WorldWideScience

Sample records for monitoring telephone support

  1. Is age a factor in the success or failure of remote monitoring in heart failure? Telemonitoring and structured telephone support in elderly heart failure patients.

    Science.gov (United States)

    Inglis, Sally C; Conway, Aaron; Cleland, John Gf; Clark, Robyn A

    2015-06-01

    There are few data regarding the effectiveness of remote monitoring for older people with heart failure. We conducted a post-hoc sub-analysis of a previously published large Cochrane systematic review and meta-analysis of relevant randomized controlled trials to determine whether structured telephone support and telemonitoring were effective in this population. A post hoc sub-analysis of a systematic review and meta-analysis that applied the Cochrane methodology was conducted. Meta-analyses of all-cause mortality, all-cause hospitalizations and heart failure-related hospitalizations were performed for studies where the mean or median age of participants was 70 or more years. The mean or median age of participants was 70 or more years in eight of the 16 (n=2659/5613; 47%) structured telephone support studies and four of the 11 (n=894/2710; 33%) telemonitoring studies. Structured telephone support (RR 0.80; 95% CI=0.63-1.00) and telemonitoring (RR 0.56; 95% CI=0.41-0.76) interventions reduced mortality. Structured telephone support interventions reduced heart failure-related hospitalizations (RR 0.81; 95% CI=0.67-0.99). Despite a systematic bias towards recruitment of individuals younger than the epidemiological average into the randomized controlled trials, older people with heart failure did benefit from structured telephone support and telemonitoring. These post-hoc sub-analysis results were similar to overall effects observed in the main meta-analysis. While further research is required to confirm these observational findings, the evidence at hand indicates that discrimination by age alone may be not be appropriate when inviting participation in a remote monitoring service for heart failure. © The European Society of Cardiology 2014.

  2. Interactive water monitoring system accessible by cordless telephone

    Science.gov (United States)

    Volpicelli, Richard; Andeweg, Pierre; Hagar, William G.

    1985-12-01

    A battery-operated, microcomputer-controlled monitoring device linked with a cordless telephone has been developed for remote measurements. This environmental sensor is self-contained and collects and processes data according to the information sent to its on-board computer system. An RCA model 1805 microprocessor forms the basic controller with a program encoded in memory for data acquisition and analysis. Signals from analog sensing devices used to monitor the environment are converted into digital signals and stored in random access memory of the microcomputer. This remote sensing system is linked to the laboratory by means of a cordless telephone whose base unit is connected to regular telephone lines. This offshore sensing system is simply accessed by a phone call originating from a computer terminal in the laboratory. Data acquisition is initiated upon request: Information continues to be processed and stored until the computer is reprogrammed by another phone call request. Information obtained may be recalled by a phone call after the desired environmental measurements are finished or while they are in progress. Data sampling parameters may be reset at any time, including in the middle of a measurement cycle. The range of the system is limited only by existing telephone grid systems and by the transmission characteristics of the cordless phone used as a communications link. This use of a cordless telephone, coupled with the on-board computer system, may be applied to other field studies requiring data transfer between an on-site analytical system and the laboratory.

  3. Telephone Crisis Support Workers' Psychological Distress and Impairment.

    Science.gov (United States)

    Kitchingman, Taneile A; Wilson, Coralie J; Caputi, Peter; Wilson, Ian; Woodward, Alan

    2018-01-01

    In order to respond to crises with appropriate intervention, crisis workers are required to manage their own needs as well as the needs of those they respond to. A systematic review of the literature was conducted to examine whether telephone crisis support workers experience elevated symptoms of psychological distress and are impaired by elevated symptoms. Studies were identified in April 2015 by searching three databases, conducting a gray literature search, and forward and backward citation chaining. Of 113 identified studies, seven were included in the review. Results suggest that that telephone crisis support workers experience symptoms of vicarious traumatization, stress, burnout, and psychiatric disorders, and that they may not respond optimally to callers when experiencing elevated symptoms of distress. However, definitive conclusions cannot be drawn due to the paucity and methodological limitations of available data. While the most comprehensive search strategy possible was adopted, resource constraints meant that conference abstracts were not searched and authors were not contacted for additional unpublished information. There is an urgent need to identify the impact of telephone crisis support workers' role on their well-being, the determinants of worker well-being in the telephone crisis support context, and the extent to which well-being impacts their performance and caller outcomes. This will help inform strategies to optimize telephone crisis support workers' well-being and their delivery of support to callers.

  4. Applicability of structured telephone monitoring to follow up heart ...

    African Journals Online (AJOL)

    Over 90% of the contacted patients gave valuable information regarding their clinical status. Conclusion: Majority of HF patients can be contacted and provide valuable clinical information through mobile phones within a month post discharge from the national hospital in Tanzania. Structured telephone monitoring could be ...

  5. Applicability of structured telephone monitoring to follow up heart ...

    African Journals Online (AJOL)

    Pilly Chillo

    Keywords: heart failure, structured telephone, home monitoring, Tanzania ... in a parallel increase in HF admissions and a major impact on health care systems. ... was entered in Statistical Package for Social Sciences (SPSS) version 20 software for analysis. ..... Failure (DIAL): study design and preliminary observations.

  6. Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research.

    Science.gov (United States)

    Hunt, Tara; Wilson, Coralie J; Woodward, Alan; Caputi, Peter; Wilson, Ian

    2018-01-01

    Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this perspective article identifies key challenges facing current telephone crisis support research and proposes that understanding of the role of telephone crisis helplines in supporting suicidal men may be strengthened by careful examination of the context of telephone crisis support, together with the impact this has on help-provision for male suicidal callers. In particular, the impact of the time- and information-poor context of telephone crisis support on crisis-line staff's identification of, and response to, male callers with thoughts of suicide is examined. Future directions for research in the provision of telephone crisis support for suicidal men are discussed.

  7. Personal health monitoring - exploiting the power of the personal telephone.

    Science.gov (United States)

    Hannan, Amir

    2015-11-01

    Many health issues that we currently face are related to our lifestyle choices. Educating patients can help them to make better informed health decisions. The internet and smartphones, mobile telephones that perform many of the functions of a computer, are becoming more accessible to the majority of the population. Applications on smartphones and professional health websites can signpost patients to trusted information and allow them to co-produce records. Empowering patients, staff and organizations through enabling access to records and understanding, building a partnership trust and the use of social media can enable people to do more and hopefully improve outcomes. In this article, I describe the steps we have taken to facilitate such interactions within our own primary care practice and the response of patients to these initiatives. © The Author(s) 2015.

  8. Telephone Crisis Support Workers' Intentions to Use Recommended Skills While Experiencing Functional Impairment.

    Science.gov (United States)

    Kitchingman, Taneile A; Wilson, Coralie J; Woodward, Alan; Caputi, Peter; Wilson, Ian

    2018-05-01

    Empathic engagement with distressed others can lead to elevated symptoms of psychological distress and functional impairment, which preclude helping professionals' delivery of optimal patient care. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. This study examined the relationship between functional impairment and intentions to use recommended support skills in a representative national sample of 210 telephone crisis support workers. Participants completed an online survey including measures of functional impairment and intentions to use recommended telephone crisis support skills with callers reporting suicidal ideation, symptoms of depression, and anxiety. As a group, participants who experienced greater functional impairment during the past month reported significantly lower intentions to use recommended support skills with callers than those who reported lower functional impairment. Future research is needed to clarify the extent to which results generalize to telephone crisis support workers from other organizations. Results warrant further research to (a) identify determinants of telephone crisis support workers' functional impairment, and (b) for the deliberate management of telephone crisis support workers' functional impairment through developing and/or modifying existing service strategies to optimize workers' psychological well-being and delivery of support to callers.

  9. A method for assessing fidelity of delivery of telephone behavioral support for smoking cessation.

    Science.gov (United States)

    Lorencatto, Fabiana; West, Robert; Bruguera, Carla; Michie, Susan

    2014-06-01

    Behavioral support for smoking cessation is delivered through different modalities, often guided by treatment manuals. Recently developed methods for assessing fidelity of delivery have shown that face-to-face behavioral support is often not delivered as specified in the service treatment manual. This study aimed to extend this method to evaluate fidelity of telephone-delivered behavioral support. A treatment manual and transcripts of 75 audio-recorded behavioral support sessions were obtained from the United Kingdom's national Quitline service and coded into component behavior change techniques (BCTs) using a taxonomy of 45 smoking cessation BCTs. Interrater reliability was assessed using percentage agreement. Fidelity was assessed by comparing the number of BCTs identified in the manual with those delivered in telephone sessions by 4 counselors. Fidelity was assessed according to session type, duration, counselor, and BCT. Differences between self-reported and actual BCT use were examined. Average coding reliability was high (81%). On average, 41.8% of manual-specified BCTs were delivered per session (SD = 16.2), with fidelity varying by counselor from 32% to 49%. Fidelity was highest in pre-quit sessions (46%) and for BCT "give options for additional support" (95%). Fidelity was lowest for quit-day sessions (35%) and BCT "set graded tasks" (0%). Session duration was positively correlated with fidelity (r = .585; p reliably coded in terms of BCTs. This can be used to assess fidelity to treatment manuals and to in turn identify training needs. The observed low fidelity underlines the need to establish routine procedures for monitoring delivery of behavioral support. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  10. Testing a Model of Functional Impairment in Telephone Crisis Support Workers.

    Science.gov (United States)

    Kitchingman, Taneile A; Wilson, Coralie J; Caputi, Peter; Wilson, Ian; Woodward, Alan

    2017-11-01

    It is well known that helping professionals experience functional impairment related to elevated symptoms of psychological distress as a result of frequent empathic engagement with distressed others. Whether telephone crisis support workers are impacted in a similar way is not currently reported in the literature. The purpose of this study was to test a hypothesized model of factors contributing to functional impairment in telephone crisis support workers. A national sample of 210 telephone crisis support workers completed an online survey including measures of emotion regulation, symptoms of general psychological distress and suicidal ideation, intentions to seek help for symptoms, and functional impairment. Structural equation modeling was used to test the fit of the data to the hypothesized model. Goodness-of-fit indices were adequate and supported the interactive effects of emotion regulation, general psychological distress, suicidal ideation, and intentions to seek help for ideation on functional impairment. These results warrant the deliberate management of telephone crisis support workers' impairment through service selection, training, supervision, and professional development strategies. Future research replicating and extending this model will further inform the modification and/or development of strategies to optimize telephone crisis support workers' well-being and delivery of support to callers.

  11. Supporting Family Carers Through Telephone-Mediated Group Programs: Opportunities For Gerontological Social Workers.

    Science.gov (United States)

    Shanley, Chris

    2008-01-01

    Telephone-mediated group programs are an important but under-utilized medium for reaching frail or disabled older persons' family carers who are in need of support. The primary purpose and style of group programs can range across a broad spectrum–encompassing educational, supportive and therapeutic types. Gerontological social workers are the members of the multidisciplinary care team whose training, experience and supervision makes them most suitable for facilitating this broad range of group types. Drawing on the experience of training a number of group facilitators, this article provides suggestions for social workers contemplating the use of telephone-mediated groups and highlights groupwork skills peculiar to conducting group programs via the telephone.

  12. A method for assessing fidelity of delivery of telephone behavioral support for smoking cessation

    OpenAIRE

    Lorencatto, F.; West, R.; Bruguera, C.; Michie, S.

    2014-01-01

    Objectives: Behavioral support for smoking cessation is delivered through different modalities, often guided by treatment manuals. Recently developed methods for assessing fidelity of delivery have shown that face-to-face behavioral support is often not delivered as specified in the service treatment manual. This study aimed to extend this method to evaluate fidelity of telephone-delivered behavioral support. \\ud \\ud Method: A treatment manual and transcripts of 75 audio-recorded behavioral s...

  13. Structured telephone support or non-invasive telemonitoring for patients with heart failure.

    Science.gov (United States)

    Inglis, Sally C; Clark, Robyn A; Dierckx, Riet; Prieto-Merino, David; Cleland, John G F

    2015-10-31

    Specialised disease management programmes for heart failure aim to improve care, clinical outcomes and/or reduce healthcare utilisation. Since the last version of this review in 2010, several new trials of structured telephone support and non-invasive home telemonitoring have been published which have raised questions about their effectiveness. To review randomised controlled trials (RCTs) of structured telephone support or non-invasive home telemonitoring compared to standard practice for people with heart failure, in order to quantify the effects of these interventions over and above usual care. We updated the searches of the Cochrane Central Register of Controlled Trials (CENTRAL), Database of Abstracts of Reviews of Effects (DARE), Health Technology AsseFssment Database (HTA) on the Cochrane Library; MEDLINE (OVID), EMBASE (OVID), CINAHL (EBSCO), Science Citation Index Expanded (SCI-EXPANDED), Conference Proceedings Citation Index- Science (CPCI-S) on Web of Science (Thomson Reuters), AMED, Proquest Theses and Dissertations, IEEE Xplore and TROVE in January 2015. We handsearched bibliographies of relevant studies and systematic reviews and abstract conference proceedings. We applied no language limits. We included only peer-reviewed, published RCTs comparing structured telephone support or non-invasive home telemonitoring to usual care of people with chronic heart failure. The intervention or usual care could not include protocol-driven home visits or more intensive than usual (typically four to six weeks) clinic follow-up. We present data as risk ratios (RRs) with 95% confidence intervals (CIs). Primary outcomes included all-cause mortality, all-cause and heart failure-related hospitalisations, which we analysed using a fixed-effect model. Other outcomes included length of stay, health-related quality of life, heart failure knowledge and self care, acceptability and cost; we described and tabulated these. We performed meta-regression to assess homogeneity (the

  14. The MRC dyspnoea scale by telephone interview to monitor health status in elderly COPD patients.

    Science.gov (United States)

    Paladini, Luciana; Hodder, Rick; Cecchini, Isabella; Bellia, Vincenzo; Incalzi, Raffaele Antonelli

    2010-07-01

    Dyspnoea is the most common symptom associated with poor quality of life in patients affected by Chronic Obstructive Pulmonary Disease (COPD). While COPD severity is commonly staged by lung function, the Medical Research Council (MRC) dyspnoea scale has been proposed as a more clinically meaningful method of quantifying disease severity in COPD. We wished to assess whether this scale might also be useful during telephone surveys as a simple surrogate marker of perceived health status in elderly patients with COPD. We conducted a comprehensive health status assessment by telephone survey of 200 elderly patients who had a physician diagnosis of COPD. The telephone survey contained 71 items and explored such domains as educational level, financial status, living arrangements and social contacts, co-morbid illness, and the severity and the impact of COPD on health status. Patients were categorized according to the reported MRC score: mild dyspnoea (MRC scale of 1), moderate dyspnoea (MRC scale of 2 and 3), or severe dyspnoea (MRC of 4 and 5). Deterioration in most of the recorded indicators of health status correlated with an increasingly severe MRC score. This was most evident for instrumental activities of daily living (IADL), perceived health and emotional status, pain-related limitations, limitations in social life, hospital admissions in preceding year and prevalence of most co-morbidities. The MRC dyspnoea scale is a reliable index of disease severity and health status in elderly COPD patients which should prove useful for remote monitoring of COPD and for rating health status for epidemiological purposes.

  15. Patterns of Signs That Telephone Crisis Support Workers Associate with Suicide Risk in Telephone Crisis Line Callers.

    Science.gov (United States)

    Hunt, Tara; Wilson, Coralie; Caputi, Peter; Wilson, Ian; Woodward, Alan

    2018-01-30

    Signs of suicide are commonly used in suicide intervention training to assist the identification of those at imminent risk for suicide. Signs of suicide may be particularly important to telephone crisis-line workers (TCWs), who have little background information to identify the presence of suicidality if the caller is unable or unwilling to express suicidal intent. Although signs of suicide are argued to be only meaningful as a pattern, there is a paucity of research that has examined whether TCWs use patterns of signs to decide whether a caller might be suicidal, and whether these are influenced by caller characteristics such as gender. The current study explored both possibilities. Data were collected using an online self-report survey in a Australian sample of 137 TCWs. Exploratory factor analysis uncovered three patterns of suicide signs that TCWs may use to identify if a caller might be at risk for suicide (mood, hopelessness, and anger), which were qualitatively different for male and female callers. These findings suggest that TCWs may recognise specific patterns of signs to identify suicide risk, which appear to be influenced to some extent by the callers' inferred gender. Implications for the training of telephone crisis workers and others including mental-health and medical professionals, as well as and future research in suicide prevention are discussed.

  16. Telephone-administered psychotherapy for depression in MS patients: moderating role of social support.

    Science.gov (United States)

    Beckner, Victoria; Howard, Isa; Vella, Lea; Mohr, David C

    2010-02-01

    Depression is common in individuals with multiple sclerosis (MS). While psychotherapy is an effective treatment for depression, not all individuals benefit. We examined whether baseline social support might differentially affect treatment outcome in 127 participants with MS and depression randomized to either Telephone-administered Cognitive-Behavioral Therapy (T-CBT) or Telephone-administered Emotion-Focused Therapy (T-EFT). We predicted that those with low social support would improve more in T-EFT, since this approach emphasizes the therapeutic relationship, while participants with strong social networks and presumably more emotional resources might fare better in the more structured and demanding T-CBT. We found that both level of received support and satisfaction with that support at baseline did moderate treatment outcome. Individuals with high social support showed a greater reduction in depressive symptoms in the T-CBT as predicted, but participants with low social support showed a similar reduction in both treatments. This suggests that for participants with high social support, CBT may be a more beneficial treatment for depression compared with EFT.

  17. A Trial of Telephone Support Services to Prevent Further Intimate Partner Violence.

    Science.gov (United States)

    Stevens, Jack; Scribano, Philip V; Marshall, Jessica; Nadkarni, Radha; Hayes, John; Kelleher, Kelly J

    2015-12-01

    We conducted a randomized-controlled trial of telephone support services (TSS) versus enhanced usual care (EUC) for women who had reported intimate partner violence (IPV) within the past year during a visit to a pediatric emergency department. TSS nurse interventionists identified appropriate referrals to community programs, helped participants by problem-solving barriers to obtaining these local services, and provided social support. Three hundred women, ages 18 years and above were recruited. The TSS and EUC groups did not differ on any outcome variable, including IPV victimization, feelings of chronic vulnerability to a perpetrator, depressive symptoms, and posttraumatic stress disorder symptoms. © The Author(s) 2015.

  18. Easing reintegration: telephone support groups for spouses of returning Iraq and Afghanistan service members.

    Science.gov (United States)

    Nichols, Linda Olivia; Martindale-Adams, Jennifer; Graney, Marshall J; Zuber, Jeffrey; Burns, Robert

    2013-01-01

    Spouses of returning Iraq (Operation Iraqi Freedom, OIF) and Afghanistan (Operation Enduring Freedom, OEF) military service members report increased depression and anxiety post deployment as they work to reintegrate the family and service member. Reconnecting the family, renegotiating roles that have shifted, reestablishing communication patterns, and dealing with mental health concerns are all tasks that spouses must undertake as part of reintegration. We tested telephone support groups focusing on helping spouses with these basic reintegration tasks. Year-long telephone support groups focused on education, skills building (communication skills, problem solving training, cognitive behavioral techniques, stress management), and support. Spouse depression and anxiety were decreased and perceived social support was increased during the course of the study. In subgroup analyses, spouses with husbands whose injuries caused care difficulties had a positive response to the intervention. However, they were more likely to be depressed, be anxious, and have less social support compared to participants who had husbands who had no injury or whose injury did not cause care difficulty. Study findings suggest that this well-established, high-access intervention can help improve quality of life for military spouses who are struggling with reintegration of the service member and family.

  19. Telephone audit for monitoring stroke unit facilities: a post hoc analysis from PROSIT study.

    Science.gov (United States)

    Candelise, Livia; Gattinoni, Monica; Bersano, Anna

    2015-01-01

    Although several valid approaches exist to measure the number and the quality of acute stroke units, only few studies tested their reliability. This study is aimed at establishing whether the telephone administration of the PROject of Stroke unIt ITaly (PROSIT) audit questionnaire is reliable compared with direct face-to-face interview. Forty-three medical leaders in charge of in-hospital stroke services were interviewed twice using the same PROSIT questionnaire with 2 different modalities. First, the interviewers approached the medical leaders by telephone. Thereafter, they went to the hospital site and performed a direct face-to-face interview. Six independent couples of trained researchers conducted the audit interviews. The degree of intermodality agreement was measured with kappa statistic. We found a perfect agreement for stroke units identification between the 2 different audit modalities (K = 1.00; standard error [SE], 1.525). The agreement was also very good for stroke dedicated beds (K = 1.00; SE, 1.525) and dedicated personnel (K = 1.00; SE, 1.525), which are the 2 components of stroke unit definition. The agreement was lower for declared in use process of care and availability of diagnostic investigations. The telephone audit can be used for monitoring stroke unit structures. It is more rapid, less expensive, and can repeatedly be used at appropriate intervals. However, a reliable description of the process of care and diagnostic investigations indicators should be obtained by either local site audit visit or prospective stroke register based on individual patient data. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  20. Influenza like illness monitoring in adults of the State Capitals and Federal District in Brazil by telephone survey.

    Science.gov (United States)

    Reis, Priscilleyne Ouverney; Iser, Betine Pinto Moehlecke; Souza, Líbia Roberta de Oliveira; Yokota, Renata Tiene de Carvalho; de Almeida, Walquiria Aparecida Ferreira; Bernal, Regina Tomie Ivata; Malta, Deborah Carvalho; de Oliveira, Wanderson Kleber; Penna, Gerson Oliveira

    2011-09-01

    In order to estimate the prevalence of influenza like illness (ILI) in adults from all state capitals and geographic regions in Brazil, a periodical monitoring of ILI cases by the national telephone survey (VIGITEL) was carried out in 2010. A cross-sectional study with 47,876 telephone interviews in the state capitals and Federal District, a probabilistic sample of adult population (>18 years-old) with landline telephone. Questions concerning the results of ILI cases and pandemic influenza (H1N1) 2009, from January 10 to November 30, were analyzed. The proportion of cases stratified by sociodemographic characteristics and Brazilian geographic region was weighted with data from the National Survey with Household Sampling (PNAD) 2008. The prevalence of ILI cases in the last 30 days before interview was 31.2% (95%CI 30.2-32.2%) for all state capitals and the Federal District. This prevalence was higher among women, young adults (18 to 29 years-old) and individuals with 9 to 11 years of schooling. According to the geographic region analysis, Northern Brazil presented the highest prevalence of ILI cases. A tendency to increase with further decrease was observed among the geographic regions, except the Northeast. Need for health care assistance was reported by 26.8% (95%CI 25.1-28.5) from ILI cases. Among ILI cases that sought health care assistance, 2.6% (95%CI 1.8-3.4) reported pandemic influenza (H1N1) 2009 medical suspicion. The results of this survey supported influenza surveillance as it provided timeliness and useful surveillance information, which were not captured by the traditional surveillance system, as the occurrence of ILI and need of health care assistance.

  1. [Telephone support for breastfeeding by primary care: a randomised multicentre trial].

    Science.gov (United States)

    Balaguer Martínez, Josep Vicent; Valcarce Pérez, Inmaculada; Esquivel Ojeda, Jessica Noelia; Hernández Gil, Alicia; Martín Jiménez, María Del Pilar; Bernad Albareda, Mercè

    2018-03-22

    To evaluate a telephone support programme for mothers who breastfeed for the first 6 months. A randomised unmasked clinical trial was conducted in 5 urban Primary Care centres that included mothers with healthy newborns who were breastfeeding exclusively (EBF) or partially (PBF). The control group received the usual care. The intervention group also received telephone support for breastfeeding on a weekly basis for the first 2months and then every 2weeks until the sixth month. The type of breastfeeding was recorded in the usual check-up visit (1, 2, 4 and 6 months). The study included 193 patients in the intervention group, and 187 in a control group. The greatest increase in the percentage of EBF was observed at 6 months: 21.4% in the control group compared to 30.1% in the intervention group. However, in the adjusted odds ratios analysis, confidence intervals did not show statistical significance. The odds ratio at 1 month, 2 months, 4 months, and 6 months for EBF were 1.45 (0.91-2.31), 1.35 (0.87-2.08), 1.21 (0.80-1.81), and 1.58 (0.99-2.53), respectively. The odds ratio in the same age groups for any type of breastfeeding (EBF + PBF) were 1.65 (0.39-7.00), 2.08 (0.94-4.61), 1.37 (0.79-2.38), and 1.60 (0.98-2.61), respectively. Telephone intervention was not effective enough to generalise it. Copyright © 2018. Publicado por Elsevier España, S.L.U.

  2. Aligning everyday life priorities with people's self-management support networks: an exploration of the work and implementation of a needs-led telephone support system.

    Science.gov (United States)

    Blickem, Christian; Kennedy, Anne; Jariwala, Praksha; Morris, Rebecca; Bowen, Robert; Vassilev, Ivaylo; Brooks, Helen; Blakeman, Tom; Rogers, Anne

    2014-06-17

    Recent initiatives to target the personal, social and clinical needs of people with long-term health conditions have had limited impact within primary care. Evidence of the importance of social networks to support people with long-term conditions points to the need for self-management approaches which align personal circumstances with valued activities. The Patient-Led Assessment for Network Support (PLANS) intervention is a needs-led assessment for patients to prioritise their health and social needs and provide access to local community services and activities. Exploring the work and practices of patients and telephone workers are important for understanding and evaluating the workability and implementation of new interventions. Qualitative methods (interviews, focus group, observations) were used to explore the experience of PLANS from the perspectives of participants and the telephone support workers who delivered it (as part of an RCT) and the reasons why the intervention worked or not. Normalisation Process Theory (NPT) was used as a sensitising tool to evaluate: the relevance of PLANS to patients (coherence); the processes of engagement (cognitive participation); the work done for PLANS to happen (collective action); the perceived benefits and costs of PLANS (reflexive monitoring). 20 patients in the intervention arm of a clinical trial were interviewed and their telephone support calls were recorded and a focus group with 3 telephone support workers was conducted. Analysis of the interviews, support calls and focus group identified three themes in relation to the delivery and experience of PLANS. These are: formulation of 'health' in the context of everyday life; trajectories and tipping points: disrupting everyday routines; precarious trust in networks. The relevance of these themes are considered using NPT constructs in terms of the work that is entailed in engaging with PLANS, taking action, and who is implicated this process. PLANS gives scope to align

  3. Proposal for the award of an industrial support contract for operation of the CERN telephone system

    CERN Document Server

    1999-01-01

    This document concerns the award of an industrial support contract for operation of the CERN telephone system. Following a market survey carried out among 22 firms in eight Member States, a call for tenders (IT-2655/ST) was sent on 27 August 1999 to three firms and two consortia in four Member States. By the closing date, CERN had received three tenders from one firm and two consortia in three Member States. The Finance Committee is invited to agree to the negotiation of a contract with the consortium MERROW (UK) ? DCS (CH) the lowest bidder, for an initial period of three years from 1st January 2000, for a total amount not exceeding 850 000 Swiss francs, not subject to revision until 31 December 2000. The contract will include an option for two one-year extensions beyond the initial three-year period.

  4. Life Support Systems: Environmental Monitoring

    Data.gov (United States)

    National Aeronautics and Space Administration — The Advanced Exploration Systems (AES) Life Support Systems project Environmental Monitoring (EM) systems task objectives are to develop and demonstrate onboard...

  5. PhysioDirect: Supporting physiotherapists to deliver telephone assessment and advice services within the context of a randomised trial

    Science.gov (United States)

    Bishop, Annette; Gamlin, Jill; Hall, Jeanette; Hopper, Cherida; Foster, Nadine E.

    2013-01-01

    Physiotherapy-led telephone assessment and advice services for patients with musculoskeletal problems have been developed in many services in the UK, but high quality trial data on clinical and cost effectiveness has been lacking. In order to address this ‘The PhysioDirect trial’ (ISRCTN55666618), was a pragmatic randomised trial of a PhysioDirect telephone assessment and advice service. This paper describes the PhysioDirect system used in the trial and how physiotherapists were trained and supported to use the system and deliver the PhysioDirect service. The PhysioDirect system used in the trial was developed in Huntingdon and now serves a population of 350,000 people. When initiating or providing physiotherapy-led telephone assessment and advice services training and support for physiotherapists delivering care in this way is essential. An enhanced skill set is required for telephone assessment and advice particularly in listening and communication skills. In addition to an initial training programme, even experienced physiotherapists benefit from a period of skill consolidation to become proficient and confident in assessing patients and delivering care using the telephone. A computer-based system assists the delivery of a physiotherapy-led musculoskeletal assessment and advice service. Clinical Trials Registration Number (ISRCTN55666618). PMID:23219629

  6. Report on a Program Evaluation of a Telephone Assisted Parenting Support Service for Families Living in Isolated Rural Areas.

    Science.gov (United States)

    Cann, Warren; Rogers, Helen; Worley, Greg

    2003-01-01

    This brief report evaluates a pilot project to deliver a telephone supported, self-directed parenting program to isolated families. The aim of the project was to promote the competence and confidence of parents experiencing early difficulties. Significant improvements were noted in child behavior, parenting style, parental depression, anxiety, and…

  7. Telephone helplines as a source of support for eating disorders: Service user, carer, and health professional perspectives.

    Science.gov (United States)

    Prior, Amie-Louise; Woodward, Debbie; Hoefkens, Toni; Clayton, Debbie; Thirlaway, Katie; Limbert, Caroline

    2018-01-01

    Access to care for eating disorders can be problematic for numerous reasons including lack of understanding and delays with treatment referrals. Previous research has highlighted the benefits of telephone helplines as an accessible source of support for those who may not wish to access face-to-face support or to fill a gap for those waiting for treatment. This study aimed to gain an insight into the perspectives of those who may use or refer others to a telephone helpline in order to identify the requirements of such a service. Triangulation of service user, carer and health professionals' perspectives resulted in identification of themes relating to the type of support, delivery and practicalities of a helpline. The findings indicated that telephone helplines may offer numerous benefits for individuals with an eating disorder, whether accessed as a first step, alongside treatment or as an extension of this support when in recovery. Additionally helplines may provide an opportunity for carers to access information and discuss their own experiences, while supporting their loved one. Raising awareness of these services is important to encourage those affected by an eating disorder to access and make the most of this type of support. These findings offer an insight into the key requirements for new and existing service development with regard to both the type of support and the method of communication required by individuals with eating disorders.

  8. The effectiveness of telephone counselling and internet- and text-message-based support for smoking cessation

    DEFF Research Database (Denmark)

    Skov-Ettrup, Lise S; Dalum, Peter; Bech, Mickael

    2016-01-01

    counselling group compared with the booklet group (7.3% vs. 3.6%, OR=2.2 (95% CI 1.2-4.0)), There was no clear evidence of a difference in prolonged abstinence between the reactive telephone counselling group or the internet-based smoking cessation program and the booklet group: 1.8% vs. 3.6%, OR=0.8 (95% CI...... 0.6-1.2) and 5.3% vs. 3.6%, OR=1.6 (95% CI 0.8-3.0) respectively. In the proactive telephone counselling group, the cost per additional 12-month quitter compared with the booklet group was £644. CONCLUSIONS: Proactive telephone counselling was more effective than a self-help booklet in achieving......AIM: To compare the effectiveness of proactive telephone counselling, reactive telephone counselling and an internet- and text messages-based intervention with a self-help booklet for smoking cessation. DESIGN: A randomised controlled trial with equal allocation to four conditions: 1) Proactive...

  9. Individualized guidance and telephone monitoring in a self-supervised home-based physiotherapeutic program in Parkinson

    Directory of Open Access Journals (Sweden)

    Ihana Thaís Guerra de Oliveira Gondim

    Full Text Available Abstract Introduction: Home therapeutic exercises have been a target of interest in the treatment of the Parkinson's disease (PD. The way that the physical therapist guides and monitors these exercises can impact the success of therapy. Objective: To evaluate the effects of individualized orientation and monitoring by telephone in a self-supervised home therapeutic exercise program on signs and symptoms of PD and quality of life (QoL. Methods: Single-blind randomized clinical trials with 28 people with PD (Hoehn and Yahr 1 to 3. Patients were randomized into two groups: experimental and control. The experimental group had a meeting with individualized guidance about physiotherapy exercises present in a manual, received the manual to guide their activities at home and obtained subsequent weekly monitoring by telephone. The control group received the usual cares by the service. Both were orientated to carry out exercises three times a week during 12 weeks. Was evaluated: (1 activities of daily living (ADL and motor examination sections of the Unified Parkinson's Disease Rating Scale (UPDRS and QoL by the Parkinson Disease Questionnaire 39 (PDQ-39. The analysis between groups was performed by the Mann-Whitney test and intragroup through the Wilcoxon (p < 0.05. Results: Significant improvement in ADL (p= 0.001 and motor examination (p= 0.0008 of the UPDRS, PDQ-39 total (p = 0.027 and dimensions mobility (p = 0.027, emotional well-being (p= 0.021 and bodily discomfort (p = 0.027 in the experimental group compared to the control group. Conclusion: The individualized guidance and weekly monitoring by telephone in a self-supervised home therapeutic exercises program promoted positive effects on ADL, motor examination and QoL of people in early stages of PD.

  10. Rehabilitation after THR: Telephone interview and individual support versus visits in outpatient clinic

    DEFF Research Database (Denmark)

    Hørdam, Britta

    2011-01-01

    . Participating patients were allocated to a control group or an intervention group after discharge. The intervention group had telephone-interviews and individual counseling 2 and 8 months after THR, and the control group had conventional visit in outpatient clinic 3 months after THR. Outcome: Patients......Results from a RCT carried out from 2006 to 2007 including 180 patients aged 65 years and over based on patients´ self-rated health and by using telephone interviews and individual counseling as intervention 2 and 10 weeks after discharge had a significant improvement in patients´ self-rated health...... by using SF-36 scores within 3 months after surgery, whereas the control group had improvement after 9 months. Both groups had SF-36 filled out preoperatively and 3, 6 and 9 months after THR. In a new study a sub group was identified by having a reduction in general health during 12 months postoperatively...

  11. Computer and telephone delivered interventions to support caregivers of people with dementia: a systematic review of research output and quality

    Directory of Open Access Journals (Sweden)

    Amy Waller

    2017-11-01

    Full Text Available Abstract Background To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia. Methods Medline, EMBASE, CINAHL and Cochrane databases were searched (Jan 1990 – Dec 2016. Eligible papers were classified as data-based descriptive, measurement or intervention studies. Intervention studies were first categorised according to mode of delivery (e.g. telephone, computer; then assessed against the Effective Practice and Organisation of Care (EPOC methodological criteria for research design. Impact on health-related outcomes; and the acceptability, feasibility and utilisation of interventions were also assessed. Results The number of publications increased by 13% each year (p < 0.001. Half were descriptive studies (n = 92, 50% describing caregiver views on acceptability, access or utilization of technology. The remainder (n = 89, 48% reported on interventions designed to improve caregiver outcomes. Only 34 met EPOC design criteria. Interventions were delivered via computer (n = 10, multiple modalities (n = 9 or telephone (n = 15. Interventions that incorporated various elements of psycho-education, peer support, skills training and health assessments led to improvements in caregiver wellbeing. While largely acceptable, utilisation of computer-based interventions was variable, with use often decreasing over time. Conclusion Interventions delivered via telephone and computer have the potential to augment existing dementia care. High-quality trials are required to make clear recommendations about the types of interventions that are most effective. Those that provide caregivers with: access to practical strategies to manage care of the person with dementia and their own wellbeing, advice and support from peers and/or clinicians; and that target the dyad should be explored.

  12. The relationship between geographic remoteness and intentions to use a telephone support service among Australian men following radical prostatectomy.

    Science.gov (United States)

    Corboy, Denise; McLaren, Suzanne; Jenkins, Megan; McDonald, John

    2014-11-01

    The objective is to investigate the influence of characteristics related to place of residence (self-reliance and stoicism) on men's intentions to use a telephone support service following radical prostatectomy. A community sample of 447 prostate cancer patients (31% response), recruited via Medicare Australia, completed a survey to assess levels of self-reliance and stoicism, and beliefs about addressing emotional distress through using telephone support services. Results indicated that the model was a partially mediated model. Geographic remoteness was directly related to intention, and indirectly related through stoicism and subjective norms. Men from rural and remote areas in Australia might face particular challenges in seeking support following treatment for prostate cancer. These challenges appear to relate to the influence of stoic attitudes and normative expectations, than to issues of access and availability. Addressing stoic attitudes in the clinical setting, through normalising emotional reactions to cancer diagnosis and treatment, and the act of help-seeking for emotional support, may be beneficial. Copyright © 2014 John Wiley & Sons, Ltd.

  13. Parenting program versus telephone support for Mexican parents of children with acquired brain injury: A blind randomized controlled trial.

    Science.gov (United States)

    Chávez, Clara; Catroppa, Cathy; Hearps, Stephen J C; Yáñez-Téllez, Guillermina; Prieto-Corona, Belén; de León, Miguel A; García, Antonio; Sandoval-Lira, Lucero; Anderson, Vicki

    2017-09-01

    Acquired brain injury (ABI) during childhood typically causes behavior problems in the child and high levels of stress in the family. The aims of this study are: (1) to investigate the effectiveness and feasibility of a parenting intervention in improving behavior and self-regulation in Mexican children with ABI compared to telephone support; (2) to investigate the effectiveness and feasibility of a parenting intervention in improving parenting skills, parent self-efficacy and decreasing parental stress in parents of children with ABI compared to telephone support. Our secondary aims are (1) to explore the impact that parent characteristics have on the intervention outcomes; (2) to investigate if changes are maintained 3 months after the intervention. The research design is a blind randomized controlled trial (RCT). Eligible participants include children with a diagnosis of ABI, between 6 and 12 years of age, and their parents. Sixty-six children and their parents will be randomly allocated to either a parenting program group or telephone support group. The parenting program involves six face-to-face weekly group sessions of 2.5 h each. Participants in the control group receive an information sheet with behavioral strategies, and six weekly phone calls, in which strategies to improve academic skills are provided. Children and their parents are evaluated by blind assessors before the intervention, immediately after the intervention and 3-months post-intervention. This study will be the first to evaluate the efficacy and feasibility of a parenting program for Mexican parents of children with ABI. ACTRN12617000360314.

  14. Internet delivered transdiagnostic treatment with telephone support for pain patients with emotional comorbidity: a replicated single case study

    Directory of Open Access Journals (Sweden)

    Matilda Wurm

    2017-12-01

    Full Text Available In pain patients, comorbid emotional problems have been linked to negative outcomes, including suboptimal treatment gains. Developing parsimonious and accessible treatment options is therefore important. The overarching aim of this study was to test an internet delivered therapist guided transdiagnostic treatment with telephone support. An adapted version of the Unified Protocol for Transdiagnostic Treatments of Emotional Disorders was used as an intervention for pain patients with residual pain problems and comorbid emotional problems after having received a multimodal pain rehabilitation. The study used a replicated AB single case experimental design (N = 5; 3 females. Outcome measures were depressive and general anxiety symptoms, pain intensity, pain coping problems, and diagnostic status. Feasibility measures (completion and compliance and patient satisfaction were also assessed. Scores on Nonoverlap of All Pairs (NAP indicate a decrease of anxiety for three participants and a decrease of depression for four participants. Decreases were small and did not always reach statistical significance. Also, Tau-U scores could only confirm a reliable trend for one participant. Two out of four patients who were diagnosed with psychiatric disorders before treatment did no longer fulfill diagnostic criteria posttreatment. No improvements could be seen on pain problems. The treatment was feasible and patient satisfaction was high. Hence, while an internet delivered transdiagnostic treatment with telephone support may be a feasible and accepted secondary intervention for pain patients with comorbid emotional problems, the effects are unclear. The gap between high patient satisfaction and small changes in symptomatology should be explored further.

  15. Telephone Service

    CERN Multimedia

    2005-01-01

    As part of the upgrade of telephone services, the CERN exchange switches will be updated on Thursday 2 June between 7.00 p.m. and midnight. Telephone services may be affected and possibly even disrupted during this operation. 

  16. The use of telephone monitoring for diabetic patients: theory and practical implications

    Directory of Open Access Journals (Sweden)

    Koutsouris D

    2014-03-01

    Full Text Available Dimitris Koutsouris,1 Athina Lazakidou,2 Elefteria Vellidou,1 Dimitra Iliopoulou,1 Maria Petridou,3 Georgia Koutsouri,1 Kostas Giokas,1 Dimitrios Fotiadis4 1National Technical University of Athens, School of Electrical and Computer Engineering, Biomedical Engineering Laboratory, Zografou, Athens, Greece; 2University of Peloponnese, Faculty of Human Movement and Quality of Life Sciences, Department of Nursing, Sparta, Greece; 3The University of Nottingham, School of Computer Science and IT, Jubilee Campus, Nottingham, UK; 4Unit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, Ioannina, Greece Abstract: Over the last 30 years, diabetes mellitus has changed from being seen as a relatively mild ailment associated with aging and the elderly ("just a touch of sugar" to one of the major contemporary causes of premature mortality and morbidity in most countries. In virtually every developed society, diabetes is ranked among the leading causes of blindness, renal failure, and lower limb amputation. Through its effects on cardiovascular disease (70%–80% of people with diabetes die of cardiovascular disease, it is also now one of the leading causes of death. Even diabetes mellitus seems to be dealt with due to innovative information and communication technologies, along with new forms of service delivery organization such as home care and remote monitoring. This paper provides a review of the innovative concept of using mobile phones for diabetes monitoring starting with a brief introduction, continuing with an analysis of health and lifestyle related data that record the patient–health-professional's interaction and decision making, and concluding with a general discussion section followed by an extended bibliography. Keywords: diabetes mellitus, mobile telephony, remote monitoring, text messaging, internet, coaching

  17. The effect of telephone support on depressive symptoms among HIV-infected pregnant women in Thailand: an embedded mixed methods study.

    Science.gov (United States)

    Ross, Ratchneewan; Sawatphanit, Wilaiphan; Suwansujarid, Tatirat; Stidham, Andrea W; Drew, Barbara L; Creswell, John W

    2013-01-01

    Depressive symptoms negatively impact the lives of HIV-infected individuals and are correlated with faster progression to AIDS. Our embedded mixed methods study examined and described the effects of telephone support on depressive symptoms in a sample of HIV-infected pregnant Thai women. HIV-infected pregnant Thai women (n = 40) were randomly assigned to either the control or the intervention group. A registered nurse provided telephone support to the intervention group. Depressive symptoms were measured at three points in both groups. In-depth interviews were conducted at Time 2 and Time 3. Results show that depressive symptoms in the intervention group decreased over time. Qualitative results describe how telephone support can work, but also reveal that telephone support did not work for everyone. We recommend that a larger mixed methods study be conducted to examine the effects of telephone support on depressive symptoms among HIV-infected women, including the costs and benefits of such support. Copyright © 2013 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  18. Effects of Nurse-Led Telephone-Based Supportive Interventions for Patients With Cancer: A Meta-Analysis.

    Science.gov (United States)

    Suh, Soon-Rim; Lee, Myung Kyung

    2017-07-01

    To evaluate the effects of nurse-led telephone-based supportive interventions (NTSIs) for patients with cancer.
. Electronic databases, including EMBASE®, MEDLINE, Google Scholar, 
Cochrane Library CENTRAL, ProQuest Medical Library, and CINAHL®, were searched through February 2016.
. 239 studies were identified; 16 were suitable for meta-analysis. Cochrane's risk of bias tool and the Comprehensive Meta-Analysis software were used.
. The authors performed a meta-analysis of 16 trials that met eligibility criteria. Thirteen randomized, controlled trials (RCTs) and three non-RCTs examined a total of 2,912 patients with cancer. Patients who received NTSIs were compared with those who received attentional control or usual care (no intervention).
. Telephone interventions delivered by a nurse in an oncology care setting reduced cancer symptoms with a moderate effect size (ES) (-0.33) and emotional distress with a small ES (-0.12), and improved self-care with a large ES (0.64) and health-related quality of life (HRQOL) with a small ES (0.3). Subgroup analyses indicated that the significant effects of NTSIs on cancer symptoms, emotional distress, and HRQOL were larger for studies that combined an application of a theoretical framework, had a control group given usual care, and used an RTC design.
. The findings suggest that an additional tiered evaluation that has a theoretical underpinning and high-quality methodology is required to confirm the efficacy of NTSI for adoption of specific care models.

  19. Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial.

    Science.gov (United States)

    McKay, James R; Gustafson, David H; Ivey, Megan; McTavish, Fiona; Pe-Romashko, Klaren; Curtis, Brenda; Oslin, David A; Polsky, Daniel; Quanbeck, Andrew; Lynch, Kevin G

    2018-01-30

    New smartphone communication technology provides a novel way to provide personalized continuing care support following alcohol treatment. One such system is the Addiction version of the Comprehensive Health Enhancement Support System (A-CHESS), which provides a range of automated functions that support patients. A-CHESS improved drinking outcomes over standard continuing care when provided to patients leaving inpatient treatment. Effective continuing care can also be delivered via telephone calls with a counselor. Telephone Monitoring and Counseling (TMC) has demonstrated efficacy in two randomized trials with alcohol-dependent patients. A-CHESS and TMC have complementary strengths. A-CHESS provides automated 24/7 recovery support services and frequent assessment of symptoms and status, but does not involve regular contact with a counselor. TMC provides regular and sustained contact with the same counselor, but no ongoing support between calls. The future of continuing care for alcohol use disorders is likely to involve automated mobile technology and counselor contact, but little is known about how best to integrate these services. To address this question, the study will feature a 2 × 2 design (A-CHESS for 12 months [yes/no] × TMC for 12 months [yes/no]), in which 280 alcohol-dependent patients in intensive outpatient programs (IOPs) will be randomized to one of the four conditions and followed for 18 months. We will determine whether adding TMC to A-CHESS produces fewer heavy drinking days than TMC or A-CHESS alone and test for TMC and A-CHESS main effects. We will determine the costs of each of the four conditions and the incremental cost-effectiveness of the three active conditions. Analyses will also examine secondary outcomes, including a biological measure of alcohol use, and hypothesized moderation and mediation effects. The results of the study will yield important information on improving patient alcohol use outcomes by integrating mobile

  20. Monitoring of risk and protective factors for chronic non communicable diseases by telephone survey in Brazilian State Capitals, 2008.

    Science.gov (United States)

    Malta, Deborah Carvalho; da Silva, Sara Araújo; de Oliveira, Patrícia Pereira Vasconcelos; Iser, Betine Pinto Moehlecke; Bernal, Regina Tomie Ivata; Sardinha, Luciana Monteiro Vasconcelos; Moura, Lenildo de

    2012-09-01

    To estimate the prevalence of protective and risk factors for the most important chronic non communicable diseases in all Brazilian capitals, including the Federal District. Data used were collected in 2008 through VIGITEL, an ongoing population-based telephone survey surveillance system implemented in all Brazilian State capitals since 2006. In 2008, over 54,000 interviews were completed over the phone with a random sample of individuals living in all 27 capitals. The analyses showed differences in the prevalence of determinants of chronic diseases by demographic characteristics such as gender, age and schooling. Men were more likely to be current smokers, overweight, and consumers of soft drinks, fatty meat and alcohol. They were also more likely to be more active in leisure. Women reported being more likely to eat healthy, but also were more likely to have a physician diagnosis of high blood pressure, dyslipidemia, osteoporosis and overall poor health status. In general, the prevalence of risk factors studied increased with decreasing levels of schooling. The VIGITEL system was implemented to monitor changes in the prevalence of determinants of chronic diseases over time to inform public health workers and decision makers to adjust existing programs and policies according to the changing profile of consumers. The ultimate goal is to improve the health of the Brazilian population.

  1. Adherence to a Telephone-Supported Depression Self-Care Intervention for Adults With Chronic Physical Illnesses

    Directory of Open Access Journals (Sweden)

    Russell Simco

    2015-02-01

    Full Text Available We assessed adherence to and predictors of two components of a telephone-supported self-care intervention for depression among primary care adults aged 40 and above with chronic physical illnesses and comorbid depressive symptoms. Participants received a “toolkit” containing six self-care tools. Trained lay self-care “coaches” negotiated a contact schedule of up to weekly contacts. Study outcomes were levels of completion of the self-care tool and the coach contacts at the 2-month follow-up. Coaches reported the number of completed contacts. In all, 57 of 63 participants completed the 2-month follow-up. Of these, 67% completed at least 1 tool; the mean number of coach contacts was 5.7 (SD = 2.4 of a possible 9 contacts (63% adherence. Higher disease comorbidity and lower initial depression severity independently predicted better tool adherence. Findings suggest that people with chronic physical illnesses can achieve acceptable levels of adherence to a depression self-care intervention similar to those reported for other populations.

  2. A randomized control trial of the effect of negotiated telephone support on glycaemic control in young people with Type 1 diabetes

    DEFF Research Database (Denmark)

    Howells, L.; Wilson, A. C.; Skinner, T. C.

    2002-01-01

    Aim: To evaluate changes in self-efficacy for self-management in young people with Type 1 diabetes participating in a 'Negotiated Telephone Support' (NTS) intervention developed using the principles of problem solving and social learning theory. Methods: One-year RCT with 79 young people (male 39...

  3. Does Brief Telephone Support Improve Engagement With a Web-Based Weight Management Intervention? Randomized Controlled Trial

    OpenAIRE

    Dennison, Laura; Morrison, Leanne; Lloyd, Scott; Phillips, Dawn; Stuart, Beth; Williams, Sarah; Bradbury, Katherine; Roderick, Paul; Murray, Elizabeth; Michie, Susan; Little, Paul; Yardley, Lucy

    2014-01-01

    Background Recent reviews suggest Web-based interventions are promising approaches for weight management but they identify difficulties with suboptimal usage. The literature suggests that offering some degree of human support to website users may boost usage and outcomes. Objective We disseminated the POWeR (“Positive Online Weight Reduction”) Web-based weight management intervention in a community setting. POWeR consisted of weekly online sessions that emphasized self-monitoring, goal-settin...

  4. Feasibility and Acceptability of a Web-Based Treatment with Telephone Support for Postpartum Women With Anxiety: Randomized Controlled Trial.

    Science.gov (United States)

    Ashford, Miriam T; Olander, Ellinor K; Rowe, Heather; Fisher, Jane Rw; Ayers, Susan

    2018-04-20

    Postpartum anxiety can have adverse effects on the mother and child if left untreated. Time constraints and stigma are common barriers to postpartum treatment. Web-based treatments offer potential flexibility and anonymity. What Am I Worried About (WaWa) is a self-guided treatment based on cognitive-behavioral and mindfulness principles for women experiencing postpartum anxiety. WaWa was developed in Australia and consists of 9 modules with optional weekly telephone support. WaWa was adapted to a Web-based version for use in England (Internet-based What Am I Worried About, iWaWa). This study aimed to investigate the feasibility (engagement and usability) and acceptability (usefulness, satisfaction, and helpfulness) of iWaWa among English postpartum women with anxiety. Postpartum (parenting styles. Despite interest in iWaWa, the results suggest that both the study and iWaWa were not feasible in the current format. However, this first trial provides useful evidence about treatment format and content preferences that can inform iWaWa's future development, as well as research and development of Web-based postpartum anxiety treatments, in general, to optimize adherence. ClinicalTrials.gov NCT02434406; https://clinicaltrials.gov/ct2/show/NCT02434406 (Archived by WebCite at http://www.webcitation.org/6xTq7Bwmd). ©Miriam T Ashford, Ellinor K Olander, Heather Rowe, Jane RW Fisher, Susan Ayers. Originally published in JMIR Mental Health (http://mental.jmir.org), 20.04.2018.

  5. 1What do first-time mothers worry about? A study of usage patterns and content of calls made to a postpartum support telephone hotline

    Directory of Open Access Journals (Sweden)

    Naassan Georges

    2010-10-01

    Full Text Available Abstract Background Telephone hotlines designed to address common concerns in the early postpartum could be a useful resource for parents. Our aim was to test the feasibility of using a telephone as an intervention in a randomized controlled trial. We also aimed to test to use of algorithms to address parental concerns through a telephone hotline. Methods Healthy first-time mothers were recruited from postpartum wards of hospitals throughout Lebanon. Participants were given the number of a 24-hour telephone hotline that they could access for the first four months after delivery. Calls were answered by a midwife using algorithms developed by the study team whenever possible. Callers with medical complaints were referred to their physicians. Call patterns and content were recorded and analyzed. Results Eighty-four of the 353 women enrolled (24% used the hotline. Sixty percent of the women who used the service called more than once, and all callers reported they were satisfied with the service. The midwife received an average of three calls per day and most calls occurred during the first four weeks postpartum. Our algorithms were used to answer questions in 62.8% of calls and 18.6% of calls required referral to a physician. Of the questions related to mothers, 66% were about breastfeeding. Sixty percent of questions related to the infant were about routine care and 23% were about excessive crying. Conclusions Utilization of a telephone hotline service for postpartum support is highest in the first four weeks postpartum. Most questions are related to breastfeeding, routine newborn care, and management of a fussy infant. It is feasible to test a telephone hotline as an intervention in a randomized controlled trial. Algorithms can be developed to provide standardized answers to the most common questions.

  6. Monitoring support system for nuclear power plant

    International Nuclear Information System (INIS)

    Higashikawa, Yuichi; Kubota, Rhuji; Tanaka, Keiji; Takano, Yoshiyuki

    1996-01-01

    The nuclear power plants in Japan reach to 49 plants and supply 41.19 million kW in their installed capacities, which is equal to about 31% of total electric power generation and has occupied an important situation as a stable energy supplying source. As an aim to keeping safe operation and working rate of the power plants, various monitoring support systems using computer technology, optical information technology and robot technology each advanced rapidly in recent year have been developed to apply to the actual plants for a plant state monitoring system of operators in normal operation. Furthermore, introduction of the emergent support system supposed on accidental formation of abnormal state of the power plants is also investigated. In this paper, as a monitoring system in the recent nuclear power plants, design of control panel of recent central control room, introduction to its actual plant and monitoring support system in development were described in viewpoints of improvement of human interface, upgrade of sensor and signal processing techniques, and promotion of information service technique. And, trend of research and development of portable miniature detector and emergent monitoring support system are also introduced in a viewpoint of labor saving and upgrade of the operating field. (G.K.)

  7. Monitoring and life-support devices

    International Nuclear Information System (INIS)

    Noback, C.R.; Murphy, C.H.

    1987-01-01

    The radiographic and physical principles involved in interpreting films, and some of the altered anatomy and pathology that may be seen on such films, are discussed. This chapter considers the radiographic appearances of monitoring and life-support devices. Appropriate positioning and function are shown, as are some of the complications associated with their placement and/or function

  8. Mums 4 Mums: structured telephone peer-support for women experiencing postnatal depression. Pilot and exploratory RCT of its clinical and cost effectiveness

    Directory of Open Access Journals (Sweden)

    McKenzie-McHarg Kirstie

    2011-03-01

    Full Text Available Abstract Background Postnatal depression (PND can be experienced by 13% of women who give birth, and such women often exhibit disabling symptoms, which can have a negative effect on the mother and infant relationship, with significant consequences in terms of the child's later capacity for affect regulation. Research has shown that providing support to mothers experiencing PND can help reduce their depressive symptoms and improve their coping strategies. The Mums4Mums study aims to evaluate the impact of telephone peer-support for women experiencing PND. Methods/Design The study design adopts the MRC framework for the development and evaluation of complex interventions. Health visitors in Warwickshire and Coventry Primary Care Trusts are screening potential participants at the 8-week postnatal check using either the Edinburgh Postnatal Depression Scale (EPDS > = 10 or the three Whooley questions recommended by NICE (http://guidance.nice.org.uk/CG45. The Mums4Mums telephone support intervention is being delivered by trained peer-supporters over a period of four months. The primary outcome is depressive symptomatology as measured by the Edinburgh Postnatal Depression Scale. Secondary outcomes include mother-child interaction, dyadic adjustment, parenting sense of competence scale, and self-efficacy. Maternal perceptions of the telephone peer-support are being assessed using semi-structured interviews following the completion of the intervention. Discussion The proposed study will develop current innovative work in peer-led support interventions and telecare by applying existing expertise to a new domain (i.e. PND, testing the feasibility of a peer-led telephone intervention for mothers living with PND, and developing the relationship between the lay and clinical communities. The intervention will potentially benefit a significant number of patients and support a future application for a larger study to undertake a full evaluation of the clinical

  9. Comparative effectiveness trial of family-supported smoking cessation intervention versus standard telephone counseling for chronically ill veterans using proactive recruitment

    Directory of Open Access Journals (Sweden)

    Bastian LA

    2012-09-01

    Full Text Available Lori A Bastian,1–3 Laura J Fish,4 Jennifer, M Gierisch,3,5 Lesley D Rohrer,3 Karen M Stechuchak,3 Steven C Grambow3,61Veterans Affairs Connecticut, West Haven, CT, USA; 2Department of Medicine, University of Connecticut Health Center, Farmington, CT, USA; 3Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA; 4Duke Comprehensive Cancer Center, 5Department of Medicine, 6Department of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC, USAObjectives: Smoking cessation among patients with chronic medical illnesses substantially decreases morbidity and mortality. Chronically ill veteran smokers may benefit from interventions that assist them in harnessing social support from family and friends.Methods: We proactively recruited veteran smokers who had cancer, cardiovascular disease, or other chronic illnesses (diabetes, chronic obstructive pulmonary disease, hypertension and randomized them to either standard telephone counseling or family-supported telephone counseling focused on increasing support for smoking cessation from family and friends. Participants each received a letter from a Veterans Affairs physician encouraging them to quit smoking, a self-help cessation kit, five telephone counseling sessions, and nicotine replacement therapy, if not contraindicated. The main outcome was 7-day point prevalent abstinence at 5 months.Results: We enrolled 471 participants with mean age of 59.2 (standard deviation [SD] = 7.9 years. 53.0% were white, 8.5% were female, and 55.4% were married/living as married. Overall, 42.9% had cardiovascular disease, 34.2% had cancer, and 22.9% had other chronic illnesses. At baseline, participants were moderately dependent on cigarettes as measured by the Heaviness of Smoking Index (mean = 2.8, SD = 1.6, expressed significant depressive symptoms as measured by the Center for Epidemiological Studies Depression scale (54.8% > 10, and

  10. Clinical decision support improves quality of telephone triage documentation--an analysis of triage documentation before and after computerized clinical decision support.

    Science.gov (United States)

    North, Frederick; Richards, Debra D; Bremseth, Kimberly A; Lee, Mary R; Cox, Debra L; Varkey, Prathibha; Stroebel, Robert J

    2014-03-20

    Clinical decision support (CDS) has been shown to be effective in improving medical safety and quality but there is little information on how telephone triage benefits from CDS. The aim of our study was to compare triage documentation quality associated with the use of a clinical decision support tool, ExpertRN©. We examined 50 triage documents before and after a CDS tool was used in nursing triage. To control for the effects of CDS training we had an additional control group of triage documents created by nurses who were trained in the CDS tool, but who did not use it in selected notes. The CDS intervention cohort of triage notes was compared to both the pre-CDS notes and the CDS trained (but not using CDS) cohort. Cohorts were compared using the documentation standards of the American Academy of Ambulatory Care Nursing (AAACN). We also compared triage note content (documentation of associated positive and negative features relating to the symptoms, self-care instructions, and warning signs to watch for), and documentation defects pertinent to triage safety. Three of five AAACN documentation standards were significantly improved with CDS. There was a mean of 36.7 symptom features documented in triage notes for the CDS group but only 10.7 symptom features in the pre-CDS cohort (p < 0.0001) and 10.2 for the cohort that was CDS-trained but not using CDS (p < 0.0001). The difference between the mean of 10.2 symptom features documented in the pre-CDS and the mean of 10.7 symptom features documented in the CDS-trained but not using was not statistically significant (p = 0.68). CDS significantly improves triage note documentation quality. CDS-aided triage notes had significantly more information about symptoms, warning signs and self-care. The changes in triage documentation appeared to be the result of the CDS alone and not due to any CDS training that came with the CDS intervention. Although this study shows that CDS can improve documentation, further study is needed

  11. Cost-effectiveness analysis of telephone-based support for the management of pressure ulcers in people with spinal cord injury in India and Bangladesh.

    Science.gov (United States)

    Arora, M; Harvey, L A; Glinsky, J V; Chhabra, H S; Hossain, M S; Arumugam, N; Bedi, P K; Cameron, I D; Hayes, A J

    2017-08-15

    To determine from a societal perspective the cost-effectiveness and cost-utility of telephone-based support for management of pressure ulcers. Cost-effectiveness and cost-utility analysis of a randomised clinical trial. Tertiary centre in India and Bangladesh. An economic evaluation was conducted alongside a randomised clinical trial comparing 12 weeks of telephone-based support (intervention group) with usual care (control group). The analyses evaluated costs and health outcomes in terms of cm 2 reduction of pressure ulcers size and quality-adjusted life years (QALYs) gained. All costs were in Indian Rupees (INR) and then converted to US dollars (USD). The mean (95% confidence interval) between-group difference for the reduction in size of pressure ulcers was 0.53 (-3.12 to 4.32) cm 2 , favouring the intervention group. The corresponding QALYs were 0.027 (0.004-0.051), favouring the intervention group. The mean total cost per participant in the intervention group was INR 43 781 (USD 2460) compared to INR 42 561 (USD 2391) for the control group. The per participant cost of delivering the intervention was INR 2110 (USD 119). The incremental cost-effectiveness ratio was INR 2306 (USD 130) per additional cm 2 reduction in the size of the pressure ulcer and INR 44 915 (USD 2523) per QALY gained. In terms of QALYs, telephone-based support to help people manage pressure ulcers at home provides good value for money and has an 87% probability of being cost-effective, based on 3 times gross domestic product. Sensitivity analyses were performed using the overall cost data with and without productivity costs, and did not alter this conclusion.Spinal Cord advance online publication, 15 August 2017; doi:10.1038/sc.2017.87.

  12. The impact of using computer decision-support software in primary care nurse-led telephone triage: interactional dilemmas and conversational consequences.

    Science.gov (United States)

    Murdoch, Jamie; Barnes, Rebecca; Pooler, Jillian; Lattimer, Valerie; Fletcher, Emily; Campbell, John L

    2015-02-01

    Telephone triage represents one strategy to manage demand for face-to-face GP appointments in primary care. Although computer decision-support software (CDSS) is increasingly used by nurses to triage patients, little is understood about how interaction is organized in this setting. Specifically any interactional dilemmas this computer-mediated setting invokes; and how these may be consequential for communication with patients. Using conversation analytic methods we undertook a multi-modal analysis of 22 audio-recorded telephone triage nurse-caller interactions from one GP practice in England, including 10 video-recordings of nurses' use of CDSS during triage. We draw on Goffman's theoretical notion of participation frameworks to make sense of these interactions, presenting 'telling cases' of interactional dilemmas nurses faced in meeting patient's needs and accurately documenting the patient's condition within the CDSS. Our findings highlight troubles in the 'interactional workability' of telephone triage exposing difficulties faced in aligning the proximal and wider distal context that structures CDSS-mediated interactions. Patients present with diverse symptoms, understanding of triage consultations, and communication skills which nurses need to negotiate turn-by-turn with CDSS requirements. Nurses therefore need to have sophisticated communication, technological and clinical skills to ensure patients' presenting problems are accurately captured within the CDSS to determine safe triage outcomes. Dilemmas around how nurses manage and record information, and the issues of professional accountability that may ensue, raise questions about the impact of CDSS and its use in supporting nurses to deliver safe and effective patient care. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. Impact of a goal setting and decision support telephone coaching intervention on diet, psychosocial, and decision outcomes among people with type 2 diabetes.

    Science.gov (United States)

    Swoboda, Christine M; Miller, Carla K; Wills, Celia E

    2017-07-01

    Evaluate a 16-week decision support and goal-setting intervention to compare diet quality, decision, and diabetes-related outcomes to a control group. Adults with type 2 diabetes (n=54) were randomly assigned to an intervention or control group. Intervention group participants completed one in-person motivational interviewing and decision support session followed by seven biweekly telephone coaching calls. Participants reported previous goal attempts and set diet- and/or physical activity-related goals during coaching calls. Control group participants received information about local health care resources on the same contact schedule. There was a significant difference between groups for diabetes empowerment (p=0.045). A significant increase in diet quality, diabetes self-efficacy, and diabetes empowerment, and a significant decrease in diabetes distress and depressive symptoms (all p≤0.05) occurred in the intervention group. Decision confidence to achieve diet-related goals significantly improved from baseline to week 8 but then declined at study end (both p≤0.05). Setting specific diet-related goals may promote dietary change, and telephone coaching can improve psychosocial outcomes related to diabetes self-management. Informed shared decision making can facilitate progressively challenging yet attainable goals tailored to individuals' lifestyle. Decision coaching may empower patients to improve self-management practices and reduce distress. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Comparison of Cardiopulmonary Resuscitation Quality Between Standard Versus Telephone-Basic Life Support Training Program in Middle-Aged and Elderly Housewives: A Randomized Simulation Study.

    Science.gov (United States)

    Kim, Tae Han; Lee, Yu Jin; Lee, Eui Jung; Ro, Young Sun; Lee, KyungWon; Lee, Hyeona; Jang, Dayea Beatrice; Song, Kyoung Jun; Shin, Sang Do; Myklebust, Helge; Birkenes, Tonje Søraas

    2018-02-01

    For cardiac arrests witnessed at home, the witness is usually a middle-aged or older housewife. We compared the quality of cardiopulmonary resuscitation (CPR) performance of bystanders trained with the newly developed telephone-basic life support (T-BLS) program and those trained with standard BLS (S-BLS) training programs. Twenty-four middle-aged and older housewives without previous CPR education were enrolled and randomized into two groups of BLS training programs. The T-BLS training program included concepts and current instruction protocols for telephone-assisted CPR, whereas the S-BLS training program provided training for BLS. After each training course, the participants simulated CPR and were assisted by a dispatcher via telephone. Cardiopulmonary resuscitation quality was measured and recorded using a mannequin simulator. The primary outcome was total no-flow time (>1.5 seconds without chest compression) during simulation. Among 24 participants, two (8.3%) who experienced mechanical failure of simulation mannequin and one (4.2%) who violated simulation protocols were excluded at initial simulation, and two (8.3%) refused follow-up after 6 months. The median (interquartile range) total no-flow time during initial simulation was 79.6 (66.4-96.9) seconds for the T-BLS training group and 147.6 (122.5-184.0) seconds for the S-BLS training group (P trained with the T-BLS training program showed shorter no-flow time and fewer interruptions during bystander CPR simulation assisted by a dispatcher.

  15. Telephone and Face-to-Face Interviews with Low-Income Males with Child Care Responsibilities Support Inclusion as a Target Audience in SNAP-Ed.

    Science.gov (United States)

    Krall, Jodi Stotts; Wamboldt, Patricia; Lohse, Barbara

    2015-06-01

    Federally funded nutrition programs mostly target females. Changes in family dynamics suggest low-income men have an important role in food management responsibilities. The purpose of this study was to inform nutrition education program planning to meet needs of lower-income males. Cross-sectional telephone and face-to-face interviews. Stratified random sample of men (n = 101), 18-59 years of age, with child care responsibilities, living in households participating in the Supplemental Nutrition Assistance Program and a convenience sample of adult males (n = 25) recruited from lower income venues. (1) Scripted telephone interviews about health status, eating behaviors, eating competence, food security, technology usage and topics and strategies for nutrition education. (2) In-person cognitive interviews during review of selected online nutrition education lessons. Nutrition education topics of interest, preferred educational strategies, influences on and barriers to intake, eating competence, critiques of online program content, graphics, format. Bivariate correlations, independent t tests, one-way analysis of variance or Chi square, as appropriate. Thematic analyses of cognitive interviews. Of telephone interviewees, 92.1% prepared meals/snacks for children and 54.5% made major household food decisions. Taste was the greatest influence on food selection and the greatest barrier to eating healthful foods. Topics of highest interest were "which foods are best for kids" and "how to eat more healthy foods." Preferred nutrition education strategies included online delivery. Online lessons were highly rated. Interactive components were recognized as particularly appealing; enhanced male centricity of lessons was supported. Findings provided compelling evidence for including needs specific to low-income males when planning, designing, and funding nutrition education programs.

  16. The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients.

    Science.gov (United States)

    De Greef, Karlijn P; Deforche, Benedicte I; Ruige, Johannes B; Bouckaert, Jacques J; Tudor-Locke, Catrine E; Kaufman, Jean-Marc; De Bourdeaudhuij, Ilse M

    2011-08-01

    Effectiveness of a behavioral modification program on physical activity (PA) and sedentary behavior in diabetes patients. Ninety-two patients were randomly assigned to an intervention or control group. The 24-weeks intervention consisted of a face-to-face session, pedometer and seven telephone follow-ups. Mean selection criteria were 35-75 years; 25-35 kg/m(2); ≤ 12% HbA1c, treated for type 2 diabetes; no PA limitations. PA and sedentary behavior were measured by pedometer, accelerometer and questionnaire over the short- (24 weeks) and intermediate- (1 year) term. The intervention group increased their steps/day by 2744, their total PA by 23 min/day (pbehavior by 23 min/day (pbehavior (pbehavioral modification program with telephone support showed lasting positive effects on steps/day, PA and sedentary behavior. This study tested a convenient way to increase PA among type 2 diabetes patients. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  17. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps in a Medicaid managed care plan: study protocol

    Directory of Open Access Journals (Sweden)

    Ratanawongsa Neda

    2012-01-01

    Full Text Available Abstract Background Health information technology can enhance self-management and quality of life for patients with chronic disease and overcome healthcare barriers for patients with limited English proficiency. After a randomized controlled trial of a multilingual automated telephone self-management support program (ATSM improved patient-centered dimensions of diabetes care in safety net clinics, we collaborated with a nonprofit Medicaid managed care plan to translate research into practice, offering ATSM as a covered benefit and augmenting ATSM to promote medication activation. This paper describes the protocol of the Self-Management Automated and Real-Time Telephonic Support Project (SMARTSteps. Methods/Design This controlled quasi-experimental trial used a wait-list variant of a stepped wedge design to enroll 362 adult health plan members with diabetes who speak English, Cantonese, or Spanish and receive care at 4 publicly-funded clinics. Through language-stratified randomization, participants were assigned to four intervention statuses: SMARTSteps-ONLY, SMARTSteps-PLUS, or wait-list for either intervention. In addition to usual primary care, intervention participants received 27 weekly calls in their preferred language with rotating queries and response-triggered education about self-care, medication adherence, safety concerns, psychological issues, and preventive services. Health coaches from the health plan called patients with out-of-range responses for collaborative goal setting and action planning. SMARTSteps-PLUS also included health coach calls to promote medication activation, adherence and intensification, if triggered by ATSM-reported non-adherence, refill non-adherence from pharmacy claims, or suboptimal cardiometabolic indicators. Wait-list patients crossed-over to SMARTSteps-ONLY or -PLUS at 6 months. For participants who agreed to structured telephone interviews at baseline and 6 months (n = 252, primary outcomes will be

  18. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol

    Science.gov (United States)

    2012-01-01

    Background Health information technology can enhance self-management and quality of life for patients with chronic disease and overcome healthcare barriers for patients with limited English proficiency. After a randomized controlled trial of a multilingual automated telephone self-management support program (ATSM) improved patient-centered dimensions of diabetes care in safety net clinics, we collaborated with a nonprofit Medicaid managed care plan to translate research into practice, offering ATSM as a covered benefit and augmenting ATSM to promote medication activation. This paper describes the protocol of the Self-Management Automated and Real-Time Telephonic Support Project (SMARTSteps). Methods/Design This controlled quasi-experimental trial used a wait-list variant of a stepped wedge design to enroll 362 adult health plan members with diabetes who speak English, Cantonese, or Spanish and receive care at 4 publicly-funded clinics. Through language-stratified randomization, participants were assigned to four intervention statuses: SMARTSteps-ONLY, SMARTSteps-PLUS, or wait-list for either intervention. In addition to usual primary care, intervention participants received 27 weekly calls in their preferred language with rotating queries and response-triggered education about self-care, medication adherence, safety concerns, psychological issues, and preventive services. Health coaches from the health plan called patients with out-of-range responses for collaborative goal setting and action planning. SMARTSteps-PLUS also included health coach calls to promote medication activation, adherence and intensification, if triggered by ATSM-reported non-adherence, refill non-adherence from pharmacy claims, or suboptimal cardiometabolic indicators. Wait-list patients crossed-over to SMARTSteps-ONLY or -PLUS at 6 months. For participants who agreed to structured telephone interviews at baseline and 6 months (n = 252), primary outcomes will be changes in quality of life and

  19. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol.

    Science.gov (United States)

    Ratanawongsa, Neda; Handley, Margaret A; Quan, Judy; Sarkar, Urmimala; Pfeifer, Kelly; Soria, Catalina; Schillinger, Dean

    2012-01-26

    Health information technology can enhance self-management and quality of life for patients with chronic disease and overcome healthcare barriers for patients with limited English proficiency. After a randomized controlled trial of a multilingual automated telephone self-management support program (ATSM) improved patient-centered dimensions of diabetes care in safety net clinics, we collaborated with a nonprofit Medicaid managed care plan to translate research into practice, offering ATSM as a covered benefit and augmenting ATSM to promote medication activation. This paper describes the protocol of the Self-Management Automated and Real-Time Telephonic Support Project (SMARTSteps). This controlled quasi-experimental trial used a wait-list variant of a stepped wedge design to enroll 362 adult health plan members with diabetes who speak English, Cantonese, or Spanish and receive care at 4 publicly-funded clinics. Through language-stratified randomization, participants were assigned to four intervention statuses: SMARTSteps-ONLY, SMARTSteps-PLUS, or wait-list for either intervention. In addition to usual primary care, intervention participants received 27 weekly calls in their preferred language with rotating queries and response-triggered education about self-care, medication adherence, safety concerns, psychological issues, and preventive services. Health coaches from the health plan called patients with out-of-range responses for collaborative goal setting and action planning. SMARTSteps-PLUS also included health coach calls to promote medication activation, adherence and intensification, if triggered by ATSM-reported non-adherence, refill non-adherence from pharmacy claims, or suboptimal cardiometabolic indicators. Wait-list patients crossed-over to SMARTSteps-ONLY or -PLUS at 6 months. For participants who agreed to structured telephone interviews at baseline and 6 months (n = 252), primary outcomes will be changes in quality of life and functional status with

  20. Telephone-Based Coaching.

    Science.gov (United States)

    Boccio, Mindy; Sanna, Rashel S; Adams, Sara R; Goler, Nancy C; Brown, Susan D; Neugebauer, Romain S; Ferrara, Assiamira; Wiley, Deanne M; Bellamy, David J; Schmittdiel, Julie A

    2017-03-01

    Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Retrospective cohort study comparing wellness coaching participants with two groups of controls. Kaiser Permanente Northern California, a large integrated health care delivery system. Two hundred forty-one patients who participated in telephonic tobacco cessation coaching from January 1, 2011, to March 31, 2012, and two control groups: propensity-score-matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing-based coaching sessions that engaged the patient, evoked their reason to consider quitting, and helped them establish a quit plan. Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, p Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, p coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.

  1. Total Telephone Tips.

    Science.gov (United States)

    Corder, Lloyd E.; And Others

    This manual of telephone behavior tips for business and sales professionals offers ways to handle the disgruntled caller and makes suggestions on topics relevant to the telephone. The manual is divided into the following sections and subsections: (1) Common Courtesy (staff tips, answering the telephone, screening calls, transferring calls, taking…

  2. Telephone Exchange Maintenance

    CERN Multimedia

    2005-01-01

    Urgent maintenance work on CERN telephone exchanges will be performed on 24 March from 6 a.m. to 8 a.m. Telephone services may be disrupted or even interrupted during this time. For more details, please contact us by email at Standard.Telephone@cern.ch.

  3. An evaluation of the cost-effectiveness of booklet-based self-management of dizziness in primary care, with and without expert telephone support

    Directory of Open Access Journals (Sweden)

    King Debbie

    2009-12-01

    Full Text Available Abstract Background Dizziness is a very common symptom that often leads to reduced quality of life, anxiety and emotional distress, loss of fitness, lack of confidence in balance, unsteadiness and an increased risk of falling. Most dizzy patients are managed in primary care by reassurance and medication to suppress symptoms. Trials have shown that chronic dizziness can be treated effectively in primary care using a self-help booklet to teach patients vestibular rehabilitation exercises that promote neurological adaptation and skill and confidence in balance. However, brief support from a trained nurse was provided in these trials, and this model of managing dizzy patients has not been taken up due to a lack of skills and resources in primary care. The aim of this trial is to evaluate two new alternative models of delivery that may be more feasible and cost-effective. Methods/Design In a single blind two-centre pragmatic controlled trial, we will randomise 330 patients from 30 practices to a self-help booklet with telephone support from a vestibular therapist, b self-help booklet alone, c routine medical care. Symptoms, disability, handicap and quality of life will be assessed by validated questionnaires administered by post at baseline, immediately post-treatment (3 months, and at one year follow-up. The study is powered to test our primary hypothesis, that the self-help booklet with telephone support will be more effective than routine care. We will also explore the effectiveness of the booklet without any support, and calculate the costs of treatment in each arm. Discussion If our trial indicates that patients can cost-effectively manage their dizziness in primary care, then it can be easily rolled out to relieve the symptoms of the many patients in primary care who currently have chronic, untreated, disabling dizziness. Treatment in primary care may reduce the development of psychological and physical sequelae that cause handicap and require

  4. Remote monitoring of cathodic protection rectifiers of the Bolivia-Brazil Gas Pipeline using low orbit satellite telephone; Monitoracao remota de retificadores de protecao catodica do Gasoduto Bolivia-Brasil utilizando telefone via satelite de baixa orbita

    Energy Technology Data Exchange (ETDEWEB)

    Coelho, Jorge Fernando Pereira [TBG - Transportadora Brasileira Gasoduto Bolivia Brasil S.A., Rio de Janeiro, RJ (Brazil)

    2003-07-01

    The present paper has for objective to present the information collected during definitions, development, implementation, testing and operation phases of the Pilot System for monitoring of the Cathodic Protection Rectifiers MS-10 and SP-09, installed on the Bolivia-Brazil Gas Pipeline. The adopted solution for the Pilot System includes, basically, communication through low-earth satellite telephone, inter linked to the public telephone net, acquisition and data transmission system (Remote Terminal Unit) and data reception in the Supervision and Control Room. (author)

  5. Effects of a Home-Based Telephone-Supported Physical Activity Program for Older Adult Veterans With Chronic Low Back Pain.

    Science.gov (United States)

    Goode, Adam P; Taylor, Shannon Stark; Hastings, Susan N; Stanwyck, Catherine; Coffman, Cynthia J; Allen, Kelli D

    2018-05-01

    Chronic low back pain (CLBP) is highly prevalent in older adults, leading to functional decline. The objective of this study was to evaluate physical activity (PA) only and PA plus cognitive-behavioral therapy for pain (CBT-P) among older adult veterans with CLBP. This study was a pilot randomized trial comparing a 12-week telephone-supported PA-only intervention group (PA group) or PA plus CBT-P intervention group (PA + CBT-P group) and a wait-list control group (WL group). The study setting was the Durham Veterans Affairs Health Care System. The study participants were 60 older adults with CLBP. The PA intervention included stretching, strengthening, and aerobic activities; CBT-P covered activity pacing, relaxation techniques, and cognitive restructuring. Feasibility measures included enrollment and completion metrics; acceptability was measured by completed phone calls. Primary outcomes included the Timed "Up & Go" Test and the PROMIS Health Assessment Questionnaire. Generalized linear mixed models were used to estimate changes within and between groups. Effect sizes were calculated with the Cohen d. Adverse effects were measured by self-report. The mean participant age was 70.3 years; 53% were not white, and 93% were men. Eighty-three percent of participants completed the study, and the mean number of completed phone calls was 10 (of 13). Compared with the results for the WL group, small to medium treatment effects were found for the intervention groups in the Timed "Up & Go" Test (PA group: -2.94 [95% CI = -6.24 to 0.35], effect size = -0.28; PA + CBT-P group: -3.26 [95% CI = -6.69 to 0.18], effect size = -0.31) and the PROMIS Health Assessment Questionnaire (PA group: -6.11 [95% CI = -12.85 to 0.64], effect size = -0.64; PA + CBT-P group: -4.10 [95% CI = -11.69 to 3.48], effect size = -0.43). Small treatment effects favored PA over PA + CBT-P. No adverse effects were noted. This was a pilot study, and a larger study is needed to verify the

  6. Decision Support System for Condition Monitoring Technologies

    NARCIS (Netherlands)

    Mouatamir, Abderrahim

    2018-01-01

    The technological feasibility of a condition-based maintenance (CBM) policy is intrinsically related to the suitable selection of condition monitoring (CM) technologies such as vibration- and oil analysis or other non-destructive testing (NDT) techniques such as radiographic- and magnetic particle

  7. Impact of in-home behavioral management versus telephone support to reduce depressive symptoms and perceived stress in Chinese caregivers: results of a pilot study.

    Science.gov (United States)

    Gallagher-Thompson, Dolores; Gray, Heather L; Tang, Paulette C Y; Pu, Chun Yu; Leung, Laurie Y L; Wang, Peng-Chih; Tse, Collins; Hsu, Shannon; Kwo, Elizabeth; Tong, Hui-Qi; Long, James; Thompson, Larry W

    2007-05-01

    Recent work has shown that Chinese Americans caring for a family member with dementia experience considerable psychological distress. However, few studies evaluate treatments for them. This study evaluated the efficacy of in-home intervention, based on cognitive behavior therapy principles, to relieve stress and depression in female Chinese American caregivers (CGs). Fifty-five CGs who met inclusion criteria were randomly assigned to a telephone support condition (TSC) or to an in-home behavioral management program (IHBMP) for 4 months. In the TSC, biweekly calls were made and relevant material was mailed. In the IHBMP, specific psychological skills were taught to deal with caregiving stress. CGs were assessed before and after treatment. Outcome measures evaluated overall perceived stress, caregiving-specific stress, and depressive symptoms. CGs in IHBMP were less bothered by caregiving-specific stressors and had lower depression levels than CGs in TSC. There was no difference in overall stress. CGs with low baseline level of self-efficacy for obtaining respite benefited from IHBMP, but showed little improvement in the TSC. CGs with higher self-efficacy benefited from both treatments. This intervention is promising and warrants replication in future studies. Additional research is needed to evaluate longer-term effects and to identify individual differences associated with improvement.

  8. Fault Detection for Shipboard Monitoring and Decision Support Systems

    DEFF Research Database (Denmark)

    Lajic, Zoran; Nielsen, Ulrik Dam

    2009-01-01

    In this paper a basic idea of a fault-tolerant monitoring and decision support system will be explained. Fault detection is an important part of the fault-tolerant design for in-service monitoring and decision support systems for ships. In the paper, a virtual example of fault detection...... will be presented for a containership with a real decision support system onboard. All possible faults can be simulated and detected using residuals and the generalized likelihood ratio (GLR) algorithm....

  9. The effect of telehealth, telephone support or usual care on quality of life, mortality and healthcare utilization in elderly high-risk patients with multiple chronic conditions. A prospective study.

    Science.gov (United States)

    Valdivieso, Bernardo; García-Sempere, Anibal; Sanfélix-Gimeno, Gabriel; Faubel, Raquel; Librero, Julian; Soriano, Elisa; Peiró, Salvador

    2018-04-25

    To assess the effect of home based telehealth or structured telephone support interventions with respect to usual care on quality of life, mortality and healthcare utilization in elderly high-risk multiple chronic condition patients. 472 elderly high-risk patients with plurimorbidity in the region of Valencia (Spain) were recruited between June 2012 and May 2013, and followed for 12 months from recruitment. Patients were allocated to either: (a) a structured telephone intervention, a nurse-led case management program with telephone follow up every 15 days; (b) telehealth, which adds technology for remote self-management and the exchange of clinical data; or (c) usual care. Main outcome measures was quality of life measured by the EuroQol (EQ-5D) instrument, cognitive impairment, functional status, mortality and healthcare resource use. Inadequate randomization process led us to used propensity scores for adjusted analyses to control for imbalances between groups at baseline. EQ-5D score was significantly higher in the telehealth group compared to usual care (diff: 0.19, 0.08-0.30), but was not different to telephone support (diff: 0.04, -0.05 to 0.14). In adjusted analyses, inclusion in the telehealth group was associated with an additional 0.18 points in the EQ-5D score compared to usual care at 12 months (p<0.001), and with a gain of 0.13 points for the telephone support group (p<0.001). No differences in mortality or utilization were found, except for a borderline significant increase in General Practitioner visits. Telehealth was associated with better quality of life. Important limitations of the study and similarity of effects to telephone intervention call for careful endorsement of telemedicine. Clinicaltrials.gov (identifier: NCT02447562). Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

  10. Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic health conditions: cost-effectiveness analysis of a randomised trial

    Directory of Open Access Journals (Sweden)

    Paul Jansons

    2018-01-01

    Registration: ACTRN12610001035011. [Jansons P, Robins L, O’Brien L, Haines T (2018 Gym-based exercise was more costly compared with home-based exercise with telephone support when used as maintenance programs for adults with chronic health conditions: cost-effectiveness analysis of a randomised trial. Journal of Physiotherapy 64: 48–54

  11. Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial

    Directory of Open Access Journals (Sweden)

    Paul Jansons

    2017-07-01

    Trial registration: ACTRN12610001035011. [Jansons P, Robins L, O’Brien L, Haines T (2017 Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial. Journal of Physiotherapy 63: 154–160

  12. Telephoning in English

    CERN Document Server

    Naterop, B Jean

    1994-01-01

    Many people have to use English on the telephone in the course of their work, either at the level of taking a simple message or involving more complex tasks such as requesting information. Telephoning in English provides an up-to-date and relevant context in which students from lower-intermediate level upwards can develop practical telephone skills. The course principally develops spoken interactive skills, but also includes reading material on telephone systems and techniques. As the material is not restricted to particular job functions, it is suitable for students in a wide range of business and administration fields.

  13. Performance Monitoring Techniques Supporting Cognitive Optical Networking

    DEFF Research Database (Denmark)

    Caballero Jambrina, Antonio; Borkowski, Robert; Zibar, Darko

    2013-01-01

    High degree of heterogeneity of future optical networks, such as services with different quality-of-transmission requirements, modulation formats and switching techniques, will pose a challenge for the control and optimization of different parameters. Incorporation of cognitive techniques can help...... to solve this issue by realizing a network that can observe, act, learn and optimize its performance, taking into account end-to-end goals. In this letter we present the approach of cognition applied to heterogeneous optical networks developed in the framework of the EU project CHRON: Cognitive...... Heterogeneous Reconfigurable Optical Network. We focus on the approaches developed in the project for optical performance monitoring, which enable the feedback from the physical layer to the cognitive decision system by providing accurate description of the performance of the established lightpaths....

  14. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Monday 3 July between 8.00 p.m. and 3.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation.We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  15. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Wednesday 14 June between 8.00 p.m. and midnight. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  16. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on between Monday 23 October 8.00 p.m. and Tuesday 24 October 2.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  17. Update of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, the CERN switching centre will be updated on Monday 3 July between 8.00 p.m. and 3.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  18. Upgrade of telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, work will be carried out on the CERN switching centre between Monday 23 October 8.00 p.m. and Tuesday 24 October 2.00 a.m. Telephone services may be disrupted and possibly even interrupted during this operation. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  19. Large Pelagics Telephone Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Large Pelagics Telephone Survey (LPTS) collects fishing effort information directly from captains holding Highly Migratory Species (HMS) permits (required by...

  20. ENERGY STAR Certified Telephones

    Data.gov (United States)

    U.S. Environmental Protection Agency — Certified models meet all ENERGY STAR requirements as listed in the Version 3.0 ENERGY STAR Program Requirements for Telephony (cordless telephones and VoIP...

  1. HOspitals and patients WoRking in Unity (HOW R U?): protocol for a prospective feasibility study of telephone peer support to improve older patients' quality of life after emergency department discharge

    OpenAIRE

    Lowthian, Judy A; Lennox, Alyse; Curtis, Andrea; Dale, Jeremy; Browning, Colette; Smit, De Villiers; Wilson, Gillian; O'Brien, Debra; Rosewarne, Cate; Boyd, Lee; Garner, Cath; Cameron, Peter

    2016-01-01

    Introduction Older people presenting to an emergency department (ED) have a higher likelihood of social isolation, loneliness and depression; which are all associated with negative health outcomes and increased health service use, including higher rates of ED attendance. The HOW R U? study aims to ascertain the feasibility and acceptability of a postdischarge telephone support programme for older ED patients following discharge. The intervention, which aims to improve quality of life, will be...

  2. The telephone in family practice | Furman | South African Medical ...

    African Journals Online (AJOL)

    In a time-and-motion study in family practice it was found that 35,8% of all patient contact was per telephone. The study further revealed that 12,3% of total practice time was spent on the telephone, stressing its importance as a useful tool. in family practice. The study supports others which suggest that 'telephone medicine' ...

  3. Psychotherapeutic intervention by telephone

    Directory of Open Access Journals (Sweden)

    Erika Mozer

    2008-06-01

    Full Text Available Erika Mozer1,2, Bethany Franklin1,3, Jon Rose11Department of Veterans Affairs, Palo Alto Health Care System, Palo Alto, CA, USA; 2PGSP Stanford PsyD Consortium Palo Alto, CA, USA; 3Pacific Graduate School of Psychology Palo Alto, California, USAAbstract: Psychotherapy conducted over the telephone has received increasing amounts of empirical attention given practical advantages that side-step treatment barriers encountered in traditional office-based care. The utility and efficacy of telephone therapy appears generalizable across diverse clinical populations seeking care in community-based hospital settings. Treatment barriers common to older adults suggest that telephone therapy may be an efficient and effective mental health resource for this population. This paper describes empirical studies of telehealth interventions and case examples with psychotherapy conducted via telephone on the Spinal Cord Injury Unit of the Palo Alto Veterans’ Administration. Telephone therapy as appears to be a viable intervention with the aging population.Keywords: telehealth, rural mental health, psychotherapy, healthcare delivery, telecare

  4. MonitoringResources.org—Supporting coordinated and cost-effective natural resource monitoring across organizations

    Science.gov (United States)

    Bayer, Jennifer M.; Scully, Rebecca A.; Weltzin, Jake F.

    2018-05-21

    Natural resource managers who oversee the Nation’s resources require data to support informed decision-making at a variety of spatial and temporal scales that often cross typical jurisdictional boundaries such as states, agency regions, and watersheds. These data come from multiple agencies, programs, and sources, often with their own methods and standards for data collection and organization. Coordinating standards and methods is often prohibitively time-intensive and expensive. MonitoringResources.org offers a suite of tools and resources that support coordination of monitoring efforts, cost-effective planning, and sharing of knowledge among organizations. The website was developed by the Pacific Northwest Aquatic Monitoring Partnership—a collaboration of Federal, state, tribal, local, and private monitoring programs—and the U.S. Geological Survey (USGS), with funding from the Bonneville Power Administration and USGS. It is a key component of a coordinated monitoring and information network.

  5. Tolkku - a toolbox for decision support from condition monitoring data

    International Nuclear Information System (INIS)

    Saarela, Olli; Lehtonen, Mikko; Halme, Jari; Aikala, Antti; Raivio, Kimmo

    2012-01-01

    This paper describes a software toolbox (a software library) designed for condition monitoring and diagnosis of machines. This toolbox implements both new methods and prior art and is aimed for practical down-to-earth data analysis work. The target is to improve knowledge of the operation and behaviour of machines and processes throughout their entire life-cycles. The toolbox supports different phases of condition based maintenance with tools that extract essential information and automate data processing. The paper discusses principles that have guided toolbox design and the implemented toolbox structure. Case examples are used to illustrate how condition monitoring applications can be built using the toolbox. In the first case study the toolbox is applied to fault detection of industrial centrifuges based on measured electrical current. The second case study outlines an application for centralized monitoring of a fleet of machines that supports organizational learning.

  6. Support vector machine in machine condition monitoring and fault diagnosis

    Science.gov (United States)

    Widodo, Achmad; Yang, Bo-Suk

    2007-08-01

    Recently, the issue of machine condition monitoring and fault diagnosis as a part of maintenance system became global due to the potential advantages to be gained from reduced maintenance costs, improved productivity and increased machine availability. This paper presents a survey of machine condition monitoring and fault diagnosis using support vector machine (SVM). It attempts to summarize and review the recent research and developments of SVM in machine condition monitoring and diagnosis. Numerous methods have been developed based on intelligent systems such as artificial neural network, fuzzy expert system, condition-based reasoning, random forest, etc. However, the use of SVM for machine condition monitoring and fault diagnosis is still rare. SVM has excellent performance in generalization so it can produce high accuracy in classification for machine condition monitoring and diagnosis. Until 2006, the use of SVM in machine condition monitoring and fault diagnosis is tending to develop towards expertise orientation and problem-oriented domain. Finally, the ability to continually change and obtain a novel idea for machine condition monitoring and fault diagnosis using SVM will be future works.

  7. Support and Maintenance of the International Monitoring System network

    Science.gov (United States)

    Pereira, Jose; Bazarragchaa, Sergelen; Kilgour, Owen; Pretorius, Jacques; Werzi, Robert; Beziat, Guillaume; Hamani, Wacel; Mohammad, Walid; Brely, Natalie

    2014-05-01

    The Monitoring Facilities Support Section of the Provisional Technical Secretariat (PTS) has as its main task to ensure optimal support and maintenance of an array of 321 monitoring stations and 16 radionuclide laboratories distributed worldwide. Raw seismic, infrasonic, hydroacoustic and radionuclide data from these facilities constitutes the basic product delivered by the International Monitoring System (IMS). In the process of maintaining such a wide array of stations of different technologies, the Support Section contributes to ensuring station mission capability. Mission capable data availability according to the IMS requirements should be at least 98% annually (no more than 7 days down time per year per waveform stations - 14 continuous for radionuclide stations) for continuous data sending stations. In this presentation, we will present our case regarding our intervention at stations to address equipment supportability and maintainability, as these are particularly large activities requiring the removal of a substantial part of the station equipment and installation of new equipment. The objective is always to plan these activities while minimizing downtime and continuing to meet all IMS requirements, including those of data availability mentioned above. We postulate that these objectives are better achieved by planning and making use of preventive maintenance, as opposed to "run-to-failure" with associated corrective maintenance. We use two recently upgraded Infrasound Stations (IS39 Palau and IS52 BIOT) as a case study and establish a comparison between these results and several other stations where corrective maintenance was performed, to demonstrate our hypothesis.

  8. Environmental Monitoring Plan, Nevada Test Site and support facilities

    International Nuclear Information System (INIS)

    1991-11-01

    This Operational Area Monitoring Plan for environmental monitoring, is for EG ampersand G Energy Measurements, Inc. (EG ampersand G/EM) which operates several offsite facilities in support of activities at the Nevada Test Site (NTS). These facilities include: (1) Amador Valley Operations (AVO), Pleasanton, California; (2) Kirtland Operations (KO), Kirtland Air Force base, Albuquerque, New Mexico (KAFB); (3) Las Vegas Area Operations (LVAO), Remote Sensing Laboratory (RSL), and North Las Vegas (NLV) Complex at Nellis Air Force Base (NAFB), North Las Vegas, Nevada; (4) Los Alamos Operations (LAO), Los Alamos, New Mexico; (5) Santa Barbara Operations (SBO), Goleta, California; (6) Special Technologies Laboratory (STL), Santa Barbara, California; (7) Washington Aerial Measurements Department (WAMD), Andrews Air Force Base, Maryland; and, (8) Woburn Cathode Ray Tube Operations (WCO), Woburn, Massachusetts. Each of these facilities has an individual Operational Area Monitoring Plan, but they have been consolidated herein to reduce redundancy

  9. Fault-Tolerant Onboard Monitoring and Decision Support Systems

    DEFF Research Database (Denmark)

    Lajic, Zoran

    a crude and simple estimation of the actual sea state (Hs and Tz), information about the longitudinal hull girder loading, seakeeping performance of the ship, and decision support on how to operate the ship within acceptable limits. The system is able to identify critical forthcoming events and to give...... advice regarding speed and course changes to decrease the wave-induced loads. The SeaSense system is based on the combined use of a mathematical model and measurements from a set of sensors. The overall dependability of a shipboard monitoring and decision support system such as the SeaSense system can...

  10. Environmental Monitoring Plan, Nevada Test Site and support facilities

    International Nuclear Information System (INIS)

    1991-11-01

    This Environmental Monitoring Plan applies to the US Department of Energy's (DOE's) operations on the Continental US (including Amchitka Island, Alaska) that are under the purview of the DOE Nevada Field Office (DOE/NV). The primary purpose of these operations is the conduct of the nuclear weapons testing program for the DOE and the Department of Defense. Since 1951, these tests have been conducted principally at the Nevada Test Site (NTS), which is located approximately 100 miles northwest of Las Vegas, Nevada. In accordance with DOE Order 5400.1, this Environmental Monitoring Plan brings together in one document a description of the environmental activities conducted at the NTS by user organizations, operations support contractors, and the US Environmental Protection Agency (EPA). The EPA conducts both the offsite environmental monitoring program around the NTS and post-operational monitoring efforts at non-NTS test locations used between 1961 and 1973 in other parts of the continental US. All of these monitoring activities are conducted under the auspices of the DOE/NV, which has the stated policy of conducting its operations in compliance with both the letter and the spirit of applicable environmental statutes, regulations, and standards

  11. HOspitals and patients WoRking in Unity (HOW R U?): protocol for a prospective feasibility study of telephone peer support to improve older patients' quality of life after emergency department discharge.

    Science.gov (United States)

    Lowthian, Judy A; Lennox, Alyse; Curtis, Andrea; Dale, Jeremy; Browning, Colette; Smit, De Villiers; Wilson, Gillian; O'Brien, Debra; Rosewarne, Cate; Boyd, Lee; Garner, Cath; Cameron, Peter

    2016-12-02

    Older people presenting to an emergency department (ED) have a higher likelihood of social isolation, loneliness and depression; which are all associated with negative health outcomes and increased health service use, including higher rates of ED attendance. The HOW R U? study aims to ascertain the feasibility and acceptability of a postdischarge telephone support programme for older ED patients following discharge. The intervention, which aims to improve quality of life, will be delivered by hospital-based volunteers. A multicentre prospective uncontrolled feasibility study will enrol 50 community-dwelling patients aged ≥70 years with symptoms of loneliness or depression who are discharged home within 72 hours from the ED or acute medical ward. Participants will receive weekly supportive telephone calls over a 3-month period from a volunteer-peer. Feasibility will be assessed in terms of recruitment, acceptability of the intervention to participants and level of retention in the programme. Changes in level of loneliness (UCLA-3 item Loneliness Scale), mood (Geriatric Depression Scale-5 item) and health-related quality of life (EQ-5D-5L and EQ-VAS) will also be measured postintervention (3 months). Research ethics and governance committee approval has been granted for this study by each participating centre (reference: 432/15 and 12-09-11-15). Study findings will inform the design and conduct of a future multicentre randomised controlled trial of a postdischarge volunteer-peer telephone support programme to improve social isolation, loneliness or depressive symptoms in older patients. Results will be disseminated through peer-reviewed journal publication, and conference and seminar presentation. ACTRN12615000715572, Pre-results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  12. Telephone-Directory Program

    Science.gov (United States)

    Vlahos, William

    2005-01-01

    eDirectory is a computer program that makes it possible to view entries in the Jet Propulsion Laboratory (JPL) telephone directory by use of PalmPilot(TradeMark) (or equivalent) personal digital assistants. When one uses eDirectory, a single click causes the downloading of a current copy of the directory (which is updated nightly) from a server. The downloaded directory data can be sorted and searched. The program can append a "JPL" category and save directory information in a file that can be imported into the Palm Desktop(TradeMark) software.

  13. CONFUSION WITH TELEPHONE NUMBERS

    CERN Multimedia

    Telecom Service

    2002-01-01

    he area code is now required for all telephone calls within Switzerland. Unfortunately this is causing some confusion. CERN has received complaints that incoming calls intended for CERN mobile phones are being directed to private subscribers. This is caused by mistakenly dialing the WRONG code (e.g. 022) in front of the mobile number. In order to avoid these problems, please inform your correspondents that the correct numbers are: 079 201 XXXX from Switzerland; 0041 79 201 XXXX from other countries. Telecom Service

  14. CONFUSION WITH TELEPHONE NUMBERS

    CERN Multimedia

    Telecom Service

    2002-01-01

    The area code is now required for all telephone calls within Switzerland. Unfortunately this is causing some confusion. CERN has received complaints that incoming calls intended for CERN mobile phones are being directed to private subscribers. This is caused by mistakenly dialing the WRONG code (e.g. 022) in front of the mobile number. In order to avoid these problems, please inform your correspondents that the correct numbers are: 079 201 XXXX from Switzerland; 0041 79 201 XXXX from other countries. Telecom Service  

  15. Decision Support for Flood Event Prediction and Monitoring

    DEFF Research Database (Denmark)

    Mioc, Darka; Anton, François; Liang, Gengsheng

    2007-01-01

    In this paper the development of Web GIS based decision support system for flood events is presented. To improve flood prediction we developed the decision support system for flood prediction and monitoring that integrates hydrological modelling and CARIS GIS. We present the methodology for data...... integration, floodplain delineation, and online map interfaces. Our Web-based GIS model can dynamically display observed and predicted flood extents for decision makers and the general public. The users can access Web-based GIS that models current flood events and displays satellite imagery and digital...... elevation model integrated with flood plain area. The system can show how the flooding prediction based on the output from hydrological modeling for the next 48 hours along the lower Saint John River Valley....

  16. Smokefree implementation in Colombia: Monitoring, outside funding, and business support

    Directory of Open Access Journals (Sweden)

    Randy Uang

    2017-03-01

    Full Text Available Objective. To analyze successful national smokefree policy implementation in Colombia, a middle income country. Materials and methods. Key informants at the national and local levels were interviewed and news sources and government ministry resolutions were reviewed. Results.Colombia’s Ministry of Health coordinated local implementation practices, which were strongest in larger cities with supportive leadership. Nongovernmental organizations provided technical assistance and highlighted noncompliance. Organizations outside Colombia funded some of these efforts. The bar owners’ association provided concerted education campaigns. Tobacco interests did not openly challenge implementation. Conclusions. Health organization monitoring, external funding, and hospitality industry support contributed to effective implementation, and could be cultivated in other low and middle income countries.

  17. Interim monitoring of cost dynamics for publicly supported energy technologies

    Energy Technology Data Exchange (ETDEWEB)

    Nemet, Gregory F. [La Follette School of Public Affairs, University of Wisconsin, 1225 Observatory Drive, Madison, WI 53706 (United States)]|[Nelson Institute for Environmental Studies, University of Wisconsin, Madison, WI 53726 (United States)

    2009-03-15

    The combination of substantial public funding of nascent energy technologies and recent increases in the costs of those that have been most heavily supported has raised questions about whether policy makers should sustain, alter, enhance, or terminate such programs. This paper uses experience curves for photovoltaics (PV) and wind to (1) estimate ranges of costs for these public programs and (2) introduce new ways of evaluating recent cost dynamics. For both technology cases, the estimated costs of the subsidies required to reach targets are sensitive to the choice of time period on which cost projections are based. The variation in the discounted social cost of subsidies exceeds an order of magnitude. Vigilance is required to avoid the very expensive outcomes contained within these distributions of social costs. Two measures of the significance of recent deviations are introduced. Both indicate that wind costs are within the expected range of prior forecasts but that PV costs are not. The magnitude of the public funds involved in these programs heightens the need for better analytical tools with which to monitor and evaluate cost dynamics. (author)

  18. Life Support and Environmental Monitoring International System Maturation Team Considerations

    Science.gov (United States)

    Anderson, Molly; Gatens, Robyn; Ikeda, Toshitami; Ito, Tsuyoshi; Hovland, Scott; Witt, Johannes

    2016-01-01

    Human exploration of the solar system is an ambitious goal. Future human missions to Mars or other planets will require the cooperation of many nations to be feasible. Exploration goals and concepts have been gathered by the International Space Exploration Coordination Group (ISECG) at a very high level, representing the overall goals and strategies of each participating space agency. The Global Exploration Roadmap published by ISECG states that international partnerships are part of what drives the mission scenarios. It states "Collaborations will be established at all levels (missions, capabilities, technologies), with various levels of interdependency among the partners." To make missions with interdependency successful, technologists and system experts need to share information early, before agencies have made concrete plans and binding agreements. This paper provides an overview of possible ways of integrating NASA, ESA, and JAXA work into a conceptual roadmap of life support and environmental monitoring capabilities for future exploration missions. Agencies may have immediate plans as well as long term goals or new ideas that are not part of official policy. But relationships between plans and capabilities may influence the strategies for the best ways to achieve partner goals. Without commitments and an organized program like the International Space Station, requirements for future missions are unclear. Experience from ISS has shown that standards and an early understanding of requirements are an important part of international partnerships. Attempting to integrate systems that were not designed together can create many problems. Several areas have been identified that could be important to discuss and understand early: units of measure, cabin CO2 levels, and the definition and description of fluids like high purity oxygen, potable water and residual biocide, and crew urine and urine pretreat. Each of the partners is exploring different kinds of technologies

  19. Establishing monitoring programs for travel time reliability. [supporting datasets

    Science.gov (United States)

    2014-01-01

    The objective of this project was to develop system designs for programs to monitor travel time reliability and to prepare a guidebook that practitioners and others can use to design, build, operate, and maintain such systems. Generally, such travel ...

  20. Excessive use of Facebook: The influence of self-monitoring and Facebook usage on social support

    Directory of Open Access Journals (Sweden)

    Vikanda Pornsakulvanich

    2018-01-01

    Full Text Available This study examined the influence of self-monitoring and the amount of Facebook use on Facebook addiction, and the associations among self-monitoring, Facebook addiction, Facebook usage, and social support. A cross-sectional design was used to collect the data from 257 college students who have used Facebook. The findings indicated that high self-monitors were more likely to be addicted to Facebook than were low self-monitors. In addition, the number of friends and Facebook activities were the major predictors of the amount of time on Facebook. High self-monitors, Facebook activities, and the amount of time predicted Facebook addiction. Moreover, the number of friends and low-self-monitors were linked to social support. Keywords: Facebook addiction, Facebook usage, self-monitoring, social support

  1. A Sandia telephone database system

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, S.D.; Tolendino, L.F.

    1991-08-01

    Sandia National Laboratories, Albuquerque, may soon have more responsibility for the operation of its own telephone system. The processes that constitute providing telephone service can all be improved through the use of a central data information system. We studied these processes, determined the requirements for a database system, then designed the first stages of a system that meets our needs for work order handling, trouble reporting, and ISDN hardware assignments. The design was based on an extensive set of applications that have been used for five years to manage the Sandia secure data network. The system utilizes an Ingres database management system and is programmed using the Application-By-Forms tools.

  2. Supportive Mental Health Self-Monitoring among Smartphone Users with Psychological Distress: Protocol for a Fully Mobile Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Till Beiwinkel

    2017-09-01

    Full Text Available Mobile health (mHealth could be widely used in the population to improve access to psychological treatment. In this paper, we describe the development of a mHealth intervention on the basis of supportive self-monitoring and describe the protocol for a randomized controlled trial to evaluate its effectiveness among smartphone users with psychological distress. Based on power analysis, a representative quota sample of N = 186 smartphone users will be recruited, with an over-sampling of persons with moderate to high distress. Over a 4-week period, the intervention will be compared to a self-monitoring without intervention group and a passive control group. Telephone interviews will be conducted at baseline, post-intervention (4 weeks, and 12-week follow-up to assess study outcomes. The primary outcome will be improvement of mental health. Secondary outcomes will include well-being, intentions toward help-seeking and help-seeking behavior, user activation, attitudes toward mental-health services, perceived stigmatization, smartphone app quality, user satisfaction, engagement, and adherence with the intervention. Additionally, data from the user’s daily life as collected during self-monitoring will be used to investigate risk and protective factors of mental health in real-world settings. Therefore, this study will allow us to demonstrate the effectiveness of a smartphone application as a widely accessible and low-cost intervention to improve mental health on a population level. It also allows to identify new assessment approaches in the field of psychiatric epidemiology.

  3. Supportive Mental Health Self-Monitoring among Smartphone Users with Psychological Distress: Protocol for a Fully Mobile Randomized Controlled Trial

    Science.gov (United States)

    Beiwinkel, Till; Hey, Stefan; Bock, Olaf; Rössler, Wulf

    2017-01-01

    Mobile health (mHealth) could be widely used in the population to improve access to psychological treatment. In this paper, we describe the development of a mHealth intervention on the basis of supportive self-monitoring and describe the protocol for a randomized controlled trial to evaluate its effectiveness among smartphone users with psychological distress. Based on power analysis, a representative quota sample of N = 186 smartphone users will be recruited, with an over-sampling of persons with moderate to high distress. Over a 4-week period, the intervention will be compared to a self-monitoring without intervention group and a passive control group. Telephone interviews will be conducted at baseline, post-intervention (4 weeks), and 12-week follow-up to assess study outcomes. The primary outcome will be improvement of mental health. Secondary outcomes will include well-being, intentions toward help-seeking and help-seeking behavior, user activation, attitudes toward mental-health services, perceived stigmatization, smartphone app quality, user satisfaction, engagement, and adherence with the intervention. Additionally, data from the user’s daily life as collected during self-monitoring will be used to investigate risk and protective factors of mental health in real-world settings. Therefore, this study will allow us to demonstrate the effectiveness of a smartphone application as a widely accessible and low-cost intervention to improve mental health on a population level. It also allows to identify new assessment approaches in the field of psychiatric epidemiology. PMID:28983477

  4. Supportive Mental Health Self-Monitoring among Smartphone Users with Psychological Distress: Protocol for a Fully Mobile Randomized Controlled Trial.

    Science.gov (United States)

    Beiwinkel, Till; Hey, Stefan; Bock, Olaf; Rössler, Wulf

    2017-01-01

    Mobile health (mHealth) could be widely used in the population to improve access to psychological treatment. In this paper, we describe the development of a mHealth intervention on the basis of supportive self-monitoring and describe the protocol for a randomized controlled trial to evaluate its effectiveness among smartphone users with psychological distress. Based on power analysis, a representative quota sample of N  = 186 smartphone users will be recruited, with an over-sampling of persons with moderate to high distress. Over a 4-week period, the intervention will be compared to a self-monitoring without intervention group and a passive control group. Telephone interviews will be conducted at baseline, post-intervention (4 weeks), and 12-week follow-up to assess study outcomes. The primary outcome will be improvement of mental health. Secondary outcomes will include well-being, intentions toward help-seeking and help-seeking behavior, user activation, attitudes toward mental-health services, perceived stigmatization, smartphone app quality, user satisfaction, engagement, and adherence with the intervention. Additionally, data from the user's daily life as collected during self-monitoring will be used to investigate risk and protective factors of mental health in real-world settings. Therefore, this study will allow us to demonstrate the effectiveness of a smartphone application as a widely accessible and low-cost intervention to improve mental health on a population level. It also allows to identify new assessment approaches in the field of psychiatric epidemiology.

  5. U.S. SUPPORT PROGRAM CONTRIBUTIONS TO REMOTE MONITORING

    International Nuclear Information System (INIS)

    PEPPER, S.E.

    2000-01-01

    Since 1993, the IAEA has made great progress in the implementation of remote monitoring. Equipment has been developed and tested, and installed systems are being used for safeguards purposes. The cost of equipment, the complexity of communication technology, and maintenance of the equipment are challenges that still face the IAEA. Resolution of these challenges will require significant effort. The USSP is committed to assisting the IAEA to overcome these challenges

  6. Telephone switchboard closure | 19 December

    CERN Multimedia

    2014-01-01

    Exceptionally, the telephone switchboard will close at 4 p.m. on Friday, 19 December, instead of the usual time of 6 p.m., to allow time for closing all systems properly before the annual closure. Therefore, switchboard operator assistance to transfer calls from/to external lines will stop. All other phone services will run as usual.

  7. Maintenance of CERN telephone exchanges

    CERN Multimedia

    2005-01-01

    A maintenance of CERN telephone exchanges will be performed on 21st, 22nd, 23rd, 24th of September from 7 p.m. to 9 p.m. Disturbances or even interruptions of telephony services may occur during this lapse of time. We apology in advance for any inconveniences that this may cause.

  8. Acoustic monitoring to support plant life extension at Sellafield

    International Nuclear Information System (INIS)

    Wit, M. de; Hovhanessian, G.

    2015-01-01

    Tensioned steel wires are widely used in civil engineering structures. They can, however, be vulnerable to corrosion. To reduce the probability of corrosion, sophisticated protection systems are used. Extensive inspection and maintenance regimes are also able to be implemented to confirm that the design strength is available over the lifetime of the wires. These regimes include tests to confirm the condition of post-tensioning cables or stay cables, which can verify the overall performance of the structure. This paper presents a technology to detect and locate wire failures in tensioned cables for use on a wide variety of pre-stressed or post tensioned structures, where they have increased confidence in the structures and reduced maintenance costs. This methodology is the continuous acoustic monitoring technology which uses distinctive acoustic characteristics of wire breaks to separate them from other acoustic activity on the structure. With a combination of instrumentation, data acquisition and data management, it is possible to identify a wire break event, as well as to locate the position and time of the failure. Over 10 years' experience of acoustic monitoring for this application with several independent and blind tests, shows that even in noisy environments the acoustic monitoring method is able to identify and locate wire breaks in fully grouted and partially grouted tendons, stay cables and suspension cables. The design (number of sensors and location) is very important to be sure to cover all wires in the structure. This paper explains the principles of the systems and shows them in practice on a case study of a project in a pre-stressed roof structure of an active tank farm at Sellafield site

  9. Hydrologic Monitoring in the Deep Subsurface to Support Repository Performance

    Science.gov (United States)

    Hubbell, J. M.; Heath, G. L.; Scott, C. L.

    2007-12-01

    The INL has installed and operated several vadose and ground water monitoring systems in arid and humid sites to depths of about 200m. Some of these systems have been in continuous operation for over 12 years. It is important that the systems be physically robust, simple, yet versatile enough that it can operate for extended time periods with little or no maintenance. Monitoring instruments are frequently installed and run to characterize the site, collect data during site operation, and continue to run for long-term stewardship, necessitating sensors that can be maintained or serviced. Sensors are carefully chosen based on the perceived data requirements over the life of the site. An emphasis is given on direct measurements such as tensiometers (portable and advanced), neutron probe, drain gauge, temperature, wells or sampling for fluids and gases. Other complementary data can include using TDR/capacitance, radiation detectors, and larger scale geophysical techniques (3-d resistivity and EM) for volumetric measurements. Commercially available instruments may have to be modified for their use at greater depths, to allow multiple instruments in a single borehole or to perform the intended monitoring function. Access tubes (some open at the bottom) can be placed to allow insertion of multiple sensors (radiation, neutron and portable sensors/samplers), future drilling/sampling and to install new instruments at a later time. The installation techniques and backfill materials must be chosen and the measurement technique tested to ensure representative data collection for the parameters of interest. The data collection system can be linked to climatic data (precipitation, barometric pressure, snow depth, runoff, surface water sources) that may influence the site's subsurface hydrology. The instruments are then connected to a real-time automated data collection system that collect, stores, and provides access to the data. These systems have been developed that allow easy

  10. An operational decision support framework for monitoring business constraints

    NARCIS (Netherlands)

    Maggi, F.M.; Montali, M.; Aalst, van der W.M.P.; Lara, de J.; Zisman, A.

    2012-01-01

    Only recently, process mining techniques emerged that can be used for Operational decision Support (OS), i.e., knowledge extracted from event logs is used to handle running process instances better. In the process mining tool ProM, a generic OS service has been developed that allows ProM to

  11. Lunar phases and crisis center telephone calls.

    Science.gov (United States)

    Wilson, J E; Tobacyk, J J

    1990-02-01

    The lunar hypothesis, that is, the notion that lunar phases can directly affect human behavior, was tested by time-series analysis of 4,575 crisis center telephone calls (all calls recorded for a 6-month interval). As expected, the lunar hypothesis was not supported. The 28-day lunar cycle accounted for less than 1% of the variance of the frequency of crisis center calls. Also, as hypothesized from an attribution theory framework, crisis center workers reported significantly greater belief in lunar effects than a non-crisis-center-worker comparison group.

  12. Improving distress in dialysis (iDiD): a feasibility two-arm parallel randomised controlled trial of an online cognitive behavioural therapy intervention with and without therapist-led telephone support for psychological distress in patients undergoing haemodialysis.

    Science.gov (United States)

    Hudson, Joanna L; Moss-Morris, Rona; Game, David; Carroll, Amy; McCrone, Paul; Hotopf, Matthew; Yardley, Lucy; Chilcot, Joseph

    2016-04-12

    Psychological distress is common in end-stage kidney disease (ESKD) and is associated with poorer health outcomes. Cognitive behavioural therapy (CBT) is recommended in UK clinical guidelines for the management of depression in people with long-term conditions. Access to skilled therapists competent in managing the competing mental and physical health demands of ESKD is limited. Online CBT treatments tailored to the needs of the ESKD population offers a pragmatic solution for under-resourced services. This study examines the feasibility and acceptability of implementing a two-arm parallel randomised controlled trial of online CBT with (intervention arm) and without (control arm) therapist support to improve psychological distress in patients undergoing haemodialysis. Patients will be screened for depression and anxiety while attending for their haemodialysis treatments. We aim to recruit 60 adult patients undergoing haemodialysis who meet criteria for mild to moderately severe symptoms of depression and/or anxiety. Patients will be randomised individually (using a 1:1 computerised sequence ratio) to either online CBT with therapist telephone support (intervention arm), or online CBT with no therapist (control arm). Outcomes include feasibility and acceptability descriptive data on rates of recruitment, randomisation, retention and treatment adherence. Self-report outcomes include measures of depression (Patient Health Questionnaire-9), anxiety (Generalised Anxiety Disorder-7), quality of life (Euro-QoL), service use (client service receipt inventory) and illness cognitions (brief illness perception questionnaire). A qualitative process evaluation will also be conducted. The statistician will be blinded to treatment allocation. A National Health Service (NHS) research ethics committee approved the study. Data from this study will provide essential information for the design and testing of further interventions to ameliorate distress in patients undergoing dialysis

  13. The Efficacy of Internet-Based Mindfulness Training and Cognitive-Behavioral Training With Telephone Support in the Enhancement of Mental Health Among College Students and Young Working Adults: Randomized Controlled Trial.

    Science.gov (United States)

    Mak, Winnie Ws; Chio, Floria Hn; Chan, Amy Ty; Lui, Wacy Ws; Wu, Ellery Ky

    2017-03-22

    College students and working adults are particularly vulnerable to stress and other mental health problems, and mental health promotion and prevention are needed to promote their mental health. In recent decades, mindfulness-based training has demonstrated to be efficacious in treating physical and psychological conditions. The aim of our study was to examine the efficacy of an Internet-based mindfulness training program (iMIND) in comparison with the well-established Internet-based cognitive-behavioral training program (iCBT) in promoting mental health among college students and young working adults. This study was a 2-arm, unblinded, randomized controlled trial comparing iMIND with iCBT. Participants were recruited online and offline via mass emails, advertisements in newspapers and magazines, announcement and leaflets in primary care clinics, and social networking sites. Eligible participants were randomized into either the iMIND (n=604) or the iCBT (n=651) condition. Participants received 8 Web-based sessions with information and exercises related to mindfulness or cognitive-behavioral principles. Telephone or email support was provided by trained first tier supporters who were supervised by the study's research team. Primary outcomes included mental and physical health-related measures, which were self-assessed online at preprogram, postprogram, and 3-month follow-up. Among the 1255 study participants, 213 and 127 completed the post- and 3-month follow-up assessment, respectively. Missing data were treated using restricted maximum likelihood estimation. Both iMIND (n=604) and iCBT (n=651) were efficacious in improving mental health, psychological distress, life satisfaction, sleep disturbance, and energy level. Both Internet-based mental health programs showed potential in improving the mental health from pre- to postassessment, and such improvement was sustained at the 3-month follow-up. The high attrition rate in this study suggests the need for refinement

  14. Telephoning

    CERN Document Server

    Bruce, Kay

    1994-01-01

    This is part of a series of books, which gives training in key business communication skills. Emphasis is placed on building awareness of language appropriateness and fluency in typical business interactions. This new edition is in full colour.

  15. Ambient air monitoring to support HLW repository site characterization

    International Nuclear Information System (INIS)

    Fransioli, P.M.; Dixon, W.R.

    1993-01-01

    Site characterization at the Yucca Mountain site includes an ambient air quality and meteorological monitoring program to provide information for environmental and site characterization issues. The program is designed to provide data for four basic purposes: Atmospheric dispersion calculations to estimate impacts of possible airborne releases of radiological material; Engineering design and extreme weather event characterization; Local climate studies for environmental impact analyses and climate characterization; and, Air quality permits required for site characterization work. The program is compiling a database that will provide the basis for analyses and reporting related to the purposes of the program. Except for reporting particulate matter and limited meteorological data to the State of Nevada for an air quality permit condition, the data have yet to be formally analyzed and reported

  16. Monitoring of wind load and response for cable-supported bridges in Hong Kong

    Science.gov (United States)

    Wong, Kai-yuen; Chan, Wai-Yee K.; Man, King-Leung

    2001-08-01

    Structural health monitoring for the three cable-supported bridges located in the West of Hong Kong or the Tsing Ma Control Area has been carried out since the opening of these bridges to public traffic. The three cable-supported bridges are referred to as the Tsing Ma (suspension) Bridge, the Kap Shui Mun (cable-stayed) Bridge and the Ting Kau (cable-stayed) Bridge. The structural health monitoring works involved are classified as six monitoring categories, namely, wind load and response, temperature load and response, traffic load and response, geometrical configuration monitoring, strains and stresses/forces monitoring and global dynamic characteristics monitoring. As wind loads and responses had been a major concern in the design and construction stages, this paper therefore outlines the work of wind load and response monitoring on Tsing Ma, Kap Shui Mun and Ting Kau Bridges. The paper starts with a brief description of the sensory systems. The description includes the layout and performance requirements of sensory systems for wind load and responses monitoring. Typical results of wind load and response monitoring in graphical forms are then presented. These graphical forms include the plots of wind rose diagrams, wind incidences vs wind speeds, wind turbulence intensities, wind power spectra, gust wind factors, coefficient of terrain roughness, extreme wind analyses, deck deflections/rotations vs wind speeds, acceleration spectra, acceleration/displacement contours, and stress demand ratios. Finally conclusions on wind load and response monitoring on the three cable-supported bridges are drawn.

  17. Effect of aging on renal function plus monitoring and support.

    Science.gov (United States)

    Baldea, Anthony J

    2015-02-01

    Several anatomic changes and physiologic alterations occur in the aging kidney, awareness of which is essential for the early recognition of acute kidney injury (AKI) to improve outcomes in hospitalized geriatric patients. There are no unique diagnostic methods or treatment modalities in the care of the geriatric patient with AKI. Therapy is mainly supportive, and the full spectrum of treatment options, including renal replacement therapy (RRT), should not be withheld from a patient based on age. More studies need to be performed to determine the optimal timing, intensity, and modality of RRT in the geriatric population. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Effect-directed analysis supporting monitoring of aquatic ...

    Science.gov (United States)

    Aquatic environments are often contaminated with complex mixtures of chemicals that may pose a risk to ecosystems and human health. This contamination cannot be addressed with target analysis alone but tools are required to reduce this complexity and identify those chemicals that might cause adverse effects. Effect-directed analysis (EDA) is designed to meet this challenge and faces increasing interest in water and sediment quality monitoring. Thus, the present paper summarizes current experience with the EDA approach and the tools required,and provides practical advice on their application. The paper highlights the need for proper problem formulation and gives general advice for study design. As the EDA approach is directed by toxicity, basic principles for the selection of bioassays are given as well as a comprehensive compilation of appropriate assays, includingtheir strengths andweaknesses. A specific focus is given to strategies for sampling, extraction and bioassay dosing since they strongly impact prioritization of toxicants in EDA. Reduction of sample complexity mainly relies onfractionation procedures, which are discussed in this paper, including quality assurance and quality control. Automated combinations of fractionation, biotesting and chemical analysis using so-called hyphenated tools can enhance the throughput and might reduce the risk of artifacts in laboratory work. The key to determiningthe chemical structures causing effects is analytical toxi

  19. Development of NPP Monitoring and Operation Support Technology

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Woon; Park, Jae Chang; Lee, Yong Hee [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)] (and others)

    2008-04-15

    During the first stage (2001.7.1-2004.6.30), we developed general human factors design guidelines VDU-based workstations, PMAS alarm display design guidelines, PMAS SPADES display design guidelines, and the revision of KHNP HFE guidelines (HF-010), which have been applied to domestic NPP designs. We also supported other KNICS projects by performing RPS COM design reviews, development of RPS COM Style Guide, and a review of CEDMCS cabinet operator module display design. We developed the ADIOS prototype, NPP performance analysis systems for YGN No.1, 2 plants and Kori No. 2 plant, alarm cause tracking systems for Kori No. 2 plant and OPR1000, and signal fault detection and diagnosis methods for deaerators and steam generators. During the second stage(2004.7.1-2008.4.30), we supported other KNICS projects by reviewing RPS COM display designs three times, developing ESF-CCS COM style guides and reviewing ESF-CCS COM display design, reviewing CRCS LOM and PCS MTP display designs, and developing requirements for DCS GUI components. We also developed integrated style guide for I and C cabinet operator module display designs. In cooperative research with KOPEC-AE, we developed basic technologies for advanced HSI design including task analysis methods, an information and control requirements database, display design criteria, a HSI prototype with its evaluation, and methods for human factors engineering verification and validation.

  20. Development of NPP Monitoring and Operation Support Technology

    International Nuclear Information System (INIS)

    Lee, Jung Woon; Park, Jae Chang; Lee, Yong Hee

    2008-04-01

    During the first stage (2001.7.1-2004.6.30), we developed general human factors design guidelines VDU-based workstations, PMAS alarm display design guidelines, PMAS SPADES display design guidelines, and the revision of KHNP HFE guidelines (HF-010), which have been applied to domestic NPP designs. We also supported other KNICS projects by performing RPS COM design reviews, development of RPS COM Style Guide, and a review of CEDMCS cabinet operator module display design. We developed the ADIOS prototype, NPP performance analysis systems for YGN No.1, 2 plants and Kori No. 2 plant, alarm cause tracking systems for Kori No. 2 plant and OPR1000, and signal fault detection and diagnosis methods for deaerators and steam generators. During the second stage(2004.7.1-2008.4.30), we supported other KNICS projects by reviewing RPS COM display designs three times, developing ESF-CCS COM style guides and reviewing ESF-CCS COM display design, reviewing CRCS LOM and PCS MTP display designs, and developing requirements for DCS GUI components. We also developed integrated style guide for I and C cabinet operator module display designs. In cooperative research with KOPEC-AE, we developed basic technologies for advanced HSI design including task analysis methods, an information and control requirements database, display design criteria, a HSI prototype with its evaluation, and methods for human factors engineering verification and validation

  1. Investigating Long-Term Monitoring Protocols in support of Quivira NWR Habitat Objectives

    Data.gov (United States)

    Department of the Interior — The project purpose is to investigate long-term monitoring protocols in support of Quivira NWR habitat objectives as described in the Refuge’s recently approved CCP...

  2. Civil engineering support for the traffic monitoring program : final report, January 2010.

    Science.gov (United States)

    2010-01-01

    This project was aimed at providing various civil engineering support services for the telemetered traffic monitoring sites operated by the Statistics Office of the Florida Department of Transportation. This was a companion project to the one that pr...

  3. Role of telephone triage in obstetrics.

    Science.gov (United States)

    Manning, Nirvana Afsordeh; Magann, Everett F; Rhoads, Sarah J; Ivey, Tesa L; Williams, Donna J

    2012-12-01

    The telephone has become an indispensable method of communication in the practice of obstetrics. The telephone is one of the primary methods by which the patient makes her appointments and contacts her health care provider for advice, reassurance, and referrals. Current methods of telephone triage include personal at the physicians' office, telephone answering services, labor and delivery nurses, and a dedicated telephone triage system using algorithms. Limitations of telephone triage include the inability of the provider to see the patient and receive visual clues from the interaction and the challenges of obtaining a complete history over the telephone. In addition, there are potential safety and legal issues with telephone triage. To date, there is insufficient evidence to either validate or refute the use of a dedicated telephone triage system compared with a traditional system using an answering service or nurses on labor and delivery. Obstetricians and gynecologists, family physicians. After completing this CME activity, physicians should be better able to analyze the scope of variation in telephone triage across health care providers and categorize the components that go into a successful triage system, assess the current scope of research in telephone triage in obstetrics, evaluate potential safety and legal issues with telephone triage in obstetrics, and identify issues that should be addressed in any institution that is using or implementing a system of telephone triage in obstetrics.

  4. Application of Support Vector Machine to Forex Monitoring

    Science.gov (United States)

    Kamruzzaman, Joarder; Sarker, Ruhul A.

    Previous studies have demonstrated superior performance of artificial neural network (ANN) based forex forecasting models over traditional regression models. This paper applies support vector machines to build a forecasting model from the historical data using six simple technical indicators and presents a comparison with an ANN based model trained by scaled conjugate gradient (SCG) learning algorithm. The models are evaluated and compared on the basis of five commonly used performance metrics that measure closeness of prediction as well as correctness in directional change. Forecasting results of six different currencies against Australian dollar reveal superior performance of SVM model using simple linear kernel over ANN-SCG model in terms of all the evaluation metrics. The effect of SVM parameter selection on prediction performance is also investigated and analyzed.

  5. Excessive use of Facebook: The influence of self-monitoring and Facebook usage on social support

    OpenAIRE

    Vikanda Pornsakulvanich

    2018-01-01

    This study examined the influence of self-monitoring and the amount of Facebook use on Facebook addiction, and the associations among self-monitoring, Facebook addiction, Facebook usage, and social support. A cross-sectional design was used to collect the data from 257 college students who have used Facebook. The findings indicated that high self-monitors were more likely to be addicted to Facebook than were low self-monitors. In addition, the number of friends and Facebook activities were th...

  6. Development and evaluation of radiographer led telephone follow up following radical radiotherapy to the prostate. A report of a Macmillan Cancer Support Sponsored Pilot project at Mount Vernon Hospital

    International Nuclear Information System (INIS)

    Verma, R.; Treasure, P.; Hughes, R.

    2015-01-01

    Radiotherapy for localised prostate cancer is an effective and well tolerated treatment. Following radiotherapy, most men are followed up either in doctor or specialist nurse led hospital outpatient clinics. Attending clinics may be of little personal benefit as the majority of patients have few ongoing symptoms post radiotherapy and have very good cancer prognoses. Recognising the limitations outpatient clinic follow up, we developed a radiographer led model of remote telephone follow up of patients completing radiotherapy for low to intermediate risk prostate cancer. Standardised toxicity assessments were performed and patient satisfaction assessed. Radiographer led follow up detected similar levels of post radiotherapy GI, GU and sexual toxicity as outpatient clinic appointments, with a very high level of patient satisfaction compared to routine outpatient clinics. We believe that radiographer led telephone follow up provides an alternative model for long term follow up of men after prostate radiotherapy

  7. Developing an effective adaptive monitoring network to support integrated coastal management in a multiuser nature reserve

    Directory of Open Access Journals (Sweden)

    Pim Vugteveen

    2015-03-01

    Full Text Available We elaborate the necessary conceptual and strategic elements for developing an effective adaptive monitoring network to support Integrated Coastal Management (ICM in a multiuser nature reserve in the Dutch Wadden Sea Region. We discuss quality criteria and enabling actions essential to accomplish and sustain monitoring excellence to support ICM. The Wadden Sea Long-Term Ecosystem Research project (WaLTER was initiated to develop an adaptive monitoring network and online data portal to better understand and support ICM in the Dutch Wadden Sea Region. Our comprehensive approach integrates ecological and socioeconomic data and links research-driven and policy-driven monitoring for system analysis using indicators of pressures, state, benefits, and responses. The approach and concepts we elaborated are transferable to other coastal regions to accomplish ICM in complex social-ecological systems in which scientists, multisectoral stakeholders, resource managers, and governmental representatives seek to balance long-term ecological, economic, and social objectives within natural limits.

  8. Monitoring and analysis of liquid storage in LNG tank based on different support springs

    Science.gov (United States)

    He, Hua; Sun, Jianping; Li, Ke; Wu, Zheng; Chen, Qidong; Chen, Guodong; Cao, Can

    2018-04-01

    With the rapid development of social modernization, LNG vehicles are springing up in daily life. However, it is difficult to monitor and judge the liquid storage tanks accurately and quickly. Based on this, this paper presents a new method of liquid storage monitoring, LNG tank on-line vibration monitoring system. By collecting the vibration frequency of LNG tank and tank liquid and supporting spring system, the liquid storage quality in the tank can be calculated. In this experiment, various vibration modes of the tank spring system are fully taken into account. The vibration effects of different types of support springs on the LNG tank system were investigated. The results show that the spring model has a great influence on the test results. This study provides a technical reference for the selection of suitable support springs for liquid storage monitoring.

  9. Call Centre- Computer Telephone Integration

    Directory of Open Access Journals (Sweden)

    Dražen Kovačević

    2012-10-01

    Full Text Available Call centre largely came into being as a result of consumerneeds converging with enabling technology- and by the companiesrecognising the revenue opportunities generated by meetingthose needs thereby increasing customer satisfaction. Regardlessof the specific application or activity of a Call centre, customersatisfaction with the interaction is critical to the revenuegenerated or protected by the Call centre. Physical(v, Call centreset up is a place that includes computer, telephone and supervisorstation. Call centre can be available 24 hours a day - whenthe customer wants to make a purchase, needs information, orsimply wishes to register a complaint.

  10. Measuring and monitoring energy access: Decision-support tools for policymakers in Africa

    International Nuclear Information System (INIS)

    Hailu, Yohannes G.

    2012-01-01

    A significant number of African States have adapted energy access targets. In evaluating progress towards these goals, measuring and monitoring energy access becomes relevant. This paper reviews energy access indicators and identifies their utility and challenges in their application. By focusing on Africa, a broader framework for energy access measurement and monitoring is discussed, along with implementation barriers and potential solutions. To demonstrate the utility of energy access decision-support tool in Africa, a scenario analysis in five regional energy pools is conducted using the Energy Spending Model tool. Institutionalizing monitoring and decision-support tools can provide valuable feedback to policymakers aiming to design and implement effective energy access programs serving a growing population in Africa. - Highlights: ► Most African countries have adapted energy access targets. ► To monitor and evaluate performance, monitoring and decision-support tools are required. ► Framework for tool development should consider data, cost, political and other factors. ► Implementation constraints include technical, data, resource and urban/rural issues. ► Electricity Spending Needs model is one decision support tool that ties access targets to investment needs. ► Monitoring tools provide crucial feedback on Africa's energy access progress.

  11. Remote support services using condition monitoring and online sensor data for offshore oilfield

    OpenAIRE

    Du, Baoli

    2013-01-01

    Master's thesis in Offshore technology Based on advanced technology in condition monitoring and online sensor data, a new style of operation and maintenance management called remote operation and maintenance support services has been created to improve oil and gas E&P performance. This master thesis will look into how the remote support service is conducted including the concept, design, technology and management philosophies; the current implementation of remote support services in China,...

  12. Artificial intelligence tools decision support systems in condition monitoring and diagnosis

    CERN Document Server

    Galar Pascual, Diego

    2015-01-01

    Artificial Intelligence Tools: Decision Support Systems in Condition Monitoring and Diagnosis discusses various white- and black-box approaches to fault diagnosis in condition monitoring (CM). This indispensable resource: Addresses nearest-neighbor-based, clustering-based, statistical, and information theory-based techniques Considers the merits of each technique as well as the issues associated with real-life application Covers classification methods, from neural networks to Bayesian and support vector machines Proposes fuzzy logic to explain the uncertainties associated with diagnostic processes Provides data sets, sample signals, and MATLAB® code for algorithm testing Artificial Intelligence Tools: Decision Support Systems in Condition Monitoring and Diagnosis delivers a thorough evaluation of the latest AI tools for CM, describing the most common fault diagnosis techniques used and the data acquired when these techniques are applied.

  13. Traffic Tech : National Telephone Survey on Distracted Driving Attitudes and Behaviors - 2015

    Science.gov (United States)

    2018-03-01

    The National Highway Traffic Safety Administration (NHTSA) conducted its third national telephone survey of distracted driving to monitor the public's attitudes, knowledge, and self-reported behavior about cell phone use and texting while driving, an...

  14. Effectiveness and cost-effectiveness of telephone-based support versus usual care for treatment of pressure ulcers in people with spinal cord injury in low-income and middle-income countries: study protocol for a 12-week randomised controlled trial.

    Science.gov (United States)

    Arora, Mohit; Harvey, Lisa Anne; Hayes, Alison Joy; Chhabra, Harvinder Singh; Glinsky, Joanne Valentina; Cameron, Ian Douglas; Lavrencic, Lucija; Arumugam, Narkeesh; Hossain, Sohrab; Bedi, Parneet Kaur

    2015-07-28

    Pressure ulcers are a common and severe complication of spinal cord injury, particularly in low-income and middle-income countries where people often need to manage pressure ulcers alone and at home. Telephone-based support may help people in these situations to manage their pressure ulcers. The aim of this study is to determine the effectiveness and cost-effectiveness of telephone-based support to help people with spinal cord injury manage pressure ulcers at home in India and Bangladesh. A multicentre (3 sites), prospective, assessor-blinded, parallel, randomised controlled trial will be undertaken. 120 participants with pressure ulcers on the sacrum, ischial tuberosity or greater trochanter of the femur secondary to spinal cord injury will be randomly assigned to a Control or Intervention group. Participants in the Control group will receive usual community care. That is, they will manage their pressure ulcers on their own at home but will be free to access whatever healthcare support they can. Participants in the Intervention group will also manage their pressure ulcers at home and will also be free to access whatever healthcare support they can, but in addition they will receive weekly telephone-based support and advice for 12 weeks (15-25 min/week). The primary outcome is the size of the pressure ulcer at 12 weeks. 13 secondary outcomes will be measured reflecting other aspects of pressure ulcer resolution, depression, quality of life, participation and satisfaction with healthcare provision. An economic evaluation will be run in parallel and will include a cost-effectiveness and a cost-utility analysis. Ethical approval was obtained from the Institutional Ethics Committee at each site. The results of this study will be disseminated through publications and presented at national and international conferences. ACTRN12613001225707. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  15. Fuel cells for telephone networks

    International Nuclear Information System (INIS)

    Wells, J.D.; Scott, D.S.

    1993-01-01

    Critical telephone network systems are currently protected from electric utility power failures by a backup system consisting of lead-acid batteries and an engine-alternator. It is considered here an alternate power system where less expensive off-peak commercial electricity electrolyses water, while fuel cells draw continuously on the stored gas products to provide direct current for the protected equipment. The lead acid batteries are eliminated. The benefits and costs of the existing and alternate systems in scenarios with various system efficiencies, capital costs, and electric utility rates and incentives, are compared. In today's conditions, the alternate system is not economical; however, cost and performance feasibility domains are identified. 2 figs., 4 tabs., 12 refs

  16. Health-related quality of life in a multicenter randomized controlled comparison of telephonic disease management and automated home monitoring in patients recently hospitalized with heart failure: SPAN-CHF II trial.

    Science.gov (United States)

    Konstam, Varda; Gregory, Douglas; Chen, Jie; Weintraub, Andrew; Patel, Ayan; Levine, Daniel; Venesy, David; Perry, Kathleen; Delano, Christine; Konstam, Marvin A

    2011-02-01

    Although disease management programs have been shown to provide a number of clinical benefits to patients with heart failure (HF), the incremental impact of an automated home monitoring (AHM) system on health-related quality of life (HRQL) is unknown. We performed a prospective randomized investigation, examining the additive value of AHM to a previously described nurse-directed HF disease management program (SPAN-CHF), with attention to HRQL, in patients with a recent history of decompensated HF. A total of 188 patients were randomized to receive the SPAN-CHF intervention for 90 days, either with (AHM group) or without (NAHM, standard-care group) AHM, with a 1:1 randomization ratio after HF-related hospitalization. HRQL, measured by the Minnesota Living With Heart Failure Questionnaire (MLHFQ) (Physical, Emotional, and Total scores on MLHFQ) was assessed at 3 time points: baseline, 45 days, and 90 days. Although both treatments (AHM and NAHM) improved HRQL at 45 and 90 days compared with baseline with respect to Physical, Emotional, and Total domain scales, no significant difference emerged between AHM and NAHM groups. AHM and NAHM treatments demonstrated improved HRQL scores at 45 and 90 days after baseline assessment. When comparing 2 state-of the-art disease management programs regarding HRQL outcomes, our results did not support the added value of AHM. Copyright © 2011. Published by Elsevier Inc.

  17. Designing a Business Model for Environmental Monitoring Services Using Fast MCDS Innovation Support Tools

    Directory of Open Access Journals (Sweden)

    Tuomo Eskelinen

    2017-11-01

    Full Text Available The free availability of open data provides opportunities to start new businesses and gain business intelligence. However, although data is often used to support decisions and actions, the possibilities offered by modern sensor technologies with connections to cloud-based data collection services are not being effectively capitalized. Data collection systems are also not generally open source solutions, even though open and flexibly adjustable systems would broaden the opportunities for solutions and larger revenue streams. In this article, we used action research methods to discover new business opportunities in a semi-open information system that utilizes environmental monitoring data. We applied a four-stage innovation process for industry, which included context definition, idea generation, and selection, and produced multi-criteria decision support (MCDS data to help the design of business model. This was done to reveal business opportunities for an environmental monitoring service. Among these opportunities, one service-style business model canvas was identified as feasible and selected for further development. We identified items that are needed in the commercialization process of environmental monitoring services. Our process combines open environmental monitoring data, participative innovation process, and MCDS support, and it supports and accelerates a co-creative business model creation process that is cost-beneficial in terms of saving time. The results are applicable to the creation of an open data information system that supports data-driven innovation.

  18. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    TS Department

    2008-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 3 December. During this time, the fixed-line telephone and audio-conference services may be disrupted. However, the CCC and the Fire Brigade will be reachable at all times. Mobile telephone services (GSM) will not be affected by this work. For further details please contact mailto:Netops@cern.ch.

  19. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work on the CERN telephone exchanges will be performed on 10 July from 8 p.m. to midnight. During this intervention, the fixed telephone services, audioconference services and GSM calls made via the 333 prefix may be disrupted. However, the CCC and the fire brigade will be reachable at all times. For more details about this maintenance work, please call the telephone switchboard on 76111 or send an e-mail. Telecom SectionIT/CS

  20. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    A maintenance of the CERN telephone exchanges will be performed on the 10th of July from 8 p.m. to midnight. During this intervention, the fixed telephone services, audioconference services, and GSM calls made via the 333 prefix may be disrupted. However, the CCC and the fire brigade will be reachable at any time. For more details about this maintenance, please contact the telephone switchboard at 76111 or by email. Telecom Section IT/CS

  1. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    TS Department

    2008-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 3 December. During this time, the fixed-line telephone and audio-conference services may be disrupted. However, the CCC and the Fire Brigade will be reachable at all times. Mobile telephone services (GSM) will not be affected by this work. For further details please contact Netops@cern.ch.

  2. A Telephone Communication Skills Exercise for Veterinary Students: Experiences, Challenges, and Opportunities.

    Science.gov (United States)

    Grevemeyer, Bernard; Betance, Larry; Artemiou, Elpida

    2016-01-01

    Evidence from human medicine shows a rise in telephone communication in support of after-hours services and in providing medical advice, follow-up information, etc. While specific training programs are continuously being developed for human medical education, limited publications are available on training veterinary students in telephone communication. Presented is our method of introducing a telephone communication skills exercise to third-year veterinary students. The exercise progressed over three phases and currently follows the principles of the Calgary-Cambridge Guide. Challenges and improvements on implementing a telephone communication exercise are discussed. Within veterinary communication curricula, attention should be given to the specific communication skills required for successful telephone consultations. In the absence of visual nonverbal cues and prompts during a telephone interaction, communication skills must be applied with greater intent and attention to achieve an effective consultation outcome.

  3. Site-Wide Integrated Water Monitoring - Defining and Implementing Sampling Objectives to Support Site Closure - 13060

    International Nuclear Information System (INIS)

    Wilborn, Bill; Knapp, Kathryn; Farnham, Irene; Marutzky, Sam

    2013-01-01

    The Underground Test Area (UGTA) activity is responsible for assessing and evaluating the effects of the underground nuclear weapons tests on groundwater at the Nevada National Security Site (NNSS), formerly the Nevada Test Site (NTS), and implementing a corrective action closure strategy. The UGTA strategy is based on a combination of characterization, modeling studies, monitoring, and institutional controls (i.e., monitored natural attenuation). The closure strategy verifies through appropriate monitoring activities that contaminants of concern do not exceed the SDWA at the regulatory boundary and that adequate institutional controls are established and administered to ensure protection of the public. Other programs conducted at the NNSS supporting the environmental mission include the Routine Radiological Environmental Monitoring Program (RREMP), Waste Management, and the Infrastructure Program. Given the current programmatic and operational demands for various water-monitoring activities at the same locations, and the ever-increasing resource challenges, cooperative and collaborative approaches to conducting the work are necessary. For this reason, an integrated sampling plan is being developed by the UGTA activity to define sampling and analysis objectives, reduce duplication, eliminate unnecessary activities, and minimize costs. The sampling plan will ensure the right data sets are developed to support closure and efficient transition to long-term monitoring. The plan will include an integrated reporting mechanism for communicating results and integrating process improvements within the UGTA activity as well as between other U.S. Department of Energy (DOE) Programs. (authors)

  4. Feasibility of monitoring the strength of HTGR core support graphite: Part III

    International Nuclear Information System (INIS)

    Morgan, W.C.; Davis, T.J.; Thomas, M.T.

    1983-02-01

    Methods are being developed to monitor, in-situ, the strength changes of graphite core-support components in a High-Temperature Gas-Cooled Reactor (HTGR). The results reported herein pertain to the development of techniques for monitoring the core-support blocks; the PGX graphite used in these studies is the grade used for the core-support blocks of the Fort St. Vrain HTGR, and is coarser-grained than the grades used in our previous investigations. The through-transmission ultrasonic velocity technique, developed for monitoring strength of the core-support posts, is not suitable for use on the core-support blocks. Eddy-current and ultrasonic backscattering techniques have been shown to be capable of measuring the density-depth profile in oxidized PGX and, combined with a correlation of strength versus density, could yield an estimate of the strength-depth profile of in-service HTGR core support blocks. Correlations of strength versus density and other properties, and progress on the development of the eddy-current and ultrasonic backscattering techniques are reported

  5. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 20 November. Fixed-line telephone and audioconference services may be disrupted while the work is being carried out. However, the CCC and the fire brigade will be contactable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. For further details about the maintenance work, please contact the telephone switchboard on 76111 or by email to standard.telephone@cern.ch. Telecom Section IT/CS

  6. The NETLAKE Metadatabase – A tool to support automatic monitoring on lakes in Europe and beyond

    Czech Academy of Sciences Publication Activity Database

    Jennings, E.; de Eyto, E.; Laas, A.; Pierson, D. C.; Mircheva, G.; Naumoski, A.; Clarke, A.; Helay, M.; Šumberová, Kateřina; Langenhaun, D.

    2017-01-01

    Roč. 26, č. 4 (2017), s. 95-100 ISSN 1539-607X Grant - others:COST(XE) ES1201 Program:ES Institutional support: RVO:67985939 Keywords : sensor -based monitoring * data sharing * lakes and reservoirs Subject RIV: DA - Hydrology ; Limnology OBOR OECD: Marine biology, freshwater biology, limnology

  7. Perceived Socio-Economic Status and Social Inclusion in School: Parental Monitoring and Support as Mediators

    Science.gov (United States)

    Veland, Jarmund; Bru, Edvin; Idsøe, Thormod

    2015-01-01

    The roles of parental monitoring and support (parenting styles) as mediators of the relationship between socio-economic status (SES) and perceived inclusion in school were studied in a sample of 7137 Norwegian primary and secondary school pupils aged between 10 and 16 years. To study whether additional social disadvantages moderated the…

  8. Development of cost effective fenceline monitoring approaches to support advanced leak detection and repair strategies

    Science.gov (United States)

    Cost-effective fence line and process monitoring systems to support advanced leak detection and repair (LDAR) strategies can enhance protection of public health, facilitate worker safety, and help companies realize cost savings by reducing lost product. The U.S. EPA Office of Re...

  9. Telephone calls by individuals with cancer.

    Science.gov (United States)

    Flannery, Marie; McAndrews, Leanne; Stein, Karen F

    2013-09-01

    To describe symptom type and reporting patterns found in spontaneously initiated telephone calls placed to an ambulatory cancer center practice. Retrospective, descriptive. Adult hematology oncology cancer center. 563 individuals with a wide range of oncology diagnoses who initiated 1,229 telephone calls to report symptoms. Raw data were extracted from telephone forms using a data collection sheet with 23 variables obtained for each phone call, using pre-established coding criteria. A literature-based, investigator-developed instrument was used for the coding criteria and selection of which variables to extract. Symptom reporting, telephone calls, pain, and symptoms. A total of 2,378 symptoms were reported by telephone during the four months. At least 10% of the sample reported pain (38%), fatigue (16%), nausea (16%), swelling (12%), diarrhea (12%), dyspnea (10%), and anorexia (10%). The modal response was to call only one time and to report only one symptom (55%). Pain emerged as the symptom that most often prompted an individual to pick up the telephone and call. Although variation was seen in symptom reporting, an interesting pattern emerged with an individual reporting on a solitary symptom in a single telephone call. The emergence of pain as the primary symptom reported by telephone prompted educational efforts for both in-person clinic visit management of pain and prioritizing nursing education and protocol management of pain reported by telephone. Report of symptoms by telephone can provide nurses unique insight into patient-centered needs. Although pain has been an important focus of education and research for decades, it remains a priority for individuals with cancer. A wide range in symptom reporting by telephone was evident.

  10. Upgrade of the CERN telephone exchange

    CERN Multimedia

    2006-01-01

    As part of the upgrade of telephone services, maintenance work will be carried out on the CERN switching centre between 8.00 p.m. and 10.00 p.m. on Monday 9 October. Telephone services may be disrupted and possibly even interrupted during this time. We apologise in advance for any inconvenience this may cause. CERN TELECOM Service

  11. Real world implementation lessons and outcomes from the Worker Interactive Networking (WIN) project: workplace-based online caregiver support and remote monitoring of elders at home.

    Science.gov (United States)

    Mahoney, Diane M F; Mutschler, Phyllis H; Tarlow, Barbara; Liss, Ellen

    2008-04-01

    The objective of this research was to determine the feasibility of and receptivity to the first computerized workplace-based direct caregiver intervention and to assess the effects on businesses, working family caregivers, and their elderly relatives. Working family caregivers, with at least one health and/or safety concern related to an elder residing alone at home during the workday, were recruited from five companies (n = 27). Caregivers received free computer access to the Worker Interactive Networking (WIN) Internet online caregiver support group and a remote elder monitoring system at home for 6 months. The remote monitoring system provided Web-based status reports and e-mail/pager alerts when individualized parameters were exceeded. Motion sensor signals were transmitted to a transponder that uploaded via wireless cellular communications to the project server, thereby not interfering with elders' telephone use. Formative qualitative analyses clarified acceptance and implementation issues. Summative quantitative evaluation determined pilot intervention effects and was conducted by external evaluators. Despite interoperability and cellular reception issues, the system was successfully deployed across four states to a variety of businesses and housing types. Positive results occurred on worker morale, productivity, and reduction of caregiver stress. Participants found it easy to learn and use. Elders did not find the technology "intrusive" or "isolating." Contrary to their expectations, managers reported no abuse of Internet access. Workers expressed a willingness to pay for a similar system in the future ranging from $10 to $130, depending on the features. They would pay the most for the option involving a geriatric nurse coach. The WIN system innovatively tailored to users' wants, and provided users customized control and personalized support. Use of the system was associated with positive outcomes. Enrollment response suggests a specific niche market for

  12. Design of nuclear emergency decision-making support system based on the results of radiation monitoring

    International Nuclear Information System (INIS)

    Zheng Qiyan; Zhang Lijun; Huang Weiqi; Chen Lin

    2010-01-01

    For nuclear emergency decision-making support system based on the results of radiation monitoring, its main assignment is receiving radiation monitoring data and analyzing them, to accomplish some works such as environment influence evaluation, dose assessment for emergency responder, decision-making analyzing and effectiveness evaluation for emergency actions, etc.. This system is made up of server, communication terminal, data-analyzing terminal, GPRS modules, printer, and so on. The whole system make of a LAN. The system's software is made up of six subsystems: data-analyzing subsystem, reporting subsystem, GIS subsystem, communication subsystem, user-managing subsystem and data-base. (authors)

  13. Information support of monitoring of technical condition of buildings in construction risk area

    Science.gov (United States)

    Skachkova, M. E.; Lepihina, O. Y.; Ignatova, V. V.

    2018-05-01

    The paper presents the results of the research devoted to the development of a model of information support of monitoring buildings technical condition; these buildings are located in the construction risk area. As a result of the visual and instrumental survey, as well as the analysis of existing approaches and techniques, attributive and cartographic databases have been created. These databases allow monitoring defects and damages of buildings located in a 30-meter risk area from the object under construction. The classification of structures and defects of these buildings under survey is presented. The functional capabilities of the developed model and the field of it practical applications are determined.

  14. Emotional first aid for a suicide crisis: comparison between Telephonic hotline and internet.

    Science.gov (United States)

    Gilat, Itzhak; Shahar, Golan

    2007-01-01

    The telephone and the internet have become popular sources of psychological help in various types of distress, including a suicide crisis. To gain more insight into the unique features of these media, we compared characteristics of calls to three technologically mediated sources of help that are part of the volunteer-based Israeli Association for Emotional First Aid (ERAN): Telephonic hotline (n = 4426), personal chat (n = 373) and an asynchronous online support group (n = 954). Threats of suicide were much more frequent among participants in the asynchronous support group than the telephone and personal chat. These findings encourage further research into suicide-related interpersonal exchanges in asynchronous online support groups.

  15. Monitoramento da síndrome gripal em adultos nas capitais do Brasil e no Distrito Federal por meio de inquérito telefônico Influenza like illness monitoring in adults of the State Capitals and Federal District in Brazil by telephone survey

    Directory of Open Access Journals (Sweden)

    Priscilleyne Ouverney Reis

    2011-09-01

    Full Text Available OBJETIVOS: Com o objetivo de estimar a prevalência da síndrome gripal em adultos das capitais e regiões do Brasil, realizou-se monitoramento da ocorrência de sinais e sintomas compatíveis por inquérito telefônico (VIGITEL em 2010. MÉTODO: Estudo transversal que contou com 47.876 entrevistas nas capitais dos estados brasileiros e no Distrito Federal, com amostragem probabilística da população >18 anos, residente em domicílios com linha fixa de telefone. Foram analisadas as questões referentes à síndrome gripal e influenza pandêmica (H1N1 2009, no período de 10 de janeiro a 30 de novembro de 2010. Os percentuais foram calculados para as regiões do país e para o Brasil e ponderados segundo a distribuição sociodemográfica da PNAD 2008. RESULTADOS: A prevalência de indivíduos, com algum sinal ou sintoma de gripe nos 30 dias anteriores à entrevista, foi de 31,2% (IC95% 30,2-32,2%. O relato de síndrome gripal foi mais frequente entre as mulheres, adultos jovens (18 a 29 anos e aquelas pessoas com 9 a 11 anos de estudo. A maior prevalência de sinais ou sintomas gripais ocorreu na região Norte. Verificou-se tendência crescente com posterior decréscimo em todas as regiões, exceto na Nordeste. A procura pelo serviço de saúde foi relatada por 26,8% (IC95% 25,1-28,5 das pessoas que adoeceram. A suspeita médica de influenza pandêmica (H1N1 2009 ocorreu em 2,6% (IC95% 1,8-3,4 dos entrevistados que relataram ter procurado o serviço de saúde. CONCLUSÃO: Os resultados deste inquérito forneceram informações oportunas e úteis, as quais não foram captadas pelo sistema de vigilância tradicional, como a ocorrência de sinal ou sintoma gripal e a procura pelo serviço de saúde.OBJECTIVES: In order to estimate the prevalence of influenza like illness (ILI in adults from all state capitals and geographic regions in Brazil, a periodical monitoring of ILI cases by the national telephone survey (VIGITEL was carried out in 2010

  16. An Environment for Guideline-based Decision Support Systems for Outpatients Monitoring.

    Science.gov (United States)

    Zini, Elisa M; Lanzola, Giordano; Bossi, Paolo; Quaglini, Silvana

    2017-08-11

    We propose an architecture for monitoring outpatients that relies on mobile technologies for acquiring data. The goal is to better control the onset of possible side effects between the scheduled visits at the clinic. We analyze the architectural components required to ensure a high level of abstraction from data. Clinical practice guidelines were formalized with Alium, an authoring tool based on the PROforma language, using SNOMED-CT as a terminology standard. The Alium engine is accessible through a set of APIs that may be leveraged for implementing an application based on standard web technologies to be used by doctors at the clinic. Data sent by patients using mobile devices need to be complemented with those already available in the Electronic Health Record to generate personalized recommendations. Thus a middleware pursuing data abstraction is required. To comply with current standards, we adopted the HL7 Virtual Medical Record for Clinical Decision Support Logical Model, Release 2. The developed architecture for monitoring outpatients includes: (1) a guideline-based Decision Support System accessible through a web application that helps the doctors with prevention, diagnosis and treatment of therapy side effects; (2) an application for mobile devices, which allows patients to regularly send data to the clinic. In order to tailor the monitoring procedures to the specific patient, the Decision Support System also helps physicians with the configuration of the mobile application, suggesting the data to be collected and the associated collection frequency that may change over time, according to the individual patient's conditions. A proof of concept has been developed with a system for monitoring the side effects of chemo-radiotherapy in head and neck cancer patients. Our environment introduces two main innovation elements with respect to similar works available in the literature. First, in order to meet the specific patients' needs, in our work the Decision

  17. Design and Development of a Web-Based Self-Monitoring System to Support Wellness Coaching.

    Science.gov (United States)

    Zarei, Reza; Kuo, Alex

    2017-01-01

    We analyzed, designed and deployed a web-based, self-monitoring system to support wellness coaching. A wellness coach can plan for clients' exercise and diet through the system and is able to monitor the changes in body dimensions and body composition that the client reports. The system can also visualize the client's data in form of graphs for both the client and the coach. Both parties can also communicate through the messaging feature embedded in the application. A reminder system is also incorporated into the system and sends reminder messages to the clients when their reporting is due. The web-based self-monitoring application uses Oracle 11g XE as the backend database and Application Express 4.2 as user interface development tool. The system allowed users to access, update and modify data through web browser anytime, anywhere, and on any device.

  18. A Wireless Sensor Network-Based Approach with Decision Support for Monitoring Lake Water Quality.

    Science.gov (United States)

    Huang, Xiaoci; Yi, Jianjun; Chen, Shaoli; Zhu, Xiaomin

    2015-11-19

    Online monitoring and water quality analysis of lakes are urgently needed. A feasible and effective approach is to use a Wireless Sensor Network (WSN). Lake water environments, like other real world environments, present many changing and unpredictable situations. To ensure flexibility in such an environment, the WSN node has to be prepared to deal with varying situations. This paper presents a WSN self-configuration approach for lake water quality monitoring. The approach is based on the integration of a semantic framework, where a reasoner can make decisions on the configuration of WSN services. We present a WSN ontology and the relevant water quality monitoring context information, which considers its suitability in a pervasive computing environment. We also propose a rule-based reasoning engine that is used to conduct decision support through reasoning techniques and context-awareness. To evaluate the approach, we conduct usability experiments and performance benchmarks.

  19. Change-Point Detection Method for Clinical Decision Support System Rule Monitoring.

    Science.gov (United States)

    Liu, Siqi; Wright, Adam; Hauskrecht, Milos

    2017-06-01

    A clinical decision support system (CDSS) and its components can malfunction due to various reasons. Monitoring the system and detecting its malfunctions can help one to avoid any potential mistakes and associated costs. In this paper, we investigate the problem of detecting changes in the CDSS operation, in particular its monitoring and alerting subsystem, by monitoring its rule firing counts. The detection should be performed online, that is whenever a new datum arrives, we want to have a score indicating how likely there is a change in the system. We develop a new method based on Seasonal-Trend decomposition and likelihood ratio statistics to detect the changes. Experiments on real and simulated data show that our method has a lower delay in detection compared with existing change-point detection methods.

  20. Data support system for controlling decentralised nuclear power industry facilities through uninterruptible condition monitoring

    Directory of Open Access Journals (Sweden)

    Povarov Vladimir

    2018-01-01

    Full Text Available The article describes the automated uninterruptible multi-parameter system for monitoring operational vulnerability of critical NPP components, which differs from existing ones by being universally applicable for analysing mechanical damage of nuclear power unit components. The system allows for performing routine assessment of metal structures. The assessment of strained condition of a deteriorating component is based on three-dimensional finite element simulation with calculations adjusted with reference to in-situ measurements. A program for calculation and experimental analysis of maximum load and durability of critical area forms the core of uninterruptible monitoring system. The knowledge base on performance of the monitored components in different operating conditions and the corresponding comprehensive analysis of strained condition and deterioration rates compose the basis of control system data support, both for operating nuclear power units and robotic maintenance and repair systems.

  1. Volunteer stream monitoring: Do the data quality and monitoring experience support increased community involvement in freshwater decision making?

    Directory of Open Access Journals (Sweden)

    Richard G. Storey

    2016-12-01

    freshwater decision making. Given adequate professional support, community-based water monitoring can provide data reliable enough to augment professionally collected data, and increase the opportunities, confidence, and skills of community members to engage in freshwater decision making.

  2. Addendum to environmental monitoring plan Nevada Test Site and support facilities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1992-11-01

    This 1992 Addendum to the ``Environmental Monitoring Plan Nevada Test Site and Support Facilities -- 1991,`` Report No. DOE/NV/1 0630-28 (EMP) applies to the US Department of Energy`s (DOE`s) operations on the Continental US (including Amchitka Island, Alaska) that are under the purview of the DOE Nevada Field Office (DOE/NV). The primary purpose of these operations is the conduct of the nuclear weapons testing program for the DOE and the Department of Defense. Since 1951, these tests have been conducted principally at the Nevada Test Site (NTS), which is located approximately 100 miles northwest of Las Vegas, Nevada. In accordance with DOE Order 5400.1, this 1992 Addendum to the EMP brings together, in one document, updated information and/or new sections to the description of the environmental activities conducted at the NTS by user organizations, operations support contractors, and the US Environmental Protection Agency (EPA) originally published in the EMP. The EPA conducts both the offsite environmental monitoring program around the NTS and post-operational monitoring efforts at non-NTS test locations used between 1961 and 1973 in other parts of the continental US All of these monitoring activities are conducted under the auspices of the DOE/NV, which has the stated policy of conducting its operations in compliance with both the letter and the spirit of applicable environmental statutes, regulations, and standards.

  3. Addendum to Environmental Monitoring Plan, Nevada Test Site and Support Facilities; Addendum 2

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-11-01

    This 1993 Addendum to the ``Environmental Monitoring Plan Nevada Test Site and Support Facilities -- 1991,`` Report No. DOE/NV/10630-28 (EMP) applies to the US Department of Energy`s (DOE`s) operations on the Continental US (including Amchitka Island, Alaska) that are under the purview of the DOE Nevada Operations Office (DOE/NV). The primary purpose of these operations is the conduct of the nuclear weapons testing program for the DOE and the Department of Defense. Since 1951, these tests have been conducted principally at the Nevada Test Site (NTS), which is located approximately 100 miles northwest of Las Vegas, Nevada. In accordance with DOE Order 5400.1, this 1993 Addendum to the EMP brings together, in one document, updated information and/or new sections to the description of the environmental activities conducted at the NTS by user organizations, operations support contractors, and the US Environmental Protection Agency (EPA) originally published in the EMP. The EPA conducts both the offsite environmental monitoring program around the NTS and post-operational monitoring efforts at non-NTS test locations used between 1961 and 1973 in other parts of the continental US. All of these monitoring activities are conducted under the auspices of the DOE/NV, which has the stated policy of conducting its operations in compliance with both the letter and the spirit of applicable environmental statutes, regulations, and standards.

  4. Addendum to Environmental Monitoring Plan, Nevada Test Site and Support Facilities

    International Nuclear Information System (INIS)

    1993-11-01

    This 1993 Addendum to the ''Environmental Monitoring Plan Nevada Test Site and Support Facilities -- 1991,'' Report No. DOE/NV/10630-28 (EMP) applies to the US Department of Energy's (DOE's) operations on the Continental US (including Amchitka Island, Alaska) that are under the purview of the DOE Nevada Operations Office (DOE/NV). The primary purpose of these operations is the conduct of the nuclear weapons testing program for the DOE and the Department of Defense. Since 1951, these tests have been conducted principally at the Nevada Test Site (NTS), which is located approximately 100 miles northwest of Las Vegas, Nevada. In accordance with DOE Order 5400.1, this 1993 Addendum to the EMP brings together, in one document, updated information and/or new sections to the description of the environmental activities conducted at the NTS by user organizations, operations support contractors, and the US Environmental Protection Agency (EPA) originally published in the EMP. The EPA conducts both the offsite environmental monitoring program around the NTS and post-operational monitoring efforts at non-NTS test locations used between 1961 and 1973 in other parts of the continental US. All of these monitoring activities are conducted under the auspices of the DOE/NV, which has the stated policy of conducting its operations in compliance with both the letter and the spirit of applicable environmental statutes, regulations, and standards

  5. Feasibility of monitoring the strength of HTGR core support graphite. Part II

    International Nuclear Information System (INIS)

    Morgan, W.C.; Becker, F.L.

    1979-08-01

    The results reported establish the technical feasibility of a method for monitoring the strength of HTGR core support structures in situ. Correlations have been established between the velocity of an ultrasonic pulse and the compressive strength of four different grades of graphite. For some grades of graphite, one or more of the correlations are practically independent of oxidation profile in samples having cylindrical geometry (as in the core support posts). For other grades of graphite, and for other sample geometries, the oxidation-depth profile must be known in order to reliably predict the effect of oxidation on compressive strength

  6. Visual monitoring of solid-phase extraction using chromogenic fluorous synthesis supports.

    Science.gov (United States)

    Blackburn, Christopher

    2012-03-12

    Reductive aminations and further transformations of an azo dye and fluorous tagged aldehyde are described. The intensely colored 2,4-dialkoxybenzyl protected amines undergo Fmoc-based peptide coupling, Suzuki reactions, and sulfonamide formation with product isolation facilitated by visual monitoring of fluorous solid phase extraction. Target compounds are released from the supports in high yields and purities by treatment with trifluoroacetic acid (TFA).

  7. Beyond Patient Monitoring: Conversational Agents Role in Telemedicine & Healthcare Support For Home-Living Elderly Individuals

    OpenAIRE

    Fadhil, Ahmed

    2018-01-01

    There is a need for systems to dynamically interact with ageing populations to gather information, monitor health condition and provide support, especially after hospital discharge or at-home settings. Several smart devices have been delivered by digital health, bundled with telemedicine systems, smartphone and other digital services. While such solutions offer personalised data and suggestions, the real disruptive step comes from the interaction of new digital ecosystem, represented by chatb...

  8. Technical implementation in support of the IAEA's remote monitoring field trial at the Oak Ridge Y-12 Plant

    International Nuclear Information System (INIS)

    Corbell, B.H.; Moran, B.W.; Pickett, C.A.; Whitaker, J.M.; Resnik, W.; Landreth, D.

    1996-01-01

    A remote monitoring system (RMS) field trial will be conducted for the International Atomic Energy Agency (IAEA) on highly enriched uranium materials in a vault at the Oak Ridge Y-12 Plant. Remote monitoring technologies are being evaluated to verify their capability to enhance the effectiveness and timeliness of IAEA safeguards in storage facilities while reducing the costs of inspections and burdens on the operator. Phase one of the field trial, which involved proving the satellite transmission of sensor data and safeguards images from a video camera activated by seals and motion sensors installed in the vault, was completed in September 1995. Phase two involves formal testing of the RMS as a tool for use by the IAEA during their tasks of monitoring the storage of nuclear material. The field trial to be completed during early 1997 includes access and item monitoring of nuclear materials in two storage trays. The RMS includes a variety of Sandia, Oak Ridge, and Aquila sensor technologies that provide video monitoring, radiation attribute measurements, and container identification to the on-site data acquisition system (DAS) by way of radio-frequency and Echelon LONWorks networks. The accumulated safeguards information will be transmitted to the IAEA via satellite (COMSAT/RSI) and international telephone lines

  9. Reinforcing user data analysis with Ganga in the LHC era: scalability, monitoring and user-support

    International Nuclear Information System (INIS)

    Elmsheuser, Johannes; Ebke, Johannes; Brochu, Frederic; Dzhunov, Ivan; Kokoszkiewicz, Lukasz; Maier, Andrew; Mościcki, Jakub; Tuckett, David; Vanderster, Daniel; Egede, Ulrik; Reece, Will; Williams, Michael; Jha, Manoj Kumar; Lee, Hurng-Chun; München, Tim; Samset, Bjorn; Slater, Mark

    2011-01-01

    Ganga is a grid job submission and management system widely used in the ATLAS and LHCb experiments and several other communities in the context of the EGEE project. The particle physics communities have entered the LHC operation era which brings new challenges for user data analysis: a strong growth in the number of users and jobs is already noticeable. Current work in the Ganga project is focusing on dealing with these challenges. In recent Ganga releases the support for the pilot job based grid systems Panda and Dirac of the ATLAS and LHCb experiment respectively have been strengthened. A more scalable job repository architecture, which allows efficient storage of many thousands of jobs in XML or several database formats, was recently introduced. A better integration with monitoring systems, including the Dashboard and job execution monitor systems is underway. These will provide comprehensive and easy job monitoring. A simple to use error reporting tool integrated at the Ganga command-line will help to improve user support and debugging user problems. Ganga is a mature, stable and widely-used tool with long-term support from the HEP community. We report on how it is being constantly improved following the user needs for faster and easier distributed data analysis on the grid.

  10. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    2007-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and midnight on 20 November. Fixed-line telephone and audioconference services may be disrupted while the work is being carried out. However, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. For further details about the maintenance work, please contact the telephone switchboard on 76111 or by email. Telecom Section - IT/CS

  11. Evaluating the privacy properties of telephone metadata

    Science.gov (United States)

    Mayer, Jonathan; Mutchler, Patrick; Mitchell, John C.

    2016-01-01

    Since 2013, a stream of disclosures has prompted reconsideration of surveillance law and policy. One of the most controversial principles, both in the United States and abroad, is that communications metadata receives substantially less protection than communications content. Several nations currently collect telephone metadata in bulk, including on their own citizens. In this paper, we attempt to shed light on the privacy properties of telephone metadata. Using a crowdsourcing methodology, we demonstrate that telephone metadata is densely interconnected, can trivially be reidentified, and can be used to draw sensitive inferences. PMID:27185922

  12. Multiple Lines Of Evidence Supporting Natural Attenuation: Lines Of Inquiry Supporting Monitored Natural Attenuation And Enhanced Attenuatin Of Chlorinated Solvents

    Energy Technology Data Exchange (ETDEWEB)

    Vangelas, Karen; Widemeirer, T. H.; Barden, M.J.; Dickson, W. Z.; Major, David

    2004-12-31

    The Department of Energy (DOE) is sponsoring an initiative to facilitate efficient, effective and responsible use of Monitored Natural Attenuation (MNA) and Enhanced Attenuation (EA) for chlorinated solvents. This Office of Environmental Management (EM) ''Alternative Project,'' focuses on providing scientific and policy support for MNA/EA. A broadly representative working group of scientists supports the project along with partnerships with regulatory organizations such as the Interstate Technology Regulatory Council (ITRC) and the United States Environmental Protection Agency (USEPA). The initial product of the technical working group was a summary report that articulated the conceptual approach and central scientific tenants of the project, and that identified a prioritized listing of technical targets for field research. This report documented the process in which: (1) scientific ground rules were developed, (2) lines of inquiry were identified and then critically evaluated, (3) promising applied research topics were highlighted in the various lines of inquiry, and (4) these were discussed and prioritized. The summary report will serve as a resource to guide management and decision making throughout the period of the subject MNA/EA Alternative Project. To support and more fully document the information presented in the summary report, the DOE is publishing a series of supplemental documents that present the full texts from the technical analyses within the various lines of inquiry (see listing). The following report--documenting our evaluation of the state of the science for the lines of evidence for supporting decision-making for MNA--is one of those supplemental documents.

  13. Maintenance and Logistics Support for the International Monitoring System Network of the CTBTO

    Science.gov (United States)

    Haslinger, F.; Brely, N.; Akrawy, M.

    2007-05-01

    The global network of the International Monitoring System (IMS) of the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), once completed, will consist of 321 monitoring facilities of four different technologies: hydroacoustic, seismic, infrasonic, and radionuclide. As of today, about 65% of the installations are completed and contribute data to the products issued by the International Data Centre (IDC) of the CTBTO. In order to accomplish the task to reliably collect evidence for any potential nuclear test explosion anywhere on the planet, all stations are required to perform to very high data availability requirements (at least 98% data availability over a 12-month period). To enable reaching this requirement, a three-layer concept has been developed to allow efficient support of the IMS stations: Operations, Maintenance and Logistics, and Engineering. Within this concept Maintenance and Logistics provide second level support of the stations, whereby problems arising at the station are assigned through the IMS ticket system to Maintenance if they cannot be resolved on the Operations level. Maintenance will then activate the required resources to appropriately address and ultimately resolve the problem. These resources may be equipment support contracts, other third party contracts, or the dispatch of a maintenance team. Engineering Support will be activated if the problem requires redesign of the station or after catastrophic failures when a total rebuild of a station may be necessary. In this model, Logistics Support is responsible for parts replenishment and support contract management. Logistics Support also collects and analyzes relevant failure mode and effect information, develops supportability models, and has the responsibility for document management, obsolescence, risk & quality, and configuration management, which are key elements for efficient station support. Maintenance Support in addition is responsible for maintenance strategies, for

  14. Initial fieldwork for LWAZI: a telephone-based spoken dialog system for rural South Africa

    CSIR Research Space (South Africa)

    Gumede, T

    2009-03-01

    Full Text Available government information and services. Our interviews, focus group discussions and surveys revealed that Lwazi, a telephone-based spoken dialog system, could greatly support current South African government efforts to effectively connect citizens to available...

  15. Towards a geophysical decision-support system for monitoring and managing unstable slopes

    Science.gov (United States)

    Chambers, J. E.; Meldrum, P.; Wilkinson, P. B.; Uhlemann, S.; Swift, R. T.; Inauen, C.; Gunn, D.; Kuras, O.; Whiteley, J.; Kendall, J. M.

    2017-12-01

    Conventional approaches for condition monitoring, such as walk over surveys, remote sensing or intrusive sampling, are often inadequate for predicting instabilities in natural and engineered slopes. Surface observations cannot detect the subsurface precursors to failure events; instead they can only identify failure once it has begun. On the other hand, intrusive investigations using boreholes only sample a very small volume of ground and hence small scale deterioration process in heterogeneous ground conditions can easily be missed. It is increasingly being recognised that geophysical techniques can complement conventional approaches by providing spatial subsurface information. Here we describe the development and testing of a new geophysical slope monitoring system. It is built around low-cost electrical resistivity tomography instrumentation, combined with integrated geotechnical logging capability, and coupled with data telemetry. An automated data processing and analysis workflow is being developed to streamline information delivery. The development of this approach has provided the basis of a decision-support tool for monitoring and managing unstable slopes. The hardware component of the system has been operational at a number of field sites associated with a range of natural and engineered slopes for up to two years. We report on the monitoring results from these sites, discuss the practicalities of installing and maintaining long-term geophysical monitoring infrastructure, and consider the requirements of a fully automated data processing and analysis workflow. We propose that the result of this development work is a practical decision-support tool that can provide near-real-time information relating to the internal condition of problematic slopes.

  16. Dynamic performance of the beam position monitor support at the SSRF.

    Science.gov (United States)

    Wang, Xiao; Cao, Yun; Du, Hanwen; Yin, Lixin

    2009-01-01

    Electron beam stability is very important for third-generation light sources, especially for the Shanghai Synchrotron Radiation Facility whose ground vibrations are much larger than those for other light sources. Beam position monitors (BPMs), used to monitor the position of the electron beam, require a greater stability than other mechanical structures. This paper concentrates on an investigation of the dynamic performance of the BPM support prototype. Modal and response analyses have been carried out by finite-element (FE) calculations and vibration measurements. Inconsistent results between calculation and measurement have motivated a change in the soft connections between the support and the ground from a ground bolt in the initial design to full grout. As a result the mechanical stability of the BPM support is greatly improved, showing an increase in the first eigenfrequency from 20.2 Hz to 50.2 Hz and a decrease in the ratio of the root-mean-square displacement (4-50 Hz) between the ground and the top of the support from 4.36 to 1.23 in the lateral direction. An example is given to show how FE analysis can guide the mechanical design and dynamic measurements (i.e. it is not just used as a verification method). Similar ideas can be applied to improve the stability of other mechanical structures.

  17. Mapping crime scenes and cellular telephone usage

    CSIR Research Space (South Africa)

    Schmitz, Peter MU

    2000-12-01

    Full Text Available This paper describes a method that uses a desktop geographical information system (GIS) to plot cellular telephone conversations made when crimes are committed, such as hijackings, hostage taking, kidnapping, rape and murder. The maps produced...

  18. Cellular telephone use and cancer risk

    DEFF Research Database (Denmark)

    Schüz, Joachim; Jacobsen, Rune; Olsen, Jørgen H.

    2006-01-01

    BACKGROUND: The widespread use of cellular telephones has heightened concerns about possible adverse health effects. The objective of this study was to investigate cancer risk among Danish cellular telephone users who were followed for up to 21 years. METHODS: This study is an extended follow......-up of a large nationwide cohort of 420,095 persons whose first cellular telephone subscription was between 1982 and 1995 and who were followed through 2002 for cancer incidence. Standardized incidence ratios (SIRs) were calculated by dividing the number of observed cancer cases in the cohort by the number...... expected in the Danish population. RESULTS: A total of 14,249 cancers were observed (SIR = 0.95; 95% confidence interval [CI] = 0.93 to 0.97) for men and women combined. Cellular telephone use was not associated with increased risk for brain tumors (SIR = 0.97), acoustic neuromas (SIR = 0.73), salivary...

  19. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT/CS

    2014-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8 p.m. and 2 a.m. on 26 August.   Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the Fire Brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work.

  20. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 8h30 and 17h30 on Saturday 9 May. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS/CS

  1. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2009-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and midnight on the 29th of July in order to apply the latest software patches. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS/CS

  2. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2011-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and 2h00 on the 16 November. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. IT/CS

  3. Maintenance of the CERN telephone exchanges

    CERN Multimedia

    IT Department

    2011-01-01

    Maintenance work will be carried out on the CERN telephone exchanges between 20h00 and midnight on the 21st of February in order to apply the latest software patches. Fixed-line telephone and audio-conference services may be disrupted during this intervention. Nevertheless, the CCC and the fire brigade will be reachable at any time. Mobile telephony services (GSM) will not be affected by the maintenance work. CS Group

  4. Opto-Acoustic Telephone Study.

    Science.gov (United States)

    1983-01-01

    hook acknowledge, line busy monitoring, misdialing, receiver in permanent off hook position and touch tone or dial recognition . The wide bandwidth of... Speech Communication Over a Fiber Lightguide", Bell Sys. Tech. J. 58, 1735-41, September 1979. 40. Lord Rayleigh, "The Photophone", Nature XXIII, pp...date May 24, 1JIM. To .i11 ihou, it usay concern: rate otisslerrit tion,anud were lousd ensough to lieit ksov% it that w’e, ALEXA ’.Mn: UatA𔃻 be easily

  5. Developing an Ontology-Based Rollover Monitoring and Decision Support System for Engineering Vehicles

    Directory of Open Access Journals (Sweden)

    Feixiang Xu

    2018-05-01

    Full Text Available The increasing number of rollover accidents of engineering vehicles has attracted close attention; however, most researchers focus on the analysis and monitoring of rollover stability indexes and seldom the assessment and decision support for the rollover risk of engineering vehicles. In this context, an ontology-based rollover monitoring and decision support system for engineering vehicles is proposed. The ontology model is built for representing monitored rollover stability data with semantic properties and for constructing semantic relevance among the various concepts involved in the rollover domain. On the basis of this, ontology querying and reasoning methods based on the Simple Protocol and RDF Query Language (SPARQL and Semantic Web Rule Language (SWRL rules are utilized to realize the rollover risk assessment and to obtain suggested measures. PC and mobile applications (APPs have also been developed to implement the above methods. In addition, five sets of rollover stability data for an articulated off-road engineering vehicle under different working conditions were analyzed to verify the accuracy and effectiveness of the proposed system.

  6. MIMIC II: a massive temporal ICU patient database to support research in intelligent patient monitoring

    Science.gov (United States)

    Saeed, M.; Lieu, C.; Raber, G.; Mark, R. G.

    2002-01-01

    Development and evaluation of Intensive Care Unit (ICU) decision-support systems would be greatly facilitated by the availability of a large-scale ICU patient database. Following our previous efforts with the MIMIC (Multi-parameter Intelligent Monitoring for Intensive Care) Database, we have leveraged advances in networking and storage technologies to develop a far more massive temporal database, MIMIC II. MIMIC II is an ongoing effort: data is continuously and prospectively archived from all ICU patients in our hospital. MIMIC II now consists of over 800 ICU patient records including over 120 gigabytes of data and is growing. A customized archiving system was used to store continuously up to four waveforms and 30 different parameters from ICU patient monitors. An integrated user-friendly relational database was developed for browsing of patients' clinical information (lab results, fluid balance, medications, nurses' progress notes). Based upon its unprecedented size and scope, MIMIC II will prove to be an important resource for intelligent patient monitoring research, and will support efforts in medical data mining and knowledge-discovery.

  7. Applications of Advanced Technology for Monitoring Forest Carbon to Support Climate Change Mitigation

    Science.gov (United States)

    Birdsey, R.; Hurtt, G. C.; Dubayah, R.; Hagen, S. C.; Vargas, R.; Nehrkorn, T.; Domke, G. M.; Houghton, R. A.

    2015-12-01

    Measurement, Reporting, and Verification (MRV) is a broad concept guiding the application of monitoring technology to the needs of countries or entities for reporting and verifying reductions in greenhouse gas emissions or increases in greenhouse gas sinks. Credibility, cost-effectiveness, and compatibility are important features of global MRV efforts that can support implementation of climate change mitigation programs such as Reducing Emissions from Deforestation and Forest Degradation and Sustainable Forest Management (REDD+). Applications of MRV technology may be tailored to individual country circumstances following guidance provided by the Intergovernmental Panel on Climate Change; hence, there is no single approach that is uniquely viable but rather a range of ways to integrate new MRV methods. MRV technology is advancing rapidly with new remote sensing and advanced measurement of atmospheric CO2, and in situ terrestrial and ocean measurements, coupled with improvements in data analysis, modeling, and assessing uncertainty. Here we briefly summarize some of the most application-ready MRV technologies being developed under NASA's Carbon Monitoring System (CMS) program, and illustrate how these technologies may be applied for monitoring forests using several case studies that span a range of scales, country circumstances, and stakeholder reporting requirements. We also include remarks about the potential role of advanced monitoring technology in the context of the global climate accord that is expected to result from the 21st session of the Conference of the Parties to the United Nations Framework Convention on Climate Change, which is expected to take place in December 2015, in Paris, France.

  8. Data Quality Objectives Supporting Radiological Air Emissions Monitoring for the PNNL Richland Campus

    Energy Technology Data Exchange (ETDEWEB)

    Snyder, Sandra F. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Moleta, Donna Grace L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Meier, Kirsten M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Barnett, John M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2017-12-31

    This is the second revision of the DQO Supporting Radiological Air Emissions Monitoring for the Pacific Northwest National Laboratory Richland Campus. In January 2017, the PNNL Richland Campus expanded to the north by 0.35 km2 (85.6 acres). Under the requirements of Washington State Department of Health Radioactive Air Emissions License (RAEL)-005, the PNNL Campus operates and maintains a radiological air monitoring program. This revision documents and evaluates the newly acquired acreage while also removing recreational land at the southwest, and also re-examines all active radioactive emission units on the PNNL Campus. No buildings are located on this new Campus land, which was transferred from the U.S. DOE Hanford Site. Additionally, this revision includes information regarding the background monitoring station PNL-5 in Benton City, Washington, which became active in October 2016. The key purpose of this revision is to determine the adequacy of the existing environmental surveillance stations to monitor radiological air emissions in light of this northern boundary change.

  9. Real Time Monitoring System of Pollution Waste on Musi River Using Support Vector Machine (SVM) Method

    Science.gov (United States)

    Fachrurrozi, Muhammad; Saparudin; Erwin

    2017-04-01

    Real-time Monitoring and early detection system which measures the quality standard of waste in Musi River, Palembang, Indonesia is a system for determining air and water pollution level. This system was designed in order to create an integrated monitoring system and provide real time information that can be read. It is designed to measure acidity and water turbidity polluted by industrial waste, as well as to show and provide conditional data integrated in one system. This system consists of inputting and processing the data, and giving output based on processed data. Turbidity, substances, and pH sensor is used as a detector that produce analog electrical direct current voltage (DC). Early detection system works by determining the value of the ammonia threshold, acidity, and turbidity level of water in Musi River. The results is then presented based on the level group pollution by the Support Vector Machine classification method.

  10. Automatic modal identification of cable-supported bridges instrumented with a long-term monitoring system

    Science.gov (United States)

    Ni, Y. Q.; Fan, K. Q.; Zheng, G.; Chan, T. H. T.; Ko, J. M.

    2003-08-01

    An automatic modal identification program is developed for continuous extraction of modal parameters of three cable-supported bridges in Hong Kong which are instrumented with a long-term monitoring system. The program employs the Complex Modal Indication Function (CMIF) algorithm to identify modal properties from continuous ambient vibration measurements in an on-line manner. By using the LabVIEW graphical programming language, the software realizes the algorithm in Virtual Instrument (VI) style. The applicability and implementation issues of the developed software are demonstrated by using one-year measurement data acquired from 67 channels of accelerometers deployed on the cable-stayed Ting Kau Bridge. With the continuously identified results, normal variability of modal vectors caused by varying environmental and operational conditions is observed. Such observation is very helpful for selection of appropriate measured modal vectors for structural health monitoring applications.

  11. Integrating SAR and derived products into operational volcano monitoring and decision support systems

    Science.gov (United States)

    Meyer, F. J.; McAlpin, D. B.; Gong, W.; Ajadi, O.; Arko, S.; Webley, P. W.; Dehn, J.

    2015-02-01

    Remote sensing plays a critical role in operational volcano monitoring due to the often remote locations of volcanic systems and the large spatial extent of potential eruption pre-cursor signals. Despite the all-weather capabilities of radar remote sensing and its high performance in monitoring of change, the contribution of radar data to operational monitoring activities has been limited in the past. This is largely due to: (1) the high costs associated with radar data; (2) traditionally slow data processing and delivery procedures; and (3) the limited temporal sampling provided by spaceborne radars. With this paper, we present new data processing and data integration techniques that mitigate some of these limitations and allow for a meaningful integration of radar data into operational volcano monitoring decision support systems. Specifically, we present fast data access procedures as well as new approaches to multi-track processing that improve near real-time data access and temporal sampling of volcanic systems with SAR data. We introduce phase-based (coherent) and amplitude-based (incoherent) change detection procedures that are able to extract dense time series of hazard information from these data. For a demonstration, we present an integration of our processing system with an operational volcano monitoring system that was developed for use by the Alaska Volcano Observatory (AVO). Through an application to a historic eruption, we show that the integration of SAR into systems such as AVO can significantly improve the ability of operational systems to detect eruptive precursors. Therefore, the developed technology is expected to improve operational hazard detection, alerting, and management capabilities.

  12. Monitoring and Evaluation; Statistical Support for Life-cycle Studies, 2003 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Skalski, John

    2003-12-01

    This report summarizes the statistical analysis and consulting activities performed under Contract No. 00004134, Project No. 199105100 funded by Bonneville Power Administration during 2003. These efforts are focused on providing real-time predictions of outmigration timing, assessment of life-history performance measures, evaluation of status and trends in recovery, and guidance on the design and analysis of Columbia Basin fish and wildlife studies monitoring and evaluation studies. The overall objective of the project is to provide BPA and the rest of the fisheries community with statistical guidance on design, analysis, and interpretation of monitoring data, which will lead to improved monitoring and evaluation of salmonid mitigation programs in the Columbia/Snake River Basin. This overall goal is being accomplished by making fisheries data readily available for public scrutiny, providing statistical guidance on the design and analyses of studies by hands-on support and written documents, and providing real-time analyses of tagging results during the smolt outmigration for review by decision makers. For a decade, this project has been providing in-season projections of smolt outmigration timing to assist in spill management. As many as 50 different fish stocks at 8 different hydroprojects are tracked and real-time to predict the 'percent of run to date' and 'date to specific percentile'. The project also conducts added-value analyses of historical tagging data to understand relationships between fish responses, environmental factors, and anthropogenic effects. The statistical analysis of historical tagging data crosses agency lines in order to assimilate information on salmon population dynamics irrespective of origin. The lessons learned from past studies are used to improve the design and analyses of future monitoring and evaluation efforts. Through these efforts, the project attempts to provide the fisheries community with reliable analyses

  13. Visualizing Earth Science Data for Environmental Monitoring and Decision Support in Mesoamerica: The SERVIR Project

    Science.gov (United States)

    Hardin, D.; Graves, S.; Sever, T.; Irwin, D.

    2005-05-01

    In 2002 and 2003 NASA, the World Bank and the United States Agency for International Development (USAID) joined with the Central American Commission for Environment and Development (CCAD) to develop an advanced decision support system for Mesoamerica (named SERVIR). Mesoamerica - composed of the seven Central American countries and the five southernmost states of Mexico - makes up only a small fraction of the world's land surface. However, the region is home to approximately eight percent of the planet's biodiversity (14 biosphere reserves, 31 Ramsar sites, 8 world heritage sites, 589 protected areas) and 45 million people including more than 50 different ethnic groups. Mesoamerica's biological and cultural diversity are severely threatened by human impact and natural disasters including extensive deforestation, illegal logging, water pollution, slash and burn agriculture, earthquakes, hurricanes, drought, and volcanic eruption. NASA Marshall Space Flight Center (NASA/MSFC), together with the University of Alabama in Huntsville (UAH) and the SERVIR partners are developing state-of-the-art decision support tools for environmental monitoring as well as disaster prevention and mitigation in Mesoamerica. These partners are contributing expertise in space-based observation with information management technologies and intimate knowledge of local ecosystems to create a system that is being used by scientists, educators, and policy makers to monitor and forecast ecological changes, respond to natural disasters, and better understand both natural and human induced effects. The decision support and environmental monitoring data products are typically formatted as conventional two-dimensional, static and animated imagery. However, in addition to conventional data products and as a major portion of our research, we are employing commercial applications that generate three-dimensional interactive visualizations that allow data products to be viewed from multiple angles and at

  14. PROMO: a computerized tool to support process monitoring activities -application in CANDU simulators

    International Nuclear Information System (INIS)

    Singh, D.T.; Singh, P.P.

    1995-01-01

    PROMO, a prototype computerized PROcess MOnitoring tool, has been designed for the resolution of perceived complexity under conditions of time constraints and criticality. It is suggested that this makes it uniquely suitable for applications such as nuclear power plant operator training and support. This paper describes the tool, the theory underlying its design, and results from preliminary laboratory experiments. While field tests are necessary prior to the drawing of conclusions, the results from the laboratory trials are promising. Efforts are currently underway to extend the research setting to power plant operator training centers. (author). 57 refs., 1 fig

  15. PROMO: a computerized tool to support process monitoring activities -application in CANDU simulators

    Energy Technology Data Exchange (ETDEWEB)

    Singh, D T [York Univ., Toronto, ON (Canada); Singh, P P [Case Western Reserve Univ., Cleveland, OH (United States)

    1996-12-31

    PROMO, a prototype computerized PROcess MOnitoring tool, has been designed for the resolution of perceived complexity under conditions of time constraints and criticality. It is suggested that this makes it uniquely suitable for applications such as nuclear power plant operator training and support. This paper describes the tool, the theory underlying its design, and results from preliminary laboratory experiments. While field tests are necessary prior to the drawing of conclusions, the results from the laboratory trials are promising. Efforts are currently underway to extend the research setting to power plant operator training centers. (author). 57 refs., 1 fig.

  16. Computer-based Monitoring for Decision Support Systems and Disaster Preparedness in Buildings

    Directory of Open Access Journals (Sweden)

    Alan Vinh

    2009-04-01

    Full Text Available The operation of modern buildings can support a vast amount of static and real-time data. Static information such as building schematics is vital for security and rescue purposes. There is a need for building managers and for first responders to be notified of designated building alerts in real-time so that actions can be performed promptly. The capability to monitor building devices and to keep the first responder community updated with the latest building information during emergency situations, as well as the ability to remotely control certain building devices and processes, can be realized today. This paper describes the various challenges encountered in the research area of building interoperability and proposes methods and insights for developing a standards framework to enable communication between building information systems and first responder information systems. Having a standards framework in place will assist in the development and deployment of commercial products in support of building interoperability.

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

    Science.gov (United States)

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

    2018-01-01

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

  18. Predictive based monitoring of nuclear plant component degradation using support vector regression

    International Nuclear Information System (INIS)

    Agarwal, Vivek; Alamaniotis, Miltiadis; Tsoukalas, Lefteri H.

    2015-01-01

    Nuclear power plants (NPPs) are large installations comprised of many active and passive assets. Degradation monitoring of all these assets is expensive (labor cost) and highly demanding task. In this paper a framework based on Support Vector Regression (SVR) for online surveillance of critical parameter degradation of NPP components is proposed. In this case, on time replacement or maintenance of components will prevent potential plant malfunctions, and reduce the overall operational cost. In the current work, we apply SVR equipped with a Gaussian kernel function to monitor components. Monitoring includes the one-step-ahead prediction of the component's respective operational quantity using the SVR model, while the SVR model is trained using a set of previous recorded degradation histories of similar components. Predictive capability of the model is evaluated upon arrival of a sensor measurement, which is compared to the component failure threshold. A maintenance decision is based on a fuzzy inference system that utilizes three parameters: (i) prediction evaluation in the previous steps, (ii) predicted value of the current step, (iii) and difference of current predicted value with components failure thresholds. The proposed framework will be tested on turbine blade degradation data.

  19. A New Application of Support Vector Machine Method: Condition Monitoring and Analysis of Reactor Coolant Pump

    International Nuclear Information System (INIS)

    Meng Qinghu; Meng Qingfeng; Feng Wuwei

    2012-01-01

    Fukushima nuclear power plant accident caused huge losses and pollution and it showed that the reactor coolant pump is very important in a nuclear power plant. Therefore, to keep the safety and reliability, the condition of the coolant pump needs to be online condition monitored and fault analyzed. In this paper, condition monitoring and analysis based on support vector machine (SVM) is proposed. This method is just to aim at the small sample studies such as reactor coolant pump. Both experiment data and field data are analyzed. In order to eliminate the noise and useless frequency, these data are disposed through a multi-band FIR filter. After that, a fault feature selection method based on principal component analysis is proposed. The related variable quantity is changed into unrelated variable quantity, and the dimension is descended. Then the SVM method is used to separate different fault characteristics. Firstly, this method is used as a two-kind classifier to separate each two different running conditions. Then the SVM is used as a multiple classifier to separate all of the different condition types. The SVM could separate these conditions successfully. After that, software based on SVM was designed for reactor coolant pump condition analysis. This software is installed on the reactor plant control system of Qinshan nuclear power plant in China. It could monitor the online data and find the pump mechanical fault automatically.

  20. Doctor-patient communication on the telephone.

    Science.gov (United States)

    Curtis, P; Evens, S

    1989-01-01

    Since its invention, the telephone has been an important tool in medical practice, particularly for primary care physicians. Approximately half the calls made to a physician's office during regular consulting hours are for clinical problems and most are handled effectively over the phone without an immediate office visit. Telephone encounters are generally very brief, and managing such calls requires a pragmatic approach that is often quite different from the approach taken in the office visit. The telephone encounter should be recognized and recorded as a specific medical interaction in the medical chart for both clinical and legal reasons. Effective telephone encounters depend on good communication skills; decision making regarding disposition is a major goal. The physician's perception of a medical problem may be different from the patient's; patients are frequently seeking advice and reassurance rather than diagnosis and treatment, and may call because of anxiety and psychological stress. For physicians and their families who are not prepared for after-hours telephone encounters, calls that interrupt more "legitimate" activities may result in anger or frustration for the physician and dissatisfaction for the patient.

  1. The SARVIEWS Project: Automated SAR Processing in Support of Operational Near Real-time Volcano Monitoring

    Science.gov (United States)

    Meyer, F. J.; Webley, P. W.; Dehn, J.; Arko, S. A.; McAlpin, D. B.; Gong, W.

    2016-12-01

    Volcanic eruptions are among the most significant hazards to human society, capable of triggering natural disasters on regional to global scales. In the last decade, remote sensing has become established in operational volcano monitoring. Centers like the Alaska Volcano Observatory rely heavily on remote sensing data from optical and thermal sensors to provide time-critical hazard information. Despite this high use of remote sensing data, the presence of clouds and a dependence on solar illumination often limit their impact on decision making. Synthetic Aperture Radar (SAR) systems are widely considered superior to optical sensors in operational monitoring situations, due to their weather and illumination independence. Still, the contribution of SAR to operational volcano monitoring has been limited in the past due to high data costs, long processing times, and low temporal sampling rates of most SAR systems. In this study, we introduce the automatic SAR processing system SARVIEWS, whose advanced data analysis and data integration techniques allow, for the first time, a meaningful integration of SAR into operational monitoring systems. We will introduce the SARVIEWS database interface that allows for automatic, rapid, and seamless access to the data holdings of the Alaska Satellite Facility. We will also present a set of processing techniques designed to automatically generate a set of SAR-based hazard products (e.g. change detection maps, interferograms, geocoded images). The techniques take advantage of modern signal processing and radiometric normalization schemes, enabling the combination of data from different geometries. Finally, we will show how SAR-based hazard information is integrated in existing multi-sensor decision support tools to enable joint hazard analysis with data from optical and thermal sensors. We will showcase the SAR processing system using a set of recent natural disasters (both earthquakes and volcanic eruptions) to demonstrate its

  2. Software requirements elicitation to support internal monitoring of quality assurance system for higher education in Indonesia

    Science.gov (United States)

    Amalia, A.; Gunawan, D.; Hardi, S. M.; Rachmawati, D.

    2018-02-01

    The Internal Quality Assurance System (in Indonesian: SPMI (Sistem Penjaminan Mutu Internal) is a systemic activity of quality assurance of higher education in Indonesia. SPMI should be done by all higher education or universities in Indonesia based on the Regulation of the Minister of Research, Technology and Higher Education of the Republic of Indonesia Number 62 of 2016. Implementation of SPMI must refer to the principle of SPMI that is independent, standardize, accurate, well planned and sustainable, documented and systematic. To assist the SPMI cycle properly, universities need a supporting software to monitor all the activities of SPMI. But in reality, many universities are not optimal in building this SPMI monitoring system. One of the obstacles is the determination of system requirements in support of SPMI principles is difficult to achieve. In this paper, we observe the initial phase of the engineering requirements elicitation. Unlike other methods that collect system requirements from users and stakeholders, we find the system requirements of the SPMI principles from SPMI guideline book. The result of this paper can be used as a choice in determining SPMI software requirements. This paper can also be used by developers and users to understand the scenario of SPMI so that could overcome the problems of understanding between this two parties.

  3. Anticipatory Monitoring and Control of Complex Systems using a Fuzzy based Fusion of Support Vector Regressors

    Energy Technology Data Exchange (ETDEWEB)

    Miltiadis Alamaniotis; Vivek Agarwal

    2014-10-01

    This paper places itself in the realm of anticipatory systems and envisions monitoring and control methods being capable of making predictions over system critical parameters. Anticipatory systems allow intelligent control of complex systems by predicting their future state. In the current work, an intelligent model aimed at implementing anticipatory monitoring and control in energy industry is presented and tested. More particularly, a set of support vector regressors (SVRs) are trained using both historical and observed data. The trained SVRs are used to predict the future value of the system based on current operational system parameter. The predicted values are then inputted to a fuzzy logic based module where the values are fused to obtain a single value, i.e., final system output prediction. The methodology is tested on real turbine degradation datasets. The outcome of the approach presented in this paper highlights the superiority over single support vector regressors. In addition, it is shown that appropriate selection of fuzzy sets and fuzzy rules plays an important role in improving system performance.

  4. Epidemiological Safety Surveillance of Cellular Telephones in the US (invited paper)

    International Nuclear Information System (INIS)

    Dreyer, N.A.; Loughlin, J.E.; Rothman, K.J.

    1999-01-01

    In 1994 a surveillance programme was initiated to monitor the effects of exposure to the human head from radiofrequency waves, such as those emitted from handheld cellular telephones. Cellular carriers contributed information about 1.5 million telephone account holders, their phones and two months of data on minutes used and number of calls. Cellular telephone manufacturers provided data that allowed classification of phones as analogue or digital and a handheld or mobile (car or bag) for 67% of the phones. Thus far 1,021,767 individuals have been identified who had at least one active cellular telephone account in 1994 and/or 1995 and who used either a handheld (41%) or a mobile (59%) phone during the study period, but not both. Seventy-four per cent of the cohort had used their cellular phone for ≥2 years, and 30% for ≥3 years. (author)

  5. Keep Talking & Monitoring: the importance of longitudinal research & community-based monitoring to support sustainable land management in southern Africa

    Science.gov (United States)

    Dougill, Andrew; Stringer, Lindsay

    2015-04-01

    Projects come and go with researchers, development practioners and government staff initiating new forms of community engagement in environmental monitoring and land management practices. We analyse interventions from Botswana and Swaziland and highlight that for benefits to be long-lived and lead to sustainable land management, requires community engagement in project design, implementation and for project outputs to be used in developing community-led environmental monitoring tools that can then help to guide local decision-making systems. We stress the vital importance of continued participatory engagement of researchers with community leaders and key government staff beyond the timeframe of their initial research such that longitudinal research approaches can realise significant benefits to all concerned. In dynamic (non-equilibrium) dryland environments, it is vitally important that research approaches address temporal and spatial variability by mapping patterns of change, using a range of participatory tools to enhance understandings of the causes of land degradation and the opportunities for shifts towards more sustainable land management. Decision-support tools, such as rangeland assessment guides produced for various Kalahari rangeland settings in Botswana (via a UNEP project and affiliated research), provide opportunities to support more sustainable land management. However, at present benefits are not being fully realised as project and research staff move on after projects end. Similarly, findings from mixed farming systems in Swaziland (assessing a JICA-funded project) show problems in maintaining new institutional structures to manage rangeland degradation, whilst issues on arable areas associated with parasitic weeds (Striga asiatica) remain problematic. Findings from longitudinal research in Swaziland also show that community understandings of environmental problems have evolved over 10 years and identify new problems associated with intensified

  6. Structural Design and Monitoring Analysis of Foundation Pit Support in Yiwu Huishang Tiandi

    Science.gov (United States)

    Zhang, Chunsu

    2017-08-01

    Huishang Tiandi deep foundation pit in Yiwu is a two-story basement,which is located in the downtown area and adjacent to the city center main traffic trunk. The surrounding environment is too com-plex to slope. The excavation depth is large, the formation is weak and complex, and the groundwater level is high.In order to ensure the safety of the foundation wall and the surrounding environment, the deformation of the foundation pit support is strictly controlled, and the deformation and internal force of the foundation supporting structure and the surrounding building are monitored.The deformation law of the foundation pit is obtained through the analysis of the horizontal displacement, the deformation rate of the supporting struc-ture, the surrounding environment of the foundation pit and the internal force of the anchor cable. The relia-bility and rationality of the design of foundation pit support are verified. It is of reference value for the de-sign and construction of other deep foundation pit engineering in Yiwu area.

  7. A Novel Software Platform Extending Advances in Monitoring Technologies to On-demand Decision Support

    Science.gov (United States)

    Ormerod, R.; Scholl, M.

    2017-12-01

    Rapid evolution is occurring in the monitoring and assessment of air emissions and their impacts. The development of next generation lower cost sensor technologies creates the potential for much more intensive and far-reaching monitoring networks that provide spatially rich data. While much attention at present is being directed at the types and performance characteristics of sensor technologies, it is important also that the full potential of rich data sources be realized. Parallel to sensor developments, software platforms to display and manage data in real time are increasingly common adjuncts to sensor networks. However, the full value of data can be realized by extending platform capabilities to include complex scientific functions that are integrated into an action-oriented management framework. Depending on the purpose and nature of a monitoring network, there will be a variety of potential uses of the data or its derivatives, for example: statistical analysis for policy development, event analysis, real-time issue management including emergency response and complaints, and predictive management. Moving these functions into an on-demand, optionally mobile, environment greatly increases the value and accessibility of the data. Increased interplay between monitoring data and decision-making in an operational environment is optimised by a system that is designed with equal weight on technical robustness and user experience. A system now being used by several regulatory agencies and a larger number of industries in the US, Latin America, Europe, Australia and Asia has been developed to provide a wide range of on-demand decision-support in addition to the basic data collection, display and management that most platforms offer. With stable multi-year operation, the platform, known as Envirosuite, is assisting organisations to both reduce operating costs and improve environmental performance. Some current examples of its application across a range of applications

  8. Global Positioning System (GPS) Receiver Autonomous Integrity Monitoring (RAIM) web service to support Area Navigation (RNAV) flight planning

    Science.gov (United States)

    2008-01-28

    The Volpe Center designed, implemented, and deployed a Global Positioning System (GPS) Receiver Autonomous Integrity Monitoring (RAIM) prediction system in the mid 1990s to support both Air Force and Federal Aviation Administration (FAA) use of TSO C...

  9. [Psychometric validation of the telephone memory test].

    Science.gov (United States)

    Ortiz, T; Fernández, A; Martínez-Castillo, E; Maestú, F; Martínez-Arias, R; López-Ibor, J J

    1999-01-01

    Several pathologies (i.e. Alzheimer's disease) that courses with memory alterations, appears in a context of impaired cognitive status and mobility. In recent years, several investigations were carried out in order to design short batteries that detect those subjects under risk of dementia. Some of this batteries were also design to be administrated over the telephone, trying to overcome the accessibility limitations of this patients. In this paper we present a battery (called Autotest de Memoria) essentially composed by episodic and semantic memory tests, administered both over the telephone and face to face. This battery was employed in the cognitive assessment of healthy controls and subjects diagnosed as probable Alzheimer's disease patients. Results show the capability of this battery in order to discriminate patients and healthy controls, a great sensibility and specificity, and a nearly absolute parallelism of telephone and face to face administrations. These data led us to claim the usefulness and practicality of our so called Memoria>.

  10. National Satellite Land Monitoring Systems for REDD+ : the UN-REDD support to countries

    Science.gov (United States)

    Jonckheere, I. G. C.

    2015-12-01

    REDD+, which stands for 'Reducing Emissions from Deforestation and Forest Degradation in Developing Countries' - is a climate mitigation effort and aims to create a financial value for the carbon stored in forests, offering incentives for developing countries to reduce emissions from forested lands and invest in low-carbon paths to sustainable development. The UN-REDD Programme, a collaborative partnership between FAO, UNDP and UNEP launched in September 2008, supports nationally-led REDD+ processes and promotes the imeaningful involvement of all stakeholders, including Indigenous Peoples and other forest-dependent communities, in national and international REDD+ implementation.The Programme supports national REDD+ readiness efforts in partner countries spanning Africa, Asia-Pacific and Latin America, in two ways: (i) direct support to the design and implementation of UN-REDD National Programmes; and (ii) complementary support to national REDD+ action through common approaches, analyses, methodologies, tools, data and best practices. The UN-REDD Programme currently supports 62 partner countries. The UN-REDD Programme gathers technical teams from around the world to develop common approaches, analyses and guidelines on issues such as measurement, reporting and verification (MRV) of carbon emissions and flows, remote sensing, and greenhouse gas inventories. Within the partnership, FAO supports countries on technical issues related to forestry and the development of cost effective and credible MRV processes for emission reductions. While at the international level, it fosters improved guidance on MRV approaches, including consensus on principles and guidelines for MRV and training programmes. It provides guidance on how best to design and implement REDD, to ensure that forests continue to provide multiple benefits for livelihoods and biodiversity to societies while storing carbon at the same time. Other areas of work include national forest assessments and monitoring

  11. ROBIN, a Telepresence Robot to Support Older Users Monitoring and Social Inclusion: Development and Evaluation.

    Science.gov (United States)

    Cortellessa, Gabriella; Fracasso, Francesca; Sorrentino, Alessandra; Orlandini, Andrea; Bernardi, Giulio; Coraci, Luca; De Benedictis, Riccardo; Cesta, Amedeo

    2018-02-01

    This article describes an enhanced telepresence robot named ROBIN, part of a telecare system derived from the GIRAFFPLUS project for supporting and monitoring older adults at home. ROBIN is integrated in a sensor-rich environment that aims to continuously monitor physical and psychological wellbeing of older persons living alone. The caregivers (formal/informal) can communicate through it with their assisted persons. Long-term trials in real houses highlighted several user requirements that inspired improvements on the robotic platform. The enhanced telepresence robot was assessed by users to test its suitability to support social interaction and provide motivational feedback on health-related aspects. Twenty-five users (n = 25) assessed the new multimodal interaction capabilities and new communication services. A psychophysiological approach was adopted to investigate aspects like engagement, usability, and affective impact, as well as the possible role of individual differences on the quality of human-robot interaction. ROBIN was overall judged usable, the interaction with/through it resulted pleasant and the required workload was limited, thus supporting the idea of using it as a central component for remote assistance and social participation. Open-minded users tended to have a more positive interaction with it. This work describes an enabling technology for remote assistance and social communication. It highlights the importance of being compliant with users' needs to develop solutions easy to use and able to foster their social connections. The role of personality appeared to be relevant for the interaction, underscoring a clear role of the service personalization.

  12. Automatic Smoker Detection from Telephone Speech Signals

    DEFF Research Database (Denmark)

    Poorjam, Amir Hossein; Hesaraki, Soheila; Safavi, Saeid

    2017-01-01

    This paper proposes an automatic smoking habit detection from spontaneous telephone speech signals. In this method, each utterance is modeled using i-vector and non-negative factor analysis (NFA) frameworks, which yield low-dimensional representation of utterances by applying factor analysis...... method is evaluated on telephone speech signals of speakers whose smoking habits are known drawn from the National Institute of Standards and Technology (NIST) 2008 and 2010 Speaker Recognition Evaluation databases. Experimental results over 1194 utterances show the effectiveness of the proposed approach...... for the automatic smoking habit detection task....

  13. Dedicated IT infrastructure for Smart Levee Monitoring and Flood Decision Support

    Directory of Open Access Journals (Sweden)

    Balis Bartosz

    2016-01-01

    Full Text Available Smart levees are being increasingly investigated as a flood protection technology. However, in large-scale emergency situations, a flood decision support system may need to collect and process data from hundreds of kilometers of smart levees; such a scenario requires a resilient and scalable IT infrastructure, capable of providing urgent computing services in order to perform frequent data analyses required in decision making, and deliver their results in a timely fashion. We present the ISMOP IT infrastructure for smart levee monitoring, designed to support decision making in large-scale emergency situations. Most existing approaches to urgent computing services in decision support systems dealing with natural disasters focus on delivering quality of service for individual, isolated subsystems of the IT infrastructure (such as computing, storage, or data transmission. We propose a holistic approach to dynamic system management during both urgent (emergency and normal (non-emergency operation. In this approach, we introduce a Holistic Computing Controller which calculates and deploys a globally optimal configuration for the entire IT infrastructure, based on cost-of-operation and quality-of-service (QoS requirements of individual IT subsystems, expressed in the form of Service Level Agreements (SLAs. Our approach leads to improved configuration settings and, consequently, better fulfilment of the system’s cost and QoS requirements than would have otherwise been possible had the configuration of all subsystems been managed in isolation.

  14. Influence of digital and analogue cellular telephones on implanted pacemakers.

    Science.gov (United States)

    Altamura, G; Toscano, S; Gentilucci, G; Ammirati, F; Castro, A; Pandozi, C; Santini, M

    1997-10-01

    The aim of this study was to find out whether digital and analogue cellular 'phones affect patients with pacemakers. The study comprised continuous ECG monitoring of 200 pacemaker patients. During the monitoring certain conditions caused by interference created by the telephone were looked for: temporary or prolonged pacemaker inhibition; a shift to asynchronous mode caused by electromagnetic interference; an increase in ventricular pacing in dual chamber pacemakers, up to the programmed upper rate. The Global System for Mobile Communications system interfered with pacing 97 times in 43 patients (21.5%). During tests on Total Access of Communication System telephones, there were 60 cases of pacing interference in 35 patients (17.5%). There were 131 interference episodes during ringing vs 26 during the on/off phase; (P 4 s) was seen at the pacemaker 'base' sensing value in six patients using the Global system but in only one patient using Total Access. Cellular 'phones may be dangerous for pacemaker patients. However, they can be used safely if patients do not carry the 'phone close to the pacemaker, which is the only place where high risk interference has been observed.

  15. Monitoring of Deep Foundation Pit Support and Construction Process in Soft Soil Area of Pearl River Delta

    Science.gov (United States)

    Weiyi, Xie; Pengcheng

    2018-03-01

    The deep foundation pit supporting technology in the soft soil area of the Pearl River Delta is more complicated, and many factors influence and restrict it. In this project as an example, according to the geological conditions and the surrounding circumstances, the main foundation using bored piles and pre-stressed anchor cable supporting structure + five axis cement mixing pile curtain supporting form; partial use of double row piles supporting structure + five axis cement mixing pile curtain support type. Through the monitoring results of construction show that the foundation pit, the indicators of environmental changes are in the design range, the supporting scheme of deep foundation pit technology is feasible and reliable.

  16. Work on the CERN telephone exchanges

    CERN Multimedia

    2006-01-01

    Corrective maintenance work on the CERN telephone exchanges will be carried out on 13th March 2006, resulting in service interruptions across the west area of the Meyrin site between 9.00 p.m. and 11.00 p.m. We apologise for any inconvenience this may cause. CERN TELECOM Service Tel.: 76111 GSM: 160101

  17. Maintenance of CERN telephone exchanges - erratum

    CERN Document Server

    2005-01-01

    The next maintenance of CERN telephone exchanges will be performed on 19th, 20th, 21st, and 22nd of September from 7 p.m. to 9 p.m. Disturbances or even interruptions of telephony services may occur during this lapse of time. We apology in advance for any inconveniences that this may cause.

  18. Maintaining clinical governance when giving telephone advice.

    Science.gov (United States)

    Alazawi, William; Agarwal, Kosh; Suddle, Abid; Aluvihare, Varuna; Heneghan, Michael A

    2013-10-01

    Delivering excellent healthcare depends on accurate communication between professionals who may be in different locations. Frequently, the first point of contact with the liver unit at King's College Hospital (KCH) is through a telephone call to a specialist registrar or liver fellow, for whom no case notes are available in which to record information. The aim of this study was to improve the clinical governance of telephone referrals and to generate contemporaneous records that could be easily retrieved and audited. An electronic database for telephone referrals and advice was designed and made securely available to registrars in our unit. Service development in a tertiary liver centre that receives referrals from across the UK and Europe. Demographic and clinical data were recorded prospectively and analysed retrospectively. Data from 350 calls were entered during 5 months. The information included the nature and origin of the call (200 from 75 different institutions), disease burden and severity of disease among the patients discussed with KCH, and outcome of the call. The majority of cases were discussed with consultants or arrangements were made for formal review at KCH. A telephone referrals and advice database provides clinical governance, serves as a quality indicator and forms a contemporaneous record at the referral centre. Activity data and knowledge of disease burden help to tailor services to the needs of referrers and commissioners. We recommend implementation of similar models in other centres that give extramural verbal advice.

  19. 75 FR 13471 - Telephone Consumer Protection

    Science.gov (United States)

    2010-03-22

    ... Consumer Protection Act (TCPA) that would harmonize those rules with the Federal Trade Commission's (FTC's... Consumer Protection Act (TCPA) that would harmonize those rules with the Federal Trade Commission's (FTC's...] Telephone Consumer Protection AGENCY: Federal Communications Commission. ACTION: Proposed rule. SUMMARY: In...

  20. Strategies for Suicide Intervention by Telephone.

    Science.gov (United States)

    Hinson, Jennifer

    1982-01-01

    Describes techniques helpful for telephone counselors dealing with suicide intervention, including reinstating control, reducing anxiety through problem clarification, and providing hope by active listening and tolerance of dispositions. The use of time-outs and detective work is also discussed. (JAC)

  1. Schema bias in source monitoring varies with encoding conditions: support for a probability-matching account.

    Science.gov (United States)

    Kuhlmann, Beatrice G; Vaterrodt, Bianca; Bayen, Ute J

    2012-09-01

    Two experiments examined reliance on schematic knowledge in source monitoring. Based on a probability-matching account of source guessing, a schema bias will only emerge if participants do not have a representation of the source-item contingency in the study list, or if the perceived contingency is consistent with schematic expectations. Thus, the account predicts that encoding conditions that affect contingency detection also affect schema bias. In Experiment 1, the schema bias commonly found when schematic information about the sources is not provided before encoding was diminished by an intentional source-memory instruction. In Experiment 2, the depth of processing of schema-consistent and schema-inconsistent source-item pairings was manipulated. Participants consequently overestimated the occurrence of the pairing type they processed in a deep manner, and their source guessing reflected this biased contingency perception. Results support the probability-matching account of source guessing. PsycINFO Database Record (c) 2012 APA, all rights reserved.

  2. Strength analysis of support structure and characterization of prototype imaging portal monitor

    International Nuclear Information System (INIS)

    Khairul Handono; Alvano Yulian; Muhammad Awwaluddin

    2014-01-01

    The mechanical systems analysis and testing of control systems and data acquisition the prototype Portal Imaging Monitor Container has been conducted. Analysis of the mechanical system includes support holder important to maintain continuity of operations. While the analysis of the data acquisition system and electrically system done on the conveyor drive motor power supply. The purpose of the analysis and characterization for design improvements. The process of static analysis is done through a conveyor frame structure simulation in ANSYS 1.4 software. In the data acquisition system and the electrical system has been tested. From the results of the mechanical analysis showed that the design created has met the criteria of security and safety. While the data acquisition system testing the system can display the data through the Internet with either. (author)

  3. Monitoring And Modeling Environmental Water Quality To Support Environmental Water Purchase Decision-making

    Science.gov (United States)

    Null, S. E.; Elmore, L.; Mouzon, N. R.; Wood, J. R.

    2016-12-01

    More than 25 million cubic meters (20,000 acre feet) of water has been purchased from willing agricultural sellers for environmental flows in Nevada's Walker River to improve riverine habitat and connectivity with downstream Walker Lake. Reduced instream flows limit native fish populations, like Lahontan cutthroat trout, through warm daily stream temperatures and low dissolved oxygen concentrations. Environmental water purchases maintain instream flows, although effects on water quality are more varied. We use multi-year water quality monitoring and physically-based hydrodynamic and water quality modeling to estimate streamflow, water temperature, and dissolved oxygen concentrations with alternative environmental water purchases. We simulate water temperature and dissolved oxygen changes from increased streamflow to prioritize the time periods and locations that environmental water purchases most enhance trout habitat as a function of water quality. Monitoring results indicate stream temperature and dissolved oxygen limitations generally exist in the 115 kilometers upstream of Walker Lake (about 37% of the study area) from approximately May through September, and this reach acts as a water quality barrier for fish passage. Model results indicate that low streamflows generally coincide with critically warm stream temperatures, water quality refugia exist on a tributary of the Walker River, and environmental water purchases may improve stream temperature and dissolved oxygen conditions for some reaches and seasons, especially in dry years and prolonged droughts. This research supports environmental water purchase decision-making and allows water purchase decisions to be prioritized with other river restoration alternatives.

  4. Cloud Monitoring for Solar Plants with Support Vector Machine Based Fault Detection System

    Directory of Open Access Journals (Sweden)

    Hong-Chan Chang

    2014-01-01

    Full Text Available This study endeavors to develop a cloud monitoring system for solar plants. This system incorporates numerous subsystems, such as a geographic information system, an instantaneous power-consumption information system, a reporting system, and a failure diagnosis system. Visual C# was integrated with ASP.NET and SQL technologies for the proposed monitoring system. A user interface for database management system was developed to enable users to access solar power information and management systems. In addition, by using peer-to-peer (P2P streaming technology and audio/video encoding/decoding technology, real-time video data can be transmitted to the client end, providing instantaneous and direct information. Regarding smart failure diagnosis, the proposed system employs the support vector machine (SVM theory to train failure mathematical models. The solar power data are provided to the SVM for analysis in order to determine the failure types and subsequently eliminate failures at an early stage. The cloud energy-management platform developed in this study not only enhances the management and maintenance efficiency of solar power plants but also increases the market competitiveness of solar power generation and renewable energy.

  5. Geoinformation Support and Web Technologies for Problems of Hydrobiological Monitoring of Yenisei River

    Directory of Open Access Journals (Sweden)

    Andrianova Anna

    2016-01-01

    Full Text Available Results of long-term hydrobiological monitoring for the Yenisei river section from the Krasnoyarsk hydroelectric power station dam to the village Zotino (Turukhansk district of the Krasnoyarsk region are considered. Researching of zoobenthos showed significant changes of its structure after the Krasnoyarsk HPP dam construction. In particular, the proportion of amphipods (crustaceans in the zoobenthos biomass increased by 10 times. In the expeditionary studies, seven species of amphipods were identified, but it should be noted that only two species develop and clearly dominate among them. Data obtained during the hydrobiological research formed the basis of geospatial database developed as a result of the work. The geospatial database with the observation results is available in the ICM SB RAS geoportal. The geoportal services provide data visualization in the form of interactive thematic maps, information about the objects on the map as “tooltips”, information downloading in tabular form, direct access to the data through the web mapping services. Information and analytical support for the monitoring system based on the considered approach can simplify access to the needed information, provide new opportunities for analysis and modeling, promote the development of cross-disciplinary researches.

  6. Investigating the possible effect of electrode support structure on motion artifact in wearable bioelectric signal monitoring.

    Science.gov (United States)

    Cömert, Alper; Hyttinen, Jari

    2015-05-15

    With advances in technology and increasing demand, wearable biosignal monitoring is developing and new applications are emerging. One of the main challenges facing the widespread use of wearable monitoring systems is the motion artifact. The sources of the motion artifact lie in the skin-electrode interface. Reducing the motion and deformation at this interface should have positive effects on signal quality. In this study, we aim to investigate whether the structure supporting the electrode can be designed to reduce the motion artifact with the hypothesis that this can be achieved by stabilizing the skin deformations around the electrode. We compare four textile electrodes with different support structure designs: a soft padding larger than the electrode area, a soft padding larger than the electrode area with a novel skin deformation restricting design, a soft padding the same size as the electrode area, and a rigid support the same size as the electrode. With five subjects and two electrode locations placed over different kinds of tissue at various mounting forces, we simultaneously measured the motion artifact, a motion affected ECG, and the real-time skin-electrode impedance during the application of controlled motion to the electrodes. The design of the electrode support structure has an effect on the generated motion artifact; good design with a skin stabilizing structure makes the electrodes physically more motion artifact resilient, directly affecting signal quality. Increasing the applied mounting force shows a positive effect up to 1,000 gr applied force. The properties of tissue under the electrode are an important factor in the generation of the motion artifact and the functioning of the electrodes. The relationship of motion artifact amplitude to the electrode movement magnitude is seen to be linear for smaller movements. For larger movements, the increase of motion generated a disproportionally larger artifact. The motion artifact and the induced

  7. SIAM-SERVIR: An Environmental Monitoring and Decision Support System for Mesoamerica

    Science.gov (United States)

    Irwin, Daniel E.; Sever, Tom; Graves, Sara; Hardin, Danny

    2005-01-01

    In 2002/2003 NASA, the World Bank and the United States Agency for International Development (USAID) joined with the Central American Commission for Environment and Development (CCAD) to develop an advanced decision support system for Mesoamerica (named SERVIR) as part of the Mesoamerican Environmental Information System (SIAM). Mesoamerica - composed of the seven Central American countries and the five southernmost states of Mexico - make up only a small fraction of the world s land surface. However, the region is home to seven to eight percent of the planet s biodiversity (14 biosphere reserves, 31 Ramsar sites, 8 world heritage sites, 589 protected areas) and 45 million people including more than 50 different ethnic groups. Today Mesoamerica s biological and cultural diversity is severely threatened by extensive deforestation, illegal logging, water pollution, and uncontrolled slash and burn agriculture. Additionally, Mesoamerica's distinct geology and geography result in disproportionate vulnerability to natural disasters such as earthquakes, hurricanes, drought, and volcanic eruptions. NASA Marshall Space Flight Center, together with the University of Alabama in Huntsville (UAH) and the SIAM-SERVIR partners are developing state-of-the-art decision support tools for environmental monitoring as well as disaster prevention and mitigation in Mesoamerica. These partners are contributing expertise in space-based observation with information management technologies and intimate knowledge of local ecosystems to create a system that is being used by scientists, educators, and policy makers to monitor and forecast ecological changes, respond to natural disasters and better understand both natural and human induced effects. In its first year of development and operation, the SIAM-SERVIR project has already yielded valuable information on Central American fires, weather conditions, and the first ever real-time data on red tides. This paper presents the progress thus far

  8. A Novel and Intelligent Home Monitoring System for Care Support of Elders with Cognitive Impairment.

    Science.gov (United States)

    Lazarou, Ioulietta; Karakostas, Anastasios; Stavropoulos, Thanos G; Tsompanidis, Theodoros; Meditskos, Georgios; Kompatsiaris, Ioannis; Tsolaki, Magda

    2016-10-18

    Assistive technology, in the form of a smart home environment, is employed to support people with dementia. To propose a system for continuous and objective remote monitoring of problematic daily living activity areas and design personalized interventions based on system feedback and clinical observations for improving cognitive function and health-related quality of life. The assistive technology of the proposed system, including wearable, sleep, object motion, presence, and utility usage sensors, was methodically deployed at four different home installations of people with cognitive impairment. Detection of sleep patterns, physical activity, and activities of daily living, based on the collected sensor data and analytics, was available at all times through comprehensive data visualization solutions. Combined with clinical observation, targeted psychosocial interventions were introduced to enhance the participants' quality of life and improve their cognitive functions and daily functionality. Meanwhile, participants and their caregivers were able to visualize a reduced set of information tailored to their needs. Overall, paired-sample t-test analysis of monitored qualities revealed improvement for all participants in neuropsychological assessment. Moreover, improvement was detected from the beginning to the end of the trial, in physical condition and in the domains of sleep. Detecting abnormalities via the system, for example in sleep quality, such as REM sleep, has proved to be critical to assess current status, drive interventions, and evaluate improvements in a reliable manner. It has been proved that the proposed system is suitable to support clinicians to reliably drive and evaluate clinical interventions toward quality of life improvement of people with cognitive impairment.

  9. Analysis of stresses on the 1st phase support of the monitoring drifts of the radioactive waste repository

    Directory of Open Access Journals (Sweden)

    Hatala Jozef

    1999-09-01

    Full Text Available In the paper, the stability analysis of the radioactive waste repository monitoring drifts’ support by means of the numerical modelling - finite element method is described. The aim of this analysis was to judge to what extent the designed 1st phase support’s parameters correspond with the geomechanical conditions determined by the engineering-geological survey.

  10. Acoustic displacement sensor for harsh environment: application to SFR core support plate monitoring

    International Nuclear Information System (INIS)

    PeRISSE, J.; MACe, J.R.; VOUAGNER, P.

    2013-06-01

    The need for instrumentation able to monitor internal parameters inside reactor vessels during plant operation is getting stronger. Internal mechanical structures important for safety are concerned: for example core support plate, fuel assemblies or primary pumps. Because of very harsh environmental conditions (high temperature, pressure and radiation) and maintenance requirements, sensors are generally located on the outer shell of the vessel with, for example, strain gages, accelerometers, eddy current or US sensors. Then, some complex signal processing calculations must be performed to address internal structure behavior or health analysis but with bias effects (transfer path analysis method for example). This study will show an original displacement sensor based on an acoustic wave guide that can measure small displacement of mechanical structures inside reactor vessels. The application selected in this case is the monitoring of the core support plate for a sodium fast reactor (SFR). The wave guide - a thin tube sealed with pressurized argon gas inside - is installed inside the liquid sodium vessel (temperature between 400 deg. C to 550 deg. C). One extremity is connected to the mechanical structure for control. It includes two acoustic reflectors; such reflectors are dedicated to a calibration procedure to estimate the acoustic wave velocity whatever the temperature profile along the wave guide (velocity is temperature dependent). The opposite extremity of the wave guide is located outside the vessel and includes an emission/reception acoustic transducer. Using acoustic pulse reflectometry method, a plane wave pressure signal propagates inside the tube and reflects from the extremity and acoustic reflectors. The pulse-echo signals are recorded and processed in the frequency domain. Signal processing is performed to estimate the time of flight of pulse reflections patterns along the acoustic path. Then, monitored structure displacement - i.e. movement of the

  11. Ice monitoring program in support of Sakhalin Energy's offshore oil production

    Energy Technology Data Exchange (ETDEWEB)

    Pilkington, R. [CANATEC Associates International Ltd., Calgary, AB (Canada); Keinonen, A. [AKAC Inc., Victoria, BC (Canada); Tambovsky, V.; Ryabov, S. [Environmental Company of Sakhalin, Yuzhno-Sakhalinsk (Russian Federation); Pishchalnik, V. [Russian Academy of Science, Yuzhno-Sakhalinsk (Russian Federation)]|[Far East Geological Inst., Yuzhno-Sakhalinsk (Russian Federation). Sakhalin Dept.; Sheikin, I. [Arctic and Antarctic Research Inst., St. Petersburg (Russian Federation); Brovin, A. [ABIC Service Ltd., Calgary, AB (Canada)

    2006-11-15

    The Sakhalin Energy Investment Company (SEIC) has been producing oil at the Molikpaq platform off the east coast of Sakhalin Island since 1999. The Molikpaq oil production occurs during the open water summer season. When ice begins to form in late November, an Ice Management Team begins to monitor conditions at the site to ensure a safe operation. This paper described the ice monitoring program designed to provide extensive ice and environmental data to support risk management and allow the planning of safe oil production operations using a Single Anchor Leg Mooring( SALM) system, Floating Storage and Offloading System (FSO), and export tankers in ice. The following 2 key aspects of the in-ice operations were covered: ice management to protect the offshore loading operation on a minute by minute basis in moving ice, and also ice forecasting, to determine when any unmanageable ice might approach the tanker loading site and cause the shut down of operations in the fall and during the startup of operations in the spring. The forecasting of ice drift, ice formation and growth in the fall and ice decay in the spring were discussed. It was noted that in the last few years, the date on which ice first appears is getting later. Operations cease for the winter before the ice is forecast to become a problem for the operations. The Ice Management Team returns to the site in May when the ice melts and and is no longer harmful to the operations. The Ice Management Team consists of 9 individuals with several years of operational ice experience. Their tasks include data collection from satellite images; helicopter ice reconnaissance; ice breaker ice maps; radar ice maps and ice drift; and, ice drift analysis using terra MODIS satellite images. A daily or twice daily weather forecast is provided by a commercial weather forecasting company. These forecasts provide the winds, gusts, cloud cover, air temperature, wind wave and swell for every 6 hours for the first 3 days, then every

  12. Rational risk-based decision support for drinking water well managers by optimized monitoring designs

    Science.gov (United States)

    Enzenhöfer, R.; Geiges, A.; Nowak, W.

    2011-12-01

    Advection-based well-head protection zones are commonly used to manage the contamination risk of drinking water wells. Considering the insufficient knowledge about hazards and transport properties within the catchment, current Water Safety Plans recommend that catchment managers and stakeholders know, control and monitor all possible hazards within the catchments and perform rational risk-based decisions. Our goal is to supply catchment managers with the required probabilistic risk information, and to generate tools that allow for optimal and rational allocation of resources between improved monitoring versus extended safety margins and risk mitigation measures. To support risk managers with the indispensable information, we address the epistemic uncertainty of advective-dispersive solute transport and well vulnerability (Enzenhoefer et al., 2011) within a stochastic simulation framework. Our framework can separate between uncertainty of contaminant location and actual dilution of peak concentrations by resolving heterogeneity with high-resolution Monte-Carlo simulation. To keep computational costs low, we solve the reverse temporal moment transport equation. Only in post-processing, we recover the time-dependent solute breakthrough curves and the deduced well vulnerability criteria from temporal moments by non-linear optimization. Our first step towards optimal risk management is optimal positioning of sampling locations and optimal choice of data types to reduce best the epistemic prediction uncertainty for well-head delineation, using the cross-bred Likelihood Uncertainty Estimator (CLUE, Leube et al., 2011) for optimal sampling design. Better monitoring leads to more reliable and realistic protection zones and thus helps catchment managers to better justify smaller, yet conservative safety margins. In order to allow an optimal choice in sampling strategies, we compare the trade-off in monitoring versus the delineation costs by accounting for ill

  13. Validation of a brief telephone battery for neurocognitive assessment of patients with pulmonary arterial hypertension

    Directory of Open Access Journals (Sweden)

    Palevsky Harold I

    2005-04-01

    Full Text Available Abstract Background The effects of pulmonary arterial hypertension on brain function are not understood, despite patients' frequent complaints of cognitive difficulties. Using clinical instruments normally administered during standard in-person assessment of neurocognitive function in adults, we assembled a battery of tests designed for administration over the telephone. The purpose was to improve patient participation, facilitate repeated test administration, and reduce the cost of research on the neuropsychological consequences of acute and chronic cardiorespiratory diseases. We undertook this study to validate telephone administration of the tests. Methods 23 adults with pulmonary arterial hypertension underwent neurocognitive assessment using both standard in-person and telephone test administration, and the results of the two methods compared using interclass correlations. Results For most of the tests in the battery, scores from the telephone assessment correlated strongly with those obtained by in-person administration of the same tests. Interclass correlations between 0.5 and 0.8 were observed for tests that assessed attention, memory, concentration/working memory, reasoning, and language/crystallized intelligence (p ≤ 0.05 for each. Interclass correlations for the Hayling Sentence Completion test of executive function approached significance (p = 0.09. All telephone tests were completed within one hour. Conclusion Administration of this neurocognitive test battery by telephone should facilitate assessment of neuropsychological deficits among patients with pulmonary arterial hypertension living across broad geographical areas, and may be useful for monitoring changes in neurocognitive function in response to PAH-specific therapy or disease progression.

  14. Nurse-led telephone follow-up after total knee arthroplasty

    DEFF Research Database (Denmark)

    Szöts, Kirsten; Konradsen, Hanne; Solgaard, Søren

    2015-01-01

    AIM AND OBJECTIVES: To generate information on how telephone follow-up consultations, structured by nursing status according to the VIPS-model, functioned after total knee arthroplasty. The objectives were to unfold the content of the telephone follow-ups according to the structure for nursing...... status and to explore the patients' views of the telephone follow-ups. BACKGROUND: The length of stay in hospital following total knee arthroplasty has fallen markedly, and patients now have to be responsible for their recovery from a very early stage. After discharge, patients may experience a variety...... Telephone follow-up was valued by total knee arthroplasties patients as representing a holistic approach and providing adequate information, counselling and support after discharge to home. Three categories were identified with regard to the patients' views: 'A means for reflection and provision of adequate...

  15. Feasibility assessment grants in support of volunteer siting of a monitored retrievables storage facility

    International Nuclear Information System (INIS)

    Benson, A.; Weisman, N.M.; Morgan, W.

    1993-01-01

    The Monitored Retrievable Storage facility (MRS) is an integral component of the planned Federal radioactive waste management system. The MRS will temporarily store spent fuel from commercial nuclear power plants prior to shipment to a geologic repository for permanent disposal. To facilitate voluntary siting of an MRS facility, Congress, in 1987, authorized the award of feasibility assessment grants by the Department of Energy to assist potentially interested jurisdictions to consider the possibility of hosting an MRS. This paper addresses the experience with MRS feasibility assessment grants to date, reviewing the current status of grant applications and presenting observations on the grant program and the voluntary siting approach, which it supports. The authors note that although the voluntary siting process has yet to identify an MRS host, the feasibility assessment grants have been successful in generating interest and active consideration and debate regarding MRS siting among States, Indian Tribes, and affected units of local government. Continued information efforts about the grant process and more proactive DOE support for and participation in the voluntary siting process are among the recommendations offered

  16. Effects of enterostomal nurse telephone follow-up on postoperative adjustment of discharged colostomy patients.

    Science.gov (United States)

    Zhang, Jun-e; Wong, Frances Kam Yuet; You, Li-ming; Zheng, Mei-chun; Li, Qiong; Zhang, Bing-yan; Huang, Man-rong; Ye, Xin-Mei; Liang, Ming-juan; Liu, Jin-ling

    2013-01-01

    People with a new colostomy encounter many difficulties as they struggle to adjust to their ostomies. Nurse telephone follow-up is a convenient way to ensure continuity of care. There is a paucity of studies testing if nurse telephone follow-up can enhance adjustment of postdischarged colostomy patients. The purpose of this study was to evaluate the effect of enterostomal nurse telephone follow-up on the adjustment levels of discharged colostomy patients. This was a randomized controlled trial. Participants (n = 103) who had undergone colostomy operations in China were recruited and randomly assigned to the study or control group. Both the study and control groups received routine discharge care, whereas the study group received 2-3 nurse telephone calls in the follow-up period. The outcome measures included Ostomy Adjustment Scale, Stoma Self-efficacy Scale, satisfaction with care, and stoma complications. Results of this study indicated that participants in the study group had significantly better ostomy adjustment, higher stoma self-efficacy, higher satisfaction with care, and less stoma complications compared with those in the control group. This study provided evidence to support that enterostomal nurse telephone follow-up can improve patient ostomy adjustment level and other related outcomes. Nurse telephone follow-up is an effective intervention to support the adjustment of stoma patients after hospital discharge.

  17. Improvement of Metroliner Telephone Channel Capacity and Modeling of Telephone Channel Demands

    Science.gov (United States)

    1972-03-01

    The channel capacity of the present Metroliner telephone system is analyzed and methods are proposed to increase that capacity without increasing the overall bandwidth. To determine the number of channels required, calculations have been carried out ...

  18. The codevelopment of coastal fisheries monitoring methods to support local management

    Directory of Open Access Journals (Sweden)

    Eva Schemmel

    2016-12-01

    Full Text Available Small-scale fisheries across the globe provide critical food security, livelihoods, and human well-being, but are threatened by a combination of local and global stressors, including overexploitation, pollution, and climate change. Participatory approaches to management, especially those that incorporate local communities and customary knowledge can provide meaningful biological information that supports sustainable fisheries management and builds local adaptive capacity to changing ocean conditions. Through a collaboration between fishers, scientists, NGOs, and regulating agencies, we developed a low-cost, low-tech method to assess the seasonal spawning peaks, lunar spawning cycles, and size at maturity (L50 for key targeted reef fish, combining traditional knowledge and practice with modern scientific approaches, including gonadosomatic index (GSI and histology. Two years of community-based monitoring resulted in data from 57 species and 15 families of reef and nearshore fishes (n = 2595, with detailed information for 10 species at 4 locations across the Hawaiian Islands. Comparisons between community-collected GSI data and scientifically (histologically assessed spawning cycles and size at reproductive maturity produced similar results suggesting that these approaches can be applied in data-poor fisheries to assess spawning seasons and size at maturity (L50, both of which are critical needs for effective fisheries management. Semistructured surveys revealed a large body of local knowledge on spawning times and harvest practices based on allowing spawning to occur before harvesting and protecting small and large size classes, but little evidence that fishers understand temporal patterns of spawning. This suggests that monitoring methods that fill key gaps such as this and are congruent with these local knowledge systems and customary harvest practices may be key for local stewardship and adaptive management.

  19. Resource modelling for control: how hydrogeological modelling can support a water quality monitoring infrastructure

    Science.gov (United States)

    Scozzari, Andrea; Doveri, Marco

    2015-04-01

    The knowledge of the physical/chemical processes implied with the exploitation of water bodies for human consumption is an essential tool for the optimisation of the monitoring infrastructure. Due to their increasing importance in the context of human consumption (at least in the EU), this work focuses on groundwater resources. In the framework of drinkable water networks, the physical and data-driven modelling of transport phenomena in groundwater can help optimising the sensor network and validating the acquired data. This work proposes the combined usage of physical and data-driven modelling as a support to the design and maximisation of results from a network of distributed sensors. In particular, the validation of physico-chemical measurements and the detection of eventual anomalies by a set of continuous measurements take benefit from the knowledge of the domain from which water is abstracted, and its expected characteristics. Change-detection techniques based on non-specific sensors (presented by quite a large literature during the last two decades) have to deal with the classical issues of maximising correct detections and minimising false alarms, the latter of the two being the most typical problem to be faced, in the view of designing truly applicable monitoring systems. In this context, the definition of "anomaly" in terms of distance from an expected value or feature characterising the quality of water implies the definition of a suitable metric and the knowledge of the physical and chemical peculiarities of the natural domain from which water is exploited, with its implications in terms of characteristics of the water resource.

  20. Operational multi-sensor design for forest carbon monitoring to support REDD+ in Kalimantan, Indonesia

    Science.gov (United States)

    Braswell, B. H.; Hagen, S. C.; Harris, N.; Saatchi, S. S.

    2013-12-01

    Parties to the United Nations Framework Convention on Climate Change (UNFCCC) have been requested to establish robust and transparent national forest monitoring systems (NFMS) that use a combination of remote sensing and ground-based forest carbon inventory approaches to estimate anthropogenic forest-related greenhouse gas emissions and removals, reducing uncertainties as far as possible. A country's NFMS should also be used for data collection to inform the assessment of national or subnational forest reference emission levels and/or forest reference levels (RELs/RLs). In this way, the NFMS forms the link between historical assessments and current/future assessments, enabling consistency in the data and information to support the implementation of REDD+ activities in countries. The creation of a reliable, transparent, and comprehensive NFMS is currently limited by a dearth of relevant data that are accurate, low-cost, and spatially resolved at subnational scales. We are developing, evaluating, and validating several critical components of an NFMS in Kalimantan, Indonesia, focusing on the use of LiDAR and radar imagery for improved carbon stock and forest degradation information. Our goal is to evaluate sensor and platform tradeoffs systematically against in situ investments, as well as provide detailed tracking and characterization of uncertainty in a cost-benefit framework. Kalimantan is an ideal area to evaluate the use of remote sensing methods because measuring forest carbon stocks and their human caused changes with a high degree of certainty in areas of dense tropical forests has proven to be difficult. While the proposed NFMS components are being developed at the subnational scale for Kalimantan, we are targeting these methods for applicability across broader geographies and for implementation at various scales. Our intention is for this research to advance the state of the art of Measuring, Reporting, and Verification (MRV) system methodologies in ways

  1. Supporting metacognitive monitoring in mathematics learning for young people with autism spectrum disorder: A classroom-based study.

    Science.gov (United States)

    Maras, Katie; Gamble, Tim; Brosnan, Mark

    2017-10-01

    Previous research suggests impaired metacognitive monitoring and mathematics under-achievement in autism spectrum disorder. Within educational settings, metacognitive monitoring is supported through the provision of feedback (e.g. with goal reminders and by explicitly correcting errors). Given the strength of the relationship between metacognition, learning and educational attainment, this research tested new computer-based metacognitive support (the 'Maths Challenge') for mathematics learners with autism spectrum disorder within the context of their classroom. The Maths Challenge required learners to engage in metacognitive monitoring before and after answering each question (e.g. intentions and judgements of accuracy) and negotiate with the system the level of difficulty. Forty secondary school children with autism spectrum disorder and 95 typically developing learners completed the Maths Challenge in either a Feedback condition, with metacognitive monitoring support regarding the accuracy of their answers, goal reminders and strategy support, or with No Feedback. Contrary to previous findings, learners with autism showed an undiminished ability to detect errors. They did, however, demonstrate reduced cohesion between their pre- and post-test intentions. Crucially, support from the Feedback condition significantly improved task performance for both groups. Findings highlight important implications for educational interventions regarding the provision of metacognitive support for learners with autism to ameliorate under-performance in mathematics within the classroom.

  2. Work on the CERN telephone exchanges

    CERN Multimedia

    2004-01-01

    Corrective maintenance work on the CERN telephone exchanges will be carried out on 23 September 2004, resulting in interruptions of service across the whole CERN site between 6:00 a.m. and 8:00 a.m. and from 7:00 p.m. onwards. We apologise for any inconvenience this may cause. CERN TELECOM Service Tel.: 76111 GSM: 160026- 163610 Calls between GSM mobile phones will not be affected.

  3. Diffusion and Advertising: The German Telephone Campaign

    OpenAIRE

    Hermann Simon; Karl-Heinz Sebastian

    1987-01-01

    The goal of the present paper is to investigate the influence of advertising on the diffusion of new telephones in West Germany. Several alternative ways of integrating advertising into the well-known Bass-diffusion-model are suggested and empirically tested. The econometric investigation yields results which are consistent with the behavioral assumption. A model which assumes that advertising mainly influenced the demand of imitators is accepted as the most valid representation of reality. T...

  4. Joint PDL and In-band OSNR Monitoring Supported by Data-Aided Channel Estimation

    DEFF Research Database (Denmark)

    Pittalà, Fabio; Hauske, Fabian N.; Ye, Yabin

    2012-01-01

    Employing a known training sequence robust and precise PDL and OSNR monitoring is demonstrated over a wide range of combined distortions. The proposed in-service monitoring technique is insensitive to CD, PMD and SOP rotation....

  5. Telephone Support During Overseas Deployment for Military Spouses

    Science.gov (United States)

    2017-12-01

    Communication Skills: How to Be Effective Put it into Practice Active Listening Checklist Hunt the Good Stuff Worksheet Online Communication...important (Green, Nurius, & Lester, 2013). One such program is the Army’s Comprehensive Soldier and Fam- ily Fitness Program, a curriculum that...U.S. Army Medical Research and Materiel Command. References Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008). A comprehensive review and a

  6. Telephone Support During Overseas Deployment for Military Spouses

    Science.gov (United States)

    2017-04-01

    Abuse and Addiction • Child Abuse •Depression •Domestic Violence •Grief •Suicide Prevention •Understanding & Dealing with Anger 11 Why are these...Satisfied Using Method % Email 91.9 3.3 ± 0.8 87.2 Phone calls 90.7 2.8 ± 0.9 84.2 Video conferencing 74.5 2.7 ± 1.0 77.5 Social networking site 62.7 2.8...moderately or very stressful. Common methods of communication were e-mail and tele- phone (Table 3), and spouses were satisfied with these meth- ods. For

  7. Principal components based support vector regression model for on-line instrument calibration monitoring in NPPs

    International Nuclear Information System (INIS)

    Seo, In Yong; Ha, Bok Nam; Lee, Sung Woo; Shin, Chang Hoon; Kim, Seong Jun

    2010-01-01

    In nuclear power plants (NPPs), periodic sensor calibrations are required to assure that sensors are operating correctly. By checking the sensor's operating status at every fuel outage, faulty sensors may remain undetected for periods of up to 24 months. Moreover, typically, only a few faulty sensors are found to be calibrated. For the safe operation of NPP and the reduction of unnecessary calibration, on-line instrument calibration monitoring is needed. In this study, principal component based auto-associative support vector regression (PCSVR) using response surface methodology (RSM) is proposed for the sensor signal validation of NPPs. This paper describes the design of a PCSVR-based sensor validation system for a power generation system. RSM is employed to determine the optimal values of SVR hyperparameters and is compared to the genetic algorithm (GA). The proposed PCSVR model is confirmed with the actual plant data of Kori Nuclear Power Plant Unit 3 and is compared with the Auto-Associative support vector regression (AASVR) and the auto-associative neural network (AANN) model. The auto-sensitivity of AASVR is improved by around six times by using a PCA, resulting in good detection of sensor drift. Compared to AANN, accuracy and cross-sensitivity are better while the auto-sensitivity is almost the same. Meanwhile, the proposed RSM for the optimization of the PCSVR algorithm performs even better in terms of accuracy, auto-sensitivity, and averaged maximum error, except in averaged RMS error, and this method is much more time efficient compared to the conventional GA method

  8. Earth observation in support of malaria control and epidemiology: MALAREO monitoring approaches.

    Science.gov (United States)

    Franke, Jonas; Gebreslasie, Michael; Bauwens, Ides; Deleu, Julie; Siegert, Florian

    2015-06-03

    Malaria affects about half of the world's population, with the vast majority of cases occuring in Africa. National malaria control programmes aim to reduce the burden of malaria and its negative, socioeconomic effects by using various control strategies (e.g. vector control, environmental management and case tracking). Vector control is the most effective transmission prevention strategy, while environmental factors are the key parameters affecting transmission. Geographic information systems (GIS), earth observation (EO) and spatial modelling are increasingly being recognised as valuable tools for effective management and malaria vector control. Issues previously inhibiting the use of EO in epidemiology and malaria control such as poor satellite sensor performance, high costs and long turnaround times, have since been resolved through modern technology. The core goal of this study was to develop and implement the capabilities of EO data for national malaria control programmes in South Africa, Swaziland and Mozambique. High- and very high resolution (HR and VHR) land cover and wetland maps were generated for the identification of potential vector habitats and human activities, as well as geoinformation on distance to wetlands for malaria risk modelling, population density maps, habitat foci maps and VHR household maps. These products were further used for modelling malaria incidence and the analysis of environmental factors that favour vector breeding. Geoproducts were also transferred to the staff of national malaria control programmes in seven African countries to demonstrate how EO data and GIS can support vector control strategy planning and monitoring. The transferred EO products support better epidemiological understanding of environmental factors related to malaria transmission, and allow for spatio-temporal targeting of malaria control interventions, thereby improving the cost-effectiveness of interventions.

  9. Earth observation in support of malaria control and epidemiology: MALAREO monitoring approaches

    Directory of Open Access Journals (Sweden)

    Jonas Franke

    2015-06-01

    Full Text Available Malaria affects about half of the world’s population, with the vast majority of cases occuring in Africa. National malaria control programmes aim to reduce the burden of malaria and its negative, socioeconomic effects by using various control strategies (e.g. vector control, environmental management and case tracking. Vector control is the most effective transmission prevention strategy, while environmental factors are the key parameters affecting transmission. Geographic information systems (GIS, earth observation (EO and spatial modelling are increasingly being recognised as valuable tools for effective management and malaria vector control. Issues previously inhibiting the use of EO in epidemiology and malaria control such as poor satellite sensor performance, high costs and long turnaround times, have since been resolved through modern technology. The core goal of this study was to develop and implement the capabilities of EO data for national malaria control programmes in South Africa, Swaziland and Mozambique. High- and very high resolution (HR and VHR land cover and wetland maps were generated for the identification of potential vector habitats and human activities, as well as geoinformation on distance to wetlands for malaria risk modelling, population density maps, habitat foci maps and VHR household maps. These products were further used for modelling malaria incidence and the analysis of environmental factors that favour vector breeding. Geoproducts were also transferred to the staff of national malaria control programmes in seven African countries to demonstrate how EO data and GIS can support vector control strategy planning and monitoring. The transferred EO products support better epidemiological understanding of environmental factors related to malaria transmission, and allow for spatio-temporal targeting of malaria control interventions, thereby improving the cost-effectiveness of interventions.

  10. Trade study of leakage detection, monitoring, and mitigation technologies to support Hanford single-shell waste retrieval

    International Nuclear Information System (INIS)

    Hertzel, J.S.

    1996-03-01

    The U.S. Department of Energy has established the Tank Waste Remediation System to safely manage and dispose of low-level, high-level, and transuranic wastes currently stored in underground storage tanks at the Hanford Site in Eastern Washington. This report supports the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone No. M-45-08-T01 and addresses additional issues regarding single-shell tank leakage detection, monitoring, and mitigation technologies and provide an indication of the scope of leakage detection, monitoring, and mitigation activities necessary to support the Tank Waste Remedial System Initial Single-shell Tank Retrieval System project

  11. Providing support for day-to-day monitoring of shoreline cleanup operations

    International Nuclear Information System (INIS)

    Lamarche, A.; Tarpley, J.

    1997-01-01

    Experiences gained during the 'Cape Mohican' incident in October 1996, in San Francisco Bay, were recounted and proposed as a potential example of day-to-day monitoring, evaluation and reporting of shoreline cleanup effort. During this cleanup a set of communications procedures, progress reports and maps were developed which should be equally useful in other similar situations. The cartographic representations were specially highlighted as they focused on ways to provide a clear picture of the short term modifications in oiling conditions of the affected shoreline. The most important lesson learned from this oil spill was the importance of having personnel and equipment sufficiently matched to the task in order to evaluate oil conditions, produce cleanup recommendations, execute and communicate the status of the cleanup effort as fast, and as efficiently and effectively as possible. It was clearly demonstrated that unless the decision process is streamlined and supported with the best, most up-to-date information, the efforts of the cleanup team would be seriously undermined. 8 refs., 2 tabs., 6 figs

  12. Fully distributed monitoring architecture supporting multiple trackees and trackers in indoor mobile asset management application.

    Science.gov (United States)

    Jeong, Seol Young; Jo, Hyeong Gon; Kang, Soon Ju

    2014-03-21

    A tracking service like asset management is essential in a dynamic hospital environment consisting of numerous mobile assets (e.g., wheelchairs or infusion pumps) that are continuously relocated throughout a hospital. The tracking service is accomplished based on the key technologies of an indoor location-based service (LBS), such as locating and monitoring multiple mobile targets inside a building in real time. An indoor LBS such as a tracking service entails numerous resource lookups being requested concurrently and frequently from several locations, as well as a network infrastructure requiring support for high scalability in indoor environments. A traditional centralized architecture needs to maintain a geographic map of the entire building or complex in its central server, which can cause low scalability and traffic congestion. This paper presents a self-organizing and fully distributed indoor mobile asset management (MAM) platform, and proposes an architecture for multiple trackees (such as mobile assets) and trackers based on the proposed distributed platform in real time. In order to verify the suggested platform, scalability performance according to increases in the number of concurrent lookups was evaluated in a real test bed. Tracking latency and traffic load ratio in the proposed tracking architecture was also evaluated.

  13. Data Management Coordinators Monitor STS-78 Mission at the Huntsville Operations Support Center

    Science.gov (United States)

    1996-01-01

    Launched on June 20, 1996, the STS-78 mission's primary payload was the Life and Microgravity Spacelab (LMS), which was managed by the Marshall Space Flight Center (MSFC). During the 17 day space flight, the crew conducted a diverse slate of experiments divided into a mix of life science and microgravity investigations. In a manner very similar to future International Space Station operations, LMS researchers from the United States and their European counterparts shared resources such as crew time and equipment. Five space agencies (NASA/USA, European Space Agency/Europe (ESA), French Space Agency/France, Canadian Space Agency /Canada, and Italian Space Agency/Italy) along with research scientists from 10 countries worked together on the design, development and construction of the LMS. This photo represents Data Management Coordinators monitoring the progress of the mission at the Huntsville Operations Support Center (HOSC) Spacelab Payload Operations Control Center (SL POCC) at MSFC. Pictured are assistant mission scientist Dr. Dalle Kornfeld, Rick McConnel, and Ann Bathew.

  14. Earth Observations, Models and Geo-Design in Support of SDG Implementation and Monitoring

    Science.gov (United States)

    Plag, H. P.; Jules-Plag, S.

    2016-12-01

    Implementation and Monitoring of the United Nations' Sustainable Development Goals (SDGs) requires support from Earth observation and scientific communities. Applying a goal-based approach to determine the data needs to the Targets and Indicators associated with the SDGs demonstrates that integration of environmental with socio-economic and statistical data is required. Large data gaps exist for the built environment. A Geo-Design platform can provide the infrastructure and conceptual model for the data integration. The development of policies and actions to foster the implementation of SDGs in many cases requires research and the development of tools to answer "what if" questions. Here, agent-based models and model webs combined with a Geo-Design platform are promising avenues. This advanced combined infrastructure can also play a crucial role in the necessary capacity building. We will use the example of SDG 5 (Gender equality) to illustrate these approaches. SDG 11 (Sustainable Cities and Communities) is used to underline the cross-goal linkages and the joint benefits of Earth observations, data integration, and modeling tools for multiple SDGs.

  15. Building mindfulness bottom-up: Meditation in natural settings supports open monitoring and attention restoration.

    Science.gov (United States)

    Lymeus, Freddie; Lindberg, Per; Hartig, Terry

    2018-03-01

    Mindfulness courses conventionally use effortful, focused meditation to train attention. In contrast, natural settings can effortlessly support state mindfulness and restore depleted attention resources, which could facilitate meditation. We performed two studies that compared conventional training with restoration skills training (ReST) that taught low-effort open monitoring meditation in a garden over five weeks. Assessments before and after meditation on multiple occasions showed that ReST meditation increasingly enhanced attention performance. Conventional meditation enhanced attention initially but increasingly incurred effort, reflected in performance decrements toward the course end. With both courses, attentional improvements generalized in the first weeks of training. Against established accounts, the generalized improvements thus occurred before any effort was incurred by the conventional exercises. We propose that restoration rather than attention training can account for early attentional improvements with meditation. ReST holds promise as an undemanding introduction to mindfulness and as a method to enhance restoration in nature contacts. Copyright © 2018 Elsevier Inc. All rights reserved.

  16. Study on a monitoring strategy to support decision making for geological repository closure

    International Nuclear Information System (INIS)

    Suyama, Yasuhiro; Tanabe, Hiromi; Eto, Jiro; Yoshimura, Kimitaka

    2010-01-01

    Japan currently plans to dispose of high-level radioactive wastes (vitrified HLWs) produced from the reprocessing of spent nuclear fuel in deep geological formations, in order to isolate the radioactive wastes from the human environment for tens of thousands of years. Such a geological repository must be designed to ensure operational safety and post-closure safety. Then, following the closure of the geological repository, post-closure safety will be provided by an engineered barrier system (EBS) and a natural barrier system (NBS) without relying on monitoring or institutional control. However, from a technical standpoint, monitoring has been required during backfilling in current studies. Additionally, there has been strong social pressure to continue monitoring during all the phases including post-closure. On the basis of the current situations, a monitoring strategy for geological disposal must be studied to ensure the long term safety of geological disposal. Focusing on decision making for geological repository closure, the authors have created a basic logical structure for the decision making process with the principles for ensuring safety and have developed a monitoring strategy based on the logical structure. The monitoring strategy is founded on three key aspects: the role of monitoring, boundary conditions of monitoring at the time of decision making, and a methodology for monitoring planning. Then, the monitoring strategy becomes a starting point of monitoring planning during site characterization, construction, operation and staged closure, as well as post-closure with institutional control, and of social science studies. (author)

  17. Willingness to pay for rural telephone services: Implications for rural ...

    African Journals Online (AJOL)

    WTP) for rural telephone services and the implications on poverty reduction in Southeast Nigeria. The key research problem was the inability of the telephone providers or regulatory agencies to estimate the amount the people were willing to pay ...

  18. 24 CFR 3285.704 - Telephone and cable TV.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Telephone and cable TV. 3285.704....704 Telephone and cable TV. Refer to § 3285.906 for considerations pertinent to installation of telephone and cable TV. ...

  19. 7 CFR 1737.60 - Telephone loan budget.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Telephone loan budget. 1737.60 Section 1737.60... Cost Estimation Procedures § 1737.60 Telephone loan budget. (a) RUS shall prepare a “Telephone Loan Budget” (RUS Form 493) showing all costs for the proposed project and the amount of loan and nonloan...

  20. 7 CFR 1744.63 - The telephone loan budget.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false The telephone loan budget. 1744.63 Section 1744.63... Disbursement of Funds § 1744.63 The telephone loan budget. When the loan is made, RUS provides the borrower a Telephone Loan Budget, RUS Form 493. This budget divides the loan into budget accounts such as “Engineering...

  1. Telecommunications Policy Research Conference. Subsidies in Telephone Pricing Section. Papers.

    Science.gov (United States)

    Telecommunications Policy Research Conference, Inc., Washington, DC.

    Three papers consider the provision of telephone service to rural and/or low income customers. The first paper, "An Analysis of Telephone Penetration" (Alexander Belinfante), analyzes the relationship between telephone penetration (the proportion of households with phone service) and prices, household income, and other factors. This…

  2. Telephone Support During Overseas Deployment for Military Spouses Formerly: Telephone Support During Deployment for OEF/OIF Spouses

    Science.gov (United States)

    2016-04-01

    Has the changing structure of households impacted the family decision‐making process? Journal of Consumer Behaviour , 2(2), 111-124. doi: http...adjustment to separation among military families. Journal of Family and Consumer Sciences, 95(1), 33. Palmer, C. (2008). A theory of risk and...21 2014; Rossetto, 2013). Wives who perceive that their husbands are in dangerous situations share less stressful information (Cafferky, 2014

  3. SUPPORT OF GULF OF MEXICO HYDRATE RESEARCH CONSORTIUM: ACTIVITIES TO SUPPORT ESTABLISHMENT OF A SEA FLOOR MONITORING STATION PROJECT

    Energy Technology Data Exchange (ETDEWEB)

    Paul Higley; J. Robert Woolsey; Ralph Goodman; Vernon Asper; Boris Mizaikoff; Angela Davis; Bob A. Hardage; Jeffrey Chanton; Rudy Rogers

    2006-03-01

    The Gulf of Mexico Hydrates Research Consortium was established in 1999 to assemble leaders in gas hydrates research. The group is administered by the Center for Marine Resources and Environmental Technology, CMRET, at the University of Mississippi. The primary objective of the group is to design and emplace a remote monitoring station or sea floor observatory on the sea floor in the northern Gulf of Mexico by the year 2005, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission necessitates assembling a station that will monitor physical and chemical parameters of the sea water and sea floor sediments on a more-or-less continuous basis over an extended period of time. Development of the station has always included the possibility of expanding its capabilities to include biological monitoring, as a means of assessing environmental health. This possibility has recently received increased attention and the group of researchers working on the station has expanded to include several microbial biologists. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in this relatively new research arena. Complementary expertise, both scientific and technical, has been assembled to promote innovative research methods and construct necessary instrumentation. Initial components of the observatory, a probe that collects pore-fluid samples and another that records sea floor temperatures, were deployed in Mississippi Canyon 118 in May of 2005. Follow-up deployments are planned for fall 2005 and center about the use of the vessel M/V Ocean Quest and its two manned submersibles. The subs will be used to effect bottom surveys, emplace sensors and sea floor experiments and make connections between sensor data loggers and the integrated data power unit (IDP). Station/observatory completion is anticipated for 2007 following the

  4. SUPPORT OF GULF OF MEXICO HYDRATE RESEARCH CONSORTIUM: ACTIVITIES TO SUPPORT ESTABLISHMENT OF A SEA FLOOR MONITORING STATION PROJECT

    Energy Technology Data Exchange (ETDEWEB)

    J. Robert Woolsey; Tom McGee; Carol Lutken; Elizabeth Stidham

    2006-06-01

    The Gulf of Mexico Hydrates Research Consortium (GOM-HRC) was established in 1999 to assemble leaders in gas hydrates research. The Consortium is administered by the Center for Marine Resources and Environmental Technology, CMRET, at the University of Mississippi. The primary objective of the group is to design and emplace a remote monitoring station or sea floor observatory (MS/SFO) on the sea floor in the northern Gulf of Mexico by the year 2007, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission, although unavoidably delayed by hurricanes and other disturbances, necessitates assembling a station that will monitor physical and chemical parameters of the marine environment, including sea water and sea-floor sediments, on a more-or-less continuous basis over an extended period of time. In 2005, biological monitoring, as a means of assessing environmental health was added to the mission of the MS/SFO. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in the arena of gas hydrates research. Complementary expertise, both scientific and technical, has been assembled to promote innovative research methods and construct necessary instrumentation. The observatory has now achieved a microbial dimension in addition to the geophysical and geochemical components it had already included. Initial components of the observatory, a probe that collects pore-fluid samples and another that records sea floor temperatures, were deployed in Mississippi Canyon 118 in May of 2005. Follow-up deployments, planned for fall 2005, had to be postponed due to the catastrophic effects of Hurricane Katrina (and later, Rita) on the Gulf Coast. Every effort was made to locate and retain the services of a suitable vessel and submersibles or Remotely Operated Vehicles (ROVs) following the storms and the loss of the contracted vessel

  5. Efficacy and experiences of telephone counselling for informal carers of people with dementia.

    Science.gov (United States)

    Lins, Sabine; Hayder-Beichel, Daniela; Rücker, Gerta; Motschall, Edith; Antes, Gerd; Meyer, Gabriele; Langer, Gero

    2014-09-01

    integrated quantitative RCT data with the qualitative data. Nine RCTs and two qualitative studies were included. Six studies investigated telephone counselling without additional intervention, one study combined telephone counselling with video sessions, and two studies combined it with video sessions and a workbook. All quantitative studies had a high risk of bias in terms of blinding of participants and outcome assessment. Most studies provided no information about random sequence generation and allocation concealment. The quality of the qualitative studies ('thin descriptions') was assessed as moderate. Meta-analyses indicated a reduction of depressive symptoms for telephone counselling without additional intervention (three trials, 163 participants: standardised mean different (SMD) 0.32, 95% confidence interval (CI) 0.01 to 0.63, P value 0.04; moderate quality evidence). The estimated effects on other outcomes (burden, distress, anxiety, quality of life, self-efficacy, satisfaction and social support) were uncertain and differences could not be excluded (burden: four trials, 165 participants: SMD 0.45, 95% CI -0.01 to 0.90, P value 0.05; moderate quality evidence; support: two trials, 67 participants: SMD 0.25, 95% CI -0.24 to 0.73, P value 0.32; low quality evidence). None of the quantitative studies included reported adverse effects or harm due to telephone counselling. Three analytical themes (barriers and facilitators for successful implementation of telephone counselling, counsellor's emotional attitude and content of telephone counselling) and 16 descriptive themes that present the carers' needs for telephone counselling were identified in the thematic synthesis. Integration of quantitative and qualitative data shows potential for improvement. For example, no RCT reported that the counsellor provided 24-hour availability or that there was debriefing of the counsellor. Also, the qualitative studies covered a limited range of ways of performing telephone counselling

  6. Environmental Monitoring as Part of Life Support for the Crew Habitat for Lunar and Mars Missions

    Science.gov (United States)

    Jan, Darrell L.

    2010-01-01

    Like other crewed space missions, future missions to the moon and Mars will have requirements for monitoring the chemical and microbial status of the crew habitat. Monitoring the crew habitat becomes more critical in such long term missions. This paper will describe the state of technology development for environmental monitoring of lunar lander and lunar outpost missions, and the state of plans for future missions.

  7. SUPPORT OF GULF OF MEXICO HYDRATE RESEARCH CONSORTIUM: ACTIVITIES TO SUPPORT ESTABLISHMENT OF A SEA FLOOR MONITORING STATION PROJECT

    Energy Technology Data Exchange (ETDEWEB)

    Paul Higley; J. Robert Woolsey; Ralph Goodman; Vernon Asper; Boris Mizaikoff; Angela Davis

    2005-09-01

    A Consortium, designed to assemble leaders in gas hydrates research, has been established at the University of Mississippi's Center for Marine Resources and Environmental Technology, CMRET. The primary objective of the group is to design and emplace a remote monitoring station on the sea floor in the northern Gulf of Mexico by the year 2005, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission necessitates assembling a station that will monitor physical and chemical parameters of the sea water and sea floor sediments on a more-or-less continuous basis over an extended period of time. Development of the station allows for the possibility of expanding its capabilities to include biological monitoring, as a means of assessing environmental health. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in this relatively new research arena. Complementary expertise, both scientific and technical, has been assembled to promote innovative research methods and construct necessary instrumentation. Noteworthy achievements six months into the extended life of this cooperative agreement include: (1) Progress on the vertical line array (VLA) of sensors: Analysis and repair attempts of the VLA used in the deep water deployment during October 2003 have been completed; Definition of an interface protocol for the VLA DATS to the SFO has been established; Design modifications to allow integration of the VLA to the SFO have been made; Experience gained in the deployments of the first VLA is being applied to the design of the next VLAs; One of the two planned new VLAs being modified to serve as an Oceanographic Line Array (OLA). (2) Progress on the Sea Floor Probe: The decision to replace the Sea Floor Probe technology with the borehole emplacement of a geophysical array was reversed due to the 1300m water depth at the

  8. SUPPORT OF GULF OF MEXICO HYDRATE RESEARCH CONSORTIUM: ACTIVITIES TO SUPPORT ESTABLISHMENT OF A SEA FLOOR MONITORING STATION PROJECT

    Energy Technology Data Exchange (ETDEWEB)

    Paul Higley; J. Robert Woolsey; Ralph Goodman; Vernon Asper; Boris Mizaikoff; Angela Davis

    2005-11-01

    A Consortium, designed to assemble leaders in gas hydrates research, has been established at the University of Mississippi's Center for Marine Resources and Environmental Technology, CMRET. The primary objective of the group is to design and emplace a remote monitoring station on the sea floor in the northern Gulf of Mexico by the year 2005, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission necessitates assembling a station that will monitor physical and chemical parameters of the sea water and sea floor sediments on a more-or-less continuous basis over an extended period of time. Development of the station allows for the possibility of expanding its capabilities to include biological monitoring, as a means of assessing environmental health. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in this relatively new research arena. Complementary expertise, both scientific and technical, has been assembled to promote innovative research methods and construct necessary instrumentation. Noteworthy achievements one year into the extended life of this cooperative agreement include: (1) Progress on the vertical line array (VLA) of sensors: (1a) Repair attempts of the VLA cable damaged in the October >1000m water depth deployment failed; a new design has been tested successfully. (1b) The acoustic modem damaged in the October deployment was repaired successfully. (1c) Additional acoustic modems with greater depth rating and the appropriate surface communications units have been purchased. (1d) The VLA computer system is being modified for real time communications to the surface vessel using radio telemetry and fiber optic cable. (1e) Positioning sensors--including compass and tilt sensors--were completed and tested. (1f) One of the VLAs has been redesigned to collect near sea floor geochemical data. (2

  9. An assessment of thromboelastometry to monitor blood coagulation and guide transfusion support in liver transplantation.

    Science.gov (United States)

    Blasi, Annabel; Beltran, Joan; Pereira, Arturo; Martinez-Palli, Graciela; Torrents, Abiguei; Balust, Jaume; Zavala, Elizabeth; Taura, Pilar; Garcia-Valdecasas, Juan-Carlos

    2012-09-01

    Rotation thromboelastometry (TEM) has been proposed as a convenient alternative to standard coagulation tests in guiding the treatment of coagulopathy during orthotopic liver transplantation (OLT). This study was aimed at assessing the value of TEM in monitoring blood coagulation and guide transfusion support in OLT. Standard coagulation and TEM (EXTEM and FIBTEM) tests were performed at four preestablished intraoperative time points in 236 OLTs and prospectively recorded in a dedicated database together with the main operative and transfusion data. Transfusion thresholds were based on standard coagulation tests. Spearman's rank correlation (ρ), linear regression, and receiver operating characteristic curves were used when appropriate. EXTEM maximum clot firmness (MCF(EXTEM)) was the TEM variable that best correlated with the platelet (PLT) and fibrinogen levels (ρ = 0.62 and ρ = 0.69, respectively). MCF(FIBTEM) correlated with fibrinogen level (ρ = 0.70). EXTEM clot amplitude at 10 minutes (A10(EXTEM)) was a good linear predictor of MCF(EXTEM) (R(2) =0.93). The cutoff values that best predicted the transfusion threshold for PLTs and fibrinogen were A10(EXTEM) = 35 mm and A10(FIBTEM) = 8 mm. At these values, the negative and positive predictive accuracies of TEM to predict the transfusion thresholds were 95 and 27%, respectively. A10(EXTEM) is an adequate TEM variable to guide therapeutic decisions during OLT. Patients with A10(EXTEM) of greater than 35 mm are unlikely to bleed because of coagulation deficiencies, but using A10(EXTEM) of not more than 35 mm as the sole transfusion criterion can lead to unnecessary utilization of PLTs and fibrinogen-rich products. © 2012 American Association of Blood Banks.

  10. An Updated Decision Support Interface: A Tool for Remote Monitoring of Crop Growing Conditions

    Science.gov (United States)

    Husak, G. J.; Budde, M. E.; Rowland, J.; Verdin, J. P.; Funk, C. C.; Landsfeld, M. F.

    2014-12-01

    Remote sensing of agroclimatological variables to monitor food production conditions is a critical component of the Famine Early Warning Systems Network portfolio of tools for assessing food security in the developing world. The Decision Support Interface (DSI) seeks to integrate a number of remotely sensed and modeled variables to create a single, simplified portal for analysis of crop growing conditions. The DSI has been reformulated to incorporate more variables and give the user more freedom in exploring the available data. This refinement seeks to transition the DSI from a "first glance" agroclimatic indicator to one better suited for the differentiation of drought events. The DSI performs analysis of variables over primary agricultural zones at the first sub-national administrative level. It uses the spatially averaged rainfall, normalized difference vegetation index (NDVI), water requirement satisfaction index (WRSI), and actual evapotranspiration (ETa) to identify potential hazards to food security. Presenting this information in a web-based client gives food security analysts and decision makers a lightweight portal for information on crop growing conditions in the region. The crop zones used for the aggregation contain timing information which is critical to the DSI presentation. Rainfall and ETa are accumulated from different points in the crop phenology to identify season-long deficits in rainfall or transpiration that adversely affect the crop-growing conditions. Furthermore, the NDVI and WRSI serve as their own seasonal accumulated measures of growing conditions by capturing vegetation vigor or actual evapotranspiration deficits. The DSI is currently active for major growing regions of sub-Saharan Africa, with intention of expanding to other areas over the coming years.

  11. SUPPORT OF GULF OF MEXICO HYDRATE RESEARCH CONSORTIUM: ACTIVITIES TO SUPPORT ESTABLISHMENT OF A SEA FLOOR MONITORING STATION PROJECT

    Energy Technology Data Exchange (ETDEWEB)

    Paul Higley; J. Robert Woolsey; Ralph Goodman; Vernon Asper; Boris Mizaikoff; Angela Davis

    2005-08-01

    A Consortium, designed to assemble leaders in gas hydrates research, has been established at the University of Mississippi's Center for Marine Resources and Environmental Technology, CMRET. The primary objective of the group is to design and emplace a remote monitoring station on the sea floor in the northern Gulf of Mexico by the year 2005, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission necessitates assembling a station that will monitor physical and chemical parameters of the sea water and sea floor sediments on a more-or-less continuous basis over an extended period of time. Development of the station allows for the possibility of expanding its capabilities to include biological monitoring, as a means of assessing environmental health. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in this relatively new research arena. Complementary expertise, both scientific and technical, has been assembled to innovate research methods and construct necessary instrumentation. A year into the life of this cooperative agreement, we note the following achievements: (1) Progress on the vertical line array (VLA) of sensors: (A) Software and hardware upgrades to the data logger for the prototype vertical line array, including enhanced programmable gains, increased sampling rates, improved surface communications, (B) Cabling upgrade to allow installation of positioning sensors, (C) Adaptation of SDI's Angulate program to use acoustic slant ranges and DGPS data to compute and map the bottom location of the vertical array, (D) Progress in T''0'' delay and timing issues for improved control in data recording, (E) Successful deployment and recovery of the VLA twice during an October, 2003 cruise, once in 830m water, once in 1305m water, (F) Data collection and recovery from the DATS

  12. An assessesment of telephone assistance systems for caregivers of patients with Alzheimer's disease.

    Science.gov (United States)

    Garzón-Maldonado, F J; Gutiérrez-Bedmar, M; Serrano-Castro, V; Requena-Toro, M V; Padilla-Romero, L; García-Casares, N

    Telephone assistance is a common practice in neurology, although there are only a few studies about this type of healthcare. We have evaluated a Telephone Assistance System (TAS) for caregivers of patients with Alzheimer's disease (AD) from 2 points of view: financially and according to the level of satisfaction of the caregiver. 97 patients with a diagnosis of AD according to NINCDS-ADRDA criteria and their 97 informal caregivers were selected. We studied cost differences between on-site assistance and telephone assistance (TAS) for 12 months. We used a self-administered questionnaire to assess the level of satisfaction of caregivers at the end of the study period. TAS savings amounted to 80.05 ± 27.07 euros per user. 73.6% of the caregivers consider TAS a better or much better system than on-site assistance, while only 2.6% of the caregivers considered TAS a worse or much worse system than on-site assistance. Telephone assistance systems are an efficient healthcare resource for monitoring patients with AD in neurology departments. Furthermore, the level of user satisfaction was high. We therefore consider that telephone assistance service should be offered by healthcare services. Copyright © 2016 Sociedad Española de Neurología. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. Support of Gulf of Mexico Hydrate Research Consortium: Activities to Support Establishment of a Sea Floor Monitoring Station Project

    Energy Technology Data Exchange (ETDEWEB)

    Carol Lutken

    2006-09-30

    The Gulf of Mexico Hydrates Research Consortium (GOM-HRC) was established in 1999 to assemble leaders in gas hydrates research. The Consortium is administered by the Center for Marine Resources and Environmental Technology, CMRET, at the University of Mississippi. The primary objective of the group is to design and emplace a remote monitoring station or sea floor observatory (MS/SFO) on the sea floor in the northern Gulf of Mexico by the year 2007, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission, although unavoidably delayed by hurricanes and other disturbances, necessitates assembling a station that will monitor physical and chemical parameters of the marine environment, including sea water and sea-floor sediments, on a more-or-less continuous basis over an extended period of time. In 2005, biological monitoring, as a means of assessing environmental health, was added to the mission of the MS/SFO. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in the arena of gas hydrates research. Complementary expertise, both scientific and technical, has been assembled to promote innovative research methods and construct necessary instrumentation. The observatory has now achieved a microbial dimension in addition to the geophysical, geological, and geochemical components it had already included. Initial components of the observatory, a probe that collects pore-fluid samples and another that records sea floor temperatures, were deployed in Mississippi Canyon 118 in May of 2005. Follow-up deployments, planned for fall 2005, had to be postponed due to the catastrophic effects of Hurricane Katrina (and later, Rita) on the Gulf Coast. Station/observatory completion, anticipated for 2007, will likely be delayed by at least one year. The CMRET has conducted several research cruises during this reporting period

  14. Support of Gulf of Mexico Hydrate Research Consortium: Activities to Support Establishment of a Sea Floor Monitoring Station Project

    Energy Technology Data Exchange (ETDEWEB)

    J. Robert Woolsey; Thomas M. McGee; Carol Blanton Lutken; Elizabeth Stidham

    2007-03-31

    The Gulf of Mexico Hydrates Research Consortium (GOM-HRC) was established in 1999 to assemble leaders in gas hydrates research. The Consortium is administered by the Center for Marine Resources and Environmental Technology, CMRET, at the University of Mississippi. The primary objective of the group is to design and emplace a remote monitoring station or sea floor observatory (MS/SFO) on the sea floor in the northern Gulf of Mexico by the year 2007, in an area where gas hydrates are known to be present at, or just below, the sea floor. This mission, although unavoidably delayed by hurricanes and other disturbances, necessitates assembling a station that will monitor physical and chemical parameters of the marine environment, including sea water and sea-floor sediments, on a more-or-less continuous basis over an extended period of time. In 2005, biological monitoring, as a means of assessing environmental health, was added to the mission of the MS/SFO. Establishment of the Consortium has succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among researchers in the arena of gas hydrates research. Complementary expertise, both scientific and technical, has been assembled to promote innovative research methods and construct necessary instrumentation. The observatory has now achieved a microbial dimension in addition to the geophysical, geological, and geochemical components it had already included. Initial components of the observatory, a probe that collects pore-fluid samples and another that records sea floor temperatures, were deployed in Mississippi Canyon 118 (MC118) in May of 2005. Follow-up deployments, planned for fall 2005, had to be postponed due to the catastrophic effects of Hurricane Katrina (and later, Rita) on the Gulf Coast. Station/observatory completion, anticipated for 2007, will likely be delayed by at least one year. These delays caused scheduling and deployments difficulties but many

  15. Maintenance of the telephone exchange in building 40

    CERN Multimedia

    2006-01-01

    In order to secure the power supply of the telephone exchange in Building 40, maintenance work will be done on 18th December from 7.30 am to 8 am. During this intervention, the fixed telephone services in Building 39 and 40 will be interrupted. The fixed telephone services in other CERN buildings will not be affected by this maintenance. The mobile telephone services (GSM) will not be affected. For more details, please send your questions to Standard.Telephone@cern.ch Telecom Services IT/CS

  16. Development of Decision Support System for Remote Monitoring of PIP Corn

    Science.gov (United States)

    The EPA is developing a multi-level approach that utilizes satellite and airborne remote sensing to locate and monitor genetically modified corn in the agricultural landscape and pest infestation. The current status of the EPA IRM monitoring program based on remote sensed imager...

  17. How to structure and prioritize information needs in support of monitoring design for Integrated Coastal Management

    Science.gov (United States)

    Vugteveen, Pim; van Katwijk, Marieke M.; Rouwette, Etiënne; Hanssen, Lucien

    2014-02-01

    Integrated Coastal Management cannot operate effectively without reliable information and knowledge on changes in the environment and on the causes of those changes. Monitoring is essential to provide data needed for a real understanding of socio-economic and ecological functioning in multi-user nature areas. We present a web-based and comprehensive assessment methodology to articulate, structure and prioritize information needs and ensuing monitoring needs. We applied this methodology in the Dutch Wadden Sea Region, which includes a designated UNESCO World Heritage nature reserve. The methodology consists of the following steps: i) exploring social-ecological issues of concern and defining the monitoring scope; ii) articulating information needs expressed as tractable questions; iii) elaborating monitoring needs; iv) grounding in scientific models and current monitoring; v) synthesizing assessment findings into target entities, i.e. analysis variables for monitoring. In this paper we focus on the first three steps. As part of our methodology we performed two online surveys amongst a broad range of stakeholders and amongst monitoring professionals. In the case of the Dutch Wadden Sea Region, main monitoring questions were related to biodiversity and food web relations; effects of fisheries and its pressures on the ecosystem; channel and port dredging; spatial planning and multifunctional use; sustainable energy production; and effects of changing storm regimes due to climate change. Subsequently we elaborated these general issues into analysis variables within five themes. The presented methodology enables large scale and unbiased involvement of stakeholders in articulating information needs in a multi-user nature reserve like the Wadden Sea. In addition the methodology facilitates the input and feedback of monitoring professionals by providing a detailed elaboration of monitoring needs.

  18. Participants' views of telephone interviews within a grounded theory study.

    Science.gov (United States)

    Ward, Kim; Gott, Merryn; Hoare, Karen

    2015-12-01

    To offer a unique contribution to the evolving debate around the use of the telephone during semistructured interview by drawing on interviewees' reflections on telephone interview during a grounded theory study. The accepted norm for qualitative interviews is to conduct them face-to-face. It is typical to consider collecting qualitative data via telephone only when face-to-face interview is not possible. During a grounded theory study, exploring users' experiences with overnight mask ventilation for sleep apnoea, the authors selected the telephone to conduct interviews. This article reports participants' views on semistructured interview by telephone. An inductive thematic analysis was conducted on data pertaining to the use of the telephone interview in a grounded theory study. The data were collected during 4 months of 2011 and 6 months in 2014. The article presents an inductive thematic analysis of sixteen participants' opinions about telephone interviewing and discusses these in relation to existing literature reporting the use of telephone interviews in grounded theory studies. Overall, participants reported a positive experience of telephone interviewing. From each participants reports we identified four themes from the data: being 'phone savvy; concentrating on voice instead of your face; easy rapport; and not being judged or feeling inhibited. By drawing on these data, we argue that the telephone as a data collection tool in grounded theory research and other qualitative methodologies need not be relegated to second best status. Rather, researchers can consider telephone interview a valuable first choice option. © 2015 John Wiley & Sons Ltd.

  19. Telephone interventions for adherence to colpocytological examination

    Directory of Open Access Journals (Sweden)

    Thais Marques Lima

    Full Text Available ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283 with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001, with greater adherence of women participating in the behavioral group (66.8%. Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

  20. Health aspects of cellular mobile telephones

    International Nuclear Information System (INIS)

    Garn, H.

    1996-01-01

    Cellular mobile telephones are one of the main topics among health aspects of electromagnetic fields. In many countries, the number of people opposing communication towers is on the rise. Lawsuits against telecommunication and power line companies have been filed. All this makes people doubt the safety of electromagnetic fields. With respect to cellular phones, there are two scenarios: * Exposure of the operators of hand-held terminals (HHT). * Exposure of the general public from base stations (BS). In the first case, the transmit antenna of the HHT is very close to the human body. For normal operation, the distance will roughly be 2 - 3 cm. The transmitter power of the HHT is comparatively low, but there is a considerable fraction of the radiated electromagnetic energy penetrating the tissue. Considering the second case, BS transmitter powers are by a factor of 100-1000 higher, but the distance between antenna and the human body is by a factor of 1000-100,000 greater, as far as areas of unrestricted public access are concerned. As the power density of an electromagnetic wave decreases inversely proportional to the square of the distance, exposure of the public is always significantly (by many orders of magnitude) lower than exposure of operators of HHTs. Some well-known interaction mechanisms of microwave radiation with the human body have been very well-established today. In some other areas, there is still a need for further research. This paper summarizes present knowledge on human safety with mobile telephone systems. (author)

  1. Compliance monitoring in business processes: Functionalities, application, and tool-support.

    Science.gov (United States)

    Ly, Linh Thao; Maggi, Fabrizio Maria; Montali, Marco; Rinderle-Ma, Stefanie; van der Aalst, Wil M P

    2015-12-01

    In recent years, monitoring the compliance of business processes with relevant regulations, constraints, and rules during runtime has evolved as major concern in literature and practice. Monitoring not only refers to continuously observing possible compliance violations, but also includes the ability to provide fine-grained feedback and to predict possible compliance violations in the future. The body of literature on business process compliance is large and approaches specifically addressing process monitoring are hard to identify. Moreover, proper means for the systematic comparison of these approaches are missing. Hence, it is unclear which approaches are suitable for particular scenarios. The goal of this paper is to define a framework for Compliance Monitoring Functionalities (CMF) that enables the systematic comparison of existing and new approaches for monitoring compliance rules over business processes during runtime. To define the scope of the framework, at first, related areas are identified and discussed. The CMFs are harvested based on a systematic literature review and five selected case studies. The appropriateness of the selection of CMFs is demonstrated in two ways: (a) a systematic comparison with pattern-based compliance approaches and (b) a classification of existing compliance monitoring approaches using the CMFs. Moreover, the application of the CMFs is showcased using three existing tools that are applied to two realistic data sets. Overall, the CMF framework provides powerful means to position existing and future compliance monitoring approaches.

  2. Use of monitoring data to support conservation management and policy decisions in Micronesia.

    Science.gov (United States)

    Montambault, Jensen Reitz; Wongbusarakum, Supin; Leberer, Trina; Joseph, Eugene; Andrew, Wayne; Castro, Fran; Nevitt, Brooke; Golbuu, Yimnang; Oldiais, Noelle W; Groves, Craig R; Kostka, Willy; Houk, Peter

    2015-10-01

    Adaptive management implies a continuous knowledge-based decision-making process in conservation. Yet, the coupling of scientific monitoring and management frameworks remains rare in practice because formal and informal communication pathways are lacking. We examined 4 cases in Micronesia where conservation practitioners are using new knowledge in the form of monitoring data to advance marine conservation. These cases were drawn from projects in Micronesia Challenge jurisdictions that received funding for coupled monitoring-to-management frameworks and encompassed all segments of adaptive management. Monitoring in Helen Reef, Republic of Palau, was catalyzed by coral bleaching and revealed evidence of overfishing that led to increased enforcement and outreach. In Nimpal Channel, Yap, Federated States of Micronesia (FSM), monitoring the recovery of marine food resources after customary restrictions were put in place led to new, more effective enforcement approaches. Monitoring in Laolao Bay, Saipan, Commonwealth of the Northern Mariana Islands, was catalyzed by observable sediment loads from poor land-use practices and resulted in actions that reduced land-based threats, particularly littering and illegal burning, and revealed additional threats from overfishing. Pohnpei (FSM) began monitoring after observed declines in grouper spawning aggregations. This data led to adjusting marine conservation area boundaries and implementing market-based size class restrictions. Two themes emerged from these cases. First, in each case monitoring was conducted in a manner relevant to the social and ecological systems and integrated into the decision-making process. Second, conservation practitioners and scientists in these cases integrated culturally appropriate stakeholder engagement throughout all phases of the adaptive management cycle. More broadly, our study suggests, when describing adaptive management, providing more details on how monitoring and management activities are

  3. Off-label psychopharmacologic prescribing for children: History supports close clinical monitoring

    Directory of Open Access Journals (Sweden)

    Fegert Joerg M

    2008-09-01

    Full Text Available Abstract The review presents pediatric adverse drug events from a historical perspective and focuses on selected safety issues associated with off-label use of medications for the psychiatric treatment of youth. Clinical monitoring procedures for major psychotropic drug classes are reviewed. Prior studies suggest that systematic treatment monitoring is warranted so as to both minimize risk of unexpected adverse events and exposures to ineffective treatments. Clinical trials to establish the efficacy and safety of drugs currently being used off-label in the pediatric population are needed. In the meantime, clinicians should consider the existing evidence-base for these drugs and institute close clinical monitoring.

  4. Impact of the telephone assistive device (TAD) on stuttering severity while speaking on the telephone.

    Science.gov (United States)

    Chambers, Nola

    2009-01-01

    There is extensive experimental evidence that altered auditory feedback (AAF) can have a clinically significant effect on the severity of speech symptoms in people who stutter. However, there is less evidence regarding whether these experimental effects can be observed in naturalistic everyday settings particularly when using the telephone. This study aimed to investigate the effectiveness of the Telephone Assistive Device (TAD), which is designed to provide AAF on the telephone to people who stutter, on reducing stuttering severity. Nine adults participated in a quasi-experimental study. Stuttering severity was measured first without and then with the device in participants' naturalistic settings while making and receiving telephone calls (immediate benefit). Participants were then allowed a week of repeated use of the device following which all measurements were repeated (delayed benefit). Overall, results revealed significant immediate benefits from the TAD in all call conditions. Delayed benefits in received and total calls were also significant. There was substantial individual variability in response to the TAD but none of the demographic or speech-related factors measured in the study were found to significantly impact the benefit (immediate or delayed) derived from the TAD. Results have implications for clinical decision making for adults who stutter.

  5. Support Vector Machine Based Monitoring of Cardio-Cerebrovascular Reserve during Simulated Hemorrhage

    Directory of Open Access Journals (Sweden)

    Björn J. P. van der Ster

    2018-01-01

    Full Text Available Introduction: In the initial phase of hypovolemic shock, mean blood pressure (BP is maintained by sympathetically mediated vasoconstriction rendering BP monitoring insensitive to detect blood loss early. Late detection can result in reduced tissue oxygenation and eventually cellular death. We hypothesized that a machine learning algorithm that interprets currently used and new hemodynamic parameters could facilitate in the detection of impending hypovolemic shock.Method: In 42 (27 female young [mean (sd: 24 (4 years], healthy subjects central blood volume (CBV was progressively reduced by application of −50 mmHg lower body negative pressure until the onset of pre-syncope. A support vector machine was trained to classify samples into normovolemia (class 0, initial phase of CBV reduction (class 1 or advanced CBV reduction (class 2. Nine models making use of different features were computed to compare sensitivity and specificity of different non-invasive hemodynamic derived signals. Model features included: volumetric hemodynamic parameters (stroke volume and cardiac output, BP curve dynamics, near-infrared spectroscopy determined cortical brain oxygenation, end-tidal carbon dioxide pressure, thoracic bio-impedance, and middle cerebral artery transcranial Doppler (TCD blood flow velocity. Model performance was tested by quantifying the predictions with three methods: sensitivity and specificity, absolute error, and quantification of the log odds ratio of class 2 vs. class 0 probability estimates.Results: The combination with maximal sensitivity and specificity for classes 1 and 2 was found for the model comprising volumetric features (class 1: 0.73–0.98 and class 2: 0.56–0.96. Overall lowest model error was found for the models comprising TCD curve hemodynamics. Using probability estimates the best combination of sensitivity for class 1 (0.67 and specificity (0.87 was found for the model that contained the TCD cerebral blood flow velocity

  6. Support Vector Machine Based Monitoring of Cardio-Cerebrovascular Reserve during Simulated Hemorrhage.

    Science.gov (United States)

    van der Ster, Björn J P; Bennis, Frank C; Delhaas, Tammo; Westerhof, Berend E; Stok, Wim J; van Lieshout, Johannes J

    2017-01-01

    Introduction: In the initial phase of hypovolemic shock, mean blood pressure (BP) is maintained by sympathetically mediated vasoconstriction rendering BP monitoring insensitive to detect blood loss early. Late detection can result in reduced tissue oxygenation and eventually cellular death. We hypothesized that a machine learning algorithm that interprets currently used and new hemodynamic parameters could facilitate in the detection of impending hypovolemic shock. Method: In 42 (27 female) young [mean (sd): 24 (4) years], healthy subjects central blood volume (CBV) was progressively reduced by application of -50 mmHg lower body negative pressure until the onset of pre-syncope. A support vector machine was trained to classify samples into normovolemia (class 0), initial phase of CBV reduction (class 1) or advanced CBV reduction (class 2). Nine models making use of different features were computed to compare sensitivity and specificity of different non-invasive hemodynamic derived signals. Model features included : volumetric hemodynamic parameters (stroke volume and cardiac output), BP curve dynamics, near-infrared spectroscopy determined cortical brain oxygenation, end-tidal carbon dioxide pressure, thoracic bio-impedance, and middle cerebral artery transcranial Doppler (TCD) blood flow velocity. Model performance was tested by quantifying the predictions with three methods : sensitivity and specificity, absolute error, and quantification of the log odds ratio of class 2 vs. class 0 probability estimates. Results: The combination with maximal sensitivity and specificity for classes 1 and 2 was found for the model comprising volumetric features (class 1: 0.73-0.98 and class 2: 0.56-0.96). Overall lowest model error was found for the models comprising TCD curve hemodynamics. Using probability estimates the best combination of sensitivity for class 1 (0.67) and specificity (0.87) was found for the model that contained the TCD cerebral blood flow velocity derived

  7. Support Vector Machine Based Monitoring of Cardio-Cerebrovascular Reserve during Simulated Hemorrhage

    NARCIS (Netherlands)

    van der Ster, Björn J. P.; Bennis, Frank C.; Delhaas, Tammo; Westerhof, Berend E.; Stok, Wim J.; van Lieshout, Johannes J.

    2018-01-01

    Introduction: In the initial phase of hypovolemic shock, mean blood pressure (BP) is maintained by sympathetically mediated vasoconstriction rendering BP monitoring insensitive to detect blood loss early. Late detection can result in reduced tissue oxygenation and eventually cellular death. We

  8. Staff acceptance of video monitoring for coordination: a video system to support perioperative situation awareness.

    Science.gov (United States)

    Kim, Young Ju; Xiao, Yan; Hu, Peter; Dutton, Richard

    2009-08-01

    To understand staff acceptance of a remote video monitoring system for operating room (OR) coordination. Improved real-time remote visual access to OR may enhance situational awareness but also raises privacy concerns for patients and staff. Survey. A system was implemented in a six-room surgical suite to display OR monitoring video at an access restricted control desk area. Image quality was manipulated to improve staff acceptance. Two months after installation, interviews and a survey were conducted on staff acceptance of video monitoring. About half of all OR personnel responded (n = 63). Overall levels of concerns were low, with 53% rated no concerns and 42% little concern. Top two reported uses of the video were to see if cases are finished and to see if a room is ready. Viewing the video monitoring system as useful did not reduce levels of concern. Staff in supervisory positions perceived less concern about the system's impact on privacy than did those supervised (p < 0.03). Concerns for patient privacy correlated with concerns for staff privacy and performance monitoring. Technical means such as manipulating image quality helped staff acceptance. Manipulation of image quality resulted overall acceptance of monitoring video, with residual levels of concerns. OR nurses may express staff privacy concern in the form of concerns over patient privacy. This study provided suggestions for technological and implementation strategies of video monitoring for coordination use in OR. Deployment of communication technology and integration of clinical information will likely raise concerns over staff privacy and performance monitoring. The potential gain of increased information access may be offset by negative impact of a sense of loss of autonomy.

  9. Support of Gulf of Mexico Hydrate Research Consortium: Activities of Support Establishment of a Sea Floor Monitoring Station Project

    Energy Technology Data Exchange (ETDEWEB)

    J. Robert Woolsey; Thomas McGee; Carol Lutken

    2008-05-31

    The Gulf of Mexico Hydrates Research Consortium (GOM-HRC) was established in 1999 to assemble leaders in gas hydrates research that shared the need for a way to conduct investigations of gas hydrates and their stability zone in the Gulf of Mexico in situ on a more-or-less continuous basis. The primary objective of the group is to design and emplace a remote monitoring station or sea floor observatory (SFO) on the sea floor in the northern Gulf of Mexico, in an area where gas hydrates are known to be present at, or just below, the sea floor and to discover the configuration and composition of the subsurface pathways or 'plumbing' through which fluids migrate into and out of the hydrate stability zone (HSZ) to the sediment-water interface. Monitoring changes in this zone and linking them to coincident and perhaps consequent events at the seafloor and within the water column is the eventual goal of the Consortium. This mission includes investigations of the physical, chemical and biological components of the gas hydrate stability zone - the sea-floor/sediment-water interface, the near-sea-floor water column, and the shallow subsurface sediments. The eventual goal is to monitor changes in the hydrate stability zone over time. Establishment of the Consortium succeeded in fulfilling the critical need to coordinate activities, avoid redundancies and communicate effectively among those involved in gas hydrates research. Complementary expertise, both scientific and technical, has been assembled to promote innovative methods and construct necessary instrumentation. Following extensive investigation into candidate sites, Mississippi Canyon 118 (MC118) was chosen by consensus of the Consortium at their fall, 2004, meeting as the site most likely to satisfy all criteria established by the group. Much of the preliminary work preceding the establishment of the site - sensor development and testing, geophysical surveys, and laboratory studies - has been reported in

  10. Support of the Ukrainian supervisory authority in establishing a modern nuclear power plant monitoring

    International Nuclear Information System (INIS)

    Beyer, M.; Carl, H.; Schumann, P.; Seidel, A.; Weiss, F.P.; Zschau, J.; Nowak, K.

    2000-01-01

    The type of monitoring of nuclear power plants in Ukraine practiced in the early nineties provided the supervisory authority with only inadequate access to information about the current safety status of plants. For the Zaporozhye nuclear power plant, unit 5, a technical system to improve operational monitoring has been designed, installed and commissioned for trial operation at the end of 1995 as a pilot project. The system complements existing operational checking and monitoring facilities by including modern means of information technology. It enables concentration on a continuous monitoring of the state of unit 5 in normal operation and in cases of anormalies or incidents so that when recognisable deviations from the regular plant operation occur, the authority can immediately inquire and if necessary impose conditions on the operator. In 1997, the Information and Crisis Centre of the Ukraninian supervisory authority in Kiev was equipped with the most essential technical means necessary for quasi-simultaneous transfer of data and voice and for monitoring purposes and connected to the Centre to the Zaporozhye system. A similar monitoring system for both VVER-440 units of the Rovno nuclear power plant by analogy with the pilot project was specified and put into operation and connected to the ICC in 1998. (orig.) [de

  11. Monitoring and evaluation of mental health and psychosocial support programs in humanitarian settings: a scoping review of terminology and focus.

    Science.gov (United States)

    Augustinavicius, Jura L; Greene, M Claire; Lakin, Daniel P; Tol, Wietse A

    2018-01-01

    Monitoring and evaluation of mental health and psychosocial support (MHPSS) programs is critical to facilitating learning and providing accountability to stakeholders. As part of an inter-agency effort to develop recommendations on MHPSS monitoring and evaluation, this scoping review aimed to identify the terminology and focus of monitoring and evaluation frameworks in this field. We collected program documents (logical frameworks (logframes) and theories of change) from members of the Inter-Agency Standing Committee Reference Group on MHPSS, and systematically searched the peer-reviewed literature across five databases. We included program documents and academic articles that reported on monitoring and evaluation of MHPSS in low- and middle-income countries describing original data. Inclusion and data extraction were conducted in parallel by independent reviewers. Thematic analysis was used to identify common language in the description of practices and the focus of each monitoring and evaluation framework. Logframe outcomes were mapped to MHPSS activity categories. We identified 38 program documents and 89 peer-reviewed articles, describing monitoring and evaluation of a wide range of MHPSS activities. In both program documents and peer-reviewed literature there was a lack of specificity and overlap in language used for goals and outcomes. Well-validated, reliable instruments were reported in the academic literature, but rarely used in monitoring and evaluation practices. We identified six themes in the terminology used to describe goals and outcomes. Logframe outcomes were more commonly mapped to generic program implementation activities (e.g. "capacity building") and those related to family and community support, while outcomes from academic articles were most frequently mapped to specialized psychological treatments. Inconsistencies between the language used in research and practice and discrepancies in measurement have broader implications for monitoring and

  12. New and Improved Remotely Sensed Products and Tools for Agricultural Monitoring Applications in Support of Famine Early Warning

    Science.gov (United States)

    Budde, M. E.; Rowland, J.; Senay, G. B.; Funk, C. C.; Pedreros, D.; Husak, G. J.; Bohms, S.

    2011-12-01

    The high global food prices in 2008 led to the acknowledgement that there is a need to monitor the inter-connectivity of global and regional markets and their potential impacts on food security in many more regions than previously considered. The crisis prompted an expansion of monitoring by the Famine Early Warning Systems Network (FEWS NET) to include additional countries, beyond those where food security has long been of concern. Scientists at the U.S. Geological Survey (USGS) Earth Resources Observation and Science (EROS) Center and the University of California Santa Barbara Climate Hazards Group have provided new and improved data products as well as visualization and analysis tools in support of this increased mandate for remote monitoring. We present a new product for measuring actual evapotranspiration (ETa) based on the implementation of a surface energy balance model and site improvements of two standard FEWS NET monitoring products: normalized difference vegetation index (NDVI) and satellite-based rainfall estimates. USGS FEWS NET has implemented a simplified surface energy balance model to produce operational ETa anomalies for Africa. During the growing season, ETa anomalies express surplus or deficit crop water use which is directly related to crop condition and biomass. The expedited Moderate Resolution Imaging Spectroradiometer (eMODIS) production system provides FEWS NET with a much improved NDVI dataset for crop and rangeland monitoring. eMODIS NDVI provides a reliable data stream with a vastly improved spatial resolution (250-m) and short latency period (less than 12 hours) which allows for better operational vegetation monitoring. FEWS NET uses satellite rainfall estimates as inputs for monitoring agricultural food production. By combining high resolution (0.05 deg) rainfall mean fields with Tropical Rainfall Measuring Mission rainfall estimates and infrared temperature data, we provide pentadal (5-day) rainfall fields suitable for crop

  13. Ultrasonic sounding and monitoring of the excavation damaged zone in a soft supported gallery

    International Nuclear Information System (INIS)

    Balland, Cyrille; Souley, Mountaka; Morel, Jacques

    2012-01-01

    Document available in extended abstract form only. Under high in situ stresses and high anisotropic stress ratios, the excavation of underground openings generally causes the creation of a disturbed (EdZ: Excavation disturbed Zone) and/or damaged (EDZ: Excavation Damaged Zone) zone, resulting from the initiation and growth of cracks and fractures and by a redistribution and rearrangement of the initial stresses. Due to the modifications of mechanical and hydro-mechanical properties in the EdZ/EDZ, the latter constitute a potential risk for the efficiency of the geologic and/or engineered barriers. To estimate the performance of a site of radioactive waste storage, it is essential to know the geometry, the extensions of the EdZ/EDZ, the density of cracks, their connectivity and the variations of permeability which can result from it. In particular, their extension depends on numerous factors among which the nature of the rock, the pre-existent fractures and their reactivation, the initial stress field (magnitudes and/or rate of anisotropy), the time, the geometry and the techniques of excavations etc.. In addition, the evolution of EdZ/EDZ properties in the medium term is little or poorly known, particularly under the influence of environmental conditions such as the re-confining by near field rock creep in contact with a rigid structural support or the evolution of hydric conditions (desaturation and re-saturation). Ultrasonic experimentation under the OHZ experiment has been implemented to characterize the EDZ extension and its evolution in time according to the structural support type (soft or rigid) and the environmental conditions present in the laboratory. This study consists of two experimental components: (1) the prior auscultation of the sole and face of the gallery by ultrasonic transmission tomography, (2) the monitoring the EDZ and the analysis of measurable changes in the propagation of ultrasonic waves in the medium term. Mechanical modelling of the

  14. Identifying the core competencies of mental health telephone triage.

    Science.gov (United States)

    Sands, Natisha; Elsom, Stephen; Gerdtz, Marie; Henderson, Kathryn; Keppich-Arnold, Sandra; Droste, Nicolas; Prematunga, Roshani K; Wereta, Zewdu W

    2013-11-01

    The primary aim of this study was to identify the core competencies of mental health telephone triage, including key role tasks, skills, knowledge and responsibilities, in which clinicians are required to be competent to perform safe and effective triage. Recent global trends indicate an increased reliance on telephone-based health services to facilitate access to health care across large populations. The trend towards telephone-based health services has also extended to mental health settings, evidenced by the growing number of mental health telephone triage services providing 24-hour access to specialist mental health assessment and treatment. Mental health telephone triage services are critical to the early identification of mental health problems and the provision of timely, appropriate interventions. In spite of the rapid growth in mental health telephone triage and the important role these services play in the assessment and management of mental illness and related risks, there has been very little research investigating this area of practice. An observational design was employed to address the research aims. Structured observations (using dual wireless headphones) were undertaken on 197 occasions of mental health telephone triage over a three-month period from January to March 2011. The research identified seven core areas of mental health telephone triage practice in which clinicians are required to be competent in to perform effective mental health telephone triage, including opening the call; performing mental status examination; risk assessment; planning and action; termination of call; referral and reporting; and documentation. The findings of this research contribute to the evidence base for mental health telephone triage by articulating the core competencies for practice. The mental health telephone triage competencies identified in this research may be used to define an evidence-based framework for mental health telephone triage practice that aims to

  15. Telephone operator change: your questions answered

    CERN Multimedia

    CERN Bulletin

    2015-01-01

    CERN will be changing mobile telephone operators on 24 June. As the community prepares for the summer switchover, everyone has questions. What brought on the change? Why are we losing our old phone numbers? What kind of improvements will we see? "Just as with every contract at CERN, we issue calls for tenders every few years to ensure we are still receiving the best possible service," explains Tony Cass, from the Communication Systems group within the IT department. "As we came to the end of our contract with Sunrise, we put out a call for tenders, which was won by Swisscom. Not only is their pricing more competitive, they will also be providing better service conditions." The scope of these new service conditions is multifaceted: there will be improvements to the redundancy and reliability of the network as well as modern 4G network coverage in the LHC tunnel. "People will also see their mobile phone bills decrease," says Tony. "This will esp...

  16. Data Quality Objectives Supporting Radiological Air Emissions Monitoring for the PNNL Site

    Energy Technology Data Exchange (ETDEWEB)

    Barnett, J. Matthew; Meier, Kirsten M.; Snyder, Sandra F.; Fritz, Brad G.; Poston, Theodore M.; Antonio, Ernest J.

    2012-11-12

    Pacific Northwest National Laboratory (PNNL) is in the process of developing a radiological air monitoring program for the PNNL Site that is distinct from that of the nearby Hanford Site. The original DQO (PNNL-19427) considered radiological emissions at the PNNL Site from Physical Sciences Facility (PSF) major emissions units. This first revision considers PNNL Site changes subsequent to the implementation of the original DQO. A team was established to determine how the PNNL Site changes would continue to meet federal regulations and address guidelines developed to monitor air emissions and estimate offsite impacts of radioactive material operations. The result is an updated program to monitor the impact to the public from the PNNL Site. The team used the emission unit operation parameters and local meteorological data as well as information from the PSF Potential-to-Emit documentation and Notices of Construction submitted to the Washington State Department of Health (WDOH). The locations where environmental monitoring stations would most successfully characterize the maximum offsite impacts of PNNL Site emissions from the three PSF buildings with major emission units were determined from these data. Three monitoring station locations were determined during the original revision of this document. This first revision considers expanded Department of Energy operations south of the PNNL Site and relocation of the two offsite, northern monitoring stations to sites near the PNNL Site fenceline. Inclusion of the southern facilities resulted in the proposal for a fourth monitoring station in the southern region. The southern expansion added two minor emission unit facilities and one diffuse emission unit facility. Relocation of the two northern stations was possible due to the use of solar power, rather than the previous limitation of the need for access to AC power, at these more remote locations. Addendum A contains all the changes brought about by the revision 1

  17. One-Year Weight Loss with a Telephone-Based Lifestyle Program

    Directory of Open Access Journals (Sweden)

    Christina Holzapfel

    2016-07-01

    Full Text Available Objective: Telephone-based weight loss programs are offered as an alternative to face-to-face obesity treatments, but data on the effectiveness regarding weight loss are limited. Therefore, we evaluated a telephone-based lifestyle program in a real-world setting. Methods: The telephone-based intervention consists of regular phone calls providing individualized lifestyle recommendations, and delivery of printed materials. Anthropometric and metabolic data are collected by general practitioners or are self-reported. Results: Baseline data were available from 398 participants (61% men; weight 103.12 ± 14.21 kg; BMI 33.38 ± 2.83 kg/m2 and 1-year data from 258 (65% participants. In the completers, mean weight change was -4.25 ± 5.18 kg (p Conclusions: The telephone-based lifestyle program results in a moderate weight loss after 12 months, which may be comparable to face-to-face interventions. Telephone-based weight loss support is independent of time and location and represents a tool which is also accepted by men.

  18. Using the PAW/PEM monitoring systems to support operations at Point Lepreau

    International Nuclear Information System (INIS)

    MacDonald, S.; McIntyre, M.; Dai, H.

    1997-01-01

    The plant data logger was brought on-line at the Point Lepreau Generating Station (PLGS) in 1992 in order to record information from instruments throughout the plant. Using the System Engineers Data Extraction (SEDE) utility, current plant data is at the fingertips of anyone with a network connection. System engineers can monitor the performance of their systems at any time and take pro-active measures to avoid problems with performance, as well as monitor behaviour during tests and plant upsets. Nuclear Safety personnel gather data for use in simulation and analysis validation, as well as to ensure that plant parameters are kept within the safe operating envelope. The PLGS operational safety group embarked on a project to develop a data management system. The project and the monitoring process has come to be known as the Plant Analysis Workbench (PAW). When the need for complex monitoring of safety system signals was identified, this led to a similar project called the Plant Expert Monitor (PEM). In this paper we present an overview of the functionality of both PAW and PEM, outlining in particular the expert system architecture in PEM and giving an example of its day-to-day use

  19. Support and monitoring of families after child abuse detection based on parental characteristics at the Emergency Department.

    Science.gov (United States)

    Diderich, H M; Pannebakker, F D; Dechesne, M; Buitendijk, S E; Oudesluys-Murphy, A M

    2015-03-01

    The 'Hague Protocol' enables professionals at the adult Emergency Department (ED) to detect child abuse based on three parental characteristics: (i) suicide attempt or self-harm, (ii) domestic violence or (iii) substance abuse, and to refer them to the Reporting Centre for Child Abuse and Neglect (RCCAN). This study investigates what had happened to the families three months after this referral. ED referrals based on parental characteristics (N = 100) in which child abuse was confirmed after investigation by the RCCAN were analysed. Information was collected regarding type of child abuse, reason for reporting, duration of problems prior to the ED referral, previous involvement of support services or other agencies, re-occurrence of the problems and outcome of the RCCAN monitoring according to professionals and the families. Of the 100 referred cases, 68 families were already known to the RCCAN, the police or family support services, prior to the ED referral. Of the 99 cases where information was available, existing support was continued or intensified in 31, a Child Protection Services (CPS) report had to be made in 24, new support was organized for 27 cases and in 17 cases support was not necessary, because the domestic problems were already resolved. Even though the RCCAN is mandated to monitor all referred families after three months, 31 cases which were referred internally were not followed up. Before referral by the ED two thirds of these families were already known to organizations. Monitoring may help provide a better, more sustained service and prevent and resolve domestic problems. A national database could help to link data and to streamline care for victims and families. We recommend a Randomized Controlled Trial to test the effectiveness of this Protocol in combination with the outcomes of the provided family support. © 2014 John Wiley & Sons Ltd.

  20. Modeling of Global BEAM Structure for Evaluation of MMOD Impacts to Support Development of a Health Monitoring System

    Science.gov (United States)

    Lyle, Karen H.; Vassilakos, Gregory J.

    2015-01-01

    This report summarizes the initial modeling of the global response of the Bigelow Expandable Activity Module (BEAM) to micrometeorite and orbital debris(MMOD) impacts using a structural, nonlinear, transient dynamic, finite element code. These models complement the on-orbit deployment of the Distributed Impact Detection System (DIDS) to support structural health monitoring studies. Two global models were developed. The first focused exclusively on impacts on the soft-goods (fabric-envelop) portion of BEAM. The second incorporates the bulkhead to support understanding of bulkhead impacts. These models were exercised for random impact locations and responses monitored at the on-orbit sensor locations. The report concludes with areas for future study.

  1. Connecting World Heritage Nominations and Monitoring with the Support of the Silk Roads Cultural Heritage Resource Information System

    Science.gov (United States)

    Vileikis, O.; Dumont, B.; Serruys, E.; Van Balen, K.; Tigny, V.; De Maeyer, P.

    2013-07-01

    Serial transnational World Heritage nominations are challenging the way cultural heritage has been managed and evaluated in the past. Serial transnational World Heritage nominations are unique in that they consist of multiple sites listed as one property, distributed in different countries, involving a large diversity of stakeholders in the process. As a result, there is a need for precise baseline information for monitoring, reporting and decision making. This type of nomination requires different methodologies and tools to improve the monitoring cycle from the beginning of the nomination towards the periodic reporting. The case study of the Silk Roads Cultural Heritage Resource Information System (CHRIS) illustrates the use of a Geographical Content Management System (Geo-CMS) supporting the serial transnational World Heritage nomination and the monitoring of the Silk Roads in the five Central Asian countries. The Silk Roads CHRIS is an initiative supported by UNESCO World Heritage Centre (WHC) and the Belgian Federal Science Policy Office (BELSPO), and developed by a consortium headed by the Raymond Lemaire International Centre for Conservation (RLICC) at the KULeuven. The Silk Roads CHRIS has been successfully assisting in the preparation of the nomination dossiers of the Republics of Kazakhstan, Tajikistan and Uzbekistan and will be used as a tool for monitoring tool in the Central Asian countries.

  2. Data Quality Objectives Supporting Radiological Air Emissions Monitoring for the PNNL Site

    Energy Technology Data Exchange (ETDEWEB)

    Barnett, J. Matthew; Meier, Kirsten M.; Snyder, Sandra F.; Fritz, Brad G.; Poston, Ted M.; Rhoads, Kathleen

    2010-05-25

    This document of Data Quality Objectives (DQOs) was prepared based on the U.S. Environmental Protection Agency (EPA) Guidance on Systematic Planning Using the Data Quality Objectives Process, EPA, QA/G4, 2/2006 (EPA 2006) as well as several other published DQOs. Pacific Northwest National Laboratory (PNNL) is in the process of developing a radiological air monitoring program for the PNNL Site that is distinct from that of the nearby Hanford Site. Radiological emissions at the PNNL Site result from Physical Sciences Facility (PSF) major emissions units. A team was established to determine how the PNNL Site would meet federal regulations and address guidelines developed to monitor and estimate offsite air emissions of radioactive materials. The result is a program that monitors the impact to the public from the PNNL Site.

  3. Data Quality Objectives Summary Report Supporting Radiological Air Surveillance Monitoring for the INL Site

    Energy Technology Data Exchange (ETDEWEB)

    Haney, Thomas Jay [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-05-01

    This report documents the Data Quality Objectives (DQOs) developed for the Idaho National Laboratory (INL) Site ambient air surveillance program. The development of the DQOs was based on the seven-step process recommended “for systematic planning to generate performance and acceptance criteria for collecting environmental data” (EPA 2006). The process helped to determine the type, quantity, and quality of data needed to meet current regulatory requirements and to follow U.S. Department of Energy guidance for environmental surveillance air monitoring design. It also considered the current air monitoring program that has existed at INL Site since the 1950s. The development of the DQOs involved the application of the atmospheric dispersion model CALPUFF to identify likely contamination dispersion patterns at and around the INL Site using site-specific meteorological data. Model simulations were used to quantitatively assess the probable frequency of detection of airborne radionuclides released by INL Site facilities using existing and proposed air monitors.

  4. Center of Excellence for Applied Mathematical and Statistical Research in support of development of multicrop production monitoring capability

    Science.gov (United States)

    Woodward, W. A.; Gray, H. L.

    1983-01-01

    Efforts in support of the development of multicrop production monitoring capability are reported. In particular, segment level proportion estimation techniques based upon a mixture model were investigated. Efforts have dealt primarily with evaluation of current techniques and development of alternative ones. A comparison of techniques is provided on both simulated and LANDSAT data along with an analysis of the quality of profile variables obtained from LANDSAT data.

  5. Supportive Mental Health Self-Monitoring among Smartphone Users with Psychological Distress: Protocol for a Fully Mobile Randomized Controlled Trial

    OpenAIRE

    Till Beiwinkel; Stefan Hey; Olaf Bock; Wulf Rössler; Wulf Rössler; Wulf Rössler

    2017-01-01

    Mobile health (mHealth) could be widely used in the population to improve access to psychological treatment. In this paper, we describe the development of a mHealth intervention on the basis of supportive self-monitoring and describe the protocol for a randomized controlled trial to evaluate its effectiveness among smartphone users with psychological distress. Based on power analysis, a representative quota sample of N = 186 smartphone users will be recruited, with an over-sampling of persons...

  6. Data Quality Objectives Supporting the Environmental Direct Radiation Monitoring Program for the INL Site

    Energy Technology Data Exchange (ETDEWEB)

    Lundell, J. F. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Magnuson, S. O. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Scherbinske, P. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Case, M. J. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-07-01

    This document presents the development of the data quality objectives (DQOs) for the Idaho National Laboratory (INL) Environmental Direct Radiation Monitoring Program and follows the Environmental Protection Agency (EPA) DQO process (EPA 2006). This document also develops and presents the logic to determine the specific number of direct radiation monitoring locations around INL facilities on the desert west of Idaho Falls and in Idaho Falls, at locations bordering the INL Site, and in the surrounding regional area. The selection logic follows the guidance from the Department of Energy (DOE) (2015) for environmental surveillance of DOE facilities.

  7. INFORMAS (International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support): summary and future directions.

    Science.gov (United States)

    Kumanyika, S

    2013-10-01

    This supplement presents the foundational elements for INFORMAS (International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support). As explained in the overview article by Swinburn and colleagues, INFORMAS has a compelling rationale and has set forth clear objectives, outcomes, principles and frameworks for monitoring and benchmarking key aspects of food environments and the policies and actions that influence the healthiness of food environments. This summary highlights the proposed monitoring approaches for the 10 interrelated INFORMAS modules: public and private sector policies and actions; key aspects of food environments (food composition, labelling, promotion, provision, retail, prices, and trade and investment) and population outcomes (diet quality). This ambitious effort should be feasible when approached in a step-wise manner, taking into account existing monitoring efforts, data sources, country contexts and capacity, and when adequately resourced. After protocol development and pilot testing of the modules, INFORMAS aims to be a sustainable, low-cost monitoring framework. Future directions relate to institutionalization, implementation and, ultimately, to leveraging INFORMAS data in ways that will bring key drivers of food environments into alignment with public health goals. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

  8. Remote patient monitoring in chronic heart failure.

    Science.gov (United States)

    Palaniswamy, Chandrasekar; Mishkin, Aaron; Aronow, Wilbert S; Kalra, Ankur; Frishman, William H

    2013-01-01

    Heart failure (HF) poses a significant economic burden on our health-care resources with very high readmission rates. Remote monitoring has a substantial potential to improve the management and outcome of patients with HF. Readmission for decompensated HF is often preceded by a stage of subclinical hemodynamic decompensation, where therapeutic interventions would prevent subsequent clinical decompensation and hospitalization. Various methods of remote patient monitoring include structured telephone support, advanced telemonitoring technologies, remote monitoring of patients with implanted cardiac devices such as pacemakers and defibrillators, and implantable hemodynamic monitors. Current data examining the efficacy of remote monitoring technologies in improving outcomes have shown inconsistent results. Various medicolegal and financial issues need to be addressed before widespread implementation of this exciting technology can take place.

  9. Using iKidTools™ Software Support Systems to Develop and Implement Self-Monitoring Interventions

    Science.gov (United States)

    Patti, Angela L.; Miller, Kevin J.

    2011-01-01

    Educational teams often are faced with the task of developing and implementing Behavioral Intervention Plans (BIPs) for students who present challenging and/or disruptive behaviors. This article describes the steps used to develop and implement a self-monitoring BIP that incorporated an innovative software system, iKidTools™. An authentic case…

  10. Sure I'm sure : Prefrontal oscillations support metacognitive monitoring of decision-making

    NARCIS (Netherlands)

    Wokke, M.E.; Cleeremans, A.; Ridderinkhof, K.R.

    2017-01-01

    Successful decision-making critically involves metacognitive processes such as monitoring and control of our decision process. Metacognition enables agents to adaptively modify on-going behavior and to determine what to do next in situations where external feedback is not (immediately) available.

  11. Use of models to support the monitoring requirements in the water framework directive

    NARCIS (Netherlands)

    Højberg, A.L.; Refsgaard, J.C.; Geer, F. van; Jørgensen, L.F.; Zsuffa, I.

    2007-01-01

    Implementation of the EU Water Framework Directive (WFD) poses many new challenges to European water managers. Monitoring programmes play a key role to assess the status and identify possible trends in the environmental conditions of river basins; to gain new knowledge on water processes and to

  12. Network of mobile telephone communication: necessarily of 3. Millennium

    International Nuclear Information System (INIS)

    Dejana, V.; Dragan, M.; Nebojsa, V.; Simo, S.

    2002-01-01

    Mobile telephones have transformed the telecommunications industry. These devices can be used to make telephone calls from almost anywhere. There are two types, one has the antenna mounted on the handset and the other has the antenna mounted on a separate transmitter or, if the telephone is installed in a vehicle, mounted on the roof or rear window. Communication between a mobile telephone and the nearest base station is achieved by the microwave emissions from the antenna. Concerns have been raised about the type of mobile telephone that has the antenna in the handset. In this case, the antenna is very close to the user's head during normal use of the telephone and there is concern about the level of microwave emissions to which the brain is being exposed. Those telephones that have the antenna mounted elsewhere are of no concern, since exposure levels decrease rapidly with increasing distance from the antenna. Cordless telephones, which need to be operated within about 20 metres of a base unit that is connected directly to the telephone system, do not have any health concerns associated with their use because exposure levels are very low

  13. Learning how to learn using simulation: Unpacking disguised feedback using a qualitative analysis of doctors' telephone talk.

    Science.gov (United States)

    Eppich, Walter J; Rethans, Jan-Joost; Dornan, Timothy; Teunissen, Pim W

    2018-05-04

    Telephone talk between clinicians represents a substantial workplace activity in postgraduate clinical education, yet junior doctors receive little training in goal-directed, professional telephone communication. To assess educational needs for telephone talk and develop a simulation-based educational intervention. Thematic analysis of 17 semi-structured interviews with doctors-in-training from various training levels and specialties. We identified essential elements to incorporate into simulation-based telephone talk, including common challenging situations for junior doctors as well as explicit and informal aspects that promote learning. These elements have implications for both junior doctors and clinical supervisors, including: (a) explicit teaching and feedback practices and (b) informal conversational interruptions and questions. The latter serve as "disguised" feedback, which aligns with recent conceptualizations of feedback as "performance relevant information". In addition to preparing clinical supervisors to support learning through telephone talk, we propose several potential educational strategies: (a) embedding telephone communication skills throughout simulation activities and (b) developing stand-alone curricular elements to sensitize junior doctors to "disguised" feedback during telephone talk as a mechanism to augment future workplace learning, i.e. 'learning how to learn' through simulation.

  14. Rheumatology telephone advice line - experience of a Portuguese department.

    Science.gov (United States)

    Ferreira, R; Marques, A; Mendes, A; da Silva, J A

    2015-01-01

    Telephone helplines for patients are tool for information and advice. They can contribute to patient's satisfaction with care and to the effectiveness and safety of treatments. In order to achieve this, they need to be adequately adapted to the target populations, as to incorporate their abilities and expectations. a) Evaluate the adherence of patients to a telephone helpline managed by nurses in a Portuguese Rheumatology Department, b) Analyse the profile of users and their major needs, c) Analyse the management of calls by the nurses. The target population of this phone service are the patients treated at Day Care Hospital and Early Arthritis Clinic of our department. Nurses answered phone calls immediately between 8am and 4pm of working days. In the remaining hours messages were recorded on voice mail and answered as soon as possible. Details of the calls were registered in a dedicated sheet and patients were requested permission to use data to improve the service, with respect for their rights of confidentiality, anonymity and freedom of decision. In 18 months 173 calls were made by 79 patients, with a mean age of 47.9 years (sd=9.13). Considering the proportions of men and women in the target population, it was found that men called more frequently (M= 32.7% vs F= 20.4%, p=.016). The reasons for these calls can be divided into three categories: instrumental help, such as the request for results of complementary tests or rescheduling appointments (43.9% of calls); counselling on side effects or worsening of the disease/pain (31.2 %); counselling on therapy management (24.9%). Neither sex nor patient age were significantly related to these reasons for calling. Nurses resolved autonomously half (50.3%) of the calls and in 79.8% of the cases there was no need for patient referral to other health services. About a quarter of patients adhered to the telephone helpline.. Patients called to obtain support in the management of disease and therapy or to report side

  15. Tumour risk associated with use of cellular telephones or cordless desktop telephones

    OpenAIRE

    Hardell, Lennart; Mild, Kjell Hansson; Carlberg, Michael; Söderqvist, Fredrik

    2006-01-01

    Abstract Background The use of cellular and cordless telephones has increased dramatically during the last decade. There is concern of health problems such as malignant diseases due to microwave exposure during the use of these devices. The brain is the main target organ. Methods Since the second part of the 1990's we have performed six case-control studies on this topic encompassing use of both cellular and cordless phones as well as other exposures. Three of the studies concerned brain tumo...

  16. A Software Framework for Remote Patient Monitoring by Using Multi-Agent Systems Support.

    Science.gov (United States)

    Fernandes, Chrystinne Oliveira; Lucena, Carlos José Pereira De

    2017-03-27

    Although there have been significant advances in network, hardware, and software technologies, the health care environment has not taken advantage of these developments to solve many of its inherent problems. Research activities in these 3 areas make it possible to apply advanced technologies to address many of these issues such as real-time monitoring of a large number of patients, particularly where a timely response is critical. The objective of this research was to design and develop innovative technological solutions to offer a more proactive and reliable medical care environment. The short-term and primary goal was to construct IoT4Health, a flexible software framework to generate a range of Internet of things (IoT) applications, containing components such as multi-agent systems that are designed to perform Remote Patient Monitoring (RPM) activities autonomously. An investigation into its full potential to conduct such patient monitoring activities in a more proactive way is an expected future step. A framework methodology was selected to evaluate whether the RPM domain had the potential to generate customized applications that could achieve the stated goal of being responsive and flexible within the RPM domain. As a proof of concept of the software framework's flexibility, 3 applications were developed with different implementations for each framework hot spot to demonstrate potential. Agents4Health was selected to illustrate the instantiation process and IoT4Health's operation. To develop more concrete indicators of the responsiveness of the simulated care environment, an experiment was conducted while Agents4Health was operating, to measure the number of delays incurred in monitoring the tasks performed by agents. IoT4Health's construction can be highlighted as our contribution to the development of eHealth solutions. As a software framework, IoT4Health offers extensibility points for the generation of applications. Applications can extend the framework in

  17. Support to the Air Force Installation and Mission Support Center: Enabling AFIMSC’s Role in Agile Combat Support Planning, Execution, Monitoring, and Control

    Science.gov (United States)

    2017-06-23

    development, test, and evaluation; and supply chain management —and also quality-of-life support to military members, their families, retirees, and so on...AFIMSC and Air Education and Training Command Director of Logistics (AETC/A4) at a time when AFIMSC was being established to focus on managing the...operations of new ACS global management organizations.3 1 Program Action Directive (PAD) 14-04, Implementation of the Air Force Installation and

  18. Monitoring and operational support on nuclear power plants using an artificial intelligence system

    International Nuclear Information System (INIS)

    Bianchi, P.H.; Baptista Filho, B.D.

    2009-01-01

    The monitoring task in nuclear power plants is of crucial importance with respect to safety and efficient operation. The operators have a wide range of variables to observe and analyze; the quantity of variables and their behavior determine the time they have to take correct decisions. The complexity of such aspects in a nuclear power plant influences both, the plant operational efficiency and the general safety issues. This paper describes an experimental system developed by the authors which aims to assist the operators of nuclear power plants to take quick and safe decisions. The system maps the status of plant and helps the operators to make quick judgments by using artificial intelligence methods. The method makes use of a small set of monitored variables and presents a map of the plant status in a friendly manner. This system uses an architecture that has multiple self-organizing maps to perform these tasks. (author)

  19. Monitoring and operational support on nuclear power plants using an artificial intelligence system

    Energy Technology Data Exchange (ETDEWEB)

    Bianchi, Paulo H.; Baptista Filho, Benedito D., E-mail: phbianchi@gmail.co, E-mail: bdbfilho@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2009-07-01

    The monitoring task in nuclear power plants is of crucial importance with respect to safety and efficient operation. The operators have a wide range of variables to observe and analyze; the quantity of variables and their behavior determine the time they have to take correct decisions. The complexity of such aspects in a nuclear power plant influences both, the plant operational efficiency and the general safety issues. This paper describes an experimental system developed by the authors which aims to assist the operators of nuclear power plants to take quick and safe decisions. The system maps the status of plant and helps the operators to make quick judgments by using artificial intelligence methods. The method makes use of a small set of monitored variables and presents a map of the plant status in a friendly manner. This system uses an architecture that has multiple self-organizing maps to perform these tasks. (author)

  20. SAMAC program: the computer support for a stand-alone monitoring and control system

    International Nuclear Information System (INIS)

    Logg, C.A.

    1979-12-01

    The high energy physics experiments at SLAC require constant monitoring and control of the numerous components contained in the particle detection apparatus. This paper describes a basic hardware configuration and operating system which have been designed and implemented to satisfy the monitoring and control requirements of the many different setups used in these high energy physics experiments. It is based on the LSI-11 microprocessor with up to one million words of RAM and EPROM which are interchangeably mappable into the normal LSI-11 RAM/EPROM address space of 28K words. The entire system is modular in hardware and software so that it can easily be tailored to an individual experiment. The human interface is such that little training is required for effective use of the system

  1. Proposal for the award of an industrial support contract for radiation monitoring services for LEP dismantling

    CERN Document Server

    2000-01-01

    This document concerns the award of an Industrial Service contract for radiation monitoring services for LEP dismantling. Following a market survey carried out among 34 firms in nine Member States, a call for tenders (IT-2769/SL/LEP) was sent on 13 March 2000 to seven firms and three consortia in five Member States. By the closing date, CERN had received six tenders from three firms and three consortia in four Member States. The Finance Committee is invited to agree to the negotiation of a contract with the consortium ISS MULTISERVICE (CH), NFI (SE) and ISS GEBÄUDESERVICE (DE), the lowest technically qualified bidder, for radiation monitoring services for LEP dismantling for a total amount of 990 792 Swiss francs, not subject to revision. The firm has indicated the following distribution by country of the contract value covered by this adjudication proposal: CH-59%, DE-26%, SE-15%.

  2. Mobile patient feedback through continued monitoring and guideline-based decision support

    OpenAIRE

    Hernando Pérez, María Elena; Martínez Sarriegui, Iñaki; García Sáez, Gema; Quaglini, Silvana; Rigla Cros, Mercedes; Napolitano, Carlo

    2015-01-01

    This paper demonstrates the MobiGuide mobile application that provides patients with guideline-based feedback personalized to their health state, preferences, social context and technological context. Patients? state and compliance are observed through the continued monitorization of physiological and lifestyle parameters: blood glucose, physical activity, ECG, heart rate and blood pressure. The Smartphone application is generic and has a modular structure to allow reusing system components i...

  3. Remote sensing as a surface water quality monitoring support in the semiarid region of Brazil

    OpenAIRE

    Fernando Bezerra Lopes

    2013-01-01

    The contamination of surface water bodies due to antropic action has made water ever more scarce. Knowledge of the water quality is essential to determine instruments for it's management . Monitoring water quality in huge areas requires a high number of saimples for water quality control. This fact, allied to the high costs of water analysis, limits the evaluation that can be made of continental waters. Even though in later years geoprocessing and remote sensin...

  4. Monitoring of transition. New support for new policy; Transitiemonitoring. Nieuwe ondersteuning voor nieuw beleid

    Energy Technology Data Exchange (ETDEWEB)

    Molendijk, K.G.P.; Draaijers, G.P.J.; Weterings, R.A.P.M. [TNO Milieu Energie en Procesinnovatie TNO-MEP, Apeldoorn (Netherlands); Van Grootveld, G. [VROM-Inspectie, Den Haag (Netherlands); Diepenmaat, H. [Actors Procesmanagement, Zeist (Netherlands); Nooteboom, S. [DHV Management Consultants, Amersfoort (Netherlands); Opdenkamp, A.; Groen, W.; Alkemade, G. [Opdenkamp Adviesgroep, Den Haag (Netherlands)

    2002-09-01

    A theoretical framework of a system for the monitoring of the transition process and policy in the Netherlands towards a sustainable society has been developed. In this article the most important results of a study on this subject and a first set of indicators are discussed. [Dutch] Er is een theoretisch kader ontwikkeld voor een systeem van transitiemonitoring, alsmede een eerste set van indicatoren. De belangrijkste resultaten en een eerste set van indicatoren waarmee transities in de praktijk kunnen worden gevolgd worden besproken.

  5. More than just consumers: Integrating local observations into drought monitoring to better support decision making

    Science.gov (United States)

    Ferguson, D. B.; Masayesva, A.; Meadow, A. M.; Crimmins, M.

    2016-12-01

    Drought monitoring and drought planning are complex endeavors. Measures of precipitation or streamflow provide little context for understanding how social and environmental systems impacted by drought are responding. In arid and semi-arid regions of the world, this challenge is particularly acute since social-ecological systems are already well-adapted to dry conditions. Understanding what drought means in these regions is an important first step in developing a decision-relevant monitoring system. Traditional drought indices may be of some use, but local observations may ultimately be more relevant for informing difficult decisions in response to unusually dry conditions. This presentation will focus on insights gained from a collaborative project between the University of Arizona and the Hopi Tribe-a Native American community in the U.S. Southwest-to develop a drought information system that is responsive to local needs. The primary goal of the project was to develop a system that: is based on how drought is experienced by Hopi citizens and resource managers, can incorporate local observations of drought impacts as well as conventional indicators, and brings together local expertise with conventional science-based observations. This kind of drought monitoring system can harnesses as much available information as possible to inform resource managers, political leaders, and citizens about drought conditions, but such a system can also engage these local drought stakeholders in observing, thinking about, and helping guide planning for drought.

  6. An Adaptive Framework for Selecting Environmental Monitoring Protocols to Support Ocean Renewable Energy Development

    Directory of Open Access Journals (Sweden)

    Emily J. Shumchenia

    2012-01-01

    Full Text Available Offshore renewable energy developments (OREDs are projected to become common in the United States over the next two decades. There are both a need and an opportunity to guide efforts to identify and track impacts to the marine ecosystem resulting from these installations. A monitoring framework and standardized protocols that can be applied to multiple types of ORED would streamline scientific study, management, and permitting at these sites. We propose an adaptive and reactive framework based on indicators of the likely changes to the marine ecosystem due to ORED. We developed decision trees to identify suites of impacts at two scales (demonstration and commercial depending on energy (wind, tidal, and wave, structure (e.g., turbine, and foundation type (e.g., monopile. Impacts were categorized by ecosystem component (benthic habitat and resources, fish and fisheries, avian species, marine mammals, and sea turtles and monitoring objectives were developed for each. We present a case study at a commercial-scale wind farm and develop a monitoring plan for this development that addresses both local and national environmental concerns. In addition, framework has provided a starting point for identifying global research needs and objectives for understanding of the potential effects of ORED on the marine environment.

  7. An adaptive framework for selecting environmental monitoring protocols to support ocean renewable energy development.

    Science.gov (United States)

    Shumchenia, Emily J; Smith, Sarah L; McCann, Jennifer; Carnevale, Michelle; Fugate, Grover; Kenney, Robert D; King, John W; Paton, Peter; Schwartz, Malia; Spaulding, Malcolm; Winiarski, Kristopher J

    2012-01-01

    Offshore renewable energy developments (OREDs) are projected to become common in the United States over the next two decades. There are both a need and an opportunity to guide efforts to identify and track impacts to the marine ecosystem resulting from these installations. A monitoring framework and standardized protocols that can be applied to multiple types of ORED would streamline scientific study, management, and permitting at these sites. We propose an adaptive and reactive framework based on indicators of the likely changes to the marine ecosystem due to ORED. We developed decision trees to identify suites of impacts at two scales (demonstration and commercial) depending on energy (wind, tidal, and wave), structure (e.g., turbine), and foundation type (e.g., monopile). Impacts were categorized by ecosystem component (benthic habitat and resources, fish and fisheries, avian species, marine mammals, and sea turtles) and monitoring objectives were developed for each. We present a case study at a commercial-scale wind farm and develop a monitoring plan for this development that addresses both local and national environmental concerns. In addition, framework has provided a starting point for identifying global research needs and objectives for understanding of the potential effects of ORED on the marine environment.

  8. Construction of the monitoring, processing and logging systems supporting for management, operation and maintenance of the Dalat reactor control system

    International Nuclear Information System (INIS)

    Trinh Dinh Hai; Nguyen Thanh Cuong; Huynh Ton Nghiem; Phan Quoc Minh; Nguyen Duc Tuan; Nguyen Nhi Dien

    2004-01-01

    From 1/2002 to 12/2003, we implemented successfully a project, entitled 'Construction of the monitoring, processing and logging systems supporting for management, operation and maintenance of the Dalat reactor control system' under the assistance of the Ministry of Science and Technology. Its main results such as Testing Apparatus based on microcontroller for all functional boards of the Control Logic System of the Reactor Control System (RCS). Technical support CD - ROM for Process Instrumentation System, software for logging automatically information from important systems of the RCS through LAN, program for failure management of Process Instrumentation System have been playing an important role for observation, operation support, maintenance of the RCS. Through this project, the implementation group has grown up rapidly. The control and instrumentation group has been provided with some modern equipment, electronic components, and materials for maintenance work and research development in the years to come. This paper presents typical results and discussions. (author)

  9. Cellular telephones measure activity and lifespace in community-dwelling adults: proof of principle.

    Science.gov (United States)

    Schenk, Ana Katrin; Witbrodt, Bradley C; Hoarty, Carrie A; Carlson, Richard H; Goulding, Evan H; Potter, Jane F; Bonasera, Stephen J

    2011-02-01

    To describe a system that uses off-the-shelf sensor and telecommunication technologies to continuously measure individual lifespace and activity levels in a novel way. Proof of concept involving three field trials of 30, 30, and 21 days. Omaha, Nebraska, metropolitan and surrounding rural region. Three participants (48-year-old man, 33-year-old woman, and 27-year-old male), none with any functional limitations. Cellular telephones were used to detect in-home position and in-community location and to measure physical activity. Within the home, cellular telephones and Bluetooth transmitters (beacons) were used to locate participants at room-level resolution. Outside the home, the same cellular telephones and global positioning system (GPS) technology were used to locate participants at a community-level resolution. Physical activity was simultaneously measured using the cellular telephone accelerometer. This approach had face validity to measure activity and lifespace. More importantly, this system could measure the spatial and temporal organization of these metrics. For example, an individual's lifespace was automatically calculated across multiple time intervals. Behavioral time budgets showing how people allocate time to specific regions within the home were also automatically generated. Mobile monitoring shows much promise as an easily deployed system to quantify activity and lifespace, important indicators of function, in community-dwelling adults. © 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.

  10. Elder abuse telephone screen reliability and validity.

    Science.gov (United States)

    Buri, Hilary M; Daly, Jeanette M; Jogerst, Gerald J

    2009-01-01

    (a) To identify reliable and valid questions that identify elder abuse, (b) to assess the reliability and validity of extant self-reported elder abuse screens in a high-risk elderly population, and (c) to describe difficulties of completing and interpreting screens in a high-need elderly population. All elders referred to research-trained social workers in a community service agency were asked to participate. Of the 70 elders asked, 49 participated, 44 completed the first questionnaire, and 32 completed the duplicate second questionnaire. A research assistant administered the telephone questionnaires. Twenty-nine (42%) persons were judged abused, 12 (17%) had abuse reported, and 4 (6%) had abuse substantiated. The elder abuse screen instruments were not found to be predictive of assessed abuse or as predictors of reported abuse; the measures tended toward being inversely predictive. Two questions regarding harm and taking of belongings were significantly different for the assessed abused group. In this small group of high-need community-dwelling elders, the screens were not effective in discriminating between abused and nonabused groups. Better instruments are needed to assess for elder abuse.

  11. Impact of monitoring surgical prophylactic antibiotics and a computerized decision support system on antimicrobial use and antimicrobial resistance.

    Science.gov (United States)

    Huh, Kyungmin; Chung, Doo Ryeon; Park, Hyo Jung; Kim, Min-Ji; Lee, Nam Yong; Ha, Young Eun; Kang, Cheol-In; Peck, Kyong Ran; Song, Jae-Hoon

    2016-09-01

    Monitoring of performance indicators and implementation of a computerized decision support system (CDSS) have been suggested as effective measures to improve quality of care. We conducted this study to evaluate the effect of monitoring of surgical prophylactic antibiotics (SPAs) and the CDSS on the antimicrobial use and resistance rate of major nosocomial pathogens. An interrupted time series with segmented regression analysis in 3 periods (preintervention, SPAs monitoring, and CDSS) was conducted in a tertiary care hospital. Immediate change and change in trends of antimicrobial use density, resistance rate of nosocomial pathogens, and cost of antibiotics in each intervention period were compared with those of the preintervention period. Compared with the preintervention period, the change in the slope of the total use of antibiotics was -8.71 defined daily dose (DDD) per 1,000 patient days per month (95% confidence interval [CI], -11.43 to -5.98; P resistant Pseudomonas aeruginosa, and methicillin-resistant Staphylococcus aureus have been reversed or decreased in slope in the CDSS period. Length of hospital stay also showed a negative change in slope in the CDSS period. Monitoring of SPAs and implementation of the CDSS can be effective measures for antimicrobial stewardship. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  12. Development of system decision support tools for behavioral trends monitoring of machinery maintenance in a competitive environment

    Science.gov (United States)

    Adeyeri, Michael Kanisuru; Mpofu, Khumbulani

    2017-06-01

    The article is centred on software system development for manufacturing company that produces polyethylene bags using mostly conventional machines in a competitive world where each business enterprise desires to stand tall. This is meant to assist in gaining market shares, taking maintenance and production decisions by the dynamism and flexibilities embedded in the package as customers' demand varies under the duress of meeting the set goals. The production and machine condition monitoring software (PMCMS) is programmed in C# and designed in such a way to support hardware integration, real-time machine conditions monitoring, which is based on condition maintenance approach, maintenance decision suggestions and suitable production strategies as the demand for products keeps changing in a highly competitive environment. PMCMS works with an embedded device which feeds it with data from the various machines being monitored at the workstation, and the data are read at the base station through transmission via a wireless transceiver and stored in a database. A case study was used in the implementation of the developed system, and the results show that it can monitor the machine's health condition effectively by displaying machines' health status, gives repair suggestions to probable faults, decides strategy for both production methods and maintenance, and, thus, can enhance maintenance performance obviously.

  13. Auditing of Monitoring and Respiratory Support Equipment in a Level III-C Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Elena Bergon-Sendin

    2015-01-01

    Full Text Available Background. Random safety audits (RSAs are a safety tool but have not been widely used in hospitals. Objectives. To determine the frequency of proper use of equipment safety mechanisms in relation to monitoring and mechanical ventilation by performing RSAs. The study also determined whether factors related to the patient, time period, or characteristics of the area of admission influenced how the device safety systems were used. Methods. A prospective observational study was conducted in a level III-C Neonatal Intensive Care Unit (NICU during 2012. 87 days were randomly selected. Appropriate overall use was defined when all evaluated variables were correctly programmed in the audited device. Results. A total of 383 monitor and ventilator audits were performed. The Kappa coefficient of interobserver agreement was 0.93. The rate of appropriate overall use of the monitors and respiratory support equipment was 33.68%. Significant differences were found with improved usage during weekends, OR 1.85 (1.12–3.06, p=0.01, and during the late shift (3 pm to 10 pm, OR 1.59 (1.03–2.4, p=0.03. Conclusions. Equipment safety systems of monitors and ventilators are not properly used. To improve patient safety, we should identify which alarms are really needed and where the difficulties lie for the correct alarm programming.

  14. A decision support system-based procedure for evaluation and monitoring of protected areas sustainability for the Mediterranean region

    Science.gov (United States)

    Pediaditi, K.; Buono, F.; Pompigna, F.; Bogliotti, C.; Nurlu, E.; Ladisa, G.; Petropoulos, G. P.

    2011-10-01

    Despite common acknowledgement of the value of protected areas as instruments in ensuring sustainability, and their promotion for the achievement of policies on halting the loss of biodiversity, there is no common approach today for monitoring and evaluating them. This paper presents a novel integrated nature conservation management procedure developed to monitor and evaluate the sustainability of Mediterranean protected areas. This procedure was successfully implemented and formally evaluated by protected area managers in six Mediterranean countries, results of which are presented here together with an overview of the web-based Decision Support System (DSS) developed to facilitate its wide adoption. The DSS and procedure has been designed and evaluated by managers as a useful tool, which facilitates and provides needed procedural guidance for protected area monitoring whilst minimizing input requirements to do so. The procedure and DSS were developed following a review of existing protected area assessment tools and a detailed primary investigation of the needs and capacity of its intended users. Essentially, the procedure and DSS guides provide the facilities for protected area managers, in following a participatory approach to develop a context-specific sustainability monitoring strategy, for their protected area. Consequently, the procedure is, by design, participatory, context specific, holistic and relevant to protected area management and institutional procedures. The procedure was piloted and formally evaluated in Greece, Italy, Turkey, Egypt, Malta and Cyprus. Feedback collected from the pilot evaluations is also summarised herein.

  15. Localizing drought monitoring products to support agricultural climate service advisories in South Asia

    Science.gov (United States)

    Qamer, F. M.; Matin, M. A.; Yadav, N. K.; Bajracharya, B.; Zaitchik, B. F.; Ellenburg, W. L.; Krupnik, T. J.; Hussain, G.

    2017-12-01

    The Fifth Assessment Report of the Intergovernmental Panel on Climate Change identifies drought as one of the major climate risks in South Asia. During past two decades, a large amount of climate data have been made available by the scientific community, but the deployment of climate information for local level and agricultural decision making remains less than optimal. The provisioning of locally calibrated, easily accessible, decision-relevant and user-oriented information, in the form of drought advisory service could help to prepare communities to reduce climate vulnerability and increase resilience. A collaborative effort is now underway to strengthen existing and/or establish new drought monitoring and early warning systems in Afghanistan, Bangladesh, Nepal and Pakistan by incorporating standard ground-based observations, earth observation datasets, and numerical forecast models. ICT-based agriculture drought monitoring platforms, hosted at national agricultural and meteorological institutions, are being developed and coupled with communications and information deployment strategies to enable the rapid and efficient deployment of information that farmers can understand, interpret, and act on to adapt to anticipated droughts. Particular emphasis is being placed on the calibration and validation of data products through retrospective analysis of time series data, in addition to the installation of automatic weather station networks. In order to contextualize monitoring products to that they may be relevant for farmers' primary cropping systems, district level farming practices calendars are being compiled and validated through focus groups and surveys to identify the most important times and situations during which farmers can adapt to drought. High-resolution satellite crop distribution maps are under development and validation to add value to these efforts. This programme also aims to enhance capacity of agricultural extension staff to better understand

  16. Borehole Calibration Facilities to Support Gamma Logging for Hanford Subsurface Investigation and Contaminant Monitoring - 13516

    International Nuclear Information System (INIS)

    McCain, R.G.; Henwood, P.D.; Pope, A.D.; Pearson, A.W.

    2013-01-01

    Repeated gamma logging in cased holes represents a cost-effective means to monitor gamma-emitting contamination in the deep vadose zone over time. Careful calibration and standardization of gamma log results are required to track changes and to compare results over time from different detectors and logging systems. This paper provides a summary description of Hanford facilities currently available for calibration of logging equipment. Ideally, all logging organizations conducting borehole gamma measurements at the Hanford Site will take advantage of these facilities to produce standardized and comparable results. (authors)

  17. Borehole Calibration Facilities to Support Gamma Logging for Hanford Subsurface Investigation and Contaminant Monitoring - 13516

    Energy Technology Data Exchange (ETDEWEB)

    McCain, R.G.; Henwood, P.D.; Pope, A.D.; Pearson, A.W. [S M Stoller Corporation, 2439 Robertson Drive, Richland, WA 99354 (United States)

    2013-07-01

    Repeated gamma logging in cased holes represents a cost-effective means to monitor gamma-emitting contamination in the deep vadose zone over time. Careful calibration and standardization of gamma log results are required to track changes and to compare results over time from different detectors and logging systems. This paper provides a summary description of Hanford facilities currently available for calibration of logging equipment. Ideally, all logging organizations conducting borehole gamma measurements at the Hanford Site will take advantage of these facilities to produce standardized and comparable results. (authors)

  18. Vital Signs Monitoring System Using Radio Frequency Communication: A Medical Care Terminal for Beddridden People Support

    Directory of Open Access Journals (Sweden)

    Fábio FERREIRA

    2015-02-01

    Full Text Available In this paper, the data transmission of an acquisition system for biomedical vital signs via Radio Frequency (RF communication is explored. This system can be considered a medical care terminal (MCT. It was developed a platform capable of recording the patient's physiological signals to check if any medical evolution/change occurred. The system allows also acquiring the environment data, as for example the room temperature and luminosity. The main achievement of this paper is the patients’ real-time health condition monitoring by the medical personnel or caregivers that will contribute to prevent health problems, especially for bedridden people with reduced mobility.

  19. 24 CFR 3285.906 - Telephone and cable TV.

    Science.gov (United States)

    2010-04-01

    ... URBAN DEVELOPMENT MODEL MANUFACTURED HOME INSTALLATION STANDARDS Optional Information for Manufacturer's Installation Instructions § 3285.906 Telephone and cable TV. It is recommended that the installation instructions explain that telephone and cable TV wiring should be installed in accordance with requirements of...

  20. THE EFFECTS OF MOBILE TELEPHONING ON DRIVING PERFORMANCE

    NARCIS (Netherlands)

    BROOKHUIS, KA; DEVRIES, G; DEWAARD, D

    The effects of telephoning while driving were studied in three different traffic conditions, i.e. in light traffic on a quiet motorway, in heavy traffic on a four-lane ring-road, and in city traffic. Twelve subjects, unfamiliar with mobile telephones, drove an instrumented vehicle for one hour each

  1. Openings and Closings in Telephone Conversations between Native Spanish Speakers.

    Science.gov (United States)

    Coronel-Molina, Serafin M.

    1998-01-01

    A study analyzed the opening and closing sequences of 11 dyads of native Spanish-speakers in natural telephone conversations conducted in Spanish. The objective was to determine how closely Hispanic cultural patterns of conduct for telephone conversations follow the sequences outlined in previous research. It is concluded that Spanish…

  2. 20 CFR 638.516 - Laundry, mail, and telephone service.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Laundry, mail, and telephone service. 638.516... PROGRAM UNDER TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Center Operations § 638.516 Laundry, mail, and telephone service. (a) The center operator shall provide adequate laundry services and supplies at...

  3. 39 CFR 6.4 - Attendance by conference telephone call.

    Science.gov (United States)

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Attendance by conference telephone call. 6.4 Section 6.4 Postal Service UNITED STATES POSTAL SERVICE THE BOARD OF GOVERNORS OF THE U.S. POSTAL SERVICE MEETINGS (ARTICLE VI) § 6.4 Attendance by conference telephone call. For regularly scheduled meetings of...

  4. 26 CFR 49.4251-4 - Prepaid telephone cards.

    Science.gov (United States)

    2010-04-01

    ...; adding value. (i) After using the card described in Example 2, P arranges with A by telephone to have 30... EXCISE TAXES FACILITIES AND SERVICES EXCISE TAXES Communications § 49.4251-4 Prepaid telephone cards. (a... section provides rules for the application of the section 4251 tax to PTCs. (b) Definitions. The following...

  5. 49 CFR 195.52 - Telephonic notice of certain accidents.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Telephonic notice of certain accidents. 195.52... TRANSPORTATION OF HAZARDOUS LIQUIDS BY PIPELINE Annual, Accident, and Safety-Related Condition Reporting § 195.52 Telephonic notice of certain accidents. (a) At the earliest practicable moment following discovery of a...

  6. 47 CFR 42.6 - Retention of telephone toll records.

    Science.gov (United States)

    2010-10-01

    ... whether it is billing its own toll service customers for toll calls or billing customers for another... Section 42.6 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... telephone toll records. Each carrier that offers or bills toll telephone service shall retain for a period...

  7. [Potential selection bias in telephone surveys: landline and mobile phones].

    Science.gov (United States)

    Garcia-Continente, Xavier; Pérez-Giménez, Anna; López, María José; Nebot, Manel

    2014-01-01

    The increasing use of mobile phones in the last decade has decreased landline telephone coverage in Spanish households. This study aimed to analyze sociodemographic characteristics and health indicators by type of telephone service (mobile phone vs. landline or landline and mobile phone). Two telephone surveys were conducted in Spanish samples (February 2010 and February 2011). Multivariate logistic regression analyses were performed to analyze differences in the main sociodemographic characteristics and health indicators according to the type of telephone service available in Spanish households. We obtained 2027 valid responses (1627 landline telephones and 400 mobile phones). Persons contacted through a mobile phone were more likely to be a foreigner, to belong to the manual social class, to have a lower educational level, and to be a smoker than those contacted through a landline telephone. The profile of the population that has only a mobile phone differs from that with a landline telephone. Therefore, telephone surveys that exclude mobile phones could show a selection bias. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  8. Gesturing on the Telephone: Independent Effects of Dialogue and Visibility

    Science.gov (United States)

    Bavelas, Janet; Gerwing, Jennifer; Sutton, Chantelle; Prevost, Danielle

    2008-01-01

    Speakers often gesture in telephone conversations, even though they are not visible to their addressees. To test whether this effect is due to being in a dialogue, we separated visibility and dialogue with three conditions: face-to-face dialogue (10 dyads), telephone dialogue (10 dyads), and monologue to a tape recorder (10 individuals). For the…

  9. Brain tumour risk in relation to mobile telephone use

    DEFF Research Database (Denmark)

    Johansen, Christoffer

    2010-01-01

    The rapid increase in mobile telephone use has generated concern about possible health risks related to radiofrequency electromagnetic fields from this technology.......The rapid increase in mobile telephone use has generated concern about possible health risks related to radiofrequency electromagnetic fields from this technology....

  10. Call Us: Development of a Library Telephone Enquiry Service

    Science.gov (United States)

    Burke, Liz; Beranek, Lea

    2006-01-01

    The authors detail the trial and piloting of a telephone enquiry service (TES) at the Bundoora Campus Library at La Trobe University in order to attempt to resolve the balance between telephone and face-to-face enquiries at the library service desk. They investigated various options throughout 2001 and 2002 and settled on a centralised service…

  11. Smart telemedicine support for continuous glucose monitoring: the embryo of a future global agent for diabetes care.

    Science.gov (United States)

    Rigla, Mercedes

    2011-01-01

    Although current systems for continuous glucose monitoring (CGM) are the result of progressive technological improvement, and although a beneficial effect on glucose control has been demonstrated, few patients are using them. Something similar has happened to telemedicine (TM); in spite of the long-term experience, which began in the early 1980s, no TM system has been widely adopted, and presential visits are still almost the only way diabetologists and patients communicate. The hypothesis developed in this article is that neither CGM nor TM will ever be routinely implemented separately, and their consideration as essential elements for standard diabetes care will one day come from their integration as parts of a telemedical monitoring platform. This platform, which should include artificial intelligence for giving decision support to patients and physicians, will represent the core of a more complex global agent for diabetes care, which will provide control algorithms and risk analysis among other essential functions. © 2010 Diabetes Technology Society.

  12. DOC/WSNSO [Department of Commerce/Weather Service Nuclear Support Office] operational support to Federal Radiological Monitoring and Assessment Center

    International Nuclear Information System (INIS)

    Mueller, P.

    1989-01-01

    The National Weather Service (NWS) is an agency of the Department of Commerce. The NWS has hundreds of weather offices throughout the United States. The Weather Service Nuclear Support Office (WSNSO) is a highly specialized unit of NWS that provides direct support to the U.S. Department of Energy's (DOE's) underground nuclear testing program. The WSNSO has been associated with the DOE for >33 yr. As a result of the unique relationship with the DOE, all WSNSO emergency response meteorologists and meteorological technicians are allowed access to classified material. Meteorological phenomena play a significant role during a Federal Radiological Monitoring and Assessment Center (FRMAC) event, and WSNSO meteorologists provide direct support to ARAC. The marriage of state-of-the-art computer systems together with proven technology provides the on-scene WSNSO meteorologist with essentially a portable fully equipped, fully functional, advanced NWS weather station. The WSNSO's emergency response personnel and hardware are at the ready and can be mobilized within 2 h. WSNSO can provide on-scene weather forecasts and critical weather data collection whenever and wherever necessary

  13. Physical Therapists, Telephone Coaches, and Patients With Knee Osteoarthritis: Qualitative Study About Working Together to Promote Exercise Adherence.

    Science.gov (United States)

    Hinman, Rana S; Delany, Clare M; Campbell, Penelope K; Gale, Janette; Bennell, Kim L

    2016-04-01

    Integrated models of care are recommended for people with knee osteoarthritis (OA). Exercise is integral to management, yet exercise adherence is problematic. Telephone-based health coaching is an attractive adjunct to physical therapist-prescribed exercise that may improve adherence. Little is known about the perceptions and interpretations of physical therapists, telephone coaches, and patients engaged in this model of care. The purpose of this study was to explore how stakeholders (physical therapists, telephone coaches, and patients) experienced, and made sense of, being involved in an integrated program of physical therapist-supervised exercise and telephone coaching for people with knee OA. A cross-sectional qualitative design drawing from symbolic interactionism was used. Semistructured interviews with 10 physical therapists, 4 telephone coaches, and 6 patients with painful knee OA. Interviews were audiorecorded, transcribed, and analyzed using thematic analysis informed by grounded theory. Four themes emerged: (1) genuine interest and collaboration, (2) information and accountability, (3) program structure, and (4) roles and communication in teamwork. Patients reported they appreciated personalized, genuine interest from therapists and coaches and were aware of their complementary roles. A collaborative approach, with defined roles and communication strategies, was identified as important for effectiveness. All participants highlighted the importance of sharing information, monitoring, and being accountable to others. Coaches found the lack of face-to-face contact with patients hampered relationship building. Therapists and coaches referred to the importance of teamwork in delivering the intervention. The small number of physical therapists and telephone coaches who delivered the intervention may have been biased toward favorable experiences with the intervention and may not be representative of their respective professions. Integrated physical therapy and

  14. Resultados do monitoramento dos Fatores de risco e Proteção para Doenças Crônicas Não Transmissíveis nas capitais brasileiras por inquérito telefônico, 2008 Monitoring of Risk and Protective factors for Chronic Non Communicable Diseases by telephone survey in Brazilian State Capitals, 2008

    Directory of Open Access Journals (Sweden)

    Deborah Carvalho Malta

    2012-09-01

    Full Text Available OBJETIVO: Analisar os fatores de risco e proteção para Doenças Crônicas Não Transmissíveis - DCNT nas capitais do Brasil. METODOLOGIA: Foram analisadas informações provenientes do sistema de vigilância de fatores de risco e proteção para DCNT por inquérito telefônico - VIGITEL, em 2008. A amostra foi composta por 54 mil entrevistas sendo as frequências apresentadas para o conjunto das capitais por sexo, faixa etária e escolaridade. RESULTADOS: O estudo mostrou diferenças na prevalência de fatores de risco e proteção de DCNT entre sexos, idade e escolaridade. Os homens apresentaram maiores frequências de fatores de risco como fumo, excesso de peso, consumo de refrigerantes, carnes com excesso de gordura e bebidas alcoólicas. Os homens praticam mais atividade física no lazer. As mulheres se alimentam melhor e referem mais diagnóstico médico de doenças, como hipertensão arterial, dislipidemia e osteoporose, além de estado de saúde ruim. Em geral, os fatores de risco são mais frequentes na população de menor escolaridade. DISCUSSÃO: Estas informações devem redirecionar a implementação das políticas públicas com foco em um modo de viver mais saudável e escolhas individuais mais adequadas por parte da população adulta brasileira.OBJECTIVE: To estimate the prevalence of protective and risk factors for the most important chronic non communicable diseases in all Brazilian capitals, including the Federal District. METHODS: Data used were collected in 2008 through VIGITEL, an ongoing population-based telephone survey surveillance system implemented in all Brazilian State capitals since 2006. In 2008, over 54,000 interviews were completed over the phone with a random sample of individuals living in all 27 capitals. RESULTS: The analyses showed differences in the prevalence of determinants of chronic diseases by demographic characteristics such as gender, age and schooling. Men were more likely to be current smokers

  15. A comparison study of support vector machines and hidden Markov models in machinery condition monitoring

    International Nuclear Information System (INIS)

    Miao, Qiang; Huang, Hong Zhong; Fan, Xianfeng

    2007-01-01

    Condition classification is an important step in machinery fault detection, which is a problem of pattern recognition. Currently, there are a lot of techniques in this area and the purpose of this paper is to investigate two popular recognition techniques, namely hidden Markov model and support vector machine. At the beginning, we briefly introduced the procedure of feature extraction and the theoretical background of this paper. The comparison experiment was conducted for gearbox fault detection and the analysis results from this work showed that support vector machine has better classification performance in this area

  16. Electronic Field Data Collection in Support of Satellite-Based Food Security Monitoring in Tanzania

    Science.gov (United States)

    Nakalembe, C. L.; Dempewolf, J.; Justice, C. J.; Becker-Reshef, I.; Tumbo, S.; Maurice, S.; Mbilinyi, B.; Ibrahim, K.; Materu, S.

    2016-12-01

    In Tanzania agricultural extension agents traditionally collect field data on agriculture and food security on paper, covering most villages throughout the country. The process is expensive, slow and cumbersome and prone to data transcription errors when the data get entered at the district offices into electronic spreadsheets. Field data on the status and condition of agricultural crops, the population's nutritional status, food storage levels and other parameters are needed in near realtime for early warning to make critical but most importantly timely and appropriate decisions that are informed with verified data from the ground. With the ubiquitous distribution of cell phones, which are now used by the vast majority of the population in Tanzania including most farmers, new, efficient and cost-effective methods for field data collection have become available. Using smartphones and tablets data on crop conditions, pest and diseases, natural disasters and livelihoods can be collected and made available and easily accessible in near realtime. In this project we implemented a process for obtaining high quality electronic field data using the GeoODK application with a large network of field extension agents in Tanzania and Uganda. These efforts contribute to work being done on developing an advanced agriculture monitoring system for Tanzania, incorporating traditional data collection with satellite information and field data. The outcomes feed directly into the National Food Security Bulletin for Tanzania produced by the Ministry of Agriculture as well as a form a firm evidence base and field scale monitoring of the disaster risk financing in Uganda.

  17. Telephone: The Old Technology that is Never Old

    Directory of Open Access Journals (Sweden)

    Olubunmi Philip Aborisade

    2012-09-01

    Full Text Available Telephone technology is a technology that stands the test of time. Since it was invented in 1876 by Alexander Graham Belle, it remains the technology of all time. This article reports the major finding of a recent research, how technology transforms citizen journalism business in Nigeria. According to the research, Telephone technology has over the years emerged the major tool with which ordinary citizens in Nigeria without journalism and media background or affiliation participate in the process of news gathering, reporting and distribution. Guided by the recent use of telephone around the world by ordinary citizens to report themselves during protests through different social media outlets-Facebook, Tweeter, Youtube, the article illuminates the evergreen nature of the telephone. The article therefore concluded that the telephone technology invented in 1876 has survived the test of time. Instead of being obsolete, it blends with emerging communications technology to improve on its performance.

  18. Choosing a New Telephone System for Your Medical Practice.

    Science.gov (United States)

    Metherell, Brian

    2016-01-01

    E-mail may rule the world in other types of businesses, but for medical practices, the telephone remains the primary mode of communication with patients, specialists, and pharmacies. From making appointments to calling in prescriptions, telephones are essential to patient care. With technology changing very quickly and new capabilities coming into the medical practice, such as telemedicine and Skype, you need to know your options when choosing a new telephone system. The possibilities include on-site, cloud, and hybrid networked solutions. A wide variety of features and capabilities are available, from dozens of vendors. Of course, no matter what telephone solution you choose, you must meet regulatory compliance, particularly HIPAA, and Payment Card Industry Data Security Standard if you take credit cards. And it has to be affordable, reliable, and long lasting. This article explores what medical practices need to know when choosing a new business telephone system in order to find the right solutions for their businesses.

  19. Racial differences in the effect of a telephone-delivered hypertension disease management program.

    Science.gov (United States)

    Jackson, George L; Oddone, Eugene Z; Olsen, Maren K; Powers, Benjamin J; Grubber, Janet M; McCant, Felicia; Bosworth, Hayden B

    2012-12-01

    African Americans are significantly more likely than whites to have uncontrolled hypertension, contributing to significant disparities in cardiovascular disease and events. The goal of this study was to examine whether there were differences in change in blood pressure (BP) for African American and non-Hispanic white patients in response to a medication management and tailored nurse-delivered telephone behavioral program. Five hundred and seventy-three patients (284 African American and 289 non-Hispanic white) primary care patients who participated in the Hypertension Intervention Nurse Telemedicine Study (HINTS) clinical trial. Study arms included: 1) nurse-administered, physician-directed medication management intervention, utilizing a validated clinical decision support system; 2) nurse-administered, behavioral management intervention; 3) combined behavioral management and medication management intervention; and 4) usual care. All interventions were activated based on poorly controlled home BP values. Post-hoc analysis of change in systolic and diastolic blood pressure. General linear models (PROC MIXED in SAS, version 9.2) were used to estimate predicted means at 6-month, 12-month, and 18-month time points, by intervention arm and race subgroups (separate models for systolic and diastolic blood pressure). Improvement in mean systolic blood pressure post-baseline was greater for African American patients in the combined intervention, compared to African American patients in usual care, at 12 months (6.6 mmHg; 95 % CI: -12.5, -0.7; p=0.03) and at 18 months (9.7 mmHg; -16.0, -3.4; p=0.003). At 18 months, mean diastolic BP was 4.8 mmHg lower (95 % CI: -8.5, -1.0; p=0.01) among African American patients in the combined intervention arm, compared to African American patients in usual care. There were no analogous differences for non-Hispanic white patients. The combination of home BP monitoring, remote medication management, and telephone tailored behavioral self

  20. Capacity for DNA-barcode based taxonomy in support of Great Lakes biological monitoring

    Science.gov (United States)

    Enumerating organisms collected via nets and sediment grabs is a mainstay of aquatic ecology. Since morphological taxonomy can require considerable resources and expertise, DNA barcode-based identification of mixed-organism samples offers a valuable tool in support of biological...

  1. Genetic monitoring of supportive breeding in brown trout ( Salmo trutta L.), using microsatellite DNA markers

    DEFF Research Database (Denmark)

    Hansen, Michael Møller; Eg Nielsen, Einar; Ruzzante, D.E.

    2000-01-01

    loci in samples of wild and hatchery-reared brown trout (Salmo trutta) from three populations subject to supportive breeding. For calibrating statistical procedures, we included two test samples of reared offspring for which the precise number of parent fish was known and a sample from a further wild...

  2. Counterdependence at Work: Relationships with Social Support, Control Beliefs, and Self-Monitoring

    Science.gov (United States)

    Gianakos, Irene

    2013-01-01

    Although styles of self-reliance theoretically arise from early attachments, other research suggests the influence of attachment operates indirectly through internalized but modifiable beliefs about the self and others. The present study examined the relative contribution of parental attachment, social support perceptions, control beliefs, and…

  3. 75 FR 62837 - Cooperative Agreement To Support Building Global Capacity for the Surveillance and Monitoring of...

    Science.gov (United States)

    2010-10-13

    ... Rational Use of Drugs in Nairobi. The meeting recommended that the WHO and relevant stakeholders should... medicines and supply chain risks in support of national, sub-regional and global strategies and decision-making to prevent and address the incidence of counterfeit/falsified medicines and risks within supply...

  4. Telephone interventions for adherence to colpocytological examination.

    Science.gov (United States)

    Lima, Thais Marques; Nicolau, Ana Izabel Oliveira; Carvalho, Francisco Herlânio Costa; Vasconcelos, Camila Teixeira Moreira; Aquino, Priscila de Souza; Pinheiro, Ana Karina Bezerra

    2017-02-06

    to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p grupos para aplicação da intervenção comportamental e educativa por telefone. Utilizou-se um roteiro de intervenção segundo os preceitos da Entrevista Motivacional. ao comparar antes e depois das intervenções comportamental e educativa constatou-se que houve uma mudança estatisticamente significativa (p = 0,0283) no aumento do conhecimento das mulheres que participaram da intervenção educativa; não houve mudança comprovada na atitude das mulheres de nenhum dos grupos e houve um aumento da adesão ao exame colpocitológico nos dois grupos (p grupo comportamental (66,8%). as intervenções comportamentais e educativas por telefone foram eficazes na adesão das mulheres ao exame colpocitológico, representando estratégias importantes para educação permanente em saúde, promovendo a atenção para a prevenção do câncer cérvico-uterino. comprobar los efectos de intervención comportamental y educativa por teléfono en la adhesión de las mujeres, con

  5. Implementing telephone triage in general practice: a process evaluation of a cluster randomised controlled trial.

    Science.gov (United States)

    Murdoch, Jamie; Varley, Anna; Fletcher, Emily; Britten, Nicky; Price, Linnie; Calitri, Raff; Green, Colin; Lattimer, Valerie; Richards, Suzanne H; Richards, David A; Salisbury, Chris; Taylor, Rod S; Campbell, John L

    2015-04-10

    Telephone triage represents one strategy to manage demand for face-to-face GP appointments in primary care. However, limited evidence exists of the challenges GP practices face in implementing telephone triage. We conducted a qualitative process evaluation alongside a UK-based cluster randomised trial (ESTEEM) which compared the impact of GP-led and nurse-led telephone triage with usual care on primary care workload, cost, patient experience, and safety for patients requesting a same-day GP consultation. The aim of the process study was to provide insights into the observed effects of the ESTEEM trial from the perspectives of staff and patients, and to specify the circumstances under which triage is likely to be successfully implemented. Here we report perspectives of staff. The intervention comprised implementation of either GP-led or nurse-led telephone triage for a period of 2-3 months. A qualitative evaluation was conducted using staff interviews recruited from eight general practices (4 GP triage, 4 Nurse triage) in the UK, implementing triage as part of the ESTEEM trial. Qualitative interviews were undertaken with 44 staff members in GP triage and nurse triage practices (16 GPs, 8 nurses, 7 practice managers, 13 administrative staff). Staff reported diverse experiences and perceptions regarding the implementation of telephone triage, its effects on workload, and on the benefits of triage. Such diversity were explained by the different ways triage was organised, the staffing models used to support triage, how the introduction of triage was communicated across practice staff, and by how staff roles were reconfigured as a result of implementing triage. The findings from the process evaluation offer insight into the range of ways GP practices participating in ESTEEM implemented telephone triage, and the circumstances under which telephone triage can be successfully implemented beyond the context of a clinical trial. Staff experiences and perceptions of telephone

  6. Extensive Core Microbiome in Drone-Captured Whale Blow Supports a Framework for Health Monitoring.

    Science.gov (United States)

    Apprill, Amy; Miller, Carolyn A; Moore, Michael J; Durban, John W; Fearnbach, Holly; Barrett-Lennard, Lance G

    2017-01-01

    The pulmonary system is a common site for bacterial infections in cetaceans, but very little is known about their respiratory microbiome. We used a small, unmanned hexacopter to collect exhaled breath condensate (blow) from two geographically distinct populations of apparently healthy humpback whales ( Megaptera novaeangliae ), sampled in the Massachusetts coastal waters off Cape Cod ( n = 17) and coastal waters around Vancouver Island ( n = 9). Bacterial and archaeal small-subunit rRNA genes were amplified and sequenced from blow samples, including many of sparse volume, as well as seawater and other controls, to characterize the associated microbial community. The blow microbiomes were distinct from the seawater microbiomes and included 25 phylogenetically diverse bacteria common to all sampled whales. This core assemblage comprised on average 36% of the microbiome, making it one of the more consistent animal microbiomes studied to date. The closest phylogenetic relatives of 20 of these core microbes were previously detected in marine mammals, suggesting that this core microbiome assemblage is specialized for marine mammals and may indicate a healthy, noninfected pulmonary system. Pathogen screening was conducted on the microbiomes at the genus level, which showed that all blow and few seawater microbiomes contained relatives of bacterial pathogens; no known cetacean respiratory pathogens were detected in the blow. Overall, the discovery of a shared large core microbiome in humpback whales is an important advancement for health and disease monitoring of this species and of other large whales. IMPORTANCE The conservation and management of large whales rely in part upon health monitoring of individuals and populations, and methods generally necessitate invasive sampling. Here, we used a small, unmanned hexacopter drone to noninvasively fly above humpback whales from two populations, capture their exhaled breath (blow), and examine the associated microbiome. In the

  7. A mountain environmental virtual observatory (Mountain-EVO) to support participatory monitoring in a network of Andean catchments

    Science.gov (United States)

    Buytaert, Wouter; Ochoa Tocachi, Boris; De Bievre, Bert; Zulkafli, Zed

    2015-04-01

    The tropical Andes are a hotspot of environmental change. The combination of dramatic land-use change with global climate change, demographic growth, and increasing water demand is causing extreme pressures on water resources. This is of particular concern to rural upland communities. They are facing a double challenge of maintaining their own livelihoods with dwindling natural resources, and at the same time supporting downstream ecosystem services such as a well buffered stream flow and good water quality. This challenge is complicated further by the acute lack of data on the hydrological functioning of Andean catchments. The factors controlling their hydrological response are extremely variable in space and time, including meteorological forcing, land cover types, soil properties and geology. This makes it very difficult to predict accurately the impact of human activities such as land use, ecosystem management, and watershed investments. Such predictions are essential for policy-making and sustainable ecosystem management. To tackle the issue of hydrological data scarcity in the tropical Andes, an initiative was set up to implement a network of hydrological monitoring of upland catchments in a pairwise fashion. Using a trading-space-for-time approach, the initiative intends to use these data to improve predictions about the impact of land-use changes and other ecosystem management practices on the hydrological response. Currently, over 25 catchments are being monitored for precipitation and streamflow in 9 sites located in Bolivia, Peru, Ecuador, and Venezuela. The sites are supported by local stakeholders and communities in a participatory monitoring scheme that otherwise would be impractical or prohibitively expensive. To overcome the technical challenges of monitoring hydrological variables in remote mountain areas, the initiative has set up a web-based infrastructure to support local technicians and stakeholders. Additionally, using open data standards such

  8. Effect-directed analysis supporting monitoring of aquatic environments--An in-depth overview.

    Science.gov (United States)

    Brack, Werner; Ait-Aissa, Selim; Burgess, Robert M; Busch, Wibke; Creusot, Nicolas; Di Paolo, Carolina; Escher, Beate I; Mark Hewitt, L; Hilscherova, Klara; Hollender, Juliane; Hollert, Henner; Jonker, Willem; Kool, Jeroen; Lamoree, Marja; Muschket, Matthias; Neumann, Steffen; Rostkowski, Pawel; Ruttkies, Christoph; Schollee, Jennifer; Schymanski, Emma L; Schulze, Tobias; Seiler, Thomas-Benjamin; Tindall, Andrew J; De Aragão Umbuzeiro, Gisela; Vrana, Branislav; Krauss, Martin

    2016-02-15

    Aquatic environments are often contaminated with complex mixtures of chemicals that may pose a risk to ecosystems and human health. This contamination cannot be addressed with target analysis alone but tools are required to reduce this complexity and identify those chemicals that might cause adverse effects. Effect-directed analysis (EDA) is designed to meet this challenge and faces increasing interest in water and sediment quality monitoring. Thus, the present paper summarizes current experience with the EDA approach and the tools required, and provides practical advice on their application. The paper highlights the need for proper problem formulation and gives general advice for study design. As the EDA approach is directed by toxicity, basic principles for the selection of bioassays are given as well as a comprehensive compilation of appropriate assays, including their strengths and weaknesses. A specific focus is given to strategies for sampling, extraction and bioassay dosing since they strongly impact prioritization of toxicants in EDA. Reduction of sample complexity mainly relies on fractionation procedures, which are discussed in this paper, including quality assurance and quality control. Automated combinations of fractionation, biotesting and chemical analysis using so-called hyphenated tools can enhance the throughput and might reduce the risk of artifacts in laboratory work. The key to determining the chemical structures causing effects is analytical toxicant identification. The latest approaches, tools, software and databases for target-, suspect and non-target screening as well as unknown identification are discussed together with analytical and toxicological confirmation approaches. A better understanding of optimal use and combination of EDA tools will help to design efficient and successful toxicant identification studies in the context of quality monitoring in multiply stressed environments. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Degradation and Reinforcement of Industrial Gas Tank Support Structures. Thirty-Year Long Monitoring

    Science.gov (United States)

    Krentowski, Janusz R.; Knyziak, Piotr

    2017-10-01

    An analysis of reinforced concrete supporting structures of more than a dozen liquid gas tanks mounted on tower support structures located at different sites on Poland’s territory is presented. Stability testing of the degraded structures was carried out over a period of 30 years and pointed out significant defects that prevented safe operation of the tanks containing hazardous medium. Analysing complex stress states, as well as displacements of shell structure components, the authors developed a concept of strengthening the structures. Initial repair works, which had been carried out without proper supervision, failed to meet the mandatory requirements and were not compatible with the original design solutions. After several years of operation of the reinforced structures, their degradation states were assessed again. The next stage of repair works was carried out under the supervision of the authors together with authorized representatives of the investors.

  10. Data-driven process monitoring and diagnosis with support vector data description

    OpenAIRE

    Tafazzoli Moghaddam, Esmaeil

    2011-01-01

    This thesis targets the problem of fault diagnosis of industrial processes with data-drivenapproaches. In this context, a class of problems are considered in which the only informationabout the process is in the form of data and no model is available due to complexity of theprocess. Support vector data description is a kernel based method recently proposed in the fieldof pattern recognition and it is known for its powerful capabilities in nonlinear data classificationwhich can be exploited in...

  11. A Telephone-based Physiotherapy Intervention for Patients with Osteoarthritis of the Knee

    Science.gov (United States)

    Odole, Adesola C.; Ojo, Oluwatobi D.

    2013-01-01

    This study assessed the effects of a 6-week telephone based intervention on the pain intensity and physical function of patients with knee osteoarthritis (OA), and compared the results to physiotherapy conducted in the clinic. Fifty randomly selected patients with knee OA were assigned to one of two treatment groups: a clinic group (CG) and a tele-physiotherapy group (TG). The CG received thrice-weekly physiotherapist administered osteoarthritis-specific exercises in the clinic for six weeks. The TG received structured telephone calls thrice-weekly at home, to monitor self-administered osteoarthritis-specific exercises. Participants’ pain intensity and physical function were assessed at baseline, two, four, and six weeks, in the clinic environment. Within group comparison showed significant improvements across baseline, and at weeks two, four, and six for both TG and CG’s pain intensity and physical function. Between-group comparison of CG and TG’s pain intensity and physical function at baseline and weeks two, four, and six showed no significant differences. This study demonstrated that a six-week course of structured telephone calls thrice-weekly to patients at their home, to monitor self-administered osteoarthritis-specific exercises for patients with knee OA (i.e., tele-physiotherapy) achieved comparable results to physiotherapy conducted in the clinic. PMID:25945214

  12. A Telephone-based Physiotherapy Intervention for Patients with Osteoarthritis of the Knee

    Directory of Open Access Journals (Sweden)

    Adesola C Odole

    2013-12-01

    Full Text Available This study assessed the effects of a 6-week telephone based intervention on the pain intensity and physical function of patients with knee osteoarthritis (OA, and compared the results to physiotherapy conducted in the clinic. Fifty randomly selected patients with knee OA were assigned to one of two treatment groups: a clinic group (CG and a tele-physiotherapy group (TG. The CG received thrice-weekly physiotherapist administered osteoarthritis-specific exercises in the clinic for six weeks. The TG received structured telephone calls thrice-weekly at home, to monitor self-administered osteoarthritis-specific exercises. Participants’ pain intensity and physical function were assessed at baseline, two, four, and six weeks, in the clinic environment. Within group comparison showed significant improvements across baseline, and at weeks two, four, and six for both TG and CG’s pain intensity and physical function. Between-group comparison of CG and TG’s pain intensity and physical function at baseline and weeks two, four, and six showed no significant differences. This study demonstrated that a six-week course of structured telephone calls thrice-weekly to patients at their home, to monitor self-administered osteoarthritis-specific exercises for patients with knee OA (i.e., tele-physiotherapy achieved comparable results to physiotherapy conducted in the clinic.   12.00 Normal 0 false false false EN-US X-NONE X-NONE

  13. Monitoring of Bridges by a Laser Pointer: Dynamic Measurement of Support Rotations and Elastic Line Displacements: Methodology and First Test.

    Science.gov (United States)

    Artese, Serena; Achilli, Vladimiro; Zinno, Raffaele

    2018-01-25

    Deck inclination and vertical displacements are among the most important technical parameters to evaluate the health status of a bridge and to verify its bearing capacity. Several methods, both conventional and innovative, are used for structural rotations and displacement monitoring; however, none of these allow, at the same time, precision, automation, static and dynamic monitoring without using high cost instrumentation. The proposed system uses a common laser pointer and image processing. The elastic line inclination is measured by analyzing the single frames of an HD video of the laser beam imprint projected on a flat target. For the image processing, a code was developed in Matlab ® that provides instantaneous rotation and displacement of a bridge, charged by a mobile load. An important feature is the synchronization of the load positioning, obtained by a GNSS receiver or by a video. After the calibration procedures, a test was carried out during the movements of a heavy truck maneuvering on a bridge. Data acquisition synchronization allowed us to relate the position of the truck on the deck to inclination and displacements. The inclination of the elastic line at the support was obtained with a precision of 0.01 mrad. The results demonstrate the suitability of the method for dynamic load tests, and the control and monitoring of bridges.

  14. Monitoring of Bridges by a Laser Pointer: Dynamic Measurement of Support Rotations and Elastic Line Displacements: Methodology and First Test

    Directory of Open Access Journals (Sweden)

    Serena Artese

    2018-01-01

    Full Text Available Deck inclination and vertical displacements are among the most important technical parameters to evaluate the health status of a bridge and to verify its bearing capacity. Several methods, both conventional and innovative, are used for structural rotations and displacement monitoring; however, none of these allow, at the same time, precision, automation, static and dynamic monitoring without using high cost instrumentation. The proposed system uses a common laser pointer and image processing. The elastic line inclination is measured by analyzing the single frames of an HD video of the laser beam imprint projected on a flat target. For the image processing, a code was developed in Matlab® that provides instantaneous rotation and displacement of a bridge, charged by a mobile load. An important feature is the synchronization of the load positioning, obtained by a GNSS receiver or by a video. After the calibration procedures, a test was carried out during the movements of a heavy truck maneuvering on a bridge. Data acquisition synchronization allowed us to relate the position of the truck on the deck to inclination and displacements. The inclination of the elastic line at the support was obtained with a precision of 0.01 mrad. The results demonstrate the suitability of the method for dynamic load tests, and the control and monitoring of bridges.

  15. Information to support to monitoring and habitat restoration on Ash Meadows National Wildlife Refuge

    Science.gov (United States)

    Scoppettone, G. Gary

    2013-01-01

    for monitoring native fish populations in relation to restoration efforts on the Ash Meadows National Wildlife Refuge. There are no precise records on conditions of each of the spring systems prior to anthropogenic alteration; however, fostering conditions that favor native over non-natives will be key to habitat restoration. Information regarding native species carbon source is needed to create habitat that favors native species, thus habitat restoration fostering food stuff consumed by native species should be considered in restoration efforts. In compiling data for the first part of this report, we tracked carbon source for native and non-native species at four stations along the Jackrabbit Spring system. Thus, we were able to contrast carbon source in warm- and cool-water habitats. Habitat in Jackrabbit Spring was improved for native fishes in 2007. The second paper in this report focuses on native fish populations in Jackrabbit Spring system pre- and post-restoration. Much of the Ash Meadows Oases is marsh habitat where non-native red swamp crayfish and western mosquitofish are often abundant, to the detriment of non-natives. Because marsh habitat is broadly represented in the Ash Meadows landscape, establishing marsh habitat most conducive to the native fishes is important to the restoration effort, and the third paper addresses marsh habitat type with the relative abundance of fishes and crayfish. There are previous years of monitoring Ash Meadows’ native fish populations, but not all monitoring occurred at the same time of year. Desert-fish populations sometimes undergo seasonal fluctuation, so it might not be valid to compare population trends using difference seasons. For report four, we tracked a closed population of Amargosa pupfish (Cyprinodon nevadensis) year round to track seasonal trends. Knowledge of seasonal trends is important in tracking changes of populations pre- and post-restoration.

  16. [COOP/WONCA: Reliability and validity of the test administered by telephone].

    Science.gov (United States)

    Pedrero-Pérez, Eduardo J; Díaz-Olalla, José Manuel

    2016-01-01

    The COOP/WONCA test was initially proposed as a self-report in which the answers were supported by drawings illustrating the state investigated. Subsequent studies have confirmed its usefulness as a mere verbal self-report face-to-face administered. No data have been found about its useful when administered by telephone interview. The aim of this study was to determine the psychometric properties of the COOP / WONCA test to measure Related Quality of Life (HRQoL) administered by telephone and compare them with those obtained in other forms of prior administration. Cross-sectional study on a random. City of Madrid. Random sample of 802 adult subjects, representative of the adult population in Madrid, obtained by stratification from the population census. Questionnaire COOP/WONCA with 9 ítems included in a broader battery, administered by telephone interview. The unrestricted factor analysis points to the unifactoriality of the scale, which measures a single latent construct (HRQOL), showing high internal consistency, not significantly different from those found by face-to-face administration, ruling out the existence of biases in the phone modality. The COOP/WONCA test appears as a reliable and valid measure of HRQOL and telephonic administration allows to assume no changes in the results, which can reduce costs in population studies, increasing efficiency without loss of quality in the information collected. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  17. The telephone effect: Overcoming initiation deficits in two settings.

    Science.gov (United States)

    Vickers, Kayci L; Keesler, Michael E; Williams, Kelli S; Charles, Jeremy Y; Hamilton, Roy H

    2018-04-19

    Disorders of motivation substantially impair an individual's ability to communicate with their families, therapists, and doctors. One method of overcoming initiation deficits is by utilizing the telephone effect, which is the ability for individuals with severe motivation deficits to communicate more readily when speaking on a telephone. However, little is available in the extant literature on how this effect works or how best to integrate this into patient care. This article aims to provide the first report of a proposed mechanism underlying the telephone effect and the first published procedures for eliciting this effect. This is largely a review article that also contains descriptions of clinical procedures for eliciting the telephone effect with 2 patient populations: acute inpatients following brain injury and dementia residents. A case vignette is also provided. We propose that the telephone effect is the result of an interaction between the patient and environment, and occurs because of Gibson's (1979) law of affordances. The use of this theory provides an explanation of the behaviors often observed when attempting to elicit this effect (i.e., disruption of the effect when using a cellular phone). Moreover, we argue that this can, and does, apply to social interactions as well. The telephone effect is an understudied phenomenon that provides a means of improving care for individuals with disorders of motivation. Future directions include systematic research into the telephone effect and further investigation of the mechanism underlying this effect. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  18. Stimulating innovation for global monitoring of agriculture and its impact on the environment in support of GEOGLAM

    Science.gov (United States)

    Bydekerke, Lieven; Gilliams, Sven; Gobin, Anne

    2015-04-01

    There is an urgent need to ensure food supply for a growing global population. To enable a sustainable growth of agricultural production, effective and timely information is required to support decision making and to improve management of agricultural resources. This requires innovative ways and monitoring methods that will not only improve short-term crop production forecasts, but also allow to assess changes in cultivation practices, agricultural areas, agriculture in general and, its impact on the environment. The G20 launched in June 2011 the "GEO Global Agricultural Monitoring initiative (GEOGLAM), requesting the GEO (Group on Earth Observations) Agricultural Community of Practice to implement GEOGLAM with the main objective to improve crop yield forecasts as an input to the Agricultural Market Information System (AMIS), in order to foster stabilisation of markets and increase transparency on agricultural production. In response to this need, the European Commission decided in 2013 to fund an international partnership to contribute to GEOGLAM and its research agenda. The resulting SIGMA project (Stimulating Innovation for Global Monitoring of Agriculture), a partnership of 23 globally distributed expert organisations, focusses on developing datasets and innovative techniques in support of agricultural monitoring and its impact on the environment in support of GEOGLAM. SIGMA has 3 generic objectives which are: (i) develop and test methods to characterise cropland and assess its changes at various scales; (ii) develop and test methods to assess changes in agricultural production levels; and; (iii) study environmental impacts of agriculture. Firstly, multi-scale remote sensing data sets, in combination with field and other ancillary data, will be used to generate an improved (global) agro-ecological zoning map and crop mask. Secondly, a combination of agro-meteorological models, satellite-based information and long-term time series will be explored to assess crop

  19. Nuclear steam power plant cycle performance calculations supported by power plant monitoring and results computer

    International Nuclear Information System (INIS)

    Bettes, R.S.

    1984-01-01

    The paper discusses the real time performance calculations for the turbine cycle and reactor and steam generators of a nuclear power plant. Program accepts plant measurements and calculates performance and efficiency of each part of the cycle: reactor and steam generators, turbines, feedwater heaters, condenser, circulating water system, feed pump turbines, cooling towers. Presently, the calculations involve: 500 inputs, 2400 separate calculations, 500 steam properties subroutine calls, 200 support function accesses, 1500 output valves. The program operates in a real time system at regular intervals

  20. Continuous glucose monitoring technology for personal use: an educational program that educates and supports the patient.

    Science.gov (United States)

    Evert, Alison; Trence, Dace; Catton, Sarah; Huynh, Peter

    2009-01-01

    The purpose of this article is to describe the development and implementation of an educational program for the initiation of real-time continuous glucose monitoring (CGM) technology for personal use, not 3-day CGMS diagnostic studies. The education program was designed to meet the needs of patients managing their diabetes with either diabetes medications or insulin pump therapy in an outpatient diabetes education center using a team-based approach. Observational research, complemented by literature review, was used to develop an educational program model and teaching strategies. Diabetes educators, endocrinologists, CGM manufacturer clinical specialists, and patients with diabetes were also interviewed for their clinical observations and experience. The program follows a progressive educational model. First, patients learn in-depth about real-time CGM technology by attending a group presensor class that provides detailed information about CGM. This presensor class facilitates self-selection among patients concerning their readiness to use real-time CGM. If the patient decides to proceed with real-time CGM use, CGM initiation is scheduled, using a clinic-centered protocol for both start-up and follow-up. Successful use of real-time CGM involves more than just patient enthusiasm or interest in a new technology. Channeling patient interest into a structured educational setting that includes the benefits and limitations of real-time CGM helps to manage patient expectations.

  1. IMPLEMENTATION OF OPEN-SOURCE WEB MAPPING TECHNOLOGIES TO SUPPORT MONITORING OF GOVERNMENTAL SCHEMES

    Directory of Open Access Journals (Sweden)

    B. R. Pulsani

    2015-10-01

    Full Text Available Several schemes are undertaken by the government to uplift social and economic condition of people. The monitoring of these schemes is done through information technology where involvement of Geographic Information System (GIS is lacking. To demonstrate the benefits of thematic mapping as a tool for assisting the officials in making decisions, a web mapping application for three government programs such as Mother and Child Tracking system (MCTS, Telangana State Housing Corporation Limited (TSHCL and Ground Water Quality Mapping (GWQM has been built. Indeed the three applications depicted the distribution of various parameters thematically and helped in identifying the areas with higher and weaker distributions. Based on the three applications, the study tends to find similarities of many government schemes reflecting the nature of thematic mapping and hence deduces to implement this kind of approach for other schemes as well. These applications have been developed using SharpMap Csharp library which is a free and open source mapping library for developing geospatial applications. The study highlights upon the cost benefits of SharpMap and brings out the advantage of this library over proprietary vendors and further discusses its advantages over other open source libraries as well.

  2. Monitoring ethylene emissions from plants cultured for a controlled ecological life support system

    Science.gov (United States)

    Corey, Kenneth A.

    1995-01-01

    Emission of hydrocarbons and other volatile compounds by materials and organisms in closed environments will be a major concern in the design and management of advanced life support systems with a bioregenerative component. Ethylene, a simple hydrocarbon synthesized by plants, is involved in the elicitation of a wide range of physiological responses. In closed environments, ethylene may build up to levels which become physiologically active. In several growouts of 'Yecora Rojo' wheat in Kennedy Space Center's Biomass Production Chamber (BPC), it was observed that leaf flecking and rolling occurred in the sealed environment and was virtually eliminated when potassium permanganate was used to scrub the atmospheric environment. It was suggested that ethylene, which accumulated to about 60 ppb in the chamber and which was effectively absorbed by potassium permanganate, was responsible for the symptoms. The objectives of this work were to: (1) determine rates of ethylene evolution from lettuce (Lactuca sativa cultivar Waldemann's Green) and wheat (Triticum aestivum cultivar Yecora Rojo) plants during growth and development; (2) determine the effects of exposure of whole, vegetative stage plants to exogenous ethylene concentrations in the range of what would develop in closed environment growth chambers; and (3) develop predictive functions for changes in ethylene concentration that would develop under different cropping and closed environment configurations. Results will lead to the development of management strategies for ethylene in bioregenerative life support systems.

  3. Prevalence, correlates, and description of self-reported diabetes in brazilian capitals - results from a telephone survey.

    Directory of Open Access Journals (Sweden)

    Betine Pinto Moehlecke Iser

    Full Text Available The prevalence of diabetes is increasing worldwide. The objective of this study is to estimate the prevalence of self-reported diabetes in Brazilian adults and to describe its population correlates as well as the clinical characteristics of the reported cases.We analyzed basic and supplementary data of 54.144 subjects participating in VIGITEL 2011 (Surveillance System for Risk and Protective Factors for Chronic Diseases, a telephone survey based on a probabilistic sample of subjects ≥ 18 years old residing in Brazilian state capitals and the Federal District. Estimates reported are weighted so as to represent the surveyed population.The prevalence of self-reported diabetes was 6.3% (95% CI 5.9-6.7, increasing markedly with age and nutritional status, and decreasing with level of education. Prevalence was higher among those self-declaring their race/color as black. Most cases (90% reported the diagnosis being made at 35 years or older. The vast majority (99.8% of self-reported cases informed having previously performed at least one glucose test, and 76% of those not reporting diabetes also informed having previously performed glucose testing. Most cases (92.6% reported following some form of diabetes treatment, 79% taking medication.The estimated prevalence of known diabetes found, 6.3%, is consistent with estimates given by international summaries. The additional data collected in VIGITEL 2011 regarding previous glucose testing and current treatment support the use of telephone-based information to monitor the prevalence of known diabetes in Brazilian capitals.

  4. Prevalence, correlates, and description of self-reported diabetes in brazilian capitals - results from a telephone survey.

    Science.gov (United States)

    Iser, Betine Pinto Moehlecke; Malta, Deborah Carvalho; Duncan, Bruce Bartholow; de Moura, Lenildo; Vigo, Alvaro; Schmidt, Maria Inês

    2014-01-01

    The prevalence of diabetes is increasing worldwide. The objective of this study is to estimate the prevalence of self-reported diabetes in Brazilian adults and to describe its population correlates as well as the clinical characteristics of the reported cases. We analyzed basic and supplementary data of 54.144 subjects participating in VIGITEL 2011 (Surveillance System for Risk and Protective Factors for Chronic Diseases), a telephone survey based on a probabilistic sample of subjects ≥ 18 years old residing in Brazilian state capitals and the Federal District. Estimates reported are weighted so as to represent the surveyed population. The prevalence of self-reported diabetes was 6.3% (95% CI 5.9-6.7), increasing markedly with age and nutritional status, and decreasing with level of education. Prevalence was higher among those self-declaring their race/color as black. Most cases (90%) reported the diagnosis being made at 35 years or older. The vast majority (99.8%) of self-reported cases informed having previously performed at least one glucose test, and 76% of those not reporting diabetes also informed having previously performed glucose testing. Most cases (92.6%) reported following some form of diabetes treatment, 79% taking medication. The estimated prevalence of known diabetes found, 6.3%, is consistent with estimates given by international summaries. The additional data collected in VIGITEL 2011 regarding previous glucose testing and current treatment support the use of telephone-based information to monitor the prevalence of known diabetes in Brazilian capitals.

  5. Source Array Support for Continuous Monitoring of Fish Population and Behavior by Instantaneous Continental-Shelf-Scale Imaging Using Ocean-Waveguide Acoustics

    National Research Council Canada - National Science Library

    Rynne, Ed; Gillette, David

    2006-01-01

    ...) Multistatic ASW Capability Enhancement Program (MACE) as the source of underwater sounds to support active bi-static sonar capabilities for monitoring fish populations and behaviors during a September/October 2006 sea test off the coast of Maine...

  6. Telephone delivered interventions for reducing morbidity and mortality in people with HIV infection.

    Science.gov (United States)

    Gentry, Sarah; van-Velthoven, Michelle H M M T; Tudor Car, Lorainne; Car, Josip

    2013-05-31

    This is one of three Cochrane reviews examining the role of the telephone in HIV/AIDS services. Telephone interventions, delivered either by landline or mobile phone, may be useful in the management of people living with HIV (PLHIV) in many situations. Telephone delivered interventions have the potential to reduce costs, save time and facilitate more support for PLHIV. To assess the effectiveness of voice landline and mobile telephone delivered interventions for reducing morbidity and mortality in people with HIV infection. We searched The Cochrane Central Register of Controlled Trials, MEDLINE, PubMed Central, EMBASE, PsycINFO, ISI Web of Science, Cumulative Index to Nursing & Allied Health, World Health Organisation's The Global Health Library and Current Controlled Trials from 1980 to June 2011. We searched the following grey literature sources: Dissertation Abstracts International, Centre for Agriculture Bioscience International Direct Global Health database, The System for Information on Grey Literature Europe, The Healthcare Management Information Consortium database, Google Scholar, Conference on Retroviruses and Opportunistic Infections, International AIDS Society, AIDS Educational Global Information System and reference lists of articles. Randomised controlled trials (RCTs), quasi-randomised controlled trials, controlled before and after studies, and interrupted time series studies comparing the effectiveness of telephone delivered interventions for reducing morbidity and mortality in persons with HIV infection versus in-person interventions or usual care, regardless of demographic characteristics and in all settings. Both mobile and landline telephone interventions were included, but mobile phone messaging interventions were excluded. Two reviewers independently searched, screened, assessed study quality and extracted data. Primary outcomes were change in behaviour, healthcare uptake or clinical outcomes. Secondary outcomes were appropriateness of the

  7. Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.

    Directory of Open Access Journals (Sweden)

    Michelle H M M T van Velthoven

    Full Text Available BACKGROUND: Low cost, effective interventions are needed to deal with the major global burden of HIV/AIDS. Telephone consultation offers the potential to improve health of people living with HIV/AIDS cost-effectively and to reduce the burden on affected people and health systems. The aim of this systematic review was to assess the effectiveness of telephone consultation for HIV/AIDS care. METHODS: We undertook a comprehensive search of peer-reviewed and grey literature. Two authors independently screened citations, extracted data and assessed the quality of randomized controlled trials which compared telephone interventions with control groups for HIV/AIDS care. Telephone interventions were voice calls with landlines or mobile phones. We present a narrative overview of the results as the obtained trials were highly heterogeneous in design and therefore the data could not be pooled for statistical analysis. RESULTS: The search yielded 3321 citations. Of these, nine studies involving 1162 participants met the inclusion criteria. The telephone was used for giving HIV test results (one trial and for delivering behavioural interventions aimed at improving mental health (four trials, reducing sexual transmission risk (one trial, improving medication adherence (two trials and smoking cessation (one trial. Limited effectiveness of the intervention was found in the trial giving HIV test results, in one trial supporting medication adherence and in one trial for smoking cessation by telephone. CONCLUSIONS: We found some evidence of the benefits of interventions delivered by telephone for the health of people living with HIV or at risk of HIV. However, only limited conclusions can be drawn as we only found nine studies for five different interventions and they mainly took place in the United States. Nevertheless, given the high penetration of low-cost mobile phones in countries with high HIV endemicity, more evidence is needed on how telephone consultation

  8. INTEGRATED WATER MONITORING TO SUPPORT THE MANAGEMENT OF HEALTHY SEGARA ANAKAN ESTUARY

    Directory of Open Access Journals (Sweden)

    Sri Noegrahati

    2007-03-01

    Full Text Available ABSTRACT Estuaries provide vital nesting and feeding habitats for many aquatic plants and animals, therefore suitable methods are needed for monitoring the changes in estuarine waters to keep the health of coastal habitats. Limitations in understanding the relationship between discrete physicochemical measurements and cause of the alteration in the quality and functioning of an ecosystem, has lead to the integration of physicochemical and biological monitoring. In this work, spatial time series integrated monitoring of Southern part of Segara Anakan Estuary, Central Java, Indonesia, was carried out from August 2003 to May 2004. The parameters were measured at the lowest water depth. Dramatic changes in physicochemical parameters of salinity, total suspended solids, turbidity and biological parameters of phytoplankton diversity, density was observed during dry season (August-September 2003 and wet season (December 2003-March 2004, while the changes in parameters of organics (DO, BOD and COD and nutrients (N-NH3 N-NO and P were not significant. The difference of freshwater influx into the estuary caused higher salinity in dry season (25 to 2 ppt and faster water velocity in wet season (0,4 to 0,2 m/detik. The higher rainfall and faster water velocity in wet season caused more re-aeration via the water surface, therefore, photosynthetic production, measured as increase rate of DO in day time, could be assessed only in dry season. Limitation of phytoplankton ability to carry out photosynthesis in wet season, as observed by the decrease of the daytime CO consumption rate, were due to the drastic increase of turbidity (0,8 to 14,1 NTU caused by total suspended solids transported with the freshwater influx. In other turn, this limitation caused the decrease of phytoplankton diversity and density. Considering that healthy estuaries are critical for the continued survival of many species of fish and other aquatic life, and phytoplankton forms the base of

  9. Acceptability Study of "Ascenso": An Online Program for Monitoring and Supporting Patients with Depression in Chile.

    Science.gov (United States)

    Espinosa, H Daniel; Carrasco, Álvaro; Moessner, Markus; Cáceres, Cristian; Gloger, Sergio; Rojas, Graciela; Perez, J Carola; Vanegas, Jorge; Bauer, Stephanie; Krause, Mariane

    2016-07-01

    Major depression is a highly prevalent and severe mental disease. Despite the effective treatment options available, the risk of relapse is high. Interventions based on information and communication technologies generate innovative opportunities to provide support to patients after they completed treatment for depression. This acceptability study evaluated the Internet-based program Apoyo, Seguimiento y Cuidado de Enfermedades a partir de Sistemas Operativos (ASCENSO) in terms of its feasibility and acceptability in a sample of 35 patients in Chile. The study reveals high rates of acceptance and satisfaction among patients who actively used the program. As obstacles, patients mentioned technical problems, a lack of contact with other participants, and an insufficient connection between the program and the health service professionals. ASCENSO appears to be a promising complement to regular care for depression. Following improvements of the program based on participants' feedback, future research should evaluate its efficacy and cost-effectiveness.

  10. Remote monitoring field trial. Application to automated air sampling. Report on Task FIN-E935 of the Finnish Support Programme to IAEA Safeguards

    International Nuclear Information System (INIS)

    Poellaenen, R.; Ilander, T.; Lehtinen, J.; Leppaenen, A.; Nikkinen, M.; Toivonen, H.; Ylaetalo, S.; Smartt, H.; Garcia, R.; Martinez, R.; Glidewell, D.; Krantz, K.

    1999-01-01

    An automated air sampling station has recently been developed by Radiation and Nuclear Safety Authority (STUK). The station is furnished with equipment that allows comprehensive remote monitoring of the station and the data. Under the Finnish Support Programme to IAEA Safeguards, STUK and Sandia National Laboratories (SNL) established a field trial to demonstrate the use of remote monitoring technologies. STUK provided means for real-lime radiation monitoring and sample authentication whereas SNL delivered means for authenticated surveillance of the equipment and its location. The field trial showed that remote monitoring can be carried out using simple means although advanced facilities are needed for comprehensive surveillance. Authenticated measurement data could be reliably transferred from the monitoring site to the headquarters without the presence of authorized personnel in the monitoring site. The operation of the station and the remote monitoring system were reliable. (orig.)

  11. Efficacy of Telephone Information and Advice on Welfare: the Need for Realist Evaluation

    OpenAIRE

    Harding, Andrew; Parker, Jonathan; Hean, Sarah; Hemingway, Ann

    2018-01-01

    In the context of increased marketisation in welfare provision, formal information and advice (I&A) is widely assumed to enable users, as consumers, to make informed choices about services, support and care. There is emerging evidence that telephone I&A services represent important ways of providing such services. This article proposes a framework that identifies key areas of focus delineating the efficacy of I&A, which is then used in a comprehensive literature review to critique existing re...

  12. Analyzing online sentiment to predict telephone poll results.

    Science.gov (United States)

    Fu, King-wa; Chan, Chee-hon

    2013-09-01

    The telephone survey is a common social science research method for capturing public opinion, for example, an individual's values or attitudes, or the government's approval rating. However, reducing domestic landline usage, increasing nonresponse rate, and suffering from response bias of the interviewee's self-reported data pose methodological challenges to such an approach. Because of the labor cost of administration, a phone survey is often conducted on a biweekly or monthly basis, and therefore a daily reflection of public opinion is usually not available. Recently, online sentiment analysis of user-generated content has been deployed to predict public opinion and human behavior. However, its overall effectiveness remains uncertain. This study seeks to examine the temporal association between online sentiment reflected in social media content and phone survey poll results in Hong Kong. Specifically, it aims to find the extent to which online sentiment can predict phone survey results. Using autoregressive integrated moving average time-series analysis, this study suggested that online sentiment scores can lead phone survey results by about 8-15 days, and their correlation coefficients were about 0.16. The finding is significant to the study of social media in social science research, because it supports the conclusion that daily sentiment observed in social media content can serve as a leading predictor for phone survey results, keeping as much as 2 weeks ahead of the monthly announcement of opinion polls. We also discuss the practical and theoretical implications of this study.

  13. Systems configured to distribute a telephone call, communication systems, communication methods and methods of routing a telephone call to a service representative

    Science.gov (United States)

    Harris, Scott H.; Johnson, Joel A.; Neiswanger, Jeffery R.; Twitchell, Kevin E.

    2004-03-09

    The present invention includes systems configured to distribute a telephone call, communication systems, communication methods and methods of routing a telephone call to a customer service representative. In one embodiment of the invention, a system configured to distribute a telephone call within a network includes a distributor adapted to connect with a telephone system, the distributor being configured to connect a telephone call using the telephone system and output the telephone call and associated data of the telephone call; and a plurality of customer service representative terminals connected with the distributor and a selected customer service representative terminal being configured to receive the telephone call and the associated data, the distributor and the selected customer service representative terminal being configured to synchronize, application of the telephone call and associated data from the distributor to the selected customer service representative terminal.

  14. Smartphone self-monitoring to support self-management among people living with HIV: perceived benefits and theory of change from a mixed-methods randomized pilot study.

    Science.gov (United States)

    Swendeman, Dallas; Ramanathan, Nithya; Baetscher, Laura; Medich, Melissa; Scheffler, Aaron; Comulada, W Scott; Estrin, Deborah

    2015-05-01

    Self-monitoring by mobile phone applications offers new opportunities to engage patients in self-management. Self-monitoring has not been examined thoroughly as a self-directed intervention strategy for self-management of multiple behaviors and states by people living with HIV (PLH). PLH (n = 50), primarily African American and Latino, were recruited from 2 AIDS services organizations and randomly assigned to daily smartphone (n = 34) or biweekly Web-survey only (n = 16) self-monitoring for 6 weeks. Smartphone self-monitoring included responding to brief surveys on medication adherence, mental health, substance use, and sexual risk behaviors, and brief text diaries on stressful events. Qualitative analyses examine biweekly open-ended user-experience interviews regarding perceived benefits and barriers of self-monitoring, and to elaborate a theoretical model for potential efficacy of self-monitoring to support self-management for multiple domains. Self-monitoring functions include reflection for self-awareness, cues to action (reminders), reinforcements from self-tracking, and their potential effects on risk perceptions, motivations, skills, and behavioral activation states. Participants also reported therapeutic benefits related to self-expression for catharsis, nonjudgmental disclosure, and in-the-moment support. About one-third of participants reported that surveys were too long, frequent, or tedious. Some smartphone group participants suggested that daily self-monitoring was more beneficial than biweekly due to frequency and in-the-moment availability. About twice as many daily self-monitoring group participants reported increased awareness and behavior change support from self-monitoring compared with biweekly Web-survey only participants. Self-monitoring is a potentially efficacious disruptive innovation for supporting self-management by PLH and for complementing other interventions, but more research is needed to confirm efficacy, adoption, and sustainability.

  15. Online Condition Monitoring of Bearings to Support Total Productive Maintenance in the Packaging Materials Industry.

    Science.gov (United States)

    Gligorijevic, Jovan; Gajic, Dragoljub; Brkovic, Aleksandar; Savic-Gajic, Ivana; Georgieva, Olga; Di Gennaro, Stefano

    2016-03-01

    The packaging materials industry has already recognized the importance of Total Productive Maintenance as a system of proactive techniques for improving equipment reliability. Bearing faults, which often occur gradually, represent one of the foremost causes of failures in the industry. Therefore, detection of their faults in an early stage is quite important to assure reliable and efficient operation. We present a new automated technique for early fault detection and diagnosis in rolling-element bearings based on vibration signal analysis. Following the wavelet decomposition of vibration signals into a few sub-bands of interest, the standard deviation of obtained wavelet coefficients is extracted as a representative feature. Then, the feature space dimension is optimally reduced to two using scatter matrices. In the reduced two-dimensional feature space the fault detection and diagnosis is carried out by quadratic classifiers. Accuracy of the technique has been tested on four classes of the recorded vibrations signals, i.e., normal, with the fault of inner race, outer race, and ball operation. The overall accuracy of 98.9% has been achieved. The new technique can be used to support maintenance decision-making processes and, thus, to increase reliability and efficiency in the industry by preventing unexpected faulty operation of bearings.

  16. Online Condition Monitoring of Bearings to Support Total Productive Maintenance in the Packaging Materials Industry

    Directory of Open Access Journals (Sweden)

    Jovan Gligorijevic

    2016-03-01

    Full Text Available The packaging materials industry has already recognized the importance of Total Productive Maintenance as a system of proactive techniques for improving equipment reliability. Bearing faults, which often occur gradually, represent one of the foremost causes of failures in the industry. Therefore, detection of their faults in an early stage is quite important to assure reliable and efficient operation. We present a new automated technique for early fault detection and diagnosis in rolling-element bearings based on vibration signal analysis. Following the wavelet decomposition of vibration signals into a few sub-bands of interest, the standard deviation of obtained wavelet coefficients is extracted as a representative feature. Then, the feature space dimension is optimally reduced to two using scatter matrices. In the reduced two-dimensional feature space the fault detection and diagnosis is carried out by quadratic classifiers. Accuracy of the technique has been tested on four classes of the recorded vibrations signals, i.e., normal, with the fault of inner race, outer race, and ball operation. The overall accuracy of 98.9% has been achieved. The new technique can be used to support maintenance decision-making processes and, thus, to increase reliability and efficiency in the industry by preventing unexpected faulty operation of bearings.

  17. When may doctors give nurses telephonic treatment instructions?

    African Journals Online (AJOL)

    When is it legal for doctors to give nurses telephonic treatment instructions? ... telemedicine? Telemedicine is defined as 'the practice of medicine, from a distance, ... [6] Therefore, if in such circumstances the doctors cannot reach the patients in ...

  18. Is there a bias against telephone interviews in qualitative research?

    Science.gov (United States)

    Novick, Gina

    2008-08-01

    Telephone interviews are largely neglected in the qualitative research literature and, when discussed, they are often depicted as a less attractive alternative to face-to-face interviewing. The absence of visual cues via telephone is thought to result in loss of contextual and nonverbal data and to compromise rapport, probing, and interpretation of responses. Yet, telephones may allow respondents to feel relaxed and able to disclose sensitive information, and evidence is lacking that they produce lower quality data. This apparent bias against telephone interviews contrasts with a growing interest in electronic qualitative interviews. Research is needed comparing these modalities, and examining their impact on data quality and their use for studying varying topics and populations. Such studies could contribute evidence-based guidelines for optimizing interview data. 2008 Wiley Periodicals, Inc

  19. Towards effective telephone-based delivery of government services

    CSIR Research Space (South Africa)

    Barnard, E

    2003-09-01

    Full Text Available Government regulations have combined with a tremendous growth in prepaid cellular telephony to bring telephone connectivity to an unprecedented number of South African citizens – thus creating an ideal platform for delivering services to a wide...

  20. Supportive monitoring and disease management through the internet: an internet-delivered intervention strategy for recurrent depression.

    Science.gov (United States)

    Kordy, Hans; Backenstrass, Matthias; Hüsing, Johannes; Wolf, Markus; Aulich, Kai; Bürgy, Martin; Puschner, Bernd; Rummel-Kluge, Christine; Vedder, Helmut

    2013-11-01

    Major depression is a highly prevalent, disabling disorder associated with loss of quality of life and large economic burden for the society. Depressive disorders often follow a chronic or recurrent course. The risk of relapses increases with each additional episode. The internet-deliverable intervention strategy SUMMIT (SUpportive Monitoring and Disease Management over the InTernet) for patients with recurrent depression has been developed with the main objectives to prolong symptom-free phases and to shorten symptom-loaden phases. This paper describes the study design of a six-sites, three-arm, randomized clinical trial intended to evaluate the efficacy of this novel strategy compared to treatment as usual (TAU). Two hundred thirty six patients who had been treated for their (at least) third depressive episode in one of the six participating psychiatric centers were randomized into one of three groups: 1) TAU plus a twelve-month SUMMIT program participation with personal support or 2) TAU plus a twelve-month SUMMIT program participation without personal support, or 3) TAU alone. Primary outcome of this study is defined as the number of "well weeks" over 24months after index treatment assessed by blind evaluators based on the Longitudinal Interval Follow-Up Evaluation. If efficacious, the low monetary and nonmonetary expenditures of this automated, yet individualized intervention may open new avenues for providing an acceptable, convenient, and affordable long-term disease management strategy to people with a chronic mental condition such as recurrent depression. © 2013.

  1. Quantitative prop support estimation and remote monitor early warning for hard roof weighting at the Muchengjian Mine in China

    Energy Technology Data Exchange (ETDEWEB)

    Tan, Y.; Zhao, T.; Xiao, Y. [Shandong Univ. of Science and Technology, Qingdao, Shandong (China). Key Laboratory of Mine Disaster Prevention and Control

    2010-09-15

    Pillar extraction is the method used to mine the ore in the Muchengjian Coal Mine in China because the coal seams are too unstable for canopy-powered or shield-powered support. This study involved a retrospective analysis of roof cave-ins to determine the tensile strength by examining the complex coal seam structure and hard roof at the mine. The objective was to ensure workers' safety when hard roof strata cave in. The roof caving span and thickness was analyzed to determine the prop spacing or number of hydraulic props needed per unit area. The study showed that the early warning threshold bedding vertical separation velocity for hard roof caving at the Muchengjian Coal Mine was about 14 mm/day. The newly developed bedding separation remote monitoring system (BSRMS) was used for the first time for early warning of a roof fall. A total of 48 trials of early warning roof weighting were performed at the Muchengjian Mine on the no. 4 face. The roof above the coal seam consists of 3 layers. The roof is supported by hydraulic props connected to an articulated roof beam manufactured in China. It was concluded that the early warnings from the BSRMS proved to be accurate. The BSRMS also indicated that the support system is safe and reliable. 12 refs., 1 tab., 10 figs.

  2. Monitoring of V380 Oph requested in support of HST observations

    Science.gov (United States)

    Waagen, Elizabeth O.

    2012-08-01

    On behalf of a large Hubble Space Telescope consortium of which they are members, Dr. Joseph Patterson (Columbia University, Center for Backyard Astrophysics) and Dr. Arne Henden (AAVSO) requested observations from the amateur astronomer community in support of upcoming HST observations of the novalike VY Scl-type cataclysmic variable V380 Oph. The HST observations will likely take place in September but nightly visual observations are needed beginning immediately and continuing through at least October 2012. The astronomers plan to observe V380 Oph while it is in its current low state. Observations beginning now are needed to determine the behavior of this system at minimum and to ensure that the system is not in its high state at the time of the HST observations. V380 Oph is very faint in its low state: magnitude 17 to 19 and perhaps even fainter. Nightly snapshot observations, not time series, are requested, as is whatever technique - adding frames, lengthening exposur! es, etc. - necessary to measure the magnitude. It is not known whether V380 Oph is relatively inactive at minimum or has flares of one to two magnitudes; it is this behavior that is essential to learn in order to safely execute the HST observations. Finder charts with sequence may be created using the AAVSO Variable Star Plotter (http://www.aavso.org/vsp). Observations should be submitted to the AAVSO International Database. See full Alert Notice for more details. NOTE: This campaign was subsequently cancelled when it was learned V830 Oph was not truly in its low state. See AAVSO Alert Notice 468 for details.

  3. Can Smartphones Enhance Telephone-Based Cognitive Assessment (TBCA)?

    OpenAIRE

    Rick Yiu-Cho Kwan; Claudia Kam-Yuk Lai

    2013-01-01

    TBCA has emerged to solve the limitations of administering cognitive assessments face-to-face. The recent development of telephones and knowledge advances in the area of cognitive impairment may affect the development of TBCA. The purpose of this paper is to discuss how smartphones can be used to enhance the applicability of TBCA, which has previously been administered by conventional telephone. This paper will first review, describe and critique the existing TBCA instruments. It will then di...

  4. Cellular telephone use among primary school children in Germany

    International Nuclear Information System (INIS)

    Boehler, Eva; Schuez, Joachim

    2004-01-01

    Background: There is some concern about potential health risks of cellular telephone use to children. We assessed data on how many children own a cellular telephone and on how often they use it in a population-based sample. Methods: We carried out a cross-sectional study among children in their fourth elementary school year, with a median-age of 10 years. The study was carried out in Mainz (Germany), a city with about 200,000 inhabitants. The study base comprised all 37 primary schools in Mainz and near surroundings. Altogether, 1933 children from 34 primary schools took part in the survey (participation rate of 87.8%). Results: Roughly a third of all children (n = 671, 34.7%) reported to own a cellular telephone. Overall, 119 (6.2%) children used a cellular telephone for making calls at least once a day, 123 (6.4%) used it several times a week and 876 (45.3%) children used it only once in a while. The remaining 805 (41.6%) children had never used a cellular telephone. The probability of owning a cellular telephone among children was associated with older age, being male, having no siblings, giving full particulars to height and weight, more time spent watching TV and playing computer games, being picked up by their parents from school by car (instead of walking or cycling) and going to bed late. The proportion of cellular telephone owners was somewhat higher in classes with more children from socially disadvantaged families. Conclusions: Our study shows that both ownership of a cellular telephone as well as the regular use of it are already quite frequent among children in the fourth grade of primary school. With regard to potential long-term effects, we recommend follow-up studies with children

  5. Bundling the value of discharge telephone calls and leader rounding.

    Science.gov (United States)

    Setia, Nina; Meade, Christine

    2009-03-01

    Discharge telephone calls made by hospital staff provide invaluable opportunities to prevent adverse events, improve quality of care, and increase patient satisfaction. Similarly, the effect of rounding on patients can improve clinical quality and improve both patient and staff satisfaction. The author discusses how the combination of implementing both nurse leader rounding and discharge telephone calls simultaneously produced powerful positive outcomes in satisfaction and patient quality of care.

  6. Gnss Geodetic Monitoring as Support of Geodynamics Research in Colombia, South America

    Science.gov (United States)

    Mora-Paez, H.; Acero-Patino, N.; Rodriguez-Zuluaga, J. S.; Diederix, H.; Bohorquez-Orozco, O. P.; Martinez-Diaz, G. P.; Diaz-Mila, F.; Giraldo-Londono, L. S.; Cardozo-Giraldo, S.; Vasquez-Ospina, A. F.; Lizarazo, S. C.

    2013-05-01

    To support the geodynamics research at the northwestern corner of South America, GEORED, the acronym for "Geodesia: Red de Estudios de Deformación" has been adopted for the Project "Implementation of the National GNSS Network for Geodynamics" carried out by the Colombian Geological Survey, (SGC), formerly INGEOMINAS. Beginning in 2007, discussions within the GEORED group led to a master plan for the distribution of the base permanent GPS/GNSS station array and specific areas of interest for campaign site construction. The use of previously identified active faults as preferred structures along which stresses are transferred through the deformational area led to the idea of segmentation of the North Andes within Colombia into 20 tectonic sub-blocks. Each of the 20 sub-blocks is expected to have, at least, three-four permanent GPS/GNSS stations within the block along with construction of campaign sites along the boundaries. Currently, the GEORED Network is managing 46 continuously including: 40 GEORED GPS/GNSS continuously operating stations; 4 GNSS continuously operating stations provided by the COCONet (Continuously Operating Caribbean GPS Observational Network) Project; the Bogotá IGS GPS station (BOGT), installed in 1994 under the agreement between JPL-NASA and the SGC; and the San Andres Island station, installed in 2007 under the MOU between UCAR and the SGC. In addition to the permanent installations, more than 230 GPS campaign sites have been constructed and are being occupied one time per year. The Authority of the Panama Canal and the Escuela Politecnica de Quito have also provided data of 4 and 5 GPS/GNSS stations respectively. The GPS data are processed using the GIPSY-OASIS II software, and the GPS time series of daily station positions give fundamental information for both regional and local geodynamics studies. Until now, we have obtained 100 quality vector velocities for Colombia, 23 of them as part of the permanent network. The GPS/GNSS stations

  7. Activity Monitors as Support for Older Persons' Physical Activity in Daily Life: Qualitative Study of the Users' Experiences.

    Science.gov (United States)

    Ehn, Maria; Eriksson, Lennie Carlén; Åkerberg, Nina; Johansson, Ann-Christin

    2018-02-01

    Falls are a major threat to the health and independence of seniors. Regular physical activity (PA) can prevent 40% of all fall injuries. The challenge is to motivate and support seniors to be physically active. Persuasive systems can constitute valuable support for persons aiming at establishing and maintaining healthy habits. However, these systems need to support effective behavior change techniques (BCTs) for increasing older adults' PA and meet the senior users' requirements and preferences. Therefore, involving users as codesigners of new systems can be fruitful. Prestudies of the user's experience with similar solutions can facilitate future user-centered design of novel persuasive systems. The aim of this study was to investigate how seniors experience using activity monitors (AMs) as support for PA in daily life. The addressed research questions are as follows: (1) What are the overall experiences of senior persons, of different age and balance function, in using wearable AMs in daily life?; (2) Which aspects did the users perceive relevant to make the measurements as meaningful and useful in the long-term perspective?; and (3) What needs and requirements did the users perceive as more relevant for the activity monitors to be useful in a long-term perspective? This qualitative interview study included 8 community-dwelling older adults (median age: 83 years). The participants' experiences in using two commercial AMs together with tablet-based apps for 9 days were investigated. Activity diaries during the usage and interviews after the usage were exploited to gather user experience. Comments in diaries were summarized, and interviews were analyzed by inductive content analysis. The users (n=8) perceived that, by using the AMs, their awareness of own PA had increased. However, the AMs' impact on the users' motivation for PA and activity behavior varied between participants. The diaries showed that self-estimated physical effort varied between participants and

  8. Intermittent pacemaker dysfunction caused by digital mobile telephones.

    Science.gov (United States)

    Naegeli, B; Osswald, S; Deola, M; Burkart, F

    1996-05-01

    This study was designed to evaluate possible interactions between digital mobile telephones and implanted pacemakers. Electromagnetic fields may interfere with normal pacemaker function. Development of bipolar sensing leads and modern noise filtering techniques have lessened this problem. However, it remains unclear whether these features also protect from high frequency noise arising from digital cellular phones. In 39 patients with an implanted pacemaker (14 dual-chamber [DDD], 8 atrial-synchronized ventricular-inhibited [VDD(R)] and 17 ventricular-inhibited [VVI(R)] pacemakers), four mobile phones with different levels of power output (2 and 8 W) were tested in the standby, dialing and operating mode. During continuous electrocardiographic monitoring, 672 tests were performed in each mode with the phones positioned over the pulse generator, the atrial and the ventricular electrode tip. The tests were carried out at different sensitivity settings and, where possible, in the unipolar and bipolar pacing modes as well. In 7 (18%) of 39 patients, a reproducible interference was induced during 26 (3.9%) of 672 tests with the operating phones in close proximity (phone and at maximal sensitivity of the pacemakers (maximal vs. nominal sensitivity, 6% vs. 1.8% positive test results, p = 0.009). When the bipolar and unipolar pacing modes were compared in the same patients, ventricular inhibition was induced only in the unipolar mode (12.5% positive test results, p = 0.0003). Digital mobile phones in close proximity to implanted pacemakers may cause intermittent pacemaker dysfunction with inappropriate ventricular tracking and potentially dangerous pacemaker inhibition.

  9. Geoelectrical monitoring of simulated subsurface leakage to support high-hazard nuclear decommissioning at the Sellafield Site, UK

    Energy Technology Data Exchange (ETDEWEB)

    Kuras, Oliver, E-mail: oku@bgs.ac.uk [British Geological Survey, Keyworth, Nottingham NG12 5GG (United Kingdom); Wilkinson, Paul B.; Meldrum, Philip I.; Oxby, Lucy S. [British Geological Survey, Keyworth, Nottingham NG12 5GG (United Kingdom); Uhlemann, Sebastian [British Geological Survey, Keyworth, Nottingham NG12 5GG (United Kingdom); ETH-Swiss Federal Institute of Technology, Institute of Geophysics, Sonneggstr. 5, 8092 Zurich (Switzerland); Chambers, Jonathan E. [British Geological Survey, Keyworth, Nottingham NG12 5GG (United Kingdom); Binley, Andrew [Lancaster Environment Centre, Lancaster University, Lancaster LA1 4YQ (United Kingdom); Graham, James [National Nuclear Laboratory, Central Laboratory, Sellafield, Seascale, Cumbria CA20 1PG (United Kingdom); Smith, Nicholas T. [National Nuclear Laboratory, Central Laboratory, Sellafield, Seascale, Cumbria CA20 1PG (United Kingdom); School of Earth, Atmospheric and Environmental Sciences, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL (United Kingdom); Atherton, Nick [Sellafield Ltd, Albion Square, Swingpump Lane, Whitehaven CA28 7NE (United Kingdom)

    2016-10-01

    A full-scale field experiment applying 4D (3D time-lapse) cross-borehole Electrical Resistivity Tomography (ERT) to the monitoring of simulated subsurface leakage was undertaken at a legacy nuclear waste silo at the Sellafield Site, UK. The experiment constituted the first application of geoelectrical monitoring in support of decommissioning work at a UK nuclear licensed site. Images of resistivity changes occurring since a baseline date prior to the simulated leaks revealed likely preferential pathways of silo liquor simulant flow in the vadose zone and upper groundwater system. Geophysical evidence was found to be compatible with historic contamination detected in permeable facies in sediment cores retrieved from the ERT boreholes. Results indicate that laterally discontinuous till units forming localized hydraulic barriers substantially affect flow patterns and contaminant transport in the shallow subsurface at Sellafield. We conclude that only geophysical imaging of the kind presented here has the potential to provide the detailed spatial and temporal information at the (sub-)meter scale needed to reduce the uncertainty in models of subsurface processes at nuclear sites. - Graphical abstract: 3D fractional resistivity change (resistivity change Δρ divided by baseline resistivity ρ{sub 0}) image showing results of Stage 1 silo liquor simulant injection. The black line delineates the preferential flow path; green cylinders show regions of historic contamination found in sediment cores from ERT boreholes. - Highlights: • 4D geoelectrical monitoring at Sellafield detected and tracked simulated silo leaks. • ERT revealed likely pathways of silo liquor simulant flow in the subsurface. • The method can reduce uncertainty in subsurface process models at nuclear sites. • Has been applied in this form at a UK nuclear licensed site for the first time • Study demonstrates value of 4D geophysics for nuclear decommissioning.

  10. Geoelectrical monitoring of simulated subsurface leakage to support high-hazard nuclear decommissioning at the Sellafield Site, UK.

    Science.gov (United States)

    Kuras, Oliver; Wilkinson, Paul B; Meldrum, Philip I; Oxby, Lucy S; Uhlemann, Sebastian; Chambers, Jonathan E; Binley, Andrew; Graham, James; Smith, Nicholas T; Atherton, Nick

    2016-10-01

    A full-scale field experiment applying 4D (3D time-lapse) cross-borehole Electrical Resistivity Tomography (ERT) to the monitoring of simulated subsurface leakage was undertaken at a legacy nuclear waste silo at the Sellafield Site, UK. The experiment constituted the first application of geoelectrical monitoring in support of decommissioning work at a UK nuclear licensed site. Images of resistivity changes occurring since a baseline date prior to the simulated leaks revealed likely preferential pathways of silo liquor simulant flow in the vadose zone and upper groundwater system. Geophysical evidence was found to be compatible with historic contamination detected in permeable facies in sediment cores retrieved from the ERT boreholes. Results indicate that laterally discontinuous till units forming localized hydraulic barriers substantially affect flow patterns and contaminant transport in the shallow subsurface at Sellafield. We conclude that only geophysical imaging of the kind presented here has the potential to provide the detailed spatial and temporal information at the (sub-)meter scale needed to reduce the uncertainty in models of subsurface processes at nuclear sites. Copyright © 2016 British Geological Survey, NERC. Published by Elsevier B.V. All rights reserved.

  11. Design of Online Monitoring and Fault Diagnosis System for Belt Conveyors Based on Wavelet Packet Decomposition and Support Vector Machine

    Directory of Open Access Journals (Sweden)

    Wei Li

    2013-01-01

    Full Text Available Belt conveyors are the equipment widely used in coal mines and other manufacturing factories, whose main components are a number of idlers. The faults of belt conveyors can directly influence the daily production. In this paper, a fault diagnosis method combining wavelet packet decomposition (WPD and support vector machine (SVM is proposed for monitoring belt conveyors with the focus on the detection of idler faults. Since the number of the idlers could be large, one acceleration sensor is applied to gather the vibration signals of several idlers in order to reduce the number of sensors. The vibration signals are decomposed with WPD, and the energy of each frequency band is extracted as the feature. Then, the features are employed to train an SVM to realize the detection of idler faults. The proposed fault diagnosis method is firstly tested on a testbed, and then an online monitoring and fault diagnosis system is designed for belt conveyors. An experiment is also carried out on a belt conveyor in service, and it is verified that the proposed system can locate the position of the faulty idlers with a limited number of sensors, which is important for operating belt conveyors in practices.

  12. Simplified Automated Image Analysis for Detection and Phenotyping of Mycobacterium tuberculosis on Porous Supports by Monitoring Growing Microcolonies

    Science.gov (United States)

    den Hertog, Alice L.; Visser, Dennis W.; Ingham, Colin J.; Fey, Frank H. A. G.; Klatser, Paul R.; Anthony, Richard M.

    2010-01-01

    Background Even with the advent of nucleic acid (NA) amplification technologies the culture of mycobacteria for diagnostic and other applications remains of critical importance. Notably microscopic observed drug susceptibility testing (MODS), as opposed to traditional culture on solid media or automated liquid culture, has shown potential to both speed up and increase the provision of mycobacterial culture in high burden settings. Methods Here we explore the growth of Mycobacterial tuberculosis microcolonies, imaged by automated digital microscopy, cultured on a porous aluminium oxide (PAO) supports. Repeated imaging during colony growth greatly simplifies “computer vision” and presumptive identification of microcolonies was achieved here using existing publically available algorithms. Our system thus allows the growth of individual microcolonies to be monitored and critically, also to change the media during the growth phase without disrupting the microcolonies. Transfer of identified microcolonies onto selective media allowed us, within 1-2 bacterial generations, to rapidly detect the drug susceptibility of individual microcolonies, eliminating the need for time consuming subculturing or the inoculation of multiple parallel cultures. Significance Monitoring the phenotype of individual microcolonies as they grow has immense potential for research, screening, and ultimately M. tuberculosis diagnostic applications. The method described is particularly appealing with respect to speed and automation. PMID:20544033

  13. Simplified automated image analysis for detection and phenotyping of Mycobacterium tuberculosis on porous supports by monitoring growing microcolonies.

    Directory of Open Access Journals (Sweden)

    Alice L den Hertog

    Full Text Available BACKGROUND: Even with the advent of nucleic acid (NA amplification technologies the culture of mycobacteria for diagnostic and other applications remains of critical importance. Notably microscopic observed drug susceptibility testing (MODS, as opposed to traditional culture on solid media or automated liquid culture, has shown potential to both speed up and increase the provision of mycobacterial culture in high burden settings. METHODS: Here we explore the growth of Mycobacterial tuberculosis microcolonies, imaged by automated digital microscopy, cultured on a porous aluminium oxide (PAO supports. Repeated imaging during colony growth greatly simplifies "computer vision" and presumptive identification of microcolonies was achieved here using existing publically available algorithms. Our system thus allows the growth of individual microcolonies to be monitored and critically, also to change the media during the growth phase without disrupting the microcolonies. Transfer of identified microcolonies onto selective media allowed us, within 1-2 bacterial generations, to rapidly detect the drug susceptibility of individual microcolonies, eliminating the need for time consuming subculturing or the inoculation of multiple parallel cultures. SIGNIFICANCE: Monitoring the phenotype of individual microcolonies as they grow has immense potential for research, screening, and ultimately M. tuberculosis diagnostic applications. The method described is particularly appealing with respect to speed and automation.

  14. Impact of Sport Context and Support on the Use of a Self-Report Measure for Athlete Monitoring

    Directory of Open Access Journals (Sweden)

    Anna E. Saw, Luana C. Main, Paul B. Gastin

    2015-12-01

    Full Text Available Athlete self-report measures (ASRM are a popular method of athlete monitoring in high-performance sports. With increasing recognition and accessibility, ASRM may potentially be utilized by athletes from diverse sport contexts. The purpose of the present study was to improve understanding of ASRM implementation across different sport contexts by observing uptake and compliance of a newly implemented ASRM over 16 weeks, and investigating the perceived roles and factors influencing implementation. Athletes (n=131 completed an electronic survey at baseline and week 16 on their perceptions and experiences with ASRM implementation respectively. Despite initial interest, only 70 athletes attempted to use the ASRM. Of these athletes, team sport athletes who were supported by their coach or sports program to use the ASRM were most compliant (p < 0.001 with a mean compliance of 84 ± 21 %. Compliance for self-directed individual and team sport athletes was 28 ± 40 % and 8 ± 18 % respectively. Self-directed athletes were motivated to monitor themselves, and rated desired content and minimal burden as key factors for initial and ongoing compliance. Supported athletes were primarily motivated to comply for the benefit of their coach or sports program rather than themselves, however rated data output as a key factor for their continued use. Factors of the measure outweighed those of the social environment regardless of sport context, however the influence of social environmental factors should not be discounted. The findings of the present study demonstrate the impact of sport context on the implementation of an ASRM and the need to tailor implementation strategies accordingly.

  15. Effects of Using Licensed Practical Nurses to Assist with Telephone Consultation Management

    National Research Council Canada - National Science Library

    Wiley, Jennifer L

    2006-01-01

    .... The study compared means of pre- and post-implementation provider overall job satisfaction, provider satisfaction with the telephone consult process, average daily hours providers spent on telephone...

  16. A qualitative case study of telehealth for in-home monitoring to support the management of type 2 diabetes.

    Science.gov (United States)

    Carlisle, Karen; Warren, Robin

    2013-10-01

    The present study formed part of a randomised controlled trial of telehealth for in-home monitoring to support people with poorly controlled type 2 diabetes. We explored the experiences of patients and healthcare practitioners, and their perceptions of the telehealth model of care used in the trial. In addition to their usual diabetes care, participants receive diabetes care from a diabetes educator nurse via an in-home broadband communication device. On average, each patient participated in 14 videoconferences with a diabetes care coordinator during the 12-month trial period. Qualitative data was collected from two general practices and included semi-structured interviews and document review of patient clinical notes. A total of 12 people were interviewed: 8 health practitioners and 4 patients. Patients and health practitioners expressed a high level of satisfaction with the model of care provided. Patients also reported positive health and social outcomes as a result of being involved in the trial and indicated that in the main they had achieved their goals and were happy with their progress over the 12-month period. Analysis of interviews revealed three broad elements associated with the implementation of telehealth: interpersonal factors, operational problems and the wider health system context within which the general practices and trial team were operating. The findings suggest that adopting telehealth in the management of type 2 diabetes can lead to improved diabetes control, but more support is required to ensure sustainability and widespread implementation.

  17. Patient-Provider Communication: Does Electronic Messaging Reduce Incoming Telephone Calls?

    Science.gov (United States)

    Dexter, Eve N; Fields, Scott; Rdesinski, Rebecca E; Sachdeva, Bhavaya; Yamashita, Daisuke; Marino, Miguel

    2016-01-01

    Internet-based patient portals are increasingly being implemented throughout health care organizations to enhance health and optimize communication between patients and health professionals. The decision to adopt a patient portal requires careful examination of the advantages and disadvantages of implementation. This study aims to investigate 1 proposed advantage of implementation: alleviating some of the clinical workload faced by employees. A retrospective time-series analysis of the correlation between the rate of electronic patient-to-provider messages-a common attribute of Internet-based patient portals-and incoming telephone calls. The rate of electronic messages and incoming telephone calls were monitored from February 2009 to June 2014 at 4 economically diverse clinics (a federally qualified health center, a rural health clinic, a community-based clinic, and a university-based clinic) related to 1 university hospital. All 4 clinics showed an increase in the rate of portal use as measured by electronic patient-to-provider messaging during the study period. Electronic patient-to-provider messaging was significantly positively correlated with incoming telephone calls at 2 of the clinics (r = 0.546, P electronic patient-to-provider messaging was associated with increased use of telephone calls in 2 of the study clinics. While practices are increasingly making the decision of whether to implement a patient portal as part of their system of care, it is important that the motivation behind such a change not be based on the idea that it will alleviate clinical workload. © Copyright 2016 by the American Board of Family Medicine.

  18. Bandwidth Extension of Telephone Speech Aided by Data Embedding

    Directory of Open Access Journals (Sweden)

    Sagi Ariel

    2007-01-01

    Full Text Available A system for bandwidth extension of telephone speech, aided by data embedding, is presented. The proposed system uses the transmitted analog narrowband speech signal as a carrier of the side information needed to carry out the bandwidth extension. The upper band of the wideband speech is reconstructed at the receiving end from two components: a synthetic wideband excitation signal, generated from the narrowband telephone speech and a wideband spectral envelope, parametrically represented and transmitted as embedded data in the telephone speech. We propose a novel data embedding scheme, in which the scalar Costa scheme is combined with an auditory masking model allowing high rate transparent embedding, while maintaining a low bit error rate. The signal is transformed to the frequency domain via the discrete Hartley transform (DHT and is partitioned into subbands. Data is embedded in an adaptively chosen subset of subbands by modifying the DHT coefficients. In our simulations, high quality wideband speech was obtained from speech transmitted over a telephone line (characterized by spectral magnitude distortion, dispersion, and noise, in which side information data is transparently embedded at the rate of 600 information bits/second and with a bit error rate of approximately . In a listening test, the reconstructed wideband speech was preferred (at different degrees over conventional telephone speech in of the test utterances.

  19. Bandwidth Extension of Telephone Speech Aided by Data Embedding

    Directory of Open Access Journals (Sweden)

    David Malah

    2007-01-01

    Full Text Available A system for bandwidth extension of telephone speech, aided by data embedding, is presented. The proposed system uses the transmitted analog narrowband speech signal as a carrier of the side information needed to carry out the bandwidth extension. The upper band of the wideband speech is reconstructed at the receiving end from two components: a synthetic wideband excitation signal, generated from the narrowband telephone speech and a wideband spectral envelope, parametrically represented and transmitted as embedded data in the telephone speech. We propose a novel data embedding scheme, in which the scalar Costa scheme is combined with an auditory masking model allowing high rate transparent embedding, while maintaining a low bit error rate. The signal is transformed to the frequency domain via the discrete Hartley transform (DHT and is partitioned into subbands. Data is embedded in an adaptively chosen subset of subbands by modifying the DHT coefficients. In our simulations, high quality wideband speech was obtained from speech transmitted over a telephone line (characterized by spectral magnitude distortion, dispersion, and noise, in which side information data is transparently embedded at the rate of 600 information bits/second and with a bit error rate of approximately 3⋅10−4. In a listening test, the reconstructed wideband speech was preferred (at different degrees over conventional telephone speech in 92.5% of the test utterances.

  20. Can smartphones enhance telephone-based cognitive assessment (TBCA)?

    Science.gov (United States)

    Kwan, Rick Yiu-Cho; Lai, Claudia Kam-Yuk

    2013-12-12

    TBCA has emerged to solve the limitations of administering cognitive assessments face-to-face. The recent development of telephones and knowledge advances in the area of cognitive impairment may affect the development of TBCA. The purpose of this paper is to discuss how smartphones can be used to enhance the applicability of TBCA, which has previously been administered by conventional telephone. This paper will first review, describe and critique the existing TBCA instruments. It will then discuss the recent developments in tele-technology, the popularity of tele-technology among the elderly, potential benefits and challenges in using smartphones for cognitive assessment, and possible future developments in this technology. In the systematic review, eighteen TBCA instruments were identified. They were found to be valid in differentiating between people with and without dementia. TBCA was previously found to be launched on a conventional telephone platform. The advances in understanding of cognitive impairment may demand that telephones be equipped with more advanced features. Recently, the development and penetration of smartphones among the elderly has been rapid. This may allow the smartphone to enhance its TBCA applicability by overcoming the limitations of the conventional telephone, rendering the TBCA more efficient in addressing the increasing demand and complexity of cognitive assessments in the future. However, more research and technology developments are needed before smartphones can become a valid platform for TBCA.

  1. Can Smartphones Enhance Telephone-Based Cognitive Assessment (TBCA?

    Directory of Open Access Journals (Sweden)

    Rick Yiu-Cho Kwan

    2013-12-01

    Full Text Available TBCA has emerged to solve the limitations of administering cognitive assessments face-to-face. The recent development of telephones and knowledge advances in the area of cognitive impairment may affect the development of TBCA. The purpose of this paper is to discuss how smartphones can be used to enhance the applicability of TBCA, which has previously been administered by conventional telephone. This paper will first review, describe and critique the existing TBCA instruments. It will then discuss the recent developments in tele-technology, the popularity of tele-technology among the elderly, potential benefits and challenges in using smartphones for cognitive assessment, and possible future developments in this technology. In the systematic review, eighteen TBCA instruments were identified. They were found to be valid in differentiating between people with and without dementia. TBCA was previously found to be launched on a conventional telephone platform. The advances in understanding of cognitive impairment may demand that telephones be equipped with more advanced features. Recently, the development and penetration of smartphones among the elderly has been rapid. This may allow the smartphone to enhance its TBCA applicability by overcoming the limitations of the conventional telephone, rendering the TBCA more efficient in addressing the increasing demand and complexity of cognitive assessments in the future. However, more research and technology developments are needed before smartphones can become a valid platform for TBCA.

  2. Scalable decision support at the point of care: a substitutable electronic health record app for monitoring medication adherence.

    Science.gov (United States)

    Bosl, William; Mandel, Joshua; Jonikas, Magdalena; Ramoni, Rachel Badovinac; Kohane, Isaac S; Mandl, Kenneth D

    2013-07-22

    of future adherence on a clinician-facing Web interface. The user interface allows the physician to quickly review all medications in a patient record for potential non-adherence problems. A gap-check and current medication possession ratio (MPR) threshold test are applied to all medications in the record to test for current non-adherence. Predictions of 1-year non-adherence are made for certain drug classes for which external data was available. Information is presented graphically to indicate present non-adherence, or predicted non-adherence at one year, based on early prescription fulfillment patterns. The MPR Monitor app is installed in the SMART reference container as the "MPR Monitor", where it is publically available for use and testing. MPR is an acronym for Medication Possession Ratio, a commonly used measure of adherence to a prescribed medication regime. This app may be used as an example for creating additional functionality by replacing statistical and display algorithms with new code in a cycle of rapid prototyping and implementation or as a framework for a new SMART app. The MPR Monitor app is a useful pilot project for monitoring medication adherence. It also provides an example that integrates several open source software components, including the Python-based Django Web framework and python-based graphics, to build a SMART app that allows complex decision support methods to be encapsulated to enhance EHR functionality.

  3. An approach to integrate spatial and climatological data as support to drought monitoring and agricultural management problems in South Sudan

    Science.gov (United States)

    Bonetto, Sabrina; Facello, Anna; Camaro, Walther; Isotta Cristofori, Elena; Demarchi, Alessandro

    2016-04-01

    Drought is a natural hazard characterized by an abnormally dry event in the hydrological cycle caused by insufficient precipitation over an extended period of time, which affects more people than any other natural disaster and results in social, economic and environmental costs. In Africa, the economic system is based primarily on natural resources for example farming. For this reason, climate variability and events such as drought are phenomena that can represent significant disturbances and threats in the agricultural systems. In particular, this study concerns the monitoring of environmental changes in the south sector of South Sudan. The climate and environment in the South Sudan have shown localised changes during the course of this century and recurrent wars and droughts in the last years determined a large food-crisis. Actually, the security situation is stabilised with sporadic fighting concentrated in Jonglei, Unity and Upper Nile States. With the stabilisation of the conflict, many refugees have returned to their regions, trying to recover the economic structure based mainly on agriculture. For this reason, it is important to monitoring and analysis the vegetation and drought trend over the last years to support agricultural development and food security, in particular in post-conflict areas. This study focuses on the analysis of the relationship between the temporal variations of state of vegetation and the precipitation patterns. A historical analysis of the vegetation behaviour (NDVI) and the drought during the year is developed. In addition, with the aim to identify the wet and dry seasons, an analysis of precipitation is performed. Based on the vegetation and precipitation trends obtained, it is possible to characterize the best areas to start an agricultural system, giving priority to certain areas in order to plan the land use for agricultural purposes and programming crop (which and where). Consequently, with the aim to identify possible

  4. Interactive Genetic Algorithm - An Adaptive and Interactive Decision Support Framework for Design of Optimal Groundwater Monitoring Plans

    Science.gov (United States)

    Babbar-Sebens, M.; Minsker, B. S.

    2006-12-01

    In the water resources management field, decision making encompasses many kinds of engineering, social, and economic constraints and objectives. Representing all of these problem dependant criteria through models (analytical or numerical) and various formulations (e.g., objectives, constraints, etc.) within an optimization- simulation system can be a very non-trivial issue. Most models and formulations utilized for discerning desirable traits in a solution can only approximate the decision maker's (DM) true preference criteria, and they often fail to consider important qualitative and incomputable phenomena related to the management problem. In our research, we have proposed novel decision support frameworks that allow DMs to actively participate in the optimization process. The DMs explicitly indicate their true preferences based on their subjective criteria and the results of various simulation models and formulations. The feedback from the DMs is then used to guide the search process towards solutions that are "all-rounders" from the perspective of the DM. The two main research questions explored in this work are: a) Does interaction between the optimization algorithm and a DM assist the system in searching for groundwater monitoring designs that are robust from the DM's perspective?, and b) How can an interactive search process be made more effective when human factors, such as human fatigue and cognitive learning processes, affect the performance of the algorithm? The application of these frameworks on a real-world groundwater long-term monitoring (LTM) case study in Michigan highlighted the following salient advantages: a) in contrast to the non-interactive optimization methodology, the proposed interactive frameworks were able to identify low cost monitoring designs whose interpolation maps respected the expected spatial distribution of the contaminants, b) for many same-cost designs, the interactive methodologies were able to propose multiple alternatives

  5. Computerized clinical decision support systems for therapeutic drug monitoring and dosing: A decision-maker-researcher partnership systematic review

    Directory of Open Access Journals (Sweden)

    Weise-Kelly Lorraine

    2011-08-01

    Full Text Available Abstract Background Some drugs have a narrow therapeutic range and require monitoring and dose adjustments to optimize their efficacy and safety. Computerized clinical decision support systems (CCDSSs may improve the net benefit of these drugs. The objective of this review was to determine if CCDSSs improve processes of care or patient outcomes for therapeutic drug monitoring and dosing. Methods We conducted a decision-maker-researcher partnership systematic review. Studies from our previous review were included, and new studies were sought until January 2010 in MEDLINE, EMBASE, Evidence-Based Medicine Reviews, and Inspec databases. Randomized controlled trials assessing the effect of a CCDSS on process of care or patient outcomes were selected by pairs of independent reviewers. A study was considered to have a positive effect (i.e., CCDSS showed improvement if at least 50% of the relevant study outcomes were statistically significantly positive. Results Thirty-three randomized controlled trials were identified, assessing the effect of a CCDSS on management of vitamin K antagonists (14, insulin (6, theophylline/aminophylline (4, aminoglycosides (3, digoxin (2, lidocaine (1, or as part of a multifaceted approach (3. Cluster randomization was rarely used (18% and CCDSSs were usually stand-alone systems (76% primarily used by physicians (85%. Overall, 18 of 30 studies (60% showed an improvement in the process of care and 4 of 19 (21% an improvement in patient outcomes. All evaluable studies assessing insulin dosing for glycaemic control showed an improvement. In meta-analysis, CCDSSs for vitamin K antagonist dosing significantly improved time in therapeutic range. Conclusions CCDSSs have potential for improving process of care for therapeutic drug monitoring and dosing, specifically insulin and vitamin K antagonist dosing. However, studies were small and generally of modest quality, and effects on patient outcomes were uncertain, with no convincing

  6. Telephone based weight loss intervention: Relevance for developing countries.

    Science.gov (United States)

    Ayisi Addo, Sandra; Steiner-Asiedu, Matilda

    2018-02-08

    Obesity is a major public health challenge not only for developed but developing countries as well. The World Health Organization recommends the immediate use of effective, efficient and widely accessible weight loss interventions. Telephone based weight loss intervention could provide a cheaper and wider reach of obese participants. Previous systematic reviews on telephone based weight loss interventions either excluded studies that had obese participants with co-morbidities or were silent on their inclusion. Obese/overweight individuals with co-morbidities constitute an important population in any weight loss intervention study due to the strong association of obesity with major chronic health conditions. This paper, reviews the efficacy of telephone based weight loss intervention solely in overweight/obese individuals with obesity related diseases and discusses its relevance for developing countries.

  7. Cordless telephone use: implications for mobile phone research.

    Science.gov (United States)

    Redmayne, Mary; Inyang, Imo; Dimitriadis, Christina; Benke, Geza; Abramson, Michael J

    2010-04-01

    Cordless and mobile (cellular) telephone use has increased substantially in recent years causing concerns about possible health effects. This has led to much epidemiological research, but the usual focus is on mobile telephone radiofrequency (RF) exposure only despite cordless RF being very similar. Access to and use of cordless phones were included in the Mobile Radiofrequency Phone Exposed Users Study (MoRPhEUS) of 317 Year 7 students recruited from Melbourne, Australia. Participants completed an exposure questionnaire-87% had a cordless phone at home and 77% owned a mobile phone. There was a statistically significant positive relationship (r = 0.38, p < 0.01) between cordless and mobile phone use. Taken together, this increases total RF exposure and its ratio in high-to-low mobile users. Therefore, the design and analysis of future epidemiological telecommunication studies need to assess cordless phone exposure to accurately evaluate total RF telephone exposure effects.

  8. Validation of a telephone screening test for Alzheimer's disease.

    Science.gov (United States)

    Camozzato, Ana Luiza; Kochhann, Renata; Godinho, Claudia; Costa, Amanda; Chaves, Marcia L

    2011-03-01

    Financial constraints, mobility issues, medical conditions, crime in local areas can make cognitive assessment difficult for elders and telephone interviews can be a good alternative. This study was carried out to evaluate the reliability, validity and clinical utility of a Brazilian telephone version of the Mini Mental State Examination (Braztel-MMSE) in a community sample of healthy elderly participants and AD patients. The MMSE and the Braztel-MMSE were applied to 66 AD patients and 67 healthy elderly participants. The test-retest reliability was strong and significant (r = .92, p = .01), and the correlation between the Braztel-MMSE and the MMSE were significant (p = .01) and strong (r = .92). The general screening ability of the Braztel-MMSE was high (AUC = 0.982; CI95% = 0.964-1.001). This telephone version can therefore be used as a screening measure for dementia in older adults that need neuropsychological screening and cannot present for an evaluation.

  9. Using smartphones to decrease substance use via self-monitoring and recovery support: study protocol for a randomized control trial.

    Science.gov (United States)

    Scott, Christy K; Dennis, Michael L; Gustafson, David H

    2017-08-10

    Alcohol abuse, other substance use disorders, and risk behaviors associated with the human immunodeficiency virus (HIV) represent three of the top 10 modifiable causes of mortality in the US. Despite evidence that continuing care is effective in sustaining recovery from substance use disorders and associated behaviors, patients rarely receive it. Smartphone applications (apps) have been effective in delivering continuing care to patients almost anywhere and anytime. This study tests the effectiveness of two components of such apps: ongoing self-monitoring through Ecological Momentary Assessments (EMAs) and immediate recovery support through Ecological Momentary Interventions (EMIs). The target population, adults enrolled in substance use disorder treatment (n = 400), are being recruited from treatment centers in Chicago and randomly assigned to one of four conditions upon discharge in a 2 × 2 factorial design. Participants receive (1) EMAs only, (2) EMIs only, (3) combined EMAs + EMIs, or (4) a control condition without EMA or EMI for 6 months. People in the experimental conditions receive smartphones with the apps (EMA and/or EMI) specific to their condition. Phones alert participants in the EMA and EMA + EMI conditions at five random times per day and present participants with questions about people, places, activities, and feelings that they experienced in the past 30 min and whether these factors make them want to use substances, support their recovery, or have no impact. Those in the EMI and EMA + EMI conditions have continual access to a suite of support services. In the EMA + EMI condition, participants are prompted to use the EMI(s) when responses to the EMA(s) indicate risk. All groups have access to recovery support as usual. The primary outcome is days of abstinence from alcohol and other drugs. Secondary outcomes are number of HIV risk behaviors and whether abstinence mediates the effects of EMA, EMI, or EMA + EMI on HIV

  10. Educação e monitorização por telefone de pacientes com insuficiência cardíaca: ensaio clínico randomizado Educación y monitoreo por teléfono de pacientes con insuficiencia cardíaca: ensayo clínico randomizado Education and telephone monitoring by nurses of patients with heart failure: randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Fernanda B Domingues

    2011-03-01

    morbidity and mortality. However, combining intra-hospital education with telephone contact after hospital discharge has been little explored. OBJECTIVE: To compare two nursing intervention groups among patients hospitalized due to decompensated HF: the intervention group (IG received educational nursing intervention during hospitalization followed by telephone monitoring after discharge and the control group (CG received in-hospital intervention only. Outcomes were levels of HF and self-care knowledge, the frequency of visits to the emergency room, rehospitalizations and deaths in a three-month period. METHODS: Randomized clinical trial. We studied adult HF patients with left ventricle ejection fraction (LVEF < 45% who could be contacted by telephone after discharge. HF awareness was evaluated through a standardized questionnaire that also included questions regarding self-care knowledge, which was answered during the hospitalization period and three months later. For patients in the IG group contacts were made using phone calls and final interviews were conducted in both groups at end of the study. RESULTS: Forty-eight patients were assigned to the IG and 63 to the CG. Mean age (63 ± 13 years and L (around 29% were similar in the two groups. Scores for HF and self-care knowledge were similar at baseline. Three months later, both groups showed significantly improved HF awareness and self-care knowledge scores (P < 0.001. Other outcomes were similar. CONCLUSION: An in-hospital educational nursing intervention benefitted all HF patients in understanding their disease, regardless of telephone contact after discharge.

  11. Maintenance of the telephone exchange in building 40

    CERN Multimedia

    2006-01-01

    In order to secure the power supply of the telephone exchange in building 40, a maintenance will be done on the 18th of December from 7.30 am to 8 am. During this intervention, the fixed telephony services in building 39 and 40 will be interrupted. The fixed telephony services in other CERN buildings won't be affected by this maintenance. The mobile telephony services (GSM) won't be affected. For more details, please send your questions to Standard.Telephone@cern.ch Telecom Services IT/CS

  12. Tumour risk associated with use of cellular telephones or cordless desktop telephones

    Directory of Open Access Journals (Sweden)

    Söderqvist Fredrik

    2006-10-01

    Full Text Available Abstract Background The use of cellular and cordless telephones has increased dramatically during the last decade. There is concern of health problems such as malignant diseases due to microwave exposure during the use of these devices. The brain is the main target organ. Methods Since the second part of the 1990's we have performed six case-control studies on this topic encompassing use of both cellular and cordless phones as well as other exposures. Three of the studies concerned brain tumours, one salivary gland tumours, one non-Hodgkin lymphoma (NHL and one testicular cancer. Exposure was assessed by self-administered questionnaires. Results Regarding acoustic neuroma analogue cellular phones yielded odds ratio (OR = 2.9, 95 % confidence interval (CI = 2.0–4.3, digital cellular phones OR = 1.5, 95 % CI = 1.1–2.1 and cordless phones OR = 1.5, 95 % CI = 1.04–2.0. The corresponding results were for astrocytoma grade III-IV OR = 1.7, 95 % CI = 1.3–2.3; OR = 1.5, 95 % CI = 1.2–1.9 and OR = 1.5, 95 % CI = 1.1–1.9, respectively. The ORs increased with latency period with highest estimates using > 10 years time period from first use of these phone types. Lower ORs were calculated for astrocytoma grade I-II. No association was found with salivary gland tumours, NHL or testicular cancer although an association with NHL of T-cell type could not be ruled out. Conclusion We found for all studied phone types an increased risk for brain tumours, mainly acoustic neuroma and malignant brain tumours. OR increased with latency period, especially for astrocytoma grade III-IV. No consistent pattern of an increased risk was found for salivary gland tumours, NHL, or testicular cancer.

  13. The Development of a Remote Sensor System and Decision Support Systems Architecture to Monitor Resistance Development in Transgenic Crops

    Science.gov (United States)

    Cacas, Joseph; Glaser, John; Copenhaver, Kenneth; May, George; Stephens, Karen

    2008-01-01

    The United States Environmental Protection Agency (EPA) has declared that "significant benefits accrue to growers, the public, and the environment" from the use of transgenic pesticidal crops due to reductions in pesticide usage for crop pest management. Large increases in the global use of transgenic pesticidal crops has reduced the amounts of broad spectrum pesticides used to manage pest populations, improved yield and reduced the environmental impact of crop management. A significant threat to the continued use of this technology is the evolution of resistance in insect pest populations to the insecticidal Bt toxins expressed by the plants. Management of transgenic pesticidal crops with an emphasis on conservation of Bt toxicity in field populations of insect pests is important to the future of sustainable agriculture. A vital component of this transgenic pesticidal crop management is establishing the proof of concept basic understanding, situational awareness, and monitoring and decision support system tools for more than 133650 square kilometers (33 million acres) of bio-engineered corn and cotton for development of insect resistance . Early and recent joint NASA, US EPA and ITD remote imagery flights and ground based field experiments have provided very promising research results that will potentially address future requirements for crop management capabilities.

  14. Integrated environmental monitoring and simulation system for use as a management decision support tool in urban areas.

    Science.gov (United States)

    Fatta, D; Naoum, D; Loizidou, M

    2002-04-01

    Leachates are generated as a result of water or other liquid passing through waste at a landfill site. These contaminated liquids originate from a number of sources, including the water produced during the decomposition of the waste as well as rain-fall which penetrates the waste and dissolves the material with which it comes into contact. The penetration of the rain-water depends on the nature of the landfill (e.g. surface characteristics, type and quantity of vegetation, gradient of layers, etc). The uncontrolled infiltration of leachate into the vadose (unsaturated) zone and finally into the saturated zone (groundwater) is considered to be the most serious environmental impact of a landfill. In the present paper the water flow and the pollutant transport characteristics of the Ano Liosia Landfill site in Athens (Greece) were simulated by creating a model of groundwater flows and contaminant transport. A methodology for the model is presented. The model was then integrated into the Ecosim system which is a prototype funded by the EU, (Directorate General XIII: Telematics and Environment). This is an integrated environmental monitoring and modeling system, which supports the management of environmental planning in urban areas.

  15. Study of core support barrel vibration monitoring using ex-core neutron noise analysis and fuzzy logic algorithm

    International Nuclear Information System (INIS)

    Christian, Robby; Song, Seon Ho; Kang, Hyun Gook

    2015-01-01

    The application of neutron noise analysis (NNA) to the ex-core neutron detector signal for monitoring the vibration characteristics of a reactor core support barrel (CSB) was investigated. Ex-core flux data were generated by using a nonanalog Monte Carlo neutron transport method in a simulated CSB model where the implicit capture and Russian roulette technique were utilized. First and third order beam and shell modes of CSB vibration were modeled based on parallel processing simulation. A NNA module was developed to analyze the ex-core flux data based on its time variation, normalized power spectral density, normalized cross-power spectral density, coherence, and phase differences. The data were then analyzed with a fuzzy logic module to determine the vibration characteristics. The ex-core neutron signal fluctuation was directly proportional to the CSB's vibration observed at 8Hz and15Hzin the beam mode vibration, and at 8Hz in the shell mode vibration. The coherence result between flux pairs was unity at the vibration peak frequencies. A distinct pattern of phase differences was observed for each of the vibration models. The developed fuzzy logic module demonstrated successful recognition of the vibration frequencies, modes, orders, directions, and phase differences within 0.4 ms for the beam and shell mode vibrations.

  16. Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy for Chronic Insomnia

    Science.gov (United States)

    Arnedt, J. Todd; Cuddihy, Leisha; Swanson, Leslie M.; Pickett, Scott; Aikens, James; Chervin, Ronald D.

    2013-01-01

    Study Objectives: To compare the efficacy of telephone-delivered cognitive-behavioral therapy for insomnia to an information pamphlet control on sleep and daytime functioning at pretreatment, posttreatment, and 12-wk follow-up. Design: Randomized controlled parallel trial. Setting: N/A. Participants: Thirty individuals with chronic insomnia (27 women, age 39.1 ± 14.4 years, insomnia duration 8.7 ± 10.7 years). Interventions: Cognitive behavioral therapy for insomnia (CBTI) delivered in up to eight weekly telephone sessions (CBTI-Phone, n = 15) versus an information pamphlet control (IPC, n = 15). Measurements and Results: Sleep/wake diary, sleep-related questionnaires (Insomnia Severity Index, Pittsburgh Sleep Quality Index, 16-item Dysfunctional Beliefs and Attitudes about Sleep), and daytime symptom assessments (fatigue, depression, anxiety, and quality of life) were completed at pretreatment, posttreatment, and 12-wk follow-up. Linear mixed models indicated that sleep/wake diary sleep efficiency and total sleep time improved significantly at posttreatment in both groups and remained stable at 12-wk follow-up. More CBTI-Phone than IPC patients showed posttreatment improvements in unhelpful sleep-related cognitions (P insomnia at follow-up (P insomnia. Future larger-scale studies with more diverse samples are warranted. Some individuals with insomnia may also benefit from pamphlet-delivered CBTI with brief telephone support. Citation: Arnedt JT; Cuddihy L; Swanson LM; Pickett S; Aikens J; Chervin RD. Randomized controlled trial of telephone-delivered cognitive behavioral therapy for chronic insomnia. SLEEP 2013;36(3):353-362. PMID:23450712

  17. Comparison between data obtained through real-time data capture by SMS and a retrospective telephone interview

    OpenAIRE

    Johansen, Bendt; Wedderkopp, Niels

    2010-01-01

    Abstract Background The aims of the current study were: a) to quantitatively compare data obtained by Short Message Service (SMS) with data from a telephone interview, b) to investigate whether the respondents had found it acceptable to answer the weekly two SMS questions, c) to explore whether an additional weekly third SMS question would have been acceptable, and d) to calculate the total cost of using the SMS technology. Methods SMS technology was used each week for 53 weeks to monitor 260...

  18. Baseline map of organic carbon in Australian soil to support national carbon accounting and monitoring under climate change.

    Science.gov (United States)

    Viscarra Rossel, Raphael A; Webster, Richard; Bui, Elisabeth N; Baldock, Jeff A

    2014-09-01

    We can effectively monitor soil condition-and develop sound policies to offset the emissions of greenhouse gases-only with accurate data from which to define baselines. Currently, estimates of soil organic C for countries or continents are either unavailable or largely uncertain because they are derived from sparse data, with large gaps over many areas of the Earth. Here, we derive spatially explicit estimates, and their uncertainty, of the distribution and stock of organic C in the soil of Australia. We assembled and harmonized data from several sources to produce the most comprehensive set of data on the current stock of organic C in soil of the continent. Using them, we have produced a fine spatial resolution baseline map of organic C at the continental scale. We describe how we made it by combining the bootstrap, a decision tree with piecewise regression on environmental variables and geostatistical modelling of residuals. Values of stock were predicted at the nodes of a 3-arc-sec (approximately 90 m) grid and mapped together with their uncertainties. We then calculated baselines of soil organic C storage over the whole of Australia, its states and territories, and regions that define bioclimatic zones, vegetation classes and land use. The average amount of organic C in Australian topsoil is estimated to be 29.7 t ha(-1) with 95% confidence limits of 22.6 and 37.9 t ha(-1) . The total stock of organic C in the 0-30 cm layer of soil for the continent is 24.97 Gt with 95% confidence limits of 19.04 and 31.83 Gt. This represents approximately 3.5% of the total stock in the upper 30 cm of soil worldwide. Australia occupies 5.2% of the global land area, so the total organic C stock of Australian soil makes an important contribution to the global carbon cycle, and it provides a significant potential for sequestration. As the most reliable approximation of the stock of organic C in Australian soil in 2010, our estimates have important applications. They could support

  19. 28 CFR 540.103 - Inmate telephone calls to attorneys.

    Science.gov (United States)

    2010-07-01

    ... attorneys when the inmate demonstrates that communication with attorneys by correspondence, visiting, or... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Inmate telephone calls to attorneys. 540.103 Section 540.103 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL...

  20. Telephone versus usual care in management of acute whiplash ...

    African Journals Online (AJOL)

    Whiplash associated disorder (WAD) is a common and costly condition, and recommended management includes advice to “act as usual” and exercise. Providing this treatment through a telephonic intervention may help to improve access to care, and reduce costs. This pilot study assessed: (1) the effectiveness of a ...

  1. 77 FR 34233 - Telephone Consumer Protection Act of 1991

    Science.gov (United States)

    2012-06-11

    ... initiator of the message, to be a nuisance and an invasion of privacy; and (3) individuals' privacy rights... are made by the consumer's loan servicer, because the primary motivation of the calling party is to... challenged as TCPA violations because the primary motivation appears to be sending a telephone solicitation...

  2. AIDS and condoms in Brasilia: a telephone survey.

    Science.gov (United States)

    Chequer, P; VanOss Marín, B; Paiva, L; Hudes, E S; Piazza, T; Rodrigues, L; Hearst, N

    1997-10-01

    A telephone survey was conducted to measure AIDS knowledge, media usage and condom attitudes and behaviors among 500 adults aged 18 to 49 in Brasilia, as well as to evaluate the feasibility of the telephone survey method in a developing country. The response rate was 91.6%. Respondents had good knowledge about correct modes of HIV transmission and prevention but also believed HIV was transmitted through blood donation, public toilets, swimming pools, and mosquito bites. TV and newspapers were the most important sources of information on health matters and AIDS, though health workers were considered the most credible sources of such information. Only 19% of sexual encounters in the 4 weeks prior to the survey included condoms. Single and younger respondents and those with more positive attitudes used condoms more frequently. More work is needed to identify appropriate messages to motivate people to use condoms. Telephone surveys regarding AIDS and sexual attitudes and behaviors are feasible in Brasilia, a planned community with universal telephone coverage.

  3. 47 CFR 64.1505 - Restrictions on collect telephone calls.

    Science.gov (United States)

    2010-10-01

    ... SERVICES (CONTINUED) MISCELLANEOUS RULES RELATING TO COMMON CARRIERS Interstate Pay-Per-Call and Other Information Services § 64.1505 Restrictions on collect telephone calls. (a) No common carrier shall provide interstate transmission or billing and collection services to an entity offering any service within the scope...

  4. 77 FR 66935 - Telephone Consumer Protection Act of 1991

    Science.gov (United States)

    2012-11-08

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 64 [CG Docket No. 02-278; FCC 12-21] Telephone Consumer Protection Act of 1991 AGENCY: Federal Communications Commission. ACTION: Final rule; correction...: Karen Johnson, Consumer and Governmental Affairs Bureau, Consumer Policy Division, at (202) 418- 7706 or...

  5. Willingness to Pay for Rural Telephone Services: Implications for ...

    African Journals Online (AJOL)

    Global Approaches to Extension Practice: A Journal of Agricultural Extension ... This study assessed Willingness to Pay (WTP) for rural telephone services and the implications for agricultural technology transfer in Southeast Nigeria. ... The sample was made up of 240 agro-based entrepreneurs and 60 extension staff.

  6. Short Term Group Counseling of Visually Impaired People by Telephone.

    Science.gov (United States)

    Jaureguy, Beth M.; Evans, Ron L.

    1983-01-01

    Short term group counseling via the telephone resulted in marked increases in activities of daily living among 12 legally blind veterans. Many subjects' personal coping goals were met as well, and social involvement also increased. No significant changes in levels of depression or agitation were noted. (CL)

  7. An enquiry into the prospects of mobile telephone for agricultural ...

    African Journals Online (AJOL)

    LPhidza

    KEYWORDS: Mobile phones, agricultural information, global system for mobile ... rural services (i.e. agricultural extension) more efficient and cost-effective. 2. ... adoption of mobile telephones, evaluation research has however .... Distribution of respondents by religion. Religion. Frequencies Percentages. Christian. Islam.

  8. Telephone Care Management of Fall Risk:: A Feasibility Study.

    Science.gov (United States)

    Phelan, Elizabeth A; Pence, Maureen; Williams, Barbara; MacCornack, Frederick A

    2017-03-01

    Care management has been found to be more effective than usual care for some chronic conditions, but few studies have tested care management for prevention of elder falls. This study aimed to assess the feasibility and preliminary efficacy of telephone care management of older adults presenting for medical attention due to a fall. The setting was an independent practice association in western Washington serving 1,300 Medicare Advantage-insured patients. Patients aged ≥65 years treated for a fall in an emergency department or their primary care provider's office were contacted via telephone by a care manager within 48 hours of their fall-related visit and invited to participate in a telephone-administered interview to identify modifiable fall risk factors and receive recommendations and follow-up to address identified risk factors. Data from care manager records, patient medical records, and healthcare claims for the first 6 months (November 2009-April 2010) of program implementation were analyzed in 2011. The feasibility of screening and management of fall risk factors over the telephone and the effect on medically attended falls were assessed. Twenty-two patients eligible for fall care management were reached and administered the protocol. Administration took 15-20 minutes and integrated easily with the care manager's other responsibilities. Follow-through on recommendations varied, from 45% for those for whom exercise participation was recommended to 100% for other recommendations. No medically attended falls occurred over 6 months of follow-up. Telephone care management of fall risk appears feasible and may reduce falls requiring medical attention. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  9. Emergency telephone consultations: a new course for medical students.

    Science.gov (United States)

    Schaufelberger, Mireille; Harris, Michael; Frey, Peter

    2012-12-01

    Using the telephone for consultations is now common practice. Although there is a clear need for specific training for telephone consultations, it is uncommon for it to be taught in medical school. A practical course on emergency telephone consultations (ECTs) was designed for the medical degree course at the University of Bern Medical School. During the module, each of the volunteer fifth-year medical students had to perform two simulated telephone consultations. Medical students in their first year of medical school acted as simulated patients (SPs), and they gave immediate feedback to the participants. Nineteen per cent of fifth-year students voluntarily undertook the ETC course. The course was rated 'very informative' by 68 per cent of the participants, and 'informative' by 32 per cent. Ninety-four per cent of the attendees recorded a personal learning gain, and 68 per cent suggested that the course should be obligatory. All the participants thought that the SPs played their roles realistically. In their rating of the ETC, the fifth-year students gave it a mean mark of 5.5 (out of a maximum of 6), suggesting that they thought it had been very successful. Students became aware of their need for ETC training through the course itself, and they recommended that it should be obligatory. The ETC pilot received a highly positive response from lead clinicians who anticipated a rising number of telephone consultations, and who have to deal with trainees who have not been taught about how to deal with ETCs. As a result, the Faculty of Medicine decided to make the course obligatory. © Blackwell Publishing Ltd 2012.

  10. GYNOTEL: telephone advice to gynaecological surgical patients after discharge.

    Science.gov (United States)

    Caljouw, Monique A A; Hogendorf-Burgers, Marja E H J

    2010-12-01

    To investigate in surgical gynaecological patients the types of health problems arising or persisting up to six weeks after discharge and the effectiveness of telephone advice. The decreasing length of hospital stay has increased the need for specific instructions about the postdischarge period. Telephone advice could be a valuable tool to address this problem. To our knowledge, postdischarge health problems and the value of telephone advice have not been investigated among gynaecological patients. Randomised controlled trial. Gynaecological patients expected to stay in the ward longer than 24 hour were invited to participate. A pilot study showed that wound healing, pain, mobility, urination, defecation and vaginal bleeding were the most common health problems postdischarge. Based on that information, guidelines were formulated that were used by trained nurses to give telephone advice to the intervention group (n=235), in addition to the usual care. The control group of gynaecological patients (n=233) received usual care only. Of all 468 participants, about 50% were operated for general gynaecology. At discharge, wound pain (56%), mobility problems (54%) and constipation (27%) were the most frequently mentioned problems in both groups. Participants who completely followed the advice with regard to wound healing (p=0.02), pain (p=0.01), vaginal bleeding (p=0.03) and mobility (p=0.04) experienced greater improvement than participants who did not follow, or only partly followed, the advice. The telephone advice appears to make a significant contribution to help gynaecological surgical patients to solve or reduce their postdischarge health problems. The positive effect of such advice can be interpreted as an improvement in the quality of life of the postoperative gynaecological patient. © 2010 Blackwell Publishing Ltd.

  11. Sensor monitoring to measure and support daily functioning for independently living older people: A systematic review and road map for further development

    NARCIS (Netherlands)

    Pol, M.C.; Poerbodipoero, S.; Robben, S.; Daams, J.; van Hartingsveldt, M.; de Vos, R.; de Rooij, S.E.; Kröse, B.; Buurman, B.M.

    2013-01-01

    Objectives To study sensor monitoring (use of a sensor network placed in the home environment to observe individuals' daily functioning (activities of daily living and instrumental activities of daily living)) as a method to measure and support daily functioning for older people living independently

  12. Sensor monitoring to measure and support daily functioning for independently living older people: a systematic review and road map for further development

    NARCIS (Netherlands)

    Pol, Margriet C.; Poerbodipoero, Soemitro; Robben, Saskia; Daams, Joost; van Hartingsveldt, Margo; de Vos, Rien; de Rooij, Sophia E.; Kröse, Ben; Buurman, Bianca M.

    2013-01-01

    To study sensor monitoring (use of a sensor network placed in the home environment to observe individuals' daily functioning (activities of daily living and instrumental activities of daily living)) as a method to measure and support daily functioning for older people living independently at home.

  13. Monitoring and Assessment Science to Support Decision-Making by the United Nations Convention to Combat Desertification (UNCCD)

    Science.gov (United States)

    Winslow, M.; Akhtar-Schuster, M.; Cherlet, M.; Martius, C.; Sommer, S.; Thomas, R.; Vogt, J.

    2009-12-01

    The United Nations Convention to Combat Desertification (UNCCD) is a global treaty that emerged from the Rio Earth Summit and formally took force in 1996. It has now been ratified by 193 countries (known as Parties to the Convention). Yet the UNCCD has gained only modest support from donors, largely due to questions about the science base underlying its target issue (desertification) resulting in ambiguous definitions and quantification of the problem. The UNCCD recognizes the need to reform itself and commissioned a scientific conference in Buenos Aires, Argentina in September 2009 to discuss ways to improve the scientific underpinning of monitoring and assessment (M&A) of desertification, land degradation and drought (DLDD). Previous attempts by the UNCCD on M&A focused largely on a search for a common, simple, universal set of indicators that could be reported by country Parties to the Convention Secretariat, which would collate them into a global report. However experience found that no single set of indicators is satisfactory to all countries, because DLDD depends strongly on the local environmental and human/social context. Three preparatory Working Groups analyzed the issue of DLDD M&A and recommended the following. Parties should recognize that M&A methods must integrate human-environment parameters to capture the complexity of DLDD phenomena as defined in the Convention’s text. Traditional tendencies had been to isolate biophysical from social and economic parameters, leading to unrealistic conclusions. Parties should take advantage of a much wider range of analytical techniques than just the coarse-scale indicators that had been their main focus to date. Powerful but underutilized techniques include integrated assessment models, remote sensing, geographic information systems and mapping, participatory stakeholder assessment, hierarchical aggregation of related data, knowledge management and many others. Multiple methods could provide validation checks

  14. Application of quality risk management to set viable environmental monitoring frequencies in biotechnology processing and support areas.

    Science.gov (United States)

    Sandle, Tim

    2012-01-01

    Environmental monitoring programs are essential for pharmaceutical facilities in order to assess the level of environmental control. For biotechnology facilities there is little advice as to the frequency at which viable environmental monitoring should be conducted. This paper outlines an approach, based on the principles of quality risk management, for the development of a framework from which monitoring frequencies can be determined. This involved the identification of common hazards and the evaluation those hazards in terms of the severity of contamination and the probability of contamination occurring. These elements of risk were evaluated for different cleanrooms and the relative risks ranked. Once the risk scores were calculated, the methods for detecting risks within the cleanrooms were assessed. Risk filtering was then used to group different cleanrooms based on their relative risks and detection methods against predetermined monitoring frequencies. Through use of case study examples, the paper presents the model and describes how appropriate frequencies for the environmental monitoring of cleanrooms can be set. Cleanrooms in which biotechnology pharmaceutical processing takes place are subject to environmental monitoring. The frequency at which such monitoring should be performed can be difficult to determine. This paper uses quality risk assessment methods to construct a framework for determining monitoring frequencies and illustrates the suitability of the framework through a case study.

  15. Monitoring, accounting and automated decision support for the ALICE experiment based on the MonALISA framework

    CERN Document Server

    Cirstoiu, C; Betev, L; Saiz, P; Peters, A J; Muraru, A; Voicu, R; Legrand, I

    2007-01-01

    We are developing a general purpose monitoring system for the ALICE experiment, based on the MonALISA framework. MonALISA (Monitoring Agents using a Large Integrated Services Architecture) is a fully distributed system with no single point of failure that is able to collect, store monitoring information and present it as significant perspectives and synthetic views on the status and the trends of the entire system. Furthermore, agents can use it for taking automated operational decisions. Monitoring information is gathered locally from all the components running in each site. The entire flow of information is aggregated on site level by a MonALISA service and then collected and presented in various forms by a central MonALISA Repository. Based on this information, other services take operational decisions such as alerts, triggers, service restarts and automatic production job or transfer submissions. The system monitors all the components: computer clusters (all major parameters of each computing node), jobs ...

  16. Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention

    Directory of Open Access Journals (Sweden)

    Wang J

    2012-03-01

    Full Text Available Jing Wang1, Susan M Sereika2,3, Eileen R Chasens2, Linda J Ewing4, Judith T Matthews2,5, Lora E Burke2,31School of Nursing, University of Texas Health Science Center at Houston, Houston, TX, 2School of Nursing, 3Graduate School of Public Health, 4School of Medicine, 5University Center for Social and Urban Research, University of Pittsburgh, Pittsburgh, PA, USABackground: Examination of mediating behavioral factors could explain how an intervention works and thus provide guidance to optimize behavioral weight-loss programs. This study examined the mediating role of adherence to self-monitoring of diet and physical activity on weight loss in a behavioral weight-loss trial testing the use of personal digital assistants (PDA for self-monitoring.Methods: Mediation analysis was conducted to examine the possible mediating role of adherence to self-monitoring of diet and physical activity between treatments using varying self-monitoring methods (paper record, PDA, and PDA with daily tailored feedback messages and weight loss.Findings: The sample (N = 210 was predominantly white (78% and female (85%. Compared to a paper record, using a PDA for self-monitoring diet (P = 0.027 and physical activity (P = 0.014 had significant direct effects on weight loss at 12 months, as well as a significant indirect effect on outcomes through improved adherence to self-monitoring (PS < 0.001. Receiving an automated daily feedback message via PDA only had a significant indirect effect on weight through self-monitoring adherence to diet (P = 0.004 and physical activity (P = 0.002.Conclusions: Adherence to self-monitoring of diet and physical activity is important as the underlying mechanism in this technology-supported behavioral weight-loss intervention.Keywords: behavioral intervention, self-monitoring, mobile technology, mediation analysis, weight loss, adherence 

  17. Monitoring Exposure to Ebola and Health of U.S. Military Personnel Deployed in Support of Ebola Control Efforts - Liberia, October 25, 2014-February 27, 2015.

    Science.gov (United States)

    Cardile, Anthony P; Murray, Clinton K; Littell, Christopher T; Shah, Neel J; Fandre, Matthew N; Drinkwater, Dennis C; Markelz, Brian P; Vento, Todd J

    2015-07-03

    In response to the unprecedented Ebola virus disease (Ebola) outbreak in West Africa, the U.S. government deployed approximately 2,500 military personnel to support the government of Liberia. Their primary missions were to construct Ebola treatment units (ETUs), train health care workers to staff ETUs, and provide laboratory testing capacity for Ebola. Service members were explicitly prohibited from engaging in activities that could result in close contact with an Ebola-infected patient or coming in contact with the remains of persons who had died from unknown causes. Military units performed twice-daily monitoring of temperature and review of exposures and symptoms ("unit monitoring") on all persons throughout deployment, exit screening at the time of departure from Liberia, and post-deployment monitoring for 21 days at segregated, controlled monitoring areas on U.S. military installations. A total of 32 persons developed a fever during deployment from October 25, 2014, through February 27, 2015; none had a known Ebola exposure or developed Ebola infection. Monitoring of all deployed service members revealed no Ebola exposures or infections. Given their activity restrictions and comprehensive monitoring while deployed to Liberia, U.S. military personnel constitute a unique population with a lower risk for Ebola exposure compared with those working in the country without such measures.

  18. Teaching adolescents with severe disabilities to use the public telephone.

    Science.gov (United States)

    Test, D W; Spooner, F; Keul, P K; Grossi, T

    1990-04-01

    Two adolescents with severe disabilities served as participants in a study conducted to train in the use of the public telephone to call home. Participants were trained to complete a 17-step task analysis using a training package which consisted of total task presentation in conjunction with a four-level prompting procedure (i.e., independent, verbal, verbal + gesture, verbal + guidance). All instruction took place in a public setting (e.g., a shopping mall) with generalization probes taken in two alternative settings (e.g., a movie theater and a convenience store). A multiple probe across individuals design demonstrated the training package was successful in teaching participants to use the telephone to call home. In addition, newly acquired skills generalized to the two untrained settings. Implications for community-based training are discussed.

  19. Supplemental Analysis Survey of C&P Telephone Inside Wiring.

    Science.gov (United States)

    1986-10-01

    telephone company facilities in 1984. In 1985, among other actions favorable to deregulation and detariffing of inside wiring, the FCC proposed to detariff ...installation of inside wiring, detariff the maintenance of all inside wiring, treat all inside wiring as customer premise equipment and pass ownership...85-148, 50 Fed. let. 13991 (April 9, 1985), pToposing to detariff the installation of simple inside wiring and also to detariff the maintenance of all

  20. Impact of telephone nursing education program for equity in healthcare

    OpenAIRE

    H?glund, Anna T.; Carlsson, Marianne; Holmstr?m, Inger K.; Kaminsky, Elenor

    2016-01-01

    Background The Swedish Healthcare Act prescribes that healthcare should be provided according to needs and with respect for each person?s human dignity. The goal is equity in health for the whole population. In spite of this, studies have revealed that Swedish healthcare is not always provided equally. This has also been observed in telephone nursing. Therefore, the aim of the present study was to investigate if and how an educational intervention can improve awareness of equity in healthcare...

  1. For whom bell toils: medical imaging by telephone.

    Science.gov (United States)

    Kuhfeld, A W

    1991-01-01

    The use of the induction balance, which was invented by Alexander Graham Bell to cancel out line interference on his telephone, to determine the location of bullets inside the human body is discussed. Experiments conducted to locate a bullet in the body of US President Garfield, who had been shot by an assassin in 1881, are described. The trials on Garfield were unsuccessful, but the approach was later perfected by Bell.

  2. Demographic corrections for the modified Telephone Screening for Cognitive Status

    OpenAIRE

    Dennett, Kathryn; Tometich, Danielle; Duff, Kevin

    2013-01-01

    Despite the growing use of the modified Telephone Interview for Cognitive Status (mTICS) as a cognitive screening instrument, it does not yet have demographic corrections. Demographic data, mTICS, and a neuropsychological battery were collected from 274 community dwelling older adults with intact cognition or mild cognitive impairments. Age, education, premorbid intellect, and depression were correlated with mTICS scores. Using regression equations, age and education significantly predicted m...

  3. Comparison between data obtained through real-time data capture by SMS and a retrospective telephone interview

    DEFF Research Database (Denmark)

    Johansen, Bendt; Wedderkopp, Niels

    2010-01-01

    BACKGROUND: The aims of the current study were: a) to quantitatively compare data obtained by Short Message Service (SMS) with data from a telephone interview, b) to investigate whether the respondents had found it acceptable to answer the weekly two SMS questions, c) to explore whether....... Bland-Altman limits of agreement were calculated. The two quantitative questions were reported as percentages. Actual costs for the SMS-Track-Questionnaire (SMS-T-Q) were compared with estimated costs for paper version surveys. RESULTS: There was high agreement between telephone interview and SMS...... an additional weekly third SMS question would have been acceptable, and d) to calculate the total cost of using the SMS technology. METHODS: SMS technology was used each week for 53 weeks to monitor 260 patients with low back pain (LBP) in a clinical study. Each week, these patients were asked the same two...

  4. The efficacy of video monitoring-supported student self-evaluation of dental explorer skills in dental hygiene education.

    Science.gov (United States)

    Tano, R; Takaku, S; Ozaki, T

    2017-11-01

    The objective of this study was to investigate whether having dental hygiene students monitor video recordings of their dental explorer skills is an effective means of proper self-evaluation in dental hygiene education. The study participants comprised students of a dental hygiene training school who had completed a module on explorer skills using models, and a dental hygiene instructor who was in charge of lessons. Questions regarding 'posture', 'grip', 'finger rest' and 'operation' were set to evaluate explorer skills. Participants rated each item on a two-point scale: 'competent (1)' or 'not competent (0)'. The total score was calculated for each evaluation item in evaluations by students with and without video monitoring, and in evaluations by the instructor with video monitoring. Mean scores for students with and without video monitoring were compared using a t-test, while intraclass correlation coefficients were found by reliability analysis of student and instructor evaluations. A total of 37 students and one instructor were subject to analysis. The mean score for evaluations with and without video monitoring differed significantly for posture (P Dental Hygiene Published by John Wiley& Sons Ltd.

  5. Survey on the Use of Mobile Telephone for Micro and Small ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Survey on the Use of Mobile Telephone for Micro and Small Business ... In Ghana, as in other developing countries, mobile telephones are pervasive, and used ... to announce that the first call for applications for the new Early Career Women.

  6. 75 FR 6704 - In the Matter of Certain Mobile Telephones and Wireless Communication Devices Featuring Digital...

    Science.gov (United States)

    2010-02-10

    ... States after importation of certain mobile telephones and wireless communication devices featuring... INTERNATIONAL TRADE COMMISSION [Investigation No. 337-TA-663] In the Matter of Certain Mobile Telephones and Wireless Communication Devices Featuring Digital Cameras, and Components Thereof; Notice of...

  7. 75 FR 65654 - In the Matter of: Certain Mobile Telephones and Wireless Communication Devices Featuring Digital...

    Science.gov (United States)

    2010-10-26

    ... States after importation of certain mobile telephones and wireless communication devices featuring... INTERNATIONAL TRADE COMMISSION [Investigation No. 337-TA-703] In the Matter of: Certain Mobile Telephones and Wireless Communication Devices Featuring Digital Cameras, and Components Thereof;Notice of...

  8. 77 FR 43858 - Certain Mobile Telephones and Wireless Communication Devices Featuring Digital Cameras, and...

    Science.gov (United States)

    2012-07-26

    ... INTERNATIONAL TRADE COMMISSION [Investigation No. 337-TA-703] Certain Mobile Telephones and Wireless Communication Devices Featuring Digital Cameras, and Components Thereof; Determination To Review... importation, and the sale within the United States after importation of certain mobile telephones and wireless...

  9. Historical and Retrospective Survey of Monitored Natural Attenuation: A Line of Inquiry Supporting Monitored Natural Attenuation and Enhanced Passive Remediation of Chlorinated Solvents

    International Nuclear Information System (INIS)

    LOONEY, BB.

    2004-01-01

    As requested by the Savannah River Technology Center, Groundwater Services, Inc. (GSI), has conducted a historical analysis of Monitored Natural Attenuation (MNA) application at chlorinated solvent sites. The objective of the analysis was to document trends, characteristics, successes, and barriers in the use of MNA as a remedy at chlorinated solvent sites. The analysis consisted of the following: (1) a review of recent literature regarding application of natural attenuation at chlorinated solvent sites, (2) a review of regulatory and industry guidance directing evaluation and implementation of MNA as a remedy at chlorinated solvent sites, and (3) a historical survey distributed to MNA experts, which requested data relating to the evaluation and implementation of MNA at chlorinated solvent sites

  10. The effectiveness of a life style modification and peer support home blood pressure monitoring in control of hypertension: protocol for a cluster randomized controlled trial.

    Science.gov (United States)

    Su, Tin Tin; Majid, Hazreen Abdul; Nahar, Azmi Mohamed; Azizan, Nurul Ain; Hairi, Farizah Mohd; Thangiah, Nithiah; Dahlui, Maznah; Bulgiba, Awang; Murray, Liam J

    2014-01-01

    Death rates due to hypertension in low and middle income countries are higher compared to high income countries. The present study is designed to combine life style modification and home blood pressure monitoring for control of hypertension in the context of low and middle income countries. The study is a two armed, parallel group, un-blinded, cluster randomized controlled trial undertaken within lower income areas in Kuala Lumpur. Two housing complexes will be assigned to the intervention group and the other two housing complexes will be allocated in the control group. Based on power analysis, 320 participants will be recruited. The participants in the intervention group (n = 160) will undergo three main components in the intervention which are the peer support for home blood pressure monitoring, face to face health coaching on healthy diet and demonstration and training for indoor home based exercise activities while the control group will receive a pamphlet containing information on hypertension. The primary outcomes are systolic and diastolic blood pressure. Secondary outcome measures include practice of self-blood pressure monitoring, dietary intake, level of physical activity and physical fitness. The present study will evaluate the effect of lifestyle modification and peer support home blood pressure monitoring on blood pressure control, during a 6 month intervention period. Moreover, the study aims to assess whether these effects can be sustainable more than six months after the intervention has ended.

  11. Challenges to Providing a Successful Central Configuration Service to Support CERN’s New Controls Diagnostics and Monitoring System

    CERN Document Server

    Makonnen, Z; Zaharieva, Z

    2014-01-01

    The Controls Diagnostic and Monitoring service (DIAMON) provides monitoring and diagnostics tools to the operators in the CERN Control Centre. A recent reengineering presented the opportunity to restructure its data management and to integrate it with the central Controls Configuration Service (CCS). The CCS provides the Configuration Management for the Controls System for all accelerators at CERN. The new facility had to cater for the configuration management of all agents monitored by DIAMON, (>3000 computers of different types), provide deployment information, relations between metrics, and historical information. In addition, it had to be integrated into the operational CCS, while ensuring stability and data coherency. An important design decision was to largely reuse the existing infrastructure in the CCS and adapt the DIAMON data management to it e.g. by using the device/property model through a Virtual Devices framework to model the DIAMON agents. This article will show how these challenging requiremen...

  12. Monitoring and evaluation of policy instruments to support renewable electricity in EU Member States. Summary; Monitoring und Bewertung der Foerderinstrumente fuer Erneuerbare Energien in EU Mitgliedsstaaten. Kurzfassung

    Energy Technology Data Exchange (ETDEWEB)

    Ragwitz, M.; Held, A. [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung (ISI), Karlsruhe (Germany); Resch, G.; Faber, T.; Huber, C.; Haas, R. [Technische Univ. Wien (AT). Energy Economics Group (EEG)

    2006-09-15

    Policy strategies for the promotion of electricity from renewable energy sources differ significantly among the Member States of the European Union with respect to the amount of additional installed capacity as well as concerning the country-specific support costs. The present report aims to assess the effectiveness and the economic efficiency of the support policies in the EU based on both historical experiences and prospective model-based analysis. The main message of the investigation is that the most effective policy instruments tend to be cost-efficient at the same time. In particular, feed-in tariff systems were identified as a successful instrument for supporting renewable energies in terms of effectiveness and efficiency, whereas quota systems still have to prove themselves in practice. (orig.) [German] Bezueglich des Erfolges bei der Foerderung erneuerbarer Energietraeger im Stromsektor bestehen deutliche Unterschiede zwischen den Mitgliedsstaaten der Europaeischen Union. Dies betrifft sowohl den Zubau an installierter Kapazitaet als auch die laenderspezifischen Foerderkosten des Ausbaus. In diesem Projekt erfolgte eine vergleichende Betrachtung der Wirksamkeit und der oekonomischen Effizienz der Foerderpolitiken in den Laendern der EU basierend auf historischen Erfahrungen als auch auf prospektiven modellbasierten Analysen. Es zeigt sich, dass die wirksamsten Systeme auch haeufig die kostenguenstigsten sind. Insbesondere wird ersichtlich, dass garantierte Einspeisetarife ein sehr erfolgreiches Instrumentarium zur Foerderung erneuerbarer Energien im Stromsektor darstellen, nicht allein bezueglich des generierten Marktwachstums sondern auch im Hinblick auf die oekonomische Effizienz, wogegen Quotensysteme ihre Praxistauglichkeit bezogen auf die genannten Kriterien noch nachweisen muessen. (orig.)

  13. Telephone-Based Coaching: A Comparison of Tobacco Cessation Programs in an Integrated Health Care System

    Science.gov (United States)

    Boccio, Mindy; Sanna, Rashel S.; Adams, Sara R.; Goler, Nancy C.; Brown, Susan D.; Neugebauer, Romain S.; Ferrara, Assiamira; Wiley, Deanne M.; Bellamy, David J.; Schmittdiel, Julie A.

    2016-01-01

    Purpose Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Design Retrospective cohort study comparing wellness coaching participants with two groups of controls. Setting Kaiser Permanente, Northern California (KPNC), a large integrated health care delivery system. Subjects 241 patients who participated in telephonic tobacco cessation coaching from 1/1/2011–3/31/2012, and two control groups: propensity-score matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing based coaching sessions that engage the patient, evoke their reason to consider quitting and help them establish a quit plan. Measures Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Analysis Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. Results After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, PCoaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, Pcoaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health. PMID:26559720

  14. 75 FR 78269 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Telephone...

    Science.gov (United States)

    2010-12-15

    ... for OMB Review; Comment Request; Telephone Point of Purchase Survey ACTION: Notice. SUMMARY: The... information collection request (ICR) titled, ``Telephone Point of Purchase Survey,'' to the Office [email protected] . SUPPLEMENTARY INFORMATION: The purpose of the Telephone Point of Purchase Survey is to...

  15. 78 FR 78389 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Telephone...

    Science.gov (United States)

    2013-12-26

    ... for OMB Review; Comment Request; Telephone Point of Purchase Survey ACTION: Notice. SUMMARY: The... request (ICR) revision titled, ``Telephone Point of Purchase Survey,'' to the Office of Management and... seeks to make minor modifications to the Telephone Point of Purchase Survey (TPOPS) and extend its PRA...

  16. 75 FR 8112 - In the Matter of Certain Mobile Telephones and Wireless Communication Devices Featuring Digital...

    Science.gov (United States)

    2010-02-23

    ... importation of certain mobile telephones and wireless communication devices featuring digital cameras, and... importation of certain mobile telephones or wireless communication devices featuring digital cameras, or... INTERNATIONAL TRADE COMMISSION [Inv. No. 337-TA-703] In the Matter of Certain Mobile Telephones...

  17. 75 FR 21979 - NRC Region II Address and Main Telephone Number Changes

    Science.gov (United States)

    2010-04-27

    ... Region II Address and Main Telephone Number Changes AGENCY: Nuclear Regulatory Commission. ACTION: Final... address for its Region II office and to update the main telephone number. The Region II office move and... update the NRC Region II office street address and office main telephone number. The physical location of...

  18. Randomized controlled trial on cardiovascular risk management by practice nurses supported by self-monitoring in primary care

    NARCIS (Netherlands)

    Tiessen, Ans H.; Smit, Andries J.; Broer, Jan; Groenier, Klaas H.; van der Meer, Klaas

    2012-01-01

    Background: Treatment goals for cardiovascular risk management are generally not achieved. Specialized practice nurses are increasingly facilitating the work of general practitioners and self-monitoring devices have been developed as counseling aid. The aim of this study was to compare standard

  19. A SAR Ice-Motion Processing Chain in Support of PROMICE (Programme for the Monitoring of the Greenland Ice Sheet)

    DEFF Research Database (Denmark)

    Merryman Boncori, John Peter; Dall, Jørgen; Ahlstrøm, A. P.

    2010-01-01

    This paper reports on the development of a SAR icemotion processing chain developed for the PROMICE project – a long-term program funded by the Danish ministry of Climate and Energy to monitor the mass budget of the Greenland ice sheet. The end goal of the SAR data processing is to output map-pro...

  20. Current remote sensing approaches to monitoring forest degradation in support of countries measurement, reporting and verification (MRV) systems for REDD.

    Science.gov (United States)

    Mitchell, Anthea L; Rosenqvist, Ake; Mora, Brice

    2017-12-01

    Forest degradation is a global phenomenon and while being an important indicator and precursor to further forest loss, carbon emissions due to degradation should also be accounted for in national reporting within the frame of UN REDD+. At regional to country scales, methods have been progressively developed to detect and map forest degradation, with these based on multi-resolution optical, synthetic aperture radar (SAR) and/or LiDAR data. However, there is no one single method that can be applied to monitor forest degradation, largely due to the specific nature of the degradation type or process and the timeframe over which it is observed. The review assesses two main approaches to monitoring forest degradation: first, where detection is indicated by a change in canopy cover or proxies, and second, the quantification of loss (or gain) in above ground biomass (AGB). The discussion only considers degradation that has a visible impact on the forest canopy and is thus detectable by remote sensing. The first approach encompasses methods that characterise the type of degradation and track disturbance, detect gaps in, and fragmentation of, the forest canopy, and proxies that provide evidence of forestry activity. Progress in these topics has seen the extension of methods to higher resolution (both spatial and temporal) data to better capture the disturbance signal, distinguish degraded and intact forest, and monitor regrowth. Improvements in the reliability of mapping methods are anticipated by SAR-optical data fusion and use of very high resolution data. The second approach exploits EO sensors with known sensitivity to forest structure and biomass and discusses monitoring efforts using repeat LiDAR and SAR data. There has been progress in the capacity to discriminate forest age and growth stage using data fusion methods and LiDAR height metrics. Interferometric SAR and LiDAR have found new application in linking forest structure change to degradation in tropical forests

  1. 26. Effectiveness of telephone follow up in managing patients with type II diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Ala Taiyem

    2015-10-01

    Full Text Available Diabetes mellitus is one of the most common non-communicable diseases globally, labeled as the greatest healthcare challenge according to the World Health Organization and the International Diabetes Federation. This complex disease requires the involvement of multidisciplinary teams to reduce the risk and impact of long-term diabetes complications through intensive monitoring, education and lifestyle modifications with a great emphasis on promoting self-care. A brief and cost-effective interventions to improve diabetes self care management are needed. This study evaluated the effect of “educational” telephone intervention delivered by nurse specialist on glycemic control “Glyclated hemoglobin A1c”, and diabetes self-care management for patients with type 2 diabetes followed-up by a nurse-led cardiovascular disease management program of a tertiary hospital within the Kingdom of Saudi Arabia. This quantitative descriptive and qauzi-experimental study was conducted over three months, included 60 adult patients diagnosed with type 2 diabetes who were randomly assigned to intervention or control group. Participants within the intervention group received usual care and six educational phone calls promoting them to improve their diabetic self-care activities. Patients within the control arm continued to receive their usual care only. The telephone follow-up intervention increased frequency of exercise and foot care, improved diet and adherence to anti-diabetes medication. Modest improvement was detected on the glycemic control and home glucose monitoring. As a conclusion, the study indicated positive effect of the intervention on glycemic control and self-care management. Multi-centers and longitudinal studies with larger sample size are recommended for future studies.

  2. GEOINFORMATION AND CARTOGRAPHIC SUPPORT FOR MONITORING NATURAL AND TECHNOGENIC PROCESSES BASED ON ATLAS MAPPING IN THE SAKHALIN REGION

    Directory of Open Access Journals (Sweden)

    V. A. Melkiy

    2017-01-01

    Full Text Available The increasing anthropogenic impact often leads to emergence and development of negative processes on the lands, thereby reducing their economic value. Land of the Sakhalin Region located on the border of the Eurasian continent and the Pacific ocean, where interaction between geospheric shells is intense and therefore, exposed to a variety of active natural processes characteristic of such zones. Among the many processes that take place here very actively, one can be name seismic, volcanic, abrasion, morpholithodynamic, monsoon atmospheric circulation and several others. Active geothermal processes, combined with abundant moisture lead to changes in the biosphere (the gigantism of plants. It is therefore important to conduct periodic monitoring to assess the state of the environment, the pace of development and definition of processes speed.The operative regional land monitoring is possible only on the basis of data of Earth remote sensing with the regular updating of thematic maps using GIS technologies.The Sakhalin State University has been performing the analysis of the peculiarities of naturalclimatic conditions of the region, affecting the method of conducting monitoring of lands, as well as the interpretation of its results. When conducting scientific research the methods of geoinformation mapping, spatial analysis, thematic interpretation were used etc.As a result technology of integrated regional land monitoring in the Sakhalin has been developed and implemented on the Station of satellite data reception by Sakhalin State University, allowing one to receive, store, analyze, and provide map information on the assessment of the condition of lands, taking into account the specific natural conditions of the territory.The article presents a technological scheme of integrated regional monitoring of the land, reveals the content of databases on processes that change the state of the land and evidence-based period of space observations for them

  3. A mobile and web-based clinical decision support and monitoring system for diabetes mellitus patients in primary care: a study protocol for a randomized controlled trial.

    Science.gov (United States)

    Kart, Özge; Mevsim, Vildan; Kut, Alp; Yürek, İsmail; Altın, Ayşe Özge; Yılmaz, Oğuz

    2017-11-29

    Physicians' guideline use rates for diagnosis, treatment and monitoring of diabetes mellitus (DM) is very low. Time constraints, patient overpopulation, and complex guidelines require alternative solutions for real time patient monitoring. Rapidly evolving e-health technology combined with clinical decision support and monitoring systems (CDSMS) provides an effective solution to these problems. The purpose of the study is to develop a user-friendly, comprehensive, fully integrated web and mobile-based Clinical Decision Support and Monitoring System (CDSMS) for the screening, diagnosis, treatment, and monitoring of DM diseases which is used by physicians and patients in primary care and to determine the effectiveness of the system. The CDSMS will be based on evidence-based guidelines for DM disease. A web and mobile-based application will be developed in which the physician will remotely monitor patient data through mobile applications in real time. The developed CDSMS will be tested in two stages. In the first stage, the usability, understandability, and adequacy of the application will be determined. Five primary care physicians will use the developed application for at least 16 DM patients. Necessary improvements will be made according to physician feedback. In the second phase, a parallel, single-blind, randomized controlled trial will be implemented. DM diagnosed patients will be recruited for the CDSMS trial by their primary care physicians. Ten physicians and their 439 patients will be involved in the study. Eligible participants will be assigned to intervention and control groups with simple randomization. The significance level will be accepted as p system will make recommendations on patient monitoring, diagnosis, and treatment. These recommendations will be implemented at the physician's discretion. Patients in the control group will be treated by physicians according to current DM treatment standards. Patients in both groups will be monitored for 6

  4. Attacks on public telephone networks: technologies and challenges

    Science.gov (United States)

    Kosloff, T.; Moore, Tyler; Keller, J.; Manes, Gavin W.; Shenoi, Sujeet

    2003-09-01

    Signaling System 7 (SS7) is vital to signaling and control in America's public telephone networks. This paper describes a class of attacks on SS7 networks involving the insertion of malicious signaling messages via compromised SS7 network components. Three attacks are discussed in detail: IAM flood attacks, redirection attacks and point code spoofing attacks. Depending on their scale of execution, these attacks can produce effects ranging from network congestion to service disruption. Methods for detecting these denial-of-service attacks and mitigating their effects are also presented.

  5. Towards a 21st century telephone exchange at CERN

    CERN Document Server

    AUTHOR|(SzGeCERN)745509; Hesnaux, Anthony Gerard; Sierra, Rodrigo; Chapron, Frederic; CERN. Geneva. IT Department

    2015-01-01

    The advent of mobile telephony and Voice over IP (VoIP) has significantly impacted the traditional telephone exchange industry—to such an extent that private branch exchanges are likely to disappear completely in the near future. For large organisations, such as CERN, it is important to be able to smooth this transition by implementing new multimedia platforms that can protect past investments and the flexibility needed to securely interconnect emerging VoIP solutions and forthcoming developments such as Voice over LTE (VoLTE). We present the results of ongoing studies and tests at CERN of the latest technologies in this area.

  6. Alternative Measured-Service Rate Structures for Local Telephone Service,

    Science.gov (United States)

    1980-06-01

    contracts or grants . Views expressed in a Papet are the author’s own, and are not necessarily shared by Rand or its research sponsors. The Rand Corporation...by National Science Foundation, grant DAR 77-16286 to The Rand Corporation. Measuring costs depend strongly on the technology of the telephone network...a Budget Constraint. The Case of the Two-Part Tariff," Review of Economic Studies, July 1974, Vol. 41, pp. 337-345. -28- Oi, W. Y., "A Disneyland

  7. Telephone consultations on exposure to nuclear disaster radiation

    International Nuclear Information System (INIS)

    Yashima, Sachiko; Chida, Koichi

    2014-01-01

    The Fukushima nuclear disaster occurred on March 11, 2011. For about six weeks, I worked as a counselor for phone consultations regarding radiation risk. I analyzed the number of consultations, consultations by telephone, and their changing patterns with elapse of time, to assist with consultations about risk in the future. There were a large number of questions regarding the effects of radiation, particularly with regard to children. We believe that counseling and risk communication are the key to effectively informing the public about radiation risks. (author)

  8. Evaluation of a telephone advice nurse in a nursing faculty managed pediatric community clinic.

    Science.gov (United States)

    Beaulieu, Richard; Humphreys, Janice

    2008-01-01

    Nurse-managed health centers face increasing obstacles to financial viability. Efficient use of clinic resources and timely and appropriate patient care are necessary for sustainability. A registered nurse with adequate education and support can provide high-quality triage and advice in community-based practice sites. The purpose of this program evaluation was to examine the effect of a telephone advice nurse service on parent/caregiver satisfaction and access to care. A quasi-experimental separate pre-post sample design study investigated parent/caregiver satisfaction with a telephone advice nurse in an urban pediatric nurse-managed health center. The clinic medical information system was used to retrieve client visit data prior to the service and in the first year of the program. Statistically significant differences were found on two items from the satisfaction with the advice nurse survey: the reason for calling (P decision making (P nurse may increase both parent/caregiver and provider satisfaction and access to care.

  9. Factors affecting the longevity of interim ILW stores, monitoring methods and techniques supporting store life extension - 59151

    International Nuclear Information System (INIS)

    Morris, Jenny; Wickham, Stephen; Hicks, Tim; Richardson, Phil; McKinney, James; Morris, Darrell; Brownridge, Melanie; Tearle, Mark

    2012-01-01

    Life-limiting features of stores (i.e. components of a typical Intermediate Level Waste (ILW) store that are vulnerable to failure) can be separated into those related to store design, the continuing operation of the store and equipment and store management. Environmental factors, including temperature, humidity, atmospheric pollutants and radiation fields also affect the longevity of ILW storage buildings and the integrity of the waste packages within the store. The current condition of the store and the causes and rates of any observed deterioration need to be determined to estimate the current operating life of the store and to analyse the costs and benefits associated with life extension. Suitable monitoring techniques and methods for extending the operating life of stores, either by remediation or replacement of identified life-limiting features, have also been assessed. Techniques including visual inspection (directly or by use of CCTV or inspection cells), corrosion coupons, crane monitoring and a wide range of indirect measurement methods can be used to monitor the condition of life-limiting features and the store environment. Methods for extending store life include the application of paint or coatings to retard degradation, use of electro-chemical treatments and repair of the concrete structure or replacement of components. Life-limiting features and environmental factors that affect the longevity of facilities for the interim storage of ILW have been identified through a literature review and Expert Workshop. Monitoring techniques are available for the key life-limiting feature of structural integrity of reinforced concrete, and for the atmospheric or surface concentration of corrosion-accelerating substances. Methods for remediating the reinforced concrete structure or crane rails to increase the expected lifetime of the store are also reviewed. Many of these techniques have previously been used at radioactive waste stores or other nuclear facilities in

  10. Building a Data Set over 12 Globally Distributed Sites to Support the Development of Agriculture Monitoring Applications with Sentinel-2

    Directory of Open Access Journals (Sweden)

    Sophie Bontemps

    2015-12-01

    Full Text Available Developing better agricultural monitoring capabilities based on Earth Observation data is critical for strengthening food production information and market transparency. The Sentinel-2 mission has the optimal capacity for regional to global agriculture monitoring in terms of resolution (10–20 meter, revisit frequency (five days and coverage (global. In this context, the European Space Agency launched in 2014 the “Sentinel­2 for Agriculture” project, which aims to prepare the exploitation of Sentinel-2 data for agriculture monitoring through the development of open source processing chains for relevant products. The project generated an unprecedented data set, made of “Sentinel-2 like” time series and in situ data acquired in 2013 over 12 globally distributed sites. Earth Observation time series were mostly built on the SPOT4 (Take 5 data set, which was specifically designed to simulate Sentinel-2. They also included Landsat 8 and RapidEye imagery as complementary data sources. Images were pre-processed to Level 2A and the quality of the resulting time series was assessed. In situ data about cropland, crop type and biophysical variables were shared by site managers, most of them belonging to the “Joint Experiment for Crop Assessment and Monitoring” network. This data set allowed testing and comparing across sites the methodologies that will be at the core of the future “Sentinel­2 for Agriculture” system.

  11. Support of the Ukrainean Supervisory Authority during the extension of the improved operational NCP monitoring. Final report part III

    International Nuclear Information System (INIS)

    Beyer, M.; Carl, H.

    2005-05-01

    Technical systems to improve the operational monitoring for the three units of the South Ukraine NPP and for the 1 st unit of the Chmelnitzky NPP were put up by analogy with the systems for the Zaporoshye NPP and the Rovno NPP. For that up to 51 safety-relevant technological and 16 radiological parameters from every unit are available to the supervisory authority on-site and in the crisis centre in Kiev for collection and assessment. These parameters are transferred on-line by modern technical equipment once a minute. The developed evaluation software enables the visualisation of the monitoring results in form of diagrams, charts and graphs. By means of an archive modus the trends of all parameters can be analysed. With the integration of the technical equipment delivered for the sheltered room of the Zaporoshye NPP into the on-site existing remote monitoring system is it now possible to record and to evaluate essential safety-relevant parameters of the whole NPP also during severe accidents by means of modern technical equipment. (orig.)

  12. Developing human rights based indicators to support country monitoring of rehabilitation services and programmes for people with disabilities: a study protocol.

    Science.gov (United States)

    Skempes, Dimitrios; Bickenbach, Jerome

    2015-09-24

    Rehabilitation care is fundamental to health and human dignity and a human right enshrined in the United Nations Convention on the Rights of Persons with Disabilities. The provision of rehabilitation is important for reducing the need for formal support and enabling persons with disabilities to lead an independent life. Increasingly scholars and advocacy groups voice concerns over the significant barriers facing people with disabilities in accessing appropriate and quality rehabilitation. A growing body of research highlights a "respond-need" gap in the provision of rehabilitation and assistive technologies and underscore the lack of indicators for assessing performance of rehabilitation systems and monitoring States compliance with human rights standards in rehabilitation service planning and programming. While research on human rights and health monitoring has increased exponentially over the last decade far too little attention has been paid to rehabilitation services. The proposed research aims to reduce this knowledge gap by developing a human rights based monitoring framework with indicators to support human rights accountability and performance assessment in rehabilitation. Concept mapping, a stakeholder-driven approach will be used as the core method to identify rights based indicators and develop the rehabilitation services monitoring framework. Concept mapping requires participants from various stakeholders groups to generate a list of the potential indicators through on line brainstorming, sort the indicators for conceptual similarity into clusters and rate them against predefined criteria. Multidimensional scaling and hierarchical cluster data analysis will be performed to develop the monitoring framework while bridging analysis will provide useful insights about patterns of agreement or disagreement among participants views on indicators. This study has the potential to influence future practices on data collection and measurement of compliance with

  13. Do They Need Goals or Support? A Report from a Goal-Setting Intervention Using Physical Activity Monitors in Youth

    Directory of Open Access Journals (Sweden)

    Michal Bronikowski

    2016-09-01

    Full Text Available The objective of this study was to investigate the association between physical activity (PA and different goal setting and strategies in youth. The study took into consideration different sources of support as well as gender variations. Classmate and Teacher Support scales were used to evaluate support in physical education (PE classes, and moderate-to-vigorous physical activity (MVPA was reported. Garmin Vivofit® activity trackers were used during an 8 week-long intervention to count daily steps. Data was collected from 65 adolescents (mean age 17.2 ± 0.2, 74 young adolescents (mean age 15.3 ± 0.2 and 57 children (mean age 11.5 ± 0.4. An experimental design was employed, with “goal” and “do your best” groups given different step goal strategies. The results show that both groups achieved a comparable number of steps. Two-way ANOVA showed interactional effects between gender and teacher support. There were no such effects for MVPA and number of steps. Although classmate support in PE was reported to be reasonably high, the findings show that it does not play a significant role in increasing MVPA behaviors in youths. However, the problem of significantly lower support given to adolescent girls by PE teachers should be embedded into the teaching context of PE students and counteracted in school setting realities.

  14. RaCon: a software tool serving to predict radiological consequences of various types of accident in support of emergency management and radiation monitoring management

    International Nuclear Information System (INIS)

    Svanda, J.; Hustakova, H.; Fiser, V.

    2008-01-01

    The RaCon software system, developed by the Nuclear Research Institute Rez, is described and its application when addressing various tasks in the domain of radiation accidents and nuclear safety (accidents at nuclear facilities, transport of radioactive material, terrorist attacks) are outlined. RaCon is intended for the prediction and evaluation of radiological consequences to population and rescue teams and for optimization of monitoring actions. The system provides support to emergency management when evaluating and devising actions to mitigate the consequences of radiation accidents. The deployment of RaCon within the system of radiation monitoring by mobile emergency teams or remote controlled UAV is an important application. Based on a prediction of the radiological situation, RaCon facilitates decision-making and control of the radiation monitoring system, and in turn, refines the prediction based on observed values. Furthermore, the system can perform simulations of evacuation patterns at the Dukovany NPP and at schools in the vicinity of the power plant and can provide support to emergency management should any such situation arise. (orig.)

  15. Environmental reduction of mobile telephone base station produced radiation exposures

    International Nuclear Information System (INIS)

    Vermiglio, G.; Tripepi, M.G.; Testagrossa, B.; Sansotta, C.

    2006-01-01

    In this work the authors discuss about their own proposal about a model to modify how the Wireless Telephone Base Stations (W.T.B.S.) works. The proposal, which was made having in mind the GSM technology, can be applied to all other kind of similar technologies and was pointed out as a different way of working of the W.T.B.S. without any modifications on their distribution over the territory. After a short review of the state of the art about the technology and the basis of wireless telephone base stations, the baselines and the principles of the proposed model are discussed, facing out the most significant parameters obtained from the way W.T.B.S. are working at present towards the proposed one. Then the authors illustrate the possible advantages o f the proposed model in terms of environmental, socials and energy savings aspects. It is the authors opinion that such model can be a simple and no -cost solution to apply to the existing infrastructures; more over it can be of interest either for mobile phone companies or for environmental and/or customers associations. (authors)

  16. Pricing of miniature vehicles made from telephone card waste

    Science.gov (United States)

    Puspitasari, N. B.; Pujotomo, D.; Muhardiansyah, H.

    2017-12-01

    The number of electronic devices in Indonesia in the last 10 years has been increasing quite drastically which contributes to more electronic waste. E-waste or electronic waste have different characteristics from other kinds of waste. Components of electronic waste often poisonous, consisting dangerous chemicals. The telephone card wasted is also an electronic waste. One alternative to handle and manage telephone card waste is to recycle it into collectible miniature vehicles. But the price of these miniatures is quite high, causing low interest in buying them. A research on the price of miniature vehicles in relation to consumers’ Ability to Pay (ATP) and Willingness to Pay (WTP) needs to be done. Segmentation analysis data, target, product positioning and product marketing mix are needed before commencing the research. Data collection is done through a survey by spreading questionnaire to 100 miniature vehicle collectors in Semarang, questioning their ability and willingness to pay recycled miniature vehicles. Calculations showed average ATP of Rp.112.520, 24 and average WTP of Rp.76.870. The last result showed the estimate pricing according to ATP and WTP which is Rp.66.000 with 58% of the respondents claiming to be willing and able to pay that price.

  17. Visual inspection technology of the narrow and small confined area for monitoring feederpipe support of pressure tube in calandria reactor

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Jae Wan; Lee, Nam Ho; Choi, Young Soo [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-12-01

    There are 760 feederpipes, which they are connected to inlet/outlet of the 380 pressure tube channels on the front of the calandria, in CANDU-type Reactor of Wolsung Nuclear Power Plant. As an ISI(In-Service Inspection) and PSI (Post-Service Inspection) requirements, maintenance activities of measuring the thickness of curvilinear part of feederpipe and inspecting the feederpipe support area within calandria are needed to ensure continued reliable operation of nuclear power plant. And ultrasonic probe is used to measure the thickness of curvilinear part of feederpipe, however workers are exposed to radioactivity irradiation during the measurement period. But, it is exposed to radioactivity irradiation during the measurement period. But, it is impossible to inspect feederpipe support area thoroughly because of narrow and confined accessibility, that is , an inspection space between the pressure tube channels is less than 100 mm and pipes in feederpipe support area are congested. And also, workers involved in inspecting feederpipe support area are under the jeopardy of high-level radiation exposure. Concerns about sliding home, which make the move of feederpipe connected to pressure tube channel smooth as pressure tube expands and contracts in its axial direction, stuck to feedeerpipe support and some of the structural components have made necessary the development of video inspection probe system with narrow and confined accessibility to observe and inspect feederpipe support area more close. Using video inspection probe system, it is possible to inspect and repair abnormality of feederpipe support connected to pressure tube channels of the calandria more accurate and quantative than naked eye. Therefore, that will do much for ensuring safety of CANDU-type nuclear power plant. 45 figs.,31 tabs. (Author)

  18. Source Water Management for Disinfection By-Product Control using New York City's Operations Support Tool and On-Line Monitoring

    Science.gov (United States)

    Weiss, W. J.; Becker, W.; Schindler, S.

    2012-12-01

    The United States Environmental Protection Agency's 2006 Stage 2 Disinfectant / Disinfection Byproduct Rule (DBPR) for finished drinking waters is intended to reduce overall DBP levels by limiting the levels of total trihalomethanes (TTHM) and five of the haloacetic acids (HAA5). Under Stage 2, maximum contaminant levels (MCLs), 80 μg/L for TTHM and 60 μg/L for HAA5, are based on a locational running annual average for individual sites instead of as the system-wide quarterly running annual average of the Stage 1 DBPR. This means compliance will have to be met at sampling locations of peak TTHM and HAA5 concentrations rather than an average across the entire system. Compliance monitoring under the Stage 2 DBPR began on April 1, 2012. The New York City (NYC) Department of Environmental Protection (DEP) began evaluating potential impacts of the Stage 2 DBPR on NYC's unfiltered water supply in 2002 by monitoring TTHM and HAA5 levels at various locations throughout the distribution system. Initial monitoring indicated that HAA5 levels could be of concern in the future, with the potential to intermittently violate the Stage 2 DBPR at specific locations, particularly those with high water age. Because of the uncertainty regarding the long-term prospect for compliance, DEP evaluated alternatives to ensure compliance, including operational changes (reducing chlorine dose, changing flow configurations to minimize water age, altering pH, altering source water withdrawals); changing the residual disinfectant from free chlorine to chloramines; and engineered treatment alternatives. This paper will discuss the potential for using DEP's Operations Support Tool (OST) and enhanced reservoir monitoring to support optimization of source water withdrawals to minimize finished water DBP levels. The OST is a state-of-the-art decision support system (DSS) to provide computational and predictive support for water supply operations and planning. It incorporates a water supply system

  19. The Effects of Forearm Support on Upper Body for People in Front of Monitor: A Meta-Analysis.

    Science.gov (United States)

    Lyu, Jingtong; Wu, Xiaojing; Duan, Xin; Xiang, Zhou

    2015-01-01

    With the ever-growing number of people who work at visual display terminals, the work-related musculoskeletal disorders of the upper body are believed to be an important problem all over the world. The forearm support, which can keep the forearm and wrist in biomechanical posture, is a possible protective factor of the development of upper body syndrome. This meta-analysis examines the efficacy of forearm support in reducing upper body syndrome. The Cochrane Library, EMBASE, Ovid, ScienceDirect, SpringerLink, Google Scholar, CNKI database, and Wanfang database were searched from inception until May 29, 2013. Relevant studies were included after the screening of title, abstract, and the full text. Impact of bias was assessed independently by 2 authors. Four studies that met all the inclusion criteria were included finally. The combined results based on all studies suggested that statistically the forearm support had a nonsignificant effect on upper body syndrome (odds ratio [OR] = 0.70, 95% confidence interval [CI]: 0.49, 1.02). The result of subgroup analysis suggested that forearm support has a significant effect on neck or shoulder syndrome (OR = 0.70, 95% CI: 0.43, 1.14) and the effect on upper extremity syndrome (OR = 0.76, 95% CI: 0.49, 1.19) is not significant. This meta-analysis suggested that the forearm support had statistically nonsignificant effect on preventing upper body syndrome on the whole.

  20. The Impact of Caller Gender on Telephone Crisis-Helpline Workers' Interpretation of Suicidality in Caller Vignettes.

    Science.gov (United States)

    Hunt, Tara; Wilson, Coralie J; Caputi, Peter; Wilson, Ian; Woodward, Alan

    2018-04-23

    Telephone crisis-line workers (TCWs) are trained in a variety of techniques and skills to facilitate the identification of suicidal callers. One factor that may influence the implementation of these skills is gender. This study used an experimental design to explore whether helpline callers being identified as male or female is associated with TCWs’ ratings of callers’ potential for suicide risk and TCWs’ intention to use support- or intervention-oriented skills with callers. Data were collected using an online self-report survey in an Australian sample of 133 TCWs. The results suggest that under some circumstances the callers’ gender might influence TCWs’ intention to use intervention-oriented skills with the caller. Implications for the training of telephone crisis workers, and those trained in suicide prevention more broadly are discussed.