in healthcare continue to push for adoption, increased effort must be made to demonstrate actual improvements in patient care in the ambulatory care setting. More scientific studies are needed to demonstrate what features of electronic medical records actually improve patient care. Otolaryngologists should help each other by disseminating research about improvement in patient outcomes with their systems since current adoption and outcomes policies do not apply to specialists.

  13. Analysis of recorded earthquake response data at the Hualien large-scale seismic test site

    International Nuclear Information System (INIS)

    Hyun, C.H.; Tang, H.T.; Dermitzakis, S.; Esfandiari, S.

    1997-01-01

    A soil-structure interaction (SSI) experiment is being conducted in a seismically active region in Hualien, Taiwan. To obtain earthquake data for quantifying SSI effects and providing a basis to benchmark analysis methods, a 1/4-th scale cylindrical concrete containment model similar in shape to that of a nuclear power plant containment was constructed in the field where both the containment model and its surrounding soil, surface and sub-surface, are extensively instrumented to record earthquake data. In between September 1993 and May 1995, eight earthquakes with Richter magnitudes ranging from 4.2 to 6.2 were recorded. The author focuses on studying and analyzing the recorded data to provide information on the response characteristics of the Hualien soil-structure system, the SSI effects and the ground motion characteristics. An effort was also made to directly determine the site soil physical properties based on correlation analysis of the recorded data. No modeling simulations were attempted to try to analytically predict the SSI response of the soil and the structure. These will be the scope of a subsequent study

  14. A shared computer-based problem-oriented patient record for the primary care team.

    Science.gov (United States)

    Linnarsson, R; Nordgren, K

    1995-01-01

    1. INTRODUCTION. A computer-based patient record (CPR) system, Swedestar, has been developed for use in primary health care. The principal aim of the system is to support continuous quality improvement through improved information handling, improved decision-making, and improved procedures for quality assurance. The Swedestar system has evolved during a ten-year period beginning in 1984. 2. SYSTEM DESIGN. The design philosophy is based on the following key factors: a shared, problem-oriented patient record; structured data entry based on an extensive controlled vocabulary; advanced search and query functions, where the query language has the most important role; integrated decision support for drug prescribing and care protocols and guidelines; integrated procedures for quality assurance. 3. A SHARED PROBLEM-ORIENTED PATIENT RECORD. The core of the CPR system is the problem-oriented patient record. All problems of one patient, recorded by different members of the care team, are displayed on the problem list. Starting from this list, a problem follow-up can be made, one problem at a time or for several problems simultaneously. Thus, it is possible to get an integrated view, across provider categories, of those problems of one patient that belong together. This shared problem-oriented patient record provides an important basis for the primary care team work. 4. INTEGRATED DECISION SUPPORT. The decision support of the system includes a drug prescribing module and a care protocol module. The drug prescribing module is integrated with the patient records and includes an on-line check of the patient's medication list for potential interactions and data-driven reminders concerning major drug problems. Care protocols have been developed for the most common chronic diseases, such as asthma, diabetes, and hypertension. The patient records can be automatically checked according to the care protocols. 5. PRACTICAL EXPERIENCE. The Swedestar system has been implemented in a

  15. Extension and statistical analysis of the GACP aerosol optical thickness record

    Science.gov (United States)

    Geogdzhayev, Igor V.; Mishchenko, Michael I.; Li, Jing; Rossow, William B.; Liu, Li; Cairns, Brian

    2015-10-01

    The primary product of the Global Aerosol Climatology Project (GACP) is a continuous record of the aerosol optical thickness (AOT) over the oceans. It is based on channel-1 and -2 radiance data from the Advanced Very High Resolution Radiometer (AVHRR) instruments flown on successive National Oceanic and Atmospheric Administration (NOAA) platforms. We extend the previous GACP dataset by four years through the end of 2009 using NOAA-17 and -18 AVHRR radiances recalibrated against MODerate resolution Imaging Spectroradiometer (MODIS) radiance data, thereby making the GACP record almost three decades long. The temporal overlap of over three years of the new NOAA-17 and the previous NOAA-16 record reveals an excellent agreement of the corresponding global monthly mean AOT values, thereby confirming the robustness of the vicarious radiance calibration used in the original GACP product. The temporal overlap of the NOAA-17 and -18 instruments is used to introduce a small additive adjustment to the channel-2 calibration of the latter resulting in a consistent record with increased data density. The Principal Component Analysis (PCA) of the newly extended GACP record shows that most of the volcanic AOT variability can be isolated into one mode responsible for ~ 12% of the total variance. This conclusion is confirmed by a combined PCA analysis of the GACP, MODIS, and Multi-angle Imaging SpectroRadiometer (MISR) AOTs during the volcano-free period from February 2000 to December 2009. We show that the modes responsible for the tropospheric AOT variability in the three datasets agree well in terms of correlation and spatial patterns. A previously identified negative AOT trend which started in the late 1980s and continued into the early 2000s is confirmed. Its magnitude and duration indicate that it was caused by changes in tropospheric aerosols. The latest multi-satellite segment of the GACP record shows that this trend tapered off, with no noticeable AOT change after 2002. This

  16. Can Link Analysis Be Applied to Identify Behavioral Patterns in Train Recorder Data?

    Science.gov (United States)

    Strathie, Ailsa; Walker, Guy H

    2016-03-01

    A proof-of-concept analysis was conducted to establish whether link analysis could be applied to data from on-train recorders to detect patterns of behavior that could act as leading indicators of potential safety issues. On-train data recorders capture data about driving behavior on thousands of routine journeys every day and offer a source of untapped data that could be used to offer insights into human behavior. Data from 17 journeys undertaken by six drivers on the same route over a 16-hr period were analyzed using link analysis, and four key metrics were examined: number of links, network density, diameter, and sociometric status. The results established that link analysis can be usefully applied to data captured from on-vehicle recorders. The four metrics revealed key differences in normal driver behavior. These differences have promising construct validity as leading indicators. Link analysis is one method that could be usefully applied to exploit data routinely gathered by on-vehicle data recorders. It facilitates a proactive approach to safety based on leading indicators, offers a clearer understanding of what constitutes normal driving behavior, and identifies trends at the interface of people and systems, which is currently a key area of strategic risk. These research findings have direct applications in the field of transport data monitoring. They offer a means of automatically detecting patterns in driver behavior that could act as leading indicators of problems during operation and that could be used in the proactive monitoring of driver competence, risk management, and even infrastructure design. © 2015, Human Factors and Ergonomics Society.

  17. Analysis of chaos attractors of MCG-recordings.

    Science.gov (United States)

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

    2006-01-01

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

  18. Analysis of risk factors of diabetic retinopathy based on Residents' Electronic Health Record%基于居民健康档案的糖尿病视网膜病变相关危险因素分析

    Institute of Scientific and Technical Information of China (English)

    金轶平

    2015-01-01

    ObjectiveUsing the digitalfundus disease tele-screening system combined with risidents’ eHR (Electronic Health Record) to analyze the risk factors of diabetic retinopathy in diabetes patients. Methods 217 diabetes mellitus residents were randomly selected for diabetes retinopathy (DR) system evaluation. According to the information recorded in eHR to statistical analyze the DR related risk factors by ANOVA analysis of single factor variance, using P<0.05 as the difference has statistical significance. Results 217 cases (415 eyes) diabetic patients, DR positive group (27 cases), the non DR group (190 cases), the system detected DR prevalence rate is about 12.44%.Results indicate that duration of diabetes and the kinds of diabetes medication associated with DR (P<0.01),the number of diseases may be associated with DR (P =0.056).Conclusion DM duration long, glucose variability, more chronic diseases are associated with the onset of DR.%目的:通过远程眼底阅片系统联合居民个人电子健康档案(Electronic Health Record, eHR)对社区糖尿病(diabetes mellitus,DM)患者进行糖尿病视网膜病变(diabetic retinopathy,DR)相关危险因素分析。方法:随机抽取217例社区DM患者进行DR筛查,对 eHR中记录的健康信息进行DR相关危险因素统计分析。应用SPSS 19.0统计学软件进行数据处理,对各相关因素进行ANOVA单因素方差分析,以P<0.05作为差异有统计学意义。结果:217例(415眼)DM患者中,检出DR组(27例)、非DR组(190例),通过该系统检出的DR患病率约为12.44%。2组各项指标比较显示:DR组DM病程及使用的降血糖药物种类明显多于非DR组(190例)差异性(P<0.01);而对于合并慢性病数量(高血压、脑梗塞、冠心病、高脂血症)可能与DR发生相关(P =0.056)。结论:DM病程长,血糖控制不理想,合并慢性疾病种类多等与DR发病相关。

  19. A security analysis of the Dutch electronic patient record system

    NARCIS (Netherlands)

    van 't Noordende, G.

    2010-01-01

    In this article, we analyze the security architecture of the Dutch Electronic Patient Dossier (EPD) system. Intended as a national infrastructure for exchanging medical patient records among authorized parties (particularly, physicians), the EPD has to address a number of requirements, ranging from

  20. Electronic medical records: a developing and developed country analysis

    CSIR Research Space (South Africa)

    Sikhondze, NC

    2016-05-01

    Full Text Available of Electronic Medical Records (EMR) systems in developed and developing countries. There is a direct relationship between the income of the country and the use of electronic information and communication systems as part of healthcare systems hence the division...

  1. A microcomputer-based daily living activity recording system.

    Science.gov (United States)

    Matsuoka, Shingo; Yonezawa, Yoshiharu; Maki, Hiromichi; Ogawa, Hidekuni; Hahn, Allen W; Thayer, Julian F; Caldwell, W Morton

    2003-01-01

    A new daily living activity recording system has been developed for monitoring health conditions and living patterns, such as respiration, posture, activity/rest ratios and general activity level. The system employs a piezoelectric sensor, a dual axis accelerometer, two low-power active filters, a low-power 8-bit single chip microcomputer and a 128 MB compact flash memory. The piezoelectric sensor, whose electrical polarization voltage is produced by mechanical strain, detects body movements. Its high-frequency output components reflect body movements produced by walking and running activities, while the low frequency components are mainly respiratory. The dual axis accelerometer detects, from body X and Y tilt angles, whether the patient is standing, sitting or lying down (prone, supine, left side or right side). The detected respiratory, behavior and posture signals are stored by the compact flash memory. After recording, these data are downloaded to a desktop computer and analyzed.

  2. Coral-based climate records from tropical South Atlantic

    DEFF Research Database (Denmark)

    Pereira, Natan S.; Sial, Alcides N.; Kikuchi, Ruy K.P.

    2015-01-01

    the two colonies are observed, yet both record the 2009/2010 El Niño event - a period of widespread coral bleaching - as anomalously negative δ18O values (up to −1 permil). δ13C is found to be measurably affected by the El Niño event in one colony, by more positive values (+0.39 ‰), and together...

  3. Gridded sunshine duration climate data record for Germany based on combined satellite and in situ observations

    Science.gov (United States)

    Walawender, Jakub; Kothe, Steffen; Trentmann, Jörg; Pfeifroth, Uwe; Cremer, Roswitha

    2017-04-01

    The purpose of this study is to create a 1 km2 gridded daily sunshine duration data record for Germany covering the period from 1983 to 2015 (33 years) based on satellite estimates of direct normalised surface solar radiation and in situ sunshine duration observations using a geostatistical approach. The CM SAF SARAH direct normalized irradiance (DNI) satellite climate data record and in situ observations of sunshine duration from 121 weather stations operated by DWD are used as input datasets. The selected period of 33 years is associated with the availability of satellite data. The number of ground stations is limited to 121 as there are only time series with less than 10% of missing observations over the selected period included to keep the long-term consistency of the output sunshine duration data record. In the first step, DNI data record is used to derive sunshine hours by applying WMO threshold of 120 W/m2 (SDU = DNI ≥ 120 W/m2) and weighting of sunny slots to correct the sunshine length between two instantaneous image data due to cloud movement. In the second step, linear regression between SDU and in situ sunshine duration is calculated to adjust the satellite product to the ground observations and the output regression coefficients are applied to create a regression grid. In the last step regression residuals are interpolated with ordinary kriging and added to the regression grid. A comprehensive accuracy assessment of the gridded sunshine duration data record is performed by calculating prediction errors (cross-validation routine). "R" is used for data processing. A short analysis of the spatial distribution and temporal variability of sunshine duration over Germany based on the created dataset will be presented. The gridded sunshine duration data are useful for applications in various climate-related studies, agriculture and solar energy potential calculations.

  4. A Way to Understand Inpatients Based on the Electronic Medical Records in the Big Data Environment

    Directory of Open Access Journals (Sweden)

    Hongyi Mao

    2017-01-01

    Full Text Available In recent decades, information technology in healthcare, such as Electronic Medical Record (EMR system, is potential to improve service quality and cost efficiency of the hospital. The continuous use of EMR systems has generated a great amount of data. However, hospitals tend to use these data to report their operational efficiency rather than to understand their patients. Base on a dataset of inpatients’ medical records from a Chinese general public hospital, this study applies a configuration analysis from a managerial perspective and explains inpatients management in a different way. Four inpatient configurations (valued patients, managed patients, normal patients, and potential patients are identified by the measure of the length of stay and the total hospital cost. The implications of the finding are discussed.

  5. Query Log Analysis of an Electronic Health Record Search Engine

    Science.gov (United States)

    Yang, Lei; Mei, Qiaozhu; Zheng, Kai; Hanauer, David A.

    2011-01-01

    We analyzed a longitudinal collection of query logs of a full-text search engine designed to facilitate information retrieval in electronic health records (EHR). The collection, 202,905 queries and 35,928 user sessions recorded over a course of 4 years, represents the information-seeking behavior of 533 medical professionals, including frontline practitioners, coding personnel, patient safety officers, and biomedical researchers for patient data stored in EHR systems. In this paper, we present descriptive statistics of the queries, a categorization of information needs manifested through the queries, as well as temporal patterns of the users’ information-seeking behavior. The results suggest that information needs in medical domain are substantially more sophisticated than those that general-purpose web search engines need to accommodate. Therefore, we envision there exists a significant challenge, along with significant opportunities, to provide intelligent query recommendations to facilitate information retrieval in EHR. PMID:22195150

  6. Seismic demand evaluation based on actual earthquake records

    International Nuclear Information System (INIS)

    Jhaveri, D.P.; Czarnecki, R.M.; Kassawara, R.P.; Singh, A.

    1990-01-01

    Seismic input in the form of floor response spectra (FRS) are needed in seismic design and evaluation of equipment in nuclear power plants (NPPs). These are typically determined by analytical procedures using mathematical models of NPP structures and are known to be very conservative. Recorded earthquake data, in the form of acceleration response spectra computed from the recorded acceleration time histories, have been collected from NPP structures located in seismically active areas. Statistics of the ratios, or amplification factors, between the FRS at typical floors and the acceleration response spectra at the basemat or in the freefield, are obtained for typical NPP structures. These amplification factors are typically in terms of the peak spectral and zero period values, as well as a function of frequency. The average + 1σ values of these ratios, for those cases where enough data are available, are proposed to be used as limits to analytically calculated FRS, or for construction of simplified FRS for determining seismic input or demand in equipment qualification. (orig.)

  7. Obesity research based on the Copenhagen School Health Records Register

    DEFF Research Database (Denmark)

    Baker, Jennifer L; Sørensen, Thorkild I A

    2011-01-01

    INTRODUCTION: To summarise key findings from research performed using data from the Copenhagen School Health Records Register over the last 30 years with a main focus on obesity-related research. The register contains computerised anthropometric information on 372,636 schoolchildren from the capi......INTRODUCTION: To summarise key findings from research performed using data from the Copenhagen School Health Records Register over the last 30 years with a main focus on obesity-related research. The register contains computerised anthropometric information on 372,636 schoolchildren from...... the capital city of Denmark. Additional information on the cohort members has been obtained via linkages with population studies and national registers. RESEARCH TOPICS: Studies using data from the register have made important contributions in the areas of the aetiology of obesity, the development...... of the obesity epidemic, and the long-term health consequences of birth weight as well as body size and growth in childhood. CONCLUSION: Research using this unique register is ongoing, and its contributions to the study of obesity as well as other topics will continue for years to come....

  8. Revised estimates of Greenland ice sheet thinning histories based on ice-core records

    DEFF Research Database (Denmark)

    Lecavalier, B.S.; Milne, G.A.; Fisher, D.A.

    2013-01-01

    -based reconstructions and, to some extent, the estimated elevation histories. A key component of the ice core analysis involved removing the influence of vertical surface motion on the dO signal measured from the Agassiz and Renland ice caps. We re-visit the original analysis with the intent to determine if the use...... of more accurate land uplift curves can account for some of the above noted discrepancy. To improve on the original analysis, we apply a geophysical model of glacial isostatic adjustment calibrated to sea-level records from the Queen Elizabeth Islands and Greenland to calculate the influence of land...... in this selection is further complicated by the possible influence of Innuitian ice during the early Holocene (12-8 ka BP). Our results indicate that a more accurate treatment of the uplift correction leads to elevation histories that are, in general, shifted down relative to the original curves at GRIP, NGRIP, DYE...

  9. Procedure for the record, calculation and analysis of costs at the Post Company of Cuba.

    Directory of Open Access Journals (Sweden)

    María Luisa Lara Zayas

    2012-12-01

    Full Text Available The Cuban Company is immersed in important changes, which lead to a new economic model that requires to increase the productivity of work and to enlarge the economic efficiency by means of rational use of material resources, financial and humans. In the present work it is proposed a procedure based on the application of cost techniques, for the record, calculation and costs analysis of activities in the Post Company of Cuba in Sancti Spiritus with the objective to obtain a major efficiency from the rational use of resources.

  10. Recording and Analysis of Tsetse Flight Responses in Three Dimensions

    Energy Technology Data Exchange (ETDEWEB)

    Guerin, P M; Gurba, A; Harraca, V; Perret, J -L [Institute of Biology, University of Neuchatel, Rue Emile-Argand 11, Case Postale 158, 2009 Neuchatel (Switzerland); Casera, S; Donnet, S [Institute of Informatics, University of Neuchatel, Rue Emile-Argand 11, Case Postale 158, 2009 Neuchatel (Switzerland)

    2012-07-15

    Recording and analysing three dimensional (3D) motions of tsetse flies in flight are technically challenging due to their speed of flight. However, video recording of tsetse fly flight responses has already been made in both wind tunnels and the field. The aim of our research was to study the way tsetse flies exploit host odours and visual targets during host searching. Such knowledge can help in the development of better trapping devices. We built a wind tunnel where it is possible to control environmental parameters, e.g. temperature, relative humidity and light. The flight of the flies was filmed from above with two high speed Linux-embedded cameras equipped with fish-eye objectives viewing at 60o from one another. The synchronized stereo images were used to reconstruct the trajectory of flies in 3D and in real time. Software permitted adjustment for parameters such as luminosity and size of the tsetse species being tracked. Interpolation permitted us to calculate flight coordinates and to measure modifications of flight parameters such as acceleration, velocity, rectitude, angular velocity and curvature according to the experimental conditions. Using this system we filmed the responses of Glossina brevipalpis Newstead obtained from a colony at the IAEA Entomology Unit, Seibersdorf, Austria to human breath presented with and without a visual target. Flights lasting up to 150 s duration and covering up to 153 m were recorded. G. brevipalpis flights to human breath were characterized by wide undulations along the course. When a visual target was placed in the plume of breath, flights of G. brevipalpis were more tightly controlled, i.e. slower and more directed. This showed that after multiple generations in a laboratory colony G. brevipalpis was still capable of complex behaviours during bloodmeal searching. (author)

  11. Inference for exponentiated general class of distributions based on record values

    Directory of Open Access Journals (Sweden)

    Samah N. Sindi

    2017-09-01

    Full Text Available The main objective of this paper is to suggest and study a new exponentiated general class (EGC of distributions. Maximum likelihood, Bayesian and empirical Bayesian estimators of the parameter of the EGC of distributions based on lower record values are obtained. Furthermore, Bayesian prediction of future records is considered. Based on lower record values, the exponentiated Weibull distribution, its special cases of distributions and exponentiated Gompertz distribution are applied to the EGC of distributions.  

  12. Spectroscopy for amateur astronomers recording, processing, analysis and interpretation

    CERN Document Server

    Trypsteen , Marc F M

    2017-01-01

    This accessible guide presents the astrophysical concepts behind astronomical spectroscopy, covering both the theory and the practical elements of recording, processing, analysing and interpreting your spectra. It covers astronomical objects, such as stars, planets, nebulae, novae, supernovae, and events such as eclipses and comet passages. Suitable for anyone with only a little background knowledge and access to amateur-level equipment, the guide's many illustrations, sketches and figures will help you understand and practise this scientifically important and growing field of amateur astronomy, up to the level of Pro-Am collaborations. Accessible to non-academics, it benefits many groups from novices and learners in astronomy clubs, to advanced students and teachers of astrophysics. This volume is the perfect companion to the Spectral Atlas for Amateur Astronomers, which provides detailed commented spectral profiles of more than 100 astronomical objects.

  13. 77 FR 27561 - Requirements for Fingerprint-Based Criminal History Records Checks for Individuals Seeking...

    Science.gov (United States)

    2012-05-11

    ...-Based Criminal History Records Checks for Individuals Seeking Unescorted Access to Non-Power Reactors... reactor (NPR) licensees to obtain fingerprint-based criminal history records checks before granting any... of the Energy Policy Act of 2005 (EPAct), which amended Section 149 of the Atomic Energy Act of 1954...

  14. A SWOT Analysis of the Various Backup Scenarios Used in Electronic Medical Record Systems.

    Science.gov (United States)

    Seo, Hwa Jeong; Kim, Hye Hyeon; Kim, Ju Han

    2011-09-01

    Electronic medical records (EMRs) are increasingly being used by health care services. Currently, if an EMR shutdown occurs, even for a moment, patient safety and care can be seriously impacted. Our goal was to determine the methodology needed to develop an effective and reliable EMR backup system. Our "independent backup system by medical organizations" paradigm implies that individual medical organizations develop their own EMR backup systems within their organizations. A "personal independent backup system" is defined as an individual privately managing his/her own medical records, whereas in a "central backup system by the government" the government controls all the data. A "central backup system by private enterprises" implies that individual companies retain control over their own data. A "cooperative backup system among medical organizations" refers to a networked system established through mutual agreement. The "backup system based on mutual trust between an individual and an organization" means that the medical information backup system at the organizational level is established through mutual trust. Through the use of SWOT analysis it can be shown that cooperative backup among medical organizations is possible to be established through a network composed of various medical agencies and that it can be managed systematically. An owner of medical information only grants data access to the specific person who gave the authorization for backup based on the mutual trust between an individual and an organization. By employing SWOT analysis, we concluded that a linkage among medical organizations or between an individual and an organization can provide an efficient backup system.

  15. A microcontroller based lyoluminescence recording system for high dose dosimetry

    International Nuclear Information System (INIS)

    Thakur, Vaishali M.; Raman, Anand; Oommen, I.K.; Choithramani, S.J.; Sharma, D.N.

    2001-01-01

    This paper describes the features of a microcontroller based lyoluminescence (LL) measurement system which provides the peak yield versus time plot and the integrated light yield of the LL process. The peak yield is found to be a better measure of the LL process as compared to the integrated yield. (author)

  16. Instrumentation for low noise nanopore-based ionic current recording under laser illumination

    Science.gov (United States)

    Roelen, Zachary; Bustamante, José A.; Carlsen, Autumn; Baker-Murray, Aidan; Tabard-Cossa, Vincent

    2018-01-01

    We describe a nanopore-based optofluidic instrument capable of performing low-noise ionic current recordings of individual biomolecules under laser illumination. In such systems, simultaneous optical measurements generally introduce significant parasitic noise in the electrical signal, which can severely reduce the instrument sensitivity, critically hindering the monitoring of single-molecule events in the ionic current traces. Here, we present design rules and describe simple adjustments to the experimental setup to mitigate the different noise sources encountered when integrating optical components to an electrical nanopore system. In particular, we address the contributions to the electrical noise spectra from illuminating the nanopore during ionic current recording and mitigate those effects through control of the illumination source and the use of a PDMS layer on the SiNx membrane. We demonstrate the effectiveness of our noise minimization strategies by showing the detection of DNA translocation events during membrane illumination with a signal-to-noise ratio of ˜10 at 10 kHz bandwidth. The instrumental guidelines for noise minimization that we report are applicable to a wide range of nanopore-based optofluidic systems and offer the possibility of enhancing the quality of synchronous optical and electrical signals obtained during single-molecule nanopore-based analysis.

  17. Humor During Clinical Practice: Analysis of Recorded Clinical Encounters.

    Science.gov (United States)

    Phillips, Kari A; Singh Ospina, Naykky; Rodriguez-Gutierrez, Rene; Castaneda-Guarderas, Ana; Gionfriddo, Michael R; Branda, Megan; Montori, Victor

    2018-01-01

    Little is known about humor's use in clinical encounters, despite its many potential benefits. We aimed to describe humor during clinical encounters. We analyzed 112 recorded clinical encounters. Two reviewers working independently identified instances of humor, as well as information surrounding the logistics of its use. Of the 112 encounters, 66 (59%) contained 131 instances of humor. Humor was similarly frequent in primary care (36/61, 59%) and in specialty care (30/51, 59%), was more common in gender-concordant interactions (43/63, 68%), and was most common during counseling (81/112, 62%). Patients and clinicians introduced humor similarly (63 vs 66 instances). Typically, humor was about the patient's medical condition (40/131, 31%). Humor is used commonly during counseling to discuss the patient's medical condition and to relate to general life events bringing warmth to the medical encounter. The timing and topic of humor and its use by all parties suggests humor plays a role in the social connection between patients and physicians and allows easier discussion of difficult topics. Further research is necessary to establish its impact on clinicians, patients, and outcomes. © Copyright 2018 by the American Board of Family Medicine.

  18. Electronic Health Record Portal Adoption: a cross country analysis.

    Science.gov (United States)

    Tavares, Jorge; Oliveira, Tiago

    2017-07-05

    This study's goal is to understand the factors that drive individuals to adopt Electronic Health Record (EHR) portals and to estimate if there are differences between countries with different healthcare models. We applied a new adoption model using as a starting point the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) by incorporating the Concern for Information Privacy (CFIP) framework. To evaluate the research model we used the partial least squares (PLS) - structural equation modelling (SEM) approach. An online questionnaire was administrated in the United States (US) and Europe (Portugal). We collected 597 valid responses. The statistically significant factors of behavioural intention are performance expectancy ([Formula: see text] total  = 0.285; P expectancy ([Formula: see text] total  = 0.160; P value ([Formula: see text] total  = 0.152; P value are only predictors in the US group. The model explained 53% of the variance in behavioural intention and 36% of the variance in use behaviour. Our study identified critical factors for the adoption of EHR portals and significant differences between the countries. Confidentiality issues do not seem to influence acceptance. The EHR portals usage patterns are significantly higher in US compared to Portugal.

  19. Excimer laser beam profile recording based on electrochemical etched polycarbonate

    International Nuclear Information System (INIS)

    Parvin, P.; Jaleh, B.; Zangeneh, H.R.; Zamanipour, Z.; Davoud-Abadi, Gh.R.

    2008-01-01

    There is no polymeric detector used to register the beam profile of UV lasers. Here, a method is proposed for the measurement of intensive UV beam pattern of the excimer lasers based on the photoablated polycarbonate detector after coherent UV exposure and the subsequent electrochemical etching. UV laser induced defects in the form of self-microstructuring on polycarbonate are developed to replicate the spatial intensity distribution as a beam profiler

  20. Excimer laser beam profile recording based on electrochemical etched polycarbonate

    Energy Technology Data Exchange (ETDEWEB)

    Parvin, P. [Physics Department, Amirkabir University of Technology, P.O. Box 15875-4413, Hafez Ave, Tehran (Iran, Islamic Republic of); Laser Research Center, AEOI, P.O. Box 1165-8486, Tehran (Iran, Islamic Republic of)], E-mail: parvin@aut.ac.ir; Jaleh, B. [Physics Department, Bu-Ali Sina University, Postal Code 65174, Hamedan (Iran, Islamic Republic of); Zangeneh, H.R. [Physics Department, Amirkabir University of Technology, P.O. Box 15875-4413, Hafez Ave, Tehran (Iran, Islamic Republic of); Zamanipour, Z. [Laser Research Center, AEOI, P.O. Box 1165-8486, Tehran (Iran, Islamic Republic of); Davoud-Abadi, Gh.R. [Physics Department, Amirkabir University of Technology, P.O. Box 15875-4413, Hafez Ave, Tehran (Iran, Islamic Republic of)

    2008-08-15

    There is no polymeric detector used to register the beam profile of UV lasers. Here, a method is proposed for the measurement of intensive UV beam pattern of the excimer lasers based on the photoablated polycarbonate detector after coherent UV exposure and the subsequent electrochemical etching. UV laser induced defects in the form of self-microstructuring on polycarbonate are developed to replicate the spatial intensity distribution as a beam profiler.

  1. Electronic system for recording proportional counter rare pulses with the pulse shape analysis

    International Nuclear Information System (INIS)

    Barabanov, I.R.; Gavrin, V.N.; Zakharov, Yu.I.; Tikhonov, A.A.

    1984-01-01

    The anutomated system for recording proportional counter rare pulses is described. The proportional counters are aimed at identification of 37 Ar and H7 1 Gr decays in chemical radiation detectors of solar neutrino. Pulse shape recording by means of a storage oscilloscope and a TV display is performed in the system considered besides two-parametric selection of events (measurement of pulse amplitude in a slow channel and the amplitude of pulse differentiated with time constant of about 10 ns in a parallel fast channel). Pulse discrimination by a front rise rate provides background decrease in the 55 Fe range (5.9 keV) by 6 times; the visual analysis of pulse shapes recorded allows to decrease the background additionally by 25-30%. The background counting rate in the 55 Fe range being equal to 1 pulse per 1.5 days, is obtained when using the installation described above, as well as the passive Pb shield 5 cm thick, and the active shield based on the anticoincidence NaI(Tl) detector with the cathode 5.6 mm in-diameter made of Fe fabircated by zone melting. The installation described allows to reach the background level of 0.6 pulse/day (the total coefficient of background attenuation is 400). Further background decrease is supposed to be provided by installation allocation in the low-noise underground laboratory of the Baksan Neutrino Observatory

  2. Records in ultra low radioactivity measurements with neutron activation analysis

    International Nuclear Information System (INIS)

    Hentig, R. von; Goldbrunner, T.; Angloher, G.; Feilitzsch, F. von

    1999-01-01

    Neutron Activation Analysis has emerged to be an analytical method sensitive enough to detect fg/g traces of unstable primordial nuclides in complex matrices. Especially low count rate experiments in the field of solar neutrino physics and dark matter search can profit from the detection capabilities of this method which had been unattained so far. This gain in sensitivity has been achieved by combining neutron activation, radiochemical separation methods, and efficient low level counting systems at the new underground laboratory of the accelerator laboratory in Garching. Recent improvements which have been made in the purification and analysis of the liquid scintillator, as foreseen for the solar neutrino experiment BOREXINO, are being presented as an example in this paper

  3. Utilization of independent component analysis for accurate pathological ripple detection in intracranial EEG recordings recorded extra- and intra-operatively.

    Science.gov (United States)

    Shimamoto, Shoichi; Waldman, Zachary J; Orosz, Iren; Song, Inkyung; Bragin, Anatol; Fried, Itzhak; Engel, Jerome; Staba, Richard; Sharan, Ashwini; Wu, Chengyuan; Sperling, Michael R; Weiss, Shennan A

    2018-01-01

    To develop and validate a detector that identifies ripple (80-200 Hz) events in intracranial EEG (iEEG) recordings in a referential montage and utilizes independent component analysis (ICA) to eliminate or reduce high-frequency artifact contamination. Also, investigate the correspondence of detected ripples and the seizure onset zone (SOZ). iEEG recordings from 16 patients were first band-pass filtered (80-600 Hz) and Infomax ICA was next applied to derive the first independent component (IC1). IC1 was subsequently pruned, and an artifact index was derived to reduce the identification of high-frequency events introduced by the reference electrode signal. A Hilbert detector identified ripple events in the processed iEEG recordings using amplitude and duration criteria. The identified ripple events were further classified and characterized as true or false ripple on spikes, or ripples on oscillations by utilizing a topographical analysis to their time-frequency plot, and confirmed by visual inspection. The signal to noise ratio was improved by pruning IC1. The precision of the detector for ripple events was 91.27 ± 4.3%, and the sensitivity of the detector was 79.4 ± 3.0% (N = 16 patients, 5842 ripple events). The sensitivity and precision of the detector was equivalent in iEEG recordings obtained during sleep or intra-operatively. Across all the patients, true ripple on spike rates and also the rates of false ripple on spikes, that were generated due to filter ringing, classified the seizure onset zone (SOZ) with an area under the receiver operating curve (AUROC) of >76%. The magnitude and spectral content of true ripple on spikes generated in the SOZ was distinct as compared with the ripples generated in the NSOZ (p ripple rates and properties defined using this approach may accurately delineate the seizure onset zone. Strategies to improve the spatial resolution of intracranial EEG and reduce artifact can help improve the clinical utility of

  4. A near real-time satellite-based global drought climate data record

    International Nuclear Information System (INIS)

    AghaKouchak, Amir; Nakhjiri, Navid

    2012-01-01

    Reliable drought monitoring requires long-term and continuous precipitation data. High resolution satellite measurements provide valuable precipitation information on a quasi-global scale. However, their short lengths of records limit their applications in drought monitoring. In addition to this limitation, long-term low resolution satellite-based gauge-adjusted data sets such as the Global Precipitation Climatology Project (GPCP) one are not available in near real-time form for timely drought monitoring. This study bridges the gap between low resolution long-term satellite gauge-adjusted data and the emerging high resolution satellite precipitation data sets to create a long-term climate data record of droughts. To accomplish this, a Bayesian correction algorithm is used to combine GPCP data with real-time satellite precipitation data sets for drought monitoring and analysis. The results showed that the combined data sets after the Bayesian correction were a significant improvement compared to the uncorrected data. Furthermore, several recent major droughts such as the 2011 Texas, 2010 Amazon and 2010 Horn of Africa droughts were detected in the combined real-time and long-term satellite observations. This highlights the potential application of satellite precipitation data for regional to global drought monitoring. The final product is a real-time data-driven satellite-based standardized precipitation index that can be used for drought monitoring especially over remote and/or ungauged regions. (letter)

  5. Feasibility of a web-based system for police crash report review and information recording.

    Science.gov (United States)

    2016-04-01

    Police crash reports include useful additional information that is not available in crash summary records. : This information may include police sketches and narratives and is often needed for detailed site-specific : safety analysis. In addition, so...

  6. Speech watermarking: an approach for the forensic analysis of digital telephonic recordings.

    Science.gov (United States)

    Faundez-Zanuy, Marcos; Lucena-Molina, Jose J; Hagmüller, Martin

    2010-07-01

    In this article, the authors discuss the problem of forensic authentication of digital audio recordings. Although forensic audio has been addressed in several articles, the existing approaches are focused on analog magnetic recordings, which are less prevalent because of the large amount of digital recorders available on the market (optical, solid state, hard disks, etc.). An approach based on digital signal processing that consists of spread spectrum techniques for speech watermarking is presented. This approach presents the advantage that the authentication is based on the signal itself rather than the recording format. Thus, it is valid for usual recording devices in police-controlled telephone intercepts. In addition, our proposal allows for the introduction of relevant information such as the recording date and time and all the relevant data (this is not always possible with classical systems). Our experimental results reveal that the speech watermarking procedure does not interfere in a significant way with the posterior forensic speaker identification.

  7. Factors influencing consumer adoption of USB-based Personal Health Records in Taiwan

    Directory of Open Access Journals (Sweden)

    Jian Wen-Shan

    2012-08-01

    Full Text Available Abstract Background Usually patients receive healthcare services from multiple hospitals, and consequently their healthcare data are dispersed over many facilities’ paper and electronic-based record systems. Therefore, many countries have encouraged the research on data interoperability, access, and patient authorization. This study is an important part of a national project to build an information exchange environment for cross-hospital digital medical records carried out by the Department of Health (DOH of Taiwan in May 2008. The key objective of the core project is to set up a portable data exchange environment in order to enable people to maintain and own their essential health information. This study is aimed at exploring the factors influencing behavior and adoption of USB-based Personal Health Records (PHR in Taiwan. Methods Quota sampling was used, and structured questionnaires were distributed to the outpatient department at ten medical centers which participated in the DOH project to establish the information exchange environment across hospitals. A total of 3000 questionnaires were distributed and 1549 responses were collected, out of those 1465 were valid, accumulating the response rate to 48.83%. Results 1025 out of 1465 respondents had expressed their willingness to apply for the USB-PHR. Detailed analysis of the data reflected that there was a remarkable difference in the “usage intention” between the PHR adopters and non-adopters (χ2 =182.4, p  Conclusions Higher Usage Intentions, Perceived Usefulness and Subjective Norm of patients were found to be the key factors influencing PHR adoption. Thus, we suggest that government and hospitals should promote the potential usefulness of PHR, and physicians should encourage patients' to adopt the PHR.

  8. Analysis of raw AIS spectrum recordings from a LEO satellite

    DEFF Research Database (Denmark)

    Larsen, Jesper Abildgaard; Mortensen, Hans Peter

    2014-01-01

    The AAUSAT3 satellite is a 1U cubesat, which has been developed by students at Aalborg University, Denmark in collaboration with the Danish Maritime Authority. The satellite was launched in February 2013 on a mission to monitor ships from space using their AIS broadcast signals as an indication...... of position. The SDR receiver developed to listen for these AIS signals also allows for sampling and storing of the raw intermediate frequency spectrum, which has been used in order to map channel utilization over the areas of interest for the mission, which is mainly the arctic regions. The SDR based...... receiver used onboard the satellite is using a single chip front-end solution, which down converts the AIS signal located around 162 MHz into an intermediate frequency, with a up to 200 kHz bandwidth. This I/F signal is sampled with a 750 kSPS A/D converter and further processed by an Analog Devices DSP...

  9. Simplified Technique for Incorporating a Metal Mesh into Record Bases for Mandibular Implant Overdentures.

    Science.gov (United States)

    Godoy, Antonio; Siegel, Sharon C

    2015-12-01

    Mandibular implant-retained overdentures have become the standard of care for patients with mandibular complete edentulism. As part of the treatment, the mandibular implant-retained overdenture may require a metal mesh framework to be incorporated to strengthen the denture and avoid fracture of the prosthesis. Integrating the metal mesh framework as part of the acrylic record base and wax occlusion rim before the jaw relation procedure will avoid the distortion of the record base and will minimize the chances of processing errors. A simplified method to incorporate the mesh into the record base and occlusion rim is presented in this technique article. © 2015 by the American College of Prosthodontists.

  10. Privacy Impact Assessment for the Lead-based Paint System of Records

    Science.gov (United States)

    The Lead-based Paint System of Records collects personally identifiable information, test scores, and submitted fees. Learn how this data is collected, how it will be used, access to the data, the purpose of data collection, and record retention policies.

  11. Automatic evaluation of intrapartum fetal heart rate recordings: a comprehensive analysis of useful features.

    Science.gov (United States)

    Chudáček, V; Spilka, J; Janků, P; Koucký, M; Lhotská, L; Huptych, M

    2011-08-01

    Cardiotocography is the monitoring of fetal heart rate (FHR) and uterine contractions (TOCO), used routinely since the 1960s by obstetricians to detect fetal hypoxia. The evaluation of the FHR in clinical settings is based on an evaluation of macroscopic morphological features and so far has managed to avoid adopting any achievements from the HRV research field. In this work, most of the features utilized for FHR characterization, including FIGO, HRV, nonlinear, wavelet, and time and frequency domain features, are investigated and assessed based on their statistical significance in the task of distinguishing the FHR into three FIGO classes. We assess the features on a large data set (552 records) and unlike in other published papers we use three-class expert evaluation of the records instead of the pH values. We conclude the paper by presenting the best uncorrelated features and their individual rank of importance according to the meta-analysis of three different ranking methods. The number of accelerations and decelerations, interval index, as well as Lempel-Ziv complexity and Higuchi's fractal dimension are among the top five features.

  12. Automatic evaluation of intrapartum fetal heart rate recordings: a comprehensive analysis of useful features

    International Nuclear Information System (INIS)

    Chudáček, V; Spilka, J; Lhotská, L; Huptych, M; Janků, P; Koucký, M

    2011-01-01

    Cardiotocography is the monitoring of fetal heart rate (FHR) and uterine contractions (TOCO), used routinely since the 1960s by obstetricians to detect fetal hypoxia. The evaluation of the FHR in clinical settings is based on an evaluation of macroscopic morphological features and so far has managed to avoid adopting any achievements from the HRV research field. In this work, most of the features utilized for FHR characterization, including FIGO, HRV, nonlinear, wavelet, and time and frequency domain features, are investigated and assessed based on their statistical significance in the task of distinguishing the FHR into three FIGO classes. We assess the features on a large data set (552 records) and unlike in other published papers we use three-class expert evaluation of the records instead of the pH values. We conclude the paper by presenting the best uncorrelated features and their individual rank of importance according to the meta-analysis of three different ranking methods. The number of accelerations and decelerations, interval index, as well as Lempel–Ziv complexity and Higuchi's fractal dimension are among the top five features

  13. Flood frequency analysis for nonstationary annual peak records in an urban drainage basin

    Science.gov (United States)

    Villarini, G.; Smith, J.A.; Serinaldi, F.; Bales, J.; Bates, P.D.; Krajewski, W.F.

    2009-01-01

    Flood frequency analysis in urban watersheds is complicated by nonstationarities of annual peak records associated with land use change and evolving urban stormwater infrastructure. In this study, a framework for flood frequency analysis is developed based on the Generalized Additive Models for Location, Scale and Shape parameters (GAMLSS), a tool for modeling time series under nonstationary conditions. GAMLSS is applied to annual maximum peak discharge records for Little Sugar Creek, a highly urbanized watershed which drains the urban core of Charlotte, North Carolina. It is shown that GAMLSS is able to describe the variability in the mean and variance of the annual maximum peak discharge by modeling the parameters of the selected parametric distribution as a smooth function of time via cubic splines. Flood frequency analyses for Little Sugar Creek (at a drainage area of 110 km2) show that the maximum flow with a 0.01-annual probability (corresponding to 100-year flood peak under stationary conditions) over the 83-year record has ranged from a minimum unit discharge of 2.1 m3 s- 1 km- 2 to a maximum of 5.1 m3 s- 1 km- 2. An alternative characterization can be made by examining the estimated return interval of the peak discharge that would have an annual exceedance probability of 0.01 under the assumption of stationarity (3.2 m3 s- 1 km- 2). Under nonstationary conditions, alternative definitions of return period should be adapted. Under the GAMLSS model, the return interval of an annual peak discharge of 3.2 m3 s- 1 km- 2 ranges from a maximum value of more than 5000 years in 1957 to a minimum value of almost 8 years for the present time (2007). The GAMLSS framework is also used to examine the links between population trends and flood frequency, as well as trends in annual maximum rainfall. These analyses are used to examine evolving flood frequency over future decades. ?? 2009 Elsevier Ltd.

  14. Flood frequency analysis for nonstationary annual peak records in an urban drainage basin

    Science.gov (United States)

    Villarini, Gabriele; Smith, James A.; Serinaldi, Francesco; Bales, Jerad; Bates, Paul D.; Krajewski, Witold F.

    2009-08-01

    Flood frequency analysis in urban watersheds is complicated by nonstationarities of annual peak records associated with land use change and evolving urban stormwater infrastructure. In this study, a framework for flood frequency analysis is developed based on the Generalized Additive Models for Location, Scale and Shape parameters (GAMLSS), a tool for modeling time series under nonstationary conditions. GAMLSS is applied to annual maximum peak discharge records for Little Sugar Creek, a highly urbanized watershed which drains the urban core of Charlotte, North Carolina. It is shown that GAMLSS is able to describe the variability in the mean and variance of the annual maximum peak discharge by modeling the parameters of the selected parametric distribution as a smooth function of time via cubic splines. Flood frequency analyses for Little Sugar Creek (at a drainage area of 110km) show that the maximum flow with a 0.01-annual probability (corresponding to 100-year flood peak under stationary conditions) over the 83-year record has ranged from a minimum unit discharge of 2.1mskm to a maximum of 5.1mskm. An alternative characterization can be made by examining the estimated return interval of the peak discharge that would have an annual exceedance probability of 0.01 under the assumption of stationarity (3.2mskm). Under nonstationary conditions, alternative definitions of return period should be adapted. Under the GAMLSS model, the return interval of an annual peak discharge of 3.2mskm ranges from a maximum value of more than 5000 years in 1957 to a minimum value of almost 8 years for the present time (2007). The GAMLSS framework is also used to examine the links between population trends and flood frequency, as well as trends in annual maximum rainfall. These analyses are used to examine evolving flood frequency over future decades.

  15. 36 CFR 1237.30 - How do agencies manage records on nitrocellulose-base and cellulose-acetate base film?

    Science.gov (United States)

    2010-07-01

    ... records on nitrocellulose-base and cellulose-acetate base film? 1237.30 Section 1237.30 Parks, Forests... and cellulose-acetate base film? (a) The nitrocellulose base, a substance akin to gun cotton, is chemically unstable and highly flammable. Agencies must handle nitrocellulose-base film (used in the...

  16. Electronic Health Record Systems and Intent to Apply for Meaningful Use Incentives among Office-based Physician ...

    Science.gov (United States)

    ... Order from the National Technical Information Service NCHS Electronic Health Record Systems and Intent to Apply for ... In 2011, 57% of office-based physicians used electronic medical record/electronic health record (EMR/EHR) systems, ...

  17. The home-based maternal record: a tool for family involvement in health care.

    Science.gov (United States)

    Shah, P M; Shah, K P; Belsey, M A

    1988-04-01

    The home-based maternal record offers an opportunity for family involvement in health care. Home-based records of maternal health have been used in several developing countries, and have led to increased detection and monitoring of women at high risk for complications during pregnancy. Home-based cards that include menstrual information remind health workers to educate and motivate women for family planning, and serve as a source of health statistics. Records that use pictures and symbols have been used by illiterate traditional birth attendants, and had an accurate completion rate of over 90%. The WHO has prepared a prototype record and guidelines for local adaptation. The objectives were to provide continuity of care throughout pregnancy, ensure recognition of at-risk women, encourage family participation in health care, an provide data on maternal health, breastfeeding, and family planning. The guidelines have been evaluated and results show that the records have improved the coverage, acceptability, and quality of MCH/FP care. The records have also led to an increase in diagnosis and referral of at-risk women and newborns, and the use of family planning and tetanus toxoid immunization has increased in the 13 centers where the reports are being used. Focus group discussions have shown that mothers, community members, primary health workers, and doctors and nurses liked the records. It is important to adapt criteria for high-risk conditions to the local areas where the records will be used to ensure the relevance of risk diagnosis. The evidence shows that home-based maternal and child records can be an important tool in the promotion of self-reliance and family participation in health care. In addition, home-based records can be used for the implementation of primary health care at the local level, and serve as a resource for data collection.

  18. K-Anonymity Based Privacy Risk Budgeting System for Interactive Record Linkage

    Directory of Open Access Journals (Sweden)

    Hye-Chung Kum

    2017-04-01

    The k-anonymity based privacy risk budgeting system provides a mechanism where we can concretely reason about the tradeoff between the privacy risks due to information disclosed, accuracy gained, and biases reduced during interactive record linkage.

  19. BASE Temperature Data Record (TDR) from the SSM/I and SSMIS Sensors, CSU Version 1

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The BASE Temperature Data Record (TDR) dataset from Colorado State University (CSU) is a collection of the raw unprocessed antenna temperature data that has been...

  20. An Enterprise Architecture Perspective to Electronic Health Record Based Care Governance.

    Science.gov (United States)

    Motoc, Bogdan

    2017-01-01

    This paper proposes an Enterprise Architecture viewpoint of Electronic Health Record (EHR) based care governance. The improvements expected are derived from the collaboration framework and the clinical health model proposed as foundation for the concept of EHR.

  1. Use and Characteristics of Electronic Health Record Systems among Office-Based Physician Practices: United States, ...

    Science.gov (United States)

    ... the National Technical Information Service NCHS Use and Characteristics of Electronic Health Record Systems Among Office-based ... physicians that collects information on physician and practice characteristics, including the adoption and use of EHR systems. ...

  2. Improvements in heavy water analysis using a ratio recording infrared spectrophotometer (Preprint No. CA-12)

    Energy Technology Data Exchange (ETDEWEB)

    Sutawane, U B; Alphonse, K P; Rathi, B N [Bhabha Atomic Research Centre, Bombay (India). Heavy Water Div.

    1989-04-01

    With a view to optimise existing analytical procedures for routine analyses of heavy water, studies were carried out using a ratio recording instrument with and without a reference beam attenuator in infrared spectrophotometric method. Absorbance difference as well as absorbance values with different path length cells were used for measurements. Due to various practical considerations, a method based on measurement of absorbance values rather than absorbance difference was found to be convenient for all routine work. However, scanning is essential since there is slight shifting of peak position. Measurements at fixed wave lengths should generally be avoided. Use of standards for calibration of instrument is essential and frequent check of calibration is recommended. Optimum conditions for analysis of heavy water in different ranges on the instrument used in this study are tabulated. (author). 6 refs., 1 tab.

  3. Improvements in heavy water analysis using a ratio recording infrared spectrophotometer (Preprint No. CA-12)

    International Nuclear Information System (INIS)

    Sutawane, U.B.; Alphonse, K.P.; Rathi, B.N.

    1989-04-01

    With a view to optimise existing analytical procedures for routine analyses of heavy water, studies were carried out using a ratio recording instrument with and without a reference beam attenuator in infrared spectrophotometric method. Absorbance difference as well as absorbance values with different path length cells were used for measurements. Due to various practical considerations, a method based on measurement of absorbance values rather than absorbance difference was found to be convenient for all routine work. However, scanning is essential since there is slight shifting of peak position. Measurements at fixed wave lengths should generally be avoided. Use of standards for calibration of instrument is essential and frequent check of calibration is recommended. Optimum conditions for analysis of heavy water in different ranges on the instrument used in this study are tabulated. (author). 6 refs., 1 tab

  4. Single-intensity-recording optical encryption technique based on phase retrieval algorithm and QR code

    Science.gov (United States)

    Wang, Zhi-peng; Zhang, Shuai; Liu, Hong-zhao; Qin, Yi

    2014-12-01

    Based on phase retrieval algorithm and QR code, a new optical encryption technology that only needs to record one intensity distribution is proposed. In this encryption process, firstly, the QR code is generated from the information to be encrypted; and then the generated QR code is placed in the input plane of 4-f system to have a double random phase encryption. For only one intensity distribution in the output plane is recorded as the ciphertext, the encryption process is greatly simplified. In the decryption process, the corresponding QR code is retrieved using phase retrieval algorithm. A priori information about QR code is used as support constraint in the input plane, which helps solve the stagnation problem. The original information can be recovered without distortion by scanning the QR code. The encryption process can be implemented either optically or digitally, and the decryption process uses digital method. In addition, the security of the proposed optical encryption technology is analyzed. Theoretical analysis and computer simulations show that this optical encryption system is invulnerable to various attacks, and suitable for harsh transmission conditions.

  5. Transfer function for a superficial layer. Parametric analysis and relationship with SM records

    International Nuclear Information System (INIS)

    Sandi, H.; Stancu, O.

    2002-01-01

    The developments presented were aimed at providing an analytical and computational support for a research project intended to examine the contribution of source mechanism and of local conditions to the features of ground motion due to Vrancea earthquakes. The project referred to is being developed jointly, by the Academy of Technical Sciences of Romania, the Institute of Geodynamics, the Technical University of Civil Engineering, Bucharest, and GEOTEC, Bucharest. The modelling of the phenomenon of seismic oscillations of ground was based on assumptions of physical and geometrical linearity. The dynamic systems considered were assumed to consist of a sequence of plane = parallel homogeneous geologic layers, accepting that the relevant physical characteristics (thickness, density, low frequency S-wave velocity, rheological characteristic) are constant for a layer, but may change from one layer to another). Alternative constitutive laws were considered (the laws referred to were of Kelvin - Voigt, Poynting and Sorokin types). The transfer function of a geological package is determined as a product of transfer functions of the successive homogeneous layers. A first step of analysis corresponded to the consideration of a single homogeneous layer, for which full analytical solutions could be derived. A parametric analysis, aimed at determining the transfer function, was undertaken considering alternative (credible) values for the parameters characterizing the constitutive laws referred to. Considering alternative possible situations, it turned out that a strong amplification occurs (for any type of constitutive law) especially for the fundamental mode of the dynamic system, while the amplification is weaker for the upper normal modes. These results correlate well with the outcome of analysis of the spectral content of ground motion as obtained from the processing of strong motion records. The most striking fact is represented by the important modifications of the

  6. Selecting a summation base in diffraction transformation of seismic recordings (in an example of Northern Sakhalin)

    Energy Technology Data Exchange (ETDEWEB)

    Bulatov, M.G.; Telegin, A.N.

    1984-01-01

    The effect of the dimensions of a processing base on the results of diffraction transformation of seismic recordings is examined. A formula is cited for rating the optimal summation base on the basis of a proposed range of slant angles of the reflecting boundaries. The recommendations for selecting a processing base are confirmed by factual material.

  7. DTI analysis methods : Voxel-based analysis

    NARCIS (Netherlands)

    Van Hecke, Wim; Leemans, Alexander; Emsell, Louise

    2016-01-01

    Voxel-based analysis (VBA) of diffusion tensor imaging (DTI) data permits the investigation of voxel-wise differences or changes in DTI metrics in every voxel of a brain dataset. It is applied primarily in the exploratory analysis of hypothesized group-level alterations in DTI parameters, as it does

  8. Holographic memory system based on projection recording of computer-generated 1D Fourier holograms.

    Science.gov (United States)

    Betin, A Yu; Bobrinev, V I; Donchenko, S S; Odinokov, S B; Evtikhiev, N N; Starikov, R S; Starikov, S N; Zlokazov, E Yu

    2014-10-01

    Utilization of computer generation of holographic structures significantly simplifies the optical scheme that is used to record the microholograms in a holographic memory record system. Also digital holographic synthesis allows to account the nonlinear errors of the record system to improve the microholograms quality. The multiplexed record of holograms is a widespread technique to increase the data record density. In this article we represent the holographic memory system based on digital synthesis of amplitude one-dimensional (1D) Fourier transform holograms and the multiplexed record of these holograms onto the holographic carrier using optical projection scheme. 1D Fourier transform holograms are very sensitive to orientation of the anamorphic optical element (cylindrical lens) that is required for encoded data object reconstruction. The multiplex record of several holograms with different orientation in an optical projection scheme allowed reconstruction of the data object from each hologram by rotating the cylindrical lens on the corresponding angle. Also, we discuss two optical schemes for the recorded holograms readout: a full-page readout system and line-by-line readout system. We consider the benefits of both systems and present the results of experimental modeling of 1D Fourier holograms nonmultiplex and multiplex record and reconstruction.

  9. Near-field optical recording based on solid immersion lens system

    Science.gov (United States)

    Hong, Tao; Wang, Jia; Wu, Yan; Li, Dacheng

    2002-09-01

    Near-field optical recording based on solid immersion lens (SIL) system has attracted great attention in the field of high-density data storage in recent years. The diffraction limited spot size in optical recording and lithography can be decreased by utilizing the SIL. The SIL near-field optical storage has advantages of high density, mass storage capacity and compatibility with many technologies well developed. We have set up a SIL near-field static recording system. The recording medium is placed on a 3-D scanning stage with the scanning range of 70×70×70μm and positioning accuracy of sub-nanometer, which will ensure the rigorous separation control in SIL system and the precision motion of the recording medium. The SIL is mounted on an inverted microscope. The focusing between long working distance objective and SIL can be monitored and observed by the CCD camera and eyes. Readout signal can be collected by a detector. Some experiments have been performed based on the SIL near-field recording system. The attempt of the near-field recording on photochromic medium has been made and the resolution improvement of the SIL has been presented. The influence factors in SIL near-field recording system are also discussed in the paper.

  10. Ex post power economic analysis of record of decision operational restrictions at Glen Canyon Dam.

    Energy Technology Data Exchange (ETDEWEB)

    Veselka, T. D.; Poch, L. A.; Palmer, C. S.; Loftin, S.; Osiek, B; Decision and Information Sciences; Western Area Power Administration

    2010-07-31

    On October 9, 1996, Bruce Babbitt, then-Secretary of the U.S. Department of the Interior signed the Record of Decision (ROD) on operating criteria for the Glen Canyon Dam (GCD). Criteria selected were based on the Modified Low Fluctuating Flow (MLFF) Alternative as described in the Operation of Glen Canyon Dam, Colorado River Storage Project, Arizona, Final Environmental Impact Statement (EIS) (Reclamation 1995). These restrictions reduced the operating flexibility of the hydroelectric power plant and therefore its economic value. The EIS provided impact information to support the ROD, including an analysis of operating criteria alternatives on power system economics. This ex post study reevaluates ROD power economic impacts and compares these results to the economic analysis performed prior (ex ante) to the ROD for the MLFF Alternative. On the basis of the methodology used in the ex ante analysis, anticipated annual economic impacts of the ROD were estimated to range from approximately $15.1 million to $44.2 million in terms of 1991 dollars ($1991). This ex post analysis incorporates historical events that took place between 1997 and 2005, including the evolution of power markets in the Western Electricity Coordinating Council as reflected in market prices for capacity and energy. Prompted by ROD operational restrictions, this analysis also incorporates a decision made by the Western Area Power Administration to modify commitments that it made to its customers. Simulated operations of GCD were based on the premise that hourly production patterns would maximize the economic value of the hydropower resource. On the basis of this assumption, it was estimated that economic impacts were on average $26.3 million in $1991, or $39 million in $2009.

  11. Modeling a terminology-based electronic nursing record system: an object-oriented approach.

    Science.gov (United States)

    Park, Hyeoun-Ae; Cho, InSook; Byeun, NamSoo

    2007-10-01

    The aim of this study was to present our perspectives on healthcare information analysis at a conceptual level and the lessons learned from our experience with the development of a terminology-based enterprise electronic nursing record system - which was one of components in an EMR system at a tertiary teaching hospital in Korea - using an object-oriented system analysis and design concept. To ensure a systematic approach and effective collaboration, the department of nursing constituted a system modeling team comprising a project manager, systems analysts, user representatives, an object-oriented methodology expert, and healthcare informaticists (including the authors). A rational unified process (RUP) and the Unified Modeling Language were used as a development process and for modeling notation, respectively. From the scenario and RUP approach, user requirements were formulated into use case sets and the sequence of activities in the scenario was depicted in an activity diagram. The structure of the system was presented in a class diagram. This approach allowed us to identify clearly the structural and behavioral states and important factors of a terminology-based ENR system (e.g., business concerns and system design concerns) according to the viewpoints of both domain and technical experts.

  12. CONTEXT BASED FOOD IMAGE ANALYSIS

    OpenAIRE

    He, Ye; Xu, Chang; Khanna, Nitin; Boushey, Carol J.; Delp, Edward J.

    2013-01-01

    We are developing a dietary assessment system that records daily food intake through the use of food images. Recognizing food in an image is difficult due to large visual variance with respect to eating or preparation conditions. This task becomes even more challenging when different foods have similar visual appearance. In this paper we propose to incorporate two types of contextual dietary information, food co-occurrence patterns and personalized learning models, in food image analysis to r...

  13. Identification of input variables for feature based artificial neural networks-saccade detection in EOG recordings.

    Science.gov (United States)

    Tigges, P; Kathmann, N; Engel, R R

    1997-07-01

    Though artificial neural networks (ANN) are excellent tools for pattern recognition problems when signal to noise ratio is low, the identification of decision relevant features for ANN input data is still a crucial issue. The experience of the ANN designer and the existing knowledge and understanding of the problem seem to be the only links for a specific construction. In the present study a backpropagation ANN based on modified raw data inputs showed encouraging results. Investigating the specific influences of prototypical input patterns on a specially designed ANN led to a new sparse and efficient input data presentation. This data coding obtained by a semiautomatic procedure combining existing expert knowledge and the internal representation structures of the raw data based ANN yielded a list of feature vectors, each representing the relevant information for saccade identification. The feature based ANN produced a reduction of the error rate of nearly 40% compared with the raw data ANN. An overall correct classification of 92% of so far unknown data was realized. The proposed method of extracting internal ANN knowledge for the production of a better input data representation is not restricted to EOG recordings, and could be used in various fields of signal analysis.

  14. Design of a system based on DSP and FPGA for video recording and replaying

    Science.gov (United States)

    Kang, Yan; Wang, Heng

    2013-08-01

    This paper brings forward a video recording and replaying system with the architecture of Digital Signal Processor (DSP) and Field Programmable Gate Array (FPGA). The system achieved encoding, recording, decoding and replaying of Video Graphics Array (VGA) signals which are displayed on a monitor during airplanes and ships' navigating. In the architecture, the DSP is a main processor which is used for a large amount of complicated calculation during digital signal processing. The FPGA is a coprocessor for preprocessing video signals and implementing logic control in the system. In the hardware design of the system, Peripheral Device Transfer (PDT) function of the External Memory Interface (EMIF) is utilized to implement seamless interface among the DSP, the synchronous dynamic RAM (SDRAM) and the First-In-First-Out (FIFO) in the system. This transfer mode can avoid the bottle-neck of the data transfer and simplify the circuit between the DSP and its peripheral chips. The DSP's EMIF and two level matching chips are used to implement Advanced Technology Attachment (ATA) protocol on physical layer of the interface of an Integrated Drive Electronics (IDE) Hard Disk (HD), which has a high speed in data access and does not rely on a computer. Main functions of the logic on the FPGA are described and the screenshots of the behavioral simulation are provided in this paper. In the design of program on the DSP, Enhanced Direct Memory Access (EDMA) channels are used to transfer data between the FIFO and the SDRAM to exert the CPU's high performance on computing without intervention by the CPU and save its time spending. JPEG2000 is implemented to obtain high fidelity in video recording and replaying. Ways and means of acquiring high performance for code are briefly present. The ability of data processing of the system is desirable. And smoothness of the replayed video is acceptable. By right of its design flexibility and reliable operation, the system based on DSP and FPGA

  15. Multi-scale dynamical analysis (MSDA) of sea level records versus PDO, AMO, and NAO indexes

    OpenAIRE

    Scafetta, Nicola

    2013-01-01

    Herein I propose a multi-scale dynamical analysis to facilitate the physical interpretation of tide gauge records. The technique uses graphical diagrams. It is applied to six secular-long tide gauge records representative of the world oceans: Sydney, Pacific coast of Australia; Fremantle, Indian Ocean coast of Australia; New York City, Atlantic coast of USA; Honolulu, U.S. state of Hawaii; San Diego, U.S. state of California; and Venice, Mediterranean Sea, Italy. For comparison, an equivalent...

  16. Validity of recalled v. recorded birth weight: a systematic review and meta-analysis

    OpenAIRE

    Shenkin, S.D.; Zhang, M.G.; Der, G.; Mathur, S.; Mina, T.H.; Reynolds, R.M.

    2017-01-01

    Low birth weight is associated with adverse health outcomes. If birth weight records are not available, studies may use recalled birth weight. It is unclear whether this is reliable. We performed a systematic review and meta-analysis of studies comparing recalled with recorded birth weights. We followed the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) statement and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched MEDLINE, EM...

  17. AN ANALYSIS OF OFF RECORD STRATEGIES REFLECTING POLITENESS IMPLICATURE IN “OPRAH WINFREY SHOW”

    Directory of Open Access Journals (Sweden)

    Rahma Yanti

    2017-08-01

    Full Text Available This thesis discusses strategies off the record that describes implicatures modesty in a conversation. Off record strategy is one of the five strategies. This strategy is discussed for the use of the language used in the forms of direct. The object of research are strategies off the record that describes implicatures politeness in a famous talk show in America, namely, "Oprah Winfrey Show". The data were taken using methods refer to refer techniques involved free conversation, where the author was not involved in the dialogue that occurs because the data is taken from the TV show, recording technique with the aid of a recorded tape. Furthermore, the authors use the technique CAAT by way of transcribing talk show back in the form transcription ortrografis. This analysis uses methods equivalent pragmatic look at the role of external factors of language, especially the factor of interlocutors on selection strategies used off record. The results showed that the context of the situation and the violations of the maxim of conversation will influence the choice of strategies used off record. However there are some cases when this option do not follow the rules. This is because of other factors that come into play in a conbersation such as an intonation. mplicatures appear generally in the form of affirmation that is used in polite. In one sentence found two or more strategy off record selected speakers.

  18. Web-based online system for recording and examing of events in power plants

    International Nuclear Information System (INIS)

    Seyd Farshi, S.; Dehghani, M.

    2004-01-01

    Occurrence of events in power plants could results in serious drawbacks in generation of power. This suggests high degree of importance for online recording and examing of events. In this paper an online web-based system is introduced, which records and examines events in power plants. Throughout the paper, procedures for design and implementation of this system, its features and results gained are explained. this system provides predefined level of online access to all data of events for all its users in power plants, dispatching, regional utilities and top-level managers. By implementation of electric power industry intranet, an expandable modular system to be used in different sectors of industry is offered. Web-based online recording and examing system for events offers the following advantages: - Online recording of events in power plants. - Examing of events in regional utilities. - Access to event' data. - Preparing managerial reports

  19. Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors.

    Science.gov (United States)

    Ratwani, Raj M; Fairbanks, Rollin J; Hettinger, A Zachary; Benda, Natalie C

    2015-11-01

    The usability of electronic health records (EHRs) continues to be a point of dissatisfaction for providers, despite certification requirements from the Office of the National Coordinator that require EHR vendors to employ a user-centered design (UCD) process. To better understand factors that contribute to poor usability, a research team visited 11 different EHR vendors in order to analyze their UCD processes and discover the specific challenges that vendors faced as they sought to integrate UCD with their EHR development. Our analysis demonstrates a diverse range of vendors' UCD practices that fall into 3 categories: well-developed UCD, basic UCD, and misconceptions of UCD. Specific challenges to practicing UCD include conducting contextually rich studies of clinical workflow, recruiting participants for usability studies, and having support from leadership within the vendor organization. The results of the study provide novel insights for how to improve usability practices of EHR vendors. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  20. Validity of a hospital-based obstetric register using medical records as reference

    DEFF Research Database (Denmark)

    Brixval, Carina Sjöberg; Thygesen, Lau Caspar; Johansen, Nanna Roed

    2015-01-01

    BACKGROUND: Data from hospital-based registers and medical records offer valuable sources of information for clinical and epidemiological research purposes. However, conducting high-quality epidemiological research requires valid and complete data sources. OBJECTIVE: To assess completeness...... and validity of a hospital-based clinical register - the Obstetric Database - using a national register and medical records as references. METHODS: We assessed completeness of a hospital-based clinical register - the Obstetric Database - by linking data from all women registered in the Obstetric Database...... Database therefore offers a valuable source for examining clinical, administrative, and research questions....

  1. Secure Management of Personal Health Records by Applying Attribute-Based Encryption

    NARCIS (Netherlands)

    Ibraimi, L.; Asim, Muhammad; Petkovic, M.

    2009-01-01

    The confidentiality of personal health records is a major problem when patients use commercial Web-based systems to store their health data. Traditional access control mechanisms, such as Role-Based Access Control, have several limitations with respect to enforcing access control policies and

  2. A Kinect-based system for automatic recording of some pigeon behaviors.

    Science.gov (United States)

    Lyons, Damian M; MacDonall, James S; Cunningham, Kelly M

    2015-12-01

    Contact switches and touch screens are the state of the art for recording pigeons' pecking behavior. Recording other behavior, however, requires a different sensor for each behavior, and some behaviors cannot easily be recorded. We present a flexible and inexpensive image-based approach to detecting and counting pigeon behaviors that is based on the Kinect sensor from Microsoft. Although the system is as easy to set up and use as the standard approaches, it is more flexible because it can record behaviors in addition to key pecking. In this article, we show how both the fast, fine motion of key pecking and the gross body activity of feeding can be measured. Five pigeons were trained to peck at a lighted contact switch, a pigeon key, to obtain food reward. The timing of the pecks and the food reward signals were recorded in a log file using standard equipment. The Kinect-based system, called BehaviorWatch, also measured the pecking and feeding behavior and generated a different log file. For key pecking, BehaviorWatch had an average sensitivity of 95% and a precision of 91%, which were very similar to the pecking measurements from the standard equipment. For detecting feeding activity, BehaviorWatch had a sensitivity of 95% and a precision of 97%. These results allow us to demonstrate that an advantage of the Kinect-based approach is that it can also be reliably used to measure activity other than key pecking.

  3. THE EVOLUTION OF THE FILM ANALYSIS OF INTERACTION RECORD (FAIR) FROM THE AMIDON-FLANDERS INTERACTION ANALYSIS. APPENDIX G.

    Science.gov (United States)

    BALDWIN, PATRICIA

    A DETAILED LISTING IS GIVEN OF THE REVISIONS THAT WERE MADE TO THE AMIDON-FLANDERS INTERACTION ANALYSIS SCALE WHILE THE FILM ANALYSIS OF INTERACTION RECORD (FAIR) SCALE WAS BEING DEVELOPED. COMMENTS ARE GIVEN FOR GUIDANCE IN THE USE OF SOME OF THE RATINGS ALONG WITH SOME GROUND RULES AND GUIDELINES FOR MAKING A FILM RATING. RELATED REPORTS ARE AA…

  4. De-identification of unstructured paper-based health records for privacy-preserving secondary use.

    Science.gov (United States)

    Fenz, Stefan; Heurix, Johannes; Neubauer, Thomas; Rella, Antonio

    2014-07-01

    Abstract Whenever personal data is processed, privacy is a serious issue. Especially in the document-centric e-health area, the patients' privacy must be preserved in order to prevent any negative repercussions for the patient. Clinical research, for example, demands structured health records to carry out efficient clinical trials, whereas legislation (e.g. HIPAA) regulates that only de-identified health records may be used for research. However, unstructured and often paper-based data dominates information technology, especially in the healthcare sector. Existing approaches are geared towards data in English-language documents only and have not been designed to handle the recognition of erroneous personal data which is the result of the OCR-based digitization of paper-based health records.

  5. Computer analysis of sound recordings from two Anasazi sites in northwestern New Mexico

    Science.gov (United States)

    Loose, Richard

    2002-11-01

    Sound recordings were made at a natural outdoor amphitheater in Chaco Canyon and in a reconstructed great kiva at Aztec Ruins. Recordings included computer-generated tones and swept sine waves, classical concert flute, Native American flute, conch shell trumpet, and prerecorded music. Recording equipment included analog tape deck, digital minidisk recorder, and direct digital recording to a laptop computer disk. Microphones and geophones were used as transducers. The natural amphitheater lies between the ruins of Pueblo Bonito and Chetro Ketl. It is a semicircular arc in a sandstone cliff measuring 500 ft. wide and 75 ft. high. The radius of the arc was verified with aerial photography, and an acoustic ray trace was generated using cad software. The arc is in an overhanging cliff face and brings distant sounds to a line focus. Along this line, there are unusual acoustic effects at conjugate foci. Time history analysis of recordings from both sites showed that a 60-dB reverb decay lasted from 1.8 to 2.0 s, nearly ideal for public performances of music. Echoes from the amphitheater were perceived to be upshifted in pitch, but this was not seen in FFT analysis. Geophones placed on the floor of the great kiva showed a resonance at 95 Hz.

  6. Social science and linguistic text analysis of nurses' records: a systematic review and critique.

    Science.gov (United States)

    Buus, Niels; Hamilton, Bridget Elizabeth

    2016-03-01

    The two aims of the paper were to systematically review and critique social science and linguistic text analyses of nursing records in order to inform future research in this emerging area of research. Systematic searches in reference databases and in citation indexes identified 12 articles that included analyses of the social and linguistic features of records and recording. Two reviewers extracted data using established criteria for the evaluation of qualitative research papers. A common characteristic of nursing records was the economical use of language with local meanings that conveyed little information to the uninitiated reader. Records were dominated by technocratic-medical discourse focused on patients' bodies, and they depicted only very limited aspects of nursing practice. Nurses made moral evaluations in their categorisation of patients, which reflected detailed surveillance of patients' disturbing behaviour. The text analysis methods were rarely transparent in the articles, which could suggest research quality problems. For most articles, the significance of the findings was substantiated more by theoretical readings of the institutional settings than by the analysis of textual data. More probing empirical research of nurses' records and a wider range of theoretical perspectives has the potential to expose the situated meanings of nursing work in healthcare organisations. © 2015 John Wiley & Sons Ltd.

  7. Geometric Data Perturbation-Based Personal Health Record Transactions in Cloud Computing

    Science.gov (United States)

    Balasubramaniam, S.; Kavitha, V.

    2015-01-01

    Cloud computing is a new delivery model for information technology services and it typically involves the provision of dynamically scalable and often virtualized resources over the Internet. However, cloud computing raises concerns on how cloud service providers, user organizations, and governments should handle such information and interactions. Personal health records represent an emerging patient-centric model for health information exchange, and they are outsourced for storage by third parties, such as cloud providers. With these records, it is necessary for each patient to encrypt their own personal health data before uploading them to cloud servers. Current techniques for encryption primarily rely on conventional cryptographic approaches. However, key management issues remain largely unsolved with these cryptographic-based encryption techniques. We propose that personal health record transactions be managed using geometric data perturbation in cloud computing. In our proposed scheme, the personal health record database is perturbed using geometric data perturbation and outsourced to the Amazon EC2 cloud. PMID:25767826

  8. Geometric Data Perturbation-Based Personal Health Record Transactions in Cloud Computing

    Directory of Open Access Journals (Sweden)

    S. Balasubramaniam

    2015-01-01

    Full Text Available Cloud computing is a new delivery model for information technology services and it typically involves the provision of dynamically scalable and often virtualized resources over the Internet. However, cloud computing raises concerns on how cloud service providers, user organizations, and governments should handle such information and interactions. Personal health records represent an emerging patient-centric model for health information exchange, and they are outsourced for storage by third parties, such as cloud providers. With these records, it is necessary for each patient to encrypt their own personal health data before uploading them to cloud servers. Current techniques for encryption primarily rely on conventional cryptographic approaches. However, key management issues remain largely unsolved with these cryptographic-based encryption techniques. We propose that personal health record transactions be managed using geometric data perturbation in cloud computing. In our proposed scheme, the personal health record database is perturbed using geometric data perturbation and outsourced to the Amazon EC2 cloud.

  9. Geometric data perturbation-based personal health record transactions in cloud computing.

    Science.gov (United States)

    Balasubramaniam, S; Kavitha, V

    2015-01-01

    Cloud computing is a new delivery model for information technology services and it typically involves the provision of dynamically scalable and often virtualized resources over the Internet. However, cloud computing raises concerns on how cloud service providers, user organizations, and governments should handle such information and interactions. Personal health records represent an emerging patient-centric model for health information exchange, and they are outsourced for storage by third parties, such as cloud providers. With these records, it is necessary for each patient to encrypt their own personal health data before uploading them to cloud servers. Current techniques for encryption primarily rely on conventional cryptographic approaches. However, key management issues remain largely unsolved with these cryptographic-based encryption techniques. We propose that personal health record transactions be managed using geometric data perturbation in cloud computing. In our proposed scheme, the personal health record database is perturbed using geometric data perturbation and outsourced to the Amazon EC2 cloud.

  10. Continuous Record Laplace-based Inference about the Break Date in Structural Change Models

    OpenAIRE

    Casini, Alessandro; Perron, Pierre

    2018-01-01

    Building upon the continuous record asymptotic framework recently introduced by Casini and Perron (2017a) for inference in structural change models, we propose a Laplace-based (Quasi-Bayes) procedure for the construction of the estimate and confidence set for the date of a structural change. The procedure relies on a Laplace-type estimator defined by an integration-based rather than an optimization-based method. A transformation of the leastsquares criterion function is evaluated in order to ...

  11. Unbiased analysis of geomagnetic data sets and comparison of historical data with paleomagnetic and archeomagnetic records

    Science.gov (United States)

    Arneitz, Patrick; Egli, Ramon; Leonhardt, Roman

    2017-03-01

    Reconstructions of the past geomagnetic field provide fundamental constraints for understanding the dynamics of the Earth's interior, as well as serving as basis for magnetostratigraphic and archeomagnetic dating tools. Such reconstructions, when extending over epochs that precede the advent of instrumental measurements, rely exclusively on magnetic records from archeological artifacts, and, further in the past, from rocks and sediments. The most critical component of such indirect records is field intensity because of possible biases introduced by material properties and by laboratory protocols, which do not reproduce exactly the original field recording conditions. Large biases are usually avoided by the use of appropriate checking procedures; however, smaller ones can remain undetected in individual studies and might significantly affect field reconstructions. We introduce a new general approach for analyzing geomagnetic databases in order to investigate the reliability of indirect records. This approach is based on the comparison of historical records with archeomagnetic and volcanic data, considering temporal and spatial mismatches with adequate weighting functions and error estimation. A good overall agreement is found between indirect records and historical measurements, while for several subsets systematic bias is detected (e.g., inclination shallowing of lava records). We also demonstrate that simple approaches to analyzing highly inhomogeneous and internally correlated paleomagnetic data sets can lead to incorrect conclusions about the efficiency of quality checks and corrections. Consistent criteria for selecting and weighting data are presented in this review and can be used to improve current geomagnetic field modeling techniques.

  12. Base compaction specification feasibility analysis.

    Science.gov (United States)

    2012-12-01

    The objective of this research is to establish the technical engineering and cost : analysis concepts that will enable WisDOT management to objectively evaluate the : feasibility of switching construction specification philosophies for aggregate base...

  13. Validity of recalled v. recorded birth weight: a systematic review and meta-analysis.

    Science.gov (United States)

    Shenkin, S D; Zhang, M G; Der, G; Mathur, S; Mina, T H; Reynolds, R M

    2017-04-01

    Low birth weight is associated with adverse health outcomes. If birth weight records are not available, studies may use recalled birth weight. It is unclear whether this is reliable. We performed a systematic review and meta-analysis of studies comparing recalled with recorded birth weights. We followed the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) statement and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched MEDLINE, EMBASE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) to May 2015. We included studies that reported recalled birth weight and recorded birth weight. We excluded studies investigating a clinical population. Two reviewers independently reviewed citations, extracted data, assessed risk of bias. Data were pooled in a random effects meta-analysis for correlation and mean difference. In total, 40 studies were eligible for qualitative synthesis (n=78,997 births from 78,196 parents). Agreement between recalled and recorded birth weight was high: pooled estimate of correlation in 23 samples from 19 studies (n=7406) was 0.90 [95% confidence interval (CI) 0.87-0.93]. The difference between recalled and recorded birth weight in 29 samples from 26 studies (n=29,293) was small [range -86-129 g; random effects estimate 1.4 g (95% CI -4.0-6.9 g)]. Studies were heterogeneous, with no evidence for an effect of time since birth, person reporting, recall bias, or birth order. In post-hoc subgroup analysis, recall was higher than recorded birth weight by 80 g (95% CI 57-103 g) in low and middle income countries. In conclusion, there is high agreement between recalled and recorded birth weight. If birth weight is recalled, it is suitable for use in epidemiological studies, at least in high income countries.

  14. Preliminary analysis on faint luminous lightning events recorded by multiple high speed cameras

    Science.gov (United States)

    Alves, J.; Saraiva, A. V.; Pinto, O.; Campos, L. Z.; Antunes, L.; Luz, E. S.; Medeiros, C.; Buzato, T. S.

    2013-12-01

    The objective of this work is the study of some faint luminous events produced by lightning flashes that were recorded simultaneously by multiple high-speed cameras during the previous RAMMER (Automated Multi-camera Network for Monitoring and Study of Lightning) campaigns. The RAMMER network is composed by three fixed cameras and one mobile color camera separated by, in average, distances of 13 kilometers. They were located in the Paraiba Valley (in the cities of São José dos Campos and Caçapava), SP, Brazil, arranged in a quadrilateral shape, centered in São José dos Campos region. This configuration allowed RAMMER to see a thunderstorm from different angles, registering the same lightning flashes simultaneously by multiple cameras. Each RAMMER sensor is composed by a triggering system and a Phantom high-speed camera version 9.1, which is set to operate at a frame rate of 2,500 frames per second with a lens Nikkor (model AF-S DX 18-55 mm 1:3.5 - 5.6 G in the stationary sensors, and a lens model AF-S ED 24 mm - 1:1.4 in the mobile sensor). All videos were GPS (Global Positioning System) time stamped. For this work we used a data set collected in four RAMMER manual operation days in the campaign of 2012 and 2013. On Feb. 18th the data set is composed by 15 flashes recorded by two cameras and 4 flashes recorded by three cameras. On Feb. 19th a total of 5 flashes was registered by two cameras and 1 flash registered by three cameras. On Feb. 22th we obtained 4 flashes registered by two cameras. Finally, in March 6th two cameras recorded 2 flashes. The analysis in this study proposes an evaluation methodology for faint luminous lightning events, such as continuing current. Problems in the temporal measurement of the continuing current can generate some imprecisions during the optical analysis, therefore this work aim to evaluate the effects of distance in this parameter with this preliminary data set. In the cases that include the color camera we analyzed the RGB

  15. Development of an algorithm for heartbeats detection and classification in Holter records based on temporal and morphological features

    International Nuclear Information System (INIS)

    García, A; Romano, H; Laciar, E; Correa, R

    2011-01-01

    In this work a detection and classification algorithm for heartbeats analysis in Holter records was developed. First, a QRS complexes detector was implemented and their temporal and morphological characteristics were extracted. A vector was built with these features; this vector is the input of the classification module, based on discriminant analysis. The beats were classified in three groups: Premature Ventricular Contraction beat (PVC), Atrial Premature Contraction beat (APC) and Normal Beat (NB). These beat categories represent the most important groups of commercial Holter systems. The developed algorithms were evaluated in 76 ECG records of two validated open-access databases 'arrhythmias MIT BIH database' and M IT BIH supraventricular arrhythmias database . A total of 166343 beats were detected and analyzed, where the QRS detection algorithm provides a sensitivity of 99.69 % and a positive predictive value of 99.84 %. The classification stage gives sensitivities of 97.17% for NB, 97.67% for PCV and 92.78% for APC.

  16. Waveform shape analysis: extraction of physiologically relevant information from Doppler recordings.

    Science.gov (United States)

    Ramsay, M M; Broughton Pipkin, F; Rubin, P C; Skidmore, R

    1994-05-01

    1. Doppler recordings were made from the brachial artery of healthy female subjects during a series of manoeuvres which altered the pressure-flow characteristics of the vessel. 2. Changes were induced in the peripheral circulation of the forearm by the application of heat or ice-packs. A sphygmomanometer cuff was used to create graded occlusion of the vessel above and below the point of measurement. Recordings were also made whilst the subjects performed a standardized Valsalva manoeuvre. 3. The Doppler recordings were analysed both with the standard waveform indices (systolic/diastolic ratio, pulsatility index and resistance index) and by the method of Laplace transform analysis. 4. The waveform parameters obtained by Laplace transform analysis distinguished the different changes in flow conditions; they thus had direct physiological relevance, unlike the standard waveform indices.

  17. Image-based electronic patient records for secured collaborative medical applications.

    Science.gov (United States)

    Zhang, Jianguo; Sun, Jianyong; Yang, Yuanyuan; Liang, Chenwen; Yao, Yihong; Cai, Weihua; Jin, Jin; Zhang, Guozhen; Sun, Kun

    2005-01-01

    We developed a Web-based system to interactively display image-based electronic patient records (EPR) for secured intranet and Internet collaborative medical applications. The system consists of four major components: EPR DICOM gateway (EPR-GW), Image-based EPR repository server (EPR-Server), Web Server and EPR DICOM viewer (EPR-Viewer). In the EPR-GW and EPR-Viewer, the security modules of Digital Signature and Authentication are integrated to perform the security processing on the EPR data with integrity and authenticity. The privacy of EPR in data communication and exchanging is provided by SSL/TLS-based secure communication. This presentation gave a new approach to create and manage image-based EPR from actual patient records, and also presented a way to use Web technology and DICOM standard to build an open architecture for collaborative medical applications.

  18. Results from a survey of national immunization programmes on home-based vaccination record practices in 2013.

    Science.gov (United States)

    Young, Stacy L; Gacic-Dobo, Marta; Brown, David W

    2015-07-01

    Data on home-based records (HBRs) practices within national immunization programmes are non-existent, making it difficult to determine whether current efforts of immunization programmes related to basic recording of immunization services are appropriately focused. During January 2014, WHO and the United Nations Children's Fund sent a one-page questionnaire to 195 countries to obtain information on HBRs including type of record used, number of records printed, whether records were provided free-of-charge or required by schools, whether there was a stock-out and the duration of any stock-outs that occurred, as well as the total expenditure for printing HBRs during 2013. A total of 140 countries returned a completed HBR questionnaire. Two countries were excluded from analysis because they did not use a HBR during 2013. HBR types varied across countries (vaccination only cards, 32/138 [23.1%]; vaccination plus growth monitoring records, 31/138 [22.4%]; child health books, 48/138 [34.7%]; combination of these, 27/138 [19.5%] countries). HBRs were provided free-of-charge in 124/138 (89.8%) respondent countries. HBRs were required for school entry in 62/138 (44.9%) countries. Nearly a quarter of countries reported HBR stock-outs during 2013. Computed printing cost per record was work remains to improve forecasting where appropriate, to prevent HBR stock-outs, to identify and improve sustainable financing options and to explore viable market shaping opportunities. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  19. Microscopic analysis on showers recorded as single core on X-ray films

    International Nuclear Information System (INIS)

    Amato, N.M.; Arata, N.; Maldonado, R.H.C.

    1983-01-01

    Cosmic-ray particles recorded as single dark spots on X-ray films with use of the emulsion chamber data of Brazil-Japan Collaboration are studied. Some results of microscopic analysis of such single-core-like showers on nuclear emulsion plates are reported. (Author) [pt

  20. The role of records management professionals in optical disk-based document imaging systems in the petroleum industry

    International Nuclear Information System (INIS)

    Cisco, S.L.

    1992-01-01

    Analyses of the data indicated that nearly one third of the 83 companies in this study had implemented one or more document imaging systems. Companies with imaging systems mostly were large (more than 1,001 employees), and mostly were international in scope. Although records management professionals traditionally were delegated responsibility for acquiring, designing, implementing, and maintaining paper-based information systems and the records therein, when records were converted to optical disks, responsibility for acquiring, designing, implementing, and maintaining optical disk-based information systems and the records therein, was delegated more frequently to end user departments and IS/MIS/DP professionals than to records professionals. Records management professionals assert that the need of an organization for a comprehensive records management program is not served best when individuals who are not professional records managers are responsible for the records stored in optical disk-based information systems

  1. Results from a survey of national immunization programmes on home-based vaccination record practices in 2013

    OpenAIRE

    Young, Stacy L.; Gacic-Dobo, Marta; Brown, David W.

    2015-01-01

    Background Data on home-based records (HBRs) practices within national immunization programmes are non-existent, making it difficult to determine whether current efforts of immunization programmes related to basic recording of immunization services are appropriately focused. Methods During January 2014, WHO and the United Nations Children's Fund sent a one-page questionnaire to 195 countries to obtain information on HBRs including type of record used, number of records printed, whether record...

  2. Analysis of condensed matter physics records in databases. Science and technology indicators in condensed matter physics

    International Nuclear Information System (INIS)

    Hillebrand, C.D.

    1999-05-01

    An analysis of the literature on Condensed Matter Physics, with particular emphasis on High Temperature Superconductors, was performed on the contents of the bibliographic database International Nuclear Information System (INIS). Quantitative data were obtained on various characteristics of the relevant INIS records such as subject categories, language and country of publication, publication types, etc. The analysis opens up the possibility for further studies, e.g. on international research co-operation and on publication patterns. (author)

  3. A cloud-based framework for large-scale traditional Chinese medical record retrieval.

    Science.gov (United States)

    Liu, Lijun; Liu, Li; Fu, Xiaodong; Huang, Qingsong; Zhang, Xianwen; Zhang, Yin

    2018-01-01

    Electronic medical records are increasingly common in medical practice. The secondary use of medical records has become increasingly important. It relies on the ability to retrieve the complete information about desired patient populations. How to effectively and accurately retrieve relevant medical records from large- scale medical big data is becoming a big challenge. Therefore, we propose an efficient and robust framework based on cloud for large-scale Traditional Chinese Medical Records (TCMRs) retrieval. We propose a parallel index building method and build a distributed search cluster, the former is used to improve the performance of index building, and the latter is used to provide high concurrent online TCMRs retrieval. Then, a real-time multi-indexing model is proposed to ensure the latest relevant TCMRs are indexed and retrieved in real-time, and a semantics-based query expansion method and a multi- factor ranking model are proposed to improve retrieval quality. Third, we implement a template-based visualization method for displaying medical reports. The proposed parallel indexing method and distributed search cluster can improve the performance of index building and provide high concurrent online TCMRs retrieval. The multi-indexing model can ensure the latest relevant TCMRs are indexed and retrieved in real-time. The semantics expansion method and the multi-factor ranking model can enhance retrieval quality. The template-based visualization method can enhance the availability and universality, where the medical reports are displayed via friendly web interface. In conclusion, compared with the current medical record retrieval systems, our system provides some advantages that are useful in improving the secondary use of large-scale traditional Chinese medical records in cloud environment. The proposed system is more easily integrated with existing clinical systems and be used in various scenarios. Copyright © 2017. Published by Elsevier Inc.

  4. Validity and practicability of smartphone-based photographic food records for estimating energy and nutrient intake.

    Science.gov (United States)

    Kong, Kaimeng; Zhang, Lulu; Huang, Lisu; Tao, Yexuan

    2017-05-01

    Image-assisted dietary assessment methods are frequently used to record individual eating habits. This study tested the validity of a smartphone-based photographic food recording approach by comparing the results obtained with those of a weighed food record. We also assessed the practicality of the method by using it to measure the energy and nutrient intake of college students. The experiment was implemented in two phases, each lasting 2 weeks. In the first phase, a labelled menu and a photograph database were constructed. The energy and nutrient content of 31 randomly selected dishes in three different portion sizes were then estimated by the photograph-based method and compared with a weighed food record. In the second phase, we combined the smartphone-based photographic method with the WeChat smartphone application and applied this to 120 randomly selected participants to record their energy and nutrient intake. The Pearson correlation coefficients for energy, protein, fat, and carbohydrate content between the weighed and the photographic food record were 0.997, 0.936, 0.996, and 0.999, respectively. Bland-Altman plots showed good agreement between the two methods. The estimated protein, fat, and carbohydrate intake by participants was in accordance with values in the Chinese Residents' Nutrition and Chronic Disease report (2015). Participants expressed satisfaction with the new approach and the compliance rate was 97.5%. The smartphone-based photographic dietary assessment method combined with the WeChat instant messaging application was effective and practical for use by young people.

  5. Miniature, Single Channel, Memory-Based, High-G Acceleration Recorder (Millipen)

    International Nuclear Information System (INIS)

    Rohwer, Tedd A.

    1999-01-01

    The Instrumentation and Telemetry Departments at Sandia National Laboratories have been instrumenting earth penetrators for over thirty years. Recorded acceleration data is used to quantify penetrator performance. Penetrator testing has become more difficult as desired impact velocities have increased. This results in the need for small-scale test vehicles and miniature instrumentation. A miniature recorder will allow penetrator diameters to significantly decrease, opening the window of testable parameters. Full-scale test vehicles will also benefit from miniature recorders by using a less intrusive system to instrument internal arming, fusing, and firing components. This single channel concept is the latest design in an ongoing effort to miniaturize the size and reduce the power requirement of acceleration instrumentation. A micro-controller/memory based system provides the data acquisition, signal conditioning, power regulation, and data storage. This architecture allows the recorder, including both sensor and electronics, to occupy a volume of less than 1.5 cubic inches, draw less than 200mW of power, and record 15kHz data up to 40,000 gs. This paper will describe the development and operation of this miniature acceleration recorder

  6. Assessing the spatial representability of charcoal and PAH-based paleofire records with integrated GIS, modelling, and empirical approaches

    Science.gov (United States)

    Vachula, R. S.; Huang, Y.; Russell, J. M.

    2017-12-01

    Lake sediment-based fire reconstructions offer paleoenvironmental context in which to assess modern fires and predict future burning. However, despite the ubiquity, many uncertainties remain regarding the taphonomy of paleofire proxies and the spatial scales for which they record variations in fire history. Here we present down-core proxy analyses of polycyclic aromatic hydrocarbons (PAHs) and three size-fractions of charcoal (63-150, >150 and >250 μm) from Swamp Lake, California, an annually laminated lacustrine archive. Using a statewide historical GIS dataset of area burned, we assess the spatial scales for which these proxies are reliable recorders of fire history. We find that the coherence of observed and proxy-recorded fire history inherently depends upon spatial scale. Contrary to conventional thinking that charcoal mainly records local fires, our results indicate that macroscopic charcoal (>150 μm) may record spatially broader (250 μm) may be a more conservative proxy for local burning. We find that sub-macroscopic charcoal particles (63-150 μm) reliably record regional (up to 150 km) changes in fire history. These results indicate that charcoal-based fire reconstructions may represent spatially broader fire history than previously thought, which has major implications for our understanding of spatiotemporal paleofire variations. Our analyses of PAHs show that dispersal mobility is heterogeneous between compounds, but that PAH fluxes are reliable proxies of fire history within 25-50 km, which suggests PAHs may be a better spatially constrained paleofire proxy than sedimentary charcoal. Further, using a linear discriminant analysis model informed by modern emissions analyses, we show that PAH assemblages preserved in lake sediments can differentiate vegetation type burned, and are thus promising paleoecological biomarkers warranting further research and implementation. In sum, our analyses offer new insight into the spatial dimensions of paleofire

  7. Fetal QRS extraction from abdominal recordings via model-based signal processing and intelligent signal merging

    International Nuclear Information System (INIS)

    Haghpanahi, Masoumeh; Borkholder, David A

    2014-01-01

    Noninvasive fetal ECG (fECG) monitoring has potential applications in diagnosing congenital heart diseases in a timely manner and assisting clinicians to make more appropriate decisions during labor. However, despite advances in signal processing and machine learning techniques, the analysis of fECG signals has still remained in its preliminary stages. In this work, we describe an algorithm to automatically locate QRS complexes in noninvasive fECG signals obtained from a set of four electrodes placed on the mother’s abdomen. The algorithm is based on an iterative decomposition of the maternal and fetal subspaces and filtering of the maternal ECG (mECG) components from the fECG recordings. Once the maternal components are removed, a novel merging technique is applied to merge the signals and detect the fetal QRS (fQRS) complexes. The algorithm was trained and tested on the fECG datasets provided by the PhysioNet/CinC challenge 2013. The final results indicate that the algorithm is able to detect fetal peaks for a variety of signals with different morphologies and strength levels encountered in clinical practice. (paper)

  8. Influence of weather factors on population dynamics of two lagomorph species based on hunting bag records

    NARCIS (Netherlands)

    Rödel, H.; Dekker, J.J.A.

    2012-01-01

    Weather conditions can have a significant influence on short-term fluctuations of animal populations. In our study, which is based on time series of hunting bag records of up to 28 years from 26 counties of The Netherlands and Germany, we investigated the impact of different weather variables on

  9. Clinical Assistant Diagnosis for Electronic Medical Record Based on Convolutional Neural Network.

    Science.gov (United States)

    Yang, Zhongliang; Huang, Yongfeng; Jiang, Yiran; Sun, Yuxi; Zhang, Yu-Jin; Luo, Pengcheng

    2018-04-20

    Automatically extracting useful information from electronic medical records along with conducting disease diagnoses is a promising task for both clinical decision support(CDS) and neural language processing(NLP). Most of the existing systems are based on artificially constructed knowledge bases, and then auxiliary diagnosis is done by rule matching. In this study, we present a clinical intelligent decision approach based on Convolutional Neural Networks(CNN), which can automatically extract high-level semantic information of electronic medical records and then perform automatic diagnosis without artificial construction of rules or knowledge bases. We use collected 18,590 copies of the real-world clinical electronic medical records to train and test the proposed model. Experimental results show that the proposed model can achieve 98.67% accuracy and 96.02% recall, which strongly supports that using convolutional neural network to automatically learn high-level semantic features of electronic medical records and then conduct assist diagnosis is feasible and effective.

  10. 13 CFR 106.302 - What provisions must be set forth in a Fee Based Record?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Fee Based Record? 106.302 Section 106.302 Business Credit and Assistance SMALL BUSINESS... does not constitute or imply an endorsement by SBA of the Donor or the Donor's products or services. ...

  11. Automatic lameness detection based on consecutive 3D-video recordings

    NARCIS (Netherlands)

    Hertem, van T.; Viazzi, S.; Steensels, M.; Maltz, E.; Antler, A.; Alchanatis, V.; Schlageter-Tello, A.; Lokhorst, C.; Romanini, C.E.B.; Bahr, C.; Berckmans, D.; Halachmi, I.

    2014-01-01

    Manual locomotion scoring for lameness detection is a time-consuming and subjective procedure. Therefore, the objective of this study is to optimise the classification output of a computer vision based algorithm for automated lameness scoring. Cow gait recordings were made during four consecutive

  12. Secure management of personal health records by applying attribute-based encryption

    NARCIS (Netherlands)

    Ibraimi, L.; Asim, M.; Petkovic, M.

    2009-01-01

    The confidentiality of personal health records is a major problem when patients use commercial Web-based systems to store their health data. Traditional access control mechanisms have several limitations with respect to enforcing access control policies and ensuring data confidentiality. In

  13. IMASIS computer-based medical record project: dealing with the human factor.

    Science.gov (United States)

    Martín-Baranera, M; Planas, I; Palau, J; Sanz, F

    1995-01-01

    level, problems to be solved in utilization of the system, errors detected in the systems' database, and the personal interest in participating in the IMASIS project. The questionnaire was also intended to be a tool to monitor IMASIS evolution. Our study showed that medical staff had a lack of information about the current HIS, leading to a poor utilization of some system options. Another major characteristic, related to the above, was the feeling that the project would negatively affect the organization of work at the hospitals. A computer-based medical record was feared to degrade physician-patient relationship, introduce supplementary administrative burden in clinicians day-to-day work, unnecessarily slow history taking, and imply too-rigid patterns of work. The most frequent problems in using the current system could be classified into two groups: problems related to lack of agility and consistency in user interface design, and those derived from lack of a common patient identification number. Duplication of medical records was the most frequent error detected by physicians. Analysis of physicians' attitudes towards IMASIS revealed a lack of confidence globally. This was probably the consequence of two current features: a lack of complete information about IMASIS possibilities and problems faced when using the system. To deal with such factors, three types of measures have been planned. First, an effort is to be done to ensure that every physician is able to adequately use the current system and understands long-term benefits of the project. This task will be better accomplished by personal interaction between clinicians and a physician from the Informatics Department than through formal teaching of IMASIS. Secondly, a protocol for evaluating the HIS is being developed and will be systematically applied to detect both database errors and systemUs design pitfalls. Finally, the IMASIS project has to find a convenient point for starting, to offer short-term re

  14. Analysis of the hologram recording on the novel chloride photo-thermo-refractive glass

    Science.gov (United States)

    Ivanov, S. A.; Nikonorov, N. V.; Dubrovin, V. D.; Krykova, V. A.

    2017-05-01

    In this research, we present new holographic material based on fluoride photo-thermo-refractive glass(PTR) - chloride PTR glass. One of the benefit of this type of PTR glass is positive refractive index change. During this work, for the first-time volume Bragg gratings were recorded in this kind of material. The first experiments revealed that such gratings are mixed i.e. possess both absorption and phase components. Complex analysis shows that both refractive index and absorption coefficient are modulated inside the grating structure. We found out that at first there is no strict dependence of the refractive index change from dosage, but as we continue the process of thermal treatment - dependence is appear. Exposure influence on the refractive index change for this glass differs from fluoride one and shows some sort of saturation after the exposure of 4-6 J/cm2 . We distinguished refractive index change and absorption coefficient change and observed both behavior with increasing thermal treatment time. We found out that the increase of thermal treatment time results in the significant refractive index change. At the same time the absorption does `not practically change. It was found that maximum modulation of refractive index is comparable with fluoride PTR glass and achieves value of 1600 ppm. The modulation of absorption is equal to induced absorption caused by silver nanoparticles and depends from reading wavelength. Our study shows that almost all absorption is modulated inside the grating.

  15. Mobile personal health records for pregnancy monitoring functionalities: Analysis and potential.

    Science.gov (United States)

    Bachiri, Mariam; Idri, Ali; Fernández-Alemán, José Luis; Toval, Ambrosio

    2016-10-01

    Personal Health Records (PHRs) are a rapidly growing area of health information technology. PHR users are able to manage their own health data and communicate with doctors in order to improve healthcare quality and efficiency. Mobile PHR (mPHR) applications for mobile devices have obtained an interesting market quota since the appearance of more powerful mobile devices. These devices allow users to gain access to applications that used to be available only for personal computers. This paper analyzes the functionalities of mobile PHRs that are specific to pregnancy monitoring. A well-known Systematic Literature Review (SLR) protocol was used in the analysis process. A questionnaire was developed for this task, based on the rigorous study of scientific literature concerning pregnancy and applications available on the market, with 9 data items and 35 quality assessments. The data items contain calendars, pregnancy information, health habits, counters, diaries, mobile features, security, backup, configuration and architectural design. A total of 33 mPHRs for pregnancy monitoring, available for iOS and Android, were selected from Apple App store and Google Play store, respectively. The results show that none of the mPHRs selected met 100% of the functionalities analyzed in this paper. The highest score achieved was 77%, while the lowest was 17%. In this paper, these features are discussed and possible paths for future development of similar applications are proposed, which may lead to a more efficient use of smartphone capabilities. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  16. Analysis of the steel braced frames equipped with ADAS devices under the far field records

    Directory of Open Access Journals (Sweden)

    Mahmoud Bayat

    Full Text Available The usefulness of supplementary energy dissipation devices is now quite well-known in earthquake structural engineering for reducing the earthquake-induced response of structural systems. The seismic behavior of structures with supplemental ADAS devices is concerned in this study. In this paper, the ratio of the hysteretic energy to input energy is compared in different structural systems. The main purpose of this paper is to evaluate the behavior of structures equipped with yielding dampers (ADAS, located in far fields based on energy concepts. In order to optimize their seismic behavior, the codes and solutions are also presented. Three cases including five, ten and fifteen-story three-bay Concentric Braced Frames (CBF with and without ADAS were selected. The PERFORM 3D.V4 software along with three earthquake records (Northridge, Imperial Valley and Tabas is used for nonlinear time history analysis and the conclusions are drawn upon energy criterion. The effect of PGA variation and height of the frames are also considered in the study. Finally, to increase the energy damping ability and reduce the destructive effects in structures on an earthquake event, so that a great amount of induced energy is damped and destruction of the structure is prevented as much as possible by using ADAS dampers.

  17. Rescaled range analysis of streamflow records in the São Francisco River Basin, Brazil

    Science.gov (United States)

    Araujo, Marcelo Vitor Oliveira; Celeste, Alcigeimes B.

    2018-01-01

    Hydrological time series are sometimes found to have a distinctive behavior known as long-term persistence, in which subsequent values depend on each other even under very large time scales. This implies multiyear consecutive droughts or floods. Typical models used to generate synthetic hydrological scenarios, widely used in the planning and management of water resources, fail to preserve this kind of persistence in the generated data and therefore may have a major impact on projects whose design lives span for long periods of time. This study deals with the evaluation of long-term persistence in streamflow records by means of the rescaled range analysis proposed by British engineer Harold E. Hurst, who first observed the phenomenon in the mid-twentieth century. In this paper, Hurst's procedure is enhanced by a strategy based on statistical hypothesis testing. The case study comprises the six main hydroelectric power plants located in the São Francisco River Basin, part of the Brazilian National Grid. Historical time series of inflows to the major reservoirs of the system are investigated and 5/6 sites show significant persistence, with values for the so-called Hurst exponent near or greater than 0.7, i.e., around 40% above the value 0.5 that represents a white noise process, suggesting that decision makers should take long-term persistence into consideration when conducting water resources planning and management studies in the region.

  18. In Pursuit of Reciprocity: Researchers, Teachers, and School Reformers Engaged in Collaborative Analysis of Video Records

    Science.gov (United States)

    Curry, Marnie W.

    2012-01-01

    In the ideal, reciprocity in qualitative inquiry occurs when there is give-and-take between researchers and the researched; however, the demands of the academy and resource constraints often make the pursuit of reciprocity difficult. Drawing on two video-based, qualitative studies in which researchers utilized video records as resources to enhance…

  19. Non-linear transient behavior during soil liquefaction based on re-evaluation of seismic records

    OpenAIRE

    Kamagata, S.; Takewaki, Izuru

    2015-01-01

    Focusing on soil liquefaction, the seismic records during the Niigata-ken earthquake in 1964, the southern Hyogo prefecture earthquake in 1995 and the 2011 off the Pacific coast of Tohoku earthquake are analyzed by the non-stationary Fourier spectra. The shift of dominant frequency in the seismic record of Kawagishi-cho during the Niigata-ken earthquake is evaluated based on the time-variant property of dominant frequencies. The reduction ratio of the soil stiffness is evaluated from the shif...

  20. Source properties of the 1998 July 17 Papua New Guinea tsunami based on tide gauge records

    Science.gov (United States)

    Heidarzadeh, Mohammad; Satake, Kenji

    2015-07-01

    We analysed four newly retrieved tide gauge records of the 1998 July 17 Papua New Guinea (PNG) tsunami to study statistical and spectral properties of this tsunami. The four tide gauge records were from Lombrum (PNG), Rabaul (PNG), Malakal Island (Palau) and Yap Island (State of Yap) stations located 600-1450 km from the source. The tsunami registered a maximum trough-to-crest wave height of 3-9 cm at these gauges. Spectral analysis showed two dominant peaks at period bands of 2-4 and 6-20 min with a clear separation at the period of ˜5 min. We interpreted these peak periods as belonging to the landslide and earthquake sources of the PNG tsunami, respectively. Analysis of the tsunami waveforms revealed 12-17 min delay in landslide generation compared to the origin time of the main shock. Numerical simulations including this delay fairly reproduced the observed tide gauge records. This is the first direct evidence of the delayed landslide source of the 1998 PNG tsunami which was previously indirectly estimated from acoustic T-phase records.

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

    Science.gov (United States)

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

    1973-01-01

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

  2. Cost-benefit analysis of electronic medical record system at a tertiary care hospital.

    Science.gov (United States)

    Choi, Jong Soo; Lee, Woo Baik; Rhee, Poong-Lyul

    2013-09-01

    Although Electronic Medical Record (EMR) systems provide various benefits, there are both advantages and disadvantages regarding its cost-effectiveness. This study analyzed the economic effects of EMR systems using a cost-benefit analysis based on the differential costs of managerial accounting. Samsung Medical Center (SMC) is a general hospital in Korea that developed an EMR system for outpatients from 2006 to 2008. This study measured the total costs and benefits during an 8-year period after EMR adoption. The costs include the system costs of building the EMR and the costs incurred in smoothing its adoption. The benefits included cost reductions after its adoption and additional revenues from both remodeling of paper-chart storage areas and medical transcriptionists' contribution. The measured amounts were discounted by SMC's expected interest rate to calculate the net present value (NPV), benefit-cost ratio (BCR), and discounted payback period (DPP). During the analysis period, the cumulative NPV and the BCR were US$3,617 thousand and 1.23, respectively. The DPP was about 6.18 years. Although the adoption of an EMR resulted in overall growth in administrative costs, it is cost-effective since the cumulative NPV was positive. The positive NPV was attributed to both cost reductions and additional revenues. EMR adoption is not so attractive to management in that the DPP is longer than 5 years at 6.18 and the BCR is near 1 at 1.23. However, an EMR is a worthwhile investment, seeing that this study did not include any qualitative benefits and that the paper-chart system was cost-centric.

  3. Using recurrence plot for determinism analysis of EEG recordings in genetic absence epilepsy rats.

    Science.gov (United States)

    Ouyang, Gaoxiang; Li, Xiaoli; Dang, Chuangyin; Richards, Douglas A

    2008-08-01

    Understanding the transition of brain activity towards an absence seizure is a challenging task. In this paper, we use recurrence quantification analysis to indicate the deterministic dynamics of EEG series at the seizure-free, pre-seizure and seizure states in genetic absence epilepsy rats. The determinism measure, DET, based on recurrence plot, was applied to analyse these three EEG datasets, each dataset containing 300 single-channel EEG epochs of 5-s duration. Then, statistical analysis of the DET values in each dataset was carried out to determine whether their distributions over the three groups were significantly different. Furthermore, a surrogate technique was applied to calculate the significance level of determinism measures in EEG recordings. The mean (+/-SD) DET of EEG was 0.177+/-0.045 in pre-seizure intervals. The DET values of pre-seizure EEG data are significantly higher than those of seizure-free intervals, 0.123+/-0.023, (Pdeterminism in EEG epochs was present in 25 of 300 (8.3%), 181 of 300 (60.3%) and 289 of 300 (96.3%) in seizure-free, pre-seizure and seizure intervals, respectively. Results provide some first indications that EEG epochs during pre-seizure intervals exhibit a higher degree of determinism than seizure-free EEG epochs, but lower than those in seizure EEG epochs in absence epilepsy. The proposed methods have the potential of detecting the transition between normal brain activity and the absence seizure state, thus opening up the possibility of intervention, whether electrical or pharmacological, to prevent the oncoming seizure.

  4. Stakeholder analysis for adopting a personal health record standard in Korea.

    Science.gov (United States)

    Kang, Min-Jeoung; Jung, Chai Young; Kim, Soyoun; Boo, Yookyung; Lee, Yuri; Kim, Sundo

    Interest in health information exchanges (HIEs) is increasing. Several countries have adopted core health data standards with appropriate strategies. This study was conducted to determine the feasibility of a continuity of care record (CCR) as the standard for an electronic version of the official transfer note and the HIE in Korean healthcare. A technical review of the CCR standard and analysis of stakeholders' views were undertaken. Transfer notes were reviewed and matched with CCR standard categories. The standard for the Korean coding system was selected. Stakeholder analysis included an online survey of members of the Korean Society of Medical Informatics, a public hearing to derive opinions of consumers, doctors, vendors, academic societies and policy makers about the policy process, and a focus group meeting with EMR vendors to determine which HIE objects were technically applicable. Data objects in the official transfer note form matched CCR standards. Korean Classification of Diseases, Korean Standard Terminology of Medicine, Electronic Data Interchange code (EDI code), Logical Observation Identifiers Names and Codes, and Korean drug codes (KD code) were recommended as the Korean coding standard.'Social history', 'payers', and 'encounters' were mostly marked as optional or unnecessary sections, and 'allergies', 'alerts', 'medication list', 'problems/diagnoses', 'results',and 'procedures' as mandatory. Unlike the US, 'social history' was considered optional and 'advance directives' mandatory.At the public hearing there was some objection from the Korean Medical Association to the HIE on legal grounds in termsof intellectual property and patients' personal information. Other groups showed positive or neutral responses. Focus group members divided CCR data objects into three phases based onpredicted adoption time in CCR: (i) immediate adoption; (ii) short-term adoption ('alerts', 'family history'); and (iii) long-term adoption ('results', 'advanced directives

  5. A Java-based electronic healthcare record software for beta-thalassaemia.

    Science.gov (United States)

    Deftereos, S; Lambrinoudakis, C; Andriopoulos, P; Farmakis, D; Aessopos, A

    2001-01-01

    Beta-thalassaemia is a hereditary disease, the prevalence of which is high in persons of Mediterranean, African, and Southeast Asian ancestry. In Greece it constitutes an important public health problem. Beta-thalassaemia necessitates continuous and complicated health care procedures such as daily chelation; biweekly transfusions; and periodic cardiology, endocrinology, and hepatology evaluations. Typically, different care items are offered in different, often-distant, health care units, which leads to increased patient mobility. This is especially true in rural areas. Medical records of patients suffering from beta-thalassaemia are inevitably complex and grow in size very fast. They are currently paper-based, scattered over all units involved in the care process. This hinders communication of information between health care professionals and makes processing of the medical records difficult, thus impeding medical research. Our objective is to provide an electronic means for recording, communicating, and processing all data produced in the context of the care process of patients suffering from beta-thalassaemia. We have developed - and we present in this paper - Java-based Electronic Healthcare Record (EHCR) software, called JAnaemia. JAnaemia is a general-purpose EHCR application, which can be customized for use in all medical specialties. Customization for beta-thalassaemia has been performed in collaboration with 4 Greek hospitals. To be capable of coping with patient record diversity, JAnaemia has been based on the EHCR architecture proposed in the ENV 13606:1999 standard, published by the CEN/TC251 committee. Compliance with the CEN architecture also ensures that several additional requirements are fulfilled in relation to clinical comprehensiveness; to record sharing and communication; and to ethical, medico-legal, and computational issues. Special care has been taken to provide a user-friendly, form-based interface for data entry and processing. The

  6. The Private Communications of Magnetic Recording under Socialism (Retrospective Disco Analysis

    Directory of Open Access Journals (Sweden)

    Oleg Vladimir Sineokij

    2013-07-01

    Full Text Available The article analyzes the formation and development of a general model of rare sound records in the structure of institutions of a social communication. The author considers psychocomminicative features of the filophone communication as a special type of interaction in the field of entertainment. The author studied the causes and conditions of a tape subculture in the USSR. It is observed the dynamics of the disco-communication in limited information conditions from socialism till modern high-tech conditions.At the end of the article the author argues based achievements in the field of advanced technology systems, innovation revival in the industry of music-record. Hence, using innovative approaches in the study, the author sets out the basic concept of recording popular music as a special information and legal institution, in retrospect, the theory and practice of the future needs in the information society.

  7. Online Recorded Data-Based Composite Neural Control of Strict-Feedback Systems With Application to Hypersonic Flight Dynamics.

    Science.gov (United States)

    Xu, Bin; Yang, Daipeng; Shi, Zhongke; Pan, Yongping; Chen, Badong; Sun, Fuchun

    2017-09-25

    This paper investigates the online recorded data-based composite neural control of uncertain strict-feedback systems using the backstepping framework. In each step of the virtual control design, neural network (NN) is employed for uncertainty approximation. In previous works, most designs are directly toward system stability ignoring the fact how the NN is working as an approximator. In this paper, to enhance the learning ability, a novel prediction error signal is constructed to provide additional correction information for NN weight update using online recorded data. In this way, the neural approximation precision is highly improved, and the convergence speed can be faster. Furthermore, the sliding mode differentiator is employed to approximate the derivative of the virtual control signal, and thus, the complex analysis of the backstepping design can be avoided. The closed-loop stability is rigorously established, and the boundedness of the tracking error can be guaranteed. Through simulation of hypersonic flight dynamics, the proposed approach exhibits better tracking performance.

  8. Web application for recording learners’ mouse trajectories and retrieving their study logs for data analysis

    Directory of Open Access Journals (Sweden)

    Yoshinori Miyazaki

    2012-03-01

    Full Text Available With the accelerated implementation of e-learning systems in educational institutions, it has become possible to record learners’ study logs in recent years. It must be admitted that little research has been conducted upon the analysis of the study logs that are obtained. In addition, there is no software that traces the mouse movements of learners during their learning processes, which the authors believe would enable teachers to better understand their students’ behaviors. The objective of this study is to develop a Web application that records students’ study logs, including their mouse trajectories, and to devise an IR tool that can summarize such diversified data. The results of an experiment are also scrutinized to provide an analysis of the relationship between learners’ activities and their study logs.

  9. Analysis of dose record and epidemiology for radiation workers in Korea

    International Nuclear Information System (INIS)

    Choi, S.Y.; Kim, T.H.

    2003-01-01

    This study presents data on the externally received doses and preliminary results of epidemiological survey for radiation workers. The statistical analysis was carried out in order to understand better the occupational radiation doses in Korea. Records containing dose information from 1984 to 1999 for 64,518 persons were extracted from the National Dose Registry of Korea (Korea Radioisotope Association's personal dose record). The total number of workers registered from 1984 to 1999 was 64,518. The number of workers steadily increased and the accumulated dose somewhat increased. The proportion of radiation workers by occupation was 38.4% for nuclear power plant, 20.3% for industrial organization and 12.4% for non-destructive industry, respectively. The collective annual dose of radiation workers was 31.72 man Sv in 1999. The mean annual dose by sex was 1.49 mSv for male and 0.56 mSv for female. The mean annual dose for workers was 1.41 mSv with the highest mean dose being received by non-destructive industry (3.53 mSv). Very few workers(0.8%) received more than 20 mSv and only one more than 50 mSv, the legal limit for an annual dose. There has been a steady decline in the mean dose since 1984, showing a significant decrease in dose with time. The data showed that radiation protection in Korea was improving, though annual doses were still higher than other countries. Nevertheless, this finding brings to light the necessity of the workers to pay more careful attention to radiation protection procedures and practices, and suggest the need for continuous effort to implement procedures. We are carrying out epidemiological survey in order to evaluate radiation effects on Korean workers based on radiation dose data from the year of 2000. Follow-up is carrying out in order to detect and measure directly the risks of cancer using the Korean Mortality Data, Cancer Registry and individual investigation

  10. Thermal-Signature-Based Sleep Analysis Sensor

    Directory of Open Access Journals (Sweden)

    Ali Seba

    2017-10-01

    Full Text Available This paper addresses the development of a new technique in the sleep analysis domain. Sleep is defined as a periodic physiological state during which vigilance is suspended and reactivity to external stimulations diminished. We sleep on average between six and nine hours per night and our sleep is composed of four to six cycles of about 90 min each. Each of these cycles is composed of a succession of several stages of sleep that vary in depth. Analysis of sleep is usually done via polysomnography. This examination consists of recording, among other things, electrical cerebral activity by electroencephalography (EEG, ocular movements by electrooculography (EOG, and chin muscle tone by electromyography (EMG. Recordings are made mostly in a hospital, more specifically in a service for monitoring the pathologies related to sleep. The readings are then interpreted manually by an expert to generate a hypnogram, a curve showing the succession of sleep stages during the night in 30s epochs. The proposed method is based on the follow-up of the thermal signature that makes it possible to classify the activity into three classes: “awakening,” “calm sleep,” and “restless sleep”. The contribution of this non-invasive method is part of the screening of sleep disorders, to be validated by a more complete analysis of the sleep. The measure provided by this new system, based on temperature monitoring (patient and ambient, aims to be integrated into the tele-medicine platform developed within the framework of the Smart-EEG project by the SYEL–SYstèmes ELectroniques team. Analysis of the data collected during the first surveys carried out with this method showed a correlation between thermal signature and activity during sleep. The advantage of this method lies in its simplicity and the possibility of carrying out measurements of activity during sleep and without direct contact with the patient at home or hospitals.

  11. Hand-Based Biometric Analysis

    Science.gov (United States)

    Bebis, George (Inventor); Amayeh, Gholamreza (Inventor)

    2015-01-01

    Hand-based biometric analysis systems and techniques are described which provide robust hand-based identification and verification. An image of a hand is obtained, which is then segmented into a palm region and separate finger regions. Acquisition of the image is performed without requiring particular orientation or placement restrictions. Segmentation is performed without the use of reference points on the images. Each segment is analyzed by calculating a set of Zernike moment descriptors for the segment. The feature parameters thus obtained are then fused and compared to stored sets of descriptors in enrollment templates to arrive at an identity decision. By using Zernike moments, and through additional manipulation, the biometric analysis is invariant to rotation, scale, or translation or an in put image. Additionally, the analysis utilizes re-use of commonly-seen terms in Zernike calculations to achieve additional efficiencies over traditional Zernike moment calculation.

  12. Spectral analysis in overmodulated holographic reflection gratings recorded with BB640 ultrafine grain emulsion

    Science.gov (United States)

    Mas-Abellán, P.; Madrigal, R.; Fimia, A.

    2015-05-01

    Silver halide emulsions have been considered one of the most energetic sensitive materials for holographic applications. Nonlinear recording effects on holographic reflection gratings recorded on silver halide emulsions have been studied by different authors obtaining excellent experimental results. In this communication specifically we focused our investigation on the effects of refractive index modulation, trying to get high levels of overmodulation. We studied the influence of the grating thickness on the overmodulation and its effects on the transmission spectra for a wide exposure range by use of two different thickness ultrafine grain emulsion BB640, thin films (6 μm) and thick films (9 μm), exposed to single collimated beams using a red He-Ne laser (wavelength 632.8 nm) with Denisyuk configuration obtaining a spatial frequency of 4990 l/mm recorded on the emulsion. The experimental results show that high overmodulation levels of refractive index could offer some benefits such as high diffraction efficiency (reaching 90 %), increase of grating bandwidth (close to 80 nm), making lighter holograms, or diffraction spectra deformation, transforming the spectrum from sinusoidal to approximation of square shape. Based on these results, we demonstrate that holographic reflection gratings spectra recorded with overmodulation of refractive index is formed by the combination of several non-linear components due to very high overmodulation. This study is the first step to develop a new easy multiplexing technique based on the use of high index modulation reflection gratings.

  13. An ontology-based method for secondary use of electronic dental record data

    Science.gov (United States)

    Schleyer, Titus KL; Ruttenberg, Alan; Duncan, William; Haendel, Melissa; Torniai, Carlo; Acharya, Amit; Song, Mei; Thyvalikakath, Thankam P.; Liu, Kaihong; Hernandez, Pedro

    A key question for healthcare is how to operationalize the vision of the Learning Healthcare System, in which electronic health record data become a continuous information source for quality assurance and research. This project presents an initial, ontology-based, method for secondary use of electronic dental record (EDR) data. We defined a set of dental clinical research questions; constructed the Oral Health and Disease Ontology (OHD); analyzed data from a commercial EDR database; and created a knowledge base, with the OHD used to represent clinical data about 4,500 patients from a single dental practice. Currently, the OHD includes 213 classes and reuses 1,658 classes from other ontologies. We have developed an initial set of SPARQL queries to allow extraction of data about patients, teeth, surfaces, restorations and findings. Further work will establish a complete, open and reproducible workflow for extracting and aggregating data from a variety of EDRs for research and quality assurance. PMID:24303273

  14. An ontology-based method for secondary use of electronic dental record data.

    Science.gov (United States)

    Schleyer, Titus Kl; Ruttenberg, Alan; Duncan, William; Haendel, Melissa; Torniai, Carlo; Acharya, Amit; Song, Mei; Thyvalikakath, Thankam P; Liu, Kaihong; Hernandez, Pedro

    2013-01-01

    A key question for healthcare is how to operationalize the vision of the Learning Healthcare System, in which electronic health record data become a continuous information source for quality assurance and research. This project presents an initial, ontology-based, method for secondary use of electronic dental record (EDR) data. We defined a set of dental clinical research questions; constructed the Oral Health and Disease Ontology (OHD); analyzed data from a commercial EDR database; and created a knowledge base, with the OHD used to represent clinical data about 4,500 patients from a single dental practice. Currently, the OHD includes 213 classes and reuses 1,658 classes from other ontologies. We have developed an initial set of SPARQL queries to allow extraction of data about patients, teeth, surfaces, restorations and findings. Further work will establish a complete, open and reproducible workflow for extracting and aggregating data from a variety of EDRs for research and quality assurance.

  15. Application of Entropy-Based Metrics to Identify Emotional Distress from Electroencephalographic Recordings

    Directory of Open Access Journals (Sweden)

    Beatriz García-Martínez

    2016-06-01

    Full Text Available Recognition of emotions is still an unresolved challenge, which could be helpful to improve current human-machine interfaces. Recently, nonlinear analysis of some physiological signals has shown to play a more relevant role in this context than their traditional linear exploration. Thus, the present work introduces for the first time the application of three recent entropy-based metrics: sample entropy (SE, quadratic SE (QSE and distribution entropy (DE to discern between emotional states of calm and negative stress (also called distress. In the last few years, distress has received growing attention because it is a common negative factor in the modern lifestyle of people from developed countries and, moreover, it may lead to serious mental and physical health problems. Precisely, 279 segments of 32-channel electroencephalographic (EEG recordings from 32 subjects elicited to be calm or negatively stressed have been analyzed. Results provide that QSE is the first single metric presented to date with the ability to identify negative stress. Indeed, this metric has reported a discriminant ability of around 70%, which is only slightly lower than the one obtained by some previous works. Nonetheless, discriminant models from dozens or even hundreds of features have been previously obtained by using advanced classifiers to yield diagnostic accuracies about 80%. Moreover, in agreement with previous neuroanatomy findings, QSE has also revealed notable differences for all the brain regions in the neural activation triggered by the two considered emotions. Consequently, given these results, as well as easy interpretation of QSE, this work opens a new standpoint in the detection of emotional distress, which may gain new insights about the brain’s behavior under this negative emotion.

  16. AGGLOMERATIVE CLUSTERING OF SOUND RECORD SPEECH SEGMENTS BASED ON BAYESIAN INFORMATION CRITERION

    Directory of Open Access Journals (Sweden)

    O. Yu. Kydashev

    2013-01-01

    Full Text Available This paper presents the detailed description of agglomerative clustering system implementation for speech segments based on Bayesian information criterion. Numerical experiment results with different acoustic features, as well as the full and diagonal covariance matrices application are given. The error rate DER equal to 6.4% for audio records of radio «Svoboda» was achieved by means of designed system.

  17. Smart Card Based Integrated Electronic Health Record System For Clinical Practice

    OpenAIRE

    N. Anju Latha; B. Rama Murthy; U. Sunitha

    2012-01-01

    Smart cards are used in information technologies as portable integrated devices with data storage and data processing capabilities. As in other fields, smart card use in health systems became popular due to their increased capacity and performance. Smart cards are used as a Electronic Health Record (EHR) Their efficient use with easy and fast data access facilities leads to implementation particularly widespread in hospitals. In this paper, a smart card based Integrated Electronic health Reco...

  18. Effects of scanning and eliminating paper-based medical records on hospital physicians' clinical work practice.

    Science.gov (United States)

    Laerum, Hallvard; Karlsen, Tom H; Faxvaag, Arild

    2003-01-01

    It is not automatically given that the paper-based medical record can be eliminated after the introduction of an electronic medical record (EMR) in a hospital. Many keep and update the paper-based counterpart, and this limits the use of the EMR system. The authors have evaluated the physicians' clinical work practices and attitudes toward a system in a hospital that has eliminated the paper-based counterpart using scanning technology. Combined open-ended interviews (8 physicians) and cross-sectional survey (70 physicians) were conducted and compared with reference data from a previous national survey (69 physicians from six hospitals). The hospitals in the reference group were using the same EMR system without the scanning module. The questionnaire (English translation available as an online data supplement at ) covered frequency of use of the EMR system for 19 defined tasks, ease of performing them, and user satisfaction. The interviews were open-ended. The physicians routinely used the system for nine of 11 tasks regarding retrieval of patient data, which the majority of the physicians found more easily performed than before. However, 22% to 25% of the physicians found retrieval of patient data more difficult, particularly among internists (33%). Overall, the physicians were equally satisfied with the part of the system handling the regular electronic data as that of the physicians in the reference group. They were, however, much less satisfied with the use of scanned document images than that of regular electronic data, using the former less frequently than the latter. Scanning and elimination of the paper-based medical record is feasible, but the scanned document images should be considered an intermediate stage toward fully electronic medical records. To our knowledge, this is the first assessment from a hospital in the process of completing such a scanning project.

  19. [Web-based electronic patient record as an instrument for quality assurance within an integrated care concept].

    Science.gov (United States)

    Händel, A; Jünemann, A G M; Prokosch, H-U; Beyer, A; Ganslandt, T; Grolik, R; Klein, A; Mrosek, A; Michelson, G; Kruse, F E

    2009-03-01

    A prerequisite for integrated care programmes is the implementation of a communication network meeting quality assurance standards. Against this background the main objective of the integrated care project between the University Eye Hospital Erlangen and the health insurance company AOK Bayern was to evaluate the potential and the acceptance of a web-based electronic patient record in the context of cataract and retinal surgery. Standardised modules for capturing pre-, intra- and post-operative data on the basis of clinical pathway guidelines for cataract- and retinal surgery have been developed. There are 6 data sets recorded per patient (1 pre-operative, 1 operative, 4-6 post-operative). For data collection, a web-based communication system (Soarian Integrated Care) has been chosen which meets the high requirements in data security, as well as being easy to handle. This teleconsultation system and the embedded electronic patient record are independent of the software used by respective offices and hospitals. Data transmission and storage were carried out in real-time. At present, 101 private ophthalmologists are taking part in the IGV contract with the University Eye Hospital Erlangen. This corresponds to 52% of all private ophthalmologists in the region. During the period from January 1st 2006 to December 31st 2006, 1844 patients were entered. Complete documentation was achieved in 1390 (75%) of all surgical procedures. For evaluation of this data, a multidimensional report and analysis tool (Cognos) was used. The deviation from target refraction as one quality indicator was in the mean 0.09 diopter. The web-based patient record used in this project was highly accepted by the private ophthalmologists. However there are still general concerns against the exchange of medical data via the internet. Nevertheless, the web-based patient record is an essential tool for a functional integration between the ambulatory and stationary health-care units. In addition to the

  20. A Satellite-Based Sunshine Duration Climate Data Record for Europe and Africa

    Directory of Open Access Journals (Sweden)

    Steffen Kothe

    2017-05-01

    Full Text Available Besides 2 m - temperature and precipitation, sunshine duration is one of the most important and commonly used parameter in climatology, with measured time series of partly more than 100 years in length. EUMETSAT’s Satellite Application Facility on Climate Monitoring (CM SAF presents a climate data record for daily and monthly sunshine duration (SDU for Europe and Africa. Basis for the advanced retrieval is a highly resolved satellite product of the direct solar radiation from measurements by Meteosat satellites 2 to 10. The data record covers the time period 1983 to 2015 with a spatial resolution of 0.05° × 0.05°. The comparison against ground-based data shows high agreement but also some regional differences. Sunshine duration is overestimated by the satellite-based data in many regions, compared to surface data. In West and Central Africa, low clouds seem to be the reason for a stronger overestimation of sunshine duration in this region (up to 20% for monthly sums. For most stations, the overestimation is low, with a bias below 7.5 h for monthly sums and below 0.4 h for daily sums. A high correlation of 0.91 for daily SDU and 0.96 for monthly SDU also proved the high agreement with station data. As SDU is based on a stable and homogeneous climate data record of more than 30 years length, it is highly suitable for climate applications, such as trend estimates.

  1. Natural Language Processing Based Instrument for Classification of Free Text Medical Records

    Directory of Open Access Journals (Sweden)

    Manana Khachidze

    2016-01-01

    Full Text Available According to the Ministry of Labor, Health and Social Affairs of Georgia a new health management system has to be introduced in the nearest future. In this context arises the problem of structuring and classifying documents containing all the history of medical services provided. The present work introduces the instrument for classification of medical records based on the Georgian language. It is the first attempt of such classification of the Georgian language based medical records. On the whole 24.855 examination records have been studied. The documents were classified into three main groups (ultrasonography, endoscopy, and X-ray and 13 subgroups using two well-known methods: Support Vector Machine (SVM and K-Nearest Neighbor (KNN. The results obtained demonstrated that both machine learning methods performed successfully, with a little supremacy of SVM. In the process of classification a “shrink” method, based on features selection, was introduced and applied. At the first stage of classification the results of the “shrink” case were better; however, on the second stage of classification into subclasses 23% of all documents could not be linked to only one definite individual subclass (liver or binary system due to common features characterizing these subclasses. The overall results of the study were successful.

  2. Identifying seizure onset zone from electrocorticographic recordings: A machine learning approach based on phase locking value.

    Science.gov (United States)

    Elahian, Bahareh; Yeasin, Mohammed; Mudigoudar, Basanagoud; Wheless, James W; Babajani-Feremi, Abbas

    2017-10-01

    Using a novel technique based on phase locking value (PLV), we investigated the potential for features extracted from electrocorticographic (ECoG) recordings to serve as biomarkers to identify the seizure onset zone (SOZ). We computed the PLV between the phase of the amplitude of high gamma activity (80-150Hz) and the phase of lower frequency rhythms (4-30Hz) from ECoG recordings obtained from 10 patients with epilepsy (21 seizures). We extracted five features from the PLV and used a machine learning approach based on logistic regression to build a model that classifies electrodes as SOZ or non-SOZ. More than 96% of electrodes identified as the SOZ by our algorithm were within the resected area in six seizure-free patients. In four non-seizure-free patients, more than 31% of the identified SOZ electrodes by our algorithm were outside the resected area. In addition, we observed that the seizure outcome in non-seizure-free patients correlated with the number of non-resected SOZ electrodes identified by our algorithm. This machine learning approach, based on features extracted from the PLV, effectively identified electrodes within the SOZ. The approach has the potential to assist clinicians in surgical decision-making when pre-surgical intracranial recordings are utilized. Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  3. Analysis of Driver Evasive Maneuvering Prior to Intersection Crashes Using Event Data Recorders.

    Science.gov (United States)

    Scanlon, John M; Kusano, Kristofer D; Gabler, Hampton C

    2015-01-01

    Intersection crashes account for over 4,500 fatalities in the United States each year. Intersection Advanced Driver Assistance Systems (I-ADAS) are emerging vehicle-based active safety systems that have the potential to help drivers safely navigate across intersections and prevent intersection crashes and injuries. The performance of an I-ADAS is expected to be highly dependent upon driver evasive maneuvering prior to an intersection crash. Little has been published, however, on the detailed evasive kinematics followed by drivers prior to real-world intersection crashes. The objective of this study was to characterize the frequency, timing, and kinematics of driver evasive maneuvers prior to intersection crashes. Event data recorders (EDRs) downloaded from vehicles involved in intersection crashes were investigated as part of NASS-CDS years 2001 to 2013. A total of 135 EDRs with precrash vehicle speed and braking application were downloaded to investigate evasive braking. A smaller subset of 59 EDRs that collected vehicle yaw rate was additionally analyzed to investigate evasive steering. Each vehicle was assigned to one of 3 precrash movement classifiers (traveling through the intersection, completely stopped, or rolling stop) based on the vehicle's calculated acceleration and observed velocity profile. To ensure that any significant steering input observed was an attempted evasive maneuver, the analysis excluded vehicles at intersections that were turning, driving on a curved road, or performing a lane change. Braking application at the last EDR-recorded time point was assumed to indicate evasive braking. A vehicle yaw rate greater than 4° per second was assumed to indicate an evasive steering maneuver. Drivers executed crash avoidance maneuvers in four-fifths of intersection crashes. A more detailed analysis of evasive braking frequency by precrash maneuver revealed that drivers performing complete or rolling stops (61.3%) braked less often than drivers

  4. PATH ANALYSIS OF RECORDING SYSTEM INNOVATION FACTORS AFFECTING ADOPTION OF GOAT FARMERS

    Directory of Open Access Journals (Sweden)

    S. Okkyla

    2014-09-01

    Full Text Available The objective of this study was to evaluate the path analysis of recording system innovation factorsaffecting adoption of goat farmers. This study was conducted from January to February 2014 inPringapus District, Semarang Regency by using survey method. For determining the location, this studyused purposive sampling method. The amount of respondents were determined by quota samplingmethod. Total respondents randomly chosed were 146 farmers. The data were descriptively andquantitatively analyzed by using path analysis of statistical package for the social science (SPSS 16.Independent variables in this study were internal factor, motivation, innovation characteristics,information source, and dependent variable was adoption. Analysis of linear regression showed thatthere was no significant effect of internal factor on adoption, so that it was important to use the trimmingmethod in path analysis. The result of path analysis showed that the influence of motivation, innovationcharacteristics and information source on adoption were 0.168; 0.720 and 0.09, respectively. Innovationcharacteristics were the greatest effect on adoption. In conclusion, by improving innovationcharacteristics of respondent through motivation and information source may significantly increase theadoption of recording system in goat farmers.

  5. A Low-Noise Transimpedance Amplifier for BLM-Based Ion Channel Recording

    Directory of Open Access Journals (Sweden)

    Marco Crescentini

    2016-05-01

    Full Text Available High-throughput screening (HTS using ion channel recording is a powerful drug discovery technique in pharmacology. Ion channel recording with planar bilayer lipid membranes (BLM is scalable and has very high sensitivity. A HTS system based on BLM ion channel recording faces three main challenges: (i design of scalable microfluidic devices; (ii design of compact ultra-low-noise transimpedance amplifiers able to detect currents in the pA range with bandwidth >10 kHz; (iii design of compact, robust and scalable systems that integrate these two elements. This paper presents a low-noise transimpedance amplifier with integrated A/D conversion realized in CMOS 0.35 μm technology. The CMOS amplifier acquires currents in the range ±200 pA and ±20 nA, with 100 kHz bandwidth while dissipating 41 mW. An integrated digital offset compensation loop balances any voltage offsets from Ag/AgCl electrodes. The measured open-input input-referred noise current is as low as 4 fA/√Hz at ±200 pA range. The current amplifier is embedded in an integrated platform, together with a microfluidic device, for current recording from ion channels. Gramicidin-A, α-haemolysin and KcsA potassium channels have been used to prove both the platform and the current-to-digital converter.

  6. A Low-Noise Transimpedance Amplifier for BLM-Based Ion Channel Recording.

    Science.gov (United States)

    Crescentini, Marco; Bennati, Marco; Saha, Shimul Chandra; Ivica, Josip; de Planque, Maurits; Morgan, Hywel; Tartagni, Marco

    2016-05-19

    High-throughput screening (HTS) using ion channel recording is a powerful drug discovery technique in pharmacology. Ion channel recording with planar bilayer lipid membranes (BLM) is scalable and has very high sensitivity. A HTS system based on BLM ion channel recording faces three main challenges: (i) design of scalable microfluidic devices; (ii) design of compact ultra-low-noise transimpedance amplifiers able to detect currents in the pA range with bandwidth >10 kHz; (iii) design of compact, robust and scalable systems that integrate these two elements. This paper presents a low-noise transimpedance amplifier with integrated A/D conversion realized in CMOS 0.35 μm technology. The CMOS amplifier acquires currents in the range ±200 pA and ±20 nA, with 100 kHz bandwidth while dissipating 41 mW. An integrated digital offset compensation loop balances any voltage offsets from Ag/AgCl electrodes. The measured open-input input-referred noise current is as low as 4 fA/√Hz at ±200 pA range. The current amplifier is embedded in an integrated platform, together with a microfluidic device, for current recording from ion channels. Gramicidin-A, α-haemolysin and KcsA potassium channels have been used to prove both the platform and the current-to-digital converter.

  7. Archetype-based data warehouse environment to enable the reuse of electronic health record data.

    Science.gov (United States)

    Marco-Ruiz, Luis; Moner, David; Maldonado, José A; Kolstrup, Nils; Bellika, Johan G

    2015-09-01

    The reuse of data captured during health care delivery is essential to satisfy the demands of clinical research and clinical decision support systems. A main barrier for the reuse is the existence of legacy formats of data and the high granularity of it when stored in an electronic health record (EHR) system. Thus, we need mechanisms to standardize, aggregate, and query data concealed in the EHRs, to allow their reuse whenever they are needed. To create a data warehouse infrastructure using archetype-based technologies, standards and query languages to enable the interoperability needed for data reuse. The work presented makes use of best of breed archetype-based data transformation and storage technologies to create a workflow for the modeling, extraction, transformation and load of EHR proprietary data into standardized data repositories. We converted legacy data and performed patient-centered aggregations via archetype-based transformations. Later, specific purpose aggregations were performed at a query level for particular use cases. Laboratory test results of a population of 230,000 patients belonging to Troms and Finnmark counties in Norway requested between January 2013 and November 2014 have been standardized. Test records normalization has been performed by defining transformation and aggregation functions between the laboratory records and an archetype. These mappings were used to automatically generate open EHR compliant data. These data were loaded into an archetype-based data warehouse. Once loaded, we defined indicators linked to the data in the warehouse to monitor test activity of Salmonella and Pertussis using the archetype query language. Archetype-based standards and technologies can be used to create a data warehouse environment that enables data from EHR systems to be reused in clinical research and decision support systems. With this approach, existing EHR data becomes available in a standardized and interoperable format, thus opening a world

  8. Connectivity inference from neural recording data: Challenges, mathematical bases and research directions.

    Science.gov (United States)

    Magrans de Abril, Ildefons; Yoshimoto, Junichiro; Doya, Kenji

    2018-06-01

    This article presents a review of computational methods for connectivity inference from neural activity data derived from multi-electrode recordings or fluorescence imaging. We first identify biophysical and technical challenges in connectivity inference along the data processing pipeline. We then review connectivity inference methods based on two major mathematical foundations, namely, descriptive model-free approaches and generative model-based approaches. We investigate representative studies in both categories and clarify which challenges have been addressed by which method. We further identify critical open issues and possible research directions. Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  9. Paper-Based Medical Records: the Challenges and Lessons Learned from Studying Obstetrics and Gynaecological Post-Operation Records in a Nigerian Hospital

    Directory of Open Access Journals (Sweden)

    Adekunle Yisau Abdulkadir

    2010-10-01

    Full Text Available AIM: With the background knowledge that auditing of Medical Records (MR for adequacy and completeness is necessary if it is to be useful and reliable in continuing patient care; protection of the legal interest of the patient, physicians, and the Hospital; and meeting requirements for researches, we scrutinized theatre records of our hospital to identify routine omissions or deficiencies, and correctable errors in our MR system. METHOD: Obstetrics and Gynaecological post operation theatre records between January 2006 and December 2008 were quantitatively and qualitatively analyzed for details that included: hospital number; Patients age; diagnosis; surgery performed; types and modes of anesthesia; date of surgery; patients’ ward; Anesthetists names; surgeons and attending nurses names, and abbreviations used with SPSS 15.0 for Windows. RESULTS: Hardly were any of the 1270 surgeries during the study period documented without an omission or an abbreviation. Hospital numbers and patients’ age were not documented in 21.8% (n=277 and 59.1% (n=750 respectively. Diagnoses and surgeries were recorded with varying abbreviations in about 96% of instances. Surgical team names were mostly abbreviated or initials only given. CONCLUSION: To improve the quality of Paper-based Medical Record, regular auditing, training and good orientation of medical personnel for good record practices, and discouraging large volume record book to reduce paper damages and sheet loss from handling are necessary else what we record toady may neither be useful nor available tomorrow. [TAF Prev Med Bull 2010; 9(5.000: 427-432

  10. Impact of the recorded variable on recurrence quantification analysis of flows

    International Nuclear Information System (INIS)

    Portes, Leonardo L.; Benda, Rodolfo N.; Ugrinowitsch, Herbert; Aguirre, Luis A.

    2014-01-01

    Recurrence quantification analysis (RQA) is useful in analyzing dynamical systems from a time series s(t). This paper investigates the robustness of RQA in detecting different dynamical regimes with respect to the recorded variable s(t). RQA was applied to time series x(t), y(t) and z(t) of a drifting Rössler system, which are known to have different observability properties. It was found that some characteristics estimated via RQA are heavily influenced by the choice of s(t) in the case of flows but not in the case of maps. - Highlights: • We investigate the influence of the recorded time series on the RQA coefficients. • The time series {x}, {y} and {z} of a drifting Rössler system were recorded. • RQA coefficients were affected in different degrees by the chosen time series. • RQA coefficients were not affected when computed with the Poincaré section. • In real world experiments, observability analysis should be performed prior to RQA

  11. Automated Software Analysis of Fetal Movement Recorded during a Pregnant Woman's Sleep at Home.

    Science.gov (United States)

    Nishihara, Kyoko; Ohki, Noboru; Kamata, Hideo; Ryo, Eiji; Horiuchi, Shigeko

    2015-01-01

    Fetal movement is an important biological index of fetal well-being. Since 2008, we have been developing an original capacitive acceleration sensor and device that a pregnant woman can easily use to record fetal movement by herself at home during sleep. In this study, we report a newly developed automated software system for analyzing recorded fetal movement. This study will introduce the system and compare its results to those of a manual analysis of the same fetal movement signals (Experiment I). We will also demonstrate an appropriate way to use the system (Experiment II). In Experiment I, fetal movement data reported previously for six pregnant women at 28-38 gestational weeks were used. We evaluated the agreement of the manual and automated analyses for the same 10-sec epochs using prevalence-adjusted bias-adjusted kappa (PABAK) including quantitative indicators for prevalence and bias. The mean PABAK value was 0.83, which can be considered almost perfect. In Experiment II, twelve pregnant women at 24-36 gestational weeks recorded fetal movement at night once every four weeks. Overall, mean fetal movement counts per hour during maternal sleep significantly decreased along with gestational weeks, though individual differences in fetal development were noted. This newly developed automated analysis system can provide important data throughout late pregnancy.

  12. Automated Software Analysis of Fetal Movement Recorded during a Pregnant Woman's Sleep at Home.

    Directory of Open Access Journals (Sweden)

    Kyoko Nishihara

    Full Text Available Fetal movement is an important biological index of fetal well-being. Since 2008, we have been developing an original capacitive acceleration sensor and device that a pregnant woman can easily use to record fetal movement by herself at home during sleep. In this study, we report a newly developed automated software system for analyzing recorded fetal movement. This study will introduce the system and compare its results to those of a manual analysis of the same fetal movement signals (Experiment I. We will also demonstrate an appropriate way to use the system (Experiment II. In Experiment I, fetal movement data reported previously for six pregnant women at 28-38 gestational weeks were used. We evaluated the agreement of the manual and automated analyses for the same 10-sec epochs using prevalence-adjusted bias-adjusted kappa (PABAK including quantitative indicators for prevalence and bias. The mean PABAK value was 0.83, which can be considered almost perfect. In Experiment II, twelve pregnant women at 24-36 gestational weeks recorded fetal movement at night once every four weeks. Overall, mean fetal movement counts per hour during maternal sleep significantly decreased along with gestational weeks, though individual differences in fetal development were noted. This newly developed automated analysis system can provide important data throughout late pregnancy.

  13. Impact of the recorded variable on recurrence quantification analysis of flows

    Energy Technology Data Exchange (ETDEWEB)

    Portes, Leonardo L., E-mail: ll.portes@gmail.com [Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federeal de Minas Gerais, Av. Antônio Carlos 6627, 31270-901 Belo Horizonte MG (Brazil); Benda, Rodolfo N.; Ugrinowitsch, Herbert [Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federeal de Minas Gerais, Av. Antônio Carlos 6627, 31270-901 Belo Horizonte MG (Brazil); Aguirre, Luis A. [Departamento de Engenharia Eletrônica, Universidade Federeal de Minas Gerais, Av. Antônio Carlos 6627, 31270-901 Belo Horizonte MG (Brazil)

    2014-06-27

    Recurrence quantification analysis (RQA) is useful in analyzing dynamical systems from a time series s(t). This paper investigates the robustness of RQA in detecting different dynamical regimes with respect to the recorded variable s(t). RQA was applied to time series x(t), y(t) and z(t) of a drifting Rössler system, which are known to have different observability properties. It was found that some characteristics estimated via RQA are heavily influenced by the choice of s(t) in the case of flows but not in the case of maps. - Highlights: • We investigate the influence of the recorded time series on the RQA coefficients. • The time series {x}, {y} and {z} of a drifting Rössler system were recorded. • RQA coefficients were affected in different degrees by the chosen time series. • RQA coefficients were not affected when computed with the Poincaré section. • In real world experiments, observability analysis should be performed prior to RQA.

  14. Feasibility and performance evaluation of generating and recording visual evoked potentials using ambulatory Bluetooth based system.

    Science.gov (United States)

    Ellingson, Roger M; Oken, Barry

    2010-01-01

    Report contains the design overview and key performance measurements demonstrating the feasibility of generating and recording ambulatory visual stimulus evoked potentials using the previously reported custom Complementary and Alternative Medicine physiologic data collection and monitoring system, CAMAS. The methods used to generate visual stimuli on a PDA device and the design of an optical coupling device to convert the display to an electrical waveform which is recorded by the CAMAS base unit are presented. The optical sensor signal, synchronized to the visual stimulus emulates the brain's synchronized EEG signal input to CAMAS normally reviewed for the evoked potential response. Most importantly, the PDA also sends a marker message over the wireless Bluetooth connection to the CAMAS base unit synchronized to the visual stimulus which is the critical averaging reference component to obtain VEP results. Results show the variance in the latency of the wireless marker messaging link is consistent enough to support the generation and recording of visual evoked potentials. The averaged sensor waveforms at multiple CPU speeds are presented and demonstrate suitability of the Bluetooth interface for portable ambulatory visual evoked potential implementation on our CAMAS platform.

  15. High-efficient and high-content cytotoxic recording via dynamic and continuous cell-based impedance biosensor technology.

    Science.gov (United States)

    Hu, Ning; Fang, Jiaru; Zou, Ling; Wan, Hao; Pan, Yuxiang; Su, Kaiqi; Zhang, Xi; Wang, Ping

    2016-10-01

    Cell-based bioassays were effective method to assess the compound toxicity by cell viability, and the traditional label-based methods missed much information of cell growth due to endpoint detection, while the higher throughputs were demanded to obtain dynamic information. Cell-based biosensor methods can dynamically and continuously monitor with cell viability, however, the dynamic information was often ignored or seldom utilized in the toxin and drug assessment. Here, we reported a high-efficient and high-content cytotoxic recording method via dynamic and continuous cell-based impedance biosensor technology. The dynamic cell viability, inhibition ratio and growth rate were derived from the dynamic response curves from the cell-based impedance biosensor. The results showed that the biosensors has the dose-dependent manners to diarrhetic shellfish toxin, okadiac acid based on the analysis of the dynamic cell viability and cell growth status. Moreover, the throughputs of dynamic cytotoxicity were compared between cell-based biosensor methods and label-based endpoint methods. This cell-based impedance biosensor can provide a flexible, cost and label-efficient platform of cell viability assessment in the shellfish toxin screening fields.

  16. Time series analysis of soil Radon-222 recorded at Kutch region, Gujarat, India

    International Nuclear Information System (INIS)

    Madhusudan Rao, K.; Rastogi, B.K.; Barman, Chiranjib; Chaudhuri, Hirok

    2013-01-01

    Kutch region in Gujarat lies in a seismic vulnerable zone (seismic zone-v). After the devastating Bhuj earthquake (7.7M) of January 26, 2001 in the Kutch region several researcher focused their attention to monitor geophysical and geochemical precursors for earthquakes in the region. In order to find out the possible geochemical precursory signals for earthquake events, we monitored radioactive gas radon-222 in sub surface soil gas at Kutch region. We have analysed the recorded soil radon-222 time series by means of nonlinear techniques such as FFT power spectral analysis, empirical mode decomposition, multi-fractal analysis along with other linear statistical methods. Some fascinating and fruitful results originated out the nonlinear analysis of the said time series have been discussed in the present paper. The entire analytical method aided us to recognize the nature and pattern of soil radon-222 emanation process. Moreover the recording and statistical and non-linear analysis of soil radon data at Kutch region will assist us to understand the preparation phase of an imminent seismic event in the region. (author)

  17. Acoustic analysis of snoring sounds recorded with a smartphone according to obstruction site in OSAS patients.

    Science.gov (United States)

    Koo, Soo Kweon; Kwon, Soon Bok; Kim, Yang Jae; Moon, J I Seung; Kim, Young Jun; Jung, Sung Hoon

    2017-03-01

    Snoring is a sign of increased upper airway resistance and is the most common symptom suggestive of obstructive sleep apnea. Acoustic analysis of snoring sounds is a non-invasive diagnostic technique and may provide a screening test that can determine the location of obstruction sites. We recorded snoring sounds according to obstruction level, measured by DISE, using a smartphone and focused on the analysis of formant frequencies. The study group comprised 32 male patients (mean age 42.9 years). The spectrogram pattern, intensity (dB), fundamental frequencies (F 0 ), and formant frequencies (F 1 , F 2 , and F 3 ) of the snoring sounds were analyzed for each subject. On spectrographic analysis, retropalatal level obstruction tended to produce sharp and regular peaks, while retrolingual level obstruction tended to show peaks with a gradual onset and decay. On formant frequency analysis, F 1 (retropalatal level vs. retrolingual level: 488.1 ± 125.8 vs. 634.7 ± 196.6 Hz) and F 2 (retropalatal level vs. retrolingual level: 1267.3 ± 306.6 vs. 1723.7 ± 550.0 Hz) of retrolingual level obstructions showed significantly higher values than retropalatal level obstruction (p smartphone can be effective for recording snoring sounds.

  18. [Design and Implementation of a Mobile Operating Room Information Management System Based on Electronic Medical Record].

    Science.gov (United States)

    Liu, Baozhen; Liu, Zhiguo; Wang, Xianwen

    2015-06-01

    A mobile operating room information management system with electronic medical record (EMR) is designed to improve work efficiency and to enhance the patient information sharing. In the operating room, this system acquires the information from various medical devices through the Client/Server (C/S) pattern, and automatically generates XML-based EMR. Outside the operating room, this system provides information access service by using the Browser/Server (B/S) pattern. Software test shows that this system can correctly collect medical information from equipment and clearly display the real-time waveform. By achieving surgery records with higher quality and sharing the information among mobile medical units, this system can effectively reduce doctors' workload and promote the information construction of the field hospital.

  19. Single-chip microcomputer based protection, diagnostic and recording system for longwall shearers

    Energy Technology Data Exchange (ETDEWEB)

    Heyduk, A.; Krasucki, F. (Politechnika Slaska, Gliwice (Poland). Katedra Elektryfikacji i Automatyzacji Gornictwa)

    1993-05-01

    Presents a concept of microcomputer-aided operation, protection, diagnostics and recording for shearer loaders. A two-stage mathematical model is suggested and explained. The model represents the thermal processes that determine the overcurrent protection of drive motors. Circuits for monitoring fuses, supply voltages, contacts, relays, contactors and electro-hydraulic distributors with the use of transoptors are shown. Recording characteristic operation parameters of a shearer loader during the 5 minutes before a failure is proposed. Protection, diagnosis and control functions are suggested as additional functions to the microcomputer-aided system of shearer loader control being developed at the Silesian Technical University. The system is based on the NECmicroPD 78310 microprocessor. 10 refs.

  20. Beyond the computer-based patient record: re-engineering with a vision.

    Science.gov (United States)

    Genn, B; Geukers, L

    1995-01-01

    In order to achieve real benefit from the potential offered by a Computer-Based Patient Record, the capabilities of the technology must be applied along with true re-engineering of healthcare delivery processes. University Hospital recognizes this and is using systems implementation projects, such as the catalyst, for transforming the way we care for our patients. Integration is fundamental to the success of these initiatives and this must be explicitly planned against an organized systems architecture whose standards are market-driven. University Hospital also recognizes that Community Health Information Networks will offer improved quality of patient care at a reduced overall cost to the system. All of these implementation factors are considered up front as the hospital makes its initial decisions on to how to computerize its patient records. This improves our chances for success and will provide a consistent vision to guide the hospital's development of new and better patient care.

  1. Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability

    Directory of Open Access Journals (Sweden)

    Kushtrim Kuqi

    2013-01-01

    Full Text Available This study examines a new approach of using the Design Structure Matrix (DSM modeling technique to improve the design of Electronic Medical Record (EMR user interfaces. The usability of an EMR medication dosage calculator used for placing orders in an academic hospital setting was investigated. The proposed method captures and analyzes the interactions between user interface elements of the EMR system and groups elements based on information exchange, spatial adjacency, and similarity to improve screen density and time-on-task. Medication dose adjustment task time was recorded for the existing and new designs using a cognitive simulation model that predicts user performance. We estimate that the design improvement could reduce time-on-task by saving an average of 21 hours of hospital physicians’ time over the course of a month. The study suggests that the application of DSM can improve the usability of an EMR user interface.

  2. Satellite-based climate data records of surface solar radiation from the CM SAF

    Science.gov (United States)

    Trentmann, Jörg; Cremer, Roswitha; Kothe, Steffen; Müller, Richard; Pfeifroth, Uwe

    2017-04-01

    The incoming surface solar radiation has been defined as an essential climate variable by GCOS. Long term monitoring of this part of the earth's energy budget is required to gain insights on the state and variability of the climate system. In addition, climate data sets of surface solar radiation have received increased attention over the recent years as an important source of information for solar energy assessments, for crop modeling, and for the validation of climate and weather models. The EUMETSAT Satellite Application Facility on Climate Monitoring (CM SAF) is deriving climate data records (CDRs) from geostationary and polar-orbiting satellite instruments. Within the CM SAF these CDRs are accompanied by operational data at a short time latency to be used for climate monitoring. All data from the CM SAF is freely available via www.cmsaf.eu. Here we present the regional and the global climate data records of surface solar radiation from the CM SAF. The regional climate data record SARAH (Surface Solar Radiation Dataset - Heliosat, doi: 10.5676/EUM_SAF_CM/SARAH/V002) is based on observations from the series of Meteosat satellites. SARAH provides 30-min, daily- and monthly-averaged data of the effective cloud albedo, the solar irradiance (incl. spectral information), the direct solar radiation (horizontal and normal), and the sunshine duration from 1983 to 2015 for the full view of the Meteosat satellite (i.e, Europe, Africa, parts of South America, and the Atlantic ocean). The data sets are generated with a high spatial resolution of 0.05° allowing for detailed regional studies. The global climate data record CLARA (CM SAF Clouds, Albedo and Radiation dataset from AVHRR data, doi: 10.5676/EUM_SAF_CM/CLARA_AVHRR/V002) is based on observations from the series of AVHRR satellite instruments. CLARA provides daily- and monthly-averaged global data of the solar irradiance (SIS) from 1982 to 2015 with a spatial resolution of 0.25°. In addition to the solar surface

  3. Exploring Type-and-Identity-Based Proxy Re-Encryption Scheme to Securely Manage Personal Health Records

    NARCIS (Netherlands)

    Ibraimi, L.; Gangopadhyay, Aryya; Tang, Qiang; Hartel, Pieter H.; Jonker, Willem

    2010-01-01

    Commercial Web-based Personal-Health Record (PHR) systems can help patients to share their personal health records (PHRs) anytime from anywhere. PHRs are very sensitive data and an inappropriate disclosure may cause serious problems to an individual. Therefore commercial Web-based PHR systems have

  4. Client perceptions of the mental health engagement network: a qualitative analysis of an electronic personal health record.

    Science.gov (United States)

    Forchuk, Cheryl; Reiss, Jeffrey P; O'Regan, Tony; Ethridge, Paige; Donelle, Lorie; Rudnick, Abraham

    2015-10-14

    Information technologies such as websites, mobile phone applications, and virtual reality programs have been shown to deliver innovative and effective treatments for mental illness. Much of the research studying electronic mental health interventions focuses on symptom reduction; however, to facilitate the implementation of electronic interventions in usual mental health care, it is also important to investigate the perceptions of clients who will be using the technologies. To this end, a qualitative analysis of focus group discussions regarding the Mental Health Engagement Network, a web-based personal health record and smartphone intervention, is presented here. Individuals living in the community with a mood or psychotic disorder (n = 394) were provided with a smartphone and access to an electronic personal health record, the Lawson SMART Record, for 12 to 18 months to manage their mental health. This study employed a delayed-implementation design and obtained both quantitative and qualitative data through individual interviews and focus group sessions. Participants had the opportunity to participate in voluntary focus group sessions at three points throughout the study to discuss their perceptions of the technologies. Qualitative data from 95 focus group participants were analysed using a thematic analysis. Four overarching themes emerged from focus group discussions: 1) Versatile functionality of the Lawson SMART Record and smartphone facilitated use; 2) Aspects of the technologies as barriers to use; 3) Use of the Mental health Engagement Network technologies resulted in perceived positive outcomes; 4) Future enhancement of the Lawson SMART Record and intervention is recommended. These qualitative data provide a valuable contribution to the understanding of how smarttechnologies can be integrated into usual mental health care. Smartphones are extremely portable andcommonplace in society. Therefore, clients can use these devices to manage and track mental

  5. Fetal movement detection based on QRS amplitude variations in abdominal ECG recordings.

    Science.gov (United States)

    Rooijakkers, M J; de Lau, H; Rabotti, C; Oei, S G; Bergmans, J W M; Mischi, M

    2014-01-01

    Evaluation of fetal motility can give insight in fetal health, as a strong decrease can be seen as a precursor to fetal death. Typically, the assessment of fetal health by fetal movement detection relies on the maternal perception of fetal activity. The percentage of detected movements is strongly subject dependent and with undivided attention of the mother varies between 37% to 88%. Various methods to assist in fetal movement detection exist based on a wide spectrum of measurement techniques. However, these are typically unsuitable for ambulatory or long-term observation. In this paper, a novel method for fetal motion detection is presented based on amplitude and shape changes in the abdominally recorded fetal ECG. The proposed method has a sensitivity and specificity of 0.67 and 0.90, respectively, outperforming alternative fetal ECG-based methods from the literature.

  6. Towards Standardized Patient Data Exchange: Integrating a FHIR Based API for the Open Medical Record System.

    Science.gov (United States)

    Kasthurirathne, Suranga N; Mamlin, Burke; Grieve, Grahame; Biondich, Paul

    2015-01-01

    Interoperability is essential to address limitations caused by the ad hoc implementation of clinical information systems and the distributed nature of modern medical care. The HL7 V2 and V3 standards have played a significant role in ensuring interoperability for healthcare. FHIR is a next generation standard created to address fundamental limitations in HL7 V2 and V3. FHIR is particularly relevant to OpenMRS, an Open Source Medical Record System widely used across emerging economies. FHIR has the potential to allow OpenMRS to move away from a bespoke, application specific API to a standards based API. We describe efforts to design and implement a FHIR based API for the OpenMRS platform. Lessons learned from this effort were used to define long term plans to transition from the legacy OpenMRS API to a FHIR based API that greatly reduces the learning curve for developers and helps enhance adhernce to standards.

  7. Acute Precipitants of Physical Elder Abuse: Qualitative Analysis of Legal Records From Highly Adjudicated Cases.

    Science.gov (United States)

    Rosen, Tony; Bloemen, Elizabeth M; LoFaso, Veronica M; Clark, Sunday; Flomenbaum, Neal E; Breckman, Risa; Markarian, Arlene; Riffin, Catherine; Lachs, Mark S; Pillemer, Karl

    2016-08-01

    Elder abuse is a common phenomenon with potentially devastating consequences for older adults. Although researchers have begun to identify predisposing risk factors for elder abuse victims and abusers, little is known about the acute precipitants that lead to escalation to physical violence. We analyzed legal records from highly adjudicated cases to describe these acute precipitants for physical elder abuse. In collaboration with a large, urban district attorney's office, we qualitatively evaluated legal records from 87 successfully prosecuted physical elder abuse cases from 2003 to 2015. We transcribed and analyzed narratives of the events surrounding physical abuse within victim statements, police reports, and prosecutor records. We identified major themes using content analysis. We identified 10 categories of acute precipitants that commonly triggered physical elder abuse, including victim attempting to prevent the abuser from entering or demanding that he or she leave, victim threatening or attempting to leave/escape, threat or perception that the victim would involve the authorities, conflict about a romantic relationship, presence during/intervention in ongoing family violence, issues in multi-generational child rearing, conflict about the abuser's substance abuse, confrontation about financial exploitation, dispute over theft/destruction of property, and disputes over minor household issues. Common acute precipitants of physical elder abuse may be identified. Improved understanding of these acute precipitants for escalation to physical violence and their contribution to elder abuse may assist in the development of prevention and management strategies.

  8. Designing ETL Tools to Feed a Data Warehouse Based on Electronic Healthcare Record Infrastructure.

    Science.gov (United States)

    Pecoraro, Fabrizio; Luzi, Daniela; Ricci, Fabrizio L

    2015-01-01

    Aim of this paper is to propose a methodology to design Extract, Transform and Load (ETL) tools in a clinical data warehouse architecture based on the Electronic Healthcare Record (EHR). This approach takes advantages on the use of this infrastructure as one of the main source of information to feed the data warehouse, taking also into account that clinical documents produced by heterogeneous legacy systems are structured using the HL7 CDA standard. This paper describes the main activities to be performed to map the information collected in the different types of document with the dimensional model primitives.

  9. Polymer SU-8 Based Microprobes for Neural Recording and Drug Delivery

    Science.gov (United States)

    Altuna, Ane; Fernandez, Luis; Berganzo, Javier

    2015-06-01

    This manuscript makes a reflection about SU-8 based microprobes for neural activity recording and drug delivery. By taking advantage of improvements in microfabrication technologies and using polymer SU-8 as the only structural material, we developed several microprobe prototypes aimed to: a) minimize injury in neural tissue, b) obtain high-quality electrical signals and c) deliver drugs at a micrometer precision scale. Dedicated packaging tools have been developed in parallel to fulfill requirements concerning electric and fluidic connections, size and handling. After these advances have been experimentally proven in brain using in vivo preparation, the technological concepts developed during consecutive prototypes are discussed in depth now.

  10. POLYMER SU-8 BASED MICROPROBES FOR NEURAL RECORDING AND DRUG DELIVERY

    Directory of Open Access Journals (Sweden)

    Ane eAltuna

    2015-06-01

    Full Text Available This manuscript makes a reflection about SU-8 based microprobes for neural activity recording and drug delivery. By taking advantage of improvements in microfabrication technologies and using polymer SU-8 as the only structural material, we developed several microprobe prototypes aimed to: a minimize injury in neural tissue, b obtain high-quality electrical signals and c deliver drugs at a micrometer precision scale. Dedicated packaging tools have been developed in parallel to fulfill requirements concerning electric and fluidic connections, size and handling. After these advances have been experimentally proven in brain using in vivo preparation, the technological concepts developed during consecutive prototypes are discussed in depth now.

  11. Using National Drug Codes and drug knowledge bases to organize prescription records from multiple sources.

    Science.gov (United States)

    Simonaitis, Linas; McDonald, Clement J

    2009-10-01

    The utility of National Drug Codes (NDCs) and drug knowledge bases (DKBs) in the organization of prescription records from multiple sources was studied. The master files of most pharmacy systems include NDCs and local codes to identify the products they dispense. We obtained a large sample of prescription records from seven different sources. These records carried a national product code or a local code that could be translated into a national product code via their formulary master. We obtained mapping tables from five DKBs. We measured the degree to which the DKB mapping tables covered the national product codes carried in or associated with the sample of prescription records. Considering the total prescription volume, DKBs covered 93.0-99.8% of the product codes from three outpatient sources and 77.4-97.0% of the product codes from four inpatient sources. Among the in-patient sources, invented codes explained 36-94% of the noncoverage. Outpatient pharmacy sources rarely invented codes, which comprised only 0.11-0.21% of their total prescription volume, compared with inpatient pharmacy sources for which invented codes comprised 1.7-7.4% of their prescription volume. The distribution of prescribed products was highly skewed, with 1.4-4.4% of codes accounting for 50% of the message volume and 10.7-34.5% accounting for 90% of the message volume. DKBs cover the product codes used by outpatient sources sufficiently well to permit automatic mapping. Changes in policies and standards could increase coverage of product codes used by inpatient sources.

  12. A Satellite-Based Surface Radiation Climatology Derived by Combining Climate Data Records and Near-Real-Time Data

    Directory of Open Access Journals (Sweden)

    Bodo Ahrens

    2013-09-01

    Full Text Available This study presents a method for adjusting long-term climate data records (CDRs for the integrated use with near-real-time data using the example of surface incoming solar irradiance (SIS. Recently, a 23-year long (1983–2005 continuous SIS CDR has been generated based on the visible channel (0.45–1 μm of the MVIRI radiometers onboard the geostationary Meteosat First Generation Platform. The CDR is available from the EUMETSAT Satellite Application Facility on Climate Monitoring (CM SAF. Here, it is assessed whether a homogeneous extension of the SIS CDR to the present is possible with operationally generated surface radiation data provided by CM SAF using the SEVIRI and GERB instruments onboard the Meteosat Second Generation satellites. Three extended CM SAF SIS CDR versions consisting of MVIRI-derived SIS (1983–2005 and three different SIS products derived from the SEVIRI and GERB instruments onboard the MSG satellites (2006 onwards were tested. A procedure to detect shift inhomogeneities in the extended data record (1983–present was applied that combines the Standard Normal Homogeneity Test (SNHT and a penalized maximal T-test with visual inspection. Shift detection was done by comparing the SIS time series with the ground stations mean, in accordance with statistical significance. Several stations of the Baseline Surface Radiation Network (BSRN and about 50 stations of the Global Energy Balance Archive (GEBA over Europe were used as the ground-based reference. The analysis indicates several breaks in the data record between 1987 and 1994 probably due to artefacts in the raw data and instrument failures. After 2005 the MVIRI radiometer was replaced by the narrow-band SEVIRI and the broadband GERB radiometers and a new retrieval algorithm was applied. This induces significant challenges for the homogenisation across the satellite generations. Homogenisation is performed by applying a mean-shift correction depending on the shift size of

  13. Laboratory-based recording of holographic fine structure in X-ray absorption anisotropy using polycapillary optics

    Energy Technology Data Exchange (ETDEWEB)

    Dabrowski, K.M. [Institute of Physics, Jagiellonian University, Reymonta 4, 30-059 Krakow (Poland); Korecki, P., E-mail: pawel.korecki@uj.edu.pl [Institute of Physics, Jagiellonian University, Reymonta 4, 30-059 Krakow (Poland)

    2012-08-15

    Highlights: Black-Right-Pointing-Pointer Holographic fine structures in X-ray absorption recorded using a tabletop setup. Black-Right-Pointing-Pointer Setup based on polycapillary collimating optics and an HOPG crystal. Black-Right-Pointing-Pointer Demonstration of element sensitivity by detection of X-ray fluorescence. Black-Right-Pointing-Pointer Potential of laboratory-based experiments for heavily doped crystals and thin films. - Abstract: A tabletop setup composed of a collimating polycapillary optics and a highly oriented pyrolytic graphite monochromator (HOPG) was characterized and used for recording two-dimensional maps of X-ray absorption anisotropy (XAA). XAA originates from interference of X-rays directly inside the sample. Depending on experimental conditions, fine structures in XAA can be interpreted in terms of X-ray holograms or X-ray standing waves and can be used for an element selective atomic-resolved structural analysis. The implementation of polycapillary optics resulted in a two-order of magnitude gain in the radiant intensity (photons/s/solid angle) as compared to a system without optics and enabled efficient recording of XAA with a resolution of 0.15 Degree-Sign for Mo K{alpha} radiation. Element sensitivity was demonstrated by acquisition of distinct XAA signals for Ga and As atoms in a GaAs (1 1 1) wafer by using X-ray fluorescence as a secondary signal. These results indicate the possibility of performing laboratory-based XAA experiments for heavily doped single crystals or thin films. So far, because of the weak holographic modulation of XAA, such experiments could be only performed using synchrotron radiation.

  14. One positive impact of health care reform to physicians: the computer-based patient record.

    Science.gov (United States)

    England, S P

    1993-11-01

    The health care industry is an information-dependent business that will require a new generation of health information systems if successful health care reform is to occur. We critically need integrated clinical management information systems to support the physician and related clinicians at the direct care level, which in turn will have linkages with secondary users of health information such as health payors, regulators, and researchers. The economic dependence of health care industry on the CPR cannot be underestimated, says Jeffrey Ritter. He sees the U.S. health industry as about to enter a bold new age where our records are electronic, our computers are interconnected, and our money is nothing but pulses running across the telephone lines. Hence the United States is now in an age of electronic commerce. Clinical systems reform must begin with the community-based patient chart, which is located in the physician's office, the hospital, and other related health care provider offices. A community-based CPR and CPR system that integrates all providers within a managed care network is the most logical step since all health information begins with the creation of a patient record. Once a community-based CPR system is in place, the physician and his or her clinical associates will have a common patient record upon which all direct providers have access to input and record patient information. Once a community-level CPR system is in place with a community provider network, each physician will have available health information and data processing capability that will finally provide real savings in professional time and effort. Lost patient charts will no longer be a problem. Data input and storage of health information would occur electronically via transcripted text, voice, and document imaging. All electronic clinical information, voice, and graphics could be recalled at any time and transmitted to any terminal location within the health provider network. Hence

  15. An Internet-Based Real-Time Audiovisual Link for Dual MEG Recordings.

    Directory of Open Access Journals (Sweden)

    Andrey Zhdanov

    Full Text Available Most neuroimaging studies of human social cognition have focused on brain activity of single subjects. More recently, "two-person neuroimaging" has been introduced, with simultaneous recordings of brain signals from two subjects involved in social interaction. These simultaneous "hyperscanning" recordings have already been carried out with a spectrum of neuroimaging modalities, such as functional magnetic resonance imaging (fMRI, electroencephalography (EEG, and functional near-infrared spectroscopy (fNIRS.We have recently developed a setup for simultaneous magnetoencephalographic (MEG recordings of two subjects that communicate in real time over an audio link between two geographically separated MEG laboratories. Here we present an extended version of the setup, where we have added a video connection and replaced the telephone-landline-based link with an Internet connection. Our setup enabled transmission of video and audio streams between the sites with a one-way communication latency of about 130 ms. Our software that allows reproducing the setup is publicly available.We demonstrate that the audiovisual Internet-based link can mediate real-time interaction between two subjects who try to mirror each others' hand movements that they can see via the video link. All the nine pairs were able to synchronize their behavior. In addition to the video, we captured the subjects' movements with accelerometers attached to their index fingers; we determined from these signals that the average synchronization accuracy was 215 ms. In one subject pair we demonstrate inter-subject coherence patterns of the MEG signals that peak over the sensorimotor areas contralateral to the hand used in the task.

  16. Visibility Graph Based Time Series Analysis.

    Science.gov (United States)

    Stephen, Mutua; Gu, Changgui; Yang, Huijie

    2015-01-01

    Network based time series analysis has made considerable achievements in the recent years. By mapping mono/multivariate time series into networks, one can investigate both it's microscopic and macroscopic behaviors. However, most proposed approaches lead to the construction of static networks consequently providing limited information on evolutionary behaviors. In the present paper we propose a method called visibility graph based time series analysis, in which series segments are mapped to visibility graphs as being descriptions of the corresponding states and the successively occurring states are linked. This procedure converts a time series to a temporal network and at the same time a network of networks. Findings from empirical records for stock markets in USA (S&P500 and Nasdaq) and artificial series generated by means of fractional Gaussian motions show that the method can provide us rich information benefiting short-term and long-term predictions. Theoretically, we propose a method to investigate time series from the viewpoint of network of networks.

  17. Visibility Graph Based Time Series Analysis.

    Directory of Open Access Journals (Sweden)

    Mutua Stephen

    Full Text Available Network based time series analysis has made considerable achievements in the recent years. By mapping mono/multivariate time series into networks, one can investigate both it's microscopic and macroscopic behaviors. However, most proposed approaches lead to the construction of static networks consequently providing limited information on evolutionary behaviors. In the present paper we propose a method called visibility graph based time series analysis, in which series segments are mapped to visibility graphs as being descriptions of the corresponding states and the successively occurring states are linked. This procedure converts a time series to a temporal network and at the same time a network of networks. Findings from empirical records for stock markets in USA (S&P500 and Nasdaq and artificial series generated by means of fractional Gaussian motions show that the method can provide us rich information benefiting short-term and long-term predictions. Theoretically, we propose a method to investigate time series from the viewpoint of network of networks.

  18. An analysis of concert saxophone vibrato through the examination of recordings by eight prominent soloists

    Science.gov (United States)

    Zinninger, Thomas

    This study examines concert saxophone vibrato through the analysis of several recordings of standard repertoire by prominent soloists. The vibrato of Vincent Abato, Arno Bornkamp, Claude Delangle, Jean-Marie Londeix, Marcel Mule, Otis Murphy, Sigurd Rascher, and Eugene Rousseau is analyzed with regards to rate, extent, shape, and discretionary use. Examination of these parameters was conducted through both general observation and precise measurements with the aid of a spectrogram. Statistical analyses of the results provide tendencies for overall vibrato use, as well as the effects of certain musical attributes (note length, tempo, dynamic, range) on vibrato. The results of this analysis are also compared among each soloist and against pre-existing theories or findings in vibrato research.

  19. [Desmoid fibromatosis in absorption infrared spectroscopy, emission spectral analysis and roentgen diffraction recording].

    Science.gov (United States)

    Zejkan, A; Bejcek, Z; Horejs, J; Vrbová, H; Bakosová, M; Macholda, F; Rykl, D

    1989-10-01

    The authors present results of serial quality and quantity microanalyses of bone patterns and dental tissue patterns in patient with desmoid fibromatosis. Methods of absorption spectroscopy, emission spectral analysis and X-ray diffraction analysis with follow-up to x-ray examination are tested. The above mentioned methods function in a on-line system by means of specially adjusted monitor unit which is controlled centrally by the computer processor system. The whole process of measurement is fully automated and the data obtained are recorded processed in the unit data structure classified into index sequence blocks of data. Serial microanalyses offer exact data for the study of structural changes of dental and bone tissues which manifest themselves in order of crystal grid shifts. They prove the fact that microanalyses give new possibilities in detection and interpretation of chemical and structural changes of apatite cell.

  20. Bivariable analysis of ventricular late potentials in high resolution ECG records

    International Nuclear Information System (INIS)

    Orosco, L; Laciar, E

    2007-01-01

    In this study the bivariable analysis for ventricular late potentials detection in high-resolution electrocardiographic records is proposed. The standard time-domain analysis and the application of the time-frequency technique to high-resolution ECG records are briefly described as well as their corresponding results. In the proposed technique the time-domain parameter, QRSD and the most significant time-frequency index, EN QRS are used like variables. A bivariable index is defined, that combines the previous parameters. The propose technique allows evaluating the risk of ventricular tachycardia in post-myocardial infarct patients. The results show that the used bivariable index allows discriminating between the patient's population with ventricular tachycardia and the subjects of the control group. Also, it was found that the bivariable technique obtains a good valuation as diagnostic test. It is concluded that comparatively, the valuation of the bivariable technique as diagnostic test is superior to that of the time-domain method and the time-frequency technique evaluated individually

  1. An iPad and Android-based Application for Digitally Recording Geologic Field Data

    Science.gov (United States)

    Malinconico, L. L.; Sunderlin, D.; Liew, C.; Ho, A. S.; Bekele, K. A.

    2011-12-01

    Field experience is a significant component in most geology courses, especially sed/strat and structural geology. Increasingly, the spatial presentation, analysis and interpretation of geologic data is done using digital methodologies (GIS, Google Earth, stereonet and spreadsheet programs). However, students and professionals continue to collect field data manually on paper maps and in the traditional "orange field notebooks". Upon returning from the field, data are then manually transferred into digital formats for processing, mapping and interpretation. The transfer process is both cumbersome and prone to transcription error. In conjunction with the computer science department, we are in the process of developing an application (App) for iOS (the iPad) and Android platforms that can be used to digitally record data measured in the field. This is not a mapping program, but rather a way of bypassing the field book step to acquire digital data directly that can then be used in various analysis and display programs. Currently, the application allows the user to select from five different structural data situations: contact, bedding, fault, joints and "other". The user can define a folder for the collection and separation of data for each project. Observations are stored as individual records of field measurements in each folder. The exact information gathered depends on the nature of the observation, but common to all pages is the ability to log date, time, and lat/long directly from the tablet. Information like strike and dip are entered using scroll wheels and formation names are also entered using scroll wheels that access easy-to-modify lists of the area's stratigraphic units. This insures uniformity in the creation of the digital records from day-to-day and across field teams. Pictures can also be taken using the tablet's camera that are linked to each record. Once the field collection is complete the data (including images) can be easily exported to a .csv file

  2. Spatiotemporal climatic, hydrological, and environmental variations based on records of annually laminated lake sediments from northern Poland

    Science.gov (United States)

    Tylmann, W.; Blanke, L.; Kinder, M.; Loewe, T.; Mayr, C.; Ohlendorf, C.; Zolitschka, B.

    2009-12-01

    In northern Poland there is the unique opportunity to compare varved lake sediment records with distinct climatic trends along a 700 km long W-E transect. Annually laminated Holocene sediment sequences from Lake Lubinskie, Lake Suminko, Lake Lazduny, and Lake Szurpily were cored for high-resolution multiproxy climate and environmental reconstruction in the framework of the Polish-German project “Northern Polish Lake Research” (NORPOLAR). First results from a 139 cm long gravity core of Lake Lazduny (53°51.4’N, 21°57.3’E) document deposition of an organic (mean organic matter: 13.9%; mean biogenic opal: 9.8%) and highly carbonaceous gyttja (mean calcite content: 61.6%). The finely laminated sediment consists of biochemical varves. Pale spring/summer layers composed of autochthonous carbonates alternate with dark fall/winter layers made of organic and minerogenic detritus. The established chronology for the last 1500 calendar-years is based on thin section analysis supported by independent radiometric dating (C-14, Pb-210). Sedimentological, geochemical and stable isotope analyses were carried out with a decadal temporal resolution. Additionally, non-destructive and high-resolution XRF scanning data reveal a rhythmic variation in the Ca content that reflects seasonal calcite deposition. Redox-sensitive elements like Fe, Mn and S are interpreted to be the response to mean winter temperatures: colder winter temperatures → extended lake ice cover → intensification of meromixis → increased Fe/Mn ratio. In turn, these parameters can be linked to NAO (North Atlantic Oscillation) variability, because a negative NAO is related to colder and drier conditions in northeastern Europe. Climate variability is also mirrored by the δ13C record of the endogenic calcite fraction. In mid-latitude lakes calcite precipitation is dominated by productivity-controlled consumption of the dissolved inorganic carbon (DIC) pool. Thus the δ13C record potentially provides a

  3. A technique to stabilize record bases for Gothic arch tracings in patients with implant-retained complete dentures.

    Science.gov (United States)

    Raigrodski, A J; Sadan, A; Carruth, P L

    1998-12-01

    Clinicians have long expressed concern about the accuracy of the Gothic arch tracing for recording centric relation in edentulous patients. With the use of dental implants to assist in retaining complete dentures, the problem of inaccurate recordings, made for patients without natural teeth, can be significantly reduced. This article presents a technique that uses healing abutments to stabilize the record bases so that an accurate Gothic arch tracing can be made.

  4. High-performance, polymer-based direct cellular interfaces for electrical stimulation and recording

    Science.gov (United States)

    Kim, Seong-Min; Kim, Nara; Kim, Youngseok; Baik, Min-Seo; Yoo, Minsu; Kim, Dongyoon; Lee, Won-June; Kang, Dong-Hee; Kim, Sohee; Lee, Kwanghee; Yoon, Myung-Han

    2018-04-01

    Due to the trade-off between their electrical/electrochemical performance and underwater stability, realizing polymer-based, high-performance direct cellular interfaces for electrical stimulation and recording has been very challenging. Herein, we developed transparent and conductive direct cellular interfaces based on a water-stable, high-performance poly(3,4-ethylenedioxythiophene):polystyrene sulfonate (PEDOT:PSS) film via solvent-assisted crystallization. The crystallized PEDOT:PSS on a polyethylene terephthalate (PET) substrate exhibited excellent electrical/electrochemical/optical characteristics, long-term underwater stability without film dissolution/delamination, and good viability for primarily cultured cardiomyocytes and neurons over several weeks. Furthermore, the highly crystallized, nanofibrillar PEDOT:PSS networks enabled dramatically enlarged surface areas and electrochemical activities, which were successfully employed to modulate cardiomyocyte beating via direct electrical stimulation. Finally, the high-performance PEDOT:PSS layer was seamlessly incorporated into transparent microelectrode arrays for efficient, real-time recording of cardiomyocyte action potentials with a high signal fidelity. All these results demonstrate the strong potential of crystallized PEDOT:PSS as a crucial component for a variety of versatile bioelectronic interfaces.

  5. Eielson Air Force Base operable unit 2 and other areas record of decision

    International Nuclear Information System (INIS)

    Lewis, R.E.; Smith, R.M.

    1994-10-01

    This decision document presents the selected remedial actions and no action decisions for Operable Unit 2 (OU2) at Eielson Air Force Base (AFB), Alaska, chosen in accordance with state and federal regulations. This document also presents the decision that no further action is required for 21 other source areas at Eielson AFB. This decision is based on the administrative record file for this site. OU2 addresses sites contaminated by leaks and spills of fuels. Soils contaminated with petroleum products occur at or near the source of contamination. Contaminated subsurface soil and groundwater occur in plumes on the top of a shallow groundwater table that fluctuates seasonally. These sites pose a risk to human health and the environment because of ingestion, inhalation, and dermal contact with contaminated groundwater. The purpose of this response is to prevent current or future exposure to the contaminated groundwater, to reduce further contaminant migration into the groundwater, and to remediate groundwater

  6. A stationary wavelet transform and a time-frequency based spike detection algorithm for extracellular recorded data.

    Science.gov (United States)

    Lieb, Florian; Stark, Hans-Georg; Thielemann, Christiane

    2017-06-01

    Spike detection from extracellular recordings is a crucial preprocessing step when analyzing neuronal activity. The decision whether a specific part of the signal is a spike or not is important for any kind of other subsequent preprocessing steps, like spike sorting or burst detection in order to reduce the classification of erroneously identified spikes. Many spike detection algorithms have already been suggested, all working reasonably well whenever the signal-to-noise ratio is large enough. When the noise level is high, however, these algorithms have a poor performance. In this paper we present two new spike detection algorithms. The first is based on a stationary wavelet energy operator and the second is based on the time-frequency representation of spikes. Both algorithms are more reliable than all of the most commonly used methods. The performance of the algorithms is confirmed by using simulated data, resembling original data recorded from cortical neurons with multielectrode arrays. In order to demonstrate that the performance of the algorithms is not restricted to only one specific set of data, we also verify the performance using a simulated publicly available data set. We show that both proposed algorithms have the best performance under all tested methods, regardless of the signal-to-noise ratio in both data sets. This contribution will redound to the benefit of electrophysiological investigations of human cells. Especially the spatial and temporal analysis of neural network communications is improved by using the proposed spike detection algorithms.

  7. A stationary wavelet transform and a time-frequency based spike detection algorithm for extracellular recorded data

    Science.gov (United States)

    Lieb, Florian; Stark, Hans-Georg; Thielemann, Christiane

    2017-06-01

    Objective. Spike detection from extracellular recordings is a crucial preprocessing step when analyzing neuronal activity. The decision whether a specific part of the signal is a spike or not is important for any kind of other subsequent preprocessing steps, like spike sorting or burst detection in order to reduce the classification of erroneously identified spikes. Many spike detection algorithms have already been suggested, all working reasonably well whenever the signal-to-noise ratio is large enough. When the noise level is high, however, these algorithms have a poor performance. Approach. In this paper we present two new spike detection algorithms. The first is based on a stationary wavelet energy operator and the second is based on the time-frequency representation of spikes. Both algorithms are more reliable than all of the most commonly used methods. Main results. The performance of the algorithms is confirmed by using simulated data, resembling original data recorded from cortical neurons with multielectrode arrays. In order to demonstrate that the performance of the algorithms is not restricted to only one specific set of data, we also verify the performance using a simulated publicly available data set. We show that both proposed algorithms have the best performance under all tested methods, regardless of the signal-to-noise ratio in both data sets. Significance. This contribution will redound to the benefit of electrophysiological investigations of human cells. Especially the spatial and temporal analysis of neural network communications is improved by using the proposed spike detection algorithms.

  8. m2-ABKS: Attribute-Based Multi-Keyword Search over Encrypted Personal Health Records in Multi-Owner Setting.

    Science.gov (United States)

    Miao, Yinbin; Ma, Jianfeng; Liu, Ximeng; Wei, Fushan; Liu, Zhiquan; Wang, Xu An

    2016-11-01

    Online personal health record (PHR) is more inclined to shift data storage and search operations to cloud server so as to enjoy the elastic resources and lessen computational burden in cloud storage. As multiple patients' data is always stored in the cloud server simultaneously, it is a challenge to guarantee the confidentiality of PHR data and allow data users to search encrypted data in an efficient and privacy-preserving way. To this end, we design a secure cryptographic primitive called as attribute-based multi-keyword search over encrypted personal health records in multi-owner setting to support both fine-grained access control and multi-keyword search via Ciphertext-Policy Attribute-Based Encryption. Formal security analysis proves our scheme is selectively secure against chosen-keyword attack. As a further contribution, we conduct empirical experiments over real-world dataset to show its feasibility and practicality in a broad range of actual scenarios without incurring additional computational burden.

  9. Investigations of anomalous gravity signals prior to 71 large earthquakes based on a 4-years long superconducting gravimeter records

    Directory of Open Access Journals (Sweden)

    Dijin Wang

    2017-09-01

    Full Text Available Using continuous 1-Hz sampling time-series recorded by a SG (superconducting gravimeter at Hsinchu station, Taiwan of China, we investigate the anomalous gravity signals prior to 71 large earthquakes with moment magnitude larger than 7.0 (Mw7.0 occurred between 1 Jan 2008 and 31 Dec 2011. We firstly evaluate the noise level of the SG records at Hsinchu (HS station in microseismic bands from 0.05 Hz to 0.1 Hz by computing the PSD (power spectral density of seismically quiet days selected based on the RMS of records. Based on the analysis of the noise level and the spectral features of the seismically quiet SG records at HS station, we detect AGSs (anomalous gravity signals prior to large earthquakes. We apply HHT (Hilbert-Huang transformation to establish the TFEP (time-frequency-energy paradigms and MS (marginal spectra of the SG data before the large earthquakes, and the characteristics of TFEP and MS of the SGs data during the typhoon event are also analyzed. By comparing the spectral characteristics of the SGs data during seismically quiet period, three types of AGSs are found; and the occurrence rate of AGSs before 71 earthquakes is given in terms of the cases with different epicenter distance and different focal depth. The statistical results show that 56.3% of all the examined large earthquakes were preceded by AGSs; and if we constrain the epicenter distance to be smaller than 3500 km and focal depth less than 300 km, 75.3% of the examined large earthquakes can be associated with the AGSs. Especially, we note that for all the large earthquakes occurred in the Eurasian plate in recent four years, the precursory AGSs can always be found in the SG data recorded at HS station. Our investigations suggest that the AGSs prior to large earthquakes may be related to focal depth, epicentre distance and location.

  10. Gap analysis between provisional diagnosis and final diagnosis in government and private teaching hospitals: A record-linked comparative study

    Directory of Open Access Journals (Sweden)

    Sudeshna Chatterjee

    2016-01-01

    Full Text Available Aims: 1. To identify the extent of clinical gaps at the context of knowledge, practice and systems. 2. To formulate necessary intervention measures towards bridging the gaps. Settings and Design: Comparative, cross-sectional and non-interventional study. Methods and Material: It is retrospective, record-based study conducted upon inpatients (n = 200 of major disciplines of two teaching hospitals. Major outcome variables were to observe the matching and un-matching of final and provisional diagnosis by using ICD-10 criteria. Statistical Analysis Used: Comparative analysis of specific and selective gaps were estimated in terms of percentage (%. Results: Pilot observation showed the existence of gaps between provisional and final diagnosis in both private and government institution. Both knowledge and skill gaps were evident in caregivers and gap in documentation was existent in medical records. Conclusions: The pilot data is may be an eye-opener to public and private governance systems for understanding and revising the process service planning and service delivery. Necessary intervention measures may be contemplated towards enhancing diagnostic skill of doctors for quality hospital care.

  11. Analysis of records of external occupational dose records in Brazil; Analise dos registros de dose ocupacional externa no Brasil

    Energy Technology Data Exchange (ETDEWEB)

    Mauricio, Claudia L.P.; Silva, Herica L.R. da, E-mail: claudia@ird.gov.br, E-mail: herica@ird.gov.br [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ),Rio de Janeiro, RJ (Brazil); Silva, Claudio Ribeiro da, E-mail: claudio@cnen.gov.br [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil)

    2014-07-01

    Brazil, a continental country, with actually more than 150,000 workers under individual monitoring for ionizing radiation, has implemented in 1987 a centralized system for storage of external occupational dose. This database has been improved over the years and is now a web-based information system called Brazilian External Occupational Dose Management Database System - GDOSE. This paper presents an overview of the Brazilian external occupational dose over the years. The estimated annual average effective dose shows a decrease from 2.4 mSv in 1987 to about 0.6 mSv, having been a marked reduction from 1987 to 1990. Analyzing by type of controlled practice, one sees that the medical and dental radiology is the area with the largest number of users of individual monitors (70%); followed by education practices (8%) and the industrial radiography (7%). Additionally to photon whole body monitoring; neutron monitors are used in maintenance (36%), reactor (30%) and education (27%); and extremity monitors, in education (27%), nuclear medicine (22%) and radiology (19%). In terms of collective dose, the highest values are also found in conventional radiology, but the highest average dose values are those of interventional radiology. Nuclear medicine, R and D and radiotherapy also have average annual effective dose higher than 1 mSv. However, there is some very high dose values registered in GDOSE that give false information. This should be better analyzed in the future. Annual doses above 500 are certainly not realistic. (author)

  12. Benefit of an electronic medical record-based alarm in the optimization of stress ulcer prophylaxis.

    Science.gov (United States)

    Saad, Emanuel José; Bedini, Marianela; Becerra, Ana Florencia; Martini, Gustavo Daniel; Gonzalez, Jacqueline Griselda; Bolomo, Andrea; Castellani, Luciana; Quiroga, Silvana; Morales, Cristian; Leathers, James; Balderramo, Domingo; Albertini, Ricardo Arturo

    2018-06-09

    The use of stress ulcer prophylaxis (SUP) has risen in recent years, even in patients without a clear indication for therapy. To evaluate the efficacy of an electronic medical record (EMR)-based alarm to improve appropriate SUP use in hospitalized patients. We conducted an uncontrolled before-after study comparing SUP prescription in intensive care unit (ICU) patients and non-ICU patients, before and after the implementation of an EMR-based alarm that provided the correct indications for SUP. 1627 patients in the pre-intervention and 1513 patients in the post-intervention cohorts were included. The EMR-based alarm improved appropriate (49.6% vs. 66.6%, p<0.001) and reduced inappropriate SUP use (50.4% vs. 33.3%, p<0.001) in ICU patients only. These differences were related to the optimization of SUP in low risk patients. There was no difference in overt gastrointestinal bleeding between the two cohorts. Unjustified costs related to SUP were reduced by a third after EMR-based alarm use. The use of an EMR-based alarm improved appropriate and reduced inappropriate use of SUP in ICU patients. This benefit was limited to optimization in low risk patients and associated with a decrease in SUP costs. Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

  13. Development of Software for dose Records Data Base Access; Programacion para la consulta del Banco de Datos Dosimetricos

    Energy Technology Data Exchange (ETDEWEB)

    Amaro, M

    1990-07-01

    The CIEMAT personal dose records are computerized in a Dosimetric Data Base whose primary purpose was the individual dose follow-up control and the data handling for epidemiological studies. Within the Data Base management scheme, software development to allow searching of individual dose records by external authorised users was undertaken. The report describes the software developed to allow authorised persons to visualize on screen a summary of the individual dose records from workers included in the Data Base. The report includes the User Guide for the authorised list of users and listings of codes and subroutines developed. (Author) 2 refs.

  14. Objectively recorded physical activity in early pregnancy: a multiethnic population-based study.

    Science.gov (United States)

    Berntsen, S; Richardsen, K R; Mørkrid, K; Sletner, L; Birkeland, K I; Jenum, A K

    2014-06-01

    This study aimed to compare objectively recorded physical activity (PA) levels and walking steps among pregnant women. Cross-sectional data from a multiethnic cohort (n = 823) of pregnant women consisting of 44% from Western countries, 24% from South Asia, 14% from Middle East, and 18% from other countries. PA and steps were recorded by the activity monitor SenseWear™ Pro3 Armband. A total of 678 women were included in the analysis. Western women walked significantly more steps and had higher moderate-to-vigorous-intensity physical activity (MVPA) levels compared with South Asian women per weekday and weekend day. Interaction terms (P = 0.008) between ethnicity (Western vs South Asian) and parity, and education, respectively, were identified: having ≥ 1 children was positively associated with steps during weekends in South Asians in contrast to Western women. Having pregnancy and South Asian women without children and with higher education may have an elevated risk for an inactive lifestyle during pregnancy. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Long-term neural recordings using MEMS based moveable microelectrodes in the brain

    Directory of Open Access Journals (Sweden)

    Nathan Jackson

    2010-06-01

    Full Text Available One of the critical requirements of the emerging class of neural prosthetic devices is to maintain good quality neural recordings over long time periods. We report here a novel (Micro-ElectroMechanical Systems based technology that can move microelectrodes in the event of deterioration in neural signal to sample a new set of neurons. Microscale electro-thermal actuators are used to controllably move microelectrodes post-implantation in steps of approximately 9 µm. In this study, a total of 12 moveable microelectrode chips were individually implanted in adult rats. Two of the 12 moveable microelectrode chips were not moved over a period of 3 weeks and were treated as control experiments. During the first three weeks of implantation, moving the microelectrodes led to an improvement in the average SNR from 14.61 ± 5.21 dB before movement to 18.13 ± 4.99 dB after movement across all microelectrodes and all days. However, the average RMS values of noise amplitudes were similar at 2.98 ± 1.22 µV and 3.01 ± 1.16 µV before and after microelectrode movement. Beyond three weeks, the primary observed failure mode was biological rejection of the PMMA (dental cement based skull mount resulting in the device loosening and eventually falling from the skull. Additionally, the average SNR for functioning devices beyond three weeks was 11.88 ± 2.02 dB before microelectrode movement and was significantly different (p<0.01 from the average SNR of 13.34 ± 0.919 dB after movement. The results of this study demonstrate that MEMS based technologies can move microelectrodes in rodent brains in long-term experiments resulting in improvements in signal quality. Further improvements in packaging and surgical techniques will potentially enable movable microelectrodes to record cortical neuronal activity in chronic experiments.

  16. Analysis of microseismic signals and temperature recordings for rock slope stability investigations in high mountain areas

    Directory of Open Access Journals (Sweden)

    C. Occhiena

    2012-07-01

    Full Text Available The permafrost degradation is a probable cause for the increase of rock instabilities and rock falls observed in recent years in high mountain areas, particularly in the Alpine region. The phenomenon causes the thaw of the ice filling rock discontinuities; the water deriving from it subsequently freezes again inducing stresses in the rock mass that may lead, in the long term, to rock falls. To investigate these processes, a monitoring system composed by geophones and thermometers was installed in 2007 at the Carrel hut (3829 m a.s.l., Matterhorn, NW Alps. In 2010, in the framework of the Interreg 2007–2013 Alcotra project no. 56 MASSA, the monitoring system has been empowered and renovated in order to meet project needs.

    In this paper, the data recorded by this renewed system between 6 October 2010 and 5 October 2011 are presented and 329 selected microseismic events are analysed. The data processing has concerned the classification of the recorded signals, the analysis of their distribution in time and the identification of the most important trace characteristics in time and frequency domain. The interpretation of the results has evidenced a possible correlation between the temperature trend and the event occurrence.

    The research is still in progress and the data recording and interpretation are planned for a longer period to better investigate the spatial-temporal distribution of microseismic activity in the rock mass, with specific attention to the relation of microseismic activity with temperatures. The overall goal is to verify the possibility to set up an effective monitoring system for investigating the stability of a rock mass under permafrost conditions, in order to supply the researchers with useful data to better understand the relationship between temperature and rock mass stability and, possibly, the technicians with a valid tool for decision-making.

  17. Importance-performance analysis based SWOT analysis

    OpenAIRE

    Phadermrod, Boonyarat; Crowder, Richard M.; Wills, Gary B.

    2016-01-01

    SWOT analysis, a commonly used tool for strategic planning, is traditionally a form of brainstorming. Hence, it has been criticised that it is likely to hold subjective views of the individuals who participate in a brainstorming session and that SWOT factors are not prioritized by their significance thus it may result in an improper strategic action. While most studies of SWOT analysis have only focused on solving these shortcomings separately, this study offers an approach to diminish both s...

  18. Certificate-Based Encryption with Keyword Search: Enabling Secure Authorization in Electronic Health Record

    Directory of Open Access Journals (Sweden)

    Clémentine Gritti

    2016-11-01

    Full Text Available In an e-Health scenario, we study how the practitioners are authorized when they are requesting access to medical documents containing sensitive information. Consider the following scenario. A clinician wants to access and retrieve a patient’s Electronic Health Record (EHR, and this means that the clinician must acquire sufficient access right to access this document. As the EHR is within a collection of many other patients, the clinician would need to specify some requirements (such as a keyword which match the patient’s record, as well as having a valid access right. The complication begins when we do not want the server to learn anything from this query (as the server might be outsourced to other place. To encompass this situation, we define a new cryptographic primitive called Certificate-Based Encryption with Keyword Search (CBEKS, which will be suitable in this scenario. We also specify the corresponding security models, namely computational consistency, indistinguishability against chosen keyword and ciphertext attacks, indistinguishability against keyword-guessing attacks and collusion resistance. We provide a CBEKS construction that is proven secure in the standard model with respect to the aforementioned security models.

  19. Charging for hospital pharmaceutical services: flat free based on the medication record.

    Science.gov (United States)

    Wyatt, B K

    1979-03-01

    A 200-bed hospital's change in pricing drug products from a cost-plus-fee system to a flat fee per dose based on the medication administration record (MAR) is described. With the flat-fee system, drug charges are not recorded when the drug is dispensed by the pharmacy; data for charging doses are obtained directly from the MAR forms generated by the nursing staff. Charges are 55 cents per oral or suppository dose and $3.00 per injection dose. Drugs administered intravenously, topical drugs, injections costing more than $10.00 per dose, and miscellaneous nondrug items are still charged on a cost-plus-fee basis. Man-hours are saved in the pharmacy department because of the elimination of the pricing function and maintenance of price lists. The need for nursing staff to charge for any doses administered from emergency or Schedule II floor-stock supplies is eliminated. The workload for business office personnel is reduced because the number of individual charges is less than with the cost-plus charging system. The system is accepted by patients and third-party payers and has made a complete unit dose drug distribution system possible at lower cost.

  20. Network Analysis of Foramen Ovale Electrode Recordings in Drug-resistant Temporal Lobe Epilepsy Patients

    Science.gov (United States)

    Sanz-García, Ancor; Vega-Zelaya, Lorena; Pastor, Jesús; Torres, Cristina V.; Sola, Rafael G.; Ortega, Guillermo J.

    2016-01-01

    Approximately 30% of epilepsy patients are refractory to antiepileptic drugs. In these cases, surgery is the only alternative to eliminate/control seizures. However, a significant minority of patients continues to exhibit post-operative seizures, even in those cases in which the suspected source of seizures has been correctly localized and resected. The protocol presented here combines a clinical procedure routinely employed during the pre-operative evaluation of temporal lobe epilepsy (TLE) patients with a novel technique for network analysis. The method allows for the evaluation of the temporal evolution of mesial network parameters. The bilateral insertion of foramen ovale electrodes (FOE) into the ambient cistern simultaneously records electrocortical activity at several mesial areas in the temporal lobe. Furthermore, network methodology applied to the recorded time series tracks the temporal evolution of the mesial networks both interictally and during the seizures. In this way, the presented protocol offers a unique way to visualize and quantify measures that considers the relationships between several mesial areas instead of a single area. PMID:28060326

  1. Conflict Detection Performance Analysis for Function Allocation Using Time-Shifted Recorded Traffic Data

    Science.gov (United States)

    Guerreiro, Nelson M.; Butler, Ricky W.; Maddalon, Jeffrey M.; Hagen, George E.; Lewis, Timothy A.

    2015-01-01

    The performance of the conflict detection function in a separation assurance system is dependent on the content and quality of the data available to perform that function. Specifically, data quality and data content available to the conflict detection function have a direct impact on the accuracy of the prediction of an aircraft's future state or trajectory, which, in turn, impacts the ability to successfully anticipate potential losses of separation (detect future conflicts). Consequently, other separation assurance functions that rely on the conflict detection function - namely, conflict resolution - are prone to negative performance impacts. The many possible allocations and implementations of the conflict detection function between centralized and distributed systems drive the need to understand the key relationships that impact conflict detection performance, with respect to differences in data available. This paper presents the preliminary results of an analysis technique developed to investigate the impacts of data quality and data content on conflict detection performance. Flight track data recorded from a day of the National Airspace System is time-shifted to create conflicts not present in the un-shifted data. A methodology is used to smooth and filter the recorded data to eliminate sensor fusion noise, data drop-outs and other anomalies in the data. The metrics used to characterize conflict detection performance are presented and a set of preliminary results is discussed.

  2. Mapping the Early Language Environment Using All-Day Recordings and Automated Analysis.

    Science.gov (United States)

    Gilkerson, Jill; Richards, Jeffrey A; Warren, Steven F; Montgomery, Judith K; Greenwood, Charles R; Kimbrough Oller, D; Hansen, John H L; Paul, Terrance D

    2017-05-17

    This research provided a first-generation standardization of automated language environment estimates, validated these estimates against standard language assessments, and extended on previous research reporting language behavior differences across socioeconomic groups. Typically developing children between 2 to 48 months of age completed monthly, daylong recordings in their natural language environments over a span of approximately 6-38 months. The resulting data set contained 3,213 12-hr recordings automatically analyzed by using the Language Environment Analysis (LENA) System to generate estimates of (a) the number of adult words in the child's environment, (b) the amount of caregiver-child interaction, and (c) the frequency of child vocal output. Child vocalization frequency and turn-taking increased with age, whereas adult word counts were age independent after early infancy. Child vocalization and conversational turn estimates predicted 7%-16% of the variance observed in child language assessment scores. Lower socioeconomic status (SES) children produced fewer vocalizations, engaged in fewer adult-child interactions, and were exposed to fewer daily adult words compared with their higher socioeconomic status peers, but within-group variability was high. The results offer new insight into the landscape of the early language environment, with clinical implications for identification of children at-risk for impoverished language environments.

  3. The patients' active role in managing a personal electronic health record: a qualitative analysis.

    Science.gov (United States)

    Baudendistel, Ines; Winkler, Eva; Kamradt, Martina; Brophy, Sarah; Längst, Gerda; Eckrich, Felicitas; Heinze, Oliver; Bergh, Bjoern; Szecsenyi, Joachim; Ose, Dominik

    2015-09-01

    The complexity of illness and cross-sectoral health care pose challenges for patients with colorectal cancer and their families. Within a patient-centered care paradigm, it is vital to give patients the opportunity to play an active role. Prospective users' attitudes regarding the patients' role in the context of a patient-controlled electronic health record (PEPA) were explored. A qualitative study across regional health care settings and health professions was conducted. Overall, 10 focus groups were performed collecting views of 3 user groups: patients with colorectal cancer (n = 12) and representatives from patient support groups (n = 2), physicians (n = 17), and other health care professionals (HCPs) (n = 16). Data were audio- and videotaped, transcribed verbatim and thematically analyzed using qualitative content analysis. The patients' responsibility as a gatekeeper and access manager was at the center of the focus group discussions, although HCPs addressed aspects that would limit patients taking an active role (e.g., illness related issues). Despite expressed concerns, PEPAs possibility to enhance personal responsibility was seen in all user groups. Giving patients an active role in managing a personal electronic health record is an innovative patient-centered approach, although existing restraints have to be recognized. To enhance user adoption and advance PEPAs potential, key user needs have to be addressed.

  4. Automating occupational protection records systems

    International Nuclear Information System (INIS)

    Lyon, M.; Martin, J.B.

    1991-10-01

    Occupational protection records have traditionally been generated by field and laboratory personnel, assembled into files in the safety office, and eventually stored in a warehouse or other facility. Until recently, these records have been primarily paper copies, often handwritten. Sometimes, the paper is microfilmed for storage. However, electronic records are beginning to replace these traditional methods. The purpose of this paper is to provide guidance for making the transition to automated record keeping and retrieval using modern computer equipment. This paper describes the types of records most readily converted to electronic record keeping and a methodology for implementing an automated record system. The process of conversion is based on a requirements analysis to assess program needs and a high level of user involvement during the development. The importance of indexing the hard copy records for easy retrieval is also discussed. The concept of linkage between related records and its importance relative to reporting, research, and litigation will be addressed. 2 figs

  5. Analysis of workers' dose records from the Greek Dose Registry Information System

    International Nuclear Information System (INIS)

    Kamenopoulou, V.; Dimitriou, P.; Proukakis, Ch.

    1995-01-01

    The object of this work is the study of the individual film badge annual dose information of classified workers in Greece, monitored and assessed by the central dosimetry service of the Greek Atomic Energy Commission. Dose summaries were recorded and processed by the Dose Registry Information System. The statistical analysis refers to the years 1989-93 and deals with the distribution of individuals in the occupational groups, the mean annual dose, the collective dose, the distribution of the dose over the different specialties and the number of workers that have exceeded any of the established dose limits. Results concerning the annual dose summaries, demonstrate a year-by-year reduction in the mean individual dose to workers in the health sector. Conversely, exposures in the industrial sector did not show any decreasing tendency during the period under consideration. (Author)

  6. A Socio-Technical Analysis of Patient Accessible Electronic Health Records.

    Science.gov (United States)

    Hägglund, Maria; Scandurra, Isabella

    2017-01-01

    In Sweden, and internationally, there is a movement towards increased transparency in healthcare including giving patients online access to their electronic health records (EHR). The purpose of this paper is to analyze the Swedish patient accessible EHR (PAEHR) service using a socio-technical framework, to increase the understanding of factors that influence the design, implementation, adoption and use of the service. Using the Sitting and Singh socio-technical framework as a basis for analyzing the Swedish PAEHR system and its context indicated that there are many stakeholders engaged in these types of services, with different driving forces and incentives that may influence the adoption and usefulness of PAEHR services. The analysis was useful in highlighting important areas that need to be further explored in evaluations of PAEHR services, and can act as a guide when planning evaluations of any PAEHR service.

  7. The Recording and Quantification of Event-Related Potentials: II. Signal Processing and Analysis

    Directory of Open Access Journals (Sweden)

    Paniz Tavakoli

    2015-06-01

    Full Text Available Event-related potentials are an informative method for measuring the extent of information processing in the brain. The voltage deflections in an ERP waveform reflect the processing of sensory information as well as higher-level processing that involves selective attention, memory, semantic comprehension, and other types of cognitive activity. ERPs provide a non-invasive method of studying, with exceptional temporal resolution, cognitive processes in the human brain. ERPs are extracted from scalp-recorded electroencephalography by a series of signal processing steps. The present tutorial will highlight several of the analysis techniques required to obtain event-related potentials. Some methodological issues that may be encountered will also be discussed.

  8. NOAA JPSS Visible Infrared Imaging Radiometer Suite (VIIRS) Cloud Base Height (CBH) Environmental Data Record (EDR) from IDPS

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset contains a high quality operational Environmental Data Record (EDR) of Cloud Base Heights (CBH) from the Visible Infrared Imaging Radiometer Suite...

  9. NOAA JPSS Visible Infrared Imaging Radiometer Suite (VIIRS) Cloud Height (Top and Base) Environmental Data Record (EDR) from NDE

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset contains a high quality operational Environmental Data Record (EDR) of cloud height (top and base) from the Visible Infrared Imaging Radiometer Suite...

  10. A compact self-recording pressure based sea level gauge suitable for deployments at harbour and offshore environments

    Digital Repository Service at National Institute of Oceanography (India)

    Desa, E.; Peshwe, V.B.; Joseph, A.; Mehra, P.; Naik, G.P.; Kumar, V.; Desa, E.S.; Desai, R.G.P.; Nagvekar, S.; Desai, S.P.

    A compact and lightweight self-recording pressure based sea level gauge has been designed to suit deployments from harbour and offshore environments. A novel hydraulic coupling device designed in-house was used to transfer the seawater pressure...

  11. Delivering a lifelong integrated electronic health record based on a service oriented architecture.

    Science.gov (United States)

    Katehakis, Dimitrios G; Sfakianakis, Stelios G; Kavlentakis, Georgios; Anthoulakis, Dimitrios N; Tsiknakis, Manolis

    2007-11-01

    Efficient access to a citizen's Integrated Electronic Health Record (I-EHR) is considered to be the cornerstone for the support of continuity of care, the reduction of avoidable mistakes, and the provision of tools and methods to support evidence-based medicine. For the past several years, a number of applications and services (including a lifelong I-EHR) have been installed, and enterprise and regional infrastructure has been developed, in HYGEIAnet, the Regional Health Information Network (RHIN) of the island of Crete, Greece. Through this paper, the technological effort toward the delivery of a lifelong I-EHR by means of World Wide Web Consortium (W3C) technologies, on top of a service-oriented architecture that reuses already existing middleware components is presented and critical issues are discussed. Certain design and development decisions are exposed and explained, laying this way the ground for coordinated, dynamic navigation to personalized healthcare delivery.

  12. Design and Implementation of Track Record System Based on Android Platform

    Directory of Open Access Journals (Sweden)

    Zhang Jiachen

    2017-01-01

    Full Text Available For the problem of losing and missing of vulnerable groups, a track record system is designed. The mobile terminal Android system is used as a platform, with the help of Auto Navi Map Android SDK positioning function, realize the positioning data acquisition of mobile terminals; using Apache Tomcat Server and MySQL database to build a Server which haves C/S(the client and the server server architecture. The mobile terminal interacts with the server through the JSON data transmission mode based on the HTTP protocol, and the server saves the relevant information provided by the mobile terminal through the JDBC to the corresponding table in the database. It can be used to monitor the trace of the family and friends, compared with the PC terminal, it is not only more flexible, convenient and fast, but also has the characteristics of real-time and high efficiency. Through the test, all functions can be used normally.

  13. A Bayesian network model for predicting type 2 diabetes risk based on electronic health records

    Science.gov (United States)

    Xie, Jiang; Liu, Yan; Zeng, Xu; Zhang, Wu; Mei, Zhen

    2017-07-01

    An extensive, in-depth study of diabetes risk factors (DBRF) is of crucial importance to prevent (or reduce) the chance of suffering from type 2 diabetes (T2D). Accumulation of electronic health records (EHRs) makes it possible to build nonlinear relationships between risk factors and diabetes. However, the current DBRF researches mainly focus on qualitative analyses, and the inconformity of physical examination items makes the risk factors likely to be lost, which drives us to study the novel machine learning approach for risk model development. In this paper, we use Bayesian networks (BNs) to analyze the relationship between physical examination information and T2D, and to quantify the link between risk factors and T2D. Furthermore, with the quantitative analyses of DBRF, we adopt EHR and propose a machine learning approach based on BNs to predict the risk of T2D. The experiments demonstrate that our approach can lead to better predictive performance than the classical risk model.

  14. Prefrontal cortex and somatosensory cortex in tactile crossmodal association: an independent component analysis of ERP recordings.

    Directory of Open Access Journals (Sweden)

    Yixuan Ku

    2007-08-01

    Full Text Available Our previous studies on scalp-recorded event-related potentials (ERPs showed that somatosensory N140 evoked by a tactile vibration in working memory tasks was enhanced when human subjects expected a coming visual stimulus that had been paired with the tactile stimulus. The results suggested that such enhancement represented the cortical activities involved in tactile-visual crossmodal association. In the present study, we further hypothesized that the enhancement represented the neural activities in somatosensory and frontal cortices in the crossmodal association. By applying independent component analysis (ICA to the ERP data, we found independent components (ICs located in the medial prefrontal cortex (around the anterior cingulate cortex, ACC and the primary somatosensory cortex (SI. The activity represented by the IC in SI cortex showed enhancement in expectation of the visual stimulus. Such differential activity thus suggested the participation of SI cortex in the task-related crossmodal association. Further, the coherence analysis and the Granger causality spectral analysis of the ICs showed that SI cortex appeared to cooperate with ACC in attention and perception of the tactile stimulus in crossmodal association. The results of our study support with new evidence an important idea in cortical neurophysiology: higher cognitive operations develop from the modality-specific sensory cortices (in the present study, SI cortex that are involved in sensation and perception of various stimuli.

  15. The record precipitation and flood event in Iberia in December 1876: description and synoptic analysis

    Directory of Open Access Journals (Sweden)

    Ricardo Machado Trigo

    2014-04-01

    Full Text Available The first week of December 1876 was marked by extreme weather conditions that affected the south-western sector of the Iberian Peninsula, leading to an all-time record flow in two large international rivers. As a direct consequence, several Portuguese and Spanish towns and villages located in the banks of both rivers suffered serious flood damage on 7 December 1876. These unusual floods were amplified by the preceding particularly autumn wet months, with October 1876 presenting extremely high precipitation anomalies for all western Iberia stations. Two recently digitised stations in Portugal (Lisbon and Evora, present a peak value on 5 December 1876. Furthermore, the values of precipitation registered between 28 November and 7 December were so remarkable that, the episode of 1876 still corresponds to the maximum average daily precipitation values for temporal scales between 2 and 10 days. Using several different data sources, such as historical newspapers of that time, meteorological data recently digitised from several stations in Portugal and Spain and the recently available 20th Century Reanalysis, we provide a detailed analysis on the socio-economic impacts, precipitation values and the atmospheric circulation conditions associated with this event. The atmospheric circulation during these months was assessed at the monthly, daily and sub-daily scales. All months considered present an intense negative NAO index value, with November 1876 corresponding to the lowest NAO value on record since 1865. We have also computed a multivariable analysis of surface and upper air fields in order to provide some enlightening into the evolution of the synoptic conditions in the week prior to the floods. These events resulted from the continuous pouring of precipitation registered between 28 November and 7 December, due to the consecutive passage of Atlantic low-pressure systems fuelled by the presence of an atmospheric-river tropical moisture flow over

  16. Analysis of Mitral Valve Replacement Outcomes is Enhanced by Meaningful Clinical Use of Electronic Health Records

    Science.gov (United States)

    Chen, John C; Pfeffer, Thomas; Johnstone, Shelley; Chen, Yuexin; Kiley, Mary-Lou; Richter, Richard; Lee, Hon

    2013-01-01

    Objective: Cardiac surgical mortality has improved during the last decade despite the aging of the population. An integrated US health plan developed a heart valve registry to track outcomes and complications of heart valve operations. This database was used for longitudinal evaluation of mitral valve (MV) outcomes from 1999 to 2008 at four affiliated hospitals. Methods: We identified 3130 patients in the Apollo database who underwent 3180 initial MV procedures. Internal administrative and Social Security Administration databases were merged to determine survival rates. Electronic health records were searched to ascertain demographics, comorbidities, and postoperative complications. Cox regression was used to evaluate mean survival and identify risk factors. Results: The procedures included 1160 mechanical valve replacements, 1159 tissue valve replacements, and 861 annuloplasties. The mean age of patients undergoing these procedures was 58 ± 11 years, 69 ± 12 years, and 62 ± 12 years, respectively. Mean survival was 8.9 ± 0.1 years for mechanical valve replacement, 7.0 ± 0.1 years for tissue valve replacement, and 7.7 ± 0.1 years for annuloplasty. Early in the study, there was a preference for implanting mechanical MVs. Beginning in 2003, more patients received tissue valve replacements rather than mechanical valves. Over time, there was an increasing trend of annuloplasty. Cox regression analysis identified the following risk factors for increased ten-year mortality: tissue valve implantation; advanced age; female sex; nonelective, nonisolated procedure; diabetes; postoperative use of banked blood products; previous cardiovascular intervention; dialysis; and longer perfusion time. Hospital location, reoperation, preoperative anticoagulation, and cardiogenic shock were not statistically significant risk factors. Conclusions: When controlling for other risk factors, we observed a lower long-term survival rate for tissue valve replacement compared with

  17. The present state of the medical record data base for the A-bomb survivors in Nagasaki University

    International Nuclear Information System (INIS)

    Mori, Hiroyuki; Mine, Mariko; Kondo, Hisayoshi; Okumura, Yutaka

    1992-01-01

    It has been 13 years since the operation of medical record data base for A-bomb survivors was started in the Scientific Data Center for Atomic Bomb Disaster at the Nagasaki University. This paper presents the basic data in handling the data base. The present data base consists of the following 6 items: (1) 'fundamental data' for approximately 120,000 A-bomb survivors having an A-bomb survivors' handbook who have been living in Nagasaki City; (2) 'Nagasaki Atomic Bomb Hospital's data', covering admission medical records in the ward of internal medicine; (3) 'pathological data', covering autopsy records in Nagasaki City; (4) 'household data reconstructed by the survey data'; (5) 'second generation A-bomb survivors data', including the results of mass screening since 1979, and (6) 'address data'. Based on the data, the number of A-bomb survivors, diagnosis records at the time of death, the number of A-bomb survivors' participants in health examination, tumor registration, records of admission to the internal ward in Nagasaki Atomic Bomb Hospital, autopsy records, and household records are tabulated in relation to annual changes, age at the time of A-bombing, distance from the hypocenter, or sex. (N.K.)

  18. Semantic validation of standard-based electronic health record documents with W3C XML schema.

    Science.gov (United States)

    Rinner, C; Janzek-Hawlat, S; Sibinovic, S; Duftschmid, G

    2010-01-01

    The goal of this article is to examine whether W3C XML Schema provides a practicable solution for the semantic validation of standard-based electronic health record (EHR) documents. With semantic validation we mean that the EHR documents are checked for conformance with the underlying archetypes and reference model. We describe an approach that allows XML Schemas to be derived from archetypes based on a specific naming convention. The archetype constraints are augmented with additional components of the reference model within the XML Schema representation. A copy of the EHR document that is transformed according to the before-mentioned naming convention is used for the actual validation against the XML Schema. We tested our approach by semantically validating EHR documents conformant to three different ISO/EN 13606 archetypes respective to three sections of the CDA implementation guide "Continuity of Care Document (CCD)" and an implementation guide for diabetes therapy data. We further developed a tool to automate the different steps of our semantic validation approach. For two particular kinds of archetype prescriptions, individual transformations are required for the corresponding EHR documents. Otherwise, a fully generic validation is possible. In general, we consider W3C XML Schema as a practicable solution for the semantic validation of standard-based EHR documents.

  19. Parkinsonian rest tremor can be detected accurately based on neuronal oscillations recorded from the subthalamic nucleus.

    Science.gov (United States)

    Hirschmann, J; Schoffelen, J M; Schnitzler, A; van Gerven, M A J

    2017-10-01

    To investigate the possibility of tremor detection based on deep brain activity. We re-analyzed recordings of local field potentials (LFPs) from the subthalamic nucleus in 10 PD patients (12 body sides) with spontaneously fluctuating rest tremor. Power in several frequency bands was estimated and used as input to Hidden Markov Models (HMMs) which classified short data segments as either tremor-free rest or rest tremor. HMMs were compared to direct threshold application to individual power features. Applying a threshold directly to band-limited power was insufficient for tremor detection (mean area under the curve [AUC] of receiver operating characteristic: 0.64, STD: 0.19). Multi-feature HMMs, in contrast, allowed for accurate detection (mean AUC: 0.82, STD: 0.15), using four power features obtained from a single contact pair. Within-patient training yielded better accuracy than across-patient training (0.84vs. 0.78, p=0.03), yet tremor could often be detected accurately with either approach. High frequency oscillations (>200Hz) were the best performing individual feature. LFP-based markers of tremor are robust enough to allow for accurate tremor detection in short data segments, provided that appropriate statistical models are used. LFP-based markers of tremor could be useful control signals for closed-loop deep brain stimulation. Copyright © 2017 International Federation of Clinical Neurophysiology. Published by Elsevier B.V. All rights reserved.

  20. Tremor recording and analysis as a tool for target localisation in thalamotomy and DBS for tremor

    NARCIS (Netherlands)

    Journee, HL; Hamoen, DJ; Staal, MJ; Sclabassi, R; Haaxma, R; Elands, A; Hummel, JJJ; Boom, H; Robinson, C; Rutten, W; Neuman, M; Wijkstra, H

    1997-01-01

    The objective of this work was to design and use a tremor and analysis system for stereotactic thalamotomy and thalamus stimulation (DBS). A notebook PC based system was developed. The tremor was measured by accelero-transducers or EMG. The method was used to confirm the definitive localization of

  1. Development of the electronic patient record system based on problem oriented system.

    Science.gov (United States)

    Uto, Yumiko; Iwaanakuchi, Takashi; Muranaga, Fuminori; Kumamoto, Ichiro

    2013-01-01

    In Japan, POS (problem oriented system) is recommended in the clinical guideline. Therefore, the records are mainly made by SOAP. We developed a system mainly with a function which enabled our staff members of all kinds of professions including doctors to enter the patients' clinical information as an identical record, regardless if they were outpatients or inpatients, and to observe the contents chronologically. This electric patient record system is called "e-kanja recording system". On this system, all staff members in the medical team can now share the same information. Moreover, the contents can be reviewed by colleagues; the quality of records has been improved as it is evaluated by the others.

  2. Pulling smarties out of a bag: a Headed Records analysis of children's recall of their own past beliefs.

    Science.gov (United States)

    Barreau, S; Morton, J

    1999-11-09

    The work reported provides an information processing account of young children's performance on the Smarties task (Perner, J., Leekam, S.R., & Wimmer, H. 1987, Three-year-olds' difficulty with false belief: the case for a conceptual deficit. British Journal of Developmental Psychology, 5, 125-137). In this task, a 3-year-old is shown a Smarties tube and asked about the supposed contents. The true contents, pencils, is then revealed, and the majority of 3-year-olds cannot recall their initial belief that the tube contained Smarties. The theoretical analysis, based on the Headed Records framework (Morton, J., Hammersley, R.J., & Bekerian, D.A. 1985, Headed records: a model for memory and its failures, Cognition, 20, 1-23), focuses on the computational conditions that are required to resolve the Smarties task; on the possible limitations in the developing memory system that may lead to a computational breakdown; and on ways of bypassing such limitations to ensure correct resolution. The design, motivated by this analysis, is a variation on Perner's Smarties task. Instead of revealing the tube's contents immediately after establishing the child's beliefs about it, these contents were then transferred to a bag and a (false) belief about the bag's contents established. Only then were the true contents of the bag revealed. The same procedure (different contents) was carried out a week later. As predicted children's performance was better (a) in the 'tube' condition; and (b) on the second test. Consistent with the proposed analysis, the data show that when the computational demands imposed by the original task are reduced, young children can and do remember what they had thought about the contents of the tube even after its true contents are revealed.

  3. The Multimorbidity Cluster Analysis Tool: Identifying Combinations and Permutations of Multiple Chronic Diseases Using a Record-Level Computational Analysis

    Directory of Open Access Journals (Sweden)

    Kathryn Nicholson

    2017-12-01

    Full Text Available Introduction: Multimorbidity, or the co-occurrence of multiple chronic health conditions within an individual, is an increasingly dominant presence and burden in modern health care systems.  To fully capture its complexity, further research is needed to uncover the patterns and consequences of these co-occurring health states.  As such, the Multimorbidity Cluster Analysis Tool and the accompanying Multimorbidity Cluster Analysis Toolkit have been created to allow researchers to identify distinct clusters that exist within a sample of participants or patients living with multimorbidity.  Development: The Tool and Toolkit were developed at Western University in London, Ontario, Canada.  This open-access computational program (JAVA code and executable file was developed and tested to support an analysis of thousands of individual records and up to 100 disease diagnoses or categories.  Application: The computational program can be adapted to the methodological elements of a research project, including type of data, type of chronic disease reporting, measurement of multimorbidity, sample size and research setting.  The computational program will identify all existing, and mutually exclusive, combinations and permutations within the dataset.  An application of this computational program is provided as an example, in which more than 75,000 individual records and 20 chronic disease categories resulted in the detection of 10,411 unique combinations and 24,647 unique permutations among female and male patients.  Discussion: The Tool and Toolkit are now available for use by researchers interested in exploring the complexities of multimorbidity.  Its careful use, and the comparison between results, will be valuable additions to the nuanced understanding of multimorbidity.

  4. On the construction of a time base and the elimination of averaging errors in proxy records

    Science.gov (United States)

    Beelaerts, V.; De Ridder, F.; Bauwens, M.; Schmitz, N.; Pintelon, R.

    2009-04-01

    Proxies are sources of climate information which are stored in natural archives (e.g. ice-cores, sediment layers on ocean floors and animals with calcareous marine skeletons). Measuring these proxies produces very short records and mostly involves sampling solid substrates, which is subject to the following two problems: Problem 1: Natural archives are equidistantly sampled at a distance grid along their accretion axis. Starting from these distance series, a time series needs to be constructed, as comparison of different data records is only meaningful on a time grid. The time series will be non-equidistant, as the accretion rate is non-constant. Problem 2: A typical example of sampling solid substrates is drilling. Because of the dimensions of the drill, the holes drilled will not be infinitesimally small. Consequently, samples are not taken at a point in distance, but rather over a volume in distance. This holds for most sampling methods in solid substrates. As a consequence, when the continuous proxy signal is sampled, it will be averaged over the volume of the sample, resulting in an underestimation of the amplitude. Whether this averaging effect is significant, depends on the volume of the sample and the variations of interest of the proxy signal. Starting from the measured signal, the continuous signal needs to be reconstructed in order eliminate these averaging errors. The aim is to provide an efficient identification algorithm to identify the non-linearities in the distance-time relationship, called time base distortions, and to correct for the averaging effects. Because this is a parametric method, an assumption about the proxy signal needs to be made: the proxy record on a time base is assumed to be harmonic, this is an obvious assumption because natural archives often exhibit a seasonal cycle. In a first approach the averaging effects are assumed to be in one direction only, i.e. the direction of the axis on which the measurements were performed. The

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

    Science.gov (United States)

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

    2017-01-01

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

  6. Gap analysis between provisional diagnosis and final diagnosis in government and private teaching hospitals: A record-linked comparative study.

    Science.gov (United States)

    Chatterjee, Sudeshna; Ray, Krishnangshu; Das, Anup Kumar

    2016-01-01

    1. To identify the extent of clinical gaps at the context of knowledge, practice and systems. 2. To formulate necessary intervention measures towards bridging the gaps. Comparative, cross-sectional and non-interventional study. It is retrospective, record-based study conducted upon inpatients ( n = 200) of major disciplines of two teaching hospitals. Major outcome variables were to observe the matching and un-matching of final and provisional diagnosis by using ICD-10 criteria. Comparative analysis of specific and selective gaps were estimated in terms of percentage (%). Pilot observation showed the existence of gaps between provisional and final diagnosis in both private and government institution. Both knowledge and skill gaps were evident in caregivers and gap in documentation was existent in medical records. The pilot data is may be an eye-opener to public and private governance systems for understanding and revising the process service planning and service delivery. Necessary intervention measures may be contemplated towards enhancing diagnostic skill of doctors for quality hospital care.

  7. Statistical Metadata Analysis of the Variability of Latency, Device Transfer Time, and Coordinate Position from Smartphone-Recorded Infrasound Data

    Science.gov (United States)

    Garces, E. L.; Garces, M. A.; Christe, A.

    2017-12-01

    The RedVox infrasound recorder app uses microphones and barometers in smartphones to record infrasound, low-frequency sound below the threshold of human hearing. We study a device's metadata, which includes position, latency time, the differences between the device's internal times and the server times, and the machine time, searching for patterns and possible errors or discontinuities in these scaled parameters. We highlight metadata variability through scaled multivariate displays (histograms, distribution curves, scatter plots), all created and organized through software development in Python. This project is helpful in ascertaining variability and honing the accuracy of smartphones, aiding the emergence of portable devices as viable geophysical data collection instruments. It can also improve the app and cloud service by increasing efficiency and accuracy, allowing to better document and foresee drastic natural movements like tsunamis, earthquakes, volcanic eruptions, storms, rocket launches, and meteor impacts; recorded data can later be used for studies and analysis by a variety of professions. We expect our final results to produce insight on how to counteract problematic issues in data mining and improve accuracy in smartphone data-collection. By eliminating lurking variables and minimizing the effect of confounding variables, we hope to discover efficient processes to reduce superfluous precision, unnecessary errors, and data artifacts. These methods should conceivably be transferable to other areas of software development, data analytics, and statistics-based experiments, contributing a precedent of smartphone metadata studies from geophysical rather than societal data. The results should facilitate the rise of civilian-accessible, hand-held, data-gathering mobile sensor networks and yield more straightforward data mining techniques.

  8. Fragmented implementation of maternal and child health home-based records in Vietnam: need for integration

    Science.gov (United States)

    Aiga, Hirotsugu; Nguyen, Vinh Duc; Nguyen, Cuong Dinh; Nguyen, Tho Thi Thi; Nguyen, Lien Thi Phuong

    2016-01-01

    Background Home-based records (HBRs) are globally implemented as the effective tools that encourage pregnant women and mothers to timely and adequately utilise maternal and child health (MCH) services. While availability and utilisation of nationally representative HBRs have been assessed in several earlier studies, the reality of a number of HBRs subnationally implemented in a less coordinated manner has been neither reported nor analysed. Objectives This study is aimed at estimating the prevalence of HBRs for MCH and the level of fragmentation of and overlapping between different HBRs for MCH in Vietnam. The study further attempts to identify health workers’ and mothers’ perceptions towards HBR operations and utilisations. Design A self-administered questionnaire was sent to the provincial health departments of 28 selected provinces. A copy of each HBR available was collected from them. A total of 20 semi-structured interviews with health workers and mothers were conducted at rural communities in four of 28 selected provinces. Results Whereas HBRs developed exclusively for maternal health and exclusively for child health were available in four provinces (14%) and in 28 provinces (100%), respectively, those for both maternal health and child health were available in nine provinces (32%). The mean number of HBRs in 28 provinces (=5.75) indicates over-availability of HBRs. All 119 minimum required items for recording found in three different HBRs under nationwide scale-up were also included in the Maternal and Child Health Handbook being piloted for nationwide scaling-up. Implementation of multiple HBRs is likely to confuse not only health workers by requiring them to record the same data on several HBRs but also mothers about which HBR they should refer to and rely on at home. Conclusions To enable both health workers and pregnant women to focus on only one type of HBR, province-specific HBRs for maternal and/or child health need to be nationally standardised

  9. [Examination of safety improvement by failure record analysis that uses reliability engineering].

    Science.gov (United States)

    Kato, Kyoichi; Sato, Hisaya; Abe, Yoshihisa; Ishimori, Yoshiyuki; Hirano, Hiroshi; Higashimura, Kyoji; Amauchi, Hiroshi; Yanakita, Takashi; Kikuchi, Kei; Nakazawa, Yasuo

    2010-08-20

    How the maintenance checks of the medical treatment system, including start of work check and the ending check, was effective for preventive maintenance and the safety improvement was verified. In this research, date on the failure of devices in multiple facilities was collected, and the data of the trouble repair record was analyzed by the technique of reliability engineering. An analysis of data on the system (8 general systems, 6 Angio systems, 11 CT systems, 8 MRI systems, 8 RI systems, and the radiation therapy system 9) used in eight hospitals was performed. The data collection period assumed nine months from April to December 2008. Seven items were analyzed. (1) Mean time between failures (MTBF) (2) Mean time to repair (MTTR) (3) Mean down time (MDT) (4) Number found by check in morning (5) Failure generation time according to modality. The classification of the breakdowns per device, the incidence, and the tendency could be understood by introducing reliability engineering. Analysis, evaluation, and feedback on the failure generation history are useful to keep downtime to a minimum and to ensure safety.

  10. Towards Structural Analysis of Audio Recordings in the Presence of Musical Variations

    Directory of Open Access Journals (Sweden)

    Müller Meinard

    2007-01-01

    Full Text Available One major goal of structural analysis of an audio recording is to automatically extract the repetitive structure or, more generally, the musical form of the underlying piece of music. Recent approaches to this problem work well for music, where the repetitions largely agree with respect to instrumentation and tempo, as is typically the case for popular music. For other classes of music such as Western classical music, however, musically similar audio segments may exhibit significant variations in parameters such as dynamics, timbre, execution of note groups, modulation, articulation, and tempo progression. In this paper, we propose a robust and efficient algorithm for audio structure analysis, which allows to identify musically similar segments even in the presence of large variations in these parameters. To account for such variations, our main idea is to incorporate invariance at various levels simultaneously: we design a new type of statistical features to absorb microvariations, introduce an enhanced local distance measure to account for local variations, and describe a new strategy for structure extraction that can cope with the global variations. Our experimental results with classical and popular music show that our algorithm performs successfully even in the presence of significant musical variations.

  11. Communication Base Station Log Analysis Based on Hierarchical Clustering

    Directory of Open Access Journals (Sweden)

    Zhang Shao-Hua

    2017-01-01

    Full Text Available Communication base stations generate massive data every day, these base station logs play an important value in mining of the business circles. This paper use data mining technology and hierarchical clustering algorithm to group the scope of business circle for the base station by recording the data of these base stations.Through analyzing the data of different business circle based on feature extraction and comparing different business circle category characteristics, which can choose a suitable area for operators of commercial marketing.

  12. Agile Model Driven Development of Electronic Health Record-Based Specialty Population Registries

    Science.gov (United States)

    Kannan, Vaishnavi; Fish, Jason C.; Willett, DuWayne L.

    2018-01-01

    The transformation of the American healthcare payment system from fee-for-service to value-based care increasingly makes it valuable to develop patient registries for specialized populations, to better assess healthcare quality and costs. Recent widespread adoption of Electronic Health Records (EHRs) in the U.S. now makes possible construction of EHR-based specialty registry data collection tools and reports, previously unfeasible using manual chart abstraction. But the complexities of specialty registry EHR tools and measures, along with the variety of stakeholders involved, can result in misunderstood requirements and frequent product change requests, as users first experience the tools in their actual clinical workflows. Such requirements churn could easily stall progress in specialty registry rollout. Modeling a system’s requirements and solution design can be a powerful way to remove ambiguities, facilitate shared understanding, and help evolve a design to meet newly-discovered needs. “Agile Modeling” retains these values while avoiding excessive unused up-front modeling in favor of iterative incremental modeling. Using Agile Modeling principles and practices, in calendar year 2015 one institution developed 58 EHR-based specialty registries, with 111 new data collection tools, supporting 134 clinical process and outcome measures, and enrolling over 16,000 patients. The subset of UML and non-UML models found most consistently useful in designing, building, and iteratively evolving EHR-based specialty registries included User Stories, Domain Models, Use Case Diagrams, Decision Trees, Graphical User Interface Storyboards, Use Case text descriptions, and Solution Class Diagrams. PMID:29750222

  13. Applying representational state transfer (REST) architecture to archetype-based electronic health record systems

    Science.gov (United States)

    2013-01-01

    Background The openEHR project and the closely related ISO 13606 standard have defined structures supporting the content of Electronic Health Records (EHRs). However, there is not yet any finalized openEHR specification of a service interface to aid application developers in creating, accessing, and storing the EHR content. The aim of this paper is to explore how the Representational State Transfer (REST) architectural style can be used as a basis for a platform-independent, HTTP-based openEHR service interface. Associated benefits and tradeoffs of such a design are also explored. Results The main contribution is the formalization of the openEHR storage, retrieval, and version-handling semantics and related services into an implementable HTTP-based service interface. The modular design makes it possible to prototype, test, replicate, distribute, cache, and load-balance the system using ordinary web technology. Other contributions are approaches to query and retrieval of the EHR content that takes caching, logging, and distribution into account. Triggering on EHR change events is also explored. A final contribution is an open source openEHR implementation using the above-mentioned approaches to create LiU EEE, an educational EHR environment intended to help newcomers and developers experiment with and learn about the archetype-based EHR approach and enable rapid prototyping. Conclusions Using REST addressed many architectural concerns in a successful way, but an additional messaging component was needed to address some architectural aspects. Many of our approaches are likely of value to other archetype-based EHR implementations and may contribute to associated service model specifications. PMID:23656624

  14. The development of a PZT-based microdrive for neural signal recording

    International Nuclear Information System (INIS)

    Park, Sangkyu; Yoon, Euisung; Park, Sukho; Lee, Sukchan; Shin, Hee-sup; Park, Hyunjun; Kim, Byungkyu; Kim, Daesoo; Park, Jongoh

    2008-01-01

    A hand-controlled microdrive has been used to obtain neural signals from rodents such as rats and mice. However, it places severe physical stress on the rodents during its manipulation, and this stress leads to alertness in the mice and low efficiency in obtaining neural signals from the mice. To overcome this issue, we developed a novel microdrive, which allows one to adjust the electrodes by a piezoelectric device (PZT) with high precision. Its mass is light enough to install on the mouse's head. The proposed microdrive has three H-type PZT actuators and their guiding structure. The operation principle of the microdrive is based on the well known inchworm mechanism. When the three PZT actuators are synchronized, linear motion of the electrode is produced along the guiding structure. The electrodes used for the recording of the neural signals from neuron cells were fixed at one of the PZT actuators. Our proposed microdrive has an accuracy of about 400 nm and a long stroke of about 5 mm. In response to formalin-induced pain, single unit activities are robustly measured at the thalamus with electrodes whose vertical depth is adjusted by the microdrive under urethane anesthesia. In addition, the microdrive was efficient in detecting neural signals from mice that were moving freely. Thus, the present study suggests that the PZT-based microdrive could be an alternative for the efficient detection of neural signals from mice during behavioral states without any stress to the mice. (technical note)

  15. Provincial prenatal record revision: a multiple case study of evidence-based decision-making at the population-policy level

    Directory of Open Access Journals (Sweden)

    Olson Joanne

    2008-12-01

    Full Text Available Abstract Background There is a significant gap in the knowledge translation literature related to how research evidence actually contributes to health care decision-making. Decisions around what care to provide at the population (rather than individual level are particularly complex, involving considerations such as feasibility, cost, and population needs in addition to scientific evidence. One example of decision-making at this "population-policy" level involves what screening questions and intervention guides to include on standardized provincial prenatal records. As mandatory medical reporting forms, prenatal records are potentially powerful vehicles for promoting population-wide evidence-based care. However, the extent to which Canadian prenatal records reflect best-practice recommendations for the assessment of well-known risk factors such as maternal smoking and alcohol consumption varies markedly across Canadian provinces and territories. The goal of this study is to better understand the interaction of contextual factors and research evidence on decision-making at the population-policy level, by examining the processes by which provincial prenatal records are reviewed and revised. Methods Guided by Dobrow et al.'s (2004 conceptual model for context-based evidence-based decision-making, this study will use a multiple case study design with embedded units of analysis to examine contextual factors influencing the prenatal record revision process in different Canadian provinces and territories. Data will be collected using multiple methods to construct detailed case descriptions for each province/territory. Using qualitative data analysis techniques, decision-making processes involving prenatal record content specifically related to maternal smoking and alcohol use will be compared both within and across each case, to identify key contextual factors influencing the uptake and application of research evidence by prenatal record review

  16. Content analysis of physical examination templates in electronic health records using SNOMED CT.

    Science.gov (United States)

    Gøeg, Kirstine Rosenbeck; Chen, Rong; Højen, Anne Randorff; Elberg, Pia

    2014-10-01

    Most electronic health record (EHR) systems are built on proprietary information models and terminology, which makes achieving semantic interoperability a challenge. Solving interoperability problems requires well-defined standards. In contrast, the need to support clinical work practice requires a local customization of EHR systems. Consequently, contrasting goals may be evident in EHR template design because customization means that local EHR organizations can define their own templates, whereas standardization implies consensus at some level. To explore the complexity of balancing these two goals, this study analyzes the differences and similarities between templates in use today. A similarity analysis was developed on the basis of SNOMED CT. The analysis was performed on four physical examination templates from Denmark and Sweden. The semantic relationships in SNOMED CT were used to quantify similarities and differences. Moreover, the analysis used these identified similarities to investigate the common content of a physical examination template. The analysis showed that there were both similarities and differences in physical examination templates, and the size of the templates varied from 18 to 49 fields. In the SNOMED CT analysis, exact matches and terminology similarities were represented in all template pairs. The number of exact matches ranged from 7 to 24. Moreover, the number of unrelated fields differed a lot from 1/18 to 22/35. Cross-country comparisons tended to have more unrelated content than within-country comparisons. On the basis of identified similarities, it was possible to define the common content of a physical examination. Nevertheless, a complete view on the physical examination required the inclusion of both exact matches and terminology similarities. This study revealed that a core set of items representing the physical examination templates can be generated when the analysis takes into account not only exact matches but also terminology

  17. SPICODYN: A Toolbox for the Analysis of Neuronal Network Dynamics and Connectivity from Multi-Site Spike Signal Recordings.

    Science.gov (United States)

    Pastore, Vito Paolo; Godjoski, Aleksandar; Martinoia, Sergio; Massobrio, Paolo

    2018-01-01

    We implemented an automated and efficient open-source software for the analysis of multi-site neuronal spike signals. The software package, named SPICODYN, has been developed as a standalone windows GUI application, using C# programming language with Microsoft Visual Studio based on .NET framework 4.5 development environment. Accepted input data formats are HDF5, level 5 MAT and text files, containing recorded or generated time series spike signals data. SPICODYN processes such electrophysiological signals focusing on: spiking and bursting dynamics and functional-effective connectivity analysis. In particular, for inferring network connectivity, a new implementation of the transfer entropy method is presented dealing with multiple time delays (temporal extension) and with multiple binary patterns (high order extension). SPICODYN is specifically tailored to process data coming from different Multi-Electrode Arrays setups, guarantying, in those specific cases, automated processing. The optimized implementation of the Delayed Transfer Entropy and the High-Order Transfer Entropy algorithms, allows performing accurate and rapid analysis on multiple spike trains from thousands of electrodes.

  18. Survival analysis using primary care electronic health record data: A systematic review of the literature.

    Science.gov (United States)

    Hodgkins, Adam Jose; Bonney, Andrew; Mullan, Judy; Mayne, Darren John; Barnett, Stephen

    2018-01-01

    An emerging body of research involves observational studies in which survival analysis is applied to data obtained from primary care electronic health records (EHRs). This systematic review of these studies examined the utility of using this approach. An electronic literature search of the Scopus, PubMed, Web of Science, CINAHL, and Cochrane databases was conducted. Search terms and exclusion criteria were chosen to select studies where survival analysis was applied to the data extracted wholly from EHRs used in primary care medical practice. A total of 46 studies that met the inclusion criteria for the systematic review were examined. All were published within the past decade (2005-2014) with a majority ( n = 26, 57%) being published between 2012 and 2014. Even though citation rates varied from nil to 628, over half ( n = 27, 59%) of the studies were cited 10 times or more. The median number of subjects was 18,042 with five studies including over 1,000,000 patients. Of the included studies, 35 (76%) were published in specialty journals and 11 (24%) in general medical journals. The many conditions studied largely corresponded well with conditions important to general practice. Survival analysis applied to primary care electronic medical data is a research approach that has been frequently used in recent times. The utility of this approach was demonstrated by the ability to produce research with large numbers of subjects, across a wide range of conditions and with the potential of a high impact. Importantly, primary care data were thus available to inform primary care practice.

  19. Electronic Health Record Based Algorithm to Identify Patients with Autism Spectrum Disorder.

    Directory of Open Access Journals (Sweden)

    Todd Lingren

    Full Text Available Cohort selection is challenging for large-scale electronic health record (EHR analyses, as International Classification of Diseases 9th edition (ICD-9 diagnostic codes are notoriously unreliable disease predictors. Our objective was to develop, evaluate, and validate an automated algorithm for determining an Autism Spectrum Disorder (ASD patient cohort from EHR. We demonstrate its utility via the largest investigation to date of the co-occurrence patterns of medical comorbidities in ASD.We extracted ICD-9 codes and concepts derived from the clinical notes. A gold standard patient set was labeled by clinicians at Boston Children's Hospital (BCH (N = 150 and Cincinnati Children's Hospital and Medical Center (CCHMC (N = 152. Two algorithms were created: (1 rule-based implementing the ASD criteria from Diagnostic and Statistical Manual of Mental Diseases 4th edition, (2 predictive classifier. The positive predictive values (PPV achieved by these algorithms were compared to an ICD-9 code baseline. We clustered the patients based on grouped ICD-9 codes and evaluated subgroups.The rule-based algorithm produced the best PPV: (a BCH: 0.885 vs. 0.273 (baseline; (b CCHMC: 0.840 vs. 0.645 (baseline; (c combined: 0.864 vs. 0.460 (baseline. A validation at Children's Hospital of Philadelphia yielded 0.848 (PPV. Clustering analyses of comorbidities on the three-site large cohort (N = 20,658 ASD patients identified psychiatric, developmental, and seizure disorder clusters.In a large cross-institutional cohort, co-occurrence patterns of comorbidities in ASDs provide further hypothetical evidence for distinct courses in ASD. The proposed automated algorithms for cohort selection open avenues for other large-scale EHR studies and individualized treatment of ASD.

  20. Factors that influence the efficiency of beef and dairy cattle recording system in Kenya: A SWOT-AHP analysis.

    Science.gov (United States)

    Wasike, Chrilukovian B; Magothe, Thomas M; Kahi, Alexander K; Peters, Kurt J

    2011-01-01

    Animal recording in Kenya is characterised by erratic producer participation and high drop-out rates from the national recording scheme. This study evaluates factors influencing efficiency of beef and dairy cattle recording system. Factors influencing efficiency of animal identification and registration, pedigree and performance recording, and genetic evaluation and information utilisation were generated using qualitative and participatory methods. Pairwise comparison of factors was done by strengths, weaknesses, opportunities and threats-analytical hierarchical process analysis and priority scores to determine their relative importance to the system calculated using Eigenvalue method. For identification and registration, and evaluation and information utilisation, external factors had high priority scores. For pedigree and performance recording, threats and weaknesses had the highest priority scores. Strengths factors could not sustain the required efficiency of the system. Weaknesses of the system predisposed it to threats. Available opportunities could be explored as interventions to restore efficiency in the system. Defensive strategies such as reorienting the system to offer utility benefits to recording, forming symbiotic and binding collaboration between recording organisations and NARS, and development of institutions to support recording were feasible.

  1. Quality of diagnosis and monitoring of tuberculosis in Northern Ethiopia: medical records-based retrospective study.

    Science.gov (United States)

    Mala, George; Spigt, Mark G; Gidding, Luc G; Blanco, Roman; Dinant, Geert-Jan

    2015-10-01

    To determine quality of diagnosis and monitoring of treatment response of patients with smear-negative pulmonary tuberculosis (TB) compared with smear-positive cases in Ethiopia. A retrospective analysis of medical records of newly diagnosed pulmonary TB cases that were registered for taking anti-TB medication and had completed treatment between 2010 and 2012. We evaluated the percentage of cases that were managed according to the International Standards of Tuberculosis Care (ISTC) and compared smear-negative with smear-positive cases. We analysed 1168 cases of which 742 (64%) were sputum smear-negative cases. Chest radiography examination at diagnosis and microbiological testing at the end of the intensive phase of treatment was performed in a smaller proportion than in smear-positive TB cases (70% vs. 79%, P value ISTC are of greatest importance in minimising pitfalls in care of smear-negative TB yet were performed less often in smear-negative than smear-positive TB cases. © The Author(s) 2015.

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

    Directory of Open Access Journals (Sweden)

    Yasaira Rodriguez Torres

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

  3. A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review.

    Science.gov (United States)

    Castillo, Víctor H; Martínez-García, Ana I; Pulido, J R G

    2010-10-15

    The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed support is not by means of information and communication technology which can provide automatic tools of support. The aim of this study is to identify the critical adoption factors for electronic health records by physicians and to use them as a guide to support their adoption process automatically. This paper presents, based on the PRISMA statement, a systematic literature review in electronic databases with adoption studies of electronic health records published in English. Software applications that manage and process the data in the electronic health record have been considered, i.e.: computerized physician prescription, electronic medical records, and electronic capture of clinical data. Our review was conducted with the purpose of obtaining a taxonomy of the physicians main barriers for adopting electronic health records, that can be addressed by means of information and communication technology; in particular with the information technology roles of the knowledge management processes. Which take us to the question that we want to address in this work: "What are the critical adoption factors of electronic health records that can be supported by information and communication technology?". Reports from eight databases covering electronic health records adoption studies in the medical domain, in particular those focused on physicians, were analyzed. The review identifies two main issues: 1) a knowledge-based classification of critical factors for adopting electronic health records by physicians; and 2) the definition of a base for the design of a conceptual framework for supporting the design of knowledge-based

  4. A knowledge-based taxonomy of critical factors for adopting electronic health record systems by physicians: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Martínez-García Ana I

    2010-10-01

    Full Text Available Abstract Background The health care sector is an area of social and economic interest in several countries; therefore, there have been lots of efforts in the use of electronic health records. Nevertheless, there is evidence suggesting that these systems have not been adopted as it was expected, and although there are some proposals to support their adoption, the proposed support is not by means of information and communication technology which can provide automatic tools of support. The aim of this study is to identify the critical adoption factors for electronic health records by physicians and to use them as a guide to support their adoption process automatically. Methods This paper presents, based on the PRISMA statement, a systematic literature review in electronic databases with adoption studies of electronic health records published in English. Software applications that manage and process the data in the electronic health record have been considered, i.e.: computerized physician prescription, electronic medical records, and electronic capture of clinical data. Our review was conducted with the purpose of obtaining a taxonomy of the physicians main barriers for adopting electronic health records, that can be addressed by means of information and communication technology; in particular with the information technology roles of the knowledge management processes. Which take us to the question that we want to address in this work: "What are the critical adoption factors of electronic health records that can be supported by information and communication technology?". Reports from eight databases covering electronic health records adoption studies in the medical domain, in particular those focused on physicians, were analyzed. Results The review identifies two main issues: 1 a knowledge-based classification of critical factors for adopting electronic health records by physicians; and 2 the definition of a base for the design of a conceptual

  5. System of gait analysis based on ground reaction force assessment

    Directory of Open Access Journals (Sweden)

    František Vaverka

    2015-12-01

    Full Text Available Background: Biomechanical analysis of gait employs various methods used in kinematic and kinetic analysis, EMG, and others. One of the most frequently used methods is kinetic analysis based on the assessment of the ground reaction forces (GRF recorded on two force plates. Objective: The aim of the study was to present a method of gait analysis based on the assessment of the GRF recorded during the stance phase of two steps. Methods: The GRF recorded with a force plate on one leg during stance phase has three components acting in directions: Fx - mediolateral, Fy - anteroposterior, and Fz - vertical. A custom-written MATLAB script was used for gait analysis in this study. This software displays instantaneous force data for both legs as Fx(t, Fy(t and Fz(t curves, automatically determines the extremes of functions and sets the visual markers defining the individual points of interest. Positions of these markers can be easily adjusted by the rater, which may be necessary if the GRF has an atypical pattern. The analysis is fully automated and analyzing one trial takes only 1-2 minutes. Results: The method allows quantification of temporal variables of the extremes of the Fx(t, Fy(t, Fz(t functions, durations of the braking and propulsive phase, duration of the double support phase, the magnitudes of reaction forces in extremes of measured functions, impulses of force, and indices of symmetry. The analysis results in a standardized set of 78 variables (temporal, force, indices of symmetry which can serve as a basis for further research and diagnostics. Conclusions: The resulting set of variable offers a wide choice for selecting a specific group of variables with consideration to a particular research topic. The advantage of this method is the standardization of the GRF analysis, low time requirements allowing rapid analysis of a large number of trials in a short time, and comparability of the variables obtained during different research measurements.

  6. A toolbox for the fast information analysis of multiple-site LFP, EEG and spike train recordings

    Directory of Open Access Journals (Sweden)

    Logothetis Nikos K

    2009-07-01

    Full Text Available Abstract Background Information theory is an increasingly popular framework for studying how the brain encodes sensory information. Despite its widespread use for the analysis of spike trains of single neurons and of small neural populations, its application to the analysis of other types of neurophysiological signals (EEGs, LFPs, BOLD has remained relatively limited so far. This is due to the limited-sampling bias which affects calculation of information, to the complexity of the techniques to eliminate the bias, and to the lack of publicly available fast routines for the information analysis of multi-dimensional responses. Results Here we introduce a new C- and Matlab-based information theoretic toolbox, specifically developed for neuroscience data. This toolbox implements a novel computationally-optimized algorithm for estimating many of the main information theoretic quantities and bias correction techniques used in neuroscience applications. We illustrate and test the toolbox in several ways. First, we verify that these algorithms provide accurate and unbiased estimates of the information carried by analog brain signals (i.e. LFPs, EEGs, or BOLD even when using limited amounts of experimental data. This test is important since existing algorithms were so far tested primarily on spike trains. Second, we apply the toolbox to the analysis of EEGs recorded from a subject watching natural movies, and we characterize the electrodes locations, frequencies and signal features carrying the most visual information. Third, we explain how the toolbox can be used to break down the information carried by different features of the neural signal into distinct components reflecting different ways in which correlations between parts of the neural signal contribute to coding. We illustrate this breakdown by analyzing LFPs recorded from primary visual cortex during presentation of naturalistic movies. Conclusion The new toolbox presented here implements fast

  7. A toolbox for the fast information analysis of multiple-site LFP, EEG and spike train recordings.

    Science.gov (United States)

    Magri, Cesare; Whittingstall, Kevin; Singh, Vanessa; Logothetis, Nikos K; Panzeri, Stefano

    2009-07-16

    Information theory is an increasingly popular framework for studying how the brain encodes sensory information. Despite its widespread use for the analysis of spike trains of single neurons and of small neural populations, its application to the analysis of other types of neurophysiological signals (EEGs, LFPs, BOLD) has remained relatively limited so far. This is due to the limited-sampling bias which affects calculation of information, to the complexity of the techniques to eliminate the bias, and to the lack of publicly available fast routines for the information analysis of multi-dimensional responses. Here we introduce a new C- and Matlab-based information theoretic toolbox, specifically developed for neuroscience data. This toolbox implements a novel computationally-optimized algorithm for estimating many of the main information theoretic quantities and bias correction techniques used in neuroscience applications. We illustrate and test the toolbox in several ways. First, we verify that these algorithms provide accurate and unbiased estimates of the information carried by analog brain signals (i.e. LFPs, EEGs, or BOLD) even when using limited amounts of experimental data. This test is important since existing algorithms were so far tested primarily on spike trains. Second, we apply the toolbox to the analysis of EEGs recorded from a subject watching natural movies, and we characterize the electrodes locations, frequencies and signal features carrying the most visual information. Third, we explain how the toolbox can be used to break down the information carried by different features of the neural signal into distinct components reflecting different ways in which correlations between parts of the neural signal contribute to coding. We illustrate this breakdown by analyzing LFPs recorded from primary visual cortex during presentation of naturalistic movies. The new toolbox presented here implements fast and data-robust computations of the most relevant

  8. A minimum operating system based on the SM5300.01 magnetic tape recorder for the Micro-8 computer

    International Nuclear Information System (INIS)

    Kartashov, S.V.

    1987-01-01

    An operating system (OS) for microcomputers based on INTEL-8080, 8085 microprocessors oriented to use a magnetic tape recorder is described. This system comprises a tape-recorder manager and a file structure organization system (nucleus of OS), a symbol text editor, a macroassembler, an interactive disasembler and a program of communication with an EC-computer. The OS makes it possible to develop, debug, store and exploit the program written in INTEL-8085 assembly language

  9. A new ICA-based fingerprint method for the automatic removal of physiological artifacts from EEG recordings

    Science.gov (United States)

    Tamburro, Gabriella; Fiedler, Patrique; Stone, David; Haueisen, Jens

    2018-01-01

    Background EEG may be affected by artefacts hindering the analysis of brain signals. Data-driven methods like independent component analysis (ICA) are successful approaches to remove artefacts from the EEG. However, the ICA-based methods developed so far are often affected by limitations, such as: the need for visual inspection of the separated independent components (subjectivity problem) and, in some cases, for the independent and simultaneous recording of the inspected artefacts to identify the artefactual independent components; a potentially heavy manipulation of the EEG signals; the use of linear classification methods; the use of simulated artefacts to validate the methods; no testing in dry electrode or high-density EEG datasets; applications limited to specific conditions and electrode layouts. Methods Our fingerprint method automatically identifies EEG ICs containing eyeblinks, eye movements, myogenic artefacts and cardiac interference by evaluating 14 temporal, spatial, spectral, and statistical features composing the IC fingerprint. Sixty-two real EEG datasets containing cued artefacts are recorded with wet and dry electrodes (128 wet and 97 dry channels). For each artefact, 10 nonlinear SVM classifiers are trained on fingerprints of expert-classified ICs. Training groups include randomly chosen wet and dry datasets decomposed in 80 ICs. The classifiers are tested on the IC-fingerprints of different datasets decomposed into 20, 50, or 80 ICs. The SVM performance is assessed in terms of accuracy, False Omission Rate (FOR), Hit Rate (HR), False Alarm Rate (FAR), and sensitivity (p). For each artefact, the quality of the artefact-free EEG reconstructed using the classification of the best SVM is assessed by visual inspection and SNR. Results The best SVM classifier for each artefact type achieved average accuracy of 1 (eyeblink), 0.98 (cardiac interference), and 0.97 (eye movement and myogenic artefact). Average classification sensitivity (p) was 1

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

    OpenAIRE

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

    2003-01-01

    The 2003 Occupational Safety and Health Administration (OSHA) Occupational Injury and Illness Recording and Reporting Final Rule changed the definition of recordable work-related hearing loss. We performed a study of the Alcoa Inc. audiometric database to evaluate the impact of this new rule. The 2003 rule increased the rate of potentially recordable hearing loss events from 0.2% to 1.6% per year. A total of 68.6% of potentially recordable cases had American Academy of Audiology/American Medi...

  11. 75 FR 42000 - Requirements for Fingerprint-Based Criminal History Records Checks for Individuals Seeking...

    Science.gov (United States)

    2010-07-20

    ... records check of any person who is permitted unescorted access to a utilization facility. DATES: Submit... and criminal history records checks for individuals requesting unescorted access to any utilization...., access to Safeguards Information) did not need to be fingerprinted again. These orders required that a...

  12. Multimedia consultation session recording and playback using Java-based browser in global PACS

    Science.gov (United States)

    Martinez, Ralph; Shah, Pinkesh J.; Yu, Yuan-Pin

    1998-07-01

    The current version of the Global PACS software system uses a Java-based implementation of the Remote Consultation and Diagnosis (RCD) system. The Java RCD includes a multimedia consultation session between physicians that includes text, static image, image annotation, and audio data. The JAVA RCD allows 2-4 physicians to collaborate on a patient case. It allows physicians to join the session via WWW Java-enabled browsers or stand alone RCD application. The RCD system includes a distributed database archive system for archiving and retrieving patient and session data. The RCD system can be used for store and forward scenarios, case reviews, and interactive RCD multimedia sessions. The RCD system operates over the Internet, telephone lines, or in a private Intranet. A multimedia consultation session can be recorded, and then played back at a later time for review, comments, and education. A session can be played back using Java-enabled WWW browsers on any operating system platform. The JAVA RCD system shows that a case diagnosis can be captured digitally and played back with the original real-time temporal relationships between data streams. In this paper, we describe design and implementation of the RCD session playback.

  13. CCR+: Metadata Based Extended Personal Health Record Data Model Interoperable with the ASTM CCR Standard.

    Science.gov (United States)

    Park, Yu Rang; Yoon, Young Jo; Jang, Tae Hun; Seo, Hwa Jeong; Kim, Ju Han

    2014-01-01

    Extension of the standard model while retaining compliance with it is a challenging issue because there is currently no method for semantically or syntactically verifying an extended data model. A metadata-based extended model, named CCR+, was designed and implemented to achieve interoperability between standard and extended models. Furthermore, a multilayered validation method was devised to validate the standard and extended models. The American Society for Testing and Materials (ASTM) Community Care Record (CCR) standard was selected to evaluate the CCR+ model; two CCR and one CCR+ XML files were evaluated. In total, 188 metadata were extracted from the ASTM CCR standard; these metadata are semantically interconnected and registered in the metadata registry. An extended-data-model-specific validation file was generated from these metadata. This file can be used in a smartphone application (Health Avatar CCR+) as a part of a multilayered validation. The new CCR+ model was successfully evaluated via a patient-centric exchange scenario involving multiple hospitals, with the results supporting both syntactic and semantic interoperability between the standard CCR and extended, CCR+, model. A feasible method for delivering an extended model that complies with the standard model is presented herein. There is a great need to extend static standard models such as the ASTM CCR in various domains: the methods presented here represent an important reference for achieving interoperability between standard and extended models.

  14. Automation of Presentation Record Production Based on Rich-Media Technology Using SNT Petri Nets Theory

    Directory of Open Access Journals (Sweden)

    Ivo Martiník

    2015-01-01

    Full Text Available Rich-media describes a broad range of digital interactive media that is increasingly used in the Internet and also in the support of education. Last year, a special pilot audiovisual lecture room was built as a part of the MERLINGO (MEdia-rich Repository of LearnING Objects project solution. It contains all the elements of the modern lecture room determined for the implementation of presentation recordings based on the rich-media technologies and their publication online or on-demand featuring the access of all its elements in the automated mode including automatic editing. Property-preserving Petri net process algebras (PPPA were designed for the specification and verification of the Petri net processes. PPPA does not need to verify the composition of the Petri net processes because all their algebraic operators preserve the specified set of the properties. These original PPPA are significantly generalized for the newly introduced class of the SNT Petri process and agent nets in this paper. The PLACE-SUBST and ASYNC-PROC algebraic operators are defined for this class of Petri nets and their chosen properties are proved. The SNT Petri process and agent nets theory were significantly applied at the design, verification, and implementation of the programming system ensuring the pilot audiovisual lecture room functionality.

  15. A tutorial on activity-based costing of electronic health records.

    Science.gov (United States)

    Federowicz, Marie H; Grossman, Mila N; Hayes, Bryant J; Riggs, Joseph

    2010-01-01

    As the American Recovery and Restoration Act of 2009 allocates $19 billion to health information technology, it will be useful for health care managers to project the true cost of implementing an electronic health record (EHR). This study presents a step-by-step guide for using activity-based costing (ABC) to estimate the cost of an EHR. ABC is a cost accounting method with a "top-down" approach for estimating the cost of a project or service within an organization. The total cost to implement an EHR includes obvious costs, such as licensing fees, and hidden costs, such as impact on productivity. Unlike other methods, ABC includes all of the organization's expenditures and is less likely to miss hidden costs. Although ABC is used considerably in manufacturing and other industries, it is a relatively new phenomenon in health care. ABC is a comprehensive approach that the health care field can use to analyze the cost-effectiveness of implementing EHRs. In this article, ABC is applied to a health clinic that recently implemented an EHR, and the clinic is found to be more productive after EHR implementation. This methodology can help health care administrators assess the impact of a stimulus investment on organizational performance.

  16. Contingency planning for electronic health record-based care continuity: a survey of recommended practices.

    Science.gov (United States)

    Sittig, Dean F; Gonzalez, Daniel; Singh, Hardeep

    2014-11-01

    Reliable health information technology (HIT) in general, and electronic health record systems (EHRs) in particular are essential to a high-performing healthcare system. When the availability of EHRs are disrupted, alternative methods must be used to maintain the continuity of healthcare. We developed a survey to assess institutional practices to handle situations when EHRs were unavailable for use (downtime preparedness). We used literature reviews and expert opinion to develop items that assessed the implementation of potentially useful practices. We administered the survey to U.S.-based healthcare institutions that were members of a professional organization that focused on collaboration and sharing of HIT-related best practices among its members. All members were large integrated health systems. We received responses from 50 of the 59 (84%) member institutions. Nearly all (96%) institutions reported at least one unplanned downtime (of any length) in the last 3 years and 70% had at least one unplanned downtime greater than 8h in the last 3 years. Three institutions reported that one or more patients were injured as a result of either a planned or unplanned downtime. The majority of institutions (70-85%) had implemented a portion of the useful practices we identified, but very few practices were followed by all organizations. Unexpected downtimes related to EHRs appear to be fairly common among institutions in our survey. Most institutions had only partially implemented comprehensive contingency plans to maintain safe and effective healthcare during unexpected EHRs downtimes. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  17. Laser Based Color Film Recorder System With GaAs Microlaser

    Science.gov (United States)

    Difrancesco, David J.

    1989-07-01

    In 1984 Pixar's research and development group built and applied to the motion-picture arts at Lucasfilm's ILM facility a three color laser based film scanner/recorder system. The digital film printer is capable of reading and writing 35mm film formats on a variety of film stocks. The system has been used in award-winning special-effects work, and has been operated in a normal production environment since that time. The primary objective was to develop a full color high resolution system, free from scan artifacts, enabling traditionally photographed motion-picture film to be inter-cut with digital raster image photography. Its use is applied to the art of blue-screen traveling-matte cinematography for motion pic-ture special effects. The system was designed using the Pixar Image Computer and conventional gas laser technology as the illumination source. This paper will discuss recent experimental work in the application of GaAs microlaser technology to a digital film printing system of the future.

  18. A Recording-Based Method for Auralization of Rotorcraft Flyover Noise

    Science.gov (United States)

    Pera, Nicholas M.; Rizzi, Stephen A.; Krishnamurthy, Siddhartha; Fuller, Christopher R.; Christian, Andrew

    2018-01-01

    Rotorcraft noise is an active field of study as the sound produced by these vehicles is often found to be annoying. A means to auralize rotorcraft flyover noise is sought to help understand the factors leading to annoyance. Previous work by the authors focused on auralization of rotorcraft fly-in noise, in which a simplification was made that enabled the source noise synthesis to be based on a single emission angle. Here, the goal is to auralize a complete flyover event, so the source noise synthesis must be capable of traversing a range of emission angles. The synthesis uses a source noise definition process that yields periodic and aperiodic (modulation) components at a set of discrete emission angles. In this work, only the periodic components are used for the source noise synthesis for the flyover; the inclusion of modulation components is the subject of ongoing research. Propagation of the synthesized source noise to a ground observer is performed using the NASA Auralization Framework. The method is demonstrated using ground recordings from a flight test of the AS350 helicopter for the source noise definition.

  19. 77 FR 5781 - Record of Decision for the Air Space Training Initiative Shaw Air Force Base, South Carolina...

    Science.gov (United States)

    2012-02-06

    ... DEPARTMENT OF DEFENSE Department of the Air Force Record of Decision for the Air Space Training Initiative Shaw Air Force Base, South Carolina Final Environmental Impact Statement ACTION: Notice of... signed the ROD for the Airspace Training Initiative Shaw Air Force Base, South Carolina Final...

  20. Demographic Variables of Corruption in the Chinese Construction Industry: Association Rule Analysis of Conviction Records.

    Science.gov (United States)

    Yu, Yao; Martek, Igor; Hosseini, M Reza; Chen, Chuan

    2018-05-02

    Corruption in the construction industry is a serious problem in China. As such, fighting this corruption has become a priority target of the Chinese government, with the main effort being to discover and prosecute its perpetrators. This study profiles the demographic characteristics of major incidences of corruption in construction. It draws on the database of the 83 complete recorded cases of construction related corruption held by the Chinese National Bureau of Corruption Prevention. Categorical variables were drawn from the database, and 'association rule mining analysis' was used to identify associations between variables as a means of profiling perpetrators. Such profiling may be used as predictors of future incidences of corruption, and consequently to inform policy makers in their fight against corruption. The results signal corruption within the Chinese construction industry to be correlated with age, with incidences rising as managers' approach retirement age. Moreover, a majority of perpetrators operate within government agencies, are department deputies in direct contact with projects, and extort the greatest amounts per case from second tier cities. The relatively lengthy average 6.4-year period before cases come to public attention corroborates the view that current efforts at fighting corruption remain inadequate.

  1. Global Trend Analysis of Multi-decade Soil Temperature Records Show Soils Resistant to Warming

    Science.gov (United States)

    Frey, S. D.; Jennings, K.

    2017-12-01

    Soil temperature is an important determinant of many subterranean ecological processes including plant growth, nutrient cycling, and carbon sequestration. Soils are expected to warm in response to increasing global surface temperatures; however, despite the importance of soil temperature to ecosystem processes, less attention has been given to examining changes in soil temperature over time. We collected long-term (> 20 years) soil temperature records from approximately 50 sites globally, many with multiple depths (5 - 100 cm), and examined temperature trends over the last few decades. For each site and depth we calculated annual summer means and conducted non-parametric Mann Kendall trend and Sen slope analysis to assess changes in summer soil temperature over the length of each time series. The mean summer soil temperature trend across all sites and depths was not significantly different than zero (mean = 0.004 °C year-1 ± 0.033 SD), suggesting that soils have not warmed over the observation period. Of the subset of sites that exhibit significant increases in temperature over time, site location, depth of measurement, time series length, and neither start nor end date seem to be related to trend strength. These results provide evidence that the thermal regime of soils may have a stronger buffering capacity than expected, having important implications for the global carbon cycle and feedbacks to climate change.

  2. An analysis of electronic health record-related patient safety concerns

    Science.gov (United States)

    Meeks, Derek W; Smith, Michael W; Taylor, Lesley; Sittig, Dean F; Scott, Jean M; Singh, Hardeep

    2014-01-01

    Objective A recent Institute of Medicine report called for attention to safety issues related to electronic health records (EHRs). We analyzed EHR-related safety concerns reported within a large, integrated healthcare system. Methods The Informatics Patient Safety Office of the Veterans Health Administration (VA) maintains a non-punitive, voluntary reporting system to collect and investigate EHR-related safety concerns (ie, adverse events, potential events, and near misses). We analyzed completed investigations using an eight-dimension sociotechnical conceptual model that accounted for both technical and non-technical dimensions of safety. Using the framework analysis approach to qualitative data, we identified emergent and recurring safety concerns common to multiple reports. Results We extracted 100 consecutive, unique, closed investigations between August 2009 and May 2013 from 344 reported incidents. Seventy-four involved unsafe technology and 25 involved unsafe use of technology. A majority (70%) involved two or more model dimensions. Most often, non-technical dimensions such as workflow, policies, and personnel interacted in a complex fashion with technical dimensions such as software/hardware, content, and user interface to produce safety concerns. Most (94%) safety concerns related to either unmet data-display needs in the EHR (ie, displayed information available to the end user failed to reduce uncertainty or led to increased potential for patient harm), software upgrades or modifications, data transmission between components of the EHR, or ‘hidden dependencies’ within the EHR. Discussion EHR-related safety concerns involving both unsafe technology and unsafe use of technology persist long after ‘go-live’ and despite the sophisticated EHR infrastructure represented in our data source. Currently, few healthcare institutions have reporting and analysis capabilities similar to the VA. Conclusions Because EHR-related safety concerns have complex

  3. Clinical information modeling processes for semantic interoperability of electronic health records: systematic review and inductive analysis.

    Science.gov (United States)

    Moreno-Conde, Alberto; Moner, David; Cruz, Wellington Dimas da; Santos, Marcelo R; Maldonado, José Alberto; Robles, Montserrat; Kalra, Dipak

    2015-07-01

    This systematic review aims to identify and compare the existing processes and methodologies that have been published in the literature for defining clinical information models (CIMs) that support the semantic interoperability of electronic health record (EHR) systems. Following the preferred reporting items for systematic reviews and meta-analyses systematic review methodology, the authors reviewed published papers between 2000 and 2013 that covered that semantic interoperability of EHRs, found by searching the PubMed, IEEE Xplore, and ScienceDirect databases. Additionally, after selection of a final group of articles, an inductive content analysis was done to summarize the steps and methodologies followed in order to build CIMs described in those articles. Three hundred and seventy-eight articles were screened and thirty six were selected for full review. The articles selected for full review were analyzed to extract relevant information for the analysis and characterized according to the steps the authors had followed for clinical information modeling. Most of the reviewed papers lack a detailed description of the modeling methodologies used to create CIMs. A representative example is the lack of description related to the definition of terminology bindings and the publication of the generated models. However, this systematic review confirms that most clinical information modeling activities follow very similar steps for the definition of CIMs. Having a robust and shared methodology could improve their correctness, reliability, and quality. Independently of implementation technologies and standards, it is possible to find common patterns in methods for developing CIMs, suggesting the viability of defining a unified good practice methodology to be used by any clinical information modeler. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  4. Iterative Covariance-Based Removal of Time-Synchronous Artifacts: Application to Gastrointestinal Electrical Recordings.

    Science.gov (United States)

    Erickson, Jonathan C; Putney, Joy; Hilbert, Douglas; Paskaranandavadivel, Niranchan; Cheng, Leo K; O'Grady, Greg; Angeli, Timothy R

    2016-11-01

    The aim of this study was to develop, validate, and apply a fully automated method for reducing large temporally synchronous artifacts present in electrical recordings made from the gastrointestinal (GI) serosa, which are problematic for properly assessing slow wave dynamics. Such artifacts routinely arise in experimental and clinical settings from motion, switching behavior of medical instruments, or electrode array manipulation. A novel iterative Covariance-Based Reduction of Artifacts (COBRA) algorithm sequentially reduced artifact waveforms using an updating across-channel median as a noise template, scaled and subtracted from each channel based on their covariance. Application of COBRA substantially increased the signal-to-artifact ratio (12.8 ± 2.5 dB), while minimally attenuating the energy of the underlying source signal by 7.9% on average ( -11.1 ± 3.9 dB). COBRA was shown to be highly effective for aiding recovery and accurate marking of slow wave events (sensitivity = 0.90 ± 0.04; positive-predictive value = 0.74 ± 0.08) from large segments of in vivo porcine GI electrical mapping data that would otherwise be lost due to a broad range of contaminating artifact waveforms. Strongly reducing artifacts with COBRA ultimately allowed for rapid production of accurate isochronal activation maps detailing the dynamics of slow wave propagation in the porcine intestine. Such mapping studies can help characterize differences between normal and dysrhythmic events, which have been associated with GI abnormalities, such as intestinal ischemia and gastroparesis. The COBRA method may be generally applicable for removing temporally synchronous artifacts in other biosignal processing domains.

  5. Analysis of clinical records of dental patients attending Jordan University Hospital: Documentation of drug prescriptions and local anesthetic injections

    Directory of Open Access Journals (Sweden)

    Najla Dar-Odeh

    2008-08-01

    Full Text Available Najla Dar-Odeh1, Soukaina Ryalat1, Mohammad Shayyab1, Osama Abu-Hammad21Department of Oral and Maxillofacial Surgery Oral Medicine and Periodontics, Faculty of Dentistry, University of Jordan, Jordan; 2Department of Prosthetic Dentistry, Faculty of Dentistry, University of Jordan, JordanObjectives: The aim of this study was to analyze clinical records of dental patients attending the Dental Department at the University of Jordan Hospital: a teaching hospital in Jordan. Analysis aimed at determining whether dental specialists properly documented the drug prescriptions and local anesthetic injections given to their patients.Methods: Dental records of the Dental Department at the Jordan University Hospital were reviewed during the period from April 3rd until April 26th 2007 along with the issued prescriptions during that period.Results: A total of 1000 records were reviewed with a total of 53 prescriptions issued during that period. Thirty records documented the prescription by stating the category of the prescribed drug. Only 13 records stated the generic or the trade names of the prescribed drugs. Of these, 5 records contained the full elements of a prescription. As for local anesthetic injections, the term “LA used” was found in 22 records while the names and quantities of the local anesthetics used were documented in only 13 records. Only 5 records documented the full elements of a local anesthetic injection.Conclusion: The essential data of drug prescriptions and local anesthetic injections were poorly documented by the investigated group of dental specialists. It is recommended that the administration of the hospital and the dental department implement clear and firm guidelines for dental practitioners in particular to do the required documentation procedure.Keywords: dental records, documentation, prescriptions, local anesthesia

  6. Experimental investigation on spontaneously active hippocampal cultures recorded by means of high-density MEAs: analysis of the spatial resolution effects

    Directory of Open Access Journals (Sweden)

    Alessandro Maccione

    2010-05-01

    Full Text Available Based on experiments performed with high-resolution Active Pixel Sensor microelectrode arrays (APS-MEAs coupled with spontaneously active hippocampal cultures, this work investigates the spatial resolution effects of the neuroelectronic interface on the analysis of the recorded electrophysiological signals. The adopted methodology consists, first, in recording the spontaneous activity at the highest spatial resolution (inter-electrode separation of 21 µm from the whole array of 4096 microelectrodes. Then, the full resolution dataset is spatially down sampled in order to evaluate the effects on raster plot representation, array-wide spike rate (AWSR, mean firing rate (MFR and mean bursting rate (MBR. Furthermore, the effects of the array-to-network relative position are evaluated by shifting a subset of equally spaced electrodes on the entire recorded area. Results highlight that MFR and MBR are particularly influenced by the spatial resolution provided by the neuroelectronic interface. On high-resolution large MEAs, such analysis better represent the time-based parameterization of the network dynamics. Finally, this work suggest interesting capabilities of high-resolution MEAs for spatial-based analysis in dense and low-dense neuronal preparation for investigating signalling at both local and global neuronal circuitries.

  7. How to limit the burden of data collection for Quality Indicators based on medical records? The COMPAQH experience

    Directory of Open Access Journals (Sweden)

    Grenier Catherine

    2008-10-01

    Full Text Available Abstract Background Our objective was to limit the burden of data collection for Quality Indicators (QIs based on medical records. Methods The study was supervised by the COMPAQH project. Four QIs based on medical records were tested: medical record conformity; traceability of pain assessment; screening for nutritional disorders; time elapsed before sending copy of discharge letter to the general practitioner. Data were collected by 6 Clinical Research Assistants (CRAs in a panel of 36 volunteer hospitals and analyzed by COMPAQH. To limit the burden of data collection, we used the same sample of medical records for all 4 QIs, limited sample size to 80 medical records, and built a composite score of only 10 items to assess medical record completeness. We assessed QI feasibility by completing a grid of 19 potential problems and evaluating time spent. We assessed reliability (κ coefficient as well as internal consistency (Cronbach α coefficient in an inter-observer study, and discriminatory power by analysing QI variability among hospitals. Results Overall, 23 115 data items were collected for the 4 QIs and analyzed. The average time spent on data collection was 8.5 days per hospital. The most common feasibility problem was misunderstanding of the item by hospital staff. QI reliability was good (κ: 0.59–0.97 according to QI. The hospitals differed widely in their ability to meet the quality criteria (mean value: 19–85%. Conclusion These 4 QIs based on medical records can be used to compare the quality of record keeping among hospitals while limiting the burden of data collection, and can therefore be used for benchmarking purposes. The French National Health Directorate has included them in the new 2009 version of the accreditation procedure for healthcare organizations.

  8. Quantitative analysis of single muscle fibre action potentials recorded at known distances

    NARCIS (Netherlands)

    Albers, B.A.; Put, J.H.M.; Wallinga, W.; Wirtz, P.

    1989-01-01

    In vivo records of single fibre action potentials (SFAPs) have always been obtained at unknown distance from the active muscle fibre. A new experimental method has been developed enabling the derivation of the recording distance in animal experiments. A single fibre is stimulated with an

  9. Practical guidelines to select and scale earthquake records for nonlinear response history analysis of structures

    Science.gov (United States)

    Kalkan, Erol; Chopra, Anil K.

    2010-01-01

    Earthquake engineering practice is increasingly using nonlinear response history analysis (RHA) to demonstrate performance of structures. This rigorous method of analysis requires selection and scaling of ground motions appropriate to design hazard levels. Presented herein is a modal-pushover-based scaling (MPS) method to scale ground motions for use in nonlinear RHA of buildings and bridges. In the MPS method, the ground motions are scaled to match (to a specified tolerance) a target value of the inelastic deformation of the first-'mode' inelastic single-degree-of-freedom (SDF) system whose properties are determined by first-'mode' pushover analysis. Appropriate for first-?mode? dominated structures, this approach is extended for structures with significant contributions of higher modes by considering elastic deformation of second-'mode' SDF system in selecting a subset of the scaled ground motions. Based on results presented for two bridges, covering single- and multi-span 'ordinary standard' bridge types, and six buildings, covering low-, mid-, and tall building types in California, the accuracy and efficiency of the MPS procedure are established and its superiority over the ASCE/SEI 7-05 scaling procedure is demonstrated.

  10. Detection of explosive cough events in audio recordings by internal sound analysis.

    Science.gov (United States)

    Rocha, B M; Mendes, L; Couceiro, R; Henriques, J; Carvalho, P; Paiva, R P

    2017-07-01

    We present a new method for the discrimination of explosive cough events, which is based on a combination of spectral content descriptors and pitch-related features. After the removal of near-silent segments, a vector of event boundaries is obtained and a proposed set of 9 features is extracted for each event. Two data sets, recorded using electronic stethoscopes and comprising a total of 46 healthy subjects and 13 patients, were employed to evaluate the method. The proposed feature set is compared to three other sets of descriptors: a baseline, a combination of both sets, and an automatic selection of the best 10 features from both sets. The combined feature set yields good results on the cross-validated database, attaining a sensitivity of 92.3±2.3% and a specificity of 84.7±3.3%. Besides, this feature set seems to generalize well when it is trained on a small data set of patients, with a variety of respiratory and cardiovascular diseases, and tested on a bigger data set of mostly healthy subjects: a sensitivity of 93.4% and a specificity of 83.4% are achieved in those conditions. These results demonstrate that complementing the proposed feature set with a baseline set is a promising approach.

  11. When did Carcharocles megalodon become extinct? A new analysis of the fossil record.

    Directory of Open Access Journals (Sweden)

    Catalina Pimiento

    Full Text Available Carcharocles megalodon ("Megalodon" is the largest shark that ever lived. Based on its distribution, dental morphology, and associated fauna, it has been suggested that this species was a cosmopolitan apex predator that fed on marine mammals from the middle Miocene to the Pliocene (15.9-2.6 Ma. Prevailing theory suggests that the extinction of apex predators affects ecosystem dynamics. Accordingly, knowing the time of extinction of C. megalodon is a fundamental step towards understanding the effects of such an event in ancient communities. However, the time of extinction of this important species has never been quantitatively assessed. Here, we synthesize the most recent records of C. megalodon from the literature and scientific collections and infer the date of its extinction by making a novel use of the Optimal Linear Estimation (OLE model. Our results suggest that C. megalodon went extinct around 2.6 Ma. Furthermore, when contrasting our results with known ecological and macroevolutionary trends in marine mammals, it became evident that the modern composition and function of modern gigantic filter-feeding whales was established after the extinction of C. megalodon. Consequently, the study of the time of extinction of C. megalodon provides the basis to improve our understanding of the responses of marine species to the removal of apex predators, presenting a deep-time perspective for the conservation of modern ecosystems.

  12. Continuous Recording and Interobserver Agreement Algorithms Reported in The Journal of Applied Behavior Analysis (1995–2005)

    Science.gov (United States)

    Mudford, Oliver C; Taylor, Sarah Ann; Martin, Neil T

    2009-01-01

    We reviewed all research articles in 10 recent volumes of the Journal of Applied Behavior Analysis (JABA): Vol. 28(3), 1995, through Vol. 38(2), 2005. Continuous recording was used in the majority (55%) of the 168 articles reporting data on free-operant human behaviors. Three methods for reporting interobserver agreement (exact agreement, block-by-block agreement, and time-window analysis) were employed in more than 10 of the articles that reported continuous recording. Having identified these currently popular agreement computation algorithms, we explain them to assist researchers, software writers, and other consumers of JABA articles. PMID:19721737

  13. Continuous recording and interobserver agreement algorithms reported in the Journal of Applied Behavior Analysis (1995-2005).

    Science.gov (United States)

    Mudford, Oliver C; Taylor, Sarah Ann; Martin, Neil T

    2009-01-01

    We reviewed all research articles in 10 recent volumes of the Journal of Applied Behavior Analysis (JABA): Vol. 28(3), 1995, through Vol. 38(2), 2005. Continuous recording was used in the majority (55%) of the 168 articles reporting data on free-operant human behaviors. Three methods for reporting interobserver agreement (exact agreement, block-by-block agreement, and time-window analysis) were employed in more than 10 of the articles that reported continuous recording. Having identified these currently popular agreement computation algorithms, we explain them to assist researchers, software writers, and other consumers of JABA articles.

  14. Fast optical detecting media based on semiconductor nanostructures for recording images obtained using charges of free photocarriers

    International Nuclear Information System (INIS)

    Kasherininov, P. G.; Tomasov, A. A.; Beregulin, E. V.

    2011-01-01

    Available published data on the properties of optical recording media based on semiconductor structures are reviewed. The principles of operation, structure, parameters, and the range of application for optical recording media based on MIS structures formed of photorefractive crystals with a thick layer of insulator and MIS structures with a liquid crystal as the insulator (the MIS LC modulators), as well as the effect of optical bistability in semiconductor structures (semiconductor MIS structures with nanodimensionally thin insulator (TI) layer, M(TI)S nanostructures). Special attention is paid to recording media based on the M(TI)S nanostructures promising for fast processing of highly informative images and to fabrication of optoelectronic correlators of images for noncoherent light.

  15. Network analysis of mesoscale optical recordings to assess regional, functional connectivity.

    Science.gov (United States)

    Lim, Diana H; LeDue, Jeffrey M; Murphy, Timothy H

    2015-10-01

    With modern optical imaging methods, it is possible to map structural and functional connectivity. Optical imaging studies that aim to describe large-scale neural connectivity often need to handle large and complex datasets. In order to interpret these datasets, new methods for analyzing structural and functional connectivity are being developed. Recently, network analysis, based on graph theory, has been used to describe and quantify brain connectivity in both experimental and clinical studies. We outline how to apply regional, functional network analysis to mesoscale optical imaging using voltage-sensitive-dye imaging and channelrhodopsin-2 stimulation in a mouse model. We include links to sample datasets and an analysis script. The analyses we employ can be applied to other types of fluorescence wide-field imaging, including genetically encoded calcium indicators, to assess network properties. We discuss the benefits and limitations of using network analysis for interpreting optical imaging data and define network properties that may be used to compare across preparations or other manipulations such as animal models of disease.

  16. Redundancy in electronic health record corpora: analysis, impact on text mining performance and mitigation strategies.

    Science.gov (United States)

    Cohen, Raphael; Elhadad, Michael; Elhadad, Noémie

    2013-01-16

    The increasing availability of Electronic Health Record (EHR) data and specifically free-text patient notes presents opportunities for phenotype extraction. Text-mining methods in particular can help disease modeling by mapping named-entities mentions to terminologies and clustering semantically related terms. EHR corpora, however, exhibit specific statistical and linguistic characteristics when compared with corpora in the biomedical literature domain. We focus on copy-and-paste redundancy: clinicians typically copy and paste information from previous notes when documenting a current patient encounter. Thus, within a longitudinal patient record, one expects to observe heavy redundancy. In this paper, we ask three research questions: (i) How can redundancy be quantified in large-scale text corpora? (ii) Conventional wisdom is that larger corpora yield better results in text mining. But how does the observed EHR redundancy affect text mining? Does such redundancy introduce a bias that distorts learned models? Or does the redundancy introduce benefits by highlighting stable and important subsets of the corpus? (iii) How can one mitigate the impact of redundancy on text mining? We analyze a large-scale EHR corpus and quantify redundancy both in terms of word and semantic concept repetition. We observe redundancy levels of about 30% and non-standard distribution of both words and concepts. We measure the impact of redundancy on two standard text-mining applications: collocation identification and topic modeling. We compare the results of these methods on synthetic data with controlled levels of redundancy and observe significant performance variation. Finally, we compare two mitigation strategies to avoid redundancy-induced bias: (i) a baseline strategy, keeping only the last note for each patient in the corpus; (ii) removing redundant notes with an efficient fingerprinting-based algorithm. (a)For text mining, preprocessing the EHR corpus with fingerprinting yields

  17. A machine learning-based framework to identify type 2 diabetes through electronic health records.

    Science.gov (United States)

    Zheng, Tao; Xie, Wei; Xu, Liling; He, Xiaoying; Zhang, Ya; You, Mingrong; Yang, Gong; Chen, You

    2017-01-01

    To discover diverse genotype-phenotype associations affiliated with Type 2 Diabetes Mellitus (T2DM) via genome-wide association study (GWAS) and phenome-wide association study (PheWAS), more cases (T2DM subjects) and controls (subjects without T2DM) are required to be identified (e.g., via Electronic Health Records (EHR)). However, existing expert based identification algorithms often suffer in a low recall rate and could miss a large number of valuable samples under conservative filtering standards. The goal of this work is to develop a semi-automated framework based on machine learning as a pilot study to liberalize filtering criteria to improve recall rate with a keeping of low false positive rate. We propose a data informed framework for identifying subjects with and without T2DM from EHR via feature engineering and machine learning. We evaluate and contrast the identification performance of widely-used machine learning models within our framework, including k-Nearest-Neighbors, Naïve Bayes, Decision Tree, Random Forest, Support Vector Machine and Logistic Regression. Our framework was conducted on 300 patient samples (161 cases, 60 controls and 79 unconfirmed subjects), randomly selected from 23,281 diabetes related cohort retrieved from a regional distributed EHR repository ranging from 2012 to 2014. We apply top-performing machine learning algorithms on the engineered features. We benchmark and contrast the accuracy, precision, AUC, sensitivity and specificity of classification models against the state-of-the-art expert algorithm for identification of T2DM subjects. Our results indicate that the framework achieved high identification performances (∼0.98 in average AUC), which are much higher than the state-of-the-art algorithm (0.71 in AUC). Expert algorithm-based identification of T2DM subjects from EHR is often hampered by the high missing rates due to their conservative selection criteria. Our framework leverages machine learning and feature

  18. Reconstruction of Oceanographic Changes Based on the Diatom Records of the Central Okhotsk Sea over the last 500000 Years

    Directory of Open Access Journals (Sweden)

    Wei-Lung Wang Liang-Chi Wang

    2008-01-01

    Full Text Available This study provides insight into changes in sea ice conditions and the oceanographic environment over the past 500 kyr through analysis of the diatom record. Based on the relative abundance of 13 diatoms species in piston core MD012414, four types of environmental conditions in the central Okhotsk Sea over the last 330 ka BP have been distinguished: (1 open-ocean alternating with seasonal sea-ice cover in Stages 9, 5, and 1; (2 almost open-ocean free of sea-ice cover in Stages 7 and 3; (3 perennial sea-ice cover in Stages 6, 4, and 2; and (4 a warm ice-age dominated by open ocean assemblages in Stage 8. The littoral diatom species, Paralia sulcata, showed a sudden increase from the glacial period to the nterglacial period over the last 330 ka BP, except during Stage 8. Such a result implies that melting sea-ice transported terrigenous materials from the north Okhotsk Sea continental shelves to the central ocean during eglaciation. From Stage 13 to Stage 10, however, cold and warm marine conditions unexpectedly occurred in the late interglacial periods and the glacial periods, respectively. One possible reason for this is a lack of age control points from Stage 13 to Stage 10, and the different sediment accumulation rates between glacial and interglacial periods. This study suggests not only the process by which oceanographic variation of sea ice occurred, but also new significance for Paralia sulcata as an indicator in the diatom record of the Okhotsk Sea.

  19. LabTrove: A Lightweight, Web Based, Laboratory “Blog” as a Route towards a Marked Up Record of Work in a Bioscience Research Laboratory

    Science.gov (United States)

    Milsted, Andrew J.; Hale, Jennifer R.; Frey, Jeremy G.; Neylon, Cameron

    2013-01-01

    Background The electronic laboratory notebook (ELN) has the potential to replace the paper notebook with a marked-up digital record that can be searched and shared. However, it is a challenge to achieve these benefits without losing the usability and flexibility of traditional paper notebooks. We investigate a blog-based platform that addresses the issues associated with the development of a flexible system for recording scientific research. Methodology/Principal Findings We chose a blog-based approach with the journal characteristics of traditional notebooks in mind, recognizing the potential for linking together procedures, materials, samples, observations, data, and analysis reports. We implemented the LabTrove blog system as a server process written in PHP, using a MySQL database to persist posts and other research objects. We incorporated a metadata framework that is both extensible and flexible while promoting consistency and structure where appropriate. Our experience thus far is that LabTrove is capable of providing a successful electronic laboratory recording system. Conclusions/Significance LabTrove implements a one-item one-post system, which enables us to uniquely identify each element of the research record, such as data, samples, and protocols. This unique association between a post and a research element affords advantages for monitoring the use of materials and samples and for inspecting research processes. The combination of the one-item one-post system, consistent metadata, and full-text search provides us with a much more effective record than a paper notebook. The LabTrove approach provides a route towards reconciling the tensions and challenges that lie ahead in working towards the long-term goals for ELNs. LabTrove, an electronic laboratory notebook (ELN) system from the Smart Research Framework, based on a blog-type framework with full access control, facilitates the scientific experimental recording requirements for reproducibility, reuse

  20. LabTrove: a lightweight, web based, laboratory "blog" as a route towards a marked up record of work in a bioscience research laboratory.

    Science.gov (United States)

    Milsted, Andrew J; Hale, Jennifer R; Frey, Jeremy G; Neylon, Cameron

    2013-01-01

    The electronic laboratory notebook (ELN) has the potential to replace the paper notebook with a marked-up digital record that can be searched and shared. However, it is a challenge to achieve these benefits without losing the usability and flexibility of traditional paper notebooks. We investigate a blog-based platform that addresses the issues associated with the development of a flexible system for recording scientific research. We chose a blog-based approach with the journal characteristics of traditional notebooks in mind, recognizing the potential for linking together procedures, materials, samples, observations, data, and analysis reports. We implemented the LabTrove blog system as a server process written in PHP, using a MySQL database to persist posts and other research objects. We incorporated a metadata framework that is both extensible and flexible while promoting consistency and structure where appropriate. Our experience thus far is that LabTrove is capable of providing a successful electronic laboratory recording system. LabTrove implements a one-item one-post system, which enables us to uniquely identify each element of the research record, such as data, samples, and protocols. This unique association between a post and a research element affords advantages for monitoring the use of materials and samples and for inspecting research processes. The combination of the one-item one-post system, consistent metadata, and full-text search provides us with a much more effective record than a paper notebook. The LabTrove approach provides a route towards reconciling the tensions and challenges that lie ahead in working towards the long-term goals for ELNs. LabTrove, an electronic laboratory notebook (ELN) system from the Smart Research Framework, based on a blog-type framework with full access control, facilitates the scientific experimental recording requirements for reproducibility, reuse, repurposing, and redeployment.

  1. LabTrove: a lightweight, web based, laboratory "blog" as a route towards a marked up record of work in a bioscience research laboratory.

    Directory of Open Access Journals (Sweden)

    Andrew J Milsted

    Full Text Available The electronic laboratory notebook (ELN has the potential to replace the paper notebook with a marked-up digital record that can be searched and shared. However, it is a challenge to achieve these benefits without losing the usability and flexibility of traditional paper notebooks. We investigate a blog-based platform that addresses the issues associated with the development of a flexible system for recording scientific research.We chose a blog-based approach with the journal characteristics of traditional notebooks in mind, recognizing the potential for linking together procedures, materials, samples, observations, data, and analysis reports. We implemented the LabTrove blog system as a server process written in PHP, using a MySQL database to persist posts and other research objects. We incorporated a metadata framework that is both extensible and flexible while promoting consistency and structure where appropriate. Our experience thus far is that LabTrove is capable of providing a successful electronic laboratory recording system.LabTrove implements a one-item one-post system, which enables us to uniquely identify each element of the research record, such as data, samples, and protocols. This unique association between a post and a research element affords advantages for monitoring the use of materials and samples and for inspecting research processes. The combination of the one-item one-post system, consistent metadata, and full-text search provides us with a much more effective record than a paper notebook. The LabTrove approach provides a route towards reconciling the tensions and challenges that lie ahead in working towards the long-term goals for ELNs. LabTrove, an electronic laboratory notebook (ELN system from the Smart Research Framework, based on a blog-type framework with full access control, facilitates the scientific experimental recording requirements for reproducibility, reuse, repurposing, and redeployment.

  2. Based on records of Three Gorge Telemetric Seismic Network to analyze Vibration process of micro fracture of rock landslide

    Science.gov (United States)

    WANG, Q.

    2017-12-01

    Used the finite element analysis software GeoStudio to establish vibration analysis model of Qianjiangping landslide, which locates at the Three Gorges Reservoir area. In QUAKE/W module, we chosen proper Dynamic elasticity modulus and Poisson's ratio of soil layer and rock stratum. When loading, we selected the waveform data record of Three Gorge Telemetric Seismic Network as input ground motion, which includes five rupture events recorded of Lujiashan seismic station. In dynamic simulating, we mainly focused on sliding process when the earthquake date record was applied. The simulation result shows that Qianjiangping landslide wasn't not only affected by its own static force, but also experienced the dynamic process of micro fracture-creep-slip rupture-creep-slip.it provides a new approach for the early warning feasibility of rock landslide in future research.

  3. Complex Wavelet Based Modulation Analysis

    DEFF Research Database (Denmark)

    Luneau, Jean-Marc; Lebrun, Jérôme; Jensen, Søren Holdt

    2008-01-01

    Low-frequency modulation of sound carry important information for speech and music. The modulation spectrum i commonly obtained by spectral analysis of the sole temporal envelopes of the sub-bands out of a time-frequency analysis. Processing in this domain usually creates undesirable distortions...... polynomial trends. Moreover an analytic Hilbert-like transform is possible with complex wavelets implemented as an orthogonal filter bank. By working in an alternative transform domain coined as “Modulation Subbands”, this transform shows very promising denoising capabilities and suggests new approaches for joint...

  4. An Open Architecture Scaleable Maintainable Software Defined Commodity Based Data Recorder And Correlator, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — This project addresses the need for higher data rate recording capability, increased correlation speed and flexibility needed for next generation VLBI systems. The...

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

    Science.gov (United States)

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

    2013-01-01

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

  6. Interpretation of Coronary Angiograms Recorded Using Google Glass: A Comparative Analysis.

    Science.gov (United States)

    Duong, Thao; Wosik, Jedrek; Christakopoulos, Georgios E; Martínez Parachini, José Roberto; Karatasakis, Aris; Tarar, Muhammad Nauman Javed; Resendes, Erica; Rangan, Bavana V; Roesle, Michele; Grodin, Jerrold; Abdullah, Shuaib M; Banerjee, Subhash; Brilakis, Emmanouil S

    2015-10-01

    Google Glass (Google, Inc) is a voice-activated, hands-free, optical head-mounted display device capable of taking pictures, recording videos, and transmitting data via wi-fi. In the present study, we examined the accuracy of coronary angiogram interpretation, recorded using Google Glass. Google Glass was used to record 15 angiograms with 17 major findings and the participants were asked to interpret those recordings on: (1) an iPad (Apple, Inc); or (2) a desktop computer. Interpretation was compared with the original angiograms viewed on a desktop. Ten physicians (2 interventional cardiologists and 8 cardiology fellows) participated. One point was assigned for each correct finding, for a maximum of 17 points. The mean angiogram interpretation score for Google Glass angiogram recordings viewed on an iPad or a desktop vs the original angiograms viewed on a desktop was 14.9 ± 1.1, 15.2 ± 1.8, and 15.9 ± 1.1, respectively (P=.06 between the iPad and the original angiograms, P=.51 between the iPad and recordings viewed on a desktop, and P=.43 between the recordings viewed on a desktop and the original angiograms). In a post-study survey, one of the 10 physicians (10%) was "neutral" with the quality of the recordings using Google Glass, 6 physicians (60%) were "somewhat satisfied," and 3 physicians (30%) were "very satisfied." This small pilot study suggests that the quality of coronary angiogram video recordings obtained using Google Glass may be adequate for recognition of major findings, supporting its expanding use in telemedicine.

  7. A novel high electrode count spike recording array using an 81,920 pixel transimpedance amplifier-based imaging chip.

    Science.gov (United States)

    Johnson, Lee J; Cohen, Ethan; Ilg, Doug; Klein, Richard; Skeath, Perry; Scribner, Dean A

    2012-04-15

    Microelectrode recording arrays of 60-100 electrodes are commonly used to record neuronal biopotentials, and these have aided our understanding of brain function, development and pathology. However, higher density microelectrode recording arrays of larger area are needed to study neuronal function over broader brain regions such as in cerebral cortex or hippocampal slices. Here, we present a novel design of a high electrode count picocurrent imaging array (PIA), based on an 81,920 pixel Indigo ISC9809 readout integrated circuit camera chip. While originally developed for interfacing to infrared photodetector arrays, we have adapted the chip for neuron recording by bonding it to microwire glass resulting in an array with an inter-electrode pixel spacing of 30 μm. In a high density electrode array, the ability to selectively record neural regions at high speed and with good signal to noise ratio are both functionally important. A critical feature of our PIA is that each pixel contains a dedicated low noise transimpedance amplifier (∼0.32 pA rms) which allows recording high signal to noise ratio biocurrents comparable to single electrode voltage amplifier recordings. Using selective sampling of 256 pixel subarray regions, we recorded the extracellular biocurrents of rabbit retinal ganglion cell spikes at sampling rates up to 7.2 kHz. Full array local electroretinogram currents could also be recorded at frame rates up to 100 Hz. A PIA with a full complement of 4 readout circuits would span 1cm and could acquire simultaneous data from selected regions of 1024 electrodes at sampling rates up to 9.3 kHz. Published by Elsevier B.V.

  8. Establishment of data base of regional seismic recordings from earthquakes, chemical explosions and nuclear explosions in the Former Soviet Union

    Energy Technology Data Exchange (ETDEWEB)

    Ermolenko, N.A.; Kopnichev, Yu.F.; Kunakov, V.G.; Kunakova, O.K.; Rakhmatullin, M.Kh.; Sokolova, I.N.; Vybornyy, Zh.I. [AN SSSR, Moscow (Russian Federation). Inst. Fiziki Zemli

    1995-06-01

    In this report results of work on establishment of a data base of regional seismic recordings from earthquakes, chemical explosions and nuclear explosions in the former Soviet Union are described. This work was carried out in the Complex Seismological Expedition (CSE) of the Joint Institute of Physics of the Earth of the Russian Academy of Sciences and Lawrence Livermore National Laboratory. The recording system, methods of investigations and primary data processing are described in detail. The largest number of digital records was received by the permanent seismic station Talgar, situated in the northern Tien Shan, 20 km to the east of Almaty city. More than half of the records are seismograms of underground nuclear explosions and chemical explosions. The nuclear explosions were recorded mainly from the Semipalatinsk test site. In addition, records of the explosions from the Chinese test site Lop Nor and industrial nuclear explosions from the West Siberia region were obtained. Four records of strong chemical explosions were picked out (two of them have been produced at the Semipalatinsk test site and two -- in Uzbekistan). We also obtained 16 records of crustal earthquakes, mainly from the Altai region, close to the Semipalatinsk test site, and also from the West China region, close to the Lop Nor test site. In addition, a small number of records of earthquakes and underground nuclear explosions, received by arrays of temporary stations, that have been working in the southern Kazakhstan region are included in this report. Parameters of the digital seismograms and file structure are described. Possible directions of future work on the digitizing of unique data archive are discussed.

  9. A model-based spike sorting algorithm for removing correlation artifacts in multi-neuron recordings.

    Science.gov (United States)

    Pillow, Jonathan W; Shlens, Jonathon; Chichilnisky, E J; Simoncelli, Eero P

    2013-01-01

    We examine the problem of estimating the spike trains of multiple neurons from voltage traces recorded on one or more extracellular electrodes. Traditional spike-sorting methods rely on thresholding or clustering of recorded signals to identify spikes. While these methods can detect a large fraction of the spikes from a recording, they generally fail to identify synchronous or near-synchronous spikes: cases in which multiple spikes overlap. Here we investigate the geometry of failures in traditional sorting algorithms, and document the prevalence of such errors in multi-electrode recordings from primate retina. We then develop a method for multi-neuron spike sorting using a model that explicitly accounts for the superposition of spike waveforms. We model the recorded voltage traces as a linear combination of spike waveforms plus a stochastic background component of correlated Gaussian noise. Combining this measurement model with a Bernoulli prior over binary spike trains yields a posterior distribution for spikes given the recorded data. We introduce a greedy algorithm to maximize this posterior that we call "binary pursuit". The algorithm allows modest variability in spike waveforms and recovers spike times with higher precision than the voltage sampling rate. This method substantially corrects cross-correlation artifacts that arise with conventional methods, and substantially outperforms clustering methods on both real and simulated data. Finally, we develop diagnostic tools that can be used to assess errors in spike sorting in the absence of ground truth.

  10. Multidecadal climate variability in Brazil's Nordeste during the last 3000 years based on speleothem isotope records

    Science.gov (United States)

    Novello, Valdir F.; Cruz, Francisco W.; Karmann, Ivo; Burns, Stephen J.; Stríkis, Nicolás M.; Vuille, Mathias; Cheng, Hai; Lawrence Edwards, R.; Santos, Roberto V.; Frigo, Everton; Barreto, Eline A. S.

    2012-12-01

    We present the first high resolution, approximately ∼4 years sample spacing, precipitation record from northeastern Brazil (hereafter referred to as ‘Nordeste’) covering the last ∼3000 yrs from 230Th-dated stalagmites oxygen isotope records. Our record shows abrupt fluctuations in rainfall tied to variations in the intensity of the South American summer monsoon (SASM), including the periods corresponding to the Little Ice Age (LIA), the Medieval Climate Anomaly (MCA) and an event around 2800 yr B.P. Unlike other monsoon records in southern tropical South America, dry conditions prevailed during the LIA in the Nordeste. Our record suggests that the region is currently undergoing drought conditions that are unprecedented over the past 3 millennia, rivaled only by the LIA period. Using spectral, wavelet and cross-wavelet analyses we show that changes in SASM activity in the region are mainly associated with variations of the Atlantic Multidecadal Oscillation (AMO) and to a lesser degree caused by fluctuations in tropical Pacific SST. Our record also shows a distinct periodicity around 210 years, which has been linked to solar variability.

  11. Assessment of nursing records on cardiopulmonary resuscitation based on the utstein model

    Directory of Open Access Journals (Sweden)

    Daiane Lopes Grisante

    2014-01-01

    Full Text Available Cross-sectional study that assessed the quality of nursing records on cardiopulmonary resuscitation. Forty-two patients’ charts were reviewed in an intensive care unit, using the Utstein protocol. There was a predominance of men (54.8%, aged from 21-70 years old (38.1%, correction of acquired heart diseases (42.7%, with more than one pre-existing device (147. As immediate cause of cardiac arrest, hypotension predominated (48.3% and as the initial rhythm, bradycardia (37.5%. Only the time of death and time of arrest were recorded in 100% of the sample. Professional training in Advanced Life Support was not recorded. The causes of arrest and initial rhythm were recorded in 69% and 76.2% of the sample. Chest compressions, patent airway obtainment and defibrillation were recorded in less than 16%. Records were considered of low quality and may cause legal sanctions to professionals and do not allow the comparison of the effectiveness of the maneuvers with other centers.

  12. Predictive value of casual ECG-based resting heart rate compared with resting heart rate obtained from Holter recording

    DEFF Research Database (Denmark)

    Carlson, Nicholas; Dixen, Ulrik; Marott, Jacob L

    2014-01-01

    BACKGROUND: Elevated resting heart rate (RHR) is associated with cardiovascular mortality and morbidity. Assessment of heart rate (HR) from Holter recording may afford a more precise estimate of the effect of RHR on cardiovascular risk, as compared to casual RHR. Comparative analysis was carried ...

  13. Unsupervised ensemble ranking of terms in electronic health record notes based on their importance to patients.

    Science.gov (United States)

    Chen, Jinying; Yu, Hong

    2017-04-01

    Allowing patients to access their own electronic health record (EHR) notes through online patient portals has the potential to improve patient-centered care. However, EHR notes contain abundant medical jargon that can be difficult for patients to comprehend. One way to help patients is to reduce information overload and help them focus on medical terms that matter most to them. Targeted education can then be developed to improve patient EHR comprehension and the quality of care. The aim of this work was to develop FIT (Finding Important Terms for patients), an unsupervised natural language processing (NLP) system that ranks medical terms in EHR notes based on their importance to patients. We built FIT on a new unsupervised ensemble ranking model derived from the biased random walk algorithm to combine heterogeneous information resources for ranking candidate terms from each EHR note. Specifically, FIT integrates four single views (rankers) for term importance: patient use of medical concepts, document-level term salience, word co-occurrence based term relatedness, and topic coherence. It also incorporates partial information of term importance as conveyed by terms' unfamiliarity levels and semantic types. We evaluated FIT on 90 expert-annotated EHR notes and used the four single-view rankers as baselines. In addition, we implemented three benchmark unsupervised ensemble ranking methods as strong baselines. FIT achieved 0.885 AUC-ROC for ranking candidate terms from EHR notes to identify important terms. When including term identification, the performance of FIT for identifying important terms from EHR notes was 0.813 AUC-ROC. Both performance scores significantly exceeded the corresponding scores from the four single rankers (P<0.001). FIT also outperformed the three ensemble rankers for most metrics. Its performance is relatively insensitive to its parameter. FIT can automatically identify EHR terms important to patients. It may help develop future interventions

  14. Earthquake response analysis of a base isolated building

    International Nuclear Information System (INIS)

    Mazda, T.; Shiojiri, H.; Sawada, Y.; Harada, O.; Kawai, N.; Ontsuka, S.

    1989-01-01

    Recently, the seismic isolation has become one of the popular methods in the design of important structures or equipments against the earthquakes. However, it is desired to accumulate the demonstration data on reliability of seismically isolated structures and to establish the analysis methods of those structures. Based on the above recognition, the vibration tests of a base isolated building were carried out in Tsukuba Science City. After that, many earthquake records have been obtained at the building. In order to examine the validity of numerical models, earthquake response analyses have been executed by using both lumped mass model, and finite element model

  15. Multi-level analysis of electronic health record adoption by health care professionals: A study protocol

    Directory of Open Access Journals (Sweden)

    Labrecque Michel

    2010-04-01

    Full Text Available Abstract Background The electronic health record (EHR is an important application of information and communication technologies to the healthcare sector. EHR implementation is expected to produce benefits for patients, professionals, organisations, and the population as a whole. These benefits cannot be achieved without the adoption of EHR by healthcare professionals. Nevertheless, the influence of individual and organisational factors in determining EHR adoption is still unclear. This study aims to assess the unique contribution of individual and organisational factors on EHR adoption in healthcare settings, as well as possible interrelations between these factors. Methods A prospective study will be conducted. A stratified random sampling method will be used to select 50 healthcare organisations in the Quebec City Health Region (Canada. At the individual level, a sample of 15 to 30 health professionals will be chosen within each organisation depending on its size. A semi-structured questionnaire will be administered to two key informants in each organisation to collect organisational data. A composite adoption score of EHR adoption will be developed based on a Delphi process and will be used as the outcome variable. Twelve to eighteen months after the first contact, depending on the pace of EHR implementation, key informants and clinicians will be contacted once again to monitor the evolution of EHR adoption. A multilevel regression model will be applied to identify the organisational and individual determinants of EHR adoption in clinical settings. Alternative analytical models would be applied if necessary. Results The study will assess the contribution of organisational and individual factors, as well as their interactions, to the implementation of EHR in clinical settings. Conclusions These results will be very relevant for decision makers and managers who are facing the challenge of implementing EHR in the healthcare system. In addition

  16. Analysis of debris-flow recordings in an instrumented basin: confirmations and new findings

    Directory of Open Access Journals (Sweden)

    M. Arattano

    2012-03-01

    Full Text Available On 24 August 2006, a debris flow took place in the Moscardo Torrent, a basin of the Eastern Italian Alps instrumented for debris-flow monitoring. The debris flow was recorded by two seismic networks located in the lower part of the basin and on the alluvial fan, respectively. The event was also recorded by a pair of ultrasonic sensors installed on the fan, close to the lower seismic network. The comparison between the different recordings outlines particular features of the August 2006 debris flow, different from that of events recorded in previous years. A typical debris-flow wave was observed at the upper seismic network, with a main front abruptly appearing in the torrent, followed by a gradual decrease of flow height. On the contrary, on the alluvial fan the wave displayed an irregular pattern, with low flow depth and the main peak occurring in the central part of the surge both in the seismic recording and in the hydrographs. Recorded data and field evidences indicate that the surge observed on the alluvial fan was not a debris flow, and probably consisted in a water surge laden with fine to medium-sized sediment. The change in shape and characteristics of the wave can be ascribed to the attenuation of the surge caused by the torrent control works implemented in the lower basin during the last years.

  17. Presentations and recorded keynotes of the First European Workshop on Latent Semantic Analysis in Technology Enhanced Learning

    NARCIS (Netherlands)

    Several

    2007-01-01

    Presentations and recorded keynotes at the 1st European Workshop on Latent Semantic Analysis in Technology-Enhanced Learning, March, 29-30, 2007. Heerlen, The Netherlands: The Open University of the Netherlands. Please see the conference website for more information:

  18. Continuous Recording and Interobserver Agreement Algorithms Reported in the "Journal of Applied Behavior Analysis" (1995-2005)

    Science.gov (United States)

    Mudford, Oliver C.; Taylor, Sarah Ann; Martin, Neil T.

    2009-01-01

    We reviewed all research articles in 10 recent volumes of the "Journal of Applied Behavior Analysis (JABA)": Vol. 28(3), 1995, through Vol. 38(2), 2005. Continuous recording was used in the majority (55%) of the 168 articles reporting data on free-operant human behaviors. Three methods for reporting interobserver agreement (exact agreement,…

  19. The Analysis and Suppression of the spike noise in vibrator record

    Science.gov (United States)

    Jia, H.; Jiang, T.; Xu, X.; Ge, L.; Lin, J.; Yang, Z.

    2013-12-01

    During the seismic exploration with vibrator, seismic recording systems have often been affected by random spike noise in the background, which leads to strong data distortions as a result of the cross-correlation processing of the vibrator method. Partial or total loss of the desired seismic information is possible if no automatic spike reduction is available in the field prior to correlation of the field record. Generally speaking, original record of vibrator is uncorrelated data, in which the signal is non-wavelet form. In order to obtain the seismic record similar to explosive source, the signal of uncorrelated data needs to use the correlation algorithm to compress into wavelet form. The correlation process results in that the interference of spike in correlated data is not only being suppressed, but also being expanded. So the spike noise suppression of vibrator is indispensable. According to numerical simulation results, the effect of spike in the vibrator record is mainly affected by the amplitude and proportional points in the uncorrelated record. When the spike noise ratio in uncorrelated record reaches 1.5% and the average amplitude exceeds 200, it will make the SNR(signal-to-noise ratio) of the correlated record lower than 0dB, so that it is difficult to separate the signal. While the amplitude and ratio is determined by the intensity of background noise. Therefore, when the noise level is strong, in order to improve SNR of the seismic data, the uncorrelated record of vibrator need to take necessary steps to suppress spike noise. For the sake of reducing the influence of the spike noise, we need to make the detection and suppression of spike noise process for the uncorrelated record. Because vibrator works by inputting sweep signal into the underground long time, ideally, the peak and valley values of each trace have little change. On the basis of the peak and valley values, we can get a reference amplitude value. Then the spike can be detected and

  20. Formal definition and dating of the GSSP (Global Stratotype Section and Point) for the base of the Holocene using the Greenland NGRIP ice core, and selected auxiliary records

    DEFF Research Database (Denmark)

    Walker, Mike; Johnsen, Sigfus Johann; Rasmussen, Sune Olander

    2009-01-01

    The Greenland ice core from NorthGRIP (NGRIP) contains a proxy climate record across the Pleistocene-Holocene boundary of unprecedented clarity and resolution. Analysis of an array of physical and chemical parameters within the ice enables the base of the Holocene, as reflected in the first signs...... the Global Stratotype Section and Point (GSSP) for the base of the Holocene Series/Epoch (Quaternary System/Period) has been ratified by the International Union of Geological Sciences. Five auxiliary stratotypes for the Pleistocene-Holocene boundary have also been recognised....

  1. Morphology of the Iceland Basin Excursion from a spherical harmonics analysis and an iterative Bayesian inversion procedure of sedimentary records

    Science.gov (United States)

    Lanci, Luca; Kissel, Catherine; Leonhardt, Roman; Laj, Carlo

    2008-08-01

    Based on 5 published marine high-resolution sedimentary records of the Iceland Basin Excursion [IBE; Channell, J.E.T., Hodell, D.A., Lehman, B., 1997. Relative geomagnetic paleointensity and ∂ 18O at ODP Site 983/Gardar Drift, North Atlantic since 350 ka. Earth Planet. Sci. Lett. 153, 103-118; Laj, C., Kissel, C., Roberts, A., 2006. Geomagnetic field behavior during the Iceland Basin and Laschamp geomagnetic excursions: a simple transitional field geometry? Geochem. Geophys. Geosystems. 7, Q03004, doi:10.1029/2005GC001122] dated around 186-190 kyr, we present models of the excursional geomagnetic field at the Earth's surface using two different approaches. First a spherical harmonics analysis is performed after synchronization of the records using their paleointensity profiles. Second, we have used an iterative Bayesian inversion procedure, calibrated using the single volcanic data available so far. Both modeling approaches suffer from imperfections of the paleomagnetic signals and mostly from the still poor geographical distribution of detailed records, presently available only from the North Atlantic and the West Pacific. For these reasons, our modeling results should only be regarded as preliminary models of the geomagnetic field during the IBE, susceptible to improvements when including results from future paleomagnetic studies. Nevertheless, both approaches show distinct similarities and are stable against moderate variations of modeling parameters. The general picture is that of a dipole field undergoing a strong reduction, but remaining higher than the non-dipole field all through the excursional process, except for a very short interval of time corresponding to the dipole minimum at the center of the excursion. On the other hand, some differences exist between the results of the two models with each other and with the real data when the virtual geomagnetic pole (VGP) paths are considered. The non-dipole field does not appear to undergo very significant

  2. A novel assessment of odor sources using instrumental analysis combined with resident monitoring records for an industrial area in Korea

    Science.gov (United States)

    Lee, Hyung-Don; Jeon, Soo-Bin; Choi, Won-Joon; Lee, Sang-Sup; Lee, Min-Ho; Oh, Kwang-Joong

    2013-08-01

    The residents living nearby the Sa-sang industrial area (SSIA) continuously were damaged by odorous pollution since 1990s. We determined the concentrations of reduced sulfur compounds (RSCs) [hydrogen sulfide (H2S), methyl mercaptan (CH3SH), dimethyl sulfide (DMS), and dimethyl disulfide (DMDS)], nitrogenous compounds (NCs) [ammonia (NH3) and trimethylamine (TMA)], and carbonyl compounds (CCs) [acetaldehyde and butyraldehyde] by instrumental analysis in the SSIA in Busan, Korea from Jun to Nov, 2011. We determined odor intensity (OI) based on the concentrations of the odorants and resident monitoring records (RMR). The mean concentration of H2S was 10-times higher than NCs, CCs and the other RSC. The contribution from RSCs to the OI was over 50% at all sites excluding the A-5 (chemical production) site. In particular, A-4 (food production) site showed more than 8-times higher the sum of odor activity value (SOAV) than the other sites. This suggested that the A-4 site was the most malodorous area in the SSIA. From the RMR analysis, the annoyance degree (OI ≥ 2) was 51.9% in the industrial area. The 'Rotten' smell arising from the RSCs showed the highest frequency (25.3%) while 'Burned' and 'Other' were more frequent than 'Rotten' in the residential area. The correlation between odor index calculated by instrumental analysis and OI from the RMR was analyzed. The Pearson correlation coefficient (r) of the SOAV was the highest at 0.720 (P food production causes significant annoyance in the SSIA. We also confirm RMR data can be used effectively to evaluate the characteristic of odorants emitted from the SSIA.

  3. A new global geomagnetic model based on archeomagnetic, volcanic and historical records

    Science.gov (United States)

    Arneitz, Patrick; Leonhardt, Roman; Fabian, Karl

    2016-04-01

    The major challenge of geomagnetic field reconstruction lies in the inhomogeneous spatio-temporal distribution of the available data and their highly variable quality. Paleo- and archeomagnetic records provide information about the ancient geomagnetic field beyond the historical period. Typically these data types have larger errors than their historical counterparts, and investigated materials and applied experimental methods potentially bias field readings. Input data for the modelling approach were extracted from available collections of archeomagnetic, volcanic and historical records, which were integrated into a single database along with associated meta-data. The used iterative Bayesian inversion scheme targets the implementation of reliable error treatments, which allows to combine the different data types. The proposed model is scrutinized by carrying out tests with artificial records. Records are synthesized using a known field evolution generated by a geodynamo model showing realistic energy characteristics. Using the artificial field, a synthetic data set is generated that exactly mirrors the existing measured records in all meta-data, but provides data that would have been observed if the artificial field would have been real. After inversion of the synthetic data, the comparison of known artificial Gauss coefficients and modelled ones allows for the verification of the applied modelling strategy as well as for the examination of the potential and limits of the current data compilation.

  4. Transparency in Transcribing: Making Visible Theoretical Bases Impacting Knowledge Construction from Open-Ended Interview Records

    Directory of Open Access Journals (Sweden)

    Audra Skukauskaite

    2012-01-01

    Full Text Available This article presents a reflexive analysis of two transcripts of an open-ended interview and argues for transparency in transcribing processes and outcomes. By analyzing ways in which a researcher's theories become consequential in producing and using transcripts of an open-ended interview, this paper makes visible the importance of examining and presenting theoretical bases of transcribing decisions. While scholars across disciplines have argued that transcribing is a theoretically laden process (GREEN, FRANQUIZ & DIXON, 1997; KVALE & BRINKMAN, 2009, few have engaged in reflexive analyses of the data history to demonstrate the consequences particular theoretical and methodological approaches pose in producing knowledge claims and inciting dialogues across traditions. The article demonstrates how theory-method-claim relationships in transcribing influence research transparency and warrantability. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1201146

  5. 13 CFR 106.402 - What provisions must be set forth in a Non-Fee Based Record?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Non-Fee Based Record? 106.402 Section 106.402 Business Credit and Assistance SMALL BUSINESS... endorsement by SBA of the Donor, or the Donor's products or services. ...

  6. The realization of the storage of XML and middleware-based data of electronic medical records

    International Nuclear Information System (INIS)

    Liu Shuzhen; Gu Peidi; Luo Yanlin

    2007-01-01

    In this paper, using the technology of XML and middleware to design and implement a unified electronic medical records storage archive management system and giving a common storage management model. Using XML to describe the structure of electronic medical records, transform the medical data from traditional 'business-centered' medical information into a unified 'patient-centered' XML document and using middleware technology to shield the types of the databases at different departments of the hospital and to complete the information integration of the medical data which scattered in different databases, conducive to information sharing between different hospitals. (authors)

  7. Head in the clouds: Re-imagining the experimental laboratory record for the web-based networked world.

    Science.gov (United States)

    Neylon, Cameron

    2009-10-29

    The means we use to record the process of carrying out research remains tied to the concept of a paginated paper notebook despite the advances over the past decade in web based communication and publication tools. The development of these tools offers an opportunity to re-imagine what the laboratory record would look like if it were re-built in a web-native form. In this paper I describe a distributed approach to the laboratory record based which uses the most appropriate tool available to house and publish each specific object created during the research process, whether they be a physical sample, a digital data object, or the record of how one was created from another. I propose that the web-native laboratory record would act as a feed of relationships between these items. This approach can be seen as complementary to, rather than competitive with, integrative approaches that aim to aggregate relevant objects together to describe knowledge. The potential for the recent announcement of the Google Wave protocol to have a significant impact on realizing this vision is discussed along with the issues of security and provenance that are raised by such an approach.

  8. Adverse Event extraction from Structured Product Labels using the Event-based Text-mining of Health Electronic Records (ETHER)system.

    Science.gov (United States)

    Pandey, Abhishek; Kreimeyer, Kory; Foster, Matthew; Botsis, Taxiarchis; Dang, Oanh; Ly, Thomas; Wang, Wei; Forshee, Richard

    2018-01-01

    Structured Product Labels follow an XML-based document markup standard approved by the Health Level Seven organization and adopted by the US Food and Drug Administration as a mechanism for exchanging medical products information. Their current organization makes their secondary use rather challenging. We used the Side Effect Resource database and DailyMed to generate a comparison dataset of 1159 Structured Product Labels. We processed the Adverse Reaction section of these Structured Product Labels with the Event-based Text-mining of Health Electronic Records system and evaluated its ability to extract and encode Adverse Event terms to Medical Dictionary for Regulatory Activities Preferred Terms. A small sample of 100 labels was then selected for further analysis. Of the 100 labels, Event-based Text-mining of Health Electronic Records achieved a precision and recall of 81 percent and 92 percent, respectively. This study demonstrated Event-based Text-mining of Health Electronic Record's ability to extract and encode Adverse Event terms from Structured Product Labels which may potentially support multiple pharmacoepidemiological tasks.

  9. Preliminary analysis of surface radiation measurements recorded at the Nansen ice sheet (Antarctica)

    International Nuclear Information System (INIS)

    Bonafe', U.; Dalpane, E.; Georgiadis, T.; Pitacco, A.

    1996-01-01

    An experiment on radiation and surface energy balance was conducted during the 9. Italian expedition in Antarctica at the Nancen ice sheet, a glacier situated close to the Italian base at Terra Nova Bay, to correlate surface balances to the formation and development of katabatic winds. Measurements were taken by radiometers covering the whole spectra of solar and terrestrial emissions and by fast sensors of atmospheric wind velocity and humidity for the application of the eddy correlation technique. A preliminary analysis of the radiometric data collected in order to quantify the major components of radiative energy balance during the Antarctic summer in clear sky conditions is reported and discussed. The findings show the very low available energy (mean about 1 W/m 2 ), in terms of net radiation, for the physical processes such as sensible- and latent-heat fluxes. Long-wave radiation balance was applied to estimate the reliability of the Swinbank's parametrization, relative to general conditions of the atmosphere

  10. Standard-based comprehensive detection of adverse drug reaction signals from nursing statements and laboratory results in electronic health records.

    Science.gov (United States)

    Lee, Suehyun; Choi, Jiyeob; Kim, Hun-Sung; Kim, Grace Juyun; Lee, Kye Hwa; Park, Chan Hee; Han, Jongsoo; Yoon, Dukyong; Park, Man Young; Park, Rae Woong; Kang, Hye-Ryun; Kim, Ju Han

    2017-07-01

    We propose 2 Medical Dictionary for Regulatory Activities-enabled pharmacovigilance algorithms, MetaLAB and MetaNurse, powered by a per-year meta-analysis technique and improved subject sampling strategy. This study developed 2 novel algorithms, MetaLAB for laboratory abnormalities and MetaNurse for standard nursing statements, as significantly improved versions of our previous electronic health record (EHR)-based pharmacovigilance method, called CLEAR. Adverse drug reaction (ADR) signals from 117 laboratory abnormalities and 1357 standard nursing statements for all precautionary drugs ( n   = 101) were comprehensively detected and validated against SIDER (Side Effect Resource) by MetaLAB and MetaNurse against 11 817 and 76 457 drug-ADR pairs, respectively. We demonstrate that MetaLAB (area under the curve, AUC = 0.61 ± 0.18) outperformed CLEAR (AUC = 0.55 ± 0.06) when we applied the same 470 drug-event pairs as the gold standard, as in our previous research. Receiver operating characteristic curves for 101 precautionary terms in the Medical Dictionary for Regulatory Activities Preferred Terms were obtained for MetaLAB and MetaNurse (0.69 ± 0.11; 0.62 ± 0.07), which complemented each other in terms of ADR signal coverage. Novel ADR signals discovered by MetaLAB and MetaNurse were successfully validated against spontaneous reports in the US Food and Drug Administration Adverse Event Reporting System database. The present study demonstrates the symbiosis of laboratory test results and nursing statements for ADR signal detection in terms of their system organ class coverage and performance profiles. Systematic discovery and evaluation of the wide spectrum of ADR signals using standard-based observational electronic health record data across many institutions will affect drug development and use, as well as postmarketing surveillance and regulation. © The Author 2017. Published by Oxford University Press on behalf of the American

  11. Ca analysis: an Excel based program for the analysis of intracellular calcium transients including multiple, simultaneous regression analysis.

    Science.gov (United States)

    Greensmith, David J

    2014-01-01

    Here I present an Excel based program for the analysis of intracellular Ca transients recorded using fluorescent indicators. The program can perform all the necessary steps which convert recorded raw voltage changes into meaningful physiological information. The program performs two fundamental processes. (1) It can prepare the raw signal by several methods. (2) It can then be used to analyze the prepared data to provide information such as absolute intracellular Ca levels. Also, the rates of change of Ca can be measured using multiple, simultaneous regression analysis. I demonstrate that this program performs equally well as commercially available software, but has numerous advantages, namely creating a simplified, self-contained analysis workflow. Copyright © 2013 The Author. Published by Elsevier Ireland Ltd.. All rights reserved.

  12. iSpectra: An Open Source Toolbox For The Analysis of Spectral Images Recorded on Scanning Electron Microscopes.

    Science.gov (United States)

    Liebske, Christian

    2015-08-01

    iSpectra is an open source and system-independent toolbox for the analysis of spectral images (SIs) recorded on energy-dispersive spectroscopy (EDS) systems attached to scanning electron microscopes (SEMs). The aim of iSpectra is to assign pixels with similar spectral content to phases, accompanied by cumulative phase spectra with superior counting statistics for quantification. Pixel-to-phase assignment starts with a threshold-based pre-sorting of spectra to create groups of pixels with identical elemental budgets, similar to a method described by van Hoek (2014). Subsequent merging of groups and re-assignments of pixels using elemental or principle component histogram plots enables the user to generate chemically and texturally plausible phase maps. A variety of standard image processing algorithms can be applied to groups of pixels to optimize pixel-to-phase assignments, such as morphology operations to account for overlapping excitation volumes over pixels located at phase boundaries. iSpectra supports batch processing and allows pixel-to-phase assignments to be applied to an unlimited amount of SIs, thus enabling phase mapping of large area samples like petrographic thin sections.

  13. Data Mining of NASA Boeing 737 Flight Data: Frequency Analysis of In-Flight Recorded Data

    Science.gov (United States)

    Butterfield, Ansel J.

    2001-01-01

    Data recorded during flights of the NASA Trailblazer Boeing 737 have been analyzed to ascertain the presence of aircraft structural responses from various excitations such as the engine, aerodynamic effects, wind gusts, and control system operations. The NASA Trailblazer Boeing 737 was chosen as a focus of the study because of a large quantity of its flight data records. The goal of this study was to determine if any aircraft structural characteristics could be identified from flight data collected for measuring non-structural phenomena. A number of such data were examined for spatial and frequency correlation as a means of discovering hidden knowledge of the dynamic behavior of the aircraft. Data recorded from on-board dynamic sensors over a range of flight conditions showed consistently appearing frequencies. Those frequencies were attributed to aircraft structural vibrations.

  14. A record/replay system for the harmonic analysis of nuclear reactor flux noise

    International Nuclear Information System (INIS)

    Lawrence, L.A.J.; Corran, E.R.

    1960-02-01

    The design of a record/replay system for the determination of neutron flux spectra is discussed and circuit details and performance figures are given. Frequency modulation is used with a carrier frequency of 1,000 cycles per second, the complete system having an overall bandwidth of 100 cycles per second. The noise is recorded on magnetic tape and when replayed is analysed into a spectrum by means of a selective amplifier used in conjunction with an infinitely variable speed control on the tape. It is shown that if the lowest spectral frequency is .01 cycles per second a recording time of many hours is necessary. The DIDO noise spectrum is analysed and shown to be contained in a bandwidth of a few cycles per second. (author)

  15. An analysis of electronic health record-related patient safety incidents.

    Science.gov (United States)

    Palojoki, Sari; Mäkelä, Matti; Lehtonen, Lasse; Saranto, Kaija

    2017-06-01

    The aim of this study was to analyse electronic health record-related patient safety incidents in the patient safety incident reporting database in fully digital hospitals in Finland. We compare Finnish data to similar international data and discuss their content with regard to the literature. We analysed the types of electronic health record-related patient safety incidents that occurred at 23 hospitals during a 2-year period. A procedure of taxonomy mapping served to allow comparisons. This study represents a rare examination of patient safety risks in a fully digital environment. The proportion of electronic health record-related incidents was markedly higher in our study than in previous studies with similar data. Human-computer interaction problems were the most frequently reported. The results show the possibility of error arising from the complex interaction between clinicians and computers.

  16. Completing Records-Based Research Within the Military: A User’s Guide

    Science.gov (United States)

    2013-03-01

    40:2072–2077, 2012. 13. Scher, D. L., Belmont, P. J., Jr., Mountcastle, S., et al. The incidence of primary hip osteoarthritis in active duty US...B. S., et al. Guidelines were developed for data collection from medical records for use in retrospective analyses. J. Clin. Epidemiol. 58:269–274

  17. Information security risk measures for cloud-based personal health records

    CSIR Research Space (South Africa)

    Mxoli, A

    2014-11-01

    Full Text Available Personal Health Records (PHRs) provide a convenient way for individuals to better manage their health. With the advancement in technology, they can be stored via Cloud Computing. These are pay-per-use applications offered as a service over...

  18. Recording the dynamic endocytosis of single gold nanoparticles by AFM-based force tracing.

    Science.gov (United States)

    Ding, Bohua; Tian, Yongmei; Pan, Yangang; Shan, Yuping; Cai, Mingjun; Xu, Haijiao; Sun, Yingchun; Wang, Hongda

    2015-05-07

    We utilized force tracing to directly record the endocytosis of single gold nanoparticles (Au NPs) with different sizes, revealing the size-dependent endocytosis dynamics and the crucial role of membrane cholesterol. The force, duration and velocity of Au NP invagination are accurately determined at the single-particle and microsecond level unprecedentedly.

  19. A robust physiology-based source separation method for QRS detection in low amplitude fetal ECG recordings

    International Nuclear Information System (INIS)

    Vullings, R; Bergmans, J W M; Peters, C H L; Hermans, M J M; Wijn, P F F; Oei, S G

    2010-01-01

    The use of the non-invasively obtained fetal electrocardiogram (ECG) in fetal monitoring is complicated by the low signal-to-noise ratio (SNR) of ECG signals. Even after removal of the predominant interference (i.e. the maternal ECG), the SNR is generally too low for medical diagnostics, and hence additional signal processing is still required. To this end, several methods for exploiting the spatial correlation of multi-channel fetal ECG recordings from the maternal abdomen have been proposed in the literature, of which principal component analysis (PCA) and independent component analysis (ICA) are the most prominent. Both PCA and ICA, however, suffer from the drawback that they are blind source separation (BSS) techniques and as such suboptimum in that they do not consider a priori knowledge on the abdominal electrode configuration and fetal heart activity. In this paper we propose a source separation technique that is based on the physiology of the fetal heart and on the knowledge of the electrode configuration. This technique operates by calculating the spatial fetal vectorcardiogram (VCG) and approximating the VCG for several overlayed heartbeats by an ellipse. By subsequently projecting the VCG onto the long axis of this ellipse, a source signal of the fetal ECG can be obtained. To evaluate the developed technique, its performance is compared to that of both PCA and ICA and to that of augmented versions of these techniques (aPCA and aICA; PCA and ICA applied on preprocessed signals) in generating a fetal ECG source signal with enhanced SNR that can be used to detect fetal QRS complexes. The evaluation shows that the developed source separation technique performs slightly better than aPCA and aICA and outperforms PCA and ICA and has the main advantage that, with respect to aPCA/PCA and aICA/ICA, it performs more robustly. This advantage renders it favorable for employment in automated, real-time fetal monitoring applications

  20. Analysis of observational records of Dae-gyupyo in Joseon Dynasty

    Science.gov (United States)

    Mihn, Byeong-Hee; Lee, Ki-Won; Kim, Sang-Hyuk; Ahn, Young Sook; Lee, Yong Sam

    2012-09-01

    It is known that Dae-gyupyo (the Large Noon Gnomon) and So-gyupyo (the Small Noon Gnomon) were constructed in the reign of King Sejong (1418--1450) of the Joseon Dynasty. Gyupyo is an astronomical instrument for measuring the length of the shadow cast by a celestial body at the meridian passage time; it consists of two basic parts: a measuring scale and a vertical column. According to the Veritable Records of King Sejong and of King Myeongjong (1545--1567), the column of Dae-gyupyo was 40 Cheok (˜ 8 m) in height from the measuring scale and had a cross-bar, like the Guibiao of Shoujing Guo of the Yuan Dynasty in China. In the latter Veritable Records, three observations of the Sun on the date of the winter solstice and two of the full Moon on the first month in a luni-solar calendar are also recorded. In particular, the observational record of Dae-gyupyo for the Sun on Dec. 12, 1563 is ˜ 1 m shorter than the previous two records. To explain this, we investigated two possibilities: the vertical column was inclined, and the cross-bar was lowered. The cross-bar was attached to the column by a supporting arm; that should be installed at an angle of ˜ 36.9° to the north on the basis of a geometric structure inferred from the records of Yuanshi (History of the Yuan Dynasty). We found that it was possible that the vertical column was inclined ˜ 7.7° to the south or the supporting arm was tilted ˜ 58.3° downward. We suggest that the arm was tilted by ˜ 95° (= 36.9° + 58.3°).

  1. Joint analysis of longitudinal feed intake and single recorded production traits in pigs using a novel horizontal model

    DEFF Research Database (Denmark)

    Shirali, M.; Strathe, A. B.; Mark, T.

    2017-01-01

    - and first-order Legendre polynomials of age on test, respectively. The fixed effect and random residual variance were estimated for each weekly FI trait. Residual feed intake (RFI) was derived from the conditional distribution of FI given the breeding values of ADG100 and LMP. The heritability of FI varied......A novel Horizontal model is presented for multitrait analysis of longitudinal traits through random regression analysis combined with single recorded traits. Weekly ADFI on test for Danish Duroc, Landrace, and Yorkshire boars were available from the national test station and were collected from 30...... to 100 kg BW. Single recorded production traits of ADG from birth to 30 kg BW (ADG30), ADG from 30 to 100 kg BW (ADG100), and lean meat percentage (LMP) were available from breeding herds or the national test station. The Horizontal model combined random regression analysis of feed intake (FI...

  2. Comparison of radon-daughter exposures calculated for US- underground uranium miners based on MSHA and company records

    International Nuclear Information System (INIS)

    Cooper, W.E.

    1981-01-01

    How accurate are past and present employee radon-daughter exposure records of underground uranium miners employed in the United States. This often-debated question is essential for future substantiation of safe exposure limits. An apparent discrepancy between company-reported exposures and Mining Enforcement and Safety Administration (MESA) projected exposures was detected in 1977. For these reasons a need for an updated comparison of these exposure data was indicated. This paper gives some of the conclusions of the earlier study and compares more recent exposure records compiled by the Atomic Industrial Forum, Inc., with projected exposures based on sampling by Federal mine inspectors

  3. Eye of the storm: analysis of shelter treatment records of evacuees to Acadiana from Hurricanes Katrina and Rita.

    Science.gov (United States)

    Caillouet, L Philip; Paul, P Joseph; Sabatier, Steven M; Caillouet, Kevin A

    2012-01-01

    specific evaluation and care, no population-based experimental hypothesis was framed nor was the effectiveness of any specific intervention researched at the time. This study reports experiential data collected without a particular preconceived hypothesis, because no specific outcome measures had been designed in advance. Data analysis revealed much about the origins and demographics of the evacuees, their hurricane-related risks and injuries, and the loss of continuity in their prior and ongoing healthcare. The authors believe that much can be learned from studying data collected in evacuee triage clinics, and that such insights may influence personal and official preparedness for future events. In the Katrina-Rita evacuations, only paper-based data collection mechanisms were used-and those with great inconsistency-and there was no predeployed mechanism for close-to-real-time collation of evacuee data. Deployment of simple electronic health record systems might well have allowed for a better real-time understanding of the unfolding of events, upon arrival of evacuees in shelters. Information and communication technologies have advanced since 2005, but predisaster staging and training on such technologies is still lacking.

  4. "It's like texting at the dinner table": A qualitative analysis of the impact of electronic health records on patient-physician interaction in hospitals.

    Science.gov (United States)

    Pelland, Kimberly D; Baier, Rosa R; Gardner, Rebekah L

    2017-06-30

    nBACKGROUND: Electronic health records (EHRs) may reduce medical errors and improve care, but can complicate clinical encounters. To describe hospital-based physicians' perceptions of the impact of EHRs on patient-physician interactions and contrast these findings against office-based physicians' perceptionsMethods: We performed a qualitative analysis of comments submitted in response to the 2014 Rhode Island Health Information Technology Survey. Office- and hospital-based physicians licensed in Rhode Island, in active practice, and located in Rhode Island or neighboring states completed the survey about their Electronic Health Record use. The survey's response rate was 68.3% and 2,236 (87.1%) respondents had EHRs. Among survey respondents, 27.3% of hospital-based and 37.8% of office-based physicians with EHRs responded to the question about patient interaction. Five main themes emerged for hospital-based physicians, with respondents generally perceiving EHRs as negatively altering patient interactions. We noted the same five themes among office-based physicians, but the rank-order of the top two responses differed by setting: hospital-based physicians commented most frequently that they spend less time with patients because they have to spend more time on computers; office-based physicians commented most frequently on EHRs worsening the quality of their interactions and relationships with patients. In our analysis of a large sample of physicians, hospital-based physicians generally perceived EHRs as negatively altering patient interactions, although they emphasized different reasons than their office-based counterparts. These findings add to the prior literature, which focuses on outpatient physicians, and can shape interventions to improve how EHRs are used in inpatient settings.

  5. “It’s like texting at the dinner table”: A qualitative analysis of the impact of electronic health records on patient-physician interaction in hospitals

    Directory of Open Access Journals (Sweden)

    Kimberly D Pelland

    2017-06-01

    Full Text Available Background: Electronic health records (EHRs may reduce medical errors and improve care, but can complicate clinical encounters. Objective: To describe hospital-based physicians’ perceptions of the impact of EHRs on patient-physician interactions and contrast these findings against office-based physicians’ perceptions Methods: We performed a qualitative analysis of comments submitted in response to the 2014 Rhode Island Health Information Technology Survey. Office- and hospital-based physicians licensed in Rhode Island, in active practice, and located in Rhode Island or neighboring states completed the survey about their Electronic Health Record use. Results: The survey’s response rate was 68.3% and 2,236 (87.1% respondents had EHRs. Among survey respondents, 27.3% of hospital-based and 37.8% of office-based physicians with EHRs responded to the question about patient interaction. Five main themes emerged for hospital-based physicians, with respondents generally perceiving EHRs as negatively altering patient interactions. We noted the same five themes among office-based physicians, but the rank-order of the top two responses differed by setting: hospital-based physicians commented most frequently that they spend less time with patients because they have to spend more time on computers; office-based physicians commented most frequently on EHRs worsening the quality of their interactions and relationships with patients. Conclusion: In our analysis of a large sample of physicians, hospital-based physicians generally perceived EHRs as negatively altering patient interactions, although they emphasized different reasons than their office-based counterparts. These findings add to the prior literature, which focuses on outpatient physicians, and can shape interventions to improve how EHRs are used in inpatient settings.

  6. Evidence based practice readiness: A concept analysis.

    Science.gov (United States)

    Schaefer, Jessica D; Welton, John M

    2018-01-15

    To analyse and define the concept "evidence based practice readiness" in nurses. Evidence based practice readiness is a term commonly used in health literature, but without a clear understanding of what readiness means. Concept analysis is needed to define the meaning of evidence based practice readiness. A concept analysis was conducted using Walker and Avant's method to clarify the defining attributes of evidence based practice readiness as well as antecedents and consequences. A Boolean search of PubMed and Cumulative Index for Nursing and Allied Health Literature was conducted and limited to those published after the year 2000. Eleven articles met the inclusion criteria for this analysis. Evidence based practice readiness incorporates personal and organisational readiness. Antecedents include the ability to recognize the need for evidence based practice, ability to access and interpret evidence based practice, and a supportive environment. The concept analysis demonstrates the complexity of the concept and its implications for nursing practice. The four pillars of evidence based practice readiness: nursing, training, equipping and leadership support are necessary to achieve evidence based practice readiness. Nurse managers are in the position to address all elements of evidence based practice readiness. Creating an environment that fosters evidence based practice can improve patient outcomes, decreased health care cost, increase nurses' job satisfaction and decrease nursing turnover. © 2018 John Wiley & Sons Ltd.

  7. Risk prediction for chronic kidney disease progression using heterogeneous electronic health record data and time series analysis.

    Science.gov (United States)

    Perotte, Adler; Ranganath, Rajesh; Hirsch, Jamie S; Blei, David; Elhadad, Noémie

    2015-07-01

    As adoption of electronic health records continues to increase, there is an opportunity to incorporate clinical documentation as well as laboratory values and demographics into risk prediction modeling. The authors develop a risk prediction model for chronic kidney disease (CKD) progression from stage III to stage IV that includes longitudinal data and features drawn from clinical documentation. The study cohort consisted of 2908 primary-care clinic patients who had at least three visits prior to January 1, 2013 and developed CKD stage III during their documented history. Development and validation cohorts were randomly selected from this cohort and the study datasets included longitudinal inpatient and outpatient data from these populations. Time series analysis (Kalman filter) and survival analysis (Cox proportional hazards) were combined to produce a range of risk models. These models were evaluated using concordance, a discriminatory statistic. A risk model incorporating longitudinal data on clinical documentation and laboratory test results (concordance 0.849) predicts progression from state III CKD to stage IV CKD more accurately when compared to a similar model without laboratory test results (concordance 0.733, P<.001), a model that only considers the most recent laboratory test results (concordance 0.819, P < .031) and a model based on estimated glomerular filtration rate (concordance 0.779, P < .001). A risk prediction model that takes longitudinal laboratory test results and clinical documentation into consideration can predict CKD progression from stage III to stage IV more accurately than three models that do not take all of these variables into consideration. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association.

  8. Running Records and First Grade English Learners: An Analysis of Language Related Errors

    Science.gov (United States)

    Briceño, Allison; Klein, Adria F.

    2018-01-01

    The purpose of this study was to determine if first-grade English Learners made patterns of language related errors when reading, and if so, to identify those patterns and how teachers coded language related errors when analyzing English Learners' running records. Using research from the fields of both literacy and Second Language Acquisition, we…

  9. Structuring and coding in health care records: a qualitative analysis using diabetes as a case study

    Directory of Open Access Journals (Sweden)

    Ann R R Robertson

    2015-03-01

    Full Text Available Background   Globally, diabetes mellitus presents a substantial burden to individuals and healthcare systems. Structuring and/or coding of medical records underpin attempts to improve information sharing and searching, potentially bringing clinical and secondary uses benefits.Aims and objectives   We investigated if, how and why records for adults with diabetes were structured and/or coded, and explored stakeholders’ perceptions of current practice.Methods   We carried out a qualitative, theoretically-informed case study of documenting healthcare information for diabetes patients in family practice and hospital settings, using semi-structured interviews, observations, systems demonstrations and documentary data.Results   We conducted 22 interviews and four on-site observations, and reviewed 25 documents. For secondary uses – research, audit, public health and service planning – the benefits of highly structured and coded diabetes data were clearly articulated. Reported clinical benefits in terms of managing and monitoring diabetes, and perhaps encouraging patient self-management, were modest. We observed marked differences in levels of record structuring and/or coding between settings, and found little evidence that these data were being exploited to improve information sharing between them.Conclusions   Using high levels of data structuring and coding in medical records for diabetes patients has potential to be exploited more fully, and lessons might be learned from successful developments elsewhere in the UK.

  10. Coherency analysis of accelerograms recorded by the UPSAR array during the 2004 Parkfield earthquake

    DEFF Research Database (Denmark)

    Konakli, Katerina; Kiureghian, Armen Der; Dreger, Douglas

    2014-01-01

    Spatial variability of near-fault strong motions recorded by the US Geological Survey Parkfield Seismograph Array (UPSAR) during the 2004 Parkfield (California) earthquake is investigated. Behavior of the lagged coherency for two horizontal and the vertical components is analyzed by separately...

  11. A Correlational Analysis: Electronic Health Records (EHR) and Quality of Care in Critical Access Hospitals

    Science.gov (United States)

    Khan, Arshia A.

    2012-01-01

    Driven by the compulsion to improve the evident paucity in quality of care, especially in critical access hospitals in the United States, policy makers, healthcare providers, and administrators have taken the advise of researchers suggesting the integration of technology in healthcare. The Electronic Health Record (EHR) System composed of multiple…

  12. Estimating the Preferences of Central Bankers : An Analysis of Four Voting Records

    NARCIS (Netherlands)

    Eijffinger, S.C.W.; Mahieu, R.J.; Raes, L.B.D.

    2013-01-01

    Abstract: This paper analyzes the voting records of four central banks (Sweden, Hungary, Poland and the Czech Republic) with spatial models of voting. We infer the policy preferences of the monetary policy committee members and use these to analyze the evolution in preferences over time and the

  13. Estimating the preferences of central bankers : an analysis of four voting records

    NARCIS (Netherlands)

    Eijffinger, S.C.W.; Mahieu, R.J.; Raes, L.

    2013-01-01

    This paper analyzes the voting records of four central banks (Sweden, Hungary, Poland and the Czech Republic) with spatial models of voting. We infer the policy preferences of the monetary policy committee members and use these to analyze the evolution in preferences over time and the differences in

  14. Analysis of Self-Recording in Self-Management Interventions for Stereotypy

    Science.gov (United States)

    Fritz, Jennifer N.; Iwata, Brian A.; Rolider, Natalie U.; Camp, Erin M.; Neidert, Pamela L.

    2012-01-01

    Most treatments for stereotypy involve arrangements of antecedent or consequent events that are imposed entirely by a therapist. By contrast, results of some studies suggest that self-recording, a common component of self-management interventions, might be an effective and efficient way to reduce stereotypy. Because the procedure typically has…

  15. Structuring and coding in health care records: a qualitative analysis using diabetes as a case study.

    Science.gov (United States)

    Robertson, Ann R R; Fernando, Bernard; Morrison, Zoe; Kalra, Dipak; Sheikh, Aziz

    2015-03-27

    Globally, diabetes mellitus presents a substantial and increasing burden to individuals, health care systems and society. Structuring and coding of information in the electronic health record underpin attempts to improve sharing and searching for information. Digital records for those with long-term conditions are expected to bring direct and secondary uses benefits, and potentially to support patient self-management. We sought to investigate if how and why records for adults with diabetes were structured and coded and to explore a range of UK stakeholders' perceptions of current practice in the National Health Service. We carried out a qualitative, theoretically informed case study of documenting health care information for diabetes in family practice and hospital settings in England, using semi-structured interviews, observations, systems demonstrations and documentary data. We conducted 22 interviews and four on-site observations. With respect to secondary uses - research, audit, public health and service planning - interviewees clearly articulated the benefits of highly structured and coded diabetes data and it was believed that benefits would expand through linkage to other datasets. Direct, more marginal, clinical benefits in terms of managing and monitoring diabetes and perhaps encouraging patient self-management were also reported. We observed marked differences in levels of record structuring and/or coding between family practices, where it was high, and the hospital. We found little evidence that structured and coded data were being exploited to improve information sharing between care settings. Using high levels of data structuring and coding in records for diabetes patients has the potential to be exploited more fully, and lessons might be learned from successful developments elsewhere in the UK. A first step would be for hospitals to attain levels of health information technology infrastructure and systems use commensurate with family practices.

  16. Analysis and correction of ballistocardiogram contamination of EEG recordings in MR

    International Nuclear Information System (INIS)

    Jaeger, L.; Hoffmann, A.; Reiser, M.F.; Werhahn, K.J.

    2005-01-01

    Purpose: to examine the influence of cardiac activity-related head movements and varying blood pulse frequencies on the shape of electroencephalography (EEG) recordings in a high magnetic field, and to implement a post-processing technique to eliminate cardiac activity-related artifacts. Material and methods: respiratory thoracic movements, changes of blood pulse frequency and passive head movements to 20 healthy subjects were examined outside and inside an MR magnet at rest in a simultaneously recorded 21-channel surface EEG. An electrocardiogram (ECG) was recorded simultaneously. On the basis of the correlation of the left ventricular ejection time (LVET) with the heart-rate, a post-processing heart-rate dependent subtraction of the cardiac activity-related artifacts of the EEG was developed. The quality of the post-processed EEG was tested by detecting alpha-activity in the pre- and post-processed EEGs. Results: inside the magnet, passive head motion but not respiratory thoracic movements resulted in EEG artifacts that correlated strongly with cardiac activity-related artifacts of the EEG. The blood pulse frequency influenced the appearance of the cardiac activity-related artifacts of the EEG. The removal of the cardiac activity-related artifacts of the EEG by the implemented post-processing algorithm resulted in an EEG of diagnostic quality with detected alpha-activity. Conclusion: when recording an EEG in MR environment, heart rate-dependent subtraction of EEG artifacts caused by ballistocardiogram contamination is essential to obtain EEG recordings of diagnostic quality and reliability. (orig.)

  17. High agreement between the new Mongolian electronic immunization register and written immunization records: a health centre based audit

    Directory of Open Access Journals (Sweden)

    Jocelyn Chan

    2017-09-01

    Full Text Available Introduction: Monitoring of vaccination coverage is vital for the prevention and control of vaccine-preventable diseases. Electronic immunization registers have been increasingly adopted to assist with the monitoring of vaccine coverage; however, there is limited literature about the use of electronic registers in low- and middle-income countries such as Mongolia. We aimed to determine the accuracy and completeness of the newly introduced electronic immunization register for calculating vaccination coverage and determining vaccine effectiveness within two districts in Mongolia in comparison to written health provider records. Methods: We conducted a cross-sectional record review among children 2–23 months of age vaccinated at immunization clinics within the two districts. We linked data from written records with the electronic immunization register using the national identification number to determine the completeness and accuracy of the electronic register. Results: Both completeness (90.9%; 95% CI: 88.4–93.4 and accuracy (93.3%; 95% CI: 84.1–97.4 of the electronic immunization register were high when compared to written records. The increase in completeness over time indicated a delay in data entry. Conclusion: Through this audit, we have demonstrated concordance between a newly introduced electronic register and health provider records in a middle-income country setting. Based on this experience, we recommend that electronic registers be accompanied by routine quality assurance procedures for the monitoring of vaccination programmes in such settings.

  18. Theory-based Support for Mobile Language Learning: Noticing and Recording

    Directory of Open Access Journals (Sweden)

    Agnes Kukulska-Hulme

    2009-04-01

    Full Text Available This paper considers the issue of 'noticing' in second language acquisition, and argues for the potential of handheld devices to: (i support language learners in noticing and recording noticed features 'on the spot', to help them develop their second language system; (ii help language teachers better understand the specific difficulties of individuals or those from a particular language background; and (iii facilitate data collection by applied linguistics researchers, which can be fed back into educational applications for language learning. We consider: theoretical perspectives drawn from the second language acquisition literature, relating these to the practice of writing language learning diaries; and the potential for learner modelling to facilitate recording and prompting noticing in mobile assisted language learning contexts. We then offer guidelines for developers of mobile language learning solutions to support the development of language awareness in learners.

  19. Design of an Electronic Healthcare Record Server Based on Part 1 of ISO EN 13606

    Directory of Open Access Journals (Sweden)

    Tony Austin

    2011-01-01

    Full Text Available ISO EN 13606 is a newly approved standard at European and ISO levels for the meaningful exchange of clinical information between systems. Although conceived as an inter-operability standard to which existing electronic health record (EHR systems will transform legacy data, the requirements met and architectural approach reflected in this standard also make it a good candidate for the internal architecture of an EHR server. The authors have built such a server for the storage of healthcare records and demonstrated that it is possible to use ISO EN 13606 part 1 as the basis of an internal system architecture. The development of the system and some of the applications of the server are described in this paper. It is the first known operational implementation of the standard as an EHR system.

  20. Implementation of computer-based patient records in primary care: the societal health economic effects.

    OpenAIRE

    Arias-Vimárlund, V.; Ljunggren, M.; Timpka, T.

    1996-01-01

    OBJECTIVE: Exploration of the societal health economic effects occurring during the first year after implementation of Computerised Patient Records (CPRs) at Primary Health Care (PHC) centres. DESIGN: Comparative case studies of practice processes and their consequences one year after CPR implementation, using the constant comparison method. Application of transaction-cost analyses at a societal level on the results. SETTING: Two urban PHC centres under a managed care contract in Ostergötland...

  1. Knowledge-based analysis of phenotypes

    KAUST Repository

    Hoendorf, Robert

    2016-01-27

    Phenotypes are the observable characteristics of an organism, and they are widely recorded in biology and medicine. To facilitate data integration, ontologies that formally describe phenotypes are being developed in several domains. I will describe a formal framework to describe phenotypes. A formalized theory of phenotypes is not only useful for domain analysis, but can also be applied to assist in the diagnosis of rare genetic diseases, and I will show how our results on the ontology of phenotypes is now applied in biomedical research.

  2. JAVA based LCD Reconstruction and Analysis Tools

    International Nuclear Information System (INIS)

    Bower, G.

    2004-01-01

    We summarize the current status and future developments of the North American Group's Java-based system for studying physics and detector design issues at a linear collider. The system is built around Java Analysis Studio (JAS) an experiment-independent Java-based utility for data analysis. Although the system is an integrated package running in JAS, many parts of it are also standalone Java utilities

  3. Java based LCD reconstruction and analysis tools

    International Nuclear Information System (INIS)

    Bower, Gary; Cassell, Ron; Graf, Norman; Johnson, Tony; Ronan, Mike

    2001-01-01

    We summarize the current status and future developments of the North American Group's Java-based system for studying physics and detector design issues at a linear collider. The system is built around Java Analysis Studio (JAS) an experiment-independent Java-based utility for data analysis. Although the system is an integrated package running in JAS, many parts of it are also standalone Java utilities

  4. Structured Performance Analysis for Component Based Systems

    OpenAIRE

    Salmi , N.; Moreaux , Patrice; Ioualalen , M.

    2012-01-01

    International audience; The Component Based System (CBS) paradigm is now largely used to design software systems. In addition, performance and behavioural analysis remains a required step for the design and the construction of efficient systems. This is especially the case of CBS, which involve interconnected components running concurrent processes. % This paper proposes a compositional method for modeling and structured performance analysis of CBS. Modeling is based on Stochastic Well-formed...

  5. Using Web-Based Questionnaires and Obstetric Records to Assess General Health Characteristics Among Pregnant Women: A Validation Study.

    Science.gov (United States)

    van Gelder, Marleen M H J; Schouten, Naomi P E; Merkus, Peter J F M; Verhaak, Chris M; Roeleveld, Nel; Roukema, Jolt

    2015-06-16

    Self-reported medical history information is included in many studies. However, data on the validity of Web-based questionnaires assessing medical history are scarce. If proven to be valid, Web-based questionnaires may provide researchers with an efficient means to collect data on this parameter in large populations. The aim of this study was to assess the validity of a Web-based questionnaire on chronic medical conditions, allergies, and blood pressure readings against obstetric records and data from general practitioners. Self-reported questionnaire data were compared with obstetric records for 519 pregnant women participating in the Dutch PRegnancy and Infant DEvelopment (PRIDE) Study from July 2011 through November 2012. These women completed Web-based questionnaires around their first prenatal care visit and in gestational weeks 17 and 34. We calculated kappa statistics (κ) and the observed proportions of positive and negative agreement between the baseline questionnaire and obstetric records for chronic conditions and allergies. In case of inconsistencies between these 2 data sources, medical records from the woman's general practitioner were consulted as the reference standard. For systolic and diastolic blood pressure, intraclass correlation coefficients (ICCs) were calculated for multiple data points. Agreement between the baseline questionnaire and the obstetric record was substantial (κ=.61) for any chronic condition and moderate for any allergy (κ=.51). For specific conditions, we found high observed proportions of negative agreement (range 0.88-1.00) and on average moderate observed proportions of positive agreement with a wide range (range 0.19-0.90). Using the reference standard, the sensitivity of the Web-based questionnaire for chronic conditions and allergies was comparable to or even better than the sensitivity of the obstetric records, in particular for migraine (0.90 vs 0.40, P=.02), asthma (0.86 vs 0.61, P=.04), inhalation allergies (0

  6. RECORDS REACHING RECORDING DATA TECHNOLOGIES

    Directory of Open Access Journals (Sweden)

    G. W. L. Gresik

    2013-07-01

    Full Text Available The goal of RECORDS (Reaching Recording Data Technologies is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

  7. Records Reaching Recording Data Technologies

    Science.gov (United States)

    Gresik, G. W. L.; Siebe, S.; Drewello, R.

    2013-07-01

    The goal of RECORDS (Reaching Recording Data Technologies) is the digital capturing of buildings and cultural heritage objects in hard-to-reach areas and the combination of data. It is achieved by using a modified crane from film industry, which is able to carry different measuring systems. The low-vibration measurement should be guaranteed by a gyroscopic controlled advice that has been , developed for the project. The data were achieved by using digital photography, UV-fluorescence photography, infrared reflectography, infrared thermography and shearography. Also a terrestrial 3D laser scanner and a light stripe topography scanner have been used The combination of the recorded data should ensure a complementary analysis of monuments and buildings.

  8. Reliability analysis of software based safety functions

    International Nuclear Information System (INIS)

    Pulkkinen, U.

    1993-05-01

    The methods applicable in the reliability analysis of software based safety functions are described in the report. Although the safety functions also include other components, the main emphasis in the report is on the reliability analysis of software. The check list type qualitative reliability analysis methods, such as failure mode and effects analysis (FMEA), are described, as well as the software fault tree analysis. The safety analysis based on the Petri nets is discussed. The most essential concepts and models of quantitative software reliability analysis are described. The most common software metrics and their combined use with software reliability models are discussed. The application of software reliability models in PSA is evaluated; it is observed that the recent software reliability models do not produce the estimates needed in PSA directly. As a result from the study some recommendations and conclusions are drawn. The need of formal methods in the analysis and development of software based systems, the applicability of qualitative reliability engineering methods in connection to PSA and the need to make more precise the requirements for software based systems and their analyses in the regulatory guides should be mentioned. (orig.). (46 refs., 13 figs., 1 tab.)

  9. Preference-Based Recommendations for OLAP Analysis

    Science.gov (United States)

    Jerbi, Houssem; Ravat, Franck; Teste, Olivier; Zurfluh, Gilles

    This paper presents a framework for integrating OLAP and recommendations. We focus on the anticipatory recommendation process that assists the user during his OLAP analysis by proposing to him the forthcoming analysis step. We present a context-aware preference model that matches decision-makers intuition, and we discuss a preference-based approach for generating personalized recommendations.

  10. Two years of recorded data for a multisource heat pump system: A performance analysis

    International Nuclear Information System (INIS)

    Busato, F.; Lazzarin, R.M.; Noro, M.

    2013-01-01

    The concept of a low energy building in a temperate climate (according to the Koppen climate classification) is based upon the following principles: reduction of heat losses through enhanced insulation; the inclusion of heat recovery on mechanical ventilation; and the use of high efficiency heating/cooling systems integrated with renewable technologies. It is almost impossible to achieve optimum results in terms of global energy efficiency if one of these elements is omitted from the design. In 2009, a new school building, integrating these three key elements, was opened in Agordo town, located in northern Italy. The main design features of the building incorporate a well insulated envelope and a space heating and ventilation system driven by an innovative multisource heat pump system. Outdoor air is a common heat source, although it does have widely documented limitations. Heat pump systems can utilise more efficient sources than air, including those of ground heat, solar heat, and heat recovery. The installed system within the school building incorporates these three sources. A multisource system aims to enhance the performance of the heat pump, both in terms of heating capacity and overall efficiency. The present work includes evaluation and analysis of data obtained through real time monitoring of the working system in operation, for a period of approximately two heating seasons. During this time, the behaviour of the system was assessed and the incorrect settings of the plant were identified and subsequently adjusted as required. The energy balance indicates that the integration of different sources not only increases the thermal performance of the system as a whole, but also optimizes the use of each source. Further savings can be obtained through correct adjustment of the set point of the indoor temperature. During the final stage of the study, the total energy consumption of the new building is calculated and compared to that of the former building that

  11. Social variations in fetal growth in a Russian setting: an analysis of medical records.

    Science.gov (United States)

    Grjibovski, Andrej M; Bygren, Lars O; Svartbo, Boo; Magnus, Per

    2003-10-01

    The study examines variations in fetal growth by maternal social circumstances in a Russian town. All pregnant women registered at the antenatal clinics in 1999 in Severodvinsk (north-west Russia) and their live born infants comprised the study base (n=1399). Multivariate linear regression analysis was applied to quantify the effect of socio-demographic factors on birthweight and the ponderal index (PI). A clear gradient of birthweight in relation to mothers' education was revealed. Babies of the most educated mothers were 207 g (95% CI, 55, 358) heavier than babies of mothers with basic education. The average weight of those born to mothers with secondary and vocational levels of education was 172 g (95% CI, 91, 253) and 83 g (95% CI, 9, 163) lower compared with infants born to mothers with a university level of education after adjustment for age, parity, pre-pregnancy weight, marital status, maternal occupation, length of gestation, and sex of the baby. Maternal education also influenced the PI. Further studies should focus on the mechanisms of the coherence of maternal education and fetal growth. To ensure that all parts of the society benefit equally from economic and social reforms, social variations in pregnancy outcomes should be monitored during the time of transition.

  12. Individualized music played for agitated patients with dementia: analysis of video-recorded sessions.

    Science.gov (United States)

    Ragneskog, H; Asplund, K; Kihlgren, M; Norberg, A

    2001-06-01

    Many nursing home patients with dementia suffer from symptoms of agitation (e.g. anxiety, shouting, irritability). This study investigated whether individualized music could be used as a nursing intervention to reduce such symptoms in four patients with severe dementia. The patients were video-recorded during four sessions in four periods, including a control period without music, two periods where individualized music was played, and one period where classical music was played. The recordings were analysed by systematic observations and the Facial Action Coding System. Two patients became calmer during some of the individualized music sessions; one patient remained sitting in her armchair longer, and the other patient stopped shouting. For the two patients who were most affected by dementia, the noticeable effect of music was minimal. If the nursing staff succeed in discovering the music preferences of an individual, individualized music may be an effective nursing intervention to mitigate anxiety and agitation for some patients.

  13. An analysis of the recording of tobacco use among inpatients in Irish hospitals.

    LENUS (Irish Health Repository)

    Sheridan, A

    2014-10-01

    Smoking is the largest avoidable cause of premature mortality in the world. Hospital admission is an opportunity to identify and help smokers quit. This study aimed to determine the level of recording of tobacco use (current and past) in Irish hospitals. Information on inpatient discharges with a tobacco use diagnosis was extracted from HIPE. In 2011, a quarter (n=84, 679) of discharges had a recording of tobacco use, which were more common among males (29% (n=50,161) male v. 20% (n=30,162) female), among medical patients (29% (n=54,375) medical v. 20% (n=30,162) other) and was highest among those aged 55-59 years (30.6%; n=7,885). SLAN 2007 reported that 48% of adults had smoked at some point in their lives. This study would suggest an under- reporting of tobacco use among hospital inpatients. Efforts should be made to record smoking status at hospital admission, and to improve the quality of the HIPE coding of tobacco use.

  14. Analysis of operational records in the bituminization demonstration facility. Investigation of the cause of fire

    International Nuclear Information System (INIS)

    Shibata, A.; Sano, Y.; Yoneya, M.; Koyama, T.

    1997-12-01

    Operational records in the bituminization demonstration facility in 97-M46-1 campaign were analyzed in order to investigate the cause of fire. Operational records which are different from ordinary level in this campaign are drum weight, temperature at 7th zone and extruder torque. So we investigated past campaign data about these records. The results are as follows. 1) In some campaigns, drum weight was lighter, temperature at 7th zone higher, and torque higher. 2) When drum weight is lighter, temperature at 7th zone becomes relatively higher. 3) In the case that higher temperature was measured at 7th zone, drum weight was sometimes less than the past average. 4) When the extruder's torque increases, it sometimes influences drum weight and temperature at 7th zone. The maximum of salt and bitumen became hotter from 28B. As the heat source, both frictional resistance and exothermic chemical reaction can be considered. Frictional resistance came out with increase of the torque. So we checked some operational parameters to investigate what increases the torque. Feed rate of waste solution is related with the torque increase. The other parameters are not related with it. Now we can not specify any causes of the torque increase from 27B, the feed rate of waste solution is however possible to be one of the causes. (author)

  15. Automatic identification of motion artifacts in EHG recording for robust analysis of uterine contractions.

    Science.gov (United States)

    Ye-Lin, Yiyao; Garcia-Casado, Javier; Prats-Boluda, Gema; Alberola-Rubio, José; Perales, Alfredo

    2014-01-01

    Electrohysterography (EHG) is a noninvasive technique for monitoring uterine electrical activity. However, the presence of artifacts in the EHG signal may give rise to erroneous interpretations and make it difficult to extract useful information from these recordings. The aim of this work was to develop an automatic system of segmenting EHG recordings that distinguishes between uterine contractions and artifacts. Firstly, the segmentation is performed using an algorithm that generates the TOCO-like signal derived from the EHG and detects windows with significant changes in amplitude. After that, these segments are classified in two groups: artifacted and nonartifacted signals. To develop a classifier, a total of eleven spectral, temporal, and nonlinear features were calculated from EHG signal windows from 12 women in the first stage of labor that had previously been classified by experts. The combination of characteristics that led to the highest degree of accuracy in detecting artifacts was then determined. The results showed that it is possible to obtain automatic detection of motion artifacts in segmented EHG recordings with a precision of 92.2% using only seven features. The proposed algorithm and classifier together compose a useful tool for analyzing EHG signals and would help to promote clinical applications of this technique.

  16. Automatic Identification of Motion Artifacts in EHG Recording for Robust Analysis of Uterine Contractions

    Directory of Open Access Journals (Sweden)

    Yiyao Ye-Lin

    2014-01-01

    Full Text Available Electrohysterography (EHG is a noninvasive technique for monitoring uterine electrical activity. However, the presence of artifacts in the EHG signal may give rise to erroneous interpretations and make it difficult to extract useful information from these recordings. The aim of this work was to develop an automatic system of segmenting EHG recordings that distinguishes between uterine contractions and artifacts. Firstly, the segmentation is performed using an algorithm that generates the TOCO-like signal derived from the EHG and detects windows with significant changes in amplitude. After that, these segments are classified in two groups: artifacted and nonartifacted signals. To develop a classifier, a total of eleven spectral, temporal, and nonlinear features were calculated from EHG signal windows from 12 women in the first stage of labor that had previously been classified by experts. The combination of characteristics that led to the highest degree of accuracy in detecting artifacts was then determined. The results showed that it is possible to obtain automatic detection of motion artifacts in segmented EHG recordings with a precision of 92.2% using only seven features. The proposed algorithm and classifier together compose a useful tool for analyzing EHG signals and would help to promote clinical applications of this technique.

  17. Conventional heart rate variability analysis of ambulatory electrocardiographic recordings fails to predict imminent ventricular fibrillation

    Science.gov (United States)

    Vybiral, T.; Glaeser, D. H.; Goldberger, A. L.; Rigney, D. R.; Hess, K. R.; Mietus, J.; Skinner, J. E.; Francis, M.; Pratt, C. M.

    1993-01-01

    OBJECTIVES. The purpose of this report was to study heart rate variability in Holter recordings of patients who experienced ventricular fibrillation during the recording. BACKGROUND. Decreased heart rate variability is recognized as a long-term predictor of overall and arrhythmic death after myocardial infarction. It was therefore postulated that heart rate variability would be lowest when measured immediately before ventricular fibrillation. METHODS. Conventional indexes of heart rate variability were calculated from Holter recordings of 24 patients with structural heart disease who had ventricular fibrillation during monitoring. The control group consisted of 19 patients with coronary artery disease, of comparable age and left ventricular ejection fraction, who had nonsustained ventricular tachycardia but no ventricular fibrillation. RESULTS. Heart rate variability did not differ between the two groups, and no consistent trends in heart rate variability were observed before ventricular fibrillation occurred. CONCLUSIONS. Although conventional heart rate variability is an independent long-term predictor of adverse outcome after myocardial infarction, its clinical utility as a short-term predictor of life-threatening arrhythmias remains to be elucidated.

  18. Seismic Response Analysis and Design of Structure with Base Isolation

    International Nuclear Information System (INIS)

    Rosko, Peter

    2010-01-01

    The paper reports the study on seismic response and energy distribution of a multi-story civil structure. The nonlinear analysis used the 2003 Bam earthquake acceleration record as the excitation input to the structural model. The displacement response was analyzed in time domain and in frequency domain. The displacement and its derivatives result energy components. The energy distribution in each story provides useful information for the structural upgrade with help of added devices. The objective is the structural displacement response minimization. The application of the structural seismic response research is presented in base-isolation example.

  19. Development of Hospital-based Data Sets as a Vehicle for Implementation of a National Electronic Health Record.

    Science.gov (United States)

    Keikha, Leila; Farajollah, Seyede Sedigheh Seied; Safdari, Reza; Ghazisaeedi, Marjan; Mohammadzadeh, Niloofar

    2018-01-01

    In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records. This comparative study was carried out in 2017 by studying the contents of the paper-based records approved by the health ministry in Iran and the international ASTM and HL7 standards in order to extract a minimum hospital data set for a national EHR. As a result of studying the standards and paper-based records, a total of 526 data elements in 174 classes were extracted. An examination of the data indicated that the highest number of extracted data came from the free text elements, both in the paper-based records and in the standards related to the administrative data. The major sources of data extracted from ASTM and HL7 were the E1384 and Hl7V.x standards, respectively. In the paper-based records, data were extracted from 19 forms sporadically. By declaring the confidentiality of information, the ASTM standards acknowledge the issue of confidentiality of information as one of the main challenges of EHR development, and propose new types of admission, such as teleconference, tele-video, and home visit, which are inevitable with the advent of new technology for providing healthcare and treating diseases. Data related to finance and insurance, which were scattered in different categories by three organizations, emerged as the financial category. Documenting the role and responsibility of the provider by adding the authenticator/signature data element was deemed essential. Not only using well-defined and standardized data, but also adapting EHR systems to the local facilities and

  20. The MSG-SEVIRI-based cloud property data record CLAAS-2

    Directory of Open Access Journals (Sweden)

    N. Benas

    2017-07-01

    Full Text Available Clouds play a central role in the Earth's atmosphere, and satellite observations are crucial for monitoring clouds and understanding their impact on the energy budget and water cycle. Within the European Organisation for the Exploitation of Meteorological Satellites (EUMETSAT Satellite Application Facility on Climate Monitoring (CM SAF, a new cloud property data record was derived from geostationary Meteosat Spinning Enhanced Visible and Infrared Imager (SEVIRI measurements for the time frame 2004–2015. The resulting CLAAS-2 (CLoud property dAtAset using SEVIRI, Edition 2 data record is publicly available via the CM SAF website (https://doi.org/10.5676/EUM_SAF_CM/CLAAS/V002. In this paper we present an extensive evaluation of the CLAAS-2 cloud products, which include cloud fractional coverage, thermodynamic phase, cloud top properties, liquid/ice cloud water path and corresponding optical thickness and particle effective radius. Data validation and comparisons were performed on both level 2 (native SEVIRI grid and repeat cycle and level 3 (daily and monthly averages and histograms with reference datasets derived from lidar, microwave and passive imager measurements. The evaluation results show very good overall agreement with matching spatial distributions and temporal variability and small biases attributed mainly to differences in sensor characteristics, retrieval approaches, spatial and temporal samplings and viewing geometries. No major discrepancies were found. Underpinned by the good evaluation results, CLAAS-2 demonstrates that it is fit for the envisaged applications, such as process studies of the diurnal cycle of clouds and the evaluation of regional climate models. The data record is planned to be extended and updated in the future.

  1. Textile Concentric Ring Electrodes for ECG Recording Based on Screen-Printing Technology.

    Science.gov (United States)

    Lidón-Roger, José Vicente; Prats-Boluda, Gema; Ye-Lin, Yiyao; Garcia-Casado, Javier; Garcia-Breijo, Eduardo

    2018-01-21

    Among many of the electrode designs used in electrocardiography (ECG), concentric ring electrodes (CREs) are one of the most promising due to their enhanced spatial resolution. Their development has undergone a great push due to their use in recent years; however, they are not yet widely used in clinical practice. CRE implementation in textiles will lead to a low cost, flexible, comfortable, and robust electrode capable of detecting high spatial resolution ECG signals. A textile CRE set has been designed and developed using screen-printing technology. This is a mature technology in the textile industry and, therefore, does not require heavy investments. Inks employed as conductive elements have been silver and a conducting polymer (poly (3,4-ethylenedioxythiophene) polystyrene sulfonate; PEDOT:PSS). Conducting polymers have biocompatibility advantages, they can be used with flexible substrates, and they are available for several printing technologies. CREs implemented with both inks have been compared by analyzing their electric features and their performance in detecting ECG signals. The results reveal that silver CREs present a higher average thickness and slightly lower skin-electrode impedance than PEDOT:PSS CREs. As for ECG recordings with subjects at rest, both CREs allowed the uptake of bipolar concentric ECG signals (BC-ECG) with signal-to-noise ratios similar to that of conventional ECG recordings. Regarding the saturation and alterations of ECGs captured with textile CREs caused by intentional subject movements, silver CREs presented a more stable response (fewer saturations and alterations) than those of PEDOT:PSS. Moreover, BC-ECG signals provided higher spatial resolution compared to conventional ECG. This improved spatial resolution was manifested in the identification of P1 and P2 waves of atrial activity in most of the BC-ECG signals. It can be concluded that textile silver CREs are more suitable than those of PEDOT:PSS for obtaining BC-ECG records

  2. Validation of fragility fractures in primary care electronic medical records: A population-based study.

    Science.gov (United States)

    Martinez-Laguna, Daniel; Soria-Castro, Alberto; Carbonell-Abella, Cristina; Orozco-López, Pilar; Estrada-Laza, Pilar; Nogues, Xavier; Díez-Perez, Adolfo; Prieto-Alhambra, Daniel

    2017-11-28

    Electronic medical records databases use pre-specified lists of diagnostic codes to identify fractures. These codes, however, are not specific enough to disentangle traumatic from fragility-related fractures. We report on the proportion of fragility fractures identified in a random sample of coded fractures in SIDIAP. Patients≥50 years old with any fracture recorded in 2012 (as per pre-specified ICD-10 codes) and alive at the time of recruitment were eligible for this retrospective observational study in 6 primary care centres contributing to the SIDIAP database (www.sidiap.org). Those with previous fracture/s, non-responders, and those with dementia or a serious psychiatric disease were excluded. Data on fracture type (traumatic vs fragility), skeletal site, and basic patient characteristics were collected. Of 491/616 (79.7%) patients with a registered fracture in 2012 who were contacted, 331 (349 fractures) were included. The most common fractures were forearm (82), ribs (38), and humerus (32), and 225/349 (64.5%) were fragility fractures, with higher proportions for classic osteoporotic sites: hip, 91.7%; spine, 87.7%; and major fractures, 80.5%. This proportion was higher in women, the elderly, and patients with a previously coded diagnosis of osteoporosis. More than 4 in 5 major fractures recorded in SIDIAP are due to fragility (non-traumatic), with higher proportions for hip (92%) and vertebral (88%) fracture, and a lower proportion for fractures other than major ones. Our data support the validity of SIDIAP for the study of the epidemiology of osteoporotic fractures. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  3. Team-Based Care: A Concept Analysis.

    Science.gov (United States)

    Baik, Dawon

    2017-10-01

    The purpose of this concept analysis is to clarify and analyze the concept of team-based care in clinical practice. Team-based care has garnered attention as a way to enhance healthcare delivery and patient care related to quality and safety. However, there is no consensus on the concept of team-based care; as a result, the lack of common definition impedes further studies on team-based care. This analysis was conducted using Walker and Avant's strategy. Literature searches were conducted using PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO, with a timeline from January 1985 to December 2015. The analysis demonstrates that the concept of team-based care has three core attributes: (a) interprofessional collaboration, (b) patient-centered approach, and (c) integrated care process. This is accomplished through understanding other team members' roles and responsibilities, a climate of mutual respect, and organizational support. Consequences of team-based care are identified with three aspects: (a) patient, (b) healthcare professional, and (c) healthcare organization. This concept analysis helps better understand the characteristics of team-based care in the clinical practice as well as promote the development of a theoretical definition of team-based care. © 2016 Wiley Periodicals, Inc.

  4. Comparison of clinical knowledge bases for summarization of electronic health records.

    Science.gov (United States)

    McCoy, Allison B; Sittig, Dean F; Wright, Adam

    2013-01-01

    Automated summarization tools that create condition-specific displays may improve clinician efficiency. These tools require new kinds of knowledge that is difficult to obtain. We compared five problem-medication pair knowledge bases generated using four previously described knowledge base development approaches. The number of pairs in the resulting mapped knowledge bases varied widely due to differing mapping techniques from the source terminologies, ranging from 2,873 to 63,977,738 pairs. The number of overlapping pairs across knowledge bases was low, with one knowledge base having half of the pairs overlapping with another knowledge base, and most having less than a third overlapping. Further research is necessary to better evaluate the knowledge bases independently in additional settings, and to identify methods to integrate the knowledge bases.

  5. Genetic analysis of partial egg production records in Japanese quail using random regression models.

    Science.gov (United States)

    Abou Khadiga, G; Mahmoud, B Y F; Farahat, G S; Emam, A M; El-Full, E A

    2017-08-01

    The main objectives of this study were to detect the most appropriate random regression model (RRM) to fit the data of monthly egg production in 2 lines (selected and control) of Japanese quail and to test the consistency of different criteria of model choice. Data from 1,200 female Japanese quails for the first 5 months of egg production from 4 consecutive generations of an egg line selected for egg production in the first month (EP1) was analyzed. Eight RRMs with different orders of Legendre polynomials were compared to determine the proper model for analysis. All criteria of model choice suggested that the adequate model included the second-order Legendre polynomials for fixed effects, and the third-order for additive genetic effects and permanent environmental effects. Predictive ability of the best model was the highest among all models (ρ = 0.987). According to the best model fitted to the data, estimates of heritability were relatively low to moderate (0.10 to 0.17) showed a descending pattern from the first to the fifth month of production. A similar pattern was observed for permanent environmental effects with greater estimates in the first (0.36) and second (0.23) months of production than heritability estimates. Genetic correlations between separate production periods were higher (0.18 to 0.93) than their phenotypic counterparts (0.15 to 0.87). The superiority of the selected line over the control was observed through significant (P egg production in earlier ages (first and second months) than later ones. A methodology based on random regression animal models can be recommended for genetic evaluation of egg production in Japanese quail. © 2017 Poultry Science Association Inc.

  6. Preliminary analysis of strong-motion recordings from the 28 September 2004 Parkfield, California earthquake

    Science.gov (United States)

    Shakal, A.; Graizer, V.; Huang, M.; Borcherdt, R.; Haddadi, H.; Lin, K.-W.; Stephens, C.; Roffers, P.

    2005-01-01

    The Parkfield 2004 earthquake yielded the most extensive set of strong-motion data in the near-source region of a magnitude 6 earthquake yet obtained. The recordings of acceleration and volumetric strain provide an unprecedented document of the near-source seismic radiation for a moderate earthquake. The spatial density of the measurements alon g the fault zone and in the linear arrays perpendicular to the fault is expected to provide an exceptional opportunity to develop improved models of the rupture process. The closely spaced measurements should help infer the temporal and spatial distribution of the rupture process at much higher resolution than previously possible. Preliminary analyses of the peak a cceleration data presented herein shows that the motions vary significantly along the rupture zone, from 0.13 g to more than 2.5 g, with a map of the values showing that the larger values are concentrated in three areas. Particle motions at the near-fault stations are consistent with bilateral rupture. Fault-normal pulses similar to those observed in recent strike-slip earthquakes are apparent at several of the stations. The attenuation of peak ground acceleration with distance is more rapid than that indicated by some standard relationships but adequately fits others. Evidence for directivity in the peak acceleration data is not strong. Several stations very near, or over, the rupturing fault recorded relatively low accelerations. These recordings may provide a quantitative basis to understand observations of low near-fault shaking damage that has been reported in other large strike-slip earthquak.

  7. Recorded fatal and permanently disabling injuries in South African manufacturing industry - Overview, analysis and reflection

    DEFF Research Database (Denmark)

    Hedlund, Frank Huess

    2013-01-01

    ’s Compensation Commissioner (WCC) but to access it on a timely basis is difficult. The legislative system under the Department of Labour (DOL) provides coarse but timely recordings. Interpretation is not simple however; both systems have seen changes to reporting formats and inclusion criteria over time, which...... less so for permanently disabling accidents/incidents. The paper examines if effects of the popular practice of replacing permanent workers with contract workers is visible in the WCC statistics – firm conclusions cannot be drawn however, due to data shortcomings. Data inaccuracies are reviewed...

  8. High-frequency paleoclimatic variability: a spectral analysis of the Vostok ice-core isotopic record

    Energy Technology Data Exchange (ETDEWEB)

    Yiou, P.; Genthon, C.; Jouzel, J.; Le Treut, H.; Lorius, C.; Ghil, M.; Korotkevich, Y.S.

    1988-01-01

    This paper uses a recently analysed isotopic record from an ice core drilled at the Soviet Antartic Station VOSTOK, representing a total time span of about 160,000 years. Results obtained show the existence of a significative climatic variability at the time scale of 10,000 years and below. The many spectral peaks appear to be approximate linear combination of a little number among them, a clear indication of the non linear nature of climate fluctuations at these ''short'' time scales.

  9. Impact of a computerized system for evidence-based diabetes care on completeness of records: a before–after study

    Directory of Open Access Journals (Sweden)

    Roshanov Pavel S

    2012-07-01

    Full Text Available Abstract Background Physicians practicing in ambulatory care are adopting electronic health record (EHR systems. Governments promote this adoption with financial incentives, some hinged on improvements in care. These systems can improve care but most demonstrations of successful systems come from a few highly computerized academic environments. Those findings may not be generalizable to typical ambulatory settings, where evidence of success is largely anecdotal, with little or no use of rigorous methods. The purpose of our pilot study was to evaluate the impact of a diabetes specific chronic disease management system (CDMS on recording of information pertinent to guideline-concordant diabetes care and to plan for larger, more conclusive studies. Methods Using a before–after study design we analyzed the medical record of approximately 10 patients from each of 3 diabetes specialists (total = 31 who were seen both before and after the implementation of a CDMS. We used a checklist of key clinical data to compare the completeness of information recorded in the CDMS record to both the clinical note sent to the primary care physician based on that same encounter and the clinical note sent to the primary care physician based on the visit that occurred prior to the implementation of the CDMS, accounting for provider effects with Generalized Estimating Equations. Results The CDMS record outperformed by a substantial margin dictated notes created for the same encounter. Only 10.1% (95% CI, 7.7% to 12.3% of the clinically important data were missing from the CDMS chart compared to 25.8% (95% CI, 20.5% to 31.1% from the clinical note prepared at the time (p p  Conclusions The CDMS chart captured information important for the management of diabetes more often than dictated notes created with or without its use but we were unable to detect a difference in completeness between notes dictated in CDMS-associated and usual-care encounters. Our sample of

  10. A comparison between flexible electrogoniometers, inclinometers and three-dimensional video analysis system for recording neck movement.

    Science.gov (United States)

    Carnaz, Letícia; Moriguchi, Cristiane S; de Oliveira, Ana Beatriz; Santiago, Paulo R P; Caurin, Glauco A P; Hansson, Gert-Åke; Coury, Helenice J C Gil

    2013-11-01

    This study compared neck range of movement recording using three different methods goniometers (EGM), inclinometers (INC) and a three-dimensional video analysis system (IMG) in simultaneous and synchronized data collection. Twelve females performed neck flexion-extension, lateral flexion, rotation and circumduction. The differences between EGM, INC, and IMG were calculated sample by sample. For flexion-extension movement, IMG underestimated the amplitude by 13%; moreover, EGM showed a crosstalk of about 20% for lateral flexion and rotation axes. In lateral flexion movement, all systems showed similar amplitude and the inter-system differences were moderate (4-7%). For rotation movement, EGM showed a high crosstalk (13%) for flexion-extension axis. During the circumduction movement, IMG underestimated the amplitude of flexion-extension movements by about 11%, and the inter-system differences were high (about 17%) except for INC-IMG regarding lateral flexion (7%) and EGM-INC regarding flexion-extension (10%). For application in workplace, INC presents good results compared to IMG and EGM though INC cannot record rotation. EGM should be improved in order to reduce its crosstalk errors and allow recording of the full neck range of movement. Due to non-optimal positioning of the cameras for recording flexion-extension, IMG underestimated the amplitude of these movements. Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.

  11. Is it possible to use 'twin cores' as a unique sedimentary record? An experimental design based on sediment color

    International Nuclear Information System (INIS)

    Veiga-Pires, C; Mestre, N C

    2009-01-01

    Sedimentary cores are widely used for studying Quaternary records. However, the amount of sediment that is available is proportional to the diameter of the core, which is rarely bigger than 15 cm. One way to obtain more sediment is to use two cores retrieved from almost the same location and use them as if they represent a unique sedimentary record. In the present work, an experimental design has been applied to verify if 'twin cores' from an estuary can be considered as representing the same sedimentary record with twice the amount of sediment to study. Because sediment can be characterized based on its color, the variables used as replicates in the experimental design are the three Lab CIE colors acquired with a X-Rite Colortron spectrophotometer. Sediment cores were retrieved from the upper saltmarsh of Gilao River's estuary, southern Portugal. Twin cores, with in between distances of 50 cm, 100 cm and 200 cm, from two different sites were analysed. Results from a nested ANOVA show that even for the closest twin cores (50 cm apart) there is at least one color variable that shows significant variations between the profiles of both cores. These results clearly show that 'twin cores' cannot be used as a unique sedimentary record without any previous testing, at least in such transitional regions.

  12. Textile Concentric Ring Electrodes for ECG Recording Based on Screen-Printing Technology

    Directory of Open Access Journals (Sweden)

    José Vicente Lidón-Roger

    2018-01-01

    Full Text Available Among many of the electrode designs used in electrocardiography (ECG, concentric ring electrodes (CREs are one of the most promising due to their enhanced spatial resolution. Their development has undergone a great push due to their use in recent years; however, they are not yet widely used in clinical practice. CRE implementation in textiles will lead to a low cost, flexible, comfortable, and robust electrode capable of detecting high spatial resolution ECG signals. A textile CRE set has been designed and developed using screen-printing technology. This is a mature technology in the textile industry and, therefore, does not require heavy investments. Inks employed as conductive elements have been silver and a conducting polymer (poly (3,4-ethylenedioxythiophene polystyrene sulfonate; PEDOT:PSS. Conducting polymers have biocompatibility advantages, they can be used with flexible substrates, and they are available for several printing technologies. CREs implemented with both inks have been compared by analyzing their electric features and their performance in detecting ECG signals. The results reveal that silver CREs present a higher average thickness and slightly lower skin-electrode impedance than PEDOT:PSS CREs. As for ECG recordings with subjects at rest, both CREs allowed the uptake of bipolar concentric ECG signals (BC-ECG with signal-to-noise ratios similar to that of conventional ECG recordings. Regarding the saturation and alterations of ECGs captured with textile CREs caused by intentional subject movements, silver CREs presented a more stable response (fewer saturations and alterations than those of PEDOT:PSS. Moreover, BC-ECG signals provided higher spatial resolution compared to conventional ECG. This improved spatial resolution was manifested in the identification of P1 and P2 waves of atrial activity in most of the BC-ECG signals. It can be concluded that textile silver CREs are more suitable than those of PEDOT:PSS for obtaining

  13. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    Science.gov (United States)

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The hospital must insure the CMMS project provides a means to implement an integrated on-line hospital information data base for use by departments in operating under a DRG-based Prospective Payment System. This paper presents guidelines for use in selecting a Case Mix Mangement System to meet the hospital's financial and operations planning, budgeting, marketing, and other management needs, while considering the data base implications of the implementation.

  14. Analysis of a health team's records and nurses' perceptions concerning signs and symptoms of delirium.

    Science.gov (United States)

    Silva, Rosa Carla Gomes da; Silva, Abel Avelino de Paiva E; Marques, Paulo Alexandre Oliveira

    2011-01-01

    This study investigates the extent of under-diagnosis of acute confusion/delirium by analyzing the records of a health team and the perception of nurses concerning this phenomenon. This quantitative study was developed in a central university hospital in Portugal and used the documentary and interview techniques. The sample obtained through the application of the NeeCham's scale was composed of 111 patients with the diagnosis of acute confusion/delirium hospitalized in the medical and surgical acute care units. A rate of 12.6% of under-diagnosis was identified in the records and a rate of 30.6% was found taking into account the perception of nurses. No indicators of acute confusion/delirium were found in 8.1% of the 111 cases and only 4.5% of the patients were diagnosed with acute confusion/delirium. The results indicate there is difficulty in identifying acute confusion/delirium, with implications for the quality of care, suggesting the need to implement training measures directed to health teams.

  15. Pipe break prediction based on evolutionary data-driven methods with brief recorded data

    International Nuclear Information System (INIS)

    Xu Qiang; Chen Qiuwen; Li Weifeng; Ma Jinfeng

    2011-01-01

    Pipe breaks often occur in water distribution networks, imposing great pressure on utility managers to secure stable water supply. However, pipe breaks are hard to detect by the conventional method. It is therefore necessary to develop reliable and robust pipe break models to assess the pipe's probability to fail and then to optimize the pipe break detection scheme. In the absence of deterministic physical models for pipe break, data-driven techniques provide a promising approach to investigate the principles underlying pipe break. In this paper, two data-driven techniques, namely Genetic Programming (GP) and Evolutionary Polynomial Regression (EPR) are applied to develop pipe break models for the water distribution system of Beijing City. The comparison with the recorded pipe break data from 1987 to 2005 showed that the models have great capability to obtain reliable predictions. The models can be used to prioritize pipes for break inspection and then improve detection efficiency.

  16. Architecture and implementation for a system enabling smartphones to access smart card based healthcare records.

    Science.gov (United States)

    Karampelas, Vasilios; Pallikarakis, Nicholas; Mantas, John

    2013-01-01

    The healthcare researchers', academics' and practitioners' interest concerning the development of Healthcare Information Systems has been on a steady rise for the last decades. Fueling this steady rise has been the healthcare professional need of quality information, in every healthcare provision incident, whenever and wherever this incident may take place. In order to address this need a truly mobile health care system is required, one that will be able to provide a healthcare provider with accurate patient-related information regardless of the time and place that healthcare is provided. In order to fulfill this role the present study proposes the architecture for a Healthcare Smartcard system, which provides authenticated healthcare professionals with remote mobile access to a Patient's Healthcare Record, through their Smartphone. Furthermore the research proceeds to develop a working prototype system.

  17. Electrostatic X-ray image recording device with mesh-base photocathode photoelectron discriminator means

    International Nuclear Information System (INIS)

    1977-01-01

    An electrostatic X-ray image recording device having a pair of spaced electrodes with a gas-filled gap therebetween, and including discrimination means, having a conductive mesh supporting a photocathodic material, positioned in the gas-filled gap between a first electrode having a layer of ultraviolet-emitting fluorescent material and a second electrode having a plastic sheet adjacent thereto for receiving photoelectrons emitted by the photocathodic material and accelerated to the second electrode by an applied field. The photoconductor-mesh element discriminates against fast electrons, produced by direct impingement of X-rays upon the photocathode to substantially reduce secondary electron production and amplification, thereby increasing both the signal-to-noise and contrast ratios. The electrostatic image formed on the plastic sheet is developed by zerographic techniques after exposure. (Auth.)

  18. Constructing a population-based research database from routine maternal screening records: a resource for studying alloimmunization in pregnant women.

    Directory of Open Access Journals (Sweden)

    Brian K Lee

    Full Text Available BACKGROUND: Although screening for maternal red blood cell antibodies during pregnancy is a standard procedure, the prevalence and clinical consequences of non-anti-D immunization are poorly understood. The objective was to create a national database of maternal antibody screening results that can be linked with population health registers to create a research resource for investigating these issues. STUDY DESIGN AND METHODS: Each birth in the Swedish Medical Birth Register was uniquely identified and linked to the text stored in routine maternal antibody screening records in the time window from 9 months prior to 2 weeks after the delivery date. These text records were subjected to a computerized search for specific antibodies using regular expressions. To illustrate the research potential of the resulting database, selected antibody prevalence rates are presented as tables and figures, and the complete data (from more than 60 specific antibodies presented as online moving graphical displays. RESULTS: More than one million (1,191,761 births with valid screening information from 1982-2002 constitute the study population. Computerized coverage of screening increased steadily over time and varied by region as electronic records were adopted. To ensure data quality, we restricted analysis to birth records in areas and years with a sustained coverage of at least 80%, representing 920,903 births from 572,626 mothers in 17 of the 24 counties in Sweden. During the study period, non-anti-D and anti-D antibodies occurred in 76.8/10,000 and 14.1/10,000 pregnancies respectively, with marked differences between specific antibodies over time. CONCLUSION: This work demonstrates the feasibility of creating a nationally representative research database from the routine maternal antibody screening records from an extended calendar period. By linkage with population registers of maternal and child health, such data are a valuable resource for addressing important

  19. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    OpenAIRE

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The h...

  20. Robust Mediation Analysis Based on Median Regression

    Science.gov (United States)

    Yuan, Ying; MacKinnon, David P.

    2014-01-01

    Mediation analysis has many applications in psychology and the social sciences. The most prevalent methods typically assume that the error distribution is normal and homoscedastic. However, this assumption may rarely be met in practice, which can affect the validity of the mediation analysis. To address this problem, we propose robust mediation analysis based on median regression. Our approach is robust to various departures from the assumption of homoscedasticity and normality, including heavy-tailed, skewed, contaminated, and heteroscedastic distributions. Simulation studies show that under these circumstances, the proposed method is more efficient and powerful than standard mediation analysis. We further extend the proposed robust method to multilevel mediation analysis, and demonstrate through simulation studies that the new approach outperforms the standard multilevel mediation analysis. We illustrate the proposed method using data from a program designed to increase reemployment and enhance mental health of job seekers. PMID:24079925

  1. Comparing the Performance of NoSQL Approaches for Managing Archetype-Based Electronic Health Record Data

    Science.gov (United States)

    Freire, Sergio Miranda; Teodoro, Douglas; Wei-Kleiner, Fang; Sundvall, Erik; Karlsson, Daniel; Lambrix, Patrick

    2016-01-01

    This study provides an experimental performance evaluation on population-based queries of NoSQL databases storing archetype-based Electronic Health Record (EHR) data. There are few published studies regarding the performance of persistence mechanisms for systems that use multilevel modelling approaches, especially when the focus is on population-based queries. A healthcare dataset with 4.2 million records stored in a relational database (MySQL) was used to generate XML and JSON documents based on the openEHR reference model. Six datasets with different sizes were created from these documents and imported into three single machine XML databases (BaseX, eXistdb and Berkeley DB XML) and into a distributed NoSQL database system based on the MapReduce approach, Couchbase, deployed in different cluster configurations of 1, 2, 4, 8 and 12 machines. Population-based queries were submitted to those databases and to the original relational database. Database size and query response times are presented. The XML databases were considerably slower and required much more space than Couchbase. Overall, Couchbase had better response times than MySQL, especially for larger datasets. However, Couchbase requires indexing for each differently formulated query and the indexing time increases with the size of the datasets. The performances of the clusters with 2, 4, 8 and 12 nodes were not better than the single node cluster in relation to the query response time, but the indexing time was reduced proportionally to the number of nodes. The tested XML databases had acceptable performance for openEHR-based data in some querying use cases and small datasets, but were generally much slower than Couchbase. Couchbase also outperformed the response times of the relational database, but required more disk space and had a much longer indexing time. Systems like Couchbase are thus interesting research targets for scalable storage and querying of archetype-based EHR data when population-based use

  2. Comparing the Performance of NoSQL Approaches for Managing Archetype-Based Electronic Health Record Data.

    Science.gov (United States)

    Freire, Sergio Miranda; Teodoro, Douglas; Wei-Kleiner, Fang; Sundvall, Erik; Karlsson, Daniel; Lambrix, Patrick

    2016-01-01

    This study provides an experimental performance evaluation on population-based queries of NoSQL databases storing archetype-based Electronic Health Record (EHR) data. There are few published studies regarding the performance of persistence mechanisms for systems that use multilevel modelling approaches, especially when the focus is on population-based queries. A healthcare dataset with 4.2 million records stored in a relational database (MySQL) was used to generate XML and JSON documents based on the openEHR reference model. Six datasets with different sizes were created from these documents and imported into three single machine XML databases (BaseX, eXistdb and Berkeley DB XML) and into a distributed NoSQL database system based on the MapReduce approach, Couchbase, deployed in different cluster configurations of 1, 2, 4, 8 and 12 machines. Population-based queries were submitted to those databases and to the original relational database. Database size and query response times are presented. The XML databases were considerably slower and required much more space than Couchbase. Overall, Couchbase had better response times than MySQL, especially for larger datasets. However, Couchbase requires indexing for each differently formulated query and the indexing time increases with the size of the datasets. The performances of the clusters with 2, 4, 8 and 12 nodes were not better than the single node cluster in relation to the query response time, but the indexing time was reduced proportionally to the number of nodes. The tested XML databases had acceptable performance for openEHR-based data in some querying use cases and small datasets, but were generally much slower than Couchbase. Couchbase also outperformed the response times of the relational database, but required more disk space and had a much longer indexing time. Systems like Couchbase are thus interesting research targets for scalable storage and querying of archetype-based EHR data when population-based use

  3. Electronic health record-based patient identification and individualized mailed outreach for primary cardiovascular disease prevention: a cluster randomized trial.

    Science.gov (United States)

    Persell, Stephen D; Lloyd-Jones, Donald M; Friesema, Elisha M; Cooper, Andrew J; Baker, David W

    2013-04-01

    Many individuals at higher risk for cardiovascular disease (CVD) do not receive recommended treatments. Prior interventions using personalized risk information to promote prevention did not test clinic-wide effectiveness. To perform a 9-month cluster-randomized trial, comparing a strategy of electronic health record-based identification of patients with increased CVD risk and individualized mailed outreach to usual care. Patients of participating physicians with a Framingham Risk Score of at least 5 %, low-density lipoprotein (LDL)-cholesterol level above guideline threshold for drug treatment, and not prescribed a lipid-lowering medication were included in the intention-to-treat analysis. Patients of physicians randomized to the intervention group were mailed individualized CVD risk messages that described benefits of using a statin (and controlling hypertension or quitting smoking when relevant). The primary outcome was occurrence of a LDL-cholesterol level, repeated in routine practice, that was at least 30 mg/dl lower than prior. A secondary outcome was lipid-lowering drug prescribing. Clinicaltrials.gov identifier: NCT01286311. Fourteen physicians with 218 patients were randomized to intervention, and 15 physicians with 217 patients to control. The mean patient age was 60.7 years and 77% were male. There was no difference in the primary outcome (11.0 % vs. 11.1 %, OR 0.99, 95 % CI 0.56-1.74, P = 0.96), but intervention group patients were twice as likely to receive a prescription for lipid-lowering medication (11.9 %, vs. 6.0 %, OR 2.13, 95 % CI 1.05-4.32, p = 0.038). In post hoc analysis with extended follow-up to 18 months, the primary outcome occurred more often in the intervention group (22.5 % vs. 16.1 %, OR 1.59, 95 % CI 1.05-2.41, P = 0.029). In this effectiveness trial, individualized mailed CVD risk messages increased the frequency of new lipid-lowering drug prescriptions, but we observed no difference in proportions lowering LDL

  4. The cause-consequence data base: a retrieval system for records pertaining to accident management

    International Nuclear Information System (INIS)

    Kumamoto, H.; Inoue, K.; Sawaragi, Y.

    1981-01-01

    This paper describes a proposal to store in a data base important paragraphs from reports of investigations into many types of accidents. The data base is to handle not only reports on TMI, but also reports on other events at nuclear reactors, chemical plant explosions, earthquakes, hurricanes, fires, and so forth. (author)

  5. Record Desktop Activity as Streaming Videos for Asynchronous, Video-Based Collaborative Learning.

    Science.gov (United States)

    Chang, Chih-Kai

    As Web-based courses using videos have become popular in recent years, the issue of managing audiovisual aids has become noteworthy. The contents of audiovisual aids may include a lecture, an interview, a featurette, an experiment, etc. The audiovisual aids of Web-based courses are transformed into the streaming format that can make the quality of…

  6. A retrospective analysis of medical record use in e-consultations.

    Science.gov (United States)

    Pecina, Jennifer L; North, Frederick

    2017-06-01

    Introduction Under certain circumstances, e-consultations can substitute for a face-to-face consultation. A basic requirement for a successful e-consultation is that the e-consultant has access to important medical history and exam findings along with laboratory and imaging results. Knowing just what information the specialist needs to complete an e-consultation is a major challenge. This paper examines differences between specialties in their need for past information from laboratory, imaging and clinical notes. Methods This is a retrospective study of patients who had an internal e-consultation performed at an academic medical centre. We reviewed a random sample of e-consultations that occurred in the first half of 2013 for the indication for the e-consultation and whether the e-consultant reviewed data in the medical record that was older than one year to perform the e-consultation. Results Out of 3008 total e-consultations we reviewed 360 (12%) randomly selected e-consultations from 12 specialties. Questions on management (35.8%), image results (27.2%) and laboratory results (25%) were the three most common indications for e-consultation. E-consultants reviewed medical records in existence more than one year prior to the e-consultation 146 (40.6%) of the time with e-consultants in the specialties of endocrinology, haematology and rheumatology, reviewing records older than one year more than half the time. Labs (20.3%), office notes (20%) and imaging (17.8%) were the types of medical data older than one year that were reviewed the most frequently overall. Discussion Management questions appear to be the most common reason for e-consultation. E-consultants frequently reviewed historical medical data that is older than one year at the time of the e-consultation, especially in endocrinology, haematology and rheumatology specialties. Practices engaging in e-consultations that require transfer of data may want to include longer time frames of historical information

  7. Management of radiological related equipments. Creating the equipment management database and analysis of the repair and maintenance records

    International Nuclear Information System (INIS)

    Eguchi, Megumu; Taguchi, Keiichi; Oota, Takashi; Kajiwara, Hiroki; Ono, Kiyotune; Hagio, Kiyofumi; Uesugi, Ekizo; Kajishima, Tetuo; Ueda, Kenji

    2002-01-01

    In 1997, we established the committee of equipments maintenance and management in our department. We designed the database in order to classify and register all the radiological related equipments using Microsoft Access. The management of conditions and cost of each equipment has become easier, by keeping and recording the database in the equipments management ledger and by filing the history of repairs or maintenances occurred to modalities. We then accounted numbers, cost of repairs and downtimes from the data of the repair and maintenance records for four years, and we reexamined the causal analysis of failures and the contents of the regular maintenance for CT and MRI equipments that had shown the higher numbers of repairs. Consequently, we have found the improvement of registration method of the data and the more economical way to use of the cost of repair. (author)

  8. Analysis of free text in electronic health records for identification of cancer patient trajectories

    DEFF Research Database (Denmark)

    Jensen, Kasper; Soguero-Ruiz, Cristina; Mikalsen, Karl Oyvind

    2017-01-01

    With an aging patient population and increasing complexity in patient disease trajectories, physicians are often met with complex patient histories from which clinical decisions must be made. Due to the increasing rate of adverse events and hospitals facing financial penalties for readmission......, there has never been a greater need to enforce evidence-led medical decision-making using available health care data. In the present work, we studied a cohort of 7,741 patients, of whom 4,080 were diagnosed with cancer, surgically treated at a University Hospital in the years 2004-2012. We have developed...... a methodology that allows disease trajectories of the cancer patients to be estimated from free text in electronic health records (EHRs). By using these disease trajectories, we predict 80% of patient events ahead in time. By control of confounders from 8326 quantified events, we identified 557 events...

  9. Analysis of female radiation workers dose records in the DAE Units of Andhra Pradesh

    International Nuclear Information System (INIS)

    Padma Savitri, P.; Kamble, M.K.; Reddy, K.S.

    2010-01-01

    Basis for control of occupational exposures of women is same as that of men except for pregnant women. Percentage of women working in radiation areas of DAE has marginally increased in the last three decades. This paper analysed the data on the externally received personal dose equivalent for female radiation workers who have been exposed ti ionizing radiation in different occupations of DAE units in Andhra Pradesh. From this study we can say confidently that it is equally safe for women to work in radiation areas as long as they follow radiation protection principles. Hence, women in India should be made aware that it is safe to work in radiation areas and DAE is taking their care by periodical medical checkups, maintaining dose records, etc

  10. Analysis of microstructures for Co/Pd multilayer perpendicular magnetic recording media with carbon underlayer

    International Nuclear Information System (INIS)

    Asahi, T.; Kuramochi, K.; Kawaji, J.; Onoue, T.; Osaka, T.; Saigo, M.

    2001-01-01

    The effect of amorphous carbon underlayer thickness on the microstructure of the Co/Pd multilayer perpendicular magnetic recording media was investigated. From the magnetic force microscopy observation in the AC-demagnetized state of the Co/Pd multilayer media, the magnetic cluster size was observed to effectively decrease with an increase in carbon underlayer thickness, where the higher coercivity and the higher S/N ratio of the Co/Pd multilayer media were obtained with the thicker underlayer. Furthermore, the distribution of [1 1 1] orientation of FCC-Pd became broader, and the grain size decreased with an increase in the carbon underlayer thickness. These effects caused the magnetic exchange decoupling of Co/Pd multilayer media. We suggested that the change of microstructure was directly related to the surface roughness of the amorphous carbon underlayer

  11. Injectable loop recorder implantation in an ambulatory setting by advanced practice providers: Analysis of outcomes.

    Science.gov (United States)

    Kipp, Ryan; Young, Natasha; Barnett, Anne; Kopp, Douglas; Leal, Miguel A; Eckhardt, Lee L; Teelin, Thomas; Hoffmayer, Kurt S; Wright, Jennifer; Field, Michael

    2017-09-01

    Implantable loop recorder (ILR) insertion has historically been performed in a surgical environment such as the electrophysiology (EP) lab. The newest generation loop recorder (Medtronic Reveal LINQ™, Minneapolis, MN, USA) is injectable with potential for implantation in a non-EP lab setting by advanced practice providers (APPs) facilitating improved workflow and resource utilization. We report the safety and efficacy of injectable ILR placement in the ambulatory care setting by APPs. A retrospective review was performed including all patients referred for injectable ILR placement from March 2014 to November 2015. All device placement procedures were performed in an ambulatory care setting using the standard manufacturer deployment kit with sterile technique and local anesthetic following a single dose of intravenous antibiotics. Acute procedural success and complication rates following injectable ILR placement in the ambulatory setting were reviewed. During the study period, 125 injectable ILRs were implanted. Acute procedural success with adequate sensing (R-waves ≥ 0.2 mV) occurred in 100% of patients. There were no acute procedural complications. Subacute complications occurred in two patients (1.6% of implantations), including one possible infection treated with oral antibiotics and one device removal due to pain at the implant site. In this retrospective single-center study, implantation of injectable ILR in an ambulatory care setting by APPs following a single dose of intravenous antibiotics and standard manufacturer technique yielded a low complication rate with high acute procedural success. Use of this implantation strategy may improve EP lab workflow while providing a safe and effective technique for device placement. © 2017 Wiley Periodicals, Inc.

  12. Installation Restoration Program, Phase 1. Records Search, Wheeler Air Force Base, Oahu, Hawaii

    Science.gov (United States)

    1983-07-01

    the 3vegetation was already exotic, consisting of trees such as guava , koa haole, eucalyptus and silver oak, and shrubs and 3 grasses including lantana...Alkalioo Soap 5 gal GrounOd S~r Of f Base Fire Pit fir.Pit Of f Base PmecI" CoCAClo 20$ P 680 1S Sa.L Cro-..d tAint 10-20 gal 8w L..dt±u Off km. Thinmar

  13. Tree ring-based seven-century drought records for the Western Himalaya, India

    Science.gov (United States)

    Yadav, Ram R.

    2013-05-01

    The paucity of available instrumental climate records in cold and arid regions of the western Himalaya, India, hampers our understanding of the long-term variability of regional droughts, which seriously affect the agrarian economy of the region. Using ring width chronologies of Cedrus deodara and Pinus gerardiana together from a network of moisture-stressed sites, Palmer Drought Severity Index values for October-May back to 1310 A.D. were developed. The twentieth century features dominant decadal-scale pluvial phases (1981-1995, 1952-1968, and 1918-1934) as compared to the severe droughts in the early seventeenth century (1617-1640) as well as late fifteenth to early sixteenth (1491-1526) centuries. The drought anomalies are positively (negatively) associated with central Pacific (Indo-Pacific Warm Pool) sea surface temperature anomalies. However, non-stationarity in such relationships appears to be the major riddle in the predictability of long-term droughts much needed for the sustainable development of the ecologically sensitive region of the Himalayas.

  14. Neurophysiological Effects of Meditation Based on Evoked and Event Related Potential Recordings.

    Science.gov (United States)

    Singh, Nilkamal; Telles, Shirley

    2015-01-01

    Evoked potentials (EPs) are a relatively noninvasive method to assess the integrity of sensory pathways. As the neural generators for most of the components are relatively well worked out, EPs have been used to understand the changes occurring during meditation. Event-related potentials (ERPs) yield useful information about the response to tasks, usually assessing attention. A brief review of the literature yielded eleven studies on EPs and seventeen on ERPs from 1978 to 2014. The EP studies covered short, mid, and long latency EPs, using both auditory and visual modalities. ERP studies reported the effects of meditation on tasks such as the auditory oddball paradigm, the attentional blink task, mismatched negativity, and affective picture viewing among others. Both EP and ERPs were recorded in several meditations detailed in the review. Maximum changes occurred in mid latency (auditory) EPs suggesting that maximum changes occur in the corresponding neural generators in the thalamus, thalamic radiations, and primary auditory cortical areas. ERP studies showed meditation can increase attention and enhance efficiency of brain resource allocation with greater emotional control.

  15. Neurophysiological Effects of Meditation Based on Evoked and Event Related Potential Recordings

    Science.gov (United States)

    Singh, Nilkamal; Telles, Shirley

    2015-01-01

    Evoked potentials (EPs) are a relatively noninvasive method to assess the integrity of sensory pathways. As the neural generators for most of the components are relatively well worked out, EPs have been used to understand the changes occurring during meditation. Event-related potentials (ERPs) yield useful information about the response to tasks, usually assessing attention. A brief review of the literature yielded eleven studies on EPs and seventeen on ERPs from 1978 to 2014. The EP studies covered short, mid, and long latency EPs, using both auditory and visual modalities. ERP studies reported the effects of meditation on tasks such as the auditory oddball paradigm, the attentional blink task, mismatched negativity, and affective picture viewing among others. Both EP and ERPs were recorded in several meditations detailed in the review. Maximum changes occurred in mid latency (auditory) EPs suggesting that maximum changes occur in the corresponding neural generators in the thalamus, thalamic radiations, and primary auditory cortical areas. ERP studies showed meditation can increase attention and enhance efficiency of brain resource allocation with greater emotional control. PMID:26137479

  16. Estimation of pathological tremor from recorded signals based on adaptive sliding fast Fourier transform

    Directory of Open Access Journals (Sweden)

    Shengxin Wang

    2016-06-01

    Full Text Available Pathological tremor is an approximately rhythmic movement and considerably affects patients’ daily living activities. Biomechanical loading and functional electrical stimulation are proposed as potential alternatives for canceling the pathological tremor. However, the performance of suppression methods is associated with the separation of tremor from the recorded signals. In this literature, an algorithm incorporating a fast Fourier transform augmented with a sliding convolution window, an interpolation procedure, and a damping module of the frequency is presented to isolate tremulous components from the measured signals and estimate the instantaneous tremor frequency. Meanwhile, a mechanism platform is designed to provide the simulation tremor signals with different degrees of voluntary movements. The performance of the proposed algorithm and existing procedures is compared with simulated signals and experimental signals collected from patients. The results demonstrate that the proposed solution could detect the unknown dominant frequency and distinguish the tremor components with higher accuracy. Therefore, this algorithm is useful for actively compensating tremor by functional electrical stimulation without affecting the voluntary movement.

  17. [Data mining analysis of professor Li Fa-zhi AIDS herpes zoster medical record].

    Science.gov (United States)

    Wang, Dan-Ni; Li, Zhen; Xu, Li-Ran; Guo, Hui-Jun

    2013-08-01

    Analysis of professor Li Fa-zhi in the treatment of AIDS drug laws of herpes zoster and postherpetic neuralgia, provide reference for the use of Chinese medicine treatment of AIDS, herpes zoster and postherpetic neuralgia. By using the method of analyzing the complex network of Weishi county, Henan in 2007 October to 2011 July during an interview with professor Li Fa-zhi treatment of AIDS of herpes zoster and postherpetic neuralgia patients, patients are input structured clinical information collection system, into the analysis of the data, carries on the research analysis theory of traditional Chinese medicine compatibility system algorithm and complex network analysis the use of complex networks. The use of multi-dimensional query analysis of AIDS drugs, the core of herpes zoster and postherpetic neuralgia treated in this study are Scutellariae Radix, Glucyrrhizae Radix, Carthame Flos, Plantaginis Semen, Trichosamthis Fructus, Angelicae Sinensis Radix, Gentianae Radix; core prescription for Longdan Xiegan decoction and Trichosanthes red liquorice decoction. Professor Li Fa-zhi treatment of AIDS, herpes zoster and postherpetic neuralgia by clearing heat and removing dampness and activating blood circulation to.

  18. Recording Approach of Heritage Sites Based on Merging Point Clouds from High Resolution Photogrammetry and Terrestrial Laser Scanning

    Science.gov (United States)

    Grussenmeyer, P.; Alby, E.; Landes, T.; Koehl, M.; Guillemin, S.; Hullo, J. F.; Assali, P.; Smigiel, E.

    2012-07-01

    Different approaches and tools are required in Cultural Heritage Documentation to deal with the complexity of monuments and sites. The documentation process has strongly changed in the last few years, always driven by technology. Accurate documentation is closely relied to advances of technology (imaging sensors, high speed scanning, automation in recording and processing data) for the purposes of conservation works, management, appraisal, assessment of the structural condition, archiving, publication and research (Patias et al., 2008). We want to focus in this paper on the recording aspects of cultural heritage documentation, especially the generation of geometric and photorealistic 3D models for accurate reconstruction and visualization purposes. The selected approaches are based on the combination of photogrammetric dense matching and Terrestrial Laser Scanning (TLS) techniques. Both techniques have pros and cons and recent advances have changed the way of the recording approach. The choice of the best workflow relies on the site configuration, the performances of the sensors, and criteria as geometry, accuracy, resolution, georeferencing, texture, and of course processing time. TLS techniques (time of flight or phase shift systems) are widely used for recording large and complex objects and sites. Point cloud generation from images by dense stereo or multi-view matching can be used as an alternative or as a complementary method to TLS. Compared to TLS, the photogrammetric solution is a low cost one, as the acquisition system is limited to a high-performance digital camera and a few accessories only. Indeed, the stereo or multi-view matching process offers a cheap, flexible and accurate solution to get 3D point clouds. Moreover, the captured images might also be used for models texturing. Several software packages are available, whether web-based, open source or commercial. The main advantage of this photogrammetric or computer vision based technology is to get

  19. [Data mining analysis of professor Li Fa-zhi AIDS itchy skin medical record].

    Science.gov (United States)

    Wang, Dan-Ni; Li, Zhen; Xu, Li-Ran; Guo, Hui-Jun

    2013-08-01

    Analysis of professor Li Fa-zhi in the treatment of AIDS drug laws of itchy skin, provide the corresponding drug reference basis for Chinese medicine treatment of AIDS, skin itching. By using the method of analyzing the complex network of Weishi county, Henan in 2007 October to 2011 July during an interview with professor Li Fa-zhi treatment of AIDS patients with skin pruritus, etiology and pathogenesis analysis, skin itching AIDS syndrome differentiation of old Chinese medicine treatment and medication rule. The use of multi-dimensional query analysis, core drug skin itching AIDS treatment in this study as a windbreak, cicada slough, bupleurum, Qufeng solution table drug, licorice detoxification efficacy of drugs, Radix Scutellariae, Kochia scoparia, clearing away heat and promoting diuresis medicine; core prescription for Jingfang San streak virus. Professor Li Fa-zhi treatment of AIDS in the skin itching Qufeng solution table dehumidification antipruritic treatment.

  20. Threshold-based system for noise detection in multilead ECG recordings

    International Nuclear Information System (INIS)

    Jekova, Irena; Krasteva, Vessela; Christov, Ivaylo; Abächerli, Roger

    2012-01-01

    This paper presents a system for detection of the most common noise types seen on the electrocardiogram (ECG) in order to evaluate whether an episode from 12-lead ECG is reliable for diagnosis. It implements criteria for estimation of the noise corruption level in specific frequency bands, aiming to identify the main sources of ECG quality disruption, such as missing signal or limited dynamics of the QRS components above 4 Hz; presence of high amplitude and steep artifacts seen above 1 Hz; baseline drift estimated at frequencies below 1 Hz; power–line interference in a band ±2 Hz around its central frequency; high-frequency and electromyographic noises above 20 Hz. All noise tests are designed to process the ECG series in the time domain, including 13 adjustable thresholds for amplitude and slope criteria which are evaluated in adjustable time intervals, as well as number of leads. The system allows flexible extension toward application-specific requirements for the noise levels in acceptable quality ECGs. Training of different thresholds’ settings to determine different positive noise detection rates is performed with the annotated set of 1000 ECGs from the PhysioNet database created for the Computing in Cardiology Challenge 2011. Two implementations are highlighted on the receiver operating characteristic (area 0.968) to fit to different applications. The implementation with high sensitivity (Se = 98.7%, Sp = 80.9%) appears as a reliable alarm when there are any incidental problems with the ECG acquisition, while the implementation with high specificity (Sp = 97.8%, Se = 81.8%) is less susceptible to transient problems but rather validates noisy ECGs with acceptable quality during a small portion of the recording. (paper)

  1. Quality improvement in documentation of postoperative care nursing using computer-based medical records

    DEFF Research Database (Denmark)

    Olsen, Susanne Winther

    2013-01-01

    on the template with quantitative data showed satisfactory documentation of postoperative care nursing in 67% (18% to 92%; mean [min-max]) of the scores. The template for documentation using qualitative descriptions was used by 63% of the nurses, but the keywords were used to a varying degree, that is, from 0......Postanesthesia nursing should be documented with high quality. The purpose of this retrospective case-based study on 49 patients was to analyze the quality of postoperative documentation in the two existing templates and, based on this audit, to suggest a new template for documentation. The audit...

  2. A chironomid-based record of temperature variability during the past 4000 years in northern China and its possible societal implications

    Science.gov (United States)

    Wang, Haipeng; Chen, Jianhui; Zhang, Shengda; Zhang, David D.; Wang, Zongli; Xu, Qinghai; Chen, Shengqian; Wang, Shijin; Kang, Shichang; Chen, Fahu

    2018-03-01

    Long-term, high-resolution temperature records which combine an unambiguous proxy and precise dating are rare in China. In addition, the societal implications of past temperature change on a regional scale have not been sufficiently assessed. Here, based on the modern relationship between chironomids and temperature, we use fossil chironomid assemblages in a precisely dated sediment core from Gonghai Lake to explore temperature variability during the past 4000 years in northern China. Subsequently, we address the possible regional societal implications of temperature change through a statistical analysis of the occurrence of wars. Our results show the following. (1) The mean annual temperature (TANN) was relatively high during 4000-2700 cal yr BP, decreased gradually during 2700-1270 cal yr BP and then fluctuated during the last 1270 years. (2) A cold event in the Period of Disunity, the Sui-Tang Warm Period (STWP), the Medieval Warm Period (MWP) and the Little Ice Age (LIA) can all be recognized in the paleotemperature record, as well as in many other temperature reconstructions in China. This suggests that our chironomid-inferred temperature record for the Gonghai Lake region is representative. (3) Local wars in Shanxi Province, documented in the historical literature during the past 2700 years, are statistically significantly correlated with changes in temperature, and the relationship is a good example of the potential societal implications of temperature change on a regional scale.

  3. Comparative Analysis of Music Recordings from Western and Non-Western traditions by Automatic Tonal Feature Extraction

    Directory of Open Access Journals (Sweden)

    Emilia Gómez

    2008-09-01

    Full Text Available The automatic analysis of large musical corpora by means of computational models overcomes some limitations of manual analysis, and the unavailability of scores for most existing music makes necessary to work with audio recordings. Until now, research on this area has focused on music from the Western tradition. Nevertheless, we might ask if the available methods are suitable when analyzing music from other cultures. We present an empirical approach to the comparative analysis of audio recordings, focusing on tonal features and data mining techniques. Tonal features are related to the pitch class distribution, pitch range and employed scale, gamut and tuning system. We provide our initial but promising results obtained when trying to automatically distinguish music from Western and non- Western traditions; we analyze which descriptors are most relevant and study their distribution over 1500 pieces from different traditions and styles. As a result, some feature distributions differ for Western and non-Western music, and the obtained classification accuracy is higher than 80% for different classification algorithms and an independent test set. These results show that automatic description of audio signals together with data mining techniques provide means to characterize huge music collections from different traditions and complement musicological manual analyses.

  4. Spatial-temporal analysis on climate variation in early Qing dynasty (17th -18th century) using China's chronological records

    Science.gov (United States)

    Lin, Kuan-Hui Elaine; Wang, Pao-Kuan; Fan, I.-Chun; Liao, Yi-Chun; Liao, Hsiung-Ming; Pai, Pi-Ling

    2016-04-01

    Global climate change in the form of extreme, variation, and short- or mid-term fluctuation is now widely conceived to challenge the survival of the human beings and the societies. Meanwhile, improving present and future climate modeling needs a comprehensive understanding of the past climate patterns. Although historical climate modeling has gained substantive progress in recent years based on the new findings from dynamical meteorology, phenology, or paleobiology, less known are the mid- to short-term variations or lower-frequency variabilities at different temporal scale and their regional expressions. Enabling accurate historical climate modeling would heavily rely on the robustness of the dataset that could carry specific time, location, and meteorological information in the continuous temporal and spatial chains. This study thus presents an important methodological innovation to reconstruct historical climate modeling at multiple temporal and spatial scales through building a historical climate dataset, based on the Chinese chronicles compiled in a Zhang (2004) edited Compendium of Chinese Meteorological Records of the Last 3,000 Years since Zhou Dynasty (1100BC). The dataset reserves the most delicate meteorological data with accurate time, location, meteorological event, duration, and other phonological, social and economic impact information, and is carefully digitalized, coded, and geo-referenced on the Geographical Information System based maps according to Tan's (1982) historical atlas in China. The research project, beginning in January 2015, is a collaborative work among scholars across meteorology, geography, and historical linguistics disciplines. The present research findings derived from the early 100+ years of the Qing dynasty include the following. First, the analysis is based on the sampling size, denoted as cities/counties, n=1398 across the Mainland China in the observation period. Second, the frequencies of precipitation, cold

  5. Analysis of the Holart Report project: recording and publishing sales data for fine art holograms

    Science.gov (United States)

    Zellerbach, Gary A.

    1995-02-01

    At Lake Forest College's Fourth International Symposium on Display Holography (July 1991), the author first formulated an idea to promote fine art holography by recording and publishing sale prices for art holograms. The idea was mentioned to several prominent artists in attendance, and the response was enthusiastic. The author formed a new company to publish the world's first journal of international art hologram sales, the Holart Report. Holart Report published four quarterly issues, beginning in May 1992. During that time, the publisher created a significant database of hologram art sales and reported tens of thousands of dollars in holographic art transactions. In February 1993 the author's new job obligations and a general lack of support for the project forced him to suspend publication of Holart Report. This paper attempts to answer serious questions surrounding the experience. What problems were encountered? What benefits, if any, did Holart provide during its short lifetime? Why were many in the holographic art community reluctant to support the project? In retrospect, what should have been done differently to ensure greater success? Lastly, the author states his belief that the idea remains feasible and valuable. The database is intact and the publishing template established. The lessons learned can be used to produce a much improved new version of Holart Report or a similar publication.

  6. Seasonality Effects on Nonlinear Properties of Hydrometeorological Records: A New Method of Data Analysis

    Science.gov (United States)

    Livina, V. N.; Ashkenazy, Y.; Bunde, A.; Havlin, S.

    2007-12-01

    Climatic time series in general, and hydrological time series in particular, exhibit pronounced annual periodicity. This periodicity and its corresponding harmonics affect the nonlinear properties of the relevant time series (i.e., the long-range volatility correlations and width of multifractal spectrum) and thus have to be filtered out before studying fractal and volatility properties. We compare several filtering techniques (one of them proposed here) and find that in order to eliminate the periodicity effect on the nonlinear properties of the time series (i.e., the volatility and multifractal properties) it is necessary to filter out the seasonal standard deviation in addition to the filtering of the seasonal mean. The obtained results indicate weak volatility correlations (weak nonlinearity) in the river data, and this can be seen using different filterings approaches. [1] Livina~V.~N., Y.~Ashkenazy, A.~Bunde, and S.~Havlin, Seasonality effects on nonlinear properties of hydrometeorological records, in Extremes, Trends, and Correlations in Hydrology and Climate (ed. by J.P.Kropp & H.-J.Schellnhuber), Springer, Berlin, submitted.

  7. A Retrospective Analysis of the Clinical Impact of 939 Chest Radiographs Using the Medical Records

    International Nuclear Information System (INIS)

    Geijer, M.; Ivarsson, L.; Gothlin, J.H.

    2012-01-01

    Objective. Between one-third and half of all radiology examinations worldwide are probably chest studies. The aim of the current study was to retrospectively evaluate the clinical influence of chest radiography. Methods. In a tertiary referral hospital, 939 consecutive daytime chest radiography examinations were evaluated. The outcome was classified as normal, incidental, or pathologic. The referring physicians reaction to radiologic outcome was classified as highly expected, moderately expected, or unexpected. The influence on the patients' treatment was divided into four groups from major to no influence. Results. In all, 71.6% of the studies had a highly expected outcome. Moderately expected or unexpected outcomes were noted in 36.6% of 500 pathologic examinations. Unexpected outcome was noted in 11.6% of all studies. The radiologic outcome influenced treatment in 65.4% of patients where pathology was demonstrated. Patients with normal or incidental findings had treatment influenced in 1/3 of the cases. Unexpected findings influenced treatment more than moderately expected findings. When radiological findings were highly expected, treatment was influenced in less than half of the cases. Surprisingly few chest radiology examinations were commented upon in the medical records

  8. A 350 ka record of climate change from Lake El'gygytgyn, Far East Russian Arctic: refining the pattern of climate modes by means of cluster analysis

    Directory of Open Access Journals (Sweden)

    U. Frank

    2013-07-01

    Full Text Available Rock magnetic, biochemical and inorganic records of the sediment cores PG1351 and Lz1024 from Lake El'gygytgyn, Chukotka peninsula, Far East Russian Arctic, were subject to a hierarchical agglomerative cluster analysis in order to refine and extend the pattern of climate modes as defined by Melles et al. (2007. Cluster analysis of the data obtained from both cores yielded similar results, differentiating clearly between the four climate modes warm, peak warm, cold and dry, and cold and moist. In addition, two transitional phases were identified, representing the early stages of a cold phase and slightly colder conditions during a warm phase. The statistical approach can thus be used to resolve gradual changes in the sedimentary units as an indicator of available oxygen in the hypolimnion in greater detail. Based upon cluster analyses on core Lz1024, the published succession of climate modes in core PG1351, covering the last 250 ka, was modified and extended back to 350 ka. Comparison to the marine oxygen isotope (δ18O stack LR04 (Lisiecki and Raymo, 2005 and the summer insolation at 67.5° N, with the extended Lake El'gygytgyn parameter records of magnetic susceptibility (κLF, total organic carbon content (TOC and the chemical index of alteration (CIA; Minyuk et al., 2007, revealed that all stages back to marine isotope stage (MIS 10 and most of the substages are clearly reflected in the pattern derived from the cluster analysis.

  9. Chip based electroanalytical systems for cell analysis

    DEFF Research Database (Denmark)

    Spegel, C.; Heiskanen, A.; Skjolding, L.H.D.

    2008-01-01

    ' measurements of processes related to living cells, i.e., systems without lysing the cells. The focus is on chip based amperometric and impedimetric cell analysis systems where measurements utilizing solely carbon fiber microelectrodes (CFME) and other nonchip electrode formats, such as CFME for exocytosis...

  10. An Interoperable Electronic Medical Record-Based Platform for Personalized Predictive Analytics

    Science.gov (United States)

    Abedtash, Hamed

    2017-01-01

    Precision medicine refers to the delivering of customized treatment to patients based on their individual characteristics, and aims to reduce adverse events, improve diagnostic methods, and enhance the efficacy of therapies. Among efforts to achieve the goals of precision medicine, researchers have used observational data for developing predictive…

  11. Installation Restoration Program Records Search for Holloman Air Force Base, New Mexico

    Science.gov (United States)

    1983-08-01

    track, the salt-tolerant arroyo and springs communities, and the extensive horticultural plantings on the base proper. The primary aquatic habitats on...since 1980. Primate research activities conducted in the past include cancer risk, drug therapy , disease studies and the evaluation of automobile

  12. An integrable, web-based solution for easy assessment of video-recorded performances

    DEFF Research Database (Denmark)

    Subhi, Yousif; Todsen, Tobias; Konge, Lars

    2014-01-01

    , and access to this information should be restricted to select personnel. A local software solution may also ease the need for customization to local needs and integration into existing user databases or project management software. We developed an integrable web-based solution for easy assessment of video...

  13. Quantitative reconstruction of the last interglacial vegetation and climate based on the pollen record from Lake Baikal, Russia

    Energy Technology Data Exchange (ETDEWEB)

    Tarasov, P. [Free University, Institute of Geological Sciences, Palaeontology Department, Berlin (Germany); Granoszewski, W. [Polish Geological Institute, Carpathian Branch, Krakow (Poland); Bezrukova, E.; Abzaeva, A. [Siberian Branch Russian Academy of Sciences, Institute of Geochemistry, Irkutsk (Russian Federation); Brewer, S. [CEREGE CNRS/University P. Cezanne, UMR 6635, BP80, Aix-en-Provence (France); Nita, M. [University of Silesia, Faculty of Earth Sciences, Sosnowiec (Poland); Oberhaensli, H. [GeoForschungsZentrum, Potsdam (Germany)

    2005-11-01

    Changes in mean temperature of the coldest (T{sub c}) and warmest month (T{sub w}), annual precipitation (P{sub ann}) and moisture index ({alpha}) were reconstructed from a continuous pollen record from Lake Baikal, Russia. The pollen sequence CON01-603-2 (53 57'N, 108 54'E) was recovered from a 386 m water depth in the Continent Ridge and dated to ca. 130-114.8 ky BP. This time interval covers the complete last interglacial (LI), corresponding to MIS 5e. Results of pollen analysis and pollen-based quantitative biome reconstruction show pronounced changes in the regional vegetation throughout the record. Shrubby tundra covered the area at the beginning of MIS 5e (ca. 130-128 ky), consistent with the end of the Middle Pleistocene glaciation. The late glacial climate was characterised by low winter and summer temperatures (T{sub c}{proportional_to} -38 to -35 C and T{sub w}{proportional_to}11-13 C) and low annual precipitation (